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0003-0025 PARADISE ROAD - BUILDING JACKET 3-25 PPPP.B7$& RL;. 'h'�-vY��irixy�+�J'a .-nayfis.-�..a,crfs�'zh�«3•,.i,.a y.:..-w.v`:�.�.=-_�yi: .3.��..-.._�...,.1 r City of Salem, Mass. ELECTRICAL DEPARTMENT = 44 Lafayette Street PAUL M. TUTTLE ,CITY�� //ELECTRICIAN DATE . . . . : . . . . . . . . To: INSPECTOR OF BUILDINGS Salem, Mass. Electrical Contractor ----_- pp (Signature of Applicant) Z-,-77------------------------------ --------------- ------------ ------------------------------- ------------------------------------ has signified their intention of performing the required electrical work Street in conjunctionwith a wi ri ng , of sign by.: s i g n Contractor ........... .................................... ------- .............. ----------------------------------- ISSUED BY/Jr_Y--'--- ----------------------------------------------------------------- This is a requirement, preliminary to the issuance of a permit for the sign installation by the Inspector of Buildings. ORIGINAL-SIDEWALL INSTALLER. PINK COPY-BLDG.INSP. YELLOW COPY-ELEC. FILE 3 Cite of 6alem' �Kag5arbU5 tt5 3publit Propertp Mrpartment W.uilbing Bepartment One 99alem green (976) 745-9595 Ext. 3S0 Peter Strout Director of Public Property Inspector of Buildings Zoning Enforcement Officer November 16 , 1998 G . P.D . Real Estate Holdings L.L. C. 3-25 Paradise Road Salem, Mass . 01970 RE : 3-25 Paradise Road Dear Sirs : This office has received numerous complaints regarding parking lot sweeping at 3-25 Paradise Road . The complaints states that sweeping is going on early mornings , which violates the City of Salem Noise Ordinance . This ordinance allows the operation of heavy equipment from 8 : 00 a.m. to 5 : 00 p .m. Monday thru Saturday only . Please notify your contractors to perform work during those hours only . Please contact this office within fifteen ( 15 ) days upon receipt of this letter to inform us as to your course of action in this matter . Thank you in advance for your anticipated cooperation in this matter . Sincerely, / G.� Thomas St . Pierre Assistant Building Inspector cc: Pat Carney Al Viselli P .A. R. Properties 1000 Paradise Road Swampscott, Mass . 01907 October 24, 1998 Mr. Tom St . Pierre Building Inspector One Salem Green Salem, MA 01970 Dear Mr . St . Pierre: P .A. R . Properties is the managing agent for Summit Estates Condominium located in the Vinnin Square area of Swampscott . Our office has received several calls from residents regarding the sweeping of the parking lot of the Staples shopping center . The sweeper is performing said services at unreasonable hours . I have received reports that sweeping is being done or various hours between 2 :00 a.m. to 6: 00 a.m. The noise from the sweeper has been a disturbance to many residents of Summit Estates . It is my understanding there is a noise ordinance which prohibits this work during said hours . There was a similar problem with the sweeping service for the Marshall 's parking lot in Vinnin Square. The Town of Swampscott issued a cease and desist order to the sweeping company preventing sweeping before 7:00 a.m. or after 11 : 00 p .m. Please take the necessary measures to correct this problem and make certain the sweeping is performed at a reasonable time . Thank you for your immediate attention . Very truly yours , P.A. RPR '9 IES, INC. Managing gen for Summit Estates Yci A yon 1000 �Pmadm I�Poad. Swampscott. A-A 01907. (617) 599-1000 06/24/93 08:03 $1 617 380 8412 STOP SHP CORP RE 1@002 SNELL :EEMAI.TY 'I'R.TJ'ST REAL ESTATE DEPARTMENT P.O.BOX 369 BOSTON, MAO 2101 Tel: (617) 380-8218 June 24, 1993 Mr. LaPointe Salem Fire Department 48 Lafayette Street Salem, MA 01970 Re 3-25 Paradise Road Vinnie Square—Salem, MA Dear Mr. LaPointe: As the property owner for the above-referenced site, understand that we shall be responsible for completing all common area fire alarm and sprinkler work. The individual tenants shall be required to complete all fire alarm and sprinkler work within their individual tenant spaces. All work mentioned above shall be performed by licensed contractors that shall be prequalified by the Salem Fire Department. If you have any question with regards to the above, please contact me at your earliest convenience. Yours truly, John M. Herron Corporate Property Manager JW/lsd/367SR/31 V-4 65 Hemenway Street Realty Trust Ori Ran, Trustee DateNLS y9g3 1 Dead Eye Run Swampscott, MAO 1907 phonelfax: (617) 581 -56' 8 'To; Pl FAX -vT -7 'at o tis . Y FROM, o K L Q o N - - -- - - L,/-- 4-, a _ Q 1 t M 0 M O if La, b'GL� s k�-F t.:l 0 V LA C E Y � ►� - - Cis-yen-e,P-y �Q"QS c,c . J. �mlda�, r; ,m : ! UUSOi l 617-57615610 F'01 Tiff 0"'treet Realty Trust 65 Hemenway -S. Ori Ron, Trustee Date vcv z--) f9Q3 11 Dead Eye Run Swampscott, MA 01907 phone/tax: (617) 581 -.5618 TO 81 ••56018 TO FAX A FROM ren e� N � -- -- 7� OT- AU lr. y 'f�/�'� oytl �/ ��Ol� .rV NGT J/ NJ.�• /✓ �-.,f/-.....Li.�I�.�A^f Nov 2. _.�T• a .z ��Y,S -- 7 '>Z ac �'�"�./'_rAnc-f'R��'.7'10�+' �l N�/' impr;:,- n.r:w Jv 1,jest, I 1 0 s't'-F� - 'r" T�aa� V 0 A-01 .v(J 3 Oe R•^A7 �1'C fL r. ' .�.5 '3 Sl � 1 woi 7�c 7 r� oleo-' — -Frio ,P.Cil Riley I J sYric,e>te� �0 - oc)o�, Plans must be filed and approved by the Inspector before a permit will be granted. No.,� City o%Salem Ward IS PROPERTY LOCATED IN THE �c � ; HISTORIC DISTRICT? Yes No_ IF SIDING, HAS ELECTRICAL Y}{ome Phone # Cjl '77�{—c}7Y(?j PERMIT BEEN OBTAINED? Yes_No_ APPLICATION ),Bus. Phone # 5A 7jr7_ %01 FOR PERMIT TOr Salem,Mass., TO THE INSPECTOR OF BUILDINGS: �ne.lr �iZec.1� ��HSh The undersigned herebv applies fora ermit o build according to the following specifications: ✓Owner's name and addr ss._ - L. 11C 2 ij Y1 f�k VArchitect's name A • v A. )-Mechanic's name and ad sst (15 U G c, A— � yl ocation of building,No. V 1 nnl R �' I 6:ra is What is the purpose of building? Material of building? — ' AsbestoS? If a dwelling,for how many families Will the building onform to the ra�uirements of the l,�Estimaied cost I ,,CC a s on Lie.No. a C C 7D t Vaignature of applicant 51GNED UNDER THE �us 'caEM tr PENALTY F PERJURY `t M15C Woo - tv ea�� ei a CrSv�n p 4 No<ff4— Ward _ APPLICATION FOR PERMIT TO ROOF REROOF OR INSTALL SIDING Location / —)� C.f.CSlC1.(�/ PERMIT GRANTED a�� f 19/9 App d OCA ui ing Ins actor cot, �� .;�� .7>' �. ewes✓�aw.oetr %chant S. Goihemor Keetaro rsuisuest 9&AI(am, ,Auaoim ea 02108 18171 T-., Charles J. Din— Admmatramr MEMORANDUM TO: All BuiWms DcpartmentsriMi: Buddine Inspecmrs FROM: Charles J. Dittean . Administrator DATE October 31. 1988 SUBJECT. MGT. MQ SS4. Added Rv r581. ti9 of the Acta of 19RT The anoye•me110oncu statute requires that ucnm resulunq tram the dCmmllion. rcmaWIm11. fehn01Nta0e11 ,it Other ayteranan of a buntline or structure he timposcu Of in a property It—sal said wUte Map= dobe as ucrineu by MGL 1:111. S150A anu that nuuutne permits or ucrssts tic ui mdn3tn.10e localm 'd the taauty at which Inc saw dcnm IN ui tic utspast:u. THIS REOUIREME?4T'DOESNOT ,APPLY TO NEW CONSTRUCITON. In ismer In SIMOIIfv tnc process and ui prtivtde uhuurmity. we are attaching a ixipy of a aper whit* yee =either rcpmurc and use as it is smcc the compictcu form wtu be attacm to the Otlice W"M budding permits Or un*«- or rcpmauce It On your ictternt•,.. In case rif m11mapat.commeieGl.Industrial.or multi-unit hnusme construction.the Lanlracmr TRIM 1101 kttetti the dumpster sUbeOnlf2ODr at the time at the budding permit application. In such t-,«, ter ettaeem CO" of an AffldaVtt can be used. The complete taw is chntamed in me Nnvemner issue of CODEWORD which wit he matted 10 Win in the nest two weeks if you should have anv uucstmn. plcasc Ict us know. c'JDhm J� 4 AFFIDAVIT As a result of the provisions of MGL c 40, S54, I acknowledge that as a condition of Building Permit Number all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. I certify that I will notify the Building Official by (Two months maximum) 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 l Signature of Permit Applicant �ebrCS1 ��.1CwtJYal b� Vj-ynnT ) � �/� 5 SLI f / _ oLnn`�enev& 1 fa 4 I (Print or type a following information) is In arr7s Name of Perm[[ Applicant Cz-rk& -& C&nv \yoC; ldyl C.C) . VlG . Firm Name, it any 170 ��va� ee� +VesS a � 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 properly licensed solid waste disposal facility as defined by MGL c 111, S 150A- The 50AThe debris will be disposed of in: (Location of Facility) Signature of Permit Applicant Date Certificate Number: B-15-1285 Permit Number: B-15-1285 Commonwealth of Massachusetts City of Salem This is to Certify that the .................................................................Shop..Center Building........................................................ located at Building Type ....................................................................._3-25 PARADISE ROAD...............-..................................................... in the .....................................City of Salem ................. . . . . ............................................... Address Town/City Narne IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY NAILS & CO SPA COLEENHENDERSON This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires .............................._Not Applicable unless sooner suspended or revoked. Expiration Date Ct.�V Issued On: Tuesday, April 19, 2016 (/N� w�wis w DIVIt� '" CIV E-4 H � r colT�monwealth of Massachusetts F< - i Cty of Salem a _ 120 Washington St,3rd Floor Salem;MA 01970(970)745-9595 x5641 Return card to Building Division for Certificate of Occupancy ` Permit NO. 13-15-12I35 4 T PER EE PAID. $1,815.00 _ T TO B V1 L DATE ISSUED: 11/23/201b , This certifies that NEW CREEK II LLC C/O KIMCO REALTY CORP has permission to erect, alter, or'-derril a building „.3-25 PARADISE ROAD Map/Lot: 200006-0 as follows:' -Renovation .BUILDING SALON/DAY SPA TO ARCHITECTS PLANS; INTERIOR PETITIONS, FLOORING & CEILINGS FOR'NAIL'S & CO. @ 15 PARADISE ROAD _ Contractor Narde:_ ChristopherTaylord/b/a Taylor&`Sttn Consfruction DBA: x "' ,.r Contractor License No: 71325 s n 11123/2015- :.. Building.Official, Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within slx`months afterissuance..The Building Official .. may grant one or more extensions not to'exceed six months each.upon written request:` r - ' All work authorized by this permit shall conform to the approved application and the approved constructfgn documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance withthe local zoning by-laws and codes. This permit shall be displayedina location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the t - work until the completionof the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials ere.provided on this permit.. H IC $l: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth tr MGL e 142A). Restrictions: R Building plans are to be available on site. All Permit Cards are the property ofthe PROPERTY OWNER. Commonwealth of Massachusetts ' Y � City of Salem 4 <rt 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 • Return card to Building Division for Certificate of Occupancy ` Structure CITY OF SALEM BUILDING PERMIT Excavation PERMIT TO BE POSTED IN THE WINDOW , '.--N �� Footing INSPECTION RECORD Foundation Framing t•C. Q. - Mechanical . . - Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final Plumbing/Gas Rough:Plumbing! ldI Rough:Gas Final >� U, Electrica ' • _, . �. Service Rough Final Gr. 1 7J�l/�fFQ lr�� y1J9.yJ ,1 _ • ' "* y Fire epa ent Preliminary - Final - Hea th Department Preliminary Final Commonwealth of Massachusetts N yd City of Salem a 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT PERMIT TO BE POSTED IN THE WINDOW w Excavation 9 Footing INSPECTION RECORD Foundation Framing �•`•1� Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final Plumbing/Ga i ��L Rough:PlumbingA/� Rough:Gas (P Final a / Electrics Service Rough Final Fire epa ent Preliminary Final Health Department Preliminary Final Commonwealth of Massachusetts � City of Salem \� T 120 W ashington St,3rd Floor Salem,MA 01970(9 78)745-9 59 5 x5641 Return card to Building Division for Certificate of Occupancy Permit No. B-15-1285 =EE PAID: $1,515.00 PERMI"81`1`0 BUILD DATE ISSUED: 11/23/2015 This certifies that NEW CREEK II LLC C/O KIMCO REALTY CORP has permission to erect, alter, or demolish a building 3-25 PARADISE ROAD Map/Lot: 200006-0 as follows: Renovation BUILDING SALON/DAY SPA TO ARCHITECTS PLANS; INTERIOR PETITIONS, FLOORING & CEILINGS FOR NAILS & CO. @ 15 PARADISE ROAD Contractor Name: Christopher Taylor d/b/a,Taylor& Son Construction DBA: Contractor License No: 71325 6,14" 11/23/2015 Building Official Date This permit shat:be.deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterJssuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved constructign documents for which this permit has been granted. All construction, alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. - The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. H I C #: 'Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. 1 i ( Certificate No: 981-08 Building Permit No.: 981-08 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the BUSINESS located at Dwelling Type 3 -25 PARADISE ROAD in the CITY OF SALEM ----------------- -- ----- ------------------------------------------------------------ Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY OCCUPANCY PERMIT FOR DUNKIN DONUTS This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires __-__-----_-____-_-___- ................ unless sooner suspended or revoked. Expiration Date ----------------------------.---------------------------_ Issued On: Fri Jun 13, 2008 -__-------------- GeoTMS®2008 Des Lauriers Municipal Solutions,Inc. --- --- ---- ------ -- �.CONDIT� n o � W30VE AD CITY OF SALEM BUILDING PERMIT CITY OF SALEM ROUTING SLIP NEW CONSTRUCTION - CERTIFICATE OF OCCUPANCY LOCATION:q S A�✓ads e t ' —DATE r APPLICANT:ASSESSO ��y� FRANK KULJX v 1C�si✓` DATE: "� Z v O (93 Washington Sores) �/ ' CITY CLERK DATE: / a O p CHERYL LAPD (93 Washin(aoe Street) fJ PUBWCB SERVICES n/� Tk mfr DATE: D (I.J Washington Street)4-6 FI - WATER Y 6 ATE: DOTTIE THIHODEAU (120 Washington Street)O Floor IJ i1 CROSS CONNECT SUPERVISOR BRIAN THIRODRAU DATE: (S Jefferson Avenue) PLANNING -_ � DATE: `F �� (12u Washington Street)3°d Floor CONSERVATION COMMISSION FRANK TAORMINA _______—DATE: DATE: (120 Washington Street)3d Floor ELECTRICAL DATE: JOHN GIARDI (46 Lafayette Street) FIRE PREVENTION ERIN GRIFFIN DATE: (29 Fort Avenue) HEALTH JOANNE SCOTT DATE: J� (120 Washington Street)41h BUILDING THOMAS ST. PIERRE DATE: (120 Washington Street) 3°Floor Certificate No: 575-10 Building Permit No.: 575-10 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the BUSINESS located at Dwelling Type 3-25 PARADISE ROAD in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY OCCUPANCY PERMIT FOR(RIZZO-S) This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires _-_........_. unless sooner suspended or revoked. Expiration Date /� Issued On:Thu May 13,2010 t<=-�.-3-- V �. ---------------- 5 G- - ------------ GeoTMS®2010 Des Lauders Municipal Solutions,Inc. -------------------------------------------- ----------- ------ �,CoNntT�, _n JA a 4. vscve •0 CITY OF SALEM BUILDING PERMIT f j 3-25:PARADISE ROAD 575-10 GIS# ic �'4 c 1518 lap* 20 COMMONWEALTH OF MASSACHUSETTS Blnck:^ � � CITY OF SALEM Lot: 0006 ; _ Category: } TENANT FIT-OUT. .; Permit# = 575-M., = % BUILDING PERMIT Protect# a JS-2010-000915 Est Cost a$61,000.00 , .*, A:`" Fee Charged:' $676.00 °Ii€ Balance Due: , $.00 si K-,,' PERMISSION IS HEREBY GRANTED TO: Const.Class: ;), Contractor: License: Expires Use Group:,. B F CONSTRUCTION CONSTRUCTIO SUPERVISOR-CS3280 Lot Siz4sq.. ft): 183823.2 el-7 Zonmg n±l0.� t nt — Owner: PRIMA IV LLC, C/O THE WILDER COMPANIES , ,.�, Units Gained: ) 2 ':'i;i?3 Applicant: B F CONSTRUCTION Units Lost: ' r' 4' " _i AT: 3-25 PARADISE ROAD Dig Safe#: ISSUED ON: 04-Mar-2010 AMENDED ON: EXPIRES ON. 04-Sep-2010 TO PERFORM THE FOLLOWING WORK: TENANT IMPROVEMENTS FOR NEW RESTAURANT POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Building Underground: U er ground: Underground: Excavation: Service: e[er: Ca>Qi s Footings: Lgh �i%Q Rough �p'�r Roug ` 3 ' 5/U Iv Foundation: Final: Fin Final�(1 �..� 6K(9�6 f'D Rough Frame: ,',,- Fireplace/Chimney: D.P.W. re, Health Insulation: Meter: !Oil: ` Final: ©eO/ House# Smoke: 1�• �J Water: Alarm: - Assessor Treasury: Sewer: Sprinklers: / Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLAT O F NY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount BUILDING REC-2010-001062 04-Mar-10 3683 $676.00 Cali for Permit to OCCUPY GeoTMS®2010 Des Lauriers Municipal Solutions,Inc. ., 1 ZIWNad NICIII11S Waly S d0 .XZID OV 3ADSA 0 U ��b�Llalli4�� coNnlr,9a CITY OF SALEM, MASSACHUSETTS LICENSING BOARD n �a 120 WASHINGTON STREET _. r M / q• SALEM, MA O 1970 DAVImfr` TEL. 978-745-9595 EXT. 5648 JOHN H, SHEA.CHAIRMAN JOHN H.CASEY INE D��P FAX 978-744-6775 RICHARD C. LEE MELISSA PAGLIARO KIMBERLEY DRISCOLL CLERK OF THE BOARD MAYOR ROUTING SLIP The Salem Licensing Board requires each applicant to have the appropriate Departments sign this Routing Slip and return it to the Licensing Board Office prior to the issuance of a license. BUSINESSNAME 1ZtZ7-o4 VINI" 5004Zd LI-le— Corporate name: d/b/a: tZ%ZLt)'SI�Are -r Btu-4 Awd Ott Zr4 LOCATION: -7 Pr op �R p sm Tele. # 97T -7Z1 3obj TYPE OF LICENSE: APPLICANTS NAME: Dibd Qo2otivu� 05 Residence $ f p i— Cr q-S- Street: {}rM�`i13tA2`� IMA Dl w 13 Home tele. # City: State: Zip: TO ALL CITY DEPARTMENTS: your signature on this form is notifying the Licensing Board that all requirements of your department have been met, at which time the Licensing Board will issue a license VVis ric Commission ATE Sign/Review Planning Dept. DA E astreet 120 Washington Street SAf&n-1VC1th Depa ent DATEFire Prevention AT11- 7/129 120 Washington Street Fort Avenue "�17- 7�' 7�/S 777 "J 'Wo'� to Building Inspector DATE Dept ublic Services DATE 120 Washington Street (Water Dept) 120 Washington Street routing slip 2/09 NOTICE OF CITY ORDINANCE SALEM CITY OF SALEM CITY ORDINANCE Citation: . 