HomeMy WebLinkAboutMiscellaneous - 0 LACY STREET 4/30/2018 (5)Location
No. -Z --f 7-.. 47
Date
TOWN OF NORTH ANDOVER
Certif icate of Occupancy $
4,
'Building/Frame Permit Fee $
Foundation Permit Fee
CHUS $
4()ftr Permit Fee $
.:Sewer Connection Fee $
-Water Connection Fee $
TOTAL $
Building Inspector
10 @OR97 10:17 25. 00 PAID
Div. Public Works
PERM/IT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
r MAP aN 11
PAGE 1
e(Lu
2 RECORD OF OWNERSHIP DATE BOOK
ZONE SUB DIV. LOT NO.
iPAGE
BUILDINGOWNERS
LOCATION _
�� S1110
Lt y
EPURPOSEOF
NAME
STORIES SIZE
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECTS NAME
812E OF FLOOR TIMBERS IST SND 3RD
BUILDER'S NAME "-
SPAN
DIMENSIONS OF SILLS
POSTS
��
DISTANCE TO NEAREST B ILDIN / Aix 'At mi+
DISTANCE FROM STREET /C�`I
DISTANCE FROM LOT LINES—CSIDDES REAR
GIRDERS
HEIGHT OF FOUNDATION THICKNESS
AREA OF LOT FRONTAGE
IS BUILDING NEW
SIZE OF FOOTING X
18 BUILDING ADDITION
MATERIAL OF CHIMNEY
18 BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
IS BUILDING CONNECTED TO TOWN SEWER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO NATURAL GAB 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
PERMIT GRANTED
's
3 PROPERTY INFORMATION
LAND COST
EBT. BLDG. COST
EST. BLDG. COST PER SQ. FT,
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INSPECTOR
OWNER TEL A' ��53-OaI
CONTR. TEL #
CONTR. LIC. N
H.I.C. A'
� t
BUILDING RECORD
NCY t2 }
!IES THILTIO MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
CES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
:TION
INTERIOR FINISH
3 1I 2 13
IW D
,ER
'NJALL — —
AREA
FLOORS
8 I 2 3
:RETE I-
vJ N �_ a
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WIRING
PLUMBING
13 FIX.1 _
4 RM. 12 FIX.)
R CLOSET _
TORY _
IEN SINK
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HEATING
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f AIR
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BUILDING RECORD
NCY 12c� Z O Vrn�%�
AIS TH%AACTIO MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
CES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
:TION
I
INTERIOR FINISH
3 I 2 13
TER
:WALL
N. - - -
B'M'T' AREA _
ATTIC AREA _
'PLACES _
IRN KITCHEN
FLOORS
B 1 2
I�'RETE
I�-
TILE
!II
f: STRS. & FLOOR ---f- Z,
1 I
WIRING
!IOR I__� POOR -
:DATE NONE
i PLUMBING
113 FIX.) _
J RM. (2 FIX.)
SR CLOSET _
+TORY
LEN SINK
2LUMBING
! SHOWER
RN FIXTURES
FLOOR
'DADO
J HEATING
ESS"FURNAf
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N'T'R OR VAPOR rl
CONDITIONING U
kNT H'T'G
'HEATERS
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TEAT I NG
t
PER3f�TN o.APPLICATION FOR PERMIT TO BUILD —NORTH ANDOVER, MASS. PAGE 1
-�
.MAP 411a) LOT NO.
ZONE I SUB
D OF OWNERSHIP DATE BOOK 'PAGE
DIV. LOT NO.
L2:RECOR
I —
'
POSE OF BUILDING
LOCATION /v� % �C Y S L (� i
J [
' /rvJ
OWNERS NAME
�jJ�,
en j
OF STORIES SIZE
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECTS NAME
SIZE OF FLOOR TIMBERS IST 2NO 3RD
BUILDER'S NAME ��
SPAN
DISTANCE TO NEAREST 8 ILDIN / I jj ��
DIMENSIONS OF SILLS
DISTANCE FROM STREET /^'_I
POSTS
GIRDERS
DISTANCE FROM LOT LINES-CSIDES REAR
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
18 BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
13 PROPERTY INFORMATION r
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
4
PERMIT GRANTED
a
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INSPECTOR
OWNER TEL.,/ �S3`OaI
CONTR. TEL. /
CONTR. LIC. # S 3
H.I.C. It
PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
•uAo JJ
PAGE 1 i.
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 OWNER OR AUTHORIZED AGENT
FEE
PERMIT GRANTED
R
3 PROPERTY INFORMATION
LAND COST
EBT. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
OWNER TEL #
CONTR. TEL. #
CONTR. LIC. #
H.I.C. #
mUILDING INSPECTOR
2 1 RECORD OF OWNERSHIP JDATE BOOK 'PAGE
ZONE SUB DIV. LOT Np.
�)
LOCATION
EPURPOSEUILDINGOWNER'S
NAME
'
S SIZE
OWNER'S ADDRES
t
EMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST IND 3RD
BUILDER'S NAME I
SPAN
r� Okav
DISTANCE TO NEAREJBit ILDTN
,�+uli�
�
DIMENSIONS OF SILLS
_
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES — SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING
x
18 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 OWNER OR AUTHORIZED AGENT
FEE
PERMIT GRANTED
R
3 PROPERTY INFORMATION
LAND COST
EBT. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
OWNER TEL #
CONTR. TEL. #
CONTR. LIC. #
H.I.C. #
mUILDING INSPECTOR
1
BUILDING RECORD
\NCY 12
)RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
`ICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA -
ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CTION
INTERIOR FINISH
3 1 2 13
E _ _
VWD
STER _
WALL
rIN. — — —
B'M'T' AREA
ATTIC AREA _
PLACES —
ARN KITCHEN
FLOORS
B 1 2 3
ICRETE �—
TH
6v D ?, b
1MCN
i. TILE
C STRS. 3 FLOOR I_
WIRING -
RIORI–� POOR —
OUATE NONE
I PLUMBING
1 13 FIX.)
.ET RM. FIX.1
1
'ER CLOSET' _
MORY _
HEN SINK
PLUMBING _
'L SHOWER _
)ERN FIXTURES _ t'
FLOOR
DADO
HEATING
LESS FURNACE
:ED HOT AIR FURN.
M
W'T'R OR VAPOR
CONDITIONING
:ANT H'T'G
HEATERS
!TRIC
HEATING
I
4.
BUILDING RECORD
\NCY 12
)RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
;ICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CTION
1 ,
INTERIOR FINISH
3 I 2 13
E _ _
DW'D
STER
I WALL - -
?IN, - - -
FLOORS
I B 1 22 J 3
ICRETE -I-
IH
DW'D �-
IMCN _
�. TILE
1
'IC STRS. 6 FLOOR I-
I
WIRING
MOR POOR
OUATE i-1 NONE
PLUMBING
H 13 FIX.) _
'.ET RM. 12 FIX.)
IER CLOSET- _
ATORY _
'HEN SINK
'PLUMBING _
,l SHOWER
)ERN FIXTURES _
{ FLOOR
1 DADO
I
HEATING
LESS FURNACE
:ED HOT AIR FURN.
A
IW'T'R OR VAPOR
'CONDITIONING
CANT H'T'G
i HEATERS
iTRIC�
HEATING
j
I
1
PERM IT NO.' APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
-NO'
2 I RECORD OF OWNERSHIP JDATE BOOK 'PAGE
ZONE SUB DIV. COT
—
�
I
LOCATION
PURPOSE'OF BUILDING
OWNER'S NAME r
'
NO. OF STORIES SIZE
OWNER'S A D D R E S "
BASEMENT OR SLAB
ARCHITECT'S NAME i
SIZE OF FLOOR TIMBERS IST IND 3RD
BUILDER'S NAME f)
SPAN
/ F t� Lrr�4�ti— 3 �'� Li.�c
DISTANCE TO NEAREST B LDTKiYI
tt
DIMENSIONS OF SILLS
It_
'�
DISTANCE FROM STREETl
POSTS
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
Sit -NAI UHL OF OWNER OR AUTHORIZED AGENT -
FEE
PERMIT GRANTED
iB
13 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG, COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
)WNER TEL #
:ONTR. TEL. N
:ONTR. LIC.
I.I.C. /
.i
BUILDING INSPECTOR
mo
Yono�aa�102?4��oa�/�.
DBPARTNBAT OT PUBLIC SAYATY
COASTRVCTIOR SUPERVISOR LICEASE
Expires:
Birthdate:
Ruler.
' CS 055398 0410111998 04101!1951
Restricted To: 00
�
JOB Y BELLY
-- 154 AAIB ST
BYTIELD, AA 01922
11
Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
146 Main Street
North Andover, Massachusetts 01845
WII.11" J. SCOTT
Director
In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be disposed of in a
properly licensed solid waste disposal facility as defined by MGL c 111, S 150A.
The debris will be disposed of in:
-�70
(Location of Facility) L /Ip,, -3/ cif 6301/ a
Signature o e mit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for this
project through the Office of the Building Inspector.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530
HEALTH 688-9540 PLANNING 688-9535
A
KAREN H.P. NELSON
Digo,
BUILDING
CONSERVATION
HEALTH
PLANNING
Town of
' NORTH ANDOVER
C-6 DIVISION OF
PLANNING & COMMUNITY DEVELOPMENT
DEMOLITION OF BUILDING AFFIDAVIT
DATE 7 97
OWNER'S NAME` & ADDRESS
jn C) A) tc9 6 ►'�, � � ��n��a�Ci � /
120 Main Street, 01845
(508) 682-6483
C)
LOCATION OF PROPERTY TO DEMOLISH ,')o ct' f� �Z�
c
G/ &oud u)oc )" &'ref. 1-71,q I)%Y 2 L1
DEPARTMENT SIGN -OFFS
JDEPT. OF PUBLIC WORKS - WATER: c -Ll `&� SEWER: (T y
w
��,qq�I�
1G7 pasAfE-
1
TAXES
N.�
/7 L
POLICE
FIRE I I ea(2 (J &-,,- JJ `jam (� S �P �1 61C
EXTERMINATOR��
i l 'A0 l�
DUMPSTER - ON/OFF STREET W hInDC )CA -
DIG SAFE NUMBER
DATE RECD
L,,ceAe-e t, -,b- 0553y8
BLDG. INSPECTOR
l FROM : BAIN Pest Control
May 7, 1897
Corey Corporation
830 Broadway Road
Dracut, MA. 01626
MAY. 7. 1997 10:29 AM P 2
EXTERMINATING - Et1MIGATING - TERMITE CONTROL - SANITATION
MAIN OFFICE: 13Th MIDDLESEX STREET, LOWELL, MA 01951.1297
TEL: 15081152•%11 FAX: (5081 459-3194
RE: Whipper Will Berm (Silo Building)
Lacey Road
N. Andover, MA.
Dear Jack Kelly:
This letter Is to certify that BAIN Pest Control Service has
performed Rodent Control Prior to Demolition on Thursday May 8, 1997
at the above referenced property. Corey Corporation will be billed
$75.00 for the $110 Building.
Sincerely,
BAIN pest control service
Gary Graf
Service Coordinator
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