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25 FRONT ST - BUILDING INSPECTION (3)' /� r1 � , "�a;F Y�u��.�.��fii.�� v � � The Commonwealth of Massachus��g OEC -5 A ��' 4� ;�, '� Deparhnent of Public Safety I Massachusetts State Building Code(780 CMR) � Building Permit ApplicaHon for any Building other than a One-or TwaFamily Dwelling (This SecHon For Officiai Use Only)- . �� Building Permit Nmnber: Date Applied: Build'uig Offici.�l: � � SECI'ION 1:LOCATION(Please indicate Block#and Lot N for Locations for which a street address is noFavailable) `1 SF a�sT � �t�. ni19 �1�� v S l t—'� No.�nd Street City/Tow Zip Code Name of Building(if appiicable) V SECCION 2:PROPOSED WORK. � � - ' Edition of MA State Code used_ If New Constructia check here O or check all that apply in the two rows below Existing 8uilding❑ Repair❑ Altem[ion ❑ Addition Demolition O (Please fill out�nd submi[Appendix 1) Change of Use ❑ Change of Occupancy O Other ❑ Specify: � Am building plans and/ur mnstructiun documents being supplied as part of this permit appflc�tion? Yes ❑ Nu ❑ Is an[ndependent Stmctural Engineering Peer Review required? Yes ❑ No ❑ Brief Desvip[ion of P oposeS Work: � � ' '� G � �vri , SECTION 3r COMPLETE TFRS SECTION IF EXISTING BUILD[NG UNDERGO[NG 2ENOVATION,ADDITION,OR CHANGE W USE OR OCCUPANCY � - � - Check here if an ExisHng Building Investigation and Evaluafion is enclosed(See 7S0 CMR 3�}) O Exis[ing Use Croup(s): Proposed Use Group(s): SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed P1o.oF Floors/Stories(include basement levels)&Area Per Fluor(sq.ft.) � Total Area(sy.f[.)and Total Height(ft.) � � SECT[ON 5:USE GROUP(Check as applicable) . � - - A: Assemb(y Ad❑ A-2❑� Nightclub ❑ A-3 ❑ A-k❑ A-S❑ B: Business ❑ E: Educational ❑ F: Facto F-L❑ F2❑ H: Hi h Hazud H-1 ❑ H-2❑ H3 ❑ H-9❑ H-5❑ I: InstituNonal [-(❑ [-2❑ [-3❑ [-!❑ M: MercanHle❑ R: Residential 2-1❑ R-2❑ R-3❑ R-�l❑ S: Storage Sl ❑ S2❑ U: Utility❑ Special Use O and please describe beluw: . Special Use: SECTION 6:CONSTRUCi[ON'CYPE(Check as a plicable) IA ❑ 16 ❑ IIA O IB ❑ lIIA ❑ [IIB ❑ IV ❑ VA ❑ VB ❑ SEC7'ION 7:SRE INFORMATION(cefer fo 780 CMR 111.0 for details on each item) Water Sup�p}l : Flood Zone Informallorc Sewage Disposal: Trench Permih Debris Removal: Public�$f Check if outside Fluod Zune [ndicate municipal �trench will not be Licensed Disposal Site requircd�r trench or specify:��_ Private❑ or indentify Zone: or on site system O vermi[is endosed❑ Railmad right-of-way: Huards to Air Naviga[ion: �I,\.,11� tc n c. ,iin„j,s�m il,�.��c.��..i ��,r,s: Nut Applicable❑ Is Structure within airport approach area? Is thcir review completed? or Consent to Build enciosed❑ Ycs� or No❑ Yes❑ No ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Editiun of Code: Use Cruup(s): Type of Construction: Oecupan[Luad per Flour: Dces the building cont:iin an Sprinkler System?: Special Stipulations: C�A L l. ln� H�YJ fZ�(�p c i��'�"�p �L I �' •- (�oN a Gi. � SECTION 9: PROPERTY ON7YER AUTHORIZATION _ N.me and Address of Property Owcer Name(Print) No.and Street City/Town Zip Property Owner Contaz[Infonnation: � Title Tclephone No.(business) Telephone No. (cell) e-mail address [f�iyplicable,the property owner hereby�uthorizes Nxune Strcet Address City/Town State Zip to.ct on the ro er ownei s behalf,in all matters relative to work authorized b this buildin ermit a lication. � SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2J . � If builJin is less than 35,D00 ca(t:of enclosed�s ce and or not unAer Constrvctlon Conhol�then check here O ind ski Section 10.1 101 Re istered Professional Res onsible For ConstrucHon Conhol � � - � � � Nume(Registrant) Telephone No. e-mail address Registration Number Strcet