HomeMy WebLinkAboutINSTALL FIRE SPRINKLER SYSTEM IN NEW FIRE STATION VAORTH
BUILDING PERMIT oFK�,ED Ibq%
TOWN OF NORTHANDOVER
APPLICATION FOR PLAN EXAMINATION10
Permit No#: / Date Received
'J RATED PP 'C5
gSSACFIUS��
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION
'Ennt
PROPERTY OWNER_ klnc)�J k. C rc (I .
Print 100 Year Structure yes no
MAP PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
le Residential Non- Residential
ew Building_ ❑ One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
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DESCRIPTION OF WORK TO BE PERFORMED:
Identific tion- Please Type or Print Clearly
OWNER: Name: �� r �� Phone: - cIsl_ t
Address:
Contractor Name: �05T'16` Flk6 Y(O e C V 1010 Phone: �
Email:
Address: 3dQ 6A -r 't" A lo g 7 5
Supervisor's Construction License: F° 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$925.00 PER F.
Total Project Cost: $ FEE:
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access th g ray f and
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t%ORTH
Town ofs E _ } . ndover
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No.
CDh ver, Mass, G
w coC NICNl WICK
I.9 A04AY-CD
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BOARD OF HEALTH
Food/Kitchen
P -ERMIT T D Septic System
_D
THIS CERTIFIES T .�r'���� BUILDING INSPECTOR
has permission to erect .......................... buildings on ... �. ....� "•,�/�i+�•�.:::. ...4�..... Foundation
Rough
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to be occupied as ...... ................................................
....... '<
c� ........ ............... ........... ..s..7` : ........... Chimney
provided that the person accepting this permit shall in every respect conform to the terrhs 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
s-
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION STARTS 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.
- / Application for Standard Permit
FP-006 4 Return completed application to:
(Rev.04/12)
Permit Number: / DIG SAFE NUMBER
City or Town: /v G t.!
Start Date:
Date:
In accordance with the provisions of M.G.L. Chapter 148,as provided in Section application is hereby made
by Rustic Fire Protection, Inc. 320 West Main St. - -CJ 31 - 3 6
P.O. Box 1210 Phone Number
(Full Name of Person,Firm or Corporation) � ( )
of Norton MA 02766
(Address:Street or P.O.Box,City or Town,Zip Code)
for permission to(state clearly purpose for which permit is requested) s I 1 /4tewt S�✓�F� �I�� �wS�c i
Chad Dubuc
Name of Competent Operator(if applicable) Presde;it Ce$.No. -3_S
Date Issued-rejected By
( ig(ia leant)
Date of expiration Fee Amount Paid$
— -----------------------------------------------------------------
7a�,L�o�'�,✓PI efs�it �'yt C�C�(..c-�./� R
FP-006
(Rev. 04/12) PERMIT
City or Town: DIG SAFE NUMBER
Date:
Start Date:
Permit Number(if applicable):
t
In accordance with the provisions of M.G L.Chapter 148,as provided in this permit is granted
to Rustic Fire Protection, Inc.
(Full Name of Person,Firm or Corporation)
for �J4 lI d, �l�-� A (a_L
Sd t_xu V �-
Restrictions:at U
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ This permit will expire on
Signature of Official Granting Permit: Title
M* This permit must be conspicuously posted upon the premises 41111111111
fY
Commonwealth o''Jassachusetts
Department of Public Safety
Sprinkler Contractor
License:5C-006335
CHAD A DUBUC= �.
PO BX 1210 320 J'VM,
=
Norton MA 02766
vJ.�... .1j _
expiration:
Commissioner 05!27/2016