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CORNER OF FEDERAL + WASHINGTON - BUILDING INSPECTION v 7 The Cunmwmve:dth of Massachusetts — — y; s Board of Building Regulations and Standards C1 fY OF Massachusetts State Building Code, 780 CNIR SALEM '�..,. evised ai _'till Building Permit Application To Construct, Repair, Renovate Or Deli sh a One-or Tit o-FontilY Du ellhnq This Section For Official Use Only Building Permit Number: Date Ap ied: Building 01)icial(Print N;une) Siymturo Date SECTION I:SITE INFORMATION I { Property Address: ` 1.2 Assessors Nlap& Parcel Numbers (iv-yu vra;� �e�ere Q —F e Cke%v lr i 1.la Is this an accepted street?yes_ no \hip Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: /oning District Proposed Use Lot Area(sq Il) Frontage(11) 1.5 Building Setbacks(ft) Front Yard Side Yards Rear Yard Required Provided Required Provided Required Provided 1.6 Water Supply:(M.G.L c.am.§54) 1.7 Flood Zone Information: 1.8 Sewage Disposal System: Public❑ Private❑ Zone: _ Outside Flood Zone? Municipal O On site disposal Check if)es❑ P system ❑ SECTION 2: PROPERTY OWNERSHIP' 2.1 wner�aFReeord• �— _ 1 f279 0 2-1 Z z, N:unv— Uq•.Slate.ZIP SSl1/( arr('SsP^ I ll eQ ,4 / 7 � 2z4- 7s Z No.and Street Telephone Email Addmss SECTION J: DESCRIPTION OF PROPOSED WORK'(check all that apply) New Construction❑ Existing Building❑ Owner•Occupied ❑ Repairs(s) ❑ 1 Alteration(s) ❑ Addition ❑ De 1111tion ❑ Accessory Bldg.❑ Number of Units_ Other ❑ Speedy: 'I BriefDescriptionofProposed Work': gj v0� a 9��{ SECTION 4: ESTIMATED CONSTRUCTION COSTS Item Estimated Costs: Labor and ..%laterials) Official Use Only I. Building S I. Building Permit Fee: S Indicate how fee is determined: '. Electrical S ❑Standard City/Town Application Fee ❑Total Project Cost'(Item 6)x multi 'er x 7. Plumbing S I. Other Fees: S -- -- -- I a. Mechanical ,u\:\c) s List:_ ' S. \leehanical - - tiu+mssionl S Total :\nFees: S --__ ---- ------ - Check No. Check Anxnmt: _ _ Cash \nunum: _ Total Project Cost: S aCIC�'J ❑ Paid in Full ❑Outstanding BaLutce Due: SECTION 5: CONSTRUCTION SERVICES 5.1 Construction Supervisor License(CSL) License Nunther --- --- I:cpiratinn Date N:une of CSI. I luldcr List CSI.1)pe(see hcluty) Nu and Strcel ------- --- ----- .I.,Pe Description (I I�nresiricled I lltlilAaLin to 33,000 ca. It.) _ R Restricted I&2 Famil Do nelli CIVN—il" n,.State.LlP ill Ahuon RC R(wfin C'uverin WS Window;md Siding SF Solid Fuel Burning Appliances huulution 'fete hone 1(mail nJJrcss U Demolition 5.2 Registered Home Improvement Contractor(HIC) I IIC Registration Number Expiration Datc I IIC C'umpan) Name or I IIC Registrant Nanw No. and Sucet Emuil address City/Town. State,ZIP Telephone SECTION 6:WORKERS'COMPENSATION INSURANCE AFFIDAVIT(M.G.L.c. 152. 1 25C(6)) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the Issuance of the building permit. Signed Affidavit Attached? Yes .......... ❑ No........... ❑ SECTION 7s: OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNER'S AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner of the subject property,hereby authorize to act on my behalf,in all matters relative to work authorized by this building permit application. print Owner's Nwne(Electronic Signature) Date SECTION 7b:OWNERt OR AUTHORIZED AGENT DECLARATION By entering my name below. I hereby attest under the pains and penalties of perjury that all of the information contained in this application is true and accurate to the best of my knowledge and understanding. l d�� lr/e (ni�Izc l� Fiat Owner's or ALlmorired,\ cnt's Name(Ficctrunic Sigmtturo) I Dale NOTES: I. :\n Owner who obtains a building permit to do his,her own work,or an owner who hires an unregistered contractor (nut registered in the Hume Improvement Contractor(HIC) Program),will 1UP have access to the arbitration program or guaranty fund wider M.G.L. c. 1 a2.-\.Other important information on the HIC Program can be found at ti,t,t Information on the Construction Supervisor License can be Pound at�\)t\).iva,<�j,t ,Ip, ;. \\'hen substantial work is planned,provide the information below: Total flour area(sq. R.) _ (including garage, finished basentenCattics,decks or porch) Grass living area 1 sq. 11.1 ---- _ ---- _-- _ -- Habitable room Count Number of fireplaces.--- - - Number of bedrooms Nuniherofhothrvwms - - - _ Numberufhalfhadu I\pe of heating s1 stem .. ._ . _. . _ Numhcr of decks, porches. _ ... . r pc of coolin st g syem _ _ Inclosed _ .-_ _ ..Open 1. "Total project Square Footage-ntal he Suhslitulad fit"folal Project Cost•' Performance Platforms 978.562.0988 Mobile Stage Sneciticahons - 24 ft x 16 ft Towing Dimensions Overall Length:...................................28 ft 7 in Stage Length.......................................24 ft Stage Width.......................................8 ft 5.5 in Overall Height....................................9 ft 5.5 in Performance Dimensions Stage Floor.........................................24 ft x 16 ft Stage Height(from ground).....................44 in Maximum Front Canopy Height from Floor.................................12 ft 6 in Maximum Rear Canopy Height from Floor..................................9 ft 6 in Weight Gross Vehicle Weight...........................4,240 lbs Hitch Ton Load.....................................350 lbs Allowable Loads Stage Floor Load..................................100 psf Tent To Loading Single Side Loaded...............................1640 lbs Both Sides Loaded................................2800 Is Wind Speed:....................... I*.... ..........50-60 mph Maximum Uplift on Roof...............:...........13 psf Signage ALL Banners needs to have Grommets (zip tied to stage) Wind Slits are advised on banners or mesh banners Banners need to be put up at time of installation' Fire Retardant Label is sewn into canopy top -- - - Performance Platform Productions 120 Central Street#3 Hudson MA 01749 MUM �ertiftcats of �lan�s $reietaars ieaned by Avnei6n COMM C.p.,ble. Dww TSNI CwWaV MW 6489 F 34th Ave. Denver; Cold 80207 THIS I$ TO CERTIFY THAT THE PRODUCTS OR MATERIALS MEREIN DESCRIBED ARE MADE FROM A FLAME-RESISTANT FABRIC OR ARE IMIERENTLY NONFLAMMABLE. PRODUCED FOR- Marshall Austin DATE 8-20-02 AnawA3. 1401 S. Younafield Court / Lakewood CO 80228 DFSpi rION_OF PRODUCT• 246 Stage Roof Artic Blue FABRIC PROIUM By.-- Glen Raven Custom Fabrics LLC ADBRm AND RDSISTRATI0M iRal R_ Park Av / glen Raves: Nr 7M17 METH OF APPLICATION Laminated IN ACCORDANCE WITH SPECIFICATIONS' Calif.'Stabe Fire Marshal Ftaaa aataadaat Paoeaa wad MILL( a" be 4awvad by g. a . a ! AIN:RIC'ANCAMAYASOp.INC. / OBA Od/YER TENT EO. �' Performance Platform Productions 120 Central Street#3 Hudson MA 01749 Sep 13 10 05:40p Carol Hedges 978-283-4163 p.4 Certificate of Flame Resistance REGISTERED FABRIC ISSUED BY Date of Manafacuue NUMBER JOHNSON OUTDOORS INC. BINGHAMTON,NEW YORK 13902 MAY 2009 F-140.U1 Maradacwrers of flre Fmest Tent Pmduds DesrnDed Herein This is to certify that the products Fein have been manufactured from material Fnhererdlyflame retardant as here after specified by the material supplier. NAME THE EVENT COMPANY CITY: GLOUCESTER,MA Certification is hereby made that The articles described on this certificate have been manufactured with an approved flame retardant rhemled in compliance with California State Fire Marshal Coda,N PA-70T,Under inters Laboratory of Canada,and have been tested in accordance wht tla Federal Test Method Spedfimliors and meal or the Military Flame Specifieatio s of MIL-C49006G. Type,color and wdgta of materlal 13 07-WBO DeSGipaOn of am certifies MARMEE 10 MID WBO Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric Snyder Manufacturing,Inc. MwAchmofFiarne Relaidw V1rrAL &WX5- TEW DE'ARTMOf ,JOHNSON o N . - - - - 'large State Oct 05 10 08:46p Carol Hedges 978-283-4163 p.5 Certificate of Flame Resistance I REGISTERED ISSUED BY Date of Manufacture 1 FABRIC JOHNSON OUTDOORS INC. NUMBER BINGHAMTON,NEW YORK 13902 APRIL 2009 F-140.01 Manufacturers of the Finest Tent Products Described Herein This is to certify that the products herein have been manufactured from material inherently flame retardant as here afterspecified by the material supplier. Made in the USA. NAME: THE EVENT CO CITY: GLOUSTER, MA Certification is hereby made that The articles described on this cerlificate have been manufactured with an approved name retardant chemical in compliance with California State Fire Marshal Code,NFPA-701•,AJ1-66308, FMVSS-302.CANIULC-S109-MB7.CPAI-84, Underwriters Laboratory of Canada, and have been tested in accordance with the Federal Test Method Specifications and meet or exceed the Military Flame Specifications of MIL-C-43006G. Type, color, 8,weight of material: 14 OZ Vinyl: WHITE BLOCK OUT Description of item certified: EFS 20X20 2PC Flame Retardant Process Will Not Be Removed By Washing. Eurekal Tent tops that are designed to meet Temporary Building codes are supported with a Registered Architect Stamp. For that Stamp to remain valid, the tent top must be installed with 1000,6 Eurekal Manufactured fabric components. Snyder Manufacturing,Inc. i Manufact,uer of Flame RemrdarttYnN Laminates TEWDEPARTMENT,30HUSONOU ORSIN . 'large Scale Oct 05 10 08:46p Carol Hedges 978-283-4163 p.6 Certificate of Flame Resistance REGISTERED ISSUED BY FABRIC Date of Maw cure NUMBER JOHNSON OUTDOORS INC. BINGHAMTON.NEW YORK 13902 MAY 2009 F-140.01 bfanufacturers of the Finest Tent Products Described Herein This Is to certify that the products herein have been manufactured from material inherently flame retardant as here after specified by the material supplier. NAME: THE EVENT CO. Cii-, GLOUCESTER,MA Certification is hereby made that: The articles described on thus certificate have been manutachued with an approved flame retardant chemical in compliance with California State Fire Marshal Code. NFPA-701', Underwriters Laboratory of Canada,and have been tested m accordance with the Federal Tesf Method Specifications and meet or exceed the Mary Flame Specifications of MIL-C-43006G. Type,color and weight of material 14 OZ WBO Desaiotion oFdem certifies EFS 15 No 30 WBO Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric Snyder Manufacturing, Inc. I 6lanerechaer of Flame Re rdaN VaNI LamineteS TENT DEPARTMENT,JOHNSON OU RS Vd -" .-. - - 'Large Seale Oct 05 10 08:47p Carol Hedges 978-283-4163 p.7 Certificate of Flame Resistance REGISTERED ISSUED BY Date of Manufacture FABRIC JOHNSON OUTDOORS INC. NUMBER BINGHAMTON,NEW YORK 13902 MAY 2009 F-14D.01 Manufacturers of the Finest Tent Products Described Herein This is to certify that the products herein have been manufactured from material Inherently flame retardant as here after specified by the material supplier. NAME: THE EVENT CO. CITY: GLOUCESTER,AfA certification is henry made that: , The articles described on this certificate have been manufactured with an approved flame retardant chemical in compliance with California State Fire Marshal Code, NFPA-701', Underwriters Laboratory of Canada.and have been tested In accordance with the Federal Test Method Specifications and most or exceed the Military Flame Specifications of MIL-CA3006G Type,color and weight of material 14 OZ.WBO Descrifltan of item certifies EFS 30 X 30 2 PC WBO Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric Snyder Manufacturing,Inc. Ma.nuracturerof Flame Relamam Vlml laminates TENT DEPARTMENT,JOHNSCN OUT RS IN - 'large scale 07/29/06 08:44 FAX 9782719905 $AYIB ILICRO BI09YSTIM5 - _-, Y:.;� -.,:•• - Cpj11MMWOOM ofjfa=w)k its � �of .lt:ta�eaeis - OffiW aflj adOM 600 Wr k.96M sbVO Romwpr M4 wIII j1j01Y"�`�`�� ,�gle�tl�irJap9lPlaaubCis Workers' Compensation ftasuranee Ate'BtlDders�Con nMi�tLlafnTwa�On , rr9me�„�srot�Z�-- t Are yea as emN ❑°Yer'clteeic alPmP'4- 1 4_ lamageorsaleatttra��1 � ❑Newt>orim 1. aoasmtplWmsnh hmc hterehusdduesubo � ? LiR®ode�g loyees(M�61 + listed on the attae�ed sheet 2.0 Imaa�Pt�'°1'a .�Sesab.mmnw=mbave & QD�emolidon atdp aedbave m employees j8WIym:s and bsve svO&m' 9. 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