1-16 PRINCE STREET PLACE - BUILDING INSPECTION 1 - 16 PRINCE STREET PLACE. ,. M
Immm"
No. 153L-2
HASTINGS. MN
LOS ANGELES-CHICAGO-LOGAN.OH
MCGREGOR,T%-LOCUST GROVE.GA
U.S.A.
�OM11
a -y� • �TIFIC ATE ISSUED
DATE
CITY OF SALEM
SALEM, MASSACHUSETTS 01970 BUILDING PERMIT -
'a�� CERTIFICATE OF OCCUPANCY
DATE July 1 9 87 PERMIT,N-0 626
APPLICANT ADDRESS
H. Howell idg �rviug St., Arngv;U.. GM
1x0.1 (SSPE[TI (CONI R•5 ULENSU
rehab apts. 2 NUMBER OF 4
PERMIT TO I_) STORY DWELLLNG UNITS
IIVPE OF IMPROVEMENT( 'R0. (PROPOSED NSE)
I Prince St. Place Warn 5 ZONING R_3
AT ILOCATIONI DISTRICT
(.0.) (51REET)
BETWEEN AND
'CROSS STREET) (CROSS STREET)"
LOT
SUBDIVISIONLOT BLOCK SIZE
BUILDING IS TO BE FT. WIDE,P.r. FT. LONG BY FT. 114 HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: Rehab existing structure
C.0 Issued 11/ 19/87 for Units 5 7 & ONLY" C.O. Issued 10/13/88 for Unit One Only
AREA ORIII a
VOLUME wits
E11{g9�I{y�q�gEIyiJ l���C.:01C:SOULREFEET1E�l�mE�}�9EW�3J�1(+,Q! ������11�1f
Salem Harbor Comm. Development or,(o:+Ioe'PIer.Ive,lo,�Ne.---n -JR, R, Yl `P oahloe,lvr le.,.orno
OWNER TO BE POSTED ON PREMISES
ADDRESS I krince St. Pi., Salem,M SEE REVERSE SIDE FOR CONDITIONS OF CERTIFICATE
Inspector of Buildings
DEPARTMENTAL APPROVAL FOR CERTIFICATE
of OCCUPANCY and COMPLIANCE
To be filled in by each division indicated hereon
upon completion of its final inspection.
BUILDINGS Permit No.
Approved by Date
Remarks
• PLUMBING Permit No.
Approved by Date
Remarks
ELECTRICAL Permit No.
Approved by Date
Remarks
OTHER Permit No.
• Approved by_ Date
Remarks
OTHER Permit No.
Approved by Date
Remarks
o.r Nit 30 3 py 18,
Cit" ofWry FIIFTtt� � c�55Mt�ilISFtIS�
s �varb of � pFul tk, ++ass,
DECISION ON THE PETITION OF SALEM HARBOR COMMON'_:Y DEVELOPMENT
CORP. FOR VARIANCES AT 1-16 PRINCE STREET PLACE (R-3)
A hearing on this petition was held March 16, 1988 with the following Board Members
present: Peter Strout, Acting Chairman; Richard Bencal , Secretary, Messrs. ,
Luzinski and LaBrecque. 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.
Petitioner, owner of the property, is requesting Variances to allow reconfiguration
of four lots into two lots allowing two buildings on one lot in this R-3 zone.
The Variance which has been requested may be granted upon a finding by 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 involv
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 8card of Appeal, after careful consideration of the evidence and after viewing
the plans submitted at the hearing, makes the followin_ findings of fact:
1 . No one spoke in opposition to the plan;
2. Several people spoke in favor:
3. The relief requested is needed by the petitioner, a non-profit
private corporation, to provide upgraded los: and moderate income
housing.
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 and circumstances exist wrich affect this lot
and do not generally affect the district;
2. The Variance requested can be granted without substantial detriment
to the public good and without substantially derogating from the
4ntent of the district or the purpose of the Ordinance.
r'7c-S:3:; ON n iITION CF S> _ CO-11"N17"
CORO. FOR VARIANCES A; 1-16 F. TNOF S, . PLACE, SALE:'
page two
Therefore, the Zoning Board of Appeal voted unanimously, 4-0, to grant the
relief requested, subject to the following conditions:
1 . Petitioner comply with the Salem Fire Dept. regulations
relative to smoke and fire safety;
2. All construction to be done per all existing City and State
Building Codes;
3. No new building to be constructed on site;
4. Eighteen ( 18) marked parking spaces on Prince Street Place
to be used exclusively by residents of 1 -16 Prince St. Place
and may not be used by anyone else.
GRANTED
`ichard A. Bencal, Secretary
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
COMMONWEALTH OF MASSACHUSETTS
DErARrMENr OF INDUSTRIAL ACCIDENT'S
600 WASHINGTON STREET
_amen . :amooec BOSTON, MASSACHUSETTS 02111
ss'one- WORKERS, COMPENSATION INSURANCE AFFIDAVIT
CWC Builders, Inc.
I icenseei permittee)
with a principal place of business/residence ar:
7 w 7 7 A Newton- MA 1797 SQ
(City/State/Zip)
do hereby certify, under the pains and penalries of perjury, that:
x} I am an employer providing the following workers' compensation coverage for my employees working on this
job.
C23755576
Aetna Casua7tu & 4tr tv com inu
insurance Company Policy Number
j I am a sole proprietor and have no one working for me.
J J I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below
who have the following workers' compensarion insurance policies:
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
Name of Contractor Insurance Company/Policy Number
,J I am a homeowner performing all the work myself.
NOTE: Please be aware that while homeowners who employ persons to do maintenance,construction or repair work on a
cwclling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally
considered to be employers under the Workers' Compensation Act(GL C. 152,sect. 1(5)), application by a homeowoer for a license
or permit may evidence the legal status of an employer under the Workers' Compensation Act.
understand that a copy of this statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for coverage
,enfic2aon and that failure to secure covera¢e as reouired under Section 25A of MGL 152 can lead to the imposition of criminal penalties
constsung of a fine of up to 51500.00 and/or imprisonment of up to one yearand civil penalties in the form of a Stop Work Order and a
: nc of S 100.00 a day against mc.
4th August19 94
Signed this day of
CWC Builders, I ,
LicenseeiPermiaec Teren oung Licensor/Permirtor
In a=rdance with the provisions of MGL c 40. S 54. a condition of Building Permit
Number is that the debris resultine from this worK Snall be
disposed of in a property licensed solid waste disposal facility as defined by MGL c 111. S
150A.
The debris will be disposed of in:
Jet-A-way Disposal
47 Kemble Street
Roxbury, MA 02119
(Location of Fatality)
CWC Builders, Inc.
Sitmature of Permit Ao hmnt
Terence Young, Vice President
August 4, 1994
Date
WILLIS CORROON
July 19, 1994
Willis Corroon
Corporation of
Massachusetts
Salem Point Rental Properties Corp. Construction
Salem Harbor Community Industry
Development Corp. Division
50 Leavitt Street One Exeter Plaza
Salem, MA 01970
Baotou,MA 021162855
Telephone 617-437-6900
Fex 617-247-1211
Telex 94.0972
Dear Certificate Holder :
Enclosed is the Certificate of Insurance issued on behalf of
CWC Builders, Inc,
Should you have any questions please feel free to call.
Sincerely yours,
0
WillOis Corroop
�poration of Massachusetts
Enclosure
cc: CWC Builders, Inc.
The North River Insurance Company
United States Fire Insurance Company
Aetna Casualty S Surety Company
,a. .::.ss:'v'i:......,.:..^,.:qS,...::a:.....t ;.�. a,:.d.:,i>m.'.:;.k 188Ue OATH MA/OD/YY)
a�:�►sun. t 9 g
ono. • o C , .:. boV, � 3`
R< ???6 c {.! ..' .: Yr'�'a.VE. 'p1�►: .: y �('.:.,
xv<:.�nrxwcaoti2NYoR>Y' <?7.Sa''�. '?s.'si'CF sda2'.a•. V ' 19—J UL�1994
Willis
26736 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
WCorroon Corporation of Massachusetts CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
One Exeter Plaza DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Boston MA 02116 POLICIES BELOW.
(617) 437-6900 COMPANIES AFFORDING COVERAGE
- COMPANY The North River Insurance Company
LETTER A
Contact : Mary Ellen Alessi
INSURED ��R B United States Fire Insurance Company
CWC Builders, Ina COMPANY Aetna Casualty & Surety Company
7 Wells Avenue LETTER C
Newton MA 02159 COMPANY
LETTER D
COMPANY
LETTER E
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED 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 POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
CO
LTF TYPE OF INSURANCE POLICY NUMBER POLICYEFFECTIVE POLICY EXPIRATION LIMITS
DATE(M.1/DD/YY) DATE(MA/DD/YY)
GENERAL LIABILITY GENERAL AGGREGATE S 2,000,000
X COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ 1,000,000
CLAIMS MADE FX OCCUR. PERSONAL & ADV. INJURY $ 1,000,000
A OWNER'S & CONTRACTOR'S PROT. 5035151358 04-MAR-199 04-MAR-1995 EACH OCCURRENCE $ 1,000,000
FIRE DAMAGE (Any one fire) B 50,000
MED. EXPENSE(Any one erson B 5,000
AUTOMOBILE LIABILITY
COMBINED SINGLE
ANY AUTO LIMIT S 1,000,000
ALL OWNED AUTOS BODILY INJURY
X SCHEDULED AUTOS (Per person) S
B X HIRED AUTOS 1310272992 04—MAR-199 04—MAR-1995 BODILY INJURY r
X NON-OWNED AUTOS (Per ac.1dern)
GARAGE LIABILITY PROPERTY DAMAGE S
EXCESS LIABLLITY
EACH OCCURRENCE S 10,000,000
B X UMBRELLA FORM 5530108338 04-MAR-199 04-MAR-1995 AGGREGATE S 10,000,000
OTHER THAN UMBRELLA FORM
WORKER'S COMPENSATION STATUTORY LIMITS _
C AND C23755576 01-OCT-199301-OCT-1994 EACH ACCIDENT s 500,000
EMPLOYERS'LIABLLITY DISEASE-POLICY LIMIT $ 500,000
DISEASE-EACH EMPLOYEE 3 500,000
OTHER
DESCRIPTION OF OPERATIONSILOCATIONSIVENICLESISPECIAL ITEMS
THIS CERTIFICATE MAY BE RELIED UPON ONLY IF THE DESCRIPTION OF
OPERATIONS ATTACHMENT REFERRED TO HEREIN IS ATTACHED HERETO.
CER.TIFICAT6 HE�ItbffiR .. ... :r CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE
Salem Point Rental Properties Corp. ::EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO
Salem Harbor Community MAIL 30 DAYS WRITTEN NOTICE
TTOl�THHqE((����((EEAA))NN77JJFICATE HOLDER NAMED TO THE
Development Corp. :LEFT, BUT FAILURE TOS WCH�NO ICE'SHALL�S&VO OBLIGATION OR
T�„S Bwie�WaA�
50 Leavitt Street ::LIABILITY OF ANY KIND(41,�U1k'.t;O1vlPANY,Y73 k BOR REPRESENTATIVES.
Salem MA 01970 AUTHORIZED REPRESENTATIVE
Tly 4 G
ACCIRD 7t9AACORDCQ1iPORATfOpi1994
...............
ISSUE DATE(kW=/YY)
19-JUL-1994
PW K
WILLIS �T
-7—T-77,
ME MUNA .................
26736 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND
Willis Corroon Corporation of Massachusetts CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE
One Exeter Plaza DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE
Boston MA 02116 POLICIES BELOW.
(617) 437-6900 COMPANIES AFFORDING COVERAGE
CETTEOWRANY A The North River Insurance Company
L
Contact : Mary Ellen Alessi
COMPANY United States Fire Insurance Company
INSURED LETTER B
CWC Builders, Irm, COMPANY Aetna Casualty St Surety Company
7 Wells Avenue LETTER C
Newton MA 02159 COMPANY
LETTER D
COWANY
LETTER E
7
R..
*............
...... ........
THIS DESCRIPTION OF OPERATIONS ATTACHMENT MAY BE RELIED UPON ONLY IF THE CERTIFICATE
REFERRED TO HEREIN IS ATTACHED HERETO.
Certificate Holder : Salem Point Rental Properties Corp.
The Certificate Holder Is named as an Additional Insured on the captioned
General Liability Policy but only as respects work performed by the Named
Insured.
Rehabilitation of 44 Housing Units and 1 Commercial Unit
Wun.rs
.........
City of Salem vgard
c a
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCT106
IMPORTANT•Applicant to Compiwe ell Items M seakm:L A 04 IV.and IX.
1. AT ILO TMT 1 -7 ku e.r GE ! L&CE
LOCATION 10111
OF eETwEEN AND
BUILDING owNSTF49n -CFAUaRtan
LOT
SUBOMNON LOT_BLACK 812E
11. TYPE AND COST OF BUILDING•AN applicants complete Parts A-D
A TYPE OF IMPROVEMENT U. PROPOSED USe-FOR"OEM LMON-USE MOST RECENT USE
1 (3 New batan9 Rookkneum Noreem ardw
2 a Atltlleen Ia Md.0laear.e.a r member d ner 12 ❑ Cne imp I a Q "womm om rewamtr
Ram"waffi ammL d arty,m Parr D.19) t 9 ❑ CnnmlL anar wltgnta
t7 ❑ ofwar mm 4mrM•blld nymper�S 20 a IrtdtaaW
:l ❑ AeefN.On rSee 2 aeorer, d roma.._.-_........_ .....__ 1 21 Q PrNN6 Oaf
A �Rpee noueemere to❑ TranfwM rAML rrmNL or dorlerro" 22
• Q BerVms autmtr,nada 69rBp6
CAeltrtembinar UANA
❑
9 Q WncMrq rd RXrPNmrrrearerrae,arwtirrturmr 20 rpppl,etttlltltRd
of uaa m anMrq m Parr D. 121 1!t L .<...,w 24 ❑ Clem Oink tl w"e"al
c Q Mammp INlOCitrhRl 16 G :smart 25 Q PuWcuWY .
7 a Your ww my 26 a Sr9mil.I&".a am saimm mi
t7 ❑ filter•SPrtrdy 27 ❑ .91xve. calm M
B.OWNERSHIP 25 a Tuft WON%
5 nnww lut".011iL COlParator.l0rmmTh
*110.1e.l 29 [3 0"w- ICd►•SP
�memame,
9 a Publ IredasL Slift ar m01 qhs u m,
C.COST rOMa Cem -0 Nlmfoloom l-Otoofte m eerae aee09ee use at bUdauw&e.a.1= .0"
m.satea warm wzxwv Wift J at rn00A4.Nemwnw sena.asoaeterYeamal,aub"m
10. filet OI mmi0wmwm ....._.._.._.._. _ A q 3'0 00REr4Y1 111 ma.Pa"9—for deow"m mm of aRIal OV'dor6.am"6YIkw4
at mousirW sant.if 1 of Matm9 b%W"b Wing Wngee,ewer Praeew0 tw
ro be mnntao rwt A&MC44W
M me aaaYe COSI dil,
a ataetrtul...._..._.__._.._.....�__ ...••.
Heewn.air cc d, ............_......_................
a. Over,telewitw.e1e.1.........._..._.._._.....
