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3 FAIRMOUNT STREET - BUILDING JACKET SuperTab® Ovemized-Tab Folders 90%LargerLabelArea • •••� /// SMEA KEEPING YOU ORGANIZED ft lam wrrerr� soft Inv" GET ORGANIZEDAT SMEAD.COM wLmmmcww AQ lapmr J ..... CITY OF SALEM, MASSACHUSETTS ° A1pr ASSESSING DEPARTMENT 93 WASHINGTON STREET SALEM, MA 01 970 TEL. 978-745-9595 D� FAX. 978-744-2069 ASSESSORS@SALEM.COM MAYOR - DIRECTOR KIMBERLEY DRISCOLL DEBORAH A. JACKSON BOARD OF ASSESSORS DONALD T. BATES RICHARD W. JAGOLTA. JR. DAMIAN JOHNSON February 20, 2014 Cheryl A. LaPointe City Clerk City Hall Salem, MA 01970 Dear Ms. LaPointe: RE: New mailing address for residence located at 1 3 Fairmont Street. Map 27 Lot 0129 Please be advised that the new mailing address for the above mentioned property will be 3 Fairmont Street only per deed reference noted at the South Essex Registry of Deeds since 1969 in Book 5610 Page 32. Very truly yours, Deborah A Jackson Director of Assessing Cc: Mark R. Howell, Postmaster Chief David Cody, Fire Dept. Julie Rose, Water Dept. somas St.Pierre, Building Inspector Mark Losolfo, Police Dept. 911 Officer John Giardi , Electrical we propose to puna a zu' x L4' car garage. FN.E oo.: 209476 10 ' �aoht �ov5� LOT 1 LOT 2 - Pwo LOT 3 14, ss lL"r 4y SAS PONCN Pis FAIRMOUNT STREET J OF JOHN S. AURETANI 1. 31311 r?' `gym eaoert3AGE LIWER r USE ONLY plotplanexom JosHuA D. KARAs q ES L2 Cft5 ATTORWY AT LAW KARiri� nwc. Nn aro,mDe o 7GLARF MSTRar�s rspFajo1pp13p IamPm+-�w+aim-ray aameur#¢r�esle$rAEEr. atiz�W�tts�. aNtsdlAAavm �� . ..... AfORTOAGE WMCTOON PLAN FASElE7n3 w AOMMd_FENT erorst su . sE ASPA NERNONtD rEm a Y_ WOMM SMA rWx ascan m. ItNOEIE_ YOVF3 YOYSBSfI tlr - EU ASSTSTA=d-nit M W AiTOaY.7: GYV iS40tlATE5 ZI/�-SB- 1w=9M - % - INE WUSW @'W DEC AS APPAUCANt: 1N SAT MID YtltE CSifiiY ACIN MSEW enol as W.. DAIL•'r�'Jmtt .SCML.1*=W COMic c4'$Y wsuANa Yffi uc Lam zWW 0Fu"N EFFEC5.60 UNREGISTERED LANG - - ,wNseexllD oEscal M 2;00D NA2ARD INiO: atm eam mu .oAa,m3 - man a earns . zarE: Y DAau],�j/�q,� Ww Nw.a PAce,�,,;:,�tom Y - as®odr Acaoa uxom uws 04 DAntt CDWPNN9►EL=101 0PING NW0[N: ... _Or 9NE Nl'QGPEN 1OA YtOOi 7.' u IDuno�as ra DNDuw s REGISTERED LAND x CCg16$AiC a nne . DIES IRs FALL'1Np1 A 17EpAt - �ma:oar As Nar � � Pte: - ASSESSORS oAv: IottsY. �'�_ IJ>x ENWN NWE$(l)nE KQARATIONS YAOE ABDiE Aa m iNE SANS a W IOIDISm6F,CeDvwnvi;No eE1VV As DE a96T OF A II�IWAEorS[CpON YNR iR1EY,NOT DE M9A.T DF AN SbOANEiq 91@VEr WOE 10 Tiff N011111 SIAIUIE®SF CAIff 6 fE1b1EAtO-LAND 1WiCAmIS N YASSIO#aSETIi(E} EgANltlp6. UW IOnE EED A8h6 NWED MM q1.T A4 ff IIG DAIS(3)iN6 RAN NAS N9T YADC FOH NEComlq'RIfOCF3,POq USC W PNWAWW G It SH0i3O tStlmDg15 Yp PR CWSauCWI N)157erEATAIIK 9f PR1PSNtt uNC DAENS�S B9DC1c tr1R75 EOIEES,01 EDT N619WA1gN NAF BE ACCOii'119E0 By AN CIfWAWT. NO NW<NDtIBBttlt K ASAAED NEN®1 w 11E lN0 Or1EA Q'+O'3WAN1. CPYED_ � 41�A'� SERs ti 201E SEP 13 P 3' 11 The Commonwealth of Massachusetts L7Ty OF Board of Building Regulations and Standards SALEM Massachusetts State Building Code,780 CMR Revised Mar 2011 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling �— 7hi Sed3no For ll4W. Use Building Permit'Nitmber Date mei: .d 11et77dirtgOfBytial(PritR . e) $igmaturo — $ECTION. :SI37EIN OR1kIA7T[11!t' M 1.1 Property Add? ,A 1.2 Assessors Map&Parcel Numbers �® 1.1 a Is this an accepted street?yes ncL Map Number Parcel Number 13 Zoning Information: 1.4 Property Dimensions: Zonimg District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(fl) • Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? MSG al)d On site disposal system ❑ Public Private 13 Check ifyes❑ P SECTION 2: PROPLrRTY O WNEAAICSHIPt <1;r02.1 O eT rr of Record: .. � t< /h� ©� � - Mtk� L!'1ERRV SAfi Name(Print) L �— City,State,ZIP 3 fAtRMauN7 ,SJ 478.210 Gq2! M�cheRl2l/ �NlE. CoM No.and Street Telephone Eniail Address SECTION 3 DESCRIPTION OF PROPOSED WORK;(cheek all that apply) New Construction Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief Description of Propos ed Work : 2 PAR AARML n' K 2/� r SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only or and Materials 1.Building $ 4C000,oo �' Building Permit Fee:$ Indicate how fee is detetminetl ❑3tandacd City/.own Application Fee 2.Electrical $ OoO. p Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ NIA 2. Other Fees; $ 4.Mechanical (HVAC) $ ' 5.Mechanical (Fire $ N Total All Fees:$ S cession Check No. Check Amount: Crib Amount: 6.Total Project Cost: $ Ll� OOZj.oo E3 Paid in Pall 13 Outstanding Balance Due: (�fa t LLo H D .x •o l U SECTION s: CONSTRUCTMN IvYL s - _ . 