B-19-945 - 0020 BOARDMAN STREET - Building Permit oe
The Commonwealth of Massachusetts
W
OF
Board of Building Regulations and Standards CITY Massachusetts State Building Code,780 CMR SALEM
Revised Mar 2011
Building Permit Application To Construct,Repair,Renovate Or Demolish a
One-or Two-Family Dwelling
t This Section For Official Use Only 2�1 3
t�lnl Building Permit Number: Date Applied:
Y�{
Building Official(Print Name Signafarpate
:
SECTION 1:SITE INFORMATIONi, r
1.1 Pro erty ddress: 1.2 Assessors Map&Parcel Numbe ,g
t>w
L l a Is this an accepted street?yes no ap Number Parcel Number
13 7,°n�ing Information: 1.4 Property D' ensions: /
Zoning District Proposed Use Lot Are (sq ft) Fro tage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required J Provided Required Provided Required Provided '
1.6 Wat+r Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information 1.8 Sewage System:
Public Private❑ Zone: _ Outside Flood one? Municipal On site disposal system ❑
Check if yes ,
SECTION 2i PROPERTY OWNERSHIP'
2.1 Owner'of Record: , 1
Name(Print) � City,State,ZIP
'No.and Teliphone Ernail Address
�- SEC ON 3:DESCRIPTION OF PROPOSED WORIO(check all that apply)
New Construction W Existing Building_ Owner-Occupied Repairs(s) ❑ 1 Alteration(s) ❑ Addition
Demolition ❑ Accessory Bldg.❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work2:
2
SECTION 4:ESTIMATED CONSTRUCTION COSTS
J Estimated Costs:
Item Official Use Only
L Labor and Materials
1.Building $ 1. Building Permit Fee:$ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Costa(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List: -
5.Meclianical (Fire,Suression) $ Total All Fees:$
xs Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ O-U'C) 0 paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
License Number Expiration Date
t Name of CSL Holder
List CSL Type(see below)
No.and Street Type Description
U Unrestricted(Buildings up to 35,000 cu.ft.
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Coverin
WS Window and Siding
SF Solid Fuel Burning Appliances
I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
HIC Company Name or HIC Registrant Name
No.and Street Email address
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.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 AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matters relative to work authorized by this building permit application.
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNER'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 inthis application is true and accura the best of my knowledge and understanding.
Print ;nerIs or Authorize gen s Name(Electronic Signature) Date
NOTES:
1. An Owner who obtains a building permit to do`his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not 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.mass. og v/oca Information on the Construction Supervisor License can be found at www.mass. og v/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number•of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type oi'cooling system Enclosed Open
3. "Taal Project Square Footage"may be substituted for"Total Project Cost"
Y
i
CITY OF SALE4 MASSAM SETrs
BUILDING DEPARTMENT
120 WASHUCTON STREET,31m FLOOR
TEL(978)745-9595
f KINMERLEYDRISODIL FAX(978)740-9846
MAYOR THomAS STTIERRE
DIRECTOR OF PUBLICPROPERTYAUII DING CX)MUSSIOMP,
HOMEOWNER LICENSE EXEMPTION
PLEASE WRINT:
DATE:
-)A?
JOB ITIO
LOCN
HOME OWNER ADDRESS:_
PRESENT(MAILING ADDRESS:_
The current exemption of"Homeowners"was extended to include owner-occupied dwellings of two(2)units or less and to
allow such homeowners to engage an individual for hire that does not possess a license,provided that the owner acts as
supervisor.
Definition of Homeowner.
Person(s)who own a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a
one-or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who
constructs mire than one home in a two-year period shall not be considered a homeowner. Such`homeowner"shall submit
to the Building Official,on a form acceptable to the Building Official,that he/she be responsible for all such work performed
under the Building Permit.
The unders re ulations."homeowner"
by-laws and re assumes the responsibility for compliance with the State Building Code and other applicable
g
The undersigned"homeowner"certifies that he/she understand the City of Salem Building Department minimum inspection
procedures and requirements and that he/she will comp ty with such procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING INSPECTOR
i
CITY OF SALEA MASSACHUSE M
{ BUILDING DEPARTMENT
120 WASHINGTONSTREET,3''OFLOOR
' TEL.(978)745-9595
X&MERLEYDRISOOLL FAX(978)740-9846
MAYOR THOMns STYMRRE
DIRECTOR OF PUBLICPROPERTYAUILDING C MbIISSIONER
Construction Debris Disposal Affidavit
(required for all demolition & renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR,Section 111.5 Debris,
and the provisions of MGL 00,S54;Building Permit#
is issued with the
condition that the debris resulting from this work shall be disposed of in a properly licenses
waste deposit facility as defined by MGL c ill,S150A.
The debris will be transported by:
o �TIV
� o
(n;ame of hauler)
The debris will be disposed of in:
(name of facility)
(a .Vressility)
Aatureicant
(today's date)
i
CITY OF SALEM, MASSACH
BOARD N OF APPEALS P 2:S
COT 7
K1nIDE;RLEY DRISCOLL
98 WASMNGTON STREET SALEM,MASSACHUSETTS 01970
MAYOR
TEL 978-745-9595 �S
July 31,2.019
Decision
City of Salem Board of Appeals
petition of DEAN WALSH for a special permit per Section 3.3.5 Nonconforzn&g Burgle-and Two-
FAn2Ry Residcndal-Structures of the-Salem-Zoning OrdinMCe-to construct a'12'by-12'one story
additiim to connect an unused room to the rest of the two-family house at 20 BOARDMAN
STREET(Map 35,Lot 462) (R2 Zoning District).
A public hearing on the above Petition was opened on July 17,2019 pursuant to M.G.L Ch.40A,§ 11 and
closed can that date with the following Salem Board of Appeals members present:Peter A. Copelas,Mike
Duffy(Chair),Jimmi Heiserman,Rosa Ordaz (alternate),Jimmy Tsitsinos,and Paul Viccica (alternate). .
The petitioner seeks a special pennit per Section 3.3.5 Nonconforming Single-and Two Family Residential Structures
of the Salem Zoning Ordinance.
Staternmts of Fact:
1. In the petition date-stamped June 21,2019,the petitioner requested a special permit per Section 3.3.5
Nonconforming Single-and Two-Famiy Residential Structures to construct a 12'by 12'one story addition to
connect an unused room to the rest of the two-family house at 20 Boardman Street.
2. Petitioner Dean Walsh presented the petition.
3. The property is a two-family home located in the Residential Two-Family(R2)Zoning District.
4. The property is nonconforming to several dimensional requirements,including minimum lot area,
Minimum lot area per dwelling unit,minimum lot frontage,minimum depth of front yard,minimum
.width of side yard,and maximum lot coverage.
5. The requested relief,if granted,would allow the petitioner to construct a 12'by 12'one story addition
tq connect an unused room to the rest of the two-family house at 20 Boardman Street.
6. At the July 17,2019 public hearing,Dean Walsh discussed the petition.Mr.Walsh explained that he
acid his wife live on the top two floors of the building,and they are hoping to add a space between
oiie of the existing first floor rooms and the other so they can move to the first floor.He noted that
the addition will be three feet farther from the side property line than the existing side of the house.
7. At the July 17,2019 public hearing,Peter A.Copelas noted that the nonconfornvry of lot coverage is
increasing.
8. At the July 17,2019 public hearing,no (0)members of the public spoke in favor of or in opposition
to the petition.
9. At the July 17,2019 public hearing,Chair Duffy reviewed the special permit criteria.
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FRONT YARD /3 Ft 0.7 FT
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REAR YARC 30 FT. 3/.3 f T. 3/.3 F7
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