136 ESSEX STREET - BUILDING JACKET 136 ESSEX STREET
r
of �ttlem, ttsSttrl�usPttB 1
' f'o tublir Vropertp Department
Nuilbing Department
(One 03alem (6reen
508-745-9595 Ext. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
January 5 , 1996
Ed Howie
Senior Project Manager
Anway & Company, Inc.
266 Summer Street
Salem, Mass . 02210
RE: Headhouse Facade
136 Essex Street
Dear Mr . Howie:
Per our conversation concerning the above mentioned
property on January 4, 1996 . You will find enclosed all
street file material concerning Headhouse Facade Wall . If
this office can be of any further assistance, please do
not hesitate to call .
Sincerely, p
(✓�v>�-moi
Leo E. Tremblay
Inspector of Buildings
LET: scm
D
The Commonwealth of Massachusetts
a Department of Public Safety
U� 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)
136 Essex St(Map 35/Lot 0213) Salem, MA 01970 Philips Library
No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
Edition of MA State Code used If New Construction check here❑or check all that apply in the two rows below
Existing Building❑ Repair CX I Alteration ❑ Addition❑ 1 Demolition ❑ (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes EX No ❑
Is an Independent Structural Engineering Peer Review required? Yes ❑ No EX
Brief Description of Proposed Work: Facade Restoration- Pointing,brickwork, window restoration,window
replacement,brownstone repair/replacement
t f:;FM f—A C' p . LT't- t N 5 P.
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-].❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ 1 B: Business ❑ E: Educational ❑
E. Facto F-1❑ F2❑ 1 H: Hi h Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional 1-1❑ 1-2❑ 1-3❑ 1-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R3❑ 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 ❑ IIB ❑ 7111A ❑ IIIB ❑ 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:
A trench will not be Licensed Disposal Site❑
Public El Check if outside Flood Zone❑ Indicate municipal❑ required❑or trench or specify:
Private❑ .orindentify Zone: or on site system❑ permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: M, Historic Commission Review Puxess:
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:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
Peabody Essex Museum 161 Essex Street Salem MA 01970
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
Jim Noonan 978 -745 _9500 617-840 -2836 jim_noonan@pem.org
Title Telephone No.(business) Telephone No. (cell) e-mail address
If applicable,the property owner hereby authorizes
Name Street Address City/Town State Zip
to act on the property owner's behalf,in all matters relative to work authorized by this budding permit application.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
f building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here EXand sldp Section 10.1
10.1 Registered Professional Responsible for Construction Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Abbot Building Restoration Co., Inc.
Company Name
Steven Diodati CS-079194
Name of Person Responsible for Construction License No. and Type if Applicable
399 Chadwick Road Bradford MA 01835
Street Address City/Town State Zip
_617145 0274 617 -590 -3172 stevedioPcomcast net
Telephone No. business Telephone No.(red) e-mail address
SECTION 11:WORKERS'COMPFNSA'IION 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 th suance of the building permit.
Is a signed Affidavit submitted with this application? Yes 2e} No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$ 914.000.00
1. Building $914,000.00 Building Permit Fee=Total Construction Cost x$11.(Insert here
2.Electrical $ appropriate municipal factor)
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$10,059. (contact municipality)
5.Mechanical Other $ Enclose check payable to City of Salem w f a5�1_
6.Total Cost $ 914,000.00 (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my ame belo ,I hereby attest under the pains and penalties of perjury that all of the information contained in this
application is nd o=est
of my knowledge and understanding.
Vice President 617-590 - 1171 04/01/14
Please print and sign name Title Telephone No. Date
399 Chadwick Road Bradford MA 01835
Street Address City/Town /J State Zip
Municipal Inspector to fill out this section upon application approval: " r"�"" 't'''✓
Name Date