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Home My WebLink AboutApplication - 54 LONG PASTURE ROAD 7/17/2014 NORTH BUILDING PERMIT OF� LEU TOWN OF NORTH ANDOVER �chy''`- APPLICATION FOR PLAN EXAMINATION JK _ �` O ♦wK „ 1� 4 Permit No#: Date Received gSSACHV`�� Date Issued: IMPORTANT: Applicant must complete all items on this page LOCATION : LarJ� Pt�STU%�E" . ,�aa� N "Lnlz�cws2 " Print PROPERTY OWNER LA3ALk : A!52UII'J0, u�iQl+ N Print (OD Year;Structu-e yes Eno MAPPARCEL ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building El One family [I Addition El Two or more family ❑ Industrial Li Alteration No. of units: El Commercial Li Repair, replacement El Assessory Bldg 5Others: El Demolition ❑ Other ❑ Septic ❑Well ❑ Floodplain ' ❑Wetlands lb Watershed District ❑Water/Sewer' DESCRIPTION OF WORK TO BE PERFORMED: AD 2n x 39 Identification- Please Type or Print Clearly OWNER: Name: LA.5 LEI-E 17t+5 iLy r/Zti- Phone: Address: 5,1 blv�j Pi3-ro4C iZo&D Noc-ral DolliFP_ Contractor Name:EQJA0NME4 az PnoL3Phone: J28 ' 6Z Address:, I S` R ��v ecK i?o r�_C uELmsr��=o t�l► a1�2� Supervisor's Construction License:� `� � Exp Date 1 "� Home Improvement License: 016 Q ate 7/` ARCHITECT/ENGINEER 3oLL kyArs Phone: 7 78-352- 7,371 Address: 22 146u,v,T y eiVbA1 RoAo l?c>xvr�o Mli Reg. No. Lf, FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ ��`� 0 7 7 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with un•agistered contractors do not have access to the guaranty fund Signature of Agent/Owner _ Signature of contractor Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art F] Swimming Pools L' 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on - Si nature COMMENTS UA, 4-Z HEALTH Reviewed on 7/,7 Si gnature COMMENTS i 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 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street Fire Department'signature/date COMMENTS BUILDING PERMIT 0.1 pa4RTW ptLF.0 1,, TOWN OF NORTH ANDOVER o� y�, b o� APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received 00 p T E WApR` CH Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Z Print PROPERTYOWNER; , Print "I OD ( I StfiuctuIe„ yes 'no MAP . PARCEL: ZONING DISTRICT: HistoricDstrict yes o Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building 'One family /'Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic []Well ❑ Flood-plain ❑ Wetlands ❑ `Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name:_ _ �V� fl ysl Phone: Address: `f ,Vz, r�' 0?✓ I r ,b Contractor Name. Phone: Address: I Supervisor's Construction'L cease: ' Exp. Date: / °'� � / � Home Improvement License: 1 Exp. 'Dafe: J° 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: $ 7 CJd FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors da not have access to the gnaranty frrnd Signature of Agent/Owner _ Signature of contractor__ Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tannin g y FSwii-maming Pools ❑g/Massa eBod Art ❑ 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on 11-51Q( ( Si nature COMMENTS A� E 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: FIRE DEPARTMENT - Temp Dumpster on site yes Located 384 Osgood street Located at 124 Main Street Fire Department signature/date' COMMENTS EX. PROPANE TANK 1\141°29'27"W 104-x6 139.89' 69.89' b E WATER EA S MEN 321c.-x8 ° pap .3' 30.0' —• — N41°29'27"W ^� 6.8' °� ��y� 6 t No , \ Ex. Septic r -.�y r ��:.. Tank u.. or b„ p 1-9 °o +9`o' ROP. 3' HIGH ° INDSCAPE WALL 00 r o (Jr 8 4 _ 47. ly � .� Cl BIT. corvc, DRIVEWAY It . 2 17.60' 4 1000 r- x�^5 A4 94x9 '5 PROP. 3' HIGH 5' HIGH FENCE OF THE WALL STONE RET. W ,li, A3 BUILDING PERMIT of No°T b gtio TOWN OF NORTH ANDOVER ?/ry ''`, "' 4` APPLICATION FOR PLAN EXAMINATION Permit No#: Date Received �� 'rev a•�� SSgcHUS�� Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION ; ' P not PROPERTY OWN R; A, '�L0' Pngt 10D Year Structure yes ; MAP PARCEL ZQNING DISTRICT: Historic Distract;: - °yes Machine Shop Village yes, o TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building One family X Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic EI Well 1i Floodplain ❑ Wetlands ❑ Watershed District ❑Water/Sewer DESCRIPTION OF WORK TO BE PERFORMED: Identification- Please Type or Print Clearly OWNER: Name:___ L I✓/>v 6 AA Se 61�fll-,A Phone: Address: J tf &O/VG I° 5%�°t�6 Contractor Name` '& :-Phone:,,- 'q?&- SZ=G Address u. Supervisor s Construction License Exp Date 06m0;1 roYement License % Exp; Date 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: $ 15-1 06full FEE: $ Check No.: Receipt No.: NOTE: Persons contracting witli rrnregistered contractors do not,have access to the guaranty fiend Signature of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived 0 Certified 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 PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on l Si nature COMMENTS_ �Z2 HEALTH Reviewed on Signature f ] C, COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature& Date DrivewaV Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no =Located.at124;Main Street . Fire Department signature/date N41°29'27"W 139.89' IO4x6 69.89 MENT _ A 1°29'27"W / 62.7 — 36.8' \ �•h/��r PROP.\ SOIL 1� STOCKPILE AREA rc?y �j �o o LOT AREA 2 ACRESt 9S cQ0 ,p® Op n° tiry A 20.7 JfQ NE F °oi h 3 PROP. 3' HIGH ° NED( F. 4��/os?S 0/ A0 LANDSCAPE WALL a OAS t�� -_�, tA OSS, FV Xw �P N W j W H 47.$' !y Co �i cn Ui 1 �q M � \ r, r�i BIT. ONC, DRIVEWX ruc om $f Cons Ices 5 cl \ iC 9C)x4 17.60' 4 Prop. Staked Slit Sock (Typ), ` o cA A4 A3 IL 1 1 1 AL 1 A2