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99 BROADWAY - BUILDING JACKET r i �gs�elte 74620 3�`.. Citp of harem, 1a9;garbU!6ett5 Vublir Propertp Mepartment fi r, �3uilbing Bepartment One.6aleni,oreen (978) 745-9595 ext. 380 Peter Strout , Director of Public Property Inspector of Buildings Zoning Enforcement Officer c©py July 27, 1999 Paul LeBlanc 19A Hardy Street Danvers, Ma. 01923 RE: 99 Broadway Dear Mr. LeBlanc: This office has contacted you and your son several times regarding the missing downspout on your property located at 99 Broadway. The Massachusetts State Building Code requires an owner of a property to maintain any structure or and all parts thereof Section 103.1. You are hereby directed to replace this pipe within fifteen (15) days upon receipt of this notice. Failure to comply with this order will result in legal action being filed in Salem District Court. Thank you in advance for your anticipated cooperation in this matter. Sincerely, Thomas St. Pierre Assistant Building Inspector cc: Councillor Kelley ND. ` ?_/ City of Salem Ward 1 � Y 4CLgNf.� Z LJ APPLICATION - FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT•Applicantto complete `all items in sections:1, ll, /it, IV,and IX. AT(LOCATION) /q�• U q 2A 6 D D STZONRICT/ LOCATION /fN0.I ISTREen </�7( OF L BETWEEN ll/'S�/[1TtIli INY� �GY�i� (CROSSS REE AND cit SMETI BUILDING LOT SUBDIVISION LOT BLOCK SIZE II. TYPE AND COST OF BUILDING -All applicants complete Parts A -D A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION'USE MOST RECENT USE 1 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential,enter number of new 12 ❑ One ily . 18 ❑ Amusement,recreational (rousing units added,if any,in pad D, f 3) 19 ❑ Chruch,other religious 13 Two or more family-Enter number 3 ❑ Alteration(See 2 above) of units ...........3.. 20 ❑ Industrial ................................. . 21 [:] Parking garage 4 RRepair replacement 14 E] Transient hotel,motel,or dormitory- 22 E] Service station,repair garage Enter number of units ........................... 5 ❑ Wrecking(if muttitamily residential,enter number 23 ❑ Hospital,institutional of units in building in Part D,13) 15 ❑ Garage - 24 ❑ Office,bank,professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 7 ❑ Foundation only 26 ❑ School,library,other educational 17 ❑ Other-Specify 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ Tanks,towers 8 It-E-Jl, nnwte(individual,corporation,nonprofit institution,etc.) 29 ❑ Other-Specify 9 ❑ Public(Federal,State,or local government C.COST lOmtmnNonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant, machine shop,laundry building at hospital,elementary school,secondary school,college, parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement ......................................................... *00,00 at industrial plant If use of existing building is being changed,enter proposed use. To be installed but not included in the above cost a. Electrical........................................................................... b. Plumbing.......................................................................... c. Heating,air conditioning............................................. d. Other(elevator,etc.).....................................................11. TOTAL COST OF IMPROVEMENT III. SELECTED CHARACTERISTICS OF UILDING For new buildings and additions,complete Parts E-L;demolition, complete only Parts J& M, all others skip to IV E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 ❑ Masonry(wall bearing) 35 ❑ Gas 40 Public or private company Will there be central air 31 Wood frame 36 2'011 41 ❑ Private(septic tank,etc.) cond@toning? 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 ❑ No 33 ❑ Reinforced concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator? 34 ❑ Other-Specily 39 ❑ Other-Specify 42 ®public or privatecompany 46 ❑ Yes 47 ❑ No 43 ❑ Private(well,cistern) J.DIMENSIONS M. DEMOLITION OF STRUCTURES: 48. Number of stories ............................................................ 49. Total square feet of floor area Approval r all floors,based on exterior oval from Historical Commission been received dimensions ......................................................................... for any structure over fifty(50)years? Yes_ No 50. Total land area,sq.n..-....................................... Dig Safe Number Y V K.NUMBER OF OFF-STREET PARKING,SPACES r-- -- Pest Control: 51. Enclosed .................b........................ . HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? 52. Outdoors............................................................................. Yes No L RESIDENTIAL BUILDINGS ONLY _ Water: 53. Enclosed......... .............................................. Electric: Gas: 54. Number of Full........................................... Sewer: bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial.-----------...----- BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ No (If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes-10-e:" es No Is property located in the S.R.A.distr• t? Yes_ No Comply with Zoning? Yes No (If no,enclose Board of Appeal decision) Is lot grandfathered? Yes_ No_ (If yes,submit documentation/if no,submit Board of Appeal decision) If new construction, has the proper Routing Slip been enclosed? Yes_ No_ Is Architectural Access Board approval required? Yes_ No (If yes,submit documentation) Massachusetts State Contractor License # O�t 7/0 "( Salem License # Home Improvement Contractor # Homeowners Exempt form(if applicable) Yes_ No CONSTRUCTION TO BE COMMENCED WITHIN SIX(6) MONTHS OF ISSUANCE OF BUILDING PERMIT If an extension is necessary,please submit CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name Mailing address-Number,street,city,and state ZIP Code Tel.No. (0/ � �e c cmc F'G ,3o X `TaS S� e� ,M� 61 q-7D 7v ' s Owner or , Lessee z. a. Ro 0-70 7y-5-- Contractor Builder's License No. 3. Architect ar Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Signature of pplica t A dres�..� i f Application date DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building `/`��I,(� FOR DEPARTMENT USE ONLY Permit number Building / use Group Permit issued e.0 (� 19 Fire Grading Building /l Permit Fee $ / Live Loading Certificate of Occupancy $ Approved by: Occupancy Load ^� Drain Tile $ Plan Review Fee $ JOG TIT NOTES AND Data • (For department use) f 1 4e o 3 rj Z 4yj PERMIT TO BE MAILED TO: DATE MAILED: C� Construction to be started by: Completed by: VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN •For Applicant Use N Salem Fine DepaAtment- F4,te PAeventLon Bureau 48 La4ayette Street Salem. Ma 01970 (508) 745-7777 t FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT In accordance w.<t1t the p4ov4c4Zon6 o4 the Ma,64achu4ett6 State &&4tdLn9 Coda and the Satem F-ite Code, appZ..catLon 4-6 heaeby made 403 appnovaZ` o4 pZan6 and the Z4.6uancze o4 a ee&t.4j4cate o4 app4ovaZ 40-c a buZZd,Lng pen.-n.Lt by the Sa£em Ir-Le Department. (Re4. Section 113. 3, Ma44. State SZdg. Code) Job LocatLon: Owne4/OccuPa+Lt: I `l,�VZ- Z-.e f_4 Al(f EZectlu.cat ContAa.cto4: ! rd vG w f� F-vse Suppne4:6-.on Contumtot: a4 Sppgnatune %� { �� � Phone #: A� ZLcaxrt: ! Addne44 o4 C Lty on. Appt ,Lcant: �CJ mt �r Ja �elvi�(j1 Town: l�cQir, Approval date: 1 z 3 Ce4tL44cate 04 app-toovaC=F--L6 (hereby granted, on approved ptam4 wL 4ubm4;-f taZ o4 p4o,4ect deta426, by the SaZem FZite DapaAtment. AZZ ptan6 ane approved 4oZeZy 4o�L -tdtdent.L44xatZon o4 type and Zoca ,40n 04 4.4L-te pxotectLon dev.r-e6 and equipment. AZZ plana ane 4ubjeet to apprOvaZ 04 any othea au.tho4,L.ty having Ju4,"dZction. Upon comp-ee44on, the appticant or. .Ln.6tat'.Z"(.6) 4hatt. requ"t an 4n4pect4on and/or te4t o4 the 44,te protectLon devtc.e.6 and equipment. ( ** FOR ADDITIONAL REQUIREMENTS. SEE REVERSE SIDE ** ) New con4tAuctLon. Property ZocatZon ha,6 no compt-Lance w.Lth the px0v-44ton6 o4 Chapter. 148, SectLok 26 CIE, M.G.L. , 4eta Live to the 4n.6tata , on o4 approved 4.d a aZaxm dev.tee4. The owner o4 th,L6 property 46 4.equ� to obtain compt.Lance a4 a condt tLcTn o4 obtai.n i ng a Bu+&Ling Pe zm.i t. ESa -Pnmoperty Zocati.on W 4.n compZLanCe wdth the prov444on4 04 Chapter. 148, SectLon 26 C/E, M-G./L}. Exp44xLtZon date: Z 345 �`�� S.Lg o4 Eire 44.LciaZ Fee due: unde-% 7 , 500 Sq. Ft. 7 . 500 So .. Ft "l P"', - 5 nn Fnnm 8R1 lT2a„ neon d rsx, FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT *� In compliance with the provision of Section 113.5 of the Massachusetts State Building Code, and under guidelines agreed upon by the Salem Bldg. Inspector and the Salem Fire Chief, the applicant for a building permit shall obtain the Certificate of Approval (see reverse side) and stamped plan approval from the Salem Fire Prevention Bureau. Said application and approval is required before a building permit may be issued. The Massachusetts State Building Code requires compliance approval of the Salem Fire Department, with.reference to provisions of Articles 4 and 12 of the Building Code, the.Salem Fire Code, Massachusetts General Laws, and 527 Code of Massachusetts Regulations. The applicant shall submit this application with three (3) sets of plans, drawn in sufficient clarity, to obtain stamped approval of the Salem Fire Department. This applies for all new construction, substantial alterations, change of use and/or occupancy, and any other approvals required by the Massachusetts General Laws, and the Salem Fire Code. Exception: Plans will not be required for structural work when the proposed work to be performed under the building permit will not, in the opinion of the Building Inspector, require a Plan to show the nature and character of the work to be performed. Notice: Plans are normally required for fire suppression systems, - - fire-alarm systems, tank installatiers, and Aire-.Code--- requirements. Under the provisions of Article 22 of the Massachusetts State Building Code, certain proposed projects may not require submission of plans or complete compliance with new construction requirements. In these cases, provisions of Article 229 Appendix T, and Tables applicable shall apply. This section shall not, however, supersede the provisions outlined in the Salem Fire Prevention Regulations, Chapter 148, MGL, or 527 Code of Massachusetts Regulations. All permits for fire code use and/or occupancy shall apply for the entire structure; fire alarm and/or smoke detector installation shall apply to the entire structure based upon current requirements as per Laws and/or Codes, but the existing structure may comply with regulations applicable for existing structures. Notice: Sub-contractors may also be required to file individual applications for a Fire Department Certificate of Approval for the area of their work. Such sub-contractors shall file an Application to Install with the Fire prevention Bureau prior to commencing any work for those areas applicable. Form 81% (10/90) Ti3 -I � -f3ol 3 234 �136D . The Commonwealth of Massacb,9"IE All SERVICES Department of Public Safety Massachusetts State Building Code,(780 CMR�J. Building Permit Application for any Building other than a One-1 RTA&x413R�vah% (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official *z or 1 SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) 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❑or check all that apply in the two rows below Existing Building❑ Repair❑ 1 Alteration ❑ Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ 1 Other. ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ - Is an Independent Structural Engmeenn Peer Review required? es ❑ No ❑ Brief Description of Proposed Work: 'fr .Q ��. ('L—S�, �ed�3l. '��ir�'(�6 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): XLSQS, 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 ❑ A4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Factory F-1❑ F2❑ HMerc: Hi Hazard H-1❑ H-2❑ H-3 ElH-4❑ H-5❑ I: Institutional I-1❑ I-2❑ I-3❑ I-4❑ M. antile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ 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 ❑ 1 IIIA ❑ IUB ❑ 1 IV ❑ 1 VA O VB 13 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 outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ if Private❑ permit is enclosed or indentify Zone: - or on site system❑ required❑or french or specify: - ❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable❑ Is Structure within airport approach area? Is their review completed? i� 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: Ira I-61EA n1Qt�-ev g� g �•. SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes 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) If building is less than 35,000 cu.It of enclosed space and/or not under Construction Control then check here O and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control Name(Re tran elephone No. e-mail address Registration Number Street Address City/Towy State Zip Discipline Expiration Date 10.2 General Contractor Company Name \w' W, .' \O11)S-61Z) Name of Person Responsible for Construction License No. and Type if Applicable p Street Address ,City/Town State Zip Telephone No. sines 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 si gned Affidavit submitted with this application? Yes O No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ '�o `6 Building Permit Fee=Total Construction Cost x (Insert here _ 2.Electrical $ appropriate municipal factor)=$ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ Qo 'Z rj ^ (contact municipality)and write check number here SECTION 1 :SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. Please print and sign name Title Telephone No. Date Street Address City/Town / State Zip 41 Municipal Inspector to fill out this section upon application approval: / 7 Name Date } CITY OF S.�.Eitit, IN INSSACHUSETTS i BUILDING DEPARTNEENT \ � 130 W 1SHLNGTON STREET, 3"D FLOOR TEL (978) 745-9595 PAX(978) 740-9846 KINIBERL.BY DRISCOLL A,IAYOR T HomAs ST.PtERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING CONMaSSIONER Construction Debris Disposal Affidavit (required for all demolition and renovation work) In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5 Debris, and the provisions of MGL c 40, S 54; Building Permit# is issued with the condition that the debris resulting from this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c 111, S 150A. The debris wi 11 be transported by: (name of hauler) The debris will be disposed of in : S i cc�--rr��N n.5 (name of facility) S `2'-,`R S(- ty,\)\ S aa �.a\ (address of facility) signature of permit applicant date debrisall:dac b Shea Roofing Co. 1-7 1/2 Foster Street Salem, MA 01970 (978) 745-7313 PROPOSAL July 1.2014 sualmlTreoTO: 99 Broadway Condo. Assoc. 99 Broadway St. Salem, Ma. We hereby submit specifications and estimates for: To remove all existing roof shingles from complete roof. To install ice and water shield covering all lower roof edges, up all valleys and under all flashing points prior to reroofing. To install asphalt saturated felt paper covering all roof boarding prior to re-roofing. To install all new metal drip edge along all roof edges, both horizontal and vertical. To install architectural (GAF or Certainteed High Definition 30 year) roof shingles covering complete roof. To install up to 50 linear feet of roof boarding if necessary. To install new roof flanges on roof vent pipes. To counter flash and/66reseal the chimney flashing as necessary. If lead ' flashing is too damaged on the chimney we will grind it out and re-lead at an additional cost of$360.00. If determined that chimney can come down and be boarded up it can be done for an additional cost of$600.00. To install two new roof air vents. To remove and board up opening of larger broken air vent. To counter flash, re-flash and/or reseal skylight as necessary To clean up and remove all roofing debris from job site. 5 year warranty on worKmarlship We propose hereby to furnish material and labor—complete in accordance with above specifications,for the sum of Six Thousand Seven Hundred and Eighty Five------------Dollars ($6,786.00) Payment to be made as follows; One third to start balance upon completion All material Is guaranteed to be specified. All work to be completed in a workmanlike manner according to standard practices. Any alteration or deviation from above specifications involving extra costs will be executed only upon written orders,and will become an extra dharge over the estimate. All agreements contingent upon strikes,accidents or delays beyond our control. Owner to carry fire,tornado and other necessary insurance. Our workers are fully covered by Workman's Compensation Insurance. - Acceptance of Proposal-You are authorized logo the work as spectfre Authorized Signature: rr'I L i��Slee Signature: f Date of Acceptance: M•` CITY OF S T�U.&%I NIASSACHUSE M 73 • BUILDING DEPARTMENT i a 120 WASHINGTON STREET,Ye FLOOR TEL (978)745-9595 FAX(978)740-98" KI\BERLEY DRISCOLL MAYOR THo&w ST.PmRRB DIRECTOR OF PUBLIC PROPERTY/BUILDING COMD.DSSIONER Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeLyibly Name(BusimssiOrganizaliorvintfividttal): She Address: lbo City/State/Zip: v�J\k-�\ Phone Are you an employer d): ?Check the appropriate box: Type of project(require asi I 1 am a employer with 0, 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the subcontractors :2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.t �• Remodeling ship and have no employees These sub-contractors have S. ❑Demolition working for me in any capacity, workers'comp.insutant— 9. Q Building addition [No workers comp. insurance 5. ❑ We are a corporation and its required.) officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL I I.Q Plumbing repairs or additions myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.)t employees.[No workers' 13.❑Other comp.insurance required.] •Any applicant that checks brae a I must also fill out the section below showing their w•orlkera'tamtperon iaa policy infurmation. !l lnmeuwnen who submit this affidavit indicating they am doing all work and then hire outside contractors mot submit a t affidavit itditming umL :Conuoanin that chock this box must mnoehed an additio n i shod showing the name of the aub•comnctors and their wonters'comp.policy informatien. a t I am an employer that it providing workers'compensation Insum"efor my employem Below Is the pulley and job site information. Insurance Compiny Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: C\,''\ City/State/Zip: ,t�1t' ,O lvl 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 S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a 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 urlhe DIA for insurance coverage verification. I do Itereby cerr6(y u rde�pains and of IBes ojperjury that the informallon provideed-above1Is true and correct SixnaNt Date: Phono Official use only. Do not write in this area,to be completed by city or town ojflciai City or Town: Permit/l.lcense# 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#: