HomeMy WebLinkAboutBuilding Permit # 5/9/2016 BUILDING PERMIT ® taosary q-
�4t4 LE D..,g 4yYO
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION °- ',
Permit No#: ,
'� Date Received � 'oDRA7ED Pep`��
CHUS�R
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION Il
Print
PROPERTY OWNER U IIS
Print 100 Year Structure yes no
MAP PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building 110 e family
11 Addition H'fwo or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
P-Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑S'e ttc ❑Well ❑ Floodplain ; ;❑Wetlands ' f Watershed Distr►ct '
p
DE CRIPTIO�OF WORK TO BE PERFOMED:
C
6 owl-5. a- Cal) n
q 1
eLl 2�a(f E'( vv 1 r;�J 'i ,�' �> ;�,�del i ✓r1/ l
Identif}ication- Please Type or Print Clearly
OWNER: Name: Phone: I
4,
Address:
' f
Contractor Name: ( Phone:
Email: �
Address: 044 Y)4--�2 L cel ry-)0 ��% fid%
Supervisor's Construction License: C ' �� � � Exp. :Date:
c
Home Improvement License- 1910 Exp. ,Deter-
ARCHITECT/ENGINEER Phone:
Address: Reg. Noa
FEE SCHEDULE:BULDING PERMIT / 12.00 PER$1000.00 OF THE TOTAL ESTIMATW COST BASED ONE$125.00 PER S.F.
�.
Total Project Cost: $ .q C.) CiO FEE:
0-
$ .
Check No.: ReceiptNo
NOTE: Persons contracting with egistered contractors do not Ii�ave,.access>.to th uaranty fund
IrT-1 0 m-
F
tkORTH
Uwn I
2 1,.
0
L
y:
No.
® h ver, ass,
LAKE
OR COCNIC"EWICK
�®QORATED I►Pp��S
7`S tl BOARD OF HEALTH
Food/Kitchen
P R IVI ml T T
Septic System
e Ctp���^° BUILDING INSPECTOR
..............
.......................................
THIS CERTIFIES THAT . ......................................................................
' -... Foundation
has permission to erect .............. buildings on .z�®. � . .'• .... .... .............................. Rough
led as .r..:.�. "'... ........................................................... Chimney
tobe Occup ........:.. ... .................................
provided that the person accepting this permit shall in every respect 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 PLUMBING INSPECTOR
Construction of Buildings in the Town of North Andover.
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit. Final
I ®NTS ELECTRICAL INSPECTOR
UNLESSPERMIT I STARTS Rough
Service
......... ......::�-....................,.... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
FIRE DEPARTMENT
No Lathing or Dry Wall To,Be Done
Until Inspected a Approved y the Building Inspector. Burner
Street No.
Smoke Det.
Qt
�+ l .7rZt{1€,»Fi'rr�f� rj"?"'yt�as„a.,rt✓a�l r�.>�
i I�ROVEMENT CONTRACTOR
P� gistr ttea 1'20199 Type,
prop 11/1(2817 indiv�duai
l�AUIC� lrlLiA�d
bAVii C�L7,l EZiPsN
428: LEA ANT ST `
i ORTi I Ai'ir1OVER,MA 01�4a Llarct rscrr N
3
j Ai
:+assachusefts Department of Public Safeiy'
card of Building Regulations and Standards
License: CS-001821
Construction Supervisor
a
DAVID P GULEZIAN :
428 PLEASANT ST
NORTH ANDOVER MAt184¢
i
Expiration:
Commissioner 10/02/2017