24 FRANCIS RD - BUILDING INSPECTION (2) T
I'lie Commonwealth of Massachusetts
� Board of Building Regulations and Standards CITY OF
d!!� Massachusetts State Building Cade, 780 CMR SALEM
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised Star 2011
One-or Two-Frnnily Divelling
umber. This Section For.Otiicial Use Only
BuildingPermit N
D• lied:
Building Otlicial(Print N:une):
. Signature_ . Date
SECTION 1:SITE INFORM N
.I Property Address: �
e_. ,p 1.2 Assessors Map Sr Parcel Numbers
--0
I.I a Is this an accepted street?yes` no bfap Number ,.
rcel Number
1 a
1.3 'Coning Information- 1.4 Property Dimensions:
Tuning District ProposedProposed u e
Lot Area(sy ft) Frontage(R)
LS Building Setbacks(B)
Front Yard Side Yards
Required Rear Yard
1 Provided Required Provided
, Required Provided
1.6 Water Supply:(M.O.L c.40,§54) 1.7 Flood Zone Information:
Public❑ Private Cl Zone: _ Outside Flood Zone? I.8 Sewage Disposal System:
Check ifyes❑ Municipal❑ On site disposal system ❑
SECTION2: PROPERTY0IVNERSHIP�'
2.l Owr�r'of Record:me( TP .
n ! y^
N I n�
Qty,State,ZIP
�r'S �7
No. and 'treet -T 11
Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction ❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Number of Units
Brief Description of Proposed Work': Other ❑ Specity:
wr�Td��zm C7o ,e
e �e -�e 0��0
SECTION 4: STIEfATED CONSTRUCTION COSTS
Itcm Estimated Costs:
Labor and Materials) Official Use Only
I. Building $ I. Building Permit Fee:S Indicate how fee is determined:
2. Electrical S ❑Standard City/Town Application Fee
3. Plumbing $ ❑Total Project Costa(Item 6)x multiplier x
2. Other Fees: S
4. Mcchanical (FIVAC) S List:
5. Mechmtic;d (Fire
Su ression) 'S Total All Fees:S
6, Total Project Cost: .S Check No._Check Amount: Cash Amount:_
8 0 0 0 Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
—e— Es iratiun Dale
License Number P
Name of CSL EluWer
List CSL Type(see below)
Description
Type
tlJ
No. mil Sued U Unresc cted Iluildin s u to 35,000 eu.
R Restricted 1&2 F:unil Dwellin
M Mason
City/Town,State,ZIP ItC Realm Coverm
WS window and Sidin
SF Solid Fuel Burning Appliances
I Insulation
D Demolition
---- Enmil address
'I'cle hone
5.2 Registered Home improvement Contractor(II IC) HIC Registration r Expiration not Date
FIIC Company Name or HIC Registrant Name
Email uJJress
No.and Street —_
Tzle hone '
Cit /Town,State,ZIP
SECTION 6:WORKERS'CONIPENSATION INSURANCE AFFIDAVIT(M.G.L.C. 152.§ 25C(�)
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 AUTHORIZAT(ON.TO BE COMPLETED W HEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERb1IT
,as Owner of the subject property,hereby authorize
1 r act on behalf,in all matters relative to work authorized by this building permit application.
tj
Date
Print Owner's Name(Electronic Signature)
SECTION 7b:OWNERi OR AUTHORIZED AGENT DECLARATION
By entering my name below,)hereby,attest under the pains and penalties of perjury that all of the information
contained in till ication is true and accurate to the best of my knowledge and understanding. ,)Q L
Date
Print Own' or Authorized Agent's N;une(L•Icctronic Signature)
NOTES:
I• An Owner who obtains a building permit to do his/her own work,or an olw tvhlavvetac access to ires an thearbitration tractor
(not registered in the Home Improvement Contractor(HIT)Program),
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found it
Ivww.mass.^off s Information on the Construction Supervisor License can be found at www I
2. \Vhen substnttial work is pl.mneJ, provide the info(ii clun below:
ding garage, finished basement/attics,decks or porch)
Total tloor area(sy. RJ Habitable room count
Gross living area(sq. R.) --- Number of bedrooms
Number of fireplaces Number of half/baths
Number of bathrooms Number of decks/porches Type of heating system Enclosed —Open
Type of cooling system
3. "Fotal Project Square Footage" may be substituted for"Total Project Cost"
CITY OF SALEM, MASSACI lUSETTS
BUILDING DEPARTMENT
j Lr 120 WASHINGTON STREET,3m FLOOR
TEL. (978) 745-9595
F
KIMBERLEY DRISCOLL FAX(978) 740-9846
MAYOR THOMAS STTIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
HOMEOWNER LICENSE EXEMPTION
PLEASE PRINT:
IV1
Date �/ d
Job Location L 4,'�+G/S ,P,,
Home Owner Address
Present.Mailing Address
The current exemption of"Homeowners" was extended to include owner-occupied dwellings of two
Units or less and to allow such homeowners to engage an individual for hire that does not possess a
license, provided that the'owner acts as supervisor.
DEFINITION OF HOMEOWNER
Person(s)who owns a 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 dwelling, 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 form acceptable
to the Building Official, that he/she be responsible for all such work 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 understand the City of Salem Building Department
minimum inspection procedures and requirements and that he/she will comply with such procedures
and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING INSPE TOR
CITY OE Si1L.E1t, itiL1SS.ICHUSETIS
13t:I1DLNG DEP:1R L&NT
` 130 CV.ISHLNGTON STREET, Y°FLOOR
.. : TEL (978) 745-9595
KI1t3ERT Y DRISCOLL Fux(978) 740-984S
,bLAY01 I2 toaLAS ST.PtERAS
DIRECTOR OF PG BUC PROP ERTY/S t;M DLNG CO%NISSION ER
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 t l 1.5
Debris, .uid tie provisions of MGL c 40, S 54;
Building Permit10 is issued with the condition that the debris resulting from
this work shall be
l 11, S I SOA. disposed of in a properly licensed waste disposal facility as defined by rbIGL c
I'he debris will be transported by:
y
(name urhau er)
The debris will be disposed of in
(riame of ractli' ty) —
--_—_—(address of raullty)
signature of permit applicant
latc
Egress well/window
Existing space Existing baseboard heat
110
Furnace Room
New Construction
New Bedroom
Small basement window x4
stairs to is Full walk out door
fl. /
Sinks ®�Washer/Dryer
Bar
1/2 Bathroom <=>
/ Olitank
Toilet Sink Oil line run under
�"e aa"A concrete floor
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02/04/2014 10:46 FAX 18175265000 WILMERHALE U 001/002
A0/NO,sPA
GENERAL CONTRACTORS
PROPOSAL
Proposal Submitted To:
Name: ,lames Cote
Address: 24 Francis Road
City: Salem
State: MA Zip Code:
E-mail:james.cote@wimerhale.com
DeVincenzo and Sons, Inc. Hereby proposes to furnish all material and labor for the complete
installation of( 1 ) Bilco window well unit, located at address above. Installation consists of the
following: All necessary excavation required, saw cutting of foundation for new Anderson window
installation, framing of opening according to state building code regulations, installation of
AndersonTM sliding window(vinyl inside&out), trimming, caulking and sealing of window from
exterior only, assembly, fastening and bracing of Scapewell7m unit(s)to foundation, backfilling of
unit with appropriate proportion of crushed stone, topping off with existing soils, back dragging
area flat, remove excess spoils from site. ,
All material and workmanship is guaranteed to be as specified and the above work to be
performed in accordance with all manufacturers' specifications and local building code
regulations.
Installation and material is guaranteed for(1)full year from date of installation against any defects
arising from poor workmanship or product defects.
All work described above to be completed in a workmanlike manner for the sum of: $4,600.00
with payments to be made as follows: $ 1,000.00 deposit to be mailed along with fully executed
original Proposal and Proposal Addendum.
$3,600.00 final payment due at time of completion with no holdbacks or retainages to be
applied.
Any alteration or deviation from above specifications involving extra costs, will be executed only
upon written orders, and will become an extra charge over and above the original estimate All
agreements contingent upon accidents or delays beyond our control. Owner to carry all
necessary insurance on above property. Workmen's compensation and public liability insurance
on above work to be carried by DeVincenzo and Sons, Inc.
Respectfully submitted by: Dante DeVincenzo Date: 1/20/2014
Note: (This proposal may be withdrawn by us if not accepted within 10 days.)
ACCEPTANCE OF PROPOSAL
The above prices, specifications and conditions are satisfactory and are hereby accepted.
DeVincenzo and Sons, Inc. are authorized to do the work as specified. Payments will be made
as outlined above.
