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0072 WASHINGTON SQUARE EAST - BUILDING JACKET O72 WASHINGTON SQUARE Certificate No: 672-06 Building Permit No.: 672-06 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the RESIDENCE located at ------------ -------------------------- Dwelling Type 0072 WASHINGTON SQUARE EA in the CITY OF SALEM ------------------- ---------`-- -- ......_.--- _. .... ..__..._ Address _ Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 72 WASHINGTON SQ EAST This permit is granted in conformity with the Statutes and ordinances relating thereto; and expires _ ----------------- - ---- unless sooner suspended or revoked. Expiration Date I Issued On: Tue Mar 6, 2007 <. - Geoi 2007 Des Lauriers Municipal Solutions,Inc. --------------------------------------------------------------------------- - CITY OF SALEM BUILDING PERMIT 0072 WASHINGTON SQUARE EA 672-06 GIs#: .15754 COMMONWEALTH OF MASSACHUSETTS !Map: C1_FY OF SALEM !Block: ' 170c Category:-- REPAIR/REPLACE BUILDING PERMIT fPerTi # 672-06 L lProject# JS-2006-OOi389 Fst. Cost: $80,000.00 Free Charged: $485.00 jBalance Due: $.00 PERMISSION IS HEREBY GRANTED TO: IConst.Class: Contractor., License: Expires Use Group: I BOMEOWNER Lot Size{sy. ft.): 12923 _-Owner.' NancyFawson !Zoni g: R2 jAppikaia: SWIT"B"CW ViNCL-N 2- rat�,GLained:: Lo os �Unit�s t' AT: 0072 WASHINGTON SQUARE EA DigSafe ig Safe#: ISSUED ON: 23-Feb-2006 AMENDED ON: EXPIRES ON. 23-Aug-2006 TO PERFORM THE FOLLOWING WORK; 672.06 RENOVATIONS TO SECOND AND THIRD FLOOR UNIT#2 TJS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbing Building Underground: Underground: Underground: Excavation: Service: Meter: Footings: Rough: Rough: Rough O/K.1-1�0. .Ron Foundation: Final: Final: Final: Rough Frame: 67k- Fireplace/Clumney: D.P.W. Fire Health Meter: oil: Final: House# Smoke; �v rt�ruq IWater: Alarm; Sewer: Sprinklers: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPONVF ANY OF IV RULES AND REGULATIONS. Signature: M 2, Fee Type: Receipt No: Date Paid; Check No: Amount: BUILDING REC-2006-001981 23-Feb-06 2790 548500 GcoTMS@ 2007 Des Lauriers Municipal,Solutions,Inc. The Hanover Insurance Companies x❑ The Hanover Insurance Company ❑ Massachusetts Bay Insurance Company Bond No. BLN-1776984 LICENSE OR PERMIT BOND KNOW ALL MEN BY THESE PRESENTS, that we, A. Berube & Sons, Inc. of 6 Ward St. , Salem, MA/ 40 Boston St. , Salem as Principal,—and ®The Hanover Insurance Company (A New Hampshire Corporation) DMassachusetts Bay Insurance Company (A Massachusetts Corporation) as Surety, are held and firmly bound unto •; City of Salem as Qbligee, in the penal sum of One Thousand and 00/100---------------------------Dollars, good and lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, and our heirs, executors, administrators, jointly and severally, firmly by these presents. y.' WHEREAS the said Principal has applied to said Obligee for a license W. or permit to open, occupy, cross by vehicles and obstruct a certain portion of a public sidewalk, berm, curbing, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . street, or wa. . . . in said city. NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH, That, if Principal shall faithfully observe and honestly comply with the provisions of all Laws or Ordinances of Obligee regulating the business for which license is issued, then this obligation shall be void; otherwise to be and remain in full force and virtue. PROVIDED, THE LIABILITY OF THE SURETY upon this bond shall be and remain in full force and effect for the full period of the license, and renewals thereof, issued to the principal above named, or until ten days after receipt by the Obligee of a written notice signed by such Surety, or its authorized agent, stating that the liability of such Surety is thereby terminated and canceled; and provided further, that nothing herein shall affect any rights or liabilities which shall have accrued under this bond prior to the date of such termination. Signed, sealed and dated the 17th . . . . _ _ . , , _ day of . . . ?'laY. . . . . . . . . . . . . . . . 19- .8.9. A:_ BERUBE_ & SONSf• INC_• • • _ „ • , • • . • , • , • „ • • • Principal (Seal) By . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 THE HANOVER INSURANCE COMPANY ❑ MASSACHUSETTS BAY INSURANCE COMPANY By . . . .` '!(:j . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carol Eaton Attorney-in-fact Form 141-0761 (1/84) �t The Hanover Insurance Company POWER OF ATTORNEY CERTIFIED COPY KNOW:1LL MEN it) r11ESF, PRESENTS: Tllat THF HANI)VER INSURANCE COMPANY. a corporation organized and existing under lite. laws of the Slate of New liauylshire, does hereby constitute and appoint Carol Eaton — 41f Worcester, Massachusetts and is it., tine and lawful AtIo-ne)(S)-ill-fart In sign. execute. Seal, aekllnwledge and delle er fill-, all(] (111 Its behalf,and as its act and decd, totally glare within Ute United States. Or, II tip. following lice be filled in. only within Ili(- area Ihcrcin designated env and all bonds, reeognizances. undertakings, contracts of indvi nlil) or other writings obligator) in the nature Ibereof, as IullowS: — Any such obligations in the United States, in any amount — \till Said Campanv hereby ratifies and eunfir11ls all and lrhalsoearr said:1Uurnec(s)-in-fact nuly I:nrfullc do in the Inrulises Ir.v virtue of Ibe'v Presents. I'hi.,:ggn.iulnn•nl is made under and by aulhurily of the fnllnwing Resn1111iu11 passed by the Board of Directors of Said Cuwpau.N at a muting held oil the Srvenlh da,N 41f OvIolle l 1981. a (Iuoruul being pre,etil and voting. \vhiell resolution is still in effevu I'.SOIA 1';1).'1 hal Ihr Ih'rAlleul man, \ire 1'rr,idrnt. in r"ujunrli.m will,all, li'A'laut to it,r Pre,ideuL Lr and Ihr, art,livieb,alllh"rized and ". ' rulpn"rrrd Ill appoiul \llurnr,,•in•foetul the( ill it,nano•and a,its:uS.t"ez(ruto,and arkuu"Irdgef"rtill un i 1.ht,haIfit,S uroym,a ndall ,ml.k rrenglaz:uu•r,r,mlrarl=..I'iudrnmil'."ai\rr,"f 6rali.,n and all�ahrr„riling,uhligabrc\ is till natun•thrrr"f. 61h p,,,(•r t"altarll Ihrrrlu Ihr ,rat.d the CmuPauc. \n, ,urn(„riling,,..vNeeulyd h, soeh Itt"rurc,-iu-fall shall hr a,binding up..0 the Cumpau,a,if lher had Lreu dulc t,vruled and ark im,ledd hr it,., wgnl:uh r ' vk.o. 14fien of Ihr Gmgnul\ it, llu•(r.nn pp , n. ru r prr, us. . INWITNESS WIII•;REOV.TIII H\NO\ IS It INS[ Itl,NCRCO)lI'\N) hasrausedlhrsepieseutstobea•idrd(rilhilsrorporalrseal. duh hP attested , its \ ire resident and its lssistanl Vier ill.,,ident. this 3rd da\ lot - September 19 87 '1'111•: 111.Nu\Fit I.NSI ItloNCE COMP Vice President (Seal) .'assistant Vire President 'ran.: C1l\I\ION,%IS:\1;1'11 o)F 1t:\ss:wIII si-;vrs � s,. COI .NT)l OF )VO liCF.S'I'F,li On Illi., 3rd div of eptember 19 87 before ane ranee lilt-aho�e named \iev Pmsidenl and assislaul \-ice Prrsidt-nl*of'I•be Himmel.Ilist]ranrr Conglanv, to an'perSomdlc known it,be tilt-individuals and ufl'ivi-I-S described ht-rein,a11d arks nw ledged lhal the seal al'fixrd lu Ibe prevvding iuslnu11eul is the rnrporale sr;1l uf'I'he llanu,er lnsur nve Cumpmn :old Und Ihr said cm-porato seal and their sigmliures as ofl'irrrs wrrr (1111, affixed and Subs 1t-( to ,a•, instrument by dee -udb.lrih and if dirrrtion ( said Curpuralion. � j' // •.,/� (tical) Nolan- Public r. Nil Coa nuuusnl Expires May 29, 1992 I. Ihr undersigned:1.,sist;uli \ire Presidrul of'fhr Il;iluvrr Insnr11u•c Gan pam.hrrrhv rel-lil\ Ihat Ihr abme and foregoiuF is a full. ti-tic;uld t-orrerl ru 1v of the original Puwerol':\ltornrc issued I1v said Cpm nmnv.and do her(•be the said Pom-rol:ltlornec is Still in forve at effect. .. Thi.+ Certifii•ate nlav be signed by fa,vinlile under and by antborily of tilt- following resolution Illy the Board of DirectorS of The Ilan ,N r, Insurance Cuulpanc at a meeting held un the 7111 day (if October. 