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HomeMy WebLinkAboutMiscellaneous - 125 HILLSIDE ROAD 4/30/2018 125 HILLSIDE ROAD 210/098.(-0033-0000.0 - ---- - - -,+< Location No. Date X–.S NORTN TOWN OF NORTH ANDOVER O��t� o 1h Certificate of Occupancy $ aw + °® g/Frame Permit Fee $ Foundation Permit Fee $ `—"'�`� 0 qr Permit Fee J 4 r Connection Fee $ � "AP `' er Connection Fee $ TOTAL $ 5�('/ i Building Inspector ~� Div. Public Works PERMIT NO. ® U I APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP h40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT NO. c ' LOCATION ` ' PURPOSE OF BUILDING 4666 OWNER'S NAME v GA NO. OF STORIES SIZE OWNER'S ADDRESS ( BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD i BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING 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 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 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG.COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ' 1} ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E O��•O. 0 PLANNING BOARD PERMIT GRANTED BOARD OF SELECTMEN n I�Q f 6T BUILD NG INSPECTOR T ' �l 6 D WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES 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 RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 t 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY V✓ALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ '/ V2 1/. FIN. ATTIC AREA _ N_O B M'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN L 4 WALLS I 9 FLOORS LAPBOARDS B i 2 3 _ /bROP SIDING CONCRETE WOOD SHINGLES EARTH _ PHALT SIDING HARDY✓'D _ - ASBESTOS SIDING _ COMMON _ VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I POOR ADEQUATE NONE ' 5 ROOF 10 PLUMBING GABLE I 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 II 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 OIL B'M'T 2nd _ ELECTRIC 1st 3rdNOI NO HEATING .ice+ c)ITIcaa Or.. Town Of, 'ril ILDING 01VFX1 A-NDOVL1.t r. tl� :�► t. ,, ., .�:;::••�, nc �;c:iFri •: •n �►I•ri�t (.ONtil:l lVj\'PION '" 1 1�'I:�I�►N ►t I►;1 711 it1'.►•I r — I'i.�\NNtN(; 111ANNING. & DE NILA'(W 11LN'1' •, , I::\I;Ia� i i:l'. Nia,tit )N. I )Iltla:l t )It CHIMNEY AI'I'LICAHON ANO 11RAIII' ATELl � 1 ! ERZ '1' rl )CATION U LINER'S NAM E: IV e-1 S 11ILDER'S NAME: ISON'S NAME: lV e--/.s o-..� ►' "t S o kSON'S ADDRESS:_} ISDN'S TELEPHONE: I JERIAL OF CHIMNEY: IFERIOR CHIMNEY: - LXI LRIOR C111DIIJLY: IMBER AND SIZE OF FLUES: FL —� b�, I�-------`— IICKNESS OF HEARTH: �T L c�.r �' �.... ��� �Le--1/LL -- ' :U ehininey aa Oiten.Caee ea►l(anm to Vie kequb(ci cii t.5 u() .the cute and have 41110 dill ,guta ,i.ow been kecelited: -- -- ,TE: lel GNATURE OF MASON: G✓ :Rb{IT GRANTED: % -S^ 3 FEE. 2,5, U 'BERT NICETTA _ JLDING INSPECTOR :SPECTEO: :DIARKS: SOLID BLOCK REQUIREU THIS PERMIT MUSF GC OISPLAYLO ON 111E i'iZ MISLS ''�?° -i°"se-'Y.-.r.•:yr:u.,,c--rhew:r,.•t�bW,b--9's,-r-,r,.,,�,FTF"'s::.1£A.F'a'R.-;"..—A.y+x- '-:1.��'f1a^'.:.....o<s a�s.,.�., E Location YI e� �t r No. - Date t f M0*4"OR71y - TOWN OF -NORTHANDOVER w ; Certificate of Occupancy }�o Building/Frame Permit Fee $ r< IT AcHusEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ o TOTAL $ _._ Building Inspeow 123.3-0 ,Div.,Public.Works, PE-RMIT NO. _8 APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA NIAP NO. LOT.NO. 2. RECORD OF OWN ERSIIIP DATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION 1196- /J��CJ��) PURPOSE OF BUILDING OWNER'S NAME /,�AN� �L`� �S S��� NO.OF STORIES .lam �,�/� SIZE � ��J � OWNER'S ADDRESS u���/{�L����� BASEMENT OR SLAB ARCI IITECL'S NAME Ol �2 SIZE OF FLOOR TIMBERS I /� 2 / �� 3 RD BUILDER'S NAME. SPAN 1O DISTANCE TO NEAREST BUILDING �r e £�� DIMENSIONS OF SILLS DISTANCE FROM STREET DIMENSIONS OF POSTS o`� x DISTANCE FROM LOT LINES-SIDES ,OREAR DIMENSIONS OF GIRDERS AREA OF Lar fRONTAGE HEIGI-IT OF FOUNDATION �� THICKNESS IS BUILDING NEW ���.:0 SIZEOFFOOTING a•, X IS BUILDING ADDITION AIM MATERIAL OF CHIMNEY IS BUILDING ALTERATION �� /i IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER y 5; BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER 5 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTUCTIONS 3. PROPERTY INFORMATION LAND COST EST.BLDG.COST (� `APAGE I FILL OUT SECTIONS 1-3 EST. BLDG. COST PER SQ. T. EST. BLDG,COST PER ROOM ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. ok ode ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY: PLANS MUST BE FILED AND APPROVED.BY BUILDING INSPECTOR BU ,I CTOR '000 DATE FILED f OWNERS TEL# (<i CON"IR.TEL# T,� CONTR.LIC# SIGNA URE OF OWNER OR ArTIl -)AGENT �_� H.LC.# FEE $ �� PERMIT GRANTED 19 w •ice' + .:.�x a _. _ g _Rr �'E°�INSPECTION -AN N'O HERRin in Tom N ASSOCIATESor - aTURNPIKEaSTREE,T N ANDOVER, Mkll fT L (50BJ 975 7117;.FAX.�;(50B1 J�.668-6060 yu °Kv eE YL.ti .hr . a 7 r. ►QI9MSMIi FRAW 6 ALICE PIEssme "JR. ,. ': * DELA REF.. 1294 / 0151 LOCATIANiC 12V HILLS EMADPLAN' "PLO 6650 TY, 8TA7�'-° NORM ANDOVER MA 3CALE7 .:1- 50 DATE'' 4 �. y 4-- r 941'0 1723 ------ .. —�... _ - 77. 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EMC'�EMEME MEN NNE ■ E a 1111 1 E■NE ■■■■■ ■E■■ 1 EE NAME NM � FIEND EM'�EMEN EEMEN EM ONN1 ■ l _ ..�'� ■EEM■ M DEO■ ■�� - �..��.r� �,..� '� ■■M■■■■NNE ■M■ MEN 11 ■�tra ■� MESE■■ME 111/■■■MEMO■MMMEMI ME■EM� �O.1 MO ;.... � ,� MME MENMMMOMMEMMI ME■■ME■ 1 EN��■ ENi�i�E1 ME■■MM■NNOE MEN E No,MEN ■N■ . on N■N■E■■EME I IN EMI ■OM O t ■■ ■NOM■■■N■■ EN■E■■■■■■ME M■O1 NMM■NI = ME ■ ■ ME ■111111■■■MOI MINI .. !!'' ONOMMMMMEME NEE SEEM ■■ ���� � _---#_ ME■■SEMI ■ NEE 7E■■■■On MENOM 1111111 O IN MINES ■ONE■O■■■EMEMNEMMEM■EMOMEEMI IN ONEOMM■■ A SOME MEM■MM■SEEMS EOMMOMMEMMEEI MENOMONE■ ■M■■M■MMM■■MM■■M■■M■M■M■OMI� ■ ■■■NOONE�O NM■■■MM■■■MMMO■■■■■FMN■■MMOM■MOI DEEM■MOO■■■■■■N■MMMEM■MMM■■■MME■ FORM U - LOT RELEASE 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** J APPLICANT tRA� k621 VPIHONE /LOCATION: Assessor's Map Number JPARCEL SUBDIVISION LLOT (S) ,STREET rGL S��� is T. NUMBER *** ****** *************** *******OFFICIAL USE ONLY*** * ************** ********** MENDA .10 S F TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS l TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS i FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED i SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED I COMMENTS PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE r a 26 - a ' l F OR 0" 0 of over . dower, Mass., S' 1948 o _ LAXE . '916 _C CCNCMEWCR .9S oq T pay ��,j • `G BOARD OF HEALTH PE� KMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT •S S� V S .................. Foundation g �'L.�.��.4ia.t.Q.'............................ Rough has permission to erect....... -fid./......./..Q�!.. buildings ...:l..Z...�i ........ to be occupied as 1 Z / .,,, 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 Final PERMIT EXPIRES IN 6 MONTHS } ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S Rough ........................ ................... .......................................... ...... ... ...... .... . Service B DING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be. Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Cmnlrp 11ot F _ ,."`u,:'.+.,,'/^,`•tiw :�oKF`!ti�'M^�s'i!"J(7/r"/Y^ ;/.^'„J�P' .3ta `1�.'*+aaT.��._..-,...,.Yyrr:a+.�•.s ",.T_.. �- Location 4. No �� Date —f �T TOWN OF NORTH ANDOVER 6 0- Certificate of Occupancy $ # i Building/Frame Permit Fee $ Foundation Permit Fee $ mer Permit Fee $ _ Sewer Connection Fee $ Water Connection. Fee $ r `TOTAL $ .