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99 WASHINGTON STREET - BUILDING JACKET 99 Washington St LA LUI i i I �I Commonwealth of Massachusetts McoN➢ITS City of Salem < ° 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 i PERMIT REPORT BY ADDRESS Address: 90 WASHINGTON STREET PIN Permit For Parcel ID Occupancy Type Building Type Work Description Construct. Fee Paid Cost B-14-1415 Signs 35-0016 Commercial Small Retail SIGN PERMIT,AS APPROVED BY 0 0 SRA&DRB,FOR KOTO JAPANESE GRILL&SUSHI B-16-1376 Other Building Permit 35-0016 Commercial -Small Retail INTERIOR DEMOLITION,AS 15000 165 REQUESTED,FOR PREPARATION OF ABATEMENT B-16-2 Renovation 35-0016 Commercial Small Retail BUILD NEW SERVICE 8700 99 COUNTER. CLOSE IN REAR OPENING IN PARTITION WALL. CONSTRUCT ONE 8'PARTITION. OPENUP ONE REAR PARTITION TO ENLARGE OPENING. ALL NEW SUPPORT WALL @ 94 WASHINGTON ST. B-17-104 Other Building Permit 35-0016 Commercial Small Retail HISTORICAL ADAPTIVE REUSE 2235000 25575 OF BUILDING FOR OFFICE SPACE INCLUDING ENVELOPE REPAIRS/RESTORATION& ADDITIONS. INTERIOR RENOVATION OF ALL FLOORS EXCEPT EXISTING RETAIL ESTABLISHMENT B-17-227 Repair/Replace 35-0016 Commercial Small Retail RELOCATE EXISTING 13700 150 BATHROOM IN RED LION SMOKESHOP B-17-498 Sheet Metal 35-0016 Commercial Small Retail THREE(3)NEW RTU'S',ONE 450000 495 NEW ENERGY RECOVERY VENTILATOR,VRF SYSTEM&19 DUCTED FCU'S,ONE NEW INLINE EXHAUST FAN' W/ASSOCIATED DUCT, GRILLES,DIFFUSERS,ETC. E-14-199 Smoke Detector/Burglar Alarm/Fire Alarm 35-0016 Commercial Small Retail LOW VOLTAGE ALARM 0 70 SYSTEM/TELEPHONY-DATA E-17-294 Other 35-0016 Commercial Small Retail WIRE NEW BATHROOM. 0 41 REPLACE PANEL E-17-312 Other 35-0016 Commercial Municipal PROVIDE CONTROL INTERLOCK 0 35 WIRING FOR 2 BOILERS,3 RTUS, 18HPS,4ACS,1HO, 13FTR AND 5UH.ALL WORK IS LOW VOLTAGE(New City Hall Annex) 1 of 3 Commonwealth of Massachusetts MCONUff1 City of Salem f uv� 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 PERMIT REPORT BY ADDRESS PIN Permit For Parcel ID Occupancy Type Building Type Work Description Construct. Fee Paid Cost E-17-418 81F Smoke Detector/Fire Alarm 35-0016 Commercial Small Retail PROVIDE NEW SERVICE 0 1350 EQUIPMENT&POWER, LIGHTING AND FIRE ALARM PER BUILDING PERMITS PLANS FA-17-620 Fire Alarm Systems IN FPA-72 35-0016 Commercial Small Retail Install Fire Alarm 0 50 FS-17-36 810-Review of Plans Under 7500 Square 35-0016 Commercial Small Retail Review Plans 0 50 Feet GF-17-213 Cutting and Welding(Temporary) 35-0016 Commercial Small Retail Cutting&welding 0 50 GF-17-214 Cutting and Welding(Temporary) 35-0016 Commercial Small Retail Cutting&Welding 0 50 FM-14-505 Food Establishment>99 seats @ParcellD 0 420 FM-16-356 Food Establishment 25-99 seats @ParcellD 0 280 FM-16-357 Temporary Food Non-Profit @ParcellD 0 0 FM-16-490 Food Establishment 25-99 seats @ParcellD 0 280 G-14-656 Test-Gas 35-0016 Commercial Small Retail BSMT:TEST 1ST FL:TEST,RICE 0 100 COOKER G-15-570 Boiler 35-0016 Commercial Small Retail BSMT:1 BOILER 0 85 G-17-286 Remodel and Repair 35-0016 Commercial Small Retail 4TH FL:4 ROOF TOP UNITS 0 160 G-2012-0192 GAS 35-0016 1 grille,2 fryolators 0 135 G-2013-0010 GAS 35-0016 1 gas pipe 0 85 M-2001-0037 35-0016 Sign for Bangkok Paradise 1000 0 Restaurant per pictures submitted. P.S. P-14-823 1 Plumbing Fixture 35-0016 Commercial Small Retail 1ST FL: 1 HAND SINK 0 80 P-15-504 Remodel Kitchen or Bath 35-0016 Commercial Small Retail 3RD FL: 1 KITCHEN SINK,2 0 200 LAVATORIES,2 TOILETS,1 WASH MACH CONN, 1 WATER PIPING P-17-254 Remodel Kitchen or Bath 35-0016 Commercial Small Retail 1ST FL:1 LAVATORY, 1 TOILET 0 100 2 of Commonwealth of Massachusetts MpON➢3$r City of Salem 120 Washington Sl,3rd Floor Salem,MA 01970(978)745-9595 x5641 ,'t PERMIT REPORT BY ADDRESS �V' PIN Permit For Parcel ID Occupancy Type Building Type Work Description Construct. Fee Paid Cost E-17-418 81 F Smoke Detector/Fire Alarm 35-0016 Commercial Small Retail PROVIDE NEW SERVICE 0 1350 EQUIPMENT&POWER, LIGHTING AND FIRE ALARM PER BUILDING PERMITS PLANS FA-17-620 Fire Alarm Systems NFPA-72 35-0016 Commercial Small Retail Install Fire Alarm 0 50 FS-17-36 810-Review of Plans Under 7500 Square 35-0016 Commercial Small Retail Review Plans 0 50 Feet GF-17-213 Cutting and Welding(Temporary) 35-0016 Commercial Small Retail Cutting&welding 0 50 GF-17-214 Cutting and Welding(Temporary) 35-0016 Commercial Small Retail Cutting&Welding 0 50 FM-14-505 Food Establishment>99 seats @ParcellD 0 420 FM-16-356 Food Establishment 25-99 seats @ParcellD 0 280 FM-16-357 Temporary Food Non-Profit @ParcellD 0 0 FM-16-490 Food Establishment 25-99 seats @ParceIID 0 280 G-14-656 Test-Gas 35-0016 Commercial Small Retail BSMT:TEST IST FL:TEST,RICE 0 100 COOKER G-15-570 Boiler 35-0016 Commercial Small Retail BSMT: 1 BOILER 0 85 G-17-286 Remodel and Repair 35-0016 Commercial Small Retail 4TH FL:4 ROOF TOP UNITS 0 160 G-2012-0192 GAS 35-0016 1 grille,2 fryolators 0 135 G-2013-0010 GAS 35-0016 1 gas pipe 0 85 M-2001-0037 35-0016 Sign for Bangkok Paradise 1000 0 Restaurant per pictures submitted. P.S. P-14-823 1 Plumbing Fixture 35-0016 Commercial Small Retail IST FL: 1 HAND SINK 0 80 P-15-504 Remodel Kitchen or Bath 35-0016 Commercial Small Retail 3RD FL: 1 KITCHEN SINK,2 0 200 LAVATORIES,2 TOILETS,1 WASH MACH CONN, 1 WATER PIPING P-17-254 Remodel Kitchen or Bath 35-0016 Commercial Small Retail 1ST FL:1 LAVATORY,1 TOILET 0 100 2 of Commonwealth of Massachusetts uNm:,b City of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 ` el PERMIT REPORT BY ADDRESS Address: 90 WASHINGTON STREET PIN Permit For Parcel ID Occupancy Type Building Type Work Description Construct. Fee Paid Cost B-14-1415 Signs 35-0016 Commercial Small Retail SIGN PERMIT,AS APPROVED BY 0 0 SRA&DRB,FOR KOTO JAPANESE GRILL&SUSHI B-16-1376 Other Building Permit 35-0016 Commercial Small Retail INTERIOR DEMOLITION,AS 15000 165 REQUESTED,FOR PREPARATION OF ABATEMENT B-16-2 Renovation 35-0016 Commercial Small Retail BUILD NEW SERVICE 8700 99 COUNTER. CLOSE IN REAR OPENING IN PARTITION WALL. CONSTRUCT ONE 8'PARTITION. OPENUP ONE REAR PARTITION TO ENLARGE OPENING. ALL NEW SUPPORT WALL @ 94 WASHINGTON ST. B-17-104 Other Building Permit 35-0016 Commercial Small Retail HISTORICAL ADAPTIVE REUSE 2235000 25575 OF BUILDING FOR OFFICE SPACE INCLUDING ENVELOPE REPAIRS/RESTORATION& ADDITIONS. INTERIOR RENOVATION OF ALL FLOORS EXCEPT EXISTING RETAIL ESTABLISHMENT B-17-227 Repair/Replace 35-0016 Commercial Small Retail RELOCATE EXISTING 13700 150 BATHROOM IN RED LION SMOKESHOP B-17-498 Sheet Metal 35-0016 Commercial Small Retail THREE(3)NEW RTU'S',ONE 450000 495 NEW ENERGY RECOVERY VENTILATOR,VRF SYSTEM&19 DUCTED FCU'S,ONE NEW INLINE EXHAUST FAN' 'W/ASSOCIATED DUCT, GRILLES,DIFFUSERS,ETC.- E-14-199 Smoke Detector/Burglar Alarm/Fire Alarm 35-0016 Commercial Small Retail LOW VOLTAGE ALARM 0 70 SYSTEMITELEPHONY-DATA E-17-294 Other 35-0016 Commercial Small Retail WIRE NEW BATHROOM. 0 41 REPLACE PANEL E-17-312 Other 35-0016 Commercial Municipal PROVIDE CONTROL INTERLOCK 0 35 WIRING FOR 2 BOILERS,3 RTUS, I8HPS,4ACS, 1HO,13FTR AND 5UH.ALL WORK IS LOW VOLTAGE(New City Hall Annex) I of Commonwealth of Massachusetts M�ONDIt� City of Salem r 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 U�v'PERMIT REPORT BY ADDRESS PIN Permit For Parcel ID Occupancy Type Building Type Work Description Construct. Fee Paid Cost P-17-350 1 Plumbing Fixture 35-0016 Commercial Small Retail BSMT:2 CROSS CONNECTION 0 815 DEVICES, 1ST FL: 1 DRINKING FOUNTAIN,3 LAVATORIES, 1 SERVICE/MOP SINK,3 TOILETS, 2 WATER HEATERS,2ND FL: 1 DRINKING FOUNTAIN,1KITCHEN SINK,4 LAVATORIES, 1 SHOWER STALL, 1 SERVICE/MOP SINK,4 TOILETS, 3RD FL: 1 DRINKING FOUNTAIN, 1 KITCHEN SINK,5 LAVATORIES, 3 TOILETS,4TH FL:6 ROOF DRAIN P-2012-0219 PLUMBING 35-0016 1 hand sink,1 bar sink 0 80 SS-17-33 Sprinkler System 35-0016 Commercial Small Retail Sprinkler system work 0 50 FM-17-60 Temporary Food Non-Profit @ParcellD 0 0 IC-14-25 304 Certificate of Inspection @ParcellD 0 0 IC-15-65 304 Certificate of Inspection @ParcellD 0 0 IC-16-237 304 Certificate of Inspection @ParcellD 0 0 IC-17-127 304 Certificate of Inspection @ParcellD 0 0 Total Permits: 35 2723400 31050 3of3 Certificate Number: 8-16.1086 Permit Number: B-16-1086 Commonwealth of Massachusetts City of Salem This is to Certify that the ........................ ................. .Single Family Condo Building located at Building Type 49-U21 WASHINGTON STREET......................................................... in the -..................................,Cid°of Salem............., ........................-..................I........................ ..... ................................. Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Honey Dew Donuts HONEYDEW DONUTS This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ...............................Not 4ppt{ca8te...............-............ unless sooner suspended or revoked. 6ryiration Clete Issued on: Wednesday, June 14, 2017 Certificate Number: B-16-1086 Permit Number: B-16-1086 Commonwealth of Massachusetts City of Salem This is to Certify that the .Single Family Condo Building located at Building Type ..........................................................9.97..U2.1 WASHINGTON STREET......................................................... in the .....................................City of Salem ..................................... . . ................................................. Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Honey Dew Donuts HONEYDEW DONUTS This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ...............................NotAPPAcabk unless sooner suspended or revoked. Expiration Date Issued On: Wednesday, June 14, 2017 Commonwealth of Massachusetts ! + 3 r Citv of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 25641 � ° Return card to Building Division for Certificate of Occupancy � Permit No. B-96-7086 PERMIT TO BUILD FEE PAID: $869.00 DATE ISSUED: 10/11/2016 This certifies that ANNA KYUNG-AR LEE SOONA LEE has permission to erect, alter, or demolish a building 99-U21 WASHINGTON STREET Map/Lot: 350201-801 as follows: Other Building Permit TENANT FIT OUT FOR HONEY DEW DONUTS Contractor Name: ROBERTO PEREIRA DASILVA DBA: WELLS RENOVATION &CONSTRUCTION INC Contractor License No: CS-108317 10/11/2016 Building Official Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.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 construction 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. HIC #: 181525 '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. Commonwealth of Massachusetts CD-\ Citv of Salem C +. s 120 Washington Sl,3rd Floor Salem,PAA 01970(978)745-9595 x5641 ` Return card to Building Division for Certificate of Occupancy Olt Structure CITY OF SALEM BUILDING PERMIT ° � a Excavation PERMIT TO BE POSTED IN THE WINDOW Footing INSPECTION RECORD Foundation Framing OK Mechanic r 7 Insulation INSPECTION: BY DATE Chimney/Smoke mber Final ak I� /f�JL Plumbing/Gas Rough:Plumbing /3 /3 t90—��Y/4 YI,IO Rough:Gas 1 Final US Electrical Service Rough Final e Department Preli na rFinal t ,V' Health Department Preliminary Fina Commonwealth of Massachusetts 9 Citv of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit No. B-16-1086 PERMIT TO BUILD FEE PAID: $869.00 DATE ISSUED: 11/30/2016 This certifies that ANNA KYUNG-AR LEE SOONA LEE has permission to erect, alter, or demolish a building 99-U21 WASHINGTON STREET Map/Lot: 350201-801 as follows: Other Building Permit TENANT FIT OUT FOR HONEY DEW DONUTS Contractor Name: ROBERTO PEREIRA DASILVA DBA: WELLS RENOVATION &CONSTRUCTION INC Contractor License No: CS-108317 (L'"'' 11/30/2016 Building Official Date This permit shall be deemed abandoned and invalid unless the work authorized by this pemnit is commenced within six months after issuance.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 construction 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. HIC #: 181525 "Persons contracting with unregistered contractors do not have access to the guarantyfund"(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. Commonwealth of Massachusetts fa.\- f1. 3 q Citv of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Yr1 Structure CITY OF SALEM BUILDING PERMIT �J PERMIT TO BE POSTED IN THE WINDOW ` t Excavation Fooling INSPECTION RECORD Foundation Framing Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final #* Plumbing/Gas Rough:Plumbing Rough:Gas Final Electrical Service Rough Final ism Fire Department Preliminary Final (0 Health Department Preliminary Final F t1I 3 IE V � i7s Enjoy The Local Flavor ,' s Honey Dew Donuts 99 Washington Street PLAN TO BE KEPT Salem, MA ON SIT� HH Design Group Architects 1 Ticehurst Lane Marblehead, MA 01945 781 639 3493 June 20,2016 No. f Description Equipment / btu or elec. amp. 1 Sureshot di nser 120v/6011 2 Tcup holder. 