0196 ESSEX ST - BPA-10-531 �
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, The Commonevealth of Massachusetts
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�� � ,i, � Department of Public Safety I
`+-+U• \le...,�ihiueits tit.ite t3uilding Cudr 1750 GVR)kcenth Ediliun
City of Salem
Buildin Permit A lication for an Buildin other than a 1- or 2-Famil Dwelli
(This tirctiun For O(fici,il U.e Onlv)
Building Pennit Numbrr. Date Af�f�lied: Buildinh In,F�rcWr:
SECTION 1: LOCATION(Please indicate Block M and Lot N for loca[ions for which a street address is not availa I
{ 196 Essea Street Salem 01970 _
, .\'u.,tndStreet Cih� /Town ZipCude N.imeofBuilding(iFapplic,�ble)
� SECTION 2:PROPOSED WORK
If New..Constructiun check here O ur check all that apply in the twu rows beluw
Esisting Building � Repair❑ � �Alteratiun Addition O Demulitiun O (Please fill uut ind submit Appendix 1)
Change of Use ❑ Change uf Occupanry ❑ Other ❑ Specify:
. Are building�I,ns and/ur mnstructiun ducuments being supplied as part of this permit applicatiun? Yes ❑ No ❑
' � Is an lndependent Structural Engineering Peer Review required? Yes ❑ Nu ❑ �
Brief Descriptiun uf Proposed Wurk: Cosmetic remodel of existine coffee shop New floorin�
casework and paint etc.
/'
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDINC UNDERGOING RENOVATION,ADDITION,OR �
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑ '
Existing Use Group(s): A - Proposed Use Croup(s): y
Existing Hazard lndex 780 CMR 34: Proposed Hazard Index 780 CMR 34:
SECTION 9:BUILDING HEIGHT AND AREA
� . Existing Proposed
No. uf Floors/Stories(indude basement levels)&Area Per Floor(sq. ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check ae applicable)
A: Assembly A-1 ❑ A-2r �.. � q-2nc❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational O
F: Facto � F-1 ❑ F2❑ �'��H��Hi h:Hazard H-1 ❑ H-2❑ H-3 ❑ H-4 ❑ H-5❑
1: Institutional (-t ❑ I-2 ❑ I-3❑ 1-4❑ M: Me�rcantile p- R: Residential R-1❑ R-2❑ R-3 ❑ R-d❑
S: Storage SI ❑ S-2 ❑ U: Utility❑ Special Use O and please describe beluw:
Special Use:
SECTION 6:CONSTRUCTfON 7'YPE(Check as applicable)
IA ❑ IB ❑ IIA ❑ IB ❑ ❑IA ❑ ❑IB ❑� IV"p, VA ❑ VB ❑ �
SECTION 7:SITE�INFORMATION Irefer to 780 CMR 111A for details on eaeh item)
Water Supply: Flood Zone Infomiation: Sewage Disposal: Trench Permit: Debris Removal:
Public❑ C hcck i�uut�idr Fluod Znn��❑ Indicate municipal ❑ n trench will nol be Licensrd Di.pu.al tiite❑
Pricale❑ �ir�ndentih�Zune: ur un site s��.tem ❑ mquirrd O ur trench ur.F,ecik:
- - � permil i.endu.rd ❑
Railroad righbof-way:_ Huards to Air Vavigatiar �I,\ I li.hmir(�,�uuni..i��n R���i���� P��„-��..:
\'ut :\F,E,lic,il+le❑ I.titruduri•�crthin airpurt appru.�dt.irra.' � h lhrir rrcie�c cumplcled.'
��r l�un.cnt i�� Budd rnd��.cd ❑ 1'es❑ ��r Vu❑ 1'r. ❑ \�n ❑ t ts�✓ .
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
fdili�mnl (�,dr: l.rC�niuF,l,l: T�� culCi�natruitiun:
. P l)caip.vri L��,id pur Plunr:
I)��c. thr buildin�;conLiin,in tiF,rinklcr ti�:,icm.': �pecial titif,ulaliuns:
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SECTION 9: PROPERTY OWNER AUTHORIZATION � , �
N.im�•and Addmss ul Properlv O�vner � -.._.._
Nelson Valverde 420 Main Street West Nevbury 01985
N,�ntr(Print) Nu. dnd tiVret C ity'/Tu�vn ZiF�
PruE;rrh� l)��ner C'unt.xt Inlunnatiun:
Nelson Valverde 978 -363 1513
TiU� Trirphune�lu. (busin¢cs) Telrphone N��. (cell) e-mail addre�s
1!aF�F,lic,ible, the E�mp�rh'uwni�r hereby aulhurizes
Fulcn� Associates Inc.S Tech Circle Amherst NH 03031
N,ime , titri�rt Address City/Tu�vn � 5t.ite ZiF�
l�r,id un lhe �n��erh•a��•nerb behalf, in,ill malterc rclalice lo work,�uthurized bv this buildin � irrmit a > >licatiun.
SECTION l0:CONSTRUCTION CONTROL IPiease fill out Appendix 2)
(II buildin•is les5 Ihan.lS,lH)U tu.IL ut endosrd s tice and/ut nuf under Cunstruition Conlrol Ihen check here O and ski i Scction III.I)
10.1 Re istered Professional 2es �onsible for Construction Contml
Thomas House 603 770_ 2491 thouse@thaarc.wm AR 30830 �
N.ime(Regitifrant) Telephune Nu. e-m�il address Regis[ratiun Numby� �
105 Willow Brook Ave. Stratham NH 03885 Architect �p/31/10
Street Address City/Tuwn ' • St,te Zip Discipline Expiraliun Date
10.2 General Contractor
Fulcrum Associates, Inc. '
Cump�ny Name:
Robert Fournier CS 78002
Name u(Persun Respunsible fur Cunstructiun License No. and Type if Applicable
5 Tech Circle Amherst NH 03031
Street Ad'dress City/Town - State Zip
603 673 3200 6603 930 _ 3584 rfournier@fulcrum—nh.com
Tele hone No.(business) Tele hone No. (cefl) � e-mail address
SECTION 11:WORKERS'COI�.Q'ENSATION INSURANCE AFFIDAVIT(M.G.L.c.152. 25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents must be mmpleted and
submitted with this application. Failure to provide this affidavit will resul[in the denial of the issuance of the building permit.
Is a si ned Affidavit submitted with this a fication? Yes❑ No ❑ •
SECTION 72:CONSTRUCTION COSTS AND PERMIT FEE
Item Estimated Costs:(Labor
and Materials) Total Construction Cost(from Item 6) _$ 43,399.00
l. Building � S 34,366.00 guilding Permit Fee=Total Construction Cost x 11 (Inser[here
2. Electrical , $ -6,150.00 appropriate municipal factor) _$
3. Plumbing $ 1,100.00 484.00 + 25.00 = 509.00
4. Mechanical (HVAC) S 1,783.00 P1ote: Minimum fee=$ (contact municipalily)
5. Mechanical (Other)� $
Enclose check payable to
6.Tutal Cust $ 43,399.00 (.ontact municipality)and write check number here
SECTION 13: SIGNATURE OF BUILDING PERMIT APPLICANT
8v entering my name beluw, I herrby attest under the pains�ind penalties ul perjury Ihat all uf the in(ormatiun cnnlained in Ihis
application is trurand accurate to Ihe best of mv knu�vledheand unden[anding.
�,�,ac~� t��r,��ec-/.�`T"— �r,;er-� vnan�.pe�a� �eo3 -��-390o a �
Plea+c F�rint ,ind +ihn n.�me Title Tclephune V�r. Datc
el i�QC� C�� (�(.�R� �✓N��S�-{- � b�d31
. I tifrrcl Addrer. Citc/Tutcn ti6tt LiF� .
�tunicipal Inspector to (ill out this sedion upon application approval: � [i �,C�_
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Great North Property Management
182 Newbury Street
Peabody, Ma. 01960
978-278-4000
F'..`:)-i ! � ,
February 1, 2010
To whom it may concern: Coffee Shop at The Essex I
Please know that Eleni and her partner went before the Board of Directors
and explained all that they intended to do to make the shop a premier
roasting shop. The Board is very excited to have them become part of The
Essex. '
If you have any further questions please do not hesitate to contact me I
directly at 978-278-4000. I
Sincerely, I
Sue Teichmann
Senior Property Manager j
The Commonwealth Of Massachusetts
State Building Code
Conshuction Conh�ol�davit
Project Cafe Valverde Owner Nelson Valverde
Project Address 196 Essex Street, Sa1em, MA
Architect THA Architects, LLC
Architect Address 105 Willow Brook Avenue, Stratham,NH 03885
In accordance with Section 116.0 of the Massachusetts State Building Code, I, T'homas A. House, AIA
Regish�ation No. 30830, being a registered Professional Architect,hereby certify that I have prepazed or
directly supervised the prepazation of all design plans, computations and specifications concerning:
Entire project Architectural X Structural
Mechanical Electrical Fire Protection
Other(specify)
, for the above named project and that,to the best of my lrnowledge, such plans, computations and
specifications meet the applicable provisions of the Massachusetts State Building Code, all acceptable
professional practices and applicable laws and ordinances for the proposed use and occupancy.
I further certify that I shall perform the necessary professional services and be present on the
construction site on a regular and periodic basis to deterniine that the work is proceeding in accordance
with the documents approved for the Building Permit and shall be responsible for the following as
specified in Section 116.2.2:
1. Review of shop drawings, samples, and other submittals of the contractor as required by the
construction documents as submitted for the building pernut approval for conformance to the design
intent.
2. Review and approval of the quality control procedures far all code required controlled materials.
3. Special azchitectural or engineering professional inspection of critical construction components
requiring controlled materials or construction specified in the accepted engineering practice standard
listed in Appendix B.
Upon completion of the work, I sha11 submit a final report as to the satisfactory complerion and
readiness of the project for occupancy.
Signatttre J �1����'�--
Subscribed and sworn to be before me this J� � day of�Gpf�,y�,�,f, 2��
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-���'�__� � a-�/,3
Notary Public r � My ommission expires
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General Notes 2r����a�YZo,o „ „ ,. „ ,,,,
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1. The intent of these drawi�gs is to give the Vadesperson enouyh information to perform a complete job. ° '
The General Confi actor and subcontractors are responsibte for providing ail labor, rnaterials, and `
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equipment to perform the full work in a complete and craftsman lilce manner. If additional clarification is � '
required to describe the scope of work, it is the responsibility of the General Contractor to contact the s
architect or owner prior to submitting bids. ��' I I
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2. Should local codes and/or ordinances differ from these plans, a determination shall be made by ihe `' `��S A. r�' �
general contractor and/or local building official as to which is the most stringent. The most strinyent N , I
requirement shall rule. Should a change in these plans be necessary or desired which will alter the ' {: m �
design a Licensed Architect must verify all changes. x =---- - " % ;, STRATHAM
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3. All wood in contaot with concrete must be treated iumber. 3 y � �j � a�, r� I
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4. If required, all water lines located within exteriorwails are to be insulated. � '
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5. if required, alI exposed water lines below lavatories are to be proiected with insulati�on perADA-AG Y
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� requirements. 6 2 �,,, N�� �
6. All exposed finished surfaces, including insulation materials, facings, vapor barriers� and breather papers �� � � � �� �
shali have a flame spread of not more than 200 and a smoke density of not more th;an 450. . sTa��a:,=
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7. If required, provide draft stopping in all concealed spaces of walis, at cove and soffiited ceilings, dropped '"6-' � . '�' 2 �. � -�i �. ens c�s-,ozo
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ceilings, at tops and bottoms of stair stringers and all penetrations of ducts, pipes, �onduits, chimneys, � � � ' �"}
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8. Provide smoke detectors in suFficient quantities and locations to meet requirements of the Building Code. "�,; . � ',
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' 9. Contractor to confirm, each bathroom and toilet room shall be equipped with a mechanical exhaust fan �
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vented to the exterior. Fan shall exhaust, as a minimum, at 50 cfm if operaied intermittently or 20 cfm if ' � /// s Rl�lson Valverde
continuously operated. Exhaust vent termina6on to attics or other interior portions of the building are not ��(/� 7 8
