HomeMy WebLinkAboutMiscellaneous - 28 HEWITT AVENUE 4/30/2018I ".
Location
-
No. P-,) Date
*Z� 1� / I/ , —
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee
$
TOTAL
$
07/% 13:28
Building Inspector
25.00 PAID
Div. Public Works
PER'%Irrr NO.
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE I
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP DATE
BOOK :PAGE
ZONE
SUB DIV. LOT NO.
LOCATION
PURPOSE OF BUILDING
OWNER'S NAME
vx OL- C4
NO. OF STORIES SIZE
-A
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER*S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
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 v WEP
MATEWAL 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
0 PAGE I FILL OUT SECTIONS 1 12
ELiCTRIC 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 FILLED // -
RE OF OWNER OR AUTHORIZED AGENT
F E E
PERMIT GRANTED
19 76
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
'--f - 'orz —
Ayl &K,
'v 0, - u BUILDING INSPRCTOR
OWNER TEL. #
,CONTR. TEL. #
CONTR. LIC. #
H.I.C. #
BUILDING RECORD
OCCUPANCY 12
SINGLE FAMILY I
I STORIES
MULTI.
OFFICES
APARTMENTS
I
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
3 1 2
PINE
CONCRETE
CONCRETE BL*K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
RY WALL
�NFIN
3 BASEMENT
AREA FULL
FIN. B M T AREA
14 1/7 1/1
FIN. ATTIC AREA
tLO B M -T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS
9 FLOO S
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
—
_�ONCRETE
iAlTI
HARDW D
—COMtACN
_�SPH TILE
8
1
2 3
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
—
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON M—A—SUN—RY
BRICK ON FRAME
ATTIC STIRS. & FLOOR
CONC. OR CINDER ELK.
WIRING
STONE ON MASONRY
STONE ON FRAME
5 ROOF
SUPER10% 1_� POOR
ADEQUA NONE
10 PLUMBING
GABLE
HIP
BATH Q FIX.)
GAMBi'ELI
A
MANSARD
TOILET RM. 12 FIX.)
FLAT
I
—
—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
HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL EMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T*G
UNIT HEATERS
7 NO. OF ROOM$
AS
OIL
B*M'T 2nd
ELECTRIC
lit I _�,d
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.
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FORM U - VERIFICATION FORM
INSTRU�TIONS: 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 lawl
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: r� I � E Phone
LOCATION: Assessor's Map Number 0 Parcel
Subdivision
Street
Lot (s)
St. Number 2 �(
************************Official Use Only************************
7�77T ION WOFWN IENTS:
te-7 - Date Approved
I i tor
Conservatioh Adinddi i tor Date Rejected
Comments
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Received by Building Inspector Date
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