HomeMy WebLinkAboutBuilding Permit # 10/8/2015 %AOR ry
BUILDING PERMIT o�_,,F° ;6,'�'o
TOWN OF NORTH ANDOVER o
APPLICATION FOR PLAN EXAMINATION ,
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qx) Date Received °RZED
Permit No#: �Ssac�aus`�R
Date Issued: � J
IMPORTAN'T:Applicant must complete all items on this page
LOCATION `
Print �,�°°w
PROPERTY OWNER 1
MAP =PARCEL.
` ? ZONING DISTRICT: Historic!Non-
yes
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MachinVillage yes no
TYPE OF IMPROVEMENT PROPOSED USE esidential
Residential
New Building ne,family
❑Two or more family ❑ Industrial
[I Addition ❑ Commercial
El Alteration No. of units:
❑Assessor Bldg ❑ Others:
❑ Repair, replacement y g
El ,,,,„ 6)1Aolition (!4 { � ��P��❑ Dem �1, -Ele1;l aWter❑ r Se�1 c p , u.��rcl�%� lld�
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DESCRIPTION O WORK TO DE PERFORMED:
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Identification- Please'Type or Print Clearly Phone: n
OWNER: Name: t
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Address:
Contractor Name: Me(,' 4 (( , "� Phone" � c �
Email: , ..
Address:
Supervisor's Construction License: C" Exp. Date: �
Home Improvement License: Exp. Date:
ARCH ITECTIENGINEER J VL, Phone:
Irk ' U
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Reg. No.
Address: ,� -
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.:
Receipt No.
NOTE: Persons contracting with unregistered contract o Is do not have aces to the guarantyfund
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BOARD OF HEALTH
Food/Kitchen
PERMIT D Septic System
JTHIS CERTIFIES THAT „„G- ,, !R P• ..,, BUILDING INSPECTOR
.............. ..... ........!. ........ ......... ......... .......... ..................
has permission to erect ..... .............. buildings on .. .... (�), 1�,►,�[,,,... ,,,,,,1•-�1",,,. ,,,,, Foundation
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tobe occupied as ........................ ......... °`�I°-I......................................................................... 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
PERMIT1 E ®NTS ELECTRICAL INSPECTOR
LESS CONSTRUCTION TARTS 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.