HomeMy WebLinkAboutBuilding Permit #246-2017 - 179 OSGOOD STREET 9/7/2016 / f BUILDING PERMIT NORry
TOWN OF NORTH ANDOVER to�
APPLICATION FOR PLAN EXAMINATION _
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Permit No#: Date Received ���RATEU W
iSSACNUS�
Date Issued: 11
IMPORTAN : Applicant must complet n s pag
LOCATION ].51-211 Osgood Street North Andover
S
Print
PROPERTY OWNER North Andover Historical Societ
Print 100 Year re yes no
MAP PARCEL: p uU� ZONING DISTRICT: Historic District e no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement - ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
o Septic 0 Well a Floodpfai_n 0 Wetlands ❑ Watershed pistnet
Q Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Structural support project to upgrade the capacity of of the barn as outlined
in the attached plan prepared by Wentworth Partners & Associates.
Identification- Please Type or Print Clearly
OWNER: Name: Carol Maiahad, Director. Phone: 978-686-4035
Address: 153 Academy Road, North Andover, MA
Contractor Name: John H Watson dba Gothic Phone' 978-375-7902
Email' otwat46@ of om Carpenter
Address: Po Box 414 North Reading, MA 01864
Supervisor's Construction License: CS-022409 Exp. Date: 9/22/2017
Home Improvement License: 110493 Exp. Date: 10/20/2016
ARCHITECT/ENGINEER Wentworth Partners & Assoc Phone: 978-462-5823
Address: 17 Malcolm Hoyt Dr. , Newburyport, MA 01950 Reg. No. 32024
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ J 0O U FEE: $
Check No.: ��I Receipt No.:
NOTE: Persons contracting with unregistered ontractors do not have access to the guaranty fund
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 m U FORM
PLANNING & DEVELOPMENT Reviewed On9 Signature_
COMMENTS
-i
CONSERVATION Reviewed on Signature
c .
COMMENTS
HEALTH Reviewed on_ Signature
i
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt 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 DEPAR4TMENT T�o'burn r. n.,,site oye8_,.
Locdtedaf 124tM_a`m,Stteet
Fire D"epaftment signatu"reli afe
COMMENTS
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
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)
❑ Notified for pickup Call Email
Date Time Contact Name
Doc.Building Pen-nit Revised 2014
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
Building Permit Application
Workers Comp 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
OTE: 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 Of Contract
;rF Floor/Cross Section/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
OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
� Building Permit Application
4r 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
2012 IECC Energy code
Engineering Affidavits for Engineered products
OTE: 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 Clerks 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:Building Permit Revised 2014
Location «t
No. `"t ' Z 6 Date q 1,1 1 o
n
• TOWN OF NORTH ANDOVER
,
Certificate of Occupancy $
Building/Frame Permit Fee
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check# t-t
5 Building Inspector
John Watson The Gothic Carpenter
PO Box 414
North Reading, MA 01864
978-664-3510
August 19, 2016
North Andover Historical Society
153 Academy Road
North Andover, MA 01845
Ref: Parson Barnard Barn Structural Support Project
As discussed during our recent meeting, the following structural improvements will be
done to upgrade the capacity per engineering plans provided
• Project start date: September 2016
• Projected completing: December 2016
• Engineering plans provided
• Payment schedule/to be billed monthly as work progresses
Total Labor & Materials: $50,000
ohn Watson
dover Histo ' ciety The Gothic Carpenter
John Watson The Gothic Carpenter
PO Box 414
North Reading, MA 01864
978-664-3510
August 19, 2016
North Andover Historical Society
153 Academy Road
North Andover, MA 01845
Ref: Parson Barnard Barn Structural Support Project
As discussed during our recent meeting, the following structural improvements will be
done to upgrade the capacity per engineering plans provided
• Project start date: September 2016
• Projected completing: December 2016
• Engineering plans provided
• Payment schedule/to be billed monthly as work progresses
Total Labor & Materials: $50,000
f�
! ohn Watson
dover Histo ' ciety The Gothic Carpenter
C.
