333 ESSEX STREET - BUILDING JACKET �.�3 �ss�X s�i-��
STREET PERMIT
Cttp of *arem
®ffice of 3ngpector of jouilbingo
Q6(Yfa!!, ✓ t ! 20
`Permission iseerre6y_yrluen to _ +� �i� I'!,lGa A/I
U/1ti�
fo occupy for { \ `-�- purposes
infront of esfa/e
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ofsideewaa� / / ofslreel.
7Sis permil is fmiledlo ( ` / T) 20 , sa6 ecl to lse
provisions of l6e ordnances andslalules in relation lo c5lreels ano(lfie 9nspeclion
d andGonslruelion of Tuifdnys in l e Gily of cSalem. (fj //]
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Di�rc/ar of'.'fE6/ic cScivicre 'Ly`/. ,9upedmyl,2fuildinye
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Gerald T. McCarthy Insurance Agency, Inc.
P.O. Box 839 -92 North Street,Salem, MA 01970
978-744.6433 -Fax 978-7443575
July 5, 2016
Kevin & Kathleen Farren
333 Essex Street
Salem MA 01970
Re: CNA Surety PoW 62836711
Dear Insured:
Enclosed is your new street obstruction bond effective 7/5/16 for the City of Salem.
I hope you will find everything in order. If you have any questions, please feel free to call.
Sincerely,
Deborah Tournas
e-mail: debbiet@gtmccarthy.com
DT
Kevin & Kathleen Farren Date Printed: JUL 5 2016
333 Essex Street
Salem MA 01970
Invoice Number: 127349
CLIENTM 10701
Due Date: AUG 4 2016
Total amount due: $100.00
Remit To: Amount of remittance: $
Gerald T McCarthy Insurance Agency, Inc
92 North St
P 0 Box 839
Salem, MA 01970
Please return this portion with payment
Invoice Date: JUL 5 2016
Type: A Invoice #127349
Trans Coverage
Code Eff Date Policy# Line of Business Description Amount
NB JUL 52016 62836711 Bond New Business $100.00
TOTAL AMOUNT DUE: $100.00
Gerald T McCarthy Insurance Agency, Inc p„la1p�,��h„,Hrm01k
92 North St W� i°°°wluuma�c
P 0 Box 839 IIki-twoup
Salem, MA 01970 @N,09
PHONE : (978) 744-6433 FAX: (978) 744-3575
Kevin & Kathleen Farren
333 Essex Street
Salem, MA 01970
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Effective Date: July 5th, 2016 v
Western Surety Company
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LICENSE AND PERMIT BOND
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u KNOW ALL PERSONS BY THESE PRESENTS: Bond No. 62836711
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Thatwe, Kevin Farren and Kathleen Farren n
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u of Salem State of Massachusetts as Principal,
and WESTERN SURETY COMPANY, a corporation duly licensed to do surety business in the State of
Massachusetts , as Surety, are held and firmly bound unto the
City of Salem State of Massachusetts , as Obligee, in the penal
sum of One Thousand and 00/100 DOLLARS ($1, 000.00 J,
lawful money of the United States, to be paid to the Obligee, for which payment well and truly to be made,
we bind ourselves and our legal representatives, firmly by these presents.
THE CONDITION OF THE ABOVE OBLIGATION IS SUCH, That whereas, the Principal has been
licensed Street Obstruction City of Salem
by the Obligee.
NOW THEREFORE, if the Principal shall faithfully perform the duties and in all things comply
with the laws and ordinances, including all amendments thereto, pertaining to the license or permit
applied for, then this obligation to be void, otherwise to remain in full force and effect until
July 5th 2017 , unless renewed by Continuation Certificate.
This bond may be terminated at any time by the Surety upon sending notice in writing, by First Class
U.S. Mail, to the Obligee and to the Principal at the the,
last known to the Surety, and at the expiration
of thirty-fi;,W' 35);days from the mailing of said notice, this bond shall ipso facto terminate and the Surety
shall'tli eeupon,,he`selieved from any liability for any acts or omissions of the Principal subsequent to said
date::Regardless:of,fhe number of years this bond shall continue in force, the number of claims made
against this bond a the number of premiums which shall be payable or paid, the Surety's total limit of
liability shall not be cumulative from year to year or period to period, and in no event shall the Surety's total
habilitySbr all elaams exceed the amount set forth above. Any revision of the bond amount shall not be
cumulative
�+`"y� "
Dated tliis 5th day of July 2016
P Y
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Principal ;
f,ORPORATf = IPrincipal
SEAL WESTE SURET COMPANY n
By "
F Paul T.Br at,Vice President
w Form 532-12-2015
P P
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ACKNOWLEDGMENT OF SURETY
STATE OF SOUTH DAKOTA ' ss (Corporate Officer)
COUNTY OF MINNEHAHA I
On this 5th day of July 2016 ,before me,the undersigned officer,
personally appeared Paul T. Bruf lat ,who acknowledged himself to be the aforesaid
officer of WESTERN SURETY COMPANY, a corporation, and that he as such officer, being authorized so to do, executed
the foregoing instrument for the purposes therein contained, by signing the name of the corporation by himself as such
officer.
IN WITNESS WHEREOF,1 have hereunto set my hand and official seal.
}444b444bb44S4SbbPoPo44Sb4b}
r M. BENT
r SEAL NOTARY PUBLIC SEAL r
r SOUTH DAKOTA r Notary Public—South Dakota
}46SS4SSSS44SS4b444bbbbb}
My Commission Expires March 2,, 2020 ACKNOWLEDGMENT OF PRINCIPAL
STATE OF }ss (Individual or Partners)
COUNTY OF )
On this day of ,before me personally appeared
known to me to be the individual described in and who executed the foregoing instrument and acknowledged to me
that—he— executed the same.
My commission expires
Notary Public
ACKNOWLEDGMENT OF PRINCIPAL
STATE OF (Corporate Officer)
COUNTY OF ss
On this day of ,before me personally appeared
who acknowledged himself/herself to be the
of , a corporation, and that he/she as
such officer being authorized so to do, executed the foregoing instrument for the purposes therein contained by signing
the name of the corporation by himself/herself as such officer.
My commission expires
Notary Public
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Western Surety Company
POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENTS:
That WESTERN SURETY COMPANY, a corporation organized and existing under the laws of the State of South Dakota, and
authorized and licensed to do business in the States of Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut,
Delaware, District of Columbia, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine,
Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey,
New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Carolina,
South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, West Virginia, Wisconsin, Wyoming, and the United
States of America,does hereby make, constitute and appoint
Paul T. Bruflat of Sioux Falls
State of South Dakota , its regularly elected Vire President
as Attorney-in-Fact, with full power and authority hereby conferred upon him to sign, execute, acknowledge and deliver for and on
its behalf as Surety and as its act and deed,the following bond:
One Street Obstruction City of Salem
bond with bond number 62836711
for Kevin Farren and Kathleen Farren
as Principal in the penalty amount not to exceed: $ 1.000.00
Western Surety Company further certifies that the following is a true and exact copy of Section 7 of the by-laws of Western Surety Company
duly adopted and now in force,to-wit:
Section 7. All bonds, policies, undertakings, Powers of Attorney, or other obligations of the corporation shall be executed in the corporate
name of the Company by the President, Secretary, any Assistant Secretary,Treasurer, or any Vice President, or by such other officers as the
Board of Directors may authorize. The President, any Vice President, Secretary, any Assistant Secretary, or the Treasurer may appoint
Attorneys-in-Fact or agents who shall have authority to issue bonds,policies,or undertakings in the name of the Company. The corporate seal is
not necessary for the validity of any bonds,policies, undertakings,Powers of Attorney or other obligations of the corporation. The signature of any
such officer and the corporate seal may be printed by facsimile.
In Witness Whereof, the said WESTERN SURETY COMPANY has caused these presents to be executed by its
Vice President with the corporate seal affixed this 5th day of July
2016
ATTEST 1 WESTE N / URET COMPANY
By— 4✓�
L.Nelson,Assistant Secretary Paul T rufiat,Vice President
STATE OF SOUTH DAKOTA 1
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as
.,.
COUNTY OF MINNEHAHA I -
On this 5th day of July 2016 before me, a Notary Public, personally appeared
Paul T. Bruflat and L. Nelson
who,being by me duly sworn, acknowledged that they signed the above Power of Attorney as Vice President
and Assistant Secretary, respectively, of the said WESTERN SURETY COMPANY, and acknowledged said instrument to be the
voluntary act and deed of said Corporation.
X444444444444444444444444 4
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S(RSOUTH DAKOTA Nota Public
�44444444444444444444444� My Cort lsslon Expires June 23, 2021 Notary
To validate bond authenticity,go to www.cnasurety.com >Owner/Obligee Services>Validate Bond Coverage.
Forrn F1975.1-2015 90
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SENDER: Complete Items 1,2,3 and 4.
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a Put your address in the"RETURN TO"space on me
3 reverse side. Failure to do this will prevent(his card from
r� being returned to you.The returnaeceuat fw%will provide
you the name of the person delivered to and the date Of
delivery. For additional fees the following services ere
c available.Consult postmaster for fees and check boxes;
for service(s)requested.
Wt. X Show to whom,date and address of delivery
2. ❑ Restricted Delivery
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SaSfl tivfYY\O- o1C,r)
4. Type of Service: cA�rticl'erNumber
El Registered ❑ Insured )— (4 T 3
Certified ❑ COD
Express Mail
Always obtain signature of addressee_9i agent ano
DATE DELIVERED.
C3 5 Si tore --Addressee
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1
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m7. Date of Delivery
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i a. Addressee's Address(ONLY ifrequeSted and fee pa:
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UNITEDSWESPOSTAL SE
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SENDER INSTRUCTIONS
Co o q 5 A®
sp c your name,address,and ZIP Code dye._,., E M
space below.
• Complete items 1,2,3,end 4 on the reverse.
• Attach to front of article if space permits, n�� P AL FOR PRIVATE
otherwise affbt to back of article. �' � Y E, S"
• Endorse article"Return Receipt Requested" r
adjacent to number.
RETURN
TO
1 a e of Senda
(No.and Street,Apt,Suite,P.O.fon of R.D. No.)
1 (Cl ,State,an ZIP Code)
P 443 509 284
RECEIPT FOR C?%1TIFItD MAIL
NO INSURANCE COVERAGE PROVIDED-
NOT FOR INTERNATIONAL MAIL
(See Reverse)
Str3eet and No.
33
P.O.,State and ZIP Code
Postage $
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
to whom and Date Delivered
Return Receipt Showing towhom,
N Date,and Address of Delivery
ao
°. TOTAL Postage and Fees $
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Postmark or Date
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STICK POSTAGE STAUPS TO ARTICLE TO COVER FIRST CLASS FORAGE
CERTIFIED NAIL FEE AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(tow ONO
1.If you want this receipt postmarked,stick the gummed stub on the left portion of the address side
of the article leaving the receipt attached and present the article at a post office service window or
hand It to your rural carrier.Ino extra charge)
2 H you do not want this receipt postmarked,stick the gummed stub on the left portion of the
address side of the article,date,detach and retain the receipq and mail the article.
3.If you want a return receipt,write the certified-mail number and your name and address on a
raturn,jaceip(card,Form 3811,and attach Htothefrom ofthearticlebymeansofthegummedenda
H space permits.Otherwise,affbc to back of article.Endorse from of article RETURN RECEIPT
REQU6Ml)adjacent to the number.
I 4,H Fou want delivery restricted to the addressee,or to an authorized agent of the addressee,
endorse RESTRICTED DELIVERY on the front of the article,
G.Enter fees for the services requested In the appropriate spaces on the from of this receipt.H
return receipt is requested,check the applicable blocks in hem 1 of Form 3811.
S.Save this receipt and present it H you make Inquiry.
e µ,coNwrq� Ctrl l.. 1 of (4.tL4ll� assaC4tisats . .
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Public Propertg Beyarhueut
JR�Q�NMP.��'ZV Putl? inn ]oepartmeut
William H. Munroe'
One Salem Green
745-0213
October 17, 1985
Ms. Catherine Smith
Mr. Bradley Smith
333 Essex Street
Salem, MA 01970
RE: 333 Essex Street, Salem, MA
Dear Mr, and Ms. .Bradley
On inspection of the property at 333 Essex Street, Salem, MA on
October 7, 1985 the following items to be addressed were found.
