Loading...
388 ESSEX STREET - BUILDING JACKET Y . ex Super ab. aemkearan foldere 90%Larger Label Area • •"'"° /// SMEAD KEEPING YOU ORGANIZED Na 10.101 aerrw.rw wa blIMA GET ORGMIZED AT SMEAD.COM NPOSTcaom e C j 3 -'�1 � � � � � � ��; � � �� � � �� � � � oo � � i � � �ov `� �� � Certificate No: 659-12 Building Permit No.: 659-12 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Pemuts This is to Certify that the RESIDENCE-------- located at ------------------------------------ ------- Dwelling Type 388 ESSEX STREET in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY OCCUPANCY PERMIT FOR THE (3RD FLOOR UNIT) This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires ............... unless sooner suspended or revoked. Expiration Date Issued On: Thu Mar 1,2012 GeoTMS®2012 Des Lauriers Municipal Solutions,Inc. """"—'-------------------------------------------------------------------- - ONDITq�� c� VSQVE AD CITY OF SALEM 63 JEFFERSON AVENUE 695-12 GIS# -'1529,--', ?jl! COMMONWEALTH OF MASSACHUSETTS Mapi 24 id `r" x CITY OF SALEM Lot. '� we 021() "'vLt 4 Category: - INTERIOR DEMO O1 Permit# 695-12. BUILDING PERMIT Project# . JS-2012001903 :. Est. Cost "a t°{ $28,000.00mY Fee Charged:141 $213.00m,- `:,F Balance Due: $.00fa r: :, PERMISSION IS HEREBY GRANTED TO: Const. Class r„v ”;-'l ' Contractor: License: Expires: Use Group:iri`S ':- lam*'?'The Kaat Service Group Inc LotSize(sq'ft) 42393.0276 I Zoning: Owner: HUGH REALTY TRUST,KERR HUGH TR Units Gamed: ., ,, 5t, Applicant: The Kaat Service Group Inc Units Lost: " r, v xAT: 63 JEFFERSON AVENUE wsa., ��n it fi i p' ms's. Dig Safe#..''v` m ;- ISSUED ON. 29-Feb-2012 AMENDED ON. EXPIRES ON. 29-Jul-2012 TO PERFORM THE FOLLOWING WORK. REMOVAL OF ALL OFFICE DEBRIS,REMOVAL OF ALL OFFICE WALLS,AND ALL CEILING TILES,REMOVAL OF HVAC SYSTEM,REMOVAL OF FLOORING(THIS PERMIT IS ONLY FOR INSIDE DEMO ONLY)jbh POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Building Underground: Underground: Underground: Excavation: - Service: Meter: Footings: Rough: Rough: Rough: Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Health Insulation: Meter: Oil: Final: House k Smoke: Treasury: Water: Alarm: Assessor Sewer: Sprinklers: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPO L RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2012-002092 29-Feb-12 1882 $213.00 IMPORTANT:OWNER OR CONTRACTOR MUST ARRANGE FOR PERIODIC INSPECTIONS DURING CONSTRUCTION.SEE CURRENT BUILDING CODE CHAPTER 1 FOR LIST OF REQUIRED INSPECTIONS. CALL 978-619-5641 TO SCHEDULE AN INSPECTION GeoTMSO 2012 Des Lauriers Municipal Solutions,Inc. cc VSpVE AD CITY 'OF SALEM Certificate No: 659-12 Building Permit No.: 659-12 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the RESIDENCE located at --------------------------------------------------- Dwelling Type 388 ESSEX STREET in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY C OCCUPANCY PERMIT FOR THE (3RD FLOOR UNIT) Ojfly This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires _tion sooner suspended or revoked. ._ Expiration Date Issued On: Thu Mar 1,2012 - - -- - - - GeoTMS®2012 Des Launers Municipal Solutions,Inc. ------------------------------------------------------------------------------- ��•�OND[Tq�'� a� n VSgVE AD C�M►NT � CITY OF SALEM r - - Certificate No: 659-12 BuildingPermit No.: 659-12 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the Multi-fanul located at Dwelling Type 388 .ESSEX STREET in the CITY OF SALEM_ - .. - - Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 388 ESSEX STREET This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires _ unless sooner suspended or revoked. Expiration Date Issued On: Thu Mar 1, 2012 --- GeOTMS®2012 Des Launers Municipal solutions,Inc. -- --- ------ ------------- ----_-_... 388 ESSEX STREET 659-12 ic-I #es - 9a7o I COMMONWEALTH OF MASSACHUSETTS I -- 0:p a L -- p 25 _ Map: CITY OF SALEM Lot: 0100 Category: REPAIR/REPLACE Permit# X59-12 -7 BUILDING PERMIT [Project# JS-2012-001734 Est Cost $15,000.00 Fee Charged: $170.00 (Balance Due: $.00 PERMISSION IS HEREBY GRANTED TO: Const Group: Contractor: License: Expires ,Use Group: Affordable Bath&Kitchen Inc/Juvcnial M HIC- 168187 ,Lot Snze(sq '$) I3919.9644 Zoning _R2 �Orvner: SASS STEVEN A, GOLUB ELLEN S ,Units Gamed: r Applicant: Affordable Bath&Kitchen Inc/Juvenial Melo 1 - �Units Lost: 388 ESSEX STREET LDig Sate#: ISSUED ON. 09-Feb-2012 AMENDED ON: EXPIRES ON: 09-Jul-2012 TO PERFORM THE FOLLOWING WORK: INSTALL CABINETS ON UNIT #2 AND UNIT#4 OTHER REPAIRS NOTED ON THE BUILDING APPLICATION IF ANY ADDITIONAL INFORMATION IS NEEDED jbh POST THIS CARD SO 1T IS VISIBLE FROM THE STREET Electric Gas Plumbing Building Underground: Underground: Underground: Excavation: Service: Meter: 011 Footings: Rough: j/p Rough: X, Rough: 1�lFoundation: Final: Final• Rough Frame. Fireplace/Chimney: D.P.W. Fire Health Insulation: Meter: Oil: liuuse H Smoke: Final: '�"/r— —3.7/t /11 t -Z'!/ Water: :alarm: A$$Q$$nr Treasury: Sever: Sprinklers: Final: THIS PERMIT MAYBE REVOKED BY THE CITY OF SALEM UPON VIOLLATI N F ITS RULES AND REGULATIONS. � 6 Signat re: Fee Type: - Iteceipt No: Date Paid: Check No: Amount: BLJii..t5MRPRTANT OWNER OR CONlIt3llyTQ13-0AU9T5 09-Feb-12 1136 $170,00 ARRANGE FOR P1=RIGD:C INSPECTIONS DURING CONSTRUCT ION,SEE CURRENT BUILDING CODE CHAPTER i FOR LIST OF REQUIRED INSPECTIONS. CALL 978-619-5641 TO SCHEDULE AN INSPECTION Gnu I'NIS©2012 Des Lau,iers:\iunicipul Solutions,Inc. A SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION . ■ Complete items 1,2,and 3.Also complete A. Signatu j •I / item 4 if Restricted Delivery is desired. VVI,:] ■ Print your name and address on the reverse X J \ ❑Addressee so that we can return the card to you. B. Kec� b n Name C. Date of Delivery ■ Attach this card to the back of the mailpiece, or on the front if space permits. �'r.Jk ire, different from item 17 ❑Yes t. Article Addressed to: YES'�rgeP�detl ery address below: ❑No b � 9,Gc& AN � 0 1012 Se"" Mail ❑Express Mal ❑Registered ❑Return Receipt for Merchandise ❑Insured Mall ❑C.O.D. 4. Restricted Delivery?(Extra Feel ❑yes 2..Article Number (Transfer from service label) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-ht-1540 UNITED STATES P Ee . CAt sry 3-v Edi° r. • Sender: Please print your name, address, and ZIP+ in his box•4 Gfty( r��ler� Builgalidir g-Department 1210-Washington Street Salern, MA.01970 MITIMIllifil If I Iff6lfit fill fill If,lfl6fillhfilIH1116f CITY OF SALEM, MASSACHUSETTS =„ BUILDING DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR TEL: 978-745-9595 FAx: 978-740-9846 KIMBERLEY DRISCOLL MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER November 23, 2011 Steven Sass and Ellen Golub 16 Ida Road r Marblehead, Massachusetts 01945 ® RE: 388-390 Essex Street, Mr. Sass and Ms. Golub, Our office received a complaint regarding your property located at 388-390 Essex Street. The complaints were investigated on Monday,November 14, 2011 along with Ms. Elizabeth Salandrea of the Salem Health Department and a return inspection was made by this office on Tuesday,November 23, 2011. Said property was found to be in violation of multiple Massachusetts State Building Code requirements. The most concerning off these violations that has been received and noted during the inspections are the possible electrical,plumbing, heating and construction work that seems to have been ongoing in the basement of'said property without required permitting. Additionally life safety and egress stairway violations have been noted at the property,for these reasons an inspection must be conducted by our inspection team to assure compliance with the code and city ordinances. Under the provisions of 780 CMR, Section 104.6—Right of Entry, of the State Building Code, access to this property must be granted for the purposes of this inspection. Please call this office upon receipt of this letter to schedule this required inspection. If this property has rental units,these tenants must be notified in advance of this inspection, so that access to these spaces may also be accomplished. This inspection must be completed on or before December 8, 2011; failure to respond to this notification will be construed as non- compliance, and as such an Administrative Search Warrant will be sought, so as to allow the lawful inspection of this property. If you have any further questions regarding this letter,please call this office at (978) 745- 9595, extension 5648 Respectfully, Michael E. Lutrzykowski Assistant Building Inspector cc: file, Health Dept., Fire Prevention,Mayor's Office, Electrical, Plumbing SECTIONSENDER: COMPLETE THIS P ■ Complete items 1,2,and 3.Also complete A. Signa item 4 If Restricted Delivery is desired. �� Agent s Print your name and address on the reverse X ❑Addressee so that we can return the card to you. B. Received by(Pnnted N e) C. D to of Delivery ■ Attach this card to the back of the mailpiece, - t J J or on the front if space permits. D. Is deliveryaddress different fmm item 17 OYes 1�. Article Addressed to: `ry If YES,enter delivery address below: ❑ No %6.1 DDA '60� � ee - -•. o /�a,ell el-*Ild 3. Service Type ❑Certified Mail ❑Express Mail 01C ❑ Registered ❑Return Receipt for Merchandise C3 Insured Mail ❑C.O.D. 4. Restricted Delivery?(E(tra Fee) i]yes 2. Article Number- �y (rransferfromservicelabel) PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1640 UNITED STATES PO4L-" U4zfi' �listt Ta"ss"fdg� • Sender: Please rint your name, address, and ZIP+4 in this box 461 c/�1��•h, /199• drry70 ',` �" \ CITY OF SALEM MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET, 32D FLOOR TEL:978-745-9595 KtNIBERLEY DRISCOLL FAX: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER December 9, 2011 Steven Sass and Ellen Golub 16 Ida Road Marblehead, Massachusetts 01945 RE: 388-390 Essex Street, Mr. Sass and Ms. Golub, The ensuing communication shall serve as our follow-up to our November 23 2011; Required Inspection letter sent you under the provisions of 780 CMR, Section 104.6—Right of Entry, of die State Building Code. The inspection was conducted on Monday, December 5`h, present were Salem Fire Marshall Ms. Erin Griffin, Chief Wiring Inspector Mr. John Giardi, Plumbing and Gas & Plumbing Inspector Mr. Dennis Ross, Mr. David Greenbaum of the Health Department, Mr. Tiago Scottie your property manager and myself. The purpose of the investigation was to identify any safety concerns and code violations noted during the visit as well as address outstanding violations documented during our Monday, November 14, 2011 site walk and noted in the aforementioned letter of November 23rd Each City Department present at the meeting shall be submitting their own reports regarding violations cited, so let it be noted that violations stated in this correspondence are solely matters that are governed by this office and the Massachusetts State Building Code 780 CMR, but are not the only items of concern on the property. Violations regarding hallways, stair access to egress doors, storage of combustibles materials and such was virtually unchanged and in some cases tar more egregious. Therefore, under the authority of the Mass State building code 780 C.M.R, you are directed to address the following: l- Exit Stairways section 1020.1—"an exit shall not be usedfor any purpose that interferes with its /imetion as a means of egress" Exit stairways can have no chairs, desks, boxes, rabbit cages etc. or be used for storage of objects at any time as was the situation and noted at the time of inspection. Mr. Scottie was advised that all material need to be removed from these areas, and the closets at r CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON S'T'REET, 31D FLOOR TEL: 978-745-9595 KIMBERLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS STTIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER each stair landing removed. 2- Corridors section 1018 - Corridors leading to exits are also not to be used for any purpose that interferes with the path of egress. Also, Combustible materials, maintenance materials cannot be stored in the hallways. 3- Exit passageways-section 1023. The exit passageways (approach to the exit doors inside the units cannot be less than 36".I have asked Mr. Scottie to inform the tenants that in the area of the doorways to make sure there are no loose materials or furniture which can tip easily and reduce or obstruct the doorways. The area shall be one foot back from the edge of the door and four feet into the room. 4- 388 Esser Street, Unit #1 —Smoke detector not secured at entry door. 5- 388 Essex Street, Unit#2— Un permitted electrical,plumbing and construction work. (Section 105.0 of'780 CMR, the State Building Code) Additionally permit fee, Debris Disposal Affidavit, Homeowners License Exemption form or Worker's Compensation Affidavit are required to be submitted during the filing. 6- 388 Essex Street, Unit #2—Installation of new door hardware on rear exit(loot-, and removal of slide bolt latch. 7- 388 Essex Street, Unit #3—Rear egress door flooring and threshold shall be completed as to remove trip hazard. 8- 388 Essex Street, Unit #3 —Rear egress slide bolt needs to be removed from exit doors. 9- 388 Essex Street, Unit #4 - Rear egress slide bolt needs to be removed from exit doors. 10- 390 Essex Street, Unit #2 - Un-permitted electrical, plumbing and construction work. (Section 105.0 of 780 CMR, the State Building Code) Additionally permit fee, Debris Disposal Affidavit, Homeowners License Exemption form or Worker's Compensation Affidavit are required to be submitted during the filing. r !A`° CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT - ' ' 120 WASHINGTON STREET, 3"DFLOOR '�- TEL: 978-745-9595 FAx: 978-740-9846 KIMBERLEY DRISCOLL MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER 11- 390 Essex Street, Unit #3 - Exit passageways-section 1023. The exit passageways approach to the exit doors inside the units cannot be less than 36". Egress door that opens in 388 Essex Street hallway needs to be cleared of storage. 12- 390 Essex Street, Unit #4—Exit and Exit Access Doorways, Section 1015 & Number of Exits and Continuity, Section 1021- Unit presently has only one means of egress out of the unit in violation of the aforementioned 780 CMR. The situation needs to be addresses immediately, and the Building Department notified of the solution. 13- 390 Essex Street, Unit #5 - Exit and Exit Access Doorways, Section 1015 & Number of Exits and Continuity, Section 1021 - Unit presently has only one means of egress out of the unit in violation of the aforementioned 780 CMR. The situation needs to be addresses immediately, and the Building Department notified of the solution. 14- 390 Essex Street, Unit #5—Interior Space Dimensions, Section 1208.1 —Minimum room widths— ........Kitchens shall have a clear space passageway of not less than 3 feet (914 nun) between counters fronts and appliances or counter fronts and wall. " 15- 390 Essex Street, Unit #5—Efficiency dwelling units, Section 1208.4— "3. The unit shall be provided with a kitchen sink, cooking appliance and refrigeration facilities, each having a clear working space of not less than 30 inches (762 nun) in front Light and ventilation conforming to this code shall be provided". 16- Handrails, Sectio: 1012—Exit stairways handrails are missing and incorrectly secured at multiple locations. Including the side entry to 390 Essex Street exterior granite stair entry. 17- As directed by Fire Mat-shall Griffin, unit number designations shall be placed on all entry doors to the living units,presently there are duplicate Unit#Ys. CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET, 3"DFLOOR TEL: 978-745-9595 FAx: 978-740-9846 KINIBERLEY DRISCOLL MAYOR THOMAS STYIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER It is pertinent that an immediate solution be determined for the 390 Essex Street, Units#3 & #4 secondary egress violations. A Registered Massachusetts Architect's stamped drawing of each floor level is additionally requested by this office so as to allow it to be apparent that all units have the required egresses as per the Massachusetts State Building Code.. This Department has no record of a required building permit any of the work obvious on Basement and First Floor levels of the property. You are directed by this letter to file the appropriate applications for permit in our office at 120 Washington Street, 3`d Floor at the earliest possible time. You are hereby ordered to begin to rectify these conditions within 7 days of receipt of this notice. Failure to do so may result in further actions being brought against you, up to and including the filing of criminal complaints at District Court. You have the right to appeal this order to the State Board of Building Regulations at One Ashburton Place, Boston, Ma. If you have any questions regarding this letter, please contact the Building Inspectors Office at (978) 745-9595, extension 5648. Respectfully, Michael E. Lutrzykowski Assistant Building Inspector Cc: tile, Health Dept., Fire Prevention,Plumbing Department, Electrical Department and Mayor's Office CITY OF SALEM, MASSACHUSETTS ss, 7pa. ELECTRICAL DEPARTMENT qty 44 LAFAYETTE STREET TEL(978) 745-6300 K MBERLEY DRISCOLL FAX(978) 745-4638 MAYOR JGLARDI@SALEM.COM JOHN J. Gu RDI CITY ELECTRICIAN TO: Stephen Sass and Ellen Golub 16 Ida Road Marblehead, Mass. 01945 FROM John J. Giardi, City Electrician/ Chief Wire Inspector SUBJECT 388-390 Essex Street Salem, Mass. DATE December 05"', 2011 Please be advised, City Electrician John J.Giardi, was called to 388-390 Essex Street by the Building inspector because of electrical concerns that he felt needed to be Addressed. Upon his inspection he found the following Code Violations. 1.) On the East side of the building 1 outside porch light needs a new cover and 1 porch light needs to be replaced. 2.) Unit 388-1 The smoke detector has to be secured in the kitchen. Electrical outlets were added to the kitchen without the proper GFCI protection. 3.) Unit 390-4 one smoke detector was missing. Multiple use of extention cords were present in the kitchen area. 4.) Unit 390-3 A GFCI outlet is required by the kitchen sink. A bedroom lighting fixture has to be properly secured to the ceiling. 5.) Unit 388-3 A hall light cover has to be installed. A smoke detector in the rear hall has to replaced. 6.) Unit-388-4 A hallway smoke detector is missing and has to be replaced. A kitchen light fixture has a globe missing. Switch plates are missing. The fan light combo has to be replaced. A kitchen outlet shall be replaced with a GFCI outlet. 7.)Unit 390-1 Kitchen outlet needs to replaced with a GFCI outlet. 8.)Unit 390-6 Bedroom smoke detector has to be replaced. 9.)Unit 390-5 Kitchen outlet needs a GFCI outlet. A hall smoke detector has to be replaced. The violations listed below were derived from The 2011 National and Massachusetts Electrical Codes. Article 300 Wiring methods. Article 210.52 Required outlets. The listed violations shall be corrected within seven days upon receipt of this notice. All work shall be performed by a licensed Electrician and a permit is required before work is to commence. Failure to comply with this notice will result in court action. If I may be of any further assistance, please call me at 978-745-6300. Sincerely Yours City lectric�� Jo�i'J. Giardi Cc: Tom St. Pierre Director of Inspectional Services Michael lutrzykowski Assistant Building Inspector Lt: Erin Griffin Fire Prevention David Greenbaum Health Inspector $ENDER: COMPLETE THIS SECTION ■ Complete Items 1,2,and 3.Also complete item 4 if Restricted Delivery is desired. / ❑Agent IN Print your name and address on the reverse i dresses so that WB Can return the Card to you. 6d by(Prin ed N e) C:Date of Deliv ry ■ Attach this card to the back of the mailpiece, ,v/ or on the front If space permits. 1. Articld Addressed to: D. Is delivery add Item 11 ❑Yes If YES,ent d r�palpw: ❑No 3. S Ice o� 1 ! \V"V'�+ �� G� � sglat �w 'Mail eglstered Receipt for Merchandise ti 9 y� 13 insured Mall ❑C.O.D. 4. Restricted Delivery?(Extra Fee) ❑Yes 2.,Artrrst Number �NP 0 (Transferiromservicelafreq ll 4 PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1 540 UNITED STATE,,S.FQS�gL SERVICE ' "`y ileArimit!.43-10' ' �. aid E'i_ :'° • Sender: Please print your name, address, and"Z]P+4 ih thisB& City Of S"lem Building Department 121.) Washington Street Salem, MA 01970 __ III,ri 1111111 it rf,If till IirrflrJrtnrl,LrILllufill I1111ut CITY OF SALEM, MASSACHUSETTS ELECTRIC-9L DEPARTMENT 44 LAFAYETTE STREET TEL(978) 745-6300 KINMERLEY DRISCOLL FAX(978) 745-4638 MAYOR JGIARDI@SALEM.COM JOHN J. GIARDI CITY ELECTRICL�,N TO: Stephen Sass and Ellen Golub 16 Ida Road Marblehead, Mass. 01945 FROM John J. Giardi, City Electrician/ Chief Wire Inspector SUBJECT 388-390 Essex Street Salem, Mass. DATE December 05`", 2011 Please be advised, City Electrician John J.Giardi, was called to 388-390 Essex Street by the Building inspector because of electrical concerns that he felt needed to be Addressed. Upon his inspection he found the following Code Violations. 1.) On the East side of the building 1 outside porch light needs a new cover and 1 porch light needs to be replaced. 2.) Unit 388-1 The smoke detector has to be secured in the kitchen. Electrical outlets were added to the kitchen without the proper GFCI protection. 3.) Unit 390-4 one smoke detector was missing. Multiple use of extention cords were present in the kitchen area. 4.) Unit 390-3 A GFCI outlet is required by the kitchen sink. A bedroom lighting fixture has to be properly secured to the ceiling. 5.) Unit 388-3 A hall light cover has to be installed. A smoke detector in the rear hall has to replaced. 6.) Unit-388-4 A hallway smoke detector is missing and has to be replaced. A kitchen light fixture has a globe missing. Switch plates are missing. The fan light combo has to be replaced. A kitchen outlet shall be replaced with a GFCI outlet. 7.)Unit 390-1 Kitchen outlet needs to replaced with a GFCI outlet. 8.)Unit 390-6 Bedroom smoke detector has to be replaced. 9.)Unit 390-5 Kitchen outlet needs a GFCI outlet. A hall smoke detector has to be replaced. The violations listed below were derived from The 2011 National and Massachusetts Electrical Codes. Article 300 Wiring methods. Article 210.52 Required outlets. The listed violations shall be corrected within seven days upon receipt of this notice. All work shall be performed by a licensed Electrician and a permit is required before work is to commence. Failure to comply with this notice will result in court action. If I may be of any further assistance, please call me at 978-745-6300. Sincerely Yours C' lectrician Jot?"G�vardi Cc: Tom St. Pierre Director of Inspectional Services Michael lutrzykowski Assistant Building Inspector Lt: Erin Griffin Fire Prevention David Greenbaum Health hlspector T P CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET, 3 FLOOR TEL: 978-745-9595 KIMBERLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER January 9, 2012 Steven Sass and Ellen Golub 16 Ida Road Marblehead, Massachusetts 01945 RE: 388-390 Essex Street, Mr. Sass and Ms. Golub, The ensuing communication shall serve as our follow-up to our January 09, 2012; Required Inspection letter sent to you under the provisions of 780 CMR, Section 104.6—Right of Entry, of the State Building Code. The inspection was conducted on Monday, January 9`h, present were Salem Fire Marshall Ms. Erin Griffin, Mr. David Greenbaum and Ms. Elizabeth Salandrea of the Health Department, Mr. Tiago Scottie your property manager and myself. The purpose of the investigation was to get a visual update of progress regarding the noted issues in the multi- department violations noted during our Monday, November 14, 2011 site walk and noted in the aforementioned letter of November 23 rd Each City Department present at the meeting shall be submitting their own reports regarding violations cited, so let it be noted that violations stated in this correspondence are solely matters that are governed by this office and the Massachusetts State Building Code 780 CMR, but are not the only items of concern on the property. Violations regarding hallways and stairwell egress, were corrected with-in twenty four hours of our Novemberl4th site walk, this department thanks you for your direct attention to that matter. The following items remain outstanding and/or were noted during our visit of January 91h. Therefore, under the authority of the Mass State building code 780 C.M.R, you are directed to address the following: •1 7 CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET, 3'FLOOR =Y6p TEL: 978-745-9595 KIMBE•RLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS STTIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER l- 388 Essex Street, Unit #2— Un-permitted plumbing work. (Section 105.0 of 780 CMR, the State Building Code) Additionally permitfee, Debris Disposal Affidavit, Homeowners License Exemption form or Worker's Compensation Affidavit are required to be submitted during the filing. 2- 388 Essex Street, Unit #2—Installation of new door hardware on rear exit door, and removal ofslide bolt latch. 3- 390 Essex Street, Unit #4—Exit and Exit Access Doorways, Section 1015 & Number of Exits and Continuity, Section 1021- Unit presently has only one means of egress out of the unit in violation of the aforeinentioned 780 CMR. The situation needs to be addresses immediately, and the Building Department notified of the solution. Although this situation was partially corrected by removing the tenant from Unit#5, still outstanding is the issue of the door between units. This sliding door needs to be removed immediately and replaced with a "swing"door that opens towards the unoccupied unit. As discussed during a 11:49 am. telephone conversation with Mr. Scottie (with approval from the tenant Caprice) this work shall be completed on Thursday, January 12"', 2012 when access to the unit will be granted by the tenant. 4- Handrails, Section 1012—Exit stairways handrails are missing and incorrectly secured at the third floor level in the #388 stairwell unit. Including the side entry to 390 Essex Street exterior granite stair entry. This item shall be re-addressed upon discussions with Historical, this office may require the installation of temporary handrails until a permanent and acceptable design can by approved by the Historical Commission. 5- As directed by Fire Marshall Griffin, unit number designations shall be placed on all entry doors to the living units, presently there are duplicate Unit #5's and Unit#4, address #90 needs an addition number designation located above the door. 6- 390 Essex Street, Unit#4—Shower stall and base shall be removed and replaced as requested by the Plumbing Inspector during our November 14°i inspection. Currently the work done was only a repair, Mr. Dennis Ross, Plumbing Inspector has confirmed with our office that it must be replaced. 7- 390 Essex Street, Unit#4— Cal detector shall be installed in unit. CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT \qR = n 120 WASHINGTON STREET, 3RD FLOOR rYg" TEL: 978-745-9595 KtMBERLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER 8- 390 Essex Street, Unit#4-Additional electrical outlets shall be installed as required to eliminate use of hazardous extension cords under carpets and eliminating trip hazards in paths of egress. 9- Interior egress door between #388 and#390 Esse-v Street sides of the building shall have passage lever hardware installed, a door closer installed and signage designating that "DOOR SHALL REMAIN CLOSED AT ALL TIMES"be installed on each side of the door. 10- Tire shall immediately be rennoved from basement. 11- Lever hardware and door closers installed on: all egress doors to the outside. A Registered Massachusetts Architect's stamped drawing of each floor level is additionally requested by this office so as to allow it to be apparent that all units have the required egresses as per the Massachusetts State Building Code. You are hereby ordered to begin to rectify these conditions within 7 days of receipt of this notice. Failure to do so may result in further actions being brought against you, up to and including the Filing of criminal complaints at District Court.You have the right to appeal this order to the State Board of Building Regulations at One Ashburton Place, Boston, Ma. If YOU have any questions regarding this letter, please contact the Building Inspectors Office at (978) 745-9595, extension 5648. Respectfully, Michael E. Lutrzykowski Assistant Building Inspector Cc: tile, Health Dept., Fire Prevention, Plumbing Department, Electrical Department and Jason Silva. 388-390 ESSEX STREET 12/5/11 General ALL UNIT DOORS NEED NUMBERS Fire Alarm system needs annual test and paperwork to FPB Wiring must be code compliant. 388 #1 H/W smoke No 2nd Egress 388 #2 Battery smoke Plumbing/Electrical work no permit 39094 H/W smoke REMOVED Excessive ext. cords, No 2"d Egress, zero Clearance from stove, too close to walls. 390 #3 Battery smoke Co detector>10' from bedroom 388 #3 New H/W smoke NEEDED System smoke in rear hallway tampered With, not working. 388 #4 H/W smoke REMOVED Front hall 3`d floor 39041 Battery smoke 390 #2 H/W smoke NEEDED 39095 H/W smoke NEEDED No 2nd Egress 390 #5 (2) H/W smoke NEEDED BASEMENT: Illegal tire storage Illegal venting & duct sealing of heating system. General exterior maintenance. Remove combustible Halloween decorations from 390 front egress. 11 � The Commonwealth of Massachusetts J� II Department of Public Safety rl r \LISS,1Chusclt+titalc luilding Cutle(7SUC�I R) Building Permit Application for any Building other than aOne-ur'r$ o-Fam' ulli (Thin Section Fur Clffi'.II Use OIIIV) Boil 1 'cnnit Nuntbcc _ ___ Date \pplicd:� _ Building Offici; _ _ _ _ �HON 1: LOCA PION(Please indicate Block#and Lot#fur locations for which a street ad is not available) No.and Street City /Town Zip Code Name of Building(if applicable)----- SECI'ION 2:PROPOSED WORK Edition,11,\i:\State C,kle used If New Construction check here O or check all that apply in the two rows below F\istinl; Building❑ Repair❑ Alteration ❑ AJdiliou❑ Demolition ❑ (`Please fill out alld submit Appendix 1) Change of Use 13 Change of Occup,IoCV ❑ OtherMSpecify: Are building plans and/ur amslnri lion d,w'untents being supplied,Is parrot this permit application? N'es ❑ No�M- Is an Independent Structural Engineering Peer Review re}iuired? o Yes ❑ o Brief cscription of Proposed Work;-�/✓SYAL I �'i�'�r �✓/"' j�✓ /�/� �' —r G' SECTION 3:CONIPLE-rE'TEIIS SECTION IF EXIs'rING BUILDING UNDERGOING RENOVA"rION,ADDITION,OR - CHANGE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed (See 788 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECr1ON 4: BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.) Total Area(sy.ft.),out Total Haight(ft.) SECTION S: USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 D A4 ❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-I ❑ F2❑ 1 H: High Flazard H-1'0 H-2❑ H-1 ❑ 11-4❑ li-i❑ 1: Insutional 1-1 D 1-2❑ 1-3❑ 1-4❑ NI: Mercantile❑ R: Residential R-1❑ R-2❑ R-3❑ R-4❑ 5 tit : Storage SI D S'_'❑ U: Utility D Special Use❑and please describe below: Special Use SECr10N 6:CONS-rRUC rION TYPE (Check as applicable) IA D IB ❑ IIA ❑ 118 ❑ IIIA ❑ [fill ❑ 1 IV ❑ 1 VA 0 VB ❑ SECTION 7: SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench PertniC Debris Removal: Public❑ Check if outside (loud Zone❑ Indicate municipal ❑ A lrcnclt will not be I_icetued Disposal yite❑ I'm ate❑ or tndentilV /one: ___-- or on cite system ❑ rn•quin•d D or trenih or specify:._ .._. c - permit is enclosed ❑ _ — . Railroad right-of-way: Ilai.ards to Air:Navigation: v , i.;.i. . �.�,,., -.