HomeMy WebLinkAboutMiscellaneous - 288 PLEASANT STREET 4/30/2018CD m
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APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 3
PAGE 2 FILL OUT SECTIONS 1 12
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
--�LED-
DYKE F
SIGNATURE CIF OWNER OR AUTHORIZED AGENT
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST -V -�?000,
EST.BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
OC -7j'0- C - &&PT4,61, PERMIT NO. / AIL6-1
4 APPROVED BY
BOARD OF HEALTH
FEE
PLANNING BOARD
PERMIT GRANTED
It
BOARD OF SELECTMEN
UILDIN I ECTO.�,
OT NO.
2 RECORD OF OWNERSHIP DATE
BOOK PAGE
ZONE
SUB DIV. LOT NO.
F-�-1
LOCATION
PURPOSE OF BUILDING lA..jjf?oUAd Poe, FenC
OWNER'S NAME A 1,)
NO. OF STORIES SIZE
OWNER'S ADDRESSZee p JeACA ,4
BASEMENT OR SLAB v v a io
ARCHITECT'S NAME Re s c-
SIZE OF FLOOR TIMBERS IST 2ND AD
BUILDER'S NAME Re 1-- (2---+
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET 30
POSTS
DISTANCE FROM LOT LINES - SIDES50'+/,5_1 REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING a0z x
ISBUILDINGNEW l(OX3'2
IS BUILDING ADDITION
MATER:AL OF CHIMNEY X
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE yie
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 1 12
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
--�LED-
DYKE F
SIGNATURE CIF OWNER OR AUTHORIZED AGENT
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST -V -�?000,
EST.BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
OC -7j'0- C - &&PT4,61, PERMIT NO. / AIL6-1
4 APPROVED BY
BOARD OF HEALTH
FEE
PLANNING BOARD
PERMIT GRANTED
It
BOARD OF SELECTMEN
UILDIN I ECTO.�,
I
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