201 WASHINGTON ST - BPA 17-260 #100 SALON y ��f+ �
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`� The Commonwealth of Massachusetts
� Department of Public Safety
� �� �nYu� Yl.�ssaehusetts Stntc Duilding Cudc(780 CMR)
6uilding Permit Application for any 6uilding other than a One-or Two-Fa i Dw 'ng
(This Section For Offici.il Use Onl )
6uildingPermitNumber: DateApplicJ: 6uildingOfficial:
SECTION 1:LOGCCION(Please indicate Dlock q an1 Lot#for locations for which a street aJdress is avail;ib e
�� d'�$�i .1���., �f- f�?Q
ilo.and Strect � �City/Town Zip Cude Name uf 6uilding(if applicoble) .
— SECI'ION 2 PROPOSED WORK �
Edition of�IA Sta[e Cude used if New Cunstructiun chcck here 0 or check all that apply in tlie lwo rows beluw
Esisting 6uilding Rep�iir❑ rUtcratian Additiun Demulitiun 0 (Plcase fill uut�md submit Appindic�l)
Change uf Use ❑ Change uf Octtipnncy ❑ Other ❑ Specify:
Are building plans and/ur construction documents being supplied as part of[his permit applicalion? Yes ❑ No
. Is nn Independent Structural Enginecring Pcer Review rcyuired? Ycs ❑ Nu�
6rief Description uf Propused Work:
.
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SECIION 3:COMPLETE THIS SECTION IF EXISTING UUILDING UNDERCOING RENOVA'fIOfY,ADDITION,OR
� CEIANGE iN USE OR OCCUPANCY
Check herc if�in Esisting 6uilding Inves[igation and Evaluation is enclused(See 780 CMR l�k) ❑
Esisting Use Group(s): Propused Use Croup(s):
SECTION 4:DUILDING HEIGHT AND AREA
Esisting PruposeJ
Nu.uf Floors/S[ories(iudude basement Ievels).�Area Per Roor(sq. ft.)
i'otal Arca(sy. ft.):md Tutal Hcight(ft.)
SECTfON 5:USE C20UP(Check as ap licable)
A: Assembly A-1 ❑ :\4❑ Nightdub ❑ �4J ❑ A-4❑ A-5❑ B: t3usiness ❑ E: EJucational O
F: Facto F-�l ❑ FZ❑ fL• Fii h Hazud H-1 ❑ H-2 O` H-3 ❑ H-�F❑ H-5❑
h institutional !-1 ❑ !-2❑ I-3❑ [-�F❑ hL• ��(ercantile❑ R: Residential R-l❑ R-2❑ R-3❑ R-0❑
, 5: Storage S-1 ❑ SZ❑ U: Utility❑ Special Use O and plcase describe beluw:
. Special Usc � -'
SECTlON 6:CONSTRUCT[ON"IYPE(Check as a plicable)
L\ ❑ IIS ❑ IL� ❑ I(13 ❑ I!!.1 ❑ II16 ❑ - .N ❑ VA O VU ❑
� SECT[ON 7:SITE fNFORi�(ATfOY(refer to 780 CD1R 111A for details on each item)
4Vater Supply: Floud Zone[nformation: Sewage Disposal:
"Crench PenniF. Debris Removai:
Public❑ Check if outside Flood Lune❑ Indicate munlcipal❑ A Irench will nut be Licensed Dispusal Site O
reyuimd �or trench or specify:
Priv.ite❑. ur indentify Zoue: ur on sitc system❑ F��rmit is endnsed❑ \.
I2aiiroad cighbuE-way: lL�zards to Air N�avigation: �in i h � n-j ,nnn v n I..:cic��i mc�yr. �
Nut r\pplitable❑ Is Structure within nirport approach area? . ._-�� Is their review cumpleled�. .. .
ur Consenf tu 13uild encluseJ❑ Ycs O ur Nu❑ Yiy❑ ��ji� ❑
SEC'iION 5:CONCGNT OF CC•liTIPICATE OF OCCUP�WCY
Ldilion nf Cod¢: Usa Gruup(s): �fl`p���f Cuutilrucfiun: Oecup�in[ Lu,�d per Pluor:_
. Ducs Ihc builJin�,conL�in on Sprinklrr Systcm?�_ SE,cci,tl Slipulatiuns:_
.. ++%
sEcr�oH v: i�iioeeirrY o�v�ra nun�oitizrcnoN
Namc,md Adilress uf Prnperty Owner
V:1111L'��f1�ll�
�fu.�ndStrcet City/Town Z�V
Property Owncr Cuntad fnfonna[ion:
Tille Tclephune No. (business) 'fclephone No. (ccll) c-mail ad�lress
ff,�p licnble, Ihe pruNe ty oivnir�hereby:uithorires
� � �'.� 1��C a- s�Z _��__� oa � � �
' Namc Street Address City/Town State Zip
to ad on thc ru cr uwner's bcholf, in all mnl[ers rclative tu wurk au[hurized b tHis buildin ennit a licatiun.
SCCTION 10:CONST2UCT[ON CONTROL(Plense fill oat Appendix 2)
If buildin is less thon 75,OU0 ca(t.uf enclnsed s am and or not unJer ConstniclionConlrol then cheek here O and ski Section 10.1
lU1 Re istered Professional Res onsible for Cunstruction Control
Name(Registran[) Tclephone Nn. e-m.ii!address . � Registration Numbcr .
Strcet Addnss City/Tuwn � State "Lip Ducipline Espiratiun Date
10.2 Ceneral Contractor
I 5 veai C�- o+v �
Co�upan ame es-/ �l'� I � � �� '
�l,f i r.G-�,�»-� L �v�t
N un�e i f Person Respunsible for Cunstru2 un License Nu. nnd Type if Applicuble
�a5_��n) �q' 0 2 i a']
S eet Addcess City/Town , S[ate Zip
_ ��-5�6� Bu K�e�-'���a -�_ c��
"fcic hone No. business Tcic hone No. ccll � c-mail aa dress
SECTION 1L•��'i)I_KI'.itti"C:OM�'�SN`�,\�fIUN tNtiUR:�\C�S:VPiI a�Vfl' M.G.L.c.152. 25C 6
A Workers'Compensatiun Insur.ince Affidavit from the b[A Department of Industrial Accidents must be cumpleted and
submitted�vith this applicntion. Failure to provide this affidavit will result ui[he denial of the issuance of the building pennit.
Is a si ned Affid�rvi[submitted with this a lication? Yes❑ No ❑
SECTION 12:CONSTRUCI'ION COSTS AND PERMIT FEE
8s[im:ited Costs:(Labor
����1� and hlatcrinls) Tutol Cunstruc[ion Cust(from(tem 6)='S
L Uuilding 5 d � 6uilding Permit Fee�Tatal Cunstruction Cusc x_(Insert here
� �. Elcetrical "� O � appropriate municipal factor)''S
3. Plumbing `S C7 �
Nu[e: �finimum fee=$ ( untact municipali[y)
�F. �Icchnnic.d (FNAC) 'S
�. ��Iechanical Olher `� Bndose dteck poynble tu
6.Tut:il Cust � Q(? �i (contaet inunicip.ility)and write cheek nwnber here
SECCfON 13:�IGYATURE OF UUtLDINC PERh1IT APPLICANT
ISy entering my n.ime below, [hereby.�Itest imdcr thc pains and pen.dties uf perjury thac all of Ihe infurm;itiun tuntaincd in this �
application is true and accur.ite W Ihe best uf my knuwledge and understandinK. �� / �
_ l'A,:.,�,�.�- 6� S�//Y� � �3
P r.isc prin md sit;n n.ime fitle Tclephone�lu. Datc .
� ,�qY � ��2 _��o��— � �2 ,��
tilrcct Address City/Tuwn Stace Jip
��lunicipal Inspector to fill nut this sc.tiun upun application approval:
N.imc Datc
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`�"''i "� I�.1. (97�9) 7�1-9593
'<1ScoE2L.cY o(ZfSCOLL F�'�()73) 7•{0•93-{.S
��UYo,t �t�ia�t�t Sr.P►�,zns
Of:IECTOR UP PCOL(�pRdpEg�/a���G C01L1((��lO.V EA
Cunytructton Debrts Dlsposal t1t'�duvlt �
(rcyuireJ tor aU dcmalitiun :uid renuvattan tivark)
fn accunlanco wiUi tlio sixd�c�litiun of die Stata 8uilding Cada� 730 C�bfR srctran I ( (,g
�cbris, vid the provi.vians ut�bfGL a d0, 9 id;
�uil�in� prrmit,��_ i9 issued with the curtdltton that tha dcb�is rasulting P�om
�hiy tivur!< shall be dispascd ot'in u proparly licensrd �voytn dlspasa) faaility as J�t�ncd by�LfCL c
l l I, S I SQA.
1'hu �I�hris will ba trnnspartcd 6y;
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f'he�Ichris will l�v dispased oPin :
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�!�" CITY OE S.1L.E��I, 1�L-1SS.-�CHUSE'ITS I!
Bt;i[n�c Der j[tr�c�.�r
3 } � . !_ � 5 l?O W.�SHINGTON$'[1tEET,3"F1.00R �
\ �� 'I�1. (978) 745-9595
Fnx(978) 7�fQ-98i5
��BFRi F.Y DRISCOLL 'I�lon4�SST.Pt�ueB
��y�� DIRECtOtt OF Pl:BLIG PROPERIY/BI:II�LYG COJL�IISS[OVER
__ .. �..______..._
�Vorkers' Cumpensatton in3urance Affidavit: Buitders/Contracto�s/Electricians/Plum6ert
apnlic�nt Infirrmatlnn Plcase print Le�tbiv
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V.1tl1C(Uusin��+sUr�nizatiurulndividual): �C/��� � .�u �'l.0
Al1l�CC3S: %Y .C� — �7�7�� d�`T 1 .
City/StatelZip: _,�_��r�� (M�4 �z(2�honeN: h r �J � f/ �
Are you mployer7 Check the appropriate boY: 'Pype oPprnJect(rcqulred):
L �m a cm lo erwidt_�� �• � �����ncml contractor anJ 1 �
P Y 6. Netv connuucGon
�mployeea(full and/or pa�t-nme).' have hiced tha sulti:onlracta�s
2.� 1 am a sola proprictor ur ponnur- lis�ed on ihe�ttached yhe¢t i �• ❑Remodeling
,hip;u�J hava na employeer These subconVacton have 8. []Demolitioq
wurking. fur md in•uny capaciry. worken'comp.inaurance, g, �puilding�ddition
(No worken:comp. ineurance 5.'[] We am a cortmration pnd iq .-
ruyufrcJ.j . of(tcm Nave exq�etsed Uieit �0.�ElecMicu!repain or additiana
- 3.� 1 am a homcowncr doing all work right oPexemptiun per MGL I�•�Plumbing repain or udditions
myxlf.[hb workcia'cump. c, t52.$l(4j,artJ we have no 12.0 RooF cspeir.t
insuranca reyuiced.j t employaea;[No worken'. 17.0 Otha
cump:in.wrance requind.j.
. -�nyappll.:uqihuch�xkabmtNlmuualyufiliuu�iharcctfoobclowahowinythe'vamkwa'mmpmuifunpolkyinfunnotlon.
!I h�muuu�n�.�+who rulunit i�i�atlfdavit indiwing Ary�ie�lainy oll woh and tAcn hlio uiiUidernnunctaa mual�u6mf1 a new a(It�laril indtcviny yuch
=Canuxwn�hat chak ihb box mwt aeaclwd un s�Wiuu�ut xhm�ehuwinp iha nome of tAe mbconincton anJ�he4.wuhad�mmµ pulfq iniwmaNan.
