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203 CANAL STREET - BUILDING JACKET w of Salem, fiRttgsor4usetts Public Propertg Department Nuilhing Department (One #alem (4reen 5as-745-9595 Ext. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer September 27 , 1995 North Shore Realty Trust 89 Lewis Street Lynn, Mass . 01902 RE : 203 Canal Street To Whom it May Concern: Thank you very much for your response to the letter dated on September 5 , 1995 regarding the above mentioned property. An inspection was conducted and found all violations corrected. This office will notify all the appropriate departments and the Ward Councillor that this situation has been brought to a satisfactory conclusion. Sincerely, Leo E . Tremblay//J Inspector of Building LET: scm cc: David Shea Tom Kenoe Councillor Gaudreault, Ward 5 - 9/6 - - i Cnitu of �ttlem, massttr4usetts Public Propertn Department +Nuilbing Department (One Salem (6reen 500-745-9593 Ext. 300 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer September 5 , 1995 North Shore Realty Trust 89 Lewis Street Lynn, Mass . 01902 RE : 203 Canal Street To Whom it May Concern: The building at the above mentioned location is at this present time vacant . As the owner of the property, you are responsible to maintain the building as well as to keep the property clean from debris , trash and overgrowth of grass and weeds . An inspection of the property was conducted on September 5 , 1995 per the request of your abutting neighbors, and the property is not being maintained per State Building Codes CMR 780 . Please contact this office upon receipt of this letter to inform us of your course of action in this matter. Failure to do so within ( 15 ) fifteen days may result in legal action being taken against you. Sincerely, 7 Leo E. Trembaly Inspector of Buildings LET: scm cc: David Shea Larissa Brown Councillor Gaudreault, Ward 5 Certified Mail # P 921 991 811 CITY OF SALEM NEIGHBORHnOD INIPROVEMENT TASK FORCE jurisdiction Hist. Comm. Yes 0 No ❑ REFERRAL FORM Cons. Comm. Yes ❑ No ❑ JRA Yes 0 No 11 Date: J S/ r Address: Complaint: Complainant: Phone#: Address of Complainant: BUILDING INSPECTOR KEVIN HARVEY FIRE PREVENTION ELECTRICAL DEPARTMENT HEALTH DEPARTMENT CITY SOLICITOR ANIMAL CONTROL SALEM HOUSING AUTHORITY PLANNING DEPARTMENT POLICE DEPARTMENT TREASURER/COLLECTOR ASSESSOR WARD COUNCILLOR DPW SHADE TREE DAN GEARY PLEASE CHECK THE ABOVE REFERENCED COMPLAINT AND RESPOND TO DAVE SHI WITHIN ONE WEEK. THANK YOU FOR YOUR ASSISTANCE. ACTION: ' ARTICLE P 921 991 811 UNE 1. North Shore Realty Trust NUMBER 89 Lewis Street Lynn, Mass. 01902 • t FOLD AT PERFORATION t WALZ INSERT IN STANDARD#10 WINDOW ENVELOPE. f E A T I F I E D M A I L E R PosTACE POSTMARK OR DATE of - RETURNSHOW TO WHOM DATE AND/ RESTRICTED / _ WW RECEIPT ADDRESS OF DEOVERY DELIVERY 0. 0. SERVICE CERTIFIED FEE+RETURN RECEIPT W,6 >N r9 TOTAL POSTAGE AND FEES _ NO INSURANC E VIDED- W K F� .SENT TO; NOT FOR INTERNA110NAL MAIL On CID ITRM s oz a North Shure Realty TrustEr r� 83 Lewis Street EEa a Ly=, Mass. 02302 �o r ' PS FORM 3800 z . RECEIP.T.F.OR_CERTIFIED MAIL � a uxlrtos�ms � VJSl1L SERIICE i STICK POSTAGE STAMPS TO ARTICLE TO COVER FIRST CLASS POSTAGE, CERTIFIED MAIL FEE,AND CHARGES FOR ANY SELECTED OPTIONAL SERVICES(see front). 1. If you want this receipt postmarked,stick the gummed stub to the right of the return address of the article,leaving the receipt attached,and present the article at a post office service window or hand it to your rural carrier(no extra charge). 2 If you do not want this receipt postmarked,stick the gummed stub to the right of the return address of the article,date,detach and retain the receipt,and mail the article. 3. If you want a return receipt,write the certified-mail number and your name and address on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits.Otherwise,affix to back of article.Endorse front of article RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addresses,or to an authorized agent of the addressee,endorse RESTRICTED DELIVERY on the front of the article. 5. Enter fees for the services requested in the appropriate spaces on the front of this receipt.If return receipt is requested,check the applicable blocks in item 1 of Form 3811. t 6. Save this receipt and present it if you make inquiry. ENDER: • Complete items 1 and/or 2 for additional services. I also wish to receive the • Complete items 3,and 4a&b. following services(for an extra fee): • Print your name and address on the reverse of this form so that we can return this card to you. 1. ❑ Addressee's Address • Attach this form to the front of the mailpiece,or on the back if space does not permit. • Write'Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery • The Return Receipt Fee will provide you the signature of the person deliveretl to and the date of deliver . Consult postmaster for fee. 3.Article Addressed to: - 4a.Article Number ` ova l Y :;txork, F:uai: Tri mt P 921 991 811 d9 „e.V L 4 Si,Y.ivC 4b.Service Type C➢k9u1 CERTIFIED 7.Date of DR, r ignatupre—(Rddr B.Addressee's Address (ONLY i/requested and lee paid.) g� 6. ig lure—(Agent PS Form 3811,November 1990 DOMESTIC RETURN RECEIPT United States Postal Service II I I II I Official Business PENALTY FOR PRIVATE USE,$300 INSPECTOR OF BUILDINGS ONE SALEM GREEN SALEM MA 01970-3724 Ctg of Etta em, Massar4usetts Public 11rapertg i9epartment Nuilbing Department (One Belem (6rern 508-745-9595 $xt. 