26 DOW STREET - BUILDING JACKET 26 DOW STREET
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Citp of �&alem, Jf1a2;!5arbu!gett!5
3public Prupertp Mepartment
q �Builbing Mepartment
(One iWent Oreen
(978) 745.9595 ext. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
NOTICE
Removal of Unsightly Conditions
on Structures or Improvements
Commonly Referred to as
GRAFFITI
YOUR ATTENTION IS HEREBY DIRECTED to the provisions of
Chapter 2, Article XV t.seq. of the Municipal Code of the
City of Salem, Massachusetts, on file in the office of the
City Clerk on the first floor of City Hall .
Pursuant to the provisions of said Chapter 2, Article XV,
you are hereby notified that a certain unsightly condition
exists on premises specifically described at the
foundation surrounding 26 Dow Street, Salem, Massachusetts
01970, which injures neighboring property and the public
health, safety, and welfare. You are therefore notified
at once, and in any event within thirty (30) days from the
date of this notice, to keep said property free therefrom.
In the event you fail to complete such work within the
time hereinabove mentioned, the undersigned shall cause
the same to be removed and you will be responsible for the
cost of removal of the condition from the property.
Dated at Salem, Massachusetts this 25th day of March 1998.
Director of Public P.Ferty
CITY OF SALEM
NEIGHBORHOOD IMPROVEMENT TASK FORCE Jurisdiction
Hist. Comm. Yes 0 No ❑
REFERRAL FORM Cons. Comm. Yes ❑ No
13
SRA Yes ❑ No ❑
Date:
Address: -2 al dr
Complaint: 1 C,i� ��°/h D7" f' �✓P
Complainant: Phone#:
Address of Complainant:
BUILDING INSPECTOR
FIRE PREVENTION ELECTRICAL DEPARTMENT
HEALTH DEPARTMENT CITY SOLICITOR
ANIMAL CONTROL SALEM HOUSING A11THORITY
PI ANNING DEPARTMENT POLICE DEPARTMENT
TREASURER/COLLECT ASSESSOR
WARD COUNCILLOR DPW
SHADE TREE
PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO THE SA
PLANNING DEPARTMENT WITHIN QBE WEEK. THANK YOU FOR YOUR ASSISTANCE.
ACTION:
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING.ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800, Ma Only (800) 392-6108, Fax (617) 557-5675
03/26/01
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.36
SALEM BUILDING COMMISSIONER
SALEM CITY HALL
SALEM MA 01970
Re: Insured: EMILE & AMELIA MOREAU
Property Address: 26 DOW STREET, SALEM, MA 01970
Policy Number: 0332592
Type Loss: Windstorm
Date of Loss: 03/06/01
Claim Number: 185268
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable. If any notice under Massachusetts General Laws, chapter 139,
Section 3 B is appropriate, please direct it to the attention of the writer and include a
reference to the captioned insured, location, policy number, date of loss and claim or file
number.
MPIUA Claims Division
Dom. ���%
CMA00021
RECEIVED
,.rSERVICES
The Commonwealth of Massachusetts
t� Department of POIF FRI I A CI: 2 S
Massachusetts State Building Code(780 CMR)
9 Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Only)
Building Permit Number: Date Applied: Building Official: Z 2 V
1 SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street adNUs is not available)
26 Dow Street Salem 01970
I No.and Street City /Town Zip Code Name of Building(if applicable)
tf� SECTION 2:PROPOSED WORK
1 Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
Existing Building❑ Repair❑ Alteration ❑ 1 Addition Cl I Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ 1 Other El Specify: Insulation/Weatherization
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No El
Is an Independent Structural Engineering Peer Review required? Yes ❑ No M
Brief Description of Proposed Work: Air sealing,install weather stripping,blow in cellulose to attic and walls
Install gable end vents
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❑ H: Hi h Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5 ❑
I: Institutional I-1 ❑ I-2❑ I-3❑ I4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑
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 ❑ 1 1 IIIA ❑ IIIB ❑ 1 IV ❑ 1 VA El 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:
A trench will not be Licensed Disposal Site❑
❑ system Public El Check if outside Flood Zone❑ Indicate municipal❑ required ❑or trench or specify:50 Rundlett Way
Private or indentify Zone: or on site system ❑ permit is enclosed❑ Middleton,MA
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:
UAL � I p,U . zI ► 2)
Mrat� gp No p 3�Z
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Rosa Matias 26 Dow Street Salem 01970
-Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Owner/ Landlord 786 427 7995 matiaselian05O5@ginaii.com
Title Telephone No. (business) Telephone No. (cell) e-mail address
If applicable, the property owner hereby authorizes
James E.Fortin 50 Rundlett Way Middleton MA 01949
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 ermit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here M and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
James Fortin 978 -998 _ 4684 inbox@air-tightweaterization.com CS-52576
Name(Registrant) Telephone No. e-mail address Registration Number
50 Rundlett Way Middleton MA 01949 onstruction Supervisor 10/03/2017
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Air-Tight Weatherization,LLC
Company Name
James Fortin CS-052576 exp:1/03/2017 Construction Supervisor
Name of Person Responsible for Construction License No. and Type if Applicable
50 Rundlett Way Middleton MA 01949
Street Address City/Town State Zip
978- 998- 4684 978- 998 - 0690 inbox@air-tightweatherization.com
Telephone No. business Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVFF 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® No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $ 12,892.11 Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)_$
3.Plumbing $
4.Mechanical (HV AC) $ Note:Minimum fee=$ (contact municipality)
5. Mechanical (Other) $ Enclose check payable to
6.Total Cost $ 12.892.11 (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.
James Fortin �c -.+,,.--\-as %- Contractor 2 9 2016
978 - 998 -4684 / /
Please print and sign name Title Telephone No. Date
50 Rundlett Way Middleton MA 01949
Street Address City/Town State Zip qq
Municipal Inspector to fill out this section upon application approval: '''
Name Dat