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HomeMy WebLinkAboutBuilding Permit #172-13 - 530 FOSTER STREET 8/23/2013 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: �Z" Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATIONC7 �"S S'(''�'► Print PROPERTY OWNER T, sif� Print 100 Year ON Structure yes MAPNO: L Me - PARCESZONING DISTRICT: Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Resid tial Non- Residential ❑ New Building Er6ne family ❑Addition ❑Two or more family ❑ Industrial ❑ ration No. of units: ❑ Commercial Yf�epair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District 11 Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: , r I �EQe�F L�xSiS- '� S�ru�� v�� ws t11 mew ILy�ZarL Sl��ti,g`e57 Identification Please Type or Print Clearly) OWNER: Name:_ !���i,y J-r-FFak-1 Phone: Address: CONTRACTOR Name: e-X Phone: Address: 2 wg,Q pelma Supervisor's Construction License: L01-2-,57�3 Exp. Date: Home Improvement License: Exp. Date: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT.•$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ zS"°rG FEE: $ �a ' cv Check No.: S 1 ()- � Receipt No.: 2a -L— NOTE: NOTE: Persons contracting with unregistered contractors do not have access to guaranty fund Signature of Agent/Owner Signature of contractor 1 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ Location No. L Date F) TOWN OF NORTH ANDOVER • Certificate of Occupancy $ ' Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check# ZI � r � ' Building Inspector 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 ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED. DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Siq nature _ COMMENTS i HEALTH Reviewed on Signature COMMENTS x Zoning Board of Appeals: Variance, Petition No: Zoning Decisionfreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Toyer;! Engineer: Signature: Located 384 Osgood Street FIRE-DEPARTML-NT - Temp Dumpster on site yes no Located at 124 Mair Street- - Fire Departrneritsignature/date- COMMENTS j 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 II i Ll Notified for pickup - Date i Doc.Building Permit Revised 2010 Building Department The fol.swing is-a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits o Building Permit Application o Workers Comp Affidavit o Photo Copy Of H.I.C. And/Or C.S.L. Licenses o Copy of Contract o Floor Plan Or Proposed Interior Work o Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks o Building Permit Application o Certified Surveyed Plot Plan L3 Workers Comp Affidavit o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract o Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) o Mass check Energy Compliance Report (If Applicable) o 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) o Building Permit Application Li Certified Proposed Plot Plan o Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Li Copy of Contract o Mass check Energy Compliance Report o 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 Clerks office must stamp the decision from the Board of Appeals that the apt),-al period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be subm.tted with the building application Doc: Doc.Bui!ding permit Revised 2012 Aug 1413 01=`ro�0 4-":2tdYo�In stries 978-281-8040 p.1 At 14 2013 .'