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42 BROAD STREET - HISTORICAL - BUILDING JACKET t j 42 BROAD STREET /%%%% HISTORICAL + 0 Salem Historical Commission ONE SALEM GREEN,SALEM,MASSACHUSETTS 01970 (978)745-9595 EXT.311 FAX(978) 740-0404 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed: ❑ Construction ❑ Moving ❑ Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Signage ❑ Other Work as described below does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act(M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: McIntire Address of Property: 42 Broad Street Name of Record Owner: 42 Broad Street Condominium Trust Description of Work Proposed: Installation offence separating 42 & 44 Broad Street conditional that the fence is not visible from any public way. Non-applicable due to being non-visible from the public way. Dated: October 11, 2001 SALEM HIST CAL COMMISSION By: --# The homeowner has the option not to commence the work(unless it relates to resolving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals)prior to commencing work. i United Service Adjustment, Inc. P.O. Box 269 InC. Framingham, MA 01704-0269 J Phone Number: 1-888-633-4855 FAX Number: 1-508-879-7385 Building Commissioner/Inspector of Buildings Board of Health/Board of Selectmen 93 Washington Street Salem, MA 01,970 / i RE: Insured(s): Pelletier, Phillip DBA: 42 BroadStreet Condominium Trust Property Address: 42 Broad Street Salem, MA 01970 Policy Number: AK20304261 Date of Loss: 03/31/2001 Co. Claim Number: 20011063 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, Chapter 139, Sec 3B is appropriate, please direct it to the attention of the writer and include reference to the captioned insured, location, policy number, date of loss, and claim number. On this date, I caused copies of this notice to be sent by first class mail to the municipal officials named above at the address shown. Adjuster: Melissa A. Johnson Date: 4/24/01 C1 USA Form 11 Rev.2.3 Ver 5.00 Build 007A CITY OF SALEM n1ASSACHUSETTS O1970 I A� M1\al .1 � From The Office Of 87 July 22, i ASSESSORS _ IJ TO WHOM IT MAY CONCERN: According to records maintained in this office, real estate located at 42 Broad Street is being assessed as a seven (7) unit building for fiscal 1987. Assessors' Office City of Salem mi g \ Y r g. DAVID F. JAQUITH LETTER OF TRA° NSWTQL ARCHITECTS & PLANNERS hI. I:L01F 11 OBER STREET DATE: l5 JaN /98f5 ,IOB NO.:8>EO53 733 BEVERLY, MASSACHUSETTS 01915 p�T PHONE: (617) 927.3745 � ! ih E t1 �u 'l� �ARR►S �AvI Q> }�A2121S TO: CJY OF StLLE% 14AS5. ,�'jl�lt-.pIN4 SEPT. //AA. WE ARE SENDING YOU: ATTACHEDGr Under separate cover via the following Items: ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Copy of letter ❑ Change order ❑ Specifications ❑ COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies .tor approval E] For your use ❑ Approved as noted ❑ Submit copies for distribution EAs requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19_❑ PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO: riIL�L— H enclosures are not as noted, please notify us at once SIGNE DAVID F. iAQUl ¢ ARCHITECT'S OWNER ❑ ARCHITECTS P PLANNERS MELD REPORT ARCHITECT 11 11 OBER STREET CONSULTANT❑ BEVERLY, MASSACNIISETTS Dim, DOCUMENT 0711 FIELD ❑ {11Ji DAVID F. JAQUITH LETTER OF TRQNSM rffQL ARCHITECTS &PLANNERS 11 OBER STREET DATE: I Fmob. 101bb JOB NO.-.,5' 53 733 BEVERLY, MASSACHUSETTS 01915 PHONE: (517) 927-3745 ATTENTION:vAV 10 N4alQjS RE: 421 TO: 9 Ill l�&R-1'1a S ,Fbumi OrtJC4 DST WE ARE SENDING YOU: ATTACHED Under separate cover via the following Items: ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Copy of letter ❑ Change order ❑ Specifications i=15t-7 /lLrpOft� COPIES DATE NO. DESCRIPTION THESE ARE TRANSMITTED as checked below: ❑� For approval 13 Approved as submitted ❑ Resubmit copies .for approval Lal"'For your use ❑ Approved as noted ❑ Submit copies for distribution C a requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19_❑ PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO: Pld1l. �l+✓N _ I enclosures are not as noted, please notify us at once SIGNED DAVID F. ARCHITECT'S OWNER ❑ �OZ.50 ARCHITECTS &JAPLA'NNEM ARCHITECT ❑ FI; L ', REPORT OBER STREET CONSULTANT g6y[R�,Y,IMASSACHUSETTS 01915 AIA DOCUMENT 0711 FIELD ❑ (617) 921+3745 PROJECT: t�•j �jl'Lp .�/] SC'!?.1=�6T FIELD REPORT NO 2. CONTRACT: `��{�„�.� ARCHITECT'S PROJECT NO: 8 �.� 7 DATE? MPJ,-A6jW-r TIME 16:4'j A-1A.. WEATHER e L.•0001' 15be TEMP.RANGE �j��'-•�e0�1lwISItD� EST.% OF COMPLETION Z 15jy. CONFORMANCE WITH SCHEDULE WORK IN PROGRESS JPMRJO ' CAIN-1&54,, PRESENT AT SITE OBSERVATIONS • ri�l�AdIZ4, r-VC - O2-0 Ft- IIU WA- d ^t)Or fft, 444C>0eX> Arr LE4-9.5r IV' roruvk,uo Rr�aartrYo\vluorarr5 'Io A".&>-,V FoV-.*It-,AC*W cr e� P.r. cua..$Kax+t• «s �lJ4L� r-��l1l.G�r qa m t1AAjac4srineou�4o TrLoo1u-101ST tv 2L30 4" Pqr (..lo1sT' /r�u2T' �1-C1F�l�..� H cFF oR• �lPW4 Dt7�PW�t� a�.. • \V{}�12t �fi.•loc��a4�n1 ol`S FI✓IGsS� FCbOvL� bH�a P.�c+El-� (7-E f3Y A. (v;2) &12 l+r,-Ad2W-rZ- 'i'D gu t L T u P lye 4 1bc:�J'S i-H-SS V, vexaS7s DWgT �E"f'TZPd�5�=G1�7a TFt� FY4��FK.rv'�[� l fZr=A,Q. A 1't'loN 44a� T�vc spaYLief� }=YLA.i ITEMS TO VERIFY - INFORMATION OR ACTION REQUIRED F1Op1=F pe.^�157"i'--n Un�'�" �VNEK Pf..L1KJlFJZ+FF'h'O ATTACHMENTS REPORT BY; � AIA DOCUMENT 6711 • ARCHITECT'S FIELD REPORT • OCTOBER 1972 EDITION AIA® • ® 1972 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE., NW, WASHINGTON,D.C.20006 page l of pages DAVID F. JAQUITH , LETTER OF TRQNSMn7 L ARCHITECTS &�yFLANNERS� 11 OBER STREET BEVERLY, MASSACHUSETQTS0191�5�� DATE:QMgNC{} 141i).' JOB NO.: 5053 733 PHONE: (517 7-0374'9 ATTENTION: DAuI� H�}YLQ�i$ 1j RE: TO: CAV 1 f� �1Ac,(2rs, c ' � ESNs- $a&>A osT. L1E»ti- 13u �Ptt_ '�'►1 M Q . WE ARE SENDING YOU: ATTACHED E3 Under separate cover via the following Items: ❑ Shop Drawings ❑ Prints ❑ Plans ❑ Samples ❑ Copy of letter ❑ Change order ❑ Specifications ❑ COPIES DATE NO. DESCRIPTION MArKt{�t� (two d13 THESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted ❑ Resubmit copies .for approval ,. For your use E3 Approved as noted ❑ Submit copies for distribution E As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19_❑ PRINTS RETURNED AFTER LOAN TO US REMARKS: COPY TO: t�Ver1P� If enclosures are not as noted, please notify us at once S I G N E WNER ARCHITECT'S AO�HITECi o FIELD REPORT CONSULTANT tl';I L AIA DOCUMENT 0711 FIELD ❑ `�l PROJECT: 42$i24�3T�7arE'1 ., FIELD REPORT NO: 3 CONTRACT: fWL, VF o-IotZ I' A tHITECT'S PROJECT NO:8�73� xrr, DATE 4/&odtj%f0f5 TIME OJ'Q rw uny WEATHER:` J R. TEMP. RANGE Fj0 )AS7& EST.% OF COMPLETION 70 No CONFORMANCE WITH SCHEDULE(t, -) ' WORK IN PROGRESS • PRESENT AT SITE G�Lrraea4►�I�:.V �.R, . tiH)/�t.�F11Jkt...['��.�Lla�io� l�rt,►f►Ut(Nr, 7D «tr' ��y Fb2Ylacpf OBSERVATIONS IvrwuoItim4rA11LY, IS VAE*YD�Y F12)(& abe'y 14F� oF� t aEr Fl ulwlPnn�t� wu OPF lZOL55,t+ L-Mr�cTWL- °rc-_ IS N�,1z/1,�19t>Y t�►C. iZotx.Ek SIaN�ea t3UTJt✓ILPLYy7 V>rNT w6s tKem -m Umm S1NIL ►►J VNII- rJ e1u 4T*f4l. T a,vEss Tests m o 1e.? 'SFT741 R6 FF?a n4- as►ta 7b 4i-* ¢tc9o►t— W 14.E79�- ffAS #?S " rtto o A ASD TS rauL.FerctR+s AXW/C1 14 R "JC06 fel" t'iNE�) • Awrnn&3s h" >cat 4w► two L.oOK.c coa ITEMS TO VERIFY 5/A" fr.c. PUAr We uSCD arij M-Uceru► S w/o el<c peri M 'f $.a\VP> Is c1 IC. A:r 'VA LIQ F-9MEM- St--fWEe►y NsvA 15 AT L.ITC117K.) IN a fJl'K. use- INFORMATION SEINFORMATION OR ACTION REQUIRED - b ATTACHMENTS REPORT BY: AIA DOCUMENT G711 • ARCHITECT'S FIELD REPORT • OCTOBER 1972 EDITION • AIA® • ® 1972 THE AMERICAN INSTITUTE OF ARCHITECTS,1735 NEW YORK AVE., NW,WASHINGTON,D.C.20006 page of ' pages OF- i�� J .c+ MEMORANDUM CIT TO: BILL MUNROE FROM: John R. Serafini, Sr. KRE _,42..Broad_St.�— In connection with 42 Broad Street, enclosed are voter registration list . for 1962 for the City of Salem showing the seven apartments and a note from the Assessor's Office showing the same, as well as excerpts from Polk's Salem Directory for 1964 and 1965 listing seven units. We are endeavoring to get rental records for that period which carried the number of units at 7 for many years prior to the. 1965 zoning. I hope this will be helpful. Centore ContractinLy 51 Bailey Lone, Georgetown, MA 0/833 • (6I7) 352.8974 4/14/88 M,r. .David Harris Salem Building Department One Salem Green Salem, Ma. 01970 Re ; Renovation of 42 Broad ST. Salem, Massachusetts Dear David; All rough framing both structural and non structural has meet or exceded all Massachusetts State Bmilding Codes in regards to the building at 42 Broad St. Sincerely , Bob Centore (Centore Contracting) cc; Philip Vener lQllc�� u,• � h rL /�i�r � 5 i�� 21 March 1988 Mr. David Harris Salem Building Department One Salem Green Salem, Ma. 01970 Re: Renovation of 42 Broad Street Salem, Massachusetts Dear David: We have inspected the rough at 42 Broad Street, Salem, Massachusetts and believe that to the best of our knowledge the rough inspection meets the Massachusetts State Building Code. If you have any questions please give me a call. S'. cerel/dr David F. Register cc; Philip Vener 17 June 1988 Mr. David Harris Salem Building Department One Salem Green Salem, Ma. 01970 {: Ver;l CIT°f O sal. i ;ti55. Re: Renovation of 42 Broad Street Salem, Massachusetts Dear David: We have inspected 42 Broad Street, Salem, Massachusetts on June 15th 1988, and believe that to the best of OUr knowledge the work meets the Massachusetts State Building Code. The work is almost complete with the minimum of electrical, painting, carpet installation left to be done. If you have any questions please give me a call. Sic rely, vid F. J it Registered chitect cc; Philip Vener Jaquith & Siemasko,lnc. Architects & Planners 8 ENON STREET BEVERLY, MASSACHUSETTS 01915 (617)927-3745 2flf l; r� 21 AFFIDAVIT I , Stanley Shmi•shkiss, Trustee of the Deitrick Trust, hereby state as follows: The Trust was the owner and manager of the property at'� 42 t - Broad-Street, Salem, Massachusetts for a number of years prior to 1965 , having acquired the property on a 6, 1959. There were always seven rental units on the premi es. Stanley Shmishkiss Trustee of the Deitrick Trust 825 Q e o� 019 8 ° 222 223 22 6 2 e i 1145. X964 Ir,AEO 14,92 23 G 6 � 5551 �g52 6311 1\ a x� : g0.s 4� 4b b q 66 ;80 2\9 22 q \3 2650 5/n 95bz ab se N gS N ab \s°'s 6iiF QQ 3AA 9 a4 C '\ \ti4 x lozo Db aS s bo \ 21,646 v B 6\ in O °`0G!3 280 CPA g2p0 \qs 0 3g, j7+ Q�J 1*0 (h A IJ+800 1 O b \a°'9 508 i4l 14 55 4q \� q0 A •� �9 /� S ab 2s ' c $ /b 611 19 /a0 lasi�6a 4 / 0 r V A A 9+�3 � / as O�j\ 55 ob 2 yk00 2 250 6808 a 1971 '18 0 02, 125\ b 1 a �g 9360 A / � 361 A// h 925 99 y I A9 0 °. ayb�y� g ", 600 2 a5 y5 0 p0 j0 gkQ p25 ' \ deo s° 22 rya s � Gj \01 386H ,.•�'v,t� cc: City Clerk Building Inspector. Salem Historical Commission CITY HALL. SALEM. MASS. 01970 ;I 745-9595, ext. 311 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that. the proposed construction ( ) ; reconstruction (x) ; .demolition ( ) ; moving ( ) ; alteration ( ) ; painting ( ) ; sign or other appurtenant fixture ( ) work as described below in the . . . McIntire Historic District (NAME OF HISTORIC DISTRICT) Address of Property: r42 Broad � Name of Record Owner: P.H.I.P. Realty Trust (Philip VpnPr — Trncroo) - DESCRIPTION OF WORK PROPOSED: Replacement of existing windows with new wooden thermopane J.B. Sash windows with Tru— Grid muntin system, replicating existing multipaned windows with same number of panes. will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic Districts' Act (Federal Laws, Ch. 40C) and the Salem Historical Commission. Dated: SALEM HISTORICAL COMPffSSION By n 1 U .�G2/1 Chairman m qfC/111VE D�qP Salem Historical Commission ONE SALEM GREEN,SALEM,MASSACHUSETTS 01970 (617)745-9595,EXT.311 William Munroe Inspector of Buildings City of Salem Dear Bill; This letter is to inform y_outhat=because the work of building an addition on the rear of 42 Broad Street isnot visible from a public k way within the McIntireHistoric`Distr-is-t;`it is not within the jurisdiction of the Historical Commission. We therefor see no reason to delay the work on this addition. This letter only adresses the issue of the addition to the rear. Sincerely; W - Kent Healy Preservation Planner J cmv cc: City Clerk ai Building Inspector K J' Salem Historical COMMIss1011 - �K� CITY HALL, SALEM. MASS. 01970 /��ni�. C7. V2K¢nr L� Tr, 744-4580 3 Se✓ nor cd . CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed construction (X) ; reconstruction ( ) ; • demolition moving ( ) ; alteration ( ) ; painting ( ) ; sign or other appurtenant fixture ( ) work as described below in the . . . McIntire Historic District (NAME OF HISTORIC DISTRICT) Address of Property: 42 Broad St. Name of Record Owner: PHIP Realty Trust Philip Vener Trustee DESCRIPTION OF WORK PROPOSED: Construction of rear addition on same footprint as former porch, painted Driftwood Grey. Demolition of dilapidated garage, construction of new garage as shown in attached plans. Body to be stained Driftwood Grey and doors to be stained Dark Grey. will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic Districts' Act (Federal Laws, Ch. 40C) andthe Salem Historical Commission. Dated: Iy , 1, lZ 1SALEM HISTORICAL COMMISSION U -01 By �( AA JA SIr nn Al Chairman t4 1.34 PNSr �r 1. lA��l tl�#'�A{'r ,i'd�ti � t�f�Wej, s1,f•Fi .I t�+ r: �5�) 1. i;gil: t WY` ?I r}�y k l n 0 1•!il,p .. AF-r V• Mt r 2 s f t" rix N t `b p )�` ' `dsJ , r vP a'`, t < ' b ,^v�"F,. a},ij,.).. 4 ^t� y , .• � w by vt"�� ) • , s .r r.... FJ f;,k ai ' ung` r - t t WARD 3 PREC NCT 2 ` No. Noma Age Occupation Ru. 1961FNM No. Nome Ape Occupation Ras. 1961 Natty / BROAD 97RBEf + 19 Corbett, Freezes A. 48 Hairdresser • 55 Carro' • 14 Oils., Marjorie 9. 5g At home • 57 Monet 1 J. wkr 39 Endicott 21 Tardiff, Marian 46 Housewife Florida Cm. • 57 Parka 32 Lee. Ann 20 Lea.Housewife 39 Endicott 21 Tardiff, Leonard 54 At home Florida Can. + 57 Parka y 21 Tardiff, Leonard Jr. 23 Colonial R•n.Cars Fla. Can. • 57 Parka r) E. 32 Housewife • 21 McDonald, John L. 54 Foramen • 59 Conwa x. J. 36 Gas Sta. Mgr • 21 McDonald, Am M. 50 Huuaawife • 59 Cones ce W. 26 Factory wkr 25 Duri • 21 McDonald, Richard D. 25 Student + 59 DeOri et R. 20 Housewife 25 Dunlap 23 Lockwood, Vernon 45 At home Marblehead • 59 DoOri Anthony 55 Contractor 23 Lockwood, Joyce41 Salaaglrl Marblehead • 59 Davis tmry 48 Housewife 23 Beck, Marion 9 At name Marblehead • 59 Davie 92 At home 23 R•sce,Robert E. 34 C.B. wkr New York • 61 Bram e F.Jr. 23. Service 2) Reece, Bernice 32 Houaewlfe Naw York • 61 Byrne a L. 22 Houa.wlfe 25 Denaro, Sam 34 Gas Sta. Ate. E35OX • 61 Byrne dnlck 66 Barber 25 Conoco, Florence 31 Huusewife Bnsex • 61 Byrne Cy R. 29 Teacher - 25 PI.trasa, John 40 Engineer N. Y. • 63 Sulli ah C. 59 Housewife 25 Pietrasa, Bernice 0. 37 Housewife N. Y. Can. + 63 Sulli ;•st R. 30 Salesman • 27 Putnam, Alfred P. 54 Office wkr • 63 Waite ..uellne E. 25 Housewife • 27 Putnm, Rctamond W. 48 Housewife • 64 Noodle Tophi. 68 Hou...its • 28 Sewall, Donald F. 45 Tel. Co. amp, • 65 Dum, 22 At nom. Somerville • 28 -Sewall, Elisabeth L. 39 Housewife • 66 Gray, sid F. 28 alae. hlpr • 28 Gardner, Kathleen E. 55 At home • 66 Oreyy en R. 26 Lamp kr • 28 Gardner, Patricia R. 32 Med. Sect'y • 68 Sullf M. 50 At home 28 mas Gardner, ThoR. 22 At home • 68 Sulli men. 70 Housewife • 28 Sewall, Helen 67 Housework • 68 Sulll .me110 73 Retired • 29 Jones, Quinton 0. 58 Sculptor • 70 Steel E. 21 Meat packer • 29 Jones, Helen T. 67 Teacher • 70 Steal r, A. 22 . Hairdresser • 30 Baker, Roland S. 54 Tel. Co. amp • 70 Steal 1ma M. 42 Factory wkr a 30 Ba'..a:r, Barbara L. 50 Housewife • 70 Whall Fusrgaret 40 At home • 30 Baker, Je.trey K. 30 Tel. Co. mp a 70 Wells .0 S. 49 Custodian • 30 Baker, Marjorie L. 28 Tel. Co. aup c E. 36 Housewife • 32 Hayes, Joseph 78 Painter 32 Hayes, Rosa M. 73 Housewife ,n H. 37 Lea. wkr • 32 Harris, Fanny 0. 56 Bookkeeper • 24 Qulnc .,.1 no 42 she. wkr a 32 Thompson, Jo a0M1 ne 61 At home • 2!, War .,,cant J. 45 Lea. wkr 32 O'Connor, Nell • 7 Cook • 26 Thom; F. 47 Meehinist Revere r 32 La Duke, Karl* At home • 26. Thomt k'INTRNOP STREET 34 Small, Edwin Y. 54 Historian • 26 Thomi 34 Small, Carmen 59 Housewife • 26 Dame -y E. 60 Secretary 34 Mahoney, William L. 68 Retired • 26 Calle era H. 53 Secretasar • 34 Mahoney, Josephine B. �8 Housewife • 27 Undo lcil W. 47 Salesman • )4 Mahoney, Y1lllm L. Jr. )'! Attorney • 27 9hrli F'. 84 At home a 34 Mahoney, Marguerite J. 29 Housewife • 28 Hance! .a ph E. 49 At 35 Cunningham, Henry D. 52 Supt. • 28 Hamuc 'erl ne M. 49 Housewife 0 35 Cunningham, Mary M. Supervisor • 29 Shre, 76 At hone • 37 Ddossi, Clerics 69 Waitress a 29 Shrei .s J. 54 Sh1p.C1 ak 37 Dio..L, Marina B. 68 Waitress • 30 Phil] .:;a A. 66 Housewlfa 37 Diezzi, Josephine 70 At home • 30 Phil] -]au H. 67 At home 37 Dioasi, Rachals 78 At home • 31 Phipi 38 Temple, Howard J. 66 Retired • )I Phipi :sem B. thome : ' - 38 Temple, Marie C. 64 Howewife • 31 Dom, W. 79 Retired Housewife 38 Capadis, Rom V. 37 Secretary • 33 Hebw H. 74 H :ah • 40 Lessor, Willi" J. 39 Plant Mgr 34 Shaw Ca 60 Lea, wkr • 40 Lessor, Kathlem C. 57 Housewife • 35 Beer, alae 50 Stora Clark • 40 Lessor, Marla T. )I Nurse • 35 Rearc 22 Service40�.I,�toor._Williem J. Jr`2 __Mach. Oper. 35r Partt leen A. 35 Tal. Supv. -2 Dybesak, Adolph 5S Machinist 35r Partl ,,at A. 57 Hnuaewifs 42 Dybcsak Leokadia 52 Teacher ` a 37 Usha - J. 62 Salesman • 42 Banks, 6racs I. 51 At home ) • 37 Ushal - J.Jr. 32 Carpenter • 42 Banks, Ernest B. Jr. 23 Expeditor • 38 Rose, mk 0. 42 Crush.Oper. • 42 Foster, Wilma L. 60 Office wkr • 38 Coff, '.ena J. 41 Housewife • 42 Archer, Russel 64 Male Mures • 38 Coff, :pre 31 Broker • 42 Crawford, Patricia 23 Accounts rat • 39 Bark, ,sclana 59 Housewife 42 Crawford, Charles 23 Service • 39 Baml store Jr. 61 Lea. wkr 42 Halford, John Jr. 25 Ind.Aect. Service • 39 Hart, .ua L. 53 Sales lady 42 Halford, Nancy 20 Office wkr Com. • 40 Babb, E. 66 Housewife • 42 R a Margaret 40 Lamp wkr / • 40 Babb al V. 65 Lea. wkr �'---44 Vacant ----- • 41 L.igl :mrd G. 41 Heating Eng. 44 Beaulieu, George 25 Auto Body shopll Hersey 41 Grif', -carat T. 44 Housewife • 44 Beaulieu, Marcia 21 Housewife 11 Hersey • 42 Lew& ,cis N. 31 Carpenter • 45 Pappageorge, Stephen 40 Millwright • 42 Law& :y J. 27 Housewife • 45 Pappageorge Florence 40 Elect. wkr • 42 Barr ,.cis R. 40 Corp. Tech. • 45 Ryan John {' 73 Shoo wkr 43 Vaca l L. 36 Housewife • 45 Braat, Leo F. 64 At home • 44 Sha' ;n A. 57 Truck Oper• • 45 Brault, Mary E. 50 Housewlfa • 46 Su1L rglnia R. 54 Housewife 45 O'sparoni, Guarino 45 V A Hospital • 46 Sulli so 54 At home • 45. Gasyeroei, Margaret At home m a • 48 Sea cnilda 79 At home • 46 Mulligan Alice I. 81 At home • 48 Sam, • 46 Kenney, John J. 26 Meter Rdr • 47 OLComor, Charles R. 73 Retired • 47 OLCo:mor, Elisabeth 71 Housewife • 49 Kelley, Emily M. 35 Housewife 34 Forester • 1Day, d • 49 Relief, Joseph J. 37 Chem. Tech 34 Forester • 1 Day, • 49 Stank�•wlea, Amlelo 79 At hose 34 Forget ar a 2 Bropl • 50 Robbins, Bessie L. 87 At home • 2 Bropi • 50 pryer, Catharine 61 Maid • 3 Moroi 51 Vacant • 3 Mora • 51 Dospotopuloa, Kay 39 Dental Aaslt • 3 Mora ! • 51 Deepotopulos, Nickolas 46 Clark • 3 Marc) j • 52 Call'han, Katherine A. 54 Office wkr m 4 Nera 52 Vacant • 4 Nara, • %2 Levl.. elh... e. tl. nn"— • L Y... AwF Or A 7 x a � • �A t s- 3sa t - .i T� VY f � Y � x e ` X S '" 1 ✓ Yi " _ ,'4. f5 Tl U C@ q�Mb ' ytiTEjil.4 � E{I.��I!Rw� eS fS+ c t _ . • � .-1t. � { Sri G1 'fe'� � p ,'. • 1 1 - f f 4"a c�4„ �i:��qs. �•- '�-'n.5 r5"''�`� T�-r c ♦ w�"� t�-" :. Ni+' "; ^'wwwrtv�aimpg g 6 y.INCOR�bRATRn ` P � •7�5�:' .»TtOtEJN47a.GF F►°cAlie and Plutnbhiy Suppro, + . BEVERLY i�tr 8"COtt1A ..: 81 Deepotopoulos Ntoholee 8 r ap S COLOP Malde! 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Archer Russell H 11 Bennftt John F 0 I. �{ t 44 (leallCy Geo Onl John jr PI4-71'068 15 Jonas Irving Q 01 2724 43 Pappagookgo 9leph b 0.PI4-0;69 20 19 Marta Chas'C 0 JF, 814q + - 3k'jy; y Rysn John 111011,n Arth H 0 J 88 "raltl, 24 Hamilton Fred L 04 1. r ' I - daaPe'od7 ullno F I 2A Walker Pasl N O'JEL 76Q2 ~; 46 Mullllisn AHeO 10 P14-87.1 92 .Ahas6n tanurice W 0JRI+261!.' 47 O'Conror Chas )1 0 P14-4148 93 Suit a Bruce D 0 JEtI p Phe heglry FNnt b Moll y ohs R , t 1 49 Ke11�9,yIP h)0 P 34. English k 1, . '` 6o Robbiml 136"is L Mrre•�1S -; 30a" Frank R 4A JESr26gQ6 +, ',. t ,( (Darton Ie"b" P3}-6ae - - 40 fCYaise®e3yJa4ee r 0 JS1 Abed � :, 'Kl 1f a:, :..;._ rlsoe wm E a JE1 4704 '?sj y lr ,. rv ' tz i r ' M+ 11 � .. � . ° 'Iu✓h� Jf MIf t;� . tw�X ...f k ..x k,". � ,yr4}�+ (Ra r7r.A eYet'e�' a R� �._ � t�r.-r }j y-'T +sr.AYy ti r�3"r�•i�y,� 4 } i fr i r� .y, rY y.i is 5 1 � � � 1 I �, ,g g: r yY,c. "w '°S; '•sem..-..' '-Lt.. �. I W. F ]t £ JE a '€ ♦moi ;�"o3 A.. �. 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J7.U� ut y =&:�Frylyfr x +VBl y'tw 1,)'�,�� 6 5 II ' ki, I r 1 it. 1F_ t, v t.c� { �. r i f 1 r ! 9 1 1 n Jr 1 ✓ XN > ..t 't hYa rK R V 1 S. 4'.1 PI ff+ ytY r f Y r �J ,v�{.�'� \r 5f '��+!<� �� §{ti l »f,.t - rq; r 2 os Irl + .�w�a1' z .a tv y f{N I , �.F t 5 i�).d raYYr ¢�;��'Ii[ a��f_..ilt 'fiat ✓ Z. � 4' �, , P104ST--CONTD CITY SCHOOL DE Pi-SUOVR OF 70. SMITHURST BEND F ATTENDANCE 744-0298 1r -FL IAT.INTER 5 EC T8 'NORTH SNORE UNITED FUND .•y' ' 05 ',SYLVARIA ELECTRIC PRODUCTS '744-1713 , ( NORTH SNORE COUNCIL INC BOY SCOUTS OF AM 744-5008--------------------------------- 2 O'DONNELL ARTH E • 744-6717 { VYe 1 . 11A 3OLIVER SCHOOL 744-2135 f 1! SiGGS.ST PROM 92 WASHINGTON SO 4 FAIRCLOTH NN K,744-0426 tl gl� EASY NORTHEAST TO p ICKETT ILYNOR 744-7930_T3 NEBB NO 2 7 SALENPUBLIC HEALTH CENTER M-LOON MM G-747-3406 1'CLINIC.- MOMA" JEAN T MRS.744-1202 CITY BOARD OF HEALTH 744-0924 CITY HEALTH DEPT 744-0924 F EENEYRA 801E-2AN F' EENEY 1014,745-272a' STATE DIV OF MATERNAL C CHILD $MATSWELLALF 1 • 744-3968 -HEALTH HIKULSKI RICND A'•.74S-0393 STATE DEPT OF'PRE SCHOOL , r � f' POWELL DAVID'6 744-0277: AUDITORY TRAIN{NG t I .' SHINIARSKI STANLEY G • - 'ONITE0 CE0.EBRAL PALSY ASSN OF )44-2963 THE N SHORE INC 744-0126 BERKY ILII 4 .NORTH SHORE ASSN FOR RETARDED } L16p+C v ' fit y9 LESSCIYNSKI WALTER S 745-2840 "CHILDREN INC 744-1227 3 LURAS JOSEPH • .744-4)19 NORTH SHORE COMMITTEE ON ?;•` 1 ' LARRAII RATH J WAS 744-2573 ALCOHOLISM 747-2121 C NORTH SHORE CHAPTER MASS HEARTrtY y " tij 4'CHERUB.HOTEL NURSERY 745-0891' ASSN 744-7902 �� KNOCKENHAUER RUDOLPH B OPC SUR 0151 NURST COMMITTEE OF WOMAN• • 145-0891 . 5 5 CAROIC III DBT M. 744-3441 FRIEND SOC T44-1649 �6 BURNS JEREMIAHS • 744-7569 `)q' YAAIPNON-E E • 744-8297 t , 'f VACANT T B R IGNER LOTT IF, R 4-0.5 • 715-1101 CAROM 'ALF A 744-2531 -10 �ROWN MOPE M MRS • 744-0268 PROULR ANNA M MRS. ---CAMBRIDGE ENDS P DERRY EDW J 744-0758 12 SPRAGUE RICHD K • 744-5632 BERAY GEO N • 715-1942 14 NISWALL RATH C MRS- • 744-110.1 7 O0.181NONICL STANLEY 744-6167 14% POOL IN TERRY 144-7276 J1 CECELSKI ARTH 1 • 744-8137 LB DICKERING HOUSE IBUILT 16711 y, :i 1I LILLIAN A MRS 744-211 ':PICKEAING JOHN • 744-1647 {1 ; M•� BROOKS GEO JR —PARKER SO BEGINS 0. I RYB iff,,KI JOSEPH F "-WINTHROP BEGINS RYBICKI ANNA MRS • 744-1870 . 14 CAMERGA C MEADE • 745-1461 r£ ? BROOKS GEO • 744-6976 193'GILES MARJORIE 3 MKS 744-5534 ? HELIN 040.1 F • 714-1019 "'PICK ERING BEGINS # SOSOCINSKI STELLA MRS 21 COLONIAL RENTAL SERVICE.AUTO '•'.i SOSOCINSKI HENRY,J • 747-0976 RENTALS 744-2270 "J!; 5 SYMEE LENTS J 741-5446 TA0.0/F MAR(ELLE 0 MRS 144-527$ WARD JAMES F 745-0042 WKNEMSNO ROBY D �y), 1 LIEBSCH ELMER W J40744-7136 ab MASTE RSON MN R DIXON CORNELIUS DOWLING JEAN MRS 144-7779 23S. EVANS- GARY H 'T44-7547 PELLETIER LEO 0 27 09NARO SA14L A 747-2489 It ARSENAULT NELLIE MRS • E3{,SARBATO DAN ! 711-6746 je t 744-5838 27PUTNAM ALP P 744-6343 1 PERKINS MARY P '• T44-0489 26 QUINN ROOT.J T44-3086 VACANT 28111 SEWALL DONALD F. • 743-3312 4" t KELLEHER FRANCES M HAS 29 JOME3 QUINTON O ARTIST 744-4414 - T44-1768 y�4 �A -FRENCH FREOK A • 144-3770 -!-HAWTHORNE BEGINS .' 1 O'KEEFE JANE MRS 744-1864 10 {.6AKEA;ROLAND 5 6 744-0469 i O'KEEFE JOSEPH A • 745-2466 31 CATHOLIC CHARITIES CENTER OF HUGHES MARY T MRS 144-4719 TME N SHORE 744-0203 'I'a POUSLAND MERLE P • 745-4118 32,MAYES-ROSE'M NRS • 744-6346 HILKINSON CLARENCE E 744-4846 LA' O11K1MARIE MRS .-.r KONIECi NY JOHN J 744-4692 INDMPSON JOSEPHINE N 744-6961 s , O'NlIL .MARY MRS. - ,1 Y � -------------------------- '31 -MALL EDWIN FINE-4302 µ _ . ` ISA MANONEY JOSEPHINE B' MRS '.i STOL ST -FROM 15 WEST AV NORTH 'O A DEAD END ND 5 33 CUNNINGHAM HENRY D • 744-0771 X 57 OIOLII RACHEL • - ! 010111 MARINA B.• 7H-2502 { " CAROM EDH0.EM A • 744-8458 36 TEMPLE J HOWARD • 144-2020 nOAIM ALICE I MRS • 744-4067 'JfP ;1 ft IN MINNIF K MRS 747-3944 CODADIS 0.05E V MRS., WN J • 744-5251 GARTLAND MARY A 744-4904 42' APARTMENTS. rt PORTELANCE ARTH 0 9 744-8231 '1' FOSTER WILNA L 747-0715 O'OONMELL GED 745-2731 2 BANKS GRACE -I M JALBBRT NORMAN E • 744-2437 RS 744-4880 - Y BA NRS ERNES T-,E JR El LUNDERGAN JOSEPH f 4 744-4069 ! JALBERT SHEILA L 4 OYBCIAK' ADOLPH L 744-1749 ........ ....... .......--. _-._- 5 CHIPMAN SANDRA L MRS 6' 6 REGAN MARGT ') MRS 744-8242 COAD`ST -FROM 40 SUMMER 7.YACANY SOUTHWEST -TO 2A JACKSON NO ) :STREET CONTINUED 'IE RR ILL ANNA M MRS 714-7949 4 Li,07AT0 DONALD 4'743-3378 1 ✓ CITY SCHOOL DEPT 714-0441SCpTT`WAYNE R 745-1613 PARTIE 'PHILIP - 743-0023 } Sv�r iy 3 IT." nre`r .CON nraCtv of Ienl' flAassar4usdts Y 3 Public Property Uepartinent uilbinq Prpartntent V (One ,,algal (6reen 745-0213 William H. Munroe Director of Public Property Maurice M. Martineau, Ass't Inspector Inspector of Buildings Edgar J. Paquin, Ass't Inspector Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp. February 12, 1987 ' John Serafini, Sr. , Esq. 63 Federal Street Salem, MA 01970 RE: 42 Broad Street Dear John: I have reviewed the plan submitted for property located at 42 Broad Street and your question regarding the enclosure of porches. I would call your attention to Section VII L of the Zoning Ordinance. 1 . It would appear the porches existed prior to August 27, 1965. 2. By scaling the plan, the existing porches exceed the five (5) foot side yard setback. 3. Prior to the issuance of the necessary building permit, permission to issue must be obtained from the Fire Chief and the Board of Health. If I can be of further service in this matter please contact me. Sincerely, Wi liam H. Munroe Inspector of Buildings WHM:bms Enclosed: Plan of Property The Commonwealth of Massachusetts * Department of Public Safety � DEC 28 A H: 4l Massachusetts State Building Code(780 C Building Permit Application for any Building other than a One-or Two-Family Dwelling `D (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 addr(? s not available) 42 Broad Street Unit 3, Salem 01970 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[3 or check all that apply in the two rows below Existing Buildingl] Repair IN Alteration ❑ 1 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? Yes ❑ No M Is an Independent Structural Engineering Peer Review required? Yes ❑ No S] Brief Description of Proposed Work: Replace existing tub with new 60"x30"x75-3/4" shower unit. Remove existing marble file flnnring and inctall new tila.in second flnnr bath 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) ❑ 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❑ 1-3❑ 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 ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ 1 IV ❑ 1 VA ❑ 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 Zone❑ 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 FBstoric 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:/ �lLl ds�C'Gf2�rGC . i SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Isabelle Leinster 42 Broad St. , Unit 3 Salem, MA 01970 Name(Print) No.and Street City/Town Zip • I � y Property Owner Contact Information: 979-_7.4,5 354Fi - - igahollol ai netar(domail ,COm Title Telephone No.(business) Telephone No. (cell) e-mail address V If applicable,the property owner hereby authorizes Peter C. Farmer P.O. Box 5201 Beverly Farms MA 01915 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 cu.ft.of enclosed space and/or not under Construction Control then check here 0 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 Frontier Construct-inn Company Tnr- Company Name Peter C. Farmer 020958 Name of Person Responsible for Construction License No. and Type if Applicable P.O. Box 5201 Beverly Farms MA 01915 Street Address City/Town State Zip 978 922-2900 978 423-6093 frontierconstruction@comcast.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? YesEl No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)=$ 14,000 1.Building $ 14,000 Building Permit Fee=Total Construction Cost x" (Insert here 2.Electrical $ appropriate municipal factor)=$ 154 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to City of Salem 6.Total Cost $ 14,000 (contact municipality)and write check number here 9144 SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my me below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is u and accurate to the best of my knowledge and understanding. y� President 978.922.2900 12/27/16 Please print and sign name Peter C. Farmer Title Telephone No. Date P.O. Box 5201 Beverly Farms MA 01915 Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date r Appendix 2 Construction 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 information of the registered professionals responsible for the documents. This appendix is to be submitted with the building permit application. Checklist for Construction Documents* Mark"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 1 Electrical 8 Plumbing include local connections) 9 Gas Natural,Propane,Medical or other) 10 Surveyed Site Plan Utilities,Wetland,etc. 