FP PLAN REVIEW •Co City of Salem, Massachusetts
Fire Department
'�benn� 48 Lafayette Street
Robert 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
IN ACCORDANCE WITH THE PROVISIONS OF .THE;:MASSACHUSETTS STATE BUILDING CODE
AND THE SALEM FIRE CODE, APPLICATION IS HEREBY MADE FOR THE APPROVAL OF PLANS
AND THE ISSUANCE OF A CERTIFICATE OF APPROVAL FOR A BUILDING PERMIT BY THE
SALEM FIRE DEPARTMENT. (Ref. SEction 113.3 of the Mass. Pdg. Cod171
.)
JOB LOCATION: S /f/� Per C ✓j -
OWNER/OCCUPANT:
ELECTRICAL CONTRACTOR:
FIRE- SUPPRESSION CONTRACTOR:
SIGNATURE OF
APPLICANT!-.- _G��C F'. ANTE. ar 3 -7
_�_.._:. !7g. ��
P.
ADDRESS OF /
A.PpLlf ANT: 3 �/
i, . q
X.
QWN-
APPROVAL DATE: f1
Certificate of approval is hereby granted, on approved plans or submittal of
project details, by the SALEM FIRE DEPARTMENT) . All playas are approved solely
f6t identification of type and location of fire protection devices and equip-
ment. All plans are subjeect to approval of any other authority having juris-
diction. Upon completion, the applicant or installer(s) shall request and
inspection and/or test of the fire protection devices and equipment. (SEE
REVERSE SIDE)
NEW CONSTRUCTION
PROPERTY LOCATION HAS NO COMPLIANCE WITH THE PROVISIONS OF
CHAPTER 148, SECTION 26 C/E, M.G.L. , RELATIVE TO THE INSTALA- .
TION OF APPROVED FIRE ALARM DEVICES. THE OWNER OF THIS PROPERTY
IS REQUIRED TO OBTAIN COMPLIANCE AS A CONDITION OF OBTAINING A
BUILDING PERMIT.
PROPERTY LOCATION IS IN COMPLIANCE WITH THE_ PROVISION OF CHAPTER
148, SECTION 26 C/E M.G.L.
EXPIRATION DATE: �'
SIGNATURE OF IRE 0 IAL
FEE DUE: UNDER 7,500 0.0 It, 97-41-v
7,500 SQ. FT. OR LARGE .00
FORM 81 12/99
FIRE DEPARTMENT CERTIFICATE OF APPROVAL FOR BUILDING PERMIT
In compliance with the provision of Section 113.3 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 and stamped plan approval from
the Salem Fire Prevention Bureau.
The applicant shall submit this application with three (3) sets of plans,
drawn in sufficiant clarity, to obtain stamped approval of the Salem Fire
Department. This applies for all new construction, substantialialterations,
change of use/or occupancy, and any other approvals required by the Mass.
General Laws, and the Salem Fire Code.
EXCEPTION: Plans will` not be required for structual 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 charactor of the work to .be .
performed.
NOTICE: Plans are r.equared';f`or.:fire suppression. systems,,. fire,-alarm
systems, tank`ifi tal]_at:ions, and Fire Code requirements
_ The Sale Frrc Psxe rat ion gfiu,r.eau has ,acccsrciing.
ten:-working- d,ay,. .:t o. review and_-reut.rn stamped P.1aras
Sub.-contractors ,may`;. also be required t.q,.,file;:;. nd vadu:a:I
a• licatonv for a: FJre;:;;D..eparament ,Cera;i£icate .o:f 'ApProval r
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.
i' 101 1`�'MENI FOR FINAL.
I aSi ECTIGN MUST BE APPOINTMENT FOR FINAL
MADE AT LEAST ONE WEEK INSPECTION MUST BE
AHEAD---------------------_-.._._....o MADE AT LEAST ONE WEEK
"HEAD
J,PP&€NTMENT FOR FINALS
3`1f'>r°E.C"T iON MUST BE
4 f jr AT LEAST ONE WEEK
HEAD, »,�g....