6 ESSEX STREET - BUILDING JACKET OPendaffor
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Commonwealth of Massachusetts LL\
y City of Salem
120 Washington St,3rd floor Salem,MA 01970(978)745-9595 x5641
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Return card to Buildin.f Division for Certificate of Occupancy -
Permit No. B-2013-0880 ff IR
FEE PAID: $1,462.00 PERMrr T%jwj'k BUILD
DATE ISSUED: 6/10/2013
This certifies that JJC CONTRACTING/JOHN CAMIRE
has permission to erect, alter, or demolish a building 6 ESSEX STREET hlap/Lot: 410214-801
as follows: REMODEL REMODEL SECOND & THIRD FLOOR BATHS AND OTHER INTERIOR
RENOVATIONS jbh
Contractor Name:
DBA:
Contractor License No: 95g95
�/ 6/10/2013
Buildin Date
This permit shall be deemed abandoned and mvalid unless the work authorized by t1i 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.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access street or road aid shall be maintained open for Public inspection for the entire duration of the
work until the completion of the same.
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
}
HIC #: '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 City of Salem
Ir[i�
120 Washington Sl,3rd door Salem,MA 01970(978)745-9595 x5641 vj
Return card to Building Division for Certificate of Occupancy
V.
- Structure CITY OF SALEM BUILDING PERMIT
Excavation PERMIT TO BE POSTED IN THE WINDOW `' ��,��`. '
Footing INSPECTION RECORD
aal
Foundation
Framing
Mechanical
Insulation INSPECTION: BY DATE
Chimney/Smoke Chamber
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Rough:Gas
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Final
I
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Service
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Health Departmeit.
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Certificate Number: B-14-1417 Permit Number: B-14-1417
Commonwealth of Massachusetts
City of Salem
This is to Certify that the Single Family Condo Building located at
Building Type
e
6-.UA ESSEX STREET in the .....................................City of Salem
................................................................................................................... .................................................
Address x- Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
C/O for unit #1
JACK SORGI
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires ...............................Not Applicable unless sooner suspended or revoked.
Expiration Date
�AA-�
Issued On: Tuesday, April 12, 2016
NDI
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CITY OF SALEM
{
Comi-nnrlwealth of Massachusetts
City of al lem
4
t
'.cd wac.hington St,3rd Floor Salem,MA 41970(9.8)745-9505 x5641
'. Return card to Building Division for Certificate of Oc .mangy.
'ermit No. 9-1,a-1w17n% """""` R` T11 TO
1
EE PAID: $319.00
6UILD
)ATE ISSUED: 9/8/2014 c
'This ceriifies that NEW BEGINNINGS GROUP LLC
has permission to erect, alter, or derriolish a building 6-UA SSEX.STREET Map/lot: 410214-801' '
as follows: Renovation , UNIT 1 REMODEL 1ST FL BATHROOM„KITCHEN & OTHER INTER
RENOVATIONS u. k r ..` -
Contractor Name: JOHN CAMIRE rt *y,
DBA: JJ0 CONTRACTING x •a3 $ ¢ — _.
Contractor License No: CS-095895 ,
h,
t K 9/812014,
Building Official . Date {
This permit stldifUc"ti eerned abaril?oned and invalid uniessthe work authorized by this permit Is commenced within six months after issuance.The Building Official t
may grant one or more extensions not in exceed six months each upon written request :-xi t„r .=f, r .;”, a W,
Ali work authorized by this permit shall conform to the appra✓—Old----F*.ation and.he approved construction documents for which this permit hasbeen granted.
All construction,alterations and changes of use of any kuildmg and structures sha-IC64 l.rotnphance with the!beat zonipg by-taws and.codes. - I
This permit shall be displayed in a location clearly visible 0�:1 access street or road and shall be r.,.:,,,wmed-operifor pubic inspection for the entire duration of the
work until the' completion of the sarr,a. t-Tr- t r
The Certificate of Occupancy will not be issued until all eppliceNe signatures by the Building and Fire Officials are provided on this peimit
K p
H IC#: - / »_ rsons contracting.wdh unregistered contractors do not have accesstb the gui ants f i d {as r_ forth in MGL a 142A). X
' Restrictions: ' '' w u.'4 c 3 Asa
Buiild;ihg plans are.to be available on site. t: '
All Permit Cards are thia.property of the PROPERTY OWNER. r
--- - Commonwealth of Massachusetts
. itv ' f Salem
_ is 0 Wa- b' On Sl 3rd Fbor Salem}Vy¢,M a r 6j 745-959&X5641 i
R .and to:Building Division for Certificate of Occupancy
Structure CITY OF SALEM BUILDING PERMIT
.Excavation. PERMIT TO BE POSTED INTHEWINDOW
Footing - INSPECTION RECORD
Foundation -
Framing
Mechanics'
4
Insulation INSPECTION: BY DATE
Chimney/Smcke Cham : '
If
Final
Plumbing/Gas
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Certificate Number: B-14-1417 Permit Number: B-14-1417
Commonwealth of Massachusetts
City of Salem
This is to Certify that the Single Family Condo Building located at
Building Type
6-UA ESSEX STREET in the .....................................City o...................................m
.-.................................................................................................................................. .................................
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
C/O for unit #1
JACK SORGI
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires ...............................NotApplicable unless sooner suspended or revoked.
Expiration Date
Issued On: Tuesday, April 12, 2016
Certificate Number g-2013.0880 Permit Number B-2013-0880
Commonwealth Of Massachusetts
City of Salem
This is to Certify that the RESIDENCE
-----------------------------------------------------
._____________________________________________________Building Type
Located At 6 ESSEX ST UNIT #2 In the City of Salem
----------------------------------------------------------------------- -- ------------------------
Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
SIX ESSEX ST UNIT 2
This Permit is granted in conformity with the Statutes and ordinances relating thereto,
and expires unless sooner suspended or revoked.
-----------------------------------------
Issued
--------------------------------------.Issued On 22-Jul-15
Commonwealth of Massachusetts
{ City of Salem
wJv r 4 a
q
120 Washington St,3rd Floor Salem,MA 01970-(978)745.9595 x5841
-
' Return card to Building Division for Certificate of Occupancy
6171 it No. r B-2013-0880ar O BUILD UIL
'EE PAID. $1,462.00 PERmi
)ATE ISSUED: 6/10/2013
This certifies that JJC'CONTRACTING/JOHN CAMIRE
has permission to erect,alter, or demolish a building 6 ESSEX STREET Map/Lot: 410214.801
' w :x
as follows_: REMODEL 'REMODEL' SECOND &THIRD FLOOR BATHS AND OTHER INTERIOR
RENOVATIONS jbh
Contractor Name:
DBA`. {"e
Contractor License,No: R5gg5
6/10/2013
Build y Date
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 writtan request. 8
All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. '
All construction,alterations and changes of use of any building and structures-shall bean compliance with the local zoning by-laws and codes.
.,•� This permit shall be displayed in a location clearly visible from access street or road a'tdshall be maintained openfor public Inspection for the entire duration of the - -
" work until the completion of the same.
The Certificate of Occupancy,will not be issued until all applicable signatures by the building and Fire Officials are provided on this permit.
HtC #: "Persons contracting with unreglatere f comrackWs do not have accesslothe guaranty fund"(as set forth in MGL c.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are tha property of the PROPERTY OWNER.
Commonwealth of Massachusetts `-���
� qTx•���-oSP3
f
a ,
Citv of Salem
Y
¢�
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy _
Structure CITY OF SALEM BUILDING PERMIT "
PERMIT TO BE POSTED IN THE WINDOW
Excavation
Footing
INSPECTION RECORD
_ �
Foundation
Framing
�.
Mechanical
Insulation INSPECTION: _ - ~' BY DATE
Chlmneylsmoke Chamber
�AFMMjt ZL is
^..
lumbing/Gas
Rough:Plumbing '
Rough:Gas 1 _
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Electrical
service
Rough �/ �•7 - _
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Health DepartmeWt
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Certificate Number B-2013-0880 Permit Number B-2013-0880
Commonwealth Of Massachusetts
µeco
4 City of Salem
This is to Certify that the RESIDENCE
------------------------------------------
Building Type
._____________________________________________________ i ___________
Located At 6 ESSEX ST UNIT #3 In the City of Salem
---------------------------------------------------------------------- ----------- -
TowniCity Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
SIX ESSEX ST UNIT 3
'Phis Permit is granted in conformity with the Statutes and ordinances relating thereto,
and expires unless sooner suspended or revoked.
