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40 WARREN STREET - DISTRICT FILESwOT 40 Warren Street a Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978)745-9595 EXT 311 FAX (978) 740-0404 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction Alteration ❑ Demolition Painting ❑ Signage ❑ Other work as described below will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address of Property: 40 Warren Street Name of Record Owner: Peter Copelas Description of Work Proposed: Replace existing asphalt shingles with black or charcoal grgy, 3-1ab, asphalt shingles. Dated: May 2, 2007 SALEM7atesto L SION By: The homeowner has the option not to commence the work (unless itlving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals) prior to commencing work. 0 4v RECEIVED MAY 0 12007 Historical �DE4P�}7y�OjFy�PLgNNING& Salem llistor cal ��m�bJ,JLV7Gi0PMEN7 120 WASHINGTON STREET,SALEM, MASSACHUSETTS 01970 (978)745-9595 EXT.311 FAX (978)740.0404 APPLICATION FOR A CERTIFICATE OF APPROPRIATENESS Pursuant to the Historic District's Act (M.G.L. Chapter 40C) and the Salem Historical Commission Ordinance, application is hereby made for issuance of a Certificate of Appropriateness for: ❑ Construction ❑ Moving ❑ Reconstruction ❑ teration ❑ Demolition t ❑ Painting ❑ Sign Ef Other as described below. 5 District: Ori;;inal Building Construction Date, if known: Address of Property: e,Q e rte, Name of Record Owner(s): Ae `� a< / 1 Description of Work Proposed (Please include required scale drawings,paint chips, catalog cuts and/or samples of material proposed, where applicable) ��yt2p� o L 1 Signature of Owner: `����� �� A�1 Tel. #: �-V 3 t `f Mailing address: City: 44-R' State: 44Zip: SLID PROCEDURES FOR FILING APPLICATIONS A. Be prepared to apply for approvals well in advance of commencing any exterior work. Before making any changes to the exterior of a property in an historic district,the owner should call or visit the Commission representative at the Department of Planning&Community Development to discuss proposed alterations and to determine the category of the application(Appropriateness,Non-Applicability or Hardship). B. The Commission normally meets on the first and third Wednesdays of each month and notices are posted at City Hall. The meetings are held at 120 Washington Street,3rd floor,and begin at 7:30 p.m. All meetings are open to the public and any person is entitled to appear and be heard on any matter before the Commission before it reaches a decision. C. An application for a Certificate of Appropriateness or Hardship must be received by 3:00 p.m.on the Monday 16 days before the meeting in order to make the agenda. An application for a Certificate of Non-Applicability may normally be added to the agenda up to the day c f the meeting. In some cases,a Certificate of Non-Applicability may be issued by the Clerk without review by the full Commission,after notifying Commission members and allowing 24 hours for any objection. There is no fee for any applications. D. All applications for Certificates of Appropriateness or Hardship require a public hearing. Notice of the hearing must be posted with the City Clerk 14 days before the hearing and abutters must be notfred in writing. Commission staff will handle these procedures. A public hearing is not required for a Certificate of Non-Applicability. E. Applications must be submitted by the owner of the property. A contractor for the owner,at the owner's request,may submit an application on the owner's behalf. In case of a tenant,a waiver of the owners appearance maybe granted at the discretion of the Commission if it is requested by the owner. F. All applications must include three to four 35mm photographs of existing conditions. No certificates can be issued prior to receipt of photographs. G. An application will not be considered complete unless all work items are thoroughly described on scaled drawings and include specifications regarding dimensions, materials, and any other information needed for the Commission to visualize the changes in order to make a determination. Applications for paint colors should include a paint chip or chart. The following items should be included in your