1 CAMBRIDGE STREET - BUILDING JACKET ONE CAMBRIDGE STREET
of �ttlrm, Mug sttr4usPtts
Public 19rapertp Department
Nuilbing Department
(One #alem (5reen
500-7.15-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
June 4 , 1996
Cambridge Realty Trust
c/o Donald Koleman
1 Cambridge Street
Salem, Mass . 01970
RE : 1 Cambridge Street
Dear Mr. Koleman:
It has been determined by the City of Salem Legal
department that the above mentioned property is still a
valid non-conforming use as a professional office ( letter
enclosed) . This office will enter said letter into its
street files .
Thank you for you cooperation in this matter .
Sincerely,
Leo E . Tremblay
Zoning Enforcement Officer
LET: scm
cc : Robert LeDoux
Councillor Donahue, Ward 3
co
a i�jr
pyMg
CITY OF SALEM • MASSACHUSETTS
ROBERT A. LEDOUX Legal Department LEONARD F. FEMINO
City solicitor 93 Washington Street Assistant City solicitor
50&7453363 Salem, Massachusetts 01970 508-821990
May 31, 1996
Mr. Leo Tremblay
Building Inspector
City of Salem
One Salem Green
Salem, Massachusetts 01970
Re: One Cambridge Street, Salem, Massachusetts
Dear Mr. Tremblay:
You,have requested an opinion from me as to whether or not One Cambridge
Street is a valid non-conforming use in a residential zone. My opinion follows.
It appears that the premises in question have been used as a business location for
most of this century. Prior to the present tenant, the prior tenant had been a psychiatric
office which vacated on or about December 31, 1990.
Donald Koleman as agent for the owner of the property, that is Cambridge Realty
Trust, undertook to lease the property through the former Joyce Cook Agency. The
broker that was handling this matter was Walter H. Cook.
I have reviewed Mr. Cook's affidavit and it appears that from January 1990 until
the end of the year 1994 much activity centered around the possibility of a professional
tenant moving into the property. It was obvious that the agent, on behalf of Donald
Koleman, was actively trying to fill the space as professional offices.
There was a response to correspondence from you on January 9, 1996. At that
time you indicated that the non-conforming use had been abandoned for over a two year
period and that the property had reverted to a two family status.
Mr. Leo Tremblay
Page Two
May 31, 1996
One of the enclosures with the letter from Mr. Driscoll was the case of Derby
Refining Co. vs Chelsea, 407 Mass. 703 (1990). This case was very thorough in it's
analysis of the factual circumstances surrounding this matter. The court did state that the
discontinuance of a non-conforming use must result from the occurrence of two factors;
one the intent to abandon and two voluntary conduct whether affirmative or negative
which carries the implication of abandonment. Mere non use or sale of property does not
buy itself constitute an abandonment.
In this instance it seems clear that the discontinuance did not show an intent to
abandon the property, if anything it shows the opposite, that is, an active attempt on the
part of Mr. Koleman to lease the property.
All things being taken into consideration, it is my opinion that the property is still
a valid non-conforming use as a professional office.
Very truly yours,
OBE A. LED UX
RAL/leh
1
Aawiar SEtts
of �ttlPrn, U
�
Public Propertp Department
+iguilbing Department
(One t3alem (6reen
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
May 10, 1996
Cambridge Realty Trust
c/o Donald Koleman
1 Cambridge Street
Salem, Mass . 01970
RE: 1 Cambridge Street
Dear Mr. Koleman:
On January 9 , 1996 this office sent you a letter
concerning the above mentioned property ( copy enclosed) .
I received a copy of a letter sent to the City of Salem
Solicitor Attorney Robert LeDoux and to this date you have
failed to furnish adequate proof of a continued use of the
property as a business use .
I am requesting that you file papers with the City of
Salem Board of Appeals to legalize the ongoing use, or to
abandon the illegal use of the property.
Failure to do so within fifteen ( 15 ) days will result
in court action being taken against you.
Sincerely,
Leo E . TremblaX
Zoning Enforce nt Officer
LET: scm
cc: David Shea
Robert LeDoux
Councillor Donahue, Ward 3
i
�� m Chit of @.Pttljem, 4HUSjjUr4usCtts.
Publir Propertg Department
Nuilbing Department
(One Belem (5rern
506-745-9595 Uxt. 300
Leo E. Tremblay
Director of Public Property January 9 , 1996
Inspector of Building
Zoning Enforcement Officer
Cambridge R lty Trust
c/o Donald oleman
1 Cambridg treet
Salem, Mass . 01970
RE : 1 Cambridge Street
Dear Mr. k/leman :
This department has received a complaint alleging
the illegal use of the above mentioned property, thru the
Neighborhood Improvement Task Force .
The above mentioned property is located in an R-2 ,
two family residential district , and may not be used for
businesses without first obtaining a special permit or
variance from the City of Salem Board of Appeals .
This property was at one time a legal grandfathered
property for the use of Medical Services . The non
conforming use of the structure has been abandoned for a
period of over two ( 2 ) years therefore the property
legally reverts back to a legal two ( 2 ) family dwelling,
and can not be used for office space .
Please contact this office upon receipt of this
letter to inform us as to your use on this property.
Failure to do so within fifteen ( 15 ) days could result in
legal action being taken against you.
Thank you in advance for your anticipated cooperation
in this matter .
Sincerely,
7dings
Leo E . TremblayInspector of Bui
LET: scm
cc: David Shea
Tom Keough
Councillor Donahue, Ward 3
Certified Mail ;< P 921 991 875
�F r,
of �ttlem, Mali 1iar4usetts
public Prapertn Department
Builbing Department
Mne 6stem preen
5119-745-9595 Ext. 3110
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
May 10 , 1996
Cambridge Realty Trust
c/o Donald Koleman
1 Cambridge Street
Salem, Mass . 01970
RE: 1 Cambridge Street
Dear Mr. Koleman :
On January 9 , 1996 this office sent you a letter
concerning the above mentioned property ( copy enclosed) .