11, 91 12' 9' 14' 6" T 6" Bunn Axiom 4/2 Twin 120V 6700w 27.9A 16.37". ---m-2' 9 I I < Bunn Coffee Grinder G91-11) 120v/60/19AAm . 5 Flavorshot 2 120v/6011 ACFC-10 ngb alll xposed wall. ®3 8 9 Ice caddy IGS125 m r . 4 SEATING EATIN a ® mona Office7 Bunn Ice coffee IC3120-20809.5Amps ase 20-90psi 138-621 kPa w/ 14'od Male flare fittin „ �� sny 8 Ice coffee container. Freezer Dry storage 9 HotchodateGB1P-PC 120v 1.8kw15A.1/4 Mfwater4SEATING 2 EATI - aff II 0n Z service ® a o sting c ci sh 10 Ice ca ucdno2KGBLD 120V60/115A.1/4"Mfwater. �„m Area ; ase Fu ce �, m 11 Ice coffee container. ,� I 12 Dark roast coffee Container. Exi "ng Te rso rbor ■Ir. — All 4 dram w/tra7 pnmcs �� , ,., 13 ss. hand sink s-w- 410 ss r 23' 9' til 0 3 p ©W 14 BevAir SPE27B 318h 115160117.9 a v + x Ung Te azofloors ,9 SEAT DINING o, `Z � LEGEND: FIRE PROTECTION LEGEND: l gfi ® -smoke OmP emergency light ® YJ B carbon detector L , _ '� -----L r . ® knox box M fire horn light (0 1 4jb a manual pull station t t ' i t N r 01z Sa exit exit sign r i i s / i d C �N O t c ® fire extinguiser i r - i i r i i ri��4 C m © general lighting � p0 Qf fan ® pendant lighting rQ recessed Jed lighting ; gfi i ® fl = ® (� � gfi ® y Q 1 i l electric exit U Q ' ' ' sub pnl. gfi \ © Q O NOTE: �_ Q , •- --` ` i in \`\ \`\ Sprinkler contractor to be licensed in Massachusetts --- 1 Q and provided plans by a fire protection engineer for ® o C o approval and installation for upgrading the existing exit Q M Q_Pa o> m sprinkler system. exit \\ ar m ch All Fre Protection system upgrades shown to existing existing addressable Q addressable system. fire zone central panel. �\ Co Co N ELECTRICAUCEILING PLAN Je &WALL LAYOUT m c scale: SIKY = T-9' Q o o cQ U- u to m C ani C om � 2 rn cA Glass frosted Guard 1 OProvide grommet for a o, pit O o O O O data feeds & Electrical. 5t�inless s eel co>.mt�. v S Solid surface counter. ` - indercount 0 efrigera for 1 II ICC Caddy. 21 411 ' N B Zp Sc Cj1N z0r Coffee Counter POIS CounterCoffee CoutsM ym o e 51 0,l 71 0l1 •71 Ol, 41 OI, � \ Oo �m / c o 3191 Glass frosted Guard CA 4 I I` = Lp U 1 011 L D. pl , Sheises Display Shelves �� 7101 Q 0 Q Solid urface counter t Ik i I t I l i t t i .j it 1-, iv IIII it fA 0 C �" it t t I tli iii hi t I' ji t l i - I G NEY t it it t i ti , S 1 11 t'!, �'au�wood Laminate �i t 3 � r.+w (LS�n. 0 t 0' F a t `C .. Fca n m _ 00AQ Coffee Counter POS Counter Hccen, L.iste y De�-ssn. Coffee Counter 1/2" crested I-�- 40" TO 71011 - 5' 01, 11 oil Glass chard. 1 Lam;nate over 3/4" moisture ".istant MDF. POS system. Stainless steel counter-— i Solid surface cnuoter. ++ Comprcafon St ap Latch Lock. to Fain,cood Laminates 0 (E� 3/4" MDF panel. _ 31 011 211011 LL o � Wood French Clea[. Adjustible. 1" Moisture resistant t,Adjustible 1" Moisture resistant Q 0 ?J a3 MDF shelf N"! Laminated 3/<i" MPF MDF shelf,a/Laminated 3/4" ',4DF 2 4 5 '= 16" nc. to Panels. COUNTER PLAN LAYOUTS LL o pt. sill shot into slab.- o, Panels. N 21 g1' scale: 3/8" = T-0" c a c 31 411 21 411 F-W*-T Z m V J Coffee Counter POS Counter Cross Section Cross Section f • v See A2- 1611 ` s� 1 Graphic Digital Q Graphic. Digital menu Board- ]Menu Board. r1, 1!, O ti N�, O L C p0 o 1•�i '9q m Enjoy The Local Flavor ;'y �0 _ C sten ov n b toaster ven. � oa 314, c Custom lic See A2- See A2, glas dspla 101811 ® nicrowa e. Install purchased Install purchased '(„) Q ! 11 donut cases. donut cases. O o ;a+ steel 1 Owl LO 0 ..andwicfih+n s. hand sin CD 00 Q ta[i'n. 11 aijieo,! to 2 4 L � co m (6 d ci t I - "tn t 6) Adiustibele I" Mo+stur resistant Case Bagel Counter \1DF hlf w/Laminated 3/4' `:IDF 10101, r-anets. 7131, _WJ ~ ° o V COUNTER BAGEUDONUT PLAN LAYOUTS Co c U) CL o c scale: 3/8" = 1l-0" n 0 .2 rn m __ § LL C) c >1 aEi 0rnin° a ' TY OF ALEM SACHLTSE'I'I'S BUILDING DEPARTMENT 120 WASHINGTON STREET,3"n FLOOR TEL:978-745-9595 KIMBERLEYDRISCOLL FAx: 978-740-9846 MAYOR THOMAS STTIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15, 2012 Kyung-Ar-Lee Anna Lee Soona 99 Washington Street, Unit 21 Salem, Massachusetts 01970 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs began on October 12, 2012 at the Salem City Hall, 93 Washington Street, Salem, Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, Michael Lutrzykowski Assistant Building Inspector Cc: file, Jason Silva, QTY OF SALEM, MASSACHUSETTS 6 - BUILDINGDEPARTMENT 120 WASHINGTON STREET, 3'FLOOR TEL: 978-745-9595 FAx: 978-740-9846 KIMBERLEY DRISCOLL MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15, 2012 Bill and Chika Dragon 99 Washington Street, Unit 22 Salem,Massachusetts 01970 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs began on October 12, 2012 at the Salem City Hall, 93 Washington Street, Salem,Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, Michael Lutrzykowski Assistant Building Inspector Cc: file, Jason Silva, CITY OF SALEM, MASSAC HUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET, 31iD FLOOR TEL: 978-745-9595 KINMERLEY DRISCOLL FAx:978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15,2012 Brian Schwarzkopf 99 Washington Street,Unit 23 Salem,Massachusetts 01970 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs began on October 12, 2012 at the Salem City Hall, 93 Washington Street, Salem,Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, Michael Lutrzykowski Assistant Building Inspector Cc: file, Jason Silva, a CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,3RD FLOOR TEL:978-745-9595 KIMBERLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15, 2012 Richela Strader 99 Washington Street,Unit 31 Salem,Massachusetts 01970 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs - began on October 12, 2012 at the Salem City Hall, 93 Washington Street, Salem, Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, Michael Lutrzykowski Assistant Building Inspector Cc: file,Jason Silva, a QTY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET, 3'mFLOOR TEL: 978-745-9595 RIMBERLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15, 2012 Averil Svahn 99 Washington Street,Unit 32 Salem,Massachusetts 01970 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs began on October 12, 2012 at the Salem City Hall, 93 Washington Street, Salem, Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, i "'oe Michael Lutrzykowski Assistant Building Inspector Cc: file, Jason Silva, ��e ` CITY OF SALEM, MASSACHUSETTS �+,;� ._ irk_ BUILDING DEPARTMENT '�s _ �T 120 WASHINGTON STREET,3RD FLOOR 9@`�'"""� TEL: 978-745-9595 KIMBERLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15, 2012 David and Nancy May 99 Washington Street,Unit33 Salem,Massachusetts 01970 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs began on October 12, 2012 at the Salem City Hall, 93 Washington Street, Salem, Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, Michael Lutrzykowski Assistant Building Inspector Cc: file,Jason Silva, a CITY OF SALEM, MASSACHUSETTSBUILDINGDEPARTMENT 120 WASHINGTON STREET,3RD FLOOR TEL: 978-745-9595 KIMBERLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15, 2012 Carolyn Booth 341 Furnace Dock Road Cortland Manor,New York 10567 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs began on October 12,2012 at the Salem City Hall, 93 Washington Street, Salem, Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, Michael Lutrzykowski Assistant Building Inspector Cc: file,Jason Silva, a CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,3RDFLOOR TEL: 978-745-9595 K MRERLEYDRtSCOLL FAx: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15, 2012 John Lash C/O Summa Inc. 10001 Lake City Way NE Seattle, Washington 98125 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs began on October 12,2012 at the Salem City Hall, 93 Washington Street, Salem,Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, Michael Lutrzykowski Assistant Building Inspector Cc: file,Jason Silva, 3�< ` CITY OF SALEM, MASSACHUSETTS z - BUILDING DEPARTMENT x'11 :_, i! 120 WASHINGTON STREET,3RD FLOOR ��MftN TEL: 978-745-9595 KIMBERLEY