281 ESSEX ST - BUILDING INSPECTION (14) ��� � o �
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� >� The Commonwealth of Massachusetts
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r `��'' Department of Public Safety
,f r �yU + MassachusettsStnte8uil�ing,Cude(�3lICMR),,, ,� �� _ ,
� Building Pemiit Application for any Building other than a One-or Two-Family Dwelling W
� _(fhis SecHon Fur Officiul Use Onl )
Building Pcrmit Number. Date Applied: Building OfficiaL• �
� SEC'C[ON 1:LOCATION(Please indicate 61ock q and Cot#Eor IocaHona for which a sheet address is not available)
� a � �,5� ��. ��� ����,�
�� No.and Sfree[� City/Town Z�p Code Name of Building(if applicabfe)
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SECTION 2•PROPOSED WORK
EJitiun of b1A State Cude used_ If New Cunstruction ch�ek here O rn chcYk all that apply u�the two rows below
Existing Building O R�pair O Altcration ❑ Additiun O Demulition O (Ple.sse fill uut and submit AppenJLr t)
Change of Use ❑ Change uf Occupancy ❑ Other ❑ Specify: -
�1re buifiling plans and/�urcunstruction d�xwnents being supplied as vart of this permit application? Ycs No ❑
Isan-(ndependenrStructural Engin��ering P�Yr Review reyuired? /� � Yes O Nu O
Brief Description of Propused W rk: L�7 V���1 '1�tJ 1°` (,� l, Y D��_ p(LOPD���_l�
�AoAw�rr�_�c5 �¢.Q �t'1t�}-�—�1,i�l�S
SECTION 3:COblPLETE TF[IS SECCION IF E%lSTING BUILDI(YG UNDERGOINC RENOVATION,ADDITION,OR
CHANCE 1N USF OR OCCUPANCY
CIILYIC Ill`fC If an ExisHng Building ImestigaHon and EvaluaHon is encluse.l(See 780 CMR 3f) 0
Existing Use Croup(s): Propused Use Group(s):
- � � SECI'ION 4:BUILDING HEIGHT AND AREA
� � � . � � � - � Existing ProposeJ
Nu.of Floors/Sturies(include b.�sement levels)&Area Per Fluor(sq.f[.)
Total Ama(sy.ft.)and Total Height(ff.) . � � �
SECTIONS:USEGROUP�(Checl�asa Iicabie)-
A: Assembly A-L❑ A-2❑ NighMlub ❑ A-3�❑ A-4❑ A-5 O B: Ouainess ❑ E: EduwNonal �
F: Facto F-I O F2❑ - FL• Hi h Hazud H-1 O. H-2 O H-3 ❑ H-4 0 H-5 O
� L• Institution.il [-I❑ 1-2❑ [-3❑ I-1❑ NL• MercanHle❑ R: Residential R-l❑ R-2❑ R-5❑ R-0�
S: Sforage SI� . S2❑ U: Utility❑ Spedal Use O and please describe bcluw:
� . Sp��cial Use: -
� SECf10N 6:CONSTRUCI'fON 7'YPE(Cheek�as a Ilcable) �
IA ❑ IDO IIAO IIB ❑ II(A ❑ IIIBO IV ❑ VA ❑ VD ❑
� SECTION 7:SITE W FORMATION(refer to 780 CM2111A for details an each item)
Trench PermiF Debris Removal:
Water Supply: Flood 2one Information: Servage Disposal: Licensed Dis us il Site❑
Public O Chc�k i(uutside Fluod Zune❑ Indicate municipal❑ �<<tnch will nut be p �+
rcquired O or trenth or spcci(y:
Private❑ or indenli(y Zune: ur on site system❑ v�rmit is endosed❑ �
Railroad right-of-way: HuarJs to Air Navigution: 4i,�\I li,t.�ri.C,�nun�,u��n_g,•._���..�1'�,k�..:
Not Applicable❑ Is StruUure within airpurt approach area? Is their review comp�eteJ?
- or Consent to Build enduseJ❑ Ycs O ur No� Yes❑ Nu ❑
SECT(ON 8:CONTENT OF CERTIFICATE OF OCCUP�WCY
, [ditiun ul Cuda: Usc Crouv(,): TYpe of Cuustnic�ion: (kn�pxnf Load per Pl�wr:
Dues�hebuildiuy,cuntain.m5prinklerSysteml: SpecialS�ipiJalions: _
C��I�N cs �U CO N712(���
SEC'CION 9:_L'ROBE&TY-OIMV�ER AUTfIOR(ZA'CION � �
N:imc and AdJress of Property OwneF�— �.
2� �sS�x �T �,��1 � D>9�v
Name(Print) No.and Street � City/Town Zip
Properly Owner Cun[att Infor iation:
�-ta�. • f�: l ;Pne 1.�411i��� G3b 6 - - jLC. V�-Zc.�� 2 s�a�s , �r
Title � Telephone No.(business) Tdephone No. (cell) e-mail addmss �
If applicablc,the property owncr hereby authorizes
�r�l L'c�srny�rr�N 3� ('�rr�2dtL �T. i��o-D�t �11 ��i��,a
N:vne Street Address City/Town � Sta[e � Zip
to act on the ro er uwner's behalf, in all matters rclative to work authorized b Ihis buildin rmit a lication.
� SECTION 10:CONS7'RUCiION COMROL(Please flll out Appendix 2)� -
If builJin isless-thnn35,000 cu.tt.of enclosed s ce and or not under ConshucHon Control Ihen check here O and ski SecHon 301
�101 Re istered-Professional Res onaible for Construction Control �
„ !� Zo/t�
�, Cf�.EfL S//�P.ev ���1�'� �rN�/C'.�n.s�:.ue�ia'u t�t 79 P
Name(Regislnnf) Telephone No. e-mail address Registration Numbcr
'�3�_�L �j'. P lA-ann�n �- �?�9Mb
Street Addmss Gty/Town Shte Zip Discipline Expiration Date
�103-General Contractor - - � � � �
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'� C����3'24)C�.i\C'�N
. Comp.�ny[Vame '
��1:P.11� t, .S i � � GioS�o�q
Name of Person Responsible fur Cunstruction License Nu. .md Type if Applicable
2i�i �'fr�t3�Y�v4� �5'. fi�e��o� Yi .� Di�i (or�
'Street Address City/Town , . State Zip
Z�3r� �!��, �-�- 7/ D�o��o t�i2a . �n,l�'
Tde hone No. business Tcle hune lVo. cell e-mnil ddmcs
SECTION 11:1VOFFEhS'CO�IPENSAI'ION INtiUIt:\NCr:.4PFiU�\VCI' M.G.L.c.752 25C 6
A 4Vorkers'Compens�tion Insur.ince Affidavit from the MA Department of Industrial Accidents must be completed and
�! submitted with�this applirntion. Failure to provide[his a(fidavit will result in the denial of the issuance of the building permit.
Is a si ned Affidavit submithd with this a IicaHon? - Yea� No �
SECI'ION 12 CONSTRUCTION COSYS AND PERMIT FEH
f[em Es[una[ed Costs:(Labor - �� � . .
and h(ahrials) Tot:il Cons[ructiun Cust(from Item 6)_$
l. �uitding � Bailding Permit Fee=Total Construction Cust x_(fnsert here
2. Elcetrical S - appropriate municipal factor)_$
J. Plumbing � 5
d. �fechanical (HVAC) 5 Nute:Minimum ke=$ (mntad municipalily)
5. M�ehanic.il Other � '6 Encluse dieck a ible tu
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`6'Total"Cust—` � � �p�•a (contad municipality)anS write check number here
fSECiION�13:-SICNATU2E OEDUILDfNG ['ERh1IT APPLICANT
6y entering my name beluw, Il5erc6y attest-undertheyainsand-penalties.uf pc�jury_tha[all.of_the information contained in Ihis
application is true�md accurate to the b [ f n k u� ;dge anJ understanJing.
1Vi,t�,�a�� �Q , s►4��„�� , o�w - — � ��� 8i88
Pleeue print and sign name Tille Tefephon Nu. Date
3� G�.Tvvt�4i, 3�. ��-ik-�o4ti � DI�bO
Slrcct AdJmss Cily/Town , State Zip
Alunicipal Inspector to fill uut this section upon application approvaL• �'��"� � A�F'
Name Date
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C'ONSTRUCTION
33 �;entra! Street, Peabody, MA 01960
(97fl'1532-8188 FAX(978)532-7477
AA.��. EIC.N.�,5S059 REG. t!10274E
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Tfus agreement made tkis 10th'��da'y af July, 2015 by and between Valiier LLC of 281
Esseu Street Unit 2C, Salem;�MA. herein refemd to as "Owner", and D & H
Construetion Company, lnc., of:33 iCentral Street, Peabod_v, Massachusetts, 01960, Mass.
Contraetcrr RegisEration Na. 2�;.279R; herein referrzd tc� as "Contraefar"_ Ow-ner and
Contractor in consideration of tk::mutual covenants hereinafter set forth agree as follows:
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Coniractor shali fiunzsh all iaboi•�d m2terials necessary to perform�nd complete tLe
•.=.,or�flescr.'�d bel�:�•,agon the faLtat��inb des�abeti pro�r!y�x,hich fls�er s'.'arranfs he
holds lease from Latitude Conda�Association: -281 Essex Stree4.Salem.MA.
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The a�ork, which shall include al�of the labor and maY:sials necessary for L'ze complstion
i11�ci'ii SiI�i C6IIsi5Y vi�`.tti2 io��vi',1iig: �
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CARMEL BAKERY-OUTNI'd f j
Demo existing specified watls on�gQund floor and dispose.
tl3t opeaing in floor to fruue for,.�zew stairs to basement as per plans provided,
Supplg an3 in�.ail���� 1 i 'f�":: 1 '/j{i,zJL)La*nina±�d�..ams and sister to exisfi�g joist
as per plans. `� i
Instail double LVL header. � i
Suprlp and.inctall (31 l i '/"x 1 �:"T,VT,stringe�s to blocking in stud wall on each side
tui*?+ belts_ "
Construct half wall approx. 4'0"�g�as per plans on one side of new stairs in kitchen
and full wall approx. 9'0"to sep��aTe kitchen from fmnt
, Futl wall not to reach ceiling. � ;
Nevr framed walls te be metal st�t�s�viYh 5!$"boani andsIdm coat plaster finish ready for
paint by other. �
Install continuous blocldng at top;��f i ew walls constructecL
Instail 1 '/:"poplaz cap with reve�ti at tops of new wai[s.
Install vinyl treads and riseis on p�ywood for new sfairs,
Install 1 '/z"wood handrails to ba�-�cnent stairs as per plans.
Frame specified walls on either sis'le of stairs in baseme�r.
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Frame specified wall to baseme��c�iling with opening for one new door.
3upply and install one new 3'0"��olid door with h?rd�vate
Install all biocking to new stairs�:�per plans.
Insiati 4 x 4 post at center span i�i stairs and suppori center stringer at header.
Supply and install '/2"blue boazd with skim coat plaster finish to be ready for paint by
otliers. � ;
Repair old walls as neede�. � 1
lnstall FRP panels and trim on s�eciiied kitchen walls as per plans.
FRP(fibergiass reinforced plasti�;•walls)panels and trim to be white traditional embossed
design• k� �
Supply and install '/<"luan plyw��.�od base over existing hardwood in kitchen area to
prepaze for installaTian Qf new r:uyl flooring.
Install Owners choice of comme�cial grade(Sheet vinyl,VCT, or equal)vinyl flooring in
specified kitchen azea. ($3,SOO.O�i i allowance included material and labor)
Supply and install vinyl treads at�d nsers on new basement stairs($1,000.00 allowance I
ineiu�iedfcrrmaterial). +� '
Eacisting hazdwood floor in take-�r�ut{azea to remain.
Clean and remove all debris gen�rated.fram woik performed. $36,667.W
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PLUMBING � �
Supply and install new dtains ant3 vents(cast iron)
Supply and insiall new-copper«<iter':ines as per plaas.
Supply aud i�sta:l a RO gailan h}�„r,'�electric hot w�ater�eater.
Suppiy anrl instail ene 24"x 24".-mop basin sink.
InstaIl Owner supplied 3 bay sint{ �
Jn_ct�ll Owner supplied hand sinL�
a11 reu�a^.d finish�lumbing ii.ltade�. $23,8$Z.�S(3
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ELECTRICAL � !
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Install all mugh and finish electri;al'as.per plans.
Remove and discard all old electtic wiring and fixtures as needed.
All power to be from c�cisting ele�:tricat ganel.
Relocate eacisting light fixtures aa�needed per p]an. $21,516.00
VENTII.ATION � �
SuF�ly and install a!! duct u�ork a nd�fans tvith lou�rers as per engineered drat��ngs.
Rough openings as needed throu��h interior walls and enetra6on throu brick.
�, P P�
� � $7,900.OG
FIRE ALARM& SPRiNKLEI�`SS'STENF
NOT INCLUDED � �
PAIlVTING � �
�30T IlVCLUDED � i
IVOTE: PERMIT FEES NOT INC'LUDED
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Cc:iractar shall gerform the H'or�`�inicoaLforanan�with such plans and specifications, if
any,as have been pmvided by the owner or the contractor, w}uch ptaos an3 specificatio�s
shall be deemed incorporated into this contract by reference,and will do so in a
workmanlike manner. � �
Contractor is not responsits�le for performing anv work not saecifically
, t�ferred to in this contractrt� ;
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Owner shall gay contractor the sar',n if Sevenry nine thousand nine hundred.si�cty£�ve
dollars,
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($79,965.�i0},in uvstallmen�as folloius:
($9,965.00), upon signing this co��tra'ct.
($24,000.00),upon commenceme�it of the work
($16,000.00),upon compledon ol:plumbing and HVAC rough
($15,000.00),upon completion o4"electricai rough.
($15,OQ0.00),upon completion o�the remainder of the work called for under this
cortracY. ��
In the event any installment is no��paid when due,conhactor may stop work without
breach untii payinent is made anc`for five{5)days thereafter. In the ev�nt any installment
is not paid within ten(10)days at�er�it is due, Contractor may, at iis option deem this
conttact terminated bz the owner y�nd may take such action as may�e necessary;
including initiating legal proceedi';�gs,to enforce its rights hereunder.
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At atl rimes diiring construction, [twner shall provide and maintain &ee and tmobstruc#ed
access io all zreas af rhe site w�e?F�e�uork vs:il be�r€ormed and sha?I�:evide, ac
Owner's sole expense,water and��1�cal service.
L u e Y o t h w n a t u r e cF c;.n s tr u c t i o n`�cre ma y�e some 3:,.:.a g�tc t::e!au3sca yin g.
�i1YII�i5�CiS$ilCt}IC3V'y'�Utj'iIPi2Cti��1 CI&y�ic�ucCc�aBiy nuu a"ia3%Cau52 aai'da'ua�c iv i�'ic
dr[veway blacktop and lawn.As I,�ng as Contractor shail exercise reasonable care, it shati
not be liable for any damage to tt�:;above-menrioned landscaping, lawn, or driveway.
NQTE: Hammering to walls, moi�n�, and aroiind windows may catvse dust in attics,
Fi�[n�,r rr2G�55� ?�£1 LCIIk'�*S-f31�2L'b' � �� . .
Contractor shall not be responsib't� f r ciaims for daznages to persons or property
occasioned by Owner or his agent:s,third parties,acts of God or other causes beyond
contractar's control. Owner shall tiol�contractor completely harmless from,and shall
�n�emnify cfln�aetor fctr, all eost�` d'amages; t�sses; and e�penses, in�ludin�judgmznts
and attorneys fees,resulting froua'claims arising from causes enumerated in this
Paz"dSr'dPb• �`� �
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1.All work shall be completed in a wor}manlike manner and in compiiance with all building codes and
other applicable laws. g I
2.To the eatent required by law all wo���shFail be performed by individuals duly licensed and au[horized by
!aw to perform ssi3�:ozk. ,� i
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3.Contractor may at its discretion ea@;,ge subcontractors to perform work hereunder,provided Contractor
shall fully pay said subwntractor and�i all instances remain responsble for the proper complerion of this
Contract.
4: All Fhange orden shall be in wriiin;a,and sigaed by beth Owner and Contractor. Comractor sha)1 be
res,omtsible to providz only tt�work di:seribed in this eontract and irt such ehaa�e orders as may from tinre
to time be agreed to between Conuactc�and Owner. All change orders shall specify iu detail any
additional work called for and the prici{for such labor and materials as shall be necessary to complete such
additionai work.
5.Coniractor warrants it is adequateiy snsured for iniury to iu emoloyees and any others incucring loss or
iqjury as a result of the scts of Contzar,�.or br its employces and subcarstracto�.
6.Contractor shall at OWNER'S EXI'ENSE obtain all oermits necessary for the work to be performed.
Contractor shall not,however,be respensible for obtaining any vaziances or other wning relief,or for the
cost thenro�as may be required to enra}+le 3he ConVactor to obtain a building permit.
7. Contractor shall aot be liable for re�,wval,recalihration,or rep�ace�nent of alarm systems,saYe2lite
dishes,wall or x�indaw air mnditionin�units er faulfy rable,alectrical,and Ye(ephone connections-
8. Contractor shall not be liable for an�V delay due to circumshances beyond its control including strikes,
casualty or generai unavailability of m�.terials or the discovery of the condirions or defects upon the site or
in the strvcture(s)thereon not Irnown tc the Contrac[or at the time of execution of this contract and which
may be discovered c'uring the course a:''the Contractor's completian of the work. In addirion,the Owner
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acirno�c kdges and a�ees dta:in certait+reinodeiing�vor+�tF.e damolirion of portions of the pre-existir.g
strvcnue may reveal additional defects;'conditions or the need for addirional work which must be repa'ued,
altered or camed out in order to com��:nce or complete the work called for in this contract In such case,
the Owner agrees tBat ihe durarion of tk e work and any scheduled date of completion may vary from t6at
which has say be set fert?±herein aed+,hmer ae ees eYecme a change enier detailing rhe cos±ane�scope of
tiie additionaF woek neeessaey to eeoair,'eoereec oe a(tec such additirntaf deiec-ts aad eettdifions.
9. Cantractor wffiants ail work for a g�:riod of36 months following completion This warrauty is void if
payments have not been made to Comp;iny Agent or Foreman wLen due and in the fiill amount speeified.
]0. Owner agees that in the event it be;comes necessary for Contractor to collect any payments called for
�erevnder cr to enforce any pm nsion c�f ffii;agreemen:,Ormer shsll be responsible for the coss af such
collection or enftsrcemenT,;�ci�g reTz�i;ab,e at[cT_3`s fees.
You may cancei this agreemen�if it has been signed by a party thereto at a place
other than an address of the scs��ler,which may be his main office or branch thereof,
provided you notify ihe sel�er�:?e�+�rs�g at 5is main affsce or braflch by ordinary
mail-�aste�I,by te3€��s�n4 E-;-�;�3€�=.�-a�},��t}z*�r tha�a�ai��s9ght•af��s��4��
business day following the sigceing of this agreemenL
Contract price is good for 30 dl�ys from receip£
J�I3 ST'�YT:1\To iate�tt�a� 1 i�l� Z.weel:��pc;n rerei�#oi Feeatit.
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COMPLETION: Approx.4 we:ks after commencement
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Contract valid only if signed b�Owner and Company Representative
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'�'igne:f r�s�_:iuy of�f�,zft15:
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�//'��V �+ I Company Representafive
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Owner Po' ; Owner
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C�TY OF SALEIV� M1�.SSAC�iUSE 1'I'�
; �l BUILDIIJGDEPARTMENf
12o WASHIPiGTpNS1REEr,3'��7.oOR
7�L(978)745-9595 �
KIINBERLEYDRISO�LL FnX(978)74Q9846
MAYOR - TrroMas ST.P�Rxa
DmEEcrox oF r[.�ucrxo�xTr/st�.nn�c ao�nvussro�rt
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Construction Debris Disposa/Affidawt
(required for all demolition and renovation work)�
In accordance with ihe sixth edition of the State Building Code, 780 CMR, Section 111.5 Debris,
and the provisions of MGL c40, S 54; Building Permit�/ is issued with the
condition that the debris resulting from this work shali be disposed of in a properly licensed
waste deposit facility as de�ned by MGL,c 111, S i50A. � � ,
The debris will be transported by:
—� S i�rit� �l� S PbS�4 L�
(name of hauler)
The debris will be disposed of in:
(name of facility)
'UV\.�i-T av�N ill� 1�
(address of facility)
� � Signature of applicant
� r � 5 � � ��
Date
� The Commoxwealth ofMassachusetts "
Deparlment oflndustrialAccidents
1 Congress Sbeet,Suite l00
Boston,MA 02I14-20I7
www.mass.gov/dia
\�'orkers'Compensation Insurance Affidavit Builders/ContraMors/Electricians/Plumbers. - �
TO BE FII.ED WITH THE PERMITI7NG AUTHORiTY. � � -
A ticant Information Please Print Le bl
Name(susmes�/organizationQndiviauzl): '� �T t�!J
Address: 33 �'�-+�(.... �1, ,
City/State/Zip: Phone#: ^�-3�-' �) .o
Ne yoo ao employer?C�eck the eppropria e boz: 1�p¢ot p7ojeCM(Ieyui�Cd�:
. 1.�I am a emyloyei with �.�PloYees(fiill and/m P�-�e)' . 7. ❑New COn¢WctioL
2.Q I em a.sole proprietm m part�ership apd have no employees worim�g forme in �� � $_ �RCIIlodeling
my cSpaciry.(No workei6'cumP.msiusnCe requoedj ' .
3.Q 1 am a Aomeowner doing all work my6eV.[No workeis'comp.insmance required.j� 9: ❑Demo�idOtl
4.❑I am a homeowner and wi0 be h'ving conbaccon to conducl ell work on my property. I�n71 10�Building addition. .
a�ciue that al]contractms eitLer have workers'compensation msurance or ere wle 11.�EleCh'iC21 iepeiis OT additlons
wo�aimas with no�ptoyees. � . � � ' 12.�PLanbing repairs oT additions
5.❑I am a geixral con6actor and I have hued the atibtonaectors]isted on ihe aaached afieet 13.Q Roof ieQaiiS -
These subcontrsctors tuve employces mid have woikas'comp.msw�ce.f . . � .
6.❑We are a coryoreU�and its oficers here eacercised iheir right of exemption per MGL c. 14.�Othe7 �
� 152,§](4).and we have no employea.(No workers'comp.msmance requuW.] � � -
. . ....... . . . _. _.... . _. . . _.__ ._... . _.. _ .... .. ._ .._ ..._ _. . . _. ..
•Any applicant that checks box#1 must elso fill out the section below showing ihe6 workers'compensation policy mfmmation. . �..
t Homeo�mers who sutimit tl�is affidavit iodicadng they are doing alI work and t6m hirc outside co�ac[ors must submi[a new�affidavi[mdicating sucb.
IContractors thet check this box must attached m additional ahret showing itie,ume of the subcoabaclors and stare whetfia or not those mtitles have �
employeea If ihe sub-contrac[ors heve�ployees,they must�uovide thert-wmkers'.Wmp.policy m�ber.:. . .
I wn an employer that is providing workers'compensatian insurance for my employees.�Below is the poliiy andjob�site � � �
�njormation. ,r, .. �
Insurance Company Name: ���� i 1J���Tl�i J"N ���I�- i i� - � .
Policy#or Self-ins.Lic.#:�9„�j��� P� B -0� Expiration Date: p �lv "� I S
� JobSi[eAddress: �15�� �SS�X r )T V�z1 �li City/StstelZip: � �Lj^�Q
Attach a copy of t6e workers'compensatlon policy declaraqon page(showing tde policy nnmber and ea Iration date).
Failure to secure coverage as required under MGI.c. 152,§25A is a criminal violation pimishable by a fine up to$1,500.00
and/or on�yeaz imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a .
day against the violator.A copy of this statement may be forwerded to the Office of Investigations of flie DL^i for insurance
coverage verification.
I do hue6y ce under p aUies njperjury that the injormation provided above is true and torrec4
Si ature: ' . . Date:
Phone#: �
� O�cial use only. Du not wrBe in this area,to be complded by city or town ojJ'iciaL.
City or Town: PermitlL3cense#
Issuing Authority(circle one):
1.Board of Health 2.BuSlding Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Ot6er
Contact Person: Phone#: � -
Information and Instructions
Massachusetts General Laws chapter]52 requ'ses all employers to provide workers'compensation for theu employees.
Pursuant ro this statute,an employee is defined as"...every person in the service of enother under any contract of hire,
express or implied,oral or writtep."
An employer is defined as"an individual,parinership,association,corporation or other legal entity,or any two or more
of the foregoing engaged in a jomt enteiprise,and including the legal representatives of a deceased employer,or the
receiver or trustee of an individual,parinership,association or other legal entity,employing employees. However the
owner of a dwelling house heving not more than three apaztrnents and who resides thetem,or the occupant of the
dwelling house of another who employs persons to do maintenance,construction or repa'u work on such dwelling house
. m on the gounds or building appurtenant thereto shall not because of such employment be deemed to be an employer."
MGL chapter 152,§25C(6)also states that"every rtate or local licensing agency ahall withhold the issuance or
renewal of a license or permit to operate a business or to cons[ruct buildings in t6e commoaweakh for any
applicant who Las not produced acceptable evidence of compliance with the insurance coverage required."
Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shal]
enter into any contraM far the perfmmance of public work wriil acceptable evidence of compliance with the insiaance
requirements of this chapter have been presented to the coatracting authoriry."
Applicants -
Please fill out the workers'compensation affidavit completely,by checlong the boxes that apply to your situation and,if .
necessary,supply subcontractor(s)name(s),address(es)and phone munber(s)elong with their certificate(s)of
insivance. Limited Liability Companies(LLG�or Limited Liability Pazfierships(LLp)witL no employees other than the
members or parh�ers,are not required to caTry workers'compensation insurance. If an I,I.0 or LLp does have
employees,a policy is required. Be advised thal this affidavit may be submitted to the Departrnent of Industrial
Accidents for confianation of insivance covaage. Also be sare to sign and date the affidavit The affidavit should
be returoed to the city or town that the application for the peitnit or license is being requested,not the Depertrnent of
Industrial Accidents. Should you have any ques[ions regard'mg the law or if you are requfred to obtain a workers'
compensation policy,please call the Departmentat the nutnber listed below. Self-msured'companies should enter their
self-insurance]icense number on tlie appropriate line. �
City or Town Officlals � � • �
Please be sure that the affidavit is complete end printed legibly. The Deparhnent'hes provided a space at the bottom
of the afSdavit for you to fill out in the event the Office of Investigations has to wntac[you regarding the applicant.
Please be sure to fill in the pemtiUlicense number which wil]be used as a reference number. In addition,an applicant
that�st submit multiple pem�iUlicense applications in any given year,need only submit one affidavit indicating cuirent
� policy infoanation(if necessary)and imder"Job Site Address"the applicant should write"sl]locations in (city or
town):'A copy of the affidavit that has beeu officially starn�ed or mazked by the city or town may be provided to the
applicent as prbof that a valid affidavit is on 5k for future pemvts or]icenses. A new affidavit must be filled out each
year.Where a home owner or citizrn is obtaining a license or permit not related to any business or conm�ercial venture -
(i.e.a dqg license or pemrit to bum leaves eic.)said person is NOT required to complde this efSdavit. �
The DepartrnenYs address,telephone and fax number: �
The Commonwealth of Massachusetts
Deparhnent of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
Tel. #617-727-4900 ext. 7406 or 1-877-MASSAFE
Fa�c#617-727-7749
Revised 02-23-15 wW W.mass.gov/dla
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Board of Bu;Iding ;?�g�;a:ior,s an�St2nda:;;s �
C:�nstructinn Suncr��tsar
Lirense: C$-05gp59. F ,,
MICHAELM •��; �.
SHA��IRO _
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. � ExpiratioA ; � - , , , �
� Commissioner 06l77/ZOA6� :
� � I
' .••• T .• • •• • •: .z; .- • ' V/te �0o)IrOlta)ll6e!!�t/l.o��i!'IOUOC�rU2/�J�" —'_
. r `� OiTict of Consumer Atfairs&Basiuess Regnladon
_ �� MEfMPROVEMENTCONTRAGTOR � �
r istraLon .102798 Type-
i:: piraUon 72l2Ui6 -, PrivateCorporatior� "
� �, D�8 H CONSTRUCTION CO WC �-� i? �
I �rF
, �
. ' Michael Shapiro �� 3 �;
� �j 33 Centrai St: ' + q _`� � �
f4 Peatiody.MA 01960
_ ! Underseeretary
. � �(:
Y. - :s'
- (L.�,__ .._.__�_—'_"_..__._ , . __,.__"_'. ._ -:..�__ z �-- _ v.
NorEs
FILL VDID WITH HILTI CP 606 GALV, STEEL RETAINING 1. WORK TO COMPLY WITH 780 CMR (MASS. STATE
fLEXIBLE FIRESTOP SEALANT C�LLAR 2 IN BY 2 IN BY
SPACE BETWEEN DUCT AND 18 GAGE ❑R BETTER (2 REQ'D) HUILDING CODE, 527 CMR (MASS. STATE ELECTRTCAL
OPENING LIMITED TD 1/2 INCH, � CODE), 780 CMR 66 (DUCT SYSTEMS), INTERNATIONAL
� MECHANICAL CODE, AND ALL STATE AND L�CAL
ORDINANCES.
2. EQUIPMENT INSTALLATION SHALL COMPLY WITH
MANUFACTURER'S INSTRUCTIDNS
3. OWNER SHALL MAINTAIN E�UIPMENT AND
E%HAUST VENTILATION IN GOOD WORKING ORDER,
4. VENT TERMINATI�N TO BE 30 FT MINIMUM qBOVE
8' GALV SPIRAL DUCT LOCAL GRADE,
28 GAGE (SEE N07E 6) - 5. MAKEUP UP AIR DAMPER TD BE INTERL�CKED -
W A L L P E N E T R A T I❑N O WITH IN LINE FAN AND OVEN HO�D SUCH THAT MAKEUP
AIR IS PROVIDED WHEN OVEN HOOD AND IN LINE FAN
D E T A I L EQUIPMENT O ARE IN OPERATIDN
C� P L A C E S) 6, JDINTS TD BE SEALED WITH HIGH TEMPERATURE SILICONE
1 6' WALL CAP W/DAMPER AND BIRD SCREEN 4O
AND COVERED WITH ALUMINMUM TAPE
2 UNIVEX HOOD WITH MANUAL CONTROL
3 UNIVEX ECOS-10 W ELECTRIC BAKERY OVEN 06 780 CMR MASS STATE BUILDING C�DE-8TH ED.
2801.1 MECHANICAL APPLIANCES, E�UIPMENT AND
4 S�LAR & PA�AU M�DEL SRBOBMHIS IN LINE BELT DRIVE � SYSTEMS Ta BE INSTALLED IN ACCORDnNCE
CENTRIFUGAL DUCT FAN 583 CFM @ 3/4' SP, 1/4 HP MOTOR WI7H INTERNATIONAL MECHANICAL C�DE 2009.
❑R EQUIV. CSEE NOTE 5)
5 BROAN MODEL MD10TU AUT�MATIC MAKE-UP AIR DAMPER INTERNATIONAL MECHANICAL CODE 20as
�R E�UIV. (SEE NOTE 5) TYPE II HDODi q GENERAL KITCHEN HOOD FOR
6 10' WALL CAP WITH BIRD SCREEN � COLLECTING AND REM�VING STEAM, VAPOR,
HEAT, �D�RS AND PRODUCTS �F C�MHUSTI�N
7 SOLAR & PALAU MOTOR SAFETY GUARD MGS�B7612 T❑P V I E W 507,13,4 CAPACITY FOR LIGHT-DUTY CO�KING APPLIANCES
SC ALE� 1/4` = 1�=0�) 200 CFM PER LINEAR FOOT OF HOOD (WALL
M�UNTED)
508.1 MAKEUP AIR SUPPLIED DURING OPERATION OF
EICHAUST SYSTEM
506.4.1 DUCTS SERVING TYPE II HOODS SHALL SHAIL
SEE DETAIL BE OF RIGID METALLIC MATERIALS
2% SLOPE 506.4.2 EXHAUST DUTLETS SERVING TYPE II HDODS
� SHALL N�T BE DIRECTION ONTD WALKWAYS AND
SEE NOTE 4` SHALL TERMINATE NOT LESS THAN 10 FEET
�j� \� _` FROM PROPERTY LINES, NOT LESS THEN
O OO O 10 FEET ABOVE GRADE.
� � • � � O 12' S(] TO 6
8' RND 40
�
CONDENSATE LINE .
�
VALLIER DATE� 6/19/IS
BAKERY
� ��`�`"OFA1'OSS.,� VALLIER BAKERY
� JOHN W m 281 ESSEX STREET
� R , ,, N SALEM, MASS
a oi
�� � UNIVEX ELECTRIC ❑VEN VENT
� �,�`� SIDE VIEW
ESSEX STREET SCALE� 1/4° = 1'=0°) N�RTHEAST CONSULTING ENGINEERS, INC.
BUIILDING FL❑OR PLAN , �a HOLTEN STREET
SCALE: 1/16' = 1'=0') DANVERS, MA
' � Northeast
Consulting
Engineers, Inc.
John W. Mroszczyk, PhD, PE, CSP
President
� Phone (978).777-8339
74 Holten Street Fax(978)777-6380
Danvers, MA 01923 email: nce3�verizon.net
� — _ �_ - - ___ _�,�_
Verizwn � MyVerizon 2.0� Verizon Message Center-h: Fwd: Building Ventilation for Bakery 7/19/15, 6:10 PM
✓ �
Verizon Message Center
Thursday, Jui 16 at 3:48 PM
From:jean-philippe vallier<Ilc.vailier@yahoo.fn
To:Michael Shapiro dandhconstruction@verizon.net, Sophie Vailier sophie.vallier@yahoo.fr
Subject:Tr: Fwd: Building Ventilation for Bakery
Le Jeudi 16 juillet 2015 15h38, "Tremblay, Todd" <Todd.Tremblav�marcusmillichao.com> a ecrit :
See below
Sent from my iPhone
Begin forwarded message:
From: Robert Polansky <robp(�gmanage.com>
Date: July 7, 2015 at 4:57:17 AM EDT
To: "Tremblay, Todd" <Todd.TremblayQmarcusmillichap.com>
Subject: Re: Building Ventilation for Bakery
You have the ok from a majority of the Board.
On Tuesday, June 30, 2015, Tremblay, Todd
<Todd.TremblayQmarcusmillicha�.com> wrote:
!
� Hi Rob, _
! We are moving along in the process and the city is getting close to issuing
� permits. Please see the attached plan that includes ventilation that runs
through the common hall between life alive and the bakery on the first floor.
Also let me know what else you need. The tenant has selected another
� construction company. Hopefully we can resolve this by the end of next week
and finally start moving forward.
� Best,
ht[ps://mail.verizon.com/webmail/public/print.jsp?wiG=vz_widget_...OFwG%3A%206uilding%20Ventilation%20for%20Bakery&1.1.20.28.9.6.1 Page t�of 2
Verizon � MyVerizon 2.0�Verizon Message Center-h: Fwd: Building Ventilation for eakery 7/79/15, 6:10 PM
.1
� � Todd
� Todd Tremblay
� Vice President Investments
Horvath &Tremblay Group
Marcus & Millichap
600 Market Street
Suite 686
Lynnfield, MA 01940
(781) 776-4001 Direct
� (781) 823-0245 fax
(781) 254-9728 mobile
� TTremblayQmarcusmillicha .r� com
f
� '
1 �
�
i
Robert M. Polansky, President
GibraRar Management Co., Inc.
https://mail.verizon.com/weDmail/public/print.jsp7wid=vz_witlget_...OFwd%3A%206uiltling%20Ventilation%20for%20Bakery&1.1.20.28.9.6.1 Page 2 of 2 I
—_— - �
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281ESSEX STREET SALEM MASSACHUSETTS
a
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I '
I BUILDING CODE ANALYSIS
I CONSTRUCTION TYPE IIIB
I FULLY SPRINKLERED
I OCCUPANT LOAD— PUBLIC AREA 375SF= 15SF/PERSON =25 PEOPLE
I OCCUPANCY CLASSIFICATION 303 ASSEMBLY
I EXCEPTION 303.1.1 <50 OCCUPANT LOAD CLASSIFIED AS UST GROOP B
ITABLE 1021.2 SINGLE EXIT— FIRST STORY—49 PERSONS MAX—75'MAX TRAVEL DISTANCE TO EXIT
I FULLY SPRINKLERED ALLOWS 100'TR,4VEL DISTANCE
PROJECT: OCCUPANCY 25',TRAVEL DISTANCE 50'TO IXIT '
I ENGINEERING
I PLUMBING, MECHANICAL AND ELECTRICAL ENGINEERING IS PERFORMED AS DESIGN BUILD. EACH OF THE
i SUBCONTRACTORS WILL DESIGN THOSE SYSTEMS AND APPLY DIRECTLY FOR PERMITS FOR EACH OF THOSE TRADES.
`
'� �.��
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NOTE: MECHANICAL CONTRACTOR '
SHALL DEfERMINE THE QUANTITY AND
DISTRIBUTION OF KITCHEN EXHAUST
AND MAKE UP AIR.
; 42�� 42" 42��
F01 E04 E05 ��
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E06
E07 EO
EXISTING DOOR F02
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I � 120V QUADR,4PLEX RECEPTACLE �t�tED ,k�,�ti
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II D DATA .
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VALLI ER BAKERY 281 ESSIX STREEf SALEM MASSACHUSETfS GUNDERSEN ASSOCIATES A3
I11 FEB 2015
NEW SPRINKLER HEADS
AS REQUIRED-SEE FP
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11 FEB 2015
� ,
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2
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VALLI ER BAKERY 281 ESSIX STREEf SALEM MASSACHUSETTS GUNDERSEN ASSOCIATES
11 FEB 2015
. . . . �i
FINISH SCHEDULE
FLOOR WALLS CEILING COMMENTS
LOCATION MARK FIN BASE MAT FINISH HGT
TAKE OUT AREA 107 WD-EX VB-1 PT-1 EX PT-1 t13'-0
STAIR 102 VST VB-1 PT-1 EX PT-1 VARIES
KITCHEN 103 VST VB-1 PT-2 EX PT-1 t13'-0
OFFICE 104 VST VB-1 PT-2 EX PT-1 t13'-0
BASEMENT Bi CONC-EX VB-1 PT-2 EX PT-1 t7'-11"
STORAGE 62 VCT- EX VB-1 PT-2 EX PT-1 t7'-11"
COOLER 63 FACTORY FACTORY FACTORY FACTORY FACTORY
COOLER B4 FACTORY FACTORY FACTORY FACTORY FACTORY
BASEMENT BS CONGEX VB-1 PT-2 EX PT-1 t7'-11"
FINISH KEY
KEY FINISH COLOR MFG/NUMBER COMMENTS
WALL FINISH
PT-1 PAINT SELECTED BY OWNER
PT-2 PAINT SELECTED BY OWNER MEET DPH REQUIREMENTS AT KITCHEN
BASE
VB-1 1/8" RUBBER SELECTED BY OWNER 4" RUBBER BASE
FLOOR FINISH
WD-EX KEEP EXISTING WOOD FLOORING
SVF SHEET VINYL FLOORING SELECTED BY OWNER APPLY OVER 1/4" UNDERLAYMENT MECHANICALLY FASTENED
TO EXISTING WOOD FLOOR
VST VINYL STAIR TREADS AND RISERS SELECTED BY OWNER APPLY TO NEW STAIR
CONC-EX CONCREfE EXISTING CONCRETE FLOOR
CEILING
EX PAINT SELECTED BY OWNER KEEP EXISTING CEILING- PATCH AT STAIR
- -___ _ .. __ •
EQUIPMENT SCHEDULE � a W_ ELECTRICAL � PLUMBING
_ _ _;.._ _ _ _
NUM ITEM �MANUFACTURER !WxDxH (IN) VOLTS AMPS PHASE WT(LBS) CW HW COND
; - - °-----_ _ . _. t ; .
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E01 MIXER 60 QT l27x35 � 208 10� 3° 1000
- - _--- -
E02 REFRIGERATOR , 120 8.5, tt �� �
UNDERCOUNTER � _ _ _ i �
E03 REFRIGER,4TOR 28x34 ; 120 7 1 COND
____._ , _ __ _- __ _ .
E04 INDUCTION BURNER 120 12 1
r - - --- ___
E05 INDUCTION BURNER 120� 12: 1
. _ _ _ _�_
E06 OVEN 65.25x47x51.5 208 60 1 560
t _ __. .. _ _ _ �.-�_. , _
E07 OVEN 208 30 1
_. _. ._- -- _ . _..: _. . , _: �. _ _ .
' E08 EXTRACTOR FOR OVEN 208 1.6 1
_ —+.__ _ _ _ _ .. _ -- +__
E09 REFRIGERATED BAKERY ; �79x35 � 208; 16.8 1
CASE
-- _ - - - __ _ _ _ -- �.. -+-- .__ . _ . . .
� E10 REFRIGERATED BAKERY } +79x35 � 208� 16.8 t
'CASE �
_ _-- -__- �-- -.._�_ � ___. _ _— .
i E11 �WALK-IN REFRIGERATOR } mm _ _��96x108x90 230�_ 60: 1 tCOND
'E12 �WALK-IN FREEZER �192x108x90 230 30� 3� COND
� -- -- _ __ . __ -K- - -. � ---+ -- ___... _ __ __ � ;
I�E13 WATER HEATER 85 GAL ; 220 18.8 1 CW
_ . _. � _ _.____ _ � _.._ _ .__ i
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- - - - - ---}�
I NUM ITEM MANUFACTURER WxDxH (IN) CW HW !WASTE ;COND
- ;-----___.__._._ _ - — -
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IF01 TABLE � �,96x24x36 � �
_ ._.__ ^ � �__� .�._
IF02 TABLE 496x30x36
_. . .� __.._�._ _., ;
�,F03 TABLE 96x30x36
. .. . . . ' _ 'P_". __. _ _ r. .
iF04 TABLE }72x30x36 � I
,F05 3 COMPARTMENT SMK 74x24 'CW HW WASTE
FO6 HAND SINK 18x18 YCW HW WASTE r
t _ . _ _ _. .
F07 'MOPSINK 24x24 �CW HW WASTE �
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11 FEB 2015
i
281 ESSEX STREEf SALEM MASSACHUSETTS
BUILDING CODE ANALYSIS
CONSTRUCTION NPE IIIB
FULLY SPRINKLERED
OCCUPANT LOAD- PUBLIC AREA 375SF= 15SF/PERSON =25 PEOPLE
OCCUPANCY CLASSIFICATION 303 ASSEMBLY
I EXCEPTION 303.1.1 <50 OCCUPANT LOAD CLASSIFIED AS UST GROOP 8
TABLE 1021.2 SINGLE EXIT- FIRST STORY-49 PERSONS MAX-75'MAX TRAVEL DISTANCE TO EXIT
FULLY SPRINKLERED ALLOWS 100' TRAVEL DISTANCE
PROJECT: OCCUPANCY 25',TRAVEL DISTANCE 50'TO IXIT
ENGINEERING
PLUMBING, MECHANICAL AND ELECTRICAL ENGINEERING IS PERFORMED AS DESIGN BUILD. EACH OF THE
� SUBCONTRACTORS WILL DESIGN THOSE SYSTEMS AND APPLY DIRECTLY FOR PERMITS FOR EACH OF THOSE TRADES.
NOTE: MECHANICAL CONTRACTOR
SHALL DETERMINE THE QUANTITY AND
DISTRIBU'I'ION OF KITCHEN EXHAUST
AND MAKE UP AIR.
42" 42" 42" �
F01 E04 E05 �❑
E01 E03
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li VALLI ER BAKERY 281 ESSIX STREET SALEM MASSACHUSETTS GUNDERSEN ASSOCIATES A 1
, 11 FEB 2015
3'X7' SOLID CORE PAINTED
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METAL FRAME. (3)HINGES, ENTRANC
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I 11 FEB 2015
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VALLI ER BAKERY 281 ESSDC STREEf SALEM MASSACHUSETTS GUNDERSEN ASSOCIATES A�
11 FEB 2015
I
NEW SPRINKLER HEADS
AS REQUIRED-SEE FP
DRAWINGS FOR ACTUAL
LOCATION.
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11 FEB 2015
��
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ATTACH 2X6 TO EACH
STRINGER W/3" #12
SCREWS @ 12" OC A5
VA�LI ER BAKERY 281 ESSIX STREEf SALEM MASSACHUSEfTS GUNDERSEN ASSOCIATES
11 FEB 2015
i
FINISH SCHEDULE
FLOOR WALLS CEILING COMMENTS
LOCATION MARK FIN BASE MAT FINISH HGT
TAKE OUT AREA 101 WD-EX VB-1 PT-1 EX PT-1 t13'-0
STAIR 102 VST VB-1 PT-1 EX PT-1 VARIES
KITCHEN 103 VST VB-1 PT-2 EX PT-1 t13'-0
OFFICE 104 VST VB-1 PT-2 EX PT-1 t13'-0
BASEMENT B1 CONC-EX VB-1 PT-2 EX PT-1 t7'-11"
STORAGE B2 VCT- EX VB-1 PT-2 EX PT-1 t7'-11"
COOLER 63 FACTORY FACTORY FACTORY FACTORY FACTORY
COOLER B4 FACTORY FACTORY FACTORY FACTORY FACTORY
BASEMENT B5 CONC-EX VB-1 PT-2 EX PT-1 t7'-11"
FINISH KEY
KEY FINISH COLOR MFG/NUMBER COMMENTS
WALL PINISH
PT-1 PAINT SELECTED BY OWNER
PT-2 PAINT SELECTED BY OWNER MEET DPH REQUIREMENTS AT KITCHEN
BASE
VB-1 1/S" RUBBER SELECTED BY OWNER 4" RUBBER BASE
FLOOR FINISH
WD-EX KEEP EXISTING WOOD FLOORING
SVF SHEET VINY� FLOORING SELECTED BY OWNER APPLY OVER 1/4" UNDERLAYMENT MECHANICALLY FASTENED
TO EXISTING WOOD FLOOR
VST VINYL STAIR TREADS AND RISERS SELECTED BY OWNER APPLY TO NEW STAIR
CONC-EX CONCREfE EXISTING CONCRETE FLOOR
CEILING
EX PAINT SELECTED BY OWNER KEEP IXISTING CEILING - PATCH AT STAIR
IEQUIPMENTSCHEDULE + �ELECTRICAL p PLUMBING
__ �
NUM ITEM MANUFACTURER WxDxH (IN) �VOLTS AMPStPHASE WT(LBS) CW HW COND
_ _ �_.� ..__._ _ _.. _. .
_ . _ �.- � _�
E01 MIXER 60 QT ,27x35 208 10' 3 1000
E02 REFRIGERATOR ! A 120 � 8.5� 1
UNDERCOUNTER �
_ _ _.. ¢ _- _. _ f
E03 REFRIGERATOR 28x34 120 7 1 COND
4___._ _ . . : __.'_ _'_. �__ . t
E04 INDUCTION BURNER 120 12 1
_ _. - --� -
E05 INDUCTION BURNER 120 12 1
; _ . _ - - -'--_._ �. ..... _. .
E06 OVEN 65 25x47x51.5 � 208 60 1 560
_ i. ' -- -� --- -,
E07 OVEN ! 208 30 1
r � _ _.. ... � +. . � . +.. .._.. . . __. � � . . . .
_._ .
_ '__
E08 EXTRACTOR FOR OVEN 208 1.6� 1 �
----- --- - . _ __ _ _ _ -- -- _ ,. _ _ ,
�E09�REFRIGERATEDBAKERY � i79x35 208� 16.8 1 '
A +CASE
_ _ _ _ r _ __ -- ---F _ ___}
E10 FREFRIGERATEDBAKERY ,79x35 i 208I 16.8. 1
� �CASE � '
�E11 WALK-IN REFRIGER,4TOR 96x108x90 � 230�0 1* COND
__ _ _ . _ - - — -. . _ . ..
E12 WALK-IN FREEZER ¢192x108x90 t 230 30 3 COND
_ , . . . Y . _ . . _ _ _r . . .
E13 WATER HEATER 85 GAL � � 220 18.8y 1 CW
FURNITURE/FIXTURE SCHEDULE � .��PLUMBING
NUM ITEM MANUFACTURER rWxDxH (IN) ICW HW 1WASTE�COND
+ . __. _ . __ _ � _ _ _,.
* - -
F01 TABLE 96x24x36
+_. ..—� _ __ . �
F02 TABIE �96x30x36
F03 TABLE '96x30x36 �
t__ �_� .
F04 TABLE 72x30x36
�-- -----
F05 �3 COMPARTMENT SINK _ � 74x24 CW HW �WASTE }
_ . _ _. --. -� _�_.. _ .
- - t--
F06 HAND SINK 18x18 �CW HW �WASTE
_ ,.. . _ . _. _
_ __
F07 MOP SINK }24x24 CW HW WASTE �
FOS �---
o`gtERED Aq���
�" Q��F. �B�ppf �'i
�
1 4 '
1
5T ��
5
qt7Y/ pF 11�SS�.'.�.
VALLI ER BAKERY 281 ESSIX STREEf SALEM MASSACHUSEfTS GUNDERSEN ASSOCIATES A6
11 FEB 2015
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