HomeMy WebLinkAboutMiscellaneous - 871 SALEM STREET 4/30/2018Date..... ..................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
4,j t�,� 1, y
Thiscertifies that 11.1S ...............................................................................................
has permission to perform
wiring in the building of ........... ............................ .. ..y...`.s...�...�...............................................
at ........ �71 ....... t,5-4.� ................ I North Andover, Mass.
.............. ................
Fee... . . .......... Lic. No./ .56 . ............................................................................ -
ELECTRICAL INSPECTOR N
Check #6,3('0
12998-/,
rAinonweit
j�-D PREVENTION
urncial use umy
Permit No. `a 99OP /
Occupancy and Fee Checked
[Rev. 1/07] (leave 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: December 18, 2015
City or Town of: North Andover, MA_ To the Inspector of Wires:
3y this application the undersigned gives notice of his or her intention to perform the electrical work described below.
vocation (Street &Number) 871 Salem St
owner or Tenant RobertDf Meikle Telephone No. (978) 681-0438
owner's Address 871 Salem St
Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box)
?urpose of Building Utility Authorization No.
,xisting Service Amps / Volts Overhead 0 Undgrd 0 No. of Meters
new Service Amps / Volts Overhead Q Undgrd 0 No. of Meters
number of Feeders and Ampacity
: ocation and Nature of Proposed Electrical Work:
Installation of a low -voltage, wireless burglar alarms stem.
Completion of the following table may be waived by the Inspector of Wire
in.f Recessed Luminaires
o. of Ceil.-Susp. (Paddle) Fans
o. of Total
KVA
Transformers
Jo. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
Jo. of Luminaires
Swimming Pool Above Q In
o. of Emergency Lighting
nd. grnd.
Battery Units
1o. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
o. of Zones
1o. of Switches
o. of Gas Burners
o. Detection and
Initiatin Devices
Io. of Ranges
No. of Air Cond. Taal
o. of Alerting Devices
1o. of Waste Disposers
eat Pump
umberons
o. of Self -Contained
Totals:Detection/Alerting
Devices
1o. of Dishwashers
S ace/Area Heating KW
p g
Local 0 Municipal El Other
Connection
1o. of Dryers
y
Heating Appliances KW
g pP
Security systems:*
No. of Devices or Equivalent
lo. of Watero.
KW
of No. of
ata Wiring:
Heaters
Signs -. 'Ballasts
No. of Devices or Equivalent
1o. Hydromassage Bathtubs
o. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
)THER:
Attach additional detail if desired, or as required by the Inspector of Wire
s`�-,Ited Value of Electrical Work: $850.00 (When required-yy-municipal policy.)
Vork to Start: December 18, 2015 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
NSL`RANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
me licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
ndersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
;HECK ONE: INSURANCE Q BOND Q OTHER 0 (Specify:)
certify, under the pains and penalties ofperjury, that the infor tion on 's ap h tion is true and complete.
'IRM NAME: Defender SecuriCompany ) LIC. NO.: C 1355
`� i Lw t Signature LIC. NO.: D 434
, ,icensee• g
f applicable, enter "exempt" in the license number line.) yBus. Tel. No.: 800-689-9554
'�kddress: 3750 Priority Way S Drive, Suite 200, Indianapolis, IN 46240 Alt. Tel. No.: 866-502-3559
Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SSCO-001258
)WNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
,quired by law. By my signature below, I hereby waive this requirement. I am the (check one) 0 owner IJ owner's agent,
honer/Agent Telephone
,ignature NR. ERMIT FEE: $ ;
E
N
I
pa
�J
-� The Commonwealth of Massachusetts
Department of IndustrialAccidents
In
t ;t-- Office of Investigations
=i -` ' 600 Washington Street
Boston, MA 02111
www.nmss gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Legibly
Name(Business/Organizationandividual): Defenders Inc. dba Protect Your Home
Address: 3750 Priority Way S Drive, Suite 200
Indianapolis, IN 46240 Phone #:
Are you an employer? Check the appropriate box:
1. N I am a employer with 3 4. [J I am a general contractor and I
employees (full and/or part-time).* have hired the sub -contractors
2. 17711 am a sole proprietor or partner- listed on the attached sheet.
ship and have no employees These sub -contractors have
working for me in any capacity. employees and have workers'
required.]
