19A WILLSON ST - BUILDING INSPECTION Lo(D
THtS b L �kl w� Vo
ESD.
The Commonwealth of Massachusetts CITY OF
Board of Building Regulations and Standards SALEM
Massachusetts State Building Code,780 CMR Revised Mar 2011
(� Building Permit Application To Construct,Repair,Renovate Or Demolish a
One-or Two-Family Dwelling
this�eeflonForOfl{ew e
1WBugdmgumbea: Dale A$EOCION 1:SIT£ipiEO >IRS
ess: 12 Assessors Map&Parcel Numbers
fm rT en S /
Lis Is this an accepted street9 yes_ no Map Number Parcel Nmber
13 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(fl)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? Municipal O On site disposal system E3Public 13 Private 13 Zone:
ifyes❑ _
SECTION 2: PROPERTYOWNERSIIIPt
2.1 wnerr of Record:
✓l v
ane ' t) City,State,ZIP
J9 A r.J 1( 4, 9 / 7�8— 53 PHDi�3k°� (�civt�
No.and Street elephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) :1Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work':
r nriirra// 13rhr
194471 v -G G'oyic
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item (Labor and Materials .
1.Building e
$ 300 O o 1. Permit Fe:$ Indicate how fee is determined:
_ q Standard City/Town Application Fee
2.Electrical $ O Total Project Costs(Item 6)x multiplier x-
3.
_3.Plumbing $ — 2. Other Fees: $
4.Mechanical (HVAC) $ :
5.Mechanical (Fine $ Total All Fees:$
ression
Check No. Cheek Amount: Cash Amount
6. tal Project Cost: $ j�,O 0 13 Paid in Full ❑Ortolan Balance IAte:
?�}_T) 1-3 606
M��� lotL3
SECTION 5: CONSTRUCTION SERViCU
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
Tppe Deseaptioa
No.and Street - - - -
U Unrestricted uHdin to 35000 w.ft.
R Restricted 1&2F Dwe
City/Town,State,ZIP M Masonry
RC Roo Coverin
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
Ci /town State ZiP Tel hone
SECTION&WOItXZM`COMPFXSAT14DN INSURANCEc 152.§ 25C(0)
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 HE 061101 ETED W19EN
OWMR'$ G ANT C TOR .IFQR ING
1,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION?b:OWNEW OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information
contained in this application is true and ac ate to the best of my knowledge and understanding.
Print Owner's o Auth d Agent'snic Signature) Date
NOTE&
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
MM.mass.eov/oca Information on the Construction Supervisor License can be found at W I .mass. ov/d s
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
a
CITY OF SALEM, MASSAalUSE TTSBUILDINGDEPARTMENT120 WASFHNGTONSTRE ET,3flDFYAOR
TEL.(978)745-9595
KINMERLEYDRISODLL FAX(978)740-9846
MAYOR 7WMAS ST-PIERRE
DIREGTOROFPUBLICPROPERTY/BUILDING COMaffSSIONER
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
Date
Job Location 19 i4 F/;I/T#,) s% 5411e ,,
Home Owner Address l'?iA W', )Ise , -51— Sv�lri /Pei
Present Mailing Address h_� tJ.11ydn S%
The current exemption of"Homeowners"was extended to-include owner-occupied dwellings of two
Units or less and to allow such homeowners to engage an individual for hire that does not possess a
license, provided that the owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or
is intended to be, a one=or two-family dwelling,attached or detached structures accessory to such use
and/or farm structures. A person who constructs more than one home in a two year period shall not be
considered a homeowner. Such "homeowner"shall submit to the Building Official,on a form acceptable
to the Building Official,that he/she be responsible for all such workPerformedunder the Building
Permit.
The undersigned "homeowner"assumes responsibility for compliance with the State Building Code and
other applicable by-laws and regulations.
The undersigned"homeowner"certifies that he/she understand the City of Salem Building Department
minimum inspection procedures and requirements and that he/she will comply with such procedures
and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING INSPECTOR
G7YOFSALFJK Mmwffmi
BrnMOOlaPAIDENr
isoways>s�;��
HD�BiRt8Y1 I Far 7*ILV 6
MOM Damsamm
DMKRMarraoicrMMvarAwmv carasnwm
Construction Debris Disposo/Afdovft
(required forall demolition and renovation work)•
In aoaadanoe with the sixth edition of the state 1B Cock 7M a^secdw 2W oeM
and the proviown orMGL coo,s s4;SIB Permit a is issued with the
condition that the debrisWsuftfrom d*work shall be disposed of in a properly ftenmed
waste deposl<facdity as deftned by MGL c illy S 1WA.
