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23 PARLEE ST - BUILDING INSPECTION z File Commonwealth of Massachusetts CITY Board of Building Regulations and Standards OF SALEM Massachusetts State Building Code, 730 CMR, 7"edition Reused Autuurt' 'My /, :IllLY Building Permit Application'fu Construct, Repair, Renovate Or Demolish a One-or Tu•o-Farnily Dwelling This Section For Official Use On Building Permit Number: Date Applied• Signature: Building Commissioner/Inspector ofBuildin Date r SECTION 1: INFORMATION 1.1 Property Address; part t 2 1.2 Assessors Map 8t Parcel Numbers 1.1 a Is this an accepted street?yes Z-_�_ no_ Map Number Parcel No nbcr 1.3 Zoning Information: 1.4 Property Dimensions: Z_ fgAlr'L� Zoning District Proposed Use Lut Area(sq 11) Frontage(11) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Require) Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage bposal System: Zone: _ Outside Flood Zone? Municipal Of n site disposal system ❑ Public Q Private 13Check if yesO SECTION 2: PROPERTY OWNERSHIP' 2.1 Owners of Record: 7 /—Gcl,rq/A/iu Lahti G// 3 /G/"'`PP S Name IPrin--7Address for Service: -7 �y k Signature Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) NewConstruction Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg.❑ Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work=: C rJ fruc4- W&ui E'/'a/IV -e— SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Omclal Use Only Item (Labor and Materials 1. Building S I. Building Permit Fee:S Indicate how tee is Determined: ❑Standard City/Town Application Fee 2. Electrical S ❑Total Project Cost'(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S V C 4. Mechanical (II A ) S List: , Mechanical (Fire S Total All Fees:S Suppression) Check No._Check Amount: Cash Amount:- 6.Total Project Cost: S l Z ❑ paid in Fall ❑Outstanding Balance Due: (@ �� 3) a r. r SECTION 5: CONSTRUCTION SERVICES 5,1 Licensed Construction Supervisor(CSL) / AA cs ca 7s� License Number I:xpimti Nane ol'('St.•I lolder C e_ 5'r List CSL I)pe(see below) :\JJr• s !c/ v f� Desai lion Il l InrestricteJ(up W 35A00 Cu. Ft. . ignature R Restricted 18:2 Family Ihvcitin M Nlasonry Only 6 6 RC Residential Routing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation 1) 1 Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) I IIC Company Name or IIIC Registrant Name Registration Number Address Expiration Date Signature 'relephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 2506)) 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 WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1• 1C--L u (,7(;d ZO as Owner of the subject property hereby authorize e T iG to act on my behalf,in all matters relative to work authorized by this building permit application. .Signature of Owner Date -- SECTION 7b:OWNERI OR AUTHORIZED AGENT DECLARATION j� I, 'if a n/o;,t t0g-4 1' I ( .4— � ,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. to y- fhI Prinl Na Signature of Owner or Authorized Agent Date (Signed under the pains and penalties of periuryi NOTES: I. An Owner who obtains a building permit to do hisiher own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will no have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I I0.R6 and 110.115.respectively. ?. When substantial work is planned,provide the information below: Total flours 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 half7baihs Type oI'healing system Number