2385 y��coNnr�gQ,\ a Date: Time: 02/01/2015:] T -A Location: 11 PARADISE ROAD Badge Number: Officer: MICHAEL LUTRZYKOWSKI, BUILDING Fine: 02/01/2015 $ 25 . 00 Violation: 05 REMOVAL OF SNOW/ICE FROM SIDEWALK (SCO 38-13 & 38-14) Payments : Other: $ -25 . 00 Docket : Verdict : TOTAL DUE: 02/05/2015 $ 0. 00 ABATEMENT RECEIPT CITY OF SALEM MA-037-CO-2015-00-2385 CITY OF SALEM PARKING CLERK 02/05/2015 PO BOO 203 TOTAL DUE : 0 . 00 MILFORD,,MA 01757 (508)473-9660 ABATEMENT INFORMATION SARGENT,ARTHUR 02/05/2015 $25.00 8 MAPLE AVENUE INCORRECT INFORMATION SALEM,MA 01970-0000 ' UNDERGROUND " ENGINEERING& ENVIRONMENTAL SOLUTIONS Haley&Aldrich,Inc. 58 Charles Street Cambridge,MA 02141-2147 Tel:617.494.1606 Fax:617.577.8142 EmaIl:BOSQHaleyAldrich.com 8 August 1995 File 11507-078 City of Salem Zoning Board One Salem Green Salem, Massachusetts 01970 Subject: Notice of Activity and Use Limitation Sherlo Realty Company and Snell Realty Trust 3 - 27 Paradise Road Salem, Massachusetts DEP Case No. 3-2308 Ladies& Gentlemen, In accordance with the provisions of the Massachusetts Contingency Plan, Subpart N: 310 CMR 40.1400 Section 1403(7)(a) attached please find copies of Notice of Activity and Use Limitation Forms 1075 and the attached Exhibits prepared for the above mentioned properties by Haley & Aldrich, Inc. and filed with the Essex South Registry of Deeds and the Land Court at Essex South on 5 August 1996. Please do not hesitate to contact the undersigned if you have any questions relative to this matter. Sincerely yours, OFFICES HALEY& ALDRICH, Inc.Cleveland / Ohio zoe��/� Denver Arie BarJo f Colorado Senior Environmental Geologist Hartford Connecticut F:\11507\078\aulher3.wpf Los Angeles California c: John Hernon; Snell Realty Trust Manchester Ronald Ruth; Sherin& Lodgen New Hampshire John Fitzgerald; MADEP Portland Maine Rochester New York San Francisco California - Washington District ofColumbia PrinNmrcry[4ri wper. Form 1075 NOTICE OF ACTIVITY AND USE LIMITATION M.G.L. c. 21E, §6 and 310 CMR 40.0000 Disposal Site Name: 3-27 Paradise Rd. (formerly 50 State Rd.), Salem, MA. DEP Release Tracking No: 3-2308 This Notice of Activity and Use Limitation("Notice") is made as of the 19th day of July 1996, by Snell Realty Trust together with their successors and assigns, (collectively "Owner"). WITNESSETH: WHEREAS Snell Really Trust of Norfolk County, Massachusetts, is the owner in fee simple of that certain parcel of land located in Salem, Essex County, Massachusetts, with the buildings and improvements thereon ("Property"); WHEREAS, the Property as more particularly bounded and described in Exhibit A, attached hereto and made a part hereof is subject to this Notice of Activity and Use Limitation. The Property is shown on a plan to be recorded herewith in Essex County Registry of Deeds; WHEREAS, a Portion of the Property is more specifically subject to this Notice of Activity and.Use Limitation(Portion of the Property"). The Portion of the Property is more particularly bounded and described in Exhibit A-1, attached hereto and made a part hereof. This Portion is shown on a plan to be recorded herewith in Essex County Registry of Deeds; WHEREAS, the Portion of the Property comps;:eT part of a Disposal Site as the result of a release of oil and/or hazardous material. Exhibit B, is a pian showing the relationship of the Property subject to this Notice of Activity and Use Limitation to the boundaries of said Disposal Site.. Exhibit B is attached hereto and made a part hereof, and WHEREAS, one or more response actions have been selected for the Disposal Site in accordance with M.G.L. c.21E, ("Chapter 21E") and the Massachusetts Contingency Plan, 310 CMR 40.0000, as amended ("MCP"). Said response actions are based upon (a) the restriction of human access to and contact with oil and/or hazardous material in soil and/or groundwater and/or (b) the restriction of certain_ activities occurring in, on, through, over or under the Portion of the Property. The basis for such restrictions are set forth in an Activity and Use Limitation Opinion("AUL Opinion"), dated 19 July 1996, which is attached hereto as Exhibit C and made a part hereof; pei4u- M PL,Ulm C,64/cs A. ,P4c4ardS ,ec)L r2 G l obi.t,, 335, b /11C N:,7. .2 s NOW, THEREFORE, notice is hereby given that the activity and use limitations set forth in said AUL Opinion are as follows: 1. Permitted Activities and Uses Set Forth in the Aili QRinion. The AUL Opinion provides that a condition of "No Significant Risk" to health, safety, public welfare or the environment(such condition being defined in 310 CMR 40.0900) exists for any foreseeable period of time so long as any of the following activities and uses occur on the Portion of the Property: (i) Use of building and/or basement for retail, commercial and/or storage purposes; (ii) Paved parking areas; (iii) Paved roadways; (iv) Landscaped areas; (v) Utility work, maintenance work and/or construction in the subsurface; (vi) Such other activities or uses which, in the Opinion of an LSP, shall present no greater risk of harm to health, safety, public welfare or the environment than the activities and uses set forth in this paragraph. 2. Activities and Uses Inconsistent with the Arii Qpinion. Activities and uses which are inconsistent with the objectives of this Notice of Activity and Use Limitation, and which, if implemented at the Portion of the Property, may result in a significant risk of harm to health, safety, public welfare or the environment, are as follows: (i) Any residential use of the Portion of the Property, including the growing of fruit and vegetables for human consumption; 3. Obligations and Conditions et Forth in the Atli Opinion. If applicable, obligations and/or conditions to be undertaken and/or maintained at the Portion of the Property to maintain a condition of "No Significant Risk" as set forth in the AUL Opinion shall include the following: None 4. Proposed Changes in Activities and Uses. Any proposed changes in activities and uses at the Portion of the Property which may result in higher levels of exposure to oil and/or hazardous material than currently exist shall be evaluated by an LSP who shall render an Opinion, in accordance with 310 CMR 40.1080 et. seq., as to whether the proposed changes will present a "Significant Risk" of harm to health, safety, public welfare or the environment. Any and all requirements set forth in the Opinion to meet the objective of this Notice shall be satisfied before any such activity or use-is commenced. 2 5. Violation of a Response Action Outcome. The activities, uses and/or exposures upon which this Notice is based shall not change at any time to cause a significant risk of harm to health, safety, public welfare, or the environment or to create substantial hazards due to exposure to oil and/or hazardous material without the prior evaluation by an LSP in accordance with 310 CMR 40.1080 et seq., and without additional response actions, if necessary, to achieve or maintain a condition of No Significant Risk or to eliminate substantial hazards. If the activities, uses, and/or exposures upon which this Notice is based change without the prior evaluation and additional response actions determined to be necessary by an LSP in accordance with 310 CMR 40.1080 et seq., the owner or operator of the Portion of the Property subject to this Notice at the time that the activities, uses and/or exposures change, shall comply with the requirements set forth in 310 CMR 40.0020. 6. Incorporation Into Deeds. Mortgages Leases. and Instruments of Transfer This Notice shall be incorporated either in full or by reference into all deeds, easements, mortgages, leases, licenses, occupancy agreements or any other instrument of transfer, whereby an interest in and/or a right to use the Property or a portion thereof is conveyed. Owner hereby authorizes and consents to the filing and recordation and/or registration of this Notice, said Notice to become effective when executed under seal by the undersigned LSP, and recorded and/or registered with the Essex Ppunty Regista of Deeds. WITNESS the execution hereof under/"t, s day of /v , 1950 _ 1�4r/ Q S /fuq�QAJ r S NuX fY1� �21ti� y F+i- �-P alf4O 1P� %Yt t G l cx� COMMONWEALTH OF MASSACHUSETTS §§ 19 Then personally appeared the above namednWd acknowledged the foregoing to be free act and deed before me, Notary Public y Commission Expires: JAYNE L. CONTOS NOTARY PUBLIC My Commission EVires Dec.29,200 3 The undersigned LSP hereby certifies that she executed the aforesaid Activity and Use Limitation Opinion attached hereto as Exhibit C and made a part hereof and that in her Opinion this Notice of Activity and Use Limitation is consistent with the terms set forth in said Ac ' . Limitation Opinion. Date: �.as '�� DEBOR H � � H 'TfS P SEAL] . 9 No. 92 nFy STE PRO COMMONWEALTH OF MASSACHUSETTS�} RLulE , §§ 07 s , 19 7(D Then personally appeared the above named� id acknowledged the foregoing to be free act and deed before me, t i Notary Public My Commission Expires: Q ' 13 4 EXHIBIT A PROPERTY Those certain parcels of land located at 3-27 Paradise Road in the City of Salem, County of Essex, Commonwealth of Massachusetts, one of which is shown on a plan numbered 25715-B, drawn by Schofield Brothers, Civil Engineers, dated January 18, . 1956, as modified and approved by the Court, filed in the Land registration Office, a copy of a portion of which is filed with Certificate of Title #25412 in said Registry, said parcel being shown as lot #2 on last mentioned plan; and one of which is shown on a plan numbered 25715-E, drawn by Schofield Brothers, Surveyors, dated January 25, 1962, as modified and approved by the Court, filed in the land Registration Office, a copy of a portion of which is filed with certificate of Title #32777 in said Registry, said parcel being shown as lot #9 on last mentioned plan. (Note : a certain parcel of land also located at the above- referenced address which is shown on a plan numbered 25715-F, drawn by. Schofield Brothers, Surveyors, dated February 9, 1967, as modified and approved by the Court, filed in the Land Registration Office, a copy of a portion of which is filed with Certificate of Title #37099 in said Registry and shown as lot #10, is not subject to this Notice of Activity and Use Limitation. ) EXMIT A-1 Portion of the Property Snell A certain parcel of land located at 7 Paradise Road in the City of Salem, County of Essex; Commonwealth of Massachusetts, and shown as "Snell Activity Use Limitation" on a plan entitled "Plan of Land in Salem, Mass.; Prepared for: Stop & Shop...'; Prepared by: Schofield Brothers of Now England, Inc.; Dated: July 11, 1996; revised July 18, 1996; Scale: 1"=30', said parcel of land being bounded and described as follows: Commencing at a fence post along the rear property line of the shopping center where the herein parcel is located; thence S 79° 52' 00" W a distance of 101.67 feet to a point; said point being the POINT OF BEGINNING;thence S 22° 34' S4" E a distance of 53.76 feet to a point;thence S 49° 21' 31" W a distance of 37.59 feet to a point;thence N 78" 4514311 W a distance of 28.30 feet to a point;thence N 39' 06 31" W a distance of 27.29 feet to a point;thence N 7" 55154" E a distance of 34.l0 f et to a point;thence N 34° 13'23" E a distance of 6.96 feet to a point;thence N 79" k' 00" E a distance of 44.93 feet to a point; said point being the POINT OF BEGINNING. The above described parcel of land contains an area of 3,860 square feet, more or less, according to said plan. EXHIBIT C ACTEMY AND USE LIMITATION (AUL) OPINION 1 PROPERTY SUBJECT TO A The area subject to this Activity and Use Limitation Opinion consists of a portion of Property owned by Snell Realty Trust (Snell) and a portion of Property owned by Sherlo Realty Company, Inc. (Sherlo), both portions of Property being known by the Disposal Site Name of now known as 3 - 27 Paradise Road, Salem, Massachusetts, (formerly known as 50 State Road) and both Properties being described in the Legal Description(Exhibit A), and shown on the survey plan(Exhibit B). In accordance with 310 CMR 40.1056(2)(g) and 310 CMR 40.1074, this document constitutes an Activity and Use Limitation Opinion(AUL Opinion) for a portion of the Properties, DEP Release Tracking No. 3-2308, as defined in Exhibit A-1. This AUL Opinion is srbmitted in support of a Class A-3 Response Action Outcome Statement(RAO), dated July !996 and two associated DEP Form 1075, "Notice of Activity and Use Limitation", dated 19 July 1996 for the Oil Release at said Disposal Site. 2. AUL OPINION REQUIREMENTS Section 40.1074 of the Massachusetts Contingency Plan(MCP) requires an Activity and Use Limitation C.--inion to provide: ❑ Reasons that a Notice of Activity and Use Limitation(AUL) is appropriate to achieve or maintain a level of No Significant Risk; ❑ Site activities and uses to be prohibited and/or limited; ❑ Site activities and uses to be permitted; and ❑ Obligations and conditions necessary to maintain a level of No Significant Risk. These requirements are discussed in the following paragraphs: 3. DESCRIPTION OF THE DISPOSAL IT The Disposal Site comprises approximately 4,550 square feet of land, located in the northern portion of the Snell Property and the southern portion of the Sherlo Property, the majority of the Disposal Site is located on the Snell Property and is paved and used as a driveway and parking lot, and occupied by an existing structure footprint. A smaller portion of the Disposal Site is located on the Sherlo Property and is a grassy area (approximately 545 square feet). This AUL Opinion pertains to the portions of the Snell and Sherlo Properties described in Exhibit A-1 which inclvacs an area where an underground storage tank(UST) was formerly located on the Activity and Use Limitation Opinion RTN 3-2308 Page 2 Snell Property. The UST was used for storage of#2 fuel oil, release(s) from which caused petroleum contamination of subsurface media. The oil release(s) which occurred on the Disposal Site were related to the former UST which was removed in 1989. 4 BASIS Of ACTIVITY AND USE LIMITATION Following the completion of a Release Abatement Measure (RAM) at the affected portion of the Snell Property, which consisted of excavation and off-site recycling (asphalt batching) of oil contaminated soils, Haley& Aldrich, Inc. conducted a Method 3 Risk Characterization in accordance with the requirements set forth in Sections 40.0993, 40.0994 and 40.0995 of the Massachusetts Contingency Plan(MCP), and the current Massachusetts Department of Environmental Protection(DEP) Guidance for Disposal Site Risk Characterization and Related Phase II Activities. Based on current and foreseeable future uses and activities at the Snell and Sherlo Properties, the Risk Characterization evaluated the risk of harm to human health, public welfare, safety, and the environment posed by potential exposures to residual Total Petroleum Hydrocarbon(TPH) contamination present in the soil and groundwater surrounding the former tank location. Compounds of Concern(COC) identified from the OHM detected include: Total Petroleum Hydrocarbons (TPH), Polynuclear Aromatic Hydrocarbons (PAHs) and Volatile Organic Compounds (VOCs). Subsurface contamination(total petroleum hydrocarbons - TPH) is present primarily in on-site soil at depths typically ranging from 13 to 14 ft. below ground surface. Contamination was generally either not detected or was found at relatively low concentrations (below applicable standards) in the groundwater beneath the Snell Property. At present the Snell Property is used for retail, commercial and/or storage use, paved roadways, and paved parking areas. At present the Sherlo Property is a landscaped area. Future plans for the portions of the Snell and Sherlo Properties do not include changes from their current usage. For the exposure assessment, potential exposure pathways were developed for current and foreseeable future use and activities at the Snell and Sherlo Properties. Potential on-site human receptors include current building occupants and children trespassing now and during forseeable activities on the Snell and Sherlo Properites, (forseeable activities include subsurface utility/construction work). Other potential receptors are utility and construction workers. Potential routes of exposure for a child trespasser include dermal contact and incidental ingestion of COC in.soils, and inhalation of fugitive dust, as well as inhalation of vapors from outdoor air during utility work and construction work. Potential exposure routes for utility workers are incidental ingestion of and dermal contact with contaminated subsurface soils, and inhalation of fugitive dust and gaseous vapors that could contain COC. A utility worker may also be exposed to groundwater through incidental ingestion or dermal contact. Exposure routes considered for Building Occupants include: inhalation of fugitive dust and vapors from both indoor and basement air. Potential exposure routes for construction workers are incidental ingestion of and Activity and Use Limitation Opinion RTN 3-2308 Page 3 dermal contact with contaminated subsurface soils, and inhalation of fugitive dust and gaseous vapors that could contain COC. Based on the risk characterization findings, under current site conditions (restricted access- isolated soil) and primary use (retail, commercial and/or storage and landscaped areas), residual COC present in soil and groundwater at the Snell and Sherlo Properties pose "No Significant Risk" of harm to human health, public welfare, safety, and the environment. The same conclusion holds under future site conditions provided that the conditions in the AUL Opinion are fulfilled. The risk characterization conducted for unrestricted use of the Snell and Sherlo Properties indicates a condition of"No Significant Risk" for construction workers on the affected portion of the Snell and Sherlo Properties. 