HomeMy WebLinkAboutMiscellaneous - 184 MIDDLESEX STREET 4/30/2018Location
No. 5 Date o; %z Z
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TONIN OF NORTH ANDOVER
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41
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Certificate of Occupancy
$
Building/Frame Permit Fee
$
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Foundation Permit Fee
$
Other Permit Fee
$�
RECEIVED PAYME11wer
Connection Fee
$
FEB 2 f: 1992 Water Connection Fee, $
TOTAL $
fro. Andover Co!{ect.cr
Building Inspector
Div. Public Works
PERMIT NO. 00 g :5
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. `, / PAGE 1
AP iqO.
TZONE
LOT NO.
2 RECORD OF OWNERSHIP IDATE "`
BOOK ;PAGE
SUB DIV. LOT Y.
LOCATION
PURPOSE OF BUILDING
/
OWNER'S NAME
JAI
NO. OF STORIES SIZE
OWNER'S ADDRESS i��_
1J
BASEMENT OR SLAB
ARCHITECT'S NAME
4 4 -
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME 02��talu-z
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
SF,•E BOTH SIDES
PAGE I FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED ANDA PROVED BY BUILDING INSPECTOR
DATE FILED !¢ Or' / / a
S GNATURE OF OWNER AUTH
24/t�s t7a&
F E E
PERMIT GRA
19
AGENT
OWNER TEL. #
!
CONTR. LIC. #_
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST ,3
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
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