539 LORING AVE - BUILDING INSPECTION The Commonwealth of Massachusetts 1 a I2
Board of Building Regulations and Standards ^.�r� 17« SEIR Y,-017
u Massachusetts State Building Code, 780 CMR SALEM
n18� H,Rer6et JVr 2011
Building Permit Application To Construct,Repair,Renovate e1 s IIJ
One-or Two-Family Dwelling
This Section For Official Use Only
Building Permit Number: Dat Applied:
^n s
i Building Official(Print Name) Signature Date
SECTION 1:SITE INFORMATION
1.1 Property Address: 1.2 Assessors Map&Parcel Numbers
I _,39 korin AA. e9/ o3.1-6
^ l.la Is this an accepted street?yes no Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Area(sq ft) Frontage(ft)
1.5 Building Setbacks(ft)
Front Yard Side Yards Rear Yard
Required Provided Required Provided Required Provided
1.6 Water Supply:(M.G.L c.40,§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System:
Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal❑ On site disposal system ❑
Check if yes❑
SECTION 2: PROPERTY OWNERSHIP'
2.1 O ner'of
Name(Print) nn''__ City,State,ZIP
sl RUC. t`Y1 r i /7 a FfYr/ n E Gl'V1A/I
No.and Street 1 Telephone Email ddress
SECTION 3:DESCRIPTION OF PROPOSED WORK'(check all that apply)
New Construction❑ Existing Building❑ Owner-Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑
Demolition x Accessory Bldg. ❑ Number of Units Other ❑ Specify:
Brief Description of Proposed Work':
�u le dprrtolMrn &tit( remote( &tr <-lvccclur-e-
SECTION 4:ESTIMATED CONSTRUCTION COSTS
Item Estimated Costs: Official Use Only
Labor and Materials
1.Building $ I.-Bu i lding Permit Fee: '-�"'�"'$ Indicca[e how fee is determ ined'
2.Electrical $ ❑Standard City/Town Application Fee
❑Total Project Cost'(Item 6)x multiplier x
3.Plumbing $ 2. Other Fees: S
4.Mechanical (HVAC) $ List:
5.Mechanical (Fire $
Suppression) Total All Fees:$
o e Check No. Check Amount: Cash Amount:
6.Total Project Cost: $ S Q ❑Paid in Full ❑Outstanding Balance Due:
11( 2z MNI I ----10 TU W INr)hAM
SECTION 5: CONSTRUCTION SERVICES
5.1 Construction Supervisor License(CSL)
GS—DSrI yQ0 �5 1
A ber4 �j. PoEgi n License Number Expiration Date
Name of CSL Holder
amr,o S n n List CSL Type(see below) tc
No.and Street I�6C z��p Type Description
(,�lrlrUlArvi nN G3�0 � U Unrestricted(Buildings u to35,000 cu.8.
R Restricted 1&2 Family Dwelling
City/Town,State,ZIP M Masonry
RC Roofing Covering
WS Window and Siding
�
tD i���mGt� LrLV trod SF Solid Fuel Burning Appliances
4g� �Ja�� I I Insulation
Telephone Email address D Demolition
5.2 Registered Home Improvement Co tractor(HIC)
HIC R!!�d
Expiration Date
HIC Company Name or HIC Registrant N e
No.and Street ess
City/Town,State,ZIP Telephone
SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6))
Workers Compensation Insurance affidavit 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.
Signed Affidavit Attached? Yes .......... No...........❑
SECTION 7a:OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I,as Owner of the subject property,hereby authorize ,�(s 11-1"�(( t�l F K'( h sea T/i -
to act on my behalf,in all matters relative to work authorized by this building perm t application.
