Loading...
HomeMy WebLinkAboutBuilding Permit #213 - 129 MAIN STREET 9/14/2011 TOWN OF NORTH ANDOVER . APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received i Date Issued: �IAWO�JRUA�NT:A licant must com fete all items on this page LOCATION �, print " PROPERTY•OWNER ANLS c. D►`�� /2/ Print MA.P NNO3 o PARCEL ZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑Addition ❑Two or more family ❑Industrial [7 Alteration No. of units: ❑Commercial 0 Repair, replacement ❑Assessory Bldg 0 Others: ❑ Demolition 11 Other - - -� r 1 . ►❑ loo R1- '�'```E 1`�,d �, y < . • � � Septic, 3�Well � ,:. - y ;WatershedDlstrict - a DES CB 1I JON OF WORT.TO-BE PEt i ORZVMD: �-- Cie l 1�1 l 1 X11 (Ide tification Please Type or Print Clearly) OWNER: Name: ::SNL` c �/ f'�RR� Phone: Address: CONTRACTOR Name: �1\\���1`� C1 Phone: Address: N ��JU`c�� acv Supervisor's Construction License: o —I Exp. Date: Home Improvement License: -2-b Cn1 Exp. Date: _ ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.-B ULDING PERMIT.$12.00 PFR$1000.00 OF THE TOTAL,ESTIMATED COST BASED ON$125.00 PER S F. Total Project Cisf: $ , /�r/75I FEE: $ �i --- Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund - ._c:.: -_�•�_-{�1_- ^!i- ]L.; _ -_- - —_— _ -_ �=Si::c-`—:ia<-f?rt::,,_--x:-aT-�•_}y F- _— - •6�4 -- " nature.of:contr c - ture:of•A „g_.�_>--.----- J Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decisionfrecelpt submitted yes Planning Board'Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS L Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. i.: _ ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA-- For department use I ® Notified for pickup - Date Doc:.BuiIding Permit Revised 2008mi J Building Department The fallowing is a list of the required forms to be filled out for the appropriate permit to he obtained. Roofing, Siding, Interior Rehabilitation Permits ® Building Permit Application ❑ 10-fol-kers Como Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products MOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit.'. Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy 01 Cont-r;-act ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (if Applicable) ❑ Mass check Energy Compliance Report (if Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses .❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract o Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg .Permit In all cases if a variance or special permit was required the Town CIerks office must stamp.the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. one copy and proof of recording must be submitted with the building application Doc: Doc.BuildingPermit Revised 2008mi ;ation,/U M14,111 6;01- - Date N°RTM TOWN OF NORTH ANDOVER a s + Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ � Other Permit Fee $ TOTAL $ Check # 24576 Building Inspector I r l The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,AM 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organization/Individual): Address:- City/State/Zip:. ddress: Q "- City/State/Zip: (S� C'� Phone Are you an employer?Check the appropriate box: 1 41 am a employer with 4. ❑ I am a general contractor and I Type of project(required): employees(full and/or part-time).* have hired the sub-contractors 6 EJ construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. # 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. workers'comp.insurance. [No workers' comp.insurance 5. ❑ We are a corporation and its 9 ❑Building addition required.] officers have exercised their 10.El Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repairs insurance required.]t employees. [No workers' comp,insurance required.] 13.❑Other *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .� Policy#or Self-ins.Lic.