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26 CHARTER STREET - BUILDING JACKET ,. ;► The Commonwealth of Massachusetts • I Department of Public Safety >� .\lessachuwits State Building Code(780 CMR)Seventh Edition City of Salem Building Permit Application for any Building other than a 1-or 2-Family Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: Building Inspector: SECTION 1: LOCATION (Please indicate Block N and Lot N for locations for which a street address is not available) `1L ftA502Y L6sr Muc ,01-4 1b C*H-11- 6-1-- SAL-aM 210 -IB�- St. No.end Street Cit . /Town 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 t - — Existing Building RepairXI Alteration ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix I) 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? ((11� 1Yes ❑ No`�[ Brief De'cri +lion ofProposedW1o�r Q•PY1toyi S1� 1 12 NDa't•f!4 AyLJ tnS �1 110 P AA.c 110i ,S U!A Q Vl I U 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-] ❑ A-2r ❑ A-2nc❑ A-3 ❑ A-4❑ A-5❑ T B: Business ❑ E: Educational ❑ F. Facto F-1 ❑ F2❑ E H: Hi Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ L Institutional 1-1 ❑ 1-2 ❑ rc 1-3❑ I-4❑ M. Meantile❑ R: Residential R-113 R-2❑ R-3❑ R-4❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use❑and please describe below: SFIA0910 al Use: 3 SECTION 6:CONSTRUCTION TYPE(Check as applicable) IIA ❑ I18 ❑ IIIA ❑ I►IB ❑ IV ❑ VA ❑ VB ❑ SECTION7:SITE INFORMATION (referto780CMR 111.0 for details on each item) Flood Zone Information: Sewage Disposal: Trench PermT DebrisRemoval: heck ifoulmde Flood Zone❑ Indicate municipal ❑ A trench will nned Disposal Site❑ rr indentifv Zonr: ur un.itr sm stem Cl required❑or trecif%. permit is endus Railroad right-of-way: Hazards to Air Navigation: �I:� I haori;c ��nunu,L n Rv,w+, I'n,,, \nt :11+L+licable❑ I,StruCture mcnlwm airport epproadm arre' I.(heir renemc cumplCtrd' �n l "nt,ent to Budd enclosed ❑ YC,❑ or Nu❑ Yes❑ \o ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY 1.11101011 of Codr: L'w L�rnup(sl: icpeof C'on,trnicuon: Occupant Load per Hour: I)oe,the budding contain an Sprinkler Sc,lcm.': SpvCial Stipulahon.: SECTION 9: PROPERTY OWNER AUTHORIZATION Name yid Address of Properly Owner cc Museum t6( �ssuc Street f t MA Name(Prin No.and Slreel City/Town Zip Property )ynrrContact�Inlormatiun: Ntr. i�&�ra 1�nf� ?z ` 9s 6�7 5712 Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable, the property owner hereby authorizes Name Street Address Citv/Town State Zip to act on the property owner's behalf, in all matters relatne to work authorized by this building permit a > >lication. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) (If buildin•is less than 35,M)cu.ft.of enclosed s ace and/or not under Construction Control then check here and skip Section 10.I I 10��.11A Registered Professional Responsible for Construction Control NaAr(Rrgistran�) 0 t Telrp one No. e-mail address RegistrationNumber� ��� ;�E— Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor (� So y S It ovp 90c, CmP=1MA- tfill nub cs � � i� UNP T(�lCf1�1� Name of Person Responsible for Construction f1 License No. and Type if Applicable J-+ KOGkilew Wn :( _ _. Iw���AVI ilk 023 Street Address City/Town Sta Zip � -bT Z(06 lot .16)b 2 +6 0, snla;l�co s clloveroa na cow J Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'CONTENSATION INSURANCE AFFIDAVIT(M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Is a signed Affidavit submitted with this application? Yes 0 No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Building 1 $ q 1 060 Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ appropriate municipal factor)=$ 3. Plumbing $ 4. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality) 5. Mechanical (Other) $ Enclose check payable to 6.Total Cost $ 41 D00. 00 (contact municipality)and write check number here Z 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. Nl.td"I A , 1/0 Please yn a and si m n,ime Title Telephone.No. Dale ac Afe- a d 023 � ti reef A r City/Town t Zip lV•.Municipal Inspector to fill out this section upon application approval: &41V l(ql/1D Name Date The Commonwealth of Massachusetts �n Department Public Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling (Fhis 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) &bI" & 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 Building Repair❑ 1 Alteration?c I Addition❑ Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ;�5 No ❑ Is an Independent Structural Engineering eer Revieuired? Yes ❑ No Brief Description o Propo ed Work: w reqD I n /1 t f 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) 13 Existing Use Group(s): Proposed Use Group(s): 13 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-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business E: Educational ❑ F: Facto F-1 ❑ F2❑ I H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ I: Institutional I-1 ❑ I-2❑ I-3❑ I-4❑ 1 M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑ S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA O 11B O IIIA ❑ IIIB O IV O VA ❑ VBX SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site❑ Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: 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 PeQb�lu sex � � ��t��lia�ct��y� 1(-,I/ xs+. Name(Print) T No.and Street City/Town �t.OW/M q ol4�ip Pr perry Owner Contact Information: � � ' ��L/C? 1 ' 1 Title Telephone No.(business) Telephone No. (cel) e-mail address Ifapl'cable,the property owner hereby authorizes . Name Street Address City/Town State Zip to act on the propertv owner's behalf,in all matters relative to work authorized by this budding permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is 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 -3ff-ago (PG41 melRegistrant Telephone No. a-mail ild�Lr eAss Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor j6 S5o> Compj ny Name Name of Person Responsible for Construction License No. and Type if Applicable o hOn�1� Street Address City/Town State Zip 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 the issuance of the building permit. Is a signed Affidavit submitted with this application? YesICNO ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ ICQLl n d f7 Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ 3 C2C2 0 appropriate municipal factor)=$ 3.Plumbing $ EDI 00 C] 4.Mechanical (HVAC) $ 3a C_-:-,>C:;>CJ Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ I Enclose check payable to 6.Total Cost $ a /S (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. 521 � Please print and si name r Title Telephone No. Date Street Address City/Town State Zip 13 Municipal Inspector to fill out this section upon application approval: `2 �Daatt ' Name e Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8th edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.2 Project Title: Peabody Essex Museum—Security Operations Date: 5/29/13 Permit No. Property Address: 26 Charter Street, Salem, Ma Project: Check one or both as applicable: [ ] New Construction [X] Existing Construction Project description: Renovations I, Peter G. Radzim, MA Registration Number: 46907, am a registered design professional and I hereby certify to the best of my knowledge, information and belief, that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Entire Project [ ] Architectural [ ] Structural [ X ] Mechanical [ ] Fire Protection [ ] Electrical [X] Plumbing [ ] Other: for the above named project.and that such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services in accordance with the Professional Standard of Care, and be present on the construction site on a regular and periodic basis to: I. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. The contractor shall be responsible for performing the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures, and for construction safety. 4. The performance of the services shall not require any special testing or inspections unless specifically stated in the Code. When required by the building official, I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a`Final Construction Control Document'. Enter in the space to the right a"wet" 'AOF Rq or electronic signature and seal: �o PETER a N RADZIM ` MECHANICAL NO.46907 , .(OMAL E�Gx� s�z9�t 3 SAM ZAX ASSOCIATES Phone: (781) 303-1700 CONSULTING ELECTRICAL ENGINEERS Fax: (781) 303-1705 E-Mail: mzax@zaxassociates.com 14 Wood Road Braintree, MA 02184, ELECTRICAL DESIGN AFFIDAVIT To the Commissioner: Inspectional Services Department PROJECT NAME: Peabody Essex Museum PROJECT ADDRESS: 26 Charter Street Salem ,MA PROJECT DESCRIPTION: Rehab of existing areas In accordance with section 107.6.2 of the Massachusetts State Building Code I James P. Stroke being a registered professional engineer declare that to the best of my knowledge, information, and belief the electrical plans and computations and specifications accompanying the attached application are in accordance with the applicable provisions of the Massachusetts State Building Code and all other pertinent laws and ordinances. S JAMES P. STROKE 20068 ENGINEER MASS. REG. NO. a c�29 <� n ahem%y- :•y E si,,,_, o•r.. ,.