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98 ESSEX STREET - BUILDING JACKET 98 ESSE% STREET ` UPC 1333 No.153L-3 HASTINGS,UN • CITY OF SALEM, MASSACHUSETTS BOARD OF HE,u.Tx 120 WASHINGTON STREET,4n'FLOOR TEL. (978) 741-1800 IQMBERLEY DRISCOLL Fax(978) 745-0343 MAYOR MANCINI( SALENLCOM JANIiA'M,\NCTNI. ACTING I-IL'e ,.,nI AGIi;N'I' May 27, 2009 Three Corners Realty Trust 98 Essex Street Sal MA 01970 Dear Sir/Madam: In accordance with Chapter III, Sections 127A and 127B of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter 11: Minimum Standards of Fitness for Human Habitation, an inspection was conducted of the property at 98 Essex Street(Lodging House)conducted by David Greenbaum, Sanitarian,Wednesday May 20, 2009 @ 9:00am. 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 Board of Health at 978-741-1800. 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an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. An attorney may represent you. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection in 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: *neancin'- i�� David Greenbaum Acting Health Agent Sanitarian Sent certified mail—7008 1140 0004 0940 1946 Sr 0098 ESSEX STREET LODGING HOUSE City of Salem Mass Housing (Health) - Inspection ( Rev. May 26,2009) " T Item: Status: Nature of problem or correction: Area sped t PAM Q�*, Hot Water(110° F- 130° F) Not Done - w t CLs Ok to Issue Certificate g ,�-''" Sufficient quantity and pressure FAIL The hot water temperatures in the building were approximately 133 degrees am190 410. Fahrenheit. Provide hot water at a temperature between 110 and 130 degrees NO ( ) Fahrenheit. Building Layout The Same Screens for Windows Not Done Inspector ' t Cover part of window designed to be FAIL There is a torn screen in room 1-2. Repair or replace the screen. y: 4,DavttlrGreenbaum� open (410.551(1)) ¢DaYe�`&�TlmetRequesfed >>� " *� £[Yate-`of Inspection 4:?a�`ffi:''fc'•Y•�k #tea ks y, V°�dJ` Wednesday, May 20;2009��; Reinspect J. Ile 'to Certlficate?Numb`e��-s > }` .= Certlflca£e,Explres�ri: OPEN � a F 120 Washington Street,4th Floor*SALEM,MA*Phone:(978)741-1800*Fax:(978)745-0343 OeoTMS®2009 Des Lauriers Municipal Solutio Page 1 of 1 c HAWTHORNE HOTEL • ESTABLISHED 9zg October 22, 2010 Thomas McGrath, AIA Assistant Building Inspector City of Salem Public Property Department 120 Washington St. Salem, MA 01970 Dear Mr. McGrath: Re: Suzannah Flint House, 98 Essex St. We have begun looking at having a sprinkler system designed and specified for this referenced building. Before we go too far down that road, I would appreciate receiving written uerifica'tion.from you that that process would completely satisfy the requirements for occupancy�of,that,building as we are currently operating it, as a Bed and Breakfast with 5 units, and therefore we would not be required to add a second form of egress. Also, given our very busy occupancy at this time of the year, and the upcoming holidays, we would appreciate knowing if this work could be deferred until early 2011. Thank you for your assistance in this matter. Sincerely, I Lederhaus J eneral Manager Fc: Dorothy Harrington James Gilliss .,.Joann Delp.. HISTORIC HOTELS On The Common•Salem,Massachusetts 01970 of AMERICA Telephone: (978)7444080•Fax: (978)745-9842• www.hawthomehotel.com NAT!ON°LtPOSiFOR H!SW'°•••°'•'"T'°•' Sales Office: (978)825-4359•Catering: (978)825-4358• Sales&Catering Fax: (978)745-2626 - The Commonwealth of Massachusetts Department of Public Safety - Board of Building Regulations and Standards One Ashburton Place, Room 1301 Boston, Massachusetts 02108-1618 Phone (617)727-7532 Fax (617)227-1754 STATE BUILDING CODE APPEALS BOARD APPEAL APPLICATION FORM DOQCEf�NUMBERe � ' „' r, " caaz �, f rAj�.tMC'UBevolll ��.xoyi !x°bwwl� n yi ix Sar�k�f l,kx�dryy�S,�-r` ATE The undersigned hereby appeals to the State Board of Building Regulations and Standards from the decision of the following person (Please fill-in the name of the appropriate municipal or state building inspector or other authorit Also,Also indicate if this is a request for a hearing de novo(new hearing)relative to a decision of a municipal app board.) Building Official from the City/Town o£ S A L-EM Board of Appeals from the City/Town of. (Request for hearing de novo) State Building Official: Thomas /QAC. (Sra"rl,% Other. -- Please mark the appropriate box indicating the requested action to be considered by Appeals Board members. Variance x Order Dnection Interpretation Failure to Act Other <a xSar vt rairx rpyP - ���i ''pi �'� Gl � L �*ry r ry^c �{ v e5v�"�9.y' {6tw��4,sib `� drz'" i {d,;h, �: .Y FCC)i l'.CC1YCfl w- : henv911..r. °d�.".7s..'