13 JUNIPER AVENUE - BPA 15-582 UPDATES RFETIVED
(� The CommonwealIH14MA 1ksse 's
Department of Public Safety
YU Massachusetts State BuiIj#rJC 7j(1_,CMA $• 29
I^ Building Permit Application for any Building other than a One-or Two-Family Dwelling
J1 _(This Section For Official Use Only)
Building Permit Number: Date Applied: Building Official: lto i S
SECTION 1:LOCATION(Please indicate Block N and Lot N for locations for which a street address V not available)
�. 13 lyn-�C 5 54e-fn Ukti o iQ i-p
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
Edition of MA State Code used_ If New Construction check here❑or check all that apply in the two rows below
t Existing Building Repoir❑ Alteration ❑ Addition❑ Denwlition ❑ (Please fill out and submit AppendLr I)
111_ Change of Use ❑ 1 Change of Occupancy ❑ 1 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes 46 No ❑
Is an hulependentStructural Engincerin Peer Review required? Yes ❑ No ❑
or 4a�scription of Propos d Wurk:. W -
uT o Id < Al
YVt O\ J
V
SECTION 3:COMPLETE THIS SECTION IF EXISTING'BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): I Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly Ad❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 et Business ❑ E: Educational ❑
F: Factory F-1 ❑ F2❑ 1If: High Hazard H-1❑. H-2❑ H-3 ❑ H4❑ H-5❑
1: Institutional [-1❑ 1-2❑ 1-3❑ [-I❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑
S: Storage S-1❑ - S-2❑ Ut Utility❑ Special Use❑and please describe below:
Special Use: -
SECTION 6:CONSTRUCTION TYPE(Check as a licable)
IA ❑ III IIA ❑ [180 IIIA ❑ 111813 1 IV ❑ 1 VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
required❑or trench or specify:
Private❑ or indentdy Zone: or on site system❑ permit is enclosed❑
Railroad right-of-way: Ilazards to Air Navigation: %1�\I l t is 4'nngnisi n I .,w" I n!iitiC
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ 1 Yes❑ or No❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): "type of Cun.tilrucliow Occupant Load per Flour:
Dues the building contain an Sprinkler System?: _ Special Stipulations:
flfitl_ ?� Z9`l w-�r��azrc Dvr�./e
� r
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of roperty Owner
o M urn lemem , IJ�c� Mid
Nan (Print) 'go.arill Street City/Town Zip
Property Owner Contact Information: ,
p Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes ,
QII10 r C Mare- ActW4 ort? C
Name Street Address City/Town State - Zip.
to act on the property owner's behalf,in all matters relative to work authorized by this budding permit application.
SECTION 10.CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less thin 35,000 cu.R.of enclosed space and/or not under Construction Control then check here 0 and skip Section lo.1
10.1 Registered Professional Responsible for Construction Control
acUC Q. k.crcP� q?6_4g8_Lbo.F
Nnme(Regi tmppt) Telephone No. a-mail addres� Regi��ra l?Nutn
24 I'Ij VIhore Dr. flocblQY�curr Pr It
ow _Lt 0 2016
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Calla }� �ene✓r� ( Coo�Ivr.<1�f
Co tpany Name
M
Name of Person Responsible for Construction License No. and Type if Applicable
Street Address City/Town State Zip
_Zfov nDGTarPe j Amai 1 " corn
/ \ Telephone No. business Telephone No, cell real address
SECTION 11:WORRER9'COMPENSA IION INtiUtt:\:VC1S:IPFIUAVIT M.C.L.c.152.9 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 0 No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE -
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1. Building $ Building Permit Fee=Total Construction Cost x—(Insert here
2.Electrical $ appropriate municipal factor)_$
3. Plumbing $ —
d. Mechanical (HVAC) $ Note:Mininmm fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to 9t�d v
6.Total Cost $ 14 , 000 (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below, 1 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 I kn ledge and understanding.