. lmnurt-enrpluyo�huNrprovldingivorken'comprnsadonl+�turonctjnrmyempluyerx� Beluwl.vl/tipo/fcyundfobs!!�
injonnullam —
In,umnce Cumpany Name:
Pnlicy B ur Srlf i�u.Lic. N: 1�0� �� .� C�I Expimtion�ote: /6 � � '
�
lub Siro AdJresy: CiiylStatr/Zip:
,\ttacB a copy u[tha»rorken'compensation policy declnrntlon pa��(shawtng tha pollcy numbor and expinHon date).
Fuilure tu sucure covemgn�rcquireJ under Section T3A ut'�4GL c. �32 can lead ro the impwi�ian af crimin�l penaltiea of a
tinc up ro SI,500.00 unJ/or ono-yaar imprisonmen4�s well a.r civil pcnaftien in thn Porm uf u SToP WORK OR�EA and a Iine
of up eo$�SO.QO a Juy�gainst�he violacar. 13e adv�sud ehut a cnpy uC thix statcment may Ixs forwuided to�ha Ol lice of
imas�igwimtv ul'ihc DfA forinsurance awcrog¢vcriticnlioa .
/du hrrrby rr�d dti rp a��J � jprrfary rAut � injunnu/lon proviJrd ubuvr ia/r a und corr L
I� /, Dut • a'� � .
t'hnnal. �E7 � � ��I'l �[ �1f� '
O/jiriu!ure m�ly. Oo irot i��i�e in drlr urru,to be cunrplated by ciry w�awn n/JlcluL
City or'Pu�vn: Pcrmitll.![ema� �
Issuing.\ulharity(circlaunc): . -
I. 6uorJ uf Ilc�llh 2. Ruildin�Oep�rtmenl J.Citylfo�vn Cterk L Eleetrlc�l (nepe.tor i, Plumbing (nepectar
� G.Other__
Cunl�ctPcrson: . � _ _____. Phonclt:
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T DESIGN; LLC
21 TJ Mullanev Dr
Randolph, MA. 02368
. Phonz: 617-797-(637
August 6, 2013 .
City of Salem Inspectional Services ,
� 120 Washington St., 3rd Floor
Salem, MA 01970
Re: Beijin Herba] Foot Spa
201 Washington Street, Unit #100
Salem, MA. ; �
Contruction Type: 2 unprotected ' " .
Existing use: Group B .
Proposed use: Group B
Scope of the project:
According to the IEBC (International Existing Building Code). The Work Area
Compliance Methods for Existing Building Alterations—Level-2. (Chapter 34: Existing
Structure�,is fully complied with
Sections:
701.1 When reconfigure building, the result is to Comply
with 521 CMR Comply
Handicap bathroom provided
7013 All new construction elements, components, systems, and spaces shall
comply with IBC Comply. All construction elements, components
complied with IBC
7041.2 Major Alterations will required automatic sprinkler system
No maior chanpes
704.2.2 All use groups include "GroupB" work areas that have exits corridors
serving an occupant load greater than 30 shall provided with automatic
sprinkler protection Complv
Occupant load is less than 30
. � .
� ' �., '
V�
T DESIGN, LLC
21 TJ Mullaney Dr
Randolph, MA. 02368
Phonz: Cl7-797-(C37 �
704.2.5 Supervision, Fire sprinkler systems shall be supervised by Approved
central station in accordance with NFPA 72
Complv �
705.2 Means of egress shall comply with NFPA 101
Comply . There are 2 egresses provided (3 fr door)
7053.1 Not Applicable One floor onlv and not share exits or corridors
705.3.1.2 Not Applicable No fire escanes in this buildinQ
70533 Not Applicable Less than 300 occupant load
705.4.4 NotApplicable NotQroup "A"
706.1 Accessibility refer to 521 CMR
Complv .
707.4 Not Applicable No stress increased structural elements or
BuildinQ of Group "R"
707.5.1 No Alterations Alteration did not result in structural irrepularities �
708 Section Delete
710 Section Delete
You may reach us at our office at 617-797-6637. Thank you for your consideration in this matter.
Very truly yours
Tuan Nguyen, P.E.
Profesional Engineer -
�,ZW QF�,y� �
p�� TUAN 9��G�q
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NGUYEPI y
.g� No.4�,563
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LEGEND
� EMERGENCY LIGHT
ExiT EXIT SIGN AND
EMERGENCY LIGHT COMBO
REAR DOOR
❑F PULL STATION
0 STROBE LIGHT >>'—��"t s'—s�"t
EXIT
*� � F
STORAGE � BATH
�
EXIT
`-COLUMN
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. TOTAL AREA = f1340 S.F. . I
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BATH ;n
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EXIT
' ENTRANCE J � ����F�S I
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20'-0�°f o� TUAN �
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o NGUVEN y
,,. ' " ry�. 63
EXISTING FLOOR Pl�4N �'��S ���'
SCALE: �" = 1 '-0"
PACE NUMBER ����� TM PROPOSED BEIJING HERBAL FOOT SPA AT : RE"5'°" .
T � E � I � f�l oR�wn: ix
z, T� MULLANEY DRIVE °�E°�° TM 201 WASHINGTON STREET, UNIT #100
A- 1
T.DESIGNt�COMCAST.NET oeir: 0�/2Y/ta SALEM MA.
RANDOLPH, MA. 02368 617-797-6637 �wrto�rn: m '
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LEGEND
C = _:_:-:� EXISTING WALL
O PROPOSED FULL HEIGHT WALL
� PROPOSED 8' HEIGHT PARTITION WALL
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A9 FGIS a`�
�SSION
PROPOSED FLOOR PLAN
SCALE: �" = 1 '-0"
YAGENUMBER ����� TM PROPOSED BEIJING HERBAL FOOT SPA AT REV1510N
--r o E � i � � oa�vm: n+ 201 WASHINGTON STREET, UNIT #100
a[atm: ix
A_ � 21 TJ MULLANEY DRIVE T.DESIGN�COMCAST.NET oare m/sz/ta
RANDOLPH, MA. 02368 617-797-6637 i,wxo�in: TM SALEM MA.
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GENERAL NOTES:
�" F.R. GYP. �" F.R. GYP. 1 . THE CONTRACTOR OR OWNER IS RESPONSIBLE FOR OBTAINING AND PAYING FOR ALL PERMITS REQUIRED
(EACH SIDE) (EACH SIDE) FOR THIS PROJECT.
2. ALL WORK SHALL BE PERFORMED IN ACCORDANCE WITH THE COMMONWEALTH OF CURRENT MASSACHUSETTS
STATE BUILDING CODE AND OTHER APPLICABLE CODES.
3. THE CONTRACTOR IS SOLELY RESPONSIBLE FOR MEANS, METHODS, TECHNIQUES, SEQUENCING, SCHEDULING �
¢
AND SAFETY FOR THIS PROJECT.
4. THE CONTRACTOR SHALL WARRANTEE HIS WORK FOR A PERIOD OF ONE YEAR FROM THE DATE OF FINAL Q
2x4 C�D 1 6" O.C. ��
SUB FLOOR MEfAL STUD WALL COMPLETION.
� : 5. THE CONTRACTOR SHALL REPORT ANY DISCREPANCIES BETWEEN DRAWINGS SPECIFICATIONS OR FIELD ��
o�
CONDITIONS TO T DESIGN IMMEDIATELY. �z
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TYPICAL WALL FRAMING ��.�N°Fro�s�c ��
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C H.C. TOILET F H.C. LAVATO RY � N �
SIDE VIEW FRONT VIEW SIDE VIEW = �
' TOILET ROOM LEGEND '
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