Main Street
permitted. ,`�: WestNewbury, MA 01985 �
10. Fire stop all peneirations through fire rated assemblies. � 0 µ 2 -' .!
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11. All plumbing fixtures shaii be seaied to adjacent materials with appropriate sealant. ° t4 i
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li nd floor/ceilin �assembl�es and � ... - ,,� r. . �, . ,
12. As required, General Contractor to probe ewshng wall assemb es a g �.,„,.,� „�.,�� -� ,�..,�• °� � x,,��r---:-.�- «�.n�.,.- ��.�..r� �.�.�,�;,� � • �.�„�,,,..,�,�.�,..�A:�,
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provide findings to the architect for review. N
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13. Blocking instaliation by contractor to be provided where blocking is required. Solid Iblocking shall be
adequate to properly support grab bars installed, as indicated in typical accessibilityr guidelines (ADA-AG)
and dimensions using a load standard of 250 Ibs static. � COURTYARD LEVEL PLAN -- EXISTING � ENTRY LEVEL PL�N -- EXISTING
14. General Contractorto verify and provide for a weaiher tight building including but nnt limited to existing SCALE: I/4"=1'-m" SCAL�: 1/4"=I'-0)"
wall system,flashing and counterflashing. !,
15. Patch all areas which have been disturbed to match existing adjacent construction. DeffiOI1ti0ri NOteS �
z EeUa�,ry zo�a �, (�
16. Design build mechanical, electrical, plumbing and fire protection items not shown on drawings tu be OCCUPANT LOAD �
1. Remove existing acoustical ceiling tile system throughout. �
submitted bythe general Contractor and shall be code compliant. � _ , ,
Patch walls to match existing.
17. It is the responsibility of the contractors to familiarize themselves wiUi the�site existing condition prior to ` � OCCUPANCY: ASSEh1BLY 1U111'NOU7 FIXED SEAiS �;n !
2. Remove existing mirrors and wood baseboards throughout. � i
construction. UNCONGEN7RA�T�D (15 5F NEt) Patch walls to match existing �i �
18. Coordinate the removal of all hazardous material per State and local codes. DININCx AP.EA: 325 �vF . - �a„ � �
SEATING MAXIMUM: 22 8EAT5 3. Remove existing carpet, paddling and or adhesive throughout_ �
Patch floors to match existing with concrete skim coat. � ,
SEATING PROVIDED: 22 S�ATS �+ �"
DESIGN BUILD SYSTEMS 4. Remove existing vinyl fiooring and adhesive. ` ^°"a � I
IDOES NOT INGLUDE EXTERIOR SEA171NG.
Mechanical System: Patch floor to match existing as required. � �
Mechanical systems to be instailed according to design by others. Work shail consist of installing a complete r^� "!�
mechanical system for only the building renovation as required, consisiing of but not limifted to the following: 5. Remove existing door and fraune. Provide new door and frame as required. �
6. Patch existing gypsum wallboard throughout to match existing. � �
1. Replace existing ductwork and grilies with new ductwork and grilles. Install per tbuilding codes. �
Provide GWB compound slcim coat throughout and prepare to receive paint. � Q.,,f
2. Provide supnorting and hanging steelworic related to the mechanical system. 7. Remove exisling piumbing fixture. Relocate fixture to the Courtyard Level as shown. (�
3. Provide all labor, materials, equipment and incidentals necessary to complete thfe work of this section. � �
8. Remove existing plumbing fixture. Relocate fixiure to the Entry Level as shown. Repair drain line as �
Plumbing System: .�, > '_ � required.
