HomeMy WebLinkAboutBuilding Permit # 7/14/2016 t4ORTH
BUILDING PERMIT 6
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
I liiP�ORTANT: Applicant must complete all items on this page
LOCATION 4-> — Ex",�, i u4b _AVVL '7
Printell-
PROPERTY OWN n ........
AL-0
Print 100 Year Structure yes no
MAP PARCEL: ZONING DISTRICT:,.------.-,Historic District yes no
ER M
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
F-1 New Building Cl One family
El Addition u Two or more family Ll Industrial
[I Alt ration No. of units: C7 Commercial
.--
�Aepair, replacement E Assessory Bldg Li Others:
E Demolition o Other
'010 g/�"
DESCRtP-T)ON OF WORK TO E P AFORMED:
VVJ
A, ]L
_41
(e il
OWNER: Name. Phone:
Address., LA
�fA
Contractor Name: QA,%CA Phone:
–
Em A rxv�.d_i* CtiAAva, 61
r:),14-k(sv\ 4AA c,
J,i�D� iL, . . ...... 2t2 Ll
Addressy–_Ac�,
Supervisor's Construction License: I(WSA Exp, Date:. Jt
Kell-
Home improvement License, Exp. Date:
_J 15 4 9 —
(4 wzo
ARCHITECT/ENGINEER AyLLkP_,_Lt>Phone:
1�0
Address: OrReg.
FEE SCHEDULE. BULLING PERMIT:$12.00 PER$1000,00 F THE TOTAL EST%T D COST BASED ON$125.00 PER S.F.
1-7
Total Project Cost- $
Check No.: Receipt No
NOTE: Persons contracting with unregis&red contractors do not have access he guar ant ftind
x
inatpre-D.,
Plans Subr-nitted ❑ Plans Waived U Certified Plot Plan 0 Stamped Plans ❑
FTYPE OF SEWERAGE DISPOSAL
Sewer
Public Sewer ❑ Tanninng[Massageffiody Art ❑ swimmingpools Ll
MM
Well
Well ❑
To
Tobacco Sales ❑
Food Packaging/Sales 11
Private(septic tank, etc. ❑
Pennanent Dumpster on Site r]
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING DEVELOPMENT Reviewed On Signatur
COMMENTS r
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on' Signature
COMMENTS
Zoning Board of Appeals:I Variance, Petition No: Zoning Decision/receipt submitted yes
-Planning Board Decision. Comment's
'Gonservation Decision-, Comments
Water & Sewer Connection/Si nature & Uate Drivewa Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
T�irmp Dumpsfer on site
Located
t,,!24,'Main
�ORTiNI
Town of �� _ _ f, ndover
No. _ ' - i
ffi4h �. ver, Mass `
1Q cocnic"awacK 't
,q A°'�•�rEa �,V
� U
BOARD OF WEALTH
PERMIT T Food/Kitchen
Septic System
WTHIS CERTIFIES THAT ..... . ... ............ ...................1. .....�.. ...... BUILDING INSPECTOR
Willi a-,
. + ..a .. —mv. Foundation
has permission to erect . buildings on .
............ .. ..� .. ....... Rough
to be occupied as ..5 ... 0 ... ..��.. 8.,........, Chimney
provided that the person acts ing 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 B -Laws relating to the Inspection,Alteration and
Construction of Buildings in the Town of North Andover. �� � �� a-W�.r �t PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. P" Rough
Final
PERMIT EXPIRES 16 MONTHS ELECTRICAL INSPECTOR
UNLESS C®NST CTI® Rough
Service
. . .............. Final
BUILDIXG INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Rulldrn Roue
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.
REPLACEMENT
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