HomeMy WebLinkAboutMiscellaneous - 1 COLBY COURT 4/30/2018h\
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Location 00
No. 0 Date
TOWN OF NORTH ANDOVER
o Certificate of Occupancy $ —A-
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WIT �-
11" Building/Frame Permit Fee $
0
Foundation Permit Fee $
Other Permit Fee
'k Sewer Connection Fee
Water Connection Fee
TOTAL
:5 ,
A. to
Building Inspector
Div. Public Works
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PE161IT NO
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APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
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LOT NO.
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2 RECORD OF OWNERSHIP IDATE
BOOK 'PAGE
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SUB DIV. LOT NO.
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LOCATION
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PURPOSE OF BUILDING
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AtfWN ER'S NAME / A&L/Z /1 y!3 LLiZN2 R
NO. OF STORIES SIZE
bWNER'S ADDRESS
BASEMENT OR SLAB
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ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD I
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ILDER'S NAME
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SPAN
DISTANCE TO NEAREST BUILDING
-----
DIMENSIONS OF SILLS
POSTS
DIST? CE FROM STREET
TANCE FROM LOT LINES - SIDES
REAR
GIRDERS
f
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING X
BUILDING ADDITION "
T
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ya3
TT
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
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 12
INSTRUCTIONS
4ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED A/ /
N'DI APPROVED BY BUILDING INSPECTOR
` D4TEiFILED Id •-'v `)'�
FSIGNATURE OF OW-IER OR AUTHaRiZED AGENT
FEE olf 2% Lo
PERMIT GRANTED
* (D 19
3 PROPERTY INFORMATION
LAND COST
ST. BLDG. COST / Soo
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY I
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BUILDING INSPECTOI!
OWNER TEF.A���f'�,Sy�p �3=.
CONTR. TEL. # --' 019 -32 3 YS/2
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TOWN of NORTH ANDOVER I
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AFFIDAVIT '
Hbe kummt Caatractx Iaw
sippa to Rptl rn. I
Mi. c. 142 A reg res that the'Inwasmrticn, alta-atim, mugaticr4 repair, wlrniXticn, =ww9cn,I
impvuenant, gyral, damlida4 or ca'startim of an adr itian to any pre- eads>tirg b.nld-
rrirg at least o ae bit not mi than four dwelling uoits...or to sty, b es. 4vrh are adjam- t to'
s rh res<iderre or hdldW' be d x e by z%7 t d catcactom, wah certain OCEPUMS, ala g with od
rements.
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Type of Work: IV -j l4 Dr�c..r, W RPdm�o `-�t. Cost
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-./'Address of Work r4 Ai f Co z. A y
. ;.Swner Name: w a n A 2' br.A j M rz S --
✓ate of Permit Application:
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I hereby certify that:
Registration is not required for the following reason(s): Far office Use Qtly
Work excluded by law Famit No.
Job under *1,000 Date
Building not owner -occupied I+
ow=pu
lling own permit j
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Notice is hereby given that:
OWNERS PUUJNG THEIR OWN PERAIT OR DEALING WITH UNREGISTERED CONTRACIORS_'
FGR APPLICABLE X -1E DfiW 4ETU WORK DO NOT HAVE -ACCL TO � ARBTIItA-
TION PROGRAM OR GUARANTY EM UNDER MGL c. 142A. ,
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SL; ed ung pities of perjury:
I hereby apply for a permit as the agent of the owner:
Contractor a Registration"No.
Date C
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OR: '
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Notwithstanding the above notice, I hereby apply for a permit as the
owner of the above property:
Date Owner Name I
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47 ISLosS�.►� Si'
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door t n1C� Pe.�cr mrz.�r3®
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Location
No. Date 7/2 3/2 - 2� -
..........
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
4L
Building/Frame Permit Fee $
14U
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
$
Building Inspector
7�M
Div. Public Works
i
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
r �ILOT
NO.
SUB DIV. LOT NO.
2 RECORD OF OWNERSHIP IDATE
r
BOOK 'PAGE
—
3 L�� ���
PURPOSE OF BUILDING / � >c / 8
oor>
NAMED ualG �' ��
��
NO. OF STORIES SIZE
OWN.-CS ADDRESS /3 ea/6y d -r
BASEMENT OR SLAB
ARCHITECT'S NAME p� / _C .._ 5
- ��"t
SIZE OF FLOOR TIMBERS IST 2ND
3RD
1
�
BUILDER'S NAME F&&P L&N,5
SPAN ---
DIMENSIONS OF SILLS
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
POSTS
--
i
DISTANCE FROM LOT LINES - SIDES REAR
" GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING E SeN v T) .,C, 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 GA INE
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
D T F ED' J V
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE
PERMIT GRANTED
/3195
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OWNER TEL. #
CONTR. TEL, #
CONTR. LIC. #
3 /PROPERTY INFORMATION
D COST
EST. BLDG. COST % Q�
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF. SELECTMEN
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