I received a copy of a letter sent to the City of Salem
Solicitor Attorney Robert LeDoux and to this date you have
failed to furnish adequate proof of a continued use of the
property as a business use.
I am requesting that you file papers with the City of
Salem Board of Appeals to legalize the ongoing use, or to
abandon the illegal use of the property.
Failure to do so within fifteen ( 15 ) days will result
in court action being taken against you.
Sincerely,.
Leo E . Tremblay
Zoning Enforcement Officer
LET: scm
cc: David Shea
Robert LeDoux
Councillor Donahue, Ward 3
ofttlPm, �9Httsstt�l�usptts
13uhlir Prnpertg Department
iguilbing Department
(One 0,a(em (5reen
500.745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property January 9 , 1996
Inspector of Building
Zoning Enforcement Officer
Cambridge R� lty Trust
c/o Donald �'oleman
1 Cambridg treet
Salem, Mass . 01970
RE: 1 Cambridge Street
Dear Mr . k/leman :
This department has received a complaint alleging
the illegal use of the above mentioned property, thru the
Neighborhood Improvement Task Force .
The above mentioned property is located in an R-2 ,
two family residential district, and may not be used for
businesses without first obtaining a special permit or
variance from the City of Salem Board of Appeals .
This property was at one time a legal grandfathered
property for the use of Medical Services . The non
conforming use of the structure has been abandoned for a
period of over two ( 2 ) years therefore the property
legally reverts back to a legal two ( 2 ) family dwelling,
and can not be used for office space .
Please contact this office upon receipt of this
letter to inform us as to your use on this property.
Failure to do so within fifteen ( 15 ) days could result in
legal action being taken against you.
Thank you in advance for your anticipated cooperation
in this matter .
Sincerely,
Leo E . Tremblay
Inspector of Buildings
LET: scm
cc: David Shea
Tom Keough
Councillor Donahue, Ward 3
Certified Mail 01 P 921 991 875
Ctu of tt1Pm, fttssttr4usPtts
tiublir Propertn Department
wilding Department
(One #alem preen
508-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
May 10 , 1996
Cambridge Realty Trust
c/o Donald Koleman
1 Cambridge Street
Salem, Mass . 01970
RE : 1 Cambridge Street
Dear Mr. Koleman :
On January 9 , 1996 this office sent you a letter
concerning the above mentioned property ( copy enclosed) .
I received a copy of a letter sent to the City of Salem
Solicitor Attorney Robert LeDoux and to this date you have
failed to furnish adequate proof of a continued use of the
property as a business use .
I am requesting that you file papers with the City of
Salem Board of Appeals to legalize the ongoing use, or to
abandon the illegal use of the property.
Failure to do so within fifteen ( 15 ) days will result
in court action being taken against you.
Sincerely,
Leo E. Tremblay ;
Zoning Enforcement Officer
LET: scm
cc: David Shea
Robert LeDoux
Councillor Donahue, Ward 3
nfttlEm, ttssttrl�us� ts
13uhlir t1rupertu Department
iguilhing Department
(One esiem t5reen
508-745-9595 Ext. 380
Leo E. Tremblay
Director of Public Property January 9 , 1996
Inspector of Building
Zoning Enforcement Officer
Cambridge R lty Trust
c/o Donald oleman
1 Cambridg treet
Salem, Mass . 01970
RE : 1 Cambridge Street
Dear Mr . k/leman :
This department has received a complaint alleging
the illegal use of the above mentioned property, thru the
Neighborhood Improvement Task Force .
The above mentioned property is located in an R-2 ,
two family residential district, and may not be used for
businesses without first obtaining a special permit or
variance from the City of Salem Board of Appeals .
This property was at one time a legal grandfathered
property for the use of Medical Services . The non
conforming use of the structure has been abandoned for a
period of over two ( 2 ) years therefore the property
legally reverts back to a legal two ( 2 ) family dwelling,
and can not be used for office space .
Please contact this office upon receipt of this
letter to inform us as to your use on this property.
Failure to do so within fifteen ( 15 ) days could result in
legal action being taken against you.
Thank you in advance for your anticipated cooperation
in this matter.
Sincerely,
-3::� Z-Q �
Leo E . Tremblay
Inspector of Buildings
LET: sem
cc: David Shea
Tom Keough
Councillor Donahue, Ward 3
Certified Mail FrI P 921 991 875
r
C�itg of ttlem, Mali 1iar4usetts
Publir 15ropertg Department
Nuilaing Department
(One ftem (5reen
5110-745-9595 $zt. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
May 10, 1996
Cambridge Realty Trust
c/o Donald Koleman
1 Cambridge Street
Salem, Mass . 01970
RE : 1 Cambridge Street
Dear Mr. Koleman :
On January 9 , 1996 this office sent you a letter
concerning the above mentioned property ( copy enclosed) .
I received a copy of a letter sent to the City of Salem
Solicitor Attorney Robert LeDoux and to this date you have
failed to furnish adequate proof of a continued use of the
property as a business use.
I am requesting that you file papers with the City of
Salem Board of Appeals to legalize the ongoing use, or to
abandon the illegal use of the property.
Failure to do so within fifteen ( 15 ) days will result
in court action being taken against you.
Sincerely,
Leo E. Tremblay
Zoning Enforcement Officer
LET: scm
cc: David Shea
Robert LeDoux
Councillor Donahue, Ward 3
.CO�
of *�UJCM, 46USBUC USrtts
13uhlir Prupertn Department
iguilbing Department
(One £alem (5reen
500.735.9595 Ext. 380
Leo E. Tremblay
Director of Public Property January 9 , 1996
Inspector of Building
Zoning Enforcement Officer
Cambridge R lty Trust
c/o Donald leman
1 Cambridg treet
Salem, Mass . 01970
RE: 1 Cambridge Street
Dear Mr . k/leman :
This department has received a complaint alleging
the illegal use of the above mentioned property, thru the
Neighborhood Improvement Task Force .
The above mentioned property is located in an R-2 ,
two family residential district , and may not be used for
businesses without first obtaining a special permit or
variance from the City of Salem Board of Appeals .
This property was at one time a legal grandfathered
property for the use of Medical Services . The non
conforming use of the structure has been abandoned for a
period of over two ( 2 ) years therefore the property
legally reverts back to a legal two ( 2 ) family dwelling,
and can not be used for office space .
Please contact this office upon receipt of this
letter to inform us as to your use on this property.
Failure to do so within fifteen ( 15 ) days could result in
legal action being taken against you.
Thank you in advance for your anticipated cooperation
in this matter.
Sincerely,
Leo E . Tremblay
Inspector of Buildings
LET: scm
cc: David Shea
Tom Keough
Councillor Donahue, Ward 3
Certified Mail r; P 921 991 875
DAVID F. DRISCOLI
_ - A"omey-at-Law
One Cambridge Street
Salem, Massachusetts 01970
PH (508) 741-0111 FAX (508) 745-9475
May 20, 1996
Robert A. Ledoux, Esquire
314 Essex Street
Salem, Massachusetts 01970
RE: One Cambridge Street, Salem
Dear Attorney Ledoux:
As you know, I am the current primary tenant at One Cambridge
Street Salem, Massachusetts, having occupied that space since on or
about January 1995 for professional office use in connection with
my maintaining my office as a sole or general practitioner of law.
I :am writing specifically in response to correspondence from Leo E.
Tremblay, Inspector of Buildings, dated January 9, 1996 originally
forwarded to the owner of record of the premises to the attention
of Donald Koleman as its agent.
In that correspondence, Mr. . Tremblay asserted that the
property at 1 Cambridce Street, Salem, Massachusetts, "was at one
time a legal grandfathered property for the use of Medical
Services . The non conforming use of the structure has been
abandoned for a period of over two (2) years therefore the property
legally reverts back to a legal two (2) family dwelling, and can
not be used for office space. "
Mr. Tremblay' s cc-respondence concedes the non conforming use
of the premises for professional office space, but asserts that
that use has been abandoned by the current owner for more than two
years . It is important to note that although Mr. Tremblay refers
to the grandfathering for "medical services, " it is submitted that
medical services is not separately defined in the Salem Zoning
Ordinance and, in essence, is a professional office space use of
the premises as that term is contemplated by the current zoning
statute. If anything, the closest definition of "medical services"
found in the statute is
"clinical, medical or dental, " as a building having
"facilities for diagnoses and minor treatment of
humans . . .buildings may have doctor' s offices, ; x-ray
rooms, laboratories, operating room for minor surgery,.
io
1
Robert A. Ledoux, Esquire
May 20, 1996
Page 2
kitchen and diet kitchen facilities. The building will
primarily be used for "outpatients -or ambulatory
patients and not for convalescent patients. However, not
more than ten (10) beds may be provided for patients
under diagnoses, for occupancy not to exceed four (4)
days" . (See Ordinance article II, Section 2=2)
It is submitted that the historic non conforming use of the
premises for professional office space has been for something far
less than use of same for "clinical, medical or dental, " which is
a use far more extensive in character as well as degree than the
historic use of the building and the current use of same. As you
know, the current use of the property is for professional office
space, used by myself since I took occupation in January 1995,
having entered into an agreement to occupy the premises in December
1994 . My current occupancy of the premises carries forward what I
understood to be the previous arrangement that Donald Koleman, the
agent of Cambridge Realty Trust, had with the prior tenant of the
property to the effect that my occupation is subject to the
reserved right of Mr. Koleman to use the conference room in the
building on an as-needed basis for client conferences and business
meetings, on mutually agreeable dates . The current level of
occupation by myself and one full-time and occasional part-time
support staff, is, if anything, less extensive than the previous
primary tenant, Bos=on North Shore Associates, who occupied the
premises for a number of years through the end of December 1990
with at least two o:orking therapists, various support staff and
other clerical perscnnel .
Mr. Tremblay in his correspondence of January 9, 1996 goes on
to state in conclusooy terms that the protected use of the premises
has been "abandoned for a period of over two years . " Nothing
further by way of factual information is offered to support that
conclusion. In contrast I have enclosed accompanying Affidavits of
Donald Koleman, the agent for Cambridge Realty Trust; Walter H.
Cook, an area real estate broker; , and my own, which clearly
outline : 1) that neither the owner nor its agents have ever
abandoned the non conforming use of the premises; and 2) at no time
have the premises not been used for the protected use for more than
two years since the current owner' s ownership in 1972 . .
For abandonment to take place there needs to be a
"concurrence" of the intent to abandon and the voluntary conduct of
the owner or its agents which carries the implications of
abandonment. See Derby Refining Co. vs. City of Chelsea (1990) 407
Mass . 703, citing Caae Resort Hotels, Inc. vs . Alcoholic Licensing
Board of Falmouth (1982) 385 Mass . 305.
Robert A. Ledoux, Esquire
May 20, 1996
Page 3
As stated in the Affidavit of Mr. Koleman, the premises were
used by Boston North Shore Associates for professional office use
and were, on occasion, used by Mr. Koleman during their tenancy for
his own professional use, in particular the conference room area of
. the building. After Boston North Shore Associates vacated the
premises on or about December 31, 1990, the premises remained in
use by Mr. Koleman, were fully furnished, heated, cleaned, and
utilities remained in place from on or about December 1990 through
December 1994 . In addition to Mr. Koleman' s occasional
professional use of the building, the premises were continuously
marketed, advertised and shown to prespective professional office
use tenants by Walter H. Cook, who notes in his Affidavit that the
premises were shown with working utilities (including heat) and
were fully furnished from 1991 through 1994 .
At no time can the conclusion be drawn that the owner
demonstrated a voluntary intent to abandon the protected use, or
given the activities recited in the accompanying Affidavits, can it
be implied that the non conforming use was abandoned or
extinguished following the departure of the former prime tenant,
Boston North Shore Associates, at the end of 1990, as there is no
conduct by either the owner or the agents, either affirmative or
negative, that supports such a conclusion. See Derby supra at 704 .
The second assertion in Mr. "remblay' s correspondence of
January 9, 1996 refers to a two-year period, which is more
completely recited in the Salem Zcning Ordinance which derives
itself from similar language in the enabling statute, MGLA Ch. 40A,
Sec. 6. Mr. Tremblay asserts that the use of the premises has been
abandoned for more than two years . Again, as is set forth in
detail in the accompanying affidavits, no reasonable person could
draw the conclusion that the non conforming use has been abandoned
by the current owner at any time prior to or since the current
tenant' s use of the property for professional office space. Though
the building has been continually used for professional office
space, even if it could be construed that Mr. Koleman' s use of the
building does not constitute "occupation" of the premises, the
actual vacancy of the building being -without prime tenant does not
in and of itself support a conclusion of abandonment. See Paul vs .
Selectman of Scituate, 301 Mass . 365 (1938) .
Moreover, Mr. Tremblay does not assert that the use has been
discontinued or that the protected non conforming use has "not been
used" for two years or more. (See Article 8, Sec. 8-5 of the
Ordinance) , only that same has been abandoned for the two-year
period.
Robert A. Ledoux, Esquire
May 20, 1996
Page 4
Even if one were to invoke the non-use criteria of the
ordinance independent of the abandonment claim, - it is asserted that
the building has not only been painted, cleaned, heated, provided
with other utilities and marketed continuously since the departure
of the next previous prime tenant; but it also has been used by Mr.
Koleman as per his Affidavit for his professional office space
since prior to 1990 and since 1990 and throughout the years leading
up to my occupation of the building from January 1995 to the
current date . Simply stated, at no time since the current owner
took ownership of the premises in 1972 and especially from 1990
through December 1994 have the premises not in fact been used for
the protected purposes for a minimum of two years or more . See
Bartlett vs. Board of Appeals of Lakeville, 23 Mass . Appeals Court
664 (1987) . Because the implied assertion of non use or
discontinued use has been unequivocally rebutted, it is submitted
that no extinguishment nor abandonment of the non conforming
historic use of the premises has taken place prior to my present
occupation of the building for professional office use.
We maintain that the factual information and case law (please
see enclosed) will clarify the issue for both the city, the owner
and myself, obviating the expenditure of further time and expense
in bringing all concerned to a determination of the present use of
One Cambridge Street as a protected non conforming use neither
factually nor legally abandoned or extinguished.
Please accept my apologies for not providing you with this
material sooner. Any delay has been occasioned by my schedule and
no adverse inference nor indifference by the owner nor myself
should be perceived by that delay. I and the owner look forward to
your review and opinion.
Thank you again for your kind attention and courtesy in this
matter.
Ver/YY
your ,
David F. Driscoll
DFD:dab
encls .
cc: Cambridge Realty Trust; Donald Koleman, Agent ,
Leo E. Tremblay, Inspector of Buildings �/
Coity of �§ttlrm, fttssttr4usetts
Ilublic Propertp Department
+Nuilbing Department
(One t3nlem Green
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
May 10, 1996
Cambridge Realty Trust
c/o Donald Koleman
1 Cambridge Street
Salem, Mass . 01970
RE : 1 Cambridge Street
Dear Mr. Koleman:
On January 9 , 1996 this office sent you a letter
concerning the above mentioned property ( copy enclosed) .
I received a copy of a letter sent to the City of Salem
Solicitor Attorney Robert LeDoux and to this date you have
failed to furnish adequate proof of a continued use of the
property as a business use .
I am requesting that you file papers with the City of
Salem Board of Appeals to legalize the ongoing use, or to
abandon the illegal use of the property.
Failure to do so within fifteen ( 15 ) days will result
in court action being taken against you.
Sincerely,
Leo E . TremblaX
Zoning Enforce /ntOfficer
LET: scm
cc: David Shea
Robert LeDoux
Councillor Donahue, Ward 3
Tito of '§�ttlem, fttssac4usetts
Public Propertp i3epartment
Nuilbing Department
(One #alem (6reen
508-745-9595 Ext. 380
Leo E. Tremblay
Director of Public Property January 9 , 1996
Inspector of Building
Zoning Enforcement Officer
Cambridge R,� lty Trust
c/o Donald �Oleman
1 Cambridg treet
Salem, Mass . 01970
RE : 1 Cambridge Street
Dear Mr . A(eman :
This department has received a complaint alleging
the illegal use of the above mentioned property, thru the
Neighborhood Improvement Task Force .
The above mentioned property is located in an R-2 ,
two family residential district, and may not be used for
businesses without first obtaining a special permit or
variance from the City of Salem Board of Appeals .
This property was at one time a legal grandfathered
property for the use of Medical Services . The non
conforming use of the structure has been abandoned for a
period of over two ( 2 ) years therefore the property
legally reverts back to a legal two ( 2 ) family dwelling,
and can not be used for office space .
Please contact this office upon receipt of this
letter to inform us as to your use on this property.
Failure to do so within fifteen ( 15 ) days could result in
legal action being taken against you.
Thank you in advance for your anticipated cooperation
in this matter .
Sincerely,
Leo E . Tremblay ;
Inspector of Bui' dings
LET: scm
cc: David Shea
Tom Keough
Councillor Donahue, Ward 3
Certified Mail # P 921 991 875
SEND FORMS T0: NIP — PLANNING DEPT. CIT l U -A L EM
NEIGHBORHOOD IMPROVEMENT TASK FORCE Jumdiction
Hist. Comm. Yes ❑ No ❑
REFERRAL FOPM Cons. Comm. Yes ❑ No ❑
p / SRA Yes ❑ No ❑
Date:
Address:
v
Complai
f ell
Complainant: A ; a;- Phone#:
Address of Complainant: /9 /mss&.r ST
DAVID SHEA. CHAIRMAN KEVIN H
ff 74- 77-
BUILDING INSPECTOR ELECT "R'-'/i � TMENT
I AW
FIRE PREVE ON CITY SOLICITOR
HEA DEP TME SALEM HOUSING AUTHORITY
ANIMAL POLICE DEPARTMENT
)INNING D 'PAR ENT I ASSESSOR
TREASURER/COLLECTOR I I DPW
WARD CO NCILL R I DAN GEARY
SHADE TREE
PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA
WITHIN ONE WEEK. THANK YOU FOR YOSSISTANCE.
ACTION: / /) // •
l l✓Yiy
ARTICLE
P 921 991 875 •
UNE,. �I Cambridge Realty Trust`'
c/o Donald Coleman NUMBER
.
1 Cambridge Street
Salem, Mass. 01970
t FOLD AT PERFORATION t WALZ
INSERT IN STANDARD#10 WINDOW ENVELOPE. E E A T I F I 10 r'
M A I L E Air, .a
w
Rp$TAGE POSTMARK OR DATE o
RETURN SHOW TO MGM,DATE ANG/ RREES�CTQ.
RECEIPT ADDRESS OF DELIVERY -
O
CERTIFIED FEE+RETURN RECEIPT W N
SERVICE
TOTAL POSTAGE AND FEES Z w
Ln W DE
f` SENT TO— NO 71NSUNOTRFOR INTERNATONAL MVAIL Co ISEE MFR RinDOa
Cambridge Italty Trust`= * Os
'oma- c/o Donald Coleman - a�
117 I, Cambridga Street wLL
r-qN Salem, Mass. 01970 F=
Erf w�
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w
• C1fI. a r
PS FORM 3800 z
RECEIPT FOR CERTIFIED MAIL o
Pona«E��E
�u.
i
STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE,
CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front).
1. If you want this receipt postmarked,stick the gummed stub to the right of the return address of the
article,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
permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED
adjacent to the number.
r
4. R you want D D ELI restricted a the of the anti 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.If return f
receipt is requested,check the applicable blocks in item 1 of Form 3811.
6. Save this receipt and present it if you make inquiry.
i _ - - b i
����:r fig '
I � F � o
_ _ t
01/19/1996 11:40 5087412423 COMPETITION MOTORS PAGE 02
ccef�c a�J28 t�
�(aa�ac�ucrP��1970
. 744-2652 or J47-3220
i January 18, 1996
Robert A. Ledoux, Esquire
Ledoux, Whipple & King
Fax No. 745-6209
RE: One Cambridge Street, Salem
Dear Bob:
I wanted to memorialize our telephone conversation on
Tuesday, January 16, 1996, regarding the letter dated January 9,
1996 from Leo E. Tremblay, Inspector of Buildings (attached
hereto for your easy reference. I shall prepare a formal
response regarding the use of the main house by David F.
Driscoll, Esquire, for his law practice.
The allegation set forth in paragraph 3 that, "the non
conforming use of the structure has been abandoned for a period
of over two (2) years therefore the property legally reverts back
to a legal two (2) family dwelling, and can not be used for
office space" is clearly erroneous. The medical service or
professional use of the building was never abandoned as the
premises were advertised and placed in the hands of a broker for
re-rental through approximately January 1995 when the premises
were then let for professional offices; i.e. , law offices for
Attorney David F. Driscoll.
I will furnish you with a more complete response within
seven days. In the meantime, thank you for your attention and
courtesy in this matter.
Sincerely,
Jonald Kolema
fl
DK:dab
cc: Leo E, Tremblay
0t/19/1996 11:40r� 5087412423 COMPETITION MOTORS PAGE 01
/(C(�ata11�1`}�
4��j
CR -32S to 6weGP01970
4 2652 or�7l� J220
January 19, 1996
TO: Leo E. Tremblay
Inspector of Buildings
Fax No. 744-5918
FROM: Donald Koleman
Fax No. 741-2423
RE: One Cambridge Street
* There is 1 page following this cover sheet
SENDER: I also wish to receive the
• Complete items 1 and/or 2 for ad itional services.
• Complete items 3,and 6a 8 b. following Services(for an extra Pee):
• Print your name and address on the reverse of this form so that we can return this card
to yon. 1. ❑ Addressee's Address
• Attach this form to the front of the mailpiece,or on the back if space does not permit.
• Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
• The Return Receipt Fee will provide you the signature of the person delivered to and the Consult postmaster for feex
date of deliver
3.Article Addressed to: 4a.Article Number
C...r„i:r._4t1a• n r1t,. :ruo,t P 921 991 875
�i i?aa!r, C,Irr r
- 4b.Service Type
CERT FIE
7.Date of Deliv ry (r C,
5.S natur (Address ) 8.Addressee's ess-
(ONLY if req, ted and fee paid.)
.Signature—(A t)
PS Form 3811,November 1990 DOMESTIC RETURN RECEIPT
United States Postal Service ®
F�
Official Business F �u---•��
PENALTY FOR PRIVATE
USE,$300
Ill�wulll��u��nllIII IIII III III Iall IIII III III I
INSPECTOR OF BUILDINGS
ONE SALEM GREEN
SALEM MA 01970-3724
:40 5087412423 COMPETITION MOTOP.S
PAGE 02
M
LoR9
�f r,1�a��1970
�t /Mt; 70-2052 ori71f)220
ii January 18, 1996
i
Robert A. Ledoux, Esquire
Ledoux, Whipple & King
Fax No. 795-6209
RE: One Cambridge Street, Salem
Dear Bob:
I wanted to memorialize our telephone conversation on
Tuesday, January 16, 1996, regarding the letter dated January 9,
1996 from Leo E. Tremblay, Inspector of Buildings (attached
hereto for your easy reference. I shall prepare a formal
response regarding the use of the main house by David F.
