HomeMy WebLinkAboutMiscellaneous - 223 FOREST STREET 4/30/2018 I 223 FOREST STREET
210/106.A-0077-0000.0
Location
No. � Date 2-
,.ORT#1 TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
# ' Building/Frame Permit Fee $
Foundation Permit Fee $
s�cHusE
Other Permit Fee L $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ 1
OC4 r � Building Inspector N
859
Div. Public Works
PER11IT NO. �`� lPAGE 1
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
MAP K'40. LOT NO. 2 RECORD OF OWNERSHIP !DATE BOOK ;PAGE
ZONE SUB DIV. LOT NO. i
LOCATION Z Z3 f c7,1-cS-T" 5 'e- 77 —A-PttRPOSE OF BUILDING 16-,
UU O/ X16- �G
Ou rT �uyUew b ePoel/'
OWNER'S NAME G 4 NO. OF STORIES SIZE
_
OWNER'S ADDRESS y ry 3 ��f eT BASEMENT OR SLAB -
ARCHITECT'S NAME ( OF FLOOR TIMBERS IST Z x S7 2ND 3RD
/—BUILDER'S NAME S lf- SPAN S? l O
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
r DISTANCE FROM STREET t"( "' POSTS
,-DISTANCE FROM LOT LINES-SI�IDE))S ? r /�j� REAR -7OO 1 " GIRDERS dO u (e
AREA OF LOT /' q C -J 1 7VFRONTAGE HEIGHT OF FOUNDATION �{ THICKNESS
IS BUILDING NEW �j ✓ �-- SIZE OF FOOTING12- y X 4
LE
,_-LG BUILDING ADDITION 16`X// O_ G MATERIAL OF CHIMNEY
IS BUILDING ALTERATION GG Q� 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 X IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES ST. BLDG. COST
L000
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
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED LFA
BUILDING INBPRCTOR
SIGNATURE OF WiiN AUTHORI AGENT Q 4;&Q
,�j
FEE t S�' OWNER TEL.# �v 2 `; ��
PERMIT GRANTED 12 CONTR.TEL.#
19 CONTR.LIC.#
H.I.C.#
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES 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 13
CONCRETE BLK. PINE _
BRICK OR STONE H
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT 11
AREA FULL FIN. B'M'TAREA _
1/1 1/2 1/ FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALIS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDW D _
ASBESTOS SIDING COMMON
VERT. SIDING ASPH. TILE —{I_
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I� POOR _
ADEQUATE NONE
5 ROOF 10 PLUMBING
GABLE I HIP BATH (3 FIX.(
GAMBRELMANSARD TOILET RM. (2 FIX.(
FLAT IA.-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. &COLS. STEAM
STEEL BMS. & 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
1st 13rd NO HEATING
i
ORT
Town of - over
No. 358 °72_ Or
}
y z yy dower, Mass.,
ltj 19OUT
T Q - LAKE ^ T
COCMICHEWICK V
'11,9 A°R TED BOARD OF HEALTH
$ Food/Kitchen
t -WIM IT TPER
Septic System
.�.�.� BUILDING INSPECTOR
THIS CERTIFIES THAT...�V jVr.... ����•.... .M �A&•.................................................... Foundation
has permission to erect.....P.&M.................. buildings on..Zz3....' ' ......... .................................... Rough
tobe occupied as..Uad(a......! P...I w.. '+............................................................................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in 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
IOLATION'of the Zoning or Building Regulations Voids this Permit. �.�.r' Rough
Final
PERMIT EXP 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CO T Rough
......... Service
BUILDING INSPECTOR
Final
Occupancy Permit Required t0 Occupy Building RouGAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Finalh
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. Q
SEWER/WATER . FINAL DRIVEWAY ENTRY PERMIT
TOWN of NORTH ANDOVER
AFFIDAVIT
H®e mit Gmtractw law
SWlmnt too ltamat t%bcatim
M3,c. 142 A re#res that the "rao r , ahamticn, renmadai, repair, ®dean7ati�m, oaS610-133.rn7
imprmma-t, ramml, dmbl..iticn, or constnrlim of an aditim to any pre' austirg aAim7-aoapied hrild-
irg cmtainhg at least are but nit adze ttmfnir dellirg units...ar to slot tures 4 ch are adjaxnt to
sudz resLclarn cr hri_ldug"be doe by r%istamd ardz a_s, lith Certain dais, alag nth dh2r
�iirFRRItS,
r
of Work: Cj K / �_� Est. Cost 2-O o0
(dress of Work Z Z 3 1- e-S Ste`re-e7
L-Owner Name: ,r
Date of Permit Application: 2
I hereby certify that:
Registration is not required for the following reason(s): For office Use Only
Work excluded by law Rmdt Iib.
job under $1,000 Date
Building not owner-occupied
Owner pulling awn permit
Other (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WM UNREGISTERED CONTRACTORS:
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRA-
TION PROGRAM OR GUARANTY FUND UNDER MGI, c. 142A.
Signed uxkr pemlties of perjLn:y:
I hereby apply for a permit as the agent of the owner:
Date Contractor Name Registration No.
OR:
Notwithstanding the above notice, I hereby apply for a permit as the
�wner of the above property:
Date Owner Ra.
Town of North Andover lt NORTH ,
OFFICE OF ?o•`,,to 4,0
�
COMMUNITY DEVELOPMENT AND SERVICES p
146 Main Street
KENNETH R.MAHONY North Andover, Massachusetts 01845 9SSncHUSEt
Director (508) 688-9533
HO`f WNER LICENSE EX-E".NiPTION
Please print.
¢'DATE Z ��
?LOCATION Z- 13 �T 71 S 7
Number Street address Section of town
s!150MEOWNER" Z - -c U- Z 6 Yy
Name Home phone Work phone
PRESENT MAILING ADDRESS Z T
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 Sec-
tion 109.1.1)
DEFINITION OF HOMEOWvTER:
Person(s) who owns a parcel of land on which heishe resides or intends to reside, on which
there is, or is intended to be, a one to six family dwelling, attached or detached structures ac-
cessory to such use and/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 Building 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 LVo. Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICL-�L
Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0, Construction Control.
BOARD OF APPEALS 688-9541 BLIILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Julie Parrino D.Robert Niceua bfichad Howard Sandra Start Kathleen Bradley Colwell
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