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21 CIRCLE HILL ROAD - BUILDING JACKET �/O� �/� � , , f i � The Commonwealth of Massachusct[s 11 �� , Board of Building Regulations and Standards Town of w � y, ; Massachusetts State Building Code, 780 CMR, �'h edi[ion W�Ibraham AU � Building Dept � Building Pemiit Applica[ion To Construct, Repair, Ren emolish a 413-596-2800 O��e-or T}vo-Fawily Dire! ' Ext I 18 This Section For O ial Use O Building Permit Number: �e A 'e Signature: l` O Building Commissioned Inspcctor of Buildings SECTION 1: SITE ( ATION 1.1 Property Address: I.2 Assessors Map 3c Parcel Numbers I.I a is[his an accepted s[reet?yes r.o Map Number Parcel Number 1.3 2oning Informntic�n: 1.4 Property Dimensions: IZonir�;;Dis[rict F:opos�_d L'sz Lu!Arex(eG ft; Prc+ntag��(R) � 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard . Required Provided Required Provided Required Provided 8'// /8 / 1.6 1Vater Supply:(M.G.L c.40,§54) 1.7 Flood Zoce Information: 1.8 Sewage Dis osal System: Public f� Private❑ Zone: _ Outside Flood Zone? Municipai On site disposal system ❑ Check if yes� SECTION 2: PROPERTY OWNERSHIP� 2.1/Q�y�ner�o/r R ord: /1rr.L�1��IG/G�u.� ' �,— _ . �Name nnt) A�or Service: �g�e°,�%��� ��P 7yC'- a�/ S' g a ure � Telephone SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Construction❑ Existing Building❑ wner-Occupied ❑ Repairs(s) ❑ Alteration(sj ❑ Addi[ion ❑ Demolition ❑ Accessory Bldg. Number of Units Other ❑ Specify: Brief Descnption of Proposed WorkZ: � � SECTION 4: ESTIMATED CONSTRUCTION COSTS � � ['stimatcd Cust�� ' '�"'� ILaunr and Materizls � n��cial Use Only � I. Bailding $ �s'Qpv I. Building Permit Fee: $ Indicare how fee is detertnined: 2. Electrical g ❑Standard City/Town Application Pee O Total Project Cost�Qtem 6)x multiplier x 3. P�umbing S 2. Other Fees: E 4. Mechanical (HVAC) $ List �� i. Mechanical (Fire $ � Su ression Tolal All Fees: $ Check No. Check Amounl• Cash Amount: 6. Tofal Project Cost: $ ❑ paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTIOIV SERVICES ` 5.1 Licensed Construction Supervisor(CSL) � Littnsc Numbcr Expiration Date Name uf CSL-�Holder � Lisi CSL Type(see below) T e Descri tion Address U Unrestricted u l0 35,000 Cu. F[.) � R Res�ricled I&2 Famil Dwellin Signamre M Mason Onl _ RC Residential Roofin Coverin � Tclephone , WS Residential Winuow and Sidin � SF Residential Solid Fuei Bumin A liance Installation D Residential Demolition 5.2 Regis[ered Home Improvement Contrector(HIC) H[C Company Name or HIC Registrant Name . Registration Number . Address - Expirahon Dace � Signature Telephone � _--"___....'--" .'__ . ______'— '.'�: , . SEC7'ION 6:WORKERS' COMPENSATION INSURANCE AFFIDAV IT(D't.i..L.c. 152.§ 25C(6}j Workers Compensation Insurance affidavit must be completed and submit[ed with this ap�-�licatioa Failure to provide this affidavit will result in the denial of the Issuance of the building pertnit. � Signed A(fidavit Attached? Yes .......... ❑ No ........... O � SECTION 7a: OWNER AUTHORIZAT[ON TO BE COMPLETED WHEN OW'rER'S AGENT OR�ONTRACTOR APPLIES FOR BUILDING PERMIT � � , as Owner of the subject property hereby authorize to ac[on my behalf,in all matters rela[ive[o work authurized by�.hic huilding pa:mit npplir,ation. � Si natureofOwner Date SECTION 76: OWNER� OR AUTHORIZED AGENT DECLARATION � �A���,/s.���,� ,as Owner or Authorized Agent hereby declaze - that the statements and infortnation on the foregoing application are true and accurate, ro the bes[of my knowledge and behalf. ��/ /�/�is�G/!/ � Print Na �^�� G_✓ ac // Sign re o Owcer or Authorize Agent Date � Si ned under the ains and enalties of er'u NOTES: ' 1. An Owner who ou.airs a bui;di.