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer September 21 , 1995 Joseph Toomey 365 Market Street Brighton, Mass_ 02135 - RE : 203 Canal Street Dear Mr. Toomey: Per our telephone conversation the above mentioned property is located in a B-4 zoning area and would legally house a Bagle shop and on site seating. The amount of on site seating would be regulated to the amount of parking area available. If this office can be of any further assistance, please do not hesitate to call. Sincerely, Leo E. Tremblay Zoning Enforcement Officer LET: scm Ctg of �#ttlem, fttssttr4usetts Ilublir jrapertg Department +iguilbing Department (One Baleen (5reen 500-745-9595 E^ . 380 Leo E. Tremblay Director of Public Property Inspector of Building Zoning Enforcement Officer September 5 , 1995 North- Shore Realty Trust 89 Lewis Street Lynn, Mass . 01902 RE : 203 Canal Street To Whom it May Concern : The building at the above mentioned location is at this present time vacant. As the owner of the property, you are responsible to maintain the building as well as to keep the property clean from debris , trash and overgrowth of grass and weeds . An inspection of the property was conducted on September 5 , 1995 per the request of your abutting neighbors , and the property is not being maintained per State Building Codes CMR 780. Please contact this office upon receipt of this letter to inform us of your course of action in this matter. Failure to do so within ( 15 ) fifteen days may result in legal action being taken against you. Sincerely, Leo E . Trembaly Inspector of Buildings LET: scm cc: David Shea Larissa Brown Councillor Gaudreault, Ward 5 Certified Mail # P 921 991 811 AMERICAN CLAIMS SERVICE SPCMULTI-LINE ADJUSTERS may 2 , 1994 BUILDING COMMISSIONER OR BOARD OF HEALTH OR INSPECTOR OF BUILDINGS BOARD OF SELECTMAN City Hall Salem, MA 01970 RE: INSURED: Alyce's Restaurant Inc. PROPERTY ADDRESS: 203 Canal St POLICY NUMBER: NBF723328 LOSS OF: 10/20/93 Windstorm FILE/CLAIM NUMBER: 5631 Claim has been made involving loss, damage or destruction of the above captioned property which may either exceed $1, 000. 00 or cause Massachusetts General Laws, Chapter 143 , Section 6, to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim file number. Gail Patania Claims Representative On this date; I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. May 2, 1994 Date � 3 00 ' , C 50 SALEM STREET, BUILDING A, LYNNFIELD, MASSACHUSETTS 01940 TELEPHONE: (617) 245-9516 • FAX: (617) 245-1077 HARING AND ASSOCIATES, INC . Architects 41 Hart Street Beverly Farms, Massachusetts 01915-2122 Telephone 617-927-1656 October 21, 1992 " o � N David Harris o N F Building Inspector r' City of Salem �m One Salem Green rn.. o Salem, ma. o cv n Re: Alyce's Ice Cream 203 Canal Street C, �^ N Dear Mr. Harris: This letter is to confirm that I visited the site periodically during construction and that I personally observed that the walls were constructed of 2 x 6 members and the roof of 2 x 10's as shown on my drawings filed in your office. We are sorry for the confusion in not notifying you prior to closing up the walls. Mistakenly the con- tractor thought that only the electrical inspector had to view the work. Yours truly, '` V/H4ari7 and Associates, Inc. Douglas Haring 4 'Co 0 0 CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts 01970 HEALTH AGENT 508-741-1800 March 5, 1992 Mr. Emmanuel VosDoganis & Mr. Lou Markos c/o Alyce's Ice Cream 203 Canal Street Salem, MA 01970 Re: Proposed Food Establishment "Alyce's/Mal's Roast Beef II Dear Sirs: On March 3, 1992 a site review was conducted regarding the proposed food establishment located at 203 Canal Street. The Health Department issues the following comments in accordance with State Sanitary Code, Chapter 10, 105 CMR 590.000: "Minimum Sanitation Standards for Food Establishments". - The walls, wall coverings, ceilings of walk-in refrigeration units, food preparation areas, warewashing areas, and toilet rooms and their vestibules shall be smooth, nonabsorbent, and easily cleanable. Concrete or pumice blocks and bricks used for interior wall construc- tion in these locations shall be finished and sealed to provide a smooth easily cleanable surface. An example ,is stainless steel, "glassboard" or equivalent material. The concrete floor must be sealed. - All equipment and utensils to be constructed of stainless steel or an equivalent smooth easily cleanable material. Equipment to be installed with adequate space surrounding it to allow. for regular, effective cleaning. - Accessible wall-hung handwashing sink(s) with liquid soap and paper towel dispensers to be installed in each food preparation and warewashing area. Sinks used for food preparation or for warewashing shall not be used for washing of hands or for any other purpose. - In new establishments at least one (1) service sink or curbed cleaning facility with a floor drain shall be provided and used for the cleaning of mops or similar cleaning tools and for the disposal of mopwater. Hand- washing or warewashing facilities or food preparation sinks shall not be used for this purpose under any circumstances. continued SALEM HEALTH DEPARTMENT 3 9 North Street Salem, MA 01970 Mr. Emmanuel VosDoganis 6 Mr. Lou Markos c/o Alyce's Ice Cream Page 2 of 2 March 5, 1992 - Three compartment sink with drain board shall be installed in all new food establishments and in all establishments which were in existence prior to the effective date of these regulations, whenever such establishments undergo substantial renovation or transfer of ownership. Sink compartments shall be large enough to accomodate the immersion of most equipment and utensils, and each compartment of the sink shall be supplied with hot and cold running water. - The installation of exposed horizontal utility service lines and pipes on the floor is prohibited. Exposed utility service lines and pipes shall be installed in a way that does not obstruct or prevent cleaning of the walls, floors and ceilings. - All construction