Loading...
HomeMy WebLinkAboutBuilding Permit #175 - 80 LYONS WAY 4/27/2000 Location )d,3 #90 l yoHs Z&A No. lr75r- Date NORTH TOWN OF NORTH ANDOVER f 9 Certificate of Occupancy $ 'Ss^cHusEt Building/Frame Permit Fee $ ry Foundation Permit Fee $ Other Permit Fee $ TOTAL $ /6-0 Check # / 13772 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED. SIGNATURE: Building CommissionerA for of Buildin Date Z SECTION 1-SITE INFORMATION 0 1.1 Property Address: ) / 1.2 Assessors Map and Parcel Number: Map Number Parcel Number /-d t a, 1.3 Zoning Information: 1.4 Property Dimensions: r 12,2- 4/3 3/.2 Zoning District Pr osed Me Lot Area ss � Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 3� ` /' D � 30 11-7 ' 0 Flood ZInformation: 8 Sil S 1.7 Water Supply M.G.L.C.40. 54) 1.5. 000ne 1. ewerage Dsposaystem: Public >V Private ❑ Zone Outside Flood Zone 0 Municipal eo* On Site Disposal System ❑ SEC ION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name(Print)(Print) Address for Service: Signature Telephone 2.2 Owner of Record: C Name Print Address for Service: Signature Telephone go SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ ,4�v, � e, 2, ,J .31 Liwsed Construction Supervisor: C) j/ �- License Number Adqess G T 5 3 6 Expiration Date Signature Telephone r v 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address z Expiration Date y Si nature Telephone !1) V_f SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit 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. -Signed affidavit Attached Yes....... No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: kivo 4 GII e 6A SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL,USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee 0 9l� Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X(b) 4 Mechanical HVAC 5 Fire Protection 5 Total 1+2+3+4+5 ¢ (off yooc Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWN ER/AUTHORIZED AGENT DECLARATION I, l,- � ,as Qmwv4Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge -and belief /ZSS Print Name OL Signature of Owner/Agent Date R NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR T ABERS 1 ° 2 NDO �Z 3RD SPAN / (, `'O G DINIENSIONS OF SILLS DIlvIENSIONS OF POSTS DINENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING 6 6/ X 2 �' MATERIAL OF CHIMNEY d d IS BUILDING ON SOLID OR FILLED LAND L d IS BUILDING CONNECTED TO NATURAL GAS LINE �S � y` ^✓�e U/aOYUYI'la'YGa/Pa�A�2 a��/�a�aac�uaeCGs �', �, fi DEPARTIIENT OF PUBLIC SAFETY Zk = CONSTRUCT I ON SUPERVISOR LICENSE Expires: Birthdate: CS 069234 8510912000 0510911954 — Restr00 ALAN G' RUSSELL 400 9IN..'ST` GROVELAND, MA 01834 I 7�Y,�' The .Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Name Please Print Name: Location: City Phone # ❑ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Comoanv name: ZViL7S GCl LG 'L' S Address --31 S'v747_'�177 gzei fe �F City A)r>> 0 /,Y z/� Phone Insurance Co. 0h4 le lJ ac- >, � S G� Policy# Al CUf 12 41/ 3 'z'e,--' (-V Comoanv name. Address City: Phone# Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties or a fine up to 51,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a rine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. t do hereby certify under the r7o��L�_ of perjury that the information provided above is true and correct. Signature Date l3 Or] Print name / �' {� ./ Phone# 5 5-7- 76 0 Official use only do not write in this area to be completed by city or town official' City or Town Permit/Licensina Building Dept ❑Check if immediate response is required p licensing Board Q Selectman's Office Contact person: Phone A: Health Department Other BUILDING DEPARTMENT DEBRIS DISPOSAL FORM In accordance with the provisions of.MGL c 40 S 54,a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: 110,-11111t 6:2s- = Aec-C �. �'n1'F' %f/���5�;� iY/f ` Location of Facility Si o ermit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building 0 r �� f _ M � -1 `11 0 I I MAScheck COMPLIANCE REPORT I I Massachusetts Energy Code I Permit # I MAScheck Software Version 2.01 I I i I I Checked by/Date I I I CITY: North Andover STATE: Massachusetts HDD: 6322 CONSTRUCTION TYPE: 1 or 2 Family, Detached HEATING SYSTEM TYPE: Other (Non-Electric Resistance) DATE: 4-13-2000 DATE OF PLANS: March 28, 2000 TITLE: Custom PROJECT INFORMATION: Lot 3 Lyons Way Subdivision North Andover, Ma. COMPANY INFORMATION: Lyons Way, LLC. / Mesiti Development Corp. 231 Sutton Street Suite 2F North Andover, Ma. 01845 COMPLIANCE: PASSES Required UA = 617 Your Home = 565 Area or Cavity Cont. Glazing/Door Perimeter R-Value R-Value U-Value UA ------------------------------------------------------------------------------- CEILINGS 1824 30.0 0.0 64 WALLS: Wood Frame, 16" O.C. 2549 11.0 0.0 227 GLAZING: Windows or Doors 523 0.350 183 ' FLOORS: Over Unconditioned Space 1900 19.0 0.0 90 HVAC EQUIPMENT: Furnace, 92.0 AFUE ------------------------------------------------------------------------------- COMPLIANCE STATEMENT: The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application. The proposed building has been designed to meet the requirements of the Massachusetts Energy Code. The heating load for this building, and the cooling load if appropriate, has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equip s cted to heat or cool the building shall be no greater tha 128$ of the esign load as specified in Sections 780CMR 131 Builder/Designer Date y�3�� MAScheck INSPECTION CHECKLIST Massachusetts Energy Code MAScheck Software Version 2.01 Custom DATE: 4-13-2000 Bldg. l Dept. 1 Use I I I CEILINGS: [ l I 1. R-30 I Comments/Location I I WALLS: [ ] I 1. Wood Frame, 16" O.C., R-11 I Comments/Location 1 I WINDOWS AND GLASS DOORS: ( ] I 1. U-value: 0.35 I For windows without labeled U-values, describe features: I # Panes Frame Type Thermal Break? [ ] Yes [ ] No I Comments/Location I I FLOORS: [ ] I 1. Over Unconditioned Space, R-19 I Comments/Location t I HVAC EQUIPMENT: [ ] I 1. Furnace, 92.0 AFUE or higher I Make and Model Number I I AIR LEAKAGE: [ ] I Joints, penetrations, and all other such openings in the building I envelope that are sources of air leakage must be sealed. When I installed in the building envelope, recessed lighting fixtures I shall meet one of the following requirements: I 1. Type IC rated, manufactured with no penetrations between the I inside of the recessed fixture and ceiling cavity and sealed or I gasketed to prevent air leakage into the unconditioned space. I 2. Type IC rated, in accordance with Standard ASTM E 283, with no I more than 2.0 cfm (0.944 L/s) air movement from the the I conditioned space to the ceiling cavity. The lighting fixture I shall have been tested at 75 PA or 1.57 lbs/ft2 pressure I difference and shall be labeled. I I VAPOR RETARDER: [ ] I Required on the warm-in-winter side of all non-vented framed I ceilings, walls, and floors. I I MATERIALS IDENTIFICATION: [ ] I Materials and equipment must be identified so that compliance can I be determined. Manufacturer manuals for all installed heating I and cooling equipment and service water heating equipment must be I provided. Insulation R-values, glazing U-values, and heating ( equipment efficiency must be clearly marked on the building plans s � I or specifications. I I DUCT INSULATION: [ ] I Ducts shall be insulated per Table J4.4.7.1. I 1 DUCT CONSTRUCTION: [ ] I All accessible joints, seams, and connections of supply and return I ductwork located outside conditioned space, including stud bays or I joist cavities/spaces used to transport air, shall be sealed I using mastic and fibrous backing tape installed according to the I manufacturer's installation instructions. Mesh tape may be I omitted where gaps are less than 1/8 inch. Duct tape is not I permitted. The HVAC system must provide a means for balancing I air and water systems. I I TEMPERATURE CONTROLS: [ ] I Thermostats are required for each separate HVAC system. A manual I or automatic means to partially restrict or shut off the heating I and/or cooling input to each zone or floor shall be provided. I I HVAC EQUIPMENT SIZING: [ l I Rated output capacity of the heating/cooling system is I not greater than 125% of the design load as specified I in Sections 