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13 BEACON STREET - BUILDIING JACKET 13 BEACON STREET a 0013 BEACON STREET "`'' 270-2000 his#:' 6016 COMMONWEALTH OF MASSACHUSETTS Map: 36 Block: CITY OF SALEM Lot: 0345 • Permit: Building \ Category: 434 Residential:additi BUILDING PERMIT Permit# . 270-2000 ' Project# JS-2001-0535 ,, } Est.Cost: $30,000.00 r ' a Fee: $185.00 . PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Angelo C.Meimeteas General Contractor-Salem#2078 Lot Size(sq.ft.): 2075 , Owner: FULTON JOHN R Zoning: R2 - r ` - . Applicant: Angelo C --Ieas Units _. — ts Gained: -�-. __.._mn�� _: :..s..,,.,. Units Lost: AT. 0013 BEACON STREET k* ISSUED ON: 31-Oct-2000 EXPIRES ON: 30-Apr-2001 TO PERFORM THE FOLLOWING WORK. Remodel &alterations.F.R.D. ,At Plprmit to n0ccupv POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground- Service:/�s...y a� Meter: Footings: Rough:,;j(I/� v t House# Foundation: / Cr g C"/CS Final: hal: Rough Frame: � Fireplace/Chimney: Gas Fire De tme t Board of Health �o ��/ � � � Insulation: Rough Oil: l � Final: /5 Finai: L'tG $mci:e: G/` Treasury: I �/0/ THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. b Signature: R Fee Type: Receipt No: Date Paid: Check No: Amount: . BUILDING REC-2001-000662 25-Oct-00 ' 1287 $185.00 A. O C' . r .r GeoTaIS®1998 Des Lauriers&Associates,Inc. s c� M i v- V�r� • YSpVE AO G�M►NE �� CITY OF SALEM s _ .- UIL,DT E MIL' - OP-2001-0083 Building Permit No.: 270-2000 Commonwealth of Massachusetts City of Salem BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT This is to Certify that the RESIDENCE located at Dwelling Type 0013 BEACON STREET in the CITY OF SALEM Xticiess Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Remodel &Alterations This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires unless sooner suspended or revoked. Expiration Date . -------`------------------------------- - ------ - --------------------- Issued On:Wed Jun 27,2001 y'-- GeoTMS®2001 Des Lauriers Municipal Solutions,Inc. _----------- --_-- ---- --- ----_--_-_------------------ --- ---------------- 1-1 P-11 Joan � /gyp/✓ 677irearsarre trla>1 for-SMdtf- h Leo F. 7-Pm b&u l N.Y. o3kv/ JuNe l 7 /997 Dir&&r o F eobl,c properl y k'f)c'ar 1v r lrem b la >/ — S_ yav /TNo G� d tz Pct /to r/ 0. /Z f f r Sczl er�'ij 1�7y Pr-o,oerl�y ON /3l o6e&co1✓ S¢o-Pef %N "� rec✓ro � f�vS /ef/e� 7� MAe f Dl�ore 0/ 740 WO f, PJ (-e Aov5e alklDPa-w rIx Z sEww e!owe I �PP f/t e / /,v C v GiNe �C1�P ��, , , � s/Zii rS G N� rGi/ ls• u I t tai 3 c leCA'I aN/ "'rPPG%r cv A-lers' �0\�\9'1 . ,yI �/�rC' JrY{rc�S r� ovn/�a�r'Qrt/ bwl�2 , W,wya SJ Sa�/� Sc re aN/ /6 e�J�'s✓` S;cY,'r,/r �N�Q f�;,rl , e above JOBS C✓DniT be 406COs�y ;A-1 �7JafCr �S Sv J- Cum 57�L,-.L r)M• flea i�j � r� Som lark itit /v� '�y Me V, ti/'Om C✓_a�/T �f- c�v ( oo� �XeN CwrV C, ord �r'vr I�e�rvaTy /D� /i5'7 %mer jS �e C�h� ly /V /icP rece i vete Q vc�rlfln/l /i,s /I hoer c ry Cou t � /1/PvPr' /7i✓Pc� — y � rt ear ,:✓ ✓�/ar� ✓aS Sv�'J�aJP�fII Q /n/� l✓oc� � � _ C-C Ad i r- I/C2r/ 56;V 177e C,11 6)1- ler pts C�� J 4']` �C �Jrnviov; /2�erJ 6W C� Nei✓ S � lPinr�N� Q /v0 wl@ t'r/� f� >L C c>ticfer� y� c. ►v� f/� ' y rrel has een/ A (Xe4�' P SC' Fee � �L� � C✓a� f�irpvgqh Gr�� iN� Pcf �ro�e�lj Crvylgw7e AIS cv�n�>Lfv 'Se� �4elor)j SNL yv For yur �'/ice,-e jr'�� � tiffµ. i 3;✓�` " 3 Tito of #alem, massar4usetts ' Public Propertg Bepartment Nuilbing Department (One *nlem (4reen 508-745-9595 Ext. 380 Leo E. Tremblay Director of Public Property Inspector of Building February 10, 1997 Zoning Enforcement Officer John Fulton 13 Beacon Street Salem, Mass. 01970 RE: 13 Beacon Street Dear Mr. Fulton: Due to a complaint received through the Neighborhood Improvement Committee hot line, I conducted an inspection of the above mentioned property and found the following violations: 1. Overgrowth of grass and weeds in rear yard present a fire hazard and must be removed and area cleaned up. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Exterior siding needs major repairs and maintenance. 4. Gutters must be cleaned of debris and maintained. Please notify this department within fifteen ( 15) days upon receipt of this letter, to inform us as to what course of action you will take to rectify these violations. Failure to do so will result in legal action being taken against you. Thank you in advance for your anticipated cooperation in this matter. Sincerely, r Leo E. Tremblay Inspector of Buildings LET: scm cc: Jane Guy Councillor Flynn, Ward 2 � :w<-. 1 z.., Y jii> 3 �P Gifu of jttlem, massac4usetts IluBlir i1rupertq i9epnrtment Guilbing Department (One #alem Green 508-745-9595 Ext. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer June 17 , 1997 John Fulton 677 Kearsarge Way Portsmouth, N.H. 03801 RE : 13 Beacon St . , Salem Dear Mr . Fulton: Per your request, please find enclosed all the correspondence pertaining to the property located at 13 Beacon Street that you failed to receive . This office is looking forward to working with you to remove all violations on this piece of property, and to see that property .is properly maintained. As for the arrest warrant , at the Salem District Court you will need to appeal in person at the Salem District Court and ask for a default removal of the charges . If this office can be of any further assistance , please do not hesitate to call . Sincerely , Leo E . Tremblay Inspector of BuiYinggs LET: scm cc: Jane Guy Councillor Flynn , Ward 2 APPLICATIONADULT NUMBER — Trial Court of Massachusetts FO.A COMPLAINT _ JUVENILE Distract Court Department ARREST 'C HEARING _ SUMMONS I �,=WARRANT I COURT DIVISION ro��� cow ne within names Comolamant reaueSIS that a com Dlalnt Issue against the within I amea aelenaanl Cnaramg saga defendant with the olfense(s) hStea oelpw. ,.L1� 86 Wss1>Iinglfon S11Nt DATE OF APPLICATION I LATE OF OFFENSE I -LACE OF OFFENSE }� V SON -11M_G19T0 3/29/95 2/95 13 Beacon Street ' I- NAME OF COMPLAINANT NO. I OFFENSE W.L. Ch.a City of Salem Building Department ADDRESS AND ZIP CODE OF COMPLAINANT Massachusetts State Secti One Salem Green Building Code 104.1 Salem, Hass. 01970 z. NAME.ADDRESS AND ZIP CODE OF DEFENDANT - John Fulton 2' 13 Beacon Street Salem, Mass. 01970 4. COURT USE A hearing upon this complaint application DATE OF HEARING r TIME OF HEARING,, I COURT ONLY—+ will be held at the above court address on �y./� /T AT /L `/ i �-- CASE PARTICULARS = SPECIFIC NAME OF VICTIM DESCRIPTION OF PROPERTY VALUE OR PROPERTY TYPE OF CONTROLLED NO. Owner aof ProoenY. Goode stolen.what Over or unser SUBSTANCE OR wEAP01 person ssaulleO.etc. Oestrovea.etc. $250. Marijuana.qun.etc. 7 2 J a OTHER REMARKS: Failure to respond to correspondence from building department x CA . (� SIGNATURE OF COMPLAIN DEFENDANT IDENTIFICATION INFORMATION — Complete data below if known./ DATE OF BIR 7H PLACE OF BIRTH SOCIAL SECURITY NUMBER SEx RAGE HEIGHT WEIGHT S H. OCCUPATION EMPLOYERISCHOOL MOTHER'S NAMEIMAIOENI FATHER'S NAME i c:.L1. Zai, � ° �\ Cofttl�m, ttssttthusP�ts aq 1'�J pniliir Vropp1Yi1 Oe�lIIrIIIIPIIt s c� Buiiaing (Department (Ont t�altm t6rtrn 500.745-9595 Est. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 2s. 1995 John Fulton 13 Beacon Street Salem, Mass. 01970 ?E: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to: 1. overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, 'yard ;;��� =� �, �i�i3 i1? �FIlE2I1. �FI85EII�IIiSE�S Ilultlic t1ropertg i9epartmcnt iguilhing i3eparrment (ane e�alem Wreen 5118-745-9595 Ext. 380 Leo E. Tremblay Director of Public Property inspector of Building Zoning Enforcement Officer August 31 , 1994 5 . L 55A— John Fulton 13 Beacon Street Salem. Mass. 0197 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to. 1 . Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Cutters must be clean of debris and maintained. 4 . The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. °ailure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, '.'ard 2 CITY OF SALEM NEIGIIBORHOOD IMPROVEMENT TASK FORCE REFERRAL FORM Date.- Address: ate:Address: Compiaint: l ll�� n' Qa o w Phone rt Comoiainant•. DAVID SHEA, CHAIRMAN I I KEVIN HARVEY BUILDING DING INSPECTOR I I Ft Ft'I'RTCAL DEPARTMENT F E PREVENTION I I CITY SOLICITOR ALTH DEPARTMENT I I SALEM HOUSING Auraosm LICENSING I pnT rCE DFpARTMENT PLANNING DEPARTMENT I I ASSESSOR E a StIRFR1COLLECTOR PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA WITHIN ONE \VEEK. HANK YOU FOR YOUR ASSISTANCE. ACTION: CITY OF SALU-1 NEIGHBORHOOD miPROVEIIIENT TASK FORCE REFERRAL FORM Dale: s Address: > Complaint: / 7 " l' ` n„c, ; r Phone CLVIC',I alt. . �:� 417A1C TL, /` /1P � ` t/ G Complainant: DAVID SHEA CHAIRMAN KEVIN HARVEY G Rtltr.DING INSPECTOR ELECTRICAL DEPARTMENT PREVENTIONCITY SOLICITOR �Al TH DEPARTMENT SALEM HOUSING AUTHORITY LIC -NSIN G POLICE DEPARTMENT Pt ANNING DEPARTMENT ASSESSOR TREASURER/COLLECTOR PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVI SHEA WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. v ACTION �r'—�.., i i L: Tito of Mussttr4usrtts Public Propertg Department iguilbing i9epariment (*ne 6i lem cAreen 500.7.15-9595 Ext. 380 Leo E. Tremblay Director of Public Property Inspector of Building February 10, 1997 Zoning Enforcement Officer John Fulton 13 Beacon Street Salem, Mass. 01970 RE: 13 Beacon Street Dear Mr. Fulton: Due to a complaint received through the Neighborhood Improvement Committee hot line, ' conducted an inspection of the above mentioned property and found the following violations: 1. Overgrowth of grass and weeds in rear yard present a fire hazard and must be removed and area cleaned up. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes . 3. Exterior siding needs major repairs and maintenance . 