HomeMy WebLinkAboutBuilding Permit #704 - 47 KINGSTON STREET 5/30/2008BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPI IrATIC)N FOR PI AN FXAMINATION
Permit NO: D
Date Issued: —, Lo.
Date Received
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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
'b" pal Ymet and
N ti1la ers.h fit
DESCRIPTION OF WORK TO BE PREFORMED:
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�ddress:
ANR
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: $ FEE: $�
Check No.: 99---0 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signa#ure of A en#JdwnOrA °• , Sr nature of cortractor�
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OWNER:
Identification Please Type or Print Clearly)/'
Name: )eKnl�r- QpAde+ --I--00-V� � TS�S�
Phone:L-7q-43
Address:
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�ddress:
ANR
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: $ FEE: $�
Check No.: 99---0 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signa#ure of A en#JdwnOrA °• , Sr nature of cortractor�
_a9�., _. J �,..
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 ❑
COMMENTS
CONSERVATION
COMMENTS
❑■
DATE REJECTED
DATE REJECTED
DATE APPROVED
DATE APPROVED
DATE REJECTED IDATE APPROVED
HEALTH ❑ ❑
COMMENTS
r
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
I
Dimension
Number of Stories:
Total land area, sq. ft.:
Total square feet of floor area, based on Exterior dimensions.
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
....................................................................................................................................................................................................................................................................................................................................................................................................................
Doc.Building Permit Revised 2007
Location ll --- Q• —
No. b Date 4S-304
�oRTh TOWN OF NORTH ANDOVER
a • �
• ; , Certificate of Occupancy $
�� s'„•°' E<�' Building/Frame Permit Fee $
ACNus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
2 j i 91 Building Inspector