#: \'�(�(' L?J '� 6�:TK Expiration Date: Job Site Address: ^>� "VP- Attach City/State/Zip fi\f a copy of the workers'compensation policy declaration page(showing the policy y number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the p�ji�n and p naltie,of rju that the information provided above is true and correct. Si nature: Date: Phone#: :j - E only. Do not write in this area,to be completed by city or town official. n: Per # hority(circle one): Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspectorson: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,"employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers',compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy;please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/lieense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax##617-727-7749 www.mass.gov/dia Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,'employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers',compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy;please call the Department at the number listed below. Self-insured companies should enter their ,self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.# 617-727-4900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.gov/dia The Commonwealth of Massachusetts Department of Industrial Accidents Office ofinvestigations 600 Washington Street Boston,MA 02111 °Y www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): eC- -.` Address:— City/State/Zip: ddress: Q 6. City/State/Zip: C5� C� Phone FEJ employer?Check the appropriate box: employer with 4. ❑ I am a general contractor and I Type of project(required): yees(full and/or part-time).* have hired the sub-contractors 6 ❑New constructionsole proprietor or partner- listed on the attached shget. # 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for mein any capacity. workers'comp.insurance. [No workers' comp.insurance 5. ❑ We ate a corporation and its 9• ❑Building addition required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no insurance required.]t employees. 12.❑Roof repairs [No workers' comp,insurance required.] 13.❑Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: .� Policy#or Self-ins.Lic. 1 Q �J ---7 — / -1 1 Expiration Date: Job Site Address: �- City/State/ZipV�Y Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby, certify under thepyji�n andp nalties of rjur t/rat the information provided above is true and correct. Phone#: Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: rn:�; n•hnn Fenna:h FaxlO: ?eg=2 of 2 Dacc:31I-::0" 12:2 FM Page:'of OP ID:MF DATE(MM/DDWYYY) CERTIFICATE OF LIABILITY INSURANCE 03/17111 THIS CERT;FICATE !S ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON '!HE CERTIFICATE 1-101-DER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NIEGATIVELY AMEND. EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES { BELOW. THIS CERTIFICATE OF INSURAINCE DOES NOT CCNSTiTUTE A CONTRACT BETWEEN' THE iS:fU!NG INSURER(S), AUTHORIZED I RFPRESENTAIRVE OR PRODUCER.,AND THE CERTIFICATE HOLDER. IFJPIORTANT: if the certil"czAe holder is an ADDITIONAL INSURED, the policy(les)must be erdorsec. If SUBROGATION i3 lWAIVED, subject to th&terms and conditions of the policy, certain policies may require an endorsement A statement or,'his'--erti icate dons not confer riahts.to the certificate holder in lieu of such endorsament(s). RO'JUCEK 781-642-5000 NA FACT Eastern States Insurance - 781.547-3670 PNON'e --..._—' ---'--- -------___1 PAX -- - ----....----- ,Agency, Inc. ar n . t ------ -----�tar_� _--- 50 prospect Street� AOOW R E -- R MCGUR-1 Watihu0l,t,�A 02453 cusT MER Ie s: -----_-.—i- — __ _r __ ___ _ ______ __ _ IVSURSR(5)AFF:RpINGG'JVc`2•"w•;E _ •^13':.sINSURED McGurl Constriction, Inc — - I INSJRERA:Ohio Casualty roup 11 R9a!Tiscn Road }—------ wsuR_ae.GLlard Insurance Compaq- ----- --- .31470__ Burlington,MA U1803 ------'--- ell USURSRO: ----'-- —'— -- I ' CJ:'.RER C t I INSORER F: ' COVERAGES, CERTIFICATE NUMBER.: REVISION NUMBER: Th!!S IS TO CERTIFY THAT THE FOLICIES CF IN'SURA.NCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMFD AgO`,E FOR THE POLIO'(PERIOD I INDICATED. NOTWITHST?>,NDING ANY RCQU!REVENT.TERM OR CONDITION OF.ANY CONTRACT OR OTHER, DOCUMENT*N!TH RESPE''T TG'.NH)CH I'HiS CERTIFICATE MAY BE ISSUED OR MAY PER-AIN,-H_ iNSURA,NCE .AFFORDED BY THE POLICIES DESCRIKC HER N !S SUEJECT TO ALL THE TER-MS, I EXCLUSIONS AND CON DITIONG OF SUCH°OI IC!ES.'.iMrrS SHOWN-MAY HAVE BEEN REDUCED 3Y PAID CLAIMS. `TRI TYPE OF INSURANCE i I!„y�l Yti l — "J�!CY NUh15E !'t1hL'7D/YY'!`'+y(M;9 owR ,("") LIMITS I :3ENERALLIABILM A rXRBKQ 1053373695 1 O2i011t1 02/01 12 �r " -' � 100,00 X7. 5 10,00 0011000 2 000,000 AUfOWBILE LIABUTY ; ! i >: '•'�.6::;r_._,._!a:. I 1 I E Ii I - is , _�, •.-1-----•—� i I �-i'" I I r-..-�. •i., ... .� is i ! I` i UMBRELLA L!Ab ' I EYCEML!:D --_--_—_—._—_—}-------- WORKER.,COMPENSAT*N 1 _ �AhD04PLOYSRS'LWBL'1' �,y ! ! ! X__rI �.: '.`_i ___—. _ ..- _--t. S I AY•FG{lY•.-'�[.;1;�•iFT, :Et-=_"JE I 'MCVt1C124679 OZ101/11 102!01112 '�- ,�..L r Lc-r„ .> :010,0001 :a=c ^cc•!;pera9-i+riSlvLi.:--r,. :N 1 A.I —."----'---'- !(r6endatory tr:Iii;) L _ _ 'G+f _ 100,0`JGi ��ILti�--::r+�:(�!J%^ "C?:•i l�.rl`• CSS ! 1 , - - - � �' _-z.L- 1 GcSCRRTiC-N OF OPERATIQ S/LOCATION.3:YEMCLES QAKarh ACURL 10'.Add)"-ons!Remarks QvIedWe,".7w*space is'ecu,Ae1 ; I CERTIFICATE HOLDER CANCELLATION i EVIDENC SHOULD ANY OF THE ABOVE DESCRIB ED POLICIES BE CANCELLED BEFORE Evidence of Insurance THE EXPIRATION DATE THEREOF. NOi10E WILL BE DELIVERED IN ACCORDANCE Nr8 THE PO!.ICY PROVISIONS. Fax*781-272-1335 IAJTFYJRIZ6D Rc%'RcaENTl.TiVE 1 it G 1988-2009 ACORD COR PORATICN. All IlgnN reserved. ACORD 25(200:1/09) The ACORD name and Irigo are registered marks of ACORD A William McGurl Estimate William Mcgurl 1 1 Morrison rd. DATE ESTIMATE NO. Burlington, MA 01803 5/19/2011 22 NAME/ADDRESS Jane DiPerri 129 Main st. N.Andover Ma. PROJECT DESCRIPTION QTY COST TOTAL REPAIRS TO SIDE OVERHANG 1 4,650.00 4,650.00 -Remove side wall shingles around rear comer of building -Repair damaged framing and resheath -Remove all like sidewall shingles back to front section(Cant find replacement of matching shingle) -Tyvek entire area of sidewall -Install white cedar shingles to match front side of building -Remove and replace restaurant sign to sidewall(possible extra charge for electrician) -Remove all debris from site -Contractor to pull all necessary permits We look forward to working with you in the future H TOTAL $4,650.00 .r egula Office of La°sumer CONTRACTOR Type: -�;'�------ _" HOME IMPROVEMENT Registration: -*112667 DBA `- - Exp iration 4L1512013 PjjC�URL CONTRACTING WILLIAM MCGURI y :. 's .•...;3 go,- �'�� 11 MORRISON RD X Undersecretary BURLINGTON, MA Massachusetts- Department of Public Safet% Board of Building Regulations and Standards Construction Supervisor License License: CS 59597 I WIL#IAM J MCGURL , 11 MORRISON RD BURLINGTON, MA 01803 !' I Expiration: 10/24/2012 ('uumii..i ncr Tr#: 5967 NORTH 0 0 over O No. :: o , dower, Mass., T O - LAKE COCHICHE WICK ��ADRATED APS\ �� '9S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT....... .• Foundation buildings on .. ........ I. ....4 ............*.......................... Rough has permission to erect...... ..............� ��. . _ to be occupied as............... ...?A. Mira.......'I.....Sil........... ...... ..... ..... Chimney provided that the person acceptin this permit shall in every respect confo to the terms of the apps tion on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMPI' EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR 00 CONSTRUCTIO ST UNLESS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det.