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HomeMy WebLinkAboutMiscellaneous - 332 RALEIGH TAVERN LANE 4/30/2018 (3)Location ;",?? No.� a� � Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundaattio�n Permit Fee bQ er berm 'Fee Sewer Connection Fee $ 7F� cv 3, Water Connection Fee $ TOTAL $ 7P� t®° Building Inspector [7 i Div. Public Works PER1113 NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. L/ PAGE 1 MAP KJO. LOT NO. 2 RECORD OF OWNERSHIP 'DATE BOOK 'PAGE ZONE SUB DIV. LOT NO. �I LOCATION yl C�h /T PURPOSE OF BUILDING 'CIjL OWNER'S NAME p R Oh NO. OF STORIES S E OWNER'S ADDRESS �/�I C �7 BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME lO ^ L DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET bMENSIONS OF MLLS 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 MATERIAL 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 d SEE BOTH SIDES PAGEtl 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 PERMIT GRANTED 19 6331 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST/ 1,0-h 1 dD 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 awlL /ICY insracrrvR 1 OCCUPANCY .SINGLE FAMILY STORIES MULTI. FAMILY PIPELESS FURNACE OFFICES APARTMENTS FORCED HOT AIR FURN. CONSTRUCTION 2 FOUNDATION STEAM 8 INTERIOR FINISH CONCRETE —I d t 2 CONCRETE 8L K. AIR CONDITIONING PINE _ RADIANT H'T'G BRICK OR STONE HARD- 7 NO. OF ROOMS PIERS OIL PLASTER B'M'T 2nd _ 1st 1'3�rdj ELECTRIC 11 NO HEATING DRY WALL _ 3 BASEMENT AREA FULL 'G '/p 1/ N_O B M HEAD ROOM 4 WALLS CLAPBOARDS DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONR STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME CONC. OR CINDER BL STONE ON MASONRY STONE ON FRAME 5 ROOF F FIN. B M AREA FIN. ATTIC AREA FIRE PLACES MODERN KITCHEN 9 FLOORS B t 2 CONCRETE _ EARTH HARDIN D _ COMMON ATTIC STRS. & FLOOR WIRING 10 PLUMBING BATH (3 FIX.) TOILET RM. (2 FIX.) WATER CLOSET LAVATORY KITCHEN SINK NO PLUMBING STALL SHOWER MODERN FIXTURES TILE FLOOR 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. 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & 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 2nd _ 1st 1'3�rdj ELECTRIC 11 NO HEATING . & Y WN \ 2 go E \ $ � y _ °k■ �■ § . 2� \ �2� \ \\ §® | n �� ! ego :# W- 00 W@ ��� wo o ) _ ^. § a w� » IL»o tk �}�k§ _ fez ` � § o z■« |a \\K§� ac LL . § w `u o -9mf O LU Vv M. CC z w C4 LLI CIM Z 0 W W 0 W C ct %1 Z Z W W � 0 d 0 ar Z cc Q C O U o z u u CID t C E J L d J t V W '� L �° `y Y o • O a a% c c Ix C ¢ U- ¢ ai U. � ii m O C O C ct %1 • ar Z C O U z y O 'v G • O a a% L A Ix C m .= ii Qa UO �- F— >, C H C O V C C v y E� o a 00 •+r w �. Ri A /y�I is air y C 3 > W (n � m G °o -O � �Z�•— Ix �, X 40 U •— '� 40 10 �, U d c� w O O O •� .o O z G •o � •_ o O � � m G g N a to V O c Q C G O OD , Z i Location S (1-/ A, &1111 No. Date " TOWN OF NORTH ANDOVER :at�ao ,a,ti°O p ~ Certificate of Occupancy $ ',;Building/Frame Permit Fee $ SSA cHu,Et� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ RECEIVED PAYMEW Connection Fee $ NAY cc TOTAL $ No. Andover Collector Building Inspector Div. Public Works PERMIT NO. / APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �h /� yv 6 J/ PAGE 1 MAP KVO. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE sZONE I SUB DIV. LOT NO. — LOCATION 5 - IU 1 A�� /` PURPOSE OF BUILDING ��r,���� �-L /j OWNER'S NAME IJ1 N C� e���� NO. OF STORIES SIZE OWNER'S ADDRESS S n�G'li ^r I` { BASEMENT OR SLAB L ARCHITECT'S NAME �•,IFQ /j SIZE OF FLOOR TIMBE IST 2ND 3RD BUILDER'S NAME NI/(.7•/ /' U� �/. C2 J_ I 000, � � L/ SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS"gf SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES — SIDES REAR GIRDERS AREA OF LOT FRONTAGE H GHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X / IS BUILDING ADDITION rC ad C�,ty�I,(/I 1%� 4/► J 1+ '7V ef�-R/ i 1 MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE YEIS 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 1 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 (A�NDA/'PPROVED BY BUILDING INSPECTOR DATE FILED J/ / / / /(?"z SIGNATURE OF OWNER OR KUTHO ify,D AGENT I OWNER TEL p 62-00 F E E / Z S. 0 0 CONTR. TEL. CONTR. UC. des; PERMIT G A 2-- 11 W R 11WR I APR 2 11992 I � L.v is !e DEPARTMENT / I 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST# J { 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 BUILDING RECORD Ji OCCUPANCY 12 'SINGLE FAMILY 11 STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION - 8 INTERIOR FINISH CONCRETE PINE B 1 2 13 CONCRETE BL K. BRICK OR STONE HARDW D PIERS PLASTER DRY V✓ALL _ _ UNFIN. 3 BASEMENT AREA FULL '/4 1/1 3/1 FIN. B'M'TAREA FIN. ATTIC AREA _ NO BM'T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 3 �_ _ —{I_ �— DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING _ HARDW D COMMON VERT. SIDING ASPH. TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I I POOR _ ADEQUATE I NONE 5 ROOF 10 PLUMBING GABLE GAMBREL FLAT I HIP MANSARD SHED BATH (3BATH FIXE TOILET RM. (2 FIX.) 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. & COLS. _ STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING _ RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GASOIL B'M'T 2nd _ 10 13rd ELECTRIC 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. :.. FOR14 U ' TOWN OF NORTH ANDOVER LOT RELEASE FOM SUBDIVISION ASSESSORS MAP SUBDIVISION LOT(S) PER�� 'ft (ASSIGNED BY D.P.W. STREET ti I Ajftw J-AA.4— Ll /-/ LPPLICANT �J�y�j SCS g2��N PHONE ,� 8�do Y6 //DATE OF APPLICATION TOWN USE BELOW THIS LINE PLANNING BOARD TOWN PLANNER CONSERVATION CO1,1MISSION a ti CONSERVATION ADMIN. r ;i ARD OF HEALTH DATE APPROVED DATE REJECTED DATE APPROVED �,(p DATE REJECTED DATE APPROVED'4P *7111 hE411ETIi SA TRRIANAi'E REJECTED _ /J&6fiofy). 4 Mrr an* DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT SEWER/WATER CONNECTIONS FIRE DEPT. RECEIVED BY BUILDING INSPECTION DATE This form shall be signed by the agents of the Planning and Health Boards, the Conservation Conunission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. A m ,f m �( A m H \ z31 W D ��•4iiii zt� 0 mc) a o s o c Z ; 0 A W m T f _ Q i O T � Omp- a �, W m ..� O m m .'A 1 -z -0 0° O C. C7 N = N O J C'. r O 04,1 aim ' >TO, o�0m 3NII ONOIv 0101 Z -A= qm mQo a m tr ;° m, m m „ T o Z4 0 D 0 0 a) I -r X G -•4 < W n O� y O 0 2 0; o: a� 70-1 m -� � ic;T K P h •+y 0 O 7� . Z= m ,o n wi p if! a) �Q m to Cl G T cm n m 2 cm N3 °m rr,cn c� N I y z m z o - y ZZ �O Q o Z M m o y^ a 0 O v /yam O c 0 n < 1i 3m m b z m i7 v m -gyp In ,T r m3Nil ONOIv OIOf rn � 0 CA --4 m a rrn ci m z W - O n D G K m 4 3 O m z 'y z p to N m c X03 z 0 Om 70 z m O m m m f" m U)D Tn. 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