HomeMy WebLinkAboutMiscellaneous - 183 LANCASTER ROAD 4/30/2018L�ation
No. Date ds —1
i t
AOR,
TM 1
TOWN OF NORTH ANDOVER
�O'`t `•I•ti0
F p Certificate of Occupancy $
* I Building/Frame Permit Fee $ v
�i�s', •'��' Foundation Permit Fee $ - -�
SACMUSE
Other Permit Fee $ -----------
Sewer
Sewer Connection Fee $ J ��
Water Connection Fee $�_�
TOTAL / $
l �
Building)nspector
- 01/24/9-4 49:49 1.603.00 PAID
' u
—
6871 Div. Public Works
Lezation�
:Nq. t,3' 1 Date l-3
Y.
NOR*�
TOWN OF NORTH ANDOVER
+O
�?O�,t`t O -,•,L
Certificate Occupancy
J
A
of
$
WIT
Building/Frame Permit Fee
$
Eta
s�cMus
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
$
TOTAL
:- .
6830
Building Inspector
Div. Public Works
/;93
Location
No. % Date
!Z-16 73
y
,�; f MORTp
TOWN OF NORTH ANDOVER
n
Certificate of Occupancy $
Building/Frame Permit Fee
$
s�CHusE
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
s•
p 323
Water Connection Fee $
44222
TOTAL $
-�
Buildi g Inspecto
1- •
1 6 9 0 8 Div..,fub 6 works
4
f
r
'j-
APPLICATION FOR PERMIT TO BUILD —NORTH ANDOVER, MASS. 6 /PAGE 1
MAP +4O.LOT
' j� u p
�/
NO.
I
J 5 e
2 RECORD OF OWNERSHIP iDATE
BOOK PAGE
I
ZONE
SUB DIV. LOT NO. L/
F—
�
LOCATION
PURPOSE OF BUILDING
yc;;7o-lW`
CAM
C 4445 -
OWNER'S NAME 2 d/
NO. OF STORIES ! SIZE
YU
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME ....}� y
SIZE OF FLOOR TIMBERS 1ST 2ND q
x
3RD
BUILDER'S NAME ��y/ sT•
/�i//SI/•Li
SPAN
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
1
DIMENSIONS OF SILLS
POSTS - A,
DISTANCE FROM LOT LINES - SIDES >
S
Ci RF -AR !Uu i
" GIRDERS
AREA OF LOT / ? C/f
FRONTAGE
HEIGHT OF FOUNDATION Q ./V THICKNESS
U
/V /"
IS BUILDING NEW `zCf
SIZE OF FOOTING XU
IS BUILDING ADDITION �_
MATER:AL OF CHIMNEY A �.
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND" S'o
' c/
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE S.
L[�
IS BUILDING CONNECTED TO TOWN WATER
)!/a x
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
Xc Y
IS BUILDING CONNECTED TO NATURAL GAS LINE
&- S
INSTRUCTIONS
SEE BOTH BIDESBMIT VFW/-- � U V
BLDG.
E
PAGE 1 FILL OUT SECTIONS 1 - 3 LESS FDA FES /D D { a o// + o
PAGE 2 FILL OUT SECTIONS 1 - 12 DUE FRAME PERMIT o U
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
FEE r V U C/
o a
PERMIT GRANTE
_ 19
OWNER TEL. #_`1 Z - Z ? Ly
CONTR. TEL. # '57�
CONTR. LIC. # (9
DEC 2 2 ►��
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
,ry BOARD OFSELECTMEN
OYIwImm INN R
1 OCCUPANCY
APARTMENTS I — I
CONSTRUCTION
2 FOUNDATION 6 INTERIOR FINISH
CONCRETE i d 1 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HD
PIERS PLASTER
DRY WALL
3 BASEMENT �I
AREA FULL FIN. B'M'T' AREA
1/1 '/: 1/. FIN. ATTIC AREA
NO BMT FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS8 1 2
DROP SIDING CONCRETE
WOOD SHINGLES EARTH _ _ ---
ASPHALT SIDING HARDW'D
ASBESTOS SIDING _ COM/ACN
STUCCO ON FRAME
i l HEATING
I I I I
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
_
STONE ON FRAME
SUPERIOR �� POOR _
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLEHIP
GAMBREL MANSARD
FLAT SHED
/
BATH 13 FIX.)
TOILET RM. 12 FIX.)
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
_
WOOD SHINGES
KITCHEN SINK
_
SLATE
NO PLUMBING
TAR 8 GRAVEL
STALL SHOWER
_
ROLL ROOFING
OIL
I MODERN FIXTURES
T
BUILDING RECORD
12
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.
6 FRAMING
i l HEATING
41
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 �
1st 13rd FNO
ELECTRIC
HEATING
l
r
FORM U - IAT 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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
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APPLICANT: Phone Cl 7S
LOCATION: Assessor's Map Number /G 1/ 0 Parcel ,
Subdivision o 4ff/� ---s-1x-44 Lots) `/sem
Street St. Number Im (93
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
R .162 Date Approved
Conservation Administrator Date Rejected
Comments
i
MEMO-••-
Comments
Food Inspector -Health
r �r
Seis Inspector -Health
Comments
Public Works - s
Fire Department
Date Approved_L21lq Jq,
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Received by Building Inspector
Date
_7
LOT 47
CERTIFIED FOUNDATION PLAN
LOCATED IN NO, ANDOVER, MA.
SCALEI"= 40' DATE: 1-11-94
Scott L. Giles R. L. S.
50 Deer Meadow Rood
North Andover, Moss.
385
R =350.00'
LOT 45
47, 623 S.F.
44/f
L =/50.0
LANCASTER
ROAD
LOT 48
J ME
/
CERTIFY THAT OFFSETS SHOWN ARE FOR THE USEf
THE OFFSETS OF THE BUIL DING /NSPEC TOR ONLY
1.
SHOWN COMPLY AND SUCH USE IS FOR THE
WITH THE ZONING DETERMINATION OFZONING
BYLAWS OF CONFORM/ T Y OR NON—CONFORMITY �c o
_NQ ANDOVER, AM. WHEN CONSTRUCTED.
WHEN BUIL T. I a 1113194
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CERTIFICATE OF USE &OCCUPANCY
7opmn cl Morth Andover
Building Permit Number 597 (1993) Date AUGUST 1, 1994
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 183 LANCASTER ROAD - Lot #45
MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/3 CAR GARAGE IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE IS
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Date./> . -. . .` . .- � ! .......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that
......................................
has permission for gas installation .'/. - ( ...............
in the buildings of ... ....................
at 3 North Andover, Mass.
Fee. Lic. No.
......... ............... ......
GASINSPECTOR
Check #
3 CU S) 2
MASSACHUSETTS .UNIFORM APPLICATION FOR PERMIT: TO DO GASFITTImi e 1
( Print or Type)
NORTH ANDOVER Mass. Date
�wilding 'Location -183 L.a.,iCas{tr Permit # 3� 'L
Owners Name
New '—t Renovation 13 Replacement] Plans.: Sugtted D
FIXTURES
u
I
(Print or Type) Check one: Certificate
Installing Company Name ANDOVER PLBG. & HTG. CO- IN .,[-,71 Corp. 2129 _
Address 20 AEGEAN DR. UNIT.1 10 Partner.
METHUEN, MA. 01844 Firm/Co.
Business Telephone: 978-685-8383
Name of Licensed Plumber or Gas Fitter (;F(1RGF 1 AR(1SF
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy E;� Other type of indemnity D Bond
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of
this application does not have any one of the above 'three insurance coverages.
Signature of owner agent of property Owner 17 Agent
I hcrcby ccrtify Uut aU of the dcuils and information i hare submitted (or cnicrcd) in above applieatioa aro true and accurate to the best of mr
rcnowlcdgc and tlut aU plumbing work and Instaliatioes pcsfomtcd under•rermit iuucd for this application will -be to cotaplianca with all pertlatat
prorisions of the &Ussachuscus Slate Gas Code and t4aptu 1S: of ow Ccncsal Laws. —
YPE LICENSE:
Plumber
slitter- Signature of Licensed
Master Plumber or Gasfitter
Journeyman 9983
License Number
MEN
FEE
IMMEMMINEMENIMEN
MEMNON
ONE
ARM
MIKEEMEMEEMINIM
��n���n�����������o���■oma
(Print or Type) Check one: Certificate
Installing Company Name ANDOVER PLBG. & HTG. CO- IN .,[-,71 Corp. 2129 _
Address 20 AEGEAN DR. UNIT.1 10 Partner.
METHUEN, MA. 01844 Firm/Co.
Business Telephone: 978-685-8383
Name of Licensed Plumber or Gas Fitter (;F(1RGF 1 AR(1SF
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy E;� Other type of indemnity D Bond
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of
this application does not have any one of the above 'three insurance coverages.
Signature of owner agent of property Owner 17 Agent
I hcrcby ccrtify Uut aU of the dcuils and information i hare submitted (or cnicrcd) in above applieatioa aro true and accurate to the best of mr
rcnowlcdgc and tlut aU plumbing work and Instaliatioes pcsfomtcd under•rermit iuucd for this application will -be to cotaplianca with all pertlatat
prorisions of the &Ussachuscus Slate Gas Code and t4aptu 1S: of ow Ccncsal Laws. —
YPE LICENSE:
Plumber
slitter- Signature of Licensed
Master Plumber or Gasfitter
Journeyman 9983
License Number
Date ....`. `. ! . �. G .3
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that. `' . r .v tO'A Nc. ? .�
%as permission for gas installation .................
in the buildings of .. . ' .� ` '. `.. i . ..........................
at ..... . ....... �" S ..`." .? ... , North Andover, Mass.
Fee.. ? . Lic. No.:��........ .?...... Z! ...�. .1..
GAS INSPECTOR
Check it
MASSACHUSETTS UNIFORM APPUCATON FOR PERI%ff r TO DO GAS FrrHNG
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations OS �—• �N G� S 4•C Permit #
�bAmount
Owner's Name
New Renovation ❑ Replacement ❑ Plans Submitted ❑
(Print or type) �- ` `' -Veck one: Certificat Installing Company
Name �.� 1:3��`�a� 1,6 CSS 1. Corp a'
bi
Address❑Partner.
q^r-Z --%1%.I-
Name of Licensed Plumber or Gas Fitter
❑ Firn /CO.
INSURANCE COVERAGE Chec one:
I have a current liability Inurance policy or it's substantial equivalent. Yes No ❑
Ifyou have checked M, pl a indicate the type coverage by checking the appropriate box.
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 ofthe
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
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 Permit Issued for this application will be in
compliance with all pertinent provisions of the M sael `js�tts StateCode�nd C*ter 142 of the General Laws.
ICity/Town
VED (OFFICE USE ONLY)
Signature of:
Plumber
Gas Fitter
Master
❑ Journeyman
led PluNber Or Gas Fitter
S-13-5
Icense um er
•
(Print or type) �- ` `' -Veck one: Certificat Installing Company
Name �.� 1:3��`�a� 1,6 CSS 1. Corp a'
bi
Address❑Partner.
q^r-Z --%1%.I-
Name of Licensed Plumber or Gas Fitter
❑ Firn /CO.
INSURANCE COVERAGE Chec one:
I have a current liability Inurance policy or it's substantial equivalent. Yes No ❑
Ifyou have checked M, pl a indicate the type coverage by checking the appropriate box.
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 ofthe
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
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 Permit Issued for this application will be in
compliance with all pertinent provisions of the M sael `js�tts StateCode�nd C*ter 142 of the General Laws.
ICity/Town
VED (OFFICE USE ONLY)
Signature of:
Plumber
Gas Fitter
Master
❑ Journeyman
led PluNber Or Gas Fitter
S-13-5
Icense um er