HomeMy WebLinkAboutMiscellaneous - 50 COLUMBIA ROAD 4/30/2018 50 COLUMBIA ROAD
210/053.0-0002-0000.0
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;Location 6-0
�No. Date
TOWN OF NORTH ANDOVER
3?p',�eo ,,e110
� e
p Certificate of Occupancy $
• a' 3 Bui�tiing/Frame Permit Fee $
Tl
CMS�t 7 COLIf-own, ation Permit Fee $
ae.e-"t`* ,CSU o !r,
Other Permit Fee $ �1
' -Sewer Connection Fee $
MAY, �I 6` U r Connection Fee $ --
TOTAL $
�Q Q Building Inspector
�• 6104 Div. Public Works
PE.a3f T N.O. 1r3 3 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.�,T� /PAGE 1
MAP 4d0. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE
ZO E SUB DIV. LOT NO.
O TION PURPOSE OF BUILDING
WNER'S NAME NO. OF STORIES SIZE
OWNER'S ADDRCgSf,
C1i14 BASEMENT OR SLAB --
ARC TECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
&AfUILDER'S NAME { SPAN
DISTANCE TO NEAREST BUILkING DIMENSIONS OF SILLS
DISTANCE FROM STREET POSTS
DISTANCE FROM LOT LINES—SIDES REAR " GIRDERS
AREA OF LOT FRONTAGE IGHT OF FOUNDATION op THICKNESS
IS BUILDING NEW /,v
E OF FOOTING
S BUILDING ADDITION J(eMATERIAL OF CHIMNEY
IS BU ING ALTERATION9 IS BUILDING ON SOLID OR FILLED LAND
61�1LL BUILDING CONFORM TO REQUIREMENTS OF CODE AAall IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY 47 IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
ND COST
SEE BLDG. COST
EE BOTH SIDESvO
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
r
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
i ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PL/ANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
g11TE FLED
1//J BOARD OF HEALTH
SI AT RE OF OWNER OFVbTHORIZEO AGE
FEE eorJZ• _!�- 0
ER TEL.# U PLANNING BOARD
PERMIT GRANTED
_ CONTR.TEL.# _00/
6 19 CONTR.LIC.#
BOARD OF SELECTMEN
/ BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY S--ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA-
APARTMENTS I RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE d 1 2 13
CONCRETE BL'K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT 11
AREA FULL FIN. B'M'TAREA _
'/ 1/2 1/1 FIN. ATTIC AREA _
NO B M FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WAILS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
ASPHALT SIDING HARDN!✓'D
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME
BRICK N MASONRY ATTIC STRS. & FLOOR I_
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING f:
STONE ON FRAME
SUPERIOR I� POOR
ADEQUATE NONE
5 ROOF 10 PLUMBING s
GABLEHIP BATH (3 FIX.) _
GAMBREL MANSARD TOILET RM. (2 FIX.)
FLAT I SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY _
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR 8 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. &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 _ ELECTRIC
1st 13rd I NO HEATING
50 Columbia Road
Ido. Andoy6r#'-1hssachusette
Scale: .ln 30 r
Date: May 5, 1977
5
LOT 9Z LOT 93 `
� o
I 0
LOTS 71, 72
Z07 73 s
2
o h
979
eg.0
/.0' core. �e�iv /fay
f -
r
�rf'EFE.P TO
i
I hereby .eertify that the N. B. - Do not use offsets for
building on this property is establishing lot lines
located as shown on plan and for the erection of
eompUed with the Building and fences, walls, hedges,
Zoning Laws of the Town of �� of etc.
No. Andover uhen_bonstrueted.
CHARLES E. CYR -
CIVIL ENGINEER CYR
1 :
" LAWRENCE MASS.
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77711
77yr•I�
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Il
� ni,,r���;; ca':r i��i:a i ar..;��,; �.u;.,:,� F;ur.�E�,feua!R'A14�a"4.eJ •
NORTH
Town of ` E Andover
�
No.
°�'f= oC L � dover, Mass., 19 ou
Zi
ADR �ATED PH
BOARD OF HEALTH
Food/Kitchen
Septic System
. PERMIT T D
is
THIS CERTIFIES THAT..q9.j. A*&.A##.�..1?#..41.0.440....A& .a.jow..jrgl... Foundation DININSPECTOR
has permission to erect.00.0.4140............. buildings on .. s.0 .4.0. 04...X.p0............. Rough
X *. �. I/V .•... �/ ..................................
to be occupied as..... 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
UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR
Rough
.. Service
BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
gh
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
PLANNING FINAL 1� �0 CONSERVATION FINAL Street No.
�FWFR /WATFR FINAL 616 y DRIVEWAY ENTRY PERMIT Smoke Det.
Date.6:1` 0''.U3 ...
ti
NORTH
Of „an ,^,h0
o� TOWN OF NORTH ANDOVER
P- F
' PERMIT FOR GAS INSTALLATION
SACHU5ES
This certifies that . . . . �.'. h; . . .: . . . . . . . . . .
has permission for gas installation .'7'�'`... . . . . . .. -<s�,.% . . . . .
�A
in the buildings of . . ...+. . r. j�; `F. . . . . . . . . . . . . . . . . . . .
-r at . . . . .. . .. .-. . .. . ... .. .!G� North Andover, Mass.
Fee. . . . Lic. No.. -21� ./L. . . . . . .
/ GAS INSPECT06'
Check#
4357
d
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type) �.
M. 4&/6)Uyo- . Mass. mate a ZQ .2- Permit *. vu.
Building Location c'6-z) (.DIt, Owner's Name f
/ 4e-y, Type of Occupancy __i�ES- I -DCN T t P L--
New Q Renovation ❑ Replacement 21", Plans Submitted: YesQ No p
' N
N Q
Y W N
� G N It0
W W R O V m
d N
O Q:
N d C 4
N x W = V W N W < cc H O F- S
ry W W J < S Q W O S W W V
c7 f• Z J h 2 .F. f` >- N m Z 0 2 W O f~A S
< W o: W z, < s < < O O W O IY F'
Cd S �� O Cr .d V y p 4 1" O
+� SUB—BSMT%
BASEMENT
1
ISTFLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
Installing Company NamenCjAeg T . �51M MA Twl r Q Check one: Certificate
jAddress -z-NI. ❑ Corporation
n1 E T H U E rJ r11 A . 01 k q 4 . 0 Partnership
Business Telephone 4o�92 —1 9"7 f 2--Firm/Co.
Name of licensed Plumber or Gas Fitter �R[)(3E P T A• 5Amm 0 74 le(D
INSURANCE COVERAGE:
I have a current f bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142..
Yes Ip No ❑
If you have checked Ye, please indicate the type coverage by checking the appropriate box
A liability insurance policy Other type of indemnity❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement.
Check one:
Owner❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under the pe ' i ed for this application be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne Laws.
By T of License: C�
Plumber n ure of cen u _ or Fitter
Title Iter
or
License Number V aJ )
City/Town O IC NL Journeyman
i
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES i PROGRESS INSPECTION
FEE
NO.
APPLICATION FOR PERMIT TO DO GASFITTING
I `
NAME S TYPE OF BUILDING
A
LOCATION OF BUILDING r
PLUMBER OR GASFITTER
LIG NO.,
PERMIT GRANTED
DATE 19- -
OAS INSPECTOR