94 ESSEX STREET - BUILDING JACKET e 94 'ESSEX'gTREET
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0092 ESSEX STREET 94 761-2002
GIs#: 9799 COMMONWEALTH OF MASSACHUSETTS
Map: 3 1 5,11
CITY OF SALEM
Block:
Lot: 0416
Peet: Badding BUILDING PERMIT
Category: REPAIR/REPLACE '
Permit# 761-2002
Project# JS-2002-3713
Est. Cost: $20,000.00
Fee: $205.00PERMISSION IS HEREBY GRANTED TO:
Const.Class: Contractor: License:
Use Group: *Unknown
Lof'Size(sq.ft;j: 4885 Owner: 92-94 ESSEX STREET TRUST
Units. . R2 Applicant: 92-94 ESSEXSTi2EE`: IRiJS1'
Units Gamed:
Utiit�I„�r• - AT: 0092 ESSEX STREET94
I
ISSUED ON: 16-May-2002 AMMENDED ON: EXPIRES ON: 20-Nov-2002
TO PERFORM THE FOLLOWING WORK:
761-2002;RENOVATION OF 3 KITCHENS,2 BATHS.MISC.OTHER REPAIRS AND RENOVATIONS. TSP
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Buildin
Underground: Underground: Underground: J,,.�(J Excavation= -
Service: Meter: t� Footings:
Rough: GU. �Q Rough: oundation
Final/- /�/b���� F' Rough Frame:
1, &1Z Fireplace/Chimney:
D.P.W. Fire Health
Meter: Oil: Insulation:
mFinatHouse It e
G/v C/o O
v Treasury:
Water: larm) t/Ih•� % y
Sewer: Sprir_dzi s:
� 1
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION O Y OF
ITS RULES AND REGULATIONS._
Sign__
ure:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2002-001830 16-May-02 0389 $205.00
a5 '2C)
GcoTMS®21102 Des Lauriers Municipal Solutions,Inc. 4- Co"Q0 V N l TS
STREET PERMIT
r�RT� Citp of 6alem
Mnuad� Office of 3nopector of 13ui[Dingg
Gi1y.71a f �" 20
%ermission is hereby yiuen to
to occupy for \1�/�J J//1�� / ( per (� purposes
in fronl of esiale g4 ` ! I
of sidemaf(l of slreel.
,7nis permri is liniletllo� _ l� 20 su6'ecllo lie
proulsions of lne ord?/ances ano/slalules m relalion to cSlreels anorl e.rnspeclion
ano(Conslruclion of J3uildnys in ISeeJ Gi y of ccSa m.. Q
Direc%r olPu6/c c$erurcea U 9�napec%ate oLrlJvi/
1
o STREET PERMIT
Cttp of *alem
nnuar� Office of Ingector of �3uilbingg
clv- all
Jermr'ss.,on is�rere6�9.,uen to ����±� �/� I l✓C-(./_:�.�
to occupy for Cf.- � _ �V v purposes
.,n iron!of eslale �f
of srdemal. of slreel.
`.7'lrrs perm.,!rs lm.,ler/lo ."l � —(� r�C 20 . suSjecl to ISre
provisions of lne ordiri¢nces andslalules.,n relation Jo 61reels andlFre.9nspeclion
andGonslr�uclron;�/f✓'��urldn9s in I,re Gy of cSalem.
Direc/or ol�6lc c$eruices $spec/or o1.73vi/dn9s
c59na/ure ol(Jlpp/ban/ o ./��
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LICENSE AND PERMIT BOND
For County,City,Town or Village Only-Not Valid for Bonds Required by the State.Not Valid for Contract,
Performance,Maintenance,Subdivision,Agent to Sell Hunting and Fishing Licenses or Utility Guarantee Bond.
KNOW ALL MEN BY THESE PRESENTS: BOND No. L&P-43026241
That we, Philip Carrn
of the Tnwaa Of ILnvers State of _plascaGhasetts as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do business in the State
of Maccarh,lcarr ,as Surety, are held and firmly bound unto the
Ci t31 of gnlem State of assaGhasstts Obligee, in the amount
(Valid only when a County,City,Town or Vittage is named as Obligee)
Of rhousa^d DOLLARS ($1,809.99 ),
(NOT VALID FOR MORE THAN$25,000)
lawful money of the United States, to be paid to the said Obligee, for which payment well and truly
to be made, we bind ourselves and our legal representatives,jointly and severally.
THE CONDITION OF THIS OBLIGATION IS SUCH, That whereas, the Principal has been
btrlAI R41 �*^air or &".RWQ3-k ebs�raeE#es
by the Obligee.
NQif+t �R,FFORE, if the Principal shall faithfully perform the duties and comply with the laws and
or n ji clfirOg all amendments), pertaining to the license or permit, then this obligation to be void,
o�f�T'Ttivi`sjpt ge *an full force and effect for a period commencing on the first day of
_ ` may"$r P4ag 299 and ending on the fsrst day
unless renewed by continuation certificate.
phis bond zlaybe-germinated at any time by the Surety upon sending notice in writing to the Obligee and to
tagi?ncialn,s�d the Obligee or at such other address as the Surety deems reasonable, and at the expira-
tion $f�tirt£YL9G� 5) days from the mailing of notice or as soon thereafter as permitted by applicable law;
whichevegglsa t',`this bond shall terminate and the Surety shall be relieved from any liability for any subsequent
acts or omissions of the Principal.
Dated this first day of May
PhiliD Carro
Principal
Principal
Countersigned W TER S U R E TAY �C O A N Y
By By /
Resident Agent President
ACKNOWLEDGMENT OF SURETY ;
STATE OF SOUTH DAKOTA } ss (Corporate Officer)
County of Minnehaha f
On this first day of :+ray 2()a2 ,before me,the undersigned officer,personally
appeared Stephen T.Pate who acknowledged himself to be the aforesaid officer of WESTERN
SURETY COMPANY,a corporation, and that he as such officer,being authorized so.to do,executed the foregoing
instrument for the purpose therein contained,by signing the name of the Corp oon by himself as such officer. ;
IN WITNESS WHEREOF, I have hereunto set my hand and official Be .
J. RHONE $
NOTARY PUBLIC I ;
ss.0 sovTlt oaxorA se"n otary Public, South Dakota
My Commission expires 6.12-2004 Western Surety Company • 101 S. Phillips Ave.
r Form 8ae-A—12.67Sioux Falls, SD 57104 * 1-605-336-0850
� �oNarriL°i!w
da BUILDING DEPT
CITY
O S L tI THUD P� TMENT L
OA DW EALT � r?�
s
Dr. Is el Kapifi'T ha�94119 G�nterAUG 2 -9 f
'� Q14 fersoNU' e��;' RCCEIYEO
Sali s h ,eats 0197, CITY OF SALEM,MASS.
PHILIP H.SAINDON G1IN � ROBERT E. BLENKHORN
JOSEPH R. RICHARD --- T
HEALTH AGENT
M.MARCIA COUNTIE,R.N. H(EALEAL 74 AGEN
MILDRED C.MOULTON,R.N.
5-9000
EFFIE MACDONALD
ROBERT C.BONIN -
}
Mr. George Ahmed
106 North Street / July 31, 1979
Salem, Mass. 01970
Dear Sir;
There is evidence of someone living in the garage at the rear of your
property at 94 Essex Street. As this is a violation of Article II of the
State Sanitary Code, and is also a Zoning violation. If there is someone
living therettrhere , THEY MUST STOP IMMEDIATELY!
Thank you for your cooperation in this matter.
FOR THE BOARD OF HEALTH Reply To;
Robert E. Blenkhorn Peter Grady
Health Agent Inspector
REB
c
The Commonwealth of Massachusetts
Board of Building Regulations and Standards Town of
\�y Massachusetts State Building Code, 780 CMR, 7'"edition Building Dept
(N` Building Permit Application To Construct, Repair, Renovate Or Demolish a
One-or Two-Family Dwelling
This Section For Official Use Only it r
Building Permit Nu ber: Date Applied: f
Signature: f
Building missioner/Inspector of Buildings Date
SECTION 1: SITE INFORMATION
1.1�Pruperty Address: 1.2 Assessors Map& Parcel Numbers
l� ESS�x Sr
1.1 a 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 ft) - Frontage(11)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear 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:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal ❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 Owner'ofRecord: C) 1_) E$SEk Si"
Name(Print) Address for Service:
L t K IJo w L [ S '9 7 x- 7,V 3 Z/9 3
Signature Telephone
SECTION 3: DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition ❑ Accessory Bldg. ❑ Number of Units_ I Other ❑ Specify: p
Brief Description of Proposed WorV l3,ez.+96d:dr- OL O ROe-I .
/✓r o.4
SECTION 4: ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1. Building $ 1. Building Permit Fee: $ Indicate how fee is determined:
2. Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost (Item 6)x multiplier x
3. Plumbing $ 2. Other Fees: $
4. Mechanical (HVAC) $ List:
5. Mechanical (Fire $
Su ression Total All Fees: $
Check No. Check Amount: Cash Amount:
6. Total Project Cost: $ ID 00 0 Paid in Full 0 Outstanding Balance Due:
SECTION 5: CONSTRUCTION SERVICES
5.1 Licensed Construction Supervisor(CSL)
... agv393 3 - �� D9
License Number Expiration Date
Name of CSL- Helder List CSL Type(sec below)
Type Description
Address �j
�'r7 Unrestricted(up to 0 Cu. Ft.)
R
C7 w a Restricted 1&2 Family
Dwelling
g
Si natur ! + M Masonry Only
RC Residential Roofin Coverin
Telephone } "�'r r WS Residential Window'art Siding'
(�1 SF Residential Solid Fuel Burning Appliance Installation
0ef D Residential Demolition
5.2 Registered Home Improvement Contractor(HIC)
HIC Compan Name or HIC Registrant Name Registration Number
M� � os LoT7?t1C�r(o / Fs 9S'
Address b
^ S �.�, �,��-3i D % Expiration Date
Signature Telephone S— 2 Y- O
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
1, , as Owner of the subject property hereby
authorize to act on my behalf,in all matters
relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION
as Owner or Authorized Agent hereby declare
that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and
behalf.
Print Name {3
Signature of O ner or AuthoriZed Ag ate
(Signed under the pains and penalties of perjury)
NOTES:
1. 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 nor 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 1 I O.R6 and I IO.RS, 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.) Habitable 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"