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28 BECKFORD STREET - BUILDING JACKET��� ����'� r� . sT 6 6 3� Plans must be filed and approved by the Inspector prior to a permit being granted CITY OF SALEM No. Ward — a 1n6 �9 HISTORIC DISTRICT? Y N _ � Date 7 1F FOR SIDING, HAS ELECTRIC '' ° Home Phone PERMIT BEEN OBTAINED? Y N s Bus. Phone APPLICATION FOR PERMIT TO TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and address Architect's name Builder's name Location of building, No.—ZZOdT What is the purpose of building? If dwelling, # of units? Materi 1 of bldng? /� Will building conform to law? Asbestos? VC-D Estimated Cost g City Lic.# �State Lic.# Hqrke Improvement License #_1 Signature of Applicant SIG D ND THE PENALTY OF PERJURY DESC IPTION OF WORK TO BE DONE C,� Mail Permit to: }v `Ilk ( . a a No. d -V/` ward APPLICATION FOR PERMIT TO ROOF REROOF OR INSTALL SIDING I n ! Location PERMITGRANTED kil / 19q Approved �� BuWft Inspe for CITY OF SALEM BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please Print DATE JOB LOC;XON r Tlumber Street address Section of Town "HOMEOWNER Name Home phone Work phone PRESENT MAILING ADDRESS 2 CD 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, provided that the owner acts as supervisor. . (State Building Code Section 109.1 .1 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 shall be responsible for all such work performed under the buildingpermit. Section 109.1 .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 in pection procedures and requirements and that he/she will comply with said p cedures and requirements. HOMEOWNER'S SIGNATURE s APPROVAL OF BUILDING OFF/IAL 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 Ovrner 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. Salem Fite Depan tmetrz APPOINTMENT FOR FINAL' Fierce P�cevention Bwteau f APPOINTMENT F014-FINAL" INSPECTION MUST E 48 La4ayette Street MADE AT LEAST ONE WEEK INSPECTION MUST BE zo;. Satem, Ma 01970 MADE AT LEAST O AHEAD------------ (508) 745-7777 AHEgp NE WEEK FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT In accoAdance with .the Pnov.wton.6 o4 the Maaeachu,6ett,6 State Su.Ged in-9 Code and the Sa.Eem F.i-ce Code, aPPt,.cation .t6 hereby made 4o-,L app-tovat o4 pPan,4 and the .i.6.6uance 04 a 04 app�tovat 4o2 a bu i ed,in9 Pe-tn,tt by the Sae'em Fihe Department. (Re4. Section 113. 3, Ma.6.6. State SEd9. Code) Job Location: 7? (� N -10 -71 Owneh./Occupant: 1 Z �1 ink 4-i v ' 3 Eeeeth i.cat Con t,acto-c: II �h VV h /Ns F.Z,te Supp-te.64ton Contnacto.%: G paA 03 T St gnatun,e o4 ^Z APPS-cant: Phone Addnena o4 C.<ty 0-c APPt,cant. Lb IYl�2 S Town: Appaova.e date: Ce4-tt4teate 04 appn.ova.e .w hezeby 9nanted, on appaoved ptan6 on aubm.ittae 04 p�coject data i e6, by the SaEem F.i�te Depa4,tment. AZt p.ean.6 ane app�toved -60teEy 4oz tdentl.4teatlon 04 type and tocatLon o4 4.ite P-%Oteetion devtce6 and equipment. Att ptan,6 cute .6ubjeet to apptovat 04 any othez autho,uty having jt4ti-bdZctlon. Upon eomp.Eetlon, the app.e.icant 0n t"ta tet(4) 6ha Z �teque6t an tn.opec t i.on and/o-c teat o4 the 4tae pn.otec t i,on devtce.6 and equi.pmerzt. ( " FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** ) New con6tcucti,on. O PnOpe, ty Zocat-Lon hates no eompt-Lance with the pnov.i.6-4=4 v4 Chapter. 148, Seetlon 26 C/E, M. G. L. , aeEatl.ve to the tn-6tatatton 04 app coved 4.i to ata'rm devtee.6. The ownet o4 this p'topenty .t,6 aequi ted to obtain eomp8-i.ance a-d a condttton o4 obtcti.ni,ng a Su L2ding Pe-rmtt. P'copenty location tib to eomptia.nce with the paov-i,6ton6 04 CCC Chapter 148, Section 26 C/E, M. G. L. Exptna tion date: s O¢4tc6a2 / 33 Fee itce: und�t i , 500 Sq. Ft. - ` {3. 00 x3. . I' m FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT R In compliance with the provision of Section 113.5 of the Massachusetts State Building Code, and under guidelines agreed upon by the Salem Bldg. Inspector and the Salem Fire Chief, the applicant for a building permit shall obtain the Certificate of Approval (see reverse side) and stamped plan approval from the Salem Fire Prevention Bureau. Said application and approval is required before a building permit may be w issued. The Massachusetts State Building Code requires complianceW z 3 approval of the Salem Fire Department, with reference to provisions of U. m W Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts n: r- oz I General Laws, and 527 Code of Massachusetts Regulations. j F- j f- � N The applicant shall submit this application with three (3) sets of plans, W oz drawn in sufficient clarity, to obtain stamped approval of the Salem Fire F- �- Denortment, This applies for all new construction, substantial _ z W W a alterations, change of use and/or occupancy, and any other approvals "'a. 0 � required by the Massachusetts General Laws, and the Salem Fire Code. a ? a Exception: Plans will not be required for structural work when the N. proposed work to be performed under the building permit will not, in the opinion of the Building Inspector, require a plan to show the nature and character of the work to be performed. Notice: Plans are normally required for fire suppression systems, fire alarm systems, tank installations, and Fire Code requirements. Under the provisions of Article 22 of the Massachusetts State Building Code, certain proposed projects may not require submission of plans or complete compliance with new construction requirements. In these cases, provisions of Article 22, Appendix T, and Tables applicable shall apply. This section shall not, however, supersede the provisions outlined in the Salem Fire Prevention Regulations, Chapter 148, MGL, or 527 Code of Massachusetts. Regulations. . All permits for fire code use and/or occupancy shall apply for the entire structure; fire alarm and/or smoke detector installation shall apply to the entire strueflirp based aper current: requirements as per Laws aid/ur Codes, but the existing structure may comply with regulations applicable for existing structures. Notice: Sub-contractors may also be required to file individual applications for a Fire Department Certificate of Approval for the area of their work. Such sub-contractors shall file an Application to Install with the Fire prevention Bureau prior to commencing any work for those areas applicable. i I FOR F1NAL `; . T Be Form 81X (10/90) p1NTMENI FST B AL pp? T 014 MS SONE WEEK APP ECt{ON MUS WEEK 1N ADE At �0 1'pPr AT LEAST �Y J � ANSD.............