HomeMy WebLinkAboutBuilding Permit # 5/18/2016 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
PermitNO: Date Received
—
Date Issued:7��- _—._. ------
IMPORTANT:Applicant must complete all items on this page
LOCATION ra e `5 T-
Print
PROPERTY OWNER t t
"Print, 100 Year Old Structure yes 05
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village; yes
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TYPE OF IMPROVEMENT PROPOSED USE
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Residential Non-Residential ........
❑New Building �40ne family
❑Addition ❑Two or more family 1-1 Industrial
❑Alteration_ No.of units: ❑Commercial
- —......... -------- — —.......... -—..................
-Repair,replacement ❑Assessory Bldg ❑ Others:
❑Demolition _ ❑Other —........
D Septic ❑Well ❑Floodplain ❑Wetlands ❑ Watershed District
__y.l.WaterlSewer —
DESCRIPTION OF WORK TO BE PERFORMED:
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Identificati n Please Type or Print Clearly)
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OWNER: Name: D OIL Phone:
Address:
CONTRACTOR Name:5TEP4t C- ®fit/ Phone: � ✓��
Address: ' , ' ,IEt rZ 2«firn/l �, C5`36-76
Supervisor's Construction License:L% "� Exp. Date:
Home Improvement License: kb i Exp. Date: � r �
ARCHITECT/ENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost:-a cst 0 _FEE:$ �`
Check No.: Gz Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to t e guarantyJand
Signature of Agent/Owner Signature of contractor
Plans Submitted❑ Plans Waived❑ Certified Plot Plan ❑ Stamped Plans ❑
Town of i Andover
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No.
h ver, Mas &
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7.95 ATED"r 1)
T
UBOARD 01 HEALTH
U Food/Kitchen
PERMIT T ILF"" Septic System
THIS CERTIFIES THAT K ....................................................................... BUILDING INSPECTOR
has permission to erect...........................buildings on ....................... Foundation
to be occupied as........ J,./........ Rough
................. ............................. Chimney
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
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 ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI ARTS Rough
Service
..........
...... ...�. _I...................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired to Occupy Ruildin 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.
1
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9 �
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