6 COUSINS STREET - BUILDING JACKET MOM"
f' 6 COUSIN STREET
i
Permit Listing Report
by District
Printed On:Tue Jul 15,2074
SQL Statement:Street No.like"6"AND Street like"COUSINS STREET"
District Address(Work Location) District Zoning Owner Work Category Est.Cost Proposed Use And Detail
Permit Type Permit No Online Permit No Permit Status Date Issued Contractor(Phone#) Work Description Fees Paid Check#
6 COUSINS STREET(0006 R2 David L'heureux REPAIR/REPLACE $3,000.00
COUSINS STREET)
Building 481-08 Expired Oct-19-2007 ROBERT I.L'HEUREUX REBUILD DORMER PER B.O.A.DECISION
$26.00 249
District( )TOTALS: ESTIMATED COST: $3,000.00 NUMBER OF PERMITS: I
FEES INVOICED: $26.00 FEES PAID: $26.00
BALANCE: $.00
GRAND TOTALS: ESTIMATED COST: $3,000.00 NUMBER OF PERMITS: 1
FEES INVOICED: $26.00 FEES PAID: $26.00
BALANCE: $.00
GeoTMSO 2014 Des Lauriers Municipal Solutions,Inc. Page 1 of 1
conwr,�o CITY OF SALEM, MASSACHUSETTS ;r\
BOARD OF APPEAL TICE
ICE
120 WASHINGTON STREET, 3RD FLOOR
SALEM, MASSACHUSETTS O 1970
TELEPHONE. 978-745-9595
poi FAX: 978-740-9846
KIMBERLEY DRISCOLL R Z
MAYOR
October 2, 2007
Decision
City of Salem Zoning Board of Appeals
Petition of David L'beareux seeking a variance from number of stories
allowed (2 %) to expand a third floor dormer and a special permit to
modify an existing non-conforming building for the property located at
6 COUSINS STREET [R-2].
A public hearing on the above petition was opened on September 19, 2007 pursuant to
Mass General Law Ch. 40A, Sec. 11, with the following Zoning Board members present:
Robin Stein, Rebecca Curran, Richard Dionne, Bonnie Belair and Steven Pinto.
Petitioner seeks variances pursuant to Section 9-5 and a special permit pursuant to
Section 8-4 to expand a third floor dormer.
The Board of Appeal, after careful consideration of the evidence presented at the public
hearing, and after thorough review of the plans and petition submitted, makes the
following findings of fact:
1. David L'heareux, petitioner, presented the petition for the property he owns at
6 Cousins Street in the R-2 Zoning District.
2. Petitioner proposes to remove the two existing third floor shed dormers, and
construct a long third floor shed dormer. The dormer will be 32'-34' feet
long, and rise up 3'. The dormer will begin 6' in from the edges of the roof.
On the basis of the above findings of fact and all evidence presented at the public hearing
including, but not limited to, the Plans, Documents and testimony, the Zoning Board of
Appeals concludes as follows:
1. The petitioner may vary the terms of the Residential Two-Family Zoning
District to enable the proposed development, which development is consistent
with the intent and purpose of the City of Salem Zoning Ordinance.
2. In permitting such change, the Board of Appeals requires certain appropriate
conditions and safeguards as noted below.
In consideration of the above, the Salem Board of Appeals voted, five (5) in favor (Stein,
Pinto, Belair, Dionne, and Curran) none (0) opposed, to grant petitioner's requests for a
variance and special permit subject to the following terms, conditions, and safeguards:
2
I. 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 to 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 a building permit prior to beginning any construction.
5. Exterior finishes of new construction shall be in harmony with the existing
structure.
6. A Certificate of Occupancy is to be obtained.
7. Unless this Decision expressly provides otherwise, any zoning relief granted does
not empower or authorize the Petitioner to demolish or reconstruct the
structure(s) located on the subject property to an extent of more than fifty percent
(50%) of its floor area of more than fifty percent(50%) of its replacement cost at
the time of destruction. If the structure is demolished by any means to an extent
of more than fifty percent(50%) of its replacement cost or more than fifty percent
(50%) of its floor area at the time of destruction, it shall not be reconstructed
except in conformity with the provisions of the Ordinance.
8. The existing chimney is to be repaired to serviceable condition.
Robin Stein, Ch lr
Salem Zoning Board of Appeals
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CPfY
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 the 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 has
been filed with the Essex South Registry of Deeds.
BUILDING DEPT
A OCT 21 1tt1em, Cttssucl?uP##s
''�,�"`��" ?Birt i�e}:sriment �leaAquarirrs
RECEIVED
,Tames _ rcnnrtn CITY OF SALEM,SRR-DEPARTMENT MEMO -
QThief
In compliance with the provisions of Chapter 148, Section 28A
of the General Laws of the Commonwealth of Massachusetts, you
are hereby notified of the following Code action, which may
require furthur action by your department.
