15 PLANTERS ST - BUILDING INSPECTION 1
-Pt*MlMffiT-BEfiL-E -A+dG APPROVED BY T44E
,WS,P,rWTD_R ,PRWR TP A PERMIT 13F NG GRANTED
�l CITY OF SALEM
GPI U Date
2 /
No ,yett� ..'� •�?�
Is Property Located in Location of
the Historic District? Yes_No Building
Is Property Located in
the Conservation Area? Yes_No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Siding, Construct D", Shed, Pool,
Repair/Replace, ther: A.,ti
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name & , P :F,/
Address & Phone �Bh �,�� � - L2 2VV 6
Architect's Name
Address & Phone
Mechanics Name .-- —
Address & Phone f
What is the purpose of building?
Material of building? Ui 06V If a dwelling,for how many families?
families?
411� A
Will building confp�rto law? Asbestos?
Estimated cost 0 U/>=G City License # N A State License it ' yam,
G� 3-7 Home Improvement
zzc nature of KPpikVint
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
r
� f
r
MAIL PERMIT TO:
I
I'
No.7 2 - ZoC,�j
APPLICATION FOR
r PERMIT TO
LOCATION.
PERMIT GRANTED
APP OVED
iNSPECTOK OF BUILDINGS
CITY OF SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please Print
DATEtJn�/
JOB LOCATION IQ AIA4 AC S `/
HOMEOWNER
ADDRESS
HOMEOWNER
TELEPHONE
PRESENT MAILING ADDRESS e / g� 'eC C /
The current exemption of"homeowners"was extended to include owner-occupied dwellings of TWO
Units or less and to allow such homeowners to engage an individual for hire who does not possess a
license,provided that the owner act as supervisor.
DEFINITION OF HOMEOWNER:
Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is
intended to be,a one to two family dwelling,attached or detached structures accessory to such use and/or
farm structures. A person who constructs more than one home in a two-year period shall not be considered
a homeowner. Such"homeowner"shall submit to the Building Official,on a form acceptable to the
Building Official,that he/she be responsible to all such work performed under the building permit.
The undersigned"homeowner assumes responsibility for compliance with the State Building Code and
other applicable goes by-laws,rules and regulations.
The undersigned"homeowner"certifies that he/she understands the City of Salem Building Department
minimum inspection procedures and requirements and that b/she will mply with said procedures and
requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING INSPECTOR
See other side for state code
HOMEOWNER'S EXEMPTION
The code states that: "any homeowner performing work for which a building permit is required shall be
exempt from the provisions of this section (Section 10.9.1.1—licensing of Construction Supervisors);
Provided that is a homeowner engages a person(s)for hire to do such work,that such homeowner shall act
as supervisor."
Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a
Supervisor(see Appendix Q,Rules and Regulations for Licensing Construction Supervisors,Saloon
2.15). This lack of awareness often results in serious problems,particularly when the homeowner hits
unlicensed persons.
In this case your Board cannot proceed against the unlicensed person as it would with
licensed Supervisor. The homeowner acting as supervisor is ultimately responsible.
To ensure that the homeowner is fully aware of hUher responsibilities,many communities require,as part
of the permit application,that the homeowner certify that he/she understands the responsibilities of a
supervisor. You may care to amend and adopt such a form/certification for use in your community.
4
-.may OF 5ALEM. 1ftF ��N�•nvc "
PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON SliREET, 3RD FLOOR
SALEM,MA 01970
TEL. (978)745-9595 EXT. 380
�p FAX (978) 740-9646 .
BTANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34,I aclmowledge that as a condition
of Building Permit# ,all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility,as defined by MGL c III,S150k
The debris will be disposed of at: �� �`
Location of Facility
6
ignature of it plicant D e
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
Name of Permit li t
Firm Name,if any
b
Address, City & State
The above statute requires that debris from the demolition,renovation,rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL c1Il, S 150A, and the building permits or licenses are to
indicate the location of the facility.
r
BO�SE BC CALCO 2003 DESIGN REPORT - US Sunday,August 03,2003 15:24
Double 1 3/4" x 11 7/8" VERSA-LAM@ 3100 SP File Name: Donovan: Ridge Column Support
Job Name: The Donovan Addition Description:
Address: 12 Planters Street Specifier: Donnie Pelletier
City, State,Zip:Salem, Me 01970 Designer: David Hanscom
Customer: Jimmy Donovan Company:
Code reports: ICBO 5512, NER 629 Misc: 20'x 20'Wood Frame Addition
Standard Load-0 psi 110 psf Tnbutary 00-00-01
B0,3-1/2"
1385 Ibs ILL 4615 Ibs LL
353 Ibs DL 999 Ibs DL
Total Horizontal Length- 13-00-00
General Data Load Summary
Version: US Imperial ID Description Load Type Ref. Start End Type Value Trio. Dur.
S Standard Load Unf.Area Left 00-00-00 13-00-00 Live 0 psf 00-00-01 90%
Member Type: Floor Beam Dead 10 psf 00-00-01 90%
Number of Spans: 1 1 Ridge Support(Conc. Pt. Right 03-00-00 03-00-00 Live 6000 Ibs n/a 115%
Left Cantilever: No Dead 1200 Ibs We 90%
Right Cantilever: No
Controls Summary
Slope: 0/12 Control Type Value %Allowable Duration Load Case Span Location
Tributary: 00-00-01 Moment 16786 ft-Ibs 68.6% 115% 3 1 -internal
Neg. Moment 0 ft-Ibs n/a 100%
End Shear 5603 Ibs 60.6% 115% 3 1 -Right
Total Load Defl. U401 (0.389") 59.9% 3 1
Live Load: 0 psf Live Load Defl. U491 (0.318") 73.4% 3 1
Dead Load: 10 psf Max Defl. 0.389" 38.9% 3 1
Partition Load: 0 psf
Duration: 90 Bearing Supports
Disclosure %Allow %Allow
The completeness and accuracy of Name Type Dim. (L x W) Value Support Member Material
the input must be verified by anyone
BO Post 3-1/2"x 3-1/2" 1738 Ibs 19.6% 16.7% Spruce-Pine-Fir
who would rely on the output a: 61 Post 3-1/2"x 3-1/2" 5615 Ibs 63.2/0 53.9/o Spruce-Pine-Fir
evidence of suitability for a Cautions
particular application. The output above is based upon building Post at Bearing BO analyzed for bearing only,column analysis has not been performed.
code-accepted design properties Post at Bearing 81 analyzed for bearing only,column analysis has not been performed.
and analysis methods. Installation Notes
of BOISE engineered wood
products must be in accordance Design meets Code minimum(U240)Total load deflection criteria.
with the current Installation Guide Design meets Code minimum(U360)Live load deflection criteria.
and the applicable building codes. Design meets arbitrary(1")Maximum load deflection criteria.
To obtain an Installation Guide or if Entered/Displayed Horizontal Span Length(s)=Clear Span+1/2 min.end bearing+1/2 intermediate bearing
you have any questions,please call
(800)232-0788 before beginning Connection Diagram
product installation. Member has no side loads.
Concentrated loads are not considered in side load analysis.
BC CALCO, BC FRAMER@, BCIO,
BC RIM BOARDw, BC OSB RIM Connectors are: 16d Sinker Nails
BOARDTM, BOISE GLULAM-, `
VERSA-LAM@,VERSA-RIM@. a=2"
VERSA-RIM PLUS@, b=3" b d
VERSA-STRANDw, c=7-7/8" a \
VERSA-STUDO,ALLJOISTO anc d= 12" -,--I --
AJST are trademarks of
Boise Cascade Corporation. C
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