must also meet the code requirements set forth by the Building, Fire, Electrical and any other pertinent municipal departments. - Submit the revised floor plan of the establishment to this office for approval. The Health Department appreciates your cooperation in this matter. Contact this office to arrange compliance inspections throughout the construction process. If you have any questions, kindly contact this office. FOR THE BOARD OF HEALTH REPLY TO ROBERT E. BLENKHORN, C.H.O. WILLIAM T. BURKE, III, R.S. HEALTH AGENT SENIOR SANITARIAN REB/m cc: Building Department Electrical Department Fire Prevention Licensing Department 8 IJ ILDiHC, OF 'T Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B AN 12 8 143 AM °86 RECEIVED CITY OF SALEM,HASS. TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen Salem 1 1 addresses � 1 RE: Insured: Nad—Law Realty Trust Property address: 203-207 Canal St. , Policy No. F14 00845 Loss of 7/14/86 19 File or Claim No. 14727 Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause MASS. GEN. LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. PATRICK J. DONOVAN ASSOC. Adjuster P.O. BOX 188 Title: NORTH EASTON, MA 02356 On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. 8/11/86 _ Signature and dal CON - CITY OF SALEM HEALTH DEPARTMENT BOARD OF HEALTH 9 North Street ROBERT E. BLENKHORN Salem, Massachusetts 01970 ! HEALTH AGENT - 508-741-1800 ' April 11, 1991 Mr. David Feiven c/o Alyces' Ice Cream 203 Canal Street Salem, MA 01970 Re: Renovation and Change of Name of Alyces' Dear Mr. Feiven: Based on the site review held at 203 Canal Street on March 28, 1991 regarding the renovations of the aforementioned food establishment, the Health Department made the following comments in accordance with 105 CMR 590.000; State Sanitary Code, Chapter X, "Minimum Sanitation Standards for Food Establishments". The walls, wall coverings, ceilings of walk-in refrigeration units, food preparation areas, warewashing areas, and toilet rooms and their vestibules shall be smooth, nonabsorbent, and easily cleanable. Concrete or pumice blocks and bricks used for interior wall construc- tion in these locations shall be finished and sealed to provide a smooth easily cleanable surface. An example is stainless steel, "glassboard" or equivalent material. The concrete floor must be sealed. All equipment and utensils to be constructed of stainless steel or - an equivalent smooth easily cleanable material . Equipment to be installed with adequate space surrounding it to allow for regular, effective cleaning. - A three compartment sink to be installedforwarewashing. A drain- board to. be installed at end of sink to allow for air drying. As discussed, if the handsink is to be installed in close proximity to the 3-compartment sink then a physical seperation is to occur. - Accessible wall-hung handwashing sink(s) with liquid soap and paper towel dispensers to be installed in each food preparation and warewashing area. Sinks used for food preparation or for warewashing shall not be used for washing of hands or for any other purpose . continued waa� SALEM HEALTH DEPARTMfNT 9 North Street Salem, MA 01970 Mr. David Feiven c/o Alyces ' Ice Cream Page 2 April 11, 1991 Re: Renovation and Change of Name of Alyces ' ----- You stated the yard is to be cleaned and a dumpster with lids is to be placed on a smooth surfaceofnonabsorbent material, such as concrete or machine-laid asphault The installation of exposed horizontal utility service lines-and-pipes— on the floor is prohibited. Exposed utility service lines and pipes shall be installg,d in. a way that does not obstruct or prevent cleaning of the walls, floors and ceilings. - All construction must meet the code, requirements set forth by the Building, Fire, and Electrical Departments as well as the Health Department. - Any changes of this food establishment requires Board of Health approval. The Health Department appreciates your cooperation in this matter. Contact this office to arrange compliance inspections throughout the construction process. If you have any questions, kindly contact this office. FOR THE /BOARD OF HEALTH REPLY TO ROB RT E. BLENKHORN, C.H.O. WILLIAM T. BURKE, III, R.S. —HEALTH AGENT SENIOR SANITARIAN REB/m / cc: Building Departments/ Electrical Department Fire Prevention Licensing Department ��,caHnr4,b (gitV of *Njenj, fflttsSar4USetfa 3 Public Propertg Peparttneut 9 pitilbiug pppartment Air 3ettlem (6reen 745-02 13 William H. Munroe Director of Public Property Maurice M. Martineau, Ass't Inspector Inspector of Buildings Edgar J. Paquin, Asst Inspector Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp. December 23, 1987 Arthur Yiakis 391 Chatham Street Lynn, Ma 01902 RE: 203 Canal Street, Salem,Ma. Dear Sir, In regards to the inspection of your property at 203 Canal Street the following must be addressed and corrected. _a lG j=A R- /=/�U 2 ? I . Approval of form A from the Planning Department. 2. Front roof supports are bent from vehicles hitting them and must be replaced. / 3. Door lock on side door is unoperatable, and must be corrected. t/ 4. Fire extinguisher must be secured properly. 5. No headers above any of the new doorways . ( 75Jc / T" 6. Opened ceilings exposed in food preperationuarea. v 7. Tables to be installed, maxium occupancy is eighteen ( 18) J 8. Letter from Engineer certifying units will be acceptable to bear v/ the weight of roof structure. 9. Letter from Engineer certifying foundation and footing of roof structure J 10. Board of Health to sign permit card. / 11 . New roof is leaking and must be repaired. 