21 SALEM STREET - REJ B-14-1881 ��e�M;� ?'� 5 c�ecC � l ! (�- �c�Z. ;��7'7r�
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Con�monwealth of Massachusetts
��j- j l,� _ f c��( RECEIVED
_Sl�eet �(et�il, Permit
�Ngp€Cl'tfltdAL SERVICES
u:���: I�Z �( i �( (`� 71 '� s►�,�,—ST����,,,�� u 1�I4 DEC -U A la 55
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li,tim:rtcd Jub C'o,C '� � i LS� _ Pcrmit I�ec: `5
-� — -
I'lans SubmiUed: YES � �`O _ Pl:u�s Revic�ved: Y'ES _ NO _---
13usiness Liccnse �i � 9�r'g Applicant Liccnse k
13u,in�ss Inti�rmution: Property Own�r/ Jub Lucation Inti�rmation:
�2�S7Au2;nUT t�ooa5-« Ve�l'C 5pe� . r" �,
Numc: l�nfdi"t�Ltl �'S(�2N�� Namc: IVCI.0 �02� 1V�Cb1/w.t, r
succr. Z7S� t1U�N�oN �'Lr,� S�recr. Zf Sa,�Cevl 5�
Cityll�own: J`�1.(.�"�Ud'L� Y'�!l �l City/"Co�vn: $�.ld.Q.W1- yVl�
i
r�i�Ni,��,e: �o�- S(� J- �l�f�� Telephane: �U I� �S '^ UI y�7/
Phuto LD. required/Copy oF Photo LD. attached: YES_ NO_
Sl�ff Iidtlul
�J-1 / �[-I-unrestrictcd license
J-2 / �[-2-restricted N dwrllings 3-stories or Icss and commercial up to 10,000 sy. ft. / 2-sturics ur Ic,s
ResidentlaL• t-2 Family_ Multi-f:imily_ Condu/ "Cownhouses_ Other_
Commercial: OFtice Retuil Industriul Educational
lnstitutional _ Other�`f �_ MA./�-� �
Squarc Footage: undcr 10.000 sq. tt. _ ovcr 10,000 sq. tt. _ Yumbcr ul'Storics:
Shect metal work to be campleted: New Work: � Rcnovation: _
I[VAC_ i�fetal �Vatcrshcd Ruufing_ Kitchun Gxhaust Systcm�
�Tctal Cliimney i Vunts_ Air 13alancing —
I'ru�'i�l� �ctail�d do;criptiun uF�vork to bo done:
N� kCi�'i.l�l�7ll �x�.M�IS�' Ffooc� SV S t��'►'l t�N� �i f12_--
—S�� -----
- - - - _
- - -___ _- ------- --
P E�M�r : TO Go r�SIZ,Pc-�
„ r � •
INSURANCE COVERAGE: , '
I have a current Ilabilit, insuronce policy or its aquivalent which meets the requirements of M.G.L.Ch. 112 Yes� No❑
�
If you have checked Yes, Indlcate lhe rype of coverage by checking the appropriate box below: �
A li�bility insurence policy�' Other type of indemniry ❑ Ba�d ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee daes not have the insurance coverege required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
� Owner ❑ Agent�
Signature of Owner or Owner's Agent
By chacking thle bo:�,1 hereby certify that all of Ihe detalls and Intormatlon I have aubmltted(or enterad)regarding lhb applleatlon ara lrue and
�ccurata to the hast ot my knowledge and that all eheet matal work and Installatlons parformed undar the permit Iaeued fot thia applicatlan wlll be
In compliance with all peAlnent provlaion oi the Maesachuaetts Bullding Code and Chapler 112 of the Genenl Laws.
Duct inspection requlred prlor ta insulatlon Installation: YES_ NO_
Proeress lusocctions
D•ite Comments
Final Insuccfion
p;i��; Comments
Type of License:
Eiy._ ❑ Master
I�. ���1e . ❑ M1tasler-Restricted (..(�'(” �lkY�(�(p�'
Cu�pTa�.vn ❑JourneyUerson
Signature oF Licensee
r����„�c z
- ❑Journeyperson-Restricted License Number. I
F�1L 7 —"_'_— '
-�-- �— -- Checkat:�,sr:i.u�.�ss.r�uvr'�IL I
I
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Inspeclor Signa�uro of Pennit Approwl . �
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SE�{E�TME�AL MA a" 007968 '
c,tPt O
AMDREW. H BURN
� 278 MENDON RD �
- . SUTTON� MA� Q�� , _�� �
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aoxri s,�nw a�s
� Admmistrator - � � . ', Expiration Date
�
,�T° Cf"I'Y OF S.\LE�,I, l�'L-1SS.ICHL'SETTS
BI:LLDG\G DEPiR'f>l&�T
� � ���,1 I�O \Y/.�SH4�IC;TON S"IREET, 3�O F100R
'C �° 'Ik� (978) 735-9595
�
F.�x(978) 7�f0-98�f6
���g�RL.EY DRISCOLL
j:�fAYOR Tt-iodr.�s ST.Pr�xxa
DIRECTUA OF PI:OLIC PROPEATY/BCQDf\G CO\L�fI55IONER
1Vurknrs' Compensation lnsurance A�d•rvit: Duildcrs/Contractors/Electrlclans/Plum6ers
Applicrnt Infnrmatinn Plcaxe Print Leeiblv
V:1117�113usine.sUrg�niruinru'In�livi�lual): ICe�rar.�,�iQ(IJ� FTD00$ ^{� ���t(W�� � S�Lll4��$�'1
AJdress: I���l�p��. sr
City/Statc/Zip: OTL : M R Phone N: 77�— �QG� — 73�g
Arc ynu an cmplayer'.'Check �he•rppropri�te boz: 'fypa of prnject(roqulnd):
I. I�m a cm lo ar with� �• � ��18�n�1 eontr�etor and 1 '
� P Y . have hired�hc sub�conlracwry 6. ❑Ncw connWction
_ ¢mployeea(fullanJ/orpan-[ime).
- 2.O I ain a sole propricmr ur p+utnur. lis�ad onlhe attached.rhect : 7. �Remodeling
,hip und have no employcaa These sub-confracton havc 8. ()emolition
wurking�ti�r me in:my capacity. workers'cnmp.insuranee. J. ❑OuiWing udJitiun
�No worken'cmnp. insumnce � S. � We are a earporation ond ita �O.Q Elecrrical rcpain or�ddi�ions
�«�w���,� oificers hove ezereised thti�
3.� ��m o homcuwner duing all wurk � right of exemption pa:r MGL I I.Q Piumbing repuirs or udditiom
mysclf.(\o workcrY'cump. t• 152, §I(4),anJ wc have no �2,0 Roof npairy
II15lif:1fIC2 fCI�IIICttI.� f CT(IIUyCCtl.�A�O\VO�I(C(!�
� cump. insurancnmyuireJ.) 13•DOthrr
�. •Any upplic:un tlwt ch�ck�hu.t/I muq�Isu fill aW�he rectiun hclowihowiny Iheif woden'mmpemadun puliq infurmadon.
�I lom.uwncn�•�ho>ubroi�ihis alilclnvit indicminy ihry am doinN all wurl[and ihcn hirc oulsiJa coNwcrma miul�i�hmil a�mv a07Jari1 indiutiny auck
�C��mr.�.�un�hul chack ihi�bus mmt aWeMal an aJdi�iurcal�hre�shuwinp ihc nane of tha�ubwoNraclun anJ�heir wnAen'wmp.poliey infurma�ian.
� I anr un rurpluyrr�hal6 pruvfdlnK�vorkert'romptusadun L�eusuuee joi my emp/oyert. @elu�v Lv�Ga po/Icy and Jub sile
. ir�frir�nurinn.
� Inxumncc C:ompany Vmne: --'----
Pnlicy il nr SrlLiar. Lia H: __._ Enpiralion Dati: �
lub 5ite�Ji4cr'a: o�I SdG���/I Sf Ciry/Stau:/2ip:_S.Q �t/�i{_ . fM�}
,�n�c6 •r cnpy uf Ihe irorlien'compens�Uao puliey declnr�tton pa�;a(shawing tha pul/cy aum6er and explratlon date).
Failuro W xrure covemge;u mquired unJer Scclian 23A uY,LfGL a I S2 pn IrnJ to�he imposi�ian ofcriminal penalties of a
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of up co$230.00 a day against�he viulame 13e advi+ed that a cupy uf ihis stai¢menl m�y Lx:funvarded to ihe OI'lico of
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/ '� C[TY OF SALEM, MASSAC�iLTSETT�
„�
i,� « - f �;; BUILDING DEPARTMENT
� ' `�r' 120 WASHINGTON STREET,3AD FLOOR
t a��rr,::=;g>
1�L. (978)745-9595
KIMBERLEYDRISO�L.L FA7c(978)740.9846
MAYOR 'IY3oNrns ST.P�xRE
DIRECI'OR OF PUBLICPROPERTY�BUILDING OONINIISSIONER
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)�
In accordance with the sixth edition of the State Building Code, 780 CMR, Section 111.5 Debris,
and the provisions of MGL c40, 5 54; Building Permit# is issued with the
condition that the debris resulting from this work shall be disposed of in a properly licensed
waste deposit facility as defined by MGL c 111, S 150A.
The debris will be transported by:
(name of hauler)
The debris will be disposed of in:
R�z4u�,,vT �os � U��,� sA�c��st-�
(name of facility)
f(�I.1J{�7,c�P{�C(. 5 f" I.VD tC�iJ � f/V�l�
(address of facility)
�f� �
Signature of applicant
�2 �y I�
Da e
Unofficial Property Record Card Page 1 of 1
Unofficial Property Record Gard - Salem, MA
General Property Data
ParcellD 34-0322-0 AccountNumber
: Prior Parcel ID --
Property Owner VIOLA MICHAEL Property Lowtion 17 SALEM STREET
VIOLA VINCENZA Property Use Res./Comm.
- Mailing Address 4 BUTTERFIE�D ROAD Most Recent Sale Date 2!5/2008
� - Legal Reference 27503-159 �
' City SAUGUS Grantor VIOLA,MICHAEL
- Mailing State MA Zip 01906 Sale Price 0
ParcelZoning R3 Land Area 0.079 acres
Current Property Assessment
Cartl 1 Value Building 241,500 Xtra Features 0 Land Value 63,400 ToWI Value 304,900
Value Value
Building Description
Building Style Mixed Use � Foundation Type Brick/Stone Flooring Type Hardwood
#of Living Units 2 Freme Type Wood Basement Floor Concrete
Year Built 1923 Roof Structure Flat Heating Type Forced H/1M
� Building Grade Averoge Roof Cover Tar+Gravel Heating Fuel Gas
_ Building Candition Fair Siding Brick Air Conditioning 0%
Finished Area(SF)6840 Interior Walls Drywall #of Bsmt Garages 0
� Number Rooms 6 #of Bedrooms 2 #of Full Baths 2
- #of 3/4 Baths 0 #of U2 Baths 2 #of Other Fixtures 0
Legal Description
Narrative Description of Property
� This property contains 0.079 acres of land mainly classified as Res.I Comm.with a(n)Mixed Use style building, built about 7923,having
- Brick exterior antl Tar+Grevel roof cover,with 2 unit�s),6 room�s�,2 bedroom�s),2 bath(s�,2 half bath(s).
Property Images '
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Disdaimer.This information is believed to be wrrect but is subject to change and is not warranteed.
http://salem.patriotproperties.com/RecordCard.asp 12/4/2014
�- EXHAUST FAN: LOREN GOOK 135 V 5 B
1!1 HP , 115V, 1 SPEED MOTOR
RATED FOR 21�0 CFM� 12" S.P.
40" •—�'1ITH HINGE Kff AND DRIP TROUGH
��
ROOF LINE � � .-- CLEAfd OUT ACCESS
■ 16 GAUGE ALL WELDED
SECOND FLOOR IRON EXHAUST DUCT
(NOT TO SGALE) I
10
10
*— tv1Al� UP AIR FAN: CHAMPION 30�0 S D
WITH A 1!3 HP, 115 V, 1 SPEED MOTQR
E7MAUST DUCT �� RATED FOR 1680 CFM a�„? 712" S.P.
EXHAUST DUCT BEHIND MAKE UP AIR DUCT 10
SEE DRAWING A3 FOR EXHAUST
DUCT DETAIL
MAKE UP AIR DUCT
KITCHEN HOOD: 60" x 48" x 23" STAINLESS STEEL t�IAKE UP AIR DUCT RUNfVING IN
1S GAUGE ALL WELDED LIQUID TIGHT EXfERNAL FRONT OF THE EXHAUST DUCT
WELDS FULL FILTER FRAME WITH UL LISTED GALVANIZEQ
BAFFLE TYPE FILTERS, GREASE TRAY AND CUP.
HOOD WILL GONTAIN AN INTEGRAL MAKE UP AIR
CHAMBER WITH FIRE DAMPER WITH UL LISTEQ
FIRE SUPPRESSION 5Y5TEM
SEE DRAWING A-2 FOR HOOD DETAIL
SEE DRAWING F-1 FOR FIRE SYSTEM DETAIL ��
/�
NEW Y�RK MARKET
STAINLESS STEEL WALL SHEETS 2'I SALEM ST SALEM, MA
Data: 12-1-2014 OrawnBy: A H 8
. �JCB�@: 1�n_1�_On R@Vi4Bd:
FRC�NT ELEVATION Kitchen Ventilation Specialists Oraring8
I I P.O.Box 25S - 723 Main St A-'�
Noith O�d'ord,MA 01337
UL Listed light fixture
���� sT'allo�N� se,�n — pre-wired to a junction
3" back standoff box
�— UL Listed fire damper in
aa�� --�
o make up air collar
� �� EXHAUST HOOD: Stainless steel 18 gauge car�tinuous
; extemal welds liquid tight with full filter frame, UL listed
i galvanized baffle type filters, grease tray, and remQvahle
�" —"1 cup. Hood will contain UL listed light fixtures.
� """"""""f Fabricated as part of the hood is an integral make up '
.
, I air chamber. Hood will cantain a UL listed fire
�'� _ suppressian system.
Make up air chamber insulated for condensation
UL listed baffle type filters reduction.
Rema�able grease
cup
3�� ���
NEW YORK MARKET
21 SALEM ST SALEIVI, AIIA
Oate: 12_1-2014 Drawney: A H B
Soale: 1-1 f2°= 1'-0" Revisad:
Kitchen Ventilation Specialists OraringU
P.O.Box265 - 723MainSt �tl�2
No�th OxPord,MP, 01537
COMBUSTIBLE MATERIAL
1" AIR SPACE MAINT,4INED BETWEEN
COMBUSTIBLE MATERIAL & MINERAL WOOL BATf WRAPER
1" MINERAL WOOL BATTS
ENCASED IN 22 GA. SHEET METAL
::;;,,;;. ,.�:, ,,,,�;,,: : �i4; �;,,. �;.,. 1��NON-COMBUS1lBLE SPACERS
•, CREATING 1" AIR SPACE
,
c
,; GREASE DUCT
a
�
C
\
°� ` " �' �'�`� � "�� �" 1"NON-COMBUSTIB�E SPACERS
CREATING 1" AIR SPACE
PLAN VEIW af clearance to combustible materials
as p�r NFPA 98
To reduce ciearance to a combustible rnaterial frvm 18"to 3"
as described in Appendix A of NFPA 96 using 1" air spaces
and 1" mineral wool batts encased in 22 ga. galvanized steel NEW Y�RK MARKET
21 S�tLERA ST SALEM, MA
�s: 12-1-2014 �81t'nBy A H 8
soa�e� NOP1E Rewsed
Ifitchen Ventilation Specialists o,a�,�a
P.O.Box 2dS - 923 Main St A-3
Noxth OxPord,AtIA 01537
' Moaei Max.Fiow Weight PYRO-CHEM
No. Point KITCHEN KNIGHT II
�— CORNER PULLEIr �rz° EMT CONDUIT PCL-300 �0 53 It�. UL �0 LIQUID SYSTEAA
DRY CONTAGTS
Nozxle Flow Width Length Min. Max.
