2 WATERS ST - BUILDING INSPECTION P
4PL* IS~11SE f 4NIw NB APPROVED Sy T414E
=PWI=PWR TO A.PERMIT AMG GRANTED
CITY OF_SALEM
No. Q
Dqs l ( J� �t
WW
Z"VOW4
Is�y ux*md in Location of
rnWdaicD4tdct? Yr—No saf]diaa 2(-jA-'�9 15'm4ef—
ls P�opoty Looayd in
the Commason AM? Ya NO /
Permit to:
BUILDING PERMIT APPLICATION FOR:
�—
(Circle whichever apply) Roof Reroof, In t* Sb g, Construct Deck, $heed, ool,
Repeir/Rep , Other
PLEASE FILL OUr LEGIBLY A COMPLETELY TO A D-1311111;k W PROCESSM
TO THE INSPECTOR OF BUILDINGS: '•
The undersigned hereby applies for a permit to build accorcLig.to the following
speciNoatkins: ,
Owner's Name IZruL� E e QtOl -uVwtcrur I
Address & Phan S/' (�'74 -7 7CPl
Architeas Name a,l/L L5 7 o� .
Address & Phan Z'&&4A'v7 , At04- -zivv
Mechanics Name
Address A Phone 1 dhVIOV&-f /co 7�T ' �3 whet Is str pupae ei buYdYip? q
mmeW of twYdrg9-- L✓o cl n.dwdrq for raw mwr andNprr�
wa t■,rans conform to low? fl� o Arerrlor4�l�s. Div ri�n`r l,s��y
Erimrtrd sat Cay Ucrrr r 8Wr licrrw G (o ��
safes I�ros�rat
I''F""r"T— S d Applicant
OF PERJu "THE PENALTY DESCRIPTIO
N OF WORK TO BE DONE
f) �fic�v! S Swp l�L�C
MAIL PERMIT TO) 6
�70 - 3� 77YY
SON mina .4O UOiO3dSNl
77
a�n
a31NVd9 11YYd3d
NOLLVOOI
Oki JJFV&Gd
L Od NOLLrOrlddr
C�itg ofttlem, ttsstttusPtts
Public Propertp Departnunt
`ep / BBuilbing Department
-(Une 6ilem Tkeen
508445-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
Section 116.0
DEMOLITION OF STRUCTURES
Structures over fifty (50) years old must have approval of the
SALEM HISTORICAL COMMISSION
UTILITY DISCONNECTIONS REQUIRED
Authorized Agent Date of Disconnection
WATER:
9 ^C 1
ELECTRICAL: )4Sy"
3'+„/h4P1't �3ou
GAS: Gi A
nwsf be
SERER: T� Pn. LJA
DIG SAFE NUMBER: 9V0q— 4 3 0- p _5?,,;15-
1U6-2TH- 51-W12-(_ P I?4 C r/YI L �-t�,� 1?$l00
PEST CONTROL: a 11'(4ULr 1
***DOCUMENTATION OF ALL THE ABOVE MUST BE ATTACHED BEFORE***
** PERMIT CAN BE ISSUED **
Fee for Demolition: $5.00 for application plus $2.00 per 100 square ft.
gross area, minimum $15.00
-
G,,
GD� CITY OF SALEM
FIRE DEPARTMENT FIRE PREVENTION BUREAU
Salem, Massachusetts 01970
PERMIT Date : i d// 9 0�
In accordance with the provisions of Chapter 148, G. L as provided in Section l0A
this;permit is granted to ,
Name
Irua nam.d p.noq rlrm or corymullon orml.d psrmli)
to conduct demolition operations per Salem Fire_ Code ,
State clearly Massachusetts Fire Prevention Regulations_ and_
Purpose for
which permit Massachusetts State Building Code
is grunted
Restrictions: As per Mass, Stat
e to Codes and Cityof
Salem
Ordinances, Clearance from Salem Historic Corunission.