; Plumbing systems to be installed according to design by others. Work shall consist of imstalling a complete �"'
' plumbing system for only the building renovation as required, consisting of but not limited to the following: 9. Remove exisling plumbing fixture(s). Provide new plumbiny fixture(s) supplied by Owner.
' EXIS7ING 1D. Refurbish existing light fixture� throughout as required. �
1. The entire building will be provided with plumbing system as required by State amd Iocal codes. EGRESS
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2. Remove and relocate existing piping as required to accommodate new work. , "; TO STAIRUIELL . .
,, E)C IST INCs
3. Provide piping insulation as required. �O� ��� - i
3'm"X6'S" �
DOOP TO ��,p'�'3� ��
P�MIAN �
4. Provide supporting and hanging steelwork related to the piping system. si • � ''< ' f � -' .� . ` " � `
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5. Provide all labor, materials, equipment and incidentals necessary to complete th+e work of thls section. ,M , ? g3 x* ,r,r° , ,�%�, ;
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, ,, _ " _ H KE �2'�`� IN� , 70 BE
installed accordin to desi n b others. Work shall consist of in:stallin a 1 -0 � � ' � e =-__ - - -- r ' P - - � y i Cr: " i'dG
ElecUical System: > : -"�" "" � " ".� 4a�0�0
Electrical systems to be ' g g y ' g compiete
electrical system for only the building renovation as required, consisting of but not limitedi to the follo�.ving: � �Z�-Zd"xl2" iP!S [C1..�'. OF
r � �A6E GABIN�T ^r, � � � �` ,� �`,� .,;:, i BUIIGf;vC;S
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`.�r `! "�� NEW - , _ O UN �,�
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1. A complete power and fire alarm distribution for the building renovation as requirred per governing �ry ' ' URA710N TO � 36"� 36"� 36" t"' ssued �ate Issued For
IN AL D PER SKET N gASE BASE � SASE '
regulations. ,,, ; PROVID `P"-�'v� CONTRACtO . - _ 3Feb2010 Construction
2. Remove and relocate existing electrical work to accommodate new wori<. Coordiinate with m�chanical NIEUJ GONTRAGTOR TO GOORDINATE �� �INISMED LAMINATE 4 Feb 2070 Add Furnish.lOccup.Load
and plumbing contractors. 3'0"Xb�'8" CONFIGURA710N UJI7N OILNER. F_ND PANEL GOUN7Et� (tYPJ
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3. Provide supporting and hanging steelwork related to the electrical system. �dD UNDEP GOUNTER '
DOCJR UF' + + DISPLAY SHEiLVES 3'-m" � EXISTING HANDRAIL
LAMINATE GOUNTEt� ,,-, SYSTEM TO PEMAIN j
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4. Provide atl labor, materiais, equipment and incidentals necessary to complete th� work of th's section. -�` IN57ALL o =' C7YPJ ,.
; P.ELOGATED � , • , ' ......_ . . _. ....�. . . _ . _. ..
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5. Provide as required emergency and exit lighting systems. �u DOUBLE SINY. � � }��',: k . 010
Oo � � � GAKE /� gm�� I :sp�� I - �� Date• February 02,2
6. Refurbish existing fire alarm and smoke detection systems as required. � GASE � SASE � B�,SE � REF Scale: As Noted
7. Provide, as required, power wiring to mechanical equipment and electrical equiprment as fumished by UN _r< UNTER Drawn by: JSL Checked by: TAH
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8. Provide power, conduit and installed systems for: . r ���� � _ _
(a) Securitysystem EXIS7ING � O �8.45E - Title:
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(b) Telephone system ° FIXTUP.ES 70 O _ BEAD BOARp L _ I
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(c) Electrical disconnects and remote electrical panels, REMIAN � 3�' I I I - o NANDUTASN � - •
(d) Emergency system. �,:; ° ,';, � �' � SASE REF PUJ ICE _ SINK '�'� , � � I
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