101 DERBY STREET - BUILDING JACKET 101"DERBY STREET a �'
CITY OF SALEM
NEIGHBORHOOD IMPROVEMENT TASK FORCE jurisdiction
Hut. Comm. Yes ❑ No
REFERFLAL FORM Cons. Comm. Yes ❑ No 11
SRA Yes 0 No
Date: ci
Address: 16
Comoiaint:. � a
Complainant: Phoned:
Address of Complainant:
ILDING INSPECTOR KEVIN HARVEY
FIRE PREVENTION ELECTRICAL DEPARTMENT
HEALTH DEPARTMENT CITY SOLICITOR
ANIMAL CONTROL SALEM HOUSING AUTHORITY
PLANNING DEPARTMENT POLICE DEPARTMENT
TREASURER/COLLECTOR ASSESSOR
WARD COUNCILLOR DPW
SHADE TREE DAN GEARY
PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHFd
WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE.
ACTION:
Plans must be filed and approved by the Inspector before a permit will be granted.
No: 6 "g3 City of Salem Ward
IS PROPERTY LOCATED IN TH ,
HISTORIC DISTRICT? Yes V No_ s
+, 9
IF SIDING, HAS ELECTRICAL Home Phone #
PERMIT BEEN OBTAINED? Yes No
APPLICATION Bus. Phone #
PERMIT TO ROOFREROOF R INSTALL SIDING
Salem,Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned herebv applies for a permit to build according to the folJowin 'fications:
Owner's name and address
Architect's name
Mechanic's name and address L etv n
Location of building,No. _
What is the purpose of building? ( ice
Material of building? - ' ASb2StA5?
If a dwelling,for how m ny t mikes.^ Z—
Will the building conf n to the requirements of the law?
Estimated cost a Lic
Signature of applicant
REMARKS SIGNED UNDEVTHE
PENALTY OF PERJURY.
�� /
No��� �J Wazd I
APPLICATION FOR
PERMIT TO ROOF
REROOF OR INSTALL SIDING
Location `D` -e r
PERMIT GRANTED
19
App ved
6G4rg Ins ctor
�;° _ItA
gu1lD1�G DEPT ' RUILDING DEPT
DR.4" KEAPLAN PUBLIC HE Ai. ENTER
31�
SIV t�l BOARD OF HEAI.T11 .
REC LE MASS Off Jefferson Ave e RECEIVED
CIZY Of SA � �( op
Salem;',Massachuse 1970SALEH,MASS:
k
A �
ISRAEL KAPLAN, M. D. JOHN J. TOOMEY, D. P. M.
JOSEPH R. RICHARD HEALTH AGENT
J. ROBERT SHAUGHNESSV. M. D. (617( 745-9000
ROBERT 13LENKHORN
M. MARCIA COUNTIE, R. N.
MILDRED C. MOULTON. R. N.
EFFIE MACDONALD June 3, 1976
Mx. Jar. 0 bxeras h i.
101 Denby StAeet
Salem, MA 01970
Dean Si&:
In %ega&d to youx pxopoaed flood wwice estabP,ishment the 4o towing is bxought
to you& attention:
1. The epeei4ieations sand pean o4 youk rnonwsed flood isexviee
e,6tab.Zi.ahment wexe )teeeived this date, June 3, 1916.
2. It is voted that a bedxoom and kitchen ane paha o4 youx -
eatabWhment. _
3. No .living qua4teu can be maintained in a 4aod henvi.ce
ehtabP.ishment (no beds, cot, etc. )
4. AU eaunteA6 must be smooth and o4 eabi.Ey c2eanabZe matelriat.
5. The Stand 4ox the xeeent2y insta.2ted 3xd eampa&brent oink
mint be enc2oded with easity cteanab2e matexiae (4oAmiea, etc.).
6. AU waPU must be -6mooth and eazi2y eCeanabte " well ah
watexpnao4.
7. Extenhion eoxd>, mutt be xemoved (going to tight 4ixtuxe) .
No appxovat can be given by the Boaxd o4 Heafth u(tit ouch time " inspection and
appnova2 is given by the Buitdi.ng Inspectax and an occupancy peAm t i5zued.
VeAy thu2y youu,
F HF B RD F HEALTH RepCy to:
JJ`UlToomey, M. oPtn E. CgrneJton, R.S.
nn Agent en ox SanetaAxan
CC: Buitding Iapeetox, One Sa.Cem Gxeen, Satem, MA
/4
' C eITY�TOWN OF 'SALEM
` APPLICATION FOR CERTIFICATE OF INSPECTION
Date_ 6/4/76 (X ) Fee Required (Amount )_$ 25.00
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building
Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for
the below-named premises located at the following address :
Street and Number _
Name of Premises s ILS (C[� C S4�-)r'f'�
�-Purp.ose for Which Premises is Used 72FspQ f
License( s ) or ,Permit ( s ) Required for the Premises by Other Governmental
Agencies :
License or Permit Agency
_6oR �P Cd E..
' Certificate to be Issued to A� IW(C . Vc g
Address8 t� escAz u p J2
v"Owner of Record of B ilding U M F
Address (1S S I/) -5 4 ha S 7. - t M ASS •
Name of Present Holder of Certificate We-)OF
Name of Agent , if any k4009
C
S GNATU E OF PERSON TO WHOM `l'ITLE
CER CATE IS ISSUED OR HIS
AUTHORIZED AGENT {LfA-" �7
DATE
INSTRUCTIONS : -
1) Make-, check payable' to : City of 'Salem
2) Return this application with your check to : John B.' Powers - Insp. of Bldg.
City Hall.- Annex, 1 Salem Green, Salem
PLEASE NOTE :
1 ) Application form with accompanying fee must be submitted for each build-
ing or structure or part thereof-to be certified .
2 ) Application and fee must be received before the certificate will be issue
3) 'The building official shall be notified within ten ( 10 ) days of any Chang
_ in the above information.
CERTIFICATE 11 EXPIRATION DATE:
jFORD? SBCC-3-74
M
Albert Mieli and Ellen Perocchi
13 Lemon Street#2
Salem,MA 01970
April 22, 2003
Mr. Thomas St. Pierre
Acting Building and Zoning Officer
City Of Salem
120 Washington Street
Salem,MA 01970
RE: 101 Derby Street, Salem MA formerly the Rumpf property
Dear Mr. St. Pierre,
Thank you for your recent inspection of 101 Derby Street. Enclosed is a copy of the
Certificate of Fitness, issued by the Health department. Would you kindly notify the
proper authorities in the Assesor's Office that approval is made to change zoning on the
first floor of 101 Derby Street to residential. Also we are assuming that the correct
address for the first floor apartment will be 101 Derby Street 41 and respectively the
second floor would be 101 Derby St#2,but we really have no idea how and who
accomplishes this.
Thanking you in advance for your efforts.
Sincerely
Albert Mieliand Ellen Perocchi
a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970CFEE $25 .00
ERT.# 156-03
TEL. 978-741-1800 DATE: 04/17/2003
FAX 978-745-0343
STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
. CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 101 Derby Street UNIT #: 1
OWNER/AGENT: Albert Mieli
ADDRESS: 13 Lemon Street #2
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7706
AN INSPECTION OF YOUR VACANT DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS
BEEN APPROVED AND IS IN COMPLIANCE WITH 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000: MASSACHUSETTS STATE
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" .
SECTION 410 .400 (B) : DWELLING UNIT (X) AND 410.400 (C) : ROOMING UNIT ( )
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
INFORMATION CALL 978-741-1800 .
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT CODE ENFORCEMENT INSPECTOR
Albert Mieli and Ellen Perocchi
13 Lemon Street#2
Salem, MA 01970
April 22, 2003
Mr. Thomas St. Pierre
Acting Building and Zoning Officer
City Of Salem
120 Washington Street
Salem, MA 01970
RE: 101 Derby Street, Salem MA formerly the Rumpf property
Dear Mr. St. Pierre,
Thank you for your recent inspection of 101 Derby Street. Enclosed is a copy of the
Certificate of Fitness, issued by the Health department. Would you kindly notify the
proper authorities in the Assesor's Office that approval is made to change zoning on the
first floor of 101 Derby Street to residential. Also we are assuming that the correct
address for the first floor apartment will be 101 Derby Street#1 and respectively the
second floor would be 101 Derby St#2,but we really have no idea how and who
accomplishes this.
Thanking you in advance for your efforts.
