435 HIGHLAND AVE - BUILDING INSPECTION , >
PR E'RTY
15 It 3w
y l`
t
iV•10'i IA
APPLICATION FOR PLAN EXAMINATION AND RUILDCNG PC RIMI c
ALL STRUCTURFS EXCE PT l AND 2 EAMILYDWEII NG'S
INfFOiY'1'As i T:Appficana.4 mast complete all items an this a e
SITE INFORMATION
GocaUon ti'ame—_ _ Btildi.t`V[�L���gQ',) ,�IL_�.[rKgQ, .
Fropertu Address �J N t �gn��✓�wP_„_ lJl
i 1lap't 5 —
17afLCl 1'Ll _ _
Located ill: Conservation 11reaYl _
Use Groups
7 (dwek One)
Residential(3 or more bails) iZ2
Type of improvement Residential(hotelimoiel RI
(check one) A5.sctnbly(churches) al
New Building Asscinbly(nightclubs etc) A2
t Addition Assembly(restaurants, mcicntion) A3_
Altention_x— Business B�-- '(3Z
Repair Rtplaccrnent Educabol tl E
llcmolitson_ bacttYn (moderate hard) Fi�
Move/Relocate Factory(low ha-.ard) F2_
Foundation Only High Hn?vd II_ \ (i
Aceessay Building Institutional(residential care) 11 V
Other(descri be) Institutional(incapacitated) 12-
hlstTutional(restrained) 13
.Mcreartile 1vI_ L
Swrape(moderate hazard) SI _ (!
Storage(Rai hazard) S2_
f)R`NEIYSti.l P IM ORMAl'ION(Please type or Print 0cariv)
I,
` OWNI'-,R, Name 5OVr0.n �n %t t
Telephone
DESCRrnnoV OF WGIM tO BE PhRFORIMfi J)
1�1cteJ TPL 0✓1 lIPS y ��c-r�r�ttu�ti� 1
i
cs�u 4IA17iF)CO`STRUC'r1ON COST
`fir �3 5 a-1 L trrv�
CONTRACTOR INFORMATION \
Name �r�n�J yl _�/oaar,,o F ��� .
Address 31 �a �,rad1�,� Z Nor ol,�s�� O�4 yyd-10
Telephone (Y40-) :1 ► 16-*)w
Construction Supervisor's Lie #
Home Improvement Contractor #
ARCH(TE CT/ENGINEER INFORMATION
Name r o r
Address LAog— , C�1o�c_e�sl ems— MA c71�1 a
Telephone CAI"781 'ZRt- c,-777 —
i( Mass. Registration #
PERMIT FEE CALCULATION
Residential est. cost x $751,000 + $5.00Z:iiip
Commercial est. cost x $11/$1,000 + $5.0
COMMENTS
The undersigned does hereby attest that all information stated alcove is true to the best
of nay knowledge under the penalties of perjury
Signed r2
Date 11 . 3. lloce
�7 11, - 3 qez b
�� ' �- � D
CITY OF SALEM
PUBLIC. PROPRERTY
DEPARTLIENT
Cmistruction Debris Disposal Allidavit
(reyuiicd li)r all demolition and rcnoN ation \wrk)
In accordance \%it11 the sixth edition of the Statc Building Code, 780 CNIR section I 11 5
Debris, and the provisions of"IGL c 40, S 54;
is issued with the condition that the debris resulting front
Building f'rrmit t
this work shall he disposed of in a properly licensed waste disposal facility as defined by NiGL c
111. S 150A.
The debris will be transported by:
1
(ltatnc of hauler)
I he debris will be disposed of in
(IIa1nC u(tanluy) .
laddre;. ,A taClMVl
a • we of p nnrt al. I ant
data
r
NOTE:
T 1.ALL NEW WORK SHALL MEET
760 CMR BUILDING CODE AND 521
CMRARCHITECTURALACCE55
WATER W/0 EXISTING BOARD CODE
MECHANICAL
3 2.FIRE PROTECTION&SUPPRESSION
ROOM z SYSTEM SHALL BE UPDATED AS
3 REQUIRED BY GOVERNING CODE
DISPLA AND WORK.
i AREA z
EXISTING 0 3.ALL NEW ELECTRICAL/PLUMBING/
ELECTRICAL w STRUCTURAL WORK SHALL MEET
GOVERNING CODES.
PANEL +/-12'-0"
4.FLOOR SHALL BE LEVLED WITH
COUNTER CONCRETE.FILL RANGE SHALL BE
WORK AREA AREA 1"-3"IN DEPTH.
EXISTING WALLS-TYP. PROPOSED RENOVATION
_ o FLOOR PLAN 1o/3vo5
� N
NEW WALL5-TYP. H z
+ 3
-1/2' — -� z SCALE I/4"=1'-O" 3385.F.
6 2 - x Uncle DoV6 Self-Storage
Z 435 Highland Avenue
m LL EX15TING
ul Salem,MA 01970
FIRE ALARM
978-741-0845
PANEL EXISTIN �O
N NEW UNISEX FIREPULL
00
� BATH UP < UP F + WAITING AREA /s�ycco }L t (v` al}
n
nh. mzo� co- PRINCIPAL c�..
�1 mn lv�e.Glmrc:4ee RI�I U193U
L
NOTE:
1.ALL NEW WORK SHALL MEET
Wn7ER W/0 EXISTING 780 CMR BUILDING CODE AND 521
MECHANICAL 1 CMR ARCHITECTURAL ACCESS
ROOM oBOARDCODE
0
• Z 2.FIRE PROTECTION&SUPPRESSION
11' 3 SYSTEM SHALL BE UPDATED AS
AREA z REQUIRED BY GOVERNING CODE
m AND WORK.
EXISTING R
ELECTRICAL m 3.ALL NEW ELECTRICAL I PLUMBING
PANEL +/-12'-0" I STRUCTURAL WORK SHALL MEET
GOVERNING CODES
COUNTER
WORKAREA AREA
PROPOSED RENOVATION
EXISTINGWALLS-TYP. z 30
NEW WALLS-TYP. o 3 FLOOR FLAN 1o/a/oa
z15CALE:1/4"=1'-O" 3385.F.
EA
F
Uncle 13ob'5 Self-Storage
EXISTING 435 Highland Avenue
Z LLL\VVVi�
a� FIRE ALARM I Salem,MA 01970
�11 PANEL EX15TN5
• 978-741-0845
N NEWUNISEX FIRE PU L
BATH }p f�
UP UP n to '7� 50 WAITINGAREA is�yc�o� •nCI9g.,aL+
/—RRE PULL - p4 Jmnn fore PR I NCI P.A 1, 1.,
op RL ___--J —4fl-`rc ffM J1R
BI nn I:me.fhise.nc.n 01?:U 3j1
L
a
tECT o-
N\ �
ly
�OPPGGOv— 41��-� T
♦ �W= p�Q,. Z i
5
NOTE:
— - — - — 1ALL NEW WORK SHALL MEET
cO \s \ , ,\\ \ \\ ,\.'\ \,,.• ., , .. ', . . . ....\ .78OCMR13UILDING CODE AND 521
�+(OWN CM?ARCHITECTURAL ACCESS
W/0 EXISTING BOARD CODE
O MECHANICAL 3 Roomo 2,FIRE PROTECTION&SUPPRESSION
_ SYSTEM SHALL BE UPDATED AS
.�;•\ , .�\ 3 I REQUIREDBYGOVERNINGCODE
1 PLA C) ANDWORK.
AREA z
EXISTING N 3.ALL NEW ELECTRICAL/PLUMBING/
ELECTRICAL ` u� STRUCTU PAL WORK SHALL MEET
PANEL
GOVERNING CODES.
I I
+/-12'-0��
` 4.FLOOR SHALL BELEVLEDWITH
COUNTER CONCRETE.FILL RANGE SHALL BE
WORKAREA -I AREA . 1°-3"IN DEPTH.
° PROP05ED RENOVATION
EX15TINGWALL9-TYK W 3
`. o N g l FLOOR PLAN 10/31/08
\\ NEW WALLS-TYP. + 3 I
Z ' 5OALE:1/4"=T-O" 338 S.F.
Q =' 6 2 Unc1e6ob'e5elf-5torage
ExISTWG 435 Highland Avenue
Salem,MAO197O
FIRE ALARM
PANEL EX15TIN 3-3p,. 978-741-0845
NEWUNISEX FIREPU L
\' I
UP F q7 WAITINGAREA
UP DiCO yc� _ 9 Ea.i
\ �FIRE PULL
L_—_—_J i..; IisIn fore IkItCCfI'AI P::
_ — _ —_ — _ — _ _ _ _ _ — . — _ — _ — _ _ _ _ _ _ _ .— _ — _ — _ J
�� '�dnasru�oruier�� 1�taoac�ive�CA
:Board of Building Regulations and Standards
S Construction Supervisor License
License: CS 97703
Exphatlont 3/2/2011 Tr# 97703
ktest[[ctlan; OD
MITCHELL LAPIN
31269 BRADLEY RD
NORTH OLMSTED,OH 44070 Conunissioncr
Board of.Building Regula ions and Standards
One Ashburton Place - Room 1301.
Boston, Massachusetts 02108
Construction Supervisor License
License CS: 97703
Restriction: 00
Expiration: 3/2/2011 Tr# 97703
MITCHELL LAPIN ------ ------,-.--...--
31269 BRADLEY RD -...---...-------.. ..--
----------
NORTH OLMSTED, OH 44070
Update Address and return card.Marls reason for change.
I,.,1 Address F_� Renewal ! ..I Last Card