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8 HAWTHORNE BLVD - BUILDING INSPECTION <�(06 cgs The Commonwealth of Massachusetts-, e iK , Lt' Department of Public Safety Massachicsetts State Building Code(780 CMR) y, C "% Building Permit Application for any Building other than a One-or Two-'P,p�iSirYR7JiliA q ('chis Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION (Please indicate Block# and Lot#for locations for which a street address is not available) 1-0 No.and Street City/Town Zip Code Name of Building(if applicable) ! SECTION 2:PROPOSED WORK `1! Edition of NIA State Code used If New Construction check here❑ or check all that apply in the two rows below �— Existing Building❑ Repair❑ Alteration ❑ Addition❑ Demolition ❑ (Please fill outand submit Appendix 1) Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No ❑ Brief Description of Proposed Work: SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CNIR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No. of Floors/Stories (include basement levels)& Area Per Floor(sq.ft.) Total Area(sq. ft.)incl Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-t ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational El F: Factor F-1 11 F2 11H: High Hazard H-1 ❑ H-2❑ H-3 ❑ FI-4❑ H-5❑ 1: Institutional I-1 ❑ 1-2❑ I-3❑ 1-4❑ M: Mercantile ❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility ❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA IS IIA ❑ IIB ❑ IIIA 13 IIIB ❑ 1 IV ❑ VA ❑ VB ❑ SECTION 7: SITE INFORMATION (refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public ❑ Check if outside Flood Zone❑ Indicate municipal ❑ A trench will not be Licensed Disposal Site, ❑ required❑ or trench or specify: Private 13 or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA t_fistoricCommis�suni R_0ew Profess: Not Applicable❑ Is St ucto re within airport approach area? Is their review completed? or Consent to Build enclosed ❑ Yes ❑ or No❑ Yes ❑ No ❑ SECTIONS:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: cwt t Eo q p - U . 9 P�•r,-, a z SECTION 9: PROPERTY OWNER AUTHORIZATION Nre and A I f sof Property Owner rne/t B law�hoYc�d Biy smzm M A, Name (Print) No.and Street City/Town Zip Property y�Owner Contact Information: Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf, in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less than 35,000 en.ft.of enclosed space and/or not under Construction Control Olen check here 16-1nd skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name (Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor t \ t ! ....ice.., Company Name fiGCmr C wL-JT_J GS - to 912-83 1&4� -1 Name of Person Responsible for Construction License No. and Type if Applicable 150 tianS A s � f-ynrl & 0110 Street Address City/Town State Zip _ - ` -W- 16 - LAc11_ 'VhCM 00 to VaoO • cern Telephone No. business Telephone No. cell e-mail ac dress SECTION 11: WORKERS"CONIPFN5ATION INSURANCE AFFIDAVIT M.G.L.c.152.§ 25C(6)) A Workers' Compensation Insurance Affidavit from the NIA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs: (Labor Item and Materials) Total Construction Cost(from Item 6) 1. Building $ (at 000 • Building Permit Fee=Total Construction Cost x (Insert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing $ 4Ntechanical (FIVAC) $ Note: Minimum fee=$ (contact municipality) 5. \4echanical (Other) $ Enclosecheck payable to o 6.Total Cost $ (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name 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. Please print and sign name Title Telephone No. Date 560' T�wlSr�n 5-7— Lynn �- � _8 bIR0�_ Street Address fCity/Town Ar--- J State Zip Municipal Inspector to fill out this section upon application approval: Ar-- "-1") W Name Dat The Commonwealth ofMassaehuseAts Department oflndustrWA(cci mis 1 Congress Street,Suite 100 Boston,MA 02114-1017 www mamgov/dia Wworkers'Compensation Insurance Affidavit:BuilderslContractorsMectridans&fumbers. TO BE FUAD MM THE PERMMWG AUTHORITY. Applicant Infoti Print Name(Busineworganaatiodlndivideal): L" �C -� 27- Address: -Address: City/State/Zip:!411!'1 LI U o 19 0, Phone 9 Are you an empbyort Ch" �Ne appropriate bur. Type of project(required): 1.3301'm a moployer with t_employees(fun and/orpan-time).• 7. ❑New construction 2.01sm a sok preteider a pormaslrip and haw an,ctopbyes woddog formem 8. DRemodeling aoy capacity-[No workers'camp.stuaauce requirM] ff^^�t 3.01 am a 6ommwtwdoing all waitmyself.(No waaia:rs'comp.insurance required.)t 9. 1_I Demolition 4.01 an a bomaowner end will be hiring contractors to conduct all week on my ptnputy. i will 10 0 Building addition gimme that an contractors other haw works"'compensation nwwssuce or am sole 11.0 Electrical repairs or additions propietma with m employes. 5.019ot a geaaal connector and i hevehhed the sub-eootracton Nobel!Nobel!on the attached shat 12. repairs or additions Mums,sub•cwascto"love employee,and have workers'�-resonances I3.pRoofrepairs rr-- --�� 6.0 We ere a corporation and its offices bare examined theirright of exemption paMGL c 14.AyOfher L3' 152,§I(4),and ws:have no employem(No workaa'com;x inexanaee.eluiru j *Any t}plicfat that check;box#1 most also an out the section below showing their wo&='awpcmotim policy iofamodau. t Homeowners who submit this Wbdwit iodiaating they are doing sa work and tbm him outside convect=must submit a new affidavit finicating such. IContramn that chock"box must atached an additional sheet showing the came of the wismte whether or out those entities have crMloyces. Ifthe sub=cantnctars have employees,they mug protide their wmka"'coaW policyeundrer. law an emplayer that is pravfdiag workers'compensation insurance for my employees. Below is thepolicy aldjob site informtagon. t� Insurance Company Name: Woo Hil 5 . ZbSUVa Ita _ T1s Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: City/St"Ma5p.- Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 andlor one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. I do hereby eeerftyy^anderthe an atties ofpathin erjry the fnformrdfon provided ct Is e and corre iSgnature- tt�.se-t&Z Dates !f � Phone#: Gr Q(/kW use only. Do not write In this area,to be coespided by city ortown ark" City or Town: PermitlUcense# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 6.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this ststute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint entempase,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employes." MOL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the Insurance coverage required." Additionally,MGL chapter 152,§VC(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the coubactmg authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partaaships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents_ Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate]tae. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that moist submit multiple pernm4icense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Addreas"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street,Suite 100 Boston,MA 02114-2017 i Tel. #617-7274900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia L �e insroxmealll, Office of Consumer Affain&Business Regulation _ License or registration valid for individual use only Q- - — HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration 184777 Type- Office of Consumer Affairs and Business Regulation. Expiration Al.i.41W18 LLC 10 Park Plaza-Suite 5170 �• r__�- Boston,MA 02116 5 STARS WOODWORK LLC n HECTOR CHILEL-MEN6E2 -: 150TIMSONST.#1 LYNN,MA 01902 - Undersecretary Not valf ithout signatu lf iMassac6usetts'Department of Public Safety ®- Board of Building Regulations and Standards License: CS-109288 Construction Supervisor HECTOR MENDEZ ,x 76 UNION STREET LYNN MA 01902 t �i P—j^^K n Expiration: Commissioner - 03/10/2019 CERTIFICATE OF LIABILITY INSURANCE °"�'M"°°"YYY' 04/26/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomement(s). PRODUCER NAME: Congress Auto Insurance Agency Inc PHONE (781) 599 - 3400 F^X(ac,Nop( )761 599 - 4114 c,No,Etl: 131 Broad st L ADDRESS: INSURERS)AFFORDING COVERAGE NAIC d Lynn, na 01902 INSURER A: INSURED INSURER 8: Hector Chilel Mendez INsurtEac: 150 Timson St INSURER D: INSURER E: Lynn, MA 01902 INSURERF: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDLISUB. PODCYEFF- -WUCYEXP LTR TYPE OF INSURANCE INSR VND POLICY NUMBER (MMIDOIYYYY) (MMIDDIYYI'Y) LIMITS A GENERAL UABILITY y bma0023664 04/27/16 04/27/17 EACH OCCURRENCE $ 1000000 COMMERCIAL GENERAL LIABILITY PREMISES(Es oocanence) $ 100000 CLAIMS-MACE a OCCUR MED EXP(My one Person) $ 10000 PERSONAL B ADV INJURY $ 1000000 GENERALAGGREGATE E 2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/CP AGO s 2000000 POLICYJEC LOC $ F�A MOBILEUABIDttJ1.1 I(Ea s¢idsM) $ANYAUTOBODILY INJURY(Per perecn) $ CHEDULED UTOS AUTOS BODILY INJURY(Per actidenl) $ NON-CMEO PROP RTY AMAG HIRED AUTOS AUTOS (Per accident) $ $ UMBRELLA LIMB OCCUR EACH OCCURRENCE $ EXCESS LIMB CLAIMS-MADE AGGREGATE $ DED I I RETENTION $ $ B YYORRFASCOMPENSATION Y 6HUB2E88946915 04/28/16 04/28/17 WCs AT "- AND EMPLOYERS'UAINUTY VIN TORY LIMITS ER ANY PROPRIETOWPARTNEWEXECUIVE E.L.EACH ACCIDENT E 100000 OFFICERIMEMBER EXCLUDED? NIA 1Mer&•tI,iln NH) EL DISEASE-EA EMPLOYEE E 500000 If yes,deso ibe under DESCRIPTION OF OPERATIONS W. E.L.DISEASE-POLICY LIMIT $ 100000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Aeacb ACORD 101,Additional Rersaft SLNedule,if mm space is required) ALL ASPECTS OF CARPENTRY CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD OW CSF SAIEA4 MASSAC "E772 B[>ffXMDEtaanWTr ]20 WA�G9'CrVStRSBT,S'"Ft�xt UL ` 9595 AS- . Fe% T�91W SIMAEtiIE]'DdZiL MAYadt 7�o1r�ST1' CFAMU&NIMUMAUUMOMOUMOM &NIMUM ar Construction Debris DisposaiAffida Mt (required Wall demolition and,.renovation workj In accordance with the shah edition of the State Building Code, 780 0AIL Setlbn 111.5 Deis, and the provisions of MGL c40,S 54, Building Permit i/ is Issued with the condition that the debris resuMW from this work shall be disposed of in a properly licensed waste deposit facility as defined by MGL c 111,S 150A. The debris will be transported by: (name hauler) The debris will be disposed of in: (name of faculty) (address of facility) . nature of app ica lik Date The Commonwealth•of Mas ;Wv, � II,1�jy' Department of Public Safety L } Qs— VYY Massachusetts State Building Code M� ) 1 Building Permit Application for any Building other than a Ono-o–r f wW)Fa1lilyaDwelling Q� :(This Section For.Official Use Only) 7. n Building Permit Numben Date Applied: Building Official: " SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a stmef address isnot available) �. S _ SAS' M _ /oK.5. A 4=4, p No.and Street City/Town Zip Code Name of Building(if a plicable) -! ! SECTION 2:PROPOSED WORK _ *. Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ I Alteration ❑ 1 Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes )< No ❑ Is an Independent Structural Engineerin Peer Review required? Yes ❑ NoX Brief Description of Propose Work: Ice .5 d tl/ n! fj0 0 /Gd/�►! c O S i.A / (s/LO/ o Lo vin oEFA / ED kZAAIJ� _' SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE-OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed (See 780 CMR 34) ❑ Existing Use Group(s): - Proposed Use Group(s): SECTION 4'BUItDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) 02` e-7 2755 Total Area(sq.ft.)and Total Height(ft.) 2t7�j SECTION 5:+.USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1❑ 1-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S-2 U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB IIIA ❑ IIIB ❑ IV ❑ VA ❑ VB ❑ SECTION 7:SITE3NFORMATION(refer to 780 CMR 111A for details on each item) Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Licensed Disposal Site❑ Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be P Private❑ or indentify Zone: or on site system❑ required ❑or trench or specify: permit is enclosed❑ Railroad right-of-wa Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or NOX Yes❑ No ❑ ! SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): - Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: 5c z5 osr et,r",,as 1 2I 1A l--PI.K't� `k F.0 . 'i SECTION:9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner ,zt:*E��Jr/l..�a� 2 3�lrt�gL� 5i-. ,S44EA J, /`1�1 . O/9 0 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: owy!tR 2fI?71 /01 /W7k1k�XAN,6* Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) (Lfbuilaingisl,,,�,ihan 35,000 cu:ft of enclosed s 'ace and/or not under Consiruction Control then check here�0 and skip Section 10.1 10.1 Registered Professional Responsible for,Construction Control 3C- RM—IN 2 e R 'stra T ] e-sQa21Np€�j�j. R ' ation N tuber c6c Stree d ess /, ] City/Town State Zip Discipline Ex iration Date 10.2 Gen."l (-ojtr,�ctj5,, Company Name /'ZZs AI/ Du�ioj Name of Person Responsible for Co struction License No. and Type if Apgplicable C 01CtMI A 0VS'c is !�Sf�ai !9C Q 1507 Street Address City/Town State Zip N t-3[ Tele hone No. business Telephone No. cell e-mail address SECTION 11:-WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.GL.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yea)b. No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT`. E`'• Item Estimated Costs: (Labor pr and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ , b� Building Permit Fee=Total Construction Cost x_(Insert here 2.Electrical $ - rN,6 appropriate municipal factor)_$ 3.Plumbing $ All-Ale 4.Mechanical (HVAC) $ 44,1v9 Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ 440II-. Enclose check payable to 6.Total Cost $ ZY2 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name 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. pF/2rck- T- itivS- P ase r tTarkie ,.Telepope o. Date 18 /�/lN S d�ES city/ own State Zip 3 tf S'v— Or9�o Manicipal Inspector to fill out tbie section npon application approval. � ./ - - - _ - i. • Name o Da- CITY OF S.uE ..NL 4 �fLA ss.kcHUSETTS • BL'ILE)ING DUART1CNT 130 WASHINGTON STREET,jar FLOOR TEL (978)745-9595 FAX(978)740-9846 KINCBER >=Y DRISCOLL THOMAS ST.P MAYOR �tRe DIRECTOR OF Pt:BLIC PROPERTYIBULDL-NIG COS5( I0—,iER Workers' Compensation Insurance Affidavit: Builders/Conti actors/E)ectr)cianslPlumbers Applicant Information Please Print Legibly Maine(Busines Organization/Individual): Li t-[Ai�-J Do,) Address: S A-6CL G AJ;Z;) 'C' City/state/zike 1( tA* © 1,T 0-1 Phone q: 7 6 Are you an employer?Check the appropriate box: Type of project(required): 1.VT+am a employer with rL 4. ❑ 1 am a general contractor and 1 6. ❑New construction employees(full and/or pact-tum).