drawings as applicable: I. Site plan showing location of improvements; 2. Elevation drawings of the specific improvements; 3. Detailstprofiles(i.e.moldings,fence caps,comites,vents,etc.); 4. Materials(i.e.wood,brick etc.); 5. Dimensions(i.e.size of trim);and 6. Transformers,heat pump and condenser locations,electrical entries and meters,lamp posts,stove pipes. H. At the hearing,the Commission will discuss the application with the applicant or his representative,hear the abutters and take a vote. Owners having professional consultants such as architects or contractors are urged to have them be present at the hearing. If the application is approved, a Certificate will be mailed to the mailing address provided on the application and copies will be sent to the City Clerk and Building Inspector. Please note that the application can be continued until the next meeting if the Commission deems necessary(i.e. for reasons of incom-ilete drawings,to perform a site visit,etc.). In any case,the Commission must make a determination within 60 days from the date the application is received,unless the applicant waives that requirement in writing. 1. A property owner or a contractor cannot receive a building permit unless a Certificate has been issued. Please be sure to obtain appropriate permits from the Inspector of Buildings(or other necessary permits and approvals)prior to commencing work. J. The homeowner may opt not to commence the work approved(unless it relates to resolving an outstanding violation). Work commenced must be completed within one year from the Certificate date unless otherwise indicated. K. The City of Salem reserves the right to inspect the project to determine compliance with the conditions set forth in the Certificate issued. Violations A person commencing or completing work to the exterior of a building in an historic district without the necessary approval of the Commission is subject to fines of up to$500 per day from the date of violation. The Commission is not responsible for an owner's neglect to inquire about necessary City pe-mits and approvals. All records are public and we will confidentially assist you if you are concerned that someone in your neighborhood is in violation. Assistance The Commission's guidelines are available for viewing at the Salem Planning Department and the Salem Public Library. The guidelines provide examples of what is historically appropriate(or inappropriate)for Salem's neighborhoods including trim, siding,doors,fences,gutters, masonry, paint eclors, parking solutions,porches, rooting, satellite dishes, secondary egress, skylights, utilities, windows,etc. These guidelines help you understand what changes are likely or unlikely to be approved. The Commission supports your efforts to improve your property and can guide you on histcrical appropriateness. Further information,in the form of books,articles and pamphlets,City-wide architectural inventories,and photographs,are available a the Historical Commission's office at 120 Washington Street. For more information,contact the Clerk of the Commission, Jane Guy, at the Salem Planning Department, 120 Washington Street,Salem,MA 01970,978 745-9595,Ext.311. Rev.10% K { r 9 0�3T:' 3��Z Sig�� SI-7+FJ N N TpXj r_.Gti NO V00,._"Z: Z - oN �ri,# Sft'J \ �- i R°00j '3120Z gOdE, SO- +N N N 100 F,0 T6 NO :-0-1 CITY OF SALEM PUBLIC PROPRERTY = � DEPARTMENT ,nn::ni e� nn .�•d I. l?:VVASIIINGG:JN S rREET♦SALP\t,S1ASiAC;d.1L V1.N%9/C Tet:978-7454595 •F.tX;972-74G9846 Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 7S0 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit ft _ is issued with the condition that the debris resulting from (his work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris will be transported by: J--t m R GoYv-z�-r 1N C (name of hauler) Hie debris will be disposed of in : fl leu v-e P- k'-t' (name of llacihty)— (address oilaeiLtvl v ::.tu,e �f, e:Writ al:p:ic�nt . ✓�ee fbonuiu-rurr`rll� n�.. �!'n;.uit'�+uulla Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR l Registration: 123834 `•+. Expiration: 4/14/2009 Type: Supplement Card J&MB Construc8on,Inc. MICHEAL BRADLEY 3 CANAL ST Lynn,MA 01905 Administrator t-. CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT aniaouav natscot1 MAroa 120 VA9.m4t,T0w STRM a S LEK H%uCHL3r s 01970 TF1.9M745-9595 •F.ua 970.740.