2 LYNDE ST - BUILDING INSPECTION O'n, OI
hl'li].IC PEtol)fDITARTNIFNT
I]ii\C ,.iu., . ::r,i i i . :�i: ..i, iii a
M `
1'1 I 9"8---1i 9i'li ♦ I �\ 9-8- IWJ8 10
APPLICATION FOR PLAN EXAMINATION AND
BUILDING PERMIT
ALL BUILDINGS EXCEPT ONE AND 2 FAMILY DWELLINGS
IMPORTANT:Applicants must complete all items out this page
S!T'11 INFORMA'T'ION
Locution Name Building
Propsty Address
`- L�y�� s �.4�cNr
Located in: Conservation Area Y/N Historic district
APPLICATION DATE
Use Groups
(check one)
Group Homes 113 Ra
Residential Q or more Units) R2_
Type of improvement Residential (hotel/motel) Rt _
(check one) Assembly(Theaters) Al _
New Building_ Assembly(restaurants Se clubs) A2r_A2nc
Addition Assembly(churches) Al _
Alteration t,/ Business B F/
Repair/ Replacement_ Educational E_
Demolition_ Factory(moderate hazard-) FI _
Move/Relocate Factory(low hazard) F2_
Foundation Only High Hazard -H_
Accessory Building Institutional (residential rare) 11 _
Institutional (incapacitated) 12_
Institutional (restrained) 13
Mercantile Rt
Storage SI —Lone
I-lazard
Storage S2_Line I lazed
(IN'NI?RSIIIP INFORMATION(Please hype(or Print Cleark)
OWNER Name 074
Address 5 i�Si/io .Ct� Sr7LEN/ 7/l!9
Telephone CI 7 P .3 7 Z( `l
Sil-nature
DESCRIPTION OF RY)RR TO BE PERFORMED
dc 40"!57
ES IEMA FED CONS I'RUCFION C'OS'T
r
co.N IRACTOR YNI-ORMA FION
Name ei 7,�tM
Address 76 /- - /7 GC i/� S'� Ye(Ual1V d1��la'J
Telephone q 7H %Z3 Z Z T2
Construction Supervisor's Lic # C S q]L7 �
Home Improvement Contractor#
:1RCIII'I'ECPEAGINI:F,R INFOMIATION
Name
Address 37 774 ee SX rale /�/.�17
Telephone q79 71042 97 7 ?
Mass. Registration #
1'@ILMIT FEE CALCUI.A'rION
/
Estimated Cost x $1151,000 + $5.00_ ��
COMNIENPS
The undersigned applicant does hereby attest that all inforutalion stated above is true to the best of my knoivledge
under the penalties of perjury
Signed (owner) (agent)
APPROVED BY :
DA'['E APPROVED: ` U
CITY OF SALEM
,yr PUBLIC PROPRERTY
DEPARTMENT
,i all N I1' lxh(,'I1
vl o A t!� W,\\111\a:nU\i)ALLf 4P SAII'\1,MANNA, III Q 11%'A l:
II.I,
P3.713-95105 • r\s WN-74C'1.46
Workers' Cumpensation (nsurunce ,liflidallit: Builders/Contractors/Electricians/Plumbers
%imucant Information � �i //�� Please Print Lefljhly
V i11nC IlLewnewyl)rPinV.ninre l ndn,dua l l: \� j/0 4 /+�).M %
�fW
City,Slaw,Zip. Phone •!: 9 7 0 7
.it,Pre you an employer'! Check the appropriate bus: I')pe of project(required):
I aln a gcnc'ral cUtitractor and I 6. ❑ New construction
1. E] 1 ;un a employer with 4 ❑
employees(lull amL'ur part-time).' have hired the sub-contracturs
?. I ,tet a sole pmpricux or partner- listed un the anachcd sheet. : 7. ❑ Remodeling
ship and have no employees These sub-contractors have S. ❑ Demolition
working for me in any capacity. workers' comp. Insurance. t). ❑ Building addition
�o workers*cum . insurance 5. ❑ Weare a corporation and its
p
I 10.C] Electrical repairs or additions
I rcyuireJ.] Officers have exercised their
3. ❑ 1 ten a homeowner doing all work right of exemption per hIGL I l.❑ plumbing repairs or additions
myself. (Ko workers' comp. C. 152. Q 1(4),and we have no 12.❑ Ruuf repairs
insurance required.] r �mployccs. LKn workers' 13.❑ Other
emilp. insurance ruguircd.]
