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BUILDING JACKET_0260 WASHINGTON STREET_2/16/2021 3:41:55 PM_AUTOREMOVE &-7 LK 3b3 The CommonweaW, Whusetts Department of Public Safety ` Massachusetts State (78 C R \ �y Building Permit Application for any Building o r n n Ifffy - wo-Family Dwelling (This Section For Official Use Only)(\ , Building Permit Number: Date Applied: Building Official: 1 SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK (� 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❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Ye-",M- No ❑ Is an Independent Structural Engineering Peer R view r quired? , Yes ❑ Noe Brief Description of Proposed Work: U Q f i tl 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) 17 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 ❑ j F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1 ❑ 1-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA IB O IIA IIB D IIIA 0 IIIB E3 IV 0 VA E3 VB E3 SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Trench Permit: Debris Removal: Water Supply: Flood Zone Information: Sewage Disposal: TLicensed Disposal Site❑ Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be p requiredxor trench or specify: Private 11 or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission 1"w Process: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ 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: Does the building contain an Sprinkler System?: Special Stipulations: .:3( 10 m i ��p --TD M t $ (P-7 1 if-K 3(D3 The CommonweaW--tit *achusetts Department of Public Safety Massachusetts State��fYi78Q CR Building Permit Application for any Building o r n n - wo-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) l No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below Existing Building Repair I Alteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yeyfi, No ❑ Is an Independent Structural Engineering Peer R view r quired? , Yes ❑ Noe Brief Description of Proposed Work: i 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) 0 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❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional 1-1 ❑ 1-2❑ I-3❑ 1-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA 0 IB 0 IIA 0 IIB 0 IIIA E3 IIIB 0 I IV 0 1 VA O VB 0 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 outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on site system❑ required?ror trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process. Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ 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: Does the building contain an Sprinkler System?: Special Stipulations: .-D( 10 M f-'�k L-E inn� SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner t�LCs �c�5► LICAh-}t�co Name(Print) No.and Street City/Town Zip x Property Owner Contact Information: Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes �Ynn bA ylY� ame Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to 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 check here O and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor fO�y c Compan Name zie�_,_e_/Z1, Name of Person Responsible for Constnfction Li se No. and Type if placable Street Address City/To State Zip ;?I-A - - d"U.r/rQ Tele hone No. business Telephone No. cell e-mail address SECTION 11:WORKERS'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 theeii Bance of the building permit. Is a signed Affidavit submitted with this application? Yesr$ No 0 SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor //^ and Materials) Total Construction Cost(from Item 6)=$ 4!:W 1.Building $ d 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 SECTIO 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.. t� �G�afo� �_ rl �r,s d ear- � i�//3 Z-2�/_� 17 Please pri tan sign name Tie / �� Telephone No. Date /DO Alco L,inr� Street Address CityTown State Zip Municipal Inspector to fill out this section upon application approval: Name Date tt 97ul The Commonwealth of Mas fl se" g Department of P,if6lk Tafety' S Massachusetts State Building Code(780 CMR) n Building Permit Application for any Building of tW J20nePar -`Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) 260 Washington St.. Salem No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK Edition of MA State Code used 8 If New Construction check here❑or check all that apply in the two rows below Existing Building 4 Repair❑ 1 Alteration 41 1 Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No i Is an Independent Structural Engineering Peer Review required? Yes ❑ No S Brief Description of Proposed Work: Replace existing front door with new woo en door & trame to fit in existing opening 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) 0 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.) 4 4 Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A. Assembly A-1 ❑ A-2❑ Nightclub ❑ A3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ I4M.: H-1❑ H-2❑ H-3 ❑ H4❑ H-5❑ I: Institutional I-10 I-2❑ I-3 antile❑ R. Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB O IIA ❑ IIB E3 IRA ❑ IIIB ` IV ❑ VA O VB ❑ 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 outside Flood ZonedP Indicate municipal■ A trench will not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable® Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ 1 Yes❑ or No 1k Yes❑ No 10 SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Occupant Load per Floor: Does the building contain an Sprinkler System?: Special Stipulations: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner RCG 17 Ivaloo St Somerville 02143 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Jim Gagnon 617-6258315 617 51 a 2286 jgagnon@rcg-Ilc.com Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Scott Allison 58 Glad Valley Dr Billerica MA 01821 Name Street Address City/Town State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) f building is less than 35,000 m.ft.of enclosed space and/or not under Construction Control then check here❑and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Supreme Builders Company Name Scott Allison CS 069628 Unrestricted Name of Person Responsible for Construction License No. and Type if Applicable 58 Glad Valley Dr Billerica 01821 Street Address City/Town State Zip _ 781-953SO36 scott@supremebuilder.net Telephone No.(business) Telephone No. cell e-mail address SECTION 11:WORKERS'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? Yes■ No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ 50(3 Building Permit Fee=Total Construction Cost x_(Insert here 2.Electrical $ appropriate municipal factor)_$ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contacci ality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ 3�j(`�() (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 accurate th f my knowledge and understanding. Scott Allison �e� i tea 78t 953.6036 Please print and si name Title Telephone No. Date 58 Glad Valeey Dr Billerica 01821 Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: _ """^' 1 /_ lad l Name Date J The Commonwealth of Massachusetts Department oflndustrialAccidents 'Office' of Investigations s 1 Congress Street, Suite 100 Boston,MA 02114-2017 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Supreme Builders & Design,lnc Address:58 Glad Valley Dr City/State/Zip: Billerica, MA 01821 Phone #:781-953-6036 Are you an employer? Check the appropriate box: Type of project(required): L❑■ I am a employer with 2 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. Q Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance comp. insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. f Homeowners who submit this affidavit indicating they are doing all work and then hive outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Travelers Policy#or Self-ins. Lic. #:713.lUB-4768P16-5-13 Expiration Date:7/21/16 Job Site Address: 257 Washington St City/State/Zip:Salem, MA Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains,and penalties ofperjury that the information provided above is true and correct. Suture: Date: 9/23/15 Phone#: 781-9536036 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: i '" ' �z g �`�' � 3�s� � The Commonwealth.,o�d�¢D'a�dAt1��N4f�s � Department af Public SafeEy Massachnsetts State Bvi1���7�D� � 2"� Building Pemtit ApplicaHon for any Building a a ne-or wo-FamIIy Dwelling �-- � (This Section For Official Use Only) - � �� � Building Permit Number: Date Apptied: Building OfficiaC � � - v I , . �SECTION 1:LOCATION(Please indicate.Block A and Lot#.for locations for which a street addresa ia not available) - 260 Washington St., Unit #31, Salem � No.and Street Gty/Town Zip Code Name of Building(if applicable) , � �� I , SECTION 2:PROPOSED WORK ��. �� ��� � . � � � � Edition of MA State Code used�_h If New Construction check here O or check all that apply in the rivo rows below 1 Existing Building� Repair❑ Alterarion � Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) � Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: _ Are building plans and/or wnstrucNon documents being supplied as part of this permit applicarion? Yes ❑ No I] Is an Independent Shvctural Engineering Peer Review reqUired7 Yes ❑ No� Brief Description of I'ropased Work: e room rom exis ing neig oring uni , e oca e a room, ns a new cabinets, remodel unit_ SECTION 3:COMPLE'TE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Exisring Building Investigarion and Evaluarion is enclosed(See 7S0 CMR 34) 0 � Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA � Fxisting I'roposed �� ^` No.of Floors/Stories(include basement levels)&Area Per F1oor(sq.h.) 4 4, ��"'�'"' Total Area(sq.4t.)and Total Height(ft.) � SECTTON 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-1 ❑ F2❑ H: Hi Hazazd H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Ins4tutional I-1 ❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-1❑ R-2❑ R-3 ❑ R-4❑ S: Stmage S-1 ❑ S-2❑ U: Ufility❑ Special Use 0 and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable)� � I.A � IB ❑ IIAO IIB ❑ IIIA ❑ IIIBI� N ❑ VA ❑ VB ❑ SECT'ION 7:SITE INFORMAT'ION(refer to 780 CMR 111.0 for details on each item) � Water Supply: Flood Zane InformaHon: Sewage Disposal: Trench Permit: Debris Removal: Public� Check if outside Flood Zone� [ndicate municipa!■ A trench wID not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on sire system❑ required O or trench or specify: permit is enclosed❑ Railroad right-of-way: Aazards to Air Navigation: MA Historic Commission Review Process: Not Applicable� Is Structure within airport approach azea? Is their review completed? or Consent to Build enclosed❑ Yes� or No� Yes❑ No � � SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Conslruction: Occupant Load per Floor: Does the building contain an Sprinkler 5ystem?: Special Stipulatioms: (v� A��,� Z'�� SECTION 9t PROPERTY OWNER AUTHORIZATION Name and Address of Properiy Owner RCG 17 Ivaloo St Somerville 02143 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Jim Gagnon �Z_625$315 R17 519 ��R� J9agnon�a rcg-Ilc.com Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the proper[y owner hereby authorizes - Scott Allison 58 Glad Vallev Dr Billerica MA 01821 Name Street Address City/Town State Zip to act on the ro ownei's behalf,in all matters relative to work authorized b this buildin ermit a lication. � SEC'I'ION 10:WNSTAUCI'ION CONTROL(Please fill out Appendix 2) . � � buildin is less tlian 35,000 cu.k.of enclosed s ace and/or not under Construchion Conhnl then check here O and ski Sertion 10.1 101 Re 'stered Professional Res onsible for Construction Control . � � � � � � � � � James Gilmore 508 380.3105 Name(Re straM) T le }�one No. e-mail address Regish�ation Number 200 �nter St I�o�liston MA 01746 Street Address City/Town SYate Zip Discipline Expiration Date 10.2 General Contractor � � � � � � Supreme Builders Company Name Scott Allison CS 069628 Unrestricted i.f. _ z2 — t � Name of Person Responsible for Construcfion License No. and Type ff Applicable 58 Glad Valley Dr Billerica 01821 Street Address City/Town State Zip -= 781_9538036 scott@supremebuilder.net Tele hone No. usiness Tele hone No. cell rmail address SECITON 11:WORKERS'COMPENSATION]NSLTRANCE AFFIDAVIT .G.L.c.152 25C 6 � � � � A Workers Compensation Insurance Affidavit from the MA Department of Industrial Accidenis must be completed and . submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a si ed Affidavit submitted with this a lication? Yes■ No � � � SECTION 12 CONSTRUCC[ON COSTS AND PERMIT FEE . � Item Estimated Costs: (I.abor � and Materials) Total Consirucfion Cost(from Item 6)_$ �.Building $ 15 000.00 ' Building Pemut Fee=Total Construction Cost x_(Insert here 2.Electrical $ $,QOQ.QQ appropriate municipal factor) _$ 3.Plumbing $ 6 Q�0.00 4.Mechanica] (HVAG� $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ � Enclose check payable to �6.Total Cost $ 26,���.0� (contact municipality)and write check number here � SECTION 13:SIGNATUAE OF BUILDING PERMIT APPLICANT � � By entering my name below,I hereby attest under the pairis and penalties of perjury that all of the informarion contained in this application is true and accurate to the best of my lmowledge and understanding. Scott Allison Contractor 781_953_6036 02/10/16 � Please print and si�name Tifle Telephone No. Date 58 Glad Valley Dr Billerica pi g21 Street Address Ciry/Town � SYate Zip Municipal Inspector to fill out this section upon applicaHon approval: � � � i � I( Name Date � SECTION 9: PROPERTY OWNER AUTHORIZATION � Name and Address of Properry Owner RCG 17 Ivaloo St Somerville 02143 Name(Print) No.and Street City/Town Zip Property Owner Cuntact InformaHon: - Jim Gagnon 617_625g315 F,_17 519 22A� jgagnon@rcg-Ilc.com Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Scott Allison 58 Glad Valley Dr Billerica MA 01821 � Natne Sheet Address City/Town State Zip to act on the ro e ocvne�'s behalf,in all matters relarive to work authorized b this buildin ermit a lication. . SECTION 10:CONSTRUCTION CON'PROL(Please fill out Appendix 2) � buildin is less than 35,OW cu.ft.of enclosed s ace and/or not under ConstrucRon Control then eheck here 0 and ski Section 101 �10.1 Re 'stered Professional Res onsible for ConshrucNon Conirol � James Gilmore 508 380.3105 Name(Re �strant) T�OR.IStOtI o. e-mailadMA �1,�46 RegistrationNumber 200 V�inter St i� Street Address City/Town State Zip Discipline Expira8on Date 10.2 General Contractor Supreme Builders Company Name CS 069628 Unrestricted SCOYI AIIISOfI Name of Person Responsible for Construction License No. and Type if Applicable 58 Glad Valley Dr Billerica 01821 STreet Address . City/Tocvn State Zip 781_953Fi036 scott@supremebuilder.net Tele hone No. usiness Tele hone No. ceIl e-mail address � SECI"ION 11:WORK&RS'COMPENSATION 1NSU2ANCE AFFIDAVII'(M.G.L.c.152.$ 25C 6 A Workers Compensation Insurance Affidavit from the MA Department of Ind�vstrial Accidents must be completed and submitted with this application. Failure to provide this af.fidavit will result in the denial of the issuance oE the building permit. Is a si ed Affidavit submitted with tlus a lication? Yes■ No � SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: (I.abor and Materials) Total Construction Cost(&om Item 6)_$ 1.Building $ 1 rJ,000.0� guilding Permit Fee=Total Consiruction Cost x_(Insert here 2.Electrical $ $,Q��.00 appropriate municipal factor)_$ 3.Plumbing $ 6 QQQ.QQ 4.Mechanical (HVAC� $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ � 26 ���.�� Enclose check payable to 6.Total Cost $ e (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PEAMTT 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 Imowledge and understanding. Scott Allison ,�� a�_ Contractor 781_953_6036 02/10/16 �. Please print and si na e TiNe Telephone No. Date , 58 Glad Val�ey Dr Billerica 01821 � Street Address City/Town State Zip Municipal Inspector to fill out this section upon applicaHon appzaval: Name Date ,..,�.;. �! Massachusetts Department of Publlc Safety = C Board of Buitding Regulations and Standards License: CS-069628 Co�struction Superv�sor SCOTT B A4lISON 58 GI.Ap VALLEY DR BILLERICA MA 01821 . - �.,;/'.�+�',,� �t�� ExpiraUon: �.�eli�m�sa�.aR�^ y 3 04/22120�7 i�pa:�P 1 • - • ry�F Appendix 2 ConstrucHon Documents are required for structures that must comply with 780 CMR 107. The checklist below is a compilation of the documents that may be required for this. The applicant shall fill out the checklist and provide the contact informaHon of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mazk"a"whem a licable No. Item Submitted Incom lete Not Re uired 1 Architechual 2 Foundation 3 Structural 4 Fire Su ression 5 Fire Alarm(ma re uire re eaters) 6 HVAC 7 Electrical 8 Plumbin (include local connections) 9 Gas Natural,Pro ane,Medical or other) - 10 Surve ed Site Plan Utilities,Wetland,etc.) ll S ecifications 12 Structural Peer Review 13 Struchual Tests&Ins ctions Pro am . 14 Fire Protection NarraHve Re ort 15 Existin Buildin Surve�/Investi tion 16 Ener Conservation Re ort � 17 Architectural Access Review(521 CMR) x 18 Workers Com ensation Insurance 19 Hazardous Material Miti ation Documentation 20 Other(S ec' ) 21 Other S ec' 22 Other(S ec� ) , *Areas of Design or Construction for which plans are not complete at the time of application submittal must identified herein.Work so identi(ied must not be commenced until this application has been amended and the proposed construcdon document amendment has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to triple the original qermit fee. Registered Professional Contact Information ��s �i'i �r�u�e �-3�- 3�65 � Name(Registrant) Telephone No. e-mail address Registration Number � 260 (�Uon.