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107 CONGRESS STREET - BUILDING JACKET t_1 107 C0NGRESS'STREET � G'M S`P V`PS FIVNe'f/�V^p1D flZG �l oL � Charles D.Baker Governor Thomas G.Gatzunis,P.E. Karyn E.Polito - e�f OJ�1/JO�OO Commissioner Lieutenant Governor �j— Thomas P.Hopkins Daniel Bennett - Director Secretary TO: Local Building Inspector Docket Number V 15 064 Local Disability Commission Independent Living Center FROM: ARCHITECTURAL ACCESS BOARD RE: N. Shore Comm. Dev. Housing Ward, Congress, Perkins, Palmer and Dow Streets Salem Date: 4/14/2015 Enclosed please find the following material regarding the above location: Q Application for Variance Decision of the Board Notice of Hearing Correspondence Letter of Meeting The purpose of this memo is to advise you of action taken or to be taken by this Board. If you have any. information which may assist the Board in reaching a decision in this case, you may call this office or you may submit comments in writing. Id '°�M sJPVee VP�iP/t'F3%.f9r�..0/�Ii7%T/ ��✓GD �f�!/!//�/0 Charles D.Baker Governor Thomas G.Gatzunis,P.E. Karyn E.Polito �f2/1?LG U//-f//-Or/r/O Commissioner Lieutenant Governor Thomas P.Hopkins Daniel Bennett - Director Secretary Docket Number V 15 064 NOTICE OF ACTION RE: N. Shore Comm. Dev. Housing, Ward, Congress, Perkins, Palmer and Salem 1. A request for a variance was filed with the Board by Clifford Boehmer, (Applicant) on March 19, 2015 The applicant has requested variances from the following sections of the 06 Rules and Regulations of the Board: Section: Description: 27.2 Petitioner seeks relief for winder stairs 27.4 Petitioner seeks relief for inner handrail relief and proposes wall side compliant handrails. 27.4.5 Petitioner seeks relief for the existing handrail shape. It appears from the documents submitted that entrance variances are required. 2. The application was heard by the Board as an incoming case on Monday April 6, 2015 3. After reviewing all materials submitted to the Board, the Board voted as follows: ' GRANT: the variance relief for Sections 27.2, 27.4 and 27.4.5 as proposed in the application submitted, for the reason . that impracticability (see definitions of impracticability in Section 5 of 521 CMR) has been proven in this case and on the condition that: 1. the plans for the accessible Group 2A units are provided to the Board for its records, as well as.plans showing all entrances, which are accessible and those that need relief from 521 CMR Section 25.1 2. the application did not include a CD as required in the submission process, please provide for the Board records, as soon as possible. PLEASE NOTE: All documentation (written and visual) verifying that the conditions of the variance have been met must be submitted to the AAB Office as soon as the required work is completed Any person aggrieved by the above decision may request an adjudicatory hearing before the Board within 30 days of receipt of this decision by filing the attached request for an adjudicatory hearing. If after 30 days, a request for an adjudicatory hearing is not received, the above decision becomes a final decision and the appeal process is through Superior Court. Date: April 14, 2015 ha` . / / WaL cc: Local Disability Commission T� Chairperson Local Building Inspector ARCHITECTURAL ACCESS BOARD Independent Living Center f 1 T he Commonwealth of Massachusetts _ Department of Public Safety Docket Number x Architectural Access Board One Ashburton Place, Room 1310 office use Only) r; Boston Massachusetts 02108-1618 Phone: 617-727-0660 Fax: 617-727-0665 www.mass.gov/dps REQUEST FOR AD.IUDICATORY HEARING RE: Name and address of building as appearing on application for variance I, do hereby request that the Architectural Access Board conduct an informal Adjudicatory Hearing in accordance with the provisions of 801 CMR Rule 1.02 