780CMR 1310 and J4.4. I [ ] I SWIMMING POOLS: I All heated swimming pools must have an on/off heater switch and I require a cover unless over 20% of the heating energy is from I non-depletable sources. Pool pumps require a time clock. I [ ] I HVAC PIPING INSULATION: I HVAC piping conveying fluids above 120 F or chilled fluids I below 55 F must be insulated to the following levels (in.) : I I PIPE SIZES (in.) I HEATING SYSTEMS: TEMP (F) 2" RUNOUTS 0-1" 1.25-2" 2.5-4" I Low pressure/temp. 201-250 1.0 1.5 1.5 2.0 1 Low temperature 120-200 0.5 1.0 1.0 1.5 1 Steam condensate any 1.0 1.0 1.5 2.0 I COOLING SYSTEMS: I Chilled water or 40-55 0.5 0.5 0.75 1.0 I refrigerant below 40 1.0 1.0 1.5 1.5 I [ ] I CIRCULATING HOT WATER SYSTEMS: I Insulate circulating hot water pipes to the following levels (in.) : I I PIPE SIZES (in.) I NON-CIRCULATING I CIRCULATING MAINS & RUNOUTS I HEATED WATER TEMP (F) : RUNOUTS 0-1" ( 0-1.25" 1.5-2.0" 2.0+" I 170-180 0.5 I 1.0 1.5 2.0 1 140-160 0.5 I 0.5 1.0 1.5 1 100-130 0.5 I 0.5 0.5 1.0 1 ----NOTES TO FIELD (Building Department Use Only)------------------------- • �r y � 4 i { PROPOSED SITE PLAN LOT 3 LYONS WAY . D . . - NORTH ANDOVER, GROUPPREPARED FOR 31 SUTTON STREET - SUITE 2F STON VMA, . :• NORTH ANDOVER, 018461 . // 1483 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. e.10pzz / a9-� Application by the undersigned is hereby made to connect with the town sewer main in Street, subject to the rules and regulations of the Division of Public Works. / n The premises are known as No. �G "� ��� �GC D Street or subdivision lot no7 S 'A'D SS 7- 57Ga Gz� 2-2 r Owner%,`r i ���/ Address Contractor Address �r Applicant's Sinature PERMIT TO CONNECT WITH SEWER /MAIN The Division of Public Works hereby grants permission to L L� to make a connection with the sewer main at G t WG Street subject to the rules and regulations of the Division of Public Works.. Division of Public Works By �� Inspected by Date See back for rules and regulations l f' i <57�C i N0- 947 APPLICATION FOR WATER SERVICE CONNECTION North Andover, Mass. 7-7— —t9l— y Application by the undersigned is hereby made to connect with the town water main in - 21A Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. ���, Street or subdivision lot no. l n `5 Owni 11 fe1{ 17> Address Contractor Address l aw Applicant's Signature PERMIT TO CONNECT WITH WATER MAIN The Board of Public Works hereby grants permission to �� "'2L`� �! Z— LC— to make a connection with the water main at ZLf �.' /L'Ci,�'. Street subject to the rules and regulations of the Division of Public Works. Board of Public Works By Inspected by Date See back for rules and regulations TOWN OF NORTH ANDOVER, MASSACHUSETTS DIVISION OF PUBLIC WORKS 384 OSGOOD STREET, 01845 Telephone(508)685-0950 Fax(508)688-9573 OF NORTH 9 o6 0L 0 ,n A .04 C �9SSACFHUSEi�y DRIVEWAY PERMIT Date: -22 2"-00 LOCATION: BUILDER: phone: OWNER: Z. rc0,-w Z-/-c phone: 6 7- 536:,-0 The North Andover Superintendent of Highway Utilities&Operations MUST be notified of the grade and set-back from street established in any driveway entry onto any street or way maintained by the TOWN. Call the Highway Superintendent's Office, before finish grading and surfacing for approval of such entry. FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT. Remarks: Approval: ' r E FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ****************************APPLICANT FILLS OUT THIS SECTION"""' **�* -Sif-e Pt: 6. 7s7- S" 760 APPLICANT 5 I PHONE LOCATION: Assessor's iNlap Number PARCEL f�S SUBDIVISION. W 5-� _ LOT (S) 3 STREET Gev S Gu ST. NUMBER USE ONLY******************* ************** RECOMMENDATIONS OF TONIN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED <� DATE REJECTED COMMENTS ��`5 v �✓ ��I r�" TO PLANNER DATE APPROVED Z U DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERPJVATER CONNECTIONS D� �J aI 2-2-3 DRIVEWAY PERMIT 2--2-3 -00 Fi DEPA T�LIENT' Q`- z/1 7100 R>= c1VED BY BUILDING INSPECTOR DATE Revised 9197 jm • • �t Ldo �-� Ib L I T it 1 '. PROPOSED SITE PLAN LOT 3 LYONS WAY . DA P. NORTH ANDOVER, E.NGINa ERINr. AND PLANNING CONSULTANT$ PREPARLO FOR ME$ITI DEVELOPMENT GROUP 62 MONJ.Y,�17E AW. SUITE I STONEHAM, MA, :. ANDOVER,31 SUTTON STREET - SUITE 2F (70) 438-6121 NDRTH .0 r • 11 FORM J LOT RELEASE The undersigned, being a majority of the Planning Board of the Town of North Andover, Massachusetts, hereby certify that: a. The requirements for the construction of ways and municipal, services called for the Performance Bond or Surety and dated 19 q_ and/or by the Covenant dated Gt19 -%?