150 CANAL STREET - & OCEAN AVENUE MCDONALDS - BUILDING JACKET �` ,no 4- OceaVL
1kcJonazd s
i
. ...AS...:•a�... ..
Certificate Number: B-17-459 Permit Number: B-17-459
Commonwealth of Massachusetts
City of Salem
Thisis to Certify that the ......................................................................................BuildinS......................................................................... located at
Building Type
..........................................................................1 SO CANAL STREET.......................................................................... in the .....................................0 ty..of Salem
Address Town/City Name
IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF OCCUPANCY
MCDONALD CORP
This Permit is granted in conformity with the Statutes and Ordinances relating thereto, and
expires .......... 10,,.201.7,.,., unless sooner suspended or revoked.
Expiration Date
Issued On: Friday, August 11, 2017
��- Cczmrilionwealth of Massachusetts
` City of Salem
120"Nashington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Permit No. B-17.459 PERMIT
FEE PAID: $4,675.00 TO BUILD
DATE ISSUED: 5/31/2017
This certifies that MCDONALD CORPORATION 020/0140 C/O CHARLES LIETZ
has permission to erect, alter, or demolish a building_150.CANAL,STREET_ _ Map/Lot: 330003-0
as follows: Other Building Permit a RENOVATE MCDONALD RESTAURANT,INTERIOR & EXTERIOR.
i (Plans Submitted) t
Contractor Name: ROGER A. DESJARDINS
DBA: MARCEAU CONSTRUCTION j( I
Contractor License No: CS-021191 i ! 9" r - !
5/31/2017
Building Official Date
r
This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced wfthin six months after issuance.The Building Official
may grant one or more extensions not to exceed six months each upon written request.
' All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted.
All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.
This permit shall be displayed in a location clearly visi
work until the completion of the same. ble from access street or road and shall be maintained open for public inspection for the enure duration of the
rt( j
The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit.
H IC#: 'Persons contracting with unregistered contractors do not have access to the guaranty fund'(as set forth In MGL c.142A).
Restrictions:
Building plans are to be available on site.
All Permit Cards are the property of the PROPERTY OWNER.
Commonwealth of Massachusetts
' Citv of Salem
120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Return card to Building Division for Certificate of Occupancy
Structure CITY OF SALEM BUILDING PERMIT
Excavation
PERMIT TO BE POSTED IN THE WINDOW
Footing INSPECTION RECORD
Foundation
Framing
Mechanical
Insulation INSPECTION: TMA � �L BY DATE
Chimney/Smoke Chamber /'�. {�
Final Tti.w.P if"--/ .h/!4L' 1 -0 0, �G 12 `�S b 1)Aoe S
Plumbing/Gas
Rougt�l
Rough:G �7 A
Final
' Electrical
Service /� .� ) 1
Final l�/ //�k��IC�j / ��� /pYIU �wlf �'!Y^� SC�of jh�GJL 814
/Y" / G
F' epartment /
Prelimin / 7/ �7 �!i d .G'f� C'J vTL�•Z /,�i .✓ice G1 /�/'f L'✓/?-LLS J'o 0/r ST/1-:!�r/
Final },
Health Department p fo/I� �Cti�, �K ����CZy�"".ty��/�� ��v� ��q,•/�� � �r1�1
Preliminary
Final �y j
T CITY OF SALEM
DEPARTMENT OF PLANNING AND
COMMUNITY DEVELOPMENT
KIMBERLEY DmsCOLI: 120 WASMNGTON STREET♦SALEM,MASSACHUSETTS 01970
MAYOR
TEL--978-745-9595 FAx:978-740-0404
LYNN GOONTN DUNCAN,AICD
DIRECTOR
February 28,2006
McDonalds Corporation
150 Canal Street
Salem, Ma 01970
d
Re: Illegal Sign-150 Canal Street, Salem,Massachusetts
To Whom It May Concern:
I am writing to inform you that signage has been erected at the above referenced property,which is
in violation of the Salem Sign Ordinance, and therefore is an illegal sign. Listed below you will
find the violation and the corresponding action required to comply.
• .One(1) freestanding sign located on the southeastern corner of the McDonalds Restaurant
property fronting Canal Street, advertising the White Dove Convenience Store at 57Loring
Avenue(view attached photo).
• Off-premise signs, advertising for a business not located on the property is a violation of§3-
56I of the Salem Sign Ordinance,which states`off-premise signs are prohibited'. Therefore,
this sign must be removed immediately.
Should you have any further question about this matter I can be reach at(978)745-9595 ext 311.