� J Building Inspector 06j1I/h6 13 P 3560 . RAID �:> Div. Public Works PERMIT NO. APPLICATION FOR PERMIT TOVUILD — NORTH ANDOVER, MASS. PAGE MAP d�0. bo I LOT NO. 2 RECORD OF OWNERSHIP I('DATE� BOOK ;PAGE;PAGE — ZONE 3 SUB DIV. LOT NO. �- �K LPCrC s`��5 1 � I � 1f ILLS 16 /N S TALL /0� di 1�sL LOCATION PURPOSE OF BUILDING OWNER'S NAME ,Q y�n 1 J 3/' G� C��N NO. OF STORIES �,I � SIZE -. -- - _ OWNER'S ADDRESS i G1 f , jC�%�'� \�,,per.r/J BASEMENT OR SLAB e f ARCHITECT'S NAME AJ +JA SIZE OF FLOOR TIMBERS /1�SST 2ND 3RD _ BUILDER'S NAME f•r A�a - SPAN (J T&CA-)b 5/9-" t �°P s/ - - DISTANCE TO NEAREST BUILDIdd - DIMENSIONS OF SILLS T -416 - DISTANCE FROM STREET sJ�'-�� - •' " POSTS A '/� DISTANCE FROM LOT LINES'-SIDES •a� �dp2EAR 16D " GIRDERS 1✓ AREA OF LOT �1 70C/ ca .T FRONTAGE vv HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW /O Cf SIZE OF FOOTING X IS BUILDING ADDITION O o MATER:AL 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 `,J EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 - - EST. BLDG. COST PER ROOM - - - PAGE 2 FILL OUT SECTIONS 1 - 12 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 IL D - BUILDING INGPECTOI SIGNATURE OF OWNER OR AUTHORIZED AGENT t FEE Z OWNER TEL# PERMIT GRANTED - CONTR.TEL✓f 19 CONTR.LIC.# II H.I.C.# i � 1 . t BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SrpRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICESLOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION Q FOUNDATION $ INTERIOR FINISH CONCRETEB_ 1 2 13 CONCRETE SL K. PINE BRICK OR STONE HARDWD PIERS PLASTER _ DRY WALL a - UNFIN. ` 3 BASEMENT I ` AREA FULL FIN. B'M'T' AREA FIN. ATTIC AREA = BMT FIRE PLACES HE — HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS 8 1 2 3 . DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD%tJ'D _ ASBESTOS SIDING COMMCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 3 FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING _ STONE ON FRAME SUPERIOR POOR ADEQUATE I� NONE rj 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 STAR & GRAVEL_ STALL SHOWER - - ROLL ROOFING MODERN FIXTURES TILE FLOOR TILE DADO g FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 COLS. STEAM STEEL BMS. 3 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING - RADIANT H'T'G _. -. ..:.....- UNIT HEATERS NO. OF ROOMS GAS pll B'M'T 2nd _ ELECTRIC 1�t 13rd I NO HEATING t � NORTH F Tov, ® OL dover' JK cy.t} h �o c r dover, Mass., A_ COCHICHEWICH A0RATE0 P` � P '�CJ S BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........................... ..........1.-:.�. z�... 5 .�4�.. ...................................... """""' Foundation has permission to erect.........FP.0... ............... buildings on ........1.Z.. .......143... .. x........ ....... Rough t to be occupied as......:.....` .....�`....Z7....... Dltn!D......`- . ��1.�13 ........�`-'�.a ...................................... Chimney provided that the person accepting this permit shall in every res pec conform to the terms of he 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, S ELECTRICAL INSPECTOR Rough ....................................... ......... ........ ............................................... Service B LDING INSPCCTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough p Y P Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. a �ORTIy F Town of 0 dover y�. - �i�o J �� K �r dover, Mass., 19 � COCMICMEWICK 2 O � `G - - - .1 A RATED 5 BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT........................... ..........1.:..�. zf's... S. .tl .. ......................:................""""" / Foundation has permission to erect......... 'o.v...�............... buildings on ........LZ.S.......143...�..1..-5.�..Q ... .... Rough to be occupied as yf �` Z7 o�tD `1 14 ?•�L3 •.,•.