�er S'�- /�/Irsbn � 0/7 b Street Address Ciry/Town State Zip Discipline Expirallon Date I Registration Number �I, Name(Registrant) Telephone No. e-maIl address �. Street Address Ci Town State Zi Discipline Expiration Date I Name(Registrant) Telephone No. e-mail address Registration Number I'�I Street Address Ci /Town State Zl Discipline ExpiratlonDate II PROJEGT TITLE: I L�C��N I� : APARTMENT RENOVATIONS VI� 4 ��PJ�u� THIRD FLOOR - UNIT # 31 260 WA5HIN6TON STREET �—= NEW WALL/PARTITION -; SALEM, MA 01970 - -- i �XISTIN6 WODD STUDS 3 I/2" WOOD STU1D5 EXISTING EXISTING ! AT I'-4" ON GENTER TO EXISTIN6 WALL/PARTITION TD REMAW STUDS STUDS UNDERSIDE O� D1EGK - - - - - --- EXISTING WALL/PARTITION BE REMOYED I ` FRIGTI ON P ITT OWNER: EXISTING PLASTER EXISTING PLASTER J BATT INSULATIOi�� - - - w�,�D w,a�� OR GYP BOARD � OR GYP BO�RD �G� — LLG I-f IVALOO STREET PAINT / PATGH PAINT / PATGH TWO LftYERS 5/8" TYi�� X ONE LAY�R 5/8° sot--ter�vi���, r�,�, AS R�QUIRED AS REQUIR�D GYPSUM WALLBOARD TO GYPSUM WALLBO,ARD TO lT) bi�-62s-e3is x-roo UND�R5IDE OP D�GK UNDERSIDE OP D`�GK ! � TYi�IGAL BOTH SIDES TYPIGAL BOTH SIIDES ; ' ; � ��i�T i T I ON �Y�� I ���T I T I ON TY�� � ���T I �T I ON TY�� � ���� I T I ON �Y�� �i- GO��.GTOR: S�GAL�: NOT TO SGAL� SGAL�: NOT TO SGAL� SGALE: NOT TO SGALE SGAL�: NOT TO SGALE SU�iZEME BUILDERS ING. 58 GLAD VALLEY DRIVE �XISTIN6 REATED W,4LL siLLe�zic�,, r��. (T) -/81-�f53-6036 • I i � ' � ( I 2'-0° ARGHiTEGT i , II � -_. . . . r�y�.xi,r; Y t ,-� : —_.._ � . . . . � .. . � � . . . . � . . � . � . . _'_ _' I.�. '_"'_—'__...__..._ . � .. . . .. � ,. . . —.__ _ . . . -' . . . '' '. . . . . . . .. . .� . � - m�t _.. __ _ _ ---- -- I � EXISTING � � �;: _ _ _ RA�'ED WALL _ _ _-- -- _ :_ - �, ' . x. — -- i i FIEI_D VERIFY _. . -. —.- a . � _ . ._ �,:_ . _ ; ; �, .- �� '�II �-�� ' I % - - - - - � JAMES GILMOUR � ��� �� � 2 j ;� ?�RGHITEGNR� s�:, 1�-- I i �� -- ' 200 WINTER STREET ( I I I �I � ((� HOLLISTON, MA OI'146 � ' ''- Y' `1 �U ' � I 1 (T)So8.380.3105 \ N I T # 3� ' UN I T # 3� i � sTAr.,P: , , ; ''.j ss4 s� � I -roo F � , `� ,c, I ,i" . �� #� DOOR TYPE f� L' �� I I ��� �O,'� EXISTIN6 SIX PANEL SOLID GORE WOQD '�"� UNIT # �8 /^` WOOD �LOOR JENWELD CR EQUAL � ' PAINT FINISH � � � � � � � � I ';[ ' ll ��� ,. � � � � � � � � � � � � � � 8"14 SF " ( I � . � . � � � . � . . � . � . . / � . . � � . . . ; I � . HARDWARE �. � . . . , J/ ' � I I/2 PAIR HINGES i �� i'\ UNI �� I 1 I 2 PRIVAGY SET - BATHROOM iAND BEDROOM I 468 5F PASSA6E SET - GLOSETS ' I i I � FINISH TO MATGH EXISTING / I � � � ` � � � � I --- _ �,�-� , , � � � � � � � I SSUES � ; , i . , � � . �_ � �� ��, , x, : ' � ', 5,_6�� ,_ , � i I I�' . �.1 EXISTING .. ,� 10'-3 I/4" I . � � . � � � . ,: . � - - � � . ��i � , . � . . . � ,. . . � . . . . . . i . � '.. . ,. . � �� SMOKE . , . . �, ` PATGH EXISTING NEW SMOKE DETEGTOR ' I � ;� 12-IS-2015 - � I WOOD FLOOR EQ EQ DETEGTOR i � �OR PERMITS - -- ._ _ - i AS REQUIRED - I -- _-- --. � �,i ; , _ — � i i ' > EXISTING � so•xeo• F+ % � ; ; \ ' RATED WALL 2 � Sr;' 2 Ii i � I FIELD VERIFY I � � � L� Q ! � i ' m NEW WOOD FLOOR `t ( INFILL PATGH EXISTING � I� EXISTING PLASTER GEILIN6 TO MATGH EXISTING _ I WALL AS REGiUIRED p . p , i; � �L � � GL ry �� � �. � � � � � � � � I � I / � . . ._ _ — _ _ � � <Y I L I \ i'F I . 24"XBO" �i I �i . 24'Xb0' m � � � . __ . __ _. _ ' I' � , I ry 3 REFINISH � _ �T��'�°v EXI�TIN6 j � _ - -- — ---�--� -- — � \ / \\- . � � ���I � . , i I EXISTING � SMOKE _ RE Y I S I ONS � '4 � '4' DE'EGTOR y� '\ � � ro �� WOOD FLOOR I � +` ' r � . .. �, ,�,I . I .. . . . . . . . �. � �� � � � ry � . . � . . . —,—i . `j) . � . � . . �' . . � . � INK I 30'XHO" . . � � . \� NIT 32 J � � � � ; I. ' - ; I � ' � I % f 392 5� ', \ — ff ��G�J , e/J � \ �+\y � , . _ • --.. -- -...._ —� ' � . � � �i � . � � �. . . . . � . � - -- — - � -- - TIILE . ' ' �i . . , � . . . . . � .. �s :>� � # � �" . , �. . . � . . � . . i . . . . . . . . . � - ---- .. ----- ,._ ---- --- I . . . . . --� T 34 I --, � I U1�14oa sF ' � ' , i � i REMO�lE EXISTING � ' I � WP�LLS, DOORS AND � . . . i .. . . — — _ _ . . � .: . . _ 51NK . . . . . . 'i �� i � pRAMES AS SHOWN a��"� ii • � � . '-� � ?�REA OF WORK � o „ �� #2 � �! j�i t, UN�T #3�J ' I � . � a REMOVE EXISTIN6 ry —� � I UNIT # �JI � '�_., SHOWER, 1NG, SINK AND REF EXISTIN6 = , �� ,` i� . 511 SF I I I � 814 SF \R£LOGATE EXISTIN6 WOOD FLOOR I � � � �- I j P_LUMBING AND ELEGTRIG �� I . I -� � . � � � � TO 1VEle1�GATION AS SHOWN �I�'.�. ' ` _ ] � �` - ` , �_- - _ �\ � I ``,, KITGHEN � ; i \ - n + � PLASTER GEILING � �IOOD FLOO� 5rovel �:_ _,.. _ <. : � � ' �� . � _, c : ' � I ; . AS REQUIRED _ �� �r � ---- ------ -- - - �� ; . i; _ -- --- ; �`- ' , � PATGH EXISTING .. --- - DRAWN BY: . . . . . . , � . . � . . - . � ,] .�.� �. i . . . . � � � � . WOOD FLOOR � � . -- ------.. — � -- � . . JMG � �\, �� ,I AS RPQUIRED GHEGKED BY: \`��_\¢ � J : : JMG _ JI 2�� � DATE: 12-15-2015 1�� , 13�_��� 1O'-�" 10'-5" SHEET TITLE: . k LOGATION PLAN 13,_,,, 20�_„• , ,,�.�,A�py! I ,,. . EXI5TIN6 GONDITIONS ' 34,_0„ �� . �`�`� �� PROP05�D �LOOR PLAN �. � � I /�, /� � I I� � ISHEET NUMBER �X �� I I `4l� �� I �� ������ ��I� I V GALL�D �� �� �� ��� ��l� l `l GALLED n ��_ �_ �� NORTH � �� � �� NORTH l'� - ( O O SGALE: I/8 - I O SGAL�: I/4 = I -O _____ _ - -- _ __ _..__ . __ - -- ----- I� _ - -----_.___ ; .. : _ . _ PROJEGT TITLE: I J���� I `�l./ : APARTMENT RENOVATIONS ��� 4 ��8uu , THIRD FLOOR - UNIT p 31 260 WASHIN6TON STREET � .;._ -_-'-�"�._:__� NEW WALL/PARTITION SALEM, MA OIG70 EXISTINC WOOD STUDS ; 3 I/2" WOOD S�TUDS �)C15TING �XISTING � AT I'-4" ON GENT�R TO ' EXISTIN6 WALL/PARTITION TO REMAIN S���DS STUDS � UND�RSID� O� D�GK � - - -- - -- - EXISTIN6 WALL/PARTITION BE REMOVED I ` PRIGTI ON �I TT OWNER: -- --- --- E;(ISTING PLAST�R EXISTING PLAST�R � BATT INSULATION R,e,reD wP,il O'� GYP BOARD � OR GYP BOARD � RG� - LLG - - ' — i I'7 I VALOO STREET ' P:41NT / PATGH PAINT / PATGH TWO LAYERS 5/8" TYPE X ONE LAY�R 5/8° e sor��rzvi���, r-r�. AS R�QUIRED ASREQUIR�D C-�YPSUM WALLBOARD TO GYPSUM WALLBOARD TO (r) 6rr-62s-asis x-roo I . UND�RSIDE O� DEGK I UNDERSIDE OP DEGK , . � TYPIGAI. BOTH SID�S i TYPIGAL BOTH SID�S I � � I ' � I ���� I I I O I `� TY�� � ���� I T I O I `� TY�� � GONTRAGTOR: ���� I � I O I `1 ' �Y�� I ; ���� I � I O I `l �Y�� � SG?�LE: NOT TO SGAL� SGALE: NOT TO SGALE � SUPREME BUILDERS ING. SGAL�: NOT TO SGAI.� SGALE: NOT TO SGAL� , s8 e�A� vA��eY �Rive �XISTING R�AT�D WALL : �iLLerzi�A, r��. �T� -181-q5B-6036 � i � - ---II I 2�_��� ARGHITEGT _ ( ' _, .,, � -. � I -.- _ -- ------ -—--- � ___ - - t _._ ._ ,. _ -- - � r -- _ - _ -- � � � � r �; - _ _. . = :_ -_- --- � EXISTING -- _. - -._ - _ I I � RA'!�D WALL $ ` ' -� J r _ -- i i FIELD VERIFY _ � _.. �C - _ , --� ' � � - - - - - L. ,_ L I � ��. I ' % � J�MES GILMOUR I � �i II / 2 r � {�RGFfITEGT/R� i I " , I� o-- ' � I �� �3�� � • i �� i 200 WINTER STREET I ; i I HOLLISTON, MA OI'f46 � � . , � , (� � � I / �, ; r � { I �r�soa.3ao.sios I —' UNIT # 35 / �.� � � � _�N I T # 3�I "!00 F a � V� 'T 3 STAMP: � � sa4 s� V ,�, � c o � � DOOR� TYPE � � �'J � 1 � �-9 � EXISTING �I� SIX PANEL SOLID GORE WOOD —� WOOD FLOOR JENWELD OR EQUAL iI J �c� UN�� � �JP /e,� ^ ; i PAINT FINISH I I', � / � -;'I I j ' HARDWARE I- � � � i I I/2 PAIR HINGES � l \ UN I � 3FJ �; '� 2 � PRIVAGY SET - BATHROQM AND BEDROOM 468 SF % � � PASSA6E SET - GLOSETS II i _�I / -- i ,, \\ \, FINISH TO MATGH EXISTIN�G � \ \ I�� ` -- � �SSUES ' , I IJ I � ' 10'-3 I/4" 5�_6" � EC EXISTIN6 I . . . � � : . , '., . �.. .. .. ..... . ... • . � � . . PATGH EXISTING � " . DETEGT IZ � � � _ .. �� i . . . � � � 12-15--�015 .. � � �� � � i,� . . WOOD FLOOR . '.EQ EQ � NEW SK10KE " O , . � . � � .. _... -- —. .... - -- -. _-- --. ��� ! . . � AS REQUIRED DETEGTOR � j I . � . FOR PERMITS - - ......._...... _._.. .... . � . � . _.. .----- -— -- --- � I . � , „i . � � . � . . . � �. � . � � - . . �li � . . � � � � . — _ . � . � .. . � � . . . . � . . � . . � . . � . . . �, �� � . i . . - . � . . . � ! � ` EXISTING � 30•�• F+ �I i j I �� RATED YJALL 2 N Sr� 2 - I D O - PIPLD VPRIFY � � � L , . � � � � . � � �, . . �� . I � I .- -I . . . � m NEW WOOD PLOOR. . . . `r . . , I . , I INFILL PATGk EXISTIN6 TO MATGH EXISTIN6 I r � EXISTING PLASTER GEILIN6 j 1^IALL AS REQUIRED I '� �L � �� GL ry ; i I ; _ � ! , i . . . . . . . . . :,.. . . . ; i , . . . . . : � y� a . �4•X80� - � I �. 2<•X80• _ . . . � . � � � . , : � - - - - - cv 3 L�IS� � � � � m t+Ewwoov ; , .-_._.. _. l._ ...._ _._ ' '. . �� I / E7(15TWOOD �, . . . . . . \ / },� . i� ��, II—� i WOOD FLOOR 4 I 4 DEISTING R� Y I S I O I`1S ', OKE ' I TEGTOR }�ya\�\ 7 � . ` . �� � ^.`3I . � . � . .. . � � . , . . . . . . N . . . �. . � - � �1� � � � � . . . . I � � � INK: I �30 JCHO� � CJ) . . . � � ' ��I. % � . . '�, � � � , � . . � . ��i . . � . �I . . _ . j� , , ` NIT #32 ' I -- — — C� — E T�G� �s / , \\�\y� i � ��� 392 SF �`� � � � � � , . TILE � � � � � � � ���� UN I T #34 �' , ' : - -- ----. _.. . ._. _...__ � � I II i 409 SF ; � . ,' REMOVE EXISTING � � ; ; � - - - - WALLS, DOORS AND i � � i i ; FRAMES AS SHOWN �r� - siruc� �� �� � i II : . �•\ . ' O � f, I i L� _ ' _ �I, I'I UN�T #�J3 . � � \� U N�T $k 3 1 f�tREPt �� WORK �`` S H O W E R, W G, S I N K A N D R E F � ry I� � E X I S T I N 6 � j O � ❑ REMOVE EXISTING O l_�_ . 511 SF . I I � 814 SF i i ��\, RELOGATE EX�STING '� WOOD FLOOR i i = ��� _ � I _ I � � � j j ��.p�UMSING AND ELEGTRIG �� j _:; , ❑ �-i i I ��J -I i ,, TO NEIc�LOGATION AS SHOWN 2�_4�� �IIVItLl1 � ' _ � .... � I ` �� �0 �'� ' <` srove , ,:; , \ L _ � -- -.- n I PATGH EXISTING EXISITING � 5 �%) -c_ :� . � `' PLASTEf2 GEILING � �pOD FLOO � �- _:. ' � � . . AS REQUIRED ,n ��`I , -— — ------- -_ _ __ —.. ` � � I PATGH EXISTING DRAWN BY: � � . WOOD FLOOR .—.---.. ,1MG — � , AS REQUIRED �� . ��..,.. _ J GHEGKED BY: _.,. ; JMG -¶ ' -➢ �� ' DATE: 12-IS-2015 • 13�_��� 10'-O" 10�_5„ SHEET TITLE: . . LOGATION PLAN � s 13�_��� ���_���� ������,�,� �XI5TIN6 GONDITIONS 34,_0�. ~� M�� �� PROP05�D �LOOR PLAN _ � � �X �� I l �ll� �� I �� ������ ��f� l �l GALL�D �� I �� ����� ��� I `4 GALLED , s+��er NUMaeR , ��_ �_ �� NORTH � �� � �� NORTH � — I O O S G A L E: i/8 - I O SGP�L�: I/4 =1 -O > -- � ' I ' r . _ _ _ I—�-.- ,, _ _ n-- -- __ , ' � � _ _ � � � The Commonwealth ofMassachusetts DepaMment of Industrial Accidents O�ce oflnvestigations � 1 Congress Stree� Suite 100 Boston, MA O21I4-20I7 www mass.gov/dia Workers' Compensation InsuranceAftidavit: Builders/Contractors/Electricians/Plumbers Auplicant Information Piease Print Leeiblv Name �sus�nes5ro�g��Zano��a��au�q: Supreme Builders & Design,�nC Address: 58 Glad Valley Dr City/State/Zip: Biilerica, MA 01821 Phone #: 781-953-6036 Are you an employer? Check the appropriate box: Type of project(required): I.❑■ I am a employer with 3 4. � I am a general contractor and I employees (full and/or pazt-time).* have hired the sub-contractors 6. ❑ New construction 2.� I am a sole proprietor or paztneo- listed on the attached sheet. 7. ❑■ Remodeling ship and have no employees These sub-conhractors have g. � Demolition workin for me in an ca aci employees and have workers' B Y P �Y� $ 9. � Building addirion [No workers' comp. insurance comp. insurance. required.] 5. � We are a corporation and its 10.� Elechical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. � right of exemption per MGL 12.0 Roof repairs insurance required.] t c. 152, §1(4), and we have no �3.❑ Other � employees. [No workers' comp, insurance required.] *Any applicant that checks box#1 must ako fill out ffie section below showing[heir workers'compensation policy informa[ion. t Homeowners who submit this allidavi[indicaung they are doing all work antl then hire outside contractors must submit a new affidavit indicating such. =Conhzcmrs that check this hox must attached an additional shee[zhowing the name at[he sub-contractors and state whether or m[[hose entities have employees. ff the sub-contractors have anployees,fhey mus[pruvide their workers'comp.policy number. I am an employer that is providing workers'compensadon insurance for my employees. Below is the policy a�id job site information. � Insurance Company Name:Travelers Policy#or Self-ins. Lic. #:�PJUB-4768P16-5-13 Expiration Date:������6 , Job Site Address: 260 WBShIf19t0I1 St City/State/Zip:Salem Attach a copy af the workers' compensafion policy declaration page(showiug the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead[o the imposition of criminal penal[ies of a fine up to $1,500.00 and/or one-yeaz imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the viola[or. Be advised that a copy of this statement may be forwazded[o the O�ce of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties afperjury ihat the injormation pravided a6ave is true and correeG 2/10/16 Sienature: Date• Phone#: 781-9536036 Officia(use nnly. Do not write in this area, tn be conepleted by eity or town ajficia/. City or Town: Permit/License # Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CiTy/Town Clerk 4.Electrical Inspector 5.Plumbiug Inspector 6.Other Contact Person: Phone#: 260 WASHINGTON ST. oze 0�'(faklnl, JAuada&e&& �6'Grk �tjtr° ('rl�57a/G ��P/IIVB W August 24, 1994 TO: Maurice Martineau, Asst. Building Inspector FROM: Deborah E. Burkinshaw, City Clerk This office has received notification that the sign 260 Washington St_ - Mill Bill Beverage Co. located at has been removed. Please verify this information, and respond to this office so we may cancel the bond. ------------------------------------------------------------ TO: Deborah E. Burkinshaw, City Clerk FROM: Maurice Martineau, Asst. Bullding Inspector Please be advised that this office has verified that the sign located at (has )) (has not) been removed. / It will therefore (be (not be) in order to cancel the bond. DATED: s/ � 1 ' 0 SPNDER: Complete items 1,2,3 and 4. 8 Put your address in the"RETURN TO"apace on the 3 reverse side.Failure to do this will prevent thiacard from W being returned to you.The return receipt fee will provide you the name Of the person delivered to and the date Of :' deliver"For additional taw thefonowingarvkesare c available.Consult postmaster for few and check box(m) c 4F for aarviceb)requastetl. 8 to 1. XX Show to whom,date and address of delivery. w A 2. ❑ Rertrkted Delivery. 3. Ankle Addressed to: Mr. Frederick Small P.O. Box 157 Topsfield, MA 01983 4. Type of Semi ca: Article Nber 3Certfied O CODS 1542u,'"7405 ❑❑ Express Keil Alway tar of addressesgLagent and DAT DE IV 00 5. Sip °3 X 6. Signature -t n X 7. Date of DqWvery L111 G 2 a. Addressee'sAddress(ONL a if 771 m m UNITED STATES POSTAL SERVICE I II II I OFFICIAL BUSINESS SENDER INSTRUCTIONS U—® Print your name,address,end 21P Code in the space below. • Complete trema L 2,3,end 4 on the reverse. • Attach tofront o}arnde Mipace parmKs, PENALTY FOR PRIVATE otherwise affix to back of article. USE.S300 • Endorse article"Return Receipt Requested" adjacent to number. RETURN TO Building Dept. (Name of Sander) One Salem Green (No.and Street,Apt,Suite,P.O.Box or R.D.No.) Salem, MA 01970 (City,State,and ZIP Code) STICK POSTAGE STAMPS TO ARTICLE TO OVER FIRST{LASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(see front) 1. If you want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article leaving the receipt attached and present the article at a post office service window or hand it to your rural carrier. (no extra charge) 2. If you do not want this receipt postmarked,stick the gummed stub on the left portion of the address side of the article,date,detach and retain the receipt,and mail the article. 3. It you want a return receipt,write the certified mail number and your name and address on a return receipt card, Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article. Endorse front of article. RETURN RECEIPT REQUESTED adjacent to the number. a. If you want delivery restricted to the addressee, or to an authorized agent of the addressee, endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.It return receipt is re- quested,check the applicable blocks in item 1 of Form 3811. 6.Save this receipt and present it it you make inquiry. P 154 217 405 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED NOT FOR INTERNATIONAL MAIL (See Reverse) a Sne� tto Stfegt andNo�rry P.VVO.,,�State and ZIP C de a o. O! 3 6 Postage IF $ f/! * Certified Fee 'Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return receipt showing to whom, M Date,and Address of Delivery A TOTAL Postage and Fees $ LL �. c Postmark or Date E E 0 LL to a r,y` J''10 i`; Chi of �ttlem, ��assuchuselts �.'t t �F 'Board of rAppeal 1�� V L DECISION ON THE PETITION OF MILAGROS MARTINEZ (PETITIONER) , BILL MCKINNON (OWNER) FOR VARIANCES AT 260A WASHINGTON ST7(1R-3) A hearing on this petition was held May 15, 1991 with the following Board Members present: Richard Bencal, Chairman; Joseph Correnti, Richard Febonio, Edward Luzinski, Mary Jane Stirgwolt. Notice of the hearing was sent to abutters and others and notices of the hearing were properly published in the Salem Evening News in accordance with Massachusetts General Laws Chpater 40A.- The petitioner is requesting a Varince from use and parking to allow the property to be used for a beauty salon. The property is located in an R-3 district and is owned by Bill McKinnon. The Variances which have been requested may be granted upon a finding by this Board that: a. Special conditions and circumstances exist which especially affect the land, building or structure involved and which are not generally affecting other lands, buildings and structures in the same district. b. Literal enforcement of the provisions of the Zoning Ordinance would involve substantial hardship, financial or otherwise, to the petitioner. c. Desirable relief may be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. The Board of Appeal, after careful consideration of the evidence presented at the hearing, and after viewing the plans, makes the following findings of fact: 1 . This site has contained a number of commercial uses in the past, including a temporary employment agency and a liquor store. 2. The proposed use will not be more detrimental to the neighborhood or zoning district than the previously existing uses as it will not generate an increase in the amount of vehicular traffic. 3. The proposed business will cater, primarily, to a walk-in trade from the neighborhood. 4. The proposed site of the beauty parlor is in a commercial building which should be utilized for a business purpose and therefore is somewhat unique in the zoning district. 5. The proposed site of the beauty parlor is presently empty creating a substantial financial hardship. 6. No opposition was expressed at the public hearing. 7. A representative of the Chamber of Commerce expressed support for the location of this business on the site. DECISION ON THE PETITION OF MILAGROS MARTINEZ (PETITIONER) , BILL MCKINNON (OWNER) FOR VARIANCES AT 260A WASHINGTON ST. , SALEM page two On the basis of the above findings of fact, and on the evidence presented at the hearing, the Board of Appeal concludes as follows: 1 . Special conditions exist which especially affect the subject property but not the district in general. 2. Literal enforcement of the Ordinance would work a substantial hardship on the petitioner. 3. The relief requested can be granted without substantial detriment to the public good and without nullifying or substantially derogating from the intent of the district or the purpose of the Ordinance. Therefore, the Zoning Board of Appeal voted unanimously, 5-0, to grant the Variances requested, subject to the following conditions: 1 . All renovations be done as per City and State Codes. 2. All construction be done as per plans and dimensions submitted. 3. A Building Permit be obtained. 4. A Certificate of Occupancy be obtained. 5. All requirements of the Salem Fire Dept. relative to smoke and fire safety be strictly adhered to. —6.n Petitioner comply with any and all Boards and Commissions having I�jurisdicticn, including, but not limited to the Board of Health. LoVariances Granted —May .15, 1991 = Mary J n Stirgwolt, Xember, Board of Appeal A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision, If any,shall be made pursuant to Section 17 dt the Mass. General Laws, Chapter 808,and shall be filed within 20 days after the date,.of filing of this decision in the office of the City Clerk. Pursuant to Mass. General Laws,Chapter 808, Section 11, the Variance or Apecial Permit granted herein shall not take effect until a copy of the decision, bearing the certification of the City Clerk that 20 days have elapsed and no appeal has been filed, or that, if such appeal has been filed, that it has been dismissed or denied is recorded in the South Essex Registry of Deeds and Indexed under the name or the owner of record or Is recorded and noted en the owner's Certificate of Title. BOARD OF APPEAL 0 SENDER: Complete items 1,2.3 and 4. 0 Put your address in the"RETURN TO"space on the reverse side. Failure to do this will prevent this card from being returned to you.The return receipt fee will provide .you the name of the person delivered to and the date of :' delivery.For additional fees the following servkes an available.Consult postmaster for few and check boxles) �e for service(s)requested. t. RkShow to whom,date and address of delivery. 2. ❑ Restricted Delivery. QVo fp 3. Article Addressed to: Frederick Small P.O. Box 157 Topsfield, MA 01983 4. Type of Service: Article Number ❑ Registered ❑ Insured P443509327 Bk Certified ❑ COD [j Express Mail Ai ways tain signature of addrwseeor agent and Q DATE LIVER D A 19 5. Sign re— tlressae 3 x p �j Sig ature 1 Cf m7. Date of DBlive C S t M S. Addressee's Address(0 Y If YefMMollo JIVIIIIIIIIIII 1 t, In m m m 9 1 UNITED SIXES POSTAL SERVICE OFFICIAL BUSINESS SENDER INSTRUCTIONS u- PrIM your name,address,and ZIP Code in the space below. • Complete items 1,$3,and 1 on the reverse. Attach to front of article If space Permits, PENALTY FOR PRIVATE otherwise affix to back of article. USE,$700 • Endorse article"Return Receipt Requested" adjacent to number. RETURN TO City Of Salem Building Dept. (Name of Sender) One Salem Green (No.and Street,Apt,Suite,P.O.Boz or R.D.No.) Salem, MA 01970 (City,State,and ZIP Coda) P 443 509 327 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) Sent to Mr. Frederick Small StrTgtnd at'96x 157 P.O.,state and ZIP Code To sifled MA 01983 Postage $ Certified Fee xxxxx .especial Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date,and Address of Delivery ao TOTAL Postage and Fees $1 .67 a Postmark or Date W May 23, 1986 m E 0 w N P. EM POSTAGE STAMPS TO ARTICLE TO COYER FIRST CIASE POMCL CERTIFIED Wa FEE,ARD CHARGES FDR Ally SM-41111 OPTIMAL SERVICES(tsa trsQ 1.If you Met this receipt postmarked,stickthe gummed stub on the left portion of the address side of the article leaving the receipt attached and present the article ata post office service windawor hand It to your rural carrier.(no extra charge) 2 If you do not want this receipt postmarked,stick the Summed stub on the left portion of the address side of the article,date,detach and retain the recelpt and mag the artcle. 3.If you went a return receipt,write the certified-mail number and your name and address on a ratum receiptcard,Form 3911,and attach ittothefrom oftha articlebymeansofthagummedends If space permits.Otherwise,affix to back of article.Endorsa from of article RETURN RECEIfR REQUESTED adjacent to the number. 4 4.If you want dolivery restricted to the addressee,or to an authorized agent of the addressee. endorse RESTRICTED DEANERY on the front of the article. O.Enter fees for the services requested in the appropriate spaces on the front of this receipt.N return receipt Is requested,check the applicable blocks In Item 1 of Form 3611. M.Sava this receipt and present it If you make Inquiry. �rF IJixblic Propertg Veparhueltl))t �1n$ 77pp JpfalMM6�a*RY .illll�ii111,3 ]c+epurtlllPYft William H; Munroe One Salem Green 745-0213 May 23, 1986 Frederick Small P.O. Box 157 Topsfield, MA 01983 RE: 260 Washington St. , Salem, MA Dear Mr. Small, On inspection of the above property on May 15th, 20th, 21st, and. the 23rd by Fire Prevention, Electrical and Building Department the following is determined. You may have occupancy of the fourth floor apartments on both sides providing that the listed items below are adhere to. A. All fire exit halls and stairways are kept clear of any obstruction and are maintained in a clean manner. B. All fire doors are maintained in working condition and kept in closed position. C. All smoke detectors are maintained in working condition and kept in place. D. All emergency lighting be maintained in working condition and kept in place. 3 E. No further work be done on the forth floor level without prior notification to the Building Department. F. The outside area (grounds) around the building be kept clear of all debris. Both construction materials and trash be placed in dumpster daily. All fire saftey and emergency exit devices (items A,B,C,D) should be checked on a regular basis to insure their proper working condition. This department will on occasion drop in uninvited to determine that all the above listed items are being maintained for continued occupancy. Should it be determined that a conscious effort is not being made �;00 "'page two Frederick Small P.O. Box 157 Topsifled, MA 01983 in these areas your occupancy will be voided. Let me at this time commend you and your crew and most specifically, Mr. Bob Walker and Tom Mason for the cooperationin the above property and it's reconstruction. , Should you have any questions on this letter and instructions _ feel free to contact me at 745-0213. Sincerely, Edgar Pg in 7 e , Asst. Building Inspectbr EJP/jdg c.c. : Councillor Martineau Fire Prevention Electrical Inspector file 1 ;r r IM /��' ; �G 0 GcJ� in• `T P� ct -�- 7) o Q dr — Ly C2 / G-e 7 NLS -- U-�__l A 5, CjD)- - a ,4, w., ,, r re�� A 1 Attu of "bale t, \J ,. Vu&tic Prope7rfg Ueyartment puilhi tla.]Ory trfnir tt William H. Munroe . tOne Salem Green 745-0213._..: May 23, 1986 Frederick Small P.O. Box 157 ti Topsfield, MA 01983 RE: 260 Washington St. , Salem, MA Dear Mr. Small, On inspection of the above property on May 15th, 20th, 21st, and the 23rd by Fire Prevention, Electrical and Building Department the following is determined. You may have occupancy of the fourth floor apartments on both sides providing that the listed items below are adhere to. A. All fire exit halls and stairways are kept clear of any obstruction and are maintained in a clean manner. B. All fire doors are maintained in working condition and kept ;,in closed position. C. All smoke detectors are maintained in working condition and kept .in place. D. All emergency lighting be maintained in working condition and kept in place. E. No further work be done on the forth floor level without prior notification to the Building Department. F. The outside area (grounds) around the build.ing. be kept clear of all debris. Both construction materials and trash be placed in dumpster daily. All fire saftey and emergency exit devices (items A,B,C,D) should be checked on a regular basis .to insure their proper working condition. This department will on occasion drop in uninvited to determine that all the above listed items are being maintained for continued occupancy. Should it be determined that a conscious effort is not being made f page two / Frederick Small j P.O. Box 157 .r Topsifled, MA 01983 r . in these areas your occupancy will be voided. Let me at this time commend you and your crew and 'most specifically, / Mr. Bob Walker and Tom Mason for the cooperation in the above property and it's reconstruction. Should you have any questions on this letter and instructions feel free .to contact me at 745-0213. Sincerely, Edgar P in Asst. Building Inspector EJP/jdg c.c. : Councillor Martineau Fire Prevention Electrical Inspector file HAND DELIVERED TO DATE ^r HAND DELIVERED BY �� isJ � poxmrl . Ctu of *1eill, � u sttrl��t ett z Vublic PrnpertV Beyarfinent �Lili ng )Bepartment William H. Munroe One Salem Green 745-0213 .March 24, 1986 Frederick Small P.O. Box 157 Topsfield, MA 01983 RE: 260 Washington Street , Salem, MA Dear Mr. Small, As inspection of the above property was conducted by this office to determine the damage done by the fire which occurred on March 22, 1986 in the evening hours with the following findings. The fire appears to have started on the secondo (2) floor left side within the utility closet (electrical in nature so I am told) and climbed up through the third (3) and fourth (4) floors in the immedi- ate area. Damage appears to be minimum. Further inspection should be made once the damaged walls and floors are opened. ' An over all walk through was done withthefollowing findings . All EXIT . ways (stairs) are not completed for safe occupancy. Much rubbish is in evidents both in work areas and basement. This shold be removed as work progresses and not allowed to accumulate. Given the nature and scope of the work being done to the building and the fact that two fires have occured most recently it is the determi- nation of this. department that any over night occupancy of the living dwelling is not to be authorized. This is based on Section 123.0 of the Massachusetts Building Code in that we determine this building to be dangerous to life or limb. (see attached) . The only section of this building to be occupied is the street level stores. You are ordered to vacate any and all residents from the building within 24 hours of receipt of this notice. Failure to comply will result in further action by this department. Frederick Small Page 2 P.O. Box 157 Topsfield, MA 01983 If we may be of help to you, feel free to call (745-0213) or visit our office at One Salem Green, Salem, MA, second floor. K e ctfu' P uin 4 Ass uil PF Spector EJP/jdg c.c. : fire Inspector - electrical Inspector file CERTIFIED MAIL ll P 154 217 405 _ lh %L �t of Iezlt, � iz �zrl��rse �7uGlic �rnpertg �e�I�rttnent PIIllhing Urpartnient William H. Munroe One Salem Green 745-0213 r( March 24, 1986 Frederick Small P.O. Box 157 Topsfield, MA 01983 RE: 260 Washington Street, Salem, MA Dear Mr. Small, ; As inspection of the above property was conducted by this office to determine the damage done by the fire which occurred on March. 22, 1986 n the evening hours with the following findings. The fire appears to have started on the secondo (2) floor left side within the utility closet (electrical in nature so I am told) and climbed up through the third. (3) and fourth (4) floors in the immedi- ate area. Damage appears to be minimum. Further inspection should be made once the damaged walls and floors are opened. An over all walk through was done with the following findings. All EXIT ways (stairs) are not completed for safe occupancy. Much rubbish is in evidents both in work areas and basement. This shold be removed as work progresses and not allowed to accumulate. Given the nature and scope of the work being done to the building and the fact that two fires have occured most recently it is the determi- nation of this department that any over night occupancy of the living dwelling is not to be authorized. This is based on Section 123.0 of the Massachusetts Building Code in that we determine this building to be dangerous to life or limb. (see attached) . The only section of this building to be occupied is the street level stores . You are ordered to vacate any and all residents from the building within 24 hours of receipt of this notice. Failure to comply will result in further action by this department. Frederick Small Page 2 .r, P.O. Box 157 Topsfield, MA 01983 If we may be of help to you, feel free to call (745-02.13) or Visit our office at One Salem Green, Salem, MA, second floor. Res e tful y, �� c� c Edga J. aq in 1 Asst. Bui 'ng Inspector EJP/jdg c.c. : fire Inspector electrical Inspector file CERTIFIED MAIL IIP 154 217 405 HAND DELIVERED BY ,.4- RECEIVED BY DATE RECEIVED coxwrq SCJ'{pI to of .a rJ ll.... 11 m� a Public Proyrrtg Bepartment s 'yAtOf Ne ., Puilbing 39ppartment L William H. Munroe I One Salem Green 745-0213 ,March 24, 1986 O Frederick Small 1 P.O. Box 157 Topsfiebd, MA 01983 RE: 260 Washington Street, Salem, MA Dear Mr. Small, As inspection of the above property was conducted by this office to determine the damage done by the fire which occurred on March 22, 1986 in the evening hours with the following findings. The fire appears to have started on the secondo (2) floor left side within the utility closet (electrical in nature so I am told) and climbed up through the third (3) and fourth (4) floors in the immedi- ate area. Damage appears to be minimum. Further inspection should be made once the damaged walls and floors are opened. • An over all walk through was done with the following findings. All EXIT ways (stairs) are not completed for safe occupancy. Much rubbish is in evidents both in work areas and basement. This shold be removed as work progresses and not allowed to accumulate. Given the nature and scope of the work being done to the building and the fact that two fires have occured most recently it is the determi- nation of this. department that any over night occupancy of the living dwelling is not to be authorized. This is based on Section 123.0 of the Massachusetts Building Code in that we determine this building to be dangerous to life or limb. (see attached) . The only section of this building to be occupied is the street level stores. You are ordered to vacate any and all residents from the building within 24 hours of receipt of this notice. Failure to comply will result in further action by this department. Frederick Small Page 2 P.O. Box 157 Topsfield, MA 01983 If we may be of help to you, feel free to call (745-0213) or visit our office at One Salem Green, Salem, MA, second floor. Respectfully, Edgar J. Paquin Asst. Building Inspector EJP/jdg c.c. : fire Inspector electrical Inspector file �. • I� 11111.1,11i IIIIIIIIIIIIIFAWAllpmr � ' ai / /' @ � � • Lim �.�t/ / � � I • _ ... _ ._ <� �_ ter• . I r POW �• _. -� _ _ �-,._w...,_.... ._ JC <.1 Speed Letter. TO - Thams cnlUvan Collector From William H. Munroe. Skiff, Insyectol Subject t (Frederick D. S=11) a —No Oe l0F0LO MESSAGE Please advise if tkse. Ts-`L RR 4 i 1 7. Date 1/27/66 Signed REPLY o oroLo Drom Date Signed WilsonJones GRAYLINE FORM 44-902 3-PART 0933•PRINTED IND 5 A. SENDER—DETACH AND RETAIN YELLOW ^Ov. SEND WHITE AND PINK COPIES WITH CARBON INTACT. / Speed Letter® es From Thnaa CnIlly" P.nileetnr To William A_ rhnnr +R_ Bldg-Lector a l Subject , re ..: Frederick D. SM11) -No.e e,o Fom MESSAGE Pl=ae adaiise if r;{aOff xEles due. 17 r Date I/27/g6 Signed REPLY r —No 9FOLD o.mcaLo Date Signed WilsonJones RECIPIENT—RETAIN WHITE COPY, RETURN PINK COPY. 21983 PPRIN°Eo INLLSa'a�'T TURN OVER FOR USE WITH WINDOW ENVELOPE. FILL IN NAME AND ADDRESS HERE FOR RETURN IN WINDOW ENVELOPE --FOLD --FOLD =-Sped Letter®_ 44-902 Speed Letter© lll j To Thomas Sullivan Collector From William H. Munroe, Blde. Inspector Subject '256-260 Washington St. (Frederick D. Small) _No,M1,OFUl9 MESSAGE Please advise if taxes are due. 1 1 /aeaY'� Date 1/27/86 Signed REPLY -No BFOLO Date Signed GRAYLINE Wilsono ones 3-PART RECIPIENT—RETAIN WHITE COPY, RETURN PINK COPY 61983•PRINTED IN USA 1184 BAY STATE ADJUSTMENT SERVICE amus r P.O.hOX 487•` '� wa+vun r ANDOVER,MASSACHUSETTS 01810 -0467 H�iiaH�C JmO �i� I No Andover 4755-8111 ,�- &tR/CJ E Lowell: 458-254 'PF;t r D1UsrERS Haverhill: 374-9282 yt :._...» _ Lynn: �150Qr:},Fi , To: BU IISSI R OR - �R OF BUILDZI HOARD OF SELECTM3N City of Salem j r City of Salem City Hall City Hall Salem, Ma. 01970 j t X Salem, Ma. 01970 Grs: INSURED FREDERICK D. SMALL PROPERTY ADDRESS .256-260'Washingtiin"St. , Salem, Ma. 01970 POLICY NO. SMP 66-0151 COMPANY: NORTHERN SECURITY LOSS OF Fire: January 23, 1,986 �_ . FILE OR CLAIM NO. 6-096-F Claim has been made involving loss, damiRs Of destruction of the above captioned property, which may either exceed $1;000.00 or ca06aA=. Gen. Law, Chapter 143, 'Section 6 to be applicable. If any notice under Nass. Gen -LOM; Chapter 139, Section 3S is appropriate, please direct it to the-attention of the wrltB! and include a reference to a captioned insured, location, policy number, date of IOss and.claim or file number. RICK NESTOR, Adjuster M t^ Title On this date, Z caused copies of this notice toAbs 'aent to the persons named above at the addresses indicated above by first class W January 24, 1986 '.. -,;, Date m 4 , ..:. 0" :,. j a UNITED STATES POSTAL SERVICE ( II II I OFFICIAL BUSINESS SENDER INSTRUCTIONS Print your name,address,end 21P Code in the vim® Space belOW. • Complete trema 1,2,3,end 4 on the reverse. • Attach to from Of article R Space permits, PENALTY FOR PRIVATE otherwise offix to back of article. USE$300 • Endorse article"Return Receipt Requested' adjacent to number. RETURN r TO INSPECTOR OF BUILDINGS (Name of Sender) ONE SALEM GREEN (No.and Street,Apt.,Suite,P.O.Box or R.O.No.) SALEM, MA 01970 (city,State,and ZIP code) n • SENDER: Cgmpletett�;rms 1,2,3 and 4. o Put your address in the"RETURN TO"space on the 3 reverse side. Failure to do this will prevent this card from ww being returned to you.The return receipt fee will provide you the name of the person delivered to and the date of delivery.For additional fees the following servkp ate available.Consult postmaster for fees and check box(es) for service(s)requested. co 1. Show to whom,date and address of delivery. w 2. ❑ Restricted Delivery. m 3. Article Addressed to: Frederick Small P.O. Box 157 Topsfield, MA 01983 4. Type of Service: Article Number ❑ Registered El Insured P 43 Certified COD 09 457 Express Mail c� Always ob 'n signature of a essee agent and DATE 1 ER C5. Sig r r � g Xjy In b. Si —Agent 1 X A In 7. Date of Delivery C rressee'szAddress(ONLYf rop a EF 9 In n m 9 1 P--443- 509 457 RECEIPT FOR CERTIFIED MAIL NO INSURANCE COVERAGE PROVIDED— NOT FOR INTERNATIONAL MAIL (See Reverse) Sens to Stre and No. , � /5 P.O.,State and ZIP Code D/903 Postage $ Certifled Fee Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to whom and Date Delivered Return Receipt Showing to whom, N Date,and Address of Delivery ao m TOTAL Postage and Fees $ A [i Postmark or Date C rn .tip I/ E ^�ri2F �IJCt�-rt a_4�..i u°. 1 rn a STICK POSTAGE STARPS TO ARTICLE TO COVER FIRST CUSS POFTM , CERTIFIED YAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES.(no f ef) 1.Ifyeuwantthis receipt postmarked,stickthe gummed stuban the leftportlon of the addressalde rafthearticle lanringthereceipt attached andpresentthearticleatapostofficeseryicewindo ror -hand it to your rural carrier.(no extra charge) If you do not want this receipt postmarked,stick the Summed stub on the left portion of the address side of the article,date,detach and retain the receipt,and mag the article. 3.if you went a return receipt write the certified-mall number and your name and address on a return receipt card,Form 3811,and attach htothe fromottha arttcie bymaans ofthegummadends H space permits.Otherwise,atrm to back of article.Endorse from of article RETURN RECEIPT REQUESTED adjacent to the number. b.If you want delivery restricted to.the addressee,or to an authorized agent of the eddressea. endorse RESTRICTED DELIVERY on the front of the article. S.Enter few for the services requested In the appropriate spaces on the front of this receipt h return receipt Is requested,check the applicable blocks in Rem 1 of Form 3811. S.Sere this receipt and present it If you make Inquiry. (fit g of 63ttlrm, jffla55ar4n52tt1; 11 q 1 'I Puhlir Pruperig Pgadinent ��' ���? �lIil�[iY[� �PiIIIrt2.tPYit William A. Munroe One Salem Green 745-0213 j January 30, ' 986 Mr. Frederick• Smai_1 o P.O. Box 157 Topsfield, MA 01983 ,. RE: 260 Washington St. , Salem Dear Mr. Small: -_ An inspection of the above referenced, fire damaged property by this Department has determined that the building is in an unsafe and hazardous condition and cannot be occupied as dwelling units. You are hereby ordered to vacate and make secure said building from all residential use by 12:00 noon of the day following receipt of this notice. This building constitutes' a danger to the public safety. I have attached a copy of the Massachusetts Building Code, Section 123.0.1 . -This inspection also determined that damage was not incurred within the street level store fronts and that the alarm system throughout the building remains operational. The business now in place may continue. All other areas are affected by this order. Failure_ to comply with this order will result in further action by this Department. Should you have any questions,or if we can be assistance to you, please contact us at the office of the Inspector of Buildings, One Salem Green, telephone 745-0213. Sincerely, Maurice M. Martineau Assistant Building Inspector MNII,:bms Enclosure: (1 ) CC: Citv Clerk Fire Dept. ?IJII_DIFIG f)EP7 DRIS A�L JAPLAN PUBLIC HEALTH CENTER . BOARD OF HEALTH': Ft ( .P Off Jefferson Avenue CITY 0� ,^,�I..='EE, C�iA�S alem, Massachusetts, 01970 y �.: ,�✓ kOEERT E. E7^..i:1?OP�i JOSEPH R.RICHARD HEALTH AGENT #- IFN _ _ (617)745-9000 M.MARCIA COUNTIE,R.N. MILDRED C.MOULTON,R.N. EFFIE MAC DONALD Philip H. Saindon March 12, 1979 Robert C. Bonin Becket St. Realty Trust Joseph Ingemi, Trustee 36 Margin Street RE: 260 Washington Street, Apt. 20 Salem, MA 01970 Dear Sir/=)= During an inspection of your property. at 260 Washington St. , Apt. 20, Salea, Mass. tenants) Julie Wineberg. (on) March 2, 1979 at 11:30 AM the following violations have been noted: Roof Leak: Leak in ceilings in two rooms of Apt. 20 and adjoining common hall. Page 1 of 2 Pages Page 2 of 2 Pages .+` CITY OF SALEM HEALTH DEPARTMENT - Date March 12, 1979 Ja 0 DR. ISRAEL KAPLAN PUBLIC HEALTH CENTER „ �. OFF JEFFERSON AVENUE SALEM. M01970 A.. Re: Julie Wineberg„_ 260 Washington St. Ant, 20 To: Becket St. Realty Trust Shcem, MA 01970 Joseph Ingemi, Trustee 36 Margin Street Salem MA 01970 You are hereby ORDERED to make a good faith effort to correct these violations; said correction of these violations shall be commenced SEVEN (7) DAYS after receipt of this letter and shall be completed no later than FOURTEEN (14) DAYS Also, please notify the Health Department immediately by letter of your intention to make these repairs . You are hereby advised of your right to a Hearing before the Board of Health by filing a written petition within 7 days. Procedures for filing of said petition are enclosed. You are also hereby advised that the conditions which exist may permit the occupant(s) to exercise one or more statutory remedies which can include rent withholding. You are further advised that failure on your part to comply within the specified time can result in a complaint in the Salem District Court. FOR THE BOARD OF HEALTH REPLY TO: ROS ,L � �����J D - — JOSEPH LUBAS A i'�fta/✓'j, SANITARIAN REB/ Certified Mail # 678315 Encls: (1) Procedure for filing Petition (2) Three-Page Inspection Report cc: X Building Inspector, One Salem Green , Electrical Inspector, 44 Lafayette St. Fire Prevention, 48 Lafayette St. Plumbing Inspector, One Salem Green Gas Inspector, One Salem Green X Tenant(s) Julie Wineberg, '19 Everett St. , Beverly Farms, MA 01915 Ward Councillor Attorney � ,, g1 VL01N�5 61y+°I : ali#v of cs� ttlem, ttssacl�.tsettg Int , 'demes A. RECEIVED y� CITY OF SALEIA;MASS°_. Is, Date May 1691979 �`t Becket Realty Trust Mr Ingemi 36 Margin St Time 3.00PM ,,k,. 1, k § ;g Re : 260 Washington St Sirss ; Salem Mass - It has come to the attention of the Salem Fire Prevention Bureau that a current or proposed occupancy exists at 260 Washington St Salem Mass 01970 .