The URL can be used to link to this page

105 ESSEX STREET - BUILDING JACKET > �®°�Es�x S*< Certificate Number: B-15-731 - Permit Number: B-15-731 Commonwealth of Massachusetts City of Salem This is to Certify that the Commercial Building located at Building - Type 105-US2 ESSEX STREET in the Ci o Salem Address ............... ..._.-.. Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 105 ESSEX STREET - US2 JOLIE TEA COMPANY AMY JOB @ JOLIE TEA This Pennit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ---_._,---.. Not Applicable unless sooner suspended or revoked. Expiration Date Issued On: Monday, November 16, 2015 /WY\ i i J pa 101 1 %wo Com n Ranere Associates Inc. Architecture & Interiors 74 Edgemont Ave ESSEX STREET Reading MA 01867 7:617.542,2111 105 Essex StSalem MA www.ral-architects.com CEILING @ 11'-7" IF \ \ CONSULTANTS == \ � Consultants PERMIT SET '` \, REMOVE STONE AROUND FIREPLACE \ ` G 7 . 15 . 15 2 °z CEILING @ 12'-2" Architect: Ranere Associates Inc REMOVED RAISED FLOOING 74 Edgemont Ave Reading MA 01867 617-542-2111 ` DRAWN BY -- , r - -- - - -- 1� Designer: Restaurant Deign Group Inc " " MTB DATE I 7.15.15 CEILING @ T-8" NO. REVISION DATE BY I I 11 Contractor: Hadley Contracting Services 24 Denby Rd. Suite 115 Allston Ma 02134 617-676-8978 I I 1 DEMOLITION PLAN ' a PROJECT Jolie Tea BUILDING CODE SUMMARY Company EXISTING BUILDING PROPOSED USE GROUP B B TYPE OF CONSTRUCTION 5B Be NO.OF STORIES 0 STORY Shop Is w part orflral floor FLOOR AREA 600 SF 600 GSF CODE CONFORMANCE EIGHTH EDITION OF MASSACHUSETTS STATE BUILDING CODE AMERICANS WITH DISABILRIES ACT(ADA) MASS ACCESS BOARD REGULATIONS DRAWING Title Sheet & iDemo ---- ---- Plan IER- I 1 CK-GA0 o v 1 -- V '�l LGA � ZYTI i 1�— SCALE AR - ----- PLAN TO BE DEPT ' �� A100 ON S11TE SPA �p SET PERMIT SET —,I [� 1 - 1 I i Room Schedule Ceilin Pull station g Surface mt ext led light Newdoorwth new lass tansom above a Wt Name Floor Finish Base Finish Wall Finish Finish Comments g i Counter 1'd 42"h 1 SITTING Existing Wood Paint Paint Refinish wood Floor Ranere Associates Inc. 2 WORK Ceramic Tile Ceramic Paint Paint AREA Tile DC - Pendant Light Architecture & Interiors 3 TOILET Ceramic Tile Ceramic Paint Paint 74 Edgemont Ave Tile 4 HALL Ceramic Tile Ceramic Paint Paint SITTING Reading 01867 � T:617.54242.211111 Tile New display case www.ral-archkects.com a 30"h x2counter- DC No ,rlev Track light typ Display Ca: CONSULTANTS � �z A101 Consultants p Reface fireplace - --- new 8'h wall so�tt�Elev <� O Door Schedule % Shelves Owner supplied Shelves Owner supplied Construction Surface mt linear LED Mark Width Height Type Comments HomiStrobe Emerg light 1 3' - 0" 7' - 0" A P 2 3' - 0" 7' - 0" -' ''"� �RI EA 3 3' - 0" T - 0" m Sconce E1 light over W° 2 mirror Dish washe 2'cou i wiht base cabinets below and shelves above HALL A101 1'counter Thigh shelves above 4 A J TOILET I 3 D DRAWN BY Smoke detector Author i 3 — DATE Surface mt LED typ 07/15/15 NO. REVISION DATE BY New transom window trim to match exist windows n RCP n FLOOR PLAN 1/41t 1 1-011 It 1.011 114 1 PROJECT Jolie I � New transom.window Tea i �0 Company Display Case Case Existing window Existing window W n DOOR TYPE A 1/2" = 1'-0" lip A [] [] n West Elev n South Elev 114" = 1'-0" 1/4" = I 1-01, New sidelight New stone counter on wrought iron brackets �North Elev DRAWING V 1/411 = 1'-0" FLOOR Level- lo' - o. � PLAN open adj. shelves on standards and brackets I SCALE L Counter As indicated tEpFA Aq!��,� p A101 �so.al�a VA n Workroom Elev SET PERMIT SET ca STREET PERMIT Citp of *arem Office of 3nopector of Jguilbing.4 20 !o occupy for G�V c y--% C) 5, purposes in front of eslale E-5-5 E z. �� N 10t-J �-ST jJi d of sidema/� of slreel, ✓�iis permit is,/omiledlo pp sub echo ISie provisions oflFie ordinances andslalu/es in ie/alion!o cSlreels andlSelnspeclion and Gonslruclion of 23uildinys in Ilse Gly of c$a/em. Direc/or o�Ai6/ro cSeroic¢a (J/J��J//////� �(1- 3V�)rpodor 9(-Mi/diw cSiynalu�o of.App(icars! /G"^!f v ISSUED THROUGH A. A. DORITY COMPANY Boston STREET PERMIT BOND KNOW ALL MEN BY THESE PRESENTS,That we Hadley Consulting Services LLC, of 24 Denby Road; Allston,MA 02134, hereinafter referred to as Principal,and NGM Insurance Company a corporation organized and existing under the laws of the State of Florida and authorized to do business in the Commonwealth of Massachusetts,as Surety,are held and firmly bound unto City of Salem,MA,hereinafter referred to as Obligee, in the sum of One Thousand dollars ($1,000.00) lawful money of the United States of America,to the payment of which sum,well and truly to be made,we bind ourselves,our executors,administrators,successors and assigns,firmly by these presents. THE CONDITION OF THIS OBLIGATION IS SUCH,That whereas,the Principal has made application for a license or permit to the Obligee for the purpose of opening and/or occupying a public way. NOW,THEREFORE,if the Principal shall faithfully comply with all ordinances,rules and regulations which have been or may hereafter be in force concerning said License or Permit,and shall save and keep harmless the Obligee from all loss or damage which it may sustain or for which it may become liable on account of the issuance of said license or permit to the Principal,then this obligation shall be null and void;otherwise,to remain in full force and effect. THIS BOND WILL CONTINUE IN FULL FORCE UNTIL CANCELLED BY THE SURETY. The Surety may at any time terminate its liability by giving thirty(30)days written notice to the Obligee,and the Surety shall not be liable for any default after such thirty day notice period,except for defaults occurring prior thereto. SIGNED,SEALED AND DATED July 9th,2015. (�4 9ax try: K j dley Consulting Services LL NGM IInsurance Company Bond No. 562746 Je%/ i' rawfor Attorney �I.A.Dority Comparry,Inc. tf "k�;� tj�+ `r. '• 262 Washington Street,Suite 99 Boston,MA 02108 Ht s (617)523-2935 ®NGM INSURANCE COMPANY POWER OF ATTORNEY 06-02972356AM 1 nrembar al Tire Main atmet America Gmup KNOW ALL MEN BY THESE PRESENTS: That NGM Insurance Company, a Florida corporation having its principal - office in the City of Jacksonville, State of Florida,pursuant to°Article IV, Section 2 of the By-Laws 0of said Company,to'wit: "Article IV, Section 2. The board of directors, the president, any vice president, secretary, or the treasurer shall have the power and authority to appoint'ittorneys-in-fact and to authorize them to execute on behalf of the company and affix the seal of the company thereto, bonds, recognisances, contracts of indejohity or writings obligatory in the nature of a bond, recognizance or conditional undertaking and to remove any such attomeys-in-fact at any time and revoke the power and authority given to them. " does hereby make,constitute and appoint Philip B Crawford,Richard WCrawford,James M Crawford, Katie E Ford,Jeffrey W Crawford ---------------°-----= its true and lawful Attorneys-in-fact,to make, execute,seal and deliver for and on its behalf, and as its act and deed,bonds, undertakings,recognizances,contracts of indemnityor other writings obligatory in nature of a bond subject to the following limttatlon: 1. No one bond to exceed Five Million Dollars($5,000,000.00) and To bind NGM Insurance Compaily thereby as fully and to the same extentas if snch`instmments were signed'by the duly authorized officers of the'NGM Insurance Company;the acts of said Attorney are hereby ratified and confirmed: This power of attorney is signed and sealed by facsimile under and by the authority of the following resolution adopted by the Directors of NGM Insurance Company at a meeting duly called and held on the 2nd day of December 1977. Voted:That the signature of any officer authorized by the By-Laws and the company seal may be affixed by facsimile to any power of attorney or special power of attorney or certification of either given for the execution of any bond, undertaking,recognizance or other written obligation in the nature thereof, such signature and seal, when so used being„ hereby adopted by the company as the original signature of such office and the original(seal of the'company, to be valid; - _r and binding upon the company with the same force and effect as though manually affixed. IN WITNESS WHEREOF, NGM Insurance Company has caused these presents to be signed by its Vice President, General Counsel and Secretary and its corporate seal to be hereto,affixed this;20th day of March,2013 NGM INSURANCE-COMPANY B �,511��g Bruce R Fox A Vice President,General ` Counsel and Secretary= State of Florida, County of Duval. On this March 20th,2013,before the subscriber a Notary Public of State of Florida is and for the4County of Duval duly commissioned and qualified, came Bruce R Fox of the NGM Insurance Company, to me personally known to be the officer described herein,°and who, executed the preceding instrument, and he acknowledged the execution of same, and being by me fully swom, deposed and said that he is an officer of said Company,aforesaid: that the seal affixed to the preceding instrument is the corporate seal of said Company, and the said corporate seal and her signature as officer were duly affixed and subscribed to the said'instrument by'the authority and direction of the said ' Company;that Article IV,Section 2 of the By-Laws of said Company is now in force. I N WITNESS WHEREOF,I have hereunto set my hand and affixed my official seal at Jacksonville,Florida this 20th day of March, 2013. rASM PHUW arAiFa;,auc xmutEISW Cmwk EEIYA9i - I,Brian J Beggs,Vice President of the NGM Insurance Company,do hereby certify that the above and foregoing is a true and correct copy of a Power of Attorney executed by said Company which is still m full force and effect 1 ro r t i IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Company at Jacksonville°Fl nJd thtst s I J. ri ° , t t WARNING Any unauthorized reproduction or alteration of this document is prohibited - TO CONFIRM VALIDITY of the attached bond please call 1-800-225-5646. TO SUBMIT A CLABvt Send all coaespogdenee to 55 West Street,Keene,NE 03431 Attn:Bond;Clauns 4 Fe SlTVE J! [ jai 'ruin Y1ocuGardeOD546contalAs Sseeuritypantbgraph,blne*kg[ormft,heatsanstme rnk,coin•reactive mtermark,;and mrctoterfpdntfng (pity of tin em, massar4us etts � '• '' Public Propertg Department �e iguilbing Department (One thlem (green 500-745-9595 1Ext. 3 0❑ Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer September 15, 1995 Condo Association c/o Nancy Riordan 105 Essex Street Salem, Mass. 01970 RE: 105 Essex Street Dear Ms. Riordan: On February 18, 1993 a letter was sent to you by this office concerning building code violations (letter enclosed) . To this date we have not received a letter from a structural engineer stating the structural members at the basement level are structurally sound. This office realized that you did acquire the firm of Milne to conduct a survey and we did receive his report. But we did not issue any permit for work that was requested by Milne nor do we know if work was ever performed. This office must be made aware of the situation at its present time. Please call to confirm that work was completed or that an approval from a structural engineer stating that the structural members are sound. Failure to hear from you within fifteen (15) days will result in legal action being taken against you. Thank you in advance for your anticipated cooperation in this matter. Sincerely, n '�5-V Leo E. Tremblay Inspector of Buildi gs LET: scm cc: Inspector LaPoint, Fire John Giardi, Electrical Milne, 5 Pickering Wharf Certified Mail # P 921 991 830 TitU of i*tt1Eut, Massur4usetts Public Propertq i9epartment Suilbing i9epartment (Pee Belem (6reen 500-745-9595 /Ext. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer October 18, 1993 Condo Association c/o Nancy Riordan 105 Essex Street Salem, MA 01970 RE: 105 Essex St. Dear Ms. Riordan: Responding to a complaint received by this office regarding alleged violations at the above referenced property and inspection was conducted by the Building Dept. , Electrical Dept. and the Plumbing Inspector. The following is a list of violations that are in need of correction: ]T The hole in the basement floor at the drain area must have a secure cover. There is decay in some of the structural carrying members at the basement level. These must be made safe and written certification from a Certified Structural Engineer must be submitted to this office stating the beams at basement level are safe. 3. Clay pipe being used as a down spout must be removed or made safe. 4. Flue pipe from old furnace must be disconnected from chimney hole and the hole in the chimney must be patched with masonry material. 5. Electrical violations are to be corrected per attached list. 6. Permit application for installation of new furnace must be obtained from the Salem Fire Prevention Office. Page 2 Condo Association, c/o Nancy Riordan 105 Essex St. , Salem, MA 01970 October 18, 1993 RE: 105 Essex St. You are hereby requested to rectify all violations within thirty (30) days of receipt of this notice. If you have any questions, or if I can be of any help, please do not hesitate to call. I thank you in advance for your anticipated cooperation and prompt attention in this matter. Sincerely, Leo E. Trembla71dings Inspector of Bu LET:bms Enclosure: ( 1) cc: Inspector LaPointe, Fire Dept. John Giardi, Electrical Dept. Dila Corp. , 109 Salem St. , Revere, MA 02151 Certified Mail #P 921 991 569 \105essex\ POSTAGE POSTMARK 00 DATE or RETURNSHOW TO WHOM,DATE AND RESTRICTED W RECEIPT ADDRESS OF DELIVERY DEINERY G. O CERTIFIER FEE+REIUA RNECEIPT J SERVICE >N TOTAL POSTAGE AND FEES - NO INSURANCE COVERAGE PROVIDED- W SENT TO: NOT FOR INTERNARONAL MAIL On Q aZ O Condo Association a� u- M c(o Nancy+ Riordan "^ ED W 0 rq 105 Tss#x Streeto j 2 ru Salem, Mass. 01970 N; U a 5F 4, PS FORM 3800 z RECEIPT FOR CERTIFIED MAIL a uwreosmres - � wsru sam�ce _ ------------ - -------- ------. ___..__..___.. i ' ARTICLE + _. P 921 99'1 830 �a UNE i. Condo Association NUMBER . c/o Nancy Riordan 105 Essex Street Salem, Mass. 01970 t FOLD AT PERFORATION t ` WALZ . INSERT IN STANDARD#10 WINDOW ENVELOPE. ( E R LI F IED { M A I E E R I m • ' Complete items 1 and/or 2 for additional services. I also wish to receive the • complete items 3,and 4a a b. following services(for an extra fee): • Print your name and address on the reverse of this form so that we can return this card to you. 1. ❑ Addressee's Address • Attach this form to the front of the mailpiece,or on the back if spare does not permit. • Write"Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery • The Return Receipt Fee will provide you the signature of the person delivered to and the Consult postmaster for fee. date of deliver . 3.Article Addressed to: 4a.Article Number P 921 991 569 Condo As3Gciatio:t c/o 'hAncy 111orcan 4b.Service Type - 1G) Esse: St, CERTIFIED salen, tm 01-7o 7.Date of eliv 1 5.Signature—(Addressee) 8.Add ssee's Addr (ONLY if requested and fee paid) 6.Signature— (Agent) 0—,t Form 3811,November 1990 DOMESTIC RETURN RECEIPT United States Postal Service X-V ESS Official Business �4 • 983 ,. - PENALTY FOR PRIVATE USE,$300 III�rr�rrllldrrlrrrlllrrrrrllJrrrlr�IrI�LJLr�II INSPECTOR OF BUILDINGS ONE SALEM GREEN SALEM MA 01970-3724 .a9 ARTICLE P 921 991 569 UNE 1. ' _Condo Association NUMBER ;c/o Nancy Riordan -105 Esser St. Salem, MA 01970 t FOLD AT PERFORATION t OF WALZ INSERT IN STANDARD#10 WINDOW ENVELOPE. E E A T I F I E D n i M A I E F A,'., CIILJIII i ( . ` (pity of *alein, :ffiassac4usetto 1 <<a tlublic Propertq Department Suilbing Department (One #alem (6reen 508-745-9595 FA. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer October 18, 1993 Condo Association c/o Nancy Riordan 105 Essex Street Salem, MA 01970 RE: 105 Essex St. Dear Ms. Riordan: Responding to a complaint received by this office regarding alleged violations at the above referenced property and inspection was conducted by the Building Dept. , Electrical Dept. and the Plumbing Inspector. The following is a list of violations that are in need of correction: T The hole in the basement floor at the drain area must have a secure cover. 2. There is decay in some of the structural carrying members at the basement level. These must be made safe and written certification from a Certified Structural Engineer must be submitted to this office stating the beams at basement level are safe. 3. Clay pipe being used as a down spout must be removed or made safe. 4. Flue pipe from old furnace must be disconnected from chimney hole and the hole in the chimney must be patched with masonry material. S. Electrical violations are to be corrected per attached list. 6. Permit application for installation of new furnace must be obtained from the Salem Fire Prevention Office. Page 2 Condo Association, c/o Nancy Riordan 105 Essex St. , Salem, MA 01970 October 18, 1993 RE: 105 Essex St. You are hereby requested to rectify all violations within thirty (30) days of receipt of this notice. If you have any questions, or if I can be of any help, please do not hesitate to call. I thank you in advance for your anticipated cooperation and prompt attention in this matter. Sincerely,, / Leo E. Tremblay Inspector of Buldings LET:bms Enclosure: ( 1) cc: Inspector LaPointe, Fire Dept. John Giardi, Electrical Dept. Dila Corp. , 109 Salem St. , Revere, MA 02151 Certified Mail #P 921 991 569 \105essex\ Ctv of Tlertriral Pgpartment Jnl�tc J(Rittr�i Wirt 3lnsperfor 44 Tafagette $f. ,$fttlem, .9lliass. D197D ,Area (Game 617 745-6300 October 15 , 1993 TO : Leo E . Tremblay, Building Inspector FROM: John J . Giardi , Wire Inspector SUBJECT : 105 Essex Street An electrical inspection was conducted on October 14 , 1993 to deter- mine whether any electrical violations existed . I found the following vi - olations to be present: 1 . The fire-matic switch for the oil burner needs to be installed properly. 2. There were several branch circuit conductors open and hanging loosely exposed , open to the persons touch . 3. Three of the porcelain lighting fixtures in the basement we�re' bro- k.en and needs to be replaced . 4, Th.e Cable Television , telephone and services attached to the rear of the building are in total disarray and must be secured properly in d neat and work;iing manner. 5 , A permit must be taken out at the City of Salem Electrical Depart-ment for the installation of the new boiler in the basement. Please be advised these violations shall be corrected within 14 days or further action shall be taken . If you have any questions ,. please contact my office . OoWhnTJgia di , Wire Inspector cc : Nancy Riordan , Trustee - 105 Essex St . , Salem, Ma . 01970 SENDER: • Complete items 1 and/or 2 for additional services. I also wish to receive the • complete items 3,and 4a a b, following services(for an extra fee): • Print your name and address on the reverse of this form so that we can return this card to you. 1. ❑ Addressee's Address • Attach this form to the front of the mailpiece,or on the back if space does not permit. • Write'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery • The Return Receipt Fee will provide you the signature of the person delivered to and the Consult date of delivery. postmaster for fee. 3.Article Addressed to 4a.Article Number P 921 991 830 , tri ......:., t .c..u...s - 4b.Servic yq E cSn .r 7.Date as r �.l 5.Signature—(Addressee) 8.Addressee's Abdresstf' (ONLY if requested and fee paid.) nature—(Agent) PS Form 3811,November 1990 DOMESTIC RETURN RECEIPT United States Postal Service Official Business PENALTY FOR PRIVATE USE,$300 Ill�wul�l��u�u�ll�mnl��lu��ul�l�lull�nll INSPECTOR OF BUILDINGS ONE SALEM GREEN SALEM MA 01970-3724 Titg of itttlem, ,fttssar4usetts Public trupertg Department gyp^ tl" tiguilbing Department (One 6alem (rareen 508-745-9595 Fxt. 388 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer September 15, 1995 Condo Association c/o Nancy Riordan 105 Essex Street Salem, Mass. 01970 RE: 105 Essex Street Dear Ms. Riordan: On February 18, 1993 a letter was sent to you by this office concerning building code violations (letter enclosed) . To this date we have not received a letter from a structural engineer stating the structural members at the basement level are structurally sound. This office realized that you did acquire the firm of Milne to conduct a survey and we did receive his report. But we did not issue any permit for work that was requested by Milne nor do we know if work was ever performed. This office must be made aware of the situation at its present time. Please call to confirm that work was completed or that an approval from a structural engineer stating that the structural members are sound. Failure to hear from you within fifteen (15) days will result in legal action being taken against you. Thank you in advance for your anticipated cooperation in this matter. Sincerely, Leo E. Tremblay Inspector of Buildi gs LET: scm cc: Inspector LaPoint, Fire John Giardi, Electrical Milne, 5 Pickering Wharf Certified Mail # P 921 991 830 7 of �ttlem, Aassar4usetts Public Prupertg i9epartment Nuilbing Department (One Belem (green 588-745-9595 $xt. 388 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer October 18, 1993 Condo Association C/o Nancy Riordan 105 Essex Street Salem, MA 01970 RE: 105 Essex St. Dear Ms. Riordan: Responding to a complaint received by this office regarding alleged violations at the above referenced property and inspection was conducted by the Building Dept. , Electrical Dept. and the Plumbing Inspector. The following is a list of violations that are in need of correction: ]J. The hole in the basement floor at the drain area must have a secure cover. 2. There is decay in some of the structural carrying members at the basement level. These must be made safe and written certification from a Certified Structural Engineer must be submitted to this office stating the beams at basement level are safe. 3. Clay pipe being used as a down spout must be removed or made safe. 4. Flue pipe from old furnace must be disconnected from chimney hole and the hole in the chimney must be patched with masonry material. 5. Electrical violations are to be corrected per attached list. 6. Permit application for installation of new furnace must be obtained from the Salem Fire Prevention Office. r Page 2 Condo Association, c/o Nancy Riordan 105 Essex St. , Salem, MA 01970 October 18, 1993 RE: 105 Essex St. You are hereby requested to rectify all violations within thirty (30) days of receipt of this notice. If you have any questions, or if I can be of any help, please do not hesitate to call. I thank you in advance for your anticipated cooperation and prompt attention in this matter. Sincerely, Leo E. Trembla71dings Inspector of Bu LET:bms Enclosure: ( 1) cc: Inspector LaPointe, Fire Dept. John Giardi, Electrical Dept. Dila Corp. , 109 Salem St. , Revere, MA 02151 Certified Mail #P 921 991 569 \105essex\ 3 Tito of �tt1Em, fiittssar4usetts tlublir Propertq Department 13uilbing Department (Out ftlem (6reen 508-745.9595 Ext. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 15, 1994 Condo Association c/o Nancy Riordan 105 Essex St. Salem, MA 01970 RE: 105 Essex St. Dear Mr. Riordan: On October 18, 1993 a letter from this office was sent to you regarding violations at the above referenced property. Three months have nearly passed and I have received no word from you regarding a final inspection. I feel I have been more than patient and that ample time has passed. You are requested to contact me upon receipt of this letter so we may make arrangements for a final inspection and put these issues to rest. I thank you in advance for your anticipated courtesy and cooperation in this matter. Sincerely, i e,/ tel=ll Leo E. Tremblay Inspector of Buildings LET:bms cc: Inspector LaPointe, Fire Prevention John Giardi, Electrical /105essx2/ ' SEP 14 '95 14:13 P.119 Q 5 PICKERING WHARF SALEM,MASSACHUSETTS 01970 MILNE FAX: 508)747 FAX:(508)744-9938 " :n - ^ra - - NUMBER Of PAGES DATE 9- t � � �1S TIME 100 ❑ A.M. P.M. (Including Cover Letter): NOTE If you did not Twelve all of the pages or it you have a question.Please call the verifying number(below). TO: . . FROM: Go.NAME NAME ADDRESS SUBJECT ATTENTION FAX NO. o .-t 4 SE AIAII AIC2 S FAX NO. VERIFYING NO. -- 5918 SAX Transmissio REMARKS: 105 C-.7570r ' S1'. SEP 14 '95 14:14 P.2/9 PAREX STREET CO TRUCTION SPFCTF1M�dkfiTQN'-!NQTESe GENERAL 1. V-2RIVY ALL EXISTING CONDITIONS PRIOR TO C0611EFICIUC WORK, &IlD NOTIFY THE ENGII•IEER 11.11Y AND ALL DISCREPANCIES OR DIFFICULTIES. 2. CONFORM TO ALL APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, FIFTH EDITION, INCLUDING ALL SUBSEQUENT ADDENDA, t= OTHER CODES THEREIN. 3. DETAILS AND NOTES WHICH ARE 170TED AS TYPICAL SHALL APPLY AT ALL LOCATIO14S EXCEPT, 1-11ILRE SPECIFICALLY II-MICATED OTHERWISE. 4. DETAILS WHICH APPLY TO REPETITIVE ELEMENTS SHALL 33 CONSIDERED TYPICAL P09 ALL SIRILAR PEPBTIT117E ELEMENTS UNLESS OTHERWISE INDICATED. 5. 211OVIDE TEMPORARILY SHORING AIM BRACING OP WORN AS MAY BE NECESSARY DURING COI,'JSTIUCTION. G. FOLLOW ALL WRITTEN INSTRUCTIOUS AND REQUIREVENTIS PROVIDED BY THE MANUFACTURERS OF ALL REFERENCED PRODUCTS. B. DESCRIPTION OF WORK 1. PERFORM A COMPLETE SITE SURVEY AND FIELD VERIFY ALL EXISTING DIMENSIONS, COORDINATE ALL NECESSARY ADJUSTMEDTS. REFER TO PLAN ON SHEET SKS-1 FOR EXTENT OF REPAIR WORK. 2. SISTER DAMAGED JOISTS WITH EITHER SINGLE OR A DOUBLE SISTERS AS NOTED ON THE PLAN AS "10 OR "2" ABOVE THE JOIST. REFER TO SKETCH SKS-2 FOR JOIST REPAIR. 3. SISTER DAMAGED SECONDARY TIMBER BEA11S WITH EITHER SINGLE OR A. DOUBLE SISTERS AS NOTED ON THE PLAN AS q1" OR '12" ABOVE THE BEAMIS. REFER TO SKETCH SKS-2 FOR REPAIR BUT INSTALL SISTERS IN A RECESSED POSITION AS NECESSARY TO PASS BENEATH EIIISTING JOISTS. JOISTS MAY BE NOTCHED AS INDICATED Oil SKS-3 WHERE NECESSARY. DEPTH OF SISTERS. SHALL DE AT LEAST THAT OF T13E BEAMS. 4. SISTER DAMAGED HEAVY TIMBER BEAMS WITH DOUBLE STEEL CHANNEL SISTERS AS NOTED ON THE PLAY, AS 112" ABOVE THE BEANS. REFER TO SKETCH SKS-3 FOR HEAVY TIMBER BEAM REPAIR. SHIN AGAINST JOISTS TO LOAD. USE SHEAR PLATE END COD114ECTIOIIS OVER EXISTING PIERS AS SH017N ON SKETCH SKS-4, ONLY WHERE THE BEAM SIDES SEP 14 '95 14:14 P.3/9 ARE SOUND. i SUBSTITUTE BEARING ANGLE CONNECTIONS S,CETC[j SIBS-5 1,7HERE THE; DEAN SIDES ARE, NOT SOUND. CUT AND INSTALL ONE BEARING ANGLE AT A TIME TO AVOID ROLLING TEE BERNS. TIE TOGETHER WITH COMMON RODS AFTER ANGLE AND CHANNELS III PLACE. 5. REPLACE DARAGED JOIST WHERE INDICATED IN LINE RIND, OR WITH EQUIVALENT DIMENSIONAL LULNBER. 6.. TREAT CRUSHED BEARING PLATE WITH "CUPRINOL" OR EQUIVALENT PRESERVATIVE, AND .LEAVL IN PLACE. 7. REINFORCE SPONGEY SUBFLOOP BY ADDING FLAT 2 it 8 'S OR WIDER BENEATH SUBFLOOR SUPPORTED ON 2x4 IiiNivi"um LEDGER BOARDS NAILED TO JOIST OR BEANS SIDES WITH 16D NAILS AT 4" MAX 0. C- r STAGGERED. C. DESIGN PARAMETERS 1. THE GENERAL INTENT OF THIS WORK 'IS TO REPAIR MEMBERS WHICH HAVE BEEN DAMAGED BY WOOD BORING INSECTS, A14D BY FUUGILE ATTACX WHERE DETECTABLE. THE DESIGN CONSIDERS REPAIR OR REPLACEMENT IN LIKE .BIND, RATHER THAN A BASIS OF CALCULATED LOADS OR STRUCTURAL ANALYSIS. THEREFORE, IT IS NOT THE INTENT OF THIS PROJECT TO CERTIFY THAT THE STRUCTURE MEETS PRESENT DAY CODES OTHER THAN BY THE EXTENT THAT IT IS COVERED UNDER ARTICLE 32 OF THE MASSACHUSETTS STATE BUILDING CODE. Z. THE DESIGN LOADS CONSIDERED WERE THE RESULT OF THE ESTIMATED AMOUNT OF DETERIORATION 09 DEFICIENT MEMBERS AND THE FOLLOWING ASSUMED EXISTING VNIERIAL PROPERTIES: EXISTING TIMBER: ALLOWABLE Brl',ID:ENG STRESS 2000 PSI ALLOWABLE SHEAR STRESS 150 PS1 ALLOWABLE BEARING STRESS = 500 PSI EXISTING HASONRY PIERS: ALLOWABLE BEARING STRESS = 250 PSI D. STRUCTURAL STEEL 1. ALL STRUCTURAL SHALL CONFOITl TO ASTM A36 AND SHALL BE PRIMED WITH TNENC RED OR EQUIVALENT. SEP 14 '95 14:15 P.4i9 2. FABRICATE STEEL ONLY AFTER. TAX114G ALL FIDLD r MEASURERENTS, C _ .. „ SS. 3. ALL THREADED ROD SHALL BE ASTAI A307. E. ROUGH CARPENTRY 1. ALL STOOD SHALL BE SOUTHERN PII1E 110. 2, OR DOUGLASS FIR NO. 2. PRESSURE TREATED SOUTHERN YELLON PINE MAY BE SUBSTITUTED. 2. ALL NAILS, BOLTS AND CONNECTORS SEIALL BE 1IOT-DIP GALVANIZED. 3. PROVIDE AND INSTALL PROPERLY SIZED STANDARD METAL CONNECTORS FOR ALL FLUSH FRAGIED JOIST AND =%R CONNECTIONS. 4. PROVIDE WASHERS AT ALL SCREW AND DOLT HEADS ARID NUTS IN BOLTED AILD SCRESI21) CONINECTIOI,IS. 5. PROVIDE ALL NAILING REQUIRED UNDER MIWSACHUSETTS STATE BUILDI14G CODE, APPENDIX M. G. SHEAR PLATE TIFIBER CONNECTORS SHALL BE 4" DIAMETER, MALLEABLE IRON, TO FIT 3%4" DIA:,IETcF. DOLTS. SHEAR PLATES SHALL BE GRADE 32510 OF ASTM STANDARD A47. SEP 14 195 14:15 P.5i9 QJOB / A 5 tT S 3 C k S 7 MILNE SHEETN0. k s - OF -- CNECKEO By GATE SCALE j 7'. 4fv p:.��e D:. �J C1 lS. 1- .. 5 [ s�" b- "Tz�14 Y ` .. . _. _. z4005! 1G �;-- .�rT� ANO � ,2E'Q'D _. ... ------------- ,. _.. ... - — o . .... --- - - r - _ - .. al/EW , rS.i�� - -•may .J.dIST` _. p p /.../__1R1 - P 14 195 14:16 P.6/9 QX48 05 67—S L )C- SHESTIO. sy— �CUATED DATE MILNEr ' CHECKED ffy SCALE .......... ........... ............. .............. .................... ...... ........ ------- ............ ....... ................- jl . .... ...... ..... ..... ................. ........ 7. 7-- 144 ...... ......... ............ .......... W*leoe .......... ........ .......... 19 ............ .............. ......... t .......... 4� ....... . ..... ........................ .............. ............ ....... ....... ........... ........... ............ .......... --- - -- ------- SEP 14 195 14:17 p P.7i9 rr QJOB r O 4, SHEET NO. J ""': " OF MrLNE _ cucuuTEDer�� DATES CHECKED BY-- ",DATE JJ SCALE r I - --- J oJs7 p.. b - P6�s72 i. IArouP . ..,..., rn :5 b C 1 D X4=1-►� ........ (6 - - - .— deo �r ..8. t�w17 - _: _ .... �. l - -- -IN . - - - - - SEP 14 '95 14:18 P.8i9 QJOBn s C16 tr7 A 57'S SHEETNO. 'S K MILNE GLaaTEDBY "TE - ,z- - CHECKED BY ;Qq SME ..... TYP.c- arsr? T _ _.... - �Y TH CFCs --- -- _'... - __ L6h4;h � k - - f !!N o G 3 a b S f �n D 1s ,�� ss� Sof i A . IIS G97Md�._ K o a 0 0 _ y Z N N,a 1 c' 14 Ll 0915/ .3?BA00 �D .d7%NIS _g�Jn \i1 N ! ' N i W8 ?J38�'JLL AAN3H t ! ,p Y of t*ttlrm, Massar4usetts Ilublic Vrnpertp Department �p Nuilbing Department (One Balem Torten 598.745-9595 Ext. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer September 25 , 1995 Milne 5 Pickering Wharf Salem, Mass . 01970 RE: 105 Essex Street Dear Mr. Wathne: This office is in receipt of your letter of September 21, 1995 , where a grace period to allow structural repairs in the basement of the above mentioned property has been requested. This office does not make any decision on structural matters other than advise the owner to have a licensed structural engineer evaluate the situation and to conform with his or her opinion for repairs . It was obvious to this inspector that we had an unsafe condition which you verified. I will allow as much time to Mrs . Riordon as you can see fit to allow, without endangering the safety of the residents of the complex, and the safety of the public. This office does not pose a structural engineer, and we do not claim to have the knowledge of such, therefore we must rely on your expertise in these situations, whatever you feel is a comfortable timetable in having this work accomplished will be fine with this office as long as the safety of the residents and public are not in danger. v If this office can be of any further assistance in this matter, please do not hesitate to call . Sincerely, Leo E . Tremblay Inspector of Buildings LET: scm cc: Councillor Ahmed, Ward 1 Mrs . Riordon 105 Essex Street Salem, Mass . 01970 t SEP 21 '95 16:35 P.1/2 QHiLD1H0 DEPT. MILNE r x 'SEP �5 8 u ��i 95 5 Pickering Wharf Salem,Massachusetts 01970(6081 744-M7 �7 RECEIVED September21 0fy;4i_EVit,MASS. City of Salem Building Department One Salem Green Salem, MA 01970 Attention: Mr. Leo Tremblay Inspector of Buildings Re: 105 Essex Street Dear Mr. Tremblay: I am writing in response to your September 15, 1995 letter to Ms. Nancy Riordon, who represents the Condominium Association at 105 Essex Street. She has requested that I . .update you as to the status of the conditions in her basement. As you are probably aware, Milne Associates was been retained by the Condominium Association to provide a set of bidding documents for the required repair of the first floor structural members, effected by beetle intrusion. we issued a set of sketches and specification notes on May 12, 1994 and your office has been sent a copy. We also provided ' assistance in lining up an exterminator to treat the basement, This was done and it is our assumption that the attack on the wooden timbers has been halted. Ms. Riordon has, in our opinion, acted in good faith to try to line up a contractor to do the necessary repair work. we have offered to entertain modifications suggested by the contractor to increase the efficiency and economy of his work. Unfortunately, economic conditions and availability have seemed to preclude any of the half dozen or so contractors who have visited the site from successfully bidding on the work, which is in a cramped, barely accessible basement space. An Eyml Oppununiry/pmewaw Action Emdorar 3 - SEP 21 195 16:36 P,2i2 BUILt iNG DEPT. ; p 9 The floor has not exhibited any addi"- Ai C 1 dits't�sO 95 since the date of detection of this problem. It can be assumed that with the.extermination treatment, air3-IFAS will not worsen. Perhaps you, would allow Wjg*dFfi9rjes MASS. period to get Construction going with the understanding that Ms. Riordon will step-up her efforts to get -work underway. Cordially, MI so s', INC. John Wathne, P.E. of 'A.7ttlrm, massar4usetts Public Propertg Department �p d� iguilbing Department (One Balem preen 50u-745-9595 Ext. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer April 28, 1994 Condo Association c/o Nancy Riordan 105 Essex Street Salem, Mass . 01970 RE: 105 Essex Street Dear Ms . Riordan: On April 28, 1994 I spoke with John Wathney your engineer. He informed me that the structural problems would not be completed for at least two weeks . This is unexceptable with me. I would like you to please contact this office within (24) twenty-four hours upon receipt of this letter so we can make arrangements for me to inspect your property in regards to the other items on the list . Sincerel a ,T� ohn T' nnings T,ocal Bui' ding Inspector JJJ: scm cc; Councillor George Ahmad Certified Mail # P 921 991 596 c E C � �vI � AJT16 Ao eS S � 1 oS q SSCo( TF U vionj S ) CGylr)c)S NLL 'TL� C 1P�C Ivc t.c. t tL l 1t �-j 1� �ANuc_�\ l Z)111)1� Lose x-10 `U� v� -a� 2u� r y�.