Driscoll, Esquire, for his law practice.
The allegation set forth in paragraph 3 that, "the non
conforming use of the structure has been abandoned for a period
of over two (2) years therefore the property legally reverts back
to a legal two (2) family dwelling, and can not be used for
office space" is clearly erroneous. The medical service or
professional use of the building was never abandoned as the
premises were advertised and placed in the hands of a broker for
re-rental through approximately January 1995 when the premises
were then let for professional offices; i. e. , law offices for
Attorney David F. Driscoll.
I will furnish you with a more complete response within
seven days. In the meantime, thank you for your attention and
courtesy in this matter.
Sincerely,
onald Kolema
DK:dab
cc: Leo E. Tremblay
r '
Otg of '%*ttlemr massac4usetts
Public Propertg Department
iguilbing i3epartment
(One 6alem Green
SOB-745-9595 ext. 380
Leo E. Tremblay
Director of Public Property January 9 , 1996
Inspector of Building
Zoning Enforcement Officer
Cambridge Realty Trust
c/o Donald Coleman
1 Cambridge Street
Salem, Mass . 01970
RE : 1 Cambridge Street
Dear Mr. Coleman :
This department has received a complaint alleging
the illegal use of the above mentioned property, thru the
Neighborhood Improvement Task Force .
The above mentioned property is located in an R-2 ,
two family residential district , and may not be used for
businesses without first obtaining a special permit or
variance from the City of Salem Board of Appeals .
This property was at one time a legal grandfathered
property for the use of Medical Services . The non
conforming use of the structure has been abandoned for a
period of over two ( 2 ) years therefore the property
legally reverts back to a legal two ( 2 ) family dwelling,
and can not be used for office space .
Please contact this office upon receipt of this
letter to inform us as to your use on this property.
Failure to do so within fifteen ( 15 ) days could result in
legal action being taken against you.
Thank you in advance for your anticipated cooperation
in this matter .
Sincerely(,
7dings
Leo E . TremblayiInspector of Bu
LET: scm
CC : David Shea
Tom Keough
Councillor Donahue, Ward 3
Certified Mail P 921 991 875
SEND FORMS T(,r MP — PLANNING DEPT.
NEIGHBORHOOD IMPROVEMENT T.-\SK FORCE Jurisdiction
Hist. Comm. Yes ❑ No ❑
REFERRAL FORM Cons. Comma Yes ❑ No ❑
// SRA Yes ❑ No ❑
Date:
Address:
Complai orn F_ s,� < s n 9el,`
7 Ali -Oi ./'/cam '> i/ G/�/ .L t_ ✓
� P,^e% IC ,`✓1
415=AComplainant: A % / �; Phone#: 7415--
Address
ddress of Complainant:
DAVID SHEA CHAIRMAN I KEVIN HARVEY
BUILDING INSPECTOR I ELECTRICAL DEPARTMENT
i
FIRE PREVENTION I CITY SOLICITOR
HEALTH DEPARTMENT SALEM HOUSING AUTHORITY
ANIMAL CONTROL POLICE DEPARTMENT
PLANNING DEPARTMENT I ASSESSOR
TREASURER/COLLECTOR I DPW
WARD C UN ML—OR DAN GEARY
SHADE TRF
PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA
WITHIN ONE WEEK. THANK YOU FOR Y0,L1R SSISTANCE.
ACTION: ,- /) J�,
� Ga - ate.
Application for Permits
Location
5
Permit Granted
Ap oved:
Inspector enuildings
I p
I
' r
Bt:nML NG DEPARTIM4T
1311 WASHWGTON STREET.310 FLOOR
lwj- ��0-04 TEL(978) 74S-9595
FAX(979)730 9846
KISt13ERLEY DRISCOIl.
- - MAYOR_' THOMAS ST.PEERR8_ —
DmEGTOA OF PUBLIC PROPERTY/BUUMING CO%MIISSIO.iER
APPLICATION FOR THE CONSTRWTWK AWAIK RENOYA=ft CHANGE IM—U82 OR
OCCUPANCY,OR DEMOUTiON OF ANY BUR.DING OR STRUCTURE
71"Seetlon-far OMdo U»OMS
J . Pamlic P .: / 1
Building
E nn aPlrll: Donee` Start` End:
Gonne trz
1.0 31TE INFORINATION
Location NarrMx BuldkW
Property Addrem i CAM 613 AOoLC S-1
Aseessora MWBk)dc L01IParcet
2.Q Q1MiE "1pjFOR8fA710N
2.1 Owner of Land
Mama oalz s se tie
Address: j o(lm92)06£ Ssi
Tem r270 ) -7L/- D Y l-o
22 Owner or lessee of br�InB or struchw►
ETewpohmow.
_ _
3.0 AGENCY OR AUTHORITY AUTHORIZING CONSTRUCTION
Agency Name:
Address:
Agency Project Number.
Projed Manager Name: Tet
�s z�C-
4.'0 PROFESSIONAL DESIGN SERVICES:_
- -41 Reglsterad Architect_
Name: Seal and Signa"y
Address:
i
i
Fax:
TelWhonac
` `r •.
42 Reglsbred P ofasslo"Ei gine n tom•add anal dw"Y risosrsay and.alfadib avprcarba)
Name Seal and 3lgrokir `
Address:.. -
Telephone: Fax
!*. -
New
Address:
Telephone:... Fax
Area of Responsibility:
Name: Seal and Signature '
Address:
[Artea
hone: Fax:
of responsibility.
S.0 DESIGN AND CONSTRUCTION UTILIZING MGL C 112 SECTION 81R EXEMPTIONS
- - _-- -_- (See note below)
COntfaCtOf fl�j Ld1N-r iG CAJfir2�.r.T OrJ r'1N o (L�S�QT10� =s nl:. .
