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311 DERBY STREET - BUILDING JACKET (FLATLBREAD PIZZA) Superkib® Oversized-Tab Folders 90%Larger La6elArea A /// S M E A KEEPING YOU ORGANIZED No. 10301 PATENTPENDING /^�' AINA"E MIN.RECYCLED T INR TIVE CONTENTIO%¢ CeNTieEFD¢r5¢vrting POSTCONSUMER vmw.Kproprompr9 S lm MADE IN USA GET ORGANIZED ATSMEAD.COM Certificate Number: B-17-258 Permit Number: B-17-258 Commonwealth of Massachusetts City of Salem This is to Certify that the Building located at ................................................................................... ... ..................................................................................... Building Type .......................................................................311 DERBY STREET.......................................................................... in the ............................................ Salem Address Tmn/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Bowling alley area FLA TBREAD PIZZA This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ...............................Not Applicable unless sooner suspended or revoked. E)piration Date Issued On: Wednesday, August 16, 2017 �` '/ Commonwealth of Massachusetts City of Salem a i ` , 0 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 �\ r Return card to Building Division for Certificate of occupancy O Permit No. B-17-258 p ' R M I T T O BUILD FEE PAID: $1,023.00 0 DATE ISSUED: 4/14/2017 This certifies that SOUSA JEROR IE R JR C/O SALEM FLATBREAD, LLC has permission to erect, alter, or dem<Ilish a building .311.DERBY STREET Map/Lot: 340443-0 as follows: Other Building Permit REMODEL EXISTING EMPTY SPACE TO BUILD FOUR (4) BOWLING ALLEYS WITH SEAT ING, INSTALL STORAGE MEZZANINE OVER ALLEYS (APPROX 23' X 19'). OPEN UP EXISTING RESTAURANT TO BOWLING ALLEY. Contractor Name: WILLIAM M. WAL: SH l DBA: WILLIAM WALSH CARPE NTRY Contractor License No: CS-058383 I ` .4 4/14/2017 Building fficial ' Date This permit shall be deemed abandoned and inv a)id unless the work authorized by this permit is commenced within six months after issuance.The Building official may grant one or more extensions not to exceec, six months each upon written request. _ All work authorized by this permit shall conform b the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use if any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clear. Y visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. I The Certificate of Occupancy will not be issued_ ,ntil all applicable signatures by the Building and Fire officials are provided on this permit. HIC#: 127323 l 'Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.1 42A). r. Restrictions: 4 a Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. a + a Commonwealth of Massaohlase4ts, City of Salem T 9 R 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy — i ell Structure CITY OF SALEM BUILDING PER-MIT Excavation PERMIT TO BE POSTED IN THE WINDOW Footing INSPECTION RECORD Foundation Framing Mechanical Insulation /_ INSPECTION: BY DATE -himney/Smoke Chamber 7inal k Plumbing/Gas ough:Plumbing , ough: d i6 1 inal Electrical V[ L9 rvice uagh. J F partme liminary i I al 5S Health Dep1lirtirlhent iminary l I � t Certificate Number: B-17-258 Permit Number: B-17-258 Commonwealth of Massachusetts City of Salem This is to Certify that the ...................................................................................Building........................................................................... located at Building Type ......................................-..................................311.DERBYSTREET.......................................................................... in the .....................................City of Salem ................................................. Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Bowling alley area FLA TBREAD PIZZA This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ...............................Not Applicable unless sooner suspended or revoked. E)piration Date Issued on: Wednesday, �August 16 2017 - Commonwealth of Massachusetts ` City of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 1 \ Return card to Building Division for Certificate of Occupancy i EE No: 6.16.559 PERMIT TO BUILD FEE PAID: $3,300.00 DATE ISSUED: 6/16/2016 This certifies that SOUSA JEROME R JR - has permission to erect, alter, or demolish a_building., 311TD.ERBY STREET Map/Lot: 340443-0 as follows: Other Building Permit- TENANT FIT OUT FOR RESTAURANT Contractor Name: WILLIAM M. WALSH DBA: Contractor License No: CS-058383 6/16/2016 Building Official y Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within sairrionths after issuance.The Building Official - may grant one or more extensions not to exceed six months each upon written request. - All work authorized by this permit shall conform to the approvedapplication and theapproved construction_doccuments for whichthispermit has been granted. All construction,alterations and changes of use of any(buihiing.and structures;shall be in compliance with the Io4cal zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the - work untilthe completion of the same. - - V The Certificate of Occupancy will not be issued until all applicable signet res by the Building and Fire Officials-re provided on this permit. w s HIC#: 113433 jrsons contracting with unregistered contractors do not have access to the guarenty fund'(as set forth in MGL c.142A). Restrictions: Building plans are to be available onsite. All Permit Cards are the property of the PROPERTY OWNER. f" Commonwealth of Massachusetts City & Salem uFloor120 Washington St,3rd Salem,MA 01970(978)745-9595-x5641 Return card to Building Division for Certificate of Occupancy I r structure CITY OF SALEM BUILDING PERMIT k :Excavation - PERMIT TO-BE;POSTED_IN THE.WI.NDOW, m Footing INSPECTION'INSPECTION.RECORD Foundation L i Framing Q/4� Mechanical - # Insulation INSPECTION: BY DATE Chimney/Smokebhamber. - f Final iA a / 1'$, Plumbing/Gas . f Rough:�Plumbin Rough!Ga Final N,vl 1 . l Electrical Service - - ... Rough Final /��i UNT .060 L/ tiG 6✓�—LG Fire Department PreliminaryGT.? t G/J-G �JGG'r1� . �/—/t/r7i�y� �j -G/�^/Li✓/ Health Department Preliminary Final - N Certificate Number: B-16-559 Permit Number: B-16-559 Commonwealth of Massachusetts City of Salem This is to Certify that theAuto Repair Building located at ......................................--..........................................--................................................................................................ Building Type .......................................................................311 DERBYSTREET.......................................................................... in the City of Salem Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY Flathread Pizza This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and expires ............................NotApplicabk............................. unless sooner suspended or revoked. E)piration Date ' Issued On: Friday, September 02, 2016 Commonwealth of Massachusetts t 3 m 411\- Citv of Salem s q q 120 Washington St,3rd Floor Salem,MA 01970(976)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit No.$3 B-16-559 PERMIT T® BUILD FEE PAID: $3,300.00 DATE ISSUED: 6/16/2016 This certifies that SOUSA JEROME R JR has permission to erect, alter, or demolish a building 311 DERBY STREET Map/Lot: 340443-0 as follows: Other Building Permit TENANT FIT OUT FOR RESTAURANT Contractor Name: WILLIAM M.WALSH DBA: _ Contractor License No: CS-058383 6/16/2016 Building Official Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within s or months after issuance.The Building Official may grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall 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 anybuilding 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 street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. 1 The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. HIC#: 113433 'Persons contracting with unregistered contractors do not have access to the guarantyfund'(as set forth in MGL c.142A). Restrictions: ' Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Commonwealth of Massachusetts L\ /. -, ►, a a City of Salem 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 Return card to Building Division for Certificate of Occupancy Structure CITY OF SALEM BUILDING PERMIT PERMIT TO BE POSTED IN THE WINDOW Excavation 4 Footing INSPECTION RECORD Foundation Framing o k Mechanical Insulation INSPECTION: BY DATE Chimney/Smoke Chamber Final IrL Plumbing/Gas ±Lgt -576 De- Rough:PlumbinVK p ,I . Rough:Gavz VK 11�a%/-/! V Final r�„(_ Electrical Service Rough Final Aa U`-' �J J� �/�L-��-i 4-)I)L-4 Lgo / /1U.�T ,OGvn L� tiC� .�✓�-LG Fire Department Preliminary �//V/�•� Gam'CGS C-,T.� ! C�”"!!4�� ¢/�G�r,�Q✓� /l/� �. Final Health Department ��//�, i�LG�✓� v/ 3�/�l' ,�L�°�C Preliminary Final 8 . �IpZ.3°vGc-j3t 5 t The Commonwealth of M s K � �� A 11= 06 kDepartment of Public Safey� l7" W 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: SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) { No.and Street City/Town Zip Cade N e of Building(if ap licable) SECTION 2 PROPOSED WORK. Edition of MA State Cade used If New Construction check here❑or check all that apply in the two rows below Existing Building Of Repair❑ Alteration ❑ Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1) Change of Use ❑ 1 Change of Occupancy ❑ Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes fir No ❑ Is an Independent Structural Engineering Peer Review required? Yes 11 No ❑ Brief Description of Pro sed Work: V_Y.14�-nL\CTV—:--AkV,-rVPA-y- `C'O � � t i 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): I 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 ❑ A4❑ 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❑ 1-2❑ I-3❑ I4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑ S: Storage S-1❑ S-2❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as a Ifcable) IA ❑ IB ❑ IIA ❑ IIB jtl IIIA ❑ IIIB ❑ I IV 13 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit. Debris Removal: Public9 Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site E3 Private❑ or indentify Zone: or on site system❑ required❑or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: NIA I Iistvric_Commission Review,.F'nxrs: Not Applicable❑ Is Structure within airport 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 Cosle: Use Group(s): Type of Construction: Occupant Load per Floor: Dass the building contain an Sprinkler System?: Special Stipulations: ( t✓ 1 L-Y,. tQ1 Y1'1 t�677 `� 4 1-6 C, . SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner -:TOW "5W'ANS%URGrMA Ckc:kl S Name(Print) I 'No.and Street City/Town Zip Property Owner Contact Information: OWNKFa- q79-A9 1040 Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the properttyowner hereby authorizes �, ' 1 L.1. A/Vt Ml"-54 l 6-LAkMMF P6 L./l1 PSW t/-" Name Street Address City/Town State Zip to act on the proWrty owner's behalf,in all matters relative to work authorized this buildingrmit application. SECTION 10.CONSTRUCTION CONTROL(Please fill out Appendix 2): f l Wdihg is less than 35,bo cu.ft;of enclosed s and or not under Constmetion Controt thenche&here El and skip Section 10.1 10.1 Re redProfessional Responsible for Construction Control CRV�� Biu! VA)J 761- 26c'aQq kgo N .0irgistrant UR� T lep onlI.o e-mail ©1q Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor y,frLL/AM WA"4 CARP 1�CR Company Name WILIJ AA& WAL-5 A C-5 6-5S3 83 Name of Person Responsible for Construction License No. and Type if Applicable 15 �ki'dL+4IJ5 �PSW'tu-� ©I Street Address City/Town State Zip 64,.j t NAV P Z)qg ( I- e Co Telephone No.(business) Telephone No. cell NJ e-mail address SECTION 11:4WORKl ' 'MMPEN ATION INSURANCE:AF.FI VAV't' NLG.L.c.152.S 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 0 No 0 SECTION 12:.CONSTRUCTION COSTS.AND PERMIT FEE Estirpated Costs:(Labor Item and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ 0=40 e X,0 Building Permit Fee=Total Construction Cost x—(Insert here 2.Electrical $ E10n . e O appropriate municipal factor)_$ 3.Plumbing $ 640, too 4.Mechanical (MVAC) $ mom �&V Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ 0. Enclose check payable to 6.Total Cost $ C W (contact municipality)and write check number here SECTION 13.SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge.and understanding. W►w AM W,&:S I1 t, �� C�►�rt rC'o ` $3�-3°!� I �tj 17 Please print and sign naive Title Telephone No. .to 1USS W t c.J-1 M a k9 3 S Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: _ 44.., 7 Name VDate City of Salem Sign Permit Application Worksheet - „ FI tbread ip4h JUL 1 LI P 1? 49 311 Derby Street 1 Zoning(res/non-res) B5 1 Entrance Corridor(Y/N) N Lot frontage 122 feet Building or tenant frontage 85 feet #of businesses on site 1 Bldng dist from street center 83 feet Multiplier 1 HufldeA':di3d" lade ,*. _ v, . ftrWwkANFAAcw maximum area permitted 85.00 sq ft total proposed sign area 27.47 sq ft sign 1 "Flatbread"length 96.00 inches height 29.00 inches sign 2 .company"length 52.00 inches height 17.00 inches sign 3 "take-out"length 36.00 inches height 8.00 inches sign 4 length 0.00 inches height 0.00 inches sign 5 length 0.00 inches height 0.00 inches .1 Al maximum area permitted 0.00 sq ft(per side) maximum#of signs permitted 0 signs maximum height permitted 0.00 ft tall sign 1 proposed sign area 240.00 sq R length 360.00 inches height 96.00 inches proposed sign height 0.00 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 DRB/SRA Approved: Free standing sign is existing non-conforming (height and size). Because the applicant is leaving the pole in place and refacing the freestanding sign, it may be permitted as presented. �PtIED PSI t'1 -M 17WE DGStCatJ Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN IS ERECTED Location, Ownership and Detail Must Be Correct, Complete, and Legible Salem, Massachusetts o Date To the Building Inspector: R The undersigned hereby applies for a permit to d Erect, 6 Alter, ❑Repair a sign on the following described buildings: DistrictStreet Address Zoning 3i Y ,�s Urban Renewal Area ❑Entrance Corridor ❑Historic District ❑None .. • �■ Telephone 1 floor • 50 floor Address �� 3 floor Telephone 5U7bf Qkt• •27 f►1/o-o'tS 4 floor E-mail ¢ How many businesses are in the building? If a corporate body, name tFrontage of responsible officer J o S ,•w Lam, Building fg* linear feet Construction Sup's License No Applicant's Space(if multi-tenant) linear feet Address 3d�t AS 5}- M;(tz, %AA 1 Property y linear feet Telephone 3`1 —a2fi4Mail Sign Permit to E-mail Sign O er ❑Sign Erector gt•Other. -j'6,jA„r-r Si•n t Sign 2 Sign 3 KSurface o Surface ❑ Surface ❑Right Angle to Building q Right Angle to Building . ❑ Right Angle to Building ❑ Free Standing d Free Standing ❑ Free Standing ❑Awning ❑Awning o Awning ❑Portable(A-Frame) ❑ Portable(A-Frame) ❑ Portable(A-Frame) ❑Other(specify) ❑Other(specify) ❑ Other(specify) Sign Materials � ��( Sign Materials ? ahW� Sign Materials Sign Dimensions41 )K L r ` rr Sign Dimensions ,2�. Y. Sign Dimensions Sign Area Sign Area Sign Area ctb s It Sign s k sq It Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing) yr ¢�i5 Estimated Cost of Net Work $ , Quo, o Existing Signs Signatures Type Sign Area To Be Removed? Sign Owner ❑Surface sq ft ❑yes ❑no ❑Right Angle to Building sq ft ❑yes ❑no 'AFree Standing __%Q_sq ft ❑yes )(no Sign O uth Representative ❑Awning sq ft ❑yes ❑no ❑Other(specify) sq ft ❑yes ❑no Pr rty Owner �P GC{frcG>�-L &7_� Internal Review Planning&Community Development Department Historical Commission Approval Building Inspe or oeaano m i' W. tI A-1 If ' s oil aid I ma, man now Ow -w onmo to q f t 14 Signage Submission 77 Flatbread Pizza Company C5 SlateBlue Design, LLC Wednesday, June 23, 2016 311 Derby Street, Salem MA Hamilton, MA 01982 — 781-367-0284 Commonwealth of'Massachusetts City of Salem U91 ' 120 Washington St,3rd Floor Salem,MA01970(978)745-9595 x5641Return card to Building Division for Certificate of Occupancy Permit No. 13-� PERMIT TO BUILD FEE PAID: $0.00 DATE ISSUED: 7/15/2016 This certifies that SOUSA JEROME R JR C/O SALEM FLATBREAD, LLC has permission to erect, alter, or demolish a building..311.DERBY.STREET Map/Lot: 340443.0 as follows: Signs SIGN PERMIT AS APPROVED FOR: FLATBREAD COMPANY i - , Contractor Name: DBA: t _ i Contractor License No: rx. j f 7/15/2016 Building Official �� Date This permit shall be deemed abandoned and invalid unless the work authorized this six by pemdt re commenced within six months after issuance.The Building Official may grant one or more extensions not to exceed six months each=upon written request All work authorized by this permit shall conform to the approved application and the approved aonstructiondocuments for which this permit has been granted. All construction,alterations and changes of use of any building and sWclures shall be in compliance with the local zoning by-laws And codes. 1 . This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public Inspection for the entire duration ofthe work until the completion of the same. Ff} The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials, provkted on this permit. H IC#: 'Persons contrasting with unregistered contractors do not have access to the guaranty fund'(as set forth In MGL c.142A). Restrictions: J Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. !!i 9 SECTION 9: PROPERTY OWNER AUTHORIZATION Nam•and Ad ress of Property Owner ^ ` IName(Print) No.and Street - City/Town Zip ; Prooeerty Owner Contact Information: Title � v Telephone No.(business) Telephone No. (cell) e-mail address If applicable_,the I0porty owner hereejy authorizes !� / IIA C/< �i/✓1�!"�-C7 /1i� l��-".�-I- Name SireetAddress City/Town State - Zip to act on the property owners behalf, in all matters relative to work authorized by this building permit application. _ SECTION 10.CONSTRUCTION CONTROL(Please fill out Appendix 2) If building is less thin 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here O and ski Secflon 10.1 10.1 Registered Professional Responsible for Construction Control RY J U LLV VAAf_-_- l Q C) Name(Registrant) Telephone No. c mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor - - - - - WtL_LJAAA.WALSJI Cp�P�1.1Crz?( Company Name L W 1,L_l_I AAA, kV AA-S cs- ' a"' -7 Name of Person Responsible for Construction License No. and Type if Applicable 15- Lm -Zti`5W I CI k M,4 o(G 3 0 Street Address - City/Town State Zip (7Q>_360 3 MI6 __ k(1 C, I,-3�1g22--.5 4�,—/r•f -Zxp f Tcle hone No. business Telephone No. cell e-mail address SECTION 11:WORKERS'C OMPENSAIION INSUItANC1i APF'IUAVrl' NLG.L c.132.§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 O No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE - Item Estimated Costs:(Labor s/--- and�(aterials) I Total Construction Cost(from Item 6)=$ 1.Building I $ () 40 1 Building Permit Fee-Total Construction Cost x_(Insert here 2.Electrical $ 'ti of fr appropriate municipal factor)_$ 3.Plumbing $ O d.Mechanical (HVAC) $ �. cl C, a Note:Minimum fee—$ (contact municipality) 5. Mechanical Other $ Enclose check payable to 6.Total Cost $ -43 oP y CI , 40 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,1 hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. \1\tj.L-L4AA& (h,1�t+-�,n.Lc(Q:) sow U r-� 47A_360 .396 15�5�16 Please rint and sign name Title Telephone No. Date 4 LAk.EJY1gN-1 �..At ` ft • L1�SW 1 ci l NWT ©tG3 p, Street Address City/Town State Zip \\ '' Municipal Inspector to fill out this section upon application approval: Name VDate Commonwealth of Massachusetts _ City of Salem 9 120 W.shin ton St 3rd Floor Salem MA 01970 978 745-9595 x5641 Return card to Building Division for Certificate of Occupancy Permit No. B-16-559 PERMIT TO BUILD FEE PAID: $3,300.00 DATE ISSUED: 7/21/2016 This certifies that SOUSA JEROME RJR has permission to erect, alter, or demolish a building_31-1,DERBY.STREET. Map/Lot: 340443-0 as follows: Other Building Permit TENANT FIT OUT FOR RESTAURANT Contractor Name: WILLIAM M. WALSH — - - DBA: Contractor License No: CS-058383 t 7/21/2016 - 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 grant one or more extensions not to exceed six months each upon written request. All work authorized by this permit shall 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 street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. i The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials,are provided on this permit. r HIC#: 113433 'Persons contracting with unregistered contractors do not have access to the guaranty fund"(asset forth in MGL c.142A). Restrictions: l Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. Commonwealth of Massachusetts Sheet Metal Permit q Date: 4 $22 Permit# to oo Estimated Job Cost: $ 'i J t(2 / l &0 Permit Fee: $ 4q Plans Submitted: YES V NO Plans Reviewed: YES NO 1 nIAZ��-oIj Business License# Applicant License# 5 -5Z&, 1 Business Information: Property Owner/Job Location Information: M (CLDC7oUf�_. "+ Name:�� d1()n� ` rt'�S Name: ,�o6f) 5U_r"V)a,61MM y t la 1L) Street: Street: 3)�!Is City/Town: City/Town: SC`00 Telephone:6r7— $Sq 1K11 / Telephone: Photo I.D. required/Copy of Photo I.D. attached: YES V NO / laidal / J-1 M-1-unrestricted license C `.�-- U� ZI -1C) l ( (0z/ Zt7stag1 � ✓ J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less Residential: 1-2 family Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Institutional Other Square Footage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: Renovation: / HVAC Metal Watershed Roofing Kitchen Exhaust System V/ Metal Chimney/Vents Air Balancing Provide`detailed description of work tobedone: ,-_ P�� =n4ol) eLL) 6n=sa C yni 'raj -A)ftX1en kAnun4 Aox9 INSURANCE COVERAGE: I have a current liabili insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes g No❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ re of ner or Owner's Agent By checking this box❑,I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Progress Inspections Date Comments Final Inspection Date Comments Type /of License: By I\1,\aster Titleaster-Restricted CitylTown ❑Journeyperson Sig ature of Licensee Permit# ❑Journeyperson-Restricted License Number: Fee$ ❑ Check at www.mass.gov/dpi Inspector Signature of Permit Approval _ tY,6 Z� l The Commonwealth of }� t Department of Public Sa ety V)fU Massachusetts State Building Code(780 CMR) 1� Building Permit Application for any Building otheib"jr6IIs oRwl Mtkily Dwelling (This Section For Official Use Only) Building Permit Number: Date Applied: . . Building Official: (J SECTION 1:LOCATION (Please indicate Block#and Lot# for locations for which a street address is not available) 0 No.and Street City/Town Zip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK 1 Edition of NIA State Code used If New Construction check here❑or check all that apply in the two rows below F F IExisting BuildingA Repair❑ Alteration ❑ 1 Addition EJDemolition ❑ (Please fill out and submit Appendix"1) Change of Use ❑ Change of Occupancy ❑ Other 11Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No ❑ Is an Independent Structural Engineer:iX}g Peer Review required? Yes ❑ No ❑ Brief Description of Proposed Work: '-'CUP—E ;!!