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Certificate Number: B-15-570 Permit Number: B-15-570
Commonwealth of Massachusetts
City of Salem
This is to Certify that the Building located at
Building Type
299 ESSEX STREET in the City of Salem
.............. .... .. .. ._.. . . . .....
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
299 ESSEX STREET
SALEM BC LLC/ dba/ BONCHON
ROBERT D UNHAM
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires .............................Not Applicable unless sooner suspended or revoked.
Expiration Date
Issued On: Tuesday, October 27, 2015
Certificate Number: B-15-570 Permit Number: B-15-570
Commonwealth of Massachusetts
City of Salem
This is to Certify that the Building located at
................................. .....................
Building Type
299 ESSEX STREET in the City 4? Salem
...... . __.... .. _ . ..........._...... ........ ... _..._....
Address Town/City Name
IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY
299 ESSEX STREET
SALEM BC LLC/ dba/ BONCHON
ROBERT D UNHAM
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires Not Applicable unless sooner suspended or revoked.
Expiration Date
Issued On: Tuesday, October 27, 2015
77-7
-v Oi,--,fimonwealth-of Massachusetts' '
City of Sale '� 'f
^'720 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x564,1
Return card to Building Division for Certificate of Occupancy
Permit : $1 B-16-670 , PERMIT TFEE PAID: $1,01200 r
DATE ISSUED;, 6115/2016 „
This certifies that ESSEX STREET HOLDINGS RLTY TR DUNHAM ROBERT T TR
has permission to erect,alter, or demolish a building , 299 ESSEX.STREET Map/Lot: 260457-0
as follows: Renovation { ADDITION.OF STORAGE ROOM & RESTROOM IN BASEMENT. FRAMING, &
GWB TO PERIMETER WALL IN BASEMENT COMPLETION OF ACT ON GROUND LEVEL
Contractor Name: Robert Dunham
DBA: E MR DRYWALL
Contractor License No: 040462 0
r
w 1 p 6/15!2015
Building Official Date
This permit shall be deemed abandonedandinvalid 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 anybufiding and structures shall be in compliance with the local zoning by-laws and codes.
t;
This permit shall be displayed in a location clearly visible from ecoess st(set or road and shall be maintained open for public Inspection for the entire duration of the
work until the completion of the same. i _ v t; -
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The Certificate of Occupancy will not be issued until all applicablesignatures by the Building and Fire Officlals are provitledpn this permit. -
H IC#: 'Persons'contracting with unregistered contractors do not have access to thejguaranty'fund"(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 KLssachusetts .
1 City of Salem .
F�e^r 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
' x Return card to Building Division for Certificate of Occupancy
.I structure CITY OF SALEM BUILDING PERMIT
PERMIT TO BE POSTED IN THE WINDOW
�avation INSPECTION RECORD
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INSPECTION:
F BY DATE
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Fire DWArrient
Dreliminary
Health Department
Preliminary
Final
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F] � The Commonwealth of Massachusetts
,.r �� - Department of Public Safety
Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or TwaFamily Dwelling
� - (This Secflon For Official Use Only) � � � � � � � � �� �
i Q Building Permit Number. Date Applied: Building Official:
I � SECTION 1:LOCATTON(Please indicate Block#and Lot#for locations for which a street address is not available)
((� �QQ �'SS�K' S� SA�-�� +'vY� Olci�O �jo�c4�-.
� No.and Street City/Town Zip Code Name of Building(ff applicable)
Ln SECTION 2•PROPOSED WORK
� '—' Edition of MA State Code used_ If New Construcrion check here O or check all that apply in the two rows below
l
�� � Existing Building Repair❑ Alteratlon C9� Addirion❑ Demolirion � (Please fill out and submit Appendix 1)
�; � Change of Use ❑ Change of Occupancy ❑ Other C�pecify: 4 �'�fwa( wo2�c �o PfizH.i-4 �'� F31
�� Are building plans and/or construcfion documents being supplied as part of this permit application? Yes �' No ❑
Is an Independent Structural Engineering Peer Review requ�ired?�""� Yes� ❑ No LY'
� Brief Descriprion of Proposed Work: a���htw� c+F ��—�^y 2 �r +� '�ES�'�o�. �� ��asGr-M�
Fra.�+. F OE,ij -Fo �P��-�-E�4ct wa\l �ti f3�s�,.-a.'f co 1tl-rc,. o� l� C� o.,
Gro..�.. ev�\
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDE2GOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an ExisHng Building Imestigation and Evaluation is enclosed(See 780 CMR 34) O
Existing Use Group(s): Proposed Use Group(s):
i
� SECTION 4:BUILDING HEIGHT AND AREA
Exisring Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) � a 3np `� �g u� b
Total Area(sq.ft.)and Total Height(ft.) �,j oo L n
SECTION 5:USE GROUP(Check as applicable) pm
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business C3' E: Educationa}`�fl ^'-r�i .
A_
F: Facto F-1❑ F2❑ H: Hi Huazd H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5 r'�
I: Institutional I-1 ❑ I-2❑ I-3❑ I-4❑ M: Mercantile❑ R: Residential R-1❑ R-2❑ R-3❑ R-4 �O �
S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use 0 and please describe below: 4� �
Special Use: � �
SECTTON 6:CONSTRUCT'ION TYPE(Check as applicable)
IA 0 IB 0 IIA ❑ IIB ❑ IIIA ❑ IIIB O IV ❑ VA O VB 0 .
SECTION 7:SITE INFORMATTON(refer to 780 CMR 111.0 for details on each item)
Water Suppl : Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal:
Public� Check if outside Flood Zone Indicate municipal A trench wflJl �ot be Licensed Dispos2�si=e I
Private❑ or indentify Zone: or on site system❑ required�r hench or specify: � I
permit is enclosed❑
Railroad right-of-way: Hazazds to Air Navigation: MA Hisroric Commission Review Process:
, Not Applicable[B�� Is Structure within airport approach area? Is their review com—ple/ted?
or Consent to Build enclosed❑ Yes❑ or No� Yes❑ No LY
� 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?: No Special Sripulations:
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner b-3 /� ,Q v�
��ssf,� 54��.e-� l�l��,,.Ss Re�C�-y `'�ros � o.:-.:'�"�"_�—� ��fc+.� oc��o
Name(Print) No.and Street City/Town Zip
Property Owner Contact Informaflon:
r�,b 0,..,.�.._ �s�E� �cT 839 soso ���c bo��.@e,,,�d1,��,.�ic.
c
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 ro er owner's behalf,in all matters relafive to work authorized b this buildin ermit a lication.
SECT'ION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If buildin is less than 35,000 cu.ft.of enclosed s ace and/or not under Constructlon Control then check here O and ski Sectlon 10.1
101 Re 'stered Professional Res onsible for ConstrucHon Control
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline ExpirationDate
10.2 General ContraMor
� ^LwJL �+'yw�1l
Company Name
(3�6 17.,_.c,—.,_ C s ovo v s a
Name of Person Responsible for ConstrucHon License No. and Type if Applicable
63,�`� 1�42n..•. /���— SA��••� YvJ! 01C1b
Street Address City/Town State Zip
9'� 7`f4 Sas� d r'_ g3S �oSo ho�c�@ en.Q��-c.jwa ll, c.�
Tele hone No. business Tele hone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§25C 6
A Workers'Compensatlon Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with ttus application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a si ned Affidavit submitted with this a lication? Yes O No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Esfimated Costs: (I.abor
Item and Materials) Total Construction Cost(from Item 6)_$ �?���
1.Building $ a a a v guilding Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $ �0�ad o appropriate municipal factor)_$
3.Plumbing $ S6 ouy
4.Mechanical (HVAC) $ Note:Miniinum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to
6.Total Cost $ 9�0 d� (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 penalfies of perjury that all of the informafion contained in this
application is true and accurate to the best knowledge and understanding.
�G��F �v.�(�w` C'Re� �R,. � �t� 8gS SoSo
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Please print and sign name Title Telephone No. Date
E3�(a ��S A�'t S'°l� D (�,0
Street Address City/Town State Zip
Munici al Ins ector to fill out this section u on a li ati n a r v 1• ��'W�* � ( �S�
p p c o o a . N/
P PF PP
Name Date
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299 Essex St.
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� .. � PROJECT No.12036
. � � ORAWN BY:D.J.G.
SYMBOL KEY Z CHECKED BY:O.P.
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A-,.o BASEMENT PLAN SCALE: 114��=��-o�� _ � DATE:6ql23/14
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� TriMark
Foalservice Equipment,Supplies and Design �
UNITED EAST
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505 Collins Street
P.O. Box 3505
South Attleboro, MA 02703
P 508399-G000
F 508-761-3620
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SCALE_
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SHEET TITLE:
FOODSERVICE ,
EQUIPMENT PLAN
BASEMENTLEVEL
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THIS DOCUMENT WAS ORGINALLV PRINTED ON A24"x 38"SIZE SNEEf
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EQUIPMENT UTILITY SCHEDULE � �`������
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��. REV ITEM NO. �TY �ESCRIPTION MFR MODEL NO. VOLTS PHASE KW HP AMPS CONN. NEMA CW(IN) HW(IN) IW(IN) DW(IN) GAS(IN) MBTU REMARKS ITEM N0.
` � 1 2 WALL SHELF EAGLE GROUP SPECFAB WS7530-76/4 G.C. TO PROVIDE WALL BLOCKING � Foa3service Equipment,Supplies and Design
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,.,.; ! ' _ 2 1 REFRIGERATED BACKBAR CABINET PERLICK BBS84 115 1 1/3 6.3 DR 5-15P ALL S/S WITH GLASS DOORS,CASTERS AND COMPRESSOR ON LEFT 2 U N ITED EAST .
d 3 1 REFRIGERATED BACKBAR CABINET PERLICK BBS84 115 1 1/3 6.3 DR 5-15P ALL S/S WITH GLASS DOORS,CASTERS AND COMPRESSOR ON RIGHT 3
'r 4 4 2 DUMP SINK PERLICK TSDI2HS 1/2" 1/2" 1-1/2" WITH FAUCET, WET WASTE BOX AND LEFT END SPLASH q
� 5 1 ICE BIN PERLICK TSD241C10 1/2" WITH BV�6-24 BOTTLE WELLS, SR-S24 BOTTLE RAIL AND 7055-65A Cl1T-OUT FOR SODA LINES 5 SD5 Collins S[reet
I 6 2 GLASS RACK PERLICK 7055A-D 1/2", 1" 6 P.O. Box 3505
I ' 7 1 GLASS FROSTER PERLICK FR36 115 1 1/3 6.8 DR 5-05P WITH CASTERS 7 South Attlebaro, MA 02703
� 8 1 BOTTLE COOLER PERLICK BC60 175 1 1/3 7.0 DR 5-15P WITH BIN DIVIDERS AMJD CASTERS 8 P 508399-6000
F 508-761-3620
� ' 9 1 HAND SINK PERLICK TSI2HSN 1/2" 1/2" 1-1/2" WITH FAUCETAND SIDE SPLASHES 9
; ; ;' 10 1 GLASS WASHER MEIKO FV 40.2 G 206-230i 3 3/4 34.9 JBW 3/4" 7/S" WITH EXTRA PEG RACKAND COMBINATION RACK. `140 DEGREE INCOMING HOT WATER 10 trimarkusa.com
I ! � �: 11 1 PASS-THRU ICE BIN PERLICK SS241C10 1/2" WITH BWSS6-24 BOTIfLE WELLS AND SR-S24 BOTTLE R.41L 11
� ! ( ; ,' 12 1 REFRIGERATED BACKBAR CABINET TRUE TBB-2448FR-S 115 1 1/6 4.0 DR 5-15P WITH 2-1/2"CASTERS �2
E This document contains
1 3 , � 13 1 DROP-IN SINK EAGLE GROUP SR10-14-S1-1X 1/2" 1/2" 1-1/2" 13 confidential irdortnation,is an
i
; �`� � 14 1 MILLWORK SERVER COUN7ER NIC CUSTOM 14 insfrument of a professional
'� 15 1 COFFEE BREWER FOR SINGLE CUP NIC BY OTHERS X X X X X VERIFY UTILIN RE�UIREMENTS 15 service,and the property oi
TriMark. It shalt no[be used on
16 1 WALL SHELF EAGLE GROUP SPECFAB WS1572-16/4 G.C. TO PROVIDE WALL BLOCKING �g other projects or for the extentian
17 1 REMOTE BEER SYSTEM PERLICK CENTURY SYSTEM 120 1 1/3 16.9 DR 5-20P 1/2" �� oTthis proJectwithoutTdMark's
18 SPARE NUMBER written approval.
18
'19 SPARE NUMBER 19
2 20 1 WORKTABLE EAGLE T2433SE-BS Zp
, 2 21 1 GRIDDLE W/STAND VULCAN 924RX 120 1 1.0 DR 5-15P 3/4" 54.0 WITH STANDlG24 EQ WIPMENT STAND AND DORMONT 1675KITCF36 GAS DISCONNECT KfT 2� ONmer and all Contradors to �
check and verify epsting
1 22 2 HAND SINK EAGLE GROUP HSAN-IO-F-LRS-1X 1/2" 1/2" 1-1/2" G.C.TO PROVIDE WALLL BLOCKING 22 dimensions and conditions in
the field before starting
2 23 1 WORK TABLE EAGLE GROUP SPECFAB T3D24STE-BS MODIFY TO BE 24"HIG;H TO TABLE TOP 23 construdion and to notify
24 1 RICE COOKER TOWN RM55N-R 3/4" 34.6 24 TriMark of any material or detail
24A 1 GAS DISCONNECT KIT DORMONT 1675KITCF36
24A changes.
3 25 SPARENUMBER 25
26 1 RANGE,WOK,GAS TOWN Y-1-SS 1/2" 1-1/2" 1-1/4" 97.0 26
� 26A 1 GAS D�SCCNNECT KIT DORMONT 16125KIT36
26A REVISIONS
� . 1 WATER DISCONNECT KIT DORMONT W50BP2036
266 DATE BY NO. DESCRIPTION
� 3 27 1 8-BURNER RANGE VULCAN 48S-86 � 1" 275.0 WITH CASTERS 2� 2/5/15 CiB 1 CLIENT
� 3 27A 1 GASDISCONNECTKIT DORMONT 16100KITCF36 27A CHANGES
1 28 1 FRYER BAl'TERY, GAS PITCO 3-SGI4SSTC-S/FD 115 1 1.7 DR 5-15P 1-1/4" 330.0 28 2/10/15 CB 2 CLIENT
1 PITCO 115 1 1/3 7.0 DR 5-15P
CHANGES
7 28A 1 GAS DISCONNECT KIT DORMONT 16125KIT36 ZaA
7 29 2 ONE COMPARTMENT SINK EAGLE GROUP SPECPART 374-16-1-18L 2^ WITH RIGHT END SPLfASH 29 2/17/15 CB 3 CLIENT
1 29A 2 SPLASH MOUNT FAUCET T&S BRASS B-0231-CC �/2^ �/p^ Zgq CHANGES '
7 29B 2 LEVER WASTE T&S BRASS 63952 29B �i
� � 1 30 2 WALL SHELF EAGLE GROUP SPECFAB WSt536-16/4 G.G TO PROVIDE WACL BLOCKING 30 I
2 31 1 EXHAUST HOOD CAPTIVE-AIRE CUSTOM 120 1 15.0 JBV O.A.24'-9"LONG, (1)1 CO'-0"LONG SECTION,33"FILLER SECTION, (1)12'-0"LONG SECTION, 3"REAR AIRSPACE,MAKE-UP AIR
� PLENUM, LIGHTS, S/S 1 WALL PANELING AND CLOSURE PANELS 31 . I
31A 1 EXHAUST FAN&DUCTWORK NIC BY OTHERS X X X X VERIFY UTILITY REQUIIREMENTS 31A
37B 1 SUPPLY FAN&DUCTWORK NIC BY OTHERS X X X X VERIFY UTILITY RE�UIIREMENTS 3�g
31C 1 FIRESUPPRESSIONSYSTEM CAPTIVE-AIRE CUSTOM JBV 31C
1 32 1 FRYER BATTERY, GAS PITCO 4-SGI4SSTGS/FD 115 1 1.7 DR 5-15P 1-1/4" 440.0 WITH DORMONT 16725KIT36 GAS DISCONNECT KIT 3p
1 PITCO 115 1 7/3 7.0 DR 5-15P
1 33 1 GARBAGE CAN RUBBERMAID FG261000GRAY 33
2 34 1 REFRIGERATEDWORKTOP TURBOAIR TWR-26SD 115 1 4 6.6 DR 5-15P WITHLEGS 34
2 35 1 REFRIGERATED SANDWICH UNIT TURBO AIR TST-28SD-12 115 1 } 6.6 DR 5-15P WITH LEGS 35
� 2 36 1 REFRIGERATED SANDWICH UNIT TURBOAIR TST-36SD-15 115 1 7/3� 6.6 DR 5-15P WITH LEGS 36
2 37 7 REFRIGERATEDWORKTOP TURBOAIR 'fWR36SD 115 1 1l3 6.6 DR 5-15P WITHLEGS 37 I
2 38 1 WORK COUNTER EAGLE GROUP OB3042SE 2" WITH (1)E20 SINK,(1)E23 SWK, SINK APRON AND SINK SPLASH 38 I
2 38A 2 DECK MOUNT FAUCET TRS BRASS B-0325 1/2" 1/2" 38A
386 1 LEVER WASTE T&S BRASS 8-3852 38B
2 39 1 REFRIGERATEDWORKTOP TURBOAIR TWR-48SD 115 1 1/3 6.5 DR 5-15P WITHLEGS 3g
40 1 HEAT LAMP HATCO LW-2 720 1 4.2 DR 5-15P WITH GRAY GRANITE IFINISH AND S/S WIRE TRIVET qp
1 41 3 HEAT LAMP HATCO GRAH�2D3 120 1 1.9 JBV WITH REMOTE CONTROL ENCLOSURE W/TOGGLE SWITCHES AND INDICATOR LIGHT 41
2 42 1 OVERSHELF EAGLE GROUP SPECFAB DOS18190
O.A. 15'-1D"LONG q2
43 1 SOILED DISHTABLE EAGLE GROUP SPECFAB SDTL-66- 1-1/2" 43
43A 1 PRE-RWSE FAUCET T&S BRASS B-0133-B 1/2" 1/2" G.C. TO PROVIDE WAL'.L BLOCKING 43A
44 1 DISHTABLE SORTING SHELF EAGLE GROUP 606642-X OA.66"LONG 44
45 1 DISHWASHER,DOOR TYPE MEIKO DV 80.2 208-230 3 1 54.8 JBW 3/4" 1-1/2" WITH(1)PEG R4CKA�VD(7)COMBINATION RACK 45
46 1 CONDENSATE HOOD CAPTIVE-AIRE CUSTOM ALL S/S,42"X 42"X 24""HIGH, WITH FULL PERIMETER GUTTER AND TOP ENCLOSURE PANELS 46
47 1 CLEAN DISHTABLE EAGLE GROUP SPECFAB CDTR�6- 4�
48 1 DISHTABLE SORTING SHELF EAGLE GROUP 605381-X G.C. TO PROVIDE WALLL BLOCKING 48 �
49 SPARE NUMBER ,
49
2 50 1 REACH-IN REFRIGERATOR BEV AIR HBR23-1-S 115 1 � 5.8 DR 5-15P 50 O w
2 51 1 REFRIGERATED SANDWICH UNIT TURBOAIR TST-36SD 115 1 3 6.6 DR 5-15P 51 � W Q ,�,
2 52 1 WORKTABLE EAGLE T3024SE-BS
s2 �' � O
2 53 1 RICE WARMER TOWN 56816 120 1 0.65 5.5 DR 5-15P 53 � r �+
. 2 54 2 WALL SHELF EAGLE WS1560-16/4 G.C.TO PROVIDE WALIL BLOCKING 54 � � � J
55 SPARE NUMBER � 55 X Q �a-�
� 56 SPARE NUMBER �- . 56 �J,J � C
57 SPARE NUMBER 57 � � C- �
58 SPARE NUMBER � c �
59 SPARE NUMBER 58 W W �
5s O � J �
60 1 WALK IN MODULAR, BOX ONLY THERMALRITE PANELS O.A.29'-0"X 9'-6"X T-0'1"HIGH,WITH STUCCO ALUMINUM INTERIOR/EXTERIOR,FLOOR W/INTERIOR RAMP IN FREEZER,(3)36" 80 M N Q �
DOORS W/VISION PANJELS, FLUORESCEN7 LIGHTS, ENCLOSURE PANELSANDTRIM STRIPS W �� �� �
60A 1 . FREEZER/COOLER REFRIGERATION THERMALRITE REFRIGERATION MECHANICAL COMPONENTS 60A il
61 2 KEG RACK EAGLE GROUP KR1893A-X 6�
62 1 KEG RACK EAGLE GROUP KR1860A-X 62 PROJECT NUMBER:
63 1 WALK-IN SHELVING EAGLE GROUP EPDXY
(10)4-TIER UNITS WITFH 74"POSTS; SIZES PER PLAN 63 15-013
1 64 1 HAND SINK EAGLE GROUP HSAN-IO-F-LRS-1X 1/2" 7/2" 1-1/2" G.C. TO PROVIDE WALLL BLOCKING 64 DATE:
74 1 ICE BIN HOSHIZAKI 8-700PF 3/4" WITH 14"TOP K�T 01/26/2015
74
75 1 ICECUBER HOSHIZAKI KM-901MAH 2O8-230 1 11.4 JBW 1/2" 3/4" 75
75A 1 WATER FILTER ASSEMBLY HOSHIZAKI H9320-51 1/2" G.C.TO PROVIDE WALIL BLOCKING 75A SCALE:
2 76 2 MOP SINK EAGLE GROUP F7916-X 1/2" 1/2" 2" 76 1�L��� _ '� �'O°
79 SPARE NUMBER 79
80 SPARE NUMBER 80 ��� BY� APPROVED BY:
81 SPARE NUMBER a� C M B ---
82 SPARE NUMBER 82
83 SPARENUMBER 83 SHEETTITLE: '
2 84 1 THREE(3)COMPARTMENTSINK EAGLEGROUP 314-183-24 (3J2" WITHS/SSINKCOVER;S 84 FOODSERVICE
84A 1 SPLASH MOUNT FAUCET T&S BRASS B-0231-CC 1/2" 1/2" �A
846 1 PRE-RINSE FAUCET T&S BRASS 8-0133-B 1/2" 1/2" G.C.TO PROVIDE WALtL BLOCKING 84B EQ U I PM E NT
84C 1 PRE-RINSE PARTS&ACCESSORIES T&S BR,4SS B-0156
84D 3 LEVERWASTE T&SBRASS B3952 �p SCHEDULES
1 86 1 OVERSHELF EAGLE GROUP WSP1260 G.C. TO PROVIDE WALIL BLOCKING 86
2 87 1 TWO(2)COMPARTMENT SINK EAGLE GROUP 314-18-2-24 (2)2" WITH S/S SINK COVER;S g�
1 87A 1 SPLASH MOUNT FAUCET T&S BR,4SS B-0231-CC 1@" 1/2^ 87A '
1 87B 2 LEVER WASTE T&S BR4SS B3952 2" 87B
1 E HELF EAGLE GROUP WSP1284
G.C.TO PROVIDE WALLL BLOCKING 98 SHEET NUMBER:
_. F 101
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ILN /p , i The Commonwealth of Massachusetts
Department of Public Safety
Massachusetts State Building Code(780 CMR)
n
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:
f
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
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❑ 1 Alteration ❑ Addition❑ 1 Demolition (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy ❑ 1 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes ❑ No
Is an Independent Structural Engineering Peer A view required? y�es ❑ No 0�
Brief Descri tionof Proposed Work: Y Is � _`-� O� N�� �OAcSL 9EAn-;'!ij
L.�.o��S L. t'1 S ♦jLT C k i li ..,., i- VC
r
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 ❑ A4❑ A-5❑ 1 B: Business E: Educational ❑
F. Facto F-1 ❑ F2❑ I H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional I-1 ❑ I-2❑ I-3❑ I4❑ M: Mercantile❑ R: Residential R-111 R-2❑ R-3❑ R4❑
S: Storage Sl ❑ S-2❑ U: Utility❑ Special Use❑and please describe below:
Special Use:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ VB ❑
SECTION 7,SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Sup�pl}' Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
OP
Public C� Check if outside Flood Zone Indicate municipal 11 A trench ill be Licensed Disposal Site
Private❑ or indentify Zone: or on site system❑ required 9or trench or specify:
permit is enclosed❑
Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process:
Not Applicable❑ Is Structure within airport approach area? Is their review completed?----'---
or Consent to Build enclosed❑ Yes❑ or No❑ Yes❑ No 117
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:
4o Satre
63%
_ SECTION 9: PROPERTY OWNER AUTHORIZATION
Name a d Address of Proper1ty� �Owner /.y �CM J'L. ii
kD
54-
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
l$ "1 Y If SuSo 6 (7 g35 S0So Edo C
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 building 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 0 and skip 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
Company Name e
Name of Person Responsible for Construction License No. and Type if Applicable
Street Address City/Town State Zip
Telephone No.(business) Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§ 25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes O No 0
SECTION 12.CONSTRUCTION COSTS AND PERMIT FEE
Estimated Costs:(Labor r
Item and Materials) Total Construction Cost(from Item 6)_$ S
1.Building $ Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ appropriate municipal factor)=$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to 40
6.Total Cost $ (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.
Please print and sign name Title T phone No. Date
Street Address City/Town S ip
Municipal Inspector to fill out this section upon application approval:
Name Date
Appendix 1
For the demolition of structures the building permit applicant shall attest that utility and other
service connections are properly addressed to ensure for public safety.
Please fill in the information below and submit this appendix with the building permit
PP g
application. The building permit applicant attests under the pains and penalties of perjury that
the following is true and accurate.
Property Location (Please indicate Block # and Lot# for locations for which a street address is not
available)
S A£�,., O i goo
No. and Street City /Town Zip Name of Building(if applicable)
For the above described property the following action was taken:
Water Shut Off? Yes I-T4, ❑ Provider notified and Release obtained? Yes ❑ No ❑
Gas Shut Off? Yes PNoo
❑ Provider notified and Release obtained? Yes ❑ No ❑
Electricity Shut Off? Yes ❑ Provider notified and Release obtained? Yes ❑ No ❑
Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑
Other (if applicable)
Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑
Other (if applicable)
, �
� , � � �� a-
�� II
; l� —$ � I �olo ��
,
�� The Commonwealth of Massachusetts
� M1�� Department of Public Safety
�1� Massachusetts State Building Code(780 CIvIIt)
Building Pemut Application for any Building other than a One-or TwaFamily Dwelling
(This SecHon For Official Use Only)
Building Permit Number: Date Applied: Building Offidal:
SECTION 1:LOCATION(Please indicate Block#and Lot#for IocaHons for which a street address is not available)
�9S' F'ssfY s+ S��tr � otS�U
No.and Street Gty/Town Zip Code Name of Buflding(if applicable)
SECT[ON 2:PROPOSED WORK� �
Edition of MA State Code used_ If New Construcflon check here O or check all that apply in the two rows below
Existing Building - Repair❑ Alteration' Addiflon❑ Demolifion 0 (Please fill out and submit Appendix 1) i
Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify: �
Are building plans and/or construcHon docuinents being supplied as pazt of this perntit applicarion? Yes No ❑
Is an Independent SWctural Engineering Peer Review requ'ued? � Yes ❑ No
Brief R,�escripHon of Proposed Work: {�4�oc a��+w, o�� a, RL s}f�tc o n..� �.'�9 s�:,,., � y�Q.n S
owcl� v.+�a1\ bo�. �- -4.Y t2rz;-.�.c�l ;,� u.n\\S n � �
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
� CHANGE IN USE OA OCCUPANCY
Check here if an ExisHng BuIlding InvesHgaHon and EvaluaHon is enclosed(See 780 CMR 34) ❑
Exisdng Use Group(s): Proposed Use Group(s):
SECTION 4:BUIGDING HEIGHT AND AREA
� Fxisfing Pmposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(ft)
SECI'ION 5:USE GROUP(Check as applicable)
A: Assembly A-1❑ A-2❑ Nightdub ❑ A-3 ❑ A11❑ A-5❑ B: Business ❑ E: Educational ❑
F: FaMo F-1❑ F2❑ H: Hi Hazard � H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional I-1❑ I-2❑ I-3❑ I11❑ M: Mercantile❑ R ResidenHal R-1❑ R-2❑ R-3❑ R 1❑
. S: Storage Sl❑ S2❑ U: Utility❑ Special Use 0 and please describe below:
Special Use: �
ISECTION 6:CONSTRUCTION TYPE(Check as ap licable)
IA ❑ IB � IIAO IIBO IIIAO IIIB � N ❑ VA ❑ VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for detaIIs on each item) �
Trench Permit. Debris Removal:
Water Sup—pl/y: Flood Zone InformaHon: Sewage Disposal: Licensed Dis osal Site
' Public GY Check if outside F1ood Zone Indicate municipal /��'ench will not be p
Private❑ or indentify Zone: or on site system❑ required�or hench or specify:
pernvt is enclosed❑
Railroad right-of-way' H�urds to Air NavigaHon: MA Historic Commission Review Process:
Not Applicable Is Structure within airport approach azea? Is their review completed?
, or Consent to Build enclosed❑ Yes O or No� Yes❑ No ❑
� SECT[ON 8:CONTENT OF CERTIFICATE OF OCC[JPANCY
I Edition of Code: Use Group(s): Type of Construction: Occupant I.oad per Floor: �
Does the building wntain an Sprinkler System?: Special Stlpulatlons:
C.Pr�b �12 � �U �'i�.2`��R bQOAIM
SECITON 9: PROPERTY OWNER AUTHORIZATION
� Name and Address of Property Owner -
� fss4,� s� �-k,��,.�y,� 2.-c�; 63`/�a���R„� S;�t�.�. ;�r, oi"�
Name(Print) No.and Street City/Town Zip
Property Oiwn^er Contact Information:
�4 LVN�nA•v� �oll 834 .S�$U b0��(�.ti2c���.y,q �f.
Title Telephone No.(business) Telephone No. (cell) rmail address
It applicable,the property owner hereby authorizes
Name Street Address City/Town State Zip
to act on the ro er ownets behalf,in all matters relaflve to work authorized b this buildin rnut a licaflon.
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
It buildin is less ttian 35,000 cu.k.of enclosed s a<e and or no[under ConstrucNon Control then check here O and ski Sec[ion 10.1
10.1 2e 'stered ProFessional Res onsible for ConstrucHon Control
Name(Regishrant) Telephone No. rmail address Registrafion Number
Street Address City/Town State Zip Discipline ExpiraHonDale
102 General Contractor
�V��L Qf1.,wP `� ��vL
-�
Comp Name
��b D�N� �'Sotio �i�a
Name of Person Responsible for ConstrucHon License No. and Type if Applicable
6'3`l�a Sf��..- f��� SA �� � o�c,e
Street Address City/Town tate Zip
ql8 7Y4 Svs� �I'�_�4 Soso bu�� �. C',wi�rywn �� � cw�
Tele hone No. usiness Tel hone No. cell rmail address
SECTION 11:WORKERS'COMPENSA770N WSURANCE AFFIDAVIT M.G.L.c.152.§25C 6
A Workers Compensafion Insurance Affidavit from the MA Department of Industrial Acddents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the iss ce of the building pernut.
Is a si ed Affidavit submitted with this a licaHon? Yes No 0
SECI'ION 12:CONSTRUCTION COSTS AND PERMIT FEE
item ��ated Costs:(C.abor f ,
and Materials) Total ConsWcHon Cost(from Item 6)_$ `�T_
1.Building $ a �Cj Buil&ng Pemut Fee=Total Construction Cost x_(Insert here
. 2•�ectri�al $ (o �od appropriate munidpal factor)_$
3.Plumbing $ �(� OOt)
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $
6.Total Cost $ �� �e Enclose check payable to
� (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PIILMIT APPL[CANT � �
By entering my name below,I hereb attest under the pains and penalties of perjury that all of the information contained in this
applicaflon is true and accurat o the est of my knowledge and understanding.
�10�0� �IV�M1'v� C�WNbI 17I7 S�S SOSU
Please,p 3�n�l si�nur�� ^1 J� q���Title ��Telephone No. Date
(� /� E•r ca;,�. !r S U1Clu
Street Address City/Town State Zip
Municipal Inspedor to fill out this seMion upon app]icaHon approval: ""+"�'g
Nazne Date
Appendix 1
For the demolition of structures the building permit applicant shall attest that utility and other
service connections are properly addressed to ensure for public safety.
Please fill in the information below and submit this appendix with the building permit
application. The building permit applicant attests under the pains and penalties of perjury that
the follawing is true and accurate.
Property Location(Please indicate Block# and Lot#for locations for which a street address is not
' available)
�' �`��t Fss�K S� SA��-�— C� f�,�
No. and Street City/Town Zip Name of Building(if applicable)
For the above described property the following action was taken:
Water Shut Off? Yes ❑ No fd� Provider notified and Release obtained? Yes C] No [�'
Gas Shut Off? Yes ❑ No � Provider notified and Release obtained? Yes ❑ No L�
Electricity Shut Off? Yes ❑ No � Provider notified and Release obtained? Yes ❑ No L5'
Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No �
Other (if applicable)
Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑
Other(if applicable)
I
I
I
t� -
� Appendix 2
Construction Documents aze required for structures that must comply with 780 CMR 107.The
checklist below is a compilation of the documents that may be required for this.The applicant
shall fill out the checklist and provide the contact information of the registered professionals
responsible for the documents. This appendix is to be submitted with the building permit
application.
Checklist for Construction Documents"'
� Mark"z'where a licable
No. � Item Submi Inwm lete Not Re uired
� 1 Architectural
2 FoundaHon
3 Struchual
4 Fire Su ression
5 Fire Alai�n ma r uire re eaters
6 HVAC
7 Electrical
. S Plumbin include local connecHons �
9 Gas atural,Pro ane,Medical or other
10 Surve ed Site Plan tilitles,Wetland,etc. j
11 S eciEications ��.
12 Structural Peer Review
13 Structural Tests&Ins ections Pro am ��
14 Fire Protection Narrative Re rt .
15 Existin Buildin Surve InvesH ation
16 Ener Conservadon Re ort
17 Architectural Access Review 521 CMR
18 Workers Com ensatlon Insurance
� 19 Hazardous Material Mifl aHon Documentatlon
20 Other S eci
21 Other S eci
22 Other S
'Areas of Design or Constructlon for which plans aze not complete at the time of applicaHon submittal must be identified herein.Work
so identified must not be commenced until this applicaHon has been amended and the proposed consWcfion davn�ent amendment
has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to Mple the original permit
fee.
Registered Professional Contact Information
Name(Registrant) Telephone No. e-mail address Registrarion Number
Street Address City/Town State Zip Discipline ExpirationDale
Name(Regislrant) � Telephone No. e-mail address Regishadon Number
Sheet Address Ci /Town State Z; Discipline F�cpiraHon Date
Name(Registrant) Telephone No. e-mail address RegislraHon Number
Street Address Ci Town State Zi Discipline ExpiraHon Date
' ,
, `,
299 Essex St.
� 3 Essex Street Holdings
� Realry Trust
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PH �r�i ii�i u�i ii�i u�i uDi ii�i u�i u�i ii�i � i O O Hs � Gray Architects, Inc.
G' CO�� �0�� �0�� �0�� �0�� �0�� �0�� ���� �0�� ����
ME� I HS WoMEN E� � Architecture and Landscape Architecture
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2 9ADerbySquare-Salem,Massachusetts01970
. , . n S D � TEL.976 745 4404-FAX.978 745 6479
, ❑ ❑ Q E-Mail:GR4YARCHITECTSC�msn.com
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� � � � � . � PROJECT No.12036
� � .. � . . . . . � � � DRAWN BY�D.J.G.
SYMBOLKEY z CHECKED6V:O.P.
� SCALE As Noted �
�
� �ATE:04/23/14
q•Bo BASEhJIENT PLAP•d SCALE: 1/4"=1'-0" CAPACITY— EC-88 !
EXIT— 1A � I
FIRE EXTINGUISHER— FE
SMOKE DETECTOR— SD N '' PLAN
EXIST SIGN— ES �
; EMERGENCY LIGHT— EL
' HORNSTROBE— HS a 2� a� s� s�
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r RECEIVED RECEIVED
INSPECTIONAL SERVICES Commonwealth of MassachusetINSPECTIONAL SERVICES
2015 SEP =9 A 11= 48-* Sheet Metal Permit 1015 SEP -q. P 12, 10
Date: _ �� Permit#.
'�Y - Estimated Job Cost:$ �S_t �� Permit Fee: $ ,
IZ5-- Plans Submitted: YES— NO Plans Reviewed: ./YEAS NO
I Business License# I / Applicant License# LkL90
Business Information: Property Owner/Job Location Information:
Name: -SCa s 648-C-T ME 9 LQo' : t3 o yC.4 ottl FPrsSI
Street: 7"'�,a1 [_�7(lJtAa'tl. Street: r� ��j G�X �'r•
City/Town; W��SEF�� (/!�p l City/Town:
, / i
Telephone: / " �����27^� b Telephone:
Photo I.D.required/Copy of Photo I.D. attached: YES_ NO
StaffInittal
.J-1/M-1-unrestricted license
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.LZ over 10,000 sq.ft. Number of stories: 1
Sheet metal work to be completed: New Work: Renovation
HVAC_ Metal Watershed Roofing— Kitchen Exhaust System L/
Metal Chimney/Vents Air Balancing_
Provide detailed description of work to be done:
3 r 9 To `C-c'g--
• i
INSURANCE COVERAGE:
I have a current liability Insurance policy or Its equivalentwhich meets the requirements of M:G:L.Ch.112 Yes No❑ _
If you have checked Yes.Indicate the
ettype of coverage by checking the appropriate box below: -
A liability insurance policy 9Other 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
s
Owner ❑ Agent ❑
Signature of Owneror Owner's Agent�•`
By checking this box I hereby cortifirthitall of the detailsand 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 p riarmed under the pennit 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
i. .
Final Inspection
Date Comments
Type of License:BY—
Ti Us
. ❑Master-Restricted
Cityrrown ❑JOUrneypefSen
Signature of Licensee
Permit# ❑Journeyperson-Restricted l�Q '
License Number: t v
Fee$� ❑
GCheck at www.mafss.gov/dpl
AA �
Inspector Signature of Permit Approval _ _ _
The Commonwealth of Massachusetts _ r{ Fr[ f Form
Department of Industrial Accidents
Office of Investigations
I Congress Street, Suite 100
Boston, MA 02114-2017
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Aimlicant Information I ,�,tt Please Print Leeibly
Name (Business/Organization/Individual): S C.6-T (-- !29GE7T t Vrj�WA �( C'
Address: 1_ to L(gW ,
City/State/Zip: W A Key= 16 1A. Phone #:
Are you an employer? Check the appropriate box: Type of project(required):
L I am a employer with g" 4. ❑ I am a general contractor and I
employees(full and/or part-time).
have hired the sub-contractors 6. ❑ New construction
2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling
ship and have no employees These sub-contractors have g, ❑ Demolition
working for me in any capacity. employees and have workers' 9. ❑ Building addition
[No workers' camp. insurance comp. insurance.*
required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions
3.❑ 1 am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions
myself. (No workers' comp. right of exemption per MGL 12.❑ Roof repairs
insurance required.] ' c. 152, §1(4), and we have no 13.[ ther left`employees. (No workers'
comp. insurance required.]
'Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information.
t Homeoemmers who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
:Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have
employees. If the sub-contractors have employees,they must provide their workers'comp.policy number.
I am an employer that is providing workers'compensation insurance far my emplayees. Below is the policy and job site
information. I p 1
Insurance Company Name: b2� I y I040 1 cp CO t t l
Policy #or Self-ins. Lic. #: WC-C 1y l o-c l ( Expiration Date:
Job Site Address: ��9 =.ss�j� f— City/State/Zip:
Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certi v under the ains and enalties o er'ury that the in ormation provided above is true and correct.
Si knature:
Phone#: /- 7kl — p oL T
Official use only. Do not write in this area,to be completed by city or town official.
City or Town: Permit/License#
Issuing Authority(circle one):
1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other
Contact Person: Phone#:
k
I
COMfiAONWEAL OF MASSiKCHUSE;7 S ;'
� r SHEET METAL WORKERS
g ISSUES THE FOLLOWING LICENSE AS A p•
BUSINESS
+� 3 c T
UAMESR STEWART
ll?RRM<SHEETM 1 ix
10 LOWELL-,
WAKEFIELD,MA�018$O
, 1712012017, 1371t� �
VOMMONW ' 'ILTIi OF MASSAL'lillS
SHE&"AfTAL WQRiCIR&==
IS§UJU. THE FOLLOWING"'LI
A 'A`MASTE,R- ST 1 �b •c,?a s 4
f�
SE9IJ SHEET MEt'AL CO
LAMES R STTWAV
, SCOTT SHEET ME I,L,,I, " L
1 > EFIEL-0 Ag01880 1y78 -_
a- , re
l
2 I — I G I C l✓ S�I ��
3
The Commonwealth of Massachusetts
Department of Public Safety
Massachusetts State Building Code(780 CMR)
Building Permit Application for any Building other than a One-or Two-Family ellin
(This.Section For Official Use Only)
Building Permit Number: Date Applied: Building Officia
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street ad of available)
agct E9s-, � Or SR k'� o 15-7o
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]R'-- Repair Alteration Addition❑ I Demolition L91(hease fill out and submit Appendix 1)
Change of Use ❑ 1 Change of Occupancy ❑ 1 Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this permit application? Yes Er No ❑
Is an Independent Structural Engineering Peer Review uire dn Yes E No ❑
Brief Description of Proposed Work: Rq-.V 4\ O C 1�0 a�(,Ipm.' k qP to L-,
fvti . (Z,-) 14 iz c-003�- 4 Nj�r" r20 o'F TcAs Q--K A I eaza
CCYu S h7L t ts�
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.) a00o
SECTION 5:USE GROUP(Check as applicable)
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4❑ A-5❑ 1 B: Business Er E: Educational ❑
F: Facto F-1 ❑ F2 0 H: High Hazard H-1❑ H-213 1-1-3 ❑ H-4❑ H-5❑
I: Institutional I-1 ❑ I-2❑ I-3❑ 14❑ M: Mercantile❑ R: Residential R-1❑ 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 ❑ Ill - IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV 1 VA VB ❑
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Sup—ply/: Flood Zone IPZone
Sewage Disposal: Trench Permit: Debris Removal:
Public li Check if outsideIndicate municipal A trenchw ll nn be Licensed Disposal SitePrivate❑ or indentify Zoor on site system❑ q1�6r trench or specify:permit is enclosed❑
Railroad right-of-way/: ds to Air Navigation: MA Historic Commission Review Process:
Not Applicable Q1 ithin airport approach area? Is their review compleor Consent to Build enclosed❑ Yes❑ or No O-� 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 Prop�e 'Owner
F SS4- FA mo, �3 qC 7 �4'� Sa S Arc 0.n{�
Name(Print) No.and Street City/Town Zip
Pr rty Owner Contact Information:
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 building permit 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 O and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
Grc'1 S-)P- )44 4144'
Name(Registrant) Tel hone No. e-mail address Registration Number
Sri ` tW� OlE?u
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
F ck.X flrY` 1\ , Sties
Com any Name
()...1..— CS 0(A0146a
Name of Person Responsible for Ccknstruc on License No. and Type if Applicable
b316- _J� Zr. ✓,,�� - A )---- VV-*- o IC'?o
Street Address City/Town State Zip
Telephone No.(business) Telephone No. cell e-mail address
SECTION 11:WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§ 25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
Is a signed Affidavit submitted with this application? Yes O No 13
SECTION 12•CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(tabor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $ 0,o Jo Building Permit Fee=Total Construction Cost x (Insert here
2.Electrical $ e'Vo0 — appropriate municipal factor)_$
3.Plumbing $
4.Mechanical (HVAC) $ 0 Note:Minimum fee=$ (contact municipality)
5.Mechanical Other $ Enclose check payable to
6.Total Cost $ �j c/CW (contact municipality)and write check number here
SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT
By entering my name below,I hereby attqsttmdqqr the pains and penalties of perjury that all of the information contained in this
application is true and accurate to the st of my owledge and understanding.
. 0,?_+ O �.— (l _FA SGST
Please print nd sign na Title Telephone No. Date
�3�fa C"C. �__ Sh\'-_ - ots �
Street Address City/Town - State Zip
Municipal Inspector to fill out this section upon application approval:
Name Date
STRUCTURAL ENGINEERS '/ tCONSTRUCTION�-COFNS,UtLTANT53�3'�,��q� �r� .�£ � ��s
aE.x� a ;•�+ r � Z+.'�'"t �� � # s��.ftrw� cv � M� v-da� a Ott.�"i'.5 .�a S �' Fka rTEL 7B1 503 17241'.
�ki' Era4�-"FAX 7B1 503-0247
Date: August 1, 2013
Please Deliver To: Robert Dunham
EMIR- DRYWALL, INC.
Comoanv Name/ 63 1/2 JEFFERSON AVE.
Address: SALEM, MA 01970
RE Proiect:
299 Essex Street Salem Massachusetts
Structural Framing Plans for Building Renovations
299 Essex Street Salem Massachusetts
Structural Framing Plans for Building Renovations
ACCORDING To.E..o...„.. A..-oAa
PREPARED BY:
OF
KEVIN M.
FINNEGAN
STRu
99 a
SS�ON Ed
KEVIN INNEGAN, E.
1.0 .D
23!-6'
PERIMETER BEARING WALLS:362S162-43 AT
16"O/C ALIGNED UNDER EACH JOIST,
0 9 I I I 2°1 TYPICAL CONFIRM BASE TRACK BEARING ON
r FOUNDATION
E IC �1
- - EXISTING STEEL BEAM AND COLUMN
SUPPORT,REUSE NORTH OF D-LINE FOR
l I I S SUPPORT OF NEW FLOOR JOISTS
IT I l T COLUMN SUPPORTS FOR ROOF BEAMS
Q 1
I = COORDINATE ALIGNMENT OVER EXISTING
24'-2' FOUNDATION ELEMENTS AND PROVIDE NEW
D �_ ........
DOWELED CONCRETE PIER FOOTING AS
i NECESSARY
ABANDON EXISTING STEEL BEAM AND
1 a COLUMN SUPPORT,SOUTH OF D-LINE
1.2 r 'I „.. REPLACE W/6"STUD FRAMED BEARING
m
— r 'I
_ WALLS
23'-5"
i
is
1.3 _ INTERIOR BEARING WALLS:600S162-43 AT
16"O/C ALIGNED UNDER EACH JOIST,
J. -1'
I
- TYPICAL CONFIRM BASE TRACK BEARING ON
B -I FOUNDATION ELEMENTS OR PROVIDE NEW
DOWELED CONCRETE GRADE BEAM AS
NECESSARY
r
-- �- - -
i r
BASEMENT LEVEL/ FOUNDATION PLAN
s vx6a®s BUILDING RENOVATION °JM203' sin"°
(ASSOCIATES. INC.ta*SUM mk NAVM 299 ESSEX STREET SALEM, MASSACHUSETT sME, S-1
M-%3-0 Fk 79HOm I7 Rs wlEo
1.0 0
4=
FIRST FLOOR CONSTRUCTION:
4'CONCRETE SLAB W/WIRE REINI
O 3 JOISTS-22GA FORM DECK ON 1 00OS200-!i4 SPACED AT 16'O.C.W1 MID SPAN BRIDGING
LAP JOISTS AND FRAME OVER EXISTING
! -STEEL BEAM PROVIDE WEB STIFFENERS AND
SOLID BLOCKING AT ALL JOIST BEARING
LOCATIONS
2.1
BOXED HEADER(2)-12005200-97+(2)
-600T1 25-43 FRAMED ONTO DOUBLE JACK
1.2
AND KING STUD FRAMING
23'-6"
(2)10005200-54 JOISTS SPACED AT 16-D.C.
THIS AREA,TYPICAL
.4 ;
- ----- --------------- ---------
---------------------------- - -- - -- ----- ---- -------
6'4
FIRST FLOOR LEVEL: FLOOR JOIST FRAMING ON EXISTING STEEL BEAM AND NEW BEARING WALLS
BUILDING RENOVATION JMM13
SRaRk M Rom'
S-2
W
ASSOCIATES. IVNC.la
19 omod Rw ftm im m mmuwmw 299 ESSEX STREET SALEM, MASSACHUSETT
7 7
31-wo Fkt
-------------
---------- ......