-----------------------------------------
L sued
---------------------------------------Issued On 22-Jul-15
Commonwealth of Massachusetts
B P a
Ctv of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Buildin!a Division for Certificate of Occupancy
� 013-0880
EE PAID: $1,462.00 PERMIT TO B
>ATE ISSUED: 6/10/2013
This certifies that JJC CONTRACTING/JOHN CAMIRE
<.. _ M i ,
has permission to erect, alter, or demolish a building 6 ESSEX STREET Map/Lot: 410214-801
as follows: REMODEL REMODEL SECOND &THIRD FLOOR BATHS AND OTHER INTERIOR
RENOVATIONS jbh d
Contractor Name:
DBA: T a
Contractor License No: Q Sg q S
4 6/10/2013
f BuildiC. Ute` Date
This permit shall be deemedabandoned and invalid unless the work authorized+by th s,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 bythis permit shall conform to the approved.application rand the approved construction documents for which this permit has been granted.`' • �a4
All construction,alterations and changes of use of any building and structures,shall be:in compliance with the local:zoning by-lawsand codes..
This permit shall be displayed in a location clearly visible from access:street or road and shall be maintained open for public inspection Tor theentire duration of the u =
work until the completion of the same. •` - - - '
The Certificate of Occupancy will not be issued until all applicable..signatures by the Euilding and Fire Officials are provided on this permit.
HIC#: "Persons contracting with unregiste•e I contractors do not have access,to the guaranty fund"(as set forth in MGL c.142A).
r Restrictions '
a c Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
Commonwealth of Massachusetts
City Of Salem
R - 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of occupancy lug
F '
Structure CITY OF SALEM BUILDING PERMIT
PERMIT TO BE POSTED IN THE WINDOW
Excavation 3 c
Footing - 'INSPECTION RECORD
Foundation
Framing -
Mechanical _
Insulation INSPECTION: BY DATE
Chimne! Smoke Chamber
"Final � ZL 1S
lumbing/Gas
Rough:Plumbing r ,
Rough:Gas l
Final
UZI Electrical
Service
Rough
net
F a Department
[Preliminary
It k a
Health Departme fit
1
Preliminary - - • ..
Fnet
Certificate Number: B-14-1417 Permit Number: B-14-1417
Commonwealth of Massachusetts
City of Salem
This is to Certify that theSingle Family Condo Building located at
Building Type
......................................................................._6-UA ESSEX STREET......................................................................... in the .....................................C.i..of Salem
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
C/O for unit #1
JACK SORGI
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires ................................Not Applicable ... unless sooner suspended or revoked.
Epiration Date
Issued On: Tuesday, April 12, 2016
NDtTq��
VSQVE AD
CITY OF SALEM
Certificate Number: B-14-1417 Permit Number: B-14-1417
Commonwealth of Massachusetts
City of Salem
This is to Certify that the Single.Family Condo Building located at
Building Type
....................................................................... 6-,UA ESSEX STREET......................................................................... in the
_ .....................................City of Salem
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
C/O for unit #1
JACK SORGI
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires ...............................AotAPPAcYbk unless sooner suspended or revoked.
E)piration Date
Issued On: Tuesday, April 12, 2016
Commc iwealth of Massachusetts
City of Salem
a
r
iZ0 Wash'mgton St,3rd Floor Salem,MA 01!370(976)745-0.535 25649
Return card to Building Division for Certificate of Occupancy
Permit No. B-1-4-1417 r-
rEE PAID: $319.00
_ E R M I T Of 0 0 B Ou" I L [war)
DATE ISSUED: 9/8/2014
chis ce Jfies that NEW BEGINNINGS GROUP LLC
Has permission to erect, alter, or demolish a building 6-UAB SSEX STREET Map/Lot: 410214-801
as follows: Renovation . UNIT 1: REMODEL 1 ST FL BATHROOM, KITCHEN & OTHER INTER
RENOVATIO'F,�'S
Contractor Name: JOHN CAMIRE
r
DBA:. JJ:. CONTRACTING
Contractor License No: CS-095895
9,1812014
Bt!iiding Official Date
This permit shallbc=d-zemed abanaoned and invalid unless the work authorized by this pern-it is commence[.within six months after issuance.The Building Official
may grant one or moreextensionsnot to exceed six months each upon written request. - -
Al.work authorized by this permit shall conform to the appr'o.Ec-r-,,,!kation and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shalt oeT.compliance with the local:zoning by-laws.and codes.
