HomeMy WebLinkAboutBuilding Permit # 8/30/2016' taoRT►.
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
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Permit No#: 01Date Received �RQ��ATE �.
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Date Issued: � f6�
IMPORTANT: Applicant must complete all items on this page
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LOCATION 6�4 Pte_ '
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PROPERTY OWNER `* rJ r-L
Print .+ 10c)Year Structure yes no
MAP 4`_,, PARCEL: m � ZONING DISTRICT: Historic District yes no r
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building One family
Addition [I Two or more family [I Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement- ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Wetlands; -� � �❑„Watershed<District
N.
DESCRIPTION OF WORK TO BE PERFORMED:
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--4dentification- Pie se Type or Print Cleary �f'
OWNER: Name: c 'F' �» r rr Phone:
Address: Cl/
Contractor Name: v Phone: _
Email:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
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ARCH ITECTIENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PER .T:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COS]-BASED 010125.00 PER S.F.
Total Project Cost: $ c -. - FEE: $ 14
Check No.: Z�f2 Receipt No.:
NOTA: Persons contracting wit r istred co_atr� c{ors do riot leave access to the guaranty fund
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V%ORTP
Town of 2 s _ 6 ndover
No.
h ver, Mass,
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4 Cocn[C new.ce Y�•
�R�1rED P`e�,�'�y
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BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT 11110.` ......................... BUILDING INSPECTOR
has permission to erect.......................... buildings on ...� ... �, ,`, .: �. �. Foundation
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to be occupied as l .0*...&-N' AP',h....jut/41................................................................ 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 CONST I® T Rough
Service
. . .. .. .. .... . ..... .....
Final
BUILDISP
TOR
GAS INSPECTOR
®ccy2ancy Permit Required to Occupy By 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.
Plans Submitted ❑ Plans Waived ❑ Certified Piot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sower ❑
WellTa€uug/Massage/Body Art ❑ Swimuing Pools ❑
❑ Tobacco Sales [l
Private(septic tank, etc. Food Packaging/Sales ❑
PennanentDuinpster on Site El
THE FOLLOWING SECTIoNs rOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OPE' m U FORM
PLANNING DEVELOPMENT Reviewed On
Signature
''#s• COMMENTS
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CONSERVATION Reviewed on
Si nature
COMMENTS
HEALTH Reviewed on
SI nature
COMMENTS
Zoning Board of Appeals:Variance, Petition No:
Zoning Decision/receipt submitted yes
Planning Board Decision:
Comments
Conservation Decision:
Comments
Wfer ewer ConnectionlSi natr�re nate
• Drivewa Permit
DPW Town Engineer: Signature:
FIRE,DEP `amu t Located 384 Osgood Street
AR�TMEIa6T TernpaDumpster o
lrocatod,at i24,Marn Street
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`G®MMENTS
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PLOT PLAN
NORTHERN ASSOCIATES, INC,
68 PARK 5T. 2ND FLOOR ANDOVER, MA 01810 TFL:(978) 837-3335 FAX:(978) 837 -3336
MASSACHUSETTS
OWNER: JOHN .MILLER DEED REF,
LOCATION. 24,2 PLEASANT ST PLAN REF. #195
CITY,STATE: NORTH ANDOVER, MA SCALE: 1"=20'
DATE: 8122/16 JOB #:
CAMDEN STREET
80.00'
V4 LOTS 61-62-63--64
8400± sf1 :
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EXISTING DK
/11VDW'EI,LING _ 20'x-^T
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80.00' JOHN
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