HomeMy WebLinkAboutBuilding Permit #488-2017 - 25 COMMERCE WAY 11/9/2016♦' d
BUILDING PERMIT
TOWN OF NORTH ANDOVER ° p
p� APPLICATION FOR PLAN EXAMINATION
Permit NO: O 0 ' �% Date Received t t — 9-A91
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Identification Please Type or Print
OWNER: Name: -ya-,< - t
Address: M 44e/Ir0 4VQ,c�
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BULDING P �IT- $V2.00 PER $1000.00 OF THE TOTAL ESTIMATED COSTS SED ON $125.00 PER S.F.
Total Project Cost: $ �� FEE: $
Check No.: If O 6-r-, Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have accessto the quay rty fis
Location a S Compo e e - f Q
No. y77 ' 3'0I-7 Date I
Check #
TOWN OF NORTH ANDOVER
,I rr /L/
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑
Tanning/Massage/Body Art ❑
Swimming Pools ❑
Well ❑
Tobacco Sales ❑
Food Packaging/Sales ❑
Private (septic tank, etc. ❑
Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT
COMENTS
DATE REJECTED DATE APPROVED
❑ ❑
CONSERVATION ■ ■
COMMENTS
HEALTH
COMMENTS
n
DATE REJECTED
DATE APPROVED
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision:
Conservation Decision:
Comments
Comments
Water & Sewer Connection/Signature & Date Driveway Permit
Located at 384 Osgood Street
Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA — (For department use)
❑ Notified for pickup - Date
i
Doc.Building Permit Revised 2012