2wA-
Print Owner's Name(Electronic Signature) Date
SECTION 7b:OWNEW OR AUTHORIZED AGENT DECLARATION
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.
e llv
thonzed gent's Name(Electronic Signature) Date
NOTES:
An Owner who obtains a building permit to do his/her own work,or an owner who hires an unregistered contractor
(not registered in the Home Improvement Contractor(HIC)Program),will not have access to the arbitration
program or guaranty,fund under M.G.L.c. 142A.Other important information on the HIC Program can be found at
www.mass.¢ov/oca Information on the Construction Supervisor License can be found at www.mass.gov/dps
2. When substantial work is planned,provide the information below:
Total floor area(sq.ft.) (including garage,finished basement/attics,decks or porch)
Gross living area(sq.ft.) Habitable room count
Number of fireplaces Number of bedrooms
Number of bathrooms Number of halfibaths
Type of heating system Number of decks/porches
Type of cooling system Enclosed Open
3. "Total Project Square Footage"may be substituted for"Total Project Cost"
! �a r Massachusetts Department of Public Safety
Board of Building Regulations and Standards _
License: CS-081490
Construction Supervisor +
A
ROBERT J MORGATJ
j ZERO ROMANS RI)
i WINDHAM NH O001 -
, a
i n ,
Expiration:
Commissioner 05/02/2018
f
CITY OF SauENI, IMASSACHUSETTS
• BUILDING DEPARTMENT
120 W ASHINGTON STREET,Sae FLOOR
TEL(978)745-9595
FAX(978)740-9846
KI\IBF_RLEY DRISCOLL
MAYOR T HoMAs ST.Pwims
DIRECTOR OF PUBLIC PROPERTY/BUILDING CO%ZIISSIONER
Workers' Compensation Insurance Affidavit: Builders/Contractors/ElectriciansiPiumbers
Applicant Information Please Print Legibly.
, 0
Name(BusineworganizatioNlndividual):—J(t�,-0 cc e1-1
W(flf'IC-eQ —6 .
Address:Q0 M Ofc:�-
City/State/Zip: Nhl f Y n . (� U � Phone i/: ld)3)-q o- g,�I�q
Are you an employer?Cheek the
�ppropriate box: Type of project(required):
1.Cy1 am a employer with-�Y 1— 4. ❑ 1 am a general contractor and 1 6. ❑New construction
employees(fult and/or part-time).' have hired the sub-contractors
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet: 7. ❑Remodeling
ship and have no employees These sub-contractors have S. Demolition
working for me in any capacity. workers'comp.insurance. 9 gBililding addition
[No workers'comp.insurance S. ❑ We are a corporation and its
required.] officers have exercised their 10.❑Electrical repairs oradditions
3.111 am a homeowner doing all work right of exemption per MGL 1 I.❑Plumbing repairs or additions
myself.[No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs
insurance required.]t employees.[No workers'
comp.insurance required.] 13.❑001er
•Any opplicam Ihet checks bas a I must also fill out the section below showing choir workers'ctonprpdon policy infurtatim
t I Indtuownrcn who submit this affidavit indicating they me doing all work and then hire Omide etomtmetors most submit a new affidavit indicating seek.
:Ctonrtrwrs that duck this box must noodled an additional sheet showing the tome of Qu abcontractors and their workrn'stoop.policy information.
1"man employer that b providLrg workers'compensadon Insurance for my employees Below Is the polley and fob site
injormwion.
Insurance Company dame: lJ
Policy#or Self-ins.Lic.#: -75 p,� U q Expiration Date: �D
Job Site Address:, k rjry?� /' w , City/State/Zip,�/P/yt _ MIq
Attach a copy of the worken'compew on polity declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
l do hereby Gerd under the pains and enali ler ojperfury that the iajormallon provlded above is true and correct
r nr Date: A0
Ph, —
Offtcial ust auly. Do not write in t/tit urea,lobe completed by city or town ofciaL
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Ilealth 2.Building Department 3.Cily/f•own Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: ___ Phone#•
CITY OF SM EN19 1'L�SS�ICHUSETTS
' ButLDLNG DEPAR'[1cF.NT
130 W 1SHINGTON STREET,3'°FLOOR
TEL (978) 745-9595
FAX(978) 740-9846
iC1,N[BERLEY DRISCOLL
MAYOR THo&w ST.PIERRE
DIRECTOR OF PIBLIC PROPERTY/BI:n.DING CO%L%assIONER
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR section 111.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit# is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c
111, S 150A.
The debris will be transported by:
(name of hauler)
The debris will be disposed of in
(na bf acility)
(address of facility)
sign�permitnt
l Ilo��LO
date
JcbriulLJuc
Unofficial Property Record Card http://salempatriotproperties.com/RecordCard.asp
Narrative Description of Property
This property contains 0.195 acres of land mainly classified as Two Family with a(n)Multi-Garden style building,built about 1940,having Vinyl
exterior and Asphalt Shgl roof cover,with 2 unit(s),9 room(s),4 bedroom(s),2 bath(s),0 half bath(s).
Property Images
�r
y�
Disclaimer:This information is believed to be correct but is subject to change and is not warranteed.
2 of 2 8/2/2016 1:33 PM
Unofficial Property Record Card http://salempatriotproperfies.corr✓RecordCard.asp
Unofficial Property Record Card - Salem, MA
General Property Data
Parcel ID 21-0232-0 Account Number
Prior ParcellD 72--
Property Owner 2 PARADISE RD.,LLC Property Location 539 LORING AVENUE
Property Use Two Family
Mailing Address 3 ROCKAWAY AVENUE Most Recent Sale Date 9/9/2015
Legal Reference 34360-577
CIty MARBLEHEAD Grantor 539 LORING AVE NOMINEE TRUST,THE
Mailing State MA Zip 01945 Sale Price 345,000
ParcelZoning B2 Land Area 0.195 acres
Current Property Assessment
Xtra Features
Card 1 Value Building Value 201,000 Value 0 Land Value 92,600 Total Value 293,600
Building Description
Building Style Muiti-Garden Foundation Type Concrete Flooring Type Hardwood
#of Living Units 2 Frame Type Wood Basement Floor Carpet
Year Built 1940 Roof Structure Gable Heating Type Forced H1W
Building Grade Average Roof Cover Asphalt Shgl Heating Fuel Oil
Building Condition Average Siding Vinyl Air Conditioning 0
Finished Area(SF)2254.2 Interior Walls Drywall #of Bsmt Garages 0
Number Rooms 9 #of Bedrooms 4 #of Full Baths 2
#of 314 Baths 0 #of 112 Baths 0 #of Other Fixtures 0
Legal Description
1 of 2 8/2/2016 1:33 PM
Massachusetts Department of Public Safety
Board of Building Regulations and Standards
License: CS-081490
Construction Supervisor
ROBERT J MORGATJ
li ZERO ROMANS RDA
WINDHAM NH 03087 `
Cyr E%}16ra11Gn:
Commissioner 0610212018
AT&T-CLD05950-26 9/23/2016 8 : 51 :54 AM PAGE 2/002 Fax Server
FROM: AT&T Long Distance Cable Protection Center GFI
This is to notify you about status of received tickets. This does not mean
that another utility other than AT&T Long Distance is clear OR that future and/or
different activities at the same location would be clear. This message does not
include any AT&T cable formerly known as SBC, Bell South or TCG.
If you have any questions about this message or if you believe
you have received this notification in error, and that AT&T cable is actually
in the vicinity of your excavation activity, please call 1-800-252-1133.
Locate requested by JAY MOR ENTERPRISES INC
to the Dig Safe Systems
One-Call Ticket Message Number: 20163812575
Closed with status: AT&T is clear. Ticket was processed by GFI AutoScreener
AT&T Reference Number: 40820822
Work Date &Time: Sep 28 2016 9:15AM
Work Location: 539 LORING AVE, SALEM MA
Near intersection: LORING HILLS AVE
L
AT&T-CLD05950-26 9/23/2016 8 :51 : 54 AM PAGE 1/002 Fax Server
s�
at&t
TO:
Company:
Fax: 6034598858
Phone:
FROM: GFIContingency@CAHYWRIGLINKD60.
Fax:
Phone:
NOTES:
AT&T GFI Ticket Status Notification
Number of pages including cover: 02
Date and time of transmission: Friday, September 23, 2016 8:51:32 AM
@ 2009 AT&T Intellectual Property: All rights reserved. AT&T,the AT&T logo and all other AT&T marks
contained herein are trademarks of AT&T Intellectual Property and/or AT&T affiliated companies.
verizonNI
MA/RI OSP Center
385 Miles Standish Blvd
Taunton, MA 02780
1-866-686-1195
ma-ri.osp.center@one.verizon.com
To:Tracy
Date:10/21/2016
Re: Facility Removal for Demolition
This letter confirms that Verizon's facilities have been disconnected and
removed from the address below.
539 loring av, Salem, MA
Thank you,
Hanley, Mary C
OSP Engineer
ELIMINATOR
PEST CONTROL INC.
22 ALAN DALE ROAD
MEDFORD,MA 02155
Jay-Mor Enterprises Fax 1-603-459-8858
Post Office Box 785
Hudson,NH 03051
Email: Jaymorent@comcast.net
November 3,2016
Invoice#4989
Rodent Control Services performed for mice and rats at:
539 Loring Ave. Salem,MA
Pest Control License# 16627
Integrated Pest Management for mice and rats. No problems upon inspection.
Service $ 300.00 per property location.
Amount Owed $ 300.00
Thank you for your business!
nationalgrid
40 Sylvan Rd
Waltham MA 02451
August 19, 2016
Jay-Mor Enterprises Inc.
Tracy Lirette
PO Box 785
Hudson NH 03051
RE: Service Removal for Building Demolition.
Dear Tracy,
This letter is to confirm that,per your request,National Grid has removed the electrical
service and meter 079758025 from 539 Loring Avenue, Salem MA on 8/19/16. If you
have any questions or need further assistance, please feel free to contact me at(508)357-
4522.
Sincerely,
Deborah Correa
Customer Fulfillment
Ph# 508-357-4522
Fax # 1-888-266-8094
deborah.correa@nationalgrid.com
• 1 ...
nationalgrid
November 14, 2016
539 Loring Ave alern MA
This letter is to notify you that the gas service located at 539 Loring Ave, Salem was cut off at the main
on 11/12/2016.
If you have any questions, please feel free to contact me at 781-907-3102
Thank you,
Ashley Howes
nationalgrid
Gas Customer Connections
ash ley.howesCa)nationalgrid com
781-907-3102
lvZ - IFS<7-9 /21
--`5� l -o �� - --
i CITY OF SALE1 MASSACHUSETTS
BvILDLNG DEP kR NT
• 120 WASHINGTON STREET,3tO FLOOR
TEL (978)745-9595
FAX(978)740-9W
KINtBERLHY DRISCOLL
MAYOR 1�toatas ST.P>FJtRe
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMUSSIONER
Demolition Permit Sign-Off
pp & `� (Supplement to permit application)
JC I, - Al ocyc/1 ,hereby supply the following releases as part of the
application for a permit to demolish the structure located at U9 Lrina
and shown on the Assessor's Maps
of as being on Map # j I Block # O 3a Lot# O
The sixth edition of the Massachusetts State Building Code, 780 CMR, states in part: "A
permit to demolish or remove a building or structure shall not be issued until a release is
obtained from the utilities, stating that their respective service connections and appurtenant
equipment, such as meters and regulators, have been removed or sealed and plugged in a safe
manner.,'
-Utility to be Notified �A Notice Received by Date Received
Gas 1-e-asP_ &(ee aA?_4 &
Telephone.
Electric Xectst see a4z,�k_& (AV gheAkLe
Public Utilities (Municipal) nn
Health Department Re 2 K p
Fire Department
Other -
Other -
Demolition debris hauler:
Location of licensed I
demolition debris landfill: �t� j_��,Q �� �n_n„ n4
Signature of Applican Date:
Signature of O r Date:
This sheet must be ret r 'e he Inspections Department along with a completed
application for a permit, a site plan, and any other applicable information and fees.
Demoperm.dot.