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Miscellaneous - 195 Middlesex Street
i RS M I D D L Es Ex SST- Location Ll No. `f Date NOR*M TOWN OF NORTH ANDOVER Certificate of Occupancy $ * ; ; Building/Frame Permit Fee $ �'�s' °'�•t� Foundation Permit Fee $ s�CHuss Other Permit Fee $ Sewer Connection Fee $ r 1 Water Connection Fee $ f Building Inspector `J Div. Public Works Location No. Date NORTP TOWN OF NORTH ANDOVER O� t�ae O Jn 0 r: A Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ �cNus Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works PERMIT NO.{3 /T APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP d40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. / ! -I LOCATI I PURPOSE OF BUIL N OWNER' NAME r NO. OF STORIES SIZE 4 WAri./'Pi V OW 'S ADDRESS BASEMENT OR SLAB A HITECT'S NAME �� SIZE OF FLOOR TIMBERS IST 2ND 3RD ILDER'S NAME SPAN DISTANCE TO NEAREST BUIRLING 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 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST 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 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FI ED AND APPROVED BY BUILDING INSPECTOR DATE ' ILED ; 1 BOARD OF HEALTH SIGN URE OF OWNER OR AUTHORIZED AGENT YViVt _ CONTR.TEL.#_... _ F E E ©i PLANNING BOARD PERMIT GRA E 19 A*CTMEN ECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES 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 �I 8 INTERIOR FINISH CONCRETE 3 1 2 I3 CONCRETE BL'K. PINE BRICK OR STONE ' HARDW D PIERS PLASTER _ DRY WALL _ q UNFIN. 3 BASE NT AREAFULL FIN. B T' AREA _ '/ 1/2 1/ FIN. ATTIC AREA _ NO BMT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE —{I_ STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER K. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I I POOR _ —[-ADEQUATE NONE rj ROOF 10 PLUMBING GABLE HIP BATH 13 FIX.) GAMBRELMANSARD 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 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT N/'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 SE,,WER/WATER F I N A LLk N ii G F11 FIN N tAORTH M own 0 Of ndover No. 394 DRIVEWAY ENTRY PERMITC er., Mass HEWICK o'% ? P BOARD OF HEALTH ER I THIS CERTIFIES THAT. o..> er,r- It&tiQx................................................. t11ABUILDING INSPECTOR ........ .......... has permission to erect :u ... building ....7X ................. Rough tobe occupied as.................... ..... ........... .................... Chimney Final provided that the person accepting this permit shall in every respect conform to the terms of the application on rile 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 EXPIRES 6 M NTHS ELECTRICAL INSPECTOR Rough UNLESS CONS RU TI TAR Service Final BUI NG INSP OR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by S TR E t-:T N!--':. Smoke Det. Building Inspector ,OpT,y OFFICES OR . Town of m 120 Main Street APPEALS NORTH ANDOVER North Andover, 13UII,I�ING ;,' •:' - �0 MilsSF'('husetts OIH45 Ss, " �� ((i 1 7)685-4775 CONSL-'ItVA'l'tON ` " DIVISION OFHEAL'T'H PLANNING PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, DIRECTOR In accordance the provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: (Locatio of Facility) Signature of Permit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. Date-3- f NORrM 1 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSAC14USE� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . ,.�.�?.c-c.. t/.�. . . /. .: �.�.•. . . . . . . . . . plumbing in the buildings of . . !,<<c r G.. . . . . . . . . . . . . . . . . . . . . at 15 1-. / !.'<<���. . .. r. . . . ., North Andover, Mass. v Fee. .3;.? Lic. No...;�. J.j .! . . . . . . . PLUMBING INSPECTOR Check # 5550 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location - ylhl�L= wners Name I U Permit# Amount Type of Occupancy New Renovation Replacement ❑ Plans Submitted Yes No FIXTURES un H d SLIMM BASMINr 1R RUR —MFUM 3M ROCR 4IH FIaR 5M ROCK 6M RD(R 7M RITZ SIH ROCR (Print'or type) Check one: Certificate Installing Company Name V L'/L Corp. Address 6o P'o-/`/'x S-t Partner. /7 A �5 Business Telephone c 7� C/7 5 / (o L EIEirm/Co. Name of Licensed Plumber: - - Insurance Coverage: Indicate the lype of insurance coveragb by checking the appropriate box: Liability insurance policy 0 Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature 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 tallations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massac /i s StatePlumbing Code and Chapter 142 of the General Laws. By: ign e o is s um er Me of Plumbing License Title City/Towne um er Master Journeyman APPROVED(OFFICE USE ONLY