7 SUTTON AVE - BUILDING INSPECTION (3) City of Salem Ward
�N.<owne�r.
4CUelr<t>d l "_
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all Items In sections:1, 11, Ill, IV, and IX.
1. AT(LOCATION) 7 vU*6ii 0, z6NINGT
LOCATION (NOI (STREET)
OF BETWEEN AND
(CROSS STREET( ICPOSS STREET)
BUILDING LOT
SUBDIVISION LOT BLOCK SIZE
IL TYPE AND COST OF BUILDING -All applicants complete Parts A -D
A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION'USE MOST RECENT USE
1 — New building Residential Nonresidential
2 ❑\AddHbn(ff residential,enter number of new 12 0.family 18 ❑ Amusement,recreational
(rousing units added,it any,in pan D,13) 'F 19 ❑ Chruch,other religious
13 ❑ wo or more family-Enter number
3 ❑ Alteration(See 2 above) of units .................................._.......:.........
.. 20 ❑ Industrial
21 ❑ Parking garage
4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 22 ❑ Service station,repair garage
Enter number of units ...........................
5 ❑ Wrecking i f multflemily residential,enter number 23 ❑ Hospital,institutional
of units in building in Pad D. 13) 15 ❑ Garage 24 ❑ Office,bank professional
6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility
26 E] School,library,other educational
7 E] Foundation only 17 El Other-Specify
'i 27 ❑ Stores,mercantile
B.OWNERSHIP 28 ❑ Tanks,towers
8 Private(individual,corporation,nonprofit J-K 29 ❑ Other-Specify
institution,etc.) '
9 ❑ Public(Federal,State,or local government
C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant,
�7 n'` machine shop,Laundry building at hospital,elementary school,secondary school,college,
10. Cost of improvement ....l7S.lZO V............. $ parochial school,parking garage for department store,rental office building,office building
at industrial plant If use of existing building is being changed,enter proposed use.
To be installed but not included
- in the above cost
a. Electrical ..............................................:...........................
b. Plumbingr Ile
GS /
c. Heating.air conditioning.............................................
d. Other(dlevator.etc.).............__.'...:.�,..........................- . .. ._. .._.-a
11. TOTAL COST OF IMPROVEMENT $ 7D 066 '
III. SELECTED CHARACTERISTICS OF BUILDING -For new buildings and additions, complete Parts E.-L;demolition,
complete only harts J&M, all others skip.to IV
E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL 1. TYPE OF MECHANICAL
30 ❑ Masonry(wall bearing) 35 KG9, - i 40 Public or private wmpanY- Will there'be central air
31 Wood frame 36 ❑ Oil 41 ❑ Private(septic tank etc.) conditioning?
.I 32 Structural steel 37 ❑ Electricity 44 I� Vey 45 ❑ No
j 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will the by an elevator?
34 ❑ Other-Specify 39 ❑ Other-Specify 42 WPublic or private company 46 E] Yes 47 ❑ No
43 ❑ Private(well,cistern) '-
J.DIMENSIONS n M. DEMOLITION OF STRUCTURES:
48. Number of stories ..................... .............................. ,.
aa. coral swore redo of note area, Has Approval from Historical Commission been r -ved
all arsu,oflc�based - exterior BCD for an structure over fifty o `aimansions ...._........................,Zr__.............._._...._..... y fty(50)Years. Yes No_
so. Total land area,sc.it.........S.,.S.`t_8.....57. . Dig Safe Number ;2 o o 6 3 cio -R3 6 3
K.NUMBER OF OFF-STREET PARKING SPACES
Pest Control: / � f vn'�►a
51. Enclosed ._....... .._............................................
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. outdoors..........aZ.............................................................. Yes No
L.RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed .............................._._..........._.._._..................... Electric: S
^^ Gas:
54. Number of S Full.............F.S...................._. Sewer:
bathrooms l Pa DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ No—>l� (If yes,please enclose documentation from Hist Com.)
