HomeMy WebLinkAboutMiscellaneous - 91 MEADOWOOD ROAD 4/30/2018Location
. No. Date
TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
►_ •
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
453Sewer Connection Fee $
Y
��,�% Water Connection Fee $
Location
No. % Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $ 9. o o
pw- Other Permit Fee $
a�,F Sewer Connection Fee $
'' gg Water Connection Fee $ �J-
i< TOTAL v CJ
Building Inspector
etc° 6048
s
Div. Public Works
Location
No. % 6 Date
{
S 0 X93
TOWN OF NORTH ANDOVER
Certificate of Occupancy $'!/'/n"�
`Building/Frame Permit Fee $ &1 U
Foundation Permit Fee $ Z--4114)
Other Permit Fee $
v
ter
Connection Fee $
cater Connection Fee
TOTAL $ 0 J
ltd 'Buiinspector
Inspect
6 U 8 O Div. Public Works
Z3 6-
PE*11IT Nb. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �-/'PAGE 1
i
I
/'
MAP ;w0�
LOT NO.
I
2 RECORD OF OWNERSHIP DATE
BOOK !PAGE
ZONE
SUB DIV. LOT NO.
LOCATION D
PURPOSE OF BUILDING
OWNER'S NAM
NO. OF STORIES ) SIZE/�� z
OWNER'S ADDRESS 9,23 -I
'* /%
/�/
MENT OR SLAB
/!
ARCHITECT'S NAM r Y
SIZE OF FLOOR TIMBERS ISTC 2ND Z�/ /� 3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SI/LLS---
DISTANCE FROM STREET °J/1/l
POSTS
DISTANCE FROM LOT LINES- SIDES C/ REAR
� C
GIRDERS
\/ f
AREA OF LOT _51y)() f:47- FRONTAGE T
7
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW ` l�s
7
SIZE OF FOOTING j/ x G••
IS BUILDING ADDITION �/
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION D
IS BUILDING O SOLID R FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
C-
IS BUILDING CONNECTED TO TOWN WATER G
•J
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWERAlliq
IS BUILDING CONNECTED TO NATURAL GAS LINE ply
INSTRUCTIONS
SEE BOTH SIDES LM FDA pfp�p rz a ® c) c)
PAGE 1 FILL OUT SECTIONS t - 3 DUE FRAME PER al 20
PAGE 2 FILL OUT SECTIONS i - 12 o 0
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 '_- L 23
SIGNATURE OF O
F E E
PERMIT GRANTED
IZED AGENT
Ig _j ®Cr ner ��/y' �75-
Cohfr T ✓ i`�
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST 9vo `
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
G� C
BUILDING` INSPECTOR
R_
,� BUIL�bING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
S-ORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
C•
2 FOUNDATION 8 INTERIORFINISH
CONCRETE 3-., 1 2 I3
CONCRETE BL'K. PINE
BRICK OR STONE
HARDW D
_
_
PIERS
PLASTER
DRY WALL V
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B-M'T' AR§A
_
'L % 1/1
IN. ATTIC AREA
NO BMT
FIRE PLACES""'
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
•, 9. `�•': FLOORS
CLAPBOARDS
.,
B
1
2
3
—
_
_
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
CONCRETE
'E,/1RTH
HARDVJ'D
COMMON
MPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME.., _
r
_
BRICK ON MASONRY -3- i
BRICK ON FRA'M'E
`ATTIC STRS. 8 FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON''MAsSONIg+(,
STONE ON FRAME
SUPERIOR_
ADEQUATE I)dPOORNONE
10 PLUMBING
BATH 13 FIX.)
5 ROOF
GABLE I IHIP
GAMBREL MANSARD
FLAT SHED
TOILET RM. (2 FIX.)
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR & GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO if
6 FRAMING I
i l 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
ELECTRIC
B'M'T
12nd
THIS SECTION MUST SHOW. -EXACT DIMENSIONS OF. LOT AND. DISTANCE FROM
-'LO•T LINES AND EXACT d1MEN1SIONS 'OF BUILDINGS.' WITH' POACHES, GA-
RAGES, ETC. SUPERI'MPOSED..THIS REPLACES PLOT PLAN.
G. —A
i
0
1st 3rd NO HEATING _ _ �� � � %•"T'!1
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A.t/0O/�E,� �1'4S.S.vGfU/SE7TS 4/8/O
a 1
FORK U - LOT RELEASE FORK
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments 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: DW0 GL c_ -O Phone �Jr
LOCATION: Assessor's Map Number Parcel
Subdivision Neoryo wa n d Lot (s) �
Street dl 0)60d St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
�1
Conservation Administrator
Comments
Date Approved t�
Date Rejected
Date Approved Lola
Town Planner Date Rejected
Comments
� Date Approved
Health Agent Date Rejected
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department I "2014 -CPLa-w CGt t-ePy
Received by Building Insnector
MAY i
Date
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,kORTH f
TOWN OF NORTH ANDOVER
A . PERMIT FOR GAS INSTALLATION
SAC'Mff`�Ety
f
This certifies that.Cl�-! :.. !�......f, ...... ..1....... .
has permission for gas installation . ....... .'............... .
in the buildings of ... r.'. ..�. �.... ! C...! .....................
at :'. .. r...... :.....!4 ........... North Andover, Mass.
Fee. -.3 c-"' Lic. No 6? ... ..........................
GASINSPECTOR
WHITE: Applicant CANARY: Building Ddpt. PINK: Treasurer GOLD: File
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type) 2,5 el
_
Ah , Mass. Date 1�4
" �" o�� 19� �i Permit # (b/r
Building Location d) eha Oo Owner's Name M, LLJ , 0-0"T
" Type of Occupancy S�
r�
New V Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No ❑
Installing Company
HALL ZR)L\ I&A 0t 13Z
Business Telephone i K — 17 y
Name of Licensed Plumber or Gas Fitter
41,
Check one: Certificate
Corporation 1 q b (
❑ Partnership
❑ Firm/Co.
INSURANCE COVERAGE:
I have alceurrenttlliability ns Oce policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checked Ye, please Indicate the type coverage by checking the appropriate box.
A liability insurance policy 'P 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 permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Generaki-aws. A _
By
Tvne of License:V%b •�: ���
lumber Signature of License Plumber or Gas Fitter,
Title Gasfitter
aster License Number /6.3 7_
City/Town Journeyman
APPHONED OF iCE SE ONL
■■■■■n■o■■■■■■■■■■■■■■■■■■
..
ti■■■■■■■D■■■■■■■■�■■■SOMME
• •
■■■■■■■■■■■■■■■e■■�■■■■
■■■
Now
Installing Company
HALL ZR)L\ I&A 0t 13Z
Business Telephone i K — 17 y
Name of Licensed Plumber or Gas Fitter
41,
Check one: Certificate
Corporation 1 q b (
❑ Partnership
❑ Firm/Co.
INSURANCE COVERAGE:
I have alceurrenttlliability ns Oce policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checked Ye, please Indicate the type coverage by checking the appropriate box.
A liability insurance policy 'P 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 permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Generaki-aws. A _
By
Tvne of License:V%b •�: ���
lumber Signature of License Plumber or Gas Fitter,
Title Gasfitter
aster License Number /6.3 7_
City/Town Journeyman
APPHONED OF iCE SE ONL
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