HomeMy WebLinkAboutMiscellaneous - 482 MASSACHUSETTS AVENUE 4/30/2018 482 MASSACHUSETTS AVENUE CPD
210/045.G-0051-0000.0
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'fJUUT No.. V � APPLICjVION FOR PERMIT TO BUILD— MUIE114 /►huUVEt, V Lwas. ••
MAP NO. C LOT NO.$ C-)(::)s At RECORD OF OWNERSHIP JDATE SOOK PAGE
ZONE SUS DIV. LOT NO.
LOCATION (('OI PURPOSE Of BUILDING
OWMtR'S "AMC 10-y-1fl L- -T -%--)EV E
EVEA ti NO. OF sTORIes size
OWNER'S ADDRESS �1 s_f f52 MOSS U,� BASEMENT OR SLAB
ARCHITECT'S NAME �7 MOSS �'l size Of FLOOR T1149ERS IST 2ND ORO
DU1LD[R'B NAM[ BPA"
DISTAHCC TO NEAREST BUILDING DIMENSIONS or SILLS
DISTANCC FROM STREET - POSTS ••
DISTANCE FROM LOT LINES — SIDES REAR - GIRDERS
AREA Of LOT FRONTAGE HEIGHT Of FOUNDATION THICKNESS
19 BUILDING NEW - SIZE OF FOOTING x
IS BUILDING ADDITION MATERIAL Of CHIMNEY -
IS BUILDING ALTERATION ,A,ee_ ,i o Y � 15 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
2 PROPERTY INFORMATION
INSTRUCTIONS
LAND COST
SEE BOTH SIDES UT. BLDG. CO1T `� �-•�/�-� , ��}
EST. BLDG. COOT P•ER SO. FT•• i
PAGL I FILL OUT SECTIONS 1 3
EST. BLDG. COOT PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
SEPTIC PKRMIT NO.
ELECTRIC METEPS MUST BE ON OUTISIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STAT[ FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR '
DATE
BUILDING INISA All
TOR
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BIGNAT R[ N[R OR LIT 1 AGENT �i /',�O
ers Tel U
F E K ou.
Contrac! Tel#
1119AM1T aRANT[D \ -
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Town of North Andover
BUILDING DEPARTMENT
Homeowner License Exemption
(Please print)
DATE 114V I Z 9 7
;OB LOCATION MOSS HUS 1V0, AN 7'
Number Street Address Section of town
"HOMEOWNER" M101 -4nF_L �LL)C)9U� lO4sS GS S-- q63 - 6c&S 6
Name Home Phone Work Phone
PRESENT MAILING ADDRESS S F)M
City Town State Zip code
The current exemption for "homeowners" was extended to include owner
-occupied dwellinp-s 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 and/or farm
structures . A person who constructs more than one home in a two-year
period shall not be considered a a3meowner. 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 under 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 of
North Andover Building Department minimum inspection procedures and
requirements and that he/she will comp th said procedures and
requirements .
HOMEOWNER' S SIGNATURE
ti
1PPROVAL 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 .
OR
Tovm o
And
No.
over
LAKE
dover, Mass.,
0CK
'r=*1Cx 19
,1
'4 TED-
A
BOARD OF HEALTH
PERMIT T Food/Kitchen
D
Septic System
THIS CERTIFIES THAT....... ............ BUILDING INSPECTOR
has permission to erect.....\Aj Foundation
........... buildings on ........ .............. .
. ....... Rough
to be occupied as......... ........
provided that the person acce ting this permit shal in-every.-res-pec-t-conform to the terms Of e application on file.in Chimney
, I ix,
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final
Buildings in the Town of North Andover.
VIOLATION of the Zoning or Building Regulations Voids this Permit. PLUMBING INSPECTOR
Rough
Final
PLUMBING INSPECTOR
PERMIT EXPIRES IN 6 MONTHS
LI P CTO
UNLESS CONSTRUCTIQ5N LS .. TS ELECTRICAL INSPECTOR
Rough
............................... . .. ........A........ ............... Service
. .. .........
WING INSPECTOR
--------------
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
No Lathing or Dry Wall To Be Done Final
GAS INSPECTOR
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
er
Street No.
7 F
Smoke Det.
3 .
Location
i
.:�d.No. d Date
NORTH TOWN OF NORTH ANDOVER
`p Certificate of Occupancy $
: . Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL , $
anv
Building Inspector
112 12460
' N T NDOVEROUL&QR Div. Public Works
Location ' f
f/jam
b
No. Date
l
M°ItTp TOWN OF NORTH ANDOVER
+ ..
p Certificate of Occupancy $
Building/Frame Permit Fee $ . , • ;,
,SSACHU Foundation Permit Fee $ Q
Other Permit Fee $
Sewer Connection Fee $
If' Water Connection Fee $
w TOTAL $ `
F s Building/ Inspector
, �- =
Div. Public Works
ERMIT40. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER MASS. PAGE 1
MAP 440. I LOT NO. 2 RECORD OF OWNERSHIP IDATE (BOOK ;PAGE
ZONE �i SUB DIV. LOT NO. I —
LOCATION PURPOSE OF BUILDING
OWNER'S NAME M10 l�E L_ NO. OF STORIES SIZE
OWNER'S ADDRESS /�. 5 L+ _ ^ v� BASEMENT OR SLAB
ARCHITECT'S NAME "7 SIZE OF FLOOR TIMBERS IST 2ND 3RD _
BUILDER'S NAME 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 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 I ��
BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES
EST. BLDG. COST t Q O
PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT.
MAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
• SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND QAPPROVED BY BUILDING INSPECTOR
DATE FILED 13 -` S- /
•U a INSPECTOR
SIGNATURE OF OWNER OR AUTHORIZED\AGEk4T
F E E OWNER TEL.# O
3 �
PERMIT GRANTED CONTR.TEL#
I B CONTR.LIC.#
H.I.C.#
� NORT
Town of over
0
No. 7a,
* s . dover, Mass.,
LAK
HMHEWICR
AT E D ApN �� •
S E BOARb OF HEALTH
PERMIT TFood/Kitchen
Septic System
l/_' BUILDING INSPECTOR
THIS CERTIFIES THAT............................. ..l. .lfif., (.................�... .. ........................................ Foundation
has permission to west.. �'7- -..... buildings on ........ c� ............. 3........ .... Rough
to be occupied as...................................../.:�: ..........�.�.-......... 2� C�Z�I! .g................................ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST TS Rough
.................................. .... .... .... .... ..... ............................... Service
ING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done FIRE
Until Inspected and Approved by the Building Inspector. DEPARTMENT
Burner
Street No.
Smoke Det.