HomeMy WebLinkAboutMiscellaneous - 12 Adrian Street �" I �� � DR1� t'1 STo
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Location
No. r Date
i "ORT" TOWN OF NORTH ANDOVER
0- ,. A Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
s�tHus
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Other Permit Fee 1 0, $ S,
Sewer Connection Fee $
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`taxer� onection Fee $
TOTAL $Iv �-
1991
Building Inspector
Div. Public Works
dovei C011eclop
PER11I9*N0. �82/ APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1�
NGIP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE
I ZONE I SUB DIV. LOT NO.
I
LOCATION C PURPOSE OF BUILDING I/ .1.
p-2. -$ Lt � \ CU MMi'L Kt:fM!jsL4 `pS-p
OWNER'S NAME ba M NO. OF STORIES SIZE ?.d CX
OWNER'S ADDRESS /`A 6) !2tL lot BASEMENT OR SLAB I
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME SPAN
I
DISTANCE TO NEAREST BUILDING ^a I DIMENSIONS OF SILLS
DISTANCE FROM STREET C`.Q I "' POSTS
DISTANCE FROM LOT LINES-SIDES REAR GIRDERS
AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW A`o SIZE OF FOOTING X
IS BUILDING ADDITION {` MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND L b
I
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 ?4e
INSTRUCTIONS
3 PROPERTY INFORMATION
1 i
-f LAND COST
SEE BOTH SIDES 1 ��/(�(�M / I(b��� , EST. BLDG. COST
PAGE 1 FILL OUT SECTIONS 1 - 3
I-c � L� EST. BLDG. COST PER SQ. FT.
PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM '
I
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 S(l0 ♦/F"n1 I
el BOARD OF HEALTH
SIGNATURE OWNER OR AUTHORIZED AGENT
OWNERTEL#GSr, &Ll
F E E So CONTR.TEL.#
CONTR.LIC.# PLANNING BOARD
PERMIT GRANTED
91 19
BOARD OF SELECTMEN
i
BUILDING INSPECTOR
_... _ O R TSH �..�:.m.ar" ... ■r ■�! ....
Town of
e e� �_ ,..... 6. OL ®Ver
0
No. 182
DRIVEWAY ENTRY PERMIT
_ A K er, Mass., 197/
C MI ME WICK
A \V
ME
Ego
Min T rC
oR Pa
S077 R S LD
i BOARD OF HEALTH
THIS CERTIFIES THAT...........Gim.t94w. ....�oh ..4P4............................
!•'�'1 BUILDING INSPECTOR
has permission to�....Z .!',�.C.*4 �buildings on .11-:....*D RYA.A)..... ..... Rough
Chimney
•. ..............
.,,,r,,, Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough
Buildings in the Town of North Andover.
Final
VIOLATION of the Zoning o ing ul ons Voids this Permit.
PytES IN 6 MONTHS ELECTRICAL INSPECTOR
Rough
O UNE C STRFJjZV) Service
` • • .... . . _ Final
BUILDING INSPECTORGAS INSPECTOR
Oc cyPermit Requircupy Building Rough
Final
isplay in a Conspicuous Place on the Premises
Do Not Remove Burner FIRE DEPT.
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector
OFFICES OF: or; .• ti Town of
APPEALS NORTH ANDOVER
BUILDING 1.11 1,;( Ilaia,i I ;
CONSERVATION �s "°B`4 1)[VISION OF i 1 7)011;'17 75
HEALTH
PLANNING PLANNING & COMMUNITY UI;VELOI AIFNT
KAREN I I.P. NI:I_tiON, l)IlilC]()It
i
accordance with
N the provisions of Mc:u
GL c 4U• S 54, a condition of Duildinl; Pnit
Number 18� is That the debris resuhing Irom this work shall he
disposed of in a properly licensed solid waste disposal lacility as defined by MGL c I H, S
' 15UA - i
The debris will be disposed of in:
(Location of Facility)
Sib
r tune of I'Milit Applicant —_---
Uatc
v
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.