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75 MARLBOROUGH ROAD - BUILDING INSPECTION �� sur\1,�� 0 � R�,. Contractor / Bu(Idar= 2(o � ^ Colonial Ho use Di x iase Residential ,f Project location* Features . f'. O, fox 180 ���"� � O sb o erne Hills LSWield� 1" A 01940 aasemen� ' first Floor -lsi- 3 -9899 Salem, Massachusetts Living Famtly — Kitchen _ 4L . Foyer Lav 2 Car Garage Optional Farmers Parch } — — a Attic t c' rr — - 2 Bathsm �J��t�� . i - --_ T- --,- LL" if If IT I I _ - - -- _ I FFJJ — , I S-e—conndd Floor Colonial /�- ,/y�� V o to I1r/��ial Drafting I I i 7:�MIT:ii Ill Flist Floor IF — ( -- opmond LLLiving . F+: Total g Area 5 L (j 2 0S2 - i 11 1 1 1 1! 1 11 i ' 1 tM I i tt i i ti l I i 1 Foot prig Dtmenatore --------------------------------------------- ------------------------- -------------- ---- ---- 34'-0° x (00 ,-0' 1 I � ,.�y �a6emeRt I Date: -'------------------------- $--------------------------------------------------- Feb, 1212004 3 //��� {/� Elevation 2 � Nouse Plan Number � rVi 1t 1L/ i i #gni©c�S :ryz2_ { Notes: Colonial 3l16" - {'O° CIFa'm ti;Lu :. ,R. i , ��� � E �� ,�,u � ~�� ,r 1. All dimensions to be field verified and changes made accordingly. ��� ��,, � w :. �` Protect Number 2. For additional information see "Notes, 5pec's.f Details". BY K ljjA ., PLA ' Mf: F C4>'-Q t F i, t X 241 3. When this drawing.Is Il x 11, it is the scale as indicated. TYPE AND Lr t !: Qr r+ r ALL Fii :'i?�TEBTi^ •"' r r r FiRALMT.0�hi;�Y�p ��® Colonial Draf# in t�` ®® ® co C )_-3(04 = fRaAr Elevation H JE CA, Right Elevation Left Elevation I/B' • 1'O' Notes- ) 1. All dimensions to be Field verlFied and themes made accordrngly. 2. For additional Information see 'Notes,6pec'e.R Details". 3. When this drauN is II x 11,it is the scale as indicated. . 4. Drawng print out date: 02/13/04 Colonial � 6" 162 '0" 23' 5�©I, gl�ll 1�raf'ti�lg I I, I38 I, .22.1 20 1 „ loll 41011 5,611 9�8-4�4 - 1855 36 r -- ---- Actual dimensions ',—" '-- and top of concrete; elevation to be determined by site conditions `' ' ' r --------------------------------- ------- --- ------- ------------------------------------ uP . L------- ----------- . ---------'---- -------I i-'------------------------------------------------ L--�----------------�- ' ------ 11 11 ' ' 2811 x113l, � ', 28 X13 , -U o '' �-a \-4" Concrete Slab (3) - 1 3/4" x e 1/2" 13U5 U5 x ; ; with approved vapor LVL Center Beam -9 ; `'' ' ; barrier beneath Splices located over x; t ;� p ) ; • , t columns and staggered 614" 5,611 512�Zu 510,1 5'6" 3 g t I , 7r , � y i ; - — — -I 711w. x 7"dp. X illh- Ind o24 Beam Packet ' t o of Fdn ) s IkeF, El. Ob" - - o ; o 3 1/2" dta.Lally Column X; t p � ) _r itia tK ------- -- - i op of Siab w/2'6" s 1 x 1'3" cp.Ft'g, 1 Cn ' -------------------- --' . -------------- --II--- --------- -'- Ref. El. y 10" Concrete Foundation ; t I II I II it I II '�' I II t '' 1 `�' with dampproofing 8 8 10 8 8 28 ' .I. L---------------------------� r- ------------------------J II, a. - ---- ---- ----- , ' r---- ----" --_ t 1 loll 13'6" ~ p'p'I 131611 _ m /I 4 6II I II i II I 96 II 1 II 65II 411 5 76 76 -38,0,1 l'O" Dia. Concrete F ier �r I Lrr w/2'0" ssqq x 1'O." dp. ft'g 1� i r �u i at �Q � � �'- t6req'd ) i. Alldi t1 m�nsions to b field veriFied and changes made accordingly. 2. For additional Information see "Notes, Specs, t Details". 3116" = i'O" 3, When this drawing is If x 1'1, it is the scale as indlceted. 04. Drawing print out date- 02/13/04 Colonial I �I I 11 1 11 13 n 1 , nQ/a n 1 n alOn I I, 111010 1 , n 11 120 praf'ting 18O 41 /a 36/a 36 O 40 O 513ja 52/a 60 6011 918 -474- 1855 r a O 2'10'/2"IX 3'5„ \� - +�S 3'(011 3,611 XCD4,911 --7- ® - 2,4„ OQ CP Breakfast Kitchen oo Dining Actual cabinet x O 2 - 2'g layout may vary 4 `� O v I N - I Garage ® 1 11 i n I V M'/4 3 11 .9 O x 3 6 410�a 4�a 11 �a 21611 3'6,11 _ r t O ----- — ---- �4 DN r o _ C Family - O Living(2)- 8'0" x 8'O" Overhead door o O ' PoSer v 21014 X 4 9 2'10V2" X 4'9" n � u K1 i � n r 3'011 Optic al Farmers orch 51611 91611 1,011 316" 61611 .g16n 51611 3,011 21611 I 31611 61611 31611 cA p 2210" 1316 I 1110 I 13,611 = 411 61511 11611 9 6" 11611 61511 411 38'O" Cl-30irstlor Plan 1. All dimensions to be field verned and changes made accordingly. 3/16" = 110" 2. For additional information see "Notes, 3pec's. d Details Llvirlg Area Sq. Ft. = 1,022 3. When this drawing Is II x i1, it is the scale as indicated. Gard a Area S . Ft. = 57(0 4. Drawing print out date= 02/13/04 g q Go I o n is 1 It 1610" 4'O" 4'O" 4'O" 4'O" 1010 6'O" 918 -414 - 1855 2'10 2" 3'5" 210'/23'S° - - - - - - - - 5 P- 2-4- i8u Xd5i "E0Ln Bedroom #24'0° Q060 2'0 19r 24 2141 Os - .-� 4'$u SLIDING I r - N 4'8" SLIDING r 2.0 O � O Bedroom 01 0 2'4 " Bedroom 03 '- - - - - - - - - - — uP 4'10'/4" 4.0.. 2'10/2" X 4'5" °1 Bedroom # 2'IOvi° X 4.5.. O .. 2'10V, X4 0 p O" 6'6" 3'6" 3'6" 36' IIO I36 3810" CL-304 : Spend Floor Plan 3/16" : 1'0'1 Notes" Living Area Sq, Ft. = 1,010 0 1. All dimensions to be fleid verified and changes made accordingly,. 2. For additional InFormation see "Notes, Specs, d Details". 3. When this drawing Is Il x 11, It s the scale as Indicated. 4. Drawing print out date. 02/13/04 General Notes: Construction Materials: Foundation Plan: FramingP= lans: O - Indicates Smoke Detector location Fire lace : Zero-clearance Gas Direct-vent Vapor Barrier with 6" (min,) over lapping Bearing 1 1/2" (min,) bearing on wood or metal, ,Joints under concrete Blab. Notches in the top or bottom of Joists shall Spruce Pine Fir No, 2 or better not exceed I/6 depth/,Joist All substitutions and/or deviations from Wall Stud Stze 2 x 4 0 16„ O,G, Beam Pocket Shim beam with steel shims or No greater than I/3 the depth/,Joist these plana are the responsibility of the Wall Stud Length: 92 5/S” hard brick, The ends of wood beams shall Not be In the middle I/3 span, contractor, Contractors informaspecifition presented take have a maintain 1/2" (min.) air space on top, precedent over any information presented to these drawings. All dimensions are to be Foundation Walls a sides 4 end. Maximum Allowable clear-5. field verified by the contractor and any 10" Conc. wall, 8'0" pour, 10" dp x 20" w ft'9- For Jofsts/Rafters adjustments made accordingly. Anchors: 1/2 Anchor Bolts o ro -O O,C' Garage Fire Separation 5/8 inch (min,) Type Spruce-Pine-Fir Grade No.2 or better X gypsum board applied to the garage Property Zoning, Dimensional Set Backs, Para a Door 8'O" w x 8'O" h side Septic issues, etc„ are the responsibilityg , t (ulna Area (exce t slee�g rooms)- t-1 of the owner, Llve Load 40 psf, Dead Load 15 psf ouse Wrap : No, 15 Felt, Tyvek or Typar Basement ventilation: Install 4 (min.) Sliding or Awning type windows for every 1500 sq, 2 x 10 im 16 O,G, = 15, - 1 1/2' Smoke Detectors 2 x 10 0 12 O.C. = iT - 1 1/2 Insulation : Floors: R19 ft, of floor area, I, In the immediate