It TOTAL COST OF(UPPOWMENT
III. SELECTED CHARACTERISTICS OF BUILDING • For new owldings ane additions. complete Parts E-L:demolition.
complete only Parts J A M. all others Ski t0 IV
E PRINCIPAL TYPE OF FRAME F. PRENypAL OF HEATINGEL I G. TYPE OF SEWAGE DISPOSAL 1. TYPE OF MECHANWAL
:0 � alaOaMY twaN oeerllall JS N � �PabaC M Freers WrnPamY Nd11he1e oe CenbN ab
'71 C�K.N 1 .6 a home Cil
r•RJ a t PmaIO tllptt Zink em.r A^artnnmol
72 Isvwwa also ]7 a EletlrlcaY it a ret 45 MA111
77 2a a Coal H. TYPE OF WATER SUPPLY will there 01,an ewemrr /
7.1 ❑ Other.30wor :9 0 other•soeedv 12 (9-1rubtlearonNraarnaanY lea Vee 47 e'1110
:J Q P.i.•w01v
Z 'd R[RgW,RO5 'ON XVd 9NiS u nd w3in wd 7.n: i unw 6R-i -env
a NunIm elm"�.__..s
M. DEMOLITION OF STRUCTURES:
,. muwd roar ane
m ""w Ifes ApprozN from Hlebrbd Commission peal rtresired
: 1°°" for ttnY etrw.bn oust fifty(b0)Yasms? Yee_ No__._
a mr taco m a n. Olg Soft Number
aimaem of OFFaTPEkT Iamtrarra erases Peet Control:
ei. to�awrr
HAVE THE FOLLOWING UTIUIIES BEEN DISCONNECTED?
Ybs No
tmsrrraeueotweow YYaler.- . •
x Muei�ra --_ Below.
lee1r01nr DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED
BEFORE A PERMIT CAN BE ISIM.
COMPLETE THE FOLLOWING:
Hidoria Diatr1U? Yea— Not 0 ymr,plseee enclose dom m wddlon from HIeL Cain)
Conservation Area? Yee_ No-!— (If Yea,please erroloea Order of Ctlrtd glom)
Has Fire PremitlIon approved and stamped Plane Of apPliwdorre7 Yea`� Nq_
le property bcated in the SRA district? Yea_ Nom...
Comply Wm ZoMreg? Yaa_ Not_ Of no.anobse Board of Appel d.debn)
Is tot grandlall Bred? Ysa__ .Nn_✓yes aubmk doarrtertlatbtlld rro submit Soap of Apoeal dedetort)
If new cormhtetim hast*proper R&AN Blip been enclosed? Yes— Ne_
Is AmhitecbnW Access Board approval required? Yes____ N4_ (t yes.slbn*domxansr l6.-e
Mssesohtmems state ConVaotor Lbenee* hp-3 t-6 s sdem Lkenae« 1 q y
!some Mlproveme l Contraetor s Honteownem Exa mpt farm III appMeeble) Yee— No_L:
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BLLDIN3 PERMIT
NSTRUCTION IS TO BE COMPLETED BY: ink If r4cummury,Bgg a "mit
IDENTIFICATION• To be completed by all MOlkants
Nnnr Mwyy Ad"m•Ak~aerw,m mW sew IIP C d* TeL Me
Sqt e�•. I�A2Aa tC O 5o t_e=AVi T•T ST P. O. Lox S 01970 7YS Boil
er a
SA e_cw. M/}
C v-1•t: 6Je%-nrus bw L 7 LaC-1.1--'> AL+6 02159 V7 fb5,216
SludwAA19 021 S t ro, 0o3rS5
14KT AecNl-rLc 35 Mt-0F04-* u?-77b-
;:" Sowle:+'LJ rem Ma o2t`f3 Tl9l
hereby caloN proposed work Is suawrized by the ower of reoad and amt I hats been authorized by aro owner to make this applosom
ea hie aUtllexRed and some to aaNamn to loam at this mien-
+mure mqq�����
tfArei/f'�S AJC )ll&-vrv.•l 414 02159
6 'd 8I6S46LBOS 'ON XVd ONISVHOM W8'IVS Wd II ;l NOW 46-I -OOV
DO NOT WRITE BELOW THIS LINE
VL VALIDATION
Rmrt�number �� Fon o rrt ouse or�r
swift
w.rrao
aarmeho,.d
Wel
Ceronc ats of Oooupency
Aw nywed
Drain nle $
Plan RWew Sw $
Trt1E
NOT!$AND OEM•(FOr deportment Use)
PERMIT TO BE MAILED TO:
DATE MARLED:
Const=ion to be staftd by, Comolated by. / S
[ 'd 816S66L80S 'ON M ONISVHOUd 'NHTVS W4 01 :Z NOW H-I -ORV
APPOINTMENT FOR FINAL' Salem FZ-te Department 1
INSPECTION MUST BE Fi-%e Pneven.LGon Bureau I APPOINTMENT FOR FINAL
MADE AT LEAST ONE WEEK 48 La4ayette Street INSPECTION MUST BE
Salem, Ma 01 970 MADE AT LEAST ONE WEEK
AHEAD-------------- — (5 0 8) 745-7777 AHEAD-....... _._
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
i
In accordance w.(th the Pxov-i-4ton-6 o4 the Ma,66ach"etti6 State Buttdi.ng Code
and the Salem F-vte Code, apPt--cat i,on t-6 hereby made 4or approval 04 pta.n,6
and the 46.6uance o4 a certi.4tcate o4 approval 4or a bu-i.P. ng pe�un-i.t by the
SaCem Ft-,Le Depa�ttment. (Re4. Sect.Zon 113. 3, M"-6. State Bldg. Code)
Job Location:
") A 172wCtc SKEET AGF T y?i'0
Owner/Occupant: V70 V, r" 2
EZectt Ltcae. Contractor: rm Z y
F.in.e SupprL"z i,on Cont-tactor: O A'�
S iyna tore 04 ` rn r
Appy-icant: ww(e� Phone #:
f0l?- 46s z8eo
Addrea.6 o4 City or
AppZ,�cant. 7 &Jt-1.1. S A JE Town:
Er.lTo^� I114
07-l"
Approva,2 date:
Certl4.l.cate o4 approvaZ t-6 her.eby granted, on approved ptan.6 or -6ubm-1 -tap-
o4 project detait-6, by the Salem Fixe Department. AtC pZan.6 cute approved
aoZety 4or identi.4tcation o4 type and Zocatton o4 44,ce protection dev4ce6
and equipment. AZZ pZan,6 cute zubject to approvaC 04 any other. authoa ty
having jun,i,6dZc .,.on. Upon comptet.Lon, the appZtcant or trwta22e�t(e) ahatt
neque-6t an -i.n,6pectZon and/o-% te-6t o4 the 4i-te pnotect.i,on dautcea and
equtpment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
O New constnuc t i,on.
0 Property Zocation hc-6 no compliance w.fth the p,,tov-i 6ton.6 04
Chapter. 148, Section 26 C/E, M. G. L. , r.etative to the
tnataZati.on o4 apptoved 4. ,te aCanm devtce-6. The ownet o4
thi-6 property tz requ,iAe-d to obtain comPt i,ance " a
condition o4 obta,indn.g a Su i.edi.ng Pe—
cm-it-Property Zocati,on tz -in compliance wdth the prou4,6-ion,6 o4
Chapter. 148, Section 26 C/E, M. G. L.
Expt,tati,on date:
��'J� Z�•r g e 9 Z
Fee Joe: unde--c 7 . 500 Sq. Ft. 00 d
. _'00 tea . Ft_ j" -0-..7 00
YI
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision of Section 113.5 of the Massachusetts
State Building Code, and under guidelines agreed upon by the Salem Bldg. \ .
Inspector and the Salem Fire Chief, the applicant for a building permit
shall obtain the Certificate of Approval (see reverse side) and stamped
plan approval from the Salem Fire Prevention Bureau.
Said application and approval is required before a building permit may be _J w
issued. The Massachusetts State Building Code requires compliance z 3
approval of the Salem Fire Department, with reference to provisions of a: m w
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts z H p
General Laws, and 527 Code of Massachusetts Regulations. =) �-
U
The applicant shall submit this application with three (3) sets of plans, o
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire P F- '•
Department. This applies for all new construction, substantial o w w
alterations, change of use and/or occupancy, and any other approvals a
required by the Massachusetts General Laws, and the Salem Fire Code. a z ¢
Exception: Plans will not be required for structural work when the
proposed work to be performed under the building permit will
not, in the opinion of the Building Inspector, require a
plan to show the nature and character of the work to be
performed.
Notice: Plans are normally required for fire suppression systems,
fire alarm systems, tank installations, and Fire Code
requirements.
Under the provisions of Article 22 of the Massachusetts State Building
Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, Appendix T, and Tables applicable
shall apply. This section shall not, however, supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
148, MGL, or 527 Code of Massachusetts Regulations. All permits for
fire code use and/or occupancy shall apply for the entire structure;
fire alarm and/or smoke detector installation shall apply to the
entire structure based upon current requirements as per Laws and/or
Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
S FOR FINAL `,
BE
Form 81X (10/90) SMENT FOR 6E Fi- APPLE j�N MOSONE VJ6EK
APP�e t10N MOSONE WEEK INpDE AT �S....
1Mp0E AS �EASS ANFpD...."..._..
pNEpD..
tatty of Salem Ward
s a
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTIO:
!IMPORTANT-App*&W to comoleM AN now in"comm-1.fl. Ul,IV.and 1X.
u L•1
i. AT(LocastGHl Z Pal N CE L.A CF
LOCATION M0A ' z
13
OF SEPNEEN AND
BUILDING Um PRO alsacn
SUBDIVISION LOT 6LOCM 8OT
RE
11. TYPE AND COST OF BUILDING -All applicants complain Parts A-D
A TYPE OF WPROVEMiMr O. PROPOSED USE-FOR"DEMOLITION"USE MOST RECENT USE
1 ❑ Now aralwn RaaNwttlw NdiraamprW
2 ❑ AddM onto art~bw.~owner of nAr !2 Q orw ra" 1 a a Allearrimm nwamrr
aau"tuuw addad.d"w,n mfr D.12) 19 Q C.hmm odor""pl lw
t] �TW mmom taRWN•EeaS mm�ew
:7 �Q�Aauaron e6ee a aEerard uMa................... ..A3.Br1. ... 20 Q Irttllaleop
A L� Aeow rahYGRlant 14 21 Q t�/MM60afa0a '
FAWI rn hew!.molal m dermdarY• 22 Q Sod weaam raear"We
EdlMmmfOMaf reldr
23 Q
9 Q Yhaehaq N rtarNafrarraYarrax wwr/laerthar ralaaaal,awohalorlw '
of anis M hundwv n Part O. 121 lit .ar.ne 24 Q O"im bank mataaaaim
v Q Mmvivim ruttr 16 G ,jarow 25 Q PuWlhwldY .
% Q Ibunoam.my 26 Q School.Idllary,00tar a°IIaaIIla11Y
t 7 ❑ Otlw•sasadY 27- ❑ slmaa,lairm ala
B.OWNF�ISHIP 2a Q lV*&ww"
6 °fluor twwaolia coraoralalrt.ntllomm 29 Q paw-SmodY
inaaharell.stet
9 Q Puhlc rFedwal,Sleta m lest aormllrltwlt
C.COST 'Gine Cdrrgl N""'w".Oeaeriha m nasi!omaard tw at budirin"a.a.1000 Pmvaaat0ldara,
eriapraew area.laewM Oyft"as nowM iawnwiwry sofwx eamrarY sandal,mdiaaa,
10. Coal at maraft wit mmmial Weak aadlp'0 qua"for r1e0aM1aa Mm raft aMke"Adit awl!'01tiMlYig
at alatwtrta Gare M up d eAatmy hulobla q sera dNnged,enb tnepa�d uw
:a a aiawdro Def IwrAlaalOad
.n ma atoYa,=:
a Eleahal_..........
_.__.__._��___........ SOO
1. Hptma.air cc 0 amna .........._._...__._............... w
a. Oawr relew+m.W-1................. I
11 TOTAL COST OF IMPROVEMENT a ZOO
111. SELECTED CHARACTERISTICS OF BUILDING •For new buildings and additions. complete Parts E .L:demolition.
complete only Parts J A M. all others skip to IV
E PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATMG PUEL G. TYPE OF SEWAGE DISPOSAL 1. TYPE OF MECHANICAL
:h Q Mawmv Iwp deems! JS a1ra. 40 publC m mhgta GOIadMY 'Ndl!Mara tw CMttrw ab
'31 er-Nodd hems 2A Q Oil .1 Pmaw iaepha fanrl efet .andawndgt
u Q swans!sow 37 Q ONVia lY 4 t Q Yes 49 &A*
72 C3 Reatreirad eerr+em 38 Q cow H. TYPE OF WATER SUPPLY ale lhare oY art awMPn
1J Q Otrw-seedy :9 Qwr
Ot •scwdv A2 htlo marnara mirtPalrY All Q Yes 4'l,
❑ P.irWe Ivw1L einan.r
7 .� AIfiS4b1.A0A ON Xtl.d ?INISV i nd mfr wa 7.n: T Nnw bF—T -qnv
M. DEMOU ION OF STRUC>U M:
low a swan
x netis b4i°°"wr al Omr s,.a Ho Appnvwl from Hlabrloel Carimiedon been raceined
0 + — I for finY efeul. a ser fMY(60)Years? Yeti No
a mr aro rM ra ti Db Soft Number
AWM of OarNIME r►MW=Wk%CM Poet Control:
HAVE THE FOLLOWING UnI ffIEB BEEN DIBCONNECiED?
its No
+merrouwlaaosa,ar UMar.-
a r5rle..e 13e0trM
Oat.
x lot
w— — Sseer:
awlw" DOCUMENTATION FOR THE'ASOVE MUST BE ATTACHED
aem BEFORE A PERMfr CAN BE MULSI .
COMPLETE THE FOLLOWING:
Historic Oleb Yee No_ of Yew pleew ertdoee doaanandlon from Mist Caabi
Comervilfim Ares? Yee— (If Yee.plewe anoloea Older of COndltlone)
Has Fre Preva tin approved and slumped plain or applieftris? Y".L N4_
Is property located in the S.A.A.d(ubW Yes__ No_
ca n*With Ztx+W rea��N� of no,widow Bond of Appeal dedslon)
Is lot grandbMwrsdl Vws_ .No_�Yew aubndt doamrnfallonfd rw surAbrBard of APoW daeklon)
If new corminatiom has the paper RMWM Slip been enc9wW Yee_ No-L
iw NrrlNtactrad Aarxiee Saeid approwl roqutred? Yee__._ NEz (M Yaw submit doorawnfr,.-'
MeessehusW Stals CW*moler Lorww no 31 SS S� Sclero Lkerw N 121Q
Homehrlpfomvmv Contractors HomsorerreExrnotform/aspolkable) Yea_ No.
CONSTRUCTION TO BE COMMENCED WHIN SIX(8)MONTHS OF ISSUANCE OF KLDING PERMfT
;WRUCTION IS TO BE COMPLETED BY: `� �� h� to spewed Plans e.
IDENTWICATM• To be completed by all apolkenrs
nrnr M""rdsr•N~u ar.Nws vocea TEL Nn
SA�cwNAQAo.-CD 5a LEAvirr ST Q. dox S_ 0 19770 7YS-SD71
na
S A cvK M A-
c-W-C- L3j,LA L- s I L 7 c.j E1 r—S A UL o2J59 4r7 ?65'2"
AA19 ozr S ySmaw,; oo3185
14KT A¢C14/76C7S 35 lA F0PoA-r3
he,ebr Mft QV0P0ed work Is MAholt=ew by lrfe owner d tl- and that I haw been sLowi wd by fM owner to make this OPpa0elien
u his wwla ued 094M aril lee to 0Wl0rin to At smd=m We of 1Poe b1129011M
Nature of Addreo 400,1_c Ade fJEvtOW ""lA 02155 "0g°dwm�
'd 816S46LOOS 'ON XVd ONISMEd WaIVS Wd 11 :1 NOW 66-I -HY
DO NOT WRITE BELOW THIS LINE
YL VALIDATION
BuNdPamnumber `3 S' 99 Fon D ENT USE war
IltdkftU"�
Pwmit W.Dw �� 19FWfl
�� -
cererg"of 000trpettcy s AowWANd { "
I'
Drain Tile a
Plan Aenew 1=ee a
NOT!$AND DM-(For deaaMWR tuts)
PERMIT TO BE MAILED TO:
DATE MA LED:
Cantor W to be started by. j Z Completed bY.