of Jocks/porches Type of cooling system . Open 3. "Total Project Square Footage"may he substituted for-Total Project Cost•' i ,-n7-- CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT .tsn:�■:rr:,nfua n l slsstat WnsroNsi ora Sixt:kT' * 3-,u L'.r/,MsN.Snctlt at f ts0197� 778-713-9343 • 1:%X, 4711-71C?9816 Workers' Compensation Insurance :untiavit: Builders/Contracturs/Electricians/Ptumbers konlicant Infimnrtion Please Print Legibly N iTITIC Illucnw.vt)rgamratinN/l-ndtr�duull: _ /y / �-�} 11� f Address: S-V ( �e c-a-h 5 .- Cify,Stalc;%ip: L- Vhh Phone i): 'V)`— ScJ— tvez � :1rc you art employer?Check the appropriate box: F e of jest(required): I.Q 1 :un a empluyur with _ 4. ❑ 1 am a general contractor and I 'uw'construction cmpluyccs(full and/or part-tine).• have hired the sub-contractors 2.Q 1 ant a sole prnpricux or partner- listed on the attached sheet. : Q Remodeling ship and have no cmpluyccs These subcontractors have Q Demolitionworking for me in any capacity. workers' comp. insurance Q building addition 1 No workers'comp. insurance 5. Q We are u corporation and its required.) officers have exercised their 10.Q Electrical repairs or additions 3.Q I ant a hoincowncr doing all work right of exemption per 1401. 11.0 Plumbing repairs or additinru myself.(Ko workers'comp. c. 152,§1(4),and we have no 12.Q Rtwf n:pairs insurance required.) t cmpluyccs. (Ko workers' comp. insurance required.) 13.Q Uglier '\ny applicu,a oral chucks but ill must alio till WI the 4QWu below dwwing limit worktls'cumpunuaiwt Policy infiumatium 'f lummiwtnn who Submit this afridavit indicting they are doing all work and then him outside cmurmors must.uhmil a new afndavir indiculing much. 4'nntracaur that check chis box mug atwhcd an addiliurul mlkxl rhuwiny rhe natw of rho suis conuacim and their ourkurs'comp.pdicy information. /um wr¢u+pfuyrr tbul&pruri✓ing trurkrrs'cmnpr+trntion iuturnncr jar ray rmpluyrrr. Below is the policy un✓job site injarnruriun. Insurance Company Name:i i <•<A 40e �%VS Volicy At or Sclf-ins. Lic.d: yy//� 1Z 32 t� t-O, 1 Expiration Date: c-- /.w 11 Job Site Address: //2yy-3 ? /�/1 L City Stnteizip: CJ /Q�?a Attach n copy of lite workers'compensation policy declaration page(showing the policy number and expiratiun date). Failure to secure coverage as required under Section 25A ut'.%IGL c. 152 can lead to the imposition of criminal penalties of a line up to*3 if and/or one-year imprisumncnt,a.r w'cll as civil penalties in the Turin of a STOP WORK ORDER and a fine of tip to i250.00 it Jay against the violator. Ile advised thut a copy of this sfutcmcnt may be furwardcd to the Office of 111%' Migatrrttts til the DIA lbr In Sttratice covcrage 1ei'if talion. /to hereby crrlijy,,,,ter/dfi puin.x and pan/a//Iy�•,•,��ujperjury that I/rr iujunnullon provided above is trite and correct. U/jfciul us'e only. Do"at'write in this area.tube completed by city or town o/jiciuL 71mpector(.itv orTown: Permit/f.tcenmeIssuingAulhorily(circle one): I. IL,ard of Ilrahh 2. Buddioq Ikpartotcnl .1CirriTown Clerk 4. Electrical fospeet 6. 01her G.oiacll'crsua: _ -. I'hunetY• and Instructions Information _ � %I:hssacllusctts Gcneral Laws chapter 152 requires all employers to provide workers' compensation for their eniployce3. Porsuain to olis statute,an empluree is defined as"...every person in the service of another under any contract of hire,+ capress qr implied,oral or written." - An empfuper is defined as"an individual,partnership,association,corporation or other legal cntiry,or any two or more of the Ibregoing engaged in a Joint enterprise,and including the legal representatives of a deceased employer,or the fecenver or trustee of in 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 an the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL 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,bIGL chapter 153, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the perfornwnce of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants please rill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)namc(s),addresses)and phone number(s)along with their certificatc(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(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 dale the affidavit. The affidavit should he renuned to the city or town that the application for the permit or license is being requested,not the Ih;partment 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 thea roriatc line. 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 till in the permitflicense nunnber which will be used as a reference number. In addition,an applicant that must submit multiple penmidlicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"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 tilled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.c. it dug license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. I he ()I lice lit investigations would line to thank you in advance fur your cooperation and should you have:my questions, pleuse du not hesitate to give us a call. The Dcparunent's address, telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Oflfee of Investigations 600 Washington Street Boston, MA 02111 Tel. N 617-727.4900 ext 406 or 1-877-MASSAFE Fax if 617-727-7749 i,,;d 5.'6-05 www.mass.gov/iiia .. _ _ i Generated by REScheck-Web Software Compliance Certificate Energy Code: 2009 IECC Location: Salem,Massachusetts Construction Type: Single Family Building Orientation: Bldg.faces 315 deg.from North Conditioned Floor Area: 1890 ft2 Glazing Area Percentage: 10% Heating Degree Days: 6268 Climate Zone: 5 Construction Site: Owner/Agent Designer/Contractor: -)3 P4r�L e ST �ru�k Compliance:Passes using performance alternative Compliance:0.1%Better Than Code Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or Door Perimeter U-Factor Ceiling:Flat or Scissor Truss 1008 30.0 0.0 35 Wail:Wood Frame,16in.o.c. 448 19.0 0.0 22 Orientation:Front Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Front Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Front Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Front Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Front Window:Vinyl Frame,2 Pane w/Low-E 6 0.300 2 SHGC:0.30 Orientation:Front Door:Solid 20 0.190 4 Orientation:Front Wall:Wood Frame,16m.o.c. 576 19.0 0.0 33 Orientation:Right Side Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Right Side -. Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Right Side Window:Vinyl Frame,2 Pane w/Low-E 6 0.300 2 SHGC:0.30 Orientation:Right Side Wall:Wood Frame,16in.o.c. 448 19.0 0.0 23 Orientation:Back Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Back Window:Vinyl Frame,2 Pane wl Low-E 12 0.300 4 SHGC:0.30 Project Tifle: Report date: 02/17111 Data filename: Page 1 of 6 r Orientation:Baric Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Back Window:Vinyl Frame,2 Pane w/Low-E 6 0.300 2 SHGC:0.30 Orientation:Back Door:Glass 28 0.300 8 SHGC:0.28 Orientation:Back Wall:Wood Frame,16in.o.c. 576 19.0 0.0 32 Orientation:Left Side Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Left Side Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Left Side Window:Vinyl Frame,2 Pane w/Low-E 12 0.300 4 SHGC:0.30 Orientation:Left Side Window:Vinyl Frame,2 Pane wl Low-E 6 0.300 2 SHGC:0.30 Orientation:Left Side Floor:All-Wood Joist/Truss Over Uncond.Space 288 19.0 0.0 14 Furnace:Forced Hot Air 93 AFUE Air Conditioner:Electric Central Air 13 SEER 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 2009 IECC requirements in REScheck-Web and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Dale Project Notes: Salem,Fades St Project Title: Report date: 02/17/11 Data filename: Page 2 of 6 2009 1ECC Energy ~ Efficiency Certificate Insulation Rating R-Value Ceiling I Roof 30.00 Wall 19.00 Floor/Foundation 19.00 Ductwork(unconditioned spaces): Glass& Door Rating U-Factor SHGC Window 0.30 0.30 Door 0.30 0.28 Heating &Cooling Equipment Efficiency Forced Not Air Furnace 93 AFUE Electric Central Air Conditioner 13 SEER Water Heater: Name: Date: Comments: I] Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. O • For systems serving multiple dwelling units documentation has been submitted demonstrating compliancewith 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: Circulating service hot water pipes are insulated to R-2. ❑ Circulating service hot water systems include an automatic or accessible manual switch to tum off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: I] Heated swimming pools have an on/off heater switch. O Pool heaters operating on natural gas or LPG have an electronic pilot light. F-I Timer switches on pool heaters and pumps are present. Exceptions Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Other Requirements: Snow-and ice-meging systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy mquirement'c'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window 1-1-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 02/17/11 Data filename: Page 6 of 6 f W Make and Model Number: Air Leakage: O Joints(including dm joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are seated with caulk,Basketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. Lj Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/doorjambs and framing. Lj Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. F1 Wood-burning fireplaces have gasketed doors and outdoor combustion air. Air Sealing and Insulation: Ej Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 33.5 psf OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Calling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Balt insulation is cul to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. (f) Comers,headers,narrow framing cavities,and rim joists are insulated. (g)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Materials Identification and Installation: Ej Materials and equipment are installed in accordance with the manufacturer's installation instructions. ci Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Ll Materials and equipment are identified so that compliance can be determined. O Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. U Insulation R-values,glazing 1.1-factors,and heating equipment efficiency are dearly marked on the building plans or specifications. Duct Insulation: All ducts not completely inside the building envelope are insulated to at least R-6. Duct Construction and Testing: Cj Building framing cavities are not used as supply ducts. Lj All joints and seams of air ducts,air handlers,fitter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Lj Duct tightness test has been performed and meets one of the following test criteria: (1)Postoonstruction leakage to outdoors test:Less than or equal to 151.2 cfm(8 cfm per 100 11:2 of conditioned floor area). (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 226.8 cfm(12 cfm per 100 112 of conditioned floor area)pressure differential of 0.1 inches w.g. (3)Rough-in total leakage test with air handler Installed:Less than or equal to 113.4 cfm(6 cfm per 100 11:2 of conditioned floor area) when tested at a pressure differential of 0.1 inches w.g. (4)Rough-In total leakage test without air handler installed:Less than or equal to 75.6 cfm(4 cfm per 100 112 of conditioned floor area). Temperature Controls: ❑ At least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heating and Cooling Equipment Sizing: Project Title: Report date: 02/17/11 Data filename: Page 5 of 6 ❑ Window:Vinyl Frame,2 Pane w/Low-E,1.1-factor:0.300 For windows without labeled 1.1-factors,describe features: #Panes_Frame Type Thermal Break? Yes_No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled 1.1-factors,describe features: #Panes_Frame Type Thermal Break?_Yes_No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled 1.1-factors,describe features: #Panes—Frame Type Thermal Break?_Yes—No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,1.1-factor!0.300 For windows without labeled 1.1-factors,describe features: #Panes—Frame Type Thermal Break?_Yes No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,1.1-factor:0.300 For windows without labeled 1.1-factors,describe features: #Panes Frame Type Thermal Break?—Yes—No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,1.1-factor.0.300 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break? Yes—No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?_Yes—No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,1.1-factor:0.300 For windows without labeled 1.1-factors,describe features: #Panes—Frame Type Thermal Break?—YesNo Comments: Doors: ❑ Door:Solid,U-factor:0.190 Comments: ❑ Door:Glass,1.1-factor:0.300 Comments: Floors: ❑ Floor:All-Wood Joist/Truss Over Uncond.Space,R-19.0 cavity Insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfioor decking. Heating and Cooling Equipment: ❑ Furnace:Forced Hot Air:93 AFUE or higher Make and Model Number: ❑ Air Conditioner:Electric Central Air:13 SEER or higher Project Title: Report date: 02/17/11 Data filename: Page 4 of 6 il� Generated by REScheck-Web Software Inspection Checklist Ceilings: ❑ Ceiling:Flat or Scissor Truss,R-30.0 cavity insulation Comments: Above-Grade Walls: Cl Wall:Wood Frame,16in.o.c.,R-19.0 cavity insulation Comments: ❑ Wall:Wood Frame,16m.o.c.,R-19.0 cavity insulation Comments: ❑ Wall:Wood Frame,161n.o.c.,R-19.0 cavity insulation Comments: ❑ Wall:Wood Frame, 161n.o.c.,R-19.0 cavity insulation Comments: Windows: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled 1.1-factors,describe features: #Panes—Frame Type Thermal Break?_Yes_No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,1.1-factor:0.300 For windows without labeled 1.1-factors,describe features: #Panes—Frame Type Thermal Break?—Yes—No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break?_Yes_No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,1.1-factor.0.300 For windows without labeled 1.1-factors,describe features: #Panes—Frame Type Thermal Break?_Yes No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes—Frame Type Thermal Break? Yes No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,U-factor:0.300 For windows without labeled 1.1-factors,describe features: #Panes Frame Type Thermal Break? Yes—No Comments: ❑ Window:Vinyl Frame,2 Pane w/Low-E,1.1-factor.0.300 For windows without labeled 1.1-factors,describe features: #Panes—Frame Type - Thermal Break?—Yes—No Comments: Project Title: Report date: 02/17/11 Data filename: Page 3 of 6 �C(PCel : CITY OF SALEM ROUTING SLIP New Construction Certificate of Occupancy LOCATIONq3 afle St DATE till ASSESSORS DATE /- ) S -ot 93 Washingtot. CITY CLERK 111ago DATE 93 Washington St pPw Se" PUBLIC SERVICES DATE (( q1b 61% S,10 120 Washington St. 1 WATER DATE 2 7 (l 5• qW, 120 Washington St. 'f � ► ♦ i CROSS CONNECTION *'�� I�UA'I E 5 Jefferson Ave PLANNING_kIkA-w ' :ATEfly 5::J/l 120 Washington St. CONSERVATIONDATE 120 Washington SL . �z{ — S�� ELECTRICAL DATE 48 Lafayette FIRE PRE NTIO DATE .2a 29 Fort Aven- e o HEALTH t _DATE 120 Washington St. / BUILDING INSPECTOR ATE I� 120 Washington St. N Is +1 } o Woo r cl _ - f M 41�L 11O- LL! GGGT�� _ E� � � �U lu U �•, /ll '`W F4� f� Y� WOO<1 ql r L. IIII 4 a•i 1I �RY{YJk � A1JZ � Ll6 i I f l As- 11 P-.--0 �- 61 S-t'Rg6f" SCALE:% \\ \=+Q„ APPROVED BY �t DRAWN BY4t W . DATE: ' 1I ZG I .. '7 E DRAWING NUMBER _.,� CMRRE TE PRO-FORM 92OPF PRUMMON 9WH CN RPRINT VELLUM 28- 1 5'3 815'3 - 12'9 _ - 3757 3757 3048 M BATH - MASTER BEDROOM- - 0 j wic .9110 -- - P. co UP G/Q O m Om o 3757 BEDROOM BEDROOM m 3757 BATH O /' 3757 2436 0 3757 i k 84 ———- 3' 2'4—°k—3'B—�—2'4— 8'4—� I` 11'4 e' I ,o'e-----,� 2 ND FLOOR PLAN 28' i 72 13' 3' 5110- --6'2 56-=k 76 -------------- 3757 6068 , KITCHEN 3757 C284 N DINNING ROOMlr7F] 0 , a o uP — _ - _ 3757zo 3757 - - -- - -UP- -- - - O v C 2436 LIVING ROOM OD O � p FOYLERrl / 8048 -� 8'9 j 5'3 1 ' ST FLOOR PLAN 3'4 2'4 2'11 T =� 9'1 3'4- = 87 16'1 F 28. / s T q txn� Y L= - - - - - - - - - - -- 10"FOUNDATION WALLS 300FOOTINGS�I ' s 30"X 30" X 12" I N - I FOOTINGS_ - — - - I (4),2 X.10 BEAM -7-7 - - - R-21 - L. R 30 CEILINGS -- - - 5/8" BLUEBOARD& PLASTER WALLS &CEILING UP Zo � . zo -- -- - UP C d __ _ - _ -4"UP _ R 30 CEILINGS 1. I GARAGE j E R-21 R 30 CEILINGS m 2 X 6 WALLS - 16" O.C. 19'-0"X T-0" INSULATED DOO - - - - - - - FOUNDATION PLAN T10 8*2 12 16 28' Ur S %Tv @3. o Z ,OC - _ r +fit ►-+5�..�.ed - - - 2e;-- D 1 M QC ZR IG .SPAN 14�.6" �!►c" ase 3/4\ -t 4 C, - It-36 Vr dotto - t ubC 2�ID V{,At iVN _ Itev V � � PlowbC I- �q►aZ, llG 't Qi SCALE: •{ -p9 APPROVED BY - DRAWN BY w 1 DATE: S to DRAWING .NUMBER -:4ARRSTrE PROP RM YIYPP PI ON 9pN aMPRiNT 9FI M ZONE: R1 56'9 N/F N/F PROPOSED LOT COVERAGE 16.5% PETER & NICHOLAS ALANZAS CHARLOTTE BEATON PARCEL ID 14-0060-0 PARCEL ID 14-0061 -0 CON' '1/.0 28 - � rffF - L. C. ` RALPM MA Rao LOT 98H a -" No. 29422 - 0. 