HomeMy WebLinkAboutBuilding Permit # 8/13/2015 %AORTH
BUILDING PERITao`ttLpD
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION c h
PermitNO: a Date Received
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Date Issued: r
IMPORTANT: Applicant must complete all items on this page
LOCATION 102 Meadowood Rd
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PROPERTY OWNER Philip;Theruvakattil
57 Prirt
MAP NO: PARCEL: IN
ZONG DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building 91 One family
❑ Addition ❑ Two or more family ❑ Industrial
❑ Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑Septic ❑Well 11 Floodplain ❑Wetlands ❑ Watershed District
❑ Water/Sewer;
Installation of 14 roof-mounted solar PV panels
Identification Please Type or Print Clearly)
OWNER: Name:
PhilipTheruvakattil Phone: 978-884-8773
Address: 102 Meadowood Rd, North Andover, MA 01845
CONTRACTOR' Name: SolarFlair Energy;Inc. Phone: ; 508-293-4293
Address: 190 Pleasant St',Ashland, MA 01721
Supervisor's Construction License: 106731 Exp, Date: 8/9/16
Home Improvement License: 175579 Exp. Date= 5/21Pi�-
ARCH ITECT/ENGINEER_ Phone:
Address: 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: $ 22,761 FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor .