12 RAWLINS ST - BUILDING INSPECTION (2) 370
The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY OF
Ij iVfassachusetts State Building Code, 730 CNIR SALEY(
Building Permit Application To Construct, Repair, Renovate Or Demolish a Revised b&u IUl!
One-or Vivo-Family Dwelling
This SactionFbrOfficial UsQO6l
Building Permit Number: Da ,. pplitddi
Bwlding Official(Print Name) Signature; Date
SECTION I:SITE INFORMATION
Ll Propert Address: 1.2 Assessors Hap& Parcel Numbers
1.1a Is this an accepted street?yes no Map Number Parcal Number
1.3 Zoning Information: 1.4 Property Dimensions:
Z Proposed Use Lot Ares(sq Q) Frontage(it)oning Oistr ct
1.5 Building Setbacks(ft)
Front Yard Side Yards Reat Yard
=Supply-
Provided Required Provided Required Provided
y: (,bf.O.L c.40,§34) 1.7 Flood Zone Informationt 1.S Sewage Disposal System:
ate❑' Zone: Outside Flood Zone? Mwlci d❑ On sits dls osai a stem ❑
Cheek if esQ P P YSECTION Zt••' PROPERtV'OW0ERSIIIEiecord:( ) $1,klat? r Q�"`c C Stet ZIP �`�1 `'V119 UiS /J
Name Pnnt ty, 4
�.(7, S 017Pi -741 0oo '� i'Z'Yf�C 13JliGt.•.y�
No.and Street Telephone Email Address
SECTION]: DESCRIPTION OF.PROPOSED WOR&(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied Q I Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition Accessory Bldg. ❑ Number of Units_ Other 17 Specity:
Brief Description of Proposed Wor :
DQ,.,... P r + r�ru rx t cn
SECTIOP44: ESTENL•1'TED CONSTRUCTION COSTS-
Item Estimated Costs: OfRclal Use Onl
L rbor ind Materials y% .
1. Building i CID 1. Building Permit Fee:S Indicate how ree is determined:
2. Flectrical i ❑Slandard.CityfrownApplication Fee,
Q'rotal Pioieet Costt(Item 6)x multiplier x
1, Plumbing i 1- Other Foes .S
I. .\laehanical (IIVAQ i List:_
i. \f1d, It",11 (tire
in�prc;iion) -- S Iota1 :111 trees' i
5 Chock No.
40 c _Chcck,luwaut: __( ,cJi :Aurounc I I' rtl I'rnjce[ ( 'iiit S I (] I'.ii�l in Pall O thit.;tuwlim; Iial:tnco Une: ---
srcrlON 5: CON. '-rMCTION SEIMCES
5.1 CunslntclionSttlte.rvisurLicettse(CSI.)
.�-( C ` License Number L•spiratiun Uatu
1kowto Lewtc
Lame of CSL I luldar, List CSL type(see below)
51�e✓ �o�c�r — e rypa Description
No and Street O UnrestrieteJ Uuildin s u to 33AUU cu. ti.
'P�1-o d y\ L ►9 �t 9 b O It Rasuictcd ISc2 F;unil Dwallin
City/rown,State, Zip b( \lasoar
RC Roolin Coverin
WS Winduw1uldSidill
SF Solid Fuel norning a\pplianees
Ci74 7t.41 1700 t;° �.,. P� �e�l. I3rr(C-(wY I Insulation
Pule hung
`Emml nddrets w U Demolition
H(C)
5.2 Registered Home fmproventent Contractor(
1 NC (ZQd� HIC Registration Number Expiration Date
IIIC ' mpany one ur 1lI R,gistmlit acne
U �� S Email address
No. �trcet
Tele hone
Ci JTuwn State 'L1P
SECTION 6. WORKERS'COMPENSATION INSURANCE AFFIDAVIT(NI.G.L.c. 152. 9 ZSC(6))
completed and submitted with this application. Failure to provide
Workers Compensation Insurance affidavit must be
this affidavit will result in the denial of the Issuance of the building permit.
signed Aff(davitAttached? yes.......... 0 No...........0
SECTION 7a: OWNER AUTHORIZATIONTO DE CObIPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner of the subject property,hereby authorize permit application.
to act on my behalf, in all matters relative to work authorized by this building p pp
Date
print Owner's Nnme(Electronic Signature)
SECTION 7h: OWNER' OR AUTHORIZED AGENT DECLARATION
Dy entaring my nain below, I hereby attest dcr a gins and penalties of perjury that all of the information
contained in t 'sap i' atinn is truu a ac ura a to th est of my knowledge and undennnding.
_ --' Date
Print O%vncr's,r,\ullwriecd A..., 'i N.une(Eluctruuie — nature)
NOTES:
I. ;\n Owner who obtains.113 uilding permit to do hivil er own work,or an u\vtler who hires an tmrcgistarad contractor'
(nut registered in the F6nne Improvement Contractor(HIC) Program), will no have access to the arbitration
F.
, ' ur guaranty t-s i under M.G.L. c. 1a2,\. Other important information on the HIC Program can be fuund at
vw nru+.tsly%ore Infurmation un the Constnlction Supervisor License can be fuund at tt ww.nta>s.,ytv_lL1
t Wit n substantial work is planned,provide the information belu1`;t tini;ited hascmend:utic;,tluc.ls or porch)
I'oml floor.Irea(+.I. It.) _—_ --- _(including y; ge,
(lross living me.l(';tl. R.) --
f labifable room count _
\I1iinberoflirapl.tce; —.---.----.--..-- NuwherutlLllE'b.uhs
`luinhcr of b.uhru,inu __ .. . .__.. . ----_----
Namburor ,Icr6 ' lvn'ihes _ . _--
furlo;rd _— ttprn
i .. I,a tl 14,q..•rt � In u,: P, t r;t" m.ry ha nih,nnd:,l Ga .. Ir.tl I'nq,:.l l', a' -
®r"
Clean Air Environmental "
193 Webster Sheet Sule one I Boston wssadiusetta 02128 1 P 617 970 2572 I F 69 074 8115 -s
October 20,2011
Eric Couture
12 Rawlins Street
Salem,MA 01970
Phone:978-815-4119
Email:campcooch@aoLcom
Asbestos Abatement Project @ 12 Rawlins Street.Salem,MA.
Clean Air Environmental Inc.is pleased to provide the following proposal for removal and disposal of
asbestos containing roofing shingles at the above referenced location.Air Testing will be performed upon
completion and included in final price. The work will be performed by MA DOS licensed and trained
Asbestos Workers in accordance with MA 453 CMR 6.00 and 310 CMR 7.15.
Total Price: $3,950.00
Clean Air Environmental,Inc.will secure all Applicable Permits prior to starting work.Asbestos will
be removed using the applicable containment method and all asbestos containing waste will be disposed
of in an EPA Approved Landfill.
If proposal is acceptable,please choose of the options,sign,and return to Clean Air Environmental,
Inc.By signing you agree to terms listed: Full Balance Due Immediately Upon Completion of Job.
Please keep in mind,unless Emergency Waiver applies,we are required to notify the Massachusetts
Department of Environmental Protection,ten days prior to commencing an asbestos abatement
project as well as secure state and local permits.
Nut cations will be made upon acceptance of proposal and receipt of deposit.
Feel free to call should you have any questions.
Thank you,
Kevin Goheen
617-970-2572
Clean Air Environmental,Inc.
Owner is responsible for removing all moveable items fmm work area unless otherwise noted. Clean Air
Environmental is not responsible for the integrity of aging mechanical systems.
Acceptance of proposal: Name: Date:
Commonwealth of Massachusetts
M
100136990
Asbestos Notification Form ANF-001 Decal Number
Important A. Asbestos Abatement Description
When filling out
forms to the 1. a.Is this facility fee exempt-city,ttown, district, municipal housing authority,owner-occupied
computer,use � p I J
only the tab key residence of four units or less? Yes ❑No
to move your
cursor-do not b. Provide blanket decal number if applicable: Blanket Decal Number
use the return
key_ 2. Facility Location:
ERIC COUTURE 12 RAWLINS STREET
a.Name of Facility b.Street Atldress
SALEM MA 01970 _)
a City/rown d.State e.Zip Code f.Telephone Number
INSTRUCTIONS 3. Worksite Location:
1.All sections of this EXTERIOR
forth must be a.Building Name btakung Loption b.Building S c.Wing d.Floor e.Room
completed in order
to comply with 4. Is the facility occupied? Z Yes ❑No
DEP notification
requirements of 310
CMR7.15 5. Asbestos Contractor:
and the Division (LEAN AIR ENVIRONMENTAL INC 193 WEBSTER ST
of Occupational
Safety(DOS) a.Name b.Address
notification . BOSTON 02126 6179702572
requirements of 453 d.Zi Code e.Telephone Number
CMR 6.12 C.Cityrrown
A0000745 g. Contract Type: 0✓ Written ElVerbal
f.DOS License Number
Ih.Facility Contact Person I.Contact Person's Title
'PORTIRIO MARACALLO JAS000630
6. a.Name of 5"Her Su rvisodForeman b.supervisor/Foreman DOS Certification Number
PATTY RILEY AM060297
7. a.Name of Pro act Monitor b.Project Monitor DOS Certification Number
ENVIROSAFE pA000131
6' a.Name of Asbestos Mat icel Lab b.Asbestos Anal 'pi Lab DOS Certification Number
11/04/2011 11/04/2011
0 9' (a�Pro eet Start Date mMd b.End Date mMdd
1
e Work hours Man-Fn. Id.Work hours sat-Sun.
�N
cr 10. a.What type of project is this?
o ❑ Demolition Renovation C
❑Repair ❑Other, please specify: b.Describe
11. a. Check abatement procedures:
❑Glove bag ❑ Encapsulation
o ❑Enclosure ❑Disposal only U. ❑ ❑� EXT SHINGLES
Cleanup Other, specify:
❑Full containment It.Describe
Z
4 12. Is the job being conducted: ❑ Indoors? ❑✓ Outdoors?
anf001ap.doc•10102 Asbestos Notification Form•Page 1 of 3■
Commonwealth of Massachusetts ■
11001 9936 0
Ll
Decal Number
Asbestos Notificati -001
on Form ANF
A. Asbestos Abatement Description (cont.)
13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed, enclosed,or
enca sulated:
0
2500
a.Totalpipes or duds(near ft �o a oa o 11 er sur ces square L�
c.Boiler,breaching,dud,tank I_J �� d.Insulating cement
surface coatings Lin.ft. ! [S;q.f; Lin.ft. Sq.ft.
pipe insulationor IaYered paper (Un�R�� Sq{t —� f.Trowel/Sprayer coatings Lin. Sq=
Lines ft. Sq.
h.Transite board,wall board I���7
g.Spray-on fireproofing (Lin.ft.
� Sq.8
(� Other, lease specify: L.--J 2500
I.Cloths,woven fabrics Lin. ft J P
k.Thermal,solid core pipe L AC SHINGLES
insulation Lin. t Sq.ft. I.Specify
14. Describe the decontamination system(s)to be used:
_WORKSITE ISOLATED WITH DANGER TAPO 6 MIL POLY SHEETING ON GROUND
15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR
6.14(2) (g):
TALL ACM HANDLED WET,DOUBLE BAGGED,LABELED,DISPOSED IN EPA LANDFILL
16. For Emergency Asbestos Operations,the DEP and DOS officials who evaluated the emergency:
a.Name o DEP Official D. I His
i
a Date(mm/ddlyyyy)of Authorization d.DEP Waiver#
e.Name of DOS Official rf.DOS ME Ime
1 I
g.Date(mmldd")of Authorzation h.DOS Waiver#
0 17. Do prevailing wage rates as per M.G.L.c. 149,§26,27 or 27A—F apply to this project?❑Yes 0✓ No
B. Facility Description
0 1. Current or prior use of facility:
0
2. Is the facility owner-occupied residential with 4 units or less? J❑Yes n No
ERIC COUTURE
3. a.Facility Owner Name b.Address
o C.Ci !Town d.ZipCode I.
