The URL can be used to link to this page

92 LINDEN ST - BUILDING INSPECTION �Y�r14S 7$1-Q53-a)sg /l The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY Massachusetts State Building Code, 780 CMR, 7'"edition J OF SALEMRevised Jmtuury Building Permit Application To Construct,Repair, Renovate Or Demolish a 2008 Da -or Two-Family Dwelling This Section For Official Use Only Building Permit Numbe . Date Applied: •( �II U Signature: `dj ` (, l ` co Building Commissionerl Ins ecVr6f Buildings Date SECTION 1:SITE INFORMATION i 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers x 9z ZIMDP/ ST >4101 I.la Is this an accepted street?yes ✓ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq It) Frontage(n) 1.5 Building Setbacks(it) Front Yard Side Yards Rear Yard Required Provided Required 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? Public❑ Private❑ Check if es❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record: JOIAllFez Ll/JeptAl 99 LlnlD✓AI s; Sabi na.4 Name inQ Address for Service: 9-76 - 38.o - ©qy6 Signal re 'telephone SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ I Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed Work': SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials I. Building S I. Building Permit Fee: S Indicate how fee is determined: 2. Electrical S ❑Standard City/Town Application Fee ❑Total Project Cost(Item 6)x multiplier x 3. Plumbing S 2. Other Fees: S 4. Mechanical (HVAC) S List: 5. Mechanical (Fire S Su ression Total All Fees:S Check No._Check Amount: Cash Amount:_ 6.Total Project Cost: S Bi O�U ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor(CSL) CS 01,�&ge` S/7 /0 'e0/mZr .DR' bQe-V License Number Expiration Date oignutureL I.-I[old List CSL Type(see below) 00 09vtwST ly�AJ/ A10f o!?4s f Description U Unrestricted u to 35,000 Cu.Ft. R Restricted 1&2 FamilyDwelling M Masonry Only X 701 5&/'7-71 RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name Registration Number Address Expiration Date Signature Telephone SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.1 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 ..........❑ No...........O 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. Signature of Owner Date SECTION 7b:OWNERI OR AUTHORIZED AGENT DECLARATION I, rvb t.l Ddt dreo ,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. � col r�o Print Sipatufe o Ownerbor Authorized Agent Date (Signcd under the pains and penalties ofperjury) NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will&of have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 11016 and I IO.R5,respectively. 2. When substantial work is planned,provide the information below: Total floors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch) Gross living area(Sq. Ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths 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 Cost" DEPF.RaTME1JT br"PUBLIC�AF`Etf'Y k. ' s - Number: HE 130509 � y r.A WL-, Expires: 05/17/2009 Tr.no: 10677 �a r Restricted: 1C2A ROBERTP DANDREO 23 VAUGHAN PLACE L SWAMPSCOTT, MA 01907 DIG SAFE CALL CENTER: (888) 344-7233 — Commissioner I - • "' ' S`"" "" 00-35,000 cf enclosed space BOARD OF BUILDING REGULATIONS (MGL C.1112 5.60L) > - IA MP,3onry only License: CONSTRUCTION SUPERVISOR 1, 1 &2 Family Homes fr Y Number: CS 094684 Failure to possess a current edition of the Massachusetts State Building Code Birthdate; OS11711965 is cause for revocation of this license. a Expires: 05/17/2010 Tr. no: 94694 _. .7M Restricted: 00 ROBERTP DANDREO 