HomeMy WebLinkAboutMiscellaneous - 16 BERRY STREET 8/5/2015 1
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TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
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Permit No#: , . Date Received ADhNTED "v��
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Date Issued: I
IMPORTANT: Applicant must complete all items on this page
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PROPERTY OWNER l ) °`—.,-,,
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Print 100 Year Structure yes no
MAP PARCEL: ZONING DISTRICT: Historic District ye no
Machine Shop Village ye no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑ Alteration No. of units: ❑ Commercial
❑ Repair, replacement V Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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DESCRIPTION OF WORK TO BE PERFORMED:
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Identification- Please Type
or PrintClearly
OWNER: Name: �� �� ��� m�� ., Phone: � .
Address:
Contractor Name:,4//74, - hone:
Email: ' , �
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Address: � ;��� � ��� K
Supervisor's Construction License: Exp. Date:
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. h gp
Total Project Cost. $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to e guar ty fund
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BOARD OF HEALTH
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® e BUILDING INSPECTOR
THIS CERTIFIES THAT ................................... .......................... ............................................................
has permission to erect .......................... buildings on Foundation..................
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to be occupied as ... .. .. ...................................... Chimney
provided that the person acceptin this permits all in eve respect conform to the terms of thea application� pp 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. `�I1• Rough
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PERMIT EI V MONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTION START Rough
� Service
................................................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy Building Rough
Islay 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.
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