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HomeMy WebLinkAboutBuilding Permit #897-13 - 89 WINDSOR LANE 5/1/2018 (2) NORT#1 boe ` BUILDING PERMIT --- o TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMIN TI Permit NO: Date Received 'ls °j+ATE° �SSACNt1`'�t Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION Print PROPERTY OWNER �v� �/ i Print �© PARCELW ZONING DISTRICT: Historic District yesOno MAP NO: Machine Shop Village yes R[03 E OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building ❑One family ❑ Industrial Addition ❑Two or more family ❑Commercial Y<Iteration No. of units: Assesso Bldg [I Others: Xeir; replacement ❑ rY golition ❑ Other c ❑Well El Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer Identification Please Type or Print Clearly) OWNER: Name: Phone �'7�"- 3 fld- 017 3 �7��1� l/LES Address: CONTRACTOR Name: y1 Location Date Address: � 7 -/,7 / 5 5 D No. Supervisor's Construction Licen! LHomemprovement License: TOWN OF NORTH ANDOVER Certificate of occupancy $--- ' -•--, �� P ARCH ITECT/ENGINEER_) `'� -r' Building/Frame Permit Fee Address: $-- i ,,. Foundation Permit Fee SCHEDULE.BULDING PERMIT1 r Permit Fee $ FEE SC :.� e �a .. R�= �- Oth Total Project Cost: $ ZO , �! .ilr,ta 4"�° TOTAL Check No.: a22 80 ontra NOTE: Persons ccting with', Signature_ of Agent/Owner °, check# itBuilding Inspector 26548 A J I Plans Submitted D Plans Waived ❑ Certified Plot Plan El Stamped Plans El 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on Signature COMMENTS lu Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes . Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date Driveway Permit DPW't owi. ]Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Mair`Street Fire Depa'rt.meit.signature/date COMMENTS nol I bm 1ti-� ik5 hcm.��o n ou> AM NORTH ver' irown of NAI ..d . No. ver, Mass, COCHICNlwKa A°R�reo S U BOARD OF.HEALTH PERMIT T .. LD Food/Kitchen . Septic System ���,�� al 1,���` BUILDING INSPECTOR THISCERTIFIES THAT ............................................................................................................................. aFoundation tom/ L' has permission to erect.......................... buildings on . ..... �(: ................................ ........................... ' Rough �� Ro g k..f..YAW1..gC41 ?r .f .... F .�C s ...°�®� . .. � Chimney to be occupied as ............ ....... ••• provided that the person accepting this permit shall in eve respect conform to the terms of the application Final on file in this office, and to the provisions of the Codes and By-Laws relating to the,Inspection,Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR Rough VIOLATION of the Zoning or Building Regulations Voids this Permit. Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO STARTS Rough Service .......... .... . ::.............................................. Final BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT t Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE