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HomeMy WebLinkAboutApplication - 32 OLYMPIC LANE 3/17/2004 BUILDING PERMIT t NoRTM TOWN OF NORTH ANDOVER 3ro`�t`eo APPLICATION FOR PLAN EXAMINATION 1 Permit NO: ` «IL Date Re Date Issued: ss�c►+USe� IMPORTANT:Applicant must complete all items on this page LbCATJOaV So+,Wy Pri PROPERTY OWN Cie ER aintgg w � , .. i Mph 1�0{ �•�PARC-EL �Otrlli?��15T �r � � 4 � H�sloric District = yes ` ,,. y Nlacfiine Shop Vltlage yes r o TYPE OF IMPROVEMENT PROPOSED USE Residential-- New Building Non- Residential - ,��� y..y.- Addition Two or more family Industrial Alteration No. of units: Commercial Repair, replacement Assessory Bldg Demolition Others: Other Septic k Well Fi©o plain Vi��tlands V�later/Sewer, = T r' - __ Watershed District ----a DESCRIPT)ON OF WO ZK TO BE PRE ORM D: Y Identifications, Please Typ or Print arly) r OWNER: Name: .a Ph one. t �,r. u ¢` � Address CONTRACTOR Name` , <g nP zy Address _ D Supervisor's Construction License 1=xp ate. Home lmproyement icense. Exp Date. ARCHITECT/ENGINEER1d Phone: Address: Reg. No. r FEE SCHEDULE:BOLDING 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 contractin ' tered c ntractors do not have access to the guaranty and Signature of Age O - = ignature of contract - - CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE;1"=40' DATE:1110812007 Scorn L. Giles R.P.L.S. ASSESSORS Frank. S. Giles R.P.L.S. MAP 106 B LOT 109 50 Deer Meadow Road North Andover, Mass. 43,748 S.F. SUBDIVISION LOT 2 PROPOSED Pin 29'+1 POOL zj xi rvry N ,.a PIT PIT SEPTIC DECK AREA TAW EXIST. HSE. FND. #32 110,45' L=39.55' OL YMPI C LANE I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS` OF THE BUILDING INSPECTOR ONLY _ SHOWN COMPLY AND SUCH USE IS FOR THE ten WITH THE ZONING DETERMINATION OF ZONING 13972 BYLAWS OF �'rCiSTL���'��a� CONFORMITY OR NON-CONFORMITY ����L LA�� NORTH ANDOVER WHEN CONSTRUCTED. WHEN BUILT Og d I I I FO U - LOT RELEASE FORM 3 C/e r' rt o.PNQP' Rlu, app INSTRUCTIONS: This i usedto verify that ail necessary approval/permits from 3,,�� Boards and Departments Navin ,'uri 'ction have been obtained. This does not relieve the applicant and or lanRd4wner fr pliance with any applicable requirements. applicant and ■fxtdom aaftaaaal-■f affaf■fall!ffff■■!■a■faffaaaa7aalffff■■EWE a a■■ APPLICANT R Al -PHONE ASSESSORS MAP NUMBER LOT NUMBER SUBDIVISION LOT NUMBER STREET t ��E STREET NUMBER CJ /�� I■■a�■•-■aaaa■-aaff■ of ■af■fffaf■�af■fa■■ffafaff fffaffafaf fffafff■a■a owns POEM OFFICIAL USE ONLY ...ar.............a.....rfaaf......af.a.af■sasa.■rafffffa.afffa.ffffa.faa-was aman RECOMMENDATIONS OF TOWN AGENTS i #ffaa■a.af.j -0 aaf*fa.f f of o f fal f A f f a f f f a f a a f.-af f an f.a I-S s a�WIN f a a f f f a f 0 OPEN Eof■■1 N RVATI DATE APPROVED C NSO OR DATE REJECTED COMMENTS 60&LA < ko"I. ono e to s DATE APPROVED TOWN PLANNER DATE REJECTED COMMEN'IS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED n ( DATE APPROVED 'T SEPTfC INSPECTOR-HEALTH DATE REJECTED _ COMMEN n� TS PUBLIC WORDS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE