8 LANGDON STREET - BUILDING INSPECTION 8 LANGDON STREET f
i
-- Pfauc must be filed and approved by the Inspector before o permit for emtlon will be granted.
T duplicates of which when approved by the Inspector shall be kept at the building, darbq
the progress of the work. I
City of Salem _?
N Ward.
TELA
STATE LIC. f L
APPLICATION CITY OF SALEM LIC.:
FOR
PERMIT TO BUILD ADDITION OR MAKE ALTERATIONS
Salem.stars.- 9 7U
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to� the following specifieafkats
Owner's name and address 2 elan e Ly•vg�/ohJ 5�J �e f
Architect's name S a91n e
Mechanic's name and addr 5&me
Location of building. No. t4^ 3 oN s� P c?
What is the purpose of building? S co -a�e -
Material of building? t'ue od
II a dwelling, for how many familia?
Sire of Addition: No. of feet front.: No. of feet rear "U'' : No. of feet deep
No, of stories? C N E-
No. of feet from the level of the ground to the highest part of the roof? /O F-�
How near line of the street?
How near line of the adjoining lot? Ft
What will be the mom of ¢s to the roof?
Siss of floor timbers. %ss tnd . eves : kho gt���.
Spsa. i aF+ Distance on eemters? /
Size of carrying timbers?
Distance of supports an centers? ` _s F oS os ,ueerj
What kind of support? c eme"I+ t3 f ac Ks
Will the building be erected on solid or filled land? SyO
What is the material of foundation? A%O
Will the roof be flat. pitched. mansard or gambraf? Pi
Material of roof covering? 0 y
Will the building be hated by steam or hot water or hot air? 'T
No. of brick walls? Where located? 'Thickness?
lu% Will the building conjorto to. the requirements of the law?
F.stimatsd cat
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APPLICATION FOR
PERMIT TO BUILD i
ADDITION OR MAKE ALTERATIONS
Lootationa
PERMIT GRANTED
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CITY OF SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE 14/3/9 3 J
JOB LOCATION `a Z_Ay.T oA) 6 rr.
Number Street address Section of Town
"HOMEOWNER GAr�j LP6bvuc 9y/-oO� 6/7-a33-3S'00
Name Home phone Work phone
PRESENT MAILING ADDRESS �! L;gtiGaCosj6Ir,
j]
SSI PM M4 0/97y
City/Town State Zip Code
The current exemption of "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, rovide
acts as supervisor. (State Building Code Section 109.1 .11 that the owner
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six 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 shallbe es onsible
for all such work performed under the building permit. Section 109.7!,
9.1 .1
The undersigned "homeowner" assumes responsibility for compliance with the State
Building code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the City of Salem
Building Department minimum inspection proce ures and requirements and that
he/she will comply withsaidzproedures and equirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
NOTE: Three family dwellings 35,000 cubic feet, or larger, will be required
to comply with State Building Code Section 127.0, Construction Control .
HOME OWNER'S EXEMPTION
The Code states that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109.1 .1 - Licensing of Construction Supervisors) ; provided that is
a Home Owner engages a person(s) for hire to do such work, that such Home
Owner shall act as supervisor."
Many Home Owners 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, Section 2.15) . This lack of aware-
ness often results in serious problems, particularly when the Home Owner
hires unlicensed persons. In this case your Board cannot proceed against
the unlicensed person as it would with licensed Supervisor. The Home Owner
acting as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,
many communities require, as part of the permit application, that the Home
Owner certify that he/she understands the responsibilities of a supervisor.
On the last page of this issue is a form currently used by several towns.
You may care to amend and adopt such a form/certification for use in your
community.
AMERICAN CLAIMS SERVICE
ASSCCIA1gN
F,BMEM
Col MULTI-LINE ADJUSTERS P">�.E"
I_ .
BUILDING COMMISSIONER OR BOARD OF HEALTH OR
INSPECTOR OF BUILDINGS BOARD OF SELECTMAN
One Salem Green
Salem, MA 01970
RE: INSURED: Sherri Ann Rodriquez
PROPERTY ADDRESS: 4'8 Langdon Street, Salem—, MA—
POLICY
alem;MA^POLICY NUMBER: HP1715166
LOSS OF: 06/13/98, Water damage through roof.
FILE/CLAIM NUMBER 16651 PD
Claim has been made involving loss, damage or destruction of the
above-captioned property which may either exceed $1, 000. 00 or
cause Massachusetts General Laws, Chapter 143, Section 6, to be
applicable. If any notice under Massachusetts General Laws,
Chapter 139, Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned
insured, location, policy number, date of loss and claim file
number.
Gail Patania
Claims Representative
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated above by first
class mail.
Unless we hear from you within the next 10 days, we will not be
obligated to pay any portion of this claim to you.
June 17, 1998
Date
50 SALEM STREET, BUILDING A, LYNNFIELD, MASSACHUSETTS 01940
TELEPHONE (781) 245-9516 • FAX: (781) 245-1077
N
cs
AMERICAN CLAIMS SERVICE
ASSCCIniNM
MIXUMH
MULTI-LINE ADJUSTERS °°"
onnEl¢
' VIII
BUILDING COMMISSIONER OR BOARD OF HEALTH OR
INSPECTOR OF BUILDINGS BOARD OF SELECTMAN
One Salem Green
Salem, MA 01970
RE : INSURED: Sherri Ann RcdriQuez
PROPERTY ADDRESS : 8 Langdon Street, Salem, MA
POLICY NUMBER: HP1715166
LOSS OF: 06/13/98, Water damage through roof .
FILE/CLAIM NUMBER 16651 PD
Claim has been made involving loss, damage or destruction of the
above-captioned property which may either exceed $1, 000 . 00 or
cause Massachusetts General Laws, Chapter 143, Section 6, to be
applicable . If any notice under Massachusetts General Laws,
Chapter 139, Section 3B is appropriate, please direct it to the
attention of the writer and include a reference to the captioned
insured, location, policy number, date of loss and claim file
number .
Gail Patania
Claims Representative
On this date, I caused copies of this notice to be sent to the
persons named above at the addresses indicated above by first
class mail .
Unless we hear from you within the next 10 days, we will not be
obligated to pay any portion of this claim to you.
June 17 , 1998
Date
50 SALEM STREET, BUILDING A, LYNNFIELD, MASSACHUSETTS 01940
TELEPHONE (781) 245-9516 • FAX: (781) 245-1077