9 CHURCH STREET - BUILDING JACKET 09/20/2011 14: :,IJ 7319909755 MARLEY PROPERTIES BM PADS 01
2L� The Commonwealth of Massachusetts
Department of Public Safety
Massachusetts State building Code(780 CMR)
-Building Permit Application for any Building other than a One-or Two-Family Dwelling
Sect:
er: ling
�ed
SUOTION ii,10C ��Lt oe.whj
_41WN(Pltai�ibdi ploc k 4�
No.and Street Cih,/Towrt Zip Cade Name of 13itilding(if applicable)
`StC'TjQN 71,1 D LLLOIIK
Edition of MA State Code used If New Construction check here E3 or check all that apply in the two rows Wow
Existing BuildinA4 I Repair Z�] W alion =Addition 0 1 Demolition 0 fill oat and submit Appendix 1)
Change of Use 13 � C1Wt8vQf Occupancy. a Other 13
Are building plans and/or constritrtion dricunuents;being supplied as part of this permit application? Yes�. No 0
Is an independent Structural Engmeerna P er Re 2w
requir ?
Yes 0 N
Brief Vesc;* t:�Of Proposed"d Work: Crew TA
S ETE-THS AECTION It EXISTING Elmic. ION,ADDITION,ORVJNVSroftOCCUPANCY-
Check here.if an Existing Building Investigation and Evaluation is enclosed(See 780 CM R 34) 0
I
'Existing Use Group(,): _pc ;4.3 TILDINGIBIGI]TANDARES
XlOng proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(5Nq ;ft
I Total Area(sq.ft.)and Total Height(ft.)
Usti CROUP tCheck as applic 11'fe)__'�
A: Assembly A-1 0 A 0 Nightclub 0 A-3 0 A-4 0 A-5 0 ]3; E; Educaioual E:
F: Factory F-1�F2 M High I Lazard 1,14 11 H-2 El H3 Ll 11-4 El H-5 0
1: Institutional 1-113 1-2 0 1-3 13 1-413 M- Mercantile:I I R: Residential R-111 11-2 0 R-3 0 R-4❑
Storage 9-10 S-2 0 U: Utility Special Use 0 and please.describe Nlow:
Special Use;
-6-'GOXSTRVJ(771ONTTYPTi(CI
IA 13 111 0 IIA 0 HO 0 IIIA 0 E3 IIIB ❑ IV E3 VA D vo 0
S ION'(Iefl to,'780 C-1 Ay
pew
Water Supply. Flood Zcme Information: Sewage Disposal! 'French Permit.* Debris Removal:
Public❑ Check ifOUtSideFl00dZone:I Indicate municipall] A trench will not be Lwenqed Disposal Site El
Private❑ Tpqiiiypd r, or specify-_
or inder oyonsite permit is enclosed
Rallroadright-of-way: Hazards to Air Navigation- mp..Hgtoric Con mission Peyiew Process.
Not Applicable 13 Is Structure within airport approach area? Is their review ronnplctpd?
or Consent to Build enclosed 13 Yes 13 or No 13 Yes 0 No 0
- --- -7(:T QN�fk.CON Ciji'CCRTvif'(-',kf OCCUPANCY
fEdition of Code: Use Group(s): 'type of Construction: Occu pant Load per Flour:
Does the building contain an Sprinkler System?: Sptuial Stipulatiumq:
Oki /fC
09/20/2011 14: 'n 781850975E MARLEY PROPER]IES BM PAGE D22
kRbj'.ER-T)(bWNE-R AUTHORIZATION
,!.:i
Name and Addr s.;Property Owner
Name.(PAnt) No.and Shrevit CityTnwn Zip
Property Owner Contact Information;
xktAk-
Title Telephone,No.%siness) Telephone No. (cell) e-mail address
If dppIs;abIe,the property uvvneir hereby dl.ldturiLes
IV Street Address Qty!Town State zip
to act on the jRpe�ow.?r`s behalf,in all matters relative to werl,authorized by this building permit application.
G,I ION ILT-CONSTRUCTI ji�m -Please flit outA
,
-ft of mfel�sed 9t,46,aq J.r,C se-ion Ill.
Pmofe.,A.41 I esobTiilir6fiirConstrdLiionContra?
Name(Registrant) Telephone No. e-vacil.address Registration Number
Street Address City/Town State Zip Discipline Expiration Date 11
��coirt N a e
Name of Person Responsible for Construction [AcenseNo. and Type if Applicable
Street Address City/Town Stow Zip
-mail address
Tsnbmitted with rSEC'TION'117 tyOR[CSRs":C'A,c4PFNSA ON;f UR:4N4E AF'FliJAVI (AS G b r 552.g:'z's.l�L : - _ ,,.
must be completed and
this apphcatron l allure!b provide this ahtdavrc will result in the demai o£the ance,of thr building permit.
JS a sr ed Affidavit submitted with tors n tication'_ des o 13
Item Estimated Costs:(Labor t� Q
6)=s-
1. Building $ Braiding permit Fee. -total Coustruction Cost x (insert here
2.Electrical $ appr"rinte municipal factor)—
3.Plumbing $ Of Note:Minimum fee-s__(contact municipality)
4.Mechanical (HVAC) $ __ —_x_
5.Mechanical (Other) 05 Enclose check payable to
6. total Lost L!, %n (contact municipality)and write check number here
G ivjITAFMICANTj
BY entering my name below,I herphy.tirst under the pafrrc and Penalties of pejury that PU of the infurenaliun contained in tb&
ap tic lion' ean4 Recur tctethe qse my knowledge and understanding.
Plea int a gn na Till Telephone No. Date
Street Address ip
71i
Mrmrnpal
Inspectortoion ficaf -&rbv it:i
a4ne
(D
O .4S A �/.
t The Commonwealth of Massachusetts
®. Department of Public Safety
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 Only)
Building Permit Number: Date Applied: Building Official: . i(v
_ SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street addrAVis not available)
Cl rhucck Si. , SAje^-
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
iExisting Building❑ Repair❑ 1 Alteration 06 1 Addition❑ Demolition ❑ (Please fill out and submit Appendix 1)
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 1%
Is an Independent Structural EngineeringlPeer Review required? Yes ❑ NoQF
Brief Description of Proposed Work: V 0. O 11 I
�itar'11
fn
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
5 CHANGE IN USE OR OCCUPANCY
herej an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) O
i7 tyng Use Group(s): Proposed Use Group(s):
a '-SECTION 4:BUILDING HEIGHT AND AREA -
w_ Z Existing Proposed
rr� a
N6Wf Flogs/Stories(include basement levels)&Area Per Floor(sq.ft.)
TgV9 AreB`;q.ft.)and Total Height(ft.) ;�:] t Y 0 I
SECTION 5:USE GROUP(Check as applica le)
A: Assembly A-1 A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
F. Facto F-1❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional I-1 ❑ I-2❑ I-3❑ I-4❑ 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 IBO IIA ❑ IIBD IIIA ❑ IIIBO IV ❑ 1 VAD VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)Debris emoval:--
R
Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: P Licensed Disposal Site,❑
Public 10 Check if outside Flood Zone❑ Indicate municipal A trench will not be
Private❑ or indentify Zone: or on site system❑ required or trench or specify: El D
1�5'. A
permit is enclosed❑ RIbI t,l%AA St pp At
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable 0 Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ Yes❑ or No X Yes❑ No X
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
2OLI Secwd Av. V44I MCA. 02gS
Name(Print) INo.and Street City/Town Zip
Property Owner Contact Information:
NPNCV g75S uMyL`( EO Ml� � .�•"—�r�i�s.Gb
Title Telephone No.(business) Telephone No. (cell) e-mail ad
kIhVg1G4Wrk -7A"50 re
If applicable,the property owner hereby authorizes
_meplA FatLCrte', Iss E UK sr- Avid _ClE 0/9Y0
Name Street Address City/Town State Zip
to act on the property owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10.CONSTRUCTION CONTROL(Please fill out Appendix 2) .
f building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 4d skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor Co.
Company Name
�osPo%t :;deed CS - 06 1 U gI I
Name of Per on Responsible for Construction License No. and Type if Applicable
153 E5$fir Sr. Lyn,nl Ma 01g40 -
Street Address City/Town _� State Zip
011- (014 • 2q t o (61Z-G4 _ 2.1l0 ,.T. Fo DeRA Cr RCIu rom
Telephone No.(business) Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§ 25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes❑ No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $
Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)_$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to
6.Total Cost $ (� co (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT -
By entering my name below,I hereby attest aepains and penalties of perjury that all of the information contained in this
application is true and accurate to the best oledge and understanding.
Cc.. ��xnt 1t�R (ems? -��l Z9►D6
Please print and sign name Title Telephone No. Date
I453 a2se-e a. L-1^a4,' e ►d' Ma. MLA 019 yy
Street Address City/Town State Zip
Municipal Inspector to fill out this section upon application approval: 'J /
Name V D
r -
+ i
)Ivy !+
ii-UX)9 DOust x3
Qu/aa a ;
City of Salem Sign Permit Application Worksheet
RECfAV 0
21-Apr-16
9 Fmnt Street MAY 18 A 01
r\j F Remix Church
2 ON I rA pip,
Zoning(res/non-res) B5
Entrance Corridor(Y/N) N
Lot frontage n/a feet
Building or tenant frontage 55
#of businesses on site multiple
Bldng dist from street center <100 feet
Multiplier 1
Buildlng and
maximum area permitted 55.00 sq ft
total proposed sign area 12.99 sq ft
sign 1
length 129.00 inches
height 14.50 inches
sign 2
length 0.00 inches
height 0.00 inches
sign 3
length 0.00 inches
height 0.00 inches
sign 4
length 0.00 inches
height 0.00 inches
sign 5
length 0.00 inches
heig t 0.00 inches
maximum area permitted 32.50 sq ft(per side)
maximum#of signs permitted 1 signs
maximum height permitted 12.50 ft tall
sign 1
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height ft
sign 2
proposed sign area 0.00 sq ft
length 0.00 inches
height 0.00 inches
proposed sign height ft
Application meets guidelines set
forth in the Salem Sign Ordinance yes
Recommend approval yes
Salem
Redevelopment
Authority
Salem Redevelopment Authority Proposal
May 11, 2016
9 Church Street (Remix Church): Discussion and vote on proposed installation of
signage
SRA Decision
At its meeting on May 11, 2016 the SRA voted unanimously (5-0) to approve the
proposed installation of signage at 9 Church Street Remix Church).
Recommendation
At its meeting on April 27, 2016 the Design Review Board voted unanimously to
recommend approval of the proposed installation of signage at 9 Church Street (Remix
Church) as presented.
Proposal
The applicant proposes to 129" long by 14.5" tall adhesive vinyl decal sign along the
face of the existing green awning at the location noted above. My understanding from
having spoken with the applicant is that the "R" in the circle logo will have dimension to
it and rise slighting off of the face of the awning.
Staff Comments
The proposal complies with the City's sign ordinance and Commercial Design
Guidelines.
The applicant has indicated that they will remove the sign shown in the window once the
permanent sign is installed.
Commonwealth of Massachusetts ,
Citv of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
h Return card to Building Division for Certificate of Occupancy
(Permit No. B-16-522
FEE PAID: $0.00 PERMIT TO BUILD
I
DATE ISSUED: 5/19/2016
This certifies that KEN @ CONCEPT SIGNS
has permission to erect, alter, or demolish)a building__ 2.EAST INDIA SQUARE Map/Lot: 350604.0
as follows: Signs SIGN PERMITAAS APPROVED FOR:
REMIX CHURCH
i e
Contractor Name:
DBA:
t
Contractor License No:
r
5/19/2016
Building Official Date
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official
may gram one or more extensions not to exceed six months each upon written request. `.
Ail work authorized by this permit shell conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any,building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visible from access sliest or road and shall be maintained open for public inspection for the entire duration of the
work untl the completion of the same.
t
The Certificate of Occupancywill not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
d
H IC#: "Persons contracting with unregistered contractors do not have access to the guaranty fund'(as set forth in MGL c.142A).
I
Restrictions: r
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
CO / / / /
Remix Church
9 Church Street
Salem , MA 1 1970
is requesting permission
for permit
• our • be
glued over door.