5,4) .D Respectfull , David J. Harris Assistant Building Inspector DJH/eaf � L sr-r" 4k,ci/"sf DAVETA ASSOCIATES ARCHITECTS 31 UPLAND ROAD SOMERVILLE, MASSACHUSETTS 02144 (617) 625-2018 666-9840 MR. ARTHUR YIAKAS 5 / 16/88 P . O. BOX 2614 LYNN, MA. 01913 RE : ALYCES ICE CREAM SHOP STRUCTURAL SUPPORT REVIEW DEAR ARTHUR : AS REQUESTED I MADE A VISUAL EXAMINATION OF WROUGHT IRON SUPPORTS OF THE OVERHANG AT THE MAIN SERVING ENTRY-WAY . I OBSERVED 2 OF THE THREE SUPPORTS TO BE SLIGHTLY BENT FROM THEIR INTENDED VERTICAL POSITION . IT IS MY OPINION THAT THIS CONDITION IF NOT WORSENED IS IN WAY A STRUCUTRAL HAZARD TO THE SUPORT_OF THE OVERHANG ABOVE . IT IS RECOMENDED THAT SOME CONSIDERATION BE GIVEN TO REPAIR IN A WAY THAT STABELIZES THE CONDITION FROM WORSENING. THANK YOU, rDOMINIC F . D TA .0N°"�� (91tu of 31VIII, 'ffiassar4use##s Public Property Peparttncut 'jsca,NNE S uildinq 39epartntent (One 3cttlrm (6rern 745-11213 William H. Munroe Director of Public Property Maurice M. Martineau, Ass't Inspector Inspector of Buildings Edgar J. Paquin, Asst Inspector Zoning Enforcement Officer John L. LeClerc, Plumbing/Gas Insp. December 23, 1987 Arthur Yiakis 391 Chatham Street Lynn, Ma 01902 RE: 203 Canal Street , Salem,Ma. Dear Sir, In regards to the inspection of your property at 203 Canal Street the following must be addressed and corrected. I . Approval of form A from the Planning Department. 2. Front roof supports are bent from vehicles hitting them and must be replaced. 3. Door lock on side door is unoperatable, and must be corrected. 4. Fire extinguisher must be secured properly. 5. No headers above any of the new doorways. 6. Opened ceilings exposed in food preperation area. 7. Tables to be installed, maxium occupancy is eighteen ( 18) 8. Letter from Engineer certifying units will be acceptable to bear the weight of roof structure. 9. Letter from Engineer certifying foundation and footing of roof structure. 10. Board of Health to sign permit card. II . New roof is leaking and must be repaired. Rdspect full ll David J. Harris Assistant Building Inspector DJH/eaf � „a.COP(y�� '3 J�60ly'Pa Dyt'S CITY OF SALEM HEALTH UPA TMEN 1 e BOARD OF HEALTHF-,;Epr. I Salem, ROBERT E, BLENKHORN 9 NORTH STREET HEALTH AGENT (617) 741-1800 Fc7,�A/ 765 • �� w. 11:4: � I ' • (I.I � ��1J1� IS HIP= •.• I / � .. . - . a ._ •. '- ,tel . ` ammir it., liiiillllllj� 11111111111111111111 1111111 ' .►fir .1 a .: .. 1 119 G • _ // /:r RTAW ���V .ill.• WAR XI ;, ,n ofA (;)< Date - Time � )� Address iner Tel. No. fypeofInspection /Oe/t= Inspector , e1L6 E ( � 1 Remarks and Violations are listed below: F Ch l / t 4 �!V Y�1 F ' E p � EOti 1*99 F F I 1 All) r! lz�g roolee cc- &PO4, O.1V 4/ektrI EES t I F A F N 1 iN I r t' Sr/�SFe, L14 4 7 Report Received by: {.lam Inspecti f' (! (1 (� L 1SNM E� r Date / 6 Time .:il � h3 cAN� rT Name (_� C 67! �� -)i-I)�'}F' �'�' Address A/L (1viL Owner �'T'^"-�-�4 F' �=— � 71 ASTel. No. , Type of Inspection (i 7:f IN/ ^+^ .'9 f � Inspector L O C.K✓9n. ll ( ' ) Remarks and Violations are listed below: T P=r7-FrtCO J'b (S /1 6v7- l^- E Sfl � /7r4/Z X Z � f�F C ?/dam w � f fi C C 0 M/2 ff 1- t F d r y "1`C t N In zl l -� 7' FU �4 C-C I" ✓�G a vc r S N G �► 6 I faop /�n F��9n 9N� M ✓S T k1_6 ,A kL 1-1 ,41 n n je J'-/ i4 r," S, t_eY6E f -/✓1uST oT- F- zi-T <I h t � r- oo b r1lzCR��n 3 � Q rL 20 7'6 j. 1�7A P 0 F C F0tN 7-N IS Cfi /3L�Sf/Mf� T. h F TO C L S �4L16Mfb.- �FLwi«AE, 7- Evi-13s L/ 57- E AC1- F-C7` /t, F CGyEft roG\ V S 4, Ca 7 119(— (Al ..,(A S?EE [ Fly n S 11A uS7 �� S? Ac � E� / b CON �F > _r� /-crz rH£ NO W Y,( S tirof 0 jr-M/tayEF.$- F 6 n �4 .. l7 C ({Gc/trti9p tri lLC h /+YFP rG rl?N R.,4L 4(-rAr n. f F4o�2 1S �ti nrsitrpAr� . Io _ -f f 6A000H CSLFArlr, c cS �-e�eEO r�ny1,�H — Q UT S 17 ^r) L ( M 6r-T _f/�EC IACC Y � E F-(41 NO r /t` 7 — Report Received by: v DAVETA ASSOCIATES ARCHITECTS 31 UPLAND ROAD SOMERVILLE, MASSACHUSETTS 02144 3 jo PH T (617) 625-2018 666.9840 ] � 1� CITYC MR1..=ARTFI;U;R YAKES 12 /30/87 391 CHATHAM STREET LYNN , MA. -RE : ALYCES ICE CREAM SHOP CANAL STREET SALEM , MA. DEAR ARTHUR; THIS LETTER CERTIFIES THAT THE SLAB BUILT FOR THE FREEZERS LOACTED IN THE REAR OF THE BUILDING OF APPROXIAMTELY 12 FEET X 30 FEET WAS CONSTRUCTED IN ACCORDANCE TO MY DIRCTION AND TO THE MASS . STATE BUILDING CODE . THE SLAB WAS BUILT WITH 3000 lb . CONCRETE AT 8 INCHES THICK WITH 11 5 REINFORCING RODS AT 2 FEET ON CENTER EACH DIRECTION. THE BASE IS 10 INCHES THICK OF 3/4 INCH STONE COMPACTED . THE SOIL BEARING CAPACITY IS SUITABLE TO TAKE THE ADDITIONAL IMPOSED LOADS . THE ROOF WAS CONSTRUCTED OF 2x10 ' s AT 16 INCHES O . C . THE SPAN AND THE IMPOSED SNOW LOADS ARE ADEQUATE FOR THIS CONSTRUCTION . �G\SjERED ARCH/T THANK YOU , N GFn� o S ILLE. 3 ass. 5 DOMINIC F . A@J FAITH OF MPSgP e: Cltfu n C7 Gzlezn, �a_s�u ,�x f b s s' (miring n7r� Ms. Josephine Fusco, City Clerk City Hall Salem, MA. 01970 Dear Ms. Fusco: At a regularly scheduled meeting of the Salem Planning Board held on it was voted to endorse "Approval under subdivision Control Law not required" on the following described plan: 1. Applicant: Margaret De Francesco 2. Location and Description: Approximately 33,320 square feet of land with any improvements thereon located at Forest Avenue and Hersey Street, Salem, _ Ma. , commonly-designated as 36 Forest Avenue. Salem. Deed of property records in Essex South District Registry. Sincerely yours, Walter B. Power, III Chairman WBP�dey � z y��"on,tti,� of �$alem, �Faszarhugttte �CApN£ CHH Mull �$Rlent, 'fillsowrilusetts 01970 FORM A APPLICATION FOR ENDORSEMENT OF PLAN BELIEVED NOT TO REQUIRE APPROVAL In accordance with provisions of Section II-B, the applicant must file, by delivery or registered mail, a Notice with the City Clerk stating the date of sub- mission for such determination. The notice shall be attached to two copies of this Form A application. The notice and both copies of the application must be "date stamped' by the City Clerk and then one copy of this Form A, with the Plan, filed with the Planning Board by the applicant. All notices and applications shall be typewritten or neatly printed in ink. Salem, Mass., -------August- 5'------------------1986---- To the Planning Board: The undersigned, believing that the accompanying plan of his property in the City of Salem does not constitute a subdivision within the meaning of the Subdivision Control Law because (See Sect. II-A and state specific reasons ____ The_subject_property borders on public ways and P - --- - ----------------------- ------------------------------------------------------------------------------------------------------------------------------------------------------ has adequate frontage. - - --------------------------------------------------------------------------------------------------------------------------------- and herewith submits said plan for a determination and endorsement that Planning Board approval under the Subdivision Control Law is not required. 1. Name of Owner ____Margaret DeFrancesco -------------------------------------------------------------- 96 Margin Street, Salem, MA 01970 Address ---------- -- -------------------------------------------------------------- 2. Name of Engineer or Surveyor __Essex Survey Service, Inc. ----------------------- Address ------------------------------------181 Essex Street, Salem, MA 01976 -_ -------------------------------------------------------------- 3. Deed of property records in ____Essex_Sout -- h District - Registry - - - - ------------------ Book --------4309------------------ Page ---1 L3------------------- 4. Location and Description of Property: ----------------- --------------------------------------------------------------- __any__improv_emants__thereon located at Forest Avenue and Hersey Street, Salem, Mass. commonly -- ------------- -- -- - - -- -- --- ------ --------------------------- ----- ------- designated as 36 Forest Avenue, Salem. --------------------------------------------------------------------------------------------------------------------------------------------------------- ---------------------------------------------------------------------------------------------------------------------------------------------------------- 5. All streets and abutting lot lines shall be shown o e Plan together with the names of the Owners of the abutting lots. ✓ Signature of Owner---- __j wner--- - - - -- - - - J n Serafini - ttor ney for Owner Address ----b3 -Feder-al- -reatr-Salem,__Md----------------------------- 74 -0212 Telephone Number ----- -- ---------------------------------------------------------- - situ of '�$ttlem, fflafwr4usetts >,,s•,. .,�, ^� F �J2t1[YTttt$ �iBJ�k'� Qlitu Pall Salem,r4Glaasachuseits 019?D Aus 5 2 of PH 86 FILE NOTICE TO BE ATTACHED TO CITY CLEFcN S�,LEKMASS. FORM "A"APPLICATIONS See Form "A" applications for complete instructions for filing. All insertions shall be typewritten or printed neatly in ink. Date: ___August_ 5. 1986____-_ City Clerk Salem, Massachusetts 01970 Dear Sir: I hand you herewith two copies of Form A, an application submitted by me this day to the Plan- ning Board of the City of Salem requesting a determination and an endorsement on a plan filed with said application that Planning Board approval under the Subdivision Control Rules and Regulations is not required. The land shown on the accompanying plan is located at -------36---Forest Avenue Salem ------------------------------------------------------------------------ in Ward -----Z – -- – – (insert street and street numbers here) Signature of Owner <_--!_ _- -------------- ___ Street Address --63--F h . Serafini – Att ey for Owner rat--- -t-reet -------------------------------------------------------- Salem, MA Ciry�I own &State ------- - ----- – – – — – Telephone Number --744-0212----------------------------------------------------------------- 8o Form 2 pEDE File No. (To be provided by DERE) Cityrrown Salem ( , Commonwealth Samiiel B. Tassel of Massachusetts Applicant Determination of Applicability Massachusetts Wetlands Protection Act, G.L c. 1317 §40 i on Issuing Authority Fro Mt. Samuel.B. Tassel , Adrian Ouelette, Alyce's Ice Cream To � - • (Name of person making request) (Name of property owner) 20 State Street, Lyhn, MA. r---263 Canal Street, Salem Address Address• This determination is issued and delivered as follows: (date) EJ by hand deliveryto person making request on - ® by certified mall, return receipt requested on rtnnn IPr-i nt (date) Pursuant to the authority of G.L c. 131, §40,the Salem Conservation Commission has considered your request for a Determination of Applicability and its supporting documentation, and has made the following determination(check whichever is applicable): This Determination is positive: 1 , ❑ The are;described below, which includes ajUpart of the area described in your request, is an Area Subject to Protcztion Under the Act.Therefore, any removing, filling, dredging or altering of that area requires the filing of a Notice of Intent. 2• ❑ The work described below, which includes afVpart of the work described in yourtegtiest,s within an Area Subject to Protection Under the Act and will remove,fill, dredge or ajterifhat:eiea Therm. fore, said work requires the filing of a Notice of Intent r: . ... 21 Si 3. ❑ The work described below,which includes all/part of the work described in your request; is within the Buffer Zone as defined in the regulations, and will alter an Area Subject to Protection Under :the Act.Therefore, said work requires the filing of a Notice of Intent This Determination is negative: 1. The area described in your request is not an Area Subject to Protection Under the Act ' 2. ❑ The work described in your request is within an Area Subject to Protecton Under the Act but will not remove, K-dredge, or alter that area.Therefore, said work does not require the filling of a Notice of Intent 3. ❑ The work described in your request is within the Buffer Zone,as defined in the regulatior;, but wiU not alter an Area Subject-to Protection Under the Act.Therefore, said work does not require the filing of a Notice of Intent 4, ❑ The area described in your request is Subject to Protection-Under the Act, but since the work described therein meets the requirements for the following exemption,as specified in the Act and the regulations, no Notice of Intent is required: Issued by Salem Conse vation izotrimiss' Conservation Commission Signature(s) This Determination must be signed by a majority of the Conservation Commission. On this 12 day of December. 19 8 S before me personally appeared the above-named to me known to be the person described in, and who executed, the foregoing instrument, and acknowledged that he/she executed thre Sam his/her fr e.ac a deed. 9-9-88 Notary Public My commission expires This Determination does not relieve the applicant from complying with all other applicable federal,state or local statutes.Ordinances. by-lawS or regulations.This Delerminalion shall be valid for three years form the date of issuance. The applicant, the owner,any person aggrieved by this Determination,any owner of land abutting the land upon which the proposed worts is to be done,or any ten residents of lhe'city or:own in which such land is located•are hereby notified of their right to request the Department of Environmental Ouality Engineering to issue a Superseding Determination of Applicability providing the request is made by certified mail or hand delivery to the Department wamm ten days from the date of issuance of this Determination.A copy of the request shall at the same time be sent by eartified mail or hand delivery to the Conservation Commission and the applicant. 2.2A �ow�k BOARD of ASSESSORS " 93 WASHINGTON STREET, CITY HALL, SALEM, MASSACHUSETTS 01970 (617)745-9595 Ext.261 f K r , $ i n February 15, 1990 ae tiara r- rJ t✓ Sn`, "as 1's is 4Ya CJS 1Ja � Mr. David Harris Assistant Building Inspector One Salem Green Salem, MA 01970 Re: Alyce's Ice Cream Dear Mr. Harris: Recalling our conversation of last summer regarding the above property, you indicated that the plan filed on 3/25/88 in Plan Book 237, Plan 74, extending the rear lot line of this parcel back into other land of the owner, was filed in order to eli- minate a non-conformity with respect to the rear lot line caused by modifications to the building. Please note that in separate deeds filed on December 28, 1989, recorded in Book 10282, Pages 273 and 274 (Alyce's Realty Trust to North Shore Realty Trust) , it appears that the original lot lines have been re-established, thereby possibly restoring the non-conformity with respect to the back of the building. Please contact me if you wish to review the documents in question. Very tr y yours, Peter M. Caron Chief Assessor PMC:mjg cc: Saul Ginsburg, It. , 89 Lewis St. , Lynn, MA 01902 DATE OF PERMIT PERMIT No. OWNER LOCATIONI�'� 2/13/73 I #53 Alyce ' s Ice Cream Inc . l 203 Canal Street STRUCTURE MATERIAL DIMENSIONS No. OF STORIES I No.OF FAMILIES WARD COST 5 4, 500 BUILDER I i Erect bricks to be put under service widnows, front only & shingle over existing wall (3) sides only. 2/25/86 #91 Erect sign "ALYCE'S" $4,000.00 (Nad-Law Realty Trust) 9/18/36 #756 Marlite section where food is served 12/8/87 # 1282 Install 2 plate glass windows & door in old storage area. install roof over exterior fefers, finish front enclosure.est. cost $7, 100. fee $47.00 (owner Arthur yiakas 391 Chatham St . , Lynn,MA ) _ .. "gLQ COPY — CERT{F{ A i0f OCCUPANCY CITY OF SALEM issued 3`9 GPermit N: 1 SALEM, MASSACHUSETTS 01970 Ciof Salem Buildin Dept. DATE OC IDBLR 27 19 95 PERMITNO. 582-1995 APPLICANT DJ R D CORP ADDRESS 46 ROCK AVE 1321 (NO.) (STREET) (CONTE S LICENSE) CITY SWAMPSCOTT STATE MA ZIPCODE 01907 TEL.NO. -' PERMIT TO ALTERATIONSTORY BAGEL SHOT' NUMBER OF QI (TYPE OF IMPROVEMENT) ( NO. (PROPOSEOUSE) DWELLING UNITS } ZONING AT(LOCATION) 0203 CANAL STREET— DISTRICT P-4 (NO) —(STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION MAI-' LOT 0 111 BLOCK $g 14'QI%QI Ej(�! Fc BUILDING IS TO BE FT.WIDE BV FT.LONG BV FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: RENOVATIONS TO CONVERT BUILDING INTO A PAGEL DHOP (BAGEL WORLD) „ IYL ' AREA OR @@ - - PERMIT .-._. VOLUME ESTIMATED COST.p ]. :�a,� QI QII�I FEE �'���'• IO IL! (CUBICISOUARE FEET) OWNER Z R' BUILDING DEPT. AnnRrcc 13 IPSWICH RD DANVES. MA RV JOB SITE QbP`P R ® _ �� mm B 4N G D-1 CITY OF SALEM SALEM, MASSACHUSETTS 01970 PERMIT 1. DATE OCTOBER 27 19 95 PERMIT NO. 582-'199E, APPLICANT DJ & D CORP ADDRESS 46 R=< AVE 1321 (NO) (STREET) (CONTR'S LICENSE) CITY SWAMPSCOTT STATE MA ZIPCODE 01907 TEL.NO. PERMITTO ALTERATION BAGEL SFj D!I' NUMBER OF ."MPR-EMENT) NO STORY (PROPOSED USE) DWELLING UNITS AT(LOCATION)-0203 CANAL STREET DISTZONINGRICT B-4 (NO) (STREET) BETWEEN AND (CROSS STREET) (CROSS STREET) SUBDIVISION MAP, 33 LOT 0011 BLOCK LOT 1110701 SO, FT SIZE BUILDING ISTOBE-FT.WIDE BV FT.LONG BV FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: RENDVri-, 7Cj CDNVER-- FjUlLDIN- TO P, IN BA SHOP lBl G W u AREA OR cc 11- PERMIT VOLUME ESTIMATED COST FEE $ (CUBIC/SQUARE FEET) OWNER Z 8.. (al REALTY TR''IS-i BUILDING DEPT. ADDRESS 13 IPSWICH RD DANVES. MA BY THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMIT-TED UNDER THE BUILDING CODE,MUST BE APPROVED BYTHE JURISDICTION,STREET OR ALLEY GRADES ASWELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL INSPECTIONS APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT WHERE APPLICABLE SEPARATE REQUIRED FOR ALL CONSTRUCTION WORK: POSTED UNTIL FINAL INSPECTION HASBEEN MADE. WHERE A PERMITS ARE REQUIRED FOR 1.FOUNDATIONS OR FOOTINGS ELECTRICAL,PLUMBING AND 2,PRIOR TO COVERING STRUCTURAL CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH BUILDING SHALL MECHANICAL INSTALLATIONS. MEMBERS(READY TO LATH). NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 3 FINAL INSPECTION BEFORE OCCUPANCY POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPEIC;ION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 7, C4.4t;c_� 2 �7, �O/T- 174- 1HA CIA---N I (-Q -j/ -C'f 2 2 2 12 A. q 7 BOARD OF HELTH GAS) TION AP ROVALS IRE DEPTLy ECTING APPROVALS ld nA"9e Olt'. 31Wk OTHER CITY ENGINEER 2 2 C���� )RK'''ALL NOT PROCEED UNTIL THE PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD IPSP TOR HAS APPROVED THE VARIOUS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED CANBEARRANGEDFORBYT-'-- -p i OF CONSTRUCTION OR WRITTEN NOTIFIC eco r CITY OF SALEM DEPARTMENT OF PLANNING AND COMMUNITY DEVELOPMENT STANLEY J. USOVICZ,JR. MAYOR 120 WM JINCTON STRI FT•SAL1 M,IMA-MACIiLLSETTS 01970 LYNN GOONIN DUNow,AICP TEL:978-745-9595 •FAX:978-740-0404 DIRECTOR September 14, 2004 Bagel World Bakery & Deli 203 Canal Street Salem, MA 01970 RE: Signage at 203 Canal Street To Whom It May Concern, It has come to my attention that you are planning to erect a new sign panel in place of your existing freestanding sign panel. As was discussed during our phone conversation, the Salem Sign Ordinance requires all signs to be reviewed and approved prior to installation. Furthermore, your business is located on an Entrance Corridor and signs permitted in this area must comply with the Entrance Corridor Guidelines (attached to the Sign Ordinance). I have enclosed copies of the Salem Sign Ordinance, Salem Sign Permit Application, and Salem Sign Permit Process Sheet. Please fill out the application and submit all additional required information to this department for review and approval prior to installing your sign. Should you have any further questions or require more information to complete the sign review process I can be reached by phone at 978/745-9595 x311 or email at FTaormina@salem.com. Sincerely, rank Tao ina lanner/ onservation Agent Cc: Thomas St. Pierre,Building Commissioner 9 D � The Commonwealth of Massachusetts Department of Public Safe Massachusetts State Building Code 780 CMR) Building Permit Application for any Building other than a One-or o-Family Dwellin (This Section For Official Use Qnly) Date A lied: / Building O ' �a1; Building Permit Nuiah n: PP + - SECTION 1:LOCATION(Please indicate Block p and Lot#for Inca 6o`n.s for w c�s. �addr�Y� No.and Street City/Town P t available) )09 an P. ti P m 0/99 Zip Code Nam 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 Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ 1 Change of occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is an Independent Structural Engineering Peer Review required? Brief Description of Proposedyvork: 7 7Q /7 I emc�Ve 4fo�efrz�r�t door %na all / JL elct, n �� i 1f DlllP�� — 6 n[ LUtaL SE N 3 CTIO :COMPLETE THIS SECTIO CHANGE IN USE OR OCCUPANCY DING RENOVATION,ADDITION,OR Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) E: Educational ❑ A. Assembly A-1❑ A-2❑ Nightclub ❑ H: Hi❑ Hazard 0 A-5❑ 1❑ H B pines H❑ ❑ H 4❑ H-5❑ F: Facto F-1❑ F2❑ I: Institutional I-1❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-10- R-2❑ R-3❑ R-4❑S ecial Use❑and please describe below: S: Storage Sl❑ S2❑ TT. Utility❑ P Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) i IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)Debris Removal: Trench Permit: Water Supply: Flood Zone Information: Sewage Disposal: A trench will not be Licensed Disposal Site❑ Public❑ Check if outside Flood Zone❑ Indicate municipal❑ required❑or trench or specify: Private❑ or indentify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable❑ Is Structure within airport approach area? Is their review completed? 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: SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner `� I t,bod Town zip Name(Print) City/Town No.and Street tY/ Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes Street Address City/Town State Zip Name to act on the roe owner's behalf,in all matters relative to work authorized b this building permit a licatron. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) 35,000 nr.ft.of enclosed space and/or not under Construction Control then check here 13 and ski Section 10.1 building is less,than FAdde Registered ProfessionalResponsible for Construction Control (Registrant) Telephone No. e-mail address Registration Number g� ) dress City/Town Slate Zip Discipline Expiration Date ral''CCoontractorter.7 l RI`C_t o YRCfi'� rC� 0 1 Namece .Person Responsible for Construction i o�.-v ndOnC)-e M OK�l4 Turn(J�1C 2� � T— City/Town State Zip Street Address e-mail address Telephone No.(business) Tele hone No. cell SECTION 11: ORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.C.152.§ 25C 6) W 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. s Is a si ed Affidavit submitted with this a licatioi . Yes❑ No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs:(Labor Total Construction Cost(from Item 6)_$ Item and Materials) 1.Building $ Building Permit Fee=Total Construction Cost x_(Insert here 2.Electrical $ appropriate municipal factor)_$ 3.Plumbing Note:Minimum fee$ contact municipality) =$ 4.Mechanical (HVAC) $ 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ (contact municipality)and write check number here SEC TION 13:SIGNATURE OF BUILDING PERMIT APPLICANT 'es of e ' that all of the information contained in this t under the ains and penalties p rlury attest p By entering my name below,I hereby m knowled e and understanding. apphcahon is true and accurate to the best of y g Title Telephone No. Date Please print and sign name Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date = t f �k .. }EY ' i x �qq x L F �4 3t c?d`tr � �i p y i ' �� i ✓..4 � '� sr}+ duw �',t"% ^yg "` _— _. - . _ _ .._ — - . W wy YN 4'� 4 Y e w +a6i e V j i r w rF 330 C-V-, 3 `A OWY :, ` (J -Z, The Commonwealth of Mhusetts WDepartment of Public SJ�[�a ff 8 2 3 P Q: 4 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) `-�— Building Permit Number. Date Applied: Building Official: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) 0.3 Cis*` 5-7- Sale^ A709 v/9 70 6 AU t, W 0 ZLO 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 Buddin Repair❑ 1 Alteration (3 1 Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Chane of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is an Independent Structural Engineering Peer Review required? r , Yes ❑ No ❑ Brief Description of Proposed Work: LSR�I^�� /Pe�iG�l/ie �/O iv �SAr1K C f`00- f, e 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) O 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 GROUP(Check as app licable) A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑ F: Facto F-1❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1❑ I-2❑ I-3❑ I4❑ M. Mercantile❑ R: Residential R-113 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 a licable) IA IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIBO 1 IVO 1 VA E3 VB E3 SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Debris Removal:i Permit.Water Supply: Flood Zone Information: Sewage Disposal: TrenchLicensed Disposal Site❑ Public C3 Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be p Private❑ or indent'dyone: or on site Zs stem❑ required 13 or trench or specify: y permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: N[A t listoric Commiksion Ke�•it;w Proceis: Not Applicable❑ Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No❑ 1 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: 24Z?7 pe%—fA t T 61 VMr-Gj>A,.- Z( Z� MLS 773 .< , r•, Y SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner r 4 3 7reti K PD3 loo 0 I F 90 Name Tint) y No.and Street City/Town Zip Property Owner Contact Information: 7-*.8541. 9'88 f 9_ 83�9S Y`l �t/�u r i�t!�o�17r u r-Vo.v.Af Title Telephone No.(business) Telephone No. (cell) e-mailaddress if applicable,tjf property owner hereby authorizes i®y T s� ne�l6o�y 4 ©/Q46 Name Street Address City/T wn State Zip to act on the property owner's behalf,in all matters relative to work authorized by this building rmit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix2j: f buildingis less than 35,000 cu.ft:of enclosed space and or not under Construction Control then check here 0 and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control LCsJ A"t/v 2�?0 _ !31 y AvP;1jeo,,ST�,yc7tWMt 1 Name(Registrant) Telephone No. e-mail address 1/.4Registration Number Street Address Ci own State Zip Discipline Expiration Date 102 General Contractor .�rG Nin/ �rrj/f-✓C //O ti �.(J G Company Name _ 116tet,dyo �Gf/o !!O/ 3 Name of Person Responsible for Construction License No. and Type if Applicable 0-a(,'re Ci e tit/► 'MA O/ �D Street Address Ci Town State Zip pl-ar%IA/G0.v5fW-c7joNMr'1 �G.w1gi� Oma• Telephone No.(business) Telephone No. cell a-mail address SECTION 11:WORKMS'(DWENSATION INSURMCI AFFIDA PI M.G.L c.152 25C 6 A Workers Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this a lkation? Yes O No O SECTION 12.CONSTRUCTION COSTS AND PERMIT FEE' Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ q Building Permit Fee a Total Construction Cost x_(Insert here 2 Electrical $ appropriate municipal factor) $ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $a9 (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 accurate to the best of my knowledge.and understanding. Please print and sign name,. Title Telephone No. Date 6/0 Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: L Name Date o iui F�� �e4.,,--:.-�\��,, Commonw{;alth of Massachusetts ." 4 - ` city of Salem *-�� r� ' ►I 4:,,k'" �,.4. 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Ai NH Up. Return card to Buildi ig Division for Certificate of Occupancy Permit No. B-17-112 FEE PAID: $330.00 PERMIT TO BUILD DATE ISSUED: 2/27/2017 This certifies that Z & M REALTY TRUST KANTOROSINSII(I ZBIGNIEW has permission to erect, alter, or demolish a building 203 CANAL STREET Map/Lot: 330011-0 as follows: Repair/Replace BATHROOM RENOVATION (WOMEN'S & MEN'S BATHROOMS USING SAVIE FOOTPRINT) Contractor Name: LEANDRO FORESTO DBA: MARIN CONSTRUCTION, INC. Contractor License No: CS-110173 aft,/ti 2/27/2017 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 aid 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 IC #: "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. �!'i' � 4�� Commonwt; alth of Massachusetts 4. rb , ,� . City of Salem hot .� P ' �- .�! �4i\"`_ 120 Washington St,3rd-1oor Salem,MA 01970(978)745-9595 x5641 A11 A'1'D°H Return card to Building Division for Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT °° L,r,, Excavation PERMIT TO BE POSTED IN THE WINDOW , ;a Footing INSPECTION RECORD `, `" Foundation Framing )t< 6,91 3 1.,%„/, , Mechanical Insulation INSPECTION: Bt DATE Chimney/Smoke Chamber Final Plumbing/Gas Rough:Plumbing(`3•- /,,� /� ' Rough:Gas Final hi4@/ sy/i iti Electrical Service Rough ,3 /��©9 <# Final ` /4116 Fire De aI ment Preliminary Final •4)1 Health Department Preliminary Final