45 Trader's Way Garage 6 Permit Application
The Commonwealth of Massachusetts
Department of Public Safety
Massachusetts State Building Code (780 CMR)
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.
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: _______________________
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 Alteration Addition Demolition (Please fill out and submit Appendix 1)
Change of Use Change of Occupancy Other Specify:___________________________________________
Are building plans and/or construction documents being supplied as part of this permit application? Yes No
Is an Independent Structural Engineering Peer Review required? Yes No
Brief Description of Proposed Work:__________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
__________________________________________________________________________________________________________________
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 B: Business E: Educational
F: Factory F-1 F2 H: High Hazard H-1 H-2 H-3 H-4 H-5
I: Institutional I-1 I-2 I-3 I-4 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 IB IIA IIB IIIA IIIB IV VA VB
SECTION 7: SITE INFORMATION (refer to 780 CMR 111.0 for details on each item)
Water Supply:
Public
Private
Flood Zone Information:
Check if outside Flood Zone
or indentify Zone:__________
Sewage Disposal:
Indicate municipal
or on site system
Trench Permit:
A trench will not be
required or trench
permit is enclosed
Debris Removal:
Licensed Disposal Site
or specify:_____________
______________________
Railroad right-of-way:
Not Applicable
or Consent to Build enclosed
Hazards to Air Navigation:
Is Structure within airport approach area?
Yes or No
MA Historic Commission Review Process:
Is their review completed?
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: ___________________________________________
45 Trader's Way Salem, MA
x
x
x
9th
x x
9th
No
VBU
01970
x x
x x
1,591 14'
1
1 story, slab-on-grade foundation, wood-framed construction
N/A N/A
N/A N/A
N/A
x
Garage 6
1,591
x
x
Stateside Construction Group, Inc.
Eric S Guthrie
206 Andover St Andover MA 01810
CS-079024 Unrestricted
978 475 2900 508 294 4434 eguthrie@stateside1.com
x
Project Coordinator 781 777 5475 8/4/20
150 Presidential Way Suite 220 Woburn MA 01801
76,844.44
17,524.13
94,368.57
94,368.57
11
1,038.05
Courtney Haskins
Robert A. Schaefer
112 Elm St, PO Box 447 Goffstown NH 03045
rasarch@comcast.net603 497 3405 10791
Architectural 08/31/2021
Jeffrey S. Nawrocki 603 433 8639 jeff@jsneng.com 34168
Structural 06/30/2021
Muzaffer Muctehitzade 32579
Electrical 06/30/2022
617 338 4406 zade@zadeengineering.com
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140 Beach St Boston MA 02111
1 Autumn St Portsmouth NH 03801
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