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86-88 CONGRESS STREET - BUILDING JACKET 86-88 CONGRESS STREET Business Certificate v$��o City of katem, fflagoatbugettg AR DATE FILED _ k4god -19 dt O Type: ,d�- New Expiration Date --nNneN 4� aoo� ❑ Renewal,no change Number 4000 - 11 ❑ Renewal with change In conformity with the provisions of Chapter one hundred and ten, Section five of the Massachusetts General Laws,as ed t e undeist ned hereby declare(s) that a business is conducted under the title of: `5 , �4 at v Q S q?8 ,5 type of business S1'e-A '�"Ay.4 by the following named person(s): (Include corporate name and title if corporate officer) Full Name Residence Tel. # / � ,T�s 51 LYri/rtJ /(�rl �q '7Z-7 Signatures ----------- x -- ------ ------------------'--••---'-------------------------- ------ - 4AF92420 -- - -------------------------------------.--------------- on - t a abtrve named person(s) personally appeared before me and made an oath that the foregoing statement is true. ---- , --------------------------E.... .�-------------- ----------------------------------------------------- G t T Y G l E R K NO[ary Public- , Date Commission Expires Identification Presented ` State Tax I.D. # 4�7 © S.S.# (if available) In accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5, of Mass. General.Laws, business certificates shall be in effect for four(4) years from the date of issue and shall be renewed each four vears thereafter. A statement under oath must be filed with the town clerk upon discontinuing, retiring,or withdrawing from such business or parmership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars ($340.00) for each month during which such violation continues. 4. CITY CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 3 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY USOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT March 26, 2002 Orille L'Heureux 22 Francis Road Salem, MA. 01970 Dear Mr. L'Heareux In accordance with Chapter III, Sections 127A and 1276 of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter l: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter II Minimum Standards of Fitness for Human Habitation, an inspection was conducted of the property 89 Congress Street occupied by (Rooming House) conducted by Virginia Moustakis, Sanitarian on Tuesday, March 26, 2002 at 9:40 A.M.. Notice: If this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's responsibility to notify tenants of lead related reports and tests, and to ensure that this unit complies fully with 105 CMR 460.000 : - Regulations for Lead Poisoning Prevention and Control. For further information or to request an inspection, contact the Salem Health Department at 741-1800. You are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed inspection report. Failure on your part to comply within the time specified on the enclosed inspection report will result in a complaint being sought against you in Salem District Court. Time for compliance begins with receipt of this Order. Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s) to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. Poann'=Scott Forr t_heBoard o ealth: Reply to: �a Virginia Moustakis Health Agent Sanitarian CC: Fire Prevention,Building Dept//,Licensing Board,Attorney John Skerry,Councilor Chuber Certified mail to owner Cert#7001 1140 0000 6734 2398 JS/sjk c-h-violet 41 CITY OF SALEM HEALTH DEPARTMENT 120 WASHINGTON STREET 4TH FLOOR Salem, Massacnusetts 01970 Page 1 of State Sanitary Code, Chapter II: 105 CMR 410.000 Minimum Standards of Fitness for Human Habitation Occupant : cc, Phone: _ Address: e° ��na eg' �f Apt.# s Nit Floor , -a 13 Owner: (9,P„�.r_ °lxiLx Address: aa Inspection Date: 3-d6- 0,1 Time: q:zlo A,�? n7YaRS/,¢c 47;ek,FLPs Conducted By: V.ZOO-ia/rfs Accompanied By:1,cp'#srNs (-Add Cho%ems, so%m Oouot cud ri i R57: A.901< 64 ahe Anticipated Reinspection Date:�Ne a!e vLe� arty . so,y,v 6xe e y 9Pel6,PeSV�1�9 leeu.Y o e s o�o e ejeo SpeciriedTime Reg.