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No. I �3
Date
�oRTM TOWN OF NORTH ANDOVER
Ot�,.•o �140
C?._ •, a O�
F % Certificate of Occupancy $
` Building/Frame Permit Fee $ V ` i �� Uf
s„CH S tv' cpitUT-09Jon Permit Fee $
Other Permit Fee $
a, Sewer Connection Fee
Wa`te�NPCAnnection Fee $
®. �y�(�i���TOTAL $Q
Building Inspector
Div. Public Works
Location
'
No.
Date
„ORTh
Ott,.°o
TOWN OF NORTH
ANDOVER
..1ti0
-
+
;
Certificate of Occupancy
$
i
Building/Frame Permit Fee
$
�sS MUS Et
Foundation Permit Fee
$
tt r �e� it Fee
$
Sewer Connection Fee
$
Z 1
1
Wa^ ter Connection Fee
$
TPTAL,�
$
j
Building
Inspector
Div. Public Works
PER.11ft NO.
i..
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. 111, PAGE 1
MAP dlCI.
LOT NO.
2 RECORD OF OWNERSHIP DATE
BOOK "PAGE
ZONE
SUB DIV. LOT NO.
�—
LOCATION
PURPOSE OF BUILDING /,�/.0 —3
N✓K tJ
�`�A
OWNER'S NAME
NO. OF STORIES v SIZE
OWNER'S ADDRE ,� /
��v
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME ��� /
SPAN
DIMENSIONS OF SILLS
DISTANCE TO NEAREST BUILDING
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 I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
I
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE -FILED `/ -G/ 0// / . —
SIGNATURE OF OWWR OR AUTHORIZE
F E E !' �b31s
PERMIT GRANTED
19 �_
OWNER TEL. #
CONTR. TEL. #�� ,�
CONTR. LIC. # 0 2 21 F. k 0
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST ." V s
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
, % V
ov�w�n� �nsr6�:IVR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY STORIES
MULTI_ FAMILY OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
—I
$ INTERIOR FINISH
CONCRETE_
3
1
2 I3
CONCRETE BL'K.
PINE
BRICK OR STONE
HAIPLA
_
_
PIERS
ERD
PLASTER
DRY WALL
UNFIN.
3 BASEMENT
AREA FULL
FIN. BM T AREA
_
Yi '/o '/,
NO BMT
FIN. ATTIC AREA
FIRE PLACES
_
_
HEAD ROOM
MODERN KITCHEN
4 WALLS
I 9 FLOORS
CLAPBOARDt
_
8
_
1
2
�_
3
_
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHAiT SIDING
HARDW'D
ASBESTOS SIDING
COMMGN
VERT. SIDING
ASPH. TILE
STUCCO ON MASONRY
_
_
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STIRS. & FLOOR
BRICK ON FRAME
I_
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIORI� POOR
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
I
I HIP
BATH 13 FIX.I
GAMBREL
MANSARD
TOILET RM. 12 FIX.)
_
FLAT
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 �I
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
12nd _ELECTRIC
ISL J 3" I
NO HEATING
�� y
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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