Date : October 21x1977
Location : 6 Cousin St
Type of Occupancy : Apts .
Individual or Business involved: Individual
Nature of Code Action: Enclosed boiler room was built,but condition
of make up air is not Droper .Should.bet,metal louvers with fusable
links to allow fire to be contained in boiler room.
Other Code Enforcement Officers to be Notified :
Building Inspector: Jack Powers
Electrical Inspector :
Health Department :
Police Department :
Engineering Dept :
Plumbing or Gas Insp. :
Other :
Respe/(c(�tful�itted,
I Form #57A (10/76)
i--
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Certificate Number: B-2008-0473 Permit Number: B-2008-0473
Commonwealth of Massachusetts
City of Salem
This is to Certify that the Multifamily 3+ Building located at
Building Type
................ ..........................6 COUSINS STREET in the City of Salem
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires ............................_Not Applicable,.__.. unless sooner suspended or revoked.
Expiration Date
Issued On: Tuesday, August 05, 2014
0006 COUSINS STREET 481-08
-7oaa-- COMMONWEALTH OF MASSACHUSETTS
4l1
j -- — —� CITY OF SALEM
Lor. 0188
Cate REP
--- ATP/PFPLACE
jPermit# f BUILDING PERMIT
LYiolect#
JS-2008-000759
Fest. Cost: $3,000,00
Fee Charged i$26.00
Balance Du $.0(?_ _ - PERMISSION IS HEREBY GRANTED TO:
Const Class. _ Contractor: License: Expires
U:
Use Groat �_
_ ROBERT J.T'HEUREUX CONSTRUCTtdSUPERVISOR-0(5386
A Siz {sqf ): 3440
,omni --R2
Owner David 7.'heureux
nla nr t:
,ORE
RT i r rlrt*Rcriu
"` nits cr meo
Units Lost:. __�_ AT: 0006 COUSINS STRECI'
ISSUED ON: 19-Oct-2007 AMENDED ON: EXPIRES ON. 19-Mar-2008
TO PERFORM THE FOLLOWING WORK:
REBUILD DORMER PER B.O.A. DECISION
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Buildin
Underground: Underground: Underground; Excavation;
lService: Meter: Footings:
Rough: Rough: Rough: Foundation: '
Final: Finale Final: Rough Fra w } i
Fireplace/Chimney: j
D.P.W. Fire Health
Insulation:
Meter: Oil: n ( i
Final: ���� � t�t z)f Ji.% E
Mouse# Smoke: ..f
Treasury:
.Water: 1yAlarm:
Sewer: (Sprinklers:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
RULES AND REGULATIONS.
Si state
Fee Type: Receipt Nw Date Paid: N nt
BUILDING REC-2008-040917 19-0ct-07
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GcoTMSQ 2007 Des Lauriers Municipal Solutions,Inc.
A
0006 COUSINS STREET 481-08
GIS# !13i 7044 COMMONWEALTH OF MASSACHUSETTS
Map w 41 LL„
Block: ; CITY OF SALEM
Lot 0188 .
Category: REPAIR REPLACE I
Pert# 481 08 - ° . ' { t BUILDING PERMIT
Protect#7nd .:, JS-zoos-000759
Est"Cost $3,000.00
Fee Charged:'-` $26.00
Balance Due: $.00 . PERMISSION IS HEREBY GRANTED TO:
Const Class;; t -m Contractor: License: Expires:
Use-Group ` , 70, 1.2 ROBERT J. L'HEUREUX CONSTRUCTIO SUPERVISOR-018386
LotSlze(sq`'ft)i 3439.9332"`11-01
° Owner: David L'heureux
Zoning R2
Units Gained: a Applicant: ROBERT J.L'HEUREUX
Units Lost: ` m,,. i'AT: 0006 COUSINS STREET
Dig Safe#:� "-
ISSUED ON. 19-Oct-2007 AMENDED ON. EXPIRES ON: 19-Mar-2008
TO PERFORM THE FOLLOWING WORK:
REBUILD DORMER PER B.O.A.DECISION
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Underground: Underground: Underground: Excavation:
Service: Meter: Footings:
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final:
House# Smoke:
Water: Alarm:
Assessor Treasury:
Sewer: Sprinklers: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2008-000917 19-Oct-07 249 $26.00
GeoTMS®2014 Des Lauriers Municipal Solutions,Inc.
CrrY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
A.V3r ttl af' /a..►91
tic W.%mm;.a7NtS.=V•i�ti'11.f4vat»w�t1f ri'a
Construcdom Debris Dispaad Affidavit
("luued far all dMolitio t and Mwvatian work)
is mconhum with the slash edition old»State Building Code,7SO CMA section i 1 l.f
Debriss and the provisions otrlGL c 406 S Sk
8uil %Pwmk f _ . _ is issued with the coodidos fiat the debris resulting Am
this week shall be disposed of in a properly Licensed was disposal fbeitity as dented by Mtn.c
III.3158A.
The debris will be transported by: `rho&kbds will be disposed of in :
N of 'E;l St°Ae, CCL._t,_tc
t d+rt,tr ut'facd,ty)
`Sec (mot"— M A
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CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
;,tslnratFr utttscuu
MAY(* 12.^�twtw.k:YOHStaatr a SAUK WAZAa0IW 'IY019M
'ret 9767459595 a FAX:9M?40•9946
Workers' Compensation losuranee Affidavit: Builders/Contractors/Electriclaas/Plumbers
.Applicant Information / Please print Legibly
Name tllumnessrOrganiratiolvlmuv�An1): J2o f� t J. L`4 r e u,
Address: l- 3 14 csc ( � ,
r
City/stawizip: 1`74 0r570 PhoneH:. 478-S?
Are you as employer?Cheek the appropriate boa
1.❑ 1 ins a employer with 4. ❑ 1 am a general coturselor and I type of project(required):
e I eca ruin andfor 6. ❑New construction
�p mp oY ( part have hired the sub-cuturactora
?.11t1 1 am a soh proprietor or partner• listed on the attached sheet i 7. ❑ Remodeling
(!! ship and have no employees 'rheas wbcottaaemrs have S. ❑ Demolition
working for me in any capacity. workers'comp, insurance. 9. ❑ Building addition
f No workers'camp. insurance 5• ❑ We am a corporation and its 10. Electrical require t1) offieem have exercised their ❑ repaint or additions
3.❑ 1 at a homeowner doing all work right of exemption per MOL 11.❑ Plumbing repairs or additions
myself.(No workers'comp. C. 152,41(4),and we have no 12.0 Ruofrepaint
insurance required.) t employees.(T'o workers' 13.❑Other
comp, imurance required)
Ally 4ph"ot the clucks tan at mug also IiU out air aeelim L cjmW"Wins rtMir Mwkma•eumPwwSw Puficy inawwuioa
lt.auawmmi who submit Nis amaLve indkamig they am&i%all wwk and Ilea bW maotis emuracton mail sulienil a naw slildavil imlicaling swh.
�Cumrxwn Ito s4xa this box mlaa aeachmi an sdoiUmal Asml slowing the name of the+ on aid their wurkma'Coati.policy information.
tar on employer that Isprovlding workers'co
impenradon insurance for my employees. Below is the polity and job site
ujurmutiun.
Insurance Company Name: . ._.. .. _ .-_. .-..
Policy 4 or Scir-ins. Lie.0: _ .. Expiration Date:
Job Site Address: CityislatuZip:
Attach a copy of she workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of.IGL c. 152 east lead to the imposition of criminal penalties ora
tine up hl S1.500.00 and/or one-year imprisumncnt,is well as civil penalties in the form of STOP WORK ORDER and a fine
,'rap to S250.00 a day.Iguinst alit violator. Ile advised that a copy of this slawatent may be forwarded io the Office of
Im.xngmums oI Lhe DIA for insurance coverage verification.
i do/rercbip certify under thi r pains and penuides ujperjaty that the informWlon provided above is true and correct
Phtl:r•_a St//r -2 —
O leial use aaly, Do sot write in rhls area,to be rampletad by city or town o/jle,"i
City or 'fotrn: __, Pcrmidl.lcensto
Issuing Authurily(circle one): _—
1. lloard of ucaith 2. nuilding Department I Cityffoon Clerk J. Electrical inspector S. Plumbing inspector
6. Other
C.nuact Pcrsou: _ Phone p:
Information and Instructions •
'vlassachu;etta General Laws chapter 132 requires all employe�rovei e workers'mother
Pcm�any contratiOn for their ct hire.
pursuant to this statute,an fasphyte is defined as`...every person
espress or implied.oral or written.