28 VAUGHN PLACE SWAMSCOTT, MA 01907 Commissioner / — DIG SAFE CALL CENTER: (888)344-7233 Masone QED ABC And M4 h%F Company -� rC ARCHITECTS & PLANNERS �ST04 EXISTING FENCE & POSTS s Broad street TO BE REINSTALLED. Lynn, MA 01902 S. anomie (vep ee2 -6 / P fax hei) sse-e799ase t s JOB TITLE -H J W J Q Lu � � VARIES 0 Z �- Z 6" d —Z Q W W J Z GRADE LEVEL W J � (V DRAWING TITLE I All 48'-0"W X 64"H TIMBER WALL. — — — — — * ALTERNATING DEAD MEN APPROXIMATELY 16' O.C. RETAINING * 6"W X 8"H X 8'-0"L TIMBER UNITS WALLI, j DETAIL DATE 03/10/10 SCALE 1/4" /\ AS NOTED OFFSET \/\(TYPICAL) \\�\'� — - DRAWN BY EXISTING -8" / JJN GRADE LEVEL j//j! 3/4" CRUSHED STONE. APPROVED BY \\j LANDSCAPING FABRIC. AM FILE NAME: 14"W X 1 2"H EXISTING Linden Wa CONCRETE FOOTING. DRAWING NO. RETAINING \�'L - WALLDETAIL * 4 - 10" TIMBERLOK SCREWS PER 8' TIMBER A- 1 * 3 - 5' DEAD MEN PER ALTERNATING COURSE 1 SCALE: 1/2 1'-O" STARTING AT THE 4TH ROW. � d6 CITY OF SALEM d PUBLIC PROPRERTY DEPARTMENT .I'.I I:' k l h l '•N Iv.'•l I I,C\X'.l q Ii..m.;ON)1'$LET #5.\I I'\I, TFI:9711.74.3.9395 . r•.\x:v7ta+ays+e Construction Debris Disposal Af idavit (required I-ur 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 40, S 54; Building Permit It _ is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal racility as defined by MGL c 150A. The debris will be transported - by: Ian,;?h,t7T 1 L/'�pp'IC�SaQp 1 AU Inamc ut heula" J The debris will be disposed of in p ZP (Ilame Ot I26 Ity� Iaddrcss u1 1aclhlyl J ignature of permit applicant 3 i0 ,,at Ichi napl da I FastenMuster ® O 1 • • 1 INSTALLATION • / PRODUCT Timberlok should be installed using a high torque,'fc"variable speed drill(at least 14.411 if cordless).Choose the proper length so that threads fully engage the second piece. Specific FastenMaster Nails tags Wood Gravity"rl 16D 20D yr W HEAD STYLE Red Oak 0.67 184 222 140 COUNTERSINKS Southern Rae 0.5s 154 185 120 ITSELF DURING Da .Fe-4SCr oso 141 170 110 INSTALLATION Dou.Fir-S 0.46 131 157 100 Hem.Fir 0.43 122 147 100 E.Sprure,W.(edor 0.36 104 126 90 t ' SCL=Stmctuml Composite Lumber(LVL,PSL and LSL) "Wood species identified typically have average specific gravity similar to the values shown an this table. MADE OF HEAT All design values based on 1'/r"side member thickness and penetration into main TREATED STEEL FOR member as follows,Timberlak 2,Nails IOx diameter,Lags 8x diameter.Design values DRAMATICALLY may be subject to adjustment factors(section 10.3 in NDS)based on conditions existing INCREASED during installation as well as those expected during service life. I I STRENGTH AND The lag screw and nail design values included in these tables are compiled directly from DRIVABILITY the 2001 National Design Specification for Wood Construction(2001 NDS). Trmberlok Comparative Data The statement Faster,Easier,Stronger than oN"Lag Screws refers to the comparison of design shear values of Timberinks and W log screws. The Professional Engineer(PE)is responsible for designing all connections,which include ULTRA COATED FOR • the number and location of all fasteners to meet the national and local code requirements.All minimum end,edge and spacing distances of the TimberLak should UNMATCHED follow minimums set forth in ICC ESR#1078(see www.FastenMasteccom).This report CORROSION should he reviewed thoroughly when designing connections. RESISTANCE. Photographs showing TimberLok usage should not be used as a reference for ACO APPROVED fastening patterns. For complete design values and engineering data,available through