Sincerely
Albert Mieli and Ellen
a
CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
120 WASHINGTON STREET, 4TH FLOORCERT.# 156-03
-
SALEM, MA 01970 - FEE $25 .00
TEL. 978-741-1800
FAX 978-745-0343 DATE: 04/17/2003 -
STANLEY USOVICZ, JR. 'JOANNE SCOTT, MPH, RS, CHO-
MAYOR - HEALTH AGENT
CERTIFICATE OF FITNESS
PROPERTY LOCATED AT: 101 Derby Street ",UNIT #: 1
OWNER/AGENT: Albert Mieli
ADDRESS: 13 Lemon Street #2 - - -
CITY/TOWN: Salem, MA ZIP CODE: 01970 24 HOUR PHONE: 745-7706
AN INSPECTION OF YOUR VACANT-DWELLING/ROOMING UNIT AT THE ABOVE ADDRESS HAS "
BEEN APPROVED AND IS IN COMPLIANCE WITH ,105 CMR 410 .000 : MASSACHUSETTS STATE -
SANITARY CODE, CHAPTER II, "MINIMUM STANDARDS OF FITNESS FOR- HUMAN HABITATION" .
THEREFORE, THIS CERTIFICATE IS ISSUED BY THE CODE ENFORCEMENT DIVISION OF THE
SALEM BOARD OF HEALTH AND THE UNIT MAY NOW BE RENTED AND/OR OCCUPIED.
MAXIMUM NUMBER OF OCCUPANTS, BASED ON 105 CMR 410 .000 : MASSACHUSETTS STATE -
SANITARY CODE, CHAPTERII, . "MINIMUM STANDARDS OF FITNESS FOR HUMAN HABITATION" . -
SECTION 410.400 (B) : DWELLING UNIT (X) AND 410 .400 (C) : ROOMING UNIT ( )
MINIMUM SQUARE FOOTAGE FOR SLEEPING PURPOSES: .
NOTE: .THIS APPROVAL DOES NOT CERTIFY COMPLIANCE WITH THE STATE LEAD LAW FOR
OCCUPANTS UNDER 6 YEARS OF AGE NOR BUILDING RELATED CODES. FOR MORE
-INFORMATION CALL 978-741-1800 .
FOR THE BOARD OF HEALTH
JOANNE SCOTT, MPH,RS,CHO
HEALTH AGENT - CODE ENFORCEMENT INSPECTOR
7tI T-BE fIL4-� APPROVED BY T44E
,IAlS,P CT .R ,PRWR Tp A PERMIT B,EWG GRANTED
CITY OF SALEM
No. 1 O O - Zpb`-` ��`' '� �'\ Date
��`hYMINr�y T
Is Property Located in Location of
the Historic District? Yes No_ Building
c
Is Property Located in J ��
the Conservation Area? Yes_No ✓ lei�D
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) f, Install Siding, Construct Deck, Shed, Pool,
Repair/Replac Other:
G�GK
PLEASE FILL OUT LEG OMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications:
Owner's Name A I to-t r-v �
Address & Phone 13 L2w o✓) (7�5A 72S -2-206
Architect's Name
Address & Phone L 1
Mechanics Name 4
Address & Phone I
What is the purpose of building? DetCl-' r�r 71G��vv gv�i Orr r esay
Material of building? V--j-06(�A If a dwelling, for how many families? 2
Will building conform to law? Asbestos? NO
Estimated cost �>502 City License # N A State License #
Home Improvement
Lit. P Sig! ure of Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
��I cfce o ldi ci�G� a•-, r��r �- C^�e�se
4c) �e -
MAIL PERMIT TO: (-y7rell - 13 [�+ v�Er� c�S12 �E'y�" MP
• OIL'
No. IDo -2AOL{
APPLICATION FOR
PERmrr To
LOCATION
PERMIT GRANTED
19
APPROVED
INSPECTOP OF BUILDINGS
Commonwealth of Massachusetts
1. City of Salem
120 Washington St,ant Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit No. B-14-936
7EE PAID: $0.00 PERMIT TO BUILD
)ATE ISSUED: 5/22/2014
This certifies that SHEA MARTINE
has permission to erect, alter, or demolish a building 100-U1 DERBY STREET Map/Lot: 410037-801
as follows: Signs SIGN PERMIT AS APPROVED FOR: CROTCHET BOX
Contractor Name:
DBA:
s
Contractor License No:
i
/ �1 �i {�iflf 5/22/2014
Bull n t�mgat Date
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced months after issuance.The Building official
sont
may grant one or more extensions not to exceed six months each upon written request. wrthlilt mont. .�,;? ,within
All work authorized b this - -. -',
y permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zohin g by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained n f -
work until the completion of the same. - - open fo,Pubhc Ins pecbon for the entire duration of the
The Certificate of Occupancy will not be issued until all applicaOfficials `i i
ble signatures by the Building and Fire Officials are provided on thispermd.
