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38 FRONT ST - BUILDING INSPECTION (2) � � � �y^ The Commonwealth of Massachusetts � ` j �,� � Department of Public Safety � q 1 +.=,..� .\1a...w�chu.ett,ti�.�tr Building Cude 1780 C:�IRI tie��enth Edition A��� City of Salem I d � Buildin Permit A lication for an Buildin other fhan a 1- or 2-Pa i ellin ;i� �Thi,tirctiun Fur Offici.il Use Onlv) ' liuilding Prrmit Numbrr: Datr Ap��lird: I Building Inspectur. SECTION 1: LOCATION IPlease indicate Block M and Lot N for locationa for which a street add s is not available) '�° �2or.�� S'� Salew� P'1�4 C,19�o X��, and tilrcet Cih• /hnvn Zip Code Namrof Building(if applicablr) SECTION 2:PROPOSED WORK If Nrw Cun+truction check here O ur check all that apply in the two rows brlow Existing Building�" Repair❑ Altrratiun ❑ Addition❑ Demulitiun O (Plra�e fill wt and submit Apprndix 1) I� - Change uf Use � ❑ Change of Occupancy O Othrr ❑ Specify: - �� � ' � ' � �'� Arr building pinn,and/ur cunstruction documents bring supp�ird as part of this permit application? Yes �' No ❑ � Is an Independent Structural Enginrrrin•�,Peer Review required? Yrs ❑ No '� Bri�f Descriptiun uf Proposed Work: �7tirniG �t lt,a]! i 7 �' ��L�GC tu 'I� bOt� � ���r�'L�.u� r-�a� i �-n�e�o� ��+2��o t3�w� E%i -n N 2��rt�— � SPArLES ' SECTION 3:COMPLETE THIS SECifON IF EXISTING BU[LDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY Check here if an Exieting Building Evaluatian is enclosed($ee 780 CMR 3402.0) ❑ � Existing Use Group(s): Proposed Use Group(s): Y Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed Na of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.) L Tonl Area(sy. ftJ and Total Height(ft.) ���.A /L � I SECi'ION 5:USE GROUP(Check ae a licable) , A: Asaembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 O A-0❑ A-5❑ B: Buainese ❑ E: Educational O F: Facto F-1 ❑ F2 O H: Hi Hazard H-1 ❑ H-2❑ H-3 � H-4❑ H-5❑ I I: Institutional 1-1 ❑ 1-2❑ I-3 p 1-4 O M: Mercantile R: ResidenHal R-1❑ R-2❑ R-3❑ R-i O S: Stonge S! ❑ S-2 ❑ U: Utility❑ Special Use O and plrase describe beluw: Special Use: SECT(ON 6:CONSTRUCifON 7YPE(Check as a 1(cable) � IA ❑ IB ❑ IIAO 118 � IIIAO IIIBO IV ❑ VA ❑ VBO . .. SECTION 7:SITE INFORMATION Irefer to 780 CMR I71A for detail�on each item) � LYater Su 1 Flood Zone Information: Sewage Disposal: Trench Pertnit: Debris Removal: PP Y� � Public� C hcck i1 uut.idr Plu�id Zunr$1 Indic.itr mimicipal�$1 �1 trrnch will nut br Licrnsrd Di.po.al�itr,$I , rcyuired �rtrrnch ur.pccil��: I ria,itc O ��r mdcnlil��Zunr: ur un ritr.t�.trm❑ � prrmit i.cncL�.rd ❑ Railroad righhof-way: Hazards lo Air Navigafion: �I:� I li.���ri;c�,�mmi..i��n It���i�•�� I'n�r��..: \l�l :\pF�hr.�blv�l I.titru4wr�rrthin.iir�+urt.iF�pnach,vr,i.' I. theirrc��ie�cc�un�,letrd.' ,�r l ��n.cnl I�� 14udd cniLni�d ❑ 1'c.O nr Nnf$ 1'r.