HomeMy WebLinkAboutBuilding Permit # 8/19/2016 �aa�rH
BUILDING PERMIT of t�Efl ;,6
TOWN OF NORTH ANDOVER 1
APPLICATION FOR PLAN EXAMINATION 4 - _
Y � A M1.
YYYY Date Received ?yq O"^TEp
Permit No#: S$-gCMOs
Date Issued:
:1
ORTANT: Applicant must complete all items on this page
LOCATION r i
Pr t � 6 L
PROPERTY OWNEF2 d�� �
Print 140 Year 5#ruclure Yee R4
41JHistoric District yes no
MAP PARCEL:00()5 ZONING DISTRICT: Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE Non- Residential
Residential
❑ New Building ❑ One family
p Two or more family ❑ Industrial
Ll Addition Commercial
9-Alteration No. of units:
❑ Others:
4;� --Repair, replacement ❑Assessory Bldg
❑ Demolition ❑ Other
�'+ � _� Flood1�`]la�n.. ❑1Netlands ❑ llllatefsned D�strct, '.:
❑Se�3tIC "- � V Y`e.Il i, y ,�,sa �yr�,�,� �z Y f r `�5 ��� �' �e'��s�' w�",.1;"i�...:"� r'�,�'
DE$ RIPTION OF WORK TO BE PER t-5
over 1
14entificat' n- Please Type or Print Clearly
OWNER: Name: RU i
Phone: `f
Address:
5 �0� 5
Ir
Contractor Name: �✓�� Phone:
Email: Cts m
Address:
Supervisor's Construction License: C?C Exp. Date.-
Home Improvement License: Exp. Date:
ARCH ITECTIENGINEER Phone: z
Address: Reg. No.
FEE SCHEDULE;:BULDING PERMIT.$12.00 PFR$1000.00 OF THE TOTAL.ESTIMATED COST BASED ON$125.00 PER S.F,
Total Project Cost: _ ; (_d � FEE: $ c 1
726 1��
Check No.: I9 Receipt No.:
NOTE: Persons contracting with unreg' red contractors do .not have access to the guaranty fund
Plans Submifted ❑ Plans Waived ❑ Certified Plot Plan ❑ Sfamped Plans ❑
r
E OF SEWEGE 1�ISPOSAL
o Sewe ❑ Swimming Fools ❑
Tanning/Massage/I3ody Aat ❑
well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank etc. ❑ Pernaaaent Duaupster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL. SIGN OFF m U FORM
PLANNING 0 DEVELOPMENT Reviewed On � '� l� Signature �
COMMENTS C-�Gi,1�' JLX)�-
� C
ONSERVATION Reviewed on ( Signature f
_ - V
COMMENTS 0 0,Y P fit
HEALTH Reviewed ori Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decisionlreceipt submitted yes
Planning Board Decision: Comments
,Conservation Decision: Comments
Water & Sewer Connection/Si nature & Date Driveway Permit
DPW Town Engineer: Signature:
Located 384 Osgood Street
F1RE I7EPAR+TIIIIENT; Temp> mpster an;site: .yes na
F
Located at, 24A, Street
F1re,Departm nfi�ignaturelda e
f:nRA�1/1FNT�i
NORT '9
Town of =, bAndover
No. -
h ver Mass
%q AD4ATED sQA,C��7
BOARD OF HEALTH
Food/Kitchen
PERMIT T LD Septic System
THIS CERTIFIES THAT ....7D (3%1.c. ,.....,..: . BUILDING INSPECTOR
....... .................. ..........,........ ........................
has permission to erect ... .......... buildings on CXh... R!,�.,., rte, . e ...,.,.., Foundation
pg ., ...... ......... 4 Rough
p' N. . . . ....fit: . ►.`... .S........ y
t0 be occupied as ........ .... ....�... ... Chimney
provided that the person accepting this permit s�I1 in eve respect conform to the t�s of the application p p p g p every p pp Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONS T CTI® T T Rough
Service
.,. ........... Final
BUILDI IN ECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
Smoke Det.
b GO S.F
el
41
BROOK
50
f-ROPOS
ED
SU 1—iDING
40 ESTI iNI, E3�, G
AREA 24,
EXISTING
E, ZONING WDI
'ITO BE REMOVED
RADJUS FG.R
JADWID ENI&,G 179 9 7
EASEMENT TO To
W'4 OF NO
PUB L I C E E
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Page 1 of 1
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0 MVPC Ba
Inlorstales Horizontal Datum:MA Slateplane Coordinate System,Datum NAD83,
Meters Data Sources:The data for this map was produced by Merrimack
'-SR %40RTH Valley Planning Commission(MVPC)using data provided by the Town of
Roads O "'go r� '� North Andover.Additional data provided by the Executive Office of
q`o Easernents } b4 �e OOG Environmantai AffairslMassGIS.The information depicted on this map is
for planning purposes only.It may not be adequate for legal boundary
to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
Parcels 'A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
* * THE ACCURACY,COMPLETENESS,RELIABILITY,OR.SUITABILITY
OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
✓w o y �. 4 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
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V 90 ft w `
Muk
atense: CS-001821 .
(..s� ��fi���fdtirt t�g�erviss�r'
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Ei1 VJD P GUI.EZIAN
428 PLEASANT ST "
NORTH ANDOVE#Z foll
Ex:
��FP�CIt�#i ���lT1�f,� i7fllil$1�017
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