1981 "HES01A I'.D.Tb:d all,:111.1;dl I..nu•lry of \14n'ur\.and I:rrlilird C.opirs ol',urh I'..,,et-,..f\Iturur,and rrrlilir:lion i1.rrsprrl Ihrrrlu.grnnlyd and < rvrulyd k(11;,Prrsidrnl many\ire l'nvidrul in runjIIlit' I"illi all, \s kwal\it,Pwsidrnl 400 C.mpuul,sb;dl hr hi I lingo"dill Cmupam l'.the ,:nue rJeul as if all sigu:dult.,thereon „err nlauu:dl\ nlfi�rd "wit thmigh ml.`m'nu rte dam, such ,ign:durrs Ihrer"u ma, I..• filr,imilri GI\ EIN under u1v hand and tilt- seal of said Cmnpluly. al \1 ureesler. \blssaelunarlls. this 17th da\ of May 19 89 FORM 111-0402 N8 (4/86) I.s.,istun life President r HANOVER INSURANCE COMPANY BONO EXECUTION-REPORT BOND NUMBEREFF.DATE EXP.DATE CO IN LOB -o- N/F PR RATE CERT 91171 01 F I6op iINCIPAUINSUKED AND ADDRESS. BERUBE G SONS„ INC. 6 WARD ST.ALEM, MA 01970 3LIGEE AND ADDRESS ITY OF SALEM WE OF ATTORNEY AND ADDRESS )URT AND COUNTY STATE AGENT AGENT CODE MA 3200961 AGCY, .SCRIPTION OF RISK,KIND OF BOND,NATURE OF INSURED'S BUSINESS,POSITION OF PRINCIPAL,TITLE OF CASE TREET PERMIT BOND # S�- BOND AMOUNT D!Eb�AMf. RATE DEP]RiTE MO011 7PREMIIUM�_ OEE�iS�-- TEAR.' AUDIT 48_ 1000 _loo loo 52 REMARKS TOTAL PREMIUM S 50.00 SORT M.A. A.A. COLL INDEMNITY BERU DATE ISSUED RIGINAL CONTRACT PRICE BOND AUTHORIZED BY BOND EXECUTED BY CAROL EATON CAROL EATON 05/17/89 FIEIN'SURANCE COMPANY. AM... SOUCY INS. AGCY. INC. P.O. BOX 4484 201 WASHINGTON STREET SALEM, MA 01970 , FORM 191-0207 AGENT COPY W b CITY/TFIGFN-OF SALEM In accordance with the Massachusetts State Building Code, Section Z08. 15, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . . . . . . . . . . ANTHONY &.SALEM AUTO SCHOOL, INC: that I have inspected the. . . .. & SALEM AUTO S . . . PREMISES known as. . . . . . . . . . . . . . . .CHOOL Located at. . . . 72 WASHINGTON STREET . . . . . . . . . . . . . . .in the. . , ,CITY. . . . .of. . . . . . . . .SALEM. . . . . . . . . . . . . . . . . . . . . . . . County of. . . . AS.SAN . . . . . . . Commonwealth of Massachusetts. The means of egress are sufficient for the following number of persons: _. . BY STORY 3i 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 Auto School 37 ; First Floor eel 9181 3/27/81 1/6/82 �L! Certificate Number Date Certificate Issued Date Certificate Expires Building 0,;fic2aZ The building official shall be notified within (ZO) days of any changes in the above information. J i i- PERIODIC INSPECTION REPORT Instructions : This form is to be completed each time a periodic inspection is made . At the time that a new certificate is issued , a -receipt indicating that the fee has been paid will be attached to this form or this form will be stamped "PAID" prior .to issuing the certificate . Any changes since the last inspection are to be added to the file card of the premises . This form should be filed by street address . L Street and Number 7 ,-, X i n q V-8 n Name of Premises 6a c/ c -o. Certificate to be Issued to Address ?J Owner of Record of Building Address Q 70 Purpose for Which remises Are Used Use Group Classification of Premises Changes Since Last Inspection (Required on File Card) l 2. 3 . 4 . 5 . 6 . . Date Order Issued Order Issued To Address Date Violation( s ) Corrected Remarks I have this day inspected the above described premises , and the same conforms to the pertinent requirements of the Massachusetts State Building Code and the rules and regulations pursuant thereto . 4—Z/ Date i Ving Of ficial Certificate Number ` d Date Certificate Issued/o'1]/ Date Certificate Expires J/&/ Q Recommended Next Periodic Inspection Date / FORM SBCC-4-74 J� COMMONWEALTH OF MASSACHU - CITY/TOWN OF SALEM APPlICATIOT FOR CERTIFICATE OF INSPECTION Date 2/19/81 ( ) Fee ed _—__-_-- 4'' Re �i:r (Amount )—._$.�.�.Q9__._— ( ) No Fee Required In accordance with the provisions of the Possachuset+..s State Building Code, Section 108 ,17 , I hereby apply fora Certificate of Inspection. for tie below-named premises to t .-•-' at the following address : Street and Number 72 Washington Street ;Name of Premises Anthony & Salem Auto School,Inc - ^ - - - — . Purpose ose fox 17n < h 're r ea z . a Auto Driving School License( s ) or Permit ( s ) Required, f Or ----hC eml Ud by O hex' f over7. _x al------- Agencies : License or Permit Agency ------ Certificate to be Issued. to T. Address ------------------------------------ ----------------------- Owner of Record cif Building Address Name of Present holder of CCS l ..ficU.te Name of Agent , if any—^- --- SIGNATURE RE OF P RSOX TO WHOM TITLE. CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT DATE TNSTRi)CTIONS 1 ) Make check payable t o : -CITY OF SALEM _----- 2 ) Return this application with h your cheer to :_ Inspector_of Buil_ ng, , --City Hall Annex,One Salem Green, SalemMassachusetts_ 01970_ ____-_ _- PlEASE NOTE : 1 ) Application form with acco:_pa.nying fee must be submitted for each build- ing or structure or part thereof to be certified . 2 ) _ Application and fee must be received before the certificate will be issued 3 ) The building official shall be notified within `..en ( 10 ) days of any change in the above information . CERTIPTC&TE EY,PIBATION DATE FORM SECC-3--A COMMONWEALTH OF MASSACHUSETTS CITY/T19WW- OF S A L E M APPLICATION FOR CERTIFICATE OF INSPECTION Date 1/2/80 ( X) Fee Required (Amount ) $25.00 ' ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code , Section 108 ,15 ; I hereby apply for a Certificate of Inspection for the below-named premises located at the following address : Street and Number 72 Washington Street Name of Premises Anthony & Salem Auto School, Inc. Purpose for Which Premises is Used Auto Driving School License( s ) or Permit ( s ) Required for the Premises by Other Governmental Agencies : _ License or Permit Agency Certificate to be Issued to Address 7 Z Owner of Record of Building Address Name of Present Holder of Certificate Name of. Agent , if any Sf6NkTILTRE OF PERSON TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT - DATE INSTRUCTIONS : 1) Make check payable to : CITY OF SALEM 2) Return this application with your check to : John B. Powers, Inspector of Buildings City Hall Annex One Salem Green Salem Massachusetts 01970 PLEASE NOTE : 1 ) A=opl-cation form with accc panying fee must be submitted for each build- ing or structure or part thereof to be certified. 2 ) Application and fee must be received before the certificate will be issued 3 ) The building official shall be notified within ten ( 10 ) days of any change in the above/ it/nformation. CERTIFICATE N 7- 6b EXPIRATION DATE : /A/�� FORM SBCC-3-74 BUILDING DEPT JAM 0 9 52 AN °00 RECEIVED CITY OF SALEM,MASS, PERIODIC INSPECTION REPORT Instructions : This form is to be completed each time a periodic inspection is made . At the time that a new certificate is issued , a receipt indicating that the fee has been paid will be attached to this form or this form will be stamped "PAID" prior -.to issuing the certificate . Any changes since the last inspection are to be added to the file card of the premises . This form should be filed by street address . l Street and Number Y.� 1�lAllaa S� Name of Premises O Certificate to be Issued to AddressQ Owner of Record o Buildin Address d/ 9 Purpose for Which P mises Are Used At Use - Group Classification of Premises Changes Since Last Inspection (Required on File Card) 1 . 2 . 3 . 4 . 5 . 6 . Date Order Issued Order Issued To Address Date Violation( s ) Corrected Remarks I have this day inspected the above described premises , and the same conforms to the pertinent requirements of the Massachusetts State Building Code and the rules and regulations pursuant thereto . Date Building Official Certificate Number Date Certificate Issued Date Certificate Expires & Recommended Next Periodic Inspection Date FORM SBCC-4-74 iy4r (ITUMmnrtutealt4 of F004 a CITY/4'eWN OF S A L E M ea. In accordance with the Massachusetts State Building Code, Section 108. 25, this CERTIFICATE OF INSPECTION Anthon & Salem Auto School, Inc. is issued tot . . . . . . . . . . . . . . . . . . . . .. . . . . . . Y. . . . . I �PPYIfIJ that I have inspected the. . . . . . . . .premises, . . , . . . . , , , , , ,known as. Anthony & Se1tin Auto School, Inc. located at. . . . 7?, Washington Street . . . .in the. . .CitY. . . . . .of . . . . Salem County of. . .E!50*. . . . . . . . .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 Auto School 37 ; First Floor n 4-80 1/6/80 1/6/81 Certificate Number Date Certificate Issued Date Certificate Expires BUXI61ir—kq Affic&iaZ� The building official shall be notified within (10) days of any changes in the above inforr,ation. COMMONWEALTH OF MASSACHUSETTS q CITY/-T'OWff- OF S A L E M �� � APPLICATION FOR CERTIFICATE OF INSPECTION Date 1/2/79 (X ) Fee Required (Amount ) $25.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for the below-named premises located at the following address : Street and Number 72 Washington Street Name of Premises Anthony & Salem Auto School, Inc. Purpose for Which Premises is Used Auto Driving School License( s ) or Permit ( s ) Required for the Premises by Other Governmental Agencies : License or Permit Agency Certificate to be Issued to Anthony & Salem Auto School, Inc, Address 72 Washington Street, Salem, Massachusetts 01970 Owner of Record of Building Roger Pierce Address Washington Street, Salem, Massachusetts 01970 Name of Present Holder of Certificate Name of Agent , if any l SIGNATURE OF PERSON TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT - y DATE INSTRUCTIONS : 1 ) Make check payable to : CITY OF SALEM 2 ) Return this application with your check to : John B. Powers, Inspector of Buildings, City Hall Annex, One Salem Green, Salem, Massachusetts 01970 PLEASE NOTE : 1 ) Application form with accompanying fee must be submitted for each build- ing or structure or part thereof to be certified. 2 ) Application and fee must be received before the certificate will be issued. 3 ) The building official shall be notified within ten ( 10) days of any change in the above information. CERTIFICATE # ��- °� / EXPIRATION DATE : (p �t40 FORM SBCC-3-74 BUILDING DEPT JAH I 1 10 34 AM '79 RECEIVED CITY OF SALEM,MASS. N PERIODIC INSPECTION REPORT J Instructions : This form is to be completed each time a periodic inspection is made . At the time that a new certificate is issued , a receipt indicating that the fee has been paid will be attached to this form or this form will be stamped "PAID" prior:.to issuing the certificate . Any changes since the last inspection are to be added to the file card of the premises . This form should be filed by street address . Street and Number gwdS Name of Premise O► aeL Tie Certificate to be Issuedfo An s�� d` 'Sw ljffsr. /4tyb See LL Address Owner of Record of Building L Address Purpose for Which Premises Are Used it Use Group Classification of Premises Changes Since Last Inspection (Required on File Card ) 1. 2 . 3 . le 4 . 5 . 6 . Date Order Issued Order Issued To Address Date Violation( s ) Corrected Remarks I have this day inspected the above described premises , and the same conforms to the pertinent requirements of the Massachusetts State Building Code and the rules and regulations pursuant thereto . Date Building Official Certificate Number /.4/' Date Certificate Issued �Q Date Certificate Expires ZJ(y d Recommended Next Periodic Inspection Date FORM SBCC-4-74 W b CITYITOW OF S A L E M in accordance with the Massachusetts State Building Code, Section Z08. Z5, this CERTIFICATE OF INSPECTION is issued to . . . . . . . . . . . . . . . . . . . . . . . . Anthony & Salem Auto School, Inc., . . . . . . . remises Anthony & Salem Auto School, Inc I TatifU that I have inspected the. . . . . . A . . . . . . . . . . . . . . . . . . . . . . . . .known as. . . . . . . . . . . . . . . . . . . . . . . . . . located at. . . : . 