= °1 ` " which is under your control, and is owned and/or occupied by you: ? As a result of investigation we find you are not in compliance' , with the Laws and Codes of the Commonwealth of Massachusetts andx,: the City of Salem. Therefor in the ,interest of fire prevention and to correct „ conditions that are or may become dangerous as a fire hazard , ; may be required for legal occupancy of the premises or are t z g in violation of law; you are requested to arrange for an 'w inspection of said occupancy. All inspections are by appointment. 'Please contact the 4" ' ! at -Fire Prevention Bureau office at 744-1235 for an app6intment, within seventy-two hours of this notice. (Sundays and Holidays excepted ) , In regards to storage of rubbish in rear of bldg. Violation of FPR9 and :Chapter 1148 Section 5 ` Respectfully submitted , a: 1111 cc, Building Inspector x- cam ""s •��� � i Electrical Inspector yt } Health Dept. x w rta ;« file co Form. 25B ( 2/77)s ' 3,, an ' cf: Y IIx �t 1 C�V�?cI� E — 1NO;F>3pR 29, 1978 C;T I _ , _..'A ASS DECISION ON THE PETITION OF JOSEPH R. INGE41, JR. CONCERNING PROPERTY LOCATED AT 260 WASl}INGTON STREET, (R-3 DISTRICT) p`C to 12 17 Pfj '7 A hearing on this petition was held on I;ednesday, November 29F1E1978. Due to a lack of a quo n m, the hearing on this petition was held on December 6, 19-74-, Npti.cQs for said hearing were sent to abutters and others and duly published in the Salem Everiirig. �cvs on Nov. 10, and 17, 1978 in accordance with Mass. General Laws, Chapter 808. Members Douglas Hopper, Donald Eames, Arfhur Labrecque, James Boulger and Associate Member John Nutting were present. Atty. John Serafini represented the Petitioner before the Board. The Petitioner is requesting a Special Permit in order to extend a non-co;iforming use for the first floor in order to operate a coin operated laundromat to serve the tenants in the building and the general public. Plans were presented sho.cing a parking plan for the premises. Mr. Serafini explained that Mr. Ingemi was operating a laundromat in Marblehead. He has to relocate his business. and has to find a place quickly to place his machines. lie has some equipment stored in a garage. Mr. Ingemi has the experience and knowledge to �. operate this type of business. hie feels that this would be a benefit to the tenants. l Che first floor of the apartment building has always been coimierci.al use. No one appeared in opposition to the Petition. . The Board voted to deny the Special Permit requested. The Board felt that there is a traffic problem in the area and that to grant the petition would only aggravate .the situation. The Board found that it cannot grant the Special Permit requested without substantial detriment to the surrounding neighborhood or without derogating from the intent of the Salem Zoning By-law. SPECIAL PERMIT DENIED BOARD OF APPEAL Doup7las Hopper° Acting Secretary APPEAL FROM THIS DECISION, IN ANY, SHALL BE MADE PURSUANT TO SECTION 17 OF THE MASS. GENERAL I..A[VS, CHAPI-ER 808, AND SHALL BE FILED NIT}}IN 20 DAYS AFTER THE DATE OF FILING OF THIS DECISION IN THE OFFICE OF THE CITY CLERK. ( A COPY OF TIJIS DECISION HAS BEEN FILED WITI1 THE PL4vNING BOARD AND THE CITY CLERK. i a i 6 , { j Febnuany 4, 1975 A J. R. Ingemi, Txu6.tee Becket -VAeet Reatty Txub:t 36 Maxg.in StAeet Salem, MA 01970 Dean Six: An exa me emergency cond.Ltdon ext6.t6 at your pkapexty at yours matipPe dweUing b.tluaetune at 260 wa6hUwton SIAL ad dndCeated 6eCows (1) Outaae poneheb ane do extxemety hazandoub eonditton. (2) Doon6 Zeaddng onto .the ponchee o6 2nd, 3rd and 4th itoox6 have exit 44n6 - .Cb ueed eoutd neAutt in an occupant ox vt6.itox ba.Pting to .the ground 6etow. Immediate corrective aetton (wi(en a pehmit bxom .the BaUding Inapectox) 16 xequeated. P8e"e keep .thi.6 depa4bnent butty inboAmed on youA pnogneae. Very tALl ty young, Repty to: FOR THE BOARD OF HEALTH JOHN J. TOOMEY, D.S.C. Co.Un E. Cameron, R.S. Heatth Agent Sentox San.( wd= /6 CCs Bu tdinng In6peetox Feb 11, 1975 NOTE: IT HAS BEE11 BROUGHT TO OUR ATTENTION BY TENANTS THAT BOARDING UP OF DOORS WILL NOT KEEP PEOPLE FROM USING PORCHES - THEY WILL THEN USE THE WINDOWS TO GO OUT ONTO THE PORCHES. THE PEOPLE USE THE HAZARDOUS PORCHES TO HANG OUT THEIR CLOTHES. e� CAMERON CniIV'Oil OA AWT,:M rliwirit,o a Vilarb of iigralth 1� e 41' J. Wa lau. ?Ii. f�.. Ll airman I Jolln �1. �owneg. .(r. RECEI :M• +f{arda (gnuntie. 13. . i .eteq rAyrnt CITY OF SALEM,MASS, 31ossepll W. L2irllarb X. Eshert Ilauglplessny, Vii. �. f014rb T. Iffloultan, N. N. February 4, 1975 jKobert i9lenlillum Effir f lar+Donalb J. R. Ingem.i, Tnwtee Becket Stheet Realty Txuh.t 36 Mahgin StAeet Satem, MA 01970 Dea& Si&: An extAeme emergency condition ewfste at youA paopeAty at your muitipfe dwel ling etnuetae at 260 61adh;in ton Street, ab indicated beQow: i (1) Out6.ide porchea ane .in extAemeey hazoAdow condition. (2) Doone treading onto the ponehed o6 2nd, 3rd and 4th 6koons have exit Signe - .i6 wed eoutd reeutt .in an occupant or v.ie,iton 4a22ing to the ground below. Immediate conreetive action (under a pehm.it- 4rorn the Buteding Tnspector) .i,a requeeted. PZeaee keep this department 6uUy .in6oAmed on youA pnognez's. I YeJ twty youu, Repey to: FOR THE BOARD OF HEALTH - ---- -- - JOHN J. TOOMEY, D.S.C. Colin E. Cameron, R.S. Heatth Agent Swim Sanitarian /6 • . CC: Bwieding 1"peeton cl). m n s. - �m Nn O C2 `t 0 n = m v N y ^� tJ'1 SALEM FIRE DEPARTMENT FIRE PREVENTION BUREAU 48 LAFAYETTE STREET SALEM, MA 01970 .(617) 745-7777 AUL ZZ \ 1 RECr 'QLD rIIYDr SALEK,MASS. On Thursday, July 16, 1985, I accompanied Richard Denis a+ Budget Electric to #260 Washington Street, to inspect the property far a Smoke Detector Compliance Certificate. It is the understanding that this property is to be sold in the near future. The current owner is listed as Beckett Realty Trust. I explained to Mr. Denis that I could not issue a compliance +or this property until the fire alarm system is brought up to code. There are no manual pull stations in any of the stores on the first floor, or in any part a+ the apartment house either. The Firelite panel requires a modification which will allow the trouble buzzer to operate when actual alarms are being silenced with the silence alarm switch. Upon inspecting the remainder of the property, I noted several deficiencies which should be addressed to the Building Inspector. Arrangements were made to re-inspect the building with a representative of the Building Department on Friday morning, July 19th, at 10:00 A.M. Together with Mr. Maurice Martineau, Assistant Building Inspector, another inspection was made which noted the fallowing deficiencies: 1.. There are no manual pull stations in any of the mercantile occupancies located on the first floor. Manual pull stations shall be located adjacent to the exit doors leading +ram these occupancies. 2. There are no manual pull stations in any part of the apartment portion of the building. This building consists of three floors of residential use, and contains approximately 25-30 units of housing. Manual pull stations should be located at the exits from each floor, leading to the stairwells (three per floor) . An additional manual pull station should be located at the front exit to the building, adjacent to the fire alarm panel . 3. The emergency lighting within this building is inadequate and in need of repair. 4. The doors separating the corridors from the stairwells are an inadequate separation. Very few of the doors operate properly; i.e. , the self closing devices are inoperative. These doors have window glass installed which renders the doors useles in performing the one-hour separation as required under the code. 5. Glass transoms still exist over the doors to the apartments. Where some of these transoms have been blocked, the material used to cover the openings leaves very little protection for the apartment. r 6. The doors leading from the stairwells to the exterior of the building are equipped with slide-bolts, in addition to quarter-turn hardware. The slide blots should be removed immediately. 7. The method of trash and garbage removal is to pile it against the rear (wooden) fence, which is a. violation of both Fire and Health Codes. A verbal notice of this condition was made to Mr. Brian Lockhard of the Health Department on this date. In talking to one of the occupants of this building, and through personal observation from the corridors, it appears that some of the apartments have been subdivided into single rooms from their original configurations. On one floor, a common toilet facility has been established which obviously serves more than one of the rooms/apartments. In counting locksets and mailboxes, I suspect strongly that this building is an illegal lodging house. I recommend further investigation to reinforce this possibility. Signed, Robert W. Turner, Fire Marshal .