Conservation Area? Yes_ No,d,_ (If yes, please enclose Order of Conditions)
Has Fire Prevention(02rovedalid stamped plans or applications? Yes✓No_
Is property located in the S.R.A. district? Yes_ No_
Comply with Zoning? Yes_ No (If no, enclose Board of Appeal decision)
Is lot grandfathered? Yes_ No (If yes, submit documentation/if no, submit Board of Appeal decision)
If new construction, has the proper Routing Slip been enclosed? Yes✓ No_
Is Architectural Access Board approval required? Yes_ No (If yes, submit documentation)
Massachusetts State Contractor License # O 601�L9 1 Salem License#
Home Improvement Contractor # /go 3 Sy Homeowners Exempt form (if applicable) Yes_ No
CONSTRUCTION TO BE COMMENCED WITHIN SIX (6) MONTHS OF ISSUANCE OF BUILDING PERMIT
CONSTRUCTION IS TO BE COMPLETED BY: S,oZ� O G If an extension i necessary, please submit
in writing to the Inspector of Buildings.
V. IDENTIFICATION - To be completed by all applicants
Name Mailing address-Number,street,city,and state LP Code Tat.No.
Owner or R,r- PCC� 3 9CAfU-c G-t J,ruA. o I yv f 9 8 239
Lessee
z. AA&r&I-C 0l9 S�
contractor
ener
License No.
No.
3. HINDArc nit 0.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application
as his authorized agent and we to conform to all ap licable laws of this jurisdiction.
Signature of applicant Address A pli ion ate
o [ 9 s
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Group
Permit Issued 19 Fire Grading
Building
Permit Fee $ Live Loading
Certificate of Occupancy $ Approved : Occupancy Load
PP b Y
Drain Tile $
Plan Review Fee $
T[TLE
NOTES AND Data• (For department use)
81J. er
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O (ON.
dL /V
�u S
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by: Completed by:
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN •For Applicant Use
ON
i
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
KIMRERLEY DRISCOLL
MAYOR 120 WASHINGTON STREET •SALEM,MASSACHUSETTS 01970
TEL.979-745-9595 • FAX:978-740-9846
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information n Please Print Leeibly
Name (Business/Orgmization/Individual): 7. /G t Ce. 1 AC .
Address: o P.d Y City/State/Zip: -zaa {ekl_df. MQ . Phone #: 97Pi 235 - 1191 '
Are you an employer?Check the appropriate box: Type of project(required):
1. with�1 am a employer4. ❑ am a genera r an I l contractor I
—�-- 6. ❑New construction
employees(full and/or part-time).' have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. t �• ❑ Remodeling
ship and have no employees These sub-contractors have 8. ❑ Demolition
working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.❑ Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions
myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑Roof repairs
insurance required.] t employees. [No workers'
comp. insurance required.] 13.❑ Other
Any applicant that checks box#I most also fill out the section below showing their workers'compensation policy information
t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
.Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information.
I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information. _
Insurance Company Name: A -L- G /
Policy#or Self-ins.Lic.#: WC. R 73 al7977 V Expiration Date: 12 /, 9 ./_D 6
. Job Site Address: 7 S a 04 0.0 e— City/State/Zip: C oA\-e.PA
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties perjury that the information provided above is true and correct
Si nature: g7eyrlr.� / Date: �0�/716K
Phone#: //e_i � � /
Official use only. Do not write in this area, to be completed by city or town official
City or Town: PermitfLicense#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Information and Instructions
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees.
Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,
express or implied,oral or written."
An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractor(s)name(s),address(es)and phone number(s) along with their certificate(s)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the
members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested,not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy,please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant
that must submit multiple permittlicense applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new of ldavirmust be filled out each
year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
Offlee of Investigations
600 Washington Street
Boston,MA 02111
Tel. #617-727-4900 ext 406 or 1-877-MASSAFE
Fax#617-727-7749
Revised 5-26-05 www.mass.gov/dia
10/03/2006 21:06 9787449180 NORTH SHORE SURVEY PAGE 01
MAP 45 LOT 52
PHYLISS ARM
IRON KIMBERLY AROUTH
ROD 5 4' S.0' S64'30'44"W LOT CORNER
SET NOT SET
5.0'
50.001 UNDER LOG PILE
PROPOSED
MAP 45 LOT 33 GARAGE
ANNE KENNY
BRENDAN HOWLEY b
O yN
O
MAP 45 LOT 35 w N
AREA - 5548 f S. F. z
IRON IRON
PIPE ROD
FOUND SET
ja 9.3' MAP 45 LOT 35
a NANCY GRIOORIAN
PROPOSED
DWELUNG
MAP 45 LOT 34
DAM FLADGER
10.0'
IRON PORCH DRILL
ROD
°f n HOLE
50.00 SET
N82 6'40"E
SUTTON AVENUE
of
VAS B�Cy PLOT PLAN OF LAND
7 SUTTON AVENUE
SALEM
PROPERTY OF
THOMAS RICE do TRACY FLAHERTY
A" SCALE 1" m 20' OCTOBER 4, 2006
NORTH SHORE SURVEY CORP.
14 BROWN STREET, SALEM, MA #2764
MAP 45 LOT 52
PHYLISS AROUTH
IRONh2'
KIMBERLY AROUTH
ROD _
SETS6430'44"W LOT CORNER
NOT SET
2'450.00' UNDER LOG PILE
2.3' 3
MAP 45 LOT 33 O N
ANNE KENNY
BRENDAN HOVA.EY Co 00
MAP 45 LOT 35 to
r
IRON AREA = 5548 f S. F. z
PIPE IRON
FOUND ROD
SET
W rn MAP 45 LOT 36
to NAREG GRIGORIAN
NANCY GRIGORIAN
W
co PORCH
(N 9.3'
MAP 45 LOT 34
DAVID FLADGER #7 THE ROOF PEAK
OF 9 SUTTON AVE.
9'6 IS 28.4' HIGHER
THAN THE DRILL
HOLE SET
IRON PORCH
DRILL
RODch 12 8. HOLE
SET ^ 50.00' ^ SET
N62'16'40"E
SU17ON AVENUE
GAR PLOT PLAN OF LAND
aft sMm+ r 7 SUTTON AVENUE
No.350 c '' SALEM
i �` oQy`` PROPERTY OF
LL` S THOMAS RICE & TRACY FLAHERTY
SCALE 1" = 20' AUGUST 15, 2006
NORTH SHORE SURVEY CORP.
14 BROWN STREET, SALEM, MA #2764
w
CITY OR SALEM, MASSACHUSETTS
BOARD OF APPKAL
120 WASHINGTON STREET, 3Ro FLOOR CL.E.RK'S OFFICE
Is SALEM, MASSACHUSETTS 01270
TELEPHONE: 978-745-2595
FAX: 978-740-984e .2aab KAR 31 .A 10: '08
DECISION OF THE PETITION OF THOMAS RICE REQUESTING A SPECIAL
PERMIT AND A VARIANCE FOR THE PROPERTY LOCATED AT 7 SUTTON
AVENUE R-1
A hearing on this petition was held on March 15, 2006 with the following Board
Members present: Bonnie Belair,Nicholas Helides,Richard Dionne,Robin Stein and
Edward Moriarty. Notice of the hearing was sent to abutters and others and notices of the
hearing were properly published in the Salem Evening New in accordance with
Massachusetts General Laws Chapter 40A.
Petitioner is requesting a Special Permit per Section 9-4 and a Variance from front yard
setback to demolish existing single family and to rebuild new single family for the
property located at 7 Sutton Avenue located in an R-I zone.
The provisions of the Salem Zoning Ordinance which is applicable to the request for a
Special Permit is Section 5-3 0),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 Sections 8-6
Permit for alterations and reconstruction of nonconforming
and 9.4,grant Special
on of nonconforming lots,land,
SW and for changes, enlargement, extent expansi
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 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 Variances which have been requested may be granted upon a finding of the Board
that:
A. Special conditions and circumstances exist which especially affect the land,
building or structure involved and which are not generally affecting other lands,
buildings or structures in the same district.
B. Literal enforcement of the provisions of the Zoning Ordinance would involve
substantial hardship, financial or otherwise,to the petitioner.
��C�ERK'S OFFICtiA
�p� MAR 3,1 A a: 08
DECISION OF THE PETITION OF THOMAS RICE REQUESTIN SPECIAL
PERMIT AND A VARIANCE FOR THE PROPERTY LOCATED AT 7 SUTTON
AVENUE R-1
page two
C. Desirable relief may be granted without substantial detriment to the public good
and without nullifying or substantially derogating from the intent of the district or
of the Ordinance.
The Board of Appeal,after careful consideration of the evidence presented,and after
reviewing the plans makes the following findings of fact:
1. Petitioner Thomas Rice appeared and presented his plans to demolish and rebuild
his single family dwelling.
2. The existing house is in structural failure and should be replaced in entirety as
supported by a structural engineer from Lieb Architects.
3 Neighbors sPeaking in support of the petition were from 5 Sutton Ave., 111
Columbus Ave, I I %Sutton Ave, 109 Columbus Ave, 3 Sutton Ave, 14 Sutton
Ave and 10 Sutton Ave.
. Oregonian who resides at 9 Sutton Ave was concerned about the elevation of
4 6 on the issue of
the new structure and how the new structure would impact
drainage.
S. Larry Spang of 125 Columbus Ave spoke in favor of the preservation and wanted
to restore the building.
6. Councillors Lucy Corchado of Ward 1 and Jean Pelletier of Ward 3 also spoke in
favor of the petition and that is was not economically feasible to preserve the
home to its historic character.
7. Donna Vinson spoke on behalf of Historic Salem Inc. and wanted to encourage
preservation of this house as it was architecturally rate.
On the basis of the above findings of fact,and on the evidence presented at the
hearing the Zoning Board of Appeal concluded as follows:
1. Special conditions do exist which especially affect the subject property but not the
district in general.
2. Literal enforcement of the provisions of the Ordinance would involve substantial
hardship on the petitioner.
3. Literal enforcement of the provisions of the Ordinance would involve substantial
hardship on the petitioner.
L�CLER' 'S OFFICE
DECISION OF THE PETITION OF THOMAS RICE REQUESTING A 1 0 8
VARIANCE FOR THE PROPERTY LOCATED AT 7 SUTTON AM �T A fa
page three
4. The relief requested can 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.
5. The Special Permit granted can be granted in harmony with the neighborhood and
will promote the public health, safety, convenience and welfare of the City's
inhabitants.
Therefore,the Zoning Board of Appeal voted,5 in favor and 0 in opposition to grant the
relief requested with the following conditions.
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.
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. Exterior finishes of the new construction shall be of wood composition.
6. A Certificate of Occupancy shall be obtained.
7. Petitioner is to obtain approval from any City Board or Commission having
jurisdiction including,but not limited to the Planning Board.
g. The height of the garage shall be limited to eighteen 0 g') feet.
9. The driveway will not be paved past the house;but will be composed of crushed
stone to alleviate any drainage issues.
10.The house will not be greater in height than the house at 9 Sutton Ave.
11. Any drain&V issues that are created by the new construction will be rernediated to
the present state.
12. There will be no blasting at the site.
13. Petitioner shall seek guidance from Historic Salem hw,with the new construction.
10/02/2006 13: 09 9787409846 PAJDM "� �� PAGE 01
CITY OF SALEM
ROU ING SLIP
NEW CONSTRUCTION
CERTIFICATE OF OCCUPANCY
LOCATION:_ 5o�o,a a vc, DATE /0 - y-O 6
APPLICANTS / aOMc.S Ricc
RANK ASSESSOR
FRANK S B:ULIK 41.
_ �)ATE �( — O (o
(93 Waahinpn Suva) _
CCHERYL LAPO S�) DATE:
PUBLICS SERVIC ::
g
BRUCE THIRODE DATE: 6
(120Wedtington
WATER
DOTTIR THIBODEAU ATE: 7&/
(l20 WuhingOcm Street)4� llo,VCROSS CONNECT SUPERVISOR
BRIAN THIBODEAU. DATE: d O G
(S)effersm Avemie)
PLANNING 1)a� 04-trL,, "
"'r
Sam L� y %` -� /�Y� DATE:
(120 Washington Street)3~Floor '
CONSERVATION COMMISSION
DATE: �o Y Oto
(120 Washinguin Street)3'a Floor
ELECTRICAL
GI RD 4z/�/ L�
JOHN GIARDI DATE:
(48 Lafayette Str
FIRE PREVENTIO
ERIN GRIFFIN DATE: I O
(29 Fort Avemm)
HEALTH
JOANNE%01 DATE: /E
(I20 Washington S )4 Floor
BUILDING
THOMAS ST.PIERRB ATE:ton Q -BYO
(120 Washing Street)r FI�'or
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
12QWAaGKGtom S.%Ey-T 0 e.L cu XASU"L561'IS 01970
Tim.973-74S•9S9S•FAE:978-740-9aas
Construction Debris Disposal Affidavit
(required foe all demolition and renovation work)
In accordance with the sixth edition of the state Building Code,780 CMR section 111.5
Debris.and the provisions of MGL c 40.3 54;
Building Permit Al is issued with the condition that the debris resulting from
1 sed waste disposal e&dlity as dented by MGL e
this wont shall be disposed of in a proper Ylicen
111.S 150A.
The debris wiU be transported by:
r,✓a.s�-
team.ot'dnd«1
The debris will be disposed of in :
I(aams of fxday)
�pcJ� N(a-
(address of tacitirY)
�rnaalte of it appticam
dart
.tclyi.mZJus