HomeMy WebLinkAboutBuilding Permit Application - Building Permit - 161 CAMPBELL ROAD 5/17/2022 t;52 Pim
'Building Flermit Applicant Location
WiMain McCarfhy 161 CAM 1 BELL ROAD
66312
978-289-U394 NORTH ANDO E , MA 01845
a wmecarthy r1orthandoverma-gov
Application Submission
Are you submitting this application as the Homeowner? Applicant Phone Number
YES 978-289-8394
Appilcant Mailing Address Wi11 you(the HoMneowner) servi rig as General Cnnfractor ba
161 O rr:p sa11 Road doing all work you rsolf or will you be hlring contractors to
conduct ali work on property?
Hiring contractors to conduct all work
I do hereby certify under the pafns and panal ios of perjury that
#ha information provided above is true and Correct.
true
Project Information
Type of Project Type of Irripfavernant
Construction of Addltior7, Aflur-atfon. and Remodeling Addlitfon
Prapos4d Resfdontiai Use Description of Work to be Performed
Otto-Two Family Family Suite 2 story g4dltion 1150 2�quaro foot
Is property on Town water Is property on Town sewar
No No
Project Cast(if now constructlon base on 125 per square foot boos this project require a temporary construction durnpcter?
and if addifionlaiterationlrenovatton base on actual contract Na
price)
14 750 Does this prajeci require a temporary construction trailer?
N
Dods this project require a temporary construction sign? Danger Zone i_fterature(MfiL CHapter 166 Suction 21A-F and G
O ruin. $100 1,000 fine)
O
Homeowner License Exemption
Homeowner Name Present Mailing Address
W21IL--im McCarthy 161 Campbell Road
Phone h1umbi1 f I certify, as homeowner, under the pains.and penalties of
978_289 b394 perjury,that the Information on this appifca#ion is Irue and
complete.
true