204 HIGHLAND AVENUE - BUILDING JACKET �i 204 Highland Ave.
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CertifidMe No: 658-13 _ Building Permit No.: 658-13
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Pen-nits
This is to Certify that the BUSINESS located at
--------------------------------------------------
Dwelling Type
204 HIGHLAND AVENUE in the CITY OF SALEM
..........................-- - - - ------ -- - - - - ---------------
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
OCCUPANCY PERMIT FOR (204 HIGHLAND AVENUE)
This permit is granted in conformity with the Statutes and ordinances relating thereto, and
expires unless sooner suspended or revoked.
Expiration Date
Issued On: Thu May 9, 2013
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc. ......
204 UffGHLAND AVENUE 658-13
'UIS 4: J16S ('0AINIONWEALTH OF MASSACHUSETTS
Block: CITY OF SALEM
1i)001
Cole'Lol y: 111N-TIRRIORI-�-rru)
pill II J, BUILDING PERMIT
I)i Q]ect It TS-2013-002090
Fst. Cost: $77,762.00
Fcc Charged: 4552.00
Billance Due, 1$ 00 PE-RIIISSION IS HEREBY GRANTED TO:
Coast- ---a's -es:
-1 Coll tractor: License: E'xlyh
Use GI-OLIP: I Icoaslai Construction Corp COWHRUC 1-10 SUPERVISOR-CS 0940()
Lot Size(sq. tt) j10S900
-10imer: KART ROBER-i".1, KART MARY JANE
zollim132
Units Gai-ned: ii 1.4pplicald: Coastal Colisti i1clion Corp
nuts Lost: iAT. 204HIGHLAND AVI'NUE
Di Sire#:- J
ISSUED ON: 28-Feb-2013 AMEArDED ON. JXP[RES ON: 28-Aug-2013
TO PERFORM THE FOLLOWING WORK.
INTERIOR FIT UP INCLUORICT CEILING AND FLOORTILES
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Flectric GIs 1111timbin$4 RuildinQ
find"'grouild: Undeig.olool: Excavation:
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f-z n f nk VIv Rough Frame,
Fireplace/Chillino:
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Signature:
Fee 1,J)': Re'eipl,No: ])late Paid: Check No: \aimuu:
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'Boiler & Machinery
Report of Inspection � „( DVV FPO, BM% M479
--location Inspected Inspection Office P, ¢tlG f nspection
Caretakers House Boston 3�6-85
Address of Abovet Q5 P t6� inspector f` �
EV't t� er ParkUU Leo Fantasia f 2 301. P Aj r
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Salem, Conferred With / Title or Position RE. '
cALEidtif�SS. CITY Cfl
cliv ' Caretaker �FSdf_F .
F—
City of Salem Auger Insurance Pg cy.
The mayor' s office Mill & Martin Sts.
Washington St. Salem, Mass.
Salem, Mass.
Att: Candy Oddi — —I
The Insured equipment described below was inspected to the extent indicated. We urge prompt compliance with all recommendations (if any) and
notification to the company w'nen they are completed.
Item Control Test
No. Object(s) Inspected Manufacturer and Serial No. Type of inspection safety �`."
",.aw=t?.
❑ Yes ❑ Yes
1 Cast Iron Boiler American Radiator External KINO 2 No
❑ Yes ❑ Yes
❑ No ❑ No
❑ Yes ❑ Yes
❑ No ❑ No
❑ Yes ❑ Yes
❑ No ❑ No
❑ Yes ❑ Yes
❑ No ❑ No
❑ Yes ❑ Yes
❑ No ❑ No
Conditions Noted (Refer to Item No.(s)) ,..�„- �,r,:„y,,, ,.nf. .- .,...;,yR4..i Y ; ,frAr,.,s. ¢t•
1 Conditions were considered to be satisfactory.
Recommendations and Comments: (Refer to Item No.(s) as applicable)
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See Important Notice on Reverse Side •
H33034F ST Rev.4-64
Inciirprl f:nrn,
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Form s 1'.cP 31 `bE; bjlra q 64-118
(To be oro+0ee uy oeoe)
41 - �5 Salem
!f Commonwealth cityhoA,
of Massachusetts _ Applirua Dr. Robert Kart
b �
"Order of Conditions
Massachusetts Wetlands Protection Act
C.L e. 131, §40
FromSalem Conservation Commisison
_ ro
To Dr. Robert Kart same
(Name of Applicant) (Name of property owner)
Adcress 204 Highland Ave. Address same
This Order is issued and delivered as follows:
❑ by delivery to applicant or representative on (date)
by certified mail, return receipt requested on (date)
This project is located t 204 H'Qh 1 ^nd ANTP,
The property is recorded at the Registry of Essex South
B 6501 ---Page—____L71
M
Certificate(if registered)
The Notice of intent for this project Was filed on August 7.0, 1985 (date)
The public hearing was closed on September 26 1985 (date)
Findings
The Conservation r o has reviewed the above-referenced Notice of
Intent and plans and has held a public hearing on the project Based on the inform ation available to the
Commission at this time,the omm;G"�q;„n has determined that
the area on which the proposed work is to be done is significant to the following interests in accordance with
the Presumptions of Significance set forth in the regulations for each Area Subject to Protection Under the
Act(check as appropriate):
❑ ."Public water supply ❑ Storm damage prevention
❑ private water supply ❑ Prevention of pollution
V/ and water supply ❑ Land containing shellfish
Flood control ❑ Fisheries
51
95
Conservation Commission hereby finds that the following conditions are
Therefore,the y
necessary, in accordance with the Performance Standards set forth in the regulations,to protect those inter-
ests checked above.The Commission orders that ail work shall be performed
in accordance with said conditions and with the Notice of Intent referenced above.To the extent that the fok
_ lowing conditions modify or differ from the plans,specifications or other proposals submitted with the Notice
of Intent,the conditions shall control.
General Conditions
1. Failure to comply with all conditions stated herein,and with all related statutes and other regulatory meas-
ures,shall be deemed cal,seto revoke or modify this Order.
2. This Order does not grant any property rights or any exclusive privileges;it does not authorize any injury
to private property or invasion of private rights.
S. This Order does not relieve the permittee or any other person of the necessity of complying with aJI
other applicable federal,state or local statutes,ordinances, by-laws or regulations.
4. The work authorized hereunder shall be completed within three years from the date of this Order unless
either of the following apply:
(a) the work is a maintenance dredging project as provided for in the Actor
(b) the time for completion has been extended to a specified date more than three years, but less than
five years,from the date of issuance and both that date and the special circumstances warranting
the extended time period are set forth in this Order.
5. This Order may be extended by the issuing authority for one or more periods of up to three years each
upon application to the issuing authority at least 30 days prior to the expiration date of the Order.
S. Any fill used in connection with this project shall be dean fill, containing no trash, refuse, rubbish or de-
bris, including but not limited to lumber, bricks, plaster,wire, lath, paper, cardboard, pipe, tires, ashes,
refrigerators, motor vehicles or parts of any of the foregoing.
7. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if
such an appeaf has been filed, until all proceedings before the Department have been completed.
S. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the tend
Court for the district in which the land is located,within the chain of title of the affected property. In the
case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name
of the owner of the land upon which the proposed work is to be done. In the case of registered land, the
Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which
the proposed work is to be done.The recording information shall be submitted to the Commis s ion
on the form at the end of this Order prior to commencement of the work
9. A sign shall be displayed at the site not less than two square feet or more than three square feet in size
bearing the words,"Massachusetts Department of Environmental Quality Engineering,.
File Number 64-118
10. Where the Department of Environmental Quality Engineering is requested to make a determination and
to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings
and hearings before the Department.
11. Upon completion of the work described herein,the applicant shall forthwith request in writing that a
Certificate of Compliance be issued stating that the work has been satisfactorily completed.
12.The work shall conform to the following plans and special conditions: . _
5-2 ;
Page 3 —
2. Banks bordering vegetated wetlands, shall be disturbed as little
as pos=sible. Those bank areas requiring alteration will be regraded at
a maximum slope of 1'x:1 , loamed and re—established with indigenous
vegetation. At the top of said slope, a 6 ' level pervious landscaped
zone shall be maintained. In locations where the applicant are unable
to maintain the banks as defined above, detailed plans for those
specific conditions will be submitted for Conservation Commission
approval prior to construction.
3 . If, during the course of construction, the Applicant discovers
inappropriate fill within the wetland or buffer zone, it shall be
promptly removed from the site. If said fill might be construed as
hazardous, the following steps shall be taken. The Applicant shall
immediately request a determination from the DEQE as to whether the
material constitutes a hazardous waste. If DEQE determines the materialo
to be non—hazardous, the Applicant will remove the material from the
site or dispose of the matter on site in a manner approved by the
Conservation Commission. Fill material which DEQE determines to be
hazardous shall be removed from the site within four weeks from the date
of the positive finding. The hazardous material shall be removed to an
approved facility and copies of delivery slips shall be supplied to the
Conservation Commission. Until such material is removed, the material
shall be covered and surrounded by hay bales. The Applicant shall
provide the Conservation Commission with copies of all correspondence to
and from DEQE within seven calendar days.
