0073 NORTH ST - BUILDING INSPECTION 0073 NORTH STREET 138-2004
��is a 33s i COMMONWEALTH OF MASSACHUSETTS
Ntap z6 : � �::`;.:: CITY OF SALEM
Block:3
Lot '� . 0642 ',"„,�n„ ��,�:�"
Permit � �„�'• Building `=��`la �: BUILDING PERMIT
Category _, ; 328 New structures oth
Permit#= 138-2004
Project#:.-'-.� JS-200Q'-fYL38 -� :� >-�
Est. Cost:` $50,000.00
Fee: � ..:� �sos.00 � PERMISSIONIS HEREBYGRANTED TO:
�Const Classi`� = "`-�-:"`" ' :'' Contractor: License:
---- —
�Ose Group: SPACE BLDGS Gen.Contractor/Code 1G-CS 015955
Loc Size(sq. ft.): 8489 ? , ; Owner: G&M REALTY TRUST
Zonmg - ' . Applicant: SPACE BLDGS
�� .:BP ,-. �
Units Gained: ' AT: 0073 NORTH STREET
Units Lost f•.;�-, � . -
ISSUED ON: 13-Aug-2003 AMMENDED ON: EXPIRES ON: I I-Feb-2004
TO PERFORM THE FOLLOWING WORK
G8-2004 PREFORM SITE WORK AS PER APPROVED SITE PLAN. FURNISH AND INSTALL PIER FOUNDATION .
TJS
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbine Buildin
Underground: Underground: UnJcrground: Excava[ion:
Service: Me[cr. Foo[ings:
Rough: Rough: Rough: - Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimucy:
D.P.W. Fire Health
[nsulation:
Meter: OiL• .
Final:
Hause# Smoke:
Treasury:
Water: Alarm:
Sewer: Sprinklers:
THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF
ITS RULES AND REGULAT[ONS.
Signature:
Fee Type: Receipt No: Date Paid: Check No: Amount:
BU[LDING REG2004-000252 29-Ju1-03 16480 $505.00
GeoTMS�2003 Des Lauriers Municipal Solutions,Inc.
� � � � � � � � � � � � � � � � � � � � � � � � � � � � DETAIL @ LINES B1 DETAIL @ LINES 62 DETAIL @ LINES B3
EXIST. BLDG. (CONNECTOR BUILDING TO BE PROVIDED BY SPACE) � � � � � s � � � � � � � �
— �� � � �- � � .� �, .� �. � BASED ON MASSACHUSETTS STA1'E BUILDING CODE 8TH EDITION BUILDING LOADS
I - � ITEM ALIA�PABLE ACTUAL
O . r�— . . � 4� 4� 4� 4� 4� OCd�ANCf 18-11�OD6'tA1EFIAZARD8TUAAc3E aS per
• • , ; ; . . s^ 6� �� COMMONWEALTH aF MASSACHUSETTS
� � T"�� STATE BUILDING �ODE, 6TH EDITION
C� =
� � d. 21/2" PROJECTIO�_ Teu�o rec��r �sro�r 4oFc Mr+x. �era�r.2�FT
� ROOF DEAD LOAD 2.5 PSF
m ^ �' � � ` ' �'��`, � �� ROOF SNOW LOAD (�ONE 2)
��... Y �� '.S'..
I ~ I z .� ,�� ' i�so�� ta,400SF �� PRIMARY FR:AMING 30 PSF
W : ���;.
� � �as�oN�U SECONDARY FRAMING 30 PSF
,r.i m �--i ~ � „—� �.:'.. '',r.. .•-.�:
� :: .� .,. . ...-;:�. BOfA� 8�f.
� :.,:;:, :�:;;�� =.; �e2+yps,9 COLLATERAL LOAD 0.0 PSF
p W Q
i. i L ..
� � � 3 � � �� WIND LOAD ZONE 3
4 M � ,_, �D 4 3/4" DIA. A-307 e�cnor�s�a
-
� � '�t � O � ANCHOR BOLT DETAIL �y� rt1j�/q WIND PRESSURE 21.0 PSF
N IZ Z cM v, d' �I� � ��� ,
� . z EXPOSURE j
� � N � � 3� � �� �x�r���� SEISMIC UATA i
2
I i � ~ � � s• s� T�� SEISMIC HAZZARD EXPOSURE GROUP I
q ( �R�cnoN SEISMIC PERFORM�,NCE CATEGORY "C"
L� L�. J � I.� M q• 4� q• � gYgIH.�&
_ �� �/A SE SIMICCRESI TIANCE SYSTEM� S� - �•5
I I �
� � -} -}- � � � .� �. � TRANSVERSE DIRE�CTION:
O ; _ e �. �. � � '� �. � � �o � ,� � � cw�t�to c�ccuPNac�rLoa,o ORDINARY MOMENT FRAMES
I I I � • I�n►s oF[tr�sa �-x 72o sFlaoo-3 oca�AHrs
OF STEEL
DETAIIL@LINESA1 DETAIL@LINESA2 DETAIL@LINESA3 T`�� �TM����A���IX� � RESPONSE MODIFICATION FACTOR R= 4.5
; ; . . T�� p�pp�g�yypTMp�pp��pqM,�/,2p. �eoocc.pe�tooO�LEaF DEFLECTION AMPILIFICATION FACTOR Cd= 4.0
O 3O' • • MIOTE: ALL COLS. TO HAVE F U�R(4�u3/4E D A ANCHOR OL�S ����3 ��` LONGITUDINAL DIIRECTION:
�� - � —� CONCENTRICALLY BRACED FRAMES
Fwa�cMAoc�s rntsP�o,�-cTeHnLLCor�TOAOAAa+1�AAe�s t�o�.���� RESPONSE MODIFICATION FACTOR R= 5.0
O O O DEFLECTION AMP�LIFICATION FACTOR Cd= 4.5
SEGMENTS TABLE ANALYSIS PROCEDURE: EQUIVILENT LATTERAL FORCE
CONNECTOR BLDG. PARTMARK SEGMENT TYPE TH I CKNESS w1 DT �TRUCTURE: One (1) pre-engineered steel building . OTHER LOADS
swc i i wEB o, i s�s �iZE: 24'wide by 30' long with a 22' low eave height..
TO BE SUPPLIED BY swc i z wEB o. s000
SPACE BLDGS. FRAMEWORK: 1:12 one-way roof pitch; 30#SU 27 #WL110#CL; MEZZANINE LOAD�s
O O � � 3 SWC 1 1 ❑UTS I DE FLG 0, 2500 6 special frame; two (2) 15' bays. LIVE LOAD �/a
swc i z OUTS I DE FLG 0, 3750 6 SIDING: 26 ga. Galvalume "SPACE-MET" pan�is.
SWC 1 1 I NS I DE FLG 0, 3750 6 , DEAD LOAD n/a
� EXISTING BUILDING � swc i 2 I NS I DE FLG o, 3750 6 I�OOFING: 26 ga. SPACE-MET' Galvalume roof panels.
(CONNECTOR BLDG. BY SPACE BLDGS) j swc 2 i wEB a i s�s FLASHING &TRIM: 26 ga.Galvalume. CRANE INFORMATIONf n/e
SWC � 2 WEB 0, 3750 VYJINDOWS: None MAX WHEEL LOAD 4,300 LBS
3�� � SWC Z 1 ❑UTS I DE FLG 0, 2500 6 D�OORS: Two (2) 3070 steel pass doors with standard hardware. MEDIUM SEF�VICE
swc 2 z ❑UTS I DE ��� u, 2soo 6 one (1) door has 12 x 12 glass.
� 15' 0 15' 0 �wc z i I NS I DE FLG �, 3750 6 F�RAh1ED OPENIN�S: One (1) �4' x 16' overhea: uoor framesi opering,
M swc 2 z I NS I DE FLG o, 3750 6 including one (1) 14' x 16' insulated and electrically
' O� PRz PR1 �, RA� 1 � 1 WEB a, 1875 operated overhead door. (Electrical connection byothers).
1 O RAF 1 j 1 ❑UTS I DE FLG U, 3750 6 INCLUDED:
RAF 1 2 �UTS I DE FLG 0, 2500 6 �. Complete construction control services with documentation.
PR2 �gl PR 1 Dgl RAF 1 1 I NS I DE FLG 0, 3750 6 2. Complete building permitting service.
I' RAF 1 2 I NS I DE FLG 0, 2500 6 3. 6" vinyl-backed fiberglass insulation in roof and ��" I� W811S.
'' �1 1 RAF z i wEB o, 1875 4. 30 If. of 4' high translucent lite panels.
RAF 2 1 �UTS I DE FLG o, 3750 6 5. Roof accessories - 30 If. of special roofing cantilsver at 5'.
RAF 2 2 DUTS I DE FLG o, 2500 6 6. 30 If. of low eave gutter with required downspouts.
� RAF 2 1 I NS I DE FLG 0, 3750 6 7. 108 If. of 10�6" high liner panel
RAF 2 2 I NS I DE FLG o, 2soo 6 8. Pierfoundation with anchor bolts and setting plans based on 2 tons psf. soil bearing capacity.
0 11� 1 -1116 9. 6" concrete slab plus 17' x 6'6" outside slab (for hloweddust collector).
� 11� 0-11116 RAF 2 10. Reinforce for 3-ton overhead crane, brackets and beams by SPACE, crane by others.
�' �F� '� 118' 0-1 116 1�. Remove 45 If. of chain link fence and dispose af, fine grade site, silt fence and hay bale full perimeter.
i PRz PR 1 1� � 5@ 3, �_3�8 Excavate for infiltration chamber (20 ft.). Fumish and install infiltration chamber as per
�1 �1 Hancock Engineering Associates 819/02 site pl��n. Fumish and install 8" pipe for future floor drain,
�2 �,� � FBC 4 FBC 3 c�p riser/40 If. PVC pipe. Remove extra soil (infiltration chamber and piers) from site.
� � FBc 2 i 12. Massachusetts sales tax, delivery of materials, expeot erection.
PR2 PR 1 F 1 1 0 NnT INCLUDED: ����' �F�'�Jf
�1 1 Q3 Bwilding permit fees, fill, dumpster rental (to be s���plied by Owner for Contractors use), mechanicals, �+` R�+D '°>„
e �, � 3-TON CRANE (BY OTHERS) reimoval of trash (dumpster rental) or any items not �isted above as included. ' ^
PRz PR1 O CRANE BRACKET -I- � �� `
z �
� '��,p�e�stEP`���`
� 1 �1 CRANE BEAM BY SPACE �f:„""``+
� ¢ B1 DB ¢
' O ES2 ES1 ' O o
' ' � o � NOTE: CONNECTOR � o NOTE: EXISTING BUILDING DOES
sECTr❑N LAP AT SUPPORTS O � .� � M BLDG. TO BE � N m NOT HAVE TO BE RE-INFORCEC). CONTRACTOR
LAP INDICAT❑R LAP LENGTH C FT & IN ) c� Q � � � FIELD FABRICATED TO FIELD VERIFY BEAM & JOIS � SIZES.
, L 1 1 ' 3 N � vi !' CV � aua� �ty
, � z z, � � M (BY SPACE BLSGS) N 1 S PAC�E s speedeconom
N 1 1,� `,
' - PART LAP TOWARDS LAP T�WARDS N - u � EMAIL: s ace96 ix.netc m.com
+M'
QTY MARK DESCRIP LENGTH LINE #� 1 LINE #; 3
250 CAPE HIGHWAY, ROUTE 44 - EAST TAUNTON, MA 02718
' 4 DB 1 CAB . 25 13�' 2- 3/16
, 2 DB2 CAB . 25 19' 6- 1 / 4 TAUNTON� MA FAX 508-880-0500 TEL 508-823-7777
' SCALE: 1 4"=1'0"
' 7 PR 1 BZc�, 5- 16 1 6' 3 1 � 1) r ISSUE DATE BUILDER: �
7 PR2 8Z2, 5- 16 16' 3 1 C 1> No REVISION DATE SPACE bldgs DRAWN BY: R.JA
1 ES1 8 ES 14 15' 0 � �
PROJEC7: DATE DRAWN: 7/28/03
1 ES2 8 ES 14 15' 0 z Q'RQUPo(E 6ROS, NIEMOPoALS CHECKED e�r:
1 ES 1 8 ES 14 15 ' 0 3 LOCA710N: DR4WING NUI�BER
i Esz 8 Es i4 is - o � 24' 0 36" BET. BL�GS. 4 s��t, �,ssA�s�rrs 10F 2
5
DRAWING TITLE: JOB NUMBER:
FRM 1 E03OZO
6 aNci-ior�, RooF, c�ss-sEc'nota atm No�s
,
�
, _____ __ -------- --�--
' _ _—_ -------�
':a , ���- .. � ,d„ .._ � .
C�EENERAL /VrOTFS ELEVATION BENCH MARKS ``° ` ��
,�7 , c r a
� DATLIM: NGVD OF 1929 � -� ' `�
��� T�y ��J� ` : ,,
1. Locotions o! existing underground utAities/obstructions/systems showrr Aereon ore ' �� � + t` � ` i
approximote only. Al/ utilities/obstrvctiars/systems moy not be sha�wn. Controctor :rhol/ be �• Controctor sAoll contact Dig-Sofe for underground uti7ity morking ot 1-�'88-344-72J3 N0. DESCRIPTION ELEV. � � yl�
responsib/e foi /ocotin ond rotectin ol/ under round uti7ities obsKructions s tems, ot /east 72 hours nor lo commencemenl of on worir. ' ,� � ' ' ',
�:� ,
9 P 9 9 / /l's P y 1. SALEM WATER WORKS COVER - SE LY CORNER 8.45 �
whether or not shown herear. � '; ' ;�� � "u`�
• 2. Controctw shol/ coordinote ond abtoin o// canstruc�ion permits required dy 2, CONCRETE LIGHT POLE BASE - NE'LY CORNER 8.77 "' � '�
2. Unless otherwise shown, oll new uti7ities sho/l be underg�ound. Fegulotory ou�horities j ` ' '' '" 6,�'
3. Controctor shall inake himself owore of oll construction � uircments, conditions, 3' �'�� 1 ' -'� 101 ,
, . �;
3. Cont�oc�or sha// fumish construction /oyout ol bui7ding ond site im�provements 7His � T ' r � � M r�P,
worir sho// be performed by a Professionol Lond Surr�eyac Property lines shown ond limitotions imposed by permits ond opprowls issued by regulotory oerthorities • ,/t,.� �, �. �r • ,,,�m.,�
hereon a�e opproximote prior to commencement of ony wwk �'k il�r� � �- �H �M�
,„ ,y.�� r.ti ,;'' il i ,.
