63 CANAL STREET - KINGDOM HALL - BUILDING JACKET (03 Cah al
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PERIODIC INSPECTION INFORMATION SHEET
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.
Street and Number
Name of Premisei 11 le
Other Licenses or Permits Rfequired
Owner. of. Record of Building r,4 `S m !
Address l 3 Cgl+�i9 L � ,re^T
Certificate to be Issued to
Address
Use Group Classification 4,.4 Purpose Used
Public or Private" P,,d472!
Number of Stories I d4 ./3 Class of Construction Date Erected y
Certified Capacity (By Story or Type) '"�A�r /X- 77e
Number of Rooms - Hospitals, Schools, Hotels (By Story or Type)
Number of Dwelling Units Per Story
Emergency Lighting System 1 ".-
Means of Detecting and Extinguishing Fire �Zc yy� X 1 _ 'rur—
Fire Alarm System .5 109 T/dN 5
Number of Elevators w
How Heated
Boiler or Other Heating Apparatus p — S� d✓+t
How LightedHow Ventilated ATG lely-e_
Place of Assembly: Yes, ,-� No Purpose Used ��a 4es
In Which Story /5.7- ),-
Standard
, -Standard Booth Installed 2-•-U Location
Fixed Seating
Number of Aisles an Width of Each
Fire Resistance of Curtains or Draperies s/7"
Number of Sanitaries Location } cr✓�
Number of Grade Floor Means of Egress Doorways
Number of Separate Stairways Accessible Per Story
Number of Approved Independent Exitways Per Story
Remarks:
Date Certificate Issued Date Certificate Expires /
Date Orders Issued Date Orders Complied
Inspector441+ _ _�t''�Ll�2d Date
} FORM SBCC-1-74
\ COMMONWEALTH OF MASSACHUSETTS
CITY/TOWN OF Salem
�. APPLICATION FOR CERTIFICATE OF INSPECTION
Date 9/12/75 ( ) Fee Required (.Amount )
(X) No Fee Required
In accordance with the provisions of the Massachusetts State Building
Code , Section 103 ,15 , 1 hereby, apply for a Certificate of Inspection for
the below-named premises located at the following address : .
Street and Number 63 Canal Street Salem
Name of Premises 7 JehovahTs Witnesses -Kingdom Hall
Purpose for Which Premises is Used Church
License( s ) or Permit ( s ) Required for the Premises by Other Governmental
Agencies
License or Permit Agency
Certificate to be Issued to Jehovah' s Witnesses = Kingdom Hall
Address 63 Canal Street, Salem
Owner of Record of Building
Address
Name of Present Holder of .Certificate'
Name of Agent , if any
SIGNATURE OF PERSON TO WHOM TITLE
CERTIFICATE IS ISSUED OR HIS
AUTHORIZED AGENT
DATE
INSTRUCTIONS:
1) Make check payable to.: _ City of Salem
2) Return this application with your check to : John B. Powers - Insp. of Bldgs.
Broad ree a em M2V n970
i
PLEASE - NOTE :
j
1 ) Application form with accompanying fee must be submitted for each build-
ing or structure or part thereof to be certified .
2) Application and fee must be received before the certificate will be issue
3) The ,'building official shall be notified within ten ( 10) days of any chap,
in the above information .
CERTIFICATE N EXPIRATION DATE :
FORT SBCC-3-74
20
A. PHILLIP TAYLOR & ASSOCIATES.
66 Webster Street, West Newton, Massachusetts, 02165.
DESIGN
CIVIL & STRUCTURAL ENGINEERS. 617 244 2942. DRAFTING
December 30. 1975
Mr. John Powers
Building Department
1 Salem Green
Salem, Mass. 01970
Dear Pair. Powers,
Kingdom Hall, 63 Canal Street , Salem, Mass.
On December 23, 1975 I visited the above site to inspect the
roof strengthening, as shown on my drawing S-1.
All work was in place correctly except that the 5/8" thru bolts
and the blocking at each, end of the beam were not then installed.
Will you please check that th.ey are in on your next visit . The
temporary shores were removed while I +ijas Present . A vertical
deflection of .75" and horizontal deflection of 1.001' was
measured.. This corresponds to a maximum combined stress of
8,800 p. s.i. (Safe allowable = 24,000 p. s.i. ) Th.ere was a
substantial snow load on the roof, about 2 to 3 feet deep in the
roof valleys.
I hereby certify that the work, except where herein specifically
noted, conforms to the drawings and the structural recormnendations
of the Commonwealth of Massachusetts State .Building Code.
Very truly yours,
PY,ZH OF M4S9yN
g 'A: PHILLIP
A. Phi llip ,Taylor P.E. TAYLOR w�
.$ No.24630 Q �/
01ST S'A'. 4.
SrONAL EN
Commonwealth of Ti[a.s7achusetts
Middlesex County
Then Personally appeared the above named A. Phillip Taylor
and signed this document as his own free act and deed.