4. The Applicant and/or his Engineer shall promptly submit
drawings and specifications which show how both the proposed force main
and utilities shall impact the wetland areas. Such drawings and
specifications shall address the following:
a. Method of construction
b. Re—vegetation of disturbed wetlands
C. Construction materials
and shall be reviewed and approved by the Conservation Commission prior
to construction.
MAINTENANCE
1 . The Applicant , and its successors and assigns, shall be
responsible for maintenance of all drainage inlets and outlets and for
ensuring that said maintenance becomes a condition of all leasing or
ownership of the property. Copies of all such maintenance agreements
shall be forwarded to the Conservation Commission and the DEQE.
* 2 . The Applicant, and its successors and assigns shall be
responsible for ensuring that salt (NaCl) as a deicing agent shall not
be used on the roadways.
�.�� �lu.��-
"i
- Page 2 -
d) The replacement area shall have an unrestricted hydraulic
connection to the same water body associated with the lost area.
e) The replacement areas shall be located within the same general
area of the waterway as the lost area.
f) Wetland area to be filled: 640 + 50 s. f.
Wetland area to be created: 970 - 50 s. f.
2 . Notwithstanding the approval of plans, calculations and
supporting documents referenced as part of this Order of Conditions, the
respective discharge flows from the stream shall not be increased beyond
its present level.
3. All replacement areas to be constructed shall be lined on their
surface with topsoil excavated from the wetlands to be filled as a
result of the project. Arrangements shall be made for storage and
protection of the topsoil after removal and before replacement .
4. At least 75% of the surface of the replacement areas shall be
re-established with indigenous wetlands plant species within two growing
seasons. -Prior to vegetative re-establishment, any exposed soil in the
replacement area shall be temporarily stabilized in accordance with
"Erosion and Sedimentation Control Guidelines" , Publication #13 ,
529-39-1000-2-84-C.R. , dated August, 1983.
5. A report shall be presented to the Conservation Commission and
the DEQE at the end of two growing seasons subsequent to the
implementation of this project indicating the amount of wetlands that
has actually been replicated/created by the construction of the
replacement areas and any associated construction or plantings. Any
compensatory wetland area which does not revegetate with characteristic
bordering vegetated wetland species over 75% of its surface area within
two growing seasons shall be re-planted with characteristic species. A
planting plan for such purposes shall be presented to and approved by
the Salem Conservation Commission prior to its implementation.
CONSTRUCTION DETAILS AND MITIGATION
1 . Prior to any construction within one hundred feet of the
wetlands as shown on the above referenced plans, an erosion control and
sedimentation barrier shall be installed between the construction site
and any down gradient bordering vegetated wetlands. The erosion
controls and sedimentation barriers shall be established in accordance
with "Erosion and Sedimentation Control Guidelines", Publication #13 ,
529-39-1000-2-84-C.R. , dated August , 1983, and approved by the Salem
Conservation Commission or its designated agent.
Issued By �Conservation Commission
Signature(s)
r
This Order must be signed by a majority of the Conservation Commission.
l i
On this ��y � day o PAF 19 before me
persDnal)y appeal � Q 0.A= a C1rt�'Y1a .to me known to be the
person described in and who executed the foregoing instrument and acknowledged that he/she exe med
the soros his/her free act d deed
Kbtary Public My commission expires
The sap'Jcanl,the owner,any person eppriaved by this Order.any owner of land abutting the land upon which the Proposed work is to
be dine or am ten residents of the City or town in which such land is located are hereby notified of their right to request the Dewrrnem
or Ff",b,, nentaf Quality(bnginearvng to issue a Superseding Order,providing the request is made by certified mag or hand delnery to
the Department wiLtim ten drys tmm me data of isamnca of this Order.A copy of the request sh"at the same time be sent by certified
mea or rand d&kvery to tiro Canawvason Conndssion and the applicant
Detach on dotted line and submit to the �Q\ �CCtiS�''t1 x'- 11 ` C14Y)1'l. prior tp eommenesment of work.
To Issuing Authority
Please be advised that the Order of Condition for the prof at -
File Number has been recorded at the Registry of and
has been noted in the chain of the of the affected property in accordance with General Condition a
II recorded larnd, the instrument number which identifies this transaction is - —--
II registered Land.the document number which.iderrofies this irenSerAon
A
Signature pplicant
5-4A
96
Pians:
Title Dated Signed and Stamped by: On File with:
Grading/Utility Plan 7/9/85 A. F. Sharry III Conservation Commission
Engineering Calcu- 2/14/85 Hancock Stirvey Assoc.
lations 2/15/85
7/12/85
8/8/83
Special Conditions(Use additional paper it necessary)
See Attached.
......................................................_...__.....__.................................................................................-........................
(Leave Smcs Blank)
5-3A
DR. KART
ORDER OF CONDITIONS
FILE #: 64-118
SPECIAL CONDITIONS:
GENERAL
1 . All work shall be in accordance with the Notice of Intent ,
including supporting documentation and the above referenced plans.
2. The Conservation Commission has determined that the bordering
vegetated wetland to be significant to the Act. °
3 . Any changes made or intended to be made in the plans shall
require the applicant to inquire of the Conservation Commission in
writing, by Registered Receipt Mail, whether the changes require Salem
Conservation Commission comments or approval.
4. As—built plans, stamped by a Registered Professional Engineer,
shall be submitted to the Commission prior to issuance of a Certificate
of Compliance.
5. The above conditions designated by a - shall remain in effect
beyond a Certificate of Compliance issued for this phase of
construction.
ALTERATIONS TO THE WETLAND
1 . Any damaged or impaired bordering vegetated wetland shall be
compensated for on a one for one, square foot for square foot basis in
the following manner:
a) The replacement areas shall function in.a manner similar to the
area that will be lost.
b) The replacement area shall have surface and ground water
elevations approximately equal to the wetland areas to be filled.
c) The overall horizontal configuration and location of the
replacement area with respect to the bank will be similar to that of the
lost area.
3 (nitu of '$ttlem, massnc4usetts
f �'o Public 11rapertg 19epartment
Nuilbing i9epartment
(One #alem (breen
508.745-9595 $xt. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
November 18 , 1997
Haythe & Curley
237 Park Avenue
New York, N. Y . 10017-3142
RE : 204 Highland Avenue
To Whom it May Concern:
This is to confirm our telephone conversation
concerning the structure located at 204 Highland Avenue
and ita legal use . On September 24 , 1986 a Special Permit
was granted by the City of Salem Board of Appeals to allow
an animal shelter/kennel to be located at 204 Highland
Avenue and its continuous use allows it to be maintained
as an animal shelter/kennel . Any expansion of the
premises would require City of Salem Board of Appeals
approval .
If this office can be of any further assistance in
this matter , please do not hesitate to call .
Sincerely,
Leo E. Tremblay
Zoning Enforcement Officer
LET: scm
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(gItuJ of 'Salem, � assarhusef#S
• `,,` Js 23Dsrb of �ppeal OCF ?
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FILE ;
;
• DECISION ON THE PETITION OF MARY JANE & ROBERT KART FOR Clrr CL..-
A SPECIAL PERMIT AT 204 HIGHLAND AVE.
A hearing on this petition was held September 24, 1986 with the following Board
Members present: James Hacker, Chairman; Messrs. , Bencal, Fleming, Luzinski and
Strout. 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 40A.
Petitioners, owners of the property, are requesting a Special Permit to allow
construction of a building to be used as a kennel/shelter for the premises known
. as Northeast Animal Shelter and located in a B-2 district.
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.
Ir, 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 at the
hearing, and after viewing the plans, makes the following findings of fact:
1 . A sinilar Special Permit was issued in 1983 but never constructed;
2. New structure will better serve the residents of Salem;
3. Veterinary Clinics/Animal Shelters are not listed in the
Zoning Ordinance;
4. .No neighborhood opposition.
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 proposed building will not be detrimental to the neighborhood
and will not nullify or substantially derogate from the intent of the
district or the purpose of the Ordinance.
2. The proposed kennel/shelter will promote the public health, safety,
convenience and welfare of the City's inhabitants.
DECISION ON THE PETITION OF MARY JANE AND ROBERT KART
FOR A SPECIAL PERMIT AT 204 HIGHLAND AVE. , SALEM
page ,two
Therefore, the'.Zoning Board of Appeal voted unanimously, 5-0, to grant the
Special Permit requested, subject to the following conditions:
1 . Stucture be built in strict accordance with plans submitted
and shall not exceed two stories with a maximum height of
thirty (30) feet;
2. Structure shall be used as a pet clinic/animal shelter only;
3. Salem Fire Prevention Bureau must approve plans prior to the
issuance of a building permit;
4. Certificate of Occupancy.
SPECIAL PERMIT GRANTED
ames B. Hacker, Chairman
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
•
c _ _ J 20 DAYS AFTEP. 7HE CATS OF F:LINC
•pFJ1 FROG! THIS DECISIDB. IF A17Y. SHALL BE NA.E PURSUANT TO SEC71p. 17 OF THE FF;'•
GENERAL LAWS' CHI3TER 80°. Ati0 SH.1: B° T3'.E VP.Ri4GCc G'. SPc�'•=c FF
GENERAL
Of THIS OECI$iO,, IN TY.E OFFICE CF THE C'7`cCC,I'Ki 13. n-.^'(,�:, EE-.. TrF CERT-
PLIPSANT TO KISS. GE:SRY. cP. 9�•.A LO?Y CF THE':_•.• . rr.. f11'c0.
c—, U!W- c 4•V�. !i^. APPEAL H:_, n n
GRA`[TEO HEREI::. SH4LCLEP.:( THAI 2O D:.iS H.A"`- EARS-O
Of illE •• -r• ME. 7F.. IT H,S
BEEN 0l%:1>ED 'Jn DL::4=D IS
FICATLC.: ;;A:::E OF Ti;E CC1:!EP•
OP. THAT. IF $UCH•A:: AP HAS nc..• r AirD INDEXED U!:CE2 7ria
RECORDED IN IHE SDUTH ESSEX REGiSTR'i OF G.ECS
OF RECORD OR IS RECORDED AND NOTED Oil THE OWNER'S CERTIFICAic OF BOARD ILE.