� 1 Leekr��jC 1GiNI � t� i�j from Q \U j0 STEG=� A � 25 A6ZS No w MAIN 3FRA4S ' �� 1S � � &AC- l ) t Lce -F S�� a� �6S v� Cr"T � t X 11 `D 4 C,, ,, tl ............................................ OFFICE OF THE ITISPEECTOR OF BUILDINGS DATE............................................ �1 4m; B & B HOME STYLE LAUNDRY CORP. THISSHALL CERTIFY THAT ...................... ............. ..................................................................................... ,has permission to occupy premises at.....��.��ON..STREET..................................................................................... .... ....... . . .For ................LAUNDROMAT................................................................. purposes, in accordance with the City of Salem Zoning Ordinance and Building Code, providing that this use shall conform to the terms of the 3ppticatiGn On f:!e in this office, and to the provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. Any Violation of any of the terms above noted is an immediate revocation of this certificate. CITY ENGINEER WIRING INSPECTOR Rough ll"PECTOR GAS INSPECTOR INSPECTOR 1'� �ar. ffkInsa� n 80vh Inspection —F�..gh I nap�tion qa.gh f Roush iqo.gh ----------N F F7 ln'P�1'0n Final 1��p�-A- nal Isp�-zian Ic -nn z K3 TEMPORARY =_2Ldays WILL EXPIRE JUNE 27,1983 INSPECTOR OF BUILDINGS DY�In ('i T4 NO. «...... ................. ...... I F THE 1, S' 1 , ECTUR OF BUILDINGS r F,3 1 bArE...«.............. ........... «........_... +-�`S:•• g p '.a2g,� �sYJs.9 Y I.si..d �� ale�<�•IG.1� Sit R��7�,.,l1 � �.�l,aa�;.��,� FIRST SALEM RrALTY TRUST THIS SH.4LC CERTIFY THAT .........................: 'has parmissin ......... n to occupy premises at.: :.....IN.�.S.S>�.s.��E� ............. for CONDO .- UNIT # ......... .. purposes, in accordance with thx City Of Salem Zoning Ordinance and Building Code, providing that this use shall conform to the terms appl of the ication on file in this office, and to the provisions of the Statutes, and to the City Zoning Ordinance and Citi Any violation Of ally Of the terms above noted is an immediate revocation of this certificate,Any Code. CITY ENGI?lEEFl 4VIFlING INSPECTOR PLUMBING INSP'c CTOR GAS INSPECTOR FIRE DEPT. INaPECTO? —_—_ jRocph Insp?[lion Flouph Insp[riiOn Rau h In• 0 on Rough Insp�ciion Rough lnsp�ci,on ^Injl Intp.K:ion Final Inss— n -- -- _-_ _---�-' Final Insp),:Lib^ Fieal Insp x:ion . Final I nsp±cuon INSPECTOR OF BUrI,01NGS (LT i1 STC. -, -i �>n Di MUM OF TN's I'MUECTOR OF BUILDI??GS ;� 1•�:�;`a✓.�: o' DATE................................«....«... 'lie=y �s� pF n �P • i r�i7 Pd -.. i ii ir�i7j yi T f f FIRST SALEM REALTY TRUST ' THIS SHALL CERTIFY THAT .......... .. ....... . ..... ......................................................................................... + ..has permission to occupy premises at.:.:......aQa.ES. $X..ST ET..........................................: for ,.......CONDO'.....UNIT .................. .. purposes, in accordance with the City of Salem . ................................ .. ........ Zoning Ordinance and Building Code, providing that this use shalt conform to tha terms of the application on file in this of Fite, and to the provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. Any violation of any of the terms above noted is an immediate revocation of this certificate. _CITY ENGINEER WIRING INSPECTOR PLUMBING INSPECTOR GAS INSPECTOR FIRE DEPT. INSPECTOP iROegh Inspection Rough Inspection Rough Ihsp;ction - Rou- I ah Inspection Rough IRsp2 tlon =nal Ins?.Kaon _— Final Inspect, Final Insp ction Fiat Insp'. :ion Fioaf Insp'Ouon INSPECTOR OF BUILDINGS I OFFICE: OF THE 1i9SPECTOR OF BUILDENGS ............. `Lim .` R3 • !! eeaa �5yv. 1 THIS SHALL CERTIFY THAT .........FIRST..SALEM REALTY TRUST _. ................................................................................................................. has permission to occupy prernisas at..........1 Q5..E$5)W..S'1:Wj..........:......................................... ............................ 'or ........CONDO - UNIT................................................... ....... purposes, in accordance with the City of Salem Zoning Ordinance and Building Code, providing that this use shall con€orm to the terms of the application on file in this o€Fice, and to the provisions o€ the Statutes, and to the City Zoning Ordinance and City Building Code. Any violtrtion of any of the terms above noted is an immediate revocation o€this certi€icate. CITY ENGINEER WIRING INSPECTOR PLUNIBING INSP'c CTOR GAS INSPECTOR FIRE DEPT. INSPECTO?. Roc, ,Inspection Rou h Ins s tion Rou h In; G p 0 Potion Rough Insp rction Rough Inspection j =mi insp.:c:ion Fine] Inspec;:oo - Final lnspwcion Finat Ins?�- tion Final lns pec Uon I- INSPECTOR OF BUILDINGS NO OFFICE OF THE 1 )SPECTOR OF BUILDINGS _ ___.•_.. DATE.. 13 Lill t li g �'�;�U �. I - FIRST SALEM REALTY TRUST fHISSHALL CERTIFY THAT ............................................................................................................................ has permission to occupy premises at...........1Q5.u.sm..ST.ftFrw.................................. CONDO UNIT �k in accordance with the Cit of SRiam for .........................................................:.........:........_.................. purposes, Y Zoning Ordinance and Building Code, providing that this use shalt conform to ti;e terms of tine application o❑ file in this office, and to the provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. Any vloltltlon of any of the terms above noted is an immediate revocation of this Certificate. CITY ENGINEER WIRING INSPFCTOR PLUMBING 1NSPFCTOR GAS INSPECTOR FIRE DEPT. INSPECTOP Rocgh Inspection Roul;h Insp=ction Rough Inspcc:ion Rough Inspection Rough inspection —!n3l Inspec;ion - Final Inspac Go-- Final Inspection F:cai Insp^e:ion Final lnsp'evon INSPECTOR OF BUILDINGS DFFiCu OF THE INSPECTOR OF BUII_Dl?1GS NO ..................... �...r..... `•L��J .�r 3 e71��.ra+ Cutup t 2 Y S W:9OuAlnv1 414 Vo jrj _+brig FIRST THIS SHALL CERTIFY THAT ....................SALEM..REALTY.....................TRUST....................................................................................... ission to occupy premisas at..........1.45.ES k .s1?i>rE�................................................................................ has parm CONDO - UNIT 4� purposes, in accordance witht the City of Salem for............................................................................................... P P Zoning Ordinance and Building Code, providing that this usa shalt conform to the terms of the application on UL in this office, and to the ;provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. Any violation of any of the terms above noted is an inmediate revocation of this cartificate. CITY ENGINEER 4VI RING INSPECTORF. Rough MBING INSPECTOR CA$ INSPECTOR FIRE DEPT. INSPECTO? Rocyb Inspaetion Rough Inspection �� Insp -ion Rough Inspaetion Rough Inspection Final Inspsct�nn Insp axion Fiat Insp x:ion Final InsP'cuon IN=SPECTOR OF UUTLOINGS I xTt "5-Thant �• i C No.._...: .....:........_......,.....__...._.. Cog f CFFICG CF THE 1 1S�cCTCR CF BUI!D1Y:GS PATE..._- ... ...... ........... .. ...... 0 a+. ��\ '.. ;1'r °1-ry a 1 FIRST SALEM REALTY TRUST , THIS SHALL CERTIFY THAT ...... .........................................................................._........ .............. 0 ..E. . . ...5 . ET............ ..................................................... gas p2rmissirin to occupy premis2s at..........� .5 ..$`;k�X 'F� _ ............. . CONDO - UNIT dP ..................... purposes,in accerdanC,-with the City of Sa12m for ............................................. Zoning Ordinance and Building Code, providing that this use shag conform to the terms of t're application on file in this of Tice, and to the provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. Any vlol.ition of any Of the terms above noted is an immediate revocation of !his ca, ificate. CITY F\GINE_R \VIKING IKSPECTOR PLUMBING INSPECTOR GAS INSPECTOR FIRE DEPT. INSPECTO? Rov yh - Rough Ih;p tion RouSlt Impaction Rough Irsp=ccion Inspacsion Rough Insps tlon ^ ul:nn Final nsp?:Lion Final Insp'c Tion Final tnsp'_ Tion ;nal Insp�:ion F inol In IP:SPECTOR OF BUILDINGS O .lr..it' NO...............:.................................. 7 > ,r -,lt CiFICG OF THE 1iI)S?ECTOR OF BUILDINGS u tl But FIRST SALEM REALTY TRUST ' "fHIS SHALL CERTIFY TtiAt ...................... has parmission to occupy prernisas at..........lo.�.S�. .T. >iET... . .:....................................................................... i CONDO UNIT �� ..................... purposes,in accordance with the City of Salem for .:.............................................. ............ Zoning Ordinance and Building Code, providing t�.at this use shalt conform to the terms of the apoiicaticn on visions O'i the Statutes, and to the City Zoning Ordinance and City Building Code. fine in this office, and to the pro Amr violation of any of the terms above noted is an immediate revocation of this certificate. J PLUMe1NG INSPECTOR GAS INSPECTOR FIftE DEPT.INi7ECTOR CITY ENGINEER WRING INSPECTOR --- — �t --__— �_---- -- — . R + n Rough InsP 'ioRouin InsYct ion Rough lrspection 'Roach Inspection Routih 1.5P tion - Final InsFieat InsP='cion Final lnsP'evon ��Iml Inspection Final InsPact�nn P kion j IN.Spr CTOR OF BUILDINGS Pig .s,J� 05:T Lm 1• N(��LLS �,Lt.4U � T ", � l•1�1. �r•3'� (�:l.l ...G rl-� NO......::.......:.....................�......�.. i ,•7 AG. "J Z' -'rj OFFICF. OF TN"c EMS?-CTOR OF BUI!OINMSDATE............................. _:. „. .. . /\ n X14 �11 Jill r 1• i Y 1 - REALTY TRUST _ 1 FIRST' SALEM ....... ..................................................................... r THIS SHALL CERTIFY THAT has permission to occupy prerrl�s at ... ., Irposes,in accordance with the City of Salam + CONDO UNIT �k a or .:............................................ ............................._.................... Zoning Ordinance and Building Cade, providing t:at this use shall conform to the terms of tie aapiicatlan on 'file in this office, and to the proovisions01 1ve not dti tan mmeci utes, and ate rethe vocatity ion 61 Zoning certificate.Ordinance d City Building Code. l Amr viol<rtion of any of tie terms aoo PLUMBING INSPECTOR GAS INSPECTOR FIRE DEPT. INSPE CTO_? CITY ENGINEER %vIRING INSPECTOR _ -- ,_.—__._ Rough Ins?'c:ion lnspFz;on R ovgh Imp�'ion RoaSh Impzction �Rocgh Inspecuon . 5 __ Fieal Ins Final InsP'esron rirs Final1MP?ccion 1�- Flnal Inspac inJl In$pMiiJn INSPECTOR OF BUILDINGS _ ' _............_-_... .. tz 7lj p c?i"�? T� � sZN:LrC:;Ai�.2rs r,o. ...:__...:.......: ... OFFICE OF TNc INSPECTOR OF BUILDINGS __..._ ..._.._._... ._. DATE is��l�� iJsti��t1 TY TRUST . FIRST SALEM REA ................... I 4LL CERTIFY THAT ............................. IPHIS SH, ........................................................ v re -Iles at �O j.ES$F$.. �>;F,E ........................ has permission to Occup, p purposes,in accordance with the City of Saiem CONDO UNIT �k { 'for .:........................... .................. Zoning Ordinance and Building Code, providing ti at this use shag conform to the terms of the appucaIg C on i Zoning in this roan c and to the provisions o. the Statutes, and to the City Zoning Ordinance and City Buiidil Code. Ftm� vi0i;rtion o. any of the terms above noted is an immediate revocation o1 this certi icate. 1. GAS INSPECTOR FIRE DEPT. Itva?ECTOP PLUMBING INSPECTOR 'CITY ENGINEER WIRING INSPECTOR _ I - _ Rouah Inspzcti— o� Rou7h Inspection 'i Rough lnsp --ion n-- ' sLtion .Rocyh Inspection RouohIn _ I Z FI'al Insp xc'bn Final Insp e�uon ( —_ Final inspection - Finai Inspacllnn �irtal lnspaotion. i— ' Lt:iP ECTOR OF: BUILDINGS Jr i NO............. .:._.... _... .. f OFFICE OF TSI"c INSPECTOR OF BUILOI?!GS `\� ! 0 BATE..................._ �.:..-. I Y. �� 3 , e• , R ry i �.. I, i 91S SHALL CERTIFY THAT FTH sALE" REALTY TRUST. . .. ...... ....... .......... has permission to occupy prem(sas at ... I05.mow..gmjE '.............................................................. or O CO - UNIT .................................NDpurposes, in accordance with the City of Salem ND ......... J. Zoning Ordinance and Building Code, providing that this use shall conform to tFe terms of the aopiication on I file in this office, and to the provisions of the Statutes, and to the City Zoning Ordinance and City Building Code- 1 ,i Ami violation of any of the termsabove noted is an immediate revocation of this certificate. - _CITY ENGINEER HIRING INSPECTOR PLUMBING INSPECTORGAS INSPECTOR- FIRE DEPT. INS?=CTO= 7 iRocgh Inspection Roush Inspection Rough Insp<tion Roush Inspection Rough Insp3c[io� j _ { i j ";nal Insp.xtion Final Inspactton Final Insp action Fiat Insp'c:ion Final Insp scudo a INSPECTOR OF BUILDINGS jI 'T 9YsZNi :�l�a �rl� No. .... .. :............................. • 7 - s' - y'• ' r \;S7LhTOfl (]F UUILJIi�IJ Gt�ICt; OF THE . J� r . ••�•.� ��• 7� j �"�,•, je t ii J77�: FIRST SALEM REALTY TRUST............................................................................... THIS SHALL CERTIFY THAT ................................ .................................. "has Permission to occupy premises at..:.......�45 $ SFR$Ei.............................................. ' ' purposes,in accordance with the City of Salem CONDO - UNIT It 2C C�.............. f •� providing that this use shall conform to t."e terms of the appiicaticn on or ...... .... .................... ...........code, p � Zoning Ordinance and Building fle in this office, and to the provisions of the Stas�n urlaned of hrevocat on of tOi Ordinance ca City Building Code. jr%ny violation of any of the terms a00`JB noted. FIRE DEPT. INSPECTOF sYIRINGINSPECTOR PLU,,IBING I\'PECTOR GAS INSP ECTOn -- CITY ENGINEER - 1 _ - 0u9h I Pact" i Routh nsp;ction Routh IhsP<'io ,/�[_/' R ou Gh InsP wiion - ch Inspection _ 1 'ctlon Final n4P'c on Ficat lnsP Final InsP?ction L_ 1 at Insy^au:n. inJ11n4ptxtlJn f�f YL S7 _ 1 - INSPECTOR OF BUILDINGS I, dma DrFICC OF THE INSPECTOR CE BUILCI?NGS F`t,•;r.., iY DATE...........................-.:........'. 3A $.'-.. �') �" I W, N, CY THIS SHALL CERTIFY THAT FIRST SALEM REALTY TRUST .. .. ._ .. -has permission to occupy premises at..........J45..F.S Eli.S > EX................................................................................ for CONDO UNIT12B purposes, in accordance with the City of Salem l Zoning Ordinance and Building Code, providing that this use shall conform to the terms of the application on i file in this office, and to the provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. Any ` ioi(Ition Of any of the terms above nOied IS an immediate revocation Of this cartiflcate. CITY ENGINEER WIRING INSPECTOR PLUNIBI INSPECTOR GAS INSPECTOR_ FIRE DEPT, INSP,-CTOP Rocrh Inspection hi 'tion Rough Ihsp :ion Roush Inspaction out}h 1 t itctio inol lnsp.Ktion Fi I lnspauin— Final lnsp:aai n Fi=al lnspion Final nsP. ,on ..� �'e: INSPECTOR OF BUILDINGS J .. a'tz'g S f �sii-m C �t �LFC ��2�ri5 •y O NO.....:.......:�............................. OFFICE OF 7NE WISPECTOR OF BUILDINGS DA .....................................�....... Y1�{tj�7a1e�� SS v g3��Jt11j VJj»a��1�•�� uJ I.,i? , Lo Aral �Jj4.JCJ � � w F a ✓ a FIRST SALEM REALTY TRUST (NIS SHALL CERTIFY THA7 ................................................................................................... i -has permission to occupy premises at.:::......NQS. S.S. ..�F(t>~ET................................................................................ CONDO - UNIT # 2Bpurposes, in accordance with the City of Salem for ............................................................................_.......... ......... 1 : Zoning Ordinance and Building Code, providing t ,at'ihis use shall conform to tine terms of the application on file in this office, and to the provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. Ftny vioLition of any Of the terms above noted is an immediate revocation of this cartificate. PLUMBING 1 'Pc CTOR GAS INSPECTOR FIRE DEPT. INSPECTOF _CI'ry ENGINEER WIRING INSPECTOR _ —. .,/ X iRo pb In<paeiion RPU6 ns-e tion Rou Ch In,p�:ion Rouih/I nsp` ough action Rsp'e- dz2 x t� n Final nsp axion Fieal Inip xtion Fiml t; P?euon 4, "in]I InSpiKi1•,1n F' at Inspw'�y�. t - 1P:SPECTOR OF BUILDINGS Amt iNo.••............ ........................... :-, :f T,, OFFM OF Tblc INSPECTOR OF BUILDINGS -0ATE............_.................. i .. ° � cnst vfblij13 ;�111 qluc i THIS SHALL CERTIFY TIiATFIRST SALEM REALTY TRUST .............. has permission to occupy premises at...........1o5.U.$ T..T........:....................................................................... :or .........CONDO : UNIT .. . 2A purposes, in accordance with the My of Salem Zoning (1 dinance and Building Code, providing that this use shall conform to the terms of the application on file in this office, and to the provisions o'r the Statutes, and to the City Zoning Ordinance and City Building Code. Any violation of any of the terms above noted is an immediate revocation Oi this certilicate. j CITY ENGINEER WIRING INSPECTOR PLUMBING NSPECTOR GAS INSPECTOR FIRE DEPT. INSPECTO= e_ iRocyh Inspaction Rough f6spkYtion ou Gh Insp ,90 Roush Ins � yction u7h trs- coon tt ^In31 inspoe;ion F'nai insp6- Final Iaai n Fieat ins ;ion Fi aI 1nsP uon IN-SPECTOR OF BUILDINGS OS/ 7 C' 1 NO - t (' OFFICE OF THc INS? OF 131 BINGS a]. ''4i1 it @�@ �P1 p9�. '�n111Ell ' .. .