.e ,",':�«ae. h 4e+ a 2 f f �4-ti,.�r '' r `4^d.+'r1.x#:�$` �' r'. TL7�"'G«/"e'r "' i T�i�%u , ti �iur' d a I7k^i,�x`✓ ds � +x '�' 4i`s s� fi<ai5 ? t slxr �w �✓ k� �� � 'k i���,4' ,���t .y �* � M a 7 a. '� ,.,'`-u . fF;�>•YCd,$rY,xEr,�.. o w„ax „n.t a.b.., ...r!a"c"x.'�e, .� .,�n�',r:`�a, _a $'�,.,a ser ..,.r�'� 'c��t.'.�,,.:,,5 .,n � ry cµ,toy,..'s9' d .,, �'�:�� (Thus section must be completed or the application will be returned.) Has the building or structure been the subject of an appeal by this or any other appeals board previous to this filing? No i Yes ❑ lf,yes,please indicate the date of the previous appeal,whether the matter was heard before a local or state appeals board,the code section that was at issue,and the specifics of the decision (Le.a variance was granted\not granted). 4 Please take care to submit all written supporting documentation with this application to allow time for review. However,Board members reserve the right to continue proceedings if such material warrant extensive review. Please provide a brief description of the desired relief below. Additional information may be attached if space is not sufficient AU atmrorrriate code sections that are subject to appeal mast be identified in the description. We arz. appea.Linq %g, yioia*ein of Mw+e Budding C04t -ISO CMR.. S ec;ko cn 3100- 4. 1 i S s ve a b tj ttyLe. Sa Uw-► Pu lo4c. Prop¢ D epa4-t'team req ulri nq a SeC CY1G{ . f?VA4 of egrzss iai- our {oed 4 6re4-k ftSf- We. re ves-i- aw exemptoin <:�dwr� bn i s Ire u t Newt eve t'=1 ve- fi1e. StzC. a f- -tv%e Ioui Id Ing , hiskoi-- t na''bve, and Please complete the following section completely and accurately. coil-F!0 U Waal 6YL • AppellantJ u Li l ederhow s �'''°� {� C Servi ceS Carp l$ Wasl�iny fuY► S ua.v� Address Sa U"w MA- of s--o For Service Telep Number. —\ t b 52.5 43tso Number. _l�S 745 9$42 . Address of EsSel- s-6-eel Subject Property t (if different from S 0.� "� AA- service A- service address): What is appellant's connection to subject propert}+t Q"�� of Ap �uti Led-e�lnau s S pellant and\or Representative Please Print Name LegPity }ar'Cq�j°� e�` n1Lvt� 4�,.,�,�.�e��p"�'n "` � 'yrs Please r'elarn apphcattons to F" e"r''i�} ta3( fs��r�s++ phi '[ ✓- v it��� r'�r; xx��S���,��Boardv�of Bwldmg Regtilahons and<StandaMs Une��$}�bmion PJace,Room 1301 ,h"X� ` , � iyp r Kr'=U J06 5 �DESCRII'I'ION�`OFfBUILDING OR`S� % U �° a 'RELAd'TIVE$TO THErMASSA�IiUSETTS -A t ' P f 3 ✓Y > P' I{ � .P 51 dl F y G }i +r f � Do not complete the entire table below for a One-or Two-Family Dwelling;complete only section entitled "Description of the Proposed Work". DESCRIPTION OF PROPOSED WORK(check all applicable) ` 7771 New Construction ❑ Existing Building. 0 Repair(,) ❑ 1 Alteration(,) ❑ 1 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other❑ Specify: Brief Description of Proposed Work USEGROUP AND'CONSTRUCI'ION TYPE �_`: 777-71 USE GROUP(Circle appropriate Use Group) CONSTRUCTION TYPE A Assembly A-1 A-2 A-3 1A A-4 A-5 1B B Business 2A E Educational 2B F Factory F-1 F-2 2C H High Hazard 3A I institutional 1-1 1-2 I-3 3B M Mercantile 4 R Residential R-1 R-2 R-3 5A S Storage S-1 S-2 5B U Utility Specify: M MixedUse Specify: Ar S Special Use Specify: COMPLETE THIS SECIION:IF EXISTING BUILDING UNDERGOING RENOVATIONS,ADUTTIONS AND/QR CHANGE IN USE Existing Use Group: Proposed Use Group: Existing Hazard Index(780 CMR 34): Proposed Hazard Index(780 CMR 34): BUILDING HIIGHT AND AREA BUILDING AREA Existing(if applicable) Proposed Number of Floors or stories include basemaulevels Four Floors Floor Area per Floor(sf) B, $tZ l6t: 8Q'D :7 n & N23 CC, Total Area(sf) ',W�� S Total Height(ft) 3Q e Are there unresolved issues with local zoning ordinances? Yes ❑ or Noll If yes,please explain briefly why this zoning issue is not a factor in the appeal: 6 Y J STATE BUILDING CODE APPEALS BOARD' ` { 4 Service Notice 4 l �'�l%, Lederha�S asGeneral Mara.,5er for the Appellant/Petitioner ` , �° �! Sery i C2S C°r P o✓-a.A3v-1 an appeal filed with the State Building Code Appeals Board on l b t4o VeYy%b ¢X- 20 HEREBY SWEAR UNDER THE PAINS AND PENALTIES OF PERJURY THAT IN ACCORDANCE WITH THE. PROCEDURES ADOPTED BY THE STATE BOARD OF BUILDING REGULATIONS AND STANDARDS AND SECTION 1223.1 OF THE STATE BUILDING CODE, I SERVED OR CAUSED TO BE SERVED, A COPY OF THIS APPEAL APPLICATION ON THE FOLLOWING PERSON(S) IN THE FOLLOWING MANNER NAME AND ADDRESS OF METHOD OF DATE OF PERSON OR AGENCY SERVED SERVICE SERVICE 1 no-MC.S McGrAAln Assf. $uo;, Insp lz.b lt)DAtiingi`avi !Si-. SaL1eM Mh 01R7p Pe+rSonall� ll/lobo 2 3 Signature: or Petitioner �,,, I_ On the � b Day of Aw'( IK M 20_.1 PERSONALLY APPEARED BEFORE ME THE ABOVE NAMED . )LJ') I.�Q /LIAR (Type or Print the Name of the Appellant) AND ACKNOWLEDGED AND SW ti Notary Public COMMONWEAtTNOFMASSACNUSETTS My Commission Exphes February 26. 101 NOTARY PUBLIC SSTON bff4 3S r 7 Uu LO- 'w!," -YA A CITY OF SALEM PUBLIC PROPERTY a DEPARTMENT KIMBERLEY DRISCOL.L. MAYOR 120 WAS}IINGTON$TAFFY* SALEM,MASSACI-IUSE'i'f5 01970 TFi- 978-745-9595 FAX:978-740-9846 COPY October 5, 2010 Ms. Juli Lederhaus General Manager Hawthorne Hotel On the Common Salem, Ma. 01970 Re: 98 Essex Street Dear Ms. Lederhaus: We mailed 2 copies of the September 27 letter, one certified and one first class mail. We did not receive anything from the Post Office confirming delivery or lack thereof. I apologize for not including the code reference in my recent letter but I have enclosed it here. As you did not receive the notice sent last year you are still able to appeal my order to the BBRS within 45 days of the September 27, 2010 letter. Ifyou have a estions regarding this letter, please contact the Building Inspectors Office at 8) 77A -9595, extension 5644. 4oSiner y,as c rath, AIA Assistant Building Inspector/Local Inspector cc: file, Fire Prevention, Chief Cody HAWTHORNE HOTEL September 29, 2010 . ESTABLIS14FD ,9,5 . Thomas McGrath, AIA Assistant Building Inspector City of Salem Public Property Department 120 Washington St. Salem, MA 01970 Dear Mr. McGrath: I have in front of me the letter you sent on September 27, 1010, as a violation notice regarding 98 Essex St. to Three Corners Real Estate Trust. This is the first notification that we have any record of being received, and I wonder if you could provide us with a copy of the delivery certification from the letter you sent in July, 2009, since we have no record of it. It is not our habit to ignore such notifications, which is why I am requesting further information from you regarding the notice from last year. In addition, the notice we just received states in part that "State Building Code 780 CMR section 3400.4.1, a copy of which is enclosed". However, no such copy was enclosed with either of the two letters we received this week (one by regular mail and one by certified mail.) Thank you for your response to these two requests. Sincerely, uli Lederhaus"`fes General Manager cc: Dorothy Harrington L* ;'cit* _-, - HISTORIC HOTELS On The Common•Salem,Massachusetts 01970 of AMERICA Telephone: (978)744-4080•Fax: (978)745-9842•www.hawthornehotel.com "°"°"ALiRVSTFOR HIMF'°••...•°'T'°•' Sales Office: (978)825-4359•Catering: (978)825-4358•Sales&Catering Fax: (978)745-2626 CITY OF SALEM, MASSACHUSETTS • RECEIVE �F HEALTH INSPEC�WASHINGTON STRELT,4'FLOOR "FAX 741-1800 KIMBERLEY DRISCOLL `A SQA 22 FAX(978) 745-0343 MAYOR DG Ii ENBAUM@SAr.r;M.COM DAVID GRUNBAUM 4/20/2010 Three Corners Realty Trust 98 Essex Street Salem MA 01970 98 Essex Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 98 Essex Street has been scheduled to be inspected on Tuesday 5/4/2010 at 9:00:00 AM Thank your for your anticipated cooperation. Sincerely, David Greenbaum, Acting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM5 MASSACHUSETTS Y - BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR - TEL. (978)741-1800 liiMB) RL EY DRI5COIL ]^AX(978) 745 0343 MAYOR ucxcNNunuw snr iaM cOna DAVID GRriENBAUM _jir-rmrrl�•i7-i Arunj- - __— -_ 4/20/2010 Stepping Stone Inn 19 Washington Square N. Salem MA 01970 19 Washington Square N. Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or helshe must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 19 Washington Square N. has been scheduled to be inspected on Tuesday 5/4/2010 at 10:00:00 AM Thank your for your anticipated cooperation. Sincerely, David Greenbau cting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978)741-1800 I0NMERLEY DRISCOLL Fax(978)745-0343 MAYOR DGRI3PNIAUM@SA11 ct kf DAVID GRl3LNBAUM . hiC;-L31�A.1>:I'1=i-ACLN:I' - 4/20/2010 Amelia Payson House 167Winter Street Salem MA 01970 16 Winter Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 16 Winter Street has been scheduled to be inspected on Tuesday 5/4/2010 at 11:00:00 AM Thank your for your anticipated cooperation. Sincerely, David Greenba Acting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, MASSACHUSETTS • + BOARD OF HEALTII 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAx (978) 745-0343 R19YOR — t5z Itrr�3nu Sn uz ��— DAVID(3m;ENBAUM rlcttt�F3RALTtAcr.: ---_- - -- 4/2012010 EAZ Realty Trust ___— —P:O-Box-4542— Salem MA 01970 73 Harbor Streeet Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 73 Harbor Streeet has been scheduled to be inspected on Tuesday 511112010 at 10:00:00 AM Thank your for your anticipated cooperation. Si ncerely, Acting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, MASSACHUSETTS r BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAY(978) 745-0343 MAYOR DG EUNBAUNISALFM.COM DAVID GREC)NBAUM AcTrNG HEAiaH AGENT — -- --- -- -- -- – - 4/20/2010 Step Four Realty Trust 2=4 Emerton Streef Salem MA 01970 2-4 Emerton Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 2-4 Emerton Street has been scheduled to be inspected on Tuesday 5/11/2010 at 11:00:00 AM Thank your for your anticipated cooperation. Sincerely, David Green aum, cting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, N/ ASSACHUSETTS BOARD OR HEkLTTI 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMRE I EY DRI COT L PAx(978} 745-0343 MAYOR UGRIH NI}AUM�q SA]FM COM ,. I�t�VID G1tI313Nll�UM _____ 4/20/2010 _Orille L'Heureux — 22 Francis -- Salem MA 01970 89 Congress Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 89 Congress Street has been scheduled to be inspected on –Tuesday 5/18/2010 at 9:00:00 AM Thank your for your anticipated cooperation. Sincerely, David Gree baurTi, Acting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, MASSACHUSE"ITS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978)741-1800 KIMBERLEY DRISCOLL FAX(978) 745-0343 MAYOR DCRarNBAUMnI it rM cou DAVID GRP F.NBAUM 4/20/2010 Oriile L'Heureux 22 Francis Road Salem MA 01970 6 Monroe Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 6 Monroe Street has been scheduled to be inspected on Tuesday 6/1812010 at 10:00:00 AM Thank your for your anticipated cooperation. Sincerely, / 1 David Greenbaum, ing Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASFIINGTON STREET,4T"FLOOR 1{IMIlERLEY DRISCOLL TEL. (978) 741-1800 _ FAx(978) 745-0343 MAYOR D�CRFNNRAUM(7SA[i'M COM DAVID GRI ISN&AUM _-- 4/20/2010 128 Bridge St Realty Trust 111 Der'6y Sheet-� ------ --- - ---- —----- __----------- — — Salem MA 01970 128 Bridge Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 128 Bridge Street has been scheduled to be inspected on Tuesday 5/18/2010 at 11:80:00 AM Thank your for your anticipated cooperation. Sincerely, David Greenbaum, Acting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4""FLOOR TEL. (978)741-1800 KIMFSER].EY DRISCOI:L FAX 978 745-0343 MAYOR DGRFPM3AUM(�SAI I'M C)M DAVID GRi-xNBAUM A{•rirtr7-Ir•ir•r•rr AC,r.T`rI• . . 4/20/2010 John Lenzi 99 Lafayette Street -- - Marblehead, MA 01945 2-4 Howard Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 2-4 Howard Street has been scheduled to be inspected on Tuesday 5/25/2010 at 9:00:00 AM Thank your for your anticipated cooperation. Sincerely, David Greenbau cting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4'FLOOR TEL. (978)741-1800 KIMI3ERLEY DRISCOLL FAX(978) 745-0343 MAYOR nGRrrN i;L�UM@SAI rM COM DAVID GRFENBAUNI 4/2012010 LeBlanc Lodging House 42A Brookside Avenue Danvers MA 01923 10 Howard Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as lodging houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Lodging House at 10 Howard Street has been scheduled to be inspected on Tuesday 5125/2010 at 10:00:00 AM Thank your for your anticipated cooperation. Sincerely, AhQQ David Greenbaum, Acting Health Agent cc: Tom McGrath, Assistant Inspector of Buildings Erin Griffin, Fire Prevention Robert St. Pierre, Chairman, Salem Licensing Board CITY OF SALEM, MASSACHUSETTS s° a BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAx 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO grop' yLE HEALTH AGENT 6/28/2007 Three Corners Realty Trust 98 Essex Street Salem MA 01970 98 Essex Street Dear Owner: The Salem Board of Health, Building and Fire Departments are scheduling yearly inspection of all establishments licensed as rooming houses. The Salem Licensing Board will review inspection and re-inspection reports in accordance with its license renewal procedures. The inspection will include dwelling units and common areas, therefore each tenant must be present or he/she must sign the enclosed release form which will allow the inspectors to enter the unit. Your Rooming House at 98 Essex Street has been scheduled to be inspected on Wednesday 8/1/2007 at 10:00:00 AM Thank your for your anticipated cooperation. Sincerely, Joanne Scott, Health Agent JS/mfp cc: Joseph Barbeau, Inspector of Buildings Erin Griffin, Fire Prevention David Shea, Chairman, Salem Licensing Board CppF SALEM FIRE DEPARTMEN nspae r Z $nap.Number INSPECTION AND VIOLATION REPORT Reinsp.Date: cupencyNon" DacupancyTYPO Sfi Address p Bldg. Wa Yes lg- No[3N�/�tlon a�� --Phone Inspects _Nal me Company# Notifications ❑Health ❑Bldg. D Electrical ❑Polka 1.Xxterior 6. Meeting Systems ❑ N/A fire escapes/decks Pass ❑ Fail ❑Warn Cl N/A Combustibles Pass O Fail ❑Warn ❑ N/A proper storage Pass ❑ Fail ❑ Warn ❑N/A within 5 feet proper access Pass ❑Fal ❑Warn ❑ N/A defective chimney Pass ❑ Fail ❑Warn ❑ N/A KNOX BOX Pass ❑ Fail ❑ Warn ❑N/A defective system Pass ❑ Fail ❑Warn ❑N/A 2. Exits other Pass ❑ Fall L3Warn O N/A open property Pass ❑ Fail ❑Warn ❑N/A 7. Electrical exit blocked I Pass ❑Fail ❑Warn ❑N/A detective wiring Pass ❑ Fail ❑Warn O N/A exit signs working I Pass ❑ Fail ❑Warn ❑N/A panels accessible Pass 11 Fail ❑Warn ❑N/A adequate lighting I Pass ❑Fal ❑Warn ❑N/A extension cords: door(s)locked I Pass ❑ Fail ❑Warn ❑N/A proper use Pass ❑Fail p Warn ❑ N(A signs needed I Pass El Fail ❑Warn ❑N/A cover plate missing Pass ❑Fail ❑Warn ❑ N/A 7- - in need of repair 3 Pass ❑Fail ❑Warn- aN/A proper fusing Pass ❑Fail ❑Warn- -0-NIA - emergency lights Pass ❑Fail ❑Warn ❑N/A other Pass ❑ Fail Cl Warn ❑N/A other Pass ❑Fail ❑Warn ❑ N/A 3. Fire Alarm System C3 N/A S. 19re Extinguishers 0 N/A signs needed Pass O Fail ❑ Warn ❑N/A operative Pass ❑ Feil ❑Warn ❑N/A pfOperty mounted Pass ❑Fail ❑Warn ❑ N/A properly labeled Pass ❑ Fail ❑Warn O N/A proper type Pass ❑ Fall CI Warn ❑ N/A accessible Pass ❑ Fail O Warn ❑ N/A obstructed Pass O Fail ❑Warn ❑ N/A trouble indication Pass ❑Fail O Warn O N/A need recharging Pass ❑ Fail ❑Warn ❑ N/A defective devices Pass ❑ Fail ❑Warn ❑WA other Pass ❑ Fail ❑ Warn ❑N/A missing devices Pass ❑Fail ❑Warn ❑N/A other. Pass ❑Fan ❑Wam ❑N/A 8. Sprinkler&Standpipe System� / 1i�pi N/A d. Kitchens valves tabled ❑Pass 0 Fail Q Wam -O N/A 10 lb.ABC extinguisher CI Pass ❑ Fail ❑Warn N/A valves accessible ❑Pass ❑Fail ❑Warn ❑ N/A at hazard pressure reading ❑Pass ❑Fan ❑Warn ❑N/A ext-system operat ❑Pass ❑ Fail ❑Warn r N/A FDC clear/capped ❑Pass ❑Fall ❑Warn ❑WA roof collect clean ❑Pass ❑ Fail O Warn I N/A valves open ❑ Pass ❑ Fail ❑Warn 0 N/A system inspected ❑Pass ❑ Fall ❑ Warn I N/A valves secured ❑ Pass ❑ Fail ❑ Warn ❑N/A hood/duct clean ❑Pass ❑Fail ❑Warn L N/A spare tread avail. ❑Pass ❑ Fail ❑Warn ❑N/A other 0 Pass ❑Fail ❑Warn C N/A heads obstructed ❑Pass ❑ Fail ❑Warn ❑ N/A 5. Storage other ❑Pass ❑Fail ❑Warn ❑ N/A proper labeling .6 Pass ❑Fail ❑Warn d N/A proper storage ❑Pass ❑Fail $Wam 0 N/A pTN,Form #84-Completed Yes❑ No❑ legal storage epass ❑ Fal ❑Warn O N/A Form#58-Filed Yea C) No❑ other 13 Pass ❑Fail 13 Warn ❑N/A 10. Violations Found Jsy IIt.C.t/10 f))L6 adCM"t V be ins 0 �o� NlbnlopCtl� 'fir-'r�vR-S PI:�PI'r '^~ `TU ,9� �riSi�iB-+-�-�D �- �---- ,:---- .