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62 APPLETON STREET - BUILDING JACKET OPendativC 74520 W R No. 1�? City of Salem Ward X r � APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete all items in sections:1, It, Ill, IV, and/X- I. NIN AT(LOCATION) k L DISTRICT LOCATION ^�("o.l (smaETl OF BETWEEN Pu U/LS VtL ST . AND BUILDING (CRosss EEn (CROSS STFiES LOT SUBDIVISION LOT BLOCK SIZE 11. 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 Ne uildin Resident, I Nonresidential 9 2 Addition(It residential,enter number of new 12 One family 18 ❑ Amusement,recreational housing units added,it any,in part D,13) 19 E] Chruch,other religious 13 ❑ Two or more family-Enter number 3 Q Alteration(See 2 above) of units....................................................... 20 ❑ Industrial 21 ❑ Parking garage 4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- Enternumberot units 22 ❑ Service station,repair garage 5 E] Wrecking(ll multifamily residential,enter number 23 ❑ Hospital,institutional of units in building in Part D,13) 15 Garage 24 ❑ Off lice,bank professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 26 ❑ School,library,other educational 7 ❑ Foundation only 17 Other-Specity 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ Tanks,towers 8 ❑ Private(individual,corporation,nonprofit institution,eta) 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, 3 ® O 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 ( r _ aElectrical........................................................................... V b. Plumbing................................................................:......... �d /x �J a,N�—N1 c. Heating,air conditioning............................................. 2(-/ d. Other(elevator,etc.)..................................................... 11. TOTAL COST OF IMPROVEMENT S3 2 O 6 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 O EWAGE DISPOSAL I. TYPE OF MECHANICAL 30 [y:] =frry(wall bearing) 35 Public or private company Will there be central air 31ood frame 36 Vol, 41 ❑ Private(septic tank,etc.) conditioning? / 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 I.J NO 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE 0�1IATER SUPPLY Will there by an elevator? 34 ❑ Other-Specify 39 ❑ Other-Specify 42 Public or private company 46 ❑ Yes 47 43 ❑ Private(well,cistern) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stories ............................................................ 49. Total square feet of floor area, all floors,based on exterior Has Approval from Historical Commission been received dimensions ...................................... for any structure over fifty(50)years? Yes_ No_ 50. Total land area,sq.n._ -........................................ Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed .............................................-.............................. 52. outdoors............................................................................. HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed ..............-............................................................. Electric: Gas: 54. Number of Full ............... Sewer: bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial..'................................... BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No (If yes,please enclose documentation from Hist.Com.) Conservation Area? Yes_ No (If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes_ No_ Is property located in the S.R.A. district? Yes_ No Comply with Zoning? Yes_ No (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 # (337 - '' 2 q � Salem License # T``y,: Home Improvement Contractor# b / 7 Homeowners Exempt form (if applicable) Yes_ No_ CONSTRUCTION TO BE COMMENCED WITHIN SIX (6)MONTHS OF ISSUANCE OF BUILDING PERMIT If an extension is necessary, please submit CONSTRUCTION IS TO BE COMPLETED BY: 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. Owneror Lessee FA t-e- t v� Z. obi- bra, Contractor ` Builder's � �f//��� ` ✓ �— Ci�� 0. S License No. "C6& 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 of ap anti Address =A plication date DO NOT WRITE BELOW THIS LINE VI. VALIDATION Buildingy� ,�� FOR DEPARTMENT USE ONLY Permit number // BuildingUse Group Permit issued _ 7 19� Fire Grading Building / 9 orJ Permit Fee $ —12_/ Live Loading Certificate of Occupancy $ Approved