• have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner. listed on the attached sheet: 7• ❑Remodeling ship and have no employed These sub-contractors have g. ❑Demolition working for me in any capacity. workers'comp.insurance. 9• ❑Building addition (No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions myself.[No workers'comp. c. 152,§I(4),and we have no 12.0 Roof repairs insurance required.)t employed.[No workers' 13.[-]Other comp.insurance requited.) Any applicant that checks box#t must alio fill wt the section below sluowiaa their wasirtni wmpmeauon policy inf am aim, *I Fommwtws who submit this affidavit indicating they an:debts all work and thea hire outside cmtractars smut submit a hew aitLlavii Whening cud, =Conttm:mn that check this box mug anached an additio al shtet showing the came of the A64m acre ,and the4 walkers'ceartp polity htlOmWim. - I am as employer that Is providing workers'compensadan Insumncefor my employees Below is the palley and fob site information. �//rnn-,f Insurance Company.Name: !!2'll(e-L -f 2 S 6—c Policy#or Self-ins.Lie.#: 6 t)Iz, .�BA� 1 /��G, Expimtiou Date: Job Site Address: .�C(o &LWDAU— ST -:_City/State/Zip:4!&qa;�./qA 0 Imo( �Q Attach a copy of the workers'compensation policy declarsdon page(showing the policy number and expiration dam). Failure to secure coverage as required under Section 25A of NIGL c. 152 can lead to the imposition of ot•iminal penalties of a fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to 5250.00 a day against the violator_ Be advised that a copy of this statement may be forwarded to the Office of InveWigatiotu ofthe DIA.for insurance.coverago verification. f tc - I'do hereby cerdfy ander the palms and penalties ojperfaiytbattbe briformadom provided ebi we is true and correeL Sienature• / Date: 1,;--16 Phone.t`:. Official use early. Do not write in this area,to be completed by city or town official City or Town: PermitfUcense# Issuing Authority(circle one): t. Huard of Health 2.Building Department 3.Cityffown Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: q� osna CERTIFICATE OF LIABILITY INSURANCE DATE(MMNWno}sVYYV) THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(les) must be endorsed.. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER N Me^nt AllieAponas. TGA CROSS INSURANCE PHONE 791 914-1000 FAX Nu: ADDRESS, as ona across.COm 401 EDGEWATER PLACE STE 220 INSURERS AFFORDING COVERAGE NAICa WAKEFIELD MA 01880 IN URER A: TRAVELERS INDEMNITY CO OF AMERICA 25666 INSURED INSURER B: DOW ETHAN DBA ETHAN DOW GENERAL CONTRACTING INSURER C: INSURER D: 95 ROCKLAND STREET I INSURER E: _ SWAMPSCOTT MA 01907 _ INSURER F: COVERAGES .CERTIFICATE NUMBER: 54052 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPEOFINSURANCE DD U POLICY NUMBER M LIQrYYv P�CYEXP UNITS COMMERCIALGENERALLUIBILITY EACH OCCURRENCE $ DAMAGE CLAIMS-MADE F1 OCCUR PREMISES(Eaacwnnerm It MED EXP am person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER. GENERALAGGREGATE $ POLICY[::] PRO- JECT ❑LOC PRODUCTS-COMP/OP AGG ,$ OTHER: $ AUTOMOSILEUABILITY COMmINEDSINGL UMIT $ Ea e¢idaM ANY AUTO BODILY INJURY(Per Person) $ ALL OWNED SCHEDULED N/A BODILY INJURY(Petaccident) $� AUTOS AUTOSNON-OEO PRO E D E $ HIRED AUTOS AUTOS Accident 1 It UMBRELLAUAB OCCUR EACHOCCURRENCE It EXCESS UAB CLAIMS-MADE N/A AGGREGATE It DED I I RETENTION$ I $ WORKERS COMPENSATION xi PSER OT14 AND EMPLOYERS•LIABILITY ANYPROPRIETOR/PARTNER/EXECUTIVE — ,.,1 E.L EACH ACCIDENT $ 100,000 A OFFICERIMEMBEREXCLUDEO? WA WA WA 6HUS5B26419916 05/1aY2016 '05(}x12017 (Mandatory in NH) E.L.DISEASE-EAEMPLOYEE $l 1DD,000 Byes,desaiba under DESCRIPTION OF OPERATIONS ELOISEASE-POLICY LIMR $ 500,000 N/A DESCRIPnONOFOPERATIONSILOCATIONSIVEHICLES(ACORD7et,Addkimml Ream Sdmdale,mtWbeeltaUreDmweaPazelsreowrao' Workers'Compensation benefits wi0 be paid to Massachusetts employees only.Pursuant t0 Endorsement WC 20 03 OB B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts it the insured hires,or has hired those employees outside of Massachusetts: This certificate of insurance shows the policy in force an the date that this cartficate was issued(unless line moration date ort the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing Oce Prpof of Coverage'-Coverage Verification Search tool at www.mass.gov/IwdMrorkers-compen tionfmv Agahonsi. .. Sole proprietor has not elected coverage. CERTIFICATE HOLDER :CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN City of .ACCORDANCE WITH THE POLICY PROVISIONS. Salem AUTHORIZED REPRESENTATIVE Salem MA 01970 Daniel M_Cr y,CPCU,Vice President—Residual Market—WCRISMA ®1968-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD !� Massachusetts-Department of Public Safety Board of Building Regulations and Standards 7 'Construction Sunenicor License: CS-0896A4 ETUM E now 95 ROCKUM Si f 1 SW,ANYSCOr f r Expiration Commissioner 95/2912017 f t J. { �e arae(f/.no 'C.r�faarac�i�..ael!>t`^ { Office of ConsumerAffairs&an smess Regulation DUE IMPROVEMENT CONTRACTOR egtiatrabon nJ Z456 _ _ TYPe: t ! Exprration = 47 DBA ETHAN DOINGEN ' C'G-'ON ,G•^'fING '..� ETHAN DOW 95 ROCKLAND ST SWAMPSCOTT,MATO.190%rx '�— Undersecretary t I I vi ; ". MWERS t a uo 3 W saga , v $39798884 0 =29. 98 ,s set M i ti 49SR' ran K,t �' _ ��� sonasa zouawoz,iiri3o _ # +^fig t 5 J, +}{ qi 24 bw s . . aS. > ✓b. 'ftp ^a„ :,> ....;: w k �ws- '3i-. st 3 Initial Construction Control Document Iy To be submitted with the building permit application by a Registered Design Professional w ,�o for work per the 8°i edition of the � dd Massachusetts State Building Code, 780 CtYtR, Section 107 Project Title: �sE Date: Property Address: Z 3 -4,A�i Sr U 44eA-1 j _MA. Project: Check one or both as applicable: A New construction K Existing Construction Pr cct description: P ~/t-UC ,0 Qr 5raP4 (J/(-01^e4 t ,�( Ae� YtC• E/(t��J� MA Registration Number: V!5_ 64piration date G20/U, am a registered clt.rign prpfe sional, and I have prepared or directly supervised the preparation of all design ptdns, computations and specifications concerning: [ ) Architectural X Structural [ ) Mechanical [ ) Fire Protection f ) Electrical [ ) Other for the above named project and that to the best of my knowledge, information,,and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR),and accepted engineering practices for the proposed project. I understand and agree that I (or my designee)shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: I. Review,for conformance to this code and the design concept,shop draw ittgs,samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perforin the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its respon ' ing the pr visions of 780 CMR 107. SN f M1ss When required by the building official,I shall submit fi ress re Fite )together with pertinent comments, in a form acceptable to the building official g DEN aT 5 . STR Upon completion ofthe work, 1 shall submit to the bui 'ngoffilg6p @ a j n Control Dactiment'. Enter in the space to the right a"wet"or /ST electronic electronic signature and seal: SSiO Rhone number: 7gyfig "2`7-1 EnraiLy/�-��/N//J� <;0A4CQSSr�Q7'_ Building offleirtt Vw Only Building Osicial Mum: Permit No.: y, Date: L Version 06 It 2013 surLffR Date: 7/20/2016 Letter of Certification_16-013405-01 Tinte:09:58 AM Page: I of 2 L*ecof Certifiction�'= Contact:Dan R,; - Projece Duon'S Boat Smrage Name:leweu Construction Co..Inc. BuilderPO a: - - Address:68 Rie 27 Jobsite:23 Glendale St - City,Stare:Raymond. New Hampshire 03077 City,Stare:Salem, Massachusetts 01970 Country: United States County,Country: Essex. :United States - This is to certify that the above referenced project has been designed in accordance with the applicable portions of the Building Code specified below. All loading and building design criteria shown below have been specified by contract and applied In accordance with the building code.. Overall:Building Description Shape Overall Overall Floor Area Wall Area Roof Area Max.Ea Min.Eave Max.Roof Min.Roof Peak Width Lend (so.a. -(s .h. s .II,) Hei ht Fiei ht2 Pitch Pitch HeS t Dion Bast Storage 60M/0 80/0/0 4800 4357 4801 25/1/8 23/10/8 0.250:12 Existing Building-2(Existing) 32/0/0 46/0/0 1536 3/10 1717. 28/1/5 28/1/5. 6.000:12 6.000:12 3fJU5 Existing Building.]. Ezislin ) 32/OM 24N/0 768 2536 774 36/7/8 3fi/7B .1.400:12 1.500:12 381/18 Total For All Sha 7104 10003 7292 Loads and Codes-Shape:.Dion's Boat Storage City: Salem County:. Essex Stale: Massachusetts Country: United Sums Building Code:Massachusetts State Building Code(780 CMR),8th Edition Structural: 05AISC-ASD` Rainfall:I:5.00 inches per hour Based on Building Code:2010 Massachusetts State Building Code(Bib Ed.) Cold Form: 07AISI-ASD fc:3000.00 psi Concrete Building RisklOccuponcy Category:11(Standard Occupancy Structure) Dead and Collateral Loads Roof Live Load Collateral Gmvity:5.00 psf Roof Covering+Second.Dead Load:Varies- Roof Live Load:2D.00 psf Reducible Collateral Uplift: 0.00 psi Frame Weight(assumed for seismic):3.22 psf-USR Wind Load Snow Load - Selsmic Land Wind Speed: 105.00 mph Ground Snow Load:pg:50.00 psf Lateral Force Resisting Systems using Equivalent Force Procedure The'Eavelope Procedure'is Used Flat Roof Snow:pf:42.00 psf Mapped MCE Acceleration:Ss:31.00%g Wind Exposure:C-Kz:0.936 Design Snow(Sloped):ps:42.00 psf Mapped MCE Acceleration:S1:7.10'bg Pans Wind Exposure Factor.0.936 Rain Surcharge:0.00 Site Class:Stiff soll.