HomeMy WebLinkAboutBuilding Permit # 6/9/2015 (4) 1
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BUILDINGPERMIT gt�EO ;b 1'
TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION
Permit No#: Date Received ppaAYffu
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Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION ' S
Print
PROPERTY OWNER µ I, 6:0/6-0
Print 100 Year Structure yes no
MAP PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
El Addition El Two or more family 11 Industrial
Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demoliti
on11Other
� r
rr DESCRIPTION OF WORK TO BE PERFORMED:
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Identification- Please Type or Print Clearly
OWNER: Name: � / " r 1, Phone:
Address: a W � �� eA' ' M
Contractor Name: [k a '�- ""I °'/ i Phone; ,517 — ,
Email
Address: Z "°"" Looe
Supervisor's Construction License:-C. ° /I Exp. Date:. 01 ° /
Home improvement License: Exp. Date:
ARCHITECT/ENGINEER 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: $ r FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access tot g anty fund,
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Food/Kitchen
PERMIT T Lu Septic System
THIS CERTIFIES THAT ......:�C�� ',C;'-7yr�; . ..a&Se....................................................................... BUILDING INSPECTOR
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has permission to erect .......................... buildings on .--.�11�................../. !.. 1.�:.. .........................
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to be occupied as �1..®�� ! 6_�°:..........� , ' ► '' . ................... cnmney
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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
PERMITI IN ONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTION STARTS Rough
Service
............. ................
Final
BUILDING INSPECTOR
GAS INSPECTOR
ccupancy Permit Required t® Oecupj7 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.