f d 816966L80S 'ON XVd 9NISVHONIld WHIVS Wd 01 :Z NOW 66-1 —9ffV
Salem F.i ce Depanzment
APPOINTMENT FOR FINAL Fie Paevent.Zon Bweeau
INSPECTION MUST BE 48 La4ayette Stteet APPOINTMENT FOR FINAL
MADE AT LEAST ONE WEEK Saeem, Ma 01970 INSPECTION MUST BE
AHEAD.---------------------------------- (508) 745-7777 MADE AT LEAST ONE WEEK
AHEAD
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In acco,cdxmce w4:.t1z the p,Lov.-atonb o4 the Ma."achu,6ett.e State Buttding Cuda
and the Salem F-c-%e Code, appt ca .Zon 4.6 heaeby made 4o2 app,covat o4 ptan 6
and the 44.611ance o4 a ee-%tL4tcate o4 app,covaZ 4o,c a bu.i.ed.Lng pe,Lm.it by the
Sa.eem Fi�ce Department. (Re4. Section 113. 3, M"-6. State B4d.g. Code)
Job Loca .Zon: 7G p2i ice STItEE'f R-ACk
Owner./Occupant: 5.1 L. PAot40fe C- b
EeectAtcae Cont�racto,c:
F.i,ce Suppne.6.6.4on Cont,Lacton.:
S.i.gna twee 04 qo
APpt.cant: 1 ��YS 002 Phone #: 6/7- oS- ZgCO
Add,Leee o4 �FqT�0 ? C.Lty o't
Appttcant: 7 WELLS ALJF �cy >G 0" Town: 1J mw
To,J /r9A
T '
APPnOVaE date:
Ce4ti4,4"te 04 aPp,covaZ 44 he reby 94anted, on app-coved ptan6 on 6ubm4_6tat
04 p,coject deta,i.e6, by the Salem Fi re Depaatment. AZC ptane ane approved
40.ZeZy 4o'L -identL4.i.c&*_4o c o4 type and .2ocatLon o4 4. a p,cotecti.on devtc"
and equipment. Att Plan- ane .6ubjeet to app,covaZ 04 any other authon,Lty
having jun.1.6d.lct.Zon. Upon eampZet 0n, the app.CEcant 0& 1n6ta22ea(.6) 4haU
nequ"t an ZrwpeetGon and/on teat 04 the 44' a p,eoteeti.on devtme.e and
equ,LpmeLt. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
L—I New corwtAUC-t Lon.
0 Paope,rty .Zocati,on ha-6 no compZtance with .the p,covt4ton6 04
Chaptea 148, SeetLok 26 CIE, M.G. L. , ,ceea#.i.ve to the
Ln.6tatati.on o4 approved 44,%e aZaAm devdee6. The ownet o4
thi.6 Paope. ty .L6 4equZ4.ed to obtain eompR.i.ance as a
condi tion o4 obtatntng a Buttd i.ng Pe'%mr t.
-Property-8.oca .Lon 4a .Ln comp.ZLanee with the p,cov44ton6 a4
Chapter. 148, SeetLon 26 CIE, M. G. L.
Expt4atZon date: s
w i
S.Lgnatux i cca2
Fee due: unde,L 7, 500 Sq. Ft.
7 , 500 Sq. Ft. on ea tiger - $25. 00 Form #81 (Rev. ! 0190 )
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision of Section 113.5 of the Massachusetts
State Building Code, and under guidelines agreed upon by the Salem Bldg.
Inspector and the Salem Fire Chief, the applicant for a building permit
shall obtain the Certificate of Approval (see reverse side) and stamped
plan approval from the Salem Fire Prevention Bureau.
Said application and approval is required before a building permit may be
issued. The Massachusetts State Building Code requires compliance
approval of the Salem Fire Department, with reference to provisions of
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts
General Laws, and 527 Code of Massachusetts Regulations.
The applicant shall submit this application with three (3) sets of plans,
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire
Department. This applies for all new construction, substantial
alterations, change of use and/or occupancy, and any other approvals
required by the Massachusetts General Laws, and the Salem Fire Code.
Y
Exception: Plans will not be required for structural work when the z l
proposed work to be performed under the building permit will m
not, in the opinion of the Building Inspector, require a z
plan to show the nature and character of the work to be 0 C") 0
performed. i '
z
Notice: Plans are normally required for fire suppression systems, F-LU Z
o ¢ j
fire alarm systems, tank installations, and Fire Code z < a
requirements. a s
Under the provisions of Article 22 of the Massachusetts State Building
Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, Appendix T, and Tables applicable
shall apply. This section sball not, however; supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
148, MGL, or 527 Code of Massachusetts Regulations. All permits for
fire code use and/or occupancy shall apply for the entire structure;
fire alarm and/or smoke detector installation shall apply to the
entire structure based upon current requirements as per Laws and/or
Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
APPOINTMENT FOR Fl;4';ti
Form 81% (10/90) INSPECTION MUST BE
MADE AT LEAST ONE WEEK
AHEAD
No Clay of Salem Ware)
a' s to
r e
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCT101
IMPORTANT-AQP*n n'to ca nolsro AN Mwe M eeakwm-i if. D4 IV.and M
I. ATtLOCATIOM _ `f ISR INCra PL AcE " p"
LOCATION NO1
OF BETWEEN AND
BUILDING O1066 eT04911 CNN'peri
LOT
SUBOM610N LOT BLOCK Sw
It. TYPE AND COST OF RUILDWG -All applicants complete Parts A-D
A. rYPE OF IMPRo fflMSWT o. PROPOaeD use.FOR"DEMOLITION"USE MOST RECENT USE
e Q New aa+afte Ifeeederrdid mmwa&K aMlef
2 Q Aaentenmm4arnfw.. a.M na..an.. Q arrow to Q wmw�f�nLncamr
nWaMa=11 Saeed.All arty,n Pen A Es) of 190
CaferOR Bate ntt9fotr
u L� w n as fans p• dr rnPnOar
7 Q AeerNOn rSee 2 Seem of urns.._...,_........ I.IA'rIIZ.S 2001
4 0 AVOW l40YpmeN 14 Q hfNrM hath,jinn wtl01m001Y- 21 Q fMMMCanim
EIMMnNtteeref ohms a ❑ Bantae naw%mpwowaa .
5 ❑ » Q ,.o.�at,.em�a�,e .
of urod vt WndsM In Paq b. Is! t •tr.ne 24 Q OMtas.bartk welent el
c ❑ Movwq volocationi t21"! IAS 25 Q PuGiC UMy .
r Q Ston PAY LJ ¢a (] saaot tmmy.Duro�autagnr
+Y ❑ other.sPPPyt, 27 stores.noreanme
0.OWNE SMIS ze Q lhift lowers
8 UliftVAS WO-Oual Corac atan.nanptEm2913 _sPlCth
�namften,ea.l
a Q Pub4e fFedwel,Slate,w bot 974 mWS
C.COST 'Onto ew"i KMAMSraaf"•Dowr w et Bede omwere use of buildings.&Q.loon faeoeaaap Diem
mapMat e1OM WBXPV Ouneug Q ftaa04Y.OW MInW saMaf,asoomO v oond4 aea4a%
to. Coes at i nbtowinern _... — $ Z SI+O ppleanW flMlaae.PeRattq Walla tw eaoeertem cede.remtl Rake e>unmq,aces bdklYttl
et uefuabet taarte M use of eaatoq f>•nl'OVt9 M fiCeO anerM]Otl.trrn,r wapeewf w
ra a NrIwOWf fOr+riC4raeP
,n On above cast I,SOO
a reheabral.......
e. H,Muta.air cameaviana ........... ...............
