HomeMy WebLinkAboutBuilding Permit # 11/5/2015 BUILDING PERMIT o�t%O oT b�+o
TOWN OF NORTH ANDOVER �� �, �Z.
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APPLICATION FOR PLAN EXAMINATION
Permit NO#:_5 Date Received '�iRA�RarEoWPP"•R5
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Date Issued: 0 5 SSgcHus��>
IMPORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building FQ0ne family
❑Addition ❑ Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
11 Demolition�/�� ❑ Other
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DESCRIPTION OF WORK TO BE PERFORMED:
Ael
Identification- Please Typ r Print Clearly
OWNER: Name: Phone:
Address 13�uv��
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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.
Total Project Cost: $ ,2 '.00c) FEE: $
Check No.: J Receipt No.:'
NOTE: Persons contracting with unregistered contractors do not have access to the g ralzVil f`n
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Town of
ndover
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AORAT@O
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BOARD OF HEALTH
Food/Kitchen
PEKMIT T LD Septic System
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THIS CERTIFIES THAT ...... BUILDING INSPECTOR
BB Foundation
has permission to erect .......................... buildings on .... . ..............0� ...... ................................
�aa ............. Rough
to be occupied as . /.G.74........ .......................................................................................... 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
PERMITI ELECTRICAL INSPECTOR
UNLESS . . ..... Rough
Service
............ .................. ..................................
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required t® Occupy BulldinRough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathingor Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approvedthe Building Inspector. Burner
Street No.
Smoke Det.