336 LAFAYETTE ST - BUILDING INSPECTION (4) , The Commonwealth of Massachusetts -
'r' Department of Public Safety
V�1
'f. U. ` �laasachusuus SLllc Building Gale(iHil LAIR)
Building Permit Application for any Building other than aOne-orl'wo-Family Dwelling
(This Section For Official Use Onh•)
Buildint;Permit Number: Date Applied: _ _ Building Official:
SECTION 1:LOCATION(Please indicate Block#and Lot#for locations for which a street address is not available)
No,and Street City /Town Zip Code Name of Building(if.tppliCablc)
SECTION 2: PROPOSED WORK
Edition of NIA Slate Code used If New Construction check here❑or chock all that apply in the two rows below —_
Existing Building I Repair❑ 1 Ahenttion Addition ❑ 1 Demolition Cl (Please fill out and submit Appendix 1)
Change of Use ❑ Change of Occupancy O 1 Other ❑ Specify:. _ __
Are building plans and/or construction doeunients being supplied as part of this permit application? Yes Nu ❑
Is an Independent Structural Engineering�'Peer Review required 1. 1'es ❑ No .
Brief Description of Proposed Work: 1.CI In rns (V Vim Q14 C(1(L( --
SECTION 3:COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR
CHANGE IN USE OR OCCUPANCY
Check here if an Existing Building Investigation and Evaluation is enclosed (See 7B0 CMR 11)
10,
Existing Use Gruup(s): - 0 1 L Proposed Use Group s): U
SECTION 4:BUILDING HEIGHT AND AREA
Existing Proposed
No.of Floors/Stories(include basement levels)& Area Per Floor(sq. ft.) 13,166 o2 1 3100
Total Area(sy, ft.)and Total Height(ft.) o opt o�0I
SECTION 5:USE GROUP(Check as a ]`cable)
A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A4 ❑ A-5❑ B: Business E: Educational ❑
P: Facto F-I ❑ F2❑ H: Hi h Hazud H-1 ❑ H-2❑ FI-3 ❑ H-4❑ H-5❑
L' Institutional 1-1 ❑ 1-2❑ 1-3❑ 14❑ M: Mercantile❑ R: Residential R-1❑ R-2❑ R-3❑ R4❑
S: Storage S-1 Cl 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 ❑ VA ❑ VB
SECTION 7:SITE INFORMATION(refer to 7Bt1 CMR 111.0 for details on each item)
Water Su y: Flood Zone Information: Sewage Disposal- Trench.Permit: Devils Removal:
A lrench'w I1]I'll be Licensed Disposal Site
Public Check if Outside PIOoJ 7_ontX Indicate numirip,l .'f%�
n•yuirct or]conch nr spccily:____—__—-
Private❑ or indentifv Zone: - or on site 5\'tiletl ❑
. - - penntt is unclosed ❑
Railroad right-of-tv// Hazards to Air Navigation: �i t i i��i„��� � .•�nu.. . - r
Nut Applieablk is St ructurc wit hin irp anrt 11 roach area? Is llu'ir review COmpl•tea'
ur Catsrnt 4i Build cnrlo\\srd ❑ )cs O ur No Yes❑ No
SECTION B:CONTENT OF CERTIFICATE OF OCCUPANCY
lidilion of Code:_. .__ Lse Croup(s): _ "11%po Ol Cmnlrntli' n: ___ Occupant Load p'r Floor 2 2
I IOCS the I'u ild ill?;Contain an Sprinkler System. 0 Special Sti[lit l It ions: _..
r• ,
SECTION 9: 1'It01'Ffi'IY OWNIiR AUI'IIORIZA'I'ION '
N'.une.utd Address of I'rul,vriv Owner
Name (Print)Sn�2u�'fi Crtd�t�dnl^c�_;3(v����}s __ ------------r__D_�R 2�
Name (Print) No.and Street Cih'/Town Zip
Property Owner Contact Information:
Salt �yt Gru�r1 Uaton 9Z--7AA - 573
Title T Telephone No. (business) I'elephone No. (cell) c-mail address
If applicable, the propertY owner hereby authorizes
Name Street Address City/Town Stale Zip
to act on the pro pert' owner's behalf, in all matters relative to work authorized liv this bUilding permit application,
SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 2)
If buildin•is less ft n 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here 0 and ski,Section 10.1
10.1 Re istered Professional Responsible for Construction Control
5�-15- 0633 3�s,S
Name Registrant) Telephone Nu. c-mail address Registration Number
5:0-1 Park Ave, Luarcz to AAA- .0iol_Q AiLhit et
St
reet Address City/Town Slate Zip Discipline Expiration Date
10.2 General Contractor
WoeA Po int PAShildih C
Company Na
NQYL e)doY6caV r012033
Name of Person Responsible for Construction License No. and Type if Applicable
q4 Riyey Pa
Street Address City/Town State Zip
(003 5� 7400 1003 _-00- b 3o 1
Telephone No. business Telephone No. cell e-mail address -
SECTION11: WORKH,2,'(i.m111 INFIJFAVCI API IWAVI_t M.G.L.c.152. 25C6
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 th•issuance of the building permit.
Is a si pned Affidavit submitted with this application? Yes No ❑
SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE
Item
Estimated Costs:(Labor
Q �1
and Materials) Construction Cost(from Item 6)=S lrJ(, � J 3����t�
1. Build I $ I R I,,,. q I 3r of
Building Permit Fee=Total Construction Cost x Pf ac('d
nsert here
2. Electrical $ p- appropriate municipal factor s-ANOW-111/-®
A. Plumbing $ +
�r
a. Mechanical (HVAC) $ l�. .'� Note: Alinimum fee=S (Contact municipality)
i. Mechanical (Other) $ Enclose check payable to
6.-final cost $ / + d A . o (contact numicipalih')and write check number here _—
SECTION IYSIGNAT'URE OF BUILDING PERMIT APPLICANT
Ny cntrrinf; nn' namr below, I hereby attest under the pains dad penalties of perjury that all of the information contained in this
application is true and accurate to the best o(nty knowledge and understanding.
'lease print.uul si+;n name Title 1'elc lone No. D, tc
Slrcct Address Cih'/I'own Stale Zip /
Municipal Inspector to fill out this section upon application approval:
-- N' _ Ddt
CITY OF SALEM
n • '
(PUBLIC PROPRERTY
DEPARTMENT
.'Nr.of 1 Y'1n IN. 11
%I%It 41
12C ldAMn.\G It^jCULT a j.11 I•.N.M111.11.111 y 1 I��17)�
1c1. 17V 13-9314 if p tx vlr•,'rC•nxM
1Vurkerr' Compensation insurunce Alffilavih Uuilders/Cuntracturs/Electridyns/Plumbers
J tlicant In trmallo
I �J •� nL C •
l I Plc• N Le 'bl
�IaITC11)ua'tc�dOrganv+IialvinJnulaall:_ 1�IOYTYI T[)i l yn<1 cl lon t
nA mm� Jaws i1.f- J J
�thlrrsv:_ q 4 �11j(y
(.itY,sfatC,7ir: �t)dcan AI 1k oars l t
1 hurts il:_ fv B3- Sd'ft- 2000
IAre I nu an V Inployer:•C heck the:lpproprlott bore:
I.(] I am a empluyur wish 4. ycncral conttxlor and I 1 yM Irrprojeef(rvyulred):
mlPloyocs(lull and/ur put-lime).• havo hired the soh-ronlracwrs !'' ❑Ncw construction
:. I AM a solo prnpricdlr or partner- listed on rht anachcd.vhect f• elnaleting
.ship and have no mnpluycv's rhest sub-contractors have
working Air me in any capacity, workem'comp, insurance S. Ihmolirion
I NO workurs'comp. insurance J. ❑ We are a col 9. ❑ouiwind addition
required.) llontinn and its
oft7cers have oxercisv'd their 10'0 Electrical repairs or Additions
3.0 1 and A homcowncr killing All work right Ofexcntption per 6IGL I I.p Plumbing rupairs or additinrla
myself.[No trorkon'comp, e. 132.¢1(4),and we have no
insurance requited.) r clnplayevit. (No workers' 12•0 Rtlol'npairs
comp. insurancm rcyuind.J 110 Uglier
''��y.,gduuA AtW cEucb O,u Al mop+Iw till uw IM vtcnu
'I lumwtw"era who ndanil this an'Idsvil i'dl.
