39 CLARK STREET - BUILDING JACKET I a The Commonwealth of Massachusctts
Hoard of Building Regulations and Standards CITY
f7I 't� OFSALEM
Massachusctts State Building Code, 780 CNlR edition RevisedJumarrt'
Building Permit Application To Construct, Repa' , enovate Or Demolish a 1. _OILY
One-or Two-Family el ing
T ' Section F Otficial Use Only
Building Permit N /b/er. Date Applied:
Signature:
Building Commissitno Inspect Buildings Date
CTION 1: SITE INFORMATION
1.1 Property Address: �u/b 1.2 Assessors Map& Parcel Numbers
a9 I.1� csr -
1.la 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 11) Frontage(11)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rcar 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:
Zone: _ Outside Flood Zone'? Municipal❑ On site disposal system ❑
Public❑ Private❑ Check if yes❑ P P Y
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owne t of Record:
e/�e 4 vcc— 3 5 dla^6 csT - 6a 1 _
Name P Address for Service:
L� 97P- 7Hy
. igna r Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK (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': i li rtd i ewr. O
r
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
(Labor and Materials
1. Building S I. Building Permit Fee: S Indicate how tie is determined:
Cl Standard City/Town Application Fee
2. Electrical S ❑Total Project Cost'(Item 6)x multiplier x
3. Plumbing S 2. Other Fees: S
4. Mechanical (IIVAC) S List: r-
5. Mechanical (Fire S
Suppression) Total All Fees:S
Check No. Check Amount: Cash Amount:_
6.Total Project Cost: S 9-5 y Vitt 13 Paid in Full ❑Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
n i
�Z �k//7 a/<
Clalti.�,�,e� L V y41.L;,, umtxr Expiration Dale
Name of CSI.- I Iulder
,2V AG�v�t / 1 / I)pe lsce below) ,eG ti GasAddresIlasw� I�L�$ Urscri lion
Unreslrictcd a to 35.000 Cu. Ft.Keslricted ldt?Tamil UwellinurVlasonry Only
W4 Residential RoutingCovering
Telephone Kesidenti. Window and Sidin
SF I Residential Solid Fuel Buming Appliance Installation
D Residential Demolition
5.2 Registere Home Improvement Contractor(HIC)
��p nlT l'� =Ale
I IIC Company Name ur I IIC Regist [Name Registration Number
/LJO L=6N... pr .ed zcp4r
AJdres. /V/2
�A a�� 9)or_7tV-77,r/ Expiration Date
Sign• a 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, dA4/f6- /a C�Law.Cb as Owner of the subject property hereby
authorize 74LM.&y s.td. /.&Ma L'e TL.0 to act on my behalf, in all matters
relative to wo thori~bui ding permit application.
to O Date
/SECTION 7b: OWNER'OR AUTHORIZED AGENT DECLARATION
IA ,nn L;v , ,as Owner or Authorized Agent hereby declare
that the statements and informatior(on the foregoing application are true and accurate,to the best of my knowledge and
behalf.
Print Na e
3�x/A co
Sign re of Owner or Authorized Agent U le
(Signed under the pains and penalties ofperjury)
NOTES:
I. 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 trot have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program and
Construction Supervisor Licensing(CSL)can be found in 780 CMR Regulations I IO.R6 and I IO.R5, respectively.
2. When substantial work is planned,provide the information below:
Total floors area(Sq.Ft.) (including garage, finished basement/attics,decks or porch)
Gross living area(Sq. Ft.) Ilabitable 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"
39•`'CLARKwSTREET,
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Incident of Clark Ave. , Dumping
July 31, 1981-Initial report of incident reported by concerned
citizen living on Clark Ave. at 1030 hrs. to
Salem Police Dept.
July 31, 1981-Police Officer Bertram Tremblay, Car #24, was dis.:._
patched to the Clark Ave. area. Upon arrival
Officer Tremblay found two men dumping drums of
a waste material adjacent to a trouble area at .
the end of Clark Ave. Officers report attached.
July 31, 1981-Salem Fire Department notified of the incident
by Sgt. John Russell of the Salem Police Dept.
and investigation conducted by Fire Marshal David
J. Coggin with Officer Tremblay at approx. 1330 hrs.
It was determined that the drums were removed from
the initial dumping site by Frank Noble of Rear
39 Clark Street , Salem, Mass. to his dump at rear
of his property. Only four drums were found at
a point approx. 1,000 yds beyond the original site.
Salem Sanitarian M. Fair also on this inspection.
Upon furthur investigation it was found that Mr.
Noble had already buried the drums in his dump site,
except for four drums. He claims he sold two of
these drums to unidentified individuals, who will
use the material as a paint for cement wall murals.
The remaining two drums are still above, ground at
Rear 39 Clark Street,on Noble property.
Mr. Noble was notified that the material was a
probable hazardous material and was an apparent
illegal dumping case.
Aug. 3 , 1981--Contact madewith Mr. Itamar T. Kutai, President of
I.T.K. Plastics, Inc. of Bldg. #4, Shetland Indus-
trial Park, 47 Congress Street, Salem, Mass.
Upon inspection of the premises at 47 Congress St.
Salem, Mass. it was found that the operation is
in violation of several fire code items. Namely:
1. No flammable storage permit or license.
2 . Excessive storage of flammables and combustibles.
3 . Poor housekeeping conditions.
4. Failure to dispose of hazardous materials in
an approved manner.
Mr. Kutai explained that is his opinion the materials
stored are net a hazardous material. He claims
he stores and uses a solid P.V.C. material in bags,
i
Page #2-Report of Incident of Clark Ave. July 31, 1981 •
which is purchased from Borden Chemical Co. This material is mixed
with a plasticizer known as Phthalate Esther, purchased from Exxon Corp.
This mixture is done in vats under the machines which process plastic
materials for varied uses, such as place mats, book covers etc.
Mr. Kutai claims this material is a polymer and not a monimer, which
makes it a safe product. He adds a color to the mix to obtain the
desired effect on the finished product. The waste is obtained when
the vat is lowered to about , one inch of product and this is also
the flow-over on the floor from processing. He periodically picks
up the waste and places it in drums. Some of the waste is liquid and
some is solid or paste type waste.
As a result of a previous inspection by Lt . Stanley Eng of Ladder Co.
2, July 15, 1981, a complaint was recorded with Salem Fire Prevention,
which was to be acted upon.
Mr. Kutai stated that he made contact with a Joseph St. Pierre, of
40 Pingree Street, Salem, Mass. to dispose of the product.
Upon interviewing Mr. Joseph St . Pierre at his home, I have learned
the following:
1. Mr. Kutai paid Mr. St . Pierre $1,260.00 to dispose of the product.
2. Mr. St. Pierre learned from a. Mr. Paul Rossetti, (address unknown)
that Mr. Frank Noble, Rear 39 Clark Street, Salem, Mass. has a
facility to dump waste material. Mr. St Pierre contacted Mr. Noble
and arranged to bring the drums (stated to be approx. 00 }55 gal.
drums and 10 - 15 gallon •drums)to his property for disposal.
3 . Mr. St. Pierre engaged Mr. Ronald R. Knuuttela of 36 Endicott St.
Salem, Mass. to assist in the project.
4. Mr. St. Pierre rented a rental truck, loaded the drums on same, and
delivered them to Mr. Noble. Mr. Noble said to drop them at the
end of Clark Ave. at the illegal dump area, on land of the Greek
Monestary; which Mr. Noble said is his land, but in acuallity Is
not his land . Mr. St . Pierre paid Mr. Noble $600.00 to drop the
drums at this point. This is when the Officer Tremblay arrived
at the site. •
Officer Tremblay had informed Mr. Noble that this was not a legal
dumping site and the drums should be dropped at a legal site.
Mr. Noble then took the drums, except the four found furthur down
the path off Clark Ave. , by payloader to his dump at Rear 39 Clark St.
and buried them, except the four which were left above ground at
39 Rear Clark St.
Mr. Noble apparently later took three of the original drums which
were originally found down the path beyond the Clark Ave. dump,
back to his dump on Clark Street. One drum was found to have rolled e.--
down
.-down a steep incline and was left there by Mr. Noble.
August 7 , 1981-1350 hrs. Fire Marshal Goggin called Mass. D.E.Q.E.
at Woburn office and spoke with Mr. Cleary (935-2160) . Explained
the entire situation to Mr. Cleary.
August 7, 1981-1500 hrs. Visited the site with Chief James F. Brennan.
August 7, 1981-1600 hrs. Met Mr. Edward J. Pawlowski of Mass. D.E.Q.E.
at the sites. Samples were taken by Mr. Pawlowski.
• Page #3-Incident of Clark Ave. Dumping-7/31/$1
Incidental items :
Flammable storage at ITK, 47 Congress St . Salem, Ma. (Bldg. #4)
Entry M.
Stored in make shift storage room:
4 drums 1:55 gal) odorless Mineral spirits-Total 220 gallons
2 drums ( 55 gal) Toluol-Total 110 gallons
Form #25A to be issued to I .T.K. Inc. for correction of Fire Code
violations.
Charles Herewood (745-9820) caretaker of Greek Monestary land.
Frank Noble, owner of dump at Rear 39 Clark Street , Salem, (745-1531)
Polyvinal Chloride product in bags stored at 47 Congrees St.
listed as VC410M- Purchased from Borden Chemical Cc/
Phthalate Esther (Plasticizer) C9 Flash Point 415 degrees
purchased from Exxon Chemicals) stored in bags.
Awaiting report from D.E.Q.E. on results of tests on materials.
Investigation continuing.
Respectfully submitted,
�og
Ca�p . DavidZJ. Gogv�
Salem Fire Marshal
cc : Salem Board of Health (Martin Fair)
Salem Planning Dept. (Sue Madison)
Salem Building Inspector (R. MacIntosh)
f��s. D.E.Q.E. (Edward J. Pawlowski)