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68 MOFFAT ROAD - BUILDING JACKET
68 M0,F,Tk .ROAD X} CtU of Salrm, C ttSStttljuSPttB JIN Z9 8 35 bN 68 oxrb of FILE# , s � en1 +�olwn 'v CITY CLERK. S:, EF'. HASS. DECISION ON�THE-PET-ITION.OF JOHN & FRANCIS NUTTING FOR A VARIANCE AT 68 MOFFATT ROAD j A hearing on this petition was held July 15, 1987 with the following Board Members present: James M.Fleming, Vice Chairman; Messrs. , Bencal, Labrecque, 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. The petitioners, representing themselves, seek a Variance to allow for the construction of a deck at 68 Moffatt Road. The property is located in a R-1 zone. The Variance which has been requested may be granted upon a finding of the Board that: a. special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings and structures in the same district; b. literal enforcement of the provisions of the Zoning Ordinance would in- volve substantial hardship, financial or otherwise, to the petitioner; c. desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. 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 . There was strong neigborhood support for the petition at the meeting; 2. The proposed deck is in harmony with the existing neighborhood; 3. There is no place on the petitioners land to place a deck which would not require a variance. 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 . Special conditions exist which afft the subject property but do not affect the district in general; 2. Literal enforcement of the provisions of the Zoning Ordinance would work a substantial hardship on the petitioner; 3. The relief requested can be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. r DECISION ON THE PETITION OF JOHN & FRANCIS NUTTING FOR A VARIANCE AT 68 MOFFATT ROAD, SALEM page two Therefore, the Zoning Board of Appeal voted unanimously, 5-0, to grant the Variances requested, subject to the following terms and conditions: T . The deck must be built as per plans submitted and revised at the hearing; 2. All construction must conform with the requirements of the Mass. Building Code; 3. The petitioners must obtain a building permit from the building inspector of the City of Salem. GRANTED aures M. Fleming, Esq. , e Chairman A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK PPPE4L FRS.". THIS DECISION, I; AN1'. SHALL BE MADE PURSUANT TO SECTION 17 OF THE MFSS. RFL LA':.S. CHAPTER 503. AND SHALL BE F:Ju Vd TI'.IN 20 DAYS AFTER THE DATE Ci FI LINC L.F THIS CP:J SIC ii 111 THE OFFICE OF THE CITY CLERK. Fr:.S =SS :E'f C.^.Al L CHAPTER SDS. S°Cil',N 11, THE VAR-A'-'LE rR r-;.•,; D"' !i LED.:; HE3Ep, SH=1L V. iA Eri-CT UNTIL A COPY CF THE?C,:C`) :. OE . . :: i •_3T. F:i.nliClii CLERs i!I�\. 2J ;'A'S H4fc .._ A. ,.S L--.. : ..,. OR iH=d. IF S`_.ii AG A7r-AL F.:.S EEEi; FILE. IHA. IT !::S N Dlc'::f._CU LS I:., _. REC`rf E; ,• IN THS S.:;-,H ESSE" DE >-EDIS ARD INDEXED W,J:L THE Y,;: -E i '111= _.. . OF RECORD OR IS RECORDED AND NOTED ON THE O'RNER'S CERTIFICATE Of TITLE. BOARD OF APPEAL (, s A The Commonwealth of Massachusetts i Board of Building Regulations and Standards CITY OF �I Massachusetts State Building Code,780 C&IR Rzvi SALEIM,ed Mar i7 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or 'live-Family Divelling This Sectlo1lF6r0fflciilIlJsiOnly. - Building Permit Number-.. Dat pp le Building Official(Print Name) Signature Date SECTION 1:SITE INFORN.IATION 1.1,P perty Address: ��1 1.2 Assessors Map Bt Parcel Numbers 4 tif01--14'i / 1.I a s this an accepted street?yes no Nfap Number Parcel Number 1.7 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area(sq R) Frontage(ft) 1.5 Building Setbacits(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply: (M.O.L c.40.§54) 1.7 Flood Zone Information: 1.3 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal Cl On site disposal system ❑ Check if yesC SECTION!, PROPERTY'OWNERSft&, 1:'. 2.1 Ownert of Record: Name(Print) City,State,ZIP No.and Street r Telephone Email Address SECTION 7: DESCRIPTION OF PROPOSED.WORIe'6heck all that ripply) New Construction ❑ Existing Building�, Owner-Occupied,l{ I Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify: Brief Description of Proposed Work: DNS u(i/i�l�r' SECTION 4: ESTINL4.TED C.ONSTRUCTION COSTS- Item Estimated Costs: OfRcial Use Only.... Labor and materials y'. . 1. Building S I. Building Permit Fee:S' indicate how fee is determined: t. Electrical 5 ❑Standard.CitylrotvnApplicationFee.` ❑'Total Project Costs(Item.6)x multiplier x J. Plumbing $ 2. UtherF'ees:*S I. ,Mechanical (1IV.W) 3 List: . \lech.n,ical (Piro $ SiiP rressiun) _ Total All Fees:S_ Check No. Check Autoun C. t: ,Sh Amount:o n I'ut:ll Project ('nir. $ --- I Reid m Frill ❑oohs :,ndim; lialance 1?uc: --- - _ - ---- _ _ _- - -- � 1 t src•r[ON 5: CONs i-RUCTION SERVICES 5.1 C astruetion Supervisor License(CSI.) Ip ZZ 9 License Number — E.ep'ration Data Name of CSL I loldcr List CSL'rype(sce below) 3 G14�1 �� Type Description No.�and Street D Unrestricted Duilding up to 33,000 cu. ft.) Jj�fjr MY� R Restricted 1&2 Faunal Ucvellin City(rown,State,ZIP M Masonr RC Rootin Cuverm WS - Window andSidin SF Solid Fuel Burning Appliances d{A-ST GJ K�o CGS 1r^eY�•v I Insulation I'cle hone Email address D Demolition Im rave entContractor(HIC) w1 / fy J,— eJ Horne � �_ 5.2 Registered P �/ S tt'un Date HIC Registration um er Es tr, 111�Cggtpany Nut or I t ' utrwt Name n/tR3 �G(,{C� �' _f� Jf UU Email address No.and treetG XXA— CitylTown,State,LIP Tel SECTION 6: WORKERS'. CO(VIPENSATION INSURANCE AFFIDAVIT(NI.G.L.c. 152. § 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes.......... No...........❑ SECTION 7a: OWNER A THORIZATION TO DE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner of the subject property,hereby authorize �� A-) to act on my behalf, in allmatters relative to work authorized by this building permit application. Yr `/ L FZTom' / Flats Pri wner's Nat e(Electronic Signature) SECTION 76: OWNEW OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Wit: Print Owner's ur Authurired Aent's (Electronic Signature) NOTES: I. An Owner who obtains a building permit to do his/her own work,onm owner who hires an unregistered contractor (nut registered in the Hume Improvement Contractor(HIC) Program),will tan have access to the arbitration program or guaranty fund under M.G.L. c. 142A. Other important information on the HIC Program can be found at www mas+ euv/oca is,formation on the Construction Supervisor License can be found at w w w.utass.!'tyt�L,IM 2. When substantial work is planned,provide the information below: --.__ _(including g:u:tge, tinished basemcntlattics,decks or porch) total tluurveu(;q. tail tiro;; living mea(;y. ft.) _ Number of bcm count _ Number of riraplaccs.---_- Number of hcdrnoms -- ----.-----. .._—__-- Numbcr of bathrnouts ---__ Number of half-baths .-_ -- --- -- - l}pe tit he.uin ;y;tcm — — - _ Number of leek;? pornc�s —__-- I?ncloscd . --- tpcn -._-- y.rcitt i. f,v.il I'nq;a � µi ira I'roldgi uLIV ho mb;tltnr:'l r;'l I',a.d I'111jdet Co'[" CITY OF SiUEif) NaSSACHUSETTS 13UIML44G DEPAEMI&NT I,: , �) 120 WASHL3IGTON STIXEET, 3iD FLOOR' sae TEL (978) 745-9595 Fix(973)740-9846 KiN[BERLF-Y DRtSCOLL �L'iYOR THonrASSr.PtE.aRa DIRECTOR OF PUBLIC PROPERTY/OI:DDLYG CO\LUISSIONER Workers' Compensation insurance Affidavit: ]3uilders/Contractors/Electricians/Plumbers Aortlicant information Please Pr in Le ibl Vatnt:(Uusiixss,Ur�niiati°rvindividuul): Ma'S3 �MT' ^ /�lZjYr1 C Address: 6 CE A,) City/State/Zip: `s "l /�i� PhoneH: A cctyou an employer?Check t appropriate boss Type of project(required): IJ1 am a employer with �• ❑ I am a genial contractor and f 0ntployeea(full and/or pa time).• have hired the sulacontractors 6• ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached shceL t ?• ❑Remodeling ship and have no employees These subcontractors have g. Cl Demolition working for me in any capacity. workers'comp,insurance g, ❑Duitding addition (No workers'comp.insurance 5.'0 We are a corporation and in required.) officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself.(No workers'Gump, c. 152,q 1(4y,and we have no comp:insurance requited.). 12. Roof repairs Insurance required.)t employed.[No workon' l3. Othee_ rAJucA'rr( ' GAMY appikuld that 0miso box s I maul also all out the sectlm bclow,hawing their wwkem'compenwlu,policy information. 'I bvnoownem who submit this ad1dsvlt indicating they am doing all work and then hire"isideeonimcicm mutt submit anew altldavil indicating such :Gmtracion that Owls this box most attachod an additiunal,hal showing the name of lh*subConlactom and their wurkem•comp.pulley infivmanon. tutu an employer that/s providing workers'comperssadon hraurance for my employees- Below/s ills policy sad fob sits,injorrrallam Insurance Company Name: Q / S policy A ur Self-irv./Lis//N: �' S��i Icl T" 3�k — '!/ Expiration Date.-_.. 3� ' fob Site Address: - - City/State/Tip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of 41GL c. 152 can lead to the imposition of criminal penalties of a zinc up to S1,500.00 und/orone-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a tine of up to S230.00 a day against the violator. Ile advised that a cagy of this statement may be furwarded to the OI't ice of Investigwimvs ul'the D1A for insurance cuverag¢vedticaliun. /du 6errby c• tlr uder ire pu/rat anJ penu!!!ra ojper/ury that die infunnut/an provide)ub ve is/true and correct. r� Dar T ZI OVIclul use only. Oo nor write in 1184 area,to be completed by city or town n/flr&4 cityor,ruwn.. Permlt/i.lcensey IssuLtg Authority(circle one): I. Iluard of fluAlh 1. fluilding, Department .i.Cityirown C'Ierk 1. Electrical lnepcetor i• Plumbing Oupeetor I 6. other Contact Person: 1'Anne ll•_ - CITY OF120 5.1[.E.ti(, >1L1ss:lCHL'SETTS 1`'f;'�� `�� Ot:t��cDEP.santevr , ILL, (978) 713-9593 <I1t0E.If Y ORISCOLL FLX(973) 740.9344 41'LkY0R 1110-N& 9ST.PlEAM DI LECTOR UP Pt:000 PROPERTY/at:Mn01(3 COX WI»IONEQ Construction Debris Disposal Aff7davit (required wr all ticmalition and runovatiort work) In accordance with tite sixth edition ofthe State Building Coda, 730 C&fR section 1 11.5 ocbris, :uid the proviaiuns of tbrGL c 40, S 34; ©uilding Permit hi is issued with the condition that the debris resulting from this work shall be dispcscd Of in a properly licensed waste disposal facility as daHned by tL1GL a S 150A. ""a dchris will be transported by; IYAPs (qCO-4'44-n -- lh�ntc ul'hault:r) The ticbris will be disposed Orin : --__ (name ur r�cility) {(tJJr"s of ra,ipt%) igndnue t(permit d 1 , HP i�tar Itigntiax nz-i O/ zY'/-ZUld t1 : 1t) : Ud Am PAUL z/ uuz rax nOx'Vex .........N 0 DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE T TIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICAT �OEDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the pollcy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require and endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: EASTERN INS GROUP LLC PHONE FAX 155 B OTIS STREET (A/C,No,Ext): (A/C,No): E-MAIL NORTHBOROUGH, MA 01 5 32-245 6 ADDRESS: 735HH INSURER(St AFFORDING COVERAGE NAIC# INSURED INSVRERA: TRAVELERS INDEMNITY CO. MASS WEATHERIZATION INC INSURER B: INSURER C: INSURER D: 3 OCEAN AVE INSURER E: SALEM, MA 0[970 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICI SO INSITIMM!"EISTED BELOW HAVIEBEENSS TO THEINSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS.EXCLUSIONS AND CONDITIONS OF SUCH POLICES. LIMITSSHOWNMAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD SUB POLICY EFF DATE POLICY EXP DATE LTR TYPE OF INSURANCE L R POLICY NUMBER (MNMD\YYYY) (MNTDD\VYYY) LIMITS GENERAL LIABILITY =ACH OCCURRENCE Is COMMERCIAL GENERAL LIABILITY CLAIMS MADE OCCUR. DAMAGE TOS( RENTED $ (Ea occurrence) ED EXP(Any one person) $ ERSONAL B ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER POLICY PROJECT �LOD ENERALAGGREGAIE $ RODUCTS-COMP/OP AGG... $, AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT(Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULE AUTOS - (Perperson) HIRED AUTOS BODILY INJURY $ (Per accident) NON-OWNEDAUTOS PROPERTYDAMAGE $ (Per accident) UMBRELLA UAB OCCUR EACHOCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE $ DEDUCTIBLE Is RETENTION S $ AWORKER'S COMPENSATION AND Y WCSTATUTORv OTHER EMPLOYER'S LIABILITY Y/N UB-5B44938A-12 09/03/2012 09/03/2013 UM ITS ANY PROPERITOR/PARTNER/EXECUTIVE N/A E.L.EACH ACCIDENT $ 500.000 OFRCER/MEMBER EXCLUDED' (Mandatory In NH) E.L. DISEASE-EA EMPLOYEE $ 500,000 Ryas,rl su., a unda, DESCRIPTION OF OPERATIONS below E.L. DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. THE INSURED'S MA WORKERS COMPENSATION POLICY AND ITS LIMITED OTHER STATES ENDORSEMENT AUTHORIZES THE PAYMENT OF BENEFITS FOR CLAIMS NIAD3 HY THE INSUREDS MA EMPLOYEES IN STATES OTHER THAN MA. NO AUTHORIZATION IS GIVEN TO PAY CLAIMS FOR BENEFITS IN STATES OTHER THAN MA IF THE INSURED HIRES,OR HAS HIRED EMPLOYEES OUTSIDE OF MA THIS POLICY DOES NOT PROVIDE COVERAGE FOR.AM'STATE OTHER THAN MA CERTIFICATE HOLDER CANCELLATION IJDR INC SHOULD ANY OF THEABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED C10 COMPLIANCE DEPOT IN ACCORDANCE WITH THE POLICY PROVISIONS. PO BOX 11 5006 AUTHORIZED REPRESENTgVE CARROLL'FON, TX 75011 ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 19BB-2010 ACORD CORPORATION. All rights reserved. W u / Office of Consumer Affairs'&Busifiess Regulation ' dOME IMPROVEMENT CONTRACTOR t7 #egistratlon: 111617 Type. ;Expiration: 1/12/2015 Private Corporatic V..Ac4 'VVI-A[ 01 '..c,til t7N irJ0 RICHARD LAMBY 3 OCEAN AVE SALEM, MA 01970 Undersecretary 1� tvlassschusetts - Department of Wit,b:n: Sofgtt Bo_lra of Bwid,ng Regufatlors ;md SGntTcia rcts ('nm n'uctim Supcn isur Spcci:Jtc .• CSSL 102293 " . RICHARD LAMBY 3 OCEAN AVENUE SALEM MA 01970 05/03/2014 i�0-ate CommonwaaLih 01 //IaSeachwafb �7 600 w.Lgto,t.Sind James le:mooeo Uoston, nl,arLat,.w 02f 11 Workers' Compensation Insurance Affidavit wich•a principal place of business at: r, n �721n� Cr d� lJL 5ALEto ' CTIG-76 ,u.ra.at.nl.t do hereby'ccrtify under the pains and penalties of perjury. sham: O 1 am an employer providing workers' compensation coverage for my employees working on this job. Insurance Company Policy Ruinber I am a sole proprietor and have no one working for me in any 6p216tY. () I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who-have the following workers' compensation poticus: Contractor - Insurance Company/Policy Number Contractor Insurance Company/Policy Number Contractor insurance Company/Policy Number () I am a homeowner performing all the work myself. 1 vnoersuno wt a cool of ih,,uattmme"b, j.,+ ,o<C to t Ona:<of lnvculao of tht DIA for <ov nc renit¢auon ana flat<aatt<to><e>,r< co.malt y rewrea unerr Secuon 25A of MGL 152 on kao to 0,iroom:on of orwW ,011M s CQIO tint of a 6a4of w w3 LSODCO www Ont rtan' v .fro a mi MNhln in, loan of a STOP WORK ORDER ana 1 1 . of S 100-00 a yr na+nt loe. Signed this ', �jl r` day of Zh iccrr rmitcce �' builcing Gepartr.+cnc Uccnsing board Selectmens Office He-2ith Department 7 —_c cp[i X4G= . 405 , 405, =0c, 77t. No. f Date 7/T r C , Is Properly Located in a / Location of the Historic District? Yes_No Building Is Property Located in / the Conservation Area? - Yes_No VVV / ,q CPO n\ BUILDING PERMIT APPLICATION FOR: I C\TJ Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct eck Shed, Pool, epair/Replac , Other. eEa td r-) P=Unnn* PLEASE FILL OUT LEGIBLY & COMPLETELY 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 Address & Phone I& qT OSL Architect's Name Address & Phone / Mechanics Name Ly61a ( /JrZ6%,,- LF/I1FiO�W�:- //V , Address & Phone C� iti.G- ,/ � ON 790 What is the purpose of building? Material of building? V1,r'1l 1� If a dwelling, for how many families? L Will building conform to law? yG 5 Asbestos? n/(� Estimated cost City License # State uccgense # C.5 7'/Z`4/ Lome Imp'r vem c lze/ent y"A ,---� Signatl�ir f Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK•TO BE DONE R Dr- c/c Div EMI= fzCTr�(/V7- MAIL PERMIT TO: I-) k-TUV--,� �� Q �,,�. � � � l 0 //°6f�� � t� �� / c oxa _:7Y OF SALEM. 3 � e PUBLIC PROPERTY DEPARTMENT c 120 WASHINGTON STREET, 3RD FLOOR SALEM,MA 01970 r TEL. 380 FAX (978) 740-9846 . 'fEp� ;TANLEY J. USOVICZ, JR. - MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40,S34,I acknowledge that as a condition of Building Permit# all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waste disposal facility,as defined by MGL a III,S150A- The debris will be disposed of at: cation of Facility Il�- Z-2 Si azure of Permit Applicant FULLY complete the following information: (PLEASE PRINT CLF-ARLY) N e of Permit Applicant Firm Name,if any C�2/r�l G�LJF �''� /9 D /9 7 Co k Address, City &State The above statute requires that debris from the demolition,renovation,rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL cjIl,S 15.OA and the bu lding permits.or licenses are to indicate the location of the facility.