HomeMy WebLinkAboutMiscellaneous - 1427 GREAT POND ROAD 4/30/2018 (2) / 1427 GREAT POND ROAD
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HORTM TOWN OF NORTH ANDOVER
„ Certificate of Occupancy $
uilding/Frame Permit Fee $
,ssAg ,q�,rD0� ,,dation Permit .Fe $
Other permit Fee $ v
Sewer Connection Fee $
�,&vajg,6onnection Fee $
TOTAL rG d
$ ....-
Building inspector
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6216 Div. Public Works
-.2,<-9 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. C/PAGE 1
MAP R40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK :PAGE
ZONE I SUB DIV. LOT NO.
OCATION PURPOSE OF BUILDING
W R'S NAME,7Ori+ NO. OF STORIES SIZE �,( ��
i
WNER'S ADDRESS /C�f BASEMENT OR SLAB - .��
10,
ARCHITECT'S NAME ih SIZE OF FLOOR TIMBERS ISI 2ND 3RD
UILDER'S NAME SPAN --
DISTANCE TO NEAREST BUILDING 7 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
AND COST
SEE BOTH SIDES
EST. BLDG. C08TLl
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER!C. FT.
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
r
SEPTIC PERMIT NO.
t ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
7AT
S MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
4 I
tmBOARD OF HEALTH
SIGN T RE R AUTHORIZED AGENT
FEE v
PERMIT GRANTED
OWNER TEL. / PLANNING BOARD
CONTR.TEL.#
t9 CONTR.LIC.#
BOARD OF OnACTMEN
�i 02 � 6 IYILDING INIPRCTOR
(/�
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 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDWD
PIERS PLASTER _
_ DRY WALL
UNFIN.
3 BASEMENT 11
AREA FULL FIN. B M'T' AREA _
14 1/1 14 FIN. ATTIC AREA _
N_O B M 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
SUPERIOR II POOR •s
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH (3 FIX.)
GAMBREL MANSARD TOILET RM. 12 FIX.)
FLAT SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY -
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER
ROLL ROOFING I MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN. -
TIMBER BMS. 6 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 1-3,-dj 11 NO HEATING
Town of North Andover L
BUILDING DEPARTMENT
Homeowner License Exemption
(Please print)
DATE 3
JOB LOCATION q)-7 61ecelwetl;
Number Street Address Section of town
"HOMEOWNER" ae X053;2
------
Name ome Phone Work Phone
PRESENT MAILING ADDRESS re
City Town State Zip code
The current exemption for "homeowners" was extended to include owner
occupied dwellings of six units or less and to allow such homeowners to
engage an individual for hire who does not possess a license , provided
that the owner acts as supervisor. (State Building Code , Section 109 . 1 . 1)
DEFINITION OF HOMEOWNER:
Person(s ) who owns a parcel of land on which he/she resides or intends to
reside , on which there is , or is intended to be, a one to six family dwell-
ing , attached or detached structures accessory to such use aid/or farm
structures . A person who' constructs more than one home in a two-year
period shall not be considered a homeowner. Such "homeowner" shall submit
to the Building Official, on a form acceptable to the Bulding Official ,
that he/she shall be responsible for all such work performed under the
building permit . (Section 109 . 1 . 1 )
The undersigned "homeowner" assumes responsibility for compliance with the
State Building Code and other applicable codes , by-laws , rules and
regulations .
The undersigned "homeowner" certifies that he/she understands the Town of
. North Andover Building Department minimum inspection procedures and
requirements and that he/ e will co ply with said procedures and
requirements .
HOMEOWNER' S SIGNATURE .
APPROVAL OF BUILDING OFFI IAL
Note : Three family dwellings 35 , 000 cubic feet , or larger , will be
required to comply with State Building Code Section 127 .0, Construction
Control .
OFFICES OF: Town of 120 Main Street
APPEALS
::; NORTH ANDOVER North Andover.
BUILDING '4'�::.:rr Massachusetts O 1845
CONSERVATION
TfON � � DIVISION OF (617)685.4775
HEALTH
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, 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:
(L.ocation of.Facility)
Si nature of Pe t Applicant
Dale
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
NORTIy
TE
0 over 0 �
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No. 2 5
20� OCLA dover, Mass., ti wI 19
CHIC
0RATEO
H G BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT............Se..1 .11A.y
..................................................................................... Foundation
hasP ermission to erect-0.10 00.0.... buildings on ....4V401.�...�. i .�i�.�iO• Rough
t0 be occupied aS.... r. � f �. .t ..1 ...... �.. . ,.. iIL�.. ...�.r. ........... himn y
C e
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 STARTS ELECTRICAL INSPECTOR
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
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det..
CFIAIFR /%NATFR FINAL 4 7 /A DRIVEWAY ENTRY PERMIT