21 COLUMBUS AVE - BUILDING PERMIT APP ( i\
\ The Commonwealth of Massachusetts RECEIVED
Board of Building Regulations and IStaudaids,DHRL SERVICES CITY OF
Massachusetts State Building Code; 780 CMR SHar
ut Revised�llarALEM 2071
Building Permit Application To Construct; Repair,Ra6,,ST&Fb2W iRe isMa
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Date A lied:
AM Ao ///
Building Official(Print Name) Signature Date
SECTION 1: SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
21 Columbus Ave
L i n Is this an accepted street?yes_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
r1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone? -
Public❑ Private[I Zone
if es0 Municipal ❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owncrr of Record:
Claudia Hennessey Salem, MA 01970
Name(Print) City,State,ZIP
21 Columbus Ave (978)745-1322
No.and Street Telephone Email Address
SECTION 3: DESCRIPTION OF PROPOSED WORK2(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ 1 Addition ❑
Demolition. ❑ Accessory Bldg. ❑ Number of Units I Other 5(specify: Solar
Brief Description of Proposed Work: Install 2.6kw solar panels on roof.Will not exceed roof panel,but will add 6"
to roof height. 10 panels total.
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials
1.Building $ 630.00 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ 8,370.00 ❑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: $
Check No. Check Amount: Cash Amount
6. Total Project Cost: $ 9,000.00 ❑Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
103631 8/30/17
Gregg LaCasse License Number Expiration Date
Name of CSL Holder
List CSL Type(see below) U
20 Patterson Brook Rd. Unit 10
Type Description
and Street
U Unrestricted(Buildings up to 35.000 cu.ft.
W.Wareham, MA 02576 R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
(508)291-0007 I 1 Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
170355 10/12/15
Tom Blumetti/Trinity Solar HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
20 Patterson Brook Rd. Unit 10
No.and Street Email address
W.Wareham, MA 02576 (508)291-0007
City/own.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 ..........1( 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 Tom Blumetti
to act on my behalf,in all matters relative to work authorized by this building permit application.
Please see attached letter. 9/22/15
Print Owner's Name(Electronic Signature) Date
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.
Tom Blumetti 9/22/15
Print Owner's or Authorized Agent's Name(Electronic Signature) Date
NOTES:
1. 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
wwwr.mass. og v/oca Information on the Construction Supervisor License can be found at m�ov/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"
Optimize Engineering Co., LLC
P.O. Box 264•Farmville•VA 23901
Ph: 434.574.6138.E-mail: grichardpe@aol.com
Richard B.Gordon, P.E.
President
September 17,2015
Salem Building Department
Salem, MA Re: Solar Panels Roof Structural Framing Support
To Whom It May Concern:
I hereby certify that I am a Licensed Professional Engineer in the State of Massachusetts. Please note the
following conclusions regarding framing structure, roof loading,and proposed site location of installation:
1. Existing roof framing: Conventional framing is 2x6 at 16" o.c.with V-11"span(horizontal rafter
projection). This existing structure is definitely capable to support all of the loads that are indicated
below for this photovoltaic project.
2. Roof Loading
• 4.33 psf dead load (modules plus all mounting hardware)
• 30 psf snow live load(50 psf ground snow live load reference)
• 4.5 psf dead load roof materials
• Exposure Category B, 115 mph wind uplift live load of 19.6 psf(wind resistance)
3. Address of proposed installation: Residence of Claudia Hennessey, 21 Columbus Avenue,Salem,
MA
This installation design will be in general conformance to the manufacturer's specifications,and is in
compliance with all applicable laws,codes,and ordinances, and specifically, International Residential Code/
IRC 2009,2011 NEC,and 2012 ICC Energy Code. The spacing and fastening of the Unirac mounting
brackets is to have a maximum of 64" o.c.span along the rail between mounting brackets and secured using
5/16" x 3'/z" length corrosive resistant steel lag bolts. In order to evenly distribute the load across the roof
rafters,there shall be a minimum of 2 mounting brackets per rafter&min.2" penetration of lag bolt per
bracket,which is adequate to resist all 115 mph wind live loads including wind shear. The mounting
brackets shall alternate between adjacent rafters between rail rows for better distribution of roof load.
Penetration of anchors for modules mounted within 18" of ridge and edges of roof is to be a minimum of 3".
Rails may be attached to either of two mounting holes in the L-feet.Mounting in the lower hole for a low
profile, more aesthetically pleasing installation or mount in the upper hole for a higher profile to maximize
airflow under the modules to cool them more. Slide the 3 1-inch mounting bolts into the footing bolt slots.
The rails will be attached to the footings with the flange nuts.
Very truly yours,
Optimize Engineering Co., LL(�C aY�tNOFMASs1c
` O 02 �GN
RICHARD B. (�
GORDON
Richard B.GZM61f, P.E. ° MECHANICAL m
Massachusetts P.E. Lic nse No.49993 NO.49993
r
MECHANICAL, ELECTRICAL,&CIVIL ENGINEERING O��P ONAE�G
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