ed 'in I n Ixluw Jwrwr'lyir wwktn'cumpvnwllwt p'licy'ur"'us'tirns
!\n'Iravb'n IAW 1Mah IAu but must+nak
r M+u Jwnr A wura and liltsglen lv
hie"two cul"' mwl.vni a new atndsvil inJfaYin
an aJJitiurW+Avel Jttiwinr thu nanN o11h#lub%ontrag"and they wulters' d
/arro Ulf ealplayer rhos lr pruvid/ge)workers'rempemadeff hisurunee for la #m /a tcy'nl6rmm�u�
in1funnrr/brra / y p J rra Be/allIy/i/ht pu/4y and/u1 aid
InvuranceC'umpany.Vmne: ,/Y' .LL�u.r�(/'.. C7(11CI�it,�._�.10. -
Pnliey a or Sell-ina. Lie.to: GPP03-h71c50 / — S CGd1r!
UfPft03.76,51 EApiralion Davis: /JL=
IJo Situ -ttldmis: (7 h�a11�'l-e�_ S T��J all M t't
Clry'slateiLtp:Attach n cagy of flu teorkan'cumpematlua pulley ducloratlun page(showing the Policy number and expiration date).
Palluru to.viceura coverure as required uudcr Secliun 251%ofMGL c. 132 eau lead to ill*imposition of criminal penalties of a
firl.up ul S I.S('O.t)n antlrur one-year impri.mmincnt. As well A..,civil pcnalUu in the 1'unn of a STOP WORK ORDER and a tint
of op fit i'S0.00 a Jay.Iigalllat III#vuJlNtnr Ilc advl.+cd Ihut a copy of than s"in the may be STOP uJ w the Ullice i
Lnvah.",au'ml ul ;hu DIA :or rnvualnce c,) a4c cl 11iwhlin.
/du hervAy".Fri/y nn'/er t/ pt 'rn rrnrdries
Perjury/but the infunnull'ow/rrarided u0 re is rue and correct
nd,Ins'Write in thi.rlSarcu. ru be runty/rrrd by city ur Ja'rn a//IriuL
(ily ur I'n,rn:
f„uinq .\whurily (circle noel; Pcriniul.leen•#r
i
rJ of Ilr+ilk 2. lluddinQ Ikp.tt t alcnl 1. t:it7.'I'u'au 011lur
Clerk J. Lccfrir.d lua lcclur i,
PlumDiny Intycctar
1
Information Instructions
rson In the service of another under.my contract of hire,
�I,)>;.rchuaetts licneral Laws chapter I i2 rcyuues all unplu)en to provlda workers cmnpensatn,n hx their cnrpluyees.
owsu.rrtl to mts .astute,An rmplut•re is JctineJ As"...every Pe . `
:.press Jr unplicti. Oral or wntten•" oratiun or other lepl cntiry,or any Iwo or more
�n crnpfuprr Ill dctincd of"A oust
Individual,Partnership.'Issocwttoa,core
rise, and including he Icgal rcpresentatemploying
m llo an :malo)ces-(oycit, or the
However he
,I the lo,egJing engaged m a)wet emery lanoa r other legal coolly,cmp Y { ' P t of the
Iccmver or uuales ul.ur individual, permershrp,Assoc
es resides
herein.or the
A em to meet be Deemed tube An employer."
owner of a dwelling house ha�lempluy�mor than three jparonents e
ro do nr nienun in
unhuuct on or rePua work ua such dwelling huust
Jf ono of such P Y
,hvclhng home urtenant thereto shall not because
or on he.rounds or building app
�tGL chapter I52, -SC(b) also states that"*very start or local Ile*nsleg agency shag withhold ea Issuance any
Uruct wit►the Insurance coverage required:
renewal of a Ilccnst or ptrntlf to operate•buals*u ell to construct buildings le tht commonwealth or aey
+ s3C 7)*rota"Neither he commonwuAlth not any of its political subdivisions shall
;rpplteunt ra li has not produced aeeeptable evidence of cump
work
til
kdditiunally, NIGL chapter I S_, i- l
re t r into
A s utu his contract tor,the all have been p e ofpubo the convect {aluthorityvidencenf cunrpliarue with the uuuranca
ntcd
a
Applicants ng he boxes that apply to your situation and,if
Plcase loll out the workers' compensation affidavit completely,by cheekier
a and hens number(*)*long with thou certiRcu`�t other than lit
necc+s uy,supply sub-contractor(s)name(s),addrsss( ) p Partnerships(LLP)with no employ
insurance. Limited Liability Companies(LLC)or Limited Liability
members ur Partners' un not required to entry workers' compensation insursnce. If an LLC or LLP Boar have
employees,u policy is requirsd. Be advised that this�lw be sun tffidavit onlybe
alto earl dote the utOdevill.itimirtud to the rIll*
affidavit
Y�tlshould
wasted, not the Department of
accidents for confirmation of insurance covcrogt. the low ur if you ore required to obtain u workers'
be re timed to the city or town that the upplie f regarding:nn r license f heirs{are
industrial Accidents. ghoul) you have any questions
cmnpensation policy,pietas.call the Dapirtananl sir
t the number Il+red below.
Self-insured companies should enter the
self_insurance license number on the a ro riate lint.
City or'rowe offlelsls
applicant.
of the Affidavit tfor you to rill nutavit s complete and s in he oven he Office ot�Investiurt�DOns hen to contact you regarding the
in Applicant
'rtment has provided I'space at'ho bottom
I'I.asu be sure to till in he purmil/liccnse nub which in will be
cent,�ad only nitunel:nBldavit indicating cent
y Y Y cal ur
❑rat must submit multiple p nary)And tin applicationsrovidcd to ilia
policy., I if necessary)and under"lob Site Address" or marrkedrbyr tile o y or townto lum a in each
Y
town). %copy of the uffiduvit that has been officially sump
applicant as proof chat a valid affidavit is on file for tLtutt Permits ur licenses. t now affidavit must be filled out sac
iecr,t dug leA home
r Owner a
t to butrn loaves obtaining
e.) a d Perso l u NOTlrequired o relatedt not complete thH affidavto any business or mn)ercial venture
ise
rcrol
I he )tii.e,ii Inverri.Atiuns )wuld like to hunk you in Adv:urcc fur your
:ooperation and should you haru.uty 4ueauons,
please do not hesitate to givu us a call.
fhe Ucpanmcnt's adorers, mlcphons aThA number:
e Commonwealth of Mausehuseta
Department of Industrial Accidents
Of&s of[Investigations
600 Washington Street
Boston, MA 02111
T'ei. 0 617.727-4900 ext 406 or 1.877-MASSAFE
Fax M 417-727-7749
www,maw.gov/dia
^° CITY OF S.UY.Ni, .L%L .ICHL'SETTS
BIAWNG DEPAIMLl NT
110 WA,HNGTON STREhT, Yo FLOOR
TM (978) 74S.959S
F.kX(978) 740.9846
KI\®EPIBY DRISCOLL
.MAYOR THOmU ST.PM122
DIRECTOR OF PI:aLlC PROPEATY/BL LDLNG CONNISSIONER
Construction Debris Disposal Affidavit
(required for all demolition and renovation work)
In accordance with the sixth edition of the State Building Code, 780 CMR section I l I.5
Debris, and the provisions of MGL c 40, S 54;
Building Permit All is issued with the condition that the debris resulting from
this work shall be disposed of in a properly licensed waste disposal facility as defined by MGL c
111, S 150A.
The debris will be transported by:
�lnb�ml(, �Uacfe
(name of hauler)
The debris will be disposed of in
�ni>Ld
(name of facility)
RC WeS ubLrV , MA
(address or facility)
signature of permit applicant
date
S hnud.l.w
ACORD CERTIFICATE OF LIABILITY INSURANCE OATS 27/O
o7/n/2011)
D11
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED
REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to
the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
NAME:
Lakeside Insurance Agency, Inc. MNE�),NE 603.432.3666 ucNa):603.432.6076
Three Wall Street ADDRESS:
Windham, NH 03087 INSURERS)AFFORDING COVERAGE NAIL#
INSURER A: Acadia Insurance 31325
INSURED North Point Construction Management, LLC INSURER B:
94 River Road INSURER C:
Hudson, NH 03051 INSURER D:
INSURER E:
INSURER F:
COVERAGES CERTIFICATE NUMBER: 2011-2012 REVISION NUMBER:
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR TYPE OF INSURANCE DDL�BUSH Po
GENERAL LIMITS
LSI INSR WVD POLICY NUMBER MM/DDIVVVV MM/DD/YYVV
GENERAL LIABILITY CPP038765 07/21/2011 07/21/2012 EACH OCCURRENCE $ 1,000,00
X COMMERCIAL GENERAL LIABILITYFlirT AMAGETO-RENTEu
PREMISES(Ea occurrence) $ 300,000
CLAIMS MADE OCCUR MED EXP(Any one person) $ 5,000
A PERSONAL&ADV INJURY $ 1,000,000
GENERAL AGGREGATE $ 2,000,00
GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000
POLICY 1XI
PRO LOC $
E i
AUTOMOBILE LIABILITY CAA038765507/21/2011 07I21/2012 Ea accident) $ 1,000,00
X ANY AUTO BODILY INJURY(Per person) $
A ALL OWNED SCHEDULED BODILY INJURY(Per accident) $
AUTOS AUTOS
X HIRED AUTOS X AUTOON OWNED (Peraccident) AGE IS
X UMBRELLA LIAB OCCUR CUAD38765 07/21/2011 07/21/2012 EACH OCCURRENCE $ 3,000,00
A EXCESS LIAB CLAIMS-MADE AGGREGATE $
DIED I X I RETENTION$ C I IS 3,000,000
WORKERS COMPENSATION WPA038765 07/21/2011. 07/21/2012 X STA u- JOT -
AND EMPLOYERS'LIABILITY TORV LIMITS/N I E
ER
ANY PROPRIETOR/PARTNER/EXECUTIVRI�YyL EACH ACCIDENT $ 500,000
A OFFICER/MEMBER EXCLUDED? N/A
u
(Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000
If yes,describe under
DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ SOD,OOO
Leased/Rented/Borrowed CPP038765 07/21/2011 07/21/2012 Limit-$100,000
A Ded-$250
DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more apace is required)
overing work performed by the Named Insured during the policy period. Worker's Compensation statutory
overage is provided for New Hampshire & Massachusetts.
XXXXXXXXXXXXXXXX FOR INFORMATION ONLY XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
CERTIFICATE HOLDER CANCELLATION
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
FOR INFORMATION ONLY AUTHORVED REPRESENTATIVE n_
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 7
XX XXXXXXXXXXXXXXX Joseph Rossetti/BETKE
O 1988.2010 ACORD CORPORATION. All rights reserved.
ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD
`ACORD, AGENCY CUSTOMER ID:LOC N: 00013983
ADDITIONAL REMARKS SCHEDULE Page of
AGENCY NAMED INSURED
Lakeside Insurance Agency, Inc. North Point Construction Management, LLC
POLICY NUMBER - Hudson, NH 03051
CARRIER NAIL CODE
EFFECTIVE DATE:
ADDITIONAL REMARKS
THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM,
FORM NUMBER: 25 FORM TITLE: ,ACORD Certificate of Liability Insurance
CERTIFICATE HOLDER: FOR INFORMATION ONLY
Garage Liability
INSR ADD'L SUBR POLICY EFFECTIVE POLICY EXPIRATION
LTR INSRD WVD POLICY NUMBER DATE(MMIDDIYY) DATE(MM/DD/YY) LIMITS
AUTO ONLY-EA ACCIDENT $
ANY AUTO OTHER THAN EA AEG $
AUTO ONLY AGO IS
Automobile Liability
POLICY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER DATE(MM/DD/YY) DATE(MM/DWYY)
Excess/Umbrella Liability
POLICY EFFECTIVE POLICY EXPIRATION
POLICY NUMBER DATE(MMIDIWY) DATE(MMIDDWY) LIMITS
ACORD 101 (2008/01) 02008 ACORD CORPORATION. All rights reserved.
The ACORD name and logo are registered marks of ACORD
vcU-:' I��i uhiiw t of Fubin i iIClx
ttrni d ol.Buililin pc g attuns andstl6idal<ds
Construction Supervisor License -
License: CS 102033 ---
Restricted to: -00
MARC BOURBEAU
30 JOPPA RD A
MERRIMACK, NH 03654
Expiration: 1 112 112 0 1 2
'C'nnuni..i...... - Tdl: 102033
129stricted to: 00
00- Unrestricted
'.. iG-t 2WadlyHomes
Failure to possess a current edition of the
Massachusetts State Building Code
Is causejfor revocation of this license. -
't*r to: WWW.Mass.Gov/DFS
i
I
W ,
DIXON SALO ' NEIL R.DIXON, Principal
ARCHITECTS WAYNE 0.SALO, Principal
INCORPORATED
August 10, 2011
Mr. Thomas J. St. Pierre, Inspectional Services Director
City of Salem Inspectional Services
120 Washington Street, 3rd Floor
Salem, MA 01970
RE: SALEM SEAPORT CREDIT UNION
CODE SUMMARY REPORT
Dear Mr. St. Pierre;
On behalf of Northpoint Construction Management, LLC, Dixon Salo Architects, Inc. has completed a
2009 Massachusetts State Building Code review for the work to be completed at the Salem Seaport
Credit Union, located at 336 Lafayette Street in Salem, MA. The summary of work can be found on
drawings issued by our office dated 06.10.2011.
In summary, the work consists of the interior renovations of the main floor of the Salem Seaport Credit
Union. Floor finishes, wall coverings & some furniture will be replaced. Interior and limited exterior walls
will be painted, and other finishes repaired and replaced. No equipment will be added, and no doors
will be added or relocated. The work is defined as a Level 1 Alteration according to the 2009 IEBC.
The work area must comply with the requirements of the 2009 IEBC, Chapter 6. Section 603 requires the
work area to have the level of fire protection that is currently in the space maintained. There is no
sprinkler system currently in the building (nor is one required), so the proposed work complies with this
section of the code. Section 604 requires that the level of safety of the existing means of egress be
maintained. The proposed work replaces doors with newer doors, but does not change their location or
their effect upon the means of egress, so the level of safety of the means of egress is maintained. Section
605 requires the work area to be made accessible, and the building is currently accessible at the Front
Foyer (main entrance). No structural work is being performed, so Section 606 does not apply. Section
607 requires any work done to be done in accordance with the 2009 IECC. The entry doors in the
vestibules are being installed with new doors that are compliant with the 2009 IECC.
It is the opinion of this office that the work proposed for the Salem Seaport Credit Union, as indicated on
the drawings, is in compliance with the requirements of the 2009 Massachusetts State Building Code.
Very truly yours;
DIXON SALO ARCHITECTS, INC.
Wayne O. Salo
Principal/Architect
501 PARK AVE, SUITE 210 • WORCESTER, MASSACHUSETTS 01 6 1 0-1 221 • (t) 508.755.0533 (f) 508.755.0050
i CITY OF S.UL TNI, l+'L. sSACHUSETTS
• BLnDIiG DEPARTMENT
120 WASHINGTON STREET,3" FLOOR
TEL. (978) 745-9595
FAX(978) 740-9846
!O.\ffiFRI F.Y DRISCOY3
MAYOR DIRECTOR
Si.PIERRB
DIRECTOR OF PUBLIC PROPERTY/BUILDING C0S11MISSiO;iER
CONSTRUCTION CONTROL DOCUMENT
1zenava (das to p
Project Title: l pA .C'raoarf CrrdifC� UA(dil Date: U I6
Project Location: 33 ( Lggcde &J, &J efn
Scope ol'Project: l R OLLCOrr(t at-L I:UA SU]mli d OIGI—r—M any s0+ {L1&thL rj
In accordance with SECTION 116.0-116.4.2 of the 6th edition of the Massachusetts State Building Code:
1, -WA`N& a 5"a Mass.Registration Number 5355
being a registered professional Engineer/Architect hereby CERTIFY that I have prepared or directly supervised
the preparation of all design plans,computations and specifications concerning:
64 Entire Project [ J Architectural [ ] Structural [ ] Mechanical
( ] Fire Protection [ ] Electrical [ ] Other(specify)
t of m knowledge,such plans,computations and specifications meet
for the above named project and that to the best y g , p P P
the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all
applicable laws for the proposed project.
Furthermore,I understand and AGREE that I shall perform the necessary professional services and be present on
the construction site on a regular and periodic basis to determine that the work is proceeding in accordance with the
documents approved by the building permit and shall be responsible for the following as specified in section
116.2.2:
1. Review of shop drawings,samples and other submittals of the contractor as required by the construction
contract documents as submitted for the building permit,and approval for the conformance to the design
concept.
2. Review and approval of the quality control procedures for all code-required controlled materials.
3. Be present at intervals appropriate to the stage of construction to become generally familiar with
the progress and quality of the work and to determine,in general, if the work is being performed in
a manner consistent with the construction documents.
I shall submit periodically, in a form acceptable to the building official,a progress report together with pertinent
comments. Upon completion of the work,I shall submit to the bu'Id' official a final report as to the
satisfactory completion and readiness of the project for occupy
Signature and Seal of re •tered professional: @ dt
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