lNFIL TRA rOR NO1FS.• (S£f STA4MWA 1FR /NSTALdA AON /NS7RUCAAN MANUAL) �. Sofety meosu�e� construction mefhods ond cont�d of work sholl Ghe responsibi7ity 4. A/l work outside of bui7ding that is less than 10 feet f�am the inside /oce oJ bui7ding `" '� ' � n , � ir " �.
of Controctor. foundotions sholl confam with the Uniform Stote Plumbing Code of Mossochusett� -� ` .t ��a + ,\ :�`�,"'
1. STqNE S/ZE MUS7BE AS FALLOWS.• 24B CMR 2.A0. " " Y\
t �_ F , ��,�.'� .�
1 1/2" - 2 O�VfRALL DIA. CRUSHED STONE or 5. Controctor sho/l be respov�sib/e lor repoir ond�or replocement of orny existing imprnvrments � � � �. �'
2 - 2 1/2' D/A. ROUNDED WASNED STANE. domo ed durin construction thot ore not desi noted for demditio� ond 5. This p/on wi// occompony o Notice o/ lntent fli ed with the So%m ConserMvtion Commission �"- `��
9 9 9 � a ��P�'1°� ond Mossochusetts D ortmmt of Environmentol Protection. °a�k �ti..`� ' � � �
?. PRA�ER SED/MENTA AOW CAN7ROL S7RUC7URL"S MUST BE US£D TO hereon. Domoged impro►�emenls sho// be iepoired to �he satisloctian of their Q° . � '' � ° r �
L/MlT SILT /N7RUSlON �espectir+e owners 6. A// canstiuction sho// camp/y with Town of So%m Subdivision Regu/ations except os LVVVS ' SCALE.- 1 �=2000�
J. NBRArORY ROLLER AR PLATF CLKIPACT�MUST BE USED AT EACN proHded by opproved woi�rsz
L£VFL BAS�"D UPAN MANUFAC7URERS R£W/RIEMENTS AS OUTLIN£D 6. fiis p/on is not intended to show on engineered bui7ding foundation design, which ��D
lN TN£ STORMWA7�R /NSTALLA7lON /NSIRUC77�GW MANUAL. wou/d indude detoi/s ond fino/ Nerotions of footing� wo//s ond subsurfoce
4. USE CUL IECH CANTACTUR MODEL 100 OR APPROVFD EOUAL droinage to pre�nt interior Aooding. See orchilectu�o/ ond/ar strrictu�o/ drowing.�
5. A M/N/MUM OF 6" A� STON£ MUST B£ PLAC£O AT BAS£ EXlS71NG PROPOSED
OF lNF/L 7RATOR CNAMBERS.
6. CONIRACTA4 MUST NOAFY MANUFACIiI£R Of� lNFlL7RATA4S � Any intended revision of the Aorizanto/ ond/or rrrtico/ %cotion of impro�rrnmts to WATER .5�'RNCE �
PRIAR TO COWS7RUC7lON. be constructed os shown hereon sha// be reviewed ond opp�oved by Engineer prior
o �mplementot on.
-�•-�- - �-���+.�� FA4C£ MA/N �f7w�
7. DO NOT US£ WNEEL£D VfHICLES ON 7Nf BED� DUR/NC CONS7RUCAON.
' '� .S�N£R L/N£ AND MANNAC£ s�uw
lNFlL1RAAAN 8. Rim New�ions shown for new structu�es are opproximote ond a�e provided to ossi:;t - -"" j" � - S/Z£ MAIE'RIAL dr fZOW DlR£CAG1N ����
CNAMBER Contracfw with material tokeol(s. Finisri rim e/ewtions shou/d match po�rrrrent, greding .�.,;,_., DRA/NL/NE Nf1N P/PE S/ZE, MAIERIAL �y
FILTi�R FABRIC or /ondsco in unless
CRAVEL (Mi�b� 140N or equ.) P 9. specificol/y indicated otherwise.
,, _ __,�j;z ... � fZOW DIRECAOA; CA7�'N BAS/N �SO
.,;, _ --...
MANNACE � ROUND CATCN BASIN
9. Where existing uti/ity /ines strvctures are to be cut/broken down/ obondoned, /ines/strvctures - - ��� +� ROOF ORA/N AND DOIfNSPOUT �-�S
e s e e
sholl be pluqged/copped iled in occordonce with owner requiremer�ts. _ . P£RFORA7�0 UND£RDRA/N �,n
„!%
. COA AC1EQ f7LY 16' f0. Proposed buirdirrg foundotion conrgurotion ond /ocotion ar the lot os shown ore crnceptuol y � '� -- ro -- FOUNDAAU'V ORA/N �
- • - � ond sho/l be �sriRed os to contormonce with rno/ orchltecturo/ plons ond zaning a-dinonces �q � - --- w j � ,- WA lE'R MAIN AND VAL l� w ��
prior to construction. „
� � . � e , by � - � � � NATURAL GAS L/NE AND VALVF G-��
- - 11. Si7t fence shown hereon shal/ be insto/%d be�ore eo�th dJsturbonce xcurs withJn buffer rovre ` � "� PROP£RTY UNE
3� ond sho// serve os the limit o! work ,,� - -
B�tr � EAS£MENT L/N£
f2. E/ewtion dotum is meon seo /err.M (NGVD of 1929).
13. fie rooJ down out sho// be e ui ed with on or+erAow out/et thot wi// dischor e onto the rore/ su�loce. m �� B£AR/NC � D/STANCf ALOWG B0�!/NOe4RY �`�• �
12.5� SP 9 PP 9 9 /L � :'�'.•�6 ".'` .`N1204673
O � c ;�,' . . T07ALED BOUNDARY FRANTAGE t< 2�9.56' »
3s' . ,\ , �� . �
6� M/N � � � �2 EL£VA AON B£NCH MARK
\�jj j�j\�j/\�j\�j\�j\�j\�j\�/ A` 2
��/ /�\/�\/�\/�\/��/��/\/��/ ., e .: rx;:::. :::x>.x: STANE WALL
�/ //�/�//�/j�/�//�/ /�/j P�. -
��������i�����������i�i������� N � � -_ _ _
G P �'o � � � CNA/N L/NK FENCE Nf7H H£lQ4T _0 6�CLF
_ 40" �` J�� _ _ Wt�00 FENCf WI7N N£/Q4T 5 � ■
` It� ' 3a eR`' �we � ti 9c� - _ EDGE A� LANN -i�r iir-
CRA b£L 014 SU/TABLE BA.51r ��v L -� `�' ►ti• ti 'S
CRUSNEO STvidE - .�, �1��� N''d'�6�1 ` �`�,Q^ 'G� ., - �` EDLL�' GiF' GWAV�L OR D/RT ROAD
- ' ,_ . ' � .
� '' >- Yr: ,. - ` ._ r� £DCE CF PAVFMET'T
� � .,
. .
1` �� ' ' <9,� � �- . . CURB (see abbreviotions) �L'
�,y��. 4+. . �.
/N/9L TR4 TIO/V CH'.4MBE/9 .�\O�� {p ..` ''.` ` -M-"- - " _ PA 7H AR 7RAlL
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�` ��, Ne2��98 r �._, � \. G� . . s5
NOT TO SCALE , , r �,\ " ,, .spor Ec£�,a nary ��
oy a � i.�.%.:>
,� m. �,. - � -. � _ �; £L£VA AON CANTOUR 91
c�
` �', •, .. � ----- . /N7E'RA//TTENT STREAM, ORA/NACE DITiCH,
2 x2 X4' Wt�A�EN POST �• . ����P.y:.� ,�� ' ` � � OIR EDCE Gl� S£ASONAL POND/NG AR�A
4,p� � �� _:__ ._- .57lA4£ UN£ (see obbrevrotions)
� ��� ` �.?F"' . !�P `. - ; �� �
� PRO7FC7ED AR£A ' -� •°� � 'O , y t �'` � _ MEAN LOW WA7ER
� OR/12r Wt7010£N STAK£S ��,: � '�' Bs �� ,.v ' \
MIN. 6� INTO GROUND INFITRATION CHAM�IBERS 1• � � �
'�.
(SEE DIETAIL)_ sr. � ` <, %� � t'D".� %:: c PROM//NENT DEC/DUOUS 7REE '�e 26.8
F/L 7FR FENCE �'o,A � << ;' ' " �:
W1TH £LEVA7lOM, SIZE AND SPELYES 12"M
, . �
� • r ,4 � � .. `• � .
� o rmG�' �q , � � " �,� ,!; :� PRC�iNENT D£LYDUOUS TREE � 18 P
1 �6 < J+ "<"�y� , ` ', , ""} '�: -: WIIH ELEV,4 TION, SIZF AND SP£C/ES "
� ' c^< �'` � �`�^ � - :
� �-:: "-:.- Gy�u� Z�t^ 4 d�� �N
:.:. , �-:. -.: o . ROL7C OUTCROP (L£DC,L")
.. y�,,� '.5 : '�:. `::. o � ' � ' , Z.cpjy .. \ -- j _ L/MlT OF COASTAL BANK Q
� � \ � _� __._. .
� �b�• •.b CFAss To ��- AREA � � �`` ' ° '" !�'�' UM/T OF INNER R/PAR/AN ZOWE /RZ
� \ � � � ^ �` •'. GRAVE� ':. 11,469t S.F. . ' , , � �. .. ,, "` T t''�•- - L/M/T OF OU1FR R/PAR/AN ZONE ORZ
'� I � I ia.2' , Y ` %'"j ,\^ -�� 4h ---- ei ) LlMIT OF �RFOO�H£7LAN0 BUFFER ZONE •O �
� '. r ;.
GWOUND SURFAC£ � ��' . � ` ' • � � 3�.3�' ' ` ` __ _
i ;; ' �� .; - '' , �. 1 �'� �` \ <'. LlMIT OF 100-YE'AR fZOODPLA/N ♦
� , Nee3z•zrw h
� ;/ F SEE noTE t3 � ` � ____. . L/M/T Of 10-YEAR FZOOI�PLA/N ♦ � - �,
B �'� � � i S7RAW OR HA Y B.4LE ,`�, � . : ' �" . ;'t _ , • , ��n- ,,,,.', N� ` P L/M/T OF CANSERVANCY D/S7R/CT, WA 7FRS�IED w �I
� , i � _ R - --. _ � �
�� � \�� �� �/� � �� / ��C.P�, � ! ,,';,� '` ` � PR07FCAON D/S7R/CT, A4 %NLAND FLOODPLAIN
,\ 1.� v,I � � ' l ,pG�L ��O cj�'�� : ` � � ���� Fa�E � S/L T FENCE
� ' ..
i�1
',�\ ^�Vi,� ��. G� �PG�� ,; , � ,, P� S � ' _ . . NA YBAL£S AND SlL T F£NC£ . .. .. .
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,'�'�\ DEP File Number:
Massachusetts Department of Environmental Protection
, ��` �`�' f Bureau of Resource Protection - Wetlands sa- 3a3
4 � � WPA Form 5 - Order of Conditions PravidedbyDEP
�� p Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
A. General Information
Important:
When filling From:
out forms on Salem
', the Computef, Conservation Commission
use only the
tab key to This issuance if for(check one):
move your
cursor-do � �rder of Conditions
, not use the
retum key. ❑ Amended Order of Conditions
« To: Applicant: Property Owner(if different from applicant):
� Gabriel P. Rossi, Jr.,Tr. G&M Realty Trust, c/o See Attached
� O'Rourke Brothers Name
Name
73 North Street
Mailing Address Mailing Address
Salem MA 01970
City/iown State Zip Code Cityliown State Zip Code
, 1. Project Location:
73 North Street Salem
Street Address Cityliown
Map 26 Lot 642
Assessors Map/Plat Number Parcel/Lot Number
2. Property recorded at the Registry of Deeds for:
Essex South 17893 250
, County Book Page
NA
Certificate(if iegistered land)
3. Dates:
November 25, 2002 January 9, 2003 January 9, 2003
Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance
4. Final Approved Plans and Other pocuments (attach additional plan references as needed):
Permit Site Plan, 73 North Street, Salem, Mass. Sheet 1 of 1 8/9/02
I Title Date
5. Final Plans and Documents Signed and Stamped by:
Richard F. Doherty
Name
6. Total Fee:
$525.00
. (from Appendix B:Wetland Fee Transmittal Form)
W PA Fortn 5
, Rev.02/00 Page 1 of 7
� Massachusetts Department of Environmental Protection DEP File Number:
m ��' � '= Bureau of Resource Protection - Wetlands 64- 343
' g` WPA Form 5 - Order of Conditions ProvidedbyDEP
� �,�
� ` Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings
Findings pursuant to the Massachusetts Wetlands Protection Act:
Following the review of the above-referenced Notice of Intent and based on the information provided in
this application and presented at the public hearing, this Commission finds that the areas in which work is
proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply:
❑ Public Water Supply ❑ Land Containing Shellfish � Prevention of Pollution
❑ Private Water Supply ❑ Fisheries ❑ Protection of Wildlife Habitat
� Groundwater Supply ❑ Storm Damage Prevention � Flood Control
Furthermore, this Commission hereby finds the project, as proposed, is: (check one of the following boxes)
Approved subject to:
� the following conditions which are necessary, in accordance with the performance standards set forth
in the wetlands regulations, to protect those interests checked above. This Commission orders that all
work shall be performed in accordance with the Notice of Intent referenced above, the following
General Conditions, and any other special conditions attached to this Order. To the extent that the
following conditions modify or differ from the plans, specifications, or other proposals submitted with
the Notice of Intent, these conditions shall control.
Denied because:
❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland
regulations to protect those interests checked above. Therefore, work on this project may not go
forward unless and until a new Notice of Intent is submitted which provides measures which are
adequate to protect these interests, and a final Order of Conditions is issued.
❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the effect
of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project
may not go forvvard unless and until a revised Notice of Intent is submitted which provides sufficient
information and includes measures which are adequate to protect the AcPs interests, and a fnal
Order of Conditions is issued. A description of the specific information which is lacking and why it is
necessary is attached to this Order as per 310 CMR 10.05(6)(c).
General Conditions (only applicable to approved projects)
1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory
measures, shall be deemed cause to revoke or modify this Order.
2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any
injury to private property or invasion of private rights.
3. This Order does not relieve the permittee or any other person of the necessity of complying with all
other applicable federal, state, or local statutes, ordinances, bylaws, or regulations.
WPA Fortn 5
Rev.02/00 Page 2 af 7
� Massachusetts Department of Environmental Protection DEP File Number:
m �� ��3' , gureau of Resource Protection - Wetlands
� °" � � WPA Form 5 - Order of Conditions PovtledbyDEP
'�� ' Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
' B. Findings (cont.)
4. The work authorized hereunder shall be completed within three years from the date of this Order
unless either of the following apply:
a. the work is a maintenance dredging project as provided for in the Act; or
b. the time for completion has been extended to a specified date more than three years, but less
than five years, from the date of issuance. If this Order is intended to be valid for more than three
years, the extension date and the special circumstances warranting the extended time period are
set forth as a special condition in this Order.
5. This Order may be extended by the issuing authority for one or more periods of up to three years each
upon application to the issuing authority at least 30 days prior to the expiration date of the Order.
6. Any fll used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse,
rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard,
pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing.
7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such
an appeal has been taken, until all proceedings before the Department have been completed.
8. No work shall be undertaken until the Order has become final and then has been recorded in the
Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title
• of the affected property. In the case of recorded land, the Final Order shall also be noted in the
Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to
be done. In the case of the registered land, the Final Order shall also be noted on the Land Court
Certificate of Title of the owner of the land upon which the proposed work is done. The recording
information shall be submitted to this Conservation Commission on the form at the end of this Order,
which form must be stamped by the Registry of Deeds, prior to the commencement of work.
9. A sign shall be displayed at the site not less then two square feet or more than three square feet in
size bearing the words,
"Massachusetts De artment of Enviromm �t I P
e a rotection" or "MA DEP"
p I , 1
"File Number 64-343 "
10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the
Conservation Commission shall be a party to all agency proceedings and hearings before DEP.
11. Upon completion of the work described herein, the applicant shall submit a Request for Certifcate of
Compliance (WPA Form 8A)to the Conservation Commission.
12. The work shall conform to the plans and special conditions referenced in this order.
13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the
Conservation Commission in writing whether the change is significant enough to require the filing of a
new Notice of Intent.
14. The Agent or members of the Conservation Commission and the Department of Environmental
Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours
to evaluate compliance with the conditions stated in this Order, and may require the submittal of any
data deemed necessary by the Conservation Commission or Department for that evaluation.
WPA Form 5
Rev.02/00 Page 3 of 7
� Massachusetts Department of Environmental Protection DEP File Number:
m �� '�'$� , Bureau of Resource Protection - Wetlands
? '�n �� u� WPA Form 5 — Order of Conditions 64- 343
Provided by DEP
,t � �7i�.. ,.
°' ," Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings (cont.)
15. This Order of Conditions shall apply to any successor in interest or successor in control of the
property subject to this Order and to any contractor or other person performing work conditioned by
this Order.
16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland,
the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden
stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a
Certificate of Compliance has been issued by the Conservation Commission.
17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully
stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or
water body. During construction, the applicant or his/her designee shall inspect the erosion controls
on a daily basis and shall remove accumulated sediments as needed. The applicant shall
immediately control any erosion problems that occur at the site and shall also immediately notify the
Conservation Commission, which reserves the right to require additional erosion and/or damage
prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work
unless another limit of work line has been approved by this Order.
Special Conditions (use additional paper, if necessary):
See Attachment
Findings as to municipal bylaw or ordinance
Furthermore, the Salem hereby finds (check one that applies):
Conservation Commission
❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal
ordinance or bylaw specifically:
Name Municipal Ordinance or Bylaw
Therefore, work on this project may not go forward unless and until a revised Notice of Intent is
submitted which provides measures which are adequate to meet these standards, and a fnal Order
of Conditions is issued.
❑ that the following additional conditions are necessary to comply with a municipal ordinance or bylaw,
specifically:
Name Municipal Ordinance or Bylaw
The Commission orders that all work shall be performed in accordance with the said additional
conditions and with the Notice of Intent referenced above. To the extent that the following conditions
modifv or differ from the �lans. soecifications. or other or000sals submitted with the Notice of Intent.
WPA Form 5
Rev.02I00 Pa9e 4 of 7
� Massachusetts Department of Environmental Protection DEP File Number:
��"� Bureau of Resource Protection - Wetlands
' � 64-343
' �H s;si `� WPA Form 5 — Order of Conditions ProvidedbyDEP
.,:
{F" �` Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
B. Findings (cont.)
Additional conditions relating to municipal ordinance or bylaw:
This Order is valid for three years, unless otherwise specified as a special condition pursuant to General
Conditions#4, from the date of issuance.
Date
This Order must be signed by a majority of the Conservation Commission. The Order must be mailed by
certified mail (return receipt requested) or hand delivered to the applicant. A copy also must be mailed or
hand delivered at the same time to the appropriate Department of Environmental Protection Regional
Office (see Appendix A) and the property owner(if different from applicant).
Signatures:
On Of
Day Month and Year
before me personally appeared
to me known to be the person described in and who executed the foregoing instrument and
acknowledged that he/she executed the same as his/her free act and deed.
Notary Public My Commission Expires
This Order is issued to the applicant as follows:
❑ by hand delivery on ❑ by certified mail, return receipt requested,on
� WPAFormS Page5of7
. Rev.02/00
l
� Massachusetts Department of Environmental Protection DEP File Number:
x �� , Bureau of Resource Protection - Wetlands 64-343
=. � � �� WPA Form 5 - Order of Conditions ProvidedbyDEP
;;' z � Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
,.,���
C. Appeals
The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject
to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of
their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions.
The request must be made by certified mail or hand delivery to the Department, with the appropriate filing
fee and a completed Appendix E: Request of Departmental Action Fee Transmittal Form, as provided in
310 CMR 10.03(7)within ten business days from the date of issuance of this Order.A copy of the request
shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to
, the applicant, if he/she is not the appellant.
The request shall state clearly and concisely the objections to the Order which is being appealed and how
the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands
Protection Act, (M.G.L. c. 131, §40) and is inconsistent with the wetlands regulations (310 CMR 10.00).
To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts
Wetlands Protection Act or regulations, the Department has no appellate jurisdiction.
D. Recording Information
This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in
which the land is located, within the chain of title of the affected property. In the case of recorded land,
the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the
land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court
Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information
on Page 7 of Form 5 shall be submitted to the Conservation Commission listed below.
Salem
Conservation Commission
WPA Form 5
Page 6 of 7
Rev.02/00
I _
� Massachusetts Department of Environmental Protection DEP File Number:
�"� Bureau of Resource Protection - Wetlands
K �� u'` ' 64- 343
= �� `� WPA Form 5 - Order of Conditions ProvidedbyDEP
"� ' Massachusetts Wetlands Protection Act M.G.L. c. 131, §40
D. Recording Information (cont.)
Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission.
To:
Salem
Conservation Commission
Please be advised that the Order of Conditions for the Project at:
73 North Street 64343
Project Location DEP File Number
Has been recorded at the Registry of Deeds of:
County Book Page
for:
Property Owner
and has been noted in the chain of title of the affected property in:
Book Page
In accordance with the Order of Conditions issued on:
Date
If recorded land, the instrument number identifying this transaction is:
Instrument Number
If registered land, the document number identifying this transaction is:
Document Number
Signature of Applicant
WPA Fortn 5 Page 7 of 7
Rev.02/00
II 1
�
Salem ConservaYion Commission
SPECIAL CONDITIONS —DEP FILE # 64-343
73 North Street, O'Rourke Brothers, Salem, MA
1. The Conservation A ent will be notified 48 hours rior to c mm n -
g p o e cement of construcrion acrivities(978 745-
9595 ext. 311). Members and agents of the Salem ConservaHon Commission(Commission)shall have the right
to entec and inspect the premises to evaluate and ensure compliance with the conditions and performance
standards stated in this Ordei,the Notice of Intent,the referenced plans,the Act,and 310 CMR 10.00, and may
require any information,measurements,photographs, observation and/or materials or may require the submittal
of any data or information deemed necessary by the Commission, agent,oi DEP determines that any of the
work is not in compliance with this Order of Conditions. Work shall not resume unril the Commission is
satisfied that the work will comply, and has so norified the applicant in wriring.
2. A roval of this a lication does not consritute com liance with an law or re ulation other than MGL Cha ter
PP PP P Y S P
131, Section 40,and Wetlands Regulations 310 CMR 10.00.
� 3. This Order shall apply to any successor in confrol or successor in interest of the pioperty described in the Notice
of Intent and accompanying plans. These obligations shall be expressed in covenants in all deeds to succeeding
owners or portions of the property.
4. The form provided at the end of this Orde�shall be completed and stamped at the Registry of Deeds afrer the
expiration of the 10-day appeal period and within 30 days of the issuance if no request for appeal has been filed
with the Depamnent of Environmental Protecdon. This form shall be retumed to the Commission within 21
days of recording aceordance and prior to commencement of any activities subject to the Order of Conditions.
5. Prior to any work commencing,a sign shall be displayed showing DEP file#64-343,and not placed on a living
tree.
6. The term"ApplicanP'as used in this Order of Conditions shall refer to the owner, any successor in interest or
successor in control of the property refeienced in the Notice of Intent, supporting documents and this Order of
Conditions. The Commission shall be notified in writing within 30 days of all transfers of title of any portion of
the pcoperty that takes place prior to issuance of the Certificate of Compliance.
7. It is the cesponsibility of the applicant to procuce all other applicable federal,state and local pernuts and
approvals associated with this project. These permits may include but are not necessanly limited to the
following:
(1) Section 404 of the Federal Water Pollution Control Act(P.L.92-500,86 stat. 816),U.S.Army Corp of
Engineers.
(2) Water Quality Certification in accordance with the Federal Water Pollution Control under authority of sec.
27(5)of Chapter 21 of the Massachusetts Genera]Laws as codified
(3) Flood Plain
(4) Grading Ordinance
8. If theie are conflicring conditions within this Order,the stricter condition(s)shall rule.
9. All work shall be performed so as to ensure that there will be no sedimentation into wetlands and surface waters
during conshuction or afrec completion of the project.
10. The Commission and its Administrator shall have Che disccerion to modify the erosion/siltation conhol methods
and bommdary during construction if necessary.
ll. All work shall be performed in accordance with this Order of Conditions and approved site plans(s). No
alteration of wetland resource areas or associated buffer zone,other than that approved in this Order, shall occur
on this property without prior approval from the Commission.
I
12. If any changes are made in the above-described plan(s)which may oc will alter an area subject to protection
under the Wetlands Protection Act,o�any changes in activity subject to regulations undec G.L. Ch. 131, Section
4Q the applicant shall inquire from this Commission in writing,piior to their implementation in the field,
whether the change(s)is significant enough to tequue the filing of a new Notice of Intent. Any esor in the
plans or information submitted by the applicant shall be considered changes and the above pmcedures shall be
followed. A copy of such request shall at the same time be sent to the Deparnnent of Environmental Protection.
13. In conjuncrion with the sale of this property or any portion thereof before a Certificate of Compliance has been
issued,the applicant or current landownec shall submit to the Commission a signed statement by the buyer that
he/she is aware of an outstanding Order of Condirions on the property and has received a copy of the Order of
Conditions.
14. Conditions number NA as indicated shall continue in force beyond the Certificate of Compliance,in perpetuity,
and shall be referred to in all future deeds to this property.
PRIOR TO CONSTRUCTION
15. Prior to commencement of any activity on this site,there shall be a PRECONSTRUCTION MEETING
between the project supervision;the contractor responsible fo�the work oi its administrator to and phone
numbers of all responsible parties shall be registered with the Commission at the pre-construction meeting.
16. Prior to the pre-construction meeting and wmmencement of any activity on Chis site, sedimentation and erosion
control baniers shall be installed as shown on the approval plan(s)and detail drawings. The Commssion and/or
its Administrator shall inspect and approve such installation at the pie-conshuction meeting.
17. Prior to the commencement of any activity on this site,the applicant or current landowner shall submit to the
Commission in writing a construction schedule/sequence of work to complete this project.
18. Pnor to any work on site,the proposed limits of work shall be clearly marked with stakes or flags and shall be
confirmed by the Commission or its Adminishator. Such markers shall be checked and replaced as necessary
and shall be maintained until all construction is complete. Workers shall be informed that no use of machinery,
storage of machinery or materials,stockpiling of soil or conshuction activity is to occur beyond this line at
anytime.
19. Prior to commencement of construction on site,the limits oF wetland resource azeas closest to construction
activity shall be flagged with surveyor's tape and shall xemain in place ducing construction. The limits of areas
to be impacted and the limits of work in the replication area(s)shall be clearly flagged.