".. � NO. 7521/3
ESSELTE 1o� ta �
S7 C U U
w�
x
CITY OF SALEM
y In accordance with the Massachusetts State Uu ilding Code, Section 108. 15, this
Qw e`
CERTIFICATE OF INSPECTION
is issued to CRVE6ii MARCHAND, INC. DBO F1UD'i-TS W'INC&SF'RT
�P�2lf� RUDI_T, W11�IF 8 SF>;
z 'c COMMONWEALTH OF MASSACHUSETTS
CITY OF SALEM
APPLICATION FOR CERTIFICATE OF IYSPECTION
Date 3b9i (\-)wee Required $
( ) No Fee Reouired
In accordance with the provisions of the Massachusetts State Building Code, Section
108, 15. I herebv apply for a Certificate of Inspection for the below-named premises
located at the following address:
Street 6 Number 9 C/lows-) fp s
Name of Premises G/?JEt /11/fgC=t-f Nhlti� �l�ft /�yucrS !/VE �S�l1C�17-6
Purpose for which Premises is used RAIL 44212A.- w+A)C- r ?E'5�L
License(s) or Permit(s) required for the premises by other Governmental Agencies:
License or Permit Agency
Certificate to be issued to: 600-el /VL2-.L140M) 6A.Ar, -A0 1tj1bfr5 k1A1C"J j) Jjg
t Address: G C,026,1 '571 Vnllr-N/�/"� 0/97)
Owner of Record of Building: /fiE< /' �. AJIUS�Uyi1 k--r*Tc/ -r4t67 p
Address: 06.. /'b)( X006
NameofPresent Holder of Certificate: fi7
Name of /Agent, if
any.. .
�c�lt//// �lt�t/'/1sAs�.>,�
igna[ure of Person to whom certificate T
is issued or his/her authorized agent 0 r
Ci 5-) (r0 _q� g �/ 1�
Daw N �-�—
INSTRUCTIONS: Day time phone M % P fbe
1. Make check payable to: The City of Salem
2. Return this application with your check to: Iasoector of BuildinRR; Ci of SVIM
Building Devartment. One Salem Green. Salem. MA. 01970.
PLEASE NOTE:
I. Application form with required fee must be submitted for each building or structure
of part thereof to be certified.
2. Application 6 fee must be received before the certificate will be issued.
3. The building official shall be notified within tea (10) days of any change in the
above information..
CERTIFICATE 1 OOyC/
- EXPIRATION DATE: -/J006
310/ 9- _
y
PERIODIC INSPECTION REPORT
This form is to be completed each time a Periodic Inspection is made. At'the time
a new Certificate of Inspection is issued, a notation indicating that the fee has
been paid will be made to Application Form prior to the new Certificate of Inspection
being issued. Any changes since the last inspection are to be added to the file card
of the premises.
Street & Number57
Name of Premises ✓9VC5
Certificate to be issued to:
Address �.%4+tt�'c�. S r i'Go ! y'"✓��c�y '41/it
Owner ,of Record of Building t7 !/i /' g� ylpu Sfit,cc �l,tx` /cam rr'u�{
p J
Address l" �- �1 a�C �G)O . moi �c- �. .fit G9 o f F 7 1
Purpose for which premises are used tef (/,zi {t E'n' Gt11tJ! ege- <
Changes since last Inspection (required on file card also)
1.
2.
3.
4.
5.
Date Order Issued: _
Order Issued To: Address
Date Violations Corrected:
REMARKS:
I have this day inspected the above premises, and the same conforms to the pertinent
requirements of the Massachusetts State Building Code and the rules and regulations
pursuant thereto.
Date wild" Official
Certificate # 0() �f�f- Jc� Date Issued:
Recommended Neat Date Expires: — /U fln1 to
Inspection:
110 TommnntutU1 lir of Attssttr4useffs
F
x b CITY/TOWN OF
In accordance with the Massachusetts State Building Code, Section 108. 15, this
CERTIFICATE OF INSPECTION
isissued to . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ITertify that I have inspected the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .known as. . . . . . . . . . . . . . . . . . . . . . . . . . .
locatedat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .in the. . . . . . . . . . . . .of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of. . . . . . . . . . . . . . . . . CommonweaIth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
OCA e-/4`— `l Rlo uJ F
Certificate Number Atte Certificate Issued Atte Certificate Expires Building Official
The building official shall be notified within (Z0) days of any changes in the above information.