^.g permit to do his/hrr own�wo;k,or an owner wfia n;:es an unreg',ste�ed oont:attcr � (not registered in ihe Home Improvement Contracror(HIC)Program),will not have access to the arbitration . program or guaranty fund under M.G.L.c. 142A.Other important in(ormation on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I I O.R6 and 1 IO.RS, respectively. � 2. When substantial work is planned,provide the information below: � - Total Floors area(Sq. Ft.) (including garage, finished basemendattics,decks or porch) � Gross living area(Sq. Ft.) Habitable room count Number o(fireplaces Number of bedrooms Number of bathrooms Number o(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 CosP' _- ------________ �, __________..___..__..____t___.__.____., __,_---_ __.__ _ _. ..___ , ._. , _._ ____..__� . _.__. ---- _ _ . .. ,..��--- - __ _ ..._ � ..._'�---�_ ____'_....._-��'_"---�_ l� ew Cs-a.�a Y��� -�-v� I �.__�-- -,-� �_.._ _ ''_ `___.� _. __ _.._�_..�_ _. s'}'�'1' I�XI� ._-_ . . .. . ____._ _ _._. -- � .: ... __. � _ � � __ .._ .___ _.__ \,� � � �p _....._v_....-----'---- � ��,a, . _____�. _.__.._ ..__..� C���� �8'� � — — � i . _ � _ �� , � , — .— — — . _ _ � -' ew °0 9 I � o� ��t � _ � �_ ,a. � ; ��� � � C'+� � ��p � �•x Z4. � ,��-o S,i.� � �� � �� ' � -- fwl4• r�.7 � �----- � ( �X� -- � � ���e , ; �r c' � i l _ �_ �dtC �zf� _L ; Q � � �t � �, f+r�r+N4 �ele�a �k�.��or F+�1/'A�7 I +�`-��ai .-- _ r ( � �•or �k I N ( ( I 1 �,—___���,b«_ I � � !� I 'o � � I � - _ � ��� I D.,.� � {� � r «,--r���_�..�,_ � I � ' I �._C'one�a�� -�-- — — — — � � 1 ,, . , Do>� G� Doa. _ I i --------------- —------ --- �----- -.-- -- _- --- - .._ — -- - - ---- -- __ - - • _ (�'�, I H�vse _�_. 2l C�Mle _h��ll' e4 ; � , _ . 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F � / / stab Ex,s+,�y ���Cfe f7� �' --___ _ . - _ .. �.�� - 11 � �` . �' 1-0 0�;�. __ , �� �� _ _ , � �rll " , � � � � � � �''� G�r�1 � � � � / � - � � � �1 6 ,� . _ r , i� _ _ _ __—��� _ Q d � /' , l - /� c� -��—� t ✓ � r _ � _ . < < , E x �,--�,x-r � ' � � . � , ! . , � �. _ , , � , __ . __ . _ . . . _. . _ , -- __ _--- ------_ _ _ _ _ — ------- � _ .. __ . . _ _ __ � _ .— __ __ �_ ----- _ �--� , , �,.. �,,. �_ �. ,. , r � G�OJL-�S�.QNii'��'►x�iorl-:-` �ee� �S1q19 zX6xo__Fianr _ � (p�O.C. � j "� __ zX8 c�«�d r��1'� I :; /b"_ .ac� �T S,/IJ�e � 16`�. �,; tk�b le ?tap-�°,(��e- _ �'lx �' Co/lar tt es� C .�N C'en�. Sk�-b � _n-,c _P�r�,,,acs�d,� . 3"/g .Sect f�1M� � �6 n� �'� 1-F � ,¢spha�lf 31�:,�(s s --L._ .. � - � ( �/Z osa s����- � N / 4' C Pa�R.r C..�Q D pci.'�lS :;. � � I° -- —�4sPhawfF_Ree-�'___LSJ,met�sS , � _ -- -__ _ _ ____ _ — S _. ---_— . �6 �� ♦ � . � '. . . . . . � � �� �b ' I�..-. I ! I� - I I � . ... _I .._- �. : . . _ .. . � f: �y � ; - -- . ; � � rN I� t���tdoa� 1 _ _ _ --_—�. � � 1 , �; ;. _ _ __ _ _ � _. __. � � _ _ ._._ -- , =o � � o j ----�'—_._ , � II��.t..� ,,,, ,s� � ? �6 3�G 1=G ' �'" = D" a 'a , , � - 4_O" ' : , . ,=._. Flco� �la� ' ,.,�'ron � �'I� vcL�' �o� _ ; � _Z1�,��(��1lL—Rd---Sale�r---- ow��-% --�a�t�.ld --/�?�ei�r.__ ______ A►��u� --8y---��',�Y_--/�ierr�r��------_. /YI6.4e�itee ___.._GS__.__Sz8 a-Q.---�-- _ — --- -- __ _ _ _ _ _ _ _ - - _ _- - _ _ __---; -- - __.T --- ------ The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF SALEM {� � � Massachusetts State Building Code,780 CMR Revised Mar 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only l Building Permit Number: Date Ap iee Building Official(Print Name) Signature Date SECTION 1:SITE INFORMATION 1.1 Property Address: a 1.2 Assessors Map&Parcel Numbers $ 2 �I(( 11� 0 0 I.I a Is this an accepted street?yes no Map Number Parcel Number u+ m 1.3 Zoning Information: 1.4 Property Dimensions: om cn Zoning District Proposed Use Lot Area(sq B) Frontage(ft) ym 1.5 Building Setbacks(ft) cnM Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided m 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zane? Municipal❑ On site disposal system ❑ Check ifyes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 Owner'of Record:Ron Mercier Salem, MA. 01970 Name(Pr t Ci State ZIP rM circle hill rd. 978-8 6-1134 Formulaz930@aol.com No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply) New Constructioo I Existing Building❑ 1 Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ 1 Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work'': n 5 SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) 1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ❑Total Project Cost'(item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees:$ T Check No. . Check Amount Cash Amount: 6.Total Project Cast: $ U ❑Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 \ c11 1 IColn1sttrruu-c�tion Supervisor License(CSL) 0" IfSH 2F5) (Q �J p_c, shen-r2- n License Number' Expiration Date Name of CSL Holder t � F , _ �\ta A-) C/�`M1 List CSL Type(see below) U No.and Street Type Description U Unrestricted(Buildings up to 35,000 cu.ft.) (A �d Nv✓ '"I R Restricted 1&2 Famil Dwelling City/Town,State,ZIP M Mason ry RC Roofing Covering WS Window and Siding _ SF Solid Fuel Burning Appliances I$)305W)US S AYa% ivN �CIY I Insulation Telephone Email address D Demolilion 5.2 Registered Home Improvement Contractor(HIC) V\y \nt' scar 1�ogs�18 \��1nDa HIC Co N me or IC Re is nt Name HIC Registration Number Expiration Date ` yb1 N .�� No.an tree' I\ U,` �SqWC�A a K �^,���x. Email address City/Town,State,ZIP Telephone -� SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 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.........2��, No...........❑ SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property,hereby authorize v wm t sb\cky- to act on my behalf,in all matters relative to work authorized by this building permit application. 006 fiW 04/11/15 Print Owner's Name(Electronic Signature) Dale SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. 4��,< 41 R �Ir Print Owner's or Authorized Agent' a(Elejoillhic Signature) Date 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 not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass.eov!oca Information on the Construction Supervisor License can be found at www.mass.sov,dns 2. When substantial work is planned,provide the information below: Total Floor 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" r� �a�JJ (�j�,nr V otl 1!Ile s o I a r 3301 North Thanksgiving Way,Suite i00 Structural Group Lehi, uT84O43 P: (s01)234-7050 Scott E. Wyssling, PE Head of Shuctural Engineering scotLwyssling@vivintsolar.com January 14,2015 revised January 26,2015 Mr. Dan Rock, Project Manager Vivint Solar 24 Normac Road Woburn MA 01801 Re: Structural Engineering Services Mercier Residence 21 Circle Hill Road, Salem MA S-4106117 — — 4.165 kW System Dear Mr. Rock: Pursuant to your request,we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site Visit/Verification Form prepared by a Vivint Solar representative identifying specific site information including size and spacing of rafters for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of 2 x 6 dimensional lumber at 16" on center with 1 x 8 collar ties every 32". The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof rafters. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir#2 or better with standard construction components. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading 1. Refer to attached Ecolibrium Solar calculations sheet for ASCE/SEI 7-10 Minimum Design Loads for Buildings and other Structures, wind speed of 100 mph based on Exposure Category"B" and 25 degree roof slopes on the dwelling areas. Ground snow load is 40 PSF for Exposure "B", Zone 2 per(ASCE/SEI7-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. dueunt. solar i Page 2 of 2 B. Loading Criteria 10 PSF=Dead Load roofing/framing . 40 PSF=Live Load(ground snow load) • 5 PSF=Dead Load solar Panels/mounting hardware Total Dead Load=15 PSF The above values are within acceptable limits of recognized industry standards for similar structures. Analysis performed of the existing roof structure utilizing the above loading criteria indicates that the existing rafters will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual", which can be found on the Ecolibrium Solar website (eoolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable, deteriorated, structurally compromised or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. Maximum allowable pullout per lag screw is 235 Ibs/inch of penetration as identified in the National Design Standards (NDS) of timber construction specifications for Hem-Fir (North Lumber) assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 Y", is less than what is allowable per connection and therefore is adequate. Based on the variable factors for the existing roof framing and installation tolerances, using a thread depth of 2 /"with a minimum size of 5/16" lag screw per attachment point for panel anchor mounts should be adequate with a sufficient factor of safety. 3. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed at and attached to no greater than every fourth roof rafter as panels are installed perpendicular across rafters and no greater than the panel length when installed parallel to the rafters (portrait). No panel supports spacing shall be greater than four(4) rafter spaces or 64"o/c, whichever is less. 4. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, it is the opinion of this office that with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is based on information supplied to us at the time of this report and current industry standards and practices. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. Ve truly yours, tNOF �9yG c `P� CIVI m -50 Scott E.Wyssli PE °' MA License N . 505 9�fFSS/ONP P� vivi t. solar 21 Circle Hill Rd , Salem MA 01970 U m 2 C a o: N�om Ez �F,EI `U yj w0 PV SYSTEM SIZE: L 9.31 kW DC ps PV INTERCONNECTION POINT, LOCKABLE DISCONNECT SWITCH, ANSI METER LOCATION, &UTILITY METER LOCATION Cu V N FROM 1"PVC CONDUIT FROM JUNCTION BOX d TO ELEC PANEL o F � N M"Z/- S t�O � n O P N 0 f U_ Z m J U 2 W U ¢ K h W W 2 m � W r H U JUNCTION BOX ATTACH 9912 0 ARRAY USING NCO HARDWARE E TO KEEP JUNCTION BOX OFF ROOF SHEET ' (38)Tfina Solar TBM-245 PA05.18 MODULES WITH A NAME: Enohase M215-60-2LL-S2x-ZC MICRO-INVERTER MOUNTED ON THE BACK OF EACH MODULE L J Z U a SHEET NUMBER PV SYSTEM SITE PLAN 4 SCALE: 3/32"= V-0" > a� PV CIRCUIT#1. V m Roof Section 3 15 MODULES C RmfAnn 293 RaofTft M V CIRCUIT#3'. 10 MODULES N m w w m TIE INTO METERN ���//��j 69298189 0. V E Z "Q.z .0 U I L c� G ~ 7 HIMNEV i� O OMP.SHINGLE ma PV CIRCUIT# 13 MODULES o N NIX C� a Roof Section 1 8 Roof Azimuth:113 m Roof TO 25 m g o < "° ` � PLUMBING VENTS 2 Z f ¢ > Z ui U R K N ) W W Z m KVL�IGHT { z z o SHEET NAME- ILL Z 0 SHEET NUMBER: Roof Section 2 PV SYSTEM ROOF PLAN 0 RDdA.F Ah.203 N Rod Tit 25 SCALE: 1/8"= V-0" > d EcolibriumSolar Customer Info Name: Email: Phone: Project Info Identifier: 20496 Street Address Line 1: 21 Circle Hill Rd Street Address Line 2: City: Salem State: MA Zip: 01970 Country: United States — -- System Info _ Module Manufacturer: Trina Module Model: TSM-245 PA05.18 Module Quantity: 38 Array Size(DC wafts): 9310.0 Mounting System Manufacturer: Ecolibrium Solar Mounting System Product: EcoX Inverter Manufacturer: Enphase Energy Inverter Model: M215 Project Design Variables Module Weight:44.8 Ibs Module Length: 76.0 in Module Width:40.0 in Basic Wind Speed: 100.0 mph Ground Snow Load: 40.0 psf Seismic: 0.0 Exposure Category: B Importance Factor: II Exposure on Roof: Partially Exposed Topographic Factor: 1.0 Wind Directionality Factor: 0.85 Thermal Factor for Snow Load: 1.2 Lag Bolt Design Load- Upward: 820 Ibf Lag Bolt Design Load- Lateral: 288 Ibf EcoX Design Load -Downward: 493 Ibf EcoX Design Load - Upward: 568 Ibf EcoX Design Load - Downslope: 353 Ibf EcoX Design Load- Lateral: 233 Ibf Module Design Moment—Upward: 3655 in-lb Module Design Moment—Downward: 3655 in-lb Effective Wind Area: 20 ft2 Min Nominal Framing Depth: 2.5 in Min Top Chord Specific Gravity: 0.42 EcolibriumSolar Layout Skirt e Coupling • Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with Bonding Jumper maximum allowable overhang. i EcolibriumSolar Layout Skirt e Coupling • Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with Bonding Jumper maximum allowable overhang. EcolibriumSolar . Layout Skirt o Coupling • Clamp Warning: PV Modules may need to be shifted with respect to roof trusses to comply with Bonding Jumper maximum allowable overhang. /�O � � �;.�0 aa �'�D � �� -,� �E -a �s �- �,��-� l6�{ � � The Commonwealth of Massachusetts is;"'?�;� Board of Building Regulations and Standards CITY OF � ������ Massachusetts State Building Code, 780 CMR SALEM �u_�,� Revrsed Mar Z011 Building Permit Application To Cons[ruct, Repair, Renovate Or Demolish a ' One-or Two-Fumily Dwe(ling This Sec[ion For Official Use Only Building PermitNumber: Date A lie : � � L [3uilding Ot7�icial(Prin�Name) Signatur Dat SECTION L•SITE INFORMAT[ON I.1 Property Ad ess• L2 Assessors Map& Parcel Nmnbers �% /I �,� - I.I a Is this an accepted str�s no Map Numbar Parcel Number . 1.3 '/.oning Information: 1.4 Property Dimensions: ---------- ------ ---- �------------.. _...___..—. _. _..----- --- � Zonint; Dis7ict Prnpusedll�� �.ii,lrcr�.;sqlt) !':u�iiage(Itl .—.__.____ ._____._..___.___._�.__'.___._ _—__ 1.� i3eil�iing$etbaClcs(R) I��ront 1'urd --'-- -�—Sidc Yards ---- .... Rear Yud Rcyuircd Nrovided Reyuired Providcd Iteyuired Pro�:d �y -- ' — s f�1 � 1.6 Watcr - upply: (M.G.L c.d0,§54) IJ Flood Zone Information: t.8 Scwage Disposal System?� � , Zone: Oulside Nlood Zone? � � O Public Private❑ — Municipal�l On site disposal s}�eem QL � I Check if yes� � '� SECTION2: PROPERTYOWNERSHIP' � �2.1 wwn,er'o�f RJecorjd�•'.] �n �n ��yy-�� � /� m ��, /-�Q .v,"( ./V/Cr9'!�. �� "�/ �CCG(���0��?� T C '� Namc(Print) City,Sta�e,ZIP w �j �� ��c����1.i/��/ r� Cr2� °° y . i�'o.und Slreet 'felephone 8muil Address I SECTION 3: DESCRIPTION OF PROPOSED WORKZ(check all that apply) New Construction ❑ Existing Building❑ OwnerOceupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition Demolition ❑ Accessory Bldg. ❑ Numberof'Units Other ❑ Specify: Brief Description of Proposcd �Vork'':_�(o y�.n�.p � �,� ,�,L, ��.:�-9—��Y e�- - --- — — ------- _� _._._ _ SECTION J: F.STIMA'PF.0 CONSTRUC7'ION COSTS � item L's.imated Costs: Ofticial Use Only Lnbor and Ma[erials �� I. Building $ � � 1. Building Permit Fee: $ Indicate how fee is determined: �' �. Electrical � ❑Standard City/fuwn Application Fee � - S6�� ❑To[al Projec[Cost}(Item 6)x multiplier x i 3. Plwnbing $ - O — 2. Other Fees: $ 4. htechanical (1IVAC) $ S-pd, � List: 5. Mechanical (Pire $ Su ressiun - � "' Total AII Fees: $ _ Check No. Check Amount: Cash Amount G. Total Project Cost: $ � ❑paid in Full ❑Outs[anding Balance Due: SECTION 5: CONSTRUCTION SERVICES � � 5.1 Construction Supervisor License(CSL) , License Number Expiration Date ' Name of CSL liolder I.ist CSL'Cype(see below) No.and Sheet Type Descrip[ion � U Unrestricted Buildin s u to 35,000 ca ftJ R Reslricted I&2 Famil Dwellin City/I'o�m,State,7_IP M Mason RC Roofin Coverin WS Window and Sidin SF Solid Fuel Buming Appliances I lnsulation Tele hone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Regis[ration Number Expiralion Date 41IC Company Name or HIC Registrant Name I Nn,and"S[rcet Email address Cit /f'own,State,ZIP � 'I'ele :ionc � SECTtON 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. I52. § 25C(6)) �'�Workers Compensation (nsurance affidavit must be completed and submitted with this application. Failure to provide I •this a(fidavit will result in[he deniai ofthe Issuance of[he building permiL , ^, .Signed,Affidavit Attached? Yes.......... ❑ No...........❑ � SECT[ON 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN • OWNER'S AGENT OR CONTRACTOR APPLIES FOR BOtLDING PERM[T � 1,as Owner of the subject property,hereby authorize �ro act on my behalf,in aIl matters relative[o work au[horized by[his building permit application. �. C: Print Owner's Name(Flectronic Signature) Date SECTtON 7b: OWNER' OR AUTHORIZED AGENT DECLARATION By en[ering my name below, I hereby a[tes[under the pains and penalties of perjury that aIl of the information contained in this application is true and acwrate[o the best of my knowledge and understanding. ��� ,� Mc�wl' � � � Prin[Owner's or r\u�horizcd Agent's Name(F,lec�ronic Signature) Da[e NOTES: L An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered conL•accor (not registered in the Home Improvement ConVac[or(HIC) Program),will�mt have access to[he arbitra[ion program or guaranty fund under M.G.L.c. 142A.Other important informa[ion on the HIC Program can be found at www.mass.eov/oca Infortnation on the Construction Supervisor License can be found at www.mais.�ov/dps I 2. When substantial work is planned,provide the information below: Total Floor area(sq. ft.) 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PLANS PROVIDED. B-15-286 Solar Panels 09-0201 Residential Single Family INSTALLATION OF ROOF 46550 329 MOUNTED PHOTOVOLTAIC SOLAR SYSTEM. (38 PANELS, 9.31kW SYSTEM B-2009-0267 Garage 09-0201 Residential Single Family 24'X 24'GARAGE jhb 15000 110 E-15-252 Solar Array 09-0201 Residential Single Family INSTALLATION OF ROOF 0 139 MOUNTED PHOTOVOLTAIC SOLAR SYSTEM#OF PANELS 38 9.3KW E-15-307 New Construction or Renovation-Electrical 09-0201 Residential Single Family WIRING OF LIVINGROOM/ 0 15 RECPT/HGH HATS/FLOUR"s Total Permits: 5 63550 623 1oft -oNN CITY OF SALEM, MASSACHUSETTS BOARD OF APPEAL 120 WASHINGTON STREET. 