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HomeMy WebLinkAboutBuilding Permit #Exception - 0 Leydon Street 5/1/2018 AORTH q BUILDING PERMIT TOWN OF NORTH ANDOVER ° : o APPLICATION FOR PLAN EXAMINATION Permit N0: Date Received �9SSACNUS�t Date Issued: IMPORTANT: Applicant must com Tete ail items on this page w r. P ITIt F�ROpERTY OWNER . , -. Pram MAP NOPARCELZONING DtSTfTHistarl60istr.ict jeS�: no ». K. .. u Machine Shop Vttlage TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building ❑ One family ❑ Addition P-f'wo or more family nn ❑ Industrial ❑ Alteration No. of units: d ❑ Commercial ❑ Repair, replacement ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other [7 Septic `WeI14 CIoodplin btlands atershed'Dstnct O WatsV`3), Ti YY�ir 3. .Y �'^.3 _ §k' !' V 1� Identification Please Type or Print Clearly) ! OWNER: Name: K0&t'0_T X71 -��< /2Us`� Phone: `ir Address: `'� AY)�� � 1''�' D 1 00 Ll S CONTRA�TQR Name .�/j .-, ur �� Phone i it 1'T �. z wP z� Address x � Suppo stir's:Construction License: Exp;R.Dade z 4iHome Improvement Llcen Exp. Date ARCHITECT/ENGINEER CON 1/ti- ,vrftF Phone: ft 9PQ 0/-3/ Address: lq 0-M elftm ! ;9nLtN_tc, M 6 i91© 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: $ 11004 000 FEE: $ Check No.: Receipt No.: NOTE: Persons contractin with unregistered contractors do not have ccess to the guaranty fund Sign turd of Agent/O"r / 4 - 3igRure of conga; �- Plans Submitted Plans Waived ❑ 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS CONSERVATION ❑ ❑ k COMMENTS DATE REJECTED DATE APPROVED HEALTH ❑ ❑ 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 Driveway Permit Located at 384 Osgood Street FIRE E3EPAtTsMENt Temp=Dempster cin site 'yes illo` l ocoted:`at 124 Mein street-, Fkre Department silg�tature/date r ,. COMMENTS41 Y x r 3 Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: 9 ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine NOTES and DATA -(For department use) ❑ Notified for pickup - Date Doc.Building Permit Revised 2012 i