HomeMy WebLinkAboutMiscellaneous - 208 Middlesex Streetr
Location
No. �f� Date
TOWN OF NORTH ANDOVER
O`
0
'1_ • 0
A Certificate of,Occupancy $
MAW 0
Bui ding/Frame Permit Fee $
�7s *Arm* �<�' + dation Permit Fee $
sAcause C
Other Permit Fee $
a S wer Connection Fee $
N,ro eTAL nection Fee $
$
® Building Inspector
Div. Public Works
-Z EaroiTf NO: APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
%/AGE 1
MAP 4446.
LOT NO.
I
2 RECORD OF OWNERSHIP iDATE
BOOK 'PAGE
ZONE
SUB DIV. LOT NO.
LOCATION 0-� ��7+�-�
�!
PURPOSE OF BUILDING
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 g
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 S�4�- ;��- �
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12�
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
AGARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS M STFILED A p PROVED BY BUILDING INSPECTOR
DA
AUTHORIZED AGENT
F E E
PERMIT f4TED
19
1�
CONTR. TCL. #-
CONTR. LIC. #
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST C�
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
I OCCUPANCY
SINGLE FAMILY
SiOR1ES
MULTI. FAMILY
OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION8
I
INTERIOR FINISH
CONCRETE
FIN. B M AREA
FIN. ATTIC AREA
d
IJ_
1
2
_
CONCRETE BL K.
_
PINE
1
Aug
BUILDING RECORD
12 `.
THIS SECTION MUST SHOW EXACT DIMENSIONSO.F LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS: WITH PORCHES. GA-
RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
UNFIN
..
I
ti
%
I
3 BASEMENT
AREA FULL
1/1 1/7 1/1
FIN. B M AREA
FIN. ATTIC AREA
_
NO BM'T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
B
1
2
�_
_
3
_
DROP SIDING
CONCRETE
EARTH
HARDW'D
COMtACN
ASPH. TILE
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
_
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR I_
CONC. OR CINDER BILK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR I� POOR _
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
HI_J—
BATH 13 FIX.)
GAMBREL
MANSARD
TOILET RM. (2 FIX.)
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
WOOD SHINGES
SLATE
TAR & GRAVEL
ROLL ROOFING
LAVATORY
KITCHEN SINK
NO PLUMBING
ALL SHOWER
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,
GAS
7 NO. OF ROOMS
B'M'T 2nd _.
Ist I.3r. I.
ILL
ELECTRIC'
NO HEATING
OF NORTH"�
OFFICES OF:. o �m Town Of
APPEALS •.: NORTH ANDOVER
BUILDING .; a
CONSERVATION SSS "°°` DIVISION OF
HEAL"I•H
PLANNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIREC"1.011
120 Main Street
North An(lover,
M;ISS;I('IMSCIIS O 1 B45
((i 17) 685-4775
In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit
Number Z,3"9 is that the dcbris resulting from this work shall be
disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S
150A.
i
The debr;c %,,;n k. -
Z
Date
,NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.
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