6 TRADERS WAY - BUILDING INSPECTION (2) H `-EO Lt; tzFs3
The Commonwealth of Massachusetts
Department of Public Safety --
(,v 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) ;;k .' t..
(t Building Permit Number: Date Applied: Building Official: "-1," SECTION SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
1 & Ta-ADP-0-4Wf--( s 011Zo eAsTr-" e, ,-Ak—
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK ':, J"
Y Edition of MA State Coda uszd. If New Construction check here❑or check all that apply in the two rows below
1V Existing Building❑ Repair❑ Alteration Addition❑ Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use Cl Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes Ed No
Is an Independent Structural Engineering Peer Review required? Yes ❑ No Q
Brief Description of Proposed Work: DgAko Et-tST"Ir DR+JPLTH1111 KoW" WtrIIBOW % 4our4T*45
tr4STA,- that NFLU-Wog-l— '� ITA, ^ACULAC-
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) ❑
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 applicable)
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 ❑ Y-2❑ I-3❑ I4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R-4❑
S: Storage S-1 ❑ S-2❑ U: Utility❑ T Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA ❑ - IB ❑ IIA ❑ IIB ElIIIA ❑ IIIB ❑ IV ❑ VA ❑ VB ❑
--
SECTION 7:SITE!NFORMATION(refer to 780 CMR 111.0 for details on each item) _:
Trench Permit: Debris Removal:
Water Supp y: Flood tone Information: Sewage Disposal: Licensed Disposal Site
Public Check if outside Flood Zone❑ j Indicate municipal❑ A trench will not be P
required❑or trench or specify:
Private❑ or indentify Zone: __- or on site system❑ permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable❑ Is Stt:uctu_re caithin azrport 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 art Spiinkler System?:- Special Stipulations:
-------
Massachusetts Department df Public Safety
Board of Building Regulations and Standards
License:"CS-075407j
Construction Supervisor °
J
TGDD M GAINEY
r
41 OAK'ST
PLYMPTON MA j236 -
�/(� Expiration:
Commissioner 06/20/2017
i CITY OF SM.&M 2IASSACHUSETTS
• BUILDLNG DEPARTNE&NT
130 WASHINGTON STREET,3a FLOOR
o TEL. (978) 745-9595
PAX(978) 740-9846
KINIBFRr F.Y DRISCOLL
MAYORT�tObtAs ST.PIERRS
DtaECTOR Ok N BLIC PROPERTY/BUILDING CONMMIONER
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
1n accordance with the sixth editie--n o=the date Building Code, 780 CN4R section 111.5
Debris, and the provisions of MGL e 40, 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 disposal facility as defined by MGL c
111, S 150A.
The debris will be transported by:
W h"ST� ll/lP-N,k-�t EM 4iJ 7
(name of hauler)
The debris will be disposed of in
WAT° U-44AS4" ^t T
(name of facility) 11
o e— 5-r. TvJA wianl Ab-
(address of facility)
signature of permit applicant
U • I (.
date
debriviLduc
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
EAS ftE;t� rl &&-4.- 17s MA-M-£T 51-• LYrit-j , Nl
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
V.4 VLA94?. 1$I _49L- 72'�-9 - - IQ•.RLr�EN-Q�AST�.Rntl l�.�
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
J�;ag 4-A-vr4 EY °A-l<- ST. "[n
L) Namel toTALL 6441LD"S Street Address City/Town State Zip
to act on the ro 2r owner's behalf,in all matters relative to work authorized by this building permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2) ,.,
If buildingis less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑and slu Section 10.1
10.1 Registered Professional Responsible for Construction Co�nttr�o�lt� "'' ` "` V `
cS co TT Yowga - BI-. &2- Iri �aR.ta,&m4Arr Eli luft
Name(Registrant) Telephone No. e-mail address Re is tion Number
t'° P�oX BS-o�2- piRAi TR MP cuib
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
IJoT U I L1�£IZS l ry.c-
Company Name T
oon S�T/rtrl `P O754u7
fi
N me of Person Responsible for Construction License No. and Type if Applicable
•TI oP-�L 5� hLxlu-bZc� 67-3b7
Street Address C.iTown State Zip
7 t�k AriAs '4o"h tUL • GAw-
Tele hone No. business Telephone No. cell e- i]address
SECTION_11:IVORK_ERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the' suance of the building permit.
Is a signed Affidavit submitted with this application? Yes 0 No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE "
Estimated Costs:(Labor
Item and Materials) Total Construction Cost(from Item 6)_$ ° Ste'
1.Building $ _1) °° Building Permit Fee=Total Construction Cost x 11 i(Insert here
2.Electrical $ 'S-o° appropriate municipal factor)_$
3.Plumbingj�S^
4.Mechanical (HV AC)____ _ f S 1 Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ Lf o ,5C"v (contact municipality)and write check number here
. . ' SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below T h reby attest under the pains and penalties of perjury that all of the information contained in this
application is true and accu a c the best of my knowledge and.understanding.
7tl _1V4_ g417 l+•Im
ease print and sign nam. Title Telephone No. Date
ql 6Al+- S-C kLyf-=Vto.l _ 4274.'7
Street Address I C'ity/iown State Zip
Municipal Inspector to fill out this section upon application approval.
dtft^'
. Name :Date -
(DEastern Bank
April 5, 2016
Town of Salem, MA
93 Washington Street
Salem, MA 01970
Re: Eastern Bank Branch 6 Traders Way
To whom it may concern:
This letter represents authorization for Pivotal Builders, Inc.to perform modifications to ITM and related
work at Eastern Bank Branch at 6 Traders Way in Salem, MA.
Sincerely, It
Ronald P. Richer
Vice President-
Real Estate Operations
195 Market Street • Lynn, MA 01 901-1 508 • 1-800-EASTERN (327-8376) •www.easternbank.com
Initial Construction Control Document
Ito To be submitted with the building permit application by a
Registered Design Professional
for work per the a edition of the
Massachusetts State Building Code,780 CMR,Section 107.6.2
Project Title: �'z t
>t � >L Date: s I 1
Property Address: -AZA-fe
Project: Check one or both as applicable:O New construction/ isting Construction
Project description: �l�l�j' `Ai _ it,/eW AfL LAG ISE �'2l ✓� yP
Lr/ i N' n�i uJ
I SWTT P_, Id r c_/N41� MA Registration Number. 9 1(U Expiration date am a -
registered design professional,and 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 [ l 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 and be present on the
construction site on a regular and periodic basis to:
1. 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.
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.
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'or �`O�t R. r
electronic signature and seal:
. 9168 M i
BOSTON,
Phone number. !/I MA Z 4QCA-1 Y5 T
h1OFMF^T'
Building Official Use Only
Building Official Name: Permit No.: Date:
Trial Version 10 09 2012
CITY OF S��1I.Ei�i, �r'L�SS<�CHLTSETTS
a
BUI DIINGDEPAR-r.%cL1T
120 WASHINGTON STREET,3sa FLOOR
TEL (978)745-9595
FAX(978)740-9846
KINIBERLEY DRISCOLL
i4fAYOR TIiOMAS ST.POERRE
DIRECTOR OF PLaUC PROPERTY/SUMDL*tG CO.NLNQSSIONER
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Leeibly
Name(Busitxss:Organizatioivindividual): f!IV LgUtLoslt-5 [14c_
Address: 61 bW✓s.
City/StateiZip:6vJ.-t*Scer 'T AAA os 7 _ Phone N: 7s" ry+- f- C e
Are an employer?Cheek the approprlate box: Type of project(require*:
I. 1 am a employer with,_ 5'— 4. ❑ I am a general contractor and 1 6. Q New construction
employees(full and/or part-time).* have hired the subcontractors
2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7• ❑Remodeling
ship and have no employees These sub-contractors have S. ❑Demolition
working for me in any capacity. workers'comp.insurance. 9. Building addition
(No workers'comp. insurance 5. 13 We are a corporation and its
required.]
officers have exercised their 10.0 Electrical repairs or additions
3.0 1 am a homeowner doing a9 work right of exemption per MGL I LEl Plumbing repairs or additions
myself(No workers'comp. c. 152,41(4),and we have no 12.❑Roof repairs
insurance required.)t employees. [No workers' 13.❑Other,
comp. insurance required.]