Address City/Town State Zip Discipline Expiration Date 10.2 General Conhactor � � � � � � � - � � - � � Comyany N.me N:une of Person Responsible for Construction License No. and Type if Applicable Stme[ Address City/Town , State Zip Tcle hone No. business Tcle hone No. cell e-mail address SECTION 11:woRKF7S�cOn-u�s+lsn'r�oN w5u2:�_�Cti:u'6'�ur�v1'f M.G.L.c.152 25C 6 - A Workers'Compensation fnsurance AfFidavit from the MA Deparhnent of Indus[rial Accidents mast be completed and submitted with this application. Failure to provide this affilavit will result in the denial of the issuance of the building permit. Is a si ned Affidavit submitted with this a lication? Yes❑ No ❑ � � SECTION 12:.CONSTRUCTION COSTS AND PERMIT FEB� � . . � � Item Estima[ed Costs:(Labor and Materi:ils) Total ConstrucHun Cost(from I[em 6)_$ � 1.Building � Building Permit Fee=Total Construction Cost x_(Inser[here 2.Electrical $ aPPropriate municipal facror)_$ . 3. Plumbing 5 d.�fechanic:il (FIVAC) $ Note:Minimum Eee=$ (contact municipality) 5. hfechanical Other � Endose check payabie to 6.Totul Cost $ (mnWct municipality)and write check number here SECTION 13:SIGNA'I'URE OF BUILDING PERhfTT APPLICANT � 6y entering my name below, f 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. Ple�vse print and sign name TiHe Telephone No. Date Strcet AdJress City/Tuwn State Zip Alunicipal lnspector to fill out this section upon application approval: �� 'w✓ I,Z/G/1f4 Name Date - ' ' SECTION 9: PROPERTY OWNER AUTHORIZATION ,. Name and Address of Property Owner � W �� ,� F�� 'Q O 7 R70 Name(Print)_ No.and Street City/Town Z]P Property Owner Contact Informarion: 'L ��jS�.i�j � - - Sd�T-Z�G��Z. G Pr�+l v�. N-G � Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property ow / hereby authorizes I ) � S�-�� d�-� !"1�� Nazne SfreM Address City/Town State Zip to act on the ro er ownef s behalf,in all matters relative to work authorized b this buildin erntit a licaHon. " - ' SECI70N 10:CONSTRUCITON CONTROL(Please fill out Appendix 2) buildin is less tlwn 35,000 cu.fr.of enclosed s ace and or not under ConstrucNon Conhol then check here � ki Section 10.1 101 Re 'stered Professional Res� onsible for ConstrucHon Control - Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline ExpirationDate �10.2�General Contzactor � � ' �� hk�C �.��. Comyan Nv, ,� ��✓ �-f.c 0��'1dZ L� Name of P rson Responsible for Construcrion License No. and Type if Applicable ( � �� 5.�,�'ro�34 Si �� G��'c._6(9�70 Street Address City/Town j��State Zip �aCl� (nl( �0 7�'��OC� Z � S-��uQ_� �a F'1�GaG�Cd1��U1 �� Tele hone No. usiness Tel hone No. cell e-mail address SECTION 11:WORKERS'COMPENSATTON INSURANCE AFFIDAVIT(M.G.L.c.152.§25C(6 - A Workers'Compensaflon Insurance Affidavit from the MA Department of Industrial Accidents must be completed and submitted with this applicaflon. Failure to provide this affidavit will result in the denial of the' suance of the building pernvt. Is a si ed Affidavit submitted with this a lication? Ye�No � � �.SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE . Item Estimated Costs:(Labor and Materials) Total Construcflon Cost(hom Item 6)_$ 1.Building $ Building Permit Fee=Total Construction Cost x_(Insert here 2.Electrical $ appropriate municipal factor)_$ 3.Plumbing $ 4.Mechanical (HVAC) $ Note:Minimum fee=$ (contad munici�ality) 5.Mxhanical Other $ Enclose check payable to �_J"l�!� 6.Total Cost $ s� (contact municipality)and write check number here � SECTTON 73:SIGNATURE OF BUILDING PERMTT 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. �'��— c�r.�✓ �( _�3�6�Z // Please print and sign name I Tide Telephone No. Date � 1�{U SMt�rUm.9- � �p�x� � 62 r� Slreet Address City/Town StaM Zip Municipal Inspecto[to fill out this secHon upon applicaflon approval: - � Name � Date C� � � � � CHARLES D.BAKER Commonwealth of Massachusetts ' GOVERNOR JOHN C.CHAPMAN Division of Professional Licensure CONS MERAFFT qSAND KARYN E.POLITO BUSINESS REGULATqN LIEUTENANTGOVERNOR BOARD OF STATE EXAMINERS OF PLUMBERS JAY ASH AND GAS FITTERS CHARLES BORSTEL SECRETAftY0FN0USINGANU 1000 Washington Street . Boston . Massachusetts . 02118 PROFESSONAL CENSURE ECONONIC DEVE�OPMENT December 1, 2016 Kontseptual, Inc. Attn: William Peterson, Principal Architect 10 Derby Street, Suite NB Salem, MA 01970 Re: Variance PV l39—The I.obster Shanty—25 Front Street - Salem Dear Mr. Peterson: Please be advised on November 3Q 2016 in the Board Meeting Room, 1000 Washington Street in Boston Massachusetts, the Boazd of the State Examiners of Plumbers and Gas Fitters deliberated on and initially voted to deny this request. The Board reconsidered the request and voted to allow the installation of one unisex hantlicap accessible restroom and one unisex non ADA restroom with the following condition:The total seating count of the restaurant will be reduced to 80 including the inside and outside. This variance decision is, based on the presentation, information and documentation provided by the applicant and is applicable to this end user and Uus site only. All other plumbing and gas fitting work if applicable shall comply with the rules and regulations of 248 CMK 3.00 through 10.00 and all other applicable statutes and codes Sincerely, For the Board, Gu�... � �'G�--�-- Wayne E. Thomas, Executive D'uector Board of State Examiners of Plumbers and Gasfitters Cc: Dennis Ross Plumbing and Gas Inspector �` TEL: 677-727•9952 FAX: 617-727-6095 TTYRDD: 617.727.2099 http://www.mass.govocabdlicensee/dpl-boards/pl/ � ' Appendix 1 For the demolition of structures the building peraut applicant shall attest that utility and other service connections aze properly addressed to ensure for public safety. Please fill in the information below and submit this appendix with the building perntit application. The building permit applicant attests under the pains and penalties of perjury that the following is true and accurate. Property Location(Please indicate Block#and Lot#for locations for which a street address is not available) No. and Street City/Town Zip Name of Building(if applicable) For the above described property the following action was taken: Water Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Gas Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes O No ❑ Electricity Shut Off? Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) Yes ❑ No ❑ Provider notified and Release obtained? Yes ❑ No ❑ Other (if applicable) C�iYOFS� M�aa�T . �n�.e�a�rr �D A'a�rq�tSf�i;31°1�ioas I'� 7IS-999S. • g�Y�. Fex�7�i498I6 �� rSsS7.P�e �a►p t�rc�o o�/ain�a[a o�a� Construction Debris Disposa/Affi�davit (required f+�rall demolition and,renovation work)� In aoonrra�noe wJdi thr sbcd�editf�►of tbe Sfa�e Bu�g Code. 7�0 dl�,Sectl�n 111.5 Qebi� and tl�e prov�fons of A�s'l 040,S 54:BWld�g Permit i� . is 1s�ued wPoh fhe oo�d►at dre deb�is rewit�g from thB waksha�6e�of fn a properlylicensrd � w�Ee depa�lt facilfty ss deRned by p�lGL c 111,S iSQA. - irie debris wiU be transported by; � ��2�n . (name of hauler) ' The debris wjll be disposed of in: I (narne of fadlityj (addness offadlity) . , `" i ature of applicant IZ - S — � � Date � Appendix 2 Construction Documents are required for structures that must comply with 780 CMR 107.The checkiist below is a compilation of the documents that may be required for this. The applicant shall fill out the checklist and provide the contact information of the registered professionals responsible for the documents. This appendix is to be submitted with the building pernut application. Checklist for Construction Documents* Mazk"x"whem a licable No. Item Submitted Incom lete Not Re uired 1 Axchitechual 2 Foundation 3 Structural 4 Fire Su ression 5 Fire Alarm ma r uire re eaters 6 HVAC 7 Electrical 8 Plumbin uulude local connxtions 9 Gas atural,Pro ane,Medical or other 10 Surve ed Site Plan tilities,Wetland,etc. ll S ecifications 12 Structural Peer Review 13 Structural Tests&Ins tions Pco am 14 Fire Protecfion Naaative Re ort 15 Existin Buildin Surve /Invesd tion 16 Ener ConservaHon Re ort 17 Architectural Access Review 521 CMR 18 Workers Com ensaflon Insurance 19 Hazazdous Material Miti ation Documentation 20 Other S ec' 21 Other S ecif 22 Other S ec 'Areas of Design or Construcfion for which plans aze not complete at the time of application subauttal must be idenrifiied herein.Work so identified must not be commenced until this applicafion has been amended and the proposed construcflon document amendment has been approved by the authority having jurisdiction.Work started prior to approval may be subjected to Mple the original permit fee. Registered Professional Contact Information Name(Registrant) Telephone No. e-mail address Registration Number Street Address CiTy/Town State Z]p Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Regishation Number Street Address Ci Town State � Discipline Expiration Date Name(Registrant) Telephone No. e-mail address Registration Number � Street Address Ci /Town State Zi Discipline Expiration Date �� ay �i am a U ti f , J � Q a o m o,� " m� �c o �^� , �F j . . �}�w Q vOi � �� p� y • ��.-.z�b..�i ` . � C� Opj L � 7 ' ... `�'+�.i. 4 mJa U�� ~ ��R L � � C 41�b - � / '��\� . �p p 0.0 ti0 Q w I` `ia� '> a N O V' h��ry U � .��`��c l �� N (U2Q'��e N . �C��J . Uo lu �i��02 /�F `��`C''��aO��Q�. y��i F r1 0`l�9 V/� /. �� o ;�\�5 / '` . � � �� q a� / . � $ Fy p� 0e .-` �� y``.`5 4 � �., ('``� . < �.��a` �. r �t +�1��`P�.��^p��n�.. �,�'/ �c"4 � U�\c ,�`,�w�po �GO ��JoD � . I, o�e �,O � � . V a ac �i R�O.� . i . o �;�� c Jp'.,,. � {Y O�` ��A �'� 0�? ..; �� . '�i / d � 2 .. 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No. 15024 SHANTY � `c Date 09/21/16 � www.kontseptual.com � ORIGINAL SUBM/SSION 2/23/16 Q �9 II � I I �, i � I � �, � � � I �, � � I. � I i i i � i : � i I �� i I I I I 1 i I � i I � � I I ��I, � ' I I I � II � I I, I i I I I I I I I ' I , j � I I � I I I I { . I i 'I I i III � I I � iI �� II � i � II II � I I � II � � I � � i� � I I I II , ' I � � ! � i ' I I I ' � � � ' � � � � .I i I 'I I � � �� i I I � I � � I �I i �� , , � � I i � I i I I ' � j � i I � �� j � ; � � � , i �i �i i i , � �. � � � ! i i ' I i � . I I I � i . I ! � I; '. '; � ! i i ' I �� I I � � � � � I � � I � � i � �I : I � _ � i . I I I I I ; I i ',. I � I I I I I I I � i I ��, i, � I ; I ��I I li � i �� I I" I �� II � I • ; � i �� I � � � 1 � I � � i � I i � � ! I I i � . 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TO BE MODIFlED � n BATHROOM ENLARGED PLAN � 1/2" = 1'-0" Z G\SgER J�ARC�' Wicked Howl Enterprises P�' F�s`'� � 10DerbySquare PROPOSED BATHROOM PLAN � � o � � GardenSuiteNB PHASE 2 - LOBSTER SHANTY o 3 N . 716 Z <� ; <o nts e ptu a I Salem, MA 01970 Project number 15024_SHANTY � TO � � BATHROOM ADDITION Date 09/21/16 A101 �. � � architects mteriorplanners 857.209.8596 Drawn by AKP c'4(T��,5`'P � 25 Front Street Salem, MA 01970 www.kontseptuaLcom Checked by WJP Scale 1/2"= 1'-0° � � - NEW GATE � NEW ROOF, MATCH EXISTING EXISTING FENCE NEW BATHROOM ROOF NEW BATHROOMADDITION EXISTING CEDAR FENCE r�� ____i �. .�__— L�__ _- _._ ._"__..__' _'____.. 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