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16 BROADWAY - BUILDING JACKET 16 BROADWAY STREET 4 Clll__ l__Jl lUl No. 153L HASTINGS. MN LOS ANGELES•CHICAGO•LOGAN.ON MCGREGOR.TX-LOCUST GROVE.GA U.S.A. TO MR JIM SANTO BUILDING INSPECTOR 8/15/89 SALEM,MA RE,-:�SALEM PAPER CO. JOB-,-�- DEAR MR SANTO, G THE FOLLOWING ITEMS OF WORK HAVE BEEN COMPLETED SINCE THE PREVIOUS REPORT. 1. STEEL ERECTION IS COMPLETE. 2 . MEZZANINE FLOORS HAVE BEEN POURED . 3 . ROUGH ELECTRICAL WIRING IS COMPLETE IN THE GENERAL OFFICE AREA. 4 . WORK HAS STARTED IN THE NEW COMPUTER ROOM. IF YOU HAVE ANY QUESTIONS PLEASE CALL ME. SI LY Y ' RS' MR FRED LENOX � a A of r d N n co A m 2 m< t n 3 m Z7 p x � n y C= to Co 1 i 3 Cite of '&arem, '41a!5!6arbU5ett!9 Public Vrnpertp Department i6uilbing Department ene&afem Oreen (975) 745-9593 (Ext. 350 Peter Strout Director of Public Property Inspector of Buildings Zoning Enforcement Officer April 2, 1999 Kevin Silva 18 Broadway Salem, Ma. 019 RE: 18 Broadway Dear.Mr.-,Silva i.r. As you know, we are in the middle of a court process. This department is willing to allow you to.address the items listed below so that your business can continue to operate at this location. 1. Information needed for a change of ownership to be shown. 2. General clean up of area of all loose debris. 3. Removal of office trailer now being used by Mass Towing. 4. Removal of boats, unused trailers, and motor vehicles. 5. Starting motor vehicles prior to normal working hours. 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 Peter Stro t Building Inspector cc: Al Viselli Councillor.Kelley Donald Hess July 26, 1989 Mr . Fred Lenox Fred Lenox A. I .A Associates 22 Winter Street Newton, MA 02169 Mr . James Santo Building Inspector Salem, MA 01970 Re : Salem Paper Company Job Dear Sir : -� The following items of work have been accomplished in the above job. 1 . Foundation for the block walls and columns . 2 . Block walls in the general office area . If you have any questions, please call our office. Thank you. Sin er ly y rs, �' ? -t c -rim r _o Fred Lenox ter^ CID z A. I .A. rrn m p a m � s Cn — 41 m H t'm Sep.' 27 '33 12:52 0000 FRED LENOX RSSOCICATES TEL 617-244-5441,,- P. 2 yMayr aM 14 Yl I 77+1 low 04 ., �� 67 iii• ."! � �.. '.t � � �` p"4 C7 yr . C t: I� 441,E TP T 777000 ' � i September 28th, 1989 TOS Mr. Jim S�InLa BuSlding rnQpector Salem, 14A From; Fred Lenox Assoc. , A. 1„A. Re! Salem Vapor Company job Dear Mr, Santol The following iteme ' of: woi^k have befin (;omp i,(:ted since the pieviol;s report. As Of this date, all the work ur)der coIitrart h,,” b(3en com- Pleted as Por plans anti spF.3cii ioal.joll$1 1. Partition walls removad. 2. New ceiling tiles & 1-tUhtil'1<7 f i.xtixtes .li, vci laeeu .Instal;l.ed, 3. l4ew .floor tilos hrAve been iM t.alled. If '•You have any questtcans , pla.sH (617) -5441. e i a ly .vs, S.xCed, Lenox Arohitect T 'd T77S-77Z-LT9 131 S31HOIDOSSH XON3-1 G36A 0000 e7:TT ee, eZ 'ddS 1 � gDILDINC DEFT City Hall Salem Green 2 Salem, Mass. 01970 OCt REC��ESD NA$5 CI Y OF SAL September 28th, 1989 T0: Mr. Jim Santo Building Inspector Salem, MA From: Fred Lenox Assoc. , A. I .A. Re: Salem Paper Company Job Dear Mr. Santo; The, following items' of work have been completed since the previous report. As of this date, all the work under conti:ac t has beer, com- pleted as per plans and specifications. 1. Partition walls removod. 2. New ceiling tiles & lighting fixtures h.,ve: been installed. 3. New floor tiles have been installed. If you have any questions , please call mia at (617) 244-5441. cerely urs , Fred Lenox Architect t�'�7..,r1, "y'(_: •'. T i I E 1 ra = 4 G. o ff F9 1A ._: T F] i=, T I O N Tx �AN NATIONAL BUREAIJOFSTANDARUS 'IED sus i LABORATORIES, Inc. AVDA • P.0,BOX 2041 LTON,GEORGIA 307222041 FAX:1404)2266118 CARPET LAP REPORT OF TEST NUMBER 47483 March 7 , 1989 x. I T: Philadelphia Carpets Division Lab. Test No. 6422603017 Shaw Industries, Inc. 1 P. 0. Drawer 2128 ) Dalton, GA 30722-2128 ECT: Carpet samples submitted and identified by client as "Style 50497 ,'; STRATEGY(0201,89-26)" {-SAL RADIANT PANEL FLAMMABILITY TEST !mens of the sample were tested for critical radiant flux In accordance: r'. a ASTM Test Method E-648, NFPA 253 ani FTM Standard 372. The value reported; he average of three specimens. Assembly: Specimens were mounted. on "Sterling" fiber reinforced cement: TSt• r'i <s .u., board using Subset G-.1GG0 adhesive. 4" TEST RESULTS Detailed Data Are Attached Hereto �t1a Tyle u k Average Standard Coefficient Critical Radiant Flux Deviation Of Variatiun 0.29 watts/sq. cm. 0.02 6.0`k .... sample tested meets or exceeds the requirements for NFPA Class 2. k I For CERTIFIED TESTING LABORATORIES, INC. IN t "rhb toct r. e!M a cCrdence w1th iwn. . t:10 crl;3rla t ,orth in the report, any variation, in io S crltorla nay pro ducq different re3ults ' P / I _t APPLY ONLY TO TNt tAM•L[ TttTtO AND AIR NOT NtC[tt ARILY INOICATIYt Or "It OVALITIt• O/ AP/ANINTLY �UCTt. TNtlt Ll'R[I1t ANO 11[•OMt ARS •OR TNt Utt ONLY OF TMS CLI[NT TO WNO4 TNtY AN% AOOWStO 111: 1 0 46 SHf-=1 W - TRA T T OhJ �= NATIONAL ,I, BUREAU OF STANDARbs E D LABORATORIES, Inc arida* ER • P.O.BOX 2041 • , LABORATORIES, GEORGIA 307222041 4j FAX:(404)2266118 iJARPET LAP AAA s sr P �V I "ihlo loaf roport :elates to In.^.teliatton In accordenee wI!h Y t`o crl:erie oat forth in tho rc;:r., ar.y variation In Iho ' C1*"AUff&2WUM WMIT,`AigiR 47488 Critical Time Distance Radiant Flux Q. men 1 44.2 minutes 53.2 centimeters 0.30 watts/sq. cm. i SpA men 2 37.3 minutes 53.8•centimeters 0.30 watts/sq. cm. .: I men 3 50.4 minutes 58..`. centimeters 0.27 watts/sq. cm. rzi AV GE: 0.29 watts/sq. cY. @a dard Deviation: 0,02 Co's flcient or Variation: e,0% i s i •.r y IY.TEA� AND AVOATS APPLY ONLY TO THE SANPL{ TESTED AND ARE NOT NECESSARILY INDICATIVE 01 THE OVALP11lt OL APPARENTLY 'rt�.wt O SIMILAR PRODVGTS. TNISt LETTERE ANO REPORTS AAL POR THE USE ONLY OA THE CLIENT TO WHOM THEY All AOOAtSSED YciIR YMUNICATIOM TO ANY OTHERS OR THE USE OF THE NAME Of CERTIFICO TCITINO LA40RATORIEY, INC. rMH R[Cawa ; 'h`• Fx:OA'Y'RITT{N APPROVAL. THE REPORTS AND LETTERS. AND OUR NAYL. OR OUR AfALI. OR nu ... — .__ _. _Iv Y.2e 1" ] 4 7 S H iti LJ :_: T F.: rl T T I.1 t-J nd > T , a NATIONAL / r: y WREAU OF STANDARDS 77. EA E EDZew LABORATORIES, Inc. [�05 RIVER. E' • P.O. 41 F DALTON•GEORGIA 30722-2041 ONE:(401)x, 1 FAX:(404)2266118 CARPET LAP NO.0108 " � r f a : REPORT OF TEST NUMBER 47487 March 7, 1989 • CLIENT: Philadelphia Carpets Division Lab. Test No. 6422603017 -, Shaw Industries, Inc. P. 0. Drawer 2128 Dalton, OA 30722-2128 a*, SUBJECT: Carpet samples submitted and identified by client as "Style 50497 , STRATEGY (020189-26)" . I SMOKE DENSITY (NBS) I Smoke density teats were performed as directed in ASTM Test Method E 662-79. The, results of testing are as reported below. Detailed data are attached hereto. Operating Conditions i Radiometer Output: 8.1 MVy„ :rradlance: 2.5 watts/sq. cm. + I Furnace Voltage: 123 V Burner Fuel : Propane i ,Pressure: Positive Under Three Inches Of water A?" TEST RESULTS v Flaming Mode- Non-Flaming Mode'• Average Average Corrected Maximum Specific Optical Density DM (Corrected) 204 550 Specific Optical Density (DS) At 4.0 Min. 213 498 For CERTIFIED TESTING LABORATORIES, INC . l , O n Ft`, �e s�t bh a / c-1R LETTERS AND REPCIITS APPLY ONLY TO THE SAMPLE TESTED AND ARE NOT N[ClllA111LY INOICATIVE OF TNl GOALITIE) OT APPARENTLY T(NTICAL OR SIMILAR PRODUCTS. THESE L""RS AND REPORTS ARE FOR TME USE ONLY OF THC CLIENT TO WHOM TNIY AMC ADOR{IEEO _u TME1S EDM MUMIEATICM TO ANY OTMGS OR THE USE OF THE HAMS. OP CERTIPIEO TESTINCI L.A80RATORIE8. INC. MU41 RICUYE r EF _ 1. 2 - c; •i TLIE 117 - 40 SHNLJ . �� T F2 itiT TI_I r.l ' J C/C'� E D a.� Ng7lONAL BUREAUOFSTANDAROS 1105RIVE . , LABORATORIES, Inc. addQ� 11�ONE:(404y • P.O,BOX 2041 • DALTON,(;EORGIA 30722.2041 FAX(404)226&118 CAFSPET LAP NO.0108 ATTACHTO PM'O" NUIBU 47487 Flaming Mode i Chamber Temperature (Start) 100° F .000 F Specimen Number: ! I_ _? _..3.._.._ Avg Minimum % Transmission (TM) 1 .5 Time To Attain TM (Minutes) 3 Maximum Specific Optical Density (D; ) 241 227 230 233 Clear Bears (DC) 30 28 27 DMC (Corrected DM) 211 169 203 20,1 1 Specific Optical Density (DS) At 1 . ' Minutes 92 79 84 85 1 Specific Optical Density (DS) At 4.0 Minutes 221 214 203 213 Non-Flaming Mode Chamber Temperature (Start) 100° F 100° F loo° F Specimen Number: 3 _ A�- Minimum `k Transmission (TM) 0.0031 0.0019 0.0028 0.000� Time To Attain TM (Minutes) 8 7 7 6.7 Maximum Specific Optical Density (D ) M 585 823 605 808 Clear Beam (DC) 55 60 59 DMC (Corrected DM) 540 585 546 550 3peolfic Optica) DenAit.y (n3) At 1 .5 MinutAs 45 4A AS e- Specific Optical Density (DS) At 4 .0 Minutes 509 513 + 4A8 i a1, 1►TTl IIN SMO LARC RT✓1 dRLT G4C TL L.i 111Y1:: ::inn Jen u1 YM Yrrrn nur Nm1n..u1a sr .:,• mnL�n// •• �.r.�.Apgl1, +.+ICALmCI ON SIMILAR MOO TO A OTT InOLA{ n ; dL�Onr1 wnI ron TNI V/[ ONLY Or `IDO TNfI[ COMMUNICATION TO ANY OTNYM 011 '-},I�q/J 0, TN[ NAYI •y./1/1/_WIITIM {IIIIOV{I. Ty1 REMO . •u -- - --- TO WHOM THEY AIII AnBA L.. �.� _ �.___ OI CLN TI IIIn rllrw� _ NAtIONAL Cf `T!/� :,'REAU OF$T;ANOARDS ED �.� �//// LABORATORIES, Inc. !''IV[RAIi�J F.O.DOA 2041 DALTON.GEORGIA 30722-20,11 "�.h:E.(404)Q E� • FAX:(404)22661-18 i.kRPEiLAP N0.0108 REPORT OF TEST NUMBER 47485 March 7, 1889 CLIENT: Philadefthia IIar1)ArN Ulvisinn I,nh. rPsr No. Lsgz2nuasil7 Shaw Industries, Tnc. P. 0. Drawer 2120 Dalton, OA 30722-21281 SUBJECT, Caryet aaRlplev NabwlLted and ldentlfled by Aleut ;:u "31y1e MOd07, i. STRATNGy, (020189-26)" . TEST PROCEDURE Eleetrostakle propensity tests were Performed as speeifled In AATCC Test Mr.thud ; t34 . EpooiMOBD wars naeditianed at 91( P. 30% relativa humi4ity. Tnatn worn; porformad uoing the indleoted soles, ELECTROSTATIC PROPENSITY TEST RESULTS Neolite Soles Sample Test Step Identification No. KV Polarity 50497 STRATEGY 017 0. 1 Negative 020189-2d 0.2 Positive i 0.2 Positive 1 i d Foy` C4RTIFI&D TfifTI11C LABOR,ITOR[fifi, IA]C. I I, Jo Fra �. LII I ,I —104 AND Noyanv[ ag1Y nNi, ,, •Hf CLNaL[ TC{T[O AND ARC NAT NCf CCaMILY IHDiDMI•q O. •u• OVAIJIIC• p• ♦al All[NTLY, •:ICIL 011 CIM ILA II PRODUCTS. TNCCC -1'TCgC AND 11(IONTC AMC FOR TNC Vil ONLY 01 TN( CUCNT TO WNON iNIY ARl LaDCCO[O; welA 2(NH VNIAATIdN +L ANS' (TH \• ♦R „�l vA. b EGTI II(fi Tti s'1„� 1s Dvnn,v»,a.. ,»:.. ,Na♦ •ReC”[ ,N W(ITT/N'VfMYRI TNL NIIL;T ND LITTUI[ BIND O( OW LL{LL, N OUR INSIGNIA AMC NOV ONR(R ANV (IC 4.. ... R. .,r. ,.. ♦n.•R.,amn ... ,. . ..., ... .... ` � -a 'D �L�RIf3iIMlSt�Ef*:E04114119 APPROVED BY T44E JNSPFCIAR PRIOR TD..PERMIT BEING GRANTED CITY OF SALEM No. �� Oats `f .l 8 Is Ply Located in Location of ON HlatorhC MOW? No x Building l(a S2©,A.�l bu It Property Located in the Commervadon Arse? Yes No BUILDING PERMIT APPLICATION FOR: Permit to: �`�` (Circle whichever apply) Roof, Reroof, Install Siding, Construct a6k, Shed, Pool, Repair/Replace, Other: QV* r—L '.%t2ACjF _ PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's Name I c3/ �w. T�'� ✓ufi�= ToG ���.u�u Address & Phone Architect's Name tQl��d�tiw� Address & Phone 'Z ZI W A,9 , Mechanics Name 606 Address A Phone Pb ,%X yy AAr6leAofl (17 VOW is uw purpose ct aYaW L,Ir F A- G AX16 kj Mate W of b kWq? iBa _V 'St CGL II a dw"ft,for tow many families? WIN b Ak kq conform to law? E5 Asbestos? 1 j 0 Es*naW cost City ucwm r N P' Maw Lim" k S g 3 ( 6 ttaua Iaptoverant LL--' f I o Signature of Applicant SIGNED UNDER THE PENALTY , OF PERJURY DESCRIPTION OF WORK TO BE DONE rA b ik-tUD Cz�( MAIL PERMIT TO: l(p � , — AAiI� �t4.70 � I No. -dam APPLICATION FOR PERWr TO LOCATION. PERMIT GRANTED O 69 s ao AP ROVED INSPECTOR OF BUILDINCIS fj VK Proposed Production Mgr Existing ❑ffice ❑ffice Work Area w, Proposed Production Mgr Existing Office ❑ffice Work . Area I The Cotwmomweo/th OfM4isw usdty IJA Dgffh eM oflmdrdsiWd Aedde" Ofa 0ljkw&%WkR8 . 600 wdsltlmafdn Sbtd Bostony MA 02111 wwmmdsdoi✓!Ie Workers'Compem don Instu mee AffidrAt BDOdemContrador&Mee ridan*Tlumbees ADDHemst Inf►Madys Please Prjnt j, gft Name P Address: ?�O •- C�tI+/StatdZip: `l+l (` fl( Phane ro ` Are your am emftw Ch."k tk'F# oprlate boo' Type orpre�(w4draft 1.(] I Mn a employer with t. [2 I am a geoaal eemhaca, and I 6. ❑New eonaduetioa employm 0A and/or par{time}• bave bleed lira m*�c oes 2�1 am a sob proprietor or pa roof• timed of 16e attr3ed sheet= 7. ❑ Remodeling l `ship and have no employees Then mb-contraaon love S. ❑ Demolition wmkina for ma is xomopacity.. /'.gip,mt�ooa 9. Bn>Wbg addition Pin wn��00mp ipad�e 5. ❑ W��oorppndp�'sa¢ib' 10.0 P.toedinl rrpssa or addition 3.01 bomeowna.doag all work rikfit of per MGL' 11.0 Pmmbing spas at additions nzywx[No wo kcw.costo a 152,1; mil;:�ie6.ve'so 12.p Roofnpain I 13.0 Other ioaatamoe •AnyappVcmAdt�btomertunoWnfieo%djp•lens.ed*w*ovhq**,WM ampm.,y,,plyinftnodw ;Any yoabodiairtwitMacoila anwdft4watadamhj'iadaicootl z6*wLdtaamvMI m3 tCa�d iddmktWtraa'dmeMAW b@dMmd doe downgar Moo t+tdYaboaa�rfenadttoiwodba'amPITT +� law dArswpbyd►rAmr lePa t 'e 1NM7 'Jrdet.btltrpoBgP awdiJni alas Jmfww dfast. Insaranca OnmpmyName: L Policy A or Self ins I.ic N C V 6b go Date; Jab Site Addmm f(a DY?m'At) CDAA, Wty/SoOdlip: £.C;cat Adak a copy of the workers'eompeasa dom poiley declwMm page(lbow•lag the potley number and explradon date)6 Failwe to secure aovenpe as regaued aWar Section 25A of M%c, 152 can lead to the impositi m of er®al penalties of a tam up to S1,500.00 and/or one-year imprisonment,n well a e civil penalties in go form of a STOP WORK ORDER and a tine of up to$250.00 a day against the violaw. Be advised that a oopy of dth statement may be fuwwded to d w Office of Investigations ofthe DIA for issuance owemp verittation. I As Adwfyewe wsdwdro pobw aadpemabAer ofpdr/ary Am*e befwatontom pmvidrd abow is#w dad ewrw& Sianawc Darr Phone f• 0AkI t met** Do rat wrke A.1Ah&moo to br eoa►plertd by co orAv w ojjldd City or Town Pertomeenre o Issuing Authority(drde ones 1.Board of Health 2.Budding Department 3.Cityfrows Clerk 4.Efeebuat Inspector S.Plumbing Inspector IL Other Contact Person Phone 8• Information and Instructions fa their ampl oym Manaehnaettr e;eneal Law.a 1S2 rsgsaes aR employesa 1# 4, , Wider any camrMofbin gamest tu this statute, an mViqw is defined a ...every lid P, 11 o:impli4 oral o;wriae.' aaoda>lo%covers"eir Arta legal emtily,or my two orr mode An arplohe►it de6oed i� and mchtding the W re�mssaves Qf s decened omPIO 0e tho of the fcaegoiog enygatt J� association,or otber ko canny,employing employea Q receiver air owner of a dwelliogo muse having��dM&M and who resides 14aeia,of a�dwellm�Loate dweDang house of another who employs P�Os n do m 00° or repaQ wnu� 4oa the gtannds orbuildIDg appertmaat t>tereb shall not bacon of such amploymeatbe deemed to be as employee MGL ebaPar 152,12SC(6)ales states that"every As"ear local ScOu sg ageaey aYae room ld the lessee or reaewd d a tteeima or p�to operate a bslsesm or to ecato t bandlap V the tommoa2V re appgeaat , has sat peed A 1 atxepsabM Oman of eompid"Ce with the Worms"eevengm rMat� AdditiosaltY,Mt'.$.chapter ISZ;12sc( )*later"Neither gee commonwealth ter any dill political mbdiv� ahmfl ester into any casuad Sox the parfermoaa of public wort noel acceptable evidence of compliance wilh the i mgauemems of this cltapm bave been ptxamtud a the 0=%acdng Bath M'* the bona that apply to yoor situation and,tf Pleas fill out the rvorreas'eompenaation affidavit oompletdy.by cheek wi&thel cad9eatda)of neoeswY,supply mb. d )nmme(sl addras(es)an¢phones mm�berU)ak01 with no employeem other that the kstusneei Limited Liability Compnin(M or Limbed t iAft �u c or Up does have members Ofate not required to Cary wotltas tODO�°io ao ffie Deparimast employee4 s Pn�n n9anod'.Bc a'�� a Nk�tip matt date the atgdavm L ffi ahoold Acoidmts for wnt6rm of imtaance coverage or license s being reg=24 sot the Depart of be returned to the city or town that the application fur the Permit �or if you are regaeed to obtains workers' have any ouutwu wgardiof Indmaid Aceidcmvmwnpo p°mc D the Dq*uomt�zm,hW��". Se][immed companies ahoa>d inter thdr seK-iosursoca>irxase ssatbex on me C"or Tows Ofsdds please be sure that the affidavit is comPlcte and lmnted le&tY' The Department has provided a space at the bottom of the affidavit for you to fill out m the evert the office of Imestigatiom has to contact you regarding the applicant Please be sine tu tilt in the pamWlkcme noaba which will be used a a reference Mober. Is addition,an applicant that mnrt submit multiple Pams,& mw applications is mny given year,nett only submit one affidavit indicating Cruront mfmmanon(if neeemaary)and ands"Job Sias Address"the applicant should write"all kkationa m (city Or licy"A bopy ofthe af�dsvit that has baea officiaAy abaipe0 oLt by the�y or town may be provided to the applicant a proof mat a valid affidavit is an fib for tlmore P1a n licenses A sew affidavit rtoatbe Shed out each year.Where a b owner Of cidaa it obtaining m license or perm it rot rdated to any business or ammnc=W venture y oma (is.a dog license or perPermitto bum leaves eta.)said person is NOT Tophid b complete this affidavit. nm Office of iavestipboos would]Hite m thank you in advance for your cooperation and should you have any questioM pkae do nit il, " e to give ns s call+ The peparmtent's ad&M telephone and fa number: The Commonwealth of Massachusetts ftawlent of IndtiseW Accidents Office of Invattgadons 600 Washington street Boston,MA 02111 Tel. #617-7274900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/dia CITY OR SALKNp MASSACHUSETTS • PUBLIC PROPERTY DEPARTMENT 120 WA9NINOTON STREET, SRO FLOOR SALEM. MA2SACNUBETT9 01970 STAMLEY J. UEOVIcZ, JR. TELEPHONE: 975.745-9593 EXT. 380 MAYOR FAX: 978-740--9845 Salem Building De afteni Debris Disc 1 F rm In accordance with the provisions of MGL c40 S 54, a condition of your Building Permit is that the debris resulting from this work shall be disposed Of in a properly licensed solid waste disposal facility as defined by MGL Chapter III, S 150 A. The debris will be disposed of in: (Location of Facility) S*,4tl�� Signature of Applicant" Lf Date f1wNS1AVST1K#K ID4HD AfWMVEO BY IM JdS ZCXDB PRM TV A PEBWT BJ^M ORANTkD CITY OF SAL,EM 0. V� D ft �Z Mid Zfty mow Is PMP"Untied In Lo6atIm of ft'" in le obbw Yas NO X 90LUL" h P MOM LOOVAd in ft CornmMon AMC Yak—No x Permit to: BIJILDING PERMIT APPLICATION POW 001e whW*m apply) Roo(, RwW, In@W Slftgp CanWwt Deck. Shed, Pool, Rawmaph". Odw. Renovate Office Space PLEASE FILL OUT LEGIBLY A COMPLETELY TO AVOID DELAYS N PROCESUn TO THE INSPECTOR OF BUILDING& ' The undaraipnad hKOW applka for a permit to build aocordWq.b the.fallowirg speoNbadom: Owner's Name Soundown Corporation Address d Ph" 16 Broadway, Salem, MA 10970 1781 ) 631-9611 A 0hltW$ Name H.H. Morant & Co.. Inc. ACkkM lk Ptlarle 221 Washington St., Salem,"MA 10970 ( 978 ) 744-5354 Mechanics Name Address A Phone ( ) wh11 b ft ptfP M of b~ Office/Industrial (SAW W at b~ Steel/Masonry la dNId41n0w hM1 mw oonew? Wn hwh"OCr/n 10 inw? Yes No EfOmM Cw $310.000.00 CW LWa • VAW(,jpblraa• CS 053241 AZ Slip aLura of Applian SIBN■D LNiDER THE PENALTY, OP PWLRW DESCR�TI m OF WORK TO BE DONE Office renovation of former retail and office space aporox. 8.000 SF with first floor and second floor mezzanine. Renovation to include demolition, concrete, masonrv. caroentrv. doors glazing, drywall, acoustical ceilings, flooring, painting, fire protection, plumbin¢ and electrical. MAIL PERMIIT TO; A&M Construction Co. Inc. 36 W. Water Street Wakefield MA 10880 v• r, ft.A,. a 1 I • 1 Puauc,PROPPM tkPARTMENT 120 wARHINQTON VMWff, aRD FLOOR SALLM,MA 01 a70 TaL (970)745-mae 10M 390 FAR (a78)7404184S STANLEYJ..YUsoV=Z, JR.. MA DISPOSAL OF DEM AFFIDAVIT In mccmdsw@ with the provlsions of MM c A S349 I aclmowled,a dId Is a coodW= of Bm']dinS Permiit/ .28 debsia rem14o3 Am tba comstrticdm udv* povemM by ibis Buil ft Pc=it dM be disposed of m a properly ficemsed solid mimb disposal ficMW,m MAW by MGL c UL SIX& The dgb&WM be disposed of at: Licensed Disposal Co. - Waste Solutions to legal landfill . Loca>!ca of Faa'fi1y . aa>se ofPerma iwppiicaot Dab PL An PPRR>N�CXZA mfo®aho° Mark E. Roberts Name of Pmnk Appficsot A&M Construction Co.. Inc. Fmm Name,if my 36 W. Waater,Sfreer. Wakefield- MA 10ARO My Ad&cjg,.,. R SWe The above statM roglrires that debris from the demolition,rewvdion,rehab or othw alteration of ba'l ft or strncdme be disposed m a Properly-iicemsed soH&wao disposal facility as debaed by MGL cIX S 15K sod the buildb*permit or licema are to. Mate 60 location of 60 facility. BOARD OF BUILDING REGULATIONS r_ License: CONSTRUCTION SUPER VISOR Number: CS 053241 y - Birthdate: 05/30/1957 Expires: 05/30/2005 Tr.no: 13236 Restricted. 00 MARK E ROBERTS 72 ALEXANDER RDA LONDONDERRY. NH 03053 Administrator. ii 00-35,0D0 cf enclosed space .I . tI (MGL C.112 S.60L) 1A•Masonry only )) 1G-182 Family Homes t Failure tD possess a mmtnt edition of the t Mmsadttxsetts State Building Code R is cause for rav fion of tfds license. ! �r. e l' 4 DIG SAFE CALL CENTER: (888)344-7233 ' f j G ' l.ommontu� o f�a�aChuds�d 1Japa�iwaef l,��l�idri��a� boo ,Uy1.d;yi.!S1pe.1 aHw!1 uamae w aa.daa.Nr 02111 Commulvair Workers' Compensadow Imisramm ANl nAt Mark E. Roberts . . widA.a principal place of badness aC 36 W. Water Street Wakefield• MA 01880 do hereby•cerxll r under rJhe pats and pemaldes of pwl.m also 0 1 am an emplom phi workers' compassed" CW44"#a for mry emwWress worklas on this )sr. Harleysville Worcester Ins. Co. WC8E5177 inauranp Complex flolleyNumber t I an a sob proprietor and have ao oen working fdr me to amy aoadw. () 1 am a job proprietor, general contractor or homeowner (cods one) and how bleed the corlaacton listed below who-bow tbi following workers' comwetarssloe PoBdest Ceetreaw Insurance CAMPaNYIPOW.Humber Cormracsor Insurance CompanylPo Ntrmbsr ft Contractor insurance Company/►oily Number () I am a homeowner performing all the work myself. •I reavuam ow a dal of 06 aaewan.a be 1w►araa 0 ON o to r bwadtae N of or DK ear ca.waa..rOtasen me as Hasa ea man co.aratr ar rrear,e.aaw Sadao 21A d MGL 15 2 can Nae r ow Woes'(aa of 01 * aeaade taaadat al a eoe el a W4 iJMM sWer ant Tram':aen women a ere a ds aawtio in an iwm of r STOP WORK ORDER a",br of s I0CAO a an aaeiw er. Signed this . 2` day of .ictrseei Ferminet ii.yP ' ng Gepa ent //bciinsln/ EDare Seiectmens Office =nhh Geprr-.mer� _ .ecCr Ye " 404 epe 40e 77F III - ------- --- ------- ---- — 5CY-GLi-GPJP74 11:.]G , Hmri w ,wl FROM :BUILDtNrDEPARTMENT FAX NO. :9787409846 Sep. 23 2004 07:43Arl P2 q SONSTFUCT:�t1 SC;L�RSL PROJECT NUMBER: PROJECT TITLEI PROJECT LOCATION O NAME OF BUILDINOr NATURE OF PROJECTe IN ACCORDANCE WIT SECTION 127.0 OF SHE MASSACHUSETTS STATE BUILDING CODE, I, 1Z,jy{/ �egiscration No. � BEING A REGI TERED PROFESSIONAL$NG!Nrhri /ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS; COMPUTATIONS AND SP£CIFICA TIONS CONCERNING$ ENTIRE PROJECT ARCHITECTURAL STRUCTURAL FIRE PROTECTION ELECTRICAL MECHANICAL OTHER (spetiry) FOR THE ABOVE NAMED PROJECT. AND THAT, TO THE BEST OF MY KNOWLEDC£, SUCH PLANS, COMPUTATIONS AND SPECIFICATIONS MEET TI{£ APPLICABLE P90VISIONS OF THE MASSACHUSETTZ STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND APPLICABLE LAWS AND )RDINANCES FOR THE FROPOSED USE AND OCCUPANCY. FURTHER CERTIFY TUAT : HALL PERFORM THE IECE_:ARY PROFESSIONAL ZERVICE:, AND BE 'RESENT ON THE CONSTRUCT:= SIT£ ON A REGULAR AND PERIODIC BASIS TO DETERMINE Y!IAT THE WORK IS PROCEDING IN ACCORDANCE WITH THE DOCUMENTS APPROVED FOR THE BUILDING PERMIT AND SHALL BE RESPONSIBLE FOR THE FOLLOWING A2 SPECIFIED IN SECTION 127.2.2: I . Revisit of shop & irW, :apples and otter --utiroittals nu the ccntrectar as mgmrea oy the =mCn Ctim ccnrr8Ct =rgntn as mjfttted ror 0"ld1rg permit. and approval rcr oaIfmalce to the deniol CtrlClpt. 2. ROVUW and appraral or the quality control procedure, Cor all c de-nrquirW cantrolled marerlals 3. Special architectural or engineering proinsianal irspecticn of critical onstructlm alratlalts requiring controlled material$ or cctgtrlrctitn specie_eC In the accepted aVNw-rug practice stsmards liatea In Appesnatx B. PURSUANT TO SECTION 127.2.Z, I SHALL nUBMIT PERIODICALLY, A PROGRESS REPORT TOCETHEA WITH PERTINENT COMMENTS TO THE BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL i:EPORT TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. SUBSCRIBED AND SWORN TO BEFORR MF THTC a nay nc GNA I- TOTRL P.03 .�•�sT�(�uA`�LyaryND�epersdnalry 5 / any 'peared before me,and proved hismer identib bon through E7i7 100 satisfactory evidence,which were 2 S( c�ylS wo0 6w lo6ethepersonwhosenameissignedontheprecedingortllach aruowwoD document in my presence on this 2Sw6ay df�t;Q` �v� 0 1✓d#i} >¢LU364�. ONIM SEP.23.2004 9:00RM USI NEW ENGLRND RI NO.400_P.2i IMPORTANT If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon, ACORD 25-S(200V00) 2 of 2 #S808081111I74973 CITY OF SALEM PUBLIC PROPRERTY o DEPARTMENT nt�ta:'RIEY URIM:ULL NolAy n 12C WA*C--.TMSMWr a ysUK 1611sSAC311.b:Tn0197s Test:97f.745.9595 a FAX:9M740.9946 Workers' Compensation Insurance Ailldsvit: Builden/Contracton/Electridess/Plumben Annllcant Information Please Print Legibly Vamctlwamosa/Oraanirariwvlm4vuluall: CA � ot7�:nC Addrns: 5 '�7 r• RtA1 oxsy� ' cityistarwzip: Q C-`l6C)'�ti yl/+vl'-W Phone a: S- 3a- �3a d Are you as employer?Check theappropriate boa: Type of Project(required): 1. 1 am a employer with 4. Q 1 am a goncral coulraetor and 1 6. Q New construction etfyfluyt.•ett(full atftLtu part-tofu).• have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- lived on the attached sheet : 7. ❑Remodeling ship and have no employees Theca cob-contractors have a. Q Demolition working for me in any capacity. workers'comp. insumncs. q, Buildi (no workers•comp, insurance 3. Q We am a corporation and its Q �� required] officess have exercise!their 10.0 Electrical repairs or add-coons 3.Q I am a homeowner doing all work right of exemption per MGL 1 I.Q Plumbing repairs or additions myself.(No workers'comp. c. 152,144).and we have no 12.0 Roof repaim insurance required.] t employees.[A'o workers. 13.❑ Other comp. insurance required.] 'Anf.ppliwot asp ebxite tax al mat also fin uut the metiers b anw rltowing th6e wWkSW aanpematia PWiay intumtatim 'I1u ttmr ms who submit eta oflldwit indicating Miry an Joins an work and am hire airmen tamrpaora mom sudsy a now an it iaJioring att¢k, C'uatmxtxs that chsk Min box mop anachod Atadditiarl Am Jawing do nice of the and thtw wurkea'comas policy oformatim I am an vesp/oyer that h providing workers'compensaten huurenee for my employees Below Is the policy and Job slte informer" Insurance Company Name: ^T e C�l7f- G r Policy f era Self--ins. Lic.d: W G �G 7 � _--_ Expiration Date: I a131 I T lob Site Address; CitytStatuZip: �(I eyK �V4- � .%attack a copy of eke workers,compensation policy declaration page(showing the policy number and expiration date). Failure to sucum coverage as requited under Section 25A of.1GL c. 152 can lead to the imposition of eriminal penalties Ora fine up to S1.500.00 and/or one-year imprisonment,ran well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a dry aguinst the violator. Ile advised that a copy of this stawawnt may be forwarded to the ODice of Inv.augmtutts ul'dte DIA for insurance covcrjyc verification. /de hereby cerd#under the pains and pepaldes a/perjary that the i oferma don provided above is time and correct 1i•:r, ntr•f _ . \� J �-- D:ae• (o/ 11 0 -�L' O/J&ie!are only no rear wrlre/it thdr aree,to ke campdeted by eroy er town o/f eisd City or Town: _.. PenniV1.leense M Issuing Authority (circle one)-. 1. Board urhealth 2. Building Departnfent 3. Citytrowa Clerk 4. Electrical Inspector S. Plumbing Inspector 6.Other Contact Person: _ Phone p Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their t mployeaa. , Pursuant to this statute.an eas/loyee is defined as»..-every so pern in the service of another under any contract of hire. empress or implied,anal or written.' An teas*yer Is do8aed as l.p � "as individvaareship.asoetance.corporation or other legal amity,or any two or more of the foregoing engaged in a joist enterprise,and including the legal representatives of a deceased employer,or the �ssocution t or other legal entity.employing employees. However the receiver a«wine of m individual.of m m ht a mad who resides therein.a the oocttpatm of the owner of a dwelling house having not mote than three maintapartienance. dwelling house of another who employs persons to do maintenance.cuasmuction or repair work oa such dwelling hears* or on the grounds at building appurtenant thereto shall not because of such employment be deemed to be am employer.* AtGL chapter 152.¢25C(6)also states that"every state or local licensing agency shall withhold the Issuance or renewal of a Ucease or permit to operate a business ter to ceastruet btsildlap In'he commonwealth far say sppoesat who has set prodtoad acceptable evideme of cetaptlaom with the insurance coverage required" :Additionally.MGL chapter 152.623CM states"Neither the commonwealth awe any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliamee w ith the insurance requirements of this chapter have been presented to the contracting authority.- Applicants please fill out the workers' compensation affidavit completely,by checking the boxes the&apply to your situation and,if necessary.supply sub-cantraetor(s)name(s),address(es)and phone number(s)along with their cenificae(s)of inauanee. Limited Liability Companies(LLQ or Limited Liability Partnerships(LLP)with no employees other than the members or partnersv are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Indtastrial Acgidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at de number listed below. Self-insured companies should enter their ,clf insurance license number on the app-"jt "^"line City or Town OQledais please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom. of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant fleasa be sure to till in the permtitllicense number which will be used a+a reference number. In addition,an applicant that must submit multiple permitllicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in_(city or town►."A copy of the rffldavit that has been officially stamped or marked by the city or town tray be provided to the ;applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be tilled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is YOT required to complete this affidavit. 1'ha 0111ce of Investivatiani would Rite Its thank you to ]dvance for your cooperation and should you have any questions, please do nor hesitate to give us a call. The Department's address, telephone and fax number. The Commonwealth of Massachusetts Department of hidtli;UW Accidents Odle of[nwgltptle" 600 Washinstan Street Boston, MA 02111 Tel. p 617-7274900 ext 406 or 1-977-MASSAFE Fax 0 617-727-7749 Revi>cd 5-26-05 www.mass.gov/sits CITY OF SALEM PUBLIC PROPRERTY DEPARTM- ENT ..u�ataY aL�a�tt AMa lie *Osi:9I. Z1s:WN7aYr9sf•f.�97eJ40046 Construcdon Debris Dispossf Affidavit (reyuirw for all demolition and renovation wort) In aaonisnm with the sildt edition of the State Building Code.790 CUR section 11 I.S l cW%aid the provisions of NGL c 40.S A Building Permit N _ is issued with the condition that the debris vaulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by%1GL e lal.915" The debris will be transported by: rho debris will be disposed of in : uame of iaatltty) .ita I� a$�. 'w rt �a `� n✓�e Tff6Ht?1� o� • ._ Boardot BuBd1bg Rngolotloro ud 3t"dltrftr HOMEJNkROVEMBMTCONTRkT.TOR"�`",. A k ?` its platMldikX-137667 ` -L T Pdval ho i--. ` �c. ype Corpdra BUILDING PETER ALLARD, x .. r 58RPULASKLST.. •� P�ABOOY MA0198„0 ""� Admieietr�tor � {" eau _.... _ �_—�_ $ . ._ _���• El x V Or E • .Y PUBLIC PROPERTY DEPARTMENT w..eKntrossont w� h:M7454 6•FNC 11t.1�6AW AlP11CATI IN FOR TM RKPA_m Ow&A 3N CONS TCPIOIw D A CHMGZ OF USE on SERUCPUR! Olt B tn-DtlntLim FOR A" KXMMG 1.0 SITi INFORMATION Locadon Names So" w ✓\ Suildina -- ( b Qrbiaw� Properly M kxand ins;Coneena0on Aroe YM�_Hislaft oftiat Y/N Y_ 2.0 OWNERSHIP INFORMATION 2.1 Owner o1 Land Name: /b brolt Address; TMephorw. 3-0 COMPLETR THIS SECTION FOR WORK IN E7USIWp BUILDINGS ONLY Addition Existing Renovation Number of 3torlea Renovated Change In Use ( New Demolition Exis ting Approximate year of Area per flow(sQ Renovated construction or renovation of existing building New adaf Description of Proposed Work: Gl� cr''o0 � --- ------Mail Permit to• _- - - - - What is tm current use at the Bui hV7 Q1 nL it dwallin&how 0"utuls4 materiel at Burl" Asbestos n VW ttr Building Cow to Low? s Nan e Address and Phone Madwdes Name o 0,b 1 Address and Phan 2 �OlA 1 as1C' , COMMudbn SUVONvisare Licansa ar HIC Rep o d X S71 Es*ratsd co" Paired FM Cala Eaynnsted Coat i7fi1000 Rasidentid Permit Fee i EstYeated Cost X i11/i1000 CommanW--- - -. An Adder$5.00 is added as an Administradve dwga. W"sure that am fields are properly and "bly wmen to avoid delays in PrOCOGOI & The WwsWod do"hereby any fa a Building Pwn*to wN to the above stated specibeadom Signed under penally of Penury Date /11 i r, ion b s �� a