HomeMy WebLinkAboutBuilding Permit # 9/15/2015 (5) BUILDING PERMIT 01 t%OF?Th
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TOWN OF NORTH ANDOVER 0
APPLICATION FOR PLAN EXAMINATION
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Permit No#: 11 —1—
Date Received areoef1v C5
�SSACHUSE�
Date Issued:
IMPORTANT:Applicant must complete all items on this page
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PARCEL tarie Dist�Ict yes, no
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
Aew Building [] One family
[I Addition I]Two or more family 11 Industrial
[I Alteration No. of units: 11 Commercial
[I Repair, replacement [PlAssessory Bldg 0,1 L,4 bhw5eloP
Ap- 11 Others:
11 Demolition El Other
Ell Septic. El Well,:, [I Flo6dbla' in 0:Wetlands El Watershed District
ater/sew er
DESCRIPTION OF WORK TO BE PERFORMED:
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Identification- Plea TPe or Print Clearly'
OWNER: Name:
(Kas I-) Phone:
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Address:J_5-0 2H 5A-eo 40-L1 • bu ((A �=M;q- e i V() i
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C b ht r c t o Name:' Phone: 6-,,
44'
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Supervisor's
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DatHome mprpVp'mpnt, Jcelse
ARCH ITECT/ENG IN EER4-,
lk kil Phone: b C3 - -/6
Address: (- Pboy '5?11 A),A42 t-,()AcJc1y1 Reg. No, '37,9
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $—
Check No.: �H � � 11 - Receipt No.: 1711 "77 1�51
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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g.natu-r'e,o,_ . gi Signature of contractor
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' town ot nuover
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BOARD OF HEALTH
Food/Kitchen
PERMIT T D Septic System
/�/1 / �/w�Q�E '/ O .mss �_ BUILDING INSPECTOR
THIS CERTIFIES THAT ............. .........?................................Tte
.............:............................................
Foundation
has permission to erect buildings on �� �� S
.......................... ........................ ........ ...........................................
Rough
to be occupied as ...... .�1. ��..r �1�. .............. j
................... 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
EXPIRESPERMIT IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS C S 'ARTS 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.
ttORTH
I own of ndover
.
�o LAKE h Very `a.SSy A/
COCKICKEWICK
V
A°RareotRM I
� U
BOARD OF HEALTH
Food/Kitchen
Septic System
THIS CERTIFIES THAT .......
fi`�' BUILDING INSPECTOR
...... .... ......... ..........................................................
Foundation
has permission to erect buildings on � ' S
..... . .................. ......................�....... ........................................... Rough
�y
to be occupied as ...... .!✓.,.1.��..�A.l�. .............. Cl..........`5...j�........................................ 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 MONTHSELECTRICAL INSPECTOR
UNLESSRTS Rough
Service
...... .... . . ...-.. 1...............................
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.