❑ \u � SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY G.iih��n ul(��Jr: l�.r(�n�uFy.e icpc�dCon.truilwn: UccuF,ant L�ied �,cr Pluuc I)��r. ihrbwldinhinnl.un.�ntiF,rinkl•�rti��.tem.': �pra,iltilipulatiuns: SECTION 9: PROPER'IY OWNER AUTHORIZATION �lame and i ddns.ol Pn�E,crtr Ownr � O� ��lo� �Pr��al uC �fl f� ` � � � k� � ' Namr(Pnnt) Nu.,indtitreel Cil}•/iuwn Zip i uE�er. ��'�l)��r C�rn-l.Iict Informa�iup.�/,r�-�;/,����� - - ar . r' r v1.0\ ��U/L., �L,'4. �O K (�'q \�W'l Tille t'f<�tJ�'s�� Trleph��nr:Vu. lbu,inr��) Trlrphimr�lu. (crll) r-m,iil.iddres. If,�ppli.able, �he prupertv���vn.r hercbV.���thurizrs Vamr 5trcet Addrec+ City/T�nvn State Zip lu.irt�m lhr �ru�rrN�o�vnrr's brhalf, in.ill m.ittrrs reLvi�'r tu w�rck auth��rizrd bv this buildin� �rrmit a ��li.ati�m. SECTION 10:CONSTRUCTION CONTROL IPlease fill ou!Appendix 2) (If buildin•i.less than.li,UOU iu.It.of rnclus�d>>acu and/or m�t und.•rG�m�truction Cunlrul then cheek h<rc O and ski Si�cliun fU.l) 10.1 Re istered Professional Res onsible for Construction Control ��€?� �J�a-�to2� —— �J�`� Namr(Rr b�istrent) Trlrphune No. � e-m,il iddrrss a R�t�ra�tf/u�n,Numbrr 5�1..��1aP.� s7—�P-71r SPrI.�"�1� .� �� Street Address Ciry/Town State Zip Dixipline Expimtiun Date 10.2 Ceneral Controctor � �,1w� �.� �a..l I L� �aaot ��aJb�f.k, _ l�e�Q� G S �O l�-y`J Namr of Person Respumible(ur Constructiun License No. and Type if Applicable ��� Street Address City/Town State Zip Tele hone No.(business) Tele hone No. (cell) � e-mail address SEC770N 11:WORKERS'COIvII'ENSATION RVSURANCE 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 iss rfce of the building permit. Is a si ned Affidavit submitted with this a licationl Yee No O SECiTON 12:CONSTRUCiION COSTS AND PERMIT FEE EstimatedCosts: (Labor � �� Item and Materials) Total Construc[ion Cost(from Item 6)=S ��� 1. Building $ 2 guilding Permit Fee=Total Construction Cost x_Qnsert here 2. Electrical 5 5d� appropriate municipal factor)_$ 3.Plumbing S 4. Mechanical (HVAC) � S Note: Minimum fee=$ (contact municipality) $. Mechanical (Other) $ Hnclose check payable to 6.Tutal Cust � 8 �j��— (contact munici alit )and write check number here SE N 13:SIGNAiURE OF BUILDINC PERMIT APPLICANT Bv entering my n,ime bek , I hrreby alt t+t under the pains and penaltie,uf prrjury that all uf Ihr informati�m cuntainrd in Ihis �plicatiu �.� trur and accur� e to thr be�t ol my knuwledtie and undrrctanding. �� � � --- - Plia..�pnnt.ind.ipn name Title Tclephune.Vu. . I)alr I titrei�t :lddre.s Cih�iTo�rn State Zip ltunicipal Inspeclor to fill out this section upon application approval: ` � � v .\ame I)ate i CITY OF S��LE;�1, �'L'►SS.�CHL'SETI'S • BL'II.D4\G DEP�R'C��.�il' • � N 13O W.�SHL�IGTON STREET, 3"°F1.00R \ '�a''l TEI.. (978) 745-9595 F,�c(97� 740-9&16 ' ��{gFRT FY DRISCOLL ' ' / i�fAYOR 'I�►oe,tAs Sr.�RRF DIRECCOA OF P1;0L1C PItOPEATY/HI:IIDIIdG CO�L�fi55I0,iER COIYSTRUCTION CONTROL DOCUMENT Project"PiQe: Date: 3 I�� / 20�O ProjectLocation: �g �e`-�T � — VN [T G3� Scope of Project: fu-oc�'+-"�-��Sl W Lr- V� �� � t1— , / ' ��W �'T'f�"-i �oo'�- �z �4T�1�- In accordancc with SECTION 116.0-116.4.2 of the 6th edition of the Massachusetts State Duiiding Code : 1, �T�'PL�fY�N V V . ����2�`'«�l�Mnss.Registration Number ��2 9 �' being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or direcfly supervised the preparation of all design plans, compu[acions and specifications conceming: [ ] Entue Project �Architechual [ ] Structural [ ] bfechanical [ ] Fire Protection ] Blcctrical [ ] Other(speciCy) for the above named project and th t to the best of my knowledge,such plans,computations and specifications meet the applicable provisions of the Massachusetss State Building Code,all acceptable engineering practices and all applicnble laws For the p�oposed project. FuAhermore,l understand and AGREE that I shall perform the necessary professional secvices and be present on che conswction site on a regular and periodic basis ro determine that the work is proceeding in accordance with the documents approved by the building permit and shall be responsible for the following as specified in scc[ion I 1 G.2.2: I1. Review of shop drawings,samples and other submittals of the connactor as required by the conshvc6on contrrct documents as submitted for the building pennit,and approval for the conformance to the design concept. 2. Review and approval of the yualiry control procedures for all code-required controlled mrterials. 3. De present ut intervals appropria[e to the stage of construction to become generally familiaz with the progress and qualiry of the work and to dctemilne, in general,if the work is being performed in a manner consistcnt with[he construction documents. i shall submit periodically, in a form acceptable to the building official,a progress report together with pertinent comments. Upon complction of the work,I sliall submit to the buildin I report as to the satisfactory completion and readiness of the project for cecupancy. !:��;�yb;��;�e:-,, 't,.;P&} �,,��*, w c� \: Signature and Seal of registered professional: � � � � � ' �,h�3ka, ����� �v . .,��`� ; r" K� � CITY OE S.�LE.`[, I�L�SS.-1CHL'SETTS BI;II�L�IG DETAIITIP.�iT • I'_o�/.1iF/INGTON STIPfiT. �iO FZOOR � "i7+1. (97�7iS�9S9S F.�x(97� 1i498�16 lCJ�IHFJti-EY DRJSCO[1. Ili0ANS5T.P�Ealts HAYOt Di�o�ot�eccC PwvEa'nr/e�o.DNG coa�nssco��► Wurken' Compensstton (muranet��(ildarit: DuilderyContractoNElcetrlelanslPlumAe►s a„nueant Informatlos / Ple�u Print 4e�ht V�ITliltlunne�rOr�anua�ionln4v�duall. �Ol.�.l+ti I�.L19��w� L'�� I ,����y.: < < a`� i - c��y�sti«z��: �Sal�.�... � � ��?� rno�r� �/�S7 ��`� —?2�? I ,�re yor r�empbraT CMek th�aO�royriaa bea: Typ�of proJsel(rprlrM: 'Z s. Q I aa i genenl canaaetor�od 1 I� I am�unploya wi�A b. ❑Naw cawwcdos �mployee lfull andfot pa�t-umsl•• haw hiied Ar a�bcaM�umn (� I am s wN pmprieoor�x pomrco- liaud an ihs athclwd�nl.� 7. �Rmwilelin� +hiy anJ luve nu empbyce T1+ea�w�omeetan luw 8. �Ikmolition �vartin� for m� ia aay cap�eiry. ��h�'eomp.i�ooe. 9. �UuiWiry additios �No wahen'comp in�uranc� 3. (] W�an�eeepo�dm and is IO.Q Ebcrrical rep�in or+dd��iom nquiral.j orllcas haw e�aei�ed ttr4 l.� I un a hom�rowmm Join�all woAt ��{lu of esempioa psr MOI. 1 I.�Plumbin��ep�n or,�dditioro myt�lf.(\'o warkeri comp. a 172.�1(4�,md�re hays�ro 12.0 Raof rep�ies � insunnce required.�� `mOby�'� �w 17.0 Olhe� como.in�urana requimd.) •n�r,�Pupr�ti aw�u ea�i �r�..no Mr�n.w�e.�o�ao.�n�edr.a�t..•�aAwoaw�wi���r�ea �14wru�ws rM whwill�Y a111Mi�in/lodq�AA a Jd�M YI wvk wi dw��h eurir ca�ostoA moM rvMnY�nw a111�YvY indkriiy r� {'�nl�aMn�IYI�YRt��Y►a�inW a11isIM�a�a1dIwAI�A�1�harin�111�I�IY 0/Ilr�Ii1A YI��A�k�M1w�'tYll�.P��[1 i�16t111WCL /uw ow�a�pkytr rA�t b�nv7/Gr��wrRirs'rowrnnd��l�arir�jw eq nwploytes ethr b rb pNkp�eI/oI i!b in�e�Nw1Wa In.urrnceCumpanyVame: �� � A •''�'n Pnlicy M ur Self•ins. LiC. M: Eapirr�ion Datr. Jub Sire AJJn�s: Ciry/SbtdZiµ ,�a�c��eoyr of tM w�rt�n'eomOeuuk�poYry duluslM�p�p pYowln��M polle��rsl�r�a��spinMo��b} f�ilwe to�cute covew�,u rsquired unJa 3ecliw 3JA of MOL a 1�2 an lad to�h�impai�ian o/uimind p�naltin o/� fine up ro SI,S00.00 an impriaoiunem,a wall o�civil penrltia is�M fam�uf a STOP WOItK ORDEA and�Rw uf up ro 3250.00� y�ya�ey ih�vi a�or. IM aJvi.�.vl�ha��co�ryr uf ihia watemcm may br funvurded to�M Olrce of � InrcaUy�iiun�,�f 0 a DIA for imura �corcrap vcritwalws. /Je hii�br c�rri�j �hi IA1 YIII�IIIIYIIIft OrPfI/rry�Ao�nb in/'ww��lo�yrori/��ulew i�rrui rn1 a arrrca I :,,• � I)umr H 1 t7 P�i� ,i� ! �' 1 � I O/Jlcirf wt anl�t Da nW wrin is rhu riei,a M.urn�,�d er.�;ry o,m�„�pt'ir! � i � Ciryarfu��n: YermiN.lcemeM__, -- � ( I.iuinr.\u�hun�rlcird�une►: — - � I � L IIwrJ u(Ile+llh t. Huildln�1)ep�rimenl J. Cilr/fown Clcrk J. fledriSal Impalor S. PlumbinR Impeefo► 6.�hher _ . l.,�n��elPcnan: _ _ .. PllontM: 'S CITY OF SALEM - '��i PUBLIC PROPRERTY �,.� • ' �� DEPARTMENT � �,I'.Il: M111 '•Mlv�`II \I .���M . I'C��.�dll.\L:JV$1'MkLT 1).\tlll.�1.hi.H I11 :I I�.'1'� ' TFI:'l71•'�yli9S �I°.\!f:77MJlS'IY16 ('onstruction Debris Dlsposul ACfiduvit (rcyuircJ 1'ur�II dcmulitiun:mJ rcnuvrtiun wurk) In rccurd:mcc with thc sixth edition of thc State Duilding CoJe, 730 CMR scctiun 1 I 1.5 Debris, anJ the provisiuns uf MGL c 4U, S 54; pi���,�n�, ������ p is ix�ued�vith the condition that the dcbris resulting from this wurk shall he dis4wscd of in •r properly licenscd waste disposal facility as defined by MGL c l l 1. S I SpA. The debris will be transporteJ by: ��i�'�- ��A.