96 SWAMPSCOTT RD - BUILDING INSPECTION (21) RECEIVED
ECTIONAL SERVICES,
The Commonwealth of Massac e
Department ofPublicsi�tws 2U r 4Z
Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family Dwelling
(This Section For Official Use Onl )
Budding Permit Number: Date Applied: Building Official:
p/ SECTION 1:LOCATION(Please indicate Block If and Lot R for locations for which a street address 1"var able)
I SW r"i,\tf s66 l 40 SAICnn O M7o ft Cj UGtte� `
No.and Street i T
City/Town Zip Code Name of Building(if applicable)
SECTION2 PROPOSED WORK
Edition of MA State Cale used_ If New Construction check here❑or check all that apply I inthe two rows below
Existing Building❑ Repair❑ Alteration Addition❑ Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied ns part of this permit application? Yes Fay'No ❑
Is an Independent Structural Engineering Peer Review required? - Yes ❑ No LrY
Brief Descriotiun of Proposed Work:—. �-vnien.�'�e F( rc f 'st 9 W RI
�EA1 L N j- Z i ' a. t
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Buildfng Investigation and Evaluation is enclosed(See 780 CMR 34) ❑
Existing Use Group(s): Proposed Use Group(s):
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 a Iicable)
A: Assembly A-1❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ B: Business ❑ E: Educational ❑
F: Facto F-1 ❑ F2❑ H: Hi h Hazard H-1❑ H-2 OF H-3 ❑ 1-14❑ H-S❑
h Institutional I-1❑ r-2❑ I-3❑ 1.4❑ I M: hlercanlile❑ R: Residential R-10 R-2❑ R-3❑ R-0❑
S: Storage S-t to S-2❑ 1 U: Utility❑ Special Use and please describe below:
Special Use: — p ;z<—ZA t_ S t v 7
SECTION 6:CONSTRUCTION TYPE(Check as a Iicable)
IA ❑ IB ❑ IIA ❑ IIB PJ-�' ❑IA ❑ IIIB ❑ IV ❑ 1 VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Sup_pl/y: Flood Zone Information: Sewage Disposal: Trench Permit. Debris Removal:
Public e7 Check if outside Fiond Zone Indicate municipal - A trench will not be Licensed Disposal Site❑
Private❑ or indentify Zone: or on site system❑ required V�trench or specify:
Railroad right-of-way:
permit is unclosed❑
Hazards to Air Navigation: )I�\I l ,n ri.n.ignnjsi m It . pv.,I'nkcs:
Not Applicable❑ Is Stnie'hirC 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 Slipulations: —
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner _ n
Ma )41tzcL �. Si., y nscatt /G' �� C31 �l?U
Name(Print) .-, - No.and treet City/Town Zip
+r
Property Owner Contact hnform tion � 1I
owA.<.,_ R78 7Y' 8(2-6 nt_ r.4w�d sCa
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable, the property/ owner hereby authorizes
Ta..i.iL (�/f—yt Thy — �.3 CVGLLS UI IIM/� n-'•�-GT�+� /�I 0.��36
Name Street Address City/Town State Zip
to act on the property owners 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 O and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
,+At1L
Name(Registrant) Telephone({vvo. - e-mail address Reistn on umber
lf,f_fNMorJ 5-i _tUal�lar mA OZYS-S
Street Address - _ City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Tom() /a Ais7�L i�IUN/ -k
Company Name
JIiFmeg � es� f�f Off',D9� (tiNnPs�n7e{eQ
Name of Person Responsible for Conror tion License No. and Type if Applicable
93 Gve115 UI'll�t 0 NH 03�031
Street Address City/Town State Zip
_ 17 (5_697. 5-1V8 n-pc4N a A6), cc,-tit
Telephone No. business Telephone No. cell e-mail address
SECTION 11:WORK6RY COMPFNSA riO 1I' M.G.L,c.152.6 25C 6
A Workers'Compensation Insurance Affidavit from the h1A 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 E3 No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE --
Item Estimated Costs:(Labor
and Materials) 'Total Construction Cost(from Item 6)_$
1. Budding $ YZ, •oa Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical S p appropriate municipal factor)=5
3.Plumbing S au
4. Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5. Mechanical Other O Enclose check payable to
6.Total Cost $ 7 Y3 . pU (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 trueandaccukate to the be of y knowledge and understanding.
Please print and sign can Title � ,,,Telephone No. Date
/3t/( e e 5-44 a 363-,
Street •s ily/Town State Zip
INlunicipal Inspect r to fill out this section upon application approval:
Name Date
CITY OF SzU ENI, INWSACHUSETTS
I' BUILDING DEP.kRnW—NT
I
i<l 120 W."HINGTON STREET, 3w FLOOR
TEL (978) 745-9595
Fmx(978) 740-9846
KI\lBEM,%YDR1SC0LL THoN sST.PIFRRH
�,�LAYOR
DIRECTOR OF PUBLIC PROPERTY/BUILDING CO\NIS$fONER
Workers' Compensation Insurance Affidavit: Builders/Cont rue tors/Electricians/PIumbers
Anpileant Information Please Print Leeibiy
NainclflusinussOrganiratiom'Indivirluall: \)fFM�S {glue. / JM9 1OAJK,YeZ-aJ,/o/VCO-
Address: Lim Ilam)'/OW 9 -
City/State/Zip: Gk5� 0;�036 Phone It: Q7e 6 97 S/Ytt
Are yno an employer'.'Check the appropriate bo ' Type of project(required):
L❑ I am a employer with 4• I am a general contractor and 1 6. ❑New construction
unployces(full and/or part-time).* have hired the sub-contractor 7• Cl ff f
2.Eli am a sole proprietor ar partner- listed on the attached sheet. t tvemodeling
ship and have no employees Those sub-contractors have H. ❑Demolition
working for me in any capacity. workers'comp. insurance. 9. ❑ Building addition
(No worker'camp. insurance 5. [1 We are a corporation and its
required.]
officers have exercised their 10.0 Electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL I I.❑ Plumbing repairs or additions
myself.(No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs
insurance required.) t employees.(No workers' 13.0 Other
cmnp. insurance required.)
'Any applicmil licit checks bus s I must also rill our raw section below showing Their workns'<ompensadon policy olrumatlon.
'I Inmauwuwn who wl+mit this nfldnvit indicating They arc doing all work and then hire outside contractors must submit a new affidavit indicating such.
$mom tone that check This bug most anachod an ad iiiiureal eheul showing the name of the subsoninctun and Their workod camp.policy infoenatien.
I unt an enrpluyer that is providing;workers'compensation insuraucefor my employers. Beluty Is fha policy and job site
iufuratution. r(ACk _
Insurance Company Name: _—_. 1✓l�-- '
Policy it or Self-ins. Lie. 0: Expiration Date:
Job Site Address: 9L 5_ w��CZtL 90 City/State/Zip: -c;i}tlR�
Attach a unity of the worlt�en'campenssatloo pulley declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Suction 25A of MGL e. 152 can lead to the imposition of criminal penalties of a
line up to SI,500.00 and/or one-year imprisonment,as well as civil penalties in the Ihnn of a STOP WORT(ORDER and a line
Of up TO 5250.00 a day against tht violator. Be advised that a copy of this statement may be furwarded to the Office of
Ineritigu6mm ul'the OIA for insurance coverage verification.
I do hereby ce ' alialsC'MeMila od penahles of perjury Mar floe inforatutlmt provides/above is true and correct.
Si•m tire: ):If,!: ZO /
Phoned.
Ofliciul use only. no oof Tvriie in rhi.r area, to be completed by city or town o/JH•Iu2
City nr Town: Permilil.leense
Gluing Authority(circle one): ""--
1. Board of Ilcallh 2. Building Dcpastinew .1.Cilylrnwn Clerk J. Electrical htspector S. Plumbing Inspector
6. Other
I
Contact Person. _ Thane fit: _ _
L cA CITY OF SALEM, MASSACHUSETTS
BUILDING DEPARTMENT
120 WASHINGTON STREET,3R FLOOR
TEL. (978) 745-9595
F
KIMBERLEY DRISCOLL FAX(978) 740-9846
MAYOR THOMAS ST.PIERRE
DIRECTOR OF PUBLIC PROPERTY/BUILDING COMMISSIONER
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, S 54; Building Permit # is issued with the
condition that the debris resulting from this work shall be disposed of in a properly licensed
waste deposit facility as defined by MGL c 111, S 150A.
The debris will be/t'ransported by:
InAYLl CS 6 -r-o4-qC
(name of hauler)
The debris will be disposed of in:
(name of facility)
(address of facility)
ig ature of ap icant
R wl i '4
Date
COSTA ARCHITECTS
• 681 MAIN STREET WALTHAM, MA 02451 TEL/FAX 781 /647-5831
CONSTRUCTION CONTROL AFFIDAVIT
Project Number: 2014.07.114 Project Title: Interior Freezer/Dock Expansion
Improvements
Project Location: 90 Swampscott Street/Unit 1
Salem, Massachusetts 01970
Project Name: Jacqueline's Gourmet Cookies
Scope of Work: New interior tenant freezer and dock(shipping/receiving) expansion;
Removal concrete slab, new conc. Insulated slab; Pre insulated panels
(PIP),GWB, metal studs, doors,frame, hardware;suspended ceilings PIP
panels, paint, life safety,electrical, plumbing,and HVAC(note:some of
the disciplines are the responsibility of others)
In accordance with section 107.6 of the Massachusetts State Building Code, I Albert Costa Mass
Reg. # 1907 being a registered professional architect hereby certify that I have prepared or
directly supervised the preparation of all design plans, computations and specifications
concerning:
Entire Project Architectural
I c tectural XX Structural Mechanical
Electrical Fire Protection Other:
For the above named project and that, to the best of my knowledge, such plans, computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable
architectural practices and applicable laws for proposed project.
I further certify that I shall perform the necessary professional services and be present on the
construction site on a regular and periodic basis to determine that the work is proceeding in accordance
with the documents approved for building permit and shall be responsible for the following as specified
section 107.6.2.:
1. Review,for the conformance to the design concept,shop drawings,samples and other submittals,
which are submitted by the contractor in accordance with the requirements of the construction
documents.
2. Review and approval of the quality control procedures for all code required controlled materials.
3. Be present at interval appropriate to the stage of construction to become generally familiar with the
progress and quality of the work and to determined,in general,if the work is being performed in a
manner consistent with the construction documents.
Pursuant to Section 107.6.1, 1 shall submit periodically, a progress report together with pertinent
comments to the building inspector. Upon completion of work, I shall submit a final report as to
satisfactory completion and readiness of the project for occupancy. '
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Signature of Architect uo,ma
COSTA ARCHITECTS
661 MAIN STREET WALTHAM, MA 02451 TEL/FAX 781 /647-5531
CODE SUMMARY
Proposed Interior Tenant Renovations and Expansion
90 Swampscott Street,Salem, MA 01970
Code Analysis based upon:
780 CMR: Massachusetts State Building Code,8`h Edition (MSBC) & IBC 2009
International Existing Building Code(IEBC 2009)
521 CMR: Massachusetts Architectural Access Board (MAAB)
Code Summary to be filed&read in conjunction with Drawing T1,A1,A2,A3,A4,AS&A6; Proposed
Freezer/Cooler Dock Expansion-III,Provided by Costa Architects—681 Main Street,Waltham, MA,
Dated 08/13/2014(revised).
Zoning—Commercial/Industrial
Narrative
90 Swampscott Street in Salem is an existing, single story warehouse Commercial/Industrial Building
previous occupied by same use group. Exterior perimeter walls are combination Metal siding and 8"
concrete masonry block(CMU)wall, non-combustible.The building is fully sprinkled..
The warehouse portion of building is multi-tenant condo units.Tenant is expanding to the third section
that occupied by a storage/warehouse company.The expansion is approximate 11,060 gross square
feet.The expansion will be additional Freezer space with three to four level of racking.Additional Cooler
Dock will be expanded with new loading dock levelers and insulated overhead doors.. Fit-out will be
new concrete insulated slab; new pre-insulated wall and ceiling panels, new finishes—floor,wall and
ceiling.There is a primary exit from this space which satisfies the egress requirements, along with
secondary means of egress through the commercial/industrial space.The travel distance to these means
of egress is less than 100 feet.
New stairs to existing Shipping/Receiving offices will be relocated.Additional a unisex restroom will be
provided,for the employees.There are currently illuminated exit signs through-out(existing tenant
space)over each existing exit doors. New illuminated exit signs shall be installed on existing and
relocated egress on ne expansion space.
Per the International Existing Building Code (IEBC),this project falls under Chapter 7-Alterations-Level 2.
Related code sections pertinent to scope of work are listed below.
Use and Occupancy Classification (Chapter 3)
306.0 Factory Industrial (Group F-1) (Primary Use Group)Food Production&Processing Rooms and Areas
304.0 Business(Group B)—Office
311.0 Storage (Group S-1) Mod. Hazard Storage
Storage and Packing Rooms/Areas
Storage(Group S-2) Low Hazard Storage
Freezers,Coolers and Shipping/Receiving
i
COSTA ARCHITECTS
681 MAIN STREET WALTHAM, MA 02451 TEL/FAX 781 /647-5831
Building Construction Type(IBC,Chapter 6)
- Type II B
Building Automatic Suppression
- Fully sprinkled
Classification of Work(Chapter 4)Section 404(IEBC)Alteration—Level 2
404.1 Scope:Level Alterations include the reconfiguration of space, the addition or elimination of any door or
window,the reconfiguration or extension of any system,or the installation of any additional equipment.
The alteration of the space at 90 Swampscott Street is to include the reconfiguration space for freezer,
cooler and shipping/receiving area. Removal of overhead door and replace with new insulated overhead
door,additional relocate existing egress door, new lighting, life safety and USDA standard finishes.
Alterations—Level 2(IEBC,Chapter-7)
Section 704.4 Fire Alarm and detection(to be provided in the work area freezer,cooler dock areas)
An approved automatic fire detection system shall be installed in a accordance with the provision of the code and
NFPA72.Devices, combinations of devices,appliances,and equipment shall be approved. The automatic fire
detectors shall be smoke detectors.
A minimum of eight smoke detectors to be installed in renovated area. One shipping/receiving,one
restroom,one electrical room,one in production area and four in freezer.
Means of Egress(Chapter 10)
Occupancy Schedule
Floor Area: 1-Story Warehouse/Industrial
Tenant Space/Main Floor:44,240 sq.ft.gross usable(existing occupied)
Tenant Space/Mezzanine: 6,010 sq.ft.gross usable (existing occupied)
Tenant Space/ Freezer, Cooler Dock: 11,060 sq.ft.gross usable(proposed expansion)
Group Occupancy-Section 1004(Tablel004.1.1)
Total Occupancy= 198 Occupants
Group B=6,933 sq.ft./ 100' net=70 occupants
Group F-1=9,538 sq.ft./100' net=95 occupants
Group S-1=6,812 sq.ft./500' net= 14 occupants
Group S-2=9,537 sq.ft./500' net= 19 occupants
Egress Components(IBC 10)—section1005
Minimum Egress doors required:Two(2)
Front Entry: 1 @ 36"/0.20= 180 Occupants
Secondary Exists: 3 @ 36"/0.20=520 Occupants
Entire Tenant Space: Eight(6) Existing 6@36"/0.20=1,080 Occupants
All egress doors to have panic hardware and Automatic door closers.
A
COSTA ARCHITECTS
6a1 MAIN STREET WALTHAM, MA 02451 TEL/FAX 7a1 /647-5a31
Section 1016—Exit Access Travel Distance
Group F-1—250ft travel distance(w/Sprinkler System)
Group S-1-250ft travel distance(w/Sprinkler System)
Group S-2-400ft travel distance(w/Sprinkler System)
Group B -300ft travel distance(w/Sprinkler System)
Travel distance is less than 100'from center of the Commercial/Industrial space with access to two (2)
exists. (see section 1014.2 &table 1015.1)
1014.2 Egress through intervening Spaces
Exception:Means of Egress are not prohibited through or intervening rooms or spaces in Group H,S, or F
Occupancy when the adjoining or intervening rooms or spaces one the same or lesser hazard occupancy
group.
Secondary means of egress from Factory/Storage space is through adjoining Group F or S Occupancy.
Directly to the outside.
Table 1015.1 Spaces with Exit or Exit Access Doorway.
Group B&F Occupancy with a maximum Occupant Load of 49 may have one exit. Group S Occupant Load
with a maximum of 29 may have one exit.
Primary means of egress from Factory/Storage space is through front door exit which is exiting directly to
outside.
Energy Conservation(IOEBC,Section 711)
711.1 Minimum Requirements:Level alterations to existing buildings or structures are permitted without
requiring the entire building or structure to comply with the energy requirements of the International Energy
Conservation Code or International Residential Code. The alterations shall conform to the energy requirements of
the international Energy Conservation Code or International Residential Code as they relate to new construction
only.
O1SS��
Prepared by �4,�,�gY 00
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ewaa J
Albert Costa 9
Massachusetts Registered Architect#1907 H(?F
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