131 DERBY ST - BPA-10-816 BUILD ROOF DECK The Commonwealth of Massachusetts
rVJ CITY
Board of Building Regulations and Standards
OF SALEM
Massachusetts State Building Code, 780 CMR, 7°edition
Revised Junnur
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Furndv Dwelling
This Section For Official Use Only
Building Permit Numb er• Date Applied: 45 t 13, 1a
Signature: Z)
Building turnmissione tinsol6cior of Buildings Date
SECTION 1:SITE INFORMATION
1.1 Pro erty Addre / 1.2 Assessors Map& Parcel Numbers
ZIV17- 7
I.1a Is this an accepted street?yeses no Map Number Parcel Number
1.3 Zoning Information: IA Property Dimensions:
Zoning District Proposed Use Lot Area(sq R) Frontage(it)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone?
Public❑ Private❑ Check if es❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
y �2 caner'of Record• r
Vn;vT 114PCeo i1_41D �B rfi
`\ Name(Pri t Address for Se ice:
�9Tx13G.6 - BszhL
n ure �Ylep e
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Buildin Owner-Occupied W I Repairs(s) ❑ 1 Alteration(s)A I Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units 2 Other ❑ Specify:
Brief Description of Proposed Work':
rr/rd �a� F�tc Per{ P`�s
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Omclol Use Only
Labor and Materials
I. Building S I. Building Permit Fee: S Indicate how fee is determined:
❑Standard City/Town Application Fee
2.Electrical $ ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing is 2. Other Fees: S
4. Mechanical (HVAC) S List:
5. Mechanical (Fire S
Suppression) Total All Fees: S
Check No. Check Amount: Cash
6. Total Project Cost: S )I l(W 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
License Number Expiration Date
Name of CSI.• I[older List CSL Type(see below)
type Description
Address U Unrestricted(up to 35.000 Cu.Ft.
R Restricted 1&2 Family Dwelling
Signature M Masonry Only
RC Residential Roofing Coverin
felephone WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
D Residential Demolition
5.2 Registered Home Improvement Contractor(HIC)
I IIC Company Name or HIC Registrant Name Registration Number
Address Expiration Date
Signature Telephone
SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. 152.§ 25C(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 ..........0 No...........O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1 as Owner of the subject property hereby
authorize to act on my behalf,in all matters
relative to work authorized by this building permit application.
Si atureofOwner Date
SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
as Owner or Authorized Agent hereby declare
X that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and
beh
„— et/14
print N _ `�� ✓_/3�I3
ignat of( er uthorized Agent Date
Si ned un er the sins and penalties of 'u
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will_W have access to the arbitration
program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and 110.115.respectively.
2 When substantial work is planned,provide the information below:
Total floors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch)
Gross living area(Sq. Ft.) Habitable room count
Number of fireplaces Number of bedrooms
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 Cost"
2-2x12 P.T.
NEW '1 x 10.79 L -Ft 6x6 P.T.
PIPE dOLUMN POST
2-ROWS OF
2x12 P.T. BRIDGING I I
I I I
RD- I U I
1210 0
+1 I D-
I iD I 1210
I � I
I I 5 114" x 14' P.T.
I x I 6x6 P.T. PARALLAM
I cv I POST WOOD BEAM
m NEW4fx10.79Lb-Ft
Q PIPE COLUMN I
3
G
EXISTING
ROOF
Cr
2x12 P.T.
x RIM JOI T
I I
h I I 6x6 P.T.
POST
2-2x12 P.T.
NEW 4'1 x 10.79 Lb-Ft
PIPE COLUMN A PLATFORM
AND STEPS
TO DECK III OF
DN ��' ALAN A.
�9y�
c VITUKEVICH
STRUCTURAL
,o ,y No.25382 a Q
DECK FRAMING PLAN 90,`FFO/STEQ�
3/16'=P-0'
NAVARRO RESIDENCE ABERJONA ENGINEERING RENOVATION INC. DATE: 5/12/10
RAL STII= DESIG PN N ESIIOATON OVATION RESTORATON
131 DERBY STREET (REAR) SALEM, MA 01970 ONE MOUNT VERNON STREET TEL 781.729.6188 JOB # 06211.01
P.O.BOX 2I5 FAX 781729.7960
DWG WINCHESTER,MA 01890
DRAWN BY RACSCALE: NOTED SK-51210A
WOOD POST a 4'-0" O.C. MAX.
SEE RD-2 FOR DETAILS
DECKING
-b -
0 2x12 a 16' �
SIDE PLATEPLATE SON H1 TIES a 16'
7x10x1/4 W/
4-5/8'1 GALV. GALV. THRU-BOLTS
BOLTS P.T. PARALLAM
1 1/2'
4"
1 1/2"
;L5
CAP PLATE
6 1/2x1/2x12
I I r
(� EXIST. 2x8 JOISTS
I I
4'4 PIPE BASE PLATE
COLUMN 5x1/2x12 W/
4-3/4W6" LAGS
EXIST. WOOD BEAM
2 1/2"
�ytN UP Mq
COLUMN BELO o�� ALAN Ay�m
WOOD OR PIPE ITUKEVI.H
SECTION RD-1 " STRUCTURAL
.� �N9.2s 2 0 �.
90,1. FQi31EP�\��4,
d
NAVARRO RESIDENCE ABERJONA ENGINEERING INC. DATE: 5/12/10
STRUCTIWAL DESIGN PNES MON RENOVATION RESTORATON /
131 DERBY STREET (REAR) SALEM, MA 01970 ONE MOUNT VERNON STREET TEL 781.729.6188 j JOB # 0621101
P.O.BOX 215 FAX 781.729.7960
WINCHESTER,MA 01890
DRAWN BY: RAC SCALE: NOTED SK-51210B
L Al-
WOOD POST
a 4'-0" O.C. MAX. i 2x12 P.T.
5
BALLUSTER AND RAILS L70 CLIP
cc
MAY BE PREFAB. N
DECKING --- - N
GALY.
Y - o- Y THRU-BOLTS
2x12 16' P.T. _ 4x4 P.T. POST
WITH 2x
2x12 P.T. 2x12 P.T. BLOCKING
--� 2x12 P.T.
RIM JOIST SECTION Y-Y
SIMPSON H1 TIES m 16' I SCALE- 1 1/2" = 1'-0'
I
3-1/2"1 GALV.
THRU-BOLTS
5 1/4x14 P.T. PSL
6x6 P.T. STUB
POST W/ 2-L50
CLIPS BASE
EXIST. 2x8
REINFORCED
ADD 2x8 tN OFA.f, _
BLOCKING a POST ALAN
3-2x8 P.T. o VITUKEVICH
8" WALL STRUCTURAL
SECTION RD-2 qF o.25382`Q �Q
O.t. Q�STEP �Q.
1 1/2" = 1'-0'
NAVARRO RESIDENCE ABERJONA ENGINEERING INC. DATE: 5/12/10
SRiUCIURAL DES PNESTIOATON RENOVATION R TORA7E�l
131 DERBY STREET (REAR) SALEM, MA 01970 ONE MOUNT VERNON STREET TEL 761729.6166 JOB # 06211.01
P.O.BOX 215 FAX 781.729.7960
DWG VANCHESTER,MA 01M
DRAWN BY RAC SCALE NOTED SK-51210C
CITY OF SALEM
PUBLIC PROPRERTY
�- DEPARTMENT
11t:�'++111\I.nLV Si tt'T 0)•111\I,
ffl:'/,ry-N4')i9s 1'vt:'I7t1.7JS'18JA
Construction Debris Disposal Affidavit
(required lur all denwlition aid rcnovatiun work)
in accordance with the sixth edition of the State Building Code, 780 CMR section 111.5
Debris, and the provisions of MGL c 40. S 54;
Building Permit p is issued with the condition that the debris resulting from
this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
l 11. S 150A.
The debris will be/transported by:
Inarne of hauler)
The debris will be disposed of in
(nwnt of facility) .
(addm+J of facility)
nature flwrmit tpplicaM
date
CITY OF S.UY.Nf
PUBLIC PROPERTY
DEPAMfENT
luiaA�r^.. .,.
Vwroe M WASUNCro 1 97 M•SALAK MAMACHLSWM 019-0
rk19'L74&M" F.AL 978.746964
HOMEOWNER LICENSE EXEMPTION
Plow print
Data
Job Location
Home Owner Address
Home Owner Telephone J78 36-0— f3sZ�/
Present Mailing Address Is> -
The current exemption of"Homeowners"was extended to include owner-occupied
dwellings of two Units or less and to allow such homeowner to engage an individual for
hire who does not possess a license,provided that the owner sets as supervisor.
DFYIN ION OF HOMEOWNER
Person(s) who owns s parcel of land on which he/she resides or intends to reside, on
which there is, or is intended to be,a one or two family dwellin& attached or detached
structures accessory to such use and/or farm structures. A person who constructs more
than one home in a two year period shall not be considered a homeowner. Such
"homeowner"shall submit to the Building Official,on a fort acceptable to the Building
OtficiaL that he/she be responsible for all such wort performed under the Building
Permit.
The undersigned "homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures and re uirements
HOMEOWNERS SIGYAMME �
APPROVAL OF BUILDNG (YSPE /
See other side for state code