19 1/2 WASHINGTON SQUARE NO - BUILDING INSPECTION 19'z WASHINGTON SQUARE, NORTH O
Immm"
b
Commonwealth of Massachusetts
J
f ' City of Salem
Inspectional Services
[ _-
RECEIPT 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595x5641
_ j
Application For Building Permit (For Buildings other than a One- or Two-Family Dwelling)
j (This Section for Official Use Only)
PIN: TB-16-1072 Date Applied: 9/20/2016
Building Official(Print name):
SECTION 1: SITE LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
19-1/2 WASHINGTON SQUARE NO , Salem, MA
SECTION 2: PROPOSED WORK
Are Building plans and/or construction documents being supplied as part of this permit application?: No
Is an Independent Structural Engineering Peer Review Required? Yes❑ No
Brief Description of Proposed work: TENT PERMIT FOR OCT 3, 016 TO&OV. 2, 2016.
SEVEN TENTS: 4'X 7'; 13'X 15'; 9'X 15'; 6'X 35; 9' o
6'X 40'; A 15; X 30' /
SECTION 3: COMPLETE THIS SECTION IF EXISTING BUILDING " 60IN NOV 1 N,ADDITION, OR CHANGE IN
USE OR OCCUPANCY(Check Here_if ri E ting�t}i`in EvatTati n is a loseee 780 CMR 34))
Existing Use Group: r posed ke Group_
S J 4: BykDING HEIGI, AND 9REA
/ isting Proposed
No. of Floors/Stories(Include basem nt lev Area Per F)Vr(sq.01 AV 0.00 0 0.00
Total Area (sq. ft.)and Total Height(ft.) 00 1 0.00 0.001 0.00
SECTIO 5: USE>fR0 P
SECTION 6: CONSTRUCTION TYPE
Museum
SECTION 7: SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal:
Public Check if inside Flood Zone Municipal will not required ❑ Licensed Disposal Site ❑
or or
Identify Zone: Is enclosed ❑ or specify:
Railroad right-of-way: Hazards to Air Navigation: MA Historic commission,Report Process:
Not applicable El Structure Within airport approach area? Is their review completed?
or Constant to Build Enclosed ElYes E] No ❑ Yes ❑ No ❑
SECTION 8: CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Occupant Load per Floor Does the building contain a sprinkler system?:#Error
Special Stipulations:
THIS IS NOT A PERMIT
Commonwealth of Massachusetts
f -
3 City of Salem
A 9
Inspectional Services
RECEIPT 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595x5641
SECTION 9: PROPERTY OWNER AUTHORIZATION
B P M PRODUCTIONS 19 1/2 WASHINGTON SQ NO SALEM MA 01970
If applicable,the property owner hereby authorizes
THE EVENT CO./TAYLOR HEDGES P O BOX 419 GLOUCESTER MA 01930
To act on the property owner's behalf,in all matters relative to the work authorized by this building permit application.
SECTION 10: CONSTRUCTION CONTROL(Please fill out Appendix 2)
(If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then skip Section 10.1)
10.1 Registered Professional Responsible for Construction Control
Name Phone Email Registration Number
Address Discipline Expiration
Date
10.2 General Contractor
Company Name
License no. and License Type if Applicable
Name of Person Responsible for Construction
Address:
Phone Email Address
SECTION 11: WORKER'S COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152§25C(6))
A Workers Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application.Failure
to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application?
SECTION 12: CONSTRUCTION COST AND PERMIT FEE
Total Estimated Costs(Labor and Materials): $2100.00 Building Permit Fee: $25.00
Enclose check payable to the City of Salem, Ck#
SECTION 13: SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate
to the best of my knowledge and understanding.
(978) 283-4884
Please print and sign name Title Telephone
Address: P O BOX 419 GLOUCESTE MA 01930 Date: 9/20/2016
R
THIS IS NOT A PERMIT -
Commonwealth of Massachusetts =\
3 City of Salem
Inspectional Services
REC E I PTI 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595 x5641
Municipal Inspector to fill out this section upon application approval: 9/20/2016
Name Date
THIS IS NOTA PERMIT
Commonwealth of Massachusetts
)
3 9: City of Salem
" Inspectional Services uv_ �
REC EI PP� 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595x5641
Application For Building Permit (For Buildings other than a One- or Two-Family Dwelling)
(This Section for Official Use Only)
PIN: TB-15-1064 Date Applied: 9/29/2015
I
Building Official(Print name):
SECTION 1: SITE LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
19-1/2 WASHINGTON SQUARE NO , Salem, MA
SECTION 2: PROPOSED WORK
Are Building plans and/or construction documents being supplied as part of this permit application?: No
Is an Independent Structural Engineering Peer Review Required? Yes[] No[—]
Brief Description of Proposed work: TENT PERMIT FOR SEVEN (7) TENTS ON WALS FROM 09/29 TO 10/01/2015
6'X 30', 6'X 35', 15'X 20', 9'X 18', 9'X 15', IT X 15', &4'X 7'
SECTION 3: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING NOVATION,ADDITION, OR CHANGE IN
USE OR OCCUPANCY(Check Here---It an Existing Building Evalua i Ws enkloded(see 780 CMR 34))
1-1\Existing Use Group: � posed row �G
SECTION . BUIL ING HEIGHT N"UA
i ' ing Proposed
No. of Floors/Stories(In de baserpQ,I v s) &Area P Ioor 0.00 0 0.00
Total Area(sq. ft.)and Total Height N517 .00 0.00 0.00 0.00
ION : E GROW '
SECTION 6: CONSTRUCTION TYPE
Museum
SECTION 7: SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal:
Public Check if inside Flood Zone ❑ Municipal will not required Licensed Disposal Site El
or
Identify Zone: Is enclosed ❑ or specify:
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Report Process:
Not applicable ❑ Is Structure within airport approach area? Is their review completed?
or Content to Build Enclosed ❑ Yes ❑ No ❑ 1
Yes ❑ No ❑
SECTION 8: CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction:
Occupant Load per Floor Does the building contain a sprinkler system?:#Error
Special Stipulations:
SECTION 9: PROPERTY OWNER AUTHORIZATION
THIS IS NOT A PERMIT
° nr: Commonwealth of Massachusetts
3 City of Salem
P
Inspectional Services u
REC E UP T 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595 x5641
B P M PRODUCTIONS 191/2 WASHINGTON SQ NO SALEM MA 01970
If applicable,the property owner hereby authorizes
The Event Company P.O.Box 419 GLOUCESTER MA 01930
To act on the property owner's behalf,in all matters relative to the work authorized by this building permit application. i
SECTION 10: CONSTRUCTION CONTROL(Please fill out Appendix 2)
(If building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then skip Section 10.1)
10.1 Registered Professional Responsible for Construction Control
Name Phone Email Registration Number
Address Discipline Expiration
Date
10.2 General Contractor
Company Name 18756 CONSTRUCTIO SUPERVISOR
The Event Company License no. and License Type if Applicable
Name of Person Responsible for Construction
Address: P.O.Box 419 GLOUCESTER MA 01930
Phone (978) 283-4884() Email Address
SECTION 11:WORKER'S COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152§25C(6))
A Worker's Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application.Failure
to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application?True
i
SECTION 12: CONSTRUCTION COST AND PERMIT FEE
Total Estimated Costs(Labor and Materials): $1400.00 Building Permit Fee: $25.00
Enclose check payable to the City of Salem, Ck#
SECTION 13: SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate
to the best of my knowledge and understanding.
(978) 283-4884()
Please print and sign name Title Telephone
Address: P.O.Box 419 GLOUCESTE MA 01930 Date: 9/29/2015
R
10/6/2015
THIS IS NOT A PERMIT r 4
Commonwealth of Massachusetts
e J
City of Salem
Inspectional Services
RECEIPT 120 Washington St,3rd Floor Salem,MA 01970 Phone:(978)745-9595 x5641
_ ._.--------------
Municipal Inspector to fill out this section upon application approval: Name Date
THIS IS NOT A PERMIT
Y CITY OF SALEM, MASSACHUSETTS
.� BUILDING DEPARTMENT
120 WASHINGTON STREET,3m FLOOR
TEL. (978) 745-9595
F
HIMBERLEY DRISCOLL FAX(978) 740-9846
MAYOR THOMAS STTIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
f
October 19, 2016
The Event Company
Taylor Hedges
P O Box 419
Gloucester, MA 01930
Dear Mr. Hedges:
Re: The Salem Witch Museum on Washington Square
Mr. St. Pierre, Building Commissioner at the City of Salem, requested that I return this building permit
application to you as"rejected". He states that he cannot issue a permit for tents that will be on a
City Street or sidewalk.
If you have any questions regarding the above matter, please contact our offices at 978-619-5642 or
978-619-5640.
Thank you.
Marcia Kirkpatrick
Clerk in Building Department
Enclosure
Go 17
' The Commonwealth,of Massachusetts'
Department of Public Safety
Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
" W.S f-�. -fir. e; (This s4ction For Official Use Only) _ s4
'.: :.
BuitdingPemritNumber:. Date Applied " "�'•`' , BurldutgOfficial "r
-'SECTION 1:LOCATION(Please indicate Blockk and Lot#for locations for ivhich a street'a�ddreess is not available)
C� r .nw c
`— No.and S et LOPCity/Town Zip Code Name of Building(if applicable)
SECTIQN 2:PROPOSED -
Edition of MA State Code used ". If New Construction check here❑or check all that apply in the two rows below
Existing Building❑ Repair❑ Alteration ❑ Addition❑ Demolition ❑ (Please fillout and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other ,V Specify: e;v
Are building plans and/or construction documents being supplied as part ofAis permit app hcption. , Yes ❑ No
Is an indep$ndent Structu�l EngneerngPeerRe-viewrequired? ,r c_ Yes ❑ No 11Brief Desch do of Prop sed Work: ru �
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE.IN USE OR OCCUPANCY " � '�., '; � . _)
Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ '
Existing Use Group(s): -" ,. - Proposed Use Group(s):
SECTION 4:BUILDING:HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) #
Total Area(sq. ft.)and Total Height(ft.) - -
SECTION 5>USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational ❑
F: Factor F-1 ❑ F2❑ H: Hi-h Hazard - H-1 Cl H-2❑ H-3 ❑ - H-4❑ H-5❑
I: Institutional I-1 ❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 -R-2❑ R-3❑ R4❑ I
S: Storage S-1 ❑ S-2❑ - U: Utility❑ Special Use❑and please describe below:
Special Use:.: -
SECTION 6:CONSTRUCTION TYPE(Ch'eckas applicable)
IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑_ IV ❑ VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 11L0 fc4 derails on each item)
Water Supply:. Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑
Private❑ or fndentify Zone: or on site system EJrequired❑or trench or specify:
permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA Historic Cominissiun Revicw Pra:�as:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed p Yes❑ or No❑ Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY .
Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Dyes the building contain an Sprinkler System?: Special Stipulations:
C _ �.
SECTION.9i-PROPERTY OWNER AUTFIORIZATION.".` '• "•
y� Name and Address of Property Owner
n ly'kh
Name(Print) - O—L� -
( ) No.andStree City/Town Zip
Property Owner Contact Informations /
7v12 jOYc,c�rt < -//T- /d C/� f%nom rI�i�k/I> Ixueon,.0
Title Telephone No. (business) Telephone No. (cell) - e-mail address
If applicable,the property owner hereby authorizes - -
Name Street Address - City/Town State Zip
to act on the property owner's behalf,'m�all matters relative to work authorized by this buildin errnit applicration. R r
SECTION 10:CONSTRUCTION CONTROL' Please fill out Appendix 2
If building is less than 35,000 cu.ft.of enclosed s p ace and/or not under-Construchon Control then check here O and skip Section 10.1
,. 101 Registered Professional Res onsible for'Construction ControP.•,
Name(Registrant) Telephone No. e-mail address- - Registration Number
Street Address City/Town State Zip Discipline Expiration Date
R .4
10.2 Generalt/ontractor-,r�. - + .-, 3• '�j _;,'g- -
Company Name
Name oflyerson Responsible MrConstruction - .License No. and Type if Applicable
FL
Street Address - .City/Town State Zip
�_,�&� y8£sY -- .lar `a'err�n.f • can,
Telephone No, business Telephone No. cell �e-mail address
SECTION 11:IVORhEP`COMPENSATION INSURANCE.AFFIDAVIT M.G'.L'.c.152.'§ 25C 6 i
A Workers'Compensation Insurance Affidavit from the MA Department of industrial Accidents must be completed and ,
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes❑ No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE' t
Item Estimated Costs:(Labor _ f
and Materials) Total Construction Cost(from Item 6)=$ - -
1. Building $ Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)_$.
3.Plumbing $
4. Mechanical (HVAC) - $ Note:Minimum fee=$ (contact municipality)
5. Mechanical (Other) $ Enclose check payable to -
6.Total Cost $ (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT .. .
By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is true and curate to the b st of y knowledge and understanding. -
I '2&3 /n `Pl6
�e rint and si n A itle Telephone No. ate '
of 57 To
Street Address �- City/Town State Zip
Municipal Inspector to fill but this section upon application approval:
- 'Name Date -
J
J
The Commonwealth of Massachusetts
Department oflndustrialAeeidents
I Congress Street,Suite 100
Boston,MA 02114-2017
www.mas&gov/dia
W11 orkers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers.
AppBcagt Informs TO BE PILED WITH THE PERMMNG AUTHORITY.
dog
Please Prigt Le hl
Name(Business/Orgamzanon/IndmauaglThc Event Co.
Address:PO Box 419
City/State/Zip:Gloucester MA 01931 Phone#:978-283-4884
Me you an employer?Cheek the appropriate box:
1.01 am a employer F8. E]
roject(required):
p oyer with 0 employees(full and/or part-time).'
2.❑1 am a sole proprietor or w construction
P P Partnership working for mein
any capacity.[No workers'comp.insurance required.] modeling
3.O 1 am a homeowner doing allwork myself.[No workers'comp.insurance required. t molition
4.❑1 am a homeonmer and will be hiring contrators m conduct all work onmy property. Iwill lding addition
enure that all contractorseither have workers'compemation insurance or are soleproprietors with no employeestrical repairs or additions
5.0 1 am a general contractor and i have hired the subcontractors listed on the attached sheet. 12'Q Plumbing repairs or additions
These subcontractors have employees and have workers,coup.imumnce.t 13.❑Roof repairs
6.11 We are a corporation and its officers have exercised their x exemption per MGL c.right of ex 14.�OtherTents
152,§1(4),and we have no employees
1No workers•comp.insurance required.]
v�Y aPPlicanl
t that checks box#1 must 5--fill out the section below showin their workers'coin enation oli
HOMeOWDen who submit this affidavit indicating they are doing all work and than hive outside contractors must[y intention.
affidavit indicating such.
eco
[Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether w
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. not those entities have
I an employer that is providing workers'comp
information. ensation insurance for my employees. Below is the polity and job site
Insurance Company Name:The Hartford
Policy#or Self-ins.Lie.#:6S60UB-9F40753-3-16 1-12-2017
('+ Expiration Date:
Job Site Address: k i h 4 fill ,,J Sy r1 n /��' Q'/P,7G icZ-A
Attach a copy of thee w workers ompeusati u policy City/State/Zip:declaration page(showing the policy number and
Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishdate).
able by a fine expiration$1 dada
and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine u up to 0.00 a
coverage verification. ,500
day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
Ido hereby nder tha/ties Ofperiury that the infarmad m provided above is true and correct.
Sarre: Date
Phone#:
Qfficial use only. Do not Will in this area,to be completed by city or town =mb
City or Town-
Permit/License#
Issuing Authority(circle one):
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Elect6.OtherContact Person• Phone#
Certificate of Flame
Resistance
Date treated or
„Y
ISSUED BY Manufactured by manufactured
Burlan Corporation Fred's Tents &Canopies
1-704-867-3548 7 Tent Lane 06/05
Stillwater,NY 12170
This is to certify that the materials described below have been flame-retardant treated(or are inherently nonflammable)
FOR Event Company
PO Box 419
Gloucester'MA 0 193 0
Certification is hereby made that:(Check"a"or"b")
a)The articles described below this Certificate have been treated with a flame-retardant chemical approved and
registered by the State Fre Marshal and that the application of said chemical was done in conformance with the
laws of the State of California and the Rules and Regulations of the State Fre Marshal.
Name of chemical used Chem.Reg,No.
Method of application
(b)The articles described below are made from a flame-resistant fabric or material registered and approved by
the State Fire Marshal for such use.
NFPA-701 (large scale) &CPAI-84
Trade name of flame-resistant fabric or material used Blockout White Reg.No. F-76101
The Flame-Retardant Process Used WILL NOT Be Removed By Washing
Fred's Studio Tents & Canopies, Inc.
Plant Supervisor
Product Description 6x10 Marquee Customer Invoice# 14914
6x5 Marquee
9x18 Marquee
CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT
� 4 % 120 WASHINGTON STREET,3" FLOOR
TEL. (978) 745-9595
FAX(978) 740-9846
KIMBERLEY DRISCOLL
MAYOR THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
June 29 ,2011
Salem Witch Museum
Bruce P. Michaud C.E.O
19 Yz Washington Square
Salem Ma. 01970
R.E Plans submitted
Dear Mr. Michaud,
I have reviewed the plans that show proposed walkway renovations for the front of your
Museum. At this time, I cannot approve the plans. The Massachusetts Architectural Access
Board's (M.A. A. B.) regulation 521 CMR section 25.1 requires "All public entrance(s) of a
building or tenancy in a building shall be accessible. Public entrances are entrances that are not
solely service entrances, loading entrances, or entrances restricted to employee use only".
Due to the Historic nature of this property, a variance is possible. A Variance is explained under
MAAB regulations 521 CMR section 4.1. If you have any questions, please contact me directly.
Sincerely,
Thomas St.Pierre
Director of Inspectional Services/Building Commissioner
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TRIPLE SIGN 4
i) THE TOPOGRAPHIC INFORMATION SHOWN IS THE RESULT OF AN ACTUAL FIELD SURVEY PERFORMED BY WILLIAMS & "PARK"
SPARAGES IN MAY, 2011. "BROWN STREET"
2) ALL ELEVATIONS SHOWN ARE BASED ON THE ASSUMPTION THAT THE MAIN ENTRANCES METAL THRESHOLD ELEVATION
EQUALS 100.00 FEET.
7 7s
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3) THE LOCATIONS OF THE SIDELINE AND BOUNDARY LINES HAVE BEEN SCALED FROM THE CITY OF SALEM GIS INFORMATION
FOR GRAPHICAL PURPOSES AND SHOULD BE CONSIDERED APPROXIMATE. BROWN STREET
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TRIPLE SIGN
"PARK- Z
"BROWN STREET"
"STOP" - � }
NOTE: U 1
7,
THE PROPOSED RAMPS INTO THE: EXISTING BUILDING AS
SHOWN DO NOT COMPLY WITH T-IE MAXIMUM SLOPE - - - "`i 4
RFOUIREMENT OF 521 CMR 24.00. f \ BROWN STREET
Citp of *aYem, Aam6atbuzeto
Public Propertp Mepartment
�3uilbing Mcpartment
one&dlem green
(978) 7459595 ext. 380
Peter Strout
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer COPY
January 31, 2000
B.P.M. Productions
19 '/a Washington Sq. North
Salem, Ma. 01970
RE: 19 '/2 Washington Sq.North
Dear Mr. Michaud:
This department is still in receipt of complaints regarding roof drains and or condensate
drains emptying onto your neighbors property. We would like to see a resolution of this
problem.
Please contact this office within ten(10) days upon receipt of this letter to discuss this
matter.
Thank you in advance for your anticipated cooperation in this matter.
Sincerely,
Thomas St. Pierre
Local Building Inspector
cc: Mayor Usovicz
Councillor Flynn, Ward 2
(I Salem Historical Commission
ONE SALEM GREEN.SALEM,MASSACHUSETTS 01970
f508)745-9595 EXT. 311
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has determined that the proposed:
❑ Construction ❑ Moving
❑ Reconstruction ❑ Alteration
❑ Demolition ❑ Painting
❑ Signage ❑ Other Work
as described below does not involve an exterior architectural feature or involves a feature covered by the
exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic
Districts Ordinance.
District: Washington Square
Address of Property: 19 '/z Washington Square
Name of Record Owner: BPM Productions
Description of Work Proposed:
Rebuild rotted wood on window frame parts, arch work and vertical frame pieces. No changes in color,
material, design or outward appearance. Non-applicable due to being in kind maintenance.
Dated: 3/26/96 SALEM ST AL C SSI
By:
The homeowner has the option not to commence the wo (unless it ates to resolving an outstanding
violation). All work commenced must be completed within year from this date unless otherwise indicated.
THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of
Buildings (or any other necessary permits or approvals) prior to commencing work.
Cite of harem, A.ag!5arbUg;ettg
3public 3propertp Mepartment
39uffbing Mepartment
®ne 6alem green
(978) 745-9595 (Ext. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
September 16 , 1998
BPM Productions
19 1/2 Washington Sq. North
Salem, Mass . 10970
RE : 19 1/2 Washington Sq . North
C-52-98
Dear Mr . Michaud:
As per our telephone conversation five ( 5 ) weeks ago,
you agreed to resolve the problem that the roof drains are
causing in the rear of your property.
As a result of a follow up inspection on September 4 ,
1998 , it appears that the problem has not been corrected.
Please have this problem corrected immediately tp
prevent further damage and contact me upon receipt of this
letter .
Sincerely,
Kevin G. Goggin
Inspector of Buildings
KGG: scm
cc : Al Viselli
Councillor Flynn, Ward 2
Citp of Salem, la55 rbu5ett-5
Public Vropertp Mepartment
jguilbing Mepartment
one sbatem oreen
(978) 745-9595 (ext. 380
Leo E. Tremblay COPY
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
July 1 , 1998
BPM Productions
19 1/2 Washington Sq . North
Salem, Mass . 01970
RE : 19 1/2 Washington Sq . North
C 1-98
Dear Mr . Michaud:
Due to a complaint received by the Neighborhood
Improvement Task Force, I conducted an inspection of your
property in the rear of Kimball Court .
As a result of this inspection we have found that two
of the drain pipes removing water from your roof create
flooding and ice problems on the lot located at 2 Kimball
Court .
Please have this problem corrected immediately to
prevent further damage and to eliminate a safety hazard.
Thank you for your anticipated cooperation in this
matter .
Sincerely,
�,
/�
Kevin G. Goggin
Inspector of Buildings
KGG : scm
cc : Councillor Flynn, Ward 2
Patricia Carney
o CITY OF SALEM, MASSACHUSETTS
BOARD OF HEALTH
3 'e, 120 WASHINGTON STREET, 4TH FLOOR
SALEM, MA 01970
TEL. 978-741-1 800
FAX 978-745-0343
STANLEY LISOVICZ, JR. ,JOANNE SCOTT, MPH, RS, CHO
MAYOR HEALTH AGENT
April 16, 2002 _
�u
Mr. John Brick
Stepping Stone Inn
19 Washington Sq. North
Salem, Ma 0197
Dear c rick:
In accordance with Chapter II, Sections 127A and 127B of the Massachusetts General Laws, 105 CMR 400.00; State
Sanitary Code, Chapter 1: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter 11:
Minimum Standards of Fitness for Human Habitation, an inspection was conducted of the property at 19 Washington Sq.
North conducted by Virginia Moustakis, Sanitarian on Tuesday,April 16, 2002 at 10.30 A.M.
Notice: If this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's responsibility
to notify tenants of lead related reports and tests, and to ensure that this unit complies fully with 105 CMR 460.000:
Regulations for Lead Poisoning Prevention and Control. For further information or to request an inspection, contact the
Salem Health Department at 741-1800.
You are hereby ORDERED to make a good-faith effort to correct the violations listed on the enclosed inspection report.
Failure on your part to comply within the time specified on the enclosed inspection report will result in a complaint being
sought against you in Salem District Court. Time for compliance begins with receipt of this Order.
Should you be aggrieved by this Order, you have the right to request a hearing before the Board of Health. A request for
said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said
hearing, you will be given an opportunity to be heard and to present witness and documentary evidence as to why this
Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have
the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary
information in the possession of this Board, and that any adverse party has the right to be present at the hearing.
Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies
available to them as outlined in the enclosed inspection report form.
I
Fol the Board of Health: Reply to:
canine Scott � Virginia Moustakis
Health Agent Sanitarian
cc: Councillor Regina Flynn,Licensing Board, Fire Prevention, & Building Inspector
Certified Mail #7001 1140 0000 6733 7509
JS/vm c-h-violet1,.
T
b
CITY OF SALEM HEALTH DEPARTMENT
120 WASHINGTON STREET 4TH FLOOR Page 1 of
�✓' Salem, Massachusetts 01970
♦a4+nra
State Sanitary Code, Chapter II: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant : sr PPnu[ .$tt!2P Tti62 Phone: 7y1-Fgod
Address: �lUacrf,�9r� lIZ2e77) Apt.# S,eons Floor,/-a
Owner: sd/,�ti) Aozc,,� Address: /? �,6i�r�i�
Inspection Date: Time: 1Q 30 /F-m
Conducted By 1//1 « yrs Accompanied By:�,��,�„ur
�����ti fr
Anticipated`Reinspecton Date: -Alit�0� 71Ia&haL,
Eikef
eE8 e-S -
<-7: dGsGa1�0 Z,(PF-
Specified Time Reg.#410._ Violation(s)
J�
Q .QBO.
` .xxv
i
y//t.:;.�: I e;;1. .1°t t ,.a k,..• _ a f..t >.s a? � .i �5, r:�.5.
A .z _ ..�5*'1 .:hE? -.;y. -. r.� . +. �. e, S.'' r x` s•-'t+
t C. N4
t:...-,... ♦. .a .- .rte..'. ....:.. .... .:�..+ .i.:
r
'•. < , ua.•s.s ' ,Y;; .l R..,,. l F;{„ 1P � � `�..;9.` - - f . I .. s O MP� n
l IV fLt
- F-A .,lb F e e dYvS
� r V? 3:Td?,'C'7=t r;.y$9r .,e. - . i j, P^�E � ♦e C .. _ , {
cc.Zlce4iIS
. A
..� x ,,+, s♦,q:;S 1+?iit_FYx'--.:tfuts , g.i.:;.6p-{ � =.sirs .:�'. ,. . , ,.:
One or more of the above violations may endanger or materially impair the health j i ee.f0e�✓r
-60164-V?
I safety, and wellbeingT of the occupant(s)
Code Enforcement Inspector % °giN�f�ytiJ
Este es documento legal importante. Puede que lust hos.
tradurninn tip Psta forma sies necesano Ila 'mar al telefono 741-1800.
x
-,. . .. {
February 7, 2000
Thomas St. Pierre
Building Inspector
Public Property Department
One Salem Green
Salem, Massachusetts 01970
Dear Tom,
I am in receipt of your letter of January 31, 2000, concerning the roof drains in the rear if the
Salem Witch Museum.
We plan to have the problem rectified by installation of what experts have told us, is industry
standard. We plan to install a dry well below the drain spout near the Kimball Court side of the
building. This will be accomplished some time this spring when the ground thaws.
I trust this will meet with your approval. Thank you in advance for your cooperation in this
matter.
Sincerely,
,
.Bruce P. Michaud
Executive Director j 1
cc: Mayor Stanley Usovicz i f�
Councilor Regina Flynn, Ward 2 // `g
Salem
Wt6
useum
Washington Square, Salem, Massachusetts 01970 (978) 744-1692 Fax 745-4414 salemwitchmuseum.com
Citp of '*atem, f a!5!5atbU5ett5
Public Propertp Mepartment
�Ruilbing ]Department
One baleen green
(978) 745-9595 (Eat. 380
Peter Strout
Director of Public Property
Inspector of Buildings
Zoning Enforcement Officer
January 31, 2000
B.P.M. Productions
19 '/2 Washington Sq.North
Salem,Ma. 01970
RE: 19 '/2 Washington Sq. North
Dear Mr. Michaud:
This department is still in receipt of complaints regarding roof drains and or condensate
drains emptying onto your neighbors property. We would like to see a resolution of this
problem.
Please contact this office within ten(10) days upon receipt of this letter to discuss this
matter.
Thank you in advance for your anticipated cooperation in this matter.
Sincerely,
Thomas St. Pierre
Local Building Inspector
cc: Mayor Usovicz
Councillor Flynn,Ward 2
•ENDER:
I also wish to receive the
GER:a items 1 and/or 2 for additional services.
• complete items 3,and 4a a b. following services(for an extra fee):
• Print your name and address on the reverse of .?s form a.that we can return this card
to you. 1. ❑ Addressee's Address
• Attach this form to the front of the mailpiece,or on the back if space does not permit.
• Write 'Return Receipt Requested'on the mailpiece below the article number. 2. ❑ Restricted Delivery
• The Return Receipt Fee will provide you the signature of the person delivered to and the
date of delivery. Consult postmaster for fee.
3.Article Addressed to: 4a.Article Number
!tt tch Huseti"7 P 921 991 511
Attn: t1r. Miciieud 4b.Service Type
19 112 Washington agajo.
v � CERTIFIEDSlMA 01970
7.Date of Delivery,
5.Signature—(Addressee) 8.Addresser Ad ess
(ONLY if requested and fee paid.)
6.Signature—(Agent)
PS Form 3811,November 1990 DOMESTIC RETURN RECEIPT
United States Postal Service
Official Business
PENALTY FOR PRIVATE
USE,$300
III111III III III III III III III I II 1 IN I list III I III I III III
INSPECTOR OF BUILDINGS
ONE SALEM GREEN
SALEM MA 01970-3724
i } . 4. ,
,�
ARTICLE
P 921 991 511
"E' Witch Museum NUMBER
Attn: Mr. Michaud
j 19 1/2 Washington Sq.No.
Salem, MA 01970
OF
* FOLD AT PERFORATION t WALZ
INSERT IN STANDARD#10 WINDOW ENVELOPE. C E A i I F I E 0 n
MAILERS CIILJIII
of thletu. Masi ar4uortto
3 � arm
�i
Publir Vrnpertp Department
+iguilbing Department
(One *stem Green
500-745-9595 Ext. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
August 5, 1993
Witch Museum
Attention Mr. Michaud
19 1/2 Washington Square North
Salem, MA 01970
RE: 19 1/2 Washington Sq.No.
Dear Mr. Michaud:
This office has received numerous complaints from residents on Kimball
Court regarding your blocking the right of way while unloading material for
the Witch Museum located at the above referenced address. The blocking of
this right of way is illegal, emergency vehicles must always be able to
enter this area. Vehicular travel must be maintained at all times.
Also, you have recently completed construction work at the rear of
this building and this office has no record of any building permits having
been issued. This is a blatant violation of the Massachusetts State
Building Code and it must be rectified immediately.
You are hereby requested to contact this office within five (5) days
of receipt of this notice and apply for the proper permits and inspections.
Sincerely,
Leo E. Tremblay
Inspector of Buildings
• LET:bms
cc: Councillor Harvey, Ward 2
Helen Dozois, 2 Kimball Ct.
Certified Mail #P 921 991 511
\witchM\
�"�""�P"�..�.7N..a.nl�F^ "'�'>"�M[7EytA+�4n^'I'�" ���lf"`"�^'�T*9�c�r � `�. �..[pAa��` ..•1TRY'r"l�f�'a�.r"NI"'M1T!"r.,:ISIFF`1 T'tv..'Y._,J�.
FIELD COPY
q CITY OF SALEM BUILDING ?°
SALEM, MASSACHUSETTS 01970 PERMIT
,� VALIO•TION
*Ecom„
DATE AUgust 19 19 93 PERMIT NO 357-93
APPLICANT Bruce Dyson ADDRESS 22 Abbot St . Marblekead _
'IN0.1 'IS1R[[II ICO-I-'S .IIENSEI
PERM-T TO Install dourI_I Gr OnY Stockroom * 'NUMBER OF
DWELLING UNITS
1111[
D. .1000 EMENII NO. IIPOIOSEO USE,
AT ILOCATiON1 19 I /2 Washington Sq . Ward 2 ZONING R-2
DISTRICF
IN0.1 ISTR[FTI
BETWEEN AND
ICKOS. SINCETI ,CROSS STREET,
LOT
SUBDIVISION
LOTBLOCK SIZE
BUILDING IS.TO BE FT. WIDE Br FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
IT"EI
REM
I stall exterior door l
vJ
nspe a pro a e
VOLUARAME ESTIMATED COST $ 1 . 100 FEE MIT S 20. 00
C'l Rib soul.+t rEnl - J
3WNER R . P .M. ProAncfmmns INc
I,D;F<S 1Q1 /7 Washington Sq . Sa em, Mass . Leo E . Tremblay
INSPECTOR OF BUILDINGS
INSPECTION RECORD
DATE NOTE PAOONEEE CRI11C13Mf AND REMARKS INSPECTOR
P1
C�Plans must be filed and approved by the Inspector before a permit will be granted.
No. City of Salem Ward
Is Property Located in the '� �
Historical District? Yes_ No d
AHo e Phone#
Is Property Located in a r
Conservation Area? Yes_ No-&- �'+, -�, Bu,.Phone# SOS '7 Nb' If�9 Z
�usr
APPLICATION
FOR �iMi fv� vL ,dL
PERMIT TO CONSTRUCT—N, 61018811
Salem, Mass.,
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby ap lies for a�jermit to build according to the following specifications:
Owner's name and address lam. * f?GDVGY!D/JS /AIG.
Architect's name
Mechanic's name and address RUC-6 ySO IJ 1.2 01$$01- ST NkOR-mc-eyEQM� (k. Q{9
Location of building, No. 1 Cr 4 wNgi4 c@,XTDr.I So . SAGE1^ I W.pr . Ct Q 70
What is the purpose of building? 3TOCKiioeH
Material of building? weNMiN
If a dwelling,for how many families?
Will the building conform to the requirements of the law?
Estimated cost 4 4 lem.-° Co tractors Lic. No.
Signature of applicant .
Sign d Under the Penalty of Perjury
REMARKS
(Olt,
q
No /� Ward C
APPLICATION FOR
PERMIT TO CONSTRUCT
SWIMMING POOL
Location
PERMIT GRANTED
1 19
Approve
Building Ins ctor
Tj-
- - - -
SRL+TM IT
r - 7E
-- --- -- --
owaf-�
`D2A-OK( f Y .�fSDti(
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_ COMMONWEALTH OF MASSACHUSETTS
DEPARTbffN T OF INDUSTRIAL.ACCIDENTS
600 WASHINGTON STREE17
BOSTON, MASSACHUSETTS 02111
-,ames. amooen
--ssione• WORKERS' COMPENSATION INSURANCE AFFIDAVIT
(I icenseei permtned
with a principal place of business/residence at:
1-0,z wPtSKrNGTo►.) �}LtM 70 Nk%. 0l4 70
(GrylStsteiZip)
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.
TRKVCLC-P-s
Insurance Company Policy Number
[ ] 1 am a soleproprietor and have no one working for me.
[.�—ram a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below
who have the following workers' compensation insurance policies:
Ro M �AIJd tt l P /#
Name of Contractor Insure ee 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 await that while homeowners who employ persons to do maintenance,construction or repair work on ■
dwelling of not more than three units in which the homeowner also resides or on the grounds appurtenant thereto
rallylicense
considered to be employers under the Workers' Compensation Act(GL C 152.sect. 1(5)), application by homeowner fora
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
�enftcation and that failure to secure coverage as required under Section 25A of MGL 152 tan iead to the imposition of criminal penalties
consnong of a Fine of up to $1500.00 and/or imprisonment of up to one year and civil penalties in the form of a Stop Work Order and a
fine of 5100.00 a day against me.
Signed t day of 19
icenseciP mttte Licensor/Permirtor
i
CITY OF SALEM
BUILDING DEPARTMENT
HOMEOWNER LICENSE EXEMPTION
Please Print
DATE 8 . 16 - �3
JOB LOCATION IJY2, k)6, �� '''` 1 1�\A . O►g`�� 0JA2a2
Number Stre t address Section of Town
"HOMEOWNER
Name Home phone Work phone
PRESENT MAILING ADDRESS P*2�4�
City/Town State Zip Code
The current exemption of "homeowners" was extended to include owner-occupied
dwellings of six units or less and to allow such homeowners to engage an in-
dividual for hire who does not possess a license, provided that the owner
acts as supervisor. (State Building Code Section 109.1 .1
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to re-
side, on which there is, or is intended to be, a one to six family dwelling,
attached or detached structures accessory to such use and/or farm structures.
A person who constructs more than one home in a two-year period shall not be
considered a homeowner. Such "homeowner" shall submit to the Building Official ,
on a form acceptable to the Building Official , that he/she shall be responsible
for all such work performed under the building permit. Section 109.1 .1
The undersigned "homeowner" assumes responsibility for compliance with the State
Building code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she under an the City of Salem
Building Department minimum inspection procedure equi ements and that
he/she will comply with said proce u d S.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICIAL
NOTE: Three family dwellings 35,000 cubic feet, or larger, will be required
to comply with State Building Code Section 127.0, Construction Control .
C
HOME OWNER'S EXEMPTION
The Code states that: "Any Home Owner performing work for which a building
permit is required shall be exempt from the provisions of this section
(Section 109.1 .1 - Licensing of Construction Supervisors) ; provided that is
a Home Owner engages a person(s) for hire to do such work, that such Home
Owner shall act as supervisor."
Many Home Owners who use this exemption are unaware that they are assuming
the responsibilities of a supervisor (see Appendix Q, Rules and Regulations
for Licensing Construction Supervisors, Section 2.15) . This lack of aware-
ness often results in serious problems, particularly when the Home Owner
hires unlicensed persons. In this case your Board cannot proceed against
the unlicensed person as it would with licensed Supervisor. The Home Owner
acting as supervisor is ultimately responsible.
To ensure that the Home Owner is fully aware of his/her responsibilities,
many communities require, as part of the permit application, that the Home
Owner certify that he/she understands the responsibilities of a supervisor.
On the last page of this issue is a form currently used by several towns.
You may care to amend and adopt such a form/certification for use in your
community.
Lot ��p
Salem Historical Commission
CITY HALL. SALEM, MASS. 01970
A�aIMM6
CERTIFICATE OF NON-APPLICABILITY
It is hereby certified that the Salem Historical Commission has
determined that the proposed construction [ ] ; reconstruction [ ];
demolition [ ] ; moving [ ]; alteration [ ] ; painting [ ]; sign or
other appurtenant fixture [X] work as described below in the . . .
Washington Square Historic District.
(NAME OF HISTORIC DISTRICT)
Address of Property: 19� Washington Square North
Name of Record Owner: BPM Productions
DESCRIPTION OF WORK PROPOSED:
Temporary installation of 3 awnings as per submitted drawings & application for
a period not to exceed five years. After five years from this date, Commission
may consider renewing this Certificate or another proposal.
No lettering or border color. Color as per sample presented. (Walnut Brown Tweed)
does not involve an exterior architectural feature or involves a feature
covered by the exemptions or limitations set forth in the Historic District's
Act (SIA_ Oen. Law, Ch. 40C) and the Salem Historical Commission. Please be sure
to obtain the appropriate permits from the Inspector of Buildings prior to commencing.
Dated: 4/8/93 SALEM HISTORICAL COMMISSION
i�
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By
Chairman
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Tito of tmiem, Massar4usetts
VOW Propertp Department
+Nuilbing Department
(ane t3alem Green
598-745-9595 1rxt. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer January 26, 1994
Salem Witch Museum
19 1/2 Washington Sq. North
Salem, Mass. 01970
Dear Mr. Michaud:
Enclosed please find a copy of the rules and regulations
concerning totally preserved Historical Buildings . As you will
find that there are some special exemptions from the Building
Code. But you are not exempt from building permits when work
is being performed on the building. You will also notice that
you must meet Handicap Requirements based on the amount of
dollars spent for alterations.
If I can be of any further help please do not hesitate to
call.
Sincerely,
Leo E. Tremblay
LET: scm