This permit shall be displayed in a location clearly visible Tro,i access street or road and shall be mr:;,aamed-openfor public inspection for the entire duration of the
work until the completion of the sea,, d
The Certificate of Occupancy will not be iss,ted until all applicable signatures by the Building and Fire Officials are provided on this permit
H IC#: / a 'Persons contracting with unregistered contractors do not have access to the guaranty In (as cat forth in MGL c.142A).
Restrictions:
Building plans are ', be available on site.
All Permit Cards are th.> property of the PROPERTY OWNER.
T
COND[,f Commonwealth of Massachusetts
J
�',y 'aB
itv of
alem
` f-020 W ngton St aro Floor Sal rt,NN..'18-^fD78)745 9595 x5641
H PDO
R ; card to Building Division for Certificate oOccupancy uQ
Structure CITY OF SALEM BUILDING PERMIT T
Excavation PERMIT TO BE POSTED IN THE W11141DOW '
Footing INSPECTION RECORD
Foundation
Framing
Mechanical
Insulation INSPECTION: BY DATE
Chimney/Smoke Cham
r
Final ,L) l� /
folas Plumbing/Gay T(7
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CITY OF SALEM, MASSACHUSETTS
BUILDING INSPECTOR
120 WASHINGTON STREET, 3RD FLOOR
SALEM, MASSACHUSETTS 01970
oND1Tq.� CITY OF SALEM9 MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
A' 120 WASHINGTON STREET, 3RD FLOOR
SALEM, MASSACHUSETTS 01 970
TELEPHONE: 978-745-9595 EXT. 380
W� FAX: 978-740-9846
KIMBERLEY DRISCOLL
MAYOR
April 29, 2013
To Whom it May Concern
RE: 6 Essex Street
Salem, Ma. 01970
According to our records, it has been determined that the property located at 6 Essex
Street is a legal grandfathered non-conforming three(3) family dwelling.
This is to determine use only and in no way meant to confirm or deny whether said
property is in compliance will all building, plumbing, gas, electrical, fire or health codes.
Sincerely,
Thomas St. Pierre
Zoning Enforcement Officer
�o+orrq,R CITY OF SALEM, MASSACHUSETTS
of
PUBLIC PROPERTY DEPARTMENT
n 120 WASHINGTON STREET, 3RO FLOOR
v » „ SALEM, MASSACHUSETTS 01970
R� TELEPHONE: 978-745-9595 EXT. 380
�/,IrrNE poi'
FAX: 978-740-9846
KIMBERLEY DRISCOLL
MAYOR
April 29, 2013
To Whom it May Concern
RE: 6 Essex Street
Salem, Ma. 02970
According to our records, it has been determined that the property located at 6 Essex
Street is a legal grandfathered non-conforming three (3) family dwelling.
This is to determine use only and in no way meant to confirm or deny whether said
property is in compliance will all building, plumbing, gas, electrical, fire or health codes.
Sincerely,
Thomas St. Pierre
Zoning Enforcement Officer
goN�ITq,gO CITY OF SALEM9 MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
�c
120 WASHINGTON STREET, 3RD FLOOR
SALEM, MASSACHUSETTS 01 970
TELEPHONE: 978-745-9595 EXT. 380
ryg p0�
FAX 978-740-9846
KIMBERLEY ORISCOLL -
MAYOR
January 16, 2013
RE: 6 Essex Street
On Friday, January 11, 2013 I was called for an inspection of a gas leak by James Teriell
a tenant of 6 Essex Street
Upon arrival I check to see if a permit was pulled. A permit was pulled by John Ford but
no inspection was ever called for.
I checked heating system and no cold air return for hot air system had been installed. I
then contacted the owner, Ibrahim Hamze, and the plumber. Mr. Hamze, owner of the
property said he would take care of it right away. As of today the problem has not been
taken care of.
No gas leak was ever found. If you have any questions regarding this matter, please
contact me at my office.
