82 DERBY STREET - BUILDING JACKET 'r 82 DER&Y STREET
CITY OF SALEM, MASSACHUSETTS
rw„
(ty r BUILDING DEPARTMENT
120 WASHNGTON STREET,Y" FLOOR
TEL. (978) 745-9595
KIMBERLEY DPdSa)LL FAX(978) 740-9846
MAYOR THOMAS STTIERRE
D[RECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
February 27,2015
Ton Cahill
198 Locust Street
Danvers,Ma_ 01923
Re: 82 Derby Street
Dear Mr. Cahill,
We have further researched the number of units at this property. We have determined that there should be one
Commercial unit and three Residential units.These was a question of a possible,fourth unit on the first floor
behind the Commercial space. As we discussed yesterday,you have secured a building permit and arc removing
die bathtub/shower to convert the space into an officelbreakroom for the Laundry. This should resolve any
zoning issue with hie property. If Curtlter information is required,please let me know,
Sincere ,
Thomas StTierre
Zoning OfficerlBuiiding Commissioner
to viy .
CERTIFICATE ISSUEO
CITY OF SALEM DATE January28, 1994
V. SALEM, MASSACHUSETTS 01970 BUILDING PERMIT -
Q4CBm11 CERTIFICATE OF OCCUPANCY
-)elaxam DATE 92 PERMIT NO.-IT- 302-93
APPLICAN#'��_ L ADDRESS tm r. i
("o.) (STMEETJ P•5 ti4rvSE
Al taratiom Dwellinq NUMBER OF 2
PERMIT TO (—I STORY DWELLING UNITS
.0. (0-010110 Us')
AT (LOCATIONI 82 Derbv St. WdLd I ZONING
DISTRICT—
BETWEEN AND
ICR*56 sl*ltlf
svoDIVISION LOT
�LDY_BLOCK —SIZE
BUILDING IS TO Of FT, *$Of P- FT. LONG BY FT, 111 NE IGut AND SnALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP—BASEMENT WALLS 09 FOUNDAT ION
Itrin
REMARKS; ��Irwtail _�iiieet --cck over c_�istinqjpew sink/rew elect
AREA OR Jim awl
VOLUME �RI---------
C WC SOVIAJ 1(tTl
gWNEA DaiaZam
4 TO BE POSTED ON PREMISES
ADDRESS _. upt(r. ,4a&ord, Aaw OF CERTIFICATE
DEPARTMENTAL APPROVAL FOR CERTIFICATE
r
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit Mo. 302-93
I
Approvedby JOhn' J. Jennings) Dale 1/27/94
i
Remarks
I
PLUMBING Permit No. --
i
Approved by Date .
Remarks_
ELECTRICAL j Permit No.
Approved by Date
Remarks—
j
OTHER Fire Permit No.
Approved byTt. Hudson Date 1/25/94
Remarki
I
OTHER Permit No.
Approved by Date
Remarks
i
i
BUILDING
PERMIT
C RD
1 q,1Q DATE }'WR'O�+t 19 PERMIT NO.
APPLICJ. I�f:3SKMC5 ADDRESS 4 Aar. I Id
tx0.1 tSTRECTI t£ONTR•s LIEt»ACI
ylteratl D,1tim NUMBER OF 2
PERMIT TO t4 L__1 STORY ""�7 DWELLING UNITS
(ivFi
Of iMHIOv£Mi xii x0, .,1tP#Oi0;E6 U!£Y
AT tLOCATiONi F!A a.ssasii L' '"M DOSTR CT
1X0,1 I!T#f[TI
AND
BETWEEN
ICAO!> STR[t Tl ICPO!! Si REEiI
LOT
SUBDIVISION LOT BLOCK SIZE
BUILDING IS TO BE FT, WIDE B+ FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
REMARKS: Inet:eJ.l »3-punt =* tYV K 4aXletCi.'bq/ +bhk/t '-AB
Call for Pum, to ccupy,
AREA OR a. PERMIT �rlfV
VOLUME ESTIMATED COST FEE CJ
I ,,,,SQUARE IEEn
OWNER ImAs 1afam BUILpp1���E,�p�ERR��
ADDRESS A Upton Ter. �T BY AitYBi J. .jaR3121I.7Y6R1
INSPECTOR OF BUILDINGS
THIS PERMIT CONVEYS NO RIGHT t0 OCCUPY RO STREET, ALLEY OR SIDEWALK OR-ANY PART THEREOF. ETHER TEMPORARILY OR
PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY. NOT SPECIFICALLY PE ND LOCATION
TIUNDER TI-IEU BUILDING CODE, E OB AI AP-
PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH Arv0 LOCAnON OF PUBLIC SEWERS MAY BE OBTAINED
FRO, THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT GROM THEJCONDITIONS .
OF ANY APPLICABLE SUBDIVISION RESTRICTIONS,
MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE
INSPECTIONS AEOUIRED FOR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PFRMrti ARE PEO UIRED FOR
ALL CONSTRUCTION WORN: ELECTRICAL, PLUMBING AND
I. FOUNDATION'
OR FOOTING;. MADE, WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS.
t. PRIOR TO COER1NG STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL
v
MEMBERStREADY TO lAi H). FINAL INSPECTION HAS BEEN MADE,
3, PINAL INSPECTION BEFORE
OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS
2 2 2 :FZ7
l 7-lt7
POARD+"F HEALTH GAS INSPECTION APPROVALS FIRE DEPT, INSPECTING APPROVALS
OTHER CITY ENGINEER 2 2
WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME MULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD
INSPE: 7R HAS APPROVED TME VARIOUS WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. OR WRITTEN NOTIFICATION.
.rKY1ET.+ d""•"•r �"a.^� Y t."+�M"l��^^It. FAKE :...I r�� ,CJa�'..c- �..p � f... r
u+.I
FIELD COPY
CITY OF SALEM
BUILDING =^
SALEM. MASSACHUSETTS 01970 PERMIT
,� VA LIGATION
4EDaN[ -
DATE November 29 19 93 PERMIT No. 524-93
APPLICANT Louis Delafano ADDRESS 40Uneon Terr. Medford,Mass. _
- � IN0.1 ❑1R[ETI - ICOM Rey .I[t NIU
NUMBER OF O
PEP--T TO RonAt 1_I STORY DWP�.I inB DWELLING UNITS 2
(T,RE 01 IM•ROVEMENTI K0. IPPOROSED uSf)
AT ILOCAT,ONI 89 Dprbv Street Ward 1 ZONING R-2
DISTRICT
IN0.1. ISl.E[TI
BETWEEN AND
ICRO" STRE[TI ICPO$$ STRE111
LOT
SUBDIVISION LOT BLOCK' SIZE
BUILDING IS.TO BE FT. WIDE 81. FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENTWALLS OR FOUNDATION
IIr P[1
REMARKS: Permit to roof
Inspected Ap o¢ d Date
JOL UME ESTIMATED COST 2,750 PERMIT S 20.O0
o:elcsP E •[nI
OWNER LOZ . De adano a Nr a
17,D-Ess 4 Upton Ter. MedforA, ~Macs Leo E. Trer+bl.av
INSPECTOR OF BUILDINGS
INSPECTION RECORD
DATE NOTE •00009SA C0ITICISN3 AND DEMANKS INSPECTOR
Plans must be riled and approved by the Inspector before a permit will be granted.
No. t �� � City of Salem Ward_
IS PROPERTY LOCATED IN THE
HISTORIC DISTRICT? Yes 'A,_No w a
r 9
IF SIDING, HAS ELECTRICAL
PERMIT BEEN OBTAINED? Yes No Home Phone # G/7-39/-39%g
APPLICATION Bus. Phone #4i7} Sys-/9s 3 ?�ye2
FOR
PERMIT T�O REROOF OR INSTALL SIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a per 't to build acco/rding¢r to[he followi g specifications:
Owner's name and address Lov.`i �J e /yJPn�e2 �/
Architect's name /�jfi
Mechanic's name andadd and /ini
Location of building,No. i?,)- - S
What is the purpose of building? 1'$6•t,.ni.-.e
Material of building? .0,2<'G k -f C4-00cv Asbestos?
If a dwelling,for how many families'- 4 /'/rM, c - -5o'a oti
Will the building conform to the requirements of the 1 w? 1/ P S
Estimaked cost S 7 Con6act s Li No.
Signature of applicant
REMARKS IGNE NDER THE
PENALTY OF PERJURY.
No-�J4—y ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location �1 �{
PERMIT GRANTED
ll 1s 9-
Approv
Building Inspe r
r CITY OF SALEM
3UILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
?lease Print
DATE 1 �- a q- °7
JOB LOCATION ON Pa-- S7/_- 54 l��
Number Street/ address Section of To n
Z �< C mel yf 0 617 37r-39yg
"HOMEOWNER ��ph�N /✓lf!/�e� L/7 0'13) - 3775 41`27-SS�g
Name Home phone Work phone
PRESENT MAILING ADDRESS Ll
/11 19-
City/Town State Zip Code
-he current exemption of "homeowners" :-las extended to include owner-occupied
dwellinas of six units or less ana to allow such homeowners to engage an in-
dividual for hire who does not possess a license. provided that the owner
acts as supervisor. ; State Building Code Section 109.1 . 1 )
DEFINITION OF HOMEOWNER:
Person(s ) who owns a parcel of land on which he/she resides or intends to re-
side. on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period'shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Official ,
on a form acceptable to the Building Official . that he/she shall be responsible
for all such work performed under the buildino permit. Section 109. 1 . 1
-he undersigned "homeowner" assumes responsibility for compliance aith the State
Suildino code and other applicable codes . by-laws. rules ana reguiations.
The undersigned "homeowner" certifies that he/she understands the City of Salem
Building Department minimum inspection procedures and requirements and that
he/she will comply with said procedures and r,�em ts.
HOMEOWNER 'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
NOTE: 7hree family dwellings 35.000 cubic feet. or larger, will be required
to comply with State Building Code Section 127.0. Construction Control .
J/, r
HOME OWNER' S EXEMPTION
he Code states that: "A.ny Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
'Section 109.1 .1 - Licensing of Construction Supervisors ) ; provided that is
a Home Owner engages a persons ) for hire to do such work , that sucn Home
Owner shall act as supervisor."
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for Licensing Construction Supervisors, Section 2. 15) . This lack or aware-
ness often results in serious problems. particularly when the Home Owner
hires unlicensed persons. ?n this case your Board cannot proceed against
the unlicensed person as it would with licensed Supervisor. The Home Owner
actinq as supervisor is ultimately responsible.
-o ensure that the Home Omer is fully aware or his/her responsibilities.
nany ccmmunities require. as part of the permit application, that the Home
Owner certify that he/she understands the responsibilities or a supervisor.
On the last page of this issue is a form currently used by several towns.
!ou may care to amend and adopt such a form/certification for use in your
community.
N "9 City of Salem Ward /
4<UaNS.
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items in sections:1, ll, Ill, IV, and IX. ��//,yy��
I. AT(LOCATION) �2 �T DISTPoCT'
LOCATION (NO.) / p sm TI
OF BETWEEN GNG I.G h fi �7�C— P. AND
(CROSS STREET) (CROSS STREET)
BUILDING LOT
SUBDIVISION LOT BLOCK SIZE
IL TYPE AND COST OF BUILDING -All applicants complete Parts A-D
A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR'DEMOLITION'USE MOST RECENT USE
1 ❑ New building Residential Nonresidential
2 ❑ Addition(It residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational
/rousing units added,if any,in part D, 13J19 ❑ Chruch,other religious
- 13 coo or more family-Enter number
3 [3"Afteration(See 2 above) of units ....................................................... 20 ❑ Industrial
21 ❑ Parking garage
4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 22 ❑ Service station,repair garage
Enter number of units ...........................
5 ❑ Wrecking(if muMNamily residential,enter number 23 ❑ Hospital,institutional
of units in building in Part D, 13) 15 ❑ Garage
24 ❑ Office,bank,professional
6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility
7 ❑ Foundation only 26 ❑ School,library,other educational
17 ❑ Other-Specify 27 ❑ Stores,mercantile
B.OWNER IP 28 ❑ Tanks,towers
B Private(individual,corporation nonprofit
institution,eta)
29 ❑ Other-Specify
9 ❑ Public(Federal,State,or local government
C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant,
machine shop,laundry building at hospital,elementary school,secondary school,college,
10. Coat of improvement ......................................................... $ ®0� o� Parochial school,parking garage for department store,rental office building,office building
at industrial plant If use of existing building is being changed,enter proposed use.
To be installed but not included
in the above cost POO u,
aElectrical...........................................................................
b. Plumbing.......................................................................... V 0 o�
c. Heating,air conditioning............................................. -
d. Other(elevator,etc.).....................................................
11. TOTAL COST OF IMPROVEMENT $ zl 3o O
III. SELECTED CHARACTERISTICS OF BUILDING For new buildings and additions, complete Parts E-L;demolition,
complete only Parts J&M, all others skip to IV
E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL
30 ❑ sorry(wall bearing) 35 ❑ Gas 40 ❑ Public or private company Will Mere be central air
31 Wood frame 36 ❑ Oil conditioning?
32 ❑ Structural steel 37 ❑ Electricity 41 ❑ Private(septic tank,etc.) 44 ❑ Yes 45 ❑ No
33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator?
34 ❑ Other-specify 39 ❑ Other-Specify 42 ❑ Public or private company 46 ❑ Yes 47 ❑ No
43 ❑ Private(well,cistern)
J.DIMENSIONS M. DEMOLITION OF STRUCTURES:
08. Number of stories ............................................................
49. Total squarefeetf Narea,
all floors,based o Has Approval from Historical Commission been received
nexterior r PP
dimensions ......................................................................... for any structure over fifty(50)years? Yes_ No_
50. Total land area sq.ft....................................................... Dig Safe Number
K.NUMBER OF OFF-STREET PARKING SPACES Pest Control:
51. Enclosed............................................................................
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
52. Outdoors..........
Yes No
L RESIDENTIAL BUILDINGS ONLY Water:
53. Enclosed............................................................................. Electric:
Gas:
Full Sewer:
54. Number of
bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
Partial.................................-. BEFORE A PERMIT CAN BE ISSUED.
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ No (If yes, please enclose documentation from Hist. Com.)
Conservation Area? Yes_ No (If yes, please enclose Order of Conditions)
Has Fire Prevention approved and stamped plans or applications? Yes_ NOAL
Is property located in the S.R.A.district? Yes_ No
Comply with Zoning? Yes No If no,enclose Board of Appeal decision)
Is lot grandfathered? Yes_ Nov (If yes,submit documentation/if no,submit Board of Appeal decision)
If new construction, has the proper Routing Slip been enclosed? Yes_ No
Is Architectural Access Board approval required? Yes_ No (If yes,submit documentation)
Massachusetts State Contractor License A Salem License#
Home Improvement Contractor# Homeowners Exempt form (if applicable) Yes_ No_
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6) MONTHS OF ISSUANCE OF BUILDING PERMIT
If an extension is necessary, please submit
CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings.
V. IDENTIFICATION • To be completed by all applicants
Name // Mailing address-Number,street,city,and state ZIP Code Tel.No.
Owner or
Lessee
2.
Contractor
Builder's
License No.
3.
Architect or
Engineer
I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application
as his authorized a ent and we agree to conform to all applicable laws of this jurisdiction.
Signature plicant Address n Application date
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building �\ '1 _ rJ FOR DEPARTMENT USE ONLY
Permit number
Building �j `� Use Group
Permit issued 19 Fire Grading
Building ^/
Permit Fee $ _ CY 6 Live Loading
Certificate of Occupancy $ Approved by: occupancy Load
Drain Tile $
Plan Review Fee $ o C, l
TI LE
NOTES AND Data •(For department use)
K- s l\ N 2 �j (..'O- c-oa I V-e
Z � hS a -Q,, G
1
PERMIT TO BE MAILEDTO:Lou,'S
DATE MAILED: /3 11
Construction to be started by: Completed by:
VI ZONING PLAN EXAMINERS NOTES E
DISTRICT
USE
FRONT YARD
SIDE YARD _ SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN -For Applicant Use
oN
a
Plans must be riled and approved by the Inspector before a permit will be granted.
No. anC�S City of Salem Ward_
IS PROPERTY LOCATED IN THE q ;
HISTORIC DISTRICT? Yes No w s
IF SIDING, HAS ELECTRICAL Home Phone # 23 ! —3775
PERMIT BEEN OBTAINED. Yes No
APPLICATION Bus. Phone #
FOR
PERMIT INSTALL
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to build according to the following specifications:
Owner's name and address
kt67A C2
yc���S �S tv,� Mh
Architect's name 91
Mechanic's name and address
Location of building,No. 6
What is the purpose of building? e [A -e w _
Material of building? .�k c Asbestos?
If a dwelling,for how many families^. _ �,'IV
Will the building conform to the requirements of t w? t e
Estimated cost J
Signature of applicant
E AR S 51GNED UN ER E
PENALTY OF PE JURY.
rl--A ��
tj j���
No. �5— Ward
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location y h f/
PERMIT GRANTED
/r/ 3�-19Q3
App ve
/4:) G uilding Tktor
F
COMOI},�
Salem Historical Commission
CITY HALL. SALEM. MASS. 01970
'7
�aOIMOi6 W'
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has
determined that the proposed construction [ ] ; reconstruction [ ];
demolition [ ] ; moving [ ] ; alteration [X] ; painting [ ]; sign or
other appurtenant fixture [ ] work as described below in the . . .
Derby Street Historic District.
(NAME OF HISTORIC DISTRICT)
Address of Property: 82 Derby Street
Name of Record Owner: Steve Meader, Louis Delafano
DESCRIPTION OF WORK PROPOSED:
Replace 14 windows on second floor to match b over b windows on first floor.
will be appropriate to the preservation of said Historic District, as per
the requirements set forth in the Historic District's Act (class. General Law
Ch. 40C) and the Salem Historical Commission. Please be sure to obtain the
appropriate permits from the Inspector of Buildings prior to commencing work.
Dated: July 8, 1493 SALEM HISTORICAL COMMISSION
Chairman
:role �^Per
PERMIT r11JST ._ ^_9T.= 3E--CPE _=SINNING .:GRK
?PLIC .T 1 '�t2 iYUST Pi i s_ FlLED ;v'ITH T;,E
°LA'{NTNG DEPARTMENT, 'D _ PEAR0I 7 E PC'1r.L - Tr?E PLANNING
DEPARTMENT) 5E rIL__ :I 7-- '! I LDItS I :S � j
�:.rrcct. .,cetpleto
S+ and Le^_ isle coarate opl n c:d °or 'Every Sign. .
Application for Permit to Erect a Sign
CQtYPI.t"`
Salem, :1assaLhusetts- mo i'_--1991
'0 THE D.�1LE{ii:' S:;SPECTOR: � /��`��"
he undsrsir ;eG -=relay app! iQs =3.r a per—,it :o _ Erect, % Alter , Repair
a sign on t'-,n -,11owing descri -ed `uildin0 : Y�
Location and No. ' � 1 �1t/� -�Zoninc/Di :.trict
':ame of Property Owner_ G%141 22
'lame of Sign Owner
ddress ��(`7 //�/�S/✓C. fI1l�L � y C��ls�
r
If Cwner is a corporate body na^:e or responsible officer Amer, 22,
Name of Licensed Sign Erector `�g � 1_� 1-q Cyp,
�ddress����jlf �,� License No.
I�
Use of Building: Ist Floor m �,.'G;/a 3rd Floor
2nd Floor 4th Floor
Type of Sign: JC. Surface, Right Angles to 3uilding, Free Standin,:,
Z`�/ Other (specify) Height :
Sign Materials ooed
r t /
Sign Dimensions .S K ZL Sign Area SF
Existing Signs: Surface: Sign Area SF
Right Angles : Sign Area 9 SF
Free-Standing Sign Area SF
Other Sign Area SF
Signs to be Removed: Type la*77 t�Z,� ng�p, S i gn Area q SF
Frontage: Building FT Property FT
Signature of Owner
Signature_aL Owners, Rut orized Representative
i
�
Address 4/00 �� -IL r/P
' , . �.
Estimated Ct '�^n,,
of New workfA /lam Telephone__����
APPROVALS: Signature of Property Owner
` Sat n i'ng Department Supe n nten ent o t ,:ets HistoricalCommission
ON LnSEP EASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND
BUILDING ENTRANCE.
PLAN OF LOT
........ ........... ...
kPPLICATION FOR PERMIT FOR Show Location of Proscnt Structure SHOW SIGN SIZE, COLOR AND LOCATION ON BUILDING;
ALTERATIONS, REPAIRS AND
DEMOLITIONSand Signs LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE
.....................................CLASS BUILDING
�p LOCATION
........................._............Word...... .........
;
...........«..»..............................»...................
.......
CONDITIONS
. . ......t .'n . ..........
............_........
.... `l _
...................x..... ... �.. .....
I
...+.........................................................................
Permit Grontcd
� .. �f
......................
b +X0x
Salem Historical Commission
CITY HALL. SALEM. MASS. 01970
'P�:Hnra m1''
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has
determined that the proposed construction [ ] ; reconstruction [ ];
demolition [ ]; moving [ ]; alteration [ ] ; painting [ ]; sign or
other appurtenant fixture [x ] work as described below in the . . .
Derby Street Historic District.
(NAME OF HISTORIC DISTRICT)
Address of Property: 82 Derby Street
Name of Record Owner: Century Bank and Trust
DESCRIPTION OF WORK PROPOSED:
Sign as per submitted drawing in size and location proposed. Two lines of
"Times Bold" typeface. Gold lettering on black background. Flush against
building. Sign lettering as proposed. if lettering is to change, approval
to be delegated to Chairman and Vice Chairman. Recommendation that lighting
be gooseneck and reviewed with delegates before installation.
will be appropriate to the preservation of said Historic District, as per
the requirements set forth in the Historic District's Act (mass. General Law
Ch. 40C) and the Salem Historical Commission. Please be sure to obtain the
appropriate permits from the Inspector of Buildings prior to commencing work.
Dated: April 22, 1993 SALEM HISTORICAL COMMISSION
ir: ,�`1
BY i C /In::u e7 � car'
Chairman
a�
CC) �' C C C
(�` c C T
C � � ��
i
AU WL I ct—L �;3 Dr-jR. L-NA. {
I _
S Z 17ERB Y ST.
LJOO D 5lE�N wi7T/ r^�4iSED ��4� MdU t-D� n 6j
/at Es i3o�D Tyy�t10E
(rYp KCOAL 6RA,Y -
C2EAM 1 X725
- � saiem
SWN C0.,INC. SALEM, MASS.
-
I _
i �I I I li
� � ii � li ' I � � II • II
I
Ser eETT 5 r. EL-cZ��ri O N
- satem..�
SIGN CQ,INC. SALEM, MASS.
l
I
1
i
SIGN PANEL
?-=-L-EVA77 0 AI
A IC
SUM,INC. SALEM, MASS.'
/ — go o-
,
Titu of 1�ttlem, massac4usetts
Public Property i3epartment
Nuilaing Department
(Bne frulem (5reen
508-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
March 31, 1993
George A. Nowak
Councillor, Ward one
RE: 82 Derby St.
Dear Councillor Nowak:
In our continuing effort to keep the Ward Councillors informed of what
is happening in their wards, I just want to bring you up to date regarding
the above referenced property.
The repairs I requested in my letter of March 3, 1993 have begun and I
have been assured that they will be completed in a timely manner.
Sincerely,
Leo E. Tremblay
Inspector of Buildings
LET:bms
UNITED STATES POSTAL SERVICE
Official Business
PENALTY FOR PRIVATE
USE, $300
Print your name, address and ZIP Code here
Leo E. Tremblay, Inspector of Buildings
One Salem Green
Salem, MA 01970
SENDER:
• Complete items 1 and/or 2 for additional services. I also wish to receive the
• Complete items 3,and do&b. following services (for an extra
• Print your name and address on the reverse of this form so that we can fee):
return this card to you.
• Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressee's Address
does not permit.
• Write"Return Receipt Requested"on the mailpiece below the article number. 2 ❑ Restricted Delivery
• The Return Receipt Fee will provide you the signature of the person delivered
to and the date of delivery. Consult postmaster for fee.
3. Article Addressed to: 4a. Article Number
Century Bank & Trust P 009 226 206
400 Mystic Ave. 4b. Service Type
Medford, MA 02155 ❑ Registered ❑ Insured
Certified ❑ COD
❑ Ex 5 ail (Return Receipt for
RE: 82 Derby S�� x p Merchan i
7. Date of D liverrf993.
MAR t77SWM17
5. Signature (Addressee) c'.+%t' � +;' 8. Addressee's Address (Only if requested
.ryr- and fee is paid)
6. Si nature (Agent) '
PS Form 1q, November 1990 AU.S.GPO:1991-287-088 DOMESTIC RETURN RECEIPT
(fitu of t*afiem. m assar4usetts
Ilublic ProptrtLi Utpartment
+Nuilbing Department
(One Salem (Sreen
508-745-9595 Ext. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
March 3, 1993
Century Bank & Trust Co.
James Flynn, Sr. V.P.
400 Mystic Ave.
Medford, MA 02155
RE: 82 Derby St. , Salem
Dear Mr. Flynn:
This department conducted an inspection at the above referenced
property with the following results:
1. The dryer venting system, which is governed by the Massachusetts
State Building Code, is in violation and must be repaired within
ten (10) days of receipt of this notice or the City of Salem will
have the gas for the dryers shut off.
2. The platform at the staircase located in the rear of the building
not only is a fire trap due to accumulation of lint on the under-
side but is also has loose and rotted boards, these violations
must be corrected immediately.
3. The Bulkhead going into the basement is in deplorable condition
and constitutes a danger to the safety of the public.
Also, the Historic Commission has made conditions which were to have
been completed by March 1, 1993 and to this date these conditions have not
be accomplished.
Sincerely,
�(Y
Leo E. Tremblay 7
Inspector of Buildings
LET:bms
cc: Councillor Nowak, Ward 1
Historic Commission
&mex evaNty ecaltimem, Ate.
SHEET METAL CONTRACTORS
60 WARD STREET SALEM, MA 01970
(508) 745-8028 FAX (508) 745-0113
"YOUR COMFORT CRAFTSMEN"
March 8 , 1993
Mr . ]Leo E. Tremblay
City of Salem
Public Property Department
Building Department
One Salem Green
Salem, MA 01970
Dear Mr . Tremblay :
Our office has received a signed contract to provide laundry
ventilation and combustion air make-up 'for 82 Derby Street ,
Salem, MA.
Our office has had a verbal approval to proceed with the
project since February 10 , 1993 , and we have a signed contract
from the Century Bank dated 2-23-93 , which was received by our
office 3-8-93 .
It was previously explained to the Historic Commission that
materials would take 4 to 5 weeks for delivery , therefore , we
have a projected delivery of materials to the site by March 1.7 ,
1993 , with a completion date of approximately 7 working days
after delivery of equipment . We do not see any reason at this
point , which would alter our projected completion of the project .
Sincerely,
Tnd B. oyes
President
RBN:gp
CC : P. J . Yeatman
Jane Guy
(gADI{(
J�.(umlc
CITY OF SALEM, MASSACHUSETTS
NEIL J. HARRINGTON
MAYOR
Attached letter also sent to the following:
Mr. & Mrs. Timothy C. Masters
78 Derby Street
Salem, MA
Mrs. Wanda Kulak
86 Derby Street
Salem, MA
Ms. Kathleen A. Manso
26 Becket Street
Salem, MA
Mr. & Mrs. Richard Michalowski
28 Becket Street
Salem, MA
SALEM CITY HALL • 93 WASHINGTON STREET • SALEM.MASSACHUSETTS 01970 508/745-9595 FAX 508/744-9327
I� e.ConL�
t M,
'%, s1lrTF.
MMt
CITY OF SALEM, MASSACHUSETTS
NEIL J. HARRINGTON
MAYOR
May 19, 1992
' Mr. & Mrs . Albert J. Dauray
"27 Becket Street
Salem, MA 01970
Dear Skip and Janet :
Thank you for your letter concerning 82 Derby Street . I share
your concern for the condition of the property, and have instructed
the appropriate department heads to take the necessary steps to
provide relief to the neighborhood.
Some of the action. taken to date includes :
is
1) The Salem Health Agent, Robert Blenkhorn, has cited the
Century North Shore Bank for rubbish and garbage
violations . He will monitor the property and continue to
take action as necessary .
2) The bank has advised our Building Inspectors that they
will be correcting problems related to vents from the
laundry. Other building code violations will be
addressed as they are discovered.
3) The Salem Historical Commission has advised the bank that
the property is currently in violation of the Historic
Districts Act, and has offered to assist the bank in
rectifying existing problems and in future upgrades .
9) The Salem Fire Department reported to me that fire
detection devices are currently operating correctly . The
only violation noted on a recent inspection was improper
storage of hazardous materials in the cellar, and the
bank has agreed to correct that situation.
5) The Salem Police Department has orders from Chief St .
Pierre to closely monitor the area for parking violations
and to repond promptly to noise violation reports .
SALEM CITY HALL • 93 WASHINGTON STREET • SALEM. MASSACHUSETTS 01970 • 508/745-9595 • FAX 508/744-9327
Mr . & Mrs . Albert J. Dauray
May 19, 1992
Page 2
I certainly hope that these and continuing future steps will
bring relief to all of you . I have instructed Daniel J. Geary,
Director of Constituent Services, to be in regular contact with the
various departments concerning this matter. Please feel free to
call or write Dan at any time concerning this or any other issue .
Sincerely, 1
'Neil
/ar
iNeil J. ington
Mayor
NJH/jp
Enclosures
cc : Salem Police Department
/Salem Building Inspector
Salem Historical Commission
Salem Fire Department
Salem Board of Health
Director of Constituent Services
Councillor George A. Nowak
Historic Salem, Inc .
ii
(J5� /
�q n
�hn h �` 'Prc
Outside Services Rendered:
Tutoring t Field trips / etc:
Reason:
Other:
,
Reason:
ALL RECEIPTS, TAPES, MILF
ATTACHED TO THIS FORM FOF
aG��
a��
��
��
Inspector John LeClerc
City Plumbing and Ga,s Inspection
City Of Salem
Salem, MA 01970
April 21, 1992
Dear Inspector LeClerc:
This is a follow up letter to our original correspondence
dated October 27, 1991 . As neighbors we are concerned about
the condition of the property at 82 Derby Street . We are
also concerned because it has come to our attention that the
property is under foreclosure which will result in another
owner, the 4th in 6 years . The property continues to
deteriorate - let us reiterate some of our concerns :
1> There have been incidents at all hours of the night
where apparently drunken people are coming and going from an
apartment in the building. The noise and disturbances
continually awaken the rest of the neighborhood. The
language is often loud and obscene. This has been
particularly a problem during the warmer months which are
once again approaching. Loud television noise comes from
the laundry and from one of the apartments at all hours and
has prompted the calling of the police by various neighbors
on several occasions. The noise continues .
2> There is a shortage of trash containers for the tenants
and the business. This results in garbage being left in
plastic bags which animals break apart . Garbage is strewn
weekly about the street and in our yards. No one in the
building takes responsibility for cleaning up and the cans
often sit in the road several days after garbage pickup.
3> The fire department has been called to the property on a
somewhat regular basis over the last several years. We
question the safety of the building and subsequently, the
safety of our homes .
4> There is partially completed exterior construction and
painting which degrades the look of the entire area. Bricks
from the building fall into one of the neighbors ' yards .
The building is in the historic district, yet there is no
indication that Salem' s regulations are being followed.
5> It is highly questionable if the building is deleaded
while several young children are living there . There also
are far more peop:Le living in the building than two years
ago . This raises a question about parking space and the
problem with customers parking on Becket Ave . causing near
accidents and blocking access to residents . In addition,
due to the lack of parking, patrons of the laundry often
��.
�� �
��s�/- /��� 6 Sy s�y�
G�
park on the sidewalk on Derby Street blocking the pedestrian
way and causing a general annoyance .
6> Earlier last year numerous new dryers and washing
machines were added to the laundry. After this time there
were problems with the exhaust fumes . The vents were
rerouted from the side of the building to the back. Now
there are exposed large vents protruding from the wall in a
partially completed state. Also, exhaust from those vents
now flows into other areas of the neighborhood. When there
is a nice off shore breeze one can inhale the fine scent of
exhaust fumes . We queaLiorn whether the proper permits and
procedures were followed with this and other construction an
the building in the last two years .
We take pride in our neighborhood and hope that the city
will respond to cur concerns . This property is an eyesore
to the Historic District and a menace to the neighborhood
and we feel that the opportunity is at hand to do something
about it.
Thank you in advance for your attention to this matter.
• Skip and Janet Dauray 27 Becket Street
Eileen and Tim Masters 78 Derby Street
Wanda Kulak 86 Derby Street
Kathleen A. Manse 26 Becket Street
Richard and Dot Michalowski 28 Becket Street
Salem Police Department
Salem Building Inspector
Salem Historic Commission
Salem Fire Department
Salem Board of Health
Salem Constituent Services
Historic Salem, Inc.
Honorable Mayor Neil Harrington
George A. Nowak - Ward 1 City Councilor
Century North Shore Bank and Trust Company
�GAFD OF APPEAEs
Inspector William Munroe
City Building Inspection aa 1 Q ray °
City Of Salem hPF {
Salem, MA 01970 RE"cL'I Q
April 21, 1992
Ct7Y OF SA�c'„b4ASS.
Dear Inspector Munroe:
This is a follow up letter to our original correspondence
dated October 27, 1991 . As neighbors—we are concerned about
the condition of the property at(82 Derby Stree —
We are
also concerned because it has comeytn our attent'1on that the
property is under foreclosure which will result in another
owner, the 4th in 6 years . The property continues to
deteriorate - let us reiterate some of our concerns :
1> There have been incidents at all hours of the night
where apparently drunken people are coming and going from an
apartment in the building. The noise and disturbances
continually awaken the rest of the neighborhood. The
language is often loud and obscene . This has been
particularly a problem during the warmer months which are
once again approaching. Loud television noise comes from
the laundry and from one of the apartments at all hours and
has prompted the calling of the police by various neighbors
on several. occasions. The noise continues.
2> There is a shortage of trash containers for the tenants
and the business. This results in garbage being left in
plastic bags which animals break apart . Garbage is strewn
weekly about the street and in our yards . No one in the
building takes responsibility for cleaning up and the cans
often sit in the road several days after garbage pickup.
3> The fire department has been called to the property on a
somewhat regular basis over the last several years. We
question the safety of the building and subsequently, the
safety of aur homes .
4> There is partially completed exterior construction and
painting which degrades the look of the entire area. Bricks
from the building fall into one of the neighbors ' yards .
The building is in the historic district, yet there is no
indication that Salem' s regulations are being followed.
5> It is highly questionable if the building is deleaded
while several young children are living there. There also
are far more people living in the building than two years
ago . This raises a question about parking space and the
problem with customers parking on Becket Ave . causing near
accidents and blocking access to residents . In addition,
due to the lack of parking, patrons of the laundry often
park on the sidewalk on Derby Street blocking the pedestrian
way and causing a general annoyance .
6> Earlier last year numerous new dryers and washing
machines were added to the laundry. After this time there
were problems with the exhaust fumes . The vents were
rerouted from the side of the building to the back. Now
there are exposed large vents protruding from the wall in a
partially completed state . Also, exhaust from those vents
now flows into other areas of the neighborhood. When there
is a nice off shore breeze one can inhale the fine scent of
exhaust fumes . We Question whether the proper permits and
procedures were followed with Ihis and =her r con ru tion on
the building in the last two years .
We take pride in our neighborhood and hope- that the city
will respond to our concerns . This property is an eyesore
to the Historic District and a menace to the neighborhood
and we feel that the opportunity is at hand to do something
about it .
Thank you in advance for your attention to this matter.
Skip and Janet Dauray 27 Becket Street
Eileen and Tim Masters 78 Derby Street
Wanda Kulak 86 Derby Street
Kathleen A. Manso 26 Becket Street
Richard and Dot Michalowski 28 Becket Street
Salem Police Department
Salem Building Inspector
Salem Historic Commission
Salem Fire Department
Salem Board of Health
Salem Constituent Services
Historic Salem, Inc.
Honorable Mayor Neil Harrington
George A. Nowak - Ward 1 City Councilor
Century North Shore Bank and Trust Company
f
C,i}ILDIN� r��PT
Nov 18 42 At� '91
Owner
80 Derby"Street RECEIVED
kSalem,_MA 0197 CITY DF SALEM-MASS-
October 27 , 1991
To the owner of the building at 80 Derby Street:
As local neighbors we are concerned about the condition of your
f, property, the apartments and the laundry, and are fearful that
this might indicate long term trends. The following are some of
our concerns:
1> There have been incidents at all hours of the night where
apparently drunken people are coming and going from an apartment
in the building. The noise and disturbances continually awaken the
rest of the neighborhood. The language is often loud and obscene.
Loud television noise comes from one of the apartments at all
hours and has prompted the calling of the police by various
neighbors on several occasions. The noise continues.
2> There is a shortage of trash containers for the tenants and the
.business. This results in garbage being left in plastic bags which
animals break apart. Garbage is strewn weekly about the street and
in our yards.
3> Fire alarms used to sound several times a week bringing the
fire department. Suddenly within the past few months, there are
rarely alarms. We question the safety of the tenants and the area.
4> There is partially completed exterior construction and painting
which degrades the look of the entire area. Bricks from the
building fall into one of the neighbors, yards. The building is
in the historic district, yet there is no indication that Salem' s
regulations are being followed.
a•
5> It is highly questionab - if the building is deleaded while
several tenants with young children are living there. There also
are far more people living in the building than two years ago.
This raises a question about parking space and the the problem
with customers parking on .Becket Ave. causing many near accidents.
6> Earlier last year numerous new dryers and washing machines were
added to the laundry. After this time there were problems with the
exhaust fumes. The vents were rerouted from the side of the
building to the back. Now there are exposed large vents protruding
from the wall in a partially completed state. Also, exhaust from
those vents now flows into other areas of the neighborhood. We
question whether the proper permits and procedures were followed
with this and other construction on the building in the last two
years.
We take pride in our neighborhood and hope you will do the same.
Concerned Neighbors on Derby Street, Becket Ave. and Becket street
CC: Salem Police Department
Salem Building Inspector
Salem Historic Commission
Salem Fire Department
Salem Board of Health
J4
I ...Ca NDIT'.
I �1I
Sa'em Historicai Commission
ONE SALEM GREEN.SALEM, MASSACHUSETTS 01970
(617)745-9595. EXT. 31 1
October 23 , 1990
Melanie Marie ' s Realty Trust
John J. Suldenski, Jr .
P.O. Box 712
Salem, MA 01970
Dear Mr. Suldenski :
On November 15, 1989 , the Salem Historical Commission denied
an application for a Certificate of Appropriateness to accept a
sign as installed and pink paint on the band of shingles at 82
Derby Street . The Comission approvedra Certificate of
Appropriateness to paint the body of082 Derby Str'eetewith Oxline
Soft White which would include the band–o-f—shingles that was
currently painted the pink that was denied.
While the sign has been removed and some painting of the band
of shingles in white has occurred, the Commission would remind
you that pink paint is still visible and must be covered over
with the approved white . The Commission respectfully requests
that this be completed within 30 days .
Thank you for your cooperation in this matter.
Sincerely,
I ,
Q C U --
THE SALEM HISTORICAL COMMISSION
Annie C. Harris
Chairman
CC : Building Dept .
City Clerk
JHisCom8/HIS105
o
I
If
Salem Historical Commission
ONE SALEM GREEN,SALEM, MASSACHUSETTS 01970
(61 7) 745-9595. EXT.311
NOTICE OF DENIAL OF APPLICATION FOR A CERTIFICATE OF
APPROPRIATENESS
RE: 82 Derby Street
On Wednesday, May 2 } 1990, the Salem Historical Commission
unanimously denied an application for a Certificate of
Appropriateness from Melanie Marie ' s Realty Trust for its
property at—._ 82_Derby—Street lregarding facade changes and sign
installation. The application was denied due to the applicant
not being present to answer questions and the lack of information
required to make an informed determination. I attest that this
is an accurate record of the vote taken, not amended or modified
in any way to this date. The Commission requires that the sign
as installed be removed forewith to avoid legal action.
May 3 } 1990
Jane . Guy //
Cler of the Com >_ss>_on
cc : Building Inspector
City Clerk
City Solic- ,tor
Minutes/Denia15
IMS DEPT
l �-
=/ Fee 159 19 Ali 090
�,
CITY CF SAL[)a; f4aSS.
REC;�IVizb
elan Historical Com, mission
ONE SALEM GREEN. SALEM, MASSACHUSETTS 01970
(617) 745-9595. EXT. 311
February 13, 1990
Mr. John Suldenski
P.O. Box 712
Salem, MA 01970
RE: 82 Derby Street, Decision dated November 20 , 1989
Request for extension
Dear Mr. Suldenski :
This letter is to inform you that the Salem Historical
Commission voted to extend the period of compliance_ of the
Commission ' s decision for removal of the �ign_at 82 Derby Street—
until
tree—until April 1, 1990 . 4---
Thank you for your cooperation in this matter.
Sincerely,
THE SALEM HISTORICAL COMMISSION
Annie C . Harris
Chairman
cc : Building Inspector
City Clerk
E. Dubinsky, Planning Dept.
City Solicitor
JHisCom7/Derby
BUILDING DFPT
a, h'oup f l ?y AN 'Bg
��cclvr`r�
S ,
Salem Historical Commission CITY 0� kLE� tf,t-1ASS
ONE SALEM GREEN, SALEM, MASSACHUSETTS 01970
(617)745-9595. EXT.311
NOTICE OF DENIAL OF APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
RE: 82 Derby Street
On Wednesday, November 15, 1989 after a full hearing at which the
applicant was present, the Salem Historical Commission denied an
application for a Certificate of Appropriateness from John J. Suldenski for
his property at 82 Derby Street. The motion to approve the application for
the hanging of a sign as installed was denied by a vote three in favor and
two opposed. (Four favorable votes would have been needed to pass the
motion. ) The motion to deny the pink paint on the band of shingles was
unanimously approved. Therefore, both the sign and paint color were denied
as being historically inappropriate. I attest that this is an accurate
record of the vote taken, not amended or modified in any way to this date.
November 20, 1989
Jane P/. Guy
Clerk/ f the Commissi n
cc: Building Inspector
City Clerk
E. Dubinski, Planning Dept.
Asst. City Solicitor
JHisCom7/Denial
w�R�o Wjlpmci t9Ef3T
11�V 29 1127 PH °99
'CITY 0 SAL.EPWfASS,
Salem Historical Commission
CITY HALL, SALEM. MASS. 01970
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has
determined that the proposed construction ( ) ; reconstruction ( ) ;
demolition ( ) ; moving ( ) ; alteration ( ) ; painting fix) ; sign or other
appurtenant fixture ( ) work as described below in the . . .
Derby Street Historic District
(NAME OF HISTORIC DISTRICT)
Address of Property: 82 Derby Street
Name of Record Owner: John J. Suldenski
DESCRIPTION OF WORK PROPOSED:
Paint body Oxline Soft White - Body to include band of shingles that is currently
pink. Paint trim white (Masonry #61301 , Wood #63901) . Trim includes cornice work
and trim around windows on 1st, 2nd & 3rd floors.
will be appropriate to the preservation of said Historic District, as per
the requirements set forth in the Historic Districts' Act (Federal Laws,
Ch. 40C) and the Salem Historical Commission.
Dated: N muomhor 16 , 1QR0 SALEM HISTORICAL COMMISSION
By
Chairman
BUILDING DEPT
�,00
Salem Historical CommissriRl r } RMo g
CITY HALL. SALEM. MASS. 01970 rf _
s RECCIVLO-
Z"�u�a APPLICATION FOR CERTIFICATE OF APPROPRPAf( NPE`rS ALIM,MASS..
Pursuant to the Historic District's Act (General Laws, Ch. 40 C) and the
Salem Historical Commission Ordinance, application is hereby made for issuance of
a Certificate of Appropriateness for:
construction C ]; reconstruction [ ]; demolition '[ ]; moving [ ]; alteration [ ];
painting [G1; sign or other appurtenant fixture [b- work as described below in the
y/w?L3 y S / Historic District.
(NAME OF HISTORIC DISTRICT)
Address of Property:
Name of Record Owner:
Date building erected and architect, if known:
DESCRIPTION OF WORK PROPOSED:
(Please attach required scale drawings, paint chips and/or samples of work and
material proposed,
where applicable. )
42
Name of Signature of
Owner: ,r6 Wi 4 D16 Owner:
Address o� (PLEASE PRINT OR TYPE)
Owner: )`0 8CX 7l Tel . No. NLI-3d O Date !0 - -;-' 3 - cS
SPACE BELOW LINE FOR OFFICIAL USE ONLY. FOR INSTRUCTIONS, SEE OTHER SIDE.
Date received: Date of hearing: i �
By whom received: Number of Certificate:
r
E9i!Il_i�ING DEPP
Salem Historical Commission
{sionq}�
One Salem Greendl5�{Y.t�N.X., SALEM. MASS. Ota70 !IJCI ,GJ ISI n?.4 _Ht"!�J J'•
508 745-9595, ext. 311. U7 IV F n-
JJ
APPLICATION FOR CERTIFICATE OF NON-kPttI �& LItYpitSa.
Pursuant to the Historic District's Act (General Laws, Ch. 40 C) and'the
Salem Historical Commission Ordinance, application is hereby made for issuance of
a Certificate of Non-Applicability for:
construction [ ]; reconstruction [ ]; demolition [ ]; moving [ ]; alteration [ ];
painting [1]; sign or other appurtenant fixture [ ] work as described below in the
Historic District.
(NAME OF N STORIC DISTRICT
Address of Property: �5 2 ter X'/3 }� 5
Name of Record Owner: J O h n j 5 GJ L 47/_F�5 1
Date building erected and architect, if known:
DESCRIPTION OF WORK PROPOSED: ee )041�17_ 13 d 0Y �9�i/J
71 /,V
i
Name of Signature of
Owner: ,lo,, n % SL/ Ori✓$ri Owner:
(PLEASE PRINT OR TYPE)
Address of n
Owner: X 21 Tel . No. 7114 -303,-) Date tp -,;z-3 — 7�
SPACE BELOW LINE FOR OFFICIAL USE ONLY. FOR INSTRUCTIONS SEE OTHER SIDE.
Date received: Date of- hearing:� //L �
By whom received: Number of Certificate:
�.CU IIITI
st i lG�\
I�
Saiem Historicai Commission
ONE SALEM GREEN, SALEM. MASSACHUSETTS 01970
)617)745-9595, EXT.311
October 18, 1989
Leonard Femino
Assistant City Solicitor
One School Street
Beverly, MA 01915
ARE: 82 Derby Street, Melanie' s�Laundry
Dear Attorney Femino:
Please be informed that the sign installed and painting performed at 82
Derby Street is in violation of the Historic Districts Act. The owner, Mr.
John Suldenski, received denials without prejudice for both a Certificate
of Appropriateness and a Certificate of Non—Applicability due to failure to
attend the Salem Historical Commission' s public hearing regarding his
applications.
Enclosed are copies of the denials dated 9/7/89, which indicated that
Mr. Suldenski had 30 days to reapply and obtain approval for the work
performed. Since 30 days has passed and no application has been submitted,
the Commission is referring this issue to the City of Salem legal
department for enforcement of the sign removal. It is requested that the
assessment of fines of up to $500/day from the date of violation be
pursued. The violations occurred on or before June 21 , 1989.
Thank you for your cooperation in this matter.
Res ctfully,
Q �,,
THE SALEM HISTORICAL COMMISSION
Annie C. Harris
Chairman
cc: John Suldenski
Building Inspector
JHisCom7/Suldensk
f
4
OMMISSIon
()NE SALEM GREEN.SALEM. MASSACHUSET7S 61970
1617) 745-9595. EXT. 311
NOTICE OF DENIAL OF APPLICATION FOR A CERTIFICATE OF NON-APPLICABILITY
On Wednesday, September 6, 1989, the Salem Historical Commission denied
an application for a Certificate of Non—Applicability without prejudice
from John J. Suldenski for painting at 82 Derby Street by a unanimous vote.
A decision was unable to be made due to the applicant or the applicant' s
representative not being present to answer questions and provide additional
information. I attest that this is an accurate record of the vote taken,
not amended or modified in any way to this date.
i J
September 7, 1989. f'
Jane . Guy
Clerk pf the Commiss" n
i
cc: Building Inspector
City Clerk
JHisCom6ldenial5
dISEMC 71 LOMMiSS1011
ONE SALEM GREEN.S.4LE.7. MASSACHUSETTS 01970
16171 7-15-9595-E(T, 31
NOTICE OF DENIAL OF APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS
On Wednesday, September 6, 1989, the Salem Historical Commission denied
an application for a Certificate of Appropriateness without prejudice from
John J. Suldenski for paint colors and the hanging of a sign at 82 Derby
Street by a unanimous vote. A decision was unable to be made due to the
applicant or the applicant' s representative not being present to answer
questions and provide additional. information. I attest that this is an
accurate record of the vote taken, not amended or modified in any way to
this date.
Failure to reapply and obtain approval within 30 days for the sign that
was installed without approval will necessitate its immediate removal.
Failure to remove a sign in violation could result in the assessment of
fines of up to $500.00/day from the date of violation. The issue of paint
which has been applied without approval must also be resolved within 30
days to avoid potential fines.
September 7 , 1989
Jane Guy
Clerl f the Commiss' n
cc: Building Inspector
City Clerk
JHisCom6/denial4
UNITED STATES POSTAL SERVICE ! II h I
OFFICIAL BUSINESS d "
SENDER INSTRUCTIONS
Print your name,address,and ZIP Code
in the space below.
•Complete items 1,2,3,and 4 on a�
the reverse. U.&MAIL
•Attach to front of article if space °
permits,otherwise affix to back of
article. PRIVATE
P
TY FOR
•Endorse article"Return Receipt PENALuse, R P
Requested"adjacent to number.
RETURN Print Sender's name,address,and ZIP Code in the space below.
TO
James D. Santo/Bldg. Dept
One Salem Green
Salem, MA. 01970
•SENDER:Complete items 1 and.2;when additional services are desired,and complete items 3 and 4.
Put your address in the"RETURN TO"space on the reverse side.Failure to do this will prevent this
card from being returned to you.The return recei t fee will rovide ou the name of the person
delivered to and the dete of delive .For additional fees the following services are available.Consult
postmaster or fees an c eck ox es)for additional service(s)requested.
1. D{Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery.
3.Article Addressed to: 4.Article Number
Melanie Maries Realty Trust
John Suldenski, Jr. — Trustee Type of service:
P.O. Box 712 g Registered ® Insured
Salem, MA. 01970Certified COD
Express Mail
Always obtain signature of addressee or
RE: 82 Derb St,.. agent and DATE DELIVERED.
5. a ire—A ressee 8.Addressee's Address/ONLY if
X SiV , G(�GI requested and fee paid)
6.Signature—Agent
X
7.Date of Delivery
JUN t 8
PS Form 3611,Feb.1986 DOMESTIC RETURN RECEIF7
P 152 922 842
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED
NOT FOR INTERNATIONAL MAIL
(See Reverse)
Sent to
Melanie Maries Realt T .
sheet � Suldenski, Jr. T to
P,O-Stale and ZIP Code �—
Salem Ma 01970
Postage 5
2.00
'Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt showing
to whom and Date Delivered
u,
Wo Return Receipt showing to whom.
Date,and Address of Delivery
d
Z TOTAL Postage and Fees S
' 2.00
Postmark or Dale
E'
4
u.
N
d
STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES. (see Ironl)
1. II you want this receipt postmarked,stick the gummed stub to the right of the return address leaving
the receipt attached and present the article at a post office service window or hand it to your rural carrier.
(no extra charge)
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of
the article,date, detach and retain the receipt,and mail the article,
3. It you want a return receipt, write the certified mail number and your name and address on a return
receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends If space per-
mits. Otherwise, affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number,
4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse
RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in thz appropriate spaces on the front of this receipt if return
receipt is requested, check the applicable b'fxcks in item 1 of Form 3811.
6. Save,(his receipt and present II If you make inquiry. a U.S.G P.O.1988-217-t 32
Citp of 6atem, ,laaacbuotto
Public Propertp Department
�3uilbing Department
One balem Green
745-9595 ext. 380
William H. Munroe
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
June 22, 1989
Melanie Maries Realty Trust
Trustee: John Suldenski, Jr.
P.O. Box 712
Salem, MA. 01970
RE: 82 DerbyStr..eet
Dear John:
The above referenced property is in violation of Massachusetts State
Building Code, Section 113. (permits) , Section 436 (Historic Building) , and
the Salem Sign Ordinance Sections 3-24 (Sign in Historic District) and
r. Section 3-25 (Application for Permits) .
Violations of these codes and ordinances are subject to fines and
imprisonment or both if the violations continue.
To correct these violations, please contact this office within seventy-
two (72) hours upon receipt of this letter. Failure to do so will result in
this office taking legal action against you.
Sincerely,
v .
James D. Santo
Assistant Building Inspector
JDS/jmh
cc: City Clerk
'r H Building Inspector
Salem FIs Ic�l �MMISS1o11
• ' CITY HALL, SALEM, MASS. ots70
744-4580
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has
determined that the' proposed construction { ) ; reconstruction { );
demolition
( } • moving { }; alteration { ); painting { t ; sign or other
appurtenant fixture { } work as described below in the . . .
Derby Street Historic District
(NAME OF HISTORIC DISTRICT)
Address of Property:_ r-82'Derby St -e7 ,
Name of Record Owner: Frederick Small
DESCRIPTION OF WORK PROPOSED:
Option of painting body soft white (70-982) and trim Bedford Beige (70-975) or
body Duckingham (70-942) and trim Sandstone (70-940) . All will be Oxline Paints._
This Certificate is issued because the work is historically and architecturally appropriate
, to the above listed building and the district in general
will be appropriate to the preservation of said Historic District, as per
,the requirements set forth in the Historic Districts' Act (Federal Laws,
Ch. 40C) and the Salem Historical Commission.
Dated: Ortnhar I4 1986 SALEM HISTORICAL COMMISSION
By Cl�11/��it t �tlUl Uk
Chairman
CC: ✓Building Inspector
City Clerk
Salem Historical Commission
on
CITY HALL. SALEM. MASS. 01970
�'AfOlMM�6��A~
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has
determined that the proposed construction [ ] ; reconstruction [ ];
demolition [ ]; moving [ ] ; alteration [ ]; painting [ ]; sign or
other appurtenant fixture [ ] work as described below in the. . . .
Derby Street Historic District.
(NAME OF HISTORIC DISTRICT)
Address of Property: 78 Derby Street
Name of Record Owner: Kimberly A Smith/Douglas B. MacDonald
DESCRIPTION OF WORK PROPOSED:
Erect flatboard fence, 5'8" high w/cap, stained gray to match house trim_
Five corner posts, 8" X 8" souare and 6' high to top of cap or 4" higher
than main height of fence, capped w/Brosco molding cap and located at
three corners and on either side of gate at rear which is 20' wide (two
10' sections) . Fence: 30' facing Derby Street, 50' alongside Becket
Ave. and 27' at rear on Becket Ave.
t
will be appropriate to the preservation of said Historic District, as per
the requirements set forth in the Historic District's Act (Federal Laws,
Ch. 40C) and the Salem Historical Commission.
Dated: May 22. 1984 SALEM HISTORICAL COMMISSION
Q
By
// Chairman 9-
tUn9tK��„
QTifU of tttem,
Puhtir jUrnpertg Department
`�v f �
•• :.:SFtr' 'L'��11U(n� �i e'�FLrt�:�Lll
Richard T. McIntosh
One Salem Green
745-0213 January 6,1984
Stephen Ingemi
c/o Steve' s Market Re: Laundromat-82 Derby Street
36 Margin Street
Salem,Ma 01970
Dear Mr. Ingemi:
Please be aware of the fact that there is a large concentration
of lint and debris at the rear of the above referenced property.
As the owner of the property, you are required to keep - the area
clean at all times..
The accumula`ion of lint and other debris constitutes a fire hazard
and also is a threat to the health and well being of the public.
Please take the action that will eliminate this situation.
V y truly lyo s,
ichar T. McIntosh
Inspector of Buildings
RTM:mo's
cc: Board of Heal'h
Fire Marshall
.tii A•CO.bi��� ON of
Am, �6.S.Z]lK Lb316Y�1�P.
SXp 1 Salem Green
74�-ll21�
March 17, 1976
Becket Street Realty Trust
36 Margin Street
Salem, MA 01970
Dear Sir,
In responce to a complaint by t �enr-Firey?,ep tment, an
inspection of your property a 822 Derby Street , S lem,, was made
by this department on March 15, 19�
It would appear that the structual damage from the fire was
minimal , consisting of charring of timbers and siding. This
damage in itself would not seriously effect the strength of the
members .
However, the rear porch is in a hazardous condition and considered
a hazard to public safty. This condition is due to improper
bracing and support .
The seriousness of this condition is compounded by the fact that
the porch and the outside stairway are the second means of
egress from the second floor apartment.
Plea s9obtain the necessary permits and give this matter your
immediate attention.
Sincerly yours ,
— �- —A 6�/1 tcLt�c�
Assistant Building Inspector
GK 1031 $ 25 �-�
r
J RECEIVED
INSFEMEINAL SERVICES
The Commonwealth of Massachusetts
nazi Department of PublicSafep�5 FEB 2b A ID Ul
Massachusetts State Building Code(7�T NIR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
J Building Permit Number: Dale Applied: Building Official:
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
a O(Z 6 S -err.
No.and Street City/Town Zip Code Name of Building(if applicable)
I� SECTION 2:PROPOSED WORK
+�. Edition of NIA State Code sed_ If New Construction check here❑or check all that apply in the two rows below
t Existing BuildinLr4r
Repair❑ 1 Alteration ❑ 1 Addition❑ emolition ❑ (Please fill out and submit Appendix 1)
IVVV, Change of Use ❑ 1 Change of Occupancy ❑ 1 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No
Is an Independent Structural Engincerin eer Review required? Yes ❑ Nolfr�
Bri kf scription Proposed t�ykvk: P rn o v t X i-5 (�G D 7" F C �� mu 1 4;4n rA A ] e
nf} rce gc-� - at Lwu ka
w6 � K e N4 Otiit
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CNIR 31) ❑
Existing Use Group(s): 1. m 1 b &A6LO L Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(.sq. ft.) 3
Total Area(ski.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-I❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-I ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ 1-14❑ H-5❑
I: Institutional [-1❑ 1-2❑ 1.3❑ 14❑ M: Mercantile❑ R: Residential R-l❑ R-2❑ R-3❑ R4❑
S: Storage S-t❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as a licable)
IA Cl IB ❑ IIA ❑ [IB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ 1 VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CNIR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
Private❑ or iudentify Zone: or on site system required❑or trench or specify:❑ permit is enclosed❑
Railroad right-of-way: Flazards to Air Navigation: st innd, n I uro-I'r •a:.c
Not Applicable❑ Is Structure within airport approach area? is their review completed?
or Consent to Build enclusal ❑ Yes❑ or No❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s):_ Type of Construction: _ Occupant Load per Hoor
Does the build iny,contain an Sprinkler System?: --Special Stipulations:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and AddreSS of'Property.Owner ,
a� CA hs I i5a'1 or�s� 5� >Jv KS, 615
Nome(Print) No.and Street - City/Town Zip
9 0 "N .'-A .4{' 97.
Property Owner Contact Hi fomiatroil:IU1
SFNYR c 5 3�-0357 hlClo�3{cucaa�}c�a��/A
Title Telephone No. (business) Telephone No. (cell) a-mail address
If applicable,the property owner hereby authorizes
;5 /2', m A
Name Street Address City/Town State Zip
to act on the property owner's behalf, in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
1f building is less than 35,000 cu.R.of enclosed space and/or not under Construction Control then check here O 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
J8nj c - Co K-:)s4`,;,c--- ovi
Company Name
SoN CAA. � 1 C � � - bC��77o
Name of Person Responsible for Construction License No. and Type if Applicable
)'? S L-CX 0 7"VCtA nQ26:.
Street Address City/Town State Zip
Telephone No. business Telephone No. cell e-mail address
SECTION 11:W0RKVMS'COMIPEN5AI ION INSURANCE AFFIUAVfr M.C.L.c.152. 25C 6
A Workers'Compensation Insurance Affidavit from the NIA 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 13 No O
SECTION 12•CONSTRUCTION COSTS AND PERMIT FEE'
Item Estimated Costs: (Labor
and Materials) 'Fohd Construction Cost(from Item 6)_$
1. Building 5 Building Permit Fee-Total Construction Cost x_(Insert here
2. Electrical $ appropriate municipal factor)=5
3. Plumbing 5 O
d. Mechanical (FIVAC) $ Note:Minimum fee=5 (contact municipality)
5. Mechanical Other $ Enclose check Y•P a able to
6.Total Cost I $` QO r (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below, 1 hereby attest under the pains and penalties of perjury that all of the information contained in this
n lication is true and/accurate to the best of my knowledge andunderstanding.
O fJ J u I i7w lv.p n
case qint and sign name C j Title Telephone No. Date
I � L0C 03 T !•1NVfn YA _
Street Address City/'town State /Zip
Municipal Inspector to fill out this section upon application approval:
Name Date
�� � ` � � (::7-;7 0
The Commonwealth of Massachusetts -
; 1\jl Department of Public Safety
Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number: Date Applied: <�/,- I Building Official:
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
No.and Street City/Town Zip Code Name of Building(ifapplicable)
SECTION 2:PROPOSED WORK
Edition of NIA State Code used If New Construction check here❑or check all that apply in the two rows below
Existing Building W7 Repair❑ Alteration ❑ I Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: 69A42 u p cL A '-e
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ NO ❑
Is an Independent Structural Engineering Peer Review required? cc Yes ❑ No ❑
Brief Description of Proposed Work: C' t; 12 Ck A4-t^ C]C "'� j)« !C dw I WlD�
a
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed (See 780 ChiR 34) ❑
Existing Use Group(s): Proposed Use Group(s): 14
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-2❑ Nightclub ❑ A-3 ❑ A4 Cl A-5❑ B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ H: Hi h Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
1: Institutional I-1 ❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-113 R-2❑ R-3❑ R4❑
S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Special Use.
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ Ill ❑ (IA ❑ IIB ❑ IIIA ❑ 1118 ❑ I IV ❑ 1 VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CNIR 111.0 for details on each item) '
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate numicipal❑
.4 trench will not be Licensed Disposal Site❑
Private❑ or indentify c Zon or on site system required ❑or trench or specifv:_ _
❑ permit is enclosed ❑
Railroad right-of-way: Hazards to Air Navi I("io". „.....I:,t; 1� I• y, ,..:
Not Applicable❑ Is Structure within airport approach:uea? Is their review completed?
or Consent tO Build encheacd❑ Yes❑ or No❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition(It COde: Use Group(s)._ Tvpe of Construct it'll: Occupant Load per Fluor: _
Does the building contain an Sprinkler System?: Special Stipulations: .___
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
:5b 4/1• 1 I CIS L 615az
Name(Print) No.and Street `City/Town Zip
Property Owner Contact Information:
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 property owner's behalf, in all matters relative to work authorized by this buildin• permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less than 35,000 cu.ft.of enclosed space and/or not tinder Construction Control then check here O and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
3'kpti Cie-,t 9.p,- v_ (5).1 -)
Nig(Registrant) Telephone No. e-mail address Registration Number
f?C V•>' L �?f°tN UZI
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
e—— Co X.5 a-
Company Name
Name of Person Responsible for Construction License No. and Type if Applicable
)`tgLoC, c., s �- 5 !—
Street Address City/Town State Zip
>1e) 33Ea D3 S-7 -q,
Telephone No. business Tc e ho�l" ne No. cell a-Haul address
SECTION 11: M-WKE1�S CONIN NS.y1ON INSURANC.'I;:V'FO1,\Vf1 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 $ Building Permit Fee =Total Construction Cost x (Insert here
2. Electrical $ appropriate municipal factor)_$
3. Plumbing S
{. Mechanical (HVAC) S - Note: Minimmrn fee=$ (contact municipality)
5. Mechanical Other $
Enclose check payable to
6.Total Cost $ (contact in
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.
Please print and sign name Title Qelephone o. Date
Street Address City/Torun Stat
Municipal Inspector to fill out this section upon application approval: b 40VZMV!�Z2 �1
Name at
� 33 cK t3t1
The Commonwealth of MasssR ft is
® Department of Publig1,$ R%E SERYXES
^� Massachusetts State Building Code(780
Q Building Permit Application for any Building otherjAym a One-or Two-Family Dwelling
Ann a
^n (Phis Section For Official Use Only
" J Building Permit Number. Date Applied: ButldingOfficial:
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a s address is not available)
Y;- q E2rb M 57" S,4t_E• s 'o?A 01?7D MIN,
_ (^ No.and Street City/Town Zip Code Name of B&hmg(if applicable)
SECTION 2.PROPOSED WORK
Edition of MA State Code used 211 If New Construction check here❑or check all that apply in the two rows below
Existing Building 0 Repair fir Alteration 0' Addition❑ 1 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 ❑ No 0
Is an Independent Structural Engineering Peer Review required? Yes ❑ No 12f
Brief Description of Proposed Work: a.. Ak.
PR?_ « to +t,
�tStC_ �0 SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) 0
Existing Use Group(s): Proposed Use Group(s):
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-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ B: Business fir E: Educational ❑
F: Fact F-1❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional I-1❑ I-2❑ 1-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-219 R-3❑ R-4❑
S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA 0 IB 0 IIA 0 IIB 0 IIIA 0 IHB 0 IV 0 1 VA 0 VB 0
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 Ir Check if outside Flood Zone❑ Indicate municipal® A trench will not be Licensed Disposal Site l8
Private❑ or indentify Zone: or on site system❑ required ig or trench or specify: In gzL[J S
permit is enclosed❑ rA&VSF,(.t JnyrtoN
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable IZ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes❑ or No ld Yes W No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations:
7 01 /Z SCtloC:)L_ st
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Name No.and Styr City/Town Zip
/ Property Owner Contact Information:
AAoen
Title Telephone No.(business) Telephone No. (cell) e-mdsldddress R6
If applicable,the property owner hereby authorizes _
yqq ko'r•- 6 srvi 1 DR SclnaA
Name Street Address City/Town State Zip
to act on the property owners behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
f building is less than 35,000 m.ft of enclosed space and or not under Construction Control then check here Land 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
102 Ge�ntneral Contractor
(Z /J =/Lul V L Lr}2Q E NT2y
Company Name
12�4� 6 -t c. e CS -04�aYO6 / (9nresf :��eR
Name of Person Responsible for Construction License No. and Type if Applicable
/ta it <k: GCouAr � A- 01S,31
Street Address City/Town State Zip
9171 - 3(0- 865(6 Vt4,-Crr�� ��n ✓�7 �caL.c�o . c�✓n
Telephone No.(business) Telephone No. cell a-mail address
SECTION 11:WORKERS COMPENSATION 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 Wr No O
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$ a, 7 oo ,0 0
1.Building $ 'P.Z 7 6.00 Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)_$
3.Plumbing $4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to
6.Total Cost $ R A, 700. 00 (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. -
/1 Fly -
Please print and sign name Title Telephone No. Date
/M9 it 54 Gc--� \cs.A mom- 01 Ash/
Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval: * b`b
Name Date
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 OO Alteration
❑ Demolition ❑ Painting
❑ Sis lac"e ❑ 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
Address of Property: 82 Derby Street
Name of Record Owner: Deborah Lewis Hogan and Lawrence Hogan I
Description of Work Proposed:
Remove front envy door and transom on Derby Street and install new door, trim and eniablatnre bused on
drawing by Bob Irvine submitted March 14, 2016
Door, Irim and entablature to be painted to match existing.
Dated: March 17. 2016 SALEM QLRIRICAL COM I/SSION
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.
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.