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Home My WebLink AboutMiscellaneous - 68 EDGELAWN AVENUE 4/30/2018 (2) BUILDING FILE BUILDING FILE Date! NOR71y \ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUSE� This certifies that . . . . c-,. i. . . . . . . . . . . . . . . . . . has permission to perform . . . ./ . L4-.fi . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . at . i0k . . . . . . . . . , North Andover, Mass. Fee. .��v. . . Lic. No..7.F .y. . . . . . . . � . y PLUMBING INSPECTOR Check # D o 7 y S 6 19 !' P 0 No MM Omm Mm MOM mmmmmmm ■ ':f1 1 1.i ■ • . :111:111 � 1 .it Ili• ■ // rMM te/ mm mmmmm �/��/////�S/� ,1' MMmmMMMUM MIEN 1/; ..-.M..-..-.......-.M.-/. 11 • 1.' . 1- •11- :1 1 i El kill tlt , :111 . ••:fl r/ • Iii••:f , 1 11 :1/Y' . _ 1 11 Y' I •' ♦ 11 1 :11 Y" Y•• if • 11 I:111■ �•t a 1 1 :11 ♦ A- 111/�" •JI�• l' 1 i:�l II r:•- ill � 1 1 .11 Y' � • , 1�/ 1•1 ♦♦' t♦ 1: :1' •1' 1 1� i 1• VI:1 1 ■ •:f l /�' • 1 11 / 1 •' 1' 1 1 11 •1/1t a 111 .: Illi I .1 • :'1 :1 -1 11 /• 1/ Y:11•1 :1 1 - :It t Y 11 • 11- /:•. • it ♦1•• �a� f I 1 1 111 111• • •1. ',/ 11 t 1♦1 •.- ♦111.1 111 I:1 •yttl Jl� f0 1 I. Y:2 1 I 1•" 11 /111. :11 Y' / � /y 111:11 1,• •/. • t' .1 t •Ir�/11 11 • 71 1' :JI:11 • ✓1 ttt/:: /' 1 Ilt•11 • y, � r �C4/Towm V:1/ 11 - ■ 1 1 • • , «! • `1 L •11.1- t1:tl Date..�l ?z . . ...... .. NORTH pF a,ao ,°,tiO ? TOWN OF NORTH ANDOVE o F 9 r PERMIT FOR GAS,INSTA TION �9SSACHUSEtt � L This certifies that . . . . . . . . . .. . . . . . . .� .(. . . . . . . . . . . . . . . . . has permission for,gas installation . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . at . . b. " 7 .`� °. ��'� .`` . �^. . ., North Andover, Mass. Fee. .? '. . . . Lic. No.. �1 S.f:: . . �1�� . . . . . . . . . GAS INSPECTOR Check# . h y o 7226 MASSACHUSETTS UMPORM APPLICATON FORPERmrr TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations 7 O , Permit# 72 Z C ,fprl oust$ Owner's Name �i `�7. 4\eel v� New❑ Renovation Replacement t Plans Submitted z w � U LY O y a c w w o z i p rA Q oo° z y a v w [/� z <H a p a > w . � � C � C W '" A c. C9 E• •� 0 m z O -01 SUB-BASEM ENT B A S E M ENT 1ST. F L 0 0 R y 2ND. FLOOR 3RD . FLOOR 4TH. FLOOR • 5TH. FLOOR 6TH . FLOOR 7TH . FLOOR 8.TH. FLOOR Eff-7F Name-- f� Q or type tF v '� leck one: Certificate Installing Company l - V' ; Corp. Address O (065— El Partner. usmess Telephone RTirm/Co. Name of Licensed Plumber or Gas Fitter -71y V i t, J INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Mr' No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity Bond 0 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: Szgnature 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 apph n are true and accurate to the best of my knowledge and that all plumbing work and in ons perfo ed under Permit Is Mor is application will be in compliance with all pertinent provisions of the Massa c setts tate G d d Cha 14 f General Laws. . iBy. Signature of Lic ed Plumber Or Gas Fitter Title Plumber 9 9? cityfro.wn ❑ Gas Fitter 1,icense Number Master APPROVED('OFFICE USE ONLY) ❑ Journeyman Date. ��. . ��. .n.�.... . pORTM o� TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION • 9 ^a ��SS^CHUSEt This certifies that . . i. ??: . . . .C?,/-/. . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . in the buildings of . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . at . ./ . . . . . . . . . . . . . . ... . . . . , North Andover, Mass. Fee;?: . . . Lic. No:: . GAS INSP..EG��GR Check# "-�6 P 2� 6961 MASSACHUSETTS UNIFORivt APPLICATION FOR PERMIT TO DO GAS FITTING r �c4A lk,-e MA. Date:N0 88,106� Perr,.it# Building Locationq�S 1�-IIUQPA 06 ► ) N'00- Owners Name'&e r�0.QQ. t Ir 4.e,Y1 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional❑ Residential K] New: ❑ Alteration: ❑ Renovation: ® Replacement: Plans Submitted: Yes❑ No Qo t�Q. FIXTURES vi 11- vi Z W Y = W W a I 0 2 1- cn iii m 2 OILu � WU' J U W H N 0 W Z Z g Z O W W = W W 00 a l=- O w cn W m 0 a a 1- o w x > Z N O w 0 LL > U W Z J EQ- FQ- 0 Z J [7 LL H = W F W W 0 j a W W m > 0 Z 0 W Z Z W a 1=- o g 0 a W 1- 5 > > 3 0 SUB BSMT. BASEMENT TsT FLOOR 2 FLOOR 3 FLOOR 4 FLOOR -5m FLOOR 6 FLOOR 7 FLOOR 81MFLOOR _ Check One Only Certificate# 13 Installing Company Name.er' �'� �t � °1 ��-- �Corporation : � !tA AddressN A- City/Town:� �C,5�9 n State• - - ❑ Partnership Business Tel:\- �A Co%N IAV-Ali Fax: ❑Firm/Company Name of Licensed Plumber/Gas Fitter: r-RA g—v t'tk Q%4\r%,NyyN INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes 20 No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 9 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Si nature of Owner or Owner's Agent By checking this box LJ;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 Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ® Plumber ❑Gas Fitter Signature of Li ensed PlumberfFitter Title [ Master City/Town ❑.journeyman License Number: APPROVED OFFICE USE ONLY ❑LP Installer FINAL.INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS) FEE: S PERMIT# i APPLICATION FOR PERMIT TO DO GAS FITTING I NAME&TYPE OF BUILDING I LOCATION OF BUILDING SKETCH PLUMBER GASFITTER LP INSTALLER LICENSE NUMBER-, PERMIT GRANTED n DATE: " GAS FITTING INSPECTIOR n Datc .. . . -. . . a „oR'M TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACNUSE� This certifies that . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .RC k u.-� ':`�.. . . . . . . . . . . . . . . . plumbing in the buildings of . . . .fir . . . . . . . . . . . . . . . . . . at. . . e. . . . . . . . . . . . .. North Andover, Mass. Fee. G . . .�.. .Lic. No.. . ! -L? ... . . . . . . PLUMBING INSPECTOR Check * 1 ( 7 6459 L LGA . MASSACHUSETTS UNIFORM APPL AT ION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Yk7.2�T�G�C 1��2Lrt� r}✓� Date 5 Building Location Gd' o Owners Na e Permit# Amount 4 ]�� T e of Occu an New Renovation Replacement Plans Submitted Yes ❑ No FIXTURES 06 09 t SLIXE IC &SUVE%T M W= anwnc><t �mKOM 4MHfM 5M Fl" 6M It" 7M it" gm Iffm (Print or type) Check one: Certificate Installing Company Name D�9. L=?9� ' E] Corp. Address 36 Partner. e ifvc M4 usiness felephone S 7G F'] <f 3f— irm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent El 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massac setts State lumbind Chapter 142 of the General Laws. By: igna ure Of icenseriumDer Type of Plumbing License Title ? City/Town A14ense Num oer Master Journeyman n APPROVED(OFFICE USE ONLY 1� _ Location ,o/ No. t� Date `5 9 HORT1i TOWN OF NORTH ANDOVER X00 tf 41f A Certificate of Occupancy $ • o� 4 • cHuBuilding/Frame/Frame Permit Fee $ s� ss 9 Foundation Permit Fee $ 1 Other Permit Fee $ TOTAL $ o, Check # Building Insp�6t� 1818 r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATF, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. �' DATE ISSUED. �� M � �Q L SIGNATURE: '°! Building Commissioner/I or of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ave ` to ��' c�5- !, / a� 69' Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Di;u;--d Proposed Use Lot Area Fronts ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Regaired Provided Required Provided v 1.7 Water Supply M.G.L.C.40.1 34) 1.3. Flood Zone Information: 1.8 Sewerage Disposal System: D Public 0 Private 0 ZOfle Outside Flood Zane 0 Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record urn Name(Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: M Signature Tele on 90 SECTION 3-CONSTRUCTION SERVICES 3.1 kiceinsed Construction Supervisor: Not Applicable ❑ Nu I14. �Vltowao C 5. ad Licensed Construction Supervisor: License Number Address G1 Expiration Date ic Signature Telephone 3.2 Re 'stered Home Improvem t Contractor " `` Not Applicable ❑ Compa y Ime rn Registration Number r Address ! ( C( ! U 5 r �(5- 7?W�- z Expiration Date Signature Telephone SECTION 4-WORKERS COMPENSATION(XG.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.......❑ SECTION 5 Description of Proposed Workcheck as a cable New Construction ❑ Existing Building ❑ Repair(s) Alterations(s) ❑ Addition ❑ Accessory Bldg. 0 _. Demolition " ❑ Other ❑ Specify Brief Description of Proposed Work: o no u,�h_q tkm eat SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OMC1AL USE ONLY Completed by permit applicant 1. Building .no (a) Building Permit Fee Multiplier 2 Electrical o (b) Estimated Total Cost of �� Construction 3 Plumbing 9, 1110 , Building Permit fee(a)x tbl 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 l9 Check Number SECTION 7a OWNER AUTHORIZATI N 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 g this builder r permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, �U �r J�� as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are�*r:e and accurate,to the best of my knowledge and belief � Ul Me wv Y? Print Name , Signature of Owner/.A ent Date i NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS I' 2' 3 RD SPAN D]MENSIONS OF SILLS DEVIENSIONS OF POSTS DUv ENSIONS 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 04/27/'2005 10:26 9786850521 HERITAGE GREEN CONDM F''iGE: Q12r'04 39 Farr`vaod Avenue, Unit#1 Telephone (9'73} 685-4.434 North Andover, Massachusetts 01845 (978) 685.0621 I�J Aprri ?5, 2005 Raz: TMT.William.Crabtree 68 Ugelawn Avenue Unit# 10 North Andover,MA 01845 Noah Andover 13uilding Inspector: 1:efir_age Green Condominium Association is aware of the renovat on that Mr, Crabtre 1, will be having done to his Unit- Please feel free to call me if you have any questions pertaining to I his matter. Sincerely, ' p osann Ciofolo Heritage Green Association ,: T _ _ `. I i r f '� r .. /� T 04127/2005 08:25 19783275517 WILLOWS PAGE 01 i DATE(MNUhDt'Y" t�11 04/27/2005 pC�?rRV�, �ERTtFtC TE 0F LIp►SILITY INSURAIS NCE ECEFEd AS A MATTERTHEICERYiFAG0 878-$75-43 ONLY AND CONFERS NO RIGHTS UPON EXTEND OR PD' HpLDER, THIS CERTIFICATE DOES NOT AMEND, WILLOWS!INTERNET INSURANCE°AG.INC 522 CHICKI~RING ROAD ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW NORTH ANDOVER,MA 01845 NAIL#_ _ INSURERS AFFORDING COVERAGE _.I.—• - _. _—. 7INSURERA: NORFOLK&DED_._. INSURED D.O.CONTRACTING.INC.! I INsuRERe: NORFOLK&D�DHAM _ ....._ DAViD GULF IAN INsuRERc�AR�g-a PRbTECTION&N6RFOLK&R II _ 428 PLEASANT STREET IN5URERP_AIG I�SVRANCE• -__ -• -. __ •--- NORTH ANDOVER,MA 01;345 I INSURERS: _ NG pVERAGEB I NDkEL(,'J OF ANY CONTRACT OR OTHER DOCUMENT WITH TO ASL THEOTE MS, THIS EXCLUSIONS AND CONDITIONS OF SUCH THE POLICIES Of INSURANCELISTED IGO D BEIi)W HAVE BEEN ISSUED TO THE INSURED NAug EABOVE FOR THE POLICY PERIOD INDICATED.NOTWt7HS OR STAN01 ANY REQUIREMENT,TERM - .-_- MAY PERTAIN,THE INSURANCE AFFORDEO BY THE POLICIES DESCRIBED HEREIN IS POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS,EfFECTf£ I PDLIDY EXPIRAM LiMITS -- c—— INeRkob'1: - POUCYNUMBER EACH OCCURRENCE 1,000,000 TR _. �,. _ GENERALUABILrTY f D7U�DCGETOTt Ere A I X COMMERGIALGENERALLIABIUTY I R0401723A I 07/01/2004 1 07I0��2�5 I PREMISES{EeocCV�nw�_. 5,400 MED EXP{Any aae PeROn!..- I S 1,000,000 - - CLAIMS MADE 1 X.OCCUR I I _ _ PERSONAL6AD.INJURY :$ - T IGENERALAGGREGATE _ g Z,OOO.ODQ_ ( I PROpUCT5a0 P/OPAGfa f s INCLUDED GEN'LAGGREGATELIMIT APPLES PER: i POLICY O+ --• I LOCI . I. c (Ee ec,aeOnt$INGLE LIutR 1$ 1,000,000 8 I i A,,T� D�IL�DaetuTY 190151692 I 06!1212004 I 06/1212005 ANYBODILY INJURY ALLOWI'ISDAUTOS I(per person) .,- X I SCHEDULBDAUTO5 I I ! 18041LYINJURY g t _.I HIREDAUTO$ NONaOWNEDAVTOS I I ! I PROPERTYDAMAGE (Per epcident) I - AUTO ONLY,EA ACCIDENT, GARAGE LIABILITY I I 1 GTHERTHAN t:AACC ANY AUTO AUTOON4Y•. pGG S i EACH OCCURRENCE_ 1,A0O,000 EXCESSIUMBRELLALUIBILTIY I I I 06!10!2005L _ _._. 1' �' .1AGUUUi370 c ocouR CLAIM5MADE DWUCng 3 RET NnON t y�C STATU, .OTH) TQRY.liM1ZS WORKERSDDMPENSATIONAND 03!31!2004 �i 0313112005 _ D ENIPWYERB`uARauTr i I WC333-27-74 I E.L_EACHACCIDENT $ _.. 145,504 ANY PROPRIETC}RIPARTNERIEXEGVnVE RENEWAL 313112005 3131/2008 E.L.DISEASE+EA EMPLOYEE $ 1 aO,oUa I OFFICER,MEMBER EXCLUDED? - liyyeaOasrnbeuMer E.I.DISEASE+POLICY LIMIT 's 500,000 SPE61AL PROVISIONS tae OTHER I i PWRIPTiON OF OPERATIONS I LOCATIONS I YENIkt;L66I EXCLUSIONS AppEo BY ENDORSEMENT!SPECIAL PROVISIONS CERTIFICATE MOLDER f CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES 09 CANCELLED BEFORE THE EXPIRAT. N DATE THEREOF,THE ISSUING IMSURER WILL ENDEAVOR TO MAIL-LO- DAYS WRITTEN I NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SMALL , IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPMENTATR! AUTNORRW ENT ACOR016 020010) 'ACOR0 CORPORA f1ON 99$8 North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be d o disposef in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Facility) Signature of Permit Applicant ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector The Commonwealth of Massachusetts Depaftment of lndusbial Accidents Ofte of Invesi lgadons Boston, Mass. 02111 wakens'Compe=Uw Insi neve At>ldevt Narr» Please Print Nww LOCd= b o cmc &VIfD�`"g w m ne s I am a haneowner performing ase work myseM. I am a sole proprietor and have no one working in any cap@* I am an employer providing workers'cam on tar my sTplayess working on this job. P4Ad.dress Lf 4 avail W Wel-T il5 co q7 5-Y3 yq - Phi lt �r . insttraM.CO. r ( got C/ COM A Cft Phoma Ilk Iru�r>ortoa Co. Palms Fdln to smn covarape m requked undo Seddon 25A orMOL 1 S2 can Nadi to Ore krpoeMm d akdnd panAae d,e fkre up to$1,600.00 wWaoneya 'Impdbarrnent.m.wd.o.cbd4 omNlsloth.*=dABTCP.NI MORDERaodAfkwd.pIWAMAA►apalmi.mL I undo.wW flat a copy d ft ataternent may be(awarded to the Of m d Inveatlpdbre of ON DIA for covarape verNlaaflal. I do hereby cantly w dar thepehs d perjury drat ftw lfbm►enb provldad&batt h Uw acrd carr, r/} Signature Date 4 r Print.lams b bI �J ��wo Pharlel>R Oftw use only do not wrlb In this area to be campMW by dty or town ofidal' City or Town PermlNLlcamina 13 Builth V Dept OCheck/fmmodfeb name 1t mquied 13 LkwwkV Bogvd 0 SSIOC&en's Ofts Contact person: Phone t I] Health Department 0 Other • 90Alib O EU G°REIGU ' T1014S°_4 Liseritec ,C"(?i!IS 104S PE Vt5OR Num1 et. 1/R ♦ 1 : Niy.. •- �R��rlclaed"``tJtl �, bAVID'P GUl iAN 428 i�LEASAN S N AN(OWK,MA 61845,, , .: Alimistrafar Boa ad'6f } Idfng Regulatfons:and Stafidarbs H6ME IMPROVEMENT CON ReBistratibri�` 1201.99. 7 �xplratian."` 11112006 . �'ype �dwidu�l .� DAVID GULEZIAN ,. { � DAVID GULEZIAN 428 PLE�SANTST f t NORTH ANDOVER,Ni q.XR45 tldministrvor.. •0 a.F F AORTFI Town of 0 6Szf� - In No. ��. CON LAKE dover, Mass., T (] /�, COC MICMEwICK V DRATED �`s E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THISCERTIFIES THAT......................................................................................... ................................. ............................ Foundation has permission to erect ....................... buildings on ....4®1.................. ...... ... .............. ...../G Rough to be occupied a ................................................ 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION 1TV!�42Rough ................................................................... ...... . .... 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 Street No. SEE REVERSE SIDE Smoke Det.