A. Fire seperation doors on all levels are needed
with provision to swing d000rs to closed position.
B. Basement boiler room must be completely walled _
off (closed to other areas in cellar) to achieve
a one (1) hour fire rating.
C. Second means of egress from third floor must be
improved; (current ladder unsatisfactory) .
D. Many electrical concerns as pointed out by the
Electrical Inspectors letter to you.
Feel free to contact us if we may be of help to you..
Sincerely,
E ga iB PafgIn'17c
A Bui r
EJP/jdg
c.c. : Mr. Mroz, Mayor's Aide
City Clerk
Councillor Lovely
Electrical Inspector
/Fire Prevention
r�
*SENDER:r Compiate items 1,2,3 and 4.
M Put your o3dress in the• FIETURN TO"some on the
3 reverse side.Failure to do this will preventihis card from
t�. being returned to you.The return receipt fee will provide
you the name of the peM delivaretl to and the date of
dellVerv.For addidonal fees mercinowingservicesars
available.Consult postmaster for fees and check box fail
g for�sinvice(s)requested.
1. {n„1 Show to whom,date and address of delivery.
2.!❑� Restricted Delivery.
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3. Article Addressed to:
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4. Type of Service: Article Number
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Always obtain signature of addresses.QLagent and
DATE DELIVERED.
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9 7. Date of Delivery _
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UNITED STATES POSTAL SERVICE I II II I
OFFICIAL BUSINESS
SENDER INSTRUMNS u-®
Pdt your name,address,and ZIP Code in the
Pace below.
• Completeend 4 on the reverse.
• Attach to front of article H apace permits, PENALTY FOR PRIVATE
otherwise affix to back of article. USE.Sam
• Endorse artide"Return Receipt Requested"
.ad aceto to number. V
RETURN
TO
( ams f ender)
o
IN .end Street,Apt.,Suite,P.O.Box or R.D.No.) �-
7 s_
(C ,State,and 0 Code)
P 443 509 268
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED-
NOT FOR INTERNATIONAL MAIL
(See Reverse)
Street and No.
,v
P.O.,State and ZIP Code
s fY W
Pottage $
J
Certlfiad Fee
i
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
to whom and Date Delivered
Return Receipt Showing towhom,
N Date,and Address of Delivery
ao
TOTAL Postage and Fees S
a
Postmark or Date
W
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0
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STOCKPOSLAGESTAMPS TO ARTICLE To COVER FIRST CUSS POSTAC%
CESTIFED YAR FEE,AND CHARGES FOR ANY SELECTED OFRONAL SERVICER(sst Ong
1.Ifyouwentthis receipt postmarked,sticks dGummed stub on the left portion of the address alde
of the article leaving the receip{ana c hed and putsom the article at a post office service window or
hand It to your rural carrier.lno'eutre charge)
2 H you do not want this receipt postmarked,stick the Summed stub on the left portion of_me
address side of the article,date,detach and retain the recelpt,and mail the article.
3.H You want a return receipt,write the certified-maii number and your name and address on e
MUM receipt card,Form 3071,enoettach ittothefrontofthe article bymeans ofthegummed ends
If space permits.Otherwise,affn to back of article.Endorse from of article RETURN RECEIPT
REQUESTED adjacent to the number.
0.1f you want delivery restricted to the addresses,or to an authorized agent of the addressee.
endorse RESTRICTED DELIVERY on the front of the article.
5.Enter fees for the services requested in the appropriate spans on the front of this recelpt.It
return receipt Is requested,check the applicable blocks in hem 1 of Form 3811
Q Save this receipt and present it H you make Inquiry.
a `4
Public Propertg cBepartmeut
Puilbi t 3Rrpartmeut
William H.. Munroe
One Salem Green
745-0213
December 2, 1985
Ms. Catherine Smith
Mr. Bradley Smith
333 Essex Street
Salem, MA . 01970
RE:- 333 Essex Street, Salem, MA
Dear Ms, and Mr. Smith
As of this date we have not seen or heard from you, concerning
the building at the above address.
In our letter to you dated October 17, 1985, many violations
were sighted and should have been addressed at this time.
Please be advised that the areas of concern by us, Electrical,
Fire and Health Departments are not to be taken lightly and
must be corrected.I
Failure to respondland or communicate your intention to this
department will result in further action by us.