� v;.� Sam Zax Associates COMPANY 14 Wood Road, Braintree, Ma. 02184 ADDRESS (781) 303-1700 PHONE MAY 30,2013 Then personally appeared the above-named JAMES P. STROKE and made oath that the above statement by him is true. Before me, 1 My Commission expires t i1a r Yep�YM CONSTRUCTION CONTROL—ARCHITECT SALEM MASS. Project Number: 1310 Project Title: PEABODY ESSEX MUSEUM Location: 26 CHARTER ST Nature of project: Interior renovations for new stairs, lift, handicap toilet, and security monitoring office space.Add new Emergency generator and modify fire alarm system In accordance with Section 107.6 of the Massachusetts State Building Code Amendments Eight Edition, 1, CHARLES COCHRAN Registration No. 6559 Being a registered professional architect, I have prepared or directly supervised the preparation of all design plans, computations and specifications for the above named project and that such plans, computations and specifications meet the applicable provisions of the 2009 IEBC, 2009 IBC AND 780 Massachusetts State Building Code Amendments Eight Edition, all acceptable engineering practices, and applicable laws and ordinances for the proposed use and occupancy. I will do the following: Architectural: 1. Review for conformance to design concept: shop drawings, samples and other submittals 2. Review and approve the quality control procedures for all code-required controlled materials. 3. Be present at intervals appropriate to the stage of construction to become, generally familiar with the progress and quality of the work and to determine, in general, if the work is being performed in a manner consistent with the construction documents. I will be on the construction site and/or I will send other appropriately qualified design professionals,to determine that the work is proceeding in accordance with the documents submitted with the building permit application, and the applicable provisions of the 780 Massachusetts State Building Code Amendments Eight Edition as specified in Section 107.6. I will provide the Inspector of Buildings with an original, stamped report for site visits, scheduled or otherwise. I understand that no Certificate of Occupancy will be issued until all reports and a Statement of Project Completion have been filed with and approved by the Inspector of Buildings. Signe y/ PA AAAA, ate v°�►4�SED Agcy a� CHARLES A. n v COCHRAN No.6559 WESTFORD n so MA es �s�FgZ Of MA �A R�AmvM��. Commonwealth of Massachusetts Sheet Metal Permit Date: 7`�3-f 3 Permit# # Estimated Job Cost: $ a Permit Fee: $ J (1 Plans Submitted: YES _ NO Plans Reviewed: YES _ NO_ Business License # S Applicant License # 33 59 Business (Information: I �^ Property Owner/Job Location Information: Name: 14/A nl A n q P f� IM f, d V j Name: 4 s L'o f Street: Street: II �p City/Town: C n City/Town: S( O� r�D Telephone: l 1 3 Lp/- Y�gS S Telephone: Photo I.D. required / Copy of Photo I.D. attached: YES V NO stemme,l J-1 /M-1-unrestricted license J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stones or less Residential: 1-2 family _/ Retail— ulti-fam ly_ Condo/Townhouses_ OtherCommercial: Office Industrial_ Educational Institutional_ Other_ Square Footage: under 10,000 sq. ft. � over 10,000 sq. ft. _ Number of Stories: Sheet metal work to be completed: New Work: t/ Renovation: _ HVAC_ Metal Watershed Roofing_ Kitchen Exhaust System_ Metal Chimney/Vents_ Air Balancing_ Provide de fled description of work to be done: 6Arn'S i!lj�hS%, 1) E awl - , PuYY1 Ui P Al L wJ(t)P. PW INSURANCE COVERAGE: I have a current Ilabill insurance policy or Its equivalent which meets the requirements of M.G.L. Ch. 112 Yes No❑ If you have checked Yes. Indlcat the type of coverage by checking the appropriate box below: A liability Insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waive s this requirement, Check One Only h=�:� "Iczj— Owner p' Agent ❑ Signature of Owner or Owner's Agent By checking this box❑,I hereby certify that all of the details and Information I have.submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all shoat metal work and installations performed under the permit Issued for this application will be In compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct Inspection required prior to insulation Installation: YES_ NO_ Progress Insuections Date Comments Final;Inspection Date Comments Type of License: By ❑ Master Title ❑ Master-Restricted Clty/rown ❑Journeyperson Signature of Licensee Permit# �T ❑Journeyperson-Restricted License Number: Fee w Check at ww.mass.novldol r 7 yll3 Inspector Signature of Permit Approval - . L k L r- LL x f ir4 1�5 '�oyyi+wY N®) ! 1 I rryft I yt If i DIVISION OF PROFESSIONAL LICENSURE-BOARD OF LJ • 1 LICENSE NO. EXPIRATION DATE SERIAL NO. 'DIVISION OF PR2r_ESSIONAL-L.ICr:NSLffi L--ROARD OF s ae ' a ; ss Ed LICENSE NO. EXPIRATION UA'TL SERIAL.NO. '`�� CERTIFICATE OF LIABILITY INSURANCE DATE(mMIDDIYVYY) 01/03/2013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the policy(les)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in Ileu of such endorsemsn s . PRODUCER J.E.Schindler InsAgy[no CONTACT Nate Schindler One Wall Street PHONE d1. (781)272-7505 PAX .(781)221-7268 Sth Floor -R1AIN nschindler@schindiedns.com Burlington MA 01803-0000 PRooucER .n/a IN2123991251 AFFORDING COVERAGE INSURED INSURER A,Commerce Insurance Co. Hanlon Sheet Metal INSURER R The Hartford Insurance Co. PO Box 560175 INSURER C West Medford MA 02156- , COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY.PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE AOOL SUB POLICY EFF POLICY EXP UNITS B GENERAL LIABILITY X 08SBAF00544 12/31/2012 2/31/2013 EACH OCC RREN 1,000,000 COMMERCIAL GENERAL JABILFTY DAMAGE TO RENTED 300,000 CLAIMS-MADE O OCCUR MEDEXP An n e n 10,000 PERSONAL&ADVI RY S 1,000,000 ENERAL AGGREGATE 2,000,000 EN'L AGGRE TE LIMIT ES PER PRODU - MPIOPAGG 2,000,000 X P LI PRO- LOC $ A AuroeaoanE LIABILITY X BDMPDL 12/31/2012 2/31/2013 COMBINED SINGLE LIMIT $ 1,000,000 ANYAUTO (Es ecddem) ALL OWNED AUTOS BODILY IN.NRY(Per person) $ X SCHEOULEDAUTOS BODILY INJURY(Per accident) $ X PROPERTY DAMAGE X HIRED AUTOS (Per actltlenU S NON-OWNED AUTOS $ B UMBRELLA LIAB X OCCUR X 088BAF00544 12/31/2012 12/31/2013 C OCCURRENCE $ 5.000,000 X EXCE39 LIAe CLAIME:MADE 5,OQO,000 DEDUCTIBLE Rentention 10,000 B AND WPscOMPENSAT1-n 08WECL02059 12/31/2012 12/31/2013 we STATI- X OTH- AND EMPLOYERS'NUBILITY OFTICERIMEMSEREEXCUDDEECUTIVE YN NIA FLEA HACCI 1,000,000 (Mandatory in NH) 1,000,000 Ii s.describe under F.L.DISEASE-EA EMPL 93- I -POLICY LIMIT S 1,000,000 B Other X 08SBAFO0544 12/31/2012 12/31/2013 Contractor's Equip 115,000 Installation 50,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Addidenal Remarks Schedule,Ifemm space is required) CERTIFICATE HOLDER CANCELLATION AI 000921 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN For Office Use ACCORDANCE WITH THE POLICY PROVISIONS. AUTNORIZED REPRESENTATIVE • ©1988.2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Z& (f-AKR5K s �r Certificate No: 11-14 Building Permit No.: 11-14 ` Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the MUSEUM located at ------------------------------- ------------------ Dwelling Type 26 CHARTER STREET in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY PEABODY ESSEX MUSEUM OFFICE SPACE This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires - ------------------ unless sooner suspended or revoked. Expiration Date ----_-..-------_---- Issued On: Fri Jan 17, 2014 ---------------- --------------- GeoTMS®2014 Des Lauriers Municipal Solutions,Inc. -------------— 1 1,. li 1' �I k ' r= 0 c 26 CHARTER STREET 11-14 iGIS 11160 = COMMONWEALTH OF MASSACHUSETTS 'gip; i 3s5 !Block: CITY OF SALEM LL—ot 0603 , ;Category: ALTERATIONS 1Permit# r 11-14 BUILDING PERMIT L IProlect# ' -7S-2014-000039 : Est Cost � ��, • $215,000.00 Fee Ch3rl,ed: $2,365;00 Balance Due: $ oo PERMISSION IS HEREBY GRANTED TO: Const. Class:" Contractor: License: Expires: Use Group: Sasso Construction Co., Inc. ILot Slze(sq. ft.): 2356.1604 L �Owner: PEBODY ESSEX MUSEUM, INC. �Zonmg: Units Gained: I Applicant: Sasso Construction Co., Inc. Units Lost. - 4AT: 26 CHARTER STREET Dig Safe#i ISSUED ON: 02-Jul-2013 AMENDED ON. EXPIRES ON. 02-Dec-2013 TO PERFORM THE FOLLOWING WORK INTERIOR RENOVATIONS FOR NEW SECURITY OBSERVATION ROOM,INSTALATION OF NEW ACCESS RAMP, HANDICAP TOILET, FIRST FLOOR TO SECOND FLOOR jbh POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric as Plumbing Building Underground:,9-OS -J0ndcrground: Underground: Excavation: Service: Meter: /t ��,�b L� Footings: Bough; t: ;,eg Itough:0(Lf 7Rough /4 y��V � Foundation: PP ��7 Final: "�( i13'C vkFin:l�(��r- l � �eBoughFrame: �V `1 Fireplace/Chimney: D.P.W. Firer Health wwInsulation: Meter: Oil: / / Final: - House# Smoke: /(/ Wald: Alarms Assessor Treasury: Smeer: Sprinklers: Final: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VJOLATION OF ANY OF ITS RULES AND REGULATIONS. G Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: BUILdl'AFPRTANT:OWNER OR CONTRACT 14-000041 02-Jul-13 35741 52,365.00 ARRANGE FOR PEAIODiC OR MUST CONSTRUCTION.SEE r INSPECTIONS DURING CHAPTER I FOR URAENT DUILDING CODE CALL 978-619-5641'L ,T OF REQUIRED INSPECTIONS. TO SCHEDULE AN INSPECTION Gcu'I'3IS@ 2013 Des I.auriers:Municipal Solutions,Inc. �� ,-LL`Cs.r�i /� C���1'�" u, UT* Final Construction Control Document To be submitted at completion of construction by a Registered Design Professional for work per the 8h edition of the Massachusetts State Building Code, 780 CMR, Section 107.6.4 Project Title: Peabody Essex Museum Date:l 1/25/13 Permit No. Property Address: 26 Charter Street—Salem, Ma. Project: Check(x)one or both as applicable: New construction x Existing Construction Project description: Interior renovations for new security office monitoring facility, new handicap lift, new handicap ramp, modifications to the existing fire alarm system, and a new emergency generator I Charles Cochran MA Registration Number: 6559 Expiration date: 08-31-2014 , am a registered design professional, and hereby certify that 1 have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Entire Project x Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project. I certify that I, or my designee, have performed the necessary professional services and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents prepared by me and approved as part of the building permit and that I or my designee: 1. Have reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents: 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. 1,b,eeee4a V SEDARCyaa1 Enter in the space to the right a"wet"ori�C>r' CHAARLES rc� v electronic signature and seal: COC A. '1 n No.6559 u W ESTFO o A Phone number: 978-399-0240 Email: cac cornerstonearchitects.com Building Official Use Only Building Official Name: Permit No.: Date: Note 1. Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised. If`other'is chosen, provide a description. Trial Version 10 09 2012 Final Construction Control Document To be submitted at completion of construction by a Registered Design Professional for work per the 8th edition of the w Massachusetts State Building Code, 780 CMR, Section 107.6.4 Project Title: Peabody Essex Museum—Security perations Date: 11/25/13 Permit No. Property Address: 26 Charter Street, Salem, MA Project: Check one or both as applicable: [ ] New Construction X] Existing Construction Project description: Renovations 1, Peter G. Radzim, MA Registration Number: 46907, am a registered design professional and I hereby certify that 1 have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Entire Project [ ] Architectural [ ] Structural [ X ] Mechanical [ ] Fire Protection [ ] Electrical [ ] Plumbing [ ] Other: for the above named project. I certify that 1, or my designee, have performed the necessary professional services, in accordance with the Professional Standard of Care, and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents prepared by me and approved as part of the building permit and that 1 or my designee: 1. Have reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Have performed the.duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was being performed in a manner consistent with the construction documents and this code. The contractor is responsible for the performance of the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures,and for construction safety. Signature and Seal of registered professional: �tNOFat��_ PETER G. GN RADZIM MECHANICAL q No.46907 Il �YS/13 Final Construction Control Document To be submitted at completion of construction by a R a Registered Design Professional for work per the 8th edition of the sfi Massachusetts State Building Code, 780 CMR, Section 107.6.4 Project Title: Peabody Essex Museum—Security Operations Date: 11/25/13 Permit No. Property Address: 26 Charter Street, Salem, MA Project: Check one or both as applicable: [ ] New Construction [X] Existing Construction Project description: Renovations I, Peter G. Radzim, MA Registration Number: 46907,am a registered design professional and I hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: [ ] Entire Project [ ] Architectural [ ] Structural [ ] Mechanical [ ] Fire Protection [ ] Electrical [ X ] Plumbing [ ] Other: for the above named project. I certify that I, or my designee, have performed the necessary professional services, in accordance with the Professional Standard of Care, and was present at the construction site on a regular and periodic basis to determine that the work proceeded in accordance with the requirements of 780 CMR and the design documents prepared by me and approved as part of the building permit and that I or my designee: I. Have reviewed, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. Such review shall not diminish or relieve the Contractor of its submittal and other responsibilities. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was being performed in a manner consistent with the construction documents and this code. The contractor is responsible for the performance of the work in accordance with the contract documents and shall be exclusively responsible for its construction means, methods, sequences and procedures, and for construction safety. Signature and Seal of registered professional: "OF A4gs q c PETER G. yGm RADZIM MECHANICAL No.46907 ro Final Construction Control Document ? To be submitted at completion of construction by a Registered Design Professional for work per the 8'x edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Peabody Essex Museum Date:01/14/2014 Permit No. 11-14 Property Address: 26 Charter Street Salem, MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Moderate rehabilitation of an existing areas 1,James P. Stroke MA Registration Number: 20068 Expiration date: 06/2014 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural Structural Mechanical Fire Protection X Electrical Other: for the above named project. 1,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge, information,and belief the installed design documents approved as part of the building permit and that I or my designee: 1. Have reviewed,for conformance to this code and the design concept,shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. ♦���a �?{ r ''x} Enter in the space to the right a"wet"or ?v electronic signature and seal: n jAll Sam Zax Associates 14 Wood Road,Braintree,Ma 02184 ' Phone number: 781-303-1700 Email: mzax@zaxengineering.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 Final Construction Control Document To be submitted at completion of construction by a Registered Design Professional for work per the 8a'edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Peabody Essex Museum Date:01/14/2014 Permit No. 11-14 Property Address: 26 Charter Street Salem,MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Moderate rehabilitation of an existing areas 1,James P. Stroke MA Registration Number: 20068 Expiration date: 06/2014 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Architectural Structural Mechanical Fire Protection Electrical X Other: Fire Alarm for the above named project. I,or my designee,have performed the necessary professional services and was present at the construction site on a regular and periodic basis.To the best of my knowledge, information,and belief the installedFire Alarm work proceeded in accordance with the requirements of 780 CMR,NFPA Standard#72 and the design documents approved as part of the building permit and that I or my designee: 1. Have reviewed, for conformance to this code and the design concept,shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Have performed the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Have been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work was performed in a manner consistent with the construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. o��rz Enter in the space to the right a"wet or -Al electronic signature and seal: Sam Zax Associates 14 Wood Road,Braintree,Ma 02184 ` " a Phone number: 781-303-1700 Ema zax@Sakengineering.com Building Official Use Only Building Official Name: Permit No.: Date: Version 06 11 2013 26 CHARTER STREET 78-14 COMMONWEALTH OF MASSACHUSETTS v CITY OF SALEM y' lYPI�,rO'C.TilHd' ,r�4 3a r HVAC PERMIT NAOMI 41 WE AN PERMISSIONIS HEREBY GRANTED TO: Contractor: License: Expires: Hanlon Sheet Metal Inc Sheet Metal A Master Unrestricted-3359 + Owner: PEBODY ESSEX MUSEUM, INC. "Applicant: Hanlon SheefMetal Inc --- Dtg —A T.' 26 CHARTER STREET �a g�k � fi'xFs<Fa yr FfJL?1 ISSUED ON: 30-Jul-2013 AMENDED ON: EXPIRES ON: 30-Dec-2013 TO PERFORM THE FOLLOWING WORK. FURNISH AND INSTALL(1)NEW GAS FIRED FURNACE AND AC CONDENSER jbh THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signatu Fee Typc: Recelpt No: Dale Paid: mount: HVAC REC-2014-000197 30-Jul-13 0615 8137.00 IMPORTANT:OWNER OR COAITPMUST ,gCTOR ARRANGE FOR PERIOD OR INSPECTIONS DURING CONSTRUCTION.SEC CURRENT BUILDING CODE CHAPTER 1 FOR LIST OF REQUIRED INSPECTIONS. CALL 976-619-5641 TO SCHEDULE AN INSPECTION i. GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.