Dennis Ross
Plumbing & Gas Inspector
CITY OF SALEM, MASSACHUSETTS
n BUILDING DEPARTMENT
s T 120 WASHINGTON STREET, 3'm FLOOR
TEFL: 978-745-9595
FAx: 978-740-9846
KINMERLEY DRISCOLL
MAYOR
THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER
May 22, 2012
Ibrahim Hamzr
P.O. Box 771
Middleton,Massachusetts 01949
Mr. Hamaz,
This letter shall serve as notification that all alleged violations and notices stated in our department's
April 30, 2012,Notice of Building Code Violations letter are no longer outstanding with this Department.
Thank you for your prompt attention to this department's request.
If you have any question please feel free to contact the Building Inspector's Office.
Respectfully,
Michael E. Lutrzykowsksw/ki
Assistant Building Inspector
Cc: file,Jason Silva, Health Department,Assessor's,Fire Prevention
CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT
120 WASHINGTON STREET,3'FLOOR
TEL: 978-745-9595
FAx: 978-740-9846
KIMBERLEY DRISCOLL
MAYOR
THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER
Notice of Building Code Violations
6 Essex Street
April 30, 2012
Ibrahim Hamzr
P.O. Box 771
Middleton, Massachusetts 01949
Mr. Hamaz,
This correspondence shall serve as notification of outstanding Building Code violations noted regarding
your property located at 6 Essex Street. The complaints were investigated on Friday, April 20,2012, said
property was found to be in violation of Massachusetts State Building Code requirements.
Conditions that have been deemed to be insufficient;
1- Exit Stairways, Section 1020.1 - "an exit shall not be used for any purpose that interferes with its
function as a means of egress"Exit stairways can have no obstructions, boxes, trash,plants etc. are
be used for storage of objects at any time as was the situation and noted at the time of inspection in
the rear stairwell. TENANT WAS APPRISED OF THIS VIOLATION AT TIME OF INSPECTION
2- Basement Door-Installation of lever hardware on door to basement.
3- Basement window sashes/glazing are unsafe and in need of repair
4- Smoke detector in basement level needs to be installed. YOUARE DIRECTED TO
IMMEDIA TEL Y BRING THIS VIOLATION INTO COMPLIANCE.
5- First Floor Egress Doors—Installation of lever hardware on doors to outside.
6- Hot water temperature shall be adjusted as to meet Massachusetts State Plumbing Code. TENANT
STATED THAT SHE HAD ADJUSTED WATER TEMPER TURE TO EXISTING SETTING.
7- 36" inches shall be maintained around all mechanical and electrical equipment.
8- General Note—Remove all slide bolt hardware at egress doors from all apartments and common
areas. Thumb latch hardware may be installed as a replacement security.
CITY OF SALEM, MASSACHUSET"T"S
BUILDING DEPARTMENT
120 WASHINGTON STREET,3RD FLOOR
9�4ry"
TEL: 978-745-9595
KINMERLEY DRISCOLL FAx: 978-740-9846
MAYOR
THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER
You are hereby ordered to contact this office immediately upon receipt of this notice and rectify these conditions
within 7 days of receipt of this notice; failure to respond to this notification will be construed as non- compliance, with
issuance of Municipal tickets and as such an Administrative Search Warrant will be sought, so as to allow the lawful
inspection of this property.
You have the right to appeal this order to the State Board of Building Regulations at One Ashburton Place,
Boston, Ma.
If you have any questions regarding this letter,please contact the Building Inspectors Office at
(978) 619-5648, extension 5648.
Respectfully, �0-���
Michael E. Lutrzykowski
Assistant Building Inspector
Cc: file,Jason Silva.
CITY OF SALEM, MASSACHUSETTS
= PUBLIC PROPERTY DEPARTMENT
120 WASHINGTON STREET, 3Ro FLOOR
SALEM, MASSACHUSETTS 01970
STANLEY J. USOVICZ, JR. TELEPHONE: 978-745.9595 EXT. 380
MAYOR FAX: 978-740-9846
.014
April 14, 2005
Paul Boyd
6 Essex Street
Salem, MA 01970
Dear Mr. Boyd;
On April 13, 2005 I went to this property in response to a complaint
received regarding on-going work being performed without a permit. A visual
inspection revealed that there is in fact a vinyl siding project in progress at this
address, a check of our records in the office shows that this has not been
permitted. A Stop Work Order has been placed on this address, all construction
activity must immediately cease and desist, and no further work many be done on
this property until such time that this order has been lifted. A licensed contractor
must file the proper applications and be granted a permit in order for this project
to move forward. Any further work done at this address prior to the proper
permitting will be in violation of 780 CMR Section 119, and will be prosecuted at
District Court.
If you have any questions regarding this matter, please feel free to contact
this office. Thank you, in advance for your cooperation in this matter.
Sincerely,
#4
o eph E. Barbeau, Jr.
As Building Inspector
CC: file, Mayor's Office—Kate Sullivan, Councilor Sosnoski
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(Circle whichever apply) Hoof, Remof Install Siding, Constnrct Deck, Shed, Pool,
RepaidReplaaa,
PLEASE FILL OUT LEO IBLY A COMPLETELY TO AVOID DELAYS IN PROCEt;6Mn
TO THE INSPECTOR OF BUILDINGS: '•
The undersigned hereby applies for a permit to build aocor&jq.to the Waving
Owners Name x N/ i1G A
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MAIL PERMITTO:
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INSPECTOR OF BUILDINGS
4
Jun 09 05 10: 18a treasury city of salem 9787403086 p. 3
ADVICE FOR UNPAID DEPOSITED ITEMS of :.
064-262 Page 1
ACCT. NO. 9123881-0
/BRANCH : 334/334 ACCOUNT TYPE: MUNICIPAL INT CHKG 05/06/20C .
THE FOLLOWING ITEMS HAVE BEEN RETURNED,
CHARGING YOUR ACCOUNT FOR ITEM (S) If ITEMS:
'IED UNPAID AS LISTED BELOW.
IAVE BEEN SENT TO ACCOUNT ANALYSIS . FE��NT.
SO . O i
T''T A-1 S 5 3 .
Reason: INSUFFICIENT 2 n d 11'I6iE
CITY OF SALEM EASTERN BANK
GENERAL ACCOUNT - ZBA 195 MARKET ST
C/O TREASURER ' S OFFICE LYNN MA 01901-1380
PO BOX 528 - 00-EASTERN
SALEM MA 01970-0528
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it No.: 9123881-0
3ranch:3341334
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The Commonwealth of Massachusetts
Department of Public Safety
OAV Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
fniis Section For Official i
Buildin
g b lied:SECTION VWCATION(Please indicate Block W and lao( for locations
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 1,PROPOSED WORK.
Edition of MA State Code used If New Construction check hem 0 or check all that apply in the two rows below
Existing BuildingX Repair Alteration,)ij I Addition 0 1 Demolition r3 (Please fill out and submit Appendix 1)
Change of Use 0 Change of Occupancy 13 1 Other 13 Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes 0 No
Is an,Independent Structural Engineering Peer Review required? Yes 0 No
Brief Descriptirof P�ged Work:A.A�, 6d rb, AnS,,,( V-Icn-,re da 3EA �F�e -K, I��14 k
M 't'.1 —ac OQ'cl-r...al,4
SECTION N 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) 0
Existing Use Group(s): Proposed Use Group(s):
SECUONAHUILDINGMEIGHT 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;USL GROUP heck 49.40licAbleV.
(C
_L A: Assembly A-1 M A-213 Nightclub 0 A-3 0 A-4 0 A-5 0 B: Business 0 E: Educational 15
F: Factory F-1 0 F20 B: High Hazard H-1 0 H-2 0 H-3 0 H-4 0 H-50 —
T 1: Institutional 1-1 0 1-2 11 1-3 0 1-4 11 1 M: Mercantile 0 R.-Residential R-113 R-20 R-313 R40
S: Storage S-1 0 S-20. U.- utility 13 Special Use 0 and please describe below:
Special Use:
SECTION 6i CONSTR UCTION:TYPE(oeci-iisapplicable).. .. ....
