14 HORTON ST - BUILDING INSPECTION �S�IOHiS��f fiL{�-�fJD A�PROYED 8Y �+IE
1A�S,P�G�,Q�3 ,PF�R TP A .PEAMIT B,�WG GRANTED
CITY OF SALEM
:.;w a; .
rvo. � S 3-z c,o,� ,;c"`� .`.�. �'`�� Date / O�
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Is Property Located in Location of /
the Historic District? Yes_No� Building �y N�..7�U. s�f;
Is Property Located in
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR: '
Permit to:
(Circle whichever appiy) Roof, er Install Sidin onstruct D Shed, Pooi,
epaid BpfaZ�Other: 7`o R G�� a4f
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 -
Owner's Name ���o� c. >`- �3�o��<'s"
c_,_�-z�
Address & Phone � ��m-� �v� L9��) ,?�3—S'�I a�
��^'i •
ArchitecYs Name
Address & Phone � )
Mechanics Name /��c �o- � ve^d'_y 4
Address & Phone `s � W«�Y-. �� /V�a^-� 9�ID- —C� ��— �S`��U
What is the purpose oi building? �d r Y-� e /
Matedel of buildingl ��i✓orir If a dwelling, for how many families? �
WIII building confortn to law? ,\f �'� Asbestos? i v U
esumated cost � �C City License # N P' state �cense � � �f 33 �1�
flome Improvement
Lic. #
Signature of App icant
SIGNED UNDER THE PENALTY
�� �"��N( �P� t✓��E a�,/S OF PERJU Y
DESCRIPTI0IV OF WORK 0 BE DONE ✓ �P1i ✓��4� �(��gc�
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MAIL PERMI7 TO: L,i��I f��
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No. �� '>- Zc�o �{ /
APPLICATION FOR
PERMIT TO
C �9�vi//��P �c�,7 .
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LOCATION
1 �{ �-lo2a-oN S�r- I
PERMIT GRANTED
�ir�:/�� � �C?
APP OVED -
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INSPECTO F BUILDINGS
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�ub;ec,;to s�p� ml my m�her
�utharii;haa�gjur�diction. }
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l��o'1/LCT�'r ) IYPE AhD LO:;}',T'r�P Of F4:i 6i�i?�f�ti7tGW Dr"Y. iC�. �
� � ' 4LL FIR� !'flCT�CTICh 7cN!:'S"."'•P.::QJ�Gi' TO A � � N
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�� ' z.���� BEaR00M BEDR40M � �,; -�3 �
DINING ROOM � ' � �. � �_� Z �
,: ��& � 1� }� 12 12K92 ��, _ , . ,.
'I1 X 13 L�1I3 X ��QOM � 93'-0" :.», 120 J ~
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a � � �' LI�L � �
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SLEEFING SPAC
E
DN
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KITCHEN BEDRO�M BEDROOM �""
13 X 96 20�LL 'IQDL 10 x 11 10 X '12 �
O A1TIC STORAGE $'•�"
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� DN � � � �
� � � 6'-'6" STORAGE STORAGE
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REAR �
DE�CK �
FIRST FLOOR PLAN �E�CQND FL��R PLAN �
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� � ✓� ��„�„��� �.��� �
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� y 80ARD OF HUILDING REGULATIONS �
� � �License: CONSTRUCTION SUPERVISOR ki�.
� � � � Number 'CS �043390 �
'�
9r ����� �'Birthdate -05/26/1959 . ��
3
' � . . _ Expires:�05/27/2005 Tr.�no: 579 �
,.. . :._ � � #
j � R�a���a: oo �,!
, � � ( ' RICHARD J AVERSA � � ;
� � Z �825 WINTER ST �^� €
��. .� N ANDOVER, �MA 01845 Administrator �
�
� � �
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` y �ePar�msn� ol./��fial �cci6sn(7 � �
boo w�,��.��,..�
J�met J.Campoel 1)oalon� �as�ac�uu�lt� 02J l 1 _ � �
Canm�ss�oaer
Workers' Compensation Insurance Affidavit
�, _ / 1 � C �O�-���vli'd`�
� (rw.......r.�..) .
. . wich.a principal plau of buziness at:
l�l-�Tt- �/ !�v �"/ � / / '1 0(/�v"'
. , . � . � �anis.u.i:4) .
do hereby certify under ihe pains and penalties of perjury, tfia�
O 1 am an employer providing Svorken' compcnzation covenge to� my employees workin� on
chis job.
Insunnce Company Poliq t�lumber
� 1 am a sole propriccor and have no one workina for me in any c�paciry.
am � sole proprieco enenl conincior or homeowner (circle one) aod have hired ;he
conttaaors lisced below who have she following workvs' compensasion policia:
Contraccor Insunnce Company/Poliq Numbef
Contraaor Insurance Company/Poliq Number
Contractor Insurance Company/Policy Number
() I am a homeowner performing �II the work myself. .
1 uneeruane wc�cov1 0(thu wumsnc.�pe ion+xoeE to�he Offce ol Imescpvau of�he DU la to+ersSa�e*ibntion an0 Wc Wurc m uwrt
' co.srat� u«wrra una�r Sauen 25A o(MGL 1 S 2 can k�E w Nr inoeviien ol cr'n+:nai oannties corsuunt ol� fne of w ce-S I.S00.00 anE/a ont
re�ri r.+�ruo�+xnt v.�ro a�ci.3 oena�u�M me lorm of� ST�P W O RK ORDER ano�tna o( S I00.00 o aat at+�rot me.
Signed this �-�� � � � day of � —"" � � ���'3
c ��n n / /� /�� 7 ` ��
Licen ermiuce �> / � Su� ding Deparcn+ent
` �5
v��'7 Licensing Board
Sdectmens Offite
Healzh Dcparzmmc
TO VERIFY COVERAGE INfORMATION CALL: 517-727-4400 X403, 404, ?05, 409, 375
�o r e.-. _ ' 4F �ALEM. �IASSACHIf�ETTS
� PUBLIC PROPERTY DEPARTMENT � �
� � ° j120 W:tSHINGTON STREET, 3RD FLOOR .
���ijp SALEM, MA 01970
�s`_2-s._ Tel. (978)745-9595 EX7. 380
' �pmrs Fpx (978) 740-9846 .
STANLEY J. USOVICZ, JR. � . �
MAYOR � � � � � �
DISPOSAL OF DEBRIS AFFIDAVTT
In accordance with the provisions of MGL c 40, 534,I acl�owledge that as a condition
of Buildin Fermit# , all debris resulring from the construction activity
8
govemed by this Building Permit shali be disposed of in a properly hcensed solid-waste
disposal facility,as defined by MGL c III, S150A. .
The debris will be disposed of at: � R� �i''� [��M S �P/� .Se�v���
Location of Facihty
.�„� 3 v o 3
igna f Permit Applicaat �
FULLY complete the following information:
(PLEASE PRINf CLEARLI�
AN��a,�� �` �3�ao �� S
Name of Permi pplicant
N� �
' Firm ame,if any �
� 4 N�2��.� �f s,�l�� �,�
Address, City & State
The above statute requires that debris from the demolition,renovation,rehab or other
alteration of building or siructure be disposed in a properly-licensed solid-waste disposal
facility as defined by IvIGI, cIII, S150A, and the building permits or licenses.are to
indicate the location of the facility.
.
BOISE� BC CALC�2002 DESIGN REPORT - US Friday,duiy 2s,zoos io:is
File
Double 1 3/4" x 11 718" VERSA-LAM�3100 SP Name - ec:zb2
Job Name - Description -
Address - 14 Horton St Specifier - Bennett Freedman
City;State,Zip - Salem,MA Designer - Jesse Despo
Customer - Richard Aversa Company - National Lumber
Code reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc -
1
2
Standard Load-40 PSF�10 PSF Tributary 12-06-00
� . d . . � .. . . . . ,
�_._._ . .��_.— _ � � � ... �.,
BO ^ 81
3750 Ibs LL 3750 Ibs LL
1633 Ibs DL 16331bs DL
Total Horizontal Length-10-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur.
S Standard Unf.Area Load Left . 00-00-00 10-00-00 40 PSF 10 PSF 12-06-00 100
Member Type: -�Floor Beam 1 Wall Ld Unf.Lin.Load � Left 00-00-00 10-00-00 0 PLF 65 PLF n/a 100
�.. Number of Spans - 1 2 Attic Ld Unf.Area Load Left 00-00-00 10-00-00 20 PSF 10 PSF 12-06-00 100
Left Cantilever - No
� . Right Cantilever - No Controls Summary
Control Type Value %Allowable Duretion Loadcase Span Location
Slope 0/12 Moment 13459 ft-Ibs 63.3% (a�100% 2 1 -Internal
Tributary 12-06-00 End Shear 43181bs 53.7% (o�100% 2 . 1 -Left
Repetitive n/a Total Deflection L/483(0.248") 49.6% 2 1
Construction Type n/a Live Defleclion L/694(0.173") 51.8°/a 2 1
Max.Defl. 0.248"(Limit: 1") 24.8% 2 1
, Live load 40 PSF SpanlDepth 10.1 1
Dead Load 10 PSF
Part Load 0 PSF '
Duration 100 NOTES:
Design meets Code minimum(L/240)Total load deflection criteria.
DisClosul'e Design meets Code minimum(U360)Live load deflection criteria.
The completeness and accuracy of Design meets arbiVary(1")Maximum load deflection criteria.
the input must be.verified by anyone Minimum bearing length for BO is 1-3/4". �
who would rely on the output as Minimum bearing length for Bt is 1-3/4".
evidence of suitability for a Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+�/p intermediate bearing
I particular application. The output
above is based upon building
code-accepted design properties
and anatysis methods. Installation . . .
of BOISE engineered wood _
products must be in accordance . .
with the current Installation Guide
and lhe applicable building codes.
To obtain an Installalion Guide or if
you have any queslions,please call
� (800)232-0788 before beginning
�. product installation.
BC CALC�, BC FRAMER�, BCI�,
BC RIM BOARDTM',BC OSB RIM
i BOARDT" BOISE GLULAM'"', �
VERSA-LAM�,VERSA-RIMO,
VERSA-RIM PLUS�,
VERSA-STRANDr"' '
VERSA-STUDO,ALLJOISTO and
AJST""are registered trademarks of
Boise Cascade Corporation.
� Page 1 of 1
� .
BOISETy BC CALC�2002 DESIGN REPORT - US Friday,July 25,2003 10:12
File
Double 1 314" x 11 718" VERSA-LAM� 3100 SP Name - BC CALC Project:2b1
Job Name - Description - 2Bt-Customer verbal dimensions
Address - 14 Horton St Specifier - Bennett Freedman
City,-State,Zip - Salem, MA Designer - Jesse Despo
Customer - Richard Aversa Company - National Lumber
Code reports - ICBO 5512,BOCA 98-52,SBCCI 9852 Misc -
t
2
Standard Load-40 PSF�10 PSF Tributa 12-OB-00
..._......_.�...,.._. . . . .
i IM1
s_._,..— _ ..._._.._.
BQ B�
4500 Ibs LL 4500 Ibs LL
1960 Ibs DL 1960 Ibs DL
Total Horizonfal Length-12-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Live Dead Trib. Dur.
S Standard Unf.Area Load Left 00-00-00 12-00-00 40 PSF 10 PSF 12-06-00 100
Member Type: - Floor Beam 1 Wall Ld Unf.Lin.Load Left 00-00-00 12-00-00 0 PLF 65 PLF n/a 100
Number of Spans - 1 2 Attic Ld Unf.Area Load Left 00-00-00 12-00-00 20 PSF 10 PSF 12-06-00 100
Lefl Cantilever - No
Right Cantilever - No Controls Summary
Control Type Value %Allowable Duration Loadcase Span Location
Slope 0/12 Moment 19380 ft-Ibs 91.1% @ 100% 2 1 -Internal
Tributary 12-0&00 EndShear 53951bs 67.1% (a3100% 2 1 -Left
Repetitive Na Total Deflection U280(0.514") 85.7% 2 1
Construction Type Na Live Deflection L/401 (0.358") 89.6% 2 1
Max.Defl. 0.514"(Limit: 1") 51.4% 2 1 �
Live Load 40 PSF SpaNDepth 12.1 1
Dead Load - 10 PSF
Part Load 0 PSF
Duration 100 NOTES:
Design meets Code minimum(U240)Total load deflection criteria.
DiSClosufe Design meeGs Code minimum(L/360)Live load deflection criteria.
The completeness and accuracy of Design meets arbiVary(7")Maximum load deflection criteria.
the input must be verifed by anyone Minimum bearing length for BO is 2-1/8".
who would rely on the output as Minimum bearing length for 81 is 2-t/8".
evidence of suitability for a Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+ �/z intermediate bearing
particular application. The output
above is based upon building
code-accepted design properties
and analysis methods. Installation
of BOISE engineered wood
products must be in accordance
with the arrent Installation Guide
and the applicable building codes. �
To obtain an Installation Guide or if
you have any questions,please call
(800)232-0788 before beginning
product installation.
BC CALC�,BC FRAMER�, BCI�,
BC RIM BOARDTM,BC OSB RIM
BOARD'*', BOISE GLULAM'"',
VERSA-LAM�,VERSA-RIM�,
VERSA-RIM PLUS�,
VERSA-STRANDT"',
VERSA-STUD�,ALLJOIST�and
AJSTM'are registered trademarks of
Boise Cascade Corporation.
Page 1 of t