8 BROAD STREET - HISTORICAL - BUILDING JACKET 8 BHSTREET
HISTORICAL O.
K
.�oxn CITY OF SALEM9 MASSACHUSE37S
BOARD OF APPEAL EOF Sgl }. A
g, 120 WASHINGTON STREET, 3RD FLOOR K's � .� ,
M. SALEM, MA O 1970 Ci
qB TEL. (978) 745-9595
FAX (978) 740-9846
STANLEYMJ.AYOR
VICZ, JR. - .j003MA•Y _ 43
DECISION OF THE PETITION OF MICHAEL&LINDA BLIER REQUESTING A
VARIANCE FOR THE PROPERTY LOCATED AT 8 BROAD STREET R-2
A hearing on this petition was held April 30, 2003 with the following Board Members
present: Nina Cohen, Chairman, Stephen Harris, Richard Dionne,Bonnie Belair and
Joseph Barbeau. Notice of the hearing was sent to abutters and others and notices of
the hearing were properly published in the Salem Evening New in accordance with
Massachusetts General Laws Chapter 40A.
The petitioner is requesting a Variance from rear yard setback and lot coverage to
construct an addition for the property located at 8 Broad Street located in an R-2 zone.
The Variances, which have been requested, upon a finding 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 structure involve.
b. Literal enforcement of the provisions of the Zoning Ordinance would involve
substantial hardship, financial or otherwise, to the petitioners..
c. Desirable relief may be granted without substantial detriment to the public good and
Without nullifying or substantially derogating from the intent of this district of 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:
I. The petitioner appeared and represented himself at the hearing.
2. Plans were submitted showing the proposed addition
3. The addition will be 6' x 24'.
4. There was no opposition to this petition.
CITY O
O-E#K S.4pI MA
DECISION OF THE PETITION OF NUCHAEL&LINDA BLIER REQUESTING A
VARIANCE FOR THE PROPERTY LOCATED AT 8 BROAD STREET R-2
page two 1003 MAY IQ A 9 43
On the basis of the above finding of fact, the evidence presented at the hearing, the
Zoning Board of Appeal concludes as follows:
1. Special conditions exist which especially affect the subject property but not the
district in general.
2. Literal enforcement of the provisions of the Zoning Ordinance would involve
substantial hardship to the petition.
3. Desirable relief 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.
Therefore, the Zoning Board of Appeal voted 5-0, to grant the Variances requested,
subject to the following conditions;
1. Petitioner shall comply with all city and state statures, ordinances, codes and
regulations.
2. All construction shall be done as per the plans and dimension submitted and approved
by the Building Commissioner.
3. All requirements of the Salem Fire Department relative to smoke and fire safety shall
be strictly adhered to.
4. Petitioner shall obtain a building permit prior to beginning any construction.
5. Exterior finishes of the new construction shall be in harmony with the existing
structure.
Variance Granted
April 30, 2003 C'
Joseph Barbeau Sc rt ,
Board of Appeal
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND
THE CITY CLERK
Appeal from this decision, if any, shall be made pursuant to Section 17 of the MGL
Chapter 40A and shall be filed within 20 days after the date of filing of this decision in the
office of the City Clerk. Pursuant to MGL Chapter 40A, Section 11, the Variance or
Special Permit granted herein shall not take effect until a copy of the decision bearing
the Certification of the City Clerk that 20 days have passed and no appeal has been
filed, or that, if such appeal has been filed, that it has been dismissed or denied is
recorded in the South Essex Registry of Deeds and indexed under the name of the
owner of record or is recorded and noted on the owners Certificate of Title.
Board of Appeal -�
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APPLICATION FOR VARIANCE
In accordance with M.G.L., Chapter 22, Section 13A, I hereby apply for modification of or substitution for the rules and
regulations of the Architectural Access Board as they apply to the facility described below on the grounds that literal
compliance will, the Board's regulations is impracticable in my case.
1, State the name and address of the owner of the building/facility:
Michael Blier, trustee - 8 Broad Street, Salem MA Q1970 _
Telma.744.0389 —
2. State the name and address or other identification of the building/facility:
HB�inson Block Realt L Trust _
1-0 Derby Square, Salem, MA 01970
3. Describe the facility: (Number of floors, type of functions, use, etc.)
2 buildings cojoined by, a common elevatoa-+stairwPll._6lnr_th. twildi.ng-Lias--6-_floors{+acl
asG ement) . South Building has 4 floor (incl basement)
Office/Retail use
4. Total square footage of the building: 20,140 Per floor:_2,660
a. total square footage of tenant space (if applicable) +T--17,004
5. Check the work performed or to be performed: —New Construction __Addition _X Reconstruction, remodeling,
alteration__Change of Use
6. ggrl fly describe the extent and nature of the work performed or to be performed: (Use additional sheets if necessary).
Asnktng that the existing ramp be accented as c�plpjianre fnr_s{jjjtyce�c
to the basement level.
7. State each section of the Architectural Access Board's regulations for which a variance is being requested:
7a. Check appropriate regulations: X 1996 Regulations__.1982. Regulations-2002 Regulations
SECTION NUMBER LOCATION OR DESCRIPTION
2 V. u `Slope and rise of access ram
4.2
8. is the building historically significant? X yes no. If no, go to number 9,
8a. If yes, check one of the following and indicate date of listing:
National Historic Landmark
Listed individually on the National Register of Historic Places
X Located in registered historic district
_., Listed in the State Register of Historic Places
Eligible for listing
8b. If you checked any of the above and your variance request is based upon the historical significance of the building,
you must provide a letter of determination from the Massachusetts Historical Commission, 80 Boylston Street,
Boston, MA 02116,
9. For each variance requested, state in detail the reasons why compliance with the Board's regulations is
impracticable. State the necessary cost of the work required to achieve compliance with the regulations. PLEASE
NOTE THAT YOU SHOULD SUBMIT WRITTEN COST ESTIMATES AS WELL AS PLANS JUSTIFYING THE
COST OF COMPLIANCE. Use additional sheets if necessary.
C7ranging existing ramp from 1°in 1811 to 1" in 12" is impossible due�p __ _
existing ceilinci height.
10. Has a building permit been applied for? Yes Has a building permit been issued? No
10a. If a building permit has been issued, what date was it issued?
101b. If work has been completed, state the date the building permit was issued for said work
11. State the estimated cost of construction as stated on the above building permit. $35,000
11 a. If a building permit has riot been issued, state the anticipated construction cost:. _
12. Have any other building permits been issued within the past 24 months? No
12a. If yes, state the dates that permits were issued and, the estimated cost of construction for each
13. Has a certificate of occupancy been issued for the facility? N6 If yes, state the date:
14. To the best of your knowledge, has a complaint ever been filed on this building relativo to accessibility? yes
X no.
15. State the actual assessed valuation of the BUIDING ONLY as recorded in the Assessor's Office of the
municipality, in which the building is locate— G. _6 .,zu Is the assessment at
100%? Yes if not, what is the town's current assessment ratio?
16. State the phase of design or construction of the facility as of the date of this
application: Renovation pendiavariance_—baeement not re odeied .— —.-
17. State the name and address of the architectural or engineering firm including the name of the individual architect or
engineer responsible for preparing drawings of the facility:
HPIlGlorant, teve evermore TEL: 978.744.5354
18. State the name and address of the building inspector responsible for overseeing this project:
Fran e ao a TEL: 978.745.9595
PLEASE NOTE: The Board may, in its discretion, hold a hearing on your application for variance. The Board may
also decide your application without a hearing, based upon the information you submit. You should therefore
include all relevant information with your application. At minimum the plans should include a site plan, all floor
plans, elevations, sections and details, Photographs of existing conditions are extremely important.
Date: 3.27.03 PRINT:_ Michael Blier
Name of owner or authorized agent
10 DerbvSquare _
Address
Salem, MA 01970
City/Town rr State / Zip Code
WL'u l 'c / 978.745_7181
ignature Telephone
PLEASE ENCLOSE:
A FILING FEE OF $50,00 (CHECKIMONEY ORDER) MADE PAYABLE TO THE COMMONWEALTH OF MASSACHUSETTS,
AS WELL AS THREE ADDITIONAL COPIES OF THE ORIGINAL APPLICATION FOR VARIANCE AND ALL SUPPORTING
DOCUMENTATION.
' " e ` ' STUDIO, INC.
9 !#
March 24,2003
Higginson Block Building;Access to the lower level
The Higginson Block Building is located at 10 Derby Square in Salem's Historic Business District. The building is
comprised of what were at one time two different buildings that were joined together as one at some point in the
nineteenth century. To the south is the oldest portion of the building and dates to about 1840. It is a three story brick
structure that was, in the mid-nineteenth century, the home to one of the earliest black owned and operated
restaurants in the country. The north portion of the building is a four and one half story brick structure defined by
expansive open spaces, hardwood floors, and large windows. Built in the 1860's, this building was used for several
decades primarily as production and manufacturing by the Daniel Lowe Company. In fact, our building is connected to
the adjacent Daniel Lowe retail store via a tunnel under the public way.
Over the past 3 years, we have taken the building through an extensive and thorough renovation and restoration
process. The renovation included: entirely new electrical systems tailored to meet the specific needs of each floor
plate, a full building state of the art sprinkler system with heat and CO2 sensors and public mounted pull box, high
efficiency roof fired HVAC units, new insulated roofs on both structures, additional suite build-out amenities including
kitchens on each floor, lighting,offices and conference rooms. Because the two structures were built at separate times
and for different purposes„ the floor plates do not align. As a part of our renovation of the building and our mission to
maximize accessibility within the building and utilizing the shaft of an antiquated freight elevator, we had installed a
hole-less hydraulic elevator to provide access to each floor plate.An essential component for each suite build-out was
the construction of two ADA compliant bathrooms(14 total,so far).
The history of the building and its context interested us the most during this process. To that end, and in order to keep
the original character of the building in tact, we had each of the wooden windows (100+windows total), sashes, and
frames rebuilt and painted according to the colors that were determined to be original to the building. Looking to the
City of Salem and the Historic Commission for guidance, we repaired and restored the exterior woodwork to original
condition. On the interior,we repaired and cleaned the brick and cleaned and repaired the original hardwood floors.
The City of Salem believes our building to be now over 85%ADA compliant. The remaining area outside of compliance
is in our basement area. This area is also yet to be built-out. The space in question is located one half level below
street grade and has some street frontage. If we can bring this space online, our building will be essentially 100%ADA
compliant. Presently, there is an existing ramp connecting the main lobby to this lower space. However, while this old
ramp works well with the building, it does not meet the present day code relative to ADA access. Our architects have
studied alternatives for access to this area and have come up with ideas that, I believe, compromise the historic
character of the exterior of the building and surrounding area (exterior lifts, ramps, etc) and create potential
maintenance and vandalism issues. It is our hope that we can complete the restoration of this antique commercial
building and this lower level by utilizing the existing ramp for access, thereby allowing us to allocate our resources
toward optimizing the quality of the final suite build-out, ADA bathrooms, etc. The existing ramp works well within the
historic footprint and structure of the building. The alternatives are clunky and will significantly alter the historic quality
of our building and become cost prohibitive in terms of making the lower level usable and visually active from the
adjacent pedestrian way.
10 Derby Square, 4th Floor, Salem,MA 01970 phone 978 745-7181 fax 978 749-2823 email info4Vlandworks�studioxom
The Commonwealth of Massachusetts
Board of Building Regulations and Standards Town of
Gy1 ! Massachusetts State Building Code, 780 CMR, 7"edition Building m-
ept
Building Permit Application To Construct Repair, Renovate Or Demolish a
One- Two- roily Dt elling
This is Lion For Offict I Use Only
Building Permit Number: lilate pplied:
Signature: I I 2�l�i
Building Commissioner/Ins ctor f Buildin Date
SECTION l: SITE INFORMATION
l.t Property Address: 1.2 Assessors Map& Parcel Numbers
L l a Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water upply:(M.G.L c.40,g54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Private❑ Zone: _ Outside Flood Zone? Municipal ❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP[
2.1 Owner of Record:
(AA/C(A6L/11111b6 1`3�i�2 R�Qj� St
Name(P - Address or Scrviec:
Signature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) V1 Alteration(s) ❑ 1 Addition ❑
Demolition ❑ 1 Accessory Bldg. ❑ 1 Number of Units Other ❑ Specify:
Brief Description of Proposed Work': 4k U-T %h 7r4F-e �-&�R
A—rRA/q,gIC Ti4ir &AS4= c�F' �O �fIIIN.br'`r(� -; iJYA&/XK— cToisT
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
I. Building $ zC900, 1. Building Permit Fee: $ Indicate how fee is determined:
❑Standard City/Town Application Fee
2. Electrical $
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Su ression Total All Fees:$
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ 9�Qt}. -� 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5�.1 Licensed Construction Supervisor(CSL) CS 22q(, 7
I t l I?— Z!37Ko V1' License Number Expimt on Date
Name of cc�gL-H Ider L �+AI� List CSL Type(see below)
/ /�I ()l_�� J
Addre T Description
Ad�
U Unrestricted(up to 35,000 Cu. Ft.)