6. PERMITTED USES Current Snell and Sherlo Property usage is considered permitted, which includes usage of the paved driveways and paved areas for automobile parking, maintenance of the grassy areas as an open landscaped space, usage of the existing building for retail/ commercial purposes and storage, and usage of the basement for storage. Utility and maintenance work as well as construction in the subsurface are permitted. 6. PROHIBITED USES No assessment of risks has been made for the use of the affected portion of the Snell and Sherlo Properties for residential use, including the growing of fruit and vegetable crops for human consumption. Therefore, such use is prohibited. 7. FUTURE OBLIGATIONS Obligations and conditions necessary to maintain a level of"No Significant Risk" include the following: None 8. LSP SIGNATURE The Activity and Use Limitation Opinion presented herein was prepare rah H. Gevalt, Senior Vice Presi ent, Hale & ich, Inc. tHOF e A'�tiC s Signature $eal: ♦ a DEB R tiG Date: 19 July 1996 License Number: 9290 No FA11507\078\AUL0PN2.WPF yS �.5\appy ��s/rF aao�'.•� Form 1075 NOTICE OF ACTNITY AND USE LIMITATION M.G.L. c. 21E, §6 and 310 CMR 40.0000 Disposal Site Name: 3-27 Paradise Rd. (formerly 50 State Rd), Salem, MA. DEP Release Tracking No: 3-2308 This Notice of Activity and Use Limitation("Notice") is made as of the 19th day of July 1996, by Sherlo Realty Company, Inc. together with their successors and assigns, (collectively "Owner"). WITNESSETH: WHEREAS Sherlo Really o any Inc., of Norfolk County, Massachusetts, is the owner in fee simple of that certain parcel of land located in Salem, Essex County, Massachusetts, with the buildings and improvements thereon('Property"); WHEREAS, the Property as more particularly bounded and described in Exhibit A, attached hereto and made a part hereof is subject to this Notice of Activity and Use Limitation. The Property is shown on a plan to be recorded herewith in Essex County Registry of Deeds; WHEREAS, a Portion of the Property is more specifically subject to this Notice of Activity and Use Limitation("Portion of the Property"). The Portion of the Property is more particularly bounded and described in Exhibit A-1, attached hereto and made a part hereof. This Portion is shown on a plan to be recorded herewith in Essex County Registry of Deeds; WHEREAS, the Portion of the Property comprises part of a Disposal Site as the result of a release of oil and/or hazardous material. Exhibit B, is a plan showing the relationship of the Property subject to this Notice of Activity and Use Limitation to the boundaries of said Disposal Site. Exhibit B is attached hereto and made a part hereof, and WHEREAS, one or more response actions have been selected for the Disposal Site in accordance with M.G.L. c.21E, ("Chapter 2113") and the Massachusetts Contingency Plan, 310 CMR 40.0000, as amended ("MCP"). Said response actions are based upon(a) the restriction of human access to and - contact with oil and/or hazardous material in soil and/or groundwater and/or (b) the restriction of certain activities occurring in, on, through, over or under a Portion of the Property. The basis for such restrictions are set forth in an Activity and Use Limitation Opinion("AUL Opinion"), dated 19 July 1996, which is attached hereto as Exhibit C and made a part hereof; 1 NOW, THEREFORE, notice is hereby given that the activity and use limitations set forth in said AUL Opinion are as follows: 1. Permitted Activities and Uses Set Forth in he AUL Opinion. The AUL Opinion provides that a condition of "No Significant Risk" to health, safety, public welfare or the environment(such condition being defined in 310 CMR 40.0900) exists for any foreseeable period of time so long as any of the following activities and uses occur on the portion of the Property: (i) Use of building and/or basement for retail, commercial and/or storage purposes; (ii) Paved parking areas; (iii) Paved roadways; (iv) Landscaped areas; (v) Utility work, maintenance work and/or construction work in the subsurface; (vi) Such other activities or uses which, in the Opinion of an LSP, shall present no greater risk of harm to health, safety, public welfare or the environment than the activities and uses set forth in this paragraph. 2. Activities and Uses Inconsistent with the AUL Opinion. Activities and uses which are inconsistent with the objectives of this Notice of Activity and Use Limitation, and which, if implemented at the Portion of the Property, may result in a significant risk of harm to health, safety, public welfare or the environment, are as follows: 1. Any residential use of the Portion of the Property, including the growing of fruit and vegetables for human consumption; 3. Obligations and Conditions Set Forth in the AUL Opinion. If applicable, obligations and/or conditions to be undertaken and/or maintained at the Portion of the Property to maintain a condition of "No Significant Risk" as set forth in the AUL Opinion shall include the following: None 4. Proposed Changes in Activities and Uses. Any proposed changes in activities and uses at the Portion of the Property which may result in higher levels of exposure to oil and/or hazardous material than currently exist shall be evaluated by an LSP who shall render an Opinion, in accordance with 310 CMR 40.1080 et. seq., as to whether the proposed changes will present a "Significant Risk" of harm to health, safety, public welfare or the environment. Any and all requirements set forth in the Opinion to meet the objective of this Notice shall be satisfied before any such activity or use is commenced. 2 S. V The activities, uses and/or this Notice is based shall not chane at an rune to cause a significant exposures to upon which g Y � gttificant risk of harm to healtL, safety, public welfare, or the environment or to create substantial hazards due to exposure to oil and/or hazardous material without the prior evaluation by an LSP in accordance with 310 CMR 40.1080 et req„ and without additional response actions, if necessary, to achieve or maintain a condition of No Si6LZcant Risk or to eliminate substantial hazards. If the activities, uses, and/or exposures upon which this Notice is based change without the prior evaluation and additional response actions determined to be necessary by an LSP in accordance with 31 CMR 40.1080 er req„ the owner or operator of the Portion of the Property subject to this Notice at the time drat the activities, uses and/or exposures change, shall comply with the requirements set forth in 310 CMR 40.0020. 6. IncOrnorariOn Into peeds.peedMortgages_ Leases and lnsrrumantq Of Transfer This Notice shall be incorporated either in full or by reference into all deeds, easements, mortgages, leases, licenses, occupancy agreements or any other instrument of transfer, whereby an interest in and/or a right to use the Property or a portion thereof is conveyed. Owner hereby authorizes and consents to the filing and recordation and/or registration of this Notice, said Notice to become effective when executed under seal by the undersigned LSP, and recorded and/or registered with the Essex County Registry of Deeds. WITNESS the execution bereof under seal this L" ' day of 195 Sherlo RealtyCo---- Inc Owner By. By. � 1 Sheila Paila ureen Fruciano President Treasurer COMMONWEALTH OF MASSACHUSETTS 1996 Then personally appeared the above named e� and acknowledged the foregoing to be �« free act and deed before me, � ( Notary blit MY Commission Expires: Q �1� zed ut,3 3 The undersigned LSP hereby certifies that she executed the aforesaid Activity and Use Limitation Opinion attached hereto as Exhibit C and made a part hereof and that in her Opinion this Notice of Activity and Use Limitation is consistent wish the terms set forth in said Activity and Use Limitation Opinion. ►►WV 3tNOF "J r4 Date: � c LS DEB A , [LSP SEAL] yNo p e COMMONWEALTH OF MASSACHUSETTS s s Is QI Then personally appeared the above nameQ'tT)�,O( acknowledged the foregoing to be 1 A free act and deed before me, Notary Public My Commission Expires:�yL(� 2IZ 3 4 EXHIBIT A PROPERTY A certain parcel of land located at 11 Paradise Road in the City of Salem, County of Essex, Commonwealth of Massachusetts, shown on a plan entitled "Plan of Land in Salem, property of Charles Dubrow, scale 1" = 40' , August 5, 1985" made by Essex Survey Service, Inc. , recorded in Plan Book 200 as Plan 23 , and more particularly described as follows; Beginning at the Southwest corner thereof at a point One hundred. thirty-five and 11/100 (135 . 11) feet Southeast of Paradise Road at the Northeast side of Paradise Avenue, and running: NORTH 420 35' 05" East by land now or late of John A, Arrigo, a distance of Ninety-seven and 98/100 (97. 98) feet; thence running SOUTH 480 09' 40" East by land now or late of Cook, Sargent, Bofanti and Dunn a distance of Two hundred seventy-eight and 01/100 (278 . 01) feet; thence running SOUTH 790 52' 00" West by land now or late of Pine Realty Trust, a distance of One hundred twenty- three and 41/100 (123 .41) feet; thence running NORTH 48o 22' 3011 West by Paradise Avenue, a distance of Two hundred three and 26/100 (200 . 26) feet; to the point of beginning. Said premises being the premises conveyed by Charles Dubrow to Sherlo Realty Co. , Inc. , by deed dated August 6, 1985, recorded with the Essex Registry of Deeds in Book 7866, Page 058 . E)CMrr A-1 Portion of the Property Sherlo A certain parcel of land located at 7 Paradise Road in the City of Salem, County of Essex, Commonwealth of Massachusetts, and shown as "Sherlo Activity Use Limitation" on a plan entitled "Plan of Land in Salem,Mass.; Prepared for. Stop & Shop...'; Prepared by: Schofield Brothers of New England, Inc.; Dated: July 11, 1996; revised July 18, 1996; Scale: V=30', said parcel of land being bounded and described as follows: Commencing at a fence post along the rear property line of the shopping center where the herein parcel is located; thence S 79 52' 00" W a distance of 101.67 feet to a point; said point being the POINT OF BEGINNING;thence S 79 52' 00" W a distance of 44.93 feet to a point;thence N 34 13'23" E a distance of 34.75 feet to a point;thence S 73 28' 03" E a distance of 19.07 feet to a point;thence S 22 34' 54" E a distance of 16.68 feet to a point; said point being the POINT OF BEGINNING. The above described parcel of Ind contains an area of 680 square feet, more or less, according to said plan. EXHIBIT C ACTIVITY AND USE LDIITATION(AUL) OPINION I. PROPERTY SUBJECT TO ATT The area subject to this Activity and Use Limitation Opinion consists of a portion of Property owned by Snell Realty Trust(Snell) and a portion of Property owned by Sherlo Realty Company, Inc. (Sherlo), both portions of Property being known by the Disposal Site Name of now known as 3 - 27 Paradise Road, Salem, Massachusetts, (formerly known as 50 State Road) and both Properties being described in the Legal Description(Exhibit A), and shown on the survey plan(Exhibit B). In accordance with 310 CMR 40.1056(2)(8) and 310 CMR 40.1074, this document constitutes an Activity and Use Limitation Opinion(AUL Opinion) for a portion of the Properties, DEP Release Tracking No. 3-2308, as defraud in Exhibit A-1. This AUL Opinion is submitted in support of a Class A-3 Response Action Outcome Statement(RAO), dated July 1996 and two associated DEP Form 1075, "Notice of Activity and Use Limitation", dated 19 July 1996 for the Oil Release at said Disposal Site. 2. AUL OPINION REQUIREMENTS Section 40.1074 of the Massachusetts Contingency Plan(MCP) requires an Activity and Use Limitation Opinion to provide: o Reasons that a Notice of Activity and Use Limitation(AUL) is appropriate to achieve or maintain a level of No Significant Risk; t] Site activities and uses to be prohibited and/or limited; 0 Site activities and uses to be permitted; and o Obligations and conditions necessary to maintain a level of No Significant Risk. These requirements are discussed in the following paragraphs: 3_DESCRIPTION OF THE DISPOSAL SITF The Disposal Site comprises approximately 4,550 square feet of land, located in the northern portion of the Snell Property and the southern portion of the Sherlo Property, the majority of the Disposal Site is located on the Snell Property and is paved and used as a driveway and parking lot, and occupied by an existing'structure footprint. A smaller portion of the Disposal Site is located on the Sherlo Property and is a grassy area (approximately 545 square feet). This AUL Opinion pertains to the portions of the Snell and Sherlo Properties described in Exhibit A-1 which includes an area where an underground storage tank(UST)was formerly located on the Activity and Use Limitation Opinion RTN 3-2308 Page 2 Snell Property. The UST was used for storage of#2 fuel oil, release(s) from which caused petroleum contamination of subsurface media. The oil release(s)which occurred on the Disposal Site were related to the former UST which was removed in 1989. 4. BASIS Of ACTIVITY AND USE LIMITATION Following the completion of a Release Abatement Measure (RAM) at the affected portion of the Snell Property, which consisted of excavation and off-site recycling (asphalt batching) of oil contaminated soils, Haley& Aldrich, Inc. conducted a Method 3 Risk Characterization in accordance with the requirements set forth in Sections 40.0993, 40.0994 and 40.0995 of the Massachusetts Contingency Plan(MCP), and the current Massachusetts Department of Environmental Protection(DEP) Guidance for Disposal Site Risk Characterization and Related Phase II Activities. Based on current and foreseeable future uses and activities at the Snell and Sherlo Properties, the Risk Characterization evaluated the risk of harm to human health, public welfare, safety, and the environment posed by potential exposures to residual Total Petroleum Hydrocarbon(TPH) contamination present in the soil and groundwater surrounding the former tank location. Compounds of Concern(COC) identified from the OHM detected include: Total Petroleum Hydrocarbons (TPH), Polynuclear Aromatic Hydrocarbons (PAHs) and Volatile Organic Compounds (VOCs). Subsurface contamination(total petroleum hydrocarbons -TPH) is present primarily in on-site soil at depths typically ranging from 13 to 14 ft. below ground surface. Contamination was generally either not detected or was found at relatively low concentrations (below applicable standards) in the groundwater beneath the Snell Property. At present the Snell Property is used for retail, commercial and/or storage use, paved roadways, and paved parking areas. At present the Sherlo Property is a landscaped area. Future plans for the portions of the Snell and Sherlo Properties do not include changes from their current usage. For the exposure assessment, potential exposure pathways were developed for current and foreseeable future use and activities at the Snell and Sherlo Properties. Potential on-site human receptors include current building occupants and children trespassing now and during forseeable activities on the Snell and Sherlo Properites, (forseeable activities include subsurface utility/construction work). Other potential receptors are utility and construction workers. Potential routes of exposure for a child trespasser include dermal contact and incidental ingestion of COC in soils, and inhalation of fugitive dust, as well as inhalation of vapors from outdoor air during utility work and construction work. Potential exposure routes for utility workers are incidental ingestion of and dermal contact with contaminated subsurface soils, and inhalation of fugitive dust and gaseous vapors that could contain COC. A utility worker may also be exposed to groundwater through incidental ingestion or dermal contact. Exposure routes considered for Building Occupants include: inhalation of fugitive dust and vapors from both indoor and basement air. Potential exposure routes for construction workers are incidental ingestion of and Activity and Use Limitation Opinion RTN 3-2308 Page 3 dermal contact with contaminated subsurface soils, and inhalation of fugitive dust and gaseous vapors that could contain COC. Based on the risk characterization fundings, under current site conditions (restricted access - isolated soil) and primary use (retail,commercial and/or storage and landscaped areas), residual COC present in soil and groundwater at the.Snell and Sherlo Properties pose "No Significant Risk" of harm to human health, public welfare, safety, and the environment. The same conclusion holds under future site conditions provided that the conditions in the AUL Opinion are fulfilled. The risk characterization conducted for unrestricted use of the Snell and Sherlo Properties indicates a condition of"No Significant Risk" for construction workers on the affected portion of the Snell and Sherlo Properties. 5. PERMITTED USES Current Snell and Sherlo Property usage is considered permitted, which includes usage of the paved driveways and paved areas for automobile parking, maintenance of the grassy areas as an open landscaped space, usage of the existing building for retail/ commercial purposes and storage, and usage of the basement for storage. Utility and maintenance work as well as construction in the subsurface are permitted. 6. PROHIBITED USES No assessment of risks has been made for the use of the affected portion of the Snell and Sherlo Properties for residential use, including the growing of fruit and vegetable crops for human consumption. Therefore, such use is prohibited. 7. FUTI 1R E OBLIGATIONS Obligations and conditions necessary to maintain a level of"No Significant Risk" include the following: None 8. LSP SIGNATUR The Activity and Use Limitation Opinion presented herein was prepared by Deborah H. Gevalt, Senior Vice Presi ent, Hal & Aldrich, Inc. 