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HomeMy WebLinkAboutBuilding Permit #453 - 60 WILLOW STREET 12/16/2009 (2) TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: S,3 Date Received Date Issued: /a2 /� D IMP ORTANT: Applicant must complete all items on this page 0CATIOnl %_`r PROPERTY OW, NER 7,17 e d90 MAP NO,:. CJS' PARCEL: � 'fZONIIG DlTR1CT: Historic District yes Sao Machine•Sb6p V111-age yes no 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 Septic 1JUeil Floodplain 1l!/etlatlds Watershed District Water,/Sewer . DESCRIPTION OF WORK TO BE PERFORMED: -e- s Identification Please Type or Print Clearly) OWNER: Name: 120.�,- c,4 c�,,. g ©,�.,�.�� Phone: Address: 6^0 CONTRACTOR Narne. (5!*,,%t Plaorie" Address: Su,prvisor's Constrwction License: �'S�9 s Exp., Dates S�.2, � Home ft.provement .cense Exp. Date:: ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ �3 fc'c) ,oc) FEE: $ y6 Check No.: 31 q r Receipt No.: -7,'� 70$4 NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Owne =c_ Signature 6f contractor. -vow I jo 73 h3 w-1 N3 ovo -4 SP TiAn LT A JAI T- IN 4.kx , -N f'j so /* TP #r 4t. 4s 0 Owe on, 25 eel 41- oa • , 1Z " '6 4Cl tl� rO 1`0 VIA, Cj) cl > 71 -r CD o > G) 171 M T z 00 0 ;u < X m m > w z C) 01 Q� cf) t < M IFDI Industrial Facilities Design, Inc. 85 Main Street, Hopkinton, M4 Q0174S Project: 'JOA?7-1-1 AIJ/„�O V'EF22—Proj.No. t Subject: Date: Ir 4 Prepared Bp Reviewed By: Scale: t OPage: of OP I 00 �- it I � � - � ;- I I I I ---------- ' I � ! I i f I i