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Home My WebLink AboutApplication - 105 CARLTON LANE 2/20/2014 NoRYN q BUILDING PERMIT ��°��,@� TOWN OF NORTH ANDOVER ° � APPLICATION FOR PLAN EXAMINATION - Permit N®: Date Received �4SSACHU5�4�9 Date Issued: IIVIPORTANT:A licant must complete all items on this 2age LOCATION Pt PROPERTY OWNER; Print MAP NO PARCEL: ZONING DISTRICT tisforiDtsict yes -no Machine Ship 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'- D Well"" ❑ Floodplain Wetlands ❑,:Watershed District ❑Water/Sewer , k ='r,ACA c (2 C.K Xao) b5 r�ic Identification Please Type or Print Clearly) ' N OWNER: Name: �� l t`c�Cel`c� Phone: _3 3� 70s— Address: 1TRACTOR Name: , Phone: f ; ass °rvis' ' 'onsfruction'L cerise. Exp- ;Date: lmpro�ementLiense: , Ezp::;Date: ; , v 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: $ FEE: $ Check No.: Receipt No.: NOTE: Persons eontractin ik un -egistered contractors do not have access to the guaranty fund tyre of Agent/Owner Signature of contractor Plans Submitted ❑ Plans Waived,[] :.Certified Plot Plan ❑ Stamped Plans ❑ .-TYPE�OF:SIWERAGETDISP_OSAL _ - - Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ .Tobacco.Sales Food Packaging[Sales ❑ Private(septic tank,etc._ ❑-> _ .=permanent D`umpster on-Site ❑ --THE.FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM _ DATE REJECTED: DATE-APPROVED PLAN ING-& DEVELOPMENT' ❑ ❑ COMMENTS CONSERVATION Reviewed on Signafure COMMENTS HEALTH Reviewed on S z' COMMENTS d f 4—o Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: :Comments Water & Sewer Con nectionlsignature& Date Driveway Permit DPW TovvL Engineer: Signature: Located 384 Osgood Street SIRE DtPARTI I:�zNT -.Temp Rurrlp'ster on s ite yes no Located at:124 Mair,Street Fir e`®epartme►it signatureldate_` ` k COMMENTS ORTFf BUILDING PERMIT TOWN OF NORTH ANDOVER a APPLICATION FOR PLAN EXAMINATION Date Received ®� •«�' �-� 4 Permit NO: 7 ��1Are CHU Date Issued: IMPORTANT:A licant must complete all items on this a e r � r r LOCATION r/ A r r�l r r 1✓ r fr rtI r / r ri�r Y 'SF r i if x r G <�! .PROPERTY � --� s � r -.:� r ✓ �r 7 rr t r 1y'�'/rr s !r�� Y t ! t ' :, ,., ' i'' {.(rt'r.l�1 r !r?x'yr ��%�iY�r r n)r 1 r' f r'r"-r-" �-� � � , RCEL rr ,, ZONING DISTRIGT �Histor�c D�sErtct*�r � '�� r'yes� r no,`� r , . M me �/illage yes� no, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building k ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other O Septic ❑Well ❑Floodplam etlands ❑ 1ate�shed Dtstnct r 1/ r,rl /rr i r J r=i( tr :r r r rf r❑Water/SeW � " Identification Please Type or Print Clearly) OWNER: Name: �� w -�� `r( Phone: (�I`�•-��'�� _7�� Address I O fA r�1 o n Lewt-e An 8noae. cD v-�t xA ri; , ,� !✓ r l A("r�Ir ,x,,:r,;. r � �?:i,r l �/a „fir r t ,r ,..> � /y./ J r'. ..-? .r,. ✓r" r r r r J F u f riJ r r.s :.r, r, ..-.,., r r .:, :,'rr. ,... s�✓,�,,. � fvr , r . r ,/...,r a -T>3r r r ,, ...r ,�/,.,r ar.>f�Gllm7,' rr r,.Jas..., r �:l` � rr .:/�/' r ,:-: :, ,, 5'r/` ,! ,.r/y r l x... C.u�". ( ti%,� ✓ / l7 �. r .fr,u ra'::dr�rsr.rt. ��I r,(.�.5 J ,(.r.:„k;Trr ,' r „vv,: ;>✓r�.:. 'Y I:✓r ti �: fr,ri r ti:: rr � �isorrs �'ons#�ruc�ron�L�cens'e�, I r Jr .,,,,.; -r rf:!J.rrfr f -,✓.�r ?rr /J .r l r< , ✓'.r ter,�;, .