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HomeMy WebLinkAboutMiscellaneous - 19 STONINGTON STREET 4/30/2018 (2) 19 STONINGTON STREET 210/019.0-0046-0000.0 H i e 0`"SRT"_'tio TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING i $B�cHu This certifies that...........:::......... ., . } r. u has penftis�ion�to perform....(:.' w ................................................ plumbing in the buildings of. ........y:: ..,......a at....:.....I..........4..::4....... . ....... _•.,� ^ %`.................... North Andover, Mass. ..... ...:... $........ ....:. r>� Fee.t'..�t Lic No PLUMBING INSPECTOR Check# F . MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY 1 �-' a �Gd tl'��'`. —� MA DATE PERMIT# OWNER'S NAME �— JOBSITE ADDRESS � _-1 f�(_l�I. Q ��''_�.. _Q POWNER ADDRESS -- d'( Vt TEL _..W FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:© RENOVATION:❑ REPLACEMENT:rV PLANS SUBMITTED: YES Q NO❑ FIXTURES-1 FLOOR- BSM 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB �l CROSS CONNECTION DEVICE ❑ L_ -- � -.-- - -' DEDICATED SPECIAL WASTE SYSTEM - DEDICATED GAS/OIL/SAND SYSTEM _ DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM ;- DISHWASHER FDOODDISPOSERAIN 2� � _ � ���� -- - FLOOR/AREA DRAIN _ INTERCEPTOR(INTERIOR) Irl KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK �] �I. TOILET _ - . URINAL — WASHING MACHINE CONNECTION ❑' I WATER HEATER ALL TYPES i WATER PIPING -441 OTHER r �I` —. _ ! INSURANCE COVERAGE: L `� I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES[ NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 1X1 OTHER TYPE OF INDEMNITY ❑ BOND ❑ 4 V OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all rtinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME LICENSE#�C TURE MPR JP CORPO TION❑#COPARTNERSHIP❑# LLC # . COMPANY NAME I//WJI G �U(° ADDRESS f (�• D7f; CITY STATE ZIP C'/ TEL _ ���,ei� i [�..�] C ��� MIT ��s gas-=� 1 FAX �� CELL EMAIL 1 1 � vv i D 3 i The Commonwealth of Massachusetts rt ,department of Industrial Accidents �a 0f ce of Investigations 500 Washington Street Boston, NIA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print IJ jibl° Name (Business/Organization/Individual): Address: City/State/Zip- G��� 1�y Phone #: OL E15 �d�J A e you an employer? Check the appropriate bog: Type of project(required): 1. I am 4. ❑ I am a general contractor and I 6. E] New construction employees(full ancUo_ I time).* have hired the sub-contractors 2.❑ I am a sole propri for or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition workingfor me in an capacity. employees and have workers' y p ty• 9. ❑ Building addition [No workers' comp. insurance comp.insurance. 10.❑ Electrical repairs or additions required.] 5• ❑ We are a corporation and its 3.❑ I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions MY self. [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' 13.❑ Other comp.insurance required.] *.any applicant that checks box 4I must also fill out the section below showing their workers'compensation policy information. 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 andjob site information. Insurance Company Name: Policy#or Self-ins.Lic.#: � IJ i 1 Expiration Date: l � / i �� {�//� 0/V �' Ci /stateiZi �Of fi`1pid Job Site Address: tY P i Attach a copy of the workers' compensatio,-4 policy declaration page(showing the policy number and expiration date). the imposition of criminal penalties of a der Secrion 25A of MGL c. 152 can lead to h p a re aired un P Failure to secure coverage s q 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 s andpenalties ofperjury_that the information provided above is true and correct. Signature Date: 112 S Phori,� 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 4: :<OOMMONWEALTH,OF MAS ACHUS S z — BOAWD Ol: s PLUMB W :O GASP I.... S ..: 1 SSU;ES THE FOLLOW' G 'L I'VE--NSE>,° ¢_ 1:U MDs , .,LICENSED AS A,;MASTER/ P;. � ` p Yt i MARQUEZ AWRENCE MA 01842 0001 23241 r: Date. / - -o<b l X MOR7N ..; ° ..'4, TOWN OF NO ptRTH ANDOVER 10 3? •. .....' , PERMIT FOR PLUMBING • � s; +r� A SSACNUS� . . ,This certifies that ,�:'�:`".: . . . . . . . . . . . . . �: . . . . . . . has permission to perform ^'^ . . . . . . . . . . . . U . . . . . . . . l/ . plumbing in jhe buildings of . . . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . at . .-- . . . . .. North Andover, Mass. Fee . . . .Lic. NoL'f�,---/ z,. . . . . . ... . : . . PLUMBING INSPECTOR Check # 795 r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: Date: Z„�ZZ Permit# Building Locatic .: �G /l -�� zv Owners Name:_ Type of Occupancy: Commercial Educational Industrial Institutional Residential) New: Alteration: Renovation: Rep ement: Plans Submitted: Yes No FIXTURES co LU L LU Y D Q � W O rn = rn to Z F— Q O J U W Z W coW � O Z Q O W D w p Q 0 LU w m O a W J a x N > W Z Q Q x U a � F lA U W W LU Z = 0 W p L- > U W Z O J H k— O Z --I 0 1L � � W W W W fY Z W �- J Q Q m W O Z O ~ ~ W O Q IY W W Q > O Q O W Z W Q Q Q SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 1 H FLOOR 5 FLOOR 6 FLOOR -T'FLOOR -i'FLOOR i �—; • Check One Only Certificate# Instilling Company Name: 0 r-- . N� ' 6rporation ZLeC-)�' Address:. i Cj7Cit jt Qv ICY y/Town: J State: `--� �. .. _ &76 9'3 j 1 i'Z-I) Zip Code: t Partnership Business Tel:_ —?b H-?t51'L"Cell: Fax: Z Firm/Company kl �l?f� Name of Licensed Plumber/Gas Fitter:,�� INSURANCE COVERAGE: 1 have a current liabilitv insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes 7N0 If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. I A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner Agent Signature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(o entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed n r the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plu odea Chap r 2 of the General Laws. ni We of Licens By ZPlumber Gas Fitter Title Signature o icense Plumber/Gas Fitter aster> CitJo License Number: �`� L j �ll APPROVED OFFICE USE ONLY LP Installer To),vJn of Andover Massachusetts (Office Hours 8:00 A.111 to 10:00 A.NL) Gas g Plumbing Fees Effective March 12,2003 ❑NEw: New Construction and Additions ❑ RENOVATION- Plumbing within the existing system ❑ REPLACEMENT: Removal and replacement of a fixture to the existing piping *-ALL TENANT FIT-UPS ARE CONSIDERED"NEW" PLUMBING FEES New Domestic Construction— up to 3 Units $100 plus $5 per fixture DNEW I\Tcw Domestic Construction— 4 units or more $200 plus $S per fixture DNEWRenovation (Domestic) $50 plus $5 per fixture DREN Replacement (Domestic) Existing Fixtures ONI,41 $10plus $2 per fixture DREP Backflow Preventer(for boilers) $10 plus $2 per fixture DREP Backflow Preventer(for irrigation systems) $25.00 DBAK New Commercial/Industrial $200 plus $5 per fixture CHEW Commercial —Renovation - - $100 plus $5 per fixture CREN Commercial Replacement—Existing Fixtures ONLY $50 plus $5 per fixture CREP Backflow.Preventer(for boilers) $50 plus $5 er fixture CREP Backflow Preventer (for irrigation systems) $25.00 CBAK Re-inspection Fee $25.00 INSp • '0k GAS FEES New Domestic Construction — up to 3 Units $75 plus $5 pera liance DNEW New Domestic Construction —4 units or more $150 plus $5per appliance DNEW Renovation (Domestic) $50 plus $S p er appliance DREN Replacement (Domestic) Existing Appliances ONLY $20 plus $2 erappliance DREP Gas Boiler/Furnace/ Conversion Burner(Domestic) $50 plus $5 pera liance DREN New Commercial /Industrial $150 plus $5 pera liance CN-EW Commercial—Renovation $100 plus $5 er appliance CREN Commercial Replacement— Existing Fixtures ONLY $50 plus $5 pera liance CREP Gas Boiler/Furnace/Conversion Burner (Commercial) $100 plus $5 pera liance CREN MISCELLANEOUS Gas Log/Fire Place $50 plus $5 per appliance DREN Gas Stove/Heater $50 plus $S pera liance DREN Utility/Bar Sinks $10 plus $2 per fixture DREP Ca ed Sewer Lines $25.00 SCAP I Re-inspection Fee $25.00 INSp T1 e.se fees are used if the permit isf(ir fnic vvnT [ cnry. df t:rP pe. Cnrt Includes other pl'u'mbing Ivor k, 'Lille fee charged will be the fixture fee which appears under renovation, replacement or new work ($2.00 or 55.00) Town of North Andover AORTN a¢t'LED ,p 6 e Z .! 6 Office of the Health Department ga `� °� Community Development and Services Division 27 Charles Streetrao North Andover,Massachusetts 01845 RSSNCHUs�t Sandra Starr Telephone(978)688-9540 Public Health Director Fax(978)688-9542 NORTH ANDOVER BOARD OF HEALTH ORDER LETTER Issued under the provisions of the State Sanitary Code,Chapter II,Minimum Standards of. Fitness for Human Habitation, 105 CMR 410.000. Date: July 24,2002 To Owner of Record: Property Location: Alan and Diane Bauer 19 Stonington Street 216 Foster Street Apartment#1 North Andover,MA 01844 North Andover,MA 01845 An authorized inspection was made of your property at the above referenced address by North Andover Health Department personnel on July 22,2002 in response to a complaint regarding several housing code violations. The inspection revealed violations of the State Sanitary Code,Chapter II,as listed on the attached Violation Form. You are hereby ORDERED to correct the violations within the time allotted on the enclosed form. Failure to comply within the specified time period may result in further action by the North Andover Board of Health. You have the right to request a hearing before the Board of Health if you feel this order should be modified or withdrawn. A request for said hearing must be made in writing and received by the Health Department within seven(7) days from the receipt of this order. At said hearing you will be given an opportunity to be heard and to present witnesses and documentary evidence as to why this order should be modified or withdrawn. All affected parties will be informed of the date,time and place of the hearing and of their right to inspect and copy all records concerning the matter to be heard. You may be represented by an attorney. You have the right to inspect and obtain copies of all relevant records concerning the matter to be heard. Certified Mail# 7099 3220 0010 3241 6759 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ORDER LETTER An authorized inspection of 19 Stonington Street,Apartment#1 was performed by Board of Health staff on July 22,2002 at which time violations of 105 CMR 410.000 Chapter H of the State Sanitary Code,Minimum Standards of Fitness for Human Habitation were found. If upon inspection, any dwelling is found unfit for human habitation and may endanger or impair the