Sincerel ,
ad a=lanner/Co rvation Agent
Cc: Thomas St. Pierre,Building Commissioner
White Dove Convenience Store
= Z
04p (�nmmnnmrrttl#i� ofttttrru�r##�
CITY OF .SALEM
+ y In accordance with the Massachusetts State Building Code, Section 108. 15, this
W yew
CERTIFICATE OF INSPECTION
is is3ued to MCDf1NALD' S
I (19difU that I have inspected the premises known as MCDONALD' S
located at 0150 CANAL STREET in the city of Salem
County of Essex Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
lC1K'.K7r��7�7K7i7ifC 7i1C'�TK�t6 7K7K1C,'.�1Kx7K��1KT� 1�T✓<iE7K��
Story Ca ja, Capacity Story Ca.,ijiti...... too >� x Capacity
i
BY PLACE OF ASSEMBLY OR STRUCTURE
'Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
RESTAURANT — A3 114 1ST FLOOR
0134-1998 11/01/1998 11/01/1999 &JA
Certificate Number Date Certificate Issued Date Certificate Expires Building qaz�
tI
The building official shall be notified within (10) days of any changes in the above information.
i � CD.`^_:Oi�c
- �a.r(J' �99T TuiilD:l FOR C=i�iCJil�.
Date -
� ) h0 rG_. QLD L'1:ed
is 2cczrda=e with the provisions of the }assachusetts State Cade. Se
108. 15, i bereav apply for s Cert--: F-,r-are of Irsaect_nD for the bclawaa=ed prise
located at the fallnumng address:
Street b Numcber I
!'ire of Prz=ises
i'urpose for which Pre=sses is used n
Li
/ � presses by other GovC:r=wm •tal
LLrSG(5� OT PLzsL(s) required far the
• i lrease or Per3it �1CenL7
C_
0 n
C�
0
7 Cert:.icare co be issued tD:
Addrers:
Owner of Record of Building: �Tg�tft;►-� ;` � "�
.. .. . .. - AddSess: -� W
Name of Prascnc Golder of Cett�_==a=c:
'!se of Ager C
/ 1l=-
Si�SLure oc 2e son waa= �ert__'_t3te
is issued or hisiber ausaaraycd agent
Daze
LIM==O!IS: Day ri = panne I -Ig X122
1. Mike cbecic payable ta: The Ciry of Salem
an with a "
ar � 'rk to: Zrsvectnr of Buildia2s. Cit
y of Salo
7Ma a�vlic-=iy of Salo
Build{=Y Dcvars+enL. One Ss2e= Green. Smlea. =A. J1970.
PT rASS ff=: t-ed for each bullor sx==%M
I . App1ic3tian iota vitas required fee =not be s '
of part t'xzeai to be ce • !icd-
?. Appli=r-ton c fee mEL be rc=rived beiarc rbe cc_t_r_caie grill be issued_
). The bu;t officisl 5ba11 be aarified wir"m cc= (10) dais of aa7 -a,—ac i= =ha
aba�G irfazraslaa. (� ('•� p C�
CT ZCA=E 1 ( LI -1 Zf �I-9dTSD;1 nA
PERIODIC INSPECTION REPORT
This form is to be completed each time a Periodic Inspection is made. At the time
a new Certificate of Inspection is issued, a notation indicating that the fee has
been paid will be made to Application Form prior to the new Certificate of Inspection
being issued. Any changes since the last inspection are to be added to the file card
of the premises.
Street 5 Number 5 S
Name of Premises � d- ')/� 2 I s
Certificate to be issued to: C(��y�Q Id S
Address 9Q VY1`{�
Owner of Record of Building j' - 21 � a
Address L (-i n N ,k pcA," — -A-3a 3 V1 V) lam}
Purpose for which premises are used -�-
Changes since last Inspection (required on file card also)
L. A) o C'1 a.� gQ/J
2.
3.
4.
5.
Date Order Issued:
Order Issued To: Address
Date Violations Corrected:
REMARKS:
I have this day inspected the above premises, and the same conforms to the pertinent
requirements of the Massachusetts State Building Code and the rules and regulations
pursuant thereto.
10 -s9 %', Uwe
Date Building OffkVcial
Certificate 8 13( �� �� Date Issued:
p Date Expires: W�2
Recommended Next �j - � -1
U14t (fummunwralt4 of ttuunrl u�r�#s
Z J
CITY/TOWN OF
In accordance with the Massachusetts State Building Code, Section 108. 15, this
Y
CERTIFICATE j�� LOF INSPECTION
isissued to . . . . . . . . . . . . . IJ U`�. . . . . ..S . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
ITPrfify that I have inspected the. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .known as. . .C.n C .� �a. . 1 jJ. `
located at. . . . . . . . 1 50. . . .Q a-4/.%Ql. . l . . . 5�:in the. . . . . . . . . . . . .of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of. . . . . . . . . . . . . . . . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
Certificate Number Date Certificate Issued Date Certificate Expires Building OffinihZ
The building official shall be notified within (10) days of any changes in the above information.
Or Tammunwralt4 of Attasnr4usttto
a
CITY OF SALEM
In accordance with the Massachusetts State Building Code, Section 108. 15, this
/ y
°�M Sac
CERTIFICATE OF INSPECTION
MCDOIUAL...D' S
is issued to
I (PrtitH that I have inspected the premises known cis MC:DONALD' S
0150 CANAL STREET
located nt in the city of Salem
County of Essex Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
N�s45�s6'Sfi36565G's5�s673;16X�Xy41 si7G 76�sb�55%N.9i55%sG7i��7G��)b�
Story Ca Capacity Capacity Story Ca � 4SsS%SG7G $5a?75°� 1t� Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
RESTAURANT L 14 7.S1 F-'LC)OF?
470_:5"-199(3 ids/N1 / 1'::)9S 03/N1 / 1999
Certificate Number Date Certificate Issued Date Certificate Expires 113-ililding Official
The building official shall be notified within ( 10) days of anv changes in [he above information.
i
i =
COMMONWEALTH OF MASSACHUSETTS
a
CITY OF SALEM
? APPLICATION FOR CERTIFICATE OF INSPECTION
Date N6 Fee Required $
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building Code, Sec
L08. i5. I hereby apply for a Certificate of Inspection for the below—named premises
located at the followinng-1 address: L
Street 6 Number -
Name of Premises /{ /('An n(?
Purpose for which Premises is used &,slai�i/r�
License(s) or Permit(s) required for the premises by other Governmental Agencies:
License or Permit Agencv
Certificate to be issued to: Ifir-1)mo 14 5
c-- N Address: /so CMC'I
F— m c
�QvneQ f Record of Building:
Uj
d ��, Address: / 7
c�
�amec`�`af Present Holder of Certificate:
w U
Jrpue°C6f Agent. if any...
C'
CM v
I inPr
Si cure of Person to whom Certificate TITLE
is issued or his/her authorized agent
Date
INSTRUCTIONS: Day time phone CL4_2 -'`16S-i
L. Make check payable to: The City of Salem
2. Return this application with your check to: Inspector of Buildings. City of Salt
Building Department. One Salem Green. Salem. MA. 01970.
PLEASE NOTE:
1. Application form with required fee must be submitted for each building or strncf
of part thereof to be certified.
2. Application 6 fee must be received before the certificate will be issued.
3. The building official shall be notified within ten (10) days of any change in ti
above information_
THIS AREA FOR OFFICCE USE ONLY I c 4
CERTIFICATE E�IRATZON DATE:
�,4U
L),?sofJ u�,��E�l - 7qS- a7a7.
r \,
PERIODIC INSPECTION REPORT
This form is to be completed each time a Periodic Inspection is made. At the time
a new Certificate of Inspection is issued, a notation indicating that the fee has
been paid will be made to Application Form prior to the new Certificate of Inspection
being issued. Any changes since the last inspection are to be added to the file card
of the premises.
Street & Number (�—noQf l J�'
Name of Premises C L) af 4 s
I
Certificate to be issued to:
Address 4'
Owner of Record of Building /�/ / 4
pC i M
Address 1`7 jQod4/)Y ri
Purpose for which premises are used ALA
Changes since last Inspection (required on file card also)
1.
2.
3.
4.
5.
Date Order Issued:
Order Issued To: Address
Date Violations Corrected:
REMARKS
I have this day inspected the above premises, and the same conforms to the pertinent
requirements of the Massachusetts State Building Code and the rules and regulations
pursuant thereto.
- /7- pY-
Date Building Official
Certificate 3 d J Date Issued:
Date Expires:
Recommended Next
Inspection:
3 Chit of thlem. massar4usetts
1 �'0 Vuli is Propertg Department
iguilbing Department
(One *altm Green
500-745-9595 $xt. 300
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
November 24, 1997
To Whom This May Concern:
RE: Certificate of Inspection
Enclosed is an application for a Certificate of Inspection. This
Certificate is required by the Commonwealth of Massachusetts and with few
exceptions must be renewed annually.
I
Please fill out the enclosed form completely and return it to the
Building Inspector's Office, One Salem Green, Salem, Mass. 01970 no later than
December 15, 1997. Please include your davtime telephone number so we may
contact you to set up an Eppointment. Failure to do so within the allotted
time may result in cancellation of vour license.
. Sincerely,
r'
Maurice M. Martineau
Assistant Building Inspector
MMM: scm
F
SENDER:
• Complete items 1 and/or 2 for additional services. I also wish to receive the
• Complete items 3,and 4a a b. following services (for an extra
• Print your name and address on the reverse of this form so that we can feel:
T
this cord to you.
I • Attach this form to the front of the mailpiece,or on the back if space 1. ❑ Addressees Address
does not permit.
• Write"Return Receipt Requested"on the mailpiece below the article number. 2. ❑ Restricted Delivery
• The Return Receipt Fee will provide you the signature of the person delivers
I to and the date of delivery. Conult postmaster for fee.
I 3. Article Addressed to: 4a. Article Number
McDonalds P 009 226 228
j 150 Canal St.
4b. Service Type
I Salem, MA 01970 ❑ Registered El Insured
)&Certified ❑ COD
❑ Express Mail Return Receipt for
'Merchandise
7. D to of DeI'very
5. Signature (Addressee) 8. Addressees Address(Only if requested
and fee is paid)
8. Sign (Agent)
PS-Form-31111, November 1990 oIts,GM19,91-267466 DOMESTIC RETURN RECEIPT
UNITED STATES POSTAL SERVICE
Official Business
PENALTY FOR PRIVATE
USE, $300
Print our name address and ZIP Code here
Y � I
Leo Tremblay, Zoning Enforcement Officer
One Salem Green
Salem, MA 01970
--� i
� ����
' StOr �
�a�.a,9 �,r r
S r*�j �-.
L� 'Q �dV�
it
. "ClNI11T.1� Titg Of 19.7tt1Em, massar4usetts
m
�a it Public Prupertg Department
°rrnNe�'' Lluilbing Department
(One #alem (ibreen
508-745-9595 Ext. 380
Leo E. Tremblay
Director of Public Property
Inspector of Building
Zoning Enforcement Officer
April 5, 1993
McDonalds
150 Canal St.
Salem, NIA 01970
RE: Illegal Sign
150 Canal St.
Dear Sir:
It has been brought to my attention that you are in violat_on of the
City of Salem Sign Ordinance relative to a sign at the above referenced
property. The illegal sign I am referring to is the free stand-`ng reader
board located on the front lawn of the store.
1'ou are hereby notified to contact the Planning Dept. with--n (7) days
of receipt of this notice to apply for the proper permits. Fai_ure to
comply will result in the necessary legal action being taken.
If you have any questions do not hesitate to contact me. = thank you
inadvance for your prompt and courteous cooperation in this matter.
Sincerely,
Leo E. Tremblay /
Zoning Enforcement Off_cer
Inspector of Buildings
LET:bms
cc: Planning Director
Councillor Blair, Ward 7
Certified Mail IIP 009 226 228
BOARD -OF APPEALS
p rte. ( T r
/ Ti' `�J. A.� ✓Fly L'j �y.•(.�At•7Zt� `,�'v4•'i:�:Li.iiA �l.,�
'' ?. QCT 05 pP`i P8�
30 Clt t�
P,FCEIV[0
�k'�•iq-T.^ice L ) r7• i ttt � �vn` n
10 11 .71 CITY OF SALEH r1ASS,
Form A - Decision
I .
October 10, 1985
Ms. Josephine Fusco
City Clerk
City Ball
Salem, MA 01970
Dear Ms. Fusco:
At a regularly scheduled meeting of t :e Saler: P ianni ng 'Board held
on October 3, 1985 it was voted to endorse "A_�)roval Under Sub-
division Control Law Not Required" on the following described plan:'
1. Applicant:—McDo`na13's Corp`
L—Oak Brook;Illinois 60521
2. Location and Description -
C—Corner of4 Canal Street and Ocean Ave. , Swampscott
Book 6085 Page 492
Deed of property records in Essex South District Registry.
Sincerely,
Amy, ITT
Walter Po•::er III '
Chairman
STP/sm
Planning Poarb
�alam,�'rlaseacl2usetls D1970
FORM A
SEP 30 3 43 PH rBS�PPLICATION FOR ENDORSEMENT
OF PLAN BELIEVED NOT TO REQUIRE
FILE# APPROVAL
CITY 6F:n,V -&-tLEp,IR3g¢fordance with provisions of Section II-B, the
applicant must file, by delivery or registered mail, a
Notice with the City Clerk stating the date of sub-
mission for such determination. The notice shall be
attached to two copies of this Form A application.
The notice and both copies of the application must
be "date stamped" by the City Clerk and then one
copy of this Form A, with the Plan, filed with the •
Planning Board by the applicant. All notices and
applications shall be typewritten or neatly printed
in ink.
Salem, Mass., �Er___26!
To the Planning Board:
The undersigned, believing that the accompanying plan of his property in the City of Salem does not
constitute a subdivision within the meaning of the Subdivision Control Law because (See Sect. II-A and
state specific reasons) __Ipt-B-as,depicted on the plan is to merge with existing
- -- - -- -- -----
___land__of_Bursaw__Qij_gorporation as a single lot. McDonald's remaining land
(Lot A) -- —
--------- -cbm�lies---with-the-frontage-recp�i rements�—.....-- ----_--_
-------------------------------------- ----
and herewith submits said plan for a determination and endorsement that Planning Board approval
under the Subdivision Control Law is not required;
1. Name- of Owner McDonald!.s_Cbrporation
------•-------------------------------------------------------
Address M�xu�ld' _�1d ,0a)c_Brooks•_DuPage_Countyr _I11inC_is _60521
2. Name of Engineer or Surveyor ____Saneryi l I e-r,qi naari nq----------------------------------
Address 26.5_k1edford_Street,._Samerville MA 02148
3. Deed of property records in --------F.ssex__CountV...South-------------------- __ Registry
Book -----6085-------------------------- Page .......4-92
4. Location and Description of Property: _Co.rner__of_Caa1_�St eet �nd-Ocean I�yenue,----___
----------------------------------- - description
-----------------------------------•-------•--------------.------------------------------------
•-----------------------------------------------------------------------------------•----------------------------------------------------•----------
-----------------------------------------------------------------------
5. All streets and abutting lot lines shall be shown on the Plan together with the names of the Owners
of the abutting lots.
Signature of Owner; =---
Address 30 Federal Street, --------•--,- ------ -- 70
(6774-1iT8--------------------------
-
------...•_-.
- --- --- -----
Telephone Number ---•- -------•------ ------•-- - ----------------••------•-------
. � •J I MA09ACHU1397TU uu11CLA1m O¢¢O BV conrORATION(LONG FORM) 709
DONNELL & MUDGE, INC.
a corporation duly established under the laws of Massachusetts
and having its usual place of business at Salem, Essex County.Massachusctts,
for consideration paid,mid in fuhconsideratiolwf
rants to McDONALD'S CORPORATION, a Delaware corporation having its usual place
g of business at McDonald's Plaza, Oakbrook; with quittlulttt tnver(u11211
of DuPage County, Illinois
the land in said Salem with all buildings thereon bounded and described as follows:
[Description and encumbrances, it.anyl
Beginning at a point at the Northeasterly corner of"the granted premises at the
intersection of Canal Street with Ocean Avenue marked by a steel pin and thence
running South 130 32' West by said Canal Street 296.25 feet to another steel
pin at land now or formerly of the City of Salem; thence turning and running
North 670 15' 36" West by said City of Salem land 21.36 feet; thence turning
and running North S0 13' 35" East by said City of Salem land 6.56 feet; thence
turning and running North 820 10' 04" West by land now or formerly of Teamwork
Foundation Inc. 100 feet to an iron pin; thence turning and running North
50 15' 03" East by land now or formerly of said Teamwork Foundation Inc. 287.54
feet to a steel pin set in the Southerly. line of said Ocean Avenue; thence turn-
ing and running South 800 35' 07" East by said Ocean.Avenue 163.35 feet to said
Canal Street at the point of .beginning.
Said premises are more particularly bounded as shown on a plan entitled "Plan
of Land in Salem, Mass. for McDonald's Corporation" made by Ewald Engineering
Co. dated February 7, 1974 to be recorded herewith.
Being all of the premises conveyed to Donnell & Mudge Inc. by Clarence Perkins
by deed dated September 12, 1931, recorded with Essex South District Registry
of Deeds in Book 2895, Page 177, and by Teamwork Foundation Inc. by deed dated
October 5, 1944, recorded with said Registry-of-Deeds in Book 3383, Page 5699
and also a portion nf the premises conveyed to said Donnell & Mudge Inc. by
Lendell W. Foan et al by deed dated June 4, 1928 and recorded with said Registry
of Deeds in Book 2766, Page 596.
Said premises are conveyed subject to taxes assessed for the year 1974.
Said Premises are also shown as Lots A and B or, a certain plan
of land entitled "Land of Donnell & Mudge, Inc. dated September 19440-
Thomas
944;Thomas A. Apple.ton., C. E."recorde9. with. said Deeds. in Book 3383,
page 569.
-COMMONWEALTH Of MASSACHUSETTS
,JUta 3 6 4. 8 0
JOEL SITE COPY
BJ-1-LDINGCITY OF SALEM
SALEM, MASSACHUSETTS 01970
PERMIT
��rnNe
DATE NOVEMBER 15 19 96 PERMITNO. 671-1996
APPLICANT ROGER DESJARDINS ADDRESS 4 COTTAGE RD 1621
(NO.) (STREET) (CONTR-S LICENSE)
CITY ANDOVER STATE MA ZIP CODE TEL.NO. -
PERMITTO ALTERATION �) STORY MCDONALD' S RESTAURANT DWELLING BEROFITS 0
(TYPE OF IMPROVEMENT) NO. (PROPOSED USE)
AT(LOCATION) 0.1-50.,-CANAL--ST, DISTRICT
DISTRICT
ZONING
(NO.) (STREET)
BETWEEN AND
(CROSS STREET) (CROSS STREET)
SUBDIVISION MAP 33 LOT QIIZ 03 BLOCK sE 40642 SQ. FT
BUILDING IS TO BE FT.WIDE BY FT.LONG BY FT.IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION
TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION
(TYPE)
REMARKS: DEMOLISH 3' INTERIOR WALLS & REPLACE R REPLACE EXISTING CEILINGS. L. E.
ARORVOLUME ESTIMATED COST$ 23. 001-71 PERMIT$ 143. 00
(CUBIC/SQUARE FEET) `P
OWNER MCDONALD' S CORFU
ADDRESS 150 CANAL ST SALEM MA BBYILDING DEPT. L. E. T
THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY,ENCROACHMENTS
ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION,STREET OR ALLEY GRADES AS WELL
AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE
APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS.
MINIMUM OF THREE CALL INSPECTIONS APPROVED PLANS MUST BE RETAINED ON JOB AND THIS CARD KEPT WHERE APPLICABLE SEPARATE
REQUIRED FOR ALL CONSTRUCTION WORK: POSTED UNTIL FINAL INSPECTION HAS BEEN MADE. WHERE A PERMITS ARE REQUIRED FOR
1.FOUNDATIONS OR FOOTINGS. ELECTRICAL,PLUMBING AND
2.PRIOR TO COVERING STRUCTURAL CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH BUILDING SHALL MECHANICAL INSTALLATIONS.
MEMBERS(READY TO LATH). NOT BE OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE.
3.FINAL INSPECTION BEFORE OCCUPANCY.
