HomeMy WebLinkAboutMiscellaneous - 28 BAY STATE ROAD 4/30/2018'Wed
Location
No.
J�%
Date 4 Ila 1 /9 v
TOWN OF NORTH ANDOVER
0 Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee
Other Permit Fee
Sew
,er Connection Fee
wa*Connection Fee
TOTAL
Building Inspector
776S
Div. Public Works
FER111T NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE I
MAP +40.
LOT NO.
12 RECORD OF OWNERSHIP IDATE
BOOK IPAGE
ZON E SUB DIV. LOT NO.
�OCATION 36
PURPOSE OF BUILDING
OWNER*S NAME
ADWNER'S ADDRESS
NO. OF STORIES
BASEMENT OR SLAB
ARCHITECT*S NAME
SIZE OF FLOOR TIMBER�� 2ND
3RD
BUILDER'S NAME 77 &
SPAN
DISTANCE TO NEARE6T BUILDING -f I,
DIMENSIONS OF SILLS 4V4
DISTANCE FROM STREET Af!i
POSTS
DISTANCE FROM LOT LINES - SIDES REAR
%r
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION -THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
19 BUILDING ADDITION
MATER:AL 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 I FILL OUT SECTIONS 1 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 FILED // / -2 1 / ell!�A
SIGNATUg)LOF OWN9JR OR AUTHORIZED AGENT
F E E (101's
PERMIT GRANTED
19 cl+
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST Ad '86 0
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
OWNERTEL.#
CONTR. TEL. #
CO NTR. LIC. #
H.I.C. # —
I OCCUPANCY
SINGLE FAMILY I— I I
1,111111 IAMII�� 011ICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION 8 INTER111OR FINISH
CONCRETE a 1 2 13
CONCRETE BL*K.
E
BRICK OR STONE HARDW D
D
PIERS PLAS TIR
_�_RY -WALL
UNFIN.
3 BASEMENT
AREA FULL FIN. 3 M T AREA
lil 1/1 % _flN. ATTIC AREA
NO 8 M'T FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS
DROP SIDING CO CRETE
WOOD SHINGLES EARTH
ASPHALT SIDING HARDVJ D
ASBESTOS SIDING MON
STUCCO ON FRAME I I
BRICK ON MASONRY ATTIC STIRS. & FLOC
BRICK ON FRAME
CONC. OR CINDER BtK
STONE ON MASONRY WIRING
STONE ON FRAME
HOT W T R OR VAFUK
SUPERIOR 1_� POOR
�DEQUATE NONE
5 R(
PLUMBING
GABLE I HIP
GAMBREL MANSARD
FLAT SH ED
BATH 13 FIX.1
TOILET RM. f2 FIX.)
WATER CLOSET
ASPHALT GLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
UNIT HEATERS
NO PLUMBING
TAR & GRAVEL
7 NO. Of ROOMS
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
6 FRAMING 11 11 HEATING I
BUILDING RECORD
12
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.
STEEL BMS. & COLS,
HOT W T R OR VAFUK
WOOD RAFTERS
AIR CONDITIONING
RADIANT H T G
UNIT HEATERS
7 NO. Of ROOMS
GAS
OIL
B'M'T 2�d
ELECTRIC
I st I 3rd
NO HEATING
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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 out this section*****************
APPLICANT: 7
:�a Phone el / �7 -
LOCATION: Assessor's Map Number C57 - 61 Parcel 1;�5- 1W/
Subdivision - Lot(s)
./ 96 4),
Street 44 St. Number
************************Official Use Only************************
RECOMMENDATT,fqS OF TOWN AGENTS:
J"////v z"5;", Azpil? Date Approved
altion Administrator Date Rejected
Comments
Town Planner
Comments
Food Ins ector-Health
Sept�ic"4tnspector-Health
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Received by Building Inspector
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date
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