HomeMy WebLinkAboutMiscellaneous - 18 CHAPIN ROAD 4/30/2018Location
{ No. .��n Date
TOWN OF NORTH ANDOVER
�n
Certificate of Occupancy $
sACIM4 Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
l TOTAL $
Check # ' ' '/
- 7
i
Building Inspector
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
for A go"
BUILDING PERMIT NUMBER: O DATE ISSUED: �.. I M
O
SIGNATURE: Qa&!t &Z4
Buililk Commissioner/IR9,3effir 7fBuildings Date —f P7 a. OQ
SECTION 1- SITE MFORMATION
1.1 Property Address:
1.2 Assessors Map and Parcel Number:
l A--j-D CAVIV %,
02 4612
,I6AZ) 0 _ V I
/l Ete
�y1.3
tt�
Map Number Parcel Num er
Zoning Information:
1.4 Property Dimensions:
Zoning District Pr -posed Use
Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard
Rear Yard
Required Provide Required Provided
red
Provided
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information:
1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone 0
Municipal ❑ On Site Disposal System ❑
SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT
2.1 Owner of Record
UIL-d rr-Rh y / cgARM/ S✓ Aa A-M)ot7E�P
Name (Print) Address for Service :
Signature Telephone
2.2 Owner of Record:
Name Print Address for Service:
Signature Telephone
SECTION 3 - CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor:
Not Applicable ❑
Licensed Construction Supervisor:
License Number
Address
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor
Not Applicable ❑
A U I �_��SY"��_RF& �- s D��
Company Name
Registration Number
& LL S 1 D E AD,
ss
''
Expiration Date
Si nature Telephone
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SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6)
Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result
in the denial of the issuance of the building permit.
Signed affidavit Attached Yes .......0 No ....... 0
SECTION 5 Description of Proposed Work check all applicable)
New Construction ❑
Existing Building ❑
Repair(s)
❑
Alterations(s) ❑
Addition ❑
Accessory Bldg. ❑
Demolition ❑
Other ❑ Specify
Brief Description of Proposed Work:
9A1 T tiJ M22)
1.J .S"
SECTION 6 - ESTIMATED CONSTRUCTION
COSTS
Item
Estimated Cost (Dollar) to be
Completed by permit applicant
OFFICIAL USE ONLY
1. Building
q,2,90
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction
3 Plumbing
Building Permit fee (a) X (b)
4 Mechanical HVAC
5 Fire Protection
6 Total 1+2+3+4+5
Check Number
SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN
OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT
I, as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf, in all matters relative to work authorized by this building permit application.
Signature of Owner Date
SECTION 7b NER/A�UpTHORIZE__pD__AGENT DECLARATION
pOW
�/1, �)8 % D t 4 �� / / I CZ A/ � as Owner/Authorized Agent of subject
property
Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge
and belief
2) A V -J D/ A) E
Pri e i
S ature of Owner/Agent
NO. OF STORIES
411210 6
Date
SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TINMERS iST
2 ND 3 RD
SPAN
DINIENSIONS OF SILLS
DINIENSIONS OF POSTS
DIMENSIONS OF GIRDERS
HEIGHT OF FOUNDATION
THICKNESS
SIZE OF FOOTING
X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
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Location
Flo. 3,? z Date r "}
;,� TOWN OF NORTH ANDOVER
s
'
p Certificate of Occupancy
•
$
Building/Frame Permit Fee
$
_
;sSACMUSE� Foundation Permit Fee
$
XYZ"�
-Other Permit Fee
l",
i1''• '
Sewer Connection Fee
$
Water Connection Fee
$
/IUG 3, 1u-VTOTAL
i•
/y Building
Inspector
6 32 _. Div. Public Works
PER111T NO.CJS APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
,,/PAGE 1
MAP 4qO.
LOT NO.
2 RECORD OF OWNERSHIP jDATE
BOOK 'PAGE
ZQNE
SUB DIV. LOT NO.
�I
L CATIONO /� .�/� ®�
O
PURPOSE O�IITIQ10
07ER'S NAME
y�z�%o0 `,/`/���
NO. OF STORIES i SIZE
WNER'S ADDRESS C7C/7�
O
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME
DISTANCE TO NEAREST BUILDING
SPAN
DIMENSIONS OF SILLS i,/C,j b
POSTS t_V
DISTANCE FROM STREET
I'D STANCE 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
1� BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WCL BUILDING CONFORM TO REQUIREMENTS OF CODE
TO REQUIREMENTS OF CODES
/
IS
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
c
7 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PNS MUST BE FILED�7 D APP ROVED BY BUILDING INSPECTOR
DDATE"Lf,�� n t G
SIGNATURE OF OWNER OR AUTHORIZED VtNT
FEE S'U (�
PERMIT GRANTED
19
0
AUG 2 i
._
?ART
n _1 T1
I�OriEI �
OWNER TEL. R 'p' 9bg.S'
CONTR. TEL. #
CONTR. LIC. #
t
3 PROPERTY INFORMATION
LAND COST
.00COT. BLDG. COST SOO or
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
mulwKno INir6CTOR
..a
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
S'-ORIES
MULTI, FAMILY
OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
—I
8 INTERIOR
FINISH
CONCRETE
PINE
HAROW D
d
1
_
2 13
CONCRETE BL K.
BRICK OR STONE
PIERS
PLASTER
DRY WALL
UNFIN.
_
3 BASEMENT
AREA FULL
FIN. B M AREA
_
1/1 1/7
FIN. ATTIC AREA
_
NO 8 M T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
B
_
1
2
�_
3
_
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARDIV D
COMMGN
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
_
STONE ON FRAME
SUPERIORI� POOR _
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
HIP
BATH Q FIX.)
GAMBRELMANSARD
TOILET RM. 12 FIX.)
FLAT
11
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
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
GAS
7 NO. OF ROOMS
OIL
B'M'T 12nd I _
ELECTRIC
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
1st 3rd NO HEATING 11
10L
W
8' x 8' huts now expand up to 8' x 161
Sherwood 8' x 8' x 8'h 0-95317-19420-7 Hut 0-95317-19460-3 Floor"
Channel groove 8"o.c. cedar plywood siding with cedar trim / 15 -year warranty
Seville 8' x 8'x 8'h 0-95317-19421-4 Hut 0-95317-19460-3 Floor"*
Deep groove 8"o.c. Ultrasidelm siding with pine trim / 10 -year warranty
8' x 12' and 8' x 16"—see charts.
Premiere 8' x 8' x s' h
0-95317-19425-2 Hut
0-95317-19460-3 Floor"
Waferboard siding with pine trim
5 -year warranty
The most popular of all Handy Hut
designs, the Sherwood, Seville and
Premiere are providing extra storage
space in hundreds of thousands of
yards across the country. And now
a 4' extender kit adds even more
space to these huts. The quality
siding and trim, reinforced cross -
buck doors and soffit overhangs
add extra style to the Sherwood
and Seville ... while the Premiere
offers the lowest cost per cubic foot
®of all Handy Huts. ASSEMBLY
VIDEO included with all three kits.
fiTHF.RW00T) SP1R'rTFTr.ATTnNS
Size
Cubic
Feet
Est.
Assembly
Actual
Door
Siding and Trim
Material
I;ams Furnisned by Homeowner
Hut Kits
Needed to Build
Floor Kits"
Needed to Build
Exterior Paint or Stain
(1)-0-95317-19460-3
8'd x 8'h
Storage
Time
(hours)
Floor Size
Size
Pine Trim
Roof
Shingles'
Trim I
Sides
8 'w x
453
3 5
x
8' w x
4'6"w x
Channel Groove 8"o.c.
Cedar Plywood Siding
1 qt.
1 gal.
l/31 sq.
(1)-0-95317-19420-7
(1)-0-95317-19460-3
8'd x 8'h
7''w
6'h
Cedar Trim
8'w x
680
5-7
8'w x
4'6"w x
Channel Groove 8"o.c.
Cedar Plywood Siding
1 qt.
11/2 gal.
2 sq.
(l)-0-95317-19420-7
(1)-0-95317-19450-4
(l)-0-95317-19460-3
(1)-0-95317-19469-6
12'd x 8'h
11'8%"d
6'h
Cedar Trim
907
7-9
685/a"d
4'6"w x
Channel Groove 8"o.c.
Cedar Plywood Siding
1 qt.
2 gal.
22/3 sq.
(2;-0-95317-19450-4 -0-95317-19420-7
(2j 0-95317-19469-6
16 d x 8'h
1-0-95317-19460-3
Cedar Trim
nl8'hL
E SPECIFICATIONS(I
PRFMTFRR SPFCTFWATIONS
8'w x
453
3 5
8'w x4'6"w
x
Deep Groove 8"o.c.
Ultraside'" Siding
1 qt.
1 gal.
11/3 sq.
(1)-0-95317.19421-4
(1)-0-95317-19460-3
8'd x 8'h
7'8% "d
6'h
Pine Trim
680
5-7
118,85/ "d
4 6,h x Ultr
Deep Groove 8"o.c.
Siding
1 qt.
11/2 gal.
2 sq.
(1)-0-95317-19421-4
(1)-0-95317-19451-1
(1)-0-95317-19460-3
(1)-0-95317-19469-6
12 d x 8'h
Pine Trim
Pin T
Pin
907
7-9
4 6'h x
Deep Groove 8"o.c.
Ultraside'" Siding
1 qt.
2 gal.
22/3 sq.
(2j-0-95317-19451 1 -0-95317-19421-4
-0-95317-19460-3
(2j-0-95317-19469 6
16'd x 8'h
15'85/8"d
Pine Trim
PRFMTFRR SPFCTFWATIONS
8'w x
453
3-5
8'w x
4'w x
Waferboard Siding
1 qt.
1 gal.
11/3 sq.
(1)-0-95317-19425-2
(1)-0-95317-19460-3
8'd x 8'h
7'85/8"d
5'10"h
Pine Trim
All stated sizes are nominal dimensions. -Aspnau or rioergias amngies—o ounmes cuvers i sy. t iuu sy. it .....,.....
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