R Restricted 1&2 Family Dwellin
Sig
nature p M Mason Only
/7� d -G�j 8 RC Residential Roofing Covering
Telephone WS Residential Window and Siding
SF Residential Solid Fuel Burning Appliance Installation
D I Residential Demolition
5.2 Registered Home ImprovemeptContractor(HIC)
HIC Company Name or HIC egistrant Name Registration Number
Addres
Ex [ration Date
Si [rire 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
1, 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.
Signature of Owner Date
SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
1, -�3�-�'j�(� y!5 t'(fLO l/7 ,as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and
behal
Print Name
Signat e o Ow _oc onz d Merit Dar
(Signed under the pains and penalties of perjury)
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 and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations 1 I O.R6 and I IO.RS, respectively.
2. When substantial work is planned,provide the information below:
Total Floors area(Sq. Ft.) (including garage, finished basement/attics,decks or porch)
Gross living area(Sq. Ft.) Habitable room count
Number offireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
y '
JOB f
HOBBS ENDEAVOUR CORPORATION / OF
34 Rockland Street SHEET No. 1
SWampocott, Massachusetts 01907 CALCULATED BY / DATE �� V
781.581.2454 978.744.4646
CHECKED By DATE
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C PRODUCT 207
i
CITY OF SALEM
�y
PUBLIC PROPRERTY
DEPARTMENT
a;
Construction Debris Disposal Affidavit
(rcyuired lirrall dcnwlition and renovation wok)
In accordance ith the sixth edition of the State Building Code, 780 C N1R section 1 1 1.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit h is issued with the condition that the debris resulting from
this work shall be disposed of in it properly licensed waste disposal facility as defined by MGL c
111, S 150A.
The debris will he transported by:
.2122 N-sI1?6_ OdOINF
(name of hauler)
I lie debris will be disposed of in :
�yc�s2T iCIE.. 0-,fPfIiy 9
(name ut facility)
Inddresn ul I'aclhty) �li
,Ignatfire M'pennu applicant
late
CITY OF SALEM
tr311 PUBLIC PROPRERTY
DEPARTMENT
.'111 . 9'I1 )Kill , tl
\I%�,st t�: W,luunl:1,^S cl1.1,1' a S,lt f vs, M.\.1,,\l.1 n it I I,All ri7--
fr.t. v73-715-9395 r 1:lx 97x-74:;'tx16
Wurkers' Compensation Insurance :Alifl]datiii: Builders/Contractors/Electricians/Plumbers
'1161Iplicant Inforination Please Print Leeiblv
Nil net
Ndafcs.:
City,stale.7ip
.\re 5 u all employer'! Check the appropriate box: 'Type of project (required):
4 1 :un a general contractor and I
1. I am a cmpluyer with 1✓ ❑ 6. ❑ New construction
cmployrc.(full ind,ur part-tout).' have hired the sub-cuntracturs 7. ❑ Remodeling
2.❑ 1 1111 a sole proprietor or partner- listed on the anached sheet, t
ship and have no employees These sub-contractors have S. ❑ Demolition
working for me in any capacity. workers' comp. Insurance. q. ❑ Building addition
No workers*cum 5. ❑ We are a corporation and its
I P insurance 10.❑ Electrical repairs or additions
I reyuireJ.] officers have c:ercncJ their
light of csont Lion per MCL 1 I.[] Plumbing repairs or additions
3.❑ 1 ant:t homeowner doing all work S P P'
myself. (No workers' rump. c. 152,c 1(4), and we
have no 12.❑ Rouf repairs
s.
eomp. insu
insurance rcyuired.) ' unpluycuranc nc work e required-] 13.❑ Other
•,u. .,11plicaul 16et checks box it must:Also till wn the,ecllan Wuw.Ituwote Ihelr w'urkwi wnlpem rtion Iw6cy udirrmativa
' I lumcuwnen who sobnuI this atridav it indicating Ihcy ire doing all wort wtd Ihcn hero outside cuter-wiam must auhmir J new at'Gdae11 indi"An$,uch.
-r,MI rscutn Ihot shack this box Most Jlgahed.m ar:dniunal shave,hewing Itw name of[to-sub-conlWlun and flit r wurkcrs'comp.prshcy Mfrsrrnan,In
/ant mot cngduyer that is prim riding tvurAers I cuatpeavadon in.raratrtce for ttry employers. Beltnv is the policy and job Iite
itrfunnatiots.
I r.,urancc Company Vame: �Q��Ty CG(UTURL -- ._ --____----
Puliev d ur Sclf-iron. Lic. n: EApiratlun Datez
Job Site Address: r 1h ��ID-� .—. Clty:SlutaZip: cftf�� lMTJ/(�kt`
.\ltach a copy of she workers'compensathrn policy declaration pulse (showing( the polley number and expiralgun date).
PJdurc to scrum coverage as required under Sccliun 25:\ul'>IGL c. 152 can lead to the imposition of criminal penalties of a
tiny op to S1.500.(X)JnNur one-year imp6mmincnt.Alt well as civil pcnalu" in the t'unn of a STOP WORK ORDER and a fine
of up to i'_5000 a d,ry .Igainsl lilt violator lic advLa:d that a Copy of lhls slalcmcnt may be lurwarded to the OlEcc of
Im..nga u�ms uf:hc UTA :or in,ur.uxc tov cr.t ye \critic aeon.
l Jo hereby c.rtiw saner the poit aft t y ouperjary shut the hifurtntuion provided above its(rue surd correct.
,ir•'I.Ian." Date
— --- Dot
U/firiu/rue only. /la nut ivrite in this urcu, tube cuutpleled by city ur/orvn a//iciu/.
Ci1v or fawn: __.. _ Pcrmial.icvnic All
1„uin{: .\ulhuniv (circle nmc):
I. ll.,Jrd of lic.11111 2. Ihuldim;; Mpartutcmt 1. t.it).-fowu Clerk J. Electrical Inipccror 5. Plumbing he%pcclor
6. Other
Phone tt:
Cllacl 1'crsun;
,n
Information and Instructions
�Lusachusetts Gcncral Laws chapter 152 requires all employers to provide workers' compensation for their culployees.
[Itlnu.uht to this ,I itute, an rmpfuree is defined as - :%ery pet son in the service of another under any contact of hire,
:.press or itnpjell. oral or written." .
An .,implorer is defined as "an Individual, partnership, assoclafiou, corporation or Other legal entity, or any two or more
.11 the for"orrg engaged in a Joint enterprise, and including the legal representatives Of a deceased cmpluycr, or the
recclver or lrultee of .ul Individual,paitllehhlp, ai50CLJ110111 or Other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein. or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house
Or Ol: the.,,rounds;or building appurtenant thereto shall not because Of such employment be deemed to be an employer."
.%tGL chapter 152. �s25C(6) also states that"every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the communwealth for any
applicant it ho has not produced acceptable evidence of compliance with the insurance coverage required."
Additionally. :`lGL chapter 152, a25C(7)states"Neither the commonwealth nor any of its political subdivisions shall
amcr into any contract f'or the performance ui puhlic work until acceptable evidence of ccinipliance with the insurance
requirements of this chapter have been presemcd to the contracting authority."
Applicants
Please rill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if
necessary,supply sub-contractors)name(s), addresses)and phone nuniber(s) along with their certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP) with no employees usher than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees.a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and dale the affidavit. The affidavit should
he ICnlrned to dic city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number tin the appropriate line.
City or Town Ofllcials
Please he sure that the affidavit is complete and printed legibly. The Department has provided•a space at the bottom
of the affidavit fur you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
111:u,e be sure to fill in the pennit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple pennit;licetsc applications in any given ycir,need only submit one affidavit indicating curtent
policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (City or
town)." A copy of file affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that J valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. it dug license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
I he ()I Ilcc of lavestlgatlOns wuuld line to thank )-Ou in advance fur your cooperation and should you bare any questions•
please du not hesitate to give us a call.
the Dcparuncol's address, telephone and fax number
The Commonwealth of Massachusetu
Department of Industrial Accidents
OfAce of Investigations
600 Washington Street
Boston, MA 02111
Tel. All 617-727-4900 ext 406 or 1-877-MASSAFE
Fax # 617-727-7749
<:%:,�j -'u-05 www.mass.gov/dia
1 /ti
14:1111i+ IdttST19Ef&f.BIND APPROVED 8Y T44E
MISPECTL-8 ,PWR TD A PERMIT BEWG GRANTED
CITY OF SALEM
No. \ 1 V� I�`\ Date
Ward
fe Zoning District
Is Property Located in / Location of
the Historic District? Yes v No_ Building /
Is Property Located in
the Conservation Area? Yes No
BUILDING PERMIT APPLICATION FOR:
Permit to:
(Circle whichever apply) Roof, Reroof, Install Si in , [(`onstruct Deck, Shed, Pool,
Repair/Replace, Other:
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 �J S
Architect's Name
Address & Phone II
Mechanics Name r: /mod
Address & Phone ff2O SPO Wb5L
What is the purpose of building?
Material of building? W&C-,A ��fr e — If a dwelling,for how many families? /
Will building corttprm to law? r(2-5 Asbestos? I
Estimated cost UU b City License 0/0 State License # 3�!
Bose Improvement
Lic. i
lginature f Applicant
SIGNED UNDER THE PENALTY
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
v
MAIL PERMIT TO: 1�� '
.t.
No�� V J
APPLICATION FOR
�1 �PERMIT TO
OVA
LOCATION
PERMIT GRANTED
7( o /0t-/ 19 I
AP ROV�D _
INSPECT09 OF BUILDINGS
PUSUC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 8RD FLOOR
SALEM,MA 01970 .
t TEL (978)745-9595 EXT. 860
FAX (978) 740-9646
STANLEY J. USOVICZ, JR.
MAYOR
DISPOSAL OF DEBRIS AFFIDAVIT
In accordance with the provisions Of MOL c 40,S34,I acknowledge that as a condition
of Building Permit# all debris resulting from tbe,consbuction activity
governed by this Building Permit shall be disposed of in a properly licensed solid-waste
disposal facility, as defaced by MGL c III,S 150A.
The debris will be disposed of at L�[C-,///y\
Location of Facility
Si Y tc of Permit h nt Dde
FULLY complete the following information:
(PLEASE PRINT CLEARLY)
Name of Permit Applicant
i
Firm Name,if any
�16 Sz,o uj)954 �. A - �- (mil '
Address,City&state "
The above Statute requires that debris from the demolition, renovation,rebab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIll, S 150A, and the building permits or licenses are to
indicate the location of the facility.
�� ComrnGMaesitLUt of �//n�aChwsi�4
` �, 1J.pa,lae.wt�.ldWwf..?�..�..�.•
COMMMor
Workers' Compensation Insurance Affidavit
1, ��l� r�. 1-� •� .
. . wkh.a prindpal place of business at:
do hereby'cerdfy under the pains and penildes of perjury, tloe
O I am an employer providing workers' compensation coveralls for my crnplorees worWag o0
this job.
Insurance CongmW NOW Number
I am a sole proprietor and have no one working for an in any npecky.
�am a sole proprietor, nerd coravatssar or homeowner (drde one) and have bind the
contractors listed below who-have the following workers' compensation polidM
V� Russo Pllt , N-�1 y,
m
Comracsor(` I insurance Copany/Polley Number
o \ V�,d ��ec.f v I�� 5/orlc4/n
Contractor insurance Company/Policy Number
Contractor insurance Compatry/Policy Number
() I am a homeowner performing all the work myself.
I rwovuawe wt a cc"el oe"wa.nw WN Hr ie wwd o d.t offs,el Iweetdea- of dw DIA kr cd.erate veAflu4e am out bbim w scents
co.aarr a reowts anon Section 2SA of MCL 15 2 can kid to ow ino�of cm inx oenade cewwwn of a am of w wi"00,00 rWorj owe
Icon'immewamm a ve a ew eescttin in the ions or a STOP W ORK ORR�D E�4 R awe a am of s 100A0 a ear aseinat ow.
Sirned chit . 7� day of
:iccrscciFcrrnictee euilcinQ Gepartre.enc
ucensinf Eoard
Seiectmens Office
rie:ILh Geparmer� i
0
C F �
Salem Historical Commission
ONE SALEM GREEN,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 R Broad Street
Name of Record Owner: Michael & Linda Blier
Description of Work Proposed:
Construction offirstfloor addition per plans dated 11125102 including removal of rear chimney, replacement of
sloping roof surfaces from asphalt to cedar shingles, removal of existing rear entrance vestibule, removal of
bulkhead, replacement of aluminum gutters &downspouts with copper and repainting. Windows to be wood,
true divided light. Repaint and hang shutters (shutters to be hung so as to be operable and when closed would
Yshed water awayfroIn'house)
r
'i .. �`•a •c. as i - N e. a' - _ } r
Dated: February 11, 2003 SALEM HISTORICAL COMMISSION
By:
�/>4
The homeowner has the option not to commence the work (unless it relates to resolving an out anding I
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 tol commencingwork.
CITY OF SALEM, MASSACHUSEcTiTS
BOARD OF APPEAL Y pOFF [S
u 120 WASHINGTON STREET, 3RD FLOOR - C��Rr,•d ��
1 SALEM, MA 01970
TEL. (978) 745-9595
FAX (978) 740-9846 7I1n 1�
STANLEY J. VICZ, JR. ' HAI
MAYOR
DECISION OF THE PETITION OF MICHAEL& LINDA BLIER REQUESTING A Y
VARIANCE FOR THE PROPERTY LOCATED AT 8 BROAD STREET R-2
A hearing on this petition was held April 30, 2003 with the following Board Members
present: Nina Cohen, Chairman, Stephen Harris, Richard Dionne,Bonnie Belair and
Joseph Barbeau. Notice of the hearing was sent to abutters and others and notices of
the hearing were properly published in the Salem Evening New in accordance with
Massachusetts General Laws Chapter 40A.
The petitioner is requesting a Variance from rear yard setback and lot coverage to
construct an addition for the property located at 8 Broad Street located in an R-2 zone.
The Variances, which have been requested, upon a finding 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 structure involve.
b. Literal enforcement of the provisions of the Zoning Ordinance would involve
substantial hardship, financial or otherwise, to the petitioners..
c. Desirable relief may be granted without substantial detriment to the public good and
Without nullifying or substantially derogating from the intent of this district of 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. The petitioner appeared and represented himself at the hearing.
2. Plans were submitted showing the proposed addition
3. The addition will be 6' x 24'.
4. There was no opposition to this petition.
i
CITY OF S
1 CLEO'K'S'40 -MA
DECISION OF THE PETITION OF MICHAEL&LINDA BLIER REQUESTING A
VARIANCE FOR THE PROPERTY LOCATED AT 8 BROAD STREET R-2
page two 100) MAY 14
On the basis of the above finding of fact, the evidence presented at the hearing, the A �3
Zoning Board of Appeal concludes as follows:
1. Special conditions exist which especially affect the subject property but not the
district in general.
2. Literal enforcement of the provisions of the Zoning Ordinance would involve
substantial hardship to the petition.
3. Desirable relief 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.
Therefore, the Zoning Board of Appeal voted 5-0, to grant the Variances requested,
subject to the following conditions;
I. Petitioner shall comply with all city and state statutes, ordinances, codes and
regulations.
2. All construction shall be done as per the plans and dimension submitted and approved
by the Building Commissioner.
3. All requirements of the Salem Fire Department relative to smoke and fire safety shall
be strictly adhered to.
4. Petitioner shall obtain a building permit prior to beginning any construction.
5. Exterior finishes of the new construction shall be in harmony with the existing
structure.
Variance Granted
April 30, 2003 C �
oseph Barbeau( scr ,
Board of Appeal
G
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND
THE CITY CLERK
Appeal from this decision, if any, shall be made pursuant to Section 17 of the MGL
Chapter 40A and shall be filed within 20 days after the date of filing of this decision in the
office of the City Clerk. Pursuant to MGL Chapter 40A, Section 11, the Variance or
Special Permit granted herein shall not take effect until a copy of the decision bearing
the Certification of the City Clerk that 20 days have passed and no appeal has been
filed, or that, if such appeal has been filed, that it haslbeen dismissed or denied is
recorded in the South Essex Registry of Deeds and indexed under the name of the
owner of record or is recorded and noted on the owners Certificate of Title.
Board of Appeal
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