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Location
No. Date
Water Connection Fee $
TOTAL
I-., �,Arlt--3�7
",T2 805
Building rn—sp—eTtdr
Div. Public Works
TOWN OF NORTH
ANDOVEFV
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
Other Permit Fee
$
Sewer Connection Fee
$
Water Connection Fee $
TOTAL
I-., �,Arlt--3�7
",T2 805
Building rn—sp—eTtdr
Div. Public Works
I 1�
PEWMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
— 6
PAGE I
MAP 4-40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK ;PAGE
ZONE
SUB DIV.-60-T—NO.
BUILDING INSIPRCTOR
LOCATION I)t r- 5 - 6 x - s r
PURPOSE OF BUILDINl1nj.(e.e,_,,
,V,411 Ale't .1,""
OWNER'S NAME.T
� 'I
,00_5 T �f Al &J, f -r -5'A 10f 64 1/ 1
NO. OF STORIES SIZE
OWNER'S ADDRESS 'S,4.41
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME s ell
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
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 I - 3
PAGE 2 FILL OUT SECTIONS I - 12
"ELECTRIC METEPS MUST 13E ON OUTSIDE OF 13UILDING
,ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIGNATURE OF OW
A
,.QENT
111-2140, —btb /z2p
F Elt 0 / so &09-c� -.w e�9p! W/ddq
PERMIT GRANTED
19
SEP 1 91994
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
, OC2 c
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
'IA.
BUILDING INSIPRCTOR
(oy?- ga,7 6
OWNER TEL. #
� I:? IFId, (f �
CONTR. TEL. #
S�q /41 c-
CONTR. LIC. ON.
o6o3-16-
H. I. C. #
cl---#-- 3 -2 -7
ms �/
BUILDING RECORD
OCCUPANCY 12
SINGLE FAMILY
S-ORIES
MULTI. FAMILY
APARTMENTS
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
CONCRETE
PINE
3
CONCRETE BIL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
UNFIN.
3 BASEMENT
AREA FULL
1/1 1/2 l/.
FIN. B M T AREA
FIN. ATTIC AREA
t!O 8 M T
HEAD ROOM
FIRE PLACES
MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING_
ASBESTOS SIDING
B
1
2
3
CONCRETE
EARTH
HARDW D
COMIACN
ASPH. TILE
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STRS. & FLOOR
BRICK ON FRAME
CONC.OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I IPOOR
ADEQUATE 1 —1 -iTONE
5 ROOF
10 PLUMBING
GABLE
I
BATH (3 FIX.)
B
G A M B.:R:E:L]
A
-tip
MANSARD
TOILET RM. 12 FIX.)
FLAT:
L
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY I
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COILS.
STEAM
STEEL EMS. & COLS..
HOT W T*R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T _Lnd
Ist I 3r,
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. I
Lc c 4 1p 7or 77 A -S v.1.4 lr(o I---
S7011011,16-
PO Cff14k6C-S
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4
N
f%
120 Main Street
North Andover,
Massachusetts 0 1845
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number . 41C.", is that the debris resulting from, this work shall be
disposed of in a properly licensed solid waste, disposal facility as defined by MGL c 111, S
150A-
Tle debris will "be disposed of in:
fLocation of Facility)
e"I
Signature of Permit Applicant
-2- (-/- /�p '
t Date
NOTE: Demolition permit from the Town of North Andover must,be.obtained for
this'project through the Office of the Building Inspector.
OFFICES OF:
Town of
APPEALS
NORTH ANDOVER
BUILDING
CONSERVATION
CU
DIVISION OF
HEALTH
PLANNING
& COMMUNITY DEVELOPMENT
PLANNING
KARE,�N,"H.P. NELSON, DIRECTOR
N
f%
120 Main Street
North Andover,
Massachusetts 0 1845
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number . 41C.", is that the debris resulting from, this work shall be
disposed of in a properly licensed solid waste, disposal facility as defined by MGL c 111, S
150A-
Tle debris will "be disposed of in:
fLocation of Facility)
e"I
Signature of Permit Applicant
-2- (-/- /�p '
t Date
NOTE: Demolition permit from the Town of North Andover must,be.obtained for
this'project through the Office of the Building Inspector.
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I I
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Iding/Frame Permit Fee $ 7b �"
Foundation Permit Fee $
low Other Permit Fee $
so TY -100 Sewer Connection Fee $
'I C
,,,\\ed0ter Connection Fee $
tj,o. TOTAL $
Building lnspe�t&
Div. Public Works
- - li
PEIGII-T No. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
VPAGE I
MAP 4-40.
LOT NO. . I
-
2 RECORD OF OWNERSHIP IDATE
BOOK !PAGE
ZONE
SUB DIV. LOT NO.
LOCATION
PURPOSE VIIIIIIII0001111111MG Ir
j 7- t,-6 o
Vj AV
OWNER'S NAME
726s 17 17 77
Lt+§S
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME cl
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
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
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION
A ;�? 7' ne ,(- '6'iy'o
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO RkQUIREMENTS 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 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 FltED 6 /3 / (?,2, , 17
S
F E E
PERMIT GRANTED
1-t4
paA
OWNER TEL. #-Xa'�2L
CONTR. TEL #—.--
CONIR. LIC. # Q0-4'
3 PROPERTY INFORMATION
LAND COST f -
EST. BLDG. COST)
,
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
I OCCUPANCY
SINGLE FAMILY S'ORIES
M APARTMENTS MICES
ULTI. FAMILY
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE 3 1 2
CONCRETE BL'K. PINE
BRICK OR STONE _;�ARDW D
PIERS PLASTER
_�RY WALL
6NFIN
3 BASEMENT
AREA FULL FIN. B M'T' AREA
14 1/2 1/1 FIN: ATTIC AREA
NO B M'T FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS B
DROP SIDING C NCRETE
WOOD.—SHINGLES EARTH
ASPHALT SIDING HARDVV'D
ASBESTOS SIDING COMMCN
STUCCO ON FRAME
BRICK ON MASO'qF
BRICK ON FRAME
WIRING
6 FRAMING
WOOD JOIST
TIMBER BMS. & COILS.
STEEL BMS. & COLS.
WOOD RAFTERS
7 NO. OF ROOMS
B'M'T 2 d
Ist I 3rd
LE FLOOR
LE DADO
1 HEATING
STEAM
HOT W*T'R OR VAPOR
AIR CONDITIONING
RADIANT H*T'G
UNIT HEATERS
GAS
OIL
ELEC4 LC
I i�O �EATING
RUILDING 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.
i
n
11 ADEQUATE I I NONE 1
5 ROOF
10 PLUMBING
GABLE 11 HIP
_tIP
GAMBRELl MANSARD
FLAT SHED
BATH 13 FIX.)
TOILET RM. (2 FIX.)
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
I MODERN FIXTURES
6 FRAMING
WOOD JOIST
TIMBER BMS. & COILS.
STEEL BMS. & COLS.
WOOD RAFTERS
7 NO. OF ROOMS
B'M'T 2 d
Ist I 3rd
LE FLOOR
LE DADO
1 HEATING
STEAM
HOT W*T'R OR VAPOR
AIR CONDITIONING
RADIANT H*T'G
UNIT HEATERS
GAS
OIL
ELEC4 LC
I i�O �EATING
RUILDING 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.
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OL
MASSACHUSETTS UNIFORM APPLICATION F04 PSRMIT TO DO GASFITTING
(Print or Type) Date
< TH ANDOVER Mass.
NOR -j3
I�uilcling Location 2 /42 4)t- C Yol�– k- '5/"' 3
Permit #
—Owners Name
New 77 Renovation 1�j Replacement Plans Submitted T7
(Print or Type)
Installing Company Name
Address _5� 41, 1z
Business Telephone: � o-7 -7(1)!�__-
Name of Licensed Plumber or Gas Fitter
Check
one: Certificate
Corp.
Partner.
Firm/Co.
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7MD FLOOR
3RQ FLOOR
4TKFLOO
STHFLOOR
6THFLOOR
I..
E7TKFLOOR
STT HFLOOR
(Print or Type)
Installing Company Name
Address _5� 41, 1z
Business Telephone: � o-7 -7(1)!�__-
Name of Licensed Plumber or Gas Fitter
Check
one: Certificate
Corp.
Partner.
Firm/Co.
Insuranci- Cover3ge: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy = Other type of indemnity = Bond
Insurance Waiver: 1, the undersicned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner = Agent =
I hczcby certify that all of the details and information I have submitted (or entefed) in above application are true and a te to the best of my
knowledge and Mat &Ll plumbing work and initallations ;=formed undar-ftmut iuced lo: this apVl1c;stx'qv4U bc in comp with ad perttn=t
pcovisions of the IWAssachusects State Cat C13de and QLapter 14-' cf Me Cc=zl Laws.
By TYPE LICENSE:
Plumber
Title Gasfitter- Signature of Licensed
M.a. s 4%-- e r PlUMM fit-er
City/Town: Journeyman —
APPROVED (OFFICE USF_ ONLY) Licsinie Mijmber
/0
Date..................
1943
0.* "ORTN A
4,
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ...... ... .............
has permission for �gas i talla ... ..... .........
�s t a,.,: n'd,
in the buildings of ...... .
. . . ............
at At North Andover, Mass.
Fee. 1 -2- ( . ..........................
'�Sd'00, 8-47 ........ t. 00
PAI.&AS INSPECTOR
WHITE: Applicant --�CAIXRY-. Building Dept. PINK: Treasurer GOLD: File