Tele hone Number area code and axtension
a 4. a.Name of Facility Owner's On-Site Manager b.on-site manager Address
Z
Q c.City/Town d.Zip Code e.Telephone Number(area code and extension)
■ ant001ap.doc a 10/02 Asbestos Notification Form-Pa e 2 of 3■
e e ea
Commonwealth of Massachusetts
' - 100136990
Asbestos Notification Form ANF-001 Decal Number
B. Facility Description (cont.)
5.
a.Name of General Contractor � b.Address
1 c.Ci /Town d.Zip Code e.Telephone Number area code and extension
If.Contractor's Workers Comp.Insurer a.PoIlcv Number h.Exp.Date mmfdtlh r
6. What is the size of this facility? a.Square Feet to.Number of floors
C. Asbestos Transportation and Disposal
1. Transporter of asbestos-containing material from site to temporary storage site(if necessary):
CLEAN AIR ENVIRONMENTAL,INC
Note:Transfer a.Na me of Tens orte�__.r_ � b.Address
Stations must I _ II
comply with the c Cityrrown d.Zip Code e.Telephone Number
Solid Waste
Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site:
Regulations 310
CMR 19.000 ISERVICE TRANSPORT GROUP
a.Name of Transporter F_777:1 1
b.Address
c.City/Town/Town d.Zip Code e.Telephone Number
3. I
a.Refuse Transfer Station and Owner b.Address
c.C /Town d.LipCode e.Telephone Number
4. MINERVA ENTERPRISES INC
a.Final Dis osal Site Location Name b.Final D osal Site Location Owners Name
9000 MINERVA ROAD WAYNESBURG
c.Final Dis osal Site Address d.C /Town
OH � 44688
e.State f.Zip Code g.Telephone Number
M
0
D. Certification
N
The undersigned hereby states, under the IKEVIN GOHEEN
penalties of perjury,that he/she has read the a.Name �� bb.A�Signature
c Commonwealth of Massachusetts regulations 10/24/2011
for the Removal,Containmentor �c Pr os tion/181e d.Date mMdd
Encapsulation 1.Asbestos, CMR 6.00 and
310 CMR 7.15, and that the information
contained in this notification is true and correct e.Tele hone Number f.Represenfina
to the best of his/her knowledge and belief.
o q.Address
LL
h.City/Town i.Zip Code
a
0 aniDOtap.doc•10/02 Asbestos Notification Form•Page 3 of 3■
Enviro-Safe Engineering
Asbestos&Mold Inspection P.O.Box 440424
Somerville,MA 02144
(617)623-6678 PAX(617)623-9495
November 9,2011
Clean Air Environmental Inc.
193 Webster St.
East Boston,MA 02128
RE: Visual inspection, 12 Rawlins St. Salem,MA
On November 4,2011, Patricia E. Riley, Massachusetts licensed asbestos abatement
project monitor AM60297, conducted a final visual inspection following the removal of
exterior siding at the above address.
No visible debris was observed as required by the US Environmental Protection Agency
and the Massachusetts Department of Labor and Workforce Development(DLWD).
If you have any questions or require additional information,please feel free to contact me
at(617)623-6678.
Sincerely, n
Patricia E. Riley 111
President
47
SERVICE TRANSPORT GROUP, INC.
58 PYLES LANE,NEW CASTLE,DE 19720 PHONE:(877)999-9559
N° 341924 WASTE SHIPMENT RECORD S.T.G.#
1.Material Origin Site Generator:Name/Address Generator:Phone#
�'� Q1au i I II��J SI rC1�i ax GC)cturt
12. RV :) li f'v-l--, Siva "
!cGft
2.Removal Contractor: ame Address Contractor:Phone#
CIEM —CO Klk(1-tc45i i 11C�j� � ^ r,tac" �kd-\a n '-
3.Responsible Agency:Name/Address 4.US DOT Class-FRIABLE ASBESTOS ONLY
1 \ 0-7U,,I C,�j �" NA 2212, RQ ASBESTOS, 9,PG III
5.Descri aterials Containers Total Quantity
C Spec' Friable.or Non-Friable No. Type
C�
IF Friable(enter required Information)
IF Non-Friable(check one):❑Category I ❑Category II
6.Special Handling Instructions 24-hour emergency spill response no.800.424.9300
7.Generator Certification:
This is to certify Nat the above named matenals are property Classified,dewdbed,packegad,marked and labeled and are in proper condition for vanspen by highway
according to theappiicable regulations of the Department of Transponallon,US E.P.A..and any other state gommnn nmagency.I certify that the foregoing is true and correct
to the best of my knowledge.If the waste shipment is not as I stated,I accept the RETURN of the COMPLETE LOAD to the generators service location at the generator's
expense.
PrfintedlTyped Name&Title — Sig at re. Date
�� . � . I CC' i/
8.Transporter 1 (Acknowledgement of Receipt of MaterialsI If blank,s e ransp fief 2 or 3 below..
Company Name&Address ' (C Signature: Telephone No.
L ^ r.. - Printed Name:
f \' S c1 'Wit" O ZJ 2 Tile:
9.Trarlsporter 2(Ackramledgement of Receipt of Materials) If Transporter 1 &2 are blank,Transporter 3 servers as sole transporter.
Company Name&Address Signature: Telephone No.
Printed Name: Date:
F
Title:
10.Tran rter3(AcknowledgementofReceipt ofMaterials
Company Name&Address Signature: Telephone No.
Service Transport Group,Inc. 877-999-9559
58 Pyles Lane Printed Name: Date:
New Castle,DE 19720 Title:
N 11. Discrepancy Indication Space:
12, Waste Disposal Site Owner or Operator's Certification (Receipt of above Waste except as notedin 11)
Waste Disposal Site (Check One) STG USE ONLY Date:
® Signature:
IL Sanitary landfill Minerva Landfill r—y
U) got Tyrol Blvd. 1:1 8955 Minerva Rd. LJ Printed Name:
® Bette Vernon,PA 15012 Waynesburg,OH 446alf
724-929-7694 Ext.14 330.866-3435
Permit No. 100277 Permit No. P0104984 Title:
WRRE13en„rator•GREEN-e.TG.1YEI10Wtmmaor•PINKlandr—000>P Up Rea':pi
Clean Air Environmental, IncAO&
Invoice
Asbestos l afoH/HeZmMt
193 webster Street F1 Date: Invoice#
Boston,MA 02128 11/4/2011 A209
Phone(617)970-2572
Bill To: 1%
Eric Couture
12 Rawlins Street
Salem,MA 01970
Phone: 978-815-4119
Email: campcooch@aoi.com
DESCRIPTION AMOUNT
Asbestos Abatement Project @ 12 Rawlins Street.Salem,MA. 3,950.00
Clean Air Environmental Inc.removed and disposed asbestos containing roofing shingles
at the above referenced location
SUBTOTAL: $3,950.00
DEPOSITS/PAYMENTS: $-3,950.00
TOTAL DUE: $0.00
Make all checks payable to Clean Air Environmental,Inc.
If you have any questions regarding this invoice,contact Kevin Goheen at
(617)970-2572
Thank you for your business!
MRY-12-2011 07:06P FROM: TO:19785311700 P.1'1
Pest Control Service Agreement
B & B PEST CONTROL
271 Westem Avenue, Sufte 203 10349
LYNN, MASSACHUSEM 01904
(781) 599.4317
. semxx Lawrpx _.--
SRIEfT
em,anve
RERsoNroeE WNaerm BERYILT RXIN¢
WFG0F ToeESEMI 0
w S eE MAKnON DATE RENEWAL SERVKf TO ae RERYTNOAEp
Z'Z ❑ ❑MONTHLY Q QUARTERLY TNER
s uED:
s uuueiNUCrgg9: nn /J`—
TERMS AND WNDm"
`jam Sa.. .� s`sCvi u iK
SERVICE GUARANTEE:We agree to apply chemicals to control above named pests in accordance with terms and conditions of this
Sewles Agreement. All labor and materials will be furnished to provide the most efficient pest control and m"Imum safety required by
federal.state and city regulations.
SERVICE RENEWAL:This agreement shall be for an Initial period of One year,and will renew Itself annually unless either party cancels
this agreement by giving thirty days written notice before any ezpiradon sate.
ANNUAL /
AGREEMENT CHARGE g
BY DATE
INITIAL SERVICE CHARGE S�pQ , COMPANv
MONTHLY/OUARTERLY PAYMENTS S FOR
CUSTOMER DATE
....... $ IwTNDwxroaD
�ONDIT
=P eS
s;y
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
WAIVER OF THE DEMOLITION DELAY ORDINANCE
It is hereby certified that the Salem Historical Commission has waived the Demolition Delay Ordinance for the
proposed demolition as described below, as per the requirements set forth in the Historic District's Act(M.G.L.
Ch. 40C) and the Salem Historic Districts Ordinance.
Address of Property: 12 Rawlins Street
Name of Record Owner: Eric Couture
Description of Demolition Work Proposed:
Demolition of structure.
The Commission recommends that the owner photograph the overall exterior, the, interior spaces, and during
demolition the significantfeatures such as the framing system, to be submittedfor the Commission files (either
hard copies or on a disk).
Dated: 10/20/11 SALEM HISTORICAL COMMISSION
By:
THIS IS NOT A DEMOLITION PERMIT. Please be sure to am the appropriate permits fr m the Inspector
of Buildings (or any other necessary permits or approvals) prior to commencing work.
ONLRTI CITY OF SALEM, MASSACHUSETTS
BOARD OF APPEAL
120 WASHINGTON STREET, 3RD FLOOR
a SALEM. MASSACHUSETTS 01970
TELEPHONE: 978-745-9595
FAX: 978-740-9846
KIMBERLEY DRISCOLL L - -
MAYOR
November 30, 2011
Decision
City of Salem Zoning Board of Appeals
Petition of ERIC COUTURE requesting Variances from lot area and lot area per
dwelling unit to demolish the existing structure and construct a two-unit residential
building on the property located at 12 RAWLDIS ST (R 2).
A public hearing on the above Petition was opened on October 19,2011,pursuant to Mass
General Law Ch. 40A,§ 11. The hearing was continued to November 11,2011 and closed
on that date with the following Zoning Board of Appeals members present: Rebecca
Curran,Richard Dionne,'Annie Harris,Jamie Metsch,and Jimmy Tsitsinos; (alternate).
Petitioner seeks Variances pursuant to Section 4.0 of the Gtyof Salem Zoning Ordinances.
Statements of fact:
i. Eric Couture presented himself at the hearing.
2. In a petition date-stamped October 5,2011,petitioner requested.Variances from lot
area and lot area per dwelling unit to demolish the existing single-family home at 12
Rawlins Street and construct a two-unit residential building.
3. At the hearing on October 19, 2011,two residents stated a preference that the
property be owner occupied,and also expressed concerns about undertaking
demolition carefully because of contaminants and animals on the site.
4. At the meetings, Ward 4 Councillor JerryRyan,4 Nichols Sti-eet,spoke in support of
the project,noting the poor condition of the property and saying the redevelopment
would improve the neighborhood.
5. At the meetings,some Board members expressed a preference that the structure be
brought closer to the street in order to be more in keeping with the rest of the
neighborhood.
The Board of Appeal,after careful consideration of the evidence presented at the public
hearing,and after thorough review of the plans and petition submitted, makes the following
findings:
2
1. Owing to the small size of the lot,literal enforcement of the provisions of
the Zoning Ordinance would involve substantial hardship to the appellant.
2. Desirable relief maybe granted without substantial detriment to the public
good and without nullifying or substantially derogating from the intent or
purpose of the zoning ordinance;the project is in keeping with the
neighborhood since there are several other two-family houses in the
neighborhood on smaller lots.