72 WashiStreet . P. . . . . . . . . . . . . . . . . . . . . . . .in the. . . . City . . . .of. . . . . .Salem. . . . . . . . . . . . . . . . . . . . . . . . . . . County of. . . . Essex„, , , , , , 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 Auto School 37 First Floor „ 14-79 1/6/79 1/6/80 Certificate Number Date Certificate Issued Date Certificate Expires Building Official The building official shall be notified within (10) days of any changes in the above information. Cite of *alem, f a!5gacbu!5ett!5 ` t Public Propertp Mepartment 38uil0ing Mepartment (One gDalem Areen (978) 745-9595(Ext. 380 Peter Strout Director of Public Property Inspector of Buildings Zoning Enforcement Officer August 22, 2001 Nancy Sachette 72 Washington Sq. East Salem, Ma. 01970 RE: 72 Washington Sq. East During an inspection of your property I observed the following: 1. The drywells installed by the contractor appeared to be installed incorrectly. 2. The drain pipes diverting water from the edge of the buildings foundation have 4" pipes going into 1" pipes which causes a back up. This is my sworn testimony. Sincerely; x A ate . Frank DiPaolo Local Building Inspector 1\ COMMONWEALTH OF MASSACHUSETTS �r CITY/TOWN OF ���A*n APPLICATION FOR CERTIFICATE OF INSPECTION Date (. Fee Required (Amount ) ( ) No Fee . Required In accordance with the provisions of the Massachusetts State Building, Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for the below-named premises located at the following address : Street and Number 72 Washington Street i4 Name of Premises Anthony and Salem Auto School, Inc. Purpose for Which Premises is Used Auto Driving School License( s ) or Permit ( s ) Required for the Premises by Other Governmental Agencies : License or Permit Agency Registry of Motor Vehicles Division of Inspections Certificate to be Issued to Anthony & Salem Auto School, Inc. Address 72 Washington St. , Salem, Mass. Owner of Record of Building Roger Pierce Address Washington St., Salem Name of Present Holder of Certificate Anthony & Salem Auto School, Name of Agent , if any none --�--- SIGNATURE OF PERSON TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS AUTHORIZED AGENT DATE INSTRUCTIONS : 1) Make check payable to : �/ 74iy 2) Return this application with your check to : PLEASE NOTE : 1 ) Application form with accompanying fee must be submitted for each build- ing or structure or part thereof to be certified . 2 ) Application and fee must be received before the certificate will be issues 3 ) The building official shall be notified within ten ( 1-0) days of any cha.ng in the above information. CERTIFICATE N _ '��` E'I,PIRATIC" D ' TE : -'� FORM SBCC-3-74 ?9 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 la �vf�j/7/meq 6,4-j S' CT Name of PremiseA ae Y' A-y _SAGE.rI .9�7b a edG .2 �-c Oth Licenses or Permits Requii*ed Owner of Record 6f Build ng� _,�- Address �.(fASYji&- ;6 A., _ .510', Certificate to be Issued' to 2t $'�Tn" o473, -eAmJ Address Use Group ClassificationPurpose Used Public or Private �2/p �" Number of Stories Class of Construction /ATC Date Erected Certified Capacity (By Story or Type) Number of Rooms - Hospitals, Schools, Hotels (By Story or Type) ^ 1S irj Number of Dwelling Units Per Story Emergency Lighting System Means of Detecting and Extinguishing Fire Fire Alarm System Number of Elevators How Heated T '- Boiler or Other Hq` . a—�tin Apparatus How Lighted �"—` IX 1C How Ventilated G Place of Assembly; Yes No Purpose Used p G In Which Story Standard Booth Installed Location Fixed Seating Rl-10 Number of Aisles ander Width of Each Fire Resistance of Curtains or Draperies Number of Sanitaries Location Number of Grade Floor Means of Egress Doorways Number of Separate Stairways Accessible Per Story Number of Approved Independent Exitways Per Story Remarks; Date Certificat Issued /—,(2 —/ -/ Date Certificate Expires _ Date Orders Issued Date Orders Complied Inspector Ott Date FORM SBCC-1-74 COMMONWEALTH OF MASSACHUSETTS CITY/Te*it- OF S A L E M Ulf M APPLICATION FOR CERTIFICATE OF INSPECTION Date 12/12/77 (X ) Fee Required (Amount ) 825.00 ( ) No Fee Required In accordance with the provisions of the Massachusetts State Building Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for the below-named premises located at the following address : Street and Number 72 Washington Street Name of Premises Anthony & Salem Auto School , Inc . Purpose for Which Premises is Used Auto Driving School License( s ) or Permit ( s ) Required for the Premises by Other Governmental Agencies : License or Permit Agency Certificate to be Issued to Anthony & Salem Auto School Inc Address 72 Washineton Street, Salem, Mass Owner of Record of Building_ Roger Pierce Address Washinaton Street Salem Mass. Name of Present Holder of Certificate Name of Agent , if any SIG TU'RE OF PERSON TO WHOM TITLE CERTIFICATE IS ISSUED OR HIS /C /0,q-, � n 2 AUTHORIZED AGENT DATE INSTRUCTIONS : 1) Make check payable to : CITY OF SATYM 2) Return this application with your check to : John power, In,gpectcr e€ Buildings, City Hall Annex, One Salem Green, Salem, ss. 70 PLEASE NOTE : 1 ) Application form with accompanying fee must be submitted for each build- ing or structure or part thereof to be certified . 2) Application and fee must be received before the certificate will be issued . 3 ) The building official shall be notified within ten (10) days of any change in the above information. CERTIFICATE N 2,;�O_-79 EXPIRATION DATE : 06 FORM SBCC-3-74 / X' R BUILDING DEPT DEC 16 8 43 AM '77 RECEIVED CITY OF SALEM,MASS. i PERIODIC INSPECTION REPORT Instructions : This form is to be completed each time a periodic inspection is made . At the time that a new certificate is issued, a receipt indicating that the fee has been paid will be attached to this form or this form will be stamped "PAID" prior .to issuing the certificate . Any changes since the last inspection are to be added to the file card of the premises . This form should be filed by street address . Street and Number 72 Name of Premises��-iogo. -y o!G Certificate to be Issued to Address Owner of Record off Byilding d-ev / Address S Purpose for Which Pr mises Are Used �/� e • Use Group Classification of Premises Changes Since Last Inspection (Required on File Card) 2 . i 3 : -- -- 4 . 5 . 6 . Date Order Issued Order Issued To Address Date Violation( s ) Corrected Remarks I have this day inspected the above described premises , and the same conforms to the pertinent requirements of the Massachusetts State Building Code and the rules and regulations pursuant thereto . Date ' Building Official Certificate Number CPL� S-- 90 Date Certificate Issued '01- 44 doll c Date Certificate Expires /� "' 7 7 Recommended Next Periodic Inspection Date FORM SBCC-4-74 b CITY/TC 4L -OF S A L E M In accordance with the Massachusetts State Building Code, Section 108. 15, this wM ,� CERTIFICATE OF INSPECTION is tissued to Anthony & Salem Auto School , Inc . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Anthony & Salem ' premises Auto School , Inc . TPk�Ifl�j that I have inspected the. . . . . . . . . . . . . . . . . . . . . . . . . . . . .known as. . . . . . . . . . . . . . . . . . . . . . . . . . . located at. . . . .7z Washington Street. . . . . . . . . . .in the. . .City . . . . .of. Salem . . . . . . . . . . . . . . . Count o Essex . • .Commonwealth o Massachusetts. The means o egress are sufficient or the following County f• • • • • • • • • • • • • f f g ff' f f g 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 Auto School 37 : First Floor 225-77 1/6/78 1/6/79 Certificate Number Date Certificate Issued Date Certificate Expires e- Building Official The building official shall be notified within (10) days of any changes in the above information.