HomeMy WebLinkAboutMiscellaneous - 35 STANTON WAY 8/10/2015 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit `10: Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
_LOCATION
r r
Pnnt
y PROPERTY OWNER
1 Prmf 100 Year Old Structure yes no
MAP X10 PARCEL ZONWG DISTRICT HistoricDistnct yes no
}. _ -
Machine Shop Village yes
.. _ . : no
TYPE OF IMPROVEMENT. PROPOSED USE
Residential Non- Residential
ew Building >ipne family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
'.❑ Well q Floodplain ❑Vl/etlarids ,Watershed Di`stnct
ate Sewer.
DESCRIPTION OF WORK TO DE PERFORMED:
Identification Please Type r Print Clearly)
OWNER: Name: `�Z� d � �g�o Phone: P"� 5 ® ���2
c c , ��
Address:
':.CONTRACTOR ;Name Plone. a�,�'�r1`� :5�
Address iG = �, r�{rt� % r� -
Supervisor s Construction License t� � °,� ' Exp Date s1.
:Home Improvement Ucense` Exp Date
ARCHITECT/ENGINEER f/k&y ��Z/'� Phone: : 3V21 �
Address: S_e(.) � v � e � �, ���2®� �r�r ILW. Reg. No. 901 7
FEE SCHEDULE:BULD/NG PERMIT.$12.00 PER$1000.00,OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total P� ,9, ,_
®jest Cost: $ ,_ y FEE: > �`F;
Plans Submitted Flans Waived ❑ Certified Plot Elan Stamped Plans Q'
TYPE OF=SEWERAGE DISPOSAL
Public Sew?r E1 Tanning/Massage/BodyAil E . Swimming Pools ❑
Well El _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 DATEAPPftOVE-D
PLAN-NINE & DEVELOPMENt
COMMENTS_
:CONSERVATION Reviewed on
Si nature
COMMENTS .- C:7-� , --
�1 L—i �L
HEALTH Reviewed on .ILI S iq natJe �� L
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes _
Planning Board Decision: Comments
Conservation Decision: :Comments
1
Water & Sewer C onnecti on/Si c
]naturej& Date Driveway Permit.
d
DPW Tow;! Engineer: Signature:
Located 384 Osgood Street
SIRE-DtPAPTM.E.NT .-_Temp DumAter on site yes no
Located'at 124 Main Street .
Fire`®epaftmerit signature/date
COWENTS