^"�• Ir yet' FWm#16-(OW.11/931 Copia: white•We Prevention yellow-inspecting Company Pink-Building Owner/Manager Z0 39gd HD1ddSIQ 3aId WTIVS Z0b6SbL6L6 OC :LL L00Z/0'[/60 c�e'� SALEM FIRE DEPARTMENT napes a s: In p.Number INSPECTION AND VIOLATION REPORT Fetnap.oaw: Occupancy Name 5N i7 Occupancy Two w Address fi C,�.. g a Yee A-NOD FloortSactbrt Inspector _tma Company ft NotHlcstlona Q Heekh ©8td ❑Electrical 0 Police 1.,Exterior t3. Ablating Systems 0 N/A fire escapes/dPass 0 Fail 0 Warn N/A combustibles Pass 0 Fall C Warn 0 N/A proper storageecks Pass 0 Fag C Warn 0 N/A within 5 feet proper access Pass 0 Fail 0 Warn 0 N/A detective chimney Pass 0 Fail 0 Warn 0 N/A KNOX BOX Pass 0 Fag 0 Warn 0 N/A defective system Pass 0 Fail 0 Warn 0 N/A 2. Exits other Pass 0 Fail 0 Warn 0 NIA open property Pass 0 Fail 0 Warn 0 N/A V. Electrical exit blocked M Pass 0 Fail 0 Warn C N/A defective wiring 3 Pass 0 Fail 0 Warn 0 N/A exit signs working I I Pass 0 Fail 0 Warn 0 WA panels accessible Pass 0 Fag 0 Warn 0 N/A adequate lighting Pass 0 Fail 0 Warn 0 N/A extension cords: door(s)locked 13 Pass 0 Fail 0 Warn 0 N/A proper use 3 Pass 0 Fail 0 Warn 0 NCA signs needed I I Pass 0 Fail 0 Warn 0 N/A cover plate missing I Pass 0 Fail 0 Warn 0 N/A --_.. imneed of repair 13 Pass C Fag 0 Warn--D-NtA ...proper fusing I Pass 0 Fait 0 Warn--O-ktm . _.. emergency lights Pass 0 Fail 0 Warn 0 N/A other Pass 0 Fail 0 Warn 0 N/A other Pass 0 Fag 0 Warn 0 NIA S. Fir o Extinguishers 0 N/A 3. Ihvill Alarm System 0 NIA signs needed Pass 0 Fail 0 Warn 0 N/A operative Pass 0 Fail 0 Warn 0 N/A party mounted C Pass 0 Fag 0 Warn C N/A property labeled Pass 0 Fail 0 Warn 0 N/A proper type I Pass 0 Fail 0 Warn C NIA accessible I I Pass 0 Fail 0 Warn 0 N/A obstructed t Pass 0 Fail 0 Warn 0 NIA trouble indication Pass 0 Fad 0 Warn 0 N/A need recharging I Pass 0 Fall 0 Warn 0 N/A defective devices Pass 0 Fag 0 Warn 0 N/A other pass 0 Fag 0 Warr, 0 N/A missing devices M Pass C Fail 0 Warn 0 NIA other Pass 0 Fail 0 Warn tl N/A 8. Sprktkier$Standpipe System 4. Kitchens N/A valves tabled 0 Pass 0 Fan 0 W 0 N/A 10 lb.ABC extinguisher 0 Pass 0 Fail 0 Warn C N/A valves accessible O Pass 0 Fail 0 Warn 0 N/A at hazard pressure reading C Pass 0 Fag C Warn 0 N/A ext.system operat 0 Pass 0 Fail 0 Warn C N/A FDC dear/capped C Pass 0 Fait 0 Warn ❑N/A roof collect.clean 0 Pass 0 Fan 0 Warn C N/A Valves open 0 pass 0 Fail 0 Warn 0 N/A system inspected 0 Pass 0 Fail 0 Wam C N/A valves secured 0 pass 0 Fag 0 Warn 0 N/A hood/duct clean 0 Pass 0 Fan 0 Warn C N/A spare head avail. 0 Pass 0 Fail 0 Warn 0 N/A other C Pass 0 Fall 0 Warn C N/A heads obstructed 0 Pass 0 Fail 0 Warn 0 N/A S. Storage other- 0 Pass 0 Fail 0 Warn 0 N/A proper tabeling .6 Pass 0 Fail 0 Warn 0 N/A proper storage 0 Pass 0 Fail $Warn 0 N/A PTN Form*84.Completed Yes 0 No 0 legal storage PTPass 0 Fail 0 Warn 0 N/A other 0 Pass 0 Fait 0 Warn 0 N/A Form*58-Filed Yes 0 No 0 10. Violations Found RAtAlio A-a rr &4tfr c ix rvla✓ed �n- B&td',r4—i7l =a \hkCA +t- iLb4 ui a Mtinoxgg -,W-176-rld f Form e1e-(RWv 11193) Caplan: Whke.fke lste"allon YWaw-impacting Company pkMc-BWfOinp OwneNSNnayer 90 39Vd HDiVdSIQ 3aId W31VS Z0b69VLBL6 CZ:LL L00Z/0L/60 a CITY OF SALEM PUBLIC PROPERTY DEPARTMENT KIMBERI.14:Y DRISCOLL MAYOR 120WASHINGTON STREET* SALEM,MASSACHUS8ITS 01970 Tn:978-745-9595 ♦ FAx:978-740-9846 VIOLATION NOTICE PROPERTY LOCATION-0-8-Essex-Street July 16, 2009 Three Corners Real Estate Trust e3dw Dorothy L. Harrington, Trustee 98 Essex Street Salem, Ma. 01970 Dear Property Owner At a recent inspection conducted jointly by this office, the Fire Department and the Health Department, it was observed that several of the guest rooms at the Lodging House operating at the above address lack an appropriate second means of egress. In accordance with the State Building Code 780 CMR section 3400.4.1, a copy of which is enclosed, .you are hereby notified that this condition must be abated and a conforming second means of egress be provided for all six of the units within the above building. Abatement of this non-conformance must be completed within 60 (sixty) days of receipt of this notice. You have the right to appeal this order to the State Board of Building Regulations at One Ashburton Place, Boston, Ma. Ifyou have an questions regarding this letter, please contact the Building Inspectors Office at 8) 745-9595, extension 5644. Sin er mas McGrath, AIA Assistant Building Inspector/Local Inspector cc: file, Mayor's Office, Health Dept., Legal,Fire Prevention, Chief Cody 2.Z, RECEI INSP VED ECTIO The Commonwealth of M a B cchuse t Department of Public Sa t�1 AS Q �UU Massachusetts State Building Code(780 CMR) r 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: Alg Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for Iocallons for which a street address is not available) FSSE)e ' '!�AL_F7R4 ©/gam No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK Edition of MA State C de used If N Construction check here❑or check all that apply in the two rows below Existing Building Y Repair❑ 1 Alteration Z Addition❑ j Demolition ❑ (Please fill out and submit Appendix 1 Change of Use ❑ Change of Occupancy ❑ I Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ Near Is an Independent Structural Engineering Peer Review required? Yes ❑ No Brief Des iption o Pr p ed Wor 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 CNIR 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=1❑ A-5❑ B: Business ❑ .E: Educational ❑ F: Facto F-1❑ F2❑ I H: Hi h Hazard H-1❑ H-2❑ H-3 CIH-4❑ H-5❑ 1: Institutional 1-1 ❑ I-2❑ I-3❑ 14❑ M: Nlercantfle❑ 11: Residential R-10 R-2❑ R-3❑ Rd❑ 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 ❑ ❑A ❑ IIB ❑ I11A13 IHB ❑ 1 IV VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Suppl Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public Check if outside Flood Zone❑ Indicate municipal A trench will not be Licensed Disposal Site❑ required❑or trench or specify: Private❑ or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: GI,\I,{ntori i,loon tia n It ,unp Pro,r_s: 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: C, gSECTION 9: PROPERTY OWNER AUTHORIZATION l" v)I33 4 Name and ff^PS6 �r ,Ac�iUcss4u (.(Twner"�9 }1 OFrS0 Name(Print) 5 .E w '](�` Sy" jj:Street City/Town Zip G H G Property Owner Contact Information: 97d -76 7 0.f _-_ Title Telephone No.(4eaine9s) Telephone No. (cell) a-mail address If applicable,the property owner hereby authorizes Ce& 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 buildingis less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑and skip Section 10.L 10.1 Registered Pr fessional Responsible for Construction Control 9A ?W- Doi / 7/Y7S� Nat e(Rc s r�rt Telep to o. a-mail ar_Idress � Re istrEon Number laa Street Address City/Town State Zip Discipline Expirat on Date 10.2 General Contractor Com an N,vne CS- OZ2Y67 Name of Person Responsible for Construction License No. and Type if Applicable -SAK � Street Address City/Town State Zip Telephone No. business Telephone No. cell e-mail address SECTION 11:bVC?ItKFPS'Cc)64PP'VSA'❑C?N INSU R:\NC:ki AI'PIDAVI'C M.G.L.c.152 25C 6 A Workers'Compensation Insurance Affidavit from the NIA 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 tvlaterials) Total Construction Cost(from Item 6)_$ 1. Building $ 7 006,— Building Permit Fee=Total Construction Cost x (insert here 2. Electrical $ , 000-'� appropriate municipal factor)_$ 3. Plumbing $ Z O 1. Mechanical (HVAC) $ Note: h{inimum fee=$ (contacCt n'rWicipnl\i)ty) 5. Mechanical Other $ Enclose check y� a able to 6.Total Cost $ � OCO. '�- (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 acc-uu-rate to the best of my knowledge and understanding. � 6 Please in�oib Title Telephone No. Date titi &A- Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: '+M Name Date The.Commonwealth of Massachusetts �-. Board of Building Regulations and Standards CITY OF Massachusetts State Building Code 730 CMR SrI 1 Revised Mar 2011 Building Permit Application To Construct, Repair, Renovate Or Demolish a One-or Two-Family Divelling [his Sect ortForOftfcial Usa-0nl Building Permit umber•:'. d` Build ng 0 facial(Print_N e) St uie. Date SECTION It SITE INFORMATION. L l der lddress: LZ Assessors Map&Parcel Numbers 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 tt) Frontage(R) 1.5 Building SetbacIts(fill Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water upply: (M.O.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage JDisposaI System: Public Private❑ Zone: _ Outside Flood Zone? Municipal L5 On site disposal system ❑ Check if yesD SECTIOIYZ:; PROPERTY'OWIVERSHDIL'. 2.1 Ow ert of Record• Name(Print) U City,State,ZIP 9 a422 c R7,F-S0$,z01k No.and Street Telephone Email Address SECTION 3: DESCRIPTION OF.PROPOSED WORJW 6he.ck all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) Alteration(s) O Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other Cl Specify: Brief Descr' ion of groposed Workl: d SECTION 4: ESTINLATED CONY TRUCTION COSTS- Item Estimated Costs: OfRelal Use Only-_. Labor and Materials 1. Building ; r`J�j�C.z 1..Building Permit Fee.-S fadicate have fee is determined: �. faectrical S ❑Standaiti,CityffotvnApplicationFee ` ❑Total Project Cost(Item.6)x multiplier x 3. Plumbin; S 2. Other Fee4: S 1. NIeehanicsl (IIVAC) S List: i. Mechanical (Piro S Total All Fees:.S Su ression) - - Check No. _Check Amount-. _cash Amuuut-. I'ntal 1'rnject Cost S �Ot�� I 0 Paid in Pull Cl Outstanding Milance I!ua: f SECTION 5: CONS'rRucrION SERVICES 5.1 Construction Supervisor License(CSL) CsQaay67 �/ _ Licens:Number Es nr:ui a Uut: Name ofCSL [loftier Type(• �Q n� n List CSL i e s:e below) W10 Description No.and Street M ) Q J g Unrestricted Duildin s u to 33,000 cu. R. ted i8e2 F;unil Dw:llinCity/Town,State,ZIP r Covcrinw end Sidin guel Burning Appliances ion Tel: horn: Email address D Demolition 5.2 Registered Home Im rovem nt Contr ctor H[(� /`/ n t➢ MC Registration Number sptratiun Uate I I I�CC Cootnpaa y�tl I I I I )stran N n No.and�&BgUt /�ia�( pi97y Email address Cityfrown State,ZIP Tele hone 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 Issuanc of the building permit. Signed Affidavit Attached? Yes .......... No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 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. Print Owner's Name(Electronic Signature) Date 7SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION 0micr's e below, I hereby attest under the pains and penalties of perjury that all of the information lication is true and acc =knowledge and understanding. urieed Agent's NArfe(Electrunic Signature) V Date NOTES: I. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (nut registered in the Home Improvement Contractor(HIC) Program), will n_�t have access to the arbitration program gram or guaranty find under M.G.L. c. I42A. Other important information on the kIIC Program can be found at •:�� r _ nation on the Construction Supervisor License can be found at \\tY tV.I11:U-._l � Ufa Information P ), When substantial work is planned,provide the information below: Total tloorarea Is+ tt.) —(including garage, tinislted basementyatties, decks or porch) (iro;; living area(s(1. tt.) -_ kfabitable room count — Nuntberoftireplaccs_----------- Numberofbedrooms V her of bathe ono NumherofIiAt-baths I'cpu of heating iyuew . .: - . ._.- -.__._ `umber of deck.,'porches 1'}peofcoolimg ;yatent _ __.,---- I rtdl ',yu.ucFoo('Ige" w.tyhe ;nh'titllldtau" 1'.4tdPlojcdCoX, i Salem Historical Commission 120 V,ASHINCTOPI STREET.SALEM..MASS ACHUSETTS 01:i,':) '9791619568S FAX 9!U, ]a0_0,04 APPLICATION FOR A CERTIFICATE OF NON-APPLICABILITY Pursuant to the Historic District's Act (M.G.L. Chapter 40C) and the Salem Historical Commission Ordinance, application is hereby made for issuance of a Certificate of Non-Applicability as described below for: New Construction ❑ Moving 17 Reconstruction ❑ Demolition ❑ Painting ❑ Sign / Alteration U. Other District: ❑Derby Street ❑Lafayette Street L1Mchuire 0 Washington Square Address of Property: 26 Name of Record Owner(s): q13 Owner Mailing Address: y� /�( Description of Work P�roQposed /� ✓«ihyl/try t 4 � Z cw 1K��2�j 4 � t+ L"EVV Name of Applicant: :Owner V ontrictor 1.-.Tenant : ;Other:_______ 9;bo-- d*/ / E-mail Address: ('rrtflk, le will be oruileel ro the owner anle.v.v ul Certificate Should he mailed to: Name Flailing address: ✓ip: ii7C� �ONDIT 4 a 1 (Salem Historical Commission 120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970 (978)619-5685 FAX(678)740-0404 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving O Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other Work as described below does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address of Property: 98 Essex Street Name of Record Owner: 3 Corner Realty Trust Description of Work Proposed: Removal and replacement of eight (8) square of wood shingles. New shingles will be the same material and design and painted to match the existing siding. Non-applicability clue to work being in-kind replacement. Dated: September 5, 2013 SALEM HISTORICAL COMMISSION By: - -- The homeowner has the option not to commence the work (unless it relates to resolving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals) prior to commencing work.