37 WINTER ISLAND ROAD - BUILDING INSPECTION 37 Winter Island Rd,
37 WINTER ISLAND ROAD 75-12
GIs i675 ---- COMMONWEALTH OF MASSACHUSETTS
- - ------
Map44 ---
------------- CITY OF SAI: 1
Block,
Lot 100-6
pea
REN`oDL
Ctegoy-
rmitr# BUILDING PERMIT
'JS-2012-000226
Est, cosl: sli.000.00
Fee Chat Led: 5170.00
:Balai.i I c-e D-L.ic --iS,00 PERMISSION IS HEREBY GRANTED TO: -cs
------ License: Expb
copst. Class: Contractor: Construction commi - 1611-
Use G,-oop, pl-cillier Realty jjja cstilici-its LLC
Lot Size(s-q..t) 1028016 --i0mier: TRS OF 1?LUM, %,jER FARC SCHOOL
Zoning
---- ---- _j iments. -LC
Units Gi-
- ined: T: 37 WINTER ISLAND ROAD
Units Los-I,:.
Dili Sate f-:
ISSLED ON. 28-Jul-2011 AMENDED EXPIRES ON:
TO PERFORM THE FOLLOWING WORK:
REvJODEL UPDATE ADD WALLS TO SEPARATE STAIRCASE, LIGHT ELECTRICAL WORK, WALLS PLAS I I-R AND
PAINT Jbll POST THIS CARD so IT IS VISIBLE FROM THE STREET
Electric
Gas plunimlig Building
u ll d: Underground: I�Tide 1g,I(I tj 11(1: Ewivition:
t:ndergro
Scl,icc: 'NictLi, Footing:
RoLvdi: Foundation:
Rough: Romfli: Ro"di Flame:
Final:
iFinni: Final: Health Fireplace/(111111lic':
DYAN'. Fire
14,
Final: -11A—
House Tj c1l,I I,,:
Assess0l
Wntcl: A Final:
Seim: I Up0-, ),7IOLkTIPN OF .,oY OF ITS
THIS PERMIT MAY BE REVOKED BY T14E CITY OF SALEM'
RULES AND REGULATIONS.
Signature:
Fee Type KcCOI)t NO: Dme Paid: Check 1'0: A ITIO Ll n
BUILDING
GenTNIS'R'2011 Des 1-am ers Municipal Solutions.Inc.
Commonwealth OfMassachusetts
City ofsalem Map: Block: Lot:
44 0036
In Accordance With Massachusetts State Building Code 780 Cmr, Section 106. 5, Table 106
CERTIFICATE OF INSPECTION
is issued to Plummer Home for Boys
..................................................................................................................................................
I Certify that I have Inspected the (12) PREMISES known as The Plummer Home for Boys
located at 0037 WINTER ISLAND ROAD in the City of Salem
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
The Means OfEgress Are Sufficient For The Following Number Of Persons.
BY STORY
Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly or Structure Capacity Location Place of Assembly or Structure Capacity Location
I-1 20 1st floor 14 2nd floor
5 3rd floor
61-2007 01/11/2007 01/11/2008
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
**A COPY OF THIS CERTIFICATE`MUST BE POS'T'ED IN CLEAR VIEW NEAR ALL ENTRANCES**
toiwj
CITY OF SALEM BOARD OF HEALTH
Salem, Massachusetts 01970-3928
JOANNE SCOTT,MPH,RS,CHO NINE NORTH STREET
HEALTH AGENT Tel:(978)741-1800
Fax: (978)740-9705
April 17, 2001
Board of Trustees
Adrienne Wallace, Executive Director
37 Winter Island Road
Salem, MA 01970
Dear Sir or Madam:
In accordance with Chapter III, Sections 127A and 1276 of the Massachusetts General Laws, 105 CMR 400.00, State
Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter II
Minimum Standards of Fitness for Human Habitation, a reinspection was conducted of the property 37 Winter Island
Road occupied by(Plummer Home for Boys) conducted Virginia Moustakis, Sanitarian on Wednesday,April 11,
2001 at 11:00 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.
For the Board of Health: Reply to:
V7oi 1
anne Scott Virginia Moustakis
Health Agent Sanitarian
cc: Councillor Scott LaCava, Fire Prevention, Building Inspector, & Kelly Buckley ,Residential Program
Supervisor
Certified Mail#7099 3400 0009 4093 2485
JS/sjk c-h-violet
i
C17Y OF SALEM HEALTH DEPARTMENT
Nine North Street
Salem,Massachusetts 01970
Page 1 of
State Sanitary Code, Chapter II: 105 CMR 410.000
Minimum Standards of Fitness for Human Habitation
Occupant : P,�umin e2 ,�1�me-fec Beyer Phone:_ �yy_ io9p
Address: 39 Uyr v1e,P_ ,�'S�,�r�L Apt.# Floor
Owner: of 7;%1W_eS Address: el Is ,k, 4-a zs� ,Pp
Ail yd; �oe�eNre GVGGCpCe �XL'Cflfi✓C J7�QR�C
Inspection Date: y-ii- aeel Time: /goo
Conducted By: V1�c/syrlku Accompanied By:z„�eZ,��,���� CPQk 4ecleivskr
Anticipated Reinspection Date: -A41LkDi�0
c'd �la�n AA. /e.iv ve, Aw,IGGioe'
m.e ydfias
Specified Time Reg.ti410.. Vioiation(s)
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One or more of the above violations may endanger or material) impair the health p1 �
Y 9 Y P Ce, j/Re
safety, and well being of the occupant(s) kE�� Ouok by
Code Enforcement Inspector _2 24aeA ,a., RemAe++tra�PRoy. w DR
occs ehet"'q
Este es documento legal importante. Puede que afecte sus derechos. 13eve�W 7nd' c0ki r
C� �avNe/tGO,Z
Puede adquirir una traduccion de esta forma cies necesario Ilamar al telefono 741-1800. vI,s 4.4 6fuR-
1-11-201 A'34PM FROM P_ 1
CITY OF SALEM FIRE DEPARTMENT
FIRE PREVENTION DIVISION
29 FORT AVENUE
SALEM, MA. 01970
FAX COVER SHEET: FRANK PRECZEWSKI, JR.
FIRE INSPECTOR
PHONE: 978-745-7777
FAX: .978-745-9402
TO: MR. PETER STROUT BUILDING INSPECTOR
FROM: INS?. FRAM PRECZEWSKI
DATE:
SUBJECT: PLUMMER HOME INSPECTION
PAGES: 4
THIS FAX CONTAINS PRIVILEGED AND CONFIDENTIAL INFORMA-
TION INTENDED ONLY FOR THE USE OF THE INDIVIDUAL OR
ENTITY TO WHOM IT IS ADDRESSED. IF THE READER OF THIS FAX
IS NOT THE INTENDED RECEIPIENT OR THE EMPLOYEE OR AGENT
RESPONSIBLE FOR DELIVERING IT TO THE INTENDED RECIPIENT
YOU ARE HEREBY NOTIFIED THAT ANY COMMUNICATION TRANS-
MISSION, DISSEMINATION OR REPRODUCTION OF THIS FAX OR
ITS CONTENTS IS STRICTLY PROHIBITED. IF YOU HAVE RECEIVED
THIS FAX IN ERROR, PLEASE IMMEDEDITELY NOTIFY ME BY PHONE
AND RETURN THE ORGINAL FAX TO ME AT THE ABOVE ADDRESS
VIA THE U.S. POSTAL SERVICE. "THANK YOU"
1-11-201 435P FROM P. 2
City of Salem, Massachusetts
Fire Department
48 Lafayette Sheet
7(gSPrt IV Turner sa&m, 'Massachusetts 01970.3695
jtrePreventinr.
