HomeMy WebLinkAboutBuilding Permit #457-2017 - 174 JOHNSON STREET 10/31/2016/it
Permit NO: 45-7' 9L-0)
BUILDING PERMIT 3� :�t;_-r,.'
TOWN OF NORTH ANDOVER � '
APPLICATION FOR PLAN EXAMINATION
Date Receivedf D • 3 - is �� YY �' •'
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Date Issued: e('9
IMPORTANT: Applicant must complete all items on this
LOCATION
Print
PROPERTY OWNER Gary and Lorraine Davis
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MAP NO: PARCEL: ZONING DISTRICT: Historic District yes Ctt0
Machine Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
Qtne family
❑ Addition
❑ Two or more family
❑ Industrial
❑ Alteration
No. of units:
❑ Commercial
epair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
Septic ❑ Well
Floodplain ❑ Wetlands
Watershed District
Water/Sewer
/4340/4,te_ a
L..) /A/A001v s
1`/G aa4K O e
Identification Please Type or Print Clearly)
OWNER: Name: Gary Davis and Lorraine Davis Phone: 978-590-5010
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press: 1 t4 Johnson Street, North Andover, MA 01845
CONTRACTOR Name: Phone: 508-351-2214
RENEWAL BY ANDERSEN
Address:
30 FORBES ROAD NORTHBOROUGH, MA 01532
Supervisor's Construction License: Exp. Date:
90125 10-06-18
Home Improvement License: 170810 Exp. Date: ,
12-23-17
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: $ 6.843 FEE: $ 84.00
Check No.: qta o 7 9-Y Receipt No.: 3 11 O
NOTE: Persons contracting with unregistered contractors do not have access to the gar ty fund
ignature of Agent/Owner (see contract) Signature of contractor
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