140 ACRESf `E ° { ASSESSED m 11+ N/F STEPHEN & RAINE MEDICO - PARCEL- ID -14-0052-0 -- ---- a i_ - - - GRAPHIC .SCALE / 40 so RONALD DROUIN JR. ¢ U- - o o ° �� w- PARCEL ID 14-0050-0 a z p -1 ( IN FEET ) PROPOSED 1 inch = 20 ft M FouNDATION SALEM , MASSACHUSETTS PLAN " OF LAND PREPARED FOR: 28' " FRANK LAN Z I LLO N1 �N 23 PARLEE STREET 50.00' PARCEL ID 14-00051 -0 REID LAND SURVEYORS EET R YNN,CMASSACHusHATHAM REITs L RECORD OWNER: PARLEE STREET CASSANDRA C. GEORGILAKIS PHONE #781 -592-2660 CERT: 79937 F/K/A MIDDLE STREET R10-091 g L.C.C. 856L SHEET 1 LTS/RWR DATE: JANUARY 3, 2011 SCALE: 1 "=20' i - z � � z T} _ NsrtcTo.q o! ET Fl Po ji l:l — 1 ��}} er W LYI SOJ 41 - R1.:+1 �Pay'' }•, w O ii�I alp cd �.. „3 r w. I I II I - i L 23 ' A R I K E 5-rRIM-t SII I I - SCALE: \1+Q A APPROVED BY DRAWN BY V�j 4e I I I DATE: i I I T - DRAWING NUMBER ti,� CHARRETTE PR040RM"OPP PR*aW ON 8MH CHARPRINT VELLUM - 29 i ,r s Ii - - - - - - - - - - - - - - - - - - - - -I I - 10"FOUNDATION WALLS I I I - " 30FOOTINGS - r 30"X 30" X 12" I I N _FOOTINGS /(4).2 X.10 BEAM I- i R 30 CEILINGS - -- R- 21 - I i - 5/8" BLUEBOARD & PLASTER WALLS & CEILING UP R 30 CEILINGS I I I GARAGE j I I N I I N I I N I R 30 CEILINGS -R-21 1 I I I I 2 X 6 WALLS - 16"O.C. I9'-0"X T-0" INSULATED DOO - - - - - - - FOUNDATION PLAN - - I T10 8'2 1r -�I ,6' 28' .l 13' g• 5110 + 6'2�66 T6 j 3757 6068 + n KITCHEN qw 3757 DINNING C284 N ROOM 0 ° 01 uP cn - -- ---- 375 -- - 3757 - - - - 7 2436 LIVING ROOM N bo 90 i (V FOYLER i819 8048 X5'3 T ST FLOOR PLAN 34 24 2'11 r 911 3'4 87 161 _I �T� {� 28' • ti - 28• _. 15'3 129 3•---t-- 97 2.8 6'8 -�- 6'1 j 3757 3757 3048 M BATH MASTER BEDROOM 0 WIC - - - - -- ------- 9110 _ m -- UP UP C�Q O e 3757 BEDROOM BEDROOM 3757 BATH jco 3757 24363757 ' j Imo--8'4 k 3' 2.4 3.8 Z4 'I 8'4 j ! ++'4 I. s 1 O 2 ND FLOOR PLAN F 28• 3: _ r Ur S ,ti E3. 44 2 SOC" � Ha4�ptir5 v - QO- L� #,1\1/g LVL - -- ,- .SPAN 141•b" z:�� l+t" as8 - ----- -- -� -� •R-3e to - t SOC.. 2N C41244 3) 24to -Uo WO n►AICA ! i A I ! ' IANa11C I- ANZ� I�G SCALE: I 1.V -010 APPROVED BY DRAWN SY w s _ _ • DRAWING NUMBER ::fARRErrE PRO• RM"OPP P1m11®am 9mN CNMPMINT vgm uM ZONE: R1 66.9 N/F N/F PROPOSED LOT COVERAGE 16.5% PETER & NICHOLAS ALANZAS CHARLOTTE BEATON PARCEL ID 14-0060-0 PARCEL ID 14-0061-0 PN 2g 11 z - pCON,P 2 ,4 ��io�2g OF if.4 - - --- - - -- - I o - I L. C. ,m � ROD y LOT 98H No. 29422 Q. -- 140 ACRES± '`E ° D I ASSESSED o^i Il r�i N/F I STEPHEN & RAINE MEDICO PARCEL- ID 14-0052-0-- GRAPHIC SCALE N N/F o I U 1* r� 20 0 10 20- 40 80 RONALD DROUIN JR. a - o 01 — 1 PARCEL ID 14-0050-0 � �� a Z m a 1 inch = 20 tt PROPOSED M FOUNDATION SALEM , MASSACHUSETTS PLAN OF LAND PREPARED FOR: 28 " FRANK LANZILLO Ni IN 23 PARLEE STREET i 50.00, I PARCEL_ ID 14-00051 -0 REID LAND SURVEYORS is i 365 CHATHAM STREET — L/ . RECORD OWNER: P A R LE E STREET LYNN, MASSACHUSETTS ` J CASSANDRA C. GEORGILAKIS PHONE #781 -592e=2660'___ e CERT: 79937 F/K/A MIDDLE STREET R10-091 g L.C.C. 856L SHEET 1 LTS/RWR DATE: JANUARY 3, 2011 SCALE: 1="=2D' / r _ 6 �e riT f 1pa ee° FILTER FABRIC RAR 14ON OR FINISH GRADE CUAL) ALL AROUND N/F 0"4 STANDARD 4 _. PETER L. & INFILTRATOR CHAMBER , CHARLOTTE A.. BEATON �\ (34-.48-) poo "000 0 ' oDo end COMPACTED FILL CERT. 677066 W-IW CR091m 8rt ds s8P°a• ; 8>' $ME PARCEL, ID a a' ELECTRIC BOX 14_00(61 / . �(Hwmie N/F -- a 2' ° �p NIETCFROM GRAIN IRON ROD / NICHOLAS ATLANTZAS "• RooFtcADaT ALARM TO A / SOUND INSIDE POWER do ALARM - �� 2g' / ' CERT. 49849 m ' o�•d>>,T;d••,T°?td•"e°7••8! aAMBERS ', DWELLING LEADS 1/ i�Bs�, / PARCEL ID , wASNEDCRusNm / STONE ALL AROUND IRr(,j Ror, 140060 CHAMBERS i / \ VENT 9 WATERTIGHT LID N, //[[ ,/[, R(.// \--`�—_ ED i`0 I 9V I \ 4- ADS DRAIN(FLET z s• f //� / / SUBSURFACE INFILTRATOR SYSTEM FOR $FROM � / 61100± /,5F / / ROOF RUNOFF (TO ACCOMMODATE HALF / OF ROOF AREA) ROOF RUNOFfF INFILTRATIOSECTION S STEM N/F ,� i ; E ACCESSWAY RONALD J. DROUIN, JR. secnoN 1}" SCH40 PVC CERT. 76960 ��' N/F NOT TO BcuE INV.-1101.0 I FORCE MAIN PARCEL ID ! / /j" i , STEPHEN G. & (MAX.) INV.-97,01 + 14_0050 RAINA C. MEDICO CERT. 76898 PARCEL ID CONC. ANCHOR " ! •� i°� / /� 14_0052 B_D• SEMI—POSITIVE PER MANUFAC. SPEC N�`�, „'� �` et' (MAX .y , •. ... DISPLACEMENT ' .,r�. • - IF REQUIRED /� ^° `N ,' , .�^ ••• ) TYPE PUMP UNIT ' /'�'?'- i PROPOSED ,- ' / pNO BUF R /DWELLING ' � A BLDG. SEWER THP MOTOR ' % /¢ / SO - 4" SCH40 PVC .H. . . - - - Q2Y. MIN. (Bgpm0138T.D / E—ONE GRINDER PUMP _ rAeRic - •�_ 2 STORY TT'I / 7.F'109. / 11• UNIT (SEE DETAIL) - = POLE-- ll / / c;F.1oI e (M1 Ax) EXISTINC GRADEVINYL SIDED ,6OF ROUNDED AGGREGATE ,1ni✓f r, ACKF1LLe J21 o0 UPSLOPE UNDISTURBED BASE � 2 STORY -:4. %d VINYL SIDED GRINDER PUMP 11" WATER +101:5 025 Tv NOT TO SCALE I ERVICE L--� , •• .¢��` . ,. SILT FENCE WOVEN POLYWROPYLENE ' > mD''BIT. / ERIOSION CONTROL TOR FILTER ATTACHED t.•.'��r „ I WAY _ / nip. UnuTT ENCLOSUF.E FI 710 FVAN SECTION A—A --- I cu r �, Y o / — cRAi+i I � �� INSTALL SILT FILTER .„�•+ 1 �L FABRIC IN CATCH BASIN SILTATION FENCE DETAIL LEGEND '2—FM FM GRATES DURING CONSTRUCTION r i I, �` •�I. '� �I NOT TO SCALE WV " r' � EOP wV WW9CLDI WATE �MAIHI ... W, � _j NI pRB - EXISTING CONTOUR GV -7 p ,— I'A RL EE S TRE /T CONNECT TO EXIST -- 98 PROPOSED CONTOUR-- __ SEWER FORCE MAIN }'—TEC ,.J TEC _.�C —fEC:I I„ J STUB ZFLUSPINI kDs.BB EXISTING SPOT GRADEc rn,EcncN �/. DURINJG CONSTRUCTION MAINTAIN , AA CONSTRUCTION ENTRANCE NOTES: F99.6 PROPOSED FINISH GRADE CONSSISTING OF g01DEPTH OF 3" lIc MINUS COURSE AGGREGATE, 20 FT. 1. THE PROPOSED WORK 'WILL BE WITHIN THE 100' BUFFER ZONE OF A EXISTING DOUBLE CATCH BASIN WIDE FORA'DEPTH OF 25 FT. STORMWATER X� , WETLAND RESOURCE AREA WEDGE OF PAVEMENT FACILITIES EA AND WILL REQUIRE A FILING OF A NOTICE 2 EXISTING FIRE HYDRANT ,/ OF INTENT WITH THE LOCAL CONSERVATION COMMISSION AND THE MASSACHUSETTS DEPARTMENT OF ENVIRONMENTAL PROTECTION UNDER EXISTING WATER VALVE THE WETLANDS PROTECTION ACT. THE CONTRACTOR SHALL OBTAIN A COPY OF THE ORDER OF CONDITIONS AND FAMILIARIZE HIMSELF WITH s EXISTING WATER SHUT OFF i ALL REQUIREMENTS CONTAINED THEREIN. (p) EXISTING DRAIN MANHOLE _ LINE OF BORDERING 2. WETLAND DELINEATION INFORMATION TAKEN FROM PLAN ENTITLED, DEFINITIVE VE GETATED WETLANDS �-- SUBDIVISION - SITE UTILITY, GRADING PLAN AND CROSS-SECTION, PARLEE 4cEXISTING TREES�g� STREET EXTENSION, SALEM, MA. PREPARED BY HANCOCK ENGINEERING + U %,h- / ASSOCIATES DATED NOVEMBER 27, 2001. # EXISTING LIGHT POLE w-- EXISTING WATER SERVICE / 3. EXISTING UTILITIES HAVE BEEN SHOWN TO THE GREATEST EXTENT POSSIBLE BASED UPON RECORD PLANS. CONTRACTOR SHALL CONTACT DIG-SAFE PRIOR - FIA TO CONSTRUCTION. EXISTING FORCE MAIN E EXISTING ELECTRIC. SERVICE J AIL APPLICANT: D .EXISTING DRAIN PIPE FRANK LANZILLO�� ! 1>V, � � 50 CENTRE STREET ► 0 NEILL ASSOCIATES � � CANNERS, MA 019230 BMpt BENCH MARK (SEE CHART) / ,li � Civil Engineers and Land Surveyors 234 Park Street PLAN �,_I'AOF Mq North Reading, MAI 01864 GRAPHIC SCALE ,��' 'Os BENCHMARK (ASSUMED) 200 10 20 40 LUKCWIC°Y SITE PIAN NO, DESCRIPTION ELEVATION NO.473511 y BM-1 DRAIN MANHOLE COVER 97.7 $0 9 etaTEP� c 23 PARLEE STREET 1" = 20' l s SALEM, MASSACHUSETTS j7-�<o�t•o PARCEL ID 14-00051 -0 40105STE.DWG DECEMBER 20, 2010 i