4-10 CENTRAL STREET - BUILDING JACKET 4-10 CENTRAL STREET 777-09
COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
Map . ,'35 ' 1( t,a
Block. 14 P SIGN PERMIT
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Lot:,, ^x,.0237 �„ :��. ;�„ ,
Perini i9ry.jit"Sign
Cateoy SIGN
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Permit# 777-09 PERMISSION IS HEREBY GRANTED TO:
Project# ,' JS-2009-001425 ,
Est Cost: . $500.00 t41; Contractor: License: Expires
Fee Charged: $0.00, applicant
Balance Due:$.00 k Owner: 1805 CUSTOMHOUSE REALTY TRUST, BUTLER DAVID BUTLER BR
#of Ftxtures` ` 4i, J, 40 Applicant. 1805 CUSTOM HOUSE REALTY TRUST,BUTLER DAVID BUTLER
5,gSafe# T' " `` AT: 4-10 CENTRAL STREET
UseGroup
ConstClass
ISSUED ON: 18-May-2009 AMENDED ON. EXPIRES ON: 18-Oct-2009
TO PERFORM THE FOLLOWING WORK:
SIGN PERMIT AS APPROVED FOR(CHINA TRADE HOUSE)jhb
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF
ITS RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount
SIGN REC-2009-001629 18-May-09 x $0.00
GeoTMS%2009 Des Lauriers Municipal Solutions,Inc.
21 ' T 3�Zs0
SF .�C IVEp The Commonwealth of Massachusetts
C SERVICES Department of Public Safety
O'b Massachusetts State Building Code(780 CMR)
5 A I : lding Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only) `
Building Permit Number: Date Applied: I Building Official:
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
H )0 C aQ 9 i91- I95 e,�-& `} l�&n 670
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
Existing Building[5, Repair U} I Alteration ❑ Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑
Is an Independent Structural Engineering Peer Review required? �+ "1 Yes ❑ No ❑
Brief Description of Proposed Work:
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): Proposed Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft,)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ 1 H: Hi Hazard H-1 ❑ H-2❑ H-3 ❑ H-40 H-5❑
I: Institutional I-1 ❑ I-2❑ 1-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑
S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA IB ❑ IIA ❑ IIB ❑ IIIA ❑ IHB ❑ 1 IV ❑ 1 VA VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
Private❑ or indenti Zone: or on sites stem❑ required❑or trench or specify:
�' y permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations:
Yet_\ 1. KJ �' C-- hA PVL L.C-P �5
y 14-116-11�sol j
SECTION 9: PROPERTY OWNER AUTHORIZATION
.Name and Address of Property Owner
kt4k_ it ]al j ID, „�r< MA
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
q 7? 7_Vi_- a I o S 1-74 -,ng- 6730
Title Telephone No.(business) Telephone No. (cell) e-mail address
If`applicable,the property owner hereby authorizes
Ws.r7lN \ 0 a f\J �� I( �l:Aro/+A S`. Q1b NA LAL 0
Name - Street Address City/Town State Zip
to act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less titan 35,000 cu.ft.of enclosed space and or not under Construction Control then check here 0 and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
P7f✓ �t
Company Name
w�M"i
Name of Person Responsible for Construction C> 1 License No. and Type if Applicable` /
Street Address City/T State Zip
�r_�5Sr7�{3Q
Telephone No. (business) Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§ 25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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.
Is a signed Affidavit submitted with this application? Yes [3 No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $ —Lo.O Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)_$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to �l J _
6.Total Cost $ o lu (contact municipality)and write check number here
SECTION.13:SIGNATURE OF BUILDING PERMIT APPLICANT
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.
p)Wind-rc,tJ Prowl p9S/ LA _4.o��lt
Please print ayn�d siSq name Title Telephone No. Date
sV /�- WJt/bu/VLI. Fee) /L 4 —-e-1t—((J L�t�
Street Address city/To" State Zip
Municipal Inspector to fill out this section upon application approval: v
Name Date
PEARS-ON BUILDERS
Yllwtan A Pews=
750RVYs,aia St 1?1 u 978.758.2M .
VIC Peeltotl�,YA0741i0 Rot 9784WA-6M
:•
tom[ Massachusetts -Department of Public Safety
�f Board of Building Regulations and Standards
License: CS-040996
- ```-e rrs
WARREN A PEA*SO
_ 1501?WINONA -
PEABODY MA 0176(
Vg
Expiration
Commissioner 0411212017
OffimofCoe5uswAffh1m& Lken4vr reffighdon fsr ID�use only
R� before the e:puatim dale Iffoand return toe
E WIMP CONTRACTOR .Owce of CoasumorABain and Bosio=Regatatioa
10 Park plim-spite 5170
Exoraftm
Indnimdual
Bosnia,MA 02116
- -
WARREN A
15OR Wh"St
Peabody,.MA 01960 Netvalid i►ifhaMaipaiore
Al I
ncrrruar uc rnaantaaa awcau i.eihuvna.uq 11vmlr.'3,u�a.. MaSS. Keg. A ifiivz5
Member Chamber of Commence 9 Charles Stteet/P.O.BOX252 Federal lD#41:2054365
Member8werly Ktwdnis BEVERLY,MA 6..1915 Warren Pearson CSL#CS40996
Since 1978 (978)922-5579 Cell:978-82&3979 HIC LiI!(-# 107999
62
Bob L.'s cell: 978-828-3979
Proposal Submitted To: Phone: H:978-774-2105
David and Brenda Butler 978-836-0730 David's cell
Street: i 6 Hunt Street Job Name: Roof
City,State & Zip: Job Location: 4-10- Central Stand
Danvers, MA 01923 191-195 Essex St. Salem,MA Oi 970
Architect: Bob L. Date of Plans: 1/12/16 Job Phone:
We hereby submit specifications and estimates for.
c
Installation of complete Certainteed Landmark lifetime arch.Shingle roof to the entire building
(to all shingled areas) Includes the best line goods,better and best.
Color.
1. Includes strip all shingles,we haul debris, clean jobsite thoroughly and pay all dump fees.
INCLUDES INSTALL:
• Ice and water membrane to main house eaves, around chimney and in valleys (to entire
roof) and flanges to stacks
• 8" aluminum dripedge to all edges. COLOR: WHITE
• Starter shingles to all rakes and fascias
• Repair, reinforce as necessary and neatly seal chimney fleshings, any step and apron
ftashings. Replace 3-4 pieces of lead flashings; reflash riglets at junction of brick side
walls.
We Propose hereby to furnish material and labor-enmplee is accordance with above specifications for the Sure of
Payment to bemade asfollows:
a h
I/3 start,l/3 at alftomplete and balance apom eompletioa.Thank you.Robert Laughlin
All material is gumwfted to be as specified All work to be completed in a wormandme manner accords to standard
than above specifications involving Cos coals will be executed ord v '� sera d shalteration or deviation
agreements cwftw tt upan wades,acddrats or y Pan vailtan otaas,and win become d cartmd= news overand wmve the estimam All
by Workman's Compensation Laurance, dda�beyond our cahoot. Owner m carry fan,tornado and other necessary i..�,..�e. Our wml-ers ate covered
Owner agrees that in went orhis breach of this contract before nod is stared,ConLaem,may demand twenty-five M%)pm=t ofthe rxoft es price as is f
stipulated damages for the breach.
Af
Acceptance of Contract DO i tOT SIGN THIS COA'rRACf IF 311ERE. LANK SPACES
The above prices,specifications and rnriditivas are satisfactory S
and are hereby accepted. You are autlroaed to do the work
as spedfied: Payment Will be made as outti ned abcwp—
Date ofAcceptarnce
1
i YGUmBv the Agreement ifil has been signed by a egrty tL3eto 8 a prect oibe Iran an adds ofdm slier,vanchnn be big rain office or a branch
t>:smL provided)rn notify setlar m wntmg at his noun office or brands br�ary marl pamd,by-A,,n m SgoL or by ddirca;eta r'thm midnigffi fit L`te
third business day foilowme_the r�of this aatee�n_ See attached N of=orCahsellatioa foot fan an esmlatation-of right �
CITY OF SALEA A ASSACHL SE M
BERMYc DEPAYMEN1'
120 WASI IMMSTREET,3IDPI.00R
TLL(978)745.9595.
PAX(978)740-9846
KIIvJBERLEYDRISCOLL
MAYOR TkMMAs ST.P UM
DntEcrcaorPuBucrRoPERTr/BuaDm cu-m
Construction Debris Disposa/Affidavit
(required for all demolition and,renovation work)
in accordance with the sixth edition of the State Building Code, 7Bo CMR, Section 111.5 Debris,
and the provisions of MGL coo, 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 deposit facility as defined by MGL c 111, S 150A.
The debris will be transported by.
(name of hauler)
The debris will be disposed of in:
(name of facility)ll
>WamStolr V�d
(address of facility)
Signature of applicant
Date
03-04-'16 09:47 FROM-Phil Richard Ins. 1-978-774-1318 T-870 P0001/0001 F-799
~ DATE(MMIDorYYYV)
,n�'{ ��� CERTIFICATE OF LIABILITY INSURANCE 03/04/201e
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POUCIES
BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and Conditions of the policy,certain policies may requ Ire an endorsement. A statement on this certificate does not Confer rights to the
cartlflcata holder In lieu of such andorsema s.
PRODUCER CONTACT Elalne Zolotas
Phil Richard Insurance,Inc. NAME:
27 Garden Street PHONE (078)774.4338 X118 P (978)774.1318
Unit 18 M6uL elelneQphllrlchardlnsuranee.eem
Danvers,MA 01923 INSURE SAPPORDINOCOVERAOE NAM 0
INSUReRA: Utica First Ins.Company 15320
INSURED Pearson Builders, Inc. INSU"R s: Arbells Protection 41360
15OR Winona Street INw",C: TRAVELERSA/R TRC
Peabody,MA 019e0 I INBUREIRD:
INBUREft E
IN&lfiEft F:
COVERAGES CERTIFICATE NUMBER: REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
JI TYPE OF INSURANCE A&IPOLICY NUMBER LIMITS
A COMMERCIAL GENERAL LIAS LITY ART504720802 11/2af2016 11/28/2016 EACH OOOURRENOE 6 1.000.000
-5091177=9777—
OLAIM(I-MADE F;7OOOUR PREMISES Es occurrence) 6 60.000
MED EXP(A,y ono p.roon S 5,000
PERSONAL SADV INJURY S 1.000.000
DEN'L AGGREGATE LIMT APPLIES PER: GENERAL ADOREDATE B 2.000.000
POLICY ❑JEC LOD PRODUCTS-COMPIOP ADO 6 2,000,000
OTHER: $
B AUrOM081LE LIABILITY 1020004331 07/18/2015 07/18/2010 COMBINED MOLE LIMIT 6
IEa mcl dent)
ANYAUTO BODILY INJURY CPx Person) 6 250,000
ALL OWNED AUTOS BODILY INJURY(PK BcdtlPoO 6 500,000
NONUOWNED PROPERTY DAMAGE 6 100,000
HIREOAVTOS AUTOS
6
UMSRELLA LIAS OCCUR EACH OCCURRENCE 6
EXCESSLIAE CLAIMS- DE AOOREOATE 6
DED F7 RETENTIONS 6
G WORKERSOOMPENSATION 7PJUB-2E10143-5.15 0326/2015 03/291201e 7VFSFT8_,RTUT; ERH
AND EMPLOYERS'LIABILITY
ANY PROPRIETOR/PARTNER/EXECUTIVE YIN
E.L.NIA E.L.EACH ACCIDENT 6 100,000
OFFICERIMEMBER EXCLUDED?
(MandatoNln NH) E.L.DISEASE-EA EMPLOYEE I S 100,000
R6y0a de BGlb6 under
0 SCRIPTIONOF OPERATIONS bel. E.L.DISEASE-POLICY LIMIT S 500.000
DESCRIPTION OF OPERATIONSI LOCATIONSI VEHICLES(ACORD 101,Addlllond R.mnkq Sch.dul.,YI dtach.daman aPw.la nq.l,.d)
CERTIFICATE HOLDER CANCELLATION
Fax#:(278)740-0840
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
City of Salem THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
Inspectional Services-Building Department ACCORDANCE WITH THE POLICY PROVISIONS.
93 Washington St.,
Salem,MA 01970 AUTHORI6ED REPRESENTATIVE
01088-2014ACORD CORPORATION. All rights reserved.
ACORD 26(2014101) The ACORD name and logo are registered marks of ACORD
Superob.
8 M rLA C rl
KEEPING YOU ORGANIZED
No. 10301
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Certificate Number: B-15-279 Permit Number: B-15-279
Commonwealth of Massachusetts
City of Salem
This is to Certify that the ........... ...............,.-,.R.e.s.i.dl,Co.m,m,,e.r,cli.a,l,,B,u.,i.l,di,n,g.... ..... located at
..........- ..-1.�.... ...... ............
Building Type
4-10 CENTRAL STREET . ... .. .... . in Cit
. .. .. . .... ...... - ... ....
............... ...................
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
ok for c/o
DAVID BUTLER
I
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires Not Applicable ...--.......... unless sooner suspended or revoked.
Expiration Date
Issued On: Monday, July 27, 2015
Commonwealth of Massachusetts
m City of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5841
Return card to Building Division for Certificate of Occupancy
Permit No. 8-15-279 PERMIT TO BUILD
FEE PAID: $238.00
DATE ISSUED: 4116/2015
This certifies that 1805 CUSTOMHOUSE REALTY TRUST BUTLER DAVID
has permission to erect, alter, or demolish a building-, _ 4-10 CENTRAL STREET Map/Lot: 350237-0
as follows: Renovation CREATE OPENING IN EXISTING BRICK WALL, BUILD PLATFORM, RAMP AND
STAIRS FOR ACCESS CONSTRUCT LOW PARTITIONS FOR DISPLAY,ACCESS ETC INSTALL
CHECK OUT COUNTERS
Contractor Name: PETER A. O'BRIEN `
DBA: SUNROOMS PLUS
Contractor License No: CS-106806
G4/16/2015
Building Official Date
v..
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written request,
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
i 1
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
1 I
This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the
work until the completion of the same. i J
The Certificate of Occupancy will not be issued until all applicable signatures-by the Building and Fire Officials are provided on this permit.
i
HIC#: 013083 "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
Commonwealth of Massachusetts
a
Citv of-Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5611
Return card to Building Division for Certificate of Occupancy
Structure CITY OF SALEM BUILDING PERMIT
Excavation PERMIT TO BE POSTED IN THE WINDOW .R
Footing
INSPECTION RECORD
Foundation
Framing
Mechanical
Insulation INSPECTION: BY DATE
Chimney/Smoke Chamber _
Final F Z? /
Plumbing/Gas
Rough:Plumbing
Rough:Gas
Final
Electrical
Service
Rough
Final
Fire Department
Preliminary
Final
Health Department
Preliminary
Final