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8 PROCTOR ST - BUILDING INSPECTION � � t��/� _ ��( �z5 � � � S�Z ,� '3'he Commonwealth of Massachusetts � Department of Public Safety Massachusetts State Buitding Code(780 CMR) �, Building Permit Application for any Building other than a bne-or Two-Fanuly Dwelling � (This Section For Ofti ial Use Only) �.l� Building Pernut Number: Date Applied: � 1 �� � Building Official: \�1J SEC'I'fON 1:LOCATION(Please indicate Block#and Lot#for locarions for which a street address is not available) �4'P ac,Tu� 5 S '�L _ � ` No.and Street City/Town Zip Code Name of Building(if appiicable) } SECTION 2:PROPOSED WORK � Edition of MA State Code used_ If New Construction check here 0 or check all that apply in the rivo rows below ExisHng Building❑ Repair❑ AlteraHon ❑ Addifion Demolirion O (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/qr construcfion documents being supplied as pazt of this perntit applicaHon7 Yes ' No ❑ Is an Independent Struchua}Engineering Peer Review required? Yes No ❑ Brief Description of Proposed Work: S C3L r /� 1�7iIs� C`1i�'�1 GC�� '{�✓-}L L7 7U I�'i�^ /�r�5T7? l rTlalJ �?.t1c�Z C-3-r�I �Tlvt/C..� f--r 12�f ]�i—.c-r��2 SECTION 3:COMPLEI'E THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDTTION,OR CHANGE IN USE OR OCCUPANCY Check here if an FxisHng Building InvesrigaHon and Evaluation-is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposec�Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed � No.of Floors/Stories(include basement levels)&Area Per Floor(sq.h.) . Total Area(sq.ft.)and Total Height(ft.) � �� � � � r0 �y � SECITON 5:USE GROUP Check as applicable) A: Assembly A-1 � A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: EducaHonal ❑ F: Fact F-1❑ � F2❑ H: Hi Hazard� H-1❑ H-2❑ H� ❑ H11❑ H-5❑ I - I: InsNFurional I-1 ❑ I-2❑ I-3❑ I-4❑ M: MercanHle❑ R: ResidenHal R-1❑ R-2❑ R-3❑ R-4 O � S: Storage Sl❑ S-2❑ U: Utility❑ Special Use O and please desaibe below: Special Use: - � � SECTION 6:CONSTRUC'I'ION TYPE(Check as applicable) � IA ❑ IB ❑ IIA 0 IIB O IIIA ❑ IIIB � IV ❑ VA ❑ VB ❑ � SECTION 7:SITE INFORMATION(refer to 780 CMR 111A for details on each item) Water Supply: Flood Zone InformaHon: Sewage IIisposal: Tzench Pemtit Debris Removal: Public Q� Check if outside Flood Zone❑ Indicate municipal � A trench will not be Licensed Disposal Site O Private❑ or indentity,Zone: or on site system❑ required�or trench or specify: permit is enclosed❑ � Railroad right-of-way: � Hazards to Air NavigaHon: MA Historic Commission Review Process: Not Applicable O�' Is Shvctvre within airport approach azea? Is their review completed? or Consent to Build endosed❑ Yes O or No❑ - Yes❑ No ❑ SEC170N S:CONTENT OF CERTIFICATE OF OCCUPANCY Ediflon of Code: Use Group(s): Type of Construcrion: Occupant Load per F(oor: Does the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of I'roperty Owner� e�r�i s��p wc.:� vvl o��a 3 �v� (� rn ra,�3���� �Yi�a- v,� Name(Print) � No.and Street City/Town Zip Pro erty Owner Contact Information: �c�i-y�.t�? _ 7���0 � �L7-_2�X D r7 V�'1J�f�vP� C(�McrrS. , � Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes � Name Street Address City/Town State Zip to act on the ro e owne�'s behalf,in all matters relative to work authorized b ihis buildin ermit a lication. SECITON 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) IE buildin is less than 35,000 cu.ft.of enclosed s "ace and or not under Construction Conhol then check heie O and ski Secdon 101 101 Re 'stered Profesaional Res onsible for ConstrucHon Control � �r4��v�l�L._ �-�v�cb�- �- G3f �iR�-� �r� �-?3"7 / Name(Re strant) Telephfjn�e No. �i,e�-ma dress .egistration Number �SZJ �n��M,vh rr12.E1=1�L� `�V I �'✓Z���.CS�' `V u�� �� �. Street Address City/Town � State Zip Discipline Expiration Date �10.2 General Contractor � � '1'1�C.�/I�� � 1 - �� Company Name � /1 C-�-v2e 552�/J w t-s� V r�bvl.t/�-[�J GGS — �/ 3 c�7� Nazne of Person esponsible for Construction License No. and Type if Applicable Q �v+� /�, VV� ��Lts����� �� �/� —� Street Address City/Town State Zip - - 7Y-7�r>�o t�� ldlZ-71�- U 9 9 c� `� 2� '- - �-�_ ?, Tele hone No. usiness Tele hone No. cell e-mail address . SECTTON 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§25C 6 I A Workers Compensation Insurance Affidavit from the MA Departtnent of Industrial Accidents must be completed and �- submitted with this applicarion. Failure to provide this affidavit will result in the denial of the�i suance of the building permit. Is a si ed Affidavit submitted with Hvs a licadon? Yes fd No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor 3� ��� and Materials) Total Construcfion Cost(from Item 6)_$ 1.Building $3v�C7[2 O Building Permit Fee=Total Construcflon Cost x_(Insert here � 2.Electrical $ 3�7 n appropriate municipal factor)_$ . 3.Plumbing $ 4.Mechanical (HVAC� $ � � � Note:Minimum fee=$ � (co ct ctpality) 5.Mechanical Other IZ(�� $ .Zc9 O . �close check payable to ��✓lJ , 6.Total Cost $ �� p (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 pexjury that all of the information contained in this applicaHon is true and accutate to the best of my knowledge and understanding. .'`��-v��—~1 Gl�{'�2-IS��C�-T�L 1'VlU�'1.09-(�t7 '1 / Col7 -�- I /cf Please ' t d ' . Title � '``� Telephone No. ate � Sh�eet Address City/Town tate Zip � 3 E��nn L. , 2✓b�(�Ltv-nA Municipal Inspector to fill outthis secHon vpon applicaHon approval: � ��W� � � Name � ' . . . � � _ . . . _ ., ��`{ 0 � DPS-CA1 as �M-0M04-G701216 . .....- _ � ./�_ _ . ______'_`-. �p j,/��,,,,6� __"__ . _.—.... __. —�he 10o/lvOtMUIIePGtI �+i✓"�'""^'"'^�'� ,� O�ce of Coosnmer Attairs&B�aness Regula6on .,, HOME IMPROVEMENT CONTRACTOR TyPe. ��� - Registration:f,170147 Expiratlon 1019I2014 Partnership MO CO JOHNSON GROUP_ .....__�.::� � �:!`_:>=�,.:. ,_, ._ � _ CHRISTOPHER MONAGO �:� 3 ELM PL =�,--_. �� 't"' �`� MARBLEHEAD MA 019A5 Undersecrelary � � Massachusetts -Departmeni or Public Safety � � Board of^ouiiding Regulatfons and Standards � Construcrinn Supcn�isnr � License CS�13075 ���-� � ,. � CHRISTOPFIER A MONACO ' 3 ELM PLACE ; ��'r� � " • MARBLEHEAD 16IA 019��# `- ���, J-���� '"�� �.� � _xpiratior. .. _ Commissioner 10@6/2015 I � CITY OF SALE;�I, �L�1SS.�CHL'SETTS • • BL'II.DL�tG DEPAR'[1�DiT ` 1?O 11�.15}l1NGTON STREEf,3�°F1.00R �� � 'I�i.. (97�745-9595 Fnx(978) 7�9846 KI�igERI.EY DRISCOLL MAYOR THonus S'r.P�xxs DIRECTOR OF PL'BLIC PROPERIY/H(:IIDING CO�L�tISSIO�iER Workers' Compensation Insurance Aft3davit: Buitders/Contractors/ElectricianslPlumbers Analicant Information Plc�� Print LeeDblv Vame�a�sinnss�or�.,ncza�ioNin���a��: Y 'I,a�A� ����X / �92e9-�• Address: � �-PM 1 � V�'l��U.a'id-t� I'l�(/�—' City/State/Zip: �� � PhoneH: / `�7�i 7��U�6� Are ou an employer?C6eek th appropriate box: 7y�pe o(project(requtred): I. am a cmployu with� 4. 0 t am a grnual conhector and 1 6. ❑New coravuction employcea(full aad/or part-time).• have hired the wb-contractors 2.0 1 am a sole pmpriemr or pazmer- lisced on the attached sheet� �� ❑Remodeling ship and have no employees These subcontractors have 8. ❑Demolition i working for mc in any capeciry, workera'comp,insurance. g, �guilding addiuon I' [No workeis comp.insuwnce 5. 0 We arc a carporaaon and its required.� officers huve exeicised the'v �0.� Electrical repairs oradditions 3.0 1 am a homeowner doing all work right of exemption per MGL I I.❑Piumbing repairs or additions myself.(No workers'comp. c. ►52,§I(4),and we have no �2,0 Roof repeira insurance required.]t employees. [No workera' �3.0 Otha comp.insurance required.] •nny opplicim�ha1 cfiucke boz pl must alsu fill uut�ha sec�iw 6ciow showiog�Ixir workas'oompmsmion policy intumia�ion. f ILwm:uwnns who submit tAi�alFidavb indicuing ihcy a�e doing a��work and thm hirc wnide wmmcron mu��suhmit a�row aRlJavit iraliab�such =(:amnkwn thnt check ihis hm[m�t anxhed an mWitimd uhee�showing Ihe name of 1he sul.�y�Creclp�f y�d their wohen'comp.poliry infonwtipi. I um an employer that ts providing worken'compenmfJon L�aurance jor my earployees. Below!s ths polfcy oqd Job alAe rnjarmation. "" � '' � Insurrnce Company>lame: ��'--���'�'�� G �I�YJ L3yvvw+v/ Policy H or Self-ins.Lic.N: I O (/� ��7 a-r�f'� Z Expiralion Da[e: /U ` lob Site Adifn:ss: � t"n-t7�L-�— City/Stntc/Zip:���lM- ��Z I�- (J1�4 r��� Attac6 a copy ot t6a worken'compensatlon poRry declaration page(showing the poltey numbar and e:pirrNon date). Failure to x:cure covewge as required under Saclion 25A of MGL c. 132 can lead to the imposition of criminal penalries of a fine up ro S I,S00.00 and/or one-year imprlsonmen[,as well as civil pcnalties in the focm of u STOP WORK ORDER and a fine of up to 5250.00 a Jay against the violator. 13e adviscd thnt a wpy uF this uatcmcnt may tx:Porw:uded ro the Oftice of Inves�igativas uF the DIA for insurance covcrage verilication. /Jo Gereby renljy uxder thr prrta d na/Nsr ojperjury t6at the inja�ma�lon providrd abovels true end co�rret >n t i • � Dute• �" � 7 �T P u � �✓(,� O�cid ust only. Do not wrile in rhis ureq to bt cwepltled by city oi�own o�riaL City or Town: PermiNi.icense# Issuing,�u�hority(circle one): 1.Duard uf He•rith 2.Building Department 3.City/1'own Clerk 4.Electrical Inspector 5.Plumbing Inspeetor 6.O�der Cnntact Person• Phooe q: � -- — - ;�. / ' � CITY OF S.�LE.tit, �:L�SS.�1CHt,'SETTS • ' BL'II.DL�SGDEP�R11fE,v'T ' l30 W 1SHINGTON STREET, 3"D H1.00R �� � 'I�I.. (978) 745-9595 FAX(978) 7�9846 IQ\(gERLEY DRISCOLL I MAYOR T�todt.►s ST.P�axe DIRECTOR OF PI:BLIC PROPER'IY/Bl'II.DII3G COJL�lISSIO.iFA Construction Debris Disposal Affidavit (required for all demolition and renovarion work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: , �Or�ds �LY�� (.��K.(p. (name of hauler) The debris will be disposed of in : �iZT� �l t;�C��/ lo (name of facility) 5��.-v� �• c�fl�ri ✓��9-_ (addtess of faciliry) � �1 �: C��� ��� '. �C f�—� signature of permit applicant �' �//7/�� ��e � a�n��,;,ir.a� � _ . _ � . �M ,..._�,- �,,l 1 Y v i- .,�...