40 FRONT ST - BUILDING INSPECTION � '
I - -_ ..._
� "1 �-. .
-,: ;' ,: The Commonwealth of Massachusetts
� f �,� ?� Department of Public Safety
v-,�.f \la...�ihu.ett.titatr Buildinh Cudr 1i80 C�1K)kcinlh Lditiun
City of Salem
Buildin Permit A lication for an Buildin other than a 1- or 2-Famil Dwellin
(This tiectiun For l�ffici,il Use Onlv)
Uuilding Pennil Numbrr. Date Af�F�lird: Buildinti Insprctur:
SECTION 1: LOCATION IPlease indicate Block N and Lot M for lacations for which a street address is not available)
Y;n FRPN�� `ZF�� ��ri. /1�1f� �� `��j
. .\'o. and titrerl Citv /To�cn Zip Ci�de N.me uf Buildinh(if.ipplicablr) '
SECTION 2:PROPOSED WORK �
If Nrw Cun.truction check here O ur check all that opply in the twu rows below
Esi.ting Building Rrpnir❑ Alterntiun 0� Additiun ❑ Demulitiun ❑ (Please fill out and submit Apprndix 1)
Ch�nge uf Usr ❑ Changr uf Occupanty ❑ Other ❑ Specify: �
�� Arc building plans and/ur cunstruc[iun ducuments being supplied,is f�art uf[his permi[application? Yes No ❑
Is an Independmt Structural Engineering Peer Review required? Ye� ❑ Nu �]�-
� Brief Descri tiun uf Pru osed Wurk: ApD Pp2y�-npNS ,
N N 2�0„� n P�2n � �� r�
� ..._�XtSi�nl�� ��-rpT� / oF�', F v« C2�+o�!'F' .1 n_IE� 2.�'Tq-�� SPfF-ct;
� SECTION 3:COMPLETE THIS SECTION IF EXISTWG BUILDING UNDERGOING RENOVATION,ADDITTON,OR
CHANGE IIY USE OR OCCUPANCY �
� Check here if an Existing Building Evaluation is enclosed (See 780 CMR 3402.0) ❑ '
, Existing Use Group(s): Ma'Yz.�Rr.I'h L Proposed Use Group(s): �•
Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34:
SECTION 4: BUILDING HEIGHT AND AREA
� � Hxisting Proposed
No.uf Fluors/Stories(include basement levels)&Area Per Floor(sq, f[.)
Tutal Area (sq, ft.)and Total Height(ft.)
SECT'!ON 5:USE CROUP(Check ae ap licable) .
A: Assembly A-I ❑ A-2r ❑ A-2nc❑ A-3 ❑ A-4❑ A-5❑ B: Business O E: Educational O
F: Facto F-1 ❑ F2 ❑ � H: Hi h Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional 1-1 ❑ 62 ❑ I-3❑ L4 O M: Mercantile L�` R: Residential R-l� R-2 ❑ R-3❑ R-4❑
S: Storage S I ❑ S-2 ❑ U: Utility❑ Special Use 0 and please describe beluw:
Special Use: �
SECTION 6:CONSTRUCTION TYPE(Check as applicable) �
IA ❑ IB ❑ IIA ❑ ❑B ❑ IIIA ❑ ❑►B ❑ fV ❑ VA ❑ VB ❑ �
SECTIOIV 7:SITE INFORMATION trefer to 780 CMR 1IIA fordetails on each item)
W'ater Supply: Flood Zone Infomiation: Sewage Disposal: Trench Pertnit: Debris Removal: .
� Publir P� C heck il uuhide Flnud�Lune Indicate municiF�al �1 trrnch �vill nut be Licrnsrd Di.pu.al tiite
Pri��.itc❑ nr indcntil��Zunc: ur�m.itr.v.trm ❑ .rcyuired �trcnch ur .F,ccif�':
— . F,rrmit i.cnilu.�ed ❑ �
i Railroad ri¢�Itbof-waY: ' HaZdrdS to A�r NdvigdhOn: � \I.\ I li.inri�l-, in�ni..i n it oi � Pr���-��..:
\ .t ,\F,F,li�,il�lr❑ I.tilrurlin�emilhin .iirF,nrt,iF+F�n�.idiarr,i' I> thciriuuc�� rumEl.tui.'