SUPPUED FOR: APP�IANCE Type Points Max Side Area Sq. in. Hight Hight
t. ALARM T�E IN EXHAUST HO�D (in) (in) (in) (in)
2. ELECTRIC 6� X 4$�� X 23"
E�UIPMEIVT SMALLGPoDDLE 1H 1 96 10� sq.in. 24 48
SHUTDOWN TWOBURI�RRANt� 1L 1 12 281N. 73 24
3, MAKE UP AIR EXHAUST DUCT ��F�T�- 2H 2 27-514 500 sq.in. 24 48
FAN SHUT DWP PAH VAT 18'x 16"maa
DOWN 1a1, � 12„ DRI�PPAHTVA�718112r78 max � z Z5-9r8 495 Sp.ln. 24 A8
FUSEABLE LINKS
� 2D DUCT �lozzle Flow Max Side Perimeter Dia. Length
Type Points (n) (in) (in) (in)
Rectangle /Circle 2D 2 34 100 31-7/8 �im�ted '
360' 360
SUPPLY LINE PLENUAA Nozzle Flow Width �ength Nozzle
1/2 BLACK PIPE Type Points ift1 (ft) Placement
REMOTE PULL 0"-6"from end
iH STATION � Single Bank!V Bank 7H 1 4 10 � 8�
TOTQL FLOW POIPlTS 9
O —
BRANCH LIMES —=
PYRO-CHEM PCL 300 112" BLACK PIPE
SYSTEM INSTA�LED IN ACCQRDANCE WITH NFPA 1 T A
UL 300 LIQUID SYSTEM PIPE AND FITTINGS AS PER MAIVUFACTURERS SPECIFICATIONS
1H 1H 2H 2H
�8.�
off floor
R
A Pressure
riddl � Fry Fryer
E -
ALL ELECTRIC EQUIPAAENT
15� 12" 12" �$"
r� secu�n►cE oF o�Rnrro�v�u rx�FVEar oFA �€. NEW YQRK MAR KET
'1. R/SEJ�3LE LEAD L17WC IWFLTS(OR MAMU�L Pip1_ STATION IS ACTNdTEDJ. Z�I SAL EIUI ST SAL E M, MA
Z. l4AECFI�IIWCAL G�OM'ROL/�AD JS REI�ASED. �1e 12-1-2014 Orawn ey: A H B
3. Sf+RlBIUG tOADED MBECHShqCAt GAS VAL1/F G�OSES OFF GAS TO COOKAhIG EQiARPJI�ENT.
4. MVEG{AMCAL OOA/!'ROL Jl�AD REt,FASE TR�PS JI�AVWATLJVRE SWITCNES. �e�� fdONE RBV15°`r
' S. 84�ApATt.�RE SUI�f►"CttAC7NATES F�2E ALARM.
6. R4V7�pATi;�RE SUVtfCtl SfR/TS DOWNMAKE tlP AIFt FAN(EXNAUST Fl1N STAYS RidU9M1�NGJ. KitC�18ri VCt1tllatiOri SpeCiflliStS o�e��nyr
7. M�qA7ia2E SWJfCN StA/fS UOWIb ALL EI.ECTR/C t/�U�IER Tl i�HOOD lNCLtImWG P.O.Box 265 - 723 Main St F-�
El�CTRICAL FUEl�UG COOflAMG APPL/RNC�S. North O�d'ard,MA 01537