55 BROAD STREET - HISTORICAL - BUILDING JACKET SS BROAD STREET-
HISTORICAL
TREETHISTORICAL 01
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No. 153L
HASTINGS. MN
LOS ANGELES-CHICAGO-LOGAN.ON
McGREGOR.T%•LOCUST GROVE.GA
U.S.A.
P-607 166 617
RECEIP �313 CERTIFIED MAIL
ANCE COVERAGE PROVIDED
."FOR INTERNATIONAL MAIL
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Certified Fee O
Special Delivery Fee
Restricted Delivery Fee
Return Receipt showing
to whom and Date Delivered
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Return Receipt showing to whom,
Date,and Address of Delivery
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TOTAL Postage and Fees S
Postmark or Date
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STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(sae(rant)
1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving
the receipt attached and present the article at a post office service window or hand it to your rural carrier.
(no extra charge)
2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of
the article,date,detach and retain the receipt,and mail the article.
3. If you want a return receipt,write the certified mail number and your name and address on a return
receipt card,Form 3811,and attach It to the front of the article by means of the gummed ends if space per-
mits. Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number.
4. If you want delivery restricted to the addressee,or to an authorized agent of the addressee,endorse
RESTRICTED DELIVERY on the front of the article.
5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. It return
receipt is requested,check the applicable blacks in item.1 of Form 3811.
6. Save this receipt and present it if you make inquiry. T
Cite of *alem, Angacbugettg
a i�= Public Propertp Department
9�Y,y�ryg tPN``� jguilbing Department
One Oalem Oreen
745-9595 (Ext. 380
William H. Munroe
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer ti
February 24 , 1989
Mr . Robert J . Kobuszews'ci
c/o Beverly Savings Bank
175 Cabot Street
Beverly ,MA . 01915
RE-:X55'Broad-S-t,._-,_Sa-lem,MA .
Dear Mr-. Kobuszewski ,
Acting on complaints to this office of possible Code Violations
at above referenced property , our investigation of the property
showed you are in violation of Mass State Building Code Section
113 and 121 ( Permits & Violations ) . At that time I posted said
property with a stop-work order effective as of February 24 , 1989 .
I found the following work has been done , new sky lights , re-roofed ,
new windows and door , new siding , old asbestos siding removed
( which the asbestos required special handling , B . O . H AND D . E . O . E .
notification and approval .
To correct this violation contact this office within forty eight
hours of receipt of this notice to find out what steps you have
to take to correct these violations .
SINCERELY ,
James�a/
' ames D . Santo
Assistant Building Inspector
JDS/eaf
C . C . City Solicitor
Ward Councillor
Board of Health
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(situ ofsl�m, cttsstt� us�tts a :, '6y
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DECISION ON THE PETITION-OF ROBERT KOBOZEWSKI FOR A
VARIANCE 'AT~55 BROAD STREET (R-2)
A hearing on this petition was held August 9, 1989 with the following Board
Members present: Richard Bencal, Acting Chairman; Messrs. , Febonio, Luzinski,
Nutting and Dore. 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 a variance to allow a carriage
house to be converted to a single family dwelling in this R-2 district.
The Variance which has been requested may be granted upon a finding of the
Board that:
a. special conditions and circumstances exist which especially affect
the land, building or structure involved and which are not generally
affecting other lands, buildings and structures in the same district;
b, literal enforcement of the provisions of the Zoning Ordinance would 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 derogatinf from the intent of
the district or the purposes 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 proposal was opposed by abutters.
2. Carriage House could be used for a garage and/or storage.
3. No hardship was established.
On the basis of the above findings of fact, and on the evidence presented, the
Board of Appeal concludes as follows:
1 . Special conditions do not exist which especially affect the subject
. property and not the district generally;
R
2. Literal enforcement of the provisions of the Ordinance would not involve
substantial hardship to the petitioner;
DECISION ON THE PETITION OF ROBERT KOBUZEWSKI ?OR A
VARIANCE AT 55 BROAD STREET, SALEM
Page two
The Variance requested cannot be granted without substantial detriment .o the
public good or without nullifying and substantially derogating from the
intent of the district or the purpose of the Ordinance.
Therefore the Zoning Board of Appeal voted one ( 1 ) in favor, four (4) opposed
(Messrs. , Bencal, Dore, Luzinski, Nutting) to the granting of the variances
requested. The request is denied due to the failure of the petitioner to cotain
the required the required four (4) affirmative votes.
DENIED
Peter Dore, Member, Board of Appeal
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CIT: CLERK
tp;mal from this decision, if any, shall be made pe150a91! to 'Xtion 17 of
the Mass. General Laws. Chapter 808, and stall be filed within 20 days
afar the date of filing of this decision in the ori;e of the City ClCrx.
?iea-nc to ,Nass. General L]:'s. Ch:-otx .i09, S'=r;ion 11, the Variance
C' S;)ec.-1 Permit gfnnted hei eln shall n. t take EIfrCt until a copy of the
:lecsmn. !.'carina, the r_ertrfic:non of the Citv C:.irk that 20 days have
e.apsed and no appeal has been iaad, or that. it such appeal has been
Ned, that it has been dismissed or denied is recorded in the South Essex
Registry of Deeds and indexed under the name or the owner of record or
is recorded and noted on the owner's Certificate of Title.
BOARD OF APPEAL
.- CHEMICAL RECOVERY, mc. EPAI.D OMAD00063e999
197 PORTLAND STREET • BOSTON, MASSACHUSETTS 02114 (617) 523-7740
NOTIFICATION OF ASBESTOS REMOVAL
RQ Hazardous Substance Solid
NOS (Asbestos) NA .9188 ORM-E
Generator: �'?Gr�`^�/ v✓
Location of Work: A
✓�� � a'r`c�t���G;-�` - -< _..
Nature of Work: n` _�
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Amount of Friable Asbestos:
3 �j�'
// 7>
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Asbestos Control Methods Employed; EPA, OSHA, 6 State
Name of Asbestos Removal Co: 6✓�/�'9�J,_c/e A� s lJK77�M�
This is to certify that the above named materials are properly classified,
described, packaged , marked and labeled and are in proper condition for
transportation according to the applicable regulations of the Department of
Transportation and the U.S. Environmental Protection Agency.
Authorized Signature: Date:
Name of Transporter: Chemical Recovery Inc 617-523-7740
Address: 197 Portland Street
Boston, MA 02114
EPA ID # MAD 000638999
Authorized Signature: Date
Name of Disposal Site:
SAWYER ENVIRON REC FAC INC.
Address 358 Emerson Mill Rd.
Hampden, ME 04444
ME 093 3 825
Authorized Signature: Date)
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CITY OF SALEM HEALTH DEPARTMENT
BOARD Of HEALTH
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
(617) 741-1800
March 2, 1989
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Mr. Robert J. Koboszewski mm m —
c/o Beverly Savings Bank N rn _o
175 Cabot Street b-m z
Beverly, MA 01915 m m n
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Re:--55-Broad Street,_Sal m,MA-,01970 a --q
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Dear Mr. Kobuszewski:
The Health Department has been notified by the City Building Department that
asbestos siding was being removed. Removal of asbestos shingles requires a
written notification form to be sent to D.E.Q.E. Office (N.H. Regional Office
5 Commonwealth Avenue, Woburn, MA 01801) 20 days prior to the commencement
of shingle removal.
Enclosed you'll find, D.E.Q.E. notification form and D.E.Q.E. Asbestos Shingles
Guidance Document.
Please submit a copy of the D.E.Q.E. notification form to this office to fulfill
local notification requirements.
The Health Department appreciates your anticipated cooperation.
If you have any questions kindly contact this office.
FOR THE BOARD OF HEALTH REPLY TO
ROBERT E. BLENKHORN, C.H.O. WILLIAM T. BURKE, III, R.S.
HEALTH AGENT SENIOR SANITARIAN
REB/m
cc: Ward Councillor Vincent Furfaro
James Santo, Building Inspector ✓
City Solicitor Michael O'Brien
Encl.
G;L115'
CITY OF SALEM, MASSACHUSETTS
PLANNING DEPARTMENT
`-,•�0.9��,�, PAR 17 I -�too
GERARD KAVANAUGH ? CITY�-Q '4[iaALEM GREEN
CITY PLANNER r R hi,Misys
(617)744-4580
l/ 9
March 6, 1986
Mr: Robert J. Kobuszewski
P.O. Box 905
Salem, MA 01970
RE: Garage at 55 Broad St.
Dear Mr. Kobuszewski:
. As I explained to you on the phone, the 1913 Atlas (copy enclosed) shows
a garage or shed of a different footprint and location than the one on the
current Assessor's Map. Judging by that information and the appearance of the
building, it would appear that your garage was built after 1913 and does not
meet the requirements of the Carriage House Ordinance.
Sincerely,
Debra Hilbert
Preservation Planner
Encs.
bcc: Bill Munroe, Building Inspector
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The Commonwealth of Massachusetts
Department of Public Safety
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Massachusetts State Building Code(780 CN1R)Seventh Edition
City of Salem
Building Permit Application for any Building other than a 1-or 2-Family Dwelling
(This Section For Official Use Only)
Building Permit Number: Date Applied: ( x 's Building Inspector: �Y7
SECTION 1: LOCATION (Please indicate Block# and Lot# for locations for which a street address is not available)
No, and Street Cite /Town Zip Code Name of Building(if applicable)
SECTION 2: PROPOSED WORK
If New Construction check here❑ or check all that apply in the two rows below
Existing Building$ Repair'o I Alteration ❑ 1 Addition ❑ DemOlition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied is part of this permit application? Yes ❑ No (;k
Is an Independent Structural Engineering Peer Review required? ^ Yes ❑ No '�
Brief Description of Proposed Work: t—UZ;VP 81?O (l.EC 6J L/L l 1�n.4 i /1:.(r+k� S'1�E�Na
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑
Existing Use Group(s): Proposed Use Group(s): S
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ H: Hi h Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
1: Institutional 1-1 ❑ 1-2 ❑ 1-3❑ 1-4❑ M: Mercantile❑ R: Residential R-10 R-2 ❑ R-3❑ R-4❑
S: Storage S-1 ❑ S-2 ❑ U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE (Check as applicable)
IA IB ❑ IIA ❑ 1111 ❑ IIIA ❑ IIIB ❑ I IV 1 VA VB ❑
SECTION 7:SITE INFORMATION (refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check it outside Flood Zone❑ Indicate municipal ❑
'A trench will not be Licensed Disposal Site❑
required ❑or trench or.pecifv:
I'ricate❑ or indentifc Zone: ur on site sestem ❑ permit is enclosed ❑
Railroad right-of-way: Hazards to Air:Navigation: MA I6,h-ri,C,-mmi-wn H,-,io,,
\nt :\ppliiab e ❑ 11 StruclUru within airport apprnadi area:' Is their leolew completed.'
,a Cun.ent to Ito I ILi enclosed ❑ Yes ❑ nr No❑ Yes ❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
I:drtion nt C,ate: U,e(11 oup(,). r�pe of Conant wn: Occupant Load per Flour:
1)nes the building inn Coro.❑Sprinkler S% tem": Special Stipulations: .
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Pro}�erh Owner
SPr�s A» P a l�cauf' S�- 2 w S i
Name(Print) No.and Street City/Town Zip
property 0%%tier Contact Information:
Title Telephone No. (business) Telephone No. (cell) e-mailaddress
If applicable, the property owner hereby authorizes
Name Street Address Citv/Town State Zip
to act on the pro pert owner's behalf, mail matters relative to work authorized by this building permit a p ilication.
SECTION 10:CONSTRUCTION CONTROL (Please fill out Appendix 2)
(If buildin•is Icss than 35,000 cu. tt.of endosrd s pace and/or not under Construction Control then check here❑and skip Section 1111)
10.1 Re istered Professional Res onsib le for Construction Control
Name (Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
C0j5�ppany Nam
t'CTi�rt ce: IPtofA1P C S 70 70 7-
Name of Pe�rson Respnsible for Construction License No. and Type if Applicable
tJAnn : S o S' SA 1�t 0I1(-70
Street Address City/Town State Zip
CO rC--)—R- Z--712
Telephone No. (business) Telephone No. (cell) e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes No O
SECTION 12:CONSTRUCTION COSTS AND PERMIT F E
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6) _$
1. Building $ 2 zou O U Building Permit Fee=Total Construction Cost x_(Insert here
2. Electrical $ appropriate municipal factor)_$
3. Plumbing $
4. Mechanical (HVAC) $ Note: Minimum fee=$ c0Btac`municipality)
5. Mechanical (Other) $ Enclose check payable to < r((���J\\ ((nn�J
6. Total Cost $ 32o e s nt� (contact municipality)and write check number here 1
SECTION 13: SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and accurat�to the�bestt of my knowledgeand understanding.
