HomeMy WebLinkAboutMiscellaneous - 206 BOXFORD STREET 4/30/2018 (2)V
Location
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No. .�� Date X/ 6
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TOWN OF NORTH ANDOVER
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Certificate of Occupancy
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Building/Frame Permit Fee
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sEta do Permit Fee
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ermit Fee
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Sewer Connection Fee $
Wate Connection Fee $
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�-e-(Bullding Inspector
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6360 / Div. Public Works
PERMIT NO.
. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
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V PAGE 1
MAP 4qO.
LOT NO.
I
2 RECORD OF OWNERSHIP iDATE
BOOK PAGE
3ONE
SUB DIV. LOT NO.
F-
I-I
CATION A0 BQy�OQb C�
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-P6�RPOSE Q iG fy y /� �•/Tp !'✓li� �+1/p�}�
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OWNER'S NAME �0�./� A�
.VICC�I:S
NO. OF STORIES SIZE
OWNER'S ADDRESS
AOWW / /�n�rfLQ dA s�
w /cu
BASEMENT OR SLAB crsw&y7 /U� oc i
`1ST y/v /`
AA.G�HITECT'S NAME
SIZE OF FLOOR TIMBERS 2NCD 3RD
BUILDER'S NAME SE/ F
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
PJ& NCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT I FRONTAGE
IS BUILDING NEW N7
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING X
IS BUILDING ADDITION \
MATERIAL OF CHIMNEY
IS�BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
r/
WIBUILDING CONFORM TO REQUIREMENTS OF CODE ,
vEs
IS BUILDING CONNECTED TO TOWN WATER
OARD OF APPEALS ACTION. IF ANY
V
NO
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
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SEE BOTH BIDES
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
PIs1fNS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
✓/ E FILED
DA
CIGNATURE OF NER OR AUTHORIZ AGENT
F ' E
PERMIT GRANTED OWNER TEL.
3 CONTR. TEL. #
is CONTR. LIC. #
G.
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST /I 8OO
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
Vy
aulwlnu Inir6GTVR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY S-ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICESLOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA -
APARTMENTS 7A ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
1. 'k ' 1
CONSTRUCTION '
2 FOUNDATION
8 INTERIOR FINISH
3 1 2 I3
PINE
HARDW D
PLASTER
CONCRETE
CONCRETE BL'K.
BRICK OR STONE
PIERS
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B M AREA
_
1/1 1/1 %
FIN. ATTIC AREA
_
N_O B M T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
B
_
1
2
3
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARDW'D
COMMCN
ASPH. TILE
STUCCO ON MASONRY
_
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
_
STONE ON FRAME
SUPERIOR .II POOR _
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
HIP
BATH (3 FIX.)
GAMBREL
MANSARD
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
_
_
ASPHALT SHINGLES
LAVATORY
_
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES_J_
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. 6 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 _
to 13rd
ELECTRIC
NO HEATING
1. 'k ' 1
Town of North Andover
BUILDING DEPARTMENT
Homeowner License Exemption
('lease print)
DATE 9 -/�-qs'
JOB LOCATION 0906 go Yr- A S 7.
Number Street Ad
"HOMEOWNER" -ToR -N A.
Name
ress
21M 6.09 -S/6
Home Phone
PRESENT MAILING ADDRESS s'1/alj
ection o
town
Co / 7 - 6'9 5-' -/a V,,(
Work Phone
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 to be, a one to six family dwell-
ing, attached or detached structures accessory to such use acid/or farm
structures. 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.
The undersigned "homeowner" certifies that he/she understands the Town of
North Andover Building Department minimum inspection procedures and
requirements and that he/she will comply with said procedures and
requirements.
HOMEOWNER'S SIGNATURE lele;t 1:117. 1�
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35,000 cubic feet, or larger, will be
required to comply with State Building Code Section 127.0, Construction
Control.
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