17 MEADOW ST - ERECT NEW BLDG (ABANDON 09-877) • ' t he Commonwealth of Massachusetts
-T
Department of Public Safety
•� \fasw+chuselts State Building Code(780 C\IR)Seventh Edition
City of Salem
Buildin Permit Application for anL Building other than a 1- or 2-Family Dwelling
(This Section For Official Use Only)
Buddinti Permit Number: ' t' D,tte Applied: r r0 Building Inspector:'
SECTION 1: LOCATION (Please indicate Block p and Lot N for locations for which a street address is not available)
AVOIV
No.and Street Citv /Toren Zip Code Name of Building (if applicable)
SECTION 2:PROPOSED WORK
If New Construction check here❑or check all that apply in the two rows below
Existing Building I Repair❑ After tiun Addition ❑ DemolitionX (Please fill out and Submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being Supplied as,part of this permit application? Yes ❑ No ❑
Is an Independent Structural Engineering Peer Review required? Yes ❑ No ❑
Brief Description of Proposed Work:
Ar1!s411130 AAJJ-2 -
=-P=CT NMWfu E7AC. t3u(c_t7t nl/
MIS L
-SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY -
Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑ '
Existing Use Group(s): Proposed Use Group(s): r
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No. of Floors/Stories(include basement levels)&Area Per Floor(sq. ft.)
Total Area (sq. ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2 ❑ H: Hi h Hazard H-I ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
1: Institutional 1-1 ❑ 1-2 ❑ 1-3 ❑ I-4❑ M: Mercantile❑ R: Residential R-1Cq_ R-2❑ R-3❑ R-4 ❑
S: Storage S- S-2 ❑ U: Utility❑ j Special Use❑and please describe beloww. "
Special Use: _
a
SECTION 6:CONSTRUCTION TYPE(Ch7I.Ofordetail!soneach
licable) -
IA ❑ IB ❑ IIA ❑ 116 IIIA ❑ IV ❑ VA ❑ VB ❑
i
SECTION 7:SITE INFORMATION (refer to 780 CMR etails on each item)Water Su I Flood Zone Infomration: t Sewage Disposal: + h Permit: Debris Removal:
PP YPublic ❑ Check ifoutside Mond Zone ❑ Indicate municipal ❑ will nut be Licensed Di*posal Site ❑PI'IY.lte❑ '. 'tor indentik Zone:' ,,r on site system ❑" + ❑or trench or.pecd
unclosed ❑Railroad right-of-way: Hazards to Air.Navigation: \I:� INod ApphC'Ible ❑ I.11h UClU re I,ilhm .11,port Ipplo,ichareIn their rep yew Cumplutcd'
1n Cnmcnl to Build unClo"ed ❑ Ye.❑ or No❑ t
Yes ❑ Nn ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY t
I drui n nt C Baia L.r(�ii of(.I: fvf e t Cnn.trucuun: OCCLII +nt Load per Floor:
U,-, the building con6unan Sprinkler ti�stum?:,_ tilicialtit-if+'ulati+ins:. -
C*/
SECTION 9: PROPERTY OWNER AUTHORIZATION
.. Name and Address of Property Owner
SPU'TG�Z W7 o 2 sa)nu i
Name (Print) No.and Street C itY/Town Zip
Property Owner Contact Information:
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Title Telephone No. (business) Telephone No. (cell) e-mail address ,,11
If applicably, the property owner herebv authorizes
i�C�I„S�ClaO ��'° � 704� �-f °�3otZ(Cl..Y_K �t7..c..(taC3ii91�'I64
Name - �ess City/Town State Zip
to act un the *ro pert 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,(Xk)ell 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
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
TC J0B ijOt7 L
Cum any Name:
Name of Person Responsible for Construction � �l Ice,se No and Type if Applicable
104 � �Y)L Y-J Gk-7YL Y�c.� • �� �; P A Q
Street Address City/Town State Zip
qn
Telephone No.(business) Telephone No. (cell) - e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT (M.G.L.c.152.§ 25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of theJ'ssuance of the building permit.
Is a signed Affidavit submitted with this application! Yes;; No O
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6) _$
1. Building $ 0 a Building Permit Fee=Total Construction Cost x_(Insert here
2. Electrical $ pp appropriate municipal factor)=$
3. Plumbing $ SQa
Note: Minimum fee (contact municipality)
4. Mechanical (HVAC) $ n
5. Mechanical (Other) $ Enclose check payable to
6. Total Cost 1 $ koo 000-� (contact municipality)and write check number here
SECTION 13: SIGNATURE OF BUILDING PERMIT APPLICANT
Bv 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. g J
Pleaso print and sign name Title Telephone.No. Date
gbh � )n �Atz icf� t kayo (fac�rf� M 624
lineet :lddrv>s 1 ( Cih'/Tm%n State ZLp
Municipal Inspector to fill out this section upon application approval:
Name Do to
1e1j�N,v
CITY OF SALEM
PUBLIC PROPERTY
DEPARTMENT
KIMIIP_RLEY DRISCOLL
MAYOR
120 WAS}IINC'I'ON$1'1iP.ET* SALEbI,DMSSACHUSG'ITS 01970
TEL:978-745-9595 ♦ FAX:978-740-9846
September 1, 2009
Mr. Robert Salter
Salter Motocross
17 Meadow Street
PO Box 911
Salem, Ma. 01970
RE: 17 Meadow Street
Dear Mr. Salter:
This Department issued a Building Permit (Permit 877-09) on June 25, 2009 for interior
and exterior repairs to the existing commercial garage structure at the above address.
When the contractors started work they noticed that the uphill exterior wall and the entire
roof structure, having been subjected to extensive water damage over many years, are
severely compromised. Having inspected the existing conditions at the above property, I
believe that the structure is unsafe and beyond repair and should be taken down as soon
as possible.
As you have indicated the desire to replace the existing structure with a new prefab steel
structure, we suggest that you amend Building Permit 877-09 to include the demolition of
the unsafe wood frame portion of the structure and replacement with the new Building.
Your plans should indicate a building fully compliant with Building and Zoning Codes.
Since the Building has been deemed "unsafe" it is exempt from the Demolition Delay
process.
Since y,
Tho a S I rre /
Buil Comml�iq&�r
cc: Edward Herman True North Inc. Historic Commission,Fire Prevention