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43 LINDEN ST - BUILDING INSPECTION (3) do`S %J't'.SpE�lR�GE/V fp C��� b ;the YeaIthofMassachusetts CITY OF 1Q�6 IT/ �o Buildingltegulations and Standards SALEtvi MasshclMet.T.Slate Building Code, 780 CMR Revised.Nur2011 Building Permit Application To gonstruct, Repair, Renovate Or Demolish a One-'or Tivo-Family Dwelling This Section For Official Use Onl Building Permit Number: Date Ap t d: 1 Building Official(Print Name). Signature Date SECTION 1:SITE INFORMATION, L1 Property A dress: S� 1.2 Assessors Slap&Parcel Numbers I.1 a Is this an acce led street9 yes no M1fap Number Parcel Number 1.3 Zoning Information: IA Property Dimensions: Zoning District x , Proposed Use - Lot Area(sq It) Frontage(It) . . - 1.5 Building Setbacks(it) Front Yard - Side Yards Rear Yard .. Required Provided Requited - Provided. Required - Provided 1.6 Water Supply:(M.G.L C.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Municipal O.On site disposalsystem ❑ Public❑ Private.❑. — Check if es❑ . SECTIONZ: PROPERTY OWNERSHIP! 2�l vnert of Re or l'"y/ (4 . .N;ane(Print) City_,State,ZIP 4?22-1b6(( S7 61 / 7n�co7rf .C.t �, y No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORKS(check all that apply)` ;4 New Construction❑ Existing Building E owner-occupied ❑ Repairs(s) ❑ 1 Altemtion(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.❑ 1 Number of Units Other ❑ Specify: Brief Description of°�P o osed Work-':�n -�r'd•4Y' �Q'9r SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials - - - I. Building Permit Fee:$ Indicate how fee is determined: I. Building $` B O - ❑Standard City/Town Application Fee: 2.Electrical S ❑Total Project Cost'(item 6)x multiplier x 3. Plumbing $ 2 Pther Fees: $ a.Mechanical if VAC) S List, 5.Mechanical (Fire $ 'total All Fees:S Su ression) Check No._Check Amount: Cash Amount: 6.Total Project Cost: $ ❑Paid in Full ❑Outstanding Balance Due: 36� IT (o �` f�f�IL.g'p 3f 30 T ' SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervise License(CSL) C.S-Fy I t rlro / e,f—ot -�� 7�r�- Licensp'Nti fiber' Expiration ate y (i t N2;mm of CSL Hold'eur/� n � List CSL'Type(see below) J 5 So G i `I I1- � TYPe . Description . and Street / U Unrestricted Buildin it -to J5,000 cu. ft. ✓ei�I�( © (�(` c R Restricted 1&2 Famil Dwelling Cilyrrown,state/,ZIP M Maso RC Roaring Covering WS WindowandSidin 3�� �ll/� 1 Solid Fuel Burning Appliances "7 1 Insulation Telephone Email address D Demolition 5.2 Registered 1 o e Improvement Contractor(HIC) ' w2 op pr. HIC Registration Nu tExpip6tion Date f C Cump• ty N t e.or t11C at G trant Name U / Email address Ci lruwn fate ZIP Tale hone SECTION 6:WORKER$'COhIPENSATION INSURANCE AFFIDAVIT(M.G.L c.152.§Milli)) , Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Isivan a of the building permit. Signed Affidavit Attached? Yes .......... No...........O SECTION 7a:.OWNER AUTHORIZATION TO BE.COMPLETED WHEM " OWNER'S AGENT OR CONTRACTOR APPLIES F/OyR�BUILDING.PERMIT 1,as Owner of the sub' property,he thoriz t9 act on my It to all matt a to s authorized by this building permit application. 3 /14 i vner's Nam ec t ) Dale SECMN 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below, 1 hereby attest under the pains and penalties of perjury that all of the information c tained in this application is tru and accurate to the best of my knowledge and understanding. 14 ��� 3A / Print Owner's or Authorized Agents Name(Electronic Signature) to NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor ___knot registered in the Home Improvement Contractor(HIC)Program);will no have access to the arbitration program or guaranty fund under M.G.L.c. I d2A.Other important information oin the HIC Program can be found a www mass eo�:'oca Information on the Construction Supervisor License can be found at www,ma� . 