HomeMy WebLinkAboutBuilding Permit # 9/15/2015 (6) NORrr�
BUILDING PERMIT °F�tL�o ,g�ti
TOWN OF NORTH AV
APPLICATION FOR PLAN EXAMINATION o 2
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Permit No# ���^^�J ������'��� �-�°�°.�
Date Received
CNus�
Date Issued
IMPORTANT:Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
ew Building ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement Assessory Bldg w ❑ Others:
❑ Demolition ❑ Other
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DESCRIPTION OF WORK TO BE PERFORMED:
Identification- Plegs a�ype or Print Clearly
OWNER: Name: -1 Phone: 'Li - t
Address: I ? 1, 3 i.� ,A'k a- I WO Urn
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ARCH ITECT/ENGINEER'D VtJ AA - WkIk Phone:L20 -,7G = ` I 5--
Address: 9 0 , % �' � "� A) ekm 1,82A Reg. No. A? , �
FEE SCHEDULE:BULDING PERMIT;$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: H41 T Receipt No.:7 )( �-
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature o,Agent/Q,1Nner `; A� Signature of contractor,
AM VkO F2 TH
{ E .,M'
ndover
No. 0�&-W--. .,Ie' / '�
® -
* 'i
ver, Mass,
COC MI04Iw1cK y1'
�®AERATED
S V
BOARD OF HEALTH
PE R =MmIT I LLO Food/Kitchen
Septic System
THIS CERTIFIES THAT ...... �.�9. :1..c j. lZp.( .D./�........................ .............................................. BUILDING INSPECTOR
���^ �`� Foundation
has permission to erect .......................... buildings on .......... .......�..... ................................................
Rough
to be occupied as .................� . 4S_o � � ..................... chimney
provided that the person accepting fhis permit shall in ey,,ery 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 IN ONTHS ELECTRICAL INSPECTOR
UNLESSCTI STARTS Rough
Service
................ ...... ... .. ............................................................................. Final
BUILDING INSPECTOR
y 1 GAS INSPECTOR
cc�l�7ancy Permit Required
to Occupy Buil in 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.
AM FORTH
0'W11 liduvell
io
® ® ,_F _
h ver, Mass,
COC LAK wicK
S U D
BOARD OF HEALTH
Food/Kitchen
Septic System
PE I
i
THIS CERTIFIES THAT .......11.....��. :C..l.�..1 1,W6............` s.............................................. BUILDING INSPECTOR
�`1 Foundation
has permission to erect .......................... buildings on .......... .......�..... ................................................
�` Rough
tobe occupied as ............ .e� ..........5., .:.��..: ............................................. Chimney
provided that the person accepting his 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 NTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS Rough
.................... Service
............... ...... ................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® 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.