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HomeMy WebLinkAboutMiscellaneous - 8 BUCKLIN ROAD 4/30/20181 f J N O � N m � C ', O Z '. � � � o O O O �'"""¢y%y�.�i .=,�''�"�.=Rdo'- a 1"iq�=.,r•i....;F,^-rrv..y.�,,.c.s+s � .. c7.,_... r. -r may;... *a4:,,��... �r...�,i„ ff Location fSJ�� o 96 3 Date r'} A TOWN OF NORTH ANDOVER <°R', Certificate of Occupancy $ a $ : ; Building/Frame Permit Fee $ -" Nus s�cLM Foundation Permit Fee $ Other Permit Fee $ �= X/,P� Q6(o Sewer Connection Fee $ d d2 Water Connection Fee $ /077r 50.M'. TOTAL o $ 'Id ingIns at r (34 Div fc Works Lr,pation c1"' ,—.s No.� 3 Date 1 7 b TOWN OF NORTH ANDOVER Certificate of Occupancy $ -C1 0 Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ "'— TOTAL 147.50 PMI} $ / ?so Building Inspector Div. Public Works "f .�-,�-.T ti.-.,.34:...Eg.,r ' x... s.�ti� s aur• .. i Location ru w N J, e Date 17-4 ap are TOWN, OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ D 6 Z 7 Sewer Connection Fee $ j -jZo Water Connection Fee $ TOTAL wf3MID, F "w ,�$` '-2j Buildip Innssp%ctor Div/ubJ[c Works PER311T NO.,- a APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. �t JPAGE 1 MAP 4,40. LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT N OCL I )t ,e 9 i LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS 7— BASEMENT OR SLAB % ARCHITECT'S NAME O SIZE OF FLOOR TIMBERS 1ST )(/,o 2ND �'` 3RD BUILDER'S NAME jVlSPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET /v �fl -- POSTS DISTANCE FROM LOT LINES — SIDES REAR GIRDERS y AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X v IS BUILDING NEW IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION I IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE S / IS BUILDING CONNECTED TO TOWN WATER C BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE S INSTRUCTIONS �/ I// {�, SEE BOTH SIDES `' PAGE 1 FILL OUT SECTIONS 1 - 3}`a-=�� PAGE 2 FILL OUT SECTIONS 1 - 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 w DATE FILED SIGNATURE OF OWNER OR AUTHORIZED FEE J Cf PERMIT GRANTED -92 19 _ m e 4 l 17 .y 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST { C) QC-�O EST. BLDG. COST PER SQ. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN x� BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 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. SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE PINE 3 t 2 13 CONCRETE BL'K. BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. _ 3 BASEMENT AREA FULL FIN. B M AREA 1/1 1/2 FIN. ATTIC AREA _ N_O 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN _ 4 WALLS I 9 FLOORS CLAPBOARDS DROP SIDING WOOD SHINGLES 8 _ 1 _ 2 3 �_ _ _ _ CONCRETE EARTH ASPHALT SIDING ASBESTOS SIDING VERT. SIDING _ J 'D COMIA COMRACN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR _ CONC. OR CINDER BILK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 10 PLUMBING 11 5 ROOF GABLE I HIP BATH (3 FIX.( GAMBREL MANSARD TOILET RM. 12 FIX.( FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & 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 _ lit 13rd ELECTRIC NO HEATING FORM U — IDT RELEASE FORM r L5 INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Depart:me is having jurisdiction ., have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: 1 - (_ Q Phone LOCATION: Assessor's Map Nuber Parcel —� Subdivision -e .votew,�qa( Lot (s) Street �.lCC� St. Number ************************Official Use Only************************ RECOMPMATIONS OF TOWN AGENTS: Data Approved r Conservation Administrator Data Rejected • Comments Comments Healt:� Aaen Comments Date Approved 1 Date Rejected Date Approved Date Rejected _ Public Worcs - sewer/water connections :2 - driveway pe--=i-,- Fire ermit Fire Department D -, 4-0-f q U — Received by Building Inspector l2-111193 DEC 14 Iag,� -/4 -9- / S % ->- ll/- -% Date KAREN Hi NELSON Director BUILDING CONSERVATION PLANNING Town of t NORTH ANDOVER ejON °` DMSION OF PLANNING & COMMUNITY DEVELOPMENT OF BUILDING AFFIDAVIT DATE c) // OWNER'S NAME & ADDRESS tj ro 120 Maifl Street; 01845 (508)682-6483 MCATTON OF PROPERTY TO I d" Q0 91 11S'101e pa / JJ --�� DEPARTMENT SIGN] -OFFS (ADEPT. 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