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HomeMy WebLinkAboutMiscellaneous - 48 MILTON STREET 4/30/2018 7�`48 MILTON STREET 210/031.0-0053-0000.0 ` 1 i .. - Date 5 .e.k ............. 0`"ORTM''ti TOWN OF NORTH ANDOVER / * wk' PERMIT FOR PLUMBING This certifies thatTl. L.... `.....P4UA0k..... U.064'sa�1,NeS has permission tolperform..�Wf 2- A . 1 ,� ..................................................... plumbing in the lburildiingss of...�.1`. �.�T.............................................................. at...... o"���.1..l...�..^........., North Andover, Mass. Fee ...b..............Lic. No. . ..... ................................................................................ PLUMBING INSPECTOR Check# , `� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY F ) �� T_� �� 6}n �i��-� MA DATE� �pERMIT# ` JOBSITE ADDRESS OWNER'S NAME VI.I L ;� ) h t S POWNER ADDRESS �t"►�'t'C_, TELFAX TYPE OR OCCUPANCYTYPE COMMERCIAL © EDUCATIONAL © RESIDENTIAL ] PRINT CLEARLY NEW: 0 RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES 0 NO© FIXTURES"I FLOOR- BSM 1 2 3 4 5 6 7 8 1 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILISAND SYSTEM € _- __ —J -___�I 1 _ .- _ _J . I _—! DEDICATED GREASE SYSTEM .11_ DEDICATED GRAY WATER SYSTEM L.1 - ._ ( ( -Ji DEDICATED WATER RECYCLE SYSTEM 1== ._..__-j DISHWASHER k DRINKING FOUNTAIN I J __---_( € ._.__._1 1 I ___.._. I -_____J .._-_....._J ...._...� ___---.J __._..._J .-.._.1 ._..__..' FOOD DISPOSER FLOOR AREA DRAIN 1 ..__.__1 .__-- ► ----_- ( _" _J ! __.-__.1 _._-.__J __..__! _.._._. ! ..___� _.-_-._.( __..�1 _€ __._-f�• INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET 1 _-_..._ E _T [ 1 .1 URINAL € ...._..—f _-_} _.._J J _._._1 ...._._._f WASHING MACHINE CONNECTION WA i R HEATER ALL TYPES _J I _- _ € I ! 1 ._. ._J .. ._ ___1 1 . . ' W'7ER PIPING I k k OTh_R .----------- -- J -! ------k - --._.► ...-- I k € k 1 .._--.-I I-- _ 1 --_J —J — 1 _ INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO k IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY M OTHER TYPE OF INDEMNITY 0 BOND MI 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 0 AGENT 10 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 Pe ine provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. /j PLUMBER'S NAME SO YZ C9t t (LICENSE# 4 7 ( SIGNATURE MPD JP�]_! CORPORATION 0#=PARTNERSHIP D# ;LLC jC COMPANY NAME �u✓ � PI ADDRESS . O G CITY _ _ STATE 0 2 ZIPj TEL FAX CELL I EMAIL i ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No ' THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ i it FEE: $ PERMIT# PLAN REVIEW NOTES s .d s I i A The Commonwealth of Massachusetts - Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov1dia �f Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):_��C/!�t �CL 11A741 j Address: 0 . City/State/Zip: <-S Phone Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ T am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.1%11 am a sole proprietor or partner- listed on the attached sheet. �• ❑Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. g ❑Building addition [No workers'comp.insurance 5. El We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3111 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.] employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicating they ire doing all work and then.hire outside contractors must submit anew 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 requiredunder 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 DTA for insurance coverage verification. I do hereby certo under the pains and penalties ofperjury that the information provided above is true and correct. Signature: Date: 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#: k R a Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract ofhire,• 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,§25C(6)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,MGL chapter 152,§25C(7)states"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 out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit 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. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permittlicense number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or'-permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The CaM aonwealtb of Massachv.,setts Department of l dustriat Accidents OfRee of Investigations 600 Washington Street Boston?MA all It Tel#61.7-727-4900 ext 406 or 1-877:MASS.AFE Revised 5-26-05 Fax#617-727-7749 www.xnass,govfdia Date......�1? ........ ...... ............... OF NORTH�ti TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 4, D. This certifies that ................... ........................... .............................................. has permission for gas installation in the buildings of.......V.f�!fl .............................................................................................. 6 at...A-6...... 4�........i North Andover,Mass. ... ......................... Fee,?-.6.............. Lic. No. .......... ..................................................................... GASINSPECTOR Check# n 2 cor' f. �. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK r-�a CITY MA DATE PERMIT JOBSITE ADDRESS -- Y --/vii /7 d� �II OWNER'S NAME V OWNER ADDRESSTE '_3 y_ FAX TYPE OR OCCUPANCY TYPE COMMERCIAL E] EDUCATIONAL ® _ SI ENG TIAL PRINT Rl CLEARLY NEW: RENOVATION:El REPLACEMENT: PLANS SUBMITTED: YES NOQ APPLIANCES Z FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER _J1 FIREPLACE FRYOLATOR FURNACE GENERATOR _. — .�� --�-: I s _. ..-- _ �_-..Y J GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT T^I �'— OVEN POOL HEATER ROOM/SPACE HEATER �J — ROOF TOP UNIT - TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTH R --- - -- - - - .........._—..........._......... ._........_.................... - - J INSURANCE COVERAGE � y —�^ 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MOL.Ch.142 YES 16NO 1 IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY�I OTHER TYPE INDEMNITY El BOND F 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 0 AGENT SIGNATURE OF OWNER OR AGENT 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 Pertine t provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME LICENSE# 07 L SIGNATURE MP�MGF E] JP© JGF LPGI© CORPORATION©#=PARTNERSHIP®#�(( LLC D# _ COMPANY NAME: U_� ADDRESS _ GSC CITY STATE ZIP� _�TEL 3 FAX CELL �EMAIL `� i ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTIO OTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ F IF FEE: $ PERMIT# PLAN REVIEW NOTES Vi::COMMONWEALTH OF MASSA&USETTS> • • - • • . PLUMBEE7; ">i:k D GAS.F.:.;I TT,ERS<;` ISSUES THE FOLLOWING LfCENSE L10ENSEP ASA MASTE R PLUMBER ' JO#1NR SALINES r+ ,� •s s c� .F Z PO BOX 80250 j, STQt�EHAM MA 02180-0003 9G7 > ' '': 05/01/+`&]6:,::.-. 211351 Date. . . . .. .. .. .. . . ... . .. . t - NORTH 4, o� °` °� TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION SACMUSE� This certifies that . . . . . . . . . . . . . . . .:.//,. . . . . . . . . . . . . . . . . . . . . . has permission for gas installation f!- . .!�. !.. �. �. . . . . . . . . . . . . in the buildings o ���� . f ... �����. . . . . . . . . . . . . . . at )-.4. . !(. . . . . . }�. /�`(..J. . . . . . . . . . . . .. North Andover, Mass. Fee:2K Ji Lic. No . . . . . . . . . . . . . . . . . . . . . . . . . . . iGAS INSPECTOR Check# U �(� 5U31 MASSACHUSETT -t1Nl ORlVI APptiCAT-ION :FOR;-PERMIT "{'O DO GASFiTTlNG r (� 'S S. Dale Permit # Buttdfn711 ": Ownrta Name: / C Type a.'Clccupancyl��/>?. ./ 6 New p fteno�ratlon p` Replacement Plans Submitted Ycsp No 0 m u Sf sq + of. ." ttr. Ur :o r Ad < us .a sC. ..w at cc 58.-8S T. ` d'1►S�MENT " 1.ST;l I OOA ;21to FLQt)A ; 3At) Fl0t1A - AT s STN F OOA ftTti$ {. I:O o R. r. installtrtg Ca Pant.Namef f'. Gj1'�%!