HomeMy WebLinkAboutPOOL HOUSE 640 SQUARE FEET RECSIVEb
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATIO �� .�� � 01 °raj', ; 6
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Date Issued: b 6 ,/
IMPORTANT:Aeplicant must complete all items on this page
LOCATION ( liG4.e Ta f—Ap,f fr -f, IV' ►'� . 4-�1-1by .r //,If G01641Sm
04 PROPERTY OWNER 1//?,�7 .�j ��,�. �'rint/ �C f_� �'?�fL. t��< �C�+��1� �"•�,
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MAP NO.: PARCEL: ZONING DISTRICT: Col9
TYPE AND USE OF BUILDING HISTORIC;DIS l'IUCI YIDS ❑
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non-Residential
New Building Cl One firmly
❑Addition ❑Two or more family ❑Industrial
❑Alteration - No. of units:
❑Repair,replacement ❑Assessory Bldg ❑Commercial
❑Den7olition _
❑Movin relocation) j{ry_&�. _ 0 Others:
Q foundation only
DESC JPTION OF NVORK TO ISE PREFORMET7
Identification Please Type or Print Clearly)
OWNER: Name; Vitt �� d 5l��t , t-� C.. Phone:
A. dr��es.��.51�`r
s:
CONTRACTOR Name: C�i�L 1 fe�c,lc � Phone:
Address: 9 V bOGi '100-Ct,
Supervisor's Construction License: �� �L�'� � Epp. Date:
home Improvement License: Exp.
,.
ARCI,I:TTEL;T/?�NCJINEEIZ `Name:Phone: (Poi-- YA -LZ _._..._. ..._.__..
3�6�
Address: -�(,L 6 C�1� r C./ Ge S t Et "/V'7� 'Reg. No.
TEE SCHEDULE:R ULDMG PER11111:$11 00PER$1000.00 OF T CZE TOTAL E TLITATED MYT B SED otv$125,00PER S.F.
Total Project Cost :$ (p rl F x12.00=FEE:$, y( X00
Check No.: < Receil5t No.:
Page Iof4
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NORTH
Town of .. 1
ndover
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t .
0 -M.-A.
h ver, Mass, f 4
Coc"Ic"t WICK
RAreo
U BOARD OF HEALTH
Food/Kitchen
PERMIT T LD VA Septic System
THIS CERTIFIES THAT .. .." . .�. .14 y.0 'f i._d'� .�41 � BUILDING INSPECTOR
(JTZ / Foundation
has permission to erect .......................... buil In s on�.�..�..`,�......�J....s...5�.............................
to be occupied as ..4
Rough
...................... ..:.��!....... .. .. .......................................................................... 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 EXPIRES-IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION S ARTS Rough
Service
.......... .......... ....................................................... Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required 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.