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318 ESSEX ST - BUILDING JACKET i � GK 3Z15 �25 °D RFr,FI\IFQ The Commonwealth of MaSIJS&" 6'' L SERVICES Department of Public Safety L Massachusetts State Building Code c7Bd&PJUL 20 A lQ S p Building Permit Application for any Building other than a One-or Two-Family Dwe ling �" (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: r SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) t l 3/7 F1'Se,c S't G eAn /nl PORCS lVa-11510" v ' No.and Street City/Town Zip Code Name of Building(if applicable) 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 ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other Z Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ 1s an Independent Structural EngineerinY�Pe_er Review required? Yes ❑ No ❑ Brief Description of Proposed Work: / /7 �R or Gl CPO X sro -L /D x r�_r�CM DA/I a�Y r/� ✓ e /.S 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): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ 1 H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional 1-1❑ I-2❑ I-3❑ 14❑ M: Mercantile❑ R: Residential R-10 R-2 Cl R-3❑ R4❑ S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ 1 VA ❑ VB ❑ SECTION 7.SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: perntit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: t SECTION 9: PROPERTY OWNER AUTHORIZATION e and Add re s of Property Owner o es a.f s/%-► 3/7- ass" ,sc%t /174 flJamt(Print) No.and Street City/Town Zip roperty Owner Coy*ct Information: 14fa 4,yr,Awl- Title Telephone No.(business) Telephone No. (cell) e-mail address �IIff applicable,the pro/�perty owner �here y authorizes / p / , w1,� (GSM /'Z.N-fy LPH 2 �G fGtl/t dC�f Wd�112 r1 /r Y� /(r0/ Name Street Address City/Town State Zip to act on the property owner'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.0.of enclosed space and/or not under Construction Control then check here 0 and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 Generaal/l Contractor Q,, _ / /' 01 9any Name dIC %(ea/na, doll9 CS Name of Person,Responsible for Construction /" /. License No. and Type if Applicable 3 6 C/lc b/e {Rj (gyp h yith Street Address City/Town State Zip 7Ff -V Telephone No.(business) Telephone No. cell e-mail address SECTION 11:WORKEW 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❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)=$ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to munfcf 6.Total Cost $ .3 Q-p (contact pality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this 2cation is true and accurate to the be3ry f my knowledge and understanding. � ;02 bs 42Rt1 � vw� 7�/_lap Oro /T J prir�Y�ncj�siQnpamen Title Telephone No. Date le Street Address City/Town State Zip Municipal inspector to fill out this section upon application approval: "''a Name Date IMPORTANT D O C U ME r4TaPrr''LnLPLn�rrPLPLPc .nLPtPs� o BY In Certificate of IsFlaie Resistance5 SUED REGISTRATION Date of Shipment 5 APPLICATION o s CRIB a 5/10/2006 ' NUMBER t wousrais wc. III 55 Tent Identification 5 EVANSVILLE, INDIANA 47725 5 PIaO.I MANUFACTURERS OF THE FINISHED 04263446 TENT PRODUCTS DESCRIBED HEREIN 5 5 5 5 This is to certify that the materials described have been flame-retardant treated 5 5 (or are inherently noninflammable) and were supplied to: 5 5 5 657150 5 �j PETERSON PARTY CENTER INC 5 5 139 SWANTON ST 5 5 WINCHESTER MA01890 5 5 5 5 5 5 5 5 5 55 Certification is hereby made that: 5 The articles described on this Certificate have been treated with a flame-retardant approved 5 5 chemical and that the application of said chemical was done in conformance with California 5 5 Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. 5 5 5 Serial # s020509C(4) 5 s 5 5 Description of iteih certified: HI"CE 5 I 5 fIL'S'I'A"f01'20WX40 SNYD W 5 5 VL 41023970A CI PC) 5 5 Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric 5 x a6W I'NI A I)Q I2Iu4 Q11 Signed: 5 Name of Applicator of Flame Resistant Finish ANCHOR INDUSTRIES INC. O rJ��@ncncPrJ�r nr Prlr�rPr��n�nrJ�r?�cnrJ�rJ@Pr�rPr�r�r I��nJ�J�cPr�rJrJ�cPr nr 1lrr�rJ�rJE EnrrrPcnr Pr:rPrJ�rJ�c@.ni fiff, cn�nrJ�cn�ncncP�nrJ�rrcncnrPrPcncPrJ� o o Lrr�Lr�i�r�r��nrs�lr n��nr l�n�lLrL'IMPORTANT D O C U ME ITT 2PLPuPLLPLrPLPr -ciDr-r ELr PL -i-ri o 5Uzftif jeat)c ciflae 1'esi�#aee s t ISSUED BY 5 5 5 " REGISTRATION a s CR®N� Date of Shipment r5 NUMBER t INEUSTRIES INC 5/12/2008 5 EVANSVILLE, INDIANA 47725 Tent Identification 5 5 5 Flao.l ° MANUFACTURERS OF THE FINISHED 04618268 5 TENT PRODUCTS DESCRIBED HEREIN 5 5 5 This is to certify that the materials described have been flame-retardant treated 5 (or are inherently noninflammable) and were supplied to: 5 5 657150 5 PETERSON PARTY CENTER INC 5 rj 139 SWANTON ST C5 5 WINCHESTER MA1890 5 5 5 C 5 5 5 5 5 5 Certification is hereby made that: 5 55 5 The articles described on this Certificate have been treated with a flame-retardant approved 5 chemical and that the application of said chemical was done in conformance with California 5 Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. 