8 LORING AVE - BUILDING INSPECTION (2) "MIN61111WIlE f4A04AD APPROVED BY 7414E
J UPZ=B PWR TD A.PERMIT RMG GRANTED
CITY OF SALEM
No. �
b
wad
Q11"119)
zonft sans
Is Prowiy Loesmto In 1"at1m of
f1N FMMpic DWW? Ya No ft d"s g �of� t�i A✓
is PIOWY Locom In
ft conswvaecn Ma9 Ya No
Permit to: RM BUILDING PEIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof, Instal Siding Deck, Shed, Pool,
Repair/Replace, Odter-. a d d>,)
PLEASE RLL OUT LEGIBLY a COMPLETELY TO AVOID DELAYS W PROCESSIND
TO THE INSPECTOR OF BUILDINGS: '•
The urxkngrwd hereby applies for a permit to build ac ord4ig.to the following
f
Owner's Name
Address & Phone La 21 n T A V r7 4 I
Architect's Name
Address & Phone ( )
Mechanics Name
SZi (rso26e
Address & Phone -5�h —L /-
WfNt w 8w pW W of aiWW
MOWW of NWIdrg4 Lv d e-9 30r,-,m 4 M a dwOpp,for Now nMfly Wnsm?
wa tsrlmrq mdm.m to low? •✓at? ! Gn Le n U
Etelrltlmd oost 1 U 1 ' qly UcMw r alaM LkMj�� S
X -7/2 ro/ Signature of Applicant
SIGNED UNDER THE PENALTY'
DESCRWnON OF WORK TO BE DONE of PEIuuRYq
MAIL PERMIT TO: LIV C,
57, GJGl2 LQS� SZ�� -/
.t.
NO.
APPLICATION FOR
PEFAW TO
Rob✓a-rrouS -tAbDi atir pa 3-o.G6_
LOCATION
p [ ogoy( 4-J/,-
PERMIT GRANTED
�v cuf � i S� 41F Zoa7' _
APPR VfD
INPPECTOR OF BUILDING
C O yes
"eparrmenr of Jnausrrra eectM=
O,aia of brvestigadons
600 Washington Street
Bost64 MA 02111
tvwn:atassgow/d e
Workers'Compensation Insurance AiBdavk: Builders/Contractors/Electridans oumbeis
Applicant Information Please Print Letably
Name
Adaress:
City/Suite ip: S�-J f Ln Phone#
An o so empleyerT Cheek the appropriate bow Type of project(required):
1711 am a employer with -3 4. ❑ I am a general cuntracoor and 1
employees(fa and/or part-time o have hired the nab-conw nado 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached shed.t 7. ❑ Remodeling
ship and have no employees These sob-contractors have S. ❑ Demolition
wodft for me in any wojkas'conw.insurance. 9 ® Odin addition
[N )workers' 5. Q We are a corporation add its .
offioets have exercised their 10.0 Electrical repairs or additions
3.❑ 1 am a boulc wner doing all work right of exemption per MGL 11.0 Plumbing repairs or addition
myself [No workers'camp• c. 152,41(41 and we have no 12.0 Roof repairs
insurance required]t employe". [1`lo workm' 13.(] Other
comp.immance required.)
•Any eppliesot dw chub box al mint emo fin out d ssee- below Aowiea their wabn'- Policy imtottmetim
t Ha neownas wbo AdOM this dBbvit=dwalift they=domes en work and tben him outride contrectom must submit a taw e8'devit iodwatina such.
tConmechm Pont check this box mug coached sin sdditiooel sheet showman the time of tb subovoubmem cod they wo*=,wtp pulley mfasntetloa
Ian an eayeAver that is providirra workers'compm&Won buitrenee for my aNployem Bdow is tbar polity endJob slat
Gsforrwe;loa
Ins canoe CompaeryName: S+ �a y 1 Tra,y-e 1,('7S /
Policy d or Self im./Lie 1h 61}( 9 01 Q" i Expiration Date:
Job Site Aadr"a:. g d)e i ✓1�t A U eity/Statelzip: —
Attach a copy of the workers'compebsadon poncy declaration page(showing the poiley number and expiration date}
Faders to secure coverage as requbW under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine tap to$1,500.00 and/or Ono-Yen 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 tlis statemtat may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification
SiRaaAlze; =- :—M=
titer the brforaratloe provide
d
above 6 eras al correct
Date
PhQsc lh -7,P/ S- If 0 —) y�?-.
O,Bleld ruse only. Do nor write la tkb errs,to be completed by cly or saws odldd
My or Tows: Permkll lame b
Issuing Authorky(circle one):
1.Board of Health 2. Building Department 3.CItY/Towa Clerk 4.Electrical Inspector S.Plumbing Inspector
6.Other
Comad Person: Phone N:
Massachusetts General Laws chapter 152 requires all errVloyers ro provide workers' eampeosatign for their empaes
pursuant>p this statute, an eaepfoyea is defimed at"...every person in the service of another undo say contract of h hyeoe,
of implied,oral or written."
An empfoyo is defined as"an individual.piaumbip,associabou,Corporation cr other legal entity.or any two or trots
m s joint enterprise.ad iochrdmi the 14d r m'es of a deceased CoVloyap or the
or faoremgo p�f�individual.p a�tm or other legal emity,employmL emPbYca 1� the
VON and who resides
owner of a dw�eltmg house having or more than three r odwellingdwei> home
dwelling house of another who employs persona to do maintenance,Consnucroa ofrepair repair work
err on the grounds or building appetcaam
thereto shall not becnw of such amploymaotbe deemed to be sa employer."
MGL chapter 152,125C(6)she states that"cvey state ear local tleenslag agency aW wkbkow the Issuance or
renewal at a tleeate or permit to operate a bu igm or to construct bu IMW In the commonwedo fv OW
applicant wbe has not produced aaeptabla evidence of comptlanoe with tie Insuranea eorerage re�dre d"
Additionally,MCk.chapter 152,¢25C(7)surer"Nedha the COMMoweahh cam say of it political subdivisions shall
sour into any contact fig the performarax of public.wodt until acceptable cvidcuce of compliance with the Woumoc s
requirements of"chapter have been presented 10 the�actmg utthootY••
AI�Y'�_
Please till out the workers'COMPensauon affidavit completely,by checkt0g the boxes that apply 10 yaw smtatson and,if
necessarmi-Cpfdcactor(s)name(s�address(es)and phone number(s)along wilt their certiSasds)other thaw the►
neurone. supply or Limited Liability Parmaships(LLP)with no ernpla m
members Limited are no required d to ability C=Pmicscurlywow,motion inamanx. If an 1 C or LLP does have
members s,partners. Be advised that this affidavit may be submitted to the Department of Indosltiai
��' 'a is required.
AW be eve to dp and date the atlidw% The a8fdsvit should
Accidents far c.�mmdcu of insurance coverages or license is being requested,ask the t of
be returned to the city or town that the application for the permit law or if you are required so obtain a workers'
Indus trial Accident Should you have any questions egardiag shmM enter their
Compensation PoNCY.,Please can tie Deparmcat at the number hated below. Self ianued oompaaies
self-insurance BOOM enuilia on the
City or TOM O1'Aews
please be sort that the affidavit is complete and printed IcgtblY•
The Deparhnm has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant
Please be sure to fill in the pan*4kcne m mba which will be used as a reference mtmber. In addition,an applicant
that must submit multiple Perenwheense application in any given yen,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the aPPhCM should write"all location in (city or
die
town)."A copy of the affidavit that has been off6cislly aturrped Ofmarked by rho city of town may be provided to
applicant as proof that a valid affidavit is on Me far&we permit or licenses. A new affidavit must be fr'ried out each
year.Where a borne owner QI citizen is Maid*a license or permit not related to any business or commercial vemore
(ie. a dog license Or pest to bum leaves eta)said person is NOT required In complete this aff6davit.
The Office of lnvestigationa would hire to thank you in advance for your cooperation and should you have any questions,
please do notbesitate to give n a call.
The Department's address,telephone and fn number.
The Cammonwealdi of Massachusetts
DepartmeM of Industrial Accidents
office of InvesdPtlong
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAM
Fax#617-727-7749
Revised 5-2605 www.mm.gov/dia
CITY OF SALZMV MASSACHUStTTS
PUOUC PRoprLxw OtFARTMENT
120 W"HiNOTON SMZW. 3a0 FUMM
fAL[M.MA OI 070
TEL (070)748-MM 1". 300
FAX (076) 740.0"0
STAMLir A UWVICZ. JL
MAYOR
DISPOB L OF DEM AMAM
In socardwe wi&the provisions of MOL c IQ M4 I aclmowrlWv dw as a caod dm
dBwftPermit S III delis eaa ft&a do ammuotiaa ectiviyr
pwemed by this BmlftPeemit"be disposed ofin a paoperly licensed eolid4vaeoe
disponl!l d ty.m dedoed by MIX a IM SIX&
MN debris will be disposed of at: It 4 ) p
efdm of Facility
Siplshm ofPamit Aohcaat Daq
FULLY compkts dw Mloainp information;
(PLEASE PRIRr CLEARLY)
Name of Permit Applicant
Ftla Naas,if my
Addteas.City A Sera
5-k 4 lam) , l �i -
Ths above SMM4Kmm that debris flvm the demohbM rmvgwm6 mbab or other
ahastion of buildinS or st wan be dlspoead in a propaly-liceoted sog&vv ste disposal
faaft u de6aed by MGL WIX S!30A. and the btdi ft permits or liemm are to
iadate the loadw of the fsalily.
