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20 ANDREW STREET - BUILDING JACKET rpcr ob® 90%Larger Label Area • •��-� KEEPING YOU ORGANIZED "CL Ism wwftsom umbbaM GET ORGANIZEDAT BMEAD.COM mamr Ack UNITED STATES POSTAL SERVICE First-Class Mail Postage R Fees Paid USPS Permit No.G-10 • Sender: Please print your name, address, and ZIP+4 in this box City Of Salem Building Lepartment 120 Washington Street Salem, MA 01970 SENDER: DELIVERY ■ Complete items 1,2,and 3.Also complete A. Signature item 4 if Restricted Delivery is desired. S ent IIIPrint your name and address on the reverse X dressee so that we can return the card to you. B. Rece' d by(Printed Nam) C. ata of Delivery ■ Attach this card to the back of the mailpiece, 5�A-r Nr -7-1 `I Z or on the front if space permits. °���•� D. Is delivery address different from item 17 0 Yes 1. Article Addressed to: If YES,enter delivery address below: 0 No 3. Service Type 11 Certified Mail ❑Express Mail ❑ Registered 13 Return Receipt for Merchandise 0 Insured Mail 0 C.O.D. 4. Restricted Delivery?(Extra Fee) 0 Yes 2. Article Number (rmnsier from service labeo PS Form 3811,February 2004 Domestic Return Receipt 102595-02-M-1540 CITY OF SALEM, MASSACHUSETTS BUILDING DEPARTMENT 120 WASHINGTON STREET,3'FLOOR TEL: 978-745-9595 FAY: 978-740-9846 KIMBERLEY DRISCOLL MAYOR THOMAS ST.PIERRE DIRECTOR OF PUBLIC PROPERTIES/BUILDING COMMISSIONER June 27, 2012 Steven Gardner 20 Andrew Street Salem, Massachusetts 01970 RE: 20 Andrew Avenue Permit& Ordinance Violation Mr. Navins, Our office received a complaint regarding your property located at 20 Andrew Street. The complaint was investigated and your property was found to be in violation of both the Building Department and the City of Salem Zoning Ordinance. This Department has no record of a required building permit for the illegally located shed at the back of your property. The aforementioned shed that is non-compliance via permit also is in conflict with City of Salem zoning setbacks. You are directed by this letter to file the appropriate applications for permit in our office at 120 Washington Street, 3`d Floor at the earliest possible time. Failure to secure any and all permits and approvals shall result in Municipal Code tickets and further enforcement actions. If you feel you are aggrieved by this order, your appeal is to the board of Building Regulations and Standards in Boston for the Building Code violation and The Salem Zoning Board for the Zoning violations. Thank you in advance for your continued cooperation. If you have any question please feel free to contact this office. Sincerely, Michael E. Lutrzykowski Assistant Building Inspector Cc: file,Jason Silve 9800 Fredericksburg Road San Antonio, TX 78288 USAW 04664 . 1S5MH . JSS1010700707 . 01 . 01 . 755 CITY OF SALEM INSPECTIONAL SERVICES February 27, 2015 120 WASHINGTON STREET 3RD FLOOR SALEM MA 01970-3523 Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Dear Building Commissioner, I am writing regarding the claim referenced below. Policyholder: Steven H Gardner Reference #: 005514760-13 Date of loss: February 9, 2015 Location of loss: Salem, Massachusetts Address: 20 Andrew Street, 01970 A claim has been made involving loss, damage or destruction of the property referenced above, which may either exceed $1000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be,applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to my attention and include the reference #. You may submit correspondence or questions to me. My contact information is: Address: P.O. BOX 33490 SAN ANTONIO, TEXAS 78265 Fax: 1-800-531-8669 Phone: 1-800-531-8722 Sincerely, Kyle Hennessy Property Field United Services Automobile Association PO Box 33490 San Antonio, TX 78265 Phone: 1-800-531-8722 Fax: 1-800-531-8669 005514760 - DM-04664- 13 - 06768 - 50 54577-0914 Page 1 of 1 � D padre �s I)Pendafle)C 13Esse/te 74520 40%@ P4 0 CITY OF SALEM, MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR 9BQ�'riN6♦ SALEM, MASSACHUSETTS 01970 STANLEY J. USOVICZ, JR. TELEPHONE: 978-745-9595 EXT. 380 MAYOR FAX: 978-740-9846 November 10, 2004 Dr Steven Gardner 20 Andrew Street Salem, Ma. 01970 RE: Shed Dear Mr. Gardner: This Department has received complaints regarding the shed you recently installed in your yard. This Department has no record of a building permit for the shed. Also, the Salem Zoning Regulations requires a shed to be 10; from the principal structure and a setback of 5' from the property line. Your shed is in violation. Please contact me within 10 days upon receipt of this letter to discuss this matter. Thank you in advance for your anticipated cooperation in this matter. Sincerely, Thomas St. Pierre Building Commissioner. - cc: Mayors Office Councillor Sosnowski City of Salem Ward 4cevec�'' APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, ll, /it, IV,and IX. j 1 ZG I. AT(LOCATION) Z Ari r2 4I DISTRIONINCT LOCATION NO') sTnEEn OF BETWEEN AND w Q J6 i, BUILDING (CROSS STREET) (C OW STREET) LOT SUBDIVISION LOTBLOCK SIZE II. TYPE AND COST OF BUILDING -All applicants complete Parts A -D A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION'USE MOST RECENT USE 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential,enter number of new 12 90ne family 18 ❑ Amusement recreational !rousing units added,if any,in part D,13) 19 [:] Chruch,other religious 13 E] Two or more family-Enter number 3 Alteration(See 2 above) of units...................._._........................ ... 20 ❑ Industrial 4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- 21 ❑ Parking garage Enter number of units ........................... 22 ❑ Service station,repair garage 5 ❑ Wrecking(It multilamfly residenbaf,enter number 23 ❑ Hospital,institutional of units in building in Part D. 13) 15 ❑ Garage 24 ❑ Office,bank,Professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 7 ❑ Foundation only 17 ❑ Other Specify 27 ❑ School,library,other educational 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ Tanks,towers 8 Private(individual,corporation.rronprolit institution,etc.) ❑29 Other-Specify 9 ❑ Public(Federal,State,or local government ` C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant, machine shop,laundry building at hospital,elementary school,secondary school,college, parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement ......................................................_. $ at industrial plant.If use of existing building is being changed,enter proposed use. To be installed but not included in the above cost aElectrical..............._......................................................._. b. Plumbing................................................................._....... c. Heating,air conditioning............................................. d. Other(elevator.etc.).................._...._........................... 11. TOTAL COST OF IMPROVEMENT $ S OOO.U III. SELECTED CHARACTERISTICS OF BUILDING -For new buildings and additions, complete Parts E-L;demolition, complete only Parts J& M,all others skip to IV E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 ❑ Masonry(wall bearing) 35 ❑ Gas 40 Public or private company Will them be central air 31 ErWobd frame 36 @'Oil 41 ❑ Private(septic tank,etc.) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 ❑ No 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42 Public or private company 46 ❑ Yes 47 ❑ No 43 ❑ Private(well,cistem) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stories ............-.......................................... 69. Total square feet of ficarexterior area, all floors,baseon a#actor Has Approval from Historical Commission been received dimensions ...........-..................-.............._..._................. for any structure over fifty(50)years? Yes_ No_ 50. Total land area sq.it............................................_....... Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed.............................-......................_............... HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? 52. Outdoors....................-.............._._. Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed...................-....................__........_............. Electric: Gas: 54. Number of Full......-................................ Sewer: bathrooms DOCUMENTATION FOR THE ABOVE M_ UST BE ATTACHED Partial - ................... BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING:, Historic District? Yes_ No-\Z (If yes,please enclose documentation from Hist Com.) Conservation Area? Yes_ No._)i/— (If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes_ NO-L Is property located in the S.R.A.district? Yes_ No_ Comply with Zoning? Yes--ZNo_ (If no,enclose Board of Appeal decision) Is lot grandfathered? Yes_ No (If yes,submit documentation/if no,submit Board of Appeal decision) If new construction,has the proper Routing Slip been enclosed? Yes_ No_ Is Architectural Access Board approval required? Yes_ No (If yes,submit documentation) Massachusetts State Contractor License# Salem License # I Home Improvement Contractor# N-P Homeowners Exempt form (if applicable) Yes NO_ CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT CONSTRUCTION IS TO BE COMPLETED BY: If an extension is necessary, please submit. in writing to the Inspector of Buildings. V. IDENTIFICATION • To be completed by all applicants Name Mailing address-Number,street,city,and state ZIP Code Tel.No. 1.O Lessee 2. Contractor Builder's Ucense No. 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature f applicant Address Ap icatio date DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number 70 Building Use Group Permit issued tg Fire Grading Building Permit Fee $ (N Live Loading Certificate of Occupancy $ Occupancy Load Approved by: Drain Tile $ Plan Review Fee $ TrTLE NOTES AND Data-(For department use) Z R ' J 3 hJ v -76, q- 6-9 PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: Completed by: VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN -For Applicant Use - O " " Plans must be filed and approved by the Inspector before a permit will be granted. No. 4 '9 3 City of Salem Ward Y,X Is Property Located in the Historical District? Yes_ No R 7 Home Phone# Is Property Located in a 7 5 D Conservation Area? Yes_ No_ �4 � Bus.Phone# DC7 •�'�nunr.d°' APPLICATION FOR PERMIT TO CONSTRUCT POOL, DECKS AND SHEDS Salem, Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build accordinto the following specifications: Owner's name and address S 4,/-e-1,4 Architect's name Mechanic's name and address Location of building, No. r-e 1,4S What is the purpose of building? D w P c,n Material of building? WO o cd If a dwelling,for how many families? Will the building conform to the requirfNents of th aw? e.S Estimated cost Q) ontract ic. No. Signature of applicant NA Signed Under the Penalty of Perjury REMARKS �l/e.U/ .S i /J _q-�r9 �Cl L NoL Ward Cq APPLICATION FOR PERMIT TO CONSTRUCT SWIMMING POOL Location a o lqt kv- PERMIT GRANTED Arrved �O G Iding In ector The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY OF Massachusetts State Building Code,780 CMR SALEM I Revised Mar 20!! Building Permit Application To Construct,Repair,Renovate Or Demolish a One-or Two-Family Dwelling This Section For Official U§WC loly-1-7/1 Building Permit Number: Date p ' d: M+wi!mow - 31-3 Building Official(Print Name) Signa a Date SECTION 1•ISITE INF — N 1.1 Pr o a AddFess: ss se sors Map&Parcel Numbers 1.1a Is this an accepted street?yes no Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: - Zoning District Proposed Use Lot Area(sq ft) Frontage(ft) 1.5 Building Setbacks(it) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑ Check if yes❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 ner'of Record: n '-) Ve- 2 o fame(Print) City,State�Z ' z,Q ,6V-,) 973 7115 5570 No.and Street Telephone Email Address SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) ❑ Alteration(s) ❑ Addition ❑ Demolition ❑ Accessory Bldg. ❑ Number of Units Other Ed Specify: ,C Brief Description of Proposed Work': i O SECTION 4:ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Official Use Only Labor and Materials 1.Building $ 3 —73 S 1. Building Permit Fee: $ Indicate how fee is determined: ❑Standard City/Town Application Fee 2. Electrical $ ❑Total Project Cost'(Item 6)x multiplier x 3.Plumbing $ 2. Other Fees: $ 4.Mechanical (HVAC) $ List: 5.Mechanical (Fire $ Suppression) Total All Fees: $ Check No. Check Amount: Cash Amount: 6.Total Project Cost: $ 2 2.3, 7 35 0Paid in Full ❑Outstanding Balance Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) , \\ L' � �lZtQ22 �4 SS P A cn N e� License Number Expiration ate NaiAe of CSL,Holder Lis[CSL Type(see below) c�� C51C'OV'e c��1 No.and Street Type Description 1--�W ©C U Unrestricted2 Family (Buildings u el ing cu.ft. IV 1 7`I l J R Restricted 1&2 Famil Dwelling City o/�1 wu,Sta� M Masonry RC Roofing Covering INS Window and Siding SF Solid Fuel Burning Appliances . / Z 15-r✓ I Insulation Telephone Email address D Demolition V5.2 gistered Home Improvement Contractor(HIC) // p --7 G 7 99 2'IC� 2-t I 1 HIC Registration Number E pirat on Date HIC ompany me or HIC ReesTint Name tiSinee-) n - Q ®� ,7Qr^q �./5.�. Email address Ci�wn,State,ZIP [I Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152.§ 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuarw6 of the building permit. Signed Affidavit Attached? Yes .......... No...........❑ SECTION 7a: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES '1 FOR BUILDING PERMIT\I,as Owner of the subject property,hereby authorize �USC Q,� l 0 1 e—�11 to act on my behalf,in all matters relative to work authorized by this building permit application.io Print Owner's Name(Electronic Signature) Date SECTION 7b: OWNEW OR AUTHORIZED AGENT DECLARATION By entering ng my name below,I hereby attest under the pains and penalties of a7u rythat all of the information contained in this application is true and accurate to the best of my knowledge and understanding. itiyse,�l C-�'0 e;1 Zo )3 Prinf Owner's or Authorized Agent's Name(Electronic Signature) Oate NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration program or guaranty fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at www.mass. og v/oca Information on the Construction Supervisor License can be found at www.mass.eov/das 2. When substantial work is planned,provide the information below: Total floor area(sq. ft.) (including garage,finished basement attics,decks or porch) Gross living area(sq. ft.) Habitable room count Number of fireplaces Number of bedrooms Number of bathrooms Number of half/baths Type of heating system Number of decks/porches Type of cooling system Enclosed Open 3. "Total Project Square Footage"may be substituted for"Total Project Cost" z ' \ mZJ n a o n 4 o 'II2 -gin_ - � < o m 45 r.,wn Vl m O aZ A C T V adk�x!rt11 G r=D ro :o l b t c� �. 5k9„414. • r �I�:"�t'�t+,sp ^-�'+�n ',nk '�? � 1 y,',i� ` 1[i• �'.�1 ��kiF1,.a:•:1,f, ty7 .�� 171�1,+A1i-��e�y$�5 �i'f-F, 4�:w'�ff�i) � :., ` ..i (�"� �"'rl,u. '�{'�i ' UYN w' ' `';i 1. 4.,+?l:ft, x�fi�}: ! _. . . .1 . JJ ' fia`•.4es�zerd..',,.i�.�Sat�ticw�• . ;,r:.- o f,,SjIt t" ^y`11V1)'�tf6'q• �11y`,Ti2i.' dVllt '4*S; 144�;: .. JI+''C 9i�. °�;t7tuh j TI'.-�i x. e..y:pW.. '+.6 A'R> 'At . Au`_ ftt:i` ' :. `•'q. lifr • � fa:': ny� r�v_•r;p,d �m �'ynTSwuR� r tt', • � � :.P'A! .. . >:i:.:lrr�`i.:`I' '.d 1 I� fl1:'.' i x.r "�}IF; r Ana r� �.�;SR4Y'� L>�,'4wur.".^L J74� • A.; ' : °a .:".tts, FY ( I:�A{�:' W'H$'J'�.t �. 1 +1 IN iP.':i {'. 1:v.Fr $. {' ' �:,4' $'�1,P`+ "i";;k�l"I s',►k�. w " :titw° ` a 5 DATE: Le' C'itp Df .1bal'em, �HamMrbu5EW5 PLANS MUST BE FILED AND APPROVED BY THE INSPECTOR PRIOR TO A PERMIT BEING GRANTED Location of Building s26 /�u/l�2cZ✓ 5 Building Permit,Applicatioo For: '(Circle whichever applies) Roof, Reroof, Install Siding, Construct Deck, Shed Pool Addition, Alteration,Repaii/Replace,Foundation Only, Wrecking Other. ! PLEASE FILL OUT LEGHfLY & COMPLETELY TO AV.OH) DELAYS IN PROCESSING To the Inspector of Buildings: The undersigned hereby applies for a permit to build according to the following spetafrcations: Owners Name:S 7E-U,�--N Contractor. Street�y r9� lJ2�w ST City 5//LZk- Street Stale Phone -7V r — S S $46 State Phone Architect: A/^9' City of Salem Street City State Li HIP N State Phone ( ) H eowners Exempt Form__yes no Structure: (please circl Single F 'I • Multi Family t/ Other Estimated Cost of job S Will building confirm to 13w?ems no Asbestos?_yes L_ no 1 Description of work to be done: Drawings Submitted:---Yes no Mail Permit to: x cPe} /t ­D R,e,zs S? X i Q��Lcy�� ✓L(7 U! �tTO Signature of Applies, on,SIGNED UNDE!?THE PENALTY OF PERJURY CONSTRUCTION TO B&CO\\\\MPLLET,E\DcWITHIN SIX(6)MONTHS OF PERMIT ISSUED DATE Department use only: Pennii`� g Map/Lot_r_ Permit fee$ COMMENTS: Sly/' Lcf!'LL 80/u/oL ( Zc1iT7fD�c/.(.N� T/ T l c S a 70 ¢�/�/�i� �� z2 t7 464, _I_0 -�K_,-Z C7 .