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HomeMy WebLinkAboutMiscellaneous - 59 KARA DRIVE 4/30/2018 / 59 KARA DRIVE J 2101098.A-0088-0000.0 t rV*Pkxnbiig Pemtit*20378-V X F = C ,6 https:l/doff-ondoverma.viewpointcloud.com/#/records/20378 ..App, viewPna t - y Town of North Andover, MA 20378 t Add to a project ' *Plumbing Permit-In Conjunction with a Building Permit(Commercial or Residential) TIMELINE Add New. x Submission received s a� • May 18,2016 at 3:07pm GPlumbing Permit Review In Progress Ir 0 Applicant i Loi 0 Permit Fee Paul Legault 5S Payment L 978-977.9134 Do plumber-paul@com 4 MI OPermit Issuance Document 7 Attachments ( � -OTE9P41001F_Wed_May_l8_2016_19:15 L1 Upieaded May 18,2016 by Maura Deems Primary Contractor Search for your contractor using the search bar belt required. Firm's(Business)Name PIL Pa License# Lic 19756 jot License Expiration Date Lic Wednesday, May 18,2016 03:23 PM J C` CSD ee I T �7 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY �'� � —11 MA DATE /PERMIT# JOBSITE ADDRESS s� vt� / _� OWNER'S NAMEr�r..� POWNER ADDRESS TELFAX TYPE OR OCCUPANCY TYPE COMMER AL 0 EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT:Q PLANS SUBMITTED: YES F NOF FIXTURES Z FLOOR- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB _l __- i I ( --._...1 f ___J===== CROSS CONNECTION DEVICE ( DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM ! - __f ._..__.J _.JI ( ._�- �__j JI___.( _J _ 1 DEDICATED GREASE SYSTEM1== ___ DEDICATED GRAY WATER SYSTEM _ _( DEDICATED WATER RECYCLE SYSTEM DISHWASHER _ _.._ .__.I�.J DRINKING FOUNTAIN _ I ( ----=I ( ( __......_f ----__!. FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL _.._I _._. SERVICE/MOP SINK _ 1 1 ( ,._( 1 —._� .. _f � —1 L..._j __._( ._-All --( TOILET URINAL [ ___-.( WASHING MACHINE CONNECTION ___ _.j .—A f .__"]I--! ( ..___.1 WATER HEATER ALL TYPES WATER PIPING _ ( _'► OTHER _...-( __..._..i _. .. j i INSURANCE COVERAGE: 1 have a current liability insurance policy or its s stantial equivalent which meets the requirements of MGL Ch.142. YES ....I NO _ IF YOU CHECKED YES,PLEASE INDICATE TH PE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY F BOND 0 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 _I AGENT IDI SIGNATURE OF OWNER OR AGENT 0 hereby certify that all of the details and information I have submitted or entered regarding this appiicatio are true nd accur to the be t of y know edge and that all plumbing work and installations performed under the permit issued for this application will b in c an wit all a 'ne on o Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME � _ / I I t __ IILICENSE# SIGNATURE IMP© JP CORPORATION F_►# PARTNERSHIP# LLC U COMPANY NAME _��� fir ADDRESS L'e/ -74- CITY (� -_. 'STATE ZIP TEL cf FAX - CELL j MAIL -- ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES �.J 4b A, • The Commonwealth of Massachusetts z Department oflndusthialAccidents d 1 Congress Street,Suite 100 Boston,M4 02114--2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information 1 Please Print Legibly Name(Business/Organization/ladividual): Address: S-� City/State/Zip: Phone# �O k6j- 6 ;..2. - ou an employer ecktlie approp late box: Type of project(required): 1.[]1 a mployer with employees(full and/or part-time).* 7. ❑New construction am a sole proprietor or partnership and have no employees working for me in $, ❑Remodeling any capacity.[No workers'comp,insurance required.] 9. ❑Demolition 3..❑I am a homeowner doing all work myself[No workers'comp..insurance required.]t 10 ❑Building addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5. I am a general contractor and I have hired the sub-contractors listed on the attached sheet. ❑ t 13. Roof repairs • These sub-contractors have employees and have workers'comp.instuance. 6.F1We are a corporation and its officers have exercised their right of exemption per MGL c. 14.❑Other 152,§1(4),and we have no.employees.[No workers'comp.insurance required.] 7. *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 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-cloo&c`tors have employees,&y'must provide their workers'comp.policy number. 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.Lice.#: Expiration Date: Job Site Address: L) "�/7 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 MGL c. 152,§25A is a criminal violation punishable by 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 viola . co y of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verifica'on. X do hereby cer ify and theo ns an e hies tT at th i tion provided above is true and correct. � Simature: 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): i 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: r 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 contraot�4hhire, express or implied,oral or written." I An employer is defined as"an individual,partnership,association,corporation or other legal entity,ox 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 Iocal 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 number(s)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 cavy 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 foi•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 permit/license 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 Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel.#617-727-4900 ext. 7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 www.mass.gov/dia } X s Enter construction cost for fee cal - North Andover Fee Cakulation Construction Cost $ 787500.00 m $ - $ 942.00 Plumbing Fee $ 117.75 Gas Fee 100 comm. $ 100.00 Electrical Fee $ 117.75 Total fees collected $ 1,277.50 59 Kara Drive 1049-2016 on 4/6/16 Kitchen Remodel Property Unit PO Box 15147 Worcester MA 01615-0147 Telephone: 866-262-4788 Ext: Fax Number: 508-926-5660 January 25, 2016 NO.ANDOVER BUILDING DEPARTMENT 1600 OSGOOD STREET BUILDING 20, SUITE 2035 NORTH ANDOVER MA 01845 Re: Our Insured: Swati Mukherjee Policy Number: HPN A233568 Claim Number: 15-00686633 001 Date of Loss: 01/10/2016 Property Address: 59 KARA DR NORTH ANDOVER MA To whom it may concern: Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause Mass. General Laws, Ch. 143, Sec. 6 to be applicable. If any notice under Mass. General Laws, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the undersigned and include a reference to the captioned insured, location, policy number, date of loss, and claim number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Sincerely, )GAn ya"Dill John Johnson, AIC Regional General Adjuster Citizens Insurance Company of America Page 1 of 1 271-5657(5/14) Fraud Warning Statement for all States (except as individually listed below): Any person who knowingly and with intent to defraud any insurance company or other person files an application for insurance containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act,which is a crime and subjects that person to criminal and civil penalties (In Oregon, the aforementioned actions may constitute a fraudulent insurance act which may be a crime and may subject the person to penalties). (In New York, the civil penalty is not to exceed five thousand dollars($5,000) and the stated value of the claim for each such violation). (Not applicable in AL, AR, AZ, CA, CO, DC, FL, KS, LA, ME, MD, MN, NM, OK, PR, RI, TN, VA,VT, WA and WV). APPLICABLE IN AL, AR, AZ, DC, LA, MD, NM, RI and WV Any person who knowingly (or willfully in MD) presents a false or fraudulent claim for payment of a loss or benefit or who knowingly (or willfully in MD) presents false information in an application for insurance is guilty of a crime and may be subject to fines or confinement in prison. APPLICABLE IN CALIFORNIA For your protection California law requires the following to appear on this form or other explanatory words of similar meaning: Any person who knowingly presents false or fraudulent claim for the payment of a loss is guilty of a crime and may be subject to fines and confinement in state prison. APPLICABLE IN COLORADO It is unlawful to knowingly provide false, incomplete, or misleading facts or information to an insurance company for the purpose of defrauding or attempting to defraud the company. Penalties may include imprisonment, fines, denial of insurance and civil damages. Any insurance company or agent of an insurance company who knowingly provides false, incomplete, or misleading facts or information to a policyholder or claimant for the purpose of defrauding or attempting to defraud the policyholder or claimant with regard to a settlement or award payable from insurance proceeds shall be reported to the Colorado Division of Insurance within the department of regulatory agencies. APPLICABLE IN FLORIDA and OKLAHOMA Any