261 JEFFERSON AVE - BUILDING INSPECTION ; � � �f --- I �f ��s� �� ��
� The Commonwealth of Massachusetts
Board of Building Regulations and Standards C�TY OF
��� Massachusetts State Building Code, 780 CMR SALEM
Revised Mar 20//
E3uilding Permit Application To Construct, Repair, Renovate Or Demolish a
One- or Two-Family Dlvelling
This Sec[ion For Official Use Only
Building Permit Number: Date lied:
� � Y
Building O�cial(PriM Name) Si�1 r � Date
SECTION 1: SITE INFORMAT[ON
1.1 Property Address: 1.2 Assessors Map& Parcel Numbers
261 JEFFERSON AVE. 4g 23-0093-0
l.l a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning InTormation: ' � 1.4 Property Dimensions:
B1 SINGLE FAMILY 561924
7oning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft) �
Front Yazd Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 WaJteJ'Supply: (M.G.L c.40,§54) ].7 Flood ZoneTnformation: 1.8 Sewage �sposal System:
Public M Private❑ "Lone: _ Ou[side Plood 7 ne? Municipal On site disposal system ❑
Check if ye
SECTION 2: PROPERTY OWNERSHIP'
2.] Owner'of Record:
Elaine Harrison SALEM, MA. 01970
Name(Print) City,State,ZIP
261 JEFFERSON AVE. 978-335-2634 miselayne@hotmail.com
No. and Street Telephone Email Address
SECT[ON 3: DESCRIPTION OF PROPOSED WORKz(check all that apply)
New Construction ❑ Existing Building OwnervOccupied ❑ Repairs(s) ❑ Alteration(s) Addition ❑
Demolition ❑ Accessory Bidg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed WorkZ: REMOVE SOUTH SIDE OF GAMBREL ROOF. REPLACE
WITH NEW BEARING WALL. EXTEND EXISTING RAFTERS TO NEW WALL. INSTALL LVL
BEAMS Ca� TAIL OF EXISTING RAFTERS NEW POST TO FOUNDATION
SECTION 4: ESTIMATED CONSTRUCTION COSTS
��m Estimated Costs: Official Use Only
Labor and Materials
I. Building $ 4,000.00 �� Building Permit Fee: $ Indicate how fee is determined:
2. Electrical $ 1,200.00 � Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ 800.00 List:
5. Mechanical (Fire $
Su ression Total All Fees: $
Check No. Check Amount Cash Amount:
6. Total Project Cost: $ 6,000.00 ❑ paid in Full ❑ Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Sopervisor License(CSL)
License Number Gxpira[ion Date
Name of CSL Holder
L.is[CSL"fype(scc bclow)
No.and Strec[ Type Dcscription
U Unrestricted(Buildin s u to 35,000 ca ft.
R Restricted I&2 Family Dwellin
CityTl'own, Sta[e,7IP M Mason
RC Roofin Coverin
WS WindowandSidin
SF Solid Fuel Burning Appliances
I Insulation �
Tele hone Email address D Demolition �
5.2 Registered Home Improvement Contractor(HIC) �
HIC Regis[ration Number Expiration Date
1-IIC Company Name or HIC Registrant Name �
No.and Stree[ Email address
Ci /Town, StaYe,ZIP Tele hone
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.C.L. c. 152. § 25C(6))
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 .......... ❑ Nu........... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
[, as Owner of the subject property,hereby authorize
to act on my behalf, in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b: OWNER� OR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information '�
contained in this application is true and accurate to the best of my knowledge and understanding.
Elaine Harrison ���� ��r,.,vi.�r— q /as l)3
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
I. An Owner who obtains a building pertnit to do his/her own work, or an owner who hires an unregistered contractor
(not registered in the Home [mprovement Contractor(H[C) Program),will not have access ro the arbitration
program or guaranty fund under M.G.L. c. 142A.Other important information on the HIC Program can be found at
www.mass.eov/oca Information on the Construction Supervisor License can be found at www.mass eov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq. ft.) (including garage, finished basementlattics,decks or porch)
Gross living area(sq. ftJ Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of halflbaths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project CosP'
_
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�iil comply with �vd proc�dtua y�d requiremrnu.
