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10 HEMENWAY ROAD - BUILDING INSPECTION 10 HEMS VWAY ROAD a tic Jdt-f y 1Y c'/ OW -1 ------------- CITY OF SALEM, MASSACHUSETTS ' BUILDING DEPARTMENT 120 WASHINGTON STREET,3"°FLOOR �x m TEL. (978) 745-9595 FAX(978) 740-9846 KIMBERLEY DRISCOLL MAYOR THOMAS ST.PIERRF DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER October 15`h,2007 Salem District Court 65 Washington street Salem Ma.01970 R.E. Commonwealth vs. George E Michaud #0636CR3571 To the Court, Mr. Michaud has complied with the City, requirement to remove the shed from his property-The case is rescheduled for 11/19/07. We are satisfied and would ask the Court to Dismiss the matter. 1 thank the Court for their patience and if further info is needed, please contac e directly' Thomas J. St.Pierre Director of Inspectional Services/Zoning Officer �_CONDIT� O M YSCYE AO CITY OF SALEM BUILDING PERMIT CITY OF SALEM, MASSACHUSET'T'S BUILDING DEPARTMENT .. 120 WASHINGTON STREET,3m FLOOR T'EL. (978)745-9595 FAx(978) 740-9846 KIMBERLEY DRISCOLL MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/BUII.DING COMMISSIONER October 15`h,2007 Salem District Court 65 Washington street Salem Ma.01970 R.E. Commonwealth vs. George E Michaud #0636CR3571 To the Court, Mr. Michaud has complied with the City, requirement to remove the shed from his property-The case is rescheduled for 11/19/07. We are satisfied and would ask the Court to Dismiss the matter. I thank the Court for their patience and if further info is needed, please contac e directly. Thomas J. St.Pierre Director of Inspectional Services/Zoning Officer ( � 1 4- r i � • 'li j nr; l • ':e N• r r� 1 v ' - i° Y e � �r k. ^i dna¢ t C £s r'e*rr,€t z[Y'r r3,' ', n�rw b"" »f#, c `...i.a-6 ¢..d fi;'�i 2#`rs-q7 ty�y�� ��i'4`''"`- ,,b '• W 3 aF� lY�al Court.of the Commonwealth, . - t, Salem Drstnct'Court ut�a �°�3#�, c �+ ' � �' �,�24 r" "{✓ a-�ry Ott .��'� „�..s+�a`� ,�kA'����,w?� Cond�tibas, ��� ��r '�� �, ..��� ✓l �� �,e�,.�.z�.w��.., � �k ' w� �..a._ .« 55fi' S ,Commonwealth$N�. --�- - Docket & ° MR M'. '+5' a�'k s4q.•. 4 r�, 2 nte++3 n3 %i Cil. Ve4.� '�' o- "tc-1j.`� �y vf EhAA R, `t S T��S :��. �' .� @ �Ft�a�3 �?f�•2g 33 � t c ;}x >+�c, �.aYyF3£.,e+ 4E x � is .^'+� vbi `� .".8,3 *+`�' r v^.e• P q* ti:...aro. <aW+.x w^� F ww. � rq s'a C 5 .�' ;".- . �`.q�'+ � ,�^�`3&'-��:F s �'.'In aaa�t►on fo the standard probation conlh�ch-`the defedant sh shall enter into and abide by, s ' �3y): �. e wa ra3A' sem, ' _.k, W � the Court ORDERS the=follbWiiig specific terms and conditions of probation to lie docketed m�'�Fp bi +$yca4 sR 3n 3 'e„a3uuw z} F� ' this case and to.be complied wrth_by the defendant s n s z� 'hr's_ �� '� � +' $ Rs.'*`Ei# ENE- WE F�� y,.y x' '"3 t 3v rs r � �, �C�.,3 .'9"�{,•^�2 (all items checked shallIAMP All aPP1Y) � k f rn �*t � � , g � � r�� �� �����'� 4 �in& Regulat Reporting to Prol anon Department.a,. s , " .',�''a'T'3 `��m-,`+Noafurther involvement ]n criminal-aChvlt bs: z rYc`.at `:t u ht e :w trtet` y" `;rear*cs` y * s r'�.u= g StSta awa ordecfrom the alle ed victim s and Commonweaith'.s wrtnesses�� + ' +? ra'� tr 'S^ i;.-ko Y 'tr'w>• ^h tH' t€ d�.)sn�V'£ " �"4,Counsellmg/treatm�ent,�nor out patient as ordered by Probation s two '..c 3. 9Ce.e "fk' � ' r rY" »k +r'3 -4.»:t'T a -r: s' ;. x � Random urinalysis to detect substance abuse as,,ordered by Probationfi r�', a� v`P`4'f+i 4`s " a3"" r S-s,m} Pa< 'I b r }Obey all outstanding domestic abuse restraining, stay away, no contact}orders �^ No motor vehicle� operation b ��Curfew as ordered by Probation Officer -'Re's"t'r -'tions' a" : Restrictions on 4ravel/association >- � � , � � ,. x ������`����� " ` ,. � > ,fir 7 f� �, •t T bbcs e' P a t -o "ac ..sea Tobe employed or m an active lob-search while on Probatron ',ega x �>Tobengagedn GED/school study h . x �`- *' Re�stttutlon t , -F ourt Clinic a aluation and any follo_w,up deemed necessary by°Probatron Officer , f r F YC YfU4F'1 - r+: ���`` <'s Other G2= rJrr_�� C..fA.,.� ",.�, ...a •.�."/4.+ - ..»,3a „„9 ,r f 'C �� ���'•�CL� 1, By order roof the Court G , � �" r ��fft^Sr.?rt �'' # a'�' x 'r-�.4' .,.�arrr tr r "' '� ld2 'h `T vs U'- may,- x .ti ¢r 3$ .,.r.3 ' ..''. a '� ,++'sr'T!"4 JUSt1CC ai r.. r n F `# ��y�i E%Y�� " R `� v es t3--g3. `tu W( ? sy's ',x`3'"" "-0 s s�.� White Clerk File„ _ Yellow Prrobation File ryµ u Pmlt dDefendantxi 4 CITY OF SALEM, MASSACHUSETTS (/• + BUILDING DEPARTMENT 120 WASHINGTON STREET,3 FLOOR TEL.(978)745-9595 FAX(978)740-9846 KIMBERLEY DRISCOLL MAYOR THONLIS ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING CObLtiIISSIONER June 19, 2006 George Michaud 10 Hemingway Road Salem,Ma. 01970 RE: Shed This Department has received and confirmed that a shed has been placed in the front yard of your property. This Department does not have a building permit for the shed. Additionally, accessory buildings cannot be placed within the front yard setback or within any side yard of a comer lot. I have enclosed a copy of Section 7-8 of the Salem Zoning Ordinance. You are directed to contact this office upon receipt of this letter to discuss the resolution of both this zoning issue and building permit issued. If you feel you are aggrieved by this order or my interpretation, your appeal is to the Salem Zoning Board of Appeals. Sincer ^ -_ / -' "`�';A Thomas St. Pierre Building Commissioner Zoning Enforcement Officer cc: Jason Silva, Mayor's Office Councillor O'Keefe CITY OF SALEM to. PUBLIC PROPERTY DEPARTMENT ,'MR11 RI.I N DRISCO LL MAYOR 120WASINNUIONS'MITI •SAI.I'.M,MAsc\(:!41S!:1'I'S01970 Tij.:978-745-9595 0 FAX:978-740-9846 VIOLATION NOTICE PROPERTY LOCATION 10 Hemingway Road July 19,2006 George Michaud 10 Hemingway Road Salem Ma.01970 Dear Mr. Michaud, Mr. Michaud, I sent you a letter dated June 19`h of 2006 informing you that the shed ,you placed in your front yard, was in violation of the State Building code, as well as City of salem zoning regulations. You were directed to contact this office or file an appeal if you felt you were aggrieved by my order. Over 30 days has passed, and,you have not contacted me. Therefore you are ordered to remove the shed within 30 days. Failure to comply with this order will result in a Complaint being filed in Salem District Court. rlv" /A - - Thomas J. St. Pierre Building Commissioner/Zoning Enforcement Officer CC: Councillor Veno Jason Silva, Mayor,s Office SUPPLEMENTARY REGULATIONS SALEM ZONING ORDINANCE AR VII.4 7-10 duce the disfigurement of the land,with a side)or five(5)feet from the rear lot line. maximum allowable slope of twenty (20) The building area of such buildingr percent, In case of topsoil removal, the structure, excluding garages, shall no area shall be seeded and maintained until exceed one (1) percent of the lot area or plant cover is well established.These mea- one hundred twenty (120) square feet, sures shall be taten progressively as the whichever is greater, and shall not be use of each part for removal or quarrying located closer than ten (10) feet to any is discontinued and shall not be post- other building on the same lot or any pond until final abandonment of the en- abutting lot. tire operation. (4) dory structures and garages will not (5) The board of appeals may impose what- exceed on and one-half WO stories or ever additional requirements it deems neo- eighteen(18)feet. essary to accomplish the purposes herein (Ord. of 2-15-05,Q 1) stated, and such requirements, in addi- tion to those stated above,shall be consid- Sec, 7-8. Lot in two districts. Bred as conditions of the special permit Where a district boundary line divides s lot of Seo. 7.7. Visibility at intersections6 record at the time such line is adopted, the regulations for the lase restricted portion of such In order to provide unobstructed visibility at lot shall extend not more than thirty(30)feet into intersections,no sign,fence,wall,hedge or other the more restricted portion,provided that the lot structure or planting of more than three (3) feet has frontage on a street in the less restricted above the established street grade shall be erected, district placed or maintained within the triangular area ' formed by the intersecting street lines and a cam, 7.10: Swimming pool& straight line joining said street lines at points which are twenty-five (25),11set distant from the (a) General Pools used for swimming or bath- point of tatersection, measured along said street long shall be in conformity with the requirements lines. of this ordinance, provided, however, these regu- lations shall not be applicable to any such pool Sec. 74L Accessorybuildings and structures- less than twenty-four(24)inches deep or having a Accessory buildings and structures, such as surface area lees than two hundred fifty (250) pools garages and tod sheds, shall be subject to the squareare mW as private gpurposes of this o pools c IB or public following regulations: swig pis, (1) No accessory building or structure (b) Clcss&ation of pools. Any pod intended front be located within any required yard to be used primarily for swimming for the use or within any side yard of a corner lot only of the occupants of a one- or two-family (2) No accessory building or structure shall dwelling and their guests shall be designated as a be located nearer than ten(10)feet to the private pool, primarily for swimming. Any pool principal building, unless such accessory which is not a private pool as defined above shall building or structure is attached to the be classified as a public pool. principal building. (c) Permits. (3) No unattached accessory building or struc- ture shall be located nearer than five(5) (1) No swimming pod subject to the provi- feet to any side lot lin (side lots in this sions of this ordinance shall be can- instance refer to a projected lin starting strutted, installed, enlarged or altered from the front lot line,terminating at the until a swimming pool permit has been rear lot lin parallel five(5)feet from the obtained from the inspector of buildings. Supp.Na 6 33 n r CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,3RD FLOOR TEL. (978) 745-9595 FAX(978) 740-9846 KIMBERLEY DRISCOLL MAYOR THObfAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER June 19, 2006 George Michaud 10 Hemingway Road Salem, Ma. 01970 RE: Shed This Department has received and confirmed that a shed has been placed in the front yard of your property. This Department does not have a building permit for the shed. Additionally, accessory buildings cannot be placed within the front yard setback or within any side yard of a comer lot. I have enclosed a copy of Section 7-8 of the Salem Zoning Ordinance. You are directed to contact this office upon receipt of this letter to discuss the resolution of both this zoning issue and building permit issued. If you feel you are aggrieved by this order or my interpretation, your appeal is to the Salem Zoning Board of Appeals. Sincer Thomas St. Pierre Building Commissioner Zoning Enforcement Officer cc: Jason Silva, Mayor's Office Councillor O'Keefe SUPPLEMENTARY REGULATIONS SALEM ZONING ORDINANCE Art.VII,§7-10 i duce the disfigurement of the land,with a side)or five(5)feet from the rear lot line. maximum allowable slope of twenty (20) The building area of such building or percent. In case of topsoil removal, the structure, excluding garages, shall not area shall be seeded and maintained until exceed one (1) percent of the lot area or plant cover is well established.These mea- one hundred twenty (120) square feet, sures shall be taken progressively as the whichever is greater, and shall not be use of each part for removal or quarrying located closer than ten (10) feet to any is discontinued and shall not be post- other building on the same lot or any poned until final abandonment of the en- abutting lot. tire operation. (4) Accessory structures and garages will not (5) The board of appeals may impose what- exceed one and one-half(11/2) stories or ever additional requirements it deems nec- eighteen(18) feet. essary to accomplish the purposes herein (Ord. of 2-15-05, § 1) stated, and such requirements, in addi- tion to those stated above,shall be consid- gee. 7-9. Lot in two districts. ered as conditions of the special permit. Where a district boundary line divides a lot of See. 7.7. Visibility at intersections. record at the time such line, is adopted, the regulations for the less restricted portion of such In order to provide unobstructed visibility at lot shall extend not more than thirty(30)feet into intersections, no sign,fence,wall,hedge or other the more restricted portion, provided that the lot structure or planting of more than three (3) feet has frontage on a street in the less restricted above the established street grade shall be erected, district. placed or maintained within the triangular area formed by the intersecting street lines and a Sec. 7-10. Swimming pools. straight line joining said street lines at points which are twenty-five (25),feet distant from the (a) General. Pools used for swimming or bath- point of intersection, measured along said street ing shall be in conformity with the requirements lines. of this ordinance; provided, however, these regu- lations shall not be applicable to any such pool Sec. 7-8. Accessory buildings and structures. less than twenty-four(24)inches deep or having a Accessory buildings and structures, such as surface area less than two hundred fifty (250) garages and tool sheds, shall be subject to the square feet.For purposes of this ordinance, pools following regulations: are classified'as private swimming pools or public swimming pool's. (1) No accessory building or structure shall (b) Classification of pools. Any pool intended be located within any required front yard or within any side yard of a corner lot. to be used primarily for swimming for the use only of the occupants of a one- or two-family (2) No accessory building or structure shall dwelling and their guests shall be designated as a be located nearer than ten(10)feet to the private pool, primarily for swimming. Any pool principal building, unless such accessory which is not a private pool as defined above shall building or structure is attached to the be classified as a public pool. principal building. (c) Permits. (3) No unattached accessory building or struc- ture shall be located nearer than five (5) (1) No swimming pool subject to the provi- feet to any side lot line (side lots in this sions of this ordinance shall be con- instance refer to.a projected line starting structed, installed, enlarged or altered from the front lot line,terminating at the until a swimming pool permit has been rear lot line parallel five(5)feet from the obtained from the inspector of buildings. Supp.No.6 33 ;i CITY OF SALEM, MASSACHUSETTS �(• + BUILDING DEPAR-MiENT 120 WASHINGTON STREET,3" FLOOR TEL. (978)745-9595 FAX(978)740-9846 KIMBERLEY DRISCOLL MAYOR THObLNS ST.PtERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING CONINIISSIONER June 19, 2006 George Michaud 10 Hemingway Road Salem,Ma. 01970 RE: Shed This Department has received and confirmed that a shed has been placed in the front yard of your property. This Department does not have a building permit for the shed. Additionally, accessory buildings cannot be placed within the front yard setback or within any side yard of a comer lot. I have enclosed a copy of Section 7-8 of the Salem Zoning Ordinance. You are directed to contact this office upon receipt of this letter to discuss the resolution of both this zoning issue and building permit issued. If you feel you are aggrieved by this order or my interpretation, your appeal is to the Salem Zoning Board of Appeals. Sincer Thomas St. Pierre Building Commissioner Zoning Enforcement Officer cc: Jason Silva, Mayor's Office Councillor O'Keefe CITY OF SALEM PUBLIC PROPERTY DEPARTMENT ,MMI RTEY DR6COLL MAYOR 120 WAS[1INQPON3ntierr♦SIALIN,Mnteer:!nsr Irrs 01970 "11u:978-745-9595 0 FAX:978-740-9840 VIOLATION NOTICE PROPERTY LOCATION 10 Hemingway Road July 19,2006 George Michaud 10 Hemingway Road Salem Ma.01970 I Dear Mr. Michaud, Mr. Michaud, I sent you a letter dated June 19th of 2006 informing you that the shed ,you placed in your front yard, was in violation of the State Building code, as well as City of salem zoning regulations. You were directed to contact this office or file an appeal if you felt you were aggrieved by my order. Over 30 days has passed, and,you have not contacted me. Therefore you are ordered to remove the shed within 30 days. Failure to comply with this order will result in a Complaint being filed in Salem District Court. t ` Thomas J. St. Pierre Building Commissioner/Zoning Enforcement Officer CC: Councillor Veno Jason Silva, Mayor,s Office SUPPLEMENTARY REGULATIONS SALEM ZONING ORDINANCE Art VII.17-10 duce the disfigurement of the land,with a side)or five(5)feet from the rear lot line. maximum allowable slope of twenty (20) The building area of such building or percent In case of topsoil removal. the structure, excluding garaM shall not area shall be seeded and maintained until exceed one (1) percent of the lot area or plant cover is well established.These mea- one hundred twenty (120) square feet, sures shall be taken progressively as the whichever is greater, and shall not be use of each part for removal or quarrying located closer than ten (10) feet to any is discontinued and shall not be post- other building on the same lot or any poned until final abandonment of the en- abutting lot tire operation. (4) Accessory structures and garages will not (5) The board of appeals may impose what- exceed one and one-half UV2) stories or ever additional requirements it deems neo- eighteen(18)feet esaary to accomplish the purposes herein (Ord. of 2-15-06, 4 1) stated, and such requirements, in addi- tion to those stated above,shall be consid- gee, 7-9. Lot in two districts. Bred as conditions of the special permit line dudes a lot of Where s district boundary l. Seo. 7-7. Visibility at intersections. record at the time such line is adopted, the regulations for the less restricted portion of such In order to provide unobstructed visibility at lot shell extend not more than thirty(30)feet into intersections,no am fence,wall,hedge or other the more restricted portion,provided that the lot structure or planting of more than three (3)feet has frontage on a street in the less restricted above the established street grade shall be erected, district placed or maintained within the triangular area formed by the intersecting street lines and a gam, 7.10. Swimming pools. straight line joining said street lines at points which are twenty-five (25))aet distant from the (a) General. Fools used for swimming or bath- point of intersection, measured along said street ing shall be in conformity with the requirements lines. of this ordinance; provided, however, these regu- lations shall not be applicable to any such pool Seo. 74L Accessorybuildings and stractures. less than twenty-four(24)inches deep or having a surface area less than two hundred fifty (260) Accessory buildings and structures, such as square feet.For purposes of this ordinance,pools garages and tool sheds, shall be subject to the are classified as private swimming pools or public following regulations: swimming pools. (1) No accessory building or structure shall (b) Cloaaif�cation of a Any, p intended be located within say required front yard to be used primarily for swimming for the use or within any aide yard of a corner lot only of the occupants of a one- or two-family (2) No accessory building or structure shall dwelling and their guests shall be designated as a be located nearer than ten(10)feet to the private pool, primarily for swimming. Any pool principal building, unless such accessory which is not a private pool as defined above shall building or structure is attached to the be classified as a public pool. principal building. (c) Permits. (3) No unattached accessory building or struc- tura shall be located nearer than five (5) (1) No swimming pool subject to the provi- feet to any side lot line (side lots in this cions of this ordinance shall be con- instance refer to a projected line starting sbucted, installed, enlarged or altered from the front lot line,terminating at the until a swimming pool permit has been rear lot line parallel five(5)feet from the obtained from the inspector of buildings. Supp.No.8 33 APPLICATION FOR APPLICATION NO. (COURT USE ONLY) PAGE CRIMINAL COMPLAINT Trial Court r Massachusetts of District Court Department I,the undersigned complainant,request that a criminal complaint issue against the accused charging the offenses)listed below. If the accused HAS NOT BEEN ARRESTED and the charges involve: Salem 01-strict Court. Yo 66 Waritington 3trest ONLY MISDEMEANOR(S), I request a hearing ❑ WITHOUT NOTICE because of an imminent threat of Salon), MA. 01WO O BODILY INJURY ❑ COMMISSION OFACRIME ❑ FLIGHT O WITH NOTICE to accused. ❑ONE OR MORE FELONIES,I request a hearing ❑ WITHOUT NOTICE ❑ WITH NOTICE to accused. ARRESTSTATUS OF ACCUSED ❑WARRANT is requested because prosecutor represents that accused may not appear unless arrested. p HAS P HAS NOT been arrested LLP-24 t- NAME(FIRST MI LAST)AND ADDRESS BIRTH DATE SOCIAL SECURITY NUMBER PCF NO. MARITAL STATUS" tl� �j f f) 3 ,� /C.