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Home My WebLink AboutMiscellaneous - 21 WEST BRADSTREET ROAD 4/30/2018r //rte E..3 T pEGK w � O "012/ G. 13A? r2EET SOA O I HEREBY CERTIFY TO THE Tom.✓ /3ci�c��.,iG /tis.�Ec ro R THAT THE ,C.vo_ IS LOCATED ON THE LOT AS SHOWN AND THAT IT DOES CONFORM WITH THE-- OF.✓�q,vpove,,eZ0NMG REGULATIONS REGARDING SETBAMS FROM STREETS k LOT LINES.` I FURTHER CERTIFY HAT THIS IS NOT LOCATED IN TH FX.QRAALFLOOD HAZARD AREA AS SHOWN ON FE 'TY PANEL � c�So0 9� o0 0 3G STEP .L.S. DATE PLOT PLAN IN /1/O. �/ti/OOvER /yJ/9, DRAWN FOR RO�E/2T r OOLO/PC..S � G z- 1-9 MARNMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, WSACHUSETTS 01810 V � N 0 ^� m //rte E..3 T pEGK w � O "012/ G. 13A? r2EET SOA O I HEREBY CERTIFY TO THE Tom.✓ /3ci�c��.,iG /tis.�Ec ro R THAT THE ,C.vo_ IS LOCATED ON THE LOT AS SHOWN AND THAT IT DOES CONFORM WITH THE-- OF.✓�q,vpove,,eZ0NMG REGULATIONS REGARDING SETBAMS FROM STREETS k LOT LINES.` I FURTHER CERTIFY HAT THIS IS NOT LOCATED IN TH FX.QRAALFLOOD HAZARD AREA AS SHOWN ON FE 'TY PANEL � c�So0 9� o0 0 3G STEP .L.S. DATE PLOT PLAN IN /1/O. �/ti/OOvER /yJ/9, DRAWN FOR RO�E/2T r OOLO/PC..S � G z- 1-9 MARNMACK ENGINEERING SERVICES 66 PARK STREET ANDOVER, WSACHUSETTS 01810 y Allard Garage Addition / Renovation 21 West Bradstreet Road North Andove, MA 236 100 Existing wall to remain New walls to be built Existing wall to be removed Note 1 All demensions to be field verified Note 2 Roof elevations to match existing elevations Note 3 Front wall to be reframed for 2 new doors Note 4 Owner to supply specs for new garage doors (see allowance ) Note 5 Landscaping by owner Note 6 New vinyl siding and trim to match existing Note 7 New roof shingles to be weaved with existing roof Note 8 Install new floor to existing elevations Note 9 Install 2 new vinyl windows on gable wall Locations1 .� No. F�— Date NORTH TOWN OF NORTH ANDOVER y • s • Certificate of Occupancy $ Building/Frame /Frame Permit Fee $ 11 ID ss�CHust 9 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ I ;L0 • r. Check # I►! �i 18539 �'- Building Inspector I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING �... BUILDING PERMIT NUMBER: / DATE ISSUED: SIGNATURE: Building Commissioner/Inspector of Buildin Date SECTION 1- SITE INFORMATION 1.1 Property 1.2 Assessors Map and Parcel Number: Address: n n d-3 Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Di4ric Proposed Use Lot Areas Frontage ft 1.6 WELDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Reqwred Provided 30 � l /$-" SQL vui c n ce- p l e* - 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal Sys : Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT F Historic Distdct: Yes __._No 2.1 Owner of Record bo (o ►res e N1(CCL t t32s� P� 4S 2.94 Name (Print) Address for Service : �} p `7 D2 seg Signature 0 Telephone 2.2 Owner of Record: �.. Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable AatLd �w5kckC� ,,,,,1 � � Wov k Licensed Construction upervisor: License Number Address Expiration Date - Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name Registration Number Address Expiration Date Signature Telephone P• ®! m M ro YI SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 > 2506) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: -(0 02. Ca c qa�t -- V -a t Q t4cQ Tt54-DJUA SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item (Dollar) > Estimated Cost to be Completed by