0335 LAFAYETTE ST - BPA-14-1153r
�����I - I);�� .- � .
, RECEIYED ICES l--(;� ���y�
`� The ommonwealth of Nlassachusetts
� , ��4'� ' ' 1�'a Ju� '30 P � O� ` Department of Public Safety
Massaehusetts Sh�tc 6uilding Codc(73U CMR) _
[3uilding Permit Application for any Building other than a One-or Two-Family Dtivelling� .,
(This Section Fur Official Use Onl )
6uildingPermiWumber: DateApplicd: BuildingOf(iciaL �
SEC'C(ON 1:LOG�"f10N(Please indiwtc Olock N and Lot k for locations for which a street adJress is not available)
�3 S L�,i�ed-� �d- So.'l�e�,,; p ��'7�0
No.and'—� f City/Town Zip Code N�ame uf Building(if applicable)
SECC[ON 2:PROPOSED WORK
Editinn of�fA State.Code used_ If New Cunstructinn check here�nr check all that�ipply in the lwo rows 6cluw '�
Hsisting Building L9� Repair❑ Alteration ❑ Addition 0 Demuiitiun-O (Plcose fill uut and submit Appendix�t)
ChnngeufUse Ch�mgeofOccupancy ❑ - Other ❑ Specify: �
Am building plans�md/ur mnstrudion ducwnents bcing supplicd ns part uf this permit application? Ycs No ❑
Is ein Independrnt Structurol Engincering Pecr Revicw myuired? Ycs ❑ No C�
. 6rief Description uf Proposed Wurk:
N
PV/ 01rs.o - W� �Rv�� � e��(�. '.olnC��
�
SECTION 3:COMPLETE TEIIS SECI'ION IF EXISTING IiUILDING UNDERCOING RENOVATION,ADDITION,OR
CHANCE!N USE OR OCCUPANCY
� Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CbfR 1-l) ❑
Esisting Use Croup(s): Proposed Use Croup(s):
SECTION 4:6UILDING HEIGHT AND A2EA �
i Esisting Pr�ipused
No.af Fluors/Stnrics(indude b�isemen[levels).�Ama Per Floot(sy. fG)
Total Area(sq.ft.)and Total Hcight(ft.)
SECTION 5:USE CROUP(Check as applicable)
A: Assembly A-1 ❑ A-2❑ Nightdub ❑ :1-,1 ❑ A-4❑ A-5❑ D: 6usiness ❑ F.: Educational ❑
P: Pacto Fl ❑ F2❑ Fh Ifi h Iiazard F[-1 ❑ H-2❑ H-:S ❑ F[-�k❑ FI-5❑
L• Institutional FI ❑ f-2❑ 13❑ f-!❑ hL ibfercantite❑ R: Residential R-l❑ R-2❑ R-3❑ R-�k❑
S: Storage S-1 ❑ S-2❑ U: Utility❑ Speci.il Use O.�nd please deuribe bcluw:
. Spcci:tl Use' .-.
" , SECTIOY 6:COYSTBUCCION'1'YPE(Check aa applicable)
� IA ❑ IIS ❑ IL\ ❑ Ifl7 ❑ II[A ❑ 1[[6 ❑ IV ❑ VA ❑ VU ❑
SECTION 7:SITE INPOR�L\TION(rcfcr to 78U CbIR I11A for details un each item)
Wa[er Supply: flood Zone lnformation: Sewage Disposai:
'Crench Permih Debris Remuval:
A trendt will nut bc Liren.sed Dispusal Site❑
Public� Check if uutside Flood"Lone❑ InJic�ite municipal❑ reyuircd O ur trench or specify:
Privale❑ oi indenlify Zone: ur on site system❑ v�rmit is endosed❑
Railro�ad right-o6way: 4lazuds to Air Navigatiun: �i,�,i I� I i� �'nnnqi si n I �ir�v I i � c..s:
_. .._. .....
Not Applicable❑ Is Strudure wilhin airpurt appro:�di.vea? Is their review completeJ?
or Cunscnt fo RuiIJ endused❑ Ycs O or Nu❑ Ycs❑ Nu ❑
SECTION H:CO�'PGNT OF CERTIPICA7'E OF OCCUPANCY
Fdition ul Cuda: Usc Group(s):__ f1'pc of Cunstructiun:__— Otcup�mt Load per 19nur:
D�u•s lhe building iunlain.m tiprinklcr 5}'+tem?: _ Special Slipul,ili�ins:_ __
- -
SECCION 9: PROPC•RTY OVVYGR AUTFIORIZA7'ION
Nam•anlAddressofPro er Owncr � r �z . .. �!'�rti�j�
����^SS0.ih o��� �S �C-�r����,�11;'017�392Hi �
Name(Print) No.nnd Strcet rt /�Puwn � Zip
, , 9��— ��X���'�'� �;5� �t�,� d►�t
f rw•r•!•,!J vncr C„ntact hiformation: '
� _ — s _., ._ _ .
"Pitle ` Tclephone�to.(business) "Cclephone No. (cell) e-mail address
If applic:�ble, thc pruperty owner hereby authorires
Name StreetAddress City/Town Stnte Zip
to nd on the ro cr owner's bchatf, in all nr�tters�rclative lo wurk authorizcd b this build'ui crmit a licatiun.
SECCION 10:COfYSTRUCCION COMROL(Please fill out Appendix 2)
If buildin is Iess than 35,OW cu.ft.of enclused s ace and or nut under Construction Control Ihen check here O and ski Sectiun 10.1
101 Re istered Professional Res onsible far Consfruction Control
Name(Re�;istrant) 'Ccle�hone Nu. e-m.iil:iddress Registration Number
Strect Address City/Town State Zip Discipline Espir.itiun D;ite
1U.2 General Contracfar
j�/�..v. �a,rY�
Cumpany P6 une �q �7r.
� .C� —� l 7� L `[
N�ame of Person Responsible fur Cunstruction � License No. and Type if Applicable
�6 �a�� s�- P�� � � 2 0
Street Address City/Tu� St�te Zip
4�� .223_ 5�z.73 /Ca�,l� l�.o s ��i�Qi�, ceu-�
Tule hone No. busincss Tcic hane Nu. cell �� c-mnil ndJress
SECT'IONII:IVOI:KEIiSC011PIiN5All(�UhVSUR:\NClI:\PI4Ur\VI'I' M.C.L.c.152 25C6
A bVorkers'Cmnpensation lusurance Affidavit from Hie MA Dep�vtment of Industri�il Accidents mus[be completed and
submit[ed with this application. Fuilure to provide this nffidavit will rcsult in the denial uf the issuante of the building permit.
[s a si ned Affidavit submitted with �his a lic.�tion? Yes❑ No 0
- SECI'ION 12:CONSTRUCT[ON COSTS eW D P@RMIY FEE�
��` Estinmted Costs: (L.ibur /-
and `la[crials) 'Cut:il Cunstmc[iun Cust(from Item 6)=15 � `��
�' ����t11°K g 6uilding Permit Fee=Tutal Cunstruction Cust s_(Insert herc
- 2. Elcctrical � .'� appropriatc municipal facror)=15
3. Plumbiug �
�4. �Icchanical (HVAC) $ .� Nute:Miuimum fee=$ (contad mimicipalily)
s. blcchanic;il Othcr `� Endosc dicck �> >ble to ' 6�� `� �`�Y�
P•Y�
6.Total Cost 'S (iontact nwnicipnlity)and write check number here �
SECTION 13:SIGNATURG OF I1UfLDfNC PERl411T APPLICANT
6y entering my nime below, I hereby.ittest under the pains and penalties uf perjury that all of Ihc information euntained in this
applic:ition is true and accurate ro the best uf my knuwledge and understanding.
�C�,n�(�.� /�L�,I'Y� � • G _4��_22?j �Sz�3
Pleaseprintand�name f.�/A/"_�,J'1 'fitle Telephune�u. D:itc
Ld— l/. �� �, tii
S�et AJdress � City/'f wn State "Li � ,e� �
r
i\iunicipal Inspector to fill out this section upon application approval: W�, �7 >/�
Name D.itc
:
F�
.�.�_.�....___.___. __.____�.,
___.__.___�___,.,.-m.
•9� MaSsacfiusetts Depa�tment of Publid Safety = 0.
