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31 INTERVALE RD - BUILDING INSPECTION � /� a� Thc Cammomacalth of Massachusctts �� � l3oarJ of Buildinb Regululions and Standards CITY � ,� hlassachusetts Statr 13uilding Code. 730 CMR. 7'"�Jitian OF SALGM (� �'��i7 Revi.sed Janu��r�• � l3uilJing Pertnit Application To Construct, Repair, Renovate Or Demulish a �. =�����'+ One-or T�ro�Fuini(v Dwellinj; This Sec wn For Ot�cial Use Only 13ui1Jing Permit Number. � Da�e Applied: Signature: ���j� Iluilding� mmi>vonedlns cP r� fl3uiWings Dale 'ECTION I: SITE INFORMATIOIV I.1 Pro�erty Addrese• 1.2 Assesson Map& Parcel Numbero `2 J 1 ,i(�2 v�Lr /.eo� I.I a Is this an accepteJ street'?yes_ no M�p Number Parcel Number 13 Zoning Informatlon: Li Prope Dlmensiona: s�a �'� �� ' "f.oning Uistricf Prnposed Use I.ut Area(sy il) Frunlage(R) � I.5 BuildinR SetbacW(ft) froN YarJ SiJe Yurds Rc�u YarJ Rcyuircd NroviJed Rcyuired Providcd Requircd ProvideJ 1.6 Water Supply:(M.G.L c.J0.§i4) 1.7 Flood Zone Informatlon: 1.8 Sewage Disposal System: Zune: Outside Flood Zone? Munici al O On site dis osal s stem O Public❑ Priva�e❑ Check iFyesO P P Y SECTION 2: PROPERTY OWNERSHIP� 2.1 �Owner��p�8ecord: � /2` �/� � �%/�iv /'c/la-Sc� �� -�.� P �I� lC� Nu lPr' t) . Address 1'or Scrvice: ��i� �'5 � ��/�S m re "Pelephone SECT[ON 3: DESCRIPTION OF PROPOSED WORK=(check all that apply) New Construction I'� Existing Building❑ Owner-Occupied O Repairs(s) O Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Uni[s Other ❑ Specily: BrieF Description of Proposed Work'': , � 2 G �atiy C (�n. � 5 ,� 1 nl 3i3 ec� � S � � SECTION J: ESTIMATED CONSTRUCTION COSTS I�em Escimared Cuscs: Off7cial Use Only 1 Labor anJ Materials) 1. Building $ ,pZ� GOCY L [3uilding Permit Fee:$ Indicate how 1'ee is Jetermined: �. Electric�l S BSOp��� � �StandarJ City/TownApplicationFee ' �Total Projei:t Cust Qtem 6)s multiplier x J. Plwttbing S QOG�a 2. Other Fees: S �1. Mechanical (f�IVAC) $ Fj000 "6 List: S. Mechanical �Firo S /sQG �� � Su ression Total All Fces: S OS5 Cheik No. Check Amount: Cash Amamt:_ 6. Tohrl Project Cosh �S �-SD/ � ❑paiJ in Full � O Outstanding Balance Due: �S'n �a�� S , ` . � ��.�J�•— ?��— gs� - s«-s� - SF.CTIOIV S: CONtiTRUCT101V SERVICES 5.1 Littnsed Cunstructiun Supervisor(CtiL) �S' a �'�S �/-�a3- ar/ --. �1 � t�0�/�R/ <�L2sOw I.ircnseNumtnnr IispimliunUatc Namrul'Ctil.• IulJcf �� �y I.i.i l'SL-I'ype Isee brinw) !.L• Tr Uescri tion :\dJrc. f/U Unrestrictcd u tu35.UU0CaR. R Reslricrcd 1&? Famil Uwcllin tii� �luro p�j p� M11 �bl:uun �Uni �X�' �J 0 ' tT l� RC RcsiJential Roufin Cuvcrin 1'¢lephone Wti Rcsidenlial WinJow and 5idin� SF ResiJential SuliJ Fuel Uumin A lionce Inslallolion U Residemiol Demuli�ion 5.2 Re�istered Hom I�rovement Contracfur(HIC) JaG s�dY . , /bNn. �P{P�crc.v � i I IIC Cum any Nwne r HIC Regislr;uil �me Registmtion Number , « � w�-� �yNN �.� G,�y �-ay ao�a ndd.��s '������ ���' Lspimtiun Dam '�, Signaw Tdcphune �. ' li SECT[OIV 6: WORKERS' COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) �'i Workers Compensation Insurance aFtidavit must be completed and submitted with this application. Failure to provide �i this aftidavit will result in the denial of the Issuance of the building permit. ��. Signed Affidavit Attached? Yes .......... No...........O SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILD[NG PERMIT '��. 1. � fj � d!iN �e�e2-S�l/� , Owner of the subject property hereby authorize n/�i t�n. t�P/l Sc iL � to act on my behalf, in all matrers � �. relative to work wthoriz b this building permit application. � '� ,� - �� // ' Si� a e ot Owner Dare � SECTION 7b: OWNER�OR AUTHORIZED AGENT DECLARATIOtt �, ,as Owner or Authorized Agent hereby declare ' that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and �� behalf. —, �/ry �'Q��2Sc�/ (� o c. Print Name a^ ��/ , . tiignatu of( wner ur Authorized Agem Uate � Si med under the ains anJ enalties of er'u NOTES: L An Owner who obtains a building permit tu Jo his/her own wurk,or an owner who hires an unregistered contractor (not registered in the Home Improvement Coniractor(FIIC)Program),will wo�have access to ihe arbitmtion program or guaranry (und under M.G.L.c. 112A.Other important infortnation on the HIC Program and Canstruction Supervisor Licensing(CSL)can be fuunJ in 730 CMR Regulations I IO.R6 and I IO.RS, respectiv¢ly. 3. When subs�antial work is planned,provide lhe information below: Total �loors area(Sy. FL) (including garage, tinished basemenVanics,decks or pomh) Gross living area(Sy. Ft.) Flabitable room cuunt Number uf fireplaces Number of brdrooms Number of bathrooms Number of'half/baths Type ul hea[ing sys[em Number of Jecks/purches Type of cooling system Enclosed Open 3. "Tol�l Projecl Syuarc Foolage"may be subslituteJ tix"Tutal Project Cu>t" -' _� CITY OF SALEM _: ,, ,_�, ,,� PUBLIC 1'RUPRERTY ''�`-'� DEPARTNIENT ?a.�yn .i�u::N:1'Y:INIHC��11. \1.�1��N� I!C Wn.M�.�i:�u�578f1•T � Y\tli��.M.\i1.�c:n� N�.77�O1'll� �1�c1.:978•;�li9i')5 � I'.�x.97N4iC�18i6 �Yurkcra' Cumpensation Insurance :�ffida�it: liuildcrs/Cuntractors/Electricians/Plumber� \nnlic�nt Infannrtion Plc•rve Print Leeihlv � �/ /7 �/C2�SOA/ �lf"e�C2sd�v �n.S�/lvC�ion. V.t�TClBuuik+slOq;anivuinNlnd�v�duu4: VP AI A�idress: o�/U �2Ur3dwif �/ Ciry;S�ara%ip� L�I�-�L M�- a��a � I'hunei:: /t�'l" ��c� c���-s :\rc ynu�n cmpioycr! Chcck the approyriu�e bux: '1'ype uf project(rcyuirrJ): IL� I ;un��mpluycr wiih� 4. ❑ I :nn u gancral coutracior and I 6. ❑ Ncw wn,truction �mployces(iull�neUur p�rt-time).• have�hircd the.ub-curnracwrs 7. ❑ RemoJeling ?Q I am�sulc proprictor nr partncr- lisitd un rhe anachcd:+hcct. � - ship and have no empluyces Thase sub-contractors have 8. ❑ Demolirion working tia mc in rny cap�city. wurkarY' comp. inaurnnce. 9. � Ouilding additiun �Ko workers'cump. i�uurance 5. Q We are x coiporutian ;uid its 10.Q Electrical rtpairs ur.addi[ions � . rcquircJ.] otliwrs I,�vc cserci.cJ ihcir . 3.� I ;un a homcuwncr doing all work right uf excmplion per hIGL I 1.❑Plumbing �,airx or adJiti�i� cp �nysclL �Ko wo�kers'cuntp. c. 152.3113)�and we haive no 12.Q Ruof repairs 1tlsLLl'JRCO[C(�U1f2(I.J f amployecs. �No worktws' 13.0 Uthet comp. in,urancc rcyuiral.j , •nuy:�ppLaam iho�.hccka boa�l IIlUY1 qliU IIII U1111I1C KCIlYI1 LIIYW iIlUW111�IM1�1!M'UfIII'O cumpn Wiw�pulicy inliurtwiiun � I I.imuuwnen whu+��mil lhif a(1ldavil indicminy IhcY am duiny ull wO(II YOJ IOl'11 AIR UYIYI(IC CWIIf%�OA TYfI aYhmil J 11N'elftL'fvil iO�lulinx.u.h. �f�m�cwlun ihW check�hii hox miwl atlxhud an audilim�l aha�el.huwinp Ih¢nan1C of thu su�-contrxtun anJ iheir a'uhen'camp.policy in(urmativa � /au�w��oiqduynr(hut Lr pruniJin,K rvurkers'ruinpene'niian iitcurrurce jur�uy rnrp/a��ee.r. Br/ory is drr pu/ie•y m�d jub rite iuju�u�nrioa ^ f..,�/—� �--� In.uranw Cumpauy Vnme: `t/�Ahi P J�iq'! e �n�S�R9Kl� - � —p-.... .. . _ . _._--._..------- Puliqy A ur SclGinx. Lic.i!: �C �/O 7 �J c7�D� . ....__ Expiruuun Datt:_ '/l�^�O/� �'" � /'7� Job Sicc Address: 3��f2v/YLi �Zp� . Ciiy;Siaid'Lip: S�i4 rf . .\u�ch n copy o(1he �rorkers' cumpcns•rtion policy declaraliun pa�;e(showln�; the pulicy number and espir•rtiun d•rte). I�ailure tu+ecuro coveragq as required uuder Sectiun?Sr\ol'�IGL c. I52 enu lead io the impusitiaa of erimin�l penalties of� lint up m SI.SOQqQ anJ/or une-ycar imprivonmcnt, as a�cll :�.civil �xnallics in ihc Ibnn uf a STOP 1VORK ORDER and a fine of up�n S'_i0.9Q il II�Y J�JI051 IIIG vIJLIfAf. IIC�tlVl.il'lI II1:II il CO�IY U�llll\5lilll'ITII'il� IIILY bl' WfNJftIIXI IU IhC OIIII'l'uI Im�r�ngaunm�Ytlu UTA ior in.ur:�r.cc tooangc �ccilicatiun. /Ju hcrrAy ccr�ij mr� rr J�r �in'ond prno/lias u/'prrjury//ru1�lie iujunnuflon pruvidcd uGuve is bns«nd conrcr. ,�,�:�:�,,,�� ___ _ �.� ����4� a- �-i1 ! r , I'h��r•;;: 7 / ^ ��^ l 6 ` S �c P O[jiciu!w'e mdy. Da nnI rvrire in diix urru,w he rwup/r�rJ by city ur/mJn o/Jieru/. . � i City ur'fnwn: __ . . Pcrmitll.icense X_._ _. . . I I.�+uin�;.\ulhorily(eircic anc): i � I. IS���rJ n(Il.:dd� ?. Iluilding Dcparnucn� ]. (:ilri Ib��n C'Icrk J. Llcctric:il h�spcctor i. Plumbing linycctor G. Oihcr _ ._. - Cuntu.l Pcnun: __ . -- I'hunc 7: Information and Instructions \I:1�S.ICIIDSCIlS GC(ICf�I L'J�VS CI1JNIr[ I�1 reyuires all employars to provide wurkers' compen+atiun tix thcir empbyets. P��nu:uu w ii�is,uwie, an rmplu�•rr i+dctined an"...every person in �he service uf anwher undar any tontnct uf hirc. i lPfCSY Jf IIT1rIICtI.Of:�I or wriutn." �n e�nployar is Jc�incd�s"an indiviJual,partnenhip,ussocirtiou,wrporation ur mher Icgal cnnry, or any two or more � ��i ihc t�xagoing tngagcJ in a juint enicrprise, �nd intluJing ihe legal roprosrntativts of a letea.eJ rmpluycr,or ihe lCCCIVCf Jf 1(UJICC VI :111 111(IIYI�IWII, pa�menhip,8150C101W4 O[O[I1Ef ICbSI en4ty,empluying�mplayees. Howcvcr che �wnet of a dwclling houae huving not more thun�hree apartrnenb and who resides therein,or�he occupant ut the Jwrlling huusa uf�nothar whu employs persons tu do maintenunce,cumuuc�ion ur rcpair wurk un such dwelling house or on rhe�rounda or building appucten:uit chercto sh•rll no�because of such amploymcnt be Jeemed w be an empluycr." .�1GL chapter 152, �35C(6)also stacts th�c"every srrte or locsl Iicensin�;•r�;nncy shall N•i�6hold the issuancr or rrnewul uf u Ifcense or permit tu uperafe a Ausiness or to construct buildingf in the commonweulth [or any :�pplicant wha has not produced acceptable evidence uf cumptl•rnce wit6 the insurance coverage requlred." .�lI1I111UIlilIl}', VIGL CIl'JPICf I��� §?SC(7)states"Neither the commonwcalth not any of its political subdivisions shall eneer into:ury eontract for the perfomiance uFpu6lic wurk until xcepcible evidence of compli�u�ce wich the insur�nce requiremcnts of�his chapier have bezn prestnmd W the contracting authority." AVplicann Ple:ise lill out the workers' compeniation atTiJavit completely,by checking [he boxes that apply to yuur si�uation and,if newss�ry, wpply sub-contractor(s) n:une(s),address(es)and phone number(s)along with their certificate(s)of insw�anca LimiteJ Liability Companics(LLC)or Limitod Liability Partnerships(LLP)with no employces u�her than thn members ur partners,are nut requireJ ro carry worktrs' compensx�ion insuranca If an LLC or LLP does have � rmployaes, •r policy is mquired. Be advised that ehis atFidavit may be submit[ed to the Department of InJustriul � :\ccidants f'or contirtnation of insurance covtr�ge. Alyo be suce lu sien anJ dule the•r17iJaviL The aflidavit should bu rctumed tu du ciry or town thrt the application for the p�nnit or licanse is bcing requasted, nof the Department of InJusvi�l Acciden�v. Shuuld ynu have;my yucstiuns rtgarding[he law or it'yuu�ro reyuirtd w obtain r workcrs' cuinpens•rtivn policy,please call the Deparmient at du number listed below. Solf-insurad companies should anter their sclf-insurance license number on the appropri•rtc linc. City or Town Offlciyls Plc�tie bc .ura th�c the affiduvit is complote and printcd Icgibly. The Departmen[has provided u sprca at the butwm oFehe alfidavit for you w fiil out in tha event tha OI'tice of(nvestigations has to wntact yuu rcgarding the applican[. Plcase be surc to till in ihu ponniVlicense nw�ibtr which will 6a usod��c�reterenee �tumber.� In addition,an applicant itiat must submit multiple ponni�'liceiv+c applications in any given year,need only submit one aFfiAavit indicacing curtent pulicy inf'ormation(if necessary) :u�d undar"lob Site AJtlress"�he applicane,houW write "all lucaeions in (city or ' rown)."A copy of�he aftidavit that has baen officiully sumpeJ or marked by [ha city or town may be proviJeJ to the applicant:�s proof that a valid a1fiJ�vit is on file f'or futuro pe�mits ur licanses. A new aftid�vit mu,t 6e filitd out aach yt:ir. Whtre a humt uwner ur citizen is obt•rining a licenx or pennit not related to any business ur convntrcial venture I i.e. :�dog license or permit w burn leaves ete.)saiJ pecson is VOT requited to complete this�ffidavit. I�hc �)i li�c uY t�rvtsti�ations�.�uuld like w diank you in �dr.mce fbr yuur cooper�tiun and shuulJ yuu have:�ny yuestio�u. pleaae du nut hasi�ate eo givc us u c�ll. . Thc D p:unncnt'� addtass, [cicphune�nd f;tx numbar. The Commoawenith of Massachusetts Department of Industrial Accidents Ot11ce of Iovestlgadons 600 Washington Street Boston, MA 02111 Tel. /� 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 �c.�:�,�d ;.��s-us www.mass.gov/dia - N9 -Z FQo�'7 + RER2 ELEVRT/o�' �oa S FR�`tiGY l+oiNt -----------.._-------.—_------------- � 3/ S�vTER 11�4C6 !�d ay• K3(' SRCC."1, M/�7. />/L+wn. P9� l`-2orT f �L`/� a L'LL= /�,9ric�vs � 1[ �cFr t 2�g�rr Si��r- �tFVRr�c�v s /3Y J'eNN PNTER:oN • ow�v�2 ✓'A�v -3�- aoi/ .ia / S T i-t v:-,z !=R a .�-��N C S t,s[ E y d . 1, �,U�'ROVED._��//_ _ R' a nJ/J I^coo2 FR�rii�v C- 8 ��:;ject to approval by c:,y cii��: II H�'i c + C c�G,�v y �c,crz�� � Frz Ari;ti b l�cl+� ' authori;,y havaag juriedietion. _D� c r�o s s s« J�/G N CYTv of BAI�I� �dAS,.i. 7J/ 5� t ,�nip �Lu02 f'L/iiv� s� � � � �A�-Ai� r CcLL.9��M�N /2M i=L�ru.� /�LAN : r'�'� VEI`�I'Y67i�TEL?'�ti�J ��. . -_ /X h0✓NIJATiuN /�L/,�N i BY .,.-.�.� �,a.����'a,.�y�..o' --`- PLAf�_0.BEAPPRO{f£DSO,LELYFQF:I.";i;;^IfIQ:.i:'. -�� SYF'e AND-IC�CATFQN qF'FIc� �:£;;a.,; ["..# . F.'t!.FIRF RROFECTI9R C`_YtCE4 .'.CC JG�JC.1 �, 1 . [�I��i`:LTES7A�JD INSPiCTION,FOR CO'!7L'YC f,�.:�.'� ___"' ' _ ' j'�� ! 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F2utit ELEfiirTroA�% �zE�vit EcE�V/fT/oN R/�/PT ''�FC'T 5�0� ELEVAT%UN'S /�c, cT � a �yd piH.' xy •5 CLfAA OP!/✓�N lax � E R[55) n.u. a� o #, 5 a �'Y �2 i;c � 5 Fu/Z /3�p 2oUH 'S SCRLE :�' �1' ------ I -_�:____=_'°_=_'-_��_�=--=_=--_-_____-.___-- s=_=--�_-.—_.�=_,.—_--- ----- ----------- ---- ___---_.__..__.._..------ ------ ---- ' �H--- ------ — � � � �y2. �J. , I� i I1N3 � i �. � �� I.i � ,��� �,;�' •� � �(6 �.�,:" �� ax'1� � ' �� ,_ _� 'I i .iM3 II I � ,�� �II� � ----- —� (� i . il - I I �,_ t �� i � , 1 ._,._..._ �rv� , , � - �- �,�� f; i H!`: ,4 - - � -- — ---- I �; ,� i 4 i � �..� __. __ - ' �_�_'—� I � � �t0 ()��dt.. --- ( �fT S/QE EIEVf� T%oN /ZJGNT SIOf CLEI/AT/oN �qcK ; _ --...__.. _ __- - _.. ._ ___ — - _,._,-- --as�' -- ---� jJBL ,`tXiO EAcN S�Je �cx 12�r '1, _ _ .._ .^ ---.e _ _ .__._._____.__. ._..---..�_ _' ._.. ......._.. .._..._. �"' ,."..' 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S � ,�� 'c�, a a � --�► z •� o " a '^ ^ ` ° � F � � a n� ,,� ^ � � 9.� �r.�, y' I 2 .Dl � 2' �;a,, ^ 2 \ -1 � � � � m 9 t r` � �^ ^ x, �, n, D w Z � 3 � � � � � � � a `= ak ,� ` �. � y; `^ : � �-- — � � y � � :c�. l\ � � '� � � � \ a � a y ^'�,r'•, A � � h � c � �F �' � � � a i Z i ,!� '�+ � ^ ` �: ;2 r z -- � wr � � � .. ti\„ �i-�'�' .—; � � � g� ''� ~ � 3` � n � � � � i � � F � � � I !' i � Ottice'6(co�Ws��3�8�es u �n' � HOMEIMPROVEMENTCONTRACTOR � � � Registretion:���06588 � . TYPe� � Eapiration: '7{�4�2012 Individual � '—f�=___; J �.PETERSON--?--���=-�.7; c � �� �ii�� �..,'1�� Gi � John Peterson 4�-�.��.�� > 1 i � 210 BROADWAY ,� �" , . " Q��.,a` �� Lynn, MA 0'1904 � �� i"� �' S „a Undersecretary I � _ Q�_ � Maxvachusett�-DepaAmew[nf Public S-afet� Boani of Buildin�Re�ulationx aml Standan Construction.Supervisor Lice�se Lice�e: CS ?9985 ', . � Restrieted.to:.,00 ,,., .,.... ' ?r, ,._ . . . , .. , �� JOHN F PETERSON a�` . 210 BROADWAY � ° LYNN, MA 01904 �L� �'/�, _ ,, Expiration: 17/23/2011 ('o�mois.a4reer. ` Tr#: 10031 ,: CITY OF S��LE.�1, I�L�SSACHUSETI'S BI;ILDL�IG DEPAR'C�IEVT � 1?O W.�.iHL�tGTOIV STREfiT, 3'O F1.00R � 'I�L (97� 7�5-9595 F,uc(97� 7i49846 K!\BERLEY DRISCOLL . �LhYOR IHo.uAs ST.P�xaB D([IECTOA OR PL'BI1C PROPEATY/Hl'II.D4�IG CO�L�tlSSIONEA Construction Debris D[sposal Affidavit (required for all demolition and renovation work) Tn accordance with the sixth edition of the State Building Code, 780 CMR section 1 l 1.5 Debris, and tho provisions of MGL c 40, S 54; Building Permit # is issued with the condition that the dcbris resulting from this work shall be disposcd of in a properly licensed wuste disposal facility as defincd by MGL c l 11, S i50A. The debris will be transported by: �2��1"� z ' �ur�-V' %dt�c� (name oFhnuler) The debris will be disposed of in : —, � �z.�e2 �.s �s,� G �Ytiv f (name o facility) � �M,�P�.�� �� �/. . (�ddress of facility) _� . . _ „��.�. - .. signature of permit applicant -- �� ^- _� `w,r"^.... ' Jnte K_ pp� debnvif J.n ' �8����� Triple 1-3/4" x 11-7/8" VERSA-LAMO 2.0 3100 SP Floor Beam\FB01 BC CALC�3.0 Design Report-US 2 spans� No cantilevers�0/12 slope � Thursday, February 24,2011 Build 440 File Name: BC CALC Project Job Name: 1 Family Home Description: F801 . Address: 31 Intervale Road Specifier. Ralph DeMasi City,State,Zip:Saiem,MA 01970 Designer. Customer. Peterson � Company: National Lumber Code reports: ESR-1040 Misc: � �--------- -------------------------- � 72-00-00 72-00�00 B0.3V2' Bt,3-1/2' 82,3-1/2" LL 3,0121bs LL 8,2401bs LL 3,012 Ibs DL 8621bs DL 2,7301bs DL 862 Ibs Tolal Honzontal Product Length=240400 - Live Dear Snow Wind Roof LNe Trib.(In.) Load Sumenary Tag Uescription LoadTvpe Ref. Start End 100% 90% 115% 133% 125% � 1 1ST FLOOR LIVING Unf.Area(psf) L 00-00-00 24-00-00 40 12 14-00-00 Controls Summary Value %Allowable Duretlon Case Span �ISCIOSUI'@ � Pos. Moment 9,195 ft-Ibs 28.8% 100% 14 1 - Internal C«nplateness and accuracyof input must Neg. Moment -12,912 ft-Ibs 40.5% 100% 1 1 - Right beverifiedbyanyonewhowoWd relym End Shear 2,919 Ibs 24.6% 100% 14 1 -Left outDut as evidence of suitabiliry fw particular Cont.Shear 4,638 Ibs 392°k 100% 1 1 -Right application.Output here based on building Total Load DeFl. U1,020(0.138") 23.5% . �q � codeacceDted desi9n properties and Live Load Defl. U1,221 (0.116") 29.5°k �q � analysis methals.Insiallation of BOISE Total Ne Defl. U-4,163 -0.034' S.8% �g � ��^��'"'O0d Products must be in J• ( ) accvdancewiN curtent Installation Guide Max Defl. 0.138" 13.8% 14 1 and applicable building codes.To oDtain Span/Depth 11.9 n/8 1 Installation Guide w ask questions,please call(800)232-0788 before installation. - %Allow %Allow BC CALC�,BC FRAMER�,AJSTM, . 8earing Supports Dim.(Lx W) Value Support Member Material ALLJOIST�,BC RIM BOARDTM,BCI�, 60 Past 3-1/2"X 3-1/2" 3,874 Ibs n/a 42.2�o UnspeCified BOISE GLUv�M^�,SIMPLE FFinMING F31 POst 3-1/2"X 5-1/4" 10,9701bS n/a 79.6% ' Unspecifi¢d SYSTEM�,VERSA-LAM�,VERSA-RIM 62'- Post 3-1/2"x 3-1/2" 3,874 Ibs n/a 42.2% Unspecified PLUS�,VERSA-RIM�, VERSA-STRAND�,VERSA-STUD�are Vademarks ot Base Cascatle,L.L.C. Cautfons Member is not fully supported at post B0. A connector is required at this bearing. . Member is not fully supported at post B2. A connector is required at this bearing. Notes � Design meets Code minimum(U240)Total load deflection cnteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary(1")Maximum load deflection criteria � Page 1 of 2 1 �Ba..c�.�aa Triple 1-3/4" x 11-7/8" VERSA-LAMO 2.0 3100 SP Floor Beam1FB01 BC CALC�3.0 Design Report-US 2 spans� No cantilevers � O112 slope Thursday, February 24, 201� Build 44D � File Name: BC CALC Project Job Name: 1 Family Home Description: F601 Address: 31 Intervale Road Specifier: Ralph DeMasi City,State,Zip:Salem, MA 01970 Designer: Customer. Peterson Company: National Lumber Code reports: ESR-1040 Misc: Connection Diagram Disclosure �i b a CanM�eness arW accuracy of input must L� be variFied by anyone who wouW rely on a � T� � Wtput a5 evidence of suilabili fOr ry particuiar o � o applicatlm.Output�ere Dased m building � code-accepted design properties and � j_� analysis meMods.Installation of BOISE e o a o engineered wood products mus[be in accordance with curten[Installafion Guide and applicable building codes.To obtain Installation Guide or ask questions,pleasa a minimum =2" C=6-7/8" call(B00)232-0788 betore installation. b minimum=3" d = 12" � B minimum=3" BC CALC�,BC FRAMER�,AJSTM, . ALWOIST�,BC RIM BOARDTM,Bq�, Nailing schedule applies to both sides of the member. ,� BOISE GLULAMTM,SIMPLE FRAMING Membef hBS n0 Sid9 IoadS. SVSTEM�,VERSA-LAM�,VERSA-RIM � . COMeCtOf58fB: 16d Sink@f Nei1S , PLUS�,VERSA-RIM�, VERSA-STRANDO,VERSA-STUDN�are . Vademarks oi Boise Cascade,LLC. Page 2 of 2 i �8�����ea• Triple 1-3/4" x 11-7/8" VERSA-LAMO 2.0 3100 SP Floor Beam1F602 BC CALCra 3.0 Design Report-US 2 spans� No cantilevers�0/12 slope Thursday, February 24,2011 Build 440 File Name: BC CALC Project Job Name: 1 Family Home Description: F602 Address: 31 Intervale Road Specifier: Ralph DeMasi City,State,Zip: Salem, MA 01970 Designer: Customer. Peterson Company: Nationai Lumber Code reports: ESR-1040 Misc: Z — — — ------------- 3 1 12-0600 . 12-00.00 B0.31f2" 81.S1/4" B2,3-1/2'• LL 5,271 165 LL 14,419 Ibs � LL 5,271 Ibs D11,6131bs DL 57461bs DL 1,8131bs Total Har¢artal Product Length=24-00-00 � Live Deas Snow Wlnd Roof LNe Trib.(In.) Load Summary � � Tag Descdptlon LoadTypa Ref SWrt End 100k 40% 775% 733% 725N 1 2nd FLOOR BEDS&BATH Unf.Area (ps� L 00-00.00 24-00-00 40 12 14-00-00 2 WALL TO ATTIC Unf. Lin.(pl� L 00-00-00 24-00-00 0 65 n/a 3 ATTtC Unf.Area (psf) L 00-00-00 24-00-00 30 10 14-00-00 Controls Summary vai�e %Allowable oura�ion case soan Disclosure Pos.Moment 16,724 ft-Ibs 52.4% . 100°h 16 2-Internal C«npleteness and accuracy ot input must Neg.Moment -23,737 ft-Ibs 74.4% 100% 1 1 -Right be verified by anya,e who would re�y on End Shear 5,329 Ibs 45.0% 100°h 14 1 -Left output as evidence of suitabi�iry ta particular Cont. Shear 6,427 Ibs 71.1°h 100% 1 1 - Right application.Ou�ut here based on building Total Load DeFl. U564(0.25") 42.5°k �g z code-ecceP�ed design properties and Live Load Defl. Ll698 0.202") 51.6% �g Z analysis meNods.Installation of BOISE ( engineered wood products must be in Total Neg. Defl. U-2,579(-0.055") 9.3% 16 1 accordance with current Insta�latlm Guide MaX Defl. 0.25" 25.0°h 16 2 end applicable buiWing cotles.To obtain Span/Depth 11.9 n/a 1 Instaliatlon Guide a ask questions,please call(800)232-0788 befwe installatim. %Allow Y Allow BC CALC�,BC FRAMER�,AJSTM, Bearing Supports Dim.IL:W) Value Support Member Material ALLJOIST�,BC RIM BOARDTM,BCI�, BO POSt 3-1/2'X 31/2" 7,0851b5 Na 77.1°k UnspeCified BOISE GLUi.rm�tTM,SIMPLE Fw�nnING B1 POSt 5-1/4"X S1/4" 20,1661b5 n/a 97.6% UnSpecifiBd SYSTEM�,VERSn-LAr�no,VERSA-RIM 62 POSt 3-1/2"X 3-1/2" 7,OSS Ibs n/a 77.1%_ UnspeCified PLUS�.VERSA-RIM�, VERSA-STRAND�,VERSA-STUD�are Vatlemarks of Bdse Cascade,LI.C. , Cautions - Member is not fully supported at post B0. A connector is required at this bearing. ' Member is not fully supported at post B2. A connector is required at this beanng. Notes � Design meets Code minimum(U240)Total load deFlection criteria. Design meets Code minimum(U360) Live load deflection criteria. , Design meets arbitrary(1")Maximum load deflection criteria. Page 1 of 2 ; Bo���de Triple 1-314" x 11-7/8" VERSA-LAM� 2.0 3100 SP Floor Beam\FB02 BC CALC�3.0 Design Report-US 2 spans� No cantilevers�0/12 slope Thursday, February 24, 2011 Build 440 � � File Name: BC CALC Project Job Name: 1 Family Home Description: FB02 Address: 31 Intervale Road Specifier. Ralph 6eMasi City,Sfate,Zip:Salem, MA 01970 Designer: Customer. Peterson Company: National Lumber Code repoRs: ESR-1040 Misc: Connection Diaaram Disclosure .yi b tl Canpleleness and accuracy of input must L� be oaiFred by anyone wfio vrould rely on a output as evidence of sui�bilily for particu ar � o �� o � applicalim.Ou�ut here baseA on building c codaaccep0ad design prc�ties and analysis melhods.Installatian d BOISE o � o � o en9lr�ered wood products must be in e accadance with curtent InStallation Guide and applicable builaing codes.To obtain Installatim Guitle a ask questions,pleasa 0 minlmUrtl=2" C=6-7/8" call(B00)232-0786 befae installation. b minimum=3" d= 12" e minimum=3" BC CALC�,BC FRAMER�,A.1S"' . ALWOIST�,BC RIM BOARDTM,BCI�, Nailing schedule applies to both sides of the member. ,� BOISE GLULAMTM.SIMPLE FRAMING MBfilbBf heS n0 Side 1oedS. SYSTEMO.VERSA-LAM�,VERSA-RIM COr1f1Bd0�58re: 16d Sinkef Nails , PLUS�,VERSA-RIM�, - VERSA-STRAND�,VERSA-STUD�are Vademarks d Bdse Cascade,LLC. Page 2 of 2 i �eo�.�c�aa DoublQ 1-3/4" x 9-1/2" VERSA-LAMO 2.0 3100 SP Floor Beam\F603 BC CALClr�3.0 Design Report-US 1 span � No cantilevers�0/12 slope Thursday, February 24,2011 Build 440 File Name: BC CALC Project Job Name: 1 Family Home Description: F803 Address: 31 Intervale Road Specifier: Ralph DeMasi City,State,Zip:Salem, MA 01970 Designer: Customer: Peterson Company: National Lumber Code reports: ESR-1040 Misc: 3 4 2 1 07-0&00 B0.31/2" B7.3-1/2" LL 1,901 Ibs LL 1.901 Ibs DL 8821bs DL 882 Ibs . - Total Hor¢ontal Product LengM=07-0&00 Live Dea�:.: Snow Wind Roof Live Trib.(in.) Load Summary � 7ap Deseripdon LoadTyDe Ref. Start End 100°k 40No 775% 133Y 125% 1 MASTER BED Unf.Area(ps� L 00-00-00 07-08-00 30 12 06-05-00 2 #2 BED Unf.Area (ps� L 00-00-00 07-08-00 30 12 00-OS-00 3 WALL TO ATTIC Unf.Lin. (plf) L 00-00-00 07-08-00 0 65 n/a 4 ATTIC Unf.Area (ps� L 00-00-00 07-08-00 40 10 07-01-00 Controls Summary vai�e %Aliowable oureuon case soan Disclosure Pos.Moment 4,716 ft-Ibs 33.6% 100% 1 1 -Internal Canpleteness ar�d accuracy of input must EndShear 1,9971bs 31.6°/a 100% 1 1 -Left beverifiedbyanyonewhowoultlrelyon Total Load Defl. U981 (0.088") 24.5°k 1 1 output as evidence ot suitabiliry tor panicu�ar Live Load Defl. L/1,436(0.06") 25.1% 1 1 applicatim.Output nere based on bui�ding Max Defl. 0.088" 8.8°k � � �dsxcepted design properties and Span/Depth 9.1 n/a 1 �g����.p��l�must baOin E accordance with current Installation Guide � %Allow %Allow and applicable building codes.To obtain . Bearing Supports Dim.(L x W) Value Support Member Material �nstallation Guide or ask questions,please BO Post 3-1/2"x3-1/2" 2,7831bs n/a 30.3% Unspecified �II(800)232-0788befweinstallation. 61 Post 3-1/2"x 3-1/2" 2,783 Ibs n/a 30.3�o Unspecified gC CALC�,BC FRAMER�,AJSTM, ALWOIST�,BC RIM BOARDT",BCI�, NOt@S BOISE GLULAM"',SIMPLE FRAMING Deslgn meStS Code minimUm(U240)Total load defleCtion Cfltefla. SVSTEMm,VERSA-LAM�,VERSA-RIM DeSlgn meets Code minimUm(U360)Live IOad dOflCCtiOn Critefie. VERS�A-STRAND�,VERSA-STUD�are . Design meets arbitrary(1")Mawmum load deflection criteria. o-ademarks oi edse Cascade,�.�.C. Connection Diagrem c�ib d L' a • -r• • r � .� . a minimum=2• c=5-1/2" i b minimum =3" d = 12" Member has no side loads. � Connectors are: 16d Sinker Nails Page 1 of 1 - ��Sc���k S�aft�+r�r�\f�r�i�� �.�.� Compliance Certifca#e �coae: 2oos iEcc locetlon: Salem,Masesaeh� Cons6uctlon7ype: SingleFamly Glaa�Area Percen0age: 7% Heasinp Degree Days: 6268 Climffie Zw�e: 5 �Construction Site: OwnedAge� DesignedCoMractor. � � 31 I'rtervale RoeA Jadc Peterson Jadc Pete�son Salem,MA o1970 Compliance:Z1X Betbr Than Cotle Ma�dmum UA 194 Your UA 425 The%Bolbrm Mbree Tlmi Catla InEax rt�bde Mw tlme b wmp0enw R�e twsa H DesaE m catlo aetlaoANea. tt DOES NOT pcNEe en eeLLimYa/ereOYm rcaoY iamihab e M�inwnmEe Ime. � . . :.� e ,. . -.� �. �'. =% r:. '� . ;� ° Y�� . Celling 1:Cathed/el CeiBng(�a etdc) 7296 98.0 0.0 95 Well 1:Wood Reme,16'o.a 36W 79.0 0.0 198 Wintlow 1:Wood Flsme:Double Pe�re witli Law�E 264 0.900 79 Doa t:Sdid 42 0.900 18 Floor 7:AI4Wood JdsVfn�ss:Over Umm�ditioned Space 3024 30.0 0.0 100 CanpUence Sffitement The praposed bwlm�q desipn dssulbed here is cordrtent wNh the bnldin9 Plens.spedR��Nonc.eiM oMer calailelfo�suhmiGed with tlre Gertnd ePWicetlon.The pmposed bufWing hes been designed lo meet tha 2009 IECC raqulrements in REScheck Versbn 4.4.1 end to compy wAtli the meMetay requlremenls Iistetl in the RESd�etic Ir�n Clierldist. Name-Title Signature Date ProJect Tftle Repwt dete:0?/26711 Data fllenema Untltled.idc Page 1-of 4 ���:he����t�w�re i/e�s�cn� 4.�.� Inspection Checklist �����: ❑Ceiling 1:CeMedral Cellinp(no attic).R�8.0 cevily insulatfon � Commente: AbovaGrade Walls: Q Wali t:Wood Frame.18'o.a.R-19.0 cevity hreuladan Commenls: Wlndows: �Window 1:Wood Frame:Dou61e Pane with LowE.lYtadm:0.300 For windowa wMhout lebeled LLfedors,desaiba feaWres: #Panes—Freme Type Themrel BrealCr—Yea—No Comments: DOOB: Q Doar 1:Sdid.U�ador.0.300 CorrvneMe: Floors: ❑Floor 1:All-Wood JdsVf�usaOver Uncondltlmed Spece,R-30.0 cevity insula6m Commenls: Floor insulatlon is inatalleA in permerrent mrMect wiM tlre undersido W the subfloor deddng. a.��9a: 0 Joirhs(Iridudirg rim Joistjuncdons),ettk eaess openirgs.pene6alio�.and ell other such openirgs in the buildi�q emelope that are eouroes of afr leel�ge are sealed witt�caulk 9esketeE.weetherstrlPPed or oUrenNse seeled wNh en alr bartler meterlal,sukable film or soliE ms[erial. � A6 bertiar arM seeling exis�on common walle belween dwallirg u�Hs.on e�Aerior welle behind tubs/ehowere,end in openinge Getween windax/doorjambs and framing. � � Recessed IIgMs in the bullmng tliertnal envelope are 1)type IC raced and AS7M E7b3 lebeled and 2)sealed with e gesket or eaulk 6elvreen Me houaing and riie liRerbr wall or ceiling coveMg. . � /�cess doora separeting coMMloned fiom umm�tlPooneA epace are weather-�Mppetl eiW insulaEad(wltliout InsWatbn compreasbn or � damage)to et leest tlre level oF insuletlon on the wrtouriding surfaces.Where loose fill insulatlon e�dsts,e beflle w retainer is i�rstelled to malr�in insuletlon epdicatlon. � Wood-huming fhePlaces heve gaskdeO doas and autdoor oom6ustlon air. Alr Saaling and Insulatlon: � Buildirg emebpe alr tlghtr�ase end InauleUon irretelletlon cnmpiee by eNher 1)a post muph-in blowa door test reauk of leas Men 7 ACH at 39.5 psf OR 2)ihe Pollowirg i[ems heve 6ean setlsfled: (a)pJr henlera end tl�em�bertier.Instelled on oWalde of eir�ertneade insuletbn and breaka wJo1Ma In tl�e air benier ere fllled or ��. (b)CeOinglattic Air bertier in airy dropped ceilinglsofit Is subste�Nally ali�ed wNh Insuletlon and any gaps are aealed. (c)qpo��eda we�ls;��wlatlon Is Ir�sYalled in substential con�ct end contlnuws ellgnmeM wIM Me bulWing envelope air beMer. (d)Flaas:Alr beMer Is Instelled at any exposed edge M Irreuletlon. (e)plumbing and wiring:Insuladon�pleced behvean ou�ide end pipes.Bad insulatlon is art hi flt amund wimg and pWmbing,or apreyedPobwn irreulelion extends behlM piping and wid�. (� ComeB,heede�s,nerrow framing caviGes,end rim Jolafs are Insulated. (9)ShowerHub m axEaAor wall:InsulsNon e�aets between slwweis/WWba antl exleiiw welL � Sunrooms: ProJed Title: Report tlete:0228/11 Data ftleneme Und9ed.rdc . Pege 2 of 4 � Sunroorrs tlret ere tliemrelty IsWated fiom the Wildinp ernebpe have a m�dmum feneadatbn U-faUa of 0.50 and the ma�dmum skyligM Uledor ot 0.75.New wlndows and doors separaU�q 1he aurcoorn from oorMitionad spece meet the building Ihermel envdope . requlrem�ts. Materlals IdenHflcatlon and Inatallffibn: � Male'lals arM equlprt�eM are installed in accadance wNh Ma manufaclurers Installetion Ins4uctla�. � Ineuletlon ie inelalled In wbslaMlal contect with tl�e surfeoe bel�g insulated end In e manner thffi echleves the rated R-value. � 0 Melevials end eW Ipment are identifled so Mat aompimroe cen be determirred. o MenufecWrer manuals fw all inefelled heatlng and moli�q equipment and service weter heaGng equipmeM heve been piovided. 0 In�ledm R-values enO gleb�q lYTadas are dearly me�lced on Cie buildirg ple�w speaficel'ans. Dud Ineulatlon: � Supply Aucls In attics ere insula6e�f to a minimum ot R�.All other duds in uncond�tloned spacea w outside the buildng envelope ere Insuleted fn al basl Rj'i. Dud ConsLudhn and Teetlng: � BuNding heminp caNties a�e not used�supply tluGs. � All JoIMs erM seems of eir ducffi,air handbrs,fllter bmces,mW buliding caNtles uaed es retum dWs are suEsfaMially airtlgM by means Mtepes,mestics,liQuld sealarRs,gesketlrg a othe�epproeed dosure systems.Tapae,mesths„and 4esterws are iated UL 181A w UL 1818 arM are labeled a000rcBng M the Cuct oonstr�xlbn.Metal duet connectlons wlUi equlpment aMUor filtinge are mechenkely featened.qlmpJdMs fw rourM metal tluUa have e oontad lep of at least 1 1/2 Inches erM are fastenetl wMh a minUnum of ihrea eque�y saeced sneetaner�screwa. Orceptlons. Jolrrt and aeeme mveied wMh apisy potyuieMa�re faam. YMere a partlaly ineccesdMe dict cmr�on e�dats.mediankel faslenxs e�Ae eQuellY sPecetl on Me expoaed portbn of Me JoiM so es to prevenl a hinge elfect CaNnuausly walded a�W loddng(ype Irngid�nel jdrrts mM seems m duda operatlng at leas tlmn 21n.w.g.(500 Pa). � Ducl Oghfiase tast hea been pertartned anA rt�eete me of Ma follaMrg OBst alteAa: (1)Postcanstructlon bakege to outdoots teat:less U�an or equel ro 80.6 dm(8 cfrn pet 100 fl2 oi eondHioned floor eree} (2)PosfconsW�total leakege test Q�uding air hendler encbsura)lsss tlren or equel to 121.0 dm(12 dm per 100 fl2 M coMitiorred floor area)Preesu�e dHterentlal W 0.1 indrea w.& (3)Rag�Mn tatel leakepe test wilh alr hanCler Inatalletl:Less then or equal to 60.5 dm(8 dm per 700 fl2 of caMitlone0 tloor erea) when tested et e prassure dMerentlel d 0.1 inches w.g. (<)Rot�h�ln Wlel leelmge teat xMhad air hendler Irrefalled:Lees then a e0u�to 40.3 cfm(4 dm Per 100 fl2 of condllbned floor erea). Heatl�and Cooling EqulpmeM Stri�: � Addltlmel reqWremards for equipment siring ere Indudetl by an Irrepedbn br mmplience wtlh the Irrtematlonel Reslderrtlel Code. � For systems seMng muPople dwe0hg units tbeumenfatlon has been su6mitleA Aemonsvating oomplianoe wiTh 20091ECC Commeidef Buliding MedieNcal and/a Se�Mce Weter Heetlnp(Sectlons 503 e�W 504). Cl�sulating SeMce Hot Water Systems: � Grculetl�seMae hot xater plpea ere insuleled to R-2. . 0 Grwlatlng seMce hot water systems IndWe�autometic a eccessible menuel switch b Wm MI the drwlatlng DumP�en Me system ie not in use. Hestlng and Cooll�Plping Ineulatlon: � HVAC piping mnveyi�fluide a6ove 105 degreee F a cMlled flWds bebw 65 degreea F are IneWeted to R�. Swimming Pools: . � Heated swlmMng pools Imve an alloR h�ter switd�. � � Pool heaters opewtlng on naWral gea w lPG heve en eled�atic Pibt Ilght. � Timer srRches on pod heateis and pumps are preserR Excep�na i YVhere publb heellh alandeNs require cantlnuous WmP opeiatlon. YVhere Wmps uPerele xAtldn edar-anNor wastaheeHecovery syslems. � Heeted awlmming pods heve a co�er m v et the xater surtete.For Pools heeted wer 90 de9rees F(92 depteea C)the cover hes e mlNmum insWetbn velue of R-12. Ea�ce�brtis: Co�ere me�rot required when 60%of the heeUng energy is fiom sile�recovared energy or soler er�ergy source. LIgh11�Requl�emeMa: ProJed Ttle: Report dete:0?l28FI t Dela fllenema Untltled.rdc . Page 9 of 4 0 A miNmum of 50 pe�ceM af the lamps In permeneMty Instelled IigMNg flMures cen be cetego�ized as are of Me folbwirg: (a)Compect fluorescent � (b)T-8 or srreller diameter linear fluorescent . (c)401umens per waft for lemp wetlage r-15 � (d)SO lumens per watt fir lamp watlaAe>15 a�<=40 (B)60 lumerre per watt kr lemp wellage>40 � Olher Requlremmta: � Snow-a�d ice+neltlng systems wiM energy suppl'ied fmm the seMce to e buildng shall indude automadc controls cepffile af shulting oR the syst�n when e)the pavement OBmpereW�e Is above 50 de8rees F,b)no predpNetion�falliig,and c)the ou0door tempereWre Is above 40 degrees F(a menuel shutoiF wnfiol is elso permitled to setlsy requlremeM'c'). . CerlFfleate: . � A permane'd ceAfifaOe W pmNded m or in Uie declrirel dis6lbution psrrel IlsUng tt�e predomireM fnsulallon R-values;window . LLfecfws;type and efRdem.y of space-condidoMng and water heed�equipmenL The certificate does not cover w obshud the Nsibility U tt M Me tlrcuR directory lebel,seMce d�oonrrect label a otlrer required lebels. N07ES TO FIELD:(Builtlinq Departrnent lke ONy) PraJec[Title: , Raport dete:0?/26N 1 Data filename Untitled.idc Page 4 of 4 20091ECG Energy Efficiency Certificate cem�gircoor aaoo wan �aoo Floor�Pountlatlon so.00 Duelwo'Ic(uneandRloned apaees): �, � YWndow 0.70 �0.90 Door 0.90 NA Heafhy{Syetam: Caoll�g System: Water Heater. Name: Dats: CommeMa: �� 2/ �o � � CITY OF SALEM ROUTING SLIP Ne« Construction� Certificateof'Occu anc� LOCATION 3 � T�.l� v L o�AATE �` �� � �1 ASSESSORS DATE 2 3 �� 93 �Vashington St. CITY CLERK � DATE Z 7 ( 93 Washington St. �PUBLIC SERVICE DATE � �'� 120 Washington St. ,y� � /,�j�, �9 � � - � WATER (i- ��Gi'r/"`—' DATE �`" �" �17G/ � J'�/0 '�" aI 3 c7� ,r� 120 Washmgton St. ���� � �/ �a�� CROSS CONNECTIO�N ATE L'� G 5 Jeff'erson Ave PLANNING�,A. nL1L� X�,.>.�_DATE �ll 120 Washington St. CONSERVATION DATE � `� �S�"' "� 120 Washington St. ELECTRICAL ATE 48 Laf'ayette FIRE PREVENTION DATE �- 29 Fort Avenue , � HEALTH ;` DATE Z,- Z.� "' (� 120 Washington St. I3UILDING INSPECTOR DATE `L � ZC/' 120 �Yashington St. � �pli�� 1�M• � Sy"�d � �U.tl) ,A'S�GG� `�II � ��1�'W � 6U���...�-'1 ��,ra.:k `��1:c�:.. . 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