HomeMy WebLinkAboutBuilding Permit # 4/25/2016 BUILDING PERMIT o� �oRTH
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION o m
Permit No#: 1' Date Received qArED
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Date Issued:
I ORTANT: Applicant must complete all items on this page
LOCATION
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PROPERTY OWNER ,� .6 CO
s
Prin 100 Year Structure yes
MAP �=PARCEL: ZONING DISTRICT Historic District yes
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
>,New Building )<One family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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DESCRIPTION OF WORK TO BE PERFORMED:
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14c'q it/L')!I -f &meat c 9'-f lvxkv-
Identification- Please Type or Print learly
OWNER: Name: -tic- �e to ' �' PhongD.
Address:.. ). a ' r e��
Contractor Name. Y A- Phone:
Ern ail:M ce
Address::" iii oo&LA Ufa c>
Supervisor's Construction License �j� Yd Exp. Date: ` :fid
Home Improvement License: Exp. Date:
ARCH ITECT/ENGINEER y� �/�E�.°n !` Phone: �-�
Address
S*,_G— e'T > AM Q` Reg. No. "� -5
FEE SCHEDULE;BULDING PERMIT:$92,00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $ � "
Check No.: Receipt No.: � - T
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans
EFTYPE—EOF
SEWERAGEDISPOSAL
Public Sowor
Tanning/Massage/Body Art FSwilmuing Pools
Weil Tobacco Sales ❑IFood Packaging/Sales [
Private(septic tank, etc, x
Permanent Dutiapster on Site 1-1
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On(
A11'6'fW"---' !�11111
COMMENTS C�f Z.6-' 6
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CONSERVATION Reviewed on Siqnature'"i-.,,-,,y,\�
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COMMENTS
HEALTH Reviewed on—*— Si nature z'
COMMENTS Wf�
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water& Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
I R Ei D E
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C O M M E N
NORTH
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® 12.-2b I
11
c% 11 h Very Mass,
O LANE 1
COCMICMEWICK V
ADRATE D /'P�,`iC�
S V BOARD OF HEALTH
Food/Kitchen
Septic System
THIS CERTIFIES THAT ,,�,,,�® BUILDING INSPECTOR
........ ................................ ... ..... 14L ..... .... .... .. .. . ... ... .
•
Foundation
has permission to erect . ..................... buildings on ... .... ... .. :.. ... .........�.
Rough
tobe occupied as ......... ..... . .. . ........ .. . .. .............................................. ................... Chimney
provided that the person accepting this permit shall in every r pect conform to the terms of the application Final
on file in 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
PERMITIMONTHS ELECTRICAL INSPECTOR
UNLESS TY,O
TARTS Rough
.......
Service
............. ..... .... ..
BUILDING INSPECTOR Final
GAS INSPECTOR
Occupancy Permit Required t® Occupy Bulldln Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.