•••('���•o!. Chimney. ........................................................................... ....... .. ..................................... provided that the person accepting this permit shall in every respec conform to the terms of he 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 ST TS ELECTRICAL INSPECTOR Rough ............................................... Service B LDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises Do Not Remove Rough p Y P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det. I I 0 N In 6 woo -LT A. Imo© To THE (_Dil7itsi Dmnlnvees' FPc� al C -e Union ) AM ITS TITLE INSURERS MORTGAGE INSPECTION PLAN 1 CERTIFY THAT 7w BUILDINGS SHOWN DO ( ) CONFORM TY) SETBACK REQUIREMENTS LOCAM IN I.E. (FRONT, SIDE, h REAR SETBACK ONLY) OF Nortl1 Andover WHEN CONSTRUOTED, OR ARE EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. C.L TITLE \14. CHAPTER 40A, s[onoN 7, UNLESS oTNERVASE NOTED. MASSACHUSETTS I FURTHER CERTIFY THAT THIS PROPERTY IS I10t0CATO THE ESTABLISHED FLOW HAZARD ARE HAZARD PANEL NO.: 25009 IppII OD 000 DATE: 6-2-93 DEED ''•• THIS,COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED BOOK 4053 DATE OF THE LATEST DEED OF RECORD, PAGE _ 33 WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM THE PROPERTY UNE IT IS ADVISED THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENT, 1 .. CERT. N0, THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY MMARXERS'OF 19THERS, AND DOES NOT PLAN BK. PAGE RSBe T A PROPERTY SURVEY. VERIFICATION OF SURVEY,MMKERS US€D, AND OFFSETS, AS SHOWN. 6 60 MAY ACCOMPLISHED ONLY BY AN ACWRATE, INSTRUMIAT,SURVEY: ,:;� ': ."-:� PLAN / DATED THIS CERTIFICATION TO BE USED FOR MORTGAGE PURPOSSS'ONLY. OFFSETS AS SHOWN ARE,. NOT TO.'BE 4c:USED FOR THE ESTABLISHMENT OF PROPERTY.-LIRES SCALE: T i� BRADFORD. ' ENGINEERING CO --�--=- P.O. Box 7244 JA/!ES W. AElll(`I(1IIKAS n i c nnenn HAVFRHILI MA 01831 BUYER: Frank 11. Piessens, Jr, ' et Alice A. Pi_essens Z Op. 0 N In woo 4 1 s A TO THE (_- Diaitgl Emploveps, I f d- , i t Union AW ITSTITLE INUWS. MORTGAGE INSPECTION PLAN I CERTIFY THAT THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REOVIREMENTS LQCA7M IN LE- (FRONT. srDE, ! REAR SETBACK (NIY) of Pdor�;l Andove TITLE W�AP�� SlEOTION 7.ARE Em7TU�oTMERMSE NOTED. OT D. ACTION UNDER Miss. c.t_ UAtCAPUI ler,-rt% FORM U - VERIFICATION 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: APPLICANT: f/�A) &169- z g,5 Sgt S Phone LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street St. Number ************************Official Use Only************************ I RECOMMEN ATIO S OF TO AGENTS: w Date Approved Conservation xA/dministrator �1Date Rejected Comments - W fts Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved eptic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date No,. 02.1 Date *ORTM TOWN OF NORTH ANDOVER C? o e O� _- F A Certificate of Occupancy $ Building/Frame Permit Fee $ • o Foundation Permit F e $ Other Permit Fee f $ � Sewer Connection Fee $ ' Water Connection Fee $ TOTAL /x ~ �21 03/31194 09:45 Bi�� Ins}pHec� tor. 7091 Div. Public Works PERMIT NO. J 7 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. L//PAGE 1 MAP d40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZONE SUB DIV. LOT NO. LOCATION A j�J /� PURPOSE OF BUILDING OWNER'S NAMEA�f�b �_%�In�l�•� �[ (/ NO. OF STORIES U SIZE OWNER'S ADDRESS �., /) BASEMENT OR SLAB _ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN -- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR "' GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS r 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 i IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. d EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. .tel. 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_ �(� BOARD OF HEALTH SIGNATURE OF OWNER OR THOR E AGENT FEE O PLANNING BOARD PERMIT GRANTED OWNER TEL.# CONTR.TEL.#- z 19 CONTR.LIC.# 1 � BOARD OF SELECTMEN BUILDIN 1 SPECTOR _s BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES 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. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UN FIN BASEMENT AREA FULL FIN. B M AREA _ 1/1 r/] 1/. FIN. ATTIC AREA _ NO 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS II 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE ��_ WOOD SHINGLES EARTH RTH ASPHALT SIDING HARD"J D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I I POOR ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) _ FLAT I 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 II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 8 COLS. _ HOT W T OR VAPOR 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 1 3 NORTNd Town of �� gAndover .� L M,.;:: to No. 071 ° r ` '� �'1 �. Ax *: dover, T O - LAKE ' Mass.' NI�e�Yj 19 PIF 1. COC�'CrEw'CK �� ADRATED BOARD OF HEALTH I LD PERMIT To Food/Kitchen Septic System BUILDING INSPECTOR . ,....L. L.....w .0�. 4. 0 THIS CERTIFIES THAT................ Foundation has permission to erect.... buildings on ..�rS.. .���I...�w..L.! �I ..�. ............... Rough to be occupied as.......XAF.94..Q/c.,Q. .X...J.. .A1 i , ... �/ 4 IY�I .�. Chimney provided that the person accepting this permit shall in ever respect conform to the terms of the application on file- P P P 9 P Y P PP 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 UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR W/�7 Rough ......... .. ..... .. ... .... ............. ... ............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building. GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove F naih No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/ MATE" FINAL DRIVEWAY ENTRY PERMIT Office Use Only - : 014e Lfommonwr# of 1Ra99ar4U5Z##o Permit No. �/ "l,)•C! 43epartment of Public —Aafetg Occupancy& Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (X* or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) /aZ) 11l a-`S I D�c 02� mo i�N�dUE/Q n�f� Owner or Tenant 4- &t C i1. ! v fl s e N� ANS 0 2 �Ut icy �� Owner's Address ��s � r""`� 4 Is this permit in conjunction with a building permit: Yes C� No ❑ (Check Appropriate Box) Purpose,of Buildin /A-'S`�iLc 147/O/J DY 11 9b� Utility Authorization No. P 9 Existing Service! CK:Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures SwimmingAbove In- Pool grnd. grnd. ❑ I Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and 9 I tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I Space/Area Heating KW Detection/Sounding Devices Municipal No. of Dryers I Heating Devices KW Local ❑ Connection ❑Other No. of No. of Low Voltage No. of Water Heaters KW I Signs Ballasts Wiring No. Hydro Massage Tubs I No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES NO = 1 have submitted valid proof of same to the Office. YES = NO _ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE _— BOND - OTHER —_ (Please Specify) (Expiration Date) Estimated Value of Electrical Work 5 t Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: FIRM NAME ,r LIC. NO. License N'G Signature LIC. NO. 22 r Bus. Tel. No. `✓�f'C' I. No. �J G e i Address ✓ f �✓� �� 9N Alt. T OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owne Agent 1. e the k\on bUo�D /' v1 1L—J'I�Tt�e.� 1 ♦aA d ,_.. �1 Telephone No. PERMIT FEE 5 .� gnatu e of Owner or Agent) x-6565 yyA�••—Pr'`y,�. �-_tiWKrww.'.+A'."wv,�..-,-�h«'z !';i°17f,�F ��hi'jF'�„tyLf.-•-,�-'V.-*{iiyd'Ei.':.yi✓aysWrE 266 � - ,,ORTH - TOWN OF''NORTH ANDOVER - I ._ - „ PERMIT FOR INSTALLATION ' 4SSAC HUSEt - This certifies that .:L : .y JrCi. cJ�/ kR has permission for �ga�'fnstallation �'� in the buildings ofe at S : . .4} `.S+ ll�: Y :. . . ., North Andover; Mass: Fee�3:�'v0 Lic. . . . . . . .. D GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File