HIC#: x
"Persons contracting vnth unregistered contractors do nothave aess to the guaranty fund"(asset forth in MGL c.142A).
' ccx.
Restrictions: "
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
City of Salem Sign Permit Application Worksheet
• 26-Apr-14 tNSP CTIfONALES SERVICES
Crotchet Box
100 Derb Street
Zoning(reslnon-res) B1. Z014 MAY 21 P 1" 34 _
Entrance Corridor(YIN) N
Lot frontage 33 feet
Building or tenant frontage 33 feet
#of businesses on site 1
Biting dist from street center <100 feet
Multiplier 2
Mild in and BladeST'nsT,.>e
maximum area permitted 66.00 sq ft
total proposed sign area 16.00 sq ft
sign 1
Existing length 72.00 inches
height 12.00 inches
New Sign to be attached sign 2
length 72.00 inches
height 12.00 inches
Blade sign sign 3
length 24.00 inches
height 24.00 inches
sign 4
length 0.00 inches
height 0.00 inches
sign 5
length 0.00 inches
hei ht 0.00 inches
F[eesta"ndIn"SI
maximum area permitted 0.00 sq ft(per side)
maximum#of signs permitted 0 signs
maximum height permitted 0.00 ft tall
sign 1
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height 0.00 ft(approx)
sign 2
Proposed sign area 0.00 sq R
length 0.00 inches
height 0.00 inches
Proposed sign hei ht ft
Application meets guidelines set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
Application has been approved by the Historical Commission. The
blade sign will be painted as a representation of the red house. Sign#1
(existing)will be affixed to sign#2 so as to form one new sign.
Permit Number
APPLICATION FOR PERMIT TO ERECT A SIGN
NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED
Location, Ownership and Detail Must Be Correct, Complete, and Legible
To the Building Inspector:
Salem, Massachusetts L1/1 / Zp 1 /
I
The undersigned hereby applies for a permit to /Erect, ❑Alter, ❑ Repai Date
r a sign on the following described buildings:
..
S 7_ ❑Urban Renewal Area ❑Entrance Corridor
• •- • Historic District ❑None
A TinN E fy[� Building
. • Telephone _ -7Y _ 2-y9 I1s floor
MAR T-/A/F- sHt� corinIGQ�l>�
Address 2" floor RES( DCMri/f�
J1-C,(,- R D. s/jLG/✓I 3`
z 3 /nn rr�( floor
Telephone 7 $ _ 7 y5-_ Z y 9 4 floor
E-mail
ff a corporate body, name How many businesses are in the building?
ofres onsible officer - • -
-0 Construction*Sups License No Building linear feet
Address Applicant's Space(if multi-tenant) linear feet
Telephone Property linear feet
E-mail Mail Sign PermitTo—
o Sign Owner ° Sign Erector ❑ Other:
Sign I . •.• -• ••
*Surface Sign 2 Si n 3
❑ Right Angle to Building ° Surface n Surface
❑ Free Standing Right Angle to Building
❑ Free Standing ❑Right Angle to Building
❑Awning❑ Portable(A-Frame) °Awning ❑Free Standing
❑ Portable(A-Frame) °Awning
❑Other(specify) ❑ Portable(A-Frame)
-----_ ❑Other(specify) ❑Other(specify)_
Sign Materials Sign Materials W v o WOOD Sign Materials
Sign Di ensions" Sign Dimensions
F Z FT 2-F Sign Dimensions
Sign Area � Sign Area
s ft Sign Area
Sign Height(if free standing) Sign Height(if free standing) s ft s ft
g) Sign Height(if free standing)
Estimated Cost of Net Work
Type Sign Area To Be Removed?@'Surface Sign Own r
❑ Right Angle to Building sq ft ❑ Yes e�no
❑ Free Standing sq ft °Yes ❑ no
❑Awning sq ft ❑yes ❑ no Sign wner's Authorized Representative
❑Other(specify) sq ft ❑yes ❑ no
------ sq ft ❑ yes ❑no
Property Owner
PI ning&Community Development Department
Historical Commission
Building Inspector