_ and recorded in District Deeds, Book Page 60 or registered in Land Registry District as Document NO• and noted on Certificate of Title No. in Registration Book Page has been completed/partially completed, ' to the satisfaction of the Planning Board to adequately serve the enumerated lots shown on Plan entitled " pef;uifi� ��ONS {A14Y ►fin .or bd��!��oIVRlq 1 — N��Ia �MA Section (s) SheetsI Plan dated �'0 e ay 19 Ci8 _ recorded by the Nort4 VI-Stri _t Registry of Deeds, Plan Book registered in said Land Registry District, Plan Book � o, Plan -0/3y5ot , and said lots are hereby released from the restriction as to sale and building specified thereon. Lots designated on said Plan as follows: (Lot Number (s) and street(s) ) �051 *7o --. W b• (To be attested by a Registered Land Surveyor) I hereby certify that lot number (s) on 1-YDNS u/�}y Street (s) do conform to layout as shown on Definitive Plan entitled " I- ONS N ruyd` 19 Section Sheet (s) 1 /y Y w►� y a� do M Z sjc?a *Reied Land Surve o �aq ���01� k OF MAS s� s �°ti s 0 G Q o� ip STEPHEN M. MELESCIUC cn A No. 39049 P 1 of 2 �i � S �O�Oq i ►yND S u"o ilk, C. The Town of North Andover, a municipal corporation situated in the County of Essex, Commonwealth of Massachusetts , acting by its duly organized Planning Board, holder of a Performance Bond or Surety dated Covenant dated 19 and/or 19 from of the City/Town of County, Massachusetts recorded with the District Deeds, Book Page or registered in Land Registry District as Document No. and noted on Certificate of Title No. Registration Book, Pain geackn herebowledges satisfaction of the terms thereof and y releases its right, title and interest in the lots designated on said plan as follows : EXECUTED as a sealed instrument this 2 s� day of �:, �� 19 Majority of the C. Planning Board of the Town of North Andover COMMONWEALTH OF MASSACHUSETTS �SS2�C ss 1 2- Then Then personally appeared �(iyoma, one members of the Planning Board of the�o n—of Nor h Ando , f the above Massachusetts and acknowledged the foregoing instrument to beverthe free act and deed of said Planning Board, before me. Notary Pu lic My Commission Expires 2 0f 2 En. I P. Town of North Andover Planning Board This form represents the schedule for allowing'the following lots to be considered as eligible for building permits under the Town of North Andover Growth Management by-law Section 8.7 of the Zoning by-law. Pursuant to 8.7 .5 this Development Schedule must be filed in the Registry of Deeds and be referenced on the deed of each of the lots below and be filed with the Planning Board prior to the issuance of any building permit or permit for construction. Name and Address of Applicant for Lots: Name of Development: MPG Regl�y Cor 11 Old Bcst'oN IZI T'ew bqry, Ma 01876 Map and Parcel of Original Lot: 014 P IOG E l.af 79. � Date of Application for Lots Division: ?u ( 5 lq S Lots Covered by this Schedule: Lo1's L oNs Wo L The Planning Board by their signature below, or a signature of a duly authorized representative, do hereby establish for the above named development the following Development Schedule for the purpose of Section 8.7 of the Growth management By-Law. The applicant, their assignees, successors and or subsequent property owners shall conform to the following schedule that limits the eligibility of the following lots for building permits. This form must be filed in the Registry of Deeds by the property owner or representative and be referenced on each deed for each of the following lots. Such deed reference for the deed of each lot shall at a minimum reference the book and page in which this Development Schedule is filed and contain the language : " This lot is subject to a Development Schedule pursuant to the Town of North Andover Zoning By-Law all owners, representatives, and future purchasers should avail themselves of said restriction by reviewing the approved Development Schedule as filed in Book and Page The fact that a lot is eligible for a building permit is subject to the limitation of the number of building permits per year pursuant to section 8.7.2.d of the Zoning By-Law." The Planning Board hereby schedule the lot(s) for the above development as follows: Year Eligible Number of . Building Office Use Building Office Use -- Lots Eligible Date: Lot Eligibility Notes Cocc.!eWe - Utilized S 5 . t q 9 A m a n m x Z � w S� 5t � Q o Signature of Plannin and rmir o ed Representative X:) Date Signature f Property Owner/oruthorized Representative AA Date RfA Cot Ll ofd sa�oN � R TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845 J. William Hmurciak,Director Timotlry J. PVillett Telephone(978) 685-0950 Staff Engineer Fax(978) 688-9573 Additional conditions for lots 3 and 6, Lyons Way February 22,2000 This Division agrees to sign the Form U, and issue water and sewer permits, for lots 3 and 6 in the Lyons Way Subdivision subject to the following conditions. We agree to sign the Form U for these lots so that the construction of these two homes can begin at this time. The conditions are as follows. 1. No sewer service shall be installed into either residence until all off site sewer facilities are declared"active"by this Division. These off site sewer facilities include sewer lines and a pump station on Campbell Road, as well as sewer lines and two pump stations on Turnpike Street. At this time, the construction of these items has not been completed. 2. No water service shall be installed into either residence until all off site sewer facilities are approved by this office. Any violation of the above conditions will void both water and sewer connection permits. No refunds will be granted. • G 7cn�r �✓C�'_s�-�-�/ 02 �. /civ Mesiti Devf6pni6teorp Printed Name Date Division o0Alic Works Printed NIAe Date CC:Bill Hmurciak Jim Rand ,, ORTW Town o Andover No. o, ndover, Mass., Al--0p 7 w-d 0 COC MIC ME WICK ��' AERATED P'OL�.(� SSgCHUs� I T FOR EXCAVATION AND FOUNDATION THIS CERTIFIES THAT ..... ......... . ... ,Irrr.. w!4! ........kAlL.. ............................................................ has permission to excavate and pour foundation at ../ .... ..W.........A..$ ��s... .W09 . for the purpose oL. p p .. ° .. 0/ !l ..a ..814` .. d .. r/`..s�!I��I�....��.�.. The person accepting this permit must return to the office of the Building Inspector a certified plot plan show of building thereon before Foundation will be inspected. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS The holder of this Foundation Permit proceeds at own risk and without UNLESS CONSTRUCTION STARTS assurance that a permit for entire building structure will be granted. BLDG. PERMIT FEE / • 0 LESS FDA FEET.___ _ O►� '� . .. . ................................ + r �� BUILDING INSPECTOR NORTH own o _ over oW 0% LA E dover, Mass., COCMICMEWICK ADRATED S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............0...!V.S......�I�IA y........4. �. C. ... ..................................................................................... Foundation has permission to erect................/..................... buildings on .kp-tJ....#190...X.Yd NS..,w#.Y Rough to be occupied as-6r he .off, A' �3.�'} u.l�N r` 51 �a iZ�`S I�46sa& .. Chimney provided that the person accepts g this permit shall in every respect conform to the ter of the application 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. Q p /�'r PLUMBING INSPECTOR/lob VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S T Rough 000 ........... ........................ .......................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No lathing or Dry wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner BLDG. PERMIT FEE $ g LESS FDA FEE / O Street No. DUE FRAME PERMIT $ .�. SEE REVERSE SIDE Smoke Det.