5.1 Construction Supervisor license(CSL) r—!5 — 163141 I O 2� 01 Kxv//J M PIO u 2d E License Number Expiration Date Name of CSL Holder List CSL Type(see below) XG Sf T Description No.and Street � / - ...... ... - 06022 R Restricted dll&2F iD 35000 cu.ft. ... Cityfrp State,ZIP I M RC Roollog Covering"1F:vr%Mon6Da!W WS Window and Si SF Solid Fuel Burn 1 Insulation Tel hone Email address D Demolition 5.2 Regi eyed Home Improvement Con"ctor(HIC) / � 1Z��3t7RM S �/y C SO J K`y EQ HICRegistration Num HIC Con any N eName N� nd S t C T' a G o z9 Email address CState,ZIP Telephone SEC ION 6;WORKERS"C(MF.EMATION MMANCE A"WAVIT(ALG.Iti c.152.4 25C.(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit Signed Affidavit Attached? Yes..........O No...........O SECTION 7at CVVMMR AUTHORIZATION TO Big Cb LEYED WOEN OWNER'S AGrNT OR C R JFQR VURPM PERIMT 1,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work au orized by this building permit application. Print Owner's Name(Electronic Signature) - Date SECTION Tb:OWNFW OR AUTHOIJUD AGENT MCLARATIOR By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information \X/ contained in this application is true and accurate to the best of my knowledge and understanding. Print Owner's or Authorized Agent's Name(Electrons Signature) Date 1. An Owner who obtains a building permit to do his/her own work,or an owner who hives an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at �ti�vw•ma5s.sovtoca Information on the Construction Supervisor License can be found at www.mass.gov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basementiattics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" - s1or1 s: tucrr(3�. vrc�s 5.1 Construction Supervisor License(CSL) CS — /d,31,qq lO 241 ,201 kkVIAI P10 uk License Number Expiration Date Name of CSL Holder List CSL Type(see below) /#9 AAA& Sf me �bwanpfoa, No/md S n - D(�/ 29 _ u Umestrieted .. to 35.000 cu.8. R Restricted 1&2F City/f State,ZIP M I Masonry RC RoofingCovering ws wmaow®a siding SF Solid Fuel Burring Appliances I Insolation Telephoae Email address D Demolition 5.2 Regi red Home Improvement Con ctor(BIC) L &1 slj��z AR�uI s 11�C t1 K/o IE2 C egtf30 1/ 9 0/� HIC Com y Name HI gistrmt N Sod HIC Registration Number on Dare z16 w,s Ne S C T 0 DZ q Email address 2IP TIephone SECffM tis VAMUUM'COMPEMATMN R MURAMM AFMAVfr(-Alfox L 152.415 1f Workers Compensation Insurance affidavit must be completed and submitted with this application. Faihtre to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ..........O No...........O 7a OWt�t AI�1'H _ 70$1 COWLM=WIUN %AGW OR I,as Owner of the objet[property,hereby authorize K C1//'j to act on maos relative to work au orized by this building permit a(plication. yAL V 23 A4 yo% Print Owna's Name iguatme) e SECT'W 96:OWNEW OR AI11I1<Ol AGEI+1`I'"04411tTHJN By entering my same below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. uthonzed Agent's ane(Electrons Sigmture) Date 1. An Owner who obtams a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at ++�vw.mass.eov!oca Information on the Construction Supervisor License can be found at www.mass.eov/dos 2. When substantial work is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basemeat/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for'"foW Project Cost" n-nzau j ('. 27-0131 N� f r � r y J 27-0130 e 27-0141 a �. � y 27-0129 R .- A TX . I c 2i \ 27-0928 - } ! ' 27-0143 _ 27-0127 ' 27-0211 y _ 27-0144 - +� 27-0126 - 1 Naeem Akhter, P.E. Consulting Structural Engineer 34 VV 156° a Overland Perk,KS 6622 email:il:Street, soflaneeem@eol.com Phone:913-6852015 GUILDER: Kloter Farms 2 1 G West Road Ellington, CT 00029 PROJECT: Mike 6 Ger, Chen.., #3 Fairmount Street -- — -- -- -- — -- Salem, MAO 1970 I-P FINAL 5/1 5/1 G E.5. 