HomeMy WebLinkAboutBuilding Permit # 8/21/2015 OORTH
BUILDING PERMIT
TOWN OF NORTH ANDOVER 0 Z.
APPLICATION FOR PLAN EXAMINATION41
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Permit No#: " . Date Received a, °oR;CHUS
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Date Issued: Lit /z
IMPORTANT: Applicant must complete all items on this page
LOCATION 4° 3- -7 _ et- , ,I-
Pri
PROPERTY OWNER 71 : .+
Print 100 Year Structure yes m
MAP PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village yes ,
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
❑ Repair, replacement
❑ Demolition . �� ,. x i, � °
❑ Septic ❑Well
Location I � ,--
El Water/Sewer - ..,
No. ����� ,�� �,.. � ��� Date (';... �
DESCRI m
TOWN OF NORTH ANDOVER
Identificai
® Certificate of Occupancy $�
OWNER: Name: Building/Frame Permit Fee $
Foundation Permit Fee $
Address:
Other Permit Fee $
w PA TOTAL $
Contractor Name. j
Email:
Address: 1 ..
Check#
Supervisor's Construction L-icens
Building Inspector
Home Improvement License:
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.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:,,
NOTE: Persons with unregistered contractors do not hayiac ass to th uaha a. fain
non
SI ature of A ent/Owner Si nature of ctc " "
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FORTH
Town of 2 .7',
ndover
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O LAKE ver, ass,
COCNICMCWIC. �•
BOARD OF HEALTH
Pc: Rml I I L
Food/Kitchen
Septic System
4110
THIS CERTIFIES THAT ............ . .... ............... .. ............... 1!1 D, �„ BUILDING INSPECTOR
..... . ...........................
has permission to erect &.5 Foundation
.......................... buildings on .... .®.� ......... ,. .. . .. .... .......
ugh
to be occupied as . .......... .. .43 ..... ��r,l`...... ,�. ...,,.. ... .,/.... 1 c im#ey
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 l ELECTRICAL INSPECTOR
LES I . S Rough ip
Service
................. Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Qccu,2y Building Rough
Islay in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be one FIRE DEPARTMENT
Until Inspected and Approvedy the Building Inspector. Burner
Street No.
Smoke Det.