`fit%-' go�..Y7 uJ�>�J r_e� +_✓Y -�Clf:tea �a �� 'w.,�� .T�.,N��Si7�1,1; f:IIS SHALL CERTIFY THAT FIRST SALEM REALTY TRUST wasp=rmission,tooccupypremis?sat-....... .�45-E-$sN -•STREET ...............•...-....•....- for . CONDO....... : UNIT ik 2t1� purposes, in accordance with the Ci[y of Salem Zoning Ordinance and Building Code, providing that this.use shall conform to the terms of the application o. isle in this office, and to the provisions of the Stptutes, and to the City Zoning Ordinance and City Building Code- Any violation of any of the terms above noted is an immediate revocation of this cartificate. CITY ENGINEER VIRING INSPECTOR PLUMBING INSPECTOR GAS INSPECTOR FIRE DEPT. INSPECTOR Ro ch In<paciion ou bh��nsption Rough Insp_' ion Rouyh,ns?rction R 9h trsp> on a7 lnspmc:ion F' al Insp�.. Final Inspa.:*ion Fr. Insp-. .ion Final Instion v - D � 3rS . 1 GFFICG OF T. r INSPECTOR OF BUILDINGS DATE—_....... -0 nil r . > > FIRST SALEM REALTY TRUST THISSHALL CERTIFY THAT ............................................................................................................................ has permission to occupy premises at-. ......1Q5..�S R�..S� ET................................................................................ p CONDO .- UNIT �k IC ... _.................:.. purposes,in accordance with the City of Sa am TO .............................. Zoning Ordinance and Building Code, providing that this use shall conform to the terms of the application on file in this office, and to tile provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. I Any violation of any of the terms above noted is an immediate revocation of this certificate. CITY ENG 1,11 EE Fl 1VI WING INSPECTOR — PLUMBING INSPECTOR GAS INSPECTOR FIRE DE PT. INS?ECT0? �R--Ih Inspaccion Flou;h Inspt<tion uph In;p;c. n Rough/l nsp action Aou:h sparccio', . ^Iml lnspac:ion Fi a1 nsp,u.on Final lnsp�von F:^al ins? :ion Final nzp_ .on 1%,SPECTOR OF eUIEOINGS, jigpsl:t�h?its C1'1 7 .Q��1 No.......: .....:.......:.......... ..__.... .. OFFICE OF Tllc l�1S7cCTOR OF BUILDI?IGS DATE......r........................r:.._...... r n ��d7� r��117 @3�J�11zJ1J�, '.."„-_L�°•'* �s,e'U q�•i:l�b7'Sd 'a THIS SHALL CERTIFY THAT FIRST SALEM REALTY TRUST -gas permission to Occup, Prem at.::::.....�45.E.SSk .. F> E?........:.:.......................................................... .......... CONDO - UNIT # 1 C purposes in accordance with the City of Salem or ............................................................................_.................... Z.oniny Ordinance and Building Code, providing that this use shalt conform to t .e terms of :he app iicatiOn on file in this office,end to the provisions of the Statutes, and to the City Zoning Ordinance and City Building Code. T%ny vioi2rtion of any Of the terms above noted Is an immediate revocation Of this certiilcate. c� WIRING INSP-c CTOR PLUMBING INSPECTOR GAS f?1SP ECTOR FIRE DEPT.IIn'>PE CTO_ j—_CITY ENGIN_`R Flo�ph In;P=� n oRough Inspzction So h ins ' o• jRc,h lusP>C uon Flou Gh InsPwt/io/n/ Fieai insPt'o^ Final In - Fi ai InsPe'ttnn /J Final Insp�tion #j . ? - INSPECTOR OF BUILDINGS .,% + 'v l.4U •Y.L tl:tSSi i✓ +` GJr:;Aia.G rl- NO......�:_....-:........ •••...............«.. ' 1. F c I,IS. ECTOR OF -DL.Ga on ...._...»...... ... ._..._.. .. .. OFFICE OOliI' � o�. f3Ul� �` TE. t f' t`�� pro ' �3r+�.:��T�.�%4�:� ij0 t��e�j�'''tal ��I �.)�l��w�i�� ab�� 11'�1+� • �. THIS SHALL CERTIFY 7iiATFIRST SALEM REALTY TRUST............................................................................... ........................... _ 0 ..E . . .. ;:as permission to occupy premises at..........J,. 5 �$� ��.�...... CONDO - UNIT �k 2C purposes, m accordance with the City of Sa am for .:.................................... ....................................._.................... i ' Zoning r ..... Ordinance and Building Code, providing that this use shall conform to the terms of ifte appidi'-G n e ity Z '+ file in this office, and to the provisions 0'r the at slut es, and o ehrevocation o onin9iOis ra'ti�ca�rdinance l City fluitdiny Code. i Any violation of any 0!the terms above not. GAS ,p:5PECTOR FIR[ DEPT. INS ECTO? P!_,U Pd GING 1 'S P'c CTOR i CITY ESGINEER WIRING INSPECTOR i . , ftou5h Ins?'ct'on Rough In,PMtion �Ro.:Sh InsP-coon /1 ln�ion Final nsp�cv n Final InsPMb n `r� 3 _ incl Ins t; n } - 1`tSPECTOR OF BUILDINGS APPLICATION IN ADULT NUMBER Trial Court of Massachusetts FOR COMPLAINT ❑ JUVENILE District Court Department ❑ ARREST FRL HEARING ❑ SUMMONS ❑ WARRANT - COURT DIVISION The within named complainant requests that a complaint issue against the within Sa.er District Couri named defendant, charging said defendant with the offense(s) listed below. iJesF}n�tOn $tf'e9t DATE OF APPLICATION I DATE OF OFFENSE I PLACE OF OFFENSE vy'dtftlCt�: A,O7 ?� 3/30/94 10/18/94 105 Essex St., Salem NAME OF COMPLAINANT' City of Salem, Inspector of Buildings NO. s OFFENSE G.L.Ch. and Seo ADDRESS AND ZIP CODE OF COMPLAINANT One Salem Green t. Mass.State B1dg.Code -.---- --__---- _ _ _.__-_-__ .--__ _ ___ Section 104.0 , Sa Salem, MA 01970 2. Mass.State Bldg.Code NAME,ADDRESS AND ZIP CODE OF DEFENDANT Section 113.1 Condo Association = 3. Mass.State Bldg.Code 105 Essen St. Section 104.3 `Salem,--MA-"01970 - _--- - _- _ _ _ ._ .-_ 4 Mass.State Bldg.Code Section 121.1 COURT USE I A hearing upon this complaint application DAT OFfHEA tJ TIM F EARING COURT USE ONLY—♦ will be held at the above court address on -1 - AT � )` A ONLY CASE PARTICULARS — BE SPECIFIC NAME OF VICTIM DESCRIPTION OF PROPERTY VALUE OR PROPERTY TYPE OF CONTROLLED NO. Owner of property, Goods stolen,what Over or under SUBSTANCE OR WEAPON person assaulted,etc. 4 destroyed,etc. $250. Marijuana,gun,etc. 1 2 3 ' 4 � OTHER REMARKS: x SIGNATU E O MPLAINA DEFENDANT IDENTIFICATION INFORMATION — Complet data be (hbwn. DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER SEX RACE HEIGHT WEIGHT I EYES HAIR OCCUPATION EMPLOYERISCHOOL MOTHER'S NAME(MAIDEN) FATHER'S NAME 0 O r D Z 1 D Z N O O a DC-CR2(3/88) SENDER: • Complete items 1 and/or 2 for additional services. I also wish to receive the • Complete,r;,ms 3,and as a b, following services(for an extra fee): •' Print your name and address on the reverse of this form so that we can return this card to you. 1. ❑ Addressee's Address • Attach this form to the front of the mailpiece,or on the back if space does not permit. • Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery • The Return Receipt Fee will provide you the signature of the person delivered to antl the data of delivery. Consult postmaster for fee. 3.Article Addressed to: 4a.Article Number P 921 991 596 ., ip ,• „c,,f ;+1 ArO, Z ,/t 4b.Service Type p, „ • „ CERTIFIED 7.Date of D liver 5..Signature—(Addressee) S.Addressee's Address (ONLY if requested and tee paid.) (Agent) la rm 38 111,November 1990 DOMESTIC RETURN RECEIPT United States Postal Service II ��X-ESS�� Official Business n 2> APR J /d9A PENALTY FOR PRIVATE USE,$300 III I IN 1111111111111111 I1 1111 II 1 I IN I III III I I III I III II INSPECTOR OF BUILDINGS ONE SALEM GREEN SALEM MA 01970-3724 ' ARTICLE ',• -- P 921 991 596 " W UNE 1• • Condo Association NUMBER w c/o Nancy Rimrdan y 105• Esse7 Street Salem, Mass. ) 1470 . M O Z r, IF .:j t FOLD AT PERFORATION t WALZ INSERT IN STANDARD#10 WINDOW ENVELOPE. CERTIFIED r' _ tJt. � ` M A I L E R S ' Titg of �ttlem, Aussar4usetts Public Propertp Department +Nuilbing i9epartment (One #stem 19reen 508-745-4545 Ext. 3811 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer April 28, 1994 Condo Association c/o Nancy Riordan 105 Essex Street Salem, Mass . 01970 RE: 105 Essex Street Dear Ms. Riordan: On April 28, 1994 I spoke with John Wathney your engineer. He informed me that the structural problems would not be completed for at least two weeks. This is unexceptable with me. I would like you to please contact this office within (24) twenty-four hours upon receipt of this letter so we can make arrangements for me to inspect your property in regards to the other items on the list . Sincere] John J'.' J nnings Local Bui ding Inspector JJJ: scm cc; Councillor George Ahmad Certified Mail li P 921 991 596 NATHANSON & GOLDBERG ATTORNEYS AT LAW TEN POST OFFICE SQUARE ALVIN S. NATHANSON BOSTON, MASSACHUSETTS 02109 ARTHUR GOLDBERG AREA CODE (617) 642-1144 JEFFREY 1. BLEIWEIS January 26, 1981 Mr. Robert Gauthier Building Inspector for the City of Salem One Salem Green Salem, MA 01970 RE: 105-107 Essex Street Salem, MA Dear Sir: Attorney David Tabasky was in to see you last week regaraing the zoning regulations and usage of the above-referenced building. Would you be so kind as to let me know what the zoning regulations of said building are and whether the present usage of said building is in according with said regulations. Your cooperation in this matter is appreciated. Ver truly yours, !i /Arthur .Goldberg AG: jmd 1 t tiW Q:! P �,"i I fry�' r, f f S d'' e r n' 7 r .�� 'I {J�. G� f.._ !�'�C(} C 1 -fEa ?51 r 30 AM CITY t;:.e-tt:'s 6V ICE FEBRUARY 24, 1977 SALE I. iAS:, DECISTO11 ON PETITIO:i OF MICK BLOCK FS!?TS' TRUST, TRUSTEE., TIM HAVEN, 2 CATiIERINE LANE, MMUBLEU-k(i, IL�SS. CO< %Il ;C l'P.OPm= LOC:`.J";D AT 105-107 ESSEX STREET - 4 UHTOY STREET. A l earing on this petition was hel.c( .January 7.5, 1977 t^.th ne b=rs Arthur Labrecque, Don'F )A Eames, DOUp;ias Hopper, James BouIcer nd Chz ri4?:A John Gray prey-—n . Not iceo to abuttor and other ��l Lents, Chapter 808. -ware sen:. others :in accoraance t ith .,�._�� Geaer .. o � rnit to vary the use The petitioner recut_,t_�d that the B.,rifi gran- }.i7� a Sp,c_a7 F y of a retail flower and plant store to allow hits to o?e:: a ...gall COi°fce house serving coffee, tea and cocoa. The area is Zoned i.-2 aha a S ,_-cial P=- -it is heeded "i?t ord::r to convttrt from o__^ie non-conforEiln-1 Use to at Other non-conform.iag use. lle .also wisheo to vary the use of a gift shop to a. pottery studio and notte-fl Shop- Atty. Ted Moore represeated tile petit.i_oner before. th,� Board. He noted t}:;at t'-7, I .lding hey. always been used for retail purpose,, for a3 long as two hundred years aild that there had never been any apartments in tl.e buildin_r., and ti:ey di: riot think th, building could reasonably be used for apartms_ tts. There was no opposition- Further pposit ion_Further evidence wa; presented that no food would be prepared on tho prenises and that seating capacity would be approximately 15 to 20 shall tables. lne off-street park-1-.ig garage would be utilized for parlc:ing facil:iti.eS. .The Board voted unanimously to grant the Special Per. :i.t requested, to wit, to vary the use of the gift shop to a pottery studio and shop and to allow the retail flower. and plant. stor: to be converted to a snall coffee house. The Board found that the use, as changed, would not depart from the intent of the Sale-i Zonug Ordinance. . A nom this decision if any. shall.be made p n-ant. to Section 17 o the Lassacl :sett: pp-,z1 > >> Gene:----al Lacers, .Chapter 808, and sh :ll..be filed wig -,-t o Baty days after ti;e_clate of filing of this decision in the office o the City Clea?:. r o. Pursuant to tier s."-Genera_1 Law;'Chapter 808; Section 17., t} e°vrs ince; or specisi pe _t,' granted herein shall not take effect until a copy of the decision, hear int; the cert:ificat'to f the City Clerk, that twenty days have elap.ef' zInd no appeal has been filed, or that, :i: I :h nn appeal bas been filed, that it hcs been di.salsseJ t denied, is in the South Essex Regir:try of Deeds and indexed under the mare of the o:aner of record or is recon and noted in the owner's certificate of tit— L&-Copies of the decision herein have been filed with the Planning Board and the City Clerk. SALE*l BOARD OF APITAL BY BUILDING PERMIT JOB WEATHER CARD DATE 9/25/ 19 86 PERMIT NO, 793 APPLICANT Carole Ouellette ADDRESS 105 Essex St. _ (NO.) (STREET) (CONTR'S LICENSE) PERMIT TG PTPE (P deck ( I STORYh NUMBER OF _ dwelling DWELLING UNITS 7 _ (TYPE OF IMPROVEMENT) N0. (PROPOSED USE) AT (LOCATION) 105 Essex St. Ward 1 ZONING DISTRICT R-2 (NO.) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION c (TYPE) REMARKS: Fred- (lock in open attic sp3CP instal sta1YWay to loft open Ceiling above living room to roof area. Put in skylight. CALL FOR PERMIT TO OCCUPY AREA OR VOLUME ESTIMATED COST $ $2ROOo oo FEEMIT 20.00 CUBIC/SOUARE FEET) OWNER Carole _Ouelette w4ic w, mr ADDRESS 105 Essex St. BUILDING DEPT. TH15 PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET, ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY. ENCROACHMENTS ON PUBLIC PROPERTY, NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE, MUST BE AP- PROVED BY THE JURISDICTION. STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL AppROV ED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FDR CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR ALL CONSTRUCTION WORK: ELECTRICAL, PLUMBING AND I. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO CQV EKING STRUCTURAL QU IRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 BOARD OF HEALTH GAS INSPECTION APPROVALS FIRE DEPT. INSPECTING APPROVALS 1 1 OTHER CITY ENGINEER 2 2 WORK SHALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD INSPECTOR HAS APPROVED THE VARIOUS WORK 15 NOT STARTED WITHIN SIX MONTHS OF DATE THE CAN BE ARRANGED FOR BY TELEPHONE STAGES OF CONSTRUCTION. PERMIT IS ISSUED AS NOTED ABOVE. I OR WRITTEN NOTIFICATION. on Top/ ,�,•wg-w �,��Gr �.-►��-C�=v-�9' �'I"°-tri'! �' r� � ' �-t,,,,�,- _ UZ w n I ,,, , w G -,►per ,l 1-✓ e7 X-255-:r Z (P/ -S(V/ J,-V owe BOARDWALK REAL ESTATE CORPORATION 117 Bridge Street —r Salem, Massachusetts 01970 =._...... Business(617)744-9830 (g� Resi9eaca(617)595-3725 c1U 7ys 7 Sap- MARY-ELLEN JOLY Residential Specialist Each Office Is Independently Owned And Operated OFFICE:(617)777-6229 HOME:(617)531-3746 Pinnacle Realty Associates Inc. CHERYL A.MARTUCCI SENIOR SALES ASSOCIATE 20 CONANT ST. DANVERS, MA 01923 I> Wbt n l b-,( gra -,,Ie ,Lcatco� arm cpm s%-/uczfi d\A a a ,u� ha cte C�mdo�rurh c vr� aN,d mss; UA" , 7A " 12�7-ud -NOL, a Duylo, al-� goand a� dppe,&h mo /Ani ?z 1 At �- C � /R 2 . .R ae,o( UAB n �b 6a� ' �'CON WfA v of VVV�ts 1em, C1`•u�.V �`Fri�Y##N _ 7 1 �a Public Propertg Peparttueut ttilbiuq ,Y rpztrtturrtt One ,$°alem (6reen 745-0213 William H. Munroe Director of Public Property Maurice M. Martineau, Asst Inspector Inspector of Buildings Edgar J. Paquin, Asst Inspector Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp. October 30, 1986 To Whom it May Concern RE: 105-107 Essex:Street--� Salem,MA 01970 On July 27, 1983 The Zoning Board of Appeal granted a Special Permit to convert the property at 105-107 Essex Street to a seven (7) unit condominium and to allow the three commercial uses to remain. This is a Legally Binding, Document and as such becomes a part of the Deed for the property. William H. Munroe Zoning Enforcement Officer WHM/laf enc: Copy of Decision V .y 1 C PEERLESS INSURANCE COMPANY The (Netherlands Insurance Company MASSACHUSETTS REGIONAL OFFICE Telephone: 617-938-1330 12 Alfred Street P.O. Box 4009 Woburn, Massachusetts 01888 - June 28, 1985 Building Inspector City of Salem r' City Hall Salem, MA T Tt r in p � cJ1 Re: Bond No. S-86-67-51 Ipswich Stove Company 105 Essex St. Salem, MA Gentlemen: Effective August 18, 1978, we issued a Sign Permit Bond for the above- captioned insured, in the amount of $1,000.00, running in favor of the City of Salem, Massachusetts. We have been advised the business has moved to Ipswich and the sign removed from the above location. We therefore, would like to cancel our bond and would appreciate your confirmation that the sign has been removed and that we are released of all liability. A Self-address' stamped envelope is enclosed for your convenience. Thank you for your assistance in this matter. Very truly yours, BLESS INSURANCE COMPANY 24u-- / . Mary B. Barrett mbb enc v '3; Fg5- �s C PEERLESS INSURANCE COMPANY The Netherlands Insurance Company MASSACHUSETTS REGIONAL OFFICE - Te!ephone: 617-938-1330 12 Alfred Street P.O. Box 4009 Woburn, Massachusetts 01888 - - June 28, .1985 Building Inspector City of Salem City Hall j r Salem, MA T rt u^ r n G7 N t,fi Re: Bond No. S-86-67-51 Ipswich Stove Company 105 Essex St. Salem, MA Gentlemen: Effective August 18, 1978, we issued a Sign Permit Bond for the above- captioned insured, in the amount of $1,000.00, running in favor of the City of Salem, Massachusetts. We have been advised the business has moved to Ipswich and the sign removed from the above location. We therefore, would like to cancel our bond and would appreciate your confirmation that the sign has been removed and that we .are released of all liability. A Self-address' stamped envelope is enclosed for your convenience. Thank you for your assistance in this matter. Very truly yours, BLESS INSURANCE COMPANY 4. -q4 - 1&6�.6-774 Mary B. Barrett mob encl. �'Q' czf�Y ti MILNE 5 Pickering Wharf Salem,Massachusetts 01970(508)744-3467 September 21, 1995 City of Salem Building Department One Salem Green Salem, MA 01970 Attention: Mr. Leo Tremblay Inspector of Buildings Re: 105 Essex Street Dear Mr. Tremblay: I am writing in response to your September 15, 