HomeMy WebLinkAboutBuilding Permit # 8/26/2015 t%ORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Date Received- OAT ED F-?
Permit N®#.
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION, 15�
ETYOWNER Print
PROPR
Print 100 Year Structure yes no
MAP PARCEL:bbOZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE Residential
Residential Non
El New Building .One family D Industrial
0 Addition [I Two or more family D Commercial
D Alteration No. of units: D Others:
El Repair, replacement [I Assessory Bldg
0 Demolition D Other
'A
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly Ph '2 21 C/I t>
OWNER: Name: t�L-0-0 i-C, ICT F M-0 L'L one:
Address:
ContractorAddress: .
Contractor Name: Phone: Z Z.
0ntrac
tor N
L)
a
m
e
"TID 'r V'J C" e t�c L- C
Email: L
S up rvisor s Co
Supervisor's Construction License: Exp, Date:
S struc
om Improv m
Home Improvement License: Exp. Date:
ARCH ITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDINGPERMIT.-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: FEE:
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to thJgoq11 rarity fund
...........
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BOARD OF HEALTH
Food/Kitchen
Pc; R U Septic System
THIS CERTIFIES THAT ..co. ,�„ ,,........ BUILDING INSPECTOR
............ ........... ................ ................ .. ................
. Foundation
has permission to erect .......................... buildings on ..................e.....,........ ............ ........... ........
Rough
tobe occupied as ............ ..... .. ....................... ............... ....................................................... Chimney
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 6 MONT S ELECTRICAL INSPECTOR
LESS CONSTRUC I T S Rough
Service
.......... ..... ... .............. ...... ....................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy 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.