11 FRANCIS RD - BUILDING INSPECTION (2) l
T A L1, .P i T BEING GRANTED
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IT� OF S .EM
Nb. ' Date 9 1 3
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\e Zoning District
is°Proparty Located In / Location of
Rnb Historic District? Yes_No v Building P
It
I# rnP!my Located in
the Cor Njtlon Area? Yea No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, eroo nstall Sidin Construct Deck, Shed, Pool,
Repair� ce, er: .3 d� �u .1 �-i,e,/
PLEASE FILL OUT LEGIBLY &COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name 1"-1 1 CA Co(1k o I!
Address & Phone
Architect's Name
Address & Phone f
Mechanics Name
Address & Phone
What Is the purpose of building? �`� le /Y d
Material of building? W eoj If a dwelling, for how many families?
Will building conform to law? Ae S Asbestos? /U1�)
Estimated cost 54"4, o o O City License k State License q
� d
Hoes Improvement
r Lic.
Signature of Applicant
SIGNED UNDER THE PENALTY
OFPERJURY
DESCRIPTION OF WORK TO BE DONE
MAIL PERMIT TO:
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CITY OF SALEM9 MASSACHUSETTS
3
' PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3RD FLOOR
1' SALEM, MA 01 970
TEL. (978)745-9595 EXT. 380
FAX (978) 740-9846
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions of MGL c 40, S34, I aclmowledge that as a condition
of Building Permit# , all debris resulting from the construction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility, as defined by MGL c III, S150A.
The debris will be disposed of at: T �; ,��I�
Location of F cility
Signature of Permit Applicant Date
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
/zj ,zi �t �
Name of Permit Applicant
Firm Name, if any
Address, City & State
The above statute requires that debris from the demolition, renovation, rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIII, S 150A, and the building permits or licenses are to
indicate the location of the facility.
L_ _ 1
CITY OF SALEM
BUIMING DEPARTMENT
HOMEOWNER LICENSE E)mwTION
Please Prist
DATE 9 a
JOB LOCATION
HOMEOWNERa
ADDRESS
HOWOWSM 97a -•2vy
TELEPHONE
PRESENT MAILING ADDRESS �l F u c�
The cmrentcxcmpdan of"homwwnerC was nncnded to include owocr-xuUPied dwC356P ofTWO
Units or less and to allow such homeowners to engage an individual for bite who does not ptasesa a
license,.provided that the owserso Pa superviwr.
DEFINITION OF HOMEOW EI
Person(s)who owns a pw=1 of land on which hc/shc resides or intends to reside,on which there is a is
intended to be,a one to two family dwelling,anached or detached strucnues accessory to Pack»se andlor
farm struawts.A person who constructs mom than one home in a two-year period skall not be considered
a homcowva Such"homeowtxt" shall'submit to the Budding Official,on a form sazptabk to*A
Building Official,that MJshc be responsrble to all such workpaormedwAcr'he building➢amyl.
The undersigned`homeowner"antes responsibility for comPliance with the State Building Code ttad
oihu applicab►c goes by-laws,rules and rcgulatiouL
T he undersigned"homeowner"mrd6ts that hdsM und=tands the City of Salem Building Dcpartme nt
nuTt mum inspection procrduns and rcquircmcm s and that Wshc will comply with said procc&=sad
rcquircrrK t.
HOMEOWN17t'S SIGNATURE �a
V BUILDING INSPECTOR ��
APPROVAL OF �
Sec other sde for state code
HOMEOWNER'S EXEMPTION
The code state that "airy homeowner performing work for which a building peanit is required Shall be
cscmpt from the provisions of this section (Scnion ltl9.l.1-licensing of Construction Supervisors);
Provided that is a homeoWzier engages a person (s)for hire to do.such work that such bomeowm shall act
as Supavisoc:'
tvisny bortuowners wbo use this eatmpdon are imawm that they arc assuming the TcSpoast%Mtks of a
supervisor(sec Appendiz Q,Rules and Regulatiom for Lkznsiog Construction Supervisors,SectWQ
2.15} This lack of awareness often tcsults in serious problems,pardcular;y when the horoeosraer hires
unlicensed persom In this case your Board cannot proceed against the unlicensed pawn as h'%VM with
licensed Supmisor. TLc boorcoever Smog as soperviwr b ukimatefy respoosibIL
To ensure that the homeowner is fully aware of hi4=rssponsrbiWm many eommu dda regime;as pest
of the permit application,that the homcmvner certify that belshe imdasrands the responsibilities of a
supenism. You may care to amend and adopt such a fonnIm ifrcation for use iu your eommRmgr.
City DJ S41E.m, n4assachusetts
}ire Department
48 Lafayette Street 29 Fort Ave.
Robert'W Turner Salem, Massachusetts 01970-3695 ire Prevention
Chief' TeL 978-744-2235 Bureau
978-744.6990 Fax 978.745--4646 978.745-7777
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT
IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE
AND THE SALEM FIRE CODE, APPLICATION IS HEREBY MADE FOR THE APPROVAL OF PLANS
AND THE ISSUANCE OF A CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT BY THE
SALEM FIRE DEPARTMENT. ( Ref. Section 113.3 of the Maas. Bldg. Cade)
JOB LOCATION: J I a c S
9/OCCUPANT:' t. 1
G- —R MdG�ati� C (�Oc,s yy LO✓ 4- 5),,
ELECTRICAL CONTRACTOR:
FIRE SUPPRESSION CONTRACTOR:
SIGNATURE OF
APPLICANT PHONE fC/
ADDRESS OF
APPLICANT: 1 �J CITY OT
.. 1� �AN�e, 'tr
TOWN. Sx 1e,
e &, -
a APPROVAL DATE: CYa 03
Certificate' of spproval`is hereby granted,' on approved plans or submittal of
project details, by the SALEM FIRE DEPARTMENT. . All plane are approved solely
nP. for identification of type, and location of fire protection devices and„equipment
t*; All plans are subject to approval of any other authority having jurisdiction.
a• Upon completion, the applicant`or installer(s) shall request an inapection.and/or� .
teat of the fire protection devices and equipment. (ADDITTIONAL REQUIREMENTS;
SEE REVERSE SIDE a**) z ~
Q NEW CONSTRUCTION.
PROPERTY LOCATION HAS NO COMPLIANCE WITH THE PROVISIONS OF
CHAPTER 148, SECTION 26 C/E, M.G.L. , RELATIVE TO THE INSTALA-
TION OF APPROVED FIRE ALARM DEVICES. THE OWNER OF THIS PRO-
PERTY IS REQUIRED TO OBTAIN COMPLIANCE AS A CONDITION OF
OBTAINING A BUILDING PERMIT.
PROPERTY LOCATION IS IN COMPLIACCE WITH TTIE PROVISION OF CHAPTER
148, SECTION 26 C/E, M.G.L.
EF-PIRATION DATE: a9 o2Udl �/
i01q SIC;4ATURE OF NIi2E OFiI[ITr',I.
FEE 'OJ1,: UtIDII: 7,500 IT. - rG r' `? 1. j/
SQ. OR $50.00
CHECK$
In compliance with the provision of Section 113. 3 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.
i
.laid application and approval is required before a building permit may be
1'ssued. The Massachusetts State Building Code requires compliance
approval of the Salem Fire Department, with reference to provisiuns of
Articles 1 and 12 of the Building Code, the Salem Fire Code, Massachusetts
General Laws, and 527 Code of Massachusetts Regulations.
The applicant shall submit this application with three (3) sets of plans,
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire
Department: This applies for all new construction, substantial
alterations, change of use and/or occupancy, and any other approvals:
required by the Massachusetts General Laws, and the Salem Fire Code. J
ii
Exu_eption: Plans will not be required for structural work when the
4 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.
I ! Notice: Plans are normally required for fire suppression ,systess,
fire alarm systems, tank installations, and Fire Code
requirements.
U''nder' the provisions of Article 22 of the Massachusetts State Building
Code., certain proposed projects may not require submission of plans or a
complete compliance with new construction requirements: in these
acals "s, 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
118, MGL, or 527 Code of Massachusetts Regulations. All permits for
fire code use and/or occupancy shall apply for the entire structure; a
fire alarm and/or smoke detector installation shall apply to the
entire structure based upon current requirements as per -Laws and/or
=Codes, but the existing structure may comply with regulations
.;applicable for existing structures.
L� !
Notice: Sub-contractors may also be required to file individual '
applications for a Fire Department Certificate of :Approval t
for the area of their work. Such sub-contractors shall file ;
an Application to Install with the Fire prevention Bureau e
prior to commencing any work for those areas applicable, f
,
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WSl QUOTE
Box 347 - CUSTOMER: MAR002 JOB NAME: HOWES QUOTE # 325896
Alfred Road Baei.. Park 0Q
Biddeford, ME 04005 YANKEE PINE CORP SHIP TO: QUOTE DATE: 09/05/2003
Wn
PO BOX 707 '*1
Tel: 2U7-292-7556 ROWLEY, MA01969 D
ME WASTRUCTURES (ut-Of-Swltc SM 3d1-9612 Page 1 of 1 x
INC. JON RAUSCH SALEM, MA
PREPARED BY: CHECKED BY: CUSTOMER PO# .'�'
SANTO EXT132 -
DATE ORDERED: ORDER TAKEN DELIVERY DATE: 09/12/2003
0 9105/20 0 3
(D
ROOF-TRUSS
N
QTY OVRALL NET PITCH OVERHANG C LOADING CANTILEVER SPC BRG SIZE O
PROFILE LABL LOTH SPAN TYPE U
P�yO
PLV TOP 80T LEFT RIGHT T *u-roieiceoi LEFT RIGHT LEFT RIG H7 CJ
11 oo.osoe aoowe N
001 28-00-00 28-00-00 6 0 ATTIC 01-00-00 01-00-00 P 35-10-0-10 00-00d0 00-00-0D 24 BRG# 2
CID
9 000we 000soe
002 28-0"0 28-00-00 6 3 SCISSO 01-00-00 01-00-00 P 35-10-0-10 00-00-00 00-00-00 24 BRG# 2
C�
2 za-0000 oo.00.00 m
® 003 28-00-00 28-00-00 6 0 GABLE 01-00-00 01-00-00 P 3510-0-10 00-00-00 00-00-00 24 8RG# 1
N
ROC
JOB NOTES TO CUSTOMER: INFO.FROM: t1
ATTIC ROOM SIZE 10'X 5'6" 30# FLOOR LOAD STORAGE PLAN DATE: 0Q
PLEASE VERIFY ALL INFORMATION SPECIAL INSTRUCTIONS FOR DESIGN: '7
rr
LOADING MUST BE VERIFIED D
x
QUANTITY CHANGES WILL EFFECT PRICES' MAXIMUM UNLOADING TIME IS 1 HOUR'
TRUSS SYMBOLS CONCEPTUAL ONLY NOT FOR DESIGN
Report Date/Tme: 09/05/2003 1 01 31 PM