8 HAYES RD - BUILDING INSPECTION fL4NS"W`9EfiA9 1D APPROVED BY T41E
JNSPZX=.PRM TD A P.EBWf JIMG GRANTED
CITY OF_SALEM
No.C ��
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Ply t.00aOW h LocatIm Of
MM FfhloliC DhdrW Yas NO v/ aaildlaa 8 449/E3 WD.
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Permit to: BWuwm PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Rmoof, Install Siding, Construct Dad*, Shed, Pool,
RepaidRsplac, Other•. cinO�Q /�%Tcfr�c/4��,cc
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS: '
The undersiP*ed hereby apples for a permit to build according to the following'
specifications: / /
Owner's Name c%�.�.� al -rfAlO µ
Address & Phone ?Q ��'.�/ten (9i701 7//- 7*2B
Architect's Name
Address & Phone ( )
Mechanics Name
Address & Phons ( )
What w tfs purport a arfar�r ✓v�iE � �i ��3�/JEryTR L
MOEN of NNW Cc)oG,-J I a�q,for raw mmy f mbu7 /
we euMdrq conform to km? Mbmaos4 /yO
E�naMd CM W Up M �O60 elate M GG.), 9 �Z/
fi� Improwernt
%Vniore of Applicant
SIGNED UNDER THE PENALTY'
OF PEPARM
DESCRIPI OF WORK.TO BE DONE
��/n0,/��G /t'/ •TC}f��c/ 9 dT.rci/ '. Op��c/iuG� a �oans �T�
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s
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MAIL PERMIT T0: /o P.y�m� �� c y�2j
,7V
APPLICATION FOR
PTO
Qe.ineo(d
LOCATION
PERMIT GRANTED
/1n1,4 .Z &_. �—
APPROVED
I OR OF BUILDINGS
noiSE- BC CALC® 9.1 DESIGN REPORT - US Monday,April 25,2005 08:48
Triple 1 3/4" x 9 1/2" VERSA-LAM® 3100 SP File Name: BC CALC Project: FB01
Job-game: Description:
Address: Specifier:
City, State,Zip: , Designer:
Customer: Company:
Code reports: ICBO 5512,NER 629 Misc:
I . �1 2
BO B1
LL 3840 Its LL 3840 Ibs
DL 10441bs DL 10441bs
Total of Horizontal Design Spans=12-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Type Value Trib. Dur.
1 Standard Load Unf.Area Left 00-00-00 12-00-00 Live 40 psf 04-00-00 100%
Member Type: Floor Beam Dead 10 psf 04-00-00 90%
Number of Spans: 1 2 ROOF Unf.Area Left 00-00-00 12-00-00 Live 40 psf 12-00-00 100%
Left Cantilever: No Dead 10 psf 12-00-00 90%
Right Cantilever: No
Controls Summary
Slope: Control Type Value %Allowable Duration Load Case Span Location
Pos. Moment 14652 ft-Ibs 70.0% 100% 1 1 -Internal
Neg.Moment -0 ft-Ibs n/a 100% 1 1 -Right
End Shear 4180lbs 43.4% 100% 1 1 -Left
Disclosure Total Load Defl. U284(0.506") 84.4% 1 1
The completeness and accuracy of Live Load Defl. U362(0.398") 99.5% 1 1
the input must be verified by anyone Max Dell. 0.506" 50.6% 1 1
who would rely on the output as Span/Depth 15.2 n/a 1
evidence of suitability for a
particular application. The output Notes
above is based upon building Design meets Code minimum(U240)Total load deflection criteria.
code-accepted design properties Design meets Code minimum(U360)Live load deflection criteria.
and analysis methods. Installation Design meets arbitrary(1")Maximum load deflection criteria.
of BOISE engineered wood Minimum bearing length for BO is 1-112".
products must be in accordance Minimum bearing length for B1 is 1-1/2".
with the:current Installation Guide Entered/Displayed Horizontal Span Length(s)=Clear Span+ 1/2 min.end bearing+1/2 intermediate bearing
and the applicable building,codes.
To obtain an Installation Guide or if Connection Diagram
you have any questions,please call Consult project design professional of record or BOISE technical representative for connection design
product
in0788 before beginning Member has no side loads.
product installation.
BC CALCE, BC FRAMERS, BCIE, Connectors are: 16d Sinker Nails
BC RIM BOARD-" BC OSB RIM a minimum=2" -�! f
BOARDTM, BOISE GLULAM- , b minimum=3" 1.
, c=minimum
L b cl
VERSA-LAME),VERSA-RIM
® a
VERSA-RIM PLUSO,
VERSA-STRANDTM minimum=3" • o o Z
VERSA-STUD®,ALLJOISTV e m and c
AJSTm are trademarks of l
Boise Cascade Corporation.
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Page 1 of 1
CITY OF SALEMV MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3Ro FLOOR
SALEM, MA O 1970
TEL. (978)745-9595 ExT. 380
GO) FAX (978) 740-9846
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34, I acknowledge that as a condition
of Building Permit# .all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility,as defined by MGL c III, S 150A.
The debris will be disposed of at: .�Ji'�C 4 - _4FPP/Al
Location of Facility% ���c���✓ Dila°sA �-
of Permit Applicant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
SAX //0_1 2-,c
Name of Permit Applicant
Firm Name,,if any
%� Lir6�/li7J e5J /NiO�Lt7�^�. /t!/a B/��F
Address, City& State
The above statute requires that debris from the demolition, renovation,rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIII, S150A, and the building permits or licenses are to
indicate the location of the facility.
-- ` The Commonwealth of Massachusetts
G f — Department of Industrial Accidents
�� BffigNhM
600 Washington Street, 70 Floor
Boston,Mass. 02111
...4`i Workers'Com nsation Insurance Affidavit: Buildio lumbin lectrical Contractors
name:
address:
/�� stat_e•///JJ AX an 0/ �/` cf% ohon 7�# //( 760S
work site location(full addrss ik e /%f+s/�� led
❑ I am a homeowner performing all work myself. Project Type: ❑New Construction'Remodel
I am a sole proprietor and have no one working in any capacity. ❑Building Addition
❑ 1 am an employer providing workers compensation for m1 employees workmn o�n this o,b.
Daft :.1�2';�'lFy.Y'SS.:r 'a} ,.Sy `. >k B' '+" � .€'*§ ;�i 1:t1�iS .•
rv' 4 ♦ � � '40t�
h. ry�p�
A:c 5164. ft ;
F
IllAuraoa m s ,'a 2 r w " e>e;.� 'ERR Zi k .s4�'v sa , t4 ..ham y
❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have
the following workers'compensation polices:
company name: -.
Address•
r
city:
,,.,.,!>•yte:=l r#rda4sfA!Ma" T{
n
commury mine.
R
Y _
hL F
..
p
� 9 � •5 Failure to man coverage An required under Section 25A of MGL 152 an lad to the imposition of crimioal ,pea d ram Ala fine up to understand
that a
one years'Imprisonment as wen u dvli penalties In the(arm of a STOP WORK ORDER and a Ave of 5100.00•day apiast me I undentend that■
copy ofthis statement may be forwarded to the Office of lavestipatbm of the DIA for coverage verification.
I do hereby terrify n r/he alas a penahies of perjury that the information provided above is true and correct.
Signature H. Date �-2 7'® j'
Print name ) .6/numC Phone# 777-767a�ii—
official use only do not write in Ibis Ara to be completed by city or town official
city or town: permilhkeme a ❑Building Department
❑Licensing Board
❑check If immediate response Is required ❑Sekdmen'i Doles,
❑ifaltb Department
contact person: phone o; ❑Other
n,w smt nmt
f
r CITY Of SALEM #2060
BUILDING LICENSE
this is tocertify That
JOHN TORNA14E
74 LIBERTY ST sfl.10 LETON Mau..
Has been granted a license b LthT_e�Buildin Inspector as a
File GHWAT
93
ANesf: �
AUGUST 22,2000
(issued) ...., Building Impactor Y
0/se Panman eat!/ o�. awac/ueed
r'+ BOARD OF BUILDING REGULATIONS
R ti
License: CONSTRUCTION SUPERVISOR
. .-.x Number: CS 062941
Birthdate: 0610611968 Tr.no: 25225
Expires: 06106/2005
Restricted: 00
JOHN J TORNAME
74 LIBERTY ST 01949 /^-
MIDDLETON. MA ,.missioner
��e Lz omvnzanuieall� o�✓f�audallu
Boord of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
Registration: 118789
Expiration: 4/21/2007
Type: DBA
TORNAME BUILDERS
JOHN TORNAME
74 LIBERTY ST
MIDDLETON,MA 01949 Administrator