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125 CANAL STREET - BUILDING JACKET 125 CANAL STREET r Claim # 601K184107 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B ` To: Building Commissioner cenBoard of Health or Inspector of Buildings Board of Selectmen Town Hall Town Hall Salem, MA 01970 Salem, MA 01970 Re: Insured-: Crosby's Market, Inc. et a'_ DEA Crosby's Property address: 125 Canal St. Salem, MA 01970 Policy #: 8500056457 Loss of: 2015/09/04 File or Claim No. AD 1890 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000.00 or cause Mass._Gen._Laws,_Chapter_143,_Section_6 to be applicable. If any notice under Mass_Gen_Laws,_Ch._139_Sec._3B is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Glenn Guarente Title: Adjuster. On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 09-16-15 S gnature and date Claim # 601K184107 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health o� Inspector of Buildings Board of Selectmen Town Hall Town Hall Salem, MA 01970 Salem, MA 01970 Re: Insured: Crosby's Market, Inc. at al DBA Crosby's Property address: 125 Canal St. Salem, MA 01970 Policy #: 8500056457 Loss of: 2015/09/04 File or Claim No. AD 1890 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000.00 or cause Mass._Gen._Laws,_Chapter_143, Section_6 to be applicable. If any notice under Gen—Laws,—Ch.-139—Sec.-3BMass_ is appropriate please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Glenn Guarente Title: Adjuster. On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 09-16-15 4cgi�nature and date r Certificate No: 169-13 Building Permit No.: 169-13 Commonwealth of Massachusetts City of Salem Building Electrical Mechanical Permits This is to Certify that the RESIDENCE located at Dwelling Type 127 CANAL STREET in the CITY OF SALEM - ------ - --- - - ' - --- -- -------- Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY 127 CANAL STREET This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires __ unless sooner suspended or revoked. Expiration Date Issued On: Thu Jun 6, 2013 - - -ten- ------------------------------ GeoTMS®2013 Des Lauriers Municipal Solutions,Inc. ------------------------------------------------------------------------------ 127 CANAL STREET 169-13 cis a ,„ uiyJ 11072 ” COMMONWEALTH OF MASSACHUSETTS Map 33 CITY OF SALEM LOtF„ ecn=,=:� 0104 REMODEL Im . 3,,�f,,: Pen„It# 16913„ ' BUILDING PERMIT Project#x JS-2 0 13-000 84 5 Est Cost � , $17 500 00 „�`x ” r Fee Charged $124 00 !s` Vg" BalanceDue:'ll�a$oo 'kNi!'„';i. PERMISSION IS HEREBY GRANTED TO: Const Classyq �,p! PContractor: License: Expires: P New City LLC Paul Ferazzi General Contractor-34752 LotSrae(sgt�ft) 49998i68 � -jam Zonmg io; , B4 _ �- Owner: 127 CANAL STREET REALTY,LLC, C/O ROSANO ASSOCIATES INC. ; UnitGamed°^„u a,r'r° Applicant: New City LLC Paul Ferazzi s Uiilts Lost I!!'!a 0KEm ''60!!"'3'!r;9 : r-AT: 127 CANAL STREET ➢ig Safe#:uI11I1 k ,`.n.. 01t�!iEW''4 ' ISSUED ON. 28-Aug-2012 AMENDED ON: EXPIRES ON: 28-Jan-2013 TO PERFORM THE FOLLOWING WORK: REHAB UNIT FOR A FOUR BEDROOM APARTMENT(2)3/4 BATHS&(1)KITCHEN jbh POST THIS CARD SO IT IS VISIBLE FROM THE STREET Electric Gas Plumbine Buildine (Underground: Underground: Underground: Excavation: Service: �J Meter: Footings: CdO Rough: I 1 ` Rough: � - oug Foundation: Final: � (o so Final: ZL II� Fi p., f � ✓� Rough Frame: / Fireplace/Chimney: D.P.W. Fire Health Insulation: Meter. Oil: Xa Final: House N Smoke: / C—C 1AssessorTreasury: Water: Alarm: ' :L50,Sewer: SprinklersFinal: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION O OF ITS RULES AND REGULATIONS. Signature: ' Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2013-000902 28-Aug-12 3249 $124.00 CCPOHRUC7 PURI NJ'P-O TOR MUST AS"RANGE FOO,,p S p�C(NOP ECTIGh! CHAPTER 1 F: EE CURRENT S DURING CALL 978-619-5641 R LIST OF REQUIRED HVgNG CODE TO SCHE ' ECTIO CTION GeoTMS®2013 Des Lauriers Municipal Solutions,Inc. ND1Tq�� A VSQVE AD CITY OF SALEM OP-2002-0045 Building Permit No.: 626-2001 Commonwealth of Massachusetts City of Salem BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT This is to Certify that the BUSINESS located at Dwelling Type 0125 CANAL STREET in the CITY OF SALEM -------------------- - -------------------------------- ---------------------- ---- ---- - ------------------- Atldress TowNCity Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY CROSBY'S MARKET Permits#626-2001 & 295-2001 This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires unless sooner suspended or revoked. Expiration Date ---------------n'—.0----------- Issued Issued On: Mon Nov 26,2001 -{-� -- --- { (gip -- -- ------------------------------------------------------------------------------- GeoTMS®2001 Des Lauriers Municipal Solutions,Inc. ------------------------------------------------------------------------------ ------------------------------------------------------------------------------- r Y r 0125 CANAL STREET 601-2001 G> #: 871 COMMONWEALTH OF MASSACHUSETTS Map: Block: 33 CITY OF SALEM Lot:- '0105rr Perri,C Building. Category: 437 Nonresidential ad BUILDING PERMIT Permit# 601-2001 Project# JS 2001-1012 Est.Cost: 1$215,60b.00 Fee.:'r $250.00PERMISSION IS HEREBY GRANTED TO: Const.Class: Contractor: License: Use Group: Cranmore Construction Co Inc General Contractor- Salem#2089 Lot Size(sq.ft.):'93654 Owner: CROSBY REALTY TRUST Zomng: B4 Applicant: Cranmore Construction Co Inc Units Gained: AT. 0125 CANAL STREET Units Los[: _ ISSUED ON: 17-Jan-2001 EXPIRES ON: 17-Jul-2001 TO PERFORM THE FOLLOWING-WIIRK- .-'--n--- - Construct roof. Plans submitted. P.S. i POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: RouN- _ Rough: s'it�a•+�7 louse# Foundation: O/` F' = s Final: % Rough Frame: Fireplace/Chimney: Gas Fire Dep true t _ Board of health . �, n� Insulation: Ro lf�`�-:'r�/ /t 9/O� Final: lI - �-L;_ ol Smokc� _� _,// C1(_ tr_ I_1D THIS PERMIT MAYBE REVOKED BY THE CITY OF SALEM UPON VIOLA" ON O ANY ITS?RULES AND REGULATIONS. Signature: Fee Type: .,- Receipt No: Date Paid: Check No: Amount: BUILDING REC-2001-001140 21-Nov-01 3597 $250.00 GeoTMSB 1998 Des Lauriers&Associates,Inc. < -Z ,o�.,, .0125 CANAL STREET 351-2000 G> ,# , r� 87r COMMONWEALTH OF MASSACHUSETTS ap 33 t CITY OF SALEM Block. Lot 0105 . " Permit Buildin"g. ategory. _� Uj,7 Nonresidemial:ad BUILDING PERMIT ermit# 351-2000 roject#,,`, .7S-2001,,0616 st Cost $50,000.00 4: ee ;:r: $500:00: PERMISSION IS HEREBY GRANTED TO: Const:Class: `� "_, " Contractor: License: Use Group: Cranmore Construction Cc Inc General Contractor-Salem#2089 Lot"Size(Ssq ft.): 93654 Owner. CROSBY REALTY TRUST Zomng.. B4 , Applicant: Cranmore Construction Co Inc Units Gained:_ AT: 0125 CANAL STREET Units Lost: ISSUED ON. 15-Nov-2000 EXPIRES ON: 15-May-2001 TO PERFORM THE FOLLOWING WORK. - Foundation only for mall addititon.Plans submitted.P.S. V _ 4 }� e iv POST THIS CARD SO IT IS VISIBLE FROM THElSTREET ,. Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings r _ Ucder :ou_nd: Service: Meter: Footings: i Ro Rough gh:L House# Foundation:t 7/Id�l Final 5 J Rough Frame:' 1-4 i ; Firepla/e/Chimney: Gas Fi Departure t y , Board of Health r lam' Insulation:;' Ron Final: t{�7— Final: '/ Treasury: 30 SI,Z U THIS-PERMIT MAYBE REVOKED BY THE CITY OF SALEM UPON VIOLA' ' ' N OF NY O ITS RULES AND REGULATIONS. Signature: 3,'Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2001-000748 31-Oct-00 3574 $500.00 GeoTMS®1998 Des Lauriers&Associates,Inc. i. r 0125 CANAL STREET . 626-2001 GIs# s71 .: COMMONWEALTH OF MASSACHUSETTS Map:<<. 33 Block: „ , CITY`OF SALEM y Lot',', 0105 Permit Building I` Category , 437 Nonresidential ad BUILDING PERMIT Permit# 7 626-2001 ' Project# - ;mJS-2001-1170 �F Est.Cost: $612,000.00 v Fees .' '"" $6,125:00 PERMISSION IS HEREBY GRANTED TO: Const. Class: "r. Contractor: License: Use Group: - Cranmore Construction Co Inc General Contractor- Salem#2089 Lot'Size(sq:ft.) 93654. : Owner: CROSBY REALTY TRUST Zoning, B4 Applicant: Cranmore Construction Co Inc Units Gained: . F H Units Lost , u' AT: 0125 CANAL STREET �; ISSUED ON: 06-Feb-2001 EXPIRES ON: 06-Aug-2001 TO PERFORM THE FOLLOWING WORK: Construct addition per plans submitted. Crosby's Market. F.R.D. Call or Permit to Occupy POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: - r#, /QJ,�� 'R0 ugh: Wind : /s'�G.% House# Foundation: Final: Rough Frame: Fireplace/Chimney: Gas Fire Depar nBoard of Health Insulation: Rough: y Final:l`I— z7 Final: Smoke UUUU Treasury: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. n(� Signature: / Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC-2001-001294 11-Jan-01 7843 $6,125.00 - GeoTMS®1995 Des Lauriers&Associates,Inc. i k liw- Fuld OINII(irIIllg waivs . d0 AID aa � Ow MOM x d 6 S70. 0125 CANAL STREET 295-2001 !S,4: 1871 COMMONWEALTH OF MASSACHUSETTS (Map: 33 Block: CITY OF SALEM Clot: 0105 Permit Bmlding�, Category 437 Nonresidential:ad $ L,J ILDING PERMIT Permit# 295-2001 rolect# IS 2002-0.. 551 iEA Cost ; � $1' 5,000.00 Fee: ' $155.00 ��- s PERMISSION IS HEREBY GRANTED TO: Coast.Class: Contractor: License: (IU- se Group: _ Cranmore Construction Co Inc General Contractor-Salem#2089 Lot,Size(sq.ft.): 93654 Owner: CROSBY REALTY TRUST 17onmg , 134_ .. Applicant: Cranmore Construction Co Inc �Uiiits Lost , __ 1 _ t _::j AT: 0125 CANAL STREET ISSUED ON: 25-Oct-2001 EXPIRES ON. 25-Apr-2002 TO PERFORM THE FOLLOWING WORK. Tennant fit up for retail space per plans submtted. F.R.D. POST THIS CARD SO IT IS VISIBLE FROM THE STREET Inspector.of PlumbingInspector of Wiring D.P.W. Inspector of Buildings Underground: Service: Meter: Footings: Foundation: Rough: Rough: House# Rough Frame: Final: Final: Fireplace/Chimney: Insulation: Gas Fire Depar5151/4: Board of Health Final: 1 l — 2--U — 1`Rough: . � Treasury:l Final: Smokt(l �i Excavation: THIS PERMIT MAY BE REVOKED BY THE CITY OF SALEM UPON VIOLATION OF ANY OF ITS RULES AND REGULATIONS. t Signature: Fee Type: Receipt No: Date Paid: Check No: Amount: BUILDING REC 2002-000597 10-Oct-01 4351 $155.00 Call for Permit to Occupy GeoTMS®2001 Des Lauriers Municipal Solutions,Inc. .CO A � Bei CITY OF SALEM BUILDING PERMIT t OP-2002-0040 Building Permit No.: 123-2001 Commonwealth of Massachusetts City of Salem BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT This is to Certify that the BUSINESS located at Dwelling Type 0125 CANAL STREET in the CITY OF SALEM ----- -- -- Address Town/City Name IS HEREBY GRANTED A PERMANENT CERTIFICATE OF OCCUPANCY CERTIFICATE OF OCCUPANCY ISSUED FOR PERMIT#123-2001 ON NOVEMBER 2, 2001 This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires unless sooner suspended or revoked. / /] Expiration Date �- .- f r - r Issued On:Fri Nov 2,2001 --------- GeoTMS®2001 Des Lauriers Municipal Solutions,Inc. --------- --------- ;_- r F 123-2001 5 CANAL STREET -_ 871 COMMONWEALTH OF MASSACHUSETTS � 433 — �. CITY OF SALEM 0105 _ �T(� �j ��/�TT Building I N ll%1�MI ;y; 437 Nonresidenual.ad BUILD # 123=2001 _ 1S-2002-0259 ost: $130,500.00 $1,3zs.0 0 PERMISSION IS HEREBY GRANTED TO: t.Class:Class: — Contractor: License: 1e Group- Royal Design Builders General Contractor-Salem#1547 tot Size(sq ft): 93654 _ j Owner: CROSBY REM TY TRUST -vim.-r-•-- Zornng B4 _ Applicant: Royal Des gn Builders <:i' - — i pits Gamed: _ fI',T; 0125 CANAL STREET l Iidts Los[ R EXPIRES ON: 23-Feb-2002 —— _ ISSUED ON: 23-Aum 2WI TO PERFORM THE FOLLOWING WORK: Build out for Danvers Savings Bank per plans submitted. P.S. POST THIS CARD SO IT IS VISIBLE FROM pec[o of BuildingsE STREET Inspector of Plumbing Inspector of Wiring D.P.W. Footing % Jnderground: Service: Meter: Founaattodi of / / / House# you b Frame: rame: Rough:iC7(�g �0-j- '� Rough: jjL'/r :� g < 111 Final:/ / Fireplace/Chimney: Fina • /O 1Y/o/ Insulation: Gas ? /l Fire Del) Board of Health Final: Treasury: Roug Excavation: Final: Smoke: / ^ PHIS PERMIT MAY BE REVOKED BY THE CITY C',F SALEM UPON VIO ON "AIN' OF ITS RULES AND REGULATIONS. Sign.tare: Check No, Amoun : Fee Type: Receipt No: Date Paid: BUILDING REC-2oC2-000277 29-Jun n 12." 1 I �y . W .I GeoTMSO 2001 Des Lauriers Municipal Solutions,Inc. OP-2001-0048 Building Permit No.: 626-2001 Commonwealth of Massachusetts City of Salem BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT This is to Certify that the BUSINESS located at Dwelling Type 0125 CANAL STREET in the CITY OF SALEM ------ ----------------I--------------------- Address Town/Ci Name IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF OCCUPANCY Partial Occupancy on Permit#626-2001 Liquor Store only / 30 days This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires --Saturday Sep 1,2001__ _ unless sooner suspended or revoked. Expiration Date Issued On:Tue Apr 17,2001 ------ — -- -- - ---------------- --------- GeoTMS®2007 Des Lauriers Municipal solutions,Inc. ------------------------------------------------------------------------------ OP-2001-0048 Building Permit No.: 626-2001 Commonwealth of Massachusetts City of Salem BUILDING,ELECTRICAL&MECHANICAL PERMITS DEPARTMENT This is to Certify that the BUSINESS located at Dwelling Type 0125 CANAL STREET in the CITY OF SALEM Address Town/City Name IS HEREBY GRANTED A TEMPORARY CERTIFICATE OF OCCUPANCY Partial Occupancy on Permit#626-2001 Liquor Store only / 30 days This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires Thursday May 17,2001 unless sooner suspended or revoked. Expiration Date - - _. __ ------ ------------ Issued On:Tue Apr 17,2001 GeoTMS®2001 Des Launers Municipal Solutions,Inc. ------ ----------------------- CRAMWRE CONSTRUCTION COMPANY. INC. April 16, 2001 Mr. Peter Strout Building Commissioner City of Salem, Mass RE: New Salem Liquor Store 125 Canal Street Dear Peter: As a consideration of your department issuing a temporary occupancy permit for the relocation of the Salem Liquor Store, I offer the following for your consideration. All of the interior work in the new store is completed (with one exception explained in the next paragraph) per plans and specifications and per applicable federal, state and local codes. Walls, floors, and ceilings are installed. Fire taping is installed at both demising partitions. Lighting, receptacles, exit signs, and emergency lighting are installed and operable. The fire alarm and fire detection systems are installed and are temporarily connected to the privately monitored system in Crosby's Market. The toilet plumbing and fixtures are installed and operable. The HVAC rooftop unit is operating. The exception to the systems' completion is the sprinkler system. The internal system (piping, heads, escutcheons) in the store is installed in its permanent position. However, due to the fact that we were not able to connect our new water service to the public system during the winter months, the sprinkler system in not "live." The new water service is being installed at this time, and we expect to have the entire sprinkler system operating on or about April 30, 2001. Be assured that we will complete the system as expeditiously as possible. I trust the above will have answered any of your questions regarding the completion of the liquor store space and that you will find the completion such that you can issue a temporary occupancy permit for this space. If you have any questions at all, please call. Very tru ours/'r R r E. Steams President cc: tFran D fo, Jim Crosby Ed Berman Construct . Manage . Design . 745 High Street • Suite 240 • Westwood, MA 02090 Phone 781-329-5113 • Fax 781-329-5127 f Sartori Electric Co. Inc. 10 Dewey Street Watertown, MA 02472 (617) 924-0700 Date: '/-/-1-0 I Report #: Inspector: License #:/103fl Property Name: i Address: S"— ee� Af Fire Department: Box Box #: 'Phone #: 9�8��qil—/a 3.T Alarm Co: -T--NwUr Phone #:9:)i Transmission Type Service Type [ ] McCulloh [v]' Inspection [ ] Multiplex [!i]" Quarterly [JA Digital [ ] Monthly [ ] Reverse Polarity [ ] Weekly Radio Frequency [ ] Repair [ ] Other (Specify) [ ] Emergency Repair Panel Information Q Manufacturer: N l ti C Model #: AS—VY.) Circuit Styles: A No. of Circuits:` Last Date Serviced: Service Type: Software Rev: Software Update: Notifications Made Yes No Who �T�`ime� Monitoring Agency 19.1 [ ] a� Building Occupants M [ ] 4,3,5- Building 3SBuilding Management [!,] [ ] / 33 Fire Department [ ] [ ] Other [ ] [ ] Page Fire Alarm Test & Service Report Continued System Tests and Inspections Type Visual Functional Comments Control Panel 10 [ ] Interface Equipment [ki [ ] Lamps / LEDs [0 [ ] Fuses [fir] [ ] Primary Power Supply [A [ ] Trouble Signals [vf [ ] Disconnect Switches V] [ ] Ground Fault Monitors [v] [ ] Master Box Trip [ ] [ ] A Power Supplies A: Primary Normal Output Voltage: 1 208 Volt 240 Volt 277 Volt Overcurrent Protection Type: rea Fuse Amperage: 15 amp a p 30 amp Panel Identification: Cuti<- v�v�,ftsa�C lLT gn Panel Location: ,M a a w B: Secondary ( stand-by ) Battery Brand: �S�14 p5✓l Model: n p% /a Voltage: /tel Number of Batteries: Calculated Capacity: 201� 60 hrs. Type: Dry Cell Nickel cad. Sealed Wet Generator Dedicated to Fire Alarm: Yes �° Battery Tests Type Visual Functional Results Comments Battery Condition [✓f IL-1 Normal Condition Voltage U/T [v] a7,&0 VDC Load Voltage [ [v] a yS VDC Discharge Test )l,.6y VDC /,y SEC. Charger Test [ ] [ ] a4: q0 VDC &S SEC. Transient Suppressers Page 3 Fire Alarm Test & Service Report Continued Alarm Initiating Devices & Circuit Styles Quantity Cir. Style Type 6 ® W Manual Pull Stations C D Ion Smoke Detectors _ Q 6 Photo Smoke Detectors C D Duct Smoke Detectors C D Beam Detectors C D Fixed Heat Detectors C D Rate of Rise Heats C D Waterf low Switches C D Supervisory Switches C D Other ( specify ) Alarm Indicating Appliances & Circuit Styles Quantity Cir. Style Type X Y Bells X Y Horn / Strobe Combinations ® Y Horn Only X Y Strobe Only X Y Outside Beacon X Y Speakers X Y Amplifiers X Y Other No. of Indicating Cir. Supervised [ ]"Yes [ ] No Remote Annunciator Type Visual Functional Comments LEDs Lamps [ ] [ ] Key Switches [v]' Trouble Signal Labeling Condition Notification Appliances Type. Visual Functional Comments Audible [l/] [1-] Visual Speakers [ ] [ ] Voice Clarity [ ] [ ] Page 4 Fire Alarm Testing & Service Report Initiating and Supervisory Device Tests & Inspections Zone or Device Visual Functional Measured Address # Type Inspection Test Setting Pass Fail Location � Ivl' CN 35r�� _I'HdL,/ y1�PC fill I h s fv] F- 1 Sec- [LI [ 1 r4 S= Smoke Et P= Pull Station DST= Duct Service WF=Waterflow T= Tamper SP= Supervisory Page 5 Fire Alarm Testing & Service Report Sprinkler System Tests Sprinkler rinkler Street Pressure Water Gong Riser Ri Side With2" Pressure Jockey Working Riser Tagged Number Pres. Pres. Drain Open Difference Pump Y N Y N Y N [ ] [ ] [ ] [ I Y N [ ] [ ] [ ] [ ] Inspectors Test Val ocatl s #1 #2 #3 On / Off Premises Monitoring Yes No Time Comments Alarm Signal [V]- [ ] � Alarm Restorable [y] [ ] : Trouble Signal [V] [ ] ��,j : Trouble Restorable Notifications That Testing Is Complete Yes No Who Time Building Management [ Monitoring Agency [ v] [ ] d raaf Building Occupants [v] [ ] �l Fire Department [ ] [ ] Other [ ] [ ] The Following Did Not Operate Properly: Items Repaired: Page 6 Fire Alarm Testing & Service Report Date System Returned To Normal Time System Returned To Normal , r This Testing was performed in Accordance With All Applicable N.F.P.A. Standards Name of Tester: Q 4 4-tj 13 in. h t Date:T�,l -U Q Signature: Owner or Rep,resentative: Date. Signature: Qcitp of �aiem fflaggarbugettg "F S�,Lr -i MA 3 -LFR;;•S OFFICE a t1�r� 1999 Aw-Go 13 A 10, 21 DATE FILED ANL Type: 3 New Expiration Date--&,i ary0�' ❑ Renewal, no change Number- 9/`— ❑ Renewal with change In conformity with the provisions of Chapter one hundred and ten, Section five of the Massachusetts General Laws, as amended, the undersigned hereby declare(s) that a business is conducted under the title of: SALEM LIQIJORS at 125 Canal St. , Salem, MA 01970 type of business package store by the following named person(s): (Include corporate name and title if corporate officer) Fill Name Residence Ancar Acquisition Corp. 26 Sumner Rd. , Salem, MA 01970 Signatures ofiri -CJr: , �Trestden -------- ----------------------------------------------------- ----------------------------------------------- ------------------------------------- --------------- on June 19 99 the above named person(s) personally appeared before me and made an oath that the foregoing statement is true. ----------------------------------------------------- C1TY ---"'-- Notary Public /0 0O (seal) Date Commission Expires identification ted State Tax I.D. # S.S. # FIN 04-3470733 (if available) In accordance with the provision of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5,of Mass. General Laws, business certificates shall be in effect for four(4) years from the date of issue and shall be renewed each four years thereafter. A statement under oath must be filed with the town clerk upon discontinuing, retiring, or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars ($300.00) for each month during which such violation continues. R.1:nn FIELD COPY' Q CITY OF SALEM BUILDING 0° SALEM, MASSACHUSETTS 01970 PERMIT .� VALID.TION 4Ebawl Dec.DATE De17, 19 92 PERMIT NO 589-92 APPLICANT KVMV Hari Kim .ADDRESS 125 Canal St. _ - IXO.1 IS\PE[TI ICOR\.'S ♦SCE MlU OF PERM-T TO SIGN (_1 STORY CTEANE:RS DWELLRING UNITS IT'K[ 01 IMRROv[MEXTI X0. IFROROSED VS[1 AT ILOCATIO.I 125 Canal St Ward, 5 DINING DISTRICT I 1X0.1 IS\R[[TI BETWEEN - - AND KRIS. STR[C\1 ICROSS ST°[[TI LOT SUBDIVISION LOT BLOCK SIDE BUILDING IS.TO BE FT. WIDE BT FT, LONG BY FT. IN HEIGHT AND SMALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP - BASEMENT WALLS 09 FOUNDATION �.Ll - ITIIEI REMARKS: ER��/'1difO A AMIM SIGN 'OLIREUOR ME ESTIMATED COSTS 070.00 PERMIT S 20.00 o:S10 SOUL*[ FEET$ -,aWNER K34= Han Kim (Rn*al C`ia,C-y'Zer L^O;FKS 17ri Canal `t F C'al=REbmOs INSPECTOR F S ILDINGS kk _ fl 'y INSPECTION RECORD DATE NOTE PROGRESS CRITICISMS ANO REMARKS INS►ECTON ' r ..a-yT .y,r7�,[51^� "'�''f*�t! 1'tim'�M'"I"%{�tt ;i'pA�°�e�eaY.l��sai� r^'fl•;f�+��t'9.'�'>if�.�-``'y�"'r"3E' k el FIELD COPY CITY OF SALEM BUILDING F° SALEM, MASSACHUSETTS 01970 PERMIT ,� ✓ VIA LIDA TION DATE Nov. 10, 19 92 PERMIT NO, 529-92 APPLICANT Kim KVl1TSG[ - ADDRESS 125 Cana1 St. . 363 (x0.1 ISiRC[iI ([0x19'3 xl![MS[I OF PERMIT TO ERECT! SIGN (_1 STORY- DWELLRING UNITS 1[TPE OF 1[SMOvENEN[I NO. (PROPOSED USEI ZONING AT ILOCATIONI 195 Canal St Ward S _ DISTPI D ISTR IST 1x0.) ISTA[[il BETWEEN AND IUOSa St.t[TI (CROSS STR[ETI LOT, SUBDIVISION LOT- BLOCK SIZE BUILDING IS.TO BE FT. WIDE BT FT, LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO TYPE USE GROUP BASEMENT WALLS OR FOUNDATION OY�y�O 1�1.� ITVPEI � REMARKS: �j 3SX9S SIGN . AREA OR PERMIT %GLUME _ ESTIMATED �,snn.nn FEE S 20.009 c•:ea,SouaRE FEET, JWNEA Kenna Kim RESS 12S Canal At-., R, , alomrbm Dwyj,d :1 Elarris ASSISTANT INSPECTOR OF BUILDINGS INSPECTION RECORD CITE NOT[ PROGRESS - CRITICISMS AND REMARKS INSPECTOR Business Certificate citp of &atem, Alaggacbuato � r<a DATE FILED fl7• �� Type: Cl New Expiration Date sP�—fes 1999 Cl Renewal, no change Number 95-243 ❑ Renewal with change In conformity with the provisions of Chapter one hundred and ten, Section five of the Massachusetts General Laws, as amended the undersigned hereby declare(s) that a business is conducted under the title of: E'AZ/ AIA AL S' _ at. J� CAVA L ST SA L EM LSSEX COMA11Y type of business /VAILE SALOA1 by the following named person(s): (Include corporate name and title if corporate officer) Full Name Residence 72L/D/V0Uf1N /uGL/✓ZAI 73 IcKA�VKL%iV SI �P%2e 2 PEABOd Y MA O I C96 ----------------- -•-•- - - - - - - - - 1/ i natures -- ----� -----�------------ ------------------------------------- -- ----- -- - ----------------------------------------------------- ----------------------------------------------------- on s9zT' /Z l9-da-the abovy named person(s) personally appeared before me and made an oath that the foregoing statement is true. Aa4'r-.0 eoe44� -------- ----------------------------------------------------- ----------------------------------- -------- C 1 T Y CLERK � Notary Public (seal) Date Commission Expires Identification Presented State Tax I.D. # S.S.# X26- 3- -7U (if available) - _• •_• ,_ In accordance with the provision of Chapter 337 of the Acts of 1085 and Chapter 110, Section 5, of Mass. General Laws, business certificates shall be in effect for four(4) years from the date of issue and shall be renewed each four years thereafter. A statement under oath must be filed with the town clerk upon discontinuing, retiring,or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. v;,,ta.;nnc nre whinrt in a fine of not more than three hundred dollars ($300.00) for each month during which �il V� SKYVIEW, INC. ENTRANCES • SKYLIGHTS • WINDOWS 41 �X 3 _ S-eptemb�er 3-, 1992 'j ►� yang Han .Kim ,{ 20 Chestnut Street ;y Wakefield MA 01880 <RE : -Renovations at 125 -Canal St . 'Salem MA ..Dear -Sir : After review ,of .t-he permit --.requirements with the Salem . - Building inspector for your drive thru window, we are - .- told that any work done without a building permit ( for the entire space including a review as to the zoning r:e- quirements for a business such as a dry :cleaners ) , will be done at the owners own risk .-and peril.. I informed them that I would advise you- of this conversa '! ti-on and urge you to p.resent't,hem- with 'all the proper app.l'ica.tions before we continue any further.. Very truly yours , SKYVIEW , INC . - ' - -- - — :-•.-.� - - -- • - Donald ,Alex Michaud ,. C-ont-r.act. Mgr .,, -" - DAM/ms cc : Salem Building Inspector Telephone (508) 745-7668 P.O. Box 627 • Salem, MA 01970 ® SKY VIEW, INC. ENTRANCES • SKYLIGHTS • WINDOWS July 21 , 1992 City of Salem Attn : Mr . David J . Harris , Asst . Bldg . Inspector One Salem Green Salem MA 01970 RE : Renovation Permits Dear Sir : As we discussed on July 20 , 1992 , I have filled out the applicaiton for a renovation permit at the former Shawmut Bank at 125 Canal St . Salem, and included two blueprints and a check in the amount of $ 65 . 00 Your office personnel informed me that I am required to have a State Builders License and a City of Salem Building License before a permit could be issued . I explained to them that I was not going to be involved in any structural changes that would require licensing . In short , I am not building a building , only making some renovations that are non-structural in nature . The State Building Commissioner has verified that non-structural changes do not require a Builders License . While I believe these changes are non-structural , you may want to field verify what I have presented . Would you please give me some direction in this regard? Thank you . Very truly yours , SKYVIEW, INC . Donald Alex Michaud , Contract Mgr . DAM/ms Telephone (508) 745-7668 P.O. Box 627 • Salem, MA 01970 SKYVIEW, lLIEU ER O T21UG:lOG�O UL 27 Laurel Streeteet P.O.Box 627 Salem, MA 01970 DATE Joe No. July 21 , 1992 92-061 (508)745-7668 ATTENTION RE TO City of Salem,Bldg . Department Former Shawmut Bank One Salem Green 125 Canal St . Salem MA Salem MA 01970 > WE ARE SENDING YOU E Attached ❑ Under separate cover via the following items: ❑ Shop drawings ❑ Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ COPIES DATE NO. DESCRIPTION 1 Completed "Debris Disposal form. THESE ARE TRANSMITTED as checked below: Q For approval ❑ Approved as submitted ❑ Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submitcopies for distribution > ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FOR BIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS COPY TO SIGNED: r.-. FROMM24&2 le. 01471It enclosures are not as noted, kindly notify us at once.Donald Alex Michaud, ontract Mgr. cite of 46aiem, 4fassar�u.5eM5 Public Property :Department Suilbinq Department One naitm oreen 745-9395 CX1. 390 William H. Munroe Director of Public Properly Inspector of Buildings Zoning Enforcement Officer In accordance vnth the provutorts of MGL c 40. S 54. a condition of Building Permit Number NSA it that the debris resulting from this work shall be disposed of in a property licensed solid waste dupossl faculty as dcfmcd by MGL c 111. S 150A. The debris veli be disposed of in: Laidlaw 293 Forest Street Peabody MA 01960 (Location of Facility) • t Signature of Permit Applicant July 21 , 1992 Date MATERIAL SAFETY DATA SHEET �� MSDS NUMBER : M4736 �. MSDS DATE : 04-05-86 PRODUCT NAME : fERGLENE INDUSTRIAL GRADE 24 HOUR EMERGENCY PHONE : ( 716) 278-7021 I. PRODUCT IDENTIFICATION I- HEALTH HAZARD, 0 FIRE HAZARD, & 0 REACTIVITY Based on the National Paint & Coatings Association HMIS rating system. MANUFACTURER ' S : Occidental Chemical Corporation NAME AND Customer Service , Occidental Tower , Telephone ADDRESS P O Box 809050 , Dallas . Texas 75380 ( 1-800-752-5151 ) CHEMICAL NAME : IT, 'E'i='_ Yflworo2t N; �t CAS NUMBER : 127- 16-4 ._ SYNONYMS/COMMON NAMES :x Perc CHEMICAL FORMULA : C12C=CC12 DOT PROPER SHIPPING NAME : Perchloroethylene DOT HAZARD CLASS : ORM-A DOT I . D. NUMBER : UN1897 HAZARDOUS SUBSTANCE : RO 1008 Ii. HEALTH HAZARD INFORMATION EMERGENCY AND FIRST AID PROCEDURES EYES : OBJECT IS TO FLUSH MATERIALS OUT IMMEDIATELY THEN SEEK MEDICAL ATTENTION. IMMEDIATELY flush eyes with large amounts of water for at least 15 minutes, holding lids apart to ensure flushing of the entire surface . SEEK MEDICAL ATTENTION. SKIN: Wash contaminated areaswith plenty of soap and water . A soothing ointment may be applied to irritated skin after thorough cleansing. Remove contaminated clothing and footwear and wash clothing before reuse. Discard footwear which cannot be decontaminated. SEEK MEDICAL ATTENTION . INHALATION: Get person out of contaminated area to fresh air . If breathing has stopped, resuscitate and administer oxygen if readily available . SEEK MEDICAL ATTENTION IMMEDIATELY . INGESTION: Immediate treatment : 00 NOT INDUCE VOMITING. If more than trace quantities have been swallowed and the patient is conscious , wash out mouth with water. and give 200-300 ml (half a pint ) of warm water to drink . OBTAIN IMMEDIATE MEDICAL ATTENTION on site or transport to hospital . Further medical treatment : Following ingestion , adsorbents such as activated charcoal may be of value . Gastric lavage may be effective when performed by a - physician within 4 hours of ingestion . CAS =Chemical Abstract Service Number ND = No relevant Information Found or not available PEL• OSHA Permissible Exposure Limit NA - Not applicable TLV =ACGIH Threshold Limit Value, Current CORP =Corporate Exposure Limit IMPORTANT The information presented herein. while net guaianteed.-was prepared by competent technical personnel and is true and accurate to the best of our knowledge. NO WARRANTY,OR GUARANTY,EXPRESS OR IMPLIED IS MADE REGARDING PERFORMANCE.STABILITY OR OTHERWISE. This Information is not ., intended to be all-Inclusive as to the manner and conditions of use. handling and storage. Other factors may Involve other or additional safely or parlormance considerations. While our technical personnel will be happy to respond to questions regarding sale handling and use procedures. sale handling and use remains the responsibility of the customer. No suggestions for use are intended as, and nothing herein shall be construed as. a recvmmendalion to Infringe any existing patents or violate any Federal. Slate or local laws. OCCIDENTAL CHEMICAL Page 2 of 7 MSDS NUMBER: M4736 04-05-88 PRd9UCT NAME : PERCLENE INDUSTRIAL GRADE II. HEALTH HAZARD INFORMATION (Continued) ROUTES OF EXPOSURE INHALATION: Excessive inhalation may produce symptoms of central nervous system depression , ranging from light-headedness , nausea and vomiting, to unconsciousness and death. - ! SKIN: Mildly irritating to skin. Skin contact may produce a burning sensation . Prolonged or repeated contact may cause skin to .. become reddened , rough , and dry due to the removal of natural oils and may result in dermatitis . May be absorbed through the skin , although not expected to product toxicity through this route . EYE CONTACT: An irritant of the eyes causing pain , lacrimation , and general inflammation . INGESTION: - May cause irritation of the gastrointestinal tract with vomiting. If vomiting results in aspiration , chemical pneumonia could follow. Absorption through the gastrointestinal tract may - produce symptoms of central nervous system depression ranging from light-headedness to unconsciousness .. EFFECTS OF OVEREXPOS RE ACUTE : Excessive inhalation or ingestion Inay produce symptoms of central nervous depression ranging from light-headedness . to Unconsciousness and death . Overexposure may result in liver and kidney damage . Exposure of the eyes and skin may produce irritation . Animals exposed to high levels have shown cardiac sensitization . CHRONIC: Can cause headache , mental confusion , depression , fatigue , loss Of appetite , nausea , vomiting , cough , loss of sense of balance . and visual disturbances . Prolonged or repeated skin contact may cause dermatitis . HEALTH HAZARD DATA : Acute Oral LD50 = 3980 to 4680 mg/kg ( rat ) Acute Inhalation LC50 = 5040 ppm, ( 34 . 2 mg/ 1 ) for 8 hrs. ( rat ) IARC lists this product as having inadequate evidence in humans and limited evidence in animals ( liver tumors ) to evaluate carcinogenicity . (Group 3 ) . A 1986 National Toxicology Program report notes that PERC when administered via inhalation to rats and mice produce "clear evidence of carcinogenicity" in male rats (mononuclear cell leukemia and kidney tumors ) and in male and female mice ( liver tumors ) . OCCIDENTAL CHEMICAL Page 3 of 7 MSD5 'NUMBER : M4736 04-05-88 T PRODUCT NAME : PERCLENE INDUSTRIAL GRADE III. HAZARDOUS INGREDIENTS MATERIAL OR COMPONENT HAZARD DATA CAS NUMBER % Perchloroethylene PEL= 100 ppm (8 hr TWA) 127- 16-4 100 PEL= 200 ppm Ceiling Value PEL= 300 ppm for 5 minutes In any 3 hr . TLV= 50 ppm (8 hr TWA) , skin ,. NIOSH (DHEW PUB. 78-112) recommends minimalexposure based on NCI study . Proprietary Stabilizers ( <0 . 007 ) See Section 11 This material is listed in the TSCA Inventory . Not listed as carcinogen - IARC, NTP , OSHA IV. FIRE AND EXPLOSION DATA FLASH POINT : Noncombustible AUTOIGNITION TEMPERATURE : NA FLAMMABLE LIMITS IN AIR , % BY VOLUME- UPPER : Noncombustible LOWER : Noncombustible EXTINGUISHING MEDIA : Water spray , dry chemical , carbon dioxide , or foam may be used where this product is stored. - SPECIAL FIRE ,FIGHTING PROCEDURES : Pressure-demand , self-contained breathing apparatus should be provided for fire fighters in buildings or confined areas where this product is stored . Storage containers exposed to fire should be kept cool with a water spray in order to prevent pressure build-up . UNUSUAL FIRE AND EXPLOSION HAZARD : Product is nonflammable and nonexplosive under normal conditions of use . At high temperatures . product decomposes to give off hydrogen chloride gas and small quantities of other toxic and irritating vapors such as phosgene . If storage - containers are exposed to excessive heat , over-pressurization of the containers can result . V. SPECIAL PROTECTION VENTILATION REQUIREMENTS : Work in well -ventilated areas . Where engineering controls are not feasible , use adequate local exhaust ventilation . SPECIFIC PERSONAL PROTECTIVE EQUIPMENT RESPIRATORY : Use a NIOSH/MSHA approved respirator following manufacturer ' s recommendations . Use supplied air respirator in positive pressure mode following ANSI 117 . 1 for tank and confined space entry . EYE : Face shield and goggles or chemical goggles should be worn. GLOVES : Gloves ' should be worn . Gloves may be decontaminated by air drying. Gloves of neoprene- latex have been used satisfactorily . OTHER CLOTHING AND EQUIPMENT : Standard work clothing. Fully closed laboratory coat or wrap-around smock . Allow contaminated clothing . to dry before reuse . Shower and eyewash facilities should be accessible . OCCIDENTAL CHEMICAL Page 4 of 7 MSDS, NUMBER : M4736 04-05-88 ' PRODUCT NAME : PERCLENE INDUSTRIAL GRADE Y VI. PHYSICAL DATA BOILING POINT @ 760 mm Hg: 121 . 20C FREEZING POINT : -22 . 4°C VAPOR PRESSURE : 18 mm Hg @ 250C - SPECIFIC GRAVITY (H20= 1 ) : 1 . 62 SOLUBILITY IN H2O % BY WT : 0. 015 VAPOR DENSITY (Air= 1 ) : 5. 83 APPEARANCE AND ODOR : . Clear , colorless liquid with an ether- like odor EVAPORATION RATE (BuAc= 1 ) : 0. 12 VOLATILES BY VOL. : 100 PH : NO VII. REACTIVITY DATA CONDITIONS CONTRIBUTING TO INSTABILITY : Under normal conditions , this material is stable . INCOMPATIBILITY : Avoid contacting this product with pure oxygen , alkali metals . open flames . and electrical arcs . HAZARDOUS DECOMPOSITION PRODUCTS : At high temperatures , this product decomposes to give off hydrogen chloride gas and small quantities Of other toxic and irritation vapors such as phosgene . Avoid open flames , welding arcs or other high temperature sources . CONDITIONS CONTRIBUTING TO HAZARDOUS POLYMERIZATION: Material ISLnot known to polymerize. VIII. HANDLING AND STORAGE HANDLING AND STORAGE PRECAUTIONS : Under normal conditions , this product may be stored satisfactorily in galvanized iron , black iron or Steel . Aluminum Is not generally recommended for storage or handling . Store drums in a cool place (bungs up and closed tightly) . Ventilation should be provided at the floor level . Do not store in pits . depressions , basements or unventilated areas . All tanks should have a top and bottom manhole and a vent of adiameter at least equal to that of the fill or discharge pipe . Vent indoor tanks outside in a location such that escaping vapor will not contaminate any work space air . Vertical tanks should be of the closed top design . Normally , a dryer and safety seal on the vent is recommended. The material resulting from clean up operations may be hazardous waste and therefore , subject to specific regulations . PackAge , store , transport , and disposal of all clean up materials and any contaminated -equipment in accordance with all applicable federal , state , and local health and environmental regulations . Shipments of waste materials may be subject to manifesting requirements per applicable regulations . Appropriate disposal will depend on the nature of each waste material and should be performed by competent and properly permitted contractors . Ensure that all responsible federal , state , and local agencies receive proper notification of disposal . OCCIDENTAL CHEMICAL Page 5 of 7 MSDSINUMBER: M4736 04-05-88 n PROdUCT NAME : PERCLENE INDUSTRIAL GRADE IX. ENVIRONMENTAL PROCEDURES STEPS TO BE TAKEN IF MATERIAL IS RELEASED OR SPILLED: Leaks should be stopped, spills should be contained and cleaned UP immediately . Large spills should be removed by vacuum truck . Smaller spills may be soaked up with absorbent materials which should be placed in closed containers, labeled, and stored in a safe place out of doors to await proper disposal . Spilled material should be disposed of in accordance with federal , state . and local regulations. Persons performing this work should wear adequate personal protective equipment and clothing. WASTE DISPOSAL METHOD : Clean-up action should be carefully planned and executed . Shipment, storage , and/or disposal of waste materials are regulated and action to handle spilled or released materials must meet the applicable rules . If any questions exist , the appropriate agencies should be contacted to assure proper action being taken . X. ADDITIONAL INFORMATION OSHA Standard 29CFR 1910. 1200 requires that information be provided employees regarding the hazards of chemicals by means of a hazard communication program including labeling , material safety data sheets , training and access to written records . State of ,California Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65) : Warning : This chemical is known to the State of California to cause cancer . Note : For additional Non-Emergency health, safety, or environmental Information. telephone (716) 286-3061 . For Emergencies : 24 HOUR EMERGENCY PHONE : (716) 278-7021 �� , ,pct i i AL Page 6 of 7 MSDS NUMBER : M4736 04-05-88 .PRODUCT NAME : PERCLENE INDUSTRIAL GRADE WARNING LABEL INFORMATION SIGNAL WORD: CAUTION STATEMENT OF HAZARDS : VOLATILE SOLVENT PROLONGED BREATHING OF VAPOR CAN CAUSE DIZZINESS , LOSS OF CONSCIOUSNESS , LIVER AND KIDNEY DAMAGE . AND MAY RESULT IN DEATH. CAUSES IRRITATION OF THE EYES , SKIN, AND RESPIRATORY TRACT. PRECAUTIONARY STATEMENTS : Do not get in eyes . on skin , on clothing. Do not take internally . . Use only with adequate engineering controls and ventilation to maintain vapor exposure level below TLV . Employ respiratory protection when exposure to vapor is possible . When handling, wear chemical splash goggles , protective clothing and solvent-resistant gloves Wash thoroughly after handling. Never enter a pit or tank without observing safety procedures : never alone , always with a life line and always with a positive supply of fresh air . Avoid contact with flames , welding arcs , high temperature sources . alkali metals , pure oxygen . Toxic and irritating vapors may result . Keep container tightly closed . Store in cool , ventilated place . See Material Safety Data Sheet for more detailed information . 7 FIRST AID: IN CASE OF CONTACT: FOR EYES : Immediately flush with plenty of water for at least 15 minutes . holding eyelids apart to. ensure flushing of the entire eye surface . SEEK MEDICAL ATTENTION IMMEDIATELY . FOR SKIN: Wash with plenty of soap and water . A soothing ointment may be applied to irritated skin after cleansing . Remove contaminated clothing and footwear and wash clothing before reuse . Discard footwear which cannot be decontaminated. SEEK MEDICAL ATTENTION. IF INHALED: Remove to fresh air . If breathing has stopped , give mouth-to-mouth resuscitation . If breathing is difficult . have trained person administer oxygen . GET IMMEDIATE MEDICAL ATTENTION. IF SWALLOWED: Immediate treatment : DO NOT INDUCE VOMITING . If more than trace quantities have been swallowed and the patient is conscious . was out mouth with water and give 200-300 ml (half" a _ pint ) of warm water to drink . OBTAIN IMMEDIATE MEDICAL ATTENTION on site or transport to hospital . OCCIDENTAL CHEMICAL Msbs, NUMBER : M4736 Page 7 of 7 ,•PRODUCT NAME : PERCLENE INDUSTRIAL GRADE 04-05-a8 • r WARNING LABEL INFORMATION (Continued) IN CASE OF: . SPILL OR LEAK : Leaks should be stopped. Spills should be contained and cleaned up immediately . Large spills truck . Smaller spills may should be removed by vacuum be soaked up with absorbent material which should be placed in closed containers , labeled, and stored in a safe place out of doors to await proper disposal . Spilled material should be disposed of in accordance with federal , state and local regulations . Persons performing this work should wear adequate personal protective equipment and clothing. FIRE : Not combustible , use agents suitable for surrounding fire . Pressure-demand, self-contained breathing apparatus should be provided for fire fighters . At high .temperatures , product decomposes to give off toxic and irritating gases such as phosgene and hydrochloric acid. Cool fire-exposed containers . with water spray to prevent over-pressurization. HANDLING AND STORAGE : Under normal conditions , this product may be stored satisfactorily in galvanized iron , black iron or steel . Aluminum is not generally recommended for storage or handling . Store drums in a cool place (bungs up and closed tightly ) . Ventilation should be provided at the floor level . Do not store in pits . - depressions , basements or unventilated areas. All tanks should have a top and bottom manhole and a vent of a diameter at least equal to that of the Fill or discharge pipe . Vent indoor tanks outside in a location such that escaping vapor will not r_ontaminate any work space air . Vertical tanks should be of the Is recommended . closed top design . Normally , a dryer and safety seal on the vent The material resulting from clean up operations may be hazardous waste and therefore . subject to specific regulations . Package . store , transport , and disposal of all clean up materials and any contaminated equipment in accordance with all applicable federal , state . and local health and environmental regulations. Shipments of waste materials may be subject to manifesting requirements per applicable regulations . Appropriate disposal will depend on the nature of each waste material and should be Performed by competent and properly permitted contractors . Ensure that all responsible federal , state and local agencies receive proper notification of disposal . HMIS RATING SYSTEM: HEALTH 1* FLAMMABILITY 0 REACTIVITY 0 FORINDUSTRIAL USE ONLY LABEL 040588M4736 , 875 Norm Ellsworlh Avenue.Villa Park,Illinois 60181 (312)833-3200 (800)423-4879 tra...extra...extra---extra...extra...extra...extra...extra...ext a...extra-..extra---extra...extra...extra.._extra...extra...extra. OSHA sets PEL to 25 ppm The US - PEL (= Permissibie Exposure Level) for pert is still 100 ppm. That means the pert concentration in the workplace must not exceed the average of 100 ppm per 8 hour shift. 100 ppm means 100 parts per million, that is 100 parts of pert in 1 million parts of air. That has been the US standard for a long time. Now OSHA sets the PEL to 25 ppm effective March 1 , 1989. A tragedy for the industry Not at all I in Germany for instance the PEL has come down from 100 ppm to 50 ppm a long time ago. A recent proposal now aims for 12.5 ppm. And the industry can Veep up with those regulations thanks to the advanced technology in drycleaninq machines. FLUOR"1AI I- machines (US-version) emit max. 1 ,500 Dom when you open the loading door at the end of the cycle. That translates into max. 10 grams of pert/ 1 cu.meter of air = 0.01 oz. of pert/ I cu.f t, of air. What does that mean for 05HA'S new PEL of 25 ppm ? Let's assume your drycieaning machine is located in a workroom of 20' wide x 30' deep x 10' high = 6,000 cult Depending4on thoAf ferent h � volumes of the baskets the following ainotlnts b>§ape c F@ a #E dkl�Wfh the cleaning machine and trahslate ihto the folioW Kij1 Pt F, , FLLIORMATIC PERC EMITTED PER LOAD. PEL.1 Wbknobb NPS or BT 25 0.080 oz. - 2.3 grams 2.0 ppm NPS or BT 37 0. 1 13 oz. 3:2 grams 2:8 ppm NPS or BT 50 0. 154 oz. = 4.4 grams 3.8 ppm NPS or' BT 60 0. 187 oz. = 5.3 grams 4.6 ppm FLUORt°f?TIT- mire-hinns h btrM d*l;1jf !T rdr t'�fT twto r,` ` +C r XV e tv 'tri ja .• � ygil}{ [ y t Fes;. Z i 'W{{ E Fili'll T P �� £1. . Q L:• CT 4 f� 'i��r. -r,c��=r-+i��-r-�-a,.r�-.is�� :�-3r��--.:..t--+`-f�.+ o � � } + � I G T I -, 9 Y• F. 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ONAL O n9 Pump. oprocessor control. Int filter. is solvent cooler. Maceous(centrifugal)filter. y RL9956 i✓c' P 34. ill pyg� ��yj E kSCS P t # f� 9G' y$cf{y L �{jlafnk D'epll:i ' :tr �rR �E pp`�yyf�k� �t � A. ^w +xr "1 �� iis 4W '• . _s.. _ M�� t. ' r � �WSrftT, tis' � � ''' S'. �ilns$TrT I �f 17 , R» tY(>`Oil; �sUfl P tea ' ' n+ VAR p4mmillr S Y MI � b i cig�rance elf e f }VVv(d�n r01. Ngi. yj inu., Al lit e 14�FIOOI WE $ Sa Y 9016 If1N - 4 it " ♦ r ,fa �. 1 I .��7f�1f9`�r. w � Y fo r AMMON r SISa ii Heafi_a$"� t r +�rfnliY-St O �`h'�T .�a r ' fimAlr$;;pi�Uti r '@ _ ' xPas iz�h��tl�l� 9fd Fi Temp Iturill,RE m I (R w WB�Byvey,�ryf1 " { OJ' "�'�k�r �y�+y Y X` 17�a�i IZOOrFRl i'lll qUl "All spi(t c Yo e%re 2300 W. ANDREW JOHNSON HIGHWAY P. O. BOX 607 MORRISTOWN,TENNESSEE 37814 � TELEPHONE(615)586-5370 Model 44SP Spotting Board 77 FORENTA's Spotting Board includes features needed by the beginner and demanded by the professional. Field tested by ten high volume operators across the country, their Suggestions have been included in the final design. Features include: Dry, moist and wet STEAM controlled bythe touch of a toe.VACUUM on both the main board and the sleeve board that really WORKSI CONTINUOUSLY hot compressed AIR to rapidly dry the garment. The stainless steel top, large storage area and LEAK-FREE Valving make the Forenta Spotting Board the spotter's preference. 2M- 12/85 - ' ACME 9229 ' h'� . "" � iWa w41.#a4�:;:+E�2xei $,fr* iie.. "'�s,�,A.n*id^aefr�i ib',•v, +"^ - �$3Mk The Ajax Steam-Air Finisher completely elimi- nates bag contact pressure, thus making it Possible to finish virtually all sizes and types of fabrics and garments on the same machine. The secret lies in Ajax's patented open-mesh air form bag. The open mesh bag shapes garments and restores the "like new" finish - even on most delicate new synthetic knits - with a gentle cushion of steam and air in- ; stead of conventional bag pressure. 3 No garment sorting - no complicated sizing controls 6 { The operator simply dresses a garment on the ,. Form and steps on the foot switch.At the end of the steam cycle, the blower automatically + starts and gradually builds up air pressure that gently shapes, finishes and dries the garment. a r a Quick-adjust collar and shoulder forms j Ajax's patented collarform fits all neck angles, + i and keeps coat collars flat without exposing "I ; the facings. The shoulder form adjusts to fit any size garment from children's size 3 to `f a largest adult size. ` Patented knee closing Front and back clamps are closed with just a touch of the knee, leaving both hands free to Position the garment. A finger-operated, natural-action release frees both clamps easily, quickly. Foot switch controls "pre-programmed" cycler The steam and air cycles are pre-set on sepa- rate timers, and actuated by a simple foot switch. Holding the switch down stops the Cycle for repositioning garments; releasing the switch repeats the cycle. !UoEIF� �'lV{i$�, � �rery� rt5icn�L3if`�'d `Ni �j#i�i I�i'cz5050 5 i Ave�r♦�e C��rYoi�F� �p'�,�g`e�, T�� A, - tI r � � I"F i xe }r"` -a ,¢ ''rt° `' :: _ .. '7F' Tf y�Yt t gr^z';.,rg-. ^^-,-.a-.-.�^-^-- ^^.-.-^-�^--...-^��--""---m�•...�.-.