HomeMy WebLinkAboutMiscellaneous - 226 Forest Street / 226 FOREST STREET
210/106.A-0013-0000.0
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NOR*h TOWN OF NORTH ANDOVER
C?•' •, OOA
A Certificate of Occupancy $
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Building/Frame Permit Fee $ �--
3►�s',"°' t�' Foundation Permit Fee $
JACHUSt
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
{ Building Inspector
IIS 03/14/96 11:53 25.00 PAID
9593 Div. Public Works
- 1
PER311T NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. Vf PAGt 1
MAP INO. f a (D
LOT NO. 2 RECORD OF OWNERSHIP ATE (BOOK ;PAGE
ZONE a I SUB DIV. LOT NO. 0�zT/-)� Iff0
LOCATION a;u"
�1 /1 PURPOSE OF BUILDING ����•S / ��S�InE�I7
OWNER'S NAME - /_ •J �+� NO. OF STORIES 'SIZE
OWNER'S ADDRESS 22(a O d BASEMENT OR SLAB -
ARCHITECT'S NAME l I� SIZE OF FLOOR TIMBERS IST 2ND 3RD
%-,4-UILDER'S NAME`�7� p SPAN
` DISTANCE TO NEAREST BUILDING / y 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
IS BUILDING ALTERATION Y .e,, 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 IS BUILDING CONNECTED TO TQWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS �
3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES �l�yQ
EST. BLDG. C08T
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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 a°-pZ°7
BUILDING INSPICTOR
SI ATUR OF O NERAUTH ZE AGENT
FEE 7 - OWNER TEL.#
PERMIT GRANTED / CONTR.TEL.# -72 7 A/1 6
3 ( / 19 - CONTR.LIC.#
H.IC,#
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Fm Y L�oO
F
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY sr )PIES 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 3 1 2 13
CONCRETE BLK. PINE _
BRICK OR STONE HARDW D —
PIERS PLASTER ASTER
_ DRY VJALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B'M'T AREA _
y, 1/2 FIN. ATTIC AREA _
NO BMT FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_ «
WOOD SHINGLES EARTH
ASPHALT SIDING HARDNWD _
ASBESTOS SIDING COM&ACN
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME —11
BRICK ON MAS NRY ATTIC STRS. & FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I� POOR
EQUATE
ADNONE
rj ROOF 10 PLUMBING
GABLE HIP BATH (3 FIX.)
GAMBRELMANSARD TOILET RM. (2 FIX.)
FLAT A SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY «
WOOD SHINGES KLTCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING MODERN FIXTURES _
TILE FLOOR
TILE DADO
g 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 I NO HEATING is r
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I NORTHTown o dover
0 0
0cr dover, Mass., 19 91;
COC MIC HE WICK
ORATED
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
E / BUILDING INSPECTOR
THIS CERTIFIES THAT......... ......... ...... Foundation
has permission to amet...rl Idings on ......... ... ................ Rough
to be occupied as.......................r'4114Y. ..........k-l-& .... ................ ..........2p�'ex G ............................. Chimney
provided that the person accepting this Vermit 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
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTIONS ART ELECTRICAL INSPECTOR
Rough
............................ ........ ....... . ... . ...... Service
ui�6iKdINSPECTOR
'
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
TOWN of NORTH ANDOVER
AFFIDAVIT
Hone bumvam it Catxmtm law
3=]Gna t m Peadt App1icatim
M,L G 142 A requires that the"recast n r-tim- alberadm. rsuaticr4 rear, , warn,
ia¢vvenent, reuxal, damli ticn, c r camb=dm cf an a i itim to any pry exist ug bAld-
iig cmtahArg at least cne but not axe timfc r dpilirg unts...or tD strtrbx-es Crich are adjam t bo
such residence or hrildirg•'be dam by r%ist eyed oartracbots, with certain emeptiaLs, &crg Guth other
�-
Type of Work: v M Est. Cost30co
Address of Work 2.,2 cif cc /
Owner Name: en L A e s
Date of Permit Application: 3 1 ( c 6
I hereby certify that:
Registration is not required for the following ren (s): Fcr offim Use Only
Work excluded by law Rmdt No.
Job under $1,000 Date
Building not owner-occupied
= pulling Oaier permit
� (specify)
Notice is hereby given that:
OWNERS PULLING THEIR OWN PERMIT OR DEALING WM UNREGISTERED OONTRACMRS_
FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRA-
TION PROGRAM OR GUARANTY FUPID UNDER MGT. c. 142A.
Sig Ed tater pa-alties of perjury:
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
owner of the above prope
Date Cifner Name
office Use Only L
5
The Commonwealth of Massachusetts Z
Permit No.
Department of Public Safety
ed—
GOARD OF FIRE PREVENTION REGULATIONS 527 COIR 12:00 Occupancy b Fee Check
3J90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to He portortr+eo h accoroance"in the 1i1�eO^"�ti "eoee.527 CUR 12.00 f l 9
Date
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION
To the Inspector of Wires:
City or Town of
-The undersigned applies for a permit to perform the ei c: cal work aescnbed beio,
Location (Street & Number) 1
Owner or Tenant
Owner's Address (Ch";k Appropriate Box)
Is this permit in conjunction withbuilding Permit Yes no
Purpose of Building Utility Authorization Na.
mps� Volts Overhead Undgrd ❑ No. of Meters
Existing Service --A
New Service Amps
I Voits Overhead ❑ Undgrd No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical War TOTAL
No.\of lighting Cutlets INo. of Hot Tubs
INo. of Transformers KVA
Acave r- In Generators KVA
No. of L!ghtino Fixtures ' 1Swimmina Pool crud. arnd El
No. of Emergency Lighting
No. of Receptacle Outlets
No. of Cil Sumers ISatte" Units
No. of Gas Surrers FIRE ALARMS No.of Zones
No. of Switch Cutlets TOTAL No. of Detection and
No. of Air Conditioners TCNS Initiating Devices
No. of Ranges
HEAT TOTAL TOTAL No: of Sounding Devices
INo. of Pumas TCNS KW No. of Self Contained
No. of Disoasais Detection/Sounding Devices
Scace/Area Heating KW
No. of Dishwashers Municipal
No. of Dryers
He
Devices
KW Local ❑ Connection []Other
Na. of No. of ILow Voltage
No. of Water Heaters KW
tNa.:o:tMotcrs
ns 9allasts Wiring
No. of Hydra Massage Tubs Tetal �HP ��
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements at Massac tusetts General Laws
I have a current Liability Insurance Policy
❑ NOud ng Completed Operations Ccverage or its substantial equivalent.YES D NO G I heave submitted
valid proof of same to this off
If you have checked Y S ease indicate the type of coverage by checkin the appropriate fix. �jv , 7
OTHER ❑ (P!ease Specify) /�i2 /G l/ e (Expiration OaGte)
INSURANCE SONO ❑ —jt4 v2�i/��--
Estimated Value of EIectrical Work 5
:an Date Requested'G Rough Final
Work to Start LGInsec:
/ L,
Signed under the enaities af`pe/rjuryUC. NO ` �7 L
FIRM NAM �-A f /
---_. UC. NO-------
l' ��' /� Signature
Licensee �p c�
tel. No�o�•2
Address
Alt. Tel. Na. required by
canl a
OWNS . S INSURANCE
etts Ganeraf WAIVER:
and Itamhat awamy re
signature on this ssapo cation waves thisee does not have the equiirement.nsurance /Owner r it Agent clhec onent as e)
PERMIT Fcc 5-16)4""
G1 T l,( - Teleoncne No.
r
Date ...J
n -
2f�fC��"/�f fin} .��. ..../........
fo EJ 1 V
N°RTM
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�,SSACNUSES
F
This certifies that ..... ...... v.. ....................................................
t has permission to perform ...... ......................... ................
wiring in the building of......
at.... ? . :........Ft) A........5.T...............ym-v�
.North Andover,Mass.
Fee,71,00....... Lic.No...��l)................ .................A
(, ELECTRICAL INSPECTOR
r C_ \� 03/14/95 11:54 75.0o PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File