•\u. .,,gth,ant ilial:becks box ill muse:Jas till ion the¢cion Iwduw showing Ihmr wu(keu'cunipenu iwr lwhcy ndarnlaniYa
' I lomeuwnen wha iubmil this of davil.ndieaeiny Phu)am doing all work owl nhcn hire uueside cwurxlun muse.uhnlin A new a1r:Javin..dieaamy each.
-(,,nirKu,es Thal,heck this box near anxhad.In aeJeiunal sMs1.huwiny the nark of tlk:rub-conlracnati and their wurkun'temp.policy mfurmanon
l a,n un amployer rltat is pruridbol workers'c•ornpenvadon Laurance jar my employees. Behnv is rhe pulicy and job rile
infuruturiun.
Innurai ce Cunlpauy Name:__--- --_-_.--_-
11olicv is or Sclf-ins. Lic. R: __.. .. . .. ___ Expiration Date:
JOU lite Address: _-_. CIty,SlataZlp:
I� .%teach:t copy of the warkers'compensation policy declaration page(showing the policy nmuber and expiradun date).
I•allure to sccurc cuwerage as required under Section 25A of>IGL c. 152 can lead to the imposition of criminal penalties of a
line tip to il.5110.t>n an,L'ur one-year impris,mincnt, as well as uiw 11 pcnullics in the firm of a STOP WORK ORDER and a fine
of till to i250.00 a day•Igainst the violator. tic advised that a copy of the statement may be tures arded to the 011ice of
til\t>I I•,all nla ul ;Iiv I)f,\ :or io,m ircc A14cLhe \et 111,ilmn.
I Ja hereby,,rtify under the pnsinv mrd penuhiev of perjury that the in/urmuden provided above/is(rue lord correct
O icial nue mdy. Da Pint write in Mix arra,to be rumplered by,ity ur town ujjicial. I
( itv or Town: _.. _ PermitiLiccnsc d
1\wuin, .\uiliurily (circle nuc):
I. lie,anl of IIc.JIh t. nodding Ucp.utolcnt 1. 1. luno Clerk 4. L•'Icctrical lovpcctor ?. Plumbing Impector
b. Other _
Contact I'cnml: .. .. Phone it:
Information and Instructions
Nt.u;.tchusnu GCncfal Laws Chapter I i2 requires all eutplo)ers to provide workers' compensation 6x their employees.
ptir"Lmt to VHS stature, ani empluree is defined as" .elcry person in the service of another under any contact of hire,
e vprc»or iinphcd. oral or carmen."
An employer is defined as"an individual, partnership, Associatiou, corporation or tither legal entity,or any two or inure
..r the torveomg engaged it ajmnt enterprise, and including the!cgal representatives of a deceased employer, or rhe
rcwvcr or trustee of.0 individual,pmtnership, association or other legal entity,employing employees. However the
owner ofa dwelling house having not snore than three Apartments and who resides therein,or the occupant of the
,I..rlltng house of another who employs persons to do maintenance.Construction or repair work on such dwelling house
.lr on; the°rounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
NIGL chapter 152. S25C(6)also slates that "every state or local licensing agency shall withhold the issuance or
renewal urn license or permit to operate a business or to construct buildings in the commonwealth for any
applicant who has not produced acceptable evidence of cumpllance with the insurance coverage required:'
kddiuunally, %16L chapter 152, a25C(7)crates"Neither the Commonwealth nor any of its political subdivisions shall
enter into any contract for the perfomlance ufpublic work until acceptable evidence ofcunlpliunce with the insurance-
requirements of this chapter have been presented to the contracting authority."
.Applicants
Please rill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and, if
necessary,supply sub-contractor(s) namc(s), addresses)and phone numbef(s)along with their certificates)of
insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP) with no employees other than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP docs have
employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial
\ccidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned no the city or town that the application for the permit or license is being requested, not the Department of
Injustrial Accidents. Should you have any questions regarding the-law or if you are required to Obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate Linc.
City or'rown Officials
plensc he sure that the affidavit is complete and printed legibly. The Department has provided u space tit the bottom
of tea affidavit fur you to fill nut in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to till in the perniulicense number which will be used as a reference number. In addition,an applicant
that must submit multiple pennit license applications in any given year,need only submit one affidavit indicating current
policy information(if necessary)and under"Job Site Address"the applicant should write "all locations in (city or
town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
Applicant as proof that a valid affidavit is on file for future pehmits or licenses. A new affidavit must be filled out each J
year. where a hone owner or citizen is obtaining a license or permit not related to any business or commercial venture
A dug license or permit to burn leaves etc.)said person is NOT required to complete this affidavit.
I h: i)dice til hh�eiti.,-ations wuuld line til thank )'ou in advance fur your Cooperation and should you hale any questions,
please du nut hcsirate to give us a Call.
ncc DCp.uthnent's address, telephone and fax number-
The
umberThe Commonwealth of Massachusetts
Department of Industrial Accidents
Ofllce of Investlgatlons
600 Washington Street
Boston, MA 02111
Tel. p 617-727-4900 ext 406 or 1-877-MASSAFE
Fax M 617-727-7749
d >-7o.ui www.mass.gov/dia
CITY OF SALEM
PUBLIC PROPRERTY
DEPARTMENT
L': Ir. ..,c:>: u Lt•,i l r �.) u. \ a .. .I') .
I I I'V'S '4i.'/445 I-)\''i'$.'J]' iL.
Constrtiction Debris Disposal affidavit
(required li)r all demolition and renovation work)
In accordance \01i the sixth edition of the Statc Building Code, 7S0 CTIR section 1 1 l.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit N is issued with the condition that the dcbris resulting from
this work shall he disposed of in if pruperly licensed waste disposal facility as defined by MGL c
I 11. S 150A.
The debris will be transported by:
(name of*hauler)
I lie dcbris will be disposed of in
(numru(I'aei ity)
P
� uuldns. t I�cllitvl
NL'llallll l' Ut Oi flll 11 .I I)I) cant
3 .3
RICHARD W. GRIFFIN ARCHITECT
37 Turner Street, Salem,MA 01970 Tel.(978)740-9979 Fax.(978)740-2352
Building Code Summary for 2 Lynde Street
March 27, 2009
1. General Project Data
Project Name: Restaurant
2 Lynde Street
Salem, Massachusetts
Zoning: Business —135: 0' setback, 100% lot coverage allowed
Code reference: 7th Edition of 780 CMR Massachusetts State Building Code
2. General Building Data -
Building Use Group Classification: B (Restaurant with less that 50 occupants)
-Construction Type: 3B—Wood Frame Construction on Concrete Slab
Building Area: 780sf(19,000 sf allowed per table 503) Building Height: 1 story with full
basement.
3. Building Description: Building is a one story, steel and wood frame, exterior masonry building, it
immediately abuts brick buildings on both sides with 2+ hour rated masonry construction.
4. Scope of Work : Renovations of existing former restaurant use per attached drawing.
4. Means of Egress
Occupant Load per floor table 1004.1.2):
Occupancy Occ. per sf Area Occ I Remarks
Seating Area 1 per 15 sf 375 25
Table Seating
Prep,Storae,Toilets Area 1 per 100 sf 375 4
Totals 750 29
Number of Exits (section 1014.0) = 1 required, 2 provided
Length of exit access travel (table 1015.1)= 200' required, 25' maximum provided
5. Finishes and Roofing Classifications
Roofing fire classification (1505): Class C roof covering classification
Interior Finish Requirements:
Wall and ceiling finishes (Table 803.5): Class C ie gypsum drywall.
Exit Access Corridors: NA
6. Handicap Accessibility 521 CMR
• Total of work is less than $100,000 and 30% of building value, none of the work affects
accessibility
7. Energy Code — No changes to exterior envelope are proposed, except for re-location of rear access
door— new door shall be insulated steel — U = .35 max (assembly U=.7 max)
8. Plumbing Requirement— Existing accessible toilet meets occupancy requirements as unisex single
user for up to 1200 square feet of area and up to 30 people (female limit governing)per 248 CMR table 1
Unisex Accessible Toilet is allowed per provisions of 248 CMR 10.10(1 8)(m)3a.
Grease trap to be provided per 248 CMR—connection to all dishwashing sinks except no connection
allowed at sink with Disposal (Grinder).
9. HVAC— Existing steam system and AC units to remain; new through roof hood exhaust to be
provided hood manufacturer and installed per architect's approval.
10. Fire Detection and Alarms (907.2.1): Horn-Strobe Fire Alarms, pull stations and Exit Signs with
Emergency lights at Doors, and heat and smoke detectors per approval of Salem Fire Department
All existing. Provide wall mounted type K and CO2 Fire Extinguishers at kitchen.
11. Fire Suppression System: Ansul system to be provided in hood over range, griddle, and grill.
Sprinkler system not required based on area and occupancy.
CIOF SALEM, MASSACHUSS
y�y M §�� LICENSING BOARD
120 WASHINGTON STREET
SALEM, MA 01970
TEL. 978-745-9595 EXT. 5648 oAVO J. SHEA.CHAIRI.IAN
9�G/MINg FAx 978-744-6775 JOHN H C.sEv
RICHARD C. LEE
KIN16FRLEN DRISCOLL ROUTING SLIP BARBARA A. SiRois
MAYORCLCRK OF THE BOARD
The Salem Licensing Board requires each applicant to have the appropriate Departments sign
this Routing Slip and return it to the Licensing Board Office prior to the issuance of a license.
BUSINESS NAME L !NDE S7k Eb7T c4 F r
Corporate name: 1/Vc
d WC1 L yAt-D ` STQ E e 7 CAF S,
d/b/a:
LOCATION: 1 L yM7 S_rTele. # ( )39 7 Z 9
SA�r� M A
TYPE OF LICENSE: COMM DN ylC %UR LER 4Me-lcA 7-rruti
APPLICANTS NAME:
PANAOcri- Uu re Gee
Residence R ' is l n 4
1 MUrrG
Street: S 7 Home tele. # C97G)
fee bo 397- Z ( 9i
City: ?eAlzod�I State: NM Zip: (DJ 96c)
TO ALL CITY DEPARTMENTS: your signature on this form is notifying the Licensing Board
that all requirements of your department have been met, at which time the L' rising Board will
issue a license.
Salem H' ri Commission D TE
120 Was ington Street
-5 t a 3165
Sign Review/Planning Dept. DATE
120 Washington Street
Salem Health Department DATE
120 Washington Street
Fire Prevention DATE
29 ort Ave. l /
Building Inspector DATE/
120 Washington Stre
TDeartm t of Public Services DA E( ater ept.)
II,�,iso
120 Washington Street
SYMBOL KEY T,
��}�, OT THERMOSTAT o
DRY GOODS STORAGE PULL STATION Z
EXISt. 1 @ HORN STROBE ALARM LL U
Toilet LL w o W
® HEAT DETECTOR n
0 SMOKE DETECTOR U W
OIL U)
TANK FREEZEO CARBON MONXIDE DETECTOR Q < it
ROOM - ® ® ILLUMINATED EXIT SIGN 0 2 _
MECHANICAL w t50
N ROOM � ILLUMINATED EXIT SIGN W/EMERG.LTS Q 0= < E
(HW/ELEC/ EMERGENCY LIGHTS H
BOILER) Q E '[EE'
O EXISTING WALL TO REMAIN = (D F
0 or to
EXISTING TO BE REMOVED Cc
[L E
z
ct
ns...... .. NEW STUD WALL
n
REMOVE EX15T BULKHEAD
BASEMENT PLAN (PARTIAL) INFILL BACKFILLWWALL BELO/J RU H D STONE
2 AND PAVE W/ ASPHALT-
41-OY211
SPHALT4'-O}'2n
FIN.TO STUD
.
EXIST FENCE o
at PL o z
g'O�x70� R.EXIST. DR. Exist, %3 0% rn R& SET COOLER ON o Q
Toilet icE 0 6" CONCRETE PAD Z w w L:i
Pot/ Pan Sink nDn a He 1H o W/#4 REBAR AT Q � M w
3, w 1 PR `� 12"O.C. EA.WAY a za 0
W �a 0�`Coke ( ep Sink + I
-v m BUILD EXI5T 3 EXiSr.DR" NEW OUTDOOR
HALF WALL Griddle Rang z u ®
n TO CEILING w --TF- — — –: _ _ _ _ .� % O I
w o r o WALK-IN
13 10'-0" COOLER
00DW/AN5UL SYS ABOV A c .
