Fire PRevention Approval for Building Permit k"]
city of Salem, Massachusetts
Fire Department
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48 Lafayette ree�a29 Fort Ave.
Robert W Turner Salem,Massachusetts 01970-3695 Fire Prevention
Chief TeL 978-744-1235 Bureau
978-744-6990 Fax 978-745-4646 978-745-7777
FIRE DEPARTMENT CERTIFICATE 'OF APPROVAL FOR A BUILDING PERMIT
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IN ACCORDANCE WITH THE PROVISIONS OFITHE MASSACHUSETTS STATE BUILDING CODE
AND THE SALEM FIRE CODE, APPLICATION IS HEREBY MADE FOR THE APPROVAL OF PLANS
W AND THE ISSUANCE OF A CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT BY THE
ZSALEM FIRE DEPARTMENT. ( Ref. Section 113.3 of the Mass. Bldg. Code)
Z JOB LOCATION:
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" 7) ~ OWNER/OCCUPANT:
w zELECTRICAL CONTRACTOR:
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FIRE SUPPRESSION CONTRACTOR:
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`t SIGNATURE OF FILE
C 0 P PHONE #: _� U
APPLICANT:
ADDRESS OF CITY OT
APPLICANT: TOWN: arc +-I�
APPROVAL DATE:
Certificate of approval is hereby granted, on approved plans or submittal of
project details, by the SALEM FIRE DEPARTMENT. All plans are approved solely
for identification of type and location of fire protection devices and equipment
All plans are subject to approval of any other authority having jurisdiction.
Upon completion, the applicant or installer(s) shall request an inspection and/or
test of the fire protection devices and equipment. (ADDITTIONAL REQUIREMENTS,
SEE REVERSE SIDE ***)
NEW CONSTRUCTION.
PROPERTY LOCATION HAS NO COMPLIANCE W TH THE PROVISIONS 0 A*
CHAPTER 148, SECTION 26 C/E, M.G.L., RELATIVE TO THE INSTALA-
TION OF APPROVED FIRE ALARM DEVICES. THE OWNER OF THIS PRO-
PERTY IS REQUIRED TO OBTAIN COMPLIANCE AS A CONDITION OF
OBTAINING A BUILDING PERMIT.
PROPERTY LOCATION IS IN COMPLIACNE WITH THE PROVISION OF CHAPTER
148, SECTION 26 C/E, M.G.L.
EXPIRATION DATE:
SIGNATURE OF MIRE OFFICIAL
FEE DUE: UNDER 7,500 SQ. FT. - 10.00
7,500 SQ. FT. OR LARGER- $25.00
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision .of Section 113.5 of the Massachusetts
State Building Code, and under guidelines agreed upon by the Salem Bldg.
Inspector and the Salem Fire Chief, the, applicant for a building permit
shall obtain the Certificate of Approval (see reverse side) and stamped
plan approval from the Salem Fire Prevention Bureau.
Said application and approval is required before a building permit may be
issued. The Massachusetts State Building Code requires compliance
approval of the Salem Fire Department, with reference to provisions of
Articles 4 and 12 of the Building Code, the Salem Fire Code, Massachusetts
General Laws, and 527 Code of Massachusetts Regulations.
The applicant shall submit this application with three (3) sets of plans,
drawn in sufficient clarity, to obtain stamped approval of the Salem Fire
Department. This applies for all new construction, substantial
alterations, change of use and/or occupancy, and any other approvals
required by the Massachusetts General Laws, and the Salem Fire Code.
Exception: Plans will not be required for structural work when the
proposed work to be performed under the building permit will
not, in the opinion of the Building Inspector, require a
plan to show the nature and character of the work to be
performed.
Notice: Plans are normally required for. fire suppression system,
fire alarm systems, tank installations, and Fire Code
requirements.
Under the provisions of Article 22 of the Massachusetts State Buildin;
Code, certain proposed projects may not require submission of plans or
complete compliance with new construction requirements. In these
cases, provisions of Article 22, appendix T, and Tables applicable
shall apply. This section shall not, however, supersede the
provisions outlined in the Salem Fire Prevention Regulations, Chapter
148, MGL, or 527 Code of Massachusetts Regulations. all permits for
fire code use and/or occupancy sfial'l apply' forothe entire structure;
fire alarm and/or smoke detector installation shall apply- to the
entire structure based upon current requirements as per Laws and/or
Codes, but the existing structure may comply with regulations
applicable for existing structures.
Notice: Sub-contractors may also be required to file individual
applications for a Fire Department Certificate of approval
for the area of their work. Such sub-contractors shall file
an Application to Install with the Fire prevention Bureau
prior to commencing any work for those areas applicable.
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FORM #81 REV. 10/97
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