HomeMy WebLinkAboutApplication - 89 MARIAN DRIVE 11/4/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION +(Vl K 1 7r n8�( C�a-Vf 9/yt# o I yell
Prmt
PROPERTY OWNER no�_ l Ql n Y a 1�=z, y�,_�eAn VLe Unit#
Print T—
MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
100 year-old structure yes no
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; ❑Floodplam Wetlands ❑ WatershedDistnct
WaterL e `
x S were
DESCRIPTION OF WORK TO BE PERFORMED:
(Identification Please Type or Print Clearly)
OWNER: Name: �t aA-hay-\ AS o a� vte n9 Phone `7 KS &Y8o
kddress:
CONTRACTOR Name: Phone:
kddress:
supervisor's Construction License: Exp. Date:
come Improvement License: Exp. Date:
►RCHITECT/ENGINEER Phone:
,ddress: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
otal Project Cost: $ Li b C--) FEE: $
heck No.: Receipt No.:
OTE: Persons contracting with unregistered contractors do not have access to the guaranty fiend
-- -- _ - . ._.
ignature of ent/Owner
__—___g __ .Signature_of contractor
m ed Plans �
Certified plot plan
sta p
plans Waived 0
Sw �gPools
ns Submitted❑ 0
pla YPE ��GEDISPO L uin�assage AIA 0 goodPack ��
O ❑ Sales
Sales
public SeWex ❑ Tobacco on site anentpumpster Y
Well ❑ Pexm ®FFICE USE
Pxivate($eptictank,etc•
S FOR ®R'NI
LLpW1NG SETA`SIGN OFF a U F ppROVED
EN DATE A
THE F pEppRT�
INTER ATE REJECTED ❑
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PLANNING
COMMENTS
Si nature
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®N Reviewed °n
COMMENTS Si nature
Reviewed °n
COMMENTS t submit
zoning DeOisionlrece1p
als'.Variance Petition N°
zoning
Board of ApPe Comments
Wing Board Decision'• Comments
Plan Drivewa F
Conservation Decision: ture&�a{e d 38�Os�
connectiorrlsi na
locate no
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Water &$eW slg�ature�
W Town,E n 0 Pr*. stet on site yes
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