(D) Wind Enclosure:Enclosed Exposure Factor:2 Partially Exposed-Ce: 1.00 Seismic lmponaace:le:1.000 Wind Importance Factor:Iw: 1.000 Snow Importance:Is: 1,000 System NOT detailed for Seismic .Topographic Factor.Kzl: 1.0000 : Thermal Factor.Unheated-Ci: 1.20 Design Acceleration Parameter:Sits:0.3207 - Ground/Roof Conversion:0.70 Design Acceleration Parameter:Sd l:0.1136 NOT Windborne Debris Region Obstructed or Not Slippery Selsmic Design Category:B Base Elevation:0/0/0 - Seismic Snow Load:8.40 psf Primary Zane Strip Width:2a: 18/4113 - %Snow Used in Seismic:20.00 Parts/Portions Zone Strip Width:a:9/2/6 - Fundamental Period Height Used:24/6/0 Basic Wind Pressure:q:22.46 psf Transverse Direction Parameters Ordinary Steel Moment Frames - Redundancy Factor:Rho: 1.00 Fundamental Period:To:0.3618 R-Factor:3.00 Overstrength Factor:Omega:2.50 Deflemion Amplification Factor:Cd:3.00 Base Shear: V:0.1047 x W Longitudinal Direction Parameters Ordinary Steel Concentric Braced Frames Redundancy Factor:Rho: 1.00 Fundamental Period:To:0.2202 R-Factor:3.00 Overstrength Factor:Omega:2.50 Deflection Amplification Factor.Cd:3.00 . Base Shear:V:0.1069 x W - File: 16-013405-01 Version: 2016.1 c BLIde,F Manufacturing,a division uf BlueScolw Buildings North America.Inc. aurcea - - Date: 7/20/2016 Letter of Certification-16-013405-01 Time:09:58 AM Page: 2 ol'2 Building design loads and governing building code is provided Dy the Builder and is nor validated by Buffer Manufacturing;a division of Bluescope - Buildings North America,Inc..The Builder is responsible for contacting the Iocal Building Official or project Design professional to obtain atI code and loading infarnution for this specific budding sits The design of this building is in accordance with Butler Manufacturing,a division of BlueScope Buildings North America-Inc.design practices which have been established based upon pertinent procedures and recommendations of the Standards listed in the Building Code or later editions. This certification DOES NOT apply to the design of the foundation or other on-site structures or components not supplied by Butler Manufacturing.adivision of BlwScope Buildings North America.Inc.,nor does it apply to unauthorized modifications in building components -Furthermore,it is understood that certification is based upon the premise that all components will be erected orconstructed in strict compliance with pertinent documents for this project. . Butler. Manufacturing,a division of BlueScope Buildings North America.Inc.DOES NOT provide general review of erection during or after building construction unless specifically agreed to in the contract documents. The undersigned engineer in responsible charge certifies that this building has been designed in accordance with the contract documents as indicated in this letter. 'Soyln lit ww►+✓ �x.��/6 . ry Date: Engineer's Seal Engineer in responsible charge _ OF "`W U c� File: 16,013405-01 Version: 2016.1 c Butler Manufacturing,it division of BlueScope Buildings.Ncirlh America. Inc. m n > ad ad 1 All i9p 0 i $ i� � N ti ia�A �� Ea gp4 i°11 N !i ill N - 4a �� i I- i �Id! �a, lei Y J N� 1 ImG2a ad ad ad STORAGE BUILDING m > FOUNDATION PLAN m ad � m COMM�M�� y = s113s� ALLAN W. DENNIS, P.E. D I O N S YACHT YARD JOB 082516 8WHEELER PLACE 23 GLENDALE ST. 1ATb8/25i16 MARBLEHEAD,MA.01945 allandennisgc mcast.net SALEM , M A. PAG K — 1 Tel.(781)718-2841 � I 1 1.1 2 4 6 6.9 7 =o o a� a� 0 o a 6' 19'-6' 20'-0' 20'-0' 19'-6' 6' ALL FOOTINGS ARE TYPE 1'-0' x 5'-0' TALL Fl l'-6' THICK X 4'-0' REINFORCm CONC WALL SQUARE (TYP) REFER TO SK-7 g SK-8 4'-0' BELOW GRADE FOR REBAR DETAILS A A 0 1 e BASE PLATE TYPE 3 BASE PLATE TYPE 3 BASE PLATE TYPE 1 ON PIER TYPE P2 ON PIER TYPE P2 ON PIER TYPE Pl AND FOOTING TYPE Fl AND FOOTING TYPE Fl AND FOOTING TYPE F1 - o (Q 1'-0'x1'-O' REINF 1'-0'x1'-0' REINF v , CONC TIE BEAM CONS TIE BEAM 1 -O 0 o STEP DOWN REINFORCED ' ' BELOW GRADE 1'-0' BELOW GRADE n N CONC WALL 1'-0' AT BASE PLATE TYPE 2 W ON PIER TYPE P2 J OVERHEAD DOOR OPENING AND FOOTING TYPE Fl Q B Q C l'-O'zi'-0' REINF CONC TIE BEAM 0 W FOR TIE BEAM REINFORCING 1'-O' BELOW GRADE Z Z J DETAILS SEE SK-9 (TYP) Q Q O zwBPETET2 BNIR P2 J 0 AND FOOTING TYPE F1 m Z O Q + 5'-0' TALL _ G FOR TIE BEAM REINFORCING 1'-0' z O I Q N V I REINFORCED CONC WAIL o DETAILS SEE SK-9 (TYP) N WL Q X oI 1'-0'x1'-0' REINF Q CONIC TIE BEAM Z LIJ 1'-O' BELOW GRADE tH OF Afq O 0 SsgCy ON%�TTE T P2 2 U)O O� ALJJIN W. N AND FOOTING TYPE Fl FOR GENERAL NOTES DENNIS SEEP DOWN REINFORCED SEE SK-11 ' p OONC WALL 1'-0' AT OVERHEAD DOOR OPENING '� 9 9 FC!$T 1'-0'x1'-0' REINF CONIC TIE BEAM 3 NA 1'-0' BELOW GRADE 0 0 I I h N O 1 0 N BASE PLATE TYPE 1 ON PIER TYPE Pl LiJ AND FOOTING TYPE Fl BASE PLATE TYPE 4 OL BASE PLATE TYPE 3 ON PIER TYPE P3 BASE PLATE TYPE 4 m N t'—O' x 5'-0' TALL ON PIER TYPE P2 AND FOOTING TYPE F7 ON PIER TYPE P4 REINFORCED CONIC WALL AND FOOTING TYPE F1 AND FOOTING TYPE F1 Z c Z a ^ 'oREFER TO SK-7 do SK-8 FOR REW g I BAR DETAILS p 0 C a E E x @ T J W m W J C Z = ¢ a m g `m J y Q cq tN Of in N I ALLAN W Ss9CyGf+ O O <� m 1 . 