� � ' �name ul'Iwuler) 'I'lia Jcbris will be disposed uf'in : �)�¢�+-�t� C�� ,�,:���T��,�Y, � � _ ' I;�dJrnt�uPl'�cili�y) ��gaawre of��rmit applicant _ �I�// ,� � ,,,,.,..<<,:,: _ . _ ____ .. .. _. .._ . . . . . . .� . . .. i . .. � . � . . � .. _ � " " " " " " " _ " " " " " " " " ' " " " " " " " " ' _ " " " " " " " " " ' _ " " ' ' " " " " " " " " _ " " " " " " " " " " " " " " ' . � " " " " _ " " " " " " " " " " " " " "." " " " " " " ' " " "." _ " " " " " " " " " " " ' _ ' . _� . �.. . . ..� . . � � . . _ _ " T " _ - . . . . . f ' " ' _ " " " " " " " " ' _ " ' _ _ " " " " " " " " " ' _ " . " ' _ " " " " _ . . �. � . � � � . � . . . � . . � . . � . . . . . . . � x,� . � � � � �. . . _ . , � . � � � . . � � . � � � . � � . � � � . . . . . . . . . � . . . . I _ I I _. . 1 1. All materials and construction shall conform to the Massachus�tts State , I II I ; ; , Building Gode C�B� GMR), And All Other Local Regulations � Ordinances. ; � - - �J � � ' - � � 2, the Gontractor shall secure all rec{uired p�rmits prior to proceeding with ; � � � - � the work. � � � I � � ; 3. th� Contractor shall field v�riPy all dimensions prior to proc��ding with ' I I I I , ; ; ; the work. ; ' ' ' 4. Th� Contractor shall notify the Archit�ct of any and all field conditions � - - � � - - � , ; ; that vary from those that are shown on the drawings. , R. Rump f & Associates, Inc. , 5. The Contractor shall s�cure th� Architect's approval on any material � Engineering & Arehitecture . � ; substitutions or chang�s in the work. ; 57 Wharf Street - 2G � - � ' �o. 7he Contractor shall furnish and install tempered glass where rec�uired by � Salem, Massachusetts 01970-4483 ' , the Gode. ' � � �. All tnterior and exterior finishes a trim shall be approved by the Architect � , and/or the Owner. , � , 8. All wood blocking shall be fire treated per MBG section 9m3.5 E 9f�53. (978) 740-5025 , , ' (978) 603-0045 fax ; can�uttancs: ' ; � ; ' ' ' il ; - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � � , � �� �� r � l �� � � �, � e� . � . i Job Number. _ ; f f�� ��-�� � II . : . . � . � � . . � . � � . . . . . . . � . . � . . . . � � . � � . � .. . r " " " " " " " " " " " ' _ " " " " " " _ " " " " " " " ' _ " " " " " ' _ " " " " " " " " " " " " . i � , � Date: � ; u- � ��/��/�� �5�/ i � — i � No. Dete RevieIon By: � ; ; ; ' , � ' — � , i , , � , - - ' ' ; ��_ �� 3�_��� �_ �� , � V.I.F. V.I.F. — i , ` - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -• - - - - - - - •_- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -' - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - � 2� �- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , _ , _ _2 � � �r � 1 � �� � i� � , 1 / �" = 1' - �° ���� � � - - - - - - - - - - � - - - - - - - - - - - - - - - - - - - �- - - - -.