a. Oarr .rale.aOr.stet......... µ
tt TOTAL COST OF IMPROVEMENT S 1000
III. SELECTED CHARACTERISTICS OF BUILDING -For new buildings ana additions, complete Palls E .L:demotitibn,
complete only Parts J A M. an others skip to IV
E PRINCIPAL TVP!OF FRAME F. RIPICUML TYPE OF HEATINO FUEL 1 G. TYPE OF SEWAGE DISPOSAL 1. TYPE OF MECHANICAL
:O C] Mauam fwaa blenrlat J5 QR;aa 40 �,+bfif:w Iu+vate ramaenY 'NO there be 4 w"M air
'It �Atwl hal m Q oil .t Q PnvaM tsepuc rook ete.t :endatonu,ei
72 0 Stnteturet SOO .37 C] Electrical,cal, L Yee 45 eNNO
Ts (� R aPTa 3a Q Coal H. TYPE OF WATER SUPPLY will taus cy an wwdn
14 Q OtMf-sawlW :9 Q Otter•SaeCW 12 arpuhee w omed aompany 44 Q yes 4?
v 0 w:wte,wlL pclemt
7 ',1 ATFGBfi qnQ nm YVd t1NTCVA'IAn,I WglVC NJ 7n ' 1 unN T,p_1 _AnN
M. DEMOUTION OF STRUCTURES:
ANu aw of roar
a. for ww+re d roar aha Has Awraval from MMtft d Conm istlon peso nw&vw
fCr spy sirum r!am fifty(Ifo)Vtrete? Yes,_ Nom
a tar rro ram ra ti DTp sea Number
wNssa os ow-sTn y tvua0eo ttrr M Peet Control:
ei. Firaeaw
HAVE THE FOLLOV1mNG UTILITIES BEEN DISCONNECTED?
Ybe NO
430110MILsteuterasorav VYaler
A ErAhaw ®sotria
;~ IiadYa
w_ Seater:
blftve r oar DOCUMENTATION FOR THE AWA MUST BE ATTACHED
BEFORE A PERMTT CAN BE NWJM
COMPLETE THE FOLLOWNG:
HwAria Dietrlet? Yea.-_ Na. (It 1m ON"endOM dwmwitd m fmm Wet 6o1L)
CAmerva*M Area? Yee_ Na._ (U Vft please enoloes Order of Condlikim?
Has Fire Prevention am"ved entl slis i I plane or applications? Ye Na_
is VMWW 100111001 m the SAA dfemw Yee_ NO
campty whh zatrq'J Yee��NO__ of no.atrtiow BOW of Aptped dscislott►
IS 101 wararanwrmt? Yea_ .Nra_✓�011 Vee.Submit d==wmentdla,re his.submit Swd of Appeal decisim)
If new own&UOtion,hag Ute proper Routft Slip been endoeed? Yea._ Nem
is ArchsecturW Access Board approval nqulnd? Yn— N4_ (If Vw.submit dowAnwftu.-'
MessedtueMeg Sit*Corrtr1101W Lioenes s no 3145 S7 Som Litems N
!IOtrte kM ave w Cannctor• !I.'� Homeowners Exemol Ilam N ePPIC") Yee_ No_�J
CONSTRUCTION TO SE COMMENCED WITHIN FAX(8)MONTHS OF ISSUANCE OF BUILD 0 PERMIT
WSTRIJCTION IS TO BE COMPLETED BY: C� Nan�wa ne0�'smiar of8��it
IDENTP CATTON• To be completed by all sppNOantS
war MI&V adeGw•Ak~aaac OY.rwrs ap coat Tr as
SgLtw. NAeAa+t.C-b 5v i-a-AvrT'f Sr p. 6ox $ 01970 '7yf-8071
�a
t 5 A r—cw%. M A-
c-Li-cu)L-trsl L -7wA.jc 02/59 W? f(PSzw
"" tjel'jTo^-� AA19 o7-IS M,, 0o31SS
14KT Ao-cNYrcc-rs 35 Me'UPOO-fO Gr1-77b-
;;,� St>wte+ti,j Irk M4 ca-113 1,91
hereby CeftlfY Mopcow work Is natattua by the owner d reCao and that en a 1 have bedr4rfted by the owner to mom thisapalcon
Lghis aurharriedOcw and Tee to mrdortn J10811 tor.of Ibis talon
)CUM Of Addr.o!taA�j�u 5 A,� 1ll�rto.r 44A orts5 "0$elbemoa
£ 'd
9I6S66L80S ON X013 ONISMUd W31YS Wd 11 :1 NOW 66-I -HY
DO NOT WRITE BELOW THIS LINE
VL VALIDATIONBWidbV
2
Perri number
nd umber J ROn oEPMarMpvr u9E datr
u~C
l 95�
Permit ermk iawwd Fka CA
auift
cw meaa of Ooouparlcy a Appeou� raw
Drain Tile $
Plan Review Fee $
iFFLF
HOTS AND DM•(Por deportment uee)
PERMIT TO BE MAILED TO:
DATE MAILED:
Conetnxiion to be started by. j completed by. C J/
[ 'd 8I6S64L80S 'ON M ONISUMad W3"IVS Wd OI :Z NOW 66-I -OIlV
Salem F.�,ze Depar toren t
F,i.%e P�tevent.Zon Bwteau
48 La4ayette Street
Sateen, Ma 01970
(508) 745-7777
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accordance w4th the pnovZ-6Zon6 o4 the M"-6achu 6ett,6 State SuLt-d my Coda
and the Sa,2em F-Lte Code, app.PLaatton ins he-j eby made 402 appnovaQ ob ptan4
and the 4(.64uance o4 a certi6.Lcate o4 appr.ovaZ 4o�L a butZd.Lng permit by the
SaCem F.iAe Depa-Wnent. (Re4. Section 113. 3, Maw-6. State SZdg. Code)
Job Loc ;t-Lon: '7 D P2)..jC.t STe-reR ACZ
Ownevi/Occupant: SAL. C. J• C
ECeet,.Lcat Cont tactor.:
F-ivte Supp-t"4,Lon Cordactor.:
S.ignatwte o4
Applicant: 41A. Phone #: 6fi-96S'ZBOv
Add t"4 04 Ctty on
Appt.Lcant. -T vi Town: X70^) MA
02,1
Approval date:
Centi.4.Leate o4 appnovaC Zz hereby granted, on approved ptanb on hubmZt-tat
04 p�Loject de :a-LU, by the Satem F.vte Department. AZ2 ptan-6 an.e approved
.SoZeCy 402 -i.denti,¢i.eat.Zon o4 type and Zoeation o4 ¢vLe pnotect.Zon devtcez
and equ.Zpment. AZ2 pZam4 cute .6ubjeet to appiLovaC o4 any other authon.i ty
havLng ju4,i,6dZctLon. Upon eomptet.i.on, the apptLcant or. t"taPte�L(.6) -6hatt.
nequ"t an -in,6peettion and/o,% teat o4 the 4t4e pr.otect.Zon devtce4 and
equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
0 New eon6truction.
P&opehty location ha-6 no compZLance with the pnov.i,6.i.onz o4
Chaptea 148, Section 26 C/E, M. G. L. , retatf.ve to the
srwta2atLon o4 app�toved 4-L4e aQ.a,%m dev-icee. The owner o6
th,44 pnope, ty t-6 ,Lequ-L�Led to obtaLn compt i.anee an a
condi ion o4 obta,inLng a Bu Zdtng Perm-&t.
Pr.operty ZocatLon t4 4n compZLance with, the pr.ovt,6ton.6 o6
Chapter. 148, Section 26 C/E, M. G. L.
Expt,tation date:
nature o
Fee due: under. 7 , 500 Sq. Ft. - -
7 . 500 Sq. Ft. on Eazger - $25. 00 Form 1181 (Rev. .10/90)
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision of Section 113.5 of the Massachusetts
State Building Code, and under guidelines agreed upon by the Salem Bldg.
Inspector and the Salem Fire Chief, the applicant for a building permit
shall obtain the Certificate of Approval (see reverse side) and stamped
plan approval from the Salem Fire Prevention Bureau.
Said application and approval is required before a building permit may be
issued. The Massachusetts State Building Code requires compliance
approval of the Salem Fire Department, with reference to provisions of
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts
General Laws, and 527 Code of Massachusetts Regulations.
The applicant shall submit this application with three (3) sets of plans,
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire
Department. This applies for all new construction, substantial
alterations, change of use and/or occupancy, and any other approvals
required by the Massachusetts General Laws, and the Salem Fire Code.
