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0000 WASHINGTON SQUARE SOUTH SALEM COMMON k • � w Plans must be filed and approved by the Inspector before a permit will be granted. No`� City of Salem Ward 1A,co�Irt. Is Property Located in the 1� Historical District? Yes_ No IHHome Phone# Is Property Located in a ,�1 Conservation Area? Yes_ �y'p'cnm+caa Bus.Phone# APPLICATION FOR PERMIT TO CONSTRUCT POOL, DECKS AND SHEDS / Q Salem, Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specific iiom: Owner's name and address SES& e✓l1 I n L44 f) 11/ - ��" )t.J (� . K 2A-S5 Architect's name .D Mechanic's name and address 1*AJ � ( On 0 5 'A -Y C � U2 Y ek< ®-W) Location of building, No. __ ? -f A Ct3 A� 49410 A / What is the purpose of building? :TV14A Ja nF "t'It / I-- Material of building? (1-(4U 0_e If a dwelling,for how many families? Will the building conform to the requirements of the law? Estimated cost Contractors Lic. No. Signature of applicant Signed Under the Penalty of Perjury REMARKS oda � Gam. co :� 7 �3 N .oma �`� WardDIA�lwt&12,5 Axe- I APPLICATION FOR l PERMIT TO CONSTRUCT SWIMMING POOL Location PERMITGRANTED 1913 Approv _ — O\r . Buildirlb Inspector J TrIliftratr of Ntamp Nrin-11taurr REGISTERED G�P`'SIF/'% ISSUED By APPLICATION Dna of M&AWfactvn NUMBER ANCHOR INDUSTRIES, INC. EVANSVILLE, INDIANA 47711 T 4299G TENT PRODUCTS DESCRII6EDINISHED NEw E1N 6-8—$7 MANUFACTURMS OF L) This is to certify that the materials described have been flame-retardant treated (or are in herently noninflammable) and were supplied to:) NAME: HUBCO CITY DANVERS STATE MA Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chem- ical and that the application of said chemical was done in conformance with California Fire Mar- shall Code, equal to or exceeds Federal Specification MIL—C-43006D Method of application: LAMINATED Type,-color and weight of canvas: 15 oz. Boyles Big Top Dacron white .: 1 Description of item certified: 40 X 60 3 Piece Tent �^ Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric JOHN BOYLE & CO. Signed: Name of Applicator of Flame Resistant Finish ' STATESVILLE NC TENT DEPARTMENT—ANCHOR INDUSTRIES, INC. Louis R. Brown t INSURANCE PROFILE FOR DEAN GUANOULIS PARTY RENTAL, INC. & HUB CO PARTY RENTALS 81R PROSPECT STREET PEABODY, MA 01960 508-777-1658 FOR POLICY PERIOD JULY 10, 1993/94 a . ARDI AGENCY, INC. 2900 ROCKCREEK PARKWAY NORTH KANSAS CITY, MO. 64117 (800) 821-6580 This profile contains brief explanations of the coverages being proposed.Please refer to the appropriate policy and coverage forms for complete description of coverages,exclusions, conditions and definitions. ARDI PARTNERSHIP LIABILITY PROTECTION We protect you for Damage to Others because of: bodily injury property damage personalinjury fire damage contractual advertising host liquor employees as insured watercraft - non-owned rental trailers equipment trailers FOR LIMITS OF: $ UNLIMITED Annual Aggregate $ 1,000,000 Per Occurrence $ 1,000,000 Personal and Advertising Injury $ 50,000 Fire Damage Liability $ 1,000 Medical Payments In addition we protect you for: products/completed operations liability FOR LIMITS OF: $ 1,000,000 Annual Aggregate e �.coxonl Salem Historical Commission CITY HALL. SALEM. MASS. 01970 �'ya tr 01 M& v CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed construction [ ] ; reconstruction [ ]; demolition [ ] ; moving [ ] ; alteration. [x] ; painting [ ] ; sign or other appurtenant fixture [ ] work as described below in the . . . Washington Square Historic District. (NAME OF HISTORIC DISTRICT) Address of Property: Salem Common - Veterans Memorial Name of Record Owner: City of Salem - Veterans Council DESCRIPTION OF WORK PROPOSED: Surround memorial with fence constructed of 5 granite posts and Anchor chain as per drawings submitted. will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic District's Act (Mass. General Law Ch. 40C) and the Salem Historical Commission. Please be sure to obtain the appropriate permits from the Inspector of Buildings prior to commencing work. Dated: June 3, 1993 SALEM HISTORICAL COMMISSION J C airman ' City of Salem, Massachusetts12 `l� Veterans' Services Department ��,eowNrl� Jean-Guy Martineau • 5 Broad Street Agent r 01970 Tel.(508)745-0883 Tel. (508)745-0957957 �•�aINNE w�+' TO: Those Concerned FROM: Jean-Guy J. Martineau DATE: November 2, 1992 SUBJECT: Veterans Memorial Monument For several months the Salem Veterans Council has been working on plans to redesign the Veterans Memorial Monument, located on Salem Common. With the help and advice of our City's Planning Department Staff, we have considered several enhancements to serve as a Bulwark from youths and tourists who presently sit or loiter on or near its base. The following are recommended changes in the monument: 1 . Monument would be surrounded by fence constructed with granite posts (5 posts 10" X 10") connected with an "Anchor Chain" (3in. links with a thickness between 3/8 or 1/2 in.) 2. All posts will be "Rounded-off" at the top and be 3'6" high from ground to top measurement. 3. Concrete footing and subgrade, as well as all other specifications per sketches enclosed. Any comments, suggestions or recommendations should be forwarded to the Salem Veterans' Agent. °SOV Q !99 � C!T ) MAYp0j OSq CE Aj SPIN �, � SfrW M 2 S!� SPLaT- SAWN ToP �" b�AMET�f� W!�N �Lr�T 17!P�METER STMEL -5Y�LET W ITH L VP II Ems`'►' IN PRE'fa=ill,l.ED HOLT PP1N�D �3Lr�k� - i t— T Cb4 �G 71 GONGP�ETE FGbTTNI� a GOM Pf`CT�D �gl�RAGi✓ oQo 0 000 pa tz6V, Ia8�i2 r C.1�10R GH Pct N #'Pct N'T� � j I !'�i-Z" LINKS �R/G �laINC� c ti ;,I I I � coven let=-vn SP SP �NG� � MEMORIf'�l� ��M GOt�'1IfVN e µ'Coxorfl z Salem Historical Commission CITY HALL. SALEM. MASS. 01970 Af0/MM6 CERTIFICATE OF NON-APPLICABILITY It is hereby certified that the Salem Historical Commission has determined that the proposed construction [ ] ; reconstruction [ ]; demolition [ ] ; moving [ ]; alteration [ ]; painting [ ]; sign or other appurtenant fixture [X] work as described below in the . . . Washington Square Historic District. (NAME OF HISTORIC DISTRICT) Address of Property: Salem Common Name of Record Owner: City of Salem DESCRIPTION OF WORK PROPOSED: Installation of temporary sign announcing weekly "Concerts on the Common" series as per drawing submitted. To be removed by the end of the concert series or Labor Day, 1993. does not involve an exterior architectural feature or involves a feature covered by the exemptions or limitations set forth in the Historic District's Act (MA. Gen. Law. Ch. 40C) and the Salem Historical Commission. Please be sure to obtain the appropriate permits from the Inspector of Buildings prior to commencing. Dated: May 10, 1993 SALEM HISTORICAL COMMISSION By Chairman Plans must be filed and approved by the Inspector before a permit will be granted. No. /yg"g3 City of Salem Ward Is Property Located in the0 Historical District? Yes--K- No ( 617 ) 262-1414 >R Home Phone# Is Property Located in a ( 617 ) 451-8009 Conservation Area? Yes_ No r''aa � Bus.Phone# ec APPLICATION FOR PERMIT TO CONSTRUCT POOL, DECKS AND SHEDS I-tC- N,S Salem, Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and address MA I_!J_�i3A4 (f4A/✓GFS'' Architect's name Mechanic's name and address Location of building, No. Fn7 />n-tylf'L� What is the purpose of building? �r1Q6: (-rgA FTC r E T 1 k/A I_ Material of building? f-7( etrr' - ?.E ralAD` 0 CA IUPO;' If a dwelling, for how many families? Will the building conform to the requirements 7 S/ E�imated cost Contractors Lie. No. / Signature of applicant Signed Und %� 7Herjur/y�An/YEti/t 7�ArVi76/ V�lJi.4Ec7t'7E REMARKS =FiT t)iL --da- cXcd VO2 i ENrrC f,10 x (-D 40 x PO 4,f> -6F OLAc-F--,o Onf Ct 'L, � T7j ,,9 -- 37-3 No/7 Ward APPLICATION FOR PERMIT TO CONSTRUCT SWIMMING POOL Location��1/�GG�L� R a7. PERMITGRANTED (� 195 Approve Bpjlding Insp for V� �a�zrl�rl�rl�rl�rl�rl�rl�rl�r,�st�rl�a�rl�r,�r�s�rl�rl�rl�r,�a�erl�r�a�arl�rl�r�rr�r�ar�rr,za� . Chau trate of Name tttttrP � REGISTERED tsrEp ISSUED BY FABRIC `• E JOHNSON CAMPING INC. Date of Manufacture ¢�•' •�o NUMBER P BINGHAMTON, NEW YORK 13902 z Manufacturers of the Finest j� F-140.01 'F "''•a�P Tent Products Described Herein 03/01/88 �1 RFT ` F.1 d0 This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable) and were supplied to:) NAME: MAINE BAY CANVAS CITY PORTLAND STATE tom• Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code, equal to or exceeds Federal Specification MIL-G43006E Method of application: LAMINATED Type,color and weight of canvas: 12 oz. CANVAS YELLOW/WHITE Description of item certified: 20' MID.S Flame Retardant Orocess Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric 1 SNYDER MANUFACTURING CO., DOVER, OHIO M '^ Name of Applicator of Flame Resistant Finish TENT EPARTMENT, JOHNSON MMPING, INC. KENNETH L. NIGH b6 J?�9�J�9tA9�1�9 1�1�1 1 3�1�1�D9 1 109WA;MaMae 4MMIM9 9aMmavimMJis �a�r�a�aec�a�r�rt�a�rl�ai�as��a�s�czrl�a�s�rt�r�at�r�trt�r�r�a�ar,�r,�r,�rl�r�ar�zrt��t � C�EPfitftCM�E �f .�1ttI1tE �P' .t�t�I�EE � , REGISTERED �sreq ISSUED BY FABRIC Q�.•'""'e,Fp JOHNSON CAMPING INC. Date of Manufacture NUMBER C BINGHAMTON, NEW YORK 13902 fiS Manufacturers of the Finest 03/01/88 � tg� F-140.01 f " pTent Products Described Herein W RF1P F-140 This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable) and were supplied to:) NAME: MAINE BAY CANVAS CITY PORTLAND STATE ME- Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code, equal to or exceeds Federal Specification MIL-C-43006E Method of application: LAMINATED ft [Description color and weight of canvas: 12 oz. CANVAS YELLOW/WHITE fy Description of Item certified: 40X40 2—pc. Flame Retardant Process Used Will Not Be Removed By Washing And Is �yy Effective For The Life Of The Fabric •>' SNYDER MANUFACTURING CO., DOVER, OHIO W Name of Applicator of Flame Resistant Finish TENT DEP RTMENT,JOHNSON CAM G, INC. KENNETH L. NIGH - �4�9�}1?�1�JJ�J2�93?�1�dJ�12�9�1�9�J�l�dd�1?�1�1�1t�?�J�dJ�E9t�93M9LZ%?t�A9�7?2�A9LZ�J�Al4i No.-3m -Z93 City of Salem Ward 21 w g F 3 t2 � FI 33 RECEt E0I CITY G`r SLti. , SS 55. APPLICATION FOR PERMIT TO BUILD ADDITION, MAKE ALTERATIONS OR NEW CONSTRUCTION IMPORTANT•Applicant to complete all items in sections:1, It, 111, IV, and IX- I. AT(LOCATION) rJ 4J h�I11 C C d DISTRICT LOCATION (NO.) (STREET) OF BETWEEN see- 17054'i01ve ary i�l� lzl AND BUILDING (CROSS STREE (CROSS ET) LOT SUBDIVISION LOT BLOCK SIZE 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 ❑ New building Residential Nonresidential 2 ❑ Addition(If residential,enter number of new 12 ❑ One family 18 ❑ Amusement,recreational housing units added,if any,in part D, 13) 19 E] Chruch,other religious 13 ❑ Two or more family-Enter number 3 ❑ Alteration(See 2 above) of units ....................................................... 20 ❑ Industrial 21 ❑ Parking garage 4 ❑ Repair replacement 14 ❑ Transient hotel,motel,or dormitory- Enter number of units ........................... 22 ❑ Service station,repair garage 5 [:] Wrecking Q/mulfAamily residential,enter number 23 ❑ Hospital,institutional of units in building in Part D,13) 15 ❑ Garage 24 ❑ Office,bank,professional 6 ❑ Moving(relocation) 16 ❑ Carport 25 ❑ Public utility 26 ❑ School,library,other educational 7 ❑ Foundation only 17 ❑ Other-Specify 27 ❑ Stores,mercantile B.OWNERSHIP 28 ❑ T nks,towers 8 ❑Private(individual,corporation,nonprofd 29 Other-Specify institution,etc.) � 9 ❑ Public(Federal,State,or local government aT C.COST (Omit cents) Nonresidential-Describe in detail proposed use of buildings,e.g.,food processing plant, machine shop,laundry building at hospital,elementary school,secondary school,college, parochial school,parking garage for department store,rental office building,office building 10. Cost of improvement ......................................................... $ at industrial plant.If use of existing building is being changed,enter proposed use. To be installed but not included in the above cost l7 aElectrical........................................................................... rSit b. Plumbing.......................................................................... � N Y --r t,-,o �6.m c. Heating,air conditioning............................................. d. Other(elevator.etc.)..................................................... 11. TOTAL COST OF IMPROVEMENT $ III. SELECTED CHARACTERISTICS OF BUILDING •For new buildings and additions, complete Parts E-L;demolition, complete only Parts J& M,all others skip to IV E. PRINCIPAL TYPE OF FRAME F. PRINCIPAL TYPE OF HEATING FUEL G. TYPE OF SEWAGE DISPOSAL I. TYPE OF MECHANICAL 30 ❑ Masonry(wall bearing) 35 ❑ Gas 40 ❑ Public or private company Will there be central air 31 ❑ Wood frame 36 ❑ Oil 41 ❑ Private(septic tank,etc.) conditioning? 32 ❑ Structural steel 37 ❑ Electricity 44 ❑ Yes 45 ❑ No 33 ❑ elnforcad concrete 38 ❑ Coal H. TYPE OF WATER SUPPLY Will there by an elevator? 34 i "=fr-Specify l 39 ❑ Other-Specify 42 ❑ Public or private company 46 ❑ Yes 47 ❑ No a T L'K c o�'n vesu� 43 ❑ Private(well,cistern) i-hott..R In J.DIMENSIONS e.wa' y 48. Number of stones ............................................................ JG '` �� M. DEMOLITION OF STRUCTURES: 49. Total square based on extenloor area, Has Approval from Historical Commission been received all floors,based on eatenor Sp0 PP dimensions ._......................................._....._..._................. sj �t for any structure over fifty(50)years? Yes_ No 50. Total land area,sq.fl.. ......... Dig Safe Number K.NUMBER OF OFF-STREET PARKING SPACES Pest Control: 51. Enclosed............-............................................................... 52. Outdoors................ HAVE THE FOLLOWING UTILITIES BEEN DISCONNECTED? Yes No L RESIDENTIAL BUILDINGS ONLY Water: 53. Enclosed............................................................................. Electric: Gas: 54. Number of Full........................................... Sewer: bathrooms DOCUMENTATION FOR THE ABOVE MUST BE ATTACHED Partial.--------.................... BEFORE A PERMIT CAN BE ISSUED. IV. COMPLETE THE FOLLOWING: Historic District? Yes_ No_ (If yes, please enclose documentation from Hist. Com.) Conservation Area? Yes_ No (If yes, please enclose Order of Conditions) Has Fire Prevention approved and stamped plans or applications? Yes 1 No_ Lie, fvv� Is property located in the S.R.A. district? Yes_ No is 7- Comply Comply with Zoning? Yes_ No_ (If no,enclose Board of Appeal decision) Is lot grandfathered? 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# 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 If an extension is necessary,please submit CONSTRUCTION IS TO BE COMPLETED BY: in writing to the Inspector of Buildings. V. IDENTIFICATION - To be completed by all applicants Name r J Mailing address-Number,street,co,,and state ZIP Code Tel.No. 2, Lessees tz. or✓ ch<p.-. ,z fan' IJ.kG (. all,`j n. id� Cffu91L QyrS• 7_i+' Lessee 2. Contractor Builders License No. 3. Architect or Engineer I hereby certify that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and we agree to conform to all applicable laws of this jurisdiction. Sigritt.wre,4applicarlAddressff� Application date lz:cr G a�m o9 DO NOT WRITE BELOW THIS LINE VI. VALIDATION Building /� —"n� FOR DEPARTMENT USE ONLY Permit number �(L/ Building Use Group Permit issued — y 19� Fire Grading Building s o Permit Fee $ G Live Loading Certificate of Occupancy $ Approved by: occupancy Load Drain Tile $ Plan Review Fee $ ITLE 611 NOTES AND Data- (For department use) Q�J baa o & 9w o�a4'G PERMIT TO BE MAILED TO: DATE MAILED: Construction to be started by: Completed by: t VI ZONING PLAN EXAMINERS NOTES DISTRICT USE FRONT YARD SIDE YARD - SIDE YARD REAR YARD NOTES SITE OR PLOT PLAN -For Applicant Use4 0 \ f � N fit# of '-$tzlem, ttss�ul�ixse#t (Office of #4E Ctu ( ierk �M.caxur,,� m�M ati«n � 3 me¢ tau a ? November 10, 1992 Ms . Shannon Courtney Mt. Zion Chapel RR2 Box 1220, Rt. 9A Wells, Maine 04090 Dear Ms . Courtney: At a regular meeting of the City Council held in the Council Chamber on Monday, November 9 , 1992 , the Council voted to approve your request to use the Salem Common for a Gospel Tent Revival on June 19 and 20 , 1993 with the following stipulations : f 1 . Permits would be required from the Building Inspector, Leo Tremblay and Salem Fire Prevention. Also a copy of your liability insurance forwarded to the Building Inspector. 2 . Contact the Salem Planning Department regarding the underground sprinkler system. 3 . Contact John Smedile, Civil Defense Director regarding the exact times of the event. 4 . Contact the Salem Police Department regarding a police detail . Payment must be made in advance. Very truly yours, /,.. _ JOSEPHINE R. FUSCO CITY CLERK JRF/jc CC : Police Chief Building Inspector Planning Dept. Police Traffic Fire Prevention Civil Defense Fire Chief L Q"� • I � \ � �1 J�/ ! � , ��' p j ;<. �� �- j ' \ \\\ 'J\J� �77 \ �\� � �M7/ • ( � \�' r � � / r ^ � I � ./. r � / � � �_� ., \ / r--- J d� Q n11}� � � � ,. - \ v �>> -� � � �' I � � � ' '� �� i. ...\ ,- a ,� \ _ _ � � , �,,cmvir.�b Fee $10.00 J irr Department �Neahquartcrz - RectMmr. 48 Tnfgctte *trect Cash:_Ck# W Joseph F. Sullivan Salem, ffla. 01970 Rec'd by: Chief APPLICATION/PERMIT TO ERECT TENTAGE OVER 120 SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 52 CMR19.00 AND THE SALEM FIRE PREVENTION� CODE, ART.# 20. \evw-, tSl,Arv�vo,o Co Ute rvey - APPLICANT: M1, z, �, r� ��c� l ADDRESS: print CITY: J P 4 ` S STATE: PO ZIP: CA O'[O PHONE: a-0 C Z LOCATION OF TENTAGE: > {� �C- rn rj OWNER OF PROPERTY: } 7;o�� j A ( ADDRESS: �j � �X 1 z2O Rig CITY: lx�g STATE: ) N'ZIP: �j OR n PHONE: `,�_0'x1 9 R -� INSTALLER/RENTAL CO. OF TENTAGE: , ^0 �, p, PAI PHONE ADDRESS: a> 0=\ rm F? CITY: STATE: ZIP: Indicate with reference to property lines and other buildings the location of the tent- age on the back of this form: MATERIAL USED: TYPE: MANUFACTURER:��_ Lr? n�� c1- ��)� � t NST C o SIZE OF TENTAGE:����� NAME OF TESTING AGENCY: AGENCY APPROVAL NUMBER: CERTIFICATE OF FLAME RESISTANCE: CONDITIONS OF APPROVAL OTHER THAN AS PER THE FIRE PREVENTION REGULATIONS: SALEM BUILDING DEPARTMENT PERMIT NUMBER: q SITE INSPECTION DATE:_ 1i di.3 DATE OF ISSUE: EXPIRATION DATE: E ZI 3 i APPROVED BY:����. TITLE: -1� Form #80B (Rev. 5/87) 4A 4 V ;A. iffiviviVIVU V will wi vow wh 7! Z Certif irate of REGISTERED ISSUED BY 6-17-92 =2�� Date Fabric No. &A TENT AND AWNING CO. I manufactured 240 RIVER ROAD F - 204 LEWISTON. MAINE 04240 M This is to certify that the materials described on the reverse side hereof have been flame- :.moir treated (or are inherenirly nonflammable). e. .;i FOR Terry Courtney A' IDDRESS Mount Zion Farm -lTy Wells TATE Maine 04090 -S 2 i-erfificaficin is hereby made that: (Check "a" or "b") (a) The articles described on the reverse side of this Certificate have been treated,.,,,iih a flame-retardant chemical approved and registered by the State Fire Marshal and that the aupiication of said chemical was cone in conformance with the laws of the State at California and the Rules and Regulations of ihe State Fire Marshal. Name of chemical used ....... ...... ...... ........ .. Chem Rea No . Method of application ..... .. .. ...... .. ....... . ...... x I The articles described on tre reverse side hereof are mace from a flame-resistant fabric or material rea[stered and aoDrovea by The State Fire Marshal for such use. -rade nameof flame-resistant fabric PRV T40 F-140.01 i he Flame Retardant Process Used Will NOT.. Be Removed By Washing (will or wiii not) SNYDER MANLJFA=ING By President 1crne of ADaiicotor or Production Suosrintencient -:36 1.09-41APA".1 Alfflm t ;ONTROL NO. cT 101 �USTOMER ORDER NO. :USTOMER INVOICE NO. 'ARDS OR QUANTITY 30' X 50' nna nigra tont 'OLOR ;TYLE 'ATE PROCESSED h-17-97 ISSUE DATE (MM/DD/YY) C ERT I F I C A T E O F I N S U R A N C E 12/30/92 PRODUCER THIS CERTIFICATE'IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, Cole-Harrison Agency EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P.O. Box 358 83 Main St. COMPANIES AFFORDING COVERAGE Kennebunk, ME 04043 (207) 985-3361 COMPANY THE HANOVER INSURANCE CO. LETTER A INSURED COMPANY LETTER B WELLS PENTECOSTAL CHURCH COMPANY E. Terry Courtney LETTER C RR k2 Box 1220 COMPANY Wells, ME 04090-9577 LETTER D COMPANY LETTER E COVERAGES THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY.CONTACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO POLICY POLICY LTR TYPE OF INSURANCE POLICY NUMBER EFFECTIVE EXPIRATION LIMITS DATE DATE GENERAL LIABILITYGENERAL AGGREGATE $ 2 000 000 A ZDP 2956922 02 06/30/92 06/30/93 PRODUCTS-COMP/OPS AGGREGATE 0 [X] COMMERCIAL GENERAL LIABILITY PERSONAL ADVERTISING INJURY I ] CLAIMS MADE [X] OCCUR. EACH OCCURRENCE I I OWNER'S 8 CONTRACTOR'S PROT. FIRE DAMAGE (Any one ire 1 ) MEDICAL EXPENSE(Any one person) AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ [ ] ANY AUTO [ ] ALL OWNED AUTOS BODILY INJURY [ ] SCHEDULED AUTOS (Per person) $ [ ] HIRED AUTOS [ ] NON-OWNED AUTOS