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47 CANAL STREET - BUILDING JACKET 1 47 CANAL STREET Certificate No: 3-12 Building Permit No.: 480-2003 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the Retail Space located at -------------------------------------------------- Dwelling Type 0047 CANAL EEin the T ------------------------STRT--------------------------------------------------- -----------------------CITY-OT-SALEM --------------------------------- Address TownJCity Name IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF OCCUPANCY THRIFT STORE FOR LIFEBRIDGE This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires Monday Apr 30,2012 _ unless sooner suspended or revoked. Expiration Date ------------------------------ Issued On: Wed Mar 28,2012 -- - ---------------------- 1 Ge0TMS02012 Des Lauriers Municipal Solutions,Inc. -------------------------------------.----.--------.--.----------_---------- Certificate No: 416-08 Sign Permit No.: 416-08 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the BUSINESS located at ----------------------------------------------------- Dwelling Type 0047 CANAL STREET SUITE 1 in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY OCCUPANCY PERMIT FOR(CANAL STREET REDEMPTION CENTER SUITE 1) This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires unless sooner suspended or revoked. Expiration Date Issued On:Tue Jan 26, 2010 ---------------- ----------- GeoTMS®2010 Des Lauriers Municipal Solutions,Inc. ------------------------------------------------ ---- ------------------- 1 i ND[T,� 7 " YSGVE AO CITY OF SALEM i BUILDING PERMIT Certificate No: 416-08 Sign Permit No.: 416-08 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the BUSINESS located at Dwelling Type 0047 CANAL STREET SUITE 1 in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY OCCUPANCY PERMIT FOR(CANAL STREET REDEMPTION CENTER SUITE 1) This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires ... ..................... unless sooner suspended or revoked. Expiration Date 1 111.1 ,......,, Issued On: Tue Jan 26,2010 1 = — — - ---------------- GeoTMS®2010 Des Lauriers Municipal Solutions,Inc. ----------------------------- V5QxADs CITY OF SALEM BUILDING PERMIT �\ COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENERGY & ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION Ulu ONE WINTER STREET, BOSTON, MA 02108 617-292-5500 DEVAL L.PATRICK IAN A. BOWLES Governor Secretary TINIOTHY P. MURRAY LAURIE BURT Lieutenant Governor Commissioner December 28, 2009 William F. Murray 4 Range Heights Circle Lynn, MA 01904 Dear Owner, This is to verify the following business is a registered redemption center with the Commonwealth of Massachusetts for the January—June 2010 operating period. William Murray, Owner Canal Street Redemption Center k (� �✓ 47 Canal Street1 (� h Salem, MA 01970 Phone #: 617-794-6699 V �e Initial date of operation: January 11, 2010 Please share this document with your distributors as proof of registration. If you have any questions, please contact me at 617-292-5747. Sincerely, Sean Michael S/It— MA 1 Bottle Deposit Law Program Commonwealth of Massachusetts Department of Environmental Protection Bureau of Waste Prevention One Winter Street Boston,Massachusetts 0210747 This information is available in alternate format.Call Donald s1.Gomes,ADA Coordinator at 617-556-1057.TDD#1-866-539-7622 or 1-617-574-6868. MassDEP on the World Wide Web: http://w .mass.govldep 0 Printed on Recycled Paper Certificate No: 416-08 Sign Permit No.: 416-08 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the BUSINESS located at -------------------- -------------------- Dwelling Type 0047 CANAL STREET SUITE l in the CITY OF SALEM ------ --- - --- - --------------- ---------------------------------------------------------- Address Toy"City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY OCCUPANCY PERMIT FOR (CANAL STREET REDEMPTION CENTER SUITE 1) This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires unless sooner suspended or revoked. Expiration Date Issued On:Tue Jan 26,2010 GeoTMS82010 Des Lauriers Municipal Solutions,Inc. ------------------------------------------------------------------------------- - Certificate No: 416-08 Sign Permit No.: 416-08 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the BUSINESS located at Dwelling Type 0047 CANAL STREET SUITE I in the CITY OF SALEM - ------------------------------------------------------------------------- --------------------------------------------------------- --------- Address - Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY OCCUPANCY PERMIT FOR (CANAL STREET REDEMPTION CENTER SUITE 1) This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires unless sooner suspended or revoked. Expiration Date - Issued On: Tue Jan 26,2010 - - - - GeoTMS®2010 Des Lauriers Municipal Solutions,Inc. ---------------------------------------------------- ----------------------- J Certificate No: 487-2003 Building Permit No.: 487-2003 i Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the CHURCH located at Dwelling Type 0047 CANAL STREET in the CITY OF SALEM Ad-- - - - Y ----- - ----- ---- - dress- Town/Cit Namee IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF OCCUPANCY GATEWAYS OF PEACE This permit is granted in conformity with the Statutes and ordinances relating thereto, and Ii expires Thursday Apr 10, 2003 unless sooner suspended or revoked. Expiration Date It Issued On: Tue Mar 11, 2003 'f GeoTMS®2003 Des Laun'ers Municipal Solutions,iric.' .. __ -. .. ..._. ._. _ _:. .. . ...- _ ..... _ C;11 Y Ur SALEM BUILDING PERMIT ,ertificate No: 487-2003 Building Permit No.: 487-2003 r Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the CHURCH located at ------ -------- ------- ------------------ Dwelling Type 0047 CANAL STREET in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF OCCUPANCY GATEWAYS OF PEACE This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires Thursday Apr 10,2003 unless sooner suspended or revoked. Expiration Date Issued On: Tue Mar 11, 2003 -- GeoTMS®2003 Des Landers Municipal Solutions,Inc. ------------------------------------------------------------------------------- Certificate No: 487-2003 Building Permit No.: 487-2003 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the CHURCH located at Dwelling Type 0047 CANAL STREET in the CITY OF SALEM ................ - - - -- --_. ----------------_..Y Address Town/Cit Name IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF OCCUPANCY GATEWAYS OF PEACE This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires Thursday Apr 10, 2003 unless sooner suspended or revoked. Expiration Date Issued On: Tue Mar 11, 2003 ........... _...-------- - . ...... ._.. ..........._-- - - - GeoTMS®2003 Des Launers Municipal Solutions,Inc -- -- - ----- - - - — ' 0047 CANAL STREET 487-2003 COMMONWEALTH OF MASSACHUSETTS 3a CITY OF SALEM Bock Lot: 0290 Permit. Building Category: „ 437Nonresidential ad BUILDING PERMIT Permit# s 487-2003 Prbject# ^a ;JS-20031J07 jEst Cost .a i"" $32,000.00 !Fee. $325.00 . PERMISSION IS HEREB Y GRANTED TO: !Const. Class::. " =-:1 Contractor- License: Use Group-,V !EDWARD SHENKER Lot Size(sq.'ft.): 16420' Owner: GATEWAYS OF PEACE zoning: f B4 'Applicant: EDWARD SHENKER Units Gained. AT: 0047 CANAL STREET lUnits Lost: ISSUED ON: 16-Jan-2003 AMMENDED ON: EXPIRES ON.- 16-Jul-2003 TO PERFORM THE FOLLOWING WORK.- 487-2003) ORK:487-2003 GATEWAYS OF PEACE INTERIOR RENOVATIONS. FRD POST THIS CARD SO IT IS VISIBLE FROM THE STREET r Gas Plumbing Buildinund: Underground: Undergrou J: Excavation :\le[er. n/JFootings: // ' -,� Rough: ough: P/ /�/� Foundation.//,/O� Final: Fina L'C:��. - 5 VJ Rough Frame: Cg Fireplace/Chinuuw: D.P.W. Fire Health ❑'sulalinn: Meter: Oil: House# Snokc; Final FZ/ Water: Ala nr. G�y�� Ln.✓� Sewer. Sprinklers: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. 4 /�Q Signature: ) ,G/— Fee Type: Receipt No: Date Paid: Check. No: Amount: A BUILDING REC-2003-001407 16-Jan-03 2237 5325.00 GeoTMS@ 2003 Des Lauriers Municipal Sohrtioes,Inc. - {�/` tk r A,DIT CITY OF SALEM9 MASSACH06ETTSqLEp1;, MA BOARD OF APPEAL CLERK'S OFFICE - 120 WASHINGTON STREET. 3RD FLOOR SALEM, MASSACHUSETTS O 1970 TELEPHONE: 978-745-9595 FAX: 978-740-9846 ZOOb: DEC--5.1,A: 9,;x20 KIMBERLEY DRISCOLL MAYOR December 4, 2006 Decision Petition of Mario Zepaj requesting a Variance for the property at 17 Canal Street City of Salem Zoning Board of Appeals A public hearing on the above petition was opened on October 19, 2006 pursuant to Massachusetts General Law Ch. 40A, Sec. 11. The following Zoning Board members were present: Nina Cohen, Robin Stein, Steve Pinto, Richard Dionne, Elizabeth Debski. The petitioner, Mario Zepaj, sought a variance from the requirements of the City of Salem Sign Ordinance to allow the existing sign to be altered for the property located at 17 Canal Street, Salem, in the Wholesale and Automotive (B-4) zoning district. The Board of Appeals, after careful consideration of the evidence presented at the public hearing, and after thorough review of the Petition submitted, makes the following findings of fact: 1. The property at 17 Canal Street is within the B-4 zoning district. 2. The petitioner is requesting a variance to alter an existing non-conforming sign at 17 Canal Street. Specifically petitioner undertook to alter a roof sign by changing the wording to "Sammy's Roast Beef' from "Big Fred's Roast Beef." 3. The petitioner received a violation letter regarding the alterations from the Building Inspector dated August 30, 2006. 4. Ward 3 City Councilor Jean Pelletier spoke in favor of the variance. 5. No other members of the public wished to speak on this petition. On the basis of the above findings of fact, including all evidence presented at the public hearing, including, but not limited to, the Petition the Zoning Board of Appeals concludes as follows: 1. The petitioner's request for a Variance to the existing nonconforming sign do not constitute substantial detriment to the public good. f 2. The requested relief does not nullify or substantially derogate from the intent or purpose of the zoning ordinance. 3. A literal enforcement of the zoning ordinance would create a substantial hardship to the petitioner, both financial and otherwise. 4. In permitting such change,the Board of Appeals requires certain appropriate conditions and safeguards as noted below. In consideration of the above, the Salem Board of Appeals voted, five (5) in favor ----(Cohen,—Stein,-Pinto,-Dionne,, Debski)-and none-(0)-opposed,-to-grant-the-request-fora---- variance, ranttherequest-for a -- variance, subject to the following terms, conditions, and safeguards: 1. All requirements of the Salem Fire Department relative to smoke and fire safety shall be strictly adhered to. 2. Petitioner is to obtain approval from any City Board or Commission having jurisdiction including, but not limited to, the Planning Board. 3. The sign shall remain at the same size as it is currently. I" a4,-/Iol Nina Cohen Salem Zoning Board of Appeals A COPY OF THIS DECISION HAS BEEN FILED WITH THE PLANNING BOARD AND THE CITY CLERK Appeal from this decision,if any,shall be made pursuant to Section 17 of the Massachusetts General Laws Chapter 40A,and shall be filed within 20 days of filing of this decision in the office of the City Clerk. Pursuant to the Massachusetts General Laws Chapter 40A,Section 11,the Variance or Special Permit granted herein shall not take effect until a copy of the decision bearing the certificate of the City clerk that 20 days have elapsed and no appeal has been filed,or that,if such appeal has been filed,that it has been dismissed or denied and is recorded in the South Essex Registry of Deeds and indexed under the name of the owner of record or is recorded and noted on the owner's Certificate of Title. Certificate No: 487-2003 Building Permit No.: 487-2003 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the CHURCH located at Dwelling Type 0047 CANAL STREET in the CITY OF SALEM - - - ..--- --------- - - - --------------- --- ......- Address Town/Cit-Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY GATEWAYS OF PEACE This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires unless sooner suspended or revoked. Expiration Date _.-------_.._----- Issued On: Thu Jun 19, 2003 ___...-..----------------......._.._...._.._----------------------- GeoTMS®2003 Des Launers Municipal Solutions,Inc. ------------------------------------------------------------------------------- Certificate No: 487-2003 Building Permit No.: 487-2003 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the CHURCH located at ------- ------ Dwelling Type Type 0047 CANAL STREET in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY GATEWAYS OF PEACE This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires unless sooner suspended or revoked. Expiration Date Issued On: Thu Jun 19, 2003 - - - GeoTMS®2003 Des Lauriers Municipal Solutions,Inc. --- ------------------------------------------------------------------------- June 6, 2003 Frank DiPaolo, Local Building Inspector Salem Building Department 120 Washington Street Salem, Massachusetts 01970 Re: Gateways of Peace Ramp Project(02-083) 47 Canal Street, Salem Massachusetts Dear Mr. DiPaolo, Based on our site visit on 6/4/03, the Gateways of Peace interior handicapped ramp project, 47 Canal Street, Salem, MA has been reviewed, and to the best of my knowledge and ability, the project has proceeded according to the drawings prepared by HHM(dated 4/0/2003). The ramp construction appears to comply with applicable provisions of the Massachusetts State Building Code and Architectural Access Board- 521 CMR. As per our telephone call on 6/2/03 the following specific issue was reviewed at above mentioned site visit 1. Under Handrail Installation- Upper handrail installed at required height as per 521 CMR at each ramp location. Further, to the best of my knowledge and ability, the Gateways of Peace HCP ramp construction project is complete and ready for a permanent occupancy. If you have any questions regarding this project,please call my office. Sincerely yours, Ste W. ' ermore Pres' t( ) SWL/loganfrl F-1 K. K. Mornnt 0 Co. , Inc. P.O. Box 4485 978.744.53 ❑❑ Salem, MamachmettB 01970 54 fax 978.740.9161 Email: staff'@hhmorantcom H H Morant & Co Inc 978 740 9161 06/09/09 01:29pm P. 001 MEN. U. Mornnti 0 Co., Inc. PO Box 4485/221 Washington Street .■(Salem, Massachusetts 0197.0 Phone (978) 744-5354 Fax (978) 740-9161 EAC51MILE TR -NaM1,55QL T0: Frank [)!Paolo (5alem Building Department) DATE: June 9, 2003 RE: Gateways Of Peace Reports Fax #: (978) 740-9846 Page 1 of 9 Frank, For your files. Any questions please call 978-744-5354, ext 23: Michael tutrzykowski H H Morant & Co Inc 978 740 9161 06/09/09 01:29pm P. 002 H.H. Morant & Co. Inc. P.O. Box 4485, Salem,Massachusetts 01970 (978) 744-5354 (978) 740-9161 Fax hhmorant.com Field Report Date: 5'�2`I I o'jj Time: Weather: , Job Number: D 2 8 2 O J Job Description. Work in Progress: Work Completed: X K-n N G V'prG Comments: �J'P��t�IG y��T7,1 iA6esZ �t.`•fL5 G �,s,►.ite. J � I .S WL/hhmfr C j4ve- Aerauxx.wo-D L s�.► Job Ivumner hhm- Relocate D7No J Date: L 0� April Relocate Walls Date Audio 42 Door Area 3 �A A —1 05/27 Egress N _ 51-011 _ Landing �; S1ope 112 Up Ln Proiect: Up Ne Up 1 m L ding New Step =�� + Inter N _I N 1 fn o Juan 8 47 Can ° Salem 2" o 0 5'-0" • 41u 41u 2 2 ° Ncp ° C Plan �g O Scale: AS Drawing Dn ding 600 'd WdGz:l0 60/60190 19TS 0b4 846 DUI 03 8 yue. OW H H H H Morant $ Co Inc 978 740 9161 06/09/03 01:29pm P. 004 Existing 8' CMU 1/2" Diameter Thru-bolts to L5x311/2x11/2 to Min. 6" Bearing Typ. Each Side Vxa' x3/4 FE Min, V 5earinqq Typ, Each Side 4" O.D. Standard Steel Pipe Column (5ch. 40) Base Plate 5' x 3/4' x S' on 3/4' setting plate on 3/4' rout with 2 - 3/4' Expansion bolts 12' 19. 4 3 bend, 3 ' threaded projection, set T apart. Existing Foundation Wall 12 I I _ I I Ramp ost u 1 - - - - - - - - - - J - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Head Detail -30 _ 1'-0" H.H. Morant & Co. Inc. 5.4'. Proms Architects 02-063 Gateways Of Peace P.O. Box ngt ^ ^ J 121 Washington 5/21/03 Lintel Design t,�l V\ 1 1:11:1978) alem, Massachusetts 01970 4l Canal Street978) 744-5354 3' , 1'-0" Salem, Massachusetts 74079141 fax - - - - - - - - s(8102) H H Morant & Co Inc 978 740 9161 06!09/03 01:29pm P. 00S H.H. Morant & Co. Inc. P.O. Box 4485, Salem,Massachusetts 01970 (978) 744-5354 (978) 740-9161 Fax hhmorant.com Field Report Date: 5l Z�tto Time. Weather: i. IV • Job Number: 4-/ wwy 02aS3 Job Description:�� Work in Progress: 4s" "6-F' 1 1 I?