permit applicant � �ICIA uSE 1. Building coo (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) X (b) ` -- 4 Mechanical HVAC 5 Fire Protection 6 Total -,11 2+3+4+5)0 4 "${ I"" """" " ' Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I> as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ��f'4� 8W ,as Owner/Authorized Agent of subject property el Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief Print Name Signature of Owner/A ent NO. OF STORIES Date SIZE D*stf ±PLrO SL SIZE OF FLOOR TINIBERS 1 2 3RD SPAN DIMENSIONS OF SILLS Z 4 DIMENSIONS OF POSTS 57T i Ua t l DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION J THICKNESS 10 SIZE OF FOOTING 1® X 'Z. o MATERIAL OF CHIMNEY - IS BUILDING ON SOLID OR FILLED LAND S IS BUILDING CONNECTED TO NATURAL GAS LINE A) 21 W Bradstreet Rd Q'1Q)e4- Vking RWM I - appoxima tel nt (r)ratching wo and 3; 12 in Dr. Dolores Goyette Allard t r 22X32 Garage Draft #1 i Page 1 oft 21 W Bradstreet Rd North Andover MA 01845-3815 ... ...... ... ..... ,.: r,::. .:.:: £kff ... .... .. �� — APO 10 F Essex North County Kegistry of Deeds 381 Common Street Lawrence, Massachusetts 01640 O8/17/O5 GOYETTE RAP # 7 Rec: DOC. 31144 K 8 Rec: DOC. 31145 # 9 Payment Check T�e R1 50.00 C. P. 2O.00 R. D. 100 Type DCSN 50.00 C. P. 2100 R. D. 100 THANK YOU! Thomas J. Burke Register of Deeds Owl[ uyl J�\ uU~ W. A),q- FORM U - LOT 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 or requirements. APPLICANT FILLS OUT THIS SECTION*********************** I APPLICANT N I OVES Gau e#9- 41 (Glit c� PHONE q9 J- 7 3P - D 7S? LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT (S) STREET WO -S- BY -0 asiv' - EA ST. NUMBER USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER COMMENTS FOOD INSPECTOR -HEALTH SEPTIC INSPECTOR -HEALTH COMMENTS DATE APPROVED DATE REJECTED_ DATE APPROVED DATE REJECTED DATE APPROVED DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm NORTH TOWN OF NORTH ANDOVER o «•n , qp e°4,�,'.6 OFFICE OF A BUILDING DEPARTMENT 400 Osgood Street North Andover, Massachusetts 01845 D. Robert Nicetta, Building Commissioner HOMEOWNER LICENSE EXEMPTION Please print DATE: C UD JOB LOCATION: a l west VO -d 5` Number Street Address Telephone (978) 688-95454 Fax (978)688-9542 �,3/11� HOMEOWNER 'Do 6 -es S 0" 7 9 ` O z Nam6 Home Phone Work Phone PRESENT MAILING ADDRESS off. ( wa. j - B Y dAY-0A K41 ,A)a . A, " IkA--- 01N� - City Town State Zip Code The current exemption for "homeowners" was extended to include owner -occupied dwellings to two 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 108.3.5.1) 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 or two family structures. A person who constructs more that one home in a two-year period shall not be considered a homeowner. The undersigned "homeowner" assumes responsibility for compliances 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 reauirements. HOMEOWNERS SIGNATURE APPROVAL OF BUILDING OFFICIAL BOARD OF APPEALS 688-9541 CONSERVATION 688-9530 HEALTH 688-9540 . ' PLANNING 688-9535 NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11,S150A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: U`P-- Sck �c�M- t' Sem 1 cQ — Fire Department Sign off: Dumpster Permit (Location of Facility) 1 Applicant Date a PORT D. Robert Nicetta Building Commissioner . Town of North Andover Town Clerk Time Stamp Community Development and Services Division Office of the Zoning Board of Appeals 400 Osgood Street ,,4fy that twenty (20) days ,used from date of decision, filed North Andover, Massachusetts 01845 +aui of an anneal Any appeal shall be filed within (20) days after the date of filing of this notice in the office of the Town Clerk, per Mass. Gen. L. ch. Telephone (978)688-9541 Fax (978) 688-9542 Notice of Decision Year 2005 Date /��ir.ST A &d0j Joyce A. Bradshaw Town Clerk Ay lJl Q -n v yr A, §17 Pro at: 21 West Bradstreet Road NAME: Dolores M. Goyette HEAMG(S): June 14, 2005 cn ADDRESS: 21 West Bradstreet Road PETITION: 2005-013 North Andover, MA 01845 TYPING DATE: June 17, 2005 The North Andover Board of Appeals held a public hearing at its regular meeting in the Town Hall top floor meeting room, 120 Main Street, North Andover, MA on Tuesday, June 14, 2005 at 7:30 PM upon the application of Dolores X Goyette, 21 West Bradstreet Road, North Andover requesting a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaw for relief of the left side setback in order to construct a proposed garage extension, and for a Special Permit from Section 9, Paragraph 9.2 of the Zoning Bylaw in order to extend a pre-existing, non -conforming structure on a pre-existing, non- conforming lot. Said premises affected is property with frontage on the Southwest side of West Bradstreet Road within the R4 zoning district. The legal notices were published in the Eagle -Tribune on May 30 & June 6, 2005. The following voting members were present: Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, Thomas D. Ippolito, and Richard M. Vaillancourt. The following non-voting members were present. Albert P. Manzi, III; and David R Webster. Upon a motion by Joseph D. LaGrasse and 2°d by Thomas D. Ippolito, the Board voted to GRANT a dimensional Variance from Section 7, Paragraph 7.3 and Table 2 of the Zoning Bylaw for relief of 8.6' from the east side setback in order to construct a second stall addition to an existing one stall garage; and upon a motion by Joseph D. LaGrasse and 2°d by Richard M VaillancouM the Board voted to GRANT a Special Permit from Section 9, Paragraph 9.2 of the Zoning Bylaw in order to allow a pre-existing non- conforming structure to be extended by a one-story attached second stall on a pre-existing, non -conforming lot per Plan of Land in North Andover, MA, prepared for owner/applicant Robert and Dolores Allard, 21 West Bradstreet Road, North Andover, MA Date: May 11, 2005 by Stephen E. Stapinsla, R.L.S. #29876, Merrimack Engineering Services, 66 Park Street, Andover, Massachusetts 01810 and Doloris and Bob Goyette, 2202 Garage Draft #1, 21 W Bradstreet Road, N. Andover, MA, North Andover, MA 01845- 3815, 2 pages. With the following conditions: 1. The roof of the proposed garage addition shall be the same height as the existing garage. 2• The applicant shall provide a corrected Mylar. Voting in favor: Ellen P. McIntyre, Joseph D. LaGrasse, Richard J. Byers, Thomas D. Ippolito, and Richard M. Vaillancourt. The Board finds that the applicant's photographs showing two car garages in the neighborhood has satisfied the provisions of Section 10, paragraph 10.4 of the Zoning Bylaw in that the granting of this Variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning Bylaw. Also, the Board finds that the applicant has satisfied the provisions of Section 9, Paragraph 9.2 of the zoning bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing structure to the neighborhood. ATTEST Pagel of 2 A True Copy d �4 Town Clorlc Board of Appeals 978- 688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 Town of North Andover. NORrM Office of the Zoning Board of Appel' '. Community Development and Services Division 400 Osgood Street *+ °+aro•►�'a hs North Andover, Massachusetts 01845 Tele �sswcMs�` D. Robert Nicetta hone 978 Building Commissioner p ( ): 688-9541 Fax (978)`688-9542 Furthermore, if the rights authorized by the Variance are not exercised within one (1) year of the date of the grant, it shall lapse, and may be re-established only after notice, and a new hearing. Furthermore, if a Special Permit granted under the provisions contained herein shall be deemed to have lapsed after a two (2) : year period from the date on which the Special Permit was granted unless substantial use or construction has commenced, it shall lapse and may be re=established only after notice, and a new hearing. Town of North Andover: Board of Appeals, Ellen P. McIntyre, Chair Decision 2005-013. M32P44. Page 2 of 2 Board of Appeals 978- 688-9541 Building 978-688-9545 Conservation 978-688-9530 Health 978-688-9540 Planning 978-688-9535 9 --Z QQ cn 0 W A -a z 0 U Z 0 U w A.. co O Q z O v CO2 CDL- Q fr c OL- CD C3 CL H 0 C. CO) c O V O c CO) 0 co as c Q o CL. CL c cc c .510 CIO 0.2 Z Q CL CO) c 0 UA Y♦ 19 W W W C4 G G = y C-3 yCaL =r - o := o N�Cc Ea db-. ZZ `_ n d� W VJ w i7r P:i U x w a �i [Jr a 0.i (n LL L:i LLQ ! W d z (n v (n cn 0 W A -a z 0 U Z 0 U w A.. co O Q z O v CO2 CDL- Q fr c OL- CD C3 CL H 0 C. CO) c O V O c CO) 0 co as c Q o CL. CL c cc c .510 CIO 0.2 Z Q CL CO) c 0 UA Y♦ 19 W W W C4 G G = y C-3 yCaL =r - o := o N�Cc Ea db-. ZZ `_ n � •� o y E p'.0m C2 V �+ ts cm m C i CIOA y: o� y CD ;3� #V)� mCA O y.: y m O "m V� `moca a c tt y m AL CM a C! G y �O r 0.== V•�=oo co Q o a � C=:, m = o = o :a -o N CD COO W ,N O G .E dt y cam,cm Z o LU y a _ m= O� 'S y'O C* =aaSmFo `O cn 0 W A -a z 0 U Z 0 U w A.. co O Q z O v CO2 CDL- Q fr c OL- CD C3 CL H 0 C. CO) c O V O c CO) 0 co as c Q o CL. CL c cc c .510 CIO 0.2 Z Q CL CO) c 0 UA Y♦ 19 W W W C4 O a e N C " m +L+ -.le O N L ° ° 3 c o c m u v OC o c vs n m Q. c 0 0 °1 CM m J.3 c .O ., N of ug w n !� m O '.' m Z O •r �� L � N m uj LU U) W W 19 W 0 w am z 0 0z n 0 LL a Z 4 �h OA 0� ru O o LA =0 X 2 rm Ln IRV `440 ru ca � 3�m Lh J!"m z - Ln LU qjA , .- L: �h OA 0� ru fou LA i,,:w<' >. 0? X 2 rm :kA ru rm Ln ru Ln Lh J!"m z - Ln LU qjA , .- :kA - - 'G Zoning Bylaw Denial Town Of North Andover Building Department 400 Osgood St North Andover, MA. 01845 'i W.... •A 4' Phone 979488-9545 Fax 97348841542 Street: X11 L' s+ i3 I' q cQ S Na t:. 3a/Hq kpplicant: I o r V S G o e 1+ Reauest: i.e C f S t Ct. & A r` A. C Aof ck i ^' Date'5 / i ° 5 Application is Please be advised that after review of your Application and Plans that your App DENIED for the following Zoning Bylaw reasons: Zoning f t - item Notes Site Plan Review Special Permit C'_ 3 Item Notes A Lot Area Lot Area Variance F Frontage Congregate Housing Special Permit 1 Lot area Insufficient Special Permits Zoning Board 1 Frontage Insufficient Large Estate Condo Special Permit 2 3 Lot Area Preexisting Lot Area Complies t -t 2 3 Frontaue Complies Preexisting frontage R-6 Density Special Permiti3 4 Insufficient Information 4 Insufficient Information B Use 5 No access over Frontage 1 Allowed G Contiguous Building Area 2 Not Allowed 1 Insufficient Area 3 Use Preexisting 2 1 Complies 4 Special Permit Required �1 e S 3 Preexisti CBA 5 Insufficient Information 4 Insufficient Information C Setback H Building Height 1 All setbacks-com 1 Height Exceeds Maximum 2 Front Insufficient 2 Complies 3 Left Side Insufficient tj s 3 Preexisting Height e- S 4 Right Side Insufficient 4 Insufficient Information 5 Rear Insufficient I Building Coverage 6 Preexisting setbacks 1 Coverage exceeds maximum 7 Insufficient Information 2 Coverage Complies D Watershed 3 Coverage Preexisting Ll e:.S 1 Not in Watershed `t e s 4 Insufficient Information 2 In Watershed j Sign A) A 3 Lot prior to 10/24/94 1 Sign not allowed 4 Zone to be Determined 2 Sign Complies 5 Insufficient information 3 Insufficient Information E Historic District K Parking ,4 1 In District review required 1 More Paddng Required 2 Not in district 2 Parking Complies 3 Insufficient Information 3 Insufficient Information 4 Pre-existing Parking Remedv for the above is checked below Item 5 Special Permits Planning Board item 5 Variance Site Plan Review Special Permit C'_ 3 Setback Variance Access other than Frontage Special Permit Parldng Variance Frontage Lot Special Permit Lot Area Variance Common Drive Special Permit Height Variance Congregate Housing Special Permit Variance for -Sign Continuing Care Retirement Special Permit Special Permits Zoning Board Independent Elderly Housing Special Permit Special Permit Non -Conforming Use ZBA Large Estate Condo Special Permit Earth Removal Special Permit ZBA Planned Develc9ment District Special Permit special Permit Use not Listed but Similar Planned Residential Special Permit Special Permit for Sign R-6 Density Special Permiti3 Special Permit preedsting nonconformin Watershed SDecial Permit The above review and altectad aripiaabon of such is based an the plans and infatuation submitted. No defirdtive review and or advice shell be toned on we" arparatiorw by the appficartI nor WW such verbal eorpierratiorrs by the applicant serve to Provide ddrAve answers b fhe abave reasan for DENIAL. Any inacmwAs, rrraleadirrg krfmratlon, or odw subeequert dw to the krkmnli n submitted by Ila applicant shay be Wamft for flue muiew bD be voided a the dacretion of the Building Deperbnerk. The altectad document titled `Pan Review Neretive' stall be agached tarab and wwmporated herein by reference. The trail Wq d-perhrart will ratan ter para and dominerkatlon for the above 111x. You must file a new bAdkV Permit application form and bean fhe permift proo9es. 86ildi g Department Official Signature Application Received Appi' ied Plan Review Narrative The following narrative is provided to further explain the reasons for denial for the application/ permit for the property indicated on the reverse side: " • ? r� *'_ Police c�strA-5 Conservation A)0N CDti4rWftj S��L) ic, (217 Are_ Planning Stlti N CvAv,"cn lti Other BUILDING DEPT 0-3 IIA r 1A /t) C e - ON 4POPO s P �f' G A r� a Y-. p ti s r o ✓11 : S ,4 (S It -TA Referred To: Fire Health Police 77 7ZmingBoard Conservation DepaMmit or Public Works Planning Historical Commission Other BUILDING DEPT TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATF, OR DEMOLISH A ONE OR TWO FAMILY DWELLING ow BLUDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I or of Buildings Date SECTION I-. SITE INFORMATION 1.1 Property Address:' 1.2 A.. Map and Parcel Numbs: Map Number Pa Number 1.3 Zoning Information: Ki Zonin District hopmed Use 1.4 Property Dimensions: 1/570 - - Lot Area (sf) Frontage (fi) 1.6 BUILDING SETBACKS (ft) Front Yard Side Yard Rear Yard Re4pired Provide ReqWred ftM&d Regired Provided 1.5. Flood Zone,lufamiatios: I.Mgter Supply M.G.L.C.40.%54) PubZoon Outside Mood Zone 0 lic 0 Private ❑ 1.3 Sewerep Disposal System: Municipal 0 On Site Disposal System 0 SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT L:i istrict: NO 2.1 Owner of Record - NV G -t UU, Q` ym&ym �-- Na -(Punt) Address for Service: Name Signature U Telephone 2.2 Owner 'bf Record, Name Print Address for Service: Signature Telephone SECTION J CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor. Licensed Construction Supervisor. Address Signature Telephone Not Applicable License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable o Company Name Registration Number Address Expiration Deft Signature Telephone NOW z G) N' XZ41 SECTION 4 - WORKERS COMPENSATION (KG.L C 152 s TWA) I or Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Si ed affidavit Attached Yes .......0 No...... A SECTION S Description of Prosed Work checker ave0cable New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: �. SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be COMPfeted by permit applicant OFFICIAL US1d ONLY 1. Building —1/Z, o0 o (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumb' Building Permit fee (a) x tb) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I,� as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief p �� Print N / Signature ofVGerAgent Date NO. RIES 2 SIZE BASEMENT R SLAB F LOOR TMMERS 1S7 2M 3Kv SPAN DIMENSIONS OF SILLS DIN ENSIONS OF POSTS DDAENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHDA EY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ORTGAGE INSPECTION PLAN M INC. NORTHERN ASSOCIATES, 401 SOUTH BROADWAY, LAWRENCE WA, 01843-3522 TEL:(978) 837-3335 FAX:(978) 837-3336 DEED REF:.1022 / 382 MORTGAGOR: DOLORES M.GOYL°'iTE LOCATION: 21 WEST BRAD SPLAN �F; #13155 ET SCALE; I' -3a155 TREROAD E CITY,5TATE: NORTM ANDOVER MA ,JOB : 201/09541 DATE: OCT.30, 200 I LOT5 I I t. 12 J. LOT 5 1 1,570 5ft N l71 J Q LOT 4 LOT 6 N Q 1 .5 5TORY 0 9 WOOD #t21 0 tiA�� Rn72G. 15' v L=85.00' W BRADSTREET ROAD CERTfME.D TO: MA55DANK ' Flood httsand zone has been determined by scala and is not necessarily accurate. Unt+l da finiti,m pians ,a are issued by HUD and/ a vertical contnot Survey is perfarrned precise elevations cannot ba determined Mfg rf- aWftjmp woo prvptwd TvSe6.f- .dips'" prrs edy ant a Wfd gyp- at . f -d » r -PT ft ;r ttu ereseX —d Jsr toasrit v r-lp ded Amertp irm w .'Atruattm Ab .e++...e +.en seR rf� abtey! te.Witn mw ttAek s.. am tm n opeeiJiway M �lw orris -waft net to se red to MteON'it -=-tv dtertt-ltmdtwd bv#r.rdi., °W =Y H fw*a is J1vto.r eW-.Cft inner. e.rfrnis m.d fis►d. sad carr f".dkrs y »acrd aad poo-Aiw w stlltr -I h,,L AMA.., 4ltefake. JOIC � - +npontl6aur I*" �s0� r�•J q1 Mal , the len pr.3w to eoewda+rt• N 8i y .eta w seer fd. pr tt.V p t.sn n,.p etr n. e..dq..d ray m. AO.oea+oetta aced .f ff"Oft -a tend �itir �l' nvietwim of li.pn—ot afs m CUR ws ` G. S i. rayr o essprn�sfftt 0. boa "Noe hw*mnt t ipaarle4 eM a dtm..He.d a.laacs +.grrfes�nk d aw fora of nrret►ntl.o. w r. •a+r.,t ander pre.t.t.m of XAL. CX Io-A-Stt: �M'`• O'L �9lswet P.4 /w !loot Hua.t A.s- r,s ,t7 S. In ts, is tn.4foed to deknntw Pt..d Het.$& Rod Dat.rd defamd rd I mn lstut /Nerd R -d hn+a ~ Ask my P-ot 2�i�009S 6 - a.to6 0, _ swar C _ _