DRISCOLL FAx: 978-740-9846 MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER October 15, 2012 George Megaloudis 48 Westlund Road Belmont, Massachusetts 02478 RE: City Hall Roofing Project This ensuing communication shall serve as notification that roofing replacement and chimney repairs began on October 12,2012 at the Salem City Hall, 93 Washington Street, Salem, Massachusetts. Staging shall be erected on each side of the building thus limiting or eliminating use of these areas until such time construction is complete. A temporary handicapped access route to the City Hall's elevator at the rear of the building shall be posted by the Contractor as approved by the Massachusetts Architectural Access Board. The Contractor, Clerk of the Works and City of Salem in it construction meetings have placed the sensitivity of the neighborhood, especially during the Haunted Happenings season high on its agenda and will attempt to notify you as the project proceeds as deemed necessary. Thank you in advance for your cooperation. If you have any question please feel free to contact the Building Inspector's Office. Respectfully, - Michael Lutrzykowski Assistant Building Inspector Cc: file, Jason Silva, Page 1 of 1 Card 1 of 1 Location 99 WASHINGTON STREET property Account Number 0 Parcel ID 35-0201-801 Old Parcel ID -- Current Property Mailing Address Owner ANNA KYUNG-AR LEE City SALEM SOONA LEE State MA Address 99 WASHINGTON ST U21 Zip 01970 Zoning B5 Current Property Sales Information Sale Date 4129/2005 Legal Reference 24236-81 Sale Price 360,900 Grantor Seller LASHWAY COLLEEN, Current Pro ert Assessment Card 1 Value Year 2012 Building Value 228,600 Xtra Features Value 0 Land Area 0.001 acres Land Value 0 Total Value 228,600 Narrative Description his property contains 0.001 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 4 total room(s), 2 total bedroom (s), 2 total bath (s), 0 total half bath (s), 0 total 314 bath (s). Legal Description Click Property Images to Enlarge v M saY,200.IM F 1 http://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Page 1 of 1 Card 1 of 1 Location 99 WASHINGTON Property Account Number 0 Parcel ID 35-0201-802 STREET Old Parcel ID -- Current Property Mailin Address Owner DRAGON WILLIAM J City SALEM DRAGON CHIKA State MA Address 99 WASHINGTON ST U22 Zip 01970 Zoning B5 Current Property Sales Information Sale Date SI12/2010 Legal Reference 29676-343 Sale Price 245,000 Grantor Seller BRYANT,CECILY HULL Current Property Assessment Card 1 Value Year 2012 Building Value 198,700 Xtra Features Value 0 Land Area 0.067.acres Land Value 0 Total Value 198,700 Narrative Description his property contains 0.067 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 4 total room(s), 2 total bedrooms , 1 total bath (s), 0 total half bath (s), 0 total 3l4 bath (s). Legal Description Click Property Images to Enlarge I http://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Page 1 of I Card 1 of 1 Location 99 WASHINGTON Property Account Number 0 Parcel ID 35-0201-803 STREET Old ParcellD -- Current Property Mailing Address Owner SCHWARZKOPF BRIAN City SALEM State MA Address 99 WASHINGTON ST U23 Zip 01970 Zoning B5 Current Property Sales Information Sale Date 9/11/2003 Legal Reference 21739-540 Sale Price 430,000 Grantor Seller SALEM RENEWAL, LLC, Current Property Assessment Card 1 Value Year 2012 Building Value 303,500 Xtra Features Value 0 Land Area 0.067 acres Land Value 0 Total Value 303,500 Narrative Description his property contains 0.067 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 5 total room(s), 2 total bedrooms , 2 total bath (s), 0 total half bath (s), 0 total 3/4 bath (s). Legal Description Click Property Images to Enlarge 4 �i;; nil. SiLLYn300]w W] T bttp://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Page 1 of 1 Card 1 of 1 Location 99 WASHINGTON property Account Number 0 Parcel ID 35-0201-80 STREET Old ParcellD -- Current Property Mailing Address Owner STRADER RICHELA City SALEM State MMA Address 99 WASHINGTON STREET U31 Zip 01970 Zoning B5 Current Property Sales Information Sale Date 1/29/2004 Legal Reference 20078-446 Sale Price 316,875 Grantor(Seller SALEM