HomeMy WebLinkAboutBuilding Permit # 6/4/2015 %AORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
0
C, C-1111-
Permit No#: iA - Date Received
C 05
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION
c
PROPERTY OWNER
Print 100 Year Structure yes (II
MAP PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village yes n-d
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
0 Nfpw Building [] One family
El Addition El Two or more family 0 Industrial
El Alteration No. of units: El Commercial
El Repair, replacement El As ssory Bldg El Others:
El Demolition R As
gm
R �01 0 shed! is
INS
a/N11,11/10
DESCRIPTION OF WORK TO BE PERFORMED:
ef �Ij
Q Identification-\,Oease Type or Print Clearly
OWNER: Name: C'e" Phone:
Address:
ax-
Contractor Name: Phone: k
Email: 63—
Address: 113
Supervisor's Construction License: Exp. Date:
Home Improvement License: E.-p. Date:
ARCHITECT/ENGINEER f�e- 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 Cost: $ 0, FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have ac ta lnegruMn n
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PERMIT T
�. BUILDING INSPECTOR
THIS CERTIFIES THAT ............ .�4 !`........ ••��• •!�I ..............................................
.: .• •••• ••• ••••.• .• Foundation
has permission to erect .......................... buildings on ... ......... �.•.•.••. •••••• ••
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to be occupied as .....&D&Aoo...... ..... . ..... �.... ........w�--"•--�.................. Chimney
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provided that the person accepting this permit shall in every spect conform to the terms oft the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and
PLUMBING INSPECTOR
Construction of Buildings in the Town of North Andover.
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit. Final
PERMIT EXPIRES I MON ELECTRICAL INSPECTOR
��� LESS CO S Rough
Service
................ ........................................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Ruildin Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry all To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
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