HO�fEO'�WER9 SfGN�Tt,�,qg — � /�„ �
Z
.�PPROV,1 L OF r3U/LDIYG !,r'SPECTOR
Scs u�ha �i�a (ot st�te cat�
,: CITY OF S��LE:�1, 1�L�SS.�CHL'SETI'S
° BtiII.D4�lG DEP.1R"I11E��iT
• � N 1?O W.�SHL�IGTON STREET, 3'°FLoott
`� '��'` 'Il� (978) 745-9595
F�x(978) 740-9846
IQ��ERL.EY DRISCOLL
1L1,�1YOR I7-1oDtAs ST.PtF.RRE
DIAECTOR OF PCBLIC PROPERTY/HCII.DNG COJL�(ISSIO,iER
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 111.5
Debris, and the provisions of MGL c 4Q S 54;
Building Permit# 'Z�o`�� - � y is issued with the condition that the debris resulting from
this work shall be disposcd of in a properly licensed waste disposal facility as defined by MGL c
111, S i50A.
The debris will be transportcd by:
NORTHSIDE
(name of hauler)
The debris wi(1 be disposed of in :
NORTHSIDE
(name of facility)
SWAMPSCOTT ROAD, SALEM, MA.
(address of facility)
� ���
signature oFpermit applicant
� /as/�3
date
dcbrisalT diH:
�BoiseCascade Single 3-1/2" x 11-1/4" VERSA-LAMO 2.0 3100 DF Roof Beam1BEDROOM
Dry � 1 span � No cantilevers � 0/12 slope Wednesday, September 18, 2013
���BC CALC�Design Report- US
Build 2565 File Name: BC CALC Project
Job Name: GAMBRELALTERATION Description: Designs\BEDROOM
Address: 261 JEFFERSON AVE Specifer: DAVE HANSCOM
City, State, Zip: SALEM, MA 01970 Designer:
Customer: ELAINE HARRISON Company:
Code reports: ESR-1040 Misc:
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iz
i
y
V - - - ia-ao-oo .. .. . _.
BO 61
Total Horizontal Product Length= 13-00-00
Reaction Summary (Down / Uplift) �ibs>
Bearing Live Dead Snow Wind Roof Live
B0, 3-1/2" 992/0 1,544/0
B 1, 3-1/2" 992/0 1,544/0
Live Dead Snow Wind Roof Live Trib.
Load Summary
Taq Description Load Type Ref. Start End 100% 90% 115% 160°/ 125%
1 Standard Load Unf. Area (Ib/ft^2) L 00-00-00 13-00-00 15 25 09-06-00
Controls Summary Value %Allowable Duration Case Loca[ion DISCIOSUI@
Pos. Moment 7,670 ft-Ibs 34.7% 115% 4 06-06-00 Completeness and accuracy of input must
End Shear 2,056 Ibs 23.9% 115% 4 01-02-12 be verified by anyone who would rely on
Total Load Defl. U576 (0261") 31.3% n/a 4 06-06-00 output as evidence of suitability tor
Live Load Defl. L/945 0.159" 25.4% n/a 5 06-06-00 Particular application.Output here based
� ) on building code-accepted design
Max Defl. 0261" 26.1% n/a 4 06-06-00 properties and analysis methods.
Span/Depth 13.4 n/a n/a 0 00-00-00 Installation of BOISE engineered wood
producls must be in accordance with
current Installation Guide and applicable
%Allow %Allow building codes.To obtain Installation Guide �
Bea►Inq SUppOftS Dim.(L x W) Value Support Member Material or ask questions,please call
BO Post 3-1/2"x 3-1/2" 2,536 Ibs 24.4% 27.6% Douglas Fir (800)232-0788 before installation.
B1. Post 3-1/2"x 3-1/2" 2,536 Ibs 24.4% 27.6% Douglas Fir gC CALC�, BC FRAMER�,AJSTM',
' ALLJOIST�,BC RIM BOARDT^',BCI�,
C8Ut10fIS BOISE GLULAMT",SIMPLE FRAMING
For roof inembers with slope (1/4)/12 or less final design must ensure that ponding instability SVSTEM�,VERSA-LAM�,VERSA-RIM
WIII flOt OCCUf. PLUS�,VERSA-RIM�,
VERSA-STRAND�,VERSA-STUD�are
For roof inembers with slope(1/2)/12 or less fnal design must account for Rain-on-Snow trademarks of eoise cascade wood
surcharge load. Products�.Lc.
Notes
Design meets Code minimum (L/180) Total load deflection criteria.
Design meets Code minimum (U240) Live load deflection criteria.
Design meets arbitrary (1") Maximum total load deflection criteria.
Calculations assume Member is Fully Braced.
Design based on Dry Service Condition.
Deflections less than 1/8"were ignored in the results.
Page 1 of 1
�BolseCascatle Single 3-1/2" x 11-1/4" VERSA-LAMO 2.0 3100 DF Roof Beam\BATHROOM
Dry� 1 span � No cantilevers � 0/12 slope Wednesday, September 18, 2013
BC CALC�Design Report- US
Build 2565 File Name: BC CALC Project
Job Name: GAMBRELALTERATION Description: Designs\BATHROOM
Address: 261 JEFFERSON AVE Specifier: DAVE HANSCOM
City, State, Zip: SALEM, MA 01970 Designer:
Customer ELAINE HARRISON Company:
Code reports: ESR-1040 Misc:
�o
iz
�
ie-oo-oo
BO B1
Total Horizontal Product Length= i6-00-00 �
Reaction Summary(Down I Uplift) �ms�
Bearing � Live Dead Snow Wind Roof Live
B0, 3-1/2" 1,221 /0 1,900/0
61, 3-1/2" 1,221 /0 1,900/0
Live Dead Snow Wind Roof Live Trib:
Load Summary
Taq Description LoadType Ref. Start End 100°/ 90°/ 115% 160°/ 125%
1 Standard Load Unf. Area (Ib/ft^2) � 00-00-00 16-00-00 15 25 09-06-00
Controls Summary vawe %Allowable ouration case �ocation Disclosure
Pos. Moment 11,779 ft-Ibs 53.3% 115% 4 08-00-00 Completeness and accuracy of input must
End Shear 2,642 Ibs 30.7% 115% 4 01-02-12 be verified by anyone who would rely on
Total Load Defl. L/302 (0.617") 59.5% n/a 4 OS-00-00 output as evidence of suitability for
Live Load Defl. L/497 0.375" 48.3% n/a 5 OS-00-00 Particular application.Output here based
� ) on building code-accepted design
Max Defl. 0.617" 61.7% n/a 4 08-00-00 properties and analysis methods.
Span/Depth 16.6 n/a n/a 0 00-00-00 Installation of BOISE engineered wood
products must be in accordance with
current Installation Guide and applicable
%Allow %Allow building codes.To obtain Installation Guitle
Bearing Supports Dim.(L x W) Value Support Member Material or ask questions,please call
BO Post 3-1/2"x 3-1/2" 3,121 Ibs 30.0% 34% Douglas Fir (800)232-0788 before installation.
B1 Post 3-1/2"x 3-1/2" 3,121 Ibs 30.0°/a 34% Douglas Fir gC CALC�,BC FRAMER�,AJST",
ALLJOIST�,BC RIM BOARDT"^,BCI�,
CBUtIO11S BOISE GLULAMT",SIMPLE FRAMING �
For roof inembers with slope (1/4)/12 or less final design must ensure that ponding instability SYSTEM�,VERSA-LAM�,VERSA-RIM i
PLUS�,VERSA-RIM�, �
Will f10t OCCUf. VERSA-STRAND�,VERSA-STUD�are
For roof inembers with slope (1/2)/12 or less final design must acwunt for Rain-on-Snow trademarks of aoise Cascade wood
surcharge load. Produas L.L.C. i
Notes
Design meets Code minimum (L/180)Total load deflection criteria
Design meets Code minimum (U240) Live load deflection criteria.
Design meets arbitrary(1") Maximum total load deflection criteria.
Calculations assume Member is Fully Braced.
Design based on Dry Service Condition.
Deflections less than 1/8"were ignored in the results.
Page 1 of 1
/
��` 2'� `� - � GAMBREL ROOF ALTERATIONS
.
ELAINE HARRISON
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BUILDING TO COMPLY WITH
LOCAL, STATE & FEDERAL CODES INDEX�
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, PARCEL ID 23-0093-0
LEGAL REFERENCE 14372-329 A2 WEST ELEVATION
BOOK / PAGE 13976-206 DRAWNBV:
ZONING B-1 S1 EXISTING FRAME DAVE HANSCOM
dave33v@gmail.com
SZ WALL FRAMING LIC # CS-073019
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LIC # CS-073019
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