5 FLYNN ST - BUILDING INSPECTION The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY OF
df
ALENI
Massachusetts State Building Code, 780 CMR $dMar Revised Mar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
Q This Section For Official Use Only
Building Permit Number: ate Applied: -
9 , �3
Building Official(Print Ngrrie).. Sign re- : _ Date -
< SECTION l:SITE INFORNIATION
1.1 Pro 2 ` 1.2 Assessors Map& Parcel Numbers
2- - _ _._. 'f
I.Ia Is this an acceptzrd street?yes Yctio`Lj-'"1 Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
p Zoning District Proposed Use Lot Area(sq R) Frontage(It)
II— 1.5 Building Setbacks(ft)
V Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
i 1.6 Water Supply:(M.G.L a 40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: Outside Flood Zone?
'ublic Private❑ Municipal On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP' -
2.1 Ow�gg,ert of Record: „t A
� I/�fDQ✓LNE�S �olrt�s/ C�i/// LL� t7�li V✓'iq t�1�i
me( rint) City,State,ZIP
Pd 3oX `f76n� �s� �6� �zsZ
No.mid Street Telephone Email Address
t
SECTION 3:.DESCRIPTION OF PROPOSED WORW(check all that apply)
f� New Construction❑ 1 Existing Building Owner-Occupied ❑ 1 Repairs(s) Alteration(s) ❑ Addition ❑
N Demolition ❑ Accessory Bldg. Number of Units I Other ❑ Specify:
<� p rief Descrip tion of 2 Proposed Work-: eA10,/ /2 ' O >✓
t C
Ito a.
r
n SECTION 4: ESTINIA ED CONSTRUCTION COSTS
Estimated Costs:
Item Labor and Materials) Official Use Only
I. Building $ oo
1. Building Permit Fee:$ Indicate how fee is determined:
2. Electrical $ 1 y(9 ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing $ C1 2. Other Fees: $
4. Mechanical (HVAC) $ List:. .
5. Mechanical (Fire $
Suppression) Total All Fees:S
�J �7 Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ / m& 11 Paid in Full 13 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) �,S�s? /SG
,Jd 56� *l?he-5 License Num�bS�' Expir ion�ale
Numc of CSL Holder
c,�� / List CSL Type(see below)
Q O X •b - Type , ,' Description
No. and Street
Q U Unrestricted(Buildings u to 35,000 cu. 11.)
��--����/ r ' • 16( R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Nfasonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Tcic hone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 7 �-
\� -t'yl f S �C7 fAYl/st4-C HIC Registration Number Expiration Date
ill Company Name or HIC R gistmnt�—
e R., a.e¢7 b J5 A✓o1 rsv k7 040L,1 o1*7
No. and Street mil addresss
�P� �,� ,vim� o��4�r 7Rr 76o tia��
Ci /Town,S[a[ ,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 Tat OWNER AUTHORIZATION TO BE COMPLETED WHEN.
OWNER'S AGENT OR CONTRACTOR APPLIES.FOR BUILDING PERMIT'
I,as Owner of the subject property,hereby authorize
'tcj act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW 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.
//6
Print ner's or Authorized Agent's Name(Electronic Signature) Date
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 not have access to the arbitration
program or guaranty fund under NI.G.L.c. 142A.Other important information on the HIC Program can be found at
ww.. ..I".gov'oca Information on the Construction Supervisor License can be found at.wxyw.niass.,-,ov/dps
i 2. When substantial work is planned,provide the information below:
Total floor area(sq. fi.) (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"
� Massachusetts-Department of-PublicSafety ,
s Board of Building Regulations and Standaids
Constriction Supervisor l&_Fam'l
i License CSFA-00270 ,
d �G�r:rs „ten ,:
r._ JASONMBARP&S
P
k , PO BOX 039`
E LYNN MA %904
J..GC -� Mina` Expiration#.
Commissioners -
$+/�R'...w:s
4,)KII,(Il�CI(. �laJt1 /[JFClJ
c Offi2e of onsuNNNNNNer 1t�ays usz ss egu a oG
q ME IMPROVEMENT CQ14TRACTOR
Ay estratibn 4y;1.16967 z. • - 7YPe
xpira / 2014 e I CorpI
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JASO BANES CONTRACTING LLC-.
#? JASON OWES f`3
9 Sanders D64
Saugus, t
z 9 :N1A Q,190S Udllermere[erg. "
A
CITY OF S.U.E,%I, XLxSSACHUSETrS
BL:II mm;DEPARTNIEZNT
j°• 120 WASHLNGTON STREET, P FLOOR
-0� TEL (978) 745-9595
Fnx(978) 740-9846 -
KINtBFRi F.Y DRISCOLL
MAYORTHObtAS ST.PiERRE
DIRECTOR OF PUBLIC PROPERTY/BI tMNG CO%NISSIONER
Construction Debris Disposal Affidavit
(required for all demolition and renovation 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 # is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c
111, S 150A.
The debris will be transported by:
(name df hauler)
The debris will be disposed of in :
(name of facility)
((address oFfaei ty)
i
signature of permit applicant
6
datE
•.tCt)1'ItiJIt�1K
Boise Cascade Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Floor Beam\FB01
Dry 1 span No cantilevers 1 0/12 slope Wednesday, September 11,2013
BC CALC®Design Report-US
File Name: BARNES 5 FLYNN ST
guild 2565
Job Name: JASON BARNES CONST Description: Designs\FB01
Address: 5 FLYNN STREET Specifier:
City, State,Zip:SALEM, MA Designer:
Customer: Company:
Code reports: ESR-1040 Misc:
3-00-00 Bi
BO
Total Horizontal Product Length=13-00-00
Reaction Summary(Down Y Uplift) (Ibs)
BearingLive Dead Snow Wind Roof Live
BO,3-1/2' 1 560/0 843/0
B1, 3-1/2" 1:560/0 843/0
Live Dead Snow wind Roof Live Trib.
Load Summary
TanDescription Load T a Ref. Start End 100% 90% 11fi% 1fi0% 125% 12-00-00
1 Standard Load Lint.Area(Ib/ftA2) L 00-00-00 13-00-00 20 10
Controls SummarY Value %Allowable Duration case Location Disclosure
Pos. Moment 7,268 ft-Ibs 52.1% 100% 1 06-Ub-00 completeness and accuracy of input must
End Shear 2,002 Ibs 31.70/6 100% 1 01-01-00 be verified by anyone who would rely on
for
Total Load Defl. U366 0.411" 65.6% n/a 1 06-06-00 output as evidence of suitabilityhre
( ) particular application.Output here based
Live Load Dell. U563(0.267") 63.90/6 n/a 2 06-06-00 on building code-accepted design
Max Defl. 0.411" 41.1% n/a 1 06-06-00 properties and analysis methods.
Span/Depth 15.8 n/a n/a 0 00-00-00 Installation of BOISE engineered wood
products must be in accordance with
%Allow %Allow current installation Guide and applicable
building codes.To obtain Installation Guide
Bearing Supports Dim (L x w) Value Support Member Material or ask questions,please call
/°
BO Post 3-1l2"x 3-1/2" 2,403 IDS n/a 26.2 Unspecified (800)232-0788 before installation.
B1 Post 3-1/2"x 3-1/2" 2,403 Ibs n/a 26.20% Unspecified BC CALC®,BC FRAMER®,AJSTA1,
ALLJOIST®,BC RIM BOARD"" SCID,
Notes BOISE GLULAMTM,SIMPLE FRAMING
Design meets Code minimum(U240)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM
PLUS®,VERSA-RIM®,
Design meets Code minimum(U360) Live load deflection Criteria. VERSA-STRAND®,VERSA-STUD®are
Design meets arbitrary(1") Maximum total load deflection criteria. trademarks of Boise cascade wood
Calculations assume Member is Fully Braced. Products L.L.C.
Design based on Dry Service Condition.
Deflections less than 1/8"were ignored in the results.
Connection Diagram
l�b� d
a I 1 I Mid
ro-
I
c
i
a minimum=2" c=5-1/2"
b minimum=3" d=24"
Member has no side loads.
Connectors are: 16d Sinker Nails
Page 1 of 1
CITY OE SM.E%f, ',LNSSACHUSETTS
BI:ILDINIG DEPARTMENT
0,T0i
120 %V.AsHLNGTON STREET,3"FLOOR
TEL (978) 745-9595
Faa(978) 740.9846
KIJIBERLEY DRISCOLL THOStAB ST.PIERRH
MAYOR DIRECiOROF PUBLIC PROPERTY/BUMDL`1G CON12MISSIONER
Workers' Compensation insurance Affidavit: Builders/Contractors/ElectriciansiPiumbers
Alt il(cant Information 7 Please Print LeeiblY
Name(13usiln'ss,Organiratiorvindividual): /4/�S
Address: }��Ro x y7 6
City/State/Zip: O Phone#:
Are you an employer?Check the appropriate box: Type of project(required):
1.0 1 am a loycr with era 4. 0 I am a general contractor and 1
p 6. ❑Now nstruction
employees(MI and/or part-time).* have hired the subcontractors
2. un a sofa proprietor or partner- listed on the attached sheaf,t 7• emodeling
s ip and have no employees These subcontractan have hi. Q Demolition
working,for me in an capacity. workers'comp.insurance. 9
Y P ry• [3 Building addition
(No workers'comp.insurance 5.'0 We are a corporation and its
required.) officers have exercised their 10.0 Electrical repairs or additions
3.0 1 am a homeowner doing all work right of exemption per MGL 11.Q Plumbing repairs or additions
myself.(No workcri cutup. C. 152,§1(4)and we have no 12.0 Roof repairs
insurance required.)t employees.[No workers' 13.❑Other
camp.insurance rcquirtid.)
•Any applicant ihst chmks box 1I most also rill out the uctim below,showing their waken'mmperiwion policy inrirrmntion.
'I hsmeuwnars who submit this stAdavir indicating They am doing all wark and thm him outside eontrmaws most submit a new,afildavit indlaing such.
:Canirxtao Thar cheek Ibis box most anachud an additional short showing the name of fhb sub•contrarton and Iheit workers'comp,put Icy Inikeriudae.
I tun an employer that Is providbrg workers'comtiensadon brsurence for my employees Below is the pulley and fob site
orjorurwlam
Insurance Company Name:
Policy 4 or Self-iits.Lic. N: Expiration Date:
Jub Site Address: City/State/Zip:
Altach 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,L(OL c. 152 can lead to the imposition of criminal penalties oft
tiny up to S1,500.00 and/or one-year imprisonment,as wcii as civil penalties in the form of STOP WORK ORDER and a line
of up to S250.n0 a duy against the violamr. 13e advised that a copy of this statement may be forwarded to the Offiee of
Investigmions;of the DIA for insurance coverage vcrilicaliuo.
I do hereby certify under the pubis and peaaides of per/ury tkuf the bstbrmadolt provided above is rrut a rd correct
S Data:
Phone,l:
Ojjl iaal use only. Do not write its this area,ro be completed by city or town aJJleful
I
City nr'ruwn: Permit/License 4
Issuing,kulliurily(circle one):
I. hoard of Ilealth 2. nuutling Department 3.Cityf town Clerk !. Ffactrtcal Inspector 5. Phiubmg litipector
6.Other
Confect Person: __. . _._ PAa no it:
(