450 HIGHLAND AVE - BUILDING INSPECTION (2) 4PL*M1AWTIMEflL4 94AD APPROVED t3Y IM
Jf118PEMS,PFXB W A PERMIT BEING GRANTkD
CITY OF_SALEM
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Permit to: BUILDING PERMIT APPLICATION FOR:
(Circle whichever apply) Roof, Reroof, Install Siding, Con++��ry tDeck, Shed, Pool,
Repair/Replaos, CSIt. 39 iS7 s
PLEASE FILL OUT LEGIBLY&COMPLETELY TO AVOID DELAYS IN PROCESSNG
TO THE INSPECTOR OF BUILDINGS: '•
The undersigned hereby applies for a permit to build accor&q.to the.folW"
specMk:ations:
Ownees Name 4X44 /D?i/h km'�ks ZA,Aj x�TIt,rS�'.'
Address & Phone /3 30 /yl��.,Stl f lll��I� L6171 a3a -�9ob
Architect's Name &0,4
Address A Phone 210 f j. kwVLn l0 3S S"
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Mechanics Name
Address A Phone �Ugs- 1-tog n, itle 90 1 7- ,6es
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What Is ffr pnpom cf OuMdino?
md"of Now McsN 9 a dwalk g,for how m my im am?
WE brl ft oonfonn to**? V, Arbrrbs? A/
-— F.rsnlMad coat f6D�ec�. `�" CRY um"r swat Uorrlra r
ffoa i.fro.�.ae
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S re of t
aaiGNED ire
OF PERJURY
DESCRIPTION OF WORK TO BE DONE nn
MAIL PERMIT TO.
No. '
APPLICATION FOR
PERM TO
LOCATION
PERMIT GRANTED
. 19
VfD
INSPECTOR OF BUILDINGS
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710 West Roselawn Rogers,Arkansas 72756
479.636.3545 479.636.12o9 Fax
DATE: November 29, 2005
TO: City of Salem JOB NUMBER: 2004-1030
Building Department
Attn: Melissa PHASE CODE: 13
120 Washington St 3`d Floor
Salem MA 01970 RE: Convenience Addition at
(978) 745-9595 Wal-Mart Store #2640
Salem MA 01970
We are sending you the following information on the above referenced
project for your use. Please call if you have any questions. Thank you.
COPIES DESCRIPTION
1 Review Fee of$400.00 (Check #19828)
1 Review Fee of$605.00 (Check #19830)
If enclosures are not as noted, please notify us immediately.
Sincerely,
_z
Jody Ebert
PB2 Architecture & Engineering
xc File
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r, e.' Q'
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710 West Roselawn Rogers,Arkansas 72756
479.636.3545 479.636.12o9 Fax
j November 3, 2005
City of Salem
Building Department
Attn: Plan Review
120 Washington St 3`d Floor
Salem MA 01970
(978) 745-9595
RE: Convenience Addition for
Wal-Mart Store #2640
450 Highland Avenue
Salem MA 01970
Dear Sir or Madam:
I am submitting the enclosed plans for your review and comment. It is the intent
of this office to follow the plans through the review process in order for the
General Contractor, when selected, to secure the required permits. To my
understanding your office, the Salem Electrical Review Department, the Salem
Fire Department and the Salem Board of Health are the only agencies required
for the review and approval of this project. If this information is incorrect, please
contact this office as soon as possible so that I may forward plans to any other
agency needed. I have projected a plan approval date of December 2, 2005, if
this is an unreasonable timetable please contact my office. Should you have any
questions please feel free to call our toll free number (888) 656-3545 ext. 3535.
Thank you.
