2 CHASE STREET - BUILDING JACKET 4
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JIySPF.CJLIB pglpR TDA.PEWIT BlEJNG GRANTED
CITY OF SALEM
No. Date ✓ �
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BUILDING PERMIT APPLICATION FOR:
Permit to: t
(Circle whichever apply) Roof, Install Siding, (Construct Deck) Shed, Pool,
Repi epla Other:
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
Owner's Name a
Address & Phone 6 �uA i N� l h b�r'l�V� ( N WyLl
Architect's Name
Address & Phone r
Mechanics Name R//
Address & Phone
What Is to pcupo"d btYld4q? wiz ` ,✓' • v. _ y<<.
Mau"d bul dUq? tL e'cr� n e owe&*,for how ma�ny/families?
Win f A019 cordorm to law? _,1 S MbeMOs? l Y 8
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CM t�' 712rU. c�Gty Licertw r+ A State Lfoww a 12 b
/ Bow laprossaent -1m, /I
7 LLC. i SignatSe f Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE :DONE /
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MAIL PERMIT TO: CS l w� P �� /�79-3
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APPLICATION FOR ,
PERWT TO
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LOCATION
PERMIT GRANTED
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INSPECTOR OF BUILDINGS
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g� The Commonwealth of Massachusetts CITY OF
Board of Building Regulations and Standards RECEIVE v`��E
Massachusetts State Building Code, 780 CMI PE010NA! S �et�F32t�Mor 2011
QBuilding Permit Application To Construct,Repair,Renovate Q et�tolish a
One-or Two-Family Dwelling �di/Af'A i
M This Section For Official Use Only
Building Permit Number: Date Applied:
Building Official(Print Name) Signature J UUD
SECTION 1:SITE INFORMATION
1.1 Property �dress: 1.2 Assessors Map&Parcel Numbers
z � ose,
Lla Is this an accepted street?yes no Map Number Parcel Number
IV 13 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq 11) Frontage(11)
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? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owwncr'of Record:
3t ✓� /ram, �,,. J a X"rn I J I
Name(Print) City,State,ZIP
7_ C.tiau 775- 887-Sy06
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORK=(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ I Alteration(s) Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Wo 2
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SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials
1.Building $ j S—oo 1. Building Permit Fee:$ Indicate how fee is determined:
❑ Standard City/Town Application Fee
2.Electrical $ ❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (ITVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ '2 7 S6(' ❑Paid in Full ❑Outstanding Balance Due:
Sir IN
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) 07A 37 34 7
Sr t a a/✓( �/ License Number Expiration Date
Name of CSL Holder , )
� 1 Lis[CSL Type(see below) V
La � w hd ri+d✓ �'�
No.and Str Type Description
NA a / c y U Unrestricted(Buildings u to 35,000 cu.ft.
777���hhh O R Restricted 1&2 Family Dwelling
Ci flown,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
f SF Solid Fuel Burning Appliances
7Y-/ Zed—ac)Y xr)a el�✓,A I Insulation
Telephone Email address J Demolition
5.2 Registered Home Improvement Contractor(HIC) t 71V 76'
/>a HIC Registration Number xpiration Date
HIC Company Name or 'strant Nam�f
- Gi � / '�`7�✓L>"'�
No.and Street 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 Issuan the building permit.
Signed Affidavit Attached? Yes .......... No...........❑
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 ✓c r CFO i/ !�/
to act on my behalf,in all matters relative to work authorized by this building permit application.
U�L✓✓� C �iHOJ� / v 7-45�
Print Owner's Name(Electron ignature) Date
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 this application is true and accurate to the best of my knowledge and understanding.
Print Owner's or Authorized 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(fHC)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.Qov/dos
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"maybe substituted for"Total Project Cost"
J
(1�if of , $ajem, C4Rtt99ttr4u$eff9
Pottra of c Aral Noy ZI 3 2: f ii '3
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DECISIONON THE-PE-T-ITION_OF RICHARD E. DION FOR A SPECIAL >
PERMIT AT�CHASE ST. (R-31 JUANITA TREMBLAY (OWNER) y
A hearing on this petition was held November 16, 1989 with the following Board
Members present: James Fleming, Chairman; Messrs. , Febonio, Luzinski, Nutting and
Associate Members Dore. 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 is requesting a Special Permit to allow premises to be used as an
Insurance Agency. Property is located in an R-3 district and is owned by Juanita
Tremblay.
The provision of the Salem Zoning Ordinance which is applicable to this request
for a Special Permit is Section V B 10, which provides as follows:
Notwithstanding anything to the contrary appearing in this Ordinance, the Board of
Appeal may, in accordance with the procedure and conditions set forth in Section
VIII F and IX D, grant Special Permits for alterations and reconstruction of non-
conforming structures, and for changes, enlargement, extension or expansion of
nonconforming lots, land, structures, and uses, provided, however, that such
change, extension, enlargement or expansion shall not be substantially more
detrimental than the existing nonconforming use to the neighborhood.
In more general terms, this Board is, when reviewing Special Permit requests,
guided by the rule that a Special Permit request may be granted upon a finding
by the Board that the grant of the Special Permit will promote the public health,
safety, convenience and welfare of the City's inhabitants.
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 . A petition signed by nineteen (19) abutters and neighbors in favor
of this request was presented to the Board.
2. Dr. & Mrs. Norman, 197 Lafayette St. , spoke in opposition.
3. This is a low density, family run business.
4. Petitioner is actively looking for a new location for the Insurance Agency
and is only asking the Board for temporary relief.
On the basis of the above findings of fact, and on the evidence presented, the
Board of Appeal concludes as follows:
1 . The granting of the Special Permit requested will promote the public health,
safety, convenience and welfare of the City's inhabitants.
2. The Special Permit requested can be granted without substantial detriment to
the public good and without nullifying or substantially derogating from the
intent of the district or the purpose of the Ordinance.
YP �
DECISION ON THE PETITION OF RICHARD E. DION (PETITIONER) JUANITA TREMBLAY
(OWNER) FOR A SPECIAL PERMIT AT 2 CHASE STREET, SALEM
page two
Therefore, the Zoning Board of Appeal voted unanimously, 5-0, to grant the special
permit requested, subject to the following conditions:
1 . Petitioner adhere to all requirements of the Salem Fire Department relative
to smoke and fire safety.
2. Said Special Permit allowing the premises to be used as an insurance Agency
shall expire January 1 , 1991 .
SPECIAL PERMIT GRANTED )
r (14040)
ohn R. Nu ing, S if
etary, Board of Appeal
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
shall to made pursuant to Section 17 of
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