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210/107.B-01 37-0000.0
PER111T NO. 6 APPLICATION FOR PERMIT TO WILD'- NOTH ANDOVER, MA;S. PAGE 1
T MAF' 4-40. Q I LOT NO. 17 12 RECORD OF OWNERSHIP (DATE BOOK ;PAGE —
'ZONE SUB DIV. LOT NO. 17. F/v, eln, I i
LOCATION 1,1 14 )1e- PURPOSE OF BUILDING
OWNER'S NAME ' ` /e/,t,s i1 I/ NO. OF STORIES SIZE .t v3 iib
OWNER'S ADDRESS Q� a eil 77J A4i r hLi� O BASEMENT OR SLAB o4 � �
ARCHITECT'S NAME J /�Q aV�"d/ l' SIZE OF FLOOR TIMBERS 1ST.,�x�b 2ND 3RD'o e
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING !j�I �C�• DIMENSIONS OF SILLS A
DISTANCE FROM STREET �/J O POSTS
DISTANCE FROM LOT LINES-SIDES {_JG�7/Q o REAR �o " GIRDERS(
AREA OF LOT C O'er FRONTAGE v ��b// HEIGHT OF FOUNDATION .6 THICKNESS /®
IS BUILDING NEW `J [��j t SIZE OF FOOTING /Q X .119 X
IS BUILDING ADDITION /V J./D MATERIAL OF CHIMNEY rre
IS BUILDING ALTERATION NA l� v IS BUILDING ON SOLID OR FILLED LAND _ �(e-)/l'd
WILL BUILDING CONFORM TOREQUIREMENTS OF CODE a IS BUILDING CONNECTED TO TOWN WATER VV e_(
BOARD OF APPEALS ACTION. IF ANY f/ IS BUILDING CONNECTED TO TOWN SEWER A2P
IS BUILDING CONNECTED TO NATURAL GAS LINE A,7C)
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST it bO�
SEE BOTH SIDES EST. BLDG. COST //V
PAGE 1 FILL OUT SECTIONS i - 3
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE Sffo /1)1 4qf 1 _!
BUILDING INSPECTOR
,WdNATURE OF OWNER R UTHORIZED AGENT
FEE OWNER TEL.#
PERMIT GRANTED �9flA CONTR.TEL.#
3
19 11 +13 ��7�
q3 + CONTR.LIC.#
mall
em�D�p�q H.I.C.#
FEE it
gp��G�11<1N11<
LESS FDA FEE ....
DUE FRAME PERMIT
PLAN OF LAND
/N
NO. A ND 0 VER MA 55,
NOVEMBER 1,T 1.997
HAVES ENO/NEER/NG INC. ► 6Q3 SALEM STREET
CML ENGINEERS & WAKEFIELD, MASS 01880
LAND SURVEYORS TEL. (617) 246-2800
/ CERAFY THAT TH/S FOUNLi4 m /S LOCATED ON THE GROUND AS SHow, AND rmr ?
CONFORMS TO THE MUM BY-LAWS OF THE TOWN OF NORTH ANDOVER. / FURTHER 0E1?17FY
THAT TH/S PROPERTY 00£S NOT L/E WHIN A FLOOD HAT 4RD AREA (ZONE A OR V) AS
SHOWN ON FLOOD INSURANCE R47E MAP COMMUNITY PANEL NUMBER 250098 0010 B.
EFFECTIVE DATE.• JUNE 15, 1983
F E
047E NOVEMBER IJ,, 1997 Q �" � O
--------------------- ------- ---- _ PJ. 'sGN
PROFMIONAL LAND SURVEYOR 0 REN
#33604
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ZONE.• R.R.D. (R-2) V.R.
MIN/MUM SETBACKS.•
x
FRONT = 20'
S/OE = 20' (SEE SEC. 8.5.6.D. 1)
REAR = 20' L OT 17
25,369 S.F. N o 0
W '
T _ 9�0A, ry
Y TOP OF s
FOUNQA77ON `
ELEV. 173.05
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55.00
S82;39'08"E
PLAN OF LAND
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NO* AND 0 VER MASS*
SC".- I' _ 40' NOVEMBER 11, 1997
KAYES ENGINH?WNG INC. ► 603 SALEM STREET
CML ENGINEERS & WAKiWaD, MASS. 01880
LAND SURWMRS TEL. (617) 246-2800
/ cLowwY THAT TN/S FOUNa4TION /S Log4r U ON rw GROUND AS SHOWN, AND mor /T
CONFORMS TO THE ZONING BY—LAWS OF THE rO#N OF NORTH ANDOVER. / FURTHER CER77FY
7mr 7HIS PROPERTY DOES NOT LIE WHIN A FLOOD HAZARD AREA (ZONE A OR V) AS
SHOW ON FLOOD INSURANCE R47ZF MAP COMMUNITY PANEL NUMBER 250098 0010 B.
