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TECHNOLOGY WAY - BUILDING INSPECTION The Commonwealth ofPublic Massachusetts Department of Public Safety \ta.,sa,husytl.,State Budding Code(780 C\I R)Seventh Edit it ( t L4�Qb�7 City of Salem W Building Permit Aeplication 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 l: LOCATION (Please indicate Block M and Lot 11 for locations for which a street address is not available) -T)=6 HWOL_OrayW,&y SAL)=1-N iUS 1SIOLaG�� �L .No. and Street City /Town Zip Code Name of Building(if applicable) SECTION 2: PROPOSED WORK If New Conslniction check herexor check all that apply in the two rows below Existing Building❑ Repair❑ Alteration ❑ Addition ❑ Demolition.❑ (Please fill out and submit Appendix-1) c'hnrf;r of Use ❑ Change of Gr-nrpancy ❑ Olh r,-+::t `_�garify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is on Independent Structural Engineering Peer Review required? Yes ❑ No O Brief Description of Proposed Work: FW •, Pep-7 s � 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): t' 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.) .2 4$K,5iF Total Area(sq.ft.)and Total Height(ft.) $(p KFjF 210 e SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 ❑ A4❑ A-5❑ 1 B: Business,$� E: Educational ❑ F: Factory F.1 ❑ F2❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4 ❑ H-5❑ 1: 1mL tutional 1-1 ❑ I-2 ❑ 1-3❑ 1-4❑ M: Mercantile❑ R: Residential R-iL R-2 ❑ R-3❑ R-4 ❑ S: Storage S-1 ❑ S-2 0 �_U_utility-❑ Speciat Use,CJ and please dexribe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ 18 ❑ IIA ❑ IIBX II IA ❑ 1118 ❑ IV ❑ 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone ["formation: I Sewage Disposal: Trench Permit: Debris Removal: Publ,ig I C i�cCl �f nut.idu f=1+n a1 Gv,v� Lidic.i le mums pal ' A trench will not be I_i Caned D'Npo.al Fite rvnch I'rnatt.❑ or uidenuty Zone: or, n site.%,tern ❑ permitrC1ILJjr t ❑or led 0 - permit �*enclu�ed ❑ Railroad right-of-way: liaza rds to Air Navigation: ,nne -n•n N�„++ Pn• o �: \+d 1ppLrably� L�Iru Cturc a,thin aopurt approach•u'ra' h lhcu rc"e+c".'IlrIclyd.' •m l n..•nl t„ Build'-1161 ad ❑ ),, ❑ -r N, Pr \u ❑ SECTION 8:CONTENT OF CERTIFICA I-E-ttOF OCCUPANCY I'I'tw r „t l' alr .. Lii C.c l:n u p,.e - R pc t l„n.lru:uore yt, _ l)ccupant L ,a.t per I L,.,r �� SECTION9: PROPERTY OWNER AUTHORIZATION .Name and,Ndtlre,s of Properly Owner � .0-36 GAMT-AL- 1'0 DA::P—C 061 Swa�z,pS ;rT ot967 Name(Print) No.and Street City/Town Zip Properh 0%%ner Contact Information: Title Telephone No. (bu.,ineN,)- Telephone No. (cell) e-mail address If applicable, the proper" o%,ner hereby authorizes Name Street Address Cih,/Town State Zip io act on the tro uric owner's behalf, m,dl matters rclatite to work authorized by this building permit a p >lication. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) Ilf building is l s,thin 35,M)eu.ft.of endowd space and/or not under Construction Con WI then check here 0 and,kip Section 10.1) 10.1 Registered Professional Responsible for Construction Control 7?NIF-l_ ' D LuLLO �8l laG2?�4R8 yi1 ..Usinuv�.rt u , )- &0; Name(Registrant) Telephone No. e-mail address Re istration Number c -r St Yn2t,n�sP � � _�cH. B•3l• I II 1 Street At1dress City/Town State Zip Discipline Expiration Date 10.2 General Contractor P�rPfr, � VPtzoflT- Company Name: Name of Perstm Reslxtrtsible for Construction License No. and Type if Applicable -78 IJo� r+1 sT, 'PPnV e s-< MA 01�23 Street Address City/Town State Zip _V1 -qss- -7/03 ,r=P-L49� Yr+ftra- ceyi I Telephone No.(business) Telephone No.(cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE AFFID VIT(M.G.L.c.151§ 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❑ No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1. Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)=$ 3. Plumbing $ 4. Mechanical (H VAC) $ Note:Minimum fee=$ (contact municipality) 5. Mechanical (Other) $ Enclose check payable to 6.Total Cost (contact munici alit,)and write check number here SECFlO 11-SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below, I herebv attest under the pains and penalties of perjury that all of the information contained in this c application is true and accurate to the best of my knowledge and understanding. I'le.p.e prmt and Ign mune title r cphu e 'o. Dat KI n•ct .1Jdrc.N ( itv;low❑ tita r tp I i %Iunici pal Inspe dor to till out this section upon application approval• 3 \amr Date Mmi4a�M Pro m,Phnnkv aim ,n�PP�a a�Pa CONSTRUCTION CONTROL AFFIDAVIT Project Location: Technology Way,Salem MA Name of Building: US BIOLOGIC Scope of Project: New Office Building In accordance with Section 116.0 of the Massachusetts State Building Code, 780 CMR Eighth Edition: I, Daniel F.DiLullo,Massachusetts Registration Number 6033 being a registered Architect hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project:_ Architectural X Structural Mechanical Fire Protection Electrical_ Other(specify) 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 engineering practices and all applicable laws for the proposed project. Furthermore, I understand and agree 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 by the Building Permit and shall be responsible for the following as specified in Section 116.2.2: 1. Review of shop drawings,samples and other submittals of the contractor as required by the construction documents as submitted for the Building Permit and approval for the conformance to the design concept. 2. Review and approve of 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 shall submit periodically, in a form acceptable to the building official,progress reports together with pertinent comments. Upon completion of the work I shall submit to the building official a final report and Affidavit as to the satisfactory completion aVrainess of the prole for ccu Signature of Registered Professional: Seal CONSTRUCTION CONTROL AFFIDAVIT To: Building Inspector City of Salem Building Department From: ROOME & GUARRACINO LLC Consulting Structural Engineers 48 Grove Street Somerville, MA 02144 Date: March 10,2011 Re: U.S. Biological - Technology Way Salem,MA Project: U.S. Biological Technology Way Salem, MA In accordance with Section 116.0 of the Massachusetts State Building Code 1, Carmine Guarracino, P.E., Massachusetts Registration Number 40104 being a registered Structural Engineer hereby certify that I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Entire Project: Architectural_ Structural X (Foundations Only)Mechanical_ Fire Protection Electrical Other(specify) 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 engineering practices and all applicable laws for the 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 the building permit and shall be responsible for the following as specified in Section 116.2: 1. Review,for 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 approve of 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 shall submit periodically progress reports,together with pertinent comments to the Building Department. Upon completion of the work I shall submit a f. d Affidavit as to the satisfactory completion and readiness of the project for occupancy. o:r stto Res , o` GAMPNE yG r a GUARRACINO S STRUCTURAL w No..40104 E tgnature �� Pc�©1" 1 seal NAL �,. I ' DiLullo Associates, Inc. 16 Crystal Street, Melrose MA 02176 Tel:781-662-3498 Fax:781-662-8389 diluiloinctlDwmcast.net Architects for Program, Planning and Design of Public and Private Buildings March 23, 2011 Mr. Thomas St.Pierre Inspectional Services Director 120 Washington Street Salem, MA 01970 Re: US Biological Tom, I have attached the following for your review and use: • A copy of the site plans as approved by the Planning Board and the Conservation Commission • A copy of the Order of Conditions • A copy of the stamped pre-engineered steel building drawings and calculations • 3 stamped copies of wall sections showing the appropriate foundation insulation We are aware that Salem has adopted the Stretch Energy Code and that has been figured into the design of the building envelope and is also being used in the design of the mechanical and electrical systems. The foundation insulation has been noted as 2"thick extruded polystyrene foam insulation which has an R value of 7.5 per inch. The total value of 15 is 50%better than the R-10 required by the Stretch Code. The rest of the building is being designed to meet or exceed the Stretch Code in all. aspects. 'We were preparing to submit final documents later this week but the Owner has made some last minute plan changes and exterior changes which require drawing modifications. We are working toward getting the final plans submitted well in advance of the foundation completion to allow you the time for a full review prior to issuing a building permit. When we are done with these final changes we will be able to complete the MEP drawings and submit a comprehensive ComChek commercial energy report for the envelope and the systems. The pre-engineered steel building will not change since it is fabrication and scheduled for delivery to the site in late April. We appreciate your consideration in allowing Peter Varone to proceed with the foundations while we make the final building modifications. UTS Testing of Stoneham, MA has been engaged to perform re-bar inspection and concrete testing for the duration of the foundation construction and we have placed your department of the distribution list for test reports. Si rely iL, (,