vicinity of bedrooms, Ceflings: R30 Sleepf�g Rooms: 2. In all bedrooms, Comer Beam Live Load 30 sf, Dead Load 15 psf 3, In each story of a dwelling unit, including Walls R13 2 x 10 0 fro O.C. e 16' - 8 1/2" basements and cellars, but not includin Attic (no future rooms): Including Interfor Wall Finlah : Blueboard 4 Plaster Lauy<oluer,°ap crawl spaces and untnhabitabie attics: 6kpaoaLcc Limited storage, LL 20 psf, 4, I for every 1200 sq. ft, unit, Laoreual 0y a Dead Load 15 psf Windows located near tubs, whirlpools shall Roof - Underlayment: No, 15 Felt o°'^^^ j 2 x 10 g 16" OX;. e 19' - 1 I/2" p C=able Rakes: Flush "uy b°ltom thane have tempered glazing, plate embedded Roof: Ridge Vent: Baffled -'.�, . in concrete Bleb Soffit10" Snow Load 35 psf, Dead Load 15 psf : Abbreviations Clr, - Clearance Shingles: Composite Bono e e r°otMg 2 x 10 0 16 O,G, = 16 - 2 Conc. - Concrete All structural materials shall be void of any dia, - Diameter S" Lall Column Detail y capacity dp, - Deep Exterior Wall: i/2" Plywood l� defects that may diminish their ca acct to „ function to an adequate manner. Structural EI. - Elevation Floor: 3/4 T4G Plywood 6'O" I'O" RoofI/2 Plywood �— � Engfneertng or any other professional : Exp. - Expansion (max.) (max.) services that may be required shall be Ft. - Foot or Feet provided by others, Rig, - Footfng Shutters : Vinyl - X H. - Height = E I/4" Shrinkage Gap ( min.) LVL - Laminated Veneer Lumber Std�fna_ Vinyl Clapboard max, - Maximum I 314" Sheathing min. - Minimum Windows : Rlvco Town 4 Country Anchors bolts or --- O,C. - On Center App'd EquivalentL PSL - Parallel Strand Lumber uare sq, ft, - Square Feet Anchor Bolt Spacing ! T4G - Tongue 4 Groove T.O.C. - Top of concrete T,O,F, - Top of Foundation LUS Hanger 1. U,N,O. - Unless Noted Otherwise W. - Wide Stairway Width : 36" clear width above rail, 0h1,Ah Double Shear LStrapping Rieer = 8 1/4" (max,) Tread = 9" (min,) LVL BeamNosing Profile : 1 1/2" (max,) Wallboard • Headroom : 6'-6" minimum 6`-8" minimum handrall ( Flush Framed Beam G-u!A'drall enr Limftatlor* :prevent object 5 (max,)Triangular space A riser 4 tread 6" dia. (max,) m n) 4' h In.Handrails : Having 34" min, 4 38" max, height stat Gutrdratl Measured vertically from the nosing Handrail Grr Sp ize : Handrail/Guardrail Circular cross section: 11/4" min, 4 2" max, ) folan : CL-304 Other shapes, perimeter: 4" min. 4 6 1/4" max, Cross-sectional: 2 1/4" max. 0 Colonial UraFtin� 9`18-4rt4 - 1855 Metal Drip Edge II — Ice t Water Shield I O 1� - - - - - - - - - `—Compostts Roofing I I fi I x I Ridge vent(twp I I a l I l l + 21014'X 4'5 t[016"X 415' 4'3' 1, 5'0" Indicates roof slope direction and Pitch in 12 Inches. Attic door Flan G ��3DB : Roor ' lan r 0 I. All dimensions to be field versed and changes made accordN19. 2 For addtlonai information see 'Notes,Specs.4 Details". 3. When this draakig Is II x 11,it is the scale as Indicated. 4. Drawling print out date 07/13/04 o epi Colonial Ridge Vent (continuous) Z x 12 Ridge Board Dr�ftinc� r g" I x 8 Collar Tie (min) inleh floorrat 4'O" O C. Simpson Strong-Tfeubfloor Reinforcing Angle `; » L630 0 each side ) or equal q Header - Roofing I _ --'-' 13'0" r 13'0" 1/2' Plywood Q 2 x 10 a1 16' O.C. Q ( 2x4 Header Oz Attic Floor Framing 3/4" UG Sheathing Attic 2 x 10 @ 16, O C. Stair stringer — ( 4=, Fascia 9 _ -Stair Detail 4-4=- 3 SoffRw/venting _ , E 0 o a' Sheathing 12 W. x _�'' Second Floor Framing A Second 2 x 6 4J 16" 0 C. 4 � ,'f 3/4" TBG Sheathing q _ _ _ 2x10QVo O.C. Q — _ Bxterior Wail O - - 3 - 2 x 8 Beam 2x 10 Solid FIre Blocking 2 x 4 0 16 O.C. t Lateral Bracing Simpson BC4 M Post Cap v='- o Porch post g _ �o ,tea Decking p 4=� Q s' 2 x 8 gal ib" O.C. (P.T.) First Floor Framing 3/4" TBG Sheathing First— 2 - 2 x 8 Band Joist (FIT) 4-- 2x10 Q Vol O.C. Simpson AC4 = dummoom sill Post Cap _ 4=� 2 x 10 Solid Fire Blocking M = 4=- B Lateral Bracing ( 1 ) -2 x 6 (K.D.) m Apprax, 5fmp5on P544 4= Finksh Post Base =' (3)- 13/4" x 9 1/2" Grade - c 4=a LVL Center Beam ? 1'0" dia. conc. iter 10" Conc.Fdo. W/2,01 sq,x I'O' dp,ft'g. E p 4=d E I/2"idle. Lally"Column 20" w,x 10" dp. Ft'g. m g='- w/2 6 sq, x 13 dp.Ft g, w/dampproofing Basement Concrete Slab Perimeter Drain 'tr Basement 4='- w/vapor barrier beneath (per site conditions ) —Notes. I. All dimensions to be fleld verified and changes made accord N19, I II II g i^99 12Treeda99 •e`o 2. For additional information see "Notes,Specs.t Details'. -304: Main PQua section Details'. !� 3. When this drawing is Il x 11, it is the scale as IndicGL ated. n i/4" - 11011 `� j 04. Drauing printout date. 02/13/04 M MColonial praftin 978 -414 - 1855 —�1dge Vent (continuous) 2 x 12 Ridge Board 10� 1 x .3 Collar Tle aQ 4'0" OZ. RooFing 1/2" Plywood Attic Floor Framing 2 x 10 0 16' O.C. 3/4" NG Sheathing 2 x 10 1@ I6' O.C. -- - LVL BeamN Fascia Goff% w/venting m Exterior Wall ' n Garage Finish: 5/8" Type.- X 2 x 4 a 16' O.C. v" Wallboard on the Garage side –y Garage Concrete Slab Sill Approx, w/vapor barrier beneath ( 1 )- 2 x 6 (F,TJ Finfsh 1 )- 2 x b (1C.D) Grade 10' Conc, Fdn. 20" w, x lo" dp. Ft. ] w/dampproofingpERMIT # \) (Jin GINNER � LOCATION �� �l — DATE 155UE�1 � \� ��� 1/4" 'PO" PERMITM �J\ .��L11�k 1. All dimensions to be Field verliled and changes made accordingly. lO 2. For additional information see 'Notes, 5pec'6, t Details'. 3, When this drawing is Il x Il, R Is the scale as indicated. 4, Drawing print out date= 02/13/04 CITY OF SALEM ROUTING SLIP V CHECKED DEPARTMENTS REQUIRE SIGNATURES BEFORE BUILDING PERMIT WILL BE ISSUED. LOCATION: O/� �! may/ � DATE: ` J< " APPLICANT: Z ' « /CJ 77 ❑ ASSESSORS OFFICE @ 93 WASHINGTON ST. FRANK KULIK Ic ✓�/ DATE: M� CITY CLERK(if involving a new str ) @93 WASHINGTON ST. DEBBIE BURKINSHAW / L _Prx.,/� DATE: 3- PUBLIC SERVICES(Engine 'ng Dept.) @120 WASHINGTON ST,4TH FL. rY�/ BRUCE THIBODEAU DATE: 2rcS /VLO/Q ! s eSrn ❑ WATER DEPT. @120 WASHINGTON ST,4TH FL.� Mal I ^� y DATECJ��O CI CROSS CONNECT SUP'R BOB DESCHENE @120 WASHINGTON ST,3RD FL. DATE: PLANNING @120 WASHINGTON ST.,30.D FL.. VA 1� bjw DATE: 3' of ❑ CONSERVATION COMMIS I N(Pla ept.) @120 WASHINGTON ST.,3RD FL. DON CEFALO DATE: J Z y F1 ELECTRICAL @ 48 LAFAYETTE STREET, ° .REAR JOHN GIARDI DATE: t FIRE PREVEN N @29 FORT AVE(WILLOWS AREA) CAPT.HUDSON DATE: ❑ HEALTH @120 WASHINGTON ST.,4TH FL. JOANNE SCOTT DATE: 3- g' 0 ❑ BUILDING DEPT � � @ 120 WASHINGTON ST.,3RD FL. �,,/ Y�'�/Z* /✓`-�/ y TOM ST.PIERRE DATE: ***SUBMIT WITH PERMIT APPLICATION WHEN COMPLETED*** i City of Salem ward ,y W04"• f '9 bIM1•" AFT U ATION PERMIT TO BUILD ADDITION, MAK"LTERATIONS OR NEW:,CONSTRUCTION IMPORTANT-Applicant to complete am Rema 'n sectio 1, it,/it,W,qnd IX. L ATA=ATIONl. DIaYRNT LOCATION' OF BETWEEN ANO' �a " BUILDING �aoeeelfEena /% S . pN LOT eLOCIC IL TYPE AND COST OF BUILDING-All ai#tiicartts cor►tAiete PartsA<'D A. TYPE OF MPROVEMENT D. PROPOSED USE FOR"DEMOLITION"USE MOST REGENT USE - i 2 Q A4fiNMOMSWwXW,w+nrlwmbwbfn 12 0ma"My 16 Q ;tnaawpw4,nntttwstl bou4rq webt,�tMebt larry.nprt0.f71 ..TwoamaslrnilY•&+est ef+labar 19-Q f."IWAK btls ro-,glow t3Q 3 Q Aft a Ret 2 abp ) at a ft 21 a PW"*MW-W - 4 Q AM=160tW&W t4 Q AwdMMIi bnlel.W OM11400- 21 0-$wViM MMM t .a- nwlewwaelb 22❑:ae1Mo�.wwtlR eeprn9rfpf 5 Q wNd-VInuNMam+r/.adwWFt tllat,eeMr . .. 