43R WALTER ST - BUILDING INSPECTION PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OFINFORMATION
/// ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
E A STEVENS CO INC
/ HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTENDOR
G
ALTER THE COVERAGE AFFORDED BY THE POLICIESBELOW.
389 MAIN ST BOX 188 COMPANIES AFFORDING COVERAGE
MALDEN MA 02148-5076 COMPANY
A CENTRAL INSURANCE
INSURED COMPANY
ADD IT NOW DORMER CO B
COMPANY
6 ALLEN ROAD EXT C
PEABODY MA 01960-6331 COMPANY
D
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO POLICY EFFECTIVE POLICY EXPIRATION
LTR TYPE OF INSURANCE POLICY NUMBER DATE(MM/DDrM DATE(MM/DD/YY) LIMITS
'q GENERAL LIABILITY BOP7923868 7 22 O6 7 22 O7 GENERAL AGGREGATE 52 , 000 , 00)6
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGO S 3 , 000, O
CLAAfSMADE aOCCUR PERSONAL&ADV INJURY S N.
OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $1, 0 0 0, 0 0 0
FIRE DAMAGE(AW arc R.) S 100 , 000
MED EXP(Aw ore Ferran) S 5 , 000
AUTOMOBILE LIABILITY
COMBINED SINGLE LIMIT $
ANY AUTO
ALL OWNED AUTOS BODILY INJURY
SCHEDULED AUTOS (Per K...) S
HIRED AUTOS BODILY INJURY
NON4)WNED AUTOS
PROPERTY DAMAGE S
GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN AUTO ONLY
EACH ACCIDENT S
C. .
AGGREGATE S
EXCESS LIABILITY EACH OCCURRENCE S V"i
UMBRELLA FORM AGGREGATE S lip
OTHER THAN UMBRELLA FORM S %'.
1 WORKERS COMPENSATION AND WC 7 9 5 9 7 4 0 01 31 0 7 01 31 0 8 X I oar LG/ITs I ER )0
EMPLOYERS'LIABILITY
EL EACH ACCIDENT S 1 00 , 000
THE PROPRIETOR/ INCL EL DLSEAS&POLICY LIMIT $ 500 , 000
PARTNERSIEXECUTIVE
OFFICERS ARE: X EXCL EL DISEASE-EA EMPLOYEE S 100, 000
OTHER - ...
DESCRIPTION OF OPERATIONS/LOCATIONS/VEMCLES/SPECIAL ITEMS _
THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR THOMAS LEONARD
^LTiiCA ItcYLri CAN # kTiON
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE...._
ADD IT NOW DORMER EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TWAT}
110 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THBiFT.�,-
6 ALLEN RD EXT BUP FAILURE TOM L SUCH NOTICE SHALL IMPOSE NO OBLIGATIORCOB.IABILI S]:._
PEABODY MA 01960 OF ANY KIND N THE COMPANY, ITS AGENTS OR REEEWNTATIVER.
AUTHORIZED R NTATIVE
F.M. 4<NA )0
AC412A 2S-S (Il9S) .�.Cf3Rii L"E1RkXf�t'R'k'FQS3.��SS':�.
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FORMERLY HARRIS I PHILBRICK ic
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LOT B 41. 00
3668 S.F. x Z V
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2
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7s.8 I'd
76.79
1 4 Ous E
CLARKE
LAND OF M A R I A C. LEBRUN
WALTER ST., SALEM, MA33.
SCALE liN.=20FT. JULY1948
QD_
NEAL B. i�'
AmAts*.441 nqe MITCHELL
'T
Rem" 7-11-46
01
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4 1 ygON01T CITY OF SALEM, MASSACHUSETTS
BOARD OF APPEAL
120 WASHINGTON STREET, 3RD FLOOR
SALEM. MASSACHUSETTS 01970
TELEPHONE: 978-745-9595
FAX: 978-740-9846
KIMBERLEY DRISCOLL
MAYOR
July 10, 2007 -
ra _ —
0
0
Decision J
c
r- �-
Petition of Donna Matarazzo Requesting a Variance —
c
for the Property at 43R Walter Street o n r
City of Salem Zoning Board of Appeals
W rn�
N
A public hearing on the above petition was opened on June 20, 2007 pursuant to 0
Massachusetts General Laws Ch. 40A, §§ 10 and 1 land the City of Salem Zoning
Ordinance. The following members of the Salem Zoning Board of Appeals ("Zoning
Board of Appeals") were present: Robin Stein (Chairperson), Elizabeth Debski, Richard
Dionne and Steve Pinto.
The petitioner, Donna Matarazzo ("petitioner"), sought a variance from the 2 %: stories
allowed under the existing zoning ordinance to allow a third floor dormer for real
property at 43R Walter Street, Salem, located within a two-family residential (R-2)
zoning district.
The Zoning Board of Appeals, after careful consideration of the evidence presented at the
public hearing, and after thorough review of the petition submitted, submits the following
findings of fact:
I. Petitioner's property is a single-family dwelling within a two-family
residence district.
2. Petitioner sought a variance from the maximum 2 % stories allowed under
the existing zoning ordinance to allow for the construction of a
third floor dormer that is 29 feet in width. The variance will enable the
petitioner to construct three bedrooms and possibly a bathroom.
3. Arnold Nadler of 43 Walter Street spoke in favor of the variance.
On the basis of the above findings of fact, including all evidence presented at the public
hearing, including, but not limited to the petition, the Zoning Board of Appeals concludes
as follows:
l. The petitioner's request for a variance does not constitute substantial
detriment to the public good nor does the requested relief nullify or
substantially derogate from the intent or purpose of the zoning ordinance.
2. A literal enforcement of the zoning ordinance would create a substantial
hardship to the petitioner.
3. In permitting such change, the Zoning Board of Appeals requires certain
appropriate conditions and safeguards as noted below.
In consideration of the above, four(4) members (Stein, Debski, Dionne and Pinto) of the
Salem Zoning Board of Appeals voted to grant the petitioner's request for a variance, and
zero (0) members voted to deny the petitioner's request for a variance, 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
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 building permit prior to beginning any construction.
S. Exterior finishes of the new construction shall be in harmony with the
existing structure.
6. A certificate of occupancy shall be obtained.
7. If necessary, petitioner shall obtain proper street numbering from the City
of Salem Assessor's office and shall display said number as to be visible
from the street.
8. Petitioner is to obtain approval from any City Board or Commission
having jurisdiction including, but not limited to the Planning Board.
9. Unless this decision expressly provides otherwise, any zoning relief
granted does not authorize petitioner to demolish or reconstruct any
structures(s) on the property to an extent greater than 50019 of the structure
as measured by floor area or replacement cost. If a structure on the
property is demolished by any means to an extent of more than fifty
percent of its replacement cost or more than fifty percent of its floor area
at the time of destruction, it shall not be reconstructed except in
conformity with this Ordinance.
M
Robin Stein
Salem Zoning Board of Appeals
A COPY OF THIS DECISION HAS BEEN FILED WITH 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 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 that 20 days have elapsed and no appeal has been filed, or that, if
such appeal has been filed, that it has been dismissed or denied and is recorded in the South Essex
Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on
the owner's Certificate of Title.
I
CITY OF SALEM
PUBLIC PROPRERTY
as- DEPARTMENT
11C WA91[NC..':JNSaEET•SAU.M.N.\\SU::it *111%9IC
Tet:VM7439595 •F-M 978.74G9846
Construction Debris Disposal Affidavit
(required for all demolition alul renovation work)
1n accordance with the sixth edition of the State Building Code, 7S0 Cb1R section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit U _ _ 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 .1GL c
111,S 1.50A.
The debris will be transported by:
(name of hauler)
I'lic debris will be disposed of in
(n:une of idrtY)
. _— ad�tr�xa offaiiLWJ .
_ � t
♦i;�.:.I�ii .lf Xlll'.a.l:�).lil.lt_- _ _
ADD-IT-NOW DORMER CO., INC. TOM LEONARD,,z sn
8 Allen Road Ext.
Peabody, MA 01980
DORMERS * ADDITIONS * SECOND LEVELS
PROPOSAL
DATE — /o, "- U•7
NAMEI�I?Ati/ 1 2C J/f t/�`/`�l}T� 7fILZUSTREET 21 /Z GGi1LTr%� '5`
CITY ��lL FsyJ State /l1H I ZIpU/S')o PHONE
1. Size of Dormer—Secondevel—Addltlon �Cn T>< ° ? /9 .3a. ' S'//f'—ew"ie-/t
O/—/- 1• T .Sic rP
q 7
C�� %d.' /3 C' C'.c�^S%/e e r/.<,ef /9; `pe,r2 • �C/-9. •
2..Excavation and Foundation if any
//3. Framing and Sheating r /�-/, •s i� >'r A3� C°.cb^
.)4/1A /_L,r r /✓C.l? //.1 C•I� X L.7 G�c//.l-C-h'� .V C`i J/�rGy
✓✓✓ —7 /
4. Window ..� ✓i�., TS o� %CJ ? G-/c , % `>3' -Zz �"l! e". c Se.,•
r
4A Doors `—
5. Roofing N'? T-•� Y"J '�; �" i C` rte- Color 7'
.S. Siding ,i�e C F'<..-( .>z S'i � ,J��,F - Corners
7. Gutters and Down Spouts
S. Inside Framing
-- 9. Inaulation
10. Heating — t
11. Plumbing
12. Wiring
13. Exterior Finish �� /�✓r ' '� /'
/
14. Interior Finish ' �!-rsarv�" .•✓ c,.r• C
15. Floora / X 7/�/2 e,c'.F /_�'.9/ i 'S f...G-// f.? C /L !rt r^y•."
Cce
16. Extra Items ' < S talc /i,a �c P /-t: G� cY�i/ T -e r/c7
I
17. Clean Up
G.Yi
Complete Prices
F yment to be made as follows /-� �� ` �� �� /ter /f
e�cF r
DATE- OWN
/R�FPRESNTpT�%t��' - OWNE
! ALL WORK AND MATERIALS GUXANTEED 3 YEARS.