+ l ..l e' r F. ,Pi;..I �, r _'r,l f .r rlr ' r f/ v ,,�;J ,:�(fr./�l'/Yr/�' rr✓r xr 1-1Qme� f,r . ,r 2 lilrrM II r'rr r,r�fr rr v^ { �, �/ n9r r/r�ixr �✓urrrrr� (�r r� n /° r r?ar u �xrr r 1 r r rrf 'I rrc.J l -.rr htx Y r/ �.u, Y / �� ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ [tea FEE: $ Check No.: Receipt No.: NOTE: Persons contractor with unregistered contractors do not have access to the guaranty fund ignature of Agee Wnec. Signature of contractor , b Plans Waived ❑ Certified Plot Plan Stamped Plans ❑ r�y, '�'YI'EQFSEW��AC�"DISPOSAL ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Public Sewer Well El Tobacco Sales El Food Packaging/Sales 11 Private(septic tank,eta. Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORMA DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS VCONSERVATION F]" ' ❑ COMMENTS DATE REJECTED DATEZAP ROVED HEALTH ❑ ❑ r COMMENTS /f irk a� iG �✓' e%'� ..( / ? � .. S Zoning Board of Ap als:Variance, Petition No: Zon' g Decision/rec6ilksubmitted yes Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature&Date Drivewny Permit Located at 384 Osgood Street FIRE DEPARTMENT Temp Dempster on site yes po rFire Depar�rnent s�gnatureldate i ✓ ✓ r t ✓ f , TOWN OF NORTH ANDOVER NORTH APPLICATION FOR PLAN EXAMINATION o` ,,•o ,6q'co ' o Permit NO: Date Received pq�commmw.<p``. Date Issued: SSaeHUS��h IMPORTANT: Applicant must complete all items on this page LOCATION 1 C) `® ar-\\ 0(-\ LCAtl Print PROPERTY OWNER I`A� e\-1a l>CkrrluuCy�\ Print MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family Addition 0 Two or more family 0 Industrial ❑ Alteration No. of units: Repair, replacement 0 Assessory Bldg ❑Commercial Demolition Moving(relocation) =J Other ❑ Others: 0 Foundation only DESCRIPTION OF WORK TO BE PREFORMED lZ eme.re rz>oF over Or �'l oor dMh$ 2m area WM-X 'I'x 14 cl fros-.e second level rxoode " rboC Identification Please Type or Print Clearly) OWNER: Name: M-o6,\0A �rc\um Phone: 'RIB 258 9548 Address: 1 05 Cark\-br, L-cv\e r,�or�' 4r-Jo4er rY A O 1 g 4-j CONTRACTOR Name: r'4xkk5 I1 Gary"ceS Phone: -781 160 20,30 Address:2. 0, 13o®x 2231 Oln$ - Supervisor's Construction License: GS 0-73 9q I Exp. Date: 0 +1 0-1 1 08. Home Improvement License: 12-91-7-7 Exp. Date: -71 (R 12-00-1 ARCFIITECTiENGINEER A Name: Phone: r � �} Address: 6 �P� Reg. No. r_�� A FEE SCHEDULE:BULDING PERMIT:.S10.00 PER$1200.00 OF THE TOTAL ESTIMATED COST BASED ON 5125.00 PER S.F. Total Project Cost :$ 'R V-60 x12.00=FEE:$ Check No.: Receipt No.: F E OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑, Swimming Pools ic Sewer u Tobacco Sales '0 Food Packaging/Sales E Well Permanent Dumpster on Site Electric Meter location to Private(septic tank, etc. project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of contractor Signature of Agent/OWneY6 Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Sta ped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF- U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ []Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS T REJECTED DATE APPROVED CONSERVATION r COMMENTS o DATE REJECTED DA ROVED 1 HEALTH ❑ r' COMMENTS !l- Zoning Board of Appeals. Variance, Petition No Zoning Decision/receipt submitted yes Planning Board Decision: _--Comments Conservation Decision:__ _ Comments Water& Sewer connection/Sijtnature& Date Driveway Permit Temp Dumpster on site yes no Fire Department signature/date