23.0-1wep1111.kwAM ww wltaenbA*f#VAMPertQ M) 15 Q GMr -.$ 24 ORkwbYnk.11 6 Q 1*wn9 tl*b= w4 2a Q cow" 25 0.POND VWY 7 Q FVAWO OMV 17 Q ONrr•sowrr / 27 9c'Ine4 wurf4.Mlw.bieaNNlwl Q,Slwr..frwrfM IL OWN P - 2813 lbnk%Wa 8 Pn.w.ttaiaalwl.c«bw.Nbn.rw�Pior4 a.. 29 Q-ONW-*weft :N1lbiuon:alel 9 Q Pvtft 1Fedwst.Stale.erb19100 I m— C.COST (Onwr oww I w"odneel:Doom,"in aeUY,Nrepbaeb IW a CI WOdWga 09.lbbf aooter*w.baw. and a alga wa fly bkAdk g at bbwlbst.*Wnw v KrOA sebbnWY ep+baltoatga. 10. Costalk"Orwwllalf a / at i+tllMlY Mw+l e•bNrt9b ^view 'ebwq'+4w+IwfagwtW robiol�cfObbfrictirr�ewY - a2ln-aG'Jil�b0.'ff • A EIICFfr71 0.P1w1NNng . c 1lef& air, 11.Te1AG OF (/ AA - - III SELF _.__CHARA4TERIS77CS_12F 1b JY BUILDING-For new buddings and addXons,complete Pans E-I:dwn kbM c _ ort f5arts J 8 M ai9 others ski E. PRRICM TYMIOF FRAME 'F.PRMOM TYPE OF NEATM R1EL G. TYPE OF AGE DISPOSAL L TYPE OF MECNAW.AL, 30Qa�a��/�IwNbwlilwl 35.3 40- Pu4Nex9Nr.l Mftww W001Mteanfalfr 31.2�7Nq/ 36 11 41 1TRow"tebNYetWc.1G, 1 . 32 U eN1RNrWM ,.37 Q Elowiw 45 Q Nb 3313 8110401 f6 owtltr 3a_Q.coo k' TYPE S1 tY . .1+wvr lwgnwwrwi� 34,3 ONIw-$pw* .3a_Q Loew-spec, .. .42 PfbNbbtplYNM41st1NwM. 46.3 yes 4T Nb J.DIMENSIONS Nu M: A ..DEMOLITION OF STRUCTURES: A8 N�moer m Stories ...-...-..._ _....-._._......-_..__.. 's. Tool acuate te"of Kbit area Ha's Approval from Historical Commission been received a::noon oaxo on eatenor for any structure over fifty(50)years? Yes— NO_ 50. Tote lana ana aa.KL . �.�I"t9'safe Number K NUMBER OF OFF-STREET PARKING SPACES Pest Control ': 51. Erietoaea r.£'y: "t }HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? 51 OutdoM 1( Yes NO L +nw auibrkasotiiz "BNS Sa rdmew Gam sa;woeera Sewer: aad.aonu PrrKrr / [iGl`,UMENTATION FOR THE ABOVE MUST BE ATTACHED BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No (ti yes,please ertdgse dpwmentation.ftem Hist.Coma) Conservation Areal Yes_ No (ti yes:please enclose Order of Conditions) Has Are4lreventlam approved and stamped plans or applicatiesons? Y _ No_ Is property located in the S.RA district? Yes_ Navib Comply with Zoning? Yea— No_ (H na enclose Board aAppeal da SjM) Is lot grandhathered? "Yes _ No (tt yes submit docunientationfif no,submit Board of Appeal decision) If cation,I=the;proper Routing Slip been enclosed? Yea_. No_ Is Architechuaf Access Board approval required? Yes NoIL Of yes,submit documentation) Massachusetts State Contractor License Salem License# C Home Improvement Contractor# Homeowners,Exempt form(H applicable) Yes_ No_ CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT CONSTRUCTION IS TO BE COMPLETED BY: If an extension is necessary,please submit in writing to flte lifspectbr of B'ud&gs. V. IDENTIFICATION• To be completed by all applicants Naha Mw"a*"=-ManEn,sae",Co.and aye ZIP Cade Td Kan ZIL cant« - z. I /I Gl/lI ��LfllB/' some I hereby ee"IAffi posed,work ista ftirized by the owner of record and#W.1 have been audwrized by the owner to make Ytie application as his authorized no weAweBjqoonfqjmjoas aodicable laws of this iurisdiction. Sigrrawre of ' o� /UDlv7Gl DO NOT WRITE BELOW THIS LINE VI. VALIDATION Budding FOR DEPARTMENT use ONLY Permit number Building use Group Permit issued 19_ Fre Grath* Budding Permit Fee $ �© ^_ Lrv°Loom Omgancy load Certificate of Occupancy $ Approved by. Drain Tile $ Plan Review Fee TFrLE NOTES AND Data•(For department use) PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by. Canoleted by. 1 VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN •For Applicant Use G � � r =- OF SALEM. MASSACHUSETTS 3L PUBLIC PROPERTY DEPARTMENT < , 120 WASHINGTON STREET, 3RD FLOOR SALEM, MA 01970 TEL, (978)745-9595 EXT, 380 FAX (978) 740-9846 STANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40, S34,I acknowledge that as a condition of Building Permit# ,all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waste disposal facility,as defined by MGL c III, S 150A. (� The debris will be disposed of at: Location of Facility ignature of Permit App cant Date FULLY complete the following information: (PLEASE PRINT CLEARLY) 7 ,0 ame of Permit Applicant 1,114p" �" r ' knL ixi``'mamN e,if any Is d ,fix 21;,;" Address, City & State The above statute requires that debris from the demolition,renovation,rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL cIll, S 1 SOA, and the building permits or licenses are to indicate the location of the facility. Da! q//n / Cornrnonwt:a&L of r aj�achcceefb —UeParlmcnlq o��..J'n�ullria[ 600 //V��Vw�sinylon 511,81 JameS J.Camobeu y odlon, �ga3aackwel a 0211 / C omm ssroner Workers.' Compensation Insurance Affidavit (dem ►ermirue) with.a principal place of business at: 121 (Ury/SUWLq do hereby certify under the pains and penalties of perjury, that: () I am an employer providing workers' compensation coverage for my employees working on this job. �1 GUG�3/53/f53 90/� Insurance C mpany Policy Number I am a sole proprietor and have no one working for me in any capacity. () 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: 111�9ly /11�c.�l2Gr��� __. �i�r��i-re..� o��r•��y?�® Coo�n//tractor Insurance Company/Policy Number Contractor 'Insurance Company/Policy Number Contractor Insuran a Company/Policy Number () 1 am a homeowner performing all the work myself. I understand that a covy of this statement will bt ionvarotd to the Office of In estipnons of the DIA for coverage verification and trot failure to secure coverage as rtouueo under Section 25A of MGL 1 51 can lead to the imoosttion of criminm oenanies corauunt of a fine of uo to S 1.500.00 and/or one Yon'irnoruonment as wad as Crva cenahia in the lom of a STO P WORK ORD E RRR cants a fine of S 100.00 a daY+taint me. Signed is � day of Li see/Permittee Building Department Licensing Board Selectmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 617-727-4900 X403, 404, 405, 409, 37S MAscheck COMPLIANCE REPORT Massachusetts Energy code Permit # MAscheck Software version 2.01 Release 3 checked by/Date TITLE: Plan # CL-304 CITY: Salem STATE: Massachusetts HDD: 5641 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 2-13-2004 PROJECT INFORMATION: 26 x 38 Colonial - 2,032 sq. ft. osbourne Hills Salem COMPANY INFORMATION: DiBiase Residential PO Box 780 Lynnfield, MA 01940 781-334-9899 NOTES: Rivco Town & Country window units COMPLIANCE: Passes Maximum UA = 389 Your Home = 369 Area or cavity cont. Glazing/Door Perimeter R-Value R-Value U-value UA -----------------------_-------------------------------------------------------- CEILINGS 1022 30.0 0.0 36 WALLS: wood Frame, 16" O.C. 1969 13.0 0.0 161 GLAZING: windows or Doors 212 0.380 81 GLAZING: Windows or Doors 12 0.430 5 GLAZING: Windows or Doors 20 0.370 7 DOORS 38 0.350 13 DOORS 33 0.540 18 FLOORS: Over Unconditioned space 1010 19.0 0.0 47 FLOORS: Over outside Air 12 19.0 0.0 1 HVAC EQUIPMENT: Furnace, 80.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125% of the de ign loa s specified in sections 780CMR 1310 and 34.4. Builder/Designer Date 2- 2 CITY OF SALEM WATER pEPARTME Assistant birector Publfc"S$rvices ... -------------- l ..,.,-....> ....... ..........- ............-....,..........,,"». vws,�ass..,....-.._,iva.urrc+craemvzLvvr.nc�+uc�..vwsre:�o �,_.. ,,... rsrm:mxc'usa'•^ aaalm senssmer ..�nxuus.+smsyssrwc.msra uamera.:aw.caxalcxzaxc••.»^•,-:,_ ..,.•.samcam_*am:--.< —_ �...........,, csc smw�:;:�ns1s.5•• I o- -- -- -- S � GENERAL NOTES C7 GEI s° 1) THIS PLAN IS THE RESULT OF AN ON THE GROUND FIELD i 9 SURVEY AND PUBLIC AND PRIVATE PLANS. I / TUON-JURISDICTIONAL WETLAND 2) UTILITIES SHOWN ARE BASED UPON FIELD SURVEY AND RECORD PLANS AND ARE NOT IVECESSARILY INDICATIVE OF �' c' cs UNDERGROUND CONDITIONS IJ OSBORNE HILLS REALTY TRUST z G �S 3) THE CONTRACTOR SHALL BE RESPONSIBLE FOR VERIFYING AND G2 / r t'" LOT 7 , 1__� / fdA v;sr DETERMINING THE LOCATIOP , SIZE AND ELEVATION OF ALL / 1 � EXlS77NG UTILITIES, SHOWN OR NOT SHOWN ON THESE PLANS, PRIOR TO ANY CONST4UCTION. THE ENGINEER SHALL BE NOTIFIED IN WRITING OF ANY UTILITIES FOUND INTERFERING WITH THE PROPOSED CONSTRUCTION AND APPROPRIATE REMEDIAL ACTION s5.00' 65.00' i so.00' BEFORE PROCEEDING WITH THE WORK. — -— LOCUS MAP � —'°4--� �.' LEDGE % i I(OUTCROP 4) THIS PLAN IS BASED ON THE REFERENCED PLANS, DEEDS - ' / i —'°Z `r 9A AND THE RESULTS OF A FIELD SURVEY AS OF THIS DATE. NO CERTIFICATION IS INTENDED AS TO PROPERTY TITLE OR AS TO THE EXISTENCE OF UNWRITTEN OR UNRECORDED ,00 i EASEMENTS / ' - '(, 92 5) RESOURCE AREA DELINEATED B)' RIMMER ENVIRONMENTAL LOT 6 ! LOT 5 ,D ' ' LOT 4 CONSUL7ING, OCTOBER 29 — DLC. 16, 2003 , 15572 SF. ., � 15,530 SF. � - 15,307 SF. /- � � � �� -- - __ - - - w ° i a tee , - - - - - - - - - - - - - - - - �P — -- - - - N / SERv\CE 5PLvti \\ i fi 9O �2 ,Z. \d0 PG�P�� R\ S g�dER5 �pUe�\c We iJ 0 �• �i J / ' 12 Q� D N / DECK v 12' DECK PR ST F\R g8 38' 17' 1678, N �- l CEO_ / 19' N PROP 78 f \00 LOT rte -- _ GAR. 98. PROPOSED DWELLING N (TYPI`JIgL) / 9g 22' -'IST FLR 101. °v PROPOSED W LLING GAR. 96. N o p 3ti 4Z / 4 �� CELLAR Qi oCAP w > 92. 522O90.CELAR v o 1 ST ;d ^3�6 To High — o > � a ; co \ Ql,e / II o3 Q 30' �- EASEMENT _ - _ ;\� -iot.00 I RECHARGE BED PPo10 ED S\0 CU4%i2�R_/ ✓" 5 �f CITY OF L.EM --— _— 32' n c� ---r-- GE OF 0�1 , RECHARGE BED 104.20 / _ v PROPpSE%jE P�\ \0, _ _ r — --- 0• � PDX v L_f -- P co -- \ L- I LSA 6 s. gp gg _ 9 N \ NOT pN., JldSWW — _ _— VISIBLE PROPOSED g^ AND TAP 8 SLEEVE, `�_ BASELINE S 8^ GATE VALVE WITH '"" SS• HIG-�AN2002 W — \ - — 6 �/ .06 D STAINLESS � s a� � y1.s STEEL BOLTS -- ROOF RECHARGE BED --� / D --- _ � � � _ � �- 9z-u, + _ 1 SMfl g3.06 .98.9 p DETAIL: No Scale ENTRANCE � � 27 ,34 7 __955.59 PC 2 ------ 9 c I I� GRANITE 96.96 �_ 98 CURB / H + S — +� - 80 MIN. 1 INSPECTION PORT / �— - S0. -'--- 93.84 TO PARK 1 D DUI PLAN TO FINISH GRADE I I . _ - 645 �g --- GUARDRAIY 9 63 S -- � AR 1308 OUGHJ 4 — STORIATECH SC-310 CHAMBERS 4" PVC TO DOWNSPOUTS IN AN 6' BY 30' STONE LINED (TYPICAL) EXCAVATION I LOCUS IS SHOWN ON SUBDIVISION PLAN OF LAND ZONING DISTRICT R1 SECTION BY EASTERN LAND SURVEY ASSOCS. NOV. 17, 2003 ONE FAMILY RESIDENTIAL NOTEI ROAD STATIONS ARE IN METERS GEOTEXTILE FABRIC 4" LOAM AND SEED QdIN.) LINED EXCAVATION _ ------.-- LOT AREA 15,000 SF. �. ZONING DISTRICT. R1 Ie" Mw LOT WIDTH 100 FT. 10 96"MAX 4' INLET —� —_ STORMTECH Sc-310 CHAMBERS ASSESSORS MAP 9 PARCEL 1 FRONT YARD 15 FT. 2" RECORD OWNER: OSBORNE HILLS REALTY TRUST sloE YARD to FT. SITE DEVELOPMENT PERMIT PLAN N _ s' DEED REFERENCE: BOOK 17338 PAGE 3REAR YARD 30 FT. 13 I LOCATED IN 2' Min. 1 1/2" TO 3" WASHED STONE SALEM , MASS . i EST S.H.Yl.T. DETAIL -°""$1E° G°" PREPARED BY EROSION CONTROL SILT FENCE EASTERN LAND SURVEY ASSOCIATES, INC. L E G E N D 2•x2"x4'-s" WOODEN POSTS �; °s; I $ s�nnnA U TMH EXISTING TELEPHONE MANHOLE 100 PROPOSED CONTOUR AT a' O.C. (MAX) convoRAna+ STOP- ��>N /-A@ VSTAC.E „AL`.T C0* I ' , ��ey CHRISTOPHER R. MEL L 0, PLS o SMH EXISTING SEWER MANHOLE 100x0 PROPOSED SPOT GRADE MIRAFI No. 100 SEDIMENT N'AIERPMAN ' « 0 DMH EXISTING DRAIN MANHOLE CONTROL FABRIC l R 'N SAi)J(.ECaIglcllTY1 ( ' .1� LJ "'` S ,!b J '' 104 LOWELL ST. PEABODY, MA. 01960 EB EXISTING CATCH BASIN o W°awc C:' co ct1 Orl z HAY GALES �Z>:, ^ rDN 1 , ' E f �C I2' 1 Pqa EXISTING HYDRANT `— s u:,,,T .� g - " 1 5 �,ANL.S r �'', (978 31 -8121 IS SiF.. DING ' Q' �s F mrn 1n. •�A FELLO FLOW DIRECTION EXISTING WATER GATE r �1 1 °� snrotl�lw� �6 r� si�17 a /> — 100 — EXISTING CONTOUR «�_. 'Ix;> `;, i "� �' rsTEi r% _ 100.00 EXISTING SPOT GRADE — ExISTINc GROUND j v, : € \ r SERE r„ a; SCALE: 1 " 20' FEBRUARY 5, 2004 yLrV rpolr t :`' PREPARED FOR REV. MARCH 2 2004 1' ME N COPi ER EXISAVG M�, pER :i..: :'S i••i -o- UTILITY POLE `\ `�`��t\ URI 'XE LINE Srowu BR '/ E ¢" LIGHT ON POST PRaVCE i Cu. ET. of '-1' Ir.E x c�cPEP STCWM BRAIN / r f \� SCREENEO CRA\EL J SUMCE UNE syN• ^ RETAINING WALL d9gs OSBORNE HILLS REALTY' TRUST �� CURB Src^ I. NCL PW M lFa/SADOIC MAY @( USrO to ca:NEcr 0000coa�o STONE WALL ro E.nsn"O Pl.c. CLAY, CoYC ETE. OR V.M PIPE 'S y ?. SADOLES MUST MALL RUBBER CASKETS AN% SHALL 8E VCWPVto PHOTO REPRODUCTION OF THE ABOVE SEAL IS ,r CURB MITN STRAPS. SADDLES WLL Nor BE cEMENTro u,ro ;HE Pr . INDICATIVE OF UNAUTHORIZED REPRODUCTION FENCE WATER SERVICE CONNECTION s. FULL WYE COWNECDOW1 nTnNCS MAY BE USED sm —x -- x — — I I II = I I II NOT ro SC-LE .. PPE suLL @E cur ro CcwraRM To nrE a"EN,•:c mI nrr sAaxE. OF THIS PLAN AND IS TO BE CONSIDERED A 177 n— ;` v RESOURCE AREA BOUNDARY II I I _ II I I _ 5 C NEcna'S DIRECTLY INrO ME f"ST G PPC WOLCUT A SAODLE / cy ,Y' °R rU:L WYE rrrrr ARE Nor ALLOAEO COPYRIGHT INFRINGEMENT AND/OR FRAUD. _„•.•,...ia "$ L OJILO'NC CoNNCCr,OWS 41ALL BE BEDDED Iry]/�M'N CROSNEO ENFORCEMENT AUTHORITY SHALL NOT ACCEPT ^:1,.4 A10 RESOURCE AREA BOUNDARY FLAG = I I II UNDISTURBED SUBGRADE Sra:E TO Ar LEAST HALF TWC PIPE aAMErER O 10 20 40 60 IID I I I PHOTO REPRODUCTION FOR ANY PURPOSE SEKER CONNECTION DETAIL NO' TO SCALE r_ 1 2795 I i I Q(Dm bead 91nn Dgg(DA (Doq 2m& Professional Land Surveyors & Civil Engineers ESSEX SURVEY SERVICE 1958 - 1986 OSBORN PALMER 1911 - 1970 BRADFORD & WEED 1885 - 1972 PLOT PLAN OF LAND I.Oc=D IN 5,4ZZ I MASS. 90 Z, 9 kwla-w Cc/ H &aub4 Law" O� als�Cc�.>�s •o!/� SLS E.fSENE.G." Bo 06CY 01A o 3caLs: / : �� \ �j JUn �4 2co , MELLO UWERENM: BR PG Chris R. o PIS 104 LOWELL STREET PEABODY.AMS&019WTlk /fr) Ii. (978)531-8121, FAX:(978)631-SM