3RD FLOOR SALEM. MASSACHUSETTS 01970 TELERHONe 978-745-9595 FAX 978-740-9846 KIMBERLEY DRISCOLL MAYOR n September 4, 2008 r, Decision T • — 1 City of Salem Zoning Board of Appeals Petition of RONALD MERCIER seeking a variance from the`distanve an accessory structure is required to be from the side and rear--jot I 'r s to construct a 24' x 24' garage at 21 CIRCLE HILL ROAD (R-1). A public hearing on the above Petition was opened on August 27, 2008 pursuant to Mass General Law Ch. 40A, §§ 11. The public hearing was closed on August 27, 2008 with the following Zoning Board members present: Robin Stein (Chair), Rebecca Curran, Elizabeth Debski, and Rick Dionne. Petitioner seeks variances pursuant to the following section of the Salem Zoning Ordinance: Sec. 7-8: Accessory buildings and structures. Statements of fact: 1. The petitioner, Ronald Mercier, is the owner of 21 Circle Hill Road a property located in the Residential One Family(R-1) Zoning District, 2. The property contains a single family residence. 3. The applicant is proposing to construct a 24' x 24' garage eighteen (18) inches from the side and rear lots lines. A distance.of five(5) feet is required between accessory structures and lot lines. 4. The proposed garage is one story. 5. The petition was accompanied by plans entitled "21 Circle Hill Rd, Salem" prepared by Larry Mercier. 6. Ronald Mercier submitted a petition in favor of the request signed by Cheryl Sher (19 Circle Hill Road), Robin Lacey(23 Circle Hill Road), and Richard Murphy (56 Gallows Hill Road). 7. There was no opposition to the request at the public hearing. The Board of Appeal, after careful consideration of the evidence presented at the public hearing, and after thorough review of the plans and petition submitted, makes the following findings: -r 2 1. There are unique conditions including the shape and topography of the locus which affect the locus but do not generally affect other lots in the in the Zoning District. The proposed location for the garage is the only level area suitable-for building as the opposite comer of the lot is sloping ledge. 2. A literal enforcement of the provisions of the City of Salem Zoning Ordinance would result in substantial hardship financial or otherwise to the petitioner. 3. The proposed structure is in character with the neighborhood, therefore, desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent or purpose of the ordinance. On the basis of the above findings of fact and all evidence presented at the public hearing including, but not limited to, the Plans, Documents and testimony, the Zoning Board of Appeals concludes: 1. To allow for the garage as proposed,a variance from the distance and accessory structure is required to be from side and rear lot lines is granted. In consideration of the above, the Salem Board of Appeals voted, four(4) in favor (Debski, Curran, Stein, and Dionne) and none (0) opposed, to grant petitioner's requests for variances subject to the following terms, conditions, and safeguards: 1. Petitioner shall comply with all City and State statues, ordinances, codes, and regulations. 2. All construction shall be done as per the plans and dimensions submitted to and approved by the Building Commissioner. 3. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. 4. Petitioner shall obtain a building permit prior to beginning any construction. 5. Exterior finishes of new construction shall be in harmony with the existing structure and shall meet the requirements of the Salem Historical Commission. 6. A Certificate of Inspection is to be obtained. 7. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but not limited to, the Planning Board. Robin Stein, Chair Salem Zoning Board of Appeals 3 A COPY OF I HIS DLCIS ION HAS BEEN PILED WITH"['HE PLANNING BOARD AND IIIE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days of filing of this decision in the office of the City Clerk. Pursuant to the Massachusetts General Laws Chapter 40A,Section 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certificate of the City Clerk has been filed with the Essex South Registry of Deeds.