--- -� ,_ �:._..J..._ �.. $tiIIS)�G DEP�R'['�tE..�iT ,. 1�Q V((iSHL�1GTOfi SLREET, 3�O�-flOR � -['�t„.(978) 745=9595 '�a,'I� � - E�X(978)740,9846 , � IZ-(Ob4►S$T.� , KI,iiBERI-f.Y DRISCOL�- � "_ . �YOR `'p, � D C'TO�OFPL'BLICPROPERT1fIBl��'GCO�L��I�ION { ��pNSTRUC'CION CO�iTROL DOCl:v1EVT f� � � ''..� � OS i�""rDate: 02 � _�1 '�� .� ;' ��� �rTl! l4 ��� �1.�2'dL� � —__�_`�`_�— s ,, pYaject Title:�' , v . r��GT s' � Project Locarion: , --� i;7 v�U � �r �.� +-C'-�-�11�-?----��-- Scop�ot Project _ X--'"-- �------ , Code: # J-�"-'.' � In��cordancc with SECTION �t 6.0-i l G.4.2 of the 6th edition of the�tassa�husetts State Duilding �! - �` , p . '��� Ylass.l2cgist[ation*Iumber -� :; !i� �— � �i ( � � � su ervised� I, rofessional Lngineer(Architect hereby CERTIFY'that L havc p�a���r d'ucctly p y being a�Sistered p n �ans,comPutaeions and SP°°'fications conceming: the oreparation of all desiS P , S�c�al : ( 1 ?�Icchanical , �Arcnitccnual �O�er(spccify) ( ] Entice Pmject � � �i���ical ��y �omputations and specifications mee� ( } Fire Protection knowlcdge,such p �b�e engineerins P�ctices and all co ect and tl�a[ro the 6est of my �de,all accep For thc aboYe nam�a p ) che npp�«abte pcuvisions of the ��ssachuseeu S�ate Building applicable laws far the piaPosed pcolect. e�o���necessary prafessionai services and be present ou >ular and periodic basis to detezmi��a��e work is proceed'.nS�n a�cordance widt t1i� I Funhermo�• 1 unJerstand nnd AGtZEE that I shall P onsible for the Eollowrog as specified�n secnon ihc consauctio(oved by��buil6ir.g��+�and shall be rosp documents 3PP l 1 G.2.�: drawinys,snmples and othec submittals of the conro�fo�e a�fa�nCe to th des':gn 1. Revie}v of shup ermit, and aFP conR'act documenu as'ubm��ted for the building p ccncept. uiied�on�olled mal�rials. ?. [Zevicw and approval oF thc yuality conr.o?ptocedutes fot a11 code-rcq eneral,if cha Work is being p�xfa�d.�° rescn[at inte[vals aPPropriate to��stage of construcuon�o become �,Cnerally familiac�+�� 3• Qe� of the woik and m dctermino+��6 ' the progreu a�id Q�lity a manncr consis[enc wish che consrvetion documenu. �o ress report togethe[with perun L shalt submit co the building official a final reP°TL��O�e � !shali submit periodicalty,in a torm accaptabla to the huilding oEficial,a p & commonts. Upon comp�etion of the Wo�k� io eu for occupuncY• satisfactory��mPletion and readantss oE chc p 1 $ignatufe and Se'al of tegistered profeseional: � . . :� r,, , . �P�ZN Of d1�Ss ' ' ' �3' DANIEL 9Oti� ,}f, � J � -, � CH -+ � � �V 23331 " ` A � �p ��,� �� �' �� � ��� . �,' �� `� n � '� �°N°'T�, CITY OF SALEM, MASSACHUSETTS �,- -..� , ��� � °�;; ` BOARD OF APPEAL > .:� -� ?�:F r]y �. �'I a� (r��; �` � '��`� . � ,-�%%�� 1?O W�\SH1NG7nN S'IREEC�SrV.F.M�i�Gi55r\CFR:SEI'[5j�1�70 ' ����M�l.- 'fete:978-GI9-5G85 � F�tie:978-740-0404 � �� — r+ • r s a � ���'\ . X r' N N{�1 � (. r� august zs, zoiz �'� '� � � I � /�° Decision � w � a . . . � . . . . N � f �C,O1y - Y, y � i Zoning eoard of Appeals Essex southern o;strict g Variances from lot width/frontage, side setbacks Registry of Deeds 45 congress street :to extend a nonconforming strudure and a suite aioo :t a 2nd sto addition on the propert located at 8 Salem, MA 01970 ry y 08/27/2013 08:44 qM as opened on August 15, 2012 pursuant to Mass Station: EssX-RECo4 was closed on August 15, 2012 with the following operaYor: akotz nt: Rebecca Curran (Chair), Michael DuHy,Jamie Time:8:44 Type: OCSN Loc: SALEM Inst 25 BK 32774-010 I FEE 55.00 =��on 4,0 and Special Permits under Sections 33.2 and ENV FEE 20.G0 �Ce9, � Check 3480 MONACO JD 75.00 1. In a petition date-stamped August 1, 2012, petitioner requested a Variance and Special I Permits to construct a 30'x18'x12', 2nd story addition on the existing commercial ' buiiding located at 8 Proctor Street. 2. Petitioner Christopher Monaco (8 Prodor Street LLP) represented himself at the hearing. 3. At the hearing, petitioner stated that there would be no increase in employees or , parking needs associated with the project. 4. At the hearing, no one spoke in favor of or in opposition to the project. _la^,'�'�v'are��9����iG�'i'e�'i�a°�e�?ti��'�.�"ay.`'� � II IIIIII) IIIIIIIIIIIIIIIIIIIIIII IIIII � � �,� � 2013982700025 Bk:32174 Pg;10 '�yrF�pqy � �� ,4� a���� 08/27/2073 08:44 DCSN P9 113 R.�.,�-...�„�..�_-.�—..,s.�,..�,-,-:�.�.-.a.,�.. � I 00025.tif 1,696x2,191 pixels 2/18/14 10:11 AM � �'� -� 3 � �°Na;�,� CITY OF SALEM, MASSACHUSETTS ��,� , � ���" BOARD OF APPEAL ��z(�!�'' � � ��'�q���„J�� /' 120VVi\v'HW(:1'ONS'IRlilil'�SAIT�I.\IhSGdCHCSh'I'I7j81�7O .. ���'?�ry���� '1'ci.rz978-Gt9-i685 �Fnx:978-7A0-040�1 � �� Kintoexuv UR�srou. �"� \InioR r � � �� N N�1 � August 28, 2012 �� D 2 � Decision � J N City of Salem Zoning Board of Appeals Petition of 8 PROGTOR ST LLP requesting Variances from lot width/frontage,side setbacks and front setbacks,and a Special Permit to extend a nonconforming strudure and a nonconformi�g use, in order to construct a 2nd story addttion on the property located at 8 PROCTOR S7REET�R3 2oning District). A public hearing on the above Petition was opened on August 15, 2012 pursuant to Mass Generel Law Ch. 46A, § il. The hearing was closed on August 15, 2012 with the following Zoning Board of Appeals members present: Rebecca Curran (ChairJ, Michael Duffy,Jamie Metsch, and Bonnie Belair. Petkioner seeks Variances pursuant to Section 4.0 and Special Permits urtder Sedions 33.2 and 3.33 of the City of Salem Zoning Ordinances. Statements of fact: 2. In a petition date-stamped August 1, 2012, petitioner requested a Variance and Special Permits to construct a 30'x18'x12', 2"a story addition on the existing commercial building lacated at 8 Proctor Street. 2. Petitioner Christopher Monaco (8 Proctor Street LLP)represented himself at the hearing. 3. At the hearing, petitioner stated that there would be no increase in employees or I parking needs associated with the project. __ _ 4. At the hearing, no one spoke in favor of or in opposition to the project. �Gi�RE�E��R��,�ED ..III IIIIIIIIIIIIIIIIIIIIIIIIIIIIlIIlII�IIIIIII ht[p://www.salemdeeds.com/mtifs/2013/08/27/00025.tif Page 1 of 2 00025.tif 1,696x2,191 pizels 2/18/1410:11 AM e ��K ��_��� 1 [b33m�Z100V125 Bk;32774 Pg-10 Oe127/2013 08:a6 DCSN Pg 1/3 � http://www.salemdeeds.com/mtifs/2013/08/27/00025.tif Page 2 of 2 " fi,, M ,� ���,.� �"-�� - i� gy � ✓ DATE SUBJECT� � �� � j � SHE�,T N0._OF_ � �j�, - CHKD BY DATE � Co ��"�'�' JOB NO . � � � � i{'VV��.. �. . 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