14 FORRESTER ST - BUILDING INSPECTION (2) f
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The Commonwealth of Massachusetts �N$PECREC L S£ t6GE}8'
Board of Building Regulations and Standards
Massachusetts State Building Code,780 CMR n� / SALEM
Building Permit Application To Construct,Repair, Renovate Or�I�e BPAT al 1 's� 27/1
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: ate Applied:
�A / lk N
Building Official(Print Name) Signature Date
SECTION l:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
V4 �� C u
1.In 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 Supply: (M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone?Check if yes❑ Municipal❑ On site disposal system ❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner of Record:
ik c- Ri R Ee(lt
Name(Print) City,State,ZIP
)A ST
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORW(check all that apply)
New Construction❑ Existing Building+1030wner-Occupted ❑ Repairs(s) ❑ Al[emtion(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. umber of Units Other ❑ Specify:
Brief Descriptionof Proposed Work : BuCr—t- 13 hEIt Oki 2PD f�L �Lpb'F
12x1loti
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs:, Official Use Only
Labor and Materials
1.Building $ I. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ - 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $
❑Paid in Full ❑Outstanding Balance Due:
t
' SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
2O
I — to
LL License umber pi ion Date
Name of CSL Holder
2M List CSL Type(see below)
No.and Street Type Description
S AL wLl N1A p� 97b U Unrestricted Buildin sup to 35,000 cu.ft.
City/Town,State,ZIP ' R Restricted 1&2 Family Dwelling
M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
978 Sly 14L 1 I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC) 'C?j -19 & 7
�1-t�m Z� HIC Registration Number xpira ion Date
HIC Company Name or HIC Registrnnt Name
No.and S et FµAt e 8f& C6*ZAST N6'"T
Q 7g 5.79
1161
1`I 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 .......... W No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR/AP-PLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize
to act on my behalf,in all matt rs relative to work authorized by this building permit application.
° 4
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW 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 in this application is true and accurate to the best of my knowledge and understanding.
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Print or uthA-'l o ze Agent's Name(Electronic Signature) Da e
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.gov/oca Information on the Construction Supervisor License can be found at www.massgov/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 of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
1
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From: June 26, 2014
Marc A. Berube
Kenneth R. Kayser
14 Forrester Street #2
Salem, MA 01970
To:
Jen Catherall
Mark Catherall
14 Forrester Street#1
Salem,MA 01970
Re: Request for your approval for our deck construction
Jen & Mark,
In order for us to proceed with the construction of our deck we need to
obtain your signatures of approval to comply with the City of Salem
Building Inspector Permit regulations.
To obtain our permit for the deck construction our contractor needs to
present this letter of approval with your signatures on Monday, June 30, to
the City of Salem Building Inspector.
Please provide your signatures of approval below and date of approval.
Thank you very much.
Marc & Ken
Request approved:
Jen CatherallQ,4�WLQ—I)ate
Mark Catherall Date '�� /
CITY OF S.UEN4 INLASSACHLSETTS
' BL'IIDLNG DEPARTMENT
\ = j 120 W.ISHINGTON STREET,3w FLOOR
} TEL (978)745-9595
FAX(978) 740-9846
KI\IBERLEY DRISCOLL
N AYOR THo"ST.Pwmm
DIRECTOR OF PCBLIC PROPERTY/lIUBDIING CONLMSSIONER
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information / Please Print Legibly
'Name(Business,OrganizationHnndividual):.. �LC7r_/GYC /,�'q LZ
Address: rG. aMC14 Avr-
City/State/Zip: :5:7� 4L t'l I P414 O1970 Phone#: 97%? 1-7.6 P(f.+
Are on an employer?Cheek the appropriate box: Type or project(required):
1. I am a employer with Z 4. ❑ I am a general contractor and 1 6. ❑New construction
employees(full and/or part-time).' have hired the sub-contractors t
2.❑ Z Lip 1 am a sole proprietor or partner- listed on the attached sheet.t Remodeling
ship and have no employees These sub-contractors have S. ❑Demolition
working for me in any capacity, workers'comp.insurance. 9, ❑ Building addition
[No workers'comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their ME]Electrical repairs or additions
3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions
myself.(No workers'camp. c. 152,§10),and we have no 12.❑Roof repairs
insurance required.]t employees. [No workers' 13.❑Other
comp. insurance required.]
•Any applicant that chucks box it l most also rill out the section below showing their workwl enmpens 6cm policy infumnaion.
t I hmteowners who submit this affidavit indicting they ate doing all work and then hire outside con mcno s must submil a new affidavit indicating such.
:Camr.Kxon that chuck this box most anached an additional sheet showing the name of tM sub-eontraesors and their worketa'comp,policy information.
I am an employer that is providing workers'compensation Insurance for my employees. Below is the polley and job site
information.
Insurance Company Name: ( -.`t/1M O �/>ttln'2r �r C42
Policy#or Self--ins.Lic.#: PrL lit C 42S j pi Expiration Date: ,
Job Site Address: J'4 f yleken-w ! 7- CitylState/Zip: <4,4,to"
Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 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 S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations ul'the DIA for insurance coverage verification.
I do hereby certify under the pains and
/penalties of perjury that the information provided above is true and correct.
Sien tire• F: t L r
I
Phone
Official use only. Do not write in this aretltI to be completed by city or town ojj&ial
City or Town: PermittUcense#
Issuing Authority(circle one):
1. Board of Ilealth 2.Building Department 3.City/Town Clerk 4. Electrical Inspector S.Plumbing Ins p for
6.Other �
Contact Person: _ Phone#:
CITY OF S�UY.,tii, �'L�SS.ICHL'SETTS
J' B1:IL131ING DEPARI1tENT
130 WASHNGTON STREET,3i°FLOOR
TEL. (978) 745-9595
FA x(978) 740-9846
IQ,%IBERLEY DRISCOLL
MAYOR T�-O&W ST.PIERRE
DIRECTOR OF PL:HLIC PROPERTY/BL;ummr,COJ06tISSIO iER
Construction Debris Disposal Affidavit
(required for 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:
AAM5 n7e igT-I'✓G
(name of hauler)
The debris will be disposed of in
Nn Spr
(name of facility)
S&I/Mpsca- r
(address of facility)
Ila Z4
signature of permit applic nt
�G
date
Ja6risulTJin
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CITY OF SALEM, MASSACHUSETTS
BOARD OF APPEAL
120 WASHRVGTON STREET♦ SALEM,MASSACHUSETTSJIJ 97Q_n '
KimRERLEY DRiscoLL 'ISLE:978-745-9595♦ FAx:978-740-9: (fly Stf 0 p
MAYOR FILE #
September loth, 2014 CITY CLERIC, SALEM, MAs:
Decision
City of Salem Board of Appeals
Petition of MARC BERRUBE and KEN KAYSER requesting a Variance from the provisions of
Section 4.L1 Table of Dimensional Requirements of the Salem Zoning Ordinance to allow the construction
of a roof deck over an existing 2nd floor roof,which would exceed the 2.5-story maximum allowed
height of buildings. The proposal is for the property located at 14 FORRESTER ST. UNIT 2 (R2
Zoning District)
A public hearing on the above Petition was opened on August 27,2014 pursuant to M.G.L Ch. 40A,§ 11.1he
hearing was closed on that date with the following Salem Board of Appeals members present: Ms. Curran
(Chair),Mr. Duffy,Mr. Watkins,Mr. Copelas (Alternate),and Mr. Tsitsinos (Alternate).
The Petitioner seeks a Variance from the provisions of Section 4.1.1 Table of Dimen ibnal Requinmena of the
Salem Zoning Ordinance.
Statements of fact:
1. In the petition date-stamped July 23'd, 2014, the Petitioner requested a Variance from the provisions
of Section 4.1.1 Table of Dimenional Requirrments of the Salem Zoning Ordinance to allow the
construction of a roof deck over an existing 2°d floor roof, which would exceed the 2.5-story
maximum allowed height of buildings.
2. Mr. Berube and Mr. Kayser, petitioners, presented the application for the property at 14 Forrester
Street Unit 2.
3. The proposed location of the deck is on top of an existing flat roof with existing sliding door access,
last modified in 1986.
4. The requested relief,if granted, would allow the Petitioner to construct a 12' x 18' deck and a 36" tall
deck rail on top of an existing flat roof over the second floor.
5. Mr. Berube stated that the existing sliding door to roof access has potential safety issues without a
railing and that this existing condition may negatively impact the ability to re-sell the property.
6. The petitioners submitted six (6) letters of support from abutters.
7. At the public hearing one (1) member of the public spoke in opposition to the petition, citing
concerns about impact to the privacy of abutters.
The Salem Board of Appeals, after careful consideration of the evidence presented at the public heating, and
af£et thorough review of the=pEtition, including the application narrative and plans, and the Petitioner's
presentation and public—testimony, makes the following findings that the proposed project meets the
provisionso£the City of Salem Zoning Ordinance:
City of Salem Board of Appeals
September 10,2014
Project: 14 Forrester Street,Unit 2
Page 2 of 2
Findings
1. Literal enforcement of the provisions of the Ordinance to allow a maximum allowed height of 2.5
stories would be a substantial hardship due to unique conditions affecting the property including the
existing sliding door to the roof poses a safety risk. Without relief, it would not be possible to build a
12'x 18'deck and 36"tall railing.
2. The proposed new deck and railing would not be a substantial detriment to the public good.
3. The proposed new deck and railing does not increase the Yd floor space significantly, but technically
the increase in usable space requires a Variance to go from 2.5 stories to 3 stories.
I
4. The desired relief may be granted without nullifying or substantially derogating from the intent or
purpose of the City of Salem Zoning Ordinance.
On the basis of the above statements of facts and findings, the Salem Board of Appeals voted five (5) in favor
(Mr. Watkins, Ms. Curran, Mr. Tsitsinos, Mr. Copelas and Mr. Duffy) and none (0) opposed, to grant the
requested Variance to allow a 12'x 18' deck and 36" tall railing subject to the following terms, conditions,
and safeguards:
1. The Petitioner shall comply with all city and state statutes,ordinances,codes and regulations.
2. All construction shall be done as per the plans and dimensions submitted to 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.
S. Exterior finishes of the new construction shall be in harmony with the existing structure.
6. A Certificate of Occupancy is to be obtained.
7. A Certificate of Inspection is to be obtained.
8. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but
not limited to, the Planning Board.
F..e-&,ee-ems Cam. anti,
Rebecca Curran,Chair
Board of Appeals
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK
Appeal fmm this dedsion,f any, shall he made pursuant to Section 17 of the Massachusetts General laws Chapter 40A,and shall be fled within 20
days off1hug of lbir deemon in the offue of the City Clerk. Pursuant to the Massachusew General Lams Chapter40A,Section 11, the Variance or
Special Pvmitgmnted herein shall not take fect until a copy of the decision bearing the certifwate of the 0t,Ckrk has been filed with the Essex South
Registry of Dee4,
;f CITY OF SALEM, MASSACHUSET"TS
If l BOARD OF APPEAL
120 WASHINGTON STREET♦SALEM,MASSACHUSETTS 01970
KIMB11M.EY DRISCOU TEI.E:978-745-9595 • FAX:978-740-9846
MAYOR
Notice of Decision
At a meeting of the City of Salem Zoning Board of Appeals held on Wednesday,August 27,2014 at 6:30 p.m.at 120
Washington St.,Salem,MA,the Zoning Board of Appeals voted on the following item:
Petition of MARC BERUBE & KEN KAYSER, seeking a Variance to allow the construction of a roof deck over an
existing 2° floor roof,which would exceed the 2.5-story maximum allowed height of buildings as set forth in Section
4.1.1 Table of Dimensional Requirements of the Salem Zoning Ordinance. The proposal is for the property located at 14
FORRESTER ST,UNIT 2 (R2 Zoning District).
Decision: Granted
Filed with;he City Clerk on September 10,2014
Thu notice it being rent in compliance witb the Massachusetts General Lams, Chapter 40A, Sections 9& 15 and does not require action
by the recipient Appeals, if any,shall be made pursuant to Chapter40A,Section 17,and shall be filed within 20 days from the date which
the decision was filed witb the City Clerk.
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