B-19-143 - 0337 BRIDGE STREET - Building Permit 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
No.and Street City/Town Zip Code Name of Building(if applicable)
1 Assessors Map# Block#and/or Lot #
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 ❑ 1 Addition❑ Demolition ❑ (Please fill out and submit Appendix 2)
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 l9�
Brief Description of Proposed Work: eN �1 6°X/t� /1 3'd-'�l J
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❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional 1-1❑ I-2❑ 1-3❑ I-4❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3❑ R4❑
S: Storage S-1❑ S-2❑ U: Utility❑ 1 Special Use❑and please describe below:
Special Use Description:
SECTION 6:CONSTRUCTION TYPE(Check as applicable)
IA I11 IIA ❑ IIB ❑ IIu [3 II013 WO VA ❑ VB ❑
SECTION 7.SITE INFORMATION(refer to 780 CMR 105.3 for details on each item)
Water Supply: Flood Zone Information: Sewage Disposal:
Trench Permit: Debris Removal:
Public❑ Check if outside Flood Zone❑ Indicate municipal❑
A trench will not be Licensed Disposal Site❑
Private❑ or indentify Zone: or on site system❑ required❑or 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 ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edition of Code: Use Group(s): Type of Construction: :?!
Does the building contain an Sprinkler System?: Special Stipulations:
Design Occupant Load per Floor and Assembly space:
k _
SECTION 9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner '
Name(Print) No.and Street City/Town Zip
Property 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 apply for and 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 1)
If a building is less than 35,000 cu.ft.of enclosed space and/or not under.Construction Control then check here❑.
Otherwise :r ide construction control forms see section 107 in the code as required.
10.1 Registered Professional Responsible for Construction Control.(the profesiional 6o'rdinatin` document submittals)
Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
10.2 General Contractor
Company Name
-j-®V)►v 5i Lv/ , - c, -- 073 6 3,�-
Name of Person Responsible for Construction License No. and Type if Applicable
Street Address City/Town State Zip
115,
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❑ No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$
1.Building $ ,0 0.00 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
6.Total Cost $ ow. 00 (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 st of my owledge and understanding.
51 °lam✓iei ell, C• ��. -
Please print and sign name Title Telephone No. Date
Street Address City/Town State Zip Email Address
Municipal Inspector to fill out this section upon application approval:
Name Date
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - - - T /
�� 1✓�
WMch
Uveram- L= -_
I I Larch 18-0e-1
,a9/18/18
Salem Overhead
Door Company
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1 Partial First Floor Flan - Existit� Ccrbiti®ris, 1/4'I = 1 . 0
BndgeStreet
Salem, Massachusetts
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Partial First Floor
Plan
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Salem Overhead
,44.1 ,44.1 Door Company
' _. - � Bridge Street
' � Salem, Massachusetts
8" 10'-0" - New MO 8" 1'-0" 12'-0" - New MO '-0" ;
` New W 8 x 10 Steel Lintel (8" Bearing New W 12 x 19 Steel Lintel (12" Bearing ;
Minimum - Each End) w/ 1" x 5/1ro Minimum - Each End) w/ 11" x 5/fro"
Continuous ip- - Weld to Bottom Flange Continuous 1e - Weld to Bottom Flange
New �V x 31/2" x 34" Steel Angle Lintel (S"
Bearing Minimum - Each End) w/
Continuous Base Flashing 4 Pre-Formed Partial First Floor
Weeps s 24" OC Plan
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1 , 1
as noted
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AlmlI'
1 Fartial First Floor f::)larl/ 1/4 = 1�-0
L&Ch 0-091(09/I8)(06/0W
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f T All work shall conform to the CMR 180 - Sth Edition I
18097
(11119/18)
' All foundations shall rest on solid bearing (min. capacity = 2T/sf). Where '
resting on fill, such fill's material 8 compaction method shall be as Ch
approved in writing by the Engineer. Notify the engineer if lesser capacity Uvemm_ I=
material is encountered before proceeding with the work. MM
All concrete work shall conform to the latest ACI Budding Code (978)
Requirements for Structural Concrete (ACI 318) and the Commonwealth fivdev61@Xm c=
of Massachusetts State Budding Code. in case of conflict, the State C.Od`°`
Budding Code shall govern. no concrete shall be placed on frozen
► ground or placed when the temperature is below 40 degrees
' Fahrenheit without written permission from the Engineer. ;
New W 8 x 10 Steel New W 12 x n Steel
Lintel (8° Bearing Lintel (12" Bearin!c{{ Wall 8 Footing Concrete shall have a minimum compression strength
Minimum - Each End) Minimum - Eachof 3000 psi a 28 clays. Slab Concrete shall have a minimum
' w/ l x 5/16 Cont E - End) w/ 11 x 5/16" p y ' compression
Weld to Bottom Flange Continuous 1P_ - Welcl strength of 4000 psi 6 28 daysGrout under column base plates and
to Bottom Flange under other bearing plates shall be non-shrink, non-metallic grout with a Larch 18-O9�i
New (o° x 31/2 x -'/a " Steel minimum compression strength of 5000 psi e 3 days. Stairs 8 walkways
Angle Lintel (8° Bearing concrete shall be air entrainment (5-1%. content).
Minimum - Each End) w/ P>9/18/18
Continuous Base Flashing The building walls retaining earth have been designed based on lateral = �'
8 Pre-Formed Weeps g g g ; —
24" OC support from the completed floor slab(s) and framing. ;
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` u u �� n ; Interior slabs shall have a steel trowel finish unless otherwise noted.
Head Deta11, 1 1/2 = -� � plead Detail, 1 1/2 = 1 -0 Exterior slabs shall have a rough finish unless otherwise noted.
g ,
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Rebarsshallconform toASTM6154305, Fy = 60,000psi. Welded wire
Salem Overhead
T fabric shall conform to ASTM 185,
Door Company
;y S" CMU Jamb Blocks, Brick Jamb Both
Typical w/ 1 - 05 Bar Sides All carpentry work shall conform to the latest NLMA standards using Bridge Street
Vertical Both Jambs Fb = 1,000 psi E = 1.1 x 10°6 psi for dimension lumber Salem, Massachusetts
' Fb = 2,600 psi (12" deep beams) 8 E = 1.9 x 10°6 psi for. LVL's
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Cooperate with all other trades 4 refer to Architectural, Mechanical 8
b Electrical drawings for the installation of sleeves, inserts, chases etc.
4
The contractor shall verify all existing conditions and dimensions in the
field and shall notify the Engineer of any discrepancy before proceeding
with the work. ;
F/7
The Contractor shall provide all necessary shoring 6 bracing until all
structural work is complete.
Details
4" Brick Veneer to 4" Brick Veneer to The Contractor shall prepare and submit shop drawings & submittals for Structural Notes
Match Existing, Typical Match Existing, Typical r foundations, structural steel frame 8 light gauge metal frame and obtain
the Architects approval before proceeding with fabrication and work
�� _ ; - - All foundations shall be adequately braced prior to backfdlmg
f-3-1 Jamb Detail, 1 1/2 = 1'-�" Jamb D�tail, 1 1/2" = 1'=�" as noted
Head Note Jamb Notes
Head Detail Shows Structure Only Contractor Jamb Detail Shows Structure Only Contractor
A4'
. 1
to Furnish 4 Install All Required Blocking 4 to Furnish 8 Install All Required Blocking 4 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - _
Hardware for Door/Frame System Supports Hardware for Door/Frame System Supports , Structural N®t e S, r t S
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