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", �� , 14� Li' ' - - __ - __ __ __ - _ _ _. __ ___ - ___ __ __ _ __ - ____ ___ ____ ___ � � � i I I 1 _7___ - __ ______ - __ - __ _____ I ----r 7e Homebuyer Program n Soft Second Loan Program o y of Salem. the Massachusetts Housing Massachusetts, and participating lenders. n the last three years. �. lits set for this`region and the number of tment of Hous-ing,and'Urban Development. e 1 ' qualify you for a mortgage? lough credit to obtain a mortgage. )w-income buyers to qualify for a mortgage. yment? urchase price of.the home. econd Loan Program,work? . ,y the home you want and it offers a icome. t,. UNDERGROUND ` ENGINEERING& ENVIRONMENTAL SOLUTIONS Haley&Aldrich,Inc. 58 Charles Street Cambridge,MA 02141-2147 Tel:617.494.1606 Fax:617.577 8142 EM Email:BOS@HaleyAldrich.com 8 August 1995 File 11507-078 City of Salem Building Inspector's Office One Salem Green Salem, Massachusetts 01970 Subject: Notice of Activity and Use Limitation Sherlo Realty Company and Snell Realty Trust 3 - 27 Paradise Road Salem, Massachusetts DEP Case No. 3-2308 Ladies & Gentlemen, In accordance with the provisions of the Massachusetts Contingency Plan, Subpart N: 310 CMR 40.1400 Section 1403(7)(a) attached please find copies of Notice of Activity and Use Limitation Forms 1075 and the attached Exhibits prepared for the above mentioned properties by Haley & Aldrich, Inc. and Filed with the Essex South`Registry of Deeds and the Land Court at Essex South on 5 August 1996. Please do not hesitate to contact the undersigned if you have any questions relative to this matter. Sincerely yours, OFFICES HALEY & ALDRICH, Inc. Cleveland r Ohio l� Denver Arie BarJos Colorado Senior Environmental Geologist Hartford Connecticut F:\11507\078\aullter4.wpf Los Angeles California c: John Hernon; Snell Realty Trust Manchester Ronald Ruth; Sherin& Lodgen New Hampshire John Fitzgerald; MADEP Portland Maine Rochester New York San Francisco California . Washington District of Columbia f'nnlMmi nrcyAeAlmpa. Form 1075 NOTICE OF ACTIVITY AND USE LIMITATION M.G.L. c. 21E, §6 and 310 CMR 40.0000 Disposal Site Name: 3-27 Paradise Rd. (formerly 50 State Rd.), Salem, ?dA. DEP Release Tracking No: 3-2308 This Notice of Activity and Use Limitation ("Notice") is made as of the 19th day of July 1996, by Snell Realty Trust together with their successors and assigns, (collectively "Owner"). WITNESSETH: WHEREAS Snell Realty icr of Norfolk County, Massachusetts, is the owner in fee simple of that certain parcel of land located in Salem, Essex County, Massachusetts, with the buildings and improvements thereon("Property"); WHEREAS, the Property as more particularly bounded and described in Exhibit A, attached hereto and made a part hereof is subject to this Notice of Activity and Use Limitation. The Property is shown on a plan to be recorded herewith in Es,ezS County Registry of Deeds; WHEREAS, a Portion of the Property is more specifically subject to this Notice of Activity and Use Limitation(Portion of the Property"). The Portion of the Property is more particularly bounded and described in Exhibit A-1, attached hereto and made a part hereof. This Portion is shown on a plan to be recorded herewith in Essex County Registry of Deeds; WHEREAS, the Portion of the Property compti:er part of a Disposal Site as the result of a release of oil and/or hazardous material. Exhibit B, is a pan showing the relationship of the Property subject to this Notice of Activity and Use Limitation to d.,c boundaries of said Disposal Site. Exhibit B is attached hereto and made a part hereof, and WHEREAS, one or more response actions have been selected for the Disposal Site in accordance with M.G.L. c.21E, ("Chapter 21E") and the Massachusetts Contingency Plan, 310 CMR 40.0000, as amended ("MCP"). Said response actions are based upon(a) the restriction of human access to and contact with oil and/or hazardous material in soil and/or groundwater and/or (b) the restriction of certain_ activities occurring in, on, through, over or under the Portion of the Property. The basis for such restrictions are set forth in an Activity and Use Limitation Opinion("AUL Opinion"), dated 19 July 1996, which is attached hereto as Exhibit C and made a1�//part hereof, (^c.L�I�-Z t'i I 6r," till, l0rk !'e Fe.t- Al. PIu G�r�l C14oAla A ,P�L4o-/-ds KoLvrG • l ok,'41 Jo3�� .�. I�?c C•-(cru, e.� 1 -�t vtau c2�1 Nv. -25--? J, 1h�ca,h lUa• (�oo �-� NOW, THEREFORE, notice is hereby given that the activity and use limitations set forth in said AUL Opinion are as follows: 1. Permitted Activities and Uses Set Forth in the AUL pninion. The AUL Opinion provides that a condition of"No Significant Risk" to health, safety, public welfare or the environment(such condition being defined in 310 CMR 40.0900) exists for any foreseeable period of time so long as any of the following activities and uses occur on the Portion of the Property: (i) Use of building and/or basement for retail, commercial and/or storage purposes; (ii) Paved parking areas; (iii) Paved roadways; (iv) Landscaped areas; , (v) Utility work, maintenance work and/or construction in the'subsurface; (vi) Such other activities or uses which, in the Opinion of an LSP, shall present no greater risk of harm to health, safety, public welfare or the environment than the activities and uses set forth in this paragraph. 2: Activities and Uses Inconsistent with the AUL Qpint.ion. Activities and uses which are inconsistent with the objectives of this Notice of Activity and Use Limitation, and which, if implemented at the Portion of the Property, may result in a significant risk of harm to health, safety, public welfare or the environment, are as follows: (i) Any residential use of the Portion of the Property, including the growing of fruit and vegetables for human consumption; 3. Obligations and Conditions Set Forth in the Alii.Qpinion. If applicable, obligations and/or conditions to be undertaken and/or maintained at the Portion of the Property to maintain a condition of "No Significant Risk" as set forth in the AUL Opinion shall include the following: None 4. Proposed Changes in Activities and Uses. Any proposed changes in activities and uses at the Portion of the Property which may result in higher levels of exposure to oil and/or hazardous material than currently exist shall be evaluated by an LSP who shall render an Opinion, in accordance with 310 CMR 40.1080 et. seq., as to whether the proposed changes will present a "Significant Risk" of harm to health, safety, public welfare or the environment. Any and all requirements set forth in the Opinion to meet the objective of this Notice shall be satisfied before any such activity or use is commenced. 2 F 5. Violation of a Response Action Outcome. The activities, uses and/or exposures upon which this Notice is based shall not change at any time to cause a significant risk of harm to health, safety, public welfare, or the environment or to create substantial hazards due to exposure to oil and/or hazardous material without the prior evaluation by an LSP in accordance with 310 CMR 40.1080 et seq., and without additional response actions, if necessary, to achieve or maintain a condition of No Significant Risk or to eliminate substantial hazards. If the activities, uses, and/or exposures upon which this Notice is based change without the prior evaluation and additional response actions determined to be necessary by an LSP in accordance with 310 CMR 40.1080 et seq., the owner or operator of the Portion of the Property subject to this Notice at the time that the activities, uses and/or exposures change, shall comply with the requirements set forth in 310 CMR 40.0020. 6. Incorporation Into Deeds, Mortgages Leases and Instruments of Transfer This Notice shall be incorporated either in full or by reference into all deeds, easements, mortgages, leases, licenses, occupancy agreements or any other instrument of transfer, whereby an interest in and/or a right to use the Property or a portion thereof is conveyed. Owner hereby authorizes and consents to the filing and recordation and/or registration of this Notice, said Notice to become effective when executed under seal by the undersigned LSP, and recorded and/or registered with the Essex 9punty Registry of Deeds. WITNESS the execution hereof under/Oathis day of 1994, Q Slfuq SQAJc1�" ��2z( t.g—y O'M n COMMONWEALTH OF MASSACHUSETTS /Vol—Gik , §§ l9 19 Then personally appeared the above namedPic ter A, ltd acknowledged the foregoing to be free act and deed before me, 47� Notary Public y Commission Expires: JAYNE L. CONTOS NOTARY PUBLIC My Commission Expires Dec.29,2000 3 r The undersigned LSP hereby certifies that she executed the aforesaid Activity and Use Limitation Opinion attached hereto as Exhibit C and made a part hereof and that in her Opinion this Notice of Activity and Use Limitation is consistent with the terms set forth in said Ac Limitation Opinion. / ��1 H Af, 'w • Date: o?s � DEBR R H #a-z4d AV JESP SEAL] 4 9 No. 92 STE PPO�'� COMMONWEALTH OF MASSACHUSETTS §§ c�S , 1970 Then personally appeared the above named g�ad acknowledged the foregoing to be free act and deed before me, Notary My Commission Expires: O'PAi J ecu 3 4 1` , EXHIBIT A PROPERTY Those certain parcels of land located at 3-27 Paradise Road in the City of Salem, County of Essex, Commonwealth of Massachusetts, one of which is shown on a plan numbered 25715-B, drawn by Schofield Brothers, Civil Engineers, dated January 18, 1956, as modified and approved by the Court, filed in the Land registration Office, a copy of a portion of which is filed with Certificate of Title #25412 in said Registry, said parcel being shown as lot #2 on last mentioned plan; and one of which is shown on a plan numbered 25715-E, drawn by Schofield Brothers, Surveyors, dated January 25, 1962, as modified and approved by the Court, filed in the land Registration Office, a copy of a portion of which is filed with certificate of Title #32777 in said Registry, said parcel being shown as lot #9 on last mentioned plan. (Note : a certain parcel of land also located at the above- referenced address which is shown on a plan numbered 25715-F, drawn by Schofield Brothers, Surveyors, dated February 9, 1967, as modified and approved by the Court, filed in the Land Registration Office, a copy of a portion of which is filed with Certificate of Title #37099 in said Registry and shown as lot #10 , is not subject to this Notice of Activity and Use Limitation. ) EXMIT A-1 Portion of the Property Snell A certain parcel of land located at 7 Paradise Road in the City of Salem, County of Essex, Commonwealth of Massachusetts, and shown as "Snell Activity Use Limitation" on a plan entitled 'Plan of Land in Salem, Klass.; Prepared for: Stop & Shop...'; Prepared by: Schofield Brothers of New England, Inc.; Dated: July 11, 1996; revised July 18, 1996; Scale: 1"=30', said parcel of land being bounded and described as follows: Commencing at a fence post along the rear property line of the shopping center where the herein parcel is located; thence S 79° 52' 00" W a distance of 101.67 feet to a point; said point being the POINT OF BEGINNING;thence S 22034' 54" E a distance of 53.76 feet to a point;thence S 49° 21' 31" W a distance of 37.59 feet to a point;thence N 78° 45'43" W a distance of 28.30 feet to a point;thence N 39°06'31" W a distance of 27.29 feet to a point;thence N 70 55' 54" E a distance of 34.10 feet to a point;thence N 340 13'23" E a distance of 6.96 feet to a point;thence N 790 52' 00" E a distance of 44.93 :feet to a point;said point being the POINT OF BEGINNING. The above described parcel of land contains an area of 3,860 square feet, more or less, according to said plan. EXHIBIT C ACTIVITY AND USE LIMITATION (AUL) OPINION 1. PROPERTY S1 JBJECT TOA The area subject to this Activity and Use Limitation Opinion consists of a portion of Property owned by Snell Realty Trust (Snell) and a portion of Property owned by Sherlo Realty Company, Inc. (Sherlo), both portions of Property being known by the Disposal Site Name of now known as 3 - 27 Paradise Road, Salem, Massachusetts, (formerly known as 50 State Road) and both Properties being described in the Legal Description (Exhibit A), and shown on the survey plan (Exhibit B). In accordance with 310 CMR 40.1056(2)(g) and 310 CMR 40.1074, this document constitutes an Activity and Use Limitation Opinion(AUL Opinion) for a portion of the Properties, DEP Release Tracking No. 3-2308, as defined in Exhibit A-1. This AUL Opinion is srbmitted in support of a Class A-3 Response Action Outcome Statement (RAO), dated July!996 and two associated DEP Form 1075, "Notice of Activity and Use Limitation", dated 19 July 1996 for the Oil Release at said Disposal Site. 2 AUL OPINION REQUIREMENTS Section 40.1074 of the Massachusetts Contingency Plan(MCP) requires an Activity and Use Limitation C inion to provide: . O Reasons that a Notice of Activity and Use Limitation (AUL) is appropriate to achieve or maintain a level of No Significant Risk; 0 Site activities and uses to be prohibited and/or limited; 0 Site activities and uses to be permitted; and 13 Obligations and conditions necessary to maintain a level of No Significant Risk. These requirements are discussed in the following paragraphs: 3. DESCRIPTION OF THE DISPOSAL SITE The Disposal Site comprises approximately 4,550 square feet of land, located in the northern portion of the Snell Property and the southern portion of the Sherlo Property, the majority of the Disposal Site is located on the Snell Property and is paved and used as a driveway and parking lot, and occupied by an existing structure footprint. A smaller portion of the Disposal Site is located on the Sherlo Property and is a grassy area (approximately 545 square feet). This AUL Opinion pertains to the portions of the Snell and Sherlo Properties described in Exhibit A-1 which inch-:fes an area where an underground storage tank(UST) was formerly located on the Activity and Use Limitation Opinion RTN 3-2308 Page 2 Snell Property. The UST was used for storage of#2 fuel oil, release(s) from which caused petroleum contamination of subsurface media. The oil release(s) which occurred on the Disposal Site were related to the former UST which was removed in 1989. 4 BASIS Of ACTIVITY AND USE LIMITATION Following the completion of a Release Abatement Measure (RAM) at the affected portion of the Snell Property, which consisted of excavation and off-site recycling (asphalt batching) of oil contaminated soils, Haley & Aldrich, Inc. conducted a Method 3 Risk Characterization in accordance with the requirements set forth in Sections 40.0993, 40.0994 and 40.0995 of the Massachusetts Contingency Plan(MCP), and the current Massachusetts Department of Environmental Protection(DEP) Guidance for Disposal Site Risk Characterization and Related Phase II Activities. Based on current and foreseeable future uses and activities at the Snell and Sherlo Properties, the Risk Characterization evaluated the risk of harm to human health, public welfare, safety, and the environment posed by potential exposures to residual Total Petroleum Hydrocarbon(TPH) contamination present in the soil and groundwater surrounding the former tank location. Compounds of Concern(COC) identified from the OHM detected include: Total Petroleum Hydrocarbons (TPH), Polynuclear Aromatic Hydrocarbons (PAHs) and Volatile Organic Compounds (VOCs). Subsurface contamination(total petroleum hydrocarbons - TPH) is present primarily in on-site soil at depths typically ranging from 13 to 14 ft. below ground surface. Contamination was generally either not detected or was found at relatively low concentrations (below applicable standards) in the groundwater beneath the Snell Property. At present the Snell Property is used for retail, commercial and/or storage use, paved roadways, and paved parking areas. At present the Sherlo Property is a landscaped area. Future plans for the portions of the Snell and Sherlo Properties do not include changes from their current usage. For the exposure assessment, potential exposure pathways were developed for current and foreseeable future use and activities at the Snell and Sherlo Properties. Potential on-site human receptors include current building occupants and:children trespassing now and during forseeable activities on the Snell and Sherlo Properites, (forseeable activities include subsurface utility/construction work). Other potential receptors are utility and construction workers. Potential routes of exposure for a child trespasser include dermal contact and incidental ingestion of COC in.soils, and inhalation of fugitive dust, as well as inhalation of vapors from outdoor air during utility work and construction work. Potential exposure routes for utility workers are incidental ingestion of and dermal contact with contaminated subsurface soils, and inhalation of fugitive dust and gaseous vapors that could contain COC. A utility worker may also be exposed to groundwater through incidental ingestion or dermal contact. Exposure routes considered for Building Occupants include: inhalation of fugitive dust and vapors from both indoor and basement air. Potential exposure routes for construction workers are incidental ingestion of and Activity and Use Limitation Opinion RTN 3-2308 Page 3 dermal contact with contaminated subsurface soils, and inhalation of fugitive dust and gaseous vapors that could contain COC. Based on the risk characterization findings, under current site conditions (restricted access - isolated soil) and primary use (retail, commercial and/or storage and landscaped areas), residual COC present in soil and groundwater at the Snell and Sherlo Properties pose "No Significant Risk" of harm to human health, public welfare, safety, and the environment. The same conclusion holds under future site conditions provided that the conditions in the AUL Opinion are fulfilled. The risk characterization conducted for unrestricted use of the Snell and Sherlo Properties indicates a condition of "No Significant Risk" for construction workers on the affected portion of the Snell and Sherlo Properties. 5. PERMITTED USES Current Snell and Sherlo Property usage is considered permitted, which includes usage of the paved driveways and paved areas for automobile parking, maintenance of the grassy areas as an open landscaped space, usage of the existing building for retail/ commercial purposes and storage, and usage of the basement for storage. Utility and maintenance work as well as construction in the subsurface are permitted. 6. PROHIBITED USES No assessment of risks has been made for the use of the affected portion of the Snell and Sherlo Properties for residential use, including the growing of fruit and vegetable crops for human consumption. Therefore, such use is prohibited. 7. FUTURE OBLIGATIONS Obligations and conditions necessary to maintain a level of "No Significant Risk" include the following: None 8. LSP SIGNATURE The Activity and Use Limitation Opinion presented herein was p?repare rah H. Gevalt, Senior Vice Presi ent, Hale & drich, Inc. tHOFSignature Seal: • c )EB R 9G • ZF � o Date: 19 July 1996 License Number: 9290 No F:\11507\078\AULOPN2.WPF �'J'FOSI S ►Pmt M Form 1075 NOTICE OF ACTIVITY AND USEIMITATION M.G.L. c. 21E, §6 and 310 CMR 40.0000 Disposal Site Name: 3-27 Paradise Rd. (formerly 50 State Rd), Salem, MA. DEP Release Tracking No: 3-2308 This Notice of Activity and Use Limitation("Notice") is made as of the 19th day of July 1996, by Sherlo Realty Company, Inc. together with their successors and assigns, (collectively "Owner"). WITNESSETH: WHEREAS Sherlo Realty Cmpgny. Inc., of Norfolk County, Massachusetts, is the owner in fee simple of that certain parcel of land located in SAM, Fssex County, Massachusetts, with the buildings and improvements thereon("Property"); WHEREAS, the Property as more particularly bounded and described in Exhibit A, attached hereto and made a part hereof is subject to this Notice of Activity and Use Limitation. The Property is shown on a plan to be recorded herewith in Essex County Registry of Deeds; WHEREAS, a Portion of the Property is more specifically subject to this Notice of Activity and Use Limitation("Portion of the Property"). The Portion of the Property is more particularly bounded and described in Exhibit A-1, attached hereto and made a part hereof. This Portion is shown on a plan to be recorded herewith in Essex County Registry of Deeds; WHEREAS, the Portion of the Property comprises part of a Disposal Site as the result of a release of oil and/or hazardous material. Exhibit B, is a plan showing the relationship of the Property subject to this Notice of Activity and Use Limitation to the boundaries of said Disposal Site. Exhibit B is attached hereto and made a part hereof, and WHEREAS, one or more response actions have been selected for the Disposal Site in accordance with M.G.L. c.21E, ("Chapter 2113") and the Massachusetts Contingency Plan, 310 CMR 40.0000, as amended ("MCP"). Said response actions are based upon(a) the restriction of human access to and contact with oil and/or hazardous material in soil and/or groundwater and/or (b) the restriction of certain activities occurring in, on, through, over or under a Portion of the Property. The basis for such restrictions are set forth in an Activity and Use Limitation Opinion ("AUL Opinion"), dated 19 July 1996, which is attached hereto as Exhibit C and made a part hereof, 1 NOW, THEREFORE, notice is hereby given that the activity and use limitations set forth in said AUL Opinion are as follows: 1. Permitted Activities and Uses Ser Forth in the ern Opinion_ The AUL Opinion provides that a condition of"No Significant Risk" to health, safety, public welfare or the environment(such condition being defined in 310 CMR 40.0900) exists for any foreseeable period of time so long as any of the following activities and uses occur on the portion of the Property: (i) Use of building and/or basement for retail, commercial and/or storage purposes; (ii) Paved parking areas; (iii) Paved roadways; (iv) Landscaped areas; (v) Utility work, maintenance work and/or construction work in the subsurface; (vi) Such other activities or uses which, in the Opinion of an LSP, shall present no greater risk of harm to health, safety, public welfare or the environment than the activities and uses set forth in this paragraph. 2. Activities and Uses inconsistent with the AUL Opinion. Activities and uses which are inconsistent with the objectives of this Notice of Activity and Use Limitation, and which, if implemented at the Portion of the Property, may result in a significant risk of harm to health, safety, public welfare or the environment, are as follows: 1. Any residential use of the Portion of the Property, including the growing of fruit and vegetables for human consumption; 3. Obligations and Condition et Forth in the AUL Opinion. If applicable, obligations and/or conditions to be undertaken and/or maintained at the Portion of the Property to maintain a condition of "No Significant Risk" as set forth in the AUL Opinion shall include the following: None 4. Proposed Changes in Activities and Uses. Any proposed changes in activities and uses at the Portion of the Property which may result in higher levels of exposure to oil and/or hazardous material than currently exist shall be evaluated by an LSP who shall render an Opinion, in accordance with 310 CMR 40.1080 et. seq., as to whether the proposed changes will present a "Significant Risk" of harm to health, safety, public welfare or the environment. Any and all requirements set forth in the Opinion to meet the objective of this Notice shall be satisfied before any such activity or use is commenced. 2 .4 S. V' The activities, uses and/or exposures upon wWrh this Notice is based shall not change at any time to cause a significant risk of harm to hea"-, safery, public welfare, or the environment or to create substantial hazards due to exposure to oil and/or hazardous material without the prior evaluation by an ISP in accordance with 310 CMR 40.1080 er seq., and without additional response actions, if necessary, to achieve or maintain a condition of No Sibh,iricant Risk or to eliminate substantial hazards. If the activities, uses, and/or exposures upon which this Notice is based change without the prior evaluation and additional response actions determined to be necessary by an ISP in accordance with 310 CMR 40.1080 er seq., the owner or operator of the Portion of the Property subject to this Notice at the time that the activities, uses and/or exposures change, shall comply with the requirements set forth in 310 CMR 40.0020. 6. Incprnnrarion Into Deeds. Mortgages T eace� and Incrrn of Tnn f This Notice shall be incorporated either in full or by reference into all deeds, easements, mortgages, leases. licenses, occupancy agreements or any other instrument of transfer, whereby an interest in and/or a right to use the Property or a portion thereof is conveyed. Owner hereby authorizes and consents to the filing and recordation and/or registration of this Notice, said Notice to become effective when executed under seal by the undersigned LSP, and recorded and/or registered with the Essex County Registry of Deeds. WITNESS the execution hereof under seal this L''"' day of _/, 19 i� Sherlo Realty Co. - Inc .— Owner By: By: 1 Sheila Fails ureen Fruciano President Treasurer COMMONWEALTH OF MASSACHUSETTS A04 19 Then personally appeared the above namedIn' MIL and acknowledged the forgoing to be fit« free act and deed before me, ILA Notary blicy My Commission Expires:G� 0 Zell X13 3 The undersigned LSP hereby certifies that she executed the aforesaid Activity and Use Limitation Opinion attached hereto as Exhibit C and made a part hereof and that in her Opinion this Notice of Activity and Use Limitation is consistent with the terms set forth in said Activity and Use Limitation Opinion. ►��v4 Dale: tNOFYe.. LS • DEB A m [LSP SEAL] e 9No p v COMMONWEALTH OF MASSACHUSETTS , % 19 Then personally appeared the above named�i taclntowledged the foregoing to be t free act and deed before me, Notary Publid My Commission Expires:alj, O,2a3 4 EXHIBIT A PROPERTY A certain parcel of land located at 11 Paradise Road in the City of Salem, County of Essex, Commonwealth of Massachusetts, shown on a plan entitled "Plan of Land in Salem, property of Charles Dubrow, scale 1" = 401 , August 5, 1985!' made by Essex Survey Service, Inc. , recorded in Plan Book 200 as Plan 23 , and more particularly described as follows; Beginning at the Southwest corner thereof at a point One hundred. thirty-five and 11/100 (135 . 11) feet Southeast of Paradise Road at the Northeast side of Paradise Avenue, and running: NORTH 420 35' 05" East by land now or late of John A, Arrigo, a distance of Ninety-seven and 98/100 (97 . 98) feet; thence running SOUTH 480 09' 40" East by land now or late of Cook, Sargent, Bofanti and Dunn a distance of Two hundred seventy-eight and 01/100 (278 . 01) feet; thence running SOUTH 790 52' 00" West by land now or late of Pine Realty Trust, a distance of One hundred twenty- three and 41/100 (123 .41) feet; thence running NORTH 48o 22 ' 30" West by Paradise Avenue, a distance of Two hundred three and 26/100 (200 .26) feet; to the point of beginning. Said premises being the premises conveyed by Charles Dubrow to Sherlo Realty Co. , Inc. , by deed dated August 6, 1985, recorded with the Essex Registry of Deeds in Book 7866, Page 058 . r EXHIBrr A-1 Portion of the Property Sherlo A certain parcel of land located at 7 Paradise Road in the City of Salem, County of Essex, Commonwealth of Massachusetts, and shown as "Sherlo Activity Use Limitation" on a plan entitled "Plan of Land in Salem,Mass.; Prepared for. Stop & Shop..."; Prepared by: Schofield Brothers of New England, Inc.; Dated: July 11, 1996; revised July 18, 1996; Scale: 1" =30', said parcel ofland being bounded and described as follows: Commencing at a fence post along the rear property line of the shopping center where the herein parcel is located; thence S 79 52' 00" W a distance of 101.67 feet to a point; said point being the POINT OF BEGINNING;thence S 79 52' 00" W a distance of 44.93 feet to a point;thence N 34 13'23" P a distance of 34.75 feet to a point;thence S 73 28' 03" E a distance of 19.07 feet to a point;thence S 22 34' 54" E a distance of 16.68 feet to a point;said point being the POINT OF BEGINNING. The above described parcel of land contains an area of 680 square feet, more or less, according to said plan. EXHIBIT C ACTIVITY AND U •IMITATION(AUL) 0PilvrnN 1. PROPERTY SUBJECT TO AUL- The iiThe area subject to this Activity and Use Limitation Opinion consists of a portion of Property owned by Snell Realty Trust(Snell) and a portion of Property owned by Sherlo Realty Company, Inc. (Sherlo), both portions of Property being known by the Disposal Site Name of now known as 3 - 27 Paradise Road, Salem, Massachusetts, (formerly known as 50 State Road) and both Properties being described in the Legal Description(Exhibit A), and shown on the survey plan(Exhibit B). In accordance with 310 CMR 40.1056(2)(g) and 310 CMR 40.1074, this document constitutes an Activity and Use Limitation Opinion(AUL Opinion) for a portion of the Properties, DEP Release Tracking No. 3-2308, as defined in Exhibit A-1. This AUL Opinion is submitted in support of a Class A-3 Response Action Outcome Statement(RAO), dated July 1996 and two associated DEP Form 1075, "Notice of Activity and Use Limitation", dated 19 July 1996 for the Oil Release at said Disposal Site. 2. ALiL OPINION REMIREMEN'''S Section 40.1074 of the Massachusetts Contingency Plan(MCP) requires an Activity and Use Limitation Opinion to provide: ❑ Reasons that a Notice of Activity and Use Limitation(AUL) is appropriate to achieve or maintain a level of No Significant Risk; ❑ Site activities and uses to be prohibited and/or limited; ❑ Site activities and uses to be permitted; and ❑ Obligations and conditions necessary to maintain a level of No Significant Risk. These requirements are discussed in the following paragraphs: 3. DESCRIPTION OF THE DISPOSAL The Disposal Site comprises approximately 4,550 square feet of land, located in the northern portion of the Snell Property and the southern portion of the Sherlo Property, the majority of the Disposal Site is located on the Snell Property and is paved and used as a driveway and parking lot, and occupied by an existing structure footprint. A smaller portion of the Disposal Site is located on the Sherlo Property and is a grassy area(approximately 545 square feet). This AUL Opinion pertains to the portions of the Snell and Sherlo Properties described in Exhibit A-1 which includes an area where an underground storage tank(UST) was formerly located on the Activity and Use Limitation Opinion RTN 3-2308 Page 2 Snell Property. The UST was used for storage of#2 fuel oil, release(s) from which caused petroleum contamination of subsurface media. The off release(s) which occurred on the Disposal Site were related to the former UST which was removed in 1989. 4. BASIS Of ACTIVITY ANIIJUSE LB41TAIION Following the completion of a Release Abatement Measure (RAM) at the affected portion of the Snell Property, which consisted of excavation and off-site recycling (asphalt batching) of oil contaminated soils, Haley& Aldrich, Inc. conducted a Method 3 Risk Characterization in accordance with the requirements set forth in Sections 40.0993, 40.0994 and 40.0995 of the Massachusetts Contingency Plan(MCP), and the current Massachusetts Department of Environmental Protection (DEP) Guidance for Disposal Site Risk Characterization and Related Phase II Activities. Based on current and foreseeable future uses and activities at the Snell and Sherlo Properties, the Risk Characterization evaluated the risk of harm to human health, public welfare, safety, and the environment posed by potential exposures to residual Total Petroleum Hydrocarbon(TPH) contamination present in the soil and groundwater surrounding the former tank location. Compounds of Concern(COC) identified from the OHM detected include: Total Petroleum Hydrocarbons (TPH), Polynuclear Aromatic Hydrocarbons(PAHs) and Volatile Organic Compounds (VOCs). Subsurface contamination(total petroleum hydrocarbons - TPH) is present primarily in on-site soil at depths typically ranging from 13 to 14 ft. below ground surface. Contamination was generally either not detected or was found at relatively low concentrations . (below applicable standards) in the groundwater beneath the Snell Property. At present the Snell Property is used for retail, commercial and/or storage use, paved roadways, and paved parking areas. At present the Sherlo Property is a landscaped area. Future plans for the portions of the Snell and Sherlo Properties do not include changes from their current usage. For the exposure assessment, potential exposure pathways were developed for current and foreseeable future use and activities at the Snell and Sherlo Properties. Potential on-site human receptors include current building occupants and children trespassing now and during forseeable activities on the Snell and Sherlo Properites, (forseeable activities include subsurface utility/construction work). Other potential receptors are utility and construction workers. Potential routes of exposure for a child trespasser include dermal contact and incidental ingestion of COC in soils, and inhalation of fugitive dust, as well as inhalation of vapors from outdoor air during utility work and construction work. Potential exposure routes for utility workers are incidental ingestion of and dermal contact with contaminated subsurface soils, and inhalation of fugitive dust and gaseous vapors that could contain COC. A utility worker may also be exposed to groundwater through incidental ingestion or dermal contact. Exposure routes considered for Building Occupants include: inhalation of fugitive dust and vapors from both indoor and basement air. Potential exposure routes for construction workers are incidental ingestion of and Activity and Use Limitation Opinion RTN 3-2308 Page 3 dermal contact with contaminated subsurface soils, and inhalation of fugitive dust and gaseous vapors that could contain COC. Based on the risk characterization findings, under current site conditions(restricted access - isolated soil) and primary use (retail, commercial and/or storage and landscaped areas), residual COC present in soil and groundwater at the.Snell and Sherlo Properties pose "No Significant Risk" of harm to human health, public welfare, safety, and the environment. The same conclusion holds under future site conditions provided that the conditions in the AUL Opinion are fulfilled. The risk characterization conducted for unrestricted use of the Snell and Sherlo Properties indicates a condition of"No Significant Risk" for construction workers on the affected portion of the Snell and Sherlo Properties. 5. PERMITTED USPS Current Snell and Sherlo Property usage is considered permitted, which includes usage of the paved driveways and paved areas for automobile parking, maintenance of the grassy areas as an open landscaped space, usage of the existing building for retail/ commercial purposes and storage, and usage of the basement for storage. Utility and maintenance work as well as construction in the subsurface are permitted. 6. PROHIBITED USES No assessment of risks has been made for the use of the affected portion of the Snell and Sherlo Properties for residential use, including the growing of fruit and vegetable crops for human consumption. Therefore, such use is prohibited. 7 FUTURE OBLIGATIONS Obligations and conditions necessary to maintain a level of "No Significant Risk" include the following: None 8. LSP SIGNATURE The Activity and Use Limitation Opinion presented herein was prepared by Deborah H. Gevalt, Senior Vice Presi ent, Hal & drich, Inc. Signature— Seal: 1'N"o 4 a ��TFRLgSS� Date: 19 July 1996 License Number: 9290 DEB A cyo J 0 tel` y F:\11507\078\AULOPN2.WPF LM 0. /STE �pY�yP �►�s/7Fr P�Fp��Sj� ORIGINAL SA COMWONWEAL:3 OF `iASSAL3USE=T3 Cm OF SALEM APPLICATION FOR CERTIFIC.tTE OF INSPECTION Dace 649 ()4 Fee Required $ ( ) No ice Reouired In accordance with the provisions of the Kassacausects State Building Code. 108. 15, i hereoy apply for a Certificate of Inspection for the belov-Gamed press located at the follov"S address: Streec 6 Number I ' Paradise, IRoad , Salem , rDA M70 Nat of Premises V I n n ',r1 S Re Purpose for which Premises is use )ppfie+Ol,j pG:C f S , PkMe.SQ.�-C, License($) or Pesmit(s) required for the premises by ocher Governmental Ageaelag: License or Permit ateaev jCertificate to be issued Co., TSR W;Re)m LLC d 6 A T6 WiRele-ss Address: I i aKad;se_ oa d Sal ern rnA p!9�o Ooaer of Record of Building: GP$ Real Ess Wdings LLL' Address: C/O -rhe SOUard kmp, i;,e-- I ,Toy SfReet Boss n.,,MA Nae of Present Holder of Cercif.'.cace: "JT[Nes Of A oc. :: an .liguature o[ Person to voOm Vert-I melte �� is issued or his/her authorized. scent June 5, 19'98 Jeff Okam, VP- Real eshate TTSR W;Re less LLC o?Oi-9`17 Ce 300 INSTRpCIZONS Day time phone x• 0733 1. !lake check payable cc: The City of Sales 2- Batura this application vich your check cc: Insaector of Buildines. Circ of Sal Buildiae Oemartmeac. One Salem Green. Salem. NA. 8970. PIFLSE NOSE: I- APplicacion form with required fee must be submitted for each building or strae Of parr thereof to be certified. 2. Application 6 fee must be received before the certificate will be issued. 3. The building official shall be notified within tea (10) days of any engage is tl above laformaciou. CE><ITFZCASE /�� EZPIBATZON DAn: TSR Wireless 400 Kelby Street Fort Lee, New Jersey 07024 (201)947-5300 June 8, 1998 Inspector of Buildings City of Salem Building Department One Salem Green Salem,MA 01970 RE: Application for Certificate of Inspection Vinnin Square, 11 Paradise Road, Salem,MA To Whom It May Concern: Enclosed please find one(1)signed Application for Certificate of Inspection to the City of Salem for the above mentioned location and check# 106823 in the amount of Forty Dollars($40.00)for the application fee. Sincerely, *Silvia Pinto Real Estate Assistant TSR Wireless LLC enc. SalemInspCert060898 I, 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. Street & Number �a rQ Name of Premises 5 R (A) r�/�� (�C C Certificate to be issued to: 112 k&S L( C it)itF�,Ss Address 5C4' Mc, r f /I (� / Owner of Record of Building G P B flea 1 es TL tk) IU il)q J ( 1. Address f Purpose for which premises are used ee Changes since last Inspection (required on file card also) 1. L)s'�necc z. 3. 4. 5. Date Order Issued: Order Issued To: Address Date Violations Corrected: REMARKS: 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. " ao - Date Building Official Certificate $ a - Date Issued: Date Expires: Recommended Next Inspection: Q � �I�� (�nmmnnzurttl#� of ,�tt�.�ttr�ix,ttr�#.� 0 CITY/TOWN OF In accordance with the Massachusetts State Building Code, Section 108. 15, this CERTIFICATE OF INSPECTION is tissued to . . . . . . . . . r. .�.GQ. . . . .(�./.r�.(.es� . . . �.L.C. . . ..W'6 fi. . Tse. . . . �.U.�r. kss. . . . . . . . . , I (1Vr if J that I have inspected the. ....... . . . . . . . . . . . . . . . . . . . . . . . . . . .known as. . . . . . . . . . . . . . . . . . . . . . . . . . . located at. . . . . . . .//. . . 1 . Q �1 . . . .I�4- . . in the. . . . . . . . . . . . .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 00 D 6 V Certificate Number Date Certificate Issued Date Certificate Expires Building Off tial The building official shall be notified within (10) days of any changes in the above information. at min , } + CITY OF SALEM In accordance with the Massachusetts, State Building Code, Section 108 1.5, this% y , s 9d tt { CERTIFICATE OF ' INSPECTION. is issued to TSR WIRFdI ESS LLC di TSR WIRELESS I (itier#ify that 1 have inspected the premises known as ISR WIRELESS located at '7112'1. 1 PARiM)1SE R(.)A1) in the city of Salem } i1 County of Essex Commonwealth of, Massachusetts. The means of .egresst are sufficient: for. the following �r p i ai 1 s' FZ 3 C r k + 3 ;I ; .• n.umber'of persons: BY STORY • , x . i Story 1 CaCapacity Story., Ca *sx * ixx Capacity tr f ' Yy BY PLACE OF ASSEMBLY OR `STRUCTURE$ $g` ; kt ��$��S,jr i1;'l !` Place of Assembly Place of Assembly ; + 1 or Sfriicture Capacity Location or Structure , '` -Capacity ; 'Location � fir * „♦Y pp k' ,x51 i xlF o- �� h�3s � k+�"F'�,` ' I\iiV/// it r , t7�PiQi-._1 �'1�3A IhR/b11 /i '-19R 1210 J Certificate Number Date Certificate Issued - Date Certificate Expires . Building Of i ial } g { =, t The buildingo 8 / ' official shall be notified within (10) days of any than es in the above in ormation tl a sr f i>• ;iT', .i .}r. }a .J.; .l�+f. 1Y �' it Y 'Rt a..•� iM� �x ,,r ,m . � A'-9 v: CCitp of *alem' jflag5arbU0tt5S 1 s Public Propertp Mepartment jguilbing Mepartment One&alem &reen (978) 745-9595 Cxt. 380 Peter Strout Director of Public Property Inspector of Buildings Zoning Enforcement Officer December 8 , 1998 Nick A. Aquino, R.A. 11011 McCormick Road Baltimore , Maryland 21031 RE : 3-27 Paradise Road Dear Mr . Aquino: Enclosed is a copy of the street card to show you that the Certificate of Occupancy have been issued to the individual tenants at the above mentioned location . Please feel free to call for any additional information you may need. Since y, et f o Inspector of Buildings PS : scm l E OF PERMIT PERMIT No. OWNER LOCATION D-2 O�4 8/24/93 11362-93 Snell Realty Trust I 3-25 Paradise Rd. SIRUCTURE MATERIAL DIMENSIONS No. OF STORIES INo.OF FAMILIES I WARD COST 7 710,000 IUIIDER James Welch I } ORMELY 7 PARADISE POODI 11362-93 Alterations to retail Store formally Stop & Shop Est .$710,000 Fee54 ,265 11365-93 Alterations to convert Stop & Shop into Staples Est .225,000Fee$ 1 ,375 ` 11365-93 Certificate of Occupancy issued 10/ 19/93 L.E.T. /9/94 #59-94 Demolish interior of 7 ,9 , 11 , 13 Paradi.se Road Est . 5 ,000 Fee 35.00 J.J.J. ')4/04 1179-q4 Permit to fi.x existing, spaces , New handicap bathroom and lighting Est . 100,000 Fee 605. 7- 13 Paradise Rd. ) r..E.T. 7/ 18/94 11276-94 Permit to erect sign for Cake House 11 Paradise Rd. Est . 2,300 Fee 20.00 L.E.T. '21/94 CERTIFICATE OF OCCUPANCY ISSUED on permit 1179-94 10/25/94 6516-94 Renovate for retail bagel bakery store, new elec, plumbing, & 'flooring. 3 Paradise Rd. est. 175,000. fee 1655. J.J.J. " 10/31/94 CERTIFICATE OF OCCUPANCY ISSUED ON PERMIT 11446-94 S.J.J. 11/7/94 #544-94 Permit to remodel existing bank @ 5 Paradise Rd, est 218,000. fee 1313. L 12/22/94 CERTIFICATE OFOCCUPANCYISSUED ON PERMIT 6516-94. J.J.J. 2/17/95 1162-95 Install signs for Brueggers Bagel Bakery. est 7500. fee 47. L.E.T. 2/10/95 CERTIFICATE OF OCCUPANCY ISSUED on Permit 11544-94. J.J.J. (5 Paradise-Salem 5G Bank) 2/24/95 1164-95 Erect 33"x21 ' sign for Salem Five Bank @ 5 Paradise. est 3900. fee 20. L.E. 3/1/95 670-95 Install 20'x7' 10" wall @ 7 Paradise Rd. for Shoe Galley. est 300. fee 20.L. 7/12/95 11332-95 Install 2 dumpster enclosures 10'wl0'd&6'h. (Brueggers) est 2000. fee 20. J. 4/30/98 11247-98 DEMO, TENNANT BUILDOUT. PLANS SUBMITTED. SUITE II. est. 15,000. fee 95. K.G. 5/29/98 CERTIFICATE OF OCCUPANCY ISSUED ON PERMIT 6247-98. 30.00 FEE K.G.G. 6/8/98 6386-98 ALTERATIONS TO RESTAURANT PER DRAWINGS SUBMITTED. GOLDBUCK' S DELI. est. 40,000.00 fee 245.00 T.J.S. 6/18/98 6437-98 sign permit for "TSR Wireliess" per drawing submtted. est. 2000. fee 20. LE 7/8/98 6507 Sign permit for "goldberg's deli" per drawing submitted.T.J.S. Est cost$1,5O0 fee$20.00 CERTIFICATE OF OCCUPANCY ISSUED FOR 6386-98 on 7/30/98 by T.S.P. (Goldbuck's Deli) 10/23/98 6907-98 SIGN PERMIT PER DRAWINGS SUBMITTED. "SANDWICHES, PIZZA & MORE BY TAYMORE" est. 400.00 fee 20.00 P. S. To: City of Salem Building and Zoning Department- Building Inspector's Office One Salem Green Salem, Massachusetts 01970 Department Tel: (781) 745-9595 Attn: Building Inspector Re: Vinnin Square at Salem Shopping Center 3—27 Paradise Road Salem,Massachusetts 01970 EMG Project No: 49804 Project Manager: Thomas B. Rogers, AIA Dear Sir/Madam: EMG is an engineering firm currently conducting a property condition survey of the above referenced property. As part of the due-diligence process we request your assistance by providing us with some information from your files. Through the Freedom of Information.Act, we request your assistance by providing us with the following information concerning the site and buildings at the referenced property files: ■ Are Certificate(s) of Occupancy on file at your department for the subject property and /or the individual tenant units and if so, can copies be provided? Thank you for your assistance in this matter. If you need additional information to complete our request, please contact me at (800) 733-0660. Responses may be faxed directly to our office at (410)785-6220. Or mailed to or corporate offices: EMG Attn: Nick A. Aquino, RA. 11011 McCormick Road Baltimore, Maryland 21031 Please note the EMG file number and the Project Manager's name on all correspondence. Sincerely, EMG 6 -4., Thomas B. Rogers, AIA Project Manager.::e_=. ;:. , ;f 1LG V09f1/17L49ZlIlElll!/L C�v�'(.Cl.GOQ�/llLdP�b 1 �t"ate � ��CllILl� A& 2000ra oI:.f U6"a A*` ansa.Awn" %,iehDukakis Governor one ne �w � _ Aaom 'Y0' Kentaro Tsutsumi ,4goelu., f�casQo'�rrrs 02!08 Chairman (6171 T_^.-34 Charles J. Dineuo Administrator MEMORANDUM TO: All Building DepanmcntsiState Building Inspectors FROM: Charlet J. Dingo. Administrator DATE. October 31. 1788 SUBJECT: MG1. cJn, S54, Added Ov e5,ti. S9 nf the Acts of 1987 The above-mentioned statute requires that ucbns resulting tram the demolition. rcnovauan. rehabilitation or other alteration of a building or structure he disposed of in a property licenscu solid waste disposal lacility as defined by MGL cl I1. 5I50A and that huddine permits or licenses are to indicate the location of the taciltty at which the said debris is to he disposed. THIS REOUIREMENT DOES- NOT ,vPLY TO NEW CONSTRUCTION. In order to simtldtfv the protest and to provide uniformity, we arc attaching a copy of a form which ,you can either reproduce and use as it is since the completed form will be attached to the otlice copy of building permits or licenses; or reproduce it on your Icucrhcad. In ase of municipal.commercial.industrial,or multt•unu housing construction.the contractor may not know the dumpster subcontractor at the time of the building permit application. In such cases. the attacked copy of an Affidavit can be used. The complete law is contained in the November issue of CODEWORD which will he mmletl to von in the neat two weeks. If you should have any question, please Jct us know. GD/km AFFIDAVIT As a result of the provisions of MGL c 40, S54, I acknowledge that as a condition of Building Permit Number all debris resulting from the construction activity governed by this Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. I certify that I will notify the Building Official by ('Iwo months maidmum) 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 -�a Krtas '1� Gye k Go Firm Name, if any C2 C�c1 u u T I*SS t f g, le/"- �� Address _x COMMONWEALTH OF MASSACHUSETTS ka DEPAR—,MENr OF INDUSTRIAL ACCIDENTS �' 600 WASHINGTON STREET BOSTON, MASSACHUSETTS 02111 tames . :,amooer �.Ssloner WORKERS' COMPENSATION INSURANCE AFFIDAVIT James J . Welch & Co. , Inc . (licenseci oerm�neel with a principal place of businessiresidence at: 27 Congress Street , Salem, MA 01970 (CitylStateizip) do hereby certify, under the pains and penalties of perjury, that: [ ] I am an employer providing the following workers' compensation coverage for my emplovees working on this job. 006-0085-2060605100 Aetna Casualty and Surety Co. 006-C-00229 72665 CAA Insurance Company Policy Number ( j 1 am a sole proprietor and have no one working for me. ( ] 1 am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: 006-0085-1060605100 James J . Welch & Co . , Inc . 006-C-00229 72665 CAA Name of Contractor Insurance Company/Policy Number lame of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number (] 1 am a homeowner performing all the work myself. NOTE: Please 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 appurmnant thereto are not generally considered to be employers under the Workers' Compensation Act(GL C. 152.sect 10)), 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 venneation and chat failure ro secure coverage as reouired under Section 25A of MGL 152 can lead to the imposition of criminal penalties consnung of a fine of up to 51500.00 andior imprisonment of up to one year and civil penaities in the form of a Stop Work Order and a f ine or S 100.00 a day, against me. Signed this Eighteenth day of August 1993 I ' inee _ nsoriPermi or tccnseeiPerm ce No., 2 _l� City of Salem ward�— >R 4«mxs APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, It, III, IV,and IX. 3 ZONING I. AT(LOCATION) , DISTRICT LOCATION (NO.) s REEn OF BETWEEN 6z t/ 1 VL A e ti AND BUILDING (CROSS STREET) (CROSS LOTET ) SUBDIVISION LOT BLOCK SIZE 11. 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(It residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational housing units added,it any,in part D,13) 19 E] Chruch,other religious 13 E] Two or more family-Enter number 3 Alteration(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 gaage 5 ❑ Wrecking(H multifamily residential,enter number 23 ❑ 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 E] School,library,other educational 7 ❑ Foundation only 17 Other-Specity 27 Stores,mercantile B.a OW / 28 ❑ Tanka towers 8 IrJ�Privale(individual,corporation,nonprofit 29 ❑ 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, �() parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement ......................................................... $ Q at industrial plant.If use of existing building is being changed,enter proposed use. To he installed but not included in in the above cost a. Electrical........................................................................... b. Plumbing.......................................................................... c. Heating,air conditioning............................................. d. Other(elevator,etc.)..................................................... 11. TOTAL COST OF IMPROVEMENT $ III. 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 OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 ❑ Masonry(wall bearing) 35 Gas 40 ublic or private company Will there be central air 31 ❑ ood frame 36 ❑ Oil 41 ❑ Private(septic tank etc.) conditioning? 32 R3tructurel steel 37 ❑ Electricity 44 Yes 45 ❑ No 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42Public or private company 46 ❑ Yes 47 ❑ No ` 43 ❑ Private(well,cistem) J.DIMENSIONS aa. Number of stones .................�........................... M. DEMOLITION OF STRUCTURES: 49. Total squarefeetf floorarea all floors,based o Has Approval from Historical Commission been received nexterior dimensions ......................................................................... for any structure over fifty(50)years? Yes_ No_ so Total land area,sq.n..11,...oA' ............ Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed ............................................................................. 52. Outdoors............................................_............................... HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed .....................................................-..................... Electric: Gas: 54. Number of Full........................................... Sewer: - bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial.----------............... BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ No (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— /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# D J /a 7 Salem License# { sl/ Home Improvement Contractor# Homeowners Exempt form (if applicable) Yes_ 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 Name Mailing address-Number,street,city,and state ZIP Code Tel.No. Owner or 5h Lessee �. /-5 r� Z P916 7 yy��d contactor Builder's 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. Si natu Address DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number b /J Building `; �J use Group Permit issued G�� 19 Fire Grading - Building � Permit Fee $ 1-3J/s!L 0-0 Live Loading Certificate of Occupancy $ Approved by: Occupancy Load Drain Tile $ Plan Review Fee $ NOTES AND Data-(For department use) !P=M CIL, L S o 2 Can e 0L 0- e e PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: j ab 3 Completed by: Z a 6 ?j No. S9�)-93 City of Salem Ward �ceaxc� APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, 11, 111, IV, and 1X. �� {{ ZONING I. AT(LOCATION) 0.00. 1 C r1 T DISTRICT LOCATION (NO.) (STREET) OF BETWEEN_ t)IIA MLK .�5�_ AND 7R ro-cl tse. A L)e, BUILDING (CROSS STREET) (CROSS LOTET ) SUBDIVISION LOT BLOCK SIZE 11. 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(It residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational housing units added,ff any,in pad D,13) 19 ❑ Chruch,other religious 13 ❑ Two or more family-Enter number 3 Alteration(See 2 above) of units ....................................................... 20 ❑ Industrial 21 ❑ Parking garage 4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 22 ❑ Service station,repair garage Enter number of units ........................... 5 ❑ Wrecking(IF multifamily residential,enter number 23 ❑ Hospital,institutional of units in building in Part D, 13) 15 ❑ Garage 24 ❑ Office,bank professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School,library,other educational 17 ❑ Other-Specify 27 toren,mercantile B.OWNERSHIP 28 ❑-Tanks,towers 8 03 Private(individual,corporation,nonprofit institution,etc.) 29 ❑ Other-Specify 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, (Q Q00 parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement ................................. $ at industrial plant.If use of existing building is being changed,enter proposed use. To be installed but not included iI I in the above cost t 1 '�preiC a. Electrical........................................................................... b. Plumbing.......................................................................... c. Heating,air conditioning............................................. d. Other(elevator.etc.)..................................................... 11. TOTAL COST OF IMPROVEMENT $ 40 III. 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. PRINC>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 LTPublic or private company Will there be central air 31 ❑ Wood frame 36 ❑ Oil 41 ❑ Private(septic tank,etc.) conditioning? 32 r Structural steel 37 ❑ Electricity 44 es 45 ❑ No 33 Reinforced concrete 38 l H. TYPE OF WATER SUPPLY ❑ ❑ Will there by an elevator 34 ❑ Other-Specify 39 ❑ her-Specify 42 ublic or private company 46 ❑ Yes 47 e'I� 43 ❑ Private(well,cistern) v. Y J.DIMENSIONS 48. Number of stones ..................... ..................................... M. DEMOLITION OF STRUCTURES: 49. Total square feetf Door area all floors,based o , HApproval from Historical Commission been received nexterior as pp dimensions ...................---........................................... for any structure over fifty(50)years? Yes_ No_ 50. Total land area,sq.ft..Ar,..A.....4 ..-.......... Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed............................ ...................... .( sz. Outdoors ........... HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?.A* Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed..............................._..._...................................... Electric: Gas: 54. Number of Full........................................... 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 (If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Ye Yes�o Is property located in the S.R.A.district? Yes_ Nom/ Comply with Zoning? Yes_ 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) J© -? t Massachusetts State Contractor License# [ (2 Salem License # ` 9 7 Home Improvement Contractor# Homeowners Exempt form (if applicable) Yes_ 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: 9 7 in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name Mailing address-Number,street,city,and state ZIP Code Tel.No. 1. S O 6 D Owner or Lessee d� L1502/d 2 G d S S d"' 01926 Contactor Bee I I� i License No. p p 3. /�f l L'O`T S / !� d Architect or 4 le LIZ n.' Engineer e 0) /W / 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. Si at I t (Z� Addresso..t'sApplication date z'I r� �ss DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building / l _(,} FOR DEPARTMENT USE ONLY Permit number Building �� •�y/ Use Group Permit issued /241 19 Fire Grading Building s c �� Permit Fee $ _ la 7 Live Loading Certificate of Occupancy $ Approve Occupancy Load d bye Drain Tile Plan Review Fee $ lJ / n �14 TIT 10 NOTES AND Data - (For department use) PERMIT TO BE MAILED TO: DATE MAILED: y Construction to be started 4by: 6/,Ir/ Completed by: BOARD OFAS'SESSORS " 93 WASHINGTON STREEr,CRY HAIL.SALEM.MASSACHusErrS 0197o �^ (MM 7459596 Ext 261 (506)744.5916 FAX . 4rry RECEIVED APR 0 6 1993 REAL ESTATE DEPT. May 3 , 1993 Deborah E. Burkins.-.- City Clerk City Hall Salem MA 01970 Dear Miss Burkinsh- Please be advised :'..at the former Stop & Shop shopping plaza located at Vinnin Square and currently carrying the street address of 7 Paradise Road (Parcel ' #20-0006) , has had its legal address changed to 3-25 Paradise Road. Each storefront shall be numbered consecutively from number three up to and through number twenty-five, odd numbers only, with the storefront nearest Paradise Avenue being assigned number three and thi highest number being assigned to the storefront nearest' Vinnin Street. r yours, r M. Caron Chairman cc: Postmaster Jo )h L. Leccese Acting Chief 1cobert Turner, Fire Department Helen Jiadosz, Water Dept: Leb Tremblay, Inspector of Buildings Richard Lis, Engineering Dept. Capt. Paul Murphy, Police Dept. t,-fflim Donovan, Real Estate Tax Manager, Stop & Shop ( Saeem F:vice Depa4tmerzt Fine P4even&Zon Su.aeau 48 La4ayette Street Saeem, Ma 01970 (508) 745-7777 FIRE DEPARTMENT CERTIFICATE OF APPROVAL. FOR SUILDING PERMIT In acconda.nce wd th .the Ptovt-6d on.6 04 the Ma.64achu.6ett.6 State SWU-ding Code and .the Saeem F,r ce Code, appt Lcati.on 44 hereby made 402 app-covat o4 ptan s and the -c.64uance o4 a certt4.tcate o4 appn.ovat 4o-% a buZZdtng penm.rt by .the Saeem Ft4e Depantrnent. (Re4. Section 113. 3 Maga. State SP.dg. Code) Job Location: Owner/OeCa'P�t: �� E r�JEY C 1t Q`1DI� fiwl�/ti,d/�_ i(�� Etect,r cat Contvcacton: Ft,te Suppneea.ion Contvca.cton: S-ig ce 04 App Phone #: Add te",6z GO _7_r e City on ,7 O� App?.itl Town: ( APp3ovae date: Ce4tl.44e41te o4 appaovaE 44 hereby 94anted, on appaoved pQan6 on .aubmittae o4 ptoject detm. , by .the Satem F4,te Depa tment. ACE pea.n6 ane approved eoteey 4on tdent4-44catton o4 type and Cocatton o4. 4.i to p-to.tec t i,on devtce 6 and equ.tpment. ACe ptan6 cute 4ubject to appn.ovat 04 any othet auth.oa,lty h.ay.ing juuAd.6d.ict-Lon. Upon eompte-tion, the appttcant on t"taZee-c(.6) 6hatt ,teque6t an t"peetton and/on teat o4 the 4.1ne pnotectton dev-tce6 and equtpment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** ) 0 New eon6tnuct ion. Pnopevrty Bocatton ha6 no compliance with the ptov4,6.ton-6 o4 Chaptex 148, Section 26 C/E, M.G..L. , aeeattve to the t"tatatton o4 appn.oved 4.i to ataAm devtc". The owner o4 th.44 p to peaty 4.6 tequ ted to obtatn eomptiance a-6 a condi tion o4 obta.tn ng a Su4tdtng Pe-%m4t. Pn.opeatg Zocatton 4.6 to compt i,ance with the pnov-i.6.tona o4 Chapter. 148, Section 26 C/E, M.G. L. C ExpZ a tLon date: �ClG ING 7CtZa S r g o4 F vice 44.tci,ae Fee due: under. T, 500 Sq. Ft. $1 7 , 500 Sq. Ft. on. ta�tgen. -(125. 00 , Form 81 (Rev. 10/90 ) FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT r 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 issued. The Massachusetts State Building Code requires compliance approval of the Salem Fire Department, with reference to provisions of Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts General Laws, and 527 Code of Massachusetts Regulations. The applicant shall submit this application with three (3) sets of plans, drawn in sufficient clarity, to obtain stamped approval of the Salem Fire Department. This applies for all new construction, substantial alterations, change of use and/or occupancy, and any other- approvals required by the Massachusetts General Laws, and the. Salem Fire Code. Exception: 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 normally required .for fire suppression 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, Chapter 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. 1 Form 81X (10/90) COMMONWEALTH OF MASSACHUSETTS Ec DErAR-.MEKr OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET amen zamooe" BOSTON, MASSACHUSETTS 02111 ..,,ss,vne, WORKERS' COMPENSATION INSURANCE AFFIDAVIT James J . Welch & CO. , Inc . (I¢enseu verminee( With a principal place of business/residence at: 27 Congress Street , Salem, MA 01970 (City/Snteizip) do herebv cerary, under the pains and penalties of perjury, that: J I am an employer providing the following workers' compensation coverage for my employees working on this {ob. 006-0085-2060605100 Aetna Casualty and Surety Co. 006-C-00229 72665 CAA Insurance Companv Policy Number ( ) I am a sole proprietor and have no one working for me. ( ] I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies. 006-0085-1060605100 James J . Welch & Co. , Inc . 006-C-00229 72665 CAA Name of Contactor Insurance Company/Policy Number lame of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number [] I am a homeowner performing all the work myself. NOTE Please be aware that while homeowoen who employ persons to do maintenance,construction or repair work on a dwelling of not more than three units to which the homeowner also resides or on the grounds appurmnan%thereto are not generally considered to be employers under the Workers' Compensation Act(GL C 152.sea, IM), application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers' Compensation ACL 1 understand that a copy of this statement will be forwarded to the Department of Industrial AccidentsOffice of Insurance for cover= �enneauon and that failure to secure coverage as required under Secuon 25A of MGL 152 can lead to the imposition of criminal oenalue conusun¢of a fine of up to 51500.00 and/or imortsonment of up to one ynr and civil penalties in the form of a Stop Work Order and a Fine of S 100.00 a day against me. 1993 Signed this Eighteenth day of August , LicenseeiPermirree tensor/Fermi of CONSTRUCTION CONTROL PROTECT NUMBER:_ _ PROJECT TITLE:_` �iiP 1Fi✓t. (0w Iez� �I'd2�2_ ( Li1 Vl ISG fe-h t2�Q , FRW L--1 M4 LOCATIO.7: �arac��se lid' IYI NI ✓� ,� It NAME OF BUILDING: Shri n n - • 0 )�- � C�G�t NATURE OF PROTECT: e , IN ACCORDANCE WITH S ION 127.0 OF THE MASSACHUSETTS S ATE 6LDING CODE I i, Aber l , �-)L(`Iy5 REGISTRATION NO: � -js(Q( BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS . AND SPECIFICATIONS CONCERNING: ENTIRE PROJEK' ARCHITECTURAL STRUCTURAL FIRE PROTS iT ,a ELECTRICAL MECHANICAL OTHER FOR THE ABOVE NAMES"IpRWECT AND THAT TO THE BEST OF MY n90WI.EDGE SUCH PLANS _ COMPUTATIONS AND Sb'ECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STAT;: bUILDLNG CODE, ALL ACCEPTABLE ENGINEERING PRACTICES anin APPLICATIT.F LAWS AND ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY '1'11AT 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 DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 127.2.2. 1. Review of .;hop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code required constrcution crnponents requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT TO SECTIO; 127.2.3, I SHALL SUBMIT PERIODICALLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMKM TO THE BUILDING INSPECTOR. UPON COMPLETION Oi, THE WORK, I SHALL SUBMIT A FINAL REPORT AS O THE SATISFACTORY COMPLETION AND READINESS OF THE PROJFX•T FOR .E © 1 � p SUBS ED ° 9 ME BEFORE THIS I D K DAYOF;. US 1 19 l3 #3361 ce OF 4' , . P CONSTRUCTION CONTROL PROJECT NUMBER: PROJECT TITLE: �njPjt4A- (_CJ2mel� e. A1'"2.-rial11e2 3- 25 1 A PRW-=ION LOCATION: ` ' 2 t`a d u se lid,• l �a�I NAME OF BUILDING: I;,, n IYlc I �o NATURE OF PROTECT: & 2 i a C'PJk�t d IG` t h J i ri 'Jr ll; 1ShIj LAI'LT IN ACCORDANCE � )CORDANCE WITH S� ION 127.0 OF THE MASSACHUSETTS S ATE UILDING CODE I, jq )6jef • . ;('Iy5 REGISTRATION NO: S34�7( BEING A REGISTERED PROFESSIONAL ENGINEER/ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS AND SPECIFICATIONS CONCERNING: ENTIRE PROTECT ARCHITEC'TJRAL STRUCTURAL TIRE PROTECTION ELECTRICAL MECHANICAL OTHER FOR THE ABOVE NAMED PROTECT 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 —.- APPLIOAR7.F. LAWS A? ORDINANCES FOR THE PROPOSED USE AND OCCUPANCY. I FURTHER CERTIFY 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 DOCUMENTS APPROVED FOR THE BUIMING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING AS SPECIFIED IN SECTION 127.2.2. 1. Review of shop drawings, samples and other submittals of the contractor as required by the construction contract documents as submitted for building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code required constrcution components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix B. PURSUANT To SECTION 127.2.3, I SHALL, SUBMIT PERIODICALLY, A PROGRESS REPCRT TOGETHER WITH PERTINENT CaNtENIS TO THE BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READ OF THE PROJECT FOR ��7�k��`"rOA '"" J. ski <�� v Si 0 NV SUBS ° ME BEFORE THIS � 6-K DAYOF V5 1 191-S #3361 't, : F9 STH Of �'i�w x Chi# of �$ttlent, ��< a ALL DT7,%'ELOPE2S OF SIX (6) OR MORE P.E.SIDENT-TAL D EMLING UNITS OR 10,000 SQUARE FEET OF COMMERC?AL SPPCE (ROUTING SLIP REVIEW AND PASS ON AS INDICATED LOCATION: DATE APPLICANT: INSERT DATE WHEN PASSING ON r)FPAPTMFNT. ASSESSORS Date CONTACT PERS • PETER CARON 2 R . CITY PLANNER rnMTArT nr S /�a! cQ '&,e 93 3DEPARTMENT' FIRE DRPPR7T'F' f` rAPT. TURNER OR INSPk'C'[C.R LAPOU TE 4 DEPARTMENT: DEPAP,'[T'PI�II' OF PUBLIC SEPVT.CES CONTACT PERSON: DIRECTOR 5WATER DF_PARTM.FTTP MARGARET HAGERTY OR EiFf.EN JIpMSZ 6DEPARTMENT: ELECTRICAL CONTACT PERSON: PAUL TUTTLE 7 DEPARTMENT: CONTACT PERSON' 8 DEPARTMENT: CONTACT PERSON: RETURN TO BUILDING= DUARTMc-l"T . Salem Fizz.. . , . . , , e De pantment. Fl to Preve tt. on Suteau.. 48 La4ayette Street Salem, Ma 01970 (508) 745-7777 FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT In accordance w4t1z .the P40v.i.6tona o4 the Ma.6haehu,6et-t6 State Bu,ledlnj Code and the Salem Fierce Code, application 4.6 hereby made 4or approvae 04 p.ean.6 and the .i6.6uance 04 a centC4tcate o4 approval 40r a butZding pen-mit by the Salem F.vice Department. (Re4. Seet(.on 113. 3, Masa. State Bldg. Code) Job Location: 17 0-ARA D / er '?a,*V /Occupant: ,_fo�r9-�l EZect4-4c4a.e Contactor: F4,te Suppree-64on Conthacton: S.Ggnatun, 04 AppZ.L Phone #: 4'L N` 5/5/430Addne sa o4 i �•r 3T AJe h k 46. City on. AppZicant: Town: �eeor.d � Appn.ovae date: 7 n 3 Ce4ti4.ieate 04 approval Z4 hereby granted, on approved plant olt aubmdttaZ o4 project detaie.6, by .the Salem Fyne Department. AU plana are approved -6ole.ey 4or -i.denti.4.i.eatZon o4 type and toeati.on o4 4.ih.e protecUon devtce6 and equipment. AZe ptan.6 ane 4ubjer-t to approval o4 any other autho&ity hay.in.g jun,i6diction. Upon eomptetlon, the appt cant 0r 4+z6tatter(.6) .6haZe requ"t an ."peed on anal/or teat 04 the 4.&ce protec tion deute" and equipment. ( ** FOR ADDITIONAL REQUIREMENTS, SEE REVERSE SIDE ** ) New corz4trueti.on. Propenty ZocatGon ha.6 no compliance with the provt-6.ion.6 04 Chapter 148, Section 26 C/E, M.G. L. , relative to the tn6taeatLon o4 approved 4 ivice ata cm dev.l ce.6. The owner o4 th.ia property i.6 requ-ited to obtain eompZiance " a condi tion o4 obtaining a SutZdiny Pe%m.rtt. Property location -t,6to compt. ance with the provt,6.Zon.6 o4 Chapter. 148, Section 26 C/E, M. G. r EXPO:' tion date: ` � 3 S ur F ' O '.Lcta.Z Fee due: under 7, 500 Sq. Ft. - $10. 00 7 , 500 Sq. Ft. or larger Form #81 (Rev. 10/90 ) . 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 issued. The Massachusetts State Building Code- requires compliance approval of the Salem Fire Department, with reference to provisions of Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts General Laws, and 527 Code of Massachusetts. Regulations. The applicant shall submit this application with three (3) sets of plans, drawn in sufficient clarity, to obtain stamped approval of the Salem Fire Department. This applies for all new construction, substantial alterations, change of use and/or occupancy, and. any other approvals required by the Massachusetts General Laws, and the Salem Fire Code. Exception: 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 BuildingInspector, require a plan to show the nature and character of the work to be performed. Notice: Plans are normally required for fire suppression 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 applicabler shall apply. This section shall not, howeve , supersede the provisions outlined in the Salem Fire Prevention Regulations, Chapter 1489 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. ( Form 81X (10/90) c,2c, - D77d — yy APPLICATION FOR PERMIT TO ERECT A SIGN Salem, Massachusetts P, �1, 19 W C'�cc.Q PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK I APPLICATION MUST BE SUBMITTED TO THE BUILDING INSPECTOR WITH STAMPED APPROVAL FROM THE SALEM REDEVELOPMENT AUTHORITY. TO THE BUILDING INSPECTOR: The undersigned hereby applies for a permit to Erect, Alter, Repair a sign on the following described building. Location I'+/k,Lares R� Zoning/District Name of Property Owner Name of Sign ff Ownerp (?,�'kp9�¢.� yQw Address 0 L If Owner is a corporation, name off responsible Officer Name of Licensed Sign Erector Q . . �4 l Address Salem,�� k cNI Salem License No. Use of Building: 1st Floor 3rd Floor 2nd Floor 4th Floor Type of Sign: v/Surface Right Angles to Building Free Standing Other ( ) Height : _ 191a-4'� Sign Materials : C4&'n'P 6� C' % 7 him $ c74z eft Sign Dimensions : q r Sign Area O SF Existing Signs : Surface: Sign Area SF �yRight Angles : Sign Area SF Free-Standing: Sign Area SF Other: Sign Area SF Signs to be removed: Type Sign Area SF Frontage: Building FT Property FT �ignature of Owner Name & Address of Address CacQQ_ Insurance Company: yp 2qc) GAG-)3 Telephone Estimated Cost of New Work: �, 3 C U APPRO ALS: P t APPLICATION TO ERECT, ALTER, OR REPAIR PLAN OF LOT A SIGN IN THE CITY OF SALEM__ _ _ _ _ .______ Show Location of Present Structure / snd Signs BUILD7,C OCATION: �b 1 BUILDING USE: ------------------------------------- -------------------------------- ---- CONDITIONS ------------------------------------ ------------------------------------ PERMIT GRANTED �j� �� 19 � f V AB Sign Applications Must Include the Following: Detailed Scale Plan of Sign Color Samples %y S 1,40 1,/e—T Method of AttachmentS Pry a.�GA e Method of Lighting -= av We O/) 417 ev-S' —C--- � Jr,7z/i+-/ 1,-1aa rscenJ- jr e $'W;, Location of Sign on Building: Drawing Photo Permit Fee - $20.00 � • 1 �,(MDfi(_ Y APPLICATION FOR PERMIT TO ERECT A SIGN 4..0 Salem, Massachusetts /, 01 \/ PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK lam`--' ' APPLICATION MUST BE SUBMITTED TO THE BUILDING INSPECTOR WITH STAMPED APPROVAL FROM THE SALEM REDEVELOPMENT AUTHORITY. TO THE BUILDING INSPECTOR: The undersigned hereby applies for a permit to _,/�Erect, Alter, Repair a sign on the following described building. Location Zoning/District '57- Name of Property Owner /✓z-4&S//oc�7 L, 77?S, C/a &PPROP lana noyo wvao !�plz//b! m !�/� S��de/ 4/1T, 7?-C' Name of Sign Owner /cr�i3. cT„ ,i !/i Ciro Address �T� /o i7.�/<>�o%/ /�- �� 5� Ze_ , If Owner is a corporation, name of responsible Officer Name of Licensed Sign Erector _r , jilSTi�JS _7:;�7G v C-S Address �a 5 ST Se%m !M Salem License No. (7d �l 9 Use of Building: 1st Floor _� 3rd Floor 2nd Floor 4th Floor Type of Sign: Surface Right Angles to Building L Free Standing Other ( ) Height: Sign Materials : ltxu� -/fir�r/ c lz (mss Aid/&/m /r�T L r X a i, -�-:c rs c�/t/r'1 �j OX i `'•7r/ �J Sign Dimensions : ,71_2`/X ay (;2 Sign Area ew SF / 11- S"e G - Gj//O " X rr/�lf/" _ 3atSxT Existing Signs : Surface : Sign Area SF F}D' Right Angles : Ah� Sign AreaSF - Free-Standing: � Sign Area SF Other: /Y!9 Sign Area SF Signs to be removed: Type Sign Area N SF Frontage: Building �lj FT Property FT Signature of Owner Name & Address of Address Insurance Company: 4-11, 51-Z✓o0c/ .;;�, 6, Co Telephone Estimated Cost of New Work: APPROVALS : s b 44 ivutic on ptan5 i f V (453 -01, 14 APPLICATION TO ERECT, ALTER, OR REPAIR PLAN OF LOT A SIGN IN THE CITY OF SALEM Show Location of Present Structure snd Signs BUILDING LOCATION: I BUILDING USE: ------------------------------------- ------------------------------------- CONDITIONS -------- - -- --- --------- ------ s WORK ORDER NUMBERDESIGN 8 - NUMBER F` SHEET OF Z z v i 1 CLIENT c)ac:) ADDRESS PTI:-- 1fi7 - CITY/STATE —•_ p s Q o N SALES DATE o REP. ji �Y dI • —_--- ---�J ARTIST TZ. /is rwi APPROVED BY DATE ART DEPT. ON SALES } /, �)- i ;'•r l--�— EX p' a � ESTIMATING ENGINEERIN ,,� ��✓'� 'y 1 �i.l 1 zH o o CLIENT z 1 r�" vyN� N oo rP7+ z �' a ci Q,"� IF LANDLORD V r f aLl CYA CL N 50 r L.. 3201 Manor Way 214-902-20u0 Dallas, Texas 75235 Fax 214902-2C44 3201 Cherry Ridge Dr., C301 210349-3604 San Antonio, Texas 78230 Fax 2103498724 3 tr I'1 _Sv37 — THIS DRAiVING IS THE PROPERTV OF CHANDLER SFAS. 16C. AND ALL RIGHTS TO ITS USE FOR - _ i REPRODUCTION ARE RESERVED BY CHANDLER _ I SIGNS, INC. REVISIONS cl I i i _ l 0 V I I AbZ - ^ Q -----, y I, it ' e CTO . ,.. 1 $. I ' Q ~ V � u 4C Oc z N O Q _ I � \� ' Z Z If _, 9 t1luo CT 'Oj N JZ r.., ■ . e LLJ BRI OF ZATER77 ED a 0 Tte ) , 3ox cm l s i , 64 55 p i m - U � Lh 1 0 ♦ 4 DISTRIGUTION OF PRtkTS 1 Rf 'ty11, ` MASiEx fILE CAU {� EEEcrA.cAl rEEx yi caxE y 3LL j.., TL SERWCL PAINT ]" HEAT TUNS ❑ i CUSTOM ❑ VINYL ❑ AV,% ASS T. ❑ ALUMINUM ❑ NEOk �y' IkST:ul CHNL LTiL k, SCREEN ❑ ❑ ASSLM.LY K Ain NTNG ❑ ❑ , TOTAL 1. 12 12„ - . „ FACE SPECIFICATIONS FLEXIBLE SIGN FACES SIGNTECH 3H �- „ YELLOW COPY;`LINES AND LI OW .BLOCKBUSTER !i 4 5 BORDER WITH A BLACK OUTLIN100 E 9 � VIDEO YELLOW � Mt I I BLUE BACKGROUND 2930 BLUE VII�tB BLUE I O FACES TO BE STRETCHED USING j « A 3M APPROVED TENSIONING 'Ii i I c.•{ MF.TUOD I I1 CABINET SPECIFICATIONS ,, -- ALTIMINIIM FILLER AND ' • 1 RETAINERS. PRIME: AND -� PAINT POLYITRP:PUANE: 156-464 256-272. 256-372-10)0 ENAMEL BLOCKBUSTER �`----._ . .. VIDEO YELLOW 2.4 AMPS 1.35 AMPS 2.0 AMPS ELECTRICAL SPECIFICATIONS Y J Lo (9) F60T12CWH0 I<AMPS a (1) 256-464 BALLAST Hf 7.4 AMPS MANUFACTURED TO U.L. SPECIFICATIONS (1) 256-372-100 BALLAST 0 2.0 AMPS (1) 256-272 BALLAST'S (d - y 1+ l 1 .35 AMPS 5.75 TOTAL AMPS (1) 120 VOLT 70 AMP j f i CIRCUIT RE UIRE) " SUPPORT SPECIFICATIONS --1 I B" DIA STEELPIPE rl .,U OR'1 WITH .322 WAI<t< • 7 PRIME AND PAINT / FILLER BLOCKBUSTF,R VIDEO BLUE4- (.050 *tINTMUM) , CONCRETE FOUNDATION RF.Q,11 RCHLN'rS .� _� -CODTION PENDING VARY PER LOCATION CA � ,•1 STREET SIDE L. '�;. `..-- �, \. - - f.. , _- STORE SIDE LOCALLOCALE:.( ,. OIt (.ONnTTI s C . . J ANT) WIND LOAD REQUIRKMENTS" ! •• `.>UIJARI: >II1.1�,'rll li E: T . 'f WITH .237 ' WALL' -.., _ ,'i\, ------- 1-1/2" X 1-1/2" SQUARE r. STEEL. TU RR DIMENSIONS BASED I - ' ` (i Vh-RTICAL BRACE$ •�, ON 30 PSF WIND LOAD ' " - _ ' \/ 2" X' 2".-R- 1/4n ANGLE -^••� I (TYPICAL 11TNTMUM ;) ;{ it'. -.SPECIFICATIONS) � . �/ '('' � --- \ ' � �' ` 'x-"� - IRON BOX AROUND STUB sr— 2" .X 4" X .063 ALIMINL?1 F.F:,AINF:R _096 AT•UMI.NOM . FILLER/RETAINER L/2„ STF.EI. PLATE ONE-PIECE I'•CE WELDED S'iTIB R P CS ON 1i E. � � �-.�•�” � `9 -7 a:- If, '1 . :;o --: ONIi-Y11•:C,E: WELDED ♦,ll1i+ l IU`) � .. .r I . -t 'E V! G F U 7 f, Nit, (CONTINUOUS FILLET' WELD) (PLUG WELL) BOTTOM SI'AB [,IN(; i 4 PI-ACI::; AND CRTND SMOOT11) " SLD, mu E T AIL !20 raq ow a 40. ge o =o S C Z N 9 .may `�- 10 g m S � _ J • . �a '!^oy.yo e o m c� mm 0 IN ,V.k1Egn ) tF�' Sl(DR�. � IN ,'.,�N co a) mPZ _ O ^` :B OGK •US •:V.,vv I' ► 'EN :Y I IR{'l( R? _ rn jd • w rt�i \ . L C3 o, m_ tm ` 1�- -. _ VIP t 1 sY�i : np�p oo ! mV mC3 .. y. qC No. —�' City of Salem Ward APPLICATION . FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant �tocomplete a�ll\items in sections:I, 11, 111, IV,and IX t I. 1N\-\ rHY, �1r�� C_A_), ZONING AT(LOCATION) V DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING (CROSS STREET) CROSS LOTETI 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 i2 f6ddition(If residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational housing units added,it any,in part D, 13) 19 [:] Chruch,other religious IL�J'/ 13 Two or more family-Enter number 3 Alteration(See 2 above) of units .................................................... 20 ❑ Industrial 21 ❑ Parking garage 4.[-] Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 22 ❑ Service station,repair garage Enter number of units ....................... 5 ❑ Wrecking(It muRilamily residential,enter number 23 ❑ Hospital,institutional of units in building in Part D,13) 15 ❑ Garage 24 F] Office,bank,professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 7 F1 Foundation only 26 ❑ hool,library,other educational 17 ❑ Other-Specify 27 Stores,mercantile B.OWNERSHIP 28 E] Tanks,towers 8 Private(individual,corporation,nonprofit 29 ❑ 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, parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement•-...._.._............ ............ $ `� ,0(� at industrial plant.It 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.)..................................................... 11. TOTAL COST OF IMPROVEMENT $ III. 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. PRINCI L TYPE OF FRAME F. PRINCIP TYPE OF HEATING FUEL G. TYPE O�SEWAGE DISPOSAL 1. TYPE OF MECHANICAL 30 Masonry(wall tiearing) 35 Gas 40 ,; Public or private company ' Will there be central air 31 ❑ Wood frame 36 ❑ Oil 41 ❑ Private(septic tank etc.) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 f Yes 45 ❑ No 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE 9F WATER SUPPLY Will there by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42 r[n Public or private company 46 [3 Yes 47 No 43 C] Private(well,cistern) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stories ........................................................... as. Total fl square feet donfloor teriorarea, Has Approval from Historical Commission been received all eoors,based of exterior dimensions _....................................................................... skw sm j�q. for any structure over fifty(50)years? Yes_ No_ 50. Total land area,sq.ft.. ................ Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed ................. 52. Outdoors............................................................................. HAVE THE FOLLOWING UTILITIES BEEN DIS CTED?NO L RESIDENTIAL BUILDINGS ONLY Water: Yom-✓SC 53. Enclosed ............................................ EleCtrlC: \ $cauN2c �1'� Gas: �ISco�alec 54. Number of Full........................................... Sewer: '$r1- US(o bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial...................................... BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ No--LL (If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes—�/No_ — I Is property located in the S.R.A. district? Yes_ No Comply with Zoning? Yes_ 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 # 66 91a Salem License# Home Improvement Contractor# Homeowners Exempt form (if applicable) Yes_ 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: ) 19� in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name Mailing address-Number,street,city,and state ZIP Code Tel,No. 1. Owner or Lessee 2. 2ltL Sc1kIGILun� lS•�, aj T- IMAs 01 Wbbl, 7 Contractor Builder's License No. 3. w �dl Kck kWV— S - �ut4 TDI\I �S{OZ 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 FAntVd we agree to conform to all applicable laws of this jurisdiction. Si re apl5licant Address Application date Ll �.0, OD W kA p_ DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued 19 Fire Grading Building } Permit Fee $ Live Loading Certificate of Occupancy $ Approved by: Occupancy Load Drain Tile $ —� Plan Review Fee $ LE NOTES AND Data - (For department use) or (e. Z 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 Old 519 v O N �a 0119aa� MichaelS.e Coverriar Dukakis 1&6 r.=ff06 ,A& „ U4"67— one ,Q4 9" _ Aaam �JOf Kentaro Tsutsumt Ad&m, .,#oadaals&Q6 0$!08 Chairman 16t7h'T^-3Z Charles J. Dineno Administrator MEMORANDUM TO: All Building Departmcntsnitate Building Inspectors FROM: Charles J. Dineno. Administrator DATE: October 31. 1988 SUBJECT: MCI. can 154, Added Rv e5R4. ti9 of the Acts of 1997 The above-mentioncu statute requires that debris resulting from the demolition. rcnuvation. rehabilitation or other alteration at a budding or structure ne disposed of in a properly hunted solid waste disposal iacnty as dcftncd by MGL cl 11. S150A and that nodding permits or licenses arc to indicate-the location rnf the tachty at which the saw dchns is to he disposcu. THIS REOUIREMENT DOES-NOT APPLY TO NEW CONSTRUCiTON. In order to simnlifv the process and to pnivtde uniformity. we arc attaching a copy of a iorm-whieb you can either reproduce and use as it is since the completed form will be attached to the office copy of bulWing— permits or licenses; or rcproducc it on your letterhead. In/zee of municipal,commercial.industrial,or multi•unti housing construction, the contractor may not know the dumpster subcontractor at the time of the budding permit application. In such cues. the attacaw copy of an Affidavit can be used. The complete law is contained in the Nnvember issue of CODEwoRD which will he m31ILd to you in the nest two weeks. If you should have any question. please let its know. CJD/km AFFIDAVIT 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 Building Permit shall be disposed of in a properly licensed solid waste disposal facility, as defined by MGL c 111, S 150A. I certify that I will notify the Building Official by (l ' 1 ei+ (T\vo months maximum) 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 ignature of Permit Applicant (Print or type the following information) Name of Permit Applicant Firm Name, if any ?.a. 6D4- 3003 . \\�G-Wbog PoTu A oiCtSO Address 619- b COMMONWEALTH OF MASSACHUSETTS JEFAR:M U,1 T OF INDUSTRIAL ACCIDENTS 600 WASHINGTON STREET amen _ �amooen BOSTON, MASSACHUSETTS 02111 WORKERS' COMPENSATION INSURANCE AFFIDAVIT licenseeioermiace) with a principal place of business/residence at: 253 Lo�,J s' � l �(,wt�tlil. Pa � � olgSa (City/S mizip) do hereby certify, under the pains and penalties of perjury, that: I am an employer providing the following workers' compensation coverage for my employees working on this iob. insurance Company Policy Number I am a sole proprietor and have no one working for me. I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: �tm% l WISt . 7101Q f30$310 Name of Conrractor Insurance Company/Policy Number �omM FZzi F1S�i C 002,s ly� Vl D 'game of Contractor Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number [ 1 am a homeowner performing all the work myself. NOTE: Please 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 am not generally considered to be employers under the Workers' Compensation Act(GL C. 152.sea. 10)), application by a homeowner for a license or ocrmit may evidence the legal sums of an employer under the Workers' Compensation Act. understand that a COPY of chis statement will be forwarded to the Department of Industrial Accidents' Office of Insurance for coverage :enfication and that failure to secure coverage as required under Section 25A of MGL 152 can iead 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 oenaities in the form of a Stop Work Order and a of S 100.00 a day against me. Siened this 2 Q day of 19 `4 cn ei erm a LieensoriPermictor 9UHILD IG DEPT. Erik J. Schickling , ' _ o P.O. Box 3003 Newburyport, MA 01950 • 617-748-8387 Fax: 508-388-606 ry RECEIVED CITY 0£ SALEHMASS. November 11, 1994 John J. Jennings City of Salem Building Department 1 Salem Green. Salem, MA 01970 To the Inspector of Buildings of the City of Salem: In accordance with the affidavit I had signed this letter is to notify you that all construction debris from Bruegger's Bagel Bakery, 9 Paradise Rd. unit #3 is being disposed of at C &J Disposal on the Lynnway in Lynn, MA. The rubbish removal contractor is Atlantic Waste Systems, 1117 Western Ave., Lynn, MA. (617-598- 9525) If you have any further questions regarding this issue, please feel free to contact me at 617-748-8387. ji . cto .kch ding No. J��- C? City of Salem Ward V APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, It, /it, IV, and IX- 5 Paradise Road ZONING I. AT(LOCATION) DISTRICT LOCATION (NO.) (STREET) OF BETWEEN AND BUILDING CROSSS REE WOSS LOT SUBDIVISION LOT BLOCK SIZE 11. 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 pt residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational housing units added,if any,in part D, 13) 19 ❑ Chwch,other religious 13 ❑ Two or more family-Enter number 3 Alteration(See 2 above) of units..._........_.._............_--................... 20 ❑ Industrial 21 ❑ Parking garage 4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 22 ❑ Service station,repair garage 5 Wracking(n muttilamil residential,enter number Enter number of units ........................... ❑ 9 Y 23 ❑ Hospital,institutional of units in building in Part D,13) 15 ❑ Garage 24 ®{Office,bank,professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School,library,other educational 17 ❑ Other-Specify 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ Tanks,towers 8 Private(individual,corporation,nonprofit institution,etc.) 29 ❑ Other-Specify 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, 156 00.0 parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement ......................................................... $ at industrial plant If use of existing building is being changed,enter proposed use. To be installed but not included in the above cost Remodel existing bank. a. Electrical........................................................................... 30 000.0El b. Plumbing.......................................................................... 7.800.0( 800.0 c. Heating,air conditioning............................................. 16,000.0 d. Other(elevator,etc.)........Sprinkler.......... 7,500.0 11. TOTAL COST OF IMPROVEMENT $ 2 18,000.0 111. 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 them be central air 31 ❑ Wood frame 36 E] Oil 41 ❑ Private(septic tank,eta) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 ❑ 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,cistern) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stories ......................... 49. Total square feet of Floor area, all floors,rased on exterior Has Approval from Historical Commission been received mmensions . ........................... for any structure over fifty(50)years? Yes_ No_ 50. Total two area,sq.ft...................... -.................... Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed......................................................... ................... 52. Outdoors HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed......:...................................................................... Electric: Gas: 54. Number of Full_ ...................... Sewer: bathrooms DOCUMENTATION FOR THE ABOVEMUSTBE ATTACHED Partial BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No-XX- (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ No-x}- (If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes RX No Is property located in the S.R.A. district? Yes_ No XX Comply with Zoning? Yes XX No (If no,enclose Board of Appeal decision) Is lot grandfathered? Yes_ No4,L (If yes,submit documentation/if no, submit Board of Appeal decision) If new construction, has the proper Routing Slip been enclosed? Yes_ No-bZ- Is Architectural Access Board approval required? Yes_ No XX (If yes, submit documentation) Massachusetts State Contractor License# 058977 Salem License # Home Improvement Contractor# Homeowners Exempt form (if applicable) Yes_ No CONSTRUCTION TO BE COMMENCED WITHIN SIX(6) MONTHS OF ISSUANCE OF BUILDING PERMIT CONSTRUCTION IS TO BE COMPLETED BY: February, 1995 If an extension is necessary, please submit in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name Mailing address-Number,street city,and state ZIP Code Tel.No. Salem Five Cent 210 Essex Street 01970 745-6850 Owner or Lessee Savings Bank Salem MA. 2. Carr Enterprises, 7 Dearborn Road 01960 SIS-AqQQ Contractor Builder's Ltd: Peabody, MA License No. 3. J.M. Kelse Assoc. 37 Dearborn Architect or0'1970 - Engineer $ 1 m I h eby 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 authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signat of applica Address Ap irfon date 7 Dearborn Road, Peabody, MA J m s J Wad � DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit issued 19 Fire Grading Building Permit Fee $ �J V--O Live Loading Certificate of Occupancy $ ApproveOccupancy Load d b�" Drain Tile $ Plan Review Fee $ TITLE NOTES AND Data-(For department use) PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: 2/ Completed by: C�Op� TICKET NO:�AOI 076 DATE ISSUED: 02-17-95 DATE DUE: 03-10-95 GRACE PERIOD: 03-20-95 t LAST NAME: BRINKER FIRST NAME: BRIAN MI : STREET NO. : 276 SUF: R STREET NAME: HIGHLAND AVE. APT. NO. : CITY: SALEM STATE: MA ZIP: 01970 SS : D.O.B. : EMPLOYEE NO. : 9091 EMPLOYEE NAME: Leo E. Tremblay DEPARTMENT ISSUING TICKET: PUBLIC PROPERTY VIOLATION SECTION: SEC. 3-36 OFFENSE: SIGNS-INSTALLATION OF SIGN WITHOUT PERMIT DATE OF VIOLATION: 02-16-95 LOCATION OF VIOLATION: 5 PARAD.I.SE-RD-. FINE DUE: $20 . 00 DATE PAID:\ 02-22-95 FIRST OFFENSE: Y SECOND OFFENSE: SUBSEQUENT OFFENSE: HEARING REQUESTED BY VIOLATOR: DISPOSITION BY DEPT:—CLOSED-7 DISTRICT COURT RECORD DATE OF HEARING: TIME OF HEARING: DISPOSITION: COMMENTS: c