4 . Gutters must be cleaned of debris and maintained. Please notify this department within fifteen i13 ) days upon receipt of this letter, to inform us as to what course of action you will take to rectify `hese violations. Failure to do so will result in legal action being taken against you. Thank you in advance for your anticipated cooperation in this matter. Sincerely, r Leo E . Tremblav Inspector of Buildings LET: scm cc: Jane Guy Councillor Flvnn. ':ard of �ttlem, fftssar4usetts I na Vublic Prn}tertq Department a „ Nuilaing Department (Ont *sicm U4rrrn 500-745-9595 fid. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer August 31, 1994 John Fulton 13 Beacon Street Salem, Mass. 0197 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to. 1 . Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4 . The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, Ward 2 CITY OF SALEM NEIGIIBORHOOD IMPROVEMENT TASK FORCE REFERRAL FORM Date: 24 Address: , n Complaint: /IC�Q�/� o� ,D Phone Jl: Complainant: DAVID SHEA- CHAIRMAN KEVIN HARVEY Rini DING INSPECTOR ELECTRICAL DEPARTMENT FIRE PREVENTION CITY SOLICITOR HEALTH DEPARTMENT SALEM HOUSING AUTHORPPY LICENSING POLICE DEPARTMENT PLANNING DEPARTMENT ASSESSOR TREASURER/COLLECTOR PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: Tito of #Ulem. massac4usetts Ilublic Properttl 19epartment ?� Nuilbing Department (Ont daltm (6rttn 508-745-9595 Ext. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer June 17 , 1997 John Fulton 677 Kearsarge Way Portsmouth, N.H. 03801 RE : 13 Beacon St . , Salem Dear Mr . Fulton: Per your request, please find enclosed all the correspondence pertaining to the property located at 13 Beacon Street that you failed to receive . This office is looking forward to working with you to remove all violations on this piece of property, and to see that property is properly maintained . As for the arrest warrant , at the Salem District Court you will need to appeal in person at the Salem District Court and ask for a default removal of the charges . If this office can be of any further assistance , please do not hesitate to call . Sincerely, , Z�2 Leo E . Tremblay Inspector of Bui ings LET: scm cc : Jane Guy Councillor Flynn, Ward 2 APPLICATION -1 ADULT I NUMBER — Trial Court of Massachusetts FOA CO APLAINT JUVENILE 1 t ` ; - District Court Department ARREST SHEARING — SUMMONS I WARRANT COURT DIVISION �I�..r ne within namea Comolalnant reaue SIS I.^ai d COm Dlalnt issue aq inst the within y� s� D.a.relt Vaw• amea ❑etenaanl cnara ng said detenaant with the offensetSI -sten nalpw. ..U,j 65 Washuxyt"sum DATE OF APPLICATION I -ATE OF OFFENSE I =LACE OF OFFENSE �1�;V 019M 3/29/95 2/95 j 13 Beacon Street \ NAME OF COMPLAINANT NO. I OFFENSE W.L. Ch. B City of Salem Building Department ADDRESS AND ZIP CODE OF COMPLAINANT Massachusetts State Secti One Salem Green ( Building Code 104.1 Salem, Mass. 01970 2. NAME.ADDRESS AND ZIP CODE OF DEFENDANT John Milton 3. 13 Beacon Street Salem, Mass. 01970 COURT USE A hearing upon this complaint application t DATE OF HEARING TIMEOFHEARING COUR ONLY----.E will be held at the above court address on �// /r AT CASE PARTICULARS = SPECIFIC I NAME OF VICTIM DESCRIPTION OF PROPERTY VALUE OR PROPERTY TYPE OF CONTROLLED NO. Owner of orocenv. Goods stolen.what Over or unaer SUBSTANCE OR WEAPO- j person assaulted.etc. destrovea.etc. $250. Marijuana.gun.etc. 1 2 3 a OTHER REMARKS: Failure to respond to correspondence from building department X ' SIGNATURE OF COMPLAIN DEFENDANT IDENTIFICATION INFORMATION — Complete data below If known EDATE BIRTH PLACEOFBIRTH SOGIALSECURITY NUMBER SEX RAGE HEIGHT WEIGHT S H ION EMPLOYER/SCHOOL MOTHER'S NAME(MAIDEN) FATHER'S NAME 64��- •:�- -�' l of *tt1Em. 4Eitts5arhUSjett5 Public Prnperm Uppartment ;Ruilbing Ocpartment line ealem t5reen 500-745-9595 Et. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 23, 1995 John Fulton 13 Beacon Street Salem, Mass. 01970 2E: 13 Beacon Street Deac Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to: 1. Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvev, 'hard 2 11ultlir i1raping Erpartmtnt Nuilbing i9partmtnt (Ont *sltm ISrttn 508.745-9595 fin. 30D Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer August 31, 1994 55A— John Fulton 13 Beacon Street Salem. Mass. 0197 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to. 1 . Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Cutters must be clean of debris and maintained. 4 . The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations . Failure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblav Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, ' ard 2 CITY OF SALEM NEIGIIBORHOOD VOPROVEMEN'T TASK FORCE REFERRAL FORM Date.- Address: ate:Address: Compiaint: Comniainant: DAVM SHEA. CHAIRMAN I KEVIN HARVEY AITII DING INSPECTOR I I Fi FCTRi AL DEPARTMaTr FIRE PR_EVE=N I I CITY SOLICITOR HEALTH DEPPARTMENT I I S w r EM HOUSING ALTTHOR= i ICENSING I POT ICE DEPARTAZENT PT-ANNING DEPARTMENT I I ASSESSOR TREA SURFRIC'OLLECTOR PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA WITHIN ONE 1VEEK. HANK YOU FOR YOUR ASSISTANCE. ACTION: CITY OF SALFAI NEIGHBORHOOD BUPROVUIENT TASK FORCE REFERRAL FOR11I Date: Address: CompWnt: �i�� .<<°��� ^z� > r Picone N: 11 s. .��� .� ��7YIL� n�.•, L.�r',' �b �/4//b1S 7ur /7Pr /it l'C Complainant: �7"/F �C S �x �� ,�f'4'rg." DAVID SHEACHAIRMAN KEVIN HARVEY BUI DING INSPECTOR ELECTRICAL DEPARTMENT VENTVENTION CITY SOLICITOR 11EALTH DEPARTMENT SALEM HOUSING AUTHOR= LICENSING POLICE DEPARTMENT PLANNING DEPARTMENT ASSESSOR TREAS 1R_ER/COLLECTOR PLEASE CIIECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVI SHEA WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: ®7'—c -I '7 �+-��. ! �' .4._/✓ice i situ of tt1Pm. Aussar4u,srtts I� '1F 1'o tlublir i1rupertq i3epartment " iguilbing department lone datem (5reen 500.7,13-9593 Ext. 300 Leo E. Tremblay Director of Public Property inspector of Building February 10, 1997 Zoning Enforcement Officer John Fulton 13 Beacon Street Salem, Mass. 01970 RE: 13 Beacon Street Dear Mr. Fulton: Due to a complaint received through the Neighborhood Improvement Committee hot line, T conducted an inspection of the above mentioned property and found the following violations: 1. Overgrowth of grass and weeds in rear yard present a fire hazard and must be removed and area cleaned up. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Exterior siding needs major repairs and maintenance . 4 . Gutters must be cleaned of debris and maintained. Please notify this department within fifteen 11.3 ) days upon receipt of this letter, to inform us as to what course of action you will take to rectify these violations. Failure to do so will result in legal action being taken against you. Thank you in advance for your anticipated cooperation in this matter. Sincerely, Leo E. Tremblav Inspector of Buildings LET: scm cc: Jane Guy Councillor Flvnn. 'bard (�i#g of i%fEm, massac4use##s l r� Ilublir trapertg Department Nuilbing Department Ont *nitm (6reen 588.745-9595 $xt. 388 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer August 31, 1994 John Fulton 13 Beacon Street Salem, Mass. 0197 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to. 1 . Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, Ward 2 CITY OF SALEM NEIGHBORHOOD IMPROVEMENT TASK FORCE REFERRAL FORM Date. Address: �L/3 l /lGi2 Complaint: / 1!/ 66s/ �' Phone #: Complainant: DAVID SHEA. CHAIRMAN KEVIN HARVEY BUI DING INSPECTOR ELECTRICAL DEPARTMENT FIRE PREVENTION CITY SOLICITOR HEALTH DEPARTMENT SALEM HOUSING AUTHORITY LICENSING POLICE DEPARTMENT Pr ANNING DEPARTMENT ASSESSOR TREASURER/COLLECTOR PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: I� ���r � t^ SUN-16-97 MON 16 : 10 000000000000 P. 01 �vr✓e !6� L7 y/ � 677 1-rrIgSfiRGE U14Y0 00 i i L F� Lr, 7REm3��-y r I p�R�c7oR oP PV6Lic PR�Ptl�TY ll✓SPECTOh o� QUI�OIIvG �FFIcFR 7ONiNF ENFORCC- FFvr -lLa , �f;ecj 7/v Yov ��a/ a_�vl- Yovr Feb /m /g9 ef�r re �drNy�M y e "p hohase �/- /3. �e4co►� 1 S� f� �vr•�em � CL7 ��e . ✓3Q yeS erc�Qy _ . juNe /S /.997 Cl�z onJ fie 1 �o✓r��_ 0✓f /elAr 1�✓ ! '� _i/d /,d car, bee N c�ov/N �� A e i� w ver �!e tivre s�✓QrG/ .. /vert �e. O p cQ ct _oarSC)M #40o)g Ircre. Se _ Ind P�eRse . ov�fe "�s C)A/ �l� r 6 0 /NOIF9 �/ �g9� I. /hen. /br /� Coil, �S'✓�nmo^/f" 'ce ceyr�Q��✓y� �/�'s r,07YOM- h Eta V(,f e. ce"'L ►'moo�/* Co f k f cS✓cJ t✓r� (�a�erQ U n T f' l �Q{��y �Ne. /-r. r � hvus e . - - �" r-c��o.i.- —/���� q v�cy�-rS G-/✓� r e C �fql�/. _ � - _ �o4J/` 0.TCC��VC�gcl L1�J �lPnCe y!'ei✓Y� 7�or-A- NeG✓�u/�j Cod%i�7. j! i J �, SENDER: I also wish to receive the II I. . Complete items 1 and/or 2 for additional services. following services(for an extra fee): I! . Complete items 3,and 4a 8 b. 9 • Print your name and address on the reverse of this form so that we can return this card _ m vas 1. [1 Addressee's Address _ • Attach this form to the front of the mailpiece,or on the back if space does not permit • write"Return Receipt Requested"on the mailpiece below the article number. 2. EI Restricted Delivery • The Return Receipt Fee will provide you the signature of the person delivered to and the Consult postmaster for fee. tlate of deliver 13.Article Addressed to: � 4a.Article Number I L1NE,• P 921 991 593 I � o Jgllti kU1tQ11 4b.Service Type 1 I 13 Befacibn Street o I r ±fig, 01970 CERTIFIED m 7.Date of livery m m Address's m 5.Signature-(Addressee) S.Addresseef° (ONLY if requested and fee paid.) I I 6.Signature—(Agent) 8 PS Form 3811,November 1990 DOMESTIC RETURN RECEIPT y r: CITY OF SALEM F, BUILDING DEPARTMENT ' P 92Z 991 593 PM 3 CITY HALL ANNEX on �! ` ONE SALEM GREEN i SALEM,'MASSACHUSETTS0197c ggA1�. ccp i � I x }:h-0t.ER John Fulton 13 Beacon Street l� -,per Salem, Mass. 01870 Vot e- q A NAMN, 1St NOt� 2nd Nath Roturn___, 61976-4te1 OS IIL, , IIIJ ,LIIIIII,I IIII III III III,I If 113 1111 I'll (situ of tWem, +MUSSUc4uoetto Public Pro#rerttl Department wilding Department (One ftem (Areen 588-745-9595 Ext. 388 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer August 31, 1994 John Fulton 13 Beacon Street Salem, Mass. 0197 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to. 1. Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, /� ��/w// Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, Ward 2 Certified Mail # P 921 991 993 JUN-16-97 MON 16 : 11 000000000000 P. 02 u rc� C IeaN, able- "Gf k NeX /// 6e gpa14111",✓S Sf �a/y . tar AM� �"r r��f l/ b e o/ti2 2J -� � e� {fie r � s `/av .4vr Sf ��e�e y Lf X77./Te LFo 7W � /L,? i JUN-16-97 MON 16 : 11 000000000000 P. 03 TRY of #idem, Auoonousetto Public Propertg department fullbing IDeparttnent (®nr 081em Queen 508-7454595 Ext. 390 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 10, 1997 John Fulton 13 Beacon Street Salem, Mass. 01970 RE: 13 Beacon Street Dear Mr. Fulton: Due to a complaint received through the Neighborhood Improvement Committee hot line, I conducted an inspection of the above mentioned property and found the following violations: 1. Overgrowth of grass and weeds in rear yard present a fire hazard and must be removed and area cleaned up. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Exterior siding needs major repairs and maintenance. 4. Gutters must be cleaned of debris and maintained. Please notify this department within fifteen (15) days upon receipt of this letter, to inform us as to what course of action you will take to rectify these violations. Failure to do so will result in legal action being taken against you. Thank you in advance for your anticipated cooperation in this matter. Sincerely, Leo E. Tremblay Inspector of Buildnos , LET: scm cc: Jane Guy Councillor Flynn, Ward 2 i i ' - ARTICLE r. - P 931 991 593 UNE 1- John Fulton, NUMBER . 13•Bea4on Street Sa1Qm, Mass. 01.970 t FOLD AT PERFORATION WALZ r • INSERT IN STANDARD#10 WINDOW ENVELOPE. E E R T I F I E D _ s 'z. M A I L S R ' CITY OF SALEM NEIGIIBORHOOD IAIPROVEMENT TASK FORCE lREFERRAL FORM Date: /%5 Address: �� />T�• c CbL Complaint: mr'i' /iou5r, Phone #: CompWnant: .jc s' DAVID SHEA. CHAIRMAN KEVIN HARVEY BUILDING INSPECTOR ELECTRICAL DEPARTMENT P VENTION CITY SOLICITOR HEALTH DEPARTMENT SALEM HOUSING AUTHORITY LICENSING POLICE DEPARTMENT PLANNING DEPARTMENT ASSESSOR TREASURERICOLLECTOR f. PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: �'�^ �il.�—.��•- �t.v,--ems �1zo i TItu of *Ulem' MUSSUc4uSPtts Public Vropertg Mepartment lRuilaing i3epartment (Kane Balem (6rren 588-715-9595 Ext. 388 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 10, 1997 John Fulton 13 Beacon Street Salem, Mass. 01970 RE: 13 Beacon Street Dear Mr. Fulton: Due to a complaint received through the Neighborhood Improvement Committee hot line, I conducted an inspection of the above mentioned property and found the following violations: 1. Overgrowth of grass and weeds in rear yard present a fire hazard and must be removed and area cleaned up. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Exterior siding needs major repairs and maintenance. 4. Gutters must be cleaned of debris and maintained. Please notify this department within fifteen ( 15) days upon receipt of this letter, to inform us as to what course of action you will take to rectify these violations. Failure to do so will result in legal action being taken against you. Thank you in advance for your anticipated cooperation in this matter. Sincerely, r Leo E. Tremblay Inspector of Buildings LET: scm cc: Jane Guy Councillor Flynn, Ward 2 Ti#g of 1$ttlem, Masaar4uoeits Public Propertg Department aM" Nuilbing Department tine 6alent Green 500-745-9595 $xt. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer August 31, 1994 John Fulton 13 Beacon Street Salem, Mass. 0197 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to. 1. Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, Ward 2 CITY OF SALEM NEIGHBORHOOD IMPROVEMENT TASK FORCE REFERRAL FORM Date. Address: //l Complaint: /'IY 66,j Phone #: Complainant: DAVID SHEA. CHAIRMAN KEVIN HARVEY BUILDING INSPECTOR ELECTRICAL DEPARTMENT FIRE PREVENTION CITY SOLICITOR HEALTH DEPARTMENT SALEM HOUSING AUTHORITY LICENSING POLICE DEPARTMENT PLANNING DEPARTMENT ASSESSOR TREASURER/COLLECTOR PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: APPLICATION L] ADULT NUMBER — Trial Court of Massachusetts FW COMPLAINT JUVENILEI District Court Department ARREST _x HEARING — SUMMONS _ WARRANT I COURT DIVISION The Wllhid names complainant request that a COm Dlaint i55ue agI 5t the within S named defendant. charging said defendant with the offenselsl listed b I w. 65 w DATE OF APPLICATION DATE OF OFFENSE I PLACE OF OFFENSE somm hm 01870 3/29/95 2/95 13 Beacon Street NAME OF COMPLAINANT NO OFFENSE .L. Ch. and Sec City of Salem Building Department AgpRESS AND ZIP CODE OF COMPLAINANT Massachusetts State Section One Salem Green Building Code 104.1 Salem, Mass. 01970 2. NAME,ADDRESS AND ZIP CODE OF DEFENDANT John Fulton 13 Beacon Street 3. Salem, Mass. 01970 a. COURT USE I A hearing upon this complaint application DATEOFHFARING TIME OF HEARING COURT USE ONLY—� will be held at the above court address on f� [%ti" 1 T AT %G. y S G'% --ONLY CASE PARTICULARS = SPECIFIC NAME OF VICTIM DESCRIPTION OF PROPERTY VALUE OR PROPERTY TYPE OF CONTROLLED NO. Owner of property. Goods stolen.what Over or under SUBSTANCE OR WEAPON person assaulted.etc. destroyed.etc. 8250. Marijuana.gun.etc. 1 2 3 4 OTHER REMARKS: Failure to respond to correspondence from building department x SIGNATURE OF COMPLAIN DEFENDANT IDENTIFICATION INFORMATION — Complete data below if known.( DATEOF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER SEX RACE HEIGHT WEIGHT S HAIR OCCUPATION EMPLOYERISCHOOL MOTHER'S NAME(MAIDEN) FATHER'S NAME C% 3 Z D _2 N O a v t DC-CR2(3188) of !�Ptticm, fttssac4uset#s Pultlie 11rapertu department ,q Builbing Department (One Belem (&ran 508-745-9595 Ext. 389 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 28, 1995 John Fulton 13 Beacon Street Salem, Mass. 01970 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to: 1. Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, Ward 2 �P TRU d tt1Pm, Massar4use#ts I9ublic trnpertq Deportment �Q*M Nuilbing liepurtment (One t)atrm (breen 508-745-9595 Fxt. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer August 31, 1994 John Fulton 13 Beacon Street Salem, Mass. 0197 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to. 1. Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, CS,v � Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, Ward 2 CITY OF SALEM NEIGHBORHOOD IMPROVEMENT TASK FORCE //��.,� REFERRAL FORM Date: '�`( /'/te�r Address: ,I I Lu i Compiaint_ / I C�Q.y(GYist¢ Y l Td l�'�—p Phone �i: Comniainant: DAVID SHEA. CHAIRMAN I KEVIN HARVEY BUILDING INSPECTOR FT FC"I'RTCAL DEPARTMENT FIRE PREVENTION I CITY SOLICITOR HEALTH DEPARTMENT SAL M HOUSING AUTHORITY LICENSING I POLICE DEPARTMENT PLANNING DEPARTMENT I ASSESSOR LlTREASURER/COLLECTOR PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: Tito of tWem, massac4usetts Public Propertg Department NuilDing Department (One 6alem Green 508-745-9595 $xt. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 28, 1995 John Fulton 13 Beacon Street Salem, Mass. 01970 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to: 1. Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, C. lKliYY' / Leo E. Tremblay �k Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, Ward 2 �.' Yo APPLICPTION ❑ ADULT NUMBER Trial Court of Massachusetts FOR COM LAIRT ❑ JUVENILE District Court Department ❑ ARREST E� HEARING ❑ SUMMONS ❑ WARRANT COURT DIVISION The within named complainant requests that a complaint issue against the within $11i:DlstNct Gou" named defendant, charging said defendant with the offense(s) listed below. 65 vftwii✓'1000 sheet DATE OF APPLICATION I DATE OF OFFENSE PLACE OF OFFENSE�1g� 3/29/95 2/95 13 Beacon Street NAME OF COMPLAINANT City of Salem Building Department NO. OFFENSE G.L. Ch. and Seo AgpRESS AND ZIP CODE OF COMPLAINANT One Salem Green 1 Massachusetts State Section Building Code 104.1 Salem, Mass. 01970 2. NAME,ADDRESS AND ZIP CODE OF DEFENDANT John Fulton 13 Beacon Street 3. Salem, Mass. 01970 4. COURT USE A hearing upon this complaint applicationDATEOFHEARING TIMEOFHEARING COURT USE ONLY-0. will be held at the above court address on AT �� �f S / -�" *—ONLY CASE PARTICULARS —" # SPECIFIC NAME OF VICTIM DESCRIPTION OF PROPERTY VALUE OR PROPERTY TYPE OF CONTROLLED NO. Owner of property, Goods stolen,what Over or under SUBSTANCE OR WEAPON person assaulted,etc. destroyed,etc. $250. Marijuana,gun,etc. 1- 2 3 4 ' OTHER REMARKS: Failure to respond to correspondence from building department SIGNATURE OF COMPLAI DEFENDANT IDENTIFICATION INFORMATION — Complete data below if known., DATE OF BIRTH PLACE OF BIRTH SOCIAL SECURITY NUMBER SEX RACE HEIGHT WEIGHTEYES HAIR OCCUPATION EMPLOYER/SCHOOL MOTHER'S NAME(MAIDEN) FATHER'S NAME V 3 z Z zD z A� A DC-CR2(3/88) .. i TitU of *al m, Massar4usPtts ((1*teQD"M0#- Publir Prnpertg i3epartment Nuilbing Department (One *stem (6reen 588-745-9595 Vxt. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer February 28, 1995 John Fulton 13 Beacon Street Salem, Mass. 01970 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to: 1. Overgrowth of grass and weeds present a fire hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, �1 Leo E. Tremblay Inspector of Buildings LET: sem cc: Dave Shea Councillor Harvey, Ward 2 Tito 1f #Ullem, massac4usletts Public Prnpertg Department Sullbing Department (One dntem (green 588-745-9595 Ext. 388 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer August 31, 1994 John Fulton 13 Beacon Street Salem, Mass. 0197 RE: 13 Beacon Street Dear Mr. Fulton: This office has received complaints concerning the above mentioned property. An inspection was conducted by this office on August 30, 1994 and the following violations must be attended to. 1 . Overgrowth of grass and weeds present a fire .hazard and must be removed. 2. Front and rear stairs and rails need major repairs to conform to State Building Codes. 3. Gutters must be clean of debris and maintained. 4. The building is not being lived in, so it must be made safe from entry. Please contact this office upon receipt of this letter as to your course of action on the above violations. Failure to do so will result in legal action being taken against you. Sincerely, Leo E. Tremblay Inspector of Buildings LET: scm cc: Dave Shea Councillor Harvey, Ward 2 CITY OF SALEM NEIGHBORHOOD IMPROVEMENT TASK FORCE ^ REFERRAL FORM Date: Address: Complaint: Phone #: Complainant: DAVID SHEA, CHAIRMAN KEVIN HARVEY BUILDING INSPECTOR ELECTRICAL DEPARTMENT FIRE PREVENTION CITY SOLICITOR HEALTH DEPARTMENT SALEM HOUSING AUTHORITY LICENSING POLICE DEPARTMENT PLANNING DEPARTMENT ASSESSOR TREASURERICOLLECTOR PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHEA WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: BUTTERWORTH & O'TOOLE, INC. ADJUSTFRS/APPRAISERS FOR INSURANCE COMPANIES ONLY P.O.BOX 8294 SALEM,MA 01971-8294 TEL. (978)741-5731 - FAX (978)740-9109 c Iaim sRbutterworthotoole.com 02/16/2016 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen City/Town Hall City/Town Hall ADDRESSES Salem, MA 01970 Salem, MA 01970 RE : Insured: Kelly Cook Address : 13 Beacon Street Salem, MA 01970 Policy No. : 2480897 Loss of: 02/14/2016 Water / Burst Pipe File or Claim No. : 066-0164 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000 . 00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass . Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Jack McKeon Adjuster r Member of National Association of Independent Insurance Adjusters � The Commonwealth of Massachusetts Board of Building Regulations and Standards CITY Massachusetts Slate Building Code. 780 C'MR, 7"eJition OF SALEM Revised Jornrrrry Building Permit Application To Construct/Repair, Renovate Or Demolish a /• =/RAY One-or Two-Family Dwelling ly is Section or ORcial Use Only �•--� I Building Permit Number: Date Applied: iJ n / Signature: .J ',1� Building misaioner/In f B ridings Date `'JJI\ddd CTION 1:SITE INFORMATION I.1 Property Address: 1.2 Assessors Map& Parcel Numbers 1 I.la Is this an accepted street°yes no Map Number Parcel Number IJ Zoning Information: IA Property Dimensions: Zoning District Proposed Use La Area(sq 11) Frontage(11) 1.5 Building Setbacks(R) From Yard Side Yards Rear Yard ' Required Provided Requited Provided Required Provided 1.6 Water Supply:(M.G.t.c.40,§54) 1.7 Flood Zone lmfornsatlon: 1.8 Sewage Disposal System: Zone: Outside Flood Zone? Public❑ Private O — Check if es❑ Municipal❑ On site disposal system ❑ /p SECTION 2: PROPERTY OWNERSHIP'Qwn// `1Reeord: ,40,f e� I�PEfCPJ� c�I N e(Print) dress lot Service: signature clphone SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction O Existing Building❑ Owner-Occupied O Repairs(s) Alterations) ❑ Addition ❑ Demolition ❑ Accessory Bldg.O Number of Units— I Other ❑ Spteily: Brief Desert ton of P posed o '• 1 >A SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: OHlelal Use Only Labor and Materials I. Building IS r (] I. Building Permit Fee:s Indicate how fee is determined: 2. Electrical S ❑Standard City/Town Application Fee O Total Project Cost(Ilem 6)x multiplier x J. Plumbing s 2. Other Fees: S 4. Mechanical (IIVAC) s List: 5. Mechanical (Fire s _ Suppression) Total All Fees: s Check No. Check Amount: Cash Amount: 6. Total Protect Cos l: s 7r D ❑Paid in Full O Outstanding Balance Due: .42i(/"taC SECTION S: CONSTRUCTION SERVICES ti 5.1 Licensed Construction Supervisor(CSL) � J r�2 Ile / a IfId M 4!4/ I.icense Naumerr I: f'bNpiratiun N:une ul' '1.•I IuIJe List C'SL type(see below) r 06cription Address, U llnrestricicd to 14(M Cu. FI. R Restricted IA2 F—it 11-111n Signalure� M M ()nI ( �Q RC Residential Rain C'overin cleplk r WS Residential Window and Sidin SF Residential Solid Fuel Burning Appliance Installation D Residential Demolition 3.2 R dtsn Home It pforemeet Contractor(HIC) /0_7�—) 6`-7 I IIC Co 4 y Nan err fll 'RGegist ) e —I Registration Nu ber Address ���1 E pi one Signatu 'fc ephne SECTION 6: WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. ISL 125C(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 Issuance of the building permit. Signed Affidevit Attached? Yes ..........0 No...........0 SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1 as Owner of the subject property hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. Si ore of Owner Date SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION 1 ,as Owner or Authorized Agent hereby declare that the statements and information on the foregoing application we true and accurate,to the best of my knowledge and behalf. Print Name �lr�N ��yZ �'e Signatum o caner or Aut ized Agent [late Si under the ins and penalties of 'u NOTES: 1. An Owner who obtains a building permit to do his/her own work,or an owner who him an unregistered contractor (not registered in the Home Improvement Contractor(HIC)Program),will rW have access to the arbitration program or guaranty fund under M.G.L.c. I42A.Other important information on the HIC Program and Construction Supervisor Licensing(CSL)can be found in 790 CMR Regulations I I O.R6 and I IO.R3,respectively. When subnliai work is planned,provide the information below: Tidal floors area slaISq. Ft.) (including garage,finished basement/attics.decks or porch) Gross living area(Sq.Ft.) Habitable room count Number Orr f fireplaces Number of bedrooms LT3 umber of bathrooms Number of half/baths pe of heating system Number of decks/porches pe of cooling system Enclosed Open -Total Project Square Footage"maybe substituted for"Total Project Cost" I'lie C'ununonsveallh ul'bl:usnchusc0s Cl Board u(BuilJing Regulations and Standards 'I'1' OF + Massachusetts State Building Code, 730 C'(NR \L1:•\I (' Revrwd 1/dr'rll l ..... 13tiilJiog Permit Nppiication 'ro Construct. Repair, Renovate Or Demolish a one-or rwo-hunu(I pn'elOn.V Phis Section Fur Olfci 1-Use OnI Building Permit Number: D Applied: _ Building 0111cial(Print Mwnc) Signature Duce SECTION I:SITE INFORMATION I.I Pro y 53: � ST 1.2 Assessors Map Ss urcel Number — I.la Is this an accepted street?yes no Nlnp Number I'urccl Number 1.3 Zoning Inrormutlon: 1,4 Properly Dimensions: /oning District I'ropo%J Use Lot Arco(sq It) Frontage(II) 1.5 Building Setbacks(R) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.I.C. Jo.§54) 1.7 Flood Zone Information: I.g Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Lone? Municipal O On site disposals)stem ❑ Check if ros❑ SECTION1: PROPERTY OWNERSHIP' 2.1 gitrrol'Recort C 11��1j1 o lljo 1`E1A4' LpC�� v� f' Li/) . 1 `r3C 1 N;wrc Print) C' '.51at— ems_ I Re-A colt/ ST 8SI No and Street relephune Email Address SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner-Occupied ❑ 1 Repairs(s) A Alteratlo O Addition ❑ Demolition ❑ Accessory Bldg.❑ N mber or Units Ot S Icily: �ryefpes rtplionof Proposed \Vark': `. ifn2 J Ca�✓1 1! L�/G✓ . — / �P ic}� SECT ON a; ESTLNATED CONSTRUCTION COSTS bent Estimated Costs: Official Use Only Il.,tbur and .\I;urrialsl I. Building S 4f a()O I. Building Permit Fee: S Indicate how fee is determined: _'. Electrical S ❑Standard City Tos+n Application Fee ❑Total Project C'ui ' eat x multiplier _ _ s 1 Plumbing S ?. Other Fees: S_� 1, \lecli.mic.il iIIC 1(') ) Lisle__ �u,we�iionl rotal .\IlFees: S____ r abo ( hacl. \'u. ( heck ;\mount l'.ish \natant o Total 1 rnjcct Cost: ) `7 r ❑P,iid in Full 0 Ouutanding Bal.tnce Due: SE('PIONS: CONS I'MICTION.NERVI('F:S 5.1 Consiructiot Supe isur License(C SI•) �`1 a i �_ l'q 1 Z --- - — -- -- —/u� pip �1 _. .....____ Icense Nunlhcr isspir hol 1);to \',unc ol'01. I loldcr ((/J�� — Iis[01. I\pe(seuhelu,tl __IG ">.._.V-Y- - - -- --,-- 'I)p,. Micripdon No. .InJ Street — --- I 1 h'Irlcl d I I IludJin�i li l0 1S,UU11 cu. IL1 _ (JJ—� It Nearicl.J IRS P.Imil D,tdlin L'itsi I'uan.Suue.LII' .N \I:Isun NC Roulin On-in ...—. AS N'indow,uld.SiJin SF Solid Fuel Ilumin \ Iallcei N' PP 1 Insulation l'cic hone I mail aldres. D Demolition 3 Register d lume Impruve el t Contra `-0r(HIC) �3620 f 2 'Z i 1 Z ((/ - T IIIC Regislrn"li un Wr I.gt'rat un Dale I Ill'.Emtrp I enlc u 1 lie i r- it c Ny. ;ut 5 •,j�e „AA /ny� Kjb7! �.i l:muila Jnia CI own. Sale,ZIP b 1 �1rel)c(ohlunee SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 153. 1 33C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this atlldavit will result in the denial of the Iss of the building permit. Signed AMdavit Attached? Yes .......... No...........C SECTION 7s:OWNERAkUTHORIZATION TO BE CONIPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES-FOR BUILDING P RAIIT 1, as Owner of the subject property,hereby authorize L ( ( to act on my behalf,in all tatters relative to work authorized by this building permit applicr tion. LL I A 12--, I'rinl ,ester's Nwn (Electronic.Signature) Dula SECTION 7b:OWNER1 OR AUTHORIZED AGENT DECLARATION By entering my name below, I hereby attest under the pains and penalties of perjury that all of the informatiun contained in this application is true and accurate to the best of my knowledge and understanding. l Prim O,mtei i or:\uthorireJ.\gent'+Nnnle Ilfl¢clrunic Sign;uura) Data .NOTES: I. .\n Osvner who obtains a building permit to do his-her own work,or an owner who hires an unregistered cumraclur I nut registered in the Hume Improvement Cunirnetor(HIC) Program),will rru have access to the arbitntiun program ur guaranty lund under M.G.L. c. 1 J'A. Other impurtanl information on the HIC Program can be Inu Id at ,I,,,s n .l+. . , , •, I Inronnatiun an the Cunstruction Supersisor License can be found at ,,,,,, Ill Ip, 2. N hen substantial lwrk is planned, provide the infurntadon below: R,ta1 flour area I sy. 11.1 - ____„_1 including garage. finished basement anics, decks or porch) Urois living area l s+ 11.1 - )Iabilahle ruom count \unlbcroflirel,lacei _ _-.. .___ \umherofhcdruuuu \unther„t'hathroomi . . _ . . \lunberol hall,hathi . . I\pc olhe.tting s)item \umher ol'decks, porches I�pc'da'nling s\acln I'nclovcJ Opal t "l oLII 1'fUiCe( Square l',h,l•Ige"111;1\ he NIhiIII111CJ lof 1oLIl 'rP)ecl(,bl"