9 1/2 PARADISE ROAD - BUILDING INSPECTION f t II
t
�I r USnmutnntuel of Adjosar4ufit#to
a CITY OF SALEM
y` In accordance with the Massachusetts State Building Code, Section 108. 15, this
V y
CERTIFICATE OF INSPECTION
is issued to -
# (Uriif
that 1 have inspected the premises known as
located at in the city of Salem
County of Essex Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story CapaCapacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
The building official shall be notified within (10) days of any changes in the above information.
••ec = f.C�.'^:�!2wLrit.s�.ct D.• YA..S�n�'"����•> '
w
� CZiI OF S.LL-':
1 1
'0*_:firJ ,LaprTG:iiD:{ r`li.R C3'S=ZGiiz 07 ?NS?=mi=n
Date ! see Recuired S
( 7 No =ee Reau_ren
In accordance with the provisions Of the ttzsszc�u setts State Sussdiag Cade. Sc;
108. 15. 1 hezeay apply fox a Certificate of Iaspect_aa for the aeiaw-ac=ed prcjXe:
located at the f011ow=g address:
street b Number �{-.
Name Of Prenases
2uzpase for which Prrises is used T �—
co Litoise(s) or Pcr.^r(s) regxzirsd for the preaises by other 6ove=*^-^ra1 dgeat:3es:
WS $ License or aerai.t Amend
2C co uN 3
UJ
LL
—j 4,4JEDSAM, INC.
DBA S*NDWIC r
ca � - BY TAY90REry
R
'4Cer:i_—, irate to be issued to:
Addr,r�s:
$810M,-M, /Ma 01470
Or.oer of Rctord of Eui.Zd3a3: C�� /,,fyrngJ A9nu-l
s140-.
�.� `� ✓j -
�/ �J o✓cs J/.7.45/ 11U4 b f G.�'�
Addres : S.5'L�rn.( ,40-. Zax:dcra.) • Osr7-? .
Non of Proscar Eolder Of Cext'..f_4 are: c��
Naae Of Agent. _f
!. C Person to wawa �✓ert----4r=te TZ�=
is sued Or hisiber nutnoraaed agent
Dante
I85=3IIcrxu*ts: Day tiara pboae�� /-Dona
I . exkr cbett payable to: The city of.Salom
2. &etas this appiicatian with pa=r riec to: Iasaccrar of Huildissts. City Of Sala
Suil ine Deaazzaent. One S'leai Green. Sale=. YA. 01970.
PTrA E MDSE:-
I . Appl.iursan fora with required fee cant be sub=itted- for emch bg•r� at sxzaca
Of part chA=e=f to be cZ tifiied- '
2. Appj;r__x_ .,= n fee —.-t be received beiore =bc ccrt'_'--*care wiu be issaed.
3. The b"4194, off cut. saa12 be nardfici within ten (10) days of nay &;,— a in thi
abbowe 3.:zarrstloa�f.f
.+'k_ CA= 1 �� V Y t O ZadSJ,tl.X D :�
PERIODIC INSPECTION REPORT
This form is to be completed each time a Periodic Inspection is made. At the time
a new Certificate of Inspection is issued, a notation indicating that the fee has
been paid will be made to Application Form prior to the new Certificate of Inspection
being issued. Any changes since the last inspection are to be added to the file card
of the premises.
Street 5 Number I IZ Pct cctj I
Name of Premises T-a,ui rn �'nP ` S ho ( l
Certificate to be issued to: �' 16Y Ore � � � "� -- "5(C- e�m1-rip .
Address
Owner of Record of Building fJ Pea ( f0 '- (IuQPLICi ��
Address S yun. J 0::� -e P"
Purpose for which premises are used
Changes since last Insppee'cftion (required on file card also)
1. N c) Yll Mf9�
2 -
3.
4.
5.
Date Order Issued:
Order Issued To: Address
Date Violations Corrected:
REMARKS:
I have this day inspected the above premises, and the same conforms to the pertinent
requirements of the Massachusetts State Building Code and the rules and regulations
pursuant thereto.
9- a1 . 9 � vaaA Q:�
Date Building Offi U
al
Certificate # " ( p Date Issued:
Date Expires: 'O-I 19
Recommended Next
Inspection• � �
Z4P (901tmnnwralt4 of letto-onr4ujori#,
CITY/TOWN OF
In accordance with the Massachusetts State Building Code, Section 108. 15, this
CEf(�R1�nTIF` ICATE OF INSPEC1TION
is tissued to . . . . . . . � .�. ! i r. ! . . �! C. . I D��. . ` . .�Y�O.� . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Y TUtlfly (that I hav inspected cthe. . . . . . ... . . . . . . . . . . . . . . . . . . . . . . .known as. . . . �.�.q. i re
located at. . . . . .`. I� . . . P a. .�.d� . . . . �A.`in the. . . . . . . . . . . . .of. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
County of. . . . . . . . . . . . . . . . .Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
BY STORY
Story Capacity Story Capacity Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location . , or Structure Capacity Location
io
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
The building official shall be notified within (10) days of any changes in the above information.
X4r Tomutontvrult4 of Ausssr4usets
W
CITY OF SALEM
In accordance with the Massachusetts State Building Code, Section 108. 15, this
ryN a s`?
CERTIFICATE OF INSPECTION
is issued to s JEDSAM. INC. DHA SANDWICHES, F"'IZZA 8 MORE
I TPr2tfq that 1 have inspected the premises known as fAYh'IORE SANDWICH SHOP
located at 0009 1 /E PARADISE ROAD in the city of Salem
County of Essex Commonwealth of Massachusetts. The means of egress are sufficient for the following
number of persons:
g BY STORY
Story Cpl #%%%%%%%S�'t �j %% Capacity Story C�' px%igy "S"tt%y Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
ASSEMBLY 3 2,1h IST FLOOR
n t —1598 0 '/01/199L 02/01/ 1999
Certificate Number Date Certificate Issued Date Certificate Expires uildirng Official
The building official shall be notified within (10) days of any changes in the above information.
BUILDINC DEPT.
COM^!ONNEAI.TH OF MASSACHUSETTS .
>='s= CITY OF SALEM OEC 15 p
} �• APPLICATION FOR CWRTIFICATE OF INSPECTION 2 H11Mv9�
RECEIVED
Date po-et' l9`I YFQFe5zS6§'p4RztS; 541,!10
( ) No tee Reauired
In accordance with the provisions of the Massachusetts State Building Code. Sect
108, 15, 1 hereov apply for a Certificate of Inspection for the below-named premises
located at the folllo/vxing address:
Street 6 Number 17 Ll/ �L�•
' , p
Name of Premises
Purpose for which P raises is used .t
License(s) or permit(s) required for the premises by other Governmental Agencies:
License or Permit A¢encv
Fo /4cp-lTl
JEDSAM, INC.
(9Re CeA nw�rur6 PIZZA
8i MORW
` BY T.AYMOR@ •.
Certificate to be issued to: - . 9h Paradise Road -
Address:
4010M, Ma 01970
''// /,
Owner of Record of Building: C00.8 �yy1�rs✓an5 }yO�i,..e„ /o "lt�iT n_
Address: '04 D/yto
Name of Present Holder of Cert ificare: �, A'wrc.c6
Name of Agenc. if any. . .
_ r co vaam .:ert=fica[e // TITLE
is issued or hisiher authorized seen[
Date'!,
INSTRUCTIONS: Day time phone)
I. Make check payable to: The City of Salem
2. Return this application with your check to: Insnecror of Buildin¢s. City of Salem
Buildinz Department. One Saler Green. Salem. MA. 01970.
PLEASE NOTE:
I. Application form with required fee must be submitted for each building or stracture
of part thereof to be certified.
2. Application S fee must be received before the certificate will be issued.
J. The building official shall be notified within ten (10) days of any change in the
above information. (�
CERTIFICATE I `�i "� � EXPIRATION DATE:
0// y7 y�
PERIODIC INSPECTION REPORT
This form is to be completed each time a Periodic Inspection is made. At the time
a new Certificate of Inspection is issued, a notation indicating that the fee has
been paid will be made to Application Form prior to the new Certificate of Inspection
being issued. Any changes since the last inspection are to be added to the file card
of the premises.
Street S Number � e"b. Ok1
/.
Name of Premises
Certificate to be issued to:
Address I&
Owner of Record of Building
Cd -
Address �5 Aile -i3 / X13
P
Purpose for which premises are used
Changes since last Inmos/pection (required on file card also)
1. /I/•3 t Gr �,� .�cK .�12 e e eC� ?c+C_ ,G'o��
2.
3.
4.
5.
Date Order Issued:
Order Issued To: Address
Date Violations Corrected:
REMARKS:
I have this day inspected the above premises, and the same conforms to the pertinent
requirements of the Massachusetts State Building Code and the rules and regulations
pursuant thereto. /
Date Building Official
Certificate 6 3' b Date Issued: [ G�
Date Expires: „Z./ ( ' {
Recommended Next
Inspection:
CITY OF SALEM
In accordance with the Massachusetts State Building Code, Section 108. 15, this
CERTIFICAT/E OF INSPECTION
is issued to �r/�l ��E ..5�{Ne+ e-l`C� SA6ol
7 Ttrfifl4 that 1 have inspected the premises known as
located at in the city of Salem
County of Essex Commonwealth of Massachusetts. The means of egress cite sufficient for the following
z,
number of persons:
BY STORY
`. Story Capacity Story Capacity Story Capacity Story Capacity
BY PLACE OF ASSEMBLY OR STRUCTURE
Place of Assembly Place of Assembly
or Structure Capacity Location or Structure Capacity Location
�sSE � 6fy 3 �o �s;,mc.,.
Certificate Number Date Certificate Issued Date Certificate Expires Building Official
The building official shall be notified within ( 10) days of any changes in the above information.