HomeMy WebLinkAboutMiscellaneous - 22 HARWOOD STREET 4/30/2018rl)
Location2z—�
No.[ 0- Z011
Check #
Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $-
Building/Frame Permit Fee s
Foundation Permit Fee
Other Permit Fee
TOTAL
Building Inspector
411,4J,4 -�Lp
Permit NO: D6 — 2 -
Date Issued: 0 W I 1
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Received A '
IMPORTANT: Applicant must complete all items on this pane
LOCATION 22 Nar viocA Skre& .
Print
PROPERTY OWNER L-aWref -,�aV 0,1 o, .
N., Print
MAP NO.: I I j PARCEL: N., ZONING DISTRICT:
TYPE AND USE OF BUILDING - HISTORIC DISTRICT YES n
TYPE OF IMPROVEMENT
PROPOSED USE
Residential
Non- Residential
❑ New Building
❑ Addition
0 Alteration
❑ One family
0 Two or more family
No. of units:
❑ Industrial
Repair, replacement
❑ Demolition
❑ Assessory Bldg
❑ Commercial
❑ Moving relocation
❑ Other
❑ Others:
❑ Foundation only
DESCRIPTION OF WORK TO BE PREFORMED
remove ex:s�. >, deck�n,I -+ 1, crr A -S PA -DW -A s tole 0
then cerlace new ',As-),% cam; Bleck
rWC over s;k eA�- kAS e01*- 0 ,rt dooan 0A SAM'I- 5 .
/ ' Identification Please Type or Print Clearly)
OWNER: Name: v (?_4q
49
CONTRACTOR Name:
r
s a� rear deck
rou_1= `i�1Si'�ll Clew
�79GSi-72�b
Ilk 6, e�
S erg � c e s /aapll� ��Phoone: W1 -Igo 2031
Address: ? . O • J A 2 g23 A AW' !, (Y\fQ 019'98 -
Supervisor's
9'9FSSupervisor's Construction License: CS - 07399 ( Exp. Date: -7/1
g
Home Improvement License:16-#- 129M Exp. Date: 11910
ARCHITECT/ENGINEER N Name: Phone:
Address: t�' C�l Reg. No
FEE SCHEDULE. B ULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COS BASED ON $125.00 PER S.F.
Total Project Cost :$ 11—T'Ro I x12.00=FEE:$ 163,00
Check No.: Receipt No.:
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