1Nm g^ A9O 9FGIs 8 A 4-3/4" DIA X 18" 24" 24" CONC OUTLINE LONG ANCHOR BOLTS fi 5" PROJECTION 7V/ A C BASE PL %" X 8" X 13" ' 5j" PIER TYPE (P2) 12" X 16" 4-3/4" DIA X 18" U) 0 LONG ANCHOR BOLTS CONC OUTLINE � 5" PROJECTION BASE PL 3t3" X 8" X 17" Q PIER TYPE (P1) 12" X 20" >- Un BASE PLATE TYPE 2 w PIER TYPE P2 = --1 BASE PLATE TYPE 1 SCALE: Y2" = 1 '-0" U < Q PIER TYPE P1 Q z SCALE: Y2" = 1 '-0" (n J 6.9 7 z Lj J BASE PL X 8" X 17" 0 Q PIER TYPE (P1) 12" X 20" 0 N m 4-3/4" DIA X 18 s" LONG ANCHOR BOLTS 5" PROJECTION O 5j" 4-3/4" DIA X 18" TLONG ANCHOR BOLTS 07T 5" PROJECTION 2 ^ ^ B D BASE PL %" X 8" X 13" CONC OUTLINE PIER TYPE (P2) 12" X 16" 1 . 1 5" 4" uj CONC OUTLINE a BASE PLATE TYPE 1 BASE PLATE TYPE 2 Z PIER TYPE P1 Z w a PIER TYPE P2 iz Z U < 0 wo 5 a o SCALE: Y2" _ - W 1 -0 SCALE: Y2" 1 '-0" 3 w J N Q � l I 04 N N � tH ovA*14ssq z o 00 w o`' uuw W. °yam o DENNIS U STRUC NM 2 (OPPO HAND) �9o�9Fcis 21" 21" CONC OUTLINE A 0 E (OPPO HAND) Ln (n 4-3/4" DIA X 18" Lv LONG ANCHOR BOLTS ~ J 5" PROJECTION 6.9 7 = PIER TYPE (P2) 12" X 16" u Q BASE PL 3/fi" X 8" X 13" Q z BASE PLATE TYPE 3 6" cn - PIER TYPE P2 z w SCALE: Y2" = 1 '-0" r� Q FF-- � N (n 4 6 2j" 24" E CONC OUTLINE Lo 4-3/4" DIA X 18" PIER TYPE (P4) 14" X 16" LONG ANCHOR BOLTS E 5" PROJECTION CONC OUTLINE BASE PL %" X 12" X 13" 4-3/4" DIA X 18" PIER TYPE (P3) 16" X 16° LONG ANCHOR BOLTS BASE PLATE TYPE 4 W 5" PROJECTION PIER TYPE P4 BASE PL X 12" X 13" SCALE: Y2" = 1 '-0» w g o E BASE PLATE TYPE 4 �_ o PIER TYPE P3 zW � W N SCALE: Y2" = 1 '-0" Z 3cm Q m � o I Locj N N 600 W 00 4'-0- � 5 - /5 TOP 8 BUT PIER TYPE (P1) 6 - VERT DOWELS /3 0 12" TIES I00 a I Q 4-3'4- DLA X 18" LONG AN(HOR BOLTS 5" PROJE MON. SEE V) BASE PLA DETAILS FOR LO ONS W J Q U Q Q FOOTING TYPE Ft 1'-6" THICK X 4'-0" SQUARE MP) LLI 4 PIER TYPE P1 -0" z w FOOTING TYPE F1 O r4,) Q SCALE: 3/4" = V-0" Q N u/ 5 - j5 TOP8 BOT PIER TYPE (P2) 6 - /5 VERT Ir DOWELS 43 ® 12" TIES _ ���,'(F1 OF 'SS I I ALLAN W. yG DENNIS m v STR 4-3'4 DLA X 18" No. " \ LONG ANCHOR BOLTS _^` V_0" 5" PROJE TION. SEE �90,�.9FG/STE FOSE PLAY DETAILS 2 1 FOR LouIONS y�\\ Ui FOOTING TYPE F1 1'-6" THICK a m X 4'-0" SQUARE (TYP) c Z U PIER TYPE P2 o a FOOTING TYPE F1 W J ~ W W J C SCALE: 3/4" = V-0" g a J Q L � N 5 - #5 TOP k DOT PIER TYPE (P3) 6 - #5 VERI DOWELS o 0 _ /3012' n I 4-3'4" DtA X 18" LONG AN(HOR BOLTS 5" PROD TION. SEE BASE PLA 7E DETAILS Q FpR L ONS V) W J FOOTING TYPE F7 1'-6" THICK ( � Q X 4'-0" SQUARE MP) Q (� S PIER TYPE P3 4'-0" w FOOTING TYPE F1 U w SCALE: 3j4" = V-0" Q _ 5 - 85 TOP & BUT © N PIER TYPE (P4) 6 _ #5 vm DOWELS $ /3 @ 12' TIES o +e E � 4 4-3'4" DIA X 18" LONG ANK NOR BOLTS SN OF 44 5" PROM ON. SEE BASE PLA t DETAILS tp ALLAN W.FOR Ld ONS ,� yG g DENNIS m STRU NO. g9oF9FGISTEP \� FOOTING TYPE FT 1 -6* THICK Sf T1 LL1 X 4`-0" SQUARE (TYP) 0. v J r_ C 4 PIER TYPE P4 /�rR z t LU a oE FOOTING TYPE F1 �' w F- J SCALE: 3j4 = 1'-0" zz a J ro d 5'-0- 4'-0- ' 0 '-0"4'-0"' • • 2°CLEAR 111 1 s° Cn zl —��� V-1 mo �IIII • • JL i #3 0 IVIES 'b v m 3" cLm �= c > D m r7 w ' U) " 3"CLEAR N C S S t7 S r— m 2'-6" oad CORN k 0 s z o Cyd 3 �G ALLAN W. DENNIS, P.E. D I 0 N S YACHT YARD JOB 082516 8 WHEELER PLACE 23 GLENDALE ST. 00E08/25/16MARBLEHEAD,MA.01945 allandennis@comcast.net SALEM , MA. PAS K - 7 Tet.(781)718-2841 co I 2-#5 SPLICE SEE PLAN FOR 2-i5 SPLICE N \ BARS AT PIERS PIER TYPE BARS AT PIERS 600 00 7-0' LONG 7'-0' LONG 2-15 NORIZ 2-/5 HORQ GRADE BARS CONT. OARS CONT. GRADE _ < _111I 1 I_I I I I III Q 1a< ® 4'oC0 2V D.C. 24' : I =1 11= III=1�1=1�►: d s < S-0" Z LAP SPUCE (TTP) 2BARS A PIERS - 7'-0' LONG SN OF.A4q I w iy$� ss9cti HORIZ Lo - 2-/5 SPLICE o ALLAN w. G O 2_#5 HORIZ BARS AT PIERS FOR FOOTING BARRS CONT DENNIS BARS CONT. Q -� STRUCTURAL 0 � � 7-0 LONG FOOTING TYPE F1 < � m , No. A e e e o a 9o�9FGISTEP IO L G LLJ 2-/5 SPLICE BARS AT PIERS g Q = Q O O O O 7'-0' LONG n� v u Q Q 2-#5 HORIZ 2-g5 SPLICE —III—III_ 2-#5 HORIZ 7 z BARS cow. y-0 AT Lowc� III—III—III BARS cm. � J _ TYPE FROST WALL ELEVATION o � z J SCALE: 3/4" = 1 '-0" i4» OP MID _EPIHAND C) N BOTTOM 6'-0' LONG `4 VERT BAR O 24' O.C. 2-g5 HORIZ BARS TOP MID-DEPTH AND O BOTTOM M #4 VERT BAR e 24' O.C. 2-J5 HORIZ BARS TOP MID-DEPTH AND Llj BOTTOM CL ui N 0 C m Z U 2 L Q Q U TYPE CORNER DETAIL w w � w SCALE: 3/4 = V-10" g J m Q c I N HCl 00 N ZO w OV/ ^ W 1 0 � a 2 A CONCRETE PIER o Q 04F Q �^ C I 1 '-0"x1 '-0" REINF 2—#5 HORIZ DOWELS L,J CONC TIE BEAM TOP & BOT = —� 1 '-0" BELOW GRADE U C Q 2—#5 HORIZ BARS Q z TOP & BOT Li TIE BEAM TO PIER DETAIL C/� (J( r^� SCALE: 3/8• = t'-0• z V LLJJ 1 � Q ON (n 2-#5 HORIZ BARS TOP & BOT 2--0- PROVIDE 3'-0" SPLICE 2—#5 HORIZ DOWELS 2—#5 HORIZ BARS AT MIDSPAN OF TOP & BOT TOP & BOT HORIZONTAL BARS C tN OF M9ss9 ALLAN w. �G� 2—#5 HORIZ DOWELS ui CONCRETE PIER TOP & BOT ,9oF9G T (JQ�`g � o c Y Z 1 '-0"x1 '-0" REINF w a6 o CONC TIE BEAM 3 w J W + F TIE BEAM TO BEAM DETAIL 1 '-0" BELOW GRADE z a acc mm o - m 18" r 2 ;u 13" 5" m 1 4" 00 D Co fTl :C7 D w fTl F— Jo ° � z A . ° °. ,1,2 v, co ° p ° I (A 'U, OX L7— v^ WW *Zx -11 Ln r ZR\ rLOED J ' r0D\ DCm 00D4+ DNZZ O DN (nco� (n -1D Dm nom@ �mAO C+ vmm� mRo Zr AL4 Mi MDm ADCO K m �m m m A co m m x COM1�v� o S S113S�a, ALLAN W. DENNIS, P.E. D I O N S YACHT YARD '0' '882516 8 WHEELER PLACE 23 GLENDALE ST. 'T88i25i16 MARBLEHEAD,MA.01945 PAGE allandennis@)comcast.net SALEM , M A. SK - 1 0 Tel.(781)718-2841 to General Notes- .r c 25.All framing shall be free from large knots, cracks or other structural defects. 1. All structural steel shall be ASTM A36. 26.Structural timbers, caps, stringers, bracing, WC 2. Structural tube steel sections shall be ASTM A500 Grade B. ' pressure treated southern yellow 9' blocking and decking shall be 3. Steel pipe shall be equivalent to ASTM A36 material. Y pine, No. 2 dense or better, surfaced to 4. All structural steel exposed to the weather shall be hot-dipped galvanized in nominal dimensions on the drawings. accordance with ASTM A153 or epoxy painted. 27.All hardware shall be ASTM A36, hot dipped galvanized in accordance with 5. Before welding to existing steel, clean and remove all dirt, grease, paint, etc. i ASTM A153. within a minimum of 1" each side of the weld, j 28.All roof sheathing shall be 4' x 8' sheets of 5/8"CDX plywood and shall be 6. Welding shall be in accordance with AWS D1.1 using E70XX electrodes. nailed with 8D common nails at 6" o,c. along all edges and 8"O.C. throughout 7. All welding shall be done by AWS certified welders. the remainder of the sheet. 8. Weld sizes not indicated shall be minimum size in accordance with AWS D1.1 29.In addition to code required nailing rafters in areas with cathedral ceilings U.O.S. or as required by design. shall be tied to structural ridge members with an LSU sloped hanger as 9. All bolts, anchor bolts, washers and nuts shall be ASTM A307, hot dipped manufactured by Simpson Strong-Tie Co. or an engineer approved equal. galvanized, unless otherwise noted. 30.in addition to code required nailing rafters shall be tied to the exterior wall 10.Drilled-in anchor bolts shall be Hilti HIT HY-150 adhesive anchors installed in double plates with Model H2.5 hurricane anchors as manufactured by GY accordance with manufacturer's instruction or an Engineer approved equal. Simpson Strong-Tie Co. or an engineer approved equal -.I- 11.Grout shall be Five Star by U.S. Grout Corp. or an engineer approved equal. 31.Micro-Lam beams, designated as LVL's on design drawings, shall be 2.0E ? ?- C!) 12.Concrete work shall conform to the latest edition of Building Code sections with an allowable bending stress of 3100 psi, as manufactured by W Requirements for Reinforced Concrete (ACI 318) and Specifications for the Boise Cascade Corp. or an Engineer approved equal = Buildings (ACI 301). 32.Micro-Lam beams shall be connected together as follows: 2 ply members- 3 13.Construction shall conform to the requirements of the latest Mass. State per row of Fastenmaster heavy duty wood screws at 16" o.c_ from each side. I ,) Q Building Code and all other applicable state and local code requirements. 3 ply members- 3 per row of 5" Fastenmaster heavy duty wood screws 16" .< 75 14.Specked ultimate compressive strength of concrete shall be a minimum of o.c. from each side. W 3000 psi at 28 days. Concrete shall have a slump of 4" a water cement ratio CJW of 0.50 and have 6% air entraining. Z 15.Reinforcing steel shall have a minimum yield strength of 60,000 psi S conforming to ASTM A615, Grade 60. <L 16.All existing dimensions, conditions and elevations shall be verified by the Q N (f contractor. 17.Contractor is responsible for temporary bracing and support during demolition j tint"OFArgss� and new framing erection. I NAM gw oyN 18.Bolts for structural steel connections shall be 314"diameter ASTM A325, with a minimum of 2 bolts per connection using standard holes. Unless otherwise S UCTU specified. No.mea 19.All steel connections and details shall be standard in accordance with the latest A.I.S.C. manual and specifications unless otherwise specified. r LE j')J 20.All exposed edges of concrete shall be chamfered 9/<". Y/ 21.Contractor shall field verify all dimensions and elevations prior to placing JJ concrete. j 22.The interface between hardened concrete and newly placed concrete shall be clean, free of laitance and intentionally roughened to a minimum 114" amplitude. I 23.All existing utilities in and around the building shall be located and marked prior to the start of construction. a 24.AII wood framing shall be 960 psi fiber strength in bending. s Z w Q Z g W ° m 2 w ¢ € J Q