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Location
,No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
Build! ng/Frame Permit Fee
$
A US
Fodn a !on Permit Fee
$
Pe mit Fee
$ t U
Sewer Connection Fee
$
Water Connection Fee
$
tv
TOTAL
$
7846
uilding Inspector
Div. Public Works
M
Lobation *2_7 rM OD 4a
No. Date
TOWN OF NORTH ANDOVER
of Occupancy
$ SZ
-Certificate
Building/Frame Permit Fee
$ 1-�3sz
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$V__Azh
Water Connection Fee
$ Rk I All
� I
TOTAL
$
&*_ */L-)O.T
0 _tUat 12:46
�- 7M
1,3a2.00 PAID
Building Inspector
Div. Public Works
Location -ZMAZe>LElZk06(E 1�t>
No. Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
$
TOTAL
$
o
Building
Inspector
PAID
-to
7790
Div. Public Works
Location 22
NkF,6 1% 5"B -1 F_ Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other r-ermR ree ip
s
-Sewer Connection Fee
A,1z> 4::�# wat'dr Connection Fee s lo7, o
TOTAL $ 3 0-7 '? , :sz
T3 8449
Id' Ins
17000.00
Div ub C
PER111T NO. !26:1
0-- —
MAP 4-40
�olp-ll fpl�16 I V- t -"L M -"04)A -10--a 14lcAyvI6kA-
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. (A; It tAC t W Z) PAGE I
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS I - 12
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 FILL. -12 —A— 9tlf I
j3IGNATURE OF OWNER OR AUTHO-91ZED AGENT
FEE
PERMIT GRANTED
?A 19
DUE FRAME PERMIT $—l'!i-2--=
I- 6b Ct'-
L3B ZIP0
3 PROPWT-Y INFORMATION
- 0 �
LAND COST 06uo C'�' %-.,
EST. BLDG. COST // A A-
I Ly W,
EST. BLDG. COST PER SQ. FT. X45— L)
-0 4 - LAJO I rr-K KUUM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INSPRCTOR
--) to
OWNERTEL.#
A--,- D q
CONTR. TEL. # It�T
CO NTR. LI C. # 2a
H.I.C. #
Cie /oos-
c4- �?B 2&-
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK ;PAGE
ZONE SUB DIV;_L
LOCATION
NO
F
URPOSE OF BUILDING
iwd, Ls
S NAME
NO. OF STORIE IZ�' SIZE 4
OWNER'S ADhIREiS
�R SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS I ST ��Xjb 2ND
SPAN
/5' � 16),
DIMENSIONS OF SILLS
POSTS
-2>- Ise
2X 10 3RD
BUILDER*S NAME A -A k\) c
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
DISTANCE FROM LOT LIN ES - SIDES
REAR
GIRDERS
AREA OF LOT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS /0 It
IS BUILDING NEW 5-5
SIZE OF FOOTING x.
IS BUILDING ADDITION
a &
MATER:AL OF CHIMNEY
dc==22%
IS BUILDING ALTERATION A)o
Is BUILDING *11 nLI D R FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CO�E
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
No
IS BUILDING CONNECTED TO TOWN SEWER
i -s
IS BUILDING CONNECTED TO NATURAL G
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS I - 12
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 FILL. -12 —A— 9tlf I
j3IGNATURE OF OWNER OR AUTHO-91ZED AGENT
FEE
PERMIT GRANTED
?A 19
DUE FRAME PERMIT $—l'!i-2--=
I- 6b Ct'-
L3B ZIP0
3 PROPWT-Y INFORMATION
- 0 �
LAND COST 06uo C'�' %-.,
EST. BLDG. COST // A A-
I Ly W,
EST. BLDG. COST PER SQ. FT. X45— L)
-0 4 - LAJO I rr-K KUUM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INSPRCTOR
--) to
OWNERTEL.#
A--,- D q
CONTR. TEL. # It�T
CO NTR. LI C. # 2a
H.I.C. #
Cie /oos-
c4- �?B 2&-
BUILDING RECORD
I OCCUPANCY 12
SINGLE FAMILY
S-ORIES
MULTI. FAMILY :-_-::j—r�FFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
CONCRETE
CONCRETE BL K.
