HomeMy WebLinkAboutBuilding Permit #1147-2016 - 2 STACY DRIVE 5/4/2016 NORTh i
BUILDING PERMIT ----� ���i`ti.fl `'
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
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Permit NO: � Date Received iw�Mtc y'
Date Issued:
IMPORTANT:Ap
plicant must complete all items on this page s
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LOCATION tuce-q Luce-qA 1 dov Pte'
PROPERTY OWNER ,
Print
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MAP NO: PARCEL: ZONING DISTRICT: Historic District yesno
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Machine Shop Village yes no
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
❑ New Building ❑One family
❑Addition ZTwo or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
oflepair, replacement ❑Assessory Bldg ❑ Others:
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❑Demolition ❑Other i
❑Septic ❑Well ❑Floodplain 0 Wetlands U Watershed District
❑Water/Sewer
1.) eernug2 a Puce dgxy\gj;,ka +rim (from 4he.►�S,�2e�ft0etC.� CI[C C�,alt�nag2Gr `sldinq I
�uAce ro 4t1ir ear 1 ,fir peof roof- can an rwrd d 5) affid" .
Q-r�d repU0.ce co+-ner b ras �► '� on t.e'(+able.end LLni+- »,
to neaw trim 1b din •cnl ably oc `W1 + to . : ` Y' 4A-le-
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Identification Please Type or Print Clearly)
OWNER: Name: tfresco4 r3daxd of 1UKrtck0f5,3%m Fi nr\ Phone:-q'76-2-5&I-15Q
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Address 'Dr. IJ• An ciov-cr M R
utl er LtLPhone: W4-58053
CONTRACTOR Name:�l(�CXlpr1 'I11 _.
Address: P6
Supervisor's Construction License: �rs. 5�50� Exp. Date: c (q
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Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BOLDIN
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,PERMIT.-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. e
Total Project Cost: $ —171-5 FEE: $_ 1 N 2-
Check No.: 2Z-022 Receipt No.: 320
NOTE: Persons contracting with unregistered contractors do not have access to th aranty fund
Signature of Agent/Owner Signature of contractor
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No.
o hver, Mass4
coc"Ic NCw cm 1' -6
�,QS RATED P,QA`�,�y
U BOARD OF HEALTH
Food/Kitchen
PER I D Septic System
.. � � ... . � e �
S CERTIFIES THAT BUILDING INSPECTOR
THI
has permission to erect.....�.............:..... buildings on .... .. �, ...... .... . .. ....1....�l' . .
..� .�.1'1 1� Foundation
Rough
to
to be occupied as AN&... Chimney ey
provided that the person accepting this permit shall in eve�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 1j)
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 CONS TIO T Rough
Service
.... \. ...... .......... Fina!
BUILD GINS CTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy RuRough
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.