#410.. Violation(s) u R: f o/ "e- Sri- Mf .. No vola PP / VIO -s # aais a6,7 C p IA,6 No Via La s // 3 Vio G 2 Aw , 8 Zla v ,V t . .rP12 o ' sd` oa 74- r&'A9Yzd4Z 0z R6r �i -17 One or more of the above violations may endanger or materially impair the health lweews/.tiy � P safety, and well being of the occupant(s) Cc GLS ky y Code Enforcement Inspector 7i m���� /ua� � a eee Este es documentO legal importante. Puede que afecte sus derechos r : 4Y1r s Pnada adauirir una traduccion de esta forma sies necesario Ilamar al telefono 741-1800. Appendix II (14) Legal Remedies Tor Tenants of Residential Housing .0*' The following is a brief summary of some of the legal remedies tenants may use in order to.get housing code violations corrected : , 1. Rent Withholding(Massachusetts General Laws, Chapter 239;-section 8A):If Code Yiolations Are Not Being Corrected you may be entitled to hold back your rent payments. You can do this without being evicted if: You can prove that your dwelling unit or common areas contain code violations which are serious enough to endanger or materially impair your health of safety and that your landlord knew about the violations before you were behind in your rent. You did not cause the violations and they can be repaired while you continue to live in the building. You are prepared to pay any portion of the rent into court if a judge orders you to pay it. ( For this, it is best to put the rent money aside in a safe place) , 2. Repair and Deduct(Massachusetts General Laws, Chapter III,section 127L): The law_sometimes allows you to use your rent money to make the repairs yourself. If your local code enforcement agency certifies that there are code violations which may endanger or materially impair your health, safety,or well-being, and . your landlord has received written notice of the violations,you may be able to use this remedy. If the owner fails to begin necessary repairs(or to enter into a written contract to have them made)within five days after the notice or to complete repairs within'14 days after notice,you can use up to four months rent iiiany year to make repairs. 3. Retaliatory Rent Increases or Evictions Prohibited(Massachusetts General Laws,Chapter 186,section 18,and Chapter 239, Section 2A): The owner may not increase your rent or evict you in retaliation for making a complaint to your local code enforcement agency about code violations:I€the-owner raises your rent to try to evict within six months after you have made the complaint,he or she will have to show a good reason for the increase or eviction which is unrelated to your complaint. You may be able to sue the landlord for damages or if he or she tries this. 4. Rent Receivership(Massachusetts General Laws Chapter II,section 127 C-H):,The occupants and/or the Board of Health may petition the District or Superior Court to allow rent to be paid into court rather than to the owner. The court may then appoint a"receiver"who may spend as much of the rent money as is needed to correct the violation. The receiver is not subject to a spending limitation of four months'rent. 5. Breach of Warranty of Habitability: You may be entitled to sue your landlord to have all or some of your rent returned if your dwelling unit does not meet minimum standards of habitability. 6. Unfair&Deceptive Practices (Massachusetts General Laws,Chapter 93A) : Renting an apartment with code violations is a violationof the consumer protection act and regulations, for which yoiy may sue an owner. The information presented above is only.a summary of the law. Before you'decide to withhold rent or take any other legal action, it is advisable that you consult an attorney. If you can not afford to consult an attorney, you should contact the nearest legal services office,which is Neighborhood Legal Services 37 Friend Street Lynni MA: 01902 (781)-599-77301_ :: Business Certificate CUP of *a[em, Atamgacbugettg � Lin % >_ .,1�4 DATE FILED Set'T -1 t 499 Type: New Expiration Date SS'PT 7 c4ao3 Q Renewal,no change p Number �!' dgz Q Renewal with change In conformity with the provisions of Chapter one hundred and ten, Section five of the Massachusetts General Laws,as amende-uun�dersi declare(s� that a business is conducted under the title of: 11E. 17?( '164r, oE1YZ? + 1 ', at. D r Y ss' type of business by the following named person(s): (Include corporate name and title if corporate officer) Full Name Residence ----------------- Signatures ------ --- -- -"� ------� --------- ----------------------------------- ----------------------------------------------------- ----------------------------------------------------- on QcPr 7 19d�--the above named person(s) personally appeared before me and made an oath that the foregoing statement is true. e�- A2C.0 O ------------------ --Lr &-------------------------------- ----------------------------------------------------- CiTY CLERK Notary Public (seal) Date Commission Expires IdentificationPresented State Tax I.D. # S,S, #-012 7 a 7f(� (if available) In accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5,of Mass. General Laws,business certificates shall be in effect for four(4)years from the date of issue and shall be renewed each four vears thereafter. A statement under oath must be filed with the town clerk upon discontinuing, retiring,or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars ($300.00) for each month during which such violation continues. IR +} q s B i .!S tom• - ` + { n " Z APPROVED ti KITCHEN BATH }. BEDROC}M + 41u�3uetsdieliaa, y ` ''• , I `; _cDROOM �: _ .B'ATH KITCHEN, $1PMASS. , .. , .. {I`tf COPY et + 4 11 r r.. IIAWM[ 891EL7iaR fRIfIgTdMp f'T I j - _ �i [ .t l l+. AL NAC M1 IMION DMU AAR WNW t0 A Li ma"W"t NRIom i * 'y _ A P T• 3 r . If4- A P(''�T.2+ t a CLOSET l i CLOSET t , 14 t .' { I NO. APP'D��6 9� f.Y > CITY OF ' 11,EM I9,,�ITY 1K-G xt^ I'T., TO BEBE6FOOM LIVING ROOM �{ LIVING ROOM BEDRO�}M y I i KEPT /;T dG � • _� I i INS, _GiG� ^- � BUILDIN 3 a , n. n ,> SCALE y4,t .. "SECOND FLOOR . r • f �pp Y :L 1 ¢ '1 -. s+,,,., � ..�' �,..xv---,.!n ••y+^,. ..�.,:.t.n+o�.la�,n.++:--..yr��.aa�-+.,.��.�..:...�-4.+«r.. wn.n.J<n:r..-..�.....�.�,,...-.�.... � / r ls. f. •r-- V � ..,;+_:.�. .S„,f_' -y�,. ,�..,L._y., SCA ....__ ..� -,..a: ^m ' ...._....r...... ...,rr...-.. _ .�. : .i 141 BEpROOM BATH . KITCHEN STORE 2 APPi10 8at111aet eo .ey MY of I ` BURZAU y trT a •' :. � i9 tUMiM[ aouer LWA M a tare N OTECUMALL �ilNo�1 I 1st If 1MltteUOM, rgill Tilt rMtew NO. pp� �p APP'D.�d� �I/ 771 1 � ( E ' z ... BEDROOM LIVING ROOM j �---- I : . RE I ! DOC j x r' '/�/ �//J V//� INSP CTO.'. OF Wit DINGS qt -wi:� tf.-.......:.,. � ':.:..,. . � �a..:..... ,-..... a� .. ru... i , ry * ' spa 86-88 CONGRESS ST.4. Y % SALEM, MAr y ,aa W,PERROBERT 5 DIBIASI w .• FIRST:FCOR w )r No 3 City of Salem Ward l a X h .n.- APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, ll, Ill, IV,and IX. I. AT(LOCATION) T h�q P 1 J D STRICT LOCATION OF BETWEEN AND (CROSS STREET) (CROSS STREET) BUILDING 1 LOT y L� .7 d SUBDIVISION LOT nk/7BLOCK SIZE II. TYPE AND COST OF BUILDING -All applicants complete Parts A -D A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION'USE MOST RECENT USE 1 ❑ New building Residential Nonresidential 2 ❑ Addition(It residential,enter number of new 12 ❑ On family 18 ❑ Amusement,recreational /rousing units added,it any,in part D,131 19 ❑ Chruch,other religious 13 r� Toro Or more fa it -Enter number 3 E] Atteretion(See 2 above) of units ........... 20 Industrial 21 ❑ Parking garage 4 Repair replacement 14 ❑ Transient hotel,motel,or dormitory- Enter number of units ........................... 22 ❑ service station,repair garage 5 ❑ Wrecking(It multifamily residential,enter number 23 ❑ Hospital,institutional of units in building in Part D,13) 15 ❑ Garage 24 ❑ Office,bank,professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 7 ❑ foundation only 26 ❑ School,library,other educational 17 ❑ Other-Specify 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ Tanks,towers 8 ovate(individual,corporation,nonprofit institution,etc.) 29 ❑ Other-Specify 9 ❑ Public(Federal,State,or local government C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant, machine shop,laundry building at hospital,elementary school,secondary school,college, - parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement .......7..... ....__.....:�_...... $ a d� at industrial plant.If use of existing building is being changed,enter proposed useTo .\\ be installed but not included �i'L� 1 ina.the above cost 1 ,^ 000 b. Plumbing..._.................................. OO D .I w K ��-c.t.� i1-c✓� , A —('/,la9.t�l D t> c. Heating,air conditioning............................................. s ,� d. Other(elevator,etc.)..................................................... - 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING -FortInew buildings and additions, comp to Parts E-L;demolition, complete only Parts J&M,all others skip to IV E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 ❑ Masonry(wall bearing) 35 ❑ Gas 40 ❑ Public or private company Will there be central air 31 ❑ Wood frame 36 ❑ Oil 41 ❑ Private(septic tank,etc.) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 ❑ No 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42 ❑ Public or private company 46 ❑ Yes 47 ❑ No 43 ❑ Private(well,cistem) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stones ............................................................ as. square based ed on exterior of floor area all al Has Approval from Historical Commission been received dimensions ........................................................................ for any structure over fifty(50)years? Yes_ No_ 50. Total land area,sq.ft. Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed .......-................_ ............................................. HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? sz. Outdoors.......... ...................................... Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed .............................................................. Electric: Gas: 54. Number of Full ......................... Sewer: bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ NOJ/r/ (If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes No Is property located in the S.R.A.district? Yes_ No_ Comply with Zoning? YesJL No (If no, enclose Board of Appeal decision) Is lot grandfathered? Yes_ No (If yes,submit documentation/if no,submit Board of Appeal decision) If new construction, has the proper Routing Slip been enclosed? Yes_ No Is Architectural Access Board approval required? Yes_ No (If yes, submit documentation) Massachusetts State Contractor License #r / �.� �/ / Salem License# I Ir/ Home Improvement Contractor # b 1 1 .J Homeowners Exempt form (if applicable) Yes_ No CONSTRUCTION TO BE COMMENCED WITHIN SIX (6)MONTHS OF ISSUANCE OF BUILDING PERMIT CONSTRUCTION IS TO BE COMPLETED BY: If an extension is necessary, please submit in writing to the Inspector of Buildings. V. IDENTIFICATION • To be completed by all applicants ,� Nam Mailing address-Number,street,city,and state ZIP Code Tel.No. Owner or ryJY/' I 1VQ'51 I ,//�� ` Lessee eh' ! /C<.S- (rc /'/ .L- �( �l 3tgy— 77.3 z. r Contractor Builders License No. I 11 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we to conform to all ap livable laws of this jurisdiction. Signature of applican Address p Application date L O G11 COCK c vn✓e DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building _ !/ FOR DEPARTMENT USE ONLY Permit number 7 Building /a Use Group Permit issued 19 i q Fire Grading Building Permit Fee $ 300. o n Live Loading Certificate of Occupancy $ Approved by: Occupancy Load Drain Tile $ Plan Review Fee $ h TfFLE NOTES AND Data • (For department use) euj e c PERMIT TO BE MAILED TO: d.� 1�j K4 g� DATE MAILED: Construction to be started by: Completed by: w c-,K J L/ VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN -For Applicant Use O N CtV of Anlem, .445ttssarhuse#f$ FIRE DEPARTMENT•FIRE PREVENTION BUREAU May2 S , 199 4 s 48 Lafayette Street (Date) 4 Salem,Massachusetts 01970 In accordance with the provisions of Chapter 148 G.L.as provided in Sec.26C and/or 26F, smoke detectors have been approved within residential and/or commercial occupancies. Ql� r Iyer: Robert DiBiase (Full name of person, firm or corporation granted permit) Smoke Detectors have been installed and are approved for type and location as per current codes as of this date. — �-! SMOKE DETECTORS REQUIRE ANNUAL MAINTAINANCE AND CLEANING Type of JE RESIDENTIAL Number of Dwelling Units Five Occupancy Note: Condominium Units require individual Il COMMERCIAL Certificates of Compliance. at _ 86-88 Congress Stxeet terve lavation by street and number,Or dexgtre in wch a manner ai to provide adaduate Ida bn o�n) ( } (Sign re of of vial grantin rtl NOTICE Certificate is NOT VALID,for sale or transfer of real estate, 60 days after date of issue. (title) Form 8_^( Rev. 10/86) APPOINTMENT FOR FINAL' Salem Fite Depaatment .f INSPECTION MUST BE Fce Pntevent i,on Bu-teau APPOINTMENT FOR FINAL ONE WEEK 48 La4ayette St-teet INSPECTION MUST BE MADE Al LEAST ONC Satem, Ma 01970 MADE AT LEAST ONE WEEK AHEAD-------------— (508) 745-7777 AHEAD........_ FZRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT In accvndance w.i tPt the p+t0v.i-6ton-6 64 .the Ma,"achu,6ett-6 State Buttding Code and the Salem F.i-te Code, appttca.Zon .in hereby made 4ox appnovat o4 plans and the t63uance ab a cent Lite-ate od appnova2 4o4 a buZedtng pwun.i t by the Salem Fite Depaxtment. (Re4. Section 113. 3, M"4. State SZdg. Code) Job Lvc.a tion: G $ d�Iti1CS S T 9 o Owneft/Occupant: 4 EZect�cat Con,%acto-c: F.i,te Suppne-64,Lon Contractor: c p ,A F S.Lgnature o4 ApPZicartt: o,6 C/1 ( J -(cS Phone #: j � 3 Addr.ea4 o4 Ci ty or AppZ,Lcant: Town: Eyerc ApprvvaE date: Certi4-i.cate 04 approval t4 hereby granted, on approved pta" on eubm.Zt Z o4 project de-ta.i'U, by the SaCem Ftto Depan.#ment. Att ptanm a%e apprtvved 4oZeZy 4or -tdent.i4tcatl.on o4 type and Zocat.on o4 4.4re protection devtce,6 and equipment. AZZ pta" ane -6ubjec-t to approvaZ o4 any othe�t authority ha.vdng ,juAis6d.icti.on. Upon eomptet.i.on, the appti,eant on 44?,6ta22e-,L(.6) aha t request an t"pection and/or teat o4 the 4.iAe protectLon devdc" and equipment. f ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** ) i� New con st>tuet.i on. t� Property Zocat.i.on has no compliance w.itth the prov4.64on.6 04 Chapter 148, Sectton 16 C/E, M.G. L. , netati.ve to the -inatatati.on o4 apptoved 6-i a aCanm devtce.6: The owne-t o4 th.f s properly 4.4 requi ted to obta.Ln compliance a6 a condition o4 obtain ng a Bui.CdZng Permtit. Property eocatZon t.6 .in comptaance with the prvv46tcnh 06 Chapter 148, Section 26 C/E, M. G. L. Exp.ircat.ivn dote: Sz9�S.�cgna une v4 the 04ti iaia2 Fea Jua: under 7 . 500 Sq. Ft. $70. 0 FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT In compliance with the provision of Section 113.5 of the Massachusetts State Building Code, and under guidelines agreed upon by the Salem Bldg. Inspector and the Salem Fire Chief, the applicant for a building permit shall obtain the Certificate of Approval (see reverse side) and stamped -_- plan approval from the Salem Fire Prevention Bureau. Said application and approval is required before a building permit may be _J w I issued. The Massachusetts State Building Code requires compliance z 3 k approval of the Salem Fire Department, with reference to provisions of LLCO w !, Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts o N p i General Laws, and 527 Code of Massachusetts Regulations. LL � w The applicant shall submit this application with three (3) sets of plans, LU zo drawn in sufficient clarity, to obtain stamped approval of the Salem FireF- Department. This applies for all new construction, substantial o w w alterations, change of use and/or occupancy, and any other approvals a. Department. required by the Massachusetts General Laws, and the Salem Fire Code. a z a Exception: Plans will not be required for structural work when the proposed work to be performed under the building permit will not, in the opinion of the Building Inspector, require a plan to show the nature and character of the work to be performed. Notice: Plans are normally required for fire suppression systems, fire alarm systems, tank installations, and Fire Code requirements. Under the provisions of Article 22 of the Massachusetts State Building Code, certain proposed projects may not require submission of plans or complete compliance with new construction requirements. In these cases, provisions of Article 22, Appendix T, and Tables applicable shall apply. This section shall not, however, supersede the provisions outlined in the Salem Fire Prevention Regulations, Chapter' 148, MGL, or 527 Code of Massachusetts Regulations. All permits for fire code use and/or occupancy shall apply for the entire structure; fire alarm and/or smoke detector installation shall apply to the entire structure based upon current requirements as per Laws and/or Codes, but the existing structure may comply with regulations applicable for existing structures. Notice: Sub-contractors may also be required to file individual applications for a Fire Department Certificate of Approval for the area of their work. Such sub-contractors shall file an Application to Install with the Fire prevention Bureau prior to commencing any work for those areas applicable. S FOR fJtw%- Bf- usl Form 81X (10/90) pINTMENt FOR BE A� APSPE S CN S. ONE WEEK AN9PEC110N gTSONE WEEK ,MAOE AT ....•••••.''`� MADE AT SEA .. -� AHS ............ YO------ COMMONWEALTH OF MASSACHUSETTS aEi'AR mN—rOFINDUSTRIAL.ACCIDENT'S _ 600 WASHINGTON STREET' ame5 a arse,: BOSTON, MASSACHUSETTS 02111 // WORK�~ERS' COMPENSATION INSURANCE AFFIDAVIT (I Itenr[V n[rmtRen with a principal place of businasiresiciencc at: �VC( Tf— Cil / (1 2 -----, (City/statcizip) do hcrcbv certify, under the pains and penalties of perjury, that: 1 I am an cmpiover providing the followintc workers compensation coverage for my empiovecs working on this gab. 1--IVS L- 1 6)-F )5 S Z1 ,), 7 Insurance Coa any Poliev Number [ j I am a soie proprietor and have no one working for me. [ ] 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Name of Contactor Insurance Company/Policy Number \amc or Contractor Insurance CompanyiPolicv Number Name of Contactor Insurance CompanyiPolicy Number I am a homeowner performing 211 the work myself. NOTE: Please be aware that while homeowners woe employ persons to do mammosacc.Construction or repair Werk on a doe{lin¢of not more to=three units in which the homeowner also Vena=or ors the gmunda appurtenaslt thereto are slot geaerally considerea to be empitivers under the Women Compensation Act(GL C. I52.sect. 1(5)), appitcation by a homeowner for a licaase or permn may evraeace me legal sums of as cmpiover patter tbt Workers Compcasauon Act. unaerstana that a coov of this statement will be forwarded to me Dcowurrient of Industriai Acaacnp' Qf£ce of insurance for coverage Ienncauon and that fuiure to secure coverage u recurred under Section 25A of MGL 152 can lead to the imposition of erirninai oenalti= consisting of a fine of uv to $1500.00 andior imprisonment of uo mane Year and eivii oenaiues in the form of a Ston Work Order and a *"mc of S 100,00 a adv against me. Sicned this _ day of 19 Licensee UimnsoriPermittor P SENDER: • Complete items 1 and/or 2 for additional services. ' I also wish to nicely he • Complete items 3,and 4a h b. following services IforY*, xtre • Print your name and address an the reverse of this form so that we can feel: } return this card to you. • Attach this form to the front of the mailpieee,or on the back if space 1. ❑ Addressee's Address does not permit. • Write"Return Receipt Requested"on the meilpiece below the article number. 2. ❑ Restricted Delivery • The Return Receipt Fee will provide you the signature of the person delivers to and the date of delivery. Consult postmaster for fee. 3. Article Addressed to: �,�.1� 4a. Article Number William Theriault !, n r� P 009 226 296 5 Salt Wall Lane ' 4b. Service Type Salem, MA 01970 N�'�qYq ❑ Registered ❑ Insured Certified ❑ COD RL: 88 Con( reSS 'St. 1y93 V0ExpressMail ❑ Return Receipt for t Merc n i * 7. Date of Delivery Sin r dr 8. Addressee's Address (Only if requested and fee is paid) gnature (Agent) PS Form 3811, November 1990 *U.S.GPO:1981-287-ON DRrESTIf RETjN lREIP!!T!!iltlnl!tinlC!F " UNITED STATES POSTAL SERVICE Official Business g3 . ALTY'F' -f _ 4`�F�ENALTY OR PRfYAtE USE, 6300 Print your name, address and ZIP Code here •Leo Tremblay, Inspector of Buildings One Salem Green Salem,MA 01970 PSt� `T, F r �� d � �t^ � x � 4 Y (situ of -*ttttm, Massar4usetts Public Vropertp Department Nuilbing Department (One Salem green 508-745-9595 ext. 389 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer May 10, 1993 William Theriault 5 Salt Wall Lane Salem, NIA 01970 RE: 88 Congress St. Dear Mr. Theriault: It has come to my attention that the above referenced property, known as Larry Sub Shop, has been abandoned and is in need of immediate securing. You are hereby ordered to secure this building within seven (7) days of receipt of this notice, failure to comply will result in the City of Salem taking the responsibility of securing it and a lien being placed on the property. I thank you in advance for you prompt and courteous attention in this matter. Sincerely, Leo E. Tremblay Inspector of Buildings LET:bms cc: Dan Geary Councillor Nowak, Ward 1 Certified Mail #P 009 226 296 /88cngrs/ `� Chit of �ftlem, massar4usetts Publir Propertp Department Nuilding Department fte #alew Green 508-745-9595 Ext. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer May 26, 1993 George A. Nowak Councillor Ward 1 RE: 88 Congress St. Dear Councillor Nowak: In our efforts to keep the Ward Councillors as well as all other interested persons apprised of what is happening in there wards, I am happy to advise you that the above referenced property, know as Larry's Sub Shop, has been secured. I spoke with Mr. Theriault on May 18, 1993 and although he no longer owns the property he was able to confirm the fact that it is secured. Sincerely, Leo E. Tremblay Inspector of Buildin s LET:bms cc: Dan Geary, Director Constituent Services /cngrs88/ ox 77 •�I.. CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts 01970 HEALTH AGENT 508-741-1800 January 12, 1993 T illiam TheriaultWater Lane,MA 01970 Dear Mr.William Theriault: In accordance with Chapter 111,Sections 127A and 127B,of the Massachusetts General Laws, 105 CMR 400.00: State Sanitary Code,Chapter I: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code,Chapter II: Minimum Standards of Fitness for Human Habitation,an inspection was conducted of your property located at 86/88 Congress Street;Apt 2 occupied by Haydee Guerro conducted by Virginia MoustakIs, Sanitarian of the Salem -ealth-Departmenton-January-5;1993'@-1:00 p:m:Njtice If this rental unit is occupied by a child or children under the age of 6 years,it is the property owner's responsibility to ensure that this unit complies fully with 105 CMR 460.000: Regulations for Lead Poisoning Prevention and Control.For further information or to request an inspection,contact the Salem Health Department at 741-1800. You are hereby ORDERED to make a good-faith effort to correct these violations in accordance with the enclosed report. Failure on your part to comply within the specified time will result in a complaint being sought against you in Salem District Court. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said hearing,you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. For the Board of Health Reply to: A C Z � Robert E.Blenkhom,C.H.O Virginia E. Moustakis Health Agent Sanitarian cc: Tenant Independence One Financial Service, Braintree, MA 02184 N.S.C.A.P. Fire Dept.,Building Insp.,Electrical Dept., &Gas&Plumbing Insp. CERTIFIED MAIL P 348 630 901 APPENDIX H(14) Legal Remedies for Tenants of Residential Housing The following Is a brief summary of some of the legal remedies tenants may use in order to get housing code violations corrected: 1. Rent Withholding(Massachusetts General Laws,Chapter 239,section 8A): If Code Violations Are Not Being Corrected you may be entitled to hold back your rent payments.You can do this without being evicted if: A. You can provefthat your dwelling unit or common areas contain code violations which are serious enough to endanger or materially,impair your health or safety and that your landlord knew about the violations before you were behind in °4 yourrend 4 rB. You did otca'use the violations and they can be repaired while you continue to live in the building. C. You are prepared to pay any portion of the rent into court if a judge orders you to pay it(For this,it is best to put the. rent money aside in a safe place.) 2. Repair and Deduct(Massachusetts General Laws,Chapter 111,section 127L):The law sometimes allows you to use your rent money to make the repairs yourself.If your local code enforcement agency certifies that there are code violations which endanger or materially impair your health,safety,or well-being,and your landlord has received written notice of the violations, you may be able to use this remedy.If the owner fails to begin necessary repairs(or to enter into a written contract to have them made)within five days after notice or complete repairs within 14 days after notice,you can use up to four months'rent in any year to make the repairs. -_._ .... ... �__ 3. Retaliatory Rent Increases or Evictions Pro ibi a (Massachusetts General Laws,Chapter 186,section 18,and Chapter 239, section 2A):The owner may not increase your rent or evict you in retaliation for making a complaint to your local code enforcement agency about code violations.If the owner raises your rent to tries to evict within six months after you have made ;he complaint be.or:she,will,have.to shawa goodreason for the-increase,or,eviction which is unrelated to your compiaim-You may be able to sue the landlord for damages of he or she tries this. 4. Rent Receivership(Massachusetts General Laws,Chapter 11,section 127 C-H):The occupants and/or the Board of Health may petition the District or Superior Court to allow rent to be paid into court rather than to the owner.The court may then appoint a "receiver"who may spend as much of the rent_money as is needed to correct the violation.The receiver is not subject to a spending limitation of four months'rent 5. Breach of Warranty of Habitability:You may be entitled to sue your landlord to have all or some of your rent retumed if your dwelling unit does not meet minimum standards of habitability. 6. Unfk and Deceptive Practices(Massachusetts General Laws,Chapter 93A): Renting an apartment with code violations is a violation of the consumer protection act and regulations,for which you may sue an owner. The Information presented above is only a summary of the law.Before you decide to withhold your rent or take any other legal action,it is advisable that you consult an attorney.If you cannot afford to consult an attorney,you should contact the nearest legal services office,which is: Neighborhood Legal Services 37 Friend St. Lynn, MA 01902 (617)599-7730 Page 1 of .3 t, SALEM HEALTH DEPARTMENT 9 North Street Salem,MA 01970 State Sanitary Code, Chapter II: 105 CMR 410.000 imum Standards of Fitness for Human Habitation Occupant: ffA(1, L F �ii�k'.2U S� Phone:C 0 71//_0417 I A> Nei 011-51MOyiTT/Ni _ �/ SC1cdNCC��.S J1 Apt. Floor � G�'�"�lRi%GG/An't FJ P�'iAU.=7- Sf1i-7"�c;1��'. 4,'•NE /� Owner: //V1)��CEiI/C� ii✓� ihc� dress: '15 V1/1t?.'&k F/Al t1 Ne'_//9 L JE12VI CSE Sdi72�' 81O/ Inspection Date: Time: / 00 GM Conducted By: V��i(���{�/��/4t/W k'& Accompanied By: /> L / 11; AJOSrdd' Anticipated Reinspection Date: eil_ Specified Reg # Violation Time 410. . . . 4 Al U { 0 Ph Z_ Y' 0,4 �"--P 1)Inr aantc. _ v 1/0 ca/t/ 4 y!Y LOO _ . L-AZ. � O / _ T- Jr c. N / A13 Z_ ✓S / N S t/ nIC' 0 O /✓ n/ One or more of the above violations may endanger or materially impair the health, safety and well-being or th occupants(s). J�ode Enforceme t Inspector Este es un documento legal importante. Puede quo afecte sus derechos. Puede adquidruna traduccion de esta forma. s� � • _a i� is � r WWWAMA i ���_"""��=IJ�� Mr� Ii i l/��L�L�_ll�•i,'CC/L! NMI f d .. _� _1 �i I Ia al • ,! h- 11 S�Air//Gj �ST/1U2,�,v/ c�S 6 -6'� Co.U4 rc� ss ��• <e.' f �9 - o /77e =Ide Hispano ess St. 1970 G ZC0 Q FED : � 1 I r � � I �r \.00 Worksheets # QTY MAN. DESRIPIION 1 1 HAND SINK 2 1 3 BAY POT SINK 3 1 WORK TABLE 4 1 VICTORY REFRIGERATOR 5 2 FRYI FRS 6 1 STOVEtWGRILL&BROWNING BROILER 7 1 HOOD 8 1 FIRESYSTEM 9 1 COUNTER 10 1 STEAM TABLE ELECTRIC 0 Restaurant Hispano de Salem 86-88 Congress St. Salem,MA 01870 Pagel