et. seq. as I am aggrieved by the decision of the Board with respect to Section(s) of the Rules and Regulations of the Architectural Access Board, 521 CMR. I understand that I may request such a hearing within thirty (30) days of receipt of the Notice of Action. Date: Signature PLEASE PRINT: Name Address City/Town State Zip Code E-mail Telephone PLEASE NOTE: This form must be received by the Board within thirty (30) days after receipt of the Notice of Action. Rev, 01/10 81 RAILROAD AVENUE ROWLEY, MA 01969 TEL 978-948-2005 FAX 978-948-7002 EMAIL JAQUITHARCHITECTS®MAC.COM DAVID F. JAQUITH9 AIA 22 February 2012 Mr. Thomas St.Pierre Building Commissioner City of Salem 121 Washington Street Salem, Ma. o1970 Re: Repair and replacement of 8 existing balconies on apartment building 109 Congress Street Salem, Massachusetts Dear Tom: I have inspected the replacement of 8 existing balconies on apartment building, 109 Congress Street, Salem, Massachusetts, on 3 February 2012 and the work has been built according to our plans. To the best of my knowledge the construction meets the Commonwealth of Massachusetts Building Code (CMR 780), 8th Edition. If you have any questions, please give me a call. An�M't Si r ✓� �cw a id F. A i h, JAQUI H Registered Arc ' ect o No.2853 s Rowley,MA Wabno Stoll h i�h�r , 11 ►I , , , �� C7 , 11•gym=. �._ s i, f o- 4 (I J L�� ,e 4 r :Y r r r ( � � �� � f � ', � I � �tt I �, a � � � I � . 3 I \ \ � � �} � \.. � €k � � � vs � , ; `� i � �. � ��� { I +� ��, �.� � f�- _ �"� � . ;� n � � � 9 � ..�'"� �. ,i � � � f � < � ,`,. ,- � r I ' _v - ', .� � � �: e? SUlL��l'�ro h '' An, 5 322 Pik `85 CITY OF SALEM HEALTH DEPARTMENT RICEIVFD BOARD OF HEALTH C1 TY OF SL:L g;,M,9SS. Salem, Massachusetts 01970 ROBERT E. BLENKHORN 9 NORTH STREET HEALTH AGENT July 31 , 1985 (617) 741-1800 Aser Frisch 5 Tupelo Road Swampscott Ma 01907 Dear Sir/D'A(d(d(XftM: In accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts General Laws, 105 CMR 400.000: State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter II: Minimum Standards of Fitness_for_Human,Habitation,* an inspection was made of your property at 5-07 Congress._St. .l-st floo_r;Salem, Massachusetts, occupied by Carmen Pina This inspection was conducted by V. Moustakis Salem Health Department, on July 29, 1985 at 8: 30 p.m. Based upon said re-inspection, you are hereby ordered to take the following action within 24 hours of receipt of this order: Front Main Entry Door (opening to parking area) does not have proper locking mechanism and it must be provided Main Entry Door (opening to Palmer St. side of Bldg.) must have proper locking device and easily openable Tenant must remove obstructions in hallway on Palmer St. side (Mr. Pina has agreed to this) Common areas (front and back halls) lights needed for fixtures floors 3 and 4 and bulbs needed for floors one and 2 Name, address and phone number of owner must be posted Based upon said re-inspection, you are hereby ordered to take the following action within 5 days of receipt of this order: Repair cabinet under sink in pantry Repair areas of bathroom wall and providing covering for floor around tub area wall Back Hall - repair /and clean back hallway from 4th level down Page 1 SALEM HEALTH DEPARTMENT Page 2 of 2 9 North Street Tenant(s) C. Pina Salem, MA 01970 Property in Salem at 10 Congress St: To: Aser Frisch 5 Tupelo!Rbad Swampscott. Ma_ 01907 (within 24 hours) Provi de adequate fire detectors in apartment yl, Contact Bldg. Dept. for Emergency Lighting 1A--r�---ICOntact Fire Dept. for Hardwired detectors - battery operated are inadequate The violations have existed since April 8, 1985 inspection. ONE OR MORE OF THE ABOVE VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR THE HEALTH, SAFETY AND WELL-BEING OF THE OCCUPANTS. Failure on your part to comply within the specified time will result in a complaint being sought against you in Salem District Court. Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within seven (7) days of receipt of this Order. At said hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s) to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. FOR THE BOARD OF HEALTH ROBERT E. BLENKHORN, C.H.O. Health Agent / (� Certified Mail #1 9-6/347S-13a enc. Inspection Report cc: Tenant XBldg. Inspector — Electrical Inspector X. Fire Dept. _ City Councillor Este es un documento legal importante• Puede que afecte sus derechos. The Commonwealth of Massachusetts Department of Public Safety .fi �_• Idssachusetls State Building Code(780 CN'IR)Seventh Edition City of Salem Building Permit Application for any Building other than a 1-or 2-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Inspector: SECTION 1: LOCATION (Please fi�ndicate Block# and Lot# for locations for which a street address is not available) No.and Street Cih /Town Zip Code Name of Building (if applicable) SECTION 2:PROPOSED WORK If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair Alteration ❑ Addition ❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ Now Is an Independent Structural Engineering Peer Review required? Yes ❑ NoX Brief Description of Proposed Work: SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑ Existing Use Group(s): Proposed Use Group(s): S Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.) Total Area (sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2 ❑ H-3 ❑ H-4 ❑ H-5❑ I: Institutional 1-1 ❑ 1-2 ❑ 1-3 ❑ 1-4❑ M: Mercantile❑ R: Residential R-10 R- R-3 ❑ R- S: Storage S-1 ❑ S-2 ❑ U: Utility❑ Special Use❑and please describe below: Special Use: UG SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB ❑ 1 IIIA ❑ 111B� IV ❑ 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION (refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Fluud Zone❑ Indicate municipal ❑ A trench will not be Licensed Disposal Site❑ required ❑or trench or.pecifv: Pricy to ❑ or indenti(c Z�ine: or on site system ❑ hermit is enclosed ❑ Railroad right-of-way: Hazards to Air Navigation: \I:\ Ili>IVfii C uIN➢I>.iun Neo iv.. Not Applicable ❑ I.Structure within airport approach area? Iv their rev iecv completed.' nr C un.ent to Build unclnaed ❑ Ye, ❑ or:No❑ Yes ❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition u(Cock: l:.c Group(NI: Tcpe of Construction: Occupant Load per hour Doe,the budding contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHORIZATION r" Name and Address of Property O ver - n _ K Olt Name (Print) No. and Street City/Touvn Zip Property Owner Contact Information: _— -7�_ 4q 47 Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes Name Street Address City/Town State Zip to act on the *ro perty owner"s behalf, in all matters relative to work authorized by this building permit a i plication. SECTION 10: CONSTRUCTION CONTROL (Please fill out Appendix 2) (If building is less than 35,000 cu.ft.of enclosed s pace and/or not under Construction Control then check here❑and skip Section 10.1) 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Q Q D V Fr CCi1AS-1 4t.c4I 0kn � -a� RtX., e, Z. I VNC- Company Name: `-PonRs2 �niF}3N0 `� t7S Name of Person Reesponjlee for Construction �1 License No. and Type i(Applicable D t9`-� 15 �� s +( fit! p P'�rjt 4 Street Addressd City/Town (( State Zip _ -�-Jc i�- 3 L 7 1 r..fro a) ln.oV,,-- CV- CO. Telephone No.(business) Telephone No. (cell) - e-mail address SECTION 11:WORKERS'CON PENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes(& No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6) _$ 1. Building $ Ajt. o O Building Permit Fee=Total Construction Cost x (Insert here 2. Electrical $ - appropriate municipal factor)_$ 3. Plumbing $ 1 4. Mechanical (HVAC)% $ _� Note:Minimum fee=$ (contact municipality) 5. Mechanical (Other) $ Enclose check payable to 6.Total Cost r. a. , $ t%O (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 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 accurate to the best of my knowledge and understanding. :J=R-2,5' WA &ND 70 52 07-29 Plea.e print and >ign name Title Telephone .No. Date street :Addresa City/Tm%n S to Zip Municipal Inspector to till out this section upon application approval: 77 2 o N ime Date CITY OF SALLM PUBLIC: PROPRERTY DEPAIt"1'),iENT Construction Debris Disposal Allidasit (required lirr all dcntuliIion :old renu\aln)It work) In acrurdance %%ith lite sixth edition of the Slate Building Code, 7SI) CAIR section I 1 1.5 Debris, and the pro\'isiuns uf.blGL c 41), S 54; Building Permit M is issued with the condition that the debris resulting from this work shall he disposed of in a pruperly licensed waste disposal facility as detined by MGL c I 11, S 150A. The debris will be transported by: N©VO- C>i,'>1+1u''I0w (name of hauler) I he debris will be disposed of in Inalne ul iacl uy) . 1•lJJrcv. r.l'lu Juyt .4' 1 I C O Ili II IIt .11,Ill lUlll W.m /o 9 CITY OF SaUE.`[, AxSSACHi;SETTS _ BL1IDLIIG DEPARTMENT 120"W.SSHiNGTON STREET;Ter°FLOOR TFi- (978) 74S-9595 FAX(978) 740-9&M KI`.BE1lLBY DRISCOLL THO MAYORMAYORsfAs Sr.PIEltRla< DIRECTOR OF PLBLIC PROPE1tTY/8t:U-DLNG CONOUSSIONER Workers' Compensation Insurance Afgdevit: guilders/Contractors/Electr(efanslPlumbers Applicant InformAtlOn L 1 /Please Print Legibly Naine (ifus,n OrWirariomIndsvidual): .[ c>VR COt .�h� vEtV�- �4 0 �1,n, ( - Address: IS N :�c "s Ice City/Stat&Zip: Sgg� �AV6JetAUJ Phone N: 78 t 521 54G LP Are you as employer'Check the appropriate has: Type of project(requlreff): 1.❑ 1 am a employer with 4. I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the su&contractors 2.❑ 1 am a stern proprietor nr pttnner- listed on the attached sheet : 7. Remodeling .hip and have no employees These sub-contractors have g. ❑ Demolition ,workingfor me in an ca aci workers'comp.imumuste Y P tY• 9. ❑Building addition [No workers comp. insurance 5. We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself.[Na workers'comp. c. 152.41(4),and we have no 12.0 Raof repairs insurance requited.) r employees.[No workers' comp. insurance required.j I3.0Other 'Any appti'Mg thM chwka bon Of MUM also tin uto,hr swtim betow sbowina thak workm,wmpm ssiwt policy intone" 'I I.vrrctrvdrwa who submit this affidavit indicting they am doing all work and the*him ona ide cottractata mono suMnb a anew affidavit indicating awk !C..ntravn thod chat this bolt mu o attached an a blitiusd ahat showing an horse of dY sukee nKtom and their wO/kera'romp.policy infwmaute. I one an rarp/oyer that b provid/nir workers'cornpensarlon Insurener for say emp/eyers Belmo/s ike pwicy andm slag information. Insurance Company Name: Policy $or Self-ins. Lic.N: Expiration Date: Job Site Address: City/State/Zip: ,iinsch a copy of the workers'compensatloe policy declaration page(showing the polk7 number and espintloe date). Failure to secure coverage as required under Section 25A of MGL c. 152 can Ind to the imposition of criminal penalties of■ fine up to S 1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine Of up eo S250.00 a day against the violator. Ile advi.of that a copy of this statement maybe forwarded to the Office of I nvcaogationa ul'tha DIA for insurance coverage verification. I do hereby certify urtdor Ike and penalder ofprr/ary that the information provided above is true and correct ' Dale: 69 r t P!'nrca 1 S24 94o4- (71ricial ass wily. Do not write in this arm, to be,umpleted by city or roan o/flrial City or fusvn: _ Yrrmit/Llcrnre N _. Nsuing .ttuthanly (circle une): I. Iluurd of llvallh r. nuilding Department 3. City/rows Clerk 4. Electrical inspector 5. Plumbing Inspector 6. Other l ,ntacl rersun:. _ ._ _- Phone$: . .- _.. .