5 Serial # 5 5 8020500C(6) 5 5 Description of item certified: 5 5 FIESTA TOP IOXI O(I PC)SNYDER �C VL EO#1023970A 5 5 Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric 5 5 5 SNYDER MPG NEW PIi1LADHLPHIA,OH Signed: Name of Applicator of Flame Resistant Finish LEA—NCCHH"O_R INDUSTRIES INC. 55 o LPLrL3r3QPL JPLrLI��PLnLi�LrrJ@PcPLrrJ�rnLl�rJ@I�cPLn�Pr�rJ@i�LI�u�LI�cPCi�LnLrrJ�LP�PLP�PcPLnLrrJr�LroPcPLn�Pcf�LrorJ@PLnCi�rJ�cPLi�rJ�CPr1Li�LrLnrlcPLi�rJ�LnrJ��LncP o 44*NSiIWT13Ef4La"N0 APPROVED BY TiiE Jfi5PX=DB .PPWR TD/#PFAMIT UINC GRANTED \ CITY OF SALEM No. V "� \ Date 3 Z 1 o Is Property Located In Location of _ the Hidorfc Dlsidd? Yea_ No_ Building 31 rSS ST, Is Property Located in dre Cormervation Area? Yes No_ BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, eroof, nstall Siding, Construct Deck, Shed, Pool, RepaidR , Other: 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: Owners Name t M Address & Phone Fast 1 � S Q. (97k) 4 S- 9s o0 Architect's Name Address & Phone j ) Mechanics Name :S �Apke- Towc- moo. , Address & Phone 373 F3-s cx What Is the purpose a W WbV? mate"of bu cbv? P o o � N a dwetlIM,for how many famMes? WIN bukOV cordorm to law? 4-g Asbestos? h V Estlmeted cost cl g o 0 0 . o 0 CIty Licenses tJ k State L kwm e G5 1�p . Boas Iaprovaent -P� v Lie. i X • SignatureP of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE s l 4-h A- MAIL PERMIT TO: 3 7 3 Essex 51, S°+ (c 1 No. �V APPLICATION FOR PERMIT TO nn � fie- Sfe t LOCATION .3i8 sse>c S - PERMIT GRANTED j2� 2t3 b� APPfIOvfD Pot,-TOR OF BUILDI S i w :.i Salem Historical Commission ONE SALEM GREEN,SALEM,MSSACHUSETTS Olen (978)7464595 EX'311 FAX ID75)7404404 CERTIFICATE OF NON-APPLICABILITY ICABILITY 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: 31 A Fscex Ctreet .Rnpc,s Mancinn Name of Record Owner: Peabody Essex Museum Description of Work Proposed: Replacement ofroofand repointing of chimneys to replicate existing. No changes in color, material, design or outward appearance. Non-applicable due to being in kind malntenance,'replacement. Dated: May 1. 2003 SALEM IC 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 BUILDDgG PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildines(or any other necessary permits or approvals)prior to commencing work. t 'd ❑nRR i irmigN1 .au LIJ7� l� Duna �„ 1 \ Q The Commonwealth of Massachusetts Town of �\ 1� Board of Building Regulations and Standards AIMNSWW Massachusetts State Building Code, 180 CMR, T"edition Building Dept Buildi Pe 'cation To Construct, Repair, Renovate Or Demolish a �lrt ..p or Tr um l-Duelling Secti Fo Official Use Drill Building Permit Nu ber - Date Applied' Signature: a h i` -/�Q a Budding Commissioner/Inspector of Buildings Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map dt Parcel Numbers / LrSSd A` `)7 Parcel Number I.la Is this an accepted street:'yes_ no Map Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq R) Frontage(R) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Requircd Provided Required Provided 1.6 Water Supply:(M.G.L c.40,154) 1.7 Flood Zone Information:, 1.8 Sewage Disposal System: Zone: _ Outside Flood Zone? Municipal O On site disposal system O Public O Private O Check if XesC3 SECTION 2: PROPERTY OWNERSHIP' ------------------- 2.1 Owner'of Record: '?/$ r�SSd-�f B09 ) !a/C Address for Service: Name(Print) 97.9 7YS- ' Q502 Csa7 Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORKS(cheek all that apply) New Construction O Existing Building❑ Owner-Occupied O Repairs(s) O Alteration(s) O Addition O Demolition O Accessory Bldg.C! Number of Units_ I Other O Specify: Brief Description of Proposed Work': 41alv CG / A/ O/U&-f ?!`i 40 A y S 7-4 GGT exRey- SECTION 4: ESTIMATED CONSTRUCTION COSTS or- SOfflclal Use Only %Plumbing 4!! at g lding Permit Fee: f Indicate how fee is determined: dard City/Town Application Fee al l Project Cost'(Item 6)x multiplier x ng r Fees: S ical ical ll Fees: Sno. _Check Amount: Cash Amount:6oarojS in Full 0 Outstanding Balance Due: ///% �� /a Z ^ SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) 6,( / 7?9 r S o Pwzle License Number Expiration Date N,)me of CSL Helder 263it2Y 5-7. 241d en7 y4 oz/I List CSL Type(we below) � Addr• s T' Desch iron U Unrestricted(up to 35,000 Cu. Ft.) 5 nature R Rutrictrd Ik2 FamilyD%elhn M rasci (7 S SD ^ `f// v onl 2 RC Residential Roofing Covenn Telephone WS Residential Window and Siding SF Residential Solid Fuel Buiming Appliance Installation D Residential Demolition 5.2 Regbtered Home Improvement Contractor(HIC) CARS ING- /ZZ R -/ 3 HIC Company Name or HIC Registrant Name Registration Number 7 /Ie ItM f r O 2! MAt OI g'G( Addrr},p� J l o�zx l 2010 7v 93 3'- 7 yoc Expiration Date "gnaw Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. 152.1 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 o e building permit. Signed Affidavit Attached? Yes.......... No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I. 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. Signature of Owner Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION d CF6o1(YSo H ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and behalf. (i& Mint Name Signa of Owner of Authorized Agent Date Si ned under the pains and analties of perjury) NOTES: I. 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 ay,(have access to the arbitration program or guaranty fund under M.G.L. c. I42A. Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.116 and 110.R5. 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 halfbaths Type of heating system Number of decks/porches Ty pe of cooling system Enclosed Open 1. "Total Pro)ect Square Footage'may he substituted for 'Total Project Cost" ro-Care Preliminary Report P Assignment Details Customer/Insurance Peabod Essex Museum Company Bob Monk 978 745-9500 3149 161 Essex Street Salem 01970 Ind Adj Firm Name Broker/Agent Policy Number Reported By Contact Customer Claim Number Referred By iReferral- Friend Job Number 14093-E Contractor Name PRO-CARE INC. Estimator Estimator Phone 781 933-7400 Policyholder 318 Essex Street(Museum Fire) Address 161 Essex Street,Salem, MA, 01970 Cell Phone Business Phone Home Phone Tem ra Phone Loss Address 318 Essex Street,Salem, MA, 01970 Name of Contact Cell Phone Preliminary Report Date Received Saturday. August 15 2009 Date of Loss ISaturday, August 15 2009 Time Received 3:49 PM Time of Loss Insured Contacted Saturday. Au ust 15 2009 Time Insured Contacted 3:50 PM Date Inspected Saturday, Auqust 15, 2009 Type of Loss Fire Secondary Type Deductible 1$0.00 Rough Estimate Amount 1$0.00 Loss Description Fire and water damage- Loss Directions Detailed Findings The Commonwealth of Massachusetts s Board of Building Regulations and Standards CITY / Massachusetts State Building Code, 780 CMR, 7t' edition Ois SALEM �( Revised January Uj\ Building Permit Application To Construct,Repair,Renovate Or Demolish a 1,2008 One-or Two-Family Dwelling .This Section F fficial Use Only ' Building Permit er: Date Applied: Signature: 1 p 1 , Bu d ng om_missio r/ sect r of Buildings fl, x Date = SECTION 1:SITE INFORMATION 1.1 PProperty�sx C1 c / M� 1.2 Assessors Map&Parcel Numbers — INL la Is this an accepted street?yes_ no I // Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(R) 1.5 Building Setbacks(it) 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: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION2:_PROPERTY OWNERSHIP' 2.1 Owner'of Record: C/ t O C N nn Address for Service: Signature Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Constmc4ion❑ Existing Building❑ 1 Owner-Occupied ❑ 1 Repairs( Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': 1 W b SECTION 4:ESTIMATED CONSTRUCTION COSTS Estimated Costs: Item Official Use Only Labor and Materials 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ a ❑Total Project Cost.(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ nb ❑Paid in Full ' " ❑ Outstanding Balance Due: Gpil 5'b a-Z1P vo3� UHFN rt�/�sfJy .R _� 1 �� 'Q l y�' �� y c f�r�S "�r�1, Uallivilu vary Building 380-09 Expired Nov-04-2l108 Batt 112 COLUMBUS AVENUE RI DUFFY TAMES T,DUFFY Ll: Building 38-09 Expired Jul-15-2008 T.F. 18 LAUREL STREET R2 Danielle O'Leary Building 381-09 Expired Nov-04-2008 Ba 24 CLIFTON AVENUE RI GINLEY MICHAELP Building 382-09 Expired Nov-03-2008 ap GeoTMSV 2009 Des Lauriers Municipal Solutions,Inc. i SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) C5 9Q `J l,5 D O I 111�1� �)l lt �l License Number Expiration Date List CSL Type(see below) Address IjI 7I ► I I t'7 Type `. - Description U Unrestricted(up to 35,000 Cu.Ft.) - y R Restricted 1&2 Family Dwelling S _/ U(mil M Mason Only� RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Impro me t C ntra r(HIC) 5 asan �S�r a o�J HIC Comp 64pe or FDIC. Re�ist!n��t J li�I '`IVol �J 1 ,�M Registration Number _ Address ((��r/ �I�. L) ! lAl Y�(Il-I�1 ��-j Expiration Date Signature Telephone SECTION 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT-(M.G.L.c.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 ......... No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner of the subject property hereby authorize -�pAf ZD e0W 5M2CJ t(i n10 to act on my behalf,in all matters relative to w9A authorized by this wilding pe it application. Si ature of Owner - Date SECTION 7b: OWNE/W O1 R AUTHORIZED AGENT DECLARATION I, IZt—/Jr `✓I/)�-,�.t (L ( 0-"��l 1 ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. 