HomeMy WebLinkAboutMiscellaneous - 184 MIDDLESEX STREET 4/30/2018 (2)/"
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Location 4 ipoLf—, ,&e
No. 532 Date tib
NORTM
TOWN OF NORTH ANDOVE
' �
Certificate of Occupancy
-0
$
Building/Frame Permit Fee
$
,. .
NnoA
CHU0
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
a
s..
0
9291
Water Connection Fee $
TOTAL $ �S�U
(�L
Building Inspector
Div. Public Works
PER311T NO.
A
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP h�0.
LOT NO.
2 RECORD OF OWNERSHIP (DATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.
i
LOCATION isr
PURPOSE OF BUILDING
•[ 'S
OWNER'S NAME % TJ
NO. OF STORIES SIZE
OWNER'S ADDRESS // ,� /Al
/ �O pLE S Y
!i
BASEMENT OR SLAB
ARCHITECT'S NAME �-���
—
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAMEPA �, �J 14 C l 5 01
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
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
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
/ 4
DATE FILED 4 y
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE lit bo
PERMIT GRANTED Q
19 - Ls
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST 3 (Jd
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
WAS-
ILDING INBP[CTOR
OWNER TEL. #
CONTR. TEL. # Co g -F1 6 a 19
CONTR. LIC. # ®SQ %
H.I.C.# /0-7 -5-
q2qL NSI ,
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
S"ORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
S INTERIOR FINISH
3 l 2 13
PINE
HARDW D
PLASTER
CONCRETE
CONCRETE BL K.
BRICK OR STONE
PIERS
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
1/1 1/7 1/.
FIN. B M AREA
FIN. ATTIC AREA
_
_
N_O B M'T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WAILS I
9 FLOORS
CLAPBOARDS
CONCRETE
EARTH
B
_
1
2
�_
3
_
_
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARDI!J'D
COMMCN
MPH. 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
SUPERIOR I- I POOR
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
HIP
BATH (3 FIX.)
GAMBRELMANSARD
TOILET RM. (2 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 I
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
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd _
to 13rd
ELECTRIC
NO HEATING
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.
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