Name:
Address: 59 Oe A j E sf--
Low�t,l.�1ti�. o�SSI
Area of responsibility: ��
'Cicerise Number." ' Date of Expiration:
Telephone: 8 NS rVo�W_<. Fax:• .�97p3�NS8 7Zoo
Name:':i
Address.
t
Area of responsibility:
License Number. Date of Expiration:
Telephone: Fax
Contractor
Name:
Address:
Area of responsibility:
License Number. Date of Expiration:
Telephone: Fax: 71.
Note: For portions of work utilizing exemptions of MGL a 112 s.SIR complete the sectlon above.
Use additional sheets d necessary and attach to application.
6.0 PROFESSIONAL CONSTRUCTION SERVICE&
-&1-General-Contractor-t{tj'M-riC: Goals vc�o^3- a��12GS:r,�►a�r �� -
Address:
Loi�Ew O/SS/
Telephone: I '-qv) we-7/e-o Fax. 72 O p
Responsible in Charge of Construction:
7.0 CONSTRUCTION DOCUMENTS -to be prepared by applicant
Item d as Applicable
7.1 Plans (Note 1 this page) Submitted Incomplete Not Required
7.1.1 Architectural ,_ s
7.1.2 Foundation -
7.1.3 Structural
7.1.4 Fre Suppression
7.1.5 Fre Alarm
7.1.6 HVAC
7.1.7 Electrical
7.2 Specifications
7.3 Structural Peer Review
7.4 Structural Tests & Inspections
Program
7.5 Fire Protection Narrative Report
7.6 Existing Building Survey
7.7 Workers Compensation Insurance
7.8 Other Documents (Specify)
(Energy Narratives, etc.)
Note 1 Areas of Design or Construction for which Plans are not complete at the time of
this application must be identified herein. Work so identified must not be commenced until this
application has been amended and proposed construction has been approved by the
Department of Public Safety District Building Inspector having Jurisdiction.
9.0 CONSTRUCTION COSTS (See 780 CMR Appendix L)
Total Construction Cost Building Penna Fee Chert Number
(1) _(1)x M001
10.0 AUTHORIZATION OF STATE AGENCY FOR AGENT TO APPLY FOR BUILDING
PERMIT (when applicable)
1, . on behalf of the audwea rq Stats
Agency or Authority. hereby authorize. apply
for the building permit for project number.
Signature Date
11.0 SIGNATURE OF suiLDING PERurr APPLICANT
Nam
Signature Date
12. Certificate of Occupancy required on completion of project? _Yes .No
Inspector's Notes:
9.0 COMPLETE THIS SECTION FOR WORK IN EXISTING BUILDINGS ONLY
For new construction comolete sectan 8.0
• - Existing.°` ��:: .� .. „
Addition
Renovation Number of Stories Renovated
Change in Use New T}
Demolition Existing
Approximate year of Ares per floor(sf) Renovated
construction or renovatiuo, .
of existing building Now,,,,-
Brief
ew;,, «Brief Descriptwn of Proposed Work
bGM OJ E, abOF a A) '— M UL, N!iw, 2ooFINC, ,
f
i
USE GROUP AND rCONSTRUCTION.CLASSIFICATION(Eidstiieg;8ugdln 's Only) "'
`.=1 s ate`. •. �,. ...:.
EXISTING PROPOSED Flndiic.*
CONSTRUCTt04
USE Group(s) Use, Hazard use , Hazard `CLASSIFICAT0(nae"-c8tepory�- Group Index ''roup Indexy -- N_an a0pueabt l:
A Assembly 1A
B Business 1 B
E Educational, 2K
F Factory 213.•
H High Hazard 2C -
I Institutlonal:. 3A '
N Mercantile 38
R Residential . 4
- 3 Storage 5A
U Utility 5B
Mx Mixed Use Hazard Index
Sp Special Use I I
Note: Include Hazard Index Modifier for Construction Type as applicable �J
�� ;� •
�s�s���.��w r,a�ov�fl a�r r+�+e
.1AI�,P�C�PR ,PF�A Ip A..PEAI1fllT.B,�WG GRANTED
CITY OF SALEM
i��� \ �
No.� �J7�ZUO�.( �vtt� ..L i.,�\ Date �
. \ •: s:�� �I �
\��;ti�x,,`.. !�)
\'°�trmnea'�'
Is Property Located In Location of
the Historic District? Yes_No_ Building ( � f—
Is Property Located in
the Conservatian Area? Yes No
BUILDING PERMIT APPLICATION FOR: '
Permitta
(Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Poot,
FiepaidReplace, 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 �7V`� �""" ��
Address & Phone � G u�v '�v� � (�ll� Z¢�—`�Zl�
Architect's Name �,Ui(��5 �L�Op�
Address & Phone ���' ( )
Mechanics Name �
Address & Phone ( )
What is the purpose of building?�VN� ��� '
Material ol building? (./�D C% If a dwelling, tor how many familfes7 �
WIII building confortn to law7 Asbestos?
EsUmated cost �Ciry License n N P' State nse # /-t�G�f rl��
/�� � � Home Improvement V '
Lic. i
A
U � � ' n re of Applic n
Ck- I OS`� SIGNED UNDER T PENALTY
OF PEAJURY
DESCRIPTION OF WORK TO BE DONE _
��7iu.C.Pi I n �O� .t ���.1� �G(����5 .
MAIL PERMIT TO: ` �'g�l/Pl/r�10/6C � , �Q�v�G�(, /Lf� �
1
��
No. l �� -Zoo�-(
APPLICATION FOR
PERMIT TO
( oh 6 i+,r� � S�Ca�.SL� '
�C'f�i��n`c �f�/6v�!Y�/
LOCATION
6 h Q C i� �Ji',i.�c.� ��
PERMIT GRANTED ,'
� ��� g o3 �� �
AP V�D �
� `
INSPECTO OF BUIL INGS
j
�
�
; —
� - . o
�
e �I �
` ��
Salem Historical Commission
ONE SALEM GREEN,SALEM,MASSACHUSEITS 01970 �
. � (978)745-9595 EXL 317 FAX(978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction `6,L Alteration
❑ Demolition T� P�t�g
❑ 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 DistricPs Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: McTntir
Address of Proper�• 1 ('amhridg�Srreet
Name of Record Owner: Sue Schonf
Desciiption of Work Proposed:
Installation offence per drawings submitted dated 7/16/03. Fence to match 2 Andover Street,painted white,
with two gates.
Dated: Julv 17. 2003 SALEM HISTORICAL COMMISSION
By: ����'��������
The homeowner l�as tl�e option not to conmience the work (miless it relates to resolving azi outstanding
violation). All work commenced must be completed within one yeaz from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriaie permits from tl�e Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.
Y
The Commonwealth of Massachusetts M tq,�,�
t LT Y'
Board of Building Regulations and Standards OF
ds SALEM
Massachusetts State Building Code,780 CMR 10fb OCi 31 , Xv8'A%r 2011
Building Permit Application To Construct,Repair,Renovate Or Demolish a s
One-or Two-Family Dwelling
This Section For Official Use Only `
J Building Permit Number: Date Applied:
Building Official(Print Name) Signature Date
N SECTION 1:SITE INFORMATION
1.1 Prope .,dd,r r 1.2 Assessors Map&Parcel Numbers
l.la Is this an accepted street? s_ 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 Yazd
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:
Zone: _ Outside Flood Zone? Municipal❑ On site disposal stem ❑
Public❑ Private❑ Check if yes❑ P system
SECTION 2: PROPERTY OWNERSHIP`
2.1 Owner of Record:
T r d iC 2a f` ^ Q vt SGt M P O l 9 7 U
Name(Print) i City,State,ZIP
I 'll- C'C�OrttpgQ 5'- CJ'78'• 7VS- 8y2r
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORIe(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work:�elnotjrP C h t M n P(4 �rn
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Estimated Costs: Official Use Only
Item (Labor and Materials
1.Building $ 70 20. O O 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: yJ
5.Mechanical (Fire $ Total All Fees:$
Suppression)
Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ 7 v 20 t 06 ❑Paid in Full ❑Outstanding Balance Due:
I
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
?3 & /u� 2 -
License Number Expiration Date
Name of CSL Holder
S z elf-C / e n� List CSL Type(see below) t/
No.and Street �j d J Type Description
SQ 1W,, m O/ /�y�� U Unrestricted(Buildings to 35,000 cu.ft.)
R Restricted I&2 Famil Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
9;7f-7,61 0o1 I Insulation
Telephone Email address D Demolition
5.2Registered Home Improvement Contractor(ffiC)
�D h n �-
y k U 2�l 2 /
� /ir-A HIC Registration Number Expiration ate
HIC Company Name or I"RC Regis t Name
.lr� C�/C/i R �d .,Sf
No. d StreFt 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 'j O
to act on my behalf,in all matters relative to work authorized by this building permit application.
,P ' i er'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.
�nhp Gt� G Sh r 11,
Print Owner's or Authorized Agent'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.gov/d s
2. When substantial work is planned,provide the information below:
Total floor area(sq.11.) (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"maybe substituted for"Total Project Cost"
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
www.massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
o Anlicant Information Please Print Legibly
Name(Business(Organization/individual): ;GA h
Address:_,j�t'J,CCy0a z_1Z- S,4
City/State/Zip: 0/17 20 Phone#: �'j 7� 7,1 V- j 0 0 /
Are you an employer?Check the appropriate box:
4. 1 am a metal conductor and I Type of project(required):
1.® I am a employer with� ❑ g
employees(full and/or part-tune).' have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. Q Remodeling
ship and have no employees These sub-contractors have g_ ❑Demolition
working for we in any capacity. employees and have workers'
[No workers'comp.insurance comp.insutance.t 9. Q Building addition
required.] 5. Q We are a corporation and its 10.❑Electrical repairs or additions
3.Q I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions
myself [No workers'comp. right of exemption per MGL
insurance required.]t a 152,§IM,and we have no 12.Q Roof repairs
employees.[No workers' 13.Q Other
comp.insurance required.]
*Any applicant that checks box to must also fill out the section below showing their workers'compensation policy information.
t Homeowners who submit this affidavit indicating they are doing all work and than hire outside contractors must submit a new affidavit indicating suck
*Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or notthose entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
lam an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site
information
Insurance Company Name:_
U
Policy#or Self-ins.Lic.#: GJG�S -30 '90/6 Expiration Date:_ 4IZ5 1/f
Job Site Address: t/i �ig m�jrtd0 �f C' p SG en m19 01970
— -7 °b. Ity/StatelZi
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 MOL c. 152 can lead to the imposition of criminal penalties of a
fine up to$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$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of 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
Date; 1 0 131) 1 I/
Phone#: '7Vy—/Od j
-------------------------------------------
Offidal use only. Do not write in this area,to be completed by city or town official
City or Town: Permit/License#
Issuing Authority(circle one):
I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: Phone#:
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF APPROPRIATENESS
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑x 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: 1'/2 Cambridge Court
Name of Record Owner: Judith Kearney
Description of Work Proposed:
Rebuild chimney with following two options:
Rebuild chimney to existing configuration with new brick that closely matches existing brick in color,
size and configuration and mortar which closely matches existing mortar in terms of color and
appearance; or
Rebuild chimney with new bricks that match color and size of existing bricks but with new chimney
corbelling per attached photograph.
Install new stainless steel chimney cap to be painted black per attached photograph.
Dated: October 6, 2016 SALEM HISTORICAL COMMISSION
By: �
The homeowner has the option not to commence the work(unless it relates to resolving an outstanding
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 to commencing work.
Desired corbelling:
a a y
a v u a
z
`t`om
i y
i -
is f
Desired stainless steel cap: