HomeMy WebLinkAboutMiscellaneous - 364 CHESTNUT STREET 4/30/2018O
O
W =
� �
IW C
e!. l'a
a .%
tol
I O
C\l
CV
11 'AwRd# f
�, 14
Xl:A
Ira
us
O.Jr
4z -
ul
CL
CM4
-AY
Lu
tnf
zt 5
zti
14
l!V
�, 14
Xl:A
Ira
PERMIT"'1O. oL 3 -3
APPLICATION FOR PERMIT TO BUILD —NORTH ANnOVr-R AAACC
"I_T ,
MAP NO,
I LOT NO.
2 RECORD OF OWNERSHIP iDATE BOOK PAGE
ZONE
SUB DIV. LOT NO.
� �I
—
LOCATION�f� ®/� STI
(p"!
PURPOSE OF BUILDING _s%/14eE-
�Y it
OWNER'S NAME {�
OWNER'S ADDRESS f 1 e7 /-
iF� a o
))
NO. OF STORIES f�j SIZE_ +,�
Ion yL{� yso
BASEMENT OR SLAB
ARCHITECT'S NAME0 /
C'%'�
/
L
SIZE OF FLOOR TIMBERS IST /� �/2ND 2 1% 3RD
BUILDER'S NAME
&60
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS s�
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES - SIDES t®
AREA OF LOT o?S-ado _
REAR®
FRONTAGE/�S
GIRDERS 0
HEIGHT OF FOUNDATION /�� / (C THICKNESS �� %:j_
IS BUILDING NEW
SIZE OF FOOTING '3® //f f„y/ X / G®
r. l: L��
IS BUILDING ADDITION
IS BUILDING ALTERATION
MATER;AL OF CHIMNEY D ��i
IS BUILDING ON SOLID OR FILLED LAND ��
WILL BUILDING CONFORM TO REQUIREMENTS OF
CODE �^C
15 BUILDING CONNECTED TO TOWN WATER%�Q• .
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER r-4f;Qv
IS BUILDING CONNECTED TO NATURAL GAS LINE 4,Aj
INSTRUCTIONS 13 PROPERTY INFORMATION
SEE BOTH SIDES
PAGE 1 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 ND APPROVED BY BUILDING INSPECTOR
DATE FIL ❑ � 3
t %
SIGNATUR OF (OWNER OR AUTHORIZ AGENT
FEE
PERMIT GRANTED
19_
LAND COST
EST. BLDG. COST
3:2,
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 INSPECTOR
'NV -Id 10-ld S30V-ld3N SIH1 '43SOdW12i3df1S '013 'S3VVLI
-V9 'S3HOMOd H11M 'SVNIQ-line d0 SNOISN3W14 1JVX3 ONV S3N11 10-1
WO?!d 30NV1S1a ONV 101 d0SN01SN3WId 10VX3 MOHS-LsnW NOI1035SIHl
ZL
0110�38 JNIa1ins
ONIIV3H l L I�
`9
o0V0 3111
ONIIV3H ON
P6 Isl
— I P" z I 1, W.9
SWO01 40 'ON L
1
J180319
110
SVO
S831V3H 11Nn
1NVIOV8
ONINOI110N0J 61V
_
SdhlV8 000M
IIAV80 9 8V1
31V1S
330NIHS DOOM
80dVA 80 8.1. M lOH
A801VAVl
13SOlJ 831VM
I'XI3 L) 'W8 131101
'uil CI HIV9
S10J 'd 'Sw9 1331S
1310NIHI
WV
11VIIISV
'S10J'8 'SW9 839W11
'NBnd 81V IOH 03JL'Od
3JVN8nd SS3l3dld
1S10f DOOM
'NV -Id 10-ld S30V-ld3N SIH1 '43SOdW12i3df1S '013 'S3VVLI
-V9 'S3HOMOd H11M 'SVNIQ-line d0 SNOISN3W14 1JVX3 ONV S3N11 10-1
WO?!d 30NV1S1a ONV 101 d0SN01SN3WId 10VX3 MOHS-LsnW NOI1035SIHl
ZL
0110�38 JNIa1ins
ONIIV3H l L I�
ONIWV1d 9
o0V0 3111
8001] 3111
S38n1X1d N6300W
ONIA008 1108
83MOHS 11V1S
ON19Wnld ON
ANIS N3HJ11A
IIAV80 9 8V1
31V1S
330NIHS DOOM
.—
A801VAVl
13SOlJ 831VM
I'XI3 L) 'W8 131101
'uil CI HIV9
1310NIHI
11VIIISV
03HS
08VSNVW
dIH
1Vld
1389WV0
319VO
ON19Wnld OL 4001 5
3
800d �I 80ld3d S
3WV8d NO 3NO1S
ONISIM kNNOSVW NO 3NO1S
'A19 830N0 80 'JNOJ
—I 3WV84 NO AJI89
80013 8 'Sd1S J111V ABNOSVW NO AJI89
tt
3WV8d NO OJJn15
ABNOSVW NS
3111 'HdSV °JNIGIS OIS *i '183A
NOVI OJ ONIOIS SOIS32SV
(I'MC8VH ONMIS 11VHdSV
E H18V3 S310NIHS DOOM
Ij---' 31387N07 9NIOIS d080
I 9 S08V09dV1J
SHOOId 6 S11VM V
N3HJ11A N8300W W008 OV3H
S3JVld 3813 1.W.9 ON
V38V JI11V 'NIH I/c 1/1 1/1 .
V38V .1.W.9 'Nld llnd V38V
1N3W3SV9 E
NIdNn _
IIVM A80 �
_ d31SVId F S831d
0.M.06VH 3NO1S 80 AJ189
3NId 'A,19 3138JNOJ
r L I 9 3138JNOJ
HSINIA 10I131N1 9 NOIIVONIIOd Z
NOj-L:)n 11SN00
—I SIN3WIdVdV
S3JIdd0 AIIWVd I11AW11nW
53180!$ AIIWVd 31�JNIS
AONVdn000 l
aORTk
N a A
NORTH ANDOVER BUILDING DEPARTMENT
w+► "° r rw
b 400 Osgood Street
�,SSACHUs
Tel: 978-688-9545
Fax: 978-688-9542
BUSINESS FORM FOR TOWN CLERK
DATE:
NAME: )J Tl L/ l 2r
ADDRESS: 3 C S 7-4/ U7- S%
ZONING DISTRICT:
TYPE OF
BUILDING LAYOUT PROVIDED: YES NO
AVAILABLE PARKING SPACES: �%' 01'e- c ffr c, --e—
ZONING BY LAW USAGE: YES NO
BUILDING INSPECTOR SIGNATURE
Reveled 11.5.04
BUSMS FORM FOR TOWN CLERK