BODILY INJURY [ I GARAGE LIABILITY (Per accident) $ [ 7 PROPERTY DAMAGE EXCESS LIABILITY EACH OCCURENCE $ [ ]Umbrella Form AGGREGATE I ]Other Than Umbrella Form WORKERS COMPENSATIONSTAI UTORY LIMITS AND - EA H ACCIDENT EMPLOYERS' LIABILITY DISEASE - POLICY LIMIT DISEASE - EACH EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS FAIR TO BE HELD IN SALEM, MASSACHUSETTS, JUNE 19 8 20, 1993 TENT WILL BE USED FOR CHURCH GATHERINGS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE CITY OF SALEM, MA. EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO OFFICE OF THE CITY CLERK MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE SALEM, MA 01970 LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OF REPRESENTATIVES. AUTHOR EPRESEN AT1 E r ACORD .:eERTIFICAI'� SIA . ITY� NCJN " oaio3/1 9s PRODUCER (626)441-7000 FAX (626)799-7051 The Corin t h Company ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 975 South Fair Oaks Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Pasadena, CA 91105 COMPANIES AFFORDING COVERAGE COMPANY Vigilant Insurance Company Attn:�. �- ---__ _ ... Ext:._ i. A — —�- INSURED --.____ _�—_--.—__- - COMPANY I' Production and Special Events Services Inc. COB 17326_Devonshire (_...- --- --- -- —------------- ---- Northradge, CA 91325 COMPANY -a -- C ' COMPANY -- .:.. D 01 AGE t., r" —"M" :,-1 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAYBE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE'POLICY EXPIRATION'. LIMITS LTR. DATE(MM/DD/VY) DATE(MM/DDNY) GENERAL LIABILITY GENERAL AGGREGATE S 2,000,000 X COMMERCIAL GENERAL LIABILITY PRODUCTS COMP/OPAGG $ 1,000,000 y. CLAIMSMADE X ', OCCUR PERSONAL B ADV INJURY �$ 1DD0.,000- A — 79438457 03/01/1998 03/01/1999 — — $ 1,000,000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE F X Prop. Damage Incl . FIREDAMAGE(Anyone 100,000 MED EXP(Any one person) $ 10,000 '..AUTOMOBILE LIABILITY -- ANY AUTO COMBINED SINGLE LIMIT $ _ ._— _- ALL OWNED AUTOS w� BODILY INJURY SCHEDULED AUTOS ✓I Y' (Per person) $ HIRED AUTOS ' 'tiI T I [ y,/ 1-, O 3S LC / �•[,. BODILY INJURY NON-OWNED AUTOS ,,/U.,6 / �2 ,tel M' (Per accident) $ -- -_ IL CIC11 ;D _CP -- ---- --- PROPERTY DAMAGE I$ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ON LV:— 'Wti$' q(: EACH ACCIDENT $ AGGREGATE$ EXCESS LIABILITY : EACH OCCURRENCE ! $ ( UMBRELLA FORM :AGGREGATE ,$ —' OTHER THAN UMBRELLA FORM is WORKERS COMPENSATION AND !, TORY LIM ITS EMPLOYERS'LIABILITY --- ~ELEACH;CCIDENT $ THE PROPRIETOR/' PARTNERS/EXECUTIVE INCL EL DISEASE POLICY LIMIT $ _—___ _ I OFFICERS ARE: ! EXCL''. I EL DISEASE-EA EMPLOYEE OTHER DESCRIPTION OF OPERATIONS/LOCATONSIVEHICLES/SPECIAL ITEMS ertificate holder is named as Additional Insured with regard to work performed by the named insured or the "Black Cauldron" Event. 10 days written notice of cancellation given for non-payment of premium. �EERTI ATEHOLPFR? °- ..__�_ . u ;�.-. .. ..._ . _.._. 4Na ;LLATIOR.. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL The City Of Salem *�Q—DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Kevin Goggin BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 1 Salem Green OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. Salem, MA 01970 AUTHORIZED REPRESENTATIVE Tami Baer '#CCORD"Z,Sry.,=S"(T(93'„Nat+tlt4�7 X17.. a�lp� w„r,r+�;. ,.q: ..:i. i .: .:a I C9)AIG'"F:1Rt2"GORPA74TION 1i98s: Plans must be filed and approved by the Inspector before a permit will be granted. No. City of Salem Ward Is Property Located in the $ Historical District? Yes_ No A N Home Phone# Is Property Located in a Conservation Area? Yes_ No �4Bus.Phone# 7 7 7 E APPLICATION FOR PERMIT TO CONSTRUCT POOL, DECKS AND SHEDS Salem, Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and address 2if 'P VAI Architect's name w Mechanic's name and address O �—` L� 2-7 Location of building, No !�jccl, -P 146 !l D vLL V"/77L/ What is the purpose of building? T 7`WJ/) Material of building? V 1 L If a dwelling, for how many families? Will the building conform to the requirements of the law? / Estimated cost % Contractors Lie. No. L -ewl Signature of applicant Signed Under the Penalty of Perjury REMARKS 7-0 No. a/?X Ward APPLICATION FOR i PERMIT TO CONSTRUCT SWIMMING POOL Location PERMIT GRANTED 19 � Approv Buil 'ng Inspector m C�iif of ,4�ttjenj, � a5gnrhusCtt5 ire De art=nt 3ieaa uariers /�F� $10.00 48 T-afaveftr '�htrrrt Cash:_Ck# 3/43 �$ttlrm, fa. 019710 Rec'd by: APPLICATION/PERMIT TO ERECT TENTAGE. OVER 120 SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 527CMR19.00 AND THE SALEM FIRE PREVENTION CODE, ART.# 20 APPLICANT: �t"riPvz� G1�✓/TA et' A SS: gl 2 �/IDJ Pe C_/ SJ 'print CITY: -e Ag3/ZL2 STATE: Gttc ZIP: HONE: Sok- 777 - //SS' LOCATION OF TENTAGE: OWNER OF PROPERTY: - ADDRESS: CITY: ST E: ZIP: PHONE!: INSTALLER/RENTAL CO. SOF TENTAGE: vt� ( � PHONE: X77 lG } ADDRESS: �! y���� CITY: & STATE:tq,4 IP: Indicate with reference to property lines and other buildings the location of the tent- age on the back of this form: / MATERIAL USED: TYPE: MANUFACTURER: SIZE OF TENTAGE: zl tl O NAME OF TESTING AGENCY: 71 69 ✓t.) zi r'L -� AGENCY APPROVAL NUMBER: f�� j , lU Z xr�- CERTIFICATE OF FLAME RESISTANCE: � 'G� CONDITIONS OF APPROVAL OTHER THAN AS PER THE FIRE PREVENTION REGULATIONS: sy 7-0 L/ SALEM SALEM BUILDING DEPARTMENT PE"MIT NUMBER: SITE INSPECTION DATE: ,DATE OF ISSUE: P 9 9 EXPIRATION DATE: /� q C.. APPROVED BY: TITLE: Form #80B (Rev. 5/87) rr•.,.^..��R +'�+.Ca.' N'1.��w..^�1*.w.+^-^.•�,.,�N�'".�ry1T"F3'T,a„iyfrir�r'P+"ipwv+ L i'�W`^" � "'"�[Iw�Fr�.�VP"�w!a vr' FIELD COPY CITY OF SALEM BUILDING =° SALEM, MASSACHUSETTS 01970 PERMIT T^ VALIDATION V 4[� DATE Nov. 251 19 92 PERMIT No, 557-92' APPLICANT A. Luce ADDRESS Maine ' INO.) (STNF[TI 1[01.19.5 ♦IEf M[(I 1f1t TENT SALEM �yy�,1l N NUMBER OF PERMIT TOS'+ yY1 Imo) STORY VC.W�a'+ \AA'1').11V DWELLING UNITS ITTP[ 0• IMPROEEMENTI N0. IPROPOSEO USE, AT ILOCAT IONI SAIAEM COMMON ZONING DISTRICT- (.o.1 ISIREETI - BETWEEN AND ICR°Sa STREEII ICMOSS STREETI LOT, SUBDIVISION LOT BLOCK SIZE BUILDING IS.TO BE FT. WIDE BT FT. LONG BYFT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: ERECT A 50' tent for revival meeting -REA OR PER i OL UME ESTIMATED COST $ FE EMIT S 20.00 ,r:uo SR VIA[ E[n, ' OWNER T. (Owner of tent) A^oREes. City of Salam - la) E. Tramhlav INSPECTOR OF BUILDINGS ny, INSPECTION RECORD DATE NOTE PROORESS - CRITICISUS •ND REMARKS INSPECTOR ��'�ij�nrCK�ri*^,•7�.,Tim,C'sJh'�,fiw�,�.NA,•HI�iL��*r�nr��A�-gq �{•ftiJ4�•e�.}.�� .�.yy+�..i,�.TMN- .. Or�'+F '\Y'.. f1�"'�"^`"M'�a�".L'v ..-�.a+•Iwr�r•DLr�F�1r'- FIELD COPY 0. CITY OF SALEM BUILDING SALEM. MASSACHUSETTS.01970 PERMIT YIs VALIDATION I DATE May 6, IB 93 PERMIT NO. 149-93 APPLICANT Christopher Hansen ADDRESS BOStOn SMA --- • - INO.1 1'S iR FL TI - ICOx\R•5 LI([Nf[1 OF PERMIT TO ERECT TENTS (_I STORY RAT.FM rfWWW DWELLLLING UNITS. 