40 CHESTNUT ST - BUILDING PERMIT APP (003) ClC-;q- 15—
The C'unu»umvealfh of Mussachuxi's
W� JJ yl i� Board of Building Regulations and SLmdards C1'FY OF
Nlassacht's0ts State Building Code, 780 CNIR SALEM
L Revived Ilw
Building Permit Application To Construct. Repair, Renovate Or Dy rnitlish a
Uue-or Tnv-Fumih Du ellittq� 7 1
This Sectin Fur( isio ate Use On
Building Permit Number. Applied: _ t r _
�° as i
Building Official(Print Mune) Signature Uate
SECTION 1:SITE INFORNIATION
1.1 Property Address: 1.2 Assessors Nlap dlt Parcel Numbers
1/0 St
1.1 a Is this an acce ted street?yes no Map Nunther Purcel Ntunher
1.3 Zoning Information, 1.4 Property Dimensions:
Qru ,oPv�fa( !VIA -? S� Ft S' t
Zoning District I'mPoscd Use Lot Area(sq 11) Frontage(11)
1.5 Building Setbacks(R)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.I.c.40,§Sq) 1.7 Flood Zone Information: 1.8 Sewage/DJspatial System:
Public m Privatc❑ Zane: _ Outside Flood Z e Municipal®On site disposal I
Check if yes4Y P posal s -stem ❑
SECTION1: PROPERTYOWNERSHIPt
2.1 Ownert of Recor : Syr
Mane I Prm11 City.State.ZIP
_ ZQ SF 9 8-�fo rasa
Nu.and Street -relephune Email Address
SECTION J: DESCRIPTION OF PROPOSED WORK`(check all that apply)
New Construction CIT Existing Building❑ Owner-Occupied ❑ Repairs(s) Alteration(s) ❑ Addition ❑
Demolition ❑ 1 Accessory Bldg.❑ Number of Units_ Other ❑ Spcciry:
Brief Descriptio ofropose Proposed Work-:
qq U
Cvt bc�
SECTION J: ESTINIATED CONSTRUCTION COSTS
Itcm Estimated Costs:
f Labor and Materials) 0mcial Use Only
I. Building S I. Building Permit Fee: S Indicate how fee is detennined:
' Fleurical S ❑Standard CityiTown Application Fee
❑Total Project C ost'I Item 6)x x
multiplier _
l ?. Plumhing S ,. Other Fees: S P
J. \Icchanic.d III\ \(•) S List:
`. Mcol:micA (Fire .
Suttressionl S Total .,inFees: S_
o. Total Project Cost: S Ch ('h
fleck No, _ eck Amount . —cash \nnnutl:
❑ Paid in Fu11 ❑Outsumding llahuicc Due:
S l� v
13 ) �1a."� 4-o �oQavnQ �
SECTIONS: C'ONS'I-RUcr10NSF.RVIC'F.S
.,I C'unslructiun Supcnisor License l('St.) Q J_ L'� 11
.. _ _ L'4A�nJ-.. I icense Numher fy ir;ail Dane
Name ol'CSI. I lulder
I1'^I I ist CSI. I)Pe Isee hclael-____..__—_
--- --rv��' _�U._._ .1__ '-----...--'-- .1.)Pe Description
No. , J Sueet�
D UivestrlctcJ I builJin s ti to iS.11llt)ea Il.l
R RntrielcJ Lr1 Tamil- Dttelliu
' Cil�ilnt�n.`Iola.�'.II �I llaiun
RC Rtlolin Cocain
,S Window and Soling
SP Solid fuel burning Appliances
jkM I Insulation
'I'cle hone4T 7qPnlail addres D Demolition
5.22 Registered Ilume Improvement Contractor IHIC)
„`uf/'L2+ SUiII'c - hicife l014f 54a
44i 1�7 IIICRegistratiunNumlrcr E.NpiratiunUutc
III 'Cnmpun Name or I IIC I(Vgisfranl Name �e/lG'C�%^�.fy(ClllLrY
J
No. and S�¢l Email aJ ss
City/Town.State,ZIP rele hone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. 1 2SC(6))
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 ..........x No...........0
SECTION 7s:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1,as Owner of the subject property,hereby authorize Blert 01611 "tmx`/
to act o y be in al s relative to wort thorized by this building permit appli ation.
"'7
Print Uss c s Nat (Etc truntc Signature) DJle
S CTION 71a:OWNER' 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 accurate to the best of my knowledge and understanding.
,a -e -';�q A -
I'rim Oener's ur Autht IreJ,\gent'. nnw I I.lectrunw Signature) Data
NOTES:
7hensubstantilal
\vho oblains a building permit to do his.her own work,or an owner who hires an unregistered contractor
ered in the Hume Improvement Cuntractor i HIC) Program),will nu have access to the arbitration
r guaranty fund under I.G.L. c. l4_'A.Other important information on the HIC Program can be found at
. n vi Information on the Construction Supervisor License can be found at tttt,s nistantial work is planned, provide the information below:
Isq. R.) - _--_-._(including garage, finished basement attics.decks or porch)
(Iro,s living area lsy. It ___.. Habitable room count
I \uniherof fireplaces .-.. _ Numberul'hcdrooms
Nlnnher of hmhrooms \umber of half halls
I\pc of heating s)aem \unlhcr of Jccks• po �hes
- I�nclo;ed ttpeo
� 1 t pe OI it+01111L it>telil . ..
i
1, "f.6d I'rojstit SquatC Puntagc"nt;q he vohstinucd lilr-I'olal Project Cost"
EXISTING PORTICO NOT SHOWN
FOR CLARITY, TEMPORARILY
SHORE OR REMOVE & REPLACE
2 WALL SECTION TO BE REPLACED, PROVIDE
5KS-2 LUMP SUM FOR 15'-0'" SECTION, PROVIDE
PER FOOT UNIT PRICE FOR AOD'L WORK
THAT MAY BE REO'D FOLLOWING DEMOLITION
EXISTING WALL 70 REMAIN, TOOTH- EXISTING WALL TO REMAIN, TOOTH—
IN NEW WORK TO EXISTING IN NEW WORK TO EXISTING
FINDICATESPAN OF EXIST.
LOOR FRAMING r
LEGEND
- OR (E) - INDICATES EXISTING
STRUCTURE
OR (N) - INDICATES NEW
STRUCTURE
- INDICATES EXIST.
STONE FDN
CHESTNUT STREET
Structures North
CONSULTING ENGINEER$INC.
JOB NAME. 40 Chestnut Street, Salem, MA
60UreddOW&SN7G4G7
6GIiG,L1A0167a8617 DRAWN BY: GMN SCALE: "=1'-0" DATE: 1/27/2012
TOM746AIT I FIRM746b0E7
" AbuchpB&fwu1i°° Reference plan SKS-1
FOLLOWING EXCAVATION, VERIFY
LEADERODiWN .@IREPAIRFREO'D MOLD SHORING DOWN FROM EXISTING
�{FRAMING, PROVIDE 'KEEPERS'AS REOT
NEEDLEITO PREVENT LATERAL MOVEMENT
SHORING TYPE EXISTING BRICK WALL �'!�!'I NEEDLE-TYPE SHORING <
i0 REMAIN
RE-BUILD WALL, RE-USE _
— — —— EXIST. BRICK WHEN PoSSIBLE
FINISH GRADE, PROVIDE —
SUPPORT EA ENO OF NEEDLES WBH SLOPE AWAY FROM BLDG SUPPORT EA ENO OF
CRIBBING OR TEMPORARY FOOTINGS FILTER FABRIC OVER REINFORCED SOIL NEEDLES WRY CRIBBING
MASS, OVERLAP BACKFILL SOIL
OR TEMPORARY FOOTINGS
3-EQUALLY SPACED CEOGRA SOIL REINFORCEMENT, GRAPE TOP OF B4CKFiLL
4-4' MIN. LENGTH BEYOND WALL. PROVIDE PRODUCT SOIL W/ FILTER FABRIC
SUBMITTAL FOR APPROVAL PRIOR TO ORDERING °
O
BACKFILL SOIL RE-BUILD EXISTING WALL, RE-USE
p ORIGINAL STONE, SEE SPECS FOR
— � STONE & MORTAR REQUIREMENTS
EMBED GEOGRID IN STONE
g (7REEIINSFORCED SOIL O JOINTS,
HOLD- ACK 3 FROM
INTERIOR FACE OF WALL
CRETVNED SOIL NEW/INFILL SECTIONS SHALL
O EXTEND A MINIMUM OF 8"
BELOW TDP OF SLAB
9 CUT BACK SLAB & PATCH W/
NEW 4' MIN. DOING, SLAB REINF.
O O W/ 6x6 W2.1/W2.1 W.W.F.
4' PERR PVC FND. DRAIN, 4-6° CRUSHED STONE
VENTED TO DRYWEU .01% 15—MIL MEMBRANE
12' CRUSHED I O O VAPOR BARRIER
STONE D FILTER FABRIC SURROUN T,0.5.�
FILTER FABRIC •eB dJp O O •;fro e,y
b 0
6' COMPACTED BASE MATERIAL
(MAY BE SAME AS SACKFILL SOIL)
30' MIN. WIDTH ® BASE. VERIFY EXIST. UNDISTURBED INORGANIC MATERIAL
WALL THICKNESS & NOTIFY ENGINEER TSF BRG. CAPACITY
FOR FURTHER 01RECTION (CONTPACTOR VERIFY)
vo ®®® TION WALL REPLACEMENT SECTION
Structures North 94
UNDA
CONSULT INO ENGINEERS.INC
JOB NAME: 40 Chestnut Street, Salem, MA
60 WasNbrm 3L,Belle 401
SSIM MA.019T03 I, DRAWN BY: GMN SCALE: NiS DATE: 1/27/2012
T 81 LT468817 1 F 9W468067
WYVOB m" Wall section SKS-2
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: McIntire
Address of Property: 40 Chestnut St
Name of Record Owner: Jeffrey P. Beale
Description of Work Proposed:
Rebuild foundation under back yard porch to replicate existing. No changes in color, material, design, location
or outward appearance. Non-applicable due to being in kind maintenance/replacement.
Dated: March 1, 2012 SALEM TORIC MMISSION
By:
The homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.