OF APPEAL
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FILE
DECISION ON THE PETITION OF MARY JANE AND ROBF f,� :, ,$ART, ,.K ud55
FOR A SPECIAL PERMIT FOR 204 _HIGHLAND AVE. (B-
At the request of Petitioner's Counsel, Attorney John A. Whipple,
the Detition' of Mary Jane and Robert J . Kart for a Special Permit
for 204 Highland Ave. was withdrawn without prejudice. Said
petition was withdrawn prior to the hearing so no vote was taken.
WITHDRAWN
/James B. Hacker, Chairman
HAYTHE & CURLEY
LEONARD S.BAUM
ANDREW J.BECK 2 3 7 PARK AVENUE
SUSAN W.BERSON
KIMBERLY S.BLANCHARD NEW YORK N.Y. 10017-3142 II/12 PALL MALL
JOHN J.BUTLER
JUSTINE M.CLARK LONDON SWIY SLU
BRADLEY P.COST 11-930-0061
STEPHEN C.CURLEY (212) 880-6000 FACSIMILE
CHARLES E.DORKEY III
DAVID L.DUBROW 71-930-0083
MIROSLAV M.FAST TELEX 662184
CLINTON B.FISHER FACSIMILE (2I2) 682-0200
NATHAN HALE CAPITAL MANSION.SUITE 2303
EUGENE W.HARPER•JR. 6 XIN YUAN NAN LU
THOMAS M.HAYTHE
C HAOYANG DISTRICT
CHARLES B.HUGHES III
BEIJ IN G.CHINA 100004
ROGER H.LLOYD
JERRY E.MUNTZ 86106-455-4716
ROBERT A.OUIMETTE FACSIMILE
JEFFREY L.PIEMONT 86106-465-4728
JOSEPH J.ROMAGNOLI
BARBARA M.ROTH -
THOMAS I.SHERIDAN,III November 13, 1997 WRITER'S DIRECT DIAL NUMBER
ADAM A.VELTRI
MARK B.WALDSTEIN
DAVID W.R.WAWRG
JUN WEI (212) 880-6025
Leo Tremblay
Zoning Officer
1 Salem Green
Salem, MA 01970
Re: New England Veterinary Clinic
204 Highland Avenue
Salem, MA 01970
Dear Mr. Tremblay:
Pursuant to our telephone conversation this morning,
enclosed please find a check made payable to the City of Salem in
the amount of $30. 00, representing the fee required for a
Certificate of Zoning for the above referenced premises.
As I have told you, my client is interested in
purchasing the premises. Please provide me with a certificate
stating whether the current use of the premises is legal and in
compliance with all zoning/building rules, regulations, etc. My
client intends to maintain the current use of the premises.
In addition, please let me know what procedures my
client would need to follow in the event that it decides to
expand or modify the clinic in the future.
Thank you for your time and attention to this matter.
If you have any questions, please contact me at the telephone
number listed above.
Very truly your
J seph Tambaro
• JLT
Enclosure
237754.1
2678-9999
fllit of Salrm, 'Mttssarllusetts
3' OC
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CIT), C_ _ .
DECISION ON THE PETITION OF MARY JANE & ROBERT KART FOR r7,. SS
A SPECIAL PERMIT ATt204'AIGHIAND'AV
A hearing on this petition was held September 24, 1986 with the following Board
Members present: James Hacker, Chairman; Messrs. , Bencal, Fleming, Luzinski and
Strout. 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 40A.
Petitioners, owners of the property, are requesting a Special Permit to allow
construction of a building to be used as a kennel/shelter for the premises known
as Northeast Animal Shelter and located in a B-2 district.
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 careful consideration of the evidence presented at the
hearing, and after viewing the plans, makes the following findings of fact:
1 . A similar Special Permit was issued in 1983 but never constructed;
2. New structure will better serve the residents of Salem;
3. Veterinary Clinics/Animal Shelters are not listed in the
Zoning Ordinance;
4. No neighborhood opposition.
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 proposed building will not be detrimental to the neighborhood
and will not nullify or substantially derogate from the intent of the
district or the purpose of the Ordinance.
2. The proposed kennel/shelter will promote the public health, safety,
convenience and welfare of the City's inhabitants.
%dECISION ON THE PETITION OF MARY JANE AND ROBERT KART
FOR A SPECIAL PERMIT AT 204 HIGHLAND AVE. , SALEM
page two
Therefore, the Zoning Board of Appeal voted unanimously, 5-0, to grant the
Special Permit requested, subject to the following conditions:
1 . Stucture be built in strict accordance with plans submitted
and shall not exceed two stories with a maximum height of
thirty (30) feet;
2. Structure shall be used as a pet clinic/animal shelter only;
3. Salem Fire Prevention Bureau must approve plans prior to the
issuance of a building permit;
4. Certificate of Occupancy.
SPECIAL PERMIT GRANTED
at 7). � PI4 L�
ames B. Hacker, Chairman
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
P CRDy, THIS DECISIO:i, IF Ally, SHALL BE M.=.CE PURSUANT
IN �N DAYS A'rT E THE CATEHOF FF4:ING
GENERAL LAK'S. CHAPTLB BOY, AND SH=CL BE Fi'_:
Tug vegJ 4:;L- :iRi
OF THIS 9ECIS:OH IN iF' C riCE cr T Cts C rE.
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PL'RSAN'T TO h`A�S. L Tr
CRR".'D HEREI!;. SH4L A i;i'.c ;;i I`
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FICATI".: GF -1 HE o-,i H'.S c_Lf. FELE. T'. , IT H-_ U.-c OF L,E C17;,E is
OP. ;HAi, i= SCCI:AI; AP,c"._ - CEECS ANC ItJCErED -
REC KCEC C: THE SOUTH ES RE_iSTR'i OFOFF
OF RECORD OR IS RECORDED At:D NOTED ON THE D'NNER'S CERTIFlGATc BOARD LOF APPEAL
Form 2 �5
DEGE�� e
(To be provided by DERE)
-- tZECEWE0
Commonwealth CITY(?''r'1'�"Ale�5.
2P of Massachusetts Applicant Dr. Robert Kart
H
Determination of Applicability
Massachusetts Wetlands Protection Act, G.L. c. 131, §40
From Salem Conservation Commission Issuing Authority
TO Dr Robert Kart same
(Name of person making request) (Name of property owner)
Address 204 Highland Avenue, Salem Address same
This determination is,issued and delivered as follows:
❑ by hand delivery to person making request on (date)
[Bx by certified mail, return receipt requested on Ma rrh 7 , 1985 (date)
Pursuant to the authority of G.L. c. 131, §40,the Salem Conservation Commission
has considered your request for a Determination of Applicability and its supporting documentation,and has
made the following determination(check whichever is applicable):
This Determination is positive:
1 . ❑ The area described below, which includes all/part of the area described in your request,is an Area,
Subject to Protection Under the Act.Therefore, any removing,filling,dredging or altering of that
area requires the filing of a Notice of Intent.
2. ❑ The work described below, which includes all/part of the work described in your request,is within
an Area Subject to Protection Under the Act and will remove, fill, dredge or alter that area.There-.
fore,said work requires the filing of a Notice of Intent.
21
3. ❑ The work described below,which includes all/part of the work described in your request, is within
the Buffer Zone as defined in the regulations, and will alter an Area Subject to Protection Under
the Act.Therefore, said work requires the filing of a Notice of Intent.
This Determination is negative:
1. ❑ The area described in your request is not an Area Subject to Protection Under the Act.
2. ® The work described in your request is within an Area Subject to Protection Under the Act,but will
not remove, fill,dredge,or alter that area.Therefore,said work does not require the filing of a
Notice of Intent. (SEE ATTACHMENT A) _
3. ❑ The work described in your request is within the Buffer Zone,as defined in the regulations, but will
not alter an Area Subject to Protection Under the Act.Therefore,said work does not require the
filing of a Notice of Intent.
4. ❑ The area described in your request is Subject to Protection Under the Act,but since the work
described therein meets the requirements for the following exemption,as specified in the Act and
the regulations, no Notice of Intent is required:
issued by Conservation Commission
Signatures)
t ,
This Determination must be signed by a majority of the Conservation Commission.
On this 14 day of Pebruary _1 9 RS before me
personally appeared the above-named persons ,to me known to be the
Person descabed,in, and who executed,the foregoing instrument,and acknowledged that he/she executed
the same his/her fr act an eed.
I 9-9-88
Notary Public My commission expires
This Determination does not relieve the applicant from complying with all other applicable federal,state or local statutes,ordinances,
by-laws or regulations.This Determination shall be valid for three years form the date of issuance.
The applicant,the owner,any person aggrieved by this Determination,any owner of land abutting the land upon which the proposed
work is to be done,or any ten residents of the city or town in which such land is located,are hereby notified of their right to request the
Department of Environmental Oualily Engineering to issue a Superseding Determination of Applicability.providing the request is made
by certified mail or hand delivery to the Department within len days from the date of issuance of this Determination.A copy of the request
shall at the same time be sent by certified mail or hand delivery to the Conservation commission and the applicant.
2.2A
z Conservation Commission
Salem. Massachusetts 01970
,11ASSDC��_
ATTACHMENT A to DETERMINATION OF APPLICABILITY--DR. ROBERT KART
Pursuant to Determination of Applicability for the above-named dated February 14, 1985,
the Salem Conservation Commission hereby orders the following special conditions
upon the work proposed:
1. Any soil displaced by the proposed construction shall be stored upland.
2. During removal of existing drain pipe, proper erosion control measures shall
be followed.
3. Following construction of proposed berm, loaming and seeding of the surrounding
area shall take place.
9
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R�rei~ivFo Ate J 'ttlem Grr~eu
CITY OF SALEILMAM e 9 n
DECISION Oar 9 l /�,9 04
cCFILLE 4
October 7, 19815V
SPECIAL PERMIT _
WETLANDS AND FLOOD HAZARD DISTRICTS
Dr-Robert Kart
204 Highland Avenue •
Salem, MA. 01970 _
On Thursday, October 3 , 1985, the Planning Board of the City of Salem
held a public hearing regarding the application of Dr. Robert Kart for a
Special Permit under Section P, Wetlands and Flood Hazard Districts, of
the Salem Zoning_ Ordinance, with r_es.pect to the construction(of a=40'�x
Q ' buildings lot adjoining 204 Highland Avenue with anZaccess�
roadway;both within a wetland area. a —�_ J
At a regularly—scheduled meeting of the Planning Board held on
Thursday, October 3, 1985, the Board voted, by a vote of six in favor,
none opposed to approve the application as complying with the
requirements for the issuance of the Special Permit with the folliowing
conditions:
1 . All work shall conform to plan entitled, "Grading/Utility Plan",
prepared by Hancock Survey, dated 7/9/85.
2. Conditions set forth in Order of Conditions #64-118 issued by Salem
Conservation Commission dated September 26, 1985, shall be strictly
adhered to.
3. Water service shall have shut—off valve located near water main.
4. Water service shall have 5 ft. horizontal clearance and be 18 inches
above sewer force main as a minimum.
5. A minimum of three feet of cover shall be provided on all utilities.
6. New pavement at the junction of Highland Avenue shall have a 30'
minimum curve radius.
7. Board of Health requirements set forth in memo of September 18, 1985
(attached hereto) shall be strictly adhered to.
.V
— Page 2 —
I hereby certify that a copy of this decision and plans have been filed
with the City Clerk and copies are on file with the Planning Board.
This Special Permit shall not take effect until a copy of the decision
bearing certification of the City Clerk that twenty days have elapsed
and no appeal has been filed or that if such appeal has been filed and
it has been dismissed or denied, is recorded in the Essex County
Registry of Deeds and is indexed in the grantor index under the name of
the owner of record or is recorded on the owner's certificate of title.
The fee for recording or registering shall be paid by owner or
applicant.
Walter B. Power, III
Chairman, Planning Board
.a
�E Om $al m Green
FORM A — DECISION
JUNE 25, 1985
Ms. Josephine Fusco, City Clerk
City Hall
Salem, MA. 01970
Dear Ms. Fusco:
At a regularly scheduled meeting of the Salem Planning Board held
on June 20, 1985, it was voted to endorse "Approval under Subdivision
Control Law not required" on the following described plan:
1 . Applicant:
Dr. Robert Kart
204 Highland Ave.
Salem
2 . Location and De.script.ion:
`One Lot located at 204 Highland Ave. divided info
rtwo'lots;each with adequate frontage an_d_1ot_area. +
` Book 6501 Page 171
Deed of property records in Essex South District Registry.
Sincerely yours,
Walter B. Power, III
Chairman
WBP:ngs
1,01
Ctu of
i jiublic Propertg Pepartinent
�`'ra,H���>-� �lluillilig �epttrtntent
(Air *alrm 05reen
7d5-11213
William H. Munroe
Director of Public Property Maurice M. Martineau, Ass't Inspector
Inspector of Buildings Edgar J. Paquin, Asst Inspector
Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp.
September 2 , 1987
Mr . William Markarian
729 Western Avenue
Magnolia , MA . 01930
RE : ;rN'ew EnglandVeterinar'�y CIini—c--'-1
Dear Mr . Markarian ,
I have tried to reach you by telephone during the past few
weeks , in regards to the bracing for the roof over the
kennels .
Before I can issue a Certificate of Occupancy I will need
a drawing and calculations for support of the roof framing
as we discussed .
Kindly contact me at your earliest convenience regarding this
matter .
Sincerely ,
W11 G/
Stephen W. Santry
Assistant Building Inspector
SWS/eaf
C . C . N .E . Veterinary Clinic
RAINER KOCH
ARCHITECT
17 ESSEX ROAD
IPSWICH. MA 01838
9 December 1987
Bill Markarian
729 Western Ave. '
Magnolia, MA 01930
-W
Re: Veterinarian Clinic - Salem, 14A
Dear Bill ,
After inspection and construction analysis of the shed roof addition
to the Veterinarian Clinic in Salem, MA, I have reviewed the effects
of wind loading, particularly the uplift forces, with the help of my
structural engineers.
In complying with the Massachusetts Building Code Section 712, 714
and 715 which govern windloads onto buildings, and on the basis of
calculations I have come up with the following recommendation to
counter the possible wind forces.
1 . Bracing
A diagonal (cross) wire brace with turnbuckels and through
connections at the posts, is required in one (1) structural bay
between two (2) posts at the most outer line of posts. The
central bay is here suggested so not interfere with any required
circulation. Galvanized wire thickness shall be 1/2" diameter
and the connections of the posts shall be with through bolted
clip angles or through post eyebolts.
2. Rafters to Cross Beams
Hurricane ties at every other rafter are required in the center
beam location only. These ties shall have uplift capacity of
aprox. 300 lbs, and be of #H3 type as manufactured by Simpson
Strong Tie Co. Nailing requirements as per manufacturers
reccomedation.
!6171 366-0766
9 December 1987
page 2 --
Veterinarian Clinic - Salem, MA
3. Cross Beam to Posts
In the center beam location only a connector bracket at each
post is required. The uplift capacity of a muinimum of 500 lbs.
is necessary. Type #HH4 as manufactured by Simpson Strong Tie
Co. is recommended, as are the installation requirements by the
manufacturer.
4. Post to Footing
This connection as installed appears to be sufficient to withold
the forces considered here.
I include herewith a copy of my calculations and the relevant state
code references. Also included are product cuts of the recommended
metal connectors which can of course by substituted with any other
products complying with the same load requirements.
Sincerely yours,
Rainer Koch V'
encl.
RK/gan
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SEISMIC AND ° 6.6/Sim
KIM HURRICANE ANCHORS
Designed to provide wind and seismic ties for trusses and rafters,this versatile line may be 11� / • -��
used for general tie purposes,slrongback attachments,and as all-purpose ties where one member t/
crosses another. 1
The H4 is a new hurricane tie with a unique shape that results in 18%higher allowable loads 9l6
over the current H3.The design allows for installation on the inside of the member without inter- 3V
fering with the sheet rock or installation on the outside of the member without interfering with the �•kl
sheathing material. li
MATERIAL: H1,H2,H2.5 and H3-18 gauge steel,114-20 gauge ste • o
ei-
FINISH: Galvanized Ik I ° 2
INSTALLATION: H2.5,H3 and H4 ties are shipped in equal quantities of separated rights . o
and lefts. °
CODE ACCEPTANCE: ICBO accepted;see Evaluation Report No.1211.H4 acceptance pending °
at the time of catalog publication.
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FASTENERS MAXIMUM H2 H1 N•i,��
MNDDEL TO TO TO ALLOWABLE e
RAFTER PLATES STUDS UPLIFT LOADS
H1 1 4-8d I 4-8d520
H2 5-8d 5-ad 370 °Meso L.±'
H2s s-Bd 5-11d 5-8d 370 . eNa° H3
I H3 I 4-8d 305
H4 4-8d 4-8d 360 Installed
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3 Eliminate Costly dfJ Instelled Rafter Notching. 2�'I•' H2.5 Ties Rafter H4 to Two Plates H2.5 �I�y
Installed j.-f�•1
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FRAMING A
F� �n H4
CLIP �1 Patent Pending
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For fast,accurate framing.Three dimensional nailing pattern results in high-strength joint �2S
values.FC clips are also ideal for fence construction.
