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HomeMy WebLinkAboutApplication - 114 STONECLEAVE ROAD 9/3/2009 rfp nvj f BUILDING PERMIT o��'O oT"�tiv TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION AL i Date Received .E F "� �f f �.9 AERATED►PpR•�� i SSACHUSO IMPORTANT:Applicant must complete all items on this page v Print NN PARCEL Pnnt , ZONING,DISTRICT st($66 DIstrict yes Machine Shop Village yes :no TYPE OF IMPROVEMENT PROPOSED USE Reside Non- Residential uilding One family " more family Industrial eration No. of units: Commercial IRepair, replacement Assessory Bldg Others: Demolition Other e)tic UVell F'IoodplairJ �-W'tlands Watershed District '1NaterlSewer„ �. ;_. DESCRIPTION OF WORK TO BE PREFORMED: " Identification Please Type or Print Clearly) OWNER: Name: �`����-�.� bck,_, , � Phone��:i�i �� � �`�I Address: \l� S3vel COI�TRACTO"R Name Address' Supervisor's Construction License; 0 EXp._Date ,�zA t Home Improvement License: L"D�$' Exp Date. to 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: $ 2-7-, 0 FEE: $_ '� L) Check No.: Receipt No.: NOTE: Persons conta1 with t� registered contractors do not have access to the guaranty fund Signature of Agent/Own =; A J) �_ Signature of contractor t-•�, f V Plans Submitted Plans WaivedCertified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/Sales Private(septic tank,etc. Permanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT COMMENTS 4 CONSERVATION Reviewed on Si nature COMMENTS Litt HEALTH Reviewed on Si nature•# f COMMENTS 7�; 4< ��-s f C�t✓� �� � Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Os .od Street FIRE DEPARTMENT_ -Temp Dumpster,.on site. eyes no Located at 124 Main Street Fire Department signature/date COMMENTS 1000 GALLON MONOLITHIC PUMP CHAMBER 1500 GALLON MONOLITHIC 2"SCH 40 PVC SEPTIC TANK FORCE MAIN DrO 0 0 0`0 0 0 10' i E? 0 EXISTING 4 BEDROOM DWELLING #114 kRK:1 SPIKE IN TREE SILL ELEV 97.35 t5(ASSUMED DATUM), 100'VVIELL OFS 94 paSTING WELL EDGE OF LAWN 94 inn taAaro-� A�I't.ED ,b'al�, `e O d L ti 13 1 bya A Lc LAIN , °qtreDw►-do-y.t5 9SSACM9US�i BUILDING DEPARTMENT Community Development Division February 9,2009 Richard and Joanne Adams 114 Stonecleave Road North Andover MA 01845 Re; Extension of Building Permit Please be a advised that I am agreeing to a six(0)month extension for Building Permit#172, issued on September 9,2008 and due to expire on March 9, 2009. This permit must be activated by September 9,2009. Please let me know if you have any further questions. - Regard, Gerald A. Brown, Building Inspector Cc;File 1600 Osgood Street,Suite 2-36 North Andover,Massachusetts 01845 Phone 978.688.9545 Fax 978,688.9542 Woh www.townofnorthandover.com Richard and Joanne Adams 114 Stonecleave Road North Andover,MA 01845 January 30 2009 Town of North Andover Building Department 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 RE: 1135 Salem Street,Map 106A,Parcel 44 Request a Extension of Existing Building Permit Dear Gerald A.Brown,Inspector of Buildings: On behalf of Richard and Joanne Adams,I respectfully request an Extension of our existing Permit to Build,which was issued on 09-09-08 and expires on 03-09-09. We were granted the permit to allow for the construction of a single family dwelling -On the 1.17 acre. Due to the state with the economy and finances the way they turned,we were unable to get the permitted house started. We therefore respectfully request a six month extension on this Permit. Sincerely Richard Adams �L. G �G Joanne Adams x