2 CENTRAL ST - BPA The Commonwealth of MassachuseW{��
De arlment of Public Safety RECEIVED
MassachuPettsState Building Code( gT10KAL SERVICES
Building Permit Application for any Building other than a One-or Two-FI
(This Section For Official Use Only)
1 Building Permit Number: Date Applied: Building OHiciaE
Ln SECTION I-LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
2 eAnsme t; :& 6A4,64 (90 7b 1)?b5 00-tr�ut.r t+-fft),sr
I 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 ET' Repair❑ 1 Alteration-Er I Addition❑ 1 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 43' No ❑
Is an Independent Structural Engineering Peer Review required? Yes ❑ No ❑
Brief Description of Proposed Work E v
m .
5
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❑ H: High Hazard H-1❑ H-2❑ H-3 ❑ H4❑ H-5❑
I: Institutional I-1❑ I-2❑ I-3❑ 14❑ M: Mercantile$ R Residential R-10 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)
IAO TB ❑ HA UBp HIAO m 0 I IV ❑ 1 VA ❑ VB13
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 43" Check if outside Flood Zone a Indicate municipal$ A trench will not be Licensed Disposal Site❑
Private❑ or indentify Zone: or on site system❑ requtred$Ur trench or specify:
permit is enclosed❑
Railroad right-Of-way: Hazards to Air Navigation: MA Historic Comn>ission Review Process:
Not Applicable G Is Structure within airport approach area? Is their review completed?
or Consent to Build enclosed❑ 1 Yes❑ or No$ I 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:
S rnN o 1-0 b(o D oKn) 5-r
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SECTION9: PROPERTY OWNER AUTHORIZATION
Name and Address of Property Owner
ISOS eja-Vai5 UW e Fr, (('a N"utA4 54 '-bktyeys W-4
Name(Print) No.and Street City/Town Zip
Property Owner Contact Information:
-DA/La 617r4laR i f-gho- 19 O 161Alewci4 �f ;A4
Title Telephone No.(business) Telephone No. (cell) e-mail addr6ss
If applicable,the property owner hereby authorizes
N-rG a u`ag4aa
Name Street Address City/Town State Zip
to act on the propertv owners behalf,in all matters relative to work authorized by this building t application.
SECTION 10:CONSTRUCTION CONTROL(Please frill out Appendix 2)
building is less then 35,000 m R of enclosed space end or not under Construction Control then check hen O and skip Section 10.1
10.1 Registered Professional Responsible for Construction Control
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Name(Registrant) Telephone No. e-mail address Registration Number
Street Address City/Town State Zip Discipline Expiration Date
1(0}2 General Contractor I C
Company Nam
P i�C- /9 OV164( G S - 0 (3 0 b3
Name of Person Responsible for Construction License No. and Type if Applicable
Street Address
/��7 �y/[� City/Town State zip
V mot- ?�`� �S�>NGFi1MS �iJ1 L/sIIAC f.O�Gt
Tele hone No."(business) Telephone No. cell e-mail address
SECTION 11:WORKERS"COMPENSATION INSURANCE AFFID G.L.c.152§25C 6
A Workers'Compensation Insurance Affidavit from the MA Department of hidustrial 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 0 No 0
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6)_$ -3 q&6Q. —
1.Building $ Z Building Permft Fee=Total Construction Cost x_(Insert here
Z Electrical $ O appropriate municipal factor)_$
3.Plumbing $
4.Mechanical (HVAC) Is Note:Minimum fee=$ (contact municipality)
5.Mechanical (Other) $ Enclose check payable to
6.Total Cost $ 3 t9W — (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 Telephone No. Date
Street Address City/Town Zi
Municipal Inspector to fill out this section upon application approval:
Name Date
FERGAL BRENNOCK P.E. CONSTRUCTION & ENGINEERING SERVICES
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FERGAL BRENNOCK F.E. CONSTRUCTION & ENGINEERING SERVICES
April 13, 2015
Mr. David Butler
1805 Custom House
C/O 2 Central Street
Salem, MA
RE: Interior Masonry Wall Opening under Existing Double Steel Beam at 2 Central Street,
Salem, MA
Dear David,
Further to my second site visit on April 8, 2015, where the structural wall elements were open to
view, please find enclosed structural sketch to satisfy City of Salem Inspectional Services
(Building Department) and your procurement of a building permit for the interior alterations
proposed.
The existing double W12xl6 Steel Beam supports the interior wall as shown in my sketch. The
bearing of one of the beams (non-occupied side) is 2" onto the exterior brick wall, which requires
further support. A reinforced grouted block pier is to be constructed to help support the steel beam.
An opening of up to 72"can be utilized given the support conditions and the adequacy of the beam. "
I am satisfied as the capacity of the beams in their current condition and adequacy to support the
imposed loads acting on them.
Please contact me during construction with any questions and allow me to inspect during
construction such that I can ultimately sign off.
Yours sincerely
OF 4f4,T.
Fergaf BrennockPE �" FERGAID. G
#46244 BRENNOCK .
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No.46244 6
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71 LAVELL ROAD WATERTOWN MA 02472 FERGAIBRENNOCK@HOTMAIL.COM 617 828 0376