1 �a DRAWN BY: RAFTING CONCEPT5 AKCHITECTURAL OKAFONG JOHN E5H - 7 1 7 1,42 5055- ' JoM1n p DnkmgConceptsLLC.net CODE 4- LOADING INFORMATION -GROUND 5N0A =45 P5- OCCUPANCY TYPE -DEAD LOADS= 10 P5F 5CALE: AS NOTED _ -RE5IDENTIAL 5TORAGE -BASIC WIND SPEED= 1 10 MPH SHEET TITLE: -EXPOSURE CLA55=B CON5TRUCTION TYPE -SEISMIC DESIGN CATEGORY=B OF'mss Cover Sheet -TYPE 5 B -FR05T LINE DEPTH =45" S.K NAEEM PROJECT NO.: LnnnINO NnTS A55 _ m UMEO 50P.CL^55—G.".".,GC ,� HSR m —45;l_ I G 0 U y - I s[FLOOR SLAB ON GRADE -SOIL BEARING CAPACITY= 2000 PSF 1`SOIL DIFFERS FROM A550ME11)ABOVE p�F0 .p -2nd FLOOR LIVE=30 P5F (REFER TO IRC CODE5) At p� / 7/16 Naeem Akhter, P.E. Consulting Structural Engineer 24'-0" 34 W 156'°Street,Overland Park,KS 6622 email:wfiauaeem@aol.com Phone:913.685-2015 BUILDER: Kloter Farms 2 1 G West Road Ellington. CT 00029 ' PROJECT: 1 Md-- e Ger; Cn..., 1 `-° #3 Fairmount Street <' GARAGE L 5alcm, MA 01 970 OPEN TO o O ABOVE FINAL 5/1 5/1 G E.S. � o o i m Im Q _ 1 O � I 8 1 m DRAWN BY: n (2)Jdck5 1 127 Jacks (gKmg,2e4 1 (1)Km ,2x4 60 sm.ra v-a�r.n 1DRAFTING CONCEPTS (2) 13/'a 9V'L'✓L ' (2) I li a 91/4^0.'L ARCMTECTURAL DRAFTING JOHN E511 ---• ]I]-442-5053 - G'-G" 1'-0" G'-G" JOM1np DnlpngConceptsLLC.net SCALE: A5 NOTED 24'-O" SHEET TITLE: E� �euea 5nea,w I FIrSt Floor Plan ® First Floor Plan $,At PROJECT NO.: S)CALE: J/ 1 b = 1 -1711 O D457 1 C O N o � ST 2 �NtitEM�t. �� Naeem Akhter, P.E. Consulting Structural Engineer 34 W 156'°Street,Overland Park,KS 6622 email:sollianaurn aJaol.eom Phone:913-685-2015 24'-O" -r BUILDER: Kloter Farms 21 G West Road Elkington, CT 00029 r PROJECT: ".",tee : Ger; Cherry LOFT s #3 Fairmount Street 3G'High Wall Salem, MA 0 1970 OR Rad Guard (4)2 x 4 141 2.4 FINAL 8/15/16 E.5. O 41 p _12 _ (2) 1 b'Wdge Beam _— Cl? O QPFAI Tf1 "'q BELOW DRAWN BY: 3G'H,hRal Gwd n DRAFTING CONCFPT5 ARCH Eh 5 RAFTING JOHN JOFnQDrakingConcepteLLC.net 24'-0" SCALE: AS NOTED SHEET TITLE: Second Floor Plan ?� OF 5econd Floor Plan 09 SCALE: 3/1 Go = 1 l—Oa S. PROJECT NO.: v IN Fo ne57.1 G a F E�6art -lONA�EM. $ /7//b Naeem Akhter, P.E. Consulting Structural Engineer 24'-0" 34 W 156°Street,Overland Park,KS 6622 email:soaanaeem(la aol.com Phone:913-6852015 n• d - J. 1 . .- ----------------- ----- ----•------------------------------------• BUILDER: ° Kloter Farms Tm cal Foanaauon ° 2 1 G West Road kv-- .P P510a Ellington, CT 00020 I G' ..CCJ P51 F , 00 051 FwLiiy e� Min.3000 P51 PROJECT: M;ke r Cen Ch' "-r ° #3 Fairmount Street Salem, MAO 1970 0 b N 4"CONC. SLAB ABOVE PINAL e° u�- N___ n . ; D P DRAWN BY: nm o' g-6.. 9._6.. " D CONCEPTS _ ---------------------- RAFTING AKCFITEMURAL DRAMJNG ------------------------------ ----------------------------------- - JOnN F511 d „FF" 717-442-5053 John@Draft.ngConcept5LLC,net IIL 24'-0" SCALE: AS NOTED ,�L ems_ SHEET TITLE: Foundation Plan or =�4Y sy Foundation Plan a SCALE: 3/1 G" = 1 '-0" a S.M.N y on PROJECT NO.: O �-I D,157 !C 9F O �P Naeem Akhter, P.E. Consulting Structural Engineer 34 R'156"Street,Overland Park,ICS 6622 Cori email:so0anaecra@aol.com Min Wd ,Vent Ope O Phone:913-685-2015 Mm.25 Yr. ,CDX Shingles Over S#Roofiry Felt 7;16'CSB or CDX Roc!5`Icatbng O✓erall Height 12 (2) I L•x 18-Podge Beam 3� 2 x 6 5PF#2 Rakers Q I6'CC. 1/2'COX Flywood Gu t(each 51de of Rafter TW,1 BUILDER: Kloter Farms 12 2 1 G West Road 26" Roof Mclgh! Ellm ton, CT 00029 Mean. J �' LOFT Y zl PROJECT: /—K-i3A Num reT,ec @ U,Raker ^„"Ike : Geri Cherry ra-erle.' #3 Fairmount 5treet 5/5'Pyvood 5ubeoor 6"O.!t.w/Sofht 117/5'5L140 Floor Jont a 16.O.C. KO 1 x G o Faec�a Salem, MAO 1970 FINAL 8/15/16 E.5. N Tvoial&&nor Wall Construction nl vmyl 3rtri,Oce. 7/16'056 OR SDX 5heii ing OR S 3'Wood Dura--Temp 51dmg ? GARAGE OR LP lap 5,dny O 2x 45tvd Wall® IG'O.C. in 2.4 P.T.Wail Plate w/1/2'e 7'5T82-SD70D Simpson 5trongbolt 2 r pansicn Anchor DRAWN BY: 4'-0'O.C.Max. 12'Prom Comers<5plmm Approx.Grade A rox.Grade Or By ,< DRAFTING GONCEPT5 Tvmcai Floor FrailARCHITECTURAL DRAFTING 4'Concrete Slab w/Wine or Fiber Mesh codes —Tvmcai Foundation JOHN ESR e 500 Min.3 P51,Slope To Doors B'Gouc.Iii Wall 4'C 3500 Stone Min.3000 P51 On IA.. 12"A—Fnndna 717-442-5053 Min,3000 P51 Jahn®DraftmgConceptsLLC.net SCALE: A5 NOTED Section A F9 OF SHEET TITLE: SCALE: 3/1 G" = ! '-O'IS.M.e� 390 5ectlon A g° �, o R y PROJECT NO.: O C. y f11157.!C y/O8!!lfN 5 Naeem Akhter, P.E. Consulting Structural Engineer 34 W 156"Street,Overland Park,RS 6622 ConTommi Roof dgeConVent email:soeanaeeLn`a}aol.eaLn Mr,2 oar Wdge vane Opooml Phone:913-6852015 711 25 5 r COX Shingles Over ISM RooLng Fea 7116'OSB or Rd Rook Shcathlr�a Overall Herght 12 (2) I Ya'x 16'Ridge Bram 2x G 5PF p2 Rakers_O !G'O.C. 336 1/Z'CD%Ftw ood cosset(Each 51do of Raker Tyr.l BUILDER: Kloter Farms 12 2 16 West Road Elkington, CT 06029 M Roof Herghe \\ �1 PROJECT: —R.?3e.Hur^cane?:ems p,.e=k.r IY'Irh.0 : Geri Chc, ry - Tm-1 Roof Ov rnan" #3 Fairmount Street — G'c.H.w/5o fo Salem, MA 0 1970 j� I x 6 PTD Fascn FINAL 8/1 5/1 6 E.5. N Tvmcal P tenor Wall Cor,1,l ;n GARAGE vrnyi 5mr-.R