HomeMy WebLinkAboutBuilding Permit # 1/11/2016 BUILDING PERMIT C* "TOWN OF NORTH ANDOVERAPPLICATION FOR PLAN EXAMINATIONPermitNo#: t :`I Date Received
Date Issued: �'/'r`
IMPORTANT:A licant must complete all items on flus page
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LOCATION _ 'i,�.,< '�y,R- \i-IT' i
Print
PROPERTY OWNER 7 K'1 L1-C
/ Print 100 Year Structure yes ' q
MAP PARCELS' rl ZONING DISTRICT: I{. Historic District yes �
Machine Shop Village yes / 0
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
JKNew Building kOne family
❑Addition C Two or more family C Industrial
C Alteration No.of units: C Commercial
❑Repair,replacement C Assessory Bldg C Others:
C Demolition ❑Other
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DESCRIPTION OF WORK TO BE PERFORMED:
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IdenHficafion-Please Type or Print Clearly
OWNER: Name: °"vim. �i
Address: cleimm
Contractor Nam e: 7-KZ LLC Phone: `17,3- gym'
Email:
Address: K Xy Ste.
Supervisor's Construction License: o(—S—'{! Exp. Date: Yif
11-
Home
1rHome Improvement License: Exp. Date: -
'.. ARCHITECT/ENGINEER Phone:
Address: Reg.No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost:$ i-c .,,-f FEE:$ i OG'- Com;
Check No.: i 5�13r Receipt No.: r L
NOTE: Persons contracting with unregistered cg#tractors do not have access to the guaranty fused
Plans Submitted X Plans Waived❑ Certified Plot Plan❑ Stamped Plans❑
TYPE OF SEWERAGEDISP$OS�AL
Public Sewer L%� TanningMassageBody Art ❑ S-Mn 19Pools ❑
Well ❑ Tobacco Sales ❑ Food Packa
ging/Sales ❑
Private(sepiic tank,etc. ❑ permanent Dempster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF-U FORIUi
PLANNING&DEVELOPMENT Reviewed On ijal w Signature i"lzo
COMMENTS p-s
yrwste,�: rw-x;rnL r,u°ia«- dor � S�moo'
CONSERVATION Reviewed on
COMMENTS
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HEALTH Reviewed on
COMMENTS ( i N✓ r.
Zoning Board of Appeals:Variance,Petition No: L,IA Zoning Decision/receiptsubmitted yes_
rianning Board Decision: 53L iii$ti v Comments
Conservation Decision:jv?Zz�–/',f Commenfs
Wa$Br&Sewer COilnOC$IOB7/S"t ltatUP- Dafe Driveway Permit
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DPW Town Engineer:Signature: i
Located 384 Osgood Street
FSE DEPARTMENT Temp Dempster on situ yes ...� mo�b� a� ��
Fire Departmentstgn�ture/date�� ��
rff,l ttORTH
-town of2 Andover
No.
o h ver,Mass,
EMILPEuLTH
BOARD OF HEAFood/KitchenF,od/Kit,hERMIT T ILU
THIS CERTIFIES THAT Z .....a...........'................... BUILDING INSPECTOR
r, -IVo Z,,.v1'1 lo,md.u.
has permission to erect...................... bpildi .. 4 Y,
ings on .. Y ..................................... Rough
to be occupied as..........I'* ......................................
provided that the person"accepting"this'permit'shall"iri'e"ver --i io
'V��e, conform a the terms of the application Final
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on file in this office,and to the provisions of the Codes and y-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
Fr.]
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTI!O"TITS Ingh
......................
Finalce
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building- Rough
Display in a Conspicuous Place on the Premises—Do Not Remove Fir.]
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Bur...
Street No.
Smoke Det.
CS-055417
Th ae 11 Zah—iko
78C wat pond Road '-
North Andover NIA 01845
04/05/2016 -
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