Cfdef T84 978-744-.iZ35 Bureau
978-744-6990 Fax 978-745-4646 978-745-7777
*�***!*rR*****�*�k****#k**�F**k*k*A*Ad*ikN�e*4AAdd*ik#d*iA dAANf(*iiAdrd#rA�ht*'aY*re*YY*eA*b�Nd*rv¢Yd*ivF*k*�ei*e*��*rtArt*k*!*c*fit
NAME: MS. ADRIANE WALLACE DIRECTOR RE: INSPECTION PLUMMER HOME
ADDRESS: 37 WINTER ISLAND ROAD JANUARY 11, 2001
CITY/STATE/ZIP SALEM, MA- 01970
AS THE RESULT OF AN INSPECTION OF THE PREMESIS, STRUCTURE, �S� C3j }A7�X$1 }C�R
OCCUPIED, OR OTHERWISE UNDER YOUR CONTROL. THE FOLLOWING RECOMMENDATIONS ARE MADE AND SHELL
SERVE AS A NOTICE OF VIOLATIONS OF THE LA 7S, CITY ORDINANCES, OR REGULATIONS PERTAINING TO
THE PREVENTION OF FIRE AND THE PROTECTION OF LIFE AND PROPERTY.
I. FIRE ALARM SYSTEM HAS TO BE UPDATED ASAP INCLUDING SMOKE DETECTOR'S
IN EACH BEBROOM BY A LICIENCED ELECTRICIAN HAVE HIM CALL FIRE PRE -
VENTION FOR PIACEMENT AND PERMIT.
2. EXTINQL'ISHERS NEED TO BE CHECKED AND PROPERLY TAGED
3. EXTINQUISHERS IN SOME LOCATIONS HAVE TO BE MOUNTED.
4. EMERGENCY LIGHTS NEED TO BE CHECKED AND SOME REPLACED,
5. CLEAN OUT COMBUSTIBALES BEHIND HOT WATER HEARTERS.
THESE PROBLEM HAVE TO BE COMPLETED ASAF, THE NEED FOR A CITY MASTER BOX
FOR THE BUILDING HAS TO BE COMPLETED WITHIN THE REINSPECTION DATE OF 3111/2001.
THANK YOU IN ADVANCE FOR YOUR ANTICIPATED COOPERATION IN
THIS MATTER.
CC: HEALTH DEPT.
BUILDING DEPT.
OFFICE OF CHILD CARE SERVICES
PER ORDE �swy4f-
FIRE INSPECTOR SALEM FIRE DEPARTMENT
FORNU25A (12/97)
1-11-201 4!35PM FROM P. 3
Residential Care 27 Licensing Guide and Application
I
j OFFICE OF CHILD CARS SERVICES
I FIRE INSPECTION REPORT
I
f
This is to certify that _ PLUMMER HOME FOR BOY'5
! (Name of Facility)
I
located at 37 WINTER ISLAND ROAD SALEM, MA.
(Address)
I
I was inspected on 1/11/2001 _ by INSP. FRANK PRECZE';�U
I (Date) (Name of Inspector)
I
I
{
{ Violations (if any):
I
I
Reconuneadations (if any)
{ THAT THIS BUILDING BEING A GROUP HOME BE PUT ON A CITY MASTER BOX
FOR NOTIFICATION TO THE SALEM FIRE DEPARTMENT. CONTACT CITY ELETRICIAN
! PAUL TUTTLE FOR INCOMING LINE AT 978-745-6300.
I (J
! T certify that the above facility complieswit_hthe}fules and regulations of the Board of Fire
! Prevention. 441,Z4 1,14 dGu/
!
I Yes No
I 94--a-1-7(Mame and Title) --
I
!