arer I fT 7/1 G'GSD OR CD%Shuth:nOR 5/8'Wood Dvra-Temp 5rdmg L 4 x 5kvd Wall @ i.5"O C. 2 x 4 P T.Wall Plats w/Ill'x T 5TB2-50700 S:mpaon Strongbolt 2 Npamion Anchor DRAWN BY: ®4'-0'OG.Max. 12-From Corners t Spnces gpprox.Grade �; A rox.Grade DRAFTING CONCEPTS Or By T:m:a!Flcor Local O ,. \ ARCHITECTURAL DRAFTING 4'Concrete Slab W Wve or Froer Mesh Codes Tvmcal Povndaho" JOHN E511 e Mm,3500 P51.51lTo Doors .d B'Conc,Poured Wall 4-Grime.Stone Mm.30(H1.P51 On _ _ _0041"g 717-442.5053 Mm.x3000 P51 r John®DrakmgConcepksLLC net 5CALE: A5 NOTED OF 5HEET TITLE: Sec31on Bo ori99c1 Section S.M.NAE m o '+ PROJECT NO.: ne— .1� N6.L r_N Naeem Akhter, P.E. II NOTES: Consulting Structural Engineer 2 X 4 STUD(TYP.) INDIVIDUAL PIECES OF WOOD STRUCTURAL PANEL 34 W 156°Stree4 Overland Park,KS 6622 email:solh oneem agnol.rnm SHALL NOT BE LE55 THAN 2'-0"IN LEAST DIMEN51ON Phone:913-605-2015 NOR(8)51'IN AREA DOUBLE TOP PLATEI I RE-TIGHTEN BOLTS BEFORE CLOSING "X"INDICATES EDGE NAILING-SEE SHEAR PANEL OF 4" BUILDER: NAIL PANEL TO FRAMING W/56 NAILS. Kloter Farms ' N 2 1 G West Road Ellington, CT 00029 (2) FLY 2 X,4 P05T AT EACH END OF 5HEAR WALL PANEL PROJECT: k.^,ke t Ger. Cherry #3 Fairmount Street 711 G°SHEATHING Salem, MA 0 1970 FINAL 8/15/IG E.S. NI I 51MF50N HDU2-5D52.5 AT EACH END OF PANEL ANCHOR BOLTS, SEE PLAN 5/8"DIA. EPDXY ANCHORS MIN. 7"EMBEDMENT DRAWN BY: MIN. OF(2)PER PANELJ�r T ._...._._.,. _ _ nRAfTING GONCEPT5 ARCMRECF1, AL DR (TING JOHN nh 717442-5053- 2 X 4 P.T. SILL PLATE - `8"CONC. POURED WALL Jonn®DnftingGwceptsLLO.net �n 5/8°DIAMETER THREADED ROD EXTEND INTO SCALE: FOOTING @ EA. HDU LOCATION AS NOTED TYF. FOOTING SEE FOUNDATION PIAN SHEET TITLE: COUPLING NUT IF NEEDED Shear Wall PROVIDE NUT AND WASHER A7 ep F ROD ryl OF 49 PROJECT NO.: LnCjjl ee GU ✓I ea V'vG111 goe$ M M0 DA.57_1G SCALE: 1/4" = 1 '-0" f- TER �a ds(ONAL EN� Naeem Akhter, P.E. Consulting Structural Engineer 34 W 1560 Street,Overland Park,KS 6622 email:soaanaeemr`a)aol.mm Phone:913-6853015 1 BUILDER: Kloter Farms 2 1 G West Road Ellington, CT 00029 I I PROJECT: Mike k Ger, Che^r. . r #3 Fairmount Street 5alem, MA 01 970 FINAL 8/1 5/1 G E.S. I i --- DRAWN BY: fm aoo � DRAFTING CONCEPTS AkcNifECfURAL UkAFpNG JOHNE511 - i 7174425053 J0hn@DraftnqConc nan25053JOanQDra@ngConc iA5LLG.net SCALE: A5 NOTED SHEET TITLE: Front Elevation Front Elevation 02$x`"°F sus , PROJECT NO.: n4szic SCALE: 1/4" = 1 '-0" �' ae m y v 0 o Q OR,Fej V �gd1hNAt EN'S; Naeem Akhter, P.E. Consulting Structural Engineer 34 W 156'Street,Overland Park,KS 6622 email:soflanaeem o)aol.com Phone:9134852015 BUILDER: 1Y Kloter Farms 2 16 West Road 31b Ellington, CT 06029 II 1 7F PROJECT:QQQ 7� Mie s Ger, Cher;r #3 Fairmount Street ❑ ❑❑❑ 21 Salem, MA 01070 FINAL 8/15/16 E5. I 5 3/4" 5 3/4" DRAWN BY: QQQ DRAFTING GONCEPT5 a °a�°❑ ' AkCMOHN DkArfING _ JOHN ESli I� 7172,42 5055 JOM1"QDrakmgCormepblLC.net 5CALE: AS NOTED 5MEET TITLE: Right Elevation OF Mgss9 ^ f Z ° PROJECT NO.: Kinn F1,,pp1r�3I l II g S.M.NAEE s D457.7c I \I VII IV LII�VGLICII E m d c y SCALE: 1/4" = 1 '-0" BDNA ENS f/7//6 Naeem Akhter, P.E. Consulting Structural Engineer 34 W 156°Street,Overland Park,KS 6622 email:solianeeem`dyam.eom Phone:913-685-2015A BUILDER: Kloter Farms 2 1 G West Road Ellington, CT 00029 I I I PROJECT: Mike 6 Ger; Cherry r #3 Fairmount Street Salem, MAO 1 e70 FINAL 8/15/16 E.5. DRAWN BY: nRAFTiNG CONCEPTS _ AKCtlff[CfU"L Uk4FfING JOHN E5t1 717-442.505& Joen@OnfOryConceptsLLC.net 5CALE: AS NOTED 5HEET TITLE: Rear Elevation orM4s s t2----�� ✓� �1 .g�' 9n PROJECT NO.: a>a1 Llk.t�CA11il Vl l � S. _E m D457_ s SCALE: 1/4" = 1 -0" N y a��e 10 Naeem Akhter, P.E. Consulting Structural Engineer 34 W 156"Street'Overland Park,KS 6622 email:wfianeeem@aol.eom Phone:913-685.2015 BUILDER: 12 Kloter Farms 3T6 2 I G West Road Ellington, CT 00029 PROJECT: z 12 Akc 4 Gen Cherry #3 Fairmount Street 21 Szlem, MA 01 570 FINAL 8/15/1 G E.S. 53/4' DRAWN BY: [)RAFTING GONCEPT5 AKCHITECFUKAL MAPPING JOHN ESB 717 442,5055- -------------- 1 Jo"n�DraRingConceptsLLGne[ 5CALE: A5 NOTED 5HTET TITLE: Left Elevation tyl OF b. Left l s9 PROJECT NO.: V FlO1/'] /l t'T or 0 D4F7_1 IL. I. vuLVI �, li av � S E SCALE: 1/4" = P-0" o � I FFO/3TE��,ybv, - 88)ON4'IENG /�/I� FASTENER SCHEDULE FOR STRUCTURAL MEMBERS Naeem Akhter, P.E. GENERAL uoTFS NO,AND TYPE SPACING OF ConsultingStructural Engineer DESCRIPTION OF BUILDING ELEMENTS OF FASTENER FASTENERS 9 Aug INBTRucFIONS HALL COMPLY OD 34W156°S:5011Overland Park,KS 6622 2JG91NI[RNATIGNAL RSIDLNTInL LOO[. CLIIYIh ne:98-685.2 OI.COE1 2. BUILDER MUST VERIFY ALL DIMENSIONS AND CEILING INLETS TO PLATE,TOE NAIL (3)Btl - - Phone:YIY68S20I$ ACCURACY BEFORE CONSTRUCTION. 