0004A CLEVELAND ROAD EXTENSION - BUILDING JACKET E
4 A CLEVELAND ROAD
J
'�7
The Commonwealth of Massachusetts
yl,
g Regulations and Standards Board of Building CITY OFSALEM
Massachusetts State Building Code, 780 CMR
Rerixed.l lur 2011
Building Permit Application To Construct, Repair, Ret vate Or emolish a
One-or Trvu-Fermi), Dmr!lit
This Section For O •ial U e Onl
Building Permit Number: ate Appliled:
Uuilding 011icial(Print Nwne) Signatur Date
SECTION 1: SITE INFOR ATION
1.,1 rop ty ress: �7- �- _..(_ 1.2 Assesso s M1la & Parcel Numbers
1.1 a Is this an accepted street?yes_✓l no X Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
/oning District Proposed Use Lot Area(sq 11) Frontage(It)
1.5 Building Setbacks(R)
Front Yard Side Yards - Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.1.c.40, §54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone?Check if yes13 Municipal ❑ On site disposal system ❑
SECTION2: PROPERTY OWNERSHIP'
2.�,-.Qsvn rt of Reco
7 C7"L✓� y��� �.r
Nwne(Prin ) city.State,ZIP
li`o-r L t
No.and Street Telephone Fntuil Address
SECTION 3: DESCRIPTION OF PROPOSED WORK (check all that apply)
New Construction❑ PE(,isting Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ 4Addition
Demolition ❑ essory Bldg.❑ NumberofUnits_ I Other ❑ Specity: On
Brief Description f Proposed Work'
Gt S
G
SECTION 4: ESTINVYrED CONSTRUCTION COSTS
item Estimated Costs: Official Use Onl
(Labor and .Materials) y
I. Building S I. Building Permit Fee: S Indicate how fee is determined:
2. Electrical S ❑Standard City/Town Application Fee
❑Total Project Cost(Item 6)x multiplier __x
7. Plumbing S 1. Other Fees: S
1. Mechanical (II1':\C') S List:
\lechanienl (Fire S - --.---------__----
tiutt" ionl Yogi AllFees: S
C'hak No. _Check Amount: --_--Cash Ant:
6. Total Project Cost: S &��� lT Amman:
--_-- --
0 Paid in Full 13 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES ,
5.1 Construction Supervisor License C'SL)
o� �----------- License Numhcr --- I�piralion Ualc
N ante of C'SI. 1 InWer
List CSL 1)PC(see hclow)_ _
No. .utd tit t ee V Jh Description
C�(v U IInN.,Erieted t3uildings ti to}5,000 cu. It.)
.._._ Restricted IA_Famil Dwelling
City/fort n,State.Z l P M Masonry
RC Rooting C'o%erin
�7 cSYf WS Window and Siding
SF Sol Fuel Burning Appliances� Insulation l'cic hone Finail address D Demolition
5 egistered Home Improve lent Contract r(HIC) r�s
�G ,
C \"I� ✓7 c 'fete ho ne C/Registration umber
t
n Uala
IIC'Cont mj),LumeorI11C Re 'sluni Name -
Nyy� 4 � �c:� oaLLV Lmailladdress
City/Town. State,ZIP
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.1 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 Issuance of the building permit.
Signed Affidavit Attached? Yes .......... ❑ No........... O
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
to act on my behalf, in all matters relative to work authorized by this building permit application.
Print Otmer's Name(Electronic Signature) Date
SECTION 7b:OWNER( 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 acc ate to )e best of my knowledge and understandin .
Print Ottner's or Authorizcd Agent's Name(Flecinntie Sign;rt re) Dme
NOTES:
I. An Owner who obtains a building permit to do his,her own work,or an owner who hires an unregistered contractor
trot registered in the Hume Improvement Contractor(HIC) Program),will not have access to the arbitration
program or guaranty fund under%I.G.L.e. I42A.Other important information on the HIC Program can be found at
o uts.nr.n..g,�e o .i Information on the Construction Supervisor License can be found at�%5ts.m;is> 1p.
2. When substantial work is planned, provide the information below:
Total fluor area(sq. I'll.) (including garage, finished basement'attics,decks or porch)
Cross living area(sq. It.) -__ Habitable room count _
Number of fireplaces Number of bedrooms
Number of hathromus .Number of half b:ulis
l)pe of heating >�stem Number of decks porches. -
I)pc of cooling s)stem ...__ Enclosed _ Open
i. "Total Project Square Pootoge"m:q be suhstiuttcJ tiu''I'otal Project Cost"
stteez
- Appow l- wis" 11 W�FX 4SaZemay to 01970 MADEgT�ON MUST BE
s?e (508) 745-7777 AHEAD_ W
LEAST
IN ��SS
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In acco.dance wZth the pnovi.ston6 o6 .the Ma,, zachwset'ts State Bui.Zdtn;
and the Sa£em F.i�.-.e Code, appZ.ication .tA hez.eby made 6o�L approval o6 F
and the l.s nuance o6 a ce,-ti Zcate o6 app2ovaC hoz. a bu.i.Edi.nq pe.n:ntt k
Sa£em Fite Depaz.tment. (Re6. Section 113. 3, Mas.e. State B£dy. Cod-- )
.. qA
Job Loca.ti,on: 'b�sAO�'Y
,yam/3 F7Potii STiP�,ET��y�F`cT��F
Owne•t/Occupant: O ( y
F.PA.v e4W e_7-
EC'zct,v,ca£ Conttacton: O�
F.i.tz Suppae,:,,:,.on Contnacton: \
SLynatu,te o6
Appe, cant: Phone 7t : 7Y0_2gi
Addle-5•s o6 Ctty o�L
Ap!:;Z cant: y CGSi��FCA.tvD /r'09� Town: 5"cle �J
Appnovae date:
Cz,tti6i.cate o6 appz.ovaZ i-s hexeby gtanted, on approved pZa.-, on aubm.
o6 P-toject detai.P,.�, by the Sac°em Hite Department. AZC ptan.s ate app-
:o£ely hoz. ident_Zjtcatf.on o6 type and Zoc.ci,;CoGon o6 6.4.te pz.otecti.on dei
and equipment. AZL pZan_� ane -6ubject to app4ova2 o6 any othe,t autho.
haLi.n3 juz.i.sdictton. Upon eomptetton, the appZ-Zca.nt o-t ir_-staZt,?,t(�)
zeque 't on inspection and;on test o6 the 6i,Le pnotecti on device and
equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE **
New const tuetl.on.
PKopez.ty Zocat.Lon h" 'no eompPi.ance with the p2ov.i..,tcm
Chapte.,L 148 , Section 26 C/E, M. G. L. , aelatl.ve to the
tnataZati on o6 a.pp Loved JZ4e aP.a rm devtcez _. The owne-t
thin wtopetty i.o z.equi ted to obtain compC once a•s a
condi tl.on o6 obta,l ni.n q a Bu Ltd_ .ng Permit.
Pzope�rty Zocation i s in compliance with the p�covi.sion;
Chaptez. 148 , Section 26 C/E, M. G. L.
date:
e 6 F t2 �6v
F_t !L.-. und_t . . =00 -C?. Ft. 10. 0
=00 33u . Ft. E tye-t o-trn x81 i
^ROVAL FOR BUILDING PERMIT
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FIRE DEPARTMENT CERTIFICA'i'__.._- . - .
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o In compliance with the provision of Section reed of the thesSalemetts
Bldg.
z a ; State Building Code, and under guidelines agreed upon by permit
LJoz Inspector and the Salem Fire Chiefs the a(seecreverse side)landgstamped
r t- shall obtain 'the Certificate of App
zi-) ¢ royal from the Salem Fire Prevention Bureau. y
o c w d plan app
a V) UJ? ¢ Said application and approval is required before a building permit may be a z
issued. The Massachusetts State Building Code requires compliance z w
approval of the Salem Fire Department, with reference to provisions of
ilding Code, the Salem Fire Code, Massachusetts o g
Articles 4 and 12 of the Buv
General Laws, and 527 Code of Massachusetts Regulations. a
w z W
The applicant shall submit this application with three (3) sets of plans,
to obtain stamped approval of the Salem Fire o a
drawn in sufficient clarity, a
Department. This applies for all new construction, substantiarovals a `n
alterations, change of use and/or occupancy,
and any other app ¢ ? 2
required by the Massachusetts General Laws, and the Salem Fire Code.
Exception: Plans will not be required for structural work whenthe will
proposed work to be performed under the building permit
not, in the opinion of the Building Inspector, require a
plan to show the nature and character of the work to be
performed.
Notice: Plans are normally required for fire suppression systems,
fire alarm systems, tank installations, and Fire Code
requirements.
v z a Under the provisions of Article 22 of the Massachusetts State Building
_ v Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements, Inlicablthesee
> -i cases, provisions of Article 22, Appendix T, and Tables app
r o ?. shall apply. This section shall not, however, supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
4 c � 148, MGL, or 527 Code of Massachusetts Regulations. All permits for
pIi A fire code use and/or occupancy shall apply for the entire structure;
zW T fire alarm and/or smoke detector installation shall apply to the
m —
i my entire structure based upon current requirements as per Laws and/or
M r Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
pr Application ci Inanylworktforthe
thoseFire
areasprevention
applicable.
prior to commencing
Form 81S (10/90) APPOINTMENT FOR FINAL
INSPECTION MUST BE
MADE AT LEAST ONE WEEK
AHEAD.............
t CONDILCtU o
Public Propertg Bryarhurat
n JAf�lHME�ti'ZY Puilthutq Drpartment
Wrhnrb G. Mc3ntva4
out 631CM (5"tn
745-DR13
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FIRST DISTRICT COURT OF ESSEX
APPLICATION FOR A COMPLAINT OR WARRANT
COMPLAINANT ` 1- a ADDRESS
ALLEGED DEFENDANT o CULT mig Gr9u Q I- ADDRESS
fit House Contains More Tnnn One Family, Desiynntr. Which Ahartmcnt)
DATE OF BIRTH GytJ�
U / 7ry DS✓1Z a w ter' Pf d�ua
OFFENSE
(Give Chapter Y nd Section of Slalute', Or(iinanr.c or Reilulation Viniated)
DATE OF OFFENSE CoV\ -r:M C`tS PLACE OF OFFENSE L(eG°`St
(Or if for Non Support, Length of 1 ime No Support Had) S$ k,
STATE IF DEFENDANT ARRESTED _YES 'N0 DATE OF ARREST
WAS DEFENDANT BAILED _ YES .NO AMOUNT $
INFORMATION TO BE GIVEN ON MOTOR VEHICLE VIOLATIONS
LICENSE a _ ISSUED
REGISTRATION d _— ISSUED
OWNER
INFORMATION TO BE GIVEN ON JUVENILE COMPLAINTS
JUVENILE ADDRESS
AGE
FATHER ADDRESS
MOTHER- ADDRESS
FACTS UPON WHICH YOU RELY FOR COMPLAINT TO ISSUE /
_n Uri.sve•.✓) �vw f7;(2czt �� f� 9 �z - �a_c-(.
r14 7' CML 17. ;0 . 'l` �'1�c7`' ✓Cs-
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WITNESSES �h G1 --4 �OS
7 cs EF ca z C-C-' e c
DATE OF APPEARANCE IN COURT
a � / 0� 3 °
FIRST DISTRICT COURT OF ESSEX
APPLICATION FOR A COMPLAINT OR WARRANT
COr.aRLAINArvT CITY OF SALEM ADDRESS 1 SALEM GREEN
ALLEGED DEFENDANT JOANNE GLOVER ADDRESS
III House Contains Mme Tn„n One f 6,1111 y, Desiq n.ne INhlLh Alai lm❑III)
DATE OF BIRTH
OFFENSE ILLEGAL STORAGE SHED _ CITY VIOLATION OF ZONING ORDINANCE
(Give Chapter and Section of SIdIOIC, Ordindncu or Reputation Violated)
DATE OF OFFENSE Conttinuing PLACE OF OFFENSE 4 A Cleveland Rd EKT.
(Or if for Nom Support, Length of lime No Support Had) Salem, Massa
STATE IF DEFENDANT ARRESTED _ YES X NO DATE OF ARREST
WAS DEFENDANT BAILED _ YES _NO AMOUNT 5
INFORMATION TO BE GIVEN ON MOTOR VEHICLE VIOLATIONS
LICENSE ► ISSUED
REGISTRATION R _— ISSUED
OWNER
INFORMATION TO BE GIVEN ON JUVENILE COMPLAINTS
JUVENILE ADDRESS
AGE
FATHER ADDRESS
MOTHER ADDRESS
FACTS UPON WHICH YOU HELY FOR COMPLAINT TO ISSUE
Numerous complaints have been received by the City Zoning Department relating to the
r ag t R ar th, rear of 4 A Cleveland Rd. Ext.
Mrs. Glover has refused to move the shed or even to apply to the Zoning Board of
Appeals for variances to allow the shed to remain.
Richard T. McIntosh
WITNESSES
Zoning Officer, City of Salem
DATE OF APPEARANCE IN COURT
October §L94
Mr. Walter McIntosh '
Director of Private Property '? S�
1 Salem Green
Salem, MA 01970
Dear Mr. McIntosh:
Approximately -2' months ago, Mrs. Glover of 4A Cleveland Rd.
Extension located a shed o/a five feet from our mutual property
line. I understand that the placement of this shed is not in
accord with the requirement of 15 feet established by the City
of Salem. Such regulations, I believe, were established for the
protection of property owners. This intentional lack of respect
for the city' s laws is merely another example of insidious occur-
rences which inevitably lead to the deterioration of any neigh-
borhood. Such behavior also sets a precedent for any resident
to pursue, regardless of the effect on adjacent properties or
the neighborhood as a whole.
It would seem highly improbable that the city wishes or
can afford to support individual practises that are not in the
best interests of all. Is the city willing to lose another
residential area, thereby diminishing the potential of attract-
ing new residents?
Your consideration and attention to this matter is grate-
fully appreciated.
Sin rely yours,
",.'""u �'• � ---.ems
Lorraine E. Lantagrfe
GA Cleveland Rd. Ext.
Salem, MA 01970
Lorraine E. LantagneSIMU� 80c4T
6A Cleveland Rd. Ext. iSalem, MA 01970 "�' �.ra 2CC.,
Mr, Walter McIntosh
Director of Private Property
1 Salem Green
Salem, MA 01970
L
WNO : Comphte it=s 1.Z and 3.
Ilj Add your addreu in Rhe"RETURN TO"space on
raysrae.
m 1. The following service u requested(check ow.)
IN Show to whom and date detwered.............
_.p
❑ Show to whom,daie.aod address of delivery..-_a
is ❑ RESTRICTED DELNERY
Show to whom and date delivcrod...........
.—;
❑ RESTRICTED DELIVERY.
Show to whom,date,and address of ck71vcrys__I
1 � 1
(CONSULT POSTMASTER FOR FEES)
2 ARTICLE ADDRESSED TO: J
Joanne -Glover
a
4A Cleveland Rd.Exta
s Salem,Ma 01970
7 3 ARTICLE DESCRIPTION:
Aj. REGISTERED NO. CER,FIED NO. I INSURED No.
x
P44 509 46
m —
® (AhvNa obtain denature of addreesaP or agent)
K
m I1wve.roWredthe arti:R:descn'hed abom..
m SIGNATURE- ClAddre CAwh,o teat �
G `1
z
a.
y TE OF J l ER� POSTMARK
to (/>
9
ry
5�S. DDIt ESS(foroplats only if r.Va.atad) V$6 L � -
m
qac
ml�. UNABLE TO DELIVER BECAUSE: - CLERKS
gp tNIT1AL3
P �y�
yf wv:t9]P9ODd5y
UNITED STATES POSTAL SERVICE
OFFICIAL aVa1NFS6
PEHaItt FOR PW
SENDER INSTRUCTIONS USE to evoIo PwNEWEnr
Print your Rome,address,and ZIP Code in the span below. OF POSTAGE.3300
.F� uardaa.
• Complete items 1,2,and 3 on the nevem.
• Attach to front of entitle if space permit,
otharwim effk to back of article. A
• Endom article"Return Receipt Requested• �7r
adjacent to number.
RETURN MII
TO
Public Property
(Name of Sender)
1 Salem Green
(Street or P.O.&ac)
Salem, 01970
(City,State.and ZIP Cade)
P
"P' '4-43 ►509 462
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED—
NOT FOR INTERNATIONAL MAIL
(See Reverse)
30oatnpne Glover
SIXend No.
�+A Cleveland Rd. Ext.
P.O.,State and ZIP Code
Salem Ma 01970
Postage $
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
to whom and Date Delivered
Return Receipt Showing towhom,
ry Date,and Address of Delivery
ao
TOTAL Postage and Fees $
F
ly Postmark or Date
0
0
m
E Re: Storage Shed
0
w
H
a
of 15ttlrm' asEiar4us2#t5
'� z�q �� �ublit �rnpPa;t� �P�ttrfinent
Richard T. McIntosh
1 Salem Green September 5,1984
745-0213
Joanne Glover
4A Cleveland Rd. Ext. Re: Storage Shed
Salem,Ma 01970
Dear Ms.Glover:
It has come to the attention of the Department, that you
have installed a Storage Shed in your rear yard.
You have installed the Shed too close to the lot lines.
The City Zoning Ordinance requires such sheds to be at least loft.
from your side line and at least 20 ft. from your rear line and not
closer than 10 ft. from your house (copy enclosed) .
You are therefore required to move the shed, so that it will
comply with the Ordinance, or apply to the Zoning Board of Appeals
for a Variance to let it stay where it is.
Very truly yours,
i
i
RTM:mo's
Richard T. McIntosh
cc: Ann Conlon Zoning Enforcement Officer
Certified Mail #P443 509 462
S'U P P L E P�E N T A R Y REGULATIONS SECTION VI I
H . Accessory Fundings and Structures
Accessory buildings and structUrCs , such £ts garages , and
tool sheds , scall be subject to the following regulations :
1 . No accessory building br structure shall be., located
within ar.y required front yard or. Njithin any side
yard o:' a corner lot .
2. No accessory building or structure shall be located
nearer than ten feet to the principal building , unless
such accessory building or structure is attached to
the principal building.
3. No unattached accessory building or structure shall be
located nearer than ten feet to any side lot line (side
lots in this instance refer to a projected line starting
from the front lotlineand terminating at the rear lot
line parallel ten feet from the , side, or twenty feet
from the rear lot line) .
58