The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #388 - 599 TURNPIKE STREET 12/9/2008 1 BUILDING PERMIT AO oT 6�ti TOWN OF NORTH ANDOVERZ. 02 4t.. . ._ t, ° APPLICATION FOR PLAN EXAMINATION ` T b Permit NO: Date Received Date Issued: /!/ � 9SSACHUS�� IMPORTANT:Applicant must complete all items on this page L-OCATION a a 'P OPERTY OWNE' e- ' Prim EMAP NO PARCEL: ZONING'DtSTRICT: ., Historic District x yes no _ Machine Shop Village yes no r TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement ✓ Assessory Bldg Others:F1-7 - Demolition Other Septic Well Floodplain Wefiands 1l1/aterslied District :Water/Sever ` G DESCRIPTION OF WORK TO BE PREFORMED: 000 Identification Please Type or Print Clearly) OWNER: Name:_ _ .,� r of 410 6�� Phone: 7 Address: CONTRACTOR Name:-, - e. Phone. � -7� >� .Adtress+. Supervisor Co6structiotyLicei'se: � /ted" ..� � � - � _Exp .Date: �o 5 / ; Horne#Improvement License . ..- :exp. `Date: 2/- 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: $ Check No.: �! Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund ignature"of AgeatA0wner Signa ure of contractor = v I 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 HEALTH Reviewed on Signature ,COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes I Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DE!PARTMENT mp Dumpster on:site eyes now ,� ated at 124'Main Street Fre Departnentrsignatle/date COMMECt'T� �. _. w 4 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 ❑ Notified for pickup - Date Doc.Building Permit Revised 2008 a 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 o Photo Copy of H.I.C. And C.S.L. Licenses o Copy Of Contract ❑ Floor/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And r Hydraulic Calculations (If Applicable) ❑i Mass check Energy Compliance Report (If Applicable) - - o 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 ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑ Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) u 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 i 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:Building Permit Application Revised 2.2008 Location` / U2N0, -�-' No. Date zv TOWN OF NORTH ANDOVER Certificate of Occupancy $ i Building/Frame Permit Fee $ F Foundation Permit Fee $ K." Other Permit Fee $ TOTAL $ 4!i G s. Check # 21 X47 ` 9uilding Inspector The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations W 600 Washington Street b� Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly r Name (Business/Organization/Individual):/jdC*�S'�iteca,. Address: ' City/State/Zip: 12r.4 olpo) Phone#:7�7e? Are you an employer? Check the appropriate box: 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. 7. ❑ Remodeling ship and have no employees These sub-contractors have g. ❑ Demolition working for me in any capacity. employees and have workers' comp. insurance. 9. F1 Building addition [No workers comp. insurance p required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t 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:,, Policy#or Self-ins.Lic.M 4"C' G d 2 Y" p' Expiration Date: Job Site Address: S 5 TG�'�✓ City/State/Zip: A4wd—love!v AA - 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 certify under the pains/annd p®enalties of perjury that the information provided above is true and correct Signature: L��fr�.1/111 Date: �� rz-, d Phone#: '7� 7 r t' 7 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#: 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 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 burn 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 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax # 617-727-7749 www.mass.gov/dia The �Qmmonwealth of Massachusetts Depart Ment of Fire Services Office of the State Fire Marshal P.0.Box 1025 State Road,Stow,TvU 01775 PERMIT North AndoverDate: 1'Permit filo (City of Town) (If Applicable) Dig Safe Num er In accordance with the provisions of M.G.L.14 8 Chagter_L_CL as provided in section-5-2-7—IM 34 / Start Date _This Permit is granted to:. �A w yGfi7/'C Full name of person,Firm or Corporation Peanissionto locate dumpster for construction/renovation/demolition of building. Co=ed: dumpster. must be . 25from structure if unable to place with required Restrictions:clearance dumpster must be covered with l wood or tar end of work -day at k r� (Give location by street and no.,or describe in such MAUer as to prerd. adequate identification of location) FeePaidS 50.00 Fire Chief This Permitwill expire - / (S i- Vjjza;n"rKIr, o offical granting permit) Qffical granting permit (Title) ":�� . _ . .,. � _ •=�; � , tom'� �4��.�s� � ;� � '�� ::�=�`,� -A7Z +`4 w. ."'. ,.. • rFx x. �r'gW'.; �...- cS.—A .i .. .r..> .r .a.� �Vis,-, 14...:- vti. » W� . . LF .G RESIDENTIAL ROOFING i mAuTTROOFING ' PROPOSAL/CONTRACT K by LARRY HILDEBRAND 30 Sheridan Street 3 _ A Woburn, MA 01801 Owner's Name: Owners Address 781.789.9711 Harry Leong CS090389 Owner's City Owner's Zip Code Owner's Home Phone Owner's Work Phone larryhildebrand@vedzon.net 1-317-421-0051 Project Address ProjectCdy Project Zip Code Project Phone Date 599 Turnpike Street North Andover 01845 112/08/08 Quality Roofing by Larry Hildebrand,hereinafter referred to as"Contractor",hereby proposes to furnish to Owner all materials and labor necessary to roof and/or improve the above premises in a good,workmanlike and substantial manner according to the followingterms,specifications and provisions: a.Description of the work and the materials to be used: Use_tar to-protect house&property_from shingle remo_v-al&installation. - _Remove all_old shingles from the house_dispose of in dumpster we will.provide. Examine roof deck.We will make any minor repairs free ofcharges to 1 sheet of plywood 1)On the edge of your roof at all the eaves,and all penetrations such as vent pipes and attic vent fans we will install Ice and Water Shield 6 feet 2)At the edges of your roof,eaves and rakes we a will install drip edge. t; .3j Install Shingle-Mate Roof Drckl'rotrction,abreathable membrane _.-4)Install Timbeiline 30 Year Pristique Architectural sl ingle�oloi Chaazcoal- 5)-Install C6bra Ridge Verd - _-- --- b)-Install-Ridge Cap Slnngles— - ---- At-completion of n stallation completely clean propertyof all roofing related-debris.-- -Totalc6stincltidesall-labor,materials,permit&disposalasdescribedabove. - Workmanship warranty 5 Years from the dete of installation. b.Description of any areas that will NOT be worked on: This list of specifications may be continued on subsequent pages(see page number below). c.Payment:Contractor proposes to perform the above work,(subject to any additions and/or deductions pursuant to authorized change orders),for the Total Sum of s$6)6)00.00 Down Payment(if any)$2200.00 PAYMENT DUE WHEN AMOUNT PAYMENTS TO BE MADE IN INSTALLMENTS AS FOLLOWS: Balance on completion $4400.00 By check upon receipt of invoice for draws as described under "Payment Due When" to the left - -- -- column. 3. _ 4. ... .........._ ........ d.Commencement and Completion of Work: Substantial commencement of the job shall mean either the physical delivery of materials onto the premises or the performance of any labor and shall be subject to any permissible delays as per provision(3)on the reverse side ofthis proposal/contract.. Approximate Start Date: Approximate Completion Date: e.Acceptance:This proposal is approved and accepted.I(we)understand there are no oral agreements or understandings between the parties ofthis agreement.The written terms,provisions,plans(if any)and specifications in this proposal/contract is the entire agreement between the parties.Changes in this agreement shall be done by written change order only and with the express approval of both parties.Changes may incur additional charges. Additional Provisions Of This Proposal/Contract Are On The Reverse Side And May Be Continued On Subsequent Pages(see page number below).Read Notice To Owner on page two(2)before signing.Read"Arbitration of Disputes"provision on page two(2),provision 10 and the NOTICE following this provision.If you agree to arbitration,sign on the line below the NOTICE where indicated.Also,sign in the same place on EACH COPY of this contract. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES You may cancel this agreement if it has been signed by a party thereto at a place other than an address of the seller,which may be his main office or branch thereof, provided you notify the seller in writing at his main office or branch by ordinary mail posted, by telegram sent or by delivery, not later than midnight of the third app nd accepted(owner) date business day following the signing of the agreement.See attached notice of cancellation for an explanation of this right. NOTE:This proposal may be withdrawn after days from 30 approved(contractor) date if not approved and signed by both parties. ADDITIONAL PROVISIONS-Unless otherwise specified herein,the following additional provisions are expressly incorporated into this contract: 1. Contract, Plans, Specifications, Permits and Fees. The work g,PERMIT NOTICE described in this contract shall be done according to the plans and the plan specifications(if any)except in the case of conflict when the provisions of Regarding any and all necessary construction-related this contract shall have control over both the plans and the plan permits : specifications.All required building permits will be paid for by owner and obtained by Contractor. All other charges,taxes,assessments,fees etc., a.It shall be the obligation of the contractor to obtain such of any kind whatsoever, required by any government body,telephone or permits as the owner's agent. utility company or the like shall be paid for by Owner. 2.Change' Orders. Should Owner, construction lender, or any b. Owner's who secure their own construction-related government body or inspector require any modification to the work permits or deal with unregistered contractors shall be covered under this contract, any cost incurred by Contractor shall be added to the contract price as extra work and Owner agrees to pay 10.Arbitration of Disputes. Contractor and Owner hereby Contractor his normal selling price for such extra work.All extra work as mutually agree in advance that in the event Contractor has well as any other modifications to the original contract shall be specified a dispute concerning this contract, Contractor may and approved by both parties in a written change order. All change orders submit such dispute to a private arbitration service which shall become a part of this contract and shall be incorporated herein. has been approved by the Office of Consumer Affairs and 3.Delay. Contractor shall not be held responsible for any damage Business Regulations and the consumer shall be required occasioned by delays resulting from: work done by Owner's subcontractors, extra work, acts of owner or owner's agent including to submit to such arbitration as provided in MGL.c. 142A. failure of owner to make timely progress payments or payments for extra work, shortages of material and/or labor, bad weather, fire, strike, war, We have read and understand the foregoing and agree to governmental regulations, or any other contingencies unforeseen by submit disputes arising out of the matters included in the Contractor or beyond Contractor's reasonable control. "arbitration of disputes"provision to neutral arbitration. 4.Cleanup & Advertising. Upon completion, and after removing all debris and surplus materials, wherever possible, Contractor will leave I Agree to Arbitiation: premises in a neat, broom clean condition.Any debris consisting of dust, dirt,asphalt,or small bits of materials that settle into attics,garage areas, I Agree to Arbitration or any other area being worked over with open beam ceilings or no attic, is unavoidable and Contractor shall not be responsible for this cleanup. Notice: The signatures of the parties above apply only to Contractor recommends that Owner lay out drop cloths to protect such the agreement of the parties to alternate dispute resolu- areas wherever owner discovers debris infiltration. Owner hereby grants tion initiated by Contractor.Owner may initiate alternative to Contractor the right to display signs and advertise at the job site for the dispute resolution even where this section is not signed period of time starting at the date of signing of this contract and continuing uninterrupted until fourteen(14)days past the date the job is completed by the parties. and payment in full has been made.Owner grants Contractor the right to publish the project street address on a "references" list which may be All home improvement contractors and subcontractors given to prospective customers. shall be registered and any inquires about a contractor or 5.Concealed damage&dry rot.Contractor will inform Owner of any dry subcontractor relating to a registration should be directed rot or other sub-roof deterioration which is concealed and is discovered to: during the course of the work.Contractor is not responsible to repair any Registration Divison, Program Coordinator such discovered deterioration and any work done by Contractor to remedy One Ashburton Place Room 1301 such discovered deterioration will only be done as extra work in a written Boston, Ma 02108 change order. 6.Termites, Pests& Hazardous Substances.Owner understands that Tel: (617)727-3200 ext.25239 Contractor is not qualified or licensed as an inspector or abatement contractor for Hazardous Materials(as defined by the government),or for Pests (including Termites). Should any such hazardous substances or Pest he suspected to be present on the premises, it is the Owners' resporlsibility to arrange and pay for inspection and abatement.Contractor cannot certify or warrant your building as being free of hazardous substances or pests. 7. Collection. Owner agrees to pay all collection fees and charges including but not limited to all legal and attorney fees that result should Owner default in payment of this contract. Overdue accounts are subject to interest charged at the rate of 18% per annum or at the highest rate permissible by law. 8 Legal Fees. In the event litigation or arbitration arises out of this _ contract, prevailing party(ies) are entitled to all legal, arbitration, and attorney fees. The court or arbitrator shall not be bound to award fees. based on any set,fee schedule but shall if it so chooses, award the true amount of all costs,expenses and attorney fees paid or incurred. _ Page two of=Total Pages p a �✓lludaac�use�d Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration; 148422 Tr# 133270 Expiration: 9lug ZI I/2212009 Type; Individual LAWRENCE HILDEBRAN- LAWRENCE HILDEBRAND 30 SHERIDAN ST. Adrninistrato W013URN,MA01B01 - Nlassachusetts- Depanment.of Puttlic Saifct% Baird of Building Rc��ul�it rms .uttl Standards Construction Supervisor License License: CS 90389 Restricted to.,. 00 "LAWRENCE 'HILDEBRAND_ ;�;W; 30 SHERIDAN;ST )It Lk-`NSE Expiration; 5/24/2010 C uunu.�ioier Tr#': 25739 FORTH Town of ? Andover . 0 'Cl o dover, Mass.,/ • g. Oak 0 LAKE 1, O� COC MICMEWICK V 7�S RATED BOARD OF HEALTH PERMIT T -I, D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT 11M'►...� .... ................................................... Foundation has permission to erect.................... buildin s on ..............759........�w�v%..o..�c.........r... -� Rough to be occupied as.. er 0 Chimney . "r........................:....... .................................... provided that the person accepting this permit shall in every respect co m 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 "'A ELECTRICAL INSPECTOR. UNLESS CONSTRUC S 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, NoLathing or Dry wall To Be Done FIRE:DEPARTMENT Until Inspected and Approved by the Building Inspector. Butner, Street No. SEE REVERSE SIDE Smoke Det. NORTfy 0 odover � L No. -32.% yy z ^ O rt dover, Mass., `�f— T l K COCMICKEK'ICK ORATED PPa��S 5 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System /1 THIS CERTIFIES THAT...............................E T. .t� . ..................4.10QN.4................................................... BUILDING INSPECTOR Foundation has permission to erect.......... . ............ 40dift Spon ........?...`.. ......... .�� ..1...:�.� ......... Rough tobe occupied as............................................ 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STAR-TS ELECTRICAL INSPECTOR Rough Service LADING 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. ' Smoke Der. ' PERMITO APPLICATION FOR PERMIT TO WILD = NORTH ANDOVER, MASS. � PAGE 1 KAP K40. LOT NO. Z/ 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. -I LOCATION ` PURPOSE OF BUILDING OWNER'S NAME - I 1 £.� 1 Ce�� NO. OF STORIES SIZE OWNER'S ADDRESS/`,,ZZ ®0 a"" � BASEMENT OR SLAB ARCHITECT'S NAME ® O -.f .., SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILD NG L1 DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES t 191/ REAR R® GIRDERS AREA OF LOT !�®O 0. ..�LZ FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW ,, 11 SIZE OF FOOTING X IS BUILDING ADDITION„ �� J �6 e pQ4„G 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 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 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 - tl� �F 7 .0 ILDIN3 INiPSCTOR SI N TORE OF OW O HORIZED EN F E E ( OWNER TEL.# V// y / / PERMIT GRANTED -GQ=R.TEL.# CONTR.LIC.# H.I.C.# BUILDING RECORD ' 1 OCCUPANCY 12 SINGLE FAMILY STORIES - THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROK MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. F , - - CONSTRUCTION 2 FOUNDATION E3 INTERIOR FINISH CONCRETE a 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER - _ DRY WALL _ UNFIN. 3 BASEMENT I - AREA FULL FIN. B M AREA _ '/ % '/, FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 _ DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMMON _ VERT. SIDING ASPH.TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIORTE I� POOR ADEQUANONE 5 ROOF 10 PLUMBING GABLE 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 & GRAVEL STALL SHOWER ROLL ROOFING MODERN FIXTURES TILE FLOOR - TILE DADO 6 FRAMING 11 HEATING _ WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 3 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR n° WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd I NO HEATING 24, 34.36 o � � � "'`_.=- �� yrs �a^ � •� � 01 In ,fP �a �a a A ot In to t � rr C OAC`/ 1 l:R - W. ry ! o I bb.� i i S . .. NORT►y ToVM of 0 d t �'Ir '4 No � i h oK rt h dower, Mass., `�-- // 19 COC H1 HEWiCK A0RATED AYax 1 5 BOARD OF HEALTH Food/Kitchen PERMITIT . Septic System / ^ BUILDING INSPECTOR THIS CERTIFIES THAT...............................� - f ...� Nb. .... f�. .... ... .. .................................................. Foundation has permission to erect.......... .'' ............... on .......7.9.........E-C.�' .. �.� .. Rough to be Occupied as ............................................ P... �► .... 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 PERMIT EXPIRES IN 6 MONTHS Fina' UNLESS CONSTRUCTION ST ELECTRICAL INSPECTOR Rough ................................. . ............. .. .. .. ......... Service L ING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous. Place on the Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det: