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HomeMy WebLinkAboutBuilding Permit #384 - 1459 Salem Street 11/17/2009 s — TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received r /^ ! Date Issued: f IMPORTANT Applicant must complete all items on this page , Ot ATlO 'ri'N ; b `a+b ,off PIt PERTY O1 /NER1 - � � �n°�r��lt -- � �.- i � -ire His#oris D�stric# yes --no w,MA`P�NO, T'ARCELp O1V1NG DJSTRICT � , t�lachinetiop Villageres7�, o ate` TYPE OF IMPROVEMENT PROPOSED USE is Non-Residential New Building One famil Addition Two or more family Industrial No. of units: Commercial Repair, re lacement Assessory Bldg Others: Demo i ion Other Sept�e well � ' � � l=laedplain, etla ds �11a#ershed D stnct �-R DESCR PTIO F WOTO BE PERFORMED: Iden ' 'cation Please Type or Print Clearly) - OWNER: Name: CW ( a I Phone: Address: cJ 4 - 0? - ,,t ,-ON;-RACTOR Name : Phone . .F .. , r •. ��� m -�7 t '�., �. 5 . ervisor s Ctnstruct�ora Licen s _ � se ���d��• -Exp. Date. IOm e mFr� Date .. ' ARCHITECT/ENGINEER Phone: Address: - Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost, $ FEE: $ Ch 22 eck No.: � J Receipt No.: (�(91�,� � NOTE: Persons contractin unregistered g wih g istere d contractors do not have access to the guaranty fund gnature'of,algentl , r rv.Sinature ofcoritractora Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &''DEVELOPMENT COMMENTS CONSERVATION Reviewed on Signature COMMENTS i tHEALTHReviewed on Signature COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer:-Signature: _ Located 384 Osgood Street FIRE DE ►RTMENTT_effip,. Uipstersvr� side ma X'ocated at.14tlain Street Fire De`partren#signaturldate _ t K r a I 4L , . ; OMMEN 'S E Dimension Number of Stories: Total square feet of floor area, based on Exterior. dimensions. Total land area, sq. ft.: ELECTRICAL:.Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA— (For department use E.. ❑ Notified for pickup - Date Doc:.Building Permit Revised 2008 j i i Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application " ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic.Calculations (if Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to,issuance of Bldg Permit New Construction (Single and Two Family) ❑ . Building Permit Application o Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses o Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Doc.Building Permit Revised 2008 Location No. ? Date —��—�—�-- NpRTM TOWN OF NORTH ANDOVER 0 9 } ; : Certificate of Occupancy Building/Frame Permit Fee $ saw Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # (01 L/ 2.260 _ Building Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, l L4 02111 www.mass.gov/dia Workers' Compensation.Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Busines anization/Individual): r X UA Address: City/State/Zip:_ Phone #: (M� (� '�- C j(,f (oe Are you an employer? Check the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11-El Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑ Roof repairs insurance required.] t employees. No workers' comp.insurance required.]"'i13.[] Other .-va_ checksbox� " �,""fill outhese, yyficatla` t --tion below showing their workers'compensation policy infornatian. t Homeowner s who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. Z Expiration Date: P bo Job Site Address: I U�9d" �� C. �� � P Y City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c fq under the pains an nahies of perjury that the information provided above is true and correct Si azure: J . t - Date: l Phone#: 103 (p Official use only. Do not write in this area,to becompleted 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#: 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 of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint-enterprise;and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §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-contractor(s)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 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 anddate 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 permittlicense 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 co of the affidavit that has been officially ally stamped or marked by the city or town may be provided to the applicant asproof 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 Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washirtgton.Street . Boston,MA 02111 Tel. # 617-7274900 ext 406 'or 1-877-I IASSAFE Revised 5-26-05 Fax# 617-727-7749 w",",-rnass.gov/dia hissaEctttbse s- Department of Public `Oct X1Board of JK61t ow', lic�„Ef1ati€n-, mid tiiaaacl,"ds .7 Constmetion Supervisor License _ License: CS 70882 restricted to: 00 RICHARD J SMITH V.- PO BOX 1769 µ, `t. . SALEM, NH 03079 Expiration: 7!28/2011 -r r ': 19314' Restficted to: 00 00- Unrestricted 1G-1 2 Family Homes Failure to possess a current-edition of the. Massachusetts State Building.Code is cause for revocatioti of this license. Refer to: W W W.Msss.Gov1DPS t I ' I Board o iii1ding Regi lgions ain Stan ards h.V, ,j One Ashburton Place - Room 1301 Boston, Massachusetts 02108 )-Tome Improvement Contractor Registration Registration: ..106603 Type: Private Corporation Expiration: 7/24/2010 Tr# 270264 AJ WOOD CONSTRUCTION, INC. Richard Smith PO SOX 1769 SALEM, NH 03079 Update Address and return card.Mark reason for change. Address FRenewal R Employment Lost Card _ Board of Buildmb Regulation's and Standards License or registration valid for individul use only (j?� s•~, _K;' HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: '. Registration 106603 Board of Building Regulations and Standards One Ashburton)Place Rm 1301 Expiration: 7/24/2010 Tr# 270264 Boston,Ma.02108 Type: .Private Corporation AJ WOOD CONSTRUCTION,INC. Richard Smith / 4 RUSTIC LANE DERRY,NH 03038 Administrator Not valid withou ignature I Commonwealth of Massachusetts Division of Occupational safety Laura M.Madin;Commissioner Deleader-Contractor RICHARD S.SMITH Eff.Date 07/01/09 Exp.Date 07/10/102 00001721 ' NlemberofC.0.N.U.T. BO BOSTON-RENEW, _ A(ZO-R-D. CERTIFICATE OF LIABILITY INSURANCE P mum Mattheras? Ins _ ----- 02/08/2009 _ ' THIS C6RTIFOCA'GEIS ISSUED A8 A MaT7ER OF INFQRMATION uranee Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 182 parker Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED-BY.71,111 POLICIES BELOW. Lawrence, " 01843 978-681-1112 INSURERSAFFORDINGCOVERAGE. NAICN INSURED AJ Woo Construction, Inc INsuREeA Liberty N tual Ins INSURER M P.0.Box 1769 INeuaea Salem, :NH 03079 INsuREatx 11-603-"23,5-7624 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED_NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT To WHICH THIS CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIMAGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED By PAIDCLAIMS. w oh FOUCYNUMS M U tJMRG GENERALLIABILTIY EACH OCCURRENCE t COMMERCWAENERAL LIASIMY CLAIMS.MAOE OCCUR MEDEXP An mropiii m) i PERSONALSADVNQURY 9 OENERAL_AGOREGAIM f OENLAOOREd►TELIMITAPPLIGGPEi@ PRODUCTS COMiA3PAG6 S POLICY t> El LOC _... .. . wvTOMORp.aLIABILeTY Fonna�wsostNaLliupaq o ANYAUTO ALLOWNEDAUTOS t30DILYltJJURV 1 SCHEDULED AUTOS (par P....)` s HIRED AUT08 EODILYINJURY � NON-OVOIEUMITOS (P�i�aaideMj PAOPE�RTVWMAGE f MRAGIUAbUtY AUTOONLY.EAACCIDENT f ANYAUTO EAACC. f A0 RTNAR) ' UYOONI.Yd _.....0ammi ... ....A06 t MDRELLAIAMLny EACH OCCURRENCE i OCCUR [7 CL MASMADF AGGREGATE f f DEM)CTIBLE S RETENTION f f WWGtEROXIViPEN3A110MND EMPLOVERd GlUT/i WC231S353819029 02/23/09 02/23/10 .�F,LcmAccjO a100, 0.00.- _ AW PROPUGIVRWARTNEROMWnVE QF E.L DISEASE.EA EMPLOYEE !5 0 0, 000 EL.0WA8E-POLLCYLw1ti S i MY OTHER L EIMPMONDF09HiRAnomLON.AT1ONMvlmmw Excul1iI0N01DOFf.YEN xwjzL'9@11SPECIALPROvmc,Ns Location: CERTIFICATE HOLDZR CANCELLATION SHC=ANYOF TRE AROVEOE3CMMPOLLCUK CANCILLlDUFOIMINE E7IPMTM DATE THEREW,THE I01112IN01199tNUUMB..ENDUVORTO MAIL LAYS WAfMN NOTWETO TNECWFICAYBNOLOERNAILREDTO THE Lerr.BIRFALLUREm oo 9D aHALL IMPOC ENO 015LIGATIGNOR L ANUTYOF ANYRIND UPONTHE NNBURER,ITb AGENTS OR REPRIMENTATIYEIL ___-- AYTNORREdREMESENTATLIIE . ACORDS(x+r /043) ' ®ACOROCORPORAnONIM 60 3E)Vd SNI SM3HIIVW SSOES89BL6IZ0=80 8002/6Z/Zt � 1 ACORODA,:--m ,CERTIFICATE OF LIABILITY E - /.g/2D09 PRODUCER (603)432-6414 rax: (603)432-3652 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Financial Yasurance Services 3nc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE PO Box 950 HOLDER. THIS.CERTIFICATE DOES NOT AMEND,_EXTEND OR ALTER THE COVERAGE AFFORDED..BY__THE_POLICIES BELOYV.. Derry NH .03038 INSURERS AFFORDING COVERAGE INsurtf� - - MAIC# INSURERA:Peerless Insurance CO A T Wood Ca tzuction Inc INSURER B: PO Box 3.169 INSURER C: Sa1Esa INSURER D: NK 03079 INSURER E; COVERAGES THE POLICIES OF,INSURANCE LISTED BELOW HAVE BEEN ISSUED TOTHE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITNSTAN DING ANY PERTAIN, HE I TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BYTHE POLICIES DESCRIBED HEREIN IS SUBJECTTOALL THE TERMS,EXCLUSIONS AND CONDITIONS OFSUCH POLICIES.AGGREGATE:LIMITS SHOWN.MAy HAVE BEEN REDUCED BY PAID CLAIMS. im Rm UL 1 p UCY EFFECME POLICY EXPIRATION POLICY NUMBER LIf11T5 GENERAL LIABILITY EACH OCCURRENCE $ 1 000. 000 X COMMERCIAL GENERAL LIABILITY 0.000 CLAIMS MADE ❑x OOCUR ENDI1aG 8/1.6/2009 8/16/2010 M p��v(My am $ _ 55 000 PERSONAL a ADV IN.URY ; 1,000,000 GENERAL AGGREGATE S 2 000 000 _. . PRo GENtAGGREGATELIMITAPPLIESPER PRODUCTS-COMPIOPAGG a. .. 2 000 000 X POLICY LOC AUTOMOBILE LIABILITY ANY AUTO (Ee )COMMMED SINGLE WAIT $ 1,000,000 F+ ALL OWNED A ROS 3AB693505 7/8/2009 7/8/2010 X SCHE"AUTOS BODILY INJURY a (Perpmm) X HIREDAUTOS X NO"VMIED AUTOS BODILY INJURY $ (Perecdclard) PROPERTY DAMAGE GBILITY ARAGE UA ---._ .. .. (Porecddenq a AUTO ONLY-EA ACCIDENT S ANY AUTO _ R_. OTHER THAN $ ------ AUTO ONLY: �AGG_It EXCESS f UMBRELLA LIABILRY EACH OCCURRENCE $ OCCUR F CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WOR QRS COMPENSATION S AND EMPLOYERS,LUIBILITY NIC STATU- OTH- PFUOFFI MEtETBEOR EIVEXECUTIVE YIN EICLUDTN E CL EACH A0000ENT a (MandotoryinNFi) Ilyes.tlerpibeunde� E.L.DISEASE-EA EMPLOYEE ; SPECIAL PROVISIONS Left w O � FA.DRSEASE-POUCYLWttr i DESCRIPTION OF OPERATIONS I LOCATIONS f VEWCLS3 f EXCLUSIONS ADOW BY ENOORSWENrf SPECfAL PROVISIONS CERTIFICATE HOLDER___ CANCELLATION ~ - - SMULDANYOFTHEABOVEDESCRIBEDPOI:IgESBECANceimgEFORETHEEXPIRAnor4 DATE THEREOF,THE MANG INSURER WILL ENDEAVOR TO MAIL 10 DAYS M TEN NOTICETOTHE CERTIFICATE HOLDEtNAMED TOTHE Lwt BUTFAILWRE-m:00S0 SHALL SA {`EL P I,r, IMPOSE NO OBLIGATION OR LIABILITY OF ANY)OND UPON THE INNRER,rM AGENTS OR REPRESBdTAflVES. AUTWFUED REPRESENTATIVE _ 'Sam Fragala/DEBRA �z_.:.�•.:. _..�.-.-;,,,.,-_.t:.-„ ._.-.. ..__. _ ACORD 25(2009/01) m INS025(zoo1988-2009 ACORD CORPORATION. All rights resetved- sm) The ACORD name and logo are registered marks of ACORD i Telephone: (603) 898-4468 CONTRACT Cell: (603)235-7624 Toll Free: (800) 458-4468 Fax: (603) 898-6942 A.J. WOOD CONSTRUCTION, INC. P.O. Box 1769 Salem,New Hampshire 03079 V Email: info@ajwoodconstruction.net Website:www.ajwoodconstruction.net C ROOFING•SIDING •VINYL REPLACEMENT WINDOWS•DECKS Workmen's Compensation and Public Liability Carried on All Work Date 12008/ I (we) the undersigned hereby accept our proposal to furnish Labor and Materials to perform the following work on premises located at the following address:. NO. t,q t Y {'1 ry' F �.. f`j l/l f ii t ��„1•n0 w .+ d 4. -- 1 ��y t { . v (Street) (City) (State) Zi code y ( P ) Owner'-s Name bq c, ",j 7..1A n ; Telephone Number: Address SPECIFICATIONS OF CONTRACT �a Instal43/8 pt. ibsulation l ar stal a ee',M ti or,e a vin m ust ap or coverall soffit, facia,_-wwindows and doors w,idklco ' vammum m.'` perms and de is re r}� ee o r—Workmanship antd"pro'Vide a one(1)year Labor Only Only Warranty from date of completion. T1-i )..i» ('� ,.Zi r .�yi . L. 1. r j,S r - + For the sum of�1 U Additional work at ` f ;, ') Deposit `7r '� Due with signed Contract Owner agrees that the title or equity in this property is his and is security for this contract. IN WITNESS WHEREOF the undersigned has(have)hereunto set his(their)hand(s)the day and year first above written. Buyer(s)Acknowledge Receiving a Completed Legible Copy of This Contract. This contract may be voided by the Owners giving written notice to the Contractor by ordinary mail within three full business days following the date hereof. (Legal owner of property t be'improved) 3 i ' B L.S. (Richard J. Smith,President) (Husband or wife of legal owner) �t A:: ` yORTH 0VV`n Of Andover SE -n No.a8 W- 4 WPO o y over, Mass. COCMICMEWICK V �� ADRATED PP� 5 `S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System /..V........r..,...... .�....,...r....i o..I... ........................... .. ....................... BUILDING INSPECTORTHIS CERTIFIES THAT.......... . w ......... ............... . Foundation has permission to erect............... b ildin s on ........t.................• Rough�. . ................ to be occupied as........... ......... ......... ............. .......®. ................................ Chimney provided that the person accept g this permit shall in every re ct conform to the terms of the applica io 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 IN VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRU S ARTS 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 l No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. IL SEE REVERSE SIDE Smoke Det.