�• /,_ - DRIVERS LICENSE NO. STATE C 70 GENDER HEIGHT WEIGHT EYES HAIR RACE - COMPLEXION SCARS/MARKS/TATTOOS BIRTH STATE OR COUNTRY DAY PHONE EMPLOYER/SCHOOL MOTHER'S MAIDEN NAME(FIRST MI LAST) FATHER'S NAME(FIRST MI LAST) ,COMPLAINANT NAME(FIRST MI LAST) // n COMPLAINANT TYPE r / PD ❑ POLICE ❑ CITIZEN ❑ OTHER. ,ff ADDRESS ! PLACE OF OFFENSE Ile ` INCIDENT REPORT NO. OBTN CITATION NO(S). OFFENSE CODE DESCRIPTION 1 / �f OFFENSE DATE L�1 CIL/ lithe,- a� / /JY. ... TJ/�"f, f/ !d I.- r,," �, - I1>.'... ,e-1 .fir' VARIABLES(e.g.victim name,controlled substance,type and value o/property other variable information,we Complaint Language Manual) OFFENi3 CODE' DESCRIPTION ✓ OFFENSE DA 2 VARIABLES [VAR FENSE CODE DESCRIPTION - OFFENSE DATE 3ABLES REMARKS COMPLAINANTS SIG ATU - DATE FILED COURT USE ONLY A HEARING UPON THIS COMPLAINT APPLICATION TTAT OF HEARIN `I `v TIME OF HEART_G" COURT USE ONLY � 30 WILL BE HELD AT THE ABOVE COURT ADDRESS ON} (A AT DCCR-2(0&D4) COMPLAINANT'S COPY CRIMINAL DOCKET DOCKET NO. A TORNE 0CKENO. 03571 COURT DIVISION ❑INTERPRETER REQUIRED DATE and JUDGE - DOCKETENTRY Salem Attorney appointed(SJC R.3:10) NAME,ADDRESS AAD ZIP CODE OF DEFENDANT Atty denied and Deft Advised per 211D§2A MICHAUD, GEORGE E JR Waiver counsel found after colloquy 10 HEMENWAY RD / To release set: SALEM, MA 01970 FIR Hew(27❑6§58A) c.}: See batilt for special conditions Arrand advised: DEFT.DOB AND SEX PoleNial of bail revocation(276§58) 12/27/1939 M Right to bail review(276§58) DATE OF OFFENSE(S) _ PLACE OF OFFENSE(S) Right to drug exam(111 E§10) 06/19/2006 SALEM Advised of right to jury trial: COMPLAINANT POLICE DEPARTMENT(if applicable) BDoes not waive ST PIERRE, THOMAS SALEM PD Waiver of jury trial found after colloquy DATE OF COMPLAINT RETURN DATE AND TIME Advised of trial rights as pro Se(Supp.R.4 10/18/2006 11/30/2006 09:00:00 S .e.,mg Advised of right of appeal to Appeals Ct(R.28) - COUNT/OFFENSE ' 'a NE SURFINE COSTS RESTITUTION VANASSESSMENT 1. 143/94 STATE BUILDING CODE VIOLATION c143 §94(a) ❑WAIVED DISPOSITION DATE and JUDGE SENTENCE OR OTHER DISPOSITION ❑Sufficient facts found but continued without guilty finding until: DISPOSITION METHOD FINDING ❑Probation ❑Pretrial Probation(276§87)-until: ❑ Guilty Plea or Admission ❑Not Guilty ❑To be dismissed upon payment of court costs/restitution to Sufficient Facts accepted after colloquy ❑Guilty E]Dismissed upon: E]Request of Comm. ❑Request of Victim and 278§29D warning ❑Not Responsible ❑Request of Deft ❑ Failure to prosecute ❑Other: ❑ Bench Trial ❑Responsible ❑Filed with Deft's consent ❑ Nolle Prosequi ❑Decriminalized(277§70C) ❑ Jury Trial ❑No Probable Cause FINAL DISPOSITION JUDGE DATE ❑ None of the Above ❑Probable Cause Dismissed on recommendation of Probation Dept. Probation terminated;defendant discharged COUNT/OFFENSE - FINE - SURFINE COSTS RESTITUTION V/WASSESSMENT 2. 40A/7 ZONING BY-LAW VIOLATION c40A§7 ❑WAIVED DISPOSITION DATE and JUDGE SENTENCE OR OTHER DISPOSITION ❑Sufficient facts found but continued without guilty finding until: DISPOSITION METHOD FINDING ❑Probation ❑Pretrial Probation(276§87)-until: ❑ Guilty Plea or Admission ❑Not Guilty ❑To be dismissed upon payment of court costs/restitution to Sufficient Facts don: Re uest of Comm. Request of Victim accepted atter colloquy El Guilty []Dismissed p ❑ q ❑ q antl 278§29D warning ❑Not Responsible ❑Request of Deft ❑ Failure to prosecute ❑Other: ❑ Bew h Trial ❑Responsible ❑Filed with Deft's consent ❑ Nolle Prosequi ❑Decriminalized(277§70C) ❑ Jury Trial ❑No Probable Cause FINAL DISPOSITION JUDGE DATE ❑ None of the Above ❑Probable Cause e Dismissed on recommendation of Probation Dept. Probation terminated:defendant discharged COUNT/OFFENSE FINE SURFINE COSTS RESTITUTION VNJASSESSMENT ❑WAIVED DISPOSITION DATE and JUDGE SENTENCE OR OTHER DISPOSITION ❑Sufficient facts found but continued without guilty finding until: DISPOSITION METHOD FINDING ❑Probation ❑Pretrial Probation(276§87)-until: - ❑ Guilty Plea or Admission ❑Not Guilty ❑To be dismissed upon payment of court costs/restitution to Sufficient Facts Dismissed upon: Re uest of Comm. Request of Victim accepted after colloquy El Guilty ❑ p ❑ q ❑ q and 278§29D warning ❑Not Responsible ❑Request of Deft ❑ Failure to prosecute ❑Other: ❑ Bench Trial ❑Responsible ❑Filed with Deft's consent ❑ Nolle Prosequi ❑Decriminalized(277§70C) ❑ Jury Trial ❑No Probable Cause FINAL DISPOSITION JUDGE DATE E] None of the Above ❑Probable Cause Dismissed on recommendation of Probation Dept. Probation terminated:defendant discharged COUNT/OFFENSE FINE SURFINE COSTS RESTITUTION VANASSESSMENT ❑WAIVED DISPOSITION DATE and JUDGE SENTENCE OR OTHER DISPOSITION ❑Sufficient facts found but continued without guilty finding until: DISPOSITION METHOD FINDING ❑Probation ❑Pretrial Probation(276§87)-until: ❑ Guilty Plea or Admission ❑Not Guilty ❑To be dismissed upon payment of court costs/restitution to Sufficient Facts Dismissed upon: Request of Comm. Request of Victim accepted after colloquy ❑Guilty ❑ P : ❑ q ❑ q and 278§29D warning ❑Not Responsible ❑Request of Deft ❑ Failure to prosecute ❑Other: ❑ Bench Trial ❑Responsible ❑Filed with Deft's consent ❑ Nolle Prosequi ❑Decriminalized(277§70C) ❑ Jury Trial ❑No Probable Cause FINAL DISPOSITION JUDGE DATE ❑ None of the Above ❑Probable Cause e Dismissed on recommendation of Probation Dept. Probation terminated:defendant discharged fdaY -P', a � r- t-w✓ .y¢ T`' r.r rvhc „ �az`k"4ipk�-^r- *•,J `+eta` §fit fi* ",. td.- a 'it .-w,-.c ,.=s, -c t^-^"'k` ADDITIONAL � -: 9 T�41° ; -a fy' _ w '2' _{ -i., '9..�,ys .^r *T°rc.1 -w -" =" «v� ❑ COUNTS ATTACHED I a r`.