FI
MATERIAL: 16 gauge steel •
FINISH: Galvanized
CODE ACCEPTANCE: ICBO accepted;see Evaluation Report No.1211.
• -""Rile �
ALLOWABLE LOADS • / j•
MODEL Load Directlon yL,
NO W FASTENERS 'R
FG4 39he 8-15d 805 \ FC k' • ° J'
FC6 5'/z 10-16d 920 _
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FCB 7'/2 12-16d 920 \ /ysy
1.Allowable loads listed are not subject to increase for duration of load. "yy✓✓
HEADER
HH HANGERS 3 0 w
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HH4 ° ° T
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For last,accurate installation of door and window headers and other cross member details. • d X00 s 3V
HH header hangers speed up the job,strengthen the frame,and eliminate the need for trimmers. d SIAI TQ
MATERIAL: 16 gauge steel FI - rti 51009 • ,Il
FINISH: Galvanized s
CODE ACCEPTANCE: ICBG accepted;see Evaluation Report No.1211. }`
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MODEL FASTENERS ALLOWABLE LOADS Typical HH .�
NO. W
STUD HEADER F1 F2 F3olypical
f Fa Load Directions
HH4 3°he 9-16d 4-16d 1205 535 535
HH6 6'Iz 12-16d 6-i6d 7610 805 805 er Hangers
HHB 7'Iz 13-16d 6-16tl 1740 805 805 Installed
1 1.Loads may be increased for the duration of the load in accordance with the cede. o copyright 1986 SIMPSON STRONG-TIE COMPANY.INC. 33
y tib ofttlPxn, osttrfru �#z
1' Puklir Prxyperlu Department
Puaing P epartment
Richard T. McIntosh
One Salem Green
Tas-nz,a
August 24, 1982
New England Veterinary Clinic
204 Highland Avenue
Salem,. Massachusetts 01970
Dear Sir:
It has come to the attention of this department that there is
unnecessary dog barking going on at the rear of 204 Highland Avenue.
You are required to take the necessary action to insure full
compliance with the existing ordinance that relates to unnecessary
noise.
Very truly yours,
`a"
Richard T. McIntosh
Zoning Enforcement Officer
RTM:bms
cc: Frances Grace, Councillor Ward IV
file
m SENDER: y ere items I,.2,and 3.
Add
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m 1.. The(OGOWing Wrvice is requested(check oae.) 6
. ITSowato whoa aid date delivered,...........—*
g Q Shaw to whom,date and addrm of.delivery..._.*
;a O RFSMCTED DELIVERY
Show to whomanddate delivered.......
❑ RESTRICT ED DELIVERY.
Show to whom,date,and addreea oldalivery.S—
(CONSULT POSTMASTER FOR FEES)
2 ARTICLE ADDRESSED TO: C,r1
m N.E. Veterninary Clinic
m
a 204 Highland Ave.
= Salem, MA 01970
a
n 3. ARFif.LE CsSCR9PT10N:
to REGISTERED NO. 1 CERTIFIEDNO. ` INSURED NO.
a 10024598 Ip
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UNITED STATES POSTAL SERVICE
OFFICIAL BUSINESS
PENALTY FOR PWATE
SENDER INSTRUCTIONS USE TO AVOID PAYMENT
Print your name,address,and ZIP Code in the space below. OF POSTAGE.5300 u®
• Complete items 1,Z and 3 on the reverse.
• Attach to front of article if space permits,
otheswin affix to back of article.
• Endurte article"Return Receipt Requested"
adjacent to number.
r
RETURN
TO
Cit of Salem Public Property s
(N M of Sender)
r
One Salem Green
(Street or P.O.Brix)
Salem, MA 01970
(City,State,and ZIP Code)
vomoyt 04com 4Rz's
.'4&T% -
01i#u of , Abosar4usetts
IMYlltitl$ IIMI�
„$nlem, ,!&lassaclTusetts D197n
FORM A
APPLICATION FOR ENDORSEMENT .IIlN S 03 PH �6S
OF PLAN BELIEVED NOT TO REQUIRE
APPROVAL FILE
In accordance with provisions of Section II-B, the IIITY CLERK SLEW,NASS.
applicant must file, by delivery or registered mail, a
Notice with the City Clerk stating the date of sub-
mission for such determination. The notice shall be
attached to two copies of this Form A application.
The notice and both copies of the application must
be "date stamped" by the City Clerk and then one
copy of this Form A, with the Plan, filed with the
Planning Board by the applicant. All notices and
applications shall be typewritten or neatly printed
in ink.
Salem, Mass., -------June
--19---------------------19_85_-
To the Planning Board:
The undersigned, believing that the accompanying plan of his property in the City of Salem does not
constitute a subdivision within the meaning of the Subdivision Control Law because (See Sect. II-A and
state specific reasons) ____-_--
to the dimensional—requirenents--of the Salem By—Law _ —
----------------------------------------------------------------------------------------------------------------------------------------------
and herewith submits said plan for a determination and endorsement that Planning Board approval
under the Subdivision Control Law is not required.
1. Name of Owner —Robert J. Kart and-Mary_Jane Kart--------------------------------------------------
Address
204 Highland Avenue, Salem, MA 01970
- ---------------------------------------------------------------------------------------------------------
2. Name of Engineer or Surveyor ---------------------_------------
Address----
______-_Address____59_ Holten Street, Danvers, MA 01923
- -------------------------------------------------------
3. Deed of property records in ----------------Essex_South_-_---------.------------- Registry
Book -6501------------------- - Page ----17-- ---------
4. Location and Description of Pro204yHighland_Ayentgl__Saleml_MA___01970_--__-___--_
consisting of 2 lots one with�designatx d airlbt 1 on said plan with
•------------------------------ -------------------------------------------------------------------------------------------
a total area of 49,433_ square feet and. frontage of 115 feet and Lot 2
- - ----------------------------------
with an area of 59,376 square feet with a frontage of 124.80 square feet.
- --------------------------------------
--------------------------------- -------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------
5. All streets and abutting lot lines shall be shown on the Plan together with the names of the Owners
of the abutting lots. 12o]�E3 t J. �M,p� Jane
Signature of Owner-- '�----- '°7- -----------
Address--------204__11igt,t and_Avienue,--;Salem,__MA____0197.0_--_.._____
Telephone Number ---.___744-8325_-__--_-_-____-__
Ctg1 of $Ulem, 4nassuchusetts
�Rec �IMYtlttlt� �IIT1T1�
um+e
CHH Mall
,*Irm, ,i&faemchuadte 01970
FORM A
APPLICATION FOR ENDORSEMENT ��y i 9 ( 03 PH 185
OF PLAN BELIEVED NOT TO REQUIRE
APPROVAL FILE#
In accordance with provisions of Section II-B, the
applicant must file, by delivery or registered mail, 9ITY CLERK— S9LEM,MASS.
Notice with the City Clerk stating the date of sub-
mission for such determination. The notice shall he
attached to two copies of this Form A application.
The notice and both copies of the application must
be "date stamped" by the City Clerk and then one
copy of this Form A, with the Plan, filed with the
Planning Board by the applicant. All notices and
applications shall be typewritten or neatly printed
in ink.
Salem, Mass., June 19-- ----------------------------19.85---
To the Planning Board:
The undersigned, believing that the accompanying plan of his property in the City of Salem does not
constitute a subdivision within the meaning of the Subdivision Control Law because (See Sect. II-A and
state specific reasons) __the__1ot__csanfnxm_bQtli_in_Size-_and__fz4ntagQ__xliLeutent�________
to the dimensional-_requirements of the Salem By-Law -
--------------------------------------------- -
- ---------------------------------------------------------------------------------------------
and herewith submits said plan for a determination and endorsement that Planning Board approval
under the Subdivision Control Law is not required.
1. Name of Owner _Robert J. Kart and Mary Jane Kart
- ----------------------------------------------------
Address 204Highland Avenue, Salem, MA 01970
- -------------------------- ---------- -
---------- -----------------------
2. Name of Engineer or Surveyor __1ia11COGk--StzrYey--AsQciate��--zAc-•-----_---------------------------
Address....59_Holten Street, Danvers, MA 01923
---- --------------------------------------------------------- ---
3. Deed of property records in ____-_______-__Es_sex_South------_-_-__- -------------- Registry
Book ----6501- ----------- - -------------- Page ---171 . -
- -----------------
4. Location and Description of Property: __?04_Highland_AL Ur ,__Saleml__MA___01970______-____
.-cons-is-ting-of of 2 lots one with designated as.:Lot 1 on said plan with
a total area of 49,433 s g
re feet and frontage of 115 feet and Lot 2
- --- -- ----------------
------------------------------------------
wi an area of 591376 square feet with a frontage_ of 124.80 square---feet-------
-----------------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------
---------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------
-------------------------------------------------------------------------------------------------------------------------------------------
5. All streets and abutting lot lines shall be shown on the Plan together with the names of the Owners
of the abutting lots. Rober J. ane Kart
Signature of Owner--BYL y
Address--------204__Highland_Avznue,---Salem.__MA----01,970---_.-----
Telephone Number -------744-8325------------------------------------------------
FORM 2
COMMONWEALTH OF MASSACHUSETT'S'� "
DETERMINATILON OF APPLICABILITY OF THE WETLANDS PROTECTION ACT
G.L. C. 131 s. 40 Utli4 "�p��
RFr PJJ
ry
TO: Rober=t and_I',aryJane -Kart DATE: FeQ4,44ry 24, 19,3
204 Highland Avenue
Salem,P1iA . 01970- --
Pursuant to the authority of G. L. C. 131 s. 40, the SAIESM
CONSERVATION COMMISSION has considered your 'reguest
for a determination of applicability together with the clans submitted
with it and has made the following determination: .
1. ( ) The area shown on the plans is not subject to -the Act.
.2. ( ) The entire area shown on the plans is subject to the Act
and shall require a .filing of a Notice of Intent.
3. ( ) Only the area described below is subject to the Act and
shall require a filing of. the Notice of Intent.
4 . (x)) The area shown on the plans is subject to the Act, but the
proposed work is not dredging, filling, removing, or altering,
and therefore a Notice of Intent is not required.
5. The determination that the work is not subject to the Act
shall expire within one (1) year from the date herein.
6. 1 This determination does not relieve the person reauesting
the determination from complving with all other applicable
federal,- state or local statutes, ordinances, by-laws,
and/or regulations .
7 . Failure to comply with this determination and with all related
statutes and other regulatory measures shall be deemed cause
to revoke or modify the said determination.
8 . No work may be commenced under this determination until all
appeaaJl, oeeri'ods have el psed. { / I
ISSUED BY: �l�
Where tne .Department. of Environ untag Qu lnty'Engin er`i"rig i sues negative
superseding determination, you are hereby notified of your right to a formal
hearing provided it is made within ten (W days from the date of the superseding
determination of the Department of Environmental Quality Engineering.
r
%ON Co
T
z
Conservation Commission
S`Ct`�
Salem. Massachusetts 01970A
44
.Vis
CIT'( Or SiLEft, RtlSS,
MINUTES OF MEETING
January 27 , 1983
The Commission met at One Salem Green, second floor on Thursday, .
January 27 , 1983. Present were Raymond Lavender, Richard Femino,
Alice Akatyszewski , and Glenn Yale. Philip Moran, Christopher
Hagger, Paul Willis, and Associate member James MacDowell were absent.
Vice-chairman Glenn Yale called the meeting to order at 8 : 07 p.m.
APPROVAL OF MINUTES
Upon the motion of Raymond Lavender and second of Alice Akatvszewski,
the minutes of January 13, 1983, were approved. It was so voted.
PUBLIC HEARING--LOUIS BOISVERT
Mr. Louis Boisvert ,and Mr. David Dovle were present to address
. their proposal to add to an existing building at Rear Commercial
Street. The addition would be in a flood hazard district. The
building is currently owned by Snowcrest and is under agreement
for purchase by Mr. Boisvert. He would like to add 5000 square
feet to the existing building. The addition would be 8" below
the 100-year flood level. Thev Plan to raise the foundation and
floor and put in a ramp connecting the addition to the existing
building. Board of Appeal has granted a variance for this Pro—
ject.
Glenn Yale asked if Board. of Appeal addressed the elevation? Mr.
Doyle replied in the negative. Susan Madison noted that the
Planning Board may deny the permit due to the elevation situation.
Mr. Doyle stated that the addition will be above the limit. He
noted that the road has been built up and is passable even when
wet, so he felt there would be no major problems .
Glenn Yale asked if there was to be any chemicals stored in the
building. Mr. Doyle replied in the negative. Thev will be using
cutting oils only--most of their business is with General Electric.
Susan Madison asked where any run-off would go and Mr. Dovle
replied that any run-off is re-used. Any residue stays in the
machines themselves . Thev use a cleaning solution which is the
same tvpe used in anv car wash.
. Glenn Yale asked if any non-destructive testing was done in their
shop and Mr. Dovle replied in the negative.
Minutes of Meeting--January 27 , 1983 Page 2
. Glenn Yale asked where rough material was stored and Mr. Doyle
replied it was stored inside the building.
Upon the condition that the floor would be raised and a ramp
placed inside, which would require a new plan, the Order of
Conditions was voted upon the motion of Alice Akatvszewski and
second of Raymond Lavender.
Upon the motion of Richard Femino and second of Alice Akatv_ szewski
the Public Hearing was closed. It was so voted.
The Order of Conditions referencing the amended plan and including
the following condition will be issued; Upon completion of the
proposed addition, an engineer shall certify the building was
constructed at or above 15 . 36.
MAINE POST AND BEAM -- TEDESCO POND
Mr. Reed Blute from Maine Post and Beam was present to discuss
their proposed cluster subdivision for the Tedesco Pond area.
Thev plan between 21 and 24 units , NT, Blute gave an overview of
plan. Thev propose cluster residential homes which would consist
of six buildings around the pond each containing four units,
Garages are also proposed. . :The entire development will be Pri-
vately owned and -maintained. The roads, etc, all will be main-
tained by the owners of the dwelling units . All untilities will
-be underground. The sewer line will be tied into the -municipal
sewer by. means of a pumping station The water line will be
looped and tied into the existing -main. There will be a sinale
access fromi Vinnin. (Tedesco) Street, All other abutting accesses
will be closed off and breakawav gates will be installed for
emergency access. All developed space is within 1001 of the
pond area. Mr. Blute emphasized that the pond is the focal point
of the development, so thev wish to restore the pond to its
original quality. Thev have enlisted the aid of Sea Plantations
to help them with the bond work. Sea Plantations is presently
doing water tests- and also making recommendations as to the best
way to eliminate algae and bacteria.
In response to 'a ctuesti,on from Richard Femino as to how they plan
to arrest the bacteria,, ?fir.. Blute replied they would like to cut
down on the nutrients emanating from the Stop and Shop parking
lot. Thev would like to promote an area of -marsh grass by
building an underwater dam and filter to -maintain and retain
the silt and sediments so the nutrients can be filtered out.
Richard Femino noted that the ..nroblem is with the algae. He suq
Bested the bank be worked up.oi�.;the bank should be cut shar»1v
to inhibit the algae growth,
Minutes of Meeting--January 27 , 1983 Page 3
Mr. Blute further noted that the' are considering putting an is-
land in the middle of the pond to create a natural soot for the
nesting of waterfowl.
Glenn Yale questioned the location of drains . Mr. Blute replied
there are two drains being planned and noted that the most substantial
run-off comes from the direction of Chandler Road.
Mr. Blute described their plans for a ten-foot buffer zone with
the use of several evergreen plantings , railroad ties and other
landscaping to create a buffer between the development and the
abuttors. He added that if all their permits fall into place and
everything goes according to their present schedule , thev an-
ticipate a one-vear timetable for completion of the proiect.
Thev will be filing a Notice of Intent shortly and a' public
hearing will be scheduled.
SALEM HOSPITAL--CERTIFICATE OF- COMPLIANCE
Upon the motion of Alice Akatvszewski and second of Raymond Lavender,
a Certificate of Compliance for Salem Hospital was approved.
It was so voted.
MOLD BUSINESS
A letter from. City Engineer Tony Fletcher regarding the illegal
fill behind the new Burger King on Highland Avenue was read
and entered into the record (attached hereto and made a part
hereof) . It is the City Engineer Is opinion that the fill should
be removed immediately as there is considerable potential for
flooding in the area. A copy of the letter will be sent to
John Serafini . It was further noted that our resoonsiblity in
this area is clear as the Wetlands Protection Act addresses
the issue of flood storage prevention.
Regarding Ronald Gauthier, City Engineer Fletcher also sent a let-
ter to the Commission addressing this matter . (attached hereto and
made a part hereof) . It was the concensus of the Commission
that a Notice of Intent should be filed.
There being no further business , a motion was made to adjourn.
Having passed unanimously, the -meeting was declared adjourned
at 9 :50 p.m.
Respectfullv submitted,
• Dale E, Yale
Clerk
z Conservation Commission
. M Salem. Massachusetts 01970 R r ,
ASS.��N� MINUTES OF MEETING � '4SS.
February 10 , 1983
The Commission met at One Salem Green, second floor, on Thursday,
February 10, 1983 . Present were Raymond Lavender, Glenn Yale, .
Philip Moran, and Associate member James MacDowell. Alice Akaty-
szewski, Christopher Hagger, Richard Femino, and Paul Willis
were absent.
There being no quorum, Chairman Philip Moran opened the meetinq
for discussion at 8 :05 p.m.
DETERMINATION--NEW ENGLAND VETERINARY CLINIC
Attornev Robert LeDoux was present to discuss the petition of
the New England Veterinary Clinic to make an addition to their
existing building at 204 Highland Avenue. James MacDowell wished
to state for the record that his engineering firm had prepared
the drawings for this proposal.
The building is owned by Dr. and Mrs. Kart who wish to add a
• 52 ' 6" x 34 ' 8" structure to the existing building plus a bi-
tuminous parking lot for seven cars . The addition will qo no
closer to the wetland than the present building, but the parking
area will be within 100 ' of the wetland. There will be no
filling, removing, altering, etc. Hav bales will be placed on
the embankment during construction and the contours are not
changed.
Glenn Yale asked if any catch basins or gas traps were planned.
James MacDowell felt there was so little volume it was not
necessary.
There being no further questions , the matter- will be tabled until
our, next meeting.
HIGHLAND REALTY TRUST
Attorney John Serafini and Mr. Dwver, engineer for Highland Realtv
Trust, were present to discuss the fill being stored in the wetland
behind the Burger King on Highland Avenue. A letter from Mr.
Serafini to City Engineer, Anthony V. Fletcher addressing this
problem was read by Philip Moran (attached hereto and made a part
hereof) . Mr. Fletcher agrees that sixty days is a reasonable amount
of time to get proper engineering studies drawn to see exactly
what has to be done. Mr. Serafini felt that much of this problem
was inherited and noted that the culvert still has not been
located.
Minutes of Meeting--February 10 , 1983 Page 2
•
James MacDowell interjected that Mr. Fred Harney of District 5
DPW had spoken to him regarding the culvert. It had indeed now
been located and cleaned and he had expressed some concern as
to the fill causing problems in the future.
Mr. Serafini replied that they are aware of the notential for
problems and will come back to the Commission with a full report
in sixty days.
Susan Madison noted that the Cease and Desist was served on
December 9 , 1982, and two months have already past without anv
.resolution of the problem. If we wait another sixty days, four
months will have gone by without any action whatsoever. Spring
run-off problems could cause a great deal of water problems in
the area. Further, Tony Fletcher felt this problem should not
wait until potential new owners .assumed ownership of the property.
Susan has spoken with Philip Moran, Richard Stafford, and Greg
Senko regarding this problem and an option has been recommended.
It was felt that if some sort of "red flag" could run with the
land, this would be the best way to handle the situation. There-
fore a lis: pendens has been recommended to alert any title
search that litigation is in process.
Glenn Yale felt that the fill had changed dramatically from December
=`12 when--the Cease and Desist was issued to the present. Mr.
Serafini categorically stated that all work was stopped upon re-
ceipt of the Cease and Desist order. He further stated that
the problem has been recognized, work has stopped, and a reasonable
attempt is being made to find the best way to handle the problem.
City Engineer Fletcher felt this was a reasonable timetable. and
he wishes to state that he feels a lis pendens is inappropriate.
He further stated for the record that the Commission has his per-
sonal guarantee that this matter will be handled expediently and
reasonably. The people technically responsible for this project
feel sixty days is reasonable and he sees no reason to place any
future negotiations in this area in jeopardy.
Philip Moran felt that the discussions between Tonv_ Fletcher and
John Serafini change the complexion of the problem somewhat. April
14 has now been targeted for review of this situation. If, at
that time , the matter is not resolved to the satisfaction of the
Commission, appropriate action bvthe City Solicitor will be
recommended.
Mr. Serafini felt this was reasonable and noted that the Commission
was dealing with people who own property in -the Citv and will not
leave.
• There being no further discussion on this matter, Mr. Serafini and
Mr. Dwyer were excused with the Commission' s thanks .
r
Minutes of Meeting--February 10 , 1983 Page 3
•
MAINE POST AND BEAM/TEDESCO POND
Mr. Reid Blute of "Maine."Post and Beam and Mr. Bruce Poole of Sea
Plantations were present to discuss proposed work on the pond
which is part of the cluster development proposal of Maine Post
and Beam for the Tedesco Pond area in Vinnin Square. Mr. Blute
filed a Notice of Intent this evening and a public hearing will
be held on February 24 , 1983.
Mr. Poole presented a detailed plan of the testing done on the
pond (attached hereto and made a part hereof) . He has made several
recommendations to the developer to enhance the pond area and
create an ecologically-balanced environment. On the whole he
is extremely pleased with the results of the testing and feels
the pond can be brought back extremely well. He has made and
will be making several suggestions to Maine Post and Beam in-
cluding the stocking of the pond with a mosquito-eating fish to
biologically control the mosquitoes. Also several suggestions as
to plantings, etc, are being made to help control the algae, etc .
They further plan semi-annual or annual testing of the pond to
keep a good track of the quality.
There .being no further discussion, the gentlemen were excused with
the Commission's thanks.
TRAIL BIKE
The matter of the trail bike violation was continued until February
28 , 1983.
MOOSE LANDFILL
A public hearing will be held by the Board of Health on Tuesday,
February 15 , 1983, regarding a proposed landfill for the area
behind the Moose Lodge. It is hoped as many Commission members as
possible will attend.
MINUTES
It was the consensus of the Commission that the minutes of the
previous meeting were acceptable.
There being no further business, the meeting dispersed at 9 :45 o.m.
RespectfuClly submitted,
Dale E. Yale /
• Clerk
4 HIGHLAND AVENUE 484-09
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
,Ma p------ 13------ — ---------
-- -------- -- --
'; t:Bo 0001 — SIGN PERMIT
�Permit: ---Sign
Category: SIGN
Pernut# I484-09
Project ---- — PERMISSION IS HEREBY GRANTED TO:
# JS-2009-000802
Est. Cost: $350.00 — Contractor: License: Expires
Fee Charged:$20.00 GARY LEBR.UN
'Balance Due:$.00 Owner: KART ROBERT J, KART MARY JANE
I#of Fixtures Applicant: KART ROBERT J, KART MARY JANE
— ------
DigSafe#_ _ AT. 204 HIGHLAND AVENUE
IUseGroup
ConstClass —_
ISSUED ON: 23-Dec-2008 AMENDED ON. EXPIRES ON. 23-Jul-2009
TO PERFORM THE FOLLOWING WORK.•
ERECT SIGN FOR A DOG'S BEST FRIEND
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPQ�T VIOLATION OF ANY OF
ITS RULES AND REGULATIONS. /
Signature: /l./,
Fee Type: Receipt No: Date Paid: Check No: Amount:
SIGN REC-2009-000938 23-Dec-08 5422 $20.00
GcoTi$ISO 2008 Des Lauriers Municipal Solutions, Inc.
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APPLICATION FOR PLAN EXAMINATION AND
BUILDING PERMIT
ALL BUILDINGS,F,XCEP1' ONE AND 2 FAMILY DWELLINGS
IN PORTANT: %pplicanis must complete all items on this r,age
SITE INFORMATION ./E
/Y Location Name �/ I (J Building A N1^fi0'rMrS/
Pn,perlyAarO// t//'ohlAb.o'" �yE•
Located in: Cunserva on Area Y/N Historic district
APPLICATION DATE S,
Use Groups
(check one)
Group Homes R3 RJ_
Residential Q or more Units) R2_
Type of improvement Residential (hotel/motel) RI _
(check one) Assembly (Theaters) Al _
New Building_ Assembly (restaurants & clubs) A2r_2%2nc
Addition Assembly(churches) Al _
Alteration Business B �
Repair/Replacement Educational E_
Demolition Factory(moderate hazard) Fl _
Move/Relocate Factory(low hazard) F2_
Foundation Only High Hazard H_
Accessory Building Institutional (residential cure) 11 _
Institutional (incapaci(ated) 12_
Institutional (restrained) 13
Mercantile M
Storage S1 _Moderate Ilaz:rd �.
Storage 52_Low I I;vanl
O\)NERS11111 INFORNIATION(Please type(or Print Clearly) '%
OWNER Name 8 i i sC
Address r� � 44 q L 2&w /Qd e
Telephone P3as'
Sil-nature
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DESCRIPTION OF 1%ORK TO BE PERFORMED
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CON"I'RA C'Fl)It INI-OR\IA'FION
Name hli czct
Address oal3 Co / 0/11
Telephone 9'7af- 4—S��C
Construction Supervisor's Lic # s� DI
Home Improvement Contractor# /SZ 9ht i�
.\RCI11'I'll'C"F/IiNGINE At INFORMATION
Name
Address
Telephone
Mass. Registration #
PEIL\IFI' FEF: CALCULATION
Estimated Cost x $11/$1,000 + $5.00=
CONINIE.NTS
I
1
i� The undersigned applicant does hereby attest t 11 information stated above is true to the best of my knowledge
under the penalties of perjury
Signed (owner) (agent)
I
APPROVED BY:
DATE APPROVED:
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Home Enhancements
Michael Driscoll
® � 43 Comell Road
BEVERLY, MA 01915
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The Commonwealth of Massachusetts
tDepartment of Public Safety
�VJu Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
,, • (This S"ection Foi•,Official Use;Only) j • '--
Building.PermitNumber: •. " �DateApplied = Bmldr`ngQfhctai:
SECTION 1:LOCATION.(Please indicate Block#and Lot#for locations for'whic_h a"street:address is nofavailablel,
4
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 1 PROPOSED WORK
Edition of MA State Code used If New Construction check here❑ or check all that apply in the two rows below
n Existing Building'®.. Repair❑ Alteration 19. 1 Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes 9— No ❑
Is an Independent Structural Engineering,Peer Review required? Yes ❑ No
Brief Description of Proposed Work: lGrneo Ce f y ��s i /23 7 o
-�LN 5-r�feJ�svM f •D iJ ��r-TL T/0�..4 �'eo✓s 7t.✓ T once z dr
SECTION 3:COMPLETE THIS SECTION.IF EXISTING,BUILDING:UNDERGOING RENOVATION,ADDITION,OR -;
6 ' ' CHANGE IN USE OR OCCUPANCY , .s-;". . .
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): osed Use Group(s):Prop
SECTION:4:BUILDING HEIGHT AND AREA.."/, -3C 5 0-o t '
xis ng Proposed
No. of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq. ft.)and Total Height(ft.)
SECTION 5t USE"GROUP(Check'as applicable) "
.
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business S- E: Educational ❑
F: Facto F-1 ❑ F2❑ I H. High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional I-1 ❑ 1-2❑ I-3❑ [-4❑ . Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6c CONSTRUCTION TYPE(Check as applicable)
IA ❑ IB ❑ IiA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ VB ❑
. . SECTION 7:SITE INFORMATION;(refer.to 780 CMR 111.0 for details on each item)'
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public a Check if outside Flood Zone❑ required
Indicate municipal 9V
Private❑ or indentify Zone: or on site system❑ quired enclff-bosed
trench will not trench or specify:
be Licensed Disposal Site❑
permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA Historic Cornmissinn Review Proi.:ess:
Not Applicable% Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ I Yes ❑ or No 19 1 Yes❑ No Er
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:
`- SECTION 9:,�P,ROPERTY OWNER AUTI-IORIZATIQN "" "' •'
Name a rd Address ofI�Pro�perty Owner .
De.
OCT
I7� i3
Min(�int T � � No. 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 veT-C�� -781
dWin-m &.yr� !2
Name Street Address 4C, /lown State Zip kf(
to act on the property owner's behalf,in all matters relative to work autho ding permit application.
SECTION 10 CONSTRUCTION CON�TROL(Pleas'e 61]ouGeyppendix 2)':
If buildin is less than 35,000 cu.ft:of enclosed s ace and/or'not tinder COnstm6tion.COntr6l tlien`clieek here:Q'and ski Section 10.1 .
- 10:1 Registered Professional'Res��onsible far;Construction Control:` ?": -
TA- rEs / 2 _D,7f- J 7�-397- o v 9B $3
N''a//m�j'(Registrant) / Tel N e-mail address Registration Number
Street Address 30f City/Town State Zip Discipline Expiration Date
10.2 General Contractor - �
(
C/�piny Name
,j nlls�r
Name of—�n Responsible for Construction License No. and Type if Applicable
2� C �t� oz
Street Address City/Town State Zip
7m_ / hn,-) 9.sn L� CDIkS;L}l_Co il5i7�rJcT. M
Telephone No. business Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152: �.25C 6 " -
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes M No ❑
SECTION-12:CONSTRUCTION COSTS AND PERMIT FEE,
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6)_$
1. Building $ 33 Building Permit Fee=Total Construction Cost x_(Insert here
2. Electrical $ appropriate municipal factor)_$
3. Plumbing $ Z
4. Mechanical (I-IVAC) $ � D Note:Minimum fee=$ (contact mu ipality)
5. Mechanical Other $ Enclose check payable to �� <e
6.Total Cost $ 7 7 (contact municipality)and write chec 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 an/d,accurate to the best of my knowledge and understanding.
Please pri d sign name �� ��� Title Telephone No. Date
Z�— Woi �J — f-T'
Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval:
Name Date
i
REGISTERED ARCHITECTURAL AND ENGINEERING SERVICES
CONSTRUCTION CONTROL AFFIDAVIT
PROJECT TITLE: VetCor Facility
PROJECT LOCATION: 204 Highland Ave, Salem MA
NATURE OF PROJECT: Interior Lower Level Improvements
,
In accordance with section I I6.0;of the Massachusetts State Building Code
I,_James W. Dean Eregistration no. 9883
Being a registered professional architect / engineee hereby certify that I have prepared or directly supervised the
preparation of all design plans,computations and specifications concerning:
Entire Project ❑ Architectural ® Structural ❑ Mechanical ❑
Fire Protection ❑ Electrical ❑ Other(specify)❑
i
For the above named project and that to the best of my knowledge, such plans, computations and specifications
meet the applicable provisions jof the Massachusetts State Building Code and all acceptable architectural /
engineering practices and all applicable laws and ordinances for the proposed use and occupancy.
i
I further certify that I shall perform the necessary professional services and be present on the construction site on a
regular and periodic basis to determine that the work is proceeding in accordance with the documents approved for
the building permit and shall be responsible for the following as specified in Section 116.2.2
I. Review of shop drawings, samples and other submittals of the contractor as required by the
construction contract documents as submitted for building permit, and approval for conformance to
the design concept.
2. Review and approval of the quality control procedures for all code-required controlled materials.
3. Special architectural or engineering professional inspection if critical construction components
requiring controlled material or construction specified in the accepted architectural / engineering
practice standards listed in Appendix B.
,
Pursuant to section 116.1, I shall submit periodically, a progress report together with pertinent comments to the
building inspector.
Upon completion of the work, I:shall submit a final report as to the satisfactory completion and readiness of the
project for occupancy.
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The Commonwealth of Massachusetts
Department of Public Safety .201b NOV 10 P 12: 31
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: - Building Official
l SECTION l:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
204 4;cb \"'.k Pit Sakw, otq'10 New Eng�gwd Vtkerinwy U;nt e
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
r- Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
1 Existing Building IS Repair 19 Alteration ❑ 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 S
Is an Independent Structural Engineering Peer Review required? Yes ❑ No &
Brief Description of Proposed Work: 2nst�WKN es., new V!w of t(2° h' !,.
dlcwshal eo\Y i1T
\nSV1w�ON glee {Ne l�C+Sliw. 6ii++u�nen ron�, ;6�+ eA in tlti waect click. TN SMfI
a new W n ;l T„flY adhere.! C-PoM rb F uitu new edgee w+t� 4'he
etc;mtbar.
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) ❑
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❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-1❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H4❑ H-5❑
I: Institutional I-1❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ 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 ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ VA ❑ VB ❑
. SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Debris Removal:
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Licensed Disposal Site�
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be P
Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: 6k-ftlti
permit is enclosed❑ 9150os.1
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ 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:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
�bcrk Kack t259 crab 4ec1E Rd 39
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 building 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 under Construction Control then check here PJ 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
Company Name
Carw;y scC60- CS' CA14b.6
Name of�onsible for Construction License No. and Type if Applicable
123 Te3,.k86ur3 SP Arekou er MIN W 8 t o
Street Address City/Town State Zip
0,18 _HTS_ 450= cbrecht Q QmMORYV, net
Telephone No. business Telephone No. cell e-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 a No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)
1.Building $ 1(.)U:+o Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)=$ 31te.'
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to
6.Total Cost $ 36 t sea. (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 accur ego the b t fray owledge and understanding.
C ren, QrCet,t V.P. Oalre.tfivo S r(18 -41S _ 450o
Please print and sign name Title Telephone No. .Date
l`t MeraAevo R.el Seek i be t 03tt0
Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval:
Name Date
•
Initial Construction Control Document
* � To be submitted with the building permit application by a
c U
�2.y Registered Design Professional
-1* Tr for work per the ninth edition of the
4. .o., Massachusetts State Building Code, 780 CMR, Section 107
Project Title:Structrual Design of Roof Modifications Date:1/7/2019
Property Address: 204 Highland Avenue Salem,MA
Project: Check(x) one or both as applicable: New construction X Existing Construction
Project description:Structural design of roof modifications to remove interior bearing walls and other
supports to open up the clinic spaces.
I Paul F.Kirby MA Registration Number:35313 Expiration date:6/30/2020,am a registered design professional,
and I have prepared or directly supervised the preparation of all design plans,computations and specifications
concerningl:
Architectural X Structural Mechanical
Fire Protection Electrical Other:
for the above named project and that to the best of my knowledge, information, and belief such plans,
computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780
CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my
designee) shall perform the necessary professional services and be present on the construction site on a regular
and periodic basis to:
1. Review, for conformance to this code and the design concept, shop drawings, samples and other
submittals by the contractor in accordance with the requirements of the construction documents.
2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determine if the work is being performed in a manner consistent
with the approved construction documents and this code.
Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107.
When required by the building official,I shall submit field/progress reports(see item 3.)together with pertinent
comments,in a form acceptable to the building official.
Upon completion of the work,I shall submit to the building official a'Final Construction ent'.
SH M,qSct'
Enter in the space to the right a"wet" or i � PAULF yG�'
electronic signature and seal: ,�c, KIRBY ,
STRUCTURAL
Phone number:781-305-9419 Email:pkirby®allenmajor.com ,o 4, No.35313 a ��
t 4!sT c
Building Official Use Only ��`U. ' , •
oil a'
Building Official Name: Permit No.: Date: I II"
Note 1.!falcate with an'-x` piujeel design}thugs,computations and specificdtiuns that you piepa.ed y s ! , S 'others is
chosen,provide a description.
Version 01 01 2018