2. When substantial work is planned,provide the information below: 'rota) floor area(sq. R.) ,(including garage, finished basementlettics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths rype of heating system Number of decks/porches Type of cooling system Enclosed- Open 3. 'Total Project Square Footage"may be substituted fur"Total Project Cost" ,may t "\ The Commonwealth of Massachusetts Department of IndustrialAccidents, 1 Congress Street,Suite 100 Boston,MA 0211 4-2 01 7 www massgov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Le 'blv —. Name(Business/Organization/Individual): ".i^A— 4 PebP/1 J Address:33 So V.'er Rd— City/State/Zip: v �L- r 'l q Phone#:_ -5 O 9r— -j�1 Are you an employer?Check the appropriate box: Type of project(required): L❑I am a employer with employees(full and/or part-time)." 7. ❑New construction 2.K1 am a sole proprietor or partnership and have no employees working forme in S. remodeling any capacity.[No workers'comp.insurance required.] 3. I am a homeowner doing all work 9• ❑Demolition ❑ g myself.[No workers'comp.insurance required.]t 4.❑I am a homeowner and will be hiring contractors to conduct all work on m ro 10❑Building addition Y P perry. I will ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑I am a general contractor and I have hired the subcontractors listed on the attached sheet. These subcontractors have employees and have workers'comp.insur mc,,.t 13.❑Roof repairs 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have 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 as work and then him outside contractors moor submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. lam an employer.that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: 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 I I do hereby ce y that the information provided al ve is true and correct. Si store:Phone#: d F only. Do not write in this area,-to be completed by city or town official n: Permit/License# hority(circle one):Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Phone#: t , 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 written." 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 ccrtificate(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 dog license or permit to burn 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 SALEA A ASSAC HUSEM Btn.DngGDEPARTi11mr 120 WASIMCTM MEET,3IDFLOOR UL(978)745-9595. FAX(978)740.9846 RIMRFRI FyD1i1S�jj, MAYOR THOWASST.PM= DmECrMCFPURUCPXOF RTr/Bt9lnn aMWW0I x 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,S 54; Building Permit# 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 15oA. The debris will be transported by: (name of hauler) The debris will be disposed of in: ✓fie/C�w (name of facility) o .Ltow I (address of facility) Signature of applicant Date Massachusetts Department ofYPubhc Safet Board of Builiimg.Regul'atron4.and Standar"as ��nsfruhon Su�tniSit p License CS-062054 GEAARb H H.E$F, y 33 SOb1er Road. _ � Beverly Mk 01913 - commissioner EXPiration _ 71/15/2016 ofConsumer Affairs n6s, 4i , ME fMP- &NT C70R Business Regulation � 'ROVEMEN7CO egistra6on: 00 RA XPlration: ' _ -Type � GERARD.H.HERB _ _ ., Individual y i�a GERARD HE13ER7 } _ 33 SGHIER RD ;, . BEVERLY,MA'01915 ��+ t=°? ' �' ' r -� UnderseCmtarY 7 Boise Cascade Triple 1-3/4" x 11-74' VERSA-LAME) 2.0 3100 SP Floor Beam\FB01 Dry 1 span No cantilevers 1 0/12 slope March 14, 2016 11:09:17 BC CALCO Design Report Build 4516 File Name: GHH LINDEN 1ST FLOOR 3-16 Job Name: Description: Designs\FB01 Address: LINDEN ST Specifier: City, State, Zip: SALEM, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: I i 1 13-06-00 BO B1 Total Horizontal Product Length= 13-06-00 Reaction Summary (Down I Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 