350-352 ESSEX STREET - BUILDING JACKET No. 153L-2
HASTINGS. MN
'LOS ANGELES-CHICAGO•LGGAN.ON
MCGREGOR,TX-LOCUST GROVE.GA
U.B.A.
CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT
a
120 WASHINGTON STREET,3" FLOOR
TEL. (978) 745-9595
F
KIMBERLEY DRISCOLL FAX(978) 740-9846
MAYOR THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
February 29,2016
Blue Sky Properties,LLC
17 Foster Street
Marblehead Ma. 01945
Re: 350-352 Essex Street Rear
Dear Owners,
On or about February 2,2016, I received a complaint about a roof being installed on the rear building of 350-
352 Essex Street. I was able to confirm this and spoke with contractor on site. I explained that in addition to a
building permit,a certificate of appropriateness need to be obtained from the Historical Commission before a
roofing permit could be issued. I was assured by your contractor that both would happen. Four weeks have
passed and neither items have been taken care of I am issuing you a citation for failure to obtain a building
permit.Each day this situation continues will be considered another violation subject to additional fines. If you
have any questions ,please contact me directly. If you feel you are aggrieved by this order,your appeal is to the
Board of Buildings,Regulations and Standards in Boston.
Sincerely,
Thomas StTierre
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
❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage O 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:354 Essex Street
Name of Record Owner: Herbert & Leanne Schild
Description of Work Proposed:
Reroof with 3-tab shingles in the same color as the existing shingles.
Dated: November 12, 2015 SALEM HISTORICAL COMMISSION
By
G
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.
t)O t3Loc. P•E'Lmtr S
gONhm
Salem Historical Commission
120 WASHINGTON STREET,SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978)740-0404
February 3, 2016
NOTICE OF VIOLATION
Blue Sky Properties LLC
Gregory Spanos
17 Foster Street
Marblehead, MA 01945
Dear Mr. Spanos:
It has come to the attention of the Salem Historical Commission that work has been undertaken
on your property at 352 Essex Street Rear which is located within the McIntire Historic District-
- specifically, reroofing. According to our files,no Certificate of Appropriateness, Hardship, or
Non-Applicability has been issued for this work.
Within 30 days, please submit an application for the Commission to review the work undertaken
thus far, as well as approval for any additional work that you may be planning on undertaking.
Applications and information are available at htti):Hsalem.com/Pages/SalemMA Historic/index.
If you have questions, please feel free to contact, Patti Kelleher at the Department of Planning
and Community Development, 120 Washington Street, 3`d Floor, Salem, MA (978) 619-5685.
Thank you for your attention to this matter.
inc
es
y,
ssica Herbert
Chair
Cc: Building Inspector
City Clerk
CITY OF SALEM, MASSACHUSETTS
# BUILDING DEPARTMENT
120 WASHINGTON STREET,3RD FLOOR
TEL. (978) 745-9595
F
KIMBERLEY DRISCOLL FAX(978) 740-9846
MAYOR THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
February 3, 2016
Blue Sky Properties LLC
Gregory Spanos
17 Foster Street
Marblehead Ma.01945
Re: 352 Essex Street—rear
Dear Mr. Spanos,
I was called to your property at the rear of 352 Essex on a complaint about the wrong type of roofing shingle
being applied.My investigation confirmed that this was true and that no building permits had been pulled for a
roof replacement. You are directed to have a licensed contractor apply for the building permit. At the same time
,and before a permit will be issued by this office,you must obtain the proper approvals from the Salem
Historical Board. Failure to address these matters will result in further enforcement actions including City
Ordinance tickets.
If you have any questions ,please contact me directly.
Thoma.Pierre
Building Commissioner
Cite of iMle Y, fRag!6arbu!5Pttg
Public Propertp Mepartment
Wuilbing -Bepartment
One 9pa[ent green
(978)745-9595 ext. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building July 1, 1998 / U
Zoning Enforcement Officer
George Osgood
89 Naugus Avenue
Marblehead, Mass. 01945
RE: 350 Essex Street
Apt. #18
C-4-98
Dear Mr. Osgood:
Due to a complaint received by the Neighborhood Improvement Task Force, I
conducted an inspection of your property located at 350 Essex Street, Apt. #18
and found the following violations;
1. No exhaust fan in bathroom.
2 . Ceiling tiles missing in bathroom.
3. Windows not operable in sleeping or kitchen area.
4. No emergency lighting in stairway.
5. No emergency exit signage in stairway.
Please notify this department within fifteen (15) days upon receipt of this
letter, to inform us as to what course of action you will take to rectify
these violations.
Failure to do so will result in legal action being taken against you in
Salem District Court.
Thank you in advance for your anticipated cooperation in this matter.
Sincerely,
Kevin G. Goggin
Inspector of Buildings
KGG: scm
cc: Patricia Carney
Health Department
Fire Prevention
Councillor Flynn, Ward 2
July 5, 1998
Mr. Kevin G. Goggin
Inspector of Buildings,City of Salem
One Salem Green
Salem,MA 01970
RE: 350 Essex St
Apt 18
C-4-98
Dear Mr. Goggin:
I received your letter of July 3 regarding the complaint of my tenant,Ms.DiBiasio, and am
responding to it.
1. Nu-tone exhaust fan installed in bathroom where the ceiling tile was removed to set location
and this replaces the ceiling tile.
2. The window that was stuck due to dampness and swelling was opened and is drying out.
3. The emergency lighting in stairway along with pull stations, alarm panel,Knox box,and all
heat and smoke detectors throughout building were set up by Salem Fire Prevention Bureau,
at the time by Mr.Norman LeBlanc,Mr. Goggin, and now the chief,Mr.Turner in
compliance with all laws.Nothing has been changed(the work was done by Curtis Electric
and has been tested and inspected by them)and the building is in compliance. Also,the
building was reinspected in the past year as the Salem Building Department requested and for
which I have a receipt for payment of the $125.00 fee. All hallways, emergency lighting and
detectors were viewed and approved by Salem Building Department and no infractions were '
noted. Nothing has changed in the building since that time except for an emergency exit sign
that"mysteriously" disappeared in the past two weeks and has been replaced.
0
I would be happy to set up an appointment for your review. I am enclosing copies of r
correspondence with Ms. DiBiasio who would like to break her lease and move to Maine. v
SigConsultafnt
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Steel
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SENDER: I also wish to receive the
r ' o •Complete ilems,l and/or 2 for addeional services. following seryl s(for an
S, Il �� Cv m •Complete items 3,41a,and 41h.
print your name and address on the reverse of this form so Mat we can return this extra lee): y
S card to You..'.,: a
I.❑ dressee's Address 2
> •Attach Mis forth to the trent of the mailpiece.or on Me back if space does not c
x G. permit. 2.❑ Restricted Delivery o
.Tree Wetum Receipt Requested'on the article
below Me article number.
3 d •The Return Receipt will show to whom the article was delivered and the date Consult postmaster for tee. c
-r delivered. a
4a.Article Number a
'• l 0 3.Article Addressed to: > S8 G G�/ op� Q
1 m,A5 me, �f� � �✓ ��L,3 y U 4b.Service Type
a Certified `
E / ❑ Registered c
June 26 1998 I o J6-U 3� (5 r ❑ Express Mail El insured
' I - ❑ Return Receipt for Merchandise ❑ COD
7.Date of Delivery c,
5.Received By: (Print trarbef S.Addressee's Address (Only it requested
Ms. Melissa DiBiasio and fee is paid)
350 Essex Street 6.signature re9see o Agent)
Salem, MA 01970 o X
H PS Form 3811,Dec tuber 1994 +02595-96-84229 Domestic Return Receipt
Dear Ms. DiBiasio:
I was surprised to receive your letter on June 25, 1998, referencing problems with your
apartment. I say this because you never called to advise me of any problems with the
apartment since your occupancy date of January 1, 1998 although I was in your
apartment on June 11 d' concerning a drip from the apartment above. I have seen you
numerous times outside the building since January and you never mentioned a concern or
problem.. When the drip was fixed you did not mention a problem, and when I returned
again you did not mention any problems and in fact you said everything was fine.
Yesterday, I received your letter and immediately went to your apartment to check it out
and your boyfriend, Matt Simms, was there and let me in. He related to me that you
really wanted to break your lease and move to Biddeford, ME on August 1. Needless to
say, I was surprised since you signed a year's lease which is not up until January 1, 1999.
With regard to the problems referenced in your letter I will address them individually.
'1✓,�� The emergency lights and pull stations, smoke detectors,heat detectors and locations
were set by Salem Fire Prevention Bureau,Norman LaPointe, Fire Prevention Bureau,
Chief Turner, Fire Prevention Bureau, and Captain Goggin, all of the Salem Fire
Department. Also the building was inspected in the last year and received a certificate of
occupancy for multi units by the Salem Building Department; this certificate is required -
by the City of Salem.
Regarding the pull switch in the bedroom and the chain for the bathroom light along with
screens and storms windows; all were in good working order when you took occupancy.
The light in the closet was removed when the apartment was repainted and I was unaware
that it had not been replaced.
On the afternoon of the 25th of June I went back and opened the back window on the
right. The storm had been left open 3 inches all winter, possibly causing the draft which
you are now complaining of, but never mentioned all winter. Also, I opened the wind (� 1
on the alley which had been painted and not opened since the winter(the time it \`�f
painted).. I also replaced the light switch in the bedroom, put a new chain on the V
w
' bathroom light, and put a new light in the closet. This took me all often minutes, and
ca>slu have been handled when they occurred. At the same time I checked the bathroom
door and found that the latch was intact and could close for privacy with no problem.(I
had with me a new latch for the door, but it was not needed.) I also notified Mr. Simms,
that the security grate on the back window has very short bolts and could be easily be
pushed out, but because of your concern I have removed this grate. Your concern
regarding an exhaust fan in bathroom I feel is legitimate and I plan to install one on
Monday, June 28, 1998.
Any other problems or concerns you may have please let me know. Your rent is due on
or before July 1, 1998. Since I have not heard from you until now I must surmise that
you may be trying to walk out of the lease for which you and signed and agreed to.
Just a reminder that the 24 hour emergency number which you called when you noticed a
drip coming from your bathroom ceiling can be used at all times for any repairs or
concerns. I am enclosing a copy of your lease initialed and signed for your records.
Sincerely,
George K. Osgood
meo
Encl: Copy of signed lease
C: Atty. Robert Welch
Board of Health, City of Salem
.>r
y . LIE PT
a r
� r TEU L( � a1 1
�C�IMIN6 ' ` 57 PH 86
CITY OF SALEM HEALTH DEPARTMENT r1f.CElvEO 11
BOARD OF HEALTH CITY OF SALEP,NASS.
Salem, Massachusetts 01970
ROBERT E. BLENKHORN 9 NORTH STREET
HEALTH AGENT
(617) 741-1800
February 26, 1986
George Oscood
84 Nauaus Avenue
Marblehead Mass. 01945
Dear Sir/Dear Madam:
In accordance with Chapter 111, Sections 127A and 127B, of the Massachusetts
General Laws, 105 CMR 400.000: State Sanitary Code, Chapter 1: General
Administrative Procedures and 105 CMR 410.000: State Sanitary Code, Chapter
II: Minimum Standards of Fitness—for Human Habitation, an inspection was
made of your property at 352 Essex STtreet Apt. 4—'Salem, Massachusetts ,
occupied by Peter Hanscom —This inspection was
conducted by B. Lockard George Osgood Salem Health Department, on
2/24/86 at 10:00 A.M.
Based upon said inspection, you are hereby ordered to take the following
action within 24 hours of receipt of this order:
Hallway of Apartment - Ceiling leaking, rusty pipe, and stained tiles.
This must be corrected.
Kitchen sink leaks. This must be corrected.
Tenant alleges pipes leak in basement . This must be investigated
and, if necessary, corrected.
Based upon said inspection, you are hereby Ordered to take the following
action within 5 days of receipt of this order:
The temperature of the hot water - 1600 F. The temperature must be
1100 F to 1300 F.
The shower leak must be repaired .
The shower must be located in a room which is not used for living,
sleeping, cooking, or eating purposes. It must afford privacy to a
person and fitted with a door capable of being closed.
The toilet room must contain a wash basin.
The •apartment and Common Hallways must have adequate smoke detectors
installed. Contact Fire Prevention at 745-7777•
Page 1
' SALEM HEALTH DEPARTMENT February 26, 1986 Page 2 of 3 _
- 9 North Street Tenant(s) Peter Hanscom
ti Salem, MA 01970
Property in Salem at
352 Essex Street Apt , 4
To: George Osgod
augus voenue
Marblehead, Mass. 01945
VIOLATIONS (continued)
Based upon said inspection, you are hereby ordered to take the following
action within 5 days of receipt of this order:
Illumination must be provided for the exterior front steps .
Based upon said inspection, you are hereby ordered to take the following
action within 30 days of receipt of this order:
All windows in the apartment must have operating locks , sashcords ,
cracked panes replaced, and be weather-tight.
Floor through-out apartment is uneven and in poor condition. This
must be corrected.
Tenant must have keys to front door of apartment and building.
The opening around the heat vent in ceiling must be properly sealed.
Basement Hallway - Openings in ceilings and walls must be properly sealed.
The Owner' s Name, Address, and Phone Number must be posted near the
mailboxes.
The Common Hallways must have lighted exit signs indicating the
primary and secondary means of egress.
A
j
SALEM HEALTH DEPARTMENT February 26, 1986 Page 3 .y of 39 North Street
Tenant(s) Peter Hanscom
Salem, MA 01970 Property in Salem at
352 .Essex Street Apt. 4.
To: George Osgood
augus . venue
Marblehead, Mass, 01945
ONE OR MORE OF THE ABOVE VIOLATIONS MAY ENDANGER OR MATERIALLY IMPAIR THE HEALTH,
SAFETY AND WELL-BEING OF THE OCCUPANTS.
Failure on your part to comply within the specified time will result in a complaint
being sought against you in Salem District Court.
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 seven (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. .
FOR THE BOARD OF HEALTH
ROBERT E. %BLENKHORN, C.H.O.
Health Agent
Certified Mail # P-681-936-233
enc. Inspection Report
cc: Tenant X Bldg. Inspector _ Electrical Inspector Plumbt0g 6 Gas Inspector
X Fire Dept. City Councillor
Este es un documento legal importante• Puede que afecte sus derechos.
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INSPECTION CODE ENFORCEMENT MEMO
c0w2�
� -- e �t��. DI �FIIPI1t, �J�[t2X38tItIiIISP�fS
C '2r ` , '�,r �ApLTt Dr{:arlmrnt 3ieaaquartrrs
�{ 48 Kafaueltr �trrrt
Tames '7- �L3zennan
(E;i er �EIF� {�k ,SCLC i.,f:9AS&. Dates April 4, 1980
To: Code Enforcement Officer
City Departments Building Inspector -
In compliance with the provisions -of Chapter 148, Section 28A1 -,-
of the General Laws of the Commonwealth of Massachusetts# you
are hereby notified of the following apparent defects or code
violations,=which may require furthur actign by your department.
Locations-350--352-Essex Streetf
Type of Occupancy: Apartment house
Owner of record= George & Georgina Osgood
Name of Occupant or Business: % 84 Na,ugus Ave. Marblehead, Maas.
Nature of apparent defect or code violation:
Ladder Co. #1 reports several apartments on premises. Door bells
for 11 names at #350 and for 9 names at #352; also at 350 rear
a door bell lists O'Brien, Ltd. which may be a business.
Also report .fire doors between the two sides are not fitting
properly at several points.
Possible zoning violation at this location.
_ ., .. Oziginal...C.o,MIt� a}n ,_n1de.- bye Capt. ,lames Sullivan. Ladder Co. #1
Salem Fire Department ( In-service Inspection)
4pectf lly submitte
David J. Goggi
Salem Fire Marshal
ccs file
, Health Department
Form #57 (Rev. 12/78)
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�a�'�y � 3 �lertrirttl �Depttrtmerr#
�ttul 41f[. (�L Ut#lp oES�,��E� �'1ASS'
Virr ?lnnyrdo
44 'Enfntirttr �gt.
�Salem, Anse. 01970
May 1, 1979 ,°. ren Cabe 617 745-6300
George H. Osgood
84 Naugus Avenue
Marblehead, MA 01945 re : 350 Essex St .
Dear Sir:
An electrical inspection was made by this department
at the request of the Fire Department . The following defects
have been noted:
Bathroom: Pull chain light fixture must be removed and wall
switch installed for light fixtufe .
Dining Room: Exposed wiring, defective light fixtures .
Receptacle not energized. Additional receptacle for refrigeration.
All occupants must have access to electrical panel .
All electrical defects will be corrected by a licensed
electrician with a permit from this office.
Paul M. Tuttle
Wire Inspector
cc/Fire Prevention
Assistant Housing Inspector Luis Gil
Building Inspector
Tenant - Debra A. Watman.
of �$alrm, ttssttc4�useftg J
Birt Department Meaaquartrrs
.dames _ , rennan Date April 23, 1979
�I�ief
Name : Mr George Osgood
_ 3-SO rsaea ,fit
Address : 84 Naupus Ave . Marblehead Mass . Salem Mass .
As a result of an inspection this date of the oremises , structure, open
land area or vehicle owned, occunie9 or otherwi.p-e under vour control,-
the .followi.nq recommendations are submitted and shall ^erve as a notice
of violation of fire laws . These recnm�ienda`.i.ons qre lade in the inter-
est of fire prevention and to correct cnndi.tions than are or mai- become
danp-erous as a fire Hazard or are In violation of the lal�!.
You are hereby notified to remedy said violattnns named bel-w w' chin
lmmediately of the above date .
Such furthur action will be taken ris the law reruires , for failure to
comoly with the above recuirements witlin the stipulated time .
(Reference : General Laws of Commonwealth of Nassachusetts, Chapter 148,
Section 30;. and the Salem Fire Code Article 1 . )
1. Apparent electrical defects at most receptacles with possible live wire
inside wall.Refrigerator nluiged into oven wired box.Ruses have been
blown quite often.
2.Plumbing and ventalation in bathroom needs woric.
3,. Sub-division of this bldg into rooms or Apts , may not .meet building code .
CC Electrical Dept.
Building Dept.
Health Dept.
� N -
off.
m +'7
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—
Ins ectnr, %Ver Pine prevention 'Bureau
Form 2CA (Rev. 8/77 )
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LDINVUEFTf
DIS. ISRAEL KAPI<AACEI TER
EI Cil , 27V
BOARD OF :HEAWLD
--Off
Jefferso S`ALEM,MASS.
:'
S11em°.M2asachusetis 01970
:< r
ISRAEL KAPLAN. M. D. '="""'�
- JOHN J. TOOMEY, D. P. M.
JOSEPH R. RICHARD HEALTH AGENT
J. ROBERT SHAUGHNESSY. M. O. (617) 745-9000
ROBERT SLZNKHORN -
M. MARCIA COUNTIE. R. N.
MILDRED C. MOULTON. R. N.
EFFIE MACDONALD _
January 20, 1976
James H. and Jutie E. Lee
82 WateA StAeet
Danvw, MA 01923
DeaA Si :
An inspection ob youA pAopehty, 352 Essex StAeet (rear) Sawicki
apahtment, we 4ound conditions as .indicated below:
(1) WaX/J and 42oors wet (moistxuce coming .in gram ground and
thAough the waifs) .
(2) Excessive mo.fstuAe .leaking into the bedroom cAeates
condition which endangeA the heakth and we22being oU
the occupants.
(3) Rugs on ¢koor have mildew 4Aom the mo.istuAe teaking ,into
the apartment. Bed, mattAess and boxspn ing have mildew
due to excessive moisture .in this apartment.'
UNDER THE EMERGENCY PROVISIONS OF ARTICLES ONE AND TWO OF THE
SANITARY CODE OF THE COMMONWEALTH IS ORDERED CONDEMNED AND IS
TO BE VACATED.
You ace advised o5 youA night to a hearing bebone the Board ob
Heatth by biting a written petition within seven days atter.
neceipt a4 this ORDER,
Very tAuty yours, REPLY TO:
FOR THE BOARD OF HEALTH
c'
�` a .� . 11 on,ti.t✓
John J. Toom/y, D.P.M11IF Coti.n E. Cameton, R.S.
rAgent gent Senior San,itah,ian
cc: Mn. O'Connot, Pubtic We 4ace SeAv.ice 046.Lce, 207 Essex Street, Satem
Mu. Sawicki, 352 Essex StAeet (reac) SaEem,
Buitding Inspectors ODU.ice, 1 Salem Green, Salem
CERTIFIED MAIL
i ONE COPY POSTED ON STRUCTURE
DING DEPT
ISR ISRAEL KAPLAN PL7�LIC�)f [EAL'�EENTER
2$
BOARID OFI ` AL�H
Off;1efferson tiven,� CEIdE�
S- ....zMassachu e�415T`bl O ALEM.MASS.
A�1 a
ISRAEL KAPLAN. M. D. JOHN J. TOOMEY, D. P. M.
JOSEPH R. RICHARD HEALTH AGENT
J. ROBERT SHAUGHNESSY. M. D. (617) 745-9000
ROBERT BLENKNORN
M. MARCIA COUNTIE, R. N.
MILDRED C. MOULTON. R. N.
EFFIE MACDONALD
Janu_2Ky 20, 1976
James H. and JuP,i.e E. Lee
82 Water Street
Danvem, MA 01923
You cute ORDERED to eoNAect the 6ottow,Lng v.iotations o6 Antiage
Two o6 the Sanitaxy Code o6 the Commonwealth at youA muQtip2e
dwe22i.ng s-tAuatuAe at 350 Essex StAeet within 10 days a6tel(
Aeee,ipt os this OAdeA.
1. Halls and stai&ways not maintained .in a c Bean condition.
* 2. Rubbish .is stoned .in haU (AeseAAed to Fite DepaAtment) .
3. Staff& AaiP,ings .in pooh Aepait.
4! Lack os adequate heat .in apahtment 011.
** 5. Lack o6 second means os exit 6Aom 2nd and 3rd 6tom
apaAtnentJJ (he6eJur.ed to Building Inspector.) .
6. Ceiling teaks .in apartment 017.
You ane advised o6 youA night to a hearing be6one the Board o6
HeaUh by 6.iUng a written petition within seven days a6teA
Aeee,ipt o6 this OAdeA.
Very tufty youx6, Repty to:
F,09 THE BOARD OF HEALTH
John J. Toomey, D.P.M. Cotin E. CameAon, R.S.
HeaPth Agent Seni.oh Savutakian
/c
Centi6.Led Mait # 449916
etuAn Recexpt Requested
CC: Building Inspector., 1 Saeem Green, Salem
Salem F.ihe DepaAtment (Lieut. Goggin)
ONE COPY POSTED ON STRUCTURE
I
q
UILDING DEPT
IDR. ISRAEL ICAPLk r% ENTER
EQARD OF HEAL: EIVED
x
OfR Jeffefi&n' �j roti F>SALEW.MASS:
Sa)e:n;`.Ivtassachu"setts C1970
ISRAEL KAPLAN, M. D.
a_�4f"'• - JOHN J. TOOMEY, D. P. M.
_
JOSEPH R. RICHARD HEALTH AGENT
J. ROBERT SHAUGHNESSY. M. D. (617) 745-9000
ROBERT BLENKHORN
M. MARCIA COUNTIE, R. N.
MILDRED C. MOULTON. R. N.
EFFIE MACDONALD
Januwty 20, 1976
James H. and Juti.e E. Lee
82 Watex StAeet
Danvers, Ma 01923
Dean Mx. Lee:
V.iotations (many sex.ious) o4 Axtic2e One and Two o6 .the Sanitcucy Code
o4 the Commonweatth now exist at your 350 Essex StAeet pxopetty as
.indicated beeow:
APARTMENT 14"
1. Living boom cei t i.ng .is teafr ing.
*2. Fautty e2ectiticat 4ixtune oveA bink.
*3: E.CectA,icat extension coxd near ne6nigetatoh goes through
doo)way into batktoom.
*4. Inadequate heat (at 10:40 A.M. on January 5, 1976) the
tempexatuAe was 64 degxees F. --- SanitaAy Code xequiAes
not .Less than 70 degxees F.
*5: ftectA,ica2 outlet .in bathnoom. .is de6ective:
*6. Etectkicat outeet .in tiv.ing xoom .is de6ective.
*7. The gas range is de6ective ( a amaU exptoh.ion devekopa
when the tight near buAnex ,is used) .
8. No ventitation pxov.ided in bathroom.
APARTMENT 5A
*9. waste water 6xom sink Beaks down .into .6howeh, o4 Apaktment 5A.
You ane ORDERED to cotteat aU o6 N v.iotationz -immediately and not ZateA
than 48 houu a6 &A xecupt—o6—tnW ORDER. You ane ORDERED to cox ect
o e of en vLozati.ovs not zateA than 10 days a4teA x¢ce.ipt o4 this ORDER.
i
James H. and Julie E. Lee - 2 - Januaty 20, 1976
You ane advised ob your night to a Rearing by Siting a mitten petition within
seven days a4teA neee,ipt o4 this ORDER.
VeAy t u t y yours, REPLY TO:
FOR THE BOARD OF HEALTH
NJ.
c
SP.M. Coti.n E. CameAon, R.S.
Heatth Agent Seniors San tah,ion
I�
Centij i.ed MaiC 0 449915
RetuAn Receipt Requested
CC: City Etectt ici.an, 48 LaSayetie StAeet, Salem
Gas Inspeeton, 1 Satem Green, Satem
Building Tnspeeton, 1 Satem Green, Satem
ONE COPY POSTED ON STRUCTURE
BUILDING DEFT
JaN 22 9 �9 H1 In
RECEIVED
CITY OF SALEFI SASS.
December. 30, 1975
Mn. John S. PoweAA
Inspecto& of SuiZdings
One Saeem G&een
Saeem, MA 01970
DeaA M. Powers:
A eomptaint has been ke�e ted to this department on a Rack ob second means
os ex Lt $&om the SAd ¢Roo& of 350 Essex Stuet (hecentty damaged by a g.uce) .
In ouA .r.nveatigcation it uLu bowui that tthe stjuwtuAe is a dupRex alith too
stabtways side by side which aneavaitaSRe to tcnants on both sides og the
duptex. We have aewa.ya eona.ide&ed a dupCex a sepa&ate st uatu&e even .ib
entity can be made JAom one to another though a doo&. WHAT IF SOMEONE LOCKS THE DOOR?
The queat„ion .is - can side by side s�`afiarays be eons.i.deAed a second maana
o4 exit .in a duptex house water the Buieduu�Cade?
*. An eaAZy &epty wZU be app&eaiated.
Vea y .y YOUNA, Reply to:
FOR THE HOARD Or HEALTH
Jahn J Too, ey D.P.M: CoP.in E. Camexon, R.S.
Health Agee ' Senio& Sanitztian
yc°S o N A
cowIrA �o
DR. ISRAELI' ALTH CENTER
01
EN
70
ISRAEL KAPLAN. M. D. �R1M1 JOHN J. TOOMEY, D. P. M.
JOSEPH R. RICHARD
HEALTH*AGENT
J. ROBERT SHAUGHNESSY. M. C. (SI]) 745-9000
ROBERT BLENKHORN
M. MARCIA COUNTIE. R. N.
MILDRED C. MOULTON. R. N. Jl. 3Ob
ceme
De
EFFIE MACDONALD , 1975
Mn. John B. Powers
Tupectoh ob Bwitdingb
One Saeem Green
Saeem, MA 01970
Dewe Mn. PoweA,6:
A eompta.Lnt hws been u6mced to this department on a 2aek ob .Jeeond mean
ob exit bnom the and jZoon ob 350 Ea3ex StAeet (neeewtey damaged by a b. e) .
In ou L invehtLgation .it was 4ound that the btlucetuhe .i6 a duptex with two
ataihwayb gide-by side which aceavaitabZe to .tenants on both 5i.des ob the
dup.eex. We have aewaya cony i.dened a duplex a sepaAate atiu ctuAe even i.
entAy can be made gnom one to anotheA through a door.
The oueaxion .iA - can aide bu side s.taZ uau.J be eonz deAed a aeeond meaws
db exit in a duplex houhe undeA .the Bu-i.Wgg Cade?
An eaney nepey will be appnee,iated.
Vehy nutty youuJ, Repty to:
FO THE OF HEALTH
Jahn J. Toomey, D.P.M. Coti.n E. Camen.on, R.S.
Heaeth Agent Seni.on Sanitahi.an
/b
A4
DecembeL 300 1975
M. James D. Lee
Ba,--set Lane
MaAbeehead, MA 01945
You aAe ORDERED to cottect the got-owing vcotatione o5 Anticte Two ob the
Sanitary Code o5 the Commonweaeth at youx muQ,tip-e dwe-eing 6tauctute at
350 Essex Street within 10 days abteA Receipt o6 this OAdex:
1. Hats and 6taiftw y6 not maintained in a ceean condition.
° 2. Rubbish .is 6toaed.in haU (Ae6vured to Fine Department) .
3. Stair naitings .in pooA Aepaft.
4. Lack o% adequate heat in apaetment 017.
R° 5. Lack og second means o5 exit jum 2nd and 3rd gtooit
apattment6 (AebeAaed to Sai.2.ding In6pecton) .
6. Ce.i IM .Geake .in apartment 017.
You ahe advised ob your A.ight to a heaaing be6oxe. the Board ob Hea-th by
gUng a wu tten petition within seven days ajteA Receipt ob this BAdeA.
FOR THE BOARD OF HEALTH Repty to:
John J. Toomey, D.P.M. Co Lin E. Camvton, R.S.
Heatth Agent Seniox Sanit4hian
/b
CeAti4ied Mai.- 0449892
ketu4n ReeUpt Requested
CC: Battding Inspector
Satem Fine Depwttment (Lieut. Goggin)
i
y�✓c t��C ass a�
1N6f��FYU Ix� PSPaSUT TUT'I�
� /SCC-�T� 6CCUpr�-r.1C-�
I
I
350 35ZEs.sex.S.treO:
NumbereEnft> 14/? 18 18 18 18 22
BLDG APT 1900 1903 1904 1966 1908 1971 1906 1991
10 10
18 Hx—I x no return 17 17 17 17
18 18 18 18
(1980: 20Apartments bydoorbell mmnL)
1985: Building Department questioned lack of 2nd egress from 4th floor Apts.
1905: Note from owner oe4th Floor Apts: "Ladder will hoput baok."
a
CITY OF SALEM, MASSACHUSETTSBUILDING DEPARTMENT
TkomAS ST.PIERRE
INSPECTIONAL SERVICES DIRECTOR /BUILDING CoNaffSSIONER
KIMBERLEY DRISCOLL
MAYOR
120 WASENGTON STREET♦ SALEM,MASSACHUSETIS 01970
TEL:978-745-9595 4 FAX:978-740-9846
` lir Multi-Family
September 5, 2014
350-352 Essex Street
perty Inspection —110
2nd NOTICE
Property Owner/Manager:
Please find enclosed an application for [renewal ol] the Certificate of Inspection for your
building or business. The Inspection is required by the Massachusetts State Building Code 780
CMR Section 110.
❑ Your current certificate has expired.
❑ Your current certificate will expire:
N There is no certificate on file at the Salem Building Department.
Please fill out all information on the enclosed form and return it with a check in the
amount of$60.00 payable to the City of Salem.
Remit to: 1
th�
Salem Building Department' i
120 Washington Street, 3`d Floor )
Salem, Massachusetts 01970
Please respond within 5 days of receipt of this notice. ~- G
Failure to resolve the issues cited above will be construed as non-compliance and may result in the issue of
municipal tickets and fines as well as further enforcement actions.
If you feel you are aggrieved by this order,you have the right to appeal to the Massachusetts Board of
Building Regulations and Standards (BBRS) at One Ashburton Place/Boston/MA.
Thank-you,
Harry Wagg
Assistant Building Inspector
978-619-5643
hwagg@salem.com
)AT[ Of/tRMIT FINN T No. OWNt! 1126-0546-201 LOCATION R2
350 REALTY TRUST 350 ESSEX STREET
SiIUCTWt MATTSIAL OIMLNSIONS N*.OFSTOSIIS IM.OffAMIL1tS WAND COST
MULTI 16
FAMILY
SUIIOt� i
4/13/00 111145-00 350 REAR ESSEX STREET. REPLACE STAIRS. est 950.00 fee 20.00 ' T.J.S.
f
i
:350:..:352::Essex Street
Numbered Units 14/? 18 18 18 18 18 22 20
BLDG APT 1960 1963 1964 1966 1969 1971 1986 1991
352 1 x x x 1 1 1 1
2 x x x 2 2 2 2
3 x x x 3 3 3 3
4 x vacant 4 4 4 4
5 6 x x x 5 5 5 5
5A x x x 5A 5A 5A
6 x x x 6 6 6 6
7 x x x 7 7 7 7
8 x x vacant 8 8 8 8
9 9
10 10
350 9 x x x 9 9 9 9
10 x x x 10 10 10 10
11 x x x 11 11 11 11
12 x x x 12 12 12 12
14 8 x x x 14A
15 x x x 14 14 14 14
16 x x x 15 15 15 15
17x x x 16 16 16 16
18 rx—
x no return 17 17 17 17
18 18 18 18
By Card-File: 16 Families 19 19
(1980: 20 Apartments by doorbell count.)
1985: Building Department questioned lack of 2nd egress from 4th floor Apts.
1985: Note from owner re 4th Floor Apts: "Ladder will be put back."
EILi 1 1�1.
�7 1/!Il J S corrtwLn0. \' laiY%%
Nomm oav reAn nu¢
eoeetroN .. °$"dam o m
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1'.,Ireby acknow�ledOe rMeceipt of llMe forepdng t`Itetlon ¢�."y�• I,t€' �': w m m
[ }u�eWe t ane' in slpr a ur of oN r Dp D Mm'lea a J *'i 0 a
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ji)NeepmpdTmdels,Comm eM Rec Vehic�s ek `+�` 111
V:y SCO24 211 w jy .JV
r`[�1 RemmNdSTrowAcefromSldaxalAs � Sa T*'�,�#r � "r:„'*"'�� ' p
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�t I`10Ner Cpa6on .1 hY4 n#'� a5,xi,�.vaax .eK `Y•�ua+#tk`Y^a+z++r M � � 1`�
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aYyYou tfeve tlee bllowing�eh{ey�rnahves In Oyu�s matter vntlnn 21 tlays of the tlata of
I'l chroseWpaYtlm fine wehln 2l�Y?pl th daledmbllotlm ,�, ''{' La � Q
Endow li check or money Amer paya0b to the Cpy d Salem Mtl mlum d m U emElppe
u14 .Tor Ey ddrvenlp In hantl to the CM gwwi wii Cm/Hall g3 Washington Stiem SeIeIV ef, C
�{ d MA 07970 h delivennp In hantl please nde Ne hours of,CAy Hall opemtie'n Monday # .S
r lr through WednmU5y fmm 8 , r to400pmaThursday hom�B 00amta7.'OD and; : (Y``
�'"v'r,+FrmaYJhomB00 a.m N12U0pm, g+r ..£ 3,rtEa a✓g�'�I ! T
e ()ehoose to contasf.'tbsmatlerwhhin 2l"ibysdme tlaN mlPu noticeand lSQIRSI in wrltlllge '�' I `
�I.
Endoee a rop/oilllls CXmwn aM ma0 h to R4,le k Magbtrde Salem Dlslriti Court 6S y,
rrs'WaNillpmn5lreat�5alem MAM970 fieCaunwill achetluleahearlrp ?W,
Asn r_ E' a -6 l
x FAILURE 70 OBEY THIS NOTICE'WITIIIN 21 DAYS OF THE-0ATE NeTHIS NOTICE WILL
NESUlT IN THE C7fyrOF SALEM APPLYING FOR THEIBSUANCE OF A'CRIMINAL -
CO'MPLAINPAGAINST YOU ANO THE DENIAL OR REVOCATION OF ANy CITY OF �" f
SgLEM PERMITS OR LICENGEGYOU APPLY FOR OR THAT;YOU WIVE BEEN GMNiED,+�,� ` '
kINCLUOING BUILDING PERMI75�"i'Y' �.��rf t^ .. :y"'�k'�z�}b
"i, '�MdSalem Llry CbIKs ONIcei93 Washington Street Salem FM 07970
Lk`•+ .+ "w7 �1978)74B�9696�5610f''. +•,, a 7 P�.
�azF. t ry SEE OT}IER SIDE FOFI FURTHER INSTRUCTIONS t �.F
a ENCLOSE PAYMENT INxTIiIS ENVELOPE;PEEL"ANDSEAL 1"t���' '
�MUVE LINEN a'9rvl I J/Wwytl 3nI�dHUV y dXy Ut —IU exrUSE AU i
TO E%POSE ADHESIVE,REMOVE LINER 831,111 3AOW3H 3AIS3HOtl 3 l0 Ai L —RCI�1
eEMOVE LINER U31,111 3AOW3H'3AIS3HOV 3SOdX3 Ol TO EXPO$E AO l..!\
i
t
CITY OF SALEM, MASSACHUSETTS
c BUILDING DEPARTMENT
;s
> THOMAS ST.PIERRE
INSPECTIONAL SERVICES DIRECTOR /BUILDING COMMISSIONER
KIMBERLEY DRISCOLL
MAYOR
120 WAsmNGTONSTREET♦ SALEM,MASSACHUSETTS 01970
TEL:978-745-9595♦FAX:978-740-9846
Multi—Family
September 5, 2014
350-352 Essex Street
RE:Periodic.Property Inspection—110
2nd NOTICE
Property Owner/Manager:
Please find enclosed an application for[renewal of] the Certificate.of Inspection for your
building or business. The Inspection is required by the Massachusetts State Building Code 780
CMR Section 110.
❑ Your current certificate has expired.
❑ Your current certificate will expire:
There is no certificate on file at the Salem Building Department.
Please fill out all information on the enclosed form and return it with a check in the
amount of$60.00 payable to the City of Salem.
Remit to:
Salem Building Department'
120 Washington Street, 3'd Floor
Salem, Massachusetts 01970
Please respond within 5 days of receipt of this notice.
Failure to resolve the issues cited above will be construed as non-compliance and may result in the issue of
municipal tickets and fines as well as further enforcement actions.
If you feel you are aggrieved by this order,you have the right to appeal to the Massachusetts Board of
Building Regulations and Standards (BBRS) at One Ashburton Place/Boston/MA.
Thank-you,
Harry Wagg
Assistant Building Inspector
978-619-5643
hwagg@salem.com
A
FI
CITY OF SALEM, MASSACHLJSEM
3 BUILDING DEPARTMENT
�e
nrns> THOMAS ST.PIERRE
INSPECTIONAL SERVICES DIRECTOR /BUILDING COMMISSIONER
KI aERLEYDRISCOLL
MAYOR
120 WASHINGTON STREET♦SALEM,MASSAcHusEm 01970
TEL:978-745-9595 •FAx 978-740-9846
June 18, 2014 Multi-Family — 20 Units
350 - 352 Essex Street
RE:Periodic Property Inspection —110
Property Owner/Manager:
Please find enclosed an application for [renewal of) the Certificate of Inspection for
your building or business. The Inspection is required by the Massachusetts State Building
Code 780 CMR Section 110.
❑ Your current certificate has expired.
❑ Your current certificate will expire:
❑� There is no certificate on file at the Salem Building Department.
Please fill out all information on the enclosed form and return it with a check in the
amount of$60.00 payable to the City of Salem.
Remit to:
Salem Building Department'
120 Washington Street, 3rd Floor
Salem, Massachusetts 01970
Please respond within 10 days of receipt of this notice.
Thankyou,
Harry Wagg
Assistant Building Inspector
978-619-5643
hwagg@salem.com
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CITY OF SALEM
MONTH DAY S � YEAR TIME CONTROL NO.
ld z�Al
"E
3� 37L 65569 SSi2�t'
NAME OF OFFENDER
al) SK`;RzOPO21165 , (--L
ADOR ES5 STgTE ZIP
l�ras STrz�" Mit
.I hereby acknowledge receipt of the foregoing citation
X Date:
+ [-]Unable toobtain signature of offender Y}Date Mailed ]�
[ ]Posting Advertisements,Notices on City Property -
SCO 4-2
[ ]Illegal Signs - YViolalion of State Building Code
SCO 4-39 and 4-47 SCO 12-1
'I 1 Removal of Unsightly Conditions [ I Violation of BOCA Nat.Fire Prev.Code
SCO 12-56 SCO 20-111
I.I Keeping of Trailers,Comm.and Red.Vehicles,etc. 0)
SCO 24-21.1 W
I I Removal of Snow/Ice from Sidewalks
SCO 38-13 and 38-14
I I Zoning Ordinance
SZO§
1.1 Other Citation:
A k1�
Signature of Enforcing Person
Department \ 01.a-mac/
Amount of Fine: [ ]Warning /Ix�$25.00 [ ]$50.00
[ ]$100.00 [ ]$200.00 [ ]$300.00 [ ]Other
You have the following alternatives in this matter within 21 days of the date of
this notice:
I ] choose to pay the fine within 21 days of the date of this notice.
Enclose a check or money order payable to the City of Salem and return it in this envelope
or by delivering in hand to theC CClerk's Office,City Hall,93 Washington Street,Salem,
MA 01970. If delivering in hand,please note the hours of City Hall operation;Monday
through Wednesday from 8:00 a.m.to 4:00 p.m.,Thursday from 8:00 a.m.to 7:00 p.m.and
Friday from 8:00 a.m.to 12:00 p.m.
[ ]choose to contest this matter within 21 days of the date of this notice and request in writing
a noncriminal hearing.
Enclose a copy of this citation and mail it to the Clerk Magistrate,Salem District Court,65
Washington Street,Salem,MA 01970.The Court will schedule a hearing.
FAILURE TO OBEY THIS NOTICE WITHIN 21 DAYS OF THE DATE OF THIS NOTICE WILL
RESULT IN THE CITY OF SALEM APPLYING FOR THE ISSUANCE OF A CRIMINAL
COMPLAINT AGAINST YOU AND THE DENIAL OR REVOCATION OF ANY CITY OF
SALEM PERMITS OR LICENSES YOU APPLY FOR OR THAT YOU HAVE BEEN GRANTED,
INCLUDING BUILDING PERMITS.
City of Salem,City Clerk's Office,93 Washington Street,Salem,MA 01970
(978)745-9595,ext.5610.
SEE OTHER SIDE FOR FURTHER INSTRUCTIONS
ENCLOSE PAYMENT IN THIS ENVELOPE,PEEL AND SEAL .
Cal
QTY OF SALEM, ACHLJSETTS
BUILDING DEPARTMENT
THOMAS ST.PIERRE
INSPECTIONAL SERVICES DIRECTOR /BUILDING COMMISSIONER
KI aERLEYDRISCOLL
MAYOR
120 WASHINGTON STREET+ SALEM,MASSACHUSETTS 01970
TEL:978-745-9595 FAx:978-740-9846
COO
July 21,2015 350/352 Essex Street
RE:Periodic Property Inspection—110 Multi-Family 20-Units
Blue Sky Properties, L.L.C. FINAL
17 Foster Street - -
Marblehead, MA 01945 'CITY-6F`SALEM
MOMH DAY YEAR TIME CONTROL NO
Please find enclosed an application for [renewal of]the Ci g Zo Pt ��SS
building or business. The Inspection is required by the M� LOGATION
CMR Section 110. 3S 35b�SSGX 5
NAME OF FFENDER
EWGSK`f"RZOP�YLjIES L.L.L
ElYour current certificate has expired. ADDRESS
IT STATE ZIP 1145-
❑ Your current certificate will expire: I hereby acknowledge receipt of IIhe.foregoing citation
x Date:
❑� There is no certificate on file at the Salem Build ii [ I Unable to-obWh signature of offende Date MailedS ]s-
[]Posting Advertisements,Notices on City Property
Please fill out all information on the enclosed form ai SCO 1-2
[ ]Illegal Signs Violation of Slate Building Code
amount of$60.00 payable to the City of Salem. SCO 4-39 and 4-47 SCD 12-1
] ]Removal of Unsightly Conditions j j Violation of BOCA Nat.Fire Prev.Code
SCO 12-56 SCD 20-111
Reirldto: [ I Keeping of Trailers,Comm.and Rec.Vehicles,etc. C
Salem BuildingDepartment' BCD 24-21.1
Pmen [I Removal of Snowlm from sidewalks
120 Washington Street' 3Td Floor SCO 38-13 and 38.14
b` []Zoning Ordinance
Salem, Massachusetts 01970 SZo§
[]Other Citation:
Please respond within 5 days of receipt of this notic Signature of Enforcing Person }�
Z3l.PC�.
Failure to resolve the issues cited above will be construed Department
municipal tickets and fines as well as further enforcement Amount of Fine: [ ]Warning $25.00 [ ]$50.00
[ ]$100.00 [ ]$200.00 [ ]$300.00 [ ]Other
If you feel you are aggrieved by this order, you have the r You have the following alternatives in this matter within 21 days of the date of
this notice:
Building Regulations and Standards (BBRS)at One Asht I [ choose to pay the fine within 21 days of the date of this notice.
Enclose a check or money order payable to the City of Salem and return n in this envelope
Thank-yout or by delivering in hand to the City Clerk's Office,City Hall,93 Washington Street,Salem,
MA 01970. If delivering in hand,please nate the hours of City Hall operation;Monday
through Wednesday from 8:00 a.m.to 4:00 p.m.,Thursday from 8:00 a.m.to 7:00 p.m.and
Friday from 8:00 a.m.to 12:00 p.m.
[ J choose to contest this matter within 21 days of the date of this notice and request in writing
a noncriminal hearing.
)-tarry Wagg Enclose a copy of this citation and mail It to the Clerk Magistrate,Salem District Court,65
Assistant Building Inspector Washington Street,Salem,MA 01970.The Court will schedule a hearing.
FAILURE TO OBEY THIS NOTICE WITHIN 21 DAYS OF THE DATE OF THIS NOTICE WILL
978-619-5643 RESULT IN THE CITY OF SALEM APPLYING FOR THE ISSUANCE OF A CRIMINAL
hwagg@salem.com COMPLAINT AGAINST YOU AND THE DENIAL OR REVOCATION OF ANY CITY OF
gg@ SALEM PERMITS OR LICENSES YOU APPLY FOR OR THAT YOU HAVE BEEN GRANTED,
INCLUDING BUILDING PERMITS.
City of Salem,City Clerk's Office,93 Washington Street,Salem,MA 01970
(978)745-9595,ext.5610.
CITY OF.. SALEM
MONTHOAY YEAR TIME CONTROL NO.
8 10
LOCATION
3W✓JZ
NAME OFF.(FREENNDEER
U
ADDRESS STATE ZIP
I hereby acknowledge receipt of the foregoing citation
X Date:
l� rf
( ]Unable to obtain signature of offender Yt Date Mailed n I k�,
[ ]Posting Advertisements,Notices on City Property
SCO 4-2
[ I Illegal Signs VVulation of State Building Code
SCO 4-39 and 4-07 SCO 12-1
[ I Removal of Unsightly Conditions I ]Violation of BOCA Nat.Fire Prev.Code 1-4
SCO 12-56 SCO 20-111
[ ]Keeping of Trailers,Comm.and Rec.Vehicles,etc.
SCO 24-21.1 Cn
[ ]Removal of SnowlIce from Sidewalks
SCO 38-13 and 38-14
[ ]Zoning Ordinance
SZO§
[ ]Other Citation:
-
Signature of Enfoming Person r
Department ll::.•
Amount of Fine: [ ]Warning [$25.00 [ ]$50.00
X$25.00
[ ]$100.00 [ ]$200.00 [ ]$300.00 [ ]Other
You have the following alternatives in this matter within 21 days of the date of
this notice:
[ I choose to pay the fine within 21 days of the date of this notice.
Enclose a check or money order payable to the City of Salem and return it in this envelope
or by delivering in hand to the City Clerk's Office,City Hall,93 Washington Street,Salem,
MA 01970.If delivering in hand please nate the hours of City Hall operation;Monday
through Wednesday from 8:00 a.m.to 4:00 p.m.,Thursday from 8:00 a.m.to 7:00 p.m.and
Friday from 8:00 a.m.to 12:00 p.m.
[ ]choose to contest this matter within 21 days of the date of this notice and request in writing
a noncriminal hearing.
Enclose a copy of this citation and mail it to the Clerk Magistrate,Salem District Court,65
Washington Street,Salem,MA 01970.The Court will schedule a hearing.
FAILURE TO OBEY THIS NOTICE WITHIN 21 DAYS OF THE DATE OF THIS NOTICE WILL
RESULT IN THE CITY OF SALEM APPLYING FOR THE ISSUANCE OF A CRIMINAL
COMPLAINT AGAINST YOU AND THE DENIAL OR REVOCATION OF ANY CITY OF
SALEM PERMITS OR LICENSES YOU APPLY FOR OR THAT YOU HAVE BEEN GRANTED,
INCLUDING BUILDING PERMITS.
City of Salem,City Clerk's Office,93 Washington Street,Salem,MA 01970
-- (978)745-9595,ext.5610.
SEE OTHER SIDE FOR FURTHER INSTRUCTIONS
ENCLOSE PAYMENT IN THIS ENVELOPE,PEEL AND SEAL
=Arwc HUHEaIVL,rcemuvc Llrverc'- uEoi-i-1uAY]a enlbyHUV daUdne Ui
ISAHOV 3SOdX3 01 TO EXPOSE ADHESIVE,REMOVE LINER 83NII 3AI
-XPOSE ADHESIVE,REMOVE LINER H3NIm 3AOV43d'3AIS3HOV 3SOdX3 01
Place
Stamp
VIOLATION OF NOTICE Here
Post Office
will not deliver
• without stamp O
TO OFFENDER:
YOU HAVE THE FOLLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF
THIS MATTER:(1)You may elect to pay,either by appearing in person between -
Monday through Wednesday from 8:00 a.m.to 4:00 p.m,Thursday from 8:00 a.m.
to 7:00 p.m.and Friday from 8:00 a.m.to 12:00 p.m., legal holidays excluded
before:THE CLERK OF THE CITY OF SALEM WITHIN TWENTYONE(21)DAYS OF
THE DATE OF THIS NOTICE.This will operate as a final disposition of the matter,
with no resulting criminal process.(2) If you desire to contest this matter in a
non-criminal proceeding A i
you may do so by making a written request to the CLERK
-
MAGISTRATE
the
-
MAGISTRATE of the SALEM DISTRICT COURT, n WASHINGTON STREET,SALEM,
MA 01970 for a hearing.A determination by a Judge,Clerk or Assistant Clerk will
opeimpose by final officer disposition,with no the ltingtime Criminal.(3)If you fail
to pa fine CITY CLERK DEPARTMENT
imposed by that officer is paid within the time specified. ill If apply
for tl to pay the
Imposed fine or to appear as specified,the City of Salem will apply for the issuance
of a criminal complaint against you(4)and/or the tine will be levied in a form of a CITY HALL
lien against your real property.
CITY OF SALEM SALEM,
WASHINGTON STREET
SALEM, MA 01970
.r
CITY OF-SALEM` r t f rt .t i
MONTH WY '.. YEaP ^`4°-TIME CONfnOL Np. •• ��i
NNAEfOF DEP ` +
.
nr� , .:" .5 ,
-
, A ` yk
1 hereby ecknowletlga re%Ipt of the firegoing o [u - r ..
Unable ro obtain mgnajure of offender pate Ma(led .-.
1 Rostm9 Advertaencemt,Notice's ud city Propelly
SCO 4'2 -
+ (JI�Iegil5lgns VVlobdon of Gtatekillding Code -
SCO4'39W4-47 ' SC012-1 ..
IlRe"IofUrwghtiy CondIli* I l Violation NBOCANaLFre Prev.GDdei
SGOA2-56 SG020-111 117
I11siping MTiaders Command Rec Vehicles,etc.
^Y- 9 ♦ £ .a I rSW24-211
t,
1% mi�ane se 14imm S OeWn s
i, ,• SD awe m EhfsraDg PeraDD'"
+dep-ey�4At h -
t a
tbotitd id.Fine [ ]Warlrin8 00 I-,[350.OD
�$1�00 [ 1 94 [ I;S3QD OD er
✓•oulVe die folloxang attertT@vse m thls�iPaher VeMin 21deya of the date ;,,
> - �(]rc to1W01e lips Willi days of th daleoi ihl5 nmme
r• jn Id h kror m rre Woolstilet ei of lem and rotum ft,in this envelo
.fA A �D lnk FM SSaa De..