20. There shall be 20 hay bales and wooden staked stored under cover on the site to be used only For emergency
erosion conhol.
EROSION CONTROL
21. Appropriate erosion control devices shall be in place prior to the beginning of any phases of construction, and
shall be mamtamed during conshuction in the wetland a�eas and buffer zones. The ecosion control specification
provided in the Notice of Intent and the erosion control provision in the Order will be the minimum standards
for this project; additional measures may be required by the Commission.
22. All debris,fill and excavated material shall be stockpiled a location far enough away from the wetland resource
areas to prevent sediment from entering wetland resource areas.
23. Erosion and sedimentation conhol devices shall be inspected after each storm event and iepaired or replaced as
necessary. Any accumulated silt adjacent to the baniers shall be removed.
24. The areas of construction shall remain in a stable condition at the close of each construction day.
, 25. Any de-watering of trenches or other excavations required during construction shall be conducted so as to
prevent siltation of wetland resou�ce aceas. All discharges from de-watecing activities shall be filtered through
haybale sediment traps, silt filter bags or other means approved by the Commission or its Administrator.
26. Within thirty days of completion of constmction on any given portion of the project, all disturbed a�eas in the
completed portion of the site shall be permanently stabilized with rapidly growing vegetative cover,using
sufficient top soil to assure long-term stabilization of disturbed areas.
27. If soils are to be disturbed for longer than hvo months,a temporary cover of rye or other grass should be
established to prevent erosion and sedimentation. If the season is not appropriate for plant growth,exposed
surfaces shall be stabilized by other appropriate erosion control measures,fumly anchored,to prevent soils
from being washed by rain or flooding.
DURING CONSTRUCTION
28. A copy of the Order of Condirions, construction plans, and copies of the documents and reports cited in
Condition# I 1 shall be on the site u on commencement an
, p d during any site work for contractors to view and
adhere to.
29. Erosion and sed'unentation control devices shall be inspected after each storm event and repaired or replaced as
necessary. Any accumulated silt adjacent to the ba�riers shall be removed.
30. Only clean fill, free of masonry, stumps,asphalt,and any other kind of waste material shall be used on the site.
31. All waste products,grubbed stumps,slash,conshuction materials,etc, shall be deposited at least 100 feet from
wetland resource areas and 200 feet from rivers.
32. All filling or removal of waste material from the site shall be done in accordance with the regulations of the
City of Salem Health Department.
33. Cement hucks shall not be washed out in any wetland resource or buffer zone azea. Any deposit of cement or
, concrete products into a buffer zone or wetland resource area shall be removed by hand.
34. No fuel,oil,or other pollutants shall be stored in any resource area or the buffer zone thereto,unless specified
in this Order of Conditians.
35. There shall be no pumping of water from wetland resource azeas.
36. During construction, all drainage structures shall be inspected regulazly and cleaned as necessary.
37. The project shall not cause an increase in run-off onto adjacent properties, either during construction o�when
completed.
38. The applicant is hereby notified that failuce to comply with all requirements herein may result in the issuance of
enforcement actions by the Conservation Commission including,but not limited to,civil adminishative
penalties under M.G.L. Chapter 21A,section 16.
POST CONSTRUCTION
39. All disturbed areas, slopes and proposed landscape azeas shall be loamed and seeded or stabilized through the
use of erosion control blankets or other approved means. All disturbed areas will be graded, loamed,and
seeded prior to November 1 of each year,if possible. No disturbed areas or stockpiled material will be left
unprotected or without erosion contcols during the winte�.
40. Upon completion of construction,the applicant oi current landowner shall submit the following to the
Commission to request a Certificate of Compliance:
(1) A letter requesting a Certificate including the following infonnarion:
a. Name and address of cu�rent landowner;
b. Name and address of the individuaUtrust or other enrity to whom the Certificate is to be issued:
c. Street address and lot number for the project;and
' d. DEP file number
2 A letter from a Re istered Professional En ineerin or Land Surve or certif in com liance of the
� ) g 6 S Y Y 8 P
property with this Order of Conditions
(3) An"As-Bui1P'plan signed and s[amped by a Registered Professional Engineer showing post-construction
conditions and:
a. As-built elevations of all drainage ways constructed within 100 feet of any wetland resource area;
b. As-built elevations and gades of all filled oi altered wetland resource areas,buffer zones and
replicated areas; and
c. Distances to all structures within ]00 feet of any wetland resource area.
41. When issued,the Certificate of Compliance must be recorded at the Essex County Registry of Deeds.
42. If the completed work differs from that in the original plans and conditions,the report must specify how the
work differs; at which time the applicant shall fust request a modification to the Order. Only upon review and
approval by the Commission,may the applicant request in writing a Certificate of Compliance as described
above.
43. Erosion control devices shall remain in place and properly functioning until all exposed soils have been
stabilized with final vegetative cover and the Commission and/or its Administrator has authorized their
removal.
-�
k�� � Com,�nw,:al�� o�r/I�sa����E�
� ,� �.Pa,�msn� o/.J�u,�iaf.,�«i i�i
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�ames J.Camooei 4�oalon, /!/auae�i+wW 0�1 1/
Cornmrssqna - " ' � .
Workers' Compensaiion Insurance Affidavit
1, _ Robert F. DiCroce / Space Building. Corporation
. . (Ga....on�r�) �
. . wich.a prinupal plau of business at:
250 Cape Highway - Rt.44. , E.Tauqton MA 02718 .
. . � . � tcksiwws�N . �
do hereby certify under ihe pains and penaltia of perjury. that:
� I am an cmployer providing workers' compensacion covenge for my employea workins on
chis job.
Insunnce Compa�ry Policy Number
I am a sole yropriecor and have no one workin� for me in any c�paciry•
() I am a sole proprieco�, genenl conznccor or homeowner (circle one) and have hired the
coninaors listed below who have the foUowing workers' compensauon policies:
Contracsor Insunn�e Company/Poliq Numbe�
Contraaor Insurance Company/Policy Numbet
� Contnccor Insurance Comyany/Poliq Numbcr
O I am a homeowner performing all the work mysetf. .
I uneeruana wc�coo�of�hb wumenc aii De ien+noea �o�Me Offce ol ImescPwn+of the DIA lor co.enTe+eritKstien sn0 uui W�re a uavc
cmrni y«wreo unasr Sa�ion 25A ol MGL I S 2 c�n k�a w tne:noeN�ion ol criminm o�nmies corsaunt e(a fne o(w oo-S I.SOOGO�ana/a one
run'imxwmm�nt v.cru u civi oauluo in�he lorm e(� STO P W ORK ORDER ana�bu of S f 00.00 a aav a�irot me.
T��� d7y Of �� U�y � ..
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Lice_nsee/Permic-cecT Robert F. DiCroce 8+���ding Deparsn+ent
Space Building Corp. u«��ng $oard
Sdeamens Office
Hwlth DeQ�r�mrnt
TO VERIFY COVERAGE 1NFORfi�fATION CALL: 517-727-4900 X4�3, 404, 405, =r09, 375
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1 ��� �3 B RD O UILDING REGUL/PT OI NS �
'� cs� -.�License:'CONSTRUCTION SUPERVISOR-� .,� �
�'Number��..CS��015955 ..