4,050/0 1,877 /0 B1, 3-1/2" 4,050/0 1,877 /0 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area (lb/ftA2) L 00-00-00 13-06-00 30 10 10-00-00 2 Unf. Lin. (lb/ft) L 00-00-00 13-06-00 0 60 n/a 3 Unf. Area (lb/ftA2) L 00-00-00 13-06-00 30 10 10-00-00 Controls Summary value %Allowable Duration case Location Pos. Moment 18,668 ft-Ibs 58.5% 100% 1 06-09-00 End Shear 4,802lbs 40.5% 100% 1 01-03-06 Total Load Defl. U401 (0.39") 59.8% n/a 1 06-09-00 Live Load Defl. U587 (0.267") 61.3% n/a 2 06-09-00 Max Defl. 0.39" 39% n/a 1 06-09-00 Span/ Depth 13.2 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim (Lx W) Value Support Member Material BO Post 3-1/2" x 3-1/2" 5,927 Ibs n/a 64.5% Unspecified B1 Post 3-1/2" x 3-1/2" 5,927 Ibs n/a 64.5% Unspecified Cautions Member is not fully supported at post BO. A connector is required at this bearing. Member is not fully supported at post B1. A connector is required at this bearing. Notes Design meets Code minimum (U240) Total load deflection criteria. Design meets Code minimum (U360) 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 2 ®Boise Cascade Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Bearrl Dry 1 span No cantilevers 1 0/12 slope March 14, 2016 11:09:17 BC CALC® Design Report Build 4516 File Name: GHH LINDEN 1ST FLOOR 3-16 Job Name: Description: Designs\FB01 Address: LINDEN ST Specifier: City, State, Zip: SALEM, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure Completeness and accuracy of input must b - d= be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based 0 on building code-accepted design properties and analysis methods. • • Installation of Boise Cascade engineered e o 0 0 wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions, please call a minimum = 2" c= 6-7/8" (800)232-0788 before installation. b minimum = 3" d = 24" e minimum = 3" BC CALC®,BC FRAMER®,AJS'^^ ALLJOIST®, BC RIM BOARD T",BCI®, Nailing schedule applies to both sides of the member. BOISE GLULAM'm,SIMPLE FRAMING Member has no side loads. SYSTEM®,VERSA-LAM®,VERSA-RIM Connectors are: 16d Sinker Nails - - PLUS®rVERSA-RIM®, VERSA=STRAND®,VERSA-STUD®are trademarks of Boise Cascade Wood Products L.L.C. e} r ®Boise Cascade Double 1-3/4" x 14", VERSA-LAM® 2.0 3100 SP Floor BeamXFB03 Dry 1 span No cantilevers 1 0/12 slope March 14, 2016 11:09:20 BC CALCO Design Report Build 4516 File Name: GHH LINDEN 1ST FLOOR 3-16 Job Name: Description: Designs\FB03 Address: LINDEN ST Specifier: City, State, Zip: SALEM, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: V o e 11-00-00 BO 81 Total of Horizontal Design Spans= 11-00-00 Reaction Summary (Down / Uplift) (lbs) Bearing Live Dead Snow Wind Roof Live BO 3,473/0 1,367/0 61 5,304/0 2,090/ 0 Live Dead Snow Wind Roof Live TO b. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% _ 1 Standard Load Unf. Area (lb/ftA2) L 00-00-00 11-00-00 40 10 01-04-00 2 Reaction from Desi... Conic. Pt. (Ibs) R 06-00-00 06-00-00 3,465 1,303 n/a 3 Reaction from Desi... Conic. Pt. (Ibs) R 03-00-00 03-00-00 4,725 1,851 n/a Controls Summary Value %Allowable Duration Case Location Pos. Moment 23,188ft-Ibs 79.9% 100% 1 05-00-00 End Shear 7,294 Ibs 78.3% 100% 1 01-02-14 Total Load Defl. L/435 (0.303") 55.1% n/a 1 05-09-00 Live Load Defl. L/605 (0.218") 59.5% n/a 2 05-09-00 Max Defl. 0.303" 30.3% n/a 1 05-09-00 Span/ Depth 9.4 n/a n/a 0 00-00-00 Notes Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Design meets Code minimum (U240) Total load deflection criteria. Design meets Code minimum (U360) Live load deflection criteria. Design meets arbitrary (1") Maximum total load deflection criteria. Minimum bearing length for 80 is 1-13/16". Minimum bearing length for B1 is 2-13/16". 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 2 ®Boise Cascade Double 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Beam\F603 Dry 1 span No cantilevers 1 0/12 slope March 14, 2016 11:09:20 BC CALC® Design Report Build 4516 File Name: GHH LINDEN 1ST FLOOR 3-16 Job Name: Description: Designs\FB03 Address: LINDEN ST Specifier: City, State, Zip: SALEM, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure Completeness and accuracy of input must fb d— be verified by anyone who would rely on a 71 output as evidence of suitability for -� • T• • particular application.Output here based on building code-accepted design 1 s c properties and analysis methods. Installation of Boise Cascade engineered • wood products must be in accordance with current Installation Guide and applicable _ building codes.To obtain Installation Guide or ask questions, please call a minimum = 2" c= 10" (800)232-0788 before installation. b minimum=3" d = 24" BC CALC®, BC FRAMER®,AJST"" Connection design assumes point load is top-loaded. For connection design of side-loaded ALLJOIST®, BC RIM BOARDT" Bcl®, point loads, please consult a technical representative or professional of Record. BOISE GLULAMT" SIMPLE FRAMING Member has no Side loads. SYSTEMIC,VERSA-LAME),VERSA-RIM Connectors are: 16d Sinker Nails - PLUS®,VERSA-RIMO, - VERSA-STRANDS,VERSA-STUD®are trademarks of Boise Cascade Wood Products L.L.C. Boiza Cascade Double 1-3/4" x 9-1/2" VERSA-LAMO 2.0 3100 SP Floor Beam\F1302 Dry 1 span No cantilevers 1 0/12 slope March 14, 2016 11:09:20 . BC CALCO Design Report 1 ' Build 4516 File Name: BC CALC Project Job Name: Description: Designs\FB02 S Address: LINDEN ST Specifier: City, State, Zip: SALEM, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: s 09-00-00 BO B1 Total Horizontal Product Length=09-00-00 Reaction Summary (Down I Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live BO, 3-1/2" 3,465/0 1,303/ 0 B1, 3-1/2" 3,465/0 1,30310 Live Dead Snow Wind Roof Live Trib. Load Summary Tag Description Load Type Ref. Start End 100% 90% 115% 160% 125% 1 Standard Load Unf. Area (Ib/ftA2) L 00-00-00 09-00-00 40 10 11-00-00 2 Unf. Lin. (lb/ft) L 00-00-00 09-00-00 0 60 n/a 3 Unf. Area (lb/ftA2) L 00-00-00 09-00-00 30 10 11-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 9,664 ft-Ibs 69.2% 100% 1 04-06-00 End Shear 3,620 Ibs 57.3% 100% 1 01-01-00 Total Load Defl. L/404 (0.254") 59.4% n/a 1 04-06-00 Live Load Defl. L/556 (0.184") 64.8% n/a 2 04-06-00 Max Defl. 0.254" 25.4% n/a 1 04-06-00 Span/Depth 10.8 n/a n/a 0 00-00-00 %Allow %Allow Bearing Supports Dim (L x W) Value Support Member Material BO Post 3-1/2" x 3-1/2" 4,768 Ibs n/a 51.9% Unspecified B1 Post 3-1/2" x 3-1/2" 4,768 Ibs n/a 51.9% Unspecified Notes Design meets Code minimum (L/240) Total load deflection criteria. Design meets Code minimum (L/360) 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 2 ®Boisre Cascade Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Floor BeamT1302 Dry 1 span No cantilevers 1 0/12 slope March 14, 2016 11:09:20 BC CALC® Design Report Build 4516 File Name: BC CALC Project Job Name: Description: Designs\FB02 Address: LINDEN ST Specifier: City, State, Zip: SALEM, MA Designer: Customer: Company: Code reports: ESR-1040 Misc: Connection Diagram Disclosure Completeness and accuracy of input must b tl be verified by anyone who would rely on a output as evidence of suitability for • • • particular application.Output here based on building code-accepted design c properties and analysis methods. Installation of Boise Cascade engineered wood products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum = 2" c = 5-1/2" (800)232-0788 before installation. to minimum = 3" d = 24" BC CALC®, BC FRAMER®,AJST" Member has no side loads. ALLJOIST®, BC RIM BOARD'-, BCI®, Connectors are: 16d Sinker Nails BOISE GLULAMT^ SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Cascade Wood Products L.L.C.