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90 MARGIN STREET - BUILDING JACKET 90 MARGIN STREET John Femino 90 Margin St Salem MA, 01970 978 317 2460 April 11,2016 Building Dept. Salem City Hall Annex Washington St. Salem,MA 01970 Re: Roofing permit 90 Margin St. To whom it may concern: Per my phone conversation today with your office, I am confirming the following in writing: In March a permit was drawn for the address above by EF Fogarty. The permit was never forwarded to me. That company installed in the back: shingling, step flashing and rubber roofing and one S roof vent. They will not be returning to complete the front. �'c q i ( i�eT ) � VfWT FbgSY in•6 JM Roofing,4 Hoover Ave.,Beverly,(phone: 978 423 8842) will be doing the front side, (Margin St.),of the project. He will be installing Certainteed Landmark Architectural Shingles and 2 roof Vents.He agrees to 6'of grace ice and water,rake ice and water, and ice and water in and around the vents which will installed within 2 ft. of the ridge at opposite ends. Other underlayment will be of a quality,synthetic brand. There will be white drip edges,bottom and rake. Shingles will be installed p r manufacturer's specs.,with a Y2 inch overhang on lower and rake drip edges. �N 0 If there are any other issues or concerns,please contact me. Thank you. Sincerely, John Femino Mir Roofing 4 Hoover Ave. Beverly, Me 01915 978-423-8842 --�--- INVOICE --- Customer Information Name Date of Invoice Address Work Start Date City State ZIP_ Work End Date Phone Description TOTAL Front Main Roof Strip one laver of roofing down to boarding Denall and renail any ase boards Replace any rotton boards Install 6ft of ice and water sheild over all leading edges Install grace felt paper to rest of roof Install 8 inch drip edge to all edges Shingle roof withla®9r Certain ed shingles.Install two vinyl roof vents.Remove all roof related trash with dum er. in v`"-- Wa/rte y P✓` iClF�, t^ +-WO 't SubTotal Less t Payment Details he Deposit O Cash TOTAL $2,800A0 O Check Check (Information Name: _ Amount: Ch#: _ Office Use Only CiDeposikAmount " $1,1W00 Paid On WARRANTY: The Contractor warrants that the work furnished above shall be free from the defects in materials and workmanship for a period of rive years following completion and shall comply with the requirements of the agreement. In the event of any defect in the workmanship and materials, or damage caused by the contractor andfor his employees is discovered within one year of completion of any fob, the Contractor will be held responsible. The Owner herby acknowledges the scheduling dates are approximate and that such the delays that are not avoidable by the contractor shaft not be considered violations of this agreement. ACCEPTANCE OF PROPOSAL: I have read the document and accept the prices, specifications, and conditions stated. I understand that upon signing this proposal it becomes a binding contract You are authorized to do the work as specked and the buyer may cancel this transaction at any time prior to midnight of the third business day after the date of this transaction. Cancellations must be in writing. SIGNATURE: DATE:J -f !r SIGNATURE: DATE:- The Commonwealth ofMassachusens Department oflndushid Accidents I Congress Street,Suite 100 Boston,AM 42114-2017 www massgov1dia WIVorkers,Compensation Insurance Affidavit:Builders/ContractorslElectricians/Plumbers. TO BE FII.ED WYM THE PERMPI7'ING AUTHORITY. Ainglioa trd Information Please Print Le>ably Name(Basiams/orgaairatiortudividaal): Address: City/State/Zip: Phone M Are you an employer?Cheek The appropriate boa: Type of project(required): i.❑I an a employer with employees(full and/orpart-time). 7. ❑New construction 2-❑I am a sole proprietor or parmmskip and have no employeas working for me in 8. ❑Remodeling any capacity.[No workers'"comp.insurance mclubed l 3. I am a homeowner doing all work elf. 1 ❑Demolitionna ❑ g rays [No workers'comp.insurance required)t 4.❑I am a homeowner and will be hbiag rnnoacmrs m conduct all work on my property I coin 20 Building addition ensure that all contractors either have workers'compensation insurance or me sole 11.❑Electrical repairs or additions propnemn with no employees. 12.[]Plumbing repairs of additions 5.❑I am a general connactor an"bare hired the subcontractors listed on the an-bed sheet. 13. Roof urs Them subcontractors have employees and have workers'comp.unumo ce-; ❑ �' 6.0 We are a corporation and its officers have exemised their right Ofoxemption per MOL a 14.❑Other 152,§1(41 artd we have no employes.