TINKERS ISLAND - BUILDING INSPECTION . ,
Q • The Cummonweahh of Massachuscas Town of
� Board of Building Regulations and Standards �
\ ��� Massachusnns Sw�e Building Code, 780 CMR, 7ih edi�ion gwWmg Depl
1 Building Permit Applicanon To Conswct. Rrpair. Renovate Or Demolish a �
One• or T�co-Funu/� D��'e!ling
This Scction For OfTicial Use Onl
� Bwlding Permit Numbec Date Applied:
Signature:
�l�
Bwlding Commissioner/Inspecta/ Buildings Date
SECTION I: SITE IIVFORMATION
1.1 Property Addreee: 1.2 Assefson Map dc P�rcel IVumben
�, m ili.a�o-, f 6,�i�¢},�
Ma Number Parcel Number
I.I a Is�his an accepled sireet'!yes_ no P
I.J ZoninQ Informatlon: 1.4 Property Dimen�lonr.
2oning Dis�nct Proposed Uu Lo�Area(sq R) Frontage(R)
I.3 BuildlnQ Setbicks(R)
Front Yud Side Yarde Rear Yard
Required Provided Requircd Pravidcd Required Provided
1.6 W�ter Supply:(M.G.L c.a0,S54) 1.7 Flood Zooe Inform�lion: 1.8 SewaQe Dlapoeal Sy�tem:
Zone: _ Ounide Flood Zone? Municipal O On site disposal sys�em O
Pub�ic❑ Private O Check if es0
SECTION 2: PROPERTY OWIYERSHIP�
:.�o��or KJ � _1_'(N N�t.-�Y1s.� ���-►�
��P����) Ad� ess for Service:
�j� , -�--,�� � � �QS
Signatwe Telephone
SECTION l:DESCRIPTIOIV OF PROPOSED WORK�(chak�11 th�t apply)
New Construction O Existing Building❑ Owner-Occupied O Repairs(s) O Alteration(s) f�. Addition O
Demolition O Accessory Bidg. O Number of Units_ Other O Speciry:
Brief Deurip�ion of Proposed Work=:
SECTION�: ESTIMATED CONSTRUCTION COSTS
Es�ima�ed Costs: Ofticld Uee Ooly
Item Labor and Ma�erials
� I. Building S I. Building Permit Fee: f Indicarc how (ee is determined:
❑Sundard City/Town Applica�ion Fee
2. Elenrical f ❑Total Project Cost�(Item 6)x mulliplier x
7 Plumbing S 2. Other Fea: f
4. �techanical IHVAC) S Lisl:
s .Nechanical IFire S Total All Fees: S
Su rcssion
Check Na _Check Amoune Cash Amount:_
6. Tatal Project Cosl: S O Paid in Full O Ouutanding Balance Due� -
��. � �J'
�1�� �-� p 7� �r G,�y,d.e�s��,
. ,
SECTION S: CONSTRUCTION SERVICES
S.I Licensed Comlruclion Supervisor�CSL)
.,
. ' ' L�.cme Numb.r Eapirauon Daie
� N;yoe ol'CSL HplJer Lu�CSL Type I.cc I+rluw)
►
Addrcss T' Drscn non
U Unresincud u toJ5,000Cu. Ft)
5iynalurc R Resincird Ik2 Famd Dwellm
N \fason Onl
RC Rcvdemwl Roofin Coverin
Tclephone WS Res�drnnal WindowandSidm
SF Residemul Sohd Fuel Bumm A liance Insullahon
D Residemul Dertwliuon
5.2 ReQieteredHomelmprovemeotContnctor�HlC)
HIC Company Name or HIC Rrgisvant Name Registrauon Number
Address
Expira�ion Date
Signature Telephone
SECTION 6:WORKERS•COMPENSATION INSURAIVCE AFFIDAVtT(M.G.L.c. IS2.� 25C(6))
Worken Compensation Insurance afTidavit must be compleled and submined wi�h this application. Failure to provide
this alTidavit will result in �he denial of the Issuance of the buiiding pertnit.
SigneJ ARJavit Altached? Yee .......... ❑ No........... O
SECTION 7�: OWNER AUTHORIZATION TO BE COMPLETED WHEN
O WNER'S ACENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
�• , as Owner of Ihe subject property hereby
authorize to act on my behalf,in all matten
rel live to or 'authoriz b is building rmit application.
/i
Si n re of O ner Date
SECTION 7b:OWNER' R AUTHORIZED AGENT DECLARATIOIY
�• ,as Owner or Authorized Agent hereby doclare
that he statemenLa an information on the (oregoing application are true and accurate, lo�he best of my knowledge md
behalf.!
Print �� ,,��,,��..pp
' ��i��
Signa urc f ner or ul orized Agent D`te �
� Si ned under�he ains d nalties ot (u
NOTES:
I. An Owner who obuins a building permit to do his/her own work,or an owner who hire�an unregistered contractor
, (no�registered in ihe Home Improvement Contrac�or�NIC)Program), will�have ucess to ihe arbitration
� program or gua�anry fund under M.G.L. c. 102A. Other imponm� information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and I IO.RS, respec�ively.
� 2. When substantiaf work is planned,provide the information below:
� To�al Ooors area(Sq. f�.) linduding garage, finished basemenVattics,decks or porch)
� Gross living area�Sq. Ft) Habiiable room coum
Number of fireplace� .Vumber o(beJrooms
Number of bathrooms V umber o(halGbaths
Type of heaung system Vumber of decks/porches
TypeofcaoGngsysam Enclosed Open
�. "Toial Pro�ec� Syuare fuo�age" may be wbso�weJ for�'Tmal Pro�ect Cos�"
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTVIENT
..��:.�rtRr� w�:�•i�.
