4 CEDARCREST AVE - BUILDING JACKET it l61"TIDEfa*04640 APPROVED BY T44E
IWZC OB PAUOR TOA.PEB4IT J LEINQ GRANTED
CITY OF_SALEM
No.�U� \ DOS I(� , b
s
\ � _
Is Propwty Located in Loaatlon of 1
the Hgale CWria t? Ye No`� anl]dlna L4 tsar c-. "i
is Pmpwty t.oralW in
tha Ca INVO n Am? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof. Reroof. Install Siding. Construct Deck. Shed, Pool,
Repair/Replace. Other: c cam ¢ �4
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS W PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the follmMg
spedfications:
Owner's Name M 5 1 1 u rh
(0-7 9 Srd10 W
Address & Phone 4 Ce-L - c c-xcA Ar K,90 -741 41 toL \-1
Architect's Name
Address & Phan I
Mechanics Name v;S4
Address & Phone -i 4 i-iej o- S3r Pam )to . m l(p, 9 -1-2 z o� ja
wtrt is the wpm@ of buddkq? R4Si L�—c.._
Mdmai of bulldYp? \P csc L ra B a dwWq,for how memy tWAW?
Will hading cordon to law? Aabeetos? w c)-,O—
Eel nmW coat I (o S'o Cay Ucerw e N A SSW t WOM e _ C t c
i�V ` vV Uc. i it, irk— X
Signature of Applicant
SKL4ED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
1,\ 5 V4 L-y L— A F oc4
�uCic - � �. �'wc t�. •i?cr� ' � i L- c �' —> c.�� � \'�~ wcuLlc
MAIL PERMIT
r
i
No.
T�
APPLICATION FOR
PERMIT TO
LOCATION v
PERMIT GRANTED
/ol d-� %5-- zo
APPR
INSPECTOR OF BUILDINGS
t
The Cummonwcalth of Massachuseits
Board of Building Regulations and Standards =a *kV00WkU%
Massachusetts State Building Code. 780 CMR. 7'"editionBuilding Permit Application To Construct• Repair. Renovate Or Dem
^_ -One. or Tiro-Fumrh DivrlGng
v^\^ This Section For Official Use Only
J Building Permit Number' A 4 LDate Applied:
` Signature:
Budding Commissioner/Inspector of B i dings Date
SECTION 1: SITE INFORMATION
1. Property Addres
AAlzC2CSs: AcA,�� 1.2 Assessors Map d Parcel Numbers
CEi
1.1 a Is this an acce ted street?yn no Map Number Parcel Number
1.3 Zoning Information: 1.6 Property Dimensions:
Zoning District Proposed Use LotArca(sq M Frontage 1 R)
1.5 Building Setbacks(R)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,154) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public O Private O Zone: _ Outside Flood Zone? Municipal 0 On site disposal system 0
Check if es0
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Reeord
Na bt Address for Service:
Si lure Telephone
gElecincal
ECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
onstruction 0 Existing Building 0 Owner-Occupied O Repairs(s) O Alteration(s) 0 Addition 0
ition 0 Accessory Bldg. O Number of Units_ Other O Specify:
cscription of Proposed Work': Y' :L (7 r S 0-&—b (3UI t_t "Far)0-[ SG2 ATC.N
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Ofllc(al Use Only
Labor and Materials
ing f I. Building Permit Fee: f Indicate how fee is determined:
O Standard City/Town Application Fee
ncal f O Total Project Cosi'titem 6)x multiplier x
bing f Z. Other Fees: famcal IHVAC) fList:anical tFire S Total All Fees. f
lon
� Check No. _Check Amount: Cash Amount:
6 Total Project Cost: f M1 3 0 Paid inFull 0 Outstanding Balance Due'
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
" . License Number Esptnuon Date
Nyoe us CSL Hplder List('SL Type lot below)
NDWResideniral
Description
Address
tncted u to JS.000 Cu. Ft.
cred Ih2 Famd Dwelbn
Stjjnmure Mason-
RCUnl
nnal Roofin Covenn
Telephone nnal Window and Stdm
nnal Sohd Fuel 8umm Appliance Installation
Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Company Name or HIC Registrant Name Registration Number
Address
Expiration Dale
Signature Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.# 2SC(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.......... O No...........O
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1 , as Owner of the subject property hereby
authorize to act on my behalf,in all matters
relative to work authorized by this building permit application.