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWFRA.GE DISPOSAL
k
Public Sewer ❑
Tanning/Massage/Body Art ❑ Swimming Pools ElWell ❑
Tobacco Sales EJ Food Packaging/Sales El
(septic tank,etc. ❑
Pennaaent Dempster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN ®FF m U FORM
PLANNING DEVELOPMENT Reviewed On
Signature_
COMMENTS—0 - � �►'� '1(�' Ititl�
CONSERVATION Reviewed on
Si nature
COMMENTS
HEALTH Reviewed ori
Signature
COMMENTS
r.
Zoning Board of Appeals: Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision:
Comments
Water& Sewer Connection/s►' nature �pate
Driveway Permit
DPW Town Engineer: Signature:
, ARtTIVIEIVT
Tern D Located 38
FIRE DEP. , 4 Osgood Street
Located at,124MaintSt�eet� �` pl umpsfier onsite
Fire+Department signatur6e/date �- �- ._ ,_
COMMENTS
i
o
0
ADD NEW LAYER OF FLOOR
7x7 BEAM SHEATHING OR BOARDS OVER
L6x6x3/8 DOUBLE CLIP ANGLES EXISTING FLOOR BOARDS
(ONE EACH SIDE OF 7x7 BEAM)
(2)-Y"0 THRU-BOLTS
(4)-TIMBERLOK SCREWS(TWO ADD NEW LAYER OF FLOOR
EACH SIDE OF 7x7 BEAM) SHEATHING OR BOARDS OVER
EXISTING FLOOR BOARDS
8x8 PT COLUMN HARDWOOD SHIMS(AS NEEDED)
SIMPSON"ABU88Z"SERIES (2}TIMBERLOK SCREWS @ EACH —
POST BASE(ZMAX GALV.) JOIST(ONE EACH SIDE OF BEAM)
%8
8x12 BEAM'0 x 10"A307 ANCH.BOLT GALV. `r
( ) SIMPSON"PCBZ"SERIES POST �
12"0 C.I.P.CONC.FILLED CAP(ZMAX GALV.)
CONSTRUCTION TUBE
(6)#4 VERTICAL#3 TIES @ 3"O.C.AT
A.B.THEN 12"O.C.REMAINDER 90
COMPACTED CLEAN z
GRANULAR FILL MATERIAL
V
24"0 C.I.P.CONC.
r BIG-FOOT FOOTING
UNDISTURBED NATURAL
BEARING MATERIAL
17 MALCOLM HOYT DRIVE SKETCH NUMBER
tH OF '+ y V N 1 YY OR l H NEWBURYPORT,MA 01950
TYPICAL CROSS SECTION
RONALD F. N P1YfNER5&ASSOCIATES
SCALE:1/2"=1-0BUKOSKI www.wpa-d2e58g2n3.comSKS 4
CIVIL
<� ,No.32024 ~PROJECT NAME: PROJECT ADDRESS: PROJECT NUMBER DATE:
�FF's STRUCTURAL CAPACITY 151-211 OSGOOD STREET 087-16 08-08-16
�'' IMPROVEMENTS NORTH ANDOVER,MA
The Commonwealth of lMlassachusetts
„ .- . Department oflndustrialAccidents
1 Congress Street,Suite 100
T J tl d Boston,MA.02114-2017
www mass gov/dia
z� Porkers'CompinsationInsurance Affidavit:Builders/Contractors/Elecfxicians/Plwnbers.
TO BE'FILED WITH THE pEl2MII'T7NG AUTHORITY.
Applicant Information • Please Print Legibly
Name(Business/Organization/Individual): John H.
Address: P 0 Box 414
City/State/Zip: North Reading MA 01,964 Phone#: 978-375-7902
Ase you an employer?Check-t&ap'iopriate box: `Type of project(xequixed):
1.P am a employerv✓ith employees(full and/or part-time).* 7,' [.]New coAstruction
2.1 11 am a sole proprietor or partnership and have no employees working for me in 8. Remodeling
any capacity.[No workers'comp.insurance required.] 9_ ❑Demolition
I❑I am a homeowner doing all work myself[No workers'comp..insurance required.]f
10 []Building addition
4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will
ensure that all contractors either have workers'compensation insurance or are sole 11. Electrical repairs or.additions
i .
proprietors withno employees. 12,0 Plumbing repairs or additions
5.❑I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.'0 Roof rep airs
These sub-contraotorshave emyploees and have workers'comp.msurance.1
' 14.nOther SYitilct'y�.�t�
6.F1 We are a corporation and ifs officers have exercised their right of exempfion par MGL c. �.4 P 4 Sil
152,§1(4),andwehave no„employees.[No workers'comp.insurance required] ` ” ►+w. P.O.U e_fA SIJ
*Any applicarrt that checks bdx#1 must also fii1 outthe section below showingtheirworkers'compensation policy information.
i Homeowners virho submift#affidavit indicatingthey are doing all work and then hire outside contractors must s4bmit anew affidavit indicating such.
TConiractois that check this box must•attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have „
employees. Ifthe sub-contractors have empl6yees,1ey must provide their workers'comp.policy number.
I ain an employer dr at is pr'oviding workers'compensation insurance for my eynplbyees.'Beloiv is thepolley acid job site
information.
Insurance Company Name:
Policy#or Self-ins.Iac.#: ExpirationDate:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compepsation policy declaration page(showing the policy number and eapiratioa date).
Failure to secure coverage as required under MGL o. 152, §25A is a criminal violation punishable by 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.A,copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance
coverage verification.
Ido hereby certify under t/ie pains and penalties ofpetjury tlaai the information provided above is Prue and correct
Si ature: Date: $ 1 6
Phone# r u 017 Sk 3 7 S "7 9 Z 1a rn 5`� F - 6 6 4 3 51 t)
Official use only. Do not write in this area,to be completed by city or town offici'aZ
City or Town: PennWLicense#
Issuing Authorztp(circle one): i
1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
6.Other
Contact Person: 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 6 re,
express or implied,oral or written."
Au employer is defined as"an individual,partnership,asso ciation,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 to cal licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to constn-uct buildings in the commonwealth for any
applicant who lias 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'contractoi(s)name(s),address(es)and-phone numb er(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-In.dustrial
t
Accidens 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 areference 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. Anew 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 bum leaves etc.)said person is NOT required to complete this affidavit.
The Department's address,telephone and fax number:
The Commonwealth of Massachusetts
Department of Industrial Accidents
1 Congress Street, Suite 100
Boston,MA 02114-2017
Tel.# 617-727-4900 ext.7406 or 1-877-MAS SAFE
Fax#617-727-7749
Revised 02-23-15 wwwmass.gov/dia
48'-1Y2"
17'-8%8" 10'-8. 19-8"
t 2'-0"SPACING(TYP.) t 3'4"SPACING t T-0"SPACING(TYP.)
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SECOND FLOOR FRAMING PLAN 1
SCALE:1/4"=1'-0" KSLIVE LOAD: 17 MALCOLM HOYT DRIVE SKETCH NUMBER
MAXIMUM ALLOWABLE L
ASN OF VYE 1 YYOR NEWBURYPORT,MA 01950
40 PSF(OR 20 OCCUPANTS) ti SKS-3
RONALD F � t AR7'NEH5&ASSOCLAI'� 978.462.5823
BUKOSKIII +. p9 ��,,.,, www.wpa-desfgn.com
CIVIL '^ _
Na.32024 PROJECT NAME: PROJECT ADDRESS: PROJECT NUMBER: DATE:
F8F'8A STRUCTURAL CAPACITY 151-211 OSGOOD STREET 087-16 08-08-16
�' IMPROVEMENTS NORTH ANDOVER,MA
17'-8%8" 10'-8%' 19'-8"
ol
ol
i 2'-0"SPACING(TYP.) 12'-0*SPACING(TYP.) t 2'-0"SPACING(TYP.)
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SCALE:1/4"=1'-0" KS
MAXIMUM ALLOWABLE LIVE LOAD: t;OF + 17 MALCOI.MRT,M 01950RIVE SKETCH NUMBER
- WENTWIC3�'LTH NEWBURYPOR'1',MA 01950
SKS-2
100 PSF(OR 40 OCCUPANTS) RONALD F. Pe�MERS&ASSOCIA M 978.462.5823
BUKOSKI u a�r,.a :,.,H www.wpa•design.com
CIVIL
No.32024 PROJECT NAME: PROJECT ADDRESS: PROJECT NUMBER: DATE:
's STRUCTURAL CAPACITY 151-211 OSGOOD STREET 087-16 08-08-16
�' IMPROVEMENTS NORTH ANDOVER,MA
48'-1 2"
3'-65/8' 101-0" 10'-65' 10'-0" 3'-55'
STONE FOUNDATION(TYP.)
t. W
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(TYP.OF 5)
NEW 12"0 CONC.PIER
w/24"0 BIGFOOT
(TYP.OF 5)
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STONE FOUNDATION (TYP.)
I
SKS-4
.FOUNDATION PLAN
SCALE:114"=l'-O"
17 MALCOLM HOYT DRIVE SKETCH NUMBER
GENERAL NOTES: 14 OF 144 WENTWORTH NEWBURYPORT,MA 01950
-ALL MATERIALS AND WORK SHALL CONFORM RONALD F. PARTNERS&ASSOCIATI�S 978.462.5823
TO THE MASSACHUSETTS STATE BUILDING BUKOISKI www.wpa-design.com SKS- 11
CODE(780 CMR)2009 IBC wl MASSACHUSETTS CIVIL
No.32024 PROJECTNAME: PROJECT ADDRESS: PROJECT NUMBER: DATE:
8TH EDITION AMENDMENTS. STRUCTURAL CAPACITY 151-211 OSGOOD STREET 087-16 08-08-16
IMPROVEMENTS NORTH ANDOVER, MA
North Andover MIMAP August 29, 2016
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(]MVPC Bo Zoning Overlay Zoning
(3 Municipal Boundary 0 Adult Entertainment Distric Busine 1 District
Machine Shop Village Ove 0 Busine s 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
Rail Line ®Watershed Protection Dist ® Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack
Interstates 13 Historic Mill Area ■ Busine s 4 District NORTN Valley Planning Commission(MVPC)using data provided by the Town of
—I 0 Medical Marijuana ■Genera Business District Of ° r '�� North Andover.Additional data provided by the Executive Office of
—SR B Downtown Overlay District 0 Planne Commercial Dev ? s�S* ••�OO Environmental Affaim/MassGIS.The information depicted on this map is
Q Historic District Corrido Development Dist 3. L for planning purposes only.It may not be adequate for legal boundary
Roads U Osgood Smart Growth(40 a Corrido Development Dist definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
i r Easements Hydrographic Features 0 Condo Development Dist t" �+ MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
Industd 1 District 41 * THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
❑Parcels Streams Industd 2 District * i ^ !f OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
Wetlands 0 Industri 3 District ,► o� f ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
0 Industri I S District THIS INFORMATION
Exempt Lands Reside ce 1 District '^O��r.°•�,�.(�
Reside ce 2 District SSACNUSE
s Rasida ce 3 District
de ce 4 District
1"=191 ftde ce 5 District
rde ce 6 District
%.—e esidential District
: ..::Massachusetts Department of Public Safety
i 11 <l-$oafdof.Building Regulations and.Standards
`License:_-CS-022,409
Construction Supervisor
• 10.
JOHN H WATSON�
3 ESSEX ST ., c3* '
PO.BOX414,- it
NORTH READINGMA, .�mr 4`
ri
Expiration:
•'Commissioner 0912212017
V/[e �Ga.77247za1e[ueal��a�Vl�Gcr6dac�udeC�`\
Office of Consumer Affairs&Business Regulation f License or registration valid for individul use only
_ OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to:
egistration 910493 Type: Office of Consumer Affairs and Business Regulation
Expiration 1{3/20/2076 Private Corporatio- 10 Park Plaza-Suite 5170
-- - Boston,MA 02116
GOTHIC CARPENTER iNC 1
JOHN WATSON N '-
3 EDGEMERE RD -
N.READING,MA 01864 - Undersecretary Not valid without signature
r NORTH . -
. . ver
O - M.
h ver, Mass,
COC"1CMl WKK �7.
lS U
BOARD OF HEALTH
Food/Kitchen
PE D Septic System
THIS CERTIFIES THAT ........ . � � BUILDING INSPECTOR
... ......... ...... .. ..... ... .
151-21t
. Foundation
has permission to erect .......................... buildings on ... .. ... .. . .�.................
Rough
'elm*
!!to be occupied as .. ! .... . ...............
... chimney
to-the terms of the application Finalt fv! respe that the person accepting this ermishal
on file in 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
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONST N S Rough
Service
s:.."r:.... is ' ... ..... ... ....... ..... ..... Final
BUILDING PE__ OR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Buildinz 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.
Smoke Det.