POST THIS CARD SO IT IS VISIBLE FROM STREET
BUILDING INSPECTION APPROVALS LUMBING INSP TIOV APPROVALS ELECTRICAL INSPECTION APPROVALS
> _4fL
3OARD OF HE LTH GA NSPECTION APPROVALS FIRE DEPT.I PECTING APPROYKLS
G
3THER CITY ENGINEER p
Iss etrrrii
NORK SHA RMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS INSPECTIONS INDICATED ON THIS CARD
NSPECTOR HAS APPROVED THE VARIOUS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED CAN BE ARRANGED FOR BY TELEPHONE
STAGES OF CONSTRUCTION. AS NOTED ABOVE. OR WR TTEN NOTIFICATION.
�ONDIT,ICITY OF SALEM, MASSACHUSETTS
PUBLIC PROPERTY DEPARTMENT
n m
120 WASHINGTON STREET, 3RD FLOOR
SALEM. MASSACHUSETTS O 1970
TELEPHONE: 978-745-9595 EXT. 380
EDa� FAX: 978-740-9846
KIMBERLEY DRISCOLL
MAYOR r M�y nJ )01 O
D ea R Steve Plorni.
Ma-ny yeotRs C�yo ydv d i d a. lcau ti lut Pr°J e�to rem w- electro[/ec�
a-museme4s Cron, # s;je ortAe Mcoondlds or) CaraLStreet ►n mem
mdss�dehusetts. At At presents yoV have d r�LLy trU Ly af�k� hCd Lf�i
f'► c►1 r c dreg K✓,t' 6enckS dr)d ladles, Ever) t ugh /you d.d t -�y
d�outi`_16 ye ns ok30J Gk Good Wor am LoteoF�� Precious P �
Lif e �s Mvcr-�r-rtife In aPP�c�,- e t k hod
2QCehtl/, W�jehIWds Spe (?h9 fo 7iomds St. Pierre - lore
do 0 ctor of
InsPeCt�dhalrV�Ceg ;r7r Citya�' Sd1em, N�suses pu�Lic
PrbpertY 1)4d, dh7vh-t, be trim6oned to ane. �6t �e had been ;n fauo
w1 Andmw V u") cc16 Id"1)3 :r,s
car . °
mere was d►scc,ssi on 5 � ° -Cofo i7e c�tyo{'Lynn, ss �u �
�useh'�h�� i c2ho 0"9 S10/b, ,qtr- e r reumstclr)eeS w 76
I h the r re9l or, lot) WA o A fp die �s� m �l�c��r�;�
fou r Ave_ oWners� p OF other /�c �' y k �,
eX%ski �h�L,�s�.l�lt d�' aware rkrt ��ed�
Conc��tions reh)ei)tioned
ve. W�, ° Any JnpLtttf ;t ydu ml9�rt 6e�1 p
rc �vou l P I'eeZ`i py to i s Cvnof J ti o� ►s 1►X.lc� o
�prC.0 r
�)incereLy and Gaol Q1ess yact,
e co 7�otr s t. P►°erre - C Y/0� Sa Ce.
Anolr-eh/ oun9 - City c' Lynn
� � � .����� �� ������
� . The Commonwealth of Massachusetts
� Department of Public Safe
Massachusetts State Building Cod 80 R)
Building Permit ApplicaHon for any Building other an ne-or T mily D ellin
\ �(This Sectlon For Official Use y) '
Building Permit Number: Date Applied: uil ' g Official:
o� SECTION 1:LOCA7'ION(Please indicate Block q and Lot#for loca for whi •�treet ad available)
'ISV �Gv�A( S�. Se�.`1r� MQSL M� �pqpC� �S
� No.and Street City/Town Zip Code Name of Building(if applicable)
SECTION 2:PROPOSED WORK
� Edi tion of MA State Code used_ If New Construction check here 0 or check all that apply in the two rows below
. Eysting Building❑ Repair❑ Alteration biC Addition❑ � Demolition 0 (Please fill out and submit Appendix 1)
. Change of Use ❑ Change of Occupancy ❑ Other ❑ Specify:
Are building plans and/or construction documents being supplied as part of this perntit application? Yes $. No ❑
Is an Independent Structural Engineering Peer Review required? Yes ❑ IVo�,
� eB�rief Description of Pro osed Work:
\ ]�N\N,(��•+p i51�{gS�G���G.v�
J
- SECTION 3:COMPLETE THIS SECI'ION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDTITON,OR
CHANGE IN USE OR OCCUPANCY
� � Check here if an EziaHng Building InvesHgallon and Evaluafion is enclosed(See 780 CMR 34) O
� Existing Use Group(s): Propased Use Group(s):
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)&Area Per Floor(sq.ft.)
Total Area(sq.ft.)and Total Height(ft.)
SECTION 5:USE GROUP(Check as applicable)
�A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5❑ B: Business ❑ E: Educational ❑
F: Facto F-1❑ F2❑ H: Hi Hazard H-1❑ H-2❑ H-3 ❑ H-4❑ H-5❑
I: Institutional Id❑ I-2❑ I-3❑ I-4❑ M: MercaMile❑ 2: Residential R-lO� R-2❑ R-3❑ R-4❑
S: Storage Sl❑ S2❑ U: UHlity❑ Special Uae�and please describe below: �
Special Use:
SECITON 6:CONSTRUC'ITON TYPE(Check as applicable)
IA O IB ❑ IIA ❑ IIB ❑ IIIA O IIIB ❑ N ❑ VA ❑ �VB O
SECTION 7:SITE INFORMATION(refer to 780 CMR 111.0 for details on each item)
Water Supply: Flood Zone InformaHon: Sewage Disposal: Trench Permit: �bris Removal:
Public� Check if outside Flood Zone❑ Indicate municipal❑ ti trench will not be Licensed Disposa]Site❑
required�or trench or specify:
Private❑ or indentify Zone: � � � or on site system❑ permit is enclosed❑
Railroad right-of-way: Hazazds to Air NavigaHon: MA Historic Commission Review Process:
. Not Applicable 6s1 Is Structure within airport approach area? Is their review wmpleted?
�or Consent to Build enclosed❑ . Yes 0 or No� Yes❑ No ❑
SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY
Edifion of Code: Use Group(s): Type of Construction: Occupant Load per Floor:
Does the building contain an Sprinkler System?:�Special Stipulations:
/ �� ��� 4�/ ���/ C/�7 �C.. �� /���j���C v ., �
C�.� � . .�
. SECT[ON 9: PROPERTY OWNER AUTHORIZAT[ON
Name and Address of Property Ow-ner
mCVoro���5, �� ��� l�T* t r.� 1M1�ST'WOU� / �QS
IVame(Print) No.and Street City/Town Z]
P
Property Owner Contact Information:��
TSSC. �iq '�-Pi/1 �� lysh = -
TiUe Telephone No,(business) Telephone No. (cell) e-mail address ,
If applicable,the property owner hereby authbrizes
��e . 'i�=, St�Addres� � Ci�� State Z{P
- to act on the ro er owner's behalf,in all matters relative to work authorized b this buildin ermit a licafion.
� SECTION 10:CONSTRUCTION CONCROL(Please fill out Appendix 2)
uildin is]ess thax�35,000 cu.ft.of enclosed s ace and or not undec ConsWcdon Conhol then check here O and ski Sectlon 10.1
10.1 Re� 'stered Professional Res onsible for Conatrucflon Control � �
� Name(Registrant) Telephone No. e-mail address Registration Number�
Street Address City/Town State Zip Discipline ExpirationDate
10.2 General Contractor .
'�a�W-eEr�xA �'ons�F-cuc�+,.or� C��Qp
Company Name �.
���_��,.�,c��_ _�'• �• 7SsoFf!
. Name of Pe son Responsible for Construcfion License No. and Type if Applicable
� CS PAr�.MJ� 'Q�[� /� /�s� .�L� --�..r-F
. Street Address City/Town State Zip
�1�217Y� `7�-��3� .c
Tele hone No. usiness Tele hone No. cell e-mail address
SECTION 11:WORKERS'COMPEIVSATTON INSURANCE AFFIDAVIT .G.L.c.152.§25C 6
A Workers'CompensaHon Insurance Affidavit from the MA Department of]ndustrial Accidents must be completed ar.d
submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit.
� Is a si ed Affidavit submitted with this a IiczHon? Ye .No �
� SECTION 12:CONSTRUCTION COSTS AND PERMTT FE&� �
Item Estimated Costs:(Labor
and Materials) Total ConstrucHon Cost(from Item 6)_$1�g�. �
1.Building $ Building Permit Fee=Total Construction Cost x_(Insert here
2.Electrical $ appropriate municipal factor)_$
3.Plumbing $
4.Mechanical (HVAC) $ Note:Minimum fee=$ (contact municipality)
5.Mechanical� Other) $ Enclose check payable to
� 6.Total Cost � $ s ?), � (mntact municipaliry)and write check number here
� SECT(ON 13:SIGNATURE OF BUILDING PERMIT APPLICANT
, By entering my name below,I herebv 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 a e and understanding.
��u -6�J- 'a�Q�—
Please print and sign name itle �Telephone No. Date
��P---P--=..e. R�� 1��e.� u�.�r� .� a3tsc�
Street Address City/Town State Zip
Municipal Inspector to fill out this sechion upon applicaHon approval:
Name Date
Y
2
, U
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m
2
O
F
a
�
v
�
w
0
w
f-
¢
0
EXISTING LOW w
HEIGHT WALL °�
TO REMAIN � �
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'�� NOTE: OWNER TO VERIFY THAT EXISTING STEEL AND EXISTING w
:I AISLEWAYS MEEf PROPER ADA GUIDELINES. 1'-7"
I � M � m x
—MIN. 30" CLEAR FLOOR SPACE BEiWEEN STEEL POSTS 1 MIN 2'-5" m F�+N � ° W
W
—MIN 19" CLEAR DEPTH FROM THE EDGE OF THE TABLE TOP EXISTING N � , � W � W I
I —MIN 27" CLEAR HEIGHT FROM THE BOTfOM EDGE OF TABLE TOP TO REMAIN I� Q Z ¢
—MIN 44" MAIN AISLE CLEARANCE I I-N � w � �
" ' —MIN 36 SECONDARY AISLE CLEARANCE � O Z '� m
EXISTING � � � a � w � o
' ' HANDICAP SEATING REQUIREMENTS: SEATIING � � 4'-0"MIN W w �
I ' • 69 SEATS (TOTAL) x59d=3.45 HANDICAP SEATS T� � �e ao � o N J N �
REMAAIN � es.� -� .�'
�� �� —4 PROVIDED HANDICAP SEATS / � � � � � o�
• - —TAB L E T O P S T O BE 27" MIN: & 34" MAX A.F.F. ,/ � � � W � ��
• • EXISTING LOW �� ,,r q• � w� - I�',
HEIGHT WALL � P o`1 �� 2�'6� J � i
TO REMAIN �i �e �—�c Q
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P1 .0 SCALE: 1 4 =1 —0 � ,._7 U ~
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PROJECT N0. 4375.112
SITE ID. 020-0140
DRAWN BY: KB
SCALE: ��4"=�'_p^
DA TE: 10/02/12
DRAWING NUMBER
SP 1 .0
_ �.....
_ - __
_____ ___ _
_ . __ _
_ . ________
fL11i1SfiA!l6�9E fil{i4►ND APPROVED $1f 77�iE
.WS�i��L7Al�PR1QA Tp A PER6AIT B,�WG GRANTED
CITY OF SALEM
No.\��_� � Data D/,�
'j� ��_, f /T
\ rl �.�� ,���.. Wetd
� . _ --.�_
� ZoNrn� DlsMct
��H������ Y�� Location of
_ luilding �S� �nG�-� S"r
la Proparty Locetad h
.� tIm Canearvatlon Aras4 . Yet No_
BUILDING PERMfT APPLICATION FOR:
Permit to:
(C(rcle whichever apply) Roof, Reroof• Insta�l Siding, Construct Deck, Shed, Pool,
Repa� eplace� 1h9�: iJe� Sv�f�hl� .- DEcorQ, pac,•C,�G,6
- - �
PLEASE FlLL OUT LEGIBLY d�COMPLETELY TO AVOID DELAYS iN PROCESSIN(i
TO THE INSPECTOR OF BUILDINGS: '
The undersigned hereby applies for a permit to build acco�ng,to the following I
specifications: _
Owner's Name �c� �e�� '
Address & Phone (n9D l'�,.n,-or1 s i. ( �
l,�csT�ood M�
ArchhitecYs Name
, Address 8 Phone � �
Mechanics Name
Address � Phone � � '
wnet N me purpos.a bwatrqt ��,sr,aQ,,,,,.r,r—
��� �0� M a dMrelling.tor how meny femid�4
wn�o��omo�,�,o�W� Yes n.e�osz �o
Eatlmetea od�' g • `_' cny uceim.M sbm r D�S
����•J � � � S' atu o licent
SKiNEO UNDER THE PENALTY'
OF PERJURY
DESCRIPTION OF WORK TO BE DONE
17c�-o 6J�'sT�N(r Ss.4TiNG + DE o�2 � .,�/q'Lr6
' Re t�I ac,S w tr-tF Ne� Pa�Ka C�G
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�' �+-►�_��T
MAIL PERMIT TO: T�7S �SCroOb S� /ti']��v p �{�JG� (JZK�i �/
�_
,
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,
����-��
APPUCATION FOR
PERIiRT TO
� • .
���ior �1 e��al/��b� -,
�ocnnoN
/5 v r��s � S��/
PERMIT GRANTED
��o�/�� 19
APP V�D 1
�
INSPECTOR OF BUILDINGS
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I CENTERED ON TABLE TOPS. BOTTOM OF FIXTURE TO BE 3g ABOVE TI1E TABLE TOP. � > � W � � � �
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a A DEGOR LIGIITS: MOUNTED ON WHLL DECOR OR FREE STANDING DECOR. PARISi, IN . g � o � � ? o
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CONNECTIONS ARF TO BE MADE 3Y GENERAL CONTRACTOR. a � � ? � z �
� oo �n = � >
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� Tt1ERMOSTAT NOTE:
- _ _ _ , - -- -•-- -
! e E PARISI, INC. CAN NOT ASSUME RESPONSIBILIN FOR RELOCATION OF TIIERMOSTATS DU
I -- -- -- I f � s•REcessEo,aRFsa- TO INTERFERENCE WITFi INTERIOR DECOR. IT WILL BE TI1E GENERAL
- - - � 'm -- F � ,� PA/NTED#S W65307 REVEL BLUE
pp p I �: li, O I o .(EGGSHELLJ (2PLaWCES) CONTRACTOR'S RESPONSIBILITY TO INOTE SUCFi INTERFERENCE AND MAKE TI1E
-- - `� � �, � o � � � NECESSARY ARRANGEMENTS. I �
� i _ Q
I NOTE TO OWNER � GENERAL CONTP.F�GTOR: W
i I A _ U
15 FIUORSCENT LIGFiT FIXTURES !tJSID� �ARISI LIGIIT TREATMENTS ARE INDICATED TO �
g� B. .+ \ ° •`� St10W APPROXIMATE PdU"�iBERS ANG' '_OCATIONS ONLY. F�CACT GUANTITIES AND SIZES
� CAN NOT BE DETERMINED UNTiL MAi��UFAGTURING DETAILS ARE COMPLETED. A FINAL
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