• "O j> Wim` �1L-11.x,t1^ 1\L•-1 �1 �sRT.�cX'I�n7 ' `�41� Work Completed: }y / K•s►y�p �i/CT;�4•A_-r- fit( O tJ"r Lj t"V� �✓l�l.Q �Mb4LlEsF�D/j�lj� 1- �.� L�.�ie' !,�1'��i.��, Comments: Inspected By: S H H Morant & Co Inc 979 740 9161 06109/03 01:29pm P. 006 H.H. Morant & Co. Inc. P.O. Box 4485, Salem,Massachusetts 01970 (978) 744-5354 (978) 740-9161 Fax hhmorant.com Field Report Date: 5 12-11d3 Time: 3 ®� Weather: ,/ N Job Number: OZ0B Job Description: Work in Progress: / Work Completed: .�L►v H Ca. �-�•A. 2� LLa aA k•4-=> L w VEX?. Conunents: Inspected By: SWL/hhmfr H H Morant & Co Inc 978 740 9161 06/09/03 01:29pm P. 007 H.H. Morant & Co. Inc. P.O. Box 4485, Salem, Massachusetts 01970 (978) 744-5354 (978) 740-9161 Fax hhmorant.com Field Report Date: r) I Time: Weather. ��N Job Number: D2OF►j�j y Job Description. Work in Progress:�� Work Completed: � Comments: / � / �e �LS1t_ T ��a.T' ��•-t C�-�-IS'il�/�Lar'�1 Inspected By: SWLthhmfr H H Morant & Co Inc 978 740 9161 06/09/03 01:29pm P. 008 H.H. Morant & Co. Inc. P.O. Box 4485, Salem,Massachusetts 01970 (978) 744-5354 (978) 740-9161 Fax hhmorant.com Field Report Date: 2 o Time: t �:�O �F(a.K 1 Weat.her: !d N j J 9/ Job Number: 1 /lp/ Job Description: +► //. rQ Work in Progress; Work Completed: A f�cL1.. tvm" t L-1 G `��✓�- �.rJy�� ,rL.�cLT IJ.sota.r �,.WCP-• � �Rs�- f—,�.1-tt� 4 Comme ts; --- - Inspected By: SWL/hhmfr. /�� H H Morant & Co Inc 978 740 9161 06/09/03 01:29pm P. 009 H.H. Morant & Co. Inc. P.O. Box 4485, Salem, Massachusetts 01970 (978) 744-5354 (978) 740-9161 Fax hhmormt.com Field Report Date: / ///._ �� Time: Weather:A�lP[A7GdL� � Job Number: 02�8�7 Job Description: Work in Progress: jy Work Completed: .— t-tR �is L Comments: *74 Inspected By: SWL/hhmfr << IMPORTANT >> THE UNIT INDICATES TOMER IS EMPTY. THE UNIT WILL STORE THE DOCLPIENTs INTO MEMORY TO AVOID FAINT PRINT FOR FAX RECEPTION. << IMPORTANT >> TONER ALMOST EMPTY, PLEASE BUY REPLACEMENT. TO PURCHASE, CONTACT YOUR LOCAL DEALER. << IMPORTANT >> IF YOU HAVE ANY GLESTIONS ON PRINTING QUALITY, PLEASE PRINT A TEST REPORT TO CONFIRM IT. TO PRINT A REPORT: 1.PRESS 'MENU' 2 TIMES. (UNTIL THE DISPLAY SHOWS "PRINT REPORT") 2.PRESS 'START/[SET]'. 3.USE THE ARROW ISYS OR 'JOG-DIAL' TO SELECT "PRINTER TEST". 4.PRESS 'START/[SET]' TO PRINT THE REPORT. FOR FAX ADVANTAGE ASSISTANCE, PLEASE CALL 1-809- ELp-FAX (435-7329). �covar�� CITY OF SALEM9 MASSACHUSETTS v� 0 PUBLIC PROPERTY DEPARTMENT 120 WASHINGTON STREET, 3RD FLOOR �A� SALEM, MAO 1970 - - 9g� 'F` TEL. FAX 380 (978) 740 9846 A STANLEY J. USOVICZ, JR. MAYOR March 12, 2003 ty George O'Brine Esq. 24 Main Street Peabody, Ma. 01960 RE: Zoning Line - 17 Canal Street Dear George: Per your request, I reviewed the Salem Zoning Map to determine the zoning of 17 Canal Street. The map indicates all properties boarding the east side of Pond Street and Canal Street are in the B-5Zone. The property in question is clearly in the B-5 zone. Sincerely, r 62 Thomas St. Pierre Acting Zoning Officer �cor�e� CITY OF SALEM MASSACHUSETTS PUBLIC PROPERTY DEPARTMENT 3 120 WASHINGTON STREET, 3RD FLOOR it? iFo SALEM, MAO 1 a.,.,•% TEL. (978)745-9595 EXT. 380 FAX (978) 740-9846 STANLEY J. USOVICZ, JR. MAYOR February 26, 2003 Pastor Reyers 47 Canal Street Salem, Ma. 01970 Dear Pastor: Per our meeting on Tuesday, February 26 with H.H. Morant, the following issues were discussed and agreed to adhere to the following; 1. No chairs, musical equipment will be present in the construction area until a Certificate of Occupancy is given. 2. No childcare or public of any king until a Certificate of Occupancy is issued. 3. All life safety issues of the project will be finished before a Certificate of Occupancy is issued. 4. All issues regarding 521 CMR will be inspected and sanctioned before a Certificate is issued. If you have any questions in this matter I can be reached at 978-745-9595 x 386. Thank you for your anticipated cooperation in this matter. Sincerely, )p ° Frank DiPaolo Local Building Inspector . yr. z,.k;.!'A"". .. i. /yT%T.. :.�INx rr�,Fl ♦. .cOR! ,�[~<°"„[4,� r FIELD COPY ” [' CITY OF SALEM # BUILDING 0- CITY SALEM, MASSACHUSETTS 01970 PERMIT t� VIA LID TION " „ t DATE �Mamh 10, 19 93 PERMIT NO. 65-93 APPLICANTADDRESS Sa7PmEMA - _ IMD.I IS1R[[TIMM (CON14'S L)lF x3ll PERMIT TO SWAGE (_1 STORY PTIUMB= & HEATING. Co. . OWEIL'1NG UNITS (1 Of 01 IMPROYEM(-1) N0. !PROPOSED VSE) ZON AT ILDIST O:AT ION] 47 Canal. StrPPt. Warr 3 ' RG DISTRICT 1311115 INC.) /' . IST-[[TI BETWEEN" (\` - � AND '�4 ICAOf V1 PE[T!% ICRO[S STREET! LOT SUBDIVISION - � -bDly-.-- BLOCK 512E BUILDING IS.TO BE IMF Y FT. LONG BY R. IN HEIGHT AND SHALL CONFORM IN,C ON STR UCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION ITrPET REMARKS: Erect a 8'X8' sign for bergeron Plumbing & heatim ' IOLUME ESTIMATED COST FE PERMITS 20.00 C':AIc.Sp ULR[ F[[r) 3WNER Paul Lyons A^D;rfs" 4/ Canal st., Salem,MA leo E. Tremblay INSPECTOR OF BUILDINGS INSPECTION RECORD DATE NOTE PROGRESS - CRITICISMS •ND REMARKS INSPECTOR .. ..."ra.nr�,.,.,,,y,yNNr'vlr..s+..rt,�Krw n44+"M'1-^ir'--h'�I+"AI'•.*Im--a++rT.n*.��.9..+"7�i ,. r...:r ,rr_+�. , FIELD COPY L CITY OF SALEM BUILDING ?° SALEM, MASSACHUSETTS 01970 PERMIT T^ VALIDATION Arco" y'J DATE) April 1;F 19 93 PERMIT NO.I8-93 APPLICANT Paul Lyon ADDRESS Salem.MA ------ _ ' IN0.1 IS1R[[TI ICOM R'S ilCFxi[� NUMEOF e PERMIT TO FEZ'IM SIGN (_I STORY RETAIL DWELLING UNITS I'll[ 01 IMI.Ov[M[NTI NO. (PROPOSED USE) AT ILO."ATIONI 47 anal GTreet War[l S ZONIND ' DISTRICT B-1' - IN0.1 ISTR[[TI BETWEEN - 1 AND (CROS. ICSOSS fTREIII i LOT SUBDIVISION LOT BLOCK SIZE BUILDING IS.TO BE FT. WIDE BY FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION yrTT�yYD SIGN . IT,PCI REMARKS: ERECT SIGN 'OL UME - ESTIMATED COST ,D FEEMIT S 20.00 b :C:SIClOULK[ IE[tl ,WNERBergeron Plmbina & Heatina . A^oRE=s 47 Canal :;t.1 sal em,MA „ Leo P. Tremblav INSPECTOR OF BUILDINGS �T INSPECTION RECORD DATE NOTE PROGRESS CRITICISMS AND REMARKS INSPECTOR Chit r of #aIrm, MUSSUc4uoctts Public Prupertg Department Nuilaing Department (One tbalrm (Sreen 508-745-9595 $xt. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer NOTICE Removal of Unsightly Conditions on Structures or Improvements Commonly Referred to as GRAFFITI YOUR ATTENTION IS HEREBY DIRECTED to the provisions of Chapter 2, Article XV et.seq. of the Municipal Code of the City of Salem, Massachusetts, on file in the office of the City Clerk on the first floor of City Hall. Pursuant to the provisions of said Chapter 2, Article XV, you are hereby notified that a certain unsightly condition exists on premises specifically described at the facade surrounding 47 Canal Street, Salem Massachusetts 01970 which injures neighboring property and the public health, safety, and welfare. You are therefore notified at once, and in any event within thirty (30) days from the date of this notice, to keep said property free therefrom. In the event you fail to complete such work within the time hereinabove mentioned, the undersigned shall cause the same to be removed and you will be responsible for the cost of removal of the condition from the property. Dated at Salem, Massachusetts this 3rd day of April 1997. Director of Public Property cc: Councillor Kelley, Ward 5 �,,MDI♦L APPLICATION FOR PERMIT TO ERECT A SIGN �.0 Salem, Massachusetts March 19 1993 PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK APPLICATION MUST BE SUBMITTED TO THE BUILDING INSPECTOR WITH STAMPED APPROVAL FROM THE SALEM REDEVELOPMENT AUTHORITY. TO THE BUILDING INSPECTOR: The undersigned hereby applies for a permit to xxx Erect, Alter, Repair a sign on the following described - building. Location 47 Canal Street Zoning/District B4 Name of Property Owner Mary Ann Realty Trust (Bergeron Plumbing) Name of Sign Owner Bergeron Plumbing & Heating Address 47 Canal Street If Owner is a corporation, name of responsible Officer Name of Licensed Sign Erector 50dcvn &'�yi co. Address Salem License No. Use of Building: 1st Floor xxx 3rd Floor 2nd Floor 4th Floor Type of Sign: xxx Surface Right Angles to Building Free Standing Other ( ) Height: Sign Materials : Illuminated Sign Panels A 43 AZZ' 4 x 22 Sign Dimensions : g) ¢' x 3d Sign Area SF Existing Signs : Surface: Sign Area SF Right Angles : Sign Area SF Free-Standing: Sign Area SF Other: Sign Area SF Signs to be removed: Type 3 WALL, 51er15 Sign Area SF Linear Frontage: Building (A)=63' (B)=44'6" FT Property FT (C)=47' (D)--47T TOTAL = 201'6" Signature of Owner Name & Address of Address Insurance Company: Telephone E imated Cost of New Work: APPROVALS : J APPLICATION TO ERECT, ALTER, OR REPAIR PLAN OF LOT A SIGN IN THE CITY OF SALEM ______________________________________ Show Location of Present Structure snd Signs - BUILDING LOCATION: /J BUILDING USE: ------------------------------------- ------------------------------------- CONDITTIONS J ----------- �� 9J -------------------------------------- P �} GRANTED / ✓�/� �L / 19� d I • pjLllt= ALUYHLNIUvm, SkGlJ CA-&Klc� WNrTE LZRAM 1=At-3 S- OKE pkeoE LT. gW E i u U� Be e� R . 4 - 9 o ELJER (.�,a Mz LFLJ i ID � Qaa e e� rt 9 _- D -1=5ELJE1� o � Fli 0 � r �I / LJ LJ eUOHQ 9ELIER -4 Y 1 /�1 �1 S-F Y~ =_rmit :,umber elN PERMIT MUST BE C9TAINED BEFORE =_GlwLING STORK PPLICATION MUST EE SJE111T ED I '; ?L! C.=. E . - ;E = FILED SIITH THE PLANNING DEPARTMENT, ;,ND ONE SET 13EAR1t7G THE '.PPROU'L OF THE PLANNING DEPARTMENT) TO DE FILED '.11TH T.-'E 3'J I LD I"IG NSPEC`-'• 3 �- - , �s C :'ist Correct, Complete Locaiion , _.:n,.. ID . ons '�C= y and Legible. Separate .�pplic .tion P.zquired for Every Sign. Application for Permit to Erect a Sign pp -51R Salem, Massachusetts 13 7� TO THE E'.11LDI ;IG 1 :;SPECTOR: The .undersi :,^,e:; ..ereby applies `3-r a per-.it to Erect , _ Alter , Repair n^ f llowine described building : a sign on t Location and llo. "7 2 / aaa Z zoninc//�Di � trict Name of Property Owner ^� /y/ /%h am to / 7 (lame of Sign Owner Address If Caner is a corporate body na.m.e of responsible officer �P ( /(fir /- 'T / i Name of Licensed Sign Erector / F C /P �/g 1� Salem � F,. License No. ;address Use of Building: Ist Floor C/ 3rd Floor 2nd Floor 4th Floor Y' Type`of Sign: \/ surface, Right Angles to Ouilding , Free Standinc , _ Other (specify) - Height : Sign Materials UWllrltlbfd Sigv, Sign Dimensions A 8 Sign Area roq SF S Existing Signs: Surface: ign Area SF SF Right Angles : Sign Area Free-Standing Sign Area Sr Other Sign Area SF Signs to be Removed: Type Sign Area SF Frontage: Building FT Property FT Signature of Owner z/:x e' / I e ze Signature of Owners Authorized Representative j3ev't,°,vp� Co. Stnc. Address 4q C6cm j 57'y Estimated Cost 7`�y N3)7 of New Work Telephone I 1 / APPROVALS: Signature of Property Owner S lem P �nning Department Superinten ent o St Gets istorica ommission ON REVERSE PLEASE SHOW SIGN SIZE, COLOR, LOCATION; LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE. Jl -1�3 PLAN OF LOT • SHOVI SIGN SIZE, COLOR AND LOCATION ON BUILDING; APPLICATION FOR PERMIT FOR Show Location of Presont Structuro LOCATION OF OTHER SIGNS AND BUILDING ENTRANCE ALTERATIONS, REPAIRS AND and Signs DEMOLITIONS ....................................CLASS BUILDING LOCATION ....Y.2... .......... , _.............Ward.....: .......... = .................................................. CONDITIONS C! .�.n.. .•••............... I ....... ... .. =1 ............................................................................. �. .................................................................... •... _ _ - • - -_ - _ � .1 _- _ ._ - _ - ' _ - - .........................................................................._ - - - - - - - - - - Permit - _ _ - - _ -Permit Granted r4/! / .. .... 19...`�� ........................................%�' ............................ 1_ " xlsT{1.1G Sf&IJ wiw 26¢UiRe._i NSPEcno>v _ _ -cAaluEr-6Lue rrJ %tncq, c4Re&—TN5 Rt•C�NRCAAFrLl.LS. -.SeoPE er vRqJrxr— WTG -..C�tCUc• � GORrstcr GONeTDF15'OP.GAB+WdY j ..... AND EL6C.TQICh�- 5YS7eM....GPrdUUD PY7aPC2L`l �P . IWi7Aw N6uJ FACG: 3�(B[TNIe.L�:r$OLA2 bRA06 V. .., ArL pIGM�1TF.0 HI 'GbyreP.R.pAIJhTB WITH 3-M COMVAVJV, 6CATUCAt. 5MSS 563o/TR" Ar5MT .__.._- ouvL AR°LIED TO s2S( - 0 _ EE�i6Rat) LOGO - D ..get.. ..6Qom..[ PLUMBING HEATING New `°`°RS D KITCHENS & BATHS LETCLWR�-BLUi D Df TIER t6JE2 Lobo -gl- 'ACe VIEu); dX15fuY�iS�NG�e FueD, ii lTeWAwy WWMi -lk&P n O ` F- tp 4D m = — ' YY P �� I� I r�iY'IJ D� islA ATBD I co oPP vm G�jo OF LESLIE . cExisriu�� SIGN CENTER 1 ��.wJ AAnv:4 alAol,wsero[a'rt[ amwlo,IQ.x �sw-rso mxaz-Tlx -- 3/sZ .�_V. BERaE.R0�.1 PLUMp�IIY ` - ,il cAAL 5TH -,XL6M, MASS .r•"AS NOTEo �x'x�' RD Zyl7�93 �•Br nu Is w nrtlpl muucse o[onE n ps Qe[[m:n rQ mn rtrv.c u¢p °[re 1 2 1 I 1 9 2 [o.enrcQ.ap r rmlea QIR nru w w n unn slw B[Rx.u [BIUR Q61SI(Qp m.n n uuw s. T Z Z WR[In Q"P[llillip{�(Q[q 11-R}LIYIA Wi M. IR1Q y:(j NYi.{y�lDp[Ki1rQ. �IlMlln Q IEQR SIp Y� IR[Q116rm TJyQ YfEFR�n II�S Ef b f il!M UIIQ tQQ 01W n11M aunroQmn.min�ppp moon urn raa pm Imt[. SIGIJ$AW,NWGID PPLJ ECT 2052 �6�6N11�If Qpt!®•m rmp[mlfpl u01VIDlxn n ME , Business Certificate Citp of 6alem, ffingacbugettg P DATE FILED JQnear . 9 09 t. Type: ® New Expiration Date Je n,if,ru 9X000 ❑ Renewal, no change Number > ° t El Renewal with change In conformity with the provisions of Chapter one hundred and ten, Section five of the Massachusetts General Laws, as amended, the undersigned hereby declare(s) that a business is conducted under the title of: Bergeron Fabricating at 47 Canal Street, Salem, MA tyre of business fabricating by the following named person(s): (Include corporate name and title if corporate officer) Full Name Residence Bergeron Plumbing & Heating Company, Inc. 47 Canal St. , Salem, MA 01970 Si ur s -iraur-� s ---------------- ---------------------------------------------------- ----------------------------------------------------- ----------------------------------------------------- on January 5, 19—L6-the above named person(s) personally appeared before me and made an oath that the foregoing statement is true. 424*4 --- -------- -- --- -- - , -- ------ CITY CLERK _ Notary Public /0'020 X000 (seal) Date Commission Expires Identification Presented // q State Tax I.D. # S-S. # (if available) In accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5, of Mass. General Laws, business certificates shall be in effect for four(4) years from the date of issue and shall be renewed each four years thereafter. A statement under oath must be filed with the town clerk upon discontinuing, retiring, or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars ($300.00) for each month during which such violation continue-. ��. �h �. Ij South Harbor Holdings LLC P. O. Box 677 Salem, MA 01970 (978) 745-1020 March 3, 2003 Mr. Thomas St. Pierre Building Inspector City of Salem 120 Washington Street Salem, MA 01970 Re: 47 Canal Street, Salem Environmental Issues Dear Mr. St. Pierre: We have been asked to provide documentation that there does not exist any underground fuel storage tank(s) at 47 Canal Street. We purchased the property in October of 2001 and thoroughly researched this issue to our satisfaction that there are no underground fuel tanks on the property. This conclusion was based on our satisfactory review of the following materials. Letter dated September 5, 1997 from REW Environmental Consultants to Heritage Co-operative Bank(first mortgagor) that essentially narrowed down any environmental issues to the possibility of one tank being present on site. Letter dated September 8, 1997 from REW Environmental Consultants to Heritage Co-operative Bank which confirms the presence of one underground fuel tank. Documentation that on September 25, 1997 the tank was pumped dry by Dependable Environmental Services, Inc. and then the tank was properly removed and disposed of by T. Mackey and Sons of Salem. Please feel free to call me with any questions on this matter. Sincerely, /"-A C' r ,� Timothy F. Clarke TFC/mm Enclosures c: Pastor Juan Reyes R. E.W. ENVIRONMENTAL CONSULTANTS In, � _ I SEP 1 0 1997 September 5, 1997 Mr. Robert Millerick, Asst. Vice President HERITAGE CO-OP BANK Heritage Co-operative Bank 71 Washington Street Salem, Massachusetts 01970 Dear Mr. Millerick: Enclosed herewith is our report entitled "Environmental Property Screed' for the property located at 47 Canal Street, Salem, Massachusetts. We have prepared this report based on a modified version of the American Society for Testing and Materials (ASTM) Standard Practice for Environmental Transaction Screens (E 1528-93). In addition to ASTM guidance, REW incorporates industry standards and practices of the National Groundwater Association as well as the regulatory guidelines of the Massachusetts Department of Environmental Protection. Based on the information that we evaluated and discussed in our report, we recommend the following: During our reconnaissance of the Site, we found no evidence of an existing underground storage tank. Mr. Paul Lyons stated that he had no knowledge of a tank nor any knowledge of removing or abandoning a tank. However,-since-the-GMRC_indicated-an existing storage tank-at-the-time-of-their_1986=assessment3REW-is-recommending.an3 e`aluation-of the.City_of_Salem_Fire_Department-records-a`nd-a-sin-a-second-reconnaissance nnaissance of the-Site-to-confirm-or-dismiss-the-existence-off a-tank. If you have any questions regarding this report or other environmental issues, please call me at 603-778- 0503 or if no answer, 508-777-2055. Sincerely, RREEW Environmental Consultants, Inc. Dickarren, REM Principal 491 Maple Street,Suite 210, Danvers,Massachusetts 01923 (Tel)508-777-2055 (Fax)508-777-6363 9 Oak Ridge Road, Kensington,New Hampshire 03833 (Tel)603-778-0503 �i R. E. W. ENVIRONMENTAL CONSULTANTS September 8, 1997 Mr. Robert Millerick,Asst. Vice President rm Heritage Co-operative Bank71 Washington Street Salem, Massachusetts 01970 Dear Mr. Millerick: Pursuant to your request, REW Environmental Consultants, Inc. (REW) has reviewed Salem Fire Prevention records for information relative to underground storage tank(s) potentially existing at the property located at 47 Canal Street in Salem, Massachusetts. These-records-indicacaied-a=1946-iinstallationr of1500-gallon-capacity-underground-storage-taak_for_No:2=fuel-`oil. The-records=additionally-indicate�-an� 4nspeetion--by-the_Fife-Departmenf-m-Decembe�LLl 953-and-subsequent=abandonment-in--Apri 1=1=980--wh em -the-site=building converted to gas--for_hea�g. There were no records of removal and/or the proper abandonment of the tank. KEW retumed to the Site for a second attempt to locate the tank. We conducted an evaluation along the exterior face of the building for evidence of bolts, brackets, concrete patches and ground disturbances that may suggest the potential existence or the former existence of an underground tank. By permission of Mr. Paul Lyons, REW removed a small portion of concrete using a five pound hammer. Upon removal, we observed a single section of vertical pipe filled with concrete. Further investigation of the parking area approximately 40 feet from the building facade, we found an obscured, five inch diameter, protective casing covering a smaller diameter pipe. REW removed the cover on a subsequent visit using channel locks. After inserting a dip-stick down the pipe, we measured four feet of a clear fluid remaining.in the tank that we presume is the fuel-oil tank on record. We noted however,that the fluid in the tank had a similar odor to that of gasoline. As=discussed-by'telephone-we-are-recommending removal and/or proper abSindonment of`che=tannk`i fac:cordan ce-State-cl osure-requirements. If you have any questions regarding this report or other environmental issues, please call me at 508-777- 2055. Sincerely, REW Environ ental Consultants, Inc. Z�� Dick Warren, REM, LSP Principal 491 Maple Street,Suite 210, Danvers, Massachusetts 01923 (Tel)508-777-2055 (Fax)508-777-6363 9 Oak Ridge Road, Kensington,New Hampshire 03833 (Tel)603-778-0503 DEPENDABLE WORK ORDER' � ENVIR0NMENTr4L SERF'ICES, INC. 48 Lowell Fuad a PO Box 117 Dote: Recelvw by 4 Grh Windham,NH 03087 DC00 Check (603)894-6661 i FAX(603)894-6676 Truck: Orlrer 777 Job Y I PO a Manifest a EPAY TIME I sI ` J Out In Job Site: J 1aNt45 E Ory. Rate Amt u Name Hours s� SA 1, A. P. Coned Perron: N Total.. Phone 11, 7yy_ H3i M JO Ditecupaon Amt A T Bill To: R C/ ` s. � Materials Total: �,��1 i eraw6 rn r /�/7. Hama F Hour OT Flats Amt.:. COnUCI arson: L phone Y: O R T fill Entry Fee Jeb Des '.plop: / _ P�� Labor Total: O Type ON Fara Amt. p V9 0 " - A (1: Ccnbaclor: - I _ Disposal Te4t { Y`, subs tal!(Equipment.MateAeis,Labor d Disposal) r7�, I ,t;R ��yy11 104100p 1> Fret. hl Charge: CN.'.u,;:rt,Y}i:.: 3 t` Contact Parson: Lab Feat Fee: ' `•�q?$��p� "�.�',;' Phone s7 Insolence Surcharge: Oth r. �. � 14�. q ^ fi3 •I . I. Grand To W: Comments: r f F1 ac-�—•�c 1 Snn flT Nn.i.`1NINNFH '1tlh35 Ntlt.ON CBbLbb LBL$ Xtl3 SS:CT NOW TO/LT/60 �� p�m�norazuea`Clz o�� %�rr�ar �,uaeG`Cd (/iu->Da' ge�wnCmr'nCa1(;5ra d5lellyqjfces — .l3oaaa/C�'oxe �rvn��zl�an APPLICATION and PERMIT Fee: 525.00 for storage tank removal and transportation to approved tank disposal yard in accordance with the provisions of M.G.L Chapter 148, Section 38A, 527 CMO 9.00, application is hereby made by: Tank Owner Name(please Pont) --- x L'2114 Le yunw t . o • • Address cer SHu m SHIN Company Name L- L -� )VY Co. or Individual Pmr Pmi Address a Address , Pmt Signature(f apply] g or permit) Signature(it applying for permit) 70 IFCI Certified �Other IFCI Certified C LSP p Other rO M IYl �Sr Tank location �01tlQonrr cM . Tank Capacity(gallons) 2��J Substance Last Stored .•°- 1- Tank Dimensions(diameter x length) 7 u 1 L— Remarks: I i • I/ a„ _lQ� ,�. �,tICG State Lic.N Firm transporting waste . itest0 Hazardous waste man �g 3 o i, g 3 i 7 E.P.A. 9 N N 122 Approved tank disposal yard Tank yard If _ cl Type of Inan gas Tank yard address ' • • FDIDIt_ City or,Town_ n oZ. Dare of expiration J �- Date df3Soe \\` .� JaDig Sale Toll Free Tel. Number•800.322.4844 Dig safe approl number. Signature I Title of Officer granting permit After removal(s)send copy of this Application and Permit along with updated Form FP-290(FP 29OR if all USTs are removed)with copies of tank disposal yard receipts (FP•29I).Send to UST Regulatory Compliance Unit, One Ashburton Place, Room 1310, Boston. MA 02108-1618. FP-292(rw.Sed 9%) Form #90V (12/36) . Inn FA K01%1THHMH IV93S NNNOH C6bLhbLBLt3 RNA MCT KOW TO/LT/60 09/17,01 'MON 13:53 FAX 9787447499 RON.AN SEGAL HARRINGTON . 001 Tank Da(a Wank Removed Frum: Gallons No. and Street ) previous Contents ^�r_Vl ( City or Town ) Diameter Length-_____ Date Receivcd_•1a-_2!5-1V� Fire Dept. Permit #_ Serial # (if available)_______ Tank D. # (Form FP-290)_ C . Owner peratur to mail revised copy of Notification Form(FP-290, )r Fp- 29011) to UST Compliance, Office of the Stale Fire Marshal, 1010 Common allh Avenue, Ruston, Ma. 02215. / r Y � � A n \\ 4 K , / ! 3DI3a0 S,1YH918W mna Uvas S"T1T*0V3sW (Karo) \56111 'eax) 16 WS Kilod;; . 17V90NSfa JO Jdr= V 3AV14 )SfW *M1VV3) 'OO'f tb0 LO tm 03 3 td --- �.^.0acu.: _ lv,, n ap axil X11 )o Peal tio1 am m P�10a d9 asr.n I ?P 30 7dTraz.pot ti•i ,{: . aDoTs aivu Is an All '•12•;c P�y.�,nvlvaa•.xtdax paxcxoy3ne :raw awo xo xP3vA >Itnr3 ponarMv )0 ar1Ty�TtPT33o ��T+>tia�� •pxeA'tttn m tµtn ttl(I'Sj. I.tOdmterl in $Mal Imax-i9a axt821.1 )o tea TYJOT A•4 P�sT SNn 11tilrad pT1o� Y•tlpxeA (xtl tlUlVB duel 01WAS IaalS pt F:tlAljn buTa tW 303 :*TSTKttd 00'f 1D0 LOS aOTIVIn ud �. tnnuanax,{ aiT3 sl7asnt(rel srw in,, a�u Qx ucn ut awes (VWa0 [xW dTt,9xaraxW x0 uoTle30+ltm •lata Aq ,P"A lrye7 P&F4udd9, IPP 07 Pa?o!)TTV m .. yuey a6oxs rains pi `,A vtm N3 W'I3Tu� AITas xad east( 1 roti )o A3IvYad ruPM'ASTSso7AI1.�y :x a wn -c.t ... 9 N (VICO�C HWJ LOS� xa6paT.'pxPA_,xuf�,f, ',• ttt X00— W+ 'ON G-dVA NNYS 03AOUadV UVA NNVI a3A04,MV un,a�,30P QG-,A-E ..l --- 993HOGY aNV IWI 'xN•' 'I r.LL'. nu P,gtg1:111NII dU TV:1))d::t❑ .40 L1f:d.iiN The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling ^ (This Section For Official Use Only) !\W^J Building Permit Number: Date Applied: Building Official: O SECTION 1:LOCATION(Please indicate Block#and Lot#for locaftoos for which a street address is not available) i 41 CPrOt SAS M/101M 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❑ Alteration ❑ 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 Is an Independent Structural Engineering Peer Review required? /' Yes ❑ No Brief Description of Proposed Work: ��(r""f—` f�j� ^"ll 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 CNIR 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'Fotal Height(ft.) SECTION 5: USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4 ❑ A-S❑ 1 B: Business ❑ E: Educational ❑ F: Factor F-1 ❑ F2❑ 1 H: High Hazard Ft-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional 1-1 ❑ 1-2❑ I-3 ❑ 1-4❑ M: Mercantile❑ R: Residential RACI 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 11 IIIB ❑ IV VA 11 VB 11 SECTION 7:SITE INFORMATION (referto 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 ❑ required ❑ or trench or specify: Private❑ or indentify Zone: or on site system ❑ permit is enclosed❑ Railroad right-of-way: Fl-larzards to Air Navigation: JL4 Hfstnr_cC��mhns�inn I:evlg}_E�nnyts,5: Not Applicable❑ tue 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: VM A\ i� Tb C . C Mf�tt,�tj gZ2q �, SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Vroperty Owner i( JNA CL*r kle q7 Cpm fvL ST P u 14 ys b� � Name(Print) No.and Street City/Town Zip Property Owner Contact Information: ��, JJJ 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 cit.ft.of enclosed space and/or not under Construction Control then check here Eland ski 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 13 u(7 t _ 14W,,41V CmWS7'/V6ct/olu I�LuS Company Name 73 63.;2- _5'14 -cJ Name of Person Responsible for Construction p License No. and Type if Applicable G nig y/: f� f rV / -e/1 �+1 a V � O l Q D CjStreetAddress City/Town State Zip `V -Lp,{7 Telephone No. (business) Telephone No. cell e-mail address SECTION 11:WORKERS COMPENSATION INSURANCE AITIDAVCC M.G.L.c.152.§ 25C(6) A Workers' Compensation Insurance Affidavit from the NIA 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 a lication? Yes❑ No ❑ SECTION 12: CONSTRUCTION COSTS AND PERMIT FEE Item E4tinrated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$ L Building $ Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ appropriate municipal factor)_$ 3. Plumbing $ d. Mechanical (HVAC) $ Note: Minimum fee=$ (contact municipality) 5. Mechanical (Other) $ Enclose check payable to 6.Total Cost $ Gp - GQ (contact municipality)and write check number here SECTION 13: 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 acarrat th st of mykn edge and understanding. r r Please print and signe!,me Title Telephone No. Date Street Address City/Town � ) �,,�Sttate Zip Municipal Inspector to fill out this section upon application approval: ✓ -'v"" Name Date