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14 BENTLEY ST - BPA-16-1276 INTERIOR RENOVATIONS AILI, The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) n Building Pennit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) N 11 M 54c.Ctw. o1 P7v No.and Street 1 City/Town Zip Code Name of Building(if applicable) 1 SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building. Repair❑ 1 Alteration J Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes A No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No�W Brief Description of Proposed Work: 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): jgx Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) I Z (aT tv Total Area(sq.ft.)and Total Height(ft.) ^Z4k t SECTION 5:USE GROUP(Check as applicable) A. Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ AS❑ B: Business ❑ E: Educational ❑ j Fac F-1❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ ?.,InstiWtional 1-1❑ I-2❑ I-3❑ 1-4❑ M: Mercantile❑ R. Residential R-10 R-211L R-3❑ R-4 O `.St ora S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: 6 - ecial ,-1 SECTION 6:CONSTRUCTION TYPE(Check as applicable) o t IB ❑ IIA ❑ HB ❑ IRA ❑ IIIB ❑ IV ❑ 1 VA ❑ VB K SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) } Debris Removal: Ater StWly- Flood Zone Information: Sewage Disposal: Trench Pemdb t," A trench will not be Licensed Dis posal Site Cl „,cPublic%- Check if outside Flood ZoneIndicate municipal Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable K Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes O or No if Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: 34% Use Group(s):�L _ Type of Construction:_ Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: • t^t (= f R.1��' 15�5w SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Propertyner y"'V IV �7 i/VLd/y ,?ra S Name(Print) No.and Street City/Town Zip Property Owner Contact Information ��.r\10i � 3S8 2� � �sZv "ice �a,t z © l�-��s t Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property ownei s behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 13 and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control s� B -4�-��r �!'t�� Not:s uw�w.•.. Gold Name(Registrant) S T leepphone No. e-mail address Registration Number treet Address City/Tokn State Zip Discipline Expiration Date 102 General Contractor Com any Name _ Name of Person Responsible for Construction License No. and Type if Applicable 36� G��pcy r1e 2a� �a� hw � AAA of Street Address City/Town State Zip W OV 001 �M_VC CiVY}- 12,ox /G ram- rorscs-k 6�4 Telephone No.(business) Telephone No. cell e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT 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 fl No O SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Item and Materials) Total Construction Cost(from Item 6)_$ , 1.Building $ Cf 00 0 Building Permit Fee=Total Construction Cost x_(Insert here 2.Electrical $ 'o0 0 appropriate municipal factor)_$ 3.Plumbing $ ] S ct,0 4.Mechanical (HVAC) $ 0. Note:Minimum fee=$ ,% (contact municipality) 5.Mechanical Other $ jD 06-3 Enclose check payable to 6.Total Cost $ 00(7 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereb der the pains and penalties of perjury that all of the information contained in this application is true and accur a best of y kno�/ge and understanding. �r y — yZD S %I 2i D16 Please print and sign name Title Telephone No. Date Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date Siemasko+Verbridge Architecture Interior Design Landscape Design ht IV Decorating 126 Dodge Street Beverly, Massachusetts 01915 t:978.927.3745 f:978.927.6365 svdesign.com Code Study Project: 4 Family Renovation Location: 14 Bentley,Salem, MA 01970 Date: November 2, 2016 Prepared By: Brian Stein PRELIMINARY CODE REVIEW: Use Group: R-2 Construction Type: 5B 2009 IEBC Chapter 1 101.5—Compliance methods allow use of 101.5.1—Prescriptive Compliance Method 101.5.1—Prescriptive Compliance Method requires compliance with Chapter 3 Chapter 3 301.2.1 allows use of existing materials if not dangerous to life, health or public safety. 301.2.2 requires new materials to comply with new code requirements. 303.1 requires alterations to comply with code for new construction,except for stair slope and handrail requirements. 303.3 requires reinforcement of structural members if load on them increases by 5% 303.6 means of egress are not required to conform to egress width factors of 1005.1. Minimum egress widths for the components of the means of egress shall be based on the building code under which the building was constructed or based on the opinion of the code official if they do not constitute a distinct hazard to life. 306.1 All glass replaced will conform to requirements for new code. Per 303.1, Prescriptive method requires new work to comply with code for new construction, from 2009 IBC with Massachusetts Amendments: