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76 LAFAYETTE ST - BUILDING INSPECTION (9) a _ /© a g ,>~ The Commonwealth of Massachusetts L, I Department of Public Safety .Xla.,sachll�Ctts Stale Building Code(780 CNIR)Seventh Edition City of Salem Building Permit Application for any Building other than a I-or 2-Family Dwellin (This Section For Official Use Only) Building Permit Number: Date Applied: � 2 1 Building Inspector: SECTION 1: LOCATION (Please indicate Block N and Lot M for locations for which a street address is not available) 76��e�t �7a2 �t9--1[r� D/ 970 No. and Street City /Town Lip Code Name of Building(if applicable) SECTION 2:PROPOSED WORK If New Construction check here❑or check all that apply,in the two rows below Existing Building Repair Q Alteration &I Addition ❑ Demolition ❑ (Please fill out and submit Appendix 1) .Change of Use Change of Occupancy B� Other ❑ Specify: Are building plans and/or construction documents being supplied as part of this permit application? Yes 9B No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No �� Brief Description of Proposed Work: SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY - - - - Check here if an Existing Building Evaluation is enclosed(See 780 CMR 3402.0) ❑ Existing Use Group(s): Proposed Use Group(s): r Existing Hazard Index 780 CMR 34: Proposed Hazard Index 780 CMR 34: SECTION 4:BUILDING HEIGHT AND AREA Existing Proposed No.of Floors/Stories(include basement levels)&Area Per Floor(sq.It.) Total Area (sq. ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) A: Assembly A-1 ❑ A-2r ❑ A-2nc❑ A-3 ❑ A4❑ A-5❑ B: Business ❑ E. Educational ❑ F: Facto F-1 ❑ F2❑ H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5❑ 1: Institutional 1-1 ❑ 1-2 ❑ 1-3❑ 1-1❑ M: Mercantile❑ R: Residential R-10 R-2❑ R-3 ❑ R-4❑ S: Storage 5-1 ❑ S-2 ❑ U: Utility❑ Special Use❑and please describe below: Special Use: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA ❑ IB ❑ IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ 1 VA ❑ VB ❑ SECTION 7:SITE INFORMATION (refer to 780 CMR I11.0 for details on each item) Water,Supply: ,- ., Flood Zone.Information: Sewage Disposal: Trench Permit: Debris Removal: Public❑ Check it outside Flood Zone ❑ Indicate municipal A trench %Jill not be Licensed Disposal Site❑ required ❑or trench or specifc: Private❑ ;or.mdenlil'%' Zone: or on.ate warm ❑ permit is enclosed ❑ Railroad right-of-way: Hazards to Air Navigation: \L\ I Ii�lori;c, nuuis�im Itroirm I'n•rr..: .\ot :VP licable W � I.<truclure%vnhua airport approach area.' In their rev te%%completed.' "I l 'a%1rnt to Bwld enclosed ❑ 1'es❑ or No IBA Yes❑ \%% ❑ SECTION 8:CONTENT OF CERTIFICATE OF OCCUPANCY Fda n of Code: L'.r<;ruup(.1: rvpe of Cunsl n%iuon: Uccupanl Lund per Plnur: I)ne. lha•building;contain.%n Sprinkler tiv aem.': Spraal Stipulations: L t SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner /�7�'vc_/oo 4 1�je/00 Sovyf-el'✓!'//-e. O;;L J 4/3 Name(�e10 R4�44b:: Nu.and Street City/Town Lip Pro perty Or Contact Information: n Owner rc e/ Y7,f--710- 0006 6L5thn,' c �-1/c.. Title' Telephone No. (business) Telephone Nu. (cell) a-mail add ess Ifalp}�licable, the property owner hereby authorizes , lJJtk' S- AA1;Q /.2y 4,41c :ne� QQ(.!!2 �l� 1 Zak Name Stree Address City/Town State Zip lu act on the pnr perty owner's behalf, in all matters relative hp work authorized by this buildin • permit a p plication. SECTION 10:CONSTRUCTION CONTROL (Please fill out Appendix 2) (If buildin•is lass than 35,UW cu. it.of enclos. -d space and/or not under Construction Control then check here O and slup Section I0.0 10.1 Registered Professional Responsible for Construction Control /�T /y B 4 06 N e(Re•istrant) Telephone Nu. e-mail tdd ess Registration Numb vros>�h Ruaso /1/�ul�✓�y /�i�ci/9,s�/ C,p�eA WTAl y �7•ao�v Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor Cu an Nam : /yi?r/-e A /144lo rJ/=/lzPs< C°•S 4�35y� N. a of Person Resprmsible for Construction License No. and Type if A plicable dSN,cth ;Zg N�wd� 6L1 a/9s-/ Street`Address City/Town State Zip mod�33� G'-? �'• �/¢�.[i Telephone No.(business) Telephone No. (cell) e-mail address SECTION 11:WORKERS'COMPENSATION INSURANCE 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 issuance of the building permit. Is a signed Affidavit submitted with this application? Yes O No O SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Estimated Costs: (Labor q Item - and Materials) Total Construction Cost(from Item 6) _$ ! �j Ion, 00 1. Building $ yA U00, 60 Building Permit Fee=Total Construction Cost x_(Insert here 2. Electrical $ lixi • 60 appropriate municipal factor)=$ 3. Plumbing $ Una , oQ $ /, 000,60 Note: Minimum fee=$ (contact municipality) 4. Mechanical (HVAC) 5. Mechanical (Other) $ Enclose check payable to `zo,) - 6.Total Cost $ 3, /00 (contact munici alit )and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT i By entering my name below, I hereby attest tinder the pains and penalties of perjury that all of the information contained in this appl dWCUrate tI ) the est H my knowledge and understanding. oh��- Lrr�p�aNrf��czr�� (''a �J`0.�. . 97�139_G2�P s'•/y /0 Ple.tse print a d sign nam Title Telephone Nu. Date 3� rr �r.�rt �en-/� N/>tw.bv�ti iN� 4si titrerl Address Cih'i Tuwrt R Zi p .Municipal Inspector to fill out this section upon application approval: N;t Date a t METRO—SWIFT' SPRINKLER CORP. R58 Pulaski Street t P.O. BOX 3007,PEABODY,MASS.01961-3007 www.metroswift.com 978-532-2907 Tel. f" , ago 1..r,-;�,.. x.� %f� 978-531-2433 Fax M- SPRINKLER CONTROL VALVE NOTICE NOTIFY'FIRE DEPARTMENT BEFORE CLOSING VALVE: Type Wet Ell�� Dry ❑ Pre-Action ❑ k` Size/Make ❑" Li Firematic ❑— Central ❑ G Reliable ❑ Star❑ Other❑ TEST DATE k 2" DRAIN TEST RESULTS: f. Static Pressure D _ lbs. k Residual Pressure { lbs. f ANTIFREEZE TEST g, jj r; I SPRINKLER FOREMAN s fi (Signature) {.,�1 7 Tyrus Porter, Architect 978-834-9119 14 Cedar Street email typorter98@hotmail.com Amesbury, Mass. 01913 LETTER REGARDING CONTROLLED CONSTRUCTION REVIEW FOR THE HOWLING WOLF PROJECT, SALEM, MASS. APRIL 5, 2010 TO WHOM IT MAY CONCERN: The projected construction to remodel the business property at 76 LaFayette Street , Salem, Mass. for Mr. Patrick Schultz's new establishment, The Howling Wolf. a Taqueria. will be reviewed by this office on a weekly basis with a report of progress to the Salem Building Inspector. Yours truly, Tyrus orter r4 a eV �'L0077G7J+/�0 Deval L.Patrick "`�aJ'talL' e//�L¢IIQ 1LCLd'P'f Q2xQ)P/ ee Governor /t71/ Q'y yp yQQQQ Thomas G.matrons P.E. Commissioner Timothy P.Murray q q y Lieutenant Governor 6f/-/l/-Q66S Thomas P.Hopkins Director Mary Elizabeth Heffernan Secretary - - U3GliGf3'•7J2¢6d'.P-a't3' d�.d TO: Local Building Inspector Variance Number: 10 057 Local Disability Commission Independent Living Center FROM: ARCHITECTURAL ACCESS BOARD RE: 76 Lafayette Street #102 76 Lafayette Street #102 Salem Date: 5/11/2010 Enclosed please find the following material regarding the above location: Application for Variance V Decision of the Board Notice of Hearing _Correspondence r Letter of Meeting The purpose of this memo is to advise you of action taken or to be taken by this. Board. If you have any information which may assist the Board in reaching a decision in this case, you may call this office or you may submit comments in writing. 