IA 0 IB 0 IIA 0 IIB 0 IIIA 0 IIIB 0 IV 13 VA E3 VB M
SECTION 7:SITE INFORMATION(refer to 780 CMR1i1.0 for details on each;item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal:
Public,k Check if outside Flood Zone 0 Indicate municipalln A trench will not be Licensed Disposal Site M
Private 0 or indentify Zone:— or on site system 0 required 13 or trench or specify,
I permit is enclosed C3
Railroad right-of-way: Ha
zards to Air Navigation: MA Historic( nnussio.Review Pzoce�
Not Applicable9k IsStructure within airport approach area.? Is their review completed?
or Consent to Build enclosed 13 Yes[03 or No Yes 0 No 0
"SECT ION&CONTENT PF.CERTIFICATEOP OCCUPANCY.,
Edition of Code: Use Group(s):— Type of Construction:— Occupant Load per Floor:
Does the building contain an Sprinkler System?!—Special Stipulations:
IT / —3jc)s—
: SECTION.R PROPERTY OWNER AUTHORIZATION :�
Name and Address of Property Owner
GPOn%:6 5 SSR )Ir<d
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information: /
C�r..�er 7?I _zi5- 1"1gZ - olporge.ICn7�a„ie5�rel,ec,,cc
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
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 is less than 35,000 cup ft.of enclosed s m and-ot not under Gonstraction Control then check hem O and sla secuoa 10.1
10.1 Re istered Professional Res bnsible for Constmction Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor �n L
J C �^fret C G r,4c,eti s
Company Name
Name of Person Responsible for Construction License No. and Type if Applicable
0, LeuvreLce GeIeM1.
Street Address City/Town State Zip
n198_ X) 9tit' \1VcSenere�eG
Telephone No.(business) Telephone No. cell e-mail address
% >SECTION 11i SNOR 'CO ENSATTON INSU T10E AEFIll V M.G.L.c.151 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 O
:SECTION 12:CONSTRUCTION COSTS AN6 PERMIT E
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6)
1.Building $ -7,4---o Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ \Z OGc appropriate municipal factor)=$y 1131
3.Plumbing $ ek 6(j
4.Mechanical (H VAC) $ l7 �$Gp Note:Minimum fee=$ (cot tact cipalit)r
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ 6 6 1— Q 5 (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.
jig- f5 � -7Sl
Please print and sign name Title Tele h e No. Date
Street Address City/Town State Zi
Municipal Inspector to fill out this section upon application approval• 'y ✓ S
N ate
i� f
VICES
The Commonwealth 01W. ssachusetts
4 Department of Public Safettyy����� P Q�
MassachusellsState Building Cola�E�,l ),
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Out )
Budding Permit Number: Date Applied: Building.Officinl:
SECTION 1:Lor-ATMM(Please indicate Block#and Lot#for locations for which a street address is not available)
l0 ScPx C SGIP✓� thQ ���7� v N
No.and Street City/Town Zip Code Name of Budding(if applicable)
SECTION 2 PROPOSED WORK
Edition of MA State Code used_ If New Construction check here O or check all that apply I in tile two rows below
Existing Building O Repair❑ 1 Alteration ❑ 1 Addition❑ Demolition O (Please fill out and submit Appendix I)
Change of Use O Change of Occupancy 0
IOther ❑ Sec
Specify,
Are building plans and/or construction documents being supplied as part of this permit application? Yes O No ❑
Is an Independent Structural Engineer in Peer Review required? Yes No ❑
Brief Desk of Proposed Work Pr1p CQ ek I1`� jqI�c>f bq�l�fhe�w� ) \Ci•}Cb,py�
��, G OI•he� rr�enor RPnc�I,g� dhl ,
SECTION 3:COMPLETE TI°IIS 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 a licable)
A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A413 A-5❑ B: Business ❑
F. Facto F-I❑ F2❑ High
E: Educational ❑
If: Hi h Hazard _ H-1❑ H-2❑ H-3 ❑ fI-4❑ H-5❑
1: Institutional 1-1❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-I❑ R-2❑ R-3❑ R4❑
S: Storage S-1❑
Special Use: S-2❑ U: Utility❑ Special Use O and please describe below:
r SECTION 6:CONSTRUCTION TYPE(Check as a licable)
° IAO IBC3 IIA ❑ IIBp -
IIIA ❑ IIIB O IV ❑ VA O 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 13 Check if outside Flood Zone❑ Indicatu municipal❑ A trench will not be Licensed Disposal Site❑
Private❑ or indentify Zone: or on site system❑ required❑or trench or specify:
permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation:
Not Applicable❑ Is Structure within airport approach area? Is their review completed? r;
or Consent to Build enclosed❑ Yes O or NO❑ Yes❑ No O
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Cude.^ Use Group(s): , Type of Constriction: Occupant Load per Floor:
Does the building contain an Sprinkler System?:__ Special Stipulations:
° � A 4
r l
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
S's�r cd�aT Name(Print)(Print) No.and Street City/Town Zip
i
Property Owner ContaC)ct 1'nofo nqtironA Off!
