18 GRISWOLD DR - BUILDING INSPECTION The Commonwealth of Massachusetts
�• 1, Department of Public Safety
�`••.-�.•/ .NIa..ichu.clt.State Building Code 1780 C\IR)Seventh Edition
City of Salem
Building Permit Application for any Building other than a 1- or 2-Family Dwelling
(This Section For Official U..e Only)
Building Permit Number: Date Applied: Building Inspector:
SECTION 1: LOCATION (Please indicates Block Nand Lot 0 for locations for which a street address is not available)
fg �T YiSWoI Dr, Ccc1Pih /)/a /'i r kma.', Ark- CoM.�,
an "'reel C itv /Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
If New Construction check here❑or check all that apply in the two rows below
Existing Building❑ Repair❑ Alteration ❑ Addition ❑ Demolition El (Please fill out and submit Appendix 1)
ChangeufUse ❑ ChangrufCkcupancy ❑ Other 6ilSpecify: A/r;ry /JeC& Z/1-62 /Az 0-
Are building plans and/ur construction documents bring supplied as part of this permit application? Yes Q No ❑
Is an Independent Structural Engineering Pei Review required? ` Yes ❑ No 13
Brief Description of Proposed Work: C nrn o e o //I deC.t- Orr,P�P TP �x/-P 'vim
�rP K I- P /J/Gce n, r .a I-,_Aecc- Tee )t eat/
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑
Existing Use Group(s): Proposed Use Group(s)-
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Fluurs/Stories(include basement levels)&Area Per Floor(sq.ft.) I NAAJ S•7!7
Total Area(sq.ft.)and Total Height(ft.) J2 y(; )' SggC
SECnON 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 ❑ A4❑ A-5❑ B: Business ❑ E: Educational ❑
F: Facto F-I ❑ F2❑ H.-High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
1: Institutional 1-1 ❑ 1.2 ❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage Si ❑ S-2 ❑ U: Utility❑ 1 Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ Is IIA ❑ IIB ❑ IIIA ❑ 1118 ❑ 1 IV ❑ 1 VA ❑ VB ❑
SECTION 7:SITE INFORMATION Irefer to 780 CMR 111.0 for details on each item) .
Ivaler Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal:
Public❑ Check it oubida•Pluod Zone❑ Indicate municipal ❑ A trench will not be Licen.ed Di.posd Site❑
- required❑or trench ur,pecifv:
I Heals❑ or mdenlily Zunr: or on.ur.cdem❑ permit kendu.ed ❑
Railroad right-of-way: Hazards to Air.Navigation: .....„ Poi
\ut Applic.nble❑ I.Structure tr,thm airport appn,aih area' I*their rrnetc completed.'
•rt 11 n,�cm t„11udd rniluvd ❑ lb,❑ or\'o❑ Ye.❑ \o ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
liduion of Code: ___ L'e Gnnipl�l: . rt peuf Cumtn Kuon: Occupont Load per I I,nrr:
17„c,the budding annta,n an Sprinkler?tdem.'' Special Stipulations:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Addressol Property Owner il/
QiaAe tAlh.Lae- / R 6rl'SWo/- Sq�Pm
Name(Poop Nu.and Slreel Cih•/town
Zip
I'nrperte Orvnrr( ontrut Inlormation:
--
Title - Telephone No. (business) Telephone Nu. (cell) a-mad address
If applicable, the prupertt•owner hereby authorizes
Name Street Address City/Town State Zip
to act on the pro+eriv owner's behalf, in all matters relative to work authorized by this building permil a , ilication.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
(If building is less than 35,Oo0 cu.it.of endowd s pace and/or not under Construction Control then check here O and skip Section te.l)
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 General Contractor
fi7cyr GL /7�O'P/ SOiI
Company Name: S 6 S'g S
Name of Person/Re sprCsibple v uc C/nsta/lion L7seI No. and Type if Applicable
Y7 d
l 1.5 S
Street Address City/Town State Zip
Telephone No.(business) Telephone No.(cell) e-mail address
SECTION 11:WORKERS 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 O No 0
SECTION 12.CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$ 1511-zI"10Q 0 O 1. Building I- gem,",. 11 $ 00 . 6 Q Building Permit Fee=Total Construction Cost x_(Insert here
2. Electrical S appropriate municipal factor)=$
3. Plumbing $
4. Mechanical (HVAC) $ Note:Minimum fee=5 (contact municipality)
5. Mechanical (Other) S 306.na Enclose check payable to
6. Total Cost $ 4.-7,io 06 (contact municipality)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 cojinthisapplication is trueandaccurate to the best of my knowledgeand understanding.
Aaf r taowo�vf�-1 � Capra 41- A/_ ,01( I /o
I'le,rnc printand sign name rifle0 Telephone No.r�C lo � � al4; 0.2 K's
tiheel AdJres Cils/Toren Slate Zip
M u11 icipal Inspector to fill out Ihis section upon application approval: `-' -,4, �11
Name I)ate
American Properties Team, Inc.
TO, 113 Griswold Drive
FROM: Jennifer Pappas,Property Manager
RE: Deck Replacement
DATE: April 29, 2010
esstttxxtttttxtttstxxttts»ttttttstsssttttstsxtessttttts»set»»tttttesestt
Please be advised that the Hoard of Trustees for Pickman Park has approved the replacement of
your deck at the above referenced unit. This approval is contingent upon it matching the existing
deck. The Hoard will not allow any design alterations.
We also require that permits be pulled in advance (regardless of what your contractor may tell
you), and then a copy of the final approved permit once completed must be sent to APT for the
unit Me as well.
You will need to bring a copy of this letter to the Salem Building Department in order to receive
Your permit.
Should you have any questions or require additional information, please feel free to call me
directly at(781)932-9229.
co. Unit File
500 WEST CUMMINGS PARR•SUITE 6060,WOBURN •MA-01801-781-932-9229 FAX 781�935-0289
,\ CITY OF SALEM
j PUBLIC PROPRERTY
DEPARTMENT
.1'.I I: MI11 '•Klr�'•I
I f 1:'/�1•!1S.•1i�/3 �I'.t!t:`J7Y•1!S'I;I N�
Construction Debris Disposal Affidavit
(required liar 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 N 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
111. 5 150A.
The debris will be transported by:
IQ (3 rtcce R('ar (-.ot)n1cr
(norm of hauler)
5 091 sa ') -3119
The debris will be disposed of in :
(name O) aCl Ily
(addre+o of larlhry)
.Ignatwe ul•Ixrn,it app icalu
data
CITY OF S.UI &Nfq NLASSACHUSE-M
BLMD(iIGDMRT LENT
120 W.%MLNGTON STREAM Ye FLOOR
TEL (978)74&9595
F. x(978) 74&964
KBIDER"Y DRLSCOLL
\dAYOII 71tObtAf ST.Plalulg
DIRECTOR of Mom PROPERTY/In MDLNG CMMOSSIONEA
Workers' Compenaatlon Insurance AfIldsviC Duilden/Coneractor*Eltctr(clansiPlumMn
aonllcant Informatlota __ - ___ Plesse Print Ledbltt
same 19e,rrtnsaraau+rane+vl+vkrraualY• �otr r l,U /q n�e/ s o Y1
Address: C /e v e ICJ c7 _S i
cily/statdzip: 1)'(r .l t ortA" Ra f) 15SPhonsN: ?S-/ S� c - ?eoeti
Are yos ere empioyw!Chock the Appropriate Nu Type of project(regrken:
1.❑ I an a unpbyer with e. ❑ I AM a pttaal contractor sad I b• ®Now constnntiw
employees(w and/or pan-tints)•• have hired the sudetreraeun
2.® 1 at"a sale proprietor„r Partner- lined an the avwJW shines I 7. Remaleling
.hip and have no employee Then sub•eoMtaeeon have L 0 Demolition
waiting far ms is say capacity, worksn'comp inwueoos 9, C3 ISuiwind addition
I No wartess'comp insurance S. ❑ we are a corporstisrs and its
ruquiresLl t4k oere hawtter edsed their 10.❑Electrical repairs ar sddirions
).❑ 1 am a honeowrer doing ad work tilde ofamemption par MGL 1 I.Q Plumbing repair or addkions
myself.(No workero'comp. c• IA f 1M1 and we haw no 12.0 Rotor repairs
insurance required:( empbyeea(No workers' I S.❑Othw
comp insurance tegttisad.J
-Any apyaraA the dugs boa Of new,ter is UM the 90111411111111010 AbOMM mere wwkw•oo++7saeaiM PAb isssrrtrlata
't hwwuwam*he wit sin Me aAdwk inttlydss fry am doing a0 verk ad this Ab wettb emnners mmr ssltwa a rem a01,Y.a iniieati++a ma►
f..r+a+ me drat caeA rai M wad Missiles at stitiwd.Am Jwiry dr sr of Me aisurrmtw erd rMr.wawr'rur96 pfhr isa m em.
/rile sit rwplsye►rAsl b proristlsR+rerAas'rowpttuerles/sVaroww fur Ary tayfrryees OiAsw d city pefky sw/Jb1 rite
informs"
InNumnce Company Name:
Policy a ur Sehf•ins.Lie.M Expiration Dos:
Job Sin Ad4h, City/Stata/zip:
.\pack a copy of the workers'compessatles pedey doelaratbs pop(skewing the polity sombor and eapirsdon dnb)6
Failure to swan covenp as required under Sectias 21A of MGL e. 152 can lead to the imposition oferiminal psnaltin of a
fine up to S 1,500.00 and/or one-year imprisomnwa,as wed as civil pensdtias is an farm of s STOP WORK ORDEK and a lice
Of up to S2S0.00 A day ausinse the violator. Ile adviwd that a copy of this statement maybe forwarded to the OlTice of
Invcauaatiana ul'dn DIA fur insurance coverage vcnelcatiat.
/da hereby certify under tht pins And prneldes 9/perjury Act Aw inlorwsdew previdird ubowe is row And a wreca
p G c �
66
O/ffried uMr o,+/y,, Oo not writ in this rrrq It bt,smp/rred by city or teww n//h•irL
j
city or ruwn: Yrrmit/Lltenst e__.
I,suing.\tuhurrty (circle nnH:
1. Ituard u(Ilealrk I. Ruddlna Department ).city/town Clerk A. flrctrical fill pit;for S. Plumbing In,peetor
6. Other
"nlaetrenan: _ Phones:
r1C]��yt.���$ Pagaq of pages
lytarK �ndp�sdn �l� $3�JJ,,9
fill - 5a6 . 3to6 C p I} �'r(A "
R78) 7-45-3L�70
Pmposal submitted To: Job ry Y �e Job y
Address aO
Gt'J h 1
f G r ' Job Location to � /-
T/ Date of Plans
Phone U. Fax q /� A itecl
We hereby submit specifications and estimates for: -
- Gorr+PJe+ �.riae ; deck r.ap/accr_&.47
twa.tCti . .e ,tf.s.. �Rrzo mor�ar�ce_ - -
is a s s nw b /e e4 a c .
C�& .aim ep <a � G; afg�rt_s,
" ��L�e/.l,tc� K_sG�.= l-1'..G_f'Skv"c.. '�.�e,2�� . wvr✓t�_ .-_.����i_G_.. �cc�. _
a w I ¢4 i rn _ . 1�0 .cl�i y r fz f ar Corn.//e{wR
We propose hereby to furnish material and labor —complete in accordance with the above specifications for the sum of V2
WO
/ y,r of II S A[J �' f/6P n Aloe e-A.-/! Dollars
with payments to be made as follows: �S f�6� DO' ' 00 - 31�/ ���� ar
Any alterattan a deviation from above specgkaltons involving extra costs wry Respectfully
be executed only apon whiten order,and voll become an axim charge over and �'J
atwvethaestlmate.AOOgMmamscnntingemupanshikes,accidents,orde1ays submitted G "f a.12zz 4; 3
beyond our cordrol Note—this proposal may be withdrawn by us If not accepted within days.
Aicrieptance of ?Araposttt
LLhe
specifications and conditions are satistadory and are
You are authorized to do the work as specMed. Signature.�.
made es aullirt�above.ptance / a0 clo Signature
M, NC3818
6 (` 9rctv\Corinier
CFCnlaoc� , ) Seru iGC- S
ET i)ey L L L Il i G L rn_Gtn Por
l� eeee��i�e
A
NOTE: 4 X 4 POST LAGGED TO 2x8LEDGER
STAIR LENGTH& DECK FRAME TO
LOCATION TO SUPPORT STAIR RAIL {
MATCH EXISTING I!J A 11 2 x e END
FOISTS
- 6 JdISTS ® 16, ,0. 6 4.
r STAIRS W/2 x 12
o STRINGERS. q -
7•5•_ "I
t J` 10'TREADS&7_g I TRIPLE 2 x 8 HEADER
RISERS - I
'-D Y) 6X4 12'.0'
M POST FRA
MING AMING PLAN
SEE DETAIL I
NOTE:
pp PROVIDE 6 z 6 POSTS FOR
DECKS OVER F-W ABOVE
GRADE
O U
•`v
o Ala
vdxe
i DECKING j
INSTALLED f i
W/TIGHT
I I 11 :OINTS
r ' �
DECK HT. TO MATCH _f
p - EXISTING.&PROVIDE PITCHOF v8-pER FOOT•AWAY _SEE DETAIL 2
rl FROM HUILD!NGtA
` r
rl
FRONT pp SIDE ELEY}�TION
ELEVATION
GENERA NOT 5 j��/m 0�
c
N =THE CONTRACTOR IS CAUTIONED THAT T!iE BUILDING WILL 9E OCCUP!EO CURING CONSTRUCTION. THE
O CONTRACTOR SHALL TAKE ALL AEASONASUS MEASURES TO MINIMIZE DISRUPTION OF THE NORMAL USE OF
r THE BUILDING AND INCONVENIENCE To THE 8UIL01.\'G OCCUPANTS.
`-THE CONTRACTOR SHALL FIELD VERIFY ALL DIMENSIONS AND QUANTITIES. NOTIFY THE OWNER OF ANY
DISCREPANCIES BETWEEN TH E PLANS.ANd ACTUAL CONDITIONS.
EXTERIOR DECK REPLACEMENT TYPE A
n� N08L1N & ASSOCIATES PICKMAN PARK CONDOMINIUM DECK PLAN
C o CONSULTING ENGINEERS SALEM,mAsSACHUSE7TS A_1
4- PORTSMOUTH, NEW HAMSI
_ 3 � PHRE _ OnVrN:TDL SCALE: 114'a1'-0'
CHKD:REMN UAfb; 1t1•yr
i .
c s
S Z®.'d - 988VZ46046 3NI NOIionNiSND7 opNua Wd BS: ZT 86-•TT-113d
Q
Rcm0Ual s F14( ,�CruicP.S
5 ag-sa )-3�ig
afuCe gfunCOnricrJ
Massachusetts- Department of Public Safeh
Board of Building Regulations and Standards
i
.Construction Supervisor License
,License: CS 65845
Restricted to:.,00
MARK W ANDERSON t p
v!e
1 CLEVELAND ST
MEDFORD,.MA 02155
o—
�"'L Expiration: 8/72011
('nmmis<i.mrr Tr#: 810
I