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100 BAY VIEW AVENUE - BUILDING JACKET Vi e---w P)E: rs:u� perob. 90%LargerLabolA W I 5MCA KEEPING YOU ORGANIZED No. 10301 PMWPOWM ow � ® aere..+apoa�a�o POBT-001� wmaoo GUORGANWIN SIMCOM i CITY OF SALEM, MASSACHUSETTS BOARD OF APPEAL LICLERK CLERK'S A F CE 120 WASHINGTON STREET, 3RD FLOOR SALEM, MASSACHUSETTS 01970 STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 MAYOR FAX: 978-740-9848 1005 AUG -2 A II: 22 DECISION ON THE PETITION OF PATRICK AND CYNTHIA O'CONNOR REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 100 BAY VIEW AVENUE R-1 A hearing on this petition was held on July 20, 2005 with the following Board Members present: Nina Cohen, Chairman, Nicholas Helides, Edward Moriarty, Steven Pinto and Bonnie Belair. Notice of the hearing was sent to abutters and others and notices of the hearing were published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioner is requesting a Variance from the number of stories to rebuild after fire damage for the property located at 100 Bay View Avenue located in an R-1 district. The Variance which has been requested may be granted upon a finding of the Board that: a. Special conditions and circumstances exist which especially affect the land,building or structure involved and which are not generally affecting other lands, buildings and structures in the same district; b. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise, to the petitioner; and c. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented and after reviewing the plans at the hearing, makes the following findings of fact: 1. The house was a legal four family, which will now become a two family. The owners want to rebuild and have a family member move into the second unit. 2. Ms. Anna DellaMonica, the owner of 102 Bay View Avenue was represented at the hearing by Attorney Goddard. She is opposed to the granting of the Variance because her view may be restricted or obstructed and this could lower her property value. She also stated that the variance would increase the number of people and cars. Ms. Della Monica is also worried about another fire and the close proximity of her property. She has three condominiums at 102 Bay View Avenue but does not live there. 3. Mr. Plummer who resides at 98 Bay View Avenue stated that he was not for or against the proposed Variance. DECISION ON THE PETITION OF PATRICK &CYNTHIA. O'CONNOR REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 100 BAY VIEW AVENUE R-1 4. Mr. and Mrs. O'Connor presented a Petition signed by several of the neighbors who are in agreement with the plans of the renovation. On the basis of the above findings of fact, the evidence presented at the hearing, the Zoning Board of appeal concludes as follows: 1. Special conditions exist which especially affect the subject property but not the district in general. 2. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship to the petition. 3. Desirable relief can be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. Therefore, the Zoning Board of Appeal voted four in favor of the Variance and one opposed. Nina Cohen, Nicholas Helides, Steven Pinto and Bonnie Belair voted in favor and Ed Moriarty voted in opposition. The Variance was granted subject to the following conditions: 1. Petitioner shall comply with all city and state statutes, ordinances, codes and regulations. 2. All construction shall be done as per the plans and dimensions submitted. 3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. 4. Petitioner shall obtain building permit prior to beginning any construction. 5. Exterior finishes of the new construction shall be in harmony with the existing structure. The Petitioner is required to use fire resistant materials in the construction. 6. A Certificate of Occupancy is to be obtained. 7. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but not limited to the Planning Board. 8. The rebuilding of the rear porches will be limited to the existing footings of eight feet by twelve feet. r DECISION OF THE PETITION OF PATRICK&CYNTIUS O'CONNOR REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 100 BAY VIEW AVENUE R-1 page three 9. The house shall remain a two family. 10. The Petitioner shall apply and comply with any conditions made by the Conservation Commission. Variance Granted r July 20, 2005 Bonni r SC Board of Appeal A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to Massachusetts General laws Chapter 40A, Section 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the Certification of the City Clerk that 20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that it has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name or the owner of record or is recorded and noted on the owner's Certificate of Title. Board of Appeal 0 CITY OF SALEM, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 9 120 WASHINGTON STREET, 3RD FLOOR q�6�MINE� SALEM, MASSACHUSETTS 01970 STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 380 MAYOR FAX: 978-740-9846 April 25, 2005 Patrick & Cynthia O'Connor 100 Bay View Avenue Salem, Mass. 01970 RE: Fire at 100 Bay View Ave April 15, 2005 Dear Owners: The fire on the above date destroyed all of the top level of your property. The second floor, as you look from the street, was severely damaged also. The rear section of the house, where the fire originated is in my opinion beyond repair. My function at a fire scene is to evaluate the safety of the structure once the Fire Department was completed their fire fighting operations In your building, the gable ends were unsupported because the roof was consumed by the fire. The chimney was also unsupported. Per State Building Code 780 CMR, Section 120. I declared the structure "unsafe". I then ordered the unstable sections of the building removed. The work commenced on April 15, 2004 and was completed by April 17, 2005 If you have any questions, please contact me directly. Sincerely, Thomas St. Pierre Building Commissioner Zoning Officer Cc: Kate Sullivan, Mayors Office Chief Cody, Fire Department (Gita of $a1em, 49assadjusetts pealio DECISION ON THE PETITION OF PATRICK & CYNTHIA O'CONNOR FOR A SPECIAL PERMIT AT-100 BAY VIEW AVE. (R-1) _+ A hearing on this petition was held May 18, 1994 with the following Board Members present: Stephen Touchette, Acting Chairman; Gary Barrett, Stephen O'Grady, and Associate Member Nina Cohen. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioners,owners of the property, are requesting a Special Permit to allow construction of a two ( 2) story deck which will extend nonconforming rear setbacks, the property is located in the R-1 district. The provision of the Salem Zoning Ordinance which is applicable to this request for a Special Permit is Section 5-3(j ) , which provides as follows: Notwithstanding anything to the contrary appearing in this Ordinance, the Board of Appeal may, in accordance with the procedure and conditions set forth in Section 8-6 and 9-4, grant Special Permits for alterations and reconstruction of nonconforming structures, and for changes, enlargement, extension or expansion of nonconforming lots, land, structures, and uses, provided, however, that such change, extension, enlargement or expansion shall not be substantially more detrimental than the existing nonconforming use to the neighborhood. In more general terms, this Board is, when reviewing Special Permit requests, guided by the rule that a Special Permit request may be granted upon a finding by the Board that the grant of the Special Permit will promote the public health, safety, convenience and welfare of the City's inhabitants. The Board of Appeal, after careful consideration of the evidence presented at the hearing, and after viewing the plans, makes the following findings of fact: 1. There was no opposition to the petitioners request. 2. The granting of the special permit would allow the petitioners a fuller use of their property. 3. This is the most feasible location for the deck to be located. DECISION ON THE PETITION OF PATRICK & CYNTHIA O'CONNOR FOR A SPECIAL PERMIT AT 100 BAY VIEW AVE. , SALEM page two On the basis of the above findings of fact, and on the evidence presented, the Board of Appeal concludes as follows: 1. The Special Permit requested can be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. 2. The granting of the Special Permit requested will promote the public health, safety, convenience and welfare of the City's inhabitants and may be granted in harmony with the neighborhood. Therefore, the Zoning Board of Appeal voted unanimously, 4-0, to grant the Special Permit requested, subject to the following conditions: 1. Petitioner shall comply with all City and State statutes, ordinances, codes and regulations. 2. All construction shall be done as per the plans and dimensions submitted. 3. All requirements of the Salem Fire Department relative to smoke and fire safety are to be strictly adhered to. 4. Petitioner shall obtain a building permit prior to starting construction. 5. Exterior finishes of the new construction shall be in harmony with the existing structure. Special Permit Granted May 18, 1994 i krSte hen O'Grady, Member Board of appeal mC O 7 cn n ^Y � nn � CO y L DECISION ON THE PETITION OF PATRICK & CYNTHIA O'CONNOR FOR SPECIAL PERMIT AT 100 BAY VIEW AVE. , SALEM page three A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of MGL Chapter 40A. , and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to MGL Chapter 40A. , Section 11, the Special Permit granted herein shall not take effect until a copy of the decision bearing the certification of the City Clerk that 20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that it has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Board of Appeal c J T � T �= s �n rn L EASTERN ADJUSTMENT COMPANY, INC. 430 BOSTON STREET, UNIT#5 • P.O. BOX 445 •TOPSFIELD, MA 01983 TELEPHONE(508)887-5858 •FAX (508) 887-8081 Multiple Line Adjusters, Surveyors &Appraisers NOTICE OF CASUALTY LOSS TO A BUILDING Under Mass. Gen. Laws . Ch. 139, Sec. 3B Building Commissioner or Board of Health or Inspector of Build�rg Board of Selectmen Addresses ( ( RE: Insuror• "tiles Insured: C• Property Address: )OCA q, I Policy Number: GP00 a File and/or claim No. : n "7 -5-" Loss by:. L43—'r4r"'/ L., On: f �I 19 I' As representatives of the above captioned Insurance Company, we hereby notify you, in behalf of said Insurance Company, that claim has been made involving loss , damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws Cha ter 143 section 6 to be applicable. If any not ce un r ass , n. aws , sec. 38 is appropriate, please direct it to the attention of the writer and include a ref- erence to the captioned Insured, location, policy number, date of loss and file or claim number. Adjuster On this date I causedcopies this notice to be sent to the persons named above , at the address s indicated above, by first class mail . ture and date -- �Speed Letter® aa-sot Speed Letter ToFromaw RSubjectz—e) - rv<aAmroio V —a7 �I MESSAGE ji— �1' /' / 4 ,7,0- � Date,Fy REPLY _w„erom ,1orom Date Signed WilsonJones GRAYU NE FORM A.-SOz 3-PAR7 RECIPIENT—RETAIN WHITE COPY, RETURN PINK COPY t 1993•PRINTED IN LLS A 7184 SENDEu:—DETACH AND RETAIN YELLOW CO 'Y. SEND WHITE AND PINK COPIES WITH CARBON INTACT , . - .. 1 �._. �. t . ...i.lFwiryYiy . 1 l^ a �.n.r n::w 1 r �,, COX CtV of �$ttleni, fflttssar4usetts Public Propertg Pepartment jNuilNug Pepartntent (ane , lem Obreen 745-0213 William H. Munroe Director of Public Property Maurice M. Martineau, Ass't Inspector Inspector of Buildings Edgar J. Paquin, Ass't Inspector Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp. a- .4— April 6 , 1988 M �CC2 a e sunset oa /OU a4yv/c_c.'� Salem,MA 01970 RE : Boat & Trailer Storage at Juniper Playground Dear Mr . Walker , There is a boat and trailer being stored at Juniper Play- ground , which has your telephone number posted . If this is in fact your boat and trailer , this letter is to inform you that is is on City Property and you are hereby notified that you have seven ( 7 ) days from receipt of this letter to remove said boat and trailer . If the above Violation is not corrected within seven ( 7 ) days , we will take the necessary action to have the boat and trailer removed at your expense . Sincerely , . James D . Santo Assistant Building Inspector JDS/eaf C . C . City Solicitor Ward Councillor Councillor at Large y0 6/d � (Plans must be filed and'approved by the Inspector before a permit will be granted. Nr-AYT City of Salem Ward /�� '/ Is Property Located in the 1� Historical District? Yes_ No-< tS Home Phone# 2 3o� Is Property Located in a Conservation Area? Yes_ No ��4ct - p*' Bus.Phone# !7 wsc APPLICATION FOR PERMIT TO CONSTRUCT PO DECK ND SHEDS Salem, Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby appl' for a permit to build according to the following specifications: Owner's name and address z' Architect's name _ Mechanic's name and address Location of building, No. What is the purpose of building? Material of building? If a dwelling, for how many families? !/2/j�� s�I� i Will the building conform to the requirements of the law? Estimated cost Contr tors Lie. No. Signature of applicant Signed der the Penalty of Perjury REMA S _� _yy No. / Ward__ APPLICATION FOR PERMIT TO CONSTRUCT SWIMMING POOL Location / 06 �Gvo C�c7C, PERMIT G�Rn+AED �7 �V 19/ prov Building 1 e or 61kJ'V- I2 5 12 II-0II El 1 - � I ® ED -'r:� � BL-JI EE KM ® ® WSCLA/MIER The information contained in these construction documents is for the exclusive use of the client in construction of the building designated in I C the documents. The existing site conditions have been based upon I 1 �_ visual and photographic information and is htQ an in-depth �{ -- ___ __ � �___ � _� Ll Oq Q —Os investigation into the existing site conditions. The architect has l l attempted to establish an accurate set of construction documents as possible for the of construction of the building based upon the owners requirements and that of state and focal codes. It shall be the owners' �I ^ I I I I 51P r _ VAf I ON]responsibility to acpuire in-depth investdgations, and testing whenV_ I/- I/- I/_ / I\V� I\ I�r/I� IIS//_ unknown of hidden conditions become .available. If the owner observes or becomes aware of any fault or defect in the project or nonconformance with construction documents, prompt written notice /�I 1 / 8' ' / Q I I I I ,O I I , /' ' shall be given by the owner to the archdrect. The owner shall hold l 8 �A � i 1 / 8' ' / Q I I � 1 ' -0' ' I —0' I auPPROVED a71L11L. harmless the architect from all errors and omission pertaining to plans l V� (J Subject{p 8,-4- _ 77Trr and other docum ants,related to the wouklsl and as represented by the r authority hF architect to the owner, unless the owner and the architect enter into a CITY of$A., separate agreement for additional services for administration of the I}�RLEE .TW� construction contract and sit inspections during construction. BY � -_-. -. PLANZARE APPROVED SOLELY VC9 T.'FE AND LOCATION OF M ;i. - A' FIRE PROTECTION DEVICE! F'°ALTESTANO INSPECTION,FOR CIA- 12 Aht.ETH w, THE FIR_u.Ri. Z O 121 12 - - rte► 9 ie � — 12 �. N . Date 7U — . 7 sl tilill ii I Ili i E1, 11 d' � VATION5 IriII 'I , I VI l �Li�> 1 11 I �I - ❑ ® Project Name and Address 7T _ ��b��y1T n¢�Cy� I 100 f3AYVI�W AVS II I r- � I � IIL, ® ® it i ;'; f t I Il ' Ill III Ill iii ill 11 I III 11 ; Ii lj jl i — _ _1 _ I I li �_ � � a I I it �]I II _ _ 1 I - ... - .._,.. I l � Project Number 5AM MA -- Dab 15 JUNE 05 Scale I I I I I I I I A5 SHOWN X151 NG Mofo J I I I I I I MONT V Sheet -1 � � � � � � � � � V / \ ION L — � L - -) L — )i P, A P, L VK 10 -0" CONTP,,ACfOp 1'0 V�FIFY AL PIMFN51ON5 i 22'-0" 01 22'-O" 01 aall ��� a•' Iile- rF,, I )I NOTA TO CONTPACTOP ❑ ❑ ❑ ❑ ANY LXI5 % "TIC? PAK 6G P FMMING ❑ ❑ ❑ �'{4 SHALL 6� C?MAan Op SISV�n WITH NSW n�CK MASPIAL A5 p�QUIP\�b , . 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I II I II N iI I I II I I II -, e I FLOOP PLAN5 o SD LOCATION Or 5MOKF MTl;CTOp i II i I o C Up = Q E6IE55 WINDOW F\ OCUI f7 I I I I I I - I Q II I II I lI V V 0M # I ` I I OGrI�G I I I Project Name and Addroea II I I I I� I II I o i 100 DAYVEW AVS Ell, 5MM, MA L - - - - - - I - - - - - - 3050 D.H. 3050 D.H. 3050 D.H. 0 0 Q Project Number i w' ATTIC I / \I V Date 15 JUNE 05 Scale SCALA, I / QI 1 . I ,011 A5 5HOWN 221.011 CON1P�ACTOP\ TO M&Y A.L PIWN51ON5 Sheet Q GONP FL00P\,- FLAN 5CAL� , 1 / 411 — 1 ' -011 3 2 x 8 P,f, PFAM 3 2 x 8 P,T,f3MAM 3 - 2 x 8 P,f,CREAM 2 2 x 8 PSK TYP) 2 - 2 x 8 P,f(TYP) 2 - 2 x 8 P,f.(TYP) 4 S V- N "I[ 'I-[ 'I-[ 0 D C� O �DI��I 2 x 8 P,f, J015T5 2 x 8 PS, J015f5 2 x 8 P.T. J015f5 @ 16" O.0@ 16" OC. @ 16" O,C. 3 v = I J015T HANGER5(TYP) J015T HANGERS(M JOY HANGS S(M) 2 - Zx10(TYP) I 2 - 2x10(TYP) 2 - 2zIO(TYP) I C3) 2xIO6EAM // 1) H90 �+J �� 2 x 10 J015f5 2 x 10 J015T5 2 x 10 J015f5 1200 Fb OR GETTER //O @ 16" O.C. I @ 16" O.C. @ 16" O.C. 5TAIp 5TAR 5TAR - - - - - - _ _ // g C�G[1C�UMUU too OPENING I OPENING OPENING - /ii I I DD Q° G�MCL �g 1M1v Q J015f HANGERS(TYP) J015T HIANGERS C TYP) 4 � J015T IdANGE 5(1YP) Q — — — — — — ° �+ I EXI5TING FRAMING IN 1NI5ATA EXISi1NG FRAMING IN THI5ATA fO PEMMMAIN IN TACE TO REMAIN IN TACT 'flF /iiir I I I I I I -'moi I I I I I r//oirl I I I I I I ' 8" DIA,ARCHITECTLVK I I I (3) 2 x IOM I I (3) 2 x 10 BEAM 5UPPORf COLUMN 1 I 1200 F6 OR METER I I 112001`60MM — OUN A ON WALL 6ELOW 1200 Fb 0R METER I I I Q CONTRACTOR TO VERIFY I - 4 SUPPORT IMACKETS TO'D, I EXISTING FRAMING IN THIS AREA I 9114" LVL'5 UNDER CANTILEVER (2) II 3/4"x 9114" LVL'S 1 (2) 1 V 4"x 91/4" LVL'S TO REMAIN IN fACf I I 2800F6 Or, MMT I 28Dab OR DEFTER I 1280ab OP 6EfTER I I i I 12'-6" 14' 0" i Ill-Oil 14'-0" 01 1 i II EXI511N6 CHIMNEY 2 x 10 JOISTS @ 161 O.C. 11TWNATE5 Af V15 1 DRIDGING @ MI2-5PAN THIS LEVEL FRAMING 3 I/2" STL, LALLYCOLUMN ONI EXI5TIN6 FRAMING IN*15 AREA 2 x 10 J015T5 @ 161 O.C. I i _ t0 REMAIN IN fACt 50"x 30"x 12" PF, CONC FOOInNG DRIDGING @ MID-5PAN — I IL I 1 NEW FRAMING REOEIN5A A EXIST1NG FRAMING IN 1NISAMAL2 x 10 J015f5 @ 16 TO REMAN IN TACT` ' I I 7 I 1 i No. Revision/Issue Date 8'-9" I STAR L J 10 OPENING —JO15f HANGER5(TYP) STAR I NEW FP.AMING P.EO'D, IN 1NI5 AREA NEW FP.AMING REOP D. IN THIS ASA OFENING 2 x 10 J015T5 @ 16 O,C, _ „ II 2x10 @ JO Sf5 161, • . r 0 o OC , I I J015f HAN21R5(TV) ° I I - N II N I NEW HEADER FIFOV.(2) 2 x 10 EXISTING ZFRAMING IN THIS AMA EX15T1NG FPAMING IN 1N15 ASA MAMMA N A r I AN5 (2) 2 z 10 f0 PUA1N IN fKf 1 I TO REMAIN INTACT 2 x 10 J015T5 I I @ 16" O.C. T-2" i I UP II II I II , II I 280OF6 OR DETTER I Project Name and Address EXISTING FRAMING IN THIS AICA fO REMAIN IN fACf r ' 100 PAYVEW AVS I SALEM, MA EXI511NG FRAMING IN THIS ATA V EXI5TING ROOF FP.AMING fO FMAIN IN fACf 4 fO PTMAIN IN fKf THRV FLOOP\ FP\AMIN Project Number 1 ' —011 Date 15 JUNE 05 f Scale A5 SHOWN . ,S� CONb F �.00p FPAMIN I G CONTP\�ACfOP\ TO M&Y AI.I 12IMMION5 5C&L : 1 / 4I I - 1 I —0' ' 22'-0" Sheet nA \5f F 00p MING ASPHALT SHINGLES 15# FELfPAPER ' e 5/811 EXT,FLY, ""FACE" ICE ANP WATER 5HIELP @ 5' MIN,FROM Fr(� D 2 x 10 RAtERS(TYP) ALL 8001` EDGES 12 @ 16" O.C. CONT, I" AIR CNUtE PROM 5OFFIf fo RIDGE @ EACH DAY 2 0 _ . "51Mp50N11 H2,5 RJTICANE RIDGE REAM: TIE5 @ EACH RA�1`TER (2) 3/q"x I�11 LVL'S _ ; ,�' 28001`6OR Mmrl �I� l al CONE, 5OFFIf VENT 12" � 830 DAff INSU : (2) 2x6 PLATE rM. -1 I 3 2 x 10 RAPTER5(TYP) 5UPPOUNGPORMWWALL DG°Qf�IMC I �g G�L°Q EACH 51PE 2 - 2x10RAFTER5(TYP) CTION @ SAV P TAI L U S� CONE, I" AIR CNUfE FROM 4' ' I I � I i ,OI I 501`FIf f0 RIDGE @ EACH DAY Uel. RIDGE REAM: CONT, RIDGE VENT RIDGE REAM: (2) 1 V 4"x i4" LVI-'5 2x10 RAFTER5 @ 16" OC, (2) 1 V 1"x 14" LVL'5 280OFb OR DEf`[U ASPHALT SHINGLES 28001`6 OR DEfSP, 15# FELTPApER "GRACE" ICE ANP WATER 830 IWf IN5U-, /a, EXf, PLY. 5NIELP @ 3' MIN.FROM 5EE 5ECnON @ EAVE PETAL ALL ROOF EPGE5 GENERAL NOTES 1 2 L STRUCTURAL A. DESIGN LOAD& 2 x 10 RAPTER5(TYP) I. FLOOR• LIVING SPACE 40 P.S.F.LIVE AC)P.S.F.DEAD �_ 51MPSON "N2,511 CONNECTORS @ 1611 O.C. 2. FLOOR•BLEEPING SPACE 30 P.S.F. LIVE/10 P.D.R.DEAD / / \ \ EACH RAFTER(TYP) 3. ROOF 90 P.B.F.LIVE/1%P.B,F, DEAD _ P": A �—!1"r,/., ' ,�� y / / \ ,lfV';tVP, B.ALLOWABLE DEFLECTION(FLOOR) L WITH GYPSUM CEILING BELOW V360 I I I // // \\ (2) 2x6 PLATE 11'P,— Z NO GYPSUM CEILING BELOW ' V240 C. SOIL BEARING CAPACITY 2000 P.S.F. / / \ \ NOTE, DESIGN LOADS AND 617E CONDITIONS 6FIOULD BE VERIFIED WITH LOCAL L J / \ \ BUILDING CODES AND OWICIALB, SPECIAL CONDITIONS SUCH As SE)BMIC, j �/ 2,CONCRETE -µ \ \ 1YPCAL NEW WALL `.EC110N SNOW,WIND OR HYDROSTATIC LOADING MAY REWIRE PROFESSIONAL REVIEW. // // 1�71� \\ \\ 0 2 x 6 STUDS @ 16" OC A, 6LAB5 ON RO WELDED WIRE MEEBFDI AY STRENGTH)ON 4'SAND OR GRAVEL FILL WITH 6"X611-I 1/2" 6M, P19 DAff N511,B, FOUNDATION WALL$1 FOOTINGS-3000 P,6.1. (W DAY 6TRENGTW 1/2" W. PLY„ MK HOUSE WP.AP ' 3. FOUNDATIONS VALLEY REAM: A. FOOTINGS SHALL BE PLACED ON UNDISTURBED OR ENGINEERED FILL TO A DIPTH 2 x 6 51LL TYP. \ \\ SIDING REQUIRED BY LOCAL BUILDING CODES AND FR084T CANDITK)NS. '' / // ?J/�I" & ( \ (2) 1 V 4"x 14" L\4,'5B,UNREINFORCED WALLS&HALL SUPPORT A MAX"UIH OF T'-0'UNBALANCED FILL f G PLY, TYPJ C.DAMPPROOFING(BASEMENTS)-TWO COATS OF QSPWALTIC COATING COMPOUND / 280OFb OR DEfTER D.WATERPROOFING(HABITABLE SPACES BELOW GRADE)-TWO PLY NOT MOPPED FELT f MEMBRANE WATERPROOFING E FOUNDATION DRAIN4N8TALL A 68 PERFORATED DRAIN TILE AT PERIMETER OF BASEMENT. TOPE OF JOINTS TO BE COVERED I WfM-FELT AND A MINIMUM OF 18' COURSE STONE OR GRAVEL SLOPE TILE 3/16"PEER FOOT TO POINT OF DISCHARGE F.TERMITE PROTECTION-AS REWIRED BY LOCAL CODE6 I G.ANCHOR BOLT6-e'XIY ANCHOR BOLTS a bb• O.C. (2) 1 ZJ/ "x(� 1/�" LVL'S - TYPICAL NEW WALL ACTION RIDGE REAM: 4.STRUCTURAL STEEL p A. ALL STRUCTURAL STEEL SHALL MEET ASTM A-36 28001`6 OR DEFTER TIN II!� 1 2 x 6 5TUP5 @ 1611 O.C.(2) I °J/ A11X 1/}" I %A Ir B. UNI OTHERWISE NOTED,PROVIDE A 2' NOM. WOOD SILL OF APPROPIATE I NG I\M I 5rAIP, HA I. � �� No. Revision/Issue Date WIDTH BOLTED TO TWE TOP FLANGE OF ALL STEEL BEAMS WITH 3/8•DIAMETER BOLTS 1/2 (AM, I I9 DAff INSU-, 280OFb OR DWf1ER STAGGERED AT V-0' O.C. RIGIDLY FASTEN ALL CONNECTING RAFTERS AND /Z" EXP, PLY„ MIEK HOU WP�AI7 JOISTS. a CARPENTRY DISPLAY CADINEfS 512N6 A. FRAMING BITNUDDa:3 O •STUD•GRADE °J/9" f& G PLY, my 2. JOISTS 4 RAFTERS-E•1;00!000 P.6,1/FB•1,150 IP,S.1. S. BEAMS I GIRTS-F,1,200,000 P.S.L/F5•1,050 0.6.1. 4 2 X 10 WTER5(TYP) 4.STAIR STRINGERS-•I GRADE @ I6" O.C. S.uNIDEs A)DOUBLE NEADERR J016TS 4TTRIMMERS 4 ALL FLOOR OPENINGS EXISTING FLOOR STRUCTUP.E CI\1055 S�CTION B)DOUBLE JOISTS UNDER ALL PARALLEL PARTITIONS Y' C)I"X3'CRO66 BRIDGING a EACH JOIST BAY ^ B. FLOOR CONSTRUCTION rX I. GENERAL FLOORS- 1/2'PLYWOOD(C-D n% INT APA W/EXT•GLUE)UNDER - EX15ING WALL 5ECTION V I AI L S 1/2" PLYWOOD(UNDERLAYMENT INT APA)WITH BUILDING PAPER BETWEEN. V POPTIONAL 3/4"T e G NNDERLAYMENT INT APA)WITH NO SUBfL.00FdIIS�GI�I� 2 x 6 5TUP5 @ 16" O.C. 2.BATH 1 TOILET AREAS-USE WATER RESISTANT PLYWOOD(UNDERLAYHENT C{ �\LI , nl NI NG I\ I C�05, 5fAR NAW. " r c. ExrER UGG EXT-PA). �p I/2 GWD, 09 DAff INSU F/� � L [-OPTIONAL)-U 1/PLYWOOD �L'W OD X D 4/0 INT APA WIEXT.rJ WITH DIAGONAL UF) X4•coRNER S PV�NGEXf. PLY„ TYvEK NOUS WP.AP I\OOT% I%IV V V 11 NG BRACING IN FRAME - 2. ROOF- PLYWOOD(GEDf -0 24/O INT APA W/ T.GLUE) D. INTERIOR FINISISH V 411 f S G PLY,(TT.) � ; L GENERAL-UNLESS OT14ERWISE INDICATED,AUL INTERIOR WALLS t CEILINGS ARE TO BE COVERED WITH V2" GYPSUM BOARD,WITH METAL CORNER _ I REINFORCING,TAPED a SANDED. POPTIONAL V2• 'BLUE BOARD'WITH VENEER PLASTER SYSTEML Ip n P,00F A2, BATH 4 TOILET AREAS-USE WATER RESISTANIT GYPSUM BOARD. F P\,AM IN6. MIBCELLANEO T EX STING FLOOR STT.)UCTUnE. Project Name and Address A.UNLESS OTHERWISE NOTED PROVIDE I I. INSULATIONR-1 EX15ING WALL 5EcnON IN FLOORS OVER UNHEATED SPACES ! R-30 IN CAT14EDRTAL CEILINGS ATrrrACHED DIRECTLY TO ROOF Z x 6 STUDS @ 6 O.C. I 1 R-30 IN TOP FLOOR CEILINGS I/2" GWD, 819 DArr INSEE, I OO I3AYVI�W AVS �O 2. VAPOR BARRIER-INSTALL A 2 MIL POLYETHILENE VAPOR BARRIER ON TWE I VI NG p JOIN �' \ 1/2 EK PLY„ TMK HOU5E WP.AP WARM SIDE OF ALL INSULATION 3. GLASS-DOUBLE INSULATION GLASS AT ALL EXTERIOR GLASS AREAS e TEMPERED GLASS IN ALL SLIDING GLASS DOCRS 4 WINDOWS LESS THAN SIDING 5&M MA 30" ABOVE THE FLOOR. CHECK LOCAL CODES FOR GLAZING REWIRF)tENTB, I I II 6 NEW COLUMN 5UPPORf REO'P, Project Number 30"x 30"x 12" PP, CONC,1`0011NG Date _ I5 JUNE 05 Seale Not TO CONVA TOP, A5 5HOWN ANY �XI5 % "TIS PAW6Pl' FEAMING 5HA,L [t PMAC�P OF5151EITb SW WV N - Sheet M OA, A5 FWURTP 1 Q C�O55 5 C10N CONVACTOI? fO MYY ALT. 121WN510N5 5CAL� ; 1 / 4' ' _ 1 ' -0' ' : 22'-0" 00, 22'-0" -01 a (DF29)-DIGFOOf PIE t 5Y57EM FM Ann1110NJ a l 9' PE PEI OW G� 9'-0" � -9' � _0.. - - - - - - -tW- - - FFr(" (", t I � I 01 61-0 101-61, y,-a NO1� TO CON1P\AC1 OC; 6'-0, a .0 61-6 y 4j i l : r k ANY �XMNG "FII' PAMA6W 1 FRAMING lap 2050 SLIDER-5050 PICTURE-2050 SLIDER 5HAI M I?I�I'Lr�l.1.V Op 515SP\FP VVl H NSW 2650 D,H. 2050 SLIDER-5050 PICTURE-2050 SLIDER 1 _ MA1�pIAL A5QUIIt7 7 up 0 5b - �G[1C�at�GV]M4 X40 sr7 0 FAMILY ROOM 77 o sP o O QN — o 0 LO (3) 2 x 10 MAM " a 5 3,,-0" T-211 3' 10" "3•,0.. _ 1200 Fb OF,6EfTER 8" PIA,APCHITECTIdZAL 1'-a 11 CI Off SUPPOFf C01.UMN PN. (2) 13/9"x91/'}" LVL'S N �� 8 Sb o — — — 2800FbOt?l3EfTEp r - - - - — - - - - - - - - - - - - � — — — — — — — — — — — — — — — CL'o f N 6069 FR. DRS.N P.EFp nGE 2030 CSMT, 1 1 r — 21066 31/2" 5S, I, LY COLUMN ON I o I I 1 4 30"x 30"x 12" PP. CONC. FOOT NG I I (2) 13/9"x 91/9" L\v5 3 SUPPOt f COLUIMN III KI�"CN�N Oc 1 m II 2800F6 OF,DEfiEP M Cp055 S�C�'ION I I o r - - - : o o I A 1 Z I I � I I FCP\055 5�C110N g I I I10 b 0 8" PIA, ARCHI7EcuAi I = g I N 5UPPOPfCOLUIMN I I I 1111-01 x M II'-0" 19'-01, I _ -y" 11, 3'-9" Cu i L J N LIVING iI w/n I N V- 3068 Or 1 2668 Z II a O 3 0" 5' 7" O [wCH C�A11� I o SUPPO1Zr CaUMN I I 2666 1 M O i I M I Sn - - - - - - 0 I O �, ' CLOT No. Revision/Issue Date w/n 66B O �6 a068 1630 DH ' 31/2" 51L, LALI,Y=o, N 5b i 30"z 30"x 12" nPEXI511NG LOA17 ( APING 0 f i WA1 L N Co = = 5t7 LOCA110N OF SMOKE n�1�Cf01 C�MOOM # 2 N _ N = LOOT? CLANS 1 i m 0 0 EGIE55 WINPOW I�QUIT12 M DM\00M # -- = nEMaITION'OF WALL, WINnOW,170CV 012 06.EC1 2 a UP UP 005P W ao6e ao6NEW WALLS fO M APM12 Ut? O CI-05U CLO;; sn b45, Project Name and Address 1850 DH 3050 DH 1850 DH - i I I 22'-0" 100 PAYVI M AVS t EMovE NG 01L fANK sn - SALEM, MA c I o I b- - - - Project Number Date I5 JUNE 05 Seale '. A5 SHOWN CON1��ACTOP\ fO M&Y ALL PIMN510N5 Sheet 22'-0" OOP\ PLAN A PASS M Nf P1 / 411 - 1 ' -0' O'n, )l� S.v .I:m PL 131 .IC l'lZO1'I .R 1 1 Cu AC ,d ll, inNjllull In APPLICATION FOR PLAN EXAMINATION AND BUILDING PERMIT ALL BUILDINGS EXCEPT ONE AND 2 FAMILY DWELLINGS IMPORTANT; ,\ lic:mts must cum Iete all items un this la'e SITE INFORMATION Location Name 1 100 t';" VIVVJ AaX— Building Property Address SJ III ,Mt} Located in: Conservation Area Y60 Historic district APPLICATION DATE Use Groups (check one) Group Homes 113_124X 1^T G�pv Residential (3 or more Units) R2_ Type of improvement Residential (hotel/motel) Rl _ (check one) Assembly (Theaters) Al _ New Building_ Assembly (restaurants & clubs) A2r_A2ne_ Addition Assembly (churches) Al Alteration e��4— Business B_ Rep;iir/ Rep ;t>I cement_ Educational E_ Dcni lilion_ Factory (moderate hazard) Fl _ Move/Relocate Factory(low hazard) F2_ Foundation Only High Hazard H_ Accessory Building Institutional (residential care) 11 _ Institutional (incapacitated) 12_ Institutional (restrained) 13 Mercantile M _ Storage SI _Moderate Harud Storage S2_Low l Luzanl O NI•:RSIIIP INFORNIA PION(Please Ivpe or Print Clearly) O`VN'ER Name SclNlpsl{)yzoc,L mlrAixz�o Address QL; 13ON r Vlib—ky AV r SM.eA AllW ocy-7O Telephone Signature Dh:SCRIVI,ION of %; RK •1'o BE PF:RFORDIF:1) l✓ISTtimI �YiQ f�iYf(c� 17(12- �tC �twl -4-K [/tsScXV1TCV) I��yw.aNlf 4rA4 (vi s I,A-II, epvytwe f 2eabg n2!i c.J411 05 ✓el11010 FS I NIA I'ED CONS'I'RUC'HON Cost l CUNT RAC I lnt IN'FORNIA'r1UN Name SC6 1c• NA-FiA,1A-PQ Address I(x-) 8AIr U16't A-(j 1 SfFtAAAt M-4 Telephone �t7f3-Y3S-`i436 Construction Supervisor's Lic # f3fa?i Haffit3 Impgu -mew ( tntrt •tor # ARC111'1'EC'1'/ENGINEER INFORMATION �� ^ Name Address Telephone Mass. Re-aistration # PERNIfT FEE CAI.CULA'rION Q Estimated Cost x $1151,000 + $5.00= �O Q CON NIEN'rS The unalersigned applicant does hereby attest that all information stated above is trite to the best of my knowledge under the penalties o 'ttry (owner) (agent) Sibaterl APPROVED BY : DATE APPROVED: c 0 d I -------------- Y The Culnnwnvicealth of Massachusetts OI. Q t Booed of BUIlding Regulations and Standards 1\9assachusctts State Building Code. 780 ('MR, 7 ' rdiutm p. Rnu rJ h tnu,nt ' Building Permit Application To Construct. Repair. Renosate Or I)cnutlish a _oos 4. Om'- of Tura-Family Drrrl(in,¢ This Section For Official Use Only Building Permit umber: Date Applied: :Si g i i i t u i e: d wg Conunissiun / Inspector of Bmldings Date —i SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map & Parcel Numbers hl- P ma Nuhel- P:urel \umrrh _ —� L la In this un accepted street? yeses nu_ 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq it) Fronmge oil. 1.5 Building Setbacks (ft) Front Yard Side Yards Rear Yard ! Required Provided Required Provided Required 1'ru�iJrJ i 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 ❑ On site disposal system ❑ Public❑ Pri%ate ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' Owner'of Re, rd: - IGI- hla O' or �Dn P��� View �Ire� Name Print) Address for Service: �( (R78) 3j 7 - l07�1 Co _ Siena rc . Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK' (check all that apply). New Construction ❑ Existing Building ❑ Owner-Occupied ❑ Rzpairsls) ❑ Alteration(s) ❑ AJJitinn Cl Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify. Brief Description of Proposed Work': Create_ o � � fihmf era vx�5fi ' a Vic) SECTION 4: ESTIMATED CONSTRUCTION COSTS Estimated Costs: Official Use Only Item (Labor and Materials) - 1. Building $ / 1. Building Permit Fee: $ indicate how fee is deter mined: ❑ Standard City/Town Application Fee 2. Electrical S ❑Total Project Cost' (Item 6) x multiplier x I. Plumbing 5 2. Other Fees: S 1. Mechanicui iHVAC) S List: S. Mechanical (Fire 5 Tur.J :\II Fees: 5 Sur «scion) �-7� i Cheek Nu. —Check :\monmC (`.uh :\nnwnc_ b. Total Project Cost: '� �a �� U v ❑ Paid to Full 0 OubtanJing 13al:mre Duz_— SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed'Construction Supervisor (CS -) L -7 _ Chv� l DOhe-1� L,(7rL y Ltcen,c Numhet li.pim[loll Dale NWale UI C.�J)�der F- . L.0 L'("l CSvpc aged helowl , W rr TN e Deseri riven L t'nrcunctrJ 000 R RearictcJ I,@_' F:umis DtIclling ,S tatu c M zl1' nn Only (� 12 C' Reoidrntial Roullnu C'otcnne Telephone \1'S Re,ul.nual V, ndo\t .old SiJine _.,_ Sl- 12c,idcnli:d SOIIJ Fuel liunung \ thane hhtallJW ql j D Re,ldcuu:l Dcntullwm_ 5.7 RegisteredPim 11oe In rovement Contructor (IHC) riVIC��� HIC Company Name or 11 ,ga m trant Ni e 12eeasuauun Number m Address —�1 O Fxparation Date Signal m Tele tone 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. F duce to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes ....... C3/ No .......-- ❑ - SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �(�t 1 Y I �Y Cy I Y tto nnor as Owner of the subject property hereby authorize �r to act on my behalf. in all matters relative to work Authorized by this building perm application. . x' &- a7 �14Lo� Signature (Owner Date �+ I^ SE 'TION-77b: OWNEW OR AUTHORIZED .AGENT DECLARATION I, N YI of p he.r 4-b1�ZU . as Owner or Authorized AgentIdeclaiethat the statements And information on tue and accurate, to the best of m behalf. r "r Prin ZWY- -2//r7�81 Signature of O vner or A torized Agent Date' (Signed under the pains and penalties of perjury) NOTES: 1. An Owner who obtains a building permit to do his/her own work, or an owner who (tires an unregistered contractor (not registered in the Home Improvement Contractor(HIC) Program), will not have Recess to.the ;arbitration program or guaranty fund under M.G.L. c. 142A. Other important intircmanon on the HIC Program :and Construction Supervisor Licensing (CSL) can be titund in 7SO CMR Regulations I IO.R6 and 1 IO.RS, respectively. t When substantial work is planned, provide the information below: Tntal floors area (Sq. Ft.) (including garage, finished basemen/attics, decks or poicht Gross livim,, area (Sq. Ft.) - Habitable room count -_ Number of tireplaces Number of hedromn, Number of bathrooms fvpe of heating systern —. - Number of decks/ perches ---------_--. type of cooline S)stem 1_11closed Upcli 1. "TtitAl Project Square Footage" may be substituted ti ar "total Project Cost' J CITY OF SALEM � PUBLIC PROPRERTY 3,Iir DEPARTMENT VI.v: 'N 12- AA'A,li!Ni,: '\Slahf ♦ S.Vi-xl, Af,"AtIII ,P :, :1•I I'l.l : 1'8-, �t.;•t; ♦ FPS: Workers' Compensation insurance :Ulidavit: Builders/Contractors/Electrici ns/in t Lebirs bly \ r >Iteant Information /� /� �an C I Bu.wcas (IT I/itmrot.I rod li;drla ll,.1J:�,,. pA A ��[ �� �n \Lfdl-CSS: r V or I Y 1 JI Y e e—+ Yl J C'ity,State;Zip: IeVYl M� D1�1�7C� Phone: �� fire %no an employer'.' Check the appropriate box: "Cype of project(required): I I all, it amployer with 4. ❑ 1 am a general contractor and 1 6. ❑ New construction employees(full and'or part-time).` hate hired the sub-contractors 7. ❑ Remodeling '.❑ I :tin it sole proprietor partner- . ship and have no employees listed on the attached sheet. t T ❑These sub-contractors have 3. Demolition working liar me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its ME] Electrical repairs or additions officers have exercised their iequtred.] 1. Plbin airs or additions ).❑ 1 am a homeowner doing all work right of exemption per MGL 1 ❑ umg,rep' myself. [No workers' comp. c. 152, §1(4), and we have no l?.r❑�Roof repairs�^�-.� / insurance re workers' f employees. [No workers' (g.Ll Other It V I Y 1dQ comp. insurance required.] •,\oy applicant that cheeks box 01 moat also till out the section below showing their workers'compensation policy information. ' I lomeowncrs who submit this atf-idavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ('our mUurs that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. ofout urr employer that is providing workers'compensation insurance for troy employees. Below is the policy and fob site in/brnmtiun. Insurance Company Name:_ - r � policy #or Self-ins. Lie. ilI/��.l C� �x i �.�1�[� Expiration Datee:. I-s�l�'d .Lob Site Address: LXaU �lPIA� ie11l e City/State/Zip: SOlem H nL970 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of%IGL c. 152 can lead to the imposition of criminal penalties of a tine up to S I,Soo.00 :md'or one-year imprisonment, as well as civil penalties In the form of a STOP WORK ORDER and a tine tt(op to S250.00 it day ;lgainst the violator. Be advised that a copy of this statement may be forwarded to (he Office of Imeetin;uions of the DI:\ for insurance coxcrage �vrihca(ion. /Ju hcrrh}' rrrli/j' It he puu `a iJ penu!(ies of perjur}�rhuf the infi rntution provided above iv true and correct. Date: 7fil t/ U/licial use unlY. no not write in this area, to be iontpleted by city or town official Cite or Ino,it: ---_— - ----- Issuinr .\ulhority (circle tine): (jtN/ frown Clerk q. Electrical Inspector 5. Plumbing Inspector I. Board of health ?. Building Ueparinu•nt J. 6. Other Phone ('ontactl'enmi:__----- --- -- #:_ Information and Instructions \Lls.achuscus General I..aws chapter I�' rcgwres Al cmplo'ters to pro%ide porkers' compensation fur I lie ir engllo'Nces. I'ttrsuart to this .talute. an eugrlur ee Is Jctlned as ** c%cry person in the ser.ice of another under ant, cx)ptract of hire. c\ptc;s or implied, oral or priuco.- \n emlr top rer is dclined as "Sul indil iJual. 11,11tncrship. .tssoctation, corporation or other le,--al emit}. or any tl%o or more „I the loreeoing engaged in a joint enterprise, and including the legal representati%es of a deceased enipluyer, or tte recoil cr or trustee of an indicIdUal, partnership, association or other Ic_al entity, employ in employees. I luweler the ncr of a Lbselling Rouse has mg not snore than three aparunerns and p ho resides therein, or tlhe occupant of the dp ellin_ house of another wtto entploss persons to do maintenance. construction or repair work kill such dwelling house ,11 „n the _rounds or building appurtenant thereto shall not because of welt entplo%inert be deemed to be an employer." ::\ft IL chapter I i2, �sIyC(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, %t(;L chapter 152, is2 jC(7) states '*Neither the communwealth nor any of its political subdivisions shalt enter into ariv contract for the performance o(public .pork until acceptable es idence of Compliance with the insurance rcyuir;_ments.uf-this chapter.have been-presented to the contracting authority:" Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your Situation and, if necessary, supply sub-contractor(s) nanle(s), address(es) and phone nurnber(s) along with their certificate(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. fie 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 line. City or Town Officials Please he sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom 'If the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please he Sure to fill in the permit/license number which will be used as a reference number. In addition an applicant that must submit multiple pertmtdicense 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 tile 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 burn Icaces etc.) said person is NOT required to complete this affidavit. The I Mice of Itnestig:uions would like to thank you in adlance fir your cooperation and should you have any questions, please do rUt hesitate to give LIS a Call. I"he Departntnnt's address, telephone .Ind tax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. q 617-727-4900 ext 406 or 1-877-MASSAFE tec,<eJ 'c,-us Fax # 617-727-7749 www.mass.gov/dia DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of M. G. L. c. 40, Sec. 54, a condition of Building Permit Number is that the debris resulting from this work shall" be disposed of in a properly licensed facility as defined.by M. G. L. c. 111, Sec. 150a. The debris will be disposed at: Salem Transfer Station owned by Northside Carting - Signature of Permit Applicant Date Christopher Zorzy Name of Permit Applicant A & A Services, Inc. Firm Name 115 North Street. Salem, MA 01970 Address, City, State, Zip Code f i T� l�jo�nmconuiea�l� �✓G�r���u� . - ,- Board of Building Regulations and Standards Construction Supervisor License h L. License: CS 57733 Biti4ate':.,-5/26/1958 i = Ex i iration 5 13739 _/26/2009 Tr# es Restrinctlon QO'�" I f 1 — CHRISTOPHER ZORZY 115 NORTH ST SALEM, MA 01970 Commissioner ✓/ee �im�nmzaozweo,CC./i a��sac�ivaella �\ Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 101609 Expiration: 6/26/2010 Tr# 267870 Type: Private Corporation A&A SERVICES, INC - Christopher Zorzy�,<? �;/• 115 North Street Salem, MA 01970 `- Administrator Commonwealth of Massachusetts Division of Occupational Safety Laura M.Marlin,Commissioner Deleader-Contractor CHRISTOPHER ZORZY Eff. Date 04/09/08 '09 Exp. Date 04/08/09 DC000440 S 1 aV Wmherof C.O.N.E S T. � t So IIIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIIII IIII IIII BOSTON R NEW l vanguard NFRC Performance W. I N AtviewOthatyworks p el ffi�' IMI V,angu;ard Our windows are tested and certified to National Fenestration Rating Council(NFRC) standards. Product testing data can be viewed by going FNEROY PFRFORMgNCF MTINGS to NFRC's web site, www.nfrc.org, and entering the appropriate Certified u F.tuS p) Sa'Rott hve(gnem' fr Product Directory(CPD) number. AOONIONAL PERPORMANGE MTINGS Y bMlransmNa prile5keg41113lF% Gntlenudrtn'P }}table "mom Double Tilt-In Standard Casement Sliding Hung Slider Slider Picture Casement Awning picture Door ' IrifltiatlonLRativ 0.03g n 0.09virr, v 0.03 0.01 t 003, 03 'y _ M _ n 0 001* NFRC CPD No. SUW-K-1- SUW-K-2- SUW-K-6- SUW-K-7- SUW-K-4- SUW-K-8- SUW-K-3- SUW-K-5- 00083 00045 00047 00010 00038 00010 00038 00004 U Factory 0 44 .m. '' 0 45, l 0 45 0:45, n• 0;39 0 41 t, 0 43 i;,,' M, 0 46 Clear Glass SHGCD61+�;' ;0.60 M 0.60��� n0.63 0-51 � 051 _ 061, 055 , VT 0.63 0.63 0.63 0.66 0.53 0.53 0.64 0.59 CR 45 r= ; «44 445 45 45 t r.'_44 �.,i46 ZNFRCCPDNoPD No. SUW-K-1- SUW-K-2- SUW-K-6- SUW-K-7- SUW=K-4- SUW-K-8- SUW-K-3-� N/A 00086 00048 00050 00012 00040 00012 00040 Sm actor 0 26 re 0 27, ," 0 26 0.25 $i; 024 µ 0 25 'S ;0 24Smart GC 027 0.28 4 0:23 023 027 N/AwT 0.50 0.49 0.49 0.52 0.42 0.42 0.50 N/A RYt 5062 PD No. SUW-K-1- SUW-K-2- SUW-K-6- SUW-K-7- SUW-K-4- SUW-K-8- SUW-K-3- SUW-K-500085 00047 00049 00011 00039 00011 00039 00005 ctor` ;028` D29A 028j 028 ;0.26 026 0s GC a 028; , 028 028 030 s0.24& �024 028� �028t T 0.54 0.54 0.53 0.56 0.45 0.45 0.54 0.52JR < a,'456....y� Ww 59 `. : �*` ' x= ,: Wlm NFRC CPD No. SUW-K-1- SUW-K-2- SUW-K-6- SUW-K-7- SUW-K-4- SUW-K-8- SUW-K-3- N/A 00084 00046 00048 00009 00037 00009 00037 Omega U-Factorm 0 28 t; 0 28 ?; 6 28 0 27; 0.25 ` ; q 26 12• j*y ,fSHGC 0.21 4r Glass �,r r. a4 ��1 0.210.22 _N/A, VT 0.50 0.50 0.49 0.52 0.42 0.42 0.50 N/A CRf 57z 59 60 rt 62; 62` 58 " 62 Y 'N/A' All performance values are for windows without grids in between the panes of glass. 070507 SS15-V3 ,, A ` `9g A & A SERVICES, INC. A&A SM ICE' 115 NORTH STREET,SALEM,MA 01970 • Telephone:(978)741-0424 Fez:(978)741-2012 - Contractor Registration No. 101609 Federal EIN:043090162, Construction Supervisor No.CS057733 WINDOWS AND STORM PRODUCT SPECIFICATION SHEET Buyerfs)Name Date of contract i Dccon Y I Buyerfs)Street Address,City,State and Zip Code - /00 vieuiA-vo— YAWA4 A4 _ dl 70 Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address R-;IF�3(7 67 The Savona)listed above hereby jointly and severalty agree to purchase mascara and/or services listed below,in accordance with the prices and terms described on - this Specifrafon sheet and Me front and Me reverse of Me accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which the Specifcatlon Sheet Is a pan. WINDOW REPLACEMENT ❑ Remove and dispose of# existing windows. ❑ Install # new windows: ❑Vinyl ❑Wood (Manufacturer) Options: Style ' Grid pattern cz Color Interior l jlj t-'Q_ Color Efdericr 1A)�1 t}-Q— Glass Type 61 W4 U 6 6455' ❑ Wrap exterior trim with aluminum? Sys Color ❑ At indows will be installed according to the installation procedures in the portfolio. Faulk ratl�all interior nowedges. insulate where possible around new uni.V ❑ Insulate window weight pockets if exist,and around new window units where possible. V//In-cluded in this proposal are set up,clean up,Hepa vacuum and cleaning windows inside and out. 0- Building permit included. BAY/BOWS CASEMENT UNITS FULL CONSTRUCTION WINDOWS I! u� Create new window opening by cutting throug axis Ing ome and framing in opening. C.ze �L1.1( 0 r/ ❑ Remove and dispose of existing unit(s)in its entirety. JJ�t Note:Electric and plumbing may exist in wall and will require additional costs to customer if need to be dealt with. Install_oke—- windowV into opening(. Note: If Sayor Bow installation to include cable support system,new root system(matching color as close as possible)' tie into existing t'System. ❑ Bay ❑Bow If ment Other window(s)to include now'interiors le trim and new exterior style trim and head 1 flashing as needed. T B 5 y QUilf-i yt .TeJ�prylyL�1VA;1 Note: Painting and staining not included. )"Ip✓ STORM PRODUCTS ❑ Remove and dispose of# existing storm window(s). ❑ Install new storm windows# Manufacturer Style Color Option ❑ Remove and dispose of# existing storm door(s). ❑ Install new storm doors# Manufacturer Style Color Type: ❑Aluminum O Solid Core SPECIAL INSTRUCTIONS: L6r44I r • 12 fs'.Vee)C 6,oz, in 3r4FL 6}44WAN 1cecl�c410Ve 2 Flu ,ft; ar1)Lndo(.V , I111 vIdeW) THCIu� 2=ooltao - A/n OriC�-S/ S dixa ki-fi!r4-K00 A-5 N2�.4 it Is mined and understand by and between Me panes Mat MM Specification Sheet,along while CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes ' the Mule understanding between Me parda0. R and Mom a no verbal undaM1 Ill tandings changing or odaying any cI MB torme. This corlminat may not be changed or Its terms mdtlMed or varied In anyway unless such Merges ere in writing and slgnad by both Me Sum(a)Mtl Ma Contracmr. 9uyad•j M1areby acknowledge Mat Buyena) hee read Mie S wo firatian Sheet , -/ �/ Q Contractor Initials: S�- Date: —W� O Buyer's Initials:}6M Datr.4/ � o o 0 1 w^ w cM�n/�ar��+ A & A SERVICES, INC. !'A SB V IV W Telephone:NORTH (H STREET,1-0424 LE 9 MA 0 7012 ' ------- - --- -- - - Contractor Registration No.101609 -� - --' Federal EIN:04-3090162 ' Construction Supervisor No.CS057733 - - (USTOM REMODELING AND IMPROVEMENT AGREEMENT - Buyer(.)Name Date of Contract - - r 1/7 �a Buyer(s)Street Acidness,City,State and Imp Code �QO � �eW A-✓P Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mal Address: q 7p_3/7 The Bu,ar(s)listed above hereby jointly antl a werelty agree to purchase Me goods and/or swr oea listed an die accompanying spedficatlon sheets,in accordance whit Me prices and terms described on the hone and the nn ams of this agreement and any specification areas(this'Agmemenr),and Buyer(s)have requested Ma sucin - goods or services be installed or provided at Buyer's addrees listed above.A&A SaMoes,Inc.('Contractor),hereby agrees to Install or cause to be installed Me products - or services listed In this Agreement at the Buyers)address women above.This Agreement represents a cash sale of goods and services. The Buyer(s)agree W pay in If Me wat of the goods and sa�s purchased as described_h in,regardless of Wnlr)g ar apprva y financing Buy may seek for their urchasa. ^� L�-L Q Purchase Pros: _ . Est.Starting Date: sss Down Payment:�-,,__, rfJ Est.Completion Date: p s�Y — Ti@ifl ,y, Amount Due an Start of Jab: .Check O Credit Cant. Amount due on of Completion: No. Amount Due on of Completion: Expiremon Data: Balance Due on Upon Completion: Zl� CVC Code: B Is agreed and understood by and between the pardea that this Agreement,front and back and any addendum,constitute the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement. Buyer(s)hereby acknowledge that Buyer(s)has read the front and the reverse of this Agreement and has received a completed,signed and dated copy of this Agreement,Including the two attached Notice of Cancellation forms,on the date first written above. Buyers)also (1)acknowledge that they were orally Informed of their right to cancel this transaction;and(II)request that they be contacted via their telephone numbers or a mall,as listed above,In the event Contractor believes Buyer(s)would be Interested in any additional quality products or services of Contractor. O NOT SIGN THIS CONTRACT IF R CONTAINS ANY BLANK SPACES. A&A Services,/ Buyer f By. Print Name Print Na /J SlgnalurlY- _ Ignat f `� Signature Print Name You,the Buyer(s),may cancel this transaction at any time prior te midnight of the third business day after the date of this transaction. See Me following Notice of Cancellation form for an explanation of this right • - ManRmT :TIce mnEev'br bm nM mmmawer n.eq miadH mme In WV0MB11w In nn aunlYmu pall'/INletllWim ap n49 Wneed.eltlw poly nmye�IN AGn aIyMpOm .pdvde emlHYan eaNY xfildl l,m seen Yploeelry Hr sewemwydms EYwwe onkedwwlma AnbmW ens merowlveH rive/WlgvhedmeubnHm - mali eNNbb,Y pwY In M.a.L c1ilA CwYecW mltie4' � auYsl NWeLL � �j Ala U,R: f//1vT NoN -QN ueYlbn ` Ab d T —4;2w. 'sal tl�a h'uuxW4 MHw,I YY PoIwImY a Ale at Tr)tiq, .You nW mvl T61rw�bn.w1tlbN YY Mw%w oEll6elmn.wlmin mree mY^M1vm tlro eOma Oae.XYa+venxl.wry w.WMUWeH m. oWOdM wmd Xvx bmlrim EaYe M1vm HreeEwa Oeu.nWnaiYl.em'PrcP.MoweC Xt YyY>nwnH mm.lw>m amMm.raY.dwsew.Weny MpPXeeb kleWmml.eealed nv lxwn�enu rape Wtw wewX»ewlo-.dwsel..Wern neooHeob bfXemmlY.Wed - eyyal»tXI»mmmW vmbtorye wkmW reallx Wvw s.Hwd>vur Ywxll.Ilm roll®, gyve.tee.remin.a..tmm tossya lmw.InHImIPI IH u.emrdymuwleron��, Went aeWHl„bra9 wl+NeMNme beneMM eYIIWmxx�IM.HWunreM.lw mlul vent OM eeulM lndWwlW9Mal me tlue lbn wlO Ge veaeHW.Hyw rawwl.pulmle mMe weYde blM9eEermyourmawu.MVGmntlely mpaOmiWbiYMwlwN.s1, mMe ereXWMmM SeMdyarlrN�i.bvbenNlly Ypwtl avblCm YwMIeYIM, wns'PWe eelHwW mree eWwHw wnesaws.b:wyeu mar.ntau wMn,mmgr•+m m. wv smW mHwedm>w WwHW epnea+w sd.;wyw,mer.uyW.hN.wewrwmin» - Llsew.lMe NtlN SBAa IpwEee Na noun eNgiMnldnN pYl5 dtlx 5elMn flmeiWW hbeWYMIe LI Ne aOYrlqudry me lamm Mlpnelll ollM HMt2f e1tlro 8elbn eryWWW ht X)w m meNe Hre War eveYade b tle Selbr W Hle Selbr Wes Y tlwn uP risk H Wu tlo make tln Boaaa avelle0le b Na Sam W W uellx Eeoa M W Ywm up wiNNAMye al Ne Oebdyuu Nob al Lew'Mbnon.pu mry releNw GpveofNW9oa]e +NMn AUeysgW WbdpvNOYred Luwllelbn,)w mwnWnalAepaYMHwp Me wNcd my NNw cOIgtlM.Xyw MlbmeMe me pnbmllaW mnw SMbr.wHlw qlx wNcul ury NltlwcGanmbn.HywbOto make NepnG evelleOb mHro SeMr.erHyau ylee mr.Mm nw awmmn.9elwWleHmWm.lronw Yn.m ueab ra peHamamedY aW adna aWerowaeowWr .. Y.Imnwafflor name ror Penntd. Y Wlbelbl,a Wertlre Lambe 1.To cwwelmbtruutlbn.meYaGYNareelHnoCWEeWImPI adbeWmuMerMfpNeq.Tomrvlgleewedm.mellarOWwrea4neEW Eam]wpy ' d tlb wiwllYrlvlbmury amar'mlXan mUce.weW abbyun.mAfA� dtte wmlldtn reWx went OHbrwNmen laM1e.avMamdgrem.mnthaavvs' `rH . NOM StrxL 9elein,NaveWllxM Ota]O,NOT UTERTWI MIONIGM OF NwM 5eM.5ebm,MCYatlwYN ABT1,NOi tATERTHAN MIpNIGHT OF_ model (Deb) - IHEREevLPNLELTNISTRNi 014. Lanett "gn Deb IHEREBYWNLELTASTRANSALnIXI. Convvna'e Sglumre W p �E wlhr+�wi A�PPnovEo eY ZiiE . Mon TDA:1!ElsY1leEwo � CITY OF SALEM c Vwrd mowunstum Y-.No Of _� eN GMUPU/on AlW Pemlk t0: BU LDW PERIET APPLICATION FOft Rod Ocis W**W er aPPIYI RopraMlRsplaoe,�MOUhar: CorhIUM Dank Shad. POOL PLEASE PNL OUr LEMLY A COYPI.ETELY TO AVOW DELAYS 0 mvuc Np TO THE "WOCTOR OF BWLDINOS: '. The endarsoW hereby omit for a Parmk to build a000rftlo ft.blwa rp Owners Name > / Address A Phone ��-1�` — Vt,�\\A a 1 Aroh Wft Name Address a Phone c Meohanios Name Address a Phone PU 0 o n t�S SCx x+�+�scoTf 17�/f 9 S rr�M rr wvo..a eurer,kr ww.w all I � N.erh.aiq,hor now sM,Mr�maos7 �,_ VAN ba4 oarosll ho Ir ? A�YeN Q1 0 00��� LIO�IM fJ a)t�um"• upmmmmt�� -W ,� T1fE PENALTY' DESOiWIDN of wo�Ic i0 EE OpNE opprAw MAIL PERW TO; - SONpO' r do d0103cWNl 03JNvue mnLrad o4 NOILV= / `^�'/•"�� �a 53,.,E ate,j u© QL JAWAM 0 UOd NOLLwJI lydr CITY OF SALEM, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR SALEM,MA 01970 TEL (978)745-9595 EXT. 380 FAx (978) 740-9846 STANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40, S34,I aclmowledge that as a condition of Building Permit# all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waste disposal facility, as defined by MGL c III,S 150A. The debris will be disposed of ar _(_j100 Oca.1 M TK C'')1= 1g !r �-o m V 2IcTT ")I , Location of Facility c/ -7 5' i Dat FULLY complete the following information: (PLEASE PRINT CLEARLY) -T�Ml2 S J Y'�o(ZY�wDO 5(l Name of Permit Applicant Firm Name,if any /CC-r /1'/11 , oi9o7 Address, City& State The above statute requires that debris from the demolition, renovation, rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL cM S 150A, and the building permits or licenses are to indicate the location of the facility. 3 The Commonwealth of Massachusetts Department of Industrial Accidents 1^I ,�� == grace o/launstlgatlons 600 Washington Street, 7rh Floor Boston,Mass. 011ll �5 Workers' Compensation Insurance Affidavit: Building/Plumbin Electrical Contractors w.,.,...�_... , fADntisant inform8fion.` _= �:� ' �."Fle�alse P[tlN�leeihly _ '� � r name c�/7 /� address: sP,Q o dolX 1�s city S6� /�, (CC) l- state: d�t,_A • zip: 0407 phone# work site location(full address) (O CU RdA R.0 f leg/..) 'Q,U 1'L ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel ❑ I am a sole proprietor and have no one working in any capacity. ❑Building Addition ❑ 1 am an employer providing workers' compensation for my employees working on this job _ company name: ,y .,�. address: ®tJ city' . ` p t insurance co ❑ I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: company name: address: City: -phone#: . ' - _� 4. ,en,�m I x sb""¢':;, v�os..p TYr n&1 Rb7,yya'" insurance co: t r= :. nzolic #. d'�,' ^ . + -x"` i ' § �e;� .. .Lsrr+ 4„ ,r'+� k,.- .'xtsr^ ' s. +b, ," tl r company name: ,` address:. city:. . `� + phone# 1'e'"+v"'�'"` insurance co. + . " "At�ach"sddiNonWs ee�tf peceavarv�"' .�.: *_ ...�; " , _•-: . ^_ . . "+ w:: -: . . �.� � `� Failure insecure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. t do hereby certify under the pains and penalties of perjur hat the information provided above is true and correct. Signatur: Date L —-fry She c Print name Phone# -78,1— official use only do not write in this area to be completed by city or town official city or town: permit/license a ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone N; ❑Olher IreviseG S.pi.Bnnl 1 co m ; S i ' N o= lyI7A=AAP4A TO 17812849310P . OI/01 e a,9Z q