900 ©, A?Xo Oeval L.Patrick - Governor ram, x ����p+�.O��O Thomas G.Gatzuner P.E. f./ROfLb C/- Commissioner - Timothy P.Murray Lieutenant Governor e72? 6j�_/G�066rJ Thomas P.Hopkins Governor Mary Elizabeth Heffernan - / - Director Secretary - LdLlJLd-.flL¢dd'O / _ NOTICE OF ACTION DOCKET#: 10 -057 RE: 76 Lafayette Street#102, 76 Lafayette Street#102 Salem 1. A request for a variance was filed with the Board by Patrick James Schultz, (Applicant) on April 15, 2010 The applicant.has requested variances from the following sections of the 06 Rules and Regulations of the Board: Section: Description: 30.7.1 Petitioner seeks relief to the room dimensions of both the men's and women's common area toilet room proposed to be use y the new Howling Wolf Restaurant. The men's room dimension is 62 3/4" x 107" inches. It is 9 114 inches shy of the width requirement of 72" inches. The women's room dimensions are 70" x 107" - inches which is 2" shy of the 72" inches required. In addition the men's and women's rooms do not provide the 18" latch pull side clearances at the doors. (see 521 26.6.3) 25.1 Petitioner seeks relief from having to provide an accessible entrance on the street side of the restaurant. 24.2.1 Petitioner seeks relief for the slope of the existing ramp. 2. The application was heard by the Board as an incoming case on Monday, May 10, 2011 3. After reviewing all materials submitted to the Board, the Board voted as follows: GRANT: the Variances to Sections 30:3.1, 26.5.3, 24.2.1 and 25.1 for the reason that impracticability (see definitions of impracticability in Section 5 of 521 CMR) has been proven in this case, and on the condition that, 1. automatic door openers are provide at the men's and women's room toilet doors, 2.the sinks are relocated in both toilet rooms as proposed. 3. The handicapped parking location at the existing entrance leading to th.e "Howling Wolf' is moved as . close as possible to the existing ramp. 4. Directional signage is required at the inaccessible entrance directing people with disabilities to the accessible entrance. a t PLEASE NOTE:AR documentation (written and visual) verifying that the conditions of the variance have been met must be submitted to the AAB.Office as soon as the required work is completed Any person aggrieved by the above decision may request an adjudicatory hearing before the Board within 30 days of receipt of this decision by filing the attached request for an adjudicatory hearing. If after 30 days, a request for an adjudicatory hearing is not received,'the above decision becomes a final decision and the appeal process is through Superior,Court. Date: May 1.1, 2010 J �� cc: Local Disability Commission Chairperson Local Building Inspector ARCHITECTURAL ACCE S BOARD Independent Living Center The Commonwealth of Massachusetts Department of Public Safety DoekecNumber Architectural.Access Board One Ashburton Place, Room.1310 (office use Only) Boston Massachusetts 02108-1618 . Phone: 617-727-0660 Fax: 617-727-0665 www.mas5.gov/dp@ REQUEST FOR ADJUDICATORY HEARING RE: Name and address of building as appearing on application for variance do hereby request that the Architectural Access Board conduct an informal Adjudicatory Hearing in accordance with the provisions of 801 CMR Rule 1.02 et ' seq. as I am aggrieved by the decision of the Board with respect to Section(s) of the Rules and Regulations of the Architectural Access Board, 521 CMR. I . I understand that I may request such a hearing within thirty (30) days of receipt of the Notice of Action. Date: Signature PLEASE PRINT: Name s � Address City/Town State Zip Code E-mail Telephone PLEASE NOTE: This form mnst b`received by the Board within thirty(30) days after receipt of the Notice of Action. Rev, 01110