I
1-11-201 4.35PM FROM P.4
SALEM FIRE DEPARTMENT -lnspec oat
Insp.Number INSPECTION AND VIOLATION REPORT
RE p//t p
OeCupancy Name ( &1 �
Address 81x9.4s PboriSectlon o
. 3 �T tslr d 1�d Yes Non -Ivy—/v9
I ctur 4 Notifications
r. r eahh t�BTde_ Electrical �C7 Pvlic®
1. xterior 6. Heating Systems ❑ N/A-7
fire eacapes/dacks ss ❑Fail ❑Warn ❑NIA combustibles [3'f ass ❑ Fail 0 Warn ❑N/A
proper storage a�ss ❑Fail El Warn ❑PVA within 5 feet
proper access [Pass ❑Fail ❑Warn ❑ A defective chimney �a�6 ❑ Fail Q Warn ❑N/A
Ki BOX ❑Pass ❑Fail ❑Warn IdM/A defective system amass ❑ Fall ❑Warn ❑N/A
2. Exits other ❑ Pass ❑ rail Ll Warn ❑PVA
open properly ❑Pass ❑Fail ❑Warn ❑N/A 7. Electrical
exit blocked ❑Pass I1 FF ❑Warn ❑N/A detective wiring ❑ Pose ❑ Fail ❑Wam ❑NIA
exit signs working ❑ Pass 21i ❑Warn 0 N/A panels accessible ❑ Pass ❑ Fail ❑Warn ❑NIA
adequate lighting ❑ Pass ❑Fait Ll Warn p WA extension xte slon cords:
door(s)locked ❑ Pass ❑ Fail ❑Warn 13N/A proper use ElPass ElFail l Warn NIA
signs needed ❑ Pass ffit l ❑N/A cover plate missing D Pass ❑.Fail ❑Warn ❑ WA
in need of repair ❑ Pass ❑ Fail ❑WWam ❑WA proper fusing ❑ Pass p'Fail ❑Warn NIA
emergency lights Ll Pass ail Uam ❑ N/A other ❑ Pass ❑ Fail ❑Warn ❑WA
other ❑ Pass ❑ Fail ❑Warn Q NIA "--
3. Fire Alarm System ❑Wq B. Fire Extinguishers LJ N/A
signs needed L] Fail ❑Warn ❑N(A
operative C7 Pass 5.Kr ❑Wam ❑ N/A properly mounted ass ❑ Fail 11 Warn ❑WA
properly labeled 13%joass ❑Fail CJ Warn ❑ N/A (�'¢
., ass 71 Fad ❑Warn ❑NIA
accessible Ce Bass ❑Fail L1 We proper type rn ❑ N/A obstructed ❑ Pass ❑ Fail ❑Warn ❑N/A
trouble indication F1 Pass ❑Fall ❑Warn ❑ N/A need re arging ,j L`7 Pass pad ❑Warn NIA
defective devices ❑ Pass moi` ❑Warn El N/A othe Osr�d� Pass ❑ Fail F1Warn p WA
1� missing devices ❑ Pass ail ❑Warn E) N/A
other.. ❑ Pass ❑Fail p Warn ❑ N/A I.Sprinkle &Standpipe System
1 4. K' ens [i<A 10 lb.ABC extinguisher 11 Fad] Imo`'Warn 0 N/A valves labeled 71 Pass C1 Fad 17 Warn l�yT�liA
at hazard valves accessible El Pass C1 Fall ❑Warn l 1A
ext.system operat. ase 177 Fail ❑Warn ❑ N/A pressure reading L5 Pass ❑Fail ❑Warn l
root collect.clean ❑ P ❑Fail 71 Warn ❑ NIA FOC clear/capped ❑Pass ❑Fail ❑Warn GSA
system inspected is Q Fail ❑Warn ❑ WA "N"open ❑ Pass ❑Fall ❑Warn �1A
hood/duct clean C>YPass ❑Fail ❑Warn ❑ NIA 'des sscured ❑ Pass ❑Fail ❑Warn [34/A
other_ ❑ Pass ❑Fail ❑Warn ❑N/A spare head oval. ❑Pass ❑Fail Ll Warn p4A
heads obstructed ❑Pass ❑Fail ❑Warn l�a<�
5. Storage other ❑ Pass ❑Fail El Warn ty'N/A
proper labeling ❑ Pas Ll rail El Warn p WA
proper storage i-L)•P3ss ❑Fait ❑Warn F1 WA PTN Form N84-Completed Yes❑ No ❑
legal storage [i;-ass (]Fail ❑Warn L WA arm p5g-Flied
other ❑ Pass ❑ Fail ❑Warn ❑ WA Yes❑ No[Y
10.Violations Found
46
Form 416-(Rey.11M) COples: Whig Fire Prevention Yallew-l6sPecting Company Pink.Building Owns mena9er