2 SMITH AVE - BUILDING INSPECTION (2) . ;,; �
EI'T��F g _
�,�� ��7 PUBLIC PROPERTY �
DEPART'NIENT �
i:l\MF]UbY DRLSc:INl �
. �I.�rot 1�Wwuuw'me��"iq�,7� ' `
JAi.tM.�lA�SKHLStT[s 01970 ^
. 741:97l-7�i9595�F.�x:97b7�0-98i6 �y
� APPLICATION FOR THE REPAIR RENOVATION CONSTRUCTION �
DEMOLITION OR CHANGE OF USE OR OCCUPpNCy FOR ANY EXISTIl�IG
STRUCTURE OR BUILDIN .
1.0 SITE INFORMATION � � " • �
r �
4 Locatlon Nams: Building:
� Property Addresa: / ,)
; Z. Sm�T-� �✓� J�`�'m ��',5�.�
Property fs bcated in a; Conaervatlon Area Y/RI tS H(storic Dfstrkt YM /Jt
; 2.0 OWNERSHIP INFORMATION �
4.1 Owner ot Land `
• Name: �C,� �
, Address:
_ Z sj�r�� �,�� �N 2i7�Yt�
re�ePr,one: .� 7 —75� — 3 3
3.0 COMPLETE THIS SECTION FOR WORK IN FYiRTtun BUILDINGS ONLY
' Addition Existing
Renovation Number of Staries Renovated
Change in Use New _
DemoliGon Existing
Approximate year of Area per floor (s� Ranovated
construction or renovation
' of existing building New
i
Brief Description of Proposed Work:
�� �����d�- o�' s-�n, �U�
f� ���-c ���� wQ 5 ���,�
���o,�ov-� a ily � ,�ral�e� � C'o��ct�t/��A�,
-------- Mail Pertnit to: - - -- ;
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What is the curtent use ot the Building4 ,
D d It dwelling,how many units? p�—
Matetial d Building? �- p��s�? /�'�`�
WiU the Building Confortn to Law? .
a,�n�rs N� ��°'� Y' ,� 9��' 7�IZ� J97.�
Address and Phons 1'�'�� ✓ � � �
�t�✓� r� C��' �s��3C J67�
Mechanids Name /� - /��,l�,.l /z
Y✓ o �
Address and Phone GS 069��� HIC Registratton i1-��
Construcfion 3uPerv�g°�License# a�
�D�D - Permit Fee Calwlation
Estimated Ccst of Projed s----- Estimated Coat X S7/51000 Res'idential
p�nrt Fee s — Eg�eted Coat X S11/51000 Commercial
An AddiUonal 55.00 is added as an
Administrative char9a.
Make sure that all fields are properly and legiby written W avoid delays in processing.
The unders�gned does hereby apply for a Building Pertnit to build to the above stated
speciflcationa. Signed under peneNY of P�1ury ' ` �/
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,;; CITY OF SALEM
• �� PUBLIC PROPRER'I'y
DEPARTMENT
xnHsexcEv ox�scou
MAYOI '
120 WASF�YGYON STREE7'�$A�cu.����y.i.s 01970
Workers' Compensatlon Insurance AtHdavtt: Builders/C ntra tors/Electr�ctaa9/Plambera
A licant InformsHo
Piesse nt Le I
Name�eusMessi '�—"' /'� t �
OrganiaaCon/Individual):'� � ('�c��Ll.�/h d s�, �Yl
Address: �p r�,-, r .
City/State/Zip: . ).A� �� Phone #:�7� �3� �� 79
Are you an employer?Checic the ayproprtate bo:;
l.�I am a employu with___,�_ 4. � I am a general contracWr and I Ty�otproJtct(rM��:
2.� employees(full and/or pazt-bme).• 6ave hired the sub-conhacWrs 6• �,New constr�ution
I am a sole proprietor or parmer- listed on the aasched sheet, t 7. ❑���g
ship and have no employees These sub�contractors y8ve
worlcing for me m aay capaciry. workeis'com . ' 8. ❑�molidon
P ms�+*snce.
(No workers' comp. insurance 5. 0 We an a coiporaaon and ite 9• ❑Bwldmg addidon
3.Qnq�d] officecs have exercised th�u 10.�Electrica(mpai���ri�
I am a homeowner doing�work right of exemp4oa per MGL 11.�Plumbin
mny���o workeraf comp. a 152, §i(4).and we have no 12. Roof B����aom
n4�d.l employeea[No workeis' � Rpsus
comp.insuwacQ��y��� 13.Q Othes
�H aP�PW��eheelu bm[MI muu vao flll ow the aation below e4oaina t6eir warkeo�
= iubmit thi��Rldavit�odleuinY�Y am doinQ all wmk aod dun 6rte �m�H���O��T��amam6
Contrscwn tlut chak t6i�bwt m�ut+RaeAad an edditiood�hat ahoain`the n�me of�d0 emtraeta�muN nil�it�oew�f8davit indiptin�meh.
°�b'aonauton aod t4e4 worken'eamP•Po1Gy�atlan.
I anr an empinyer tyrrt I�p�oyrdJng workera'compensatfoh insarancs jos my emp/oyees Befow Lt t/�s pollry�nd job si�L �
rnjormatlon,
Insurance ComPanY 1Vame: C�n,r ��7.��87,� , �?/�T�i�
�.�r�/�� 7�'/O�%
Policy#or Self in�, Lic.p: '�� o '
ExpiraUon Date: � `s��^l�
-_ Job Site Ad�esa: � . �jy� J�L i9�/L
c;ryisr��rz,p: - m- D)97�
Attach a copy of the�warlcer�"compentadon poticy declanNon paYe(showing the pollcy numher ynd e:piratlos data�.
Failure tu s��ur�coverage as requiad under Secaoo 2SA of MGL c. t 52 can lead to th�impo�tion of crimina�p�n�pes of a
fine up W S 1,SOO.Op and/or one-Yeaz imprisonment,as well as civi!penalees in th�focm of a STOP WORK ORDER and a fine
of up w 5250.00 a daY a8sinst the viola[or. Be advised that a copy of this statement may y�forwarded ee th�Office of
Investigations of the DIA for insurance�o�erag��erificatioa
I do hereby cerN ndei�p �and penalNet oIP�►Iury that the injormadon Provided above is drre and canect
Si na r •
ry p D • ��i
d O �� ��,�
OJf7cid use only. Do not wrrte ie�hir oreq to be complaed by ciry or town oJjlclaL
Ciry or Town:
PermitlLlceaae#
Issutn�Aut6oriry(circle one):
�. Board of Heslth 2.BuildinE Department 3.City/1'own Clerl� 4. ElectNcal Inspector S. PlumbinQ In�pector
6.Ot6er
Contact Person•
Pdone#•
Information and Instructions �
uires all em lo ets co provide workas' compensadon for their emP1oY�,
rson in the service of another under any concact of hice.
Massachusetts General Lawa chaptec 152 req P Y
pursuaat to ehis staate,an�+�Pfoyee is defincd as"...everY P�
express or imptied.o�or writtea" two ot more
o ar is defined as"an�vidusl,Part°°�sh�R a��O°'0O�°�aon or other legal endty,°r oy a,.or the
An empf Y �in a joint enceeP�+�i�cluding the legal rePres�taava of a deceased cmp Y
associsaon or otha l�Sal endty.emPt°Yus6 e°°Ployees. However che
of the foregoing enga8 a the acupent of tlm
receivu or t:usta of an individusl.P�°���than thcee apattrnen�s and'�°�ides therein, ho�
owna of a dweUin6 hou�l�aving not more ��don or repau work on such dwelling »
�,��g house of snothec who employs person�w do maintenaec0. lo �t be deemed to be an employer.
or on the grounds or building aPP��thento sbaU not because of such emp Ym
MGL chapcer 15Z+�25C(6)alse states��eveey state or loealltecns�4 aSe°�Y sh��thhold the banance or
renewal ot a Iteeose u�P��kO°P�nte a business or W eoostract bufidlnEs ia the commonwealth tor asy
�odyced aeceptabk evidence o[eompltanee w���b°� of���uti��y���s6ap
epp�ieant who h�s not P 152,$25C(7)s�s"Neid►er th�comm°°we��IIOr aay
pdditianally.MGL chaptet of ubflc work uatil accCPtable evidence of complianc�W'i���CQ
• enter into any conuad for tlu p�oimanoe P authority." I
requirements of this chapta have beea Prese°ted w the conaactinB
ppplicanb the boxes that apply w your situadon and.if
Please fi11 ouc the workecs' comp�°s�tion affidavit completely.bY checkinB
1 sub-contracwdg)�°0�s�+�dress(es)aa�Phone number(e)along with their cecafiaste(s)of
necessary.suPP Y
es(L1-G�or Limited Liability Pasmers6ips(LLP)with no emPloYees other tt�au the
��uanee. Limiud LiabilitY C°mP����Wo��. �o��don insurance• If an LLC or LLP doea 1�sve
memben or partners,are not requu�d be submitted w the Department of Industrisl
is required. Be advised thet t6is affidavit may davit should
employees,a po1��Y e covera e Alao be�u��t°s�$°'°d date the si5davlt t�����of
Accicknta fac confim�arion of inauran� g ' t or license is beiag requesced.
be rotumed to the city or wwn that the applicatiomfor the permi uired to obtaia a workers'
Indusuisl Accideata. Should you have any 4u�eaona regatding the law or if you are re4 c es should enter�
call the D�P�°°IIt at the number liated below. 3elf-inaured o�p�
compensadon pokcy.P�O ciate tine.
self-insurance lieense number on the a
City or Town Officiab rovided a space at the Uottom
Plaase be sure[hat the affidavit is compleu and printed legibly. The Depazanent has p the a hcant
cmiUlicrose number wlrich wi11 be us�d as a ceference number. In addiaon,an apPlicant
of che affidavit for you w fi11 out in the event the Office of Investigadons has�a�oo��You regardin6 PP
Ptease be sure to fiU in the P� t/license aPPlicaaons in any 6i�en Yeaz.need onty submit one afFidavit indicating ceu�s�°�
that must submit multiple pecmi ��a Lcant should write"aU Iceaaons in � �tY
policy informatioa(if ne�essaTY)�1II�"Job Site Addcess PP � � rovided w the
town)."A copy of the affidavit that has bcen officially stamPcd or marked by the city or town may P
applicant as proof tha�a valid affidavit is on file fof`fueure P�e��oa licon�s= A ncw�devic muat be filled out each
year.Where a home owner or citizen is obtainin8 e licenu or permit not nlated to any busiaess or commercial venw:e
(i.e. a dog license ar P��t�°burn leaves etc.)sa�d Pers°n is NOT required to complete this affidari�
The Office of Invesrigacions w�a1d�to thanlc Y
ou in advano�for your cooperarion and should you have any q��ODs'
please do not hesitace co B�
The Depacunen['s addnss.ml�Phone and fax aumber.
Th0 CO�nW�th Of IV�83.48ChUSCttS
n���oema��a��a�nu
oraee ut rn.rcsd�.aons
600 WashinScon Sheet
goston,Mp 02111
Tel.#617-72'1-4900 ext'W6�4977-MASSAFE
Fax#
617
ftzvistd 5-26-OS WWW.meSS.$OV/dl8
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Crr�t Og Su.E�t
:,; PUBLIC PROPERTY
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1$:9'1L7iL9SlS�F�7e 97L7�69W
Construction Debris Dispoasl Affldavit
(r«�uire0 for,u eea�olitton aoe ta,ovatiaa wnrlc)
1a aeeordaace with the mc�6 edidon of We Stste Huildie�Code,780 CMH aactiao 111.3
Debris.aod dee W'ovisions olMGL o 40.9 34C
Buildin�Panrdt M is iawad wit4 t�wnditioa td�t dN da6ri�[aultiets 8�
t!� wort ah�il b�diapoaed oi ia s pioy�ly lie�ted waw diapwal deiitty as deHned bp MC3I.a
ltl.S130/1.
'I�e debris wiU be transpoctad by:
���rs � � �
(nam�a[Arul�rl
The dcbris will be disposed ot in: I
(aam�o[Paeility)
N;� �
(aJdop�o!hciliry) i
s o[pem�itapplicad
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dw
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.:ehn.r7Jas •
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CITY OF SSLEM, MASSACHUSETTS
� � BOARD OF APPF.AL
Z # �" �
TO SHS HOaRD OF i��'• .--
/ _
The Under¢qne repre�ent that he/ehe ie/are the ownere of a cartain parcel of land located at:
7i �71nr•l-G�- ,�>>�L�.v�- Sh�eet; ZoningDirtrict Q 7.i
and�aid patcsl L a4�ected by Sectlon(t) ;'� �_ otthe Mu�achusetta 8tate BuUding Code.
Plazu describfnq ths work propto-�sed have^been�ubmitted to the Inepector o[Bufldings i�t accordance with Sectlon IX
A 1 of the Zoninq Ordinance. I-�11'Zr�'�l�L��' —
Submitted Drawingsinclude:
Site Plan
I SKl Basement and First Floor Plans
SK2 Second and Attic Floor Plans
SK3 Front(East)and Side(North)Elevations
SK4 Side(South)and Rear(West)Elevations
The Appllcatlon for Permit was denled by the Inspector of Bulldings[or the tollowinq rsuon(s): ��re�7��pp�,�
� The applicant is rebuilding a single family dwelling on an existing house lot and seeks relief rom the
following Residential Density Regulations from Section VI of the Salem Zoning Ordinance:
1. Front and Rear Setbacks:Proposed Front=5' (Required=TS',Existing=3')
Proposed Rear=3' (Required=30',Existing=5')
2. %Lot Coverage: Proposed=36.5 %(Required=35%,Existing=21%)
3. Third Story(attic)Enlazgement:Proposed: addition of Gables as shown on Floor Plan and
Elevations(Required: 2 '/�stories without added gables)
The Underdgned hereby psflflons the Board of Appeal to vary the terms of the 6alam Zoninq Otdlnance and/or the
Butlding Coda and order ths liupector ot Bultding� to approve the appllcatlon fee petmit to build aa filed, ae the
entorcement of�dd Zot�►g By-1,aavr and Build wi�ua �ubstantlally d oer�ya q�m the�fntent and purpose�of the
the Undanigned and rellef may be grud
_ . Zoning Ordliunce end Building Code for the tollawlnq ressons:
Reasons for request:
The proposed house offers 2,048 of finished heated area plus a one car garage,a screen porch, and a
deck.By today's standards,this is an average size three bedroom house. The previous house,to be
razed,was also a three bedroom house,without the amenities of a garage and a screen porch. The rear
setback reduction to 3' allows for,a necessary setback from road maintenance debris, and an
opportunity for some landscaping on the front side of the house facing Smith Avenue.The 24 foot
width of the house is equal to the width of the existing house.
The addition of the proposed gables to the roof azea, adds only marginally to the potential finished
interior area,and adds nothing to the height of the house. The potential habitable space on the third
floor,if finished, is still less than 50%of the area of the floor below,making the third floor stay within
the bounds of a half story when based on the amount of interior habitable space that is over 7' in
I ceiling height. The third story gables enhance the aesthetics of the house and improve its views.
(PLF.ASE PRII�IR-)i, i,��..r he�� �da.�3.J / /�� u 1"�n ���i� �
Ovmer: �T{-�i K Petltloner: � �� � �
Addreu: � SLN.�7� �v�. Addrese: 'et'`
Tel.No. 9�Z�-�j4,j'�3 T � _ Tel.No. �
By: '
�
( � )
Date:
Thlo origyia( appllcation muat bc ffied veit7i the Ctry Clerk A certlSe copy ot thta petltion wlll be returned to
petltlonsr at ths tlm� of Sling with fhe City Clerk, to then be ffied with the Secretaryr ot the Board of Appeal , four
w�� the meeUnq of the Board of Appeal, along with a check for advertldng in the amount of
,mads paysble to the"3elem�renlnq Nearo".
A TRUE
ATPFS7
�
— _.�---�
C1TY CLE�iK
28'-71�" MAXIf'IUM
TO MID HEIGNT OF GABLE
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TO MID HEIGNT OF GABLE
NEW SINGLE FAMILY RESIDENCE
� � RICHARD W. GRIFFIN
� for PATRICK AND CAROL FARRELL NUMB RT 0705 REGISTERED ARCHITECT
0 2 SMITH AVE DATE: o7i27io5
� SALEM, MASSACHUSETTS SCALE: I/8"=1'-0" 37 TURNER STREET SALEM, MA 01970 978-740-9979
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� NEW SINGLE FAMILY RESIDENCE
� RICHARD W. GRIFFIN
� for PATRICK AND CAROL FARRELL NUMB RT0705 REGISTERED ARCHITECT
� 0 2 SMITH AVE DATE: 07/27/05
SALEM, MASSACHUSETTS SCALE:I/8"=1'-0" 37 TURNER STREET SALEM, MA 01970 978-740-9979
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- - AREA =1,138 SF �W o _
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� � NEW SINGLE FAMILY RESIDENCE RICHARD W. GRIFFIN
� � for PATRICK AND CAROL FARRELL PROJECT
NUMBER: 0705 REGISTERED ARCHITECT
� 0 2 SMITH AVE DATE: o7/27io5
SALEM, MASSACHUSETTS SCALE: I/8"=1'-0" 37 TURNER STREET SALEM, MA 01970 978-740-9979