1\,P( 01 IMPROVL4(xll NO, IIPOPOSLD USE) ZONING AT ILOCATIOL.I SALEM CC74CN DISTRICT Ixo.l ISTRFtn BETWEEN AND IcROU STREET, - IcP055 Si P(Fy' LOT SUBDIVISION LOT BLOCK 'SIZE BUILDING IS.TO BE FT. WIDE BV FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION - Lrt•O 1,R5Ty�,L\ Y1 (TYPE, E REMARKS: P + S & CRAFT FESTIVAL 40'X60' & 40' X 80' fran �5/29/to5/31 93 '0EUME ESTIMATED COST $ — FIE S 20.On :c»Ic.SOVeRF ,ELTY JWNER Maine Bay Canvas .^DIES par Plaza 416, Boston,MA 02116 Leo E. Tremblay INSPECTOR OF BUILDINGS �. �• .} - 1.. -.T• Y T`n.t, ..il.b. - .. tP. 4 rixq - n +1.. INSPECTION RECORD DATE NOTE 0000041{{ - CRITICISMS AND 0EMAMKS INSr41CT00 ,ItnYq..l"'^.w'++Sik"'1.Iit�YMsa•+��L<�^'�YT. .{i�.'°^'!�f"T'>r+r�l7• � . 3' '^41'T^ t f. FIELD COPY 'y 1" CITY OF SALEM BUILDING =° SALEM, MASSACHUSETTS 01970 PERMIT Y� VALIDATION 4cpmE( n I�• - , DATE Fdb' 4, 1993 PERMIT NO. 30-93 APPLICANT E. Chapel ADDRESS We,Is, ME. INO.I ISTPEETI ICOHI R•S •ICFNf[r Eir�,iTl SAL Lw.E ryyq,S�T�* NUMBED OF PERMIT TO l�Y�' • (�I $T ORV �•+ CaNSW DWELLING UNITS IITPE O• wPR OVEu(RN N0. (PROPOSED USE) t+'nT 2wR F11V..1°.T N i.TflRD 2 ZONING Ai ILO;AT�OAI Jt'WL3R \.�ADANy SYCLLW L DISTRICT 1x0.1 ISTREETI BET wE Er. AND ICPOSa STREET) IC°OSS STREEII -_ LOT SUBDIVISION LOT BLOCK SIZE BUILDING ISJO BE FT. WIDE BT FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION 1 TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION Y ' /per V �i,�T,ITn TELT] ITn❑ REMARKS: Erect G[LEA/L[SISA 30'X501 LGLVl SFIU IN JiIL E RREA OR 'ERMIT IOLUME ESTIMATED COST $ 5E000.00. EE S 20.00 .r:ela eow.RE PE(n OWNER City of Salam 93 Waahinaton St. , calam MA Lao E. Tremblay INSPECTOR OF BUILDINGS i-` ovx f INSPECTION RECORD DATE "OTC PROORESS - CRITICISMS •ND REMARKS INSPECTOR Plans must be filed and approved by the Inspector prior to a permit being granted CITY OF SALEM No. /Oztj-��y Ward HISTORIC DISTRICT? Y td Date �� � / IF FOR SIDING, HAS ELECTRIC f o Home Phone Vq6 q ` 403 7 PERMIT BEEN OBTAINED? Y N �s � Bus. Phone _s«, - APPLICATION FOR PERMIT TO TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and address Architect's name Builder's name (1 L I Location of building, No. What is the purpose of building? +D p"f cu C-I{� �L- , CQ� U_ If dwelling, # of units? Material of bldng? Will building conform to law? Asbestos? v Estimated Cost— City Lica �/ /A_ State Lic.# Home Improvement License # Signature of Applicant 4 �4-9) SIGNED UND R THE PENALTY OF PERJURY DESCRIPTION OF WORK TO BE DONE Mail Permit to: Y r lQl� 1 _ �j /Jk� L C- - l� - SAF} - �r y3 0 a 14 0 (I=AY) Warn APPLICATION FOR PERMIT TO ROOF REROOF OR INSTALL SIDING Locationl PERMIT GRANTED r / 19 9T App ro ed '140 co- BP Ing (nape ori �. ��.rnain4b 3 Ltfg of nlent, � assurhusr#ts z w Fee $10.00 �5' 'Tire 33epartment 73eabquartrrz 48 lafavette itrrrt Cash: Ck#�G 35 alem, _ffla. 01970 Rec'd by: APPLICATION/PERMIT TO ERECT TENTAGE OVER 120 SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 527CMR19.00 AND THE SALEM FIRE PREVENTION CODE, ART.# 20 APPLICANT: Et_D5 C(+e l S-C-oflf ER ADDRESS: S4 f� UPtiwo print CITY: G0 C4-0,k ( nyft, STATE: _ZIP: Oa I }.Z PHONE: 6 I -tel 2 3 - LOCATION OF TENTAGE: o,,, rcyllyizyon -) OWNER OF PROPERTY: CLLt 61 I Q _ ADDRESS: ✓(J� a.�l v ��rM ua� CITY: SQ Qpm STATE:n_ _ZIP: of�o-PHONE:: INSTALLER/RENTAL CO. OF TENTAGE: PHONE: ADDRESS: a � � ✓nc , aQ-, Q CITY: @e STATE: 0E4 ZIP: p 3 OSy Indicate with reference to property lines and other buildings the location of the tent- age on the back of this form: MATERIAL USED: TYPE: kAlaa O`jO MANUFACTURER: G . SIZE OF TENTAGE: 3 0 X a o L_tg� NAME OF TESTING AGENCY: ' L-yQQ Co AGENCY APPROVAL NUMBER: F- 04 S77 CERTIFICATE OF FLAME RESISTANCE: a�ttGz� 9 CONDITIONS OF APPROVAL OTHER THAN AS PER THE FIRE PREVENTION REGULATIONS: SALEM BUILDING DEPARTMENT PE"MIT NUMBER: SITE INSPECTION DATE: 'DATE OF ISSUE: SJ EXPIRATION DATE: 3d APPROVED BY: 9�Allzdll',' 1 TITLE: / Ke Form #BOB (Rev. 5/87) W) allac�arcfc! �9U4c Yl4dy OFFICE OF THE STATE FIRE MARSHAL Joseph A.O'Keefe,Sr.,PE 1010 Contmonwedth Average State Fire Marshal Boston, Massachusetts 02215-1201 rr Vi To: Read ^^of Fire Department/Pira DistrictDate: 7q 12D 9$ �71.f�1 (City, Town or District) Instructions: SUPRM P DT »• OF rrgfffOBKS D TA FO w 1. This form, properly filled out (in triplicate) , must accompany all applications for permits (Form F.P. 6 rev 3/88) for Supervised Displays of Firewbrks. 2 . Both this form and the application shall be signed by the responsible representative of the municipality, fair association, amusement park and other organization or group of individuals making application for permit. 3 . Triplicate copies of both application and data form must be submitted to local head of fire department at least fifteen (15) days in advance of proposed date of display. (ch. 148, S. 39A) . 4 . One copy of the application artd data form must be forwarded to the State Fire Marshal and it is requested that a copy of the permit, if issued, also be forwarded to the Marshal not less than five (5) days after receipt of application (527 CMR 2.00) . 1. Permit requested by (Sponsor) TYr Licht 1+ eyeniSkryk=c5 Inc . 2. Address 3. Location of Display ,,�o 4. To be furnishe by 5. Address y 6. Name of company issuing surety bond Amount 7. Name of competent op to Cert. No. F/1Mt�� 8. Date to be held 3 q From : To 9 : fist , 9. Rain date (if any) From To --I—"— 10. Manner and place of sto age of fireworks prior to disp y Applicant no By Title Local Approval: -(ch. 148, S. 39A G.L. ) I hereby certify that (A) the competent operator named above has my approval and (b) that in my opinion the display described will be of such a character, so located, discharge ired as not to be hazardous to property or to endanger any perso>(r per ons. 11 ' (Head of Fire Departme t Fire D str ct) isbe commantnea(th of f$taggacbUgettg DEPARTMENT OF PUBLIC SAFETY—DIV151ON OF FIRE PREVENTION 1010 COMMONW[ALTN Av[Nu[. BoarroN APPLICATION FOR PERMIT • .11 199$' To: HEAD PF FIRE DEPARTMENT C.82 S.40 M.G.L. OIG SAFE NUMBER Ory > T• N, In accordance with the provisions of Chapter 148, G.L. as provided in Sec. 12 application is hereby Start Date AUG_ 4. 1998 tt) made By Name Ler;, f f IAr�PCl�Y101�/1U 1( 11 n.m. OI p•r,pn, IAA J<P yG� Address 7 C�. �e�- lee-" n --1!)71 ([qr..t •. P.O. *I tG1113P w T••sem A for permission to n+C.S a u State clearly ,-ii purpose for which permit is requested H at M o Y1S � v Name of competent operator .4th/ >o Cert. No.SF (If applicable) H G. . Date Issued--rejected 7/31/98 19 B INSP.P. By ISISwr4rif of 800kaol Date of expiration-8/3/98 19 Fee 310.00aid—Due CK111134 ...........................................................................................•................................. the (rommontneaub of oiaggacfjugettg DEPARTMENT OF PUBLIC SAFETY—DIVISION OF FIRE PREVENTION C.82 5.40 M.G.L. 1010 C01W140Nw9ALTH Avwui. SawaiN DIG SAFE NUMBER SALEM, MA. JULY 31, 1998 IGt► b T•w,l 1twel Start Date — ATM 3, 110ap PERMIT \ n accordance with the provisions of Chapter 148.G.L as provided in 12 this permit is granted to Name ZENITH PYROTECHNOLOGY 25 JEFRYN BOULEVARD DEER PARK NY 11729 to TO CONDUCT THEATRICAL PYROTECHNICS Ei ON SALEM COMMON State clearly purpose for w ,ti which permit 4. is granted N uNt p Restrictions: ro SALEM COMMON at IrJw 1..•Ilw a.h•.1 w ro..•w•M w.., .ver r b�•.1 •Oly.l. I�I..rw.a 1 Fee Paid $ 10.00 Ij�lw•a en,an vrwry p,..11 M f/C_ 1 � w This permit will expire A1TG- 3, 19 98 — `Ae C�' IT11M ,'��r (gib ur uuueaw•a��� n,�..-/'/a.1J¢C/[uJe�b e 9a=.c°.::ve Off'.ce .f Public safety Deoartment of ?ire Services Special Bffects Cert. of Competency Number: 6aplres: Birthdate: SE 000111 10!31!1992 10!2411961 cc.r.rred Tn: STEM, DOBC c.cggyy BCDg';ARD NY 11129 CL !17 2-15-87 VA�LLGP RFN'Ti�,L CENTER AIM.H.F [-ST Lu w NH ZO 'o co L–C,–el 0 0 cm CL Lo 00r,- C\J uj Top V71, te Dacron T 0 Q0 Z 30 x 3 0 U-i eat. 2 Pie.:::e Expandable 14 —------– c B B t. It : S ,:5- 067 Plans must be filed and approved by the Inspector prior to a permit being granted CITY OF SALEM No. 19 J� Ward SONDI , v �sr HISTORIC DISTRICT? Y N Date � - e IF FOR SIDING, HAS ELECTRIC �i� Home Phone PERMIT BEEN OBTAINED? Y N o�MnvBW� Bus. Phone APPLICATION FOR PERMIT TO TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and address S ALAILvvu cin f_��c�R-rti Cr�.�nc�nl Architect's name /\ 1 Builder's name Location of building, No. What is the purpose of building? k( 11 An:NUflL e� �FAp=�,ET 1 c -cU4L If dwelling, # of units? Material of bldng? / C �Anl�/� ( Fi2��2CbF, Will building conform to law? Asbestos? Estimated Cost y Lic.li State Lic.# 4 ome Im ement ense if Signature of Ap lica // �2i6N�E.t/ E PENALTY OF PERJURY 0Y1ti-,VA61.J6 -D �- DESCRIPTION OF WORK TO BE DONE Mail Permit to: y y a- /f No.�� Ward APPLICATION FOR PERMIT TO ROOF REROOF OR INSTALL SIDING Location �I PERMIT GRANTED 19 Approved d cWB Inspec Or Tlerttfictt#E of NIUMIC E t' �tMI CE REGISTERED �sreq ISSUED BY FABRIC Q�•'" •,FQ JOHNSON CAMPING INC. Data of Manufacture NUMBER t BINGHAMTON, NEW YORK 13902 Manufacturers of the Finest F-140.01 '3F ' "'P�° Tent Products Described Herein 03/01/88 ,tL F-140 !� F-ICO This is to certify that the materials described have been flame-retardant treated (or are inherently " noninflammable) and were supplied to:) NAME: MAINE BAY CANVAS CITY PORTLAND STATE ME- Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code, equal to or exceeds Federal Specification MIL-C-43006E Method of application: LAMINATED Type, color and weight of canvas: 12 oz. CANVAS YELLOW/WHITE Description of Item certified: 40x40 2—pc. g` Flame Retardant' Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric SNYDER MANUFACTURING CO., DOVER, OHIO 1mm Name of Applicator of Flame Resistant Finish TENT DEP FITMENT,JOHNSON CAM G, INC. KENNETH L. NIGH u+�3�J�'�3�I�1�3t�d1?�3�±2�:r3�i3�aT2�T3�1�1�i1�d2�1�3�J�d17JJ?�D7�J?�3�12�132y$1�'1L�1�?� . . .. �1° �� �� �� D �� �,. �'�� TErt1ftratE .Uf Name 1EotstunrE � REGISTERED �sTFq ISSUED BY FABRIC Q�•'`• •.Fa JOHNSON CAMPING INC. Date of Manufacture NUMBER r' BINGHAMTON, NEW YORK 13902 Manufacturers of the Finest Tent Products Described Herein 03/01/88 AF1P �7 This is to certify that the materials described have been flame-retardant treated (or are inherently noninflammable) and were supplied to:) NAME: MAINE BAY CANVAS CITY PORTLAND STATE ME. Certification is hereby made that: The articles described on this Certificate have been treated with a flame-retardant approved chemical and that the application of said chemical was done in conformance with California Fire Marshall Code, equal to or exceeds Federal Specification MIL-C-43006E Method of application: LAMINATED Type, calor and weight of canvas: 12 oz. CANVAS YELLOW/WfiITE Description of Item certified: 40x40 2—pc. Flame Retardant Process Used .Will Not Be Removed By Washing And Is ,y{ Effective For The Life Of The Fabric ,? SNYDER MANUFACTURING CO., DOVER, OHIO Name of Applicator of Flame Resistant Finish TENT DEP RTMENT, JOHNSON CAM G, INC. KENNETH L. NIGH th�3�l2�J�+3�J�311�J?�D1�1�3a�3t�+J�3�13�J4�S�A14�JJ�2�?t�3A1�J�D32A3�?�dJ2�D1�J�1�?L�J�3� w30�Q�_m) �itJ IIc��Cl1i� C � 55�It�1It5Pf� Fee $10.00 Yirr Drpartnunt 3ira6quartcrz 48 1Cttfttnrttr ?trrrt Cash: Ck#1Zel idem, ftt. 01970 Rec'd by: dy APPLICATION/PERMIT TO ERECT TENTAGE OVER 120 SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 527CMR19.00 AND THE SALEM FIRE PREVENTION CODE, ART.# 20 APPLICANT: WATERFRONT FESTIVALS, LTD. ADDRESS: PO BOX 369 print CITY:, HAMPTON STATE: NH ZIP: )#*$# PHONE: (603 )929-4111 LOCATION OF TENTAGE: SALEM COMMON OWNER OF PROPERTY: CITY OF SALEM ADDRESS: CITY: SALEM STATE: MA ZIP: 01970 PHONE!,, INSTALLER/RENTAL CO. OF TENTAGE: MAINE BAY CANVAS PHONE: ( 207 ) 878-8888 ADDRESS: 53 INDUSTRIAL WAY CITY: PORTLAND STATE: ME ZIP: 04103 Indicate with reference to property lines and other buildings the location of the tent- age on the back of this form: MATERIAL USED: TYPE: CANVAS MANUFACTURER: THE ASTRUP COMPANY SIZE OF TENTAGE: 40 x *e- Sto NAME OF TESTING AGENCY: GRANITEVILLE COMPANY AGENCY APPROVAL NUMBER: F-76 . 2 CERTIFICATE OF FLAME RESISTANCE: ON FILE CONDITIONS OF APPROVAL OTHER THAN AS PER THE FIRE PREVENTION REGULATIONS: SALEM BUILDING DEPARTMENT PPEER,M�IT NUMBER: SITE INSPECTION DATE 1 `y'.DATE OF ISSU .0 / EXPIRATION DATE 4fy APPROVED BY: .,.1 Form #80B (Rev. 5/87) IIiI1E111� C ' � StSL 1LI5C5 Fee $10.00 t . x / r d- � 9 ire �rpn rt matt �j enLqunrtcra trcct Cash' Ck#.3�� 48 �Caf nlettc __ .Rec d by: APPLICATION/PERMIT TO ERECT TENTAGE OVER 120 SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 527CMR19.00 AND THE SALEM .FIRE PREVENTION CODE, ART.# 20 APPLICANT:_wTtarPrnnt Fa aGtiylG Ltd ADDRESS: pa Rnx 369 — print PHONE" ���)929-4111 CITY: Hampton STATE: NH ZIP: 0384__3_ +_ LOCATION OF TENTAGE: Salem Common OWNER OF PROPERTY : city of Salem ADDRESS: CITY: qAlpm STATE: MA ZIP:—Q quo PHONB!: INSTALLER/RENTAL CO. OF TENTAGE: Maine say Canvas PHONE:�392�BB8 ADDRESS: 53 Industrial way CITY: Portland STATE: ME ZIP: 04103 Indicate with reference to property lines and other buildings the location of the tent- . ( age on the back of this form: MATERIAL USED: TYPE: Canvas MANUFACTURER: The Astrup Company SIZE OF TENTAGE: 40 ' x 40 ' NAME OF TESTING AGENCY: Graniteville Company AGENCY APPROVAL NUMBER: CERTIFICATE OF FLAME RESISTANCE: CONDITIONS OF APPROVAL OTHER THAN AS PER THE FIRE PREVENTION REGULATIONS: SALEM BUILDING DEPARTMENT PERMIT NUMBER: SITE INSPECTION DAT ATE OF ISSU EXPIRATION DAT APPROVED BY: TITLE: Form #BOB (Rev. 5/87) e Plana must be filed and approved by the Inspector before a permit will be granted. �7d. 3l �i City of Salem 3 j�� Ward 4 Is Property Located in the Historical District? Yes_, No R Home Phone# Is Property Located in a , J Conservation Area? Yes_ -No ''+ - Bus.Phone# ' dpKL APPLICATION FOR PERMIT TO CONSTRUCT POOL, DECKS AND SHEDS Salem, Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to the following specifications: Owner's name and address 41AJ6 ( � Architect's name k/ a �, 7 - Mechanic's name and address �/— ( Q Sao✓ _ 7:77--/Z 5-S MAN L!f . Location of building, No. 5:*A`CiA4 C L2>44 J,"t0 Jf! What is the purpose of building? 'TC/!X- 'T-eL/!r Material of building? If a dwelling,for how many families? Will the building conform to the requirements of the law? Estimated cost ContraFtors L' No.No. S S Signature of applicant ZIG0144 21rte,e, ,�� a . _I ' Signed Under the Penalty of Perjury REMARKS MhL/ F No. Lo Ward APPLICATION FOR D1�2� PERMIT TO CONSTRUCT SWIMMING POOL Location SGC�JG PER T GRANTED 7 __-7ir is q� Approve BK giatfinspector 4 1 ` 9 Insurance policy Type ❑ Guarantee Insurance Company Policy -—PA xL Wilmington,Delaware 18806 El Lincoln Insurance Company Policy Number - Renewal Wilmington,Delaware 18886 �J ARDI PARTNERSHIP Certificate I'llat-oz The Lincoln Group LIABILITY PROTECTION Declarations R3111103%4-01Item 1. Named Insured PARTY RENTAL INC. The Named insured I. H.1BC0 PPRTY REMPL OPA ❑Individual ❑Partnership Street Address P.O. OOX 273 ❑domt Venture N Corporation We protect you for Damage to Others because of: City,State OANJERS, MA Zip 01423 0 Other necessitated Business RENTAL $TORE Item 2. Policy Period From 07/10 /94 To O7 /10 / 95 bodily injury 12:01 AM Std.Time at the Produ®, AR1I lGETdCY INC. No 017142 property damage address or the Named insured Office Address 2700 RJG(CREEK PARKUY STE, 400 personal injury as stated herein. Car.Suter ZIpN. KNEAS CITY M 64117 fire damage The insurance provided is subject to all cattle but at all times is subject to contractual AtermsandpoluditionsTTENTION the Policy desig updated forms which are listed below and advertising nated above to which this Renewal Certifi attached hereto. host liquor employees as insured Item 3. Coverage Tvce of Insurance Limitsol Cnny aPremium watercraft-non-owned OTTERCIAL W.CPERTY PER FUR15 E INCL. rental trailers y 1M equipment trailers 15000 01 000. E INCL. CCPPFLFENSIVE GENERAL LIPBIL[TY PER FORS E ]IVfI. s s s E FOR LIMITS OF: S S E 9D-TOTPL E 3.696.00 $ UNLIMITED Annual Aggregate TAX 5% a 184 83 $ 1,000,000 Per Occurrence Additional and/of Revised Endorsements/Coverage Parts /Forms are memaied Here ny number CF1245, CF-68, ETDT.3A, hA'D93, E-997, f°P9991, CL0401 $ 1,000,000 Personal and Advertising Injury All other Prior attachments are still applicable.- E-81a, (3.9904, E-%3, 62011, E-999,EMT, 0 $ $ 50,000 Fire Damage Liability Total Renew a Pre $ 3,880.80 08-22-94 fly $ 1,000 Medical Payments Dale Prepared awre of AuIM1Or bed Representative Jo'°I°^°� ORIGINAL "...'asIn addition we protect you for: .7 V. PROPERTY NOT COVERED containing such property by perils not otherwise - products/completed operations liability A. Animals, currency, money, notes, accurpoes. onclud.d. stamps,deeds,accounts,bills,evidence of debt, D. Electrical injury or disturbance within any article valuable papers,original plans and specifications, from artificial causes,nor mechanical breakdown FOR LIMITS OF: letters of credit,passports and railroad or other or derangement,latent defect,faulty materials,or ticket.,unless endorsed better. workmanship unless fire or explosion ensues and B $ 1000,000 Annual Aggregate . Furs. garments c m ,consisting principally of fur, en only for fess or damage caused by such jewels, watches, pearls,precious stones, gold, ensuing fire and explosion. .liver,platinum,other precious metals or alloys, E. Any process of refinishing, renovating, ar urd.n.endorsed. - repairing other than damage from ensuing fire pr C. Aircraft,watercraft (except watercraft up to 18 explosion. - CF-68 112/921 *Required only when his endorsement is issued subsequent to the preparation of the policy Page 1 o/4 f Chi of 1:6al Fee $10.00 07 ,ire Drprimrnf �-Irungnarfrrs 49 T'zlf:i}icffc --�-frcct Cash: C ;: 3L7 ulrm, ::. 0197D Rec'd by: Joseph F. Sullivan "— Chief APPLICATION/PERMIT TO ERECT TENTAGE OVER 120 SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 527CMR19 .00 AND THE SALEM FIRE PREVENTION CODE, ART.r30. APPLICANT: / R� !G �i ,�L ADDRESS: 9/ /( //JD,;'/rr 7- QST print CITY : pFl3riPG'rf STATE: d1 _ ZIP: D/ �PHONE: Sp � 777�� S LOCATION OF TENTAGE: S& f;-n l'(l ln., eel' 0'-,NER OF PROPERTY : l36E 5efLCM ADDRESS: yH • CITY : �� z 2z .f'll," STATE: 6�4 ZIP : 0/�7D PHONCI: 7y s- INSTALLER/RENTAL CO. OF TENTAGE: I)LVA(•D PHONE: 777-14 ADDRESS: q1 e f�/ C'C's CITY : = STATE: -ZIP: 0� 2Q Indicate with reference to property lines and other buildings the location of the tent- ane on the back of this form: PATERIAL USED: TYPE : MuVI;UFACTURER: A.;z- /o Li:5 '�'& S SIZE OF TENTAGE : NAME OF TESTING AGENCY : AGENCY APPROVAL NUMBER: CERTIFICATE OF FLAME RESISTANCE: CONDITIONS OF APPROVAL OTI4ER THAN AS PER THE FIRE PREVENTION REGULATIONS : SALEM BUILDING DEPART.4ENT PE"MIT NUMBER: SITE INSPECTION DATE:_% /V10ATE OF ISSUE: 'r EXPIRATION DATE: APPROVED BY : v///jJ?/jild � TITLE: - Plans must be filed and approved by the Inspector before a permit will be granter?— No. ranted — No.sCity of Salem Ward 02 Is Property Located in the yy Historical District? Yes_ No_ H Home Phone# L I Is Property Located in a r ` A Conservation Area? Yes_ No rye[ •� Bus.Phone# APPLICATION FOR PERMIT TO CONSTRUCT , Salem, Mass., TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit to build according to a following specifications: Owner's name and address MS, tg kyk,bNa� Dnl C�opa�. �,.R,z- 1'iaQP Architect's name Nb A Mechanic's nameand address G-I-2vn OIn", Location of building, No. What is the purpose of building? T v4 Material of building? FIX' PAnoF If a dwelling,for how many families? N4. Will the building conform to the requirements of the law? ��$ Estimated cost Contractors Lie. No. (� Signature of applicant ^^ c5 i rztm. ti4 7 t��n� e Mn cin Signed Under the alty of Perjury / _ J REMARKS h O• 3 No I Ward APPLICATION FOR PERMIT TO CONSTRUCT SWIMMING POOL Location PERMIT GRANTED q� 19 /� ApprC e Building Ins for ede616716k4 a c 9�Qtmive�`' May 3 , 1994 Ms . Shannon Courtney Mt. Zion Chapel RR 2 Box 1220 RT. 9A Wells , Maine 04090 Dear Ms . Courtney: At a regular meeting of the City Council held in the Council Chamber on Thursday, April 28, 1994 , the Council voted to approve your request to use the Salem Common for a Gospel Tent revival on July 7 , 8 and 9 , 1994 from 11 : 00 A. M. to 1 : 00 P. M. and 7 : 00 P. M. to 10 : 00 P. M. with the following attached stipulations : c Very truly yours , DEBORAH E . BURKINSHAW CITY CLERK Attachment ( 1) cc : Police Chief Police Traffic Civil Defense Electrician Building Inspector Licensing Board Fire Chief Fire Prevention Planning Dept . I Certificate of same Remi.5tance �sre °<�.•,,,4F REGISTERED ISSUED BY 6-17-92 Q �� •' O Date c Fabric No. L &A TENT AND AWNING CO. manufactured 9 +1, . P (� 240 RIVER ROAD ''F REZPa° L F - 204 LEWISTON, MAINE 04240 This is to certify that the materials described on the reverse side hereof have been flame- retardant treated (or are inherently nonflammable). FOR Terry Courtney ADDRESS Mount Zion Farm CITY Wells STATE Maine 04090 Certification is hereby made that: (Check "a" or "b") , (a) The articles described on the reverse side of this Certificate have been treated with aflame-retardant chemical approved and registered by the State Fire Marshal and that the application of said chemical 1 was done in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. , Name of chemical used . ......................... . ....... .... .. .... .....Chem, Reg. No ... ......... ....... Method of application . .... ........_. ............__... ......... ... . . ......... _........... ...... s a (b) The articles described on the reverse side hereof are made from a flame-resistant fabric or material registered and approved by the State Fire Marshal for such use. Trade name of flame-resistant fabric ....PR No. F-140.01 The Flame Retardant Process Used.WILLNU. .. Be Removed By Washing (will or will not) SNYDER MANUFACTURING By Name of Applicator or Production Superintendent PresidentTBI, LI � coamq (Ti#u of "Salem, C assachu5e#f a Fee $10.00 `, r%� -�' ire �e�artmesd �eaD�varfera Rc•.mmc 48 j:nf tutte ;c_-trrrt Cash: Ck# 2z2 ,Sa&m, fa. 01970 Rec'd by: [^wA J ' APPLICATION/PERMIT TO ERECT TENTAGE OVER 120 SQUARE FEET IN THE CITY OF SALEM ACCORDING TO THE MASSACHUSETTS FIRE PREVENTION REGULATION 527CMR19.,/0�0 AND THE. SALEM FIRE PREVENTION pCODE, ART.# 20 APPLICANT: .i h'vwoN COL,?ANf_� /l 17-1Od Fa:erhADDRESS: 27-0 print p CITY: C_11.5 STATE: c ZIP: 0 /O� 0 PHONE: 0207• jg 47 ( I LOCATION OF TENTAGE: p N OWNER OF PROPERTY: of S a Leh ADDRESS: CITY: STATE: ,, II ZIP: PHONE!: INSTALLER/RENTAL CO. OF TENTAGE: We O 1nl a m ps A 1� PHONE: ADDRESS: CITY: STATE: ZIP: Indicate with reference to property lines and other buildings the location of the tent- age on the back of this form: MATERIAL USED: TYPE: MANUFACTURER: L S A l r, 3 I wo w5 Co - �N Yoe K SIZE OF TENTAGE: 3 0 X c NAME OF TESTING AGENCY: AGENCY APPROVAL NUMBER: CERTIFICATE OF FLAME RESISTANCE: i4 D• 0 I CONDITIONS OF APPROVAL OTHER THAN AS PER THE FIRE PREVENTION REGULATIONS: SALEM BUILDING DEPARTMENT PE"MIT NUMBER: SITE INSPECTION DATE: 7 G �,l ,DATE Of ISSUE: C A q EXPIRATION DATE: APPROVED BY: IA W44 TITLE: �' F/telA], Form MOB (Rev. 5/87) 7entevival at S afem Common (Aass.) JUCT 7th, 8thi & gth 5'hurs, tri, Sat. » :ooam & 7:0OPM �noint¢d Trcaching $l TraTer for the sick Chi[dr¢n come and s¢¢ 3ion the Treaching Tarrot (EAverTone �elcome mor further CInformation Caf[ 5'errT $2 Shannon Courtney (207) 985- 679 Oz.* of JakInI, JAuanc�� f 01,01OkIwIl i March 29, 1996 Rev. HPs. Amy Ravish The Temple of Nine Wells P.O. Box 281 Salem, MA 01970 Dear Rev. Ravish: At a regular meeting of the City Council held in the Council Chamber on Thursday, March 28, 1996 the Council voted to approve your request for use of the Salem Common on May 5th, 1996, from 10:00 a.m. to 6:00 p.m. Please read over the attached list of "Rules for the Salem Common" and abide by those that pertain to your function. Very truly yours, DEBORAH E. BURKINSHAW CITY CLERK Attachment ( 1) cc: Police Chief Police Traffic Licensing Board Eire Chief Planning Dept. Tourism Office Electrical Dept. Officer Paul Emelian Health Dept. Building Inspector RULES FOR USE OF THE SALEM COMMON 1. You must contact Officer Emelian (744-0171 Ex. 27) regarding a police detail. 2. No Vehicles on the Common 3. If you are using a Tent you must acquire a permit from the following: Salem Fire Prevention ( 1-508-745-7777) Salem Building Inspector ( 1-508-745-9595 Ex. 381) Salem Planning Department ( 1-508-745-9595 Ex. 311) (contact as to the layout of the tent due to an underground sprinkler system) 4. If electricity is required, contact: Salem City Electrician ( 1-508-745-6300) 5. If you are cooking, selling, or serving food on the common you must contact the following: Salem Health Department ( 1-508-741-1800) Salem Fire Prevention ( 1-508-745-7777) Salem Licensing Board ( 1-508-744-0171 Ex. 30) 6. If you requireportable toilets because of large crowds or you are using the Common for a long period of time contact: Salem Health Department ( 1-508-741-1800) 7 . Clean up after the event. 8. If any of the funeral parlors are having wakes, keep the volume on the speaker systems low. 9. The location of the Parking Garage and Lots should be included on notices and flyers publicizing the event. For information contact: Salem Parking Department ( 1-508-745-8120) 10. Prohibited signs, City of Salem Code of Ordinances, Chapter 3, Section 3-55 (d) Signs which are pasted or attached to utility poles,trees,fences,other signs,or structures which are on or over public or private ways are prohibited. 11. If Vendors are selling any goods (including food, beverages, merchandise) on the Common you must contact the Licensing Board regarding a Vendor License. Licensing Board ( 1-508-744-0171) Ex. 65 or Ex. 30 `Ils e 7e ple of t jne wells Rev. HPs Laurie Cabot jg?mblRev. HP Richard Ravish Rev. HPsRmy 'Gypsy"Ravish Aarch 10, 1996 C.(E. Salem Citi Council 93 NVashington Street Salem, gKA 01970 070 whom it maT concern: 0-he 5-emple of (ine CWeQs respectfulll requests the use of the Salem Common from 10:00 a.m. through 6:00 p.m, on SundaT AaT 5th, 1996 for our first ,annual (Beltane 37estival. We are planning a famill picnic with a Aaj ,Pole Tance, a costumed walk around the perimeter of the park, entertainment, and if possible, apettin8 Zoo for children! We anticipate 100-300 attendees and we are looking forward to a lovelt�Spring daT. Tlease contact us with written confirmation of permission for this event. 0-hank jou for Tour attention to this matter. qn ht, �ev. s. Anil (Ravish 5-he 3-emple of Rine Wells phone: 745-8668 fax: 744-3296 P.O. Box 291 • 531era, Massachusetts 01970 - (508) 730-0334 Salem historical Commission ONE SALEM GREEN, SALEM. MASSACHUSETTS 01970 '.,508)745-9595 EXT. 311 CERTIFICATE OF APPROPRIATENESS It is hereby certified that the Salem Historical Commission has determined that the proposed ❑ Construction ❑ Moving ❑ Reconstruction ❑ Alteration ❑ Demolition ❑ Painting ❑ Signage ® Other work as described below will be appropriate to the preservation of said Historic District, as per the requirements set forth in the Historic District's Act (M.G.L. Ch. 40C) and the Salem Historic Districts Ordinance. District: 1'ashington Sauare Address of Property: Salem Common Name of Record Owner: Citv of Salem at the reauest of AP.TSalem Description of Work Proposed: Carving of rotted tree stump into sculpture of Samuel McIntire as has already been completed. Conditional that the sculpture be adeauately maintained. This certificate must be reviewed at a minimum of once every three years. Deterioration of the sculpture will result in violation of this certificate and possible revocation. Dated: 5/18/95 SALEM HISTORICAL COMMISSION ! By: i� �s�G�j = The homeowner has the option not to commence the work (unless it relates to resolving an outstanding violation). All work commenced must be completed within one year from this date unless otherwise indicated. THIS IS NOT A BUILDING PERMIT. Please be sure to obtain the appropriate permits from the Inspector of Buildings (or any other necessary permits or approvals) prior to commencing work.