ri5U1 SALAD OUNTE y
ash Re co anel UNIT O
o Hand :' COUNTE z r,
�; 1 W-0° fi Id verify location Q
w On g•,0 1– rV
0 4 - } j lyi
FLOOR PLAN °z o
m 13/16" V1�_0 Luor
" O
N
x
NOTES: _ -j r a)
I. TENANT FIT-UP WORK CONSISTS OF RENOVATION OF ¢ ul
FORMER RESTAURANT FOR NEW RESTAURANT USE. cr co �4
2. REFER TO ATTACHED CODE ANALYSIS. Q9� �¢ LU -+-) :o
3. NO NEW STRUCTURAL OR MECHANICA WORK IS / ,S' U1 E~
REQUIRED IN SCOPE OF WORK, 2e� ck-ce/pt- -FWr
pl- N eAJ t.,�, /�Bct� , 14 0 Q) ,% cu
cu
SAL
4. REFER TO DRAWING FOR NEW STUD PARTITION w U (24 w rn
CONSTRUCTION, REAR DOOR INSTALLATION, COOLER SLAB,
AND BULKHEAD INFILL. DWG N0.
5. FIELD VERIFICATION OF ALL DIMESNSIONS ARE
REQUIRED, NOTIFY ARCHITECT OF ANY DISCREPANCIES. Al
6. Provide 3'-0" MINIMUM AISLE CLEARANCE BETWEEN.
FURNITURE AND EQUIPMENTS AS INDICATED ON DRAWING.
SYMBOL KEY
OT THERMOSTAT
DRY GOODS STORAGE ® PULL STATIONco
Ex 5
_Z
Toilet l @ HORN STROBE ALARM L_ U m
® HEAT DETECTOR H o
OIL — SMOKE DETECTOR `rt U o w
TANK F EEZE a O CARBON MONXIDE DETECTOR V it a
¢ M
ROOM MECHA®CAL
® TED EXIT SIGN pw
a ROOM � ILLUMINATED EXIT SIGN W/EMERG.LTS 0 Q
(HW/ELEC/ EMERGENCY LIGHTS IZ LU
BOILER) QU) LU
a
O EXISTING WALL TO REMAIN = C7 cr OO
W
EXISTING TO BE REMOVED w
NEW STUD WALL
REMOVE EXIST BULKHEAD
INFILL WALL BELOW W/ CONC.BLOCK
(,,,BASEMENT PLAN (PARTIAL) BACKFILL W/ CRUSHED STONE
4'-OX2n
3/16" = V-0" AND PAVE W/ ASPHALT
FIN.TO STUD
EXIST FENCE o H
EXIST. DR. at PL m Z
s Exist, 301
1"SULSR R• SET COOLER ON \
Toilet Pot/ Pan Sink Wnon�D R iESRHDID 6" CONCRETE PAD Z W w o W
I PR E He o W/#4 REBAR AT Q m w-j
3: � 12"O.C. EA.WAY J = j Q v
`Coke ep Sink (L a Zo In
P m BUILD EXIST 3 a,ST.DR
HALF WALL Griddle _ Rang Z W ® NEW OUTDOOR
m TO CEILING _ 'n , O
r o WALK-IN 0
10'-O" COOLER
OODW/ANSUL 5Y5 ABOV A
OUNTE co
ash Re Q1ul SALAD >
Hand COUNTE UNIT �0
m . '`A` cri
4'-O" fi Id verify location Z i--I
Lu Ell 00
O 41-0" nl1-Qpf Q
i>
W 1 FLOOR PLAN z +� o
Q �1 . 0
CCS c
" NOTES: Q
2T'0t I. TENANT FIT-UP WORK CONSISTS OF RENOVATION OF
FORMER RESTAURANT FOR NEW RESTAURANT USE. k��i Q
2. REFER TO ATTACHED CODE ANALYSIS. w W W
3. NO NEW STRUCTURAL OR MECHANICA WORK IS / n PS+ Q9� � p
REQUIRED IN SCOPE OF WORK� Gy�-ct/pt -to v- Yl2tcl &) (u„fr t/1Btd� , tio.�g}4 a) >% y
4. REFER TO DRAWING FOR NEW STUD PARTITION V. S&Lw UO
CONSTRUCTION;-REAR DOOR INSTALLATION, COOLER SLAB,
AND BULKHEAD INFILL. DWG N0.
tr G"
5. FIELD VERIFICATION OF ALL DIMESNSIONS ARE 4>
REQUIRED, NOTIFY ARCHITECT OF ANY DISCREPANCIES. jA 1
6. Provide 3'-0" MINIMUM AISLE CLEARANCE BETWEEN"
FURNITURE AND EQUIPMENTS AS INDICATED ON DRAWING.
t