Loading...
0013 - 0021 COUSINS STREET - BUILD 5 UNITS, PER BOAr �S 2©u y CK IzI? 4y� ,. RICHARD W. GRIFFIN ARCHITECT' 37 Turner Street,Salem,MA 01970 Tel.(978)740-9979 Fax.(978)740-2352 13-21 Cousins Street Code Review Building Type: 3B — Masonry Bearing Wall, unprotected Fully Sprinklered per NFPA 13 Use Group R3 — Residential multiple single family Area Tabulation Table 503 Base Allowable Area = 9600 sf Base Allowable Height = 3 stories (35' per Salem zoning) Area Increase for sprinkler = + 9600 sf Area Increase for access + 50%(x2)= +100% = + 9600 sf Height Increase for Sprinkler = + 1 story (20') Actual Area 1 st Floor = 4800 sf Actual Height = 32'-6" Tenant Separations with full sprinkler: 1 hour Provide fire-caulking and fire wool per UL rated specifications at all pipe and wire penetrations in demising walls. OF SALEM. MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR a gp SALEM,MA 01970 s TEL. (978)745-9595 ExT. 380 a FAx (978) 740-9846 STANLEY J. USOVICZ, JR. MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40,S34,I acknowledge 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,S150A. The debris will be disposed of at: 0' �n �) Location of Facility Signature of Permit Applicant Date FULLY complete the following information: (PLEASE PRINT CLEARLY) F(f"I) o Ceske ) Name of Permit Applicant Firm Name,if any 77 CPx,,ffAI Address, City & State e demolition,renovation,rehab or other fatale r n, The above s requires that debris from th 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. COMMOr1WtAk 01.Mf aseacL6ett6 - iJeparlmanl 0/J al/iGL �7CCi6/tAb F ��//600Wm�ii ylo Siegel f,.) James J.Cammes A. , /f/asaaeL.Us 02111 commrssiorw Workers' Compensation Insurance Affidavit with-a principal place of business at: . - lotrraot✓tar) do hereby certify under the pains and penalties of perjury, that: O 1 am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Number X, I am a sole proprietor and have no one working for me in any capacity. () 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation policies: Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor Insurance Company/Policy Number 0 1 am a homeowner performing all the work myself. I unoerxana wt a copy of tid,wtement WR be fora aroed w the Ofrce el Ittvesdgatwnt of the DIA for coverage v"W"don ana INt fabst to teeure covefart as«puvea unaer Section 25A of HGL 152 on lead w the i 4p Tian of erirri",at"d s cor-mint of a line of uo w41.5-0OJ70 and/or am yeari inaruan t at.xu at civil ""ides in the form of a ';TO P WORK ORDER ana a fine of S 100.00 a On aPiot me. Signed this , 21 day of icensee/PerTrlitcee Building Depa recent Licensing Board Seieczmens Office Health Department TO VERIFY COVERAGE INFORMATION CALL: 517-727-4900 X403, 404, 405, 409, 375 *-n4ft�o -1&11 IttfST-9E fiL{-� APPROVE-D BY T44E W5P XTDR .PRWR TP A_PERMIT BEING GRANTED CITY OF SALEM OMIT C/ N 7S Date %e 2� ✓�b 1 d LEA !o s. x �s Is P��y Located In Location of the Historic District? Yes_No Building 13 6)j)jn) St- Is Property Located in q 1 the Conservation Area? Yes_No Gts (P3�1 BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, I/ Repair/Replace, they: fur/� S Tov ,,( ,r� �.aA) PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: n�7 Owner's Name Address & Phone Architect's Name P;CW Jr. �h � // Address & Phone 37 7y/nPi St ,S/41-1 Mechanics Name Ermrdj �nne,-_> / / Address & Phone h 4� ,, St- 1 PA /ti (TV )S ?.2 - 321-16 What is the purpose of building? ��3ic�naA Material of building? t3 r,-c I /J tn/gA) If a dwelling, for how many families? S Will building conform to law? IeJ _Asbestos?_NO r, Estimated cost /5� 0 City License# N A State License # 5 ~/ 9-2 S@ t Home Improvement Lic. i 13S-11 U qq� ignature of Ap 'cant SIGNED UNDER THE PENALTY j Zp u��•s �� s>= OF PERJURY DESCRIPTION OF WORK /TO BE DONE S �.. 7vJ�inl �c :cSC Lam, EA ,p MAIL PERMIT TO: Z O7c � J 13ro-1P 1 �cr,l fi�Ic fvh 5 7 6cl�ri'r91 S� P�Gba�r �A o156a -7 � 7 (o -- -1 7 No. 7!.j , APPLICATION FOR PERmrr To 1 IL /�` LOCATION PERMIT GRANTED 19 APPROVED INSPECTOR OF BUILDINGS v 0 0 0 0 eU_ / 0 V