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Building Permit # 11/23/2016
r BUILDING PERMIT � �oRry TOWN OF NORTH ANDC�'4l''ER ����° ��;;; APPLICATION FOR PLAN EXAMINATION Permit No#: 1'6 "�" � Date Received 9tZ 21 .Zreo n (• �AiCHLlS�~E Date Issued:_ INNORTANT: Applicarit must complete all iteans on this page LOC ;Priv , PR©PERTYC7WNEF� &'Writ 1008 ear Structure yes no MAP PAREL.- , . � ZC7NING DISTRICT. t �� H►starrc District yes no Machine Shop Village , yes no ._._......___-- TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential - 0 New Building ❑ One family ❑Addition ❑ Two or more family Xindustrial Iteration No. of units: _ 19 Commercial ❑ Repair,m'replacement u Assessory Bldg C] Others: ❑ Demolition ❑ Other 0 Septic Ll Well ❑ Floodplain [I Wetlands ❑ Watershed District ❑Water/Sewer f7F��K TO BEYPERFORMED: ., � ' �� ., DESCRIPTION a Identification- Please Type or Print Clearly OWNER: Narrie: " `t ;.'gym" �` .. Phone: 'w Address . Contractor Name: w',. Phone- Cif Address:0N) CZ,-,, Q t Supervisor's Construction License: (,� Exp. Date: 1 Home Improvement License- Exp. Date>' ARCHITECT/ENGINEER _Czj, t ")I, t1 Phone Address: CL,6. ;cN .. Vit. ° � ' `.��; r_ ._E� ,� °° 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: $ � � *� � _FEE: $ Check No.:,z' ,> Receipt No. � Non:: 1'ersorls contracting iwztpi unregistered co ,6actoA do not have access to the guaranty fund 00 _ Sig _ _ ._ Si nature=of A ent/Owner " '` S� Qattire of contractor �g g �" ............................ ............ ........... ........................................... T40RTH Andover 0 qn No. � � � � ver, Mass, & 26; 6 U BOARD OF HEALTH Food/Kitchen PER Septic System BUILDING INSPECTOR THIS CERTIFIES THAT ./fvwrte�� ... .... ..... has permission to erect .......................... buildings on'70....&J**. ..... ... ....... q.................... Foundation Rough tobe occupied as ............................................. .................................................... Chimney -tsftepM provided that the pe on 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 (ICONSTR09N Rough n Service 40 .. ...... .... Final 0--iNG IN PEC R BUILDING Pi GAS INSPECTOR Occupancy Permit Required to Occupy Buildin Ro6gh 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. =� Massachusetts Department of Public Safety Board of Building Regulations and Standards. License: CS-094656 Construction Supervisor KAREN F cURRAN TQ UNION ST r MARSHFIELD MA o2' Expiration.- Commissioner . 10/0912017