ICC-ES, see report ESR#1078 at vvvvvv.icc-es.org. For technical assistance or backup information,please contact FaslenMaster Technical Support at1-800.5183569. AGRESSIVE THREAD FOR ULTIMATE Part Number Screw Length t PULL-DOWN POWER FMTLOK04-10 4" 10 FMTLOK06-10 6" 10 FMTLOKO8-10 8" 10 FMTLOK10-10 10" 10 FMTLOK212-50 21/2" 50 fMTLOK04-50 4" 50 FMTLOK06-50 6" 50 FMTLOKOB-50 8" 50 FMTLOKI 0-50 10" 50 FMTLOK212-500 2th" 500 FMTLOK04-250 4" 250 FMTLOK06-250 6" 250 FMTLOKOO-250 8" 250 FMTLOKIO-250 10" 250 OMG,INC., 183 BOW188 ROAD,AGAWAM,MA Of 001 FtastenMaster 800-318.3569 W1M.11AMNIMASTER.COM FASTER EASIER STRONGER ©2008FaslenMaster®and Timherlok®are trademarks ofOMG,Inc. G3/10/2010 WED 14:46 FAX 781 581 7200 BENEVENTO INS AGENCY Z 001/002 "ORD CERTIFICATE OF LIABILITY INSURANCE DP ID Pr1 "re`MMI°°""�" PRODUCER BARB_M1 03 10 10 THIS CERTIFICATE 13 ISSUED AS A MATTER OF INFORMATION BaLavexitO Ins. NLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 497 R Street Y. Inc.Ina HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR LTCOtt, Street ALTER THE COVERAGE AFFORDED SY THE POLICIES BELOW. Swampac°tt, NA 01907- Ph°na: 781-599-3411 E'ax:781-591-7200 INSURER$AFFOROINGCOVERAGE NAIC# INSURED INSURER& ARHELLA PROTECTION 41360 FIICHAEL HARBO::ZI Clba INSURERS: ARBELLA PROTECTION 41360 1516B9UZZISORM`A3 NG INSURERC, ANERICAN INTERNATIONAL CO SNADSSCOTT, HL, 01907 INSURERD: NSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEO ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFOROM BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN NAY HAVE BEEN REDUCED BY PAID CLAIMS. N lTR N8R TYPE OF INSURANCE POLICYNUMSER DATE MM OAT MMIOO/YY •UNIT$ GENERAL LIABILITY EACH OCCURRENCE $1,000,ODO A X coAsrrffTecIALGENERALLIe81L11Y 3600045320 12/15/09 12/15/10 PREMISES(Eeecarmca 4100,000 cwmg MADE X❑occuR MED EXP(Any mla peraen) s5,000 _— PERSONAL S AOV INJURY E1,000,ODO GENERAL AGGREGATE $2 000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS COMPIOP AGG $InC1. POLICY PRO- JECT LOC AUTOMOBILE LLI ILm $ ANY AUTO 35069400000 (O�OMpBINEEDSINGLELIMIT $11000,000 03/07/10 03/07/11 ALL OWNED ALTOS X SCHEDULED AUTOS BODILY INJURY - $ (Per pecan) X HIRED AUTOS X NON-0WNEDAUTOS BODILY INJURY S (Per emJCenq PROPERTY DAMAGE $ � (Per Bepdenl) GARAGE LIASILJTY AUTO ONLY-EAACCIDENT $ ANr AUTO OTHER THAN .EAAGC $ AUTO ONLY AGO $ EXCESWUMBRELLA LIABILITY EACH OCCURRENCE $ JOCCUR CWMS MADE :IF AGGREGATE $ DEDUCTIBLE $ RETENTION § $ WORKERS COMPENSATION AND C EMPLOYERS'UAMLTTY TGRYLIMRS X ER ANY PROPRIETORJPARTNERIEXECUTIN E WC 638-67-01 04/19/09 04/19/10 E.L.EACHACCIDENT $500,D00 OFFICER,IMEMBER EXCLUDED? Ir yell,&e be ulwer E.L.DISEASE•EA EMPLOYE $ 500,000 SPECIAL PROVISIONS balm E.L DISEASE-POLICY LIMIT 6500,000 OTHER OESCRIPRON OF OPERATN)N$ILOCATION8 IV" EEIEXCLuSIGN3 ADDED SYENDORSEMENT'S. I PROWSIONS CERTIFICATE HOLDER CANCELLATION DAND $NOULDANYOF THE MOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION /� DATE THEREOF THE ISSUING IN$URERWTLL ENDEAVOR TO MAIL 20 OAY$WRRTEN Dandre0 Brothers Ceneral NOTICE TO THE CERTIFICATE HOLDER NAMEO TO THE LEFT,BUT FAILURE TO DO 30 WALL COnatractOra & Masonry LLC IMPOSE NO OBLIGATION OR LIABILITY OF ANY RAND UPON THE INSURER,ITS AGENTS OR Lynn DMA REPRESENTATIVES. AUTHOF2ED EPRE6 TIVE 4 u�'A"1 r &CORD 26(2001/08) V ACORD CORPORATION 798E 03/10/2010 WED 14:46 FAX 781 581 7200 BENEVENTO INS AGENCY Q 002/002 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER , The Certificate:of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ACDRD 25(2001108)