�AmP4 1DCF19& --y- 1 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: Factor F-1. ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ HA❑ 1-1-5❑ I: Institutional I-1 ❑ 1-2❑ 1-3❑ 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 IB ❑ IIA E9 IIB El IIIA ❑ 11113 1 IV 1 VA VB ❑ SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public IN Check if outside Flood Zone❑ Indicate municipal❑ A trench will not be Licensed Disposal Site ❑ Private❑ or indentify Zone: or on site system❑ required ❑ or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: rtitA H_sturir Corsi fission Rgv_w%% '.'ri_wss: Not Applicable❑ Is Structure within airport 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 an Sprinkler System?: Special Stipulations: alg VAWC- PLByhLS PLr�.,ts JrS DPpv� (V1A%L<e3D q /ZZ T-&.7, • R AWoI-aD -rO Cj C SECTION 9: PROPERTY OWNER AUTHORIZATION Namend Address of Property Owner --:7 6 wA-" 115 'vVy,4ti2� i10 E.� Name (Print) • No.and Street City/Town Zip Prope'rL�,,Owner Contact Inf do F Title Telephone No. (business) Telephone No. (cell) e-mail address If ap'I' le,the pro ert vner hereby authorizes ,��* k h w� Jq 6/x Name Street Pdress 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) (If building is less than 35,000 cu.ft.of enclosed space anti/or not wider Construction Control then check here O and skip Section 10.1 10.1 Registered Professional Responsible for Construction Control SQu X-1 - - EA0A C-) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor \,I I LL I A Ad<.- W a" Company Name VJ 1 LLl&Irk X�LS 4� �'`� O 5Q.3 ?� Name of Person Responsible for Construction License No. and Type if Applicable Street Address City/Town State Zip Tele phone No. business Telephone No. cell e-mail address SECTION 11:kV0RKER COMPGNSATION INSURANCE A1717MAVIT M.G.L.c.152.§ 25C(6)) A Workers' Compensation Insurance Affidavit from the MA Department of Industrial Accidents most 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)_$ "L. building $ .�©.640Building Permit Fee=Total Construction Cost x (Insert here 2. Electrical $ `—)n ,OC7 appropriate municipal factor)_$ 3. Plumbing $ 5 Qp ,C,,Q 4. Mechanical (HVAC) $ 5 pp ,©o Note: Minimum fee=$ (contact municipality) 5. Mechanical (Other) $ DO© Od Enclose check payable to 6.Total Cost $ �,gp (contact municipality)and write check number here SECTION 15:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below, I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to te best of my knowled e and understanding. W k LL 1 a1 Qpm- 'IRAC:Ii� X96 ® I Please print and sign name Title Telephone No. Date 1 :3 1—A�MaMS �WIcEllc�l .-MA�- OVU-58 Str°et Address City/TorunIj. State Zip Municipal Inspector to fill out this section upon application approval: ✓" Name a e , , � � , J c'� ` l� — j 5 � °, � The Commonwealth of Massachusetts n41� Deparhnent of Public Safety NI A4assachusclts State BuilJing Cwle(780 CMR) Building Pertnit Application for any Building other than a One-or Two-Family Dwelling .(This SecHon Fur Offitial Use Onl BuilJing Permit Nwnber. Date Applicvl: Building Of(icial: SECTION 1:LOCATION(Please indicate Dlotk N and Lot M for IocaHone farwhich a street address is not avaitable) 3� �.n� d(ciZa �� No.and Street City/Town Zip Code Name of BuilJing(if applicable) . 'I SECTION 2 PROPOSED WORK - '� Edition of tilA Sfate Cude useJ_ I(New Construction ch�Yk here O or check all fhat appiy ui the two rows below �� Exisfing 8uilding� Repair O �Itcration Y Addi[iun O Demolition � (Ple:ue fill out and submit AppenJlx !) �, ChangeofUse 0 ChangeufOccupancy O Other ❑ Specify: Are building plans and/or construcHun dceuments being supplicd as part of this permi!application? Ycs O No O Is a�IndependentStmctural Engincerin Peer Review reyulre.l? Yes � Nu O Brief De�scnption of Propused Work: � �� `ry-�"'�� l n�7 �htAL�-- �ifl.lZ�'CT1o4.1� �,1� �lL i5T�1 NC��V1�C7\ �f SECTION 3:CONIPLETE TIiIS SECTION IF EXISTING BUILDING UNDERGOING ftENOVATION,ADDIiION,OR CHANCE IN USE OR OCCUPANCY Ch�Yk here if an FxisNng Building InvestigaHon and Evaluallon is enclosed(See 780 CbIR 34) O Esisting Use Croup(s): � Propoxd Use Group(s): J�.�.Z� - SEC7'ION4:BUILDING HEIGHT AND AREA . . . Existing Propose� Nu.of Floors/Sturies(include basement levcls)&Area Per Floor(sq.ft.) r Tutal Arca(sq.(t.)anJ Tot�l Heigh[((t.) �j$� �p�CD ' SECTION 5:USE GROUP(Check ae a Iicab►e) _ A: Assembly A-1❑ A-2� Nighrclub ❑ A-3 O A-i O A-5❑ B: Dueiness O E: EducaHonal O F: Facto F-t O F2� � !i: Hi h Huud H-1 O. H-2 O H-3 � H-�I❑ H-5 O 1: InstituNonal f-t O !-2 O 1-3 O 1-i❑ M: hlercanHle O R: Residenlial R-l❑ R-2❑ R-3 O R-�!