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19 CLEVELAND ROAD - BUILDING JACKET The Commonwealth of Massachusetts Board of Building Regulations and Standards Tom t�� l Massachusetts State Building Code, 780 CMR, 7'"edition Building Dept 1 Building Permit Application To Construct, Repair, Renovate Or Demolish a One- or Two-Family Dwelling 4111111111111111116 ` ^v This Section For Official Use Only Building Permit Number: Date Applied: • 0`� �\ Signature: Buildin Commissioner/Inspector of Buildings Date SECTION 1:SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map& Parcel Numbers 19 t�e I�n�ra 1.1 a Is this an accepted street?yes_ no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 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 Von System: Public 1/ Private❑ Zone: _ Outside Flood Zone? Municipal Von site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 0 ner of Record: C r- / ,p /nom r�p tel ol Name IF nt)`—� Address for Service: Sigg afire Telephone SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ 1 Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ 1 Alteration(s) ❑ 1 Addition ❑ Demolition QrTAccessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work': r ga SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1. Building $ I. 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 (HVAC) $ List: r 5. Mechanical (Fire $ Suppression) Total All Fees:$ Check No._Check Amount: Cash Amount:_ 6. Total Project Cost: $ — 0 Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION ' 5.1 Licensed Construction Supervisor(CSL) ''T. License Number Expiration Date Name of CSL-Hplder List CSL Type(see below) ■ Type Description Address U Unrestricted(up to 35,000 Cu. Ft.) R Restricted 1&2 Family Dwelling Signature M Masonry Only RC Residential Roofing Covering Telephone WS Residential Window and Siding SF Residential Solid Fuel Buming Appliance Installation D Residential Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Company Name or HIC Registrant Name Registration Number Address Expiration Date Signature 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 Issuance of the building permit. Signed Affidavit Attached? Yes .......... 0 No........... 0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 7�re —�ra r (- as Owner of the subject property hereby authorize f� to act on my behalf,in all matters relative to work authorized by this building permit application. 5 Signature of Owner Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION 1, ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and behalf. Print Name Signature of Owner or Authorized Agent Date (Signed under the pains and penalties ofperjury) NOTES: I. 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(HIC)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 and Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and 1 IO.R5,respectively. 2. When substantial work is planned,provide the information below: Total floors 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 halfibaths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" 1 v 1 7 The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF I Massachusetts State Building Code, 780 CMR SALENI Revised.1 for Ill)) Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Fulfil. Dlvellitkq This Section For Official Use Onl Building Permit Number: Dat .Applied: 4 Building 0111cial(Print Marc) Signature Date SECTION 1: SITE INFORMATION 1.1 Property Address: 1.2 Assessors Nlap& Parcel Numbers I. a Is this an accepted strcet?),es_y no Map Number Parcel N4nlber 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq 11) Frontage(11) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c. 40,§Sy) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: — Outside Flood"Lune? Municipal ❑ On site disposal system ❑ Check it SECTION 2: PROPERTY OWNERSHIP' 2. Owner'of Record: �f'H�iv rx2Accr�zA sRl�rh, n� 0195c) Nemtc IPrint) City.State,LIP L9 clear /1ry d No. and Street Telephone Email Address SECTION J: DESCRIPTION OF PROPOSED WORK'(cheek all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg.CI Number of Units_ Other ❑ Specify: Brief Description of Proposed Work': _AvL313t6'-'P_ QccrC A+Yo P^)fv\ll ary T omN f}rrn CrA fi/E t.v19/ Roryl rnry SECTION 4: ESTIMATED CONSTRUCTION COSTS Itcm Estimated Costs: OHlcial Use Only I Labor and..\laterials) y I. Building S I ne) p6 I. Building Permit Fee:S Indicate how fee is determined: '. Electrical g ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multiplier —_ x i 1, Plumbing S ?. Other fees: S ��(( a. .Mechanical 111\':\CI S List: /(f It. \Iechanicd (Fire S ----_-----__--- .ti1111rC]Sion) Total :\II Fees: S _ 6. Total Project Cost 5 �.