Loading...
600 LORING AVE - BUILDING INSPECTION (5) NA"' ) City of Salem Ward l y ' APPUCATION E FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT-Applicant to complete aN Bens in sections:4 N, /it, IV,and IX. I. AT 0.0CA710N1 L aldl of LOCATION OF BETWEEN AND cAossslnaa„ Lin° BUILDING . SUBDMSION LOT BLOCK Sig II. TYPE AND COST OF BUILDING All applicants complete Parts A -D A. TYPE OF IMPROVEMENT D. PROPOSED USE-FOR"DEMOLITION'USE MOST RECENT USE 1 ❑ Nw budding ResWantm NOiYp,UMtW 2 ❑ Addttlon rs resideanl.anar numaw of new 12 ❑ One twNy 18 a Aminarnam raarmeaW Musing units- 1 11 It of a".in pan D.13I- 19 I] CMc9,agar algimls 13 Q Two or enters famly-End numeer 20 0 InawYW 3 ❑ Alienation(See 2 abova) a unite-___ I {k 4 Q Rapur replacemeta 14 ❑ Tnutsww t hotK nqW.or aonnaary• 21 a PaiMn9 9anga F 22 Servfro maemr.mom oan a EmitternumoraYnils I S ❑ Wracking IS mudlaarsy rasidenW,Baer numbw 23 0 FlaeptaL tralihtgrrl' ( b of undo in ekulding in Part D. 13) 18 ❑ Garage _ 24 Q Olrros,bank.proM'sakerW a e ❑ Movnrg lrelocabml 18 ❑ Carpal - 25 Pubee ubw 7 ❑ Foixrdalgn oay 260 Salnol.library.W w earnaorW 17 Oear•Smoly 27 I] Starts,nlwwntile S.OWNERPQP 28 Q Tana,rowan /O-n B Pinata kmdividuat.WrpaabarA rgnpralft 29 Soecl,, Cinmlubon,etc.) yn.J�,_ •. ��� 9 Q Pudic lFaderal.States a local govemnent /9tJ�Mf'Q- C.COST 10rra oantal NonrMowmm-Describe in deete Mopoeed Uea of buddbge,e.g..food Processing plea. k �q�,[� 111akre Ch WM laundry budding at IlOapaai.elelrNaaty schoa Seoond ry Iambi.oodne. 10. Cost a tMoroverrafrt .._ s 1:7r 2 L-6 pwdCkm Whooi.tWkn9 9araga tar aaWtbrreA Store rerlNl of buadYg.pflke bditlug at nawbial Plant.If use a esamg buds ing a being cllwged,ardor pppotrd tines Tpe.nandadbut nor arekrdw �v /-eti`.,„ m m.nor.aaer � !— /T F b. Pkerlbkg �o "o �me-'�/j r✓ 066 — 0. Haldsg.av condlebPreg 0. oem Ieleearm.W-1 11. TOTAL COST OF IMPROVEMENT t IIL SELECTED CHARACTERISTICS OF BUILDING .For new buildings and additions, complete Parts E-L:demolition, complete only Parts J 8 M,all others skip to IV E. PRINCIPAL TYPE OF FRAME F. FRUWAL TYPE OF HEATW FUEL G. TYPE OF�SEWAGE DISPOSAL 1. TYPE OF MECHANICALIrE•7, a pr 30 Q Maaarry Md beangl 35 Gas 40 /Pubee ivates mwry VYaI n Cara a r carlatl air 31 �Waod truru 38 Od 41 ❑ PMaq leeplte Wlk.ald.l Sr I] Struct rni sees! 37 D Ei WWv 44 Vp u I] No 33 Q Reellmnad concraa 38 ❑ Cost II. TYPE rQ/FyaR SUmYar wp ews W an stats 34 ] OltW-BpaeM 39 ] ONw•Spsoo 48 ❑ Vae No 43 I]-PrNala twed.cam F a.DIMENSIONS M. DEMOLITION OF STRUCTURES: -re Nrvumae'or scones _..._..._._....._....._......................._.__ 49 Taal square reel or moo,area. Has Approval from Historical Commission been received a..roots,oaseo on e,,aror aia> ll ......................._................................__._.. for any structure over fifty(50)years? Yes_ No_ 5p. Total uma area sa.n._..._-_._..._.__...._...-----..-- Dig.Safe Number IL NUMBER OF OFF-STREET PARKING SPACES Past Control: i 51 Entbsea...._..__...__—._..__..._.._._._..._..__._.___ HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? sz. Ou,aaas...._..._.._..--.—.-.--.---..._...— Yes No L RESIOEkTft BUU)MS ONLY water:. 53. ErcJosea..___. Electric: Gas: Full Slower' f Sd. Numeer o1 Ai] „aeooa13 DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Pees ------ BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No_ ('f yes,please enclose documentation from HisL Corn.) Conservation Area? Yes_ No_ (N yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes_ No_ 9 Is property located in the S.R.A.district? Yes_ No1C j Comply with Zoning? Yes_ No_ (If 0,enclose Board of Appeal decision) ! Is lot grandhathered? Yes_ No_ (If yes,submit documentation/if no,submit Board of Appeal decision) If new construction,has the proper Routing Slip been enclosed? Yes_ No_ Is Architectural Access Board approval required? Yes_ No_ (If yes,submit documentation) ( Massachusetts State Contractor License# C S 03 A Q D Salem License# Home Improvement Contractor# Homeowners Exempt form(if applicable) Yes_ No_ CONSTRUCTION TO BE COMMENCED WITHIN SIX(6)MONTHS OF ISSUANCE OF BUILDING PERMIT CONSTRUCTION IS TO BE COMPLETED BY: If an extension is necessary,please submit in writing to the Inspector of Buildings. V. IDENTIFICATION- To be completed by all applicants Name MaYng aaereae-Number.sum oM.one NM LP CaOe Tel No. tekaktc 60 Over or le®ee Z. Z 2u, 6�.1.—L�i ContraWr 1 3�z 1� Z lZ s o K o 3. GCl 9l /� q? Enp or NY-7377 1 hereby certify that the proposed work is authorized by the owner of record and that 1 have been authorized by the owner to make this application as his authorizer anent ana we 49ree to Conform to all aoolicable laws of this iunsdiction. Signature of appiwfiotC Addresses Z Applicationodece i DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building FOR DEPARTMENT USE ONLY Permit number Building Use Group Permit Issued 19_ Fire Gm&M Building Permit Fee $ Live Loadmg Certificate of Occupancy $ / y Load Approved by Drain Tile $ (//, Plan Review Fee $ TITLE NOTES AND Data-(For department use) PERMIT TO BE MAILED TO: DATE MAILED: Constriction 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 oN 600 Wub.#w Sbod �atslc.a.ar 8.6., M....A.&02111 c«.e.aw workers' Comperwdn im iramx Affl O* . . widt.a prbtdpol place of bedaess ao de he under tjre palest aad penil" of perb • ties0 1 sw as employer previdbag workers' compemadoo coveralls for MW Itinple�et werkLO an . inswunce CampmW r Nsesnbw i ass aLaois preprkrer and haw no ens workkg Mr me in MW cspoadq® i 0 1 am a sek proprietor, general comrsesos or homeowner (drde oess) and haw Wed do cc am lined below who Inv shi fiilawhig workers' coaspenrasiees POW= ConorspK Inwranis CornPas�r/t• Cotrasap Insurance Compaiv/ e Novisbeir Coapsaol laasanu Cort+pattry/r Ntmtbsr () I am a homeowner performing all On work myseN. •I ana.a..am i&M d Oi anon,on k forwWate a sw Oaf.a MM*Aw of Or o"4 co.wap WwOks w me an howe a woe vPwsp a r avc....r faw.ifw./r1GL f f 2 cs.ww w wr:rwio.d olni.r o.ai cuueOns el i enc el A art 4f0400 acUt•o.c Ivan'w onWAMN a�t•,a d.r a �hc bra.of a rrOr WORK ORDER w i M N f tO0.e0 a q raiet err. Signed chit • 25 day of :iccrscei Fcrmitue W14ding Departn.ent :jccnsinf Ecarl Seiectmem Office :;ealt:h De�srmer: Yt eCls e05 ape 77! �N rvwuc rRorW"T OWAWrMOfT 120 wYNMIRe70R smart aRo FLJMR wsw tuotefio TM-(978)746-MM ter.Sao FAX (lVM 74041Mf STAN a r�T(NpYaC?, AL, --- - ------ --- DISPOSAL OF Dim AFFIDAVIT In axada wA the povidm dUM c 406 Sad,I aclowwrldp to r a otodidaa dHoddbs pGmdt/ .an dabda:a dit am the omdmcdm tollvvy F amed by able Baildbi P6=k dwA be dhipond din a pope*)lamed solid oses dwoaal hcMWq W ddoed by MM a Iq SIX& n 1Thedebda wrID be diapoed dab 0 (2 0 ✓ OQ t i u c).Q r Locedoo dFloo r Ep So vvV , (4 sl�mR.dPaamte Appliao< Does FULLY cmrb a the Ado wing bhnoodow Q' LM PRINT cu +w,Y) Q � Phm Nam%VMW Mo above atetme mgnima that debde Sam the demolition; rmove0oq rehab ar olhs altmtica ot?bmlft or Mucnae be Agwed is a popedy-k=W e096.Molm MR Wl AkcMy m ddaed by 11IM cUL SISQA,end the bmUft parmita or Hosso a ere to iad c oe the bcodw of an t cft. CONSTRUCTION CONTROL AFFIDAVIT Project Number: 0158.002 Date: October 13, 2004 Project Title: Pediatric Health Care Associates Project Location: 600 Loring Avenue—Vinnin Square Salem, MA 01970 Name of Building: N/A Scope of Project: Interior Renovations IN ACCORDANCE WITH SECTION 116.0 OF THE MASSACHUSETTS STATE BUIDING CODE, I PAUL DURAND, MASS. REGISTRATION NO. 8615 BEING A REGISTERED PROFESSIONAL ARCHITECT HEREBY CERTIFY THAT I HAVE PREPARED OR DIRECTLY SUPERVISED THE PREPARATION OF ALL DESIGN PLANS, COMPUTATIONS, AND SPECIFICATIONS CONCERNING: Entire Project Architectural X Structural Mechanical Electrical Fire Protection Other(specify) FOR THE ABOVE NAMED PROJECT AND THAT, TO THE BEST OF MY KNOWLEDGE, SUCH PLANS, COMPUTATIONS, AND SPECIFICATIONS MEET THE APPLICABLE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE, ALL ACCEPTABLE ENGINEERING PRACTICES AND ALL APPLICABLE LAWS FOR THE PROPOSED PROJECT. I FURTHER CERTIFY 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 FOR 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 building permit, and approval for conformance to the design concept. 2. Review and approval of the quality control procedures for all code required control materials. 3. Special architectural or engineering professional inspection of critical construction components requiring controlled materials or construction specified in the accepted engineering practice standards listed in Appendix I. PURSUANT TO SECTION 116.4, 1 SHALL SUBMIT PERIODICALLY, A PROGRESS REPORT TOGETHER WITH PERTINENT COMMENTS TO THE BUILDING INSPECTOR. UPON COMPLETION OF THE WORK, I SHALL SUBMIT A FINAL REPORT AS TO THE SATISFACTORY COMPLETION AND READINESS OF THE PROJECT FOR OCCUPANCY. .� Signature SUBSCRIBED AND WORN TO BEFORE ME THIS �� DAY OF 20W My commission Expires: Notary PLIblic RED ARCy�T�cr PAUL R. j e 9 DURAND �p 8615 �J i c+�. 'r ��F9CT1i OF MPSSP� _ Andover,MA Richard D.Kimball Company,Inc. P 617-345-9885 Boston,MA The Fargo Building F 617-345-4226 ENGINEERS 451 D Street,Suite 801 W w ovxdkengineers.com Boston,MA 02210-1964 DESIGN CERTIFICATION h1 accordance with Section 116.2.1 of the Massachusetts State Building Code 780 CMR, 6th Edition,I, Vincent P.Bettano being a registered professional engineer hereby certify that the Richard D. Kimball Company's employees, under my direct supervision, have prepared the construction documents including plans, specifications and required computations, which are in accordance with the requirements of the Massachusetts State Building Code and all other applicable laws and ordinances. Project: Pediatrics Healthcare Location: 600 Loring Avenue,Vinnin Square,Salem,MA Construction Documents: H-1,H-2,H-3,H-4,H-5,H-6 Date on Plans and Specifications: 08/26/04 OF U4,9 � yG II 0 vBETTANO U NoHVAC .a6061 rn Signature Q9o9�('/STEP��`e�`Q FSSIONAI.EaG HVAC Discipline-Area of Responsibility M.G.L.Chapter 112,231 CMR,250 CMR Professional Engineer(Original Seal) 6J� 6/6 54 Dates 0:Uobs12004t24365-Pediatric Health CarelPmWffadavits\HCertification-Design-Massachusetts.doc ® ® Andover,MA Richard D.Kimball Company,Inc. P 617-345-9885 Boston,MA The Fargo Building F 617-3454226 E N G I N E E R S 451 D Street,Suite 801 W w vxdkengincers.com Boston,MA 02210-1964 DESIGN CERTIFICATION In accordance with Section 116.2.1 of the Massachusetts State Building Code 780 CMR,6`s Edition,I, Steven Januskis being a registered professional engineer hereby certify that the Richard D. Kimball Company's employees, under my direct supervision, have prepared the construction documents including plans, specifications and required computations, which are in accordance with the requirements of the Massachusetts State Building Code and all other applicable laws and ordinances. Project: Pediatrics Healthcare Location: 600 Loring Avenue,Vinnin Square, Salem,MA Construction Documents: E-1,E-2,E-3,E-4,E-5 Date on Plans and Specifications: 08/26/04 ��ytN OF MgSS4 G� STEVEN P. O JANUSKIS N Signature U ELECTRICAL No.40629 e .0 AFCISTEe FFSSIONA���G Electrical Discipline-Area of Responsibility M.G.L. Chapter 112,231 CMR,250 CMR Professional Engineer(Original Seal) I( /p y Date 1 O:Uobs\2004\24365-Pediatric Health Care\PmWffadavits\ECertification-Design-Massachusetts.doc ® � Andover,MA Richard D.Kimball Company,Inc. P 617-345-9885 Boston,MA The Fargo Building F 617-345-4226 ENGINEERS 451 D Street,Suite 801 W w .rdkengineers.com Boston,MA 02210-1964 DESIGN CERTIFICATION In accordance with Section 116.2.1 of the Massachusetts State Building Code 780 CMR,6 s Edition,I, James A.Luce being a registered professional engineer hereby certify that the Richard D. Kimball Company's employees, under my direct supervision, have prepared the construction documents including plans, specifications and required computations, which are in accordance with the requirements of the Massachusetts State Building Code and all other applicable laws and ordinances. Project: Pediatrics Healthcare Location: 600 Loring Avenue,Vinnin Square,Salem,MA Construction Documents: FP-1,FP-2 Date on Plans and Specifications: 08/26/04 SF1OF , . AWM O A m Signa e PUIM LUCE Fire Protection Discipline-Area of Responsibility M.G.L.Chapter 112,231 CMR,250 CMR Professional Engineer(Original Seal) ez, Date O:Uobs\2004\24365-Pediatric Health Care\Pm\Affadavits\FPCertification-Design-Massachusetts.doc' '''"` MENEM! lip ® ®IS Andover,MA Richard D.Kimball Company,Inc. P 617-345-9885 Boston,MA The Fargo Building F 617-345-4226 ENGINEERS 451 D Street,Suite 801 W w vxdkengineers.com Boston,MA 02210-1964 DESIGN CERTIFICATION In accordance with Section 116.2.1 of the Massachusetts State Building Code 780 CMR,6`k Edition,I, James A. Luce being a registered professional engineer hereby certify that the Richard D. Kimball Company's employees, under my direct supervision, have prepared the construction documents including plans, specifications and required computations, which are in accordance with the requirements of the Massachusetts State Building Code and all other applicable laws and ordinances. Project: Pediatrics Healthcare Location: 600 Loring Avenue,Vinnin Square,Salem,MA Construction Documents: P-1,P-2 Date on Plans and Specifications: 08/26/04 �(N OF / LJ LJ UCE G� Si e PLUMBING No.35366 O �8TE�0 Plumbing Discipline-Area of Responsibility M.G.L.Chapter 112,231 CMR,250 CMR Professional Engineer(Original Seal) DaAg" r, 0:Vobs\2004\24365-Pediatric Health Care\PmWffadavits\PCerti6cation-Design-Massachusetts.doc Permit Number Lighting Compliance Certificate Checked By/Date Massachusetts Commercial Code COMcheck-EZ Software Version 2.5 Release 1 Data filename: 0:Uobs\2004\24365-Pediatric Health Care\Elec\COMc.cck Section 1: Project Information Project Name: Pediatrics Healthcare 600 Loring AVenue Vinnin Square Salem,Ma Designer/Contractor: RDK Engineers 451 D St. Boston,Ma 02210 Document Author: B.Punch Section 2: General Information Building Use Description by: Whole Building Type Project Type: New Construction Building Type Floor Area Hospital/Healthcare 4100 Section 3: Requirements Checklist Bldg. Dept. Use [ ] Interior Lighting 1. Total actual watts must be less than or equal to total allowed watts Allowed Watts Actual Watts Complies(Y/N) 6560 5760 YES Exterior Lighting [ ] 2. Type(s)of exterior lighting sources: _Fluorescent _Metal Halide —High-Pr. Sodium Exceptions: Specialized signal,directional,and marker lighting;lighting highlighting exterior features of historic buildings;advertising signage;safety or security lighting;low-voltage landscape lighting. Controls,Switching,and Wiring [ ] 3. Master switch at entry to hotel/motel guest room. [ ] 4. Minimum of two switches,dimmer,or occupancy sensor in each space. Exceptions: Only one luminaire in space; Security lighting,24 hour lighting; The area is a corridor,storage,restroom,retail sales area or lobby. [ ] 5. Photocell/astronomical time switch on exterior lights. Exceptions. Areas requiring lighting during daylight hours [ ] 6. Tandem wired one-lamp and three-lamp ballasted luminaires. a Exceptions: Electronic high-frequency ballasted luminaires not on same switch Section 4: Compliance Statement The proposed lighting design represented in this document is consistent with the building plans,specifications and other calculations submitted with this permit application. The proposed lighting system has been designed to meet the Massachusetts Commercial Code requirements in COMcheck-EZ Version 2.5 Release 1 and to comply with the mandatory requirements in the Requirements Che ?}� U6J -IV 8-46-04 Principal Lighting Designer-Name Signature Date rjr Lighting Application Worksheet Massachusetts Commercial Code COMcheck-EZ Software Version 2.5 Release 1 Section 1: Allowed Lighting Power Calculation A B C D Total Floor Allowed Allowed Area Watts Watts Building TVpe (ft21 (watts/ft7) (B x C) Hospital/Healthcare 4100 1.6 6560 Total Allowed Watts= 6560 Section 2: Actual Lighting Power Calculation A B C D E F Fixture Fixture Description/ Lamps/ #of Fixture ID Lamp Description/Wattage Per Lamp/Ballast Fixture Fixtures Watt. D x E A TX 4'Troffer/48"T8 32W/Electronic 3 38 96 3648 B TX 2"Troffer/24" T81J 32W/Electronic 2 27 64 1728 C 6"Fluor Downlight/Triple 4-pin 32W/Electronic 1 10 32 320 D 4' Strip/48"T8 32W/Electronic 2 2 32 64 Total Actual Watts= 5760 Section 3: Compliance Calculation If the Total Allowed Watts minus the Total Actual Watts is greater than or equal to zero,the building complies. Total Allowed Watts— 6560 Total Actual Watts= 5760 Project Compliance= 800 Lighting PASSES: Design 12%better than code Fire Protection/Fire Alarm Narrative Pediatrics Healthcare 600 Loring Ave Salem, MA A. General: The existing building is fully sprinklered. The existing system will be modified to coordinate with new architectural layout, ductwork, and electrical fixtures. An extension of the existing. Existing zone card will be reused within the existing fire alarm control panel.All new devices will be provided. B. Scope: 1. Sprinkler system—The existing sprinkler system remain. New branch piping and sprinklers will be installed to coordinate with new architectural layout and MEP systems. 2. Fire alarm system—New audio/visual devices will be provided in the open spaces, corridors and staff lounge. Visual devices will be provided in the bathrooms. Smoke detectors with remote indicating devices will be provided in the new electrical closet. Duct mounted smoke detectors will be provided for the supply side of the Roof Top Units with remote indicating/test stations within the tenant space. C. Codes: 1. Massachusetts State Building Code 6th Edition 2. NFPA 13 (Sprinkler Systems), 2002 edition 3. NFPA 72, 2002 edition 4. American with Disabilities Act 5. Authority having jurisdiction- City of Salem D. Occupancy&Design Criteria: 1. Type of occupancy- Office (light hazard) 2. Maximum spacing of sprinklers-225 sq./ft. 3. Concealed Sprinkler Heads in hung ceiling—Equal to Viking Model M, and exposed Heads elsewhere. 4. Existing Sprinkler Heads—To be relocated as indicated on drawings. 5. Smoke Detectors—New shall be provided in electrical closet with remote indicating devices located in common corridor. Duct smoke detectors on the supply side of air handling units in excess of 2000CFM. 6. ADA Speaker/Strobe—Provide new in open spaces and corridors. 7. ADA Strobe—Provide new in bathrooms E. Feed &Control Valve Information 1. System: lst Floor 2. Type: Wet system 3. Feeder Location: Existing 4" service. 4. Control valve: Existing 4" control valve at service entrance. F. Sequence of Operation 1. Sprinkler System: a) When a sprinkler head fuses & discharges water, the flow switch at the control valve station is actuated and sends an alarm signal to the FACP. 2. Fire Alarm System: a) The fire alarm control panel receives a signal from any automatic or manual alarm device on the designated floor and sends an alarm signal to the Fire Department via the building notification device. G. Testing Criteria 1. Sprinkler System a) Notify AHJ and owner's representative of time& date of test b) Hydrostatically test piping for two hours per NFPA 13, Section 16.2.1. c) Test all water flow detecting devices per NFPA 13. d) Submit material and test certificate to AHJ and owner's representative, architect& engineer. 2. Fire Alarm System a) The test shall be conducted by the owner's fire alarm maintenance contractor of choice. b) Each and every device shall be fimctionally tested c) Upon function of each device, the corresponding programmed event sequences shall be verified. Subsequent events shall include occupant notification and system annunciation. d) Proper visual notification shall be verified e) Audible sound pressure levels shall be measured and recorded f) A complete report demonstrating the activation and subsequent acknowledgement of each activation shall be generated g) An annual test and inspection contract will be in evidence at the time of final testing. The final system acceptance test shall be conducted by the holder of the test contract, and witnessed by the local authority having jurisdiction—City of SAlem. 0:Uobs\2004\24365-Pediatric Health Cam\Fp\903 Nauative.doe �� �� u� ���� � � o °��h