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28 LINDEN ST - BUILDING INSPECTION �-ba0 s cis is o 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 Dwelling - (This Section For Official Use Only) Building Permit Number: Date Applied: Building Official: 1 SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available) .9 ag Lirvdeyu ST- !9ALe/-x /W} (! q7o ^' No.and Street City/Town Zip Code Name of Building(if applicable) 1 _^ SECTION 2:PROPOSED WORK 14U� !1 Edition of MA State Code used 19 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) LLL Change of Use ❑ Change of Occupancy ❑ 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 Review rewired? r� Yes El No 2� b Brief Description of Proposed Work: ?Aie ,ATG- t5y'rsr fy!) SkaLCA t!N 0 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: Facto F-1 ❑ F2❑ I H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional 1-1 ❑ 1-2❑ I-3❑ 1-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3 V 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 ❑ IIIA ❑ 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: Public G3' Check if outside Flood Zone❑ Indicate municipal KK A trench will not be Licensed Disposal Site❑ required®ur trench or specify: Private El or inndcntify Zone: or on site system❑ permit is enclosed❑ Railroad right-of-w�ay/: Hazards to Air Navigation: MA l iistoric Commission Review Process: ss: Not Applicable ' Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed❑ Yes❑ or No E 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: Z 5CT S ar- �LfYN S �llZ Mf- "t— 1-0 C.0 Q01 t o'F P�cyfva SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Ns/t_ 1A Skol-e /+erz,'�a 15� Name(Print) No.and Street City/Town Zip Property Owner Contact Information: 9cilt °ES nt1 ,ct&l `2S-_76.2_ YP-2& y 37r yy3� 1/e"ur_76Ne-Aqc. orz Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes uC 64 Aeacyq_<x- ►vel V" ctoof 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 f!Y'and ski Section 10.1 10.1 Registered Professional Responsible for Construction Control �r�rlfLl� Q�TL-�� Z�33 1�G9GOIl��.P.� Name ecRe istrant) Tele hone No. gess Registration Number X2;8 s L S T_ Af Q ra! ,44 Qt& Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor 44'f6-6 V LG MS r do ijOn/ Company Name MIZE Al <Crno it/ 6 S "d.12-417 Name of Person Responsible for Construction License No. and Type if Applicable �Z l<Iray7 r� �T_ ffif� /z/ fix ffl' a�f dd Street Address City/Town State Zip 7,K&* 2_80 3 Q 2$33 wegc6� /y hue ? 7% /y__r� Telephone No.(business) Telephone No. cell a-msil address SECTION 11:WORKERS'COMPENSA110N.INSURANCE-AFFIDANCtr M.G.L.c.152.§25C 6 A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the iw6ance of the building permit. Is a signed Affidavit submitted with this application? Yes®/No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs:(Labor and Materials) Total Construction Cost(from Item 6)_$ 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ appropriate municipal factor)_$ 3.Plumbing $ D 4.Mechanical (HVAC) $ Vero Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $ O (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. �� �f�CaiMw caov"72Acia� �f z20 3 Please print and sign name Title Telepfhone No. Date p xAy r�s` AP k A M WA- �a Street Address City/Town State Zip Municipal Inspector to fill out this section upon application approval: Name Date The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code (780 CMR) 3 ca: Building Permit Application to Construct, Repair,Renovate or Demolish any Building other than a One-or Two-Family Dwelling Code and Other Requirements for Building Permits The Department of Public Safety has issued these building permit application forms so that municipalities across the state can move toward use of a single permit form and consistent permit application process. The MA State Building Code specifies the requirements of building permits and the applicant is advised to review and be familiar with these requirements in order to avoid some of the common permit application problems. Likewise the applicant should be aware that some municipalities require that the owner confirm, even prior to acceptance of the building permit application, that no outstanding property taxes, water fees, etc. exist. Filing Instructions 1.Please contact the city or town where the work will be done to ensure that the city or town will accept this application form and if any additional information is required, and obtain the correct mailing address. After doing so, print the application, fill in completely and then submit to the local city or town where the work will be done. 2.All applications shall be considered complete and will be reviewed if construction documents, specifications, fee, and other materials that may be required as indicated in the Building Permit Application are included with the application. 3.Please include a check for the Building Permit fee. The fee may be calculated using the information to be supplied in section 12 of the Building Permit Application. The check is to be made payable to the local city or town where the work will be done. Appendix 2 Construction Documents are 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"x"where applicable No. Item Submitted Incomplete Not Required 1 Architectural 2 Foundation 3 Structural 4 Fire Suppression 5 Fire Alarm(may require repeaters) 6 HVAC 7 Electrical 8 Plumbing include local connections 9 Gas(Natural,Propane,Medical or other 10 Surveyed Site Plan Utilities,Welland,etc. 11 Specifications 12 Structural Peer Review 13 Structural Tests&Inspections Pro ram 14 Fire Protection Narrative Report 15 Existing Building Survey/Investigation 16 Energy Conservation Report 17 Architectural Access Review 521 CMR 18 Workers Compensation Insurance 19 Hazardous Material Mitigation Documentation 20 Other(Specify) 21 Other(Specify) 22 Other(Specify) *Areas of Design or Construction for which plans are not complete at the time of application submittal must be identified herein.Work so identified must not be commenced until this application has been amended and the proposed construction document amendment has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to triple the original permit fee. Registered Professional Contact Information Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address Ci Town State 1p Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number Street Address Ci Town State Zi Discipline Expiration 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 following is true and accurate. Property Location (Please indicate Block # and Lot# for locations for which a street address is not available) LINDA�c/ cs! SACsfK ON 7& 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 n Provider notified and Release obtained? Yes ❑ No ❑ Gas Shut Off? Yes ❑ No Provider notified and Release obtained? Yes El No ❑ Electricity Shut Off? Yes ❑ No t� 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) Larry LeGault From: Jo Ann Simons Sent: Wednesday, July 20, 2016 3:03 PM To: Joanne Wahl; Larry LeGault Cc: Joanne Plourde Subject: FW: 28 Linden Street - Northeast ARC Excellent news. Can I get the building plans or can you, Larry,go and get the permit? Jo Ann Jo Ann Simons Chief Executive Officer ti(€img Support fo peoptew0h disubh"'rws 64 Holten Street Danvers, MA 01923 978-624-2408 www.ne-arc.org www.facebook.com/NortheastArc From. George Atkins [mailto:gwa@RonanSe-al.com] Sent: Wednesday, July 20, 2016 1:06 PM To: Jo Ann Simons Subject: FW: 28 Linden Street - Northeast ARC Joanne: The email below resolves any zoning questions. You can have someone bring the plans to the Building Inspector office for a building permit. From: Beth Rennard [mailto:BRennard@Salem.com] Sent:Wednesday, July 20, 2016 12:59 PM To: George Atkins<gwa@ Rona nSega l.com>; Thomas St. Pierre <TStpierre@Salem.com> Subject: RE: 28 Linden Street- Northeast ARC George, tom and I spoke and we agree with your opinion of this exempt use. Elizabeth Rennard City Solicitor City of Salem Legal Department 93 Washington Street Salem, MA 01970 978-619-5633 978-744-1279 (fax) brennardna salem.com From: George Atkins [mailto:gwa@RonanSegal.com] Sent: Wednesday,July 20, 2016 12:24 PM To: Beth Rennard <BRennard@Salem.com>;Thomas St. Pierre<TStpierre@Salem.com> Subject: 28 Linden Street- Northeast ARC 1 j Beth: Sorry to bother you again. Attached is my letter to Tom St. Pierre regarding the ARC building. George W.Atkins III Ronan, Segal & Harrington 59 Federal St. Salem, MA 01970 Tel. 978-744-0350 x 107 Fax 978-744-7493 gwa Ca@ronanseeal.com Please be advised that on August 5, 2016, our offices are moving to 65 Congress Street,Salem, MA 01970. Our telephone numbers,fax number and email addresses will remain the some. ------------------------------------------------------------------------------- ------------------------------------------------------------------------------- STATEMENT OF CONFIDENTIALITY This electronic message may contain privileged or confidential information. If you are not the intended recipient of this e-mail, please delete it from your system and advise the sender. Please note the Massaelhasetts Secretary of State's office has determined that most emails to and from municipal officials are public records. 1±Ml please refer to: http://www.see.state.ma.us/pre/preidx.htm. Please consider the eaviroumcnt before printing this email. 2 tl C lljlljjjliii S[ M1i O' I Uq � � I x t F 44 97 M �itll i", fill ��� -,.il R_:�4 •>�: i0`` �� ra �K,, to y"y Ymr q$a f r � � s flk. 4; x I e ( F• EXISTING GARAGE BLOCK T Marshall Street Boston MA 02108 taephone B1T.T20.%99 t mite 617.T20.1242 raw WacketoneblodLmm `EXISTING LAWN AREA ' - W.^nb&cknma Blod Ncwxn nc Cm Wte b .. fates/Lpma SE'IIEBAL MOTES Lffaw �—EXI5TING -:DRIVEWAY . EXISTING BUILDING " TO BE RENOVATED ®N wnpab NORTHEAST ARC HOUSING RENOVATIONS TO _ _ _ 28lJNDEl1 S1REEi 28 Linden Street EXISTING SIDEWALK - Salem,MA . '. . . :. r-wa a¢os O - - oats a..dana . wem to, Far W: CP/LZ 8a-[M NOTE: SITE PLAN HAS BEEN LINDEN STREET - EXISTING SITE DEVELOPED FROM PRELIMINARY FIELD MEASUREMENTS AND DOES _ - PLAN NOT REPRESENT A REGISTERED STAMP SITE SURVEY. SITE PLAN rte'' anon a" .�tM.k SCALE: 1" = 10'-0" v UP 1 1 J EIT ' —I"— . . . 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Nr - - - -CL. - N Wa_ _ s� - 31\ UNIT ICL ENTRANCE / \ NORTHEAST ARC J N �j (VISITOR DOOR) I I HOUSING REWVAIWNS TODINING CI I I `" BEDROOM #I \\ / �LNDENS'"�` it Yt I II L1 205 S.F.IIT--_� T - - - - - - - - r — RAMPr )I �'T-- ^� LIVING I I n 2e Linden sweet UP ROOM STAIR n i ii Salem.MA as _� I I I L - J I yr-ro• acos oats eaiamc �Cv ) _I I ovasn LEVEL I x x I I I I I I 1 o�. nK ne is: LANDING m ir,has/swtra: - - - - - _ -�_ - - PROPOSED FIRST FLOOR PLAN - SCl I PROPOSED FIRST FLOOR PLAN— SCHEME 1 UNITS 1-3 SCALE 1/4" = r-o MAIN ENTRANCE UP i _ IVA, EXTERIOR EGRESS STAIR B Marshall Street Boston M 112108 telephone 617 720 3599 factimila 617 nebloc.1242 w:ew.blatlaatoneblock.epm ON uo ilk Y i ' BATH DINING r• 00 emoeym tes/� e: ,: O O dB ERAL ROTES _. %" KITCHEN MEW BEDROOM 41 no S.F- Isom ` - UNIT 2 II HALL 915 S.F. _ UNIT 2 O CL. NTRANCE F ON CL. CL. r � N \ CL. NORTHEAST ARC HOUSING RENOVATIONS TO 28 UNOEN STREET i ROOFBEDROOM >«2 LIVING T I! BELOW 192 S.F. 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Salem, AAA Oats: Revivane COMMON — v awocna HALL ' X D .h bF fie ID: __ OPA2 Sd-M paau9 61N/Feet Hn: PROPOSED THIRD FLOOR PLAN PROPOSED THIRD FLOOR PLAN IA=3 SCALE 1/4" = I'—O" EXISTING BULKHEAD 5 ] Marsha 11 street Boston MA 02108 telephone 61].]20.3599 facsimile 61].]20.1262 ww.v.blackstonebloc m UP D W EXISTING STONE j' FOUNDATION WALLS - TYP. i EXISTING WASHER TOIL _ ANK 4 DRYER (E) � 0 lid a, notes/iegma: SAL NOTES EXISTING MASONRY CHIMNEY LEQEIIID FURNACE O (E) E%511XG YALL XFA HALL EXISTING OHW—� BASEMENT EXISTING BRICK MASONRY PIERS - TYP. a r: ® N Rrpjecl NORTHEAST ARC HOUSING RENOVATIONS TO EXISTING WOOD 28 LINDEN STREET STAIRS SUMP PUMP Up (E) 29 Linden Street SERVICES Salem. MA ELECT. S � i GAo21403 (E) (E) DXtc ReNabnx WMA6 Dm.^bx rae is .y CP/LZ 3bPlei Omvig tNe/4eN N°.: BASEMENT BASEMENT PLAN PLAN SCALE 1/9" = 1'-0" A=0 illi �,u �■� D■®"��'R��' min ELACKSTONE BLOCK Nph'Jy 'e �a � = CI❑°❑e❑e❑ee �' _ ■;�■.aoo'- �� 'm'°o -.i �� .o __I�: �. :i�ee .IIIIIIFillII- =��al�Iail■ el� e —e el�9 e.—= — e3 3usIueu'I �§ul: °■°. SLI?� ei, : e�a'u3 eu e'er== — III'i��I���II ,� E � +I 6 uulillllll' �.L�: �— II d ..." , : _ ' I�'� I IIIIIIIIIIIIIII Illlillllllluu��---� — � ��IIIIIIIII� ��—�■ e • • MINE WINE=---� ■ r •-- U --- ----- - -z--- �Ifll' �' X11111111 =0 MainRENWATIC)"TO � HOUSING MMW 28 Linden Street IIIIIIIII _ "����� o■�- Salem, MA ------------- moi. ��- � � -_ � �- ■� I� I{nm�nl �11 ■ � - e �� _ ���, �I��� oma_ I � l ■= _ '�. � ❑ .u.___ __ _LL? el�lle e'Lle II y\ =I■c nnuu(nil .�- IU I-- _ - �,I IIIIIIIIIIIIII��II II''