1 „ - E0 'R �I efin in d t , e C CTe'rk's4 'r 'H-R 93 W4hmgton Street Salem
ICtlehVgnnp InUPease note;iM hou ofiCdy';HaO opeatmn,Monday
throug ' �naedayfrom80 em td4 g0,pm:;fThurp yimm 9.00am to 7.00 Dein and
W lg„ V d a FndaY,ir mr am(o42QOpm
.CfiIXa i.,aias '
I }a�oorififi he--Lto b�nNban�mattarwd�in 21 tlay;of thR gale ai t�Wnoose and reouesim WriunQ r.,
y 4 "^ „° En'c�ose a,co o]this raletio'nla��Id mMyd to 1heClerk PAegrs[rafe.SabinDlsmm Court03 '.
�g � v< ns ,,,� --, Wasfi,�ngWn�ree4Sslem�O797,�0 ThE`Courtwtl�ttetlble aheahnp
yi t ��11 u=T . ^ t t�§t " 'a fAl,�,IREOBEY THIS NOFICIT#11N 21 DAl{S OF THE`DATE OF THIS NOTICE'WILL
�w`igam '� ,���oo�� IC S I x p RFSUN�IN r,f{E CITE OF S`AL M(� QLYfI'7G,iFOR YHE'1$SUANCE OFA 6RIMINAL-
Vg��,O VK'
AVE
• A; b'OPLAItJT�AGAINST Y01J-AI��THE DENIAL OR REVOCATIUN OF ANY"
s0 CIV a ri SALEMIPERIAFTS OR LICENSES YOU APPLY'fOfl OR THAT YOU HAVE BEEN RANTED,
^,,'�m 7 INGI,UDING�BUILDING PEflMh§ �
i _ 'R4. 'City of Salem,Cdy Cleik'S O,Ihce,.93 Washinglon.Stleel,5all:In,MA 01970
'Q�_ z T1w '(978)745 9595,eat 5510 .
J� JSP '�SZ CSSEx 51 "-'`- y SEE 0THER„$IQEFORFI i'�Ji-IER IN TRUCTIONS
£NCLQSE'PAYME_' INT"IS: NVELQP€,PEEL AND SEAL '
"�I i 1✓ sp`( (70r p( -n cl4eT enrvae AUMLbrve,MMUVv unen T nynf f vIQrv�M 7/%MyHUV aeUdXy Vi
dSBHOV 3SOdX3 01 TO EXPOSE ADHESIVE,REMOVE LINER H3NIl 3A
�41�5� 1 •1�h �E � 5G•+—'�"'�^-' EXPOSE ADHESIVE,REMOVE LINER 83NI1 3AOn3b'9AIS3HOV 3SOdX3 Ol
Wk{EN T��`f -iF'u-Y DID SGtfEpulE 1tN 1NsPEcjlop
T!ke'C PJcta iirL TtfiE: I1Jspt unc>,-- — tto0 co
Q'ND TIS 'ri rt cT zS w
�5' `b wt nfi 11-t cr SP+t'l>r Q�c�c.
a C-K, I 3L
The Commonwealth of Massachusetts
Board of Building Regulations and Standards REGEf' HD CITY OF
Massachusetts State Building Code, 780 CMR :W EC110NA-L SEl"R' M
Revised Mar 2011
Building Permit Application To Construct,Repair, Renovate Or m�Q}�t�$ha,,
One-or Two-Family Dwelling RI JUN —. A C� 28
This Section For Official Use Only
t Building Permit Number: Date Appl'
1_ Ate
Building Official(Print Name) Signature V Date
SECTION 1: SITE INFORMATION
1.1, o Add ss 1.2 Assessors Ma &Parcel Numbers
rz sszyc 551W p
L l a Is this an accepted street?yes_ no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public 1�r-- Private❑ Zone: _ Outside Flood Zone? Municipal N-On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 u r'of Record:
u SKI Pr-x-?&t-n 6A L(-c- V11A t Er b (1� 6'I`t' A
Name(Print) City,State,ZIP
17 (-6ST&a_- S 17-S/54•3�fl GTS 131,11 Q? &MA L . Cnt-k
No.and Street Telephone Email Address
SECTION 3:DESCRIPTION OF PROPOSED WORIC(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) IS' Alteration(s) ❑ Addition ❑
Demolition ❑ 1 Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work : 0 c �l
e cdt'r
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1. Building $ _ 1. Building Permit Fee: $ Indicate how fee is determined:
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: $
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees: $
�q Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ 2S� ❑Paid in Full ❑Outstanding Balance Due:
��Ilr�l6
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL) �/6 r-? _ 1 G
a �7
nse Number Expiration Date
Name of CSL Holder
List CSL Type(see below)
No.and Street. Ty Description
'� t+ U Unrestricted(Buildings u to 35,000 cu.ft.
JW� r✓ 01 Restricted 1&2 Family Dwelling
City/Town,S e,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
SF Solid Fuel Burning Appliances
9p� J6 fco7}Leda I1e�- 7a c�JZ ;l 1 I Insulation
Telephone Email address -C-I*rlk,7 I D Demolition
5.2 egist red Home Imp vem t Contractor(HIC S 6� Z/
ON %^ HIC Registration Number Expiration Date
HIC comp an ame or C Re ' t Nara
No.dSreC 03-1 �tAQ,� i ,� 2jy / $¢tail address
City/Town, State,ZIP �/ Telephone l
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. § 25C(6))
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide
this affidavit will result in the denial of the Issuance of the building permit.
Signed Affidavit Attached? Yes.......... ❑ __ No...........❑
SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
l
I, er of the subject property,hereby authorize���
to my behal in all matters relative to work authorized by this building permit appli yffln.
Print O e lectronic rgnature) U bete
SECTION 7b:OWNER' OR AUTHORIZED AGENT DECLARATION
By entering my name below,I hereby attest under the pains and penal 'es of perjury that all of the information
contained in thisapplication is true apd ac unte to the best of dedge and understanding-
PrintOwner's or Authorized Agent's Name ctronic SignatuTcY Date
NOTES:
1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.gov/oca Information on the Construction Supervisor License can be found at www.masssov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basementlattics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of half/baths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"maybe substituted for"Total Project Cost"
6
1 LO
Salem Historical Commission
120 WASHINGTON STREET, SALEM, MASSACHUSETTS 01970
(978)619-5685 FAX(978) 740-0404
CERTIFICATE OF HARDSHIP
It is hereby certified that the Salem Historical Commission had determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ✓ Other work
as described below has been approved under a finding of Hardship, as per the requirements set forth in the Historic
District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance.
District: McIntire
Address of Property: 350/352 Essex Street
Name of Record Owner: Blue Sky Properties, LLC
Description of Work Proposed:
Reroof rear carriage house with GAF Timberline architectural shingles in black. This installation of GAF Timberline
shingles is approved after emergency installation,prior to approvals, and is only minimally visible. While it is a
departure from the currently approved list of roofing shingles, it is allowed on a hardship basis only.
Reason for Issuance of Certificate of Hardship:
o The application affects only the building or structure on which work is to be done and not the historic district in
general.
o The application is approved because it does not cause substantial detriment to the public welfare.
o The application is approved because it does not cause departure from the intent and purposes of the amended Historic
District Act.
Dated: 4/28/16 SALEM HISTO AL COMMISSION4
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.
d
- -
APPI,ICA IION FOR 1'L:�N M r '.NIINA CII)N AND BUILDING PERMIT �
ALL STRUCTURES EXCEPT I AND Z FAMILY DIVEL.I ING.S'
Ikl1'URIAN'T:Applica.is mutt-complete all items an this sa•c
SITE INFORMATION
Location Name Buildine--_„_
Property Address "'-
\lap#
Located in: Conservation Area Y!N Historic district
Use Groups
(check one)
Residential(3 or more Inits) R2_
'rope of improvement Residential (hotellmotel RI _
(check one) Assembly(churches) Al _
New Building ------ Assembly (nightcluhs etc) A2_
Addition Assembly(restaurants, recreation) A3_
Alteration_ \ Business B_
Repair/Replace,—neat_ Educational E.
Demolition_ Factory (moderate haz:,rd) FI _
Move/Relocate--- Factory (low hazard) F2_
Foundation Only ___ I igh Hazard -II
Accessury, Building Institutional (residential care) I I
Otl,nr(describe) lu;titutional (incapacitated) 12—_
Institutional (restrained) 13
:Mercantile M
Storage Imoderate hazard) s I _
Storage(low hazard) S2_
O\v NJ."RSIII[PIN FOItMA 1 ION(Please I)pv or I'rint Clearly)
OW'NFR Nan)c fz t. Ve.,A� C PS_--
Address RT i A {APV^% rc w
Telephone c/74 7G4
DESCRIPTION OF w'OItA'I J)13E I' :HFUIt\It:U
i�EPLle2 X. s'nCe'P^d.rC' QF
I is 11y IA7T D CO Ns I'It I C7ION (Yri 1"
CONTRACTOR INFORMATION
Name
Address 70 j3c5c 9'11 >-�xano 'r'xA cj(cMIr
Telephone -?3\ —113
Construction Supervisor's Lic # G S 7137-1
Home Improvement Contractor# l S"7C 13
ARCHITECT/ENGINEER INF0IMIATION
Name
Address
Telephone
Mass. Registration #
FEItmrr FEE.CALCULATION
Residential est. cost x $7/$I,000 + $5.00 =
Commercial est. cost x $11/$1,000 + $5.00=
COMMENTS
The undersigned does hereby attest that all inforneation stated above is true to the best
of n:y knowledge under the penalties of perjury
.Signed
DateCA
�1
M �
t
0=y. CITY OF SALEM
r A 1 PUBLIC PROPRERTY
I
�� .. DEPARTMENT
Construction Debris Disposal Allidavit
(re(juircd li(r all demolition and renovation work)
In accordance \%ith the sixth edition of the State Building Code, 780 CNIR section 1 1 I.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit it is issued with the condition that the dcbris resulting from
this work shall he disposed of in a properly licensed waste disposal facility as defined by MGL c
l 11. S 150A.
The debris will be transported by:
(name of hauler)
1TIhe debris will be disposed of in
� (name of facility)
(address of lacllltv)
.Ignaturc of permit applicant
71tq��
late
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
.,.VPi !ti P1 I'P ho "li
\I.v�,k I_: \C.w„>:� ��i,Icl r1 • S.\i \t.
43-•1;7; 1'\�:; 9-5-74.-984it
Workers' Compensation Insurance Aft-Wax it: Builders/Contractors/Electricians/Plumbers
kniflicant Information Please Print Legibly
s� _�-
V ame (�2Rb'lt-.
�tllress: ,7 .3ctc 9_71 1 �t�ts( .�a� t OtCM1IS
City state Zip: Phone #: -7'21 -7($ —`I will
tire you an employer? Check the appropriate box: "type of project(required):
I.❑ I :un a employer with 4. ❑ I am a general contractor and 1 6. ❑ New construction
em toees(full and/or aft-time).' have hired.the sub-contractors
p 7 P' 7. ❑ Remodeling
2 1 :,in a sole proprietor or partner- listed on the attached sheet. t
ship and have no employees -these sub-contractors have 3. ❑ Demolition
working for me in any capacity. workers' comp. insurance. y. ❑ Building addition
[No workers' Com insurance 5. ❑ We are a corporation and its
l: p_
required.] officers have exercised their ME Electrical repairs or additions
right of exemption per MGL 11.0 Plumbing repairs or additions
m c
3.❑ am a homeowner doing all work g152, $1(4), and we have no yself. [No workers' comp. 1_2.
❑ Roof repairs
insurance required.] r employees. [No workers' I Other 'fit-`"
comp. insurance required]
•Any applicant that checks box NI most also till out the section below showing their workers'compensation policy information.
t I lomeowners 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 their workers'comp.policy information.
/am ❑n employer that is providing workers'compensation insurance for aty employees. Below is the policy and job site
information. -
Insurance Company Name:.
Policy h 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 Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
tine up to S 1.911o.00 and/or one-year imprisonment, as well as civil penalties in the firm of a STOP WORK ORDER and a tine.
,it op to S250 00 a day against the violator Be advised that a copy of this statement may be forwarded to the Office of
Ins cNtigatiolls of the DIA for insurance coverage s'erification.
/du hereby certifp tunder the pains and penalties of perjury that the injirrniation provided above is true and correct
,.nalttre�� 5t � [)are-
Phone 7M -1 C-11
llllieial use only. Do not write in this area, to he completed by city or linen uJjiciaL
Cite' or Fown: _ — --- -- _ -- Permit/License it--—_-- ---__._-.-- —
Issuing .\uthorih' (circle one):
1. noard of Beallh 2. Building Department 3. City, town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. 0ther —-- —_ ---- -
Contact Person:.__------ —----.--- Phone It:
Information and Instructions
M a,sachusc its General Lags chapter I" requt res all employers it, pro\ide workers' compensation for their entplo%ecs.
Pursuant n) this statute, an employee is defined as ".. e\ery person in the scr\ice of;mother under env contract of hire.
c\press or implied. oral or l�ritten."
\n entlduler is delined as "an indi�idual, parmcrship, association, corporation or other legal entity, or any MO or more
,,I the fureeoing 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, employ ing employees. llowcyer the
ols nee of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
d)1ailing house of.another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the _rounds or building appurtenant thereto shall riot because Of such ermploy tent be deemed to be an employer."
\IGL chapter I?2, �25C'(h) 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, M61- chapter 152, §25C17) states "Neither the contnwnivealth nor any of its political subdivisions shall
enter into any contract for the performance of public tyork 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 cal) 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 till in the permitilicense number which will be used as a reference number. In addition, an applicant
that must submit multiple pemtitilicense 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 tilled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
1 i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
I he ()ffice of Investigaations would like fo thank you in advance for your cooperation and should you have any questions,
please do not hesitate to grye us a call.
I'he Deparnttcnt's address, telephone and fax number:
The Commonwealth of Massachusetts r
Department of industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE
is iced 5- ll-us Fax N 617-727-7749
www.mass.gov/dia
ACORD CERTIFICATE OF LIABILITY INSURANCE DAT IODAYY E(MNY)
/2008 06/25
FRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION
-harles A. Slee Agency, Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE
HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR
25 Atlantic Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.
P.O.Boz 6
Marblehead, MA 01945 INSURERS AFFORDING COVERAGE NAIC t
INSURED INSURERA Travelers Insurance
David S. Tyrrell d/b/a Marblehead Craftsmen NSURER B'.
57 Gregory Street INSURER C:
Marblehead, MA 01945 INSURERO.
INSURER E.
COVERAGES
THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING
ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR
MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH
POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
POUCY EFFECTNE P E%PIEXPIEXPIRATIONTN
IO TYPE OF INSURANCE PLKY O NUMBER PATE GATE p.TTE(LeypgyY) LINOTS
LTR IMSR
A GENERAL LIABILITY 680-4637MB44 06/23/2008 06/23/2009 f 1,000,000
EACH accuRRENCE
X CM OMERCIALGENERALLIAMUTY PREMISES(Esa¢ .) s300,000
CLAIMS MADE Fx]OCCUR RED EXP(Any HM PHmn) S 5,000
PERSONAL&ADVIN.AIRY f 1,000,000
GENERAL AGGREGATE s2,000,000
GENL AGGREGATE UMR APPLIES PER'. PRODUCTS-COMROP AGO f2,000,000
POLICY PEltO� LOG
AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT f
(E.vn+aellq
ANY AUTO
ALL OVMED AUTOS BODLY INJURY f
(PM PSImn)
SCHEDULED AUTOS
HIRED AUTOS BODILY Ia0.1RY f
lPY<adaen0
NON-0WTIED AUTOS
PROPERTY DAMAGE f
lPM Faieen7
GARAGE LNBIIJTY ALTO ONLY-EA ACDDENT f
ANYAUTO OTHER THAN EA ACC f
AUTO ONLY: ADD f
F%fE=3RELLALMBRIIY EACH OCCURRENCE f
OCCUR ❑CWMS MADE AGGREGATE f
f
f
DEDUCTIBLE
f
RETENTION f
WORKERS COMPEN&AT AND TORY LIMITS ER
EMPLOYERS LNI&LRY E.L.EACH ACDDENT f
ANY PROPRIETOR,PARTNERIE%EI:UTIVE
OFFICERRAEMBER EXCLUDEW E.L.DISEASE.EAOAPLOYEE f
X)A&amiba unSe, E.L.DSEASE-POLICY LIMIT is
SPEOAL PROVISIONS mi.
OTHER
DESCRIPTION OF OPERATIONS I L TN)NS I VEHICLES I EXCLUSIONS ADDED BY ENOORSSMENT I SFECLLL PROVISIONS
Remodel 6 repair carpentry single family frame residence at 10 High Street, Marblehead, MA 01945.
CERTIFICATE HOLDER CANCELLATION
Bryan 6 Elizabeth Burns SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE G ELLED BEFORE INC EEPIRATION
OATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN
10 High Street `
NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILUR TO GO SO SHALL
Marblehead, MA 01945
INWOSE NO OBLIGATION OR LIABILITY' OF ANY KIND UPON THE INSURER ITS /WEMT9 OR
REPRESENTATIVES
AUTHORREDREPRESEXTAT
Charles A. --lee Agency, Inc.
ACORD 25(2001/08)
0 ACORD CORPORATION 1988
t tt``
'Board of Building Regulatio s andtanlc ars
Construction Supervisor License
License: CS
71372
Expiration 10/16/2009 Tr# 8838
Restriction: 1 G
DAVID S TYRRELL
d
57 GREGORY ST
MARBLEHEAD, MA 01945
Commissioner
Board of Building Regulations and Standards
HOME IMPROVEMENT CONTRACTOR
. - Registration: 157613
Expiration: _10/22/2009 Tr# 260448
Type: Individual
DAVID TYRRELL
DAVID TYRRELL
57 GREGORY ST. "��