HomeMy WebLinkAboutMiscellaneous - 190 GRANVILLE LANE 4/30/2018 (2) 190 GRANVILLE LANE
210/106.C-0077-0000.0
PE" IT 4fzo
O. LOT NO. 2 RECORD OF OWNERSHIP GATE NOOK PAGE
ZONE SUB DIV. LOT NO. 1
OCATION `C�o � )�v�``� �� PURPOSE OF BUILDING
OWNER's NAM[ �o S{�` NO. OF STORIES size
sAS[MENT OR SLAB
OWNER'S AOOR[fi ��A�.9J` `
N� fti[OF FLOOR TIM9ER0 IST aND GRD
ARCHITECT'S NAM[ A
BUILDER'S NAME �T _v J �lt,� �� SPAN r
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS M�
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES—SIDES REAR GIRDERS
AREA OF LOT FRONTAD[ NIGHT OF FOUNDATION THICKNESS
IS BUILDING,NEW _ SIZE OF FOOTING x
10 BUILDING ADDITION MATERIAL OF CHIMNCV
IS BUILDING ALTERATION 10 BUILDING ON SOLID OR FILLEO LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF COOK If BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY If BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LcN3
a PROPERTY INFORMATION
INSTRUCTIONS
LAND COST
9Ee BOTH 91090 ST. SLOG. COST
EST. SLOG. COST ftm SO. FT.
PAGE I FILL OUT SECTIONS I - a
EST. BLDG. COST►[R ROOM
PAGE ! FILL OUT SeCTIONS I . I!
BEP'TIC PERMIT MO.
ELECTRIC METEPS MUBT Be ON OUTSIDE OF BUILDING 4 APPROVIED MY
ATTACHED GAKASCS MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST Bi FILED 7//
PROVED BY BUILDING INSPECTOR '
✓owTc BUILDI G i ECTOR
jIGNATURE OF OWNER OR AUTI/ORIZED AGENT
_ \6 OWNER TEL q &E-3 - 7G 7
Ftt r1,—
�sRMK sRwo CONTRA.
Zw �s 'i CONTRA.UC.1�
Com' E.UILDING DEPARTMr
'3f
� -,'-'�. ...�'3�r.�3 slr^. �. .'. '�..-..� .�...,.:"7^°Y�':.. __ .s _ +.�.-':r � _ rte_ � �4' .•�. 4-�v.:•-''w...+
F t1ORTfy
Town of
No. 44 Zo
. dover, Mass.,
LAKE
9 cocH WICK
E
S BOARD OF HEALTH
PERMIT- T D Food/Kitchen
Septic System
/ BUILDING INSPECTOR
THISCERTIFIES THAT..............................................2... 1* l 1........... C .I. .S�.. ........................................... Foundation
has permission to erect.........D..C.f-/ ......... buildings on ......./.t?...0..........GRPD.Ul..r. ... ....... /
! � •��••••••• Rough
ZOb8 Occupied as................................................ .. .............f .F!c1. . ............................................................. Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST T Rough
. service
... ..... ..... . . ....... .. .............. ........
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
• Smoke Det.
I t
4.3
_ _ y If
E,UILDING DEP RTW:E_. . •
i
I
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CL'
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E
FORM U - LOT RELEASE FORD
INSTRUCTIONS: This form is used to verify
approvals/permits from Boards and Departmtats havin all necessary
have been obtained. This does not relieve the applicant
jurisdiction
and/tion
landowner from compliance with any applicable locallornstate/la
regulations or requirements. law,
****************Applicant fills out this seption* ** ******* ****
APPLICANT: 77-7- , 4 !D X83
Phone 50 25 -L$1-1 7 k r)I
LOCATION: Assessor's Map Number
Parcel
Subdivision
Lot(s)
Street ( �� (a-�t.l�.�p�r��.�E w
St. Number IoQ$
Official Use Only************************
RECO ATIONS OF TOWN AGENTS:
Conse ation Administrator Date Approved L
Date Refected
Comments S �
oP
,Ik Town Planner Date Approved
• Date Rejected
Comments
jz. Food Inspe tor-Health Date Approved
Date Rejected
Se c I ector-He 1th Date Approved / �'
Date Refected
Comments
O a
Public Works - sewer/water connections
- driveway permit
Fire Department
P nt
Received by Building Inspect [ Q
Date
A� fgi 7
FILE#
SUuSi: t1ACE SL-'),,CL ui»-ii Al SYSTEM INSPECTI N�FORM
P/9T C '
S'i�1 L•a� 1Ni*OuniAfION (con inued)
r
SKETCH OF SEWAGE lAil-uSAl SYSTEM: � ` '� 'Ij°
include ties to at least nvo pk�rmanont lzii marks or b nchmarks
locate all wells within 100'
14
t. -D - Z 3 �-
t
F
i
I �
i
DEPTH OF CROUNDWA7ER
Depth to groundwater: feet
method of determiaticn cc approximation: 77Z
,
- �( 0d � -
(revised 8 15/95) MT
g�
INC
Town of North Andover
BUILDING DEPARTMENT
Homeowner License Exemption
'Lease print) ,
DATE gf lS Ia�J
JOB LOCATION lalo Gs-(ttss�
Number Street Address Section of town
)MEOWNER" ' (OS 3-r7 4n 1.' S-L)(3- qq 9 -Stl to At33
N me Home Phone Work Phone
.,RESENT MAILING ADDRESS
�-3
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
that 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 tq. be-, a one to six family dwell-
ing , attached' or detached structures accessory t.o such use and/or farm
.,tructures . A person who constructs more than one 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 .
Phe undersigned "homeowner" certifies that he/she understands the Town of
.orth Andover Building Department m-nimum inspection procedures and
quirements and that he/she will comply with said procedures and
equirements .
10MEOWNER' S SIGNATURE07
`,PPROVAL OF BUILDING OFFICIAL
'Dote : Three family dwellings 35 ,000 cubic feet , or larger, will be
.-equired to comply with State Building Code Section 127 .0, Construction
.:untrol .
if
,
1 !
��.c SIL1NG LI)Mit
Date. .` :-J.-46-1.
HORTM TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACMUS�This certifies that . .� . ._.� �. =:..-. .--�t�. . . . . . . . . . . . . .
has permission to perform . . . . . . . . . . . . . .
plumbingin ;buildings of .:, . . . . :��. . . . . . . . . . . . . . . . .
�_ ,t,./.. . .... � . . . .+, North Andover, Mass.
Fee-F3,1�?. . . .Lic. No,,,%3. . • 2 UMBING INSPECTOR
Check #
6 !:' 3 1
IVIHtiSACHUSET-(rS UNIFORM APPLICATION FOR TO DO PLUMBING 3
(Print or ype)
Mass. Date Jr/y
20� Permit
Building locatio G
Owner' me
U Type of Occupancy G�
New 0 Renovation 0 Replacement
Plans Submitted: Yes p No❑
FIXTURES
B.P, # SEWER #
SEPTIC #
z
z
LnLO N z z
Ln w a� o = O 79� �jLU LU
UO Lij
m c= ~ U vj Z Vl w0 z a ? a
LU O . w ¢ cn ¢ w ¢a¢ z a 0
¢ U > O a Z Z LL
a 0 ~ Z z O w Y a w
g o
0 0 L O
SUB-BSMT co v=i o o _ ¢ i u 0 D o ¢ m .o 0
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
V� 6TH FLOOR
7TH FLOOR
8TH FL00
Installing Company Name
Check one: Certificate
ikddress
❑ Corporation
:Z
3usiness Telephone ❑ Partnership
------------
flame of Licensed Plumber or Gas Fitter � Firm/Co.
P�URANCE COVERAGE:
a current li bliity insurance policy or Its substantial equivalent, which meets the requirements of MGLCh. 142.
Yes No . p
have checked es, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy� Other type of indemnity ❑ Bond 0
OWNER'S INSURNACE 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.
Signature of Owner or Owner's Agent Check one:
Owner 0 Agent ❑
ereby certify that all.of the details and-information I have submitted (or entered)In above'application are true and accurate to the best of
+ knowledge and that all plumbing work and Installations performed u r the permit Issued for thi a plication will be in compliance with
Pertinent provisions of the Massachusetts State Plumbing Code and h to 42 of e G d f Law .
By
Title Sign re of Licensed Plum r
City/Town
APPROVED(OFFICEUSEONLY) Type of Licenser pA16ter 0journeyma.n
License Number �3�
BELOWFOR OFFICE USE ONLY
FINAL INSPECTION$ IIK=ZCHES i PROGRESS INSPECTIONS
FEE
N0.
APPLICATION FOR PERMIT TO 00 PLUMBING
NAME i TYPR OF GUILDING
LOCATION OF BUILDING
PLUMBUM
PERMIT GRANTED
DATE � '19-
PLUMBING
1SP WING INSPECTOR