10 SUMMER STREET - BUILDING INSPECTION I 110 SUMMER STREET IMMMM09
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PERIODIC INSPECTION INFORMATION SHEET
Instructions: This information sheet is not an inspection checklist. Each time
a permanent file card is typed for a new building or a new card for an old build-
ing, this information sheet can be prepared by the building inspector as a work
sheet from which the file card can be typed. The items of information on this
sheet are identical to the items on the file card. If all the information on this
sheet cannot be entered on the file card, this sheet should be filled out and
not discarded.
Street and Number /O Sj cr ,.,✓w _ SX—
Name of Premises
Other Licenses or Permits Required
Owner of Record of Building
Address
Certificate to be Issued to
Address
Use Group Classification Purpose Used
Public or Private
Number of Stories Class of Const tion Date Erected
Certified Capacity (By Story or a)
/2 L�
Number of Rooms - Hospitals, Schools, Hotels (By Story or Type)
Number of Dwelling Units Per Story
' Emergency Lighting System
Means of Detecting and Ext' guishing Fire
Fire Alarm System
Number of Elevators
How Heated
Boiler or Other HVatijg Apparatus
How Lighted f°�p� How Ventilated
Place of Assembly: Yes No QL Purpose Used
In Which Story
Standard Booth Installed Location
Fixed Seating
Number of Aisles and Width of Each
Fire Resistance of Curtalnd or Draperies v
Number of Sanitaries Location – y �—
Number of Grade Floor Means of Egress Doorways
Number of Separate Stairways Accessible Per Story 2—
Numb er
_.Number of Approved Independent Exitways Per Story
Remarks:
Date Certificate Issued Date Certificate Expires
Date Orders Issued Date Orders Complied
Inspector Date
FORM SBCC-1-74
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P TOTAL WEIGHTqs ��rr.- , ; #,tom 5202 PER SO YD58 OZ:PER SO
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4 n 'BASE GRADE ALSO AVAILABLE AS SHOWN ��4
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4 »r Performance rfication
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WEAR WARRANTY sk wn 10 YEAR LIMITED WEAR WARRANTY GUARANTEED; r m �'
NOT TO WEAR MORETHAN 10"% IN 10 YEARS
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t .'FLAMMABILITY ry e 4s. a ir`
p ;rte H r kms., El(TINGUISHING
a FLAMMABILITY s, ,„ ,ASTM-E-6418(FLOORING ADIANT PANEL TEST)
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SMOKE DENSITY NBS SMOKE CHAMBER TEST` LESS THAN 450 ` A �
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NOTE K 0 Specifications listed above are subject to normal manufacturing tolerance.A x •; , 'yppvANCED;r
r a Chair pads are necessary under office chaos with roller casters to prevent premature ocr oLEFlN�
gi
accelerated wear and to preserve appearance
.. . , Color may vary from dye lot to dye lot.
• We reserve the right to change the backing or materials of this carpet without notice
where the performance of the fabric is not affected.
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on the premises listed below.
:-FEE $10.00
s C tv of '_$aXem' fliassur u etts
t �4�� S (ire �epar#menteaDquarfers
Robert J. Crowley 4$ ?Lx{MVft strut
A/Chief o MUM
CERTIFICATE OF CARPET APPROVAL
Occupancy Address: 10 'Sumo c (2 Srrz¢e-;
Occupants lON—'gYkCT1nic; C_.EA-z &:,'-i-A-tf- C.c? y3c33
Occupancy Use Group Classifications 2 �-
Approx.
Area of Use: A—n uw a /S Sq. footage 00
Product Names �i Tal nr Colors
Average Critical
Type of Padding: T IF- Radiant Flux 65' + watts/cm2
Carpet Manufacturers ` O1v71 Nj�eN7-� CUniM-_erU
Name asss
Carpet Installer: �e vTi� (J c %1 ✓G 11�/h E� TE V�� Yc.S
Name Address
n
Testing Laboratory: \ o w-r\ �jt, _',»z,
Laboratory Address:
Laboratory
Date of Test: Approval #
Applicant certifies that the carpet designated above, was prepared
from the same formulation and has the same characteristics as listed
on the Radient Flux Profile and Test Data Log Report, as submitted
with this application for approval.
Date Applicants 7 ,�
SubmittedSignature
Applicants
Address 1.21 / 11s urc� Rd /ops P/c�
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Salem Fire Prevention Bureau Approval: Approval
Date
Certificate
of Approval # Use Group 2' �-
Conditions �" ' �
of Approval c�� e c� lVW/c /lt'txr
Expiration
Date a - i � - 9 Z Approvedby:
cc: Salem Building Inspector
State Fire Marshal
Form # 80A (Rev. 1%80)
` City of Salem, Massachusetts
Fire Department
�gy�rygf�' 48 Lafayette Street
Robert W Turner Salem,Massachusetts 01970-3695 Fire Prevention
Chief Tel 978-744-1235 Bureau
978-744-6990 FaX 978-745-4646 978-745-7777
March 19, 2004
Diane Pabich
The Salem Inn -
10 Summer St.
Salem, MA 01970
Dear Ms. Pabich:
On Tuesday March 16, The Salem Fire Prevention Office along with the
Health Dept. and Licensing Board conducted our annual lodging house
inspections at The Curwen House at 331 Essex St. and The Salem Inn at
10 Summer St. At 331 Essex St. the emergency lighting is not operating.
Immediate attention needs to be taken. The numbering system in this
particular building is easily remedied. By removing the number one
which preceeds each unit at 331 Essex St. would satisfy our request.
At The Salem Inn (10 Summer St.) we are requesting the removal of all
gas stoves in all units that this applies. Whereas this building is
unsprinkled, the stoves are a potential disaster waiting to happen.
The numbering system at The Salem Inn needs to berenumberedso that
city emergency personnel can be better directed. We are willing to
discuss this so this will have a minimal financial impact on the Inn.
Our thoughts are to preceed each room number with the floor number ie
1, 2 and 3. Then end the room number with the building number ie -5,
-7 and -9.
Respectfully,
Kathleen Deschene
Fire Inspector
Salem Fire Dept.
Health
Licensing
Building
® ADJUSTERS of Boston/Lynn,Massachusetts
(617) 662-7225 P.O. Box 858 Melrose, Massachusetts 02176
FAX(617) 662-7544
March 2, 1996
Building Commissioner or
Building Inspector
Town of Salem
Salem, MA 01970
Insured. Haight
Property Address: 10 Summer St
Policy Number: FP1141524
Date of Loss: 2/16/96
File%laim Number: 5421`96
Claim has been made involving loss, damage or destruction of the above captioned
property which may either exceed $1,000.00 or cause Massachusetts General Laws Ch.
143 Sec.6 to be applicable. If any notice under M.G.L. Ch.139, Sec.3B is appropriate,
please direct it to the attention of the writer and include a reference to the captioned
insured, location, policy number, date of loss and claim file number.
CS 6�dv
Claims Adjuster
On this date, I caused copies of this notice to be sent to the persons named above at the
addresses indicated above by first class mail.
Date
® ADJUSTERS of Boston/Lynn,Massachusetts
(617) 662-7225 P.O. Box 858 Melrose,Massachusetcs 02176
FAX(617) 662-7544
March 2, 1996
Building Commissioner or
Building Inspector
Town of Salem
Salem, MA 01970
Insured: Haight
I Property Address: 10 Summer St
Policy Number: FP 1141524
Date of Loss: 2/16/96
File%laim Number: 542P96
.i
Claim has been made involving loss, damage or destruction of the above captioned
j; property which may either exceed $1,000.00 or cause Massachusetts General Laws Ch.
'j 143 Sec.6 to be applicable. If any notice under M.G.L. Ch.139, Sec.3B is appropriate,
please direct it to the attention of the writer and include a reference to the captioned
insured, location, policy number, date of loss and claim file number.
Claims Adjuster
On this date, I caused copies of this notice to be sent to the persons named above at the
addresses indicated above by first class mail.
Date
� h
-:,:0010 SUMMER STREET 300-08
GIs#` "a` 7317 '° COMMONWEALTH OF MASSACHUSETTS
Map: F 26 >
Block: , . ;; CITY OF SALEM
Lot: 0469
Category: REPAIR/REPLACE
Pest# t 300 08 ' r, BUILDING PERMIT
Project# JS-2008-000576--"',1p11-—
Est-'Cost: $5,000.00
Fee Charged:
Balance Due: $oo _ PERMISSION IS HEREBY GRANTED TO:
Const. Class: I Contractor: License: Expires:
Use Group: ._
. ?` ��UNITED ROOFING CONTRACTORS,L
Lot Slze(sq.ft.). 5120.0424
Zoning: R" Owner: Ted Richards
Units Gained: y IN
Applicant: UNITED ROOFG CONTRACTORS,LLC
Units Lost.,.::..: x- . ) x= _:AT: 0010 SUMMER STREET
Dig Safe#:, , 1,1
ISSUED ON: 13-Sep-2007 AMENDED ON: EXPIRES ON: 13-Feb-2008
TO PERFORM THE FOLLOWING WORK:
RE-SHINGLE MAIN ROOF
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Underground: Underground: Underground: Excavation:
Service: Meter: Footings:
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame.
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
' v Meter: Oil:
Final:
House# Smoke:
Water: Alarm:
Assessor Treasury:
Sewer: Sprinklers: Final:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
RULES AND REGULATIONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BUILDING REC-2008-000675 13-Sep-07 9745 $40.00
GeoTMS®2012 Des Lauriers Municipal Solutions,Inc.
1151 UKIU UIQ l .HICi. f MiY J
7- i'1 .73 266 narhas t n �
In S etraat
STRUCTURE MATERIAL DIMENSIONS No. OF STORIES No.OF FAMILIES WARD
COST
Dwelling Wood Frame
3 4M`�` 13 I $ 10,000.
BUILDER
Security Roofing,Constr. Co.
Install (4) baths(sinks,toilets, tubs) separate and divide
par
(4) Apartments ; install outside wood fire escape for an egresstitions into
1/5/78 #3 Install (2) new ba th,new stud partitions and ceilings.
I
4/21/78 #122 Build partition in center of small room on lst,2nd floors and convert
into (2) bathrooms.
7/31/78 #310 Remove and rebuild roof.
10/31/78 #469 Construct wall,class B door, and vent system around furnace pit.
/2/84 #307 (Owner-Frederick Small) Rehab entire interior.
10/17/85 #649 Add Dornier as per plans $2,000.00
CERTIFICATE OF OCCUPANCY ISSUED 3/4/87