HomeMy WebLinkAboutMiscellaneous - 143 HICKORY HILL ROAD 4/30/2018 143 HICKORY HILL ROAD
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L$T 11 j
Location a 1 lI
No. -3 Date /-Z/2
NaRTM TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
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Building/Frame Permit Fee $
CNUSS Foundation Permit Fee
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Other Permit Fee $
�4 q Sewer&,o vection Fee $CI
Z J.3 Water Connection Fee $
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e{`��,;�°• Building Inspector
��. Div. Public Works
PEWMVi N04s5�3 X APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. 6-#'Va 3 PAGE 1
MAP +40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE
ZONE _� I SUB DIV. LOT NO. -7.FmAx
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41" �'.
LOCATION rl ` PURPOSE OF BUILDING R QrXrt IAL j l/ji6ir AAI
OWNER'S NAME !,, ' NO. OF STORIES SIZE ' /
OWNER'S ADDRESS r/ jjAr�,.,,,.,. w � L��•y�,A „ •11 y �I,('�L nA�Q� BASEMENT OR SLAB }��S�A�F���
ARCHITECT'S NAME!r lf�L/J i� J../C� bF W 1f _TPl + SIZE OF FLOOR TIMBERS IST k 2ND'7 3RD
` - j 7�it� �x�C,�
BUILDER'S NAME SPAN
DISTANCE TO NEAREST BUILDING -+- 16,0
DIMENSIONS OF SILLS11 ---
DISTANCE FROM STREET '+73o" POSTS
DISTANCE FROM LOT LINES-SIDES t n zil REAR f t so� GIRDERS([ �d y(Jo(�C �Ol► �/
AREA OF LOT '��'�I I-3 q • FRONTAGE i 6o f HEIGHT OF FOUNDATION`7 stTHICKNESS ®JI
IS BUILDING NEW /'�� SIZE OF FOOTING I X
IS BUILDING ADDITION MATERIAL OF CHIMNEY K
IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND Or-p
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER v� 1-
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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 ,,..11
SEE BOTH SIDES EST. BLDG. COST �; ./�..d �u7.�IJV
PAGE 1 FILL OUT SECTIONS 1 - 3
PERMIT FOR FOUNDATION ONLY EST. BLDG. COST PER SQ. FT. loo
PAGE 2 FILL OUT SECTIONS 1 - 12 REGULATED BY PARA: 112.7 S.B.0 EST. BLDG. COST PER ROOM �•� <�
DATE: FEE PAID: SEPTIC PERMIT NO. s�
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED B
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
•
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE EFILE 1�Alq
i
0 44c BOARD OF HEALTH
SI NATURE OFQWokEff OR AUTHOffllED AGENT
OWNER TEL. ! S- 6
FEE . �S<O d-� CONTR.TEL.Hwa`
CONTR.LIC. �s�',�'�// PLANNING BOARD
PERM GR NTED
2?
O BOARD OF SELECTMEN
(� PLXgMIT, FOR FRAMUBUILDING i r 0..66Z
FEE PAID:-_ w BUI CTC
BUILDING RECORD
1 OCCUPANCY 12 i •' C 4 '
SINGLE FAMILY S- RIES THIS SECTION KLIST 4HOW EX`AC'F' 8*80&-OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES _ LOT LINES•,AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES. ETC. SUPERIMP05L'D.'TAl LOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE _ 3 1 2 I,_
CONCRETE BL'K. PINE
BRICK OR STONE HARDW D —
PIERS PLASTER
YJALI
UNFIN.
3 BASEMENT 11
AREA FULL. I FIN. B;M'.TAREA _
'h r/] '/, FIN. ATTIC AREA _
NO B M T FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLSg 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 _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING `
STONE ON FRAME _
SUPERIORI__� 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 `
SLFTE NO PLUMBING
TAR & GRAVEL STALL•SHOWER _
ROLL ROOFING I MOQERN FIXTURES
TILE FLOOR:
TILE DADO
6 FRAMING 11 HEATING
WOOD JOISTPIPELESS FURNACE J ,
FORCED HOT AIR FURN.
TIMBE S &COLS. STEAM
STEEL B & L 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
1yy l�l 3rd NO HEATING
4
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FORM U_ j
TOWN OF NORTH ANDOVER ;
LOT RELEASE FORM
SUBDIVISION
33 is
ASSESSORS MAP (r
SUBDIVISION LOT(S) LOT
PERMANENT ADDRESS (ASSIGNED BY .P.W.
STREET ,-
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APPLICANT T o^,al .- 0 f}A , W 4 ko PHONE -373 174
DATE OF APPLICATION i
TOWN USE BELOW THIS LINE
PLANNING BOARD
DA'L'E APPROVED 4LI 11
T01K PLANNER"—- DATE REJECTED
CONSERVATION COTIRISSION
C ?� DATE APPROVED 12 1
1 �
CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEALTH
DATE APPROVED
HEALTH 'SANITARIAN DATE REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Boards,
the Conservation Commission prior to the issuatice of any building perillits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
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Memo
TO : Bob Nicetta
FROM : Richard Doucette---
DATE : December 18, 1991
RE : Hickory Hill Estates
I forwarded a memo to you yesterday notifying you that I would
not authorize any building permits for the above subdivision.
Please be informed that I will be reviewing each lot individually
and will require a site plan with grading for each lot.
I have reviewed the site plan for lot 11 and that building plan
is hereby approved by this office.
1814q� i,
LBUILDING D-EFIAR`FoC
ENVIRONEERS INC. N,CKoRY NIU-'ZoAD.N•QNooVV-R, >N�A
ALFRED A. SHA13009 P.E.
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P.O.Box 516,160 Pleasant Street,North Andover, MA 01645 • (506)663.3993 T
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flici<o,
RY_ l ,tCSRTIF E:b N'�ATiow �AN
�ANvARY^ 1g'�12.-- !PcALE:
kujU,,
jar 7UVIEW
N I CERT Y THAT THE __
OFFSETS SHOWN C;ONVORA
GC ass J I O Tf-Ifi �O N IN6 Y'.�
AY�t-S-. _..
G'Ft Ess N ti M
- 3 OF N CMT44 A NDov ER. /-. 1A►- .---- ---'
uTILI T"! C. $... 00Q ♦
�ASEMENT M Sh OFFSETS SHOWN "CRE
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FORMITY. �~
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+> NORT11
Town of A
No 534
E er, Mass.
je 2 7 1 g`
oR� P
BOARD OF HEALTH
.PERMIT T LD
THIS CERTIFIES THAT..70-u-0 T..'..1 ..... .1...... ..........
r�� BUILDING INSPECTOR
has permission to e1�M� Q. � UKildings on7. x,,, /,, .. ir(L......... e47Rough
1 .. .../. A.)//.4►�/ .D*Jf�.exuwa.
to be occupiedas.jW� A. ..... •••••••••••••••••• ChimneyFinal
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. PERMIT FOR FOUNDATION ONLY Final
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA: 112.7 S.B.C.
PERMIT EXPIRES IN 6 MONTHS DATE: 12-27 ELECTRICAL INSPECTOR
Rough
UNLESS CONS=TRIN STARTS Service
PERMIT FOR FRAME/BUILDING Final
�_�L/ 9 V BUILDING I SPE OR GAS INSPECTOR
DATE 77_._._____Z'FEE�AIDN= Rough
cc.upancy Permit Required to Occupy Bui1c fE W�I�T FEE/ yo. op
IM FDA i�'�.400. 00 Final
Display in a Conspicuous Place on the Pre PERMIT; so. ov
FIRE DEPT.
Do Not Remove Burner
" 'f) Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector
Aph 9ko
ORTly
own o < < 6 ndover
No 534 O.K , o
r K ►no er, Mass.,
27 10"
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Cc.H c.HE WI K a`�
qF P
! s s BOARD OF HEALTH
PERMIT T L 0
THIS CERTIFIES THAT.?#4".R ........Zt...... W. -V J W..0... . .....
has permission to MOOD A& buildings on1. v3.f4Af K.W)f Wa.......1-11<0711 =Chimn/Z7 O '
. IN6� .FAM.1i/.�►�/......�' I ` " L 1�.to be occupied as ..................
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in r
M IN ISIS CTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of ough y�7 %
Buildings in the Town of North Andover. iri
PERMIT FOR FOUNDATION ONLY !/
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA: 112.7 S.B.C.
PERMIT EXPIRES IN 6 M 0 N T H S DATE: 12--2 7 FEE PAID: /00 !�- ELECTRICAL INSPECTOR
UNLESS CONSTR T I N STARTS
Flo
e
f
PERMIT FOR FRAME/BUILDING
Final
�
I_' _ 2F
BUILDING I SPE OR
GAS NSPECTOR
DATE: O
ccuPaPermit Required to Occupy Bud( .PEMEE 6/0. 00
LamFDA Fi
�
Display in a Conspicuous Place on the PreDm
PERMIT�• `O'oAt
FIRE DEPT.
Do Not Remove war, �e�
4
4
No lathing to Be Done Until Inspected and Approved b PR �
g � � P _ PP Y Smoke Det. �
Building Inspector (J
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CERTIFICATE OF USE & OCCUPANCY
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Building Permit Number 5 3 4 ( 19 9 1 ) Date MAV 27 , 1 9 9 2
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THIS CERTIFIES THAT
THE BUILDING LOCATED ON LOT # 1 1 H I C K O RV HILL ( 14 3 ) {
MAY BE OCCUPIED AS SINGLE F A M I L Y DWELLING IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
OF NORTH q"
CERTIFICATE ISSUED TO Thqoxa4 D . Z a h o 4 u i k o
Wo hand Paitk Dn .
ADDRESS A a v eA ti . M '
SSACHU5S 5
Building Inspector
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Date. .06
"oaTM TOW, 1[�QF' ORTH ANDOVER
o� Sao
PERMIT FOR PLUMBING
41
SSACMUS� - 1
This certifies that ./. . . . . . . . . . . . . . . . . . . . . . . . . . .
has permission to perform .. -� . ... --}��
plumbing in the buildings of . . . . . . . . . . . . . . . . . .
at /y3 . s��-r_ !�'�*i1 . . . . . . . . . . . , North Andover, Mass.
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Fe+ �$ . Lic. Nok . .` 71. f . . . . . . . . . . . . . .
.��yYry
PLUiN81' � INSPECTOR
Check
7123
'MASSACHUSETTS UNIFORM APPLICATION FOR REKNIT TO DO PLUMBING
(Print or Type)
fp A120-1 NO 0✓e Mass. Date Permit# /�
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Building Location LL Ownert Name tJOpj, 710
Ty/pe of Occupancy- _ /�s_i.D�---71414-
New
1✓1New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No O"!
FIXTURES
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Nz Y <
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W Y J 40
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O 4 !- O S a N �. 39 0. O r = _ < W M Y W
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< O < .6 .� < C ¢ < O < r
SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
9R0 FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
Installing Company Name Check one:. Certificate
Address \\Z) .
❑ Corporation
❑ Z
hip
Business Telephone L��• Co.
Name of Licensed dumber
INSURANCE COVERAGE:
I have a curre�t 1�' Yinsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes LtY No ❑
It you have checked +Les. please indi to the type coverage by checking the appropriate box.
A liability insurance policy Other type of Indemnity ❑
Bond ❑
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement,
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- - ,�natuta 2i » Arhar _
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1 hereby certify that alf of the details and information 1 have subtrutted(or entered)in above application are true and accurate to the best of my
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knowledgeand that all plumbing work and installations performed under the permit issaed for this application will be in compliance with all
pertinennttprovisions of the Massachusetts State Plumbing Cod®and _ ,4��3t=the.£eneraf_
TTitfe Signatureo Lcenaed umber
it ill ,... - Type of License:Masterb-----,� joumeymw I7 1(
PERMIT #: • ""�+ / I
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LOCATIOPLOW FOR OFFICE USE ONLY I
FINAL INSPECTIONS
, I
I SKETCH A DATE: II�
FEE PROGRESS IIISf.� (TIONS
NO.
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APPLICATION FOR PERMIT TO DO PLUMBING
--------------
HAM"A TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
l;l
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PERMIT GRANTED b
i DATE
id
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PLUMBING INSPECTOR
Date. �. . . .06. . . ...
,AORTH
3� TOWN OF N 7RTH/ANDOVER
PERMIT FOR GAS INSTALLATION
j a y +
o••• q9
CHUSEt
This certifies that . .,:., . . . . . . . . .
has permission for gas installation
in the building/sof . . . . . . . . . . . . . . . . . . . . . . . . . . .
at North Andover, Mass.
Feer . . . Lic. No.. . . yl. . �a ,r. . . . . . . . . .
r GAS INSPE9COR
Check#
573
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
?� IYo29.yQo✓iA Mass. Date Permit #
- Building Location 4 ��IGFtp(jj/ t i 2q"
Owner's Name boo►4 Tri
Type of Occupancy l22zrDS.j tfdlc
New p Renovation p Replacement Plans Submitted: Yesp No p�
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N y
W W Q O N x ~
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W < yVA
OW
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a N O
SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
Installing Company Name Check one: Certificate
Address 5
❑ Corporation
❑" Partne hip
Business Telephone EM _ rrrn�Co
Name of Licensed Plumber or.Gas Fitter _
< INSURANCE COVE GE:
1 have a current Iia fty insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No ❑
a /f you have checked Les, please I ' to the
type coverage by checking the appropriate box.
A liability insurance policy Other type of indemnity D Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
uirement.q
Check one:
Signature of Owner or Owner's Agent Owner❑ Agent D
I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for th
pertinent provisions of the Massachusetts State.Gas Code and Chapter 142 of the GeneralPPlication will be in compliance with all
Tof license:
Title Plum r Signature of Licensed Plumber or Gas rtter
gGa ' er
aster License Number
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BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES PROGRESS INSPECTION
FEE
NO.
APPLICATION FOR PERMIT TO DO GASFITTING
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NAME A TYPE OF BUILDING
LOCATION OF BUILDING
I
i PLUMBER OR GASFITTER
I
j LIC. NO.
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PERMIT GRANTED
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DATE 19
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GASINSPECTOR
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