Me IY1 :rbre rvw n qW_qa -zro M Ob S o
Please print and sign name Title Telephone No. Date
vat vve:k Score I�T �Wbl-haua b A, Q[44
-Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval:
Nam Date
JCN
The Commonwealth of Massachusetts
Department oflndustrialAccidents
I Congress Street,Suite 100
Boston,MA 02114-2017
www.massgov/dia
Wworkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
TO BE FILED WITH THE PERMITTING AUTHORITY.
Applicant Information Please Print Le 'bl
Name(Business/Orga''nia11stion`1/Inldividual): �/ G ( O Y (`OO VUAD .
Address: @QQ W t"410(Q 1,J1
City/State/Zip: ( 4, Phone M
Are you an employer?Check the appropriate box:
r1
Type of project(required):
l.�I am a employer with 2 employees(full and/or part-time)? 7. ❑New Construction
2.❑I am a,sole proprietor or partnership and have no employees working for roe in 8. Remodeling
any capacity.[No workers''comp.insurance required]
3. I am a homeowner doing all work myself. o workers'con .insurance t 9. ❑Demolition
❑ g ys [N p required.]
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ]0❑Building addition
ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions
proprietors with no employees.
12.❑Plumbing repairs or additions
5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet.These subcontractors have employees and have workers'comp.iasmance t 13.❑Roof repairs
6.0 We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other
152,§1(4),and we bavc no employees.[No workers'comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
=Contractors that check this box must attached an additional sheet showing the name of the sub-cormacwrs and state whether or not those entities have
employees. If the sub-cont aclors have employees,they must provide their-workers comp.policy number.,. -
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job-site 1.
Information. t, / 11
Insurance Company Name: Ic11 {{ ct ( "r tl
Policy#or Self-ins.Lic.#: WC:11J I55 Z Expiration Date: 1 '•1I2(7
Job Site Address: �ttyrtoe( Stu City/State/Zip: S,,IRi� V✓l0.�N4
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
I do hereby certify and the ' s and penalties ofperjury that the information provided above is true and correct
Signature: Date: 2-
Phone M
Official use only. Do not write in this area,to be completed by city or town official
City or Town: Permit(License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or writtep."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit,to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their cer ificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e.a dqg license or permit to bum leaves etc.)said person is NOT required to complete this affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 02-23-15 www.mass.gov/dia
CITY OF SALEM, MASSAmUSE M
BU[LDING DEPARTMENT
120 WASUNGTONSTREET,3'®FLOOR
TI L(978)745-9595
KIMERLEYDRISQ7LL FAX(978)740-9846
MAYOR THOMAS STYMRRE
DIRECTOR OF FUBLICFROFBRTY/BuLDm oo@wSSIONER
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 c40, 5 54; Building Permit g I q is issued with the
condition that the debris resulting from this work shall be disposed of in a properly licensed
waste deposit facility as defined by MGL c 111, S 150A.
The debris will be transported by:
(name of hauler)
The debris will be disposed of in:
Ze, r
(name of facility)
(address of facility)
d
Signature of applicant
Date
0
Callito Painting
General Contractor
Painting•CarpentryPlastering
Callito Painting Olga Merchan
(781)-913-2383 Muniper St.
Painting& Carpentry Salem, MA
Callitop2intint!@P-mail.com 01970
This contract is between Callito, Alexander P. Alvarez, and Olga Merchan for the replacement of
3 windows, 1 beam that supports existing 2nd floor. (In accordance with Engineer Drawings).
Finally install new Patio Slide door.
This contract is for $14,OOO.00
Ca li g exander P. Az
Olg erchan
r
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
Construction Supenisor.l & 2 Family
License: CSFA-105976 ,
ALEXANDERAL}k �
3 HA:WKES M APT
1Kiirblehead A1A b194
\ .
Expiration
Commissioner 10/07/2015
rrYY..
4-\ Office of Consumer Affairs&s oess Regho 'i
MEIMPROVEMENT CONTRACTOR
9ist:!'P.n: 172584
xpiration: 7/10/2016 - TYpe:-
Individual
ALEXANDER P.ALVAREZ
ALEXANDER ALVAREZ �. 5,. ..-
299 WEST SHORE DR
MARBLEHEAD, MA 01945 g
Undersecretary
I
. 3
1 (SK-4) "
.sic-
(V.I.F.) NEW DOUGLAS FIR GRADE
#1 -6X12 FLUSH FRAME
WITH SECOND FLOOR
JOISTS.
OPTIONAL BEAM SIZE
SIMPSON ACE POST THREE 13/4" X 9Y4" LVL'S
CAP IN PAIRS AT EACH
cv END --I NEW DOUGLAS FIR 4X6 POST
(TYP) EACH END
I
EXIST 2 X 8
+ FLOOR JOISTS NOTE:
PROVIDE TEMPORARY SUPPORT WALL
ON EACH SIDE OF THE EXISTING
CEILING BEAM PRIOR TO REMOVING
EXTEND COLUMN DOWN BEAM.
TO EXISTING SILL.
UNDERPIN EXISTING BRICK EXTEND COLUMN DOWN
WALL OR ADD NEW LALLY TO NEW FOOTING. /
U COL AND FOOTING AT MIN FOOTING 2'-6" , �YJ
Q FACE OF BRICK WALL - SQUARE X 1 '-0" THICK
WITH #4 REBAR AT 12" ��
�- - 00 O.C. BOT EA WAY.
O7 � Q N DINING ROOM CEILING REFRAMING �t
z J = 00 ELEVATION
z ,w, J �,
- SCALE: Y4"= 1 '-a" ALEX ALVAREZ
o il= mm I (CONTRACTOR)
J Q< 00 13 JUNIPER AVE.
Q 00 :�i r-- SALEM , MA. 01970 -2
+/- 14'-6" (V.I.F.)
DaST 2z 5J'EL-L C3� ro,
FLOLooR aasrs
NEW 6X12 DOUGLAS FIR GRADE#1 NOTE:
FLUSH FRAME TO 2NO FLOOR OR ON EACH
TEMPORARY SUPPORTING COST.BFARING
THREE 1l X 91S°LVL'S ON EACH SIDE OF DUSTING CEILING WALL BEYOND
BEAM PRIOR TO REMOVING SHJd.
- NEW 4K6 FIR POST s-J
NEW 4X6 FIR POST
EXFENDPOSFTO 1 .
I COSTING SILL COST 2X8
LLJ + MST
� FLOOR JOISTS
�SUBFLOOR
U
Ld
Nd—
UNDERPIN '�yyp1Y8
00 EXISTING BRICK OTCWALL OR ADD +„
Q N w�-} !ALLY COLUMN NEW
MN \
Li Ld AND FOOTING AT
z _f = co '+`' THE FACE OF n� A
L1J BRICK FOR WALLo V
W LLJ J NEW 4X5 FIR POST �O
SIMPSONABi460OLBASEON
= m I FIELD VERIFY
FOOTING SIZE 8°SQUARE X6°TAll CONC PAD
p, EXIST.CONC.SLAB NEW FOOTING
Q oo
2'-o 2 -6 I SQUAREIT_. I _
ALEX ALVAREZ
(CONTRACTOR)
13 JUNIPER AVE .
SCALLEE:: Y4"=1 '-0" SALEM , MA. 01970__
AL DENNIS P . E .
8 WHEELER PLACE
MARBLEHEAD , MA .
781 - 71 8 - 2841
EXIST 2X JOISTS EXIST 2X JOISTS X
. r
6 X 12 DOUGLAS FIR
HEAVY DUTY JOIST GRADE #1 BEAM OR
iv
HANGER THREE 13/'X V4"LVL'S �
SECTION 1 - 1
SCALE: 1 Y2" = 1 ' - 0 " ALEX ALVAR EZ
( CONTRACTOR )
13 JUNIPER AVE .
SALEM , MA . 01970
EXISTING 2X4
STUDWALL
N 3/8"DIA. LAG BOLTS .
W 2X8 JOISTS
U
W Q 2X8 JOISTS 1/2" DIA.THRU-BOLTS
@ 32"O.C.
n OQ t
0
Q C_l� CONTIN. 2X8 SOLID
zI I I _ � W8X13 SECTION BLOCKING CUT TO FIT. D
HEAVY DUTY JOIST �7
W
W W N pJ pq- Wo6 p HANGER
_ m I 66-,W7-6 ALEX ALVAREZ
00
Q Co > SECTION 1 _ 1 ( CONTRACTOR )
STEEL OPTION 13 JUNIPER AVE .
SALEM , MA . 01970
SCALE : 1 %2 " = 1 ' — 0 "
/3 Jo^1 ABC
,54LCM
General Notes:
1. Construction shall conform to the requirements of the latest Mass. State
Building Code and all other applicable state and local code requirements.
2. Specified ultimate compressive strength of concrete shall be a minimum of
4000 psi at 28 days. Concrete shall have a slump of 4" a water cement ratio
of 0.40 and have 6% air entraining.
3. Reinforcing steel shall have a minimum yield strength of 60,000 psi
conforming to ASTM A615, Grade 60. Epoxy coated rebar shall be used in
structures subject to salt spray.
4. All existing dimensions, conditions and elevations shall be verified by the
contractor.
5. Contractor is responsible for temporary bracing and support during demolition
and new framing erection.
6. Contractor shall field verify all dimensions and elevations prior to placing
concrete.
7. All wood framing shall be 960 psi fiber strength in bending.
8. All framing shall be free from large knots, cracks or other structural defects.
9. Structural timbers, caps, stringers, bracing, blocking and decking shall be
pressure treated southern yellow pine, No. 2 dense or better, surfaced) to
nominal dimensions on the drawings.
10.AII hardware shall be ASTM A36, hot dipped galvanized in accordance with
ASTM A153.
11.Woist sections shall be as manufactured by the Boise Cascade Corp. or an
Engineer approved equal.
12.AII roof sheathing shall be 4' x 8' sheets of 5/8" CDX plywood and shall be
- nailed with 8D common nails at 6" o.c. along all edges and 8" o.c. throughout
the remainder of the sheet.
13.In addition to code required nailing rafters in areas with cathedral ceilings
L shall be tied to structural ridge members with an LSU sloped hanger as
manufactured by Simpson Strong-Tie Co. or an engineer approved equal.
14.In addition to code required nailing rafters shall be tied to the exterior wall
double plates with Model H2.5 hurricane anchors as manufactured by
Simpson Strong-Tie Co. or an engineer approved equal.
15.Micro-Lam beams, designated as LVL's on design drawings, shall be 2.0E
sections with an allowable bending stress of 3100 psi, as manufactured by
�) the Boise Cascade Corp. or an Engineer approved equal.
16.Micro-Lam beams shall be connected together as follows: 2 ply members- 3
per row of 2 7/8" Fastenmaster HeadLok heavy duty wood screws at 24" o.c.
from each side. 3 ply members- 3 per row of 5" Fastenmaster HeadLok heavy
duty wood screws at 24" o.c. from each side.
17.Formwork for new foundations shall be Bigfoot Footing Fo ctu
by Bigfoot Systems Inc. of Nova Scotia, Canada. V§ e s
manufactured by Sonoco Sonotubes of South Carolina,. red !_
otherwise.
b
NOTE:
PROVIDE TEMPORARY SUPPORT
WALL ON EACH SIDE OF THE
EXISTING CEILING BEAM PRIOR
TO REMOVING BEAM. i--
cSTu ter L5
c6�ia,�( taSE'
WIBX/3 eeQPf' ,4uv 7vr36--
DINING ROOM Sr«L GDZ c/M�5 T5 �� 4
S1256Z 4>-f-A1Z
FRONT
NEW 4X6 FIR POST ENTRY
EA END
2 2
ZLei 6 X 12 DOUGLAS FIR GRADE \�
U Q #1 BEAM OR (3) (�
�j W 13/4" X 9Y4" LVL FLUSH FRAME
a- Q W TO EXISTING 2ND FLOOR STAIRS
cn W W
N JOISTS
l , Iz --i _ 00
z w J ALEX ALVAREZ
o = m (CONTRACTOR)
J3: Q 13 JUNIPER AVE.
Q 00 � r-- SALEM , MA. 01970
FIRST FLOOR PLAN
SCALE: Y4"= 1 '-0" S�
- 1