Loading...
6 CHAMPLAIN ROAD - BUILDING JACKET 1 f The Commonwealth of Massachusetts Board of Building Regulations and Standards RECEIVED CITY M Massachusetts State Building Code,780 CMINSP€CTIOHAL !;W=2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a yW� One-or Two-Family Dwelling 701h REC _ V— This Section For Official Use Only _ Building Permit Number: ate Applied: Building Official(Print Name) SignattEe Date .�, SECTION 1:SITE INFORMATION 1.l Prope Address• 1.2 Assessors Map&Parcel Numbers Lla 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(fl) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G-L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: Outside Flood Zone?Check if yesO Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 er of Record Salem, Ma. 01970 � ,n �rSjhc--l.,�n Nam (Print) Q City,State In C�,DAYYll71��_A^I � ���-'?s-�"I G�2- •• �- •� - _= No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify: Brief Description of Proposed Work': to �G x SU 0C yN-)_ ,- ��noA S IJ ' FYI— SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials) 1.Building $ .dU 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ r.,f Z ❑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 $ Su ression Total All Fees:$ 6.Total Project Cost: $L�' 1 „�ois Check No. Check Amount: Cash Amount: ❑Paid in Full ❑Outstanding Balance Due: i Gbi '� 1wkl 'b 6t IL` � IL iN iL 11 IN IN SECTION 5: CONSTRUCTION SERVICES 5.1 \Construction Supervisor License(CSL) 0L L LQ �JCImpS s�lPYr �P�1'� License Number Expiration Date Name of CSL Holder Uq--t _ , 1�_ ,\,a � r a List CSL Type(see below) U No.and Street ` 1�/ lJ�� Type Description Q .� xh . p �\/hU� U Unrestricted(Buildings u to 35,000 cu.ft.) City/Iowq State,ZI/l/�� "1 R Restricted 1&2 FamilyDwelling M Masonry RC Roofing Covering WS Window and Siding _ SF Solid Fuel Burning Appliances �lFS130S �J [�to�Sl1�41�iU�Vii�1Y I I Insulation Telephone Email address D Demolition 5.2 Registered Rome Improvement Contractor(HIC) "0!�5q S \}mil\u HIC Co V o or 1 1 `ImR o`a HIC Registration Number Expiation Date pp�gy1N� , egis nt Name No.an ��'tllr�r'elelt�'JJ'\ Uh(,C�J Email address City/Town,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 ..........❑ No...........O 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 V wXY)t SD\Cl.t- to act on my behalf,m all matters rel 'veto authorized by this building permit application. 11/21/14 Print Owner's Name(Electronic Signature) Date SECTION 7b: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 contained in this application is true and accurate to the best of my knowledge and understanding. y � I ? ggAH Print Owner's or Authorized Agen e(Eleoffnic Signature) Date 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 not have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program can be found at www.masS.eov.'oca Information on the Construction Supervisor License can be found at www,mass.eov/dps 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" I t id Il �`� CERTIFICATE OF LIABILITY INSURANCE DATE/2014 Y ) ,0/3i/2014 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endomemen s). PRODUCER CONTACT MARSH USA INC. NAME: 122517TH STREET,SUITE 1300 PHONE FAX INC, o NC NO, DENVER,CO 80202-5534 nooAliess: Attn:Denver.certrequeM@marsh.com,Fax:212.948.43B1 INSURE S AFFORDING COVERAGE NAICw 462738-STND-GAWUE-1415 - INSURER A:Evanston Insurance Company 35378 INSURED MVlnt Solar,Inc: INSURER B:Zurich Amercan Insurance Company16535 Vivint Solar Developer LLC INSURER C:American Zurich Insurance Company 40142 3301 North Thanksgiving Way Suite 500 INSURER D: Lehi,UT 84043 E—EA INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: SEA-002368030-08 REVISION NUMBER:0 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP R ima mom POUCYNUMBER MMIDDIYYYY MWDD/YYYY LIMITS A GENERAL LIABILITY 14PKGWE00274 111012014 11/012015 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY MAEU 50,000 PREMISES Ea occunenrs $ CLAIMS-MADE rx] OCCUR MED EXP(My one person) $ 5,000 X $5,000 Ded.Bl&PD PERSONAL&ADV INJURY $ 1,000,000 GENERALAGGREGATE $ 2,000,000 GENL AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY X PRO- LOC S B AUTOMOBILE LIABILITY BAP509601500 11/0112014 11/012015 OMBINEEDSINGLE LIMIT accident) $ 1,000,000 X ANY AUTO BODILY INJURY(Per person) S ALL AUTOS SSCHHEESULED BODILY INJURY(Per accident) $ AUTOX HIREDAUTOS X NONOWNED PROPERTYDAMAGE $ AUTOS Per accdent A UMBRELLA UAB X BUR 14EFXWE00088 11/01/2014 11/01/2015 EACH OCCURRENCE $ 5,000,000 X EXCESS LAB CLAIMS-MADE AGGREGATE $ 5,000,000 DIED RETENTIONS $ C WORKERS COMPENSATION WG509601300 11/01/2014 11/0112015 X me STATU- OTH- AND EMPLOYERS'LABILITY B ANY PROPRIETOWPARTNEWEXECUTIVE YIN WC509601400 11/01Y2014 11I012015 1,000,000 OFFICEWMEMBER EXCLUDED? � NfA E.L.EACH ACCIDENT $ (Mandatory in NH) E.L.DISEASE-EA EMPLOYE $ 1,000,000 Dyes deschb.under 1,000,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ A Errors&Omissions& 14PKGWE00274 11/01/2014 11101/2015 LIMIT 1,000,000 Contractors Pollution DEDUCTIBLE 5,000 DESCRIPTION OF OPERATIONS f LOCATIONS I VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space Is required) The Certificate Holder and others as defined in the written agreement are included as additional insured where required by written contract with respect to General Liability.This insurance is primary and non- contributory war any existing insurance end limited to liability arising out of the operations of the named insured and where required by written contract.Waiver of submgagon is applicable where required by written contract with respect to General Liability and Workers Compensation. CERTIFICATE HOLDER CANCELLATION City at Salem SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE 93 Washington Street THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Salem,MA 01970 ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE of Marsh USA Inc. Kathleen M.Parsloe . l�talrG ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010106) The ACORD name and logo are registered marks of ACORD 19 to 3301 Worth Thanksgiving Way,Suite 500 Structural Group Lehi,UT 84043 P: (801)234-7050 Scott E. Wyssling, PE Head of Structural Engineering scott.wysslingCa vivintsolar.com November 24, 2014 Mr. Dan Rock, Project Manager Vivint Solar 24 Normac Road Woburn MA 01801 Re: Structural Engineering Services Asuncion Residence 6 Champlain Road, Salem MA S-4066156 8.415 kW System Dear Mr. Rock: Pursuant to your request, we have reviewed the following information regarding solar panel installation on the roof of the above referenced home: 1. Site VisidVerification Form prepared by a Vivint Solar representative identifying specific site information including size and spacing of rafters for the existing roof structure. 2. Design drawings of the proposed system including a site plan, roof plan and connection details for the solar panels. This information was prepared by the Design Group and will be utilized for approval and construction of the proposed system. 3. Photovoltaic Rooftop Solar System Permit Submittal identifying design parameters for the solar system. 4. Photographs of the interior and exterior of the roof system identifying existing structural members and their conditions. Based on the above information we have evaluated the structural capacity of the existing roof system to support the additional loads imposed by the solar panels and have the following comments related to our review and evaluation: Description of Residence: The existing residence is typical wood framing construction with the roof system consisting of 2 x 8 dimensional lumber at 16" on center. The attic space is unfinished and photos indicate that there was free access to visually inspect the size and condition of the roof rafters. All wood material utilized for the roof system is assumed to be Spruce-Pine-Fir#2 or better with standard construction components. Our review of the photos of the exterior roof does not indicate any signs of settlement or misalignment caused by overstressed underlying members. Stability Evaluation: A. Wind Uplift Loading 1. Refer to attached Ecolibrium Solar calculations sheet for ASCE/SE/ 7-10 Minimum Design Loads for Buildings and other Structures, wind speed of 100 mph based on Exposure Category "B" and 25 and 28 degree roof slopes on the dwelling areas. Ground snow load is 40 PSF for Exposure "B", Zone 2 per (ASCE/SEI 7-10). 2. Total area subject to wind uplift is calculated for the Interior, Edge and Corner Zones of the dwelling. vivint. so I a i Page 2 of 2 B. Loading Criteria 10 PSF= Dead Load roofing/framing 40 PSF= Live Load (around snow load) 5 PSF=Dead Load solar oanels/mounting hardware Total Dead Load=15 PSF The above values are within acceptable limits of recognized industry standards for similar structures. Analysis performed of the existing roof structure utilizing the above loading criteria indicates that the existing rafters will support the additional panel loading without damage, if installed correctly. C. Roof Structure Capacity 1. The photographs provided of the attic space and roof rafters show that the framing is in good condition with no visible signs of damage caused by prior overstressing. D. Solar Panel Anchorage 1. The solar panels shall be mounted in accordance with the most recent "Ecolibrium Solar Installation Manual', which can be found on the Ecolibrium Solar website (ecolibriumsolar.com). If during solar panel installation, the roof framing members appear unstable, deteriorated, structurally compromised or deflect non-uniformly, our office should be notified before proceeding with the installation. 2. Maximum allowable pullout per lag screw is 235 Ibs/inch of penetration as identified in the National Design Standards (NDS) of timber construction specifications for Hem-Fir (North Lumber) assumed. Based on our evaluation, the pullout value, utilizing a penetration depth of 2 Yz', is less than what is allowable per connection and therefore is adequate. Based on the variable factors for the existing roof framing and installation tolerances, using a thread depth of 2 1/2" with a minimum size of 5/16" lag screw per attachment point for panel anchor mounts should be adequate with a sufficient factor of safety. 3. Considering the roof slopes, the size, spacing, condition of roof, the panel supports shall be placed at and attached to no greater than every fourth roof rafter as panels are installed perpendicular across rafters and no greater than the panel length when installed parallel to the rafters (portrait). No panel supports spacing shall be greater than four (4) rafter spaces or 64"o/c, whichever is less. 4. Panel supports connections shall be staggered to distribute load to adjacent rafters. Based on the above evaluation, it is the opinion of this office that with appropriate panel anchors being utilized the roof system will adequately support the additional loading imposed by the solar panels. This evaluation is based on information supplied to us at the time of this report and current industry standards and practices. Should you have any questions regarding the above or if you require further information do not hesitate to contact me. ery truly yours, OF o_ y� 10 40 Scott E.Wy ling, civi MA License No. : �o eGi STEQ¢ FSSIONA& bibint. s .} i r V INTERCONNECTION POINT, U o LOCKABLE DISCONNECT SWITCH, C m ANSI METER LOCATION, mo &UTILITY METER LOCATION I "o o �¢mw N'E z ¢ LL� 0'OF 1"PVC CONDUIT I O OU aI FROM JUNCTION BOX TO 1� e y 0 `s ELEC PANEL V J •� U o a Q PV SYSTEM SIZE: I 0 8.415 kW DC I U} •� N .. A irl I I Q gm $ < �V > >J w gj z I I w z m U a I I SHEET NAME: WZ I (33)Vlnali Enemy VL255P-29b MODULES WITH A JUNCTION BOX ATTACHED TO V) Enohase M215-60.2LL-52z-ZC MICRO-INVERTER ARRAY USING ECO HARDWARE TO I a MOUNTED ON THE BACK OF EACH MODULE KEEP JUNCTION BOX OFF ROOF SHEET __ _-___ __-_________ __ NUMBER: t, PV SYSTEM SITE PLAN SCALE: 3/32"= 1'-0" > d a� U OMP.SHINGLE N OMP.SHINGLE � n TIE INTO METER# ' 99258956 rc m ymj SATELLIT DISH N E-Z O NO 0•U o C � 7 - PV CIRCUIT#1. 17 MODULES Roof Section 1 Roof Section 2 Roof Azimuth:265 RodAmoth:85 - Roof Tilt:28 RoofTidt 25 I♦. L f PLUMBING VENT(S N\N ROOF VENT(S g • n G V CIRCUIT#z: e 16 MODULES •� A a 57 to K U w 6 > E a z w w N 1 Z m � � W Z Z Z Q 2 2 SHEET \Nt NAME: LL Z 0g SHEET NUMBER: PV SYSTEM ROOF PLAN N SCALE: 3/16"= V-0" > d � ,13- i �► -ail (P — l INSPECTIONAL SERVICES Its The Commonwealth of Massachusetts n Board of Building Regulations and Standards Z81% HAR 18 9f1'1F \�/ Massachusetts State Building Code,780 CMR SALEM Revised Mar 2011 Building Permit Application To Construct,Repair, Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official Use Only Building Permit Number: Date Appl' Building Official(Print Name) ignature Date SECTION 1:SITE INFORMATION 1.1`nroQe Address: 1.2 Assessors Map&Parcel Numbers �v �r OIA-01 -) nA 1.1 a Is this an accepted street?yes x no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq In Frontage(11) 1.5 Building Setbacks(it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Check if yes❑ Municipal❑ On site disposal system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 O ner of RecAy��d: Ct C4 N Y �1T tt4)(1�D X1 SSt I , Iy1 NA 11(`�l Name(Frio City,Slate,ZIP �� C 1 I0tLJ ,) la No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK (check all that apply) New Construction X I Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Specify: - Brief Description of Proposed Work': O O VW DV +aic. sc vctr -AA (-,)E SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: (Labor and Materials) Official Use Only 1.Building $ ) OU.O() 1. Building Permit Fee:$ Indicate how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee 31 D ❑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: $, 1 . 00 El Paid in Full ❑Outstanding Balance Due: MIN tt..k.-�V SECTION 5: CONSTRUCTION SERVICES 5.11-Construction Supervisor License(CSL) 6�S Z5 4 -1t�.m�S �V\2YPy o-y-) License Number Exp tion ate Name of CSL Holder 2 I �-kCL�V'\ S l r -I List CSL Type(see below) U No.and Street p I Type Description SCl1 (� ll 1�{� Q)gc)� U Unrestricted(Buildings u to35,000cu.ft. R Restricted 1&2 FamilyDwelling City/Town,Syas ZIP M Masonry `/ RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances —isl-6 n6aBo�g VIULI/�415[-r I Insulation Tele hone Email address Cprn D Demolition 5.2 Registered Home Improvement Contractor(HIC) VIVIVVt S0l0.l'D2yelope ��c HIC Registration Number E pira on Date HIC Com any Name or HIC R gistrant Name 4g3PN SOD Z. w\-aS00-ta VLVIY so r. No.and P Email address C.tarvt rOYOStreet UT �Lk100� -I$13O5301o5 Ci /Town,State,ZIP Tel- hone 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 .......... No...........❑ SECTION 79:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize VI V 1✓1'A- SD 10-1— t t on my bel ,in all matters relative to work authorized by this building permit application. �"p�'.'x7_ L A l Pnnt'Owner's Name lectromc Signature) Ipat 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 th' p ' tion is true and accurate to the best of my knowledge and understanding. v �- Print Ow s r rind 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 www.mass eov/oca Information on the Construction Supervisor License can be found at www.mass.aov/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.) h Habitable room count Number of fireplaces f 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" a� N U V INTERCONNECTION POINT, �_ LOCKABLE DISCONNECT SWITCH, �TS'OF ce PVC CONDUIT ANSI METER LOCATION, K m W FROM JUNCTION BOX TO ELEC PANEL B UTILITY METER LOCATION o ' I T °E1 Q��D NO PV SYSTEM SIZE: Q z 6.50 kW DC Q Q ' co Q L G O Ln c .cu - - M< mo N � V Q Z > Z W m Q C > o i Lr a K V W W Z m W Z J zzV 3 N Q K SHEET NAME: c/ ~ J � (26)Trina Solar TSM-250 PA05.18 MODULES WITH A JUNCTION BOX ATTACHED TO a Enohase M215�60-21-1--S2x-ZC MICRO-INVERTER ARRAY USING ZEP ZS-GAB TO SHEET MOUNTED ON THE BACK OF EACH MODULE KEEP JUNCTION BOX OFF ROOF NUMBER: Ci PV SYSTEM SITE PLAN o SCALE: 3/32"= T-0" d b CHAMPLAIN ROAD n.u..-. ..-..... L G" ZONING EVALUATION l �L ZONING DISTRICT R — 1 ITEM REQUIRED PROPOSED CITY OF SALEM ,� LOT A LOT 8 o� �Q Q a� SAINT A N N E S PARK LOT AREA 15,000 SF 31230 SF 32930 SF I s" R_440.p0 R=3304.84 FRONTAGE 100 FT 32.00 FT* 68.26 FT* o3'31" i� d =0255'4�i� * DENOTES VARIANCE REQUESTED ?�� L�1vR6ucE �i 131.00 �� XISTIN CON.tROL L X69..00 300' d =276'16" 5e� 4. E D 6 L=131.Op se s 1"-�00' A- i� � 6I's-, 56 pa983j0' RENE ARMAND'PARCEL Z � Book 5�g"E MARGUERITELOCUS PLAN N 19,394 SSF, 52��0g1' R-CBELANGER LOUIS ' 2�9. 0 1 E ZONI YG �� o° SEE PLANR - - RECORDED /�/BELF/OR \� 1�2 5 App�RICIM �v4- j I 20?5'' ,? BOOK 2334 PAGE & ANDREW DIS RRom LOT A 127 PARCEL X IS TO BE COMBINED KLING N0521'37" ' R SEE RE/ WITH LAND OF MARK . BERNARD e 2)-5/ 34231 S,F, WA YN TO FORM ONE LOT 13.00 �� *l' Sse'� a "AREEDA & APPROVAL UNDER THE SUBDIVISION N w 60.00' CHEEVER M. CONTROL LAW NOT REQUIRED PARCEL Y IS TO BE COMBINED N SHED N LOT B�SBo /6e T6 �' S0342'21"W SALEM PLANNING BOARD WITH LAND OF BELFIORE & KLING TO FORM ONE LOT p .W 3Z 930 SF. = N :a - O h .o �� / eW PARCEL Z /S NOT TO BE m A o/�" o 31'3 " E o Q � CONSIDERED A BUILDABLE LOT. Q ^ n w d � 29 35' ^ O O 49.2 r w� 5 X05 `O Z Cj Lo W L � co Z J/ SB / -o:: .'� set ' Q °`8 . a yam. 151 JN WWO 6�g900 411. CHAMPLAIN ����� A9 V oo� o l 48.so' m° rr '. a ' ROAD ,p6 , �� ° S035427"W DATE m o S'�36s w .ti°� CHAMP No 31.00 70. 17 LAIN w 101.17' �o ROAD�? 202.34' S0354 ^ '27"W /'•'� Z PARCEL X Z (f) 411. ROBERT J998 SIF, "tow & DORIS M. �+ NOTES: m LeVASSEUR MARK. iy w PLAN REFERENCE : BOOK 2334 PAGE 127 f n > tq BERNARD SUBDIVISION DEED REFERENCE : BOOK 13640 PAGE 419m SEE PLAN W PLAN OF LAND ASSESSORS MAP 23 LOT 524 BOOK lOOREEND ED IN LOCATED IN m I SALEM , MASS . (� c PREPARED BY FOR REGIS TRY USE ONLY I HEREBY CERTIFY THIS PLAN CONFORMS EASTERN LAND SURVEY ASSOCIATES, INC. TO THE RULES AND REGULATIONS OF THE REGISTERS OF DEEDS OF THE COMMON— y, CHRISTOPHER R. MEL L O, PLS WEALTH OF MASSACHUSETTS. 104 LOWELL ST. PEABODY, MA. 01960 1,� „� - I (508) 531 -8121 SCALE 1 = 40 OCTOBER 15, 1996 t� PREPARED FOR i CHAMPLAIN REALTY TRUST THIS PLAN IS BASED ON THE REFERENCED PLANS, DEEDS AND THE RESULTS OF A FIELD SURVEY AS OF THIS DA TE. NO CER77FICA77ON IS INTENDED AS TO PROPERTY TITLE 0 20 40 80 120 160 OR AS TO THE EXISTENCE OF UNWRITTEN OR UNRECORDED REVISED APRIL u, 199 EASEMENTS. F 10594 G&E STEEL FABRICATORS INC. - ��_.�.-•xm Light Structural Steel Miscellaneous Iran Work Fabrication and Erection At4TONIOCIAsuLL.0 4FL.ORENCE ST. • UNITS PROJECT MANAGER SALEM,MA 01970,4818 Phone:(978)741-0391 Fax; (978)741.4626 C6 �/ � /'C�• �'� /1oq� April 4, 2013 City of Salem Building Department 120 Washington St.3rd Floor Salem, MA 01970 Dear Building Inspector, This note is to affirm the fact that the.home at 6 Champlain Road,Salem, MA is,and only is, a single family residence. Since the home was built in 1997,it has functioned as a single family residence for the Ciasullo family. The Ciasullo's have raised their children in this home and have thoroughly enjoyed the home to entertain their family. This home is in the process of being sold to Edgar and Cecil Joy Asuncion. It is Asuncion's intention to raise their two small boys in this home. They also attest to utilize this property exclusively as a single family residence. We sincerely hope that the City of Salem will feel as comfortable as possible that this home will be retained in its single residence status. Regal ds, FrancesccaaCiasullo Current owner of 6 Champlain Rd., Salem *_.-,.ti �iCKctUay2 04/8/20131gCcuttia�t 04/8/2013 eSigned YRRP-PO(av14:47 PM EDT _. _ eSigned MAJ2_NC(a1 4 53.PM EDT Edgar Asuncion Cecil Joy Asuncion New owners of 6 Champlain Rd.,Salem r7990334-351C Document signed electronically;legally binding by federal statute;visit douoobcomiverify 512-2- $Is C4e-51S 0 //o PLOT PLAN OF LAND IN SALEM, MA., DATE: 4-11-02 SCALE: 1"=40' BAY STATE SURVEYING ASSOCIATES INC., 100 CUMMINGS CENTER, SUITE 316J BEVERLY, MA., 01915 OFFSETS SHOWN ARE APPROXIMATE BY TAPE SURVEY. 00 b3' (A2F�1=31�Z31 tS,F) POO yND A-8ov£ 2.0 DEcK 36 I 5{" L _J ZD Z s ro2y Woofl INS 7y 4 oe ROBERP JAMES 5071ROS Povv i GHAMP��iN 2D, �1 CAR CO � 2 � y CAR CO R � � +� t q c�o►� p eo Q +J 2 1548 R t �=►ooQ 32'i� 80,. �f1� �jA sully Nom. 6 CNAa1 Y. 4i'r -FfRciT. t=�Q dF1 9440 Al. X14 • 0 t 9)Ya } i ,r R� lb 41 R �i a �A �' ` e , . 0006 CHAMPLAIN ROAD 823-2002 GIs#: 9814 COMMONWEALTH OF MASSACHUSETTS Map:, ' 23 CITY OF SALEM Block: . „ Lot 0024_ Permit: Building BUILDING PERMIT Category: - 438 Additions of gars Permit# 823-2003 Project# JS-2002-1803 Est.Cost:. $10,000.00- e8:, $65.W (` - PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Gioup: *Unknown Lot Size(sq.ft.): 31231 Owner. CIASULLO GINO Zoning: R1R " Applicant. CIASULLO GINO Units Gained: Units Lost AT: 0006 CHAMPLAIN ROAD ISSUED ON: 18-Jun-2002 AMMENDED ON: EXPIRES ON: 22-Apr-2002 TO PERFORM THE FOLLOWING WORK. 823-2002 CONSTRUCT GARAGE. REQUESTED BY ANTONIO CIASULLO. TSP POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric GasBuilding Underground: Underground: Uadergrouad: Excavation: Service: Meter: Footings: Rough: Rough: Rough: Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Healt insulation: Meter: Oil: Final: House# Smoke: Treasury: Water: Alarm: Sewer: Sprinklers: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: 25.00 REC-2002-002010 22-Mar-02 236 $65.00 GeoTMS®2002 Des Lauriers Municipal Solutions,Inc. fQit� of ,$Nivm, � ussttcljusetts Paura of '�kppeal DECISION ON THE PETITION-OF—PHILIP- SINGLETON REQUESTING A VARIANCE-FOR THE PROPERTY LOCATED AT 6 CHAMPLAIN ROAD. %(R-1)/(RC) A hearing on this petition was held November 13, 1996 with the following Board Members present: Gary Barrett, Chairman; Paul Valaskagis, Richard Dionne, Nina Cohen and Albert Hill. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioner, owner of the property, is requesting a Variance from front yard setbacks for two lots to build two single family dwellings for the property located at 6 Champlain Road. The Variances which have been requested may be granted upon a finding by this Board that: 1. Special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings and structures involved. 2. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise, to the petitioners. 3. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district of the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented at the hearing, and after viewing the plans, makes the following findings of fact: 1. The following were in opposition due to concerns for Blasting requirements for foundations and Water Drainage after construction is completed. Larry Dennis, Anita Cote, Tony Cote, Jean Gallant and Rene Belanger. 2. This will allow petitioner a fuller use of the property. 3. Petitioner was represented by Attorney John R. Keilty. On the basis of the above findings of fact, and on the evidence presented at the hearing, the Zoning Board of Appeal voted unanimously, 5-0 to grant the variance requested, subject to the following conditions: 1. Petitioner shall comply with all city and state statues, ordinances, codes and regulations. 2. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. DECISION OF THE PETITION OF PHILIP SINGLETON REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 6 CHAMPLAIN ROAD, SALEM page two 3. All construction and blasting shall be done as per the plan and dimensions submitted and approved by the Zoning Enforcement Officer. 4. Petitioner shall obtain a building permit prior to beginning any construction. 5. A Certificate of Occupancy is to be obtained. 6. Petitioner shall obtain proper street numbering for each property from the city assessor. 7. Petitioner shall obtain approval for building from the Conservation Commission prior to any construction. 8. Petitioner shall install sidewalks for the entire frontage of both properties. 9. Petitioner shall provide preblasting assessments for abutters within 300 feet including Roger Levoie of 29 Willson Street. 10 Petitioner shall obtain claim procedures from the state for blasting and notify abutters of contents. 11. Petitioner shall obtain blasting procedures from the state and deliver contents to abutters. 12. Petitioner shall convey property marked Parcel (Y) to Kling and Parcel (X) to Bernard. Plans dated October 3, 1996 and October 15, 1996. Variances Granted November 13, 1996 Albert C. Hill, Jr. Member, Board of Appeal DECISION OF THE PETITION OF PHILIP SINGLETON REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 6 CHAMPLAIN ROAD page three A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to Massachusetts General Laws Chapter 40A, Section 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certification of the City Clerk that 20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that it has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Board of Appeal e . of Salem, cftzssadjusrits 3 '04 9 Poura of � Val L V :D DECISION ON THE PETITION OF PHILIP SINGLETON REQUESTING A VARIANCE-FOR THE PROPERTY LOCATED AT 6 CHAMPLAIN ROAD. (R-1)/(RC) A hearing on this petition was held November 13, 1996 with the following Board Members present: Gary Barrett, Chairman; Paul Valaskagis, Richard Dionne, Nina Cohen and Albert Hill. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioner, owner of the property, is requesting a Variance from front yar setbacks for two lots to build two single family dwellings for the propert located at 6 Champlain Road. The Variances which have been requested may be granted upon a finding by this Board that: 1. Special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings and structures involved. 2. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise, to the petitioners. 3. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from th intent of the district of the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented at the hearing, and after viewing the plans, makes the following findings of fact: 1. The following were in opposition due to concerns for Blasting requirements for foundations and Water Drainage after construction is completed. Larry Dennis, Anita Cote, Tony Cote, Jean Gallant and Rene Belanger. 2. This will allow petitioner a fuller use of the property. 3. Petitioner was represented by Attorney John R. Keilty. On the basis of the above findings of fact, and on the evidence presented at the hearing, the Zoning Board of Appeal voted unanimously, 5-0 to grant the variance requested, subject to the following conditions: 1. Petitioner shall comply with all city and state statues, ordinances, codes and regulations. 2. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. DECISION OF THE PETITION OF PHILIP SINGLETON REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 6 CHAMPLAIN ROAD. SALEM: page two 3. All construction and blasting shall be done as per the plan and dimensions submitted and approved by the Zoning Enforcement Officer. 4. Petitioner shall obtain a building permit prior to beginning any construction. —S. A Certificate of Occupancy is to be obtained. 6. Petitioner shall obtain proper street numbering for each property frc the city assessor. 7. Petitioner shall obtain approval for building from the Conservation Commission prior to any construction. 8. Petitioner shall install sidewalks for the entire frontage of both properties. 9. Petitioner shall provide preblasting assessments for abutters within 300 feet including Roger Levoie of 29 Willson Street. 10 Petitioner shall obtain claim procedures from the state for blasting and notify abutters of contents. 11. Petitioner shall obtain blasting procedures from the state and delive contents to abutters. 12. Petitioner shall convey property marked Parcel (Y) to Kling and Parce. (X) to Bernard. Plans dated October 3, 1996 and October 15, 1996. Variances Granted November 13, 1996 f) Albert C. Hill, Jr. Member, Board of Appeal DECISION OF THE PETITION OF PHILIP SINGLETON REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 5 CHAMPLAIN ROAD page three A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CIT CLERK Appeal from this decision, if any, shall be made pursuant to Section 11 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to Massachusetts General Laws Chapter 40A, Section 11, th Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certification of the City Clerk that 20 days have elapsed and no appeal has been filed, or that, if such appeal ha been filed, that it has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Board of Appeal Citu of _'5ttlem, 4 Hassadlusetts *� M DECISION ON THE PETITION OF PHILIP SINGLETON REQUESTING A VARIANCE-FOR THE PROPERTY LOCATED AT 6 CHAMPLAIN ROAD. (R-1)/(RC) A hearing on this petition was held November 13, 1996 with the following Board Members present: Gary Barrett, Chairman; Paul Valaskagis, Richard Dionne, Nina Cohen and Albert Hill. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chapter 40A. Petitioner, owner of the property, is requesting a Variance from front yar setbacks for two lots to build two single family dwellings for the propert located at 6 Champlain Road. The Variances which have been requested may be granted upon a finding by this Board that: 1. Special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings and structures involved. 2. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise, to the petitioners. 3. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from tt intent of the district of the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented at the hearing, and after viewing the plans, makes the following findings of fact: 1. The following were in opposition due to concerns for Blasting requirements for foundations and Water Drainage after construction is completed. Larry Dennis, Anita Cote, Tony Cote, Jean Gallant and Rene Belanger. 2. This will allow petitioner a fuller use of the property. 3. Petitioner was represented by Attorney John R. Keilty. On the basis of the above findings of fact, and on the evidence presented at the hearing, the Zoning Board of Appeal voted unanimously, 5-0 to grant the variance requested, subject to the following conditions: I. Petitioner shall comply with all city and state statues, ordinances, codes and regulations. 2. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. ;h j� DECISION OF THE PETITION OF PHILIP SINGLETON REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 6 CHAMPLAIN ROAD, SALEM page two 3. All construction and blasting shall be done as per the plan and dimensions submitted and approved by the Zoning Enforcement Officer, 4. Petitioner shall obtain a building permit prior to beginning any construction. — - S. A Certificate of Occupancy is to be obtained. 6. Petitioner shall obtain proper street numbering for each property fro the city assessor. 7. Petitioner shall obtain approval for building from the Conservation Commission prior to any construction. 8. Petitioner shall install sidewalks for the entire frontage of both properties. 9. Petitioner shall provide preblasting assessments for abutters within 300 feet including Roger Levoie of 29 Willson Street. 10 Petitioner shall obtain claim procedures from the state for blasting and notify abutters of contents. 11. Petitioner shall obtain blasting procedures from the state and delive contents to abutters. 12. Petitioner shall convey property marked Parcel (Y) to Kling and Parce. (X) to Bernard. Plans dated October 3, 1996 and October 15, 1996. Variances Granted November 13, 1996 Albert C. Hill, Jr. Member, Board of Appeal n r DECISION OF THE PETITION OF PHILIP SINGLETON REQUESTING A VARIANCE FOR THE PROPERTY LOCATED AT 6 CHAMPLAIN ROAD page three A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CIT CLERK Appeal from this decision, if any, shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to Massachusetts General Laws Chapter 40A, Section 11, th Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certification of the City Clerk that 20 days have elapsed and no appeal has been filed, or that, if such appeal hE been filed, that it has been dismissed or denied is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Board of Appeal �ONUIT� BOARD of ASSESSORS 93 WASHINGTON STREET, CITY HALL. SALEM, MASSACHUSETTS 019703595 i (508) 745.9595 Ext. 261 (508) 744.9327 FAX July 1, 1998 Deborah E. Burkinshaw City Clerk City Hall Salem MA 01970 Dear Miss Burkinshaw: Please be advised that the the new lot created by the subdivision of 6 Champlain Road (Parcel 423- 24) has been assigned legal street address as follows: Lot B (Parcel 423-243) 19 Arthur Street Very truly yours, Frank Kulik Chairman cc: Postmaster Joseph L. Leccese Chief Robert Turner, Fire Dept. Helen Jiadosz, Water Dept. Kevin Goggin, Acting Inspector of Buildings Capt. Paul Murphy, Police Dept. Chi#g of �zllem, fl�zsttc �zu#ts (one POUrb HAT Z 1 13 '97 (one �salm (Srun CITY or SALC1i. MASS CLE'RK'S OFF'ICF FORM A - DECISION Ms . Deborah Burkinshaw City Clerk �q Salem City Hall Salem, MA 01970 Dear Ms . Burkinshaw: At a regularly scheduled meeting of the Salem Planning Board held on April 3, 1997 it was voted to endorse "Approval Under Subdivision Control Law Not Required" on the following described plan: 1 . Applicant : Philip Singleton C/o Attorney John Keiltv Lowell Street Peabody, MA 01960 2 . Location and Description: 6 Champlain Road Deed ar property records in Essex Soutn District Registry. Sincerely, Walter B. Power , III 5. Chairman EX\DH\BPFORMA ThIS USC* posted On .0fflclW aul fir, • Cft all Ave., Salem, o at / ,,f p Masa. iii € Q� Y"�"` N s BOARD of ASSESSORS 93 WASHINGTON STREET, CITY HALL, SALEM, MASSACHUSETTS 01970-3595 (508) 745.9595 Ext. 261 (508) 744-9327 FAX NE t'Ar April 14, 1997 Deborah E. Burkinshaw City Clerk City Hall Salem MA 01970 Dear Miss Burkinshaw: Please be advised that the two new single family homes to be constructed at the intersection of Chaplain Road and Arthur Street on the two new lots created by the subdivision of Parcel #23-0024 have been assigned the legal street addresses of 6 Champlain Road and 19 Arthur Street. ry y us, s 'L 4! Peter M, Caron Chairman cc: Postmaster Joseph L. Leccese Chief Robert Turner, Fire Department Helen Jiadosr.Water Dept. Leo Tremblay, Inspector of Buildings Capt. Paul Murphy. Police Dept. Philip Singleton, 12 Charring Cross Lane, Lynnfield MA 01940