• . Nit:\pl+hcaldr❑ Is ;truilure,cithin airport approaih arm? N their revirw iumplclrJ? ur C411t•Ilt to Ih11111 rnchi+rd ❑ 1 cs❑ or No Cl 11•s❑ ,No ❑ SFC HON H:CON I EN'r OF CE.R"i'IFICA iE OP OCCUPANCY Ifdiliou'It Cade: _. C\r Cnmp(s): _ _ _ I\pc of Conarue.lion: lkcup,mll. a,tl pvr Moor 17oes thr building;camLlin,uI tiprinkler tic slrm': ;pct 1,11�lipuldliuns: _ _ _ f SI:C'l lON 4: PROPI.R'IY OWN 1(R AU'1 IIORIZA'I[ON N,unc.0 d \dJ r•ss of PniprrlV'Owner —_— ��� - Name Print) No.and Strout City/Town Zip--- Pnpperty Opvncr contact Information: �/ T (cell)relephone No. (business) Telephone No. (cell)) c-mail address If applicable, the properly owner hcrcbv authorizes - --- Name - Street Address City/Town State Zip to.art on the property owner's behalf, in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) if buildin is less than 35,ON)cu.ft.of enclosed s pan and/or not Under Construction Control then check here O and skip Section 10.1 I ii, lie istered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town Stale Zip Discipline Expiration Date 10.2 General Contractor Company N: ne an 'of PcrsoU Responsible for Construction License No. and Type if Applicable OZYAO Street Address g 7 City/Town - State Zip reiv phone No. business Telephone No. cell c-mail address SECTION 11: art q;F.h 1::,'t p.mu•t Ns,:a rlt+N lN'd n AM I .\I I it ;cl i M.G.L.c.152.§ 25C 6 A Workers'Compensation Insurance Affidavit from the NIA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this a licatiun? Yes❑ No O SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=S 1. Building 5 z OZO Building Permit For=Total Constnuction Costs_(Insert hem 2. Electrical 'S r °= appropriate municipal factor)=S 1. Plumbing $ 1. \Icchbing (HV:\C) S Note: Minimum fee=:5__(contact mu i Mlitrv)l/\\ 3. \IcCh,m it Otlter S Enclose chock payable to "C./ t+. total Cost S (contact nuuaicip,dity)and write Chock number here SECTION 13:SIGNATURE OF BUILDING PERNI1T APPLICANT 14v cn h•rinlI nw norm•below, I hcrcbv attest tinder the pains and penalties of perjury that,ill of the information Contained in this application is true and aCt Urate to the b of na avlcdge and understanding. 62 r nt ad .ign It npe ale Iblophone No. Date tifr•et :Address City'/mull State Zip Municipal Inspector to fill out this section upon application approval; Name Dalr Il� 1 The Commonwealth of Massachusetts Department of Public Safety ALlssdrhusrlls State Building Code(780 CMR) Building Permit Application for any Building other than a One-or'Two-Family Dwelling ('I his Section For Official Use Only) Building Permit Number: Date Applied: _ Building Official: SECTION 1: LOC A'I[ON(Please indicate Block k and Lot p for locations for which a street address is not available) No..md Street City/Town Zip Cade Name of Building(if appli(eblc)---- SECTION 2: PROPOSED WORK "T:dition of MA State Code used It New Construction check here❑or check all that apply in file two rows ht•low I:xi.sting Building❑ Repair❑ 1 Alteration ❑ Addition❑ Duntolitton ❑ (Please till nut and submit:\pprndi.x 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Arc building plans and/ur alnstntutiun dtk'umunts being supplied as part of this pursuit application? Yes ❑ No ff - --_- Is,tn Independent Structural Engineering P+er Review rcylrired? /, nl Ycs ❑ No 4r Brie. 1 Description Proposed 1Vork:.-- f:.i��/ � Ql /` / �(�1 l//�--�o.✓�v �'R-r�5'Z:6 SECTION 3:CONIPLETE THIS SUCTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Chuck here fin Existing Building Investigation and Evaluation is enclosed(See 780 CNIR}4) ❑ Existing Use Group(s): _ Proposed Use Gruup(s): _ --- -- SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Flours/Stories(include basement levels)&Area Per Fluor(sq. ft.) Total Area(Sy.ft.)and Total Height(ft.) SECTION 5: USE GROUP(Check as applicable) :\: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-.3 ❑ A-4❑ A-5❑ B: Business ❑ F.: Educational ❑ 1? Facto F•I ❑ F2❑ If: High Hazard H-1 ❑ H•2 CI 1-1-3 ❑ I-1-�4❑ 1-1-5❑ is Institutional I-I ❑ 1-20 1-30 140 N1: Mercantile R: Reyidentfal R-10 R-213 R-3❑ R-413 S: Storage S-t ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use SECTION 6:CONS'FRUCTION'IYPE(Check as applicable) Ilk ❑ IH ❑ IIA ❑ 1111 ❑ IIIA ❑ IIIB ❑ IV VA ❑ It,Il ❑ SECTION 7:SITE INFORIIA'TION(refer to 780 CINIR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit Debris Removal: Pit ❑ Chuck if outside Flood luim❑ Indicatr numicip.d ❑ A trunch will not be 1.I1e1Ned DispoNal Site❑ reyuirud❑or trench or specify: Private❑ or indunlily Lonear on site it,stein CIponnit is unclosed❑ _ _ Railroad right-of-way: .]lizards to Air:Nay igation: �i f 'ICI . .,, i' . ., .N'ot:\pplic,ll+lu❑ Is St tit ctltreI%I(hinairpnrtappro.Illtama.' Is their rcview( ,ill I,Icled' or Coneent to Budd unclosed Cl 1 es❑ or No❑ Yes❑ No ❑ SF:C"IIOIN 8:CONFEN'T OF CFR"I'IIICA'1 E 01:OCCUPANCY FJitinn of Cade: ... ._.. C\e Grouphl: _ . . . \pc I Cnslnlrti,m: llicul,,utl.oad (+rr l400r. _ It,v,I I w ill llIII i n l;nI ItaIII en;pri n kler by s le Iitl - . ylnrmI ;I ill la tit III _ _ - SECTION4: PROITR IYOWNER AU'HIORIZA'IION \.unc.uxi Address dPnrperty Onvn, — � -- --���-✓G✓r ems. - �� �'sf«--�:_U.��� � - s�G�-_�-�/_/�. -- - Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title --- Telephone No.(business) Telephone No. (cull) e-mail address — If applicable, the property owner hereby authorizes -- -- Nance --Street Address City/Town State Zip to act on the property owner's behalf,in Al anthers relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) 1f buildin•is less than 35,0W cu.ft.of endured splice and or nut under Constriction Control then check here O and skip Section 10.1 10.1 Registered ItErofessional Responsible for Construction Control N;me(f stoat) Tel• hen Nu e-mail address Registration Number 5 pv aj10. Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor _1 L) 1� l^J4 V me of Pe on RespunsiIlle for Construction License No. and Type if Applicable 35 ��'-✓.�/-ice I ' Street Address City/Town State Zip Telephone No. business Telephone No. cell a-mail address - SECTION 11:yp.1i ti I kl, t ( aMl'l�t•:yIin.� iu i v.vv'I .%I I I. M.G.L.c.152.j 25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit, Is a signed Affidavit submitted with this application? Yes O No O SECTION 12 CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Casts: (Labor and Materials) Total Construction Cost(from Item 6) 5_ I. Building $ jO Building Permit Fur-Total Construction Casts_(Insert burr 2. Electrical S appropriate municipal factor)=S 3, plumbing, S I. ;Mechanical (HVAC) S Note: Minimum fee=S _(Contact municipality) 3. \lechanical Other 5 Enclose chak payable to _ h.Total Cost $ cj.Q� (contact municipality)and write check number here ---_-- SECTION 13:SIGNATURE OF BUILDING PERb11T APPLICANT ISv entering;nr•name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this upplit,Ition is Imc,uul accurate to the b tsl t1' k1 r rr•,tnJ understanding. I. Ise print and <il;n na c / I itic ';trcet Address GO'/Town _fate li p Municipal Inspector to fill out this section upon application approval: ---- Nantc - - - ------ Date - R The Commonwealth of Massacr1R) tts Department of Public Safety Massachusetts State Building Code(780 CBuilding Permit Application for any Building other than a OTw D (This Section For Official Use Only) Building Permit Number: - Date Applied: Building Offici SECTION 1:LOCATION(Please indicate Block#and Lo)t#for locations for which a street.address not a No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK,, Edition of MA State Code used_ If New Construction check here❑or check all that apply in the two rows below Existing Building❑ Repair Alteration ❑ 1 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 W, Is an Independent Structural Engineering Pt,.er Redew required. - Yes ❑ No Brief Descriptio f Proposed Work: CCU �.�„/r v '�� 20, SECTION 3:'COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR t 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❑ 7 B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional I-1 ❑ 1-2❑ 1-3❑ Id❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ S: Storage S-1❑ S-2 Cl U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) - IA ❑ IB ❑ IIA ❑ IIB ❑ ILIA ❑ IIIB ❑ IV ❑ 1 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 Cl A trench will not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: _a , permit is enclosed❑ Railroad right-of-way: �= Hazards to Air Navigation: R1'\I Intonr.c'omnsion I'yvii rr I rxcs: No[Applicable❑ e Is Structure within airport approach area? Is their review completed? or Consent to.Build enclosed❑., Yes❑ or No❑ Yes Cl' No ❑ ar'-1 'SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY. Edi Iion of Co lc, _ lise Gi p t�):. ' Type of Construction: Occupant Load per Floor: Does the buddwy,r ntam ar ._prfiZ : S} tem? Special Stipulations: �, e SECTION 9:. PROPERTY OWNER AUTHORIZATION.. Name and Address of Property Owner S(,EV),6 Sit _ 1(,2 L'PA 9D 96AD Name(Print) No.and Street City/Town Zip Property Owner Contact Information: �y� rye Q 1 /7g ��p K38' C!/�- boo- 0471 Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2): If building is less than 35,000 cu.ft.of enclosed space and/or/ not under Construction Control then check here and skip Section 101 10.1 Registered Professional Responsible for Construction Control N re istrant) Tel I ' N _ e-mail ad ress Registration Numb ti f / S reet Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Company Name �� / _'3.a to (Osp Nat Pe oYn Res onsible for Construction License No. and Type if Applicable u/n rKAb&U2 ,.>� Street Address City/Town State ip Telephone No. business Telephone No. cell e-mail address SECTION 11:Fi Of`KFRS'COMIhNSA:I[ON INSURANCT.AFF'IDAVI f M.G.L.c.152.§ 25C6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes❑ No ❑ SECTION 12:CONSTRUCTION-COSTS AND PERMIT FEE Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Building $ Building Permit Fee=Total Construction Cost x (Insert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing $ 4. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost $ (contact municipality)and write check number here .SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true an accurate to the best of my knowledge and understanding. , Yy✓G'np ���o o.�Nrtsz -�G: �8���� �� ame Tc1e DatePI eI n'r—N : a7-tA Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name. Date w CONU/T� ill 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: 396 Essex Street Name of Record Owner: Gafney House Condo Association Description of Work Proposed: Replace damaged&rotted wood siding,fascia boards, doors and window trim,floorboards, and handrails. All sections will be replaced with same material as existing. All affected areas will be fcdly primed, prepped and painted with the same color paint. All work will be in kind. Dated: July 3, 2013 SALEM HISTORICAL COMMISSION By: J� 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.