Exception: Plans will not be required for structural work when the
proposed work to be performed under the building permit will
not, in the opinion of the Building Inspector, require a
plan to show the nature and character of the work to be
performed.
Notice: Plans are normally required for fire suppression systems,
fire alarm systems, tank installations, and Fire Code
requirements.
Under the provisions of Article 22 of the Massachusetts State Building
Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, Appendix T, and Tables applicable
shall apply. This section shall not, however, supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
148, MGL, or 527 Code of Massachusetts Regulations. All permits for
fire code use and/or occupancy shall apply for the entire structure;
fire alarm and/or smoke detector installation shall apply to the
entire structure based upon current requirements as per Laws and/or
Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
Form 81X (10/90)
cov 311p# 188
y (situ of $alrm, flussttchusrA"
Wry
t�
DECISION ON THE PETITION-OF-SALEM-HARBOR COMMUNITY DEVELOPMENT
CORP. FOR VARIANCES AT 1_16 PRINCE-ST REET PLACE (R-�)
A hearing on this petition was held March 16, 1988 with the following Board Members
present: Peter Strout, Acting Chairman; Richard Bencal, Secretary, Messrs. ,
Luzinski and LaBrecque. 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.
Petitioner, owner of the property, is requesting Variances to allow reconfiguration
of four lots into two lots allowing two buildings on one lot in this R-3 zone.
The Variance which has been requested may be granted upon a finding by 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 involve
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 and after viewing
the plans submitted at the hearing, makes the following findings of fact:
1 . No one spoke in opposition to the plan;
2. Several people spoke in favor;
3. The relief requested is needed by the petitioner, a non-profit
private corporation, to provide upgraded low and moderate income
housing.
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 and circumstances exist which affect this lot
and do not generally affect the district;
2. The Variance requested can be granted without substantial detriment
to the public good and without substantially derogating from the
intent of the district or the purpose of the Ordinance.
DECISION ON THE PETITION 0: SALEM H.AREC'F. CO',,24UNITY DEVELOPMIE['T
CORP. FOR VARIANCES AT 1-16 PRINCE ST. PLACE, SALE!;
page two
Therefore, the Zoning Board of Appeal voted unanimously, 4-0, to grant the
relief requested, subject to the following conditions:
1 . Petitioner comply with the Salem Fire Dept. regulations
relative to smoke and fire safety;
2. All construction to be done per all existing City and State
Building Codes;
3. No new building to be constructed on site;
4. Eighteen (18) marked parking spaces on Prince Street Place
to be used exclusively by residents of 1-16 Prince St. Place
and may not be used by anyone else.
GRANTED /
Richard A. Bencal, Secretary
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
F
is
I
- .-• 1:� � -. lir-.'.
sc a c;
(A
va y City of Salem Ward
Q,4=w
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTIOt
SNPORTAW•Applin to Complete all Nems M seet/wrs_1. 14 Ui,IV,and 1X.
1. AT(LOCAT10N1 ct-IS 1?21taCx R-A l.E a le
LOCATION NO1Mw
OF BETWEEN AND
BUILDING 411M Man
SUSOM&ONLOT
LOT BLOCII SIZE
11. TYPE AND COST OF SCALDING •All applloanta complain Parts A-D
A. TYPE OF MAPROVEMaNT O. PROPOSED USE-FOR"DEMOLITION"USE MOST RECENT USE
1 Q New bu"M PwlawrtNl Nmwamiow w
2 ❑ AatlMMnranerawlaw..arrwmP.ranor 12 ❑ Orieta.nM 1a Q Amfreenleltcrecwehot,r
nauwag urate aoaes.a"W,,n am O. 13) t] �Tw a mmeRr 19 Q ChnaR cow mgmlla
3 Q AHM do,&,,2 atonal d arab.. .A.GaL_ 2D Q 11d,abol
16 T
1 T- IIl Q Panna gorses
A Lel +�aPel NhYaMletC Q raMwlh 11e0Y.rt1aW.Of EhfmtlPry' 22 Q EminOs aHWr4 lePY OMO
F�ltarrepnONa M,rm Q
5 Q wtehnaaallsrefalrYrreaaermaLmtaanev » whhldLala§hAlwlel
a aMp a&Jddmf M Part D. 131 1!. I •tlr
2413W"bank.a VMi M
o Q MPYnafn ocatwru ,9 Q ,arhhN IIs Q FuNCuwAY
T ❑ roar tlwMn Pray
260 St91ow.1011111Y.WW e0AM101leII
17 Q Otho..Snead' 27 ❑ swine mmoma l
S.OWNERSHIP
nonamIll
a �rlvwe talamauAL Wrvramoa 20 Q Terata,towers
�Aetalafwl.emt 29 Q oew-spec*
9 Q Pubnc 1FedseL Sletq a lra gats a all
C.COST rLLM Cantel AMNe>oaenaw.OHar1b0 n eM O Prang w ass of burned6 mg.mea plhheeeep a"
mltgnrs weo,wArim tuft"a h=oMIL awnwaerY er�aPl,eeaarareryrsatPal,aseaw.
10. caw of ureraaameM ___...��� _ $ Pj o lt I °P'Owm1C100L s far 00p"°"ai1 zWm mnUd WrkM w+me9.sans hldrlY a
et uMtamMl trim.M uas d eeatm9 alAfdn9 a aet9 Wngeo.enter propanes ew
Ruffibinq
i.
ra N sltrleMW1 rrarncertlp
.n Urn sows cost C
Heatllla.air canoalonrno .................................
a. OMa relevy .Ml...._._...._..._.-.....___..� p.
11 TOTAL COST OF 1MPPOWMENT S I$$
III. SELECTED CHARACTERISTICS OF BUILDING •For new,buildings ana additions. complete Parrs E .L:demolition.
complete only Parts J A M. all others skip to IV
I- PRINCIPAL TYPE OF FRAME F, PRINCIPAL TYPE OF MEATWO FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL
!a Q MaePMY Iwaa Pewrelgl J5 CR-63 AO S?Pumie or pmraM CamnanY will there bs d ab
11 d�Nam hams !a Q :andfiCA ?
Oil -1 Q PrnraM ltepue rank ae.l ry
72 aftwiral anew 37 Q ElsaxaY 44 Q Yes 45 Tp M
13 a ReMMrees m=M 38 Q Coal H. TYPE OF WATER SUPPLY will mere ov an ow.emn
'.4 Q Otilw-sawdi, 19 Cl Clew-sasaav A2 CB-PrubduararrrmmmusnY aA Q Ws A7
C3a.arere iwW,oicbmr
Z 'd RIRM/Eq 'ON AV.d 9NIMINOri W91V9 Wd 7.0 : 1 NOW K-1 -l)nV
°"e110N' M. DEMOLITION OF STRUCTURES:
wnwraarA
ipa Aov.bond
M hMs Aoaow ham til. Commission bean reeeiv
L Amt bmrtl�as
fata�ly>tftW.411a Ovar filly(S0)Ya ? Yae_ No—
Tam ono era Aa rM1. Dib Selo Number
waroeAosaaamm�r ruwro erases Pad Canbd:
e,. t,ekAAa
HAVE THE FOLLOMW UTILITIES OEM DISCONNECTED?
'z °"'°°°" HAVE
No
amemaL taeuxoms car YMrer:. .. .. . • .
A &wwwd 67eob�m'
t3tgc.
Morava ra Sawsr
arrear+
pow SWORE
FOR THE'ABOW MUST BE ATTACHED
BEFORE A PERMIT CAN BE ISSUED.
COMPLETE 711E FOLLOWL 0:
KMWic Diatrlm? Yea__ No_ (M yes,plem errrJost doaatrrdetlon from MMA Cam.)
c etiat Arae? Yaa— Nom (ft VOL Plea w m w order of Canauau)
Has Fire Prevention approved NXI stamped Plena or applicatiotm? Ye NtL_
is pw"bCated in the SRA.dWkW Yee__
comely wtih za+W YssL`-'Nat__ of no.wmbn Baud of ADOW de claim)
Is Id grandMbr.r.d? Yaa_ .Nm (if Yes.submlt domnowmaonfif no.submit Swd of APosel deal.lan)
If new woe.has the Proper Pooling Slip boon ondoaad? Yes_ Ne-11Z
Is ArdNfacooW Acca Sawd spproval rogldrod? Yp__ Na__ (M Yes.submit dowAnwriew,
Meseschueatle SMEs Captive r Llmnse• eso 31$ 57 Sdem Lbw N
to hnProvernsnt Caraat.•Eor aT ` Homsowrrre Faemot foam 1M ePPNeebls) Yee_ No—,—�
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BU ILDIM PERMIT
ftn
NSTRUCTION IS TO BE COMPLETED BY: `� In " thawlex M fleowe of BuM submit
IDENTIFICATION• To be completed by all applicants
PWir Marty WOM•M~Igen a Yro CPO► Td Mn
SALe�l NA"e -C-D 5v c-CAvr T-r Sr P. O. 6ox S o Mo 7YS 9671
ra
SA L-c"% M A-
r_•uJ•G ajiLntrwa I L -1 wA rc ous9 u7 415,296
tjE-•.j-ro^-� AA 19 oZr S t (p, 003r8S
f1K7 AQcNrrcc-r$ 35 MtFi0P0x-(3 �-�`-
;:" Sornrrt� Iw= M!} ort`13 7l 91
heroby Cot* ProPcaad WOrk la atrstart ild by ft PMnw d reead and that i have been aWrdrad by aro owner to make alb aPasOabon
13 ab"oned ane Tea to car4mm to 00 mea at fts Jolodellorl.
an,roa ' rwa /JtgE7rS 106 IJtvMIl AqA 02-ts9
E 'd 8[6S66L80S 'ON M ONISYHOM W07YS Wd [ [ :Z NOW 66-[ -0fIY
DO NOT WRITE BELOW THIS LINE
Vb VALIDATION
B rmit number FOR DEPARTW Errr UM prey
PPermitn
Suldlig;
Permit issued usefJ
Fie Ondrq
Permit Fee S U
Cermcals of Oooupsm s Approved
Drain Tile a
Flea Review Fee a
IrFLJE
NOTO AND Deft•(For deAamnenf use)
V
PERMIT TO BE MAILED TO:
DATE MAILED:
Constnroiion to be started by. �Z Completed by / /C S
[ 'd 8I6566L805 ON %dd ONISVHOM W31VS Nd 01 :Z NOW 66-1 -J(Itl
Salem Fite Depan tment.
APPOINTMENT FOR FINAL F.vice Prevention Bureau APPOINTMENT FOR FINAL
INSPECTION MUST BE 48 La4ayette Street INSPECTION MUST BE
MADE AT LEAST ONE WEEK Salem Ma 01970 MADE AT LEAST ONE WEEK
AHEAD..............__ (508) . 745-7777 AHEAD_...._
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In accordance w4th. .the prov -4ton6 04 the Ma.6.6a.chu,betta State Bu.i !?dtny Cvda
and the Salem FZte Code, appliczt.,Lon .t.6 hereby made 4or approval 04 pta.n4
and the 44.6uance o4 a certt6 cafe v4 approval 4o4 a build ing permtt by the
SaQ.'em F.vice Department. (Re4. Section 113. 3, Ma-64. State BFdg. Code)
Job Location: 7 & 'a1NC,IF r�l4Cl T� N�
Owner/Occupant: c Z,
JALt"►K ��42130�2 C• �• C• P v a
Etect�Ltca.0 ContAactor: m 2 y
v g�
� G ^
Fvice Suppneoaivn CvnXtnc on : 0
Signature 04 r
Applicant:
Phone #: Lf�.gbS'280u �
Addre6,6 o4 C-'�ty on.
AppZt.ca.nt. 7 WL-LLS A✓tr Town: ���fO✓ /110
a2i
ApprovaY. date: Z J-z t
Centi4tcate o4 approva.2 .tom henebyy granted, on approved pta.n.6 on. .6ubmtt-tae
o4 project deta,it.6, by the Salem FZi t.e Department. AZ2 pCa.n.6 ace approved
.6oZety 4oz i.dentttcati.on o4 type and toez-t-Lon o4 4t to protect-Lon devtc"
and equipment. AZ2 pZan,6 ane .6ubjeat to approvat o4 any other author tty
having ju-% .bd ietl.on. Upon comptetion, the applicant or un.6ta22e%(e) ehaZt
n.equP 6t an ix"pec t Lon and/oiL te-6t 04 the 4.i-ce p,�cotecti,on devtce6 and
equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** )
0 New eo"ttuction.
Property Zoc -tion ha.6 no compt Lance wt th the provtzton-6 o4
Chapter 148, Section 26 C/E, M. G. L. , ae•2ati,ve to the
tnata2ation o4 approved 6tt Le a.Carm devtc". The owner o4
this property 4 6 requ,l Led to obtain compliance ass a
condi t ion o4 obtatning a Bu itd.ing Pevum-Lt.
Pzopenty Zocatlon t-6 .in compliance w.cth the prov.Zzton4 o4
Chapter 148, Section 26 C/E, M. G. L.
Exp.<�on date:
S ig ���ii ici aE
Fee due: under 7 , 500 Sq. Ft. S10
`G . S^� . (t.7 Fnnm yR ? 'P. n
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision of Section 113.5 of the Massachusetts
State Building Code, and under guidelines agreed upon by the Salem Bldg.
Inspector and the Salem Fire Chief, the applicant for a building permit
shall obtain the Certificate of Approval (see reverse side) and stamped
plan approval from the Salem Fire Prevention Bureau.
Said application and approval is required before a building permit may be w
issued. The Massachusetts State Building Code requires compliance z 3
approval of the Salem Fire Department, with reference to provisions of U. m w ,
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts = t_ zo i
General Laws, and 527 Code of Massachusetts Regulations. F
The applicant shall submit this application with three (3) sets of plans, LU zo _
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire �_ H
Department. This applies for all new construction, substantial K a o
alterations, change of use and/or occupancy, and any other approvals aa. 0) a =
required by the Massachusetts General Laws, and the Salem Fire Code. ¢ z a
Exception: Plans will not be required for structural work when the
proposed work to be performed under the building permit will
not, in the opinion of the Building Inspector, require a
plan to show the nature and character of the work to be
performed.
Notice: Plans are normally required for fire suppression systems,
fire alarm systems, tank installations, and Fire Code
requirements.
Under the provisions of Article 22 of the Massachusetts State Building
Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, Appendix T, and Tables applicable
shall apply.. This section shall not, however, supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
148, MGL, or 527 Code of Massachusetts Regulations. All permits for
fire code use and/or occupancy shall apply for the entire structure;
fire alarm and/or smoke detector installation shall apply to the
entire structure based upon current requirements as per Laws and/or
Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of Approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
j FOR F\Np1. ,;
Form 81X (10/90) NjMENT FST BE A� ApSPE T�N MSTSONE WEEK
ppp pIECT10N M� ONE WEEK 1NAOE AT EN ..._••••.'"" �,.
,MpOE AT 1 EASE �`�� PNFAD..............
p"fyD-......-
Cc, A Ccmmerce Insurance
The Commerce Insurance Company
CSC Citation Insurance Company
11 Gore Road,Webster, Massachusetts 01570 (508)949-1500
CLAIMS DEPT. Members of The Commerce Group, Inc.
July 30, 1998
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
SALEM MAt 01970
RE: Our Insured: ORLANDO A DESILVESTRE
Property Address: 1-7 PRINCE ST
Policy#: 562064
Date of Loss: 7/23/98
File#: W 16323-MP8811
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1.000. or cause Massachusetts General Laws. Chapter 143,
Section 6 to be applicable.
If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate.,
please direct it to my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
RICHARD FOLEY Telephone: (508)949-5063
Property Loss Specialist Within Mass: 1-800-221-1605, Ext: 5063
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail.
July 30, 1998
CCMMC7YC CCMPanieS _ come GRowwirHus
CIC 254 (Rev. 4/95) MAIL 466