127 MARLBORO RD - BUILDING INSPECTION ' = - -,
C� Thr Cuminunoe:Llth of Massachusetts I
\\v t I1t1arJ of [JullJlllg IZCgLlla(1 111S and SIJIIdJ1"J1 I ( )k
Mt NI( III VI III
Massachusctts State 13u1iJinz ('ode. %SI) ('!\1R. 7i' edi...... I 't;l. p�
j V
Buildinz Permit Application To Consti'ui[. Repair, Renosate Or Denx,li,h a Rr111, 6❑10111
one- 1u' Tara-/-conch lhrrllin,q
'this Section For Otticial Use Only - --~
Rtulding PermikNUIer: Date Applied:.unn•!/ peclur of Budding, D:ue
SE --ION 1: SITE INFOR.%\TION
--------- ---- ---------- —
ess:
.. ! .lh� \wnhrr__—�
LI Pr np+ri�PtTr' � _.-- _ —+1.2 \ia @ Pa eel Numbers— — ---�
_a is ["is an aciepteu meet ' y;:� P I
1.3 Zoning in!-jrmarioo: I l rrsgd<r Junrusi.uu: ,�(! -_-----
i I
1.5 Building From
Y�:dtbacks'(tft) „ L — Side Yards `a t.1------..._.-- F'u I�Rcar l -- ._--
Zoning Jutnit _
__
! Required Provided Rcyuu ed Prat idcd Rn)u I I co Pn.udcd—
1.6 Water Supply: (M.G L c. +. 554) 11.7 Flood Zone Information: 1.8 Sewage Disposal System: ——_
/ "Lone —__ Outside Flood 9Zone:' !vtunia al ❑ On site dis 1„sal s !em U I
Panfie Q Private ❑ Check if y_-s1R' P' I
SECTION ?: PROPERTYOWNERSIIIPt _
2.1 Rwnert of Recur \ �JI
Cg : YKA r\DU r'a —
•y.ure Pr!nt1 Address for Novice:
V7 - a r o
Sien:nure Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that applvl j
.�
nxti•:,, , Other
❑�:,dJlli, n C Buildng OterO _uped ❑ng Repal'sts) O Al e. t!uns)
❑LAcccssory � , umber i,t(Ilnts Other ❑ Spe_!ty. — j
Ei:ie �e :rip"on cif Proposed Work2:—
i
SEC'C 101': J: ESTINIA'fED CONSTRUCTION COSTS -
-------- F,timated Coss:
item I Labor and r
!Mateials) Official Use Only
I. Building 5 pp0 I. Building Permit Fee: S Indicate how ree Is delerinuted:
❑ Standard City/Town Application Fee
2. Fie, irical 5 DSO o
❑Total Project Cunt (Item G) x multiplier s
1. Plumbing S $60 I. Other Fees: S
a. !Mechanical IFIVAC) II Lisc �C7���
!
5. Mechanical (Fire — -- —
S Tnrd All Fees: S
SI11 p ress6)n)
Check No. Check Amount: _ Ca,h 'smoutV
o Total Project Cost S /Q� (,SO 0 Paid in Full ❑ Outst:mdnlg B:dwtce Due:--.--
- — - -�
SECTION 5: CONSTRUCTION SERVICES '
5.1 Licensed Construction Supervisor (CSI,)
—.& K C67 CS O 9g.7T Liccn,e .Number Diu:
N,n ne of ('SI/_ �Iluldrr L(,
tyf, 1 Lu1 CSL l\pe i'ce helo%%l
1JJi rs. ( l lu'cNtrielcd it,w 75.10U( u. El
R Restricted I.@' F.rmih D��el6u_•
S,gn:°or`' 3Sa3 \I .Lt'tor, Only —�
/ RC RcsiJcntial Rooline Coo n, 1�1 _
I\•Irphune \\'S Res,dc nl,al \1 11iJ1.1\ .md i:Jm—e
SF Re11&11o.d SoI,J Foci Bwnuic \)L,_W," Ius,.Jl.an-i, ti
D It.,idenn.d Ur uu d it oo
5.2 Regi 1ered Ilome Improvement Contractor 0110
Ii IC Congruty Name rr I IC Rego rant Name Regtstrauon \'umhci
r6 Coep ` ;J�rort ryytr Q/�I
Addresw i Lam'°"' 978'S(r?3$el) - —
�-. F.nlnrmu�n Date
'Signer /�L /6(o757relel>hn1e
SECTION 6: WORKERS' COMPENSATION INSURANCE .AFFIDAVIT (M.G.L. c. 152. 6 25C(6))
Workers Compensation Insurance affidavit must be completed and .submitted with this application. F ,lure to prox ide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes .......... No __....... ❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR
/BUILDING PERMIT
I --� L vr-. I �r� d117e/a Cfa'v�!T-as Owner of the subject property herebv
authorize K� ' ti C-.$•Go i/ to act on my behalf. in all minters
re!ative tit work authorized by this building permit application. -
rbehalf.
nature tit Owner Date
SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
K Lt,,oil. ( S'Co as Owner or Authorized Agent hereby' Jecl:ue
t the statements and information on the foregoing application are true and accurate, to the best of my knowledge and
k(7slned
Name ` G�l9/o g
re of O nee or Authonud Agent Date
under the ams and enalties of er u ) NOTES•n Owner who obtains a building permit to du his/her own work or anowner who hires an unregisterednut registered in the Hume Improvement Contractor(HIC) Program), will nor have access to the .trhitranon
program or guaranty fund under M.G.L. c. 112A. Other important inhrmation on the HI(' Program and
Construction Supervisor Licensing (CSL) can be timnd in 780 C'NIR Regulations 110.R6 and 110.R5, respectl�eh
' When substantial work is planned, provide the information below:
Total floors area)Sq. Ft.l (including garage, finished banenlemJamc N, decks nr porch,
Gross living area rSq. FL) Habitable room coum
Number of fireplaces Number of hedroums
Numbcr of h:thnntns Numbet.of hAt/h•uhs .—
I'vpe tit heating syslem _ Number of JcckN/ 1)1cnccs
T\pe of :Holing sy>tem LncloseJ
1. 'Total Project Square Footage- may be Nubstitwed tar Tord Project Cost"
CITY OF SALEM
S� $`
PUBLIC PROPRERTY
DEPARTMENT
p'�•n�x v"'%
\C.NY II]i:.O'NSI:<J:1'T I I-V, \I.\'u.\( 'i I ,,
Illl 978 J4=9846
Construction Debris Disposal Affidavit
(rctluired fior all demolition and renovation work)
In accordance ith the sixth edition of the State Building Code, 780 CNIR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit f is issued with the condition that the debris resulting from
this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
I11. S 150A.
The debris will be transported by:
O SS
- 1 name of hauler)
I lie debris will be disposed of in
(name of facility)
-
Inddress of tacilim _
signature of permit applicant
__ late - —--
Jun 17 08 09:41a Master Exteriors (508)521-6225 p.2
.� FAX NO. Sep. 13 2004 03:26PM P1
PARSONS AND FAIA INC .
60 LEWIS STREET
LYN N MASSACHUSETTS 01902
( 781) 593— 7927 �.
j IE�f9�
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THIS IS A TAPE SURVEY IA$" ON TH9
SURVEY UMWEAE OF OTHERS ANO TIM LIN =
OF.00CUPAT#ON-T1f,3 PL"W" DRAM-FOR
t l97 ipLa� rrs
R [It[MCB. : NQT IrME"A"PON RELORDA" 1l,RP406a.
� 818CR�!'tiQJiti.�LOYi7ilYCT10Ni
IIF,iik„'LCI►F,►�Qltpi iROf'EA7� L„iK 01tl�
stetlr W.4iMt 0"Sgis,rcums DR 4OT
m"TRUMINTiYRMtY GAM DETi�g4 ALL
� t'rii8lllCiY C331.�f1� TiiAT'�L1E 9iL1i1D,,iIILYr? TIIE ABOVE,
Jun 09 08 09:46a Master Exteriors (508)521-6225 p.2
aos n:
HIC ReglstratlDn p 15767e
130 Jackson Street j
Canton,MA 02021 n-lfome Designs
Telephone:800.887.4317 "e ,mr.dbs
CUSTOM REMODELING AND IMPROVEMENT AGREEMENT
Buyer(s)Name: y��/M fir ,-7,.Q fv+� Date of Contract: 3Uzz_/0�
Print Name(s): A!Ira -/av(y a( y�.rLaJ. Phone:
Street Address: — Altemate Phone:
Job Addresspldv�dm): (,a �)vL1,.-,A- Fax Number:
Town: ,;u�(Ay,a--� Email:
Slate: L Zip:
Cross Street:
The Buyer(s) listed above hereby jointly and severally agree to purchase the goods and/or services appearing on the
accompanying attachments; (A) SPECIFICATION SHEET, {B) DIAGRAM ATTACHMENT, and (C) RESPONSIBILITY
ACKNOWLEDGMENT FORM, at the location and on the property specified therein. In-Home Designs ('Contractor")
agrees to install or cause to be installed the products and/or services listed on the Specification Sheet. Buyer(s)agree to
sign a Certificate of Completion upon substantial completion of the job. Buyer(s)agree to pay the cost of the goods and
services purchased as described herein, regardless of timing or approval of any financing Buyer(s) may seek for this
purchase.
Check/Cash
Credit Card :F,,nanco
PURCHASE PRICE: $ ox,, Est.Due U on Execution of ContractDue U on Delive of Mater'als: 113 S ;C)
Est. Completi Date
Due U on Com letlSto ire S J'> > $
Basemen)/Paving Stone projects may require
an additional deposit due at the following
milestone: $ $
METHOD OF PAYMENT:
❑ Cash ❑Check #: ❑Credit: ❑AmEx ❑Master Card O Visa
❑ 3rtl Party Finance: Authorization for Credit Caryl Payment Form Signed Aftached
(1n 1181 Here)
Balances are to be paid upon completion of job.Checks made payable to ARCN,Inc.
There will be a S50 for all returned bank checks.
'All start dates are dependant on Contractor obtaining any and all permits and licenses that may be required by law.
Contractor shall not be liable if any necessary permit or license application is denied. The proposed start and completion
date is approximate and subject to change.
It is agreed and understood by and between the parties that this agreement, front and back, and including the
Specification Sheet detailing work to be performed and materials to be used, the Diagram Attachment, and the
Responsibility Acknowledgment Form,constitutes the entire agreement between the parties; no verbal offer or agreement
by either party has been made or accepted with respect.to the subject matter of this agreement. All changes to this
contract must be in writing and signed by both parties(Amendment of Custom Remodeling& Improvement Contract.)
All home improvement contractors and subcontractors engage in home improvement contracting unless specifically
exempt from registration by Provisions of Chapter 142A of the general laws, must be registered with the Commonwealth
of Massachusetts. Inquiries about registration and status should be directed to - Registration Division, Program
Coordinator,One Ashburton Place,Room 1301,Boston, MA 02108,(61,11 727-3200.
Arbitration: The contractor and the homeowner hereby mutually agree in advance that in the event that the contractor
has a dispute concerning the contract, the contractor may submit each dispute to a private arbitration service which has
been approved by the Once of Consumer Affairs and Business Regulations and the consumer shall be required to submit
such arbitration a provided in MGL c 142A.
Owner: k, dd �db •yyr� Dale:
Contractor: —.�,',.Z-" - vy—�)lc,�J,J Date:
Buys r(s)acknowledges that he or she has read this entire agreement has received a completed and signed copy
of it, and has received two dated NOTICE OF CANCELLATION forms. I am aware of my right to cancel this
contract by signing and dating a Notice of Cancellation form and mailing It back to the Contractor by registered
mail,return-recoipttequested,within three business days after the day I(we)sign this agreement.
icwom..,rvn.ul
Buyer(s) acknowledges that he or she is subject to a Handling I Restocking Foe if materials are refused at time
of, or after delivery for any reason other than defect.Fee is 25%of total cost of materials.
I do❑do not p want to be informed by the Contractor by telephone,e-mail, and I or fax of other products or services that
the Contractor may provide,
f uirderstand that all advertised dis n(.s and rebates have been taken Into consideration.
DO NOT SIGN THIS AG EMENT IF IT CONTAINS ANY BLANK SPACES
!n-Nome, flans Bu )
r
aPrOsen
erne pplp
Prm lM1' J9n5,ne gn �,p �—
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
I'= \\-,.t :�. ,:, \i�!:; tl • i,;: ,t. \1 ,..v .; :It
Norkers' C'ontpensation Insurance Affidavit: Builders/Contrac torsi Electr�ce Prinkmbr
bly
\ ) ills ant Infurmetion .7r
-�
`,tl lli t Ifu.ui... t hp.uu rou,m InJi,t.luull: f���/t"
L
\rldresS: Coo C r p
('ity State.zip: h
pat'd /j7� 61�7�Phune #: 7 �� •S�6 � 3g��
_tire % m an employer'! Check h appropriate box:
Tvpe of project(required):
I [�JrI:un a employer w ith 41 ❑ I ahn a general contractor and 1 6 ❑ New construction
culployees (full and'or part-unle).• hale hired the sub-contractors 7. ❑ Remodeling
listed on the attached sheet.