�. ��r l �,n.vnl�eu Rudii enrl��.cd ❑ ' �Ye.❑ nr\'�� ❑ 1"r. ❑ \'n ❑
� � � SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY .
Gdiiinn ��IC���.ii�: C.c(�i��upf�C �cfcul'C��n.truchun: llccuF�anlLuadF,rrPlunr:
II l��i�. lhe I,wlJin};rnn�ain an tiF�rinklcr}�-.Icm.': tiF,ccial titiF�ul,itiun.: , .
�P� ��Z���`1 ��
SECTION 9: PROPERTY OWNER AUTHORIZATIOIV �
, Vamc�and Addres+u( Pruperh�Ownmr . . M� '
QAvia �'s�,eN �QO �nr'f� �� �flL�'i C�`��-
Namr(Prinl) No.and tilreel CiN'/Tuwn .Zi�.
� ProF,ert�� l)�cner C�mtact Infurmaliun:
p�,,�P���� ��'-2�- �� _= o b�� �a� .n t-
Tidr TrlrF�hune Vo. lbusiness) Trlephune Nu. (cell) e-mail.iddres,
� If,iF+plic.iblr, thr pruprrh� u�vnrr hercbv aulhurizrs � ,
Vame titreet Addrev Litv/Tu�rn Stnte Lip
hr a.l�m thr �ru �rrh'����'ner's brhalf, in.ill malten rclati�'e tu w�irk authurized bv lhis buildin � �ermit a > >lication.
SECTION t0:CONSTRUCiION CONTROL (Please fill out Appendix 2) �
(If buildin�i>Iess Ihan 3i.lriW a�. tt of encluxd s�a.r and/or nut wider Cunstrudion Cuntrol thrn check here O end ski i�clion IU.I)
10.1 Re istered Professional Res onsible for Construction Control
� N.ime(Registrant) Trlephone Nu. e-mail address Registration Number
Street Address City/Tuwn St.te Zip Discipline Expiration Date
10.2 General Contractor
� � �oa��..�a,.� L�-C
�mpan �w�T c�- (iSL, � � � T� J
1 la
Namg of Person Re,punsiI�je fur Cunstructiun License No. and Type if ApglicabOi9��,1
l`fl � ((�)7'�Tn�. ) ��— �#1 K _�� Mtt-_ �`�
Street Address �,�1' �j e�Zr.z,,,City/Town State Zip
��-(� !_f f l ( '(
Tele hone No. (business) Tele hone No. (cell) � e-mail address
SECTION 11: WORKERS'CO[vII'ENSATION RJSURANCE AFFlDAVIT(M.GL.c.152. 25C(6))
A Workers'Compensation Insurance Affidavit from the MA Department oE Industrial Accidents must be completed and
submitted with this application. Failure to provide this affidavit will result in the denial of th�e is�suance of the building permit.
Is a si ned Affidavit submitted with this a lication? Yes 1Y��o ❑
- � SECTION 12:CONSTRUCI'ION COSTS AND PERMIT FEE
Item Estimated Costs: (Labor �5� '"
and Materials) Total Construction Cost(from Item 6) _$
1. Building $ �G�.�0 Buifding Permit Fee=Total Cunstruction Cost x_((nsert here .
2. Electrical S �� .CCx7 appropriate municipal factor)_$
3. Plumbing $ '� �
4. Mechanical (HVAC) $ Note: Minimum fee=$�`.(cAn�unicipality)
5. Mechanical (Other) S Enclose check payable to �
6. Tutal Cust S �O.Ol7 (contact municipality)and write check number here
ON 13: SIGNATURE OF BUILDING PERMIT APPLICANT � I
Bv enterin� mV namr belu� , I hereby. ttest under the pains and pen.ilties ul perjury that alI uf the infnrmatiun cuntained in thi,
,ipplicatiun is true and accur,i tn the esl uf my knuwledtie and understandin�.
r� ��%� qZ�
1'Ir.�sr F�rint ,ind >i};n name Title Tclrph �ne \u. D.ite
��f� L�7�8 1(SCsAY)n� � � ���
Itilrrcl :1d�iress � CitciTu�cn �late � ip
IS1wii.ipal Inspector to fill out this srction upon application approval: � Z
. . � \amr I)ate
. . � .
,
J ' �� CITY OF SALL•'M
I r y !�
.:;. I;t ,,�; I�L'BLIC PRt)PRERT'Y
'� ����� DEP.�K'I'�1ENT
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'.I . . . , ._ I" U „c•.�. , �.�..:iif � ��ii �i. \I�..�� • , .I�� . .
. . Iti v'.v '�: i:.,: � I �� '.'.V v= �„�,.
('nnstrurtiun Ucbris Uisposal .-�liida� it
(I't'l�Ulll'tI IUf JII lIl'I1IUIIIIUII anJ rrnu��,i�nm �vuiA) .
In accunlrncr ���tli ihr sixdi cJition ol ihc Slatc DuilJing CoJr, 7SU ChIR s�cuun I 1 I �
pcbris, anJ thc pro�isiuns uf 11GL c J0. S 54;
DuilJing Permit H is issucJ �vi�h Ihr ronditiun th�t thc dchris resul�ing from
�his ��urk �h:�ll bc di.p��scJ ut in a pruprrly IicrnscJ wa,te disposal I�cility as dtfinoJ by MGL c
I t l. 5 1517A.
Thc dchris ��ill hc tran,portcJ by:
c ?tC I�— ���— P � �
Inumc uf haulrr)
I hc d�hris ��ill bc Jis��oscA uf'in �
��O�x+P S� nk� l (�'__ `i. 1JG-
(namr��1 Ix� �ly�
�WAhc�S��;� (� � � A1.��''1
�.�dJrc�. ul���uluv� . �
.icn�luie �d piimn dp�dp�nl
� 4 �
,I�ic
�
� GI � GOMMON
XI EXI
m
P
�
O ❑ �
XIT �5 34'-
EXI5TIN6 I-HOUR
GOMMON FIRE WALL (TYP
�' G2 xir
� �p � EXIT
�
_ ❑ 36'-b"
� UNIT G2 TOTAL , �� � �
0 26 -a
z AREA: 1488 5Q�
� ia�-3° G3 ,
rn OO 40,-4„ UNIT G3 TOTAL �
� � AREA: q41 SQFT
a
P
EXIT ��PRovED
�=� - �y o�� � �
auth n ., e�o -�a �n,
CIT .o .�'�,.S.�i.F :
F�'.��YYI£P�'��i3�u ��
SGALE 40 FRONT STREET �;Y � �
PLAP:�A4EAPPROYcDS3LE ', �� �,i4C�"r:TIF;.^..AT;OY.�C�F
TiFE AND L'Y'.:l1TFON OF �:,4 ;"C:a°:,E�7:->, C�;:�'s3.
(.iL FiR�pROTECT10f: ^R'LE? ,".FC LJ�J�^'I"50 h
5 O � IO �O L ':•LTESTANDINSP'cCT:.N,FORC0I.i7�E'i:CO��':S-
�'..K Yr17i;7Ms SIRE CODE.
EXISTING GONDIT[ONS
40 FRONT ST, SALEM .1u�,Y 30, 2009
RETAIL RECONFIGURAT[ON PRESENTED BY: SALEM RENEWAL LLC
N01�5; ,
�x�stinq 2 s�torefrorrts at I�}3 Washinqton and �}O �rart Streets�O be divided into 3 spaces as shrnvn�
New partitions �o be I�hour rated walls, GOMMON
- �xistinq fire supression sys�em and fire alarm sqs�em �O remain � New 5moke betec�Or, �ull 5�tia� and
Norn /Strobe to be added in new space C3b, X� E I P �
�xistinq rear hall provides 2 eqresses for new space C3b,
P N UNIT G3a TOTAL
AREA: qq2 5QF �
0 EXISTING SOLID
O ❑ FIRE DOOR TO BE �
REPLAGED WITH
EXIT EXISTING WALL O ��D GLA55 DOOR 34
NEW PULL STATION
GOMMON TO BE REMOVED AND HORN-STROBE
PROP05ED I-HOUR
v�'., G2 FIRE WALL _.___�_.___ _.__ _.___...�_ __...___..�____...,..,__--- EXIT
o .._�_�__._ _.___._._-_________._.__..____.._.___.____._
D �p EXIT
� IG'-II" NEW �
, � � LIMIT OF WORK SMOKE (2)
o UNIT G2 TOTAL 26�_S�� PROP05ED I-HOUR �
� AREA: 1040 5Q T FIRE WALL O
�
�
rn 0
� � O �
UNIT G3b TOTAL
a 3q�-2�� AREA: 605 SQFT
p GO ON
EXIT
w
SGALE 40 FRONT STREET
5 0 5 10 20
Ju�,Y 30 2009
PROPOSED CONDITIONS
A�O FRONT ST, SALEM '
RETAII, REGONFIGURATION PRESENT�D BY: SAL.�M RENEWAL LLC
(
1
GI � GOMMON
XI EXI
m
P
�
O ❑ �
XIT � 34'-
EXISTIN6 I-HOUR
GOMMON FIRE WALL (TYP
� G2 xir
�
� � �p � EXIT
�
, �r � �� 36'-6��
z
� UNIT G2 TOTAL � �
-� 26 -a �
� AREA: 1488 5Q�
� iq�-3° G3
rn OO 40,-4„ UNIT G3 TOTAL �
�' � ARER: q41 SQFT
a
P
EXIT
��
c L ,;,, � y +�.
au�h�rit�hav+�a�+,�`. �3i '
C3T�' of St��`•P�,FSh . °.
SGALE 40 FRONT STREET =^���W�.����.�.� � -�u
s•�
rJ � �J �� 2� PIA�c:.'rA'pROVE�SC ,:cra,tr��+i��carar.c�
SYfE A�;G L+Y'.M1TI�N "�.:5 F�'..."'�yFC,"iF4ei !�=(CES.
".L F;S�: °RCTECTlCY. �NICEi«9C'��^7t•.^-T'i0 A
. :�.'4`^s't aSfD!.`:SPECT.::N�FOR COinPi.�c C_�...;..5-
- -- =rnnr
EXISTING CONDITIONS
A�O FRONT ST, SALEM .1u�.Y 30, 2009
�,� R�TAIL R�CONFIGURAT[ON PRESENTED BY: SAI,EM RENEWAL LLC
(
'� N01�5�
� �xistinq 2 sta-efronts at 1�3 Washinq�n and �0 �ra�S�reets�o be div�ded �r�o 3 spaces as sh�vn,
New parti�ions�o be I�hour rated walls� GOMMON
�xistinq fire supression s�s�em and fire alarm s�s�em �o remain � New 5moke be�ecta-, pull Station and
Norn / 5trobe to be added in new space C3b, X� E I
P �
�xistinq rear hall provides 2 eqresses for new space C3b�
P UNIT G3a TOTAL
AREA: qG2 5QF OO
� EXISTING SOLID
� ❑ FIRE DOOR TO BE �
REPLAGED WITH
EXIT EXI5TIN6 WALL OO �TED GLA55 DOOR 34
NEW R1LL STATION
GOMMON TO BE REMOVED AND HORN-STROBE
PROP05ED I-HOUR-
v�'., G2 FIRE WALL ._.____.__ .__.__._._._ --..._.___.. ,..._.._____ EXIT
__._.___._. _.______.____._.�___..______ _._ ._---
, D ❑p � EXIT
� — IG'-II" NEW �
� � LIMIT OF WORK SMOKE (2)
o UNIT G2 TOTAL 26�_8�� PROP05ED I-HOUR �
� AREA: 1040 5Q T FIRE WALL � _
�
rn Q
rn O O �
� UNIT G3b TOTAL
a 3q'-2" AREA: 605 SQFT
p GO ON
EXIT
W
SGALE 40 FRONT STREET
5 O 5 10 20
• PROPOSED GONDITIONS
A�O FRONT ST, SALEM Ju�,Y 30, 2009
;1 RETAIL RECONFIGURATION PRESENTED BY: SALEM RENEWAL LLC