HomeMy WebLinkAboutBuilding Permit # 2/28/2017 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO; Date Received
Date Issued:
IMPORTANT:Applicant mast complete all items on this page
LOCATION
Print
PROPERTY OWNER
Print �� ��;� �'[4J0 Year old 8frueture yes
MAP N® _ PARCEL :ZONING DISTRICT N�storlc DEstr�et yes
M
- Mach�rie Shap Vrlfag� Y_�s ''
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ew Building C7 One family
Li Addition ❑Two or more family El Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bidg ❑ Others:
❑ Demolition ❑ Other
Septic ❑Well D FloocJplarn: ❑VVetlan.tls . ❑ Watershed Disfr�ct ,
D WaterlSewei - -
DESCRIPTION OF WORK TO BE PERFORMED:
evr
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c /d7•� p s1 Cry d" P✓t L6C i
Identification Please Type or,Print Clearly)
OWNER: Name: do Phone: /
Address:
CONTRACTOR Name-, ` -._ _. ' ._P.hone_
. _
Adcress -
. -
Suprvlsor's Construction License Exp Date f
Home Imprauement License Exp D
-ate:
ARCHITECT/ENGINEER S Phone: ``V O
Address:
.5/RA.", AN Reg. Na.
V_�/C,7 _
FEE SCHEDULE:BULDING PERMIT:-$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BA D N$125.00 PER F
� a a�
Total Project Cost: $ FEE. $
�E! /7
Check No.: Receipt No..
DOTE: .Persons contracting with unregistered contractors do not have access to guar n fun
Sl nafiure of A`gen l.Ow 'er Signature of contractor:.
g 9 . A. _. .._. .....
Plans Submitted Plans Waived ❑ Certified Plot Plan ❑ Stam e fans
.........................................----.......... .............- .......... ......................... -----------.......... .................................. ...
tjORTPHI
Town of over .
No.
AV,* 7
C ver, Mass,
0 ps 41
BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
THIS CERTIFIES THAT .-WAYA1.4..... ........................ ........................... BUILDING INSPECTOR
has permission to erect ...................—.... buildings on ........ I�j ........ ........... Foundation
Rough
to be occupied as ... ......12.4fopi.017.............. 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, z't4qrjW'F*#V 64P erfoo; Rough PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. FA S4 fjpo" S
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUUJON ST t TS Rough
h
Service
k..!��
Final.... .. . .. .... ............
—BUIL'DI'N'G'INSPECTOR"
GAS INSPECTOR
Occupancy Permit Rgquired t® Occupy Bui 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.
K2
FP6(rev.3100) el. mom ell VIFIZ. 159M
APPLICATION FOR PERMIT
City or Town North Andover DIG SAFE NUMBER
Date September 27,2016
Start Date:
In accordance with provisions of M.G.L. Chapter 148, as provided in Section 27A application is hereby made
by Wayne J.Griffin Electric,Inc.
(Full name of parson,Pion of CorPorighon)
Address 116 Hopping Brook Road,Holliston,Ma. 01746
(Slrftt-P-0-BOX)(CKY or'rown)
For permission to (state clearly purpose for which permit is requested)
Fire Alarm permit for the GLSD Waste water treatment plant located in North Andover.This permit is for an extension
of the existing system to service the now cogen building.
Name of competent operator(if Applicable:Wayne J.Griffin) Cert. No. A8999
Date Issued-rejected By
U (Signature of APAW11
Date of expiration 7/31/2019 Fee $ 50.00 $ Paid- Due
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lug
FP6(rev.3/00) MAr,le," Y&A
PERMIT
city or Town DIG SAFE NUMBER
Date 2_� 2_1�'vi
Start Date:
Permit Number(if applicable, 13P 1332-- ZzbIy
In accordance with provisions of M.G.L. Chapter 148, as provided in Section this permit is granted
to
(Fall name of person,Firm orCorporafion)
for
Restrictions:
at
(Give location by street and no,,ordescifbainsuch marineresfoprovide adequate ldootfflcallanoflocafiDn)
Fee Paid $ � This Permit will expire on
Signature of official Granting Permit Title
WRO This permit Must be conspicuously posted upon the premises
A
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I
is f
Location
i` No. pate
I
+ ' TOWN OF NORTH ANDOVER
[' Y
3 . Certificate of Occupancy $
I
Building/Frame Permit Fee $
i` Foundation Permit Fee $
Other Permit Fe® �,, �z.. $
TOTAL �' $
E
Check# :..; :'....
;. t
} Building inspector
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