BiRhdate: 09126N959� �� "'�'� � �
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.: Expirer�,09/26@003' Tr no: ' 5799'�
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5 ,�ROBERT`F DICROCE �'` 1 �' ��
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�--a'400 RICHMOND ST �., A(„�„,�`'� ` �� � �
„E T A U N T O N, M A 0 2 7 1 8- ., i
.��+ �s.f -. - ':'Adminietrator��'
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�o� e „'�, QF SALEM. �IFi55ACHl95ETT5
3 � PUBLIC PROPERSY DEPARTMENT
° � 120 WASHIN6TON STREET, 3RD FLOOR � �
� j•, dP SALEM, MA 01970
���� TE�. (978)745-9595 ExT. 380
�q� Fn.x (978) 740-9846
STANI.EY J. USOVICZ, JR. � - . �
MAYOR
DISPOSAL OF DEBRIS AFFIDAVTT
In accordance with the provisions of MGL c 40,S34,I acl�owledge that as a condition
of Building Permit# ,all debris resulting from the construction activity
govemed by tlus Building Permit shali be disposed of in a properly licensed solid-waste
disposal facility,as defined by MGL c III,S150A.
The debris will be disposed of St: Waste Manaeemenr Sa�+eeG MA _
Location of Faciliry
�L'e; �C'� ' ' 0
Signature of Permit Applicant D�
FULLY complete the following information:
� (PLEASE PRINf CLEARL�
Robert .F. DiCroce / SPACE b1dQs
Name of Permit Applicant
Space Building Corporation
Firm Name,if any
250 Cape HiQhwav E,Taunton MA 02718
Address, City &State
The above statute requires that debris from the demolition,renovation,rehab or other
alteration of building or structure be disposed in a properly-licensed solid-waste disposal
facility as defined by MGL cIII, S 150A, and the building permits or licenses are to
indicate the location of the facility.
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Envelope Compliance Report
Massachusetts Commercial Code
COMcheck-EZ Software Version 2.2 Release la
Section i: Project Information
.
Project Information: O'Rourke Bros.Memorial
73 North Street
Salem,Massachusetts 019'70
Owner/Agent Information: SPACE BLDGS,
250 CAPE HIGHWAY
EAST TAUNTON,MA 02718
Dceument Author Information: R J.AGiJIAR
CONSTRUCTION SUPERVISOR
CS 079787
Section 2: Genernl Informatioe
Building Location: Salem,Massachusetts
Climate Zane: 13a
Heating Degee Days(base 65 degrees F): 5641
Caoling Degree Days(base 65 degrees F): 678
Building Use Method of Compliance: Whole Building Method
Building Type Floor Area
Warehouse 720
Project Description(check one):
_New Construction _Addition _Alteration _Unconditioned Shell(File Affidavit)
Section 3: Requirements C6ecklist
Air Leakage,Componeot Certification,and Vapor Retarder Requirements
Inspection Approved Initial
Date (Y/I�
All joints and penetrations are caulked,gasketed,
weather-sh�iPPed,or otherwise sealed
Windows,doors,aad skylights certiSed
as meeting leakage requirements
Component R-values&U-factocs labeled as certified
Vapor retarder installed
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Climate-Specific Reqairements
Gross Caviry Cont. Proposed Budget
Comoonent NameJDescrintion Area R Value R-Value U-Factor U-Fador
Roof 1:Metal Roof without T6ermal Blocks 720 0.0 19.0 0.051 0.060
Eacterior Wall 1:Metal Wall without Thermal Blocks 2484 0.0 13.0 0.072 0.091
Window 2:FILOM PANEL,Tinted,shgc 0.65 72 --- -- 0.980 0.603
Door 1: Solid 42 --- -- 0.700�b) 0.143
Door 2:Overhead 224 --- --- 1.450(b) 0.143
I Slab 1:Unheatad On-Grade,Vertical Insulation
Depth 4 ft.(c> 108 --- 10.0 --- ---
(a)Budget U-factors are used for soflware baseline calwlations ONLY,and are not code requirements.
(b)CtaimeA perfortnance dces not exceed defaults in Tables 1301.93.1.No manufac,Kurer certiSca[ion required.
(c)Cettain building use types require wntinuous under-slab insulazion(see Massachusetts Code Sec[ion 1304.2.7 and
1304.2.8).
Envelope PASSES: Design 13%better than code
Section 4: Compliance Statement
, The proposed envelope design represented in this document is consistent with the building plans,specifications
and other calculations submitted with this permit application. The proposed envelope system has been designed to
meet the Massachusetts Commercial Code requirements in COMcheck-EZ Version 2.2 Release la.
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Principa Envelope esigner-Name S� e Date
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�idHiS��E fflfB�lfl APPflOVE{) $Y ��iE
IAI�P�J� ,pl�R �TP 1!_PEAMIT$,�WG GRANTED
i�:
CITY OF SA'LEM
No.� �"ZOO �g�"' 1 U +%. 7/29/03
`I F� 'p� Date
.O ;'s�t� N'� .
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Is Property Located in g Location of
theHistodcDlsirict7 Yes_No_ Building 73 North Street
Is Property Located in
the Conservatlon Area? Yes No X
BUILDING PERMIT APPLICATION FOR: '
Permit to:
(Circle whichever apply) Roof, Reroof, Inst Siding, Construct Deck, Shed, Pool,
RepaidReplace, thBr. Erect Steel R �ilding
PLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING
TO THE INSPECTOR OF BUILDINGS:
The undersigned hereby applies for a permit to build according to the following
specifications: -
Owner's Name Mr. Gabriel Rossi
Address & Phone �3 Norfh Street ( 9�a) 744-0871
ArchitecYs Name Space siags
Address & Phone 250 Cape Hwy. ,E.Taunton, MA (508 ) 823-7777
z�ia
Mechanics Name �
Address & Phone ( 1
What Is ihe purpo5e of building? Cold, Low Hazard Storage
Materiel of bullding? Steel II a dwelling,for how many familles7
WIII building conform to law7 Yes Asbestos? n,�e
Estimated cost �50,000.00 City License N N A Stete e # S 1 5
� {(pi.(,$C� Home Improvement
��S"`' � �� � nature of Applican
SIGNED UNDER THE PENALTY
'L�E pERJURY
DESCRIPTION OF WORK TO BE DONE
Preform site work as per approved site plan. Furnish and Install pier foundation
and 6" concrete slab. Furnish and Install 24'x30'x22' metal 'buildinQ system.
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MAIL PERMIT TO: 0'Ro��rke Bros. Memorials. Mr. Gabriel Rossi. 73 North !;trPat, Salem MA
. , 01970
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APPUCATION FOR . . _
PERMIT TO _
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LOCATION� -
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PERMIT,GRANTED
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APPROV�D _
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INSPEGTOR OF BUILDINGS ° ,;
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