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89 CANAL STREET - BUILDING JACKET °ND „,, Commonwealth of Massachusetts 1,. ' �<< j .:z. City of Salem yi\ ° C -: " 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 `' Return card to Building Division for Certificate of Occupancy Permit No. B-1 9-809 PERMIT TO B U I L D FEE PAID: $1,650.00 DATE ISSUED: 7/30/2019 This certifies that MICHAEL SHEA has permission to erect, alter, or demolish a building 89 CANAL STREET Map/Lot: 330163-0 as follows: Other Building Permit TURNING BUILDING ON CANAL STREET INTO FOUR (4) CONDOS: NEW WINDOWS & INSULATION, SHEET ROCK, PLASTER, DOORS, INTERIOR PARTITIONS, KITHEN CABINETS, BATHROOMS, SIDING, FINISH WORK. Contractor Name: PHILIP E. O'CONNELL DBA: M H CONSTRUCTION Contractor License No: CS-090817 (41 -f4; 7/30/2019 Building Official Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. H I C#: 147224 "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Restrictions: Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. °'r,, Commonwealth of Massachusetts ir j Cityof Salem ` sir , , 4k,.k‘,`7 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 ti `t IAll kl:O�w Return card to Building Division for Certificate of Occupancy . Structure CITY OF SALEM BUILDING PERMIT `vM`°"n/T,,�•jiff, PERMIT TO BE POSTED IN THE WINDOW Excavation a, Footing INSPECTION RECORD 5ss` Foundation Framing 9 -, 0,.,e Mechanical Insulation:..,'_.3 0 _ / 9 _ INSPECTION: BY DATE Chimney/Smoke Chamber / J/ / /I �- —/ Final '3v 2 !qt c2 r`u al .4✓�Gf Y- 6t-? 1� Ci$ 'C�( + Plumbing/Gas K/ P ,<eC 1 L�6r�1i Rough: Plumbing J3'j 1 1 VRough:Gas dq//G 1 et Finalg a7 #ge e)) Electrical isil ervice ugh • /3 �J -, 11/ t "rJ/ ai( );rtment Preliminary rJ d .,fig Final O ! _1+ i Health Department Preliminary Final Certificate Number: B-19-809 Permit Number: B-19-809 Commonwealth of Massachusetts City of Salem This is to Certify that the Small Retail Building located at Building Type 89 CANAL STREET in the City of Salem Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 4 Residential Units This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires Not Applicable unless sooner suspended or revoked. Expiration Date (1;14/10114:, Issued On: Monday, December 30, 2019 r, (ori Orf d® NO. 752. 1/3_ 1Q°Io r, U tl U U IMPORTANT MESSAGE A.M. DATE I -TIME-P.M. M OF Cf�_l 5 1 PHONE 0 5 4- 37 AREA CODE NUMENSION ❑FAX O MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL WILL FAX TO YOU MESSAGE Z'9 Ccs S i o ��cL Iv U SIGNED ONIVERSAL. 48005 MADE IN U.S.A. { ; A 1 � ( � �� 1 � 1 Y 1 1{ � 5 � �� S \\ �� �� �� �� �� � � � '� � � �. `; � , \�, ` � `� �'' \ t TO DATE TIME AM �G7 ✓�� PM P FRp1.M� _ Tl{ PHONE7-75 �OF k � )la- X51 G . /C> _ C C, L� L. N �. E m _ E _ T- IM S N —1Z h L N L Ea ltJ lav�,vcz � �7zs . ,M E N 4 'Q, E-MAILADDRESS SIGNED PHONE gqC CAILRNED� SEEVOUO❑ WILL LL❑, WASIN ❑ URGENT❑. ©Bluelln R®IFORM. 02012 Unofficial Property Record Card Page 1 of 1 Unofficial Property Record Card - Salem, MA General Property Data Parcel ID 33-0163-0 Account Number Prior Parcel ID -- Property Owner CRIST FRANCIS Property Location 89 CANAL STREET CRIST CATHLEEN Property Use Store Mailing Address 1 GERALD ROAD Most Recent Sale Date 10/12/2007 Legal Reference 27249-599 City MARBLEHEAD Grantor EIGHTY-NINE CANAL ST RLTY TR, Mailing State MA Zip 01945 Sale Price 390,000 ParcelZoning B4 Land Area 0.160 acres Current Property Assessment Card 1 Value Building 160,700 Xtra Features Value Value 700 Land Value 202,000 Total Value 363,400 Building Description Building Style Store Foundation Type BricklStone Flooring Type Hardwood #of Living Units 2 Frame Type Wood Basement Floor N/A Year Built 1910 Roof Structure Flat Heating Type Steam Building Grade Average Roof Cover Tar+Gravel Heating Fuel Oil Building Condition Average Siding Comp.Clap Air Conditioning 0% Finished Area(SF)3356 Interior Walls Plaster #of Bsmt Garages 0 Number Rooms 0 #of Bedrooms 0 #of Full Baths 1 #of 3/4 Baths 0 #of 1/2 Baths 0 #of Other Fixtures 2 Legal Description Narrative Description of Property This property contains 0.160 acres of land mainly classified as Store with a(n)Store style building,built about 1910,having Comp.Clap exterior and Tar+Gravel roof cover,with 2 unit(s),0 room(s),0 bedroom(s),1 bath(s),0 half bath(s). Property Images f ' .dl m � w 5 r r Disclaimer:This information is believed to be correct but is subject to change and is not warranteed. http:%/salem.patriotproperties.com/RecordCard.asp 8/31/2015 Business Certificate Vtp at *aiem, .4ffinzarbugettg %FM �ttu q„ DATE FILED 1999 Type: Q New Expiration Dare 03 ❑ Renewal,no change Number ,(— MO ❑ Renewal with change In conformity with the provisions of Chapter one hundred and ten, Section five of the Massachusetts General Laws, as amended, thes undersigned hereby declare(s) that a business is conducted under the title of, `fhP CAI S 64l A [N AS ,NN at 9 - 41 0t(Ar! A �L S -F 7KeC / type of business ( iL-T- Q A a Zs I ni (, by the following named person(s): (Include corporate name and title if corporate officer) Full Name � ( r�tf�Residence , r 1AlLaa ,J . ����aER7 `� 1 � PCAal koA' �Q. 1P i na �- - ----- - - :�� ---- ---•-----•---------•--•-----•---•- ------------------ /-------------- ----- ------- ---- -------- ----------------------------------------------- on ---------------------------------------------onrp1%ft-ihee above named person(s) personally appeared before me and made an oath th a £aregoin stat ent er e. ----------------------------------------------------- ----------------------------------------------------- C I T Y CLERK Notate Public (seal) Date Commission Expires Identification Presented State Tax I.B. # S.S. #. o 0 - 3S<16 (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 vears 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 continues.. Citp of Tatem, A.a55acbm5eto s P Vublit PrDpertp Mepartment �3uilbing i0epartment One Salem green (978) 745-9595 Cxt. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer March 5 , 1998 Enrico Tassinari 72 Valley Street Salem, Mass . 01970 RE : 89 Canal Street Dear Mr . Tassinari : In accordance with the provisions of the Massachusetts State Building Code, Section 106 , an inspection of your property located at 89 Canal Street was conducted by Kevin Goggin, Assistant Building Inspector on February 20, 1998 at 9 : 30 a .m. You are hereby ordered to make a good-faith effort to correct the violations listed on the enclosed inspection report and apply for proper permits before starting any work. Thank you in advance for your anticipated cooperation in this matter . Sincerely, X-1 +4gin"Kevin G Assistant Building Inspector KGG: scm cc : Health Department Fire Prevention Councillor Kelley, Ward 5 89 Canal Street Basement 1 . Correct all wiring problems . 2 . Re-wire gas heater. 3 . Install door and patch walls in boiler room. 4 . Construct room around electrical service equipment . 5 . Install fire walls and ceiling around kilns . 6 . Replace and repair exit doors out of basement . 7 . Install emergency exit signs and lighting. 8 . Add smoke/heat detectors as needed. 1st Floor 1 . Add illuminated emergency exit signs and emergency lighting . 2 . Enclose rear exit for 2 hour fire rating. 3 . Separate lst floor from 2nd floor with 2 hour fire rating. Add smoke/heat detectors as needed . 5 . Correct ' all electrical wiring problems . 2nd Floor 1 . Add illuminated exit signs and emergency lighting. 2 . Enclose rear exit for 2 hour fire rating. 3 . Add smoke/heat detectors as needed . General 1 . Test fire alarm system annually. 2 . Test emergency lighting annually. Recommendation Install fire sprinkler system in the whole building per NFPA Standards . This would reduce fire separations to 1 hour in all areas . r - ` PART XX INCLINED STAIRWAY CHAIRLIFTS - AND INCLINED AND VERTICAL WHEELCHAIR LIFTS M s SCOPE device may only permit the door to be opened if This Part applies to vertical wheelchair lifts(Section x the platform is within 2 in. (51 mm) of that landing. It may permit the platform to move away from the 2000), inclined wheelchair lifts (Section 2001), and landing under control of the normal operating device inclined stairway chairlifts (Section 2002) installed in .:,-if the door is in the closed position but not locked, locations other than in or at a private residence for provided that the device will cause the platform to = use by the physically handicapped. Subject to the :,stop if the door fails to lock before the platform has approval of the authority having jurisdiction, these =moved away from the landing more than 2 in. (51 ' lifts maybe used as part of an accessible route in s mm). The runway side of the door shall present a or at a public bulldmg smooth surface =, _ 440TE (Scope): See Part XXI for the requirements for this - M The access to the platform at the lower landing `• -'�_ a,shall be guarded by an"unperforated self-closing door " ,n .-equipment installed in or at a private residence ;„ ,�. >... T _not wider than the entrance `to the platform. The :door shall not be permanently deformed when a force of 125 Ibf (556 N) is applied on any 4 in. (102 s mm) by 4 in._(102 mm) area. The opening shall r �­�provida a minimum vertical`clearance of 6 ft 8 in. ; SECTION 2000 12032 mm).The door shall.be provided with a combi- ` VERTICAL WHEELCHAIR LIFTS nation mechanical lock and electrical contact. The locking device may only permit the door to be opened Rule 2000.1 Runways if the platform, is within 2 in.161 mm) of the landing. he platform Runways shall be installed in accordance with Rulemay`be moved away from a s T 2000.1a, 2000.1b, or 2000.1c °. ,landing under control of the normal operating device >: If the door is closed but not locked, provided that r 2000.1a Runway Enclosure Provided , ;'the platform will stop if it moves away from the ^ .`. (1) The runway shall be guarded by a solid enclo 3 .landing more than 2 in. (51 mm) before the door is sure extending from the lower landing to"a` height ;locked. The runway side of the door shall present a of at least 42 in. (1067 mm) above-the upper landing §;smooth surface i< .`� The lift sides of the enclosure shall present a smooth ;(5) The platform side of the landing doors and sill surface `- tK shall not project beyond the vertical line of travel of n (2) The runway entrance shall be guarded at'the _. the platform. No hardware shall project beyond the , upper landing by a door of unperforated construction ; vertical line of travel of the platform, except for that a M .not wider than the entrance to the platform.. The 5required for door locks and contacts when the travel door shall not be permanently deformed when a ?is 5 ft (1524 mm) or less-'* R ' force of 125 Ibf (556 N) is applied on any 4 in. (102 _ 'r (6) The running clearance between the platform mm) by 4 in. (102 mm) area. The door shall be self- and entrance and exit sidesshall be not less than ' closing and at least 42 in. (1067 mm) high and shallR 3/e in. (9.5 mm) nor more than % in. (19 mm). The be provided with a combination mechanical lock and ", clearance clearance between the platform and doors shall be electric contact. Locking devices shall be protected not more than 3,in. (76 mm). The shear possibility against tampering from the landing side.The locking under the door header shall be guarded by sheet 279 i 2000.18-2000.1b - ASME A17 la-1997 steel not less than 0.0747 in. 0.897 mm) in thickness, mm) by 4 in. (102 mm) area. The door shall be self at an angle not less than 60 deg nor more than 75 closing, at least 42 in. (1067 mm) high, and shall be C' deg from the horizontal. It shall be securely attached provided with a combination mechanical lock and to the door. electric contact. Locking devices shall be protected (7) The platform side guards on the sides not used against tampering from the landing side. The door for access or exit shall be of smooth construction may only be opened if the platform is within 2 in. to a height of 42 in.