1995 letter to Ms. Nancy Riordon, who represents the Condominium Association at jlj0.5=.EsSexjStreet1. She has requested that I update you as to the status of the conditions in her basement. As youareprobably aware, Milne Associates was been retained by the Condominium Association to provide a set of bidding documents for the required repair of the first floor structural members, effected by beetle intrusion. We issued a set of sketches and specification notes on May 12, 1994 and your office has been sent a copy. We also provided assistance in lining up an exterminator to treat the basement. This was done and it is our assumption that the attack on the wooden timbers has been halted. Ms. Riordon has, in our opinion, acted in good faith to try to line up a contractor to do the necessary repair work. We have offered to entertain modifications suggested by the contractor to increase the efficiency and economy of his work. Unfortunately, economic conditions and availability have seemed to preclude any of the half dozen or so contractors who have visited the site from successfully bidding on the work, which is in a cramped, barely accessible basement space. An Equal Opportunity/Affirmative Action Employer The floor has not exhibited any additional distress since the date of detection of this problem. It can be assumed that with the extermination treatment, conditions will not worsen. Perhaps you would allow a finite grace period to get construction going with the understanding that Ms. Riordon will step-up her efforts to get work underway. Cordially, MI SSOC ES, INC. John Wathne, F.E. 7 CITY OF SALEM BOARD OF HEALTH Salem, Massachusetts 01-970-3928 - — — JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET HEALTH AGENT Tel:(508)741-1800 January16, 1996 Fax:(508)740-9705 e / co Jerome&Greta Gordon n 121 Village Post Roadt' Danvers, Ma. 01923 Co Dear Sir/Madam : IVn� u In accordance with Chapter III, Sections 127A and 1276 of the Massachusetts General Laws, 16t CMRA00.00j State Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation, an inspection was conducted of the property located at 105 Essex Street#2A occupied by Jennifer Call conducted by Jeffrey Vaughan,Sanitarian on Wednesday,January 10, 1996 at 3:00 P.M. . Notice: If this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's responsibility to ensure that this unit complies fully with 105 CMR 460.000: Regulations for Lead Poisoning Prevention and Control. For further information or to request an inspection, contact the Salem Health Department at 741-1800. y You:are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed inspection report. Failure on your part to comply within the time specified on the enclosed inspection report will result in a complaint being sought against you in Salem District Court. Time for compliance begins with receipt of this Order. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said hearing,you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports,orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. Fo the Board of LtHia lth: Reply to: an Scott Jeffrey Vaughan Health Agent Sanitarian cc: Tenant, Ellen Moses (Trustee), Pat Pine (Trustee) & Plumbing/Heat Inspector Certified Mail#Z 369 689 914 JS/sjk ow violet rage 1 of i SALEM HEALTH DEPARTMENT 9 North Street Salem,MA 01970 State Sanitary Code, Chapter II: 105 CMR 410.000 Minimum Standards of Fitness for Human Habitation Occupant: _ _- TE.v,✓ <,,c Phone: .9 - /9a'9 —DA -Floor. Owner. Te,ec. e f G,er.-A Address: 1.21 //'ll v s e 4or� /�✓ Inspection Date: -TI-/ /a, Time ?:00 .0.107 Conducted By: Tt Accompanied By: Anticipated Reinspection Date: eF ne.:.r�ac Specified Reg # Violation Time 410. . . . r /N GO K G Q' O N ✓ ��O U OUcy G .e o T• Gti'T 77 c / r /rn es .- CC• f One or more of the above violations may endanger or materially impair the health, safely and wellbeing or the occupants(s) Code Enforcdfirent Inspector Este es un documento legal importante. Puede que afecte sus derechos. Puede adquiriruna lraduccion de esta forma. , APPENDIX 11(14) - Residential Housing -The following is a brief summary-of-some of the legal remedies tenants may use-in-order-to get housing-code-violations - corrected: 1. Rent Withholding(Massachusetts General Laws,Chapter 2.39,section 8A): If Code Violations Are Not Being Corrected you may he entitled to hold back your rent payments.You can do this without being evicted if- A. You can prove that your dwelling unit or common areas contain code violations which are serious enough to endanger or materially impair your health or safety and that your landlord knew about the violations before you were behind in- Your rent B. You did not cause the violations and they can be-repaired while you continue to live in the building. C. You are prepared to pay any portion of the rent tuto court if a judge orders you to pay it (For this,it is best to put the, rent money aside in a safe place.) 2. RQn it nd D d t f(Massachusetts General Laws,Chapter 111,section 127L):The law sometimes allows you to use your rent , money to make the repairs yourself.If your local code enforcement agency certifies that there are code violations which endanger or materially impair your health,safety,or weB-being,and your landlord has received written notice of the violations; you may be able to use this remedy.If the owner fails to begin necessary repairs(or to enter into a written contract to have ther(r made)within five days after notice or to complete repairs within 14 days after notice, you can use up to four months'rent in;any, year to make the repairs. 3: RR .ta�atory Rent Increases or Eymcfions Prohibited(Massachusetts General Laws,Chapter 186,section 18,and Chapter 239,; section 2A):The owner may not increase your rent or evict you in retaliation for making a complaint to your local code enforcement agency about code violations.If the owner raises your rent to tries to evict within six months after you have made the complaint, he.or she wiThaveto show.a good.reason for the increase or eviction which is unrelated to your complaint..You may be able to sue the landlord for damages of he or she tries this. 4. Rent Receivership(Massachusetts General Iaws,Chapter 11, section 127 C-H):The occupants and/or the Board of Health may petition the District or Superior Court to allow rent to be paid into court rather than to the owner.The court may then appoint a. "receiver" who may spend as much of the rent money as is needed to correct the violation.The receiver is not subject to a spending limitation of four months'rent. 5. Breach of Warranty of Ilahitahility:You maybe entitled to sue your landlord to have all or some of your rent returned if your. dwelling unit does not meet minimum standards of habitability. 6. Unf it and D=tiyf,, Practices(Massachusetts General Laws,Chapter 93A): Renting an apartment with code violations is a violation of the consumer protection act and regulations, for which you may sue an owner. The information presented above is only a summary of the law.Before you decide to withhold your rent or take any other legal action, it is advisable that you consult an attorney.If you cannot afford to consult an attorney,you should contact the nearest legal services office, which is: Neighborhood Legal Services 37 Friend St. Lynn, MA 01902 (617) 599-7730 - Crn, Ol" S.U.1:,\I DEPARTN I I-, NT r � V. APPLICATION FOR PLAN EXAMINATION AND BUILDING PERMIT ALL BUILDINGS EXCEPT ONE AND 2 FAMILY DWELLINGS INIPORTANT: A plicants must complete all items on this rage SITE INFORMATION sts Locmiun Name )lam CP Building Property Address /aS- C' �set Sr Located in: Conservation Area Y/N Historicdistrict APPLICATION DATE Use Groups (check one) Group Homes 123 Ra Residential (3 or more Units) R2_ Type of improvement Residential (hotel/motel) R1 _ (check one) Assembly(Theaters) Al — New l _New Building_ Assembly(restaurants &clubs) A2r_A2ne_ Addition Assembly (churches) Al _ Alteration Business B 1-1 Repair/Replacement Educational E_ Demolition Factory(moderate hazard) Fl _ Move/Relocate Factory(low hazard) F2_ Foundation Only High Hazard H_ Accessory Building institutional (residential care) Il _ Institutional (incapacitated) 12_ Institutional (restrained) 13_ Mercantile NI Storage Sl _Moderne I-lazanl Storage S2_Low Ilazard 0%%NU 161111' INFORNIA FION(Please type or Print Clcariv) O%V\'E12 Name kAvt.l e_, Address Telephone 9 d . 2 Yl. i,f 09 Signature DESCRIPTION OF 1%OR6 TO BE PERFORMED l� p L:,,I,L,11.:D CONS'I'ItCC'I'ION COSI' 1, a 3s `mac OS CIIN"fl(.\CTORINTORNIAFION Name C Address w Telephone 9je, /J-i6 / Construction Supervisor's Lic # CS Home Improvement Contractor # y/6 6 Z 2-3 :\RCI11'fl-:Cl'/I:N(;INE],{R INFORn1A'1'jt)N p 1 \ w Name l7(CR 2 S Address S tie Q ti s� Telephone Mass. Registration # PE:RNUT EEE.CALCULATION Estimated Cost x $1151,000 + $5.00= CON NIENTS The undersigned applicant does here that all information stated above is true to the best of my knowledge ander dte penalties of perjury, Signed (owner) (anent) APPROVED BY : DATE APPROVED: a These drawings illustrate facade improvements.The scope is as follows: -New traditional style awnings(four total) SOPH IAE S -New box style awning over main entrance FACADE/AWNING PROJECT -New exterior wall sconces(two total) -New electrical service SALEM,MA January 29, 2009 DRAWING LIST ARCHITECTURAL T-1 Title Sheet D-1 Existing Floor Plan and Front Elevation D-2 Existing Side Elevation A-1 Proposed Floor Plan and Front Elevation A-2 Proposed Side Elevation and Awning Detail Elevation A-3 Awning Sections A-4 Awning Detail Elevations A-5 Partial Interior Elevation `o w v m eo d en C cc -C 3 Z■� g ARCHITECT OWNER CITY OF SALEM y Gienapp Design Marie Cardillo Partial Funding A Associates,LLC Provided by a Grant as JI0 iM EeeeT 54en W Neb✓ury 34ee1 918>I BW m WIIS.Napammenld Noutly eN 2 CA �{r,/y}I'��.\�A o..en.wo,En v>raoar<vp�r.canmerv,r V . 910-1 pw@opmenl Blwk oeMFn9rem r :91&1[091FV3 T-1 � . 9.wm Glanapp o¢slgn ABSOCIa[as. LLC 88uvMrvsovn afa3d �TM B]B 150 H63 h'919]Spgq'] EXISTING FLOOR PLAN Li Lu Cf.) M D a = EXISTING MOX E SE R TO BE REMOVEED EXISTING 4C UN TO BE EXISTING 51-0DE SIGN TO Z RELOCATED REMAIN EMSTING AWNING TO BE O Q REMOVED cn Q EASTING EXTERIOR SPEAKER Q J TO BE REMOVED UQ Q LL U) 1 I 1 I I I I I I I I I I I 1 Pmiect 195.11 III. ENTRANCE ChFM TO m W: AN sale: tau.29.2m9 ADJACENT TENANT. NI:D. Existing Floor Plan Existing Front Elevation EMSTING FLOWER BOXES TO REMAIN,:TW. EXISTING FRONT ELEVATION D- 1 Glenapp Design A660cia[65. LLC BB NexWry Somr a�IBia>Se�St WB 150&b3 F- C/) w w U) a = EXISTING WALL SIGN TO Z Q REMAIN Z Cf) OQ 2 U Q 2 Q J Q Q ll � Proles¢ 39&II Che kt no Check b/: OG I scala: va'=rr _J Existing Side Elevation EXISTING FLOWER BOXES TO REMAIN,TIP. . EXISTING SIDE ELEVATION va•=r-p Glens pp oaslgn Asaoolafas, LLC r AIR CONDITIONER n mZo:axa ABOVE c�eiei»e�'oai K- 1 LINE OF AWNNG FABRIC AND FRAME ABOVE DUPLEX GPI RECEPTACLEAT 18`AiF.F.,TYR I cf) U AWNINGS ABOVE Il! PROPOSED FLOOR PLAN o n Q0 NEW BOX STYLE AWNING = Z on DETAIL ON SHT. A-4) a- Z (n SLOPED AWAYIFABRIC BEHINDO Q NEW AWNING VERTICAL VALANCES (SEE DETAIL RELOCATED A/C NEW AWNING(SEE ON SNT,A-4) BEYOND DETAIL ON BHT. A-4 Q J LL c) ENTRANCE Psas.n • - TO Drro=ewn by: AM -- -C -- -- -- - - ADJACENT check Ry: DD -- -- - - TENANT. DNe: dan.2s.2ttB Ecele: Va' NEW THREE-LIGHT HI GATECIItD Proposed Floor Plan WALL LANTERN AS MA UFACTURED B Proposed Front SEA GULL LIGHTING. FI 9H:B CK ElevaLon CONDENSATION DRAIN PIPE PROPOSED FRONT ELEVATION /q- Glanapp Dealgn Assoclatas. LLC NEW AWNING NEW AWNING (BEE DETAIL BELOW) (BEE DETAIL ON BNT.A-4) eex.wwn rrex %iei'e"weoez ® rwma I I�I I I I U (n w 7 W 00 z � Oa � PROPOSED SIDE ELEVATION U) o Va•=ry U � VERIFY DIMENSION IN FlELD �h Project: '19511 m o.c, AM Check by: DG Dare: Jan.2B.2P19 Scale' As S�axn Proposed Side 3/6`WIDE CREAM ACCENT Elevation and Awning Elevation nA"NG DETAIL ELEVATIONS AT WINDOW a NEW -10"TALL,2=6°DEEP �Ianaaa oaslgn BOX AWNING FIELD MEASURE nssoclaeas. LLc WIDtH. NEW I'-S"TALL TRADITIONAL AWNING oFex 81B i50 W]] VERTICAL AWNING FABRIC, EXISTING AIR 3 SIDES CONDITIONER f IN NEW n LOCATION. L AWNING FABRIC ON S°AT EACH SIDE, SLOPED SURFACE 5 j U m L Lu W 0 CO Ir j PTD. AWNING FRAMING d = I"GALVANIZED STEEL,TYP. _� z Q PTD.AWNING FRAMING SECURE AWNING FRAMING Z � I"GALVANIZED STEEL,tYP. TO EXISTING WALL AS 0 < REWIRED SECURE AWNING FRAMING TO AWWNG FABRIC AND C Q EXISTING WALL AS REQUIRED FRAME n Q J EXISTING WINDOW L U) DAWNING SECTION AT WINDOW 2 ,._,,_p AWNING SECTION AT DOOR DFo n]:by: AMM A O�ervn V ERTICAL Gacn a': Date: .Ian.29,20W .0 Scale: r-t'A` ABRIC ONSURFACE Wflli9 Sections I° /-.,�AWNING SECTION AT DOOR A-3 VERIFY DIMENSION IN FIELD olanapp Design Assoclalas. LLC ,h e�w xoex 4"TALLGOLD' "FLOER-DE-US"SYMBOL, TIP. 3/8"WIDE CREAM ACCENT EO. EO. U 0, W O U) AWNING SPECIFICATIONS It NOTES C/) ir d = FABRIC BY SONBRELLA,"BLACK"4608-0000 FRAME: I"GALVANIZED STEEL,PAINTED 2 Z < GOLD: 109-L HETAWC GOLD BY ONE SHOT,LLC Z (7 CREAM: II6-L IVORY BY ONE SHOT,I.I.C. O AWNING NOTES U) I.FIELD VERIFY WIDTH OF AWWNG FOR EACH LOCATION U WJ ' al U) (,--�TYPICAL AWNING DETAIL ELEVATIONS AT WINDOW 8""GOLD'PAINTED TEXT S'4"V.I.F. 3-6" V Proles¢ 385.11 Drewnb): AAA Y 318"WIDE'CREAM Ch.W Dc m / ACCENT LINES Dale: Jan.29,2w2 Awning Detail Elevations TYPICVA AL AWNING DETAIL ELEIONS AT DOOR 2 ��=1�-p A-4 �lonaoa oaalan A6aOCla[as. LLC BBNewdry Svmt PTM WB 1�50B�] Fu 9]B)50 WU U L L EbaTING AIR (n CONDITIONER IN NEW d = Q LOCATION (!j () Z NEW WOOD PANEL, U) PAINTED TO HATCH j < EkIeTiNG. O Q Q J r---- U Q LL U) I PIojBCI: 'J9511 Drawn ey: un cnBPk try; oc Oaie: Jan.28,2028 Scete' 1?=t'-0' Partial Interior Elevation PARTIAL INTERIOR ELEVATION /q-5 MDB Construction �I p � '� � (� (�, ,� 4 Tibbetts Ave �C" L L) �L L� Danvers, Ma 01923-3914 LICENSED & INSURED WEB SITE H.I.C. #100273 C O N S T R U C T 10 N www.MDB-Construction.com ESTABLISHED 1986 TO Sophia's PHONE978.741.1809 D3/19/20u'9 108 Essex St. JOB NAME/LOCATION Salem MA 01970 Same JOB NUMBER JOB PHONE 2016SOP We Hereby Submit Specifications And Estimates For: Renovations to Sophia's Place in accordance to the supplied drawings by Gienapp Design dated 1.29.09 to consist of the following items. 1. Removal of. existing AC unit. 2. Removal of existing outdoor horn. 3. Removal of existing light fixture. 4. Removal of existing pine trim and wood panel. on exterior and interior. 5. Supply and install two (2) Sea Gull 8841-12 Outdoor wall lanterns. 6. Supply and install three (3) surface mounted receptacles. Note: The outside receptacles must have in use covers by code. Surface mounted boxes and in use covers will protrude up to six inches off of the face of the building. Flush mounted in us boxes can be cut into the brick for an additional cost of $450.00. Note: Some wiring will be in EMT on the inside of the building as keeping with the existing wiring methods 7. Supply and install new pre primed trim and 1/2" MDO wood panel. 8. Installation of primer and finish paint on new work to match existing as close as possible. 9. Installation of reused ac unit. (MDB is not responsibile for the condition of this unit.) 10. All MDB job related debris to be removed by MDB. 1.1. MDB to supply permit only for MDB's work. EXCLUSIONS: 1. Awning removal and replacement. 2. police or sidewalk details 3. Overtime hours. MDB plans on performing this project during normal business hours. 4. Removal of owners merchandise if necessary to be by owner. ALL WAGES TO CONFORM TO THE DAVIS - BACON WAGE ACT. We PPOPOSe hereby to furnish material and labor--complete in accordance with the above specifications,for the sum of Four Thousand Eight Hundred Thirty Five and 00/100 Dollars dollars 1$ 41835.00 ) Payment to be made as follows: $2,000.00 upon start. $2,000.00 upon electrical completion $ 835.00 upon completion All material is guaranteed to be as specified.All work to be completed in a professional mannan according to standard practices. Any alteration or deviation from above specifications Authorized involving extra costs w.11 be executed only upon written orders, and will become an extra Signal,re ��t, charge over and above the estimate. Alt agreements- contingent upon strikes, accidents or "` :,71 — delays beyond our control, Owner to carry fire, tornado and other necessary insurance. Our workers are fully covered by Worker's Compensation Insurance. - No This pr pnay be 30 withdrawn by us s not accepted within Days. j" ACCCptallCl' Of PCOj]US81 --- The above prices, specifications J/'} r' / r" -J� / j / and conditions are satisfactory and are hereby accepted.You are authorized Signatures j.. //L�/ to do the+.vod:as specified,Payment will be made as outlined above. — -`'�f'�-- -- --- Dale ofAcceotance:. j" .��j ✓"1 r Signature: CITY OF SALEM PUBLIC PROPRERTY DEPARTMENT ,NII'.M'IS tMhl"11 xl`Hit 12^ W,a,nln]GION S I.(LL I • SAtI V.Ir/a.U.%I Ill if I n3197J III. )7s-7ny95'+5 • 1:%x 9711-71.)'I846 Workers' Cumpensation Insurance \fftduait: Builders/Contractors/Electricians/Plumbers ilmslicant Information Pleme Print Le¢ibly N inne1I w%sv(�,pmr.uif,vInd,, dual l: M +l{��) !J/n` Ajf l ,lddl-eSS: � S 1 L City,Slare.%ip �A�y�2� M/T ?/% )-1'66 .it re you in employer:'Check the appropriate box: Type of project (required): der-- a I :un a general coulraclor and 1 1.ty t ;tin a employer with 1 ❑ G. ❑ New construction v colployrca(full and/or part-unto).' have hired the.sub-contractors 2. ❑ 1 am a sole prnprieux ur panner- listed on rhe:coached sheet. 7• ❑ Remodeling ship anal have no employees These sub-contractus have - N. ❑ Demolition workers' coin . Insurance. working lin me in any capacity. p ). ❑ Otulding addition No workers'cutup. insurance 5. ❑ We arca corporation and its Irequired] officers have exercised their 10.E] Electrical repairs or additions }. ❑ 1 ant a homeowner doing Al work right of exemption per NIGL 11.❑ Plumbing repairs or additions myself.(No workers' comp. C. 152, j 1(3),and we have no 12.❑ Ruuf repairs insurance realuired.1 r cmpluyces. [No workers' 13.0 Other comp. in,urancc required.) •�n. .y,p6uul Iba#checks baa Ill mubtsbc)IIII ULII Itic woven IWIUw,IiUWala their wurkL•nit cumpenuliun Iwluuy mlium;.tium ' I1o,ncuwncn whu,llbm.I this al-ndavil indicauns Whey ue Joint'uu work and Ihen him outside cuaurxmn must suhnit a new afrdavil indi"4nj;umh. 4'.•m cwu,n that ahvck this boa into#auachad nn iddilionAI nMnn,ho-mig Itm nano of nk sub-conlrxWn and their„urkon'camppulicy mlisona is s /tun m#employer that 1x prurfd/ng#vurkers I can a#rntion inmrvu+c•e Jur u+y ru#pluyecx. Below is rhe pulicy and fob site injurinuriom ln,uranCe Company Varve: I'ulicv is ur Sclf-ins. Lic. n`: Enpiruoon Date: ,ub Site -liddre,s: ��6U^ ""fe� 1/_. Cny:Slal,r,Zlp: S e" Attach it copy of the warken'curnpenxation policy declaralion page (showing rhe policy number and expiration date). Failure to secure coacrage as required under Section 25A ul'DIOL c. 152 can lead to the imposition of criminal penalties of a tine tip +u]1.5110.00 anNur une-year imprisomncnt, as,vcll as cis it penallies in the futon of a STOP WORK ORDER and a fine of up to 1250.00 it day .igainst the violator. Ile advL+ed that a copy of fhb slulccocnt may be lures arded to the Olfice ul Ina„n_;am nb of:hc DIA Cor io,ut.ozc acrilic.aliun. /,/a hereby a:rurfy ander the p,n a ore/pr u/ri -fp rjiiry that the in/brnnatlon provided above is true and correct. DtYc- 7, - nly. ! durea,: _ Permiul.iccnse 0 rity (circle file): a•.dlh L nuddiny Mpartulcut 1. Cih. furan Clerk J. Electrical In;pccror i, Plumbing Inapcetor Cfalao i'crsuu: _. Phone is: Information and Instructions N la>s.Idhu>ctts Gcncral Laws chapter 152 tcyuires all auplo)ers to provide workers' compensation for their employees. t'u nu.mt w Ibis+tit use, an emplusee is defined-is " eier) pclson in die service of another under any contract of hire, c vpress Or unphcd. ural ar wrnten." .\n emplup-r is defined as"an Individual, partnership, .usociauou, corporation or tither IcgaI entity, orally two or inure )r the h,r"Ouig engaged .n a joint enterprise. and ❑ieIuding the legal rcpresenrarhvcs of a deceased emplu)cr, or she recenscr or trustee of All otdmviJual,pannenhlp,association or Other legal clingy,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwell utg house of another who employs persons to do maintenance,cunevuctioo or repair work on such dwelling house Or on the grounds or budding appurtenant thereto shall not because of such employment Ise deemed to be an rmployer." NIGL chapter 152, �s-5C(6)also states that"every$rate or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the communwealrh for any applicant a ho has not produced acceptable evidence of compliance with the insurance coverage required." ii,Jditonally, %.IGL chapter 152, a25C(7)states"Neither the commonwealth nor any of its political subdivisions shall cnoer into any contract for the performance of public work until acceptable evidence of compliance with the insurance have been resented to the contracting authority." r meals tit 'this chapter ha P regal t P applicants Plcase fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s) name(s), address(es)and phone nuniber(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and dale the affidavit. The allidavit should be resumed to the city or town that the application for the panni[or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Plcasc he sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit fur you to till out in the event the Office of Investigations has to contact yuu regarding the applicant. I'I:asc be Sure to till in the pennitlicense number which will be used as a reference number. In addition, an applicant that must submit multiple pennit license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"lob Site Address"the applicant should write"all locations in (city or tuwn6" A copy of she affidavit that has been officially stamped or marked by the city or town may be provided to the Applicant as proof that a valid affidavit Is on file for future permits or licenses. A new affidavit must he filled out each year. Where a hume owner or citizen is obtaining a license or permit not related to any business or commercial venture r. it Jug license lir permit to burn leaves etc.)said person is NOT required to complete this affidavit. I h: I)(Iix iIt IiRCI[hallUna NUulu llwc to thank )-ou in advance fur your cooperation Jnd shuuid yuu hJsc any questions, please Jo nus hesitate to give us a call. fhc Dcpanmcni's address. telephone and fax number The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tal. N 617-7274900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 www.mass.gov/dna CITY OF SALEM j r A PUBLIC PROPRERTY DEPARTMENT .\ III-Y'8 '4i.94;15 01 \\ 4."S 4,, Construction Debris Disposal Allidavit (reyuircd lir all denwlition and rcnovalion work) In accordance wtIi the sixth edition of the State Building Code, 780 CMR section 111.5 Dcbris, and the provisions of MGL c 40, S 54; Building Permit H is issued with the condition that the debris resulting front this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c I11. S 150A. The debris will be transporte by: lnamc ul haultr) I he debris will be dispose of in Alk, it (name ul facility) (address ul lacllity) \I�uatwc o(p.•nmt.lppllcant daty L� Ll35ZG t).)ATsoty 35—C�2Fs2- Sc�fP v3- 6 The Commonwl Ssn�lq{ tS W Department o u lic Safety Massachusetts State Build Code(7 CQ' ) Building Permit Application for any Builc[W q that griC'127wo-Family Dwelling lQQ _(rhis Section For Official Use Only) ..J Building Permit Number. Dane Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) lP IE S E'S5g�4 -"7t . No.and Street City/Town Zip Code - Name of Building(if applicable) SECTION 2•PROPOSED WORK. }' Edition of MA State C9je used_ If New Construction check here❑or check aB that apply in the two rows below jL— Existing Building le Repair❑ 1 Alteration ❑ 1 Addition 137 Demolition (Please fill out and submit Appendix I) 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 ❑ No Is an Independent Structural Engineering Peer Review required? Y ❑ No Vol Brief ,,D��.•s�cripti-on�of^,P,rC o�po�sedWork. �u?rr1O Q rern0%1..e Ghl t nru��`7 Potr �14ton and e-1-i LA b rnnr,-r . SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Fluor(sq.it.) Total Area(sq.ft.)and Total Height(ft.) SECTION S:USE GROUP(Checkasa livable)" A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-1❑ A-5 CI B: Business ❑ E: Educational Cl F. Facto F-I❑ F2❑ H: Hi h Hazard H-1 ❑. H-2❑ H-3 ❑ H4❑ H-5❑ 1: Institutional I-I❑ 1-2❑ 1-3 Cl14❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ S: Storage S-I ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check-as a livable) IA ❑ IB ❑ HA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Debris Removal:i ermt: Water Supply: Fload Zone Information: Sewage DispasaL•' Trench P Licensed Disposal Site❑ Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be P required❑or trench or specify: Private❑ or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: \I-\jliagri{C.„nnf.cion l:cvj�egl'nky.,G Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ 1 Yes❑ or No❑ Yes❑ No ❑ SECTIONS:CONTENT OF CERTIFICATE OF UCCUPANCY Edition of Code: Use Group(s): type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Addre�f@s�l of Property Owner off/ �/ W /0'5 SC, /&L, Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) a-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. 1. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less than 35,000 cu.ft.of enclosed space and or not under Comtruction Control then check hen D and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control 30 1r\ �W I ce97t l ) )i4 Name(Registmn`) Telephone No. e-mail: ress Registration Number 11 D e�bt ��1 S7an " 0213 Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor 1��1G� C� ficti74�✓\ cc p / Camp�ruy /4�Rj�/ Cl / VZ� C=szp- i / 5I If. (J Name of Person Respondble for Construction License No. and Type if Applicable w f3TU- MA . 7�f PeA & 19USron �fl- 62-13 StrcJdress U City/Town ! ' State Zip OIX- t1 70J _-_- \ 01,4N[Pejeiin�rQcYi�C- C6 . Telephone No. business Telephone No. cell T� e-mail a dress SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? - Yes O No D SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)-$ D 1. Building $ Building Permit Fee-Total Construction Cost x_(Insert here 2.Electrical $ appropriate municipal factor)_$ 3. Plumbing $ Note:Minimum fee=$ actmun -tpality) d. Mechanical (HVAC) $ `.(tonf\) 5.Mechanic. Other $ Enclose check payable to ,C 6.Total Cost $ — (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attes nder the pains and penalties of perjury that all of the information contained in this applicatt n ei true and accurate to bes of In tnowledge and understanding. J��i l 097 $ -7,y Please print an sign nam Title _ Telephone e o Date Street Address City/Town Statestee Zip Municipal Inspector to fill out this section upon application approval: 1K� Name Date rCONT9R ¢VI_S. John Hadley, President 617-676-8978 Ihadley@hadleycontracti ng.com 615-676-8970 (fax) a 24 Denby Road, Suite 115 Y Allston, MA 02134 www.hadleycontrac�iing.com ONJIDVdiNOD I f CITY OF SALEK MASSAML SE M 1� BUILDINGDEPARTMENf 120 WAsmNGTON STREET,3OFLOOR TEL(978)745-9595 F KINIBERLEYDRISODLL FAX(978)740-9846 MAYOR THOMAS STYIERRE DmEcroR OF PUBLicPROPERTY/BI jjDM COM gSSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR, Section 111.5 Debris, and the provisions of MGL c40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste deposit facility as defined by MGL c 111, S 150A. The debris will be transported by: �cz��-P vr.cR� c..erne� (name of hauler) The debris will be disposed of in: hn�uu�� (name of facility) (address of facility) S' ature of applicant �7- 7� 1 � Date The Commonwealth of Massachusetts Department of lndustrfalAccidents I Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia 4�rmkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERIUMING AUTHORITY. Applicant Information Please Print LeObly Name(Business/Orgaiiimtion/hrdividual): Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.❑lain a employer with employees(full and/or part-time).• 7. ❑New construction 2.Q I an a,sole proprietor or partnership and have no employees working for me in $. Remodeling any capacity.[No workers'comp.insurance required.] 3.Q I am a homeowner doing all work myself.[No workers'comp.insurance required)t I. ❑Demolition n 10 Q Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. Iwill ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. - 12. Plumbing repairs or additions 5.2I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ]j,❑Roof repairs These sub-contractors have employees and have workers'comp.insumamt 6.❑we are a corporation and its officers have exercised then right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no employees.[No workers'comp.insurance required.] -Any applicant that checks box#1 most also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they most provide thew workers'.comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce der t pain and penalties ofperjury that the information provided above is true and correct. Si afore: Date: Phone#: Official u only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6, Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dpg license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia , ___ _ _ _ _ . -,-- , , '' �5so : � � � � � RECE14fED � The Commonwealth of Massac use sU: ,,L S i;V1GES nh Deparhnent of Public Safety ' ' + 4� .� MassachusetlsStafeBuilJingCode(7SOCMaQIS .JUL Z I P I� 09 Building Pern�it Applicatian for any Building other than a One-or Two-F�mily Dwelling � _(Chis SecHon Foi Official Use Onl ) BuddingPermitNwnber. DateApplied: BuildingOf(icial: � SECTION 1:LOCATION(Ptease indicate Ulock#and Lat k Eor lowtione for which a street address is not availabie) � /g � �'SS,� Sf �►2l9- • • � No.and SUcet City/Town Zip Code - Name uf Building(if applicable) . v ^� SECfION 2•PROPOSED WORK � nl 1 Edition of WA Stah Cude used_ If New Cunstructiun chttk here O or check all Ihat apply ui the Iwo rows below lYi Existing euilding Repair O rVhratiun Additiun❑ Denwlition O (Ple.sse fill out.md submit Appendtr I) Change uf Use ❑ Change uf Oca�pancy ❑ Other ❑ Specify: � Arc building plans and/or cunstructiun ducuments being suppli�til es part of this permit application? Ycs No � Is an(ndependentStmctural Engincering Ptwr Review yuireJ? Yes ❑ Nu � 6rief Description a�Pro used Work: N e�J �1"}� 01�� '� 4 rl C Y-1 S'�'t i1 C � �- rvic2 o P u w n i F+2 � � V L /1� 1.0 o O - 9 � SECTION 3:COMPLETE TFIIS SECTION IF EXISTING BUILDING UNDEftGOINC RENOVATION,ADDITION,OR CHANCE W USE�OR OCCUPANCY Ch�Yk hcre if nn ExisHng Building Investigation and EvaluaHon is endused(See 780 CtiiR 3!) � Eristing Use Croup(s): Propos�ti Use Group(s): - SEC[ION 4:BUILDING HEICHT AND AREA � - . � � � Existing Propo.ceJ No.of Floors/SWries(include buement IeveLs)&Area Per Fluor(sy.ft.) . � - Tutal Arca(sy.ft.)anJ Total Height(ft.) . - SECIION 5:USE GROUP(Check as a licable) - � A: Assembiy A-1❑ A-2❑ Nightclub ❑ A-3�❑ A-4❑ A-5❑ 8: Dueiness E: EduwHonal ❑ F: Facto F-t O� FZ❑ - FL• Hi h Hazard H-1�. H-2❑ - H-3 ❑ H-f 0 H-5 O L• InstituNonal [-1❑ f-2❑ f-3❑ 1-4 O bl: MercanAle❑ - R: Residential R-1❑ R-2❑ R-J❑ R-0 O S: Sforage SI ❑ � S2❑ • U: Utility❑ Spetlal Use�and lease describe beluw: . Special Use: � SECf10N 6:CONSTRUCI(ON TYPE(Check�ae a licable) � L\ ❑ 16 ❑ IIA ❑ IIB � IIfA ❑ 1118 � IV ❑ VA ❑ V6 ❑ SECTION 7:SITE fNFORhtATION(refer to 780 CM[i 111A Eor det.ilis on each item) Water Supply: Flaod Zone Information: Sewage Dixpasal: Trench Permih Debris Removal: Public ChcYk i(outside Fluod Zone l� hidic.ue rounicipal ��trench will nut be Licensed Dispusal Site�� mquireJ�ur tren[h or specify: Private� �or inJenlify 2une: uron site system virmi[is encbsed� � � Rai�road rightof-way: FluarJs to Air Navigation: �L•\I ll,tnri.C,m��nryc��n i:r.i��.�..i'r�w��.<: Nut Applicab�e� •Is Strutlure within airport approach area? . ..---Is their rcview completeJ? � or Consent to 6ui1J enclused❑ Ycs O or�Iu Yes� Nu ❑ �a SECTION 8:CONTENT OF CERTIFICA"fE OF OCCUPANCY ' [Jitiun of Cuda: Usc Crnup(s): Type ufCunstnictiun:_ Oecupant Load per Plnor. � D��esthebuilJiny,mntain.mSprinklerSysteml: SpecialSlipulalions: ___ G��sD � (2°I � 1 S � ! CO(� N�rc. �Z�'�, 1 �'P o �Tt-j� � �� SECTION 9: 1'ROPERTY OWNER AUTfIORIZA'CION - � Nanu and Address of Pro erty Owner ,Q a,, c,� J�4� �05 �'SSt� .� ,S'a1�2�-c a"�y, , Name(Print) No.and Street � City/Town � Zip Property Owner Cuntact In(onnation: �� —c � BiS .. - - - - Tille � � Telephone No.(business) Tclephone No. (crll) e-mail address If applic ble,the property mvncr hereby authorizes {,�e�� t_ ? � I>�i�/Lcb • f}!,C-S71X1 1`!/� oz�3`� N:vne Stree[ ddress City/Town State - Zip to act on the ro er owner's Ixhalf, in all matters relative to work authorized b this buildin ecmit a lication. � SECTION 10:CONSTRUCT(ON CONTROL(Please Eill out Appendlx 2)� � (f builJin is Iess thin 35,b00 cu.ft.of enclosed s ce and or not imder Conshuction Conhol then cheek here O and ski SecNon 10.t 10.1 Re istered Professional Res onaible for ConsfrucNon Conhol � 6 � Name(Regislmnt) Telephone lVo. e-mail address Registration Numbcr Strcet Addrcss • City/Town S4�te Zip Discipline Expiration Date 10.2 Generel Cantractor - - � � - � � � J��i+ ��f'lVtC�.S LLC Comp Name or� � CS - 09 � �26 ' N:une of Person Responsibl r Construction License Nu. and Type if Applicable 2� D.en b� �c{ • i+-��ro� t� 2�2� 3 Strcet Address � City/Town . Stnte Zip n ��_ s� - - J�� .d! ,� . Tcic hone No. busin s Tcle hone No. cell e-mail addrc. SECTION 11:4vot:�:Fns cOnu�E[v5n'riou w5ur.:��Cit.�rt�iU��vi'i� M.GL.c.i52 25C 6 A 4Vorkers'Compens�tion Insurance AffiJavit from the MA Department of Industrial Accidents must be comp(eted and submitted with�this application. Failure to provide this affidavit will result in the denwl of the issuance of the building permit. Is a si ned Affidavit submitted with this a Iicallon? - Yea O No � SECf(ON 12 CONSTRUCI[ON COSYS AND PERMTT FEE Item Es[unated Costs:(Labor � and b(aterials) Totil Cons[ructiun Cust(from Item 6)�$ S�F �� .� 1. 6uilding � Building Permit Fee=Total Cunstruction Cust x_(Insert here 2.Elcctrical � $ S BO � appropriate municipal factor)_$ 3. Plumbing $ 7 So� .. d.bt�tihanital (HVAG) $ '' 0,9 � Note:Minimumke=$ (mntactmunicipolilY) 5. Mtrhanical Other � � Enclose check a able tu �+i ''�"'"' v�y� C_ �-h 0 SLt 6.To[al Cust 3 SO 00(� (confact municipality)and wrile c�numbet here SECTION 13:SIGNATURE OF OUILDING PEIthfIT e\PPL[G�NT � 6y entering my name below,f hcreby at[est undcr the pains and penalties uf pc�jury that all of the inform:�tiun contained in this application is frue and accurate to the best of my knuwledge anJ understanJing. `loh,, /d�,✓� �- `�F Sg7� �� s— Pleaye rii t and sign name � TiNe �Tclephune Nu. Date �� De�. /2�- �C'i�d� . l+-s+-sFl- o� � ' Slreet AJdress City/Tuwn State Zip i�limicipal (nspector to fill out this secfion upon application approval: am D.ite ,%� � �ld�l� - , C�TYOF SALEM, MASSAQ3USETT5 �� BLIILDINGDEPARTMENT � _ 120 WnstmdGrpNSTREgT,3'��T,00R 1�L(978)745-9595 KIIvIBERLEYDRISO�LL FAX(978)740-9846 MAYOR T�oMns ST.P�xxE DIREGTOR OF PLIBIJCPROPERTY/BUII.DING ODNlM[SSIONER Construction Debris Disposa/Affidavit (required for all demolition and renovation work)� In accordance with the sixth edition of the State Building Code, 780 CMR, Section 111.5 Debris, and the provisions of MGL c40, S 54; Buiiding Permit�l is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste deposit facility as defined by MGL c 111, S 150A. The debris wil! be transported by: _ �� 5 -e 6 �� -�/ S .�--P . (name of hauler) The debris will be disposed of in: �1/o��r �e1v (name of facility) (address of facility) Sig ature of ap licant � �— ;� /,� Date I � The Commonwealth ofMassachusetis � Depar[ment oflndustrialAccidents 1 Congress Street,Suite I00 Boston,MA 02114-2017 www mass.gov/dia 1�i�'orkers'Compensation Insurauce Affidavitc Builders/Contractors/Electricians/Plumbers. 'i'O BE FILED WITH THE PERMI7TING AUTAORITY. - � � Aaalicantlnformation � � / � J� PleasePrint LeOblv N3II70(Business/OrganizaUon/Individual): �O�i+ � /y'4Q�Gl . . Address: � �l �-QiJ6�1. T�� • City/State/Zip: A-.ILS�n rrifJ- Phone#: B/7—l0 �� - '�`7 7 Qi � Are yoa an employe�':Check t6e approprfate box: 'I�le Of p703ebt(7byUlred�: , l.O I am a emyloyei wrth .employees(fiill end/m part-eme).` . 7. �New conshuction 2.�1 em a.wle proprietor or parmcrship aod have no duployees workmg for me in�� S. �RCmOaO�in$ . eny capazity.[No workeis'�iomp.msiu9nce requeed.j � . 3.Q I am a homeowner doing e�l work myaclf.[No workas'wmp.insurance requrted,]� 9: ❑DeIItUlihoa - ]0 Q Building addition. 4.❑I am a homeowner mid will be h'ving contracrors to cmducl sll work on mY P+�P�Y. I wB] . . msure that all conhactors eitLv have workers'mmpensation insuraoce m se wle . 1 I.Q Elechic8l iepairs m edditions proprinms witn no emptoyees. � . .. � 12.Q Plumbing repairs oi additions 5.�I em a gwaal comactoi aud I have 6ired the subtonfiactms listed on the nnac6ed sheet j 3.�Roof repairs. � 7Lrse sub-contrecWts have employees and have wo+kas'comp.msinmce.J � 6.�We are a coipo+ati�and its officas Lave erzercised thev ri t ot ex on MGL c. l4'Q OtL¢r . - � Bh emP� Per � 152,§1(4),and we have no employees.[No workers comq�.inswaoce reqimed.] � � � � . .._.._ . __ _ _... .. _ . . ._ ._._ _: . . _. ._. ._ ..__ __ _. . ..... _. .. _. �My appticant that checks 6ox Rl must elso fi0 out the eatim Aelow showing Oxu wmkas'compensation policy intormation: � � � t Homeowners w6o sulirqit fiis affidavit indicetmg they are doing all work md fhen fiire wbide wouactms musl submit e new•a}6devR mdicating auch �Contractoa that eheck tha bnx must attached ao addilional sLeet showing Ihe�me of the wbcontrectors and state whettier m not t6ose mtities Lave - employees. Ifthesub-conlnctorsAeveemployees,theymustprovidetheu�wmkas'�GomP.poliryn�ber.�. � I am an emPloyer that is providing workers'compensation insuranre for my emp[oyees.-Below is the po[icy and job�si(e � � tnjormation. Insurance Company Name: � � ' . Policy#or Se1f-ine.Lic.#: ' � Expirafion Date: - Job Site Address: 10 S �SS�t/ `"�' _ City/StatelZip: SCt I�2/v� Attach a copy of t6e workera'compensation pollry declaratlon page(sLowing t6e policy number and eapication date). Failure to secure coverage as required imder MGI.c. 152,§25A is a criminal violation pimishable by a fine up to$1,500.00 and/or one-year imprisonment,as well as civi]penalties in the form of a STOP WORK ORDER and a 5ne of up to$250.00 a . day agamst the violator.A copy of this statement may be forwarded to the�Office of Invesfigations of the DIA for insurenoe cbverage verification. I do hereby certi nd the p ' and alties ojperjury that the information provided above is true and conec4 � Si ature:' Date: �� Z I ^/ Phone#: —G�7 '- ' , O�eial use on[y. Do not wrUe in this arep,to be compleled by eily or town o�J'ieiaL � City or Town: PermitlLlcense# Issuing Authority(c'vcle one): I.Board of Healt6 2.Bullding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbiug Inspector 6.O[her ContaM Person: Phone#• � Information and Instructions Massachusetts General Laws chapter 152 requ'ves all employers to provide workers'compensation for their employees. Piusuant to this statute,an eraployee is de5ned as"...every person in the service of another under any contrad of hire, express or implied,ora]or wtittep." An employer is defined as"an mdividual,pazh»ership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased em�loy�,or the receiver or trustee of en individual,pazh�ership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apamnenu and who resides therem,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building app�utenant thereto ahall nM because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every atate or local licensiag ageucy shall withhold the issuance or renewal of a ticense or permit to operate a business or to construM buildings iu t6e commonweakh for any applicant who has not produced acceptable evidence ot compliance with the insurance coverage requfred." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work imtil acceptable evidence of compliance with the ms�aance mtil requirements of this chepter have been presented to the contractmg authority." Applicants � Please fil]out the workers'compensation affidavit completely,by chedang the boxes that apply to your situation and,if . necessary,supply subcontractor(s)name(s),address(es)and phone munber(s)along with theu certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Parfierships(LLP)wit6 no employees other than the I members or partriers,aze not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a po]icy is required. Be edvised that this affidavit may be submitted to the Department of Industrial � Accidents for confianation of insiuence coverage. Also be sure to sign and date the affidavit. The affidavit should . be retumed to the city or town that the application for the permit or license is being requested,nM the Departrnent of � Industrial Accidents. Should you have any questions regarding the law or if you are requued to obtain a workers' compensation policy,please call the Depaziment at the manber listed below. Self-msured'companies should enter their self-insivance license number on t}ie appropriate]ine. City or Town Oificials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space flt the bottom of the af5davit for you to fill out in the event the Office of Investigations has to contflct you regarding the applicant. � Please be sure to 5ll in the penniUlicense number which will be used as e reference number. In addition,an epplicant that�st submit multiple pemriUlicense applications in any given year,need only submit one affidavit indicating current � policy informarion(if necessary)and�mder"Job Site Address"the applicant should write"all locations m (city or town),"A copy of the afSdavit that has been officially starnped or marked by the city or town may be provided to the applicant as proof that a valid af5davit is on 51e for future permits or licenses. A new affidavit musl be 511ed out each � yeaz.Where a home owner or citizen is obtaining a]icense or perrtrit not related to any business or commercial venture (i.e.a dqg license or pemvt to bum leaves etc.)said person is NOT required to complete this affidavit. - The Departrnent's address,telephone and fax number: � The Commonwealth ofMassachusetts Deparhnent of Industrial Accidents 1 Congress SVeet, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext. 7406 or 1-877-MASSAFE Faac#617-727-7749 �� - Revised 02-23-15 www.mass.gov/dia � e ,.�,�.� �.. �.�.._ � _ ....,_. . ___________ _ _ ._.-.. �,�--_ _ II - i ; , � , , . :: Ranere Associates Inc. Architecture & Interiors �f ESSEX STREET '4Ed9emo�t A�e Reading MA 01867 105 Essex �t Salem NiA T:6,�.542.2,,, w�,vw.rai-a rohitects.com —— — —— — — �——— — — — — — � 'I —— — — —— — CEILING @ 11'_7" � � CONSULTANTS � \ II = _ __ ~ \ ` Consultants � \ PERMIT SET ��, '� REMOVE STONE AROUND FIREPLACE ` � G 7 . 15 . 15 0 � CEILING @ 12'-2" � , � �! �. ❑ . �m` � Architect: Ranere Associiates Inc �� `, � � REMOVED RAISED FLOOING `� � 74 Edgemont Ave Reading MA 01867 617-542-.2111 �� — — � DR,4WN BY - - , � - - - - - -- -11 Designer: Restaurant Deign Group Inc ' ° _ J � � D TB i • � � 7.15.15 ( I CEILING c(a,7'-S" � � NO. REVISION DATE BY I I II Contractor: Hadley Cont�racting Services L ===�—T -� - - - ' �;;= 24 Denby Rd. Suite 115 Allston Ma 02134 617-�76-8978 I I 1 '. � 1 DEMOLITION PtAN �.� 1/4�� _ ��_��, � ; PROJECT Jolie Tea BUILDING CODE SUMMARY Company EXISTING BUILDING PROPOSED USEGROUP B B � , TPE OF CONSTRUCTION SB 5B . � � N0.OF STORIES 9 STORY Shop b on pert of Iket Ilaar � � FLOOR AREA �SF ''�, � 8006SF . � I CODECONFORMANCE � II EIGHTH EOITION OF MASSACHUSETTS STATE BNLDING CODE , AMERICANS WITH DISABILRIES ACT(ADA) '�� '� � MASS ACCESS BOARD REGUlAT10NS �i� . N i � DRAWING Title Sheet & Demo Plan SCALE ` 1/4" = 1'-0" l d��t��y� �R�� A100 � � m� � P� � ��+� ��/�� s�r P'ERMIT SET . ,--�. --- ^-- - - ' - ___ -- - �.... _—_. _— _ __. _ , I ___ ____�_____. I i I Room SGhedule Ceiling Pull station Surface mt ext led li ht � wt Name Floor Finish Base Finish Wall Finish Finish Comments 9 New door with new glass tansom above , Counter 1'd 42"h i 1 SITTING Existing Wood Paint Paint Refinish wood Floor � ' Ranere Associates Inc. ; 2 WORK Ceramic Tile Ceramiic Paint Paint Architecture & Interiors i AREA Tile Pendanc u9nc , I 3 TOILET Ceramic Tite Ceramiic Paint Paint Readi 9 nrw o�es� � � 74 Ed emont Ave I _ � Tile ,� 0 SITTING r:s��.ea2.2�� 4 HALL CeramicTile Ceramiic Paint Paint ;�, Newdis ia case 1� ' I P Y www.rai-architects.com � Ti�e 1 i� � , o �� 30"h�Q'counte � Track light typ ✓ N��\ev �� CONSULTANTS (" Display Ca:�z j �,. A101 Consultants yn ` Reface fireplace , � � --- - -- new 8'h wall ��ev �� ;�� `� Shetves Owner supplied Door Schedule ❑ � �' Shelves Owner supplied COI1StIfUCtI0f1 Surtace mt linear LED Mark Width Height Ty�pe Comments Homrstrob�e � Emerg IigMt " 6 .6" ,, 1 3' - 0" 7' - 0" A p ,,--�"" 2 3' - 0" 7' - 0° '�� ' 3 3' - 0" 7' _ 0" '� ""� -'"�pOn`E�e�� Sconce — Wor� 2 light over � � mirror Dish washe 2'cou i ht base cabinets below and shelves above � HALL A1o1 �'counter 3'high shelves above � �- �, m _ �� i � � � j S / -4�--�— ----___ �. � � TOILET � I � I O DRAWN BY I Smoke detector � � � Author , � � _ � 3 DATE af� $ 07/15/15 � Surface mt LED typ �� 22 ��p� .�� NO. REVISION DATE BY �� Newtransomiwindow Z� 22 � trim to matchi exist windows � ��Z� � $ �� i � i + � RCP n FLOOR PLAN ` 1/4" = 1'-0" � 1/4" = 1'-0" � , - � _ , _ . . . � . I , i PROJECT � , � � Jolie Newtransom.window Tea i i : Company ; � . � I � Display Case . �� Case � `� � Existing window Existing window 'I I � I n DOOR TYPE A IN'I a 1/2" = 1'-0" � � i I � � i n West Elev �South Elev ' � 1/4" = 1'-0" ' 1/4" = 1'-0" i New sideiight New stone I counter on wrought iron breckets � North Elev DR.4WING " 1/4" = 1'-0" FLOOR 'i �evel 2 PLAN ! — — — — 10' - 0" I ; open adj. �helves on � standards �and brackets i i SCALE I � � Counter As indicated i ,i a��`''�' ' o�, � � A101 i 5 Workroom Elev ��,Cfi' � 1/4 1 -0 � � � .�,p�� 1��C0`""'�.---_ SET PERMIT SET � � ,\ � . __ ___ .... _._ --_ _ _ , , _ . � _ _ _ __ _ _ _ i _ _ _ . �- me - Boa IKAM 1611ST-DE{.ILEG-ANG APPROVED BY 'T44E .LW=TDR PWR TP.A.PERNMT B,EWG GRANTED CITY OF SALEM Date 2 —off tea.. Is Property Located In Location of b the Historic District? Yes_No_LZ Building (, Is Property Located in the Conservation Area? YsaN0 BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof Reroof, Install Siding, Construct Deck, Shed, Pool, Repa eplace, Other: F 2 W d PLEASE FILL OUT LEGIBLY &COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's Name Address & Phone 1 07 5 Architect's Name Address & Phone 1 I Mechanics Name1r Address & Phone What is the purpose of building? Material o1 building? If a dwelling, for how many families? Will building conform to law? Lis Asbestos? r IGa Estimated cost 11C9T/_City License• N A statte license BNCC.S 090749 10 S�^m Lie. i .e ®eImprovnt vJ f EFk r/�F Signature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE r MAIL PERMIT TO: No. L3Lt APPUCATION FOR PERUff TO ATION,�; ^ �� PERMIT QRANTED AP ROV�D a , S ECTOR OF UILDINGS -= 3 The Commonwealth of Massachusetts Department of Industrial Accidents i+l F 9/fl000110YBftlDatlOBs 600 Washington Street, 7rh Floor Boston,Mass. 01111 Workers'Com ensation Insurance Affidavit: Buildin lumbin lectrical Contractors ICZG01?141- 9 address: [ l L.JCMlDL"Y.LJVJ 1'01 ' city ( 4k 3 F t- state K x. zio i0alM phone# 6 a work site location(full address), ❑ I am a homeowner performing all work myself. Project Type: ❑New Construction UDRie5model ❑ 1 am a sole proprietor and have no one working in any capacity. ❑Building Addition [p�l-am an employer providing-workers'compensation-for my employees workmp on-this- Compaq Y name: I-V L r w! lh"r i "`� "�;_..,s'g '»•a �',x.f a�i*t ' k sw t' address: C* policvtY ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company Dome: address: Lk 1411.0 r I.A, .f[Af city: t AA F' ti S riJA- phone# {j,lclr-'� 94V,"�'; lrx " s r y ,. '¢s• z'G.d sry , ..�. .x x x.1A•m• f w "..4. . �"�'r"Ty Y� 4 r� q insllr$Ilss i4.— nla�.,l:n,tiiC h 1/rt.D t.{.r,�. .- paBevk yt'1�ff r company name, ,n t address: : l.1 y; k §t gx k^ R +• "ju*i> r 'ta.,. MS%r , s ,�p :# r t w.rn err.n A w p_ ts^Y,S3 IRS :1 vsw+Ww� •vWr. .:}-:�i--wf•�0.+++n1=w+i..4... Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a Fine up to$1,500.00 and/or one years'imprisonment ea well as civil penalties in the form of a STOP WORK ORDER and a flue of$100.000 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of investigations ortbe DIA for coverage verification. I do hereby c tify under t p ins and penalli er ury that the information provided above is true and correct Signature��V Date '4 --L —49 S: Print name �, - .� ITLGCc (Z4 7 Phone#6L:�--V4113 (43 official use only do not write in this area to be completed by city or town omcial city or town: permit/icense# ❑Building Department ❑Licensing Board El check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; ❑Other re%1 d ScP1,i:su) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. N 1 An employer is defined as an individual,partnership, association, corporation or other legal entity,.or any two or more of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shalrwlthhold-theissuance-or--- renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements.of this chapter have been presented to tfie contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage.:Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the'Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the.-number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for youto fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as—a reference number: The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. r The Departments addresS,r telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Imesdeadens 600 Washington Street,7'"Floor Boston, Ms. 02111 fax#: (617)727-7749 phone#: (617) 727-4900 ext. 406 I License: CONSTRUCTION SUPERVISOR 1 `Nlahh�(fi"CS 090749- $I 1978- Tr.no: 90749 DERRICK FITS 4'W000LAWN CHELSEA, MA u CITY OF SALEM9 MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT e 120 WASHINGTON STREET, 3RD FLOOR a j. . SALEM, MA O 1970 TEL. (978)745-9595 EXT. 380 FAX (978) 740-9846 STANLEY J. USOVICZ, JR. - - MAYOR DISPOSAL OF DEBRIS AFFIDAVIT In accordance with the provisions of MGL c 40, S34,I acknowledge that as a condition of Building Permit# , all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid-waste disposal facility, as defined by MGL c III, S 150A. The debris will be disposed of at: (y Anj:Z r_.,z �.— Location of Facility _o _ o Signature of Permit Applican Date FULLY complete the following information: (PLEASE PRINT CLEARLY) Name of Permit Applicant Firm Name,if any Ckk6_ I,s 0---t O X!)'0 Address, City& State The above statute requires that debris from the demolition, renovation, rehab or other alteration of building or structure be disposed in a properly-licensed solid-waste disposal facility as defined by MGL cII1, S 150A, and the building permits or licenses are to indicate the location of the facility. o The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for wh' ' ad �b� L�SSPr CJf �alew W — 6 /9 '70 " No.and Street City/Town Zip Code Name of mg-(if plicable) SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair❑ Alteration Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change.of Occupancy—❑- --- Other ❑ Specify: - -•Are building plans and/or construction documents being supplied as part of this permit applicafion? Yes ❑ No GY Is an Independent Structural Engineering Peer Review required? Yes ❑ No fd ' Brief Description of Proposed Work: /I2 S/-a t) .3 V i n Xl SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ 1H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1 ❑ I-2❑ I-3❑ I4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ S: Storage Sl❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: _ - SECTION-G:CONSTRUCTION TYPE(Check as applicable) IA IB ❑ IIA ❑ IIB ❑ IIIAD IIIB ❑ 1 IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zorie Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ Private❑ or ind required❑or trench or specify:entify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable El 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: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner UNr-o,V-. C0r40 oc. 165- ESu7G Sf 30,Ltmm,4 6/970 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: `TO I LC-k 1 4-SO,n 9-7?-- o2LO-L¢O I 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 building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2aGeneral Contractor !l II ��yiC25 IWL• Company Name "ref Irv)! 05--7733 CSC Name of Person Responsible for Construction License No. and Type if Applicable 1 I S /V": x S+- fKa- Street Address City/Town State Zip `sue nya-y Telephone No.(business) Telephone No. cell e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ 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 $ 1 (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 t of my knowledge and understanding. •Please prult and sign name ., Title ,,�Telephone No. Date t'trt D/ cl-70 Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date i � i-r+yy q 7 y�� P ® g 9 cC �+�yy C 7�p•C /o CITY OF �cI. X,_Nd9 .NL L- SSACFEA SEA- AJ BuimiNG DEPARTStE,NT . . p 120 WASHINGTON STREET,Sao FLOOR TFL (978) 745-9595 FA_x(978) 740-9846 K NIBER EY DRISCOLL MAYOR TFl(a�tAs ST. DIRECTOR OF PUBLIC PROPERTY/19LILDD;G CO%LMISSIONER . Workers' Compensation Insurance Affidavit: BuildensiContractorv/Electricians/Plunibers Applicant Information c Please Print Legible VatnN (nusincss:Urganizatiorvindividual):��.�y�l/i�QS ryL�, A Address: 1 L,S tyo rwN, 5 f City/State/Zip: `l76 Phone H: 92 7VI-6 �,7 •y Are you an employer?Chec t➢ee appropriate boa: Type of project(required): 1.L✓1 I am a employer with 4. ❑ 1 am a general contractor and t es(full and/or patx-rime).° G. ❑New construction employe , have hired the sub-contractor; ,�,/ t 2.0 lam a sole proprietor or partner- listed on the attached sheet.t 7. Li Remodeling { ship and have❑o empluyees These sub-contractors have 8. ❑ Demolition i working for me in any Capacity, workers'comp.insurance. y. ❑ Building addition. [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 I.❑Plumbing repairs or additions s myself.[No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.}t employees. [No workers' I comp.insurance required.] 13.❑Other 'Any applicant iltat checks hue At must also III out the section below showing their workers'compen,,niun policy inrurmalion. It lomcuwwmc who submit this affidavit indicating they ace doing all work and then hire outside cnntmcrors must submit a new affidavit nolitatingsuch. -Can.Ion th a check this box mtut atlaehm an a.Idiliw:O cheer shnwina the nnme of[fie svb-eemractors and their workare'wrap policy infomt.,timr j I am an employer that is providing workers'compensation insurance for my employees. Below Is the poldcy and jab sire f information. 6 Insurance Company 4--Ins,."._ - Policy#or Self-ins,Lie.#: 0a4 3 M V) Y __ Expiration Date: Job Sire Address: l h i t�syrr S' - 5c"(-2r, City/State/Zip: ' 0 1 C - ,Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiradca diate). Failure to secure coverage as required under Section 25A ot'MGL a 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a I'me i of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the MA for insurance coverage vtritiealion. ; ilia hereby cerd air a the pains rd penalties of perjury that the information provided above is true arrd correct - p u S,no'n re'' _Date: Phone 7: �, t l [ 0 q QJrrial use only. Do trot write it$this area,to he completed by city or town official City nr'I'own: _,,.__ 6'crmit/Llccnse# Issuing Authority(circle one): . 1. Board of Health 2,Building Department 3.C'ity[fown Clerk 4.F,lectrical Inspector 5. Plumbing lnspec:Dr I 6.Other , li Contact Person: Phone#: it P /aFZ Rq� /�,,- �p`' /7_ �°� A & A SERVICES, INC. A&A SERY ICES 115 NORTH STREET,SALEM,MA 01970 • Telephone:(978)741-0424 Fax:(978)741-2012 Contractor Registration No. 101609 Federal EIN:04-3090162 Construction Supervisor No.CS057733 WINDOWS AND STORM PRODUCT SPECIFICATION SHEET Buyer(s)Name Date of Contract O� SI- � FJ 0 S&U i p cS1d ! � Buyer(s)S�treet Address,City,State and Zip Code / l 0T ZZSS�K J- S &Il h,�q-0(�`Ic7 Daytime Telephone Number Evening Telephone Number Mobile Telephone Number E-Mail Address qZ� a 5a oe( JOBI�rCGrFrclsa/✓�t�rizvn-vim The Buyer(s)listed above hereby jointly and severally agree to purchase the goods and/or services listed below,in accordance with the prices and terms described on this Specification sheet and the front and the reverse of the accompanying CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,of which this Specification Sheet is a pad. /��' WINDOW REPLACEMENT Vnl Remove and dispose of# f� existing windows. CS+On94S A)�S.gSls¢ S� V L Install # `4-1d 1'-,P-L new $ •5£ fc( feJ windows(3Vinyl t Wood (Manufactu r) Options: style �Ub �lk[ e1¢ Grid pattern �i Caw-s'rX /��Color Interior LU N I Color Exterior =-�t 1leitpli Glass Type C /.o10� A U Wrap exterior trim with aluminum: Style I=L 'X=A"Al&M Color riU50-1 BOW Ott le IDR f All windows will be installed according to the installation procedures in the portfolio. t#n(dL4 Jcr.�ONtYIoN ) LT�auik all interior and exterior edges. � �' t Insulate where possible around new units. Jr59—"X .SF C170 5/rJA/d�in h4l 10 t Insulate window weight pockets if exist,and around new window units where possible. US wt' Included in this proposal are set up,clean up,Hepa vacuum and cleaning windows inside and out. Ste'��2'Ud f 3(d-fL- ilding permit included. BAY/BOWS/CASEMENT UNITS/ANY FULL CONSTRUCTION WINDOWS If Create new window opening by cutting through existing home and framing in opening. t Remove and dispose of existing unit(s)in its entirety. Nate:Electric and plumbing may exist in wall and will require additional casts to customer if need to be dealt with. It Install window(s)into opening(s). Note: If Bay or Bow installation to include cable support system,new roof system(matching color as close as possible) or tie into existing soffit system. 4 Bay If Bow t Casement t Other window(s)to include new interior style trim and new exterior style trim and head flashing as needed. /�1� 1�__— If L Note: Painting and staining not included. - Y.1/U hOus'E Cfie ally i�sure-/LiSCeuccc�• STORM PRODUCTS If Remove and dispose of# existing storm window(s). t Install new storm windows# Manufacturer Style Color Option If Remove and dispose of# existing storm door(s). t Install new storm doors# Manufacturer Style Color Type: If Aluminum If Solid Core . SPE.qIAL INSTRUCTIONS: • _ r✓S�,411 New ;m oir- 0;n>e 15*E- Igs lya2cw i Fczdf s4IVf t +' U ek Owes, or 57 ©.y Z 0 C *-e ?Lry i nc�%05 - w I`� �X R✓Id o� �yC s}oC� � s N�� 1-y+ SP}�� '{"�to�aN4b�� wt-�- It Is agreed and understood by and between the parties that this Specification Sheet,along with CUSTOM REMODELING AND IMPROVEMENT AGREEMENT,constitutes the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms.This contract may not be changed or Its terms modified or varied in any way unless such changes are In writing and signed by both the Buyers)and the Contractor.Buyer(s)hereby acknowledge that Buyerts) has reed this Specincetlon Sheet Contractor Initials: (// 1 Date: 19 Buyer's initials: Dater 3 3o A & A SERVICES, INC. �+�'p /d1,aC�N A&A$ER CE$ 115 NORTH STREET, SALEM, MA 01970 •un IVA 10 1 IVA III'• Telephone:(978) 741-0424 Fax: (978) 741-2012 Contractor Registration No. 101609 Construction Supervisor No.CS057733 Federal EIN: 04-3090162 CUSTOM REMODELING AND IMPROVEMENT AGREEMENT Bu r S Name Dale of Contr /t B I1�Q y — 1t I ! Bu er s Street Atldmss,Cit ,State and Zip Code l Die SA I eu 1R?d Daytime Telephone Number Evening Too hone Number Mobile Tele hone Number E-Mail Address 9 7 0 60 oel c ei �oef tic (dQw ✓er oar �. The Buyers)listed above hereby jointly and severally agree to purchase the goods and/or services listed on the accompanying specification sheets,in accordance Will the prices and terms described on the front and the merely,of this agreement and any specification sheets(this"Agreement'),and Buyerls)have requested that such goods orservices be installed or provided at Buyer's address listed above.ALA Services,Inc.('Contrecto`),hereby agrees to install or cause to be installed Me products or services listed in this Agreement at the Buyerts)address wriflen above.This Agreement represents a cash sale of goods and services.The Buyerls) agree to pay in cash the cost of the goods and services purchased as described herein,regardless of timing or approval of any financing Buyerts)may seek for their purchase. '7rr$� Purchase Price: O , i11}�1 �)�G/te LVL/ Est.Starting Date- Down Payment: /D/d //4 Sro _ � Est.Completion Date: Cash Q �I�I1111 �or Qu;C �r[fAlq,�prktf �. t'M.af,(�ti'N4 / 7/ ❑ Amount Due on Start of Job: q v 2 Check /1-1�0/.f46GP� ©jCreditCard Amount Due onof Completion: e No. Amount Due oft Completion: T / r,JQV ] piation Data Balance Due on upon Completion: CVC Cotle: It Is agreed and understood by and between the partles that this Agreement, front and back and any addendum, constitute the entire understanding between the parties,and there are no verbal understandings changing or modifying any of the terms of this Agreement.Buyerls) hereby acknowledge that Buyer(s)has read the front and the reverse of this agreement and has received a completed,signed and dated copy of this Agreement,including the two attached Notice of Cancellation forms,on the data first written above.Buyer(s)also(i)acknowledge that they were orally informed of their right to cancel this transaction;and(11)request that they b,contacted via their telephone numbers or email,as listed above,in the event Contractor believes Buyer(a)would be interested in any additional quality products or services of Contractor.DO NOT SIGN THIS CONTRACT IF IT CONTAINS ANY BLANK SPACES. A&A Servi s,Inc. Buyer(s) By' Signature �I ��,,,, •• Signatur WfYH Gudd� :' ? f Prim[Name Pnnl ame Signature Print Name You,the Buyer(s), may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Seethe following Notice of Cancellation form for an explanation of this right, ARBIrRATIOR The rvmmourrand the M1oneamrer hereby muluallyagrae in atlwnfe that in the erenl either party has a dispute mnceming Nis contract,eilherparty may author such dispute W a phial,WA20on uMro wTIN has been approved by Me Se natepool the EucuOm OKwof Consumer Affairs and Sources Regulators and the other paq shall be required to submit to so& aRNrraton as proved in M G.L c.141A Canvazw h BuyaYs lniluh: Dv Oam: IC OFC HCFL OIL OF CANCEL TIO Data oI Ransacton#�;idr] ,Tou may ranrel Nis transallon,witout any penalty or Date of Tansacton you may cancel NIs ttansallon,vnNaN any penalty or Obligation,vAlM1ln thr from Ne above tlale.ll You cancel,any probed,traded in, obligation.Mthin three A enrol ent.above date.Ifmucencel,anypro"gadedin, any ppi'mors mademe Capped or Sale,and any my,Sbla lnstrunent ereMed any payrrents nestle you under Ne Contract or5ale and any elimade insaumenl eucuted by you see be returned Who 10 days ellovnng receipt by Ne Sella of your cencellamn notice, by you WII be returned smin 10 days elloMng receipt by Me Seller M your uncellaton notice, and any saunts Interest amng out of the banseGbn Mil be cercNled If you cancel,you mast and any security interest shsire,out of the traneeeton WII be wncelleR If you cancel,you must torso Syllable N the Seller at your resistance,and sub5antery in as a.condition as when Mahe avallaGe Be We Seller at your residence,and subabourly in as good mnditim as when rived,any pods delivered b you under this Conrad or Sale;or you may,ff you eimR an9ly receved,any goods delivered to you under Nis Contract or see;or you t my if s awen.cormh s m me overpriced Mr.is of the Sauer eg goods ve rewm the Seller M the goads at es Sonar's le,the in d nickma m Na sans m goods ma return a.SAW of the goods at es Before themu a and nsk.If you do make the goods available to the Seller and the Seller does not pie them up and risk,d you do a data Ne goods available by Ne SHler and Me$Sher or mapped not 0 memup MNin a0daysorNedamof your Nods Wake Megoor.You davolat retain Seller semNu themo MNin20anysofNotlig NyourIt ou fns ail0 C ke Menoodsyarable toe ben,ad goods MNoul any Ma urtherfoods to Suiten.(yeu l&I to drake Nan up revailabte sNe poI or if you you goads MNourn Mel goods to Me Sell rand failltbrreke Me goods yearnlbleto re Sallepnce egree[o return me gcMslo NaB JlereM roll to do m,tben ym terrain toady,forpeMmance of you agree to return Me goods to Me Seller and lailbtlo so.Nen puremsln toady,lorpeRormance all obagatons under Me Contract.TO cancel this banevorm,—it or deliver a signed end dated of an obligamns under the comes.To can!this transaNm,mil or derver a signed and dated copy of the revolution no4m or any offer uffiten nodm,or sand a telega M Services, espy of the cancellamn no4w or any Omer emit notes,or Bend atelegra A8A e 115 NoM S.Salem MA 01970,NOT LATER THAN MIDNIGHT OF 3 115 NorthS ash,Salem MA 01970.NOTL4IER THPN MIDNIGHTOF /% s. m m riot I HEREBY CANCELTHIS TMNSACTION I HEREBY CANCEL THIS TRANSACTION Consumer's Si,hMw. Date: Consumer's SignaWre Dale: ^.\ THE COMMONWEALTH OF MASSACHUSETTS • „�, •!EXECUTIVE OFFICE OF LABOR AND WORKFORCE DEVELOPMENT -� DEPARTMENT OF LABOR STANDARDS 19 STANIFORD STREET,BOSTON,MASSACHUSETTS 02114 DELEADER CONTRACTOR LICENSE A&A SERVICES, INC. 115 NORTH STREET SALEM MA 01970 LICENSE: DC000440 EXPIRES: Saturday,June 07,2014 IN ACCORDANCE WITH M.G.L. CH. 111, § 197B(b)AND 454 CMR 22.03, THIS LICENSE IS ISSUED BY THE DEPARTMENT OF LABOR STANDARDS TO THE CONTRACTOR ABOVE FOR THE PURPOSE OF ENTERING INTO OR_ ENGAGING IN DELEADING WORK. THIS LICENSE IS VALID FOR A PERIOD OF ONE YEAR. THIS LICENSE MUST BE MAINTAINED BY THE CONTRACTOR WHEN ENGAGED IN DELEADING WORK IN ACCORDANCE WITH M.G.L. CH. 111 § 197B(b)(2)AND 454 CMR 22.03. HEATHER E.ROWE,DIRECTOR e�aneneoiuoeal!/cc�y'n/j�aJaar/:rue(ti tFN " Massachusetts -Department of Public Safety Office of Consumer Affairs&Business Regulation Board of Building Regulations and Standards OME IMPROVEMENT CONTRACTOR Construction Super,isor _ egistration 101609 Type: License: CS-057733 xpiration: 6/26/2014 Private Corporalio .' A&A SERVICES INC CHRISTOPHER ZORZY 115 NORTH ST ; 'o. Salem MA 019707 r Christopher Zorzy _ 115 North Street Salem, MA 01970 �— - a—' Expiration Undersecretary 92. Commissioner 0$/26/2015 71 Hn sRo Dui: , P� I IY '2Q' j ' (8 i 1 e I . I31 .r�.. Z w o3 I k A w � �. Christopher Zorzy #20120426000840 s A&A Services Inc Exp 4/26/2017 ii)"�•'y�g" 115 North St LHR75 ZORcl Salem, MA 01970 1 !�„l . "- :.' c ''�03i,inn..:`a'•'.': 4litthew J Gibson M1tr2g^ CMradnNu9arta Phone: 978-741-042 4 Fax 9 -2012 A&4 SERM19S www.a-aservices.com 115 North Street Salem,MA 01970 September 25, 2013 City of Salem Building Dept. 120 Washington Street Salem, MA 01970 To Whom It May Concern: Enclosed please find the permit application for Joel Richardson (Union Street Condo Assoc.) at 105 Essex Street, Salem, MA for vinyl window replacement. 1 have enclosed a check for $54.50 based'on your fee sche,$�f$11 per $1,000.00 plus a $5 administrative fee. The total for the job was,,$4,2-37.00. Please send the completed permit to A & A Services. at 115_North Street, Salem, MA 01970. // ;t 1 �sr j r If you have any'questions, please contact me at(978) 741-0424. Thank you for your assistance. j j I Sincerely, -9 r -� Barbara Zorzy Office Manager I 9 A } 4 h I t DATE:,_,1 27 Cirp Df 0alk, m, r A'qE;HLbUg;Eft# PLANS7MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building 105 CS5eX �SIYP� "Yid: Building Permit Application For: '(Circle whichever applies) Roof,Reroof, Install Si ' onstruct Deck, Shed,Pool Addition, Alteratio pair/Repla undation Only,Wrecking Other. t PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING To the Inspector of Buildings: The undersigned hereby applies for a permit to build according to the following specifications: Owned Name'. I Chd O 6©n Contractor. A A 5 eF o'u 5 l Chn 5 fD rat, Street._IQ6 ESSN SI p LM City 5alerll Street.115 Nnr4h 3 City _ (cnz State. r� Phone (q7$)' A4 H-5,9 q l State MA Phone.(a78a 7-'j I z /-I oA H '. Architect: City of Salem Lic# L H 05 Street City State Lic 057 7 aZ HIP I OI(oOq State Phone ( ) I Homeowners Exempt Form—..es_k/no Structure:(please circle) Single Family, ulti Family Other I Estimated Cost of job S a 3 h, 6 D Will building confirm tyy Iaw? _Yes no Asbestos? yes ✓ no Description of work to be done: -v1S+Ql1 -Fn)r VlnLa 1�y )71alQyi err 1c711'Y�r,t� ;� A&A SERVICES, INC. Drawin S itted:_des no Mail Permit to: SALEM,MA 0"'7 Signature o Applk 'on,SIGNED UNDER THE PENALTY OF PERJURY CONSTRUCTION TO BE COMPLETED WITHIN SIX(t)MONTHS OF PERMIT ISSUED DATE ;! Department use only: Permit# Zoning Map/Lot Permit fee S i tit tf' T.. is ,.. •k5jugtti 5g• . _ .�..,F ,.9 �f fri .ot••i�li ]✓A�Y'f�t .Si y a n, v }I cn CD 1.O I Yy .._ LLII Ul r• Pii��"' U CL LL Z- �- IL- <