3. ❑ I am a homeowner doing all work
mysel€. [No workers' comp.
insurance required.] t
5. ❑ We are a corporation and its
officers have exercised their
right of exemption per MGL
c. 152, §1(4), and we have no
employees. [No workers'
insurance
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
14. Electrical repairs or additions
11. F1 Plumbing repairs or additions
12.❑ Roof repairs
13.❑ Other
*Any applicant that checks box #1 must also Till 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 -contractors have employees, they 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: MJ Insurance
Policy # or Self -ins. Lic. #: TCJ U1116LO3015 Expiration Date: ^07 0, 71 /2016
Job Site Address: � 71 Sc,`dle, City/State/Zip:�V pl$
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Faihure 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.
Ido hereby certify under the paiirs and penalties ofjperjury that the information provided above is true and correct
Phone#: q66 —5m-- 5f
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
COMMONWEALTH OF MASSACHUSETTS,,-,;
:ELECTRICIANS= ,.
ISSUES THEFOLLOWING.LICENSE
A
A° ...REGISTERED SYSTEM CONTRACTOR
ff
c
DEFENDER SECURITY CO / PROTECT Y
y
STEPHEN C EHRL I'CH
�y
3750 PRIORITY WAY.=:SOUTH _
�'"lu
STE 200
R
{NDIANAPOLIS IN 46240-3815
1355 C 07/31/16. 38220,
CONTROL # ry 1
IMPORTANT
If your license is lost, damaged or destroyed; is inaccurate; or
needs to be corrected, visit our web site at mass.gov/dpi for
instructions to ensure the proper mailing of your Renewal
Application and any other corrpspondence.
This license is subject to Massachusetts General Laws and
regulations. Your license is a privilege, and cannot be lent or
assigned to any person or entity under penalty of law. Keep this
license on `your person or posted as required by law and/or
regulations.
ISSUES THE FOLLOWING LICENSE
A.REG18TERED SYSTEM TECHNICIA W
STEPHEN C EHRL[.CH N.
369 CENTRAL STREET;.. w
U6NIT.9
=OXBOROUGH...,- MA 02035-2637
434.:D 01/3.1/16,;' 45561
i_':—"!�:;,.�-eJjt; "v I t?SL81__�..a..:.,s:�:�• 81.7.�,� ,
V-1
SSCO-001258
STEPHEN C EHRLICH
3750 PRIORITY WY S DR 9200
INDIA -Ni APOLIS IN 46240
12/0312016
PORTANT
If your license is lost, damaged or destroyed; is inaccurate; or
needs to be corrected, visit our web site at mass.gov/dpl for
instructions to ensure the proper mailing of your Renewal
Application and any other correspondence.
This license is subject to Massachusetts General Laws and
regulations. Your license is a privilege, and cannot be lent or
assigned to any person or entity under penalty of law. Keep this
license on your person or posted as required by law and/or
regulations.
Employer: DEFENDER SECURITY COMPANY
For DPS Licensing information visit: www.Mass.Gov/DPS
NOTICE OF COMPLETION OF ELECTRICAL WORK
Pursuant to M.G.L. c. 143, § 3L, Stephen Ehrlich hereby provides written notice to the
inspector of wires that the electrical work outlined in the preceding permit application has been
completed.
y}
Location "P
-art
No. Cf-/ Date /d a� X13
P--
AORT" TOWN OF NORTH "ANDOVER
• .. • 0.
A.QmgMbkp Certificate of Occupancy $'�"
i
Building/Frame Permittee $
sACNUSEt� Foundation Permit Fee �P $_
Other Per fn, F-eemi� , o
Sewer Connection Fee $
Water Connection Fee $ — -'
TOTAL
6655
u Building Inspector
Div. Public Works
Location z/
No. ; Date
NORTH TOWN OF NORTH ANDOVER
Of<"GD ",�0
„ Certificate of Occupancy $
• ; • Building/Frame Permit Fee $/D,tS'D
E Foundation Permit Fee $
sAcaus t
Other Permit Fee $
Sewer Connection Fee $
Wa er Connection Fee $
TOTAL ' ;.�r ` _ $ ��U •So
3A? kilo Building Inspector
6243 E! �� Div. Public Works
PES\f IT N l
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
GAGE 1
MAP +40.
