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HomeMy WebLinkAboutMiscellaneous - 21 BREWSTER STREET 4/30/2018I AMA Location No. ° Date 40R*FI TOWN OF NORTH ANDOVER �? .• ....009 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ sACMUS -90w Permit Fee $ � Sewer Connection Fee $ Water Connection Fee $ --T TOTAL $ 0 Building Inspector T� 0435 Div. Public Works PE8lL1T No. ��DrpAPPLICATION FOR PERMIT TO RUIie — MAQTU AMIVIV[S .Are MAP K�O.a li�(ryJ�ol( ZONE T NO. O 0_®���� ©(�0 Qw u SUB DIV. LOT NO. - - -- ---- — - 2 RECORD OF OWNERSHIP IDATE BOOK PAGE II 1�6 PURPOSE OF BUILDING LOCATION �P .f�J% OWNER'S NAME (-rN G�lr NO. OF STORIES SIZE OWNER'S ADDRESS !1 fie%\,t a�. �� BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING 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 8 ita IS BUILDING ALTERATION DID -to Ve" IS BUILDING ON SOLID OR FILLED LAND e--, WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER 77LrJyf BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER ' IS BUILDING CONNECTED TO NATURAL GAS LINE Yts INSTRUCTIONS SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 f, ILL OUT SECTIONS 1 - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING r ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BEVLED AND APPROVED BY BUILDING INSPECTOR DATE FILED Al 16111 ICI, SIGNATURE OF OWb(EF(CFR AUTHORIZED AGENT FEE PERMIT GRANTED 19 P 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. l� Fs7o ©v SEPTIC PERMIT NO. 4 APPROVED BY OWNER TEL. # CONTR. TEL. # CONTR. LIC.# H.I.C. # BUILDING INSPECTOR %ZS-- 3 112,? � 4 BUILDING RECORD 1 OCCUPANCY 12 F s SINGLE FAMILY 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 d 1 2 I3 CONCRETE BUK. PINE I BRICK OR STONE HARDW D PIERS PLASTER DRY WALL UNFIN. _ 3 BASEMENT AREA FULL FIN. E'M'T AREA _ 1/ % 1/, FIN. ATTIC AREA _ N_O B MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDAWD ASBESTOS SIDING COMIACN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY- WIRING STONE ON FRAME SUPERIOR I�POOR _ ADEQUATE NONE $ ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD -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. 6 COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING • RADIANT H'T'G UNIT HEATERS GAS 7 NO. OF ROOMS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING WOOD STOVE INSTALLAHON CHECKLIST ■a Permit A building permit is required for the installation of any solid fuel burning appliance. The building permit and installation inspection are limited to the stave installation and -not to the stove construction. ' ' t Stove A. New Used B. Type/radiant Y- Circulating C. Manufacturer rri^c ` T115Lab. No. Name/ Model No. 0, Hecre4✓ 2100 Collar size 01mensianslHeight ` I Length Width t Chimney / A. New E cisting -! c/C, S. Size (flue area) C. Other appliances attached to flue (Number and flue size) 0. Prefab (Manufacturer—name and type) E. Masonry/Lined Fiue liner gyp• 6 manWacturarl Unlined F Height (refer to diagrams)—,,,cap CHIMNEY HEIGHT Hearth (non-combustible) A. Materials Ger k B. Sub -floor construction C. Minimum dimensions (refer to ciaeram) Clearances and Wall Protection t_see s,cve inS,altaecn c.esrances chart) A. Type of wall protection provided B. Clearances (refer to diagrams) FIREPLACE CORNER htAh i n WALLCENTER. 13