-"....""'r' �•��'rtt`±ka�''� N�d >W O t k�� b� ' r R �4. `R-� fi 1 1 rf .� qm {, -.� �"Y^ 3i. .Nu,,a 4`x4 a, m.Ex. } ,^.,� A'G n3,rr., :a•. r, srs� to . t - �•Y Y� x a � i lr , t wl cisell t 4[ �c >+�m" e a 1 a o } �+� �� 7 n x ' e Ya eat }�` y,I• ,� f • 0 i o a 0 e l l e` afi v fl s s1 _ 4 g Le0.0"'`Ci 6 t i d e e` qo�µ� �} ! IIEF�'�. °r °°-4k ��'��b"✓•'1+=.�yi k�o a all.l_� � ,. a�l�*7 ly',...�F�I�J lw�q�;,�a��?� i S R+ ffi s f + <^n"'��'��•:.� 4" 3t' (.- At' r to A '�` x�t ,sxg+x 4" ' a t� CONTACT Er4 ASK YOUR DISTRIBUTO lx 14 x ml { �'^II {' r I A e Sty ole e t e o o- fn' ,rte'' '{ A II •s¢77 q� ` cissell ;_ 4. U9'',lrYV�r`iF`✓.:+k `as e e I a ko 5 ##€`• r`e S'•3 daEw,e i ?� As4#ta �� q� 7 °'u � klMANUFACTURING tiFk �I COMPANY The standard of excellence in the ndustry. v;i� i HEADQUARTERS! 4 * } OUTH FIRST ST. PHONE:(502)587-1292 0. _ OX 32270 FAX:(502)585-3625 LOUISVILLE KY TELEX:204158 40232-2270 / HEADQUARTERS 1 ' x yt al t A • 1 11 „ 1 1 (05-1 P. 0 X 53 TELEX:53535 9670 �� 0 0 4 tl 9 9 o p 11 NA,1 0! 'a1b�f#'wTHE NETHERLANDS 1 J / 1 � ® 2300W.ANDREW JOHNSON HIGHWAY P.O.BOX 607 MORRISTOWN,TENNESSEE 37814 RrentaTELEPHONE (615) 586-5370 a Forenta Contoured Legger Utility Press CUSTOM K,1ACIIINERY CO., INC. 10611 IRON BRIDGE RD. JESSUP, MARYLAND 20794 (301) 953-9090 II li{{fl�+'yy33 A I 1 ' (�renta 1 ' APP'O"� Water SpraylIron Stand/Sleeve Board Optional Equipment The FORENTA "F" Series Automatic Pant Legger press is the most efficiently designed press in the world. Leading the industry as 'Top of the Line," its unique design offers years of trouble-free service. Using an air-operated timer,variable pressure, clear buck, and nickel-plated head,the FORENTA Models 47, 48,or 47LS offer the best Combinations of features in existence. The -F" Series Legger, used with the Model 22BP Automatic Pant Topper,offers quality pant production of 65 to 70 pairs per hour with one operator. This press can be changed from automatic to manual air operation at the push of a button. 2M - 1/89 ACME 2514 -n. c L COLUMB(A HRT SERIES 'Sid. . .. .?.nf.^`i`.CifPF'3'r�tY . ..`ismY.?�'L*..va^invf4;,9�WA^u�TF.'^."l.?�.'^iF S: i•:rv�n� :..,.�*..��.n�.�r-nr-m.e�..c-......n..-.^+r' —^rcnn THE INDUSTRY LEADER IN HIGH PRESSURE STEAM BOILERS i 9N i i � f SPECIFICATIONS & DATA IF S SAFE"VALVE PRESSURE GAUGE I HANDHOLE ASSY PRESSURE CONTROLS RELIEF DOOR PRIMARY L W.C.O. O C SECONDARY L.W.C.O. BURNER 1./ DA� B A.S.M.E.Construction Horizontal Return Tubular Type Working Pressures from 15 psi to 150 psi COLUMBIA HRT BOILERS FGA IGHT OIL OR DUAL FUEL BOILER HP RATING 6 10 1 15 4 20 30 40 50 60 70 80 100 125 150 175 200 PACKAGE Width 8 in. 31 41 47 47 53 53 53 59 59 68 68 68 68 1 80 80 BOILER Floor ace ft. 6x9 7x11 8x13 BX13 9z 15 9x15 10x15 10x15 10x15 12x20 12x20 112x2O 14226 16230 16x30 'MINIMUM MW wpm" CLEARANCE Width E In. 27 303/4 37 37 � 43 43 43 49 49 58 58 58 58 69'1 69'h DIMENSION BASE tan lh in. 48- - 57 69 69 83'/2 8311 - 831h 81 81 126'1 126'/. 126'1 167 156 156 DIMENSION Height In. 38'/. 411/4 52 52 53'1 53'/4 53'1 61'1 61'1 74'1 74'1 74'1 74'1 791/. 79'1 . ; 9w"MW 8s - '7f�.� 3y', fg fIEA7 Len th In. 45'1 55'1 69'1 69x/4 85x1 85'1 8531 86'1 861h 109'1 109'1 109'1 130 1211 121'1 EXCHANGER nMMMMInm Length Of Tubes in. 3631 4431 57'1 57'h 703/4 7031 703/4 711 713A 93'h 93'1 93'1 114 105'1 105'1 [. I8T•;TIM .. � 11G NM w T FIR pit COMBUSTION Width in. 12 16 24 24 33 33 33 35 35 39 39 39 39 51 51 CHAMBER Wlume cu. tt. 1.3 3.5 9.3 9.3 7.19.6 24.2 24.2 43.3 43.3 72.9 72.9 72.9 90.1 127.5 127.5 12000 4490 Normal Water Volume gals. 21 39 61 68 115 145 145 185 185 326 326 326 396 648 648 Total Heal Exchanger Volume ais. 44 73 154 148 255• 31 231 2 321 321 531 531 531 646 902 902 WHO MM WW MW lik "tal Aw Amu arm am Min WW=F R=4111a 4WI Oil Filing Rale als./hr. 2.00 3.00 4.50 6.00 9.00 12.00 15.00 18.00 21.00 24.00 30.00 37.50 45.00 52.50 60.00 Pr 4 ' 'r ! i_'. _ Boiler output MBTU/hr. 224 336 504 672 1008 1344 1680 2016 2352 2688 3360 4200 5040 5880 1 6720 Stack Diameter,in. - Height, h. 8 10 12 12 14 14 14 16 16 V3 18 18 22 28 2ff Height from floor in. 53'1 58'/2 72 72 76 76 76 87 87 104 104 104 104 113 113 T. In. 54'1 64'1 7831 783/. 93 93 93 94 94 119 119 119 145 140 140 sttl$F ulail 1 i' �r 61 Jim Feed Water Inlet Size los. 11 'h 3/i 1 31 3/4 3/4 3'4 3/4 3/4 1 1 M2Y.x31h gin 1 a h Hand Hole Top Shell 3x3'1 3x33/. 3x333x3Yi (2)3x33/4 (2)3x331 (213x33/4 (2)3x331 (2)3x331 (2)3x33/. (2)3x331 x331 (2)3x33/4Assembl Front Head 23/4x3'/2 23/4x3'h 23/4x3'h 23/4x3'1 23/4x3'h 231x3'1 2?IBM /4x3'/2 231x3'1 23/ix3'1 231x3'1 23/ix3'h 3'1 23'ix3'h A rox. Shi in WI. lbs. 1700 2300 3800 3900 5300 5900 5900 7400 7400 12000 12000 00 23000 t Dimension is approximate based on Standard Oil Burner. Must be specified at lime of order. Certilied Drawing available upon request. America's most trusted name in commercial and residential boilers COLUMBIK BOILER COMPANY Box G, Pottstown, Penna. 19464 • Phone(215)323-2700 • FAX(215) 323-7292 HRT 1039 TOM SO PRINTED IN U.S.A. i i c ' Vertical Overhead & Dual Air Vacuums for Every Size Plant. ...j Rema btfi=Vac a afe fi ade"` VERTICAL OVERHEAD DUAL to last and last) The jet, aircraft type aluminum �� aurbine asses lle3 can t 'fust Top abotto " bastings,and m + te quality,' turnedt Impellers are 4" flush Welded and precr �' a "sion balanced ` no rivets, nothing to create ,air dragd_And,the 12,_ gaulte steel condenser tanks ire-specrally,rp, , ,,treated to,te'sist corro`� y f sion What smore special rdcber niounjs t y defeW iorlbratlomthe fesult is a troubie fr@ei $ x "'compi6telyre11961edualify4 : product carrying a full, * >. ;one year warranty on ,f�` motory Ubine and tani< 1 �r .t9ni 't factory,�servfce will repairyour�Rema Dri t Vac gU16 iy if evef 'necessary:Just ship:�d�� Us and We'll res�d`ndwifFi r 24 houiseFvlce�Cfia7ges' w- - ara,nonil'nalffe'lb't extra ' fr Rema WI Vacs —r- No r „i avaflablean cblors to r Outletoverall match yobr other a dl Model 7 r , menu Jdsf Sefid a colo 1 =swatch dr other equlb . Ment rhama�We II do the t ` VERFol fii�JIL �r M Pm ^ DRPVAC ASSEMBLY�DII�SBI MI` "t'+r, ` �:,�;t,. RP-1 1 1 '/: 2" 101/4" 1 2" 1 2211" 31" 15" 1 90 His. RP-2 2 Y. 2" 1011" 2" 2411" 33" 15" 9616s. Y`MA WRM1Rpli }r/'� RP-3 3 3/. 2" 16" 2" 3411" 43" 15" 104 lbs. �M i'rt "," RP-4 4 3/4 2'h" 12" 2" 29" 35" 19" 130 Ibs: ,. i°"""" RP-5 5 1 21h" 161/2" 2" 381/:" 48" 19" 13716s. ° + RP-8 8 1'/: 3" 19" 2" 42'1" 52" 19" 1441hs. RP-12 12 3 3" 19" 21/2" 423/4" 5311" 24" 2401hs. X1wan.snei... �swirwMe s RP-16 16 3 3" 19" 2'/:" 4231" 5311" 24" 240 Its. :'+Y`1r,'son w.Mn— 4.S'riMx -0'dr. RP-20 20 3 3" 19" 2'/:" 4431" 55'1" 24" 2551bs. a, .+ <z RP 25 25 5 3" 21 21h 49" 59'1' 24 270 lbs. Y'Sr 5� , }1,d's "st '. .s,?7 o'+'p;-.iY' S, W @ tq,• a a z b+T # N S gg y, 4, #`{ i f sa 6 xf h K Z _ R '.� ,WM7- _YW rP ,"'. r 5 �- �esvlt#5 ` wJ;N ;ill "I, �'. � }sti sw �t fjr . � RPO-5 5 1 3 17 19/s 35' 39' 19 ' 15516s y, YP'64r yyu�J�^ ± RPO-8 8 1'h 3 17 191E 35' 339 19 ' 160 Has. +}.5 n Nt "" '^ '";'inn smms -RID #.. —ll �i, a X R�* ` 3' w - Y r`� ;y�° 3% X DUflC RPD-40 1 40 6 4" 1511" 2'h" 42" S6" 44 x 24 460 1b5. RIItR$Mk x' 513 '} " �3M ,f, RPD-50 50 10 4" 1511" 2'/:" 02" 56" 44 x 24 510 lbs. RlsMA DRI-VAC CORPORATION Models f 45 Ruby Street Norwalk,Conn.06852 from one to ' (203)847.2464 KACU Designers and Manufacturers of Air Vacuum Systems and Vertical Return Systems n , '•(i�rf � 5 yf •`f } hEa�y. 1 l� , :,n �1'�� y'�if�{ �`. AM AJ AX I` t .-.` C-1C4juf�_ "Flow-Through" Air Bags i' t , Garments get a professional finish as a result of the SINGLE-BUCK,}CABINET R, side and yoke air bags that conform to the contours BosomiiiBODY' AND`YOKFE PRESS of almost any style of shirt.The bags also retain n �,-", �: '- , <_ r enough air to stay firmly expanded,while releasing a #k , § ��"fit 3• constant flow of heated, low pressure air through +� R P `Fjy aY " Ir Y5 Y t ll'.t'' SjSi Zk rYv ♦. their pores. This shapes and dries the garment fora ,YCBB:Y quality finish. a Also, with the CBB Y, no additional H.P. requirements Finishes 4hQ=GaauaO bosom"body end'yoke'are8s of " are added to your compressor because the air bags are i ifiated b a built-in blower. nearly all types and sizes of shirts In one operation y 4V Efficient Operation4s ' ra� �✓ Head and buck design allows for fewest operator movements to dress for high quality output than any s a other unit on the market. Just before the headsy 3 ' close, a flow of"initial air"expands the air bags tof3 `: smoothe out wrinkles. When the buck moves Into the r 2 s pressing position,the highly polished, steam heated heads press the front and back of the shirt,while `: ae* heated, high pressure air is forced into the air bags, >' finishing the sides and yoke. • inter-`-----"- uawaa.RRanycaubc BUs!:a .. . The CBBY comes with the Standard 18° buck, but ."' any of the other nine bucks can be substituted for it aj o at no additional cost. The bucks can be switched *°t, 5,r quickly and easily without changing the head. r' s Also included, is a rubber-backed, air-operated collar , clamp to keep all types and thicknesses of collars ~; firmly in place. • s^ t`> ,aCx Safe Operation Controls are designed with the operator in mind. 3 Y` 01 When in the dressing position,the buck is well away from the heat of the pressing heads. j Optional Automatic Water Spray - k f An automatic water spray is available to dampen garments as they enter the pres- sing chamber.This eliminates much of the of guesswork when finishing fast drying Y , polyester fabrics. Standard Equipment 9 Air regulator, filter&lubricator `- 4 Magnetic counter Yq1lr` x kb. O Timer • Manual water spray Extra Cost Options O Automatic water spray QIP q3 4 Additional bucks with stand O ASME certified and approved PC 3;z tik '.0 - t Dimensions of Buck before Padding Is Applied. CBBY :��,• STANLARGE.200 Specifications ' 4 : „ Standard Standard, taper-body, sport, pullover 367/s * pullover&stiff,1 36714 &stiff bosom 937 , bosom shirts ' 937° shirts Dimensions shown in the illustration refer to the -" buck before padding is applied. 4., Size 14 17. „1Y Size 14- 17 _I I � I Press Dimensions -tr, aal 'I ;s�oe ° Width 97-1/2" (2477mm) Depth 34" (864mm) Height 76-1/4" (1937mm) COAT•C +I IW LEAOUE IV, t.• 1 ' � t7 432� Supply Renulre.. ._ r Air i .53 cu. ft. free air/cycle at 80 psig 3617re r ' linen supply 36718 15.0 liters free aidcycle at 5.6 kg/c& 937 &Army 937 'Closed front fatigue coats 1 shirts Steam : Size 32 44Size 14-1611 2.5 BHP at 100 psig A'?1s E1e Consumption -86 lbs/hr (39 kg/hr) 467 I I p 457 F� 1 A 1i n art+ Electrical ARMY•Al _ 20OV, 230V, 460V, 575V/6OHz/3 phase, °' !4RMY A2 - (22.5, 21.9, 11, 8.8) rated amps 0i f' epos 1x1t 4( ' is2� ; ' 220V, 380V, *415V, */50Hz/3 phase, F. v TTS` a, (23.9, 13.1, 12.3) rated amps Armes, Man Small,Arm Air Force " Air 4"" Army,. *4 line systems 367/estandard& �' < 7/8 `.istand rd Force, -• Approximate Shipping Weights W 937 rig 4 t 837�•1 r!` sport shirts sport shirts Net - 2090 lbs (949 kg) F 1 Domestic - 2475 lbs (1124 kg) is Size 14 17 :Size 13-16 •- I� I 7ve F 141 Export 3150 lbs (1430 kg) 19 �z, .- a� j Export Boxed 217 cu. ft. (6.1 cu. meters)08 7; ( • y �� lw I JAPANESE w. r` 6�e1 .A 4,LADIES' 11 I�19 xsn. t '19 I_ 483 r7 irj 483�,t,�.; 7I, 1St�`' 4rt 3a3i Japaneseee17%.' Ladies' blouses y' Size 10 16 #' �1Size 10-16t fain 4WhF 6a 41 r ' . ,', 19 � �,• .p o-19 a C ;. BOYS'-B q,40 SMSHIR7 SS A J A X I_ 429 } }€F ,,ISM ,L4�� 4949 Section Avenue, Cincinnati, Ohio 45212 i -0I i` 4 � yti •_� X41 ''jIII yFeAF t. ] Equipment Is subject to manufacturer's standard warranty. 367/8 7 -. Children's Accuracy of illustration and description of equipment shown herein applies to product as manufactured at time of publication. 937 Boys'&ladles �r' a37, 'shirts&small 4 shins blouses Printed In U.S.A. f .y PC 364 Size /0 14. }. ,,, IISize 8- 13 ( _. 