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5 CAULDRON COURT - BUILDING JACKET l sUrTab® avedr �bFdders 90%Larger Label Area • •"••' /// I SM:F.Ad KEEPING YOU ORGANIZED N Ism errr�� �se�toum► GETORGANIZEDATSMIEACI M IDS w Certificate No: 220-10 Building Permit No.: 220-10 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the SINGLE FAMILY DWELLING located at Dwelling Type -- — 5 CAULDRON COURT in the CITY OF SALEM j _. Address-. ..- _..-_ _-._.-...._ -' _. ... -___..-._...__...y Town/Cit Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY i 5 CAULDRON COURTS I This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires - unless sooner suspended or revoked. Expiration Dale j Issued On: Tue Sep 6, 2011 GeoTMS©2011 Des Lauriers Municipal Solutions,Inc. -- -- -- ... '-- ------ . _... --- - - j 1 t a 5 CAULDRON COURT 220-10 8461 .E L _--� COMMONWEALTH OF MASSACHUSETTS 'Map r_ 15 x !Block � CITY OF SALEM Lot: ?T 0463 jr Category: Additon Permit# 220;J0 BUILDING PERMIT ject# JS;2010 00030 , F,st. Cost: $60,000.00 Tee Charged: $425.00 I ance Due: ' $.00 PERMISSION IS HEREBY GRANTED TO: Const. Class:; Contractor: License: Expires j_UseGroup_ _J HOMEOWNER ,Lot Slze(sq. ft.): 15300.0144 IZonm _Rl 101viter: ZIPPER MICHAEL R, ZIPPER GAIL M ;Units Gained: Applteant: ZIPPER MICHAEL R, ZIPPER GAIL M jUnits Lost' AT. 5 CAULDRON COURT !Dig Safe#: ISSUED ON. I7-Sep-2009 AMENDED ON: EXPIRES ON. 47-Feb-2010 TO PERFORM THE FOLLOWING WORK: CONSTRUCT A 2ND FLOOR ADDITION POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plulnbina Buildine Underground: Underground: Underground: Excavation: Service: toter: . ��/nr fix Footings: Rough: Rough Rough: Foxndalion: Final/.2/1Final: � 0,1i Rough Framer Fireplace/Chimney: ` D.P.W. Fire Health 1 lasulanon:�1�1/�lT, 1-0 Nc iHrter: Oil: ' �/" t Final: t !/ Honsc N Smake: �U /l/� Water: Alarm: r\550550r Treasury:::` 'T tt 1 Sener: Sprinklers: Final: `\ ti i THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. i Signature: �P Fee 7 rpe: Receipt No: Date[laid: Check No: mount: a BUILDING REC-2010-000367 17-Sep-09 2234 $425.00 S Call for Permit to Occupy GcuT`:ISO 2009 Des Lauriers Municipal Solutions,Inc. �, . � No. �.�_���� APPLICATION FOR PERMIT TO ' Cc�S��'�y[,- ��5���/ � . � O� ..7/i/J/y �/zC�i/�/=�iGry . ' . r� LOCATION r _ "J ( �,� /LVion C� � � PERMIT GRANTED -����7��� 19 APP OV�D ' � • � . I � , INSPECTOR F BUILDINGS � - - . ' � ��o--v � �i.�,��AHS��£fH.f��OdD A?�ROVED 8Y �*IE ,1�p,EG�'P1� ,PF,ti�A Ip A PEAMIT B,F1NG GRANTED CITY OF SALEM No.L/� //� x �,;��: �f� / a /� X��"� Ctt� ..L �.,T^\ Date �� "I �� �� j t'' � ��a -�y a,� K��� �-,� a �'���canne cA'j°� . ���� Is Property Located in Location of � � �� the Histonc District? Yes_No_ Building �,� �-a�, ll Is Property Located in I the Conservation Area? Yes_No_ I BUILDING PERMIT APPLICATION FOR: , Permit to: � (Circle whichever apply) Roo Reroof, Install Siding, onstruct Shed, Pool, RepaidReplace, Other. o? s ;c� v �Il��fiovi 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 {�ICi/�G�Z /�- Z/��E'r� Address & Phone .� �'�L��� C✓ � ( p��l r/y�T���� Architect's Name Address & Phone ( ) Mechanics Name = , Address & Phone ( ) What is the purpose of building? � /�«� /�D/'�ioi�l �.cs9fvlsl, � /l�� �Aateria! of building? �1/l/�� N a dwelling, for how many famil� � WIII building conform to law? �Pf Asbestos? � EsUmated cost �✓aj 000•��U City license � N P' State License ,y�� � Home Improvement �u� Lic / 99 /� Signature of Appli �� SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE ��� � ����e �d,�� w�� ��,� � /s� � �s�- �J��— �g' x' �a; � , �-,� �1�� ��8 � K �2� � � Gt/2ti �-P���� �tiM_e �J� GI � II MAIL PERMIT TO: �IoH,iar��✓// , 1 • , _ _.... _ --- . . .. . -- --, __ , .,. __- -- — -- . ___ . , ,_ _ ---- , .. --�--- -- _ �, . � _ _ _.____. __.� � , . . ; -------------- ; - ' I .-- , t �� � ____ �-. , �,. !-�,.- �/�,, l ° I 2�tz L � — �,,1 -�[�G /� � ,� ,�, � �, c� I . - � � , , . . _ ���, � � � � � � s-�— . � � � � � � . 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((' , �� .�.,:,'•f';; CK�f� >� . `� . � :,, � ,;a , ���i�sE ' v�o ar� . ���. �wa c�RA� ., �' ,�+, ��,<:; : . 1 n 'i ' ��'y�`�. �ITY OF S�EM :; �`��.����� . . �.- �� , �, � . .���-j . . � , . � �. � �!#Mab 01d1�17„ YM_NO X �� Ot �' �^A'u� � ' M hap�A�r�oo�Md In � Siq'���1 ' ;' ��I9n MN4 Y�_Np�C' BUILDMO PERMR APPUCATION FOR: � ' P�rtnk to: (Clrow whioh�vK�pply) Roof, R�rooi. Install 31dMw, Co� D�ck. 3h�d, Pool, R�INR�PIaw. Oth�: (a�n/,� �s/�,��� �____ ' PL�ASE RLL OI�T LEGIBLY�CO�APLETELY TO AVOID DELIIYS W PROl� TO THE IN3PECTOR OF BUILDIN03: ��� h�►abY aPWiK ior a p�rtnU b bulld a000rdkp ro tM foMewlnp Own�rs Nem� 1��h�,� 2��°!�/c' Addnse d� Pharn S c�9-vL�,�an Gf- SA/e�y ( 9'�'� �Y/ S'��Y� Arohit�ct's Nem� IWdns.a P�wn. � � �A�oh�n�s N�m� .� 11dd1ril d� PhOM ( ) 1i>�::;'. ,�,�,,�. 1;.. , I�,,w wn�M h.P.po..w eu�,�v ` +;:, . `,�;, . . i 0�bi�.. �ww a ewanp9 i,�/ r� ; ' ,� dw�q.wr now m.n�r anw..9 . �'r�l'NY:�;F � YYr biNdlq oatonn b I�w7 P S � 4 �3 '�^- :i EMrn.�a ao.�. � `�Gb�_qr uo.w r N p` 91�M uo.w• 4' ; X � ,. L1C. I��C ~ ..�nawn ot t ;"; . s��n uNo�TMe � OF PERJURY � ' DESCi�Pi10N OF WORK TO 8� DpNE � � " � � ; (�01+zr��� „� ��r �� �;� �+ � � . i .i,,.�y.,,r�ri; r • + , �� .. . � ': . :'�'� � 4� �� i;c�� , � � 4u����;q�;i i����^ � ,:�;� . . . , . ,r . ,,:.;� MNL P�IMIT TO� , �;�i�.; . � r ,�� . i; ,. ; ;; � , p - .. .� , . _ � -�. •-- :<� ���..,. _ . � .:s: �_ ; . :, - :: . .. . � - . _ -- .. . , . _ . _-... . : , . ,_ .:.: -- ' . . ..✓ . ` ' . . .y. . . __ . .. . y .. . ...''s'q:�... .__. . . . . •,• . � . � ` • -<t' � ,���1 �_. ��� . � --- `� . � AppLICA110N FOR , PERIiAfT TO � . • ' �'�nM� 7'0 ��a��7 ' . � a s�m�, ���r��t � . . , �� . �. . . • - -� �-��r�,� �CH�� . . , . � PERMIT GRANTED ' - � ��.�T— Zb ' . . . � AOvFD � �� �' `( � . � . �PISpECTOR OF BUILDiR'aS . . � . � � � �� � , y . � . , _ -- - � . . _ . .. - � - --'=:�%Y-sf �:-. .. . . .. � _ � . . :i.: . , � . � .._ ' - =1-'E-L-2 ct �_ ': ._ _ —.-:.-' �_ __ . 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J u'l/� �/' �/� . , . • +1.. I'(Z�PROTzfTIOh �Nlrcg .p � �..,. � o . ' h 'n /1 �} A, �f`� :.L1f. TP �JNS?rG I^Y fuRC�y . i i � ' �, i . �lI\�� ' ^( �� � @'�' '���"� � � .. . . � � ` � �'~ 2 r'PY�YC � �/`lV � �lGp/� C/ � I; . AlvCrWITHTHEfIRECADF. �. �; � .L � I , . , . � . . -. . . � �/7"K-�`/.�/ f . � - it ��. i� o I ' I.• �v ' . - SCAIE:f l/�.,0 APPROVED BV: DRAWN BY ^ � �. , �T i! � . i DAiE: ' REVISED t� - 0 . . � , � ' . ' , I- � . Q � 6 j . i � • � . . . • • � SZ DRAWING NUMBER • . I � _ _ . . � ( ' . ' / ' � I I + I 1 rd •:� j. liPPROVED 8Y Tm JNLDA=oIIQR D ` PMW.BFINQ GRANTED CITY OF SALEM No. • tiM 1#MOIb DbtINd7 YN_�No� �� s C� Y Awaty LoaMd in Me Omu adgn Amd Yat.No /1 BUILDING PERMIT APPLICATION FOR: Pwmk to: (Carole whlchswr apply) Roof Rwoof. Install Sldinq �ct.Ds 3ha ;p RspaldRoplace. Other. PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCNNft TO THE INSPECTOR OF BUILDINGS: The und@mVW hereby apples for a pwmk to build axor ft to the follm" spectlicatlowe Ownse's Name ! "W ae l Address APhone 57 CAaI'ldrm C�f- ( 778� 7V-J'—S'886 Arohkect's Name Address A Phons ( 1 Mechanics Name Address & Phone wnr 1.r»a•va••d tusenv► ��/ f ��/ , 1+„,� . MO N a aiMdig4 //od 0r.dwa�q for now mmy arnn..4_,, F . wN awe oonfaen lob" ( naiad coal. cod.d0 tJowrr• N p` 81aM1611911FIEW r . w..., U9. /1 ipnaturo of t SIGNED UNDEW THE plo1 OF PERJURY ; DESCRIPTION OF WORK TO BE/DONE i is q. d.'V i°C;; MAIL PERMIT TOP S e�r2lcl�vl G s 1 Ms� O(9 7 0. 3-Ayy JNo. \ 0� \ APPLICATION FOR PERMIT TO LOCATIqN PERMIT GRANTED INSPECTOR OF BUILDING �T M o�2 LOT 1221D . �:roe-) 4 r W LTl3o - 4! 4 i0 2.SToB.Y owe-uaCj -P �60.00 L07 I Z$ i i ,� OF C/AU LDp,0N Coup, � �. JoMN S. 1 t.AURETANI i # AMERICAN SURVEYING COMPANY OF BOSTON, INC. JOHNS. LAURETA{ 1264 MAIN STREET WALTHAM. MASS. 02451 1 A REGISTERED LAND SURVEYOR, PHONE (781) 893-6477 FAX (781) 893-7091 DO HEREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTION MORTGAGE INSPECTION PLAN PLAN WAS PREPARED FOR DEWOLFE MORTGAGE DATE: 6/27/01 RECORDED AT: ,FSSFX ,S o COUNTY REGISTRY OF DEEDS CLIENT:.MUNROE BOOK: PAGE• 49 L.C. CERT y:69271 N CONNECTION WITH A NEW CLIENT REF.qq: PLAN REFERENCE: PL 856S ORTGAGE, AND IS NOT INTENDED J,O,#; 'Fi0089701 DRAWN PER TOWN OF: ASSESSORS �R REPRESENTED BE A LAND THE LOCATION OF THE ORIGINAL MAPS{: PARCEL: DATED: OR PROPERTY SURVEY. NO DWELLING SHOWN HEREON EITHER ADDRESS: 5 CAULDRON CT, SALEM. MA CORNERS WERE SET, AND IT WAS IN COMPLIANCE WITH LOCAL BORROWER: ZIPPER CANNOT BE USED FOR APPLICABLE ZONING BYLAWS IN ESTABLISHING FENCE, HEDGE, EFFECT WHEN CONSTRUCTED OR BUILDING LINES. THE LAND (WITHIRESPECT TO HORIZONTAL SHOWN HEREON IS BASED ON DIMENSIONAL REQUIREMENTS ONLY), CLIENT FURNISHED OR IS�EXEMPT FROM VIOLATION INFORMATION, AND MAY BE ENFORCEMENT ACTION UNDER MASS THE SUBJECT DWELLING LIES IN FLOOD ZONE X SUBJECT TO FURTHER G.L. TITLE VII, CHAP. 40A, SEC.7 AS SHOWN ON THE NATIONAL FLOOD INSURANCE PROGRAM OUT-SALES, TAKINGS, EASMENTS, UNLESS OTHERWISE NOTED OR INSURANCE FLOOD RATE MAP DATED:$/5/85 AND RIGHTS OF WAY. NO SHOWN HEREON.A CONFIRMATORY COMMUNITY / PANEL #: 25010200058 RESPONSIBILTY IS EXTENDED INSTRUMENT SURVEY IS ADVISED FIELDED DRAFTED CWECKEO HEREIN TO THE LAND OWNER OR WHEN STRUCTURES ARE SHOWN OCCUPANT. IT IS NOT INTENDED LESS THAN V FROM PROPERTY OR BY: I BL TO BE RECORDED... REQUIRED ZONING SETBACK LINES. DATE: t C- - _ F.B. 101n PGE:I1A The Commonwealth of Massachusetts **ddmodws s, Board of Building Regulations and Standards ON Massachusetts State Building Code, 780 CMR, 7'"edition Building Building Permit Application To Construct. Repair, Renovate Or Demolish a One. or Ato-funtilt Duelling This Section For Official Use Only Building Permit Number: I Date Applied: Signature: Budding Commissioner/Inspector of Buildings Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map 6 Parcel Numbers S c�uGn�o� cf 1.Is Is this an accepted street:'yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use La Arca(sq II) Frontage III)MYmdd 1.5 Building Setbacks(B) Front Yud Side Yards RearRequired Provided Required Provided Required 1.6 Water Supply:(M.G.L c.40,SSa)fl.7lood Zone Information: 1.8 Sewage Disposal System: _ Outside Flood Zone? Municipal O On site disposal system O Public❑ Private O Check if es0 P Y SECTION 2: PROPERTY OWNERSHIP' 2.1. wit r'of or a" Pri Address for Service: Signature Telephone SECTION 3: DESCRIPTION OF PROPOSED WORK'(cheek an that apply) New Construction O 1 Existing Building O Owner-Occupied O 1 Repairs(s) O 1 Alteration(s) ❑ I Addition k olition O Accessory Bldg. O Number of Units Other O Speciy: f Description of Proposed Work: SECTION♦: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building S I. Building Permit Fee: S Indicate how fee is determined: O Standard City/Town Application Fee 2 Electrical S 0 Total Project Cost/(Item 6)x multiplier x ) Plumbing S 1. Other Fees: $ a. Mechanical IHVAC) S List: s Mechanical (Fire S Total All Fees. S Su resmon Check No. _Check Amount: Cash Amount:_ <n i h Total Project Cost: S ((� U, �i J O Paid in Full O Outstanding Balance Due: C7 era t SECTIONS: CONSTRUCTION SERVICES 5.1 Licensed Construction Supervisor iCSL) " License Number Esptrauon Date N.,)me of CSL H9lder Ltst CSL Type flee below) i Description Address U Unrestricted(up to)),000 Cu. Ft. R Restricted 1&2 Family DwelLn Signature M Masonry Only RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Burning Appliance Installation D I Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name Registration Number Address Expiration Date 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 7s:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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. Signature of Owner Date ECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION as Owner or Authorized Agent hereby declare that the stateme Is and i cation on the foregoing application are true and accurate,to the best of my knowledge and behalf�� Print Name Signature of Owner or Authorized Agent Date Si red under the poins and penalties of perjury) NOTES: I. An Owner who obtains a building permit to do hisiher own work,or an owner who hires a s unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will 3l have access to the arbitration program or guaranty fund under M.G.L. c. I J2A. Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I I0,R6 and 110 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 Vumber of bedrooms Number of bathrooms Number of halfbaths Type of heating system Number of decks/porches Typeof cooling system Enclosed Open 3 "Total Project Square Footage' may he whsuruted for"Total Project Cost" SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Mlr GeI 2, ot2�✓ S `Cv�c��v1 � _)alenn W114 01G10 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Anvv, g Lew I S I ') .,�v.. of A► (2 7?,ti 4 ,S,-004 yit,A 019 k'LS Name Street Address City/Town State Zip to act on the property owners behalf,in all matters relative to work authorized by this building permit application, SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If bugding is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control Then check here❑And skip Section 10.1 10.1 Registered Professional Res onsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor 3a�5Vtr,feu Company Name --T�N,*V\.0.� Name of Person Responsible for Construction License No. and Type if Applicable D SkAev jc_ __�4a"L=Ocj.:j "A © of-ID Street Address City/Town State Zip rJ -7 ( 1 0rC) I {3 gf o1 —— — Telephone No. business Telephone No. cell e-mail address SECTION 11:WORKE.I2S'CONIPENSA I10N INI RANCE AFFIDAVFr M.G.L.c.152.§25C 6 - A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes 13 No O SECTION 12:.CONSTRUCTION COSTS AND PERMIT FEE- Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 1. Buflding $ Vb Ocxo Building Permit Fee=Total Construction Cost x—(Insert here 2.Electrical $ appropriate municipal factor)=$ 3. Plumbing $ 4. Mechanical (HVAC) $ Note:Mininmm fee=$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost $ �'3 pap ji (contact municipality and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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. Please print and sign name Title Telephone No. Date Street Address City/Town State Zip �y Municipal Inspector to fill out this section upon application approval: "cb'✓a �f.0 Name Date l 1219L� � I*v \ LOT• 12� � Q`�� a` 0`a uwtt;�uaCj bo•oe � Lar 12.8 AMERICAN SURVEYING COMPANY OF BOSTON, INC. JOHNS. tAKFETAN �1264 MAIN STREET WALTHAM, MASS. 02451 A REGISTERED LAND SURVEYOR, q PHONE (781) 893-6477 FAX (781) 893-7091 DO HEREBY CERTIFY THAT THE ABOVE MORTGAGE INSPECTION MORTGAGE INSPECTION PLAN PLAN WAS PREPARED FOR DEWOLFE MORTGAGE FAPPLICABLE 6/27/01 �tUNROE RECORDED AT: ESSE% , o COUNTY REGISTRY OF DEEDS N CONNECTION WITH A NEW REF./{ BOOK: PAGE: 4'� L.C. CERT #;69271 MORTGAGE, AND IS NOT INTENDEDOOA9701 PLAN REFERENCE: OL 8565 OR REPRESENTED TO BE A LAND DRAWN PER TOWN OF: ASSESSORS OR PROPERTY SURVEY. NO ATION OF THE ORIGINAL MAP#: PARCEL#//: DATED: CORNERS WERE SET, AND IT SHOWN HEREON EITHER ADDRESS: 5-CAULDRON ('T ';AI FM MA CANNOT BE USED FOR COMPLIANCE Wi TH LOCAL BORROWER:ZIPPER ESTABLISHING FENCE, HEDGE, BLE ZONING BYLAWS IN OR BUILDING LINES. THE LAND WHEN CONSTRUCTED - SHOWN HEREON IS BASED N (NNT'TESPECT TO HORIZONTAL CLIENT FURNISHED OIMEN; IONAL REQUIREMENTS ONLY), INFORMATION, AND MAY BE ENFOROR ISCEMENT EXEMPT FROM VIOLATION SUBJECT TO FURTHER ENRCEMENT ACTION UNDER MASS THE SUBJECT DWELLING LIES IN FLOOD ZONE X OUT-SALES, TAKINGS, EASMENTS, UNLESSLE Vil,OTHERWISEP NOTED OR 7 IN SHOWN ON THE NATIONAL FLOOD INSURANCE PROGRAM AND RIGHTS OF WAY, NO SHOWN HEREON.A CONFIRMATORY INSURANCE FLOOD RATE MAP DATEO:�/5/85 RESPONSIBILTY IS EXTENDED INSTRUMENT SURVEY IS ADVISED COMMUNITY / PANEL #: 25010200058 HEREIN TO THE LAND OWNER OR WHEN STRUCTURES ARE SHOWN FIELDED DRA D CHECKED OCCUPANT, IT IS NOT INTENDED LESS THAN 1' FROM PROPERTY OR BY: I BL TO BE RECORDED... REQUIRED ZONING SETBACK LINES, DATE: 6 01 -O Z-an0l F.B._LQU7PGE:112A_] i111 i �-_ � �35 s c.�. �03 53 . _� � The Commonwealth of Massachusetts ° ��RV i�'.k[a ' Board of Building Regulations and Standards �5��� i i v OF ��i � Massachusetts State Building Code, 780 CMR � SALEM N �' �U�� JU qe�Se�dd��01� (� Building Permit Application To Construct, Repair, Renovate Or Demo is a �v One-or Two-Fumily Dwelling � This Section For Official Use Only n Building Permit Number: Date Applied: J' ry/��1 Building Official(Print Name) Signature Date � SECTION 1: SITE INFORMATION l.l Proper[y Address: 1.2 Assessors Map& Parcel Numbers 5 Cauldron Court 15 0463 L I a Is this an accepted streefl yes X no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: R1 residence-no change Zoning Distric� Proposed Use Lol Area(sq ft) Frontage(ft) LS Building Setbacks(ft) n/a Front Yard Sidc Yards Rear Yard Required Providcd Required Provided Required Pravided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Pm�a[e❑ Zone: _ Outside Flood Zone? Municipal O On sile disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP� 2.1 Owner'of Rewrd: Michael Zipper Salem, MA 01970 Name(Print) City,State,ZIP 5 Cauldron Court 978-804-7320 thezippers@hotmail.com No.and Strcet Telephone Email Address SECTION 3: DESCRIPTION OF PROPOSED WORK�(check all tha[apply) New ConsVuction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition O Aceessory Bldg. ❑ Number of Units Other � Specify: solar Brief Description of Proposed WorkZ: Installation of a 13.44kW roof mounted solar arrav usinq 48 Suniva OPT9R0-60-4-1 RO modi IPs,4A nohac_e M250-60.2LLS22 micro inverterc, and all ascor.iatwd alwcirir.al work SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) l. Building $ 10 000 �� Building Permit Fee: $ Indicate how fee is determined: ❑ S[andard City/Town Application Fee 2. Electrical $ q0 000 ❑Total Project Cost3(]tem 6)x muttiplier x 3. Plumbing $ 2. Other Fees: $ 4. Mechanical (HVAC) $ List: 5. Mechanical (Fire . $ Su ression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6. Total Project Cost: $ 50,000 ❑paid in Full ❑Outstanding Balance Due: M�, �� � �.i 5'Rg� �a �21 SECTION 5: CONSTRUCTION SERVICES Y 5.1 Construction Supervisor License(CSL) 101487 ��/7/16 Gary Beals License Number Expiration Dn[e Name of CSL Holder List CSL"fype(see below) 61 Turnpike Road No.and Stree[ Type Description U Unrestricted(Buildin s u l0 35,000 cu. RJ Ashby, MA 01431 R Restricted I&2 Famil�Dwellin City/Toum,Sta[e,ZIP M Mason � I\ q � RC Roofin Coverin �-R� WS Window and Sidin SF Solid Fuel Buming Appliances 978-855-8568 gary.beals@rgsenergy.com 1 Insulalion Tele hone Gmail address D Demolition 5.2 Registered Home lmprovement Contractor(HIC) 162709 Alteris Renewables dba RGS Energy 4/6/17 HIC Registration Number Expirahon Date h11C Company Name or HIC Regis[rant Name 106 Route 32. Suite 10 kimberly.hendel@rgsenergy.com No.and SVeet Email address North Franklin CT 06254 860-535-3370 Cit /Town, State,Z1P Tele hone SECTtON 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L. c. 152. § 25C(6)) Workers Compensation Insurance af6davi[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 .......... L� No........... ❑ 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 Alteris Renewables dba RGS Energy to act on my behalf,in all matters relative to work authorized by this building permit application. see signed contract attached �P �b Prin[Owner's Name(Elechonic Signature) Date SECTION 76: OWNER' OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contain d in this application is true and accurate to the best of my knowledge and understanding. ��� � , Print Owner's or Authorized AgenPs Name(Electronic Signa[ure) Date NOTES: l. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in[he Home Improvement Contrac[or(HIC)Program),will not have access to[he arbitration program or guaranty fund under M.QL.c. 142A. Other important information on the HIC Program can be found at �v�vw.mass.eov/oca Information on the Cons[ruc[ion Supervisor License can be found at ww���.mass. o� v/dns 2. When substantial work is planned, provide the information below: Total floor area(sq. ft.) (including garage, finished basemenUa[tics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of halflbaths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"To[al Project CosP' June l, 2016 To: Code Enforcement Division From: James A. Ma�, Jr. P.E. Re: Engineer Statement for Zipper Residence, 5 Cauldron Ct., Salem, MA - Solaz Roof Mount Installation I have verified the adequacy and structural integrity of die existing Main Roof 1 (one layer shingles) 2"h 10" rafters at 16"o.c, with sloped distance 1T-5"with rafter horizontal span 14'-0", pitch 40 deg.; Main Roof 2 (one layer shingles) 2" x 8" rafrers at lb"o.c., with sloped distance 13'-9"with rafter horizontal span 11'-9", pitch 22 deg.; for mounting of solar panels and their installation will satisfy the sriuctural roof framing design-loading requirements of the Massachusetts building code— 780 CMR Residential Code 8th Ed. For the installation of the solar mounting, the Unirac Solarmount rails will be anchored to the rafters with L-foot supports at 32" max. sp. having Ecofasten Green Fasten with CP- SQ Bracket and flashing located on the center of the rafters that wili be securely fastened to the rafters with 5/16"x 3 1/2" SS lag bolts. Afl attachments aze staggered amongst the framing members. The mounting system is designed for wind speed criteria 100 mph Exp. B and ground snow criteria 40 psf. The Photovoltaic system and the moLmting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof-mounted collectors. Thereby, I endorse the solar panet installation and certify this design to be structurally adequate. �� �'�-�NOFM,qS Sincerely, �`��� S9� ti �, �c � � � � .IAfLESA.iJAF;(.JR. �V.. c.�..— � + D10.369c5 l. � q°r.��`'�15Te�Fi�.`r" `� Gli/j[r James A. Marx, Jr. °ss>o:v,n�et'G� Professional Engineer �r���4 MA 36365 10 High Mountain Road Ringwood;NJ 07456 cc: RGS E�ergy June 1, 2016 To: Code Enforcement Division From: James A. Ma�. Jr. P.E. Re: Engineer Statement for Zipper Residence, 5 Cauldron Ct., Salem; MA - Solar Roof Mount Insta(lation I have verified the adequacy and structural integrity of the existing Main Roof 1 (one layer shingles) 2"x 10" rafters at 16"o.c., with sloped distance 17'-5"with rafter horizontal span 14'-0", pitch 40 deg.; Main Roof 2 (one layer shingles) 2" x 8" rafrers at 16"o.c., with sloped distance 13'-9"with rafter horizontal span 11'-9", pitch 22 deg.; for mounting of solaz panels and their installation w�ill satisfy the structural roof framing design-loading requirements of the Massachusetts building code— 780 CMR Residential Code 8th Ed. � For the installation of the solaz mounting, the Unirac Solarmount rails will be anchored to the raRers with L-foot supports at 32" max. sp. having Ecofasten Green Fasten with CP- SQ Bracket and flashing located on the center of the rafters that will be securely fastened to the rafters with 5/16"x 3 1/2 ' SS lag bolts. All attachments aze staggered amongst the framing members. The mounting system is designed for wind speed criteria 100 mph E�:p. B and ground snow criteria 40 psf. The Photovoltaic system and the mounting assemblies will comply with the applicable sections of the Residential Code and loading requirements of roof-mounted collectors. Thereby, I endorse the solar panel instatlation and certify this design to be structurally adequate. � ^-1��4jN OF MqSS9 Sincerely; t. � y o �, � m ' � _Af.iFa'A f✓.A.R:(.JR. pa, V D70.367a'S / l� Z �OT�F:,IS 1 ��w� �// /I�! James A. Marx, Jr. Ssrc,vA�_<<'%� � Professional Engineer �ry=oQ(� MA 36365 10 High Mountain Road Ringwood; NJ 07456 cc: RGS Energy � - - - - , � � � ,,� E i� �� �� �a � ,,;. , , GREENFASTEN' PRODUCT GUIDE — GF—I I `��- �,� -- — GF I—L 812 �I ��+i�i'�•t '�� � a w ;� :f�t� t�!' .y}� x i t (> � �F`` ! �..� ' " ��.ii �� � 8.000± .005 —J R.38 —�{-�— .032 n� k � � ��7�� �� � ; .t .�, �, �t����I�.. 4 M �t:P �v ` �� w �.88±.01 q � � v i� �,t�;,:°. 1 , " v t " c 4�.30±.O1 . "°` �' � 12.00+ .125 /�— �- � . � v �,� r � 3.00+ .125 a � � � � � _ , ;, r-- �� ,�N , w �� 4.00+�.125--�+—� .26±.01 � m "' .OS � � f � w to . t., G t �, � . � Finish Options � w BLK= Matte Black .. o ' 'V ,L BRZ= Medium Bronze MLL= Mill Finish � • �EmFasten Solad3 NI mnten[pmtetted m�der copyrgln NI dghrs reserved 02/Ib/l I $2�4 2 l � 1►/, � =� = RGS I ENERGY ',�/,``` L'lean Pmver. Bright Savings. June 6, 2016 City of Salem Building Departrnent 120 Washington St, 3�� Floor Salem, MA 01970 Hello, I have enclosed a building permit application, applicable fee and supporting documents for a residenrial solar installarion in your town. Please let me know if anything else is required to approve our permit. Once the permit is ready please return in the enclosed self-addressed stamped envelope. Thank you and let me know if you need anything else, ���""` ICim Hendel Permit Specialist RGS Energy 106 Route 32,Suite 10 North Franklin,CT 06254 Ph 860-823-0017 Fax 413-683-2225 kimberly.hendelQRGSenergy�com 106 RoWa3�,Suite 10,North Frankliq CT 06^_54 I taL 860.-425.5^_82 I �zx 413.68322^_5 � RGSEnc�gy.com FOR CONSTRUCTION -�UI�� . Equipment Specifications: Module: (48) Suniva OPT 280-60-4-160 ������� (� � Inverter 1: (48) Enphase Energy M250-60-2LL-S22 RGS � � ` Racking: UniRac SolarMount � Attachment Flashing: Eco-Fasten Green-Fasten with E N E RGY f `� CP-SQ-Slotted and Aluminum Flashing " " °h;';�" "O �'•-:'��"��; � 106 Route 32,Suite 10 t \ � ROOf SpECIflCcltIO17S: Franklin,CT0637S / � ` ROOf 1: Roof 2: (413)683-2225 Fax Licenseri 0635274 � Asphalt/Comp. Shingle AsphalUComp. Shingle - � � 2"x 10" Rafters @ 2"x 8" Rafters @ GRID-TIED I � `� 16" O.C. 16" O.C. PHOTOVOLTAIC SYSTEM �- \ (E) Single Family Dwelling Eave Height: 17 ft Eave Height: 17 ft � � 5 CAULDRON CT Pitch: 40° � Azimuth: 115° Pitch: 22° � Azimuth: 205° 13.440kW DC @ STC � � . Array Size: 33 Modules Array Size: 15 Modules ZIPPER, MICHAEL � '` \ 5 CAULDRON CT 1 � \ (E) Shed SALEM, MA 01970 (E) Deck � Project# 10345696 1 � '`� (N) PV Array 1: oEs���Ea�. Lucas Murphy / � � 33 Suniva RE���Ea: Adry Walsh � � � OPT 280-60-4-1 BO --�___`` veasioN onre. 2016-OS-31 � Modules � � REVISIONS � � � � # By Date Notes I �/ , I I / (E)Shade StrucWre Z ' I 1 O 3 / f 4 / 5 $ � (N) PV Arrey 2: � 15 Suniva � __, OPT2S0-60-4-1B0 ` '-� Modules ` / � �� �_ o , �- ` � � .- �- -� ,� ,---- � \ �x � � (E) Pool �, l o � ` J �` � � v � 9 � J d , m � J - � (E)Driveway / _ \ C�� am \ — — — �/ O � (E) Property Line � � �_ ._ _ — — — — — — — � , � Equipment on Exterior Wall: (E) U[ility Meter (N)J-Box- P.O.I. via Supply Side Line Tap . (N)PV AC Disconnect- Fused (N) PV AC Combiner Panel °`"`� 1/16" = 1'-0" (N) PV Prod. Monitor Equipment on Interior Wall: N SITE PLAN (E) Main Service Panel W E NOTE: ALL EXTERIOR CONDUIT ON ROOF AND UNDER EAVES PV-A01 FINAL LOCATIONS TO BE DETERMINED DURING INSTALLATION 5