Board of Building Regulationa and Standards
. Cnnstrucnon Supem�or � ; �
'- License CS-097174 ' '
``� \.111 qR.' v
KAPLLAN KAp�� �!, 9 .
76 Frenklie StreeC =
�� Peabody MA 01930 �
': � :`
�����„ ,rp�`� Expiration
-Comm�ssioner. . 0110112018.
...,-,.�,..-.�.—•--,--. ... . . .. ,__^..�-.^^ . .. .,.....,,..,�.•.
"° , C[T'Y �F S:1LE�I, l�L\SS:ICHL'SETTS '
' � I
_ `� '
Ell'ILDt`G�EP.iRT>t-L\T
� � ; �'���� l?O \Y/.�SHLYGTON S'IRL•ET� )4'FLOOR
� ��.�.,��" 'I�L (978) 7�5-9595
F.Lr(978) 740.9846
IG�IBERLEY DRISC011. "
�,tiL1YOR Trtoni.�s ST.Pts.axa
DIflECTOR OF PC�LIC PROPERTY/BC[1.Df\G CO\L\IISSIO�ER
�Vnrlccrs' Compensation insurance ,\fTidavit: Buildcrs/Contructor.v/Electrlcians/Plumhers
r\�iiilieint Infnrmatinn Plcase Print l e ihiv
V;II11C (Ou.�iu<ssUrganiraiionrindividual):�� ��
i�(�(�fl'15: � ' LlD ��A �/� ��
City/StatclZip: �.1.11�k Q Lp Phone tt: `CrI� 2'Z3 �"'Z--�3 —
Arc ynu an emp�uyer?Check the apprupriate bua: 'fype uf prof ect(requlrad):
I.0 I am a cmploytr wi[h ;� I� ��s g�ncral cuNractor and 1 6. ❑Ncw cunswction �
, y fmployera(ful�and/or part•ume).' have hired�he sutscontractory
2 L/� I mn a sole propnctor or p;utncr• listud on ihe aUachcd vhect. � �� ❑ ��modeling�
E .hip and have nu cmpluyces Thest wb-controetors have `�. � Demolition
�wrking�li�r mc in any cap�ciry. �va�k:rs'comp. ineuranca y. ❑ Ouilding�dditiun
�\'o worken'coinp. insurdnce 5. 0 We�re a corporation mid iu �
rcquircd.) o(ticcn h�ve ezcrciscd their «�� E�ccrrical rcpnirs or addieiuns
3.0 I ant a hoincuwncr duing oll wurk right or exe�npiiun p�:r MGL I I.Q Niumbing ccpuirs or additiom
myuif. [\o workcra'cump. c. 152, §I(4).anJ w¢h�ve no 12.Q Raof'rcpairy
insurana reyuireJ.� � � cmpluyeee. (No warken'
� cmnp. insuranan�yuireJ.J �}�L70thcr
•nny upplicmn ilwi check�hut BI muu ai�u fill uw ihe secGun bcluw shawiny Iheir worken'mmpenamiun pulicy inliumatlun. �
�I lomauwn�n�ehu wlin�il Ihis alfld�vil indiciling ihcy ue doinW ull wurl(mJ Ihcn hirp uutiido eanimetan mml.tuhmil�new a(1!davit indiminy euch.
�<'��mnwun ihul ch�sk ihia bua miu��nochal an aJdiiiuwl.hu1 shnwiny ilw n:uno of thc iubwmm�cbn�nJ thcir�vnrken'romp,yul Iry inluonation,
/um un rmployer f/rat!r praviding�vorkt�t'caniptusadan iu.rwunce jor my empluyera Qeloiv/s d�a pullcy und Jub si(a
;��f,.,,,���„�.
In.wr;mcc C:onipany Vame: _....'---
Pnlicy i!ur Self-im. lit. N: ____ Bnpiration Dntt: .
1�b5iroA��lress: �7��L�—,�-o�-{Q��'P.� ,� Ciry/Stai�/Zip: c�.�F�—o�/ �
�\tluch a copy uf the�voricers' com nsatlon pulley Jeclar�dan pm�e(shorving the pollcy number�nd expin�lan d�te).
F'ailurc w sccure cover�ge as rcquired undcr Seclion ZSA�Y��(GL c. I52 can IcaJ to Ihe impoyition of criminal penaltiza uf a
finc up�o S I,SOUDO unJ/or one•yta�imprisomncn4 as�vcll as civil pcnalti¢s in fhu I'orm u(a STOP WORfC 02�F,R anJ a lina
nFiy,co 5�30.00 a Jay�g�inst iha viulamr. Ile adviscd ihat� cupy u(ihis..�ammcni may bc f'unv�rdcd to ihc OI'liee of .
lueesiiy�iiunv ol'ihe 171A Far ins'unnce cuvcragc veriticuliun. �
/Jo lrnrby rrr�i/'y�urJe�U�r puint uud penullirs o�pc�jury dmt Nir infurinu!!an Pr�viduJ u/G'uve i.c lrur wtd Cor�Ct4
��i�'nd�ure' - Dnta' -t-�—`�=---��— .
rn�,�,c i ��? 21�� �'Z� 3
O//iciu!iue wily. Do nof i✓ii/t itt l6ie'orru� (o be co�uylelud by ciry u�lorvn nfJ7eiu1 .
City nr�I'u�rn: ..-_ Pcrmitfl.kcnec N - �
� lasuing,�u�lmrily (circiconc): --..._—. ._---. . _-- I � �
I. L'ua�J ul IlraUh 2. ISuildlm„ Ilcp:iriincut l.f.i�ylfnnu Clcrk -1. M:Icctricil fn5pcctur 5. Plnmbing In.ap¢cwr I
G. I)�I�cr �
...—_ —. . _.. I
C qnl�cl Pcnnn: Phane !t: I
----------�--
— —.
� _'--.-_—_-- . _..- . - . —�-- - _.-
'------'— _ . _
-' -_�_� ----- .. _----=
—
..---=---''I
�
• !,.--
.��' CIn �FS
` , :1L.E.�,[, �tiL1SS:ICHUSETTS
— � �# ?,�� i.. {) • t3CILDL�lG DEP.\RT�IENT
;
`:�,`�1e.Y�'�%e� !?0 1'(/.1�HCYGTOV $TREET� }'O FtQOR
C4ti_.; ,.�^ "It.L (975) l{5-9595 �
!<1�!➢Ei2Lc^Y D2ISCOLL F�L�(»a) r���845
��,L�Yo:2 I�,�osc�Sr.Pt�Q,is�
���ECTaA UF PI;OLlC PROPER7y/8�(Lp�/G C01L�(h5(ONg�
(.'onstructiun Debris JDlsposal �1t'tldavit
(requirad for a11 Jumolition ,
vtd rcnuv '
ahon work)
fn accordance with tha sixUi edition •
aft
, he State B '
D�bris, ;�id die provisions uf��1GL c 40, S j�►; °1�`��nQ Coda, 730 CD,(R stctton ( l I,g
HuilJing pe��� y is issued tvith the cundition that the dubris resulting �m
this work shall ba dispascd�f in a propzrly licenszd �vastn disposal facility yy ���ncd by ,�(GL �
l l l, S i SOA.
"l'hu dchris will be transportcd by:
y p
'� ��'c c, pG(S S v--�
(ndnuo aulcr)--
fhe ilcbns will bc disposeJ oFin ;
----- (name oi facility) � --
---_�11/'� ��— �
���JI'C5.4 0� �IICI�II%)
i
v
siy��mrc ut permit applicant
_ ---- J.ilc '- ---
i..
,�,_ _.�'_� .. ._ .�. . _ _ .. .._ _ __
--- --- , ._ . ,. . . _. _ -;— _
�..._ _ _—._......__� .—_ - — , - �
, ___� --- �
. ��� � . . . ' ' � . . . • • y . . � � � . � . . . �
I , , . . . . . . r . . � . .
Note: 1 � x 3 S.S.exhaust hood to be submitted for approval i
includin�g make up air, exhaust to roof w/ gooseneck, flashing N0. 1 Desaiption Equipment I btu or elec. amp.
details 110' from window, ansu; system and underhood lighting. � 1 s slicer univex 6512 duro slicer
� 55' 0" � �� —� 2 NLR23-s freezer,3/8 h 115/60/1/ 7.5am
-.�' � � 2 � as hot lates 804H btu1200�1104000
A�S�� � �.�b►e as rid le 848T btu 60000
oi��aY f�o�t SY�e ,__3 ' � ;� � ; 2 10 13 0 ��in m � oos re sink wl drainbaards 18D18
����ef n�lar� li Mi ' i ; ; Q� T e � o� � o��=- 6 MIG NG Ame�canoanvec�ionbakersaven90000btu �
, ��-; i
g�a� 9 a �u8 ' �" '� � � �t�r,en 7 radiant cha railer 813 rcb btu120000
_ bo�.� � ; 4" d�'"""th�p P�"'e�� � itco 40 d as er� 115 000 btu each
�2�' 9�� S �t � q, il or � P ' slnk T-0��SS 3 co �partment ��- SS�r
. `°�'' � , � _ � � 9 Boos ro bowl ss hand sink bhs-w-14
count r � ,� ' � ---' _� � �� = z � " . � i
&36' boS,e f.f. � — -� ;
. e��� n M � �----- ° � � 1� NLR23-s refriger.3/8 hp 115/60/1/ 7.5am
23' 3" ,� �7degree , � cC� ;, 1� dis la cooler 115160117.5 am
, �.�
� � � Tile �--'135o w/ �ffo�e rrt UA�C unit a `
� --=.���- 1�'e'� � 12 Meson YXD35D Rat�ssene 3N-380V/50HZ 2.6kw
, , . .
--------------II---�- -�' -----Qp �f��-----
,, ,, , �b e��� ,� �, 13 Boos 6 .S,table G 6-3060I3048ssk
� . 14 oos mop sm loor mounte 20
� o� s�� o , �
15 oos oomp sin w ra�n oar s
Tile rest m e�sting� 5� � �� � �
sl uniseSc-----0 .
rest�pom -
;__ Tile ;
_ : _._ ..... . . .
6' 4" _
25' 0" : _
}. ._ . _
,
_ _
_ _ : ' " `-53' 6" .
. (Vew York Gyro
� - - 335 Lafayette Street
MECHANI�AL PLAN / TENANT FIT UP
� s�►e: 3/16�� _ ��-o�� . Salem, MA
LEGEND:
�s smoke det:ector existing �� �heat detector HH Design GroupArchitects
1 Ticehurst Lane
� en1eC' e11C li ht eXlStitl Marblehead, MA 01945
9 �/ g g m fire horn light No�s: (Geilings are existing 1t�R 12 x 12 acooustic tile at dining area), 78'I 639 3493
� CaCbOt1 �let�CtOC � kt10X bOX New 2x2 vinyl 1 HR moisture resistant kitcheNback counteracoustic ASTME84. David M. Haliotis, Assoc, AIA
Floors are existing .�CT tile with winyl base. IGtchen new quarry tile floors and
m fll'@ h0l't1 Ilghf @XlStltlg base. All walls are painted gwb th,roughout. Prep counters are stainless steel j � 4
� • Occu anc 20 Persons , 6.s E e y,
e manual pu ll station existing p y & walls are FRP with vmyl base ira Mtchen. 9 existmg ceilings. Hood wall areas ��. �s c. �,
! � , , � 1 ,1 5 0 s q. ft. (s h o v m o n p l a n) a r e 5 1 8" t y p e x g w v b w/ 1 1 2 d u r a ro d c o v e r l a y e d & t a p e d j o i n t s $° ''
' eXlt SIgI1 @�clStitlg (1 HR) w/staiNess steel fnish panels. Customer service c�unters are formica. �
' Lighting is existing and flourecent„ wl new added lumination at prep areas. °' � �
�, emergency light w/ exit sign o� BOSTON. �,
New 200 amp electric sub panel, exisfing furance and existing hvac system "'� �J
� fif2 eXtirtgu�S6r and ducts to remain. '��i oF �*Ss�'
I -