HomeMy WebLinkAboutBuilding Permit #466-14 - 93 CRICKET LANE 11/26/2013BUILDING PERMIT
TOWN OF NORTH ANDOVER
f APPLICATION FOR PLAN EXAMINATION
Permit NO: — / Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this
LOCATION .r 1. (J
PROPERTY
loc Print I
MAP NO: PARCEL:WZONING DISTRICT: Historic District yes
Machine Shoa Villaae ves
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
One family
)CAddition
❑ Two or more family
❑ Industrial
Alteration
No. of units:
❑ Commercial
0 Repair, replacement
❑ Assessory Bldg
❑ Others:
❑ Demolition
❑ Other
❑ Septic ❑ Well
❑ Floodplain ❑ Wetlands
E Watershed District
❑ Water/Sewer
Identification Please Type or Print Clearly)
OWNER: Name: Y'(v EA, � fi Phone: A/2 ZcO-e /'2,P'
Address:di: C1 L N
CONTRACTOR Name: Phone: 1 c
ra�� n CC�:t)Zk_
Address:
Lffch LAI osheld A#
Supervisor's Construction License:
Home Improvement License:
cs C�q,3 ' O� Exp. Date.
Exp. Date: i
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 ost• $ ! f - 41Z �5p FEE: $
Check No.: V117 Receipt No.:
NOTE: Pe n contracting with unregistered contractors do not have access io(th6 kuaranb4aild-
Signature of Agent/Owner MO," Signature of contractor
M
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Location—4W
No. WDate
Check #
�lit1
TOWN OF NORTH ANDOVER
Certificate of Occupancy
Building/Frame Permit Fee
Foundation Permit Fee y�
Other Permit Fee $
TOTAL $
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Building Inspector