`Ts Court 'v A TRUE CLERK-MAGISTRATE/ASST.CLERK ON(DATE) 65 Wa5hi0Jl00 Street d, a"�'"7 { +"! n°.rEST: X - - Salem, MA 019703: " DOCKET NUMBER: 0636CR003571 NAME: MICHAUD. GEORGE E JR SCHEDULING HISTORY NO. SCHEDULED ATE SCHEDULED EVENT - RESULT JUDGE TAPEIVV. ART STOP 1 ❑ Held ❑ Cont'd 2 ❑ Held ❑ Cont'd 3 �Q p [3 Held E] Cont'd 4 ' ,� ❑ Held ❑ Cont'd 5 ❑ Held ❑ Cont'd 6 - ❑ Held ❑ Cont'd 7 ❑ Held ❑ Cont'd 8 ❑ Held ❑ Cont'd 9 ❑ Held ❑ Cont'd 10 ❑ Held ❑ Cont'd ARR=Arraignment PT=Pretrial hearing CE=Discovery compliance and jury election T=Bench trial J=JuryTrial PC=Probable cause hearing M=Motion hearing SR=Status review SRP=Status review of payments FA=First appearance injury session S=Sentencing CW=Continuance-without-finding scheduled to terminate P=Probation scheduled to terminate FTA=Defendant failed to appear and was defaulted WAR=Warrant issued WARD=Default warrant issued WR=Warrant or default warrant recalled PR=Probation revocation hearing ENTRY DATE OTHER DOCKET ENTRIES i ADDITIONAL ASSESSMENTS IMPOSED OR WAIVED DATE IMPOSED and JUDGE TYPE OF ASSESSMENT AMOUNT DUE DATES and COMMENTS /WAIVED Legal Counsel Fee(211 D§2A 12) Legal Counsel Contribution(211D§2) Court Costs(280§6) Drug Analysis Fee(280§68) OUI§24D Fee(90§24D 19) OUI Head Injury SuKne(90§24[l][a][1]12) Probation Supervision Fee 1276§87A) Default Warrant Assessment Fee(276§30¶2) b A(,oefault Warrant Removal Fee(276§30 11) LJ✓/ CRIMINAL COMPLAINT 0636CR003571 Trial Court of Massachusetts Ulf DEFENDANT J a/_ �.U� . , Salem District Court MICHAUD, GEORGE E JR / (� 10 HEME RD SALEM, MAA 01970 TO ANY JUSTICE OR CLERK-MAGISTRATE ` 019 OF THE SALEM DISTRICT COURT DATE OF,.BIRTH SEX I RACE HEIGHT WEIGHT EYES HAIR 12/27/1939 M W 6'02" 185 , BLU GRY The undersigned complainant, on behalf of the INCIDENT REPORT# SOCIAL SECURITY# - Commonwealth,on oath complains that on the date and at the location stated herein the defendant did commit the 024-32-5927 offense(s)listed below. DATE OF OFFENSE PLACE OF OFFENSE 06/19/2006 SALEM COMPLAINANT POLICE DEPARTMENT ST PIERRE, THOMAS J I SALEM PO' CAV. DATE OF COMPLAINT RETURN DATE AND TIME ����O� A 10/18/2006 11/30/2006 9:00 AM r UVJ COUNT-OFFENSE 1. 143/94 STATE BUILDING CODE VIOLATION c143§94(a) beginning on 06/19/2006 and continuing through ONGOING did FAIL TO SECURE PERMIT,contrary to a provision of the State Building Code,other than a specialized code as described in G.L.c.143,§96,in violation of G.L.c.143,§94(a). (PENALTY for each day of violation:imprisonment not more than 1 year; or not more than$1000;or both.) COUNT-OFFENSE 2. 40A/7 ZONING BY-LAW VIOLATION c40A§7 on 06/19/2006 did VIOLATE CITY OF SALEM ZONING REGUALTIONS,in violation of a zoning ordinance or by-law of SALEM adopted pursuant to G.L. c.40A,§7. (PENALTY:not more than$300.) COUNT-OFFENSE Ll I I COUNT-OFFENSE I +I COMPLAINANT SWORN TO BEFORE CLERK-MAGISTRATE ON(DATE) TOTAL COUNTS X X 2 FIRST JUSTICE COURT Salem District Court Hon. Robert A. Cornetta ADDRESS 65 Washington Street A TRUE CLERK-MAGISTRATE/ASST.CLERK ON(DATE) Salem, MA 01970 COPY ATTEST:X CRIMINAL COMPLAINT 0636CR003571 Trial Court of Massachusetts DEFENDANT Salem District Court MICHAUD, GEORGE E JR ut 10 HEMENWAY RD SALEM, MA 01970 TO ANY JUSTICE OR CLERK-MAGISTRATE OF THE SALEM DISTRICT COURT DATE OF BIRTH SEX RACE HEIGHT WEIGHT EYES HAIR 12/27/1939 M W 6'02" 185 BLU GRY The undersigned complainant, on behalf of the INCIDENT REPORT# SOCIAL SECURITY# Commonwealth,on oath complains that on the date and at the location stated herein the defendant did commit the 024-32-5927 offense(s)listed below. DATE OF OFFENSE PLACE OF OFFENSE 06/19/2006 SALEM COMPLAINANT POLICE DEPARTMENT ST PIERRE, THOMAS J SALEM DATE OF COMPLAINT RETURN DATE AND TIME �� w o 10/18/2006 11/30/2006 9:00 AM hs COUNT-OFFENSE 1. 143/94 STATE BUILDING CODE VIOLATION c143 §94(a) beginning on 06/19/2006 and continuing through ONGOING did FAIL TO SECURE PERMIT,contrary to a provision of the Stale Building Code,other than a specialized code as described in G.L.c.143,§96,in violation of G.L.c.143,§94(a). (PENALTY for each day of violation: imprisonment not more than 1 year; or not more than$1000;or both.) 1r COUNT-OFFENSE 2. 40A/7 ZONING BY-LAW VIOLATION c40A§7 on 06/19/2006 did VIOLATE CITY OF SALEM ZONING REGUALTIONS,in violation of a zoning ordinance or by-law of SALEM adopted pursuant to G.L. c.40A,§7. (PENALTY:not more than$300.) COUNT-OFFENSE COUNT-OFFENSE COMPLAINANT SWORN TO BEFORE CLERK-MAGISTRATE ON(DATE) TOTAL COUNTS X X 2 FIRST JUSTICE COURT Salem District Court Hon. Robert A. Cornetta ADDRESS 65 Washington Street A TRUE CLERK-MAGISTRATE/ASST.CLERK ON(DATE) Salem, MA 01970 COPY ATTEST:X l e CITY OF SALEM x PUBLIC PROPERTY DEPARTMENT f ' I;I MRI',RI.P,Y DRISC01 f. ! MAYOR 120 WASHINGTON MRP.I SI' $ALUM,IVIASSACI P,iSI:I'IS 019?� 1 'Ci'T.:978-745-9595 4 FAX:978-740-9846 N � n VIOLATION NOTICE PROPERTY LOCATION 10 Hemingway Road July 19,2006 George Michaud 10 Hemingway Road Salem Ma.01970 I Dear Mr. Michaud, Mr. Michaud, I sent you a letter dated June 19`h of 2006 informing you that the shed ,you placed in your front yard, was in violation of the State Building code, as well as City of salem zoning regulations. You were directed to contact this office or file an appeal if you felt you were aggrieved by my order. Over 30 days has passed, and,you have not contacted me. Therefore you are ordered to remove the shed within 30 days. Failure to i' comply with this order will result in a Complaint being filed in Salem District Court. I ` Thomas J. St. Pierre Building Commissioner/Zoning Enforcement Officer CC: Councillor Veno Jason Silva, Mayor,s Office TAE NORTH SH. ORE MEDICAL CEWTER .FACILITIES ENGINEERING 81 HIGHLA10 AVENUE SALEM, MA 01970 FAX Please deli my the followrog pages as soon as possible. To G, eo b )a►i COMPANY i TELEPHONENUMBER: Z FAXNUMBER: 7 It S -S 8 7 SENDER: �. — - k 4 S SENDERS TELEPHONENUMBER: (508) 741-1215 EXT-2t-k! SENDERS FAXNUMBER:(508J 7414877. DATE. 5 —/-; - ? 7 TOTAL NUMBER OF PAGES TRANSMITTED_ INCLUDING COVER SHEET REMARKS. IMA- 47� Please call(508) 741-1215 at 2590vv do not ra dw all pages. T'd /S3I1IlI3dJ dSOH W31dS ST:OT L6, 71 AdW ZAAID of �M�RSoN�GERrqu04;14- r�BMER ._Si4✓UyRp .SALEMMA.S_S' ScocE/.w•sfofr.S��-r. /9�c7 z o Ln oreur L L� 01 i Ra6crf tux !� �'. --o r�.f Lai' Lot j j• �1 : N �'r 0 e • y' s T� _S.9voy .ea � Z 2'd /S3I1I-lI3bJ dSOH W3-lUS ST:OT L6, VT AdW I , r s I Plans must be filed and approved by the Inspector before a permit for erection will be granted, duplicates of which when approved by the Inspector shall be kept at the building, during the progress of the work. /I 6 3 L,f City of Salem o� J xn. ward n n ! APPLICATION H'Ie S,Pro✓nmcnd -&/036// S• 4tavr LtcvnS.e A 9� 9 FOR PERMIT TO BUILD ADDITION OR MAK ALTERATIONS Salem.Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and address llr 4l 1.e 6.... _ ll i, lAa u at' in do Wav P.o/. Architect's name Mechanic's name and address gcaw �c Kd&Ae- d do-'fA :Cr, A( !A P t cT ^s /vfa Location of building, No. 10 V-d f)>M 1�u Le�al led- Whatis the purpose of building? lfk ,^. Ja / {!i 4-_4 Fn r o a Material of building?-1Noao/ If a dwelling, for how many families? / Size of Addition: No. of feet front, ; No. of feet rear, ; No. of feet deep, No. of stories? No. of feet from the level of the ground to the highest part of the roof? How near line of the street? How near line of the adjoining lot?— What will be the means of access to the roof? Size of floor timbers, 1st—; 2nd 3rd ; 4Lh ; 5th Span, Distance on centers? Size of carrying timbers? Distance of supports on centers? What kind of support? Will the building be erected on solid or filled land? What is the material of foundation? Will the roof be flat, pitched, mansard or gambrel? Material of roof covering? Will the building be heated by steam or hot water or hot air? No. of brick walls? where located? Thickness? Will the building conform to the requirements of the law? N2_S Estimated cost 3,P.A-0C Signature of applican� _ REMARKS SIGNED PENALTY OFER THE JY DPERJU K-6-6. .a alert /GifcxS i/a,v/t / u No 94 Ward-2— APPLICATION ardAPPLICATION FOR PERMIT TO BUILD ADDITION 99O��R MAKE ALTERATIONS Location,( PERMIT GRANTED 19 Approved Budding /nrpe� 11T7 TA 'V�wv— \Iiehaet a.Governor Dukaitls .rZe(Gb.w.soe .Y� � . i�am.. Kedraro rsnssumr Gduoi.. ,.�r�auaatirtt�tmr 08108 Chairman t817f ; Charles J. Diaeao Admmmmwr MEMORANDUM TO: All Buidlmt Otoparuaenudlatc Sudden t Inspectors; FROM: Charts J. Oibesa. Admmsstrawr DATE: Otddbcr J 1. 17156 SUBJECT. MGL c4u. ti54. Added (1v e54/. 59 wr the ren fir 19" The zoom-mcnnnncn statute rtaatures anal ucerts resultlne tram Inc dcualltlan. rcflcmtuM rCO20di ttlm it airier alteratmn of a nutwme or structure ac duposca of in a pmaenv ntrased Sold mamma dawn actuty as ublisncu by MGL 6111. S 110A anu Inst nuudute pCnnns dr deism¢ are oo mdlcu&W*maum ,it Inc 13anly at wnwo Inc said debris U to fie disarmed. THIS REOUIREmEWT*DOES* NOT ,WLY TO NEW CONSTRUCi:ON. In order to slmnoty Inc process and In provide uadurmtty. we are auata fit a cunt to a lune rrkld lm rid¢doter repronucc and use as it is since Inc completed form vad be atlaeaeu to Inc odic¢tatpywt botldim pernnts or it— or rcprrauce o an yttur ictierncau. In cue of mumaua6 commertal.Industrial-or mu111•umt nnus fie construction. the m11WWW mat dor kmw ire dummty suoeunmlabr at Inc rime at me bdtwtnt permtt application. In sucn ass•IhaalaeUM tt7W Of an A10d2vot an be usm. The comnlcte law Is tnntamcd to me Navemner issue of CODEWORD wntcn will rid maWd to ria in the nest two weeis. If van %fibula have anv uucstlnn. plisse tet us know. UDfkm AFF MA V1T As a result of the provisions of MGL c 40. 554. I acknowledge that as a condition of Building Permit Number all debris resulting from the construction activity governed by this Buildine Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111. S 150A. I cenifv that I will notify the Building Official by (TWO months mammum) of the location of the solid waste disposal facility where the debris resulting from the said construction activity shall be disposed of. and I shall submit the appropriate form for attachment to the Building Permit. ------------- Date Signature of Permit Applicant (Print or type the following information) Name of Permit Applicant Firm Name. if anv S6 lVoriA P 'iiia. S7 Address In accordance with the provisions of MGL c 40. S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a property licensed solid waste disposal facility as defined by MGL c 111. S 150A The debris will be disposed of in: (Location of FacWry) Signature of Permit Applicant Date -o Yi. %6V"---SN k NJ - q17/i ED — coproval by any other nnv Jurisdiction. + ! ,,M,MASS. ti ',NT�IO/N SU1tEA'U/ / r'LS"ria AK APPR,—iED SOLELY FOR IDENTIFICATM OF C.F-FIRE-PROTECTION DEVICC6. ALL fil;5. F-SOl's' FII DEVICES ARE SUBJECT TO A ` - - - Flt;t:L'i"t'vi.�i?i.:;.i'ECTiONF6R COMPIEIE DOMPIY ' ANCE t"Cii Tit TIRE CODE 0'- P (`1 b 3 ti ac - H �, IBM 00 s v d Vo,±l APNO.WD. 1t ti�F MFM CP 73PT. In (A - THESE TO BE 'T KEPT ,; I A < Cq c� a �� 19 F o . .. .. . . _ - _ _ - -. _ _. _- - - NscT e OF _ BUILDINGS 3 g - F _ Cb 9 8 M AV a 3`,9 Hs►Q �A18Q w�' 4-w�N r fi M �Ne PA ! p5 4 - �1�cbtiM- l �a , r _ _ I i , No. City of Salem Ward 7 4cuaKc�' APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant X. l t to complete all items in sections:1, It, III, IV,and I ` i I. AT(LOCATION) I T{ I'AA�G 4 L LGL (A 0 a D STRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) (CROs ET) LOT SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING -All applicants complete Parts A -D A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION"USE MOST RECENT USE 1 ❑ New building Residential Nonresidential 2 ❑ Addition(if residential,enter number of new 12 One family 18 ❑ Amusement,recreational housing units added,if any,in part D,13) 19 ❑ Chruch,other religious 13 ❑ Two or more family-Enter number 3Alteration(See 2 above) of units .........................._._........._............. 20 ❑ Industrial 21 ❑ Parking garage 4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- Enter number of units ........................... 22 E] Service station,repair garage 5 E] Wrecking(if multifamily residenfial,enter number 23 E] Hospital,institutional of units in building in Part D,13) 15 ❑ Garage 24 ❑ Office,bank,professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 26 ❑ School,library,other educational 7 E] Foundation only 17 ❑ Other-Specify 27 ❑ Stores,mercantile S.OWNERSHIP 28 ❑ Tanks,towers 8 Private(individual,corporation,nonprofit 29 E] Other-Specify institution,etc.) 9 ❑ Public(Federal,State,or local government C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant, machine shop,laundry building at hospital,elementary school,secondary School,college, 1 C.l? SVS parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement .. ..1.y.......... ............................. $ at industrial plant.If use of existing building is being changed,enter proposed use. To be installed but not included in the above cost a. Electrical........................................................................... b. Plumbing.......................................................................... c. Heating,air conditioning............................................. d. Other(elevator.etc.)..................................................... q 11. TOTAL COST OF IMPROVEMENT $�//'3`J 111. SELECTED CHARACTERISTICS OF BUILDING -For new buildings and additions, complete Parts E-L;demolition, complete only Parts J&M, all others skip to IV E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 ❑ Masonry(wall bearing) 35 © Gas 40 Public or private company Will there be central air 31 ® Wood frame 36 ❑ Oilconditioning? 41 ❑ Private(septic tank,etc.) 32 ❑ Structural Steel 37 ❑ Electricity 44 ❑ Yes 45 5Q No 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator! 34 ❑ Other-Specify 39 ❑ Other-Specify 42 Public or private company 46 ❑ Yes 47 ® No 43 ❑ Private(well,cistem) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stones ............................................................ 49. Total square based on floorarea, Has A roval from Historical Commission been received all Boors,based of exterior pp dimensions ......................................................................... for any structure over fifty(50)years? Yes_ No 50. Total and area,sq.ft................................. Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed................................................. HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? 52. Outdoors......................................................................... Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed..........-............................_................................... Electric: Gas: 54. Number of Pull......................................-. Sewer: bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial...................................... BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ Nom (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ No 1/ (If yes,please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes_ No_ Is property located in the S.R.A. district? Yes_ No Comply with Zoning? Yes—Z No (If no,enclose Board of Appeal decision) Is lot grandfathered? Yes_ No (If yes,submit documentation/if no,submit Board of Appeal decision) If new construction, has the proper Routing Slip been enclosed? Yes_ No_ Is Architectural Access Board approval required? Yes_ No_ (If yes,submit documentation)) Massachusetts State Contractor License# Salem License# ✓ Home Improvement Contractor# Homeowners Exempt form (if applicable) Yes L�No_ CONSTRUCTION TO BE COMMENCED WITHIN SIX(6) MONTHS OF ISSUANCE OF BUILDING PERMIT If an extension is necessary, please submit CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants _1 Name t Mailing address-/N)um�bber,street,city,and state �^ ZIP Code Tel.No. // Owner or yTY'C 11Q:!- ( 1`SC/t'Y�LvI.C. u IC(X ' r \.LL Ole)-20 1e17(J 9 /c/3,77 Lessee C- \ L A 2. Contractor Builders License No. 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of applica Address Application date a- DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building FOR DEPARTMENT USE ONLY Permitnumber Building /� Use Group Permit issued — 19 7 3 - Fire Grading Building ffi 0 Permit Fee $ Live Loading Certificate of Occupancy $ Approved by: occupancy Load Drain Tile $ Plan Review Fee $ TITLE NOTES AND Data• (For department use) 7 o cr Lfirr �Z J PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: Completed by: VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN -For Applicant Use b N ��- �v P' COMMONWEALTH OF MASSACHUSETTS DEPAR:MENT OF INDUSTRIAL ACCIDENTS _ 600 WASHINGTON STREET ,iames.: Gamooei, BOSTON, MASSACHUSETTS 02111 omm sslone, W�OnRKERS' COMPENSATION INSURANCE AFFIDAVIT 1, `l /V /lLi�/�J ✓C � /l.c��Gl �� (I icensec/permittee) with a principal place of business/residence at: (City/State/Zip) do hereby certify, under the pains and penalties of perjury, that: f ) I am an employer providing the following workers' compensation coverage for my employees working on this job. Insurance Company Policy Number ( J I am a sole proprietor and have no one working for me. [ I am a sole proprietor, general contractoromeowner circle one) and have hired the contractors listed below who have the following workers' compensation msumn policies: ��L��r�Pd Clnxa �— If tv �i x �2-�. L X u�nn 18021 T?/ Uf-9y Name of Contractor f / Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number [] I am a homeowner performing all the work myself. NOTE: Pleue be aware that while homeowners who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto are not generally considered to be employers under the Workers' Compensation Act(GL C. 152,sect. 1(5)), application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers' Compensation Act I understand that a copy of this statement will be forwarded to the Department of Industrial Accidents'Office of Insurance for coverage verification and that failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties consisting of a fine of up to $1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a fine of S100.00 a day against me. Signed this nod day of 19 Licensee/Permiacc Licensor/Permittor FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT In compliance with the provision of Section 113.5 of the Massachusetts State Building Code, and under guidelines agreed upon by the Salem Bldg. Inspector and the Salem Fire Chief, the applicant for a building permit shall obtain the Certificate of Approval (see reverse side) and stamped plan approval from the Salem Fire Prevention Bureau. Said application and approval is required before a building permit may be w issued. The Massachusetts State Building Code requires compliance z 3 approval of the Salem Fire Department, with reference to provisions of u. m w Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts o y p General Laws, and 527 Code of Massachusetts Regulations. LL F Thea applicant shall submit this application with F Z y ' pP three (3) sets of plans, g o drawn in sufficient clarity, to obtain stamped' approval of the Salem Fire t- r F- Department. This applies for all new construction, substantial - w ,a C alterations, change of use and/or occupancy, "and any other approvals as vai g = required by the Massachusetts General Laws, and the Salem' Fire Code. " < z g < Exceptionv Plans will not be required for structural work when the proposed work to be performed under the building permit will not, in the opinion of the Building Inspector, require a plan to show the nature and character of the work to be performed. •- ', ..;.. Notice '_=Plans are normallyrequired for fire suppressiones q systems, == fire alarm systems, tank installations, "and Fire`Code requirements. Under the provisions of Article 22 of the Massachusetts State-Building' Code, certain proposed projects may not require submission of plans or complete compliance with new construction requirements. In these cases, provisions of Article 22, Appendix T, and TAbles`applicable shall apply. . This section shall not, however, supersede the provisions outlined in the Salem Fire Prevention Regulations, ChapterF; 148, MGL, or 527 Code of Massachusetts Regulations. ".All: 'permits for fire code use and/or occupancy shall apply for the entire"structure; fire alarm and/or smoke detector installation shall'• apply to the entire structure based upon current requirements as per`Laws and/or Codes, but the existing structure may comply with regulations applicable for existing structures. Notice: Sub-contractors may also be required to file individual applications for a Fire Department Certificate of Approval for the area of their work. Such sub-contractors shall file an Application to Install with the Fire prevention"Bureau prior to commencing any work for those areas applicable. S'FOR FINpL .�� Form 81X (10/90) NT FOR FINA►- '� Appp1NT,ON MUS014EWEEK IN9pE T ONEpMST ONE WUST BeEEK i IN AT 1 EPSS MME AT .._ AHFp,D..... NTMENT FOR FINAL' Satem Fite Depa4tment ppp01E F.-ce P2eventton Suneau APPOINTMENT FOR FINAL INSPEC71ON MUST B MADE AT LEAST ONE WEEK 48 La4ayette Street INSPECTION MUST BE Satem, Ma 01970 MADE AT LEAST ONE WEEK (508) 745-7777 AHEAD..._ FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT In accordance wttth the ptov-i4tonz o4 the Maa-bachu.6ett.6 State Buttdtng Code and the Salem F4:,te Code, appttcat.Lon i6 hereby made 4or approval 04 pta" and the i.6.611ance o4 a eenti.¢i.cate o4 appaovaC 4ox a buZtd-i,ng petm.it by the Satem Ftvte Department. (Re4. Section 113. 3, Ma.6a. State Stag. Code) Job Location: lv Owner/Occupant: P Elect ttcat Cont-tar-to-t: F.44e .Suppre6.6.ton Contactor: S4.9natwce o4 Appt i earn: Phone #: 7L/�/' Addre4.6 04 City 03 Appt,i.ca.nt: /Q Iqf Town: Approval date: o? /elf Certt4.4eate o4 approvat ib hereby granted, on approved ptan.6 on aubmittaC o4 proaeat detai.e.6, by the Satem Ft-te Department. Att pian-6 ane approved -6ote2y 4o4 tdentt4tcat4on o4 type and toeatton o4 4-L a protect-Lon devtr-" and equ- pment. AtE ptan6 ate 4ubject to approval o4 any othez authority hay.i.ng Ju t4dtcti.on. `,tUpon eomptet-i.on, the appttcant oa tn-6ta te2(e) ahat2 4eque-6t an dn6pection and/o-t te-6 o4 the 4.i4e ptotecti,on dev.i,ce.6 and equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** ) New con.6t4uetton. P-tope.,ty tocat(.on ha-6 no eomptiUmce with the p4ov.<.6.4on,6 o4 Chapter 148, Section 26 C/E, M.G. L.., 4e2atLve to the tn6ta,Catton o4 approved ¢ire aeanm dev-tc". The owner o4 tht-6 property t4 2equLted to obtain .eompt-i,anee a-6 a condition o4 obta,i ni.ng a Build tng Permit. 0 Property tocati,on 4.6 to compt.i,ance with the provi6-i.on4 o4 Chapter 148, Sec ton 26 C/E, M.G. L. r Expia on date: SZ.9na twee o4 F-vice 04�4.tai.a2 Fee due: under 7 . 500 So. Ft. - 510. 001 CITY OF SALEM BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please Print DATE / — _'� & JOB LOCATION /U r ji (1 )02 C,� �riP �� k 1, , r !M cc l �1 Number Street address Section of Town "HOMEOWNER \�( �IC�K(: UCL11(. L(39icI �I�� -C13t? Name I Home phone Work phone PRESENT MAILING ADDRESS 10 I' ,.vyLen uu(_c_c, R 2�ti • U I `tib 0 City/Town State Zip Code The current exemption of "homeowners" was extended to include owner-occupied dwellings of six units or less and to allow such homeowners to engage an in- dividual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 109.1 .1 DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to re- side, on which there is, or is intended to be, a one to six family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner" shall submit to the Building Official , on a form acceptable to the Building Official , that he/she shall be res onsible for all such work performed under the building permit. Section 109.1 .1 The undersigned "homeowner" assumes. responsibility for compliance with the State Building code and other applicable codes, by-laws, rules and regulations. The undersigned "homeowner" certifies that he/she understands the City of Salem Building Department minimum inspection procedures and requirements and that he/she will comply with said /procedures �and requirements. HOMEOWNER'S SIGNATUREp ��(�Ce�CG APPROVAL OF BUILDING OFFICIAL NOTE: Three family dwellings 35,000 cubic feet, o larger, will be required to comply with State Building Code Section 127.0, Construction Control . HOME OWNER'S EXEMPTION The Code states that: "Any Home Owner performing work for which a building permit is required shall be exempt from the provisions of this section (Section 109.1 .1 - Licensing of Construction Supervisors) ; provided that is a Home Owner engages a persons) for hire to do such work, that such Home Owner shall act as supervisor. " Many Home Owners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q, Rules and Regulations for Licensing Construction Supervisors, Section 2.15) . This lack of aware- ness often results in serious problems, particularly when the Home Owner hires unlicensed persons. In this case your Board cannot proceed against the unlicensed person as it would with licensed Supervisor. The Home Owner acting as supervisor is ultimately responsible. To ensure that the Home Owner is fully aware of his/her responsibilities, many communities require, as part of the permit application, that the Home Owner certify that he/she understands the responsibilities of a supervisor. On the last page of this issue is a form currently used by several towns. You may care to amend and adopt such a form/certification for use in your community. [PF^):NTMENT FOR FINAL ON MUST BE AT LEAST ONE WEEK ----------------- KEPT 7� 31 -riLF 01O �Ky 9Ili 00 iA I3 10 v A 7/ < er 9(20 A L.2 APPLICATION FOR AP LIGATION NO. (COURT USE ONLY) PAGE Trial Court of Massachusetts CRIMINAL COMPLAINT 1 of 11 District Court Department IV I,the undersigned complainant, request that a criminal complaint issue against the accused charging the offense(s) listed below. If the accused HAS NOT BEEN ARRESTED and the charges involve: Salem District Court .v 65 Washington Street IC ONLY MISDEMEANOR(S),I request a hearing ❑ WITHOUT NOTICE because of an imminent threat of SalGin, MA- 01570 ❑ BODILY INJURY ❑ COMMISSION OF A CRIME ❑ FLIGHT ❑ WITH NOTICE to accused. ❑ONE OR MORE FELONIES,I request a hearing ❑ WITHOUT NOTICE ❑.WITH NOTICE to accused. ARREST STATUS OF ACCUSED L1❑WARRANT is requested because prosecutor represents that accused may not appear unless arrested. HAS f HAS NOT been arrested NAME(FIRST MI LAST)AND ADDRESS : BIRTH DATE SOCIAL SECURITY NUMBER (^') ! j PCF NO. MARITAL STATUS f/ `� Uf'1• r1 ✓"f ( 1{�' �. ter.if DRIVERS LICENSE NO. STATE 4- �� /`� 7 v GENDHEIGHT WEIGHT EVES f, ER: ve HAIR RACE COMPLEXION SCARS/MARKS/TATTOOS BIRTH STATE OR COUNTRY DAV PHONE EMPLOYER/SCHOOL MOTHER'S MAIDEN NAME(FIRST MI LAST) FATHER'S NAME(FIRST MI LAST) e 7"77 777,74771,77-7777=7 77 2 7. 14N M00 ex COMPLAINANT NAME(FIRST MI LAST) COMPLAINANTTVPE y I el PD i E.- r J (�' (r�<� (' ❑ POLICE ❑ CITIZEy .(N OTHER ADDRESS ) } f PLACE OF OFFENBE Y INCIDENT REPORT NO. ^ a TN Jt" fit , lr, i f`_ lo ' CITATION NO(S). t.1 1 OFFENf11 S`f /y n DESCRIPTION FENSE'DATE7( VARIABLES(e.g. victim name,controlled substance,type and value of property other variable information;see Complaint Language Manual) OFFENSE CODE DESCRIPTION J / ) OFFENSE DATE Ill.-I /) 2 VARIABLES ^j OFFENSE CODE DESCRIPTION " �. OFFENSE DATE 3 �..e VARIABLES \� REMARKS COMP INANT'S SIGNATOR DATE FILED ix COURT USE ONLY A HEARING UPON THIS COMPLAINT APPLI ATIONDATE OF HEARING TIME OF HEARING COU T USE ONLY —10 WILL BE HELD AT THE ABOVE COURT AD RESS ON} 0. '�f AT DCCR-z pa/04) ;COMPLAINANT'S COPY