at
Iab. loeallm In .Ina and oo., or d..eM. b Neh mama ra to yW.11ds adpuw. Id.otle,.vlbo d locvliml
Fee Paid $ 25_.00
�� (51pmNn dl o ,. e
This permit will expire- nor
Irw.l
Dir (THIS PERMIT MUST BE CONSPICUOUSLY POSTED UPON THE pAEMLSM) ',Vj
Form #29C
L7{ FI�PStt� ZI55FILEIlI5Pff5
°�«,Q,f,.:J'"'. +Jtire �eyartment $ea�quartrra
-PRE-DEMOLITION APPLICATION FOR PERMIT
7,n.'accordance 'with the provisions of
and S the Salem Fire Code, and Salem Fire Code,
alem Fire Prevention Regulation #29c made under the authority thereof; an
inspection is requested of the Proposed structure to be demolished, and a permit
issued subject to the following rules or recommendations which shall be co
with under provisions of the law. rt¢>lied
Owner of Land
Address of Project 2 k/,4 E72 S S 77Z (2Z--7
Inspection requested by: S'%C%}�t)�� D
eg
Address of Applicant 1� l01414 yNE�S 2D VDI3 IJ12 �j, /V4
1. Per the, Salem Fire Code this structure shall be demolished in a wor)dl�ike
manner .-under provisions of the Mass. State Building Code and the permit issued by
the Salem Building Inspector for said demolition.
2. All debris from each day's activities shall be kept apart from the basic structure
and u,et down at the end of each workday:' No debris shall accumulate over twenty-four
(24) hours at the site, and no more than 'twenty (20) percent of any one days debris,
at any time.
3. The use of City of Salem water shall be approved by the City of Salem Water
Department or by use of a paid off-duty firefighter on watch.
4. Ttie- contractor shall have a current_ welding and cutting permit in effect. U
of said.welding and cutting equipment shall be subject to the Salem Fire Prevention
Bureau regulations. A paid off-duty firefighter fire cstch may be required by the
authority having jurisdiction in cases where it is deemed necessary, because of.
increased fire hazard.
Failure to perform the operations in an approved workmanlike manner, nny b- caus-
for, an imrediate "around the clock" fire watch by a paid fire depa tiTent detail .
This shall be taken into consideration by all contract s and shall seL-,-e as noti _e
of this requirement. An advance payment sh,-- 'y_
for this fire watch. when 1eeued necessary
Applicant's signature
r'
Form #29C (Rev. 9/77)
it"iuirin I'M NU. 9T8 927 7459 P. 01/01
tamr■� -4
New England
Operations
Energy Delivery fiery North Shore Division
9 44 River Street
Beverly, Ma. 01915
Friday, October 29,2004
To whom it may concern:
This letter is in regards to 2 Waters Street, Salem. Please be advised that the gas service to
this building has been cut off in the street.
Tr you have any questions or concerns you can call me at 781-466-5782
Sincerely,
coc C.C. o
} lei Ccf 'oordinato
North Shore Divisions
'Phis is a confidentiat message, httended solely for the person to whom it is addressed. If you receive this message in error, Please forward it to the correct person,or back to us at fax 978-927-7459
L
Massachusetts Electric
A National Grid Company
Michael J. Byrne
Supervisor of Support Services
November 5, 2004
Rektec, Inc.
196 Haynes Road
Sudbury, MA 01776
Re: Removal of electrical service for demolition.
Dear Mr. DePronzo:
This letter is to confirm that the electrical service and meter(s) was removed from 2 Waters
Street, Salem. MA on Monday,November 1, 2004. If you have any questions nr need filrrher
assistance,please feel free to contact me at 781-388-5342.
Sincerely,
Michael J. Byme
Supervisor of Support Services
MJB/cmc
170 Medford Street
Malden,MA 02148
781.380.5342
Z0 39Vd 9NIa33NI9N3 T7Z588E18Z ZZ :9T D00Z/90/TT
NWITH MORE PEST CONTROL
7 MacArthur Road
-`^ PEABODY, MASSACHUSETTS 01960
(781) 5&f-?71C
1 / (978) 532-3330"
DATE
f()iZS/OV IN
IN ITME
OUT
❑ REG. ❑1d E ❑ RES. ❑COMM. ❑INDOOR ❑OUTDOOR
NAM
Am'
CITY.STATE,ZIPS PHONE
SERV ESPEWORMEO'';..TARGft PEST(S .,APPI4gT10N METHOD'
INSPECTION
TREATMENT
[,,.CMEMICALSLSEU AMOUNr F v
1 % . EPA NUMBER _._�
DESCRIPTION?REMARKS— a AMOU
) C 4-I
Y
hT f E�lT s c
ERwceD Dr uG �� TOTAL"
CUSTOMER SIGNATURE
SERVICE REPORT 14025
For a Gee estimate call.
e (978)532-3330
(781) 596-2710
Gary Ami� ult
ra Owner/Operator
5
North Shore
Pest Control
COMMERCIAL.RESIDENTIAL.INDUSTRIAL
7 MacAuthur Road,Peabody,MA 01960 ly
'30 i'H SHORE PEST CONTROL
E s. 7 MacArthur Road
PEABODY, NIASSACHUSETTS 019-60
(781) 596-2710 �
(978)'532-3330
DATE. c^/ TIME - 51
IN OUT 9
❑REG. ❑-I•TIME ❑^-REDS. ❑-COMM. ❑IN606R ❑OUTDOOR
Nan
AD' ss �qq
CIiV STATE,21P� _ PHONE
ti--i Eli CES'.P TAROETP E-. A PL CATION METH00 ��
INSPECTION. - „ob en
. ; TREATMENT S-rA-r-fC)C5 1
CNEMICALUS® '��stiNOU'I�'{ % ,E�A:NUMBER "A T
Fore free estimate calf - -
(781)696.2710 Y]
Owner/Operator
North�orth Shore .-+ - EGORIP170 NEMAB �'"v .AMO NT' -
I J
Pest Control
ry
COMMERCIAL-RESIDENTIAL.INDUSTRIAL
,
7 MacAuthur Road,Peabody,MA 01960 -
LeLp T43
ERVICED BV LIC r6C,.A
(s,�1 TOTAL
GUSTO R SIGNM RE
SERVICE REPORT 1 025
rV�NG rwvrpRT UWARTMDR ,
120 Y111/MINSIGN 1111M i11C FLOOR
sn�ol.w►otstio
Tn.(s7n7494 N a1T.Sao
MAVOR
DLIPOSAL OFDBII M AFMAVrr
L aeooedasa tlr pia�idoaa dUM a 106 234 I a ckomfolp that•a a mdidm
dDdMinp Pbmit• .ad Aida sawldos Sam the omatesi -I m m a aft
pond by d&Batl ft Pasmit dabs mqm d dia a Ogpo br&mod di -No
dhpod ho ft.w ddW by MM o IM SIML
72odebbwSbe avow a[ae; 6PDI20� nllf,
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Name dPsmB Appibmt .
G
FbasNasaa�ifasy
E qle 14 tiC:5 ' u 0Gois
Addlaat,Cl q t 9db
MW above some nm na that Mm*MOW d®OSti %nmovadm saheb or other
skxWm otba0ft err st ,llea be d6powd m a p mpasb%&j W soYd-vnwta mpowl
ba7itj►■Aa6aed bS►ld<'$,�313QA„and the bts(7dms paemitt err Beaossa to b
mdiab the bad=dtha Safq.
C.omma/wi�,aFtho`�aseac��fd .
� • .-�+•Paale•a(a��./ra4iar�er�•
600 w.1.16 ..J
1cs.me &&j% Xuasdnaa+b 02/
Workers' Comperwtia Iow am Affldavk
. wh0a prindpol Iba of badness as
20 S /J 0d1jiy,UA
% row 6
do hsrabr•c!r* under tba pains and peril" of pwjarrs thsas
I am an MWWYW provWlni +rorketa' compamtbe covga/a for tear siolo)ees working on
L ^-W\ S0((4nlce �/1uL3ge+o -'1 3 a
¢3- 4-
Insurance Company Po Number
1 an a sole proprietor and how no one working fir an In mW eapackr.
0 1 am a sale proprieter, Rental contractor or homeowner (ch da oae) and hews bleed tha
contractors listed below who•bsw the following workers' congmumtlon pollICI s
Comma Insurance Covuvavvy/Poftlru�mbar
Contractor Insurance Compstry/ro Nunbw
Contractor Inswance CompanyXI— lr Number
() I am a homeowner performing all the work myself.
I veaafraea aw a eaor a/06 auesow we be ler woN r an CWxq A In.ngaeae of am M for ce.eraw eerihaaen w an MM 0 man
eatery a Hewn.w tesiee SI el MGL 1!! can Mar w ow irnareiee of oiei—.acted"cenrint N a.lee el ee sal I J00"aaWar am
+earl•i.oreerveen a va a elre riu w the lone el a MP WORK ORDER w a lne of s IDOAD a as glen aaa.
Signed this . gdsr of _ Z—"
:iccrscei'Fennittee iiullotT ng Gepartn.e t "J����
�jctnsinf Ecare
Seieamens Office
�e.sith Geprrmer:
ROM : DUFFY INSURANCE AGENCY INC PHONE NO. : 781 593 7260 Nov. 18 2004 03:38PM Pi
ACORQ CERTIFICATE OF LIABILITY INSURANCE DATE IMM/OD!/YYy)
PRO
Duff E0. (781)�144 Agee FAX (781)593-7260 THIS CERTIFICATE 151S5UED AS A MATTER OF INFORMATION4 Duffy Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON HE CERTIFICATE
317 Broadway A TER HOLDERL E COVERIS AGE AFF RDED BES OYTTHE POLICIES BELOW.
wyoma Square
Lynn, MA 01 90 4-2602 INSURERS AFFORDING COVERAGE NAIL#
INSURED Rektech Inc INSURER A,
196 Haynes Road INSURERS; Pilgrim Insurance Compan D045
Sudbury, MA 01776 _ INSUAERc: Travelers Insurance Com any 0055
INSURER 0:
INSURER E
COVE S �
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 J MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 15 SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES,AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR 00' TYPE OF INSURANCE POucY NUMBER POLICY EFPEe 7*0
MTBGENERAL WBILRY CCURRENCE fCOMMERCIAL GENERAL LIABILITY TO REN70 SCLAIMS MADE n OCCUR P Any one ween) S�AL A ADV INJURY SLAGGREGATE tGENL AGGREGATE LIMIT APPLIES PER: TS-COMPK]P AGG SPOLICV lECT LOCAUTDMoanFLlaB1uTY PMC7194539 D1/27/20D4 ANY AUTO C CO I OMBNED SINGLE LIMIT
N S
ALL OWNED AUTOS
B X SCHEDULED AUTOS - B�ODILWYn1AN'URr' S 250,00
X HIREDAUTOS
BODILY INJURY
X NON-OWNED AUTOS - (Re,e ° Q S
500,00
PROPERTY DAMAGE S
250,000
GARAGE LIABILITY
AUTO ONLY-EA ACCIDENT S
ANYAUTO EA ACC 8
OTHER THAN
AUTO ONLY! AGO S
EXCESSAIMBRELLA LIAMUTY EACH OCCURRENCE 3
OCCUR O CLAIMS MADE AGGREGATE S 1
S .-
DEDUCTIBLE
$
RETENTION S _ S
WORHERS COMPENSATION AND 5KUB7402A34-3-04 04/D6/2004 04-/08/2005 X TVC STAN- OTN•
EMPLDYERB'LIABILRY'
C ANY PgOPRIETORrvARTNER/EXECUTIVE EL EACH ACCIDENT S 100,.000
OFFICERIMEMBER EXCLUDED?°r II EeroieR E.L.DISEASE.FA FJAPLO ! 100,DD
p/P++ una -
SPECIAL PROVISIONS D°IAN EL DISEASE-POLICY UMIT S SOD,UDD
OTHER
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I UCW SIGNS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS
ontractor
N
SHOULD ANY OF THE AEOVE DESCRIER°POLICIES BE CANCELLED BEFORE THE
EXPIRATION DATE THEREOF,THE ISSUING INSURER WDI ENDEAVOR TO MAL
City of Salem 10 DAYS WRITTEN NOTICE TO THE CE AICATE HOLDER NAMED TO THE LBPT.
ATTN: Pl.artrlcal SepefiE@Bnt B FAILURE T MALSUGH NOTICE SHA 1 OSE NO AM OR UAEILIT/
C I Ly Ha I I HIND U THE MSU AD I E iRIG
Salem, MA 01970
ACORD 26(2001108) FAX: (978)745-3018 - v ORP RATION 1988