EFFEC77VE D41-F- JUNE' 15, 198J
OF
D47F NOVEMBER IJ,, 1997 } �
--------------------- ---� 4 __ __ _ PciEi2 G
PROFESSION& LAND SURVEYOR OMEN '
#33604
COL a�•=��
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•
ZONE P.R.D. (R-2) V R.
MIN/MUM SETBACKS.
M
FRONT = 20'
SIDE = 20' (SEE SEC. 8.5.6.D. 1) �
REAR = 20' LOT 17
25,369 S.F. 0 0
W '
,
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FOUM477ON \
ELEV.=17,.05
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,1 55.00
S82;39198"E
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NORT
Town of __ _ t over
No.
Z i dover, Mass., _199?
0LAKE A
-t__
C OC NICMEWICK LY'�•
�AA E D
`G BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
/ BUILDING INSPECTOR
THIS CERTIFIES THAT............................ .....(Z.,..............(�. 44.4..I.��PZ.S....................................... ..............
Foundation
has permission to erect......................l................. buildings on .......... Z..7.d...........C.6.16.Ah..4... Rough
tobe occupied as................................................. ...............Fa��¢L!''«...1. .................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of�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. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. trough
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST Rough
.................................... ...... .. ...... ...... Service
... . ... .... . . ........ . ........
UILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE
Until Inspected and Approved by the Building Inspector. DEPARTMENT
Burner
Street No.
Smoke Det.
Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below.
Name of Applicant on Building Permit(below) Address of Property for Permit(below)
2
3" �1 d et-s to N-- z o7�
Map and Parcel : Purpose of Anolication (check below)
Phc�1g uTb�r9f Appli t gle Family Two Family
Ith55e undersign�e�d applicant for the above property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or any party to this permit
from the requirements of obtaining other permits required prior to the issuance of the Building Permit.
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is,issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in
existence as of the effective date of this by-law,provided that no additional residential unit is created.4The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
Byl w.
This application is for dwelling units for low and/or moderate income families or individuals,where all of the
conditions of 8.7.6."re met and/or represents Dwelling units for senior residents,where occupancy of the units is
restricted to senior persons through a property executed and recorded deed restriction running with the land. For
purposes of this Section"senior'shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40%permanent
reduction in density,(buildable lots),below the density,(buildable lots),permitted under zoning and feasible given the ~
environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland.The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism
approved by the Planning Board that will ensure its protection. T
This application represents a tract of land existing and not held by a Developer in common ownership with an
adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building perrnits,(i.e. all other permits from all other boards and
commissions have been received and the project is in compliance with those permits),and the Development Schedule
does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per
Development until such time as the Development Schedule accommodates issuing building permits. Applicant must
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination'
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy of the information provided and that the attached building permit is
allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or
inaccurate jraormation, or the chec ' g off of an above item which does not comply,whether done to my
:anatureof
not, is und=forl ilding Department to issue a Building Permit.
as'97
ner or Author ed Agent who signed the Attached Building Permit Date
This form must be attached to the Building Permit upon application for such permit.
1(72,
FORK U - LOT RELEASE FORK
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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT:
APPLICANT: r - 61 &1, 11(5 Inc, Phone
LOCATION: Assessor's Map Number Parcel
10(id
Subdivision W00J ES1lptt 5 Lot(s)
Street _CO 10 h i A I A J�. St. Number 17-4
************************Official Use Only************************
RECO ATI S O AGENTS:
Date Approved 0 14
pp owed
Conservation Administrator Date Rejected
Comments
V l Gt�Lulpj Q Date Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-Health Date Rejected
tx 3 Date Approved
Septic Inspector-Health Date Rejected
Comments
Public Works - sewer/water connections 7_71L�
- driveway permit
ire Department �-
� �-�� CXIVIA-dam — -//(./,76
Received by Building Inspector Date
TOVVN OF NORTH ANDOVER, MASSACHUSETTS
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET, 01845
GEORGE F'EHN!A Telephone(508)685-0950
DIRECTOR Fax(508)688-9573
OF OOE oTFj q
O m
X
~4Sa iEO a° '�L,
• 9S3ACHUSE�
DRIVEWAY PERMIT
Date:
LOCATION: Ale-
BUILDER: phone:
OWNER: _ G v, � � phone: 4g-5 - f��o
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, b^.fcrc finis" y.-using and surfuciry fcr app.,;v u
of such entry.
FAILURE TO COMPLY AND OBTAIN APPROVAL VOIDS THIS PERMIT.
Remarks: Approval:
N° 607
APPLICATION FOR WATER SERVICE CONNECTION
North Andover, Mass. rt ( 9 g�
Application by the undersigned is hereby made to connect with the town water main in_ C®' G1 rpt l A,&-
subject to the rules and regulations of the Division of Public Works. Street,
The premises are known as No. l Z� �&,7t
f Street
or subdivision lot no.
Owner &:�z
Address
Contractor
Address
4V
- A& )--
Applicant's Signature
te
7.D
PERMIT TO CONNECT WITH WATER MAIN
The Board of Public Works hereby grants permission to
/, �rn
to make a connection with the water main at � (Z,
subject to the rules and regulations of the Division of Public Works. Street
Board of Public Works
By l GG
Inspected by
Date
See back for rules and regulations
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
Type or print) �'/z a"
1
NORTH ANDOVER,MASSACHUSETTS f Date
Building Locations / �— �� y�J� h / v Permit # 7a?
Amount
Owner's Name to
New Renovation 1 Replacement 0 Plans Submitted
FIXTURES
z
z
`z' a
x �
a x d w p z a F i x w w w
O a d z o
x a A a a F '�
SLRBM
WEMM
M ROOR I
M FLOOR
I m RDO2
4IH FLOOR
SIH Flint
67H Flint
71H FLOOR
RH FLOOR
(Print or type) �j c ` Check one: Certificate
Installing Company Name A/e q-d12 --e Corp.
Address S) y 13oL Ty�-� / S� Partner.
Y0 1
Business Telephone 0-Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond ❑
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner Agent
I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the
best of my knowledge and that all plumbing work and ingallations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Mass c sett tateE}�bin e and Cha 42 of the General Laws.
e
By: -SignatUM-ot LicenseaPlumber
Type of Plumbing License
Title U
City/Townicen um er Master Journeyman ❑
APPROVED(OFFICE USE ONLY
_ Date:�
3767
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
CHU
7
This certifies that . . .11. .. . . 9. d:� !�?!?! c. . . . . . . . . . . . . . . . . .
has permission to perform . . . .)3 r . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . . . J3 q . �. �. i:!�!`s. . , . . . . . , ,
at. . . ./ � L�. .CG �"' �* C , North Andover, Mass.
Fee. . Lic. No.. . . C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
05/22/98 08:39 15.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
PLAN OF LAND
/N
NO. ANDOVER, UASS.
SC C. 1" 40' NOVEMBER 1.3, 1997,
HAYES ENG/NEER/NG, INC. ► 60.3 S4LEM STREET
CML ENGINEERS & WAK&WaD, MASS. 01880
LAND SURVEYORS TEL. (617) 246-2400
/ CER77FY THAT TH/S FOUND4770N /S LOC47ED ON THE GROUND AS SHO#N AND TfL4T /T
CONFORMS TO ME ZONING Br-LA#S OF ME 1?7WN OF NORM ANDOMR / FURMER CER77fY
7mr 7H/S PROPERTY DOES NOT LIE WITHIN A ZZOOD MZWD AREA (ZONE A OR V) AS
SHOWN ON nOOD INSURANCE 847E AW CVMMUN17Y PANEL NUMBER 250098 0010 B.
&7FORW D47F:• JUNE 15, 1983
OF
DME NOVEMBER IJ,, 1997 \v✓ — PSR
PROFESSION& LAND SURVEYOR OGREN
#33604 y
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ZONE- P.R.D. (R-2) V R.
MIN/MUM SETBACKS.
FRONT = 20'
SIDE = 20' (SEE SEC. 856D. 1) '
REAR = 20' LOT 17j�
25,369 S.F. N o 0
O
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TOP OF
FOZIM4770N `
REV-17J.05
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S82:39'08 AEI
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CD
COMMONWEALTH OF MASSACHUSETTS
2 TOWN OF: NORTH ANDOVER
SYSTEM PUMPING REPORT
ACT{ON KING ENTERPR[SES, INC REPORT FOR THE MONTH OF:N]OYE�Y[BER 2067
CONTENTS CONDITION OF
DATE _ NAMEADDRESS GAL TYPE TRANSFERRED TO SYSTEM
111712607 JODIE MATTHEWS 124 COLONIAL AVE 1,-50D SEPTIC LOWELL WWTP
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• i x 8 Collar Ties 6 4'0" O.C.
ROOFING
• -- -- Composite Roofing
-- -- Building Paper
Sheathin
Attk
r 2 x 10 IAO O.C.
__
Fascia Board
12 CEILING
2x81(011O.C.
Insulation Soffit
=r ~:Vapor Barrier with venting
V2' Wallboard.
r
FLOOR
3/4' Sheathing WALL
II _ Second -_ See Detail sheet for 2 X 10 a� 16" O.C. Siding,Air Barrier,Sheathing
10 _ _ __ Tray Ceiling 2x4 la) 16" O.C. or 2x6 a 16 O.C.
insulation,Vapor Barrier
i/2" Wallboard
�t
cA •
FLOOR
3/4" Sheathing
2 X 10 .9 Vol' O.C, r
First Insulation -SILL
• i'-1" _ _ -_ 1 - 2x6PT, I - 2x6KD.
Continuous Sill Gasket
1/2" Dia. x 12" Lg.Anchor Bolts
2X Fire Blocking 6 6V O.C.(max)
3 - 2 x 12 Center Beam -e
a
3 1/2 Dia.Lally Columns
FOUNDATION
S" or 10' Concrete Wall / 8'0' Pour
r 'e 10" deep x 20" wide continuous footing
Dampproof exterior surface
s
Basement 4" Concrete Slab
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SECTION- THRU LIVING RO01'�
1/4' = 110" 10
' Continuous Baffled Ridge Vent
2 x 10 Ridge Board
12
10
ROOFING
g Composite Roofing
Building Paper
Sheathing
2 x .36 16" OZ.
FLOOR
3/4' Sheathing
2 X 10 6) 16' Or—
Beam
�—Fascia Board
BORK w/vents
I
WALL
Siding,At Barrier,Sheathir
2x4 aQ 16" O.C. or 2x6 0 16 O,C, t'
P
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4' Concrete Slab 1 - 2 x 6 F,T,, 1 - 2 x 6 KD.
Continuous 5111 Gasket
Anchor Bolts or approved equivalent
FOUNDATION
a" or b' Concrete Wall
(0" deep x 20" wide continuous footing
Pampproof exterior surface
I
SECTION THRU GARAGE
1/4" , 1'O"
K 913 - 12
Continuous Baffled Ridge vent -
� -
1 x S Collar Ties V 410110'C' '
Roor Rafters
Roof Rarter 2x Bottom Flat,.' – ,
Maintain 2" min. clearance 2x Band Joist
--- --- Floor Sheathing
_ ----- Ceiling Joist
Fascia Board 2x Floor Joist
Overhanging sorrit
with v
� _ entire _ 2 - 2x Top Plate
�} fi� id e Deta -
1/2° � ,'O�' SoT T �t 6t "
ail .
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ir.
- 2 x 4 Bottom Plate
2x Bottom Plate 112
Floor Sheathing 2x Fire Blocking
2x Bottom Plate
' R?O insulation
—2x Floor Joist ' 2x Band Joist
2x Floor Joist
3 -
2 - 2X4 Top Plate 2 x 12 Center Bei R20 insulation
+'
Lally Column Cap Plate 2x Floor Joist
fasten to Center Beam
1 -internal int Lall2x6 P.T, s i - 2x6 K,D, Sill
- � i/2" Dia. y Column a w/Sill Sealer
t`p r /2 D ia. x I2" Lg.
1/2" _ )'O" Beam Anchor Bolt
sill1/2" _ )'O" Concrete Foundation '
Flashing 112
Decking i
I
Deck (rami
ng (P.T,)
Joist Hanger
Concrete Foundation
Stair/Deck Coni,
1/2" : ,,0„ COLONIAL
__-_-- - - - --- -- -- - ----_____ ---------__--
STANDARD DETAILS
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number Date 9
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 12- p (j ,
MAY BE OCCUPIED AS 31IU a, f IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND `
SUCH OTHER REGULATIONS AS MAY APPLY.
"O"'" CERTIFICATE ISSUED TO �• �
FO • P
ADDRESS N a d
41
us
Building
Building Inspector
` 1
NORT
own of _ - Andover
No.
* s . dower, Mass., 1991
o _ LAKE
COCHCHEWICK
�� OA•,TED AP ,��
`G BOARD OF HEALTH
I
PERMIT T
Food/Kitchen f
Septic Syste/
/ 17 BUILDING INSPECTOR
THIS CERTIFIES THAT............................ Foundation
Foundation
has permission to erect....................... 2
p buildings on .................... .......... .. ..d.Al.�.l.. .. .......,f .V.. ou006
to be occupied as.............. /.. ..�.! ��¢1�K�...1. .................................... Chimney
.......................................
provided that the person accepting this permit shall in every respect conform to the terms of a application on file inaD
F.
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. ou 11 1/
PERMIT EXPIRES IN 6 MONTHS oed y��'`'`''""
ELECTRICAL SP
UNLESS CONSTRUCTION STj`�l
....................................... ....... ....... ........
UILDING INSPECTOR
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough ZY
Display in a Conspicuous Place on the Premises — Do Not Remove Final !' G
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No. _Q
Smoke Det.
J /