Any applicom than chtxxs box fl i must also fill out the section below al owing their workers'componwion policy infmmmiom
t I hmseowmcts who submit this affidavit indicating they ate doing all comic and then hire outside cmtmcmm must submit a new affidavit indicating such.
=Contmsets that chick this tax must ariached an additional sheet showing me none of the sub-comrocmrs and their workers,comp,policy information.
ass .
I an an employer that is providdng workers'cmxperesrtinn ittut ante far my employees. Below Is the pollfy sad fob slue
information.
Insurance Company Name; SeL -rti0
Policy Nor Self-ins.I.ic.M We— Tziti ' Sb�O9.`� __ 2.�I Expiration Date: 8 /1"
Job Site Address: _.71e k9 zrz S (v. �% _ ..._-------------- City/State/Zip:J4L�___, wo
Attach a copy of tba workers'com,penaatioo policy declarailon page(showing the policy number and expiration date).
Failure to secure coverage as required under Suction 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to S1,500.00 anti/or one-year imprisonn ei:,as woii as civii penalties in the form of a STOP WORK ORDER and a Hite
of up to S250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Invrsligaiions of the MA for insurance coverage verification.
I do hereby tort y der the pains and penalties of perjury that the iteformadon provided above is true and correct
sit! all � Date:
Phoned: 751, S34- �Szv
0fitial use only. iyn oaf it d!e to this mmn; f;,,)e r.+JrJetee°by CIO,of town officiaL
City or Town: Permit/License N
Issuing Aulhoriiy(t:ircie erne):
1. Board of health t.Building Department 3.Cityifown Clerk 4.Electrical Inspector 5. Plumbing Inspector
6.Other
Contact Person: _ Phone M
Unofficial Property Record Card http://salem.patriotproperties.conVRecordCard.asp
Unofficial Property Record Card - Salem, MA
General Property Data
Parcel ID 08-0129.0 Account Number
Prior ParcellD --
Property Owner HIGHLANDER PLAZA REALTY TRUST Property Location 210 TRADERS WAY
CIO JAGER MANAGEMENT INC Prope
Mailing Address 261 OLD YORK RD STE 814 Most Recent Sale Date 1 2124/1 9 9 2
Legal Reference 11672-92
City JENKINTOWN Grantor HIGHLANDER PLAZA REALTY TRUST,
Mailing State PA ZIP 19046 Sale Price 11,378,860
ParcelZoning B2 Land Area 4.100 acres
Current Property Assessment
Xtra Features
Card 1 Value Building Value 590,400 Value 32,500 Land Value 2,652,200 Total Value 3,275,100
Total Parcel Xtra Features
Value Building Value 2,593,200 Value 51,600 Land Value 2,652,200 Total Value 5,297,000
Building Description
Building Style Restaurant Foundation Type Slab Flooring Type Softwood
#of Living Units 1 Frame Type Wood Basement Floor NIA
Year Built 1989 Roof Structure Gable Heating Type Forced HIAir
Building Grade Good Roof Cover Asphalt Shgl Heating Fuel Gas
Building Condition Average Siding Clapboard Air Conditioning 100%
Finished Area(SF)8797 Interior Walls Drywall #of Bsmt Garages 0
Number Rooms 0 #of Bedrooms 0 #of Full Baths 0
#of 314 Baths 0 #of 112 Baths 0 #of Other Fixtures 10
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Unofficial Property Record Card http://salem.patriotproperties.com/RecordCard.asp
Legal Description
Narrative Description of Property
This property contains 4.100 acres of land mainly classified as Shop Center with a(n)Restaurant style building,built about 1989,having
Clapboard exterior and Asphalt Shgl roof cover,with 1 unit(s),0 room(s),0 bedroom(s),0 bath(s),0 half bath(s).
Property Images
.x .. .r
Disclaimer:This information is believed to be correct but is subject to change and is not warranteed.
2 of 2 4/7/2016 3:50 PM