HomeMy WebLinkAboutMiscellaneous - Farnum StreetLocation' 1"/J
No. 1% Date
G 3a
`. 6618
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ 0,
Building/Frame Permit Fee $
(foundation Permit Fee $
`'Ofher'Permit Fee $
Sewer Connection fee $
Water Connection Fee $ """`---
TAL $
Building Inspector
Div. Public Works
PEI,tJ117; NO. 9 D APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. AGE 1
MAP d40. /� /J
f�
LOT NO. 6-"
I
2 RECORD OF OWNERSHIP (DATE
BOOK
PAGE
ZONE
SUB DIV. LOT NO.
�I
LOCATION
PURPOSE OF BUILDING1O1//-aOd0,WdthaGe-" /7/ty
.7
OWR'S NAME r q`UA
NO. OF STORIES SIZE vo
NER'S ADDRESS z q : Dir A
BASEMENT OR SLAB
ARCHITECT'S NAME````
SIZE OF FLOOR TIMBERS IST 2ND 3RD
�yyyy
UILDER'S NAME 1 �, r �� v!/ ��� �Gr
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
r
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
R
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIGNATURE OF OWNE;y /AUTHORIZED AGENT
FEE C/
PERMIT GRANTED
19
i
�L) I
-24
OW,!gER TEL.
CONTR. TE!_,
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST "1 p
EST. BLDG. COST PER SQ.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
_ o
BOARD OF SELECTMEN
Z�& //lizi
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
STORIES
MULTI. FAMILY
!_
OFFICES
APARTMENTS
__
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
3 t 2 13
PINE
CONCRETE
CONCRETE BL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
-6 RY VJAII
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B'M'TAREA
_
'/, 1/2 �/,
_
FIN. ATTIC AREA
_
NO BMT
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
B
_
1
2
�_
3
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
HARDNJ'D
COMMON
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
11
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR H POOR _
-ADEQUATE NONE
10 PLUMBING
5 ROOF
GABLE
I
HIP
BATH 13 FIX.)
GAMBREL
MANSARD
TOILET RM. (2 FIX.)
FLAT
SHED_
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
_
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
6 FRAMING
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 2nd _
i.. 13rd I I
ELECTRIC
NO HEATING
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.
J
N: '
FORM U - LOT RELEASE FORM
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
PLICANT:
Phone -4/0-7;7
CATION: Assessor's Map Number ,6 Parcel
-7
Subdivision
04-
Lot (s)
teat T�t� u St. NumberT
Use only************************
P
OMMMMATIONS OF TOWN AGENTS:
Conservation Administrator
•
Comments -
Town Planner
Comments
Data Approvedm/
5
Data Rejected
Data Approved
Date Rejected
Date Approved
Health Agent Date Rejected
Comments
Public Works - sewer/water connections
- driveway permit
Fire Department '
Received by Buildina Inspeeter
Data
-.0
0
I
II
h
w'
n�
c
�a
n
1
TIT
'�b T
c
-AT NO. 107 B °�
g .�
ARTHUR W ROSE, P. E.
CONSULTING ENGINEER
36 ASHLAR DRIVE • GOFFSTOWN, N.H. 03045 • TEL./FAX 603-497-2567
September 17, 1993
Mr. Tim McCain
Morton Buildings, Inc.
308 Londonderry Turnpike
PO Box 1616
Auburn, NH. 03032-1616
Re. Morton Buildings T nc.
Pre -Engineered Building for
Boston Hill Farm
Andover, Ma.
Job No. 118 - 1061 Project No. 3101.02
Dear Mr. McCain:
As requested, I have roviewed the plans, specifications and
structural computations as prepared by Morton Buildings,
Inc. relative to a one story equipment storage building
(48' - 0" x 75' - 0"); to be constructed in Andover,
Massachusetts for Boston Hill Farm. Based upon my review, it
is my opinion that the plans, specifications and structural
computations as prepared by Morton Buildings, Inc. for this
building conform to the requirements of the Commonwealth of
Massachusetts State Building Code.
This laminated to ber column building has been designed and
shall be erected in accordance with she applicable standards
as stated in Section 1207.0 of the Code.
Thank you for your attention to this matter. If you have
any further questions or comments, please do not hesitate -to
contact my office.
VerYtruly
yours, ti�' �� Fr
ARTHURW.
�Gv
Arthur W. Rose, P.E. ROSE
Structural Engineer
No. 30734
AWR / z p
�S/ONAL vl ,
z
z
z
2
C �
CO
CO) Cl)
CD
n Z CO)
Q O n�
r
� � O
Q �• CO)
0 �
v CD
CD
,c o
CL
cr
O CD
CD o CD
C CD co
CD
Q O co)
cc CD
v
CO) O
'v Z
O O
r.«
o cc)
0
CD
G_ c
O -•yoQ CA
ac
So RCD -0O
� :*CS 07 ® ci
o H n aC 3 m
Z O'er N
.-r a CD C
0 0 0 p y
CD C42
O'O
_ W W -
-p O_ C1 �
O �w CIO CD
O k ..►
i� y' n
z °° • `D
�_�;`.
N
46
CL
CCF C', :w
CL-
CDco0 CD
O_ w .�•
V CW
Q
a d C
O a
`n 1� o
H
CD
°: -moo •
:r
o N
Q �o
O F a
S.
S.
cc-
y
r. C
G „ X
zV
C CA
0 0;
C7 : •�� •
CD
p
77
(D 1
Mlot
y
z
O
G
o
y
C/)
G
y
r
O
p
23
z
C)
z
O
�
?
O
O
r
z
z
mayy'
O
(D
O
0
O
d
o
x
omi
0
0
c
--BUILDING PERMJ-Tz;z-' of No F RD TH gtio
-'TOWN 'OF NORTH ANDOVER
00
APPLICATION FOR PLAN EXAMINATION
14L
0
Permit No#: Date Received:,
Argo
�gSSACHU`�����
Date Issued:
IMPORTANT: Applicant must complete all items on this page
37 47"
"
W-77'
'fa
ZT
R(D. PERT, QIRN'E'fk'
�D�iear.StrUCtUf ayes f10
ING 6-�
N�
777
*77inn,
KA
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
0 New Building
[I One family
0 Addition
0 Two or more family
El Industrial
0 Alteration
No. of units:
11 Commercial
El Repair, replacement
[I Assessory Bldg
0 Others:
11 Demolition
11 Other
Welly
u.,
-p. ain Mai;
7
r
DESCRIPTION OF WORK TO BE PERFORMED:
n - Please Type or Print Clearly.,,
OWNER: Name:
n$? 5s—
ARCHITECT/ENGINEER Phone-J
Address: Req.
FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED qGn,-WSED ON $125.00 PER S.F.
Total Project Cost: $
FEE: $.
Check No.: Receipt NO..'--
F —
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
'i", 4�
Jll
ARCHITECT/ENGINEER Phone-J
Address: Req.
FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED qGn,-WSED ON $125.00 PER S.F.
Total Project Cost: $
FEE: $.
Check No.: Receipt NO..'--
F —
NOTE: Persons contracting with unregistered contractors do not have access to the guarantyfund
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑
Stamped Plans ❑
TyPFOF SEWERAGE DISPOSAL
Public Sewer ❑
Tanning/Massage/Body Art ❑
Swi nming Pools ❑
Well ❑
Tobacco Sales ❑
Food Packaging/Sales ❑
Private (septic tank, etc. ❑
Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On
Signature_
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
r.
, Conservation Decision: Comments
% Water & Sewer Connection/signature & Date Driveway Permit
DPW Town Engineer: Signature:
t o s a 5 eet
ae
i f -WE-- DEPARTMENT uPIP ste� on site.900
o r�
IL�ocated�at 124�Main>bStreet
ireepartmentFsignature'/date` x;
t * -tea t f
.A a
C;®MIVIENTS �r `fr
Dimension
Number of Stories: Total square feet of floor area, based on Ekterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine
NOTES and DATA — (For department use
❑ Notified for pickup Call Email—
I Date Time Contact Name
..............................
Doc.Building Permit Revised 2014
Building Department
The following is a list of the required forms to be filled out for the appropriate permit to be obtained.
Roofing, Siding, Interior Rehabilitation Permits
Li Building Permit Application
o Workers Comp Affidavit
a Photo Copy Of H.I.C. And/Or C.S.L. Licenses
Ll Copy of Contract
o Floor Plan Or Proposed Interior Work
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
Addition Or Decks
Li Building Permit Application
❑ Certified Surveyed Plot Plan
o Workers Comp Affidavit
❑ Photo Copy of H.I.C. And C.S.L. Licenses
❑ Copy Of Contract
❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And
Hydraulic Calculations (If Applicable)
❑ Mass check Energy Compliance Report (If Applicable)
❑ Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit
New Construction (Single and Two Family)
❑ Building Permit Application
a Certified Proposed Plot Plan
o Photo of H.I.C. And C.S.L. Licenses
❑ Workers Comp Affidavit
o Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And
Hydraulic Calculations (If Applicable)
o Copy of Contract
o Mass check Energy Compliance Report
o Engineering Affidavits for Engineered products
NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit
In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals
that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording
must be submitted with the building application
Doc: Building Permit Revised 2014
Location� r L) vv,�
No. -¢— Dat.1
I
• -
��.
TOWN OF NORTH ANDOVER
• . .
'
Certificate of Occupancy
$
Building/Frame Permit Fee
$
Foundation Permit Fee
$
Other Permit Fee
$
'
TOTAL
$
l;
..Check #
2842
`lding
wi' Inspector
a
Z
LL
DZ
a0
m
ON
LL
.N
(n
o
Vaf
Z
z
m
C
O
LL
C
-to
O
w
C
t
U
C
LL
u
N
Z
J
a
t
to
O
d'
O
LL
0
Z
Q
u
U
J
W
L
to
Q
cc
U
(n
C
LL
u
w
Z
L
W
O
K
C
LL
Z
W
w
owc
LL
Ca
O
z
V),
+
acu
O
{/)
uj
E
4)
CL
T)
L
N
O
N
C
m
L
O
O
N
O
t
v -
O
Z
O
a
J
O
i
Ot
O
W
:a
U)
CD
m
V�
Cl)
F -
z �--
0.
G
CD O
Z V
co
W
Iia Cl)
xLL, 0
V
W
a z
M
z
w
N
5
E
� O
z
O C
I W
O a
.CD
� m m
CL
CD
Q
� 0 0
� O Q
a
ai Q
v J �
�CL
Cz a
v CL
`U
i
CL
cn
23
occ
:.
CL 4)
d¢
c
w- O
o ;�
N V
E Q
L N
1
w 0
E Co
c
o
L
V N
O �
Mac L m
O
d�
> O
7 = CD>
N O C
N
m N Z
�.
0._••-
O
N O
L
�..
CL
CL
L d
Cc 0
'U)
I—
v
O = •�
Q
L
L
N
m 4)
W
C
O O
LL
'�
N C
CL
W
U
L
v as .� O
O
co
a.
as
a> > N
N
O O
E
4)
CL
T)
L
N
O
N
C
m
L
O
O
N
O
t
v -
O
Z
O
a
J
O
i
Ot
O
W
:a
U)
CD
m
V�
Cl)
F -
z �--
0.
G
CD O
Z V
co
W
Iia Cl)
xLL, 0
V
W
a z
M
z
w
N
5
E
� O
z
O C
I W
O a
.CD
� m m
CL
CD
Q
� 0 0
� O Q
a
ai Q
v J �
�CL
Cz a
v CL
`U
i
CL
cn
23