1.0 0
23-6"
EXISTING STEEL BEAMS FOR SUPPORT OF
NEW JOIST FRAMING PROVIDE
SUPPLEMENTAL COLUMN SUPPORT
ADJACENT TO MASONRY,TYPICAL
ROOF CONSTRUCTION:
12X 18 ga. METAL DECK ON 1 00OS200-54
gr.50,JOISTS SPACED AT 16"O.C.Wl MID
SPAN BRIDGING
2-1 LAP JOISTS AND FRAME OVER EXISTING
STEEL BEAM PROVIDE WEB STIFFENERS AND
2
SOLID BLOCKING AT ALL JOIST BEARING
41-2"T LOCATIONS
1.2
DOUBLE NESTED JOISTS AND TRACK AT ALL
TRIMMER OPENINGS,COORD.R.O.SIZES
1.3 it
27'-l*
-jj ------------ ---------
---- -- - ---------------- --------- ------------------ ---I---------
ROOF LEVEL: JOIST FRAMING ON EXISTING STEEL BEAMS
DAUM" I�F N
BUILDING RENOVATION JMM13
AS
SOCIATES, INC. Kom �m",
-3
ym awk a M =10 me 299 ESSEX STREET SALEM, MASSACHUSEUT S
M-"V FA 9 WHO
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- -- __ -
1 i ' 362S162-43 AT 16"O.C.
ROOF CONSTRUCTION:
11 X 18 ga.METAL DECK ON 1000S200-54
gr.50,JOISTS SPACED AT 16"O.C.W/MID
ROOF LEVEL SPAN BRIDGING
'--`----- -'- -- I 10" LAP JOISTS AND FRAME OVER EXISTING
_ __________ __ I STEEL BEAM PROVIDE WEB STIFFENERS AND
i W;$ SOLID BLOCKING AT ALL JOIST BEARING
i� 4- LOCATIONS
� o
v,rs
LD —e EXISTING STEEL BEAMS FOR SUPPORT OF
®-_ NEW JOIST FRAMING PROVIDE
_ SUPPLEMENTAL COLUMN SUPPORT
—_j ADJACENT TO MASONRY,TYPICAL
13'-9"+
FIRST FLOOR CONSTRUCTION:
1
4°CONCRETE SLAB W/WIRE REINF. ON is
-22GA FORM DECK ON 1000S200-54 JOISTS
O _1J
SPACED AT 16"O.C.W/MID SPAN BRIDGING �
LAP JOISTS AND FRAME OVER EXISTING
STEEL BEAM PROVIDE WEB STIFFENERS AND
SOLID BLOCKING AT ALL JOIST BEARING
LOCATIONS
—It_j 4" FIRST FLOOR LEVEL
0.
III I BOXED HEADER
!� (2)-120OS200-97+
III 1j i'i �(2)-60OT125-43
I is FRAMED ONTO
DOUBLE JACK AND
1 I I 7'-6" I is ING STUD FRAMING
V iii �I ii
BASEMENT LEVEL �—�� ✓
NORTH WALL-BUILDING SECTION SOUTH OF D-LINE BEARING WALLS AND R.0'S
SOUTH WALL-BUILDING SECTION(SIMILAR)
DATE Mum sxEETHa
9R[PJUt BBdl6 BUILDING RENOVATION .NNE 20,0
�so�>a 5. INC mom JF�l °m r [ S-4
19 urod Shut um u ME m�R!rmimem 299 ESSEX STREET SALEM, MASSACHUSETT srue
lm-5wm FAX all-`W-sm 0.S NOTED
0 ROOF CONSTRUCTION:
1Z"X 18 ga. METAL DECK ON 1000S200-54
gr.50,JOISTS SPACED AT 16"O.C.W/MID
I
SPAN BRIDGING
h
ROOF LEVEL
r—x.—
-tl--
10.
EXISTING STEEL BEAMS FOR SUPPORT OF
c
NEW JOIST FRAMING PROVIDE
SUPPLEMENTAL COLUMN SUPPORT
L�
i ADJACENT TO MASONRY,TYPICAL
STUD FRAMED PIER FOR SUPPLEMENTAL
SUPPORT OF EXISTING ROOF BEAM
4-60OS162-54 MINIMUM,
� FRAME TO UNDERSIDE OF STEEL ROOF BEAMS AND BLOCKED CONTINUOUS TO
13'-9"± FOUNDATION,TYPICAL ALL ROOF BEAMS
i
d ' i 4" FIRST FLOOR LEVEL
- -_ - -
��� 10^
VERIFY FOUNDATION AT PIERS FOR ROOF
BEAMS AND COORDINATE ALIGNMENT OVER
EXISTING FOUNDATION ELEMENTS AND
7'6 ± PROVIDE NEW DOWELED CONCRETE PIER
FOOTING AS NECESSARY; 2'X2'X2'DOWELED
r ; : TO EXIST.
" BASEMENT LEVEL
EAST and WEST WALL - BUILDING SECTION FLOOR FRAMIG ON EXISTING STEEL BEAM
xJT En113 SHEE1 No.
LtLs�exolaM BUILDING RENOVATION JUMER019
CASS:oqw OCIATES. INC. olmm OMWxOn S-5
M-%3-0 fix m 0 MEW-ml 299 ESSEX STREET SALEM, MASSACHUSETT sue. J�-�}{QN lAt 79-SN-@I7 AWRD
1.00
I �
------ __= ROOF LEVEL
10"
CL
C
DC v.°ir� I
RIM TRACK AND WEB STIFFENER
FIRST FLOOR CONSTRUCTION:
LOB + 4"CONCRETE SLAB W/WIRE REINF. ON 16
C=-=JL J 13 9 -22GA FORM DECK ON 21000S200-54
C�—7C7 JOISTS SPACED AT 16" O.C. W/MID SPAN
OC7=:7C-7
r oz7 BRIDGING
LAP JOISTS AND FRAME OVER EXISTING
— '-7
STEEL BEAM PROVIDE WEB STIFFENERS AND
SOLID BLOCKING AT ALL JOIST BEARING
_- LOCATIONS
Nit 7G
4"
LOPERIMETER BEARING WALLS: 362S162-43 AT
.
16"O/C ALIGNED UNDER EACH JOIST,
H� -j TYPICAL CONFIRM BASE TRACK BEARING ON
I
FOUNDATION
INTERIOR BEARING WALLS: 60OS162-43 AT
ss 16"0/C ALIGNED UNDER EACH JOIST,
TYPICAL CONFIRM BASE TRACK BEARING ON
FOUNDATION ELEMENTS OR PROVIDE NEW
DOWELED CONCRETE GRADE BEAM AS
7' 6"± NECESSARY
' H v.i.f. basement slab > 12"bear new wall directly on
slab or provide:
CONCRETE GRADE BEAM FOUNDATION UNDER NEW
_--:__ BEARING WALLS,AS REQUIRED#4 CONT.#3
EAST and WEST WALL - BUILDING SECTION SOUTH OF D-LINE S7IRUPS @ 24"AND #4 DOWEL BARS EPDXY 6"
INTO EXISTING FOUNDATION @ 12"O/C
SR[WLRIm6 BUILDING RENOVATION °i'v¢mi �Rw.
(1 /�
ASSOCIATES, INC. �� rnwn� J Y1
ronmeasma m,umam 299 ESSEX STREET SALEM, MASSACHUSETT x �J
IM-Z 0241 F&7 -5"7
- --
- --- ---- ----- -- -- ---- -- - --------- - ----
2FS18 OR APPROVED BRIDGING
STRAP.
SOLID STUD BLOCKING SPACED AT
10'4' O.C.ALONG THE INTERIOR
STRAP AND AT ALL NON BUILT UP
WALL TERMINATION POINTS. (I.E.
SINGLE STUDS)
(PLACE BLOCKING @ ALL END BAYS)
ENGAGE STRAP INTO SOLID
BLOCKING TYP.
CLIP ENDS OF SOLID BLOCKING TO
VERTICALLY WALL STUDS OR CUT FLANGES OF
4'-0"O.C. MAX. OR MID SPAN < 8'-0" TRACK BLOCKING.
(1) SCREW @ EA FLANGE
@ EACH STUD
EXTERIOR WALL FRAMING SEE SECTION
WALL BRIDGING DETAIL
sanwioa�s BUILDING RENOVATION °J�=3ILL
ASSOCIATES, 1NC. ° Mw"°V.
�9 aw Shed tint w ow 299 ESSEX STREET SALEM, MASSACHUSETT Sw V
i
I
2"x18 ga.FLAT STRAP
SOLID BLOCKING TOP AND BOTTOM
FIT BETWEEN FASTENED @ EA.FLANGE
FIRST&LAST(2)SPACES W/(1)#10 SCREW
AND @ 10'-0"O.C.
IN BETWEEN
COLD-FORMED STUD
BLOCKING MATCH JOIST FRAMING
I
COLD-FORMED JOIST
ANCHOR FLAT STRAP
TO SOLID BLOCKING
W/(2)#10 SCREWS.
MID-SPAN OR ffP-)
8'-O"O.C.MAX.
COLD—FORMED JOIST BRIDGING
I
i
I �
I
®u OAIE I551¢U: SHEET ft
swu� MIX BUILDING RENOVATION uxEzo+� (� (�
ASSOCIATES, INC. KOM �AN.A� S-8
a ENO anaMIS msW¢ame0µrs 299 ESSEX STREET SALEM, MASSACHUSETT s� s VV
RI-w-ml Fix ia-'A}@4 AS
E.M.R. DRYWALL, INC. JOB
63 112 Jefferson Ave. SHEET NO. OF
SALEM, MA 01970
(978) 744-5050 FAX (978) 741-8005 CALCULATED BY DATE
CHECKED BY DATE
ray = i
SCALE
2 5 2 5 6 5 4 B 2 B
10-9
J
. ry
J I r N
ff�+P
R
U
I f
L
J_ 1 o
D PRODUCT 207
299 ESSEX STREET 257-14
G>S#: 318 COMMONWEALTH OF MASSACHUSETTS
Map: 26
Block: - CITY OF SALEM
Lot:' 0457
Category: RENOVATIONS
Permit# 257-14 ° BUILDING PERMIT
Project# JS-2014-000640
Est. Cost: $54,000.00.'
Fee Charged::
Balance Due': PERMISSION IS HEREBY GRANTED TO:
Coast. Class: Contractor: License: Expires:
Use Group:'" ' ' w i., _ : EMR Drywall Inc.
LotSize(sq.`ft.): 2610.9864 �,,f ;
Zoning: '"� BS l +� ,' ' Owner: Essex Street Holdings
` i
Units Gained ( :Applicant: EMR DRYWALL
Units Lost: AT: 299 ESSEX STREET
Dig Safe#. ;.; 5;,
ISSUED ON. 24-Sep-2013 AMENDED ON: EXPIRES ON: 23-Mar-2013
TO PERFORM THE FOLLOWING WORK:
REMOVAL OF ROOF &REPLACEMENT WITH NEW RUBBER ROOF;NEW ROOF JOIST; REMOVAL OF
STOREFRONT&REPLACEMENT. INSTALL TEMP. BRRICADE REQUIRED FOR CONSTRUCTION
POST THIS CARD SO IT IS VISIBLE FROM THE STREET
Electric Gas Plumbing Building
Ic
Underground: Underground: Underground: Excavation:
F
Service: Meter: Footings:
Rough: Rough: Rough: Foundation:
Final: Final: Final: Rough Frame:
Fireplace/Chimney:
D.P.W. Fire Health
Insulation:
Meter: Oil:
Final:
House# Smoke:
Treasury:
Water: Alarm: Assessor
Sewer: Sprinklers: Final:
tTHIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS
(RULES AND REGULATIONS.
Signature:
It
GeoTMS®2013 Des Lauriers Municipal Solutions,Inc.
i City of Salem Sign Permit Application Worksheet
15-Jul-15 RECEIVED
Bonchon INSPE TI'ONAL SERVICES
]� 299 Essex Street
v Zoning(res/non-res) B6 . 1D15 AUG I A 11 52
Entrance Corridor(Y/N) N
Lot frontage n/a feet
Building or tenant frontage 29 feet
U ' #of businesses on site 1
Bldng dist from street center <100 feet
( Multiplier 1
(� maximum area permitted 29.00 sq ft
ry��J total proposed sign area 34.00 sq ft
sign 1
length 120.00 inches
height 36.00 inches
sign 2
length 36.00 inches
height 16.00 inches
sign 3
length 0.00 inches
height 0.00 inches
sign 4
length 0.00 inches
height 0.00 inches
sign 5
length 0.00 inches
hei m 0.00 inches
lees Sl. I"hs , ..
maximum area permitted sq ft(per side)
maximum#of signs permitted signs
maximum height permitted 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 It
length 0.00 inches
height 0.00 inches
proposed sign hei ht ft
Application meets standards set
forth in the Salem Sign Ordinance Yes
Recommend approval Yes
Approved by SRAIDRB
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 6/19115
E:D4•J r t 7" , �__
To the Building Inspector. I 5I l � 2.,c Date r � -
The undersigned hereby applies for a permit to d(Erect, o After, o Repair a sign on the following described buildings:
Street Address Zoning District
299 Essex Street. B5 rban Renewal Area ❑Entrance Corridor
❑Historic District ❑None
• Essex Street Holdings Realty/Robert Dunham -
Telephone 617-8395050 Im floor X
Peter Ahn floor
Address 299 Essex St Salem, MA 3 floor
Telephone 617-775-1788 e floor
E-mail salembonchon@gmatl.com How many businesses are in the building? 1
If a corporate body,name
Of 1980onsibileofficer
United Sign Co.,Inc./Ed Juralewicz Building 29 linear feet
License No 058192 Applicant's Space Of multi--tenant) 29 linearfeet
Address 33 Tozer Road, Beverly MA Property 29 linear feet
Telephone 978-927-9346 Mail Sign PeFrilit to
E-mail ed@unitedsign.biz ign Owner ❑Sign Erector ❑Other.
SI n 1 SI n 2 1 Sian 3
st Surface c Surface ❑Surface
❑Right Angle to Building N Right Angle to Building ❑Right Angle to Building
❑Free Standing ❑Free Standing ❑Free Standing
❑Awning ❑Awning ❑Awning
toPortable(A-Frame) ❑Portable(A-Frame) ❑Portable(A-Frame)
❑Other(specify) ❑Other(specify) ❑Other(specify)
Sign Materials Sign Materials Sign Materials o y
aluminum and acrylic aluminum and acrylic .., "
Sign D ensions Sign Dimensions Sign Dimensions „yam
31v x 120" 16"x 36" ca
Sign Area Sign Area 4 Sign Area ..I zm
s ft s it D—s it
Sign Height(if free standing) Sign Height(d free standing) - Sign Height(if free standino m o
Estimated Cost of Net Work
s $4000.00
W c-
L
e Sign Area ToSe Removed? Sign Own r
urface sq ft ❑yes ❑no
ght Angle to Building sq ft ❑yes ❑no
ee Standing _sq ft ❑yes ❑no Sign Owner's Authorized Representative
wning _sq ft ❑yes ❑no
her(specify) _sq It ❑yes ❑no
Pro Own r
A!ning 81 Development Department Historical Commission
Approval
Building r
0WWO rev
Mmmonwealtti of Massachusetts
City of Salem
120 Washington St;"3rd Floor Salem,W 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Pelmet No. B_15.839 PERMIT TO FEE PAID: $0.00" BUILD*
DATE ISSUED: 8l1 12015 -
This certifies that ESSEX STREET HOLDINGS RLTY TR DUNHAM ROBERT T TR
has permission to erect, alter, or demolish a_building"_299,,ESSEX,STREET,
Map/Lot: 260457-0
as follows: Signs SIGN PERMITIAS APPROVED FOR: BONCHON t`
JURALEWICt
Contractor Name: EDWIN J. t t w� .-
"DBA: UNITED SIGN CO ; r ^
I
Contractor.License No: 0581928/1912015
r
Building Official
may grant
shall be deemed sio abandoned t and Invalid unless the work authorized by this permit is,commenced within s Z months after issuance.The Building Official
may grant one or more extensions not to exceed six mµ nths:each upon written request.
All
All mrkcons author zealterationsy hi and changes of use of an permit shall conform to the y approved applicatf-and the approved construction documents.for Which thus permit has been granted,
'building and structures shall be in compliance with the local zoning by-lawsnd codes.
This c
permit shall be displayed in a location clearly visib
work until the completion of the same. llefmm access street or road and shall be maintained open'.for public inspeption for the entire duration of the
The Certificate of Occupancy will not be issued until alliapplicable,.signatures by the Building and Fire"Offidals.64provided on this.permit
H IC#: r., . ' rsons contracting with unregistered contractors do not have access tothe guarapry fund"(asset forth in MGL 042q).
i
Restrictions: t ,%
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
+, c