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Program 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review 521 CMR 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to triple the original permit fee. Registered Professional Contact Information Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zi Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Discipline Expiration Date Street Address City/Town State Zi Appendix 1 For the demolition of structures the building permit applicant shall attest that utility and other service connections are properly addressed to ensure for public safety. Please fill in the information below and submit this appendix with the building permit application. The building permit applicant attests under the pains and penalties of perjury that the following is true and accurate. Property Location (Please indicate Block # and Lot # for locations for which a street address is not available) No. and Street City/Town Zip Name of Building(if applicable) For the above described property the following action was taken: Water Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Gas Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Electricity Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) CITY OF S.UXINi, NbsSACHLSETTS Bull-DING DEPART.%cviT 120 WASHINGTON STREET,3so FLOOR TEL (978)745-9595 FAX(978) 740-98" [q,%IBFAT F-Y DRISCOLL 1�1AYOR IkomAs ST.PtERRa DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name(BusimssiOrganizationilndividual): Frontier Construction Company, Inc. Address: P.O. Box 5201 City/State/Zip: Beverly Farms. MA 01915 Phone#: 978-922-2900 Are you an employer?Cheek the appropriate box: Type of project(required): 1.0 1 am a employer with 4. ® 1 am a general contractor and 1 6. ❑New construction employees(full and/or pan-time).' have hired the sub-contractors 2-El 1 am a sole proprietor or partner- listed on the attached sheet.t 7• 0 Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity. workers'comp.insurance. 9, ❑Building addition [No workers'comp. insurance S. ❑ We are a corporation and its 10.❑Electrical repairs or additions required.) officers have exercised then 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions myself.(No workers'comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.)t employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#I must abw fill out the section bclew showing thew worker'compensation policy infumtalian_ t l lomeowners who submit this affidavit indicating they ate doing all work and then hire outside contractors most submit a new amdavil indicating such :Contracion that check this box most attached an additional sheet showing a,a name of the sub.tontmctom and their worker'comp,policy information. l am an employer that Is providing workers'compensation brsurance jar my employees. Below is the polity and Jab site information. Insurance Company Name:AGgnrintpd Fmnlnyprc Tncnrance romnanv Policy#or Self-ins.Lic,9: WCC-500-5008598-2016A Expiration Date: 9/24/17 Job Site Address: 42 Broad Street_ fin;r 3 City/State/Zip: Salem, MA 01970 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 S1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of 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 c• Ijy cad r the pains and penalties of perfary that the information provided above Is true and correct. Si>'natttre: Date: 1 / 7/7 F Phone#: 978-922-2900 OJreial use only. Do not write in this areas to be completed by city or town offiefat City or Town: PermidI.leense# 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#: Contract No. 147 r Page No.1 of 1 Page Mailing Address: P.O. Box 5201,Beverly Farms,MA 01915 'x T Office Address: 198 Common Lane, Prides Crossing,MA 01965 MEMBER_ (978)922-2900 Fax(978)927 2057:>5;ya; HIC Registration No/04711 Exp.Date 7118118 + Construction Supervlsor License 0020968 , Submitted To: Date: December 13,2016 Isabelle Leinster lob Name/No: Same 42 Broad Street,Unit 3 lob Location: Same Salem,MA 01970 lob Phone: 978-745-3546 a, E-mail: isabelleleinster@gmail.com w We hereby submit specifications and estimates for work to be performed and materials to be used: SECOND FLOOR BATH RENOVATION ' 1. Gut existing vanity and vanity top,save and reuse. 2. Remove marble tale flooring. 3. Open up flooring for new shower unit waste piping. 4. Remove toilet,cast iron tub and 3-piece tub walls. 5. Plumber shall disconnect all water piping for vanity sink and shower;reconnect vanity and provide new plumbing for shower unit. 6. Install one(1)4-piece white Sterling Ensemble 60`x3fy'x75-3/4"shower unit with Symmons shower valve and drain assembly unit with rain shower head and new toilet(fixtures allowance$1285). 7. Install blocking and two(2)stainless steel safety grab bars;one(1)vertical on right side and one(1)horizontal on re wall. `8. Repair subfloor as needed. ,. 9. Install Durock'A"cement board in preparation for tile floor. 10. Install tile and grout on complete floor(tile and grout material allowance 45 sq.ft.®$200).- ,r T 11. Install 2"the and grout boarder around shower stall(tile and grout material allowance 35 Ind.ft.®$100). 12. Repair wall areas as needed. 13. Install 3-1/2"speed base board. ` 14. Reinstall existing vanity and vanity top. 15. Remove and properly dispose job-related debris. .16..Painting or electrical is not included Construction Related swings: CITY OF SALEM BUILDING PERMIT SIGN Contractor shall display business sign on location while work is in progress unless ratified w he oosbary. WORK SCHEDULE Comrector will not begin he work or older the materials before he third clay following he signing of this Agreeirent unless specified here in writing.Contractor will begin dre work on or about .Barring delay caused by dicurretances beyond Contractors control,the work will be complete by .The owner hereby acknowledges and agrees Nat the scheduling class are approximate and that such delays that are rol avoidable by the Contractor shall not be considered as violations of this Agreement WARRANTY The Contractor warrants that the work finished hereunder shall be free from defects in materials and workmanship fora period of one year following=piston and shall comply with rim requirements of this Agreement. In the event any defect in workmanship ormatenaa,or damage caused by the Contractor,his subcontrdclors,empbym or agents,a discovered within one I year aftercanpletlon Many job,including cleanup,the Contractor shag,at his own expense,forthwith rem use remedy,repair,corm replace,or cal to be remedied,repaired,or replace,such damage ors�M defect in wall orwollownship.The foregoing warranties shall survive any inspection perfamled In connection with the agreed-upon work.- We Propose hereby to furnish material and labor-complete in accordance with above specifications,for the sum of FOURTEEN THOUSAND AND 00 CENTS dollars($14,000,00). Payment to be made as follows: Notice:No agreement for home improvement contracting work shall require a down payment(advance deposit of more than one-third of he foist contract pry or he total 32°/s woo Deposit Upon Signing Contracil/ amount stall deposits or payments which the cenaacsr rust make,in advanw,to orde 23% S3200' Upon 1/3 Completion anovor otherwise obtain delivery ofspedal ordermatenats and equgment,whichever 23% S3200 Upon 2/3 Completion 'x` amounaareater..,. + - - 22% $3000 Upon Completion Notice:All home improvement contractors and subcontractors engaged in hone improvement contracting,unless sp must exemptfrom mgaCommby provisions of +.,�.., m .. - ,- 1,13MChapter142Asf the less.mgisbloragisteredwihhe be made to the Director, Massachusetts.Inquires oboe regatrasonaM stars Should be modes he Director, ' Home Improvement Contract Registration,one Ashburton place,Room 1301,Boston, Terms: Finance charge after 30 days on unpaid balance 1-i/2%per MA 02108(6171 7 2 78 5S8 month or 18%annual ercenta a rate. "' Acceptance of Contract-I have read both sides of this document and accept the prices,specifications and conditions stated. I understand that upon signing,this proposal becomes a binding contract. You are authorized to do the work as specified.`Payment will be made as outlined above. - You,the Buyer,may Cancel this ti�ansaction at any time prior to midnight of the third business day after the date of this transaction. Cancell ion must tut done in writing. D NO=11GIS CON1fZjCT I THERE ARE YANK BL SPACES. Signal Date Iy �n Date 12/13/16 �a AuthoriAd Signature Peter Farmer,President Signature Date ""' Nmc This proposal may M withdrawn by us if not accepted within 30 days CUSTOMER RETAIN WHITE COPY;RETURN YELLOW COPY IMPORTANT INFORMATION ON BACK 4 . �Opryry//%M2UlP,((^^"•,0� '"'" �LGbECtd R-. CqL Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTR'CTOR Type: Reg. Bonn' 104711 Private Corporation Expiratiun�7T15YL018 f- �jAPANY,INC. FRONTIERCONSTRUC i12, Peter Farmer 198 Common Laoe Under Prides Crossing,Mp`01965 �fMassachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-020958 Construction Supervisor PETER C FARMER PO BOX 5201 BEVERLY FARMS MA 01915 = n M�M Commissioner Expiration: 02/22/2018 i Sally Murtagh From: Isabelle Leinster <isabelleleinster@gmail.com> Sent: Wednesday, December 28, 2016 2:46 PM To: Sally Murtagh Subject: Fwd: Bath Renovation @ 42 Broad StreetSalem, MA F , From: Isabelle Leinster <isabelleleinsterG��gmail.com> Date: Wed, Dec 28, 2016 at 1:09 PM Subject: Bath Renovation @ 42 Broad StreetSalem, MA To: smurpagh(a,salem.com Cc: Frontier<frontierconstruction(cDcomcast.net> At the request of Frontier Construction I confirm that the other condo owners in above mentioned building do no object to the work to be done on the bathroom in my Unit#3. They are as follows: Bryan McAdam Unit#1 Wolfgang Koch Unit#2 Pajo Vujkovic Unit#4 Jenny Collins Unit#5 Cynthia Spago Unit#6 Your truly Isabelle Leinster Unit #3 42 Broad Street Salem, MA 01970 t