Loading...
0008 WHITE ST - BUILDING INSPECTION 0008 WHITE STREET TENT j IS#: 1087 COMMONWEALTH OF MASSACHUSETTS Map. 41 CITY OF SALEM Block-.- Lot: lock:Lot: 0284_ Permit Building Category : TENT BUILDING PERMIT Permit# TENT.. Project# JS-2004-0162 'Est Cost. $1,300.00 Fee: $20.00 PERMISSION IS HEREBY GRANTED TO: Const. Class: Contractor: License: Use Group: vi PETERSON PARTY CENTER General Contractor-CS 060219 Lot Size(sq.ft.): 11400 Owner: HA WTHORNE COVE MARINA INCORPORATED Zoning: 1. I APPIicant: HAWTHORNE COVE MARINA INCORPORATED Units Gained: AT: 0008 WHITE STREET Units Lost: ISSUED ON: 30-Aug-2003 AMMENDED ON: EXPIRES ON: 30-Aug-2003 TO PERFORM THE FOLLOWING WORK. TENT PERMIT/HAWTHORNE COVE MARINA/ 20' X 30'TEMPORARY TENT FOR August 1,2003. TENTS WILL BE REMOVED BY 08/04/2003. NO COOKING OR SMOKING UNDER TENT. TJS POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbine Building Underground: Underground: Underground: Excavation: Service: Meter: Footings: Rough: Rough: Rough: Foundation: Final: Final: Final: Rough Frame: Fireplace/Chimney: D.P.W. Fire Health Insulation: Meter: Oil: Final: House# Smoke: Water: Alarm: Treasury: Sewer: Sprinklers: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: TENT PEC-2004-000175 30-Jul-03 18760 $20.00 GeoTMS©2003 Des Lauriers Municipal Solutions,Inc. x City of Salem, Massachusetts ire Department 48 Lafayette Street Robert'W.Turner Salem,Massachusetts 01970-3695 TreTrevenaan Chief ?et 978-744-1235 Bureau 978-744-6990 Fax 978-745-4646 _978-745-7777 APPLICATION/PERMIT TO ERECT TENTAGE OVER 12b SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 527—CMR 19.00, AND THE SALEM FIRE CODE, ART. U 20 FE $30.0 CHECK U p APPLICANT: eL-IFn 1dA-/ PN!! 7a ADDRESS: t ,, f-,44A/7,3^1 rr, CITY: jVj/✓GNIrS79�7rz- STATE: W4 ZIP:p1,>4) PHONE: ?,f( 7 Dy LOCATION OF TENTAGE: / /BYO LNt L�oL� 1?�A/Li�✓r4 OWNER OF PROPERTY NGN✓TNlJ2/ 1f Gd Lf ADDRESS: CITY: STATE: yyL ZIP: PHONE:-77ur 7, &-f8'f U INSTALLER/RENTAL CO. OF TENTAGE: ?g Sd, J /�i9J2:r'f 4f^e7i7- PHONE: Fi4- 7 ` ' — ADDRESS:/3f 1'i,:i,4n/j6N S-1 - CITY:L^/jntn elf,( /L STATE: nf79 ZIP: p cz) INDICATE WITH REFERENCE TO PROPERTY LINES AND OTHER BUILDINGS THE LOCATION OF THE TENTAGE ON THE BACK OF THIS FORM: MATERIAL USED: !//&Yz- / 4L-Z'wz/Ja-'^ MANUFACTURER: 'a lg-AgyL_ SIZE OF TENTAGE ,7U 'X,3Z� NAME OF TESTING AGENCY: 9A u 7?�Ty- ;Crw� y1.L r2S�i7g1� AGENCY APPROVAL NUMBER:F/21, V CERTIFICATE OF FLAME RESISTANCE:/fj 52-t CONDITIONS OF APPROVAL OTHER THAN AS PER FIRE PREVENTION REGULATION: SALEM BUILDING DEPARTMENT PERMIT NUMBER: DATE OF ISSUE: SITE INSPECTION DATE: _L { 1 EXPIRATION DATE: R C i APPROVED BR; I?,wV) TITLE:_ FORM "B (Rev. 8/99) 80B BOARD OF BUILDING REGULATIONS .;t License: CONSTRUCTION SUPERVISOR Number: CS 060219 Birthdate: 04/27/1954 . ,.,,,� •'' Expires: 04/27/2005 Tr.no: 9542 Restricted: 00 MARK TRAINA 33 HANFORD RDS STONEHAM, MA 02180 Administrator The Commonwealth of Massachusetts l Department of Industrial Accidents 9Xce011trvesovaUoos T 600-Washington-Street `y. Boston, Mass. 01111 Workers' Compensation Insurance Affidavit on lu n arms on --+ easr eLs name Ipntion city phone 0 1 am a homeowner performing all work myself. 0 1 am a sole proprietor and have no one wonting in any capacity I am an employer providing workersp' compensation for my employees working on this job. co m a n n me' Su AJ ,ddrem' f3! -PPVXn/7--D/\1 JT cit": W�NL�!✓fs /L v M4 L)14L) phone fl: ��it /24— 56,bO ^ /�,At r -7 insurance co A 7. 4+ ' policy 7eI-L) iYG U iz-d Z- -r f] I am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: sempanv namr_ )ddress city: phone p: insurance cn policy 0 . _Y=':z.nsX:n--t..� .�.r�.e�yay*�,La•yerar-r"=.�""CTi'�f"T''..".2n�'�f_'�^9e1m�'�"'4'T""',xs'" ..d�e..�:�+� companv name' add ess' C,`v, phone a insurance co. yflh[Y'N Atrar . ai0oaa 's tsC • -�-.a _ Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of enminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as-civilpenalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Once of lovesngations of the DIA for coverage verifiution. !do hereby certify under the pains and penalriet of perjury that the information provided above is true and corset[ Signature Date Print name ,,��yNf b)4y2-!6/ �7— Phone 0 ��f-%toZ� a b z-,> Official use only do not write in this area to be completed by city or town official .� ciry or town: ptrmiVliceme M 77MBuilding Dcpa rtm cot Licensing Omrd check if immediate response Is required EISdectmen's Office C)Health Department contact tenon: phone a; rl Other p ITn�C IRS rlAl rrc rctt 11111 u�rscrNlrsr itilr�c.rcPrsr�cr�rLMM IMPORTANT D O C U M E N T c�ru�r�cl�crr rcrrsrsrsrlrsc rrsucPr��cl�c rrrc rrsr�rsrl� o �aa�£anx . i �,�, a , 5 %I / / x < <Z; K }4 trttfi to of 'tame an- ISSUED BY t 5 ' "APPLICATION"'' m ,�DaaP,of Manufact" t�UM6ER �E� tL/ p •diL .4 Rae, M INDUSTRIES INC. 1Ry 4,306/98 _p F12144Y ` i EVANSVILLE, INDIANA 47711 { : _ Order Number " 183326't 5 1dt MANUFACTURERS OF THE FINISHED TENT PRODUCTS DESCRIBED HEREIN hist ?'t Vie . tfy that: the materials described have been flame (oo�re�tlthere�Nno inflammable) and were supplied to: dant #r ed 5 �n tt , ficzli 5 r3Ps, Ol`It� TX.CENTER INC i 5 13� ST T $�ANSON' t 5 5 1 Mn ois9o � _ 5 t 5 4fi�rc e i ca`ti by made that: bed;', on this Certificate have been treated with aflame-retardant ,approv d 5 a,applicat on of said chemical was done in conformance with Cahfornla '' r ,to exceeds NFPA 701, CPA[ 84, ULC 109. meth�n� o FRcbemical application is: i{ 8001800 5 5 r. .:.j, -R, (0001) 5 QiscnpGon of item cared yrs ':„ FI TOP 20W X 30 VL W W t , � r _ n - at e !Retardant Process Used Will Not Be Removed By. 5 �11Vashing And Is Effective For The Life Of The Fabric , } `5 4 r 5 ��. • 'r.� '� Signed: .�-�a ' � t• . �57, 1[+ �' d�, r is^ r Name of , r o6Flame Resistant Finish / TENT DEPARTMENT—ANCHOR INDUSTRIES d d [P[PcP[P[P[P[P[P[TCP[Pr11cPrJ�rJ��PcJ�rJ�cPcPrJ��PcPrJ�rJ-rJ�rJ��PrJ�rJ�rJ�cPrJ�cPJ�rP�PJ�cPJ�J��rJ�cJ�rJrJ@Pr1rJ�rsrJErr r PrSrJ�cPr�rJ�cPcPcPrJcTcPrJ�rJ�cP�rJ�rJ�rJ� t7�s s G, , PrJ@P[P[P[f[P[P[P[P[PLr Pc Q3rL3 L3fi i5w s� IMPORTANT D O C U M E N Ti?P�P�Pu�n�Pu�0P� n�1rr3ruaPu�Pu�n�P�Pu�� o k 7 sf CPtIf IL�tP D r ��rr�Pe�I� 5 5 RE(31$TEFJED i ISSUED BY T �H®R 3 5 BER Date'Of.Manufacture^ h a >d irro�sraies INC I°a" 5 .,.;3/06/98 ,. � 5 42 cv $:.. 5 �+ F121:4 i zs EVANSVILLE, INDIANA 47711 P, ' 5 ..k. p Order Numbrj #t�sr4 n:}t .� I. MANUFACTURERS OF THE FINISHED 183326ed TENT PRODUCTS DESCRIBED HEREIN f�Thls is to certify that; the materials described have been mflamtreated 5 (or4ai pinherentl�y n"oninflamable) and were supplied to: e-retardant r 5 5 t �P ERSOxrP 'CENTERINC t 139z�S�e1�TSON ST " 55 } 5 ' -MS� 5 w>rrc�lEUrER MA 01890 5 ., Pro ertica �gn is hereby made that: 5 heart c'1 S desc gybed; on this Certificate have been treated with a flame-retardant a pproged 5 ct��es n rthathe;application of said chemical was done in conformance with°C'alifomia�;Flre; 5 5 a i, al t' !exceeds NFPA 701 CPAI 84 ULC 10g. 5 `6h"emetho �oftf�ehFR=chemical application is: r < 5 y 5 serlai# <f�I soolsoo 5 (0001) 5 Y` T Descnpbon item certtRed: 5 t, of a» t; LCJ �r j G F1 TOP 20W X 30 VL W W 5 S 7s r, Flame Retardant Process Used WIII Not Be Removed By 5 5' % t6Wa'shing And Is Effective For The Life Of The Fabric Signed: �7/ _ 5 :, �.,. Na-M of Applicator bf Flame Resistant Finish / TENT DEPARTMENT—ANCHOR INDUSTRIES INC 4 � ;.,"�-•� u .. cPcPtPcPcP�PtP�PcPcPrJcfcPrJNP�rJ�r�cP�PcPrsrJ�rJ�rJrJ�r�rJ�rJrJ�rJ�cPrJrJ��P�PrJP1�rJ��JrPJ�Fr1r1�J�J��rJrJ�rlcPr�rJclrJ�cPrJ�cPrJrJ�rJ0rJ0@PrPrJ�rltPcPcP[PtPcPrJ�rJ�cP O.a py -PtANS ViNST-BE ffL—E 1 APPROVED BY T44E IMPEXT-03 ,1"MR TO A_PERMIT BF1NG GRANTED CITY OF SALEM No. Date •i� !i ' CII Ward \"�rnNeaZoning District Is Property Located in Location of "�✓' the Historic District? Yes_No_ Building (���/�q� Is Property Located in the Conservation Area? Yes No BUILDING PERMIT APPLICATION FOR: Permit to: (Circle whichever apply) Roof, Reroof, Install Siding, Construct Deck, Shed, Pool, Repair/Replace, Other: %eoio6"Ityz -?/v7- PLEASE nlPLEASE FILL OUT LEGIBLY & COMPLETELY TO AVOID DELAYS IN PROCESSING TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's Name L'4L�4— 94;aYZ-11V4 Address & Phone /a (97f) 7e- 989 Architect's Name Address & Phone /NNSI&I Mechanics Name P,1?,77,,r-p4A111Ww-7,/ e--4 i /3e Srvo vzvn/ 3T Address & Phone /N/NGd/EST£/^,Yl4A A-/K) dS✓ ) 7a9-S1poa What is the purpose of building? Material of building?/glvxlin/l "I ilw^- If a dwelling, for how many families? Will building conform to law? Asbestos? Estimated cost /3Ub ' City License # State License # GS D b67-J Home Improvement Lic. I Sig ature of Applicant SIGNED UNDER THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE /•tail/ / Peouz vet P7,7 611443 mo C/��•c o MAIL PERMIT T0: J�'YN� Sl,Qrue.t/� Pf7Z. J, J^X7yee t,7SrZ No. APPLICATION FOR PERMIT TO TlT �P LOCATION 1 CP41J fbl©Q N� &VIE PERMIT GRANTED 7 30 /03 1s APPKV�D INSPECTOR 6F BUILDINGS