person who knowingly and with intent to injure, defraud, or deceive any insurer files a statement of claim or an application containing any false, incomplete, or misleading information is guilty of a felony (In FL, a person is guilty of a felony of the third degree). APPLICABLE IN KANSAS Any person who, knowingly and with intent to defraud, presents, causes to be presented or prepares with knowledge or belief that it will be presented to or by an insurer, purported insurer, broker or any agent thereof, any written statement as part of, or in support of, an application for the issuance of, or the rating of an insurance policy for personal or commercial insurance, or a claim for payment or other benefit pursuant to an insurance policy for commercial or personal insurance which such person knows to contain materially false information concerning any fact material thereto; or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act. APPLICABLE IN MAINE, TENNESSEE, VIRGINIA, WASHINGTON AND NORTH CAROLINA It is a crime to knowingly provide false, incomplete or misleading information to an insurance company for the purpose of defrauding the company. Penalties may include imprisonment, fines or a denial of insurance benefits. APPLICABLE IN INDIANA A person who knowingly and with intent to defraud an insurer files a statement of claim containing any false, incomplete, or misleading information commits a felony. APPLICABLE IN KENTUCKY Any person who knowingly and with intent to defraud any insurance company or other person files a statement of claim containing any materially false information or conceals, for the purpose of misleading, information concerning any fact material thereto commits a fraudulent insurance act, which is a crime. APPLICABLE IN NEW HAMPSHIRE Any person who with a purpose to injure, defraud or deceive any insurance company, files a statement of claim containing false, incomplete or misleading information is subject to prosecution and punishment for insurance fraud, as provided in RSA 638:20. fo�Date . . . . . TOWN OF NORTH ANDOVER 10 PERMIT FOR PLUMBING ,SSA CMUS� This certifies that . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . plumbing in the buildings of . ./J?U.ke� . ,l. .. . . . . . . . . . . . . . . . at . . . b`.1CJ. . . 4..(. o... . . . ... . . . . . . . . . . . ., North Andover, Mass. Fb -.23' . . .Lic. No..6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check 67 u0 -MASSA.CHUSETTS UWORM AppLICATZON FOR PERI TO JQ ij PLU152B3I�TG (Type or print) NORTSANDOVER,MASSACHUSETTS Dafe /l�Z Y� Zofy permit#�r� Owners Name � - BuildingLocation Eye of Occupancy Amount New Renovation � Replacement Plans Submitted Yes No - ' X+'T� •G+S . rr� � � . w w a A w. H a� sOEI-BSNE MKS ZDHDCR 3ED 0M 41BtHD ' 'nB:Kom sIDc�oc ' Ch one: Certificate (Punt or type) Corp. Installing Company Name KJ .Address -2-2-1- S% El Partner. /" a kv` MEl EirmlCo. Business Telephone Name ofLicensedPlumber: ku1 Insurance Coverage: Indicate there of.insuran erage by checking the appropriate box: � Other typeofindemnity jBond D Liability insurance policy � ;,insurance,Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one ofthe above three insurance Owner II Agent ignature - i . 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 mylmowledge and that all plumbing work and installationsperformedbriunder Code and Chapter 142 ofthe Generalt issued for this oLaws.be in compliance with all pertinent provisions ofthe Massa�Po t - r By. Tgna kens um ex Type of Plumbing License TitleJourne an ❑ - CitylTown Tcense um er —"— Master � ym .APPROVED(OFFICE u5E ONLY - _ a The Commonwe&r1th ofMassachusetts Depaitment-o f-Zndnsj,-iaX-4ccidents Office of)WVestigations ' 600 WavAimton street $ostaxz, MA 02111 w►vw.�azers�b oU./dia -Workers' Compensation Insurance Ayc1•avjt:1BRUders/C0nti-actors/ Zectriciags/p� �,ers kn licantInformat:ion ' t Please-Print Leoibiv ' Name(Business/Organim ion/Individual): _ Address: City/State/Zip: - Phone#: •Are you an employer?Check the appropriate box: I.[I I auz a employer vcTiflt 4. ❑ I am a a Fh protect(required): baneral contractor and I employees(full and/or-parf lime).* have hired-the sub-contractorseu'construction ?❑ I am a sole proprietor or partner- listed on the aftached sheet.temodeling ship and have no employees These sub-coutrac±ors have emolifion working for me in any capacity workers' comp.insurance. [No workers'com . insl,rance 5. ilding addition p Q We are a corporation and its zequired.] Officers have exercised their eotdcal'repairs or additions 3.❑ I am a homeowner doing all work right of ex:empion per MGL umbing repairs or additions myself,[No workers'comp. c. 152,§I(4),and we,have noinsurance required.] t employees. [No•workers' ofrepairsc6mp.ins'?ancerequired.] her 'e.=..lT;'Pte'-�,'T1L-?.^_±fEya:•r.��'-^.T.:.S TjrJv,�1 ��ati^_e� gTSCt 0-1 cat C� eCidLTM Ce:^4J EP.C::^,..^., •COL^"e^c Elonleowners vtho suomiftMs affidavit indicating 1: ,a .� 5 �s t c3 ciaz all w oM and thea hireoutside oen c±o s Sst��usi a new afndavit indicating such. • '�'r.OIIfSEcbr5'1b.at checl_ L-'Lry m foe atticb"- ---- u. atitiirioaai sheet showing the aame•of the sub-contLacton and their-workers'co o• comp.P �Y information. dam an employer that i s providing workers'cam pen8aiwn M-Turance for my employees Be[Ohl is the pofic3f and jab site. infgrmdfion. • Insurance Company Name: Policy#or Self-ins.Lic.#: • a-piraiion Date: Job Site Address: City/State/Zip: Attach a copy-of the workers'compensation policy declaration page(shovdrttg thepoIicy number-and expiration date). :Failure to secure coverage as required under Section 25A ofMGL c. 152 can Iead 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 ORDIIZ and a fm(,- of t?p to X250:00 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. _ 7 do hg yahy certify under the pains and per&ties afperiuTJ1 thczt the informaizon.provided above'is true and correct- Phone#: Official use only. Do not write in this area to be completed by city,or town official Cita=or Tovvrz: 1 ermitucense# Issr�iinng Author!" (circle one]: I-Board of Health 2.Building Department 3. Cxfy/I'own Clerk. 4.Bler-iricaI Inspector S.Plumbing Inspector G.©fiber Contact Persun: Phone'#: > 43.0 No.: T� Date NORTH 3 oft"_`D 6.6 0 TOWN OF NORTH ANDOVER ° ; p BUILDING DEPARTMENT a °^4*•°�''�h BuildinglFrame Permit Fee $ ui SSACNus� -N Foundation Permit Fee $ Other Permit Fee $ ri r. Building Inspector � PERMIT NO.�q�— I APPLICATION FOR PERMIT TO BUILD — NbWi ANDOVER, MASS. PAGE ; MAP 440.�. �LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONE kiZ B DIV. LOT NO.COCATION — I I J — e '6-9 /l - yA rHASEMENT .,BUILDING ' / JL _ G `.. .. - — E .O IES SIZE se - OWNER'S ADDRES R SLAB ARCHITECT'S NAME SIZE dF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME I.v Q SPAN DISTANCE TO NEAREST BUILDING I— DIMENSIONS OF BILLS DISTANCE FROM STREET - POSTS '•'-- -- DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDIIIIG NEW SIZE OF'FOGTING x 18 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION > / IS BUILD.ING 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 16 BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST ' SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY 5 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR - DATE FILED_ 6' o2 �^ a SIG URE F OWNER O AUT ORIZED AGENT ■UILOING INSPiCTO/ � I • E E 1 OWNER TEL.I PERMIT GRANTED a CONTR.TEL I 0to to CONTR.LIC.I ®.S 1-4 paur, BUILDING RECORD 1 OCCUPANCY 1 2 SINGLE FAMILY ISroIrIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM _ • MUl(1, fAMItY ofFICESLOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- :. - APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION of 6� Q FOUNDATION 8 INTERIOR FINISH CONCRETE CONCRETE PINE BRICK OR STONE HAROVYO PIERS PLASTER + DRY vlAll 1_ _ — C7ClI�7tZ�r✓I (.���'�L'�'�<� 3 BASEMENT AREA FULL FIN. !l M'T' AREA y, y+ +/, fIN. ATTI *,,AREA NO D MT FIRE PLAC HEAD ROOM _ MODf!-�N KITCHEN 4 WAttS I 9 FLOORS \�� • O y CLAPBOARDS + B 1 Z 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDV"O ASBESTOS SIDING COMtAc;N _ VERT. SIDING ASPH.:IILE _ STUCCO ON MASONRY STUCCO ON FRAME _ BRICK ON MASON ATTIC SIRS. A FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I•� POOR_I_ 11 ADEQUATE NONE $ ROOF 10 PLUMBING *ARAV IP BATH 13 FIX.1 ANSARD TOILET RM..I2 FIX.I HED WATER CLOSET _ ES LAVATORY KITCHEN SINK NO PLUMBING _ STALL SHOK'ER _ MODERN FIXTURES TILE FLOOR TILE DADO g FRAMING II i l HEATING WOOD JOIN PIPELESS FURNA_E F OF AIR FURN. TIMBER BMS. A COLS. STfAM STEELBMS. A COBS. HOT ` 'T'R OR VAPOR WOO W000 RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS - -• -- :. .:: GAS . ..' ....... ..: `._ ..:..:.......' 7 NO. OF ROOMS - OIL TRIC Bot 13rd - I NOHEATING 1 I: y r ff+