RENEWAL, LLC, Current Property Assessment Card 1 Value Year 2012 Building Value 227,400 Xtra Features Value 0 Land Area 0.067 acres Land Value 0 Total Value 227,400 Narrative Description his property contains 0.067 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 4 total room(s), 2 total bedroom (s), 2 total bath (s), 0 total half bath (s), 0 total 3/4 bath (s). Legal Description Click Property Images to Enlarge TFL Y�2W3002. tw; i S t. http://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Page 1 of 1 Card 1 of 1 Location 99 WASHINGTON Property Account Number 0 Parcel ID 35-0201-80 STREET IF Old Parcel ID -- Current Property Mailing Address Owner SVAHN AVERIL City SALEM State MA Address 99 WASHINGTON ST U32 Zip 01970 Zoning B5 Current Property Sales Information Sale Date 3/1712003 Legal Reference 20362-111 Sale Price 274,000 Grantor Seller SALEM RENEWAL, LLC, Current Property Assessment Card 1 Value Year 2012 Building Value 202,400 Xtra Features Value 0 Land Area 0.067 acres Land Value 0 Total Value 202,400 Narrative Description his property contains 0.067 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 4 total room(s), 2 total bedrooms , 1 total bath (s), 0 total half bath (s), 0 total 314 bath (s). Legal Description Click Property Images to Enlarge i0 . rV' �n SAV �an Onsuamee weaeas: R rim]-8m http://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Page 1 of 1 Card 1 of 1 Location 99 WASHINGTON Property Account Number 0 Parcel ID 35-0201-806 STREET Old Parcel ID -- Current Property Mailing Address Owner MAY DAVID City SALEM MAY NANCY State MA Address 99 WASHINGTON ST U33 Zip 01970 Zoning B5 Current Property Sales Information Sale Date 7/1112008 Legal Reference 27911-305 Sale Price 340,000 Grantor Seller FERRER FERDINAND, Current Property Assessment Card 1 Value Year 2012 Building Value 301,700 Xtra Features Value 0 Land Area 0.067 acres Land Value 0 Total Value 301,700 Narrative Description This property contains 0.067 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 6 total room(s), 3 total bedroom (s), 2 total bath (s), 0 total half bath (s), 0 total 314 bath (s). Legal Description Click Property Images to Enlarge IF WIN msxne:a sew..:. to,,� nrRx000.um. M1I�4 1 R 4 sem' , F: http://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Page 1 of 1 Card I of 1 Location 99 WASHINGTON STREET umber 0 property Account NParcel ID 35-0201-807 Old ParcellD -- Current Property Mailing Address Owner BOOTH CAROLYN A City CORTLAND MANOR State NY Address 341 FURNACE DOCK ROAD Zip 10567 Zoning B5 Current Property Sales Information Sale Date 2/21/2003 Legal Reference 20205-213 Sale Price 345,000 Grantor Seller SALEM RENEWAL, LLC, Current Property Assessment Card 1 Value Year 2012 Building Value 232,300 Xtra Features Value 0 Land Area 0.067 acres Land Value 0 Total Value 232,300 Narrative Description his property contains 0.067 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 4 total room(s), 2 total bedrooms , 2 total bath (s), 0 total half bath (s), 0 total 3/4 bath (s). Legal Description Click Property Images to Enlarge y . Ilf ul 1ls. n.ar]p03:011 51, � tf' http://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Page 1 of 1 Card I of 1 Location 99 WASHINGTON Property Account Number 0 Parcel ID 35-0201-809 STREET Old Parcell!) -- Current Property Mailing Address Owner LASH JOHN W City SEATTLE C/O SUMMA, INC. State WA Address 10001 LAKE CITY WAY NE Zip 98125 Zonin L5 Current Property Sales Information Sale Date 10/5/2004 Legal Reference 23472-315 Sale Price 485,000 Grantor Seller STANTIAL THOMAS E, Current Property Assessment Card 1 Value Year 2012 Building Value 335,600 Xtra Features Value 0 Land Area 0.048 acres Land Value 0 Total Value 335,600 Narrative Description his property contains 0.048 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 6 total room(s), 3 total bedrooms , 2 total bath (s), 0 total half bath (s), 0 total 3/4 bath (s). Legal Description Click Property Images to Enlarge IM- 4I®e w� Use 'q I. fl!M http://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Page 1 of 1 Card 1 of 1 Location 99 WASHINGTON Property Account Number 0 Parcel ID 35-0201-808 STREET Old Parcel ID -- Current Property Mailing Address Owner MEGALOUDIS GEORGE City BELMONT State MA Address 48 WESTLUND ROAD Zip 02478 Zonin BS Current Property Sales Information Sale Date 5115/2008 Legal Reference 27778-371 Sale Price 0 Grantor Seller MEGALOUDIS GEORGE, Current Property Assessment Card 1 Value Year 2012 Building Value 210,900 Xtra Features Value 0 Land Area 0.067 acres Land Value 0 Total Value 210,900 Narrative Description his property contains 0.067 acres of land mainly classified as Condo with a(n) CONDO style building, built about 1900 , having Brick exterior and Tar+Gravel roof cover, with 1 unit(s), 4 total room(s), 2 total bedrooms , 1 total bath (s), 0 total half bath (s), 0 total 3/4 bath (s). Legal Description Click Property Images to Enlarge 14, Q M's�e ua YMmmac a� i yn`11, http://salem.patriotproperties.com/summary-bottom.asp 10/15/2012 Cttp of *aiem, AIa!5gaCbU!6Ctt5 ' public propertp Mepartment 3guilbing Mepartment One balem Oreen (97S) 745-9595 Cxt. 380 Peter Strout Director of Public Property Inspector of Buildings Zoning Enforcement Officer 9/11/01 Richard Pabich Salem Renewal LLC Re: 228 Essex St. and 99-101 Washington St. Dear Mr. Pabich: As per your request for a zoning opinion on the above mentioned property to be used as storefronts on the first floor and residential on the second, third and fourth floors, it is my opinion that these uses will be in compliance with the current zoning ordinance. Sincerel &�— Peter Strout Zoning Enforcement Officer .Speed Lettere 44-902 Gra Line Speed Lettere To Joan Jukins/ Collector From William Munroe/Bldg . Inspector Subject r `99—Washington St /Red Lion Smoke Shop Inc. MESSAGE "PLEASE ADVISE IF TAXES ARE DUE" �,�a�.c7Y �.v �.9.Y ✓�'Ti>'C Date 4/ 19/88 Signed REPLY .e cr.Io /� rl Date �o Signed WilsonJones RECIPIENT—RETAIN WHITE COPY. RETURN PINK COP` GRAYLINE FORM<b90H 3-PART [1983•PRINTED IN U.$A 1184 SENDER—DETACH ANP RETAIN YELLOW' COPY. SEND WHITE AND PINI: COPIES VVIT; CARBON INTAC- i NEEDHAM,MA - LYNNFIELD,MA ' • 3, �^" 4 ,.r WORCESTER.MA pS lFgp7 r3 >Y ;$;., W.SPRINGFIELD,MA - FALMOUTH.MA „P� tiC PyPROVIDENCE.RI (! = y�j7 '' MANCHESTER.NH PORTSMOUTH.NH • O _ ALLIEp i "' i BURLINGTON,VT ;✓j, I vd� ''� •i PORTLAND,ME •� WATERVILLE,ME 4�[IED•ti? ADJUSTMEN W.HAVEN.CT BRIDGEPORT,CT +M27 P W HARTFORD.CTSERVIXSTAMFORD.CT gr�Fy"a CLIFTON.NJ 379 BROADWAY.LYNNFIELD,MASSACHUSETTS.01940-2314 TELEPHONE-AREA CODE 617-581-6466 - • TO: BUILDING COMMISSIONER OR BOARD OF HEALTH OR INSPECTOR OF BUILDINGS . BOARD OF SELECTMAN City Hall City Hall Salem, Ma. 01970 Salem, Ma. 01970 RE: INSURED: Red Lion Smoke Shop, Inc . PROPERTY ADDRESS 99 Washington St. Salem, Ma. POLICY NO. CBLB02533 Commercial Union Ins . LOSS OF March 2619 88 FILE/CLAIM NO. 4-6800 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 Massachusetts General Laws, 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. Paul Peicott (Signature) (� Title: Claims Representative 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 . Paul P, i � Signature and IVDate 4/15/88 i NEEDHAM,MA w:4^ �', ➢ LYNNFIELO.MA WORCESTER.MA J _ W.SPRINGFIELD.MA 1,05 LE40z FALMOUTH.MA �P C PROVIDENCE,RI MANCHESTER.NH ALLIED BURLINGTON. BURLINGTON.VT O= WATERVILLE M r to • ADJUSTMEN i V W HAVEN, ME 4�UED•l W.HAVEN,CT //�� BRIDGEPORT,CT S ENV I V W.HARTFORD.CT STAMFORD,CT CLIFTON,NJ 379 BROADWAY.LYNNFIELD,MASSACHUSETTS.01940-2314 TELEPHONE-AREA CODE 617-561-6466 - • TO: BUILDING COMMISSIONER OR BOARD OF HEALTH OR INSPECTOR OF BUILDINGS. BOARD OF SELECTMAN City Hall City Hall Salem, Ma. 01970 Salem, Ma. 01970 RE: INSURED: Red Lion Smoke Shop, Inc . PROPERTY ADDRESS 99 Washington St. Salem, Ma. POLICY NO. CBLB02533 Commercial Union Ins . LOSS OF March 26 19 88 FILE/CLAIM NO. 4-6800 Claim has been made involving loss, damage or destruction of the above captioned property which may either exceed f $1 ,000. 00 or cause Massachusetts General Laws Ch. 143 , Sec. 6 to be applicable. If any notice under Massachusetts General Laws, 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. n ` Paul Peicott (Signature) Title: Claims Representative 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 . Paul ecot Signa ure and Date 4/1/15/88