40 DERBY STREET - BUILDING JACKET t�d �� 7 z5p./
_� a Citta of �ttzi
lem, 4Ea!asTu$Ptts
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1 -Board of Appeal
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DECISION ON THE COURT REMAND.ED_PET.IT:ION-60F GLENN AND SANDRA SOUCY
FOR A SPECIAL PERMIT AT 40 DERBY ST. (R_2_)
A hearing on this petition was held on January 31 ,1990 and continued until
March 7, 1990 with the following Board Members present: James M. Fleming,
Chairman; Richard A. Bencal , Vice Chairman; Edward Luzinski , Richard Febonio,
and Associate Member Peter Dore. 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 4OA.
Petitioners, owners of the property, are requesting Special Permit from setback
requirements and lot coverage to allow construction of a deck and swimming
pool in this R-2 zone.
The provision of the Salem Zoning Ordinance which is applicable to this request
for a Special Permit is Section V B 10, 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 VIII F and IX D, grant Special Permits for alterations
and reconstruction of nonconforming structures, and for changes, enlarqement,
extension or expansion of nonconforming lots, lands, structures, and uses,
provided, however, that such change, extension, enlargement or 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.
The Board of Appeal , after careful consideration of the evidence presented, and
after viewing the plans, makes the following findings of fact:
1 . No opposition was presented and support in the form of a signed
petition was presented.
2. The immediate abutter, who opposed the original petition is no longer
an abutter.
3. Petitioners have maintained the pool and deck for at least two years
with no apparent problems.
4. The pool and deck would give the petitioner a fuller use of their property.
On the basis of the above findings of fact, and on the evidence presented, the
Board of Appeal concludes as follows:
1 . The pool and deck would not be substantially more detrimental to the public
good then the existing nonconforming use to the neighborhood.
DECISION ON THE COURT REMANDED PETITION OF GLENN AND SANDRA SOUCY
FOR A SPECIAL PERMIT AT 40 DERBY ST. (R-2) , SALEM
page two
Therefore, the Zoning Board of Appeal voted 4-1 (Mr. Bencal opposed) to
grant the Special Permit requested, subject to the following conditions :
1 . Petitioner obtain, if deemed necessary, a Certificate of Appropriateness
from the Salem Historical Commission.
2. Petitioner must meet all requirements of the Salem Fire Dept.
3. All work be done by legal building permit and as per all city and
state building codes.
4. As long as the pool remains a splash guard shall be installed and
maintained on the rear fence to protect the abutting property.
5. All construction and dimensions to be as per the plans submitted.
6. The Special Permit granted shall continue in effect only as long as
Glenn and Sandra Soucy are owners of and reside in the property.
SPECIAL PERMIT GRANTED
7 chard A. Bencal , Vice Chairman
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
'Appeal from thls decision, if any, shall be made pursuant to Section 17 of
the Mass. General Laws, chapter 808, and shill he filed within 20 days
alter the date of ,ilia, of this deciaon in the office of the City clerk.
Pursuant to 14o55. C^-cro' L::vim.. C-�i",-' '^8• Section 11, the variance
or °.peeial Permit grnnl: h2 ro ��'_-t teke ef4;ct until a copy of the
decision• bearing th_ c.'_r I I•) City Clerk that 20 days have
elapsed and no api:c-d hc.S nee[i i '•:d, cr that, it such appeal has been
filed, that it has been disriscc. cr '^_n•ed is recorded in the South Essex
Registry of Deeds and indexed under the name or the owner of record or.
is recorded and noted cii the owner's Certificate of Titlo.
BOARD OF APPEAII
March 29 , 1991
Dear Ms . Annie C . Harris ;
On July 12 , 1990 I did receive a certificate of appropria+tengss
For the deck and stairs . Upon receiveing the certificatlrl, I G
r m r-D
went to the building inspector to take out permits for tliF*4 rn
y
to be done. The inspector told me that the rails for the �anc>Jlg
would have to be raised to 36 inches before he would approve the
plans . Since this was not approved in my certificate , i called
the Historical Society and spoke with Jane Guy . She told me I
would have to have another meeting with the board to have this,
approved . I could not do any work until the new plans were appro ved .
When these plans were finaly approved on September 24 , 1990, the
funds for this project were nod redily available and by the time
they were available the cold weather was upon us .
Therefore I am requesting a 90 day extention starting April 1 , 1991
with the work on the deck and stairs to be completed by the end of
June 1991 .
Sinceerly,,//��
Glenn E. Soucy
40 Derby Street
Salem, Mass . 01970
:t
s f�ItJ II! ttlem, � ttsstttl�ugPtS
�Roxrb of �Fpeal
i 6 2 43 PM '88
DECISION ON THE PETITION OF GLENN E. & SANDRA J. SOUCY FOR A PILE#
SPECIAL PERMIT AT 40 DERBY STREET (R-2)
CITY tL$IK. RR:.4Fi.AA88.
A hearing on this petition was held on June 29, 1988 with the following Board
Members present, James Flaming, Chairman, Richard A. Bencall, Vice Chairman;
John Nutting, Secretary; Edward Luzinski and Associate Member Arthur IaBreque.
Notice of the hearing was sent to abutters and others and notice of the hearing
were properly published in the Salam Evening News in accordance with the
Massachusetts General laws Chapter 40A.
The Petitioners, owners of the property, request a Special Permit from set back
requirements and lot coverage to allow construction of a deck and swinrdng pool
in this R-2 Zone.
The provision of the Salem Zoning Ordinance which is applicable to this request
for a Special Permit is Section V B 10, 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
VIII F and IX D, grant Special Permits for alterations and reconstruction of
nonconforming structures, and for changes, enlargement, extension or expansion of
nonconforming lots, land, structures, and uses, provided, however, that such
change, extension, enlargement or 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.
The Board of Appeal, after hearing the evidence presented at the hearing and
viewing the plans make the following finding of fact:
1. The deck and pool have already been built without legal permits for
either one.
2. The deck and pool as they exist now are a hardship on the neighbors,
abutters and others.
3. The deck, as now constructed is only 27 inches from the property line.
4. The pool, as now constructed is only 16 inches from the property line.
5. Because of the closeness to the rear lot line the quality of life for
the abutters, directly behind the property, has been adversely affected.
6. The property in question is in a Historic District and no certificate or
approvals have been obtained for the Salem Historical Connission.
7. The property in question is small, only approximately 1900 square feet.
DECISION ON THE PETITION OF GLENN E. & SANDRA J. SOUCY FOR
A SPECIAL PERMIT AT 40 DERBY STREET, SALEM
PAGE TWO
8. Neighbors, abutters and others either spoke in opposition or sent
correspondence in opposition.
9. A petition, signed by abutters and others, was presented in favor, also,
sane of these same persons spoke in favor.
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. The relief requested would be substantially pore detrimental to the
public good than the existing nonconforming use to the neighborhood.
Therefore, the Board of Appeal voted 3 in favor (Messers. Fleming, Nutting,
and Iabreque) and 2 opposed (Messers. Bencal and Luzinski) . Due to the failure
of the petitioner to have 4 votes in favor the petition is denied.
DENIED
chard A. Bencal, vice Chairman
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
APPEnL FP. ',! 791$ D'.0TS'jL L PIIFS°"-TIT TG SCC'1'1': 17 OF THE I'R!S.
19 LSS=
OF REI.,Ru OR G Ri-LRi ED AND O:.fiLR'S CERTIFICATE Di TI TILE.
BOARD OF APPEAL
i
CRU of ttlem, lassar4usetts
Public Property Pepartineut
s
AJ���IMML�Y'tv ttilbing �Bepitrtntent
Our 1&alem Green
AL3-11213
William H. Munroe
Director of Public Property Maurice M. Martineau, Asst Inspector
Inspector of Buildings Edgar J. Paquin, Asst Inspector
Zoning Enforcement Officer John L. Leclerc, Plumbing/Gas Insp.
May 2, 1988
Mr. Albert G. Eisen
58 Putnam Street
,Beverly,MA. 01915
RE: 40 Derby St . , Salem,MA.
Dear Mr. Eisen,
On April 29, 1988 I made a sight visit to the above referenced
property. I found that you are in Violation of both the Mass. State
Building Code, Section 113.0 (No Permits on Record) and the City of
Salem Zoning Ordinance.
Please contact this office within seven (7) days of receipt of this
letter. If no action is taken within seven (7) days, we will seek a
` complaint against you in Salem District Court .
Sincerely,
r<
David J. Harris
Assistant Building Inspector
DJH/eaf
C.C. Ward Councillor
City Solicitor
Historical Commission
1
(Ili#g of "ittlem, Httsstttljuse##s
�Iottrb of Ovral JUL 6 2 43 PM 'gg
DECISION ON THE PETITION OF GLENN E. & SANDRA J. SOUCY FOR A FILE*
SPECIAL PERMIT AT 40 DERBY STREET (R-2)
11.TY'luag.SIIdii.A/68;
A hearing on this petition was held on June 29, 1988 with the following Board
Mambers present, James Flaming, Chairman, Richard A. Bencall, Vice Chairman;
John Nutting, Secretary; Edward Luzinski and Associate Member Arthur IaBreque.
Notice of the hearing was sent to abutters and others and notice of the hearing
were properly published in the Salem Evening News in accordance with the
Massachusetts General Laws Chapter 40A.
The Petitioners, owners of the property, request a Special Permit from set back
requirements and lot coverage to allow construction of a deck and swimming pool
in this R-2 Zone.
The provision of the Salem Zoning Ordinance which is applicable to this request
for a Special Permit is Section V B 10, 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
VIZI F and IX D, grant Special Permits for alterations and reconstruction of
nonconforming structures, and for changes, enlargenent, extension or expansion of
nonconforming lots, land, structures, and uses, provided, however, that such
change, extension, enlargement or 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.
The Board of Appeal, after hearing the evidence presented at the hearing and
viewing the plans make the following finding of fact:
1. The deck and pool have already been built without legal permits for
either one.
2. The deck and pool as they exist now are a hardship on the neighbors,
abutters and others.
3. The deck, as now constructed is only 27 inches fran the property line.
4. The pool, as now constructed is only 16 inches from the property line.
5. Because of the closeness to the rear lot line the quality of life for
the abutters, directly behind the property, has been adversely affected.
6. The property in question is in a Historic District and no certificate or
approvals have been obtained for the Salem Historical Commission.
7. The property in question is small, only approximately 1900 square feet.
DECISION ON THE PETITION OF GLENN E. 6 SANDRA J. SOUC.'Y FOR
A SPECIAL PERMIT AT 40 DERBY STREET, SALEM
PAGE TNA
8. Neighbors, abutters and others either spoke in opposition or sent
correspondence in opposition.
9. A petition, signed by abutters and others, was presented in favor, also,
sane of these same persons spoke in favor.
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. The relief requested would be substantially more detrimental to the
public good than the existing nonconforming use to the neighborhood.
Therefore, the Board of Appeal voted 3 in favor (Messers. Fleming, Nutting,
and Labreque) and 2 opposed (Messers. Bencal and Luzinski) . Due to the failure
of the petitioner to have 4 votes in favor the petition is denied.
DENIED
chard A. Bencal, Vice Chairman
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AMID THE CITY CLERK
APPEAL FP.OS! THIS D`CIS!�';. I.- C':". S-:AIL C: '.. ._E PIPS;:.=N TO SECT:.'i': 17 OF THE ;1':fS.
CEIiE .l LA,.. D;.iS AFT -`iE Dl U _ ,u
',i IS moi....... , IN i-_ Ci..., i :Il-. C.EFn.
_` _ I; l
_.;17
OF REC:.Ru OR 1.5 RSL: RDED AND 1— 0.,::ER'S CERTi FICATE OF TIRE.
BOARD OF APPEAL
COW ,,i '�s
(1�i#v ofttlem, ttssr4usP##s
n
i `Fs' eC7,U
Public Pr►( gr�to ,Pepartnteut
r s
�aAAolNr �►►ilD,itlg4�epttrtTttRltt
745-0213
William H. Munroe
Director of Public Property Maurice M. Martineau, Ass't Inspector
Inspector of Buildings Edgar J. Paquin, Ass't Inspector
Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp.
May 2, 1988
Mr. Albert G. Eisen
58 Putnam Street
Beverly,MA. 01915
RE: 40 Derby St. , Salem,MA.
Dear Mr. Eisen,
On April 29, 1988 I made a sight visit to the above referenced
property. I found that you are in Violation of both the Mass. State
Building Code, Section 113.0 (No Permits on Record) and the City of
Salem Zoning Ordinance.
Please contact this office within seven (7) days of receipt of this
letter. If no action is taken within seven (7) days, we will seek a
complaint against you in Salem District Court.
Si cerely,
David J. Harris
Assistant Building Inspector
DJH/eaf I
c.c. Ward Councillor r
City Solicitor
Historical Commission
- --- I'lie C'onunonwealth of Niossachusetts
Board of 1uilding Regulations and Standards, Cl i'1'OF
' Massachusetts State Building Code. 790 C'CvIR
lfdri.ted lhu•_till
Building Permit Application To Construct, Repair. Renovate Or Demolish a
I One-or rnu-kanult Dtreflhkq
Phis Section For 011iciu se Onl
Building Permit Number: Dam pplied:
Building Olticial(Print Mum) Signalure Da c
SECTION I: SITE INFORMATION
J7,3ning
1 Propert Address: 1.2 Assesson.�lap S Parcel Numbers
=62�ey'4 I . _
a Is this an aces t d street? es no Map Number Parcel Number
Zoning Information: 1.4 Property Dimensions:
istrict Proposed Uw Lot Area Isy ll) fmnmgc II!)
1.5 Building Setbacks(It)
Frunt Yard Side Yards Rear Yard
Required Pruvidud Required Provided Required Provided
1A Water Supply:(M.G.1.c.Jd.§Sy) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public C3 Privalc O Zona: _ Outside Flood Zone? Municipal O On site disposal%)stem O
Check it' �esO
SECTION2. PROPERTY OWNERSHIP'
2.1 O ner'of cord:
"A �`ro�;L ) -e � �
Name(Print) City.State.ZIP
V o Oor--14 f
Nu. SIreN relephune Email Address
SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction C3 Existing Building❑ Owner-Occupied O Repairs(%) ❑ Alleration(s) C3 I Addition O
Demolition O Accessory Bldg. 0 Number of Units_ Other 0 iipccily:
x Brief Description of Proposed Work':
/ tt`
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Itmss Estimated Costs: OlTlcial Use Only
ILuhur and .\I;uerialfl
I Building S I. Building Permit Fee: S indicate how fee is determined:
❑Standard City Tossn Application Fee
2. 1:'leclrical S t
❑Tutal Project COX Item 6).x multiplier
1 i. Phnnhiny S 2. Other Fees: S-
x4. M"11.111ic.11 ill\- W) S List:._ ----- --
�
\u ..reif�onl fetal .\II Fecf: S
r� ChecA Vo, ('hec Allimum: l'deh \ut�nuu:
6 Total Project Cost: S V -(]j O PeiJ in Full 0 Outssold ill g B.sl.mce Due:
SE( II0N3: C0NSI-RI1(-rI0NNF.RVICFS
5.1 Construction Sullen isor License SI-)
I icoisg Number I Nlitralion 1);dl:
N.lmc ofi.St. I loldcr 1 ul01. I)Pe Isce
I PC
1. old Street
it L'o%vrinll
'A Roolin
dow old Sidiom
SF Solid Fuel Burning Appliativell
1clerhoill: I mail Adrvs.i D Delllolilion
.91.2 Registered Home improvement Contract tic)
IIIC Itell6tralion Nionizi lilrolioll Dule
I IIC Compin) Name or I lIC Regi
No. mid Street I:jnuil address
6�ITown,State, relenhone L
SECTId`N 6:WORKERS'COMPENSATION INS CE AFFIDAVIT(M.G.L.e. 132. § 25C(6))
Workers Compensation Insurance affidavit must A"leted and submitted with this application. Failure to provide
be-CI
this affidavit will result in the denial of the ante of the building permit.
Signed Affidavit Attached? y4f........ C3 No...........CI
SECTION 7a. OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
1, as Owner of the subject property,hereby authorize
to act on my behalf,in all matters rellstly y this building permit application.
Print 0%limir's Nuoic(Electronic Signuturc) Data
SECTION 7b: OWNEWOR AUTHORIZED AGENT DECLARATION
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information
cot d in thisapplication is find accurate rate to the best of my knowledge and understanding.
,,
NOTES:
I. An 0\liit:r %lhu obtains a building permit to do his her u\vn work,cran owner who hires an unregistered contractor
(nut registered in the Hume Improvement Contractor(HICIt Program), will LU) have access to the arbitration
program or guaranty lund under M.G.L. c. 141.A. Other important information on the HIC Program can be lound at
,%W% IMP-, -�O% " 1 lill'brination on the Construction Supervisor License can be round at ,,o% lil,
2. \k lien substantial work is platined• provide the hil'urnintiun below:
rotai lloorarc.i(sq. 11.1 (including garage. finished basement attics,decks or porch)
Grois h%wq area i iq. it.I Flabilable room count
Number ol'bedrooms
LINuIllber ol hall hallm
Numhcrofdceks por0lci
Opell
oi.d lroivt Square l:ooi.iL:%:1113N 11c 1klh11lttl1Cd l'or 1'ol.il Projco 0"I"
The Commonwealth of Massachusetts
Board of Building Regulations and Standards CITY
k m OF SALEM
Massachusetts State Building Code, 780 CMR, 7 edition
� Revised Junrrurt•
Building Permit Application To Construct, Repair, Renovate Or Demolish a 1. 1008
One-or Tiro-Furnr Dwellinr;
This Secti or tiicial Use Only
Building Permit Num er: ate Applied: _
Signature: /a 3u
Building Cummissione nspeclor of Bui1omgs Date
SECTION 1:SITE INFORMATION
1.1 Property Address• 1.2 Assessors Map& Parcel Numbers
6 by rS --
L la Is this an accepted street no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sy It) Frontage(tt)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Reyuircd Providcd Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Zone: _ Outside Flood Zone'? Municipal❑ On site disposal system ❑
Public❑ Private❑ Check if yes❑ P P y
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owneri of Recury
r �J r `T v
na h- n�� Y�e�1.0 .
Name(Print) Address for Service:
o �An n �Q-
Si ature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ Other ❑ Specify:
Brief Description of Proposed Work-,
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials
I. Building S 1. Building Permit Fee:S Indicate how fee is determined:
❑ Standard City/Town Application Fee
2. Electrical S ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: S
4. Mechanical (IIVAC) S List:
5. Mechanical (Fire S
Su ression Total All Fees: S
Check No. Check Amount: Cash Amount:_
6. Total Project Cost: .S 3� 10D,00 0 Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
� ^ 999�.�
C5S� \ -. ) C-�Yh CNn License Number Expiration Date r
Name of CSL- I yydder I.( is[CSL-1'ype(see below)
'I\PC Description
Addres U VareslricicJ(tip to 35,000 Cu. Ft.
It Restricted 1&2 Family Dwellirtignatu e A ,�J NJ �bluson Only
j�25— / RC Residential Roofing Ctnerin
I clephone WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
1) Residential Demolition
5.2 Registered om Improvement otprayrpj� (HIC) I o! ,.�
A Q f, r Sf�C� ttio (old
1 I Compan N:ufpr^ur I-IIC Registrant Name Registmuun Number
AJJresE-= �J---�
i �C lExpiration Date
ST&ature Telephone
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 AUTHORIZA ON TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
— ' ,f
I, I n Cr c{— (/Ck(,�� r�� as Owner of the subject property hereby
authorize 'GPNLC�IYjQ to act on my behalf, in all matters
relative to work authorized by this building permit application.
Si� t�i ure of Owner Date
} SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
I, d-',.�-AA �' '(V�� ,as Owner or Authorized Agent hereby declare
that thettements and information on theforegoing application are true and accurate,to the beast of my knowledge and
behalf. t�a
Print Name'
Signature bMwner or Authorized Agent Dale
(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(flIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L. c. I42A.Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and 110.115, 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'
cowl
z
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978) 619-5685 FAX(978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other work
as described below will be appropriate to the preservation of said Historic District, as per the requirements set
forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: Derby Street
Address of Property 40 Derby Street
Name of Record Owner: Tina& Richard Jodrie
Description of Work Proposed:
Replacement of existing asphalt roofshingles with either:
IKO Cambridge 30 AR asphalt shingles in Dual Black
IKO Harvard Slate, Cambridge Light 30AR
Note: Satellite dish(es) must be moved to a location so as not to be visible from Derby Street.
Dated: May 5, 2011 SALEM ORICAL COM ION
By:
The homeowner has the option not to commence the work (unless i?elatesto resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.
� B
7� B C'K— 102— 7
ga The Commonwealth of MassacIt
° Board of Building Regulations a'tll$LE
CITY OF
Massachusetts State Building Code,780*gVeyp
RVI SALEM
Revised Mar 2011
Building Permit Application To Construct,Rep4QJr_eiwate.Or l2emolish a
One-or Two-Family Dwelling L UU F r 30
This Section For Oflleial Use Only
L�h
Number-... Date plied:
�-
(� PrintName) Signature DateSECTION 1:SITE INFORMATION
ress: 1.2 Assessors Map&Parcel Numbers
Q�
^� 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 R) Frontage(it)
l 1.5 Building Setbacks(It)
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 Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
o SECTION 2 PROPERTY OWNERSMPt J 2.1 perlotRec`o d:
(� eM
Name(Print) \\__ ' City,State,ZIP
No.and Street Telephone Email Address
SECTION 3:DESCRIP.TION OF PROPOSED WORK=(check all that apply)
New Construction❑ 1 Existing Building❑ 1 Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg.❑ Nttmber of Units_ Other ❑ Specify:
Br f Description of Proposed World:
f
Q W t� Lk
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials
1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ ❑Standard CitylTown Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire Suppression $ Total All Fees:$
Cheek No. Check Amount: Cash Amount:
6. tal Project Cost: $ 1��, p0,IJ O ❑Paid in Full 0 Outstanding Balance Due.
1
SECTION.5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description,..
U I Unrestricted(Buildings up to 35,000 cu.ft.
R I Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC I Roofing Covering
W S I Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
IBC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
Ci /Town,State ZIP Telephone
_. ... _.
SECTION 6:WORKERS,COMPENSATION INSURANCE AFFIDAVIT(ALG.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 .......... ❑ No...........❑
SECTION 74z OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR U' ,DING 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 Owner's Name(Electronic Signature) Date
SECTION 7b OWNEW 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 ar accurate to the best my knowledge and understanding.
XPrint wner's or Authorized Agent's N&de le o ' afore) Date
0
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 can be found at
nan .nrass. og v/oca Information on the Construction Supervisor License can be found at www.mass.>ovE /dos
2. When substantial work is planned,provide the information below:
Total floor 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 half/baths
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"
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'�'4nnNec�'
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX (978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑ Alteration
❑ Demolition ✓ Painting
❑ Signage ✓ Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: Derby Street
Address of Property: 40 Derby Street
Name of Record Owner: Richard and Tina Jodrie
Description of Work Proposed:
• Repair second floor porch floorboards, railings and beams to match existing.
• Repair front concrete and brick stairs to match existing.
• Paint house to match existing color scheme: California Paints "Lexington Blue"for body and "Andover
Cream"for trim.
There will be no changes in color, material, design, location or outward appearance for the above referenced
work. Non-applicable due to being in-kind repairs and replacement.
Note: Request to replace windows requires approval under an application for a Certificate of
Appropriateness. The submitted application has been so modified, abutters will be notified and the review is
schedule for the public meeting of June 15, 2016 at 7 pm.
Dated: May 25, 2016 SALEM HISTORICAL COMMISSION
By.
The homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
Once completed,please submit a photograph(s) of the final result (maximum offour- i.e. one photograph of
each affected fa(ade).
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.