B-17-755 - 0104 BRIDGE STREET - Building Permit 4 UNIT RENO d
s-" The Commonwealth of Massachusetts
W
Department of Public Safety
Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
f (This 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 ava le) :
1 Eu4 C\ S� M �i`?
n(1 Ne,.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK.
Edition of MA State Code used If New Construction check here❑or check all that apply in the two rowsVelow
Existing Building Repair❑ Alteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendht 1)
Change of Use ❑ Change of Occupancy ❑ 24
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 D cripption of Proposed Work: ft e r-N cQ4� q r�l LQ h y+rvC� 4 U }S fit/- 4
, to �rV►� hakhl 9 �/2. ��G4hs'.
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:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A--1❑ A-5❑ B: Business ❑ E: Educational ❑
F: Facto F-1❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑
1: Institutional I-1❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-113 R-2❑ R-3❑ R4❑
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 ❑ 1 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❑
Private❑ or indentify Zone: or on site system❑ required❑or trench or specify:permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: \IA t Litiir rig:Cunuiussion Keview P'nhe5s:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
orconsent to Build enclosed❑ Yes❑ or No❑ 1 Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Editionof Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations:
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SECTION 9: PROPERTY OWNER AUTHORIZATION
Name an Address of Property Owner
oaf �_ 1 fk r
b .
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Name(Print) No.and Stre t City/Town Zip
Property Owner Contact Information:
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
Niune 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(PleasefilloutAppendix2). .
if buildin is less than33,000 cu.ft:%of enclosed s ace and or not under Construction Control then check here 0 ind ski Section 10.1
10.1 Registered Professional Responsible for Construction Control
o _
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10:2 General Contractor
Coi�any Name
o h C-9 yv1 t n1 .
Name of Person Responsible for Construction License No. and Type if Applicable
Street Address City/Town State Zip
41 k-_S8G_ 5171
Telephone No. business Telephone No. cell e-mail address
SECTION 11:WORKEItS'(c)D,IPtiNSA'rION tNSURANO:Af.T11.)AVIT M.G.L.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? Yes 0 No 0
SECTION 12:.CONSTRUCTION COSTS AND PERMIT FEE:
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=$
1.Building $ Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $46t C60 appropriate municipal factor)=$
3. Plumbing $
1.ivlechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to
6.Total Cost $ c)5 (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. �!
ease print and sign name Title Telephone No. DaP
Lt
01970
Street Address City/Town State Zip
Qom �
Municipal Inspector to fill out this section upon application approval: " t� W p 7
Name Date
top Oates secured and nailed
to bottom of existing ceiling deck. 911010 ---------- 61 0" 18, 10,1
caulk at peritneter
(1)5/8"type x gwb both sides
Avith silicone or
I HR)typical. 13' 0 1
to gwb installation. Bathroom
Master Bedroom 15, iv
Bedroom
3 117 thermofiber insulation.
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solid bracing. Unit 4 co
L 75
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caulk at perimeter
2 x 4s @ 16 oc. scdo
with silicone prior
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L room
Roof Below Cn
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Unit Separation Walls, Bathroom
Con
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room
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'.Unit 3 4102
Bedroom --Master BN(f ro-&M 0
Bathroom
FIRE PROTECTION LEGEND:
1813" .
2_
91 Y L_
SO smoke fire horn light U OM
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AEZ Addressable fire zone panel
35
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Automatic sprinkler system to be designed by Fire Protection c®
Engineer and submitted to Building Dept. for approval. Scale:N1 6'=11 Third Floor Plan
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Dining room
13' 2"
8' 2" Bedroom
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a Unit 4
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Babel doors 3.0\
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close hinges. wtfm frame/thresho
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throom J below
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1 hr Fire rated walls @ existing L.L-
stair/corridor walls w/(1) layer 8, Y, A
5/8"type x gwb on unit side
between stairs walls. Reduced Bedroom A=!
to (1 HR) in lieu to the installation
of an automatic sprinkler system.
Unit 3
Kitchen room 15' 11"
Living ro 0
FIRE PROTECTION LEGEND:
18111 12
SO smoke ID fire horn light 3
OEP emergency light ff manual pull station 0
MP bining room
SCOD smoke/ carbon detector
=3 CD
z knox box
2
AEZ Addressable fire zone panel (D -9 -
Automatic sprinkler system to be designed by Fire Protection
60
Engineer and submitted to Building Dept. for approval. Scale: &16'= IT Second Floor Plan Cc
13' 2" 9 Mccc
101011 M. Bedroom Bedroom 9' 1 athroom
OM 19' 4"
Kitchen 'Living Dining room
A 15, 1 V
Ta'
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Unit 2 CN
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75
I F- -q&o A;
slairs
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ear §&0
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r try stairs B label doors 3.0 cR) Lu JEtA
MP
w/fm frame/thresholdd, BD
MID . 0 s C�l B B label doors 3.0
I self close hinge h^k4—
firn frartietth Q)
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elf clos lhinges.
. entry
Al S
Bathroom below
o, aundyW up
aM
3' 9
"
AC=f CtM cn
c8M. Bedroom x L -
11
1 hr Fire rated walls @ existing
A
stair/corridor walls w/(1) layer
5/8"type x gwb on unit side
"CS
between stairs walls. Reduced
to (I HR)in lieu to the installation
of an automatic sprinkler system. Unit 1
402
15' 11"
K%Adhen Livtpg Dining room 0
FIRE PROTECTION LEGEND: Bedroom
rs 257'
smoke M fire horn light
816" o
cHO emergency light Ef]ID manual pull station
U
M
S@D smoke/carbon detector
a
Z knox box 2
Addressable fire zone panel
Automatic sprinkler system to be designed by Fire Protection
to Building Dept for approval. 3: P-- C"a
co
Engineer and submitted Scale:NIT ITS First Floor Plan