Owners Signature: Date:
Dante DeVincenzo: X Date: 1/20/2014
35 SPAULDING STREET• EVERETT, MA 02149 - (617) 389-5234 FAX(617) 389.5652
www.devincenzoandsons.com
02/04/2014 10:49 FAX 16175265000 WILMERHALE 002/002
�73
Selecting the Proper Size stakWEO Egress Window Well
STEP 1:
Building
Measure and calculate dimension A Line werdow wed aloe rmielamwt
as shown in the detail on the right —be 40whoestimil rodobrel
based on the site's grade conditions Grade rind be Mapco Bray from
and foundation height. .eR Bwnrpoum mull also be
directed�1'hom dla wall.
STEP 2:
Window-0
Determine the required window well Egress
height by performing this slmple Dimrrmlon Q
calculation: memureham Window
thP ofwfrrdow all Well
to grade level
Required Window Well Height System
w Dimension A+7-1/2"
'112' flee 3/4"neon
free-draining
rod or As stow
From the first column in the table µ"Mprknum 's' at bast 12'in
below, select the closest height that from floor to window '� wltlm®round all
Bill to meet egre8! sides of the well.
will meet the site conditions. code rcwiranent4 K Fill to depth of
foundation
_ roetlry,
STEP 3: •r:
�:.r 'Wells can be installed lower
Once the height has been }�..:;K than the reaorninorded 3.12'
determined, read across and select "'s.F.• to help meet grade conditions
the number of modules required for Tk rock fdl into
your site condition, pedMotor drain it avadebte
stakWEL®STANDARD SIZES AND MODEL NUMBERS
Keyhole on Projection Optional
Modules Height Width Center from Dome Note: stakWEL
Dimension Foundation Cover Window Wells cannot
stak48 1 module=21" 54" Sall 40-1/4" stkwl-C be used with 60"wide
stak-48 2 modules=36-318" 54" 58" 40-1/4" stkwl-C Windows
stak40 3 modules=51-3/4" 54" 58" 40-114" stkwl-C stakWEL modules are
stak48 4 modules=67-1/8" 54" 58" 40-1/4" stkwl-C designed for use on 36"and
411"windows only(See
stak-08 5 modules=82-1/2" 54' 58" 40.1/4'. stkwl.0 ScapeWEL model for Go"
stak48 6 modules=97.7/8" 54" 58" 40-1/4" stkwl-C window Installations).
Bilco Egress Window Wells satisfy International Building Code requirements for
Emergency Escape and Rescue Openings per section R310.
12/30/13
24 FRANCIS ROAD 598-14
GIs#: 3662 COMMONWEALTH OF MASSACHUSETTS
Map: 25
Block CITY OF SALEM
Lot: 0402
(Category: RENOVATIONS
Permit# 598-14 BUILDING PERMIT
Project# JS-2014-001438
Est. Cost: $5,000.00
Fee Charged: $40.00
Balance Due:,,, f$.00 ,i ' . PERMISSION IS HEREBY GRANTED TO:
C9nst Class:.;, , a °
Contractor: License: Expires:
HOMEOWNER
Lot 1 .S1ze(sq. It.): 9683.8236
� _
Owner: COTE JAMES M JR, COTE MICHELLE J
Zonmg: RI,
Ur6is Gained:" <Applicant: COTE JAMES M JR, COTE MICHELLE J
Uiuts Lost: AT: 24 FRANCIS ROAD
Dig Safe#:
ISSUED ON: 12-Feb-2014 AMENDED ON: EXPIRES ON: 28-Aug-2014
TO PERFORM THE FOLLOWING WORK:
BASEMENT BEDROOM: INSTALL EGRESS WELL/WINDOW; SHEET ROCK EXISTING WALLS;ADD TWO (2)
ADDITIONAL WALLS&DOOR
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Underground: Underground: Underground: Excavation:
service:t , Meter: Footings:
Rough: " Rough: Rough: - Foundation: .
last� •.
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final:
House N Smoke:
Treasury:
Wafer: Alarm: Assessor
Sewer: Sprinklers: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
RULES AND REGULATIONS.
Signature:
Fee?ype: Receipt No: Date Paid: Check No: Amount:
:,BUILDING REC-2014-001442 31-Jan-14 CASH $40.00
i �
GeoTMS®2014 Des Landers Municipal Solutions,Inc.