HomeMy WebLinkAboutBuilding Permit # 3/30/2015 BUILDING PERMIT o ,,o DTN
TOWN OF NORTH ANDOVER o�
APPLICATION FOR PLAN EXAMINATION
Permit No#: Date Received �R°�R` "
Date Issued. �d
�SSAC HUS��
IMPORTANT: Applicant must complete all items on this page
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LOCATION77
PRQPERTY OWNER X25/ Wt rc `Print 1,00 Year"Structure n.
MAP- PARCEL. ZONING:DISTRICT-� : Historic Districtyes
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
elqew Building Cine family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
p Septic ❑Well p Floodplain ❑Wetlands ❑ Watershed District
0 water/se'w'wer
/ DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly
OWNER: Name: J/fe.�/ m e , �. Phone: 9;',F- 8.-4 -3/6:�;
Address: /O
Contractor Name:'. G-0404 Phone: 5'Oi�?
`Address: °�`7 d; "t!r46+ t4. l�9e �e '��.
'Supervisor s Construction License.G 07-�.30�— Exp Date: : CQ
Hornelrnprouement License: Exp: Date
ARCHITECT/ENGINEER off# eewee 6.,&1>ePu Phone:
Address: ay'ecr �.r.,�� IN1 f9- - Reg. No.
FEE SCHEDULE:BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ /® &iQ FEE: $_
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Own ignature of'contractor
F t%ORTH
Town ® 2 t E �. ndover
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No. 105
h �� ver, Mass,
COC NIG HCWKN �
A°RATED ►`Pa�A.
S U BOARD OF HEALTH
PERMIT T Food/Kitchen
Septic System
THIS CERTIFIES THAT ......K%.
r • BUILDING INSPECTOR
�' Foundation
has permission to erect .......................... buildings on . ..... •• •• �•w�l.� -....` ...."
- � Rough
to be occupied as ... Q. .....�j ..� ..... .... J�1��.A................................ Chimney
provided that the person accepting this permit shall in every 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
�v • PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTRough
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
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.