HomeMy WebLinkAboutBuilding Permit # 8/17/2015 NORTH
BUILDING PERMIT o&,"ED ,�gtio
TOWN OF NORTH ANDOVERo�
APPLICATION FOR PLAN EXAMINATION
Permit iVo#: " Date ReceivedR4TEO R5
gSSACHUS��
Date Issued: 1 i
IMPORTANT: Applicant must complete all items on this page
LOCATIONIf( ���✓ f ill &C
Print
PROPERTY OWNER �LjbIC� 05AZ
Print 100 Year Structure yes OnoMAP b N PARCEL ZONING DISTRICT: Historic District yesMachine Shop Village yes
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 ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
jr�h,Se ttc 01Nell s � ❑ Flood lain ❑Wetlands f f ❑,�Watershe'd Drstr�ct
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Please Type or Print Clearly
OWNER: Name:�T—obins r�v�,s Phone: -Cr-�SV
Address: L lVZ
Contractor Name: fZY5ul Phone:
Email: L-( /1)`I c' hru. d�-n
Address: cle� 01976,
Supervisor's Construction License: L 9g'-/ Exp. Date:
Home Improvement License: r10 L)'L/0 Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ A a,)J FEE: $ �
Check No.: Receipt No.: % Zl
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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BOARD OF HEALTH
IJERMIT TFood/Kitchen
_ Septic System
THIS CERTIFIES THAT . �. `� BUILDING INSPECTOR
.... ........... ........ ...... .......................... ..........................................
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has permission to erect buildings on ........� sk.%k6., �� Foundation
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to be occupied as ......(PI—Aromo..... ..... .*.®.............. ..... ...�...... .. 4. ....... Chimney
provided that the person accepting this perm t 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. MiEykI PLUMBING INSPECTOR
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VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
PERMIT EXPIRES IN 6 T S ELECTRICAL INSPECTOR
UNLESSS S Rough
,_... Service
........... ..... ... ........................................................ Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy Bulldln Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
o Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
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