112 LORING AVE - BUILDING INSPECTION (2) ,
` a The C'onunonwealth of Iviassachuscus
1 t Board of Building Regulations and Standards CITY
U l I Massachusetts State Building Code, 780 CMR, 7"edition O SALEM
Revised Jmmigv
Building Permit Application-ro Construct, Repair, Renovate Or Demolis
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Nu Date Applied:
LX 7 / 7
Signature: / az--�7/,��/
Building'G. missioned Inspector of Buildings Date
SECTION I:SITE INFORMATION
1.1 PropeAddress- / 1.2 Assessors Map& Parcel Numbers ��-
l l Ti ±�J A /f ),�LL�n ) t, �r// 92-
1.[a Is this an accepted street?yesJG no_ Map Number Parcel Number
1.3 Zoning Information: LJIPSo�VyD,Smenslons:
Zoning District Proposed Use Lot Area(sq 11) S> Frontage(11)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
( C) s 5
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? -
Public��Private❑ Pln Check if yesO Municipal site disposal system ❑
SECTION 2: PROPERTY OWNERSH Pt
2.1Ownert of Rec
1 12 2/ Lr9�6 r7G`�✓ltrn �✓�Ll� ��}z7>>
N• a(Pri y (,J 2•!i!L / AdAd r�essfor SService:
- 66 lob c 30�b
ignature 'telephone
SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(,) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
13r'ef Description of Proposed Workh,-:
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Ilcm Estimated Costs:
Official Use Only
(La or and Materials
I. Building S 1. Building Permit Fee: S Indicate how fie is determined:
?. Electrical
C3 Standard City/Town Application Fee
Sl7
❑Total Project Cost'(Item 6)s multiplier x
3. Plumbing S 1. Other Fees: S
4. Mechanical (IIVAC) $ List:
5. Mechanical (Fire S
Suppression) Total All Fees: S
Check No. Check Cash Amount:_
6.Total Project Cost: ❑ Paid in Full 0 Outstanding Balance Due:
50 0 �����
SECTION 5: CONSTRUCTION SERVICES ,
5.1 Licensed Cons ruction Supervisor(CSL) 1 o ;) o^7 O^'7 2 ?� 'Cf
G G / I
Y �C._ License Nwnlx:r ' l'ispinmtiu[n Umc ���7�
;u to ul 'til.-I Iu1J�� f� List C'tiL I'ypc(see below) (I-t'7°`'C�I� ,-/ —�j
:WJr / j�✓(t/ —/b,f I° Description
C� �' �L A �' UnresuictcJ u to 35.000 Cu. Ft.)
uN (/J.✓L R Restricted 1&2 FamilyDwellin
gnature MMason Unl
RC' Residential RootingCovering
'Icicphone i' WS Residential Window and Siding
�J 1%/ SF Residential Solid Fuel Burning Appliance Installation
l (/ U Residential Demolition
5.2 Registered Home Improvement Contractor(HIC)
I IIC Company Name or 1110 Registrant Name Registration Number
Address
Expiration Date
Signature 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...........0
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.
Signature of Owner Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
1, ,as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and
behalf.
Print Name
Signature of Owner or Authorized Agent Th-le
(Signed under the pains and penalties ofperjury)
NOTES:
I. 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(IIIc)Program), will not have access to the arbitration
program or guaranty fund under M.G.L.c. I42A.Other important information on the"IC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.116 and 110.115,respectively.
2. When substantial work is planned,provide the information below:
Total floors 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 healing system Number of decks/porches
Type of cooling system Enclosed Open
J. "Total Project Square Footage"may he substituted for"Total Project Cost"
12' 13/2010 21:57 9787449188 NOMTH.SHORE SURVEY PAGE 01
I
r
LOT 78
LOT 79
LOT 8023 N :4y'12"W
125.00' 1
5.0' -
i
°op PROPOSED y
I GARAGE n o
v1Di 40' 10.0' m
50' 'i 24.4 ,
--- -.LOT-$1 LOT B2
+ ' LOT 83
--'TRE=A=13,408t5.F. �-DWECLfNG
z6.1'
70.18': 1
,47.82 M 518�0't5"E
526'32!45 E —
LORING AVENUE
P.SH GF R14
c - w1iL \111
v SMITH- y No.350 PLOT PLAN OF LAND
112 LORING AVENUE
nit.aams SALEM, MA
I CER71FY THAT THE BUILDINGS PROPERTY OF
HEREON ARE LOCATED ON LORING AVENUE REALTY TRUST
THE GROUND AS SHOWN. SOALE 1" = 30' DECEMBER 13, 2010
13 Ib NORTH SHORE iSURVEY CORPORATION
A '-,REG. PROF. LAND SURVEYOR 44 LINDEN ST., SALEM, MA
j $24747
i
i
4-- InkCITY OF SALEM
. In PUBLIC PROPRERTY
'"
La DEPARTMENT
P
I vl::n:l'Y:)MI1A:1'11.
\L I14 - - M.WASHING IU.NSTUbT♦SAL ENI.M.tsy.st:llt&IIs0197^�
'1'1:1.:97&743-.15'$ • R%X.979.740.9X46
Yorkers' Compensation Insurance :UftduvjC Builders/Contractors/Electricians/Plumbers
-st 4licant Information r S Please P intNLegibly
MIMI! Bu+ilkcslOrsa//ni__ratinn/Indmduult �V L ` G, �/ L/ �fG �v�
,Address:
City,SLarc;%ip:lNl � J iur��I Thuneil: �7Bl 4,� �P5 13
,kre you an employer.Check the appropriate box Type of project(required):
. 1.❑ I.un a cmpluycr with 1 4. ❑ I:Lin a gcncral contractor and 1 6. New construction
cnt loyccs(full and/or part-tine).` have hired the sub-cuntractors
2 Int a sdlc proprietor or partner- listed on the attached sheet 7• ❑Remodeling'
ship and have no employees These sub-contractors have 9. ❑ Demolition
workin for, in an capacity. .workers'comp.insurance.'
!i Y9. � Building addition.
INo workers'culnp. insurance 5. ❑ We are a corpontion.and its
required.] ot)icershavc exciciscJ their 10.0 Electrical repairs or additions
3.❑ I mn a homeowner doing all work right of exemption per MOL. I I.❑ Plumbing repairs or additions
myself.(No workers'comp. C. 152,§1(4J,and we have no 12.0 Ro of repairs
insurance required.) t employees.(No workers'
cmnp. insurance required.] 13. terms/la/TC/�Y�
•Apy aignccaul that checks boa III must alae fill out the secliunbclour showing thaitwwkws'cumpunuuiwt Iwlicy infurnuliun
'I lumeuwnen whostdrmil this ofrldavil indicating Itury arc doing all work and duan hire outside epnrnators must suhmit a now affidavit indicating vetch.
•C,mmwnws thin chwk this box must anachod nn additional sheet showing the panto of this sub4ontraetors and their workers'tromp.policy infurmatiun.
/rue un eopluyer tout 7.r providing jyurkerx'rumprnsntlon Inxurnnce jar my eup/upeex. Below is rhe pulley and fob:site
i,rjurmurinm
Insurance Company Name: —,_--
policy 4 or Sulf--ins.Lie.III: - -_.. _,. Expiruilon Date: -
Job Site,Address: City/State/Zip:
Attach a copy of Ills workers'conpemation policy declarulion page(showing the policy number and expiration date).
hailurc w wcure covcrdjf as required under Section 25A Nil c. 152 can lead to the imposition of criminal penalties of a
tine tip to SI.500. 0 an rune-year imprisdnment,as wall.ax civil penulties in the form of a STOP WORK ORDER and a fine
,)FLIP ns 52510 da c ainst the violator. Ile advised shut a copy of this slutcmunt may be turwjrded to the Office of
Invcsugaunnp f the( A I'oninsurance covcrag;%crincatiun.
/do herob certify„ ler the pains and paw/ties ufperJnrythud the infurmu/Jon provide,uuveyif/ru car corret•R
St "it ..
'.7(//n) •�cl, l q C Uatc• [/J—`Qi GCJL�
OJJicial rise only. Do not ivrire in this urea,to be cowpleted by city of tmvaoJJiriuL
City or Town: Permit/License q,_.
- Issuing,tuthurily(circle one):
i. heard of lleallh 2. Building Department 3.cit)-am,it Clerk a. Electrical luslimor i. Plumbing Inspector
6.Olher
Clintact 1't'nun: I'honc d:
CITY OF SM.&M. NLASSSUHUSETI'S
BUILDLNG DEPARTMENT
130 W.uHvGTON STREET, Y*Rom
` TEL (978)745-9595. .
FAX(978) 740-9846
KiJtBERLEY DRLSCOLL
MAYOR T Ho.+as ST.PIURs
DIRECTOR OF PUBLIC PROPERTY/HCIIACVG COMMISSIONER
Construction Debris Disposal affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition.of the State Building Code, 780 CMR section l l 1.5
Debris,and the provisions of MGL c 40,S 54;
Building Permit ir: is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c
111,S 150A.
The d b r�/s will be transported/�y:
�
(name of hauler)
The debris will be disposed of in
(name of fac lity)
Vti
(add sof facility)
signature otpermit applicant
BeamChek v2008 licensed to:Poravas Design&Consulting Reg#7077-3259
112 Loring Ave, Salem Beam Over 14ft Garage Door
Date:2/16/11
Selection W 14x 22 36 ksi Wide Flange Steel Lateral Support: Lc
Conditions Actual Size is 5 z 13-3/4 in.
Min Bearing Length R1=2.0 in. R2=0.9 in. (1.0)DL Defl= 0.08 in Recom Camber-0.12 in
Data Beam Span 14.5 ft Reaction 1 LL 12468# Reaction 2 LL 8589#
Beam Wt per ft 22.0# Reaction 1 TL 16331 # Reaction 2 TL 11188#
Bm Wt Included 319# Maximum V 16331 #
Max Moment 51678'# Max V(Reduced) N/A
TL Max Defl L/240 TL Actual Defl L/503
LL Max Defl L/360 LL Actual Defl L/658
Attributes Section (W) Shear(in') TL Defl(in) LL Defl
Actual29.00 3.16 0.35 0.26
Critical 26.10 1.13 0.73 0.48
Status OK OK OK OK
Ratio 90% 36% 48% 55%
Fb(psi) Fv(psi) E(psi x mil)
Values Ref.Value Fy 36000 36000 29.0
Adjusted Values 23760 14400 29.0
Adiustments YP Factor, Lc 0.66 0.40
At Point Loads: Provide these minimum bearing lengths in inches or provide web stiffeners.
B=0.9
Loads Uniform LL:935 Uniform TL: 1190 =A
Point LL Point TL Distance
7500 B=9945 3.5
Uniform Load A
Pt loads:
0
R1 = 16331 R2= 11188
SPAN= 14.5 FT
Uniform and partial uniform loads are lbs per lineal ft.
BeamChek v2008 licensed to:Poravas Design &Consulting Reg#7077-3259
112 Loring Ave, Salem Main Beam(Typical of 3)
Date:2116/11
Selection W 14x 38 36 ksi Wide Flange Steel Lateral Support: Lc=7.1 ft max.
Conditions Actual Size is 6-3/4 x 14-1/8 in.
Min Bearing Length R1= 1.1 in. R2=1.1 in. (1.0)DL DO= 0.27 in Recom Camber=0.40 in
Data Beam Span 30.0 ft Reaction 1 LL 7500# Reaction 2 LL 7500#
Beam Wt per ft 38.0# Reaction 1 TL 9945# Reaction 2 TL 9945#
Bm Wt Included 1140# Maximum V 9945#
Max Moment 74588'# Max V(Reduced) N/A
TL Max Deb L/240 TL Actual Defl L/333
LL Max Deb L/360 LL Actual Defl L/442
Attributes Section(in 3) Shear(int) TL Deb(in) LL Dell
ActualF37.67
4.60 4.37 1.08 0.81
Critical 0.69 1.50 1.00
StatusOK OK OK OK
Ratio9% 16% 72% 81%
Fb(psi) Fv(psi) E (psi x mill
Values Ref.Value Fy 36000 36000 29.0
Adjusted Values 23760 14400 29.0
Adiustments YP Factor, Lc 0.66 0.40
Loads Uniform LL:500 Uniform TL: 625 =A
Uniform Load A
0
R1 =9945 R2=9945
SPAN=30 FT
Uniform and partial uniform loads are lbs per lineal ft.
BeamChek v2008 licensed to:Poravas Design &Consulting Reg#7077-3259
112 Loring Ave, Salem Beam Over 10ft Garage Doors
Date:2116/11
Selection (3)1-3/4x 11-114 2.0E Boise Versa-Lam 2800 Lu=11.0 Ft
Conditions NDS 2005
Min Bearing Area R1=8.8 int R2=8.8 in' (1.5)DL Defl= 0.11 in
Data Beam Span 11.0 ft Reaction 1 LL 5143# Reaction 2 LL 5143#
Beam Wt per ft 15.18# Reaction 1 TL 6628# Reaction 2 TL 6628#
Bm Wt Included 167# Maximum V 6628#
Max Moment 18228 W Max V(Reduced) N/A
TL Max Defl L/240 TL Actual Defl L/373
LL Max Deo L/360 LL Actual Defl L/535
Attributes Section(in3) Shear(in') TL Deft(in) LL Defl
Actual 110.74 59.06 0.35 0.25
Critical 71.94 34.89 0.55 0.37
Status OK OK OK OK
Ratio 65% 59% 64% 67%
Fb(psi) Fv(psi) E(psi x mil) Fc-1(psi)
Values Reference Values 3100 285 2.0 750
Adjusted Values 3041 285 2.0 750
Adjustments CF Size Factor 1.007
Cd Duration 1.00 1.00
Cr Repetitive 1.00
Ch Shear Stress N/A
Cm Wet Use 1.00 1.00 1.00 1.00
Cl Stability 0.9738 Rb=10.08 Le=20.74 Ft
Loads Uniform LL:935 Uniform TL: 1190 =A
Uniform Load A
R1 =6628 R2=6628
SPAN= 11 FT
Uniform and partial uniform loads are lbs per lineal ft.