3. In permitting such change,the Board of Appeals requires certain appropriate
conditions and safeguards as noted below.
On the basis of the above findings of fact and all evidence presented at the public hearing
including,but not limited to,the Plans,Documents and testimony,the Zoning Board of
Appeals concludes:
1. Variances under Section 4.0 of the Salem Zoning Ordinance,specifically lot area and
lot area per dwelling unit,are granted to allow construction of the proposed two-
family house.
In consideration of the above,the Salem Board of Appeals voted,five (5) in favor(Curran,
Harris,Dionne,Tsitsinos and Metsch) and none (0) opposed,to grant petitioner's request
for Special Permits subject to the following terms, conditions, and safeguards:
1. Petitioner shall comply with all city and state statutes,ordinances,codes and
regulations.
2. All construction shall be done as per the plans and dimensions submitted to
and approved by the Building Commissioner.
3. All requirements of the Salem Fire Department relative to smoke and fire
safety shall be strictly adhered to.
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 street numbering from the City of Salem's Assessor's
Office and shall display said number so as to be visible from the street.
7. Petitioner is to obtain approval from any City Board or Commission having
jurisdiction including,but not limited to,the Planning Board.
8. Two separate driveways,one for each unit, are to be constructed instead of a
single driveway serving both units.
9. The structure is to be moved up closer to the street so that a 15-foot front
yard setback is achieved.
3
10. Air conditioning units are to be moved to the back of the structure.
Re ecca Curran, air
Salem Board of Appeals
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 of filing of this decision in the
office of the City Clerk Pursuant to the 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 certificate of the City Clerk has been filed with the Essex South Registry
of Deeds.
A011"lr�„�a✓ CITY OF SALEM, MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
^ 120 WASHINGTON STREET, 3RD FLOOR
1 1S �Fd SALEM, MASSACHUSETTS O 1970
ram` - TELEPHONE: 978-745-9595 �.
rva W� FAX: 978-740-9846
KIMBERLEY DRISCOLL
MAYOR
Section 116.0
DEMOLITION OF STRUCTURES
Structures over fifty(50) years old must have approval of the
Salem Historic Society
UTILITY DISCONNECTIONS REQUIRED
Authorized Agent Date of Disconnection
V Water
(see attached requirements)
Electrical
Fire
Health
Sewer
Salem Historic Commission
'.( Dig Safe Number aQ57 Z3 O ZU�Fj
Pest Control:
***DOCUMENTATION OF ALL THE ABOVE MUST BE ATTACHED BEFORE
PERMIT CAN BE ISSUED***
Fee for Demolition $5.00 application fee plus $2.00 per 100 square ft gross area,
Minimum $25.00
V
r
City of Salem, Massachusetts
+11 �F -ire Department
rnns 48 Lafayette Street
David Cody Salem, Massachusetts 01970-3695
Fire Prevention
Chief Tel 978-744-1235 Bureau
978-744-6990 fax 978-745-4646 978-745-7777
dcody a salem.com
Demolition
• Before a structure can be demolished, the Salem Fire Department shall conduct a
preliminary demolition inspection, to ascertain any conditions which may require
a fire watch* or other preventative measures to be taken before, during, or after
the demolition process. Minimum of two weeks notice required to schedule
appointment
• A permit to demolish or remove a structure shall not be issued until the
preliminary inspection has been conducted and a report of requirements necessary
to prevent life safety hazards has been obtained by the applicant.
• The inspection report shall include but not limited to: cutting and welding permit,
fire watch, on site storage of materials, underground storage tank compliance....
• Proof of utility disconnects.
• The requirements outlined in the report shall become a part of the restrictions of
the demolition permit issued by the Building Inspector.
*Fire watch patrol Salem Code of Ordinances Sec. 20-124
October 5, 2010
.1 rl'Nll77gf7
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CITY OF SALEM
SALEM, MASSACHUSETTS
ENGINEERING DEPARTMENT
120 WASHINGTON STREET, 4TH FLOOR
17Aia U SALEM, MA 01970
Phone: (978) 745-9595 x5673
Kimberley Driscoll Fax: (978) 745-0349
Mayor
DAVID H. KNOWLTON, P.E.
CITY ENGINEER
January 30, 2009
Water, Sewer and Drainage Requirements
Regarding the Demolition of Structures within the City of Salem
In accordance with the provisions of the General Laws of the Commonwealth of Massachusetts
and the Salem Water and Sewer Department, the following regulations governing the demolition
of structures within the City of Salem shall be followed.
This regulation is made in the interest of protecting the city's water, sewer, drainage and public
way infrastructure at each connection located within the City of Salem, as well as to prevent
conditions which may cause danger to public safety, result in water loss, or damage to city or
private property due to water or sewer loss or back-ups, or cause pollution of the city's storm water
receiving waters.
1. Prior to demolition of structure, a licensed plumber shall ascertain where all water, sewer
and drainage lines are located entering and leaving said structure. The plumber shall make
a determination of existing or prior use of each line, including, but not limited to domestic,
commercial or industrial use; irrigation; fire suppression; sewer, storm drain or septic
system; roof drain; or sump pump. After all lines have been located, the plumber shall
make a formal written report with plans of all lines found to the City Engineer.
2. Once the plumber's report has been reviewed and approved by the City Engineer, a
Registered Professional Civil Engineer (hereinafter referred to as "the Engineer") shall
make a determination of the point of origin or discharge on each city main, for each line
identified in the plumbers report. The Engineer shall also ascertain the location, use, and
point of origin or discharge of any other lines on the property that may or may not be
affected by the demolition or connected to the structure. The Engineer shall provide the
City Engineer, for review and approval, a stamped plan of the property and adjacent City
utilities, indicating the results of his investigations.
3. A request to the Department of Public Services, for assistance in shutting down any water
main, prior to cutting and capping it, shall be made only after the City Engineer has
approved the written reports and plans described above.
yA Vtrater,Sewer and Drainage Requirements Regarding the Demolition of Structures January 30, 2009
Page 2
4. Prior to demolition of the structure and immediately following item #3 above, a City of
Salem licensed drain layer shall cut and cap the water, sewer and drainage lines at the city
main and arrange for an inspection by the Department of Public Services prior to back£ll.
Backfill, compaction, temporary and permanent paving will follow to current city
standards.
5. In the event that the lines will be used immediately after demolition for construction
purposes, a set of plans and/or drawings, stamped by a Registered Professional Engineer,
describing the lines to be used during construction, must be provided to the City Engineer
for review and approval, prior to obtaining a building demolition permit. Any other lines
identified shall be abandoned as described herein.
6. A demolition permit shall not be issued until the items above have been completed and the
Department of Public Services has conducted an inspection and signed off on the water and
sewer portion of the Building Department prerequisite Utility Disconnections Required
Form.
1A proved by:
d -� t1 ---
avid H. Knowlton, P.E.
City Engineer
\\Salemdc0l\WaterAdmin\dknowiton\My Documents\miscellaneous\demo regulations water,sewer and drainage 1-30-09.doc
CITY OF SALE MASSACHUSEITS
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KI,NrBI RLEY DRISCOL L f;,AN (978) 745-0343
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DEMOLITION OF STRUCTURES
Prior to demolition of any building the following information shall be provided to the Board of
Flealth:
• Asbestos testing report.
o If asbestos is found, provide an Asbestos Notification form ( ANF) 001 and an
asbestos clearance certificate with application
• A pest control report from a licensed Pest Control Company.
o If pests are found provide a treatment plan and certification from the pest control
company that pests have been effectively controlled has to be submitted
• A Dust mitigation plan indicating what measures will be instituted to ensure dust from
the demolition project does not migrate over the property line.
• If the structure was built before 1978; The Demolition contractor has to be licensed
Lead Safe Renovation Contractor by the Department of Labor Standards and their
employees trained in the use of Lead-safe work practices.
Additional information may he required based on the nature, location and length of the project
I