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
snmrau:r uwsr:uu
\(Artxt M WASH1Nc41'ON STREET 1 SALEM.MASSACI It-,hi'ra 0197;
TEL.978.74>9595 • RAx:978.740.9840
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
.applicant Information �/ Please Print Legibly
ame(Busilwss/OrganizatioNindividwi):�— Give 9C /q- xCi�z?G9� /
Address: I<- lqw-a-, /4ye 2EE7-Jr%-
City/Stareizip: A924la—P70 Phone #: 2_
Arc you an employer?Check the appropriate box: 'type of project(required):
1.El I am a employer with�_ 4. ❑ 1 am a general contractor and 1 b. ❑ New construction
employees(full and/or part-tinic).• have hired the sub-contractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have S. ❑ 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.❑ 1 am a homeowner doing all work right of exemption per MGL 1 1.❑ 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' 13.❑ Other
comp. insurance required.]
-Any applicant that checks box nl muss also fill out the section W-ow showing their wurkent cumpansatiws puliry information.
T I humettwnors who submit this affidavit indicating I"are doing all work and then him outside conuacton most submit a new affidavit indi"ins vetch.
�C'onlMto s that ch vk this box must attached an additional stwl showing the name of the subcontractors and their workers'comp.policy infunnatiun.
I an; an employer that Ls providing workers'compensation insurance fur my employees. Below is the pu/icy and job.cite
information /
Insurance Company Name:
Policy 4 or Self-ins. Lic.#: , 7�7 7rfQ._ . Expiration Date:/—/
Job Site Address:_�43 Og- /,!i/f�Tti'p'2 City/State/zip: G /P
A«•ach 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 ul'.MGL c. 152 can lead to the imposition of criminal penalties of a
tine up to S1.500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to S250.00 it day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations ofthc DIA for insurance coverayc verification.
l du herebyterti r...a d penalties u prrirrrun/�//�• f pr ry rh to information provided above is true and Correct
Offj*tiul us'e only. no not write in this area,to be completed by city or town official
City or'rown: __ Permit/License#_
Issuing Authority (circle one):
I. Board of health 2. Building Department 3.City/town Clerk 4. Electrical Inspector 5. Plumbing Inspector
G. Other
Contacl Person: _.__ Phone #:
' e
Information and Instructions
AJassachusetts 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."
.-fin 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."
biGL 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-contmctor(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 dute 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 he 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 till in the permiUliceuse number which will be used as a reference number. In addition,an applicant
that must submit multiple permitilicense 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 affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or pennit 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.
Thu Otlieu of lavestilatiuns 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;
Ofte 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
PUBLIC PROPERTY
o DEPARTM&NT
MAvon
130 wAtHit+=w s N"T•&—'K MAMACH:sti It 01970
T9L-97e•743.9S9S•FA=M740.9M
APPLICATION FOR THE REPAIR REww%%r.OUVA r - CONSTRUCTION
®E�IOLI330PI. OR CHANGE OF USA ROC rpANCY FOR ANY EXISTIN
STRU �� OR BUILDIpG
1.0 SITE INFORMATION "
Locadon Name: .3 Building-
Property
Address pQei GGG%mac �7—
Propsriy Is located In a;ConservaBon Arse YIN Historic District Y/N
rAdldrew
0 OWNERSHIP INFORMATION
Owner of Land
me: Z C�
Sly
Telephone: �7&- 3�0 - v5z�j
3.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
Addition Existing a
Renovation Number of Stories Renovated
Change in Use New
Demolition Existing
Approximate year.of Area per floor (sf) Renovated
construction or renovation
of existing building New
Brief Description of Proposed Work:
S/lam
�� e0--r_ J lies
/ fff, 9ti-5 (617
------ -- ---- --
-- Mail Permit to: S2IIII 4-,707,9,.7 .4
What is the current use of the Build"? f�a hoW Many Linda?
/
Material of Building? / acsi P c` . if dwelUng.
Wig the Building
Conform to Law? PS Asbestos?
Architect's Name
Address and Phone
.Legg-�
Mechanic's NarM
Address and Phone
Constriction SuDerv�Ucenae N L"' �' HIC Reglshatkx+
Estimated Cost of�Pro�ject a 3�`� Pam*Fee Calculation
i-- -- Estimated Cost X$71$1000 Residential
Permit Fee
5— Estimated Cost X i111i1000 Commeafal _
'o iO An Additional $5.00 is added as an
Administrative duvge.
Make sure that all fields are properly and legibly written to avoid delays in processing-
The undersigned does hereby apply for a Building Permit to build to the above stated
specations. signed under penalty of penury X
ific
Date ?
v ,
N
s
a � g
Nr` L �
96