70A LORING AVENUE - BUILDING JACKET ==moo,
PERIODIC INSPECTION INFORMATION SHEET
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Instructions: This information sheet is not an inspection checklist. Each time
a permanent file card is typed for a new building or a new card for an old build-
ing, this information sheet can be prepared by the building inspector as a work
sheet from which the file card can be typed. The items of information on this
sheet are identical to the items on the file card. If all the information on this
sheet cannot be entered on the file card, this sheet should be filled out and
not discarded. A
Street and Number
Name of Premises_ iv
Other Licenses or Permits Vequired ?7i/G4E 7 , -^P%
m. a — ��¢
Owner. of Record of Building X"X e ,�
Address ►yfc � l y 0.9�,Ycc+� AI,
Certificate
Certificate to be Iss ed to R-/ ./�41rel r _
Address 74>*4 1--o
Use Group Classification 7 Purpose Used 6zopj
Public or Private
Number of Stories / Class of Construction /pr,OAW ate Erected
Certified Capacity (By Story or Type)
Number of Rooms - Hospitals, Schools, Hotels (By Story or Type) ^ p .e G
S7d a/4d:-
Number of Dwelling Units Per Story
Emergency Lighting System c1
Means of Detecting and Extinguishing Fire e-
n T
Fire Alarm System_ Z
Number of Elevators wQ1r✓
How Heated lf)t /
Boiler or Other Heating Apparatus
How Lighted 7,w ec How Ventilated /U09-Tzeoz-
O,
Place of Assembly: Yes No _� Purpose Used
in Which Story
Standard Booth Installed Location
Fixed Seating
Number of Aisles and Width of Each
Fire Resistance of Curtains or Draperies
Number of Sanitaries .?• Location /5 /
Number of Grade Floor'Means of Egress Doorways 2 6t/"K e'6 es
/ ^ eD 74-ht-'e_
Number of Separate Stairways Accessible Per Story
Number of Approved Independent Exitways Per Story.
Remarks:
Date Certificate IssuedZ & Date Certificate Expires /^
Date Orders Issued Date Orders Complied
Inspector_ &W Date
-o-
FORM SBCC-1-74
COMMONWEALTH OF MASSACHUSETTS
.. CITY/TOWN OF
V�
APPLICATION FOR CERTIFICATE OF INSPECTION
Date ( Fee Required (Amount )
as'J'
( ) No Fee Required
In accordance with the provisions of the Massachusetts State Building
Code , Section 108 ,15 , I hereby apply for a Certificate of Inspection for
the below-named premises located at the following address :
Street and Number_ '70/4 40If/i�c
Name of Premises Z,9tL, V e- A-)
Purpose for Which Premise is Used -g S�}, �,,d + �yeL LLQ r 'a /poi
License( s ) or Permit ( s ) Required for the Premises by Tther-Governmental
Agencies :.
License or Permit Agency .
erve Per L `veL -'�2(0.377> [,nt i.nv vt.:ersr-7k- o/�' i��':I•
Certificate to be Issued to /}-/ �jcips s
. Address 70 1r;, &9 02 Se4�r•, Bs�
-Owner of Record of B ilkding �Xx�,ki ca rrxy
Address /JG1e� rSrn if'/vcr PAr/fwn ��Lliinr.
Name of Present Holder of Certificate
Name of Argent , if any Nva-
SIGNATURE OF PERSON T HOM TITLE
CERTIFICATE IS ISSUED OR HIS
AUTHORIZED AGENT
DATE
INSTRUCTIONS :
1) Make- check payable to :
2) Return this application with your check to : aQsio Q. 90W—VV"
'f�.Jlt,rJr•JG rw�SP ¢C'j'OrL
PLEASE NOTE:
. 1 ) Application form with accompanying fee must be submitted for each build-
ing or structure or part , thereof_to to certified .
2) Application and fee must be received before the certificate will be issued
3) The building official shall be notified within ten (10) days of any change
in the above information .
CERTIFICATE H EXPIRATION DATE :
jFORM SBCC-3-74
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February 7, 1983
To. !L-. Richard McIntosh, Building Inspector
FTOM— City,Clerk Josepnir_e R. Fusro .
This office has rece-.ived notification that the sign located at
70A Tring Ave. , Corner Ior.'ng and Canal has been removed. Please verify
this i.nformr.tion, and respond to this office so we may cancel the bond.
Please fill out below, and return to rs. Thank you.
-----------------------------------------------------------------—--------------------------
TO: City Clerk Josephine R. Fusco
FROM! *Fir. Pichard McIntosh, Building Inspector
Please be advised that this office has verified that the sign located at
"7U l _ i� Care r _ a+- " �.has been removed.
It will therefore be in orc',(_ffor you to cancel the bond
DATED: S/ LL�aL�GA?_; / �e`s •( *rG�t ciJ%
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