70 WASHINGTON ST - BUILDING INSPECTION (2) D
The Commonwealth of Massachusetts .
Department of Public Safety
Massa,huset is Stetr lit,ilding Code(780 CN I It)
t Building Permit Application for any Building other than a One-or Two-Family Dwelling
4 (phis Section For Official Use Only)
Building Permit Number: Date Applied: _ Building Official:
SECTION l:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
iAl
No.and Street Cite/Town votri'(o Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
Edition of NIA State Code used If New Construction Check here❑or check all that apply in till.two rows below —
F.xisling Building❑ Repair❑ Aller.uion ❑ Addition❑ Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:- _
Arc building plans and/or constntction dtx'un,ents being supplied as part of this permit application? Yes ❑ No ❑ ---
Is do Independent Structural Enginwrin, Peer Review required? �7 Yes ❑ Nu ❑
Brief Description of Proposed LVork: rs�T r�d��cfit� �y¢r/�.�a�"( PyGF.(a'I\r .6 1i _�-
tr12D 12 } (1 lA rA V�L IN µT L2nr'D":VC�--�bra u-YC �—
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 enclostai (See 7B0 CNiR.14) ❑
Existing Use CnmP(s) Proposed Use G Exist ): --_--
SECTI;tJ
LDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement IS
Floor(sq.ft.)Fot l Area(sq, fL)and Total Height(ft.)
SECTIOROUP(Checkas a licable)A: Assembly A-I A-2❑ Nightclub ❑ A -4❑ A-5❑ B: Business ❑ E: Educational ❑F: Fado F-I ❑ F2❑ H: md H-I ❑ H-2❑ ill-3 ❑ H--4❑ H-5❑
1: Institutional 1-1 ❑ 1-2❑ 1-3❑ 14❑ M: e❑ R: Residential R-1❑ R-2❑ R-3❑ R-4❑S: Storage S-1 ❑ S-2❑ U: Special Use❑and please describe below:
Special Use
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA IB ❑ 11,\ ❑ ll6 ❑ IIIA ❑ IIIB ❑ - IV ❑ VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CNIR 111.0 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal: 'Trench Pern»t: Debris Renwv if:
' PP Y�
Pu blie Cl A In•nchwill not be Licensed Disposal Site❑
Check if outside Flood 7_une❑ Indicate nnmiripal ❑
Private❑ or indentih Zone:__ or an site ssslem❑ required ❑or trench or specify:_______—
permit is enclosed ❑
Railroad right-of-way: Hazards to Air Navigation:
Not Applicable❑ Is Stn,Ctum within airport approach area? Is their reyie,v complvwd?
ar Gnuonl lu Build rnClosed❑ 1 its❑ orNo❑ Yes❑ No ❑
SFC'ITON B:CONTENT OF CPB7'11'ICATE OF OCCUPANCY
Fklilion of Code: L'se Group(s): 1\'pe of Construction: Clccup,u,l Load per 19oor
Does the building contain an Sprinkler Systvin?:----Special Stipulations:
f
P + r
1
SECTION 9: PROPERTY OWNER AU'I IIORIZA'I'ION
Naur.upl Address ut Properly Uwncr
No.and Street City/Town Zip
Name(Print)
Property 0lvner Contact Information:
Title ---- -- _ 1 elephone No. (business) Telephone No. (cell) a-mail address
If applicable, the property owner hereby authorizes
-- Name Street Address City/1'owu Slate Zip
to act on the m1?erly owner's behalf, in all matters relative to%cork authorized by this fill ild in r perni it 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 0 and skip Section II1.I
10.1 Registered Professional R s onsible for Construction Control
�I e : o
Df# - eA)Y 9 �" Iiq$ i 7�8
n��nlc(Re strop) Telephone No. a-mail address d 19 bD Registration Number
L S1p �— —
Street Address City/Town State Zip Discipline Expiration Date
/ 4,)D14G0k)5''t-9—V0—'r 100
10.2 General Contractor
1> + W CeNs;rzc;re ,�,t� eo `rN�
Compan • Non,
N Ime of Person Respunsfbl for Construction License No. if Applicable
3� C'�uM�f_ SI- �drA$d() (dt1�Ldj7 D
Street Address City/Town State Zip
&Syk- gl ak 67� P w--b vtra�YTidiU dlr�iZt�N r
Telephone No. business Tele hone No. cell e-mail address
SECTION11:�WRKI:.K!,-( emu r N`,A)l"N-WA )u_tM l w1IItIAVli M.G.L.c.152.§ 25C6
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 dental of the issuance of the building permit.
Is a si red Affidavit submitted with this application? Yes O No O
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)=S
1. Building $ Building Permit Fee-Total Construction Cost x_(Insert here
'_. Electrical S appropriate municipal factor)=$
t. Plumbing $
Note: Minimum fee=S (contact numicipalily)
4. Mechanical (HVAC) $
3. Mechanical Other $ Enclose check payable In _
ii,Total Cost - S (contact municipality)and write check number here
SECTION 13: ATURE OF BUILDING PERMIT APPLICANT
By entering 111%, nan1C•below, 1 hereby attest under the pains and penalties of perjury that all of the information contained in this
a on pplicati i. true and aC 5 Irate to the best of u1y knowledge and undcrSholding.
+r ll. 1 1. n •
Title 1F cphone Nu, Date
Street Al r• s __-_._ __-�___--___-� 1 • —_� fcivil- _ .Ve Zip
Municipal Inspector to fill out this section upon application approval: -- -
Name - — .ue-
; '� CITY OF SALE(
PUBLIC PROPRERTY
1 Y DEPARTMENT
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nyui4 hoi urttcert haw cscrcircd[heir 10•Q Electrical«pain or addition!
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Policy 4 Fee
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,6 11 to) 50 00.4 j y idur uue•year imprisanmcnr, ur well as cinl pcnultlu in the I'urm of a STUp tVURK uRpe and a fine
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f ilr ur Town: _
f..kin \ I'vrmitil3eenraa
y. ulhurity (rirvlo noel:
I. Ilrr.lyd n(Ilr.lhh !. Ilnddal� IJapurtment .I. CiIJ.'fortu Clerk 1. Llechie.Il lot ue/ur i,
6. 011lcr
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information and Instructions
er !aria ,+delined as"...every pinion ,n the service of another oadef.lily contract of hire.
tl rs;,rc ltu;cus!linen! laws chaVter I i2 Ic4uues all eugrlo)ers to provide workers cmnpensau,tn tar then crap hes.
I'unu.utt to ens.utute.an• P .
•preis it Implied, oral or wnuan." or an Iwo or more
It cmpluper I+JOrined as"an Individual. purtnenhip,assoelamuo.�this 1rPor:tCtnl Iv Of or tither la decea,ed employer.or the
ed m a Iwnt enterpnse, and inc iallod or other legal enocy.employing employees. However tha
this
.,I the (arerj0111 CnV:IV' almcnhrp,asaoc
,ecerver of Itustce ul'.ul mdivldwl. p
owner of a dwelling house having not more than thra apatmrenu and who resides therein.ur 1ht occupant set
owner 01 3 dwelling
another who employs personf to do maintenunc#,cumruction or repua work on such dwelling hunt
,,r ,; the*groundf or other w appurtenant thereto shall not because of such employment be*deemed to b#an employ
build
ssice
�IGL chapter 152. d_SC(6) also state*that"Ivor'stau or local
licensing a/sacY shag withhold the Its far
ad ur
mblt#vldeace of cutnptisaa with the insurance Of its coverage
o crag required' +hall
renewal of a license or perntlt le operate a bust lace
or to construct buildings la the carnmooweulth ar as
ryPlleunt ly l has nor produced aeerp
lddiciunully, �IGL chapter t S?, i23C(71 states"Neither the conunontable not any
Inter into any cuntract Ibr the performance antedbo the contract g atil luthority'�ncl ul'cumpliwlu with the insurance
requirements of this chupt#r have been p
ayyUcanu checking the boxes that apply to yurr situation and,if
compensation affidavit completely,by numMds)Blatt{wick their cartificate(s)of
Pleatte till:rut the workers' comps ea)and p LLP)with no employers other than the
necessary supply.rub►contraetor(s)rame(,$). addillf psMerships t have
insurance. Limited Liability Companies(LLC)or Limited Liability ant of Industrial
nelnb#rs Or puAners.are not require!to carry workers' eonmplmwtion imursnct. If ao LLC or LLP dote
members
u policy is requite et advised that this Affidavit tray be subaitmd to the 11111d trnallidevit
Also be sun to sl{a uaJ Jute theuauad,act he Micartmcat Of
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\ccidanu for contlrmation or insaramet c��uon for c Is permit or licerw is bain/req required to obtain u workers'
ho returned to elms city or town tiro havehat the yuesttoas regarding the low ur if you art icy tes should enter their
Industrial Accid#nts. Should y o the number listed below. Sear-insured compao
it
colnpen+aeion policy,please call the Department
sO mpalurance lieenet number on the APPI'011floss litw.
City or Town Officials Provided u space set the bottuta
rioted legibly. The Department hat pthe applicant .
Please he cure that the affidavit is complete and p ' applicant
„i the affidavit liar you to t111 out in the event the 011lc#Of Investigations has to contact nut you rc/orddil
an
hwtr which
any given year, need only submit unu.1111davit iudicurin{current
1'I_ase be*sure 10 till in'he Ptlrnitfliccose Wombat which will iv used ar, antrefehcrulJrwrite'nil locutions n a aP (' Y Of
Ihat must submit multiple PeI.,Y) nd under"Jot)Site u9 aPP s" or markepliC d by tit#city or town may be provided to the
policy intormation I if thenccdtswit that has boon officially stamped chi ar
tuwnl•".`copy ermiu ur liecnses. A now affidavit
fur m be filled
venture
applicant as pOut 111ch
roof that a valid ailizen i is to ftl# toa,license or permit not.related to any
year. Where a home Owner, citimn is Obminin{
tie. ,1 dug liccnu or Permit to bum leaves ate.) sail peraut is NOT requred to complete this affidavit.
.Illy tluanonl.
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nd fax nail
f he U.P;,(('nt's +dd The COtnmte". telephone a numberh
of Mauaehusers
Depuvnent of Industrial Accidents
0111es of levadaadons
600 VNtuhington Street
Boston, MA 02111
leis N 617.727E 617 7
ONext 02 Of Id9".MASSAFE
www.mau.gov/dia
• y
CITY OF & .&M, AAss.ICHUSE-M
BULIOLNG DEPART.ONT
130 W-%sHLNGTON STRm, 3i°FLOOR
TEL (978) 745-959S
F,\X(978) 74Q9846
Kt.-,®ERLEY DRLSCOLL
T
MAYOR Ho.�us ST.PIEttaa
DIRECTOL OP PLEuc PROPERTY/aL'IIALYG CONNISSIONER
Construction Debris Disposal Aft3davit
(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 c 40, S 54;
Building Permit Al is issued with the condition that the debris resulting from
this work shall be disposed of in a property licensed waste disposal facility as defined by MGL c
111. S 150A.
The debris will be transporte
d by:
CIO \
O . 0t ti I
(name of haul )
The debris will be disposed of in
(�-
(name of facility)
(addres3 of facility)
signature of permit appl nt
date
:.bn wLbc I
r
S
�03
�D�
RICHARD W. GRIFFIN ARCHITECT
37 Tumer Street,Salem,MA 01970 Tel.(978)740-9979 Fax.(978)740-2352
Scope of Work and Code Compliance Narrative
Tenant Improvements
Masonic Lodge Meeting Area and Club House
Fifth Floor of Masonic Building
70 Washington Street
Salem, MA 01970
August 24, 2011
Scope of Work
The proposed work consists of tenant improvements to the fifth floor of 70
Washington Square. The scope of work consists of the construction of a 9'-0"
x42'-0" storage room within a larger (approximately 56'x90'+/-) function hall, also
within that function hall the existing two 1'0'x2'6" gwb column surrounds will be
replaced by 2'6" diameter(circular) gwb column surrounds to match existing
protection.
The storage room will be used for the storage of folding chairs and other
auditorium accessories. The room will be constructed of non-combustible metal
studs with ''/2" or 5/8" gwb finish and accessed with a solid core wood door. The
room requires no fire rating.
In addition to the storage room the carpeting throughout the approximately 10,300
square foot tenancy will be replaced, the walls will be re-painted, and selected
areas of acoustical ceiling the will be replaced. The tenant occupies the entire
floor which is accessed by an elevator and by two remote, enclosed stairways.
Code Compliance Narrative
The Governing Code in the improvements is the 2009 International Existing
Building Code (IEBC). The scope of work describes a condition of Level 2
Alterations covered in Section 403 of the Code. The storage room construction
causes the upgrade from Level 1 Alterations that includes replacement of finishes
to Level 2 Alterations that includes interior reorganization.
The building is an Existing Masonry Bearing Wall, Steel and Wood Frame
structure (Type III Construction) with an Assembly A3 use group. The building is
fully sprinklered throughout.
Maintaining the required sprinkler head spacing in compliance with NFPA 13 is
the principle code constraint to be maintained. The head spacing within the new
storage room is as follows:
• Existing Function Hall spacing of heads is on a 10'x12' grid starting
4 ' offthe long wall as shown on the attached drawing (Figure 1)
• Note that the maximum distance to any wall from a sprinkler head is
6', maintaining compliance with NFPA 13.
The second issue in the work is compliance with the flame spread ratings of
finishes which shall be in conformance with the building type (IIIB) and use group
(A3) as listed in the International Building Code. According to Table 803.9 in the
2009 IBC the flame spread classifications for the interior finishes shall be as
follows:
All corridors, exit enclosures and exit access passageways — Class B
All enclosed rooms—Class C
Contractor shall confirm conformance with written evidence from his materials
suppliers.
A third issue, the replacement of the two existing column surrounds in the function
hall is governed by table 601 in the IBC, and does not require a fire rating for
interior bearing columns in type IIIB construction, however, the contractor will
maintain the protection provided by the existing gwb surround with equivalent new
construction.
Prepared by,
tow
Ir ? 4
Ir S4L6M.
MA
Richard Griffin OF ass�°u�
Registered Architect
MA License 7814
� 1
I I I
I I I
� I I
EXISTING a NEW
I FUNCTION MALL STORAQE ROOM
Z
I a I I
N= I I
1 � l
I I I
10'-cr 1 4._0.
SP INKLER HEAD SPACING
STORAGE ROOM PLAN
FIGURE 1 .
Office of Consumer Affairs&Business Regulation
I Ii� HOME IMPROVEMENT CONTRACTOR Type:
Regis �102798 1?
Exprationtram, 7I22012 Private Corporaborl
I. D&H CONSTRUb T 1 10.W CO INC_.,_`_'•
Michael Shapiro -
33 Central St.
Peabody,MA 01960 ., ., ` Undersecretary
. Massachusetts- Department of Public Safetc
Board of Building Regulations and Standards
Construction Supervisor License
License: CS 680559
Restricted to: 00
MICHAEL M SHAPIRO
33 CENTRAL ST
PEABODY, MA 01960
Expiration: 6/17/2012
('onnninsioncr Tr#: 26425
CONSTRUCTION
33 Central Street, Peabody, MA 01960
(978)532-8188-FAX(978) 532-7477
www mydandhconsftuction.com
Construction Contract —
This agreement made this�dday of ,7 0 6) 2011 by and between Salem
Masonic Temple of 70 Washington Street, SaleK MA herein referred to as "Owner",and
D & H Construction Company, Inc., of 33 Central Street, Peabody, Massachusetts,
01960, Mass. Contractor Registration No. 102798, herein referred to as "Contractor".
Owner and Contractor in consideration of the mutual covenants hereinafter set forth agree
as follows:
The work,which shall include all of the labor and materials necessary for the completion
thereof,shall consist of the following:
BANQUET ROOM
1. Strip existing wallpaper,size walls,and prepare for paint Paint two coats finish on all
walls.
2. Demo existing base trim and replace with new.
3. Remove and replace existing ceiling tiles with new product
4. Paint ceiling track and hardware
5. Remove existing ceramic file and replace with installation of thatching wood parquet
flooring.
6. Patch water damaged flooring with matching parquet flooring.
7. Sand and finish all (existing as well as newly installed)flooring
8. Frame up partitions to,construct new closet for storage at windows and extend
approx.42' along back wall. Install three sets of doors for future subdivision.
9. Install all new finish trim on new doors and base trim and paint
10. Paint existing five windows and window trim.
1 i. Replace all existing fluorescent lighting lenses.
12.Remove and discard existing water fountain.
13. Prepare three existing square column supports to make round and install decorative
trim.
14.*,Remove existing paneling Repair/replace wallboard as needed to make ready for
paint Prime and paint two coats Beniamin Moore paint Owner's choice ofcolor.
$58,965.00
1
KITCHEN
1. Paint walls
2. Paint ceiling track
3. Remove and replace ceiling tiles with new
4. Install new*Laminate counter
$5,000.00
MENS/WOIVIENS BATHROOMS
1. Remove and install new ceiling tiles.
2. Paint ceiling tracks.
3. All misc.painting.
4. Replace fluorescent lighting lenses.
$4,500.00
MAIN ENTRY/FRONT HALL
1. Remove existing wallpaper..
2. Remove existing and install new ceiling tiles.
3. Paint existing ceiling track.
4. Supply and install new base trim..
5. Replace fluorescent lighting lenses.
6. Install wallpaper to be chosen. (Allowance of$50.00 per roll) $8,500.00
COAT CLOSET
1. Paint walls.
2. Remove existing and install new ceiling tiles.
3. Paint existing ceiling track _
4. Replace fluorescent lighting lenses. $2,500.00
RIGHT/LEFT ENTRY WAY from BANQUEST ROOM TO LODGE
ROOM & TWO STORAGE ROOMS
1.*Right entry to Lod ey Room from Banquet Room.
2 *Install matching wallpaper to front hall and Paint.
3.*Rz-eht storage Room at left entry to Lodge Room from Banquet Room.
4.*Paint walls and trim.
$1,800.00
COCKTAIL ROOM
1. *Remove and install new ceiling tiles.
2. "Paint existing ceiling. track
3. °Replace fluorescent lighting lenses. $5,500.00
COSTUME CLOSET/STAGE SIDE OFFICE
L Replace damaged insulation with new.
2. Replace existing ceiling tiles with new.
3. Paint existing ceiling tracks.
4. Paint walls. $3,500.00
MAIN LODGE ROOM
I. Update all track lighting on stage.
2. Replace all recessed lights in room
3. Install oak panels on stage ends and desks.
4. Re-frame existing stage stairs as specified with curved arch sides.
5. Install oak newel posts, oak railing, and white decorative balusters as specified.
6. Remove and replace all stadium-seating as needed for installation of new carpet
throughout,including stage and stage-side office
7. All new carpet throughout main lodge room and stage side office including stairs.
8. Install black and white stone tile to create a Masonic Mosaic Pavement with
tessellated edges in center of room as specified. $48,850.00
TRASH, PERMITS, and PLANS $6,000.00
Contractor shall perform the work in conformance with such plans and specifications, if
any, as have been provided by the owner or the contractor,which plans and specifications
shall be deemed incorporated into this contract by reference,and will do so in a
workmanlike manner. Contractor is not responsible for performing any work not
specifically referred to in this contract.
Owner shall pay contractor the sum of One hundred forty five thousand, one hundred
fifteen dollars,
($145,115.00), in installments as follows:
($ 14,500.00),upon signing this contract with progressive payments to follow as stated
below.
NOTE: Due to time constraints based on access to,and availability of work areas,
all following payments to be broken down by nature of work completed in a fair and
proper manner based on work listed above. Payments to be received no later than
one—two days following completion of said work.
In the event any installment is not paid when due,contractor may stop work without
breach until payment is made and for five(5)days thereafter. In the event any installment
is not paid within ten(10)days after it is due, Contractor may,at its option deem this
contract terminated by the owner and may take such action as may be necessary,
including initiating legal proceedings,to enforce its rights hereunder.
At all times during construction, Owner shall provide and maintain free and unobstructed
access to all areas of the site where the work will be performed and shall provide,at
Owner's sole expense,water and electrical service.
Due to the nature of construction there may be some damage to the landscaping.
Dumpsters and heavy equipment may be necessary.and may cause damage to the
driveway blacktop and lawn.As long as Contractor shall exercise reasonable care,it shall
not be liable for any damage to the above-mentioned landscaping,lawn,or driveway.
NOTE: Hammering to walls,roofing, and around windows may cause dust m attics,
plaster cracks,and things falling.
Contractor shall not be responsible for claims for damages to persons or property
occasioned by Owner or his agents,third parties, acts of God or other causes beyond
contractor's control. Owner shall hold contractor completely harmless from,and shall
indemnify contractor for,all costs, damages, losses,and expenses, including judgments
and attorneys fees,resulting from claims arising from causes enumerated in this
paragraph-
1.All work shall be completed in a workmanlike manner and in compliance with all building codes and
other applicable laws.
2.To the extent required by law all work shall be performed by individuals duly licensed and authorized by
law to perform said work_
3.Contractor may at its discretion engage subcontractors to perform work hereunder,provided Contractor
shall fully pay said subcontractor and in all instances remain responsible for the proper completion of this
Contract
4. All change orders shall be in writing and signed by both Owner and Contractor. Contractor shall be
responsible to provide only the work described in this contract and in such change orders as may from time
to time be agreed to between Contractor and Owner. All change orders shall specify in detail any
additional work called for and the price for such labor and materials as shall be necessary to complete such
additional work.
5. Contractor warrants it is adequately insured for injury to its employees and any others incurring loss or
injury as a result of the acts of Contractor or its employees and subcontractors.
6. Contractor shall at its own expense obtain all permits necessary for the work to be performed.
Contractor shall not,however,be responsible for obtaining any variances or other zoning relief,or for the
cost thereof as may be required to enable the_Contractor.to obtain a building permit
7. Contractor shall not be liable for removal,recalrbration,or replacement of alarm systems,satellite
dishes,wall or window air conditioning units or faulty cable,electrical,and telephone connections.
8. Contractor shall not be liable for any delay due to circumstances beyond its control including strikes,
casualty or general unavailability of materials or the discovery of the conditions or defects upon the site or
in the structure(s)thereon not known to the Contractor at the time of execution of this contract and which
may be discovered during the course of the Contractor's completion of the work In addition,the Owner
acknowledges and agrees that in certain remodeling work the demolition of portions of the pre-existing
structure may reveal additional defects,conditions or the need for additional work which must be repaired,
altered or carried out in order to commence or complete the work called for in this contract In such case,
the Owner agrees that the duration of the work and any scheduled date of completion may vary from that
which has may be set forth herein and Owner agrees execute a change order detailing the cost and scope of
the additional work necessary to repair,correct or alter such additional defects and conditions.
9. Contractor wanmcs all work for a period of 36 months following completion.This warranty is void if
payments have not been made to Company Agent or Foreman when due and in the full amount specified.
10. Owner agrees that in the event it becomes necessary for Contractor to collect any payments called for
hereunder or to enfome.any provision of this agreement,Owner shall be responsible for the costs of such
collection or enforcement,including reasonable attomy's fees.
You may cancel this agreement if it has been signed by a party thereto at a place
other than an address of the seller,which may be his main office or branch thereof,
provided you notify the seller in writing at his main office or branch by ordinary
mail posted, by telegram sent or by delivery,not later than midnight of the third
business day following the signing of this agreement.
. rN
Signed this Z y day of vL = 20 �l .
,� Company Representative
eT Owner
�063%/-961 S-4 66'n
h 55 GC./A