q
L1 9787459278 P. 01
CITY OF $a LE oMASSACHUSETT Qll S L iF CE A
BOAR
F APPEAL
120 WASHINGTON SYREKT, 3RC FLOOR
SALEM, MASSACHUSETTS 01970 jOQS ] A
STANLEY J. USOVIC2, JR. TELEPHONE: 978-745.9595
MAYOR PAX: 976-740-984 B Y{J
DECISION OF THE PETITION OF SAMUEL FISCHER REQUESTING A SPECIAL
PERMIT AND A VARIANCE FOR THE PROPERTY LOCATED AT 8-8A LOPING
AVENUE R-2
A hearing on this petition was held on February 16„2005 with the following Board
Members present: Nina Cohen, Chairman,Richard Dionne,Steven Pinto,Nicholas
flelides and Edward Moriarty. Notice of the hearing was seat to abutters and others and
notices of the hearing were properly published in the Salem Evening New in accordance
with Massachusetts General Laws Chapter 40A.
Petitioner is requesting a Special Permit 94 and a Variance from rem yard setback to
construct a small addition for the property located at 8-8A Loring Avenue R-2
The provisions of the Salem Zoning Ordinance which is applicable to the request for a
is Section 5.3 ' ,which provides as follows:
Special Permit U)
l�
Notwithstanding anything to the contrary appearing in this Ordinance,the Board of
Appeal may,in accordance with the procedure and conditions set forth in Sections 8-6
and 94,grant Special Permit for alterations and recorauuction of nonconforming
structures,and for changes,enlargement,extent expansion of nonconforming lots,land,
structures,and uses, provided,however,that such change extension,enlargement or
expansion shall not be substantially more detrimental than the existing nonconforming
use to the neighborhood.
In more general terms,this Board is,when reviewing Special Permit request may be
granted upon a finding by the Board that the grant of the Special Permit will promote the
public health, safety,convenience and welfare of the City's inhabitants.
The Variances which have been requested may be granted upon a fording 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 or 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.
L1 9787459278 P. 92
DECISION OF THE PE171TION OF SAMUEL,FISCHER REQUESTING A SPECIAL
PERMIT AND A VARIANCE FOR THE PROPERTY LOCATED AT 8-8A TARING
AVENUE R-2
page two
C.Desirable relief may be granted without substantial detriment to the public good
and without nullifying or substantially derogating from the intent of the district or
of the Ordinance.
The Board of Appeal,after careful consideration of the evidence presented,and after
reviewing the plans makes the following findings of fact:
1. Petitioner,Samuel Fischer appeared before the Board to present his plans for his
addition.
2. Petitioner contends that he needs more space in the rear of his property.He
intends to add a second level to make this possible.Plans submitted showed intent
to keep the house looking the same as the rest of the house.
3. The petition shows three kitchens in the house. Mr.Fischer assured the Board he
would not rent to a third patty.
4. A condition was put on this petition that the property shall remain as a two family
dwelling.
5. There was no opposition to this petition.
On the basis of the above findings of fact,and on the evidence presented at the hearing
the Zoning Board of Appeal concludes as follows:
I. Special conditions do exist which especially affect the subject property but not the
district in general.
2. Literal enforcement of the provisions of the Ordinance would involve substantial
hardship on the petitioner.
3. Literal enforcement of the provisions of the Ordinance would involve substantial
hardship on the petitioner.
4. The relief requested can granted without substantial detriment to the public
good and without nullrOf� ar substantially derogating from the intent of the
district or the purpose
L1 9727459278 F. 03
DECISION OF THE PETITION OF SAMUEL FISCHER REQUESTING A SPECIAL
PERMIT AND VARIANCE FOR THE PROPERTY LOCATED AT g-gA LORING
AVENUE R-2
page three
5. The Special Permit granted can be granted in harmony with the neighborhood and
will promote the public health, safety, convenience and welfare of the City's
inhabitants.
Therefore,the Zoning Board of Appeal voted,5 in favor and 0 in opposition to grant the
relief requested with the following conditions.
1. 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.
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. A Certificate of Occupancy is to be obtained.
6. Exterior finishes of the new construction shall be in harmony with the existing
structure.
7. Property shall be limited to a 2 family dwelling.
SPECIAL PERMIT&VARIANCE
GRANTED FEBRUARY 16,2005
Steven Pinto L
Board of Appeal
A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING
BOARD AND THE CITY CLERIC
Appeal from*is decision, if any,shall be made pursuant to Section 17 of the
Massachusetts General Laws Chapter 40A, and shall be filed within 20 days after the
date of filing of this decision in the office of the City Clerk. Pursuant to
Massachusetts General laws Chapter 40A, Section 11.the Variance or Special Permit
granted herein shall not take effect until a copy of the decision bearing the
Certification of the City Clerk that 20 days have elapsed and no appeal has been filed,
or that,if such appeal has been filed,that it has been dismissed or denied is recorded
in the South Essex Registry of Deeds and indexed under the name or the owner of
record or is recorded and noted on the owner's Certificate of Title.
Board of Appeal