HomeMy WebLinkAboutBuilding Permit # 9/15/2015 (3) BUILDING PERMIT 01 V%ORTH
TOWN OF NORTH ANDOVER
0
APPLICATION FOR PLAN EXAMINATION
Permit No#- x9c Date Received ArE
Date Issued: VS CHUS
IMPORTANT: Applicant must complete all items on this page
10CATION'
t
PROPERTY 'A
Pnnt 100",Y64 6�41
yes,
no
MAP IPARCEL ZONING DISTRICT H s 6-
c is ric
yes
Machine,.Sh
op
"' Village 'yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
Aew Building 0 One family
El Addition WT<mo or more family El Industrial
0 Alteration No. of units: El Commercial
El Repair, replacement [I Assessory Bldg 0 Others:
El Demolition 11 Other
El. Septic El Well Ell Floodplain El Wetlands El Watershed District
24ater/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Coo-5htc 4-16 o e,-C- expedwoev4 6i1Jd,'%C' clF,7b,7v�i�- Oc- 0,V1 A-
6,(h 1'/-:5
Identification- Please Type or Print Clearly
OWNER: Name: )oir+1,1 4-odoj� /-k I d(Vto Phone:
Address: PVfS 1 je,</t a 2 a trV14 0 1 �'o I
Contractor Name; I. 1 0 60v�0�, Phone: 0,3 - Lf:3 L, -- 2- 510
Address
Supervisor's Con'st,r6qfio11'-
nicense, 6 E Date:
Home
in 0ro: Ve'm'e' n' t,License: p'. pat6.
ARCHITECT/ENGINEER!)9VJcL Me rP v Phone: 1243— 7(,'l
Address: R 0-, �Ox: 'ifl'7 Lco dun A111 032,57 Reg. No. A) 14 3
FEE SCHEDULE:B ULDING PERMIT. $92,00 PER$1000,00 OF THE TOTAL ESTIMATED COST BASED ON$925,00 PER S,F.
Total Project Cost: $ FEE:
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty and
SignatureIner --/48ig �
nature q
t%0RTy
To' wn of
ndover
® - •;`,. 0
No. Id
h
4 i�-_
h ver, ass, l x___COC MIc"t WICK
x.95 RATE® FP*0
ll BOARD OF HEALTH
PERMIT& T Food/Kitchen
Septic System
VTHIS CERTIFIES THAT ....... �/ c/ma �� BUILDING INSPECTOR
..............................................................................
� �
has permission to erect .......................... buildings on� .E::!:�.t 1.1z............., 1.��'.:fC� ..... Foundation
,•/ f�� � Rough
to be occupied as ......... ........L..�.
............. �f ' ........................................................ 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 IONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTION TS Rough
Service
................. Final........................
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy PuildinRough
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.
ttORT H
Town of
Andover
® ..`: 0
No. - 2--k
LANE h h ver, Mass, o �/
COC NIC NC wtCK �•
Q `
S ll
BOARD OF HEALTH
RPL D Food/Kitchen MIT
E Septic System
THIS CERTIFIES THAT ` / c 4'z C_ BUILDING INSPECTOR
..................................../ ..............................................................................
has permission to erect .......................... buildings on��,��,!:�.��............ .�1�;;�C,� Foundation.-� .,—'„�.. .....
e•%, ��� � Rough
to be occupied asS•' /f
......... ..................................... ..�,c..�Z.�.��........................................................ 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 E I IN 6 MONTHS ELECTRICAL INSPECTOR
LES CTI7STSRough
.............. 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 Approvedby the Building Inspector. Burner
Street No.
Smoke Det.