- - - - - - - - -.- - - - - - - - -.- - - - - - - - - - - - - - - - -.- - - - - - - - - - - - - - - - - - -.- - - - - - - - - - - - - - - - - - - - - -.- - - - - - - - - - - - - - - - - - - - - - - - .- - - - - - - - - - - - - - - - - - - - - - - -.- -�- - - - - - - - - - - - - - - - - - - - - - - - - T . . . � � � . . . i �. . . . � . . � . . . . � . . .. � . . '� . . . . . � . � . . . . . Pro ject: I , Ad�acent Budding i 38 �f"Of'lt Jtr'��t , ; �oor ��h���l� � ' Door Frame Remarks �,,�'`'`�"��'`�• z �7. �i up O UJidth Nei ht 7hk's Mat'I St I Nead Jamb Thres `,��,,:�. �'��/� `` � GI(D ; � Wood/ '2A" Yes "Reeb/Simpson", lF7mmU Exterior Fv Door Uni! w/ g x p rp � �q t, r��' �"�'°� � 3'-(I>" 6'-8" � 3�`� �Ilass �ood Wa�d 3/4 Insulated Glass, Two l2)- I-2, Reeb/5impson, � _ • "� , U � (FllmU Ext.Fir Sidelights N.I.F.), One (ll- 7ranscom I ' ~'��• p First �loor Area- 784 s.f. � ,n vE Unit GI 7otdl Arec3- 10�98 S.f. � G5 � Ulmdow N.I.P. SizeJ d Ent�y Lock. Confirm Locking � � �-, , ?otdl Area- 2268 s.f. Confi uration w/ Owner. ; �,/`��� �i G �v �—' «�» Urnt C5 Total Area- 273 s.F. Kilchen ' '� ' U I � 'J' Livin g Room , �., ,a' �o � '`�-.,._��..�� i ; Salem Renetual LLC c� � Ma �"��l — . Salem, Massachus�tts ' ' � i , Common up ; , �loor/G�ili+�� ���h��l�l� , o , �- * ; : ;; K�t�nAn �g � Mat�rials ��scri tio� ��r� st� R�marks Q`��. ;��:� � � �, � � '� � p Rating Rating � �p ; _ _ ;; [�, ' �irst Floor Area- 62l s.f. ' o "' t�nTa �;'a ,� Up Dn . � ;, C�' ?otal Area- 178(� s.F. ; Existing Plywood Sub-Floor I Nr. xisting t pical �loor/Ceihng ����,� R' . n� ' � \ In�ill Assembl �� " 1 Total Area- l56 s.f. , Existin UJood Joists y ��k?�t � ' I � Livmg Room g '►.:;-�k. � � ' � � � �� :�� � � � � 0 � � , ii�ii � 1 � - � �— �� Existing Insulation lAssumed) � ' � � , _ _� � - - ,, �u) ' / � � ,� � �� i 5/8' CsU1B, Firecode '/ I� ; � ;�r�emo�� Ex�S�tng T= i � 1 ' , �} i , �irst �loor Plat� , I�CP Entrance Common � � � � � � „ � � � 3 � i � � �_ . � i � � � � � , ., CsUJB Pdrtition Ulall � : - - - - - - ;; ' Partition ScheduUe - — c2 i - - - - - - - • i �w� K�t�npn � � Door Sch�dule � �°� — — ' �loor/Ceiling Sc�u�dul� � G3 G3a �)� U I , scala i Unit C2 total Area - 1488 s.F. �,I I New Ste s s Landing Living Room GS � �S 'f`����C�1 (II' Treac�s��' Max. Risers) �c�f �,I�I O f`1 ���'ll��l��� ; pn � First Floor Area- 62� s.f. i � _ ?Otdl AI"E8- 1911 S.f. Mcat�l"Ic��S D�SCI"IptIOYI Fire Racing Stc Rating R�OmarkS Drawing Number: ' i m up �uP � ' up � � up - 2" x 4° U1ood 1 Nour 45-49 D�mising UJall to Underside I� , I 5tuds �t lro" O.C. Of Dec�c Above. � � , ����� 5/8" Fire Gode C�zUJB � ; �Remove Existing Storefront Cslazing Panel, Csranite Base Panel ; °vcrew Attach Both ; And Shc. 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