LOT NO.
I
2 RECORD OF OWNERSHIP iDATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.I
i
LOCATION �/� /
(i
�'
PURPOSE OF BUILDING �-L.7 (-L- _
t
L' [1
�•v 1'r-' l �.3 i5 k J�La. %g)
OWNER'S NAME{� r �(LP"
NO. OF STORIES SIZE_/
7- J
OWNER'SADDRESS
J'
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST
2ND n 3RD
v�
BUILDER'S NAME D TT "q� ( (�'I `
v J
SPAN �q (t I L1 tlt t''
DISTANCE TO NEAREST BUILDING
DIMENSIONS OFSILLSV
POSTS
DISTANCE FROM STREET
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 x
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
W
IS BUILDING CONNECTED TO TOWN WATER 'Y'5
BOARD OF APPEALS ACTION, IF ANY
IS BUILDING CONNECTED TO TOWN SEWER �1�d
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
1
J
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
N ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
12, b* ,
IGNA URE�OF OWNER OR AUTHORIZED AGENT
er
FIE E a®"sro
PERMIT GRANTED �°
19 t s
lu5
6%4;::�
OWNER TEL. G y3S-
CONTR. TEL. # 2—
CONTR. LIC.
i CK) r7 57
r
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST- /
.12
I t
EST. BLDG. COST PER'SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 ,.APPROVED' BY
i
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
A & "-. 1 -1
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY S.-ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA.
APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
r
s
r
�sl
—� 3rd
NO HEATING
131
C
CONSTRUCTION
2 FOUNDATION
CONCRETE
CONCRETE BL K.
BRICK OR STONE
PIERS
_
S INTERIOR
3
PINE
HARDW D —
PLASTER
DRY MAIL _
UNFIN.
FINISH
1
2 I3
3 BASEMENT
AREA FULL
FIN. B M AREA
_
'/. 1/I '/.
FIN. ATTIC AREA
N_O B M T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
_
4 WALLS I
9 FLOORS
CLAPBOARDS
8
_
1
2
�_
3
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
COMMON
—COMMON
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
TTIC STRS. &
LOOR
_
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIORPOOR _
EQUATE j NONE 11
5 ROOF
MBING
GABLE
j HIP
BATH (3 FIX.)
GAMBREL
MANSARD
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR 8 GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
_
TILE DADO
6 FRAMING I
11 HEATING
WOOD JOIST
ftA
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd _
ELECTRIC
r
s
r
�sl
—� 3rd
NO HEATING
131
C
i
A.
FORM U - LOT REIV.A.SE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: 9U%Q-1'G Phone
LOCATION: Assessor's Map Number Parcel
Subdivision
Lot(s)
Street 1 St. Number o
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Conservation Administrator
• Comments
Date Approved
Date Rejected
Date Approved
Town Planner Date Rejected
Comments
Date Approved a
Health Agent Date Rejected
Comments
Public Works - sewer/water connections
G/ - dr'veway permit
Fire Department
@ /2-4
Received by Building Inspector Date
J7
HOME IMPROVEMENT CONTRACTORS REGISTRATION
Board of Building Regulations and Standards '
One Ashburton Place - Room 13F01
:Boston, Massa_husetts 02 108
HOME IMPROVEMENT CONTRACTOR -
Registration 100707 Expiration 06/20/94 � J�,°�t�t�✓l�a�%r
Type - INDIVIDUAL
HOME IMPROVEMENT CONTRACTO!
Registration - 100757
Steven J. Langlois Type - INDIVIDUAL
28 Winter St. Expiration 06/23/94
Amesbury MA 01.910
Steven J. Langlois
29 Winter St.
Miesbury MA 01913
ADMINISTRATOR
a COMMONWEALTH
E ARTMENT OF Pi/ �> 1 SAFETY
11010 COMMONWEALTH AVE. t
OF. 'BOSTON, . 02215
, MASSI?+
MASS4CHUSETTS
i ENCLOSE CHECK OR MONEY ORDER
LICENSE '
EXPIRATION DATE 0613011971--, -CONSTR. SUPERVISOR r' FOR REQUIRED FEE,
r.
_ MADE PAYABLE TO
RESTRICTIONS EFFECTIVE DATE LIC -NO. ���''�� rr I"1i
' �' ' t bWISSIONER 0 PUBtIG'SAFETY"
t) r 06/30/ 1991 h)'26276 6:11'
k % 889 , . n ► DON TSE ASH).
m. DO
w _ _ (�
STEVEN ' I LANILO I' : l
..," .
02-2-44"O-..3 ' S WINTER ..T
PHOTO (BUSTING OPR ONLY) FEE AME:-'1►_IRY MA 0191---, ? n
1.00. OCT
LL -1 J Lr
HEIGHT: NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY DOB: •
- STAMPED - OR - SIGNATURE OF THE COMMISSIONER
'
t}1/'4/1'=15•, \ i
THIS DOCUMENT MUST BE SIGN NAME IN FULL -ABOVE SIGNATURE LINE
CARRIED ON THE PERSON C: j JONATURE OF LICENSEE
• THE HOLDER WHEN ENGAG.r/(
.e"•"OTHERS - RIGHT THUMB PRINT ED IN THIS OCCUPATION A i�,•A,/.(,{np/// COMMISSIONER
�ht-;-87.81429
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THIS PAGE BECOMES PART OF AND IN CONFORMANCE WITH PROPOSAL FOR:
STEVEN J. L APAILOI Job Name/No ale 4 1 11
Building • Remodeling • Raslora ian
Accepted by Date _ 19
(INITIALS)
i Submitted by, _-� �
(INITIALS) (INITIALS) Date i i 19 1 Accepted by Date. 19
I
THIS PAGE BECOMES PART OF AND IN CONFORMANCE WITH PROPOSAL FOR:
STEVEN J. L APAILOI Job Name/No ale 4 1 11
Building • Remodeling • Raslora ian
Accepted by Date _ 19
(INITIALS)
i Submitted by, _-� �
(INITIALS) (INITIALS) Date i i 19 1 Accepted by Date. 19
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Location 07/
No. Date %o7-9 9
40RT""
TOWN OF NORTH ANDOVER
p
Certificate of Occupancy
$
Building/Frame Permit Fee
$ !qo
s cMH E��
s�us
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
$ F
TOTAL
_
$
l`D9L28/
Building'rnspector
49:D9 19.5 PAID
7528
Div.
Public Works
Py lklT tilO. 4 2-% APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP i4O.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK 'PAGE
ZONE
SUB DIV.OT NO.
LOCATION
PURPOSE OF BUILDING n A w�./lh nes
CSW �J JG�I
OWNER'S NAME
NO. OF STORIES SIIZ(/E(�YJ�
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME
BUILDER'S NAME:A/Ae,) ; A's0
DISTANCE TO NEAREST BUILDING
SIZE OF FLOOR TIMBERS IST 2ND 3RD
SPAN
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
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
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIGNATURE OF OWNEVOR AUJtPRIZED AGENT
FEE
PERMIT GRANTED,,,'
As 19.5
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST OJ O C) •-
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
NUILDING INSPECTOR
OWNER TEL. a
CONTR. TEL. # O k-2 411 a 6
CONTR. LIC. #. 0,3f�Q� 7
H.I.C. # / Cl �• i /
C�4� 1315
7S'Z`r3-
OCCUPANCY 1 12
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
8 INTERIOR
FINISH
CONCRETE
PINE
HARDW D
3
1
2 13
CONCRETE BL'K.
BRICK OR STONE
PIERS
PLASTER
DRY WALL
UNFIN.
_
3 BASEMENT
AREA FULL
FIN. BM'T' AREA
FIN. ATTIC AREA
_
N_O B M T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
_
4 WALLS I�
9 FLOORS
CLAPBOARDS
B
_
1
_
2
�_
{I_
3
DROP SIDING
CONCRETE
EARTH
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARDW D
COMMCN
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
_
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I --I POOR
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
GAMBRELMANSARD
I
I
HIP
BATH (3 FIX.)
TOILET RM. (2 FIX.)
_
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
_
SLATE
NO PLUMBING
_
TAR & GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
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
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
L
OITRIC
B'M'T 2nd _
10 13•d
ELEC
NO HEATING
BUILDING1 RECORD
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOTIPLAN.
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