Sincerely,
Jody Ebert, Permit Coordinator
PB2 Architecture & Engineering
Site Plan Review Decision
October 20, 2005
Wal-Mart Stores, Inc. c/o
Bryan Lambert
APD Engineering
3445 Winton Place, Suite 208
Rochester, NY 14623
RE: 440 Highland Avenue,
Site Plan Review
On Thursday, October 20, 2005, the Planning Board of the City of Salem opened a Public
Hearing regarding the application of Wal-Mart Stores, Inc. c/o Bryan Lambert APD Engineering
3445 Winton Place, Suite 208,Rochester, NY, for the property located at 440 Highland Avenue.
The proposed project involves installation of a 395 sq. ft. cooler addition and surrounding fence.
Access to the unit will be from inside the existing structure.
The Public Hearing was closed on October 20, 2005. At a regularly scheduled meeting of the
Planning Board held on October 20, 2005, the Planning Board, based on the information
contained in the application and presented at the hearings, voted by a vote of??? (?)in favor,
none (0) opposed to approve the application as complying with the requirements of Site Plan
Review, subject to the following conditions:
1. Conformance with the Plan
Work shall conform to the plans entitled, "Proposed Convenience Addition to Wal-Mart
Store#2640, Salem, MA" Sheets CS, C1, C2 and A2, prepared by APD Engineering, 3445
Winton Place, Suite 208, Rochester,NY 14623, dated 03-07-05 and revised in accordance
with the decisions and requirements of all other applicable Boards and Commission in the
City of Salem. Revised Plans reflecting these changes must be submitted and approved by
the City Planner prior to the issuance of a building permit.
2. Amendments
Any amendments to the site plan shall be reviewed by the City Planner and if deemed
necessary by the City Planner, shall be brought to the Planning Board. Any waiver of
conditions contained within shall require the approval of the Planning Board.
3, Construction Practices
All construction shall be carried out in accordance with the following conditions:
a. Work shall not be conducted between the hours of 5:00 PM and 8:00 AM the following
day on weekdays or at any time on Sundays or Holidays.
b. All reasonable action shall be taken to minimize the negative effects of construction on
abutters. Advance notice shall be provided to all abutters in writing at least 72 hours prior to
commencement of construction of the project.
c. Drilling and blasting shall be limited to Monday-Friday between 8:00 AM until 5:00 PM.
There shall be no drilling or blasting on Saturdays, Sundays, or holidays. Blasting shall be
undertaken in accordance with all local and state regulations.
d. All construction vehicles shall be cleaned prior to leaving the site so that they do not
leave dirt and/or debris on surrounding roadways as they leave the site.
e. All construction shall be performed in accordance with the Rules and Regulations of the
Planning Board, and in accordance with any and all rules, regulations and ordinances of the
City of Salem.
f. All construction vehicles left overnight at the site, must be located completely on the site
4. Clerk of the Works
A Clerk of the Works shall be provided by the City, at the expense of the applicant,his
successors or assigns, as is deemed necessary by the City Planner.
5. Fire Department
All work shall comply with the requirements of the Salem Fire Department.
6. Building Inspector
All work shall comply with the requirements of the Salem Building Inspector.
7. Exterior Elevations
a. Elevations shall be in keeping with the approved plans.
b. Final elevations, brick type, and other building materials shall be reviewed and approved
in writing by the City Planner prior to the issuance of a Building Permit.
8. As-built Plans
As-built plans, stamped by a Registered Professional Engineer, shall be submitted to the
.l
Planning Department and Engineering Department prior to the issuance of the final
Certificate of Occupancy.
9. Violations
Violations of any condition shall result in revocation of this permit by the Planning Board,
unless the violation of such condition is waived by a majority vote of the Planning Board.
I hereby certify that a copy of this decision and plans has been filed with the City Clerk and
copies are on file with the Planning Board. The Special Permit shall not take effect until a copy
of this decision bearing the certification of the City Clerk that twenty (20) days have elapsed and
no appeal has been filed or that if such appeal has been filed, and it has been dismissed or
denied, is recorded in the Essex South Registry of Deeds and is indexed under the name of the
owner of record is recorded on the owner's Certificate of Title. The owner or applicant, his
successors or assigns, shall pay the fee for recording or registering.
Walter B Power, W
Chairman
N. 2?• 290§ 9 §6Ah1 NO. 098 P. 3
S . R .WEINER.
AND ASSOCIATES INCORPQRATED
t
6/21/2005
Priscilla 11 Etheredge
Wal*Mart
2001 S.E. 10'h Street
Bentonville, AR 72716-0550
Re: Wal*Mart Store*2640, Salem,MA
Dear Priscilla:
We Route 107 Salem Associates Limited Partnership,the owners of Wal*Mart
Plaza at 450 Highland Avenue,Salem,MA 01970 grant PB2 Architecture&
Engineering,APD Engineering and their sub-consultants authorization to make all
municipal, state, and federal submittals required for Site and or Environmental approvals
related to the proposed Cooler.
Sincerely,
r
V
Albert J. Rocco CSM as Agent
Director of Community Centers
AJR/ibk
REAL ESTATE DEVELOPMENT
.� 1330 Box L S T 0 N STREET • CHESTNVT HILL • MASS A CHUS ETTS 02467
PHONE 6 l 7 • 2 S 2•8 9 0 0
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710 West Rosela" Rogers,Arkansas 72756
479.636.3545 479.636.12o9 Fax
DATE: November 3, 2005
TO: City of Salem JOB NUMBER: 2004-1030
Building Department
Attn: Plan Review PHASE CODE: 13
120 Washington St 3`d Floor
Salem MA 01970 RE: Convenience Addition at
(978) 745-9595 Wal-Mart Store#2640
Salem MA 01970
We are sending you the following information on the above referenced project for your use.
Please call if you have any questions. Thank you.
COPIES DESCRIPTION
3 Full Size Sets of Plans C1,D1,A1,A1.1,A1.2,
A1.3,A1.4,A2,CS,C1,C2,ES1,ES2,S1,S2,RP1,
RE1,RE2,REM1,R1,R2
3 Specifications
3 Equipment Cut Sheets
3 Lighting Compliance Certificates
3 Structural Calculations
1 Building Permit Application (yellow)
1 Building Permit Application (white)
1 Site Plan Review Decision
1 Authorization Letter from Owner
1 Energy Conservation Checklist
1 Letter of Intent
If enclosures are not as noted, please notify us immediately.
Sincerely,
Jody Ebert
P62 Architecture & Engineering
xc File
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ENERGY CONSERVATION MANDATORY CHECKLIST FOR NEW CONSTRUCTION
(OTHER THAN LOW-RISE RESID TIA )780 CMR, 1301Z&
I
Owner/Agent Name: Q,s.1E IV Vr,a �du�fEl ��hone: 1(00 a.42 O
Owner/Agent Address:
City/State/Zip: _
Project Name:
Site Address: City/Town SS fYf� Of97d
Applicant's Name:. Signature:
Applicant!s Phone: ?• ,'�, Date of 2 OS
I.Envelope Compliance Option(check ONE)
❑ Trade-Off (1304.5)-Attach software Compliance Report(COMcheck-EZ)
0 Appendix J(1301.2-For buildings up to 10,000 sf only)-Attach Appendix J compliance documentation
❑ Systems Analysis(1309)-Attach Registered Architect's or Engineer's report
❑ Prescriptive(13042)-Ompleft this section,and attach copy of applicable Table(1304.2.1 through 13AI.12)
Climate Zone(from Table 13(3.1) ❑ Zone 12a ❑ Zone 13a 0 Zone 14a
a. Gross above-grade wall as sq.ft tJ ..
b. Total window&glass dock area sq R
c. Glazing%(100 x b*a) % Table#utilized:-
IL HVAC(check ONE) NIA t'6 MeA vjoy--
❑ Simple Systems&Equipment(1305.2) ❑Complex Systems&Equipment(1305.3)
❑Systems Analysis(1309)-Attach Registered Architect's or Engineer's report
III.Lighting(check ONE)
0 Building Area Method(1308.6.2.1)
}Attach Compliance Documentation(COMcheck-EZ or other)
ASpace-by-Space Method(1308.6.2.2)
❑Systems Analysis(1309)-Attach Registered Architect's or Engineer's report
IV.Approval& Acceptance Construction Documents(1301.8A.1)
Attach a narrative report describing the HVAC,Lighting,and Electric Distribution systems,including:
1.Design Intent
2.Basis of Design
3.Sequence of operation/systems interaction
4.Description of the systems(capacities,etc.)
4 5.Testing requirements/criteria acceptance
6.Requirement for submittal of operation manuals and maintenance manuals
x d . ' . :
�,,x{: ,�,�._; 7.Requirement for submittal of record drawings and control documents
No. City of Salem Ward
hoc �}r
APPLICATION
FOR
PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION
IMPORTANT-Applicant to complete all items,in sections:b It, /it, IV,and D(.
C7� �
I. AT(LOCATION) YJ u / :... OIS�TRICT
LOCATION NO1
OF BETWEEN AND
BUILDING crrosasmeEnS LOT n
SUBOMSION LOT_BLOCK SIZE
H. TYPE AND COST OF BUILDING-All applicants complete Parts A-D
A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOUTION"USE MOST RECENT USE
1 ❑ NOW budding Residential NOmaMdentW
2 Add re residential.enter new 12 AA Q One hotly
1a Anesenare,nrcrmmrW
JJJ""""' houyng unite added.If any.m part 0.13) - 19 Q cftm cow religious,
13 i] Two or mast laundy Enter number ❑
3 Q Aaeratcn(See 2 above) of ails 20 IrduWhl
21 Q Patkng ga ste
Enter s Qvd Re reohcertara 14 Q En er nu heal.rrohl a ddrrmfdrY• 22 Q Service et Wm repaegaage
ram0eid unit_—__ _
5 ❑ WmMmg(e muade W MS dWk*WW Wmba 2313 3 IfaOaal.woubA oral
of units In budding In Pat 0. 13) 15 ❑ Garage 1240 Offia,bank.prdaaeMO
6 Q Movmg trabrabon) 16 ❑ caw 25 ❑ Public rawly
7 13 rolmaatnn only 26 ❑ Scholl.library.odwedrplsvid
17 C] Other-Spscay 27 rw Stores,n0cai
B.OWNERSHIP 28 itl Take,towers
8 Private ondlmdual.corpwwm nonprda 29 Owes-Swayincaution.etc)
9 Pudic lFedera.Sate.or local gownanent
C.COST (Omit omits) NoraeaOemW•Describe in data Pm nosed use at buildings.e.g.,food Procesum Pimt
nhdha Mop,laundry bustling at hospital.ehnleramV ached.aecarrary Wood.coWge,
t0. Coact anPrweram ..___ 8 G S Paxnhl ad1o01,oarki g garage for deoafMMM$tole,renal office budding.ofrn budding
..a ncrsbdl P"n use d eahtag budding m beelg dlarged,erns prppbMtl ue.
To be a stathd but not Included
;n to above roar •,�* "F 77 Yes/'f /iG ,/ibn Ar A
a. Ehotricat_ 6
a PMnbag 00 �.Ja(k i (rx1K 4re 2tK 6
c. A kmft awca,dekow s cos 1,.1,(-�lf 5J6YP Z6yd
d. Osar lelwretr.ere.)
" ti.'tOTAL COST OFIMPROVEMENf t a/ - ,' . . ' .a•^ ` .
IIL SELECTED CHARACTEREMCS<OF•BUILDING.-For new buildings and additions,complete Parts,E-L.'demolition,
compiefe Only Parts J&M, all others skip to IV
E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEAT=FUEL G. TYPE OF SEWAGE DISPOSAL 1. TYPE OF MECHAMCAL
30 Mi Mmmy(wars bmwO 35 0 Gas 40 00 Public or privets owrldaly Will ware be ara.l as
31 0 Mood hams 36 I] Od :41_4 Pmah laeptre fwL alc.l;, . corrtlroonaly7
32 Q Sbixtural 00 37 Eleeareay e` _. ' 1 , 44 0 Yes 45 IN No
33 Q ReadaOed concrete 38 0 Cal.: :; H.-TYPE OF WATER SUPPLY,. . ° wwwhre by an elelatol/
34 Q Otlw-SPady 390 Came-speedy az � testae or prk aY cont0ary '
43 Q Pri 46 0 Yes 47 ® No
vals lwas.ehlarrtl 7`
r o» �
J.DIMENSIONS / M. DEMOLITION OF STRUCTURES:
Sa Numcer or stones ....._........_........................._............_. If
49. Total swam tee,or tloo,area Has Approval from Historical Commission been receiv
a.:acaa oases on ezmnor ,jp,� for an structure Over c:memwns .._........._....._-..._........_..................__-- J �p Y fifty(50)years? Yes_ No
50. Tsai two aura.m.K..........................._...--_-- 3 /S Dig Safe Number
IC NUMBER OF OFF-STREET PARKING SPACES Pest Control:
51 Encloseo ..............._._.._._....._.........__._._..
HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED?
• 52. ON000rs Prt` Yes
L RESIDENTIAL BUILDINGS ONLY _ .Water::'.
53. Erclaeed.....-.------ /A EIBCUIc 3
Gas:
Full
54. Number o1 Saw•"
oar s DOCUMENTATION FOR THE ABOVE BEFORE A PERMIT CAN BE ISSUED.MUST BE ATTACHED
Partial.._..._..
IV. COMPLETE THE FOLLOWING:
Historic District? Yes_ No-X (if yes,please enclose documentation from Hist.Corn.)
Conservation Area? Yes_ No-& (If yes,please enclose Order of Conditions)
Has Fire Prevention approved and stamped plans or applications? Yes_ N04
Is property located in the S.R.A.district? Yes_ No-k
Comply with Zoning? Yes No_ (If no,enclose Board of Appeal decision)
Is lot randfathered? Yes�L No_ (If yes,submit documentationllf no,submit Board of
9 Appeal decision)
If new construction,has.the proper Routing Slip been enclosed? Yes_ No k
Is Architectural Access Board approval required? Yes_ No X (If yes,submit documentation)
Massachusetts State Contractor License# Salem License# I
i
Home Improvement Contractor# Homeowners Exempt form(if applicable) Yes_ NOA
CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT
CONSTRUCTION IS TQ,BE COMPLETED BY: .. -
N an extension is necessary,please submit
t S OL in writing to the Inspector of Buildings.
/aq
1 {
V. IDENTIFICATION • To be completed by all applicants j
( :. •,. "r, : • +:.Mading awress-Number,streett cdy,aw am& LP Code Tel No. 1
O%at.r or /07 617 --w
Law /4 Yli!( 6-216, 7 624tc 1 j
2. I.
ccmracmr uo is ',
3.
Archilea or La &rdudisn�j
Er19aker 7�
t hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application !
as his authonag joent ago we aoree to conform to all applicable laws of this iunsdiction.
i a Address Applicauglof date {
_ M d
I
DO NOT WRITE BELOW THIS LINE
VI. VALIDATION
Building FOR DEPARTMENT USE ONLY
Permit number
Building Use Grap
Permit Issued 19 Fire Grading
Building
Permit Fee $ Lie Loading
Certificate of Occupancy $ Approved by. 0oapanW Load
Drain Tile $ ,
Plan Review Fee $ 6L, TITLE
NOTES AND Data •(For department use)
PERMIT TO BE MAILED TO:
DATE MAILED:
Construction to be started by. Completed by.
VI ZONING PLAN EXAMINERS NOTES
DISTRICT
USE
FRONT YARD
SIDE YARD SIDE YARD
REAR YARD
NOTES
SITE OR PLOT PLAN •For Applicant Use
i