HomeMy WebLinkAboutMiscellaneous - 207 BLUE RIDGE ROAD 4/30/2018N_
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Location 6
• No. 'D ' (�/w/I i Date 0
Ota..•° TOWN OF NORTH ANDOVER
.�,'1°
3? °L
p Certificate of Occupancy
41
$
Building/Frame Permit Fee
$
MUS CHU eta Foundation Permit Fee
JAG
$
�ermit Fee
$ ..�
Sewe Lori i tion Fee
$
1 Vatq Eection Fee
$
�.
NOTAL
iJ
$ --
DW/ Building
llnspector
6
_
6 i1 3 4 Div. Public Works
Date
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
�;;Jildcjframe Permit Fee
R(
F6dridd0n Permit Fee
� .•
1��n,� Other Permit Fee �/. C-fi
1993
�6 �3
I �) Z //I I f ,
Building Inspector
• Location r �' r7
No. Date 2-16'-3 3
d
&ORTh TOWN OF NORTH ANDOVER
O:�t..�o ,,i•C
.O� O�
A Certificate of Occupancy $
i ; x Building/Frame Permit Fee $
cMusEt Foundation Permit Fee $
r� Kher Permit Fee $
serer Connection Fee $ -�
/c,.;�, Water Connection Fee $
TOTAL
Suilding.inspector
CDiv. Public Works
Location-
No.
ocation No. , . Date
r, f koRT11 TOWN OF NORTH ANDOVER
'3?•'_' •°oma
p Certificate of Occupancy $
Building/Frame Permit Fee $
JwcMus t� Foundation Permit Fee $
Othrmit Fee $
§zWir Connection Fee
J' ' Uater Connection Fee $
TOTAL $
Building Inspector
4 •
Div. Public Works
PERMIT NO Dom. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �� �,� ✓ 1 PAGE 1
MAP i4O. i
LOT NO.
a jr -
2 RECORD OF OWNERSHIP (DATE
BOOK
'PAGE
ZONE
SUB DIV. LOT NO.����
�� r�
LOCATIP# 63 8 ve
glp oz A
PURPOSE OF BUILDING e
OWNER'S NAME %r&E M.
spv p
M14
NO. OF STORIES 'Q SIZE �j� �
e',
g a a
OWNER'S ADDRESS Q
7
` �f/s Gic
C �d �v
BASEMENT OR SLAB �j.
a/_�_
ARCHITECT'S NAME _C
BUILDER'S NAMEQS'`/
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
�7i
Qe/
V
SIZE OF FLOOR TIMBERS tsTwhl 2ND C o
3RD 0
SPAN�v—
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM LOT LINES - SIDES
If
{/5f REAR ::;w
/it S
AREA OF LOT ,C/. //f� /
ff •/'j%.es VV (p
C� FRONTAGE
t� (moi/
HEIGHT OF FO NDATION 1 Bi/� THICKNESS
SIZE OF FOOTING / /p X
/�
IS BUILDING NEW
1
IS BUILDING ADDITION A!O
MATERIAL OF CHIMNEY o�VceNq-ac
IS BUILDING ALTERATION A144
IS BUILDING ON SOLID OR FILLED LAND Q� / h
cJ�fJ�!
WILL BUILDING CONFORM BUILDING CONFORM TO REQUIREMENTS OF CODE ile'OF CODES
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
NO'
IS BUILDING CONNECTED TO TOWNIS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE Vey
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
%rim), @ ?',
an i rJE Pam 8,4s 13'' s
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILEDA p APPROVED BY BUILDING INSPECTOR
DATE FILED 3 �,
81GNA RE OF W ER OR AUTH IZED AGEN
FEE r
PERMIT GRANTED
19
r
'P1,11IL.DING DEPARTIVIENFT
o
yab bo�3
OWNER TEL. #-& 87 -/%/3
CONTR. TEL. # So8-8 p
CONTR. LIC. # a3
3 PROP5RINFORMATION
LAND COST �� d
EBT. BLDG. COST -VZ�Ja
EST. BLDG. COST PER BQ. FT v' p
ISV-
EDT. BLDG. COOT PER ROOM
OEPTIC PERMIT NO.
4 APPROVED BY t
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BUILDING INOPECTOR
z�-,:�i
111661 'ON
4081
•0
WVIIIIM
40
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FORM U - IAT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT:
LOCATION: As4essor's Map Number
Subdivision
Street
v
Phone /J74? -�a-
Parcel
Lot (s)�,3
St. Number -41-
************************Official Use Only************************
RECOMMENDIONS OF TOWN AGENTS:
iUGL'
Conservation Administrator
Comments
.� i��► ! ! ! 1J it �� � � �
Town Planner
Comments
Food Inspector -Health
—�� AIn
Septic Inspector -Health
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved a %V
Date Rejected
Comments 7&z `?d/ /T�� C�/-
Public Works - sewer/water conn ions nTr �S SSG��
- driveway permit
Fire Department
Received by Building Inspector
Date
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