Si azure of Owner Date
SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
I, J A llxr'1 r. . kkoa2 -C— , as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and
behalf. J
Print Name
Signatur o Owner or Authorized Agent Date
Si tied under the sins and nalties of r
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 W have access to the arbitration
program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 110.116 and I IO.RS, respectively.
2 When substantial work is planned,provide the information below
Total floors 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 halfbaths
Type ofheatmg system Number of decks/ porches
T�peof cooling system Enclo.ed Open
1 'Total Project Square Footage"may he subsntuled for 'Total Project Cost"
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
Vwrw 130 WA*dP4"M shear•su.ri NwsA0&3WM otr.G
raL rs.7+s-ss". F.4.x.r.}?+desu
HOMEOWNER LICENSE EXEMPTION
Pies" "I
Date 1 1
Job Locad" ` { fLC-S� c>E �J�X
Home Owner Address S
Home Owoar Telephone
Prewar Mailing.AddressThe 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 acts as supervisor.
DERNMON OF HOMEOWNER
which h
Penon(a) who owns a parcel of land on he/she resides or intends to reside. on
which there is, or is intended to be, a one or 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 for all such work performed under the Building
Permit.
The undersigned "homeowner"assumes responsibility for compliance with the State
Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures and re
(�qu
irements.
HOMEOWNERS SIGNATURE ( 109
,-kPPROVAL OF BUILDING INSPECTOR
See other side for state code
SECTIONS: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
096385 ( 10/8/2016
Romain Strecker License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
10 Churchill Place
No.and Street Type Description
U Umes 'cted(Buildings to 35,000 on.fL)
Lynn,MA 01902 R Restri;tbdl&2Fsmi1yDwollma'
Cityrrown,Sate,ZIP M Ma-
RC Roos C—,,ering
WS Windbw and Siding
SF Solid duel Burning Appliances
781-462-8702 _permits0bostonsolar.us I Insulation
Telephone Email address D Demc lition
5.2 Registered Home Improvement Contractor(HIC)
169698 7/27/2015
The Boston Solar Company HIC Regbtration Number Expiration Date
HIC Company Name or HIC Registrant Name
10 Churchill Place ermits0boston.sol2r.n.s
No.and Street Email address
Lynn MA 01902 781-462-8702
Ci /Town Sate 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 's application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes..........® No...........13
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUq.DING PERMIT
L as Owner of the subject property,hereby authorize Rom air Strer krr
to act on my behalf;in all matters relative to work authorized by this building permii application.
Betsy Horne 4/24/2015
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DE LARATION
By entering my time 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 dcrsanding.
Romain Strecker 4/24/2015
Print Owner's or Authorized Agent's Name(Electronic Signature) Data
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner N tho hires an unregistered contractor
(not registered in the Home Improvement Contractor(IHC)Program),will yg�ve access to the arbitration
program or guaranty find under M.G.L.c.142A.Other important information I the HIC Program can be found at
www.
I mass.eov/oca Information on the Construction Supervisor License can be found at MMMA sssov/dos
2. When substantial work is planned,provide the information below:
Total floor area(sq.R) (including garage,finished asement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room Fount
Number of fireplaces Number of bedrooms
Number of bathrooms Number of balf/�tsibs
t Type of heating system Number of der porches
Type of cooling system Enclosed Open
3. `"total Project Square Footage"maybe substituted for"Total Project Cos("
s
PROFESSIONAL ENGINEER
601 ASBURY AVENUE
NATIONAL PARK, NJ 08063
(856) 358-H25 FAX: (856) 358-1511
Date: April 23,2015
Re: Structural Roof Certification
Subj: Betsy Horne Residence,4 Cedarcrest Ave., Salem MA 01970
We have provided a review of the house roof construction of the above named property in regards to
verifying the capacity of the existing roof for installation of a new Solar Panel Array.
We have found the residence roof to be of wood frame construction bearing walls with Roof 1 of
2x6@ 16"rafter framed roof with 2x6 collar ties @ 16" o.c. and 2x4 knee wall sheathed with 3/4" ext-
ply decking and a single layer of composite shingle roofing.
The wood framed roof structure bears directly upon the framed exterior wall system. The existing
rafters as installed meet the required (MA 780 CMR) IRC-2009 table 802 design span ratings with
sufficient capacity to cant' the 2.89#/sf additional load imposed by the proposed solar array per the
details below.
Installation of solar rack systems shall be as follows:
The unified panel assembly shall be supported on 20 'Quick Mount' solar mounting feet
providing an average of 2.5 mounting feet per module.
Mounting feet shall be screw anchored through roof and directly to rafters or purlins below.
Foot attachment points to rafters shall be staggered each row with 5/16"x 3 1/2" Stainless Steel
fasteners.
Foot attachment to roof shall be fastened 16-32"o.c. at comers and 48"o.c. through the field.
When installed per the above specifications the system shall meet the required 100 MPH wind load and
40 PSF ground snow load requirements.
Should you have any further question or comment please feel free to contact our office.
Respectfully,
�NOF
cb
AMES A.
CLANCV �
o.46775 N
James A. Clancy Ppt �c
Professional Engineer jOrtAL
MA License#46775
BOSTONISOLAR
�:J eoa . ,.
5i ��i I;1r.;i P ' --d »w.evewnedm.m I IMo®eoa�somr.�
55 Mh rfiae
55fil
_ Wohum, 01801
� Phone:(fi171])358-163-1646
North Haven ORloe
__ 3r 3555a0
keX Point Rd-UN 30
NO011 uen,CT06473
_ 1 Phone:(860)384-7550
MA Elect M U..126N A
awn° APPLICABLE CODES:
IRC 200
NEC 2014
A.
-
P M.A. �Qn
M.A.Prof
Licence
ES A.
The Horne Residence A�9F4,
Grid-tied 2 .08 kW PV System General Notes:
Project Data
Codes MA CMR 780 51.00
IRC-2009,ASCE 7-05
2005 Nos,NEC-2014
Solar Array CLIENT INFORMATION:
Betsy
Inverter. (8)Enphase M-250 4 Cedarcresoes
t Avenue
PV Panel: (8)Hanwha HSL60P6-PB-4-260
Salem, MA 01970
Racking: Quick Rack-Flush to Roof @ 39' 978-741-4166
System Rating: 2,080 Watts DC-STC OmMN Name corer Page
Date April 16,2015
0.by ARC
Design Factors Cheeked by 3AC
REV N 01
Ground Snow Load 40 psf
Wind Speed 100 mph PV Equipment
PV - 1.0
scam As rveted
Azimuth:230' N Tilt:39'
Shade:7%
8 Panels- 1.259
Soladeck
a e a
a
Micro Inverters Enclosed Breaker
Under Modules Utility Meter
Utility Disconnect
Locus Production Meter
MSP JamesA.0 r{OFo_
MA Prole
License
SA.
Driveway N Y
�c�FQ'STEQ
�^ `�S/OfVALC�G
BOSTONrSOIAR
www.00etonadacm I mro�eomoesaern
Drawing Name Site Ph,
Date April 16.2015
CLIENT INFORMATION: Drawn by ARC
Cedarcrest Avenue Betsy Home Cheaetl by JAC
4 Cedarcrest Avenue REV# 01
Salem, MA 01970 PV - 2.0
978-741-4166 Seale
The Commonwealth of Massachusetts Town of
Board of Building Regulations and Standards 4mmeow
Massachusetts Slate Building Code, 780 CMR, Ts edition Building Dept
Building Permit Application To Construct. Repair, Renovate Or Demolish a 1iSdmodwa
^ One. or Tiru-funuh•Dn'ii-11I
-��--�\ This i For ORcial Usc Onl
Building Permit Number, Date Applied:
Building Commissioner/In for of Buildings Dale
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map m Porcel Numbers
+-1 CC-C)KC /{'LtN. oe- Parcel Number
a
1.I a Is this an tic teal street?yes no Map Number -
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq it) Frontage(it)
1.5 Building Setbacks(R)
Front Yard Side Yards Rear Yard
Required Provided Required I Provided Required Provided
I.f Water Supply:(M.G.L c.40,154) 1.7 Flood Zoe@ Information: I.S Sewaga Die @OI System:
Zone: _ Outside Flood Zone? Municipal 0 i site disposal system
Public 0"- Private 0 Cheek Irwin
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'of Record: L q CeDFtae
JA nY— - 6 Na I 1) Address Service:
m P/
I �D'
Signs Telephone
SECTION J: DESCRIPTION OF PROPOSED WORKa(cheek a8 that apply)
New Construction O Foisting Building O Owner-Occupied 0 Repairal l) Addition 0
O Alterations)
Demolition 0 Accessory Bldg.O Number of Units_ Other 0 Speeiry:
Brief Dexription of Proposed Work : �i3Ul t D p W At e (7� 2�'(U21) 14AL-F 6F
�lar�a-1
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item Labor and Materials
I. Building f 1. Building Permit Fee: S Indicate how fee is determined-.
O Standard City/Town Application Fee
2 Electrical S 0 Total Project Cost'(hem 6)a multiplier a
Plumbing S 2. Other Fers: S
a. Mechanical INVAC) S List:
s Mechanical iFire S Total All Fees:IS
surpressionj
, I Check No. _Check Amount: Cash Amount:_
6 Total Project Cost S '1 I p Ti D 0 Paid in Full 0 Outstanding Balance Due:
a ) II
SECTIONS: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
r. Lacnse.Number EvpuutionWic
Nyae ut CSL 1lpldv List CSL Type txv tiduw)
& i
AJlress T Description
U Unrestricted(up to 13,000 Cu. A
R Restricted IA2 Family Dwellin
siaMlure M Masonry only
RC Residential Rooling Covering
Telephone wS RestJemtal Window and Side
SF Residential Solid Fuel Burning Appliance Installation
D Residential Demolition
3.2 Registered Home Improvement Contractor(HIC)
HIC Company Name or HIC Registrant Name Registration Number
Address
Expiration Due
Signaeae Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.1.e. ISL 12SC(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 Altached? Yet.......... O No...........O
SECTION 7m:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1. � N)L— C - i TOd[G 1 as Owner of the subject property hereby
authorize to act on my behalf,in all matters
relative to work authorized by this building permit application.
Si a orowner Date
SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION
►. as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and
behalf.
Print Nero
Signature of Owner or Authorized Agent Date
,(Signed under the pains and penalties ofperjury)
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 Sg have access to the arbitration
program or guaranty fund under M.G.L. c. 1 a2A. Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 730 CMR Regulations I I0.R6 and 110 R7,respectively.
2. When substantial work is planned,provide the information below
Total Moon area(Sq. Ft.) (including garage, finished basementlanres,decks or porch)
Gross living area I Sq. Ff.) Habitable room count
.Number of fireplaces Number of bedrooms
Number of bathrooms Number of halfbaths
Type of heating systernt Number ofJeckU porches
Typeof cooling syslem Enclosed Open
I "Total Project 54uare Footage"may he suh%tituied for"Total Project Cost"
r �
CITY OF S.ULE.NI
PUBLIC PROPERTY
DEPARTMENT
�l�r NM.•IY L
.wvOe 13O WA9uMM M s4 M 9 UUK VAZA01L=M 019-0
1Ti 9'3•74.95"9 F.%x 97L74G9W
HOMEOWNER LICENSE EXEMff1ON
Pits" "I
Date
Job Location
Home Owner Address S C
Home Owner Telephone 9-79—-7 q I —41 b
Present Mailing Address ,5ftn(—
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 acts as supervisor.
DEFINMON OF HOMEOWNER
Persons) 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 or 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 helshe be responsible for all such work performed under the Building
Permit.
The undersigned "homeowner"assumes responsibility for compliance with the State
9 Building Code and other applicable by-laws and regulations.
The undersigned "homeowner"certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that he/she
will comply with said procedures andrements.i
equi
HOMEOWNERS SIGNATURE vim-_
APPROVAL OF BUILDING INSPE OR
See other side for state code