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Home My WebLink AboutMiscellaneous - 296 BOSTON STREET 4/30/2018CD M 7 1 ASSACHUSE jllf�411 1 xt� DER hii Pidildid 01i form for 6ob by IOCOI Boards of Health. The -System P to the Ocal'Board of Health or other approyInq out Facilit y.Inf9riiiation gortant: VOW �)ut 1,.�:; Systpni.Wcatlon: i Record must I ZJP Pods LO�a �Qn,w ore'' i*t3'wqr6'dI;posed: cot > 4" :X of t, 0 .01 0:11 i:i- �,V; N. r 71— Date SYSIAM Pumping Record - Page i ot i j own ZJp Code Telephone Number , q eq`ord ;Of 0 at Pumpin�—: 2. Qp' anUty Pumped: GaUona T�pq f t Cessoodl(s) Q'IeptIcT nk [I Tight Tank other (descrIb#`:'-': M, w %`4 EffideM Tie Flite' t? r.presen 'Yes. 9-fqo' If yes, was It'cleaned? El Yes No . d Uon o" NO x 'Kv C.) ;I Vehicle 1.109 n4e Number AW LO�a �Qn,w ore'' i*t3'wqr6'dI;posed: cot > 4" :X of t, 0 .01 0:11 i:i- �,V; N. r 71— Date SYSIAM Pumping Record - Page i ot i CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number-, Date- /c? 8 1 - --------------- THIS CERTIFIES THAT THE BUILDING LOCATED ON —,ft- 90 6, R?c) ( � ) MAY BE OCCUPIED AS E x 110, IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO ADDRESS 0 4 d 1= CO2 C7 - @mom S7 CO) Cl) "0 CD 0 Z CA CD CL CL S. CA >CO -0 C* CD CD cr W CD CD 0 CD 03 w a CD Vi* CD CL CA CO CD S7 CO2 "0 CD z CD CD ril 0: :Z: co cm z Cl co co Cl) co c C3 Ca �-�o c =.g r_ cn (D eD - ;;* C cr 4c CA cn -1 Cb C/) 060 . CD CL "0 GOD CD 0 co C2 C2 C36 CD C-) m CA CD cn =r -o w-- cn CD =r CD n 0 m CO3 CD CD —t CD > cn CD C-) cn CD c gD CO) CL cn CD CD CL ril 0: :Z: co cm z Cl co co Cl) co c C3 Ca �-�o c =.g r_ cn (D eD - ;;* C cr 4c CA cn -1 Cb C/) 060 . CD CL "0 GOD CD 0 co C2 C2 C36 CD C-) m CA CD =r -o w-- CD CL CD =r CD m CO3 CD CD —t CD > CA 0 CD C-) CD c gD CO) CL CD CD CL CD co, 0 6 cr CD 31 C,a ja C3 C3 CD c W co, CD 0 0 C.) C CO2 C2 CD 0. CO) .0 CD CD CO) CD 0 C2 CD F: Cl) CD 0 cn ch tz 10 r_ cn (D eD 0 0 0 �:r CL tz 0 cn -1 Cb C/) GOD A CD zr eb H 0 g, 0 44� CD z 0 H 0 g, 0 44� CD Location No. Date VjORT N O�'NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 4L Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee s Water Connection Fee s TOTAL $ t11 , gl t I, / � 7z U/j / 13: It 1,077- 1 50 DMAKIc Wor;�s Location a4r� No. Date &Nj�� 99 �� i5 TOWN OF NORTH ANDOVER Certificate of Occupancy $ .5-0— Building/Frame Permit Fee $ Z- V 3 Foundation Permit Fee $ 7Z - Other Permit Fee $ -Z- Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 2w-"/2 C/,:�- 6 ?,Y� &5� Building Inspector 950 Div. Public Works m rAi /0 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. vol000, PAGE, I I MAP 440, 1497 e LOT NO. xp 2 RECORD OF OWNERSHIP IDATE IBOOK :PAGE ZONE&� SUB DIV. 'LOT NO. r -- �LOCATiON Z J),t/ Alo 4,AIA *6.0 PURPOSE OF BUILDING -//., 1-2w i, Ak OWNER'S NAME NO. OF STORIES SIZE VLPZ/ le�fz-,00 OWNER'S ADDRESS &Z BASEMENT OR SLAB & ARCHITECT'S NAME rig ,�d mp, SIZE OF FLOOR TIMBERS IST 2ND v 3RD BUILDER'S NAME //14 SPAN DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET -o'- DIMENSIONS OF SILLS --plo:loll 11 POSTS DISTANCE FROM LOT LINES - SIDES/-3aJ/?-.Po-REAR 3ol GIRDERS AREA OF LOT FRONTAGE i HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING /61 x IS BUILDING ADDITION MATER:AL OF CHIMNEY IS BUILDING ALTERATION A0010 IS BUILDING ON SOLID OR FILLED LAND �-h WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY lof,10- rot IS BUILDING CONNECTED TO TOWN SEWER . IS BUILDING CONNECTED TO NATURAL GAS LINE Aw INSTRUCTIONS SEE BOTH SIDES PAGE I FILL OUT SECTIONS 1 3 PAGE 2 FILL OUT SECTIONS 1 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 SIGNATURE OF OWNER OR A F E E PERMIT GRANTED I _� I 1 19 JAN I I :- BLMPERMITFEE LESPOS FDA FEE f!� DUE FRAME PERMIT $ 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST 67 (5 EST. BLDG. COST PER SQJIFT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED///fB3 V� BUILDING INSPECTOR OWNER TEL.# CONTR. TEL. # NTR. LIC. #. -c.# BUILDING RECORD OCCUPANCY 12 jINGLE FAMILY Si, -ORIES MULTI. FAMILY ::�-OL�—OF FICES I APARTMENTS I - CONSTRUCTION 2 FOUNDATION 8 INTERIOR 3 PINE HARDW D PLASTER DRY WALL UNF FINISH 1 2 CONCRETE CONCRETE BL K. BRICK OR STONE_ PIERS 3 BASEMENT AREA FULL 1/1 1/1 l/. FIN. B M T AREA FIN. ATTIC AREA �!O 8 M T FIRE PLACES HEAD ROOM 4 WALLS FLOORS CLAPBOARDS B 1 2 3 DROP SIDING =ONCRETE EARTH HARDW D COMMCN ASPH, TILE WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR CONC. OR CINDEi BLK. WIRING STONE ON MASONRY STONE ON FRAME POO�R -L-- SUPERIOR NE ADEQUATE NO 5 F 10 PLUMBING G E 41"1 H I P BATH (3 FIX.) 3— M GAMEREL] 2 MANSARD TOILET RM. (2 FIX.) _ F LAT SHED WATER CLOSET ASPHALT SHINGLES Ll LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MO ERN FIXTURES jk� TILE FLOOR TILE'-DADO 6 FR7MING 11 HEATING WOOD JOIST". PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER EMS. & COLS. STEAM STEEL BMS. & COLS. H . OT W T'R OR VAPOR LZ WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GA 0111 B'M'T 2nd I.? I 3rd ELECTRIC NO HEATING ,t:- it 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. 4-51 r"N /Pg Oe 1-7 of, 41 ( / tpler v- v The Comnwnweafth of Massachuse= Deparment of Indusmial Accidents I/ArrestrAWAM 600 Washingron Streer Bosron,.Ma= 02111 Workers' Compensation Insurance Afridavit I arn a soie orccne:cr and have no onewcr.=z my =ac -7..F [W1 am an ernmover proviamag worke-s* com;e=sarica zor=v =;iovetsworkmcr an =is:oo. AA ....... ... ... ...... ... . 0 CiTv* nhone sz� r-)--, I I Z;%� H it tn-27>1 UL 1 = a soie propme-tor. grenerni contrac-.or. cr, �Lomeowner- �;ne) andnaveh----a =e conam-c-ors Hst.-.d'ae;ow,.vho have the -.0ilowing workers compensarion poilcts: COMOWTV lame* address, citv- ....... ... insur-nne-e Co. 20fley I com2any name, address- ............. . ... ....... . obane if� .... ... CUM: .... . ............. ...... ...... .. ..... insur3nce co. I 'A MWECUS"SeTtst Fas I ure o 3ccure cover2age as rcqui red under Stennis ZS.k of NIGL L.-7- :cza -o cae I M0031000 Of CrIM102i penaines of a fine up to SI -400.00 andjor one ye2rs' imprisonment as well as civil penalties in the ror= of a STOP WORX OR -DER and 2 Cine ofS100.D0 a day 2a,2inst me- I understand that 2 copy ofthis statement May be rorwarded to the Ofrice of12vcsd%-xcious of:te DEA 'or coverage verification. I do he"by cerrify under thegains and penaLdes ofpc-- .u7 :A= :he in-ror!,r='om provided abave �r z-ur and correct Pnnt n=C Affoiricial use only do not write in this art2 to be C0020cmd b? CiTY Or wwa OffieW ox" :4 ciry or town: Building Department C:Ucensiog Board r cbeck ifirnmediate responm is required C:Seiecrmen's OtTice C:HealtbDCp2.L Cut contact person: —Otber_ J JAN 1 1 19,9�' I 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: LOCATION: Assessor I s Map Number h-7 Subdivision J 92 Street Gc)�� Parcel Lot (s) St. Number ************************Official Use only************************ RECOMMENDATI S -OF TO AG S: T Date Approved /A/Y; Conservat'lon Admini'strator Date Rejecte-d Comments /I,," kls�45 1A % W. lvm-'%�Wv i -P VWit �_Ivs+ 6 �VWkl Date Approved Town Planner Date Rejected Comments 104— Food Inspector -Health Septic Inspector -Health Comments Date Approved Date Rejected Date Approved '/z�h'< Date Rejected Public Works - sewer/water connections - driveway permit _TT LA) Fire Department /il�� Xp-" d44 , �r- (-� ) C �� 4 :66�� ow, �eceived by Building Inspector Date JAN I 1 7— '4A',-.5 DTT I , N ANDOVER ma COMMONWEALTH OF DEPARTMENT OF PUBLI, UA I' `%CHUSETTS VNE ASHBORTON PLACE AFETY : . BOSTON. MA 02joe XplRATION DATE C TR LICENSE r? S'T/R 1 18/1996 SUPERVISOR CTIONS ly 0 N E EFFECTIVE DATE LIC O"S a -NO. �06/30/1993 012428 DONALD F JOHqSTON # 006-30-4504 114 F30STON ST h A Dovrp N - - , -u PRINT. MA U1845 e HEIGHT. NOT V"JO U"L SKWED 8, L___�E ANO OFFC,AL, DOB: STAWID * OF, * SIGNATURE OF THE C..'S.'ONI. 51/18/1934 t'rHIS OOCUM,,,T !UST CARRIED ON THE PERSON Fa;j,vr*top,__ _., 6AUTION FOR PROTECTION AGAINST THEFT, PUT RIGHT THUMB PRINT IN APPROPRIATE BOX ON LICENSE. BLASTING OPERATORS MUST INCLUDE PHOTO. THE HOLDER W OF rHISOC HEN GAGEOJN EN. G�#YATURE SIG CLIPATION I UCENSEE N N -E IN FUJUL 15.1993 AQ LL ABOVE SIGNATURE LINE 7c I M'SSX)NER Dase r4t