HomeMy WebLinkAboutBuilding Permit # 9/15/2015 (2) 1--
BUILDING PERMIT 0ORTi4
TOWN OF NORTHANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No ' Date Received
.a✓ CRATED
Date Issued:
° �SsaC US]
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PORTANT:Applicant must complete all items on this page
LOC
ATION E °
PROPERTYi LJ
OWNER " tri
Pnnt � ,1OD Year Strl.tcfure " yes; no, �
MAP _PARCEL ZONIfVG DISTRICT Hrstonc District yes no
' Machire Shop'1/ill
age" yep no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
x ew Building ❑ One family
❑Addition o or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
C?Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
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Identification- Please Type or Print Clearly
OWNER: Name: gar-fit Alllc oiaf 1 cf ,(vt
Address: c1eg/t W c —_
Contractor Name:f r a 5 = Phone• , 03 - c-¢',�1..'e
Address: cl` U�"� k4yy 14 — C
Supervisor's Cgostrucfi on License:
7 Exp. Dater /4,
Home Imp"rovement License:` Exp. Date
ARCHITECT/ENGINEER ,V L M. Jj t" arc t 48e Phone: 7t,,
Address:_Va 0, goyc <o'17 kw Lc/Ad uvi , At J 037,57 Reg. No. 14 2�
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: I Receipt No.:
,
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of^Agen- Wner Si nature of contractor --
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ndover
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BOARD OF HEALTH
P� ERMIT T LD Food/Kitchen
Septic System
�6. G dols• D/�® i.s" ,�/�C' BUILDING INSPECTOR
THIS CERTIFIES THAT ............... . .!!�... J ...................... . ................................... .....................
�,
has permission to erect .......................... buildings on ...... �.... ...... Foundation
s
Rough
.to be as occupied p� ........4�.7................................. .......................................................... 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
IT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTIO !STARTS Rough
Service
........... ..... . ................................. Final
BUILDING INSPECTOR
GAS INSPECTOR
ccupancr 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.