Res a tfull
S� E ga Pa in
apector
As 1 ng
EJP/Jdg
c.c. : City Clerk
Mr. Mroz, Mayor's Aide
Councillor Stephen P. Lovely
Health, Electrical and Fire Inspectors
EO C OF APPEALS
In
4.9 . �Ttlertricttl 3�c}zttrtmefrt OPT Q 2 41 Psi 685
.khn A Qarbi R E ccc I VE n
Klirr j)ni3vrr1nr CITY Of-' S ,LEN,k1.i S S
+1 Eiafaneffc �f_
�$alrm, -Hass. 01970
zrn (fobr 617 7,15-6300
October 8 , 1985
Ms . Catherine Smith and
Mr . Bradley Smith
333 Essex Street
Salem , Massachusetts 01970
Re : 333 Essex Street
Dear Ms . Catherine [ Smith and
Mr. Bradley Smith :
Wiring Inspector, John J . Giardi was asked to conduct an investiga-
tion on the premises mentioned above by the Salem Fire Prevention Bureau .
Upon his investigation noted the following violations :
a . Non-metallic sheathed cables in the basement shall all be sup-
ported properly.
b. In the basement a 1'," drain line is resting up against knob and
tube wiring :,
c . Upon entering basement area a four inch square box extension and
cover shall be installed.
d. In the shallow basement south side , a timing switch for a light-
ing branch circuit is hanging out of a four inch square box ex-
posed.
e . Upstairs in the hallway area an incandescent lamp fixture shall
be removed and a new one installed .
f. All the bathrooms shall have ground fault circuit interrupters .
g . Excessive extention chords were found in the various apartments ,
a minimum of two receptacles shall be installed per room.
h. Outlet on first floor kitchen was covered over with cork board ,
the outlet or the cork board shall be removed
Under Article 300 National and Massachusetts Electrical Code , these
said violations shall be corrected by a licensed electrician of your
choice . Please have that person contact the Electrical Department , 745-
6300 , Wire Inspector"John J . Giardi . Said violations shall be corrected
within 14 days of receipt of this letter , failure to comply may result
in loss of electrical service to this building .
Yo rs truly ,
John Giardi
CERTIFIED & REGULAR MAIL P30 5856594 Wire Inspector
cc : William Munroe , Building Inspector
Robert Turner ,. Fire Prevention
Robert Blenkhorn , Health Agent
7,09
/0606AM
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SALEM FIRE DEPARTMENT. - INSPECTION REPOR.�i+ s�l 9
m,
ADDRESS . 33-3
Sc'X
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9
NAME OF OCCUPANCY: _/y p� 1 F>/TOCP9Cq
P.T.N. ADDRESS 333 �5`cLFITrETE3^
�
BLDG. OWNER /,/f7� /GE C ��L� ADDRESS TEL. S
---------------------------------------
________ANSWER_ALL_QUESTIONS__EITHER_"YES"1_"NO_,_OR__'NONE"
------------
1 . Are the approaches to the building free and clear? PS
2 . Does the area adjacent to the building, appear to be free
of rubbish accumulations , or other fire hazards?
3 . Are facilities provided for the safe disposal of rubbish? A10
4. Are all outside egress paths free 'from any obstructions � y�
that may interfere with the safe exit of the occupants? 5
5 . Do porches and fire escapes , appear to be in a safe
condition and 'free of obstructions? �U
6. Do outside sprinkler and standpipe F.D. connections
appear to be in good and usable condition? kfye7
L"y vi
b
7 . Are entrances and hallways clear of any obstructions
y Wit-aX-may interfere with the emergency exit of occupants? .5
Gil O bw
8. K=eua31 interior occupied spaces clean and consistant
Ii tt ijood housekeeping practices? P S
_a L o
E�- 9 . %36 ai'kl necessary Licenses and Permits posted s dated? P S
cil. w U
10. Vre the occupants complying with all regulations and
conditions , as prescribed on the Licenses and Permits? -e-5
11 . Are all vertical shafts and stairwells properly safe-
guarded and provided with self closing devices? �ld1�t
12. Are all portable fire extinguishers readily accessable
and have they been inspected and properly tagged?
13. Does this occupancy have a fixed fire extinguishing
system?
Date of last inspection?
14 . Does this occupancy have a standpipe system?
Are all pressures satisfactory? Are standpipe hoses
provided? Is a gauge provided at top of system? stir
15. Does this occupancy have a sprinkler system? 4116
Are all pressure gauges showing satisfactory readings?
Are all O . S . sY. valves open and padlocked?
Is a gauge provided at the top of the system?
16 . Is this a "WET" or "DRY" system?
Form 016 ( Rev. /,"'g)
17.. Does this occupancy have an interior fire alarm system?
18. Date of last test of the interior fire alarm system?
19. Does this occupancy have a direct Fire Alarm connection? Ale)
Master Instant
Type :Box # ADT# Alarm # AFA# 3M# Other
20. Is emergency lighting system or units provided? Itlo—
21. Are all emergency lighting units in good operating condition? /Z/�'A't
22 . Does the occupancy have any unusual condition which would
constitute a special fire hazard?
23. Are all flammables stored in proper containers and/or
stored in an approved storage area? _24 . Are Are all areas used for storage maintained in a safe manner? PS
25. Are basement areas free of any rubbish accumulation? V es
26 . Does the heating system, including the chimney, appear
to be in a safe operating condition? f'S
27. Is a current fuel oil permit posted and storage proper? PS
28. Are there any electrical hazards?
29 . Does the occupancy appear to have any structural defects? A/0
P n
i 30. Has a Form 25D (Inspection Recommendation Form) , been made Pc
a and issued for this inspection?
�i gg
p Write a brief description of any violations discovered during this
inspection. If the violation requires an early Fire Prevention Bureau
- u notification, file a Form #58 (Complaint Form) If the violation
appears to require immediate action , notify the Deputy Chief on duty.
List each remark with item number for identification.
c� `
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�� ,�� Name of person to whom Form #25D was issued: 2yApirv�
cam'/� /
Date : 9117 Inspected by : � Y OCt�L✓
P \
Approved by : _
ompany O facer
Approved by
D. C. in charge of Insp. Date :
P.T.N. checked by F.A.
Form #16 (Rev. 1/79)
SALEM FIRE DEPARTMENT COMPLAINT FORM
FIRE PREVENTION BUREAU / DATE........ J..'../........192TTJME AL'.:�45L4 M.
Location of Complaint or Hazard
Complaint by L7'. 9c 44 S6AJ Address // l=f e,
;y `f
Nature of Complaint Ifle Yet',I7E'wf eN ��j�f��'9 /,v114",zm-lyS
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57zllr",003
Received by
Investigated by DATE...........................19....... TIME ...................M.
Action Taken
Other Department Notified
FORM #58
1
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
(rhis Section For Official Use Only)
Building Permit Number: Date Applied: I I'13� I Building Official:
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a sffeef alffrFesgKis not available)
/)
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
Edition of MA State 90de 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 application? Yes ❑ No
Is an Independent Structural Engineering Peer Review required? _ Yes Cl No ❑
Brief Description of Proposed Work:__ �. - 9 A7_ -t f�,/I r'41A
Y A P e / !!
vo ' ` /� S LV4e-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 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 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ 1 H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
1: Institutional I-1❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ 11IB ❑ IV ❑ VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑
A trench will not be Licensed Disposal Site❑
required❑or trench or specify:
Private❑ or indentify Zone: or on site system❑ permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Does the building contain an Sprinkler System?: Special Stipulations:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
n ; AlAxtizlL _per
Title Telephone No.(business) Telephone No. (cell) e-mail address _If applicable,the property owner hereby Authorizes )�„�i tJ /.�p1
A ill fv � ho� !5 1i e L 9,'J Q/�,Il!!( +�✓o//
Name -•Street Address City/Town State ip
to act on the property owner's behalf,in all matters relative to work authorized by this budding permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O 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
10.2 General Contractor
Company Name
�e Ar,� AConstruction�r CSG
Nam of Perso e for sponsible License No. and Type if Applicable
Street Address City/Town State Zip
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 $ Lvc'�• 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 $L L 4-4:744 (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
fenterm my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
plication is a and accurate to the best of my knowledge and understanding. P/
D 9 �'
lease PIC and sign name Title Telephone No. Date
eet Address � ity/Town. State Zip
J .60V . -e , ,o ®L
Municipal Inspector to fill out this section upon application approval: !,
Name Date
0 IT
�'unNe
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑O Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: McIntire
Address of Property: 333 Essex Street
Name of Record Owner: 333 F.ssex Street Condo Trust
Description of Work Proposed:
Replacement of roofing on flat roof. The roof replacement will not be visible from the public way.
Reconstruction of the existing exterior stairway. The material, color, location, and design of the existing
stairway will be replicated.
Non-applicability due to work being not visible or in-kind replacement.
Dated: November 14, 2013 SALEM HISTORICAL COMMISSION
By:
The homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation), All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.
oa
4
Salem Historical Commission
120 WASHINGTON STREET,SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑x Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: McIntire
Address of Property: 333 Essex Street
Name of Record Owner: 333 Essex Street Condo Trust
Description of Work Proposed:
Replacement of roofing on flat roof. The roof replacement will not be visible from the public way.
Reconstruction of the existing exterior stairway. The material, color, location, and design of the existing
stairway will be replicated.
Non-applicability due to work being not visible or in-kind replacement.
Dated: November 14, 2013 SALEM HISTORICAL COMMISSION
By:
The homeowner has the option not to commence the work (unless it relates to resolving an outstanding
violation). All work commenced must be completed within one year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals)prior to commencing work.
K
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AB Carnes Roofing, Inc.
Barry Carnes, Pres.
30 Arrowhead Farm Rd.
Boxford, Ma 01921
978-887-1431 Office/Home
BARRYCARNES a,MSN.COM
Tuesday,November 12, 2013
SALEM HISTORICAL COMMISSION
DETAILS OF ROOF INSTALLATION AND STAIRCASE RECONSTRUCTION
AT 333 ESSEX ST.
1. THE REAR STAIRCASE WILL BE TAKEN DOWN IN ITS ENTIRETY.
2. THE RUBBER ROOF SYSTEM AND EVERYTHING UNDER THE RUBBER
ROOF WILL BE REMOVED.
3. THE ROOF DECK WILL BE COVERED WITH % CDX PLYWOOD AND
SECURED WITH RING NAILS TO THE RAFTERS.
4. A CERTAINTEED TWO PLY FLINTLASTIC MEMBRANE WILL BE
APPLIED OVER THE ENTIRE ROOF.
5. A WHITE METAL EDGE CLEAT WILL BE PLACED AT ALL OUTSIDE
PERIMETERS.
6. THE STAIRCASE WILL BE CONSTRUCTED USING PRESSURE TREATED
LUMBER AND WILL MIRROR THE EXISTING STAIRCASE.
7. THE OWNERS WILL PAINT THE STAIRCASE WHITE IN ABOUT 8-10
MONTHS.
AB Carnes Roofing, Inc.
Barry Carnes, Pres.
30 Arrowhead Farm Rd.
Boxford,Ma 01921
978-887-1431 Office/Home
BARRYCARNES a MSMCOM
Tuesday,November 12, 2013
SALEM HISTORICAL COMMISSION
DETAILS OF ROOF INSTALLATION AND STAIRCASE RECONSTRUCTION
AT 333 ESSEX ST.
I. THE REAR STAIRCASE WILL BE TAKEN DOWN IN ITS ENTIRETY.
2. THE RUBBER ROOF SYSTEM AND EVERYTHING UNDER THE RUBBER
ROOF WILL BE REMOVED.
3. THE ROOF DECK WILL BE COVERED WITH % CDX PLYWOOD AND
SECURED WITH RING NAILS TO THE RAFTERS.
4. A CERTAINTEED TWO PLY FLINTLASTIC MEMBRANE WILL BE
APPLIED OVER THE ENTIRE ROOF.
5. A WHITE METAL EDGE CLEAT WILL BE PLACED AT ALL OUTSIDE
PERIMETERS.
6. THE STAIRCASE WILL BE CONSTRUCTED USING PRESSURE TREATED
LUMBER AND WILL MIRROR THE EXISTING STAIRCASE.
7. THE OWNERS WILL PAINT THE STAIRCASE WHITE IN ABOUT 8-10
MONTHS.
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