220 LAFAYETTE STREET - BUILDING INSPECTION 220 WAY ETTE�STREET'
C0MMONWEALTH OF MASSACHIISA4Y-DING DEFT.
5=z CITY OF SALEM ��}}
APPLICATION FOR CERTIFICATE OIH1&S&1EC$0" GM 197
Date `L-ZC�-47 fiflif fired S S7. p()
o SA1&Mtiged
In accordance with the provisions of the Massacausects State Building Code. Section
108. 15, I hereby apply for a Certificate of Inspection for the below-named premises
located at the following address:
Street 6 Number Z Zn �a
Name of Premises
Purpose for which Premises is used 1� L1 K '� S
License(s) or Permit(s) required for the premises by other Governmental Agencies:
License or Permit Alteacy
Certificate to be issued to:
Address:
-may;✓ Owner of
as
Name of Present Holder df-"Certificate:' t
Name of Agent, ifn any... C�-
nvA ��, �1y�P �iQ �e 7lr�y�n1
cure of Person co venom �ertzfica[e TITLE
is issued or his/her authorized agent _� :U
Date
T_NSTRU=- DNS: Day time phone Il
I. Make check payable to: The City of Salem
2. Return this application with your check to: Insveccor of Buildings. City of Salem
Building Devartment. One Salem Green. Salem. MA. 01970.
PLEASE NOTE:
1. Application form with required fee must be submitted for each building or structure
of part thereof to be certified.
2. Application S fee must be received before the certificate will be issued.
3. The building official sball be notified within cen (10) days of any change in the
above informat/i�o`n'. l q
CERTIFICATE 1 d� ( d L� EXPIRATION DATE OZ-
�j )LOV-Z
<< � 314 ]
SENDER:Complet0tems 1 and 2 when additional services are desired,and complete items 3 and 4.
Put your address in the"RETURN TO"space on the reverse side.Failure to do this will prevent this
card from being returned to you.The return recei t fee will rovide ou the name of the arson
delivered to the date of dellve .For additions es the o lowing services are aver a le,Consult
postmas or tees an c ec ox es)for additional services)requested.
I. Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery.
3.Article Addressed to: 4.Article Number
Stephen Polemenakos P 443 509 344
241 Lafayette St. Type of service:
Salem, MA 01970 ❑ Registered ® Insured
ertified COD
Express Mail
Always,obfairi signature of addressee or
agent add'D'ATE DELIVERED.
5.Sign re— re see 8.Addressde's Acidmi"sdOM Y if
r�quested and fee pard)
6.8' to —Agent
X
7.Date of Delivery
PS Form 3811,Feb.1986 oq� aao L/9 �/9Yde7 r6- ',DOMESTIC RETURN RECEIPT
UNITED STATES POSTAL SERVICE ( II
OFFICIAL BUSINESS I
SENDER INSTRUCTIONS
Print your name,address,and ZIP Code
in the space below.
•Complete items 1,2,3,and 4 on
the reverse. U.SMAII
•Attach to front of article if space °
permits,otherwise affix to back of
article.
•Endorse article"Return Receipt PENALTY FOR PRIVATE
Requested"adjacent to number. usE,sso0
RETURN Print Sender's name,address,and ZIP Code in the space below.
TO
Building Inspector
One Salem Green
Salem, MA 01970
CITY OF SALEM
-. In accordance w tlt the Ma s s c It it s e t is State Bit i I d i n g Code, Section 108. 15, this
O,M 5ye �e
CERTIFICATE OF INSPECTION
is issueedd to s Si=JARTA REALTY
i (9trUtH that 1 have inspected the premises known as 6 UNIT APARTMENT BUILDING
located at =E'a LAFAYETTE in the city of Salem
County of Essex Co in to on we at l t of Massachusetts. The to ea ns of egress arc sufficient for the fol Iotoi ng
number of persons:
BYSTORY
Story Capacity Story C� 'd � 1"4 >� Capacity
''X.7��7s�".6.•X•'�SiAG%$'X.:68�%� Yffi%',toy''X'b".b%'.iw•X•'Xb"�'.��56iG�'T,
].ST FL_013R 2 UNITEi
'NI:7 FLOOR 3 UNITS
3RD FLOOR I UNIT
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly - Place of Assembly
or Structure Capacity Location or Structure Capacity Location
h i7i th 171
0 173
ih='li. •-1997 G19/15,/1997 iiY9/ 1 �'/='ihtT
Certificate Number Date Certificate Issued Date Certificate Expires 3uilding O icial
The building official shall be notified within ( 10) days of any changes in the above information.
-1r)
(no
(74t (ffmmmvnwtn1t4 at 15ttsnur4usrtts
' CITY/TOWN OF 0 L e ✓�
In accordance with the Massachusetts State Building Code, Section 108. 15, this
CERTIFICATE OF INSPECTION
isissued to . . . . . .[�nn?.�.Q }�c�. . . .�e A \i�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7 Tertlf g that I have inspected the. . . . . 1P,5- . . . . . . . . . . . .known as. . . )9.F.a:: f: m e PV Xs.
located at. . . . . . . . . . .in the. .4'.�1.-t�Y . . . .of. . . . . . . . . . . . . . . . . . . . . . . . . . .
County of. . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
3 - 3 l- 2ooZ
Certificate Number Date Certificate Issued Date Certificate Expires BuiWjKd Official
The building official shall be notified within (10) days of any changes in the above information.
PERIODIC INSPECTION REPORT
This form is to be completed each time a Periodic Inspection is made. At the time
a new Certificate of Inspection is issued, a notation indicating that the fee has
been paid will be made to Application Form prior to the new Certificate of Inspection
being issued. Any changes since the last inspection are to be added to the file card
of the premises.
TNameStreet 6 Number Z O -, (x ST—
Name
o f Premises
Certificate to beissued to: S? 0- +C-� �R Q.h
Address '2,-., O Lo- f" e;ti 2, -
Owner of Record of Building .4;:* p V .Q -?e3 e lnn 21.-p Vo
Address 2-3 S �. cZ FA.V e-rr P //51' sa /
Purpose for which premises are used
Changes since last Inspection (required on file card also)
1. KI
2.
3. Q.
4.
5.
Date Order Issued:
Order Issued To: Address
Date Violations Corrected:
REMARKS: S V�n.o oG a \-4,
I have this day inspected the above premises, and the same conforms to the pertinent
requirements of the Massachusetts State Building Code and the rules and regulations
pursuant thereto.
3
Date ing Official
Certificate # Y -1. Date Issued: l y,
Date Expires:
Recommended Next
Inspection-
P 443 509 344
RECEIPT FOR CERTIFIED MAIL
NO INSURANCE COVERAGE PROVIDED—
NOT FOR INTERNATIONAL MAIL
(See Reverse)
sent
Street end No.
P.O.,St a tl IP a
Postage $
Certified Fee
Special Delivery Fee
Restricted Delivery Fee
Return Receipt Showing
to Whom and Date Delivered
Return Receipt Showing towhom.
N Da:V.and Address of Delivery
ao
a TOTAL Postage and Fees $
A
iy Postmark or Date �� D
ao
a
SI=POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE
CERTIFIED MAIL FEE AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(ns frwq `
1.1f you want this receipt postmarked,stick the gummed stub on theie@portion of the address aide
of the article Isavin g the recaf pt attached and present the article at a post office service window or
hand it to your rural carrier.(no wre charge)
2 H you do not want this receipt postmarked,stick the Summed stub on the left portion of the
address aide of the article,date,detach and retain the recelpt and mail the article.
3.If you want a return receipt write the certified-mail number and your name and address on a
return roceiptcard,Form 3811,and attach H tothefront of the articlebymeamofthegummedemis
H Space permits.Otherwise,affix to back of article.Endorse from of article RETURN RECEIPT
REQUESTED adjacent to the number.
4.If you want delivery restricted to the addressee,or to an authorized agent of the addressee,
endorse RESTRICTED DELIVERY on the front of the article.
S.Enter fees for the SeMces requested in the appropriate Spaces on the front of this receipt.if
return receipt Is requested,check the applicable blocks in hem 1 of Form 3811.
8.Saye this receipt and present it H you make inquiry.
,ON OIr (�Y# of ttl.em, tt58ttt Li .0##8
Public Vropertg Pepartntent
s
uilbing Pepartntent
One *nlem (6rern
7di-0213
William H. Munroe
Director of Public Property Maurice M. Martineau, Ass't Inspector
Inspector of Buildings Edgar J. Paquin, Asst Inspector
Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp.
February 3, 1988
Stephen Polemenakos
Zestee Fuel
241 Lafayette St.
Salem, MA 01970
RE: 220 Lafayette St. , Salem, Massachusetts - R-3 Zoned District
Dear Mr. Polemenakos:
This department is in receipt of written complaints regarding
parking, storing or garaging of large fuel delivery trucks at the
above reference property. Parking of these trucks appears to be a
violation of the City of Salem Zoning Ordinance, Section VII C-4,
page 46 of the ordinance book.
Please contact this office within seven (7) days of receipt of
this letter with your plans for resolving this violation. A complaint
will be sought in District Court unless we hear from you within the
above mentioned time frame.
Sincerely,
Stephen W. Sant'ry
Ass't Building Inspecor
SWS:bms
CC: Mayor
City Clerk
City Solicitor °
Councillor Martineau
14!M
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V C MODUGNO EMP# 9971 SS NO-032469971 RATE- 488.500
35 CAGE ST HDPT-069 BIRTH- FRED-1
WDPT-069 HIRE - ACC#-
LYNN MAE1904 PID -1 SEX -M DATE-12 24 86
SS CD- SS PCT- .0000 BUDGET 4-220511000
FEDERAL TAX STATE TAX RETIRE B C/O S MEDICARE LIFE INS
CD EX AD AMT CD EX AD AMT CD PGT CD AMNTCD _ AMNT CD AMNT
S Oa .00 s 00 .00 1 .080 .00 .00 tQJ,,
E G R A OD ADDL INS CRS BACK UNION CREDIT UN
CO AMNT CD AMNT CD AMNT CD AMNT' CD AMNT CO I AMNT
.00 .00 .00 .00 1 3.85 .00
T S A VLI BAY ST TUFTS HARV MULTIG ANNTY PEN COS
CD AMT CO AMT CD AMT CD AMT CD AMT CD AMT
.00 0 .00 C .a0 0 .00 0 .00 0 .00
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3
Public Property Pepttrtttteut
'Areh�a�?�`� �111II�1Tlt(j ,Yyep2Irtritettt
(One "&nlem Green
7.1i-0213
William H. Munroe
Director of Public Property Maurice M. Martineau, Asst Inspector
Inspector of Buildings Edgar J. Paquin, Asst Inspector
Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp.
February 3, 1988
Stephen Polemenakos
Zestee Fuel
241 Lafayette St.
Salem, MA 01970
RE: 220 Lafayette St. , Salem, Massachusetts - R-3 Zoned District
Dear Mr. Polemenakos:
This department is in receipt of written complaints regarding
parking, storing or garaging of large fuel delivery trucks at the
above reference property. Parking of these trucks appears to be a
violation of the City of Salem Zoning Ordinance, Section VII C-4,
page 46 of the ordinance book.
Please contact this office within seven (7) days of receipt of
this letter with your plans for resolving this violation. A complaint
will be sought in District Court unless we hear from you within the
above mentioned time frame.
Sincerely,
IA�4 �
Stephen W. Santry
Ass' t Building Inspec �or
SWS:bms
cc: Mayor
City Clerk
City Solicitor
Councillor Martineau