health,or safety and well-being of a person or persons occupying the premises in accordance with 105 CMR 410.750,then,per 105 CMR 410.830(A)(B),the owner must make a good faith effort to correct the violation within twenty-four(24)hours and/or begin necessary repairs, or contract in writing with a third party within five (5) days for the correction of the violations. Failure to respond within the allotted time period may result in the Board of Health taking further legal action. VIOLATIONS TO BE ADDRESSED WITHIN TWENTY-FOUR(24) HOURS 1. The doorknob, and lock/deadbolt on the door at the front entrance is difficult to lock and unlock, does not shut tightly and is not operating properly. "Every door of a dwelling shall be capable of being reasonably secured from unlawful entry and shall be properly fitted with an operating locking device." (105 CMR 410.480(D)). Please replace or repair the _ doorknob and lock on the front door. Per 105 CMR 410.750(H) and 105 CMR 4 $30 (A)(8),failure to comply with 105 CMR 410.480(D)mandates that the owner must make a good faith effort to repair the violation within 24 hours. VIOLATION CORRECTED: DATE: 2. The side door leading to the exterior porch is missing its window. "An exterior door or a door leading from a dwelling unit to a common passageway shall be considered weathertight only if. (1)all planes of glass are in place, unbroken and properly caulked;and...."(105 CMR 410.501(B)(1)). Please replace the window missing from the door. Per 105 CMR 410.830 (A)(10) the owner must make a good faith effort to repair the violation within 24 hours. VIOLATION CORRECTED: DATE: 3. The light fixture in the front hall closet delivers an electrical shock when being turned on and off. The light switch in the kitchen of the subject apartment does not operate properly and works sporadically. The light fixture in the back bedroom seems to be short circuiting. "The owner shall install in accordance with accepted plumbing,gasfitting and electrical wiring standards,and shall maintain free from leaks, obstructions or other defects, the following: (A)...all electrical fixtures,outlets and wiring,and ...". (105 CMR 410.351(A)). "The owner shall provide and so locate electric light fixtures and switches in good working order so that illumination may be provided for the safe and reasonable use of every laundry,pantry, foyer,hallway,stairway, closet,storage place,cellar,porch,exterior stairway,and v passageway."(105 CMR 410.253(A)). "Failure to install electrical,plumbing,heating and gasburning facilities in accordance with accepted plumbing,heating,gasfitting and electrical standards or failure to maintain such facilities as required by 105 CMR 410.351 and 105 CMR 410.352,so as to expose the occupant or anyone else to fire, burns,shock,accident or other danger or impairment to health or safety". (105 CMR 410.750 (L)). Please repair the light fixture in the hall closet,the light switch in the kitchen and fixture in the back bedroom. Per 105 CMR 410.830 (A)(5) the owner must make a good faith effort to repair the violation within 24 hours. VIOLATION CORRECTED: DATE: 4. The covered porch on the side of the house is in danger of collapse and is in an extremely unsafe condition. The structure constitutes an imminent accident hazard and a serious risk to the safety of the occupants and emergency personnel. "Every owner shall maintain the foundation,floors,walls,doors,windows,ceilings,roof,staircases,porches, chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof,watertight and free from chronic dampness,weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks,loose plaster,or other defect where such holes, cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage."(105 CMR 410.500). Please repair side porch as to eliminate any safety hazard for occupants or emergency personnel. Please have a contractor contact the Health Department and Building Department immediately. "The following conditions,when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of a person or persons occupying the premises. This listing is composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety,and well-being of the occupants or the public...(K)"Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns,shock,accident or other dangers or impairment to health or safety.". (105 CMR 410.750(K)). (10)'failure to maintain a porch, balcony,roof or exterior stairway in a safe condition as required by 105 CMR 410.500;or...". (105 CMR 410.830(A)(10)). VIOLATION CORRECTED: DATE: 5. The front porch and front stairs have loose boards and nails sticking up which constitute a tripping hazard in the main entrance. "Every owner shall maintain the foundation,floors,walls,doors, windows,ceilings, roof,staircases,porches,chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof, watertight and freef rom chronic dampness,weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks, loose plaster, or other defect where such holes,cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage." (105 CMR 410.500). Please repair the front porch as to eliminate any safety hazard for occupants or emergency personnel. "The following conditions,when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of a person or persons occupying the premises. This listing is it J composed of those items which are deemed to always have the potential to endanger or materially impair the health or safety,and well-being of the occupants or the public...(K)"Roof,foundation, or other structural defects that may expose the occupant or anyone else to fire, burns;shock, accident or other dangers or impairment to health or safety.". (105 CMR 410.750(K)). (10)'failure to maintain a porch, balcony,roof or exterior stairway in a safe condition as required by 105 CMR 410.500;or...". (105 CMR 410.830(A)(10)). VIOLATION CORRECTED: DATE: 6. The railings on the front porch are loose and cannot function as intended. "The owner shall provide a safe handrail for every stairway that is used or intended for use by the occupants" (105 CMR 410.503(A)). Please repair the railings on the front stairs and remove any vegetation that may prevent the proper use of such handrails. "Every owner shall maintain the foundation,floors,walls,doors,windows, ceilings, roof,staircases,porches, chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof,watertight and free from chronic dampness, weathertight, in good repair and in everyway fit for the use intended...". (105 CMR 410.500). (10) 'failure to maintain a porch, balcony,roof or exterior stairway in a safe condition as required by 105 CMR 410.500;or..." (105 CMR 410.830(A)(10)). VIOLATION CORRECTED: DATE: 7. Several areas of the exterior trim work have begun to decay and rot. The gutter above the side porch has rotted and fallen off. The trim work has also begun to fall off. The trim work appears to be absorbing moisture and housing rodents and/or insects. "Every owner shall maintain the foundation,floors,walls,doors,windows, ceilings,roof, ,staircases,porches,chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof,watertight and free from chronic dampness, weathertight, in good repair and in everyway fit for the use intended...". (105 CMR 410.500). Please have a contractor contact the Health Department and Building Department regarding the replacement of all rotted trim. (11)'failure to maintain a dwelling or dwelling unit free from rodents,skunks, cockroaches and insect infestation as required by 105 CMR 410.550". (105 CMR 410.830(A)(11)). VIOLATION CORRECTED: DATE: VIOLATIONS TO BE ADDRESSED WITHIN THIRTY(30) DAYS 8. All windows in the subject apartment need to be able to be opened and closed fully without excessive effort. Several windows are also broken or cracked. "A window shall be considered weathertight only if.• (1)all panes of glass are in place,unbroken and properly caulked;and(2) the window opens and closes fully without excessive effort;and... (105 CMR 410.501(A)). Please fix all windows to meet the standards set forth. VIOLATION CORRECTED: DATE: 9. Several of the windows in the apartment cannot be locked and secured. Several of the locks have rotted out of the window frame. "Every openable exterior window of a dwelling shall be capable of being reasonably secured and shall be properly fitted with an operating locking device.". (105 CMR 410.480(E)). Please have operating locking devices on all exterior windows. VIOLATION CORRECTED: DATE: 10. Several of the window screens in the subject apartment were torn,rotted out and most of the screens were not tight fitting. Some of the screens were missing. "The owner shall provide screens or all windows designed to be opened on the 'rs P f gn p fi t four floors opening y directl to the outside from any dwelling unit or room unit provided, that in an owner-occupied unit, the owner need provide screens for only those windows used for ventilation. All new replacement screens shall be o not less than 16 mesh per square inch. Said screens: 1 shall cover er that P q O art P of the window that is designed to be opened but in no case less than the area as required in 105 CMR 410.280(A);and (2)shall be tightfitting as to prevent the entrance of insects and rodents around the perimeter. (3)...". (105 CMR 410.551). Please fix or replace screens as necessary to meet the minimum standards set forth. VIOLATION CORRECTED: DATE: 11. The common area entrance and subject apartment does not have screen doors. "The owner shall provide a screen door for all doorways opening directly to the outside from any dwelling unit or rooming unit where the screen door will be permitted to slide to the side oropen in an outward direction...Said screen door: ...(2)shall be tight fitting as to prevent the entrance of insects and rodents around the perimeter;and 410.553 The owner shall provide and install screens as required in 105 CMR410.551 and 410.552 so that they shall be in place during the period between April first to October 30th,both inclusive each year.". (105 CMR 410.552)(105 CMR 410.553). Please install screens and/or screen doors for each door opening to the exterior of the dwelling. g VIOLATION CORRECTED: DATE: 9 12. The front stairs and porch need preventative maintenance. The railings are starting to rust and corrode and the wood stairs and decking need treatment because of bare wood exposure. "The owner shall maintain all means of egress at all times in a safe operable condition... All corrodible structural parts there of shall be kept painted or otherwise protected against rust and corrosion. All wood structural members shall be treated to prevent robbing and decaying...". (105 CMR 410.452). Please treat front porch and railings to prevent rust, corrosion,rot and decay. VIOLATION CORRECTED: DATE: 13. The kitchen floor linoleum has defects,is peeling up and has exposed the subflooring. This surface is porous,water absorbent and uncleanable. "The floor surfaces of every room containing a toilet,shower or bathtub and every kitchen and pantry shall be covered by a smooth, noncorrosive, nonabsorbent and waterproof material"... (105 CMR 410.504(A)). Please replace or repair kitchen floor so the surface is impervious and cleanable. VIOLATION CORRECTED: DATE: 14. The bathroom floor linoleum has defects i peeling s ee in u and has p g p s exposed the sub flooring. This surface is porous,water absorbent and unclean able. "The floor surfaces of every room containing a toilet,shower or bathtub and every kitchen and pantry shall be covered b a smooth, noncorrosive, nonabsorbent and waterproof material"...y rp f terial ... (105 CMR 410.504(A)). Please replace or repair bathroom floor so the surface is impervious P and cleanable. VIOLATION CORRECTED: . DATE: 15. The tub enclosure is not adequately sealed to the tub at their joining. "The wall areas above built in bathtubs having installed shower heads,and in shower compartments,shall be covered by a smooth, noncorrosive,nonabsorbent waterproof material to a height o not less than �'P f g f six feet (1.8 meters)above the floor level. Such walls shall form a watertight joint with each other and with either the tub,receptor,or shower floor.". (105 CMR 410.504(C)). Please re- caulk around the tub enclosure. VIOLATION CORRECTED: DATE: 16. The bathroom tub spout leaks continuously. "The owner shall install in accordance with accepted plumbing standards ..,and shall maintain free from leaks,... (A)all facilities and equipment which the owner is or may be required to provide including, but not limited to,all sinks,washbasins, bathtubs,showers,...". (105 CMR 410.351, 105 CMR 410.351(A)). Please re or replace air tub spout. P P VIOLATION CORRECTED: DATE: { 17. There is a baluster missing in the front hall banister. "All protective railings required by 105 CMR 410.503(B)shall have balusters placed at intervals of no more than six inches,or any other ornamental pattern between the railing and floor or stair such that a sphere six inches in diameter cannot pass through..". (105 CMR 410.503(C)). Please replace missing baluster. VIOLATION CORRECTED: DATE: 18. The owners'information was not posted inside the dwelling. "An owner of a dwelling which is rented for residential use, who does not reside therein and who does not employ a manager or agent for such dwelling who resides therein,shall post and maintain or cause to be posted and maintained on such dwelling adjacent to the mailboxes for such a dwelling or elsewhere in the interior of such dwelling in a location visible to the residents a notice constructed of durable material,not less than 20 square inches in size, bearing his name,address and telephone number...(see M.G.L. c.143,§3S.).". (105 CMR 410.481). Please post information accordingly. VIOLATION CORRECTED: DATE: 19. There are holes in the plaster in the hallway down to the basement. "Every owner shall maintain thefoundation,floors,walls,doors windows ceilings, roof, ,staircases,porches, chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof,watertight and�ee�om chronic dampness,weathertight, in good repair and in eve wa it or the use intended. Further,he shall maintain riJ yf f n every structural element free from holes cracks,loose plaster,or other defect where such holes,cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage.". (105 CMR 410.500). Please repair any holes in the plaster or walls. VIOLATION CORRECTED: DATE: 20. There are water stains on the kitchen ceiling and in the foyer. "Every owner shall maintain the foundation,floors,walls,doors,windows,ceilings,roof,staircases,porches, chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof,watertight and free from chronic dampness,weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks, loose plaster, or other defect where such holes,cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage." (105 CMR 410.500). Please determine the cause of the water stains and repair as necessary. VIOLATION CORRECTED: DATE: 1 A Re-inspection will be performed by the North Andover Health Department subsequent to the deadline as stated above. If the conditions are corrected prior to the required time limit,please call the North Andover Health Department at 978=688-9540 for an inspection. If you have any questions,comments or concerns,please feel free to call me at the aforementioned number ' between the hours of 8:30-4:30,Monday through Friday. Sincerely, 4Bri �&LaGrasse_ n J. Health Inspector CC: Sandra Starr,Public Health Director Occupant, 19 Stonington Street,Apartment#1 North Andover Building Department File NORTH ANDOVER HEALTH DEPARTMENT , 120 Main Street + North Andover, MA 01845 Telephone (508) 682-6483, Ext. 32 Housing Inspection Report COMPLAINT #—I COMPLAINANT 171r,nck + ANaric C .ret, ADDRESS OF PREMISES l-( S`t-OQawk* ,N gat- t rot 1 OCCUPANT Tri\ AK rt{ Urew OWNER VUhA►e y' A'1*� &ver OWNER'S ADDRESS ?-I(? ter' St jjr`I-\ DATE OF INSPECTION--SU14 ZT, 2002 HOUR t50 n ROOMS/VIOLATION: '( 00' ,h _' �N�� .roe$' .-J 10c.k or �c r gena Qca&s,h� Wa�ef® ,w.�„ rsr.1 G e��>tiA, , b Cu aN a P106 AA LAIS 0a.3 toJC N scitems `'' orb 1 ��AraO�� o n/�A ni ck r �,tcltie.� H�lt 1, C, 5 1. Flv iorha n, 1,Pti in,. �rvto� ��►! pp F(v,�r i5 �Ae',lcx,..�� l iN�,'�er Si-�,:� t1 2- a )�JJOO Ela 6GfgePj A/¢e 5-J 0 � �vor .►��a3 iS `( si,.\ ordk iS n, `t -i-rvc' -,4a t 1� nrir f l'of Al u es re e,,, c/l oor s�•�'— Note — c14 1` �•� es ele�fr��. :56, ,. Cr S ANCep il:s Up r fns'Joo(- u o o a i ire -• A, -,e4e r _ "t�iN. is rn�F•n,h - �..Ili��, u� I�Aef-- ry j TIAiS rtp)tr-� i5 Lich af t Grp $`� v> � '�� 11�,i.�s ��a � ��•.�� _ INSPECTOR -orm gHIR-1 Action Press 685-7000 Memorandum September 16, 2003 TO: Heidi Griffin FROM: Mike McGuire ( RE: Halloween Museum @MStonington Street _:'; Upon review of the above noted proposed activity I have several concerns which are as follows: 1) Although the Zoning Bylaw states that Museums are allowed,this proposal will be conducted from a home in a congested area of Town. 2) The State Building Code is very strict in regards to assembly uses and especially in special amusement buildings of which this activity would fall under. I have included a copy of the relevant section of the State Code and highlighted the areas of concern. In closing, I do not feel that this is a good idea to allow as.it may start a precedent which we may not be able to control in the future. i i 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE for storage, the stage and supporting structures 780 CMR 906.0. Where the special amusement shall be of one-hour fireresistance rated building is temporary or mobile,the sprinkler water construction. supply shall be of an approved temporary means. 412.7 Standpipes: A wet standpipe system in Exception:An automatic sprinkler system is not _ accordance with 780 CMR 914.0 shall be provided required where the total floor area of a temporary and equipped with 116-inch hose connections on special amusement building is less than 1,000 each side of the stage. square feet (93 mZ)and the travel distance from any point to an exit is less than 50 feet (15240 Exception: Where the building or area is mm). equipped throughout with an automatic.sprinkler system, the hose connections that are supplied 413.5 System response'The activation-_of the from the automatic sprinkler system shall have a automatic fire detection`system within a single water supply of not less than that required by protected area or the automatic sprinkler system NFiPA 13 listed in Appendix A. shall au of rnatically: 7 L—--1:-ZCause illumination of the ineaft bf-egress­ 412.7.1 Hose and cabinet:The hose connections -- shall be equipped with sufficient lengths of 1'/s- with light of not less than one footcandle-(10.76 inch hose to provide fire protection for the stage lux)at the walking surface level; j 2.area;such connections shall be equipped with an rStop any conflicting or confusing sounds and distractions;and a r roved ad' al app adjustable fog nozzle and be mounted in 3.visu1 Activate an approved duecUoiW exit marking a cabinet or a rack _ } that will become apparent in an emergency. 780 CMR 413.0 SPECIAL AMUSEMENT 413.5.1 Alarm:rActivation of any single smoke BUILDINGS detector, the aaidmat c sprinkler system or any- 413.1 General: Special amusement buildings shall other automatic fire detection device shalli comply with the requirements for buildings of the F immediately sound an alarm at the building at a j appropriate assembly use group in addition to the constantly-^attended -location,/from which requirements of 780 CMR 413.0. emergency action can be initiated including the capability of manual initiation of requirements in Exception:Buildings or portions thereof that are 780 CMR 413.5. essentially open to the outside air, such as 413.5.2 Public address system:A public address buildings without walls or without a. roof and which is also permitted to serve as an arranged to prevent the accumulation of smoke in � the building or structure are not required to alarm system, shall be provided and shall be comply with 780.CMR 413.0. audible throughout the entire special amusement building. 413.2 Special amusement building: A special 413.5.3 Fait marking: "Exit" signs shall be amusement building is any temporary,permanent or installed at required exit doorways Approved mobile building or portion•thereofwhich is occupied directional exit.markings shall also be provided for amusement, entertainment .or educational gs purposes and which.contains a device.or system and shall include signs as required by 780 CMR which conveys passengers or provides a walkway 1023.0. Where mirrors, mazes or other designs along around or over a course in arty direction so are used thatconfound the means of egress paths, ar urged that the means of egress path is not readily approved low-level "exit" signs and directional apparent due to visual or audio distractions or is path markings shall be provided and located not intentionally confounded or is not readily available more than eight inches (203 mm) above the due to the nature of the attraction or mode of walking surface and on or near the means of conveyance through the building or structure. egress Pte• Such markings shall become visible when activated in accordance with 780 CMR 413.3 Fire detection:`Alf special amuseinent� 413.5,item 3. buildings`shallbe:equipped with_an sutomatic_fre 413.6 Interior finish: The interior finish shall be detection system in accordance with 780 CMR 918.0. Class I in accordance with 780 CMR 803.2. Exception:In areas wherethe ambient conditions 780 CMR 414.0 AIRPORT TRAFFIC will cause a smoke detector to activate, an CONTROL TOWERS approved alternative type of automatic detector 414.1 General: The provisions of 780 CMR 414.0 shall be installed. shall apply to airport traffic.control towers not 413.4 Automatic sprinklers: spacial amusement exceeding 1,500 square feet per floor occupied only buildn shall-be tri ed--throu out--with an-- for air traffic control, electrical and mechanical ( $s PP ----- . -an--) rooms, radar and electronics rooms, (automatJc sprinkler system-in accordance with 78 780 CMR-Sixth Edition 2/7/97 (Effective 2/28/97) `s wnimm n St. t Ad,°1 018+1' F SEP " 9 September 8 03 20 " -NORTt1.AND".� R Board of Selectman T0, Town Hall OfEI Of ICE OE' t .rER 120 Main St. North Andover, MA 01845 Dear Board Members, I have been in touch with our Town Hall who requested I write to you concerning charging admission to my in-home Halloween Museum. I have been a resident of North And over for 10 years and have been displaying my Halloween exhibit every year.It is very costly and time consuming for me as I build and animate my own displays and due to the unknown weather factors and the delicate nature of my electronic displays I have chosen this year to open my display to the pdbhc from inside my home at a cost of$5.00 per person. I There will be no flammables on the premises, drinking,illegal substances or combustibles of any sort. I am enclosing a brochure so you may see exactly what my museum consists of. i In addition, I would like to extend an invitation to all of the Selectmen to come and view the display at a private showing of their choice.I only request that I be given time to set to have everything running for you. This private showing on your behalf is of course, free. This is a once a year event, and will be covered by the media. I am also using this years showing to begin my business as a resident artist, and entrepreneur. Thank you for your time and consideration, Marie Carew 'dj Location t No. aZ� Date a wORTM TOWN OF NORTH ANDOVER F � A ' Certificate of Occupancy $ NUBuilding/Frame Permit Fee $ ACS _ Foundation.Permit Fee $ Other Permit Fee $ i.p TOTAL $ Check # 7,� r ik 1757L j -- � / tuilding Inspector r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPMR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING AW BUILDING PERMIT NUMBER: DATE ISSUED: �glox SIGNATURE: Building Commissioner/1r of Buildings Date SECTION 1-SITE INFORMATION / 1.1 Property Address: 1.2 Assessors Map and Parcel Number: C ,/� S"_16LOJ4�7-49 S,-(-, ) Q` /1 n I D �� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: `�j V Zoning Dishict Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred I Provided Required. Provided l.s. Flood Zone infomatioa: C .1.7 Water Supply M.G.L.C.40. 34) 1.8 Sewerage Disposal System; Public ❑ Private ❑ Zene Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ _ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT t t 1 r�t. E 2.1 Owner of Record R L�4-A r'b I/-a E Name(Print) Address for Service 9 7JP- yea- a-- Signature Telephone 2.2 Owner of Record: Name Print Address for Service: ` Z Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: C� 3 ,3 A) �. - License Number �r Address > f >f 7,, �'- Q/ Expiration Date Sig ature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ v CorUpany Name Registration Number M Address r Expiration Date ^z Signature Tel hone V/' r 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 it. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check a0. Me New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) 0 Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: LAC Qf-(2K- SUPPOCT- BeAr) ANb PUr / /0 3/l3 f/ . SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owneruthonzed 9gent 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/71b OWNER/AUTHORIZED AGENT DECLARATION ,as Owne Authorized Ate, t 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 d d FRT i✓I Ae j AQ Lc-o Print Name Date Si ature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2' IT 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Proposal R" A.A.M. REMODELING AND CONST. a1 MaclARlfa KITCHENS CREATOR OF CUSTOM DESIGNS FAMILY ROOMS PHONE - BATHROOMS FINISH CARPENTRY ADDITIONS 33 FLORAL STREET SNOW PLOWING �7 LAWRENCE,MASS. 01841 (IN SEASON) �)$ sea-eau P�OPQSAL SUBMITTED TO NAME:- ME v f REE : STQ/J/A)Croy�t} STi STREET: r0S r6p, CITY: A)0, STATE: /17 , CITY= Q (L STATE: ARCHITECT: DATE OF PLANS: DATE OF PROPOSAL: / O OTHER: DATE: We hereby submit estimofas and specifications for: i b6 O kC J] EA)C IZS1)P—E, S U P PO r?T TDP R oo i/ 3-ACK-UP /in1.D SuPPde i- Q p r Td/p) A FCK S P LR c6 8 o•-I•'i E D a x 8 x16 P,-8 �S i C, 3 six 6 S U e Pd P-T Po S t S Ls/ Id 0'sa,uo Tu81 ' red�i e.--s f A)b (1-61ST #,ffs)esRS j 6 TC POSTS �D�CIC io lZoo CAIECK (--,OK � ��ft1o�L AAn� fta F i We hereby propose to furnish comolete lah-- d materials—in accordance with the ri,e..e specifications,for the sum of: "otlirs (S payment to be made as follows: I i All msfoaal is guaranteed to be as set forth. All work to be completed in a workmanlike manner according to standard practices. Any changes from above specifications involving additional costs, will be made only by request in writing, and will be an additional charge over the original estimate. All agreements contingent upon strikes,accidents or Acts of God. Owner to carry fire, and other necessary insurance. Our workers are fully covered by Workmen's Compensation Ins nce. r Authorized Signature NOTE: This proposal may be withdrawn or se ieef to change, 4 not accepted within days. Arrepta urt of "Proploml The above prices, specifications and conditions are satisfactory and are hereby accepted. You are hereby auth- orized to do the work as specified. Payment will be made at outlined above. Signature Date Signature r t The �panvnzo7rwel/:o� cre�ac�ivaedd ;ff ' BOARD OF BUILDING REGULATIONS i License: CONSTRUCTION SUPERVISOR i' Number-CS 047597 ; Birthdate: 02102/1952 I Expires 02/02/2006 Tr.no: •16718 Restricted:'00 ALBERT A MACIARIELLO, 33 FLORAL ST LAWRENCE, MA 0184% - Acting o miss ner I i I ACORD CERTIFICATE OF LIABILITY INSURANCEOPID DATE(MIAIDDIYYYY) MACIAL2 08/16/04 P WCER I THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION J ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE T. A. Sullivan Ins. Agcy, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 344 S. Union St. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Lawrence, MA 01843 Phone: 978-683-4700 INSURERS AFFORDING COVERAGE NAIL 4 INSURED 1'NSURERA: Mass.Workers Comp.Assigned I—NSLRFR8. ph=one Mutual anu:anea ca. 14923 Albert Maciarello INSURER C: 187 Butternut Lane NSURER G: Methuen MA 01844 INSURER E: . COVERAGES HE POLICIES OF INSURANCE LISTED BE.OW HAVE BEET.!ISSLJ3 TO THE IND-RED NAAIEDAEOIJE FOR THE POLKY PEROD!4DIC4TED.NOTWf7HSANDIN1, ANY REQUIREMENT,TERM CR CONDITION OF ANY COfMmCT OR OTrEP.DOCUMENT WITH RESPECT TO!;VHIC.H THIS CERTIFICATE.MAY BE ISSLED OP MAY PERTAIN THE INS-VANCE AFFORDED BY THE POUCIES DESCRIBED HEREIN 15 SLBJECT TO ALL THE TERMS,FXCLIJSIONS AND COMJIIIGM OF SUCH POLICIES.AGGREGATE LIMITS SHOWY MAY HAVE BEEN REDUCEC BY PAID CLAIMS. NOR LTR IRNUSLRfLE TYPE OF INSURANCE POLICY PLNABI3t POLICY EXJFIIRA DATE,(MWW I DATE(MWOOMY) LIMITS GENERAL LIABIUTY IEACH OCCURRENCE •$1,000000 B X X COMMERCIA-GE!Zrk LIAB117Y CTR0003991 06/30/041 06/30/05 'PREMISES(Ea acecren-e) $50,000 CLAIMS MALS �OCCUR ; MED Ei P(Any one Berson) $jQQQ X Owner/Cant Prot. ! PERSONAL 3ADV INJJRY $2,000000 GENERAI AGC-REGATE $2,000000 1 �GE NL R.GGEEGA?E LIMIT AP UES PEF.. PRCaJCTS-COr P—Cp AG,3 $2,000000 POLICY %7 LOC AUTOMOBILE LIABILITY R ANY AUTO i CCNBIPEDSINCLELIMIT (Ea ecctdere) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS I (Perperson) HIRED AUTOS BODjLY?f:4JRY $ NON-0AT,ED A.iJTCS i (Per accident) PROPERTYDAAtiArG $ (Peraccident) GARAGE LIABILITY i I AUTO ONLY-E4 ACCIDENT -$ p ANY AUTO _ I GTHER:'rT-lAN NEAACC $ AUTO ONLY: a EXCESSAJMBRELLA LIABILITY EACH OCCURRENCE $ I I � — OCCUR CLAIMSw-DE AGG!�GATE $ I I $ i DEDUCTIBLE RET—=T MON $ ' I $ VNORKERS COMPENSATION AND TORY LIM;TS ER EMPLOY6t3'LWSam A ANY PROPRJETORIPPJ7iNER?EXECUTIVE 6960UB78SSA94703 07/11/04 07/11/05 1E.L.EACHACCIDENT 3100000 OFF ICEPJWMBER E)(CLUDED? 11 yes,descrice under E.L.DISEASE-EAEfAPLOYEE $100000 SPECIAL PROVISIONS below ! E L.DISEASE-POLICY LIMiT $500000 OTHER A Cenmmrcial Applica I696OUS783SA94703 07/11/03 07/11/04 B Connnereiai Applica CTR0003991 06/30/03 06/30/04 DESCPJP770N OF OPERATIONS!LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSMENT 1 SPECIAL PROVISIONS Carpentry I CERTIFICATE HOLDER CANCELLATION T0ROa1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION GATE THEREOF;THE ISSUING INSURER WILL E(mEAVOR TO MAIL _DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BLT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR UAS LRY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AllT}PJ 9ENTATIVE ACORD 25(2001108) 0 ACORD CORPORATION 1988 � it AORTH Town of over lxi - o dover, Mass.,8 / 8 COCHICM WICOK I� V %p ADRATED FP�t�S S G` 4 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System w BUILDING INSPECTOR THIS CERTIFIES THAT � ........... ���. .......... .!?.v.. .. ........... ....................................... Foundation ..... ...... .... .... oft has permission to swot.. . ................. buildings on .. ............. .. . ................ Rough ................... ..... .......... to be occupied as �0 C q..& �� A0s �� Chimney ... .................................................. �C................ provided that the person accepting this permit shall in every respect conform to the terms 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. / 911 v ® � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR - .���� e � Rough ...................... ............ INSPECTOR Service BUILDING 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.