� Check No. Check Amount: __---Cash :\nm LillI "7/SQ ❑Paid in Full 0 Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(C'SL) C S b200-3 _ Jo!ynv License Number F.Apiration Date �ArrT�nt9S -- ------ - Name of C'SI. Holder List CSl. & AOx yfJ6y— — No. :mdStreel _ type Description y o1�G� —- _ I Inres(ricted(Buildio gs U it)35,001)cu. 11.) v'L ✓-! _ Restricted IR2 Family Dwcllin Cilylfoe n,Stale,ZIP M Masonry RC Roolin g Covering WS Windmv and Siding 9 _� ^� o SF Solid Lion Burning Appliances 7�-5'0�7�or �� �'Y ,9w�A ,A/ G tarAi I Insulation 'I'cic hone [:mail address D I Demolition 5.2 Registered Home Improvement Contractor(HIC) —�` 1I n�1 JO/ -f✓V �/�/ -/7/'/7f I IIC Registration Number Expiration Date I IIC Company Na nu or I IIC Registrant Name �7 /J/ &7X �11z/V PA NTrno9 '�tah o. and Street Email address— ft !Town, State,ZIP 'rele hone 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 ..........OK No........... O SECTION 79: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,as Owner of the subject property, hereby authorize JO&Y R9&M49A-- to act on my behalf,in all matters relative to work authorized by this building permit application. S�n6iFn, 77"AC�h'-rg Print Owner's Name(Electronic Signarurc) 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 i his appl' tion is true and accurate to the best of my knowledge and understanding. t Ott ner's i 'th, ized,5gcnt's Name(Electronic Signature) Date NOTES: I. An Owner who obtains a building permit to do his,her own work,or an owner who hires an unregistered contractor (nut registered in the Hume Improvement Contractor(HIC) Program),will rloj have access to the arbitration program or guaranty fund under NI.G.L.c. 142A.Other important information on the HIC Program can be found at thaw m;n... » v.l Information on the Construction Supervisor License can be found at p y ioa,s ,II„ '. W'hen substantial work is planned, provide the information below: Total flour area t 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 paths _ 1') 'heating s)stenh . .. . - _ _—_--.. _._ _ Number ufdecks, porches.. I\peofcoolingitstem 1'.11closed ---Open 3. "folal Project Square Footage-may be substituted fix"Total Project Cost- 1 Cie c),e 1 op-A goGd U 10330 UPC 153L HASTINGS. SAN o CITY OF SALEM9 MASSACHUSETTS .� BOARD OF APPEAL c $ 120 WASHINGTON STREET, 3RD FLOOR Ci I i Cr SALEM, MA a SALEM, MA 01970 CLERK'S OFFICE TEL. (978) 745-9595 FAX (978) 740-9846 STANLEY J. LISOVICZ, JR. MAYOR 2001 DEC 21 P 3. 08 DECISION ON THE PETITION OF STEPHEN TRACCHIA REQUESTING A SPECIAL PERMIT FOR THE PROPERTY LOCATED AT 19 CLEVELAND ROAD R-1 A hearing on this petition was held on December 19, 2001 with the following Board Members present: Richard Dionne, Stephen Harris, Nicholas Helides, Joan Boudreau and Bonnie Belair. 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 requests a Special Permit to extend the nonconforming structure to construct a full shed dormer for the property located at 19 Cleveland Road located in an R-1 zone. The provision of the Salem Zoning Ordinance which is applicable to this request for a Special Permit is section 5-3 (2) (8), 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 8-6 and 9-4, grant Special Permits for alterations and reconstruction of nonconforming structures, and for changes, enlargement, extension of expansion, of nonconforming lots, land, structures, and uses, provided however, that such change, extension, enlargement of 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. 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 stuctures 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. 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 the purpose of the ordinance. The Board of Appeal, after careful consideration of the evidence presented, and after viewing the plans, makes the following findings of fact: DECISION ON THE PETITION OF STEPHEN TRACCHIA REQUESTING A SPECIAL PERMIT FOR THE PROPERTY LOCATED AT 19 CLEVELAND ROAD R-1 pagetwo 1. The petitioner Stephen Tracchia appeared and represented himself at the hearing. 2. Plans were submitted showing the proposed addition. Dormer to exceed the 21h story limit in an R-1 3. Petitioner stated he needs more living space for his growing family. 4. There was no opposition to the plans. On the basis of the above findings of fact, and on the evidence presented at the hearing, the Board of Appeal concludes as follows; 1. Literal enforcement of the provisions of the ordinance would involve substantial hardship on the petitioner. 2. The relief 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. 3. 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 5-0, to grant the relief requested, subject to the following conditions: 1. Petitioner shall comply with all city and state statues, codes ordinances and regulations. 2. All construction shall be done as per the plans and dimensions submitted and approved by the Building Inspector. 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. 5. A Certificate of Occupancy shall be obtained. 6. Exterior finishes of the new construction shall be in harmony with the existing structure. �- Special Permit Granted Nicholas Helides December 19, 2001 Board of Appeal G� DECISION OF THE PETITION OF STEPHEN TRACCHIA REQUESTING A SPECIAL PERMIT FOR THE PROPERTY LOCATED AT 19 CLEVELAND ROAD R-1 page three A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17, of MGL Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to MGL Chapter 40A, Section 11,the Variance or Special Permit granted herein shall not take effect until a copy of the decision, bearing the certification of the City Clerk that the 20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed,that is has been dismissed or denied 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. s coND CITY OF SALEM, MASSA CHUSETTSi : i1. MA �v 'gym BOARD OF APPEAL CLERWS OFFICE 120 WASHINGTON STREET, 3RD FLOOR ��'' y, SALEM, MA 01970 9�0�Mnve cP� TEL. (978) 745-9595 FAX (978) 740-9846 2001 DEC 2l P8 STANLEY J. USOVICZ, JR. 3' OH MAYOR DECISION ON THE PETITION OF STEPHEN TRACCHIA REQUESTING A SPECIAL PERMIT FOR THE PROPERTY LOCATED AT 19 CLEVELAND ROAD R-1 A hearing on this petition was held on December 19, 2001 with the following Board Members present: Richard Dionne, Stephen Harris, Nicholas Helides, Joan Boudreau and Bonnie Belair. 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 requests a Special Permit to extend the nonconforming structure to construct a full shed dormer for the property located at 19 Cleveland Road located in an R-1 zone. The provision of the Salem Zoning Ordinance which is applicable to this request for a Special Permit is section 5-3 (2) (8), 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 8-6 and 9-4, grant Special Permits for alterations and reconstruction of nonconforming structures, and for changes, enlargement, extension of expansion, of nonconforming lots, land, structures, and uses, provided however, that such change, extension, enlargement of 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. 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 stuctures 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. 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 the purpose of the ordinance. The Board of Appeal, after careful consideration of the evidence presented, and after viewing the plans, makes the following findings of fact: DECISION ON THE PETITION OF STEPHEN TRACCHIA REQUESTING A SPECIAL PERMIT FOR THE PROPERTY LOCATED AT 19 CLEVELAND ROAD R-1 page two 1. The petitioner Stephen Tracchia appeared and represented himself at the hearing. 2. Plans were submitted showing the proposed addition. Dormer to exceed the 2 Y2 story limit in an R-1 3. Petitioner stated he needs more living space for his growing family. 4. There was no opposition to the plans. On the basis of the above findings of fact, and on the evidence presented at the hearing, the Board of Appeal concludes as follows; 1. Literal enforcement of the provisions of the ordinance would involve substantial hardship on the petitioner. 2. The relief 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. 3. 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 5-0, to grant the relief requested, subject to the following conditions: 1. Petitioner shall comply with all city and state statues, codes ordinances and regulations. 2. All construction shall be done as per the plans and dimensions submitted and approved by the Building Inspector. 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. 5. A Certificate of Occupancy shall be obtained. 6. Exterior finishes of the new construction shall be in harmony with the existing structure. Special Permit Granted Nichola December 19, 2001 Board of Appeal DECISION OF THE PETITION OF STEPHEN TRACCHIA REQUESTING A SPECIAL PERMIT FOR THE PROPERTY LOCATED AT 19 CLEVELAND ROAD R-1 page three A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, if any, shall be made pursuant to Section 17, of MGL Chapter 40A, and shall be filed within 20 days after the date of filing of this decision in the office of the City Clerk. Pursuant to MGL Chapter 40A, Section 11, the Variance or Special Permit granted herein shall not take effect until a copy of the decision, bearing the certification of the City Clerk that the 20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that is has been dismissed or denied 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. Date JAN 2 3 2002 I hereby certify that 20 days have expired from the date this instrument was received, and that NO APPEAL has been filed in this office. A True Copy ATTEST—f- �, +- : Salem, Mass.