%" Workers' Compensation Insurance Affidavit Bnflders/Contractor&MteQieian&,Mmberfs Applicant Information .12 su nt Legibly Name Address: 3 e25'/71&2_ cityis p: 9 d��GS Phone 10. Are res u ampleyer?Geek the appropriate bom 1. I am a employer wird, 4. ❑ I am a general contractor and I Type d P'roiaet(�eM: employees(!Wl and/or part-time).* have hired the sub-contractors 6. Cl Nese construction 2.0 I am a sole proprietor at puma, listed on the attached sheat t 7. 0 Remodeling ship and have no employees These sub cantrscton have S. ❑Demolition working for me in any capacity. workers'comp, innuance [No workers' comp, imm�nce 5. 0 We ars a corporatlm and its 9' ❑ �ildloi sdditim required) officers have exercised their 10.0 Electrical repairs or additions 3.0 1 am a homeowner doing all work right of exemption per MOL I I.0 Phraabing repairs or additions Myself.[No workers' comp, o. 152. 41(4),and we have no 12 T innsraace required]t employees.[No workers' O-Roof repairs raspinnuaace required.] 13.0 Other tAny appi"m� w"chwh e te asraft Wi pl mug is rt rtes tre"Com below showFy stir woba'comp.rk,polky faaxeastlaa teoaasmws ar&Wk ads bees mist saecte ad�,�, Wo* +•hive autsib caatano,e mat.+tn+t.GeV sfEyvy rod. rtowms its ssse"I I mbeomecsots sed d>.k work=,cQRF poocy i dw� /awe ave erwp/oyer that Is provfd(nj workers'coaspenradow Inswrawee jot m y rarployra Below L b4i Pow �dfo1 sfAr inforwearlaa Insurance Company Nama.z/ / /1/yh'C>/C � 0� ��/� Policy M or Self-int Lia.Mme. 1/ ��i /a��?��� C J O //� ' Expiration Dater__ Job Site Address ? WA� �✓ �� City/StaWLip: �/1 19 , Attach a copy of floe workers' C001940"tion policy declaration page(showingtba Failure to secure coven powy an bar sad a:ptratloa dab} W sr requited under Section 25A of MGL G 132 can lead to the imposition of criminal penalties of a fine up to S 1,300.00 and/or one-year imprisonment as well as civil penalties in the form of a STOP WORKORDER and a tine of up to$230.00 a day against the violator. Be advised that a copy of this statement may be forwarded to tlx OtEce of Investigations of the DIA for insurance coverage venricadoa /Jo hereby cern/y w dtr d pena/tllr ojperJwry that the lnjorneadow provided above 41 erre and torted OJftcld use onIA Do not write in thlr area, to be completed by city or Iowa off4clal City or Town Permit/License M Issuing Authority(circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone p: - — EITY-OFs-ALE`i` -- ---- ----- - - PUBLIC PROPERTY DEPARTNIEINT til\aFM CDS V"�y MA" 130 wA5F1INaZi]H s`nlEE7•SAUK NItiLAOtLSLYM 01970 TM-974745-9S95 • FAX 979-740.n4d APPLICATION FOR THE REPAIR. ItENnys rrON CONSTRUCTION DEMOLITION OR CHANGE OF SE OR STRUCTL�>Q OR BUILD_ ilvr FOR ANY EXISTING 1.0 SITE INFORMATION Location Name: Building: Property Address: Property Is located in a; Conservation Area YM HWWc D(atrlot YM 1.0 OWNERSHIP INFORMATION 2.1 Owner of Land A2 Name: _ J Address: Telephone: 3.0 COMPLETE THIS SECTION FOR WORK IN EY13I1Iflp BUILDING$ ONLY Addition Existing Renovation Number of Stories Renovated Change in Use New Demolition Existing Approximate year of Area per floor s construction or renovation Renovated Of existing building New Bciet Description of Proposed Work: SZRi (� c Pl/✓1pLL— Mail Permit to: -- - - What is the current use of the Building? if dwelling,how many units?----� Material of Building? Asbestos? as the Building Conform to Law? C J Fe.1 c- on5� S' 7SI � Architads Name Address and Phone I Mechanic's Name Address and Phone HIC Registration ay Construction supervisors License N Of Project i:`L pWM Fee Calculation Estimated Cost Estimated Cost X$7/$1000 Residential Permit Fee i Estlmated Cost X$11/%100()Commercial- An Additional$5-aD is added as an Administrative Charge- Make sure that all fields are properly and legibly written to avoid delays In processing. The undersigned does hereby appy for a Building Pent to build to bow stated C ( /n i speci}Icatkxu. Signed under penally of perJury 0 N O r ,A V O � T y a ~O -- •�^ - a5 a. rD v •, -\ / a +' a`.. V • II . 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