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HomeMy WebLinkAboutMiscellaneous - 466 SALEM STREET 4/30/2018 466 SALEM STREET 210/038.0-0253-0000.0 f � \J Date . . TOWN OF NORTH ANDOVER PERMIT FOR WIRING J This certifies that . . . . .f�� �/i 1 . . ./. .! . . . . . . . . . . . . . . . . . . . . has permission to perform . . . .' wiring in the building of .A!. . . `. . . . . . . h at . . .X . . . . . . . . . . . . . . . . . ... . . . . . .`. . ,North doves-'A'4 ss. . Fee . P... . . . Lic. Nor/?-f4 �- .J . . . . . . . . . . . . f ELECTRICAL INSPECTOR Check# 1 X1113 5L\ Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (1eave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: September 25, 2012 City or Town of North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) ,466 Salem Street Owner or Tenant illiam&Rosemary Deyermond Telephone No. Owner's Address 466 Salem_Street Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Buildingwl�elli g Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: k ire septic pump,float switches and high water alarm panel Completion o the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA { No.of Luminaire Outlets.'i! l No.of Hot Tubs ti Generators KVA No.of Luminaires Swimming Pool AboveElIn- Elo.o mergency Lighting grnd. d. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas.Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pum lNumber ITons KW No.of Self-Contained ............... . ..................... Tota s: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Mumcipa ❑ Other. Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP /40 Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: /9 28/12', Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such co rage is in force,and has exhibited proof of same to the permit issuing office. /r CHECK ONE: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) I cert, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: avidW M e ane h LIC.NOL 8A129-6A Licensee: Pavid W Meehan Signature LIC.NO,—1 (If applicable, enter "exempt"in the license number line.) V 03us.Tel._No : 978-587-7518 Address: Mulberry Drive Peabody,MA.01960, Alt.Tel..No.: 978-535-4022 *Security System Contractor License required for this work;if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have.the liability insurance coverage normally re- quired by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ _176,11 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Sia600 Washington Street s;zt� i Boston, NIA 02111 - www.ntass.g ov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .pp _ Please Print.Legibly Name (Business/Organization/individual):anization/IndividuaE David W Meehan � g ) Address: 4 Mulberry Drive City/State/Zip: Peabody, MA. 01960 Phone 978-535-4022 #: Are you an employer?Check theappropriate box: __. YType of project(required): 1.❑ 1 am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction mployees(full and/or part-time).* have hired the sub-contractors 2. I am a sole proprietor or partner- listed on the attached sheet.# 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. q, ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its 10❑Electrical repairs or additions required.] officers have exercised their 3.❑ 1 am a homeowner doing all work right of exemption per MGL 1 LE] Plumbing repairs or additions myself. [No workers'comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t .employees. [No workers' comp. insurance required_] 13.❑Other *Any applicant that checks box#l must also fill out the section below showing their workers'com ensation policy information. P P Y T Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required.under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1.,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under thepains andpe !ties ofperjury that the information provided above is true and correct Si natur • Date: s r Phone Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Date. ./. .� 3�.". .` .`... . . � t ,,ORT.; o� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION '• a ' �.1SAGNUSEt This certifies that . . . .`���. �.�. �� '. ?. . . . . . . . . . . . . . . . . . . . has permission for gas installation ... . . . . . . . . . . . . in the buildings of . . .��. . k,Jr,l; /. . . . . . . . . . . . . . . . . . . . . . Y at . . . :<4(.4. . . . `.f. . . . . ., North Andover, Mass. Fee. .?.' .' .-. . Lic. No.. . ."'?). : . . CL. . .L J . .. ... . . . . . GAS INSPECTOR Check#- ( J' `r 3333 d -~i c N 3 s c BILI r s s s x o o 4 o ' � H an v r r r r o m Cp? O O O O O A 0 a 5; w 0 RANORS ,� o HEATER RAHGEB '$ N Z OVI;NB C t' w � � C lIRILLEa _ HEATING BOILERS r FURNACES D r H U"IT HEATERS $ WATER HEATER$ 13 3 DRYERS m 0 GAS GBNERATORB n ..Q LABORATORY COCKS O C3 CONVERSION BURNERS ROOF apP UNiTB ❑ 2 V8NT;o Itoom HTRS, ❑ [] pIRBCt VtNT ETAS. POOL HEATERS a 1 jail Tgm ❑ o OTHER N .o CD 1 M Location �� A-1w� S. � - 'a No. Y� Date NpRTN TOWN OF NORTH ANDOVER 3? •.. o � w 9 Certificate of Occupancy $ Building/Frame/Frame Permit Fee $ _ sArm"st 9 Foundation Permit Fee $ _ Other Permit Fee $ TOTAL $ �' �i Check # 1 '$ Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING lu See"f61' 1ullp BUILDING PERMIT NUMBER. DATE ISSUED: m � � �� _ off � SIGNATURE: Building Commissioner/I or of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: Q Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lat Area sf) Frontage ft 1.6 BUII.DING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided RecItlired Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ Oa Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT "t�,« "L(`'�t t� m 2.1 Owner of Record /fj� i!!. e Natn (Print) V Address for Service: Signature Telephone 2.2 Owner of Record: ;Name Print — I Addressor Service: ..y Signature Tel hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Su rvisor: Not Applicable ❑ Lice sed Construction Supervisor: 0. Lic se um r Address Expiration Date ra Signature Telephone Issas 3.2 Registered Home Improvement Contractor. Not Applicable. ❑ Q r Company Name m Registration Number r ddress r Susan Expiration Date Z ^ Si na ure ' Tel hone vs .t SECTION 4-WORKERS COMPENSATION(M.G.L C 152 f 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 checkae a cahlb New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building n �(��— (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 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 OWNERIAUTHORIZED AGENT DECLARATION I, as Owner/Authorized 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 Print N L-V Z / Si a of Owner/Agent, Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TUvIBERS Isr2' 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DUvIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIIANEY 1S BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE I� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING u BUILDING PERMIT NUMBER: DATE ISSUED: X ic SIGNATURE: "'s! Building Commissioner/I for of Buildings Date z SECTION 1-SITE INFORMATION O I.1 Property Address: 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use LA Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard - - Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.Q.t 34) 1.5. Flood Zane Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ zone Outside Flood Zane ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT ' "'�' 'C i�tdCt: yes 1 rn 2.1 Owner of Record Name(Print) Address for Service: Signature Telephone 2.2 Owner of Record: Name Print Address for Service: M Signature Tele one 9 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 0 License Number Address > Expiration Date Z Signature Telephone " 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name M Registration Number r Address r z Expiration Date G) Signature Telephone k 6g6 ," �,�9(� Castricone Roofing & Siding REPAIRS FREE ESTIMATES Telephone (978) 682-4266 MARIO CASTRICONE --et,North Andover,Mass. 01845 �O0 5C W/ I/we,the owner(s)of the premises mentioned below, hereby contract with and authorize you as contractor,to furnish all necessary materials, labor and workmanship,to i tall,construct and place the improvements according to the following specifications,terms and conditions,on premises below des i e Owner's Name........... ..... ........ . .. ... . JobAddress............. .G•... ....... .. .. ..................................City.���..c�✓� .. , te.....���............... SPECIFICATIONS ............ .........D`./e ..... . .........: f (.?............ � .......... ? ............. ........... .. .....:. ........, ........ ....f..t .......... ....... .41--71Z4ZZ).... ... .. ...........d,?L., ........... Z f .................................................................................................................................................................................... ..............................................................................................:............................................................................................................................................................... .............................................................................................................................................................................................................................................................. .......................................................................................................................................................................................................:...................................................... .............................................................................................................................................................................................................................................................. ..........................................:...................................................................................... ............. ............................................ ........................................ Materials and labor to cost$ .......4.o.0.0....................... Payable Q . . n ................................and balance in............ monthly installments of$.........................................each, payable on ........................................day of each and every month thereafter until paid in full (..............%charge per year is to be added to above cost of labor and materials and is included in monthly payments.) Contractor will do all of said work in a good workmanlike manner. Upon completion of above work,all undersigned agree to execute and deliver to contractor,their joint note in accordance with his(their)above obligation and a completion as requested by the contractor. Upon refusal to do so,contractor may at its option declare the entire contract price or to much as then remains unpaid immediately due and payable. It is agreed that if permitted by law contractor shall be paid by the owner(s),all reasonable costs, attorney fees and expenses, in addition to the amount due and unpaid,that shall be incurred in enforcing the terms and conditions of this contract and/or any lien in connection therewith. It is further agreed that this contract may be assigned by contractor;and also that the obligations hereof shall bind and apply to their heirs,successors or estates of the parties. The undersigned warrant(s)that he is(they are)the owner(s)of the above mentioned premises and that legal title thereto stands of record in his(their)name(s). PROVISO:This contract shall be void and of no effort if credit approved of owner(s)is refused. There are no representations, guaranties or warranties, except such as.may be herein incorporated, if any, nor any agreements collateral hereto, nor is this contract dependent upon or subject to any conditions not herein stated.Any subsequent agreement in reference hereto shall be binding only if in writing and signed by all parties. Cover attic storage cleaning not included. Receipt of a copy of this contract is hereby acknowledged,and it is further acknowledged by the undersigned that the foregoing provisions have been read and the contents thereof understood and that no representation or agreement not herein contained shall be binding upon the parties and that all of the agreements and understandings of said parties are contained herein. Owner or Owners are not responsible for Property Damage or Liability while job is in operation. G / ` l IN WITNESS WHEREOF,the parties have hereunto signed their names this ..............V T /,j{ /e. p<..........day of.. . � Accepted: p�; Signed. i Owner (OWNER HAS 3 DAYS IN WHICH TO CANCEL CONTRACT) Signed...................................................................................... Owner � Per....... ..... ... .... ........ ... . .... ..... ............ Signed...................................................................................... ...................................... Representative The Commonwealth of Massachusetts Departinent of Industrial Accidents Office of/nuestigations 600 Washington Street, 7t/7 Floor Boston,Mass. 02111 Workers' Compensation Insurance Affidavit Building/Plumbing/Electrical Contractors iA 1lcant,informatl 4 x Please PR1N.T le>bl . r, name: address: ,,&, A4 city'", state:- zip: hone# ZJIT work site location(full address): ❑ 1 am a homeowner performing all work myself. Project Type: ❑New Construction❑Remodel ❑ I am a sole proprietor and have no one working many capacity ❑Building Addition ❑ I am an employer providing workers'�compensation for my employees�working on this 'ob. coin an name: .address: ci hone#: (4 insurance co. otic # +„�..,�..,�,s�x Y ,�- ... .,.;,: .�..'a�,rr#?-:"a...,"'�,,:.2��_,.a.�.,�:_�,_" 1 ..�.E. £k. .� _.,,.;.»`�.z- ."1'V�"r..��}.:..�.s »c.,. ..�.x.,....0-.. '•.`��,.��`�.,,. ..K�.r._ w,'"` ,.. . ❑ 1 am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name: address- city: ddress-city phone`#' insurance co. policy#' �' r. :s`s ..;da., ..:�rw..».', ,.,r- ".,a'-'"x ..£.;,.F-, '�`�.r. company name address. city phone#• insurance.co.. policy# 4 _. �.s�z .ate ,��. �.,� „��u_�.��,.�,�,.�� �� � " _ ,..�.,• �,.� - Failure to secure coverage as required under Section iSA of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine 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. do hereby cert' oder the pains and penalties of perjury that#ie i rniation provided above is true and correct.� Signature r Date -VAl< Print name � �� rL�/�`/Y� Phone# �(� b� 00 = official use only do not write in this area to be completed by city or town official '. city or town: permit/license# ❑Building Department ❑Licensing Board M ❑check if immediate response is required ❑ Selectmen's Office ❑Health Department �� contact person phone# ❑Other Wit' '_.w. ����:`"a.�^�.i."Ln�a t�'n,i`�-Mme...._ •k.�i..z�,'�'.m."t.`.:`.-. � �" 'L.�.�a,��_�.�" Sa.._ .......���w '�'C� �' 3��.."x..i�:,.r. i r Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied,oral or written. An employer is defined as an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant.of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally,neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name,address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. 77 sscA .a' .sex c; :, t=t is >.-b <5 3 -a;, 0: 2�'` .r x.$; •}; s` *. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. ,. - . �,-k.. _ r sF ,..,€,_' st.._ a� �wn' - k ,? '`�.,."^a. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street,7"'Floor Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext.406 T =� ✓fe�omvmanuea�,f�o��il/�tr�uaP,(.ta BOARD OF BUILDING REGULATIONS r� License: CONSTRUCTION SUPERVISOR Number: CS 034049 Birthdate: 12/08/1923 =— Expires: 12/08/2005 Tr.no: 12443 Restricted: 00 MARIO T CASTRICONE 31 COURT ST ,.,�, N ANDOVER, MA 01845 Administrator u%!e Piamvrxo�ureatl/r• o`��l� i�aaluroelt Board of Building Regulations and Standards t i HOME IMPROVEMENT CONTRACTOR Registration: 1103317 Expiration: 71712gp 01p Type: DBA CASTRICONE ROOFING&SIDIN *, Pa'no Castricone 31 Court St. N.Andover,'MA.01845 "75— .. - �t�FEtitistl'afior : Town of Andover No. s*p over, Mass.,— a Iry dp OCHICNEWIC 0 ATE D C.1 BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT .....Joe.. ........................ .............................. Foundation 4*4"*...1'6"'.....*3"...*-*4"...*I*e***.......W*...*'****'*V"***'*... has permission to erect.......3.:f ........ buildings on.............................................................................................. Rough to be occupied as.....1+ 0 ..a..40.............it-44..I--OV-AJ-0--4 ......................................................... .. Chimney ...... .. ... .... ........ ... .... ..... ........ .. .......... ...... ... ...... 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. 3001 4gs•: PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STTS Rough ............./..**.. .......................W...................................... Service BUILDING INSPECTOR 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 z. Street No. SEE REVERSE SIDE Smoke Det.