'.❑ I no a sole proprietor or partner- these sub-contraaun liave 8. ❑ Demolition
ship and have no employees workers' cornp. insurance. y, ❑ Building addition
o-orking for me in at v capacity.
)No workers' comp. insurance 5. ❑ We are a corporation and its to ❑ Electrical repairs or additions
required.) officershaveption exercised their
right rht of exemption per Iv1GL I I.❑ Plumbing repairs or additions
}.❑ 1 am a homeowner doingall work S
myself. [No workers' comp - - c_ 1521§1(4),and we,have no 1_'.❑ Roof repairs
insurance required.) � - employees. [No workers 13.0 Other
- comp. insurance required.)
•:\uy policy information.
,q,plicint that checks box#1 moat also till out the section below.hawing their workers'compensation
t indicating they ire doing all work and then hire outside contractors must submit a new aflidav i
I lomeuwners who submit this affidavit t indicating such.
(',gym racnm that ch¢ck this b ox must attached an addamnal sheet showing the name of the sub-contractors and their workers'comp. policy in(ormaliun.
/ain an employer that is providing workers'compensation in.suranceJbr my employees. -- is the policy and jib site
inforntarion' GYari 611 S6'-'T�I - s• C4
Insurance Company Name:
\,jr- ay( '15-.;'SI Expiration Date: Ca / OV
Policy q or Self-ins. Lic. q: /
lob Site Address:
��? /y(a -/tvartj tin . _ City,State/zip: SO4-n"
.\ttach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
failure to secure coverage as required under Section 25A of\IGL c. 152 can lead to the imposition of criminal penalties of a
tine up it) S 1.5000o and•'or one-year imprisonment, as well as civil penalties in the firm of a STOP WORK ORDER and a tine
„f❑p to S_51LUU a .1,1v agaltlst the ,wlator. 13e adv tscd that a copy of Ihis statement may be torN%arded to the Office of
In,asn a:uians It the 1)1.\ ftx insurance co(erage lcrification.
/Ju hereby rer i' under the pairtsls and pe antics of perjury that the information pr,n'ided ubove is true and currec't.
/4 Dan •
i nrn,uur --
t)//iriul u,e t,qv. no not t,rite in this area. to he rmopleted by city or unrn officiaL
1'ernivl,icense q . . _ - -- -- — --- -- --
( itl or foe it: � --._... . . -.
Issuing \uthurih (circle one):
ment 1. Cih(fulcn Clerk 1. Electrical Incpcchtr S. Plumbing Inspector
1. Ituard of Ilcalth 2. Building Depart III
6. Other ----- --- -------
Phone
Information and Instructions
\LI,,.I:Losers% General I .r%%s chaprcr I i` requurs Al cmplu%cr, to pro%iJe %%orkers' conghcns.mon for their cmplosees.
I'lu,u.uu o, Inds ,I.Ifute. .m cnrpimee I, Jetir.ed .Is ' e%cry person "' file ,cl%acc of.moaher under .w% contract of hue.
%pl ,r implied, oral or %%fatten.
\r. emplofer Is .IVlincd .Is in uuL%:dual. patincr,hgt asoea.unm. :orporauon or oilier Iegal emirs, or my r%so or more
,d thr f,nc_omg cn_ c uged in a I,rurt cmrpn a,e. nd Including the Ireal represrntat-ties of a Jccc.t,ed cnhpl,ryer. or the
:c:ca%cr or IILIIICC )I in uulr%IJual, p;Orthcr,hap. .tssoclauun „r urther Icgal entity. cmplo.�Inc cmplu%ces. Ilu%%e%er the
o%%tier of a J%selluhg house ha%mg not snore than three aparuncnts and oho resides then•m, or the occupant offhe
J%%eilmg hou,e ofanother who emplo%, pervors ha do m.nntenance. ronmrucuon or repair Murk on ouch dwelling house
,r•,n file grounds or building .ghpurten.un thele(o ,hall not he:ause of ouch empl )%mcnt be deemed to he an employer."
\1(iL :hapfcr 1>Q, s-'Sit(,) also ,rates that 'e%c•ry state or local licensing agency shalt ssithhold the issuance or
renew ul of a license or permit to operate a business or to construct buildings in the commonsr calth for any
applicant ssho has not produced acceptable es idence of compliance with the insurance coverage required."
Additionally, SIGL chapter 152. s25(i') suues "Neither the conununwcalth nor any of its political suhdivisions shall
cuter into anv contract fur the performance of public %cork until acceptable e%iJcnce of compliance with (he insurance
rcquirenhcnts of this chapter have been presented to the:ontracnng authority."
Applicants
Please till out the workers' compensation affidavit completely, by checking the bores that apply to your situation and, if
necessary, supply sub-contractors) name(s), address(es)and phone mmriber(s) along with their certificate(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 he 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 e%ent the Office of Investigations has to contact you regarding the applicant.
Please he sure to till 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
sown)." 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.c. i Jog license or permit to burn leaves ctc.),aid person is NOT required to complete this dlfda%it.
I lee ()ff ice of In%estigations %could like to thank you in advance for your cooperation and should you ha%e any questions,
ple.rse Jo nor he,atate to give u% a :311.
I he Deramncnt + address, telephone and tax number
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
R< % ,:d » Fax N 617-727-7749
www.mass.gov/dia
7re -. NOW
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_ Given
One-story building
Hip.alter and roof plan as shown below
inni' Rafters a 2z8 No_2 Hem-Fir at 16 in on center
o:C.%1 re
Loading(see Chapter3)
Dead = 10 psf
Snow = 10 psf
Wind(90 mph,gust) = 4 psf(mwani)
= 10 psf(uplift)
Live(roof) = 15 psf
8:12
i
L
41t
8:12
4
Hip Rafter Framing and Tribatary Lwd Area
Find 1.Hip rafter design approach for conventional mfberceiling joist roof 6ammg.
2.Hip natter design approach for cathedral ceiling flaming(no cross-ties;ridge
beam and hip rafter supported by en&bearing supports).
Solution
I. tvaivate load combinations appiicabie to the hip rafter design(see Chapter 3,
Table 3.1)
By inspection,the D+Lr load combination govems the design. While the wind
uplift is sufficient to create a small upward bending load above the counteracting
dead load of 0.6 D, it does not exceed the gravity loading condition in effect.
Since the compression edge of the hip rafter is laterally braced in both directions
of strong-axis bending(i.e.,jack rafters frame into the side and sheathing provides
additional support to the top),the 0.6 D+W condition can be dismissed by
inspection. Likewise, the D+W inward-bending load is considerably smaller than
the gravity load condition. However,wind uplift should be considered in the
design of the hip rafter connections;refer to Chapter 7.
2. Design the hip rafter for a rafter-ceiling joist roof construction(conventional
practice).
Use a double 2x10 No.2 Hem-fir hip rafter(i.e.,hip rafter is one-size larger than
rafters-rule of thumb). The double 2x10 may be lap-spliced and vertically braced
at or near mid-span;otherwise,a single 2x10 could be used to span continuously.
The lap splice,when used to allow for shorter members,should be about 4 feet in
length and both members face-nailed together with 2-10d common nails at 16
inches on center. A vertical brace to framing below(ceiling joists and walls)must
be located at or near to the lap-splice. Design is essentially by conventional
practice.
Note: The standard practice above applies only when the jack rafters are tied to
the ceiling joists to resist outward thrust at the wall resulting from truss action of
the framing system. The roof sheathing is integral to the structural capacity of the
system; therefore, heavy loads on the roofbefore roofsheathing installation
should be avoided as is common. For lower roofstopes, a structural analysis(see
next step) may be warranted because the 'folded-plate action"of the roof
sheathing is somewhat diminished at lower slopes.Also, it is important to
consider connection of the hip rafter at the ridge. Usually, a standard connection
using toe-nails is used but in high wind or heavy snow load conditions a suitable
connector or strapping should be considered
3. Design the hip rafter by assuming a cathedral ceiling with bearing at the exterior
wall comer and at a column at the ridge beam intersection
a. Assume the rafter is simply supported and ignore the negligible effect of
loads on the small overhang with respect to rafter design.
b. Determine the hip rafter loading based on the tributary loads from each
supported jack rafter(see figure above):
Hip rafter horizontal span= 04 ft—3.5in)Z+(14ft—3.5in)Z
= 19.4 ft
Determine the span,L,of the tributary load(1/2 of the jack rafter span)at
the top of the rafter:
L = 1/2 (13.71 ft)=6.86 ft
Determine the maximum value of the uniform triangular line load at the top
end of the hip rafter(bottom end is 0 plf):
W=2L(tniform roof design load)=2(6.86 ft)(25 psf)
=343 plf