❑ S: Storage Sl ❑ � S2❑ U: Utitity O Special Use O and please describe beiow: . Sp�.Kioi Use: SECT►ON 6:CONSTRUC[(ON 7YPE(Cheek as a ifcable) � � 1�\ O 16 O Ite\ O fIB O IIIA O IIIB O IV O VA O VO � � SECTION 7:SITE(NFORAiATION(cefer fo 780 CMR 111A for detaila on each item) 4Vater Supply: Flood Zone InformaHon: Sewage Disposal: Trenth Permit Debris Removal: Public� Chetk if outside Flood Zone❑ Indicate municipal[7 �«<nch wilt not be Licenxd Dis usal5ite❑ reyuircd O or fnnch or specify: ��1� Priv.ite❑ or indenli(y Zone: oron sitesystem❑ v�rmit isendoseJ❑ �V(�(�p�� RailroaJ rightof-avay: tluuds to Air Navigation: �1-\Ilf_�gri.,_�_.,�n�n�,.�.m I<�r.�l��.��_I�r�k��..: Nut Applicable @ Is Structure within airport approach area? Is tlieir reviesv completed? ar Cunsent to Bui1J cncluseJ❑ Ycs O or Nu� Yes O No @ SECTION 8:CONTENT OF CERTIPICA'fE OF OCCUPANCY Ldition ul Coda: Usc Group(s): Type of Cunslructiun: Occupant Load f�cr Fluor: Ducs tl�c builJiny,cun�ain.m tiprinklcr Systcm?: Special S�ipidations: — ✓r� o�� t�vs c w �{ZA�--� � � SECTION 9: PROPER7Y OWNER AUTHORIZATION � N,me and AdJress of Proper Owner �@ Lz�.�� v�+A, � � �N Go�l t—c t2 ' � Name(Print) . No.and Street � City/Town Zip Property Owner Cuntact Informalion: � �'ac� S.��Ati��.�t�-�.�q `i�o6� 1040 Ti�le Telephane N .(b businessj Tclephone No. (cell) e-mail address � (f apylicabie,the property owner hereby authorizes �l � �A.1 t�� +�� 3�v�Q� c�l 4 l�' N:une StreetAdSress City/Town State � Zip to act on the ro r owner s Inhalf, in all matters rclative to work aulhorized b this build'ur ermit a litation. SECTION 10:CONSTAUCI'ION COMItOL(Please fill out Appendix 2) If buildin is Iess thin 35,000 cu.ft.of enclosed s ce and or not nnder Coretruction Confrol Ihen check here O and ski SecNon 101 101 Re istered Profensional Rea onaible for Construction Control � S-��? �� ee� S�u l._.�lv�_ �19 0 Name(Registrant) Telephone No. c mail address Registration Number Strcet Addmss � City/Town SL�te Zip Discipline Expiration D.rte 10.2 General Contracfor � - - - � � � - w � ►� � .A�� v�1� i� ��sr�zy , Comp.iny IJame v.rt�,`i�.nR w�n�t C5� �83�3 Nnme of Person Responsible fur Cunstruction License Nu. and Type if Applinble \ �' l..>t\l��l�lU�t�15 �.t� �'-`�W 1C41 ( 1�� d 3'e'J Slrcet Address � Ci[y/Town , S6�te Zip —— �-'-�-_�� . Tcic hnne No. business Tcle hone No. celt �mail addrcss SECTION 11:1VOFFEhS'COAINENSAI'ION INtiUIt:�NC1i APFIU�\VCI' M.G.L.C.152 25C 6 A Workers'Compensation(nsurance Affidavit from the h1A Department of(ndustri:il Accidenfs must be completed and � submitted with this applicafion. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Ls a si ne�l rVfi.lavit submitted with this a IicaHon? � Yea� No O SECTION 72 CONS7RUCI[ON COSTS AND PERMIT FEE . '�� Item Estimated Costs:(Labur - - ond M�hrials) Tot:il Construction Cust((rom Item 6)=S I. Uuilding g � Building Permit Fce=Total Construction Cust x_(Insert here 2.Electrical $ /((�� ;ippropriate municipal factor)_$ 3.Plumbing � - � d.btcchanical (HVAC) g Note:hlinimum(ee=$ (contact municipalily) I 5. M��chanic:il Other - W Enclose ch�rk a able tu � � PY 6.Total Cust (mntact municipali )and�vrite theck number here SECTION 13:SIGNATURE OF OUILDING PERh11T APPL[CANT 6y entering my name below, 1 hereby attest undec the pains and penalties uf perjury that all of the informa�iun cunt,inid in Ihis application is true and accurote lo the best of my knowledge and understanJing. ' ��1ti-.L.��l�l\ �A1—S'a'� �'Vl�`iv�tz �/� � J4��— P�e:u print and sign name Tille Tcle hon�u.,. Date �� t-��vs t.ts ��.t c� t� �G Slmet Address City/Tuwn St:�te Zip �, �lunicipal Lispector m fill out this section upon application approvaL• � �v � /l� Name Da�e M`°"°'"� Commonwealth of Massachusetts �� - � � ; a � Citv of Salem �; . K � '' �.o� m 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641 �� - ReWrn wrd to Building Division for Certifieate of Occupancy �— Permit No. B-16-557 p E R M I T TO B U I L D FEE PAID: $0.00 DATE ISSUED: 5/27/2016 This certifies that SOUSA JEROME R JR has permission to erect, alter, or demolish a buiiding�311_DERBY_SIREET_. Map/Lot: 340443-0 ��r�. as follows: Other Building Permit ' INTERIOR DEMO OF COMMERCIAL BUILDING - SEE BLDG PERMIT FOR FEES PAID. PLANS ON FILE � Contractor Name: '; - .. _ _ . DBA: � � , Contractor License No: � � � � � r � S/27/2016 Building Official j�" 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 OKcial may grant one or more extensions not to exceed six months each upon written request. `� ,` All work authorized by this permit shall conform to the approved application and the approved consVuction documents for which this permit has been granted. o '. \ All construction,atterations and changes of use oi any',building and sVuctures shall be in compliance with the local zoning by-laws 2nd codes. � � 5 This permit shall be displayed in a location clearly visitile from access sVeet or road and shall be maintained open for public inspectlon tor the entire duration of the . work until the completion of the same. �. ` � � The Certficate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials�are provided on this permit. � . . �_«..� _J..� I H�C#: "Persons contracUng with unregistered contractors do not have access to the guaranryfund"(as set forth in MGL c.142A). / � Restrictions f � Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. w"°`T" Commonwealth of Massachusetts � �. .. -- i � Citv of Salem : ` � m . 120 Washing�on St,3rd Floor Salem,MA 01970(978)745-9595 u5641 '�. � ' Retum card to Building Division for Certificate of Occupancy -� � Structure CITY OF SALEM BUILDING PERMIT °"°' Exravation PERMIT TO BE POSTED IN THE WINDOW ' j � Footing INSPECTION RECORD � Foundation Framing � Mechanical Insulation INSPECTION: BY DATE � Chimney/SmokeChamber � � � � Final 4� Plumbing/Gas I I } � F /d Rough:Plumbing 1 � / � I � 1/ Rough:Gas , / Final ° ! [ - Electrical � � Service � � . .._. �.� � r Rough Final Fire Department � Preliminary . � Final (� Health Department ___ ., _ �. Preliminary �� Final . . � o� A a �` � (� � . �a� CITY OF SALEM, MASSACHUSETTS �'��s� BOARD OF HEALTH 12��/ASHINGTON STREET,4"' FLOOR PublicHealth PmaenL Pamu[e.Vm[ecl. TeL. (978) 741-1800 Fe� (978) 745-0343 IQMBERLEY DRISCOLL health e salem.com LARRY RAMDIN,RS�Rf.?HS,CHO,CV-I'�£ MAYOR HEr1L.'11-t AGEN'[' PLAN REVIEW APPROVAL � DATE: July 11, 2016 � To: Jack Swansberg ESTABLISHMENT: Salem Flatbread LLC, 311 Derby Street, Salem MA 01970 DATE RECEIVED: June 20, 2016 The Salem Board of Health has reviewed your submitted plans as and has approved them as follows: [ X] AS SUBMITTED [ ] Rejected [ ] Conditionally as follows: Reviewed By: � Date: July 11, 2016 Larry A. din Health Agent You are required to contact the Salem Board of Health to schedule an inspection prior to opening the establishment or utilizing the renovated/newly constructed space, at least five (5) business days prior to desired occupancy/opening. This approval is issued by the Salem Board of Health, the applicant is required to secure all other permits, and approvals t6at are required by other Municipal, State and Federal agencies. , � � Q � Ma� CITY OF SALEM MASSACHUS�TTS a � �� BOARD OF HEALTH 120 WesxcNCTov ST��r,4"' FLoox PublicHealth PrevenL Pro�wte.Pm�ecl. TaL. (978) 741-1800 Fe� (978) 745-0343 HIMBERLEY DRISCOLL health e salem.com LAR12Y RAMDIN,RS�I2GHS,CHO,CP-F£ MAYOR HEA1,'1'II AGE1�'1' PLAN REVIEW APPROVAL DATE: July 11, 2016 To: Jack Swansberg ESTABLISHMENT: Salem Flatbread LLC, 311 Derby Street, Salem MA 01970 DATE RECEIVED: June 20, 2016 The Salem Board of Health has reviewed your submitted plans as and has approved them as follows: [ X] AS SUBMITTED [ ] Rejected � [ ] Conditionally as follows: I Reviewed By: � Date: July ll, 2016 Larry A. din Health Agent You are required to contact the Salem Board of Health to schedule an inspection prior to opening the establishment or utilizing the renovated/newly constructed space, at least five (5) business days prior to desired occupancy/ opening. This approval is issued by the Salem Board of Health, the applicant is required to secure all other permits, and approvals that are required by other Municipal, State and Federal agencies. i �.W,...�.�..�.._ r .. .. . _ .. _. . _w__ _....r.. �; ' ' INSPECTORS TEST r � - !O -�- ►3 ' /V . � . . � . ,. , ; . � . .. � �f 1� I y ' , , � I I 't 1 ; �.a 13- 1 I7- � � z-o �3 - � � T I��C��o , -�, /�"O � '� �� '� , N � . � � y 1 � �4 � N � 13— I ►� • � �� c 1 2_0 13- � \L O . Y i , DINING ROOM �� M i N � 1� � � / 1��9 1 � !. - \ ' � 13- � ��- � t , 2_0 13- � , � � �v` ° � �. � _ _ , ; H , . , , � V ` �- i ' M' ` ' —__----- � z�- a --- � . it / Z,,. �� z �t ,L j Z � ti - i�y /A�a i z I . �3- i „ _ � ��,�o� 6 _ 0 � - 1 . . j r� �,��. _ r, �� ,�. ; � + /3-6 --� M "' _ _ _. � � ; , , _._ Z jJ p _ ' �� ., t (Jry N � . ' M � O . � O O � O '� ' � ; -o ' , � . . . m ; " � ; HYDRANT FI.,OW TEST RESULTS � k � , r�y ; I , , � � Z , , ; , .. ^'� r � � � o N 6-16-20 6 0:30 P . ' 1 1 M � � �,�u .. ��i ,. 1�L Z , i . � •. ; Z � z Z .'' . � i* i � '/,� �� X , , STATIC 85 PSI . _ �.. _ — — - � ; _ — .-- ---- ---- — — — 80 PSI W Q 4-9 � 7-y � G•S 0 '- , OG 8 '�-fl • g-O 6'�v �� -'�- , , _ J ' ' /o'-v 6-0 - t r - - , � . �— GPM 31L - - - (� — I • �1-O 1 I � , Z`�� ' ' ' `. I RESIDUAL PRESSURE AT HIGHEST ELEVA'TION SPRINKLER 73 PSI . _ .. . . . , _ .� � � _L . O I O O O � ' - -� _ . . ._ , . � BATH +lao KITCHEN ' ` : 0 t 1 ; BATH _. __.._ ___. ....__ �COOLEIR - _ ` i ,. � ; j --r- • -- ' ' � , M. , , � _ � - _...�. , .........._._._ . . ,.._ , ' - � r M �, , � � ; ; , � � t � i i � . � _ � � _ ; � ��y �'�� I��z I�'t Z 1�-L � ��t �� 1��4 — .. � :.- =---�� ----�- _ / _ . ' I lo-o . � o- o ��. o �v- o io - 0 3• ti (, - g �v - v � io ; �n-� � ,�.o - , - OCCU�ANCY — RESTURANT - LIGHT/ORDINARY HAZ�:RD GR 1.� , . . _____� : ' ,,.;,.-.... ' � � ' `. ; , � � ' -- — AUTHORITY — SALEM MA FIRE DEPT � ' " • a"SHOTGUNRISER 4" BACKFLOWPREVENTER INSTALLATION -- N.F.P.A. N0.132013 (PIPESCHEDULE) STORAGE ; �r� r STORAGE ' -F/O-� . c' ` -� � - - -- . � � HEADS TO BE — VICTAUL.IC MODEL V2704 K= 5.6155'F QR UP 4"STORTZ CONN ' �' N --- � z" DRAIN ' V3611 K= 5.6155'F QR DRY HSW ` - � . , . � E�EcrRicBE�� V36C;9 K= 5.6155'F QR DRY HSW �� ,, ,, , �i �i !� � ; • ,i. r , � �_ _ _ � V2707 K= 5.6155'F QR PEN -- f,� � - ,m � h 1 ti m 1 � �+ I =� Z 1 z I t I ti � �—;_—— , . . ' �o . , ro . � �� . � 'L �,_ � "' �� 3.y � . g io - o g�io 10'0 0 .. , 8' 4"� ` . 8-� , ' � + 13 - �0 � ; NIEW 4" DCI 50'-0" i � � 1 I , � . . � . .. . . . � �S1 SSy�, . ' � . �. � � ��,��H aF Mq o NATHAPltc� yo , � z R.PI�'ILLIPS �p yYi`:{L1VF:D �I� /{' ' . � FIRE PROTF.^,TION —+r ° ' U NO.;•.^.Ji9 " �u'�,�ct ta wpgroval by any c�tncr. � FIRST FLOOR . - .• � , •A�osFc��, �:� � A /l� c�sv�shnr�m,�n.�s�uon. � , . .�.. . � /�'f/ r,n�maF�'�i�dTTa�t BUP.ERu a� , r oYi7 ' �� ( f r_ �' ^ � £ -� � 40 BRASS UPRIGHT HEADS 155 QR K=5.6 V'• 22 RECESSED CHROME PENDANT HEADS 155' QR K=5.6 • Ei '�Q �� . . � PL,� ° �''A°PR�]VEUSO�EtYrGRt��?I '? ' 1"�� 1 CHROME HORIZONTAL DRY SIDEWALL HEAD5155' QR K=5.6 �nPe nvc �ecn��y o =:� F��3 �pd r��?a . • � . . . . A�! F�R[ ?ROTiG.lnn� n_��rrc �.,.,^,'!50 A 1 CHROME HORIZONTAL DRY SIDEWALL HEADS 155' QR K=5.6 PiN�tLTESTA`171 r��lO�,FOPCO- �w�<<;:�NPLh . � � � 4*i.