3, OVER 5CAU20 MEANS ffMENT.:KE,^P.fCEDENLf O PARALLEL,RAFTER. f3)ICA T9,^OT dTTdLHEp T .. , OVER SCAIPD MFASUREMEMS, `"'•�f'�"^L.:','�'-�::A)L 4. IMNDOW AND COOK.51ZE5 AND LOCATION5.MAY COLLAR TIE RAFTER,FACE NAIL (3)(Dd VARY. RAFTER TO PLATE TOE NAL BUILDER: S. YTRULTURAI I,LIMSFR$HAIL BE (2)164 '_'-" 5PRUCERINE-1IR R2 OR 3MfB UNIE55 ROOF RAFTERS TO RIDGE.VALLEY OR HIP RAFTER.,TOE NAIL OTHERWISE NOTED 6. O .APPLICABLE"ERT GAW\CE IS ATTACHED TO BUILTLP CORNER STUDS IOd 24'D L Kloter Farms DWELLING UNIT,A(1)!IR.FIRE 5EERATION BUILT-JP HEADER,TWO PIECES 164 .. 216 West Road OOORS E PROVIDED,(I LTOFAYER U0 MIN. AW. CONTINUOUS HEADER TO STUD,TOE NAIL (4)all Ellin ton, CT 06029 SMALL BEPROVIY.ED,(I TORE 2O!VIN. ALU, �' DOOR WNH FIRE-CODE JAMB. DOUBLE STUDS,FACE NAIL IOd 24"OC, 7. ANY WOOD IN CONTACT WNH MASONRY TO BE DOUBLE TOP PLATES,FACE NAIL IOd 24"O.C. PKE55URE-TREATED ACOU, PROJECT: B. GRACE MUST SLOPE AWAY FROM STRUCTURE. DOUBLE Ta'PLATES,MINIMUM HSgNCH OFFSET OF END YJINTS, (S)16d 9. MADOD FRAMING TO BE MIN,B'FROM GRADE FACE NAL IN LAPED AREA BY A p•AI^e rerl �He„^y 1 O. W00D 1RU55E5 5HALL BE DESIGN LEVEL EXCEPT AT DOORWAYS. I ED SOLE PLATE TO b15t OR BLOCKING,FACE NAIL Ibd W”O.C. REGI51ERED ENGINEER BUILDER MU51 PROVIDE .OLE PLATE TO JOST OR BLOCKING AT BRACED WALL PANELS (3)Ibd S' D.C. #3 Fairmount Street CUT5h=TO CDDLOFHCIALMORTo TOP OR SOLE PLATE TO STUD,END NAIL rz)164 Salem, MA 01 570 w5TAL1ATON. — I I. WALL BRACING PROVIDED BY C5'W P AND C5-G TOP PLATIM,LAPS AT CORNERS AND INTERSECTIONS,PACE NAI (2)IOd OR C5BEMETHODS IS PER IRC 5ECTION 602A O HOST TO BILL OR GIRDER,TOE NAIL r3)bd — FINAL 8/15/1 IS E.5. 12. TEMPERED GIP➢NG REDUIREMENT5: RIFT b14T TO TOP PLATE,TOE NAIL(ROOF APPLICATION ALSO) Bd b"O.L. (I) Iq N1`:DO'N5 i DOORS'IJITHU:051 INCHES OF WALNNG SURFACE BU;LT-UP GIRDERS AND BEAMS,24NCH WMBER LAYER. Ica (2) IN ANY INDIVIDUAL PANEL GREATER THAN Fru WKE. (9)50."I (311N WINDOWS a THIN(24)NCHE5 OF ANY g2" ULCN •F. . POSITION AM NAL (4) IN FANEL5 WITHIN 51 iJANDING AND ) b 12 RAMPS.AND WITH;N(56)INCHES HORIZONTALLY GYPSL'H SHEATHMG ,): r/W' �°Auvarl 1 1 DRAWN BY: OF WALLING 5URFALE UNIE55 PROTECIED WRH BARS 3.O.O.CAPABLE OF WRHSTANDING 50 LS. s°GYPSUM SHEATHING }4Vamiea ecrnw.wu,simle twra. 1 PER LINEAR FOOT 1—r TYPFupeF 1 (5) IN PANELS ADJACENT TO 5TAIRWAY WITHIN (60)INCHES HORIZONTALLY OF THE BOTTOM ALTERNATE ATTACHMENTS DRAFTING CONCEPTS TREAD OF A 5TAIRW4y IH ANY DIRECTION,AMID NOM,MATERIAL DESCRIPTION DF FASTENER ANO LDJGTI SPACING OF FASTENERS AkCI G OY.AL DRAFTING WHEN THE PAN-L 15%MNNIN(60)INCHES OF THICKNESS(INC41F5) (INCHEb) EDGES MTERMEDIATE SUPPORTS THE TREAD NOSING EXCEPTION:DI: ANCE CAN (INCHES) INCHES) I JOHN E5H KE GUARDRAIL 15 PROVIDED,M MANCE CAN BE ' REDUCED TO(18)INCHES FROM RAILING TO deFLcal ucor aw mmweq uuu dasTMr.< Naw emsrau vualn. —._ _... TO wu,AN,arm vao ,o maxw pDlq(.iNi(.I NINE. APElfANT.SXAII PRLI\IIDF ( eTAPl ce lc�.A I?' I G 1�mlusomI euunnn ( X17-442-5053 CODE OFFICIAL aTM CUTBUTTSPRIOR TO � I JOHnQOTd{t1n9ConcepLSLLC.nCt CONSTRUCTION UP TO I° NAIL 21" 3 a STAPLES W GA,I'" 3 6 STAPLES 14 Gd.2 , a SCALE: A5 NOTED p"AND 4• STAPLES 15 GA.I OF NAIL 2j• 4 6 SHEET TITLE: wL� �S v/ 9y Oa� ,s` TABLE R.02Y3)REQUIREMENTS FOR WOOD STRUCTURAL PANEL WALL SHEATHING USED TO III WIND PRESSURES Ci('llerd Note$ E mMINI NAIL MINMIM nMRNM MAXIMUM WIND SP® ,4 WOOD NOMINAL WMAA1ALL BN PANEL NAIL SPACING HPH) PENETRATION 6TRUCTUR4L PANEL IEPACMG EDGES FIELD PROJECT NO.: PANEL fiPAN THICKNSE (I,dw) FR fi;� WIND E 'auRE CiTF.GCRY E (INCHES O.G.)(INCHES O-L.) 11NCHF8) � O s _ _ 11457_I C 9oa�pQ/STf�pK@Y� r aux o�i ) I.. zaro 'f va' 16 6 12 IIO 9O s5 _ dIONA'l EN �7/)� I / I6 6 12 130 ILO 105 Bd LOnMON L15 14/16 lllb 34 G 12 110 90 85 we propose to puna a zu- x 24- z car garage. D i EE NOa 209476 1 o t sort 5 I (ADM P/ p (' •(r v p�p , n4 LOT 1 :SOT 2 ?-d `/i Wc�Ra�l � - �, 4'9251 SF + _• w. PMa; LOT 3. c 4 r pp'}3 i p .. r a � x _ Y' yr yGF 17FAIRMOUN7 STREET 9 - O 1 JOHNS. LAURETANi . 184311. MORTGAGE LENDER USE ONLY plotplans.com JOSHUA D. KARAB QCS LAIIRICRS AT fORNEY AT LAW ; im wAnemmOv M.T4 HORN D 76WAYETTESTRMTE9 FAXWR)OtOA1AS0' - FRAIROIIL le IAFAYERCSTREET wV[OtTe)OWbs4 I000)20'!-NBOD PAi:(611R)>m-1011 BUNS Z@ CEtl N781smaeiA suEro.euua>nb MORTGAGE INSPECTION PLAN iHFE ARE M mm EA.4AEin$M nE ABWE;rllD EEEO M AGGRESS:3 FAMO K MM, SALLA, MA - DVaOACREM'IS NM RrsMCT m - - Lamm NEMOM WMAGE LU; DVUV C S MAIM M no LOT - EARA A RMJA EECEPT AS STA7E0 ON INE DEW or ATWN[T:_,.._S L.W.AS_�.TES 2014->0 REM SKOw. DN/ER:fU2A9Ei)1 HONES T E uunm 6ME owaM AS APPt"T:.9ERALYN aNERAY AND YOEE CNEINPl HNNM NDEWt pRur.RAS w DALC2014 scuE: caxlT+c E59EM cPEminxa NM nE tock zon4c - CON5M9 M E CU OW EEiDi UNREGISTERED LAND: - s's", m,SLm0a�a omm FLOOD HAZARD MFG:. o � PAs 293 - - ala.Yi a 6 DRAFT FRM NMAlm Zoe -x "rO: PWI BOOR 9 PAQ:39 LOl(SR,'�. D`OT�� uA55 1111E Rl MAPIER ARt 80 Uan rauNRw1Y PANEL 250102 0419E PIAN NRMER: mt nQ LouTAx�ra DNeu AIONN REGISTERED LAND 6TO&AFE OF - Nx n�r'ma,Pim s.YAr 'RQTRA°ON wP"E - ASSESSORS uAv: - 3EDIMCAiED: fSAN.NiE4mE LOT(s$ 9LOMr__ tor: . EXERA NDTM O)nE OECARAnMR MAGE AM ARCM MOM Or AR WWKEDE{RRORNARMt Alm 0E10 AS ME RE`flAT OF.,4MITCAEE M94COM-TAPE 1HrEY.NOT AC:RW7 OF AN M RIREAT WKY WX TO W NORMAL STAMMD OF CARE OF RE06MU Un WftYM PRACUM M:UMWXi5EM (E) ECARAMW ARE 440E TO THE ABOVE NAMED CERT OKY AS OF D"DATE(3)IRS PIAN NAS NOT WX FOR RECM M P1RiP4$Eg,FOR UK M PREPARMD DEED ES mms M.FOR CMOMUCW A(4)AFAEICARMS OF FROM M UIQ MEsSam%EORm OrmM FENCES.OR M CMNIMMATNm YAT OE MCMRVREO Br AN . CMIRAIE OWRIRENl.WRYEY.. 5)ND RESPOWSOLM 5 AMM NO"TO ME LAM ONO OR OCMPANI. - _ A AMY.Ac $ `33 � The Commonwealth ofMassachusetts 01.1,0E Board of Building Regulations and Standards SALEM Massachusetts State Building Code,780 CMR Revlred Mar 2011 Building Permit Application TO Construct,Repan,Rmtovate Or Demolish a One-or 71vo-Fmnfly Dwelling B4b ? r '.. 11 Property A 1Z Assessors Dtap&Parcel Numbers 3 Far no ,u ---7 � y•, A� o! A' I.la Is this an accepted Street? as no_ Map Numbc Force]Number r 13 7ooinglef0rM2d0n: IA PropertyDimcosions: ER; Disoia PropasedUae I L&.&=(sq- RomAge(A) 1.5 Building setbacks(rt) Front Yard Side Yards Roar Yard Requned Provided Required Provided Regoired Provided 1.6 Water Supply:MGLc,40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public Privae O �0e' — Outside Flood Sane? lduoi©�vr Gm site dial s,� 0 Cbnckif es0 P++ 2.1 O er orMord:r z T. ch"aa_ 5A&K INA 01VO Name(Print) L 1 city,Stete,ZIP fAI ,9 AUAOUA7 Sf 478 2.r0 bRzl_ ch£,P7V . CONI No.and Sovat Telephone ail Address S]6e4TiOH Y.D�CR�P•1'Rf14i:Olt''.Pi�)k .►�'�R1Cz(deck eg.f>yal aPY>1`I New Canseuction jtT Existing Building 0 owner-Occupied 0 1 Repairs(s) 0 Alterations) 0 Addition 0 Demolition O Accessory Bldg.0 Number of Units Other 0 Spe�p: Brief Description of ProposedWorl�: A r24r 'iON 6r Tl&�1 GOptS7RUCTf+q�1 LUi9Y'S Estimated Cods: Item t]JJSeial'Use 0* (Labor and Materials 1.liuiiding S ODO,em 1, 0410 lodkeliel6w fee is deft 13 Ptandmd Cibr/Tovm MnO #M ' 2.Electrical $ OpCJ.�� D Taka7 Prgjeot Cestr otm 6)x mrdtplier x 3.Phrmbhtg $ dIA 2. Other Few s- 4.MechaDiCAl 4.Mechauieal (HVAQ S 5.Mechanical (Fire $ Tottit All Fans $ S ion [leek No. Chet lc A"H at _Cash Amomt 6.Total Protect Cost: S /�� 0�8.ca 0 Paid In Fug. p Balemd Da>a .. 90/b0 39ti8 SWNVAN310IA LTTTTL8098 L0 :01 9T0d/bT/60 r We propose to build a 20' x 24' 2 car garage. ' tt 209476 f o t r�orti i1c�V5� Lor i LOT 2 .Y. r, xlvw+ � + x -ic) z OT s :raw ; r r4, t . 9Q90 FAIRMOUNT STREET J06M S. LAl1NETAt1f - ""'"' r xsn �fid° NORT{ipt9E LF110ER UHF OMLY plotpWO.com Josru A D. KARA9 mrosW YAT1aw lw gnmmR�ol Rtw.#n IARAR4aRAUR Tft TFLCNgP10�133 7tAlRAI WC1W0 w;Pi''{:::" ..:•::.:µ"7,,':: 1"r6 (W 4111AMCTM l+L U WX as AS M=LgD&T,w M AR01R a'CICA'��UA 4,+� A90 MON 1T 1R '.1pLLpW OMW STAHA OR 4161nT AYMF ET: wu a'sms'i1e°1 a nc o®nT CAW u["WmM w 31l mumc As OIL, aCmunmamid vw s IMu I1-1318 w PW on dJNRECISTEREO LAND M>w esccr 1c zaa._FLOW Rm. 7311417 tO1(ir am; � "� � � icy --^---� unc a au�lea eer. r. Aw coRRwlm PAROL:�,I6j"lor IIAw Kwmft it 'pt LocAia n ne oFdtoii wow RMSlEM LAND murAv w nn[; M HOT FAL 0 'wc mCw=,Wi waaw curs A55E5SOR5 Y.w- x waca Ol our r Aw®L wrtak Aax�„_ Mor. pOtll 1wT l >1C'M4AM111oM SACC *Vn Alf W 11E 8A'SS.Gf YT .Is®IAlNL AN SARI AS r1E R7 WT 11F A YOY1Gffi Y9FGOC1 TMC CW R4T➢E WX OF AR IIC4N1F1{i 91RVCT RARE 10 ME MAL STA*W W CASE ff REC vM L"S{aWYM PRACMW M�ASS4005tfFi.W UMIP ItS ARK 411E 1C dE ARM Wale 4W11 O LY AS it➢14 RAS 141W5 Km in wr wm sm AS'mm PmaKA rm wl w tmwwc am Ssaloaot�a ra otilnonlwl IN yq,,C aoiE.of Ipp1Wn iRe ollagr4 Bu1WRi C1flCTa walffy CR wt Cow+mwAaoi wr ae ACIbMIMiL By AN CC1wAe T SCR14L 3 Rtl 1B ASHw�R1 f0 TE LAID R11gR CR RNYNIT. 90/70 39dd SWJtida310-1>1 LTTTTL8098 L0 0T 9TOZ/bT/60 SECTIONS: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) /IFI-/A/ M 1P11C1C11WZ Expiration Date Name of CSL Holder 1119 d2ze-e-IL List CSL Type(sce below) U No.and Street Typo Description Unrestricted(Buildings up to 35,000 cu.ft.) R Restricted 1&2 Family Dwelling City/Town,S ire,7 M Masonry RC Roofing Covering WS Window and Siding II / SF Solid Fuel Burning Appliances EGO-E-03-0/e'fI rnr evin0/01J "ll. .we,l,.,.. I Insulation Tele hone }address D Demolition 5.2 Registered Home Improvement Contractor(HIC) ?S30 HIC Registration Number Expiration Date HIC Company Name or HIC Registrant Name No.and Street Fatah address `cL/AiC—Ta A/ G% �6a�,9y ?/ /ung Ci /Town, State,ZIP Tele one SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.C.L.c.152.$ 25C(Q) Workers Compensation insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building;permit. Signed gt Affidavit Attached'? Yes.......... No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest the pa' and penalties of perjury that all of the information contained in this application is true and acc� t to the s f my knowledge and understanding. Print Owner's or Authorized �de /6 Agent's Name(EI troaic S gnature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.eovInca information on the Construction Supervisor License c:an be found at www-mms v/ddss 2. When substantial work is planned provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq. ft) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 90/60 39tid SWdVJd310171 2-TTTILB098 L0:0T 9TOZ/bT/60 0901/2016 08:23 8608711117 KLOTERFARMS PAGE 03/05 $ `33 � The Commamweft of MasswIllsetts Y OF Board of Building RiVilations and Standards SALEM Massachusetts State Building Code,780 CMR Revised Mar 2011 Bnilding Permit Application To Construct,Repair,Renovate Or Demolish a one-or Yw-Famfly Dwelling zab )3gPati�tNt�Bar;: 2�tsmhpp>?bili . -:.� is ' . •;1' 11 Property A.ddrq� y l 1.2 Assessors Msp&Parcel Numbers l.jsjsWswjw4qftdMrcWyea no mapNmffiber PucelNumber ,07 13 Unioghformation: 1.4 PropertyDlmeusions: ' Zan*District Proposed Use Lot Area(sq R) Frontage(S) 1.5 sundiazSetbacks(ft) hod ygd Side Yards Rear Yard Regaued Provided Requimd Provided Required Provided 1.6 water Supply:(M. m G.L a 40,§54) 1.7 Floud Zone Information: I.8 Sewage Disposal System: Tone (hrbide F1ood7.cue7 Municipal Cb site disposal system O Pubtie,)K private❑ CheeY if 2,1 owweO of Record: SA& /uA o l 9 LO M T Cha Name(Print) L Cih'>Scue,ZIP 3 61R OVN7 Sf 97 ;Z121 �t c� 2t't/�7Mf. CoM No.and Street FmWAddress vaol (ebtok�flba ippis) New Construction E eating Budding O owner-Occupied O Repairs(s) 0 Aheration(a) O Addition O 1)emoliGon O Accessory Bldg.D 1 Number of Units Other 0 Specify: $riefDesedp6on of Proposed World: ;14-I I ppj�}y�ITtifC'fDON cam SMCi'M4eL$i1701QATR� :. Estimated Costa: 018ds1 Me Only Item and Materials - i.Widing S QDO,o0 1 S dieeceliovv'fax tr detsam¢+erL 0 3pmd;ud rfty/l'own AWKQQtiati FOS 2 Electrical S OOD.�� G Toeal Prcjnct Costa(team 6)x wAdp inQ x . 3.Plumbing S 2. OsherFaew $ . 4.Mechanical (HVAC) $ 5.Meebanical (Fire $ £oral All ?Gck S S ion Cbwk Tin.�_Cbedk Amamk Cae6 Aennint: 6.Total Project Cost: S !1� Ooo,�' p Paid in l°WI i3 6umMoinst 19aloaod Ate: . 09101/2016 08:23 8608711117 KLOTERFARMS PAGE 02/05 SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) C.S—/G3/�/q il`Iiin/ � P�civrc0�` LicenseNumbcr Expiration Date Name of CSL Holdcr List CSL Type(see below) (/ No.and Sneer "- Type Description /_SLC r/✓F/(J/r,/ j �y�6 pa �_ U Unrostrictcd imidin—up to 35,000 cu.ft. Cttyfrown,State. R Restricted 1&2 Family Dwcllin M Mason k RC Roofi Coven i WS m _Window and Siding is60 X03 a r /eS SF Solid Fuel Burning Appliances yr1aurdn &an,/.= I Insolation. Tel honemail address — D Demolition 52 Registered Home Improvement Contractor(RTC) /x7530 /l-O9-16 HIC Company Name or HIC Registrant Name RIC Registration Number Expiration Date No.and Street -.. 7 442r tr—c—cl rrin x,.+^, �G G rr✓CTG� �` 60v�.,� 10,e Email address Ci /Town, State ZIP Telephone SECTION b:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(IMC.L.a 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit Signed Affidavit Attached? Yes.......... No ........... ❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WPEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest7j��vothe d penalties of perjury that all of the information contained in this application is true and ac my knowledge and understanding. S-:30-- �6 Print Owner's or Authorized Agent's Name(Elutitinnic$gnature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will W have access to the arbitration program or guaranty fund under M.Cr-L.c. 142A- Other important information on the HIC Program can be found at www.mass. ovIota information on.the Construction Supervisor Licenso can be found at www.mass.gov/dna 2. When substantial wort:is planned,provide the information below: Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.ft.) Habitable room count Number of fireplaces Number ofbedrooms Number of bathrooms Numbcr o£half/baths Type of heating system Number of decks/porches Type ofeooling system Enclosed Open 3- "Total Project Square Footage"maybe substituted for"Total Project Cost" $ J (D Z0� y RFCFIVEn The Commonwealth of Massachusetts INSPECTIONAL SFRVI ES Board of Building Regulations and Standards CITSALEOI ql Massachusetts State Building Code, 780 CNIR N SER-41NAdli Z Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section Far Official Use Only Building!Otlicial it Num!Nune) Date ed: SrSignature 4 Building (Prin . M SECTION 1:SITE INFORMATION' L1 Property Address 1.2 Assessors Nap& Parcel Numbers 3 �grRM4t1Al' S'J I.I a Is this an accepted street9 yes_ no Map Number Parcel Number 1.3 'Zoning Information: 1.4 Property Dimensions: Zoning District mposed Use Lot Area(sq It) Frontage(It) L5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(hi.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Public❑ Private❑ Check tf es❑ p SECTION2: PROPERTY OWNERSHIP!` 2.1 AOwners of Record: vZr Cfhi22� 51�LE.H nd. Name(Print) ' City,State,ZIP n3 �AI IZMl7N ( yo2/i7-�a No.mid Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK°(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Acczssory Bldg.❑ Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work': XC--f A O — fN�/L/11 i f0/L' 3%�L9i�7/LOL/� Oo (a0rt _ 2c PIAYti o2 tv;.v7jU _ M3>7! SKY4isll . ✓/'rN J SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) 1. Building o I• Building Permit Fee:S Indicate haw fee is determined: ❑Standard City/Town Application Fee 2. Electrical S ❑Total Project Cose(Item 6)x multiplier x 3. Plumbing S P Other Fees: S 4. `Icehanical (HVAC) S List: i. Mechanical (Fire 3 'rotal All Fees:S Suppression) Check No. Check Amount: Cash Amount:_ 6. Tutai Project Cost: ❑Paid in Full ❑Outstanding Balance Due: r<f7 F*'• spV-\c-a .F D 2 P.N A(� IST/p i C L G(aL—�— a r, i SECTION 5: CONSTRUCTION SERVICES 5.1 Cmrstructimr Supervisor License(CSL) eK © 1?01 u a,'-_ t C 7 t" �/ SC 't� �s,0 ' yv License Number Expiration Date Name of CSL Holder List CSL'rype(see below) I 3/ �OcJt ldl'1 t2 Type - .,. � Description No.and Street s �, �� ^"0, S.J- U Unrestricted(Buildings up to 35,000 cu. tt.) t- - P/ — /"t R Restricted 1&2 FamilyDwelling City/ruwn,State,ZIP ht IMasonry RC Rooting Covering WS Window and Siding SF Solid Fuel Burning Appliances f�(SI� �jpZyi/syfj(/(17�i'7Jrt/I{ff��j/P/YiL 1 I Insulan 'fcic hone Email address v O D Demolititioon 5.2 Registered Home Improvement Contractor(HIC) /5<�5—OS2 l,7- HIC Registration Number Expiration Date IIIC Company Name or HIC Registrant Name No.and Stree Email address Ci ITown,State ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)), Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ..........❑ No...........❑ SECTION 7n:OWNER AUTHORIZATION TO BE COMPLETED WHEN.! OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize t9 act on my behalf,in all matters relative to work authorized by this building permit application. Print Owner's Nane(Electronic Signature) Date SECTION 7b:OWNEW ORAUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this g pIication is true and accurate to the best of my knowledge and understanding. Print w is or At I orizeJ Agent's N:une(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(FIIC) Program),will nor have access to the arbitration program or guaranty fund under I.G.L.c. I42A.Other important information on the HIC Program can be found at ww%v.rmss.wv:'oca Information on the Construction Supervisor License can be found at www.mass.,ov'JL . 2. When substantial work is planned,provide the intormation below: Total fluor area(sq. ft.) '� .(including garage, finished basement/attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type ofcoolingsystem Enclosed Open i 'Total Project Square Footage"may be.substituted t'or"rued Project Cost"