HomeMy WebLinkAboutApplication - 66 STERLING LANE 6/14/2012 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 FO,R OFFICE U.SE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM-
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT j
COMMENTS ,
CONSERVATION Reviewed on Signature
4 r r }
COMMENTS ?
6 e.
HEALTH - `Reviewed on z— "c -�Si rya#mare {
COMMENTS I d- r i
Zoning Board of Appeals Variance, Petition No: rZoinin`g Decision/receipt submitted yes
� P •... t`�'
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature&Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 S dod Street
FIRE DEPARTMENT Temp Dumpster onaite yes no
Locafed;at' 124VaiWStreet ' -
Fire Depa. ment,°signature/date
COMMENTS °
Office of the Attorney General
017-727-8400
AND/OR
Better Business Bureau
508-652-4,800, 508-755-2548 or 413-734-3114
Version 2.1-11/22/2010
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION lfj 0/
Print,
PROPERTY"OWNER
Print'?, 1 b6 Year Old"Structure yes no
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes ! no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building 0 One family
11 A clition El Two or more family ❑ Industrial
Iteration No. of units: ❑ Commercial
❑ Repair, replacement 0 Assessory Bldg ❑ Others:
0 Demolition 0 Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
CONTRACTOR N,ame:� T �.LJ . Phone: '�✓� ° -
Address �/' / '
Supervisor's Construction License: Exp. Date:
Home Improvement License: /, 7 Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: . Reg. No.
FEE SCHEDULE:BOLDING P MIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ Yx FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty frond
Signature of Agent/Owner Signature of contractor
Plans Submitted 11 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body Art 0 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 e U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Si nature
� M
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes .
Planning Board Decision: Comments
Conservation Decision: Comments
Water ,9s Sewer Connotation/Signature Gate Driveway Permit
DPW Towv� ]Engineer{: Signature:
Located 384 Osgood Street
FIZE DEPA' TML.400' Temp Dumpster on site yes no
Located at 1241Aairi'Street
Fire Qepartm' eer'&signature/date
COMMENTS
�0.
45'
�P
PQ/
LOT 4
pis pp�
PROP. ADD/r/dN
SEE DETAIL � 8\
LOT 2
9
64.,5p'
DETAIL
1 20'
a• L
PROPOSED
LOT 3 ADD®T<O/V
43,035± S.F.
134.32' 6.
•� k'�
PROPOSED
DECK
00
HEREBY CERTIFY THAT THE BUILDING IS OWNER: ROBERT A. MELISSA W. GREENE
LOCATED AS SHOWN. PROPOSED PLOT PLAN
OF #66 STERLING LANE
CLIFFW) IN
F a ANDOVER, MA
1y �' (MIDDLESEX COUNTY)
SCALE: 1"= 60' DATE: 10/28/2011
0 60 120 180ft
, RORER SURVEY
CEFFORD E. RORER, PLS DATE 1072A MASSACHUSETTS AVENUE
THIS PLAN MAY HAVE BEEN ALTERED IF ARLINGTON, MA 02476
(781) 648-5533
THE SIGNATURE IS NOT SIGNED IN BLUE. 3549PP1.DWG