BRICK OR STONE
PIERS
�
8 INTERIOR
3
PINE
HARDW D
PLASTER
DRY WALL
UNFIN.
FINISH
J/-
2 13
3 BASEMENT
AREA FULL
FIN. B*M T AREA
1/1 1/2 1/.
FIN. ATTIC AREA
t1O B M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS FLOORS
CLAPBOARDS
B
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vo
2
3
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WOOD SHINGLES
EARTH
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ASBESTOS SIDING
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COMMON
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VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME.
1�IDEQUATE
BRICK ON MASONRY'
ATTIC STRS. & FLOOR
BRICK ON FRAME
CONIC. OR CINDER BLK.
WIRING
STONE ON MASO: NRY.
STONE ON FRAME
SUPERIOR 1__� t0OR
NONE
5 396F
10 _ PILUMBING
GABLE
I
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AMBQEL
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6 FRAMING 11"',
HEATING
WOOD JOIST
PIPELESS FURNArE
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TIMBER BMS. & COLS.
ATEAM
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HOT W T' R OR VAPOR
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AIR CONDITIONING
RADIANT H'T 6
UNIT HEATERS
GA
7 NO. OF ROOMS
14
Oil
i—mT 2nd Ito
Ist I 3rd I
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.
ml Moll
i4 )p (3t)J6 kA
PIEWMIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVE*, MASS.
PA G E, I
MAP 4-40.
J.-
LOT NO.
;z
2 RECORD OF OWNERSHIP IDATE
I
BOOK ;PAGE
-
70NE
-
SUB DIV. COT NO.
LOCATION
e-bl,
N- OUR
PURPOSE OF BUILDING UJI
Soudt1f,
,ow S NAM
1, z -* k ff -... — I (A-1 I
yj
NO. OF STORIES SIZE
6%VNEFI�b-ADDRES) 2-, '77,st,
��R SLAB
ARCHITECT'S NAAE
SIZE OF FLOOR TIMBERS IST 2ND -2,( (o 3RD
2-9 1 Z -
BUILDER'S NAME
mpkz�]ILL�
SPAN
IH
DIMENSIONS OF SILLS
POSTS 14
'i s Ic
DISTANCE TO NEAREST BUILDING
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE 141Q 0
f
HEIGHT OF FOUNDATION THICKNESS
16
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
Is BUILDING ONeOLID FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY 60
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE S
INSTRUCTIONS
SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY
PAGE I FILL OUT SECTIONS 1 3 REGULATED BY PAR 114.8-S. B.C.
PAGE 2 FILL OUT SECTIONS 1 12
TE 124'1�4
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDIDA JEE PAID
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE Fl�.%D
VIGNATURE OF OWNER OR AUTHOAIZED AGENT
4
E E -zm:,
PERMIT GRANTED
pn 19 ct4
3 PROPERTY INFORMATION
.0 -
LAND COST A104� LIDO "OL)
EST. BLDG. COST c_ue_i
EST. BLDG. COST PER SQ. FT. 7 -
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
f4uAoAlt,(3x3 oli%
w -
BUILDING INSPECTOR
— ;1%
OWNER TEL# (00—
CONTR.TEL.# 19(41
CONTR.LIC.#.
BUIL61NG RECORD
OCCUPANCY 12
SINGLE FAMILY Si RIES
MULTI. FAMILY OFFICES
APARTMENTS
CONSTR,UCTION
2 FOUNDATION
CONCRETE
op 8 INTERIOR
FINISH
INE
'DRY
3
1
2 3
CONCRETE SL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
WALL
_UNFIN
3 BASEMENT
AREA FULL
1/1 1/2 1/1
IN. B M*T AREA
FIN. ATTIC AREA
�10 8 M T
FIRE PLACES '
HEAD ROOM
MODERN KITCHEN
4 WALLS FLOORS
CLAPBOARDS
CONCRETE
EARTH
B
1 2
3
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
HARDW D
COMIAGN
ASPH TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STIRS. & FLOOR
BRICK ON FRAME
CONC. OR CINDER BLK.
00
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STONE ON MASONRY
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SUPERIOR —A POOR I
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10 PLUMBING
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OIL
7 NO. OF ROOMS
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NO HEATING
I , —d' —3,d
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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 local or state law,
regulations or requirements.
****************Applicant fills t this section*****************
�u
APPLICANT: Phone
LOCATION: Assessor's M Number Parcel
Subdivision Lot(s)
Street
St. Number Z7
Use only************************
RECO N N OF 0 AGENTS:
WN' P
Date Approved 121�15q
ConservAion'Administrator Date Rejected
Comments
V- P �, ( � L�
'fo'wn Planner -
Comments
Food Inspec�or-Health
A111114
Septic Idspector-Health,
Comments
Date Approved T21-�;Lq�
Date Rejected I I
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works - sewer/water connections -��
- k) 12
- driveway permit _K7z4) I z —,L 24L
Fire Department.&!Je/,A"
eqo��, fil2je— 7�
Received by Building Inspector Date
AA
Z,
.............
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Location
NO. Date
41
,,,TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building, Inspector
Div. Public Works
10
CHIMNEY APPLICATION AND PERMIT
DATE -
V
C,
LOCATION /C kc
1 14 / 7
OWNER'S NAME
BUILDER'S NAME
MASON'S NAME &42'L N (-L
'ij 411 1 IJ
120 Main Street, 01845
(508) 682-6483 1;rl
PERMIT # '7 �t-
MASON'S ADDRESS J-5 L2 r a A) V -x I I,-'- ZA22 LL
MASON'S TELEPHONE 9
MATERIAL OF CHIMNEY
INTERIOR CHIMNEY rl�lf Q-1 EXTERIOR CHIMNEY 14,11.)dc
NUMBER AND SIZE OF FLUES
THICKNESS OF HEARTH
Will chimney or fireplace conform'to requirements of the code and
have rule
,Land regulations been received: ,4,h
dr
DATE-
# 0
ONTR. LIC.
SIGNATURE OF MASON-,:f��? a
EST. CONSTRUCTION COST/CONTRACT PRICE 2S
PERMIT GRANTED FEE
ROBERT NICETTA, BUILDING INSPECTOR_4W��
INSPECTED
REMARKS
SOLID BRICK REQUIRED
THIS PERMIT MUST BE DISPLAYED ON THE PREMISES
�A
ot
KAREN H.P. NELSON
Town of
Director
NORTH ANDOVER
BUILDING
CONSERVATION
A ��5
DIVISION OF
HEALTH
PLANNING & COMMUNITY DEVELOPMENT
PLANNING
CHIMNEY APPLICATION AND PERMIT
DATE -
V
C,
LOCATION /C kc
1 14 / 7
OWNER'S NAME
BUILDER'S NAME
MASON'S NAME &42'L N (-L
'ij 411 1 IJ
120 Main Street, 01845
(508) 682-6483 1;rl
PERMIT # '7 �t-
MASON'S ADDRESS J-5 L2 r a A) V -x I I,-'- ZA22 LL
MASON'S TELEPHONE 9
MATERIAL OF CHIMNEY
INTERIOR CHIMNEY rl�lf Q-1 EXTERIOR CHIMNEY 14,11.)dc
NUMBER AND SIZE OF FLUES
THICKNESS OF HEARTH
Will chimney or fireplace conform'to requirements of the code and
have rule
,Land regulations been received: ,4,h
dr
DATE-
# 0
ONTR. LIC.
SIGNATURE OF MASON-,:f��? a
EST. CONSTRUCTION COST/CONTRACT PRICE 2S
PERMIT GRANTED FEE
ROBERT NICETTA, BUILDING INSPECTOR_4W��
INSPECTED
REMARKS
SOLID BRICK REQUIRED
THIS PERMIT MUST BE DISPLAYED ON THE PREMISES
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BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12.00
otfice Use only
Permit No. � 10 3
Occupancy & Fee Checked
3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
V� or Town of NORTH ANDOVER — To the inspector of Wires:
The udersigned applies for a permit to perform the eiectr_ical work described below.
Location (Street & Numbtr) If
Owner or Tenant Idj<i_ V,&y 64
f _' �jT
Ovv n e r'
s Address 2 3 3 Ye' No El (Check Appropriate Box)
Is triis permit :In ccnjunction with a. building petmit: S lc�
Puroose of Buiiding 6) M!7 1e.— Ouw e Utility Authorization No. 5-0 0 6? C/
Existing Service — Amos —Volts Overhead 7_1 Undgrnd No. of Meters
New Ser.,ice 9�00 Amps129__/ d_-'fo N Its Overhead Undgrnd No. of Meters
Number of Feeoers and Ampacity
Location and Nature of Proposed Electrical Work
/do '0 TC Total
No. of L:cniinci Cuue!s I No. of Hot Tubs No. of Transformers KVA
No. of Licntinci �:xtureS
Swimming Pool Above—
grnd. __�l
In-
gmd.
Generators KVA
No. of Emergency Lighting
No�
of Receotac�e Cutlets
No. of Oil Burners
Battery Units
No.
of Sw)tch Outlets
No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Total
No.
of Ranges
No. of Air Cond. tons
Initiating Devices
No. of Sounding Devices
No. of Disoosais
No.of Heat Total Total
Pumps Tons KW
No. of Self Contained
Soace/Area Heating
KW
Detection/Sounding Devices
No�
of Disnwasners
Municioal Other
Local 1 1 Connection
No. of Drvers Heatina Devices KW
No. of No. of
Low Voltage
No.
of Water Heaters
KW
Sians Ballasts
Wirinc;
No.
Hvcro 1.1assace
No. of Motors Total HP
OTHER,
NSURANCE COVERAGE: Pursuant to the reautrements of MS�sachusetls general Laws
I jai eauivaient. YES e__NO
I have a current Liaimity Insurance Policy including Com(��eo operations Coverage or :is substant
have sucmitteo valid proof of same to the Office. YES :!: NO __ If you have cheCKeo YES. please indicate the type of coverage by
checKino the aop��ate cox.
INSURANCE Z BOND — OTHER (Please Soecify) (Exoiration Date)
V:;q i ork
Estimateo Value of W s
"VorK �o Star-, c4f —
Sionecl uncler the Penalties of perjury:
FIRM NAME I—A Pu_ A 15
Insoection Date Recuesteci
1-
Rouan CAII — Final
L - C_ej -
LIC. NO. // 12 &
Licensee Q, W 11-4 C Signature
Ve- �6 Te �IN o.
Adcress gna 2 - -e &0, Alt. Tel. No. 1 1 ectuivalent as re -
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substan ia
outrea nv Massachusetts General Laws, ano that my signature on this permit application waives this reouirement. Owney Agent
Rof ILA
iP!ease cneCK one) Teleohone No. — PERMIT FEE S rc/jub
iSionature of owner or Agent)
..........
2103 Date....-,..
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
&S"C US
This certifies that .... 4��. i. m.f .......
has permission to perform ....... hA f. / ...... 1. ........
wiring in the building of ....... (U
at.."� .7 ................... . North Andover, Mass.
FZA.q0A.M. Lic. No. I/ .............................................................
ELECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File