HomeMy WebLinkAboutMiscellaneous - 39 FURBER AVENUE 4/30/2018a
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TOWN OF NORTH ANDOVER
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Certificate of Occupancy
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Building/Frame Permit Fee
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Sewer Connection Fee
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Water Connection -Fee
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APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
/PAGE 1 I
MAP 4-40.
LOT NO.
I
2 RECORD OF OWNERSHIP (DATE
BOOK "PAGE
ZONE
SUB DIV. LOT NO.
OCATION
URPOSE OF BUILDING
NER'S NAM d
NO. OF STORIES SIZE r 7`hl�
—
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
UILDER'S NAME j�#_r _,<_ b/4 A),+' t4v
SPAN
DISTANCE TO NEARESTBUILDINGDIMENSIONS
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
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
SEE BOTH SIDES
INSTRUCTIONS
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 12 1
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
r
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSAECTOR
D/Xlf FI ED
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE LAC) C7.
PERMIT GRANTED (JWNER TEL. #S�� 7op
19 CONTR. TEL. #
CONTR. LIC. #
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3 . PROPERTY INFORMATION
LAND COST
BLDG. C /�AA
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
BOR KING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
4
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION—I
8 INTERIOR FINISH
CONCRETE
PINE
d
1
2 13
CONCRETE BL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
UNFIN.
3 BASEMENT
AREA FULL
1/1 V? %
FIN. B'M'T' AREA
FIN. ATTIC AREA
_
_
NO B M T
HEAD ROOM
FIRE PLACES
MODERN KITCHEN
_
4 WALLS I
9 FLOORS
CLAPBOARDS
B
1
2 3
�_
_
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
HARDW'D
COMMCN
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 NONE
10 PLUMBING
5 ROOF
GABLE
I
HIP
BATH Q FIX.)
_
GAMBREL
MANSARD
TOILET RM. 12 FIX.)
_
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR 3 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. 6 COLS.
STEAM
STEEL BMS. 3 COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
DAL
B'M'T 2nd _
I.r 13rd
ELECTRIC
NO HEATING
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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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DATE `— <; ��, -,-/ _ /
JOB LOCATION
Town of North Andover
BUILDING DEPARTMENT
Homeowner License Exemption
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Number Street Address Section of town
F �1
"HOMEOWNER" GzGLe %`�.�.r �,`ZI-`�7� ` VS7 v
Name Home Phone Work Phone
PRESENT MAILING ADDRESS
City/Town State Zip/code
The current exemption for "homeowners" was extended to include owner
-occuoied dwellings of six units or less and to allow such homeowners to
engage an individual for hire who does not possess a license, provided
that the owner acts as supervisor. (State Building Code, Section 109.1.1)
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he/she resides or intends to
reside, on which there is, or is intended to be, a one to six family dwell-
ing, attached or detached structures accessory to such use acid/or farm
structures. A person who constructs more than one home in a two-year
period shall not be considered a homeowner. Such "homeowner" shall submit
to the Building Official, on a form acceptable to the Bulding Official,
that he/she shall be responsible for all such work performed udder the
building permit. (Section 109.1.1)
The undersigned "homeowner" assumes responsibility for compliance with the
State Building Code and other applicable codes, by-laws, rules and
regulations.
The undersigned "homeowner" certifies that he/she understands the Town
North Andover Building Department minimum inspection procedures and
recuirements and that he/she will comply with said procedures and
requirements.
HO,IEOt;,•i
'ER ' S S I G N A T U R E
of
APPROVAL OF BUILDING OFFICIAL
Note: Three family dwellings 35,000 cubic feet, or larger, will be
required to comply with State Building Code Section 127.0, Construction
Control.
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