17 BARTON ST - BPA-11-762 ADDITION W/ BEDR & BATH ,
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� The Commomvealth of Massachusetts CITY
��� Board of Building Regulations and Standards
�t�� � Massachusetts State Building Code,780 CMR,7'"edition OF SALEM
Revlsed Janua�y
Building Permit Application To Constr ct,Repair,Renovate Or Demolish a �, Z��$
- n or Tivo-F mily Dwelling
� . his Sec[' n For Official Use Only
1� Building Permit Num er. Date Applied:
��' ,�r,.�/1 l -
,^ SignaNre:
�I Buildin missionedlnsp , uildings Date�
ECTION t:SITE INFORMATION
� 1.1�P:apertyAddress:�-^""_;�,;.. c-- ' 1.2AssessorsMap&ParcelNumbers ^
\�-1� f�t^�i?�`zCl ��
l.la Is this an accepted s[ree[?yes_ no Map Number Pareel Number
1.3 Zoning Intormation: 1.4 Property Dimensions: �
"Loning Disirict Proposed Use Lot Area(sq ft) Frontage(ft)
� 1.5 Buildiog Setbacks(R)
Fmnt Yard Side Yards�. Rear Yard
Required Pravided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
7one: _ OuLside Fluod Zone? Municipal� On site disposal system ❑
. Public❑ Private❑ Check ifyes�
. SECTION 2: PROPERTY OWNERSHIP�
2.1 Owner'of Record: � -
��+�� � Oilile� � �1 ���('�fl �`'�
Name(Print) Address for Service:
p�,��' C' �9t�.,�.�L R`I�s `l�-1u - �SUR
Signature 7'elephone
SECTION 3:DESCRIPTION OF PROPOSED WORK�(check ali that apply)
New Conshuction❑ Exis[ing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition G� �
Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed WorkZ: Q��i�c� G `l�� X_�L'`,�Aca[�i� ��
n _ � .,_- -- w��r> 0.��^RC�YSM
�r
SECT[ON 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item Labor and Materials
1.Building P� 7� b� L Buiiding Permit Fee:$ Indicate how fee is determined:
�� ❑Standard Ciry/Town Application Fee
2.Electrical $ ❑Total Project Cost�(Item 6)x multiplier x
3.Plumbing $ 5,� G� 2. Other Fees: $
4.Mechanical (HVAC) $ �76 Lisr.
.�--
� 5.Mechanical (Fire $ To[al All Fees:$
� Su ression -
Check No. Check Amount: Cash Amount:
6.To[al Project Cost: $ ��O� ❑paid in FuII ❑Outstanding Balance Due:
gy' ��12�a1//1/iS,IZ-
� SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Constraction Sapervisor(CSL)
License Number Expirntion Date
Name of CSL-Holder List CSL Type(see below) �
Address T Descri tion
U UnresVicted u to 35,000 Cu.Ft
R Restricted I&2 Famil Dwellin
Signature M Meso Onl
- RC Residential Roofin Coverin
Telephone WS Residential Window and Sidin
SF Residential Solid Fuel Bumin A liance Installation
D Residentiat Demolition
SZ Re�stered Home Im,�rovemeot Contractor(HIC)
��CCE'�Q1`��n ��O (t��
HIC Company Name or HIC�Reg s,t�t Name Registration Number
�i-� �rCj��u�\�� 1'��(�(�'e
Addre
(�2t.(�'�_�(e"'"��j Ex irati n Date
' � r Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.C.L.c. 152.§ 25C(6))
Workers Compensation Inswance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will resuk in the denial of tfie Issuance of the building permit.
Sig�ed Affidavit Attached? Yes .......... ❑ No...........❑
SECTION 7a: OWNER AiJTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACfOR APPLIES FOR BUII.DING PERMIT
I, J�ne V . � � CQ�ne I 1 , as Owner of the subject property hereby
authorize to act on my behalf,in all matters
celative to work authorized by this building permit application.
� G'�rn�� �-2�5� � I
Si a of Owner Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
1, .J Qne V� � CC�nne I I ,as Owner or Authorized Ageut hereby declare
that the statements and information on the foregoing application are We and accurate,to the best of my laiowledge and
be�alf. i
e V � � Cc�',(�¢ � \
PnntName ��/✓�/ O/�3 _ '� u' \G ' I 1 .
C.fS�'N" 1 <l J
� Signature oE er or Authorized Agent Date
� Si ed under the 'ns and enalties of �
NOTES•
1. An Owner who obtains a building pemvt to do his/her own work,or an owner who hires an unregistered coniractor
(not registered in the Home Improvement Contrac[or(I IIC)Program),will not have access to the arbilration
progrun or guaranty fimd under M.G.L.c. 142A.Other importa�t infoemation on ihe HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.R6 and I 10.R5,respectively.
2. When substan6al work is planned,provide the infacmation below:
Total floois azea(Sq.Ft.) (mclud'mg garage,finished basemenUattics,decks or porch)
Gross living area(Sq.Ft.) Habitable room count
Number of fire�places Number of badrooms
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 CosP'
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I I I I . OJER NAILIN6 FIN ALON6 I I I I , FGL11N/IN6 MANI.FALIURER"S
I I I I HEAD & OVF_R VYGOR I I I . INSTRUGT.IONS ARG'UND WINDOVd
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V GENERAL NOTES ' � �-. . ��
"' IT IS THE RESPONSIBIUIY OF THE GENERAL CONTRACTOR TO VERFlY ALL WINDOW AND DOOR OPENINGS 6.Wood Preservotive Treatment:
WITH THE MANUFACTURERS SHOP DRAWINGS AND TO REVIEW THE CONSTRUCTION DOCUMENTS. a.Pressure type: Lumber for use as wood blockings, nailers, and similar items, at roofs and in direct
ALL DESCREPANCIES SHALL BE BROUGHT TO THE ARCHITECTS ATfENTiON PRIOR TO CONSTRUCTION. contact with concrete foundation walls, or concrete slabs-on-grade, beams, posts, and framing for
COORDINATION OF THE SITE CONDITIONS IS THE RESPONSIBILTY OF THE GENERAL CONTRACTOR. exterior decks, stair platforms, and floors shall be pressure treated with a non-toxic salt wood
preservative conforming to AWPA P5 and Fed. Spec. Ti-W-535, Type 8, applied in a closed cylinder
by vacuum process, full cell method in strict accordonce with the AWPA C2 and Fed. Spec. TT-W-
1.01 Interpretation of Construction Documents. 571. Retention shall be at least 0.40 Ib. of dry salts per cubic foot of wood. Supply Certificate of
Treatment to Owner. Treated wood shall be redried before installation and all field cuts shall be brush-
1.The intent of these construction documents is to give the tradesperson enough information to perform a treated with the preservotive materiul. Alternate: Chromated copper arsenate - A$TM D 1625.
complete job. In each section the Generai Controctor and Subcontractors are responsible for providing b.Under no circumstances shall creosote preservatives be used.
ali labor, materials, o�d equipment to perform the fuil work in a complete and craftsmanlike manner. If 7.Provide all rough hardware required for ord.inury framing work and to attach this work in a secure and
additionbl clarification is required to describe the scope of work, it is the responsibility of the General rigid manner to existing work and ta work of this and other Sections, including oll hangers,. straps,
Contractor to contact the Architect prior to submitting bids. framing anchors, boits, lag bolts, screws, wushers, nuts, noils, and other rough hardware. Assist. other
2.It is the responsibility of the Subcontractor to familiarize themselves with the site s existing conditions trodes os,necessary in the placement of inse�ts ond anchor bolts in concrete and fumish full instructions
prior to submitting bids, regurding locations; sizes, and other requirements of the items in order that they may prope�ly prepore
3.The materiols, products ond equipment described in the Construction Documents establish a standard of their work to receive same. Nailing shall be in accordance with hardware manufacturer s mstructions,
' function, dimension, appearance and quality to be met and used as guides when cansidering proposed appiicable building codes, and as indicated on �rawings. Rough hardware shail comply in all respects
substitutions. with the goveming laws and codes. '
4.NI Proposqls which include substitutions shall also fully describe the substitution including drawings, S.Rough hardware items for use at roof biocking, edgings, noilers, and other exterior uses, and items to be
cuts, performance aod test data, and any other informvtion necessary for an evaluotion. A statement exposed in the finished interior work, shall be hot-dip galvanized steel, or stainless steel, as indicated or
setting forth ony chanqes in other materials, equipment, ar othec work that incorporation of the as reviewed by the Architect. 6alvanizing shall canform to ASTM A 153. Conceoled interior nails
substitution would require, shall be induded. shall be bright. Other concealed items shall be of appropriate type and of proper capacity and size as
required for each specific application.
2.01 Materials - Structurol Wood Notes
1.Lumber shall be of sound stock, new, straight, of consistent size, free of stains and miidew, nnd kiln-
dried to a moisture content of not more thgn 19 per cent. Where exposed or semi-exposed, wood CONCREfE ANO EARTHWORK NOTES
members shall be selected for best possible appearance from the grode of stock specified.
2. Lumber shall be surfaced four sides (S4S) and shall bear the grdde and trodemurk of the association
, under whose rules it was produced, and a mark of mili identification. t. Bottom of each exterior footing shail be a minimum of four (4) feet below finish grade.
3. Lumher shall be fumished in longest practical lengths with respect to each intended use, and single
length pieces shali be used wherever possible. 2.The bottom surfdce of each footinq shall rest on undisturbed soii, having a minimum allowable bearing
; � 4.Plywood shall confonn to USDC PS i and A-PA Ref. L value of two tons per square foot (2.00 tsf).
S.Generol Carpentry Material Schedule: -
, 3.No backfill shall be placed ogainSt foundation walls retaining earth unless walls dre sufficiently braced
{ ITEM GRADE SPECIES to prevent movement or structural damage.
� Structural joists, No. 2 with "Fb° of Hem-Fr ar
,{ rafters, studs, 1,000 psi or better Spruce-Pine-Fir 4.Provide three inches of washed pea stone and a six (6) �I polyethelene vapor barrier at crawl space.
plotes
't� 5.NI concrete shall have a compressive strength of at least 3,000 psi at 28 days.
Posts, salid beams, No. 1 ond better Hem-Fr or '
i f+ and built-up beams Spruce-Pine-Flr 6.All reinforcing bars shall be ASTM-A615, grade 60.
� .
� • Sills in contact with No. 2 and better, Southern Pine 7.Clear concrete protection for reinforcing:
� " _, c�ncrete or masonry , a. Concrete poured against earth, 3�
- � , b. Concrete exposed to earth or weather, 2�
Non=structural lumber Stondard or No. 2 Hem-Fir or
� '; ,i less than 2 inches and better Spruce-Pine-Fr 8.Maximum slump shall be fou� (4) inches.
t , �nominal thickness
, 9.Concrete shall have four (4%) percent air entrained, and shall conform to ASTM c94..
�� ./ Plywood Subflooring, APA-rated STURD-I- Group 1 Species
i ` � �' Interior FLOOR, Exposure 1, 10.For placing concrete and reinforcing refer to "Building Code Requirements for Reinforced Concrete" .
'r ' r . tongue und groove ACI 318-83.
� , • - edges, sonded face
f ' �- at resilient flooring 11.Details not shown on drawings shall be in accordance with the ACI detailing manual 315- 74.
Y-
j4 Plywood dec ng, APA roted STURD-1- Group I Species 12.A11 structural fill shall consist of ciean, granular moterial, and shall be free of debris, fines organic
FLOOR, Exterior, matter or deleterious materials. The fill shall be compacted to 95% modified proctor density.
j ^' ` tongue and groove 26'-0`
. edges
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