'ritle Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
Ca,r ,J'C G'- Ici, ffvxce X4. SgIev, ("A Q,(S70
Name Street Address - City/Town State Zip
to act on the property owner's behalf,in all matters relative to work authorized by this budding permit application. -
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less than 35,000 cu.It.of enclosed space and or not under Construction Control then check here O and skip Section 10.1
10.1 Registered Professional Res onsible for Construction Control
jdhv. CcM.� gTr.S8D. Ci174- cqS &,;S
N me(Registrant) T�Iephcl No. e-mail address Registration Number
�'a. IG ✓rehce S�. a 4\Pr \ r''\5 C1C00 7/da/ aol6
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Company Name
Tohe\ CS -G9S�GS
Name of Person Responsible for Construction License No. and Type if Applicable
G a lGwr-eel(',, !Zk fu'�� Ot570
Street Address City/Town - State Zip
q9k-S&a q1
Telephone No. business Telephone No. cell e-mail address
SECTION 11:kV f M.C.L.c.152.9 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 0 No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1. Budding .S 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
6.Total Cost $as C7 (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.
5oh� C4M�Pe C �� � 06vhPr q?e-sib- CilN 8' a7
PIy•,ase print and sign name Title Telephone No. Date
2Q1 Y^�S a(970
Street Address City/Town Late Zip
Municipal Inspector to fill out this section upon application approval: )t,,�. &
Name Date
Commonwealth of Massachusetts
i
Sheet tNfetal Permit
I)atc: l 7,y IZo 13 Pantit t/ /�j,�
Eslimated Job Cost: $ 't (35D Permit fee: S—CSrj�-6
�' 1
Plans Submitted: YES _ NO 'i( Plans Reviewed: YES NO
Business License tt Applicant License # _U-2 59
Business hilbrmation: Property Owner/Job Location information:
Name: L i ov) *1�'Y�2� )z�Nl � a mz-e—
Nome: tt Street: I c-'00ma C Street 1 'SS�Y.
City/"Town: �' ` ram �k� City/Town: �?� Ev✓l
I'cicphone: Oti{ —O 1 14 Telephone:
Photo I.D. required/Copy of Photo LD. attached: YES— NO
J-1 / M-l-unrestricted license staff v Ili Ili t
J-2 / M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq, ft. / 2-stories or less
Residential: 1-2 family_ Nlulti-tamily Condo/ "Townhouses Other_
Commercial: Office_ Retail_ Industrial_ Educational
Institutional Other
Square Footage: under 10,000 sq, tt. _ CX over 10,000 sq. ft. _ Number of Stories: _
Shect metal work to he completed: New Work: �_ Renovation:
I IVAC _ Metal Watershed Roofing _ Kitchen Exhaust System
Metal Chimney/ Vents_ Air Balancing
Provide detailed description of work to be done:
l r\t Ps-�vCn d�c� I St �w� 3�a Flocsr
k5
J f
INSURANCE COVERAGE:
I have a current liabilityInsurance policy or its equivalent which meets the requirements of M.G.L.Ch. 112 Yes [I No❑
If you have checked Yes, indicate the type of coverage by checking the appropriate box below:
A liability Insurance policy `f�
Kl Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of owner or owner's Agent
By chocking this box(],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and
In compliancee
ewith allf
fpmy knowlede and that ertinent provision of thell shoot Metal work and Installations performed under the permit Massachusetts Building Code and Chapter 1 issued for this application will be
12 of he General Laws.
Duct Inspection required prior to Insulation Installation: YES_NO
Pro¢ress Insot:ctimis
Date Comments
Final InsucMiun
Date Comments
Type a icense:
By aster
I
ri
teM1laster-Restrictedc� ❑Jeurneyperson Sign lure of Licensee
Po ❑Journeyperson-Restricted
License Number.
Check at .•r:v_v.,n.�:;s .l w:�IL
Inspector Signaturo of Permit Approval