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HomeMy WebLinkAboutMiscellaneous - 410 FOREST STREET 4/30/2018 410 FOREST STREET 2101106.A-0051-0000.0 1 I t I I I i { i I � � I t Un The Commonwealth of Massachusetts " ` ,I'.•rn it Department of Public safetyb. , Occupancy i ret checked�_� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 J/90 rtes. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL e. T All"tk I*161e perforined LECTRICAL WORK In accordance we s1 7 CMR 12:00 (PLEASE PRINT IH INK OR TYPE ALL INFORMATION) Date City or Toon of A)OQ v2&W_,Z Io the Inspector of Hires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number)_ 4 l p /`foTOStw- t . Owner or tenant W f 4 gyp,! 4 Owner's Address S�M.'e— Is this permit in conjunction with a building permit: Yes ❑ No al" (Check Appropriate Box) Purpose of Building_ � .-tom Utility Authorization NO. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Metes Number of Feeders and Ampacity Location and Nature of Proposed Electrical lectrical Work No. of Lighting Outlets No, of Hot Iubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- No. ❑ grnd, ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting ---Battery Units No, of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No, of Ranges No, of Air Cond, Total No. of Detection and tons Initiating Devices No. of Disposals No. of Heat Total TotalPumpsTons KW No. of Sounding Devices No. of Dishwashers Space/Area Heating KW No, of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local Municipal 1:1 Connection❑Other No. of Hater Heaters KW SignsBallastsBallasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: L•1 I OfA ! f�i d C -�etGe� # t �U M R[s INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current LiaD lit Insurance Policy including Completed Operations Coverage or substantial equivalent. YES�NO I have submitted valid proof of same to this office. YES NO 1:1If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ 0IHER Please Specify) �Te/tA,P.a�Q �i �t�� 10 1 4S" Estimated Value of Electrical Work S pir Of ate Work to Start Inspection Date Re nested: Rough Final Signed under the penalties of perjury: Ctc- IRM NAME 015 �- .LIC. N0. Licensee c 2(o Signature t LIC. NO. 3 Address �n A(/7�4Gv G 6 a it Bus. Tel. No. A. LSC G Z g 3 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or is su - stantial equivalent as required by Massachusetts General Laws, that my signature on this permit application waives this requirement. Owner Agent (Please check one) • Telephone No. y� Signature of Owner or Agent) PERMIT FEE S "' Date.. ."c. ,. 2530 ?°e� 0 TOWN OF NORTH ANDOVER o 4 PERMIT FOR WIRING } ACMUS� s This certifies that ....... has permission to perform .. a .�... A. .... v wiring in the building of .:.. .. ....... 5 at....!r / :.... �. .................... North And ads Fee � ,}. ELECTRICALINSPECTOR Qi G((: 0�15405 15.04 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File Office Use Only., VVV _ ullt &MMjjnWealth d : q-Z ,711aBBar#J2ft9 Permit NO. �f�1III"1TIIEiTf Qf U�I(II �'IIfP1U Occupancy& Fee Checked �. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) /�, zZ-f APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK A•II work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 C�` (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Z(%* or Town of NORTH Mom To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant A-46 14C°1 _0 Owner's Address I ZO btrrt/C rAAJ 57 /AV/ Is this permit in conjunction with a building permit: Yes -- —No F I (Check Appropriate Box) Q Purpose of Building MLC(ei /9 y' �VV,0P f c Utility Authorization No. 60C/(?2,_v Existing Service Amps _J Volts Overhead �Undgrnd ❑ No. of Meters New Service Amps w-2.YO Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electripal Work' Total No. of Lighting Outlets No. of Hot Tubs I No. of Transformers KVA No. of Lighting Fixtures SwimmingAbove—, In-grnd. , grnd. f I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges I No. of Air Cond. tons Initiating Oevices TN..of No:of Disposals Heat Total TotalPumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Hi,�ting KW Detection/Sounding Devices Municipal No. of Dryers I Heating Devices hJY Local ❑ Connection ❑Other Low Voltage .__._._ - ... No. of No. b{. Nu. of Water HeaEars F\N. I, Signs_._ Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws _ I have a cuwent Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES NO I have suiormned valid proof of same to the Office. YES — NO = If you have checked YES. please indicate the type of coverage by checking the appropriate box. INSUI;ANCE t_/BZS-NO _ OTHER = (Please Specify) (Expiration Date) s Estimated Value of Electrical Work S Work to Start ����_ Inspection76 '26 Final,Date Requested: Rough ,^� Signed under the Penalties Cof perjury: 2� 2 oy FIRM NAME /� /� — LIC. NO. Licensee N-/I�� Vc:.1/_t S Signature C LIC. NO. Cr L Bus. Tel. No. (a 151 Z O Y lJ Address J Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws. and that my signature on this permit applicaeon waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) x.3505 w,:. �wr---�4, �?+s'ae*^.asyu"°hi,F°•sa"" --., ..�..�..�-u�---••yai-... . ,;o.,w.w�,�.,. . / / £,-.`m` '". Date: 347 � ? NORTH TOWN OF NORTH ANDOVER ° PERMIT FOR'WIRING This certifies that ...:. ... . .. .. . .... . has permission to perform .. l.... t -: wiring in the building of Y F. Q .. at.......f'�" !l) ...:. .CJ. a ......... ,No Andover,Mass. cr'L Fee.... ®...,... Lic.No. . . .!iJ.....:::. ��{/ _' ECTR1 INSPECTOR (aid {f1/29/% 0088.5599 50,04 �7 .. WHITE: Applicant CANARY: Building,Dept. PINK:Treasurer, r - .. Oftics Use Only 2� T_ _ uh>r �ummunwEii IIf Permit No. f Occupancy & Fee Checked �elZnrimErri of �uhlit �fe>:q ---� I_� 3I90 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS �2 C'dA 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CCMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date _/__r�Q-1'6 or Town of NORTEI ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) `7 1D2�f s Owner or Tenant 'J V Q Owner's Address 12v Is this permit in conjunction with a building permit: Yes v No (Check Ap r . Utility Authorization No. Purpose of Suildina L 11'au . y Amps _� `7 Vcits Overmead '_ Unagrnd No. of Meters Existing Service _ Ne,.v SerAce l� Amos /tits Overneac L� UncCmo No. of Nleters Numeer of Feeders ano Ampacity ^7� Lccacicn ano Nature of Prcposed Electrical ':Icr< Total No. at Llgnang Outlets I No. a �'bs Na. of —ransformers KVA i Above.— In- — No. of Lic^ung Fixtures i Swimming ?tai grna. _ crnc. I Generators KVA I No. of Emergency Lighting No. at -ecectave Outlets Na of Oil Eumers 3aaery Units / i I No. of Switch Outlets No. at Gas =_rr,ers F:RE ALARMS No. of Zones Total Na. of Cetection and No. of Ranges t N°. at Air 'Cont• tens initiating Jev cgs ea Tocai Totai No. of Oisoosals NO of�• —as :ons KW No. at Sounding (Devices Na. of Self Contained No: at Jisnwasners - ( � SoacerArea Heaur.g :�'� Oetec:roniSounaing Oevtces i —/Murncioai —.OtherNo. of Cr.iers Heat:no Cev:ces KW Lecat _✓✓ Cannec:;en No. at No. of I Law vct:ace wirinc No. of water Heaters KW i Signs 3adasts No 'iycro Massage Tubs I No. of Motors Tota; HP OTHE=. INSURANCE CCVE'nAGE: :Pursuant to the reautrements at aassacnusa general Laws _ _ 1 have a current Liaetiity Insurance Policy inctuctng C�rnc:etee Oceractens :average or its suostancial eguivaient. YES _ NO _ nave suamirtea valid proof of same to the Office. YES t,-,<c _ If you nave cnecxea YES. please indicate ;he type at coverage Cy checxtng the aoproor ce cox. INSURANCE _ 3CNO = OTHER = (P!ease Saec!y) (E,co,rauon Oatei Estimated Value of E'ec'na 1 work 5 - Warx :a Start sA Insoectton Java ;;ecuescec: Rough Fnai Signeo unser the Penalties of perjury: r (� LIC. NO. Imo?-- FiRM :uAttE G ` Ucensee ✓Ln'�S S'c ac re UC. NO. ---- r- 3 n' us. Tel. No. M pp q' fY✓� ' z�i.t �Yv _ Alt. Tel. Na. Address re- Agent OWNERS INSURANCE WAIVER: I am aware that ;r..e L:censee aces not nave the insurance coverage or its supstanttat eautvale"t as enc ou,rea oy Massachusetts General Laws. and that my signature on :nts permit application waives this requirement. Y 9P!ease checx 0171W ` �� Tetecncne No. PERMIT FEE 5 !/ (Signature of Owner cr Agenn X''==Z: :a Date..... ��...... �2 43 y NORTH ,: 3?°,�„ `°,° "° TOWN OF NORTH ANDOVER "G ° PERMIT FOR WIRING Ss C US This certifies that ..... �.1 _. . . . .................... E has permission to perform ......?&2.4,4 ........:.............................................. wiring in the building of. .. .. ., ..�l ....:................ 0....c Y4, M., .. ...............:......... ....... .North Andover,Mass. at.1 l/1 Lic.No-'-- �q)-a...... ......... .................................... ELECTRICAL INSPECTOR T- M3/k 16:27 M.QO PAID WHITE:Applicant_ CANARY:.Building Dept. . PINK:Treasurer �t t Location ' -Q No: S Date °RTS TOWN OF NORTH ANDOVER r- p Certificate of Occupancy $ Building/Frame Permit Fee $ C 4 �s Eta Foundation Permit Fee $ w s�CHus Other Permit Fee $ Sewer Connection Fee Water Connection Fee $ TOTAL $ Building Inspector N2 1.0-0,82 g m Div. Public Works +4. Location ` No ? S Date k m , N°RTM TOWN OF NORTH ANDOVER } ; Certificate of Occupancy $ S� Building/Frame Permit Fee $ w.: 'ss++CMusE< Foundation Permit Fee $ y Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ` Building Inspector s. 07/29/% 09:10 150.00 PAID Tri 101,0811 Div. Public Works ]�ZWAHT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE MAP +4010�119 LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE — 'ZONE SUB DIV. LOT NO. LOCATION a ���r /� PURPOSE OF BUILDING _.... 7. .. OWNER'S NAME NO.jOF STORIES SIZE OWNER'S ADDRESS / . ASEMEN OR,SIABIz - ARCHITECT'S NAME / �, '/t7 ` G' SIZE OF FLOOR TIMBERS 1ST D 2ND �(l� 3RD - .. BUILDER'S NAME © /`�', �� m// SPAN ` 1 �7 iyD / DIMENSIONS OF SILLS DISTANCE TO NEAREST BUILDING "" z V . DISTANCE FROM STREET ^ - POSTS,`/' - - DISTANCE FROM LOT LINES -SIDES L REAR -�ry�O� " J GIRDERS / AREA OF LOT / /7 /1 FRONTAGE ' o "HEIGHT OF FOUNDATION r%I v [ THICKNESS !�/P IS BUILDING EW (� G' SIZE OF FOOTING iG://'n 0'i X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION.. IF ANY IS BUILDING CONNECTED TO TOWN SEWER E CJ IS BUILDING CONNECTED TO NATURAL GAS LINE 3 PROPERTY INFORMATION INSTRUCTIONS . LAND COST =- -- -- - -- - SEE BOTH SIDES EST. BLDG. COST - PAGE I FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. " - EST. BLDG. COST PER ROOM (( vv PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. s.:. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING - 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROV BY BUILDING INSPECTOR DATE FILE BUILDING INlP[CTO/ SIGNATOR OW ER ORA 1 D EN - pQ j ) OWNERTEL # �dy U� FEE lam / PERMIT GRANTED - V� - NTR.TEL# 17 1?rel �+ NTR.LIC.# 3 -2G/ r: H.I.C. BUILDING RECORD 1 OCCUPANCY 12 t .. SINGLE FAMILY �SS'OWIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM - - MULTI. FAMILY _OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH _ CONCRETE d 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDw D PIERS PLASTER DRY WALL 3 BASEMENT AREA FULL FIN. B M'T' AREA '/, 1/1 V. FIN. ATTIC AREA - N_O 8 M-T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B I 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ I ASPHALT SIDING HARD%tf'D _ ASBESTOS SIDING COMIACN VERT. SIDING ASPH. TILE ' STUCCO ON MASONRY STUCCO ON FRAME .a_ ERIC N MASONRY ATTIC STRS. 3 FLOOR _ .1 -- BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERPOOR ADEO OTE I� NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) ,GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD'SHINGES KITCHEN SINK • SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES . TILE FLOOR TILE DADO i i 6 FRAMING 11 HEATING ' WOOD JOIST PIPE LESS FURNACE r .FA.RCED HOT_ IR`FURN [ TIMBER BMS. 3 COLS EAM " s STEEL BMS.,SrC LS hj0T.W'T'.R 0 IvA$OR' kSF WOOD RAFTERS _A_TB—CC'N`blTIO9IN6 RADIANT H17 G ".n `F UNIT HEATE S .. 7 NO. OF ROOMS GAS ... . _. .. ..., OIL B'M'T 2nd I_ ELECTRIC Isf 3rd 11 NO HEATING K 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) /W� r��tszL SZ Map and Parcel : Purpose f ication (check below) Phone Number of Applicant: Single Family _Two Family I the undersigned 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. T ' is an application for a building permit for the enlargement, restoration,or reconstruction of a dwelling in existe ce as of the effective date of this by-law,provided that no additional residential unit is created. 1 The lot(s)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning Bylaw. This application is for dwelling units for low and/or moderate income families or individuals,where all of the conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is restricted to senior persons through a properly 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. 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. Th;s application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and - commi, ions have been received and the projec,is-in-compliance with those.permits),and.the Development Schedfde does na;accommodate issuing a building permit in'that Year,"one building permit will be issued per Yoar per Development until such time as the Development Schedule acerrrni,,ndatf:s is�u' n b€.i:dinn peimits. 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 information, or the checking off of an above item which does not comply,whether done to my knowledge or grounds for sal by the Building Department to issue a Building Permit. X� Signatur caner or u orized Agent signed the Attached Building Permit Date ` G' This f must be attached to the Bwlding Permit upon application for such permit. NORTFI . TownOf over , No. S,S 0 3y- r ,- E dower, Mass.,—�- 19 ae o ,. COCHICHEWICK Aof"ATE D�IIIIIIIIIIIIIRM IT '9S BOARD OF HEALTH Food/Kitchen Septic System (('''�� BUILDING INSPECTOR V .. / THISCERTIFIES THAT...............:................................ ............ .. ?. ( .....Q..:............................................. Foundation has permission to erect....... .D............ buildings on ........ �. ..........�d..��..-��5 ...... '............ Rough to be occupied as............................................. ... 1. .C.&6............ .ke �-s ..............:................................ Chimney provided that the person accepting this permit shall in every respect conform to the 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION ST T Rough Service BUIL G INSPECTOR Final Occupancy Permit Required to Occu Building GAS INSPECTOR la in a Conspicuous Place on the Premises — Do Not Remove Rough Display Y P Final No Lathing or Dry Wall. To Be Done -- Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. r Smoke Det. FORM U - VERIFICATION 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 local or state law,- regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: JO&_' Phone �iO LOCATION: Assessor's Map Number AOG'/? Parcel S/ Subdivision , Lot(s) Street St. Number ° rC� *********************** fficial Use Only************************ RECO DAT NS F T AGENTS: Date Approved Conservation Administrator Date Rejected Comments o Date Approved Town Planner Date Rejected Comments Date Approved I Food Inspector-Health Date Rejected --��A int92 SeptDate Approved 7�o'Z�/�J6 ic Inspector-Health Date Rejected II Comments i Public Works - sewer/water connections (XJ '5 driveway permit .Fire Department Received by Building Inspector Date i T � �- - 4Andover To" of S o No. 3 rl dower, Mass., 19 P Q LA E COCMICMEWICK '9SE �! BOARD O - HEALTH : Food/Kitchen /0 PERMIT T D THIS CERTIFIES THAT ((�� �j BUILDING INSPECTOR ........�.r• ...........FAR.. C?. 1../..Q................................................ Foundation a R Ste'` has permission to erect..:....�'o'�:.A:........... buildings on........�f�.0............rA.......... ;77..... ............ ZRou to be occupied 8s................................................ /21 l�r� /..4f............If.. Chimney provided that the person accepting this permit shall in every respect conform to theXerms of the application on file in final lo2a�,G 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. nal PERMIT EXPIRES IN 6 MONTHS ELECTRI AL SPE UNLESS CONSTRUCTION ST T Roug er" BUIL G INSPECTOR Occupancy Permit Required to Occu Building AS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall .To BeDone FIRE DE ARTM NT Until Inspected and Approved by the Building Inspector. Burnet � �- Street No. Smoke Det. l 1 i f o CERTIFICATE OF USE & OCCUPANCY Building Permit Number SJ Date d S THIS CERTIFIES THAT THE BUILDING LOCATED ON _ -cf-/O Fa er-s -7-- MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Dorf QE1A1C..L�7l�l CERTIFICATE ISSUED TO ADDRESS `"°"j5 ding Ins ctor