`� / Check one - C:erticafe` # —J Address .GorP,ora.,on C p Partnership 9usiness Telephone :FlrtinlCo Nd me' of licensed.Plumber or Gas Fttfer l�3 . IN�URANCE CC) R'AGE:.. i have a current abllttY insurance policy or its subsfaritlal egutVatent"which tneets the tequtrements of iaiGL,Ch. 142 Yes. No D If you have checkedes: Pleas .ndlcate the type coverage by checking the appCopriate box A liability insurance policy- Other type,of Indemnity[] Bond-1] OWNER'S INSURANCE:WAiVEf1 l am aware,that the.licensee does"not have the insurance. coverage required by. Chapter..142 of"the Mass. General Laws,.and thaE any stgnafure on this permit appticatlon watves''thls requirement. Check line: S+gnalure of Oamer or:Chrmei s Agent Ownee.0 Agent ❑ herebycertifythat all of the details and In[ormaGon 1.have submitted for enteredi<M above tr►owledge and that all applicallon are true and.accurate.to the"best.of lay xraMent plumbing work and.Installations pert under pax-mit issued f thls.eppllcalion will be M comptlanca with all provisions of the Massachusetts State Gas Code and Chapter 142 of ener 3Y.. T license: umber title ign�alure o cense um aror Gas ter I :77i asfitter Iy/Town aster Ucense Number a. t'f1C7Vt_0f01TR • • p Journeyman Date. ' . . .�� No 3 TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ,SSACMUS� This certifies that . .!l r%/.r. .,� .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . .. z . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . .`. . . . . . . . . . . . . . . . . . . . . . . at. . . . t. . . . . . . . . , North Andover, Mass. Fee. Lic. No..... . `.'. . . . . . . . . !.. :: . . . . . . . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date 1.8. Permit # q5V3 Building Locatlon_ � /!`1/C1�v Owner's Name s it Sg ,,f r TYPe of O pancy Z)1-1171 z,1V6 New p Renovation ❑ Replacement fid' Plans Submitted: Yes ❑ No ❑ B.P.# S EWER# FIXTURES SEPTIC# P • z z � y z Y a rj) r. J N o z > 0 W�[ J N V a N W N 2 N a Q a • ~ Z ' ° N am: Z J N y V) 2 cc h U W 0 - a y W z 2 =cc x D. N x . rr a V z 0 7 x N W Q H y =LLJ D Q of ° a d < O Cu W N N x J -A I� W = a x 3 x x '' a Y a U �, < > 1N r C N N f. Z C X CL p v7 z z W H Us p x F- di a a x c a J ., a x a SUB—BS MT. a BASEMENT -� r t 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR ` 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Names G t� �(, C�eck one: Certificate # • Address � orporation ❑ Partnership Business Telephone7, _57 ❑ Finn/Co. Name of Licensed Plumber INSURANCE COVERAGE: I have a current Pdblifty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No O If you have checked Yes, please dicate the type coverage by checking the appropriate box A liability insuranceolic P Y Other type of Indemnity ❑ god ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this pertinent provisions of the Massachusetts State PI ng Code a Ch to.142 a General Lawplicatlon will be in compliance with all [E3.y e_ S1 e o cen m er ylTown Type of License. Master L�' Journeyman❑ 0 1 S ONLY License Number `7 a r ti BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO._. APPLICATION FOR PERMIT TO DO PLUMBING NAME do TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE x_19 PLUMBING INSPECTOR Date. ... . .. . .�. .. .. ... .. .. a NpFTH R pF a�ao ,°.,�•° TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �•-t5 SACHUSES This certifies that . . . . . .''.'. '. . . : . . .��' . . �. . . . . . . . . . . . . . . . . . has permission for gas installation . . . . !. . . . . . . . . . . . . . . . . . . in the buildings of ¢. . . .: . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . at . . . ... . '': . ?? .'