^S J�!T! T.. ., M.,F " . � � • ' �- . , � � FLATBREAD PIZZA 311 DERBY ST , = SALEM MA SURVEYED S' �•I'/(� dOaNO. i � . � AP ROVED � 16 ��3226 . S6'SiINKLER DEGREF. iQ0 21Z Z86 386 SCALE / _ /- O �' ` SPRINKLER PLAN No.sPA�NK�ERs ,EET � CQMMONWE�` ° TH SPRINK4'.ER [' ' 808 HAVERHILL 5T R^ : � — �y • � Permit Number ,1 APPLICATION FOR PERMIT TO ERECT A SIGN o NOTE:BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED Location, Ownership and Detail Must Be Correct, Complete, and Legible Salem, Massachusetts Q /6 J To the Building Inspector. Date The undersigned hereby applies for a perk to Y..Erect, ❑Alter, ❑Repair a sign on the following described buildings: Street Address • , District ti 3 t� �� ❑Urban Renewal Area o Entrance Corridor ❑Historic District ❑None Telephone 1 floor s 2 floor Address a J^ a 6t rn oor Telephone 4 floor 1� E-mail �Cam, C� How many businesses are in the building? I if a corporate body,name(I— ofresponsible officer Er 53mj Frontage AL� SeG+S Building linearfeet Construction Sups Lrcerse No Applicant's Space(if mutt:tenant) linear feet Address 4 Property linear feet Telephone —�".0 uA�3 S Mail Sign Permit to E mail TASr� w d L• C� sySign Owner ❑Sign Erector c Other: Sign1 SI n2 TFee ❑Surface )kSurfece 1dRight Angle to Building ❑Right Angle to Building gle to Building ❑Free Standing o Free Standing ndingo Awning ❑Awning o Portable(A-Frame) ❑Portable(A-Frame) (A-Frame) ❑Other(specify) ❑Other(specify) pecify)Sign Materials Sign Materials gaerials Sign Dimensions „ Sign Dimensions '+J1 % I$ 6� try„ Sign Dimensions „ ,S ! Sign Area ` d S Sign Area 101 �y Sign Area s it7 y� 7l sq If ld, sk Sign Height(if free standing) Sign Height(if free standing) Sign Height(it free standing) Estimated Cost of Net Work L_t TYPe Sign Area To Se Removed? Sign, er ❑Surface sq ft 0 yes no ❑Right Angle to Building sq ft ❑yes ❑no t ` D ❑Free Standing sq it El ❑no ign Owne yt Representative ❑Awning sq ft ❑yes o no ❑Other(specify) sq it o yes ❑no Prope Owner Internal Review —Plannihg&C6ffiKtTnIty Development Deparbnent Historical Commission Approval Building Inspector ssrzdro rev Salem Redevelopment Authority Salem Redevelopment Authority Decision October 12, 2016 311 Derby Street (The Donut Experiment): Discussion and vote on proposed installation of signage. SRA Decision At its meeting on October 12, 2016 the SRA voted unanimously(4-0) to approve the proposed installation of signage at 311 Derby Street (The Donut Experiment) as recommended by the DRB. Recommendation At its meeting on September 28, 2016 the Design Review Board voted unanimously (6- 0) to recommend approval of the proposed installation of signage at 311 Derby Street (The Donut Experiment). Proposal The applicant proposes to install a blade sign and window signage at their store's location attached to the new Flatbread restaurant. The blade sign is proposed to appear as a 3D doughnut that is 48" in diameter (12.5 sf) with text, made of sign foam. The sign will be mounted into the face of the downward facing roof, with two black metal rods into its side. The applicant also proposes to install two vinyl signs: 1.) 15" tall x 15' long white text along the top of the primary storefront windows 2.) a 6' x 1'9" tall sign in the window above the door Staff Comments The proposed signage complies with the City's sign ordinance and recommended design criteria for the Urban Renewal Area. In the Urban Renewal Area, 20% or less of a storefront's windows can be covered. It does not appear that the proposal violates this standard, but I will ensure of this by taking field measurements. Y City of Salem Sign Permit Application Worksheet F AN 22Sep-16 1(flb fT 13 P 4� 56 The Donut Experiment 311 Derby Street Zoning(res/non-res) B5 Entrance Corridor(YIN) N Lot frontage n/a feet Building or tenant frontage 40 feel #of businesses on site 2 Bldng dist from street center <100 feet Multiplier 1 5 - _ maximum area permitted 40.00 sq ft total proposed sign area 39.92 sq ft sign 1 Sign length 48.00 inches height 32.00 inches sign 2 Sign length 72.00 inches height 21.00 inches sign 3 length 180.00 inches height 15.00 inches sign 4 length 0.00 inches height 0.00 inches sign 5 length 0.00 inches height 0.00 inches maximum area permitted 0.00 sq ft(per side) maximum#of signs permitted 0 signs maximum height permitted 0.00 ft tall sign 1 proposed sign area 0.00 sq ft length 0.00 inches height 0.00 inches proposed sign height 0.00 ft(approx) 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 DRB/SRA approved. Commoiv ealth of Massachusetts ^ '� Ctv of Salem 120 Washington St.3rd Floor Salem,MA 01970(978)745.9595 x5841 y _ Return card to Building Division for Certificate of Occupancy FEE - EE PAID: No. B-,g-189 M PAID: $0.00 PERMIT TO BUILD DATE ISSUED: ' 10/18/2016 This certifies that ALL ABOUT SIGNS has permission to erect, alter, or demolish a building M._311.DERBY_STREET Map/Lot: 340443-0 i as follows: . Signs SIGN PERMITiAS APPROVED FOR: THE DONUT EXPERIMENT i Contractor Name: I �t b >, Contractor License No:° ; . 10/18/2016 ' Building Official i' 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 grant one or more extensions not to exceed six months each upon wdtien request All work authorized by this permit shall conform to the approved application and theapprovv construction documents for which ibis permit has been granted. All conswction,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 tie displayed in a location clearly visible from access street or road and shall be maintained open for pub#c inspection for the entire duration of the work until the completion of the same. The Certificate.of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials'are provided on this permit. +.a - HIC#: 'pe'rsors contracting with unregistered contractors do not have access to the guarantyfund'(as set forth in:MGL c.142A). Restrictions: Building,plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER.