HomeMy WebLinkAboutBuilding Permit # 8/31/2015 BUt&ORTH
ILDING PERMIT 16
TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
Pormit NoJ r Date Received
C US
D;5te Issued:
F- IMPORTANT:Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER
Print 100 Year Structure yes
, gog
MAP es PARCEL: ZONING DISTRICT: Historic District y
Machine Shop Village yes no I)
TYPE- OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
El New Building g One family
Ei Addition El Two or more family El Industrial
Id Alteration No. of units: 11 Commercial
El Repair, replacement El Assessory Bldg El Others:
El Demolition El Other
1, Iff]W,"Ibieralne'd 015tric"t'n"'g, ggi,
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N."," r, g, , , 011,
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Mill,
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DESCRIPTION OF WORK TO BE PERFORMED:
?V6(?MAA
rz"eLA eAeaci `r,
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Identification- Please Type or Print dearly PhoneQ
OWNER: Name: k Lc-
Address: IxL
-T�zyt,
Corltractor Name: 06" A &a.'A 1�p Phone:C?V-FfZ
Email:
Address:
Supervisor's Construction License: Exp. Date:
Hogmne 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.
TqtaI Project Cost: $ FEE: $ 1 0.QL)
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered retractors do not have access to the guar"�tvy nd
nm717/71-77--, T
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FORTH
-Town of nalover
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C, LAKE h Ver, ass,
COCMIC"t WICK y1.
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BOARD OF HEALTH
Food/Kitchen
R..M I
P �h T �T� LD Septic System
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THIS CERTIFIES THAT .......... .....J\ . BUILDING INSPECTOR
has permission to erect .......................... building �..�. �G.. ....................................... Foundation
..... ..........
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to be occupied as '/ < .� ..S���.. ��. ��i(,, ��(!� "I. ................................. 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
PERMIT EXPIRES IO/IT S ELECTRICAL INSPECTOR
LESS CONSTRUCT TARTS Rough
Service
....... .......... .. . .. .......................................... Final
UILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy BuRough
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.
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:is-Submitt ]ed -Plans-Waived-[] Certified Plot Plan ❑ Stamped Plans F1
RE OF�SEWERAGEDISPOSAL `- - -
Public Sewer 0. Tannings 4assageBody Art ❑ .- Swimming Pools ❑
Well ❑ Tobacco.Sales ❑
- ToodPackagingLSales ❑ - -
Private(septic lank,etc._ ❑___ pzmanent-Diunpster on=Site ❑
:THE.FOLLOWING SECTIONS FOR OF=FICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- D FORM
--DATE REJECTED_ DAT E.APA,_-„ 'ED _
PLANNING'Got-DEVELOPMENT- ❑ ::0
COMMENTS
CONSERVATION Reviewed on � I, - ;` % Signature`_-
COMMENTS 6i LP,4/ WI-1
( ,_ r ! :1- 1 'i -.--._.' }f�- �l•! !.'L"� ../,•� �,1��1 f,l("/%%.� � �J�,(/Mfr ���.rc/ � ��` ` '
HEALTH f Reviewed on_ Signature
f
COMMENTS
1 !t Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: -Co mmen
Water ; Swover Connection/-Si ngtYne atE �G SII
Driveway Permit :=
f
DP-VV 1Tow�2, lEn neer: Signature: if�C ._.-; !a r`% b
f
Located 38A osgood`Street
-IRE ;DEPAR i MFy 9 i =Temp Dumpster on site yes . no
Located-bt 124 Mair;Street �If
dire Depaftment signatu a/date t%.�-.'` � �- i�Z f,2,4 c�
COMMENTS
10�!�-CIERTJFPCATE OF UABIUTY INSURANCE
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Thomas D Zahoruiko
78 Great Pond Road
North Andover MA- 01845
s 04/05/2016