12:7 06U Print Name Z� v Signature df Owner or Authorized Agent Date (Signed under the pains and penalties of perjury) 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 not 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 110.116 and 110.R5,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" The Commonwealth of Massachusetts (Amid I IDIOM Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 -� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): yO �U ��1\1 _ Address: 6-51 City/State/Zip: ) d)ff�) Phone #: � Are you an employer? Check the appropriate box: Type of project(required): l.P am a employer with I 1 4. ❑ I am a general contractor and 1 6. ❑ New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.t required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required.] Any applicant that checks box#] must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and slate whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 11 �Q cSU�I G'V��1 ��l Jul Policy #or Self-ins. Lic. #: W c 00,7`/ 9— C�I��L/Oq Expiration Dated^I j��I�_ Job Site Address: 51'5�555 1 /YM City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby Gerd under the pains and penalties of perjury that the information provided above is true and t. �d correct Signature: Date: Phone Official use only. Do not write in this area, to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone#: ISSUING COMPANY �A ACE PROPERTY 8 CASUALTY INSURANCE Workers' Compensation NCCI CARRIER CODE and Employers Liability 12254 Insurance Policy POLICY NUMBER IN New ❑ Renewal ❑ Rewrite Information Page Symbol: NWC Number: C4 58 07 07 1 PREVIOUS POLICY NO. ❑ Individual ❑ Partnership Symbol: Number: IN Corporation ❑ Item 1.1 SASSO CONSTRUCTION COMPANY INC Inter/Intrastate ID No.: Named Insured 231 ANDOVER STREET WILMINGTON MA 01887 Federal Employer ID No.: 042231373 Mailing Address Employer's ID No.: PIIC CODE: 1751 For other named insured see Extension of Information Page-Schedule of Named Insured, WC 99 99 99 A For other workplaces see Extension of Information Page-Schedule of Other Workplaces, WC 99 99 99 B Item 2. Policy period: From 10-01-2009 To 10-01-2010 12:01 A.M., standard time at the named insured's mailing address. Item 3A. Workers'Compensation Insurance: Part One of the policy applies to the Workers'Compensation Law of the states listed here: MA Item 3B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in Item 3A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1 000,000 each accident Bodily Injury by Disease $ 1 000,000 policy limit Bodily Injury by Disease $ 1.000 0,0 (l each employee Item 3C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: ALL STATES EXCEPT ND,OH,WA,WY, AND STATES DESIGNATED IN ITEM 3.A Item 4. The premium for this policy will be determined by our Manual of Rules, Classifications, Rates and Rating Plans. All information required below is subject to verification and change by audit. SEE EXTENSION OF INFORMATION PAGE-CLASSIFICATIONS If indicated here, interim adjustments of premium will be made: Minimum Premium collected in MA $ 500. ❑Semi-Annually ❑ Quarterly ❑ Monthly Total Estimated Premium $ 18202. Deposit Premium $ This policy includes these endorsements and schedules: SEE SCHEDULE OF FORMS AND ENDORSEMENTS WC999999D PRODUCER NAME AND MAILING ADDRESS TPA INSURANCE AGENCY INC 10 NEW ENGLAND BUSINESS CENTER SUITE 303 ANDOVER MA 01810 w PRODUCER CODE: 249634 04-3296168 SML MARKETING OFFICE: ACE COMPLETE ISSUE DATE: 07/15/2009 /rw.wti Q (A horized 9 �R{ 'Yo Schramm II WC 00 00 0 1 A (06103) Copyright 1987 National Council on Compensation Insurance 1 INSURED NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA, 0069194-00 WC 003-62-0664 13072 --------------------------------------------- 013-82-1oo8-Do SASSO CONSTRUCTION COMPANY INC Member 231 ANDOVER STREET �� Companies of WI LM I NGTON, MA 01 87-0000 American International Group EXECUTIVE OFFICES: 70 PINE STREET, NEW YORK, N.Y. 10270 SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 ,. I.D# MA UI#: ••.. . • ..• TPA INSURANCE AGENCY INC. WORKERS COMPENSATION AND EMPLOYERS 10 NEW ENGLAND BUSINESS CENTER LIABILITY POLICY INFORMATION PAGE SUITE 303 AND OVER. MA 01 10- 0 6 INSURED IS PREVIOUS POLICY NUMErg CORPORATION RENEWAL 006 593,50 OTHER WORKPLACES NOT SHOWN ABOVE: SEE EXTENSION OF ITEM 1. OF THE INFORMATION PAGE - WC990610 ITEM 2 POLICY PERIOD 12:01 A.M.standard time at the Insured's mailing address FROM 10/01 /08 TO 10/01/09 ITEM 3 A. Workers Compensation Insurance: Part One of the policy applies to the Workers Compensation Law of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to the work in each state listed in item 3.A. The limits of our liability under Part Two are: Bodily Injury by Accident $ 1 .000,000 each accident Bodily Injury by Disease $ 1 .000,000 policy limit Bodily Injury by Disease $ 1 .000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if any, listed here: AK AL AR AZ CO CT DC DE FL GA HI IA ID IL IN KS KY LA MD ME MI MN MO MS MT NC NE NH NJ NM NV NY OK OR PA RI SC SO TN TX UT VA VT WI WV D. This policy includes these SEE EXTENSION OF ITEM 3.D. OF THE INFORMATION PAGE - WC990612 ITEM 4 The premium for this policy will be determined by our Manuals of Rules, Classifications, Rates and Rating Plans. All Information required below is subject to verification and change by audit. Estimated Total Rate Per Estimated Oassifications Code Number Ralluneratiorl $100 OF Re- Remium Annual El3 Year muneration Annual ❑3 Year SEE EXTENSION OF ITEM 4. OF THE INFORMATION PAGE - WC7754 TAXES/ASSESSMENTS/SURCHARGES $1 ,037 EXPENSE CONSTANT JUCEPT WHERE APPLICABLE BY STATE) $338 MA MINIMUM PREMIUM $500 MA TOTAL ESTIMATED PREMIUM $17 33 If indicated below,interim adjustments of premium shall be made: ❑ Semi-Annually ❑ Cuartefly ❑ Monthly DEPOSIT PREMIUM 08/19/08 PARSIPPANY 82 Issue Data Issuing Office Authorlud RGibresentkilve VIC 00 00 01 39967(Rav'd 04103) COMMONWEALTH OF MASSACHUSETTS DEBRIS DISPOSAL IN ACCORDANCE WITH THE PROVISIONS OF MGL C40, S54, A CONDITION OF BUILDING PERMIT NUMBER IS THAT THE DEBRIS RESULTING FROM THIS WORK SHALL BE DISPOSED OF IN A PROPERERLY LICENSED SOLID WASTE DISPOSAL FACILITY AS DEFINED BY MGL C 111, S 150A. �- LOCATION OF FACILITY CONSTRUCTION SITE ADDRESS SIGNATURE OF PERMIT APPLICANT DATE TheConinionwealth of Massach asetts Department oflndnsb'ial Accidents Office of Investigations }h 600 Washington Street - �f Boston, MA 02111 www.niass.gov/dia Workers' Compensation Insurance Affidavit: Bui[ders/Contractors/Electricians/P]Limbers Applicant Information �} Please Print Leeibly 3fYL l' j z_rr K LB Nalllt:(Business/Organization/Individual): S�1 G _ c� I Address: City/State/Zip: LUt l m VI-t '6-v— t � Phon fl: 97f` 69�z Are you an employer? Check the appropriate box: Type of project (required): I.® 1 am a employer with t 1 4. ❑ 1 am a general contractor and 1 6. ❑ New construction employees (Full and/or part-time)." have hired the sub-contractors v 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. employees and have workers' 9 ❑ Building addition [No workers' comp. insurance comp. insurance.[ required.] 5. ❑ We are a corporation and its 10-❑ Electrical repairs or additions 3. ❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbin; repairs or additions myself. [No workers' comp. tight of exemption per MGI. ILL]❑ Roof repairs insurance required.]'+ c. 152, §1(4), and we have no 13 ❑ Other employees. [No workers' comp. insurance required.] Any applicant that checks box BI must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all woti(and then hire outsidecanlractors Must Sabath a new aniduvit indicating such. lConimctors Thai check this box must attached an additional sheet showing the name of the suh-conuaeuns and state whelhcror nut those emilies have employees. If the sub-contructon have employees,they must provide their workers'comp,policy number. l am as employer that is providing workers'compensation insurance for my employees. Below is the policy mid job site info rnuttion. ^ (� Insurance Company Name:_ fi't�� M1--\'Z4�C t Cam'-o�GL L:GIS-C lLt�-jZ_r C./l.d/�62 im . Policy # or Self-ins, Lic. Nqq: AltL) C14 SS C 7 G 7 1 _ Expiration Date:1Q Job Site Address: -City/State/Zip:_ Attach it copy of the workers' compensation policy declaration page(stinsvmg the policy number and expiration (]file). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to $250.00 a day against the violator Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DiA for insurance coverage vei ification. l do hereby certr ender the '+s ail penaltiev of perjary that the information provide(I uhove is h ne and Correct. SlanatLlrC; _7e/(.�\�.4//L�� Date' �—I 10,3,0.2, .—___._—__... Phone #: Cr7�- Official use only. Do not write in this area, to he completed by city or town official Citv or Town: Permit/License# Issuing Authority (circle one): 1. Board of Health 2. Building Departmeut 3. Cityflbwn Clerk 4. Electrical Inspector 5. Pltuuhing Inspector 6. Other Con(act Person: Phone#: Board of Building Regulations and Standards Consttuction Supervisor License _ License: CS 92345 Restrictedto: 00 MATT PIMENTEL 16 SPENCER CT ANDOVER, MA01810 � ; -•� —yam Expiration: 5/412011 ('o......vner Tr#- 15314 ` � � �/ �.�� i�s/� 'I , f uI I � The Cummon..caUh of Massxhuscus Town of � I U Board of Bwlding Regulalwns rnA Slandardf �� N�ssxhusrl�s S�ate Bwlding Ca1e, 780 CMR. 7'"ediuon BudJm�Dept BwWin� Perm�t Apphcauon To Cunsuuct. Repav, Rcnovate Or Demolish a � Onr• ur T��o-fmrul�•D��r/lrng This Sacuon For ORad Use Onl Buildin�Pertn�i Numbcr Dae Applied: Si �7N�t: -�., J � /O tl Bwldm D�u Buddm{Co iss�oner/I �pec�a o( p SECTIOIV �:SITE IIVFORMATION � 1.1 Pro nr Addreu: 1.2 Aunwn M�y i P�reel NumAen � 3 �� SS `Z x S�- Pvicel Number M NumEer 1.I a le�hi�m uce ted sueaT yn no 'p I.J Zonin� Inform�tlos: 1.1 Properry Dlmeo�lom: 2omn�Dis�nc� Proposed Use La Arc�(sa 11) Fronu{e 1�) 1.3 Buildin�Se1D�eks(R) From Yud Side YuN Re�r Yud ReQwrad Provided Rtquired Rov�ded Required Provided ' 1,�W�ter Supply:(M.G.L c.d0.�SI) 1.7 Flood Zose Ieforeullo�: 1./Sew��s Dbpo�al System: �: _ Ounide Flood Zone? Mwicipal O On�i�e diaporl�ysam D Publit 0 Privax O Cheek if �O SECTION 2: PROPERTY OWMERSHIP� 2.t Opeer�of Rieprd: c .�„ � /�' ��/ �- �� n . b . t s5 x Y"� Na 1 q Addreu for Service: Y�ss- �y�- 9 "s�o Siputure � Telephar SECTIOIV l: D6SCR1P77UN OF PROPOSED WORK�(eAak�0 t6�t�PP�1) New Conewction O Existins Buildins O Owner-Occupied O Rep�ira(s) Al�ention(a) O Addition O pemolition O Accesaory Bid�. O Number of Uniu__ O�her O Speelry� - j� T �a� t h .YS vww . :. I Brief Dexnpdon of Pro �ed Work�. "'`c ''�" r _ c,�� y � w S lr��ti��v� N S "' A�(�^l � � C . V � (4 � 4l M j � � L Y f SECTIOIV�: ESTtMATED COIYSTRUCTIOIV COSTS Ea�imaud Cos�s: 011lefd Use Oalr Item labor and Ma�enab I. Buildin� f �,p �'�9 I. Bmldin� Pcrm�� Fee: f Indica�e how fee is de�ermined: O Sundard CiryiTown Applica�ion Fee 2 Elecmcal s � —�� O Toul Projeet Cos��(Item 6)x mulGplia a l PlumbinQ f J O � 2. Other Fea: f 1. �fechamcallHVAC1 f So�ooO list: s Nec6anical IFire f 7ou1 All Feef: f Su r[xsion ' Check No. ChecY Amoun�: Cash Amounc ; n ToUI Project Cost f ��5 �a O P��d �n Full ❑OunundmQ 8alance Ouc � / ��L 4� � ��C �� JO� y'�S�— /��,.� J SECTIOIV 3: COIvSTRUCTIOIV SERYICES S.1 Licm�ed Con�truatlon Super�i�or�CSL) s'G 3 i,.��j � f� (C •• V'�� A L�..n.e �umRr E.pu�uon Dau Y 1�'SL H IJer/ � { WV \�1N�U' �� \�1`�° �=2�� LI.ICSLTypelxYlwIUW1 �JJres � 7� Dexn �on � `-- U- Un.es�n.�ed ro 17.000 Cu. Fi. � it Rax�nctrd IA2 Famd D�elhn Si�M-1tYff � N .�lawn Unl 1�4 6��J 3� �� NC Residem��l Roofin Corsnn irl�phone �1'S ResiJenual WinJor and Sidm SF Re�idrnual Sohd Fuel Bumm � h�nce Insull�bon D Rm�Jemui Demohuon S.Z p�(�.�btered Ho�t 1�nprovemeet Co�in� etor�HIC�) �� J`'r� {']Jtl.d.t"4 �'" �IMra.-�.,1 ��`l,_ L" HIC Company Name w IC Re��s� an�Name � Re�istnaon NumEtr � o w. s �i/ i I � 11 A /(1c5 �C>f 7'`I' J� D�t/� �piru�on Da�e Si 7elephone ' SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.C.4 e. 132.� 73C(6)) Workm Compenaation Insurance aRidavi�mus�be comple�ed and suDmitted with�his applica�ion. Failure to provide �his�Rdavil will rceult in �he denial of the I�suance of ihe buildin�pertnit. Si�{neJ ARiJsvil Att�chnl? Yn..........� No........... O SEGTIOIV 7�:OWNER AUTHORIZAiION TO BE COMPLETED WHEN OWNCR'S ACENT OR CONITRACTOR APPLIES FOR BUILDING PERMIT f. �o�tfL i -N4 oW K--� � P'�9�y t.�3� W1✓SC.'17��pM,ner of�he subject property hercby awhonu �-ue��e�-w.� S 7t�--,�i E �L J a c,�'s�2 to act on my behalf,in all mattrn relauv//e/t�t�work autlwrized�b/y Ihia buildinQ il applicrtion. ---��' '"{�L��X ' 2,o r c7 Si nanueofOwner � Dam SECTION 76:OWlVER�OR AUTHORIZED AGENT DECLARATIOIY 1. , aa Owner or AuUarized Agent hercby declare �hat iAe sutemenu and information on�he forc�oinQ applic�tion are true and xcunte, �o Ihe beat of my knowled�e and belulf. Hinl N�me Sirnalure of Owner w Awlw�ized AQenl Due S� ned under�he airo and nalties of r� noTes: 1. An Owntr who oblaina a buildin�pertnit ta do hiilha own work,a an owner wla hirea an unre��stered contrsctor � (nol rcQis�ered in�he Home Impmvement Contruror 1HIC)ProQam►, will Sg have xcas ro ihe ubi�niion pro�nm w Owranty fund uaJer M.QL. c. 1�1A. Oiher imponant informa��on on the HIC Pro�nm and Conswuion Supervisor Licrosin��CSL)can bt found in 780 CMR ReQula�ioas 1 I O.R6 and I IO.R3, respec�ively. 2. When suAs�anUal work is planned,proviJe fie mlormanon below� Toial 11oms are�ISq. Ft) �including garagt, finished baxmenVan�cs,Jeckf m porcA) Grou livm�area ISQ. Ft1 Habiuble room coun� M1'umbrr of fireplxes Vumber ol6eJroomt Vumber of baihrooms Vumber of half.Da�Af Type of hn��ng +yvem V umber of deckL porchef . Typeofeoohngrysiem Enclo.ed Open 1 ioul Pra�ecl S�wre Foo�age"may bt.ub.mwed fo� 'ioul P�o�ec�Co.i' 4"x7�"f TRUSS 9'-0"t BENT RAFTER � � HIGH ROOF NOTE: ALL WORK TO BE i i i RIDGE REVIEWED W FIELD IN ADVANCE W/ ENGWEER. � � � * * ii m, - - RECESS END 2° . . 9�x9"± JOIST BLOCK COVER W/ 9'-0"f WOOD — � 45 TRUSS BENT � � RAFTERS � � � . � � �# . 2�"0 WASHER - - - - - - � � � � - - 3/4"� EXTENDED LAG SCREW W� 6�� MIN. � � _ _ 'TRUSS'� BENT A ��TAIL THREAD LENGTH i � �, , � i RAFTER BELOW TRUSS BENT NEW 73/x4" v � � F�P S-2 7�" - 7 '_p" RAFTER RIPPED LVL � � - - - - SISTER ALL COLLAR TIES THAT HAVE `L+� LESS THAN 3/" REMAINING THICKNESS * * � W/ NEW 1 x5 BOARDS, END-NAILED W/ � i _ _ � DET. A�/S-2 (4) 16d THROUGH EXIST TIES IN70 � (BELOW) RAFTERS, OR LOCATE ON OPP. SIDES NOTES * * DET.� �S-1 � - - * - ADD 73/Qx5'a (RIPPED) WL RAFTER ' � � SISTER W/ INVERTED SIMPSON HU1.8 /5 - - - - _ _ HANGERS EA END W/ FLANGES ON DET. �/S-1 4 SISTER OR REPLACE WALL "TIGHT" SIDE CONCEALED. STUDDING, BLOCKING & PLATES ADD (4) 16d NAILS BELOW IN LIKE KIND WHERE MORE ** - ADD (DOUBLE 13/4"x5% RIPPED) PER FLOOR JSTS END 4 THAN %'" THICKNESS OR �" WIDTH LVL PURLIN SISTERS W/ SIMPSON INTO SUPPORTING STUDS � - - HAS BEEN LOST. DOUBLE NAILING HGUS46 HANGERS W/ FLANGES ON � 4 ON ALL MEMBER ENDS '71GHT" SIDE CONCEALED � _ _ BEAR RAFTER SISTERS � PROVIDE (2) 12d TO NAILS i. AT SISTER HANGERS NAIL, BEND ON EXIST. WALL PLATE � 4' FROM 1x6 NAILER ON UNDERSIDES DOWN HANGER BACK & 7HEN NAIL FASTEN W/ (2) 16d - - OF RAFTER INTO SIS7ERS EXPOSED FLANGE, OR DROP LVLS TOE-NAILS PER RAFTER � a W FROM TOP. _ _ 2 LAMINATE & NAIL SISTERS TO EXIST. REPLACE ROOF & SHEATHING RAF7ERS & PURLINS W/ 76d @ 72" W� NEW 7 " NOM. SAWN PINE i + - - ADD (4) 16d TOE NAILS MID-DEPTH SHIPLAP BOARDS OF EQUAL i I i FROM EA. UPPER R � ' OR GREATER WIDTH. RUN PERP. ' * END INTO " � �� 00 �� ro RaFrERs. _ _ �,, � Structures North JOB NAME: Ropes Mansion Roof Structure Repairs �i e�u�e+b�ie�yr ;':1' CONSULTINOENQINEER&�MG - V Nd�Y[ ` �� y DRAWN BY: SB CHECKED BY: JMW �� eo wesni�sc,s�ro�aai � seiem,nuoie�aasn SCALE: �a" = 1'-0" DATE: 10/01/2009 � 9'-0"± � � 2'-0"t GqqµEd T 978.745.8817 I F 978.745.8067 ^ . ""'"��1BS�"01tl'�'A"' Roof Plan & Details S-1 � . � 4»x7�„+ TRUSS 9�-��± BENT RAFTER � � HIGH ROOF NOTE: ALL WORK TO BE i i i RIDGE REVIEWED W FIELD IN i i * * ADVANCE W/ ENGINEER. 6, - - RECESS END 2" , , 9�x9°f JOIST BLOCK COVER W/ 9'-0"t WOOD j — —� 45' TRUSS BENT i � RAFTERS 1 " i � , + ' �+ > 2�"� WASHER - - - - - - - - # # . + - - 3/4"� EXTENDED LAG SCREW W/ 6° MIN. i � _ _ "TRUSS" BENT A DETAIL THREAD LENGTH � i �i i � � i RAFTER BELOW TRUSS BENT NEW 13/x4° v � � F� 5-Z 1�" = 1'-0" RAFTER RIPPED LVL � � - - - - SISTER ALL COLLAR TIES THAT HAVE `L+' LESS THAN 3/" REMAINING THICKNESS * * � W/ NEW 1x5 BOARDS, END-NAILED W/ i � _ _ � DET. A�/S-2 (4) 16d THROUGH EXIST TIES IN70 � (BELOW) RAFTERS, OR LOCATE ON OPP. SIDES NOTES * * DET.� /5-i i * - ADD 13/4x5'a (RIPPED) LVL RAFTER � � � SISTER W/ INVERTED SIMPSON HU1.8 /5 - - - - _ _ HANGERS EA. END W/ FLANGES ON DET. A� /S-1 4 SISTER OR REPLACE WALL "TIGHT" SIDE CONCEALED. STUDDING, BLOCKING & PLATES ADD (4) 16d NAILS BELOW W LIKE KIND WHERE MORE ** - ADD (DOUBLE 73/4"x5'/a RIPPED) ' THAN %" THICKNESS OR �" WIDTH LVL PURLIN SISTERS W/ SIMPSON PER FLOOR JSTS END - - HAS BEEN LOST. DOUBLE NAILING HGUS46 HANGERS W/ FLANGES ON INTO SUPPORTING STUDS � 4 ON ALL MEMBER ENDS "TIGHT" SIDE CONCEALED _ _ BEAR RAFTER SISTERS � PROVIDE (2) 12d TO NAILS 1. AT SISTER HANGERS NAIL, BEND ON EXIST. WALL PLATE � 4' FROM 1x6 NAILER ON UNDERSIDES DOWN HANGER BACK & THEN NAIL FASTEN W/ (2) 16d 4 - - OF RAFTER INTO SISTERS EXPOSED FLANGE, OR DROP LVLS TOE-NAILS PER RAFTER i IN FROM TOP. _ _ 2. LAMINATE & NAIL SISTERS TO EXIST. REPLACE ROOF & SHEATHING RAFTERS & PURLINS W/ 76d � 12" W� NEW i " NOM. SAWN PWE i � ADD (4) 16d TOE NAIL MID-DEPTH SHIPLAP BOARDS OF EQUAL i li FROM EA. UPPER RAFTE OR GREATER WIDTH. RUN PERP. ' * END INTO ao �� TO RAFTERS. _ _ ` Structures North � ��+ � Y. dOB NAME: Ropes Mansion Roof Structure Repairs CONSULTINOENGINEERB,INC. $'� +�,�+? � • +bA7W61f � .f DRAfYN BY: SB CHECKED BY: JMW � ' a��4Ap�p ' ' •� � BO Washtrgtan St.SuiEe 401 . � . � . 4"-?�� 7 �. "�' 'i se�m,n+n.oie�oasi� SCALE: /a� = 1'-0' DATE: 10/01/2009 � 9'-0"t � � 2'-0"t ++ �'� T 978.745.8877 I F W8.7/5.8087 ^ �~f� � F�S�� """'•�tl1eS'"0^^�E0"' Roof Plan & Details S-1 4"x�;�"f rRuss 9'—o"f BENT RAFTER + . HIGH ROOF NOTE: ALL WORK TO BE i i i RIDGE REVIEWED IN FIELD IN ADVANCE W/ ENGINEER. � � � * * i � 6: - - RECESS END 2" . , 9�x9"± JOIST BLOCK COVER W/ 9'-0"t WOOD — � 45' TRUSS BENT 7» � i RAFTERS � i > + ' �. + 2�"� WASHER - - - - - - - - * . . * - - 3/4"m EXTENDED LAG m p SCREW W/ 6" MIN. , i _ _ "TRUSS" BENT A DEdAIL THREAD LENG7H � i pi i � i RAFTER BELOW TRUSS BENT NEW 13/4x4° � � � F�P S-2 ��" - 7 '_�» RAFTER RIPPED WL * # _ _ SISTER ALL COLLAR TIES THAT HAVE `L+' LESS THAN 3/4" REMAINING THICKNESS * * � - - W/ NEW 1x5 BOARDS, END-NAILED W/ i � _ _ i � DET. AQ /S-2 �4) 7 6d THROUGH EXIST TIES INTO i (BELOW) RAFTERS, OR LOCATE ON OPP. SIDES NOTES * * DET.� /S-7 � - - * - ADD 13/4x5'a (RIPPED) LVL RAFTER ' � � SISTER W/ INVERTED SIMPSON HU1.8 /5 - - - - _ _ HANGERS EA. END W/ FLANGES ON SIS7ER OR REPLACE WALL "TIGHT" SIDE CONCEALED. DEL A� /S-1 STUDDING, BLOCKWG & PLATES ADD (4) 16d NAILS BELOW IN LIKE KIND WHERE MORE ** - ADD (DOUBLE 13/4"x5% RIPPED) 4 THAN 'a" 7HICKNESS OR �" WIDTH LVL PURLIN SISTERS W/ SIMPSON PER FLOOR JSTS END - - HAS BEEN LOST. DOUBLE NAILING HGUS46 HANGERS W/ FLANGES ON INTO SUPPORTING STUDS 4 ON ALL MEMBER ENDS "TIGHT'" SIDE CONCEALED _ _ BEAR RAFTER SISTERS � PROVIDE (2) 12d TO NAILS ON EXIST. WALL PLA7E � 1. AT SISTER HANGERS NAIL, BEND FROM 1x6 NAILER ON UNDERSIDES DOWN HANGER BACK & THEN NAIL FASTEN W/ (2) 16d i - - OF RAFTER INTO SISTERS EXPOSED FLANGE, OR DROP LVLS TOE-NAILS PER RAFTER i ' W FROM TOP. _ _ 2 LAMINATE & NAIL SISTERS TO EXIST. REPLACE ROOF & SHEATHING RAFTERS & PURLINS W/ 16d @ 12" W� NEW 1 " NOM. SAWN PINE i � ADD (4) 16d TOE NAIL MID-DEPTH SHIPLAP BOARDS OF EQUAL FROM EA. UPPER R!}�� ' .:'ax- , OR GREATER WIDTH. RUN PERP. ' * I � END INTO �7 1`� � � � � �y�;.. ' oo �� TO RAFTERS. _ _ p� Structures North JOB NAME: Ropes Mansion Roof Structure Repairs � ��/y 4,�' CONSULTINGENGINEER$ING � �'^�'� DRAWN BY: SB CHECKED BY: JMW �d�,� 80 Weehin9�SY.3utte 401 � Selem,MA.019703517 SCALE: �" = 1'-0" DATE: 70/01/2009 � 9�-0°f � � 2'-0"'f tonat�' T 978.745.8877 I F 978.745.8087 "^""�ahioOi�'a'"'��°'" Roof Plan & Details S-1 The Commonwealth of Massachusetts INSPECTIONAL SERCoF�S Board of Building Regulations and Standards Cl SALEM Massachusetts State Building Code, 780 CMR 2015 MAY ( RgAe$Q4O/1 Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling ' ^,r ,. This Section For Official Use/Only'`P` ;, 0 Building Permit Number: DateAppfd: (`� �}1 ' �,� %t ,f, �' a� ;Building Official(Print Name) . p -,> `.Signature ;e �,�. , Date SECTION 1: SITE INFORMATION 1 1.1 Property Address: 1.2 Assessors Map&Parcel Numbers 3/8 Essex .Sf �J J L la Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: T Zoning District Proposed Use Lot Area(sq ft) Frontage(it) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes[] SECTION 2: PROPERTY OWNERSHIP'" 2.1,.ow rt of Record: c- /'Ca 0,4 Esser. auseum Name(Print) City,State,ZIP /& / e SseY Sr 97 a'_ ?9fs:937ra No.and Street 'telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other II? Specify: 2!it r Brief Descri tin of/Proposed Work': R$c'T a.. v rTn7o x 1/0 .y �r T emu✓rcf or 1 r _2 is- SECTION 4:ESTIMATED CONSTRUCTION COSTS sx s Item Lab Estimatedand Materials) Official Use Only ' 1.Building $ �U "1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2.Electrical $ ❑Total Project Cost'(IIem 6)x multiplier '.:' x 3.Plumbing $ 2. Other Fees:-$ 4. Mechanical (HVAC) $ List. 5.Mechanical (Fire „},'. "" 4 r_ Su ression) $ Total All Fees: $ _ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ a0y .0 Paid iq Pull ;.'❑Outstanding Balance Due: MV1 LE'D 5(Zo -T-b P7 ,goners SECTION 5::CONSTRUCTION SERVICES,' 5.1 Construction Supervisor License(CSL) //� , 066� 9 Y3� /7 �(. ak 7Rat11&- License Number Expiration ate Name of CSL older y 33 �� List CSL Type(see below) a a Raf No.and IS reef Type- �""„ Description „� S1�{/ate' U Unrestricted(Buildings ir to35,000cu R I R Restricted 1&2 Family Dwelling City/Town,State,ZIP M Mason ry RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) L4k, M %/ZGin /6 9 9a aL / HIC Registration Number Expirat on Date H3 3Comp�n�N�rrseo�Hl�Red rpm Name No n Street /C V Email address eemr City/Town, State,ZIP Telephone SECTION 6:WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L,c. 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 .......... No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,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. See /�f{a(4 .4 CaIl7��cr- Print Owner's Name(Electronic Signature) Date SECTION 7b: 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. 111AIXI 7 Print Owner's or Authorized Agent's Name(Electronic Signature) ate ? 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 not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.gov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dpss 2. When substantial work is planned,provide the information below: Total floor 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" O rJ�rJ�rJ@PrJ�rJ�rJ�rJ�rPrlOrPr�rJ�cPrlrJ�r1 IMPORTANT DOCUMENT��'�nrn�l r�El��l�r��rrs a 5 Certificate of Flame Resistapce 5 SISSUED BY Date of Shipment 5 5 REGISTRATION c 5 NUMBER 'S 6�®� 5/12/2008 5 5 INOUSTgIES INC. ( 5 ,f EVANSVILLE, INDIANA 47725 Tent Identification 5 5 P140.1 M MANUFACTURERS OF THE FINISHED 04618268 5 TENT PRODUCTS DESCRIBED HEREIN 5 This is to certify that the materials described have been flame-retardant treated 5 5 (or are inherently noninflammable) and were supplied to: 5 657150 5 PETERSON PARTY CENTER INC 5 5 139 SWANTON ST 5 5 5 5 WINCHESTER MA1890 5 5 5 5 5 5 _ 5 5 Certification is hereby made that: 5 5 The articles described on this Certificate have been treated with a flame-retardant approved 5 55 chemical and that the application of said chemical was done in conformance with California Fire Marshal Code. All fabric has been tested and passes NFPA 701-99, CPAI 84, ULC 109. 5 5 Serial # 5 8020500C(2) 5 5 Description of item certified: [5 5 FIESTA TOP 20X40(IPC)SNYDER 5 90 91023970A 5 Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric// 5 SNYDER MFG NEW PHILADELPHIA,OIi Signed: — 1— (" 1.11�r 5 5 Name of Applicator of Flame Resistant Finish ANCHOR INDUSTRIES INC. 5 O rJ�rJ�rJ�cPrJcJ��PrJ'rJ�rJ�rJ�cPrJ�rJ��PrJ�rJ�rJ�r�rJ��P�Pr��PcPrJ�rJ�rJ�OPrJ�rJ��PcPrJ@PrJ�rJ�rJ�r�rJ�rJ�rJ�rJ��PrJ@PcPr.PrJ�rJ�rJ�cPrJ�rJ�rJ�rJ�r.Pr�rJ�rJ�r�rJ�rJ�rJ�cPrPcPcPrJ�cP�PrJ� O o r3ns � n� �nns�n�s�s �r�� s oss��r�� s�� 5 5 5 &rtff iratr Ot f latuP Rvgf5tanrit 5 5 REGISTERED o- ck2f p Date of Manufacture 5 APPLICATION Pi�ESI INC. 0 NUMBER INDUSTRIES . O3IZSIOO 5 � 5 5 rF ��r EVANSVILLE, INDIANA 47711 Order Number 5 5 F121.4 �y P� Or 312748 ET MANUFACTURERS OF THE FINISHED L5'U TENT PRODUCTS DESCRIBED HEREIN 5 5 This is to certify that the materials described have been flame-retardant treated 5 5 (or are inherently noninflammable) and were supplied to:657150 5 5 PETTERSON PARTY CENTER INC139 5 5 N ST WINCHEST R MA 01890 f5j 5 Certification is hereby made that: 5 5 The articles described on this Certificate have been treated with a flame-retardant approved 5 5 chemical and that the application of said chemical was done in conformance with California Fire 5 5 Marshal Code, equal to exceeds NFPA 701, CPA] 84, ULC 109. — 5 55 The method of the FR chemical application is: 5 5 Serial #: 5 5 8000000(1) 5 5 Description of item certified: C� 5 FI TOP IOW X 10 VL W W 5 5 _ Flame Retardant Process Used Will Not Be Removed By 5 5 Washing And Is Effective For The Life Of The Fabric 5 5 JOHN BOYLE STATESVILLE NC Signed: _ � 0 -0-9 5 5 Name of Applicator of Flame Resistant Finish TENT DEPARTMENT—ANCHOR INDUSTRIES INC. 5 � LI�L(aClCPC.I�[IaLI�LI�CP[PLI�[PCPCI�LI�[P[P[laCla[PCI�[P[PCP[.fa[P[IaCI�CPLfaClaGPCI�CJ�CPCJCfL(LfaG1�G1�CJ�L(a[PCnCI�LI�[PCP[P[.I�[P[P[PC.fCPG1�C.nCf[.7@P[J�LI@P[la[PLI�LI�[P[PLI�[P[PClaLI�CI@J�[P[PCf[.PLI�[.1� �°