I'Iruse print and>ign name It Title Tulephone.No. Date
Z� i )ti2n: J � - .;A L i,/n OL44 tRZ
}urel :Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval:
Name D,
CITY OF S.1L.E.NI, ,1rLkSSACHUSETI•S
3I:2LDLNG DEP.1RTMIUNT
120 WASHLNGTON STREET, )ail FLOOR
T L (978) 745.959S
FAX(978) 740.9846
KJ.%BERLEY DRISCOLL
"I
�AYOlI lioulAs ST.PmRRs
DIRECTOR OF PL OLIC PROPERTY/BL:MDLNG CO.%L%OSSIONER
Workers' Compensation Insurance ABdavit: Builders/Contractors/Electricians/Plumbers
luplicant Information Please Print Legibly
Nalneojusirw+a.Organnrariomindavnluaf)! 1Dt✓T6/L C- iOM n
Address: 1• dd.S0rJ Sa:: NPIL
City/StatriZip: LA BEM MA t-3 rc:t '7y Phone
,%to you an employer'Cheek the appropriate two: Type of project(required):
1.❑ 1 am a ernployer with d. ❑ 1 am a general contractor and 1
employees(full and/or part-time).• have hired the subcontractor 6. ❑New construction
2-11 1 am a sole proprietor err partner- listed on the attached sheet : 7. ❑Remodeling
,hip and have no employees Theca sub-contnetors have s. ❑Demolition
working for me in any capacity. worker'comp.insursoca 9. Building addition
1 No warkers'comp. insurance S. ❑ We are a corporation and it. 10.❑ Electrical repair w addi[ions
required.) officers have exercised their
J.❑ 1 am a homeowner doing all work right of exemption per MGL 93.00th
Plumbing repair or additional
myself.[No workers'comp. C. 132.f 101 and we have no Roof repairs
insurance required.) t employees. [No workers' er
comp. insurance required.]
• ------------------
Any applicant nut chocb boa at mnat alai fib wt tM modem bolas abewittg that WOFb e'cernpMSWkM polity infumrnlaa
'1 Lanaowras who suhatu this afllttwit indicating they all doing all work and them him outside aemrncems nnat mhtnit a tear atbdavil indicating wet
:r..nawaron that rhwit this lac mud anwhad an addtiunol dre dtowing ths none of its Aa4onan am ad,hirk wwhara'ramp.Policy inf m aaoe.
1 one an employer that As providing workers'rompensadan lnserenee for cry emp/oysra Qdow is t/Ye policy ead/ob r/ar
information.
Insurance Company Name:
Policy M at Self-ion. Lie.p: Expiration Date:
Job Site Address: City/Statr/Zip:
,vnach a copy of the worker'compensation policy declaration page(showing Ike poliky number and expiration daft).
Failure to secure coverage as required under Seclion 23A of%1GL c. I72 can lead to the imposition of criminal penalties of a
fine up to S 1.500.00 and/or one-year imprisonment.as well as civil penalties in the form of a STOP WORK ORDER and a fine
Of up to 3230.00 a day against the violator. ik advirsx!that a copy of this statement maybe furwurded to the Office or
Invicettgmiuna of ilia DIA for insurance coverage veriticatiun. .
1 do hereby cerrify milder rho pains and pastilles of perJmry that the informatlow provided ubogqve is true and correct
"orators: Dolir Z_
Off7a•ial we only. Do rat write in this area, to be'umpletd by Pity or town official
City or ruwn:
_. __ Prrmit/I:IcenseM__. _
hsuinj Aulhurity icircle one):
1. Ituard of Ilealth 2. Ruilding Department J.Cily/rown Clerk J. Electrical Inspector 5. Plumbing Impeetor
6. Other -
l,uilnl Person:__ --. _-- Phone it:
ly
CITY OF SALEM
� PRE
•. PUBLIC PRO RTY
,Q••r ,�% DEPARTMENT
\I .,,nc 1_'0 V('.\.i111M,IONSrRGET 5.\I I'\1, St.\Ni.\ III i11i+ 12
Tr1:a V45 4M 1':\fit:979.7409846
Construction Debris Disposal Affidavit
(required fur all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit # - - is issued with the condition that the debris resulting from
this 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:
(name of hauler)
The debris will be disposed of in
(name of aci ity)
Calla ne i i tj\.P�'
loddress of Facility)
signature of pertrut applicant
Z tJoJ Z�d�
date
MY 3aIE 'Edlt +Tq t5 Hel hF SPA LT Y x
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Detail
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�- { �rProperty�nfotmation 508ROADSTREE1
Qn Bill — SALEM MAU1970
B °+ Parcel ID 25 0272 �A D 1
Apply Prot
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Scan'Bill
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"�ks ��., OF Salery a y�Spec£al Conditmns/Notes,
QU16kEntry
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Name 1 ota 5:202s88 100:00 d0 ': 638 59 r R Y 3 r,59d1 47
Notes�Aerfs` a Due 11l0212009 5947 47 Ar`s
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