The debris will be transported b)r
—� �a✓lel, S� �iJ�vO�vJ .
(name of hauler)
The debris wr71 be disposed of in:
(name of facility)
(address of facility)
Signature of applicant
ld- 6 --J-o1 6
Date
Q3�]Boise Cascade ( Triple 1-3/4" x 7-1 4" VERSA-LAM® 2.0 3100 SP Floor Beam\F1301
5 Y41 Dry 11 span I No cantilevers 10/12 slope September 12, 2016 14:44:26
BC CALCO Design Report _
Build 4516 File Name: SC CALC Project
Job Name: 3 9 z sf Description: Designs\F601
`
Address: Specifier:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR-1040 Misc:
a Fkrt' i � r40
'4 4 . s£^%,�tx l3°yts. ,y.rY 'tj"'�'+a
r ;k d`- ��tG�
10-01-00
BO 81
Total Horizontal Product Length= 10-01-00
Reaction Summary(Down /Uplift) (lbs)
Bearing Live Dead Snow Wind Roof Live
BO, 3-1/2" 2,042/0 736/0
B1, 3-1/2" 2,042/0 736/0
Live Dead Snow Wind Roof Live Trib.
Load Summary
Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125%
1 Standard Load Unf. Area (Ib/ftA2) L 00-00-00 10-01-00 30 10 13-06-00
Controls Summary value %Allowable Duration Case Location
Pos. Moment 6,381 ft-lbs 50.8% 100% 1 05-00-08
End Shear 2,284 lbs 31.6% 100% 1 00-10-12
Total Load Defl. U362 (0.319") 66.3% n/a 1 05-00-08
Live Load Defl. 0492 (0.235") 73.1% n/a 2 05-00-08
Max Defl. 0.319" 31.9% n/a 1 05-00-08
Span/Depth 15.9 n/a n/a 0 00-00-00
%Allow %Allow
Bearing Supports Dim.(L x W) Value Support Member Material
BO Post 3-1/2" x 3-1/2" 2,778 lbs n/a 30.2% Unspecified
B1 Post 3-1/2"x 3-1/2" 2,778 lbs n/a 30.2% Unspecified
Cautions
Member is not fully supported at post BO. A connector is required at this bearing.
Member is not fully supported at post B1. A connector is required at this bearing.
Notes
Design meets Code minimum (U240)Total load deflection criteria.
Design meets Code minimum (1-1360) Live load deflection criteria.
Design meets arbitrary(1") Maximum total load deflection criteria.
Calculations assume Member is Fully Braced.
Design based on Dry Service Condition.
Deflections less than 1/8"were ignored in the results.
Page 1 of 2
�Boise Cascade Triple 1-3/4" x 7-1/4" VERSA-LAM® 2.0 3100 SP Floor Beam\F601
n
mil
Dry 11 span I No cantilevers 10/12 slope September 12, 2016 14:44:26
BC CALC®Design Report
Build 4516 File Name: BC CALC Project
Job Name: Description: Designs\FB01
Address: Specifier:
City, State, Zip: , Designer:
Customer: Company:
Code reports: ESR-1040 Misc:
Connection Diagram Disclosure
,..{b -F d Completeness and accuracy of input must
L� be verified by anyone who would rely on
a _ output as evidence of suitability for
oT o particular application.Output here based
con building code-accepted design
properties and analysis methods.
• • Installation of Boise Cascade engineered
e o 0 o wood products must be in accordance with
current Installation Guide and applicable
building codes.To obtain Installation Guide
or ask questions, please call
a minimum = 2" c= 2-1/4" (800)232-0788 before installation.
b minimum = 3" d = 24"
e minimum = 3" BC CALC®, BC FRAMER®,AJST""
ALLJOISTO, BC RIM BOARD'-,SCI®,
Nailing schedule applies to both sides of the member. BOISE GLULAMTM,SIMPLE FRAMING
Member has no side loads. SYSTEM®,VERSA-LAM®,VERSA-RIM
Connectors are: 16d Sinker Nails PLUS®,VERSA-RIM®,
VERSA-STRAND®,VERSA-STUD®are
trademarks of Boise Cascade Wood
Products L.L.C.
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