�� AUG1�rc ISE wPpi landsJ� ,firoom INIE INTERLOCK INDUSTRIES, INC. O s' Lifetime Roofing Sy tem A,� Unit 7,25 Walpole Park South,Walpole, eg 02081 S l 1 �' Massachusetts Home Improvement Contractor Registration#139640 r� y(� / FEIN 43479096 �r.i� "(ol '� I�"t i l Name �(� �`� �1��� Y ) Date �" 1 Job Address �. S� 05�4,e ("Premises'') City/Town �O�i f�l`�� }�(� Zip Code 01 �jqj�' Mailing "D lrle�e� Address E-Mail E) Work Phone (I Tp ) � a 2 Home Phone _� '' ) Cell Phone The Buyer is the registered owner of the Premises and hereby contracts with Interlock Industries, Inc. (the "Contractor") authorizing the Contractor to furnish all necessary materials and labor to install, construct and place the improvements according to the following specifications,terms and conditions (the"Specifications")on or at the Premises: SPECIFICATIONS � ��, tc�r� o�;: SHINGLE L� LOCATION OF SHIPMENT: � � M —r ,f2A&t+1 Color: YES NO ROOFING MATERIAL YES NO OWNER WILL Flash Skylights# Zi ✓ Supply adequate electrical power. _ Flash Vents _ ✓ Be responsible for all rot damage and other necessary roof �� Underlayment repairs ie:roof decking, fascia boards,etc. at a cost mutually Snow Guards# agreed upon in advance. Ridge Vent 12 b PRO PO ED STAIIT AND COMPLETION SCHEDULE: ROOF REMOVAL Start Dale e Substantial Completion Date:�{4} t2 Strip existing roof(cirdeOne): 1 2 3 layers OJ,-- fsely _ Supply 1/2"plywood REQUIRED PERMITS:The following permits are required and Haul away roof debris and pay refuse fees. will be secured by thetractor as the homeowner's agert: e ,� LOCATION FOR BIN: Owners who secure their own permits will be excluded from the Guaranty Fund provision MGL chapter 142A. `tom a L U `SSS 'S e- , THIS CONTRACT INCLUDES: LIFETIME LIMITED WARRANTY,TRANSFERABLE,NON-PRORATED FOR MATERIALS MANUFACTURED BY INTERLOCK ROOFING LTD. PLUS 1Q-YEAR LIMITED LABOR WARRANTY PROVIDED BY INTERLOCK INDUSTRIES,INC. SEETHE WEBSITE FOR WARRANTY TERMS. LIFETIME LIMITED MATERIAL WARRANTY FOR IB ROOFING,PROVIDED BY IB ROOFING SYSTEMS. Financing Requested Yes No Sales Price $ 2<i too Sales Tax $ or Interest Rate: 11.9%to 14,9% Total Contract Price $ 7�� L-K1-0 Cj Down Payment(not to exceed 113 $ of total contract price) _ Payment not to exceed$ Total Balance on Completion $ � O.A.C.(on approved credit) MAKE ALL CHECKS PAYABLE TO: INTERLOCK INDUSTRIES, INC. You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller, which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted,by telegram sent or by delivery, not later than midnight of the third business day following the signing of this agreement.See the attached notice of cancellation form for an explanation of this right. IN WITNESS WHEREOF, the Buyer and Contractor have hereunto signed their names this L. day of 20 Do Not Sign This Contract If There Are Any BIaK Spaces INTERQCKIARIES, INC. Signed Per: (Print name) Signed Unit 7, 25 Walpo e P rk South Buyer Walpole, MA 02081 HIC#'139640 This Agreement is a binding agreement and contract between the parties. This is not a credit trarsaction and will not be financed by the Contractor. If financing is required,the Buyer hereby authorizes the Contractor to obtain credit information and the Buyer hereby agrees to provide and sign all necessary documents required by any third party financial institution to complete the financing,immediately on request. The Buyer hereby acknowledges receipt of this Agreement. See reverse of Agreement for additional terms and conditions. All surplus material is the property of the Contractor.CRSC MA 0811 Massachusetts -De Board of B partment of Public Safety wilding Regulations and Standards Construction Supe-icor Spc;ial. License: CSSL-101283 PAUL G MCALLISTE 1 25 WALPOLE PKSOUTH U Walpole MA 020$1 NTT 7� Commissioner Expiration 06/01/2014 I f 1 --—_ ffce of.Consumer Affairs&Business Regulation _ - ME IMPROVEMENT CONTRACTOR - _ egistratipn: 139640 TYPe'' Expiration: 7/28/2015 Supplement ward I INTERLOCK INDUSTRIES INC i � t PAUL MCALLISTER #7-25 WALPOLE PARK SOUTH. . -WALPOLE,.MA 02081 . Undersecretary fi The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 1 Congress Street, Suite 100 Boston, MA 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Interlock Industries, Inc. Address: 25 Walpole Park South, Unit 7 City/State/Zip: Walpole, MA 02081 Phone #: 508-660-6665 Are you an employer? Check the appropriate box: Type of project(required): 1.❑✓ I am a employer with 9 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6. ❑ New 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 me in any capacity. employees and have workers' insurance. 9. ❑ Building addition comp.[No workers' comp. insurance p• required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 1311 Other comp. insurance required.] 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. $Contractors 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. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: BFL Canada Insurance Agency-Liberty Mutual Insurance Company Policy#or Self-ins.Lic.#: WC1-B71-072231-053 Expiration Dater 02/01/2014 Job Site Address: City/State/Zip: 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. I do hereby certi under the Cains and enalties o er'ury that the information provided above is true and correct. Signature: Date 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#: .4GORCJ►® DATE(MM/DD/YYM CERTIFICATE F LIABILITY INSURANCE` 01 12872013. THIS CERTIFICATE. IS ISSUED AS A MATTER OF INfFORMATION ONLY AND.CONFERS NO RIGHTS,UPON THE CERTIFICATE HOLDER Tf 115 CERTIFICATE DOES NOT AFFIRMATIVELX'OR NEOATfVEL' AME1�I'D, EXTEND OR ALTER,THE COVERAGE:AFFORD[=U BY THE I'faLICIES BELOW. THIS:CERTIFIGATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEPN THE ISSUING INSURER{S}, AUTH6111ZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE tOLDERs. IMPORTANT: If the C'erilfidate' holder Is an ADDITIONAL INSURED,the pokey{les}must=be endorsed If SUBROGATION I5 WAIVED,subject tb the terms and conditions of the policy,certain"policies fn y hezjuire an eridocsetrielitA. iA.§tafement on tris aerfifi.cate.iioe5 not confer rights to the• certificate.holder in.fieu of such endorsemeht{s}. _ PRODUCER CONTACT .. NAME.'' Cohnle Hahsoh BFC CANADA Insurance Services lhc. PHONE: FAx ADDRES: Ilan. Alc No 6Q4(ia3_g31 R ATC o Ex t.saa s78 X451 . S 1177 West Hastings Street,Su1te;20p E.MAII::• a'on(Q�gFCC`ANAl3A,00 Vancouver,BC V6E 2K3 INSURERIS)AFF0kb1NG COVERAGE. _ NAIc# _ _ INsUitErtA Llbetf�i MUtual Insurance COmpan 3043`: .. INSURED .- .. .._..... .. .. Interlock Industries,Inc, INSURER B Unit:7.-25)k1pole Park South INsuR:ER c Walpole,MA 02051, 3NSURER.D': INSURER E .. ....,;�:-.:: , _•. ._ ., INSURER COVERAGES G.ERTIFIGATE NUMBER WC 32 R.EVISION NUMF3ER THIS IS'TO CERTIFY THAT THE POLICIES CSF INSURANCE LISTED;'ELOW HAVE BEEN ISSUED TO:TWE INSURED NAMES ABOVE FOR THE;LL ICY`PERIOD; INDICATED: NOTWITHSTANC)!NG-ANY FtEGlUIRENIENT, fEt2M OIZ COIJDITION OF ANY CONTRACT.OR OTHER t50GUMENT WITH RESPECT I'l-, I TFIIS. CERTIFICATE MAY BE ISSUE[?'OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES OESCRiSED'HEREIN:IS.SIIeJECT TO>AFE;TERNI5; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES LlM175:SHOWN MAY HAVE C3EEN F2EDUCED:B PAID CLAIMS> INSR A L SUBR .. .. _ LrR TYPEoFINSURANCE POLICY EFF..- -POLICY EXP'.'. _ POLICY`NUMBER M/DO MTDO U its: GENERAL LIb81LITY. - :.. .. ............... ..._ ._ .: . - ',j EACHOCGURRENCE �:�' COMMERCIAL GENERAL LIABILITY ,: pER(ISES.(Ea occurrence) S;. _. CLAIMS OCCUR' MEOEXP Ailydpapeis6n) ..�, __. :PERSONALA&ADV INJURY $. GENERALAGGRE13ATE GEN'L AGGREGATE LLMIT APPLIES PER' PR013UCTS COMP/ORAGG ;S' PRO- - _. . POLICY' J_CT LOC $, .... .. _ AUTOMOBILE LIABILITY - - - `COM81NEDiSINGCE LIMIT Ea aeC�der t $ F71 F-11 ANYAUTO BODILY INJURY(Perpersonj $ ALL OWNED SCHEDULED: AUTOS AUTOS <90DILY INJURY(Peracadent) NOWbWNED I$ _.� HIRED AUTOS AU70SPROr''PERdent)`TYDAMAGE ,� Pe UMBRELLA LIAB OCCUR ��i EACH OCCURRENCE' $ ., EXCESS LIABIMS-MA - - - - - - CLADE DED RETENTION$ .. .. . .. .. .. . .. $... WORKERS COMPENSATION - AND EMPLOYERS'LIABILI Y Y/N X TORY ltMiT A ANY PROPRIETORlPARTNER/EXECUnVE ` E L EACH ACCIDENT O H .S T OFFIt:ETMEMBERExCLUnED7 � NTA�I WC1-B71-072231^053: �: 2/1120,1:3` � 2/1%201�F1.000060. (MandAtory In"NH) - i: E L DISEASEEA EMPLOYE. $,1 A00 000- Ifyes,describe uhder- E L DIsFz4t POLIGY I IM6 C M. DESCRIPTION OF'OPERATIONS/LOCAT16ks VEHICLES(Attach ACORD:1b9,Additional RemarKs Schedule, fol space fs requited CERTIFICATE.HOLDER CANCELLATION. SHOULD;AtdY OF THE_':ABOVE DESCRIBED POLICIES`:BE'CANCELLED BI✓FORE THEA EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED u1 To Whom It May Cohcerrl ACGORDANGE WITH THE POLICY PROVISIONS, ',AUTHO I'EPRESENTATiVE h.� 198&2010 ACORD;CbRPORATION. All.nghts reserved; ACORIJ.25(2010105) The ACORD Clime' aiid logo are registered marks of ACORD . 6-. �R CERTIFICATE OF LIABILITY INSURANCE DATE(MMYY) 2/1/2014 1/28/20132013 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER LOCKTON COMPANIES,LLC-1 KANSAS CITYNA T 444 W.47TH STREET,SUITE 900 A/c No Ext): FAX No KANSAS CITY MO 64112-1906 E-MAIL (816)960-9000 ADDRESS: ER(S)AFFORDING COVERAGE NAIC INSURER A: National Union Fire Ins Co Pittsburgh PA 19445 INSURED INTERLOCK INDUSTRIES INC. INSURERB: 1333138 A MASSACHUSETTS CORPORATION INSURER C: UNIT 7,25 WALPOLE PARK SOUTH WALPOLE MA 02081 INSURER D: INSURER INSURER F: COVERAGES INTINI8 CERTIFICATE NUMBER: 11152803 REVISION NUMBER: XXXXXXX THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSR D POLICY NUMBER DD (MMIDDINYM LIMITS A GENERAL LIABILITY N N GL5836199 2/1/2013 2/1/2014 EACH OCCURRENCE 2,000,000 X MAGE TO RENTED 500 000 COMMERCIAL GENERAL LIABILITY PRDAE S Ea occurre ce CLAIMS-MADE�OCCUR MED EXP An one person) 50,000 PERSONAL&ADV INJURY $ 2,000,000 GENERAL AGGREGATE $ 5,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 21000,000 P L CY JE OT LOC $ AUTOMOBILE LIABILITY Ea aBBINEDISINGLE LIMIT $ XXXXXXX ANY AUTO NOT APPLICABLE BODILY INJURY(Per person) $ XXXXXXX AUTOS NED AUTOSULED BODILY INJURY(Per accident $ X)XXXXX HIRED AUTOS AUTOSSWNEO Peer acEcidenDAMAGE $ XXXXXXX UMBRELLA LIAB OCCUR EACH OCCURRENCE $ XXXXXXX EXCESS LIAB CLAIMS-MADE NOT APPLICABLE AGGREGATE $ XXXXXXX DED I I RETENTION$ $ WORKERS COMPENSATION WC STATU-I OTH- AND EMPLOYERS'LIABILITY Y/N NOT APPLICABLE TOR LIMITS ANY PROPRIETORIPARTNERIEXECUTIVE V V OFFICERIMEMBER EXCLUDED? N/A E.L.EACH ACCIDENT $ XXXXXXX (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE XXXXXXX If yes,describe under xxxVv DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT XXXXXXX DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. 11152803 AUTHORIZED REPRESENTATIVE TO WHOM IT MAY CONCERN I awlAto"Le ACORD 25(2010/05) © 9 8-2010 ACCFD JtORPORATION.All rights reserved The ACORD name and logo are registered marks of ACORD NORTH Town of t ndover O - 0 0 . No. Ila — iq - 6: h ver, Mass 1 T O LAKE CoCKICKIWICK S IJ BOARD OF HEALTH Food/Kitchen PERMIT T LD Septic System THIS CERTIFIES THAT ,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,, BUILDING INSPECTOR ...... ... .�........................ has permission to erect ............ buildings on ... j3 =6 �. � ttax.... Foundation .............. .... ....... Rough to be occupied as ..... .. ...............RA. a . ... .....=.........rAt .................. Chimney provided that the person accepting this permit shall in ry respect conform to the terms of the application Final 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 300• UNLESS CONSTRUCT S Rough Service ............. .. .... ..... .......................Em....................... Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building 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. SEE REVERSE SIDE