54 MARGIN STREET - BUILDING INSPECTION rSuper ob
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ENVIRO STAFFING SOLUTIONS CORP.
65 MERRIMACK ST.UNIT 12
LAWRENCE,MA 01841
PH:978-794-7800 1 FAX:978-794-7807(WWW.ENVIROSTAFFING.COM
FAX
TO: DAVID(SALEM BOARD OF HEALTH) FROM: WASCAR VARGAS
FAX: 978-745-0343 PAGES: 4INCLUDING COVER
PHONE: DATE: 3/20/2012
RE: SALEM CHURCH NOTIFICATION CC:
❑Urgent ❑For Review ❑Please Comment ❑Please Reply ❑Please Recycle
Comments:
DEAR INSPECTOR,
PLEASE FIND THE NOTIFICATION FILED WITH OLS AND DEP ATTACHED,ANY QUESTIONS PLEASE CALL.
THANKS,
WASCAR VARGAS
U3-ZU-'12 08:24 FROM-enviro staffing sol 19787947807 T-657 P002/004 F-973
Commonwealth of Massachusetts
100143546
Asbestos Notification Form ANF-001 Decal Numberµ
henfab
Wfilling out r"A. Asbestos Abatement Description
han -
forms to the 1. a.Is this facility fee exempt city,town,district,municipal housing authority,owner-occupied
computer,use Y P - � P 9 Y. P
only the tab key residence of four units or less? Yes 0✓ No — —�
to move your jt��-
cursor-do not b. Provide blanket decal number if applicable: Blanket Decal Number
use the return
key. 2. Facility Location: _
�n GATES OF PEACE LURCH 56 MARGIN ST
` a.Name of Facility b.Str aA dress
SALEM IMA� I 019_M 9783989949
c.Cily[rown d.State a.Zip Code I.Telephone Number
tNSTRUCTiONS 3. Worksite Location
1.All sections of this BASEMENT _�
form must be a.Building Name/Building Location b.Building# c.Wing d.Floor e.Room
completed in order
to comply with 4. Is the facility occupied? []Yes E]No
DEP notification
requirements of 310
CMR 7.15 5. Asbestos Contractor:
and the Division '"""""""'"""'"'_"""-"""'"�""_
of Occupational ENV[RO STAFFING SOLUTIONS _ 95 MERRIMACIC ST �—
Safety(DOS) a.Name b.Address ____,
Publication LAWRENCE 01841 9787947800
requirements of 453 [— �� —_..._-_--____..
CMR 6.12 c.Cit /Town d.D2 Code e.Telephone Number
AC000737Y __ g. Contract Type: ❑Written [�Verbal
L DOS License Number
JUAN REYES
ln�Facib'ty Contact Person 1.Contact Person's Title _
FELIPE PLA AS035003 J
8' a.Name of On-Site Supervisor/Foreman b.Su arvisorJForeman DOS Certification Number
DANIEL BATISTA AM000029
T a.Name of Pro ect Monitor b.Prc;Lct Monitor DOS Certification Number
Al SPECTRUM SERV _..�� AA000152 _ u�
8. a.Name of Asbestos Anai loaf Lab .Asbastos-Analytical Lab DOS Ce IiFlcation Numbers
3/17/2012 3/1812012
o g' a.Preject Start Date(mm/ddlyy) b.End Date mm/ddlyy)!y)
o
N/A
_ _ 7AM-4PM
a c.Work hours Mon-Fri, I d.Work hours Sat- un.
0 10. a. What type of project is this?
❑Demolition 0✓ Renovation
r ❑Repair ❑Other, please specify: b.Describe
11. a.Check abatement procedures:
° ( Glove bag ❑ Encapsulation
o ❑❑Enclosure ❑Disposal only
U. Cleanup ❑Other,specify:
Full containment b.Describe
Z
12. 1s the job being conducted: o Indoors? []Outdoors?
A anf001ap.doc•10102 Asbestos Notification Form-Page i of 3
06—LU 14 DSS:zv ItEuu-envlro starting sol 19787947807 T-657 P003/004 F-973
Commonwealth of Massachusetts ■
1 . -- 100143546
Asbestos Notification Form ANF-001 Decal Number
A. Asbestos Abatement Description (cont.)
13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed,enclosed,or
enca sulated:
145
5.75tal pipes or ucts near ft) lotal totalother surfaces square �I
c.Boiler,breaching,duct,tank 10 d.Insulating cement fr
surface coatings Lin.ft. Sq.ft. Lin.ft. Sq.ft.
e.Corrugated or layered paper 145
pipe insulation Lln.ft. Sq.ft. f.Trowel/Sprayer coatings Lin.ft. Sq.ft.
g.Spray-on fireproofing h.Transits board,wall board � f�
Lin.ft. Sq.ft. Lin.fl. rq-ff:
I.Cloths,woven fabrics �� ,_9�, I.Other.please specify: L--�
Line SS .1L�1 Lin.ft. 5 .ft.
k.Thermal,solid core pipe
insulation Lin.ft. Sq.ft. I.Specify
14. Describe the decontamination system(s)to be used:
3 CHAMBER DECON SYSTEM AS PRESCRIBED BY DLS.
15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR
6.14(2) (g):
WETTED DOUBLE BAGGED AND LABELED.
16. For Emergency Asbestos Operations,the DEP and DOS officials who evaluated the emergency:
a.Name of DEP O feral 0.Title
(c�.Date(�m—m/d—d/yy)y)of Authorization _ d.DEP Waiver#
ee.Name of DOS Official f.DOS Officiaisle
N g.Date(mmlddlyyyy)of Authorization hh.60—Waiver#
0 17. Do prevailing wage rates as per M.G.L.c. 149, §26, 27 or 27A-F apply to this project?[]Yes ❑✓ No
B. Facility Description
N
0 1. Current or prior use of facility: CHURCH W
0
2. Is the facility owner-occupied residential with 4 units or less? ❑Yes [] No
3' GATEWAYS OF PEACE TO THE NATIONS I47 CANAL ST ��
a.Facility Owner Name b.Address
SALEM -�� I01970 9783989949 ��
o C.Cil crown d.Zi Code ee.Telephone Number(area code and extension) _
LL 4' a.Name of Facility Owner'sOnager�''''''"� Irb.On-Site Manager Address '
Q c.Cilyi I own d.Zip Code e.Telephone Number(area code and extension)
® anf001ap.doc•10/02 Asbestos Notification Form-Page 2 of 3
1L w6:L4 rllurl-enviro staTtmg sol 1T-557 P004/004 F-973
Commonwealth of Massachusetts _
100143546
Asbestos Notification Form ANF-001 Decal Number
L`ir
B. Facility Description (cont.)
IENVIRO STAFFING SOLUTIONS 65 MERRIMACK ST
5' a.Name of General Contractor b.Address
LAWRENCE ---I 01843 19787947800
c.Cit /Town d.Zi Code e.Telephone Number area codean
�
[DALLAS NATIONAL INSURANCE II� 8/26/2012
f.Contractor's Worker's Comp.Insurer .Police h.Exp.Date mmldd/ �
6. What is the size of this facility? a.Square Feet b.Number of floors
C. Asbestos Transportation and Disposal
1. Transporter of asbestos-containing material from site to temporary storage site(if necessary):
ENVIRO STAFFING SOLUTIONS 65 MERRIMACK ST �
Note:Transfer a.Name of Transporter J.Address
Stations must LAWRENCE 101843 1 19787947800
comply with the a City/Town d.Zip Code e.Telephone Number
Soild Waste
Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site:
Regulations 310
CMR 19.000 SERVICE TRANSPORT 158 PYLES LANE
a.Name of Transporter b.Address
LAWRENC 101843 19787947800
c.Cit (Town d.Zi Code e.Telephone Number _
3. N/A J
(l a.Refuse Transfer Station and Owner If� b.Address
c.Cil /Town d.Zip Code re.Telephone Number
4. MINERVA ENTERPRISES INC I I
a.Final Disposal Site Location Name b.Final Disposal Site Location Owner's Name
9000 MINERVA ROAD IWAYNESBURG
c.Final Disposal Site Address d.Cily/Town
OH — I 44688 I
c�
e.State f.Zip Code g.Telephone Number
0
D. Certification
N
The undersigned hereby states, under the �RAMON QUEZADA RAMON QUEZADA
° penalties of perjury, that he/she has read the a.Name b.Authorized Signature
° Commonwealth of Massachusetts regulations OP MANAGER 1 13/11/2012
for the Removal, Containment or c.Pnsi onffitle d.Date(mm dd/vwvl
Encapsulation of Asbestos, information
CMR 6.00 and r9787947800 ENVIRO STAFFING SOL
310 CMR 7.15,and that the information �� ��r_.
contained in this notification is true and correct e.Telehone Number f,RepresentingM-1011.0 _
° to the best of his/her knowledge and belief. 65 MERRIMACK ST T�
o
Q.Address
LL ILAWRENCE
h.City/Town i.Zip Code
Z
Q
® anf001 ap.doc•10/02 Asbestos Notification Form•Page 3 of 3
Certificate No: 728-12 Building Permit No.: 728-12 j
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Permits
r
j
This is to Certify that the CHURCH- located at
Dwelling p
I
54 MARGIN STREET in the CITY OF SALEM
- - - - - -- - --- - - - - ....-... .. . ."------
Address Town/C ity Name
IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF
OCCUPANCY
54 MARGIN STREET GATEWAY'S TO PEACE
I
This peanut is granted in conformity with the Statutes and ordinances relating thereto, and
expires Monday May 21,2012 unless sooner susrendeevoked.
Expiration Date '"'O_-
Issued On: Wed Apr 18, 2012
GeoTMS®2012 Des Launers Municipal Solutions,Inc.
i
i p 4F i
A
CITY OFSALEM
'r; E
MONTHMY YEAR TIME CONTROLNO �- �« P
�!� kZY g .'/Y�'•Y� t�{�.L.hG.TICk✓ _iS.Lx117 A
NAME OF OFFENDER
anis 1
'•d Y hT "� t - j
IAyy �'1..(r/��'.•O JfAY1"l'Lf61' �b4.r�-T7o;ta� C.� ?` � � .�. '-•, !
-
Cy tA7 rLiT'wsf+ Y 4�� 7
uuiTt?_-P_ L 1c�ttic a
I hereby acknowledge receipt of the foregoing:ditatibn `
X
.. .Date-v
j Unable to obtain signature of offender [ j Delta Malted ZOO G - a
't ._[l Posting Advertisements,NoBoes on City Property...
SC04-2, it
a ],I Illegal Signs ' _ ±[j'Violatlon of Slate Building Cade `� vk s+ _ -
=SCO.4-39 and 4-47 SCO 12-1: - -
ry°� I Removal of UnsighttyCondNans `��( ]Violation of BOCA Nat.Fire Pres Code ,
SCO 12-56 _ _ = SCO 2G:1 11
' . .[I Keeping of Trailers,Comm.and Ric.Vehicles etc ,
- SCO 24211 ,t
+ [.I Removal of SnowAce tram Sidewalks
SCO 38-13 and 38-14
Zoning Ordinance - e '
�IszO§ l:l o l GW, 1 IMIA22 - Z
]Other Crtati
Sr,
signaPurepiggi Person
Department
y
Amount of Finer:-[ ]Warning- 11$25.00,.. $5000 •- ` -z ` I -
a.,
]$100.00 -( j$200.001 [ j$300.0 0 t j ocher s
z You have the following alternatives in this matter withirr21 days of the date of: A
}'p this notice: -
choose to pay the fine within 21'days of the date of this notice -
32.� Enclose a.check or money order payable to the.City of Salem and return it in this envelope : +'
' or by delivering In hand to the City Clerk's Office,City Hall,93 Washington Street Salem
L. MA 01970.If delivering in hand,please nate the hours of City Hall.operation Monday sa' r y ,- .,,}
'& through Wednesday from 800am to 4:00pm Thursday from 800am.to 700pm and .} _ .A.
a Jrlday from 6:00 a.m.to1200pm
*t i [.hchoose to contest this matter within 2l days of the date of this nonce and request mwnhng- - -
i a noncriminal hearing,.
Enclose a.copy of this citation and mail it to the Clerk Magistrate Salem Distract Court 65
Washington Street,Salem,MA 01970.The Court will schedule a hearing.
+. FAILURETO OBEY THIS NOTICE WITHIN 21 DAYS OF THE DATE OF THIS NOTICE WILL # -
RESULT IN THE CITY OF SALEM APPLYING FOR THE ISSUANCE OF A-CRIMINAL- +
t COMPLAINT AGAINST YOU AND THE DENIAL OR..REVOCATION OF ANY CITY OF-
SALEM PERMITS OR LICENSES YOU APPLY FOR OR THAT YOU HAVE BEEN GRANTED,
INCLUDING BUILDING PERMITS
1.City of Salem,City Clerk's Office,93 Washington Street,Salem,MA 01970
` p (978)745-9595,ezt..5610.
- SEE OTHER SIDE FOR FURTHER INSTRUCTIONS - -
' ENCLOSE PAYMENT INTHIS ENVELOPE,PEEL AND SEAL
-i q= a 3
a i
4:A 4
]
CITY OF S�U.&N4 TNLsSACHUSETTS
BunnI 1G DEPARIImNT
• 120 WASHINGTON STREET,3'FLOOR
TEL (978)745-9595
FAX(978)740.9846
KIMBERLEY DRISCOLL
MAYOR T31OMAS ST.P>ERRE
DIRECTOR OF PUBLIC PROPERTY/8CUMING CO%06MIONER
CONSTRUCTION CONTROL DOCUMENT
Project'title: /C/��/U( Ie Date: / l/
Project Location: �0y�G�
Scope of Project: �� (. 0�. of t �/l Ali) ar-GG e�66 t fi �Ot(21` J��
In accordance with C17JQN 116,. 1-116.4.2 of the 6th edition of the Massachusetts State Building Code:
(� Z?
1 ( !//L Mass.Registration Number r'�
being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans,computations and specifications concerning:
[ J Entire Project {I�Architectural [ ] Structural ( ] Mechanical
( J Fire Protection K] Electrical [ ] Other(specify)
for the above named project and that to the best of my knowledge,such plans,computations and specifications meet
the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all
applicable laws for the proposed project.
Furthermore,I understand and AGREE that I shall perform the necessary professional services and be present on
the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the
documents approved by the building permit and shall be responsible for the following as specified in section
116.2.2:
1, Review of shop drawings,samples and other submittals of the contractor as required by the construction
contract documents as submitted for the building permit,and approval for the conformance to the design
concept.
2. Review and approval of the quality control procedures for all code-required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine,in general,if the work is being performed in
a manner consistent with the construction documents.
I shall submit periodically,in a form acceptable to the building official,a progress report together with pertinent
comments. Upon completion of the work,I shall submit to the building officiala final report as to the
satisfactory completion and readiness of the project for occupancy.
Signature and Seal of registered professional: t AR[y
CYP�W
,
NO.7814
w
F
AS
2 V
ww,..z ..purr crivliu gall Ally JU1 1.71251 74160f 1—bb( i'OO'Z/0014
Commonwealth of Massachusetts
100143546 W
Asbestos Notification Form ANF-001 °eca'"umbar
I
Important:
When filling out A. Asbestos Abatement Description
forms to the 1. a. Is this facility fee exempt cit ,town,district,municipal housing authority,owner-occupied
computer,use Y P - P g Y= P
only the tab key residence of four units or less?�Yes E]✓ No `
to move your
cursor-do not b.Provide blanket decal number if applicable: Blanket Decal Number
use the return
key' 2. Facility Location:
GATES OF PEACE CURCH 56 MARGIN ST
a.Name of Faahlvb Stre t Addre _
LL SCALEM _ � MA _� 01970 9783989949
a
* CitylTown _ d.State e.Zip Code I.Telephone Number
INSTRUCTIONS 3. Worksite Location:
1.All sections of this BASEMENT E=
form must be a.8u8ding Name/Building Location b.Bullding# C.Wing d.Floor e.Room
completed in order
to comply with 4. Is the facility occupied? E3 Yes faNo
DEP notification
requirements of 310
CMR 7.15 5. Asbestos Contractor:
and the Division ""'—'"""--""""""""
of occupational ENVIRO STAFFING SOLUTIONS 95 MERR[MACK ST
Safety(DOS) a,Name b.Address _
notification
requirements of 453 LAWRENCE101841 1 19787947800 y
CMR 6.12 c.Cit /Town d.Zip Code e.Telephone Number
AC000737 ��
t.DOS License Number g. Contract Type: El Written El Verbal
_ ii
JUAN REYES I
Jr.Facilityontact person L Contact Person's Title _
FELIPE PLA —� I AS035003
6' a.Name of Onsite Su arvisor/Foreman b.SupervisoffForeman DOS Certification Number _
DANIEL BATISTA AM000029 W ��
7' a.Name of Project Monitor b.protect Monitor DOS Certification Number
Al SPECTRUM SERV — AA000152
8' a.Name of Asbestos Analytical Lab b.Asbestos Analytical Lab DOS Certification Number
3/1712012 311812012
9.0
a,Project Start Date mm/dd/yriy) b.End Date mm/dd/ yyy)
_moo W1 7AM-4PM.____ � �
N c.Work hours Mon-Fri. d.Work hours SalSun.
0 10. a, What type of project is this?
° ❑Demolition ✓Q Renovation _
❑Repair ❑ Other, please specify: b.Describe
11. a. Check abatement procedures:
^° J Glove bag Encapsulation
o Enclosure H Disposal only
LL Cleanup ❑Other,specify:
z {,Full containment b.Describe
a 12. is the job being conducted: (✓ Indoors? []Outdoors?
anfODlap.doc•10102 Asbestos Notification Form•Page 1 of 3
114y cul 1Jf of J'3f OVJf 1'O�I P'U 4�3l�1U4 C-Jf�
' — Commonwealth of Massachusetts
100143546
Asbestos Notification Form ANF-001 Decal Number
A. Asbestos Abatement Description (cant.)
13. Total amount of each type of Asbestos Containing Materials(ACM)to be removed,enclosed,or
encs sulated:
145 10
a. ota pipes or uc s wear o a o or su aces square
c.Bailer,breaching,duct,tank = 10 d.Insulating cement
surface coatings Lin,ft. Sq.ft. (Lin.B. Sq.ft.
e.Corrugated or layered paper 145 f.Trowel/Sprayer coatings = =
pipe ray-on fir Lm.f Sq,t� t' I h.Transile board.wall board ffLi�n'fL�" ttS�q''.ft.
g.Spray-on fireproofing jj''''''''''�'�''jj ((��''�''`''��� q'ft�.
I,Cloths,woven fabrics L..�.� L—_._..._-J 1.Other.please specify. L_..-..�...]
LinLin,fl�� SS .f� Lin.tt. _g�
k.Thermal,solid core pipe
insulation Lin.
WE ft Sq.ft. i.Specify
14. Describe the decontamination system(s)to be used:
3 CHAMBER DECON SYSTEM AS PRESCRIBED BY DLS.
15. Describe the containerization/disposal methods to comply with 310 CMR 7.15 and 453 CMR
6.14(2) (g):
TTED DOUBLE BAGGED AND LABELED.
16. For Emergency Asbestos Operations,the PEP and DOS officials who evaluated the emergency:
a. a� P O icra.
c.Date
(mof AutharizaGon d.DEP Waiver# __
e.Name of DOS Official ~� rf. Ot a a tie _~ �_
g.Date(mmlddlyyyy)of Authorization h.DOS Waiver#
N
o 17. Do prevailing wage rates as per M.G.L.c, 149, §26, 27 or 27A-F apply to this project?❑Yes o No
B. Facility Description
N CHURCH
�o 1. Current or prior use of facility:
0
2. Is the facility,owner-occupied residential with 4 units or less? El Yes (]No
3 GATEWAYS OF PEACE TO THE NATIO N3� 47 CANAL ST
a.Facility Owner Name b.Address _
01970 9783989949 _
0 c.OftylTown d.Z113Code e.Telephone r{area code and extension _ _
LL 4.
a.Name of FOn-
Site Owner's On -it—e-M--alnage�r---`__"� b.On-Site Manager Address
Z
Q o.Cityffown d.Zip Code e.Telephone Number(area code and extension)
® anf001ap.doc-10!02 Asbestos Notification Form-Page 2 of 3
- "-^- +•,;,/ "•++ +.i i.+i v aV V1 V J I 1 VJ V U1 I LJ r 0
`d ''!"^ Commonwealth of Massachusetts
�iD0143546 �—
Asbestos Notification Form ANF-001 Decal Number
B. Facility Description (cont.)
IENVIRO STAFFING SOLUTIONS 65 MERRIMACK ST
5' a.Name of General Contractor b.Address
LAWRENCE �� 01843 19787947800
c.Cit /Town d.Zip Code e.Telephone Number area code and extension)
_
DALLAS NATIONAL INSURANCE I --�--- 6/26/2012
f.Contractor's Worker's Comp.Insurer Q.Policy Number h.Exp.Date,(mm/dd/yy
6. What is the size of this facility? IJ I —
a.Square Feet b.Number of floors
C. Asbestos Transportation and Disposal
1. Transporter of asbestos-containing material from site to temporary storage site(if necessary):
ENVIRO STAFFING SOLUTIONS I 65 MERRIMACK ST
Note:Transfer a.Name of Transporter b.Address
Stations must ILAWRENCE 101843 9787947800
comply with the c.City/Town
Solid Waste d.Zip Code e.Telephone Number
Division 2. Transporter of asbestos-containing waste material from removal/temporary site to final disposal site:
Regulations 310
CMR 19.000 SERVICE TRANSPORT 158 PYLES LANE^�
a.Name of Transporter b.Address _
LAWRENCE 1 101843 9787947800
c.Cit /Town d.Zi Code e.Telephone Number
3. NIA
a.Refuse Transfer Station and Owner b.Address
c.Cit /Town d.zie Code e.Telephone Number
4. MINERVA ENTERPRISES INC
a.Final Dis osal Site Location Name b,Final Dis osal Site Location Owner's Name
9000 MINERVA ROAD IWAYNESBURG
c.Final Disposal Site Address d.Cil /Town
OH 44688
e.State f.Zip Code g.Telephone Number
M
O
D. Certification
N
The undersigned hereby states,under the RAMON QUEZADA RAMON QUEZADA
° penalties of perjury, that he/she has read the a.Name _ b.Authorized Signature _
° Commonwealth of Massachusetts regulations OP MANAGER 1 3A/2012
for the Removal, Containment or c.Position/Title d.Date mm/dd/ y�L
Encapsulation of Asbestos, CMR 6.00 and 9787947800 _ ] ENVIRO STAFFING SOL
310 CMR 7.15,and that the information
contained in this notification is true and correct e.Tele hone Number f.Re resentin _
° to the best of his/her knowledge and belief. 65 MERRIMACK ST T�
° q.Address _
aLAWRENCE D1843
h.City/Town i.Zip Code
Z
Q
® anf001 ap.doc•10/02 Asbestos Notification Form•Page 3.of 3
1'03f YULlr VJN4 !"—yf,i
ENVIRO STAFFING SOLUTIONS CORP.
65 MERRIMACK ST.UNIT 12
LAWRENCE,MA 01841
PH:978-794-7800 FAX:978-794-7807 WWW.ENVIROSTAFFING.COM
FAX
T0: DAVID(SALEM BOARD OF HEALTH) FROM: WASCAR VARGAS
FAX: 978-745-0343 PAGES: 4 INCLUDING COVER
PHONE: DATE: 3/20/2012
RE: SALEM CHURCH NOTIFICATION CC:
0 Urgent Q For Review 0 Please Comment 0 Please Reply 0 Please Recycle
Comments:
DEAR INSPECTOR,
PLEASE FIND THE NOTIFICATION FILED WITH DLS AND DEP ATTACHED.ANY QUESTIONS PLEASE CALL,
THANKS,
WASCARVARGAS
03129/12 2:18 PM Page 1
Lyn Hovey Studio, Inc.
140 EAST MAIN ST.
NORTON,MA 02766
ATT. Michael E Lutrzykowski
m
� f
7
Jeffrey Cruse
55 Southern Avenue, Dorchester, MA 02124
Ilius successfu;ty completed the 8-hour course �.
Renovator Initial - English
Pursuant to 40 CFR Part 745.225
Course Location
Institute for Environmental Education
18 Upton Drive Wilmington, MA 61887
y
_April 5, 2010 April 05, 2010
Course Dates Exa pination Date
R-1-18398-10-02899 Agri 10 , 2015
Certificate Number Expiration Oaie Training Director
a
o
N
N
Y
N
O n�
N
d
m
a
i!
Th is th cf.
Jeffrey Cruse
55 Southern Ai�enue, Dorchester, SIA 02124
has successfulty completed t1te S daaur caurse }
Renovator Initial - English
Pursuant to 40 CFR Part 745.225
Course Location
Institute for Environmental Education
18 Lipton Drive Wilmington, MA 81887
}
April 5, 2010 April 05, 2010
Course Dates Examination Date
R-1-18398-10-02899 Aiit51.i3 _ Z0l5 " �' —
Certificate Number Expiration Data . Training Director
a
m
Y
N
N �
Y i
m
N
OI �
Certificate No: 728-12 Building Permit No.: 728-12
Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Perm is
This is to Certify that theCHURCH located at
-------
----'-----------------------------------------
Dwelling Type
54 MARGIN STREET in the CITY OF SALEM
- - - - -------- -------------- - -
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
54 MARGIN STREET GATEWAY'S TO PEACE
This permit is granted in conform ty with the Statutes and ordinances relating thereto,and
expires unless sooner suspended or revoked.
Expiration Date
/1
Issued On: Thu Jun 14,2012 --
-------------------------------------40---------------------------------------
GeoTMS®2012 Des Launers Municipal Solutions,Inc. --------------------------------------------------------------------------------
Certificate No: 705-12 Building Permit No.: 705-12
r; =� Commonwealth of Massachusetts
City of Salem
Building Electrical Mechanical Permits
This is to Certify that the CHURCH located at
-----'-
-_,---------Dwelling Type-------------------
A 00
54_NkdgZ STREETin the CITY OF SALEM
--------------------- - - ------- ------------------
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF
OCCUPANCY
OCCUPANCY PERMIT FOR THE ((2) NEW HANDICAP BATHROOMS)
This permit is granted in conform ty with the Statutes and ordinances relating thereto, and
expires ......................... unless sooner suspended or revoked.
Expiration Date
----------------------------___--____-- -----------------------------
Issued On:Wed May 23, 2012 - - --------------------- -
- --------------
GeoTMS®2012 Des Landers Municipal Solutions,Inc. -- ---- --------- --- -----------------------------
54 MARGIN STREE rI' 705-12
;cis _ 13wf2 COMMONWEALTH OF MASSACHUSETTS
,ter 2s
E--P—block: CITY OF SALEM
'
,Lot: 0597-801
Category: Handicap bath
Permit:# 705-12. BUILDING PERMIT
ProjectIt JS-2012-0019416
Est. Cost: $46,000:00
'Fee Charged:, $5_11.00
'Balance Due: $.00 PERMISSION IS HEREBY GRANTED TO:
Const Class: �Contractor: License: Expires:
,Use Group: Leocadio Paulino CONSTRUCTIO SUPERVISOR-089538
'Lot Size(sq. fL). 24032.9232
— — --Owner: GATEWAYS TO PEACE
(Zoning: -
Units Gained: (Applicant: Leocadio Paulino
!Units Lost: �AT: 54 MARGIN STREET
!Dig Safe#: _
ISSUED ON. 06-Mar-2012 AMENDED ON: EXPIRES ON: 06-Aug-?012
TO PERFORM THE FOLLOWING bVORK
(2) NEW HANDICAP BATHROOMS jbh
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
1.Electric Cas Plumbing Building
' Underground: Underground: Underground: m �} Excavation:
Service: Aleter: /�y�VI L� Footings:
s tT N I
Bough:y/.y' Rough: Rough:_ Foundation:
4111)F'inal: 1)�l Final: Final• (9 jt l� � Rough Framc:0�
S - `� V 1\ Fireplace/Chinmey:
D.P.W. Fire Health
Insulation:
Me'te'r: 011:
Final:
House It Smoky.
Water: Alarm:
:assessor Treasury:
Sower: Sprinklers: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM[ UPON VIOLATION OF ANY OF ITS
RULES AND REGULATIONS.
Signature.
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2012-002133 06-Mar-12 183 S511.00
IMPORTANT:OWNER OR CONTRACTOR MUST
ARRANGE FOR I°ERICDiC INSPECT ONS DURING
CONSTRUCTION.SEE CURREN'BUILDiNG COLE
CHAPTER 1 FOR LIST OF REQUIRED INSPECTIONS.
CALL 978-619.5641 TO SCHEDULE AN INSPECTION
Gco F:NISR 2012 Dos[.am run's Municipal S011limis,Inc.