�4�ux� t'��.w W::Jt`5 iELT�Y�tt�l.�t.��iu..n.t��a::+l/.
'�tt:Y7L7�i•�S9! �F.�X:97L7�69W
Constructioa Debris DisposaC .�1�fidavit
(reyuire�l roc a111ertwution�ua re�wvattw�woric)
In aecorJance w ith tha sixth edicioa otche Stau Buildin�Cade, 730 C111A soction t 11.3
Debris,uid the provisions of MGL e 40.S S�
BuilAin� Peemit N _ . _ ii isaad with th�eoaditioo thot the dcbris resultins 8rom
�his wurlt xhall be disposod of in a propnrly licnnted wastt dispospl fsciliry as detined by�1GL c
i�i. s �so�.
The dzbrit wilt ba tr�nspoRed by:
����L
u�ame or nauta�
flte:lcbri� will ba disposed uYin:
-��. -
(name oi iscitity)
�..d.:r�K. of t'xil.ty�
.�y�..t �:ai,:.tn.it.pp.i.�.0 - - -
..iw
. � � ,
CITY OF S.�LEM
�. PUBLIC PROPERTY
� DEPARTMENT
����:�
Nnvoa 130 W.�9uNc.'tod ScwsaT�S�t�4 w�an.�gfR 01970
Tn:976.73i959S� F�x:97b7a0.9&16
HOMEOW�IER LICENSE EXE.riPTION
Pleaae Prtnt
D� I � ,�� �
Job Location � ��� �,
Home Otwar�
Home Ownar Telep6one 'j •
Pre�ent Mailing Addrea� �
The cuaent exempaon of"Homeownecs"was exteaded W include ovvner-occupied
dweUings of two Units or less and W allow such homeowners W engage an individual for
hire who,deu not possees s license,provided that the owac acta as supervisor.
DEFINITION OF HOMEOWNER -
Persoa(s) who owas s parcel of Iand on which hdshe resides or intends W reside,on
which there is, or ie intended to be, a one or two family dwelling. attached or detached
structures accessory to such use and/or farm structurea. A person who constructs more
than one home in a two year period sl�aU not be considered a homeownet. Such
"homeownd'shall submit to the Building O�cial,on a form acceptable w the Building
Ott'icial, that he/she be responsible for all such work performod under the Bwlding
Permit
The undersigned "homeownd'assuma responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersignod "homoownd'certifia that hdshe understands the City of Salem
Building Department minimum inspection procedures and requiremrnts and that hdshe
will comply with said procedura rcquirement .
HOMEOW:YERS SIGNATfIRE �— Q�M�1f�7' C�1�?�-�
,�►PPROVAL OF BUILDING INSPECTOR "��
Sce other side For state code
FLASH�NG
CONT 2x8 W/(2)3/8" LAG
BOLTS EACH STUD
� 2 2x4 JOISTS
�16"OC
��sl�. Z
+raclx��-� OVER CE ANID WA ER SHIELD
fl I
STEEL CLIP
ANGLE�32" OC
0
0
2x4 LEDGER W/(2)#i10 2x4 BRACES
SCREWS�16"OC AT EACH JOIST 5/8"PLYWOOD SHEATHING
0
2x4 ATTACH ° DRIP EDGE
EXISTING IXfERIOR EXISTING 1" DECKING AT EACH
STUD WALL EXIST�NG JOIST
II �
� I
2"X 4"JOISTS AT x 24"OC �
SECTION 1 !
SCALE: 1 1/2"=1'-0" STEEL CLIP �/ .
ANGLE�32"OC /\
23'-0"
NEW 2x4 JOISTS AT 16"OC ,� �/
EXISTING EXTERIOR WALLJ
� 2x4 ACROSS
EXISTING JOISTS
�1/3 POINTS OF
SPAN
�
2x4 VERTICAL SUPPORT
FROM EXISTING ROOF
TO NEW FRAMING
FRAMING PLAN �
SCALE:1/4"= 1'-0"
LeColst Camp - Tinkers Island Kitchen Roof Reframing GUNDERSEN ASSOCIATES, ARCHITECTS /`11
12 Aug 08
FLASHING
CONT 2x8 W/(2)3/8" LAG
BOITS EACH STUD
� 2 2x4 JOISTS
�+16"OC
ari:I,- 2
I�I`= ASPHALT SHINGLES
aw��I�� OVER ICE AND WATER SHIELD
STEEL CLIP
ANGLE�32"OC
0
0
2x4 LEDGER W/(2)#�0 2x4 BRACES
SCREWS�16"OC AT EACH JOIST 5/8"PLYWOOD SHEATHING
0
2x4 ATTACH ° DRIP EDGE
EXIST�NG EXTERIOR EXISTING 1"DECKING AT EACH
STUD WALL EXISTING JOIST
�
II
� � �2"X 4"JOISTS AT s 24"OC (
i
SECTION 1
SCALE: 1 1/2"=1'-0" STEEL CLIP �
ANGLE�32"OC �
23'-0"
NEW 2x4 JOISTS AT 16"OC ,� �/
EXISTING IXTERIOR WALLJ
2x4 ACROSS
� EXISTING JOISTS
@ t/3 POINTS OF
SPAN
m
2x4 VERTICAL SUPPORT
FROM EXISTING ROOF
TO NEW FRAMING
FRAMING PLAN �
SCALE:1/4"= 7'-0"
LeColst Camp - Tinkers Island Kitchen Roof Reframing GUNDERSEN ASSOCIATES, ARCHITECTS /`11
12 Aug 08