[No workers'comp.insurance reyubed l 'Any applicant that checks box#]must also fill out the section below akowingtheb workas'eompmmtim policy mfmmatiaa. t Homeowners who submit this affidavit indicating[boy are doing all work and than hire outside contractors must submit a mw affidavit indicating such. tcmtmcmrs that check this box must attached an additional sheer showing the name ofthe mbcmhaaors and state whetheror not chase counts bave employees. If the sub=ccmmtcm have employees,they must provide thea workers'comppolicy member. Jam an employer that is providing workers'compensation insurancefor my employees Below is llaepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/Sudemr. Attack a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MOL c. 152,§25A is a criminal violation punishable by a tine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties afped4ty that the information provided above it true and correct Signature: Date: Phone M official use only. Do not write in this area,to be completed by city or town offieial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/fown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more then three aparttnents and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an enyrloyer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage, Also be sure to sign and date the affidavit The affidavit should be returned to the city or town that the application for the perp it or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate he. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to The applicant as proof that a valid affidavit is on file for future pemtits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 Tel. #617-7274900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia The Commonwealth of Massachusetis Department of IndushWAccidents I Congress Street,Suite 100 Boston,AM 02114-2017 www.massgov/iia Wworkers'Compensatioll Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FH.ED WITH THE PFPJArr iNG AUTHORITY. Applicant Information Please Print Leeibly Name(Business/Orgauvation/tndividual)-, Address: City/State/Zip: Phone#: Are you an employer?Check the appropriate box: F�Fl eM(required): I.❑I am a employer with employees,(futi arwor part-time).* OnalrtlMlen 2.❑I am a sole proprietor or partnership and have no employees working for�in eling any capacity.[No w-k m'wmp.insurance requited)3. I am a homeowner do" all work ition ❑ mg myself.[No workers'Comp.insurance regatiredj t4.❑1 am a homeowner and will be hiring contmcrors to conduct all work on my property. I willg additipn eneure that an co�actoseitherhaveworkers'compensation msutamce orare sole cal repairs or additions proprietors with no employees. 12.Q Plumbing repairs or addititms 5.❑I am a genual contractor and I have hired the subcontractors listed on the attached sheet Them sub trmmrs have employees and have workers'comp,iosumnce t 13.E]Roof repairs 6.El We are a Corporation and its officers have exem cod their right of exemption per MGL a 14.❑Other 152,§I(4),and we have an employee&[No workers'comp,insurance required) 'Any applicant that checks box#1 must slm fill out the section below showing thein workers'compeosation policy infmmatiou. t Homeowners;who submit this affidavit indicating they are doing all work and than him outside contractors must submit a new affidavit indicating such. lContmcton that check this box must attached an additional sheet showing the name of the subcontractors ad state whether or not those entities have engdoyees, If the sub conttartors have empioym%they must provide their workers'contppolicy number. I am an employer that is providing workers'compemadon insurance for my employees. Below h the policy and job site infonmtlon. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page{showing the policy number and expiration date}. Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by a fine up to$1,500.00 andtor one-year[mprisotmtent,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certyyunder the pains and penalties ofpedury that the information provided above is true and correct Simature• Date. Phone#: Official use only. Do not write in this area,to be completed by city or town ofew City or Town: PermittLlceme# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriaTe line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pemvt/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only subrrtit one affidavit indicating current policy information(if necessary)and under`Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or pemrit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents I Congress Street, Suite 100 Boston,MA 02114-2017 Tei. #617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia UNITED STATES POSTAL SERVICE OFFICIALBUSIN ESS SENDER INSTRUCTIONS Print your name,address,and ZIPCo z - •...�..o in the space below. •complete items 1,2,3,and 4 on if,'!38-3 O the r arse. •Attac�l to front of article if space permits,otherwise affix to back of article. PENALTY FOR PRIVATE •Endorse article Return Receipt USE,$3oo Requested"adjacent to number. RETURN Print Sender's name,address,and ZIP Code in the space below. TO William H. Munroe, Inspector of Bldgs. i _y_ ot Salem One Salem Green Salem, MA 01970 •SENDER:Completeli terns land 2 when additional services am 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 and the date of deliver .For additlone es the of owing services ere avai able.Consult postmaster for ees an c ick ox es)for additional service(s)requested. 1. ❑ Show to whom delivered,date,and addressee's address. 2. ❑ Restricted Delivery. 3.Article Addressed to: 4.Article Number Mr.John Femino P-607 166 652 171 Washington St Type of service: Woburn, MA 01801 Registered Insured Certified H COD LLH Express Mail Always obtain signature of addressee or agent andDATE`DELIIERED. 5.Signayqure—Address 8.Add @!s Address LY if X h!( —e/YlWlU7 reggsterbvnd fee P ). 6.Signature A nt .. � X JCS ' r 7.Date of Delivery A� PS Form 3811,Feb.1986 DOMESTIC RETURN RECEIPT P-L,07 166 652 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to m Mr. John Femino Street and No. O u P.O..State a'!d ZIP Code 0 n Postage ' S 2.00 Certified Fee , Special Delivery Fee Restricted Delivery Fee Return Receipt showing to whom and Date Delivered N rm Return Receipt showing to whom. Date,and Address of Delivery m Z TOTAL Postage and Fees S ' 2.00 p Postmark or Date A E 0 LL H O. STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address leaving the receipt attached and present the article at a post office service window or hand It to your rural carrier... (no extra charge) 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. It you want a return receipt,write the certified mail number and your name and address an a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space per- mits.Otherwise,affix to back of article. Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee,or to an aWhorizrd agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. 6. Save this receipt and present it if you make inquiry. Citp of 6aiem, Anoubugettg Public propertp -Mepartment fis �Builbing department One *alem green 745-9595 CA. 380 William H. Munroe Director of Public Property Inspector of Buildings Zoning Enforcement Officer March 1, 1989 Mr. John Femino 171 Washington Street Woburn, MA 01801 RE: Violations 9d`Margi Dear Mr. Femino: This letter will serve to confirm our conversation of February 27, 1989 regarding complaints to this office in reqards to the number of persons occupying the second floor apartment owned and managed by you at 90 Marqin Street, Salem. The complaints allege, and have been confirmed, that at least eight (8) persons and at times as many as ten (10) persons are occupyinq this apartment. The following is a list of automobiles owned by the occupants of the property that I discussed with you. 1. 1981 Honda - 715RJZ Carlos J. Rodriques 2. 1981 Mercury - 771RKJ Jorge A. Silva 3. 1980 Chevy - 387NRW Fuly D. Raposo Mass General Laws, Chapter 140, Section 22 defines a lodging house as a house where lodgings are let to four (4) or more persons not within the second degree of kindred. No lodging .house license is on record for this property. Section V A.2..c of. the City of Salem Zoning ordinance states that no more than two (2) rooners or boarders are permitted in a residential two (2) family ^one. In view of the above, I must advise you that unless the property is brought into conformance with the above regulations within ten (10) days of your receipt of this order, it is the intention of this department to initiate the appropriate legal action against you. Mr. John Femino - 2 - March 1, 1989 Please be advised that violation of Massachusetts General Laws carries a fine of up to one thousand dollars ($1000) a day for each violation and each day the violation continues is a separate offence. Violation of the City Zoning Ordinance carries a fine of up to one hundred ($100) a day for each violation and again, each day the violation continues is a separate offence. In our conversation you stated that the apartment was rented to only one family, three persons. It would appear that the others now occupying the apartment are trespassing. I would urge you to give this matter your iiate attention. If you have anv questions, please contact me at this office. Sincerely, William H. Munroe Inspector of Buildings Zoning Enforcement Officer WHM/st cc: Mayor Ward Councillor City Solicitor City Clerk