. . f: . . . . . . . . . . , North Andover, Mass. Fee. . . l.). . . . Lic. No..: . ! . . . . . . ... ... . . . . GASINSPECTOR Check# / 3737 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. , Date X Q Permit # Building Location IA; AG -6;U _Owner's Name �� G'G �-r- Type of Occupancy-S/ iyi�Al/;VjT New [ Renovation [] Replacement Plans Submitted: Yes[] No [ in . m a x w � N N V = ¢ V; N a W W 0 z to X V f[1 ~ _ !1 z a u �' •c >- x Z' .o r < m e. cc 0 0 _ W N F-• 0 ►- N 14 0 W < y C 4 _ ui W z = a W a M �r W ca w t- x x < W J C 1r' �" Itl C.1 O Y LL F-• W J }' W < w �• cc w x < s < m 0 x a 0 v1 x ¢ 'x O 0 Y w O o tl J V ¢ Y p Ld a O SUB-13SMT. BASEMENT 1STFLOOR } 214D FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7T11 FLOOR STH FLOOR Installing Company Name `6 heck one: Certificate # Address t'} S ty' Corporatlon /1/V - �LUIS �lG`��� 0 Partnership Business Telephone ;�- j s [ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: have a current Wbility Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 6' No O If you have checked res, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy 011� -.Other type of indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of O,vner or t7wner's Agent owner[] Agent [] 1 hereby certify that all of the details and Information I have submitted (or entered)In above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for this a Ilca Ion will be in compliance with alt Pertinent provisions of the Massachusetts Stale Gas Code and Chapter 142 oft ral LawBY . T To of License: Title F tuber rgnature o cense um r or Gas riler sil City/Town serr License Number u1l'f10W-.D---p'rF C 4Jo`uftneym an - — r BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIG NO. PERMIT GRANTED DATE X20_ GA3 INSPECTOR Location N� Date NORTh TOWN OF NORTH ANDOVER f � 9 • ; ; Certificate of Occupancy $ E<� Building/Frame Permit Fee $ sAcHus Foundation Permit Fee $ { Other Permit Fee $ TOTAL $ Check # Building Inspector•j - TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIE,RENOVAT5 OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: / q DATE ISSUED: _ s SIGNATURE: Ava4ma.... BuildingCommissioner/I for of Buildin Date " SECTION i-SITE INFORMATION P® 1.1Property Address: C 1.2 Assessors Map and Parcel Number: Lt� (� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Regaired Provided Required Provided 1.7 Water Supply M.G.I-C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ a� SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT n 2.1 Owner of Record Name(Print) Address for Service 1 Signature Telephone 2:.?Owner of Record: Name Print Address for Service: Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: CLicense Number Mr Addr ass Expiration Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Q. `1-�'c•v" Yl CN�.� ��t�o�,a � �1 r�r�v Y ✓1 cc.�� l.l..,.•� Company Name A�je^f \ {v`� 6W-L- Registration Number r. A dress J w ra Expiration Date 2 Signature Tele hone G SECTION 4-WORKERS COMPENSATION(MG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all a hcable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other 0 Specify t Brief Description of Proposed Work: 5I01N C . SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be € Completed b ermit a licant URINN ll 1111, 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 �/ rJ0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, ,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 OWNER/AUTHORIZED AGENT DECLARATION 1, 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 k � L Priri'�Name `� C5 Signature of Owner/Agent Dat NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIVMERS IST 2ND 3 SPAN DIMENSIONS OF SILLS D1IVIENSIONS OF POSTS DEVIENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHEVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE $oa d o74Wuzfia%'gwf4egu atio antan ands License or registration valid for inc HOME IMPROVEMENT CONTRACTOR before the expiration date. If fount Registration: 122318 Board of Building Regulations and Expiration: 08/16/2002 One Ashburton Place Rm 1301 Type: DBA Bogton,Ma.02108 BETTER HOMES WINDOW&SIDI MICHAEL LAW 18 BATES RDS ✓ HAVERHILL,MA 01832 Administrator Not valid without signatu 4 1 I `I r 1 NORTH Town of Andover TIP- t CO�- �o y dover, Mass., T Q L A COCHICHEwICK V %S RATED 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT...... �............ ............ ... ... ................................�............................................................. Foundation has permission to ere ....... ..... ildings on .��� ......................... ............... Rough tobe occupied as .................................................................................................................................... Chimney provided that the person accepting permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions o e 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 UNLESS CONSTRUCTION T S ELECTRICAL INSPECTOR � Rough '' 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 4 No Lathing or Dry Wall 1 o Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner &reet No. SEE REVERSE SIDE Smoke Det. 3 v 24 Date.......// ...... ,ORTN TOWN OF NORTH ANDOVER 0 I PERMIT FOR WIRING ,SSA U -ec This certifies that .....M..(...... ........... ...................................... ........ .. ... ... .. .. ... ..... has permission to perform .....OA....R.......M.-e ,?.........(....(7...'.f,(!.d I- ... ..... ... .. .... wiring in the building of.......... .................................... at..... ............ .. ............../..... .North.Andoyer/Nass. Fee./�...O�...... Lic.No. ........ ...... ... . ..........U................................ ELECTRICAL INSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts Office Use Only E ®tQe<P� t Department of Public Safety Permit No. �� �7y ' t4Wbb. a P y �_ Occupancy 8 Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/92 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance w;th the Massachusetts Electrical Code, 527 MR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date 30. 0 / _ Town of SMA. A101-f ANkdGle To the Inspector of Wires: The undersigned applies for a permit to 1411 erperform the electrical work described below. Location (Street & Number) c# /r I f 114W 97- Owner or Tenant SPOAJ5EH f,f' Owner's Address SAME Is this permit In conjunction with a building permit: YES�i� NO (Check Appropriate Box) Building Permit No. Purpose of Buillding CJ/0w0� Utility Authorization No. Existing Service —Amps—/— Volts Overhead ❑ Underground ❑ No. of Meters New Service Amps / Volts Overhead ❑ Underground ❑ No. of Meters Number of Feeders and Ampocity Location and Nature of Proposed Electrical Work S ✓SCE I,—'Oe SIDING No. of Lighting Outlets _ No. of Hot Tubs No. of Transformers Total Above In- No. of Lighting Fixtures Swimming Pool ground ❑ ground ❑ Generators KLA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners _ Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges _ No. cf Air Conditioners Tons Initiating Devices Total Total No. of Sounding Devices No. of Disposals No. of Heat Pumps_ Tons_ KW_ No. of Self Contained '`No. of Dishwashers Space/Area Heating _ KW_ Detection/Sounding Devices Municipal No. of Dryers Heating Devices KW Local ❑ Connection ❑ Other No.of No.of Low Voltage No. of Water Heaters KW 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 current Liability Insurance Policy inclluding Completed Operations Coverage or its substantial equivalent. YES NO ❑ I have submitted valid proof of same to this office. YES NO ❑ If you havechec YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) �✓ ��` 750 7 j"� (Expiro ion Date) Estimated Value o Electrical Work $ Work to Start x�i/L 30 Inspection Date Requested: Rough Final W1L.L Signed under the penalties of perjury: r� FIRM NAMECVA1,A ELterf/G LIC. NO. ✓! 7 Licenseeg E � Si nature tv LIC. NO. �(/� /�/J /JBus. Tel. No. 6,67 `4S'3� Address -�7� I ����� �`r /•! �U�'� fir'/ Alt. Tel. No. AF 373 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agentd (Please checl one) Telephone No. PERMIT FEE $ r� (Signature of Owner or Agent) Permit No. Check No. Date Inspected Approved Disapproved Reason FIELD OR OFFICE INSPECTION REPORT UNIFORM INSPECTION FORM BUILDING PERMIT# WIRING PERMIT# DATE: TIME: INSPECTION SITE NAME INSPECTION SITE ADDRESS DESCRIPTION OF BLDG RESIDENTIAL COMMERCIAL INDUSTRIAL CONTRACTORS NAME CONTRACTORS ADDRESS MASTER# JOURNEYMAN # JOB SITE NUMBER JOURNEYMAN & HELPERS/APPRENTICES JOURNEYMAN HELPERS APPRENTICES JOB SITE FORMEN-NAME ADDRESS MASTER# JOURNEYMAN # EXPIRATION DATE EXPIRATION DATE DOES WORK MEET THE MASSACHUSETTS ELECTRICAL CODE REQUIREMENTS YES NO VIOLATIONS NOTED: 1. 