An*AVApyar is defined as"sa individual,partnership.anouam&corporation or other Iegsl entity,or any two or more
of the foregoing engaged in a joint enterprise and including the legal representative to i deceased employer-However the
association or other legal entity,employing mpl Y
receive a trusteedaftili of as individual,of ron tsbh a and wbo resides therein or the ooeupard of the
owner of a dwelling craw havimg toot more thm throe maim an _ _
dwelling house of another who employs Persons tm do mamtesance.cusatrucnon or repair deemed to be an employer."
or on the grounds or building appurtenant thereto shall not because of such employment
MGL chapter 132.423C(6)also states that 'every state or local Beessiag agency a"withheld the issuance or
resewal of a license or permit to operate a business or to construct buildings is the eommoaweslth fer say
appoesst wbo ban act prodt+eed acceptable evIdeaee of compose"with the Issursece coverage required"
Additionally,MGL chapter 152,423C(7)states'"!enter the commonwealth our any*(its political subdivisiona
shall
for the Performance of public work until acceptable evidence of compliance with the insurance
enter into any contract authority.-
requirements of this chapter have been presented to the contracting
Applicants
PRdavit complereb.by checkcng the boxes that apply to your situation and.if
Please fill out the workers' compensation a
necessary.supply &etonrrutods)narne(s),addml*cs)and Phone number(&)along with their certificates)«than the
insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employ
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 surer licenseto igens date
the aMdaviL The nested. not the affidavit
amesst of d
be returned to the city or town that the application for the permitti e4
industrial Accidents. Should you have any questioas regarding the law of if you are required to obtain a workers'
compensation policy.please call the Department at the number listed below. Self-invited companies should enter their
self-insurance license number on the apPrOPHM line.
City or Town Offlclshl
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 m
event the .
Office of investigations has to contact You regarding the applicant*
Please be sure to till in the permiuliccnse number which will be used as a reference number. In addition,an applicant
that must subunit multiple permitllicense applications in any given year,need only submit one affidavit indicating current
Site Address"the applicant should write"all!ovations in_(city ur
policy information(if necessary)and under"Job
town)."A copy of the affidavit"bag been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on rile for future permits or licenses. A new affidavit must be filled out each
or citizen is obtaining&license or permit not related to any business or commercial venture
year. Where a home owner
(i.e.a dog license err Permit to burn leaves etc.)said person is NOT required to complete this at'fud&vit.
I'hC UfliCc of Investhatlons would lrae nil thank you in advance for your cooperation and should you have any questions,
please du not hesitate to give us a call.
The D.:partment's address. telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
offles of 1owsdgsdoas
600 Washington Strut
Boston r MA 02111
Tel. # 617-7274900 ext 406 of 1-977-MASSAFE
Fax N 617-727-7749
2cviscd 5-26-05 www.mam.gov/din
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A_pPLCATION FOR THZ RFJMM RRNOVATION C()N 'rQilrrtAN-
DE [OLMON.OR CRANGR OF USE OR OCCInPANCy, Fog ANy F,MSM
STRUCTOM OR BUr JMG
�.o SITt INFORMATION
Location NamK tlufldtna
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prOPWty Add- —
Sa te, , M A (9 l Ci 7 d
F%WW Iy i•IocaMd Ina:C&*arvatlon Arne YM HMorb Obmd YM N
2.0 OWNERSHIP INFORMATION
2.1 Owner of Land _
Nana: ( CZ U 1 L'h -f
Addrear
Talaphorn. C -) 9- q 73
3A COMPLEM THIS SECTION FOR WORK IN EYLM [1lIA BUILOINOS ONLY
Addition Existing
Renovation Number of Stories Renovated
Change In Use New
Demolition
I
Approximate year of Area per Roar (st) Renovated
constructlon or renovation
of existing building New
add Description of Proposed Work:
CO V%rl e c e: , cl e k 4, ems., 8 2 ,c r S �-, [-a 5
--- - ---Mail Permit to- `�aeu��u,� ` (.oiLsrHs s So/ea., .._
What is tM uursrat use of the 8uiidbq?
MstWW of Bua dirq?
W u y ct Fra .-� If dav&v how msnll units7' 3
vw do BuYdrq Conft to hall Asbsatos?
Archauts Name
Address and Phan*
Madwdes Nwo IZou 4a,
Address and Photo I - > !•`� s" /�*, M 61 7 S� g}`ff z
Cantruc*m supsnoms L ican"B 9 NIC Repisbutfon B
EsWnsMd cost d Projsat 4 e Gw%jdm
PwmR Fse$ ?/�,o U Estimaosd Cast X=7f:1000 Residential
--- - - — Es*nstad Cost X:1i/$100A Com wdsl---- -
/� An Addltlonal i6.00 Is added as s
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Ms"mm that an fleids are proparhi and lepibty written to avoid delays h ptocasd^4
The under Wwd do"hereby apply far a BuUdIM Pwn*to build to tM above ststsd
spgcMcsdwa. Sipnsd under penally of per)ury X L '-- �—
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Date
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