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5 CENTER STREET - BUILDING JACKET
09/29/2011 13: 05 9787409846 CITYOF SALEM PAGE 01/02 GK ObZ6 l � Commonwealth of M ass achu set WPECT►OWA S'EEWME' Sheet Metal Permit 201b JUN I l A8: 1 q Datu: _ l!C �0� Permit it _ (Estimated Job Cost: $ �� Permit Fee: I � flans bul>miUud: YFS _ NO I/ Plans Reviewed: YES NO 3usiness License # 11,741 Applicant License I# &C1 . Misincss Information: ati Property Owner/Job Locon tn InCorotiun: Nantu: a;: J4- City/Town: LA4 TA n Cityrrown: �I 1 ' I'cluphwte: - 5qa 11 5 1� Telephotte: \ �(gj - 3co -4 — �f L9 i-+ Ph to I,p. rcquircd /Copy or Photo I.D. attached: YES NO Aurr Iula:d J-1 / N -unrestricted license J-2/ M-2-restricted to dwcllin gs 3-stories or less and u n n o � uncial t to 10.000 s� . It. / 2-stu i�s t b P 1 16 t l 1611 Rusideutlal: 1-2 ramily--V/ Multi-F,unily_ Condo;/Townhouses_ Other_ Commercial: 0Rice� Retail_ Industrial Educational� Institutional — Other Square Footage: under 10,000 sq. R. -1 over 10,000 sq. 11. _ Number (if Stories: Sheet tnehnl work to be completed: New %Vork: Renovation: I IVAC Metal WmQrshud Rooting_ Kitchen Exhaust System _ Metal Chimney/ Vents_ Air Balhncing Provide detailed description or work to be done: IMA s (Y Tta, r!L Vl AIhL Q1 _ __ L-Le.......� The Commonwealth of Massachusetts Deparhnenr of 1nduSarlal Acc!dents 'Office oflnvestigations 600 W"hinglon Street Boston,MA 02111 w wiv,nt assg4.v/41 a, Workers' Compensation Iusuratice Affidavit3'+Bitild'erslContractors/ lect[iCians/Plutn6e[Y; Applicant Information ]'IeeaE=Ppint L'eetbl Name(Business/Orgarii�etwMndwidual): `' Address:. City/StateMY !`-4NI- F ll 01,— Phone M r(t scl o� iJL _1 Are you an employer?Cheek.the appropriate boa: Type of project(required): I LJ 1 ama employer with_' 0 _ 4. ❑•.I sm-a general contractor end;! 6. -❑Ngsv-construction employees(full and/or patt4ime).• . .have hired thesub-contracton 2.El am a sole proprietor or partner- listed omthe-attached sheet.'.' 7•-'❑:Remodeling ship and have no employees These sub-60ri ractorshave 8. ❑Dernolition working for in any capacity. workers'comp.insurance. 9. ❑Building addition (No workers'comp.insurance 5. ❑ We are.a cm poration.and.its required.] officers have exercised their 10.❑Electrical repairs oraddtnohs� 3.❑I am a homeowner doing all workright of exemption per-MOL I LE] Plumbing repairs or additioai III myself.[No workers'comp. c. 152.§1(4),and we have no 12.0,5hoofOth repairs insurance required.] t employees.[No workers' Ly' ei -1-�.q-� comp.insurance required.] ;Any applicant that checks box#1':mmt also fill.out the section bclew sbbwing,their workKs'compemation policy infotmatlob. t'Homeownen:who submit this alridavit indicatiogahey are doipg`all work aid thm hire--id-contractor,mustnubmst encw.gaiaavit tndi<ating ayc}t: 'Conirectom that check thu boxmust a[tgched'enaddhionat.aheecahowingnhe mme.ofdwaub<ontmeton and.thcir wbrkav`.cuinp.polity intbcmauoll. _. infoa,m an employer that is provlding�w rkers'compensation insurance for My employees. Below Is the polley andlob site injormaaon. �y......i1�� C - insurance CompanyNanre: lilt\119 X Policy#'or Self Ins.Lie.#:�(N� 5 Sc bS a-��j-7i Expiration Datet_aF I t( Job$iteAddress:,45 �-Q�✓4{f_,{/ip'�'L��,Q -�Crty/9tate/Zip: Attach as copy,of the workers'compensation pollcy,declnration'page(showing the policy number and expiration date). Failure io secure coverage as required-under Section25A-ofMOL-e.152 can n• lead to the impositioof criminal penal iesaf 9. fine up to:$1,500 00 and/or one-year imprisonment,as well as 6ril'penalties in the form of.a.STOP t1rORK ORDEJtanii a&c of u to: 2 0- -p S SO.00�a day against(he violator. Be:advrscd that a copy:ofthls statement may 6e forwarded to the Office Inve.shgations.of the.DIA.for,insurance.coverage.verAiication.- ,r do bete" edify tin I I Cpalns and pe ! es ofp farythdt:the4nformallon provided above is rue-a Id botrece: G Ph nc 0:.. Qo chd use only. Do not write In hits area,to be comptered-by.clry or town nfjiclal L1. or Town: Permit/dicense:#. Issuing Authority(circle one);. ard of Health 2:Building-Department 3:.CItyfrown:Clerk 4.Electrical Inspector Si Plumbing,Inspector her act Person: EJoneq#:: M "C011AMOVWEkLTHOFk 'tASSACHWSE7T:S o ® • • o � SFIE,ETMETAs WDRKERS w v - I SSUES THEE FOz RIVOW,mu LI CEN�SE 4� - �% ` -� AS�aA6'US1�F1fSS " JA 1 S,U CARONE �� �s Ah1hSCQTT 163 fUSSFEA-,Rr- S�y{ UZU ,4 � �r ` ,e 74=1,., � 1`2/©6f16 ial rsa --Mai S C� 3� (0 The Commonwealth of Massachusetts RECEIVED CITY OF Q Board of Building Regulations and StaridsKCrFGNA, L SERY CES SALEM N Massachusetts State Building Code,780 CMR Revised Mar 2011 60 Building Permit Application To Construct,Repair,Renf te"yDpipol* aq: ( l y One-or Two-Family Dwelling This-Section For Officiai,Use Only Building Permit Nuritber: ;' 'Date Applied:' ax Building Official(Prior Name) Signature 5,D e ' `,SECTION:1:SITE INFORM MA 1.1 PropeA.dd�,rf�ss: �+ 1.2 Assessors Map&Parcel Numbers �) `Pf l� J • 7- ' 1.1 a 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? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSRIPt 2.1 wneri of Record: ,/�JA t)5-F Name(Print) City,State,ZIP P L)�z uXPSED . 1 s- 7 99/-,P6 I� V 4Y No.and Street - Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ Demolition ❑ 1 Accessory Bldg.❑ Number of Units_ Other ❑ Specify: Brief Description of Proposed Work': LIg SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only (Labor and Materials 1.Building $ S_� 1. Building Permit Fee:$ 4 Indicafe how fee is determined: 2.Electrical $ ❑Standard City/Town Application Fee ., Cl Project Cost'(Item 6)x multiplier x 3.Plumbing $ r IAN, 2. Other Fees: $ 4.Mechanical (HVAC) $ List:, 5.Mechanical (Fire $ Tout All Fees:$ Su ression - o Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ �, ❑Outstanding Balance Due: fS� wlra t,Cob 5 ' 1 5 U0�- o SECTION 5: CONSTRUCTION SERVICES 5.,�onstruction Super_vtsor Lice CSL) , 6CG G t�ll4D �1 �Kas DoL A `(�OD G License126112 Number E imti� Date Name of CSL Holder .+ List CSL Type(see below) l %cGtc .11 No. d Street T: Deseaiption ,;,„ , /) Unrestricted(Buildingsu to 35,000 cu.ft. //KYY 69 Restricted 1&2 Family Dwelling CIlyffown,State,ZIP M I Masonry RC Roofing Covering WS I Window and Siding V mm SF Solid Fuel Burning Appliances �I dOl4o2 0 32; A S I Insulation Telephone Email address B D Demolition 5.2 Registered Home Improv/eenn26at Contractor(HIC) �Zo ` r �ku� �- , `� /�//t/ HI Registration Number ' :cpira' n Date MC Comp eor egi�INJ_f - ^ n A L ;Da No d ,/,, 11,, / �(J ^�� I/c✓T Email address IYA(F �+ i /Town State,ZIP I elephone ( ' SECTION 6-WORKERS'COMPENSATION INSURANCE AFFIDAVIT(NLG.L.e.-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 uilding permit. II, Signed Affidavit Attached? Yes .......... No...........Cl SECTION 7at DOWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT QR CONTRACTOR APPLIES FOR BM RING PERMIT 1,as Owner of the subject property,hereby authorize (p, to act on my behalf,in all it s ative to work authorized by this building permit application. v r Nam nic i ve) Date SECTION 7b:OWNER`OR AUTHORIZED AGENT DECLARATION By entering m am below,I hereby attest under the pains and penalties of perjury that all of the information ained in ica' n true ccurate to the best of my knowledge and understanding. not Owner's or Au Agent's Name(Electronic Signature) D NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hives 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. oe v'oca Information on the Construction Supervisor License can be found at%"yw.mass.>ovc /das 27 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" 2Z m The Commonwealth of Massachusetts 14bF ; i Board of Building Regulations and Standards p � Massachusetts State Building Code, 780 CIVIR SALEM FE IS Building Permit Application To Construct, Repair, Renovate Or Demolish Al a t One-or Two-Family Dwelling t This Section For Official Use Only Building Permit Number: Date.Applied` co Building Official(Print Name). Signature Date SECTION l:SITE[N!'ORiNIATION` 1.1 Property Address: ✓ 1.2 Assessors Map&Parcel Numbers I.la Is this an accepted street?yes no Map Number Parcel Number 1.3 'Zoning Information: 1.4 Property Dimensions: Luning District Propose)Use Lot Arca(sq tt) Frontage(It) l.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,§SJ) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if es❑ SECTION Z: PROPERTY OWNERSHIP` 2.1 Ownerr of Record: .6 E02GF,__ 2. 66 6-ry ort) ,S ud , m --- 0/C 0 Nf me(Print)_ City,State,ZIP SGirlyl �2 s� 91�-59y�5s3� G'Ac-PQV e6H,11-Cd No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORKS(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ I Alteration(s) ❑ 1 Addition ❑ Demolition ❑ Accessory Bldg.❑ Number of Units I Other ❑ Specify: Brief Description of Proposed Work-: ) 0 1 a S J+F_0 -4)D4 V�IY'VIYL- 41,O)i-D SECTION 4:ESTVVIATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials) 1. BuilJirig S 1. Building Permit Fee:$ Indicate how fee is determined: 2. Electrical S ❑Standard City/Town Application Fee ❑Total Project Costs(Item 6)x multiplier x 3. Plumbing S 3. Other Fees: S 4.Nlechmical (FIVAQ S List: Z-5 S.%lechanical (Fire S Suppression) Total All Fors:S Check No. Check Amount: Cash Amount: G.Total Project Cust: ,S,a��. ❑Paid in Full ❑Outstanding Balance Due: t SECTION 5: CONSTRUCTION SERVICES 5.1 Con'structio'n Supervisor License(CSL) License Number Expiration Date Nance of CSL Holder List CSL'rype(see below) Type Description No.md Street U Unrestricted(Buildings up to 35,000 cu.ft. R Restricted 1&2 Family Dwelling Citylrown,State,ZIP M Masomy RC Roofing Covering WS Window and Siding SF Solid Fuel Burning Appliances I Insulation Telephone Email address D Demolition 5.2 Registered Home Improvement Contractor(HIC) HIC Registration Number Expiration Date 111C Company Name or HIC Registrant Name No.and Street Email address Ci !Town State ZIP Tele hone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.I»c.152.g 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..........13 No...........O SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED.WHEN.. . OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1,as Owner of the subject property,hereby authorize VPht on my behalf,in II matters relative to work authorized by this building permit application. X' Date v er' Name(Elec nic Signature) SECTION 7b:OWNER'OR AUTHORIZED AGENT DECLARATION By entering my name below,1 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. Print Owner's or Authorized Agent's Name(Electronic Signature) Date NOTES: 1. An Owner who obtains a building permit to Jo his/her own work,or an owner who hires an unregistered contractor (not-registered in the Home Improvement Contractor(111C)Program),will Lro have access to the arbitration proram or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at %v%vw mnss.cov'oca Information on the Construction Supervisor License can be found at vvw�i.mas.�ov'dns 2. When substantial work is planned,provide the information below: 'notal floor area(sq. ft.) (including garage,finished basement/attics,decks or porch) Gross living area(sq.11.) 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 Enclose) Open 3. ""rota) Project Square Footage"may be substitute.!for"Total Project Cost" UM121TV Safeguard 1� T O P e l' t l S 7887 Safeguard Circle Valley View,011 44125 800 852.8306 1, W/O# 177247084 216 739.2900 u City of Salem 216 739.2700 f Building Dept. 120 Washington St. 3`g Floor Salem,MA 01970 Date: 3/31/2016 To Whom It May Concern: We are writing to inform you that our client: Caliber Home Loans, Inc. who is the previous registrants of record for the property located at: Address: 5 CENTER STREET, SALEM, MA 01970 Please be advised that this mortgage has: sold to a third party. Please know that during our research, we have found no process in which to formally de- register this property with your jurisdiction. Please contact us directly at 800-852-8306 or vpr.ordersnn,safeguardnronerties.com if in fact you have a process in which we are not yet aware of Otherwise,please consider this notice as a formal de-registration of the property on behalf of the client mentioned above. If you have any questions or concerns,please feel free to contact us, directly. www,safeg uardproperties.com WO 176952596 KW 1/1 RECEIVED ��SPECTIONAL SERVICES CITY OF SALEM BUILDING DEPARTMENT 101b MAR -1 P 2' 0820 Washington Street, 3`d Floor, Salem, MA 01970 ABANDONED AND FORCLOSED PROPERTIES REGISTRATION FORM PROPERTY INFORMATION Address: 5 CENTER ST Parcel ID # sale000010000000000101 Square Footage of Building: 968 Number of Stories: 2 Sprinkler System: Yes NoX (Operational yes/no) Pipe System: Yes_ NoX (Operational yes/no) Fire Detection System: Yes X No_ (Operational yes/no) OWNER(S) 'OF RECORD ('attach additional sheets if necessary) Owner: CALIBER HOME LOANS Address: 13801 WIRELESS WAY OKLAHOMA CITY OK 73134 Tel. No.: 214-874-4174 E-mail: Kandyice.Hughes -safeguardproperties com CONTACT PERSON/REGISTERED PROPERTY MANAGER Name: SAFEGUARD PROPERTIES Primary Address (No P.O. Box) 7887 SAFEGUARD CIR VALLEY VIEW, OH 44125 Business Tel. #: 800-852-8306 ext 8484 Non-Business Tel. #: E-Mail Address: codecompliancePsafeguardproperties com Emergency Telephone # - 24hr/day 800-852-8306 IS THE PROPERTY LISTED FOR SALE? Yes _ No X If yes, Real Estate Agency N/A Address: Tel. No. VACANT BUILDING PLAN: Please check which applies. 1. _ The building is to be demolished. 2. _ The building is to remain vacant. 3. x The building is to be returned to appropriate occupancy or use. SIGNATURE OF OWNER(S)/OWNERS AGENT: DATE: _�! /- 116 REGISTRATION FEE $300 Cash/Money Order/Cert. Bank Check REGISTRATION: All owners, including banks and mortgage companies, must register abandoned and/or foreclosing residential and commercial properties with the Director of Inspectional Services. " All property registrations are valid for one year. An annual registration fee of three- hundred ($300.00) dollars must accompany the registration form. The fee and registration are valid for the calendar year, or remaining portion of the calendar year, in which the registration was initially required. Subsequent registrations and fees are due January 15' of each year and must certify whether the foreclosing and/or foreclosed property remains abandoned or not. Once the property is no longer abandoned or is sold, the owner must provide proof of sale or written notice of occupancy to the Director of the Inspectional Services. ENFORCEMENT & PENALTIES Failure to initially register with the Director of Inspectional Services is punishable by a fine of three hundred dollars ($300.00), each day being a separate offense. Failure to maintain the property is punishable by a fine up to three hundred dollars ($300.00) for each month the property is not maintained. MAINTENANCE REQUIREMENTS Properties subject to this section must be maintained in accordance with all applicable Sanitary Codes, Building Codes, and local regulations. The local owner or local property Management Company must inspect and maintain the property on a monthly basis for the duration of the abandonment. The property must contain a posting with the name and 24-hour contact phone number of the local individual or property management company responsible for the maintenance. This sign must be posted on the front of the property so it is clearly visible from the street. Adherence to this section does not relieve the property owner of any applicable obligations set forth in Code regulations, Covenant Conditions and Restrictions and/or Home owners Association rules and regulations The complete Ordinance can be viewed on our website at: http:Hsalem com/Pages/SalemMA Clerk/ordinances