HomeMy WebLinkAboutBuilding Permit #480-14 - 68 GLENNCREST DRIVE 12/5/2013& - i
Date Issued: 1 LII -J
IMPORTANT: Applicant must complete all
items on this a e
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LOCATION �` l�il%C Ali) knell /1//
PROPERTY OWNER /" Print/
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Print
MAP NO:/%,7. PARCEL:10,46 ZONING DISTRICT: Historic District yesn:
Machine Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
V St,.cv ;61 -rd
3� g°. '_ ..• °'
Permit NO:
Non- Residential
I New Building
Ifddition
I`: Alteration
Date Received�9go�^<.
eP
Date Issued: 1 LII -J
IMPORTANT: Applicant must complete all
items on this a e
�
LOCATION �` l�il%C Ali) knell /1//
PROPERTY OWNER /" Print/
��
Print
MAP NO:/%,7. PARCEL:10,46 ZONING DISTRICT: Historic District yesn:
Machine Shop Village yes
TYPE OF IMPROVEMENT
PROPOSED USE
Resi ential
Non- Residential
I New Building
Ifddition
I`: Alteration
it/One family
I . Two or more family
No. of units:
I Industrial
I !.Commercial
I' Repair, replacement
I I Demolition
I.j Assessory Bldg
I i Other
I i Others:
1. Septic I _ Well
L:: Water/Sewer
I Floodplain ['Wetlands
i i Watershed District
Identification Please Type or Print Clearly)
OWNER: Name:<G�i�-� /l/!/� liI Phone: 7
Address: 00CG—&`
CONTRACTOR Name: _ _- Pho D 1%
Address: c�
Supervisor's Construction License: � � � q Exp. Date:—
Home Improvement License:� ,�--;� Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE: BOLDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTI TED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ 7&- DC7 FEE: $ 4 rifl
Check No.: rL11 4 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have
Signature of Agent/Owner Signature of contra