HomeMy WebLinkAboutMiscellaneous - 996 SALEM STREET 4/30/2018c0
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PERMIT NO. t22
V
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE
MAP a40.
I
12 RECORD OF OWNERSHIP IDATE
BOOK '.PAGE
I
ZONE
SUB DIV. LOT NO.
�
LOCATION
PURPOSE OF BUILDING ter. • B L / /) �n A�
OWNER'S NAME
NO. OF STORIES SIZE
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME
BUILDER'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
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 1 - 12
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BEFI
ED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIQNATURE OF OW41ER OR &U*WORIZED AGENT
FEE �/ Com✓
PERMIT GRANTED
(` 19
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
iUILDINO INiREC l
OWNER TEL #
CONTR. TEL # - ` �
CONTR. LIC. # DJ V L Q
H.I.C.#
1
.. _ .. SINGLE FAM
MULTI. FAMI
APARTMENTS
OCCUPANCY
�_ S�OkIES
_ OFFICES
CONSTRUCTION
2 FOUNDATION
8 INTERIOR
FINISH
g FRAMING
CONCRETE
WOOD JOIST
B
PIPELESS FURNACE
1 I3
CONCRETE BL K.
PINE
TIMBER BMS. & COLS.
BRICK OR STONE
STEAM
HAROW D
STEEL BMS. 3 COLS.
_ _
PIERS
_
PLASTER
DRY MALL
UNFIN.
_
_
3 BASEMENT
AREA FULL
NO BMT
HEAD ROOM
4 WALLS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONR
STUCCO ON FRAME
....`:
BRICK ON MAS NRY
BRICK ON FRAME
rnur no riNnoo al
5 ROOF
T
FIN. B M'T' AREA _
FIN. ATTIC AREA _
FIRE PLACES _
MODERN KITCHEN
9 FLOORS
B 1 2 3
CONCRETE �_
EARTH
HARO%,J'0 _
COMMON
ASPH. TILE _
ATTIC STRS. S FLOOR
WIRING
SUPERIOR I� POOR _
ADEQUATE NONE
10 PLUMBING
BATH 13 FIX.) _
TOILET RM. (2 FIX.) _
WATER CLOSET
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
g FRAMING
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COLS.
STEAM
STEEL BMS. 3 COLS.
_
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
RADIANT H'T'G
GAS
7 NO.
OIL
BWT 2nRO _ ELECTRIC
OMS
d
lyl 3rd I NO HEATING
BUILDING RECORD
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.
No. /97
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THIS CERTIFIES THA1....................................... 14A.
has permission to erect.... ....... buildiq.,-, ........ .......... Z
tobe occupied as ..................................................................... .......... ..............
provided that the person accepting this permit shall in e�v;:y respect conform to the to-m;l
I
this office, and to the provisions of the Codes and By-[.�vls reiating to the Inspection,
Buildings in the Town of North Andover.
VIOILATMU" of the Zo,-'rg .-r ;-ildlng Regulations Voiilr7
-.'EPMT. E)(I-)-,!.. 6 M:'�
LESS COQ; ON
X1.,pancy Permit
.................................. ......
to
Display iin a '--%--inspicuous Placu, rr; --e Premises — E,
No Lathing o To Bn.. Dou
Uni,' and App,,--- '.y. the
................
stru cti on of
at
OF HEALTH
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NISPECTOR
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