HomeMy WebLinkAboutBuilding Permit # 10/6/2015 BUILDING PERMIT %AORT#1 6'6
TOWN OF THA 00
APPLICATION FOR PLAN EXAMINATION
Permit No#: Date ReceivedArea
A US
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION -L"0'7 ,41 ,"11.4f
I Print
PROPERTY OWNER j0pe 45)S6:�04) -0
Print 100 Year Structure yes no
MAP 9,5-7 PARCEL: ,90.5-,9 ZONING DISTRICT: Historic District yes(
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Resiqential Non- Residential
11 New Building One family
0 Addition [I Two or more family 11 Industrial
FAIteration No. of units: [I Commercial
[I Repair, replacement [I Assessory Bldg [I Others:
11 Demolition [I Other
1W
1,1110,rldrt"A,Wqg� 100, Distract /I"
0
Im he rs e a I , I
DESCRIPTION OF WORK TO BE PERFORMED:
-p6v,e
Identifir4tion- Please Type or Print Clearly
OWNER: Name: Phone:
Address: &5LAG
Contractor Name: er P Phone: 9-.0,P
Email:
Address:
Supervisor's Construction License: 07!5,302— Exp. Date:. / /��
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT:$92.00 PER$9000,00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
To I Protect
Cost:
Check No.: C)� Receipt No.:
1W t
NOTE: Persons contracting th Un reO*ered contractors doAwt have 5qess the gu tyfund
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Town of It E Andover
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841
No. I' f - _
CO LAKE h h Ver' ass, V
COCKICKEWICK
®S R�1TE0 P'PR,`'�5
LI BOARD OF HEALTH
Food/Kitchen
rERMIT 'T Loor Septic System
THIS CERTIFIES THATJ ............... BUILDING INSPECTOR
has permission to erect ..... buildin son l�. .� ..V���.. .. Foundation
Rough
M �� c P
to be occupied as .................. ....................... ........... ...l........ ............................................................. 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 EXPIRESI 6 MONTHS ELECTRICAL INSPECTOR
LESS CONSTRUCTIO S ARTS Rough
Service
.............. �,.... .lf ...........................................
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Reguired 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.
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
License: CS-075302
BENJAMIN c Osp-bop
69 Old Village I,adfe
North Andover Al 01845 , `"'
Il Expiration
Commissioner 12104/2016