HomeMy WebLinkAboutBuilding Permit #603-14 - 64 STANTON WAY 2/21/2014 (2) TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
2
t:
G A TT-,y { f ;
"-W Y
g�
1
`0121
'lip
,fg ff g Y,T '�GWN
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
><New Building Xone family
El Addition El Two or more family 11 Industrial
0 Alteration No. of units: 0 Commercial
El Repair, replacement El Assessory Bldg El Others:
11 Demolition El Other
's- N V
-W
y.
ts
N
DESCRIPTION OF WORK TO BE PERFORMED:
"j
Identification Please Type pi-Print Clearly)
OWNER: Name: .4& le-10 6ruzi 0� Phone: 416� e2S
Address: S)�c 1.,?V,7 ItA"//45� lu,41evske-'.4—
h.
T11r."1P_1-wt� I'R,W
RA
!z'
1p 2,W.
vv
W
,i�Adress
,
LD54�
License
-qn
ARCH ITECT/ENGI NEERh&�I�UN Phone: 6Qf- VJ1 -
Address: 5,FG) eev&
S' ea Reg. No. 30
FEE SCHEDULE.BOLDING PERMIT. $12.00 PER$1000.00.OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE:
9.
Check No;: .-Receipt-No..:.-....
NOTE: Persons contracting with unregistered ont ctors do not have access to the guaranty fund
Signature of Aaent/Ownerz�. -ignature of contractor
Plans Submitted Plans Waived El Certified Plot Plan ❑ Stamped Plans El
Plans Submitted ❑ Plans Waived ❑ -C_ertified Plot Plan ❑ Stamped Plans ❑
.-TY-PE OF=SEWERAGEDISPOSAL
Public Sewer ❑ Swimming Pools ❑
Tanning/Massage/Body Art
Well ❑ Tobacco.Sales -❑ Food PackagingLSales El
Private(septic tank, etc..- Permanent Dumpster on Site ❑
THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U.FORM
.DATE REJECTED DATE APPROVED
PLANNING DEVELOPMENT ❑ �? dzzt
le
COMMENTS 7Pl �/�h fr0!/!0�
.CONSERVATION Reviewed on Si nature
COMMENTS M6 ; N�d� L. �` Gd. �' L
HEALTH Reviewed on Signature
COMMENTS
afes'
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes_..
Planning Board Decision: Comments
Conservation Decision: :Comments
2 -20- I�z
Water & Sevier Connection/si nate Drivewa Permit
r
DPW'Tow� Engineer: Signature: � l
Located 384 Osgood Street
FIRE DEPARTMENT - Temp Duktker on site yes no
-- ocated'at 124 Mair Streef_-
Fire Departme►itsignatute/date`
COMMENTS
r 'iNORTH
Z\- . . 1t .�
O 1.
.;0.
ver, Mass, A/A/
11�A_ ACOCMICHIWKI �A.
1d �RArlio
S U
BOARD OF HEALTH
PERMIT T LD
Septic System
Food/Kitchen .�•r— /"�'� //
l�Grj�J1� , �° Ce BUILDING INSPECTOR
��
HIS CERTIFIES THAT ......................................... . ....... a� �
o 1 nd tics
3s permission to erect .............s............ buildings onY...........................
gh
ek
be occupied as .................. :.U. .!::... lf.. ° (./.. .......................................................................... Chimney.
�� /a`�,�' G `f
rovided that the person accepting this permits hall in ery respect conform to the terms of the application Final
n file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and
onstruction of Buildings in the Town of North Andover. PLUM IN IN INSP c
Roughe'� ' ' 'G�" ,.
IOLATION of the Zoning or Building Regulations Voids this Permit. �R � (�/Q
Fi a Ss�'d
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO S RTSR°�g g��
ervice /
BUILDING INSPECTOR ma &f
GAS INSPEC R
Occupancy Permit Required to Occupy Building Roughf
Display in a Conspicuous Place on the Premises - Do Not Remove
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. B er
Street No.
SEE REVERSE SIDE Smoke Det.
ti