HomeMy WebLinkAboutBuilding Permit #289-14 - 202 LACY STREET 9/27/2013 / 1
BUILDING PERMIT
TOWN OF NORTH ANDOVER • ,
Y� APPLICATION FOR PLAN EXAMINATION
Permit NO, Date Received4740
Date Issued: AZNus�
IMPORTANT Applicant must cold fete 111 it2111s On t111S )1Ee
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LOCArTION 1i �OiZ S •_ � X� �Ol �O�`�f �1.k i SIV/�I ?
F'ROPERTYTOWNER /�
MAP NO "` RCEL ZONING DISTRICT Histo`ric'Dastrict F ,
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
4Septick 'Welly res +�fi, Floodplain r TY`Wetlands r fitWafershed�DistnctF N .
F c , , 1 - : �F >
Wood P649f Sive
np I- Identification Please Type or Print Clearly)
OWNER: Name: �iG/t14C,6N Phone
Address: '
CONTRALTO
R.,Narne;
a P;tio W.
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Address�}r +/�j "s s
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Su e►visor`s'Cons#ruc#i 4"
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Home Ime---
provement'License `8 3 ;Exp Da#
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ARCHITECT/ENGINEER �I Phone:
Address: Reg. No.
FEE SCHEDULE:B ULDING PERMIT:512.00 PER 51000.00 OF THE TOTAL ESTIMATED COSTASED ON S125.00 PER S.F.
Total Project Cos $ 3Z0a•0& FEE: $
Check No.: Receipt No.:
COTE: Persons contr In it 'tz, "pre, st
d corrlractor•s do not Irave a . .ess to gear 11t1;frrn
Sig na#ure.o:fAgen#/Owner _ i Signature of contractor
Location - ` (-c-,
C
No. l Date C'A'L—�-��
1 �
• - TOWN OF NORTH ANDOVER
Certificate of.Occupancy $�
Building/Frame Permit Fee 'r
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check# C) 460,
261-9, 22 Building Inspector