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No. �� Date
TOWN OF NORTH ANDOVER
O? •' O0
Certificate of Occupancy $
+ : Building/Frame Permit Fee $
Foundation Permit Fee $
SAGMIISE
',Other Permit Fee�/ $ �� y
Sewer Connection Fee $
Water Connection Fee $
NOV 2 j_� 6TAL $
jjJ� Cl� Building'Inspector
6687 Div. Public Works
V-ER3fff 4NO. �` APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE 1
MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK '.PAGE
ZONE SUB DIV. LOT NO. I
LOCATION PURPOSE OF BUILDING
OWNER'S NAME �C r- NO. OF STORIES SIZE /f
OWNER'S ADDRESS BASEMENT OR SLAB - G
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME r SPAN
DISTANCE TO NEAREST BUIL ING 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 491--111�1 +�
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
Y PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
WARD OF MEALTN
SIGNATURE OF OWNER OR AUTHORIZED AGENT
F E E �,a C)
PERMIT GRANTED
OWNER TEL.# PLANNING WARD
CONTR.TEL.# C Sr-77ryf
�19 j� CONTR.LSC.#— �
WARD OF SELECTMEN
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY 11_ S'ORIES 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 a 1 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER �
_ DRY WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. B'M'TAREA _
'/ 1/2 % FIN. ATTIC AREA _
N_O 8 M FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 22 f 3
DROP SIDING CONCRETE I_
WOOD SHINGLES EARTH
ASPHALT SIDING HARD"J'D
ASBESTOS SIDING COMMCN _
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. d FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING 1
GABLEHIP BATH 13 FIX.)
GAMBREL MANSARD TOILET RM. 12 FIX.)
FLAT SHED WATER CLOSET _ �t
ASPHALT SHINGLES LAVATORY _
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING 11 HEATING
WOOD JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. d COLS. STEAM
STEEL BMS. a 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
lit 13rd NO.HEATING
.. `4 TON I :OY 120 Main Street
OFFICES OF:
North Andover.
APPEALS ;th y; NORTH ANDOVER Massachusetts 01845
BUILDING - (617)685=4775 ,
CONSERVATION DIVISION OF
HEALTH
PLANNINGPLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number I' /-, - 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:
(Lo tion of Facilit
4iiignature of Permit Applicant
Date
VOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
Page of
ftpow
Leo Berube, (508) 688-4371 Ray Berube, (508) 687-7419
r� a 3 5'T( 7 BEBUBE & SONS Ha�-,.e (ft/0 W-
Side Walls, Roofing, Windows and Doors v
473 Andover Street
Lawrence, Massachusetts 01843
P OS L Supp ED TO PHONE DATE
STREET JOB NAME
CITY,STATE and ZIP CODE JOB LOCATION
ARCHITECT DATE OF PLANS JOB PHONE
/q 3 1:7
We hereby submit estimates for:
— 1`e rde, D r,v - w 4 S 4e) ..V.
� y
Sv c
NS I C e S�Fe
(Je r
We PPOpose hereby to furnish material and labor— complete in accordance with above specifications, for the sum of:
dollars($ )
Payment to be made as follows:
All material is guaranteed to be as specified.All work to be completed in a
workmanlike manner according to standard practices. Any alteration or Authorize
deviation from above specifications involving extra costs will be executed Signature
only upon written orders,and will become an extra charge over and above the
estimate.All agreements contingent upon strikes,accidents or delays beyond
our control. Owner to carry fire, tornado and other necessary insurance. NOTE:This prosal may be
Our workers are fully covered by Workmen's Compensation Insurance. withdrawn by us if not accepted within days.
Amptance of Proposal — The above prices, ,��
specifications and conditions are satisfactory and are hereby �� ? LD.4
accepted.You are authorized to do the work as specified. Payment Signature
will be made as outlined above.
Date of Acceptance: Signature
A0RTfj
Town of . 4 ; Rover
512 0 o
ftor 2 19jP.�
Q - '
LA E ort dower, Mass., •
COCHICHEWICK
AQRATED
`c BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT......... ..............................................................................................................................
Foundation
has permission to erect.A.6P.0VA......... buildings on .... Itr.......................... Rough
44F
to be occupied as...1r.l..aw.. .� .. ... Chimney
in this permit shall in eve respect conform to the terms of the application on file in
provided that the person accepting t s pe every p PP 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
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Rough
......�I�'�" .. .. ................ ....................... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a. Conspicuous Place on the Premises — Do Not Remove Rough
P Y P Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT