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FORM A - DECISION
Ms . Deborah Burkinshaw
Cizy Clerk
Salem C 'ty Hall
Salem, MA 01970
Dear Ms . Burkinshaw:
At a regularly scheduled meeting cf the Salem Plannino Board
held on September 5, 1996 it was voted to endorse "Approval Under
SubdivislDn Control Law Got Required :3n the following described
plan:
1 . App- icant : Paul and Elizabeth Debski
43 Calumet Street
Salem, MA 01970
2 . Lucation and Description :
Parcel E-2 contains 3,258 sf of property and is located
at rear of 12 Dundee Street.
Deed : r property records in Essex outn District Registry.
Sincerely,
Z
te,.,e E
r B. Fower ,/ II�
Chairman
EX\DH\BPFORMA
_ ----------
R-1
R-1 ZON/NG DISTRICT
MIN/MUM LOT AREA : 15, 000 SF
MINIMUM LOT FRONTAGE : 100 FT
-�o,u.,E, M/N/MUM FRONT YARD 15 FT
sr M/N/MUM SIDE YARD: 10 FT
r
HNIMUM REAR YARD 30 FT
.21 ry /
o �l
///�� F� o
DUNDEE STREET NOTES.-
1.
OTES:1. ASSESSORS MAP 10 PARCEL 25
LOCUS MAP I
2. ZONING DISTRICT IS R- 1
I I
J. PLAN REFERENCE : PLAN BOOK 304 PLAN 91
I
ROBERT C. PAUL J. MARY & CARL
HUNG ADAR/0 MELIN
SEE PLAN 157 OF 1964 n
C APPROVAL UNDER THE SUBDIVISION
0
K. CONTROL LAW NOT REQUIRED
�6
XN
SALEM PLANNING BOARD
N65 59'58"W S65 5958"E
- --- ,�. .
116.50'
PARCEL E-2 30 N
3258-, SF I. A
j .Rop 46. 82 ' ------
SET
_-
N
74046 24
k .� 80
06 / --
� / -- Z - _81 �— 06:.5958"E
I5'8o/� 6 / 074'341060W
DA TE
:A
� w
z p '
co
IlkLOT E-1 ' _-- _- 4°'
SUT TON 3
TERRACE 297 978-± SF. eto
N nc N
267.43'
-- N66 25'00"W ---- —
SUBDIVISION
LOT DI
PLAN OF LAND
LOCATED IN
SALEM , MASS .
PREPARED BY
EASTERN LAND SURVEY ASSOCIATES, INC.
CHRISTOPHER R. MELL 0, PLS
104 LOWELL ST. PEABODY, MA. - 01960
(508) 531 -8121
FOR REGISTRY USE ONLY . I HEREBY CERTIFY THIS PLAN CONFORMS NOTE
TO THE RULES AND REGULATIONS OF THE SCALE 1 " = 2O' JULY .1 , 1996
REGISTERS OF DEEDS OF THE COMMON-
WEALTH of MASSACHUSETTS. PARCEL E-2 IS TO BE COMBINED WITH LAND OF MARY & CARL REV. JULY 257 1996
PREPARED FOR
MELIN TO FORM ONE LOT
CALUMET STREET REALTY TRUST
v ti
THIS PLAN IS BASED ON THE REFERENCED PLANS, DEEDS
AND THE RESULTS OF A FIELD SURVEY AS OF THIS DA 7F
NO CERTIFICA77ON IS INTENDED AS TO PROPERTY TITLE S OR AS TO THE EXISTENCE OF UNWRITTEN OR UNRECORDED 0 10 20 40 60 80
EASEMENTS F 9815
The Commonwealth of Massachusetts
�- Board of Building Regulations and Standards CITY OF
�
Massachusetts State Building Code, 780 CMR SALEM 1+ Revised N(ar 2011
Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
fiiis Section For Official UstiOnl
Building Permit Number: "e Applie, , l
i
Building Official(Print Name) / Signature.: Date
SECTION 1:SITE INFORNIATI0N.
1.1 Pr erty�ldrires� LZ Assessors tN j�Parcel Numbers
L t a Is this an accepted street?yes ✓ no Map Number Parcel Number
1.3 Zoning Information: L4 Property Dimensions:
Y�_ I z?,fnCao 107. 9
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
(o -7 (=l-.
1.6 Water Supply: (M.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public Private❑ Zane: _ Outside yes Zone? Municipal I3On site disposal system ❑
Check iff esCD�'
SECTIONZ:; PROPERTrOWNERSEID?L
2. Ownertpp(Record:
iru + (_�i 7a{aa(fn 1�P1944 Salem , Q l 117 �
Name(Print) City,state,ZIP - I�
4'� ajrim04— Q--k-'NC
No.and Street Telephone Email Address
SECTION 3• DESCRIPTION OF PROPOSED WORIC'(check all that apply)
New Construction ❑ I Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ I Alteration(s) ❑ 1 Addition Cl
Demolition (3.1 Accessory Bldg. ❑ Number of Units_ Other specify;
Brief Description of Proposed Work': l '
SECTION 4: ESTENIATED CONSTRUCTION COSTS
Estimated Costs:
Item Official Use Only..•
Labor and `faterials
1. Building P ,mil S g400. GO L Building Permit FeerS' '' rridicate haw fee is determined:
2. Electrical S ❑Standaid.CityCCown•AppiicationFee.'
�'�`6D cl'rotal Project Cost,(Item.6)x multiplier x
3. Plumbing S . Other Fees: S
1. Mechanical (IIVAC) S List:
i, Mechanical (Piro S
SnP session) _ Ntal All Fees: .S-
�/ �r r Check No. Check Anwunt: _Cash Anluunr.
n l'ot:tl Project CoSC S 7� f0 l ❑ Paid in Fall 0 Outstanding Ilolanee I:uo:
SECTION 5: coNsrRUCrION SERVICE'S
5A Construction Supervisor License(CSL)
License Number Expiration Date
Name of CSL I[older belo%v
List CSL Type(see )
type Description
No.and Street
U Unrestricted DuilJin s nrA to 35,000 cu. tt.
R Restricted 1&2 Fa,a D,velli,,
Cityaown,State,ZIP Nlasonr
RC Roo6n Coverin
\VS Window and Sidin.
SF Solid Fuel Burning Appliances
I Insulation
'I'cle hone Email address D Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Registration Number Expiration Date
111C Company Name or IIIC Registrant Name
No.and Street Email address
Ci /Town,State ZIP rele hone
SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.e. 152. 1 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 in this application is true and accurate to the best of my knowledge and understanding.
I`rint Owner's or Authurized.\geut's Name(Electronic Signaturo) Date
NOTES:
I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(nut registered in the Home Improvement Contractor(HIC) Program),will not have:recess to the arbitration
program or guaranty find under M.O.L. e. 142A. Other important information-on the HIC Program can be found at
www m:us.eov%uca Information on the Construction Supervisor License can be found at,vww.ro;u .•n�,V ,IL
2. When substantial work is planned,provide the information below:
Total floor area(sq. 11.) _ —(including garage, finished basementlattics,decks or porch)
tiros; fiving;n'ca(sq. tt.) _— IEabitable room count —
Nwnber of tireplaccs_--------- Number of bedrooms
Numherufbathrouns Numborofhalf'batlu --------
I'cpe of heating sy,tcnt . _ ._ . —.--_-- Number of deck.;'porches _--_ ----
I\pe of a,olin� ;yacm F:neloscd t>pcn
4. "I 11 1ge m iy bQ ,rib rims: I
MORTGAGE INSPECTI"
BAY STATE SURVEYING ASSOCIATES INC. JOB#
100 CUMMINGSS CENTER. SUITE#316J, BEVERLY,MA., 01915
f-M /-,A. L:
LOCATION ...».SM-...»........i.. ....»»».......f...» HOTEL.
:....:..». 1)This is a mortgage inspection survey and no an
��» /5'O 2 Instrument survey,therefore this plot plan is for
SCALE . 1n v 50 DATE:.»......................».......... mortgage inspection purposes only.It Is NOT to
be used to establish boundaries or for the construction
REFERENCE : BK' 136$,3 PG; 70 _ _ of any type of improvements.
X t��tl.SDI STRILT 31 This is es
Bushes.shrubs.fa ess and tree Ones do not
.. . }}. OI-' �E�ISS �
. ....5 .......»...�...»...».....»........... necessarily indicate Property Mom
41 Whenever an offset is 1'+-at less,an instrument
TO: _Y4!)Z ITAa CO-OPERRnur WK. Survey Is recommended to determine property
The location of the building(s)as shown,either Ones,and any possible aruoactumods.
complied with the local zoning setbacks at the dma of 61 Offidtp.shown we appreshnate,and am tote
construction or is exempt from violation enforcement action UNW only for the determination of zoning,Not to
under Mass.G.L Title VII Chapter 40A Section T be used to establish property tines,
di In my professional opinion the buifding(s)are not
A�Sa QEr >a 3 K'f 3 939- 2brr located in the special flood hazard zone,as
deflned by Ku-O. MAPf! ZSo 102 8-5-85 fv637- l6Z
PLAN 313-8 2
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(MgOSSEO.THE PU NiSACOPY
THAT SNouLO BE ASSUMED TO
CONTAIN ,,1t:O ED ALTERATIONS.
` ` �� ��. THE DOCUMENTIONCONTAINEDON
V T�pg DOCUMENT SHALL NOT APPLY
TO COPES.