HomeMy WebLinkAboutMiscellaneous - 78 Buckingham RoadPER'liIT NO. 56� APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1
MAP d-40.
LOT NO.
I
2 RECORD OF OWNERSHIP DATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.
LOCATION d
PURPOSE OF BUILDING ,,/ n
OWNER'S NAME 1
NO. OF STORIES SIZE
OWNER'S ADDRESS z
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME 'vA/� /��+
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
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 i - 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
DATE FILED
RIZED AGENT
F E E
PERMIT GRANTED /
19
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST r-� am
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
SUILDING INSPECTOR
OWNER TEL. N
CONTR. TEL. # O ay) -44
CONTR. LIC. # d 3 7 9 "t /
H.I.C.# le 3,3 1 %
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
3 1 2 ( 3
PINE
CONCRETE
CONCRETE BL'K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY VJALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B'M'TAREA
_
'/. 1/2 V.
FIN. ATTIC AREA
N_O B M
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
_
4 WALLS I
9 FLOORS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
B
1
2
3
_
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARMUPID
COMMCN
ASPH. TILE
STUCCO ON MASONRY
_
STUCCO ON FRAME
BRICK ON MAS NRY
ATTIC STRS. & FLOOR
_
BRICK ON FRAME
CONC. OR CINDER BILK.
WIRING
SUPERIOR I__j POOR
ADEQUATE NONE
10 PLUMBING
STONE ON MASONRY
_
STONE ON FRAME
5 ROOF
GABLEHIP
BATH 13 FIX.)
GAMBREL
MANSARD
TOILET RM. (2 FIX.)
_
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGESY
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- _
10 13rd I
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.
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