HomeMy WebLinkAboutBuilding Permit # 5/11/2015 00RT11
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BUILDING PERMIT TIED
TOWN OF NORTH ANDOVER #0
APPLICATION FOR PLAN EXAMINATION
Permit No#: Date Received C-1
YEO
CH
Date Issued: ?
IMPORTANT:Applicant must complete all items on this page
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LOCATION 9b,
7int
PROPERTYOWNER -'V--00(-4(bq
Print 100 Year Structure yes no
MAP PARCEL: 11-3'1 ZONINGIDISTRICT: Historic District yes no
Machine Shop Village yes n o
TYPE OF IMPROVEMENT PROPOSED USE
Residpntial Non- Residential
New Building HIO'ne family
11 Addition 11 Two or more family 11 Industrial
[I Nteration No. of units: [I Commercial
eRepair, replacement D Assessory Bldg 11 Others:
[I Demolition 0 Other
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly
OWN ER: Name: 4- (�O t.L CLV�� d 1 &:5� Phone:
Address: L 0 cTf,
-;7 -0 5-2-5
N 'f
Contractor Name: �,,g,OA164�q 4-12dl-�60 1341�(-Jeit reone: (7'?e -4 Y
Email: e,-11V Z-apt-f Z0,1- e:(-
Address: "5 4
Supervisor's Construction License: —Exp. Date: 3/4 zo
Home Improvement License: io bj Exp. Date: 11 1 Z'JZo
ARCH ITECT/ENGI NEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OFTHE TOTALESTIMATED COSTBASED 0N$125.00PERSA
Total Project Cost: $ IrO60 FEE: $ Zk)
Check No.: Receipt No.: ay 2
NOTE: Persons contracting with unregistered contractors do not have access the g ar und
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Town of ndover
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BOARD OF HEALTH
Food/Kitchen
PERP# IT �T� L mummk Septic System
THIS CERTIFIES THAT .� ' �/ BUILDING INSPECT®R
fes" / Foundation
has permission to erect.......................... buildings on .r::�;�............�'"A�......'...rr�.'.�:. .........................
Rough
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to be occupied as .........................................G:r.. ...............`'"' 7G....... 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
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
Service
:— ................................
............L .... .
BUILDING INSPECTOR Final
p GAS INSPECTOR
Occupancy Permit equine to Occupy a ld nRough
Display ao sicuos Place on the Premises - Do Not Remove Final
No Lathing
at ' or Dry Wall To Be Done I FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.
��e�pa��amca�ztae,�rll�a���a�a�cc�riaeC�
Office`of Consumer Affairs&Buiihcss Regul ion
OME IMPROVEMENT CONTRACTOR
egistration: 191089 Type:
Ug,'E'piration: 11/25/2016 Partnership
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QUINLAN&RAND BUILDERS
TIMOTHY QUINLAN
34 TRINITY CT g
N ANDOVER MA 01845 Undersecretary
Massachusetts -Departrnefit of Public Safety
Board of BuildinB-kVg�Alaticrin and Standards
Construction Supervisor
License: CS-655288
TIMOTHY R Q
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1 ST.ONGE TERRAC
Haverhill MA
Our
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Lxpirwaticr
Commissioner 03/05/201(