2. 3. CODE REFERENCE: I. 2. 3. LICENSEE SIGNATURE INSPECTORS REMARKS INSPECTORS SIGNATURE I Q Location No. �� Date NORTH TOWN OF NORTH ANDOVER 0��..•o 1h0 F 9 Certificate of Occupancy $ r, ,s Et Building/Frame Permit Fee $ sACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ 1J Check #I-r; Ger ,. Building Inspect6 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING s BUILDING PERMIT NUMBER DATE DATE ISSUED: /,-2 SIGNATURE: 1#dio� Building Co—jecio for of Buildin2 Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �. 13/ Map Number Parcel Number W 1.3 Zoning Information: 1.4 Property Dimensions: Zonin District osed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R red Provide Requlired Provided Required J Provided 1.7 Water Supply M G.l-C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record c Name(Print) Address for Service 18-LB-7- QD 1 Signature Telephone 4 2.2 Owner of Record: V Name Print Address for Service: ■ A Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable 0 ■ s Licensed Construction Supervisor: License Number ■ Address ■ Expiration Date Signature Telephone ti e 3.2 Registered Home Improvement JContractor ` Not Applicable ❑ B(+ � b ur,�`3lJll tCt Company Name P 041-er�g P-04.0 r d Registration Number ddress 8/1(,/62— � �8- 7 2 Expiration Date Signature Telephone SECTION 4-WORKERS COMIPENSATION(AG.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building Repair(s) ❑ Alterations(s) 0 Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other 0 Specify Brief Description of Proposed Work: h-wo Wo A(Zkvi lir`. Svt IevGLL--j- SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be 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 7- 1, /_ ;as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in 11 matters relative to work authorized by this building penmit application: r 4 )lZ fv ( Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, 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 Name Si ature of Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR FIBERS I s. 2 3RD SPAN DIlv1ENSIONS OF SILLS DIlvIENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL.OF CHDANEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDIWG CONNECTED TO NATURAL GAS LINE t NORTH Town of North Andover -•1�0 Building Department p 27 Charles Street Y North Andover, MA. 01845 D. Robert Nicetta SS^CRU Building Commissioner (978) 688-9545 978 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE 1 z't51 JOB LOCATION Li K ►L^�111 �j' � �yvZ�� Number Street Address Map/lot "HOMEOWNER D�t V3 T� (ANJ ti-1/_ - (0 pj�� ']� Name l I r Home Phone Work Phone `(, PRESENT MAILING ADDRESS 6 M-,LrV N City Town State Zip Code r y The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does. not possess a license, provided that the owner acts as supervisor, (State Building Code Section 108,3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or it intended to be, a one or two family dwelling, attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. ti HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL ti $oa d ff mg egu atiGns an tan ar s License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 122318 Board of Building Regulations and Standards Expiration: 08116/2002 One Ashburton Place Rm 1301 Type: DBA Boston,Ma.02108 BETTER HOMES WINDOW&SIDI MICHAEL LAW 18 BATES RD � O HAVERHILL,MA 01832 Administrator "' Not valid without signature F NORTH own of _ - 19Andover 0 .1 COCMICMEwIO lover, Mass., �/•/2 • ,c!oo ADRATED S H ` BOARD OF HEALTH PER IT Food/Kitchen Septic System BUILDING INSPECTOR M D THIS CERTIFIES THAT... t....... ..... .... ....... ....................... ...................... q ........... ..•..... ... Foundation has permission to ere uildings on Rough to be occupied a Chimney .............. ............. ....................................................................................... provided that the person acceptin his permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions o 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIONS T ELECTRICAL INSPECTOR Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE , Smoke Det. Location Date gCRTh TOWN OF NORTH ANDOVER C? +•� _•a OOA Certificate of Occupancy $ } # Building/Frame Permit Fee $ s''^MUFoundation Permit Fee $ ACSE 196ther Permit Fee $ 2 � S' rin ection Fee $ 1Nater` Con �Wi e $ N � � $ � r 0`E1.po , r Building Inspector 040, wor Div. Public Works pft,%ttT So. 19-5 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK `PAGE ZONE SUB DIV. LOT NO. I LOCATION PURPOSE OF BUILDING OWNER'S NAME M„ _ -cv-(A o-6 w L f J p NO. OF STORIES SIZE OWNER'S ADDRESS LJ,(,( r.• \O wC T-, `r BASEMENT OR SLAB ARCHITECT'S NAME ��ll CVJ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAMEv; A ; SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET ' POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING 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 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST qsv PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 12 EST. BLDG. COST PER ROOM 6 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ? ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIG T RE F W THORIZED AGENT F E E 2 OWNER TEL.# � �o PERMIT GRA ED CONTR.TEL.#-6 n rc�5 K� PLANNING BOARD 19 CONTR.LIC.# OR 3 S .f�_ BOARD OF SELECTMEN BUILDIN PECTOR i � air I BUILDING RECORD i 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS O.F',BUI"•LDIRGS. WITH PORCHES, GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACE$ PLOT PLAN. CONSTRUCTION { v 2 FOUNDATION 8 INTERIOR FINISH �D ,J� }1 �j r L° It CONCRETE _ 3 1 2 13 `►� 6 t� Q �1 i 1 CONCRETE BL TON PINE ——__——_ t { � A i d I�� BRICK OR STONE LASTS D — �./ C tj PIERS PLASTER i _ DRY WALL ....r• J/r f� UNFIN. .w ! 4.tM � 3 BASEMENT / AREA FULL FIN. B'M'T' AREA +/l 1/1 FIN. ATTIC AREA NB _O M'T FIRE PLACES _ .►L- e HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"✓'D ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE ---{I_ STUCCO ON MASONRY STUCCO ON_FRAME BRICK ON MASONRY- ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ 9 ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. 12 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 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM,' STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR 1 + WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL. B'M'T2nd ELECTRIC 1st I'3rd I� Na HEATING.'; ON EAL ». 7EDA TH OF1S.'QR+Z15 ,•qMASSACHUSETTS NCLOSE CHECK OR MONEY ORDER ICENSE FOR REQUIRED FEE, EXPIRATION DATE SUPERVISOR 06/3011993 MADE PAYABLE TO RESTRICTIONS ATE LIC NO. }NONE 991 023365 "COMMISSIONER OF PUBLIC SAFETY" EI TANG (DO NOT SEND CASH). SANT gT POBX 396SS N 028-48-4413 MA 01844 p ASE NOTE FEE INCREASE PHOTO(BUSTING OPR ONLY) FEE: 100.00 E �t ECTIVE FEB. 1, 1989 HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY STAMPED -OR -SIGNATURE OF THE COMMISSIONER DOB: 12/04/1957 , D NOT DETACH LICENSE STUB THIS DOCUMENT MUST BE SIGNATURE OF LICENSEE SIGN NAME IN FULL-ABOVE SIGNATURE LINE CARRIED ON THE PERSON Of THE HOLDER WHEN ENGAG- OTHERS-RIGHT THUMB PRINT ED IN THIS OCCUPATION +#b COMMISSIONER t 20OM-2.87.81429 A LFINAL U u L R 4 A 1 iLl N--� WAR/4 6 0 Town of' n over 0 V% No. 195 a 02 07 PERMIT K III er, ass. - - a1iVEWAY ENTRY P N M Q=AF HEW1 W- W 0 It? BOARD OF HEALTH PERMIT T LD THIS CERTIFIES THAT.... ...A"606 ............... BUILDING INSPECTOR has permission to erect buildings on .. .....ps .......... Rough Chimney ................................... to be occupied as......... DE-44....... Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Void is Per it. PERMIT EXPIRE IN 6 O N T H S ELECTRICAL INSPECTORRough UNLESS CON TRU Service Final BUILDING INSPE GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Dot. Building Inspector