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HomeMy WebLinkAboutMiscellaneous - 189 RALEIGH TAVERN LANE 4/30/2018 r- 189 RALEIGH TAVERN LANE 210/106.C-0119-0000.0 i Location 5 �T A t.> ra N No. Date r6- la-�jl a 40*TM TOWN OF NORTH ANDOVER 0�, �a° O? a•_, .. ° O^' a „ Certificate of Occupancy $ Building/Frame Permit Fee $ MUS Eta Foundation Permit Fee $ JAC Other Permit Fee $ Sewer Connection Fee $ ' ' 17Vater Connection Fee $ TOTAL "(r` $ ` AUG 61991 Buildin'&Inspector Div. Public Works PER,mrr Np. 04-0 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP a-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK '.PAGE NE SUB DIV. LOT NO. F I OCATION / ( 4)-,cl6g/ s EeA) ,/ AI PURPOSE OF BUILDING EpJ4e-r OWNER'S NAME l oo7- (/��- �,7, /J �.�kf( NO. OF STORIES o!N i SIZE V^� �y� •/J OWNER'S ADDRESS/ IaL . '1�f&) /�'iyk BASEMENT OR SLAB i 4 •"' '�G ARCHITECT'S NAME /V/,4 , SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME - . XCUTS SPAN DISTANCE TO NEAREST BUILDING 4 -rjj(/fkb DIMENSIONS OF SILLS DISTANCE FROM STREET 'dl � s Qty IG,'fAf �, POSTS DISTANCE FROM LOT LINES-SIDE �7 dl�k REAR y�� ' " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW A114 SIZE OF FOOTING X 31 IS BUILDING ADDITION Idle . MATERIAL OF CHIMNEY A14 IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND 7 WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER 71775-1 BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER v 11-7 IS BUILDING CONNECTED TO NATURAL GAS LINE 41 . INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COS709SC.4.cl dp- PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY I -ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS )PLANS MUST BE FILED AN APPROVED BY BUILDING INSPECTOR i DATE FILED I Jln / BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZE G NT OWNER TEL.# FEE °— CONTR.TEL.# CONTR.LIC.# PLANNING BOARD PERMIT GRANTED s 19 _ BOARD OF SELECTMEN NL 4 C t::,to BUILDING INSPECTOR 1'` ' 0Jo 3 �a I BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY s. RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS - RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER DRY-VJALL _ UNFIN. 3 BASEMENT' AREA FULL FIN. B MTAREA _ v, 1/2 % FIN. ATTIC AREA _ NO B-M'T FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN _ h 4 1 WALLS 11 9 FLOORS CLAPBOARDS B 1 2 3 DROP SID!jJG CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIWD _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE $ ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT 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• e 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 ELECTRIC 1st 13rd NO HEATING I Iv I 1I IIY AL %Jwn Of6 o Andover No. 340 DRIVEWAY ENTRY PERMIT C HE WICK~ _ er, Mass., A 1951 BOARD OF HEALTH PE. R M IT��� L01 THIS CERTIFIES THAT.........:..�m .�l...............�.1...l�'N CC ��,r� � '�p� �.. BUILDING INSPECTOR has permission to erect .... Q: .0....... buildings on .J#.�...'!�.�.�C�5�!.l... ?aV. .l:'.0..)0!?'N& Rough � S . Chimney .... . "to be occupied as.. !: ..................... 77 ................ Final 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. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION STA TS Service Final ��E .• �.•..•.... •.... .....BUILDINGMSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smo e "Det. Building Inspector Town of North Andover BUILDING DEPARTMENT Homeowner License Exemption (Please print) ..' DATE �( JOB LOCATION Number Street Address Section of town "HOMEOWNER" ITC6`7 7 V,,z;_4)Z) Name Home Phone Work Phone PRESENT MAILING ADDRESS A� 41-V 2>0 0,E 12 S City Town State Zip code The current exemption for "homeowners" was extended to include owner occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license , provided , tthat the owner acts as supervisor. (State Building Code , Section 109 . 1 . 1) DEFINITION OF HOMEOWNER: Person(s) who owns a parcel of land on which he/she resides or intends to reside , on which there is , or is intended to be, a one to six family dwell- ing , attached or detached structures accessory to such use and/or farm structures . Aerson who constructs more than one P home in a two-year period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a form acceptable to the Bulding Official , that he/she shall be responsible for all such work performed under the + `,.building permit . (Section 109 . 1 . 1) The undersigned "homeowner" assumes responsibility for compliance with the State Building Code and other applicable codes , by-laws , rules and regulations . The undersigned "homeowner" certifies that he/she understands the Town of North Andover Building Department minimum inspection procedures and III ' .'requirements and that he/sh ' l1 co y with said procedures and requirements . -HOMEOWNER' S SIGNATURE, v ; . APPROVAL OF BUILDING OFFICIAL 'Note : Three family dwellings 35 ,000 cubic feet , or larger , will be required to comply with State Building Code e Section 127 .0 , Construction Control . Date..3.�l. . . . OF HORTM of 6. TOWN OF NORTH ANDOVER f 9 • - PERMIT FOR GAS INSTALLATION 1 Js9SSAC,MuSE� This certifies that . . . .. . . . '1. . ...... .. . . . . . . . . . . . . . . . has permission for gas installation . . �f . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . at .5. . 13,E l*. �.�. 7. . r --: . ., North Andover, Mass. Fee. . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . .. GASINSPECTOR Check# 5061 MASSAC-JUSEITS UNIFORM APPIKATON FOR PERMUr TO DO GAS FfrnNG 3 � (Type or print) Date fL. lJ S NORTH ANDOVER,MASSACHUSETTS r Building Locations / e i f Y� �c� (1'' Pe it# ount$ /L C-- Owner's ,Owner's Name I t New❑ Renovation ❑ Replacement 13— Plans Submitted ❑ W H a a W C) o as x a z o W a z ] ° z w W v� F o p, °�. w F rn W � � GW W vA a c W a W ° W F ` x w w � w F a rA z z a a o o° w a °o w SUB -BASEM ENT B A S E M E N T 1ST. FLOOR 2 N D . F L O O R 3RD . F L O O R 4TH . FLOOR 5 T H . F L O O R 6 T H . F L O G R 7TH . FLOOR 8TH . FLOORI I 14==W I I I (Print or type) r Check one: Certificate Installing Company Name k, .1 l /�'/' /`� Q_ �d-'Z"7 ❑ Corp. Address (J U x ''`l '` ❑ Partner. c�- o✓-C �� Business Telephone �„ p-� �- Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑� No❑ If you have checked yes,please 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 of the 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 installatio performed under Pe Issued f this application will be in compliance with all pertinent provisions of the Massachusetts t e Gas de and Cha 142 of General L�o�s. �/ c II ignature of Licensed Plumber Or Gas Fitter By. ��Plumber , Title City/Town ❑ Gas Fitter r-777777-7773577 . 13-master i APPROVED(OFFICE USE ONLY) E3Journeyman