1�- 13 to �I ] r4ax 11-91-4 a, •Actual pressing area Is 33 314'from top. 11111011111111 Dimensions are in Inches and millimeters. �t 7 . �P ..y' Ajax _ o Collar and Cuff Laundry Press * r 't High production with quality finishing 3 p j 01 CCW-C �..'; I PG310 j: fir^ The collar and cuffs of shirts are ■ Separate cylinders, one to apply The press can be operated manually , given a smooth professional finish pressure, and another to close the by simply switching off the timer. in one, fast, easy operation. . . head. This means that each cylin- automatically. der can do its job better, for a Long Lasting Dependability ; longer time. The press is constructed of heavy The Reasons. . . ■The extra wide head opening that gauge fabricated steel to provide The flexible, universal head makes it easier and faster to dress extra years of trouble free service. i, mounting pivot that balances head i the bucks, and then to remove the All exposed metal surfaces are pro- nresciiro over the entire surface of tected by a durable enamel finish garments. each buck. that comes in your choice of eight ' ■ Efficient, Timed Operation attractive colors. A highly polished, steam heated, P chrome plated steel head for a Set the timer, and press the two An air regulator is furnished as zz S. fast, even transfer of heat. large red buttons simultaneously, standard equipment. ., ■ Firmly padded, springloaded one with each hand. This closes For High Production Shirt Units bucks - cushioned with steel wool, the head and starts the timed cycle. After the pre-set time, the head is Combined with a Cabinet Bosom, two flannel pads, and a lough cotton cloth cover. They produce a released from pressure Body and Yoke Press, and Cabinet uniform finish regardless of varia- automatically. Bag Sleever, the CCW-C will form tions in size, shape and thickness Pressing the buttons with two an efficient, high speed, high pro- of fabrics. hands, becomes a synchronized duction shirt unit. ■A dual-acting hydraulic check to control system. The head can be Optional Extras A' cushion the head closing and released at any time by pressing Filter lubricator assembly + opening motions. either green button. ■ASME ceitified and approved ■ Press table corner piece (90°) Ajax Division - American Laundry Machinery Inc. t, A i :e CCW-C 1: N Sped s ��ec, � r,fication ,, s Dimensions of Buck Before Padding is Applied10 19 �254� �483� �210 54� 5*.t is 6'1/2 165 y :f 13 13 330 2520 2 ,330 � A�� 90° 13-7116 R �-90° 341 tS` Dimensions in inches and millimeters. -'_ ,yt Press Dimensions"" Width - 46" (1168mm) Ajax'O ,. Depth - 43-1/4" (1099mm) . Height Ajax Division,American Laundry Machinery, Inc. ` - Head open 53" (1346mm) 5050 Section Avenue,Cincinnati,Ohio 45212 Head closed 47-5/8" (1210mm) ` P' Supply Requirements XE. Air: Equipment is subject to manufacturer's y standard warranty. r 1.1 cu. ft, free air/cycle at 80 psig Accuracy of illustration and description of 31.1 titers tree air/cycle at 5.6 kg/cm' equipment shown herein applies to product as manufactured at time of publication. Steam: Printed in U.S.A. s: E E' .75 BHP at 125 psig PC 310 Consumption -26 Ibs/hr(12 kg1hr) Ajax 591-5 Electrical Ja 115V, 230V16OHz/1 phase, (50, .25) rated i amps 110V, 220V/5OHz/1 phase, (.50, .25) rated < amps .,. ..,. Approximate Shipping Weights Net 710 lbs 322 kg Domestic 780 lbs 354 kg Export 820 lbs 372 kg ; Export boxed - 80 cu. ft. (2.2 cu. meters) ;y. C.' }i: y ' r y Ajax .£ Cabinet Sag Sleever With "magic-eye" accuracy r = ri �2 1110 �x CSS/CSS C PC 363,365 . . Virtually all shapes and sizes of "Flow-Through" Air Bags Easy Operation sleeves, made of 100%cotton or When expanded,the patented Preset the timer for the length of the polyester blend fabric,are finished flow-through air bags conform perfectly i cycle, step on the foot pedal to inflate In one easy operation. "Magic-eye" to sleeve contours to smooth out the air bags, measure the sleeves and measuring is the reason. It auto- wrinkles.At the same time, heated air press the two start buttons.The cycle matically aligns the pressing heads passes through the air bags to starts, and the sleeves are tilted back with the sleeves for a faster, more condition and dry the sleeves. I into the steam-heated chests for accurate professional finish every Then when the cycle is started,and 1 pressing.When the sleeves are time. the highly polished chests are pressing I finished, they are returned to the "Magic-Eye" Accuracy the body of the sleeves,the still i vertical position for removal.A stop I I expanded air bags are finishing the i button is provided to release the bucks The operator simply moves the shoulder and underarm areas, at any time during a cycle. measuring arm to focus the "magic- I eye" indicator light onto the shoulder Automatic Cuff Clamps Attractive Decorator Colors seam, and presses the start buttons-- Steel clamps hold the cuffs firmly on The CBS and CBS-C sleevers are the sleever does the rest. Immediately, the cuff blocks while the sleeves are available in your choice of eight the steam-heated chests are accu- being finished. The clamps open j attractive colors. rately aligned with the varying sleeve automatically at the end of the cycle. Optional Extras lengths being finished. • Magnetic counter • ASME certified and approved • Buck stand-supports 3 bucks Ajax Division - American Laundry Machinery, Inc. Model CBS For Shirts The CBS is designed primarily to finish shirt sleeves. Its powerful blower motor -- produces abundant air flow for quality finishing. Model CBS-C For Coats The CBS-C has longer bucks and, is ideally suited to finish the sleeves of doctor's coats, nurses'uniforms, smocks, military fatigues and industrial linen supply coats. It also has a rugged blower system that easily handles these heavier garments. Standard And Optional Bucks Mad J27-1/16 24-9116 22-9/16 21-9/16 1 /16 27-1/6 687 624 573 548 7 687 CBS-C Coat CBS Shirt I Short Coat Boys' Midget Solid Cuff STANDARD i NTERCHANGEABLE BUCKS- CBS ONLY OPTIONAL• NO COST OPTIONAL AT NO EXTRA COST CBS-C ONLY Dimensions are in inches and millimeters,and indicate spring pad assembly lengths Sleever Dimensions Approximate Shipping Weights Width - 30" (762mm) Net 950 lbs 430 kg Depth - 48-1/2" (1232mm) Domestic 1040 lbs 472 kg Height - 58-1/2" (1468mm) Export 1220lbs 553 kg Supply Requirements Export boxed-72 cu. ft. (2.0 cu. meters) Air: .3 cu.ft.free air/cycle at 80 psig 8.5 liters free air/cycle at 5.6 kg/cm2 Steam: 1.75 BHP at 100 psig Ajax'0 Consumption-60.4 lbs/hr(27.4 kg/hr) Electrical: Ajax Division, American Laundry Machinery,Inc. CBS and CBS-C-60Hz/3 phase, 5050 Section Avenue,Cincinnati,Ohio 45212 200V, 230V, 460V(13.4, 12.3,6.2) Equipment is subject to manufacturer's Full load amps standard warranty. CBS-50Hz/3 phase, Accuracy of illustration and description of 200V, 220V, 380V,415V(11.6, 11.5,6.1,6.1) equipment shown herein applies to product Full load amps as manufactured at time of publication. CBS-C-50Hz/3 phase, Printed in U.S.A. 200V, 220V, 380V,415V(11,10, 5.8, 5.3) PC 363,365 Full load amps Ajax 0491 -5 k C � b i oa j f r v � w r "• "'� y CO {a.tie �'Y aJftt'r�� 4ViY A bury�en� rKejrle coh'veyorl ii goeS.Jpr _like aAmidst ahfr h$ighi hod went G4rmenta are stored on it I t a �Ilke e 'floor model conveyor Then+ dt the flick of the Switch f,the conveyyor revol4dal +" yy tiringingporaliA rwdid fo your y cPun le,F The UP N DOWN cofiVayor offeFs l l6nt owner's tre ,,,,, _ _ +u {' mendods se3frfjas by making' Use df ovefhe3d ceiling are4 and 2 ;by W114160:basement or second stdry Mali Wiithout the n§ ds for running tip and down staira w t4 I � 2Y,, k Ungili of Ovel'all Lehath` Slois�, , Capecity`t�.„„lafinenie',i „1.1 ` N388 38'Oa t'1/ 18'0" msr3 x 'ill4gid NOrn Cts;;, w Nd00 + z N420 .... '�4Y0" Call tny , j�e`ed bo`bm For 5411 f fid N500 y1ew F,rgrO'� 4 x.:V^t 24'011 s1/NSdO M54'01, -A At.r 281011 fr -x28'0"✓. ry v Ji; ' A '8" t•1/N606 LTf '60 'Y u 29'011 d.,•`q 0c N820 s 1s a6.�r0); Y wr_ 30'0',r .. I N668 ri y 68'0"z.+' p+ ?a 91/011 N740 wax .74'18'rZ�I^� Mr�^4*3410nu`"f4. . y w 'wN780 '+Su']BrOriD�tx era 380" _"u�z 121611 f&7P j�'..............I 7' 1/x'7. a �k gS*1 $'r;N820 " lF"r 82'0" .......4 40'0", r" 4d "st'�'�n a �T9Vx u 3= "Hr n d 1 N900 } ba88'N880nra1v� A, R414410"90r Z ww . e ' Al 4�' ln N920 45'6'1/ ,,err c 6'al y%Asad on l2 ii cilling w r, � � t $Fi w i E •. ^ YC 'rte r �x -. ' +r ".�. ,1'• a� 8- ["y,s ur t u 1 .t��n N - s � . �f V-DIP CONVEYOR The V-Dip Conveyor uses only half the floor space of the r Up'N'Down conveyor. Only one "leg" is at the operator's hang- Ing height and that loading point can be placed almost any- _ where. Use your available basement or ceiling height by making your V-Dip Conveyor bend and twist u y p above to "fill" those unused "waste space" areas. � 3 Model R Length of Overall Length _.., No.of Hanging with Head Room Chart Slots Capacity Garments* V540 .. 54'0" .26'0" Ceiling Head Room T V580 .. 58'0" 28'0" Height For 54" Bag r, a V600 ... 60'0".............291011 t V620 ... 62'0".............30'0" 10' ----...----.4'3Yz" V660 ------- 66'0".............3210" 10'6" .........4'91/2 rr V700 ....... 70'0".............34'0" 11' 5'31/2" V740 ----- 74'011.....------36'0° ..........._ V780 ....... 78'0".............38'011 11'8" .........5'91/2" V800 ....... 80'0"."...........39'0" 12' .............6'31/2" V820 -..... 82'0".............4010" 12'6" _------6'91/2 rr V860 ....... 86'0".............42'0" 13' 7'3Y2" V900 ....... 90'0"._..........44'0" --...----- V920 ....... 92'0". ..451011 13'6" .........719Y2 rr V960 ....... 96'0".......:.....47'0" 14' ...:.........8'31/211 V1000 .....100'0".....::_:...49'0" 'Based on 12 ft. Calling. One hand switch furnished. i r A to J' E "•t fib; ? +� Efcglmirf Tiiifi c 224" i tel k stores arTr1 delivardibdlF"germbhtPaid'rp$6�Ca8es The Ily =4. C reached-ovdrhded bins xi3re ideal.ior $hirte'n(sundry tiew it&fil �Y✓ t or rl lje kaged ordere TFby�nfiPe," oilveyoltylGoltee� i a electrica ly T s otters fou t mendoUs,ei8ie�e ce�idclty fn" ier `�. little 1160-F-60 &Y yrx qtr: y^,y yr{' Vis': 3 in '44A sq Lefidtb dl �vereil Len�ib'_No c� Model':*,.1� FAodei 'griien§Id with k t oit 9tor U V �oF, dines; U 1f�yo�yCaaclry�,� iaarmenl 4j iiis ` i aTW220?'rM"^s Yi'°stTC22 �¢. a3^',�22i11"mak-<3.. rki2/ggit .. ' TWCB " 'TW300 sxxzey ''7C3du`sg^ S3pfgfr�s,�'+A16'Brre1 'rra jB ` . . I - k Yn'3✓-ek7N2''Pt^`S',---a42/d�%++,fr rl»2216�1c�s�F 'sy �1uVd61i I.'ap t. 4� s ..TG'dd •x/fay TWb40.;> '*f' v, b5 28'8"' `4'rt 27 t x a'r7W5,8d�Ybtslte�'^ rCS�' v` 5�id .>n=? 30'gyr4 '�, t,�8'` T1�80Qf+�'rt''�°`S `*j'CgO .$OrijnS.',�v��a3j38hyeed,"t4^*•§ij t ; rn tfiNmdtf- 3 *' eroS7W7iji1 `titTC7$t�a4'i�z,akft.7e'On�'t- d'rd0'6n�^`x,. 3gvr .1j, "'A'a ,P stq�'T,1�1180 °a'i'4 $tTG�O �' � '"" "�iKcfCfdes one shelf i��fidek'ei� � � „ice �Po;?m;,: r � ip it ri DOUBLE DECK CONVEYOR f a Two full levels of hangered garments that revolve at the touch ' of a button. Get double density storage for shirts, slacks or other short garments. Both tiers of garments are within easy �, u reach of the attendant. The upper and lower tiers are operated together by the same control. Total Length of Overall Length Model Hanging Hanging with No. Slots Capacity Garments DS200 _. ____. 400 ................. 40'0" ...... ............... 11'0" DS220_... ____. 440 _.._.__ 44'0" _._. __... 12'0" DS240_._ ____. 480 ............_.. 48'0" .. ............. 13'0" DS260 _. ____. 520 __.__._ 52'0" _.. _...._.. 14'0" DS280..... ........._... 560 _.____ 56'0" __. _._ 15'0" DS300 _.. __.._. 600 _._.__ 60'0" _._. __._ 16'0" DS320..... .___.. 640 ........_._ 64'0" ......_. _..... 17'0" DS340 _. ____. 680 __._.__ 68'0" _._. _.._.. 18'0" DS360 _.. ___. 720 _._..__. 72'0" __.. ___ 19'01, . DS380 _._ __.. 740 __._._. 74'0" _. ____ 20'0" OS400.......................... 800..................... 80'0" ... ... ._._... 21,0,; DS420 ._........_........... 840_ 84'0" .. _.. _... 22,0„ DS460__._.__-_-___ 920.. 92'0" .. 24'0" DS500_._ __-. 1000 _:.__... 100'0" __. _..._. 26'0" ., DS540_... ___. 1080 _..__._. 108'0" _. ____ 28'0" DS580 __ ._. 1160 _. 116'0" ... 30'0" DS620__ 1240 124'0" __ 32'0" s One foot control furnished Please note overall heights: ... Shorts over shorts ..__._____. 98" Shorts over longs ..... 116" :�...,aw, : f EXTRACT-0-MATIC MODELS P-12 EX-7 EX-10 EX-12 EX-22 EX-80 EX-100 EX-200 W-75 W-105 W-IRS W-18S W-2M S28/10 828112 328122 F6125 FL-1SS FL-244 $28/825 32 3231244 MAX,WASH CAPACITY Obs.1 10 15 25 30 50 80 100 18 25 35 sB 75 OVERALLDIMENSIONS WAfh - 23 7116 1 1 6 26 26 295/16 32-11!16 37.13!16 Depth3206 2413)16 283/4 39-3/16 39 62-IS 6 Was! 32-5116 43506 435116 52-3 57-1 633/4 78 82.1 41-506 41-506 47-1n6 513/16 55506 Cents Lim of Drain Outlet so -7 -11 315/16 315116 315/16 315tI6 3I5fl6 Llstiahl ID flisnom,of Di 1315/16 1 17-3116 1 17-3116 1 18718 1811116 20 713 Net Lobs KN/A 324 462 612 789 Cylinder Volume lcufQ 1.6 23 35 4.43 7 R 173 14.1 28.3 3.5 5.5 7.6 11.3 ash 52 52 52 50 44 39 40 36 54 50 45 41 Ntrilaition N/A 80 N 75 67 60 An 57 N/A N/A NIA 60 r act 47 5 4 543 510 455 410 HihExtract 1000 1020 1020 950 850 775 1000 600 N/A N/A - N/A Hich Extract IG-Factorl 236 300 30 308 510 48D 86 8779 79 MOTOR RPMWmh zoo 4 360 360 360 540 H' hExtrai 15000 3430 3400 3200 3350 3380 3450 3420 3450 3450 3450 1740 VOLTAGE(Standard)(Consuls IMAM 120/60!1 120/6011 0 208-240/ 208240/ 208240! 208240/ 208-240! 115/60/1-ph 115/6011-ph 1 or 3-ph 1 or 3 ph 208240/ Wascsinnot far other%,at -- 22016011 6014b GCI- or or 208240/60 208240/60 60/3-ph Huh Extract Fressuesty fcml 18 17 17 16 14 208240/ 2082401 113 110 132 IZI 192 252 311 6013 60 phos h r 1' 3-6h 1-ph 2.0 4.1 2.4 5.0 JN/AN/A 45 d.3 4.6 Distribution N/A 6.6 L 3.2 6.9 5.9 8.9 228 N/A N/A N/A N/A N/A NIA 4.5 cA,nv&nnA cvn-, NIA NIA 45 8.b J N/A N/A N/A N/A NIA N/A N/A 2.5 9.2 4.0 8.7 5.6 10.7 5.9 CIRCUff-DREAKFAI=pil!!- Is is 20 30 35 2ND 15 CONNECTIONS Water Inlet 314 3/4 314 314 3/4 1.1/4 1-114 2 3/4 3/4 3/4 3/4 314 Stain 22 3 3 3 3 -6 -6 3 3 3 3 3 Seam Inlet N/A N/A N/A N/A N/A N/A 3/4 1-1/4 NIA N/A I N/A N/A N/A -Width with side-mounted powda supply injector--53-15/16'with lid closed;681/16'with lid open. Use 3phase common-kip circuit breakers for 3phase machines. "Recommended value-consult local electrical codes. Use only 3-phase comm i,hip circuit bmakas for 3phase machines. W-75&W-105 am handicap accessible and comply with he P-12,FX-7,and EX-10 are handicap accessible under ADA&Fair Homing Act. P-12&EX-7 are available with shocked drya. Americans Wah D'aabilitn Act and Fair lousing Act. EXSM MODEL WD-30 WD-50 WD-75 WD-110 WD-150 SUPER&EXSM MODELS SUPER 150 .230 MAX.DRV CAPACITY(lbs.) 30 50 75 110 150 5281150 528 Cylinder Sim die x depth) ins. 3000 37.30 37x36 44.41 503/4x42-1/2 MAX.WASH CAPACITY lbs. 35 65 Width ins. 31-1/2 385/8 3B-5/8 46.1/2 53 OVERALL DIMENSIONS is Depth ins. 44-718 47 53 65 67 Width 3211/16 37 Hei hl ins. 72-1/4 76.5/8 76-5/8 785/8 88-If2 Death 36518 39-3/4 Nei Weight lbs. 450 545 560 1225 1575 Hei ht 513/16 55-5116 Air Outlet Diameter in 8 8 8 Sd.10 12 Center Lim of Drain Outlet to Gas Connection I!2'NPT 1/2'NPT 1/2'NPT 3/4'NPT I'NPT Nigghlrease 1 Steam Connection 3/4'NPT 3/4'NPT 3M'NPT 31494PT 1.114'NPT Height to Bottom of Door 19-5/16 201/4 Gas Hoot Available YES YES YES YES YES Nei Weight lbs. 630 925 Electric Heat Available YES YES YES NO NO Cylinder Volume tc..ft.1 5.3 8.1 Steam Heat Available YES YES YES YES YES DER SPEED MPM1 Air Flow CFM 600 Gas 900 Gas 1000, 2000 2300 Wash 45 41 650 Elec. 900 Elec. 850 Elec. Distribution 70 66 BTU/Hour 105,000 120,000 165,000 300,000 1 380,000 221,Extract 565 705 High Extract G-Facsor 125" 230 WD-30(Gas): 120160/1,8.5 amp; 200160/1,5.5 amp; 240/60/1,5.5 amp MOTOR RPM WD30(Electric): 208/60/1,104 amp;240/60/1,91 amp;240160/3,54 amp;08/60/3,61 amp;480/60/3,26 amp Wait 40 360 WD50(Gas): 120160/1, 10.5 amp; 208/60/1,6 amp; 240/60/1,6 amp; 208/60/3,4 amp; 240/60/3,4 amp High Extract 3200 3350 WD50(Electric): 208160/3,88 amp; 240160/3,77 amp; 480/60/3,38 amp PECHRCATION WD75(Gas): 120/60/1,15 amp; 208/60/1,8.5 amp; 240/60/1,8.5 amp; 20816013,4 amp; 240160/3,4 amp VOLTAGE(Standard)(Consult 20&2401 208240/ WD-75(Electricl: 200/60/3,88 amp; 240/6013,77 amp; 460/60/3,38 amp Wmcomat for other social 60/3- 6013- WD-)10(Gas&Steam): 20616013,6.7 amp; 240/60/3,6.5 amp; 480/60/3,3.5 amp FULL LOAD AMPS 13phl WD-150(Gas&Steam): 208/60/3,12.5 amp; 240160/3,12.5 amp; 480160/3,6.5 amp Wash 4.6 5.7 Distribution 4.5 6.1 NOTE:Handicap accessible WascoDry Twin-30 available. Coll for details. High Extras 8.8 10.7 NOTE:Most dryer models are available with natural or LP gas,electric,or steam heating and various wiring options.- CIRCUIT BREAKER ham 15 20 2,3 or 4 wire,neutral,ground,eta Contact Wascomai for acme dolens$on healing 6 electrical specifications. CONNECTIONS im. Water Intel 3/4 314 /\ Different approvals apply to different models. Contact Wascomai for details. Drain 3 3 (`SIp ca ® " Single-phase washers are 2 wire plus ground. Three-phase washers are 3-wire 'Use throe-phase common trip beakers. "Available 2306 in 1992 +.,•,•,� `�L '1` plus ground. Options available. Listed Listed Approved Approved For machine options and further assistance,please contact Wascomat. g SALES, SERVICE AND PARTS AVAILABLE THROUGH A WORLDWIDE NETWORK OF AUTHORIZED DEALERS �( „�4y /R(ely 461 Doughty Blvd.,P.O.Box BB,Inwood, New York 11696-0326/516-371-4400 8 Y'�91: `11sIlF" 41St Sales Hotline 1-800-645-2204 1 Sales Fax 516-371-4204 /Parts Fax 516-371-4029 1 Technical Support 516-371-0700 Due to the dynamic nature of the product design,the Information and specifications contained In this brochure are*object to change without notice. Woseomat assumes no responsibility for errors and/or omissions contained In this Information. F43131 40M 8/91 Printed In USA What is the current use of the Building? If dwelling.how many units?� Material of Building? Asbestos? Win the Building Conform to Law? Archited's Name Address and Phone ( D Mechanic's Name n E Address and Phone �313 Construction Supervisors License 0 O 7 /6 � ) HIC Registration# D �� Estimated Cost of Project$ ddv Pemmlli Fee CakxiWw Permit Fee$ Estimated Cost X$741000 Residential Estimated Cost $11/111000 Commem al----___..--- An Additional $5.00 Is added as an Administrative charge. Make sure that all fields are properly and legibly written to avoid delays in processing. The undersigned does hereby apply for a Building �Peermit to build to the abov to specification s. Signed under penalty of perjury x Date I �A it a 5 2 \ V a _ Ck II 4 .3-- — — it - - EI'rrorS PUBLIC PROPERTY DEPARTNIENT SALkJk hlwts.%onst»s 01970 IVL 9 745.939S•FAx:9M74046M r APPLICATION FOR THE REPAIR. RENOVATION. CONSTRUCTION, DEMOLITION, OR CHANGE OF USE OR OCCUPANCY, FOR ANY EXISTING STRUCTURE OR BUILDING 1.0 SITE INFORMATION Location Name: Building: f!jTo.9 �/Qu ---- Property Address Property is located in a:Conservation Area YIN �Historic District YIN 2.0 OWNERSHIP INFORMATION 2.1 Owner of Land Name: /P o S Address: _ ` �/ �' S C G �- c ✓ a �l�j S Telephone: 3.0 COMPLETE THIS SECTION FOR WORK.IN EYIATM BUILDINGS ONLY Addition Existing Renovation Number of Stories Renovated g Change in Use New P Demolition Existing Approximate year of Area per floor (so Renovated construction or renovation of existing building New r; F: Bdef Description of Proposed Work: -----Mail Permit to: Permit Number APPLICATION FOR PERMIT TO ERECT A SIGN I • NOTE: BUILDING PERMIT MUST BE OBTAINED BEFORE SIGN Is ERECTED [V Location, Ownership and Detail Must Be Correct, Complete, and Legible Salem, Massachusetts Date To the Building Inspector: + f The undersigned hereby applies for a permit to PE rect, ❑Alter, ❑Repair a sign on the following described buildings: —Street Address Zoning District !) y1[AI 6 1 ❑Urban Renewal ❑ Entrance Corridor ❑ Historic Area District ❑ None • Cros Use of Building Telephone 'TV- 71 5_ 5 r) ) JS'gn • ('1grblek� ci Qn Address I Z5 �tr I 4 •c...t Telephone - 31 - ,`�o O E-mail ny businesses are in the building? If a corporate body, name of res onsible officer �qr S, n Cd an linear feet Construction Sup's License No nt's Space(if multi-tenant) linear feet Address '3Zy unjjU QJe! N y linear feet TelephoneE-mail a�r S - !' y n M q . c d wner Sign Erector ❑Other: Proposed more proposed Sign t Sign 2 1 Sign 3 )r Surface ❑Surface ❑Surface ❑ Right Angle to Building ❑Right Angle to By ilding ❑ Right Angle to Building ❑Free Standing %Free Standing Pac�.g 0f�6iJ ❑Free Standing ❑Awning ❑Awning ❑Awning ❑ Portable(A-Frame) ❑ Portable(A-Frame) ❑Portable(A-Frame) ❑Other(specify) ❑Other(specify) ❑Other(specify) Sign Materials r n M terials Sign Materials Sbeel P6ex• 64, LED L•9 h65 v ^ F�� o G �15 S�rDX enssnp Sign D mensions' h S Sign Dimensions Sign Area L{ Sign Area ( Sign Area s ft b s ft ft Sign Height(if free standing) Sign Height(if free standing) Sign Height(if free standing) Estimated Cost of Net YW $ 000Existing Signs 0 Type Sign Area To Be Removed? Sign Owner ❑Surface sq ft ❑yes ❑ no ❑Right Angle to Building sq ft ❑yes ❑ no )(Free Standing sq ft ❑yes )q no Sig er's ! o ed Representative ❑Awning sq ft ❑yes ❑ no ❑Other(specify) sq ft ❑yes ❑no t Pr rty w r Internal Review AT 77 ing&Community Development Department Historical Commission Building Inspector oeaa10 rev Commonwealth of Massachusetts i City of Salem v 120 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5841 h Return card to Building Division for Certificate of Occupancy yj Permit No. B-16-293 - N EE PAID: $0.00 a PERMIT TO BUILD DATE ISSUED: 31 0 6 This certifies that .STAR SIGN COMPANY has permission to erect, alter, or demolish'a building, -125 CANAL STREET _ Map/Lot: 330105-0 as follows: Signs SIGN PERMITIAS APPROVED FOR: MARBLEHEAD BANK Contractor Name: DBA: i Contractor License No: r 3/31/2016 Building Official �' Date This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance.The Building Official may gram one or more extensions not to exceed six months each upon written request. - _ All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. ' . r `� 1 , All constriction,alterations and changes of use of any Ibuilding and structures shall be in compliance with the local zoning by-laws and codes. 6 This.permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. , The Certificate.of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. " H IC.M "Persons contracting with unregistered contractors do not have access to the guarantyfund'(asset forth in MGL c.142A). Restrictions:' t Building plans are to be available on site. All Permit Cards are the property of the PROPERTY OWNER. , N } City of Salem Sign Permit Application Worksheet 'RECEIVED Y.SPECT.IONAL SERVICES 29-Mar-16 _n Marblehead Banko►a Aa 29 P C. Ob 1, I 125 Canal Street NZoning(res/non-res) B4 Entrance Corridor(Y/N) Y Lot frontage 437feet Building or tenant frontage 41 (less than 25) #of businesses on site Multiple Bldng disc from street center 166 feet Multiplier 1.25 maximum area permitted 51.25 sq ft WHIM total proposed sign area 41.67 sq ft sign 1 length 300.00 inches height 20.00 inches sign 2 length 0.00 inches height 0.00 inches sign 3 length 0.00 inches height 0.00 inches sign 4 length 0.00 inches height 0.00 inches sign 5 length 0.00 inches hei ht 0.00 inches maximum area permitted 32.60 sq It(per side) maximum#of signs permitted 1 signs maximum height permitted 12.50 ft tall sign 1 proposed sign area 6.00 sq ft length 72.00 inches height 12.00 inches proposed sign height 0.00 ft sign 2 proposed sign area 0.00 sq ft length 0.00 inches height 0.00 inches proposed sign height ft Application meets guidelines set forth in the Salem Sign Ordinance yes Recommend approval yes 1b0 3 a The Commonwealth of Massachusetts Department of Public Safety Massachusetts State Building Code(780 CMR) Building Permit Application for any Building other than a One-or Two-Family Dwelling ((JJ (This Section For Official.Use Only) .' 1 Building Permit Number: Date Applied: Building Official: 9 _ SECTION 1:LOCATION 125 Canal Street Salem 01970 r*t c') No.and Street City/Town Zip Code Name of Building(if appG�ble)Om i- Assessors Ma2# Block#and/or Lot # SECTION 2:PROPOSED WORK Edition of MA State Code used If New Construction check here❑ or check all that apply in the nyows low Existing Building ❑ Repair❑ 1 Alteration X Addition ❑ Demolition ❑ (Please fill out and submit penci 2) Change of Use ❑ I Change of Occupancy ❑ I Other ❑ Specify: y' Are building plans and/or construction documents being supplied as part of this permit application? Yes X No ❑ Is an Independent Structural Engineering Peer Review required? Yes ❑ No X Brief Description of Proposed Work: An existing branch bank location is being renovated for a new branch bank. SECTION 3: COMPLETE THIS SECTION IF EXISTING BUILDING UNDERGOING RENOVATION,ADDITION,OR CHANGE IN USE OR OCCUPANCY _ Check here if an Existing Building Investigation and Evaluation is enclosed(See 780 CMR 34) ❑ Existing Use Group(s): Proposed Use Group(s): SECTION 4: BUILDING HEIGHT AND AREA Existing Proposed No. of Floors/Stories (include basement levels)&Area Per Floor(sq.ft.) Total Area(sq.ft.)and Total Height(ft.) SECTION 5:USE GROUP(Check as applicable) - - - A: Assembly A-1 ❑ A-2❑ Nightclub ❑ A-3 ❑ A-4❑ A-5 ❑ 1 B: Business X E: Educational ❑ F: Factor F-1 ❑ F2❑ I H: High Hazard H-1 ❑ H-2❑ H-3 ❑ H-4❑ H-5 ❑ I: Institutional 1-1 ❑ I-2 ❑ I-3 ❑ 1-4❑ 1 M: Mercantile❑ 1 R: Residential R-10 R-2❑ R-3❑ RA❑ S: Storage S-1 ❑ S-2❑ U: Utility❑ Special Use ❑ and please describe below: Special Use Description: SECTION 6:CONSTRUCTION TYPE(Check as applicable) IA IS 11 IIA ❑ IIB ❑ IIIA ❑ IIIB ❑ IV ❑ VA ❑ VBX SECTION 7: SITE INFORMATION (refer to 780 CMR 105.3 for details on each item) Water Supply: Flood Zone Information: Sewage Disposal: Trench Permit: Debris Removal: Public X Check if outside Flood Zone❑ Indicate municipal X A trench will not be Licensed Disposal Site❑ Private ❑ or indentify Zone: or on site system❑ required X or trench or specify: permit is enclosed❑ Railroad right-of-way: Hazards to Air Navigation: MA Historic Commission Review Process: Not Applicable X Is Structure within airport approach area? Is their review completed? or Consent to Build enclosed[I Yes ❑ or No X Yes ❑ No ❑ SECTION 8: CONTENT OF CERTIFICATE OF OCCUPANCY Edition of Code: Use Group(s): Type of Construction: Does the building contain an Sprinkler System?: Special Stipulations: Design Occupant Load per Floor and Assembly space: L l �� `k. V.0 , 2I 2z SECTION 9:!PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Crosby Salem Realty LLC 125 Canal Street Salem 01970 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No. (business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10: CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑ Otherwise provide construction control forms see section 107 in the code as required. 10.1 Registered Professional Responsible for Construction Control(the professional coordin ting document submittals)S- Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor - New England Design Associates,Inc. Company Name Christopher Snell CS-062970 Name of Person Responsible for Construction License No. and Type if Applicable 39 Salisbury Street Worcester MA 01609 Street Address City/Town State Zip 508-792-3000 508-292-4365 chris.snell@nedainc.com nedainc.com Telephone No. (business) Telephone No. cell e-mail address SECTION 11:WORKERS CONIPENSATIONINSURANCE AFFIDAVIT (M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes X No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$170,834 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ 19,345 appropriate municipal factor)=$ 3.Plumbing $ 4.Mechanical (HVAC) $ 7,500 Note:Minimum fee=$ (contact municipality) 5.Mechanical Other $ Enclose check payable to 6.Total Cost $170,834 (contact municipality)and write check number here SECTION 13:SIGNATURE OF BUILDING PERMIT APPLICANT By entering my name below,I hereby attest under the pains and penalties of perjury that all of the information contained in this Japplicatiop,is tru andte to the best of my knowledge and understanding. President 508-792-3000 Z-/-/c Please print and sign name Title Telephone No. Date 39 Salisbury Street Worcester MA 01609 chris.snelI@nedainc.com Street Address City/Town State Zip /J' Email Address Municipal Inspector to fill out this section upon application approval: Name Date SECTION 9: PROPERTY OWNER AUTHORIZATION Name and Address of Property Owner Crosby Salem Realty LLC 125 Canal Street Salem 01970 Name(Print) No.and Street City/Town Zip Property Owner Contact Information: Title Telephone No.(business) Telephone No. (cell) e-mail address If applicable,the property owner hereby authorizes: Name Street Address City/Town State Zip to apply for and act on the property owner's behalf,in all matters relative to work authorized by this building permit application. SECTION 10:CONSTRUCTION CONTROL(Please fill out Appendix 1) If a building is less than 35,000 cu.ft.of enclosed space and/or not under Construction Control then check here❑ Otherwise provide construction control forms see section 107 in the code as required. 10.1 Registered Professional Responsiblep for Construction Control(the professional coordin ting document submittals) Name(Registrant) Telephone No. e-mail address Registration Number Street Address City/Town State Zip Discipline Expiration Date 10.2 General Contractor - New England Design Associates,Inc. Company Name Christopher Snell CS-062970 Name of Person Responsible for Construction License No. and Type if Applicable 39 Salisbury Street Worcester MA 01609 Street Address City/Town State Zip 508-792-3000 508-292-4365 chris.snell„nedainc.com Telephone No. (business) Telephone No. (cell) e-mail address SECTION 11::WORKERS'COMPENSATION INSURANCE AFFIDAVIT M.G.L.c.152.§ 25C(6)) A Workers'Compensation Insurance Affidavit from the MA Department of Industrial Accidents 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. Is a signed Affidavit submitted with this application? Yes X No ❑ SECTION 12:CONSTRUCTION COSTS AND PERMIT FEE - Item Estimated Costs: (Labor and Materials) Total Construction Cost(from Item 6)_$170,834 1.Building $ Building Permit Fee=Total Construction Cost x (Insert here 2.Electrical $ 19,345 appropriate municipal factor)=$ 3.Plumbing $ 4. Mechanical (HVAC) $ 7,500 Note:Minimum fee=$ (contact municipality) 5.Mechanical (Other) $ Enclose check payable to 6.Total Cost $170,834 (contact municipality)and write check number here SECTION 13: SIGNATURE OF BUILDING PERMIT APPLICANT 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. President 508-792-3000 Please print and sign name Title Telephone No. Date 39 Salisbury Street Worcester MA 01609 chris.snell@�neda inc.com. Street Address City/Town State Zip Email Address Municipal Inspector to fill out this section upon application approval: Name : Date Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the a edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Marblehead Savings Bank Date:January 27, 2016 Property Address: 125 Canal Street, Salem, MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Interior Renovations I, Gregory J O'Connor MA Registration Number: 7914 Expiration date: 08/31/16 ,am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: X Architectural Structural Mechanical Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or `mot D AR electronic signature and seal: �W°�Rv J.0.- Fg 8, ►u.7914 WORCESTER MASS. 4 Phone number: 508-757-1377 Email: greg.oconnor(cr�gjoassociates.com P Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised If`other'is chosen, provide a description. Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8' edition of the •Jv Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Marblehead Savings Bank Date:1/27/2016 Property Address: 125 Canal Street Salem, MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Bank fit-out I David H. Mahoney,MA Registration Number: 46846 Expiration date: 6/30/2016, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning': Architectural Structural X Mechanical X Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information,and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review,for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17,as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or SH OF electronic signature and seal: VFW 414 9 DAVID H. �yG MAHONEY m v M CHA qt y Phone number: 781-233-4808 Email: Mahoney@CSI-Engineers.com e '9F o x Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If'other'iKbosen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a R Registered Design Professional for work per the 8th edition of the .' Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Marblehead Savings Bank Date:1/27/2016 Property Address: 125 Canal Street Salem, MA Project: Check(x) one or both as applicable: New construction X Existing Construction Project description: Bank fit-out I David H. Mahoney,MA Registration Number: 46846 Expiration date: 6/30/2016, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning]: Architectural Structural X Mechanical X Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports (see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or electronic signature and seal: SH OF d}gs89 DAVID H. �yG MAHONEY m M CNgN t ti Phone number: 781-233-4808 Email: Mahoney@CSI-Engineers.com s 9F p Sit G� Building Official Use Only Building Official Name: Permit No.: Date: J17 Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If`other' isKbosen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8u' edition of the .Vc. Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Marblehead Savings Bank Date:1/27/2016 Property Address: 125 Canal Street Salem, MA Project: Check(x) one or both as applicable: New construction X Existing Construction Project description: Bank fit-out I David H. Mahoney, MA Registration Number: 46846 Expiration date: 6/30/2016, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Architectural Structural X Mechanical X Fire Protection Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or electronic signature and seal: ��IB OF,y/,gss9C DAVIO H. 'YG MAHONEY t i M CHAN At y Phone number: 781-233-4808 Email: Mahoney@CSI-Engineers.com e '9F o e Sit � Building Official Use Only Building Official Name: Permit No.: Date: '717 Note 1.Indicate with an `x' project design plans,computations and specifications that you prepared or directly supervised.If`other' is osen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8' edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Marblehead Savings Bank Date:l/27/2016 Property Address: 125 Canal Street Salem, MA Project: Check(x)one or both as applicable: New construction X Existing Construction Project description: Bank fit-out I Charles E. Mace,MA Registration Number: 46492 Expiration date: 6/30/2016, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning': Architectural Structural Mechanical Fire Protection X Electrical Other:. for the above named project and that to the best of my knowledge, information,and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code,(780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I(or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work,I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or electronic signature and seal: tp.o` MAsSQCY CHARLES E. Gm MACE Phone number: 781-233-4808 Email: CMace@CSI-Engineers.com 00 ELECTRICAL u+ No.464920 �Q A90 9FGls �Sg E Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an`x'project design plans,computations and specifications that you prepared or directly supervised.If'other' is chosen, provide a description. Version 06 11 2013 Initial Construction Control Document To be submitted with the building permit application by a Registered Design Professional for work per the 8u' edition of the Massachusetts State Building Code, 780 CMR, Section 107 Project Title: Marblehead Savings Bank Date:1/27/2016 Property Address: 125 Canal Street Salem, MA Project: Check(x) one or both as applicable: New construction X Existing Construction Project description: Bank fit-out I Charles E. Mace, MA Registration Number: 46492 Expiration date: 6/30/2016, am a registered design professional, and I have prepared or directly supervised the preparation of all design plans, computations and specifications concerning: Architectural Structural Mechanical Fire Protection X Electrical Other: for the above named project and that to the best of my knowledge, information, and belief such plans, computations and specifications meet the applicable provisions of the Massachusetts State Building Code, (780 CMR), and accepted engineering practices for the proposed project. I understand and agree that I (or my designee) shall perform the necessary professional services and be present on the construction site on a regular and periodic basis to: 1. Review, for conformance to this code and the design concept, shop drawings, samples and other submittals by the contractor in accordance with the requirements of the construction documents. 2. Perform the duties for registered design professionals in 780 CMR Chapter 17, as applicable. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine if the work is being performed in a manner consistent with the approved construction documents and this code. Nothing in this document relieves the contractor of its responsibility regarding the provisions of 780 CMR 107. When required by the building official, I shall submit field/progress reports(see item 3.)together with pertinent comments, in a form acceptable to the building official. Upon completion of the work, I shall submit to the building official a `Final Construction Control Document'. Enter in the space to the right a"wet"or electronic signature and seal: a�r.o MASS, O= CHARLES E. o MACE Phone number: 781-233-4808 Email: CMace@CSI-Engineers.com ELECTRICAL y No.46492 O Q FSS E Building Official Use Only Building Official Name: Permit No.: Date: Note 1.Indicate with an `x'project design plans,computations and specifications that you prepared or directly supervised.If`other' is chosen. provide a description. Version 06 112013