(1067 mm)above the car platform (51 mml of the upper landing. It may permit the with no openings other than those necessary for movement of the platform away from the landing operation. Openings necessary for operation shall under control of the normal operating device if the reject a ball YZ in. 03 mm).in diameter. A grab rail door is in the closed position but not locked,provided extending the full length of either side guard shall that the device will cause the platform to stop if the be provided at a height in conformance with the door, fails to lock before the platform has moved requirements of ANSI Al 17.1. The running clearance away,from the landing more than 2 in. (51 mm). between the side guards and the enclosure shall be The runway side of the door shall present a smooth1Y<< not less than 2 in. (51 mm) nor more than 3 in, surface. (76 mm). (3) The side of the platform providing access to the m.: [95b] (8) If the runway enclosure extends to a minimum e lower landing shall be guarded by a platform height of 7 ft 0 in. above the upper landing, consists door of unperforated construction. The door shall `: f of transparent walls, is exposed to direct sunlight, not be permanently deformed when a force of 125 and is enclosed with a solid roof, forced ventilation Ibf (556 NI is applied on any 4 in. (102 mm) by 4 t conforming to the following shall be provided. in. (102 mm) area. The door shall be self-closing, at (a) There shall be a minimum air handling capac- least 42 in. (1067 mm) high, and shall be provided ity to provide one air change per minute based on net inside enclosure volume. with a combination mechanical lock and electric con- .,;, tact. The door may be opened if the platform is (bl The device may be thermostatically con within 2 in. (51 mm) of the lower landing. It may trolled, in which case, it shall be set to activate at permit the platform to move away from the lower a temperature not to exceed 90°F (32.22°C). � landing if the door is in the closed position but 3 4Y e (c1 An auxiliary power source capable of proved ing the minimum air handling capacity for 1 h shall not locked, provided that the device will cause the be provided. Platform to stop if the door fails to lock before the { ' (d) Ventilating fans or blowers, if used, shall than 2 in. (51 mm). platform has moved away from the landing more be located outside the enclosure, or if inside the " " enclosure, provide a minimum headroom clearance " (4) The door at the upper landing shall be located of 7 ft 0 in.. not more than 3 in. (76 mm) from the platform sill. (5) The. platform side of the landing doors and �1 2000.1b Runway Enclosure Not Provided sills shall not project beyond the vertical line of travel [97al (1) The area under the platform shall be fully en-' of the platform. No hardware shall project beyond a closed by smooth guards, either telescoping or sta '- the vertical line of travel of the platform, except for4 tiona'ry, on all accessible sides. The guard shall that required for door locks and electric contacts "- : withstand, without any permanent deformation, a =" (6) A smooth vertical fascia of unperforated con force of 125 Ibf (556 N) applied on any 4 in. (102 ; ' struction shall be fastened securely from the upper mm) by 4 in. 1102 mm) area, landing sill to the level of the lower landing sill. It (a) The height of the stationary guard, if pro shall be equal to or stronger than 0.0598 in (1.5151 i vided,shall be at least equal to the maximum upward mmp sheet steel and guard the full width of the travel of the platform plus 3 in. (76 mm).The running platform. The fascia shall not be permanently de- clearance e clearance between the platform side guards and any ': formed when a force of 125 Ibf (556 N) is applied €: stationary guard panels shall be not less than 2 in. on any 4 in. (102 mm) by 4 in. (102 mm) area Xw (51 mm) nor more than 3 in. (76 mm). (7) The platform side guards on the sides not used x[e7al (b) Shutter-type (telescoping) guards, if pro- for entrance or exit shall be of smooth construction vided, shall be securely fastened to the lower landing to a height of 42 in. (1067 mm) above the platform ,`w level and to the platform. Openings necessary for or car floor with no openings, other than those" operation of shutter-type (telescoping) guard panels necessary for operation. Openings necessary for op-.?"'✓ ` shall reject a ball 1/2 in. (13 mm) in diameter. eration shall reject a ball Y, in. (13 mm) in diameter. 3 (2) The runway entrance shall be protected at the A grab rail extending the full length of either side upper landing by a door of unperforated construction guard shall be provided at a height in conformance not wider than the entrance to the platform. The with the requirements of ANSI A117.1. The running door shall not be permanently deformed when a clearance between the side guard and the vertical . force of 125 Ibf (556 N) is applied on any 4 in. (102 face of the machine housing shall be not less than 280 • - t , ntR.` 4s ` ASME A17.1a-1997 . 20001b-20011113a y 2 in. (51 mm) nor more than 3 in. (76 mm). Where . . 2000.11d Pipes in Runway Vicinity.Pipes conveying an obstruction or surface less than 42 in. (1067 mm) steam, gas, or liquids which, if discharged into the above the top landing other than machine housing, runway, would endanger life or health shall not be , stationary guard panels, shutter-type (telescoping) - permitted. guard panels or sides used for entering and exiting 2000.1e Lower Level Access Ramps and Pits. Pits [EDI is within 12 in. (305 mm) of the platform side guards are not required. If a pit is not provided,a ramp shalt and presents a pinching, shearing, or crushing hoz- be provided in accordance with the requirements for ard, a smooth continuous surface shall be provided, ramps in CABG/ANSI A117.1. not closer than 2 in. (51 mm) to the platform and - extending to a height of not less than 42 in. (1067 2000.lf Electrical Equipment and Wiring mm) above the top landing. .',,(?).The installation of electrical equipment and Where an obstruction or surface is between 42 wiring shall conform to the requirements of ANSI/. in. (1067 mm) and 80 in. (2000 mm) above the NFPA 70. top landing, a smooth continuous surface shall be `';.(2)Electrical equipment shall be certified to the provided extending from the lower landing to a requirements of CSA B44.1/ASME A17.5. height of not less than 3 in. (76 mm) above the 2000.18 Structural Support. The structure on obstruction. The continuous surface shall be located on the lift side of the obstruction not closer than 2 Which the equipment is installed shall be capable of in. (51 mm) to the platform side guards. safely supporting the loads imposed. 2000.1h Headroom Clearance. Headroom clear- " [95b1 2000.tc Attendant-Operated Lifts throughout the range of travel shall be not less (1) Attendant operation shall be provided in ac- than $0 in. (2032 mm) as measured vertically from cordance with Rule 2000.10b. the platform floor. (2) The runway shall be guarded at the upper fending by a door at least 42 in. (1067 mm) high, of Rule 2000.2 Guide Rads "r solid construction, and provided with a combination Guide rails shalt conform to the requirements of mechanical lock and electric contact. The door may Rules 200.2, 200.5, 200.6, 200.8, and 200.9x. Where be opened only if the platform is within 2 in (51 < standard elevator guide rails are provided they shall mm) of that landing, also conform to the requirements of Rules 200.9b (3) A smooth vertical fascia of unperforated con and 200.10a.Rail joints shall be designed to maintain ,Y; struction shall be fastened securely from the upper the accuracy of the rail alignment and to withstand landing sill to the level of the lower landing sill it ' the stress and deflection limitations stipulated in Rule shall be equal to or stronger than 0.0598 in. (1,519 200.5. _k mm) sheet steel and guard the full width of the •, platform. The fascia shall not be permanently de- .,Rule 2000.3 Driving Means and Sheaves formed when a force of,125 Ibf (556 N) is applied ,t, . The driving means shall be one of the following s^" on any 4 in. (102 mm) by 4 in. (102 mm) area , . `(a) winding drum (4) A platform door shall be provided in accordance (b/ traction with Rule 2000.1b(3). roped sprocket (5) The sides of the platform not used for entrance ° (d) chain sprocket ya' or exit shall be guarded by smooth construction with screw no openings, other than those necessary for the - (� rack and pinion operation of the lift, to a height of 42 in. (1067 mm) direct-plunger hydraulic ' Those openings necessary for operation shall reject a ball 1/2 in. (13 mm) in diameter, (h) roped-hydraulic 17 .^^„ (61 The underside of the platform shall be equipped (i) lever. hydraulic :,; with a device which, if the platform is obstructed in 2000.3a General Requirements its downward travel by a force not to exceed.4 Ibf „;(il The factor of safety, based on the static load ' t (17.8 N) applied anywhere on its underside will :(the rated load plus the weight of the car, ropes F t actuate an electric contact which shall cause electric counterweights, etc.), to be used in the design of power to be removed from the driving machine driving machines and sheaves shall not be less than motor and brake and cause the platform to stop its (a) 8 for steel, bronze, or other metals having downward motion within 2 in. (51 mm). Motion may an elongation of at feast 14% in a length of 2 in, resume when the force is removed. (51 mm); (7) The clearance between the platform and the (b) 10 for cast iron or other metals having an upper landing sill shall be not less than % in. (9.5 elongation of less than 14% in a length of 2 in. mm) nor more than % in. (19 mm). (51 mm). 281 ASMEA17.1a-1997 (2) Set screws and bolts shall conform to the re- quirements of Rulb 208.4. Shaft fillets and keys shall conform to the requirements of Rule 208.5. (3) Friction gearing, clutch mechanisms, or cou- plings shall not be used to connect a driving machine drum or sheave to the main driving mechanism. (4) Worm gearing having cast iron teeth shall not be used on the driving machine IED] (5) Driving-machine chains and sprockets shall.beof steel and shall conform in design and dimensions to the requirements of ANSVASME B29.1. 1961 -' (6) Winding drums, traction sheaves, overhead sheaves, and deflecting sheaves shall conform to the requirements of Rules 208.2a and 208.2c, and have a pitch diameter of not less than 30 times the diameter F .. t i ky 0, :t n a M r A 281.1 �2006.3a-Rule 2006.5 - ASME A17la-1997 of the suspension ropes, except that where 8 x 19 2000.38 Guarding of Driving Machines and Sus- steel rope or 7 x 19 steel aircraft cable is used the pension Means.The driving machine and suspension pitch diameter of the drums and sheaves may be means shall be enclosed with a solid enclosure. Any reduced to 21 times the diameter of the rope or. `"opening required for operation shall reject a bail 3/4 cable. in. (19 mm) in diameter. Access shall be provided by a removable panel for inspecting and servicing. 2000.3b Hydraulic Driving Machines. Direct- The panel shall be screwed, locked, or bolted in plunger hydraulic driving machines, where used, place. shall conform to the requirements of Section 302. f Roped-hydraulic machines shall conform to the '2000.3h Indirect.DriveMachines.lndirect-drivema- 1961 requirements of Section 302 except for Rules 302.1a, "chines, utilizing V-belt drives, tooth drive belts, or 302.2, 302.3c, and 302.3g, drive chains, shall conform to the requirements of Rules 208.9b, 208.9c, and 208.9d, except that the 2000.3c Screw Machines. Screw machines, where requirements of Rule 208.9c may be omitted if a f. used, shall conform to Section 1804, self-locking drive meeting the requirements of Rule ( 2000.4lc) is provided. If multiple belts or chains are NOTE (Rule'2000.3c): Rated speed shall not exceed 30 ft/ _.provided, they shall be preloaded and matched for min (0.15 m/s). Overspeed shall not exceed 75 ft/min (0,38 -.,,length in sets. m/s). Rule 2000.4 Driving-Machine Brakes #; t9st 2000.3d Machine Framework and Base. The ma chine framework, base, and fastenings to the build (a) Driving machines, except hydraulic, shall be 1961 ings where used, shall be of metal construction,have equipped with friction brakes directly attached to the a factor of safety of not less than 5 based on the driving means through a continuous shaft, mechani- rated load, and shall be secured in place with support cal coupling, or toothed gearing applied by springs, provided t0 limit their deflections to 1!4 in. (6.4 mm} `Jor by gravity, and released electrically. . _ , 't maximum in any direction under rated load. Cast a(b) A single ground or short circuit, a counter- iron shall not be used `voltage or a motor-field discharge shall not prevent ''.the brake magnet from allowing the brake to set 2000:3e Guiding Member Enclosures The guiding when the operating device is placed in the stop 4 members shall be enclosed with a solid enclosure ;;position. to prevent accidental contact. If openings are neves- "° (c) A machine brake is not required if a self-locking sary in this enclosure for operation, they`shall reject ``'.drive utilizing a lead screw, worm, or other positive a ball 3/4 in. (19 mm) in diameter. "gearing which will stop and hold the platform with the rated load within 4 in. (102 mm) of down travel 2000.3f Machinery"Beams and Supports .` after the power is removed is provided. d " (1) All machinery and sheaves shall be so sup- ' ported and secured to prevent any part,becoming Rule 20005 Suspension and Support Means loose or displaced. Beams directly supporting ma chinery shall be of steel or reinforced concrete. (a) Suspension and support means shall be one (2) Overhead beams and sheaves shall be designed of the following: for not less than the total load on overhead beams, (1) steel or iron wire rope (. which shall be assumed to be equal to the weight " - "(2) steel aircraft cable of all apparatus resting on the beams plus twice he (3) roller chain - ,.' maximum load suspended from the beams.'"' 3 - %(4) direct-plunger hydraulic - (a) The load resting on the beams shall include "• " `'(5/ roped-hydraulicthe complete weights of the driving machine (6) rack and pinion sheaves, controller, etc. 5 .. " .T (7) screw z (b) The load suspended from the beams shall ;(b) Steel tapes or welded link chains she(( not be include the sum of the tensions in all ropes sus used as suspension means." ' pended from the beams. 4 '_" (c) Where rapes or chains are used, not Iess than (3) The driving machine or sheaves, except idlers . ; two shall be provided "`: or deflecting sheaves with their guards and frames (d) For rated loads up to 500 lb (227 kg) rapes shall not be fastened to the underside of the support shall have a minimum diameter of 1/4 in (6.4 mm) ing beams at the top of the runway. and chains shall have a minimum pitch of 1/2 in. (13 (4) Cast iron in tension shall not be used for sup- mm). For higher rated loads, ropes shall have a porting members for sheaves where they are hung minimum diameter of %, in. (9.5 mm) and chains beneath beams. shall have a minimum pitch of 6/a in. (16 mm). 282 e MAR-02-1999 12: 12 MEDIPLEX 617 569 6120 P.01 s "plex Skilled Nursing and Rehabilitation Center of Bostc S j 910 Saratoga Street • East Boston,Massachusetts 02128 - (617)569-1157 T1 fax w � w x , r a n s' m i t t a i j f from: date: m= 1 gages: _ NOTES:#7 Awl 1c j r• MAR,-02-1999 12: 12 MEDIPLEX 617 569 6120 P.02 ACCESS & MOBILITY SPECIALISTS, INC. PROPOSAL Voro: February 19, 1999 Project: Handicap Lift Location. 8991 Carel Street,Salem,MA Specification(if wry): to accordance with the plans and specifications,we prtmose to furnish and install one(1)Verticil Wheelchair Lift,complying with ASME14MI Smedard A 17.1.Part XX.and the State Elevator Safety Cude. Lift Manufacturer: Access industries,Inc. Lifl Height Up Tn SKI" lift Model Number: PL-TG50 Standard Equipment; 550 Ib capacity, 12 square foot pl:dl'orm with am-Aid surface Upper and Lower call/nud conte* -Upper and lower limit switches Pleatorm side enclosures Final Limit Epoxy Powder Coat Finish(Beige) •Outdoor Package(if required) Key Operated Platform Control Switch -Low Voltage Control System Instant Rcvuning Motor 10("Ilminute travel speed Cenifieation and inspection by the State Department of Public Safety One year factory warranty(pans and labor);two years on drive train, 120 days labor. Optional Equipment included; [ ]Upper Landing Geta (x]Lower Lauding(late fxj Platform Gate ( }Plexiglass Encioxure [XI Stat Panel Enclosure [ )24-volt drive w/bir"cry [xj Manual Lowering Device [x)Fmergeacy Stop Alann [x)Flush mounted call stations )x]Platform Grab Rail (x)Stationary Ramp [ )Automatic Retracting Ramp [ ]Fascia Panel I )3-Level Symon [ )Enter/Exit Same Side [ ]Special Cotor/Finish [ )Plexiglms inserts ist gates [ 190 degree Platform [xj 750 Ib capacity (x)36"x 60"platform ) j Portable tJntt(Wheeh) [ )Plexiglam tkime [ I Canvas Canopy Top [rj i electromcchenical interlock Total proposal price is; Nine Thousand Four Hundred Ninety Saven Dollars(69,497.00),plus state and lural taxer(if applicable). Payment to be made as follows:50%ro tithiate the order,balance upon turn-mer of state inspection eeriificnt� This proposal does not include site preparations construction of approved stairs.walls,substrates or wppnrt&other than site inspection and advice in accordance with the specification,if any. Electrical mains power(12o von. I-phase,20 amps)shall be provided by ethers. installation may be expected immediately upon reeeipt of a firm Purchase order and deposit. Installation will be perfamurd by our own Wensed technicians during normal working hours is whcduled in advance. Customer teats responsibility for obtaining necessary permits(other than state elevator permit,which is the rcuprnrgihility of Acean&Mobility Specialixts,Inc.)for the mstalloliun of the unit,including handing permits, Architeewral Access Board variances,cta Copies of all permits/variances must be flied with Access&Mobility lkpccialis before work may commerce. By; filar G �cll�s% Accepted 13y: David N.Terry, Director dOpersdofk. Sales Date Access&Mobility Specialists.lite. 1047 VVaehington detest,Yaeymouth, MA 02189 TEL:1.800442-L[FT MAR-02-1999 12: 13 MEDIPLEX 617 569 6120 P.03 30 112'TO CENTER {�.�99 y8• OF DOOR OR GATE \ OPENING 1 51 7!e' 38 40' SS 114V(4811) 31 12' 881/4"(60� Plan View TOP LANDING GATE I 421/12' ,u ui TLISABLIAE x===0o==� _ iii 73114' 53'Mex.H C �„Lifting aight From Baso 38'TO ofUnA CENTER IT Front ilevation Lower Landing Side seevation 318-18 x 334" NO CROWN CONCRETEANCHOR ON SLAB 4'THICK %W PSI DIA.ale'x 3-1/2' REINFORCED DEEP HOLE CONCRETE ' conoreto Anohor Detail Toe Guard PL-TG 50 4001 EW I=h s,Od Straight-U1ru Platform v�e,M064M0 1 pLrTG60 Floor Mount FAx:elo-res44ar Model Ma><.11ftingHL TowerHei ht 73y,J pate; 12!10/96 OrawingaPL•TGSO.2 MAR-02-1999 12: 13 MEDIPLEX 617 569 6129 P.e4 The lift with Toe-Guard protection meets codes without a hoistway T'he "toe-guard" design means no hoistway is needed. Stationary lower landing walls and gate shield the under- side of the platform as the platform rises. • Requires no hoistway construction - Lift is equipped with three gates: top landing gate x: — lower landing gate platform gate 'fhe lower landing gate and platform gate interlock and open simultaneously for ease of use. A door can be substi- tuted for the top landing gate. ♦ Auditorlesm Stagy:The °r: r Lifting heights to 52" for access be- Toe-Guardmetbothspace ;. tween two landings and cod¢reguiremants jm • Iwo platform sizes: this Jnstattatkm.Lift and ''ty4` — - ':�.yY irr`.:� h?pw' �� —'Jb"x b(t° handrailsjeuturethesame ._36" x 48" eotor(envh,tuwat7andutg : ,. a and platform rates open '�,� + Options for custom tnstailattans(sec in tandem as shown. ,.,,,., page 5). H. Civic Center tubby: b, An ova-thmtep bndga Spam rrom the upper landing to file lift in Mrs installation next to a 'fyp�� Bi;tnensions staimease. (Top Ylew with a 36"x 60"Platform) si w III ' I i i • WanhuuseCsMcerA7Ci5Gttursgt to deck heightorAceahsxwnttaNar vnnaWaWdM) sioonxouar 4 e TOTAL P.04 The Commonwealth of Massachusetts Department of Public Safety H a»sE Massachusetts State Building Code(780 CIAR) �0 - q �p Building Permit Application for any Building other than aOne-or Two-PamiwjDwe (This Section For Official Use Only) RM Building.Penn it Number: Date Applied: Building Official SECTION -LOCATION(Please indicate Block#and Lot#for locations for which a street address is nopAlailagk) ------------ No.and Street City/Town lip Code Name of Building (if applicable) _ SECTION 2:PROPOSED WORK P-1" f NIA State Code used If New Construction check here❑ or check all that apply in the two rows below Existing Building❑ Re piAlteration�t1lk ati ❑ Addition❑- De.p litiron ❑ (Please Pili autand submit Appendix 1) g F f Use ❑ Chan e of Occupancy ❑ Other ❑ S ecif _ ing plans and/or construction documents being supplied as part of this permit application? Yes ❑ No pendent Structural Engineering Peer R,eview re l.IV& / y Y s ❑ No 131ief Description of Proposed I 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): _�C'Cilli Proposed Use Group(s):— ke„-x.9—T 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.) c)6- SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: BusinessI E: Educational ❑ F: Factor F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ I-1-4 0 H-5❑ 1: Institutional I-1 ❑ 1-2❑ 1.3❑ 1-4❑ M: Mercantile ❑ R: Residential R-10 R-2❑ R-3 ❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ . Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) TA ❑ IB ❑ FIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ VII ❑ SEC'T'ION 7:SITE INFORMATION(refer to 786 CMR 111.o far details on each item) Water Sup iy: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public Check if outside Flood Zone❑ Indicate municipal A trend will not be Licensed Disposal Site required or trench or specify:-- permit pecify: _ Private❑ or inc3entify Zone: or onsite system❑ permit is enclosed❑ _ Railroad right-of-v Hazards to Air Navigation: 1_;_t}- oric G�nirc�i_s�>ra R�av_e�_v P_n_v_.gts: Not Applicable- Is Structure within airport a proach area? Is their review completed? or Consent to Build enclosed ❑ Yes ❑ or No Yes ❑ No SECTION S:CONTENT OF CErZTfFICATE OF OCCUPANCY [Does dition of Code: Use Group(s): Type of Construction:_ Occupant Load per Floor: I:he building contain an Sprinkler System?:_ Special Stipulations: i SECTION 9: PROPERTY OWNER AUTHORIZATION Name atV Address of Property Owner Name Print) No.and Street City/Town Zip Property Owner Contact Information: /� /�C�, Dcv 2 e/ — • G l�e�t�R�s % � � �3�1 (a`-lt a) (2ccr- Owl Title _ 'Telephone No. (business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes � ez+� g7 V, /s�rosc2,s� 1 Name. Street Address City/Town State Zip to act on the 12roperty 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. ft.of enclosed space and/or not under Construction Control then check here Wand kip 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 Sit,, e , :F' 27le Company Name Name of Person Responsible for Construction �jLicense No. and Type if Ap icable /t CroSUA,0r Pr Z lI1✓1 " ! D/9'0>— Street Address City/Town State Zip ------------------ Tele phone No. business Telephone No. cell e-mail address SECTION 11:WORKERSCOMPENSATION 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!�issyyonce of the buildin er nit. Is a signed Affidavit submitted with this application? Yes fIP�No ❑ 42k7 / SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated 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 $ -I. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost $ Q o (contact unicipality)and write check number here SECTION h SIGNATURE OF 13UI ING PERMIT APPLICANT By entering my name below, I hereby attest and the an a uI of er' 11 of the information contained in this application is true a nd accurate to the best of my know/le g u .n ing. Please print and si n name Title Telephone No.4 Date I5 rU3� e,_ pk Ly,,y 1/7ot Gr uy Street Address City/Town State Zip 7 Municipal Inspector to fill out this section upon application approval: +' / / Name Date 89 CANAL STREET 766-11 �, J COMMONWEALTH OF MASSACHUSETTS �I CITY OF SALEM GIS# 412 Map, :i "33 Bloek °W!"� SIGN PERMIT Lot... °.0163 .t k`r° r . P-itnt ��:, ',Slgn F` EI% , Category: SIGN , ii reamt# .:766 Il :' PERMISSIONIS HEREBY GRANTED TO: Project#:°!, JS-2011-001337.F ...., , Est Cost ,,, $1,243.910 Mkt uif Contractor: License: Expires Fee Charged:$0 00 ' I All Kinds of Signs Balance Due:$00 ?. h err i7.;� " Owner: CRIST FRANCIS, CRIST CATHLEEN #ofFixtin'es Applicant: All Kinds'of Signs Dil,Safe# m ''Mill, 't ll� , 'AT. 89 CANAL STREET ConstClass 1r ISSUED ON. 05-May-2011 AMENDED ON: EXPIRES ON: 05-Oct-2011 TO PERFORM THE FOLLOWING WORK: SIGN PERMIT FOR CATHY CRIST INTERIOR jbh THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: SIGN REC-2011-001471 0540ay-11 x $0oo GcoTMS®2011 Des Lauriers Municipal Solutions,Inc. )'4 J'P- H 3 CKT2(o , RECEIVED #Proposed 4 TheCommonwealth of Massac use sDepartment of Public Safety MassachusensStateBuildingCole(780(MIN)SEP -3 P a S5Building Permit Application for any Building other than a One-or Two-Family Dwelling (This Section For Official Use Onl ) g Permit Number: Date Applied: BuildingOfficial:ECTION 1:LOCATION(Please indicate Block If and Lot ff for locations for which a street address is not available)f C'G✓+c-1 ;E Scdem B 170 d Street City/Town Zip Code Name of Budding(if applicable) SECTION 2:PROPOSED WORK of MA State Curie used_ If New Construction check here❑or check all that apply in the two rows below Building❑ Repair❑ Alteration ❑ Additin❑ Demlition ❑ (Please fill out and submit Appendix 1) of Use ❑ Change of Occupancy ❑ Specify: cys F lding plans and/or construction documents being supplied as partof this permitapplication? Yes ❑ Noependent Structural Engineering Peer Review required? Yes ❑ Noscription of Proposed Work: Sf-R n L v`+� P. (z�F SECTION 3:.COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR e-- CHANCE IN USE OR OCCUPANCY Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CIvIR 34) ❑ Existing Use Group(s): I 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 CROUP(Check as a licable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A--I❑ A-5❑ B: Business ❑ E: Educational ❑ F: Facto F-t ❑ F2❑ L. Hi h Huud H-1 ❑ H-2❑ H-3 ❑ 1-44❑ H-S❑ h Institutional I-l❑ 1-2❑ 1-3❑ 14❑ M. hfercan:le❑ R: Residential R-113 R-2❑ R-3❑ R4❑ S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION&CONSTRUCTION TYPE(Check as a licable) W ❑ IB ❑ IIA ❑ fill IIIA0 IIIBO IV ❑ VA VB ❑ SECTION 7.,SITE INFORMATION(refer to 780 CNIR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site Private❑ or indentify Zone: or on site system❑ required ❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: \L\I list 'i nlniii+yrm Itrvimv I'nxccc: Not A livable� - -. . _ PP AS Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIPICe\TE OF OCCUPANCY Edition of Code: Use Group(s): 'type of Construction: Occupant Load per Floor: Does the building,Contain an Sprinkler System?;__ Special Slipulations: SAz"SQT Tio CA • , s'crvr � �sl �� r°Ar SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner f�7y� t,t„rt (SRO ,) Name(Print) No.and Street City/Town ZIP Property°Owner•Conhct Inaff`na,h An. "fide Telephone No.(business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes 1,j\1likae%, -1/2A44ry.+_ '4, _sgronc. ` t YuUv /YJ/� Name Street Address ity/Town State Zip to act on the property owner's behalf, in all matters relative to work authorized by this:budding permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If buildingis less than 35,000 cu.R.of enclosed space and or not under Construction Control then check here O and skO Section 10.1 10.1 Registered Professional Responsible for Construction Control 1.3tlVnnx -tYZAVo r -)Ct - 5561 I1PL-1k /olaa0 Name(Registrant) Telephone No. e-mail address Registration Number 1 K Yerunc- 2'f". J f1L O/SOy Street Address - _ Ci y/Town State Zip Discipline Expiration Date 10.2 General Contractor Wdf,,Nm iR a i4A T -tart �,.aCrT, ♦a - Company Name cc I j(,At iltnw.....f /) ® 7 YS Name of Person Responsible for Construction License No. and Type If Applicable ycr- n-� r — L 41 rA— O/SO Y Street Address ity/Town State Zip Telephone No. business - Telephone No. cell e-mail address SECTION 11:VV0RKb:Rti'COMPFNSAI ION INSURANCE APfIDAVI M.C.L.c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes 0 No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE - Item Esthnated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Building - -5 ,3 WO""� 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. Mechmnical Other 3 Enclose check payable to 6.Total Cost 5 t3.BOo V' (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT B entering m name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this Y K Y Y• P" P P � rY application is true:md accurate to the best of my knowledge and understanding. - a F IIl 'FAau*eT ::4 :z Tr Z8r --Wf - rzit Please print and sign name Title Telephone No. Date aI5- yrff ^ ° S r onn 00- [)19oY Street Address ity/Town L State Zip Municipal Inspector to fill out this section upon application approval: zqz ""�'x"' G Name Date Massachusetts-Department of Public Safety `p Board of Building Regulations and Standards e� Construction nor Specialty License:: CSS CSSL-1e01220 WILLIAM R TRAO,%X 215 VERONA STRE LYNN MA 0190¢ Y Expiration 02/10/2016 y Commissioner Y .. Ay� -V/(2 1pom'vnza7CG�¢a.LUL a�V/�Ca45[LC/ut5eab �r �\ Office of Consumer Affairs&Business Regulation kqjE IMPROVEMENT CONTRACTOR e;g�istrahon: 176945 Type: puation • 6/5/2016_- Corporation WILLIAM TRAHANY JR.CONST INC: WILLIAM TRAHANT � t� 215 VERONA ST �'� g LYNN,MA 01904 _ Undersecretary 0 S ,, a V��MJL/I)L69LlUP,OA�L O�V/L/,UA'ILI�L[[dP.�q t (�\ flee of Consumer Affairs&Business Regulation } ME IMPROVEMENT CONTRACTOR - egistration: '178945 Type Expiration: 6/5/2016 Supplement WILLIAM TRAHANY JR.CONST.INC. KENNETH RICHARDS - 215 VERONA ST LYNN, MA 01904 Undersecretary 1 r CITY OF S U EM, NWSACHL•SETTS BUILDING DEPARTMEINT 120 W."HLNGTON STREET, 3a' FLOOR T EL (978) 745-9595 P.ve(978) 740-9846 KI\tBEILI _Y DRISCOLL .bLiYOR THOAtAs ST.PIE.aRH DIRECTOR OF PUBLIC PROPERTY/BUILDING CONEMISSIONER Workers' Compensation Insurance Atrdavit: Builders/Contractorv/Electricians/Plumbers %pplicant information Please Print t ePihiy V;IIt1C (nusinussOrganiralion,'Individual): (�.J 1 I tiAr`+ �liq ld.��T �n r N 'M ri Address: U� �Prt YVG City/State/Zip: LVNN./Yl/I (9/ctO y Phonelt: 76-i 59s Id Are you un employer'!Check the appropriate box: 'Type of project(required): 1.U I am a employer with 1_Y 4. 0 1 am a general contractor and employees(full and/or part-time).* have hired the sub-contractors fi. Now cmtswction 2.❑ tam a sole proprietor or partner• listed on the attached sheet. I 7• ❑ Remodeling I ship and have no employees These sub-contractors have 8. Demolition working For me in any capacity. workers'comp. insurance. 9. Building addition INo workers*comp. insurance 5. (] We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.(] I am a homeowner doing all work right of exemption per MGL I i.❑ Plumbing repairs or additions myself. (\'o workers'cump. c. 152, §1(4),and we have no I2. aof repairs insurance required.) t empluyees. [No workers' 13.❑ Other cutup. insurance required.J •Any upplivvn our ehecka box fl owl ilm rill out the section bclawshowing their woAca'compensation policy iull,rmatiun. t Iiomcuwncn aho,ubmil this alidwit indicating they are doing all worlt and then hire uutsidocontmctan mint auh,no a now aMdavil indicating such. $bmm cunthusdwekthis box must anachul an additiurul ahra,huwinu then.unc orlhctub•eentnchnx and theirwarken'comp.policy information. I cant an enipluyer that is pros-Ving ivorkers'cunipensatlaa inturmrce for my eatplayees. Below Is the policy and job silo iufarneation. Insurance Company Name:. � Policy i!car Self-ios,.Lie. /L+�!-a1�L�_— Expiration Ontd: �—/U' / Job Sife Address: As l.cnw,.( .$ C4y/State/Zip: 5'AZE^ r/27 g Attach a copy of the worheIs'compensation policy declaration page(showing the policy aumber and expiration data). Failure to secure cove nige as required under Section 25A of MG c. 152 can lead to the imposition of criminal penaltics of a fine up to S1.500.00 and/or one-year imprisonment,as well as civil penaltics in(he form of a STOP WORK ORDER and it lino nrup co S25000 a day against Ill,:violmor. Ile advised that a copy of this statemunt may Ix: furwardcd to the Of%c of hrve,tigutiuns ul'the OIA for insurance coverage vcriricaliun. - Ida hereby certify under the pains�n ult�rjury that the h funuutlun provided ubuve is snit and correct. ° rya "�s�t pat w Y Phone d: 12 (r,A?z x� Of/Icial use wd),. Do not wrile in this area, to be completed by city ut ta,va official I City or'fuwir. kc,, rmitfl.lccnseAt � Gluing Aulhuri(y(circle one): 1. Board of Ilcalih 2. Iluildlm, I)eparintent 1.('i(yfrom,Clerk 1. 1?Iectrical htvpcdur 7. Plumbing Inspector G. Other ...-- —.. ._ Cunl'.Icl 1'ura,n: _ Phone 1: CITY OF SALEM, MASSACHUSETTS r ICI BUILDING DEPARTMENT �s < 120 WASHINGTON STREET,31D FLOOR TEL. (978) 745-9595 KIMBERLEY DRISCOLL FAX(978) 740-9846 MAYOR THOMAS STTIERRE DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER 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 c40, 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 deposit facility as defined by MGL c 111, S 150A. The debris will be transported by: (name of hauler) The debris will be disposed of in: +l rnre- (name of facility) /043 (address of facility) Signature of applicant Date i .4 Aug.20.2014 09:27 AM CCIA/REFINEMENTS 19787453033 PAGE. 1/ 1 goofing �xo1xs�x1 Page No. of Pages WM. TRAHANT JR. CONSTRUCTION, INC. (Y Y 4TH GENERATION ROOFING 215 Verona Street LYNN, MASSACHUSETTS 01904 CSL#101220 (781) 599-1211 • (781)844.4551 •FAX:(781)S81-0855 H.I. LIC.#141778 PROPOSAL retie re Phase eAYE arfEET I ta'ry.STATE WZ V.. JOB lACA710N e hereby atbrtdt specirtcatiors and octlmates for, we horeby submit specifications and estimates for. SHINGLE ROOF FLAT LOBER RW . Strip entire roof R p' ' 1' I Reshingle I'-i Spep entire rant clean ❑ Replace any bad boards up to 100 linear feet VStrip entire roof C�tall Ice and water barrier first mteee f et up root Ma anically fasten down ISO board insulation . ..............._. ._.. ._........................... .. .. .... . ... .. . ..... . . - . ... .. ................. LJ Install ice and water barrier in all valleys and alongdormers Install 060 Rubber Roofing on entire roof ........................... . F1 Install 151b, fell paper'on remainder of roof nstali metal flashing around perimeter of building Felnstall eight inch drip edge EdNfhlte I'I Black ❑ Mill I h chimney(sl, pipes)and wall(s) ..... ......... ......... .. .. . I I Install ridge vent Edge.caulk all seams 1-1 Flash or re-flash chirnne s) ❑ Install new copper centeir drain .... ........... . ... . . ❑ Install new pipe flanges L"J 0 ,r: �t�Tlnstall lifetime shingleKores1 CI up all debris n...(� (-. war .._...._..... nsta.I gutter ..and downspotrts abor and materials guaranteed 100%for five years ... M Install trim coif _❑. .Install.new.fascia. . ..b.oards..... . . ...... . . .. . . . . ❑ Install new rake boards 71 Install sky light(s) .. ❑ Other: to p all debris abo and materials guaranteed 100%for five years I shingle roofs are nailed by hand. We tiropose hereby to furnish material and labor — complete In accordance with above specifications, for the sum of: Total Price(ti Ls)F 80o .00 ). **IF YOU ARE HAVING YOUR ROOF STRIPREO, PLEASE COVER ALL VALUABLES IN ATTIC, AS WE HAVE NO CONTROL OVER DEBRIS THAT MAY FALL THROUGH ROOF BOARDS." AO material is guaranteed to be as Wetlhed.An wnrk to be completed in a"mmenSte m~aewrdna to standard practices.Any sitteatim or deviation ham mava 99p�CCdy4. Authorized time involving extra costa wS be exec,ied orb ro m written aaera,and wal be . an SiBnattae extra charge over and abeve the estimate.AM agreements uonenamt upon strikds, accidenb m tlegyR tveyorid our control,Owner to carry fire,homado,and other r wary insurmeo.Our workers are Mlyeovned by wnknwru GIs i mumbm hsm,ma. AtcLa1turreorf oposart—The above Pdcas,swiflcatiwls and contth�i 5 are satisfa Wed are hereby accepted.You are authorized to Signature do the 2rk as specified.Payment will be made as outlined above. Date of Arceptame: vs t7� _ Signabpe Pkammtil "Wop W 1