y: occupancy Load Drain Tile $ Plan Review Fee $ TITLE NOTES AND Data•(For department use) w G PERMIT TO BE MAILED TO: S cr, I Ca b b er- rac 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 0 O Please indicate Policy or Account Number on check and make payable to WORCESTER INSURANCE CO. PROCESSING CENTER 355 MAPLE AVE . HARLEYSVILLE , PA 19438 Policy/Account Number PREMIUM INVOICE CB 807676 77-0942 Agency '`ROBERT ABRAHAM AHMED INSURANCE AGY INC DBA BLUE CHIP CARPENTRY 104 110 NORTH STREET 45 BALCOMB STREET PO BOX 449 SALEM MA 01970 SALEM MA 01970 ADDRESS' CHANGE Current Balance I Minimum Due iDue Date I If address change cross out the 'Y' and indicate new address below old address. S 776 . 00 $ 194. 00 06- 14-93 Amount Paid Y 2 KCB 807676 0077600 0019400 0015820 S _ _ — _ _ _ _ _ _ _ F_QLD,_DFTBCNANDhETSURNIN_EINNE�9PFPR9V1[_EP _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ CB 807676 Insured BLUE CHIP WORCESTER INSURANCE CD " Policy & Expiration AcNvitym:,g AmOUnt Due- CB 807676 CONTRACTORS' POLICY 194. 00 05- 14-94 PAYMENT PLANS AVAILABLE ONE-PAY $ 776 . 00 DUE 06-14-93 TWO-PAY $ 388 . 00 DUE 06- 14-93 $ 391 . 00* DUE 10- 14-93 FOUR-PAY 5 194 . 00 DUE 06- 14-93 $ 197 . 00* DUE 07- 14-93 $ 197 . 00* DUE 10- 14-93 $ 197 . 00* DUE 01- 14-94 NINE-PAY $ 158 . 20 DUE 06- 14-93 it 77 . 60 DUE 06- 14-93 S 80 .60* DUE 07- 14-93 — $ 80 . 60* DUE 08- 14-93 — $ 80 . 60* DUE 09- 14-93 $ 80 . 60* DUE 10- 14-93 S 80 . 60* DUE 11- 14-93 $ 80 . 60* DUE 12- 14-93 S 80 . 60* DUE 01- 14-94 MINIMUM PREMIUM SHOWN IS FOR A FOUR PAY PLAN . IF YOU WOULD LIKE TO SELECT ONE OF THE OTHER PAYMENT PLANS, PAY THE APPROPRIATE INSTALLMENT AMOUNT SHOWN ABOVE . ***MINIMUM DUE MUST REACH US BY 06- 14-93 **** * INCLUDES $3. 00 SERVICE FEE HAVE A QUESTION, CALL YOUR AGENT AT 508-744-6715 DUE DATE 06- 14-93 TOTAL MINIMUM DUE' $ 194 . 00 You may pay the current balance at any time ' Invoice Issue Date', D5 25 93 .current Balance °- 776 00- _. , , , RETAIN FOR YOUR RECORDS _ u. -e_, 27 GU 1048D (Ed. 2-92) 7 CITY OF SALEM HEALTH DEPARTMENT (\l� BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts 01970 HEALTH AGENT 508-741-1800 August 10, 1993 Lawrence Ippoliti c/o Salem Paint 75 North Street Salem, MA 01970 Dear Sir: In accordance with Chapter III, Sections 127A and 127B of the Massachusetts General Laws, 105 CMR 400.00; State Sanitary Code, Chapter I: General Administrative Procedures and 105 CMR 410.00: State Sanitary Code, Chapter II: Minimum Standards of Fitness for Human Habitation,an inspection was conducted of your property located a't64'Appleton Street Exterior occupied by Unknown, Un-named occupants conducted by Virginia Moustakis—Sanitarian of the Salem Health Department on 8/9/93 @ 11:00 a.m. - Notice: If this rental unit is occupied by a child or children under the age of 6 years, it is the property owner's responsibility to ensure that this unit complies fully with 105 CMR 460.000: Regulations for Lead Poisoning Prevention and Control. For further information or to request an inspection, contact the Salem Health Department at 741-1800. You are hereby ORDERED to make a good-faith effort to correct these violations in accordance with the enclosed report. Failure on your part to comply within the specified time will result in a complaint being sought against you in Salem District Court. Should you be aggrieved by this Order,you have the right to request a hearing before the Board of Health. A request for said hearing must be received in writing in the office of the Board of Health within 7 days of receipt of this Order. At said hearing,you will be given an opportunity to be heard and to present witness and documentary evidence as to why this Order should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports, orders and other documentary information in the possession of this Board, and that any adverse party has the right to be present at the hearing. Please be advised that the conditions noted may enable the occupant(s)to use one or more of the statutory remedies available to them as outlined in the enclosed inspection report form. For the Board of Health Reply to: j Robert E. Blenkhorn, C.H.O. Virginia Moustakis Health Agent Sanitarian Certified Mail P 348 636 007 cc: Eastern Bank, 270 Union Street, Lynn, MA 01901, Marg Kempton Fire Prevention Building Inspector Councillor Sarah Hayes Page t of cZ SALEM HEALTH DEPARTMENT a 9 North Street Salem, MA 01970 State Sanitary Code, Chapter 11: 105 CMR 410.000 Minimum Standards of Fitness for Human Habitation Occupant: 7/t/^k"n/ ZrN fa lyYl P� Q Y ((D2 Y T Phone: Address: ,�1� Apt. Floor Owner. Zal_Z . PRICE Z,o ,Oat.l7'/ Address: O _S%LF77? lJin/T 7v�`i/n� rtt . S'7 Sd/Pry aO W Inspection Date: 8-4-93 Time: Conducted By: 1/.1PQA119 /kas;u/u1s Accompanied By: F PF 01.i1,7v77oN IVclr^- Anticipated Reinspection Date: Specified Reg # Violation Time 410. . . . d �c° P E A11 cAI'61 (�?JAS i 01 N Uf .v U '^ v /vaet qtioE p 116-a22 1p 7v1(e� 0,0One or more of the above violations may endanger or materially impair the health, safety and well-being or the occupant�s/(s))... VCode Enfordement Inspector Este es un documento legal importante. Puede que afecte sus derechos. Puede adquiriruna traduccion de esta forma. APPENDIX 11(14) Legal Remedies for Tenants of Residential Housing The following Is a brief summary of some of the legal remedies tenants may use In order to get housing code violations corrected: 1., Rent Withholding(Massachusetts General Laws,Chapter 239,section 8A):If Code Violations Are Not Being Corrected you may be entitled to hold back your rent payments.You can do this without being evicted if: A. You can prove that your dwelling unit or common areas contain code violations which are serious enough to endanger or materially impair your health or safety and that your landlord knew about the violations before you were behind in your rent. B. You did not cause the violations and they can be repaired while you continue to live in the building. C. You are prepared to pay any portion of the rent into court if a judge orders you to pay it.(For this,it is best to put the. rent money aside in a safe place.) 2. Renair and Deduct(Massachusetts General Laws,Chapter 111,section 127L):The law sometimes allows you to use your rent money to make the repairs yourself.If your local code enforcement agency certifies that there are code violations which endanger or materially impair your health,safety,or well-being,and your landlord has received written notice of the violations, you may be able to use this remedy.If the owner fails to begin necessary repairs(or to enteninto a written contract to have them made)within five days after notice or to complete repairs within 14 days after notice,you can use up to four months'rent in any year to make the repairs. 3. Reta_lial=Rent Increases or Evictions Prohibiter(Massachusetts General Laws,Chapter 186,section 18,and Chapter 239, section 2A):The owner may not increase your rent or evict you in retaliation for making a complaint to your local code enforcement agency about code violations.If the owner raises your rent to tries to evict within six months after you have made the complaint he or.she will:have:to:show.a good reason for the increase or eviction which.is.unrelated to your complaint.You may be able to sue the landlord for damages of he or she tries this. 4. Rent Receivership(Massachusetts General Laws,Chapter 11, section 127 C-H):The occupants and/or the Board of Health may petition the District or Superior Court to allow rent to be paid into court rather than to the owner.The court may then appoint a "receiver"who may spend as much of the rent money as is needed to correct the violation.The receiver is not subject to a spending limitation of four months'rent. 5. Breach of Warranty of Habitability:You may be entitled to sue your landlord to have all or some of your rent retumed if your dwelling unit does not meet minimum standards of habitability. 6. Unfair and D=tive Practices(Massachusetts General Laws,Chapter 93A):Renting an apartment with code violations is a violation of the consumer protection act and regulations,for which you may sue an owner. The information presented above Is only a summary of the law.Before you decide to withhold your rent or take any other legal action,It Is advisable that you consult an attorney.If you cannot afford to consult an attorney,you should contact the nearest legal services office, which is: Neighborhood Legal Services 37 Friend St. Lynn, MA 01902 (617) 599-7730 4 Page -L2 of e SALEM HEALTH DEPARTMENT _ Date: F_q 93 3G� 9 North Street ';ter f Salem. MA 01970 Name: Address: i�`l Specified Reg # Violation Time 410. . . . V- U E Al c1L ,V LG O - N &- C. 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