HomeMy WebLinkAboutMiscellaneous - 19 Willow Street `�,
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Location
No. Date
MORTIy TOWN OF NORTH ANDOVER
. p^Certificate of Occupancy $
} °> : Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
tig9� TOTAL $
Building Inspector
Div. Public Works
PE R31IT*0. 5.3 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. / AGE 1
MAP ado. I LOT NO. 12 RECORD OF OWNERSHIP '.DATE BOOK '.PAGE —
ZO E SUB DIV. LOT NO.
CATION PURPOSE ai�BY4iDiM6 B c
OW ER'S NAME F NO. OF STORIES ' SIZ
WNER'S ADDR S w BASEMENT OR SLAB
III
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME SPAN
DISTANCE TON EST BUILDI 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 1 I A/ i 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 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES ST. BLDG. COST —1060, DO
I
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER SQ. FT.
PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GLAAGES MUST CONFORM TO STATE FIRE REGULATIONS
P ANS MUST BE FILED A D APPROVED BY BUILDING INSPECTOR
D E FILED
1?
BOARD OF HEALTH
JZ
SIGNATUR OW R OR AURIZED AGENT
Eo Q
`�OWNER TEL. PLANNING BOARD
PERMIT GRANTED ��±--C-� .
L�2 NTR.TEL.#IA-�
19 L,-dONTR.LIC.#
BOARD OF SELECTMEN
3 m
� �/ BUILDINQ INSPECTOR
JL s
BUILDING RECORD
1 OCC ANCY 12-
1
SINGLE S' ul 5- THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH. PORCHES. GA-
APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION }
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE 3 1 2 13 _
CONCRETE BL K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER _
_ DRY VJALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B'M'T AREA _
V. y, ]/, FIN. ATTIC AREA _
N_O 8 M FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS ( 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDY^J'D _
ASBESTOS SIDING _ COMtACN
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY _
STUCCO ON FRAME 41�
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOADEQUATE I-i NONE
5 ROOF 10 PLUMBING
GABLE HIP BATH 13 FIX.) �-
GAMBRELMANSARD TOILET RM. (2 FIX.) _
FLAT 11 SHED WATER CLOSET _
's
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & 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
IL
O
B'M'T 2nd _ ELECTRIC
1st 13rd NO HEATING
`\ LawrenceP.O. Box 988 2 7 4 !_1.
Lawrence, MA 01842 ` 15
1 savings Bank 508-687-1131 53-7143
M,'rI FD1C/D1FM Equal Housing Lender 12Y 2113
Y TO 19
,.✓ PAORD HE
ER �-'r/��'•� `ZC •(/'�- ,/ ��� / i
NOT.JVALID OVER$1000
/� �.•� �'�i;lal': MAIN it 6 i?i
cc ♦ 4 l f,r
W ,(/
m — ��'�'�ER '/r O' OF_GOTIABLE
NAMES PRINT)
y
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W ADDRE
The customer procuring the Savings pink Linney Order Check.correspo,iding in nunlhel 'I J amount to that shown hengen.;uu,,,,,Ir i„ ,�I
- thereon in ink.the date.Pivre, hi<sinn-rtuu,and ad•lrnss mui n'>um^s rrspnngibility hn oil:,verde m;,.do possible bV Ili,.�.,L ,
—� COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY
® OF 1010 COMMONWEALTH AVE.
3 MASSACHUSETTS BOSTON, MA 02215
EXPIRATION DATE:L',', f):*..: f 1 '-;.;r_ {..:i_.II'i -;..1_I::;'• <::;I_IF'I:.F:t,1..;i;ti
I
RESTRICTIONS EFFECTIVE DATE LIC-NO.
6 I ,
oC
z j ::)jar=:C- I i' r" ••-i z
:
ry;
PHOTO(BLASTING OPR ONLY) FEE: I_.t11,•,:..}-r '_ - )
NOT VALID UNTIL SIGNED By LICENSEE AND OFFICIALLY
HEIGHT: STAMPED-OR-SIGNATUR OF THE COMMISSIONER
DOB: /
-THIS DOCUMENT MUST BE
CARRIED ON THE PERSON OF el
l ATURE OF LICENSEE
THE HOLDER WHEN EN-
OTHERS
N- �W'v'� l%?L�rC��
01HERS-RIGHT THUMB PRINT GAGED INTHIS OCCUPATION. ..... ER
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Twn o �� � over
0 4 T10
dover, Mass.,
I 19 73
OCOCMICMEWICK
�ADRATED
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT...#P40PA6.4.... . ..0...................................................................... Foundation
has permission to erect.J106004.......... buildings on....J.Y..1.1..i -44...W......ofor-ow........... Rough
to be occupied as..................... e.. .Is�ha
......$...'.�.. ....... I.. �. ..
Chimney
Ch' e
provided that the person accepting'this pe in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of
Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS
� ARTS ELECTRICAL INSPECTOR
UNLESS CONSTRUC N
Rough
............... Service
BUILDING INS P TOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
PLANNING FINAL /// CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL eel DRIVEWAY ENTRY PERMIT