HomeMy WebLinkAboutMiscellaneous - 24 FAULKNER ROAD 4/30/2018""Location c-)
i
No. ,5;7Date
t ' r '
ot,N° "T" TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
y
Building/Frame-Permit-Fee $
y ssACHU' tom+ Q.l.1F1C1atI0f1• P2C171.1�-�• �3 $ _ .--
`Oth�Permit Fee
Se%V&rCorinectioh -FeO $ �T
wA_fj1onnq'9ji(19w$
TOTAL
-` r323
Building Inspector
Div. Public Works
PERMIT. NO. / APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
/PAGE 1
MAP i4O.
I LOT NO.
2 RECORD OF OWNERSHIP iDATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.
-
LOCATION
PURPOSE OF BUILDING
OWNER'S NAME
NO. OF STORIES SIZE
OWNER'S ADDRES S ' - 'n
�LLIX�
BASEMENT OR SLAB
ARCHITECT'S NAME
BUILDER'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
SPAN
DISTANCE TO NEAREST BUILDING IVDIMENSIONS
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
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 TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
vl
PAGE 2 FILL OUT SECTIONS 1 12
V
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND
APPROVED BY BUILDING INSPECTOR
DATE FILED eAl?;3
SIGNATURE OF OW R g UTHORIZED AGENT
FEE
PERMIT GRANTED
.3 19
-1323
OWNER TEL. #
CONTR. TEL.
CONTR. LIC. #
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST j1D
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
3 1 2 13
PINE
CONCRETE
CONCRETE BL'K.
BRICK OR STONE
HARDW 0
PIERS
PLASTER
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B'M'TAREA
_
1/1 1/2
FIN. ATTIC AREA
N_O B M T
FIRE PLACES
_
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
B
1
2
�_
3
_
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
HARDW D
COMMON
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MAS NRY
BRICK ON FRAME
ATTIC STRS. d FLOOR I_
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR Ij POOR _
ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
IF,
BATH (3 FIX.)
GAMBREL
MANSARD
TOILET RM. 12 FIX.)
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR 8 GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN,
TIMBER BMS. & COLS.
STEAM
STEEL BMS. 6 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 _
1 at 3rd
ELECTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
�
OFFICES OF:UsM
1 V w iJ�. Vlt t 2.0 maintweei
APPEALS NORTH ANDOVERNorth Andover.BUILDING MassachusettsOt845CONSERVATION DIVISION OF . (6 1 7) 6854775
.. 1
HEALTH
PUNNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
t
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number is that the debris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
Signature of Permit Applicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
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