HomeMy WebLinkAboutBuilding Permit #Exception - 101 CROSSBOW LANE 5/1/2018 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date Receivedy7
Permit N0: � _0
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Date Issued
IMPORTANT A hcant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE Non- Residential
Residential
❑ New Building rl�,One family
❑Two or more family ❑ Industrial
I�Addition pf�F, ❑ Commercial
❑ Alteration No. of units:
❑ Repair, replacement [IAssessory Bldg ❑ Others:
❑ Demolition ❑ Other
DESCRIPTION OF WORK TO BE PREFORMED:
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OWNER: Name: NNPRE �D Phone:
Address: �- �-
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ARCHITECT/ENGINEER Phone:
Reg. No.
Address:
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.,
Total Project Cost: $
� 9 600•oO FEE: $ � 1 O�•o�
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the gi
of,Agenu�Iri - a :'df ct ;r
Plans Submitted U Plans Waived U Certified Plot Plan U Stamped Plans E
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools El
Well ❑ Tobacco Sales
caging/Sales D'.
5-13/110 1427
ANDRE PAQUETTE ODOM49757
JENNIFER PAQUETTE
101 CROSSBOW LN. DATE
NORTH ANDOVER, MA 01845-3006
USE ONLY
PAY TO THE
ORDEROF DIIA RM
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DOLLARS
)ATE APPROVED
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Banko America
81010 Boston,Massachusetts
MEMO ---- _ ---^—
i:011 1000 13810 00084 49 7 ii' L4 7
E REJECTED DATE APPROVED
CONSERVATION
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COMMENTS .�
DATE REJECTED DATE APPR VED
HEALTH l
COMMENTS �cn-, %� e s L9
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
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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 ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
CONSERVATIO
COMMENTSdIAL r— N
DATE REJECTEP DATE APPROVED
HEALTH `�� ❑
COMMENTS i
Zoning.Board of Appeals: Varian Petition No: Zoning Decision/receipt submitted yes
I
Planning Board Decision:- Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature&Date Driveway Permit
Located at 384 Osgood Street
PIKE ?EPARMN7 TerPttmpst�Citi srt eye n
Dated 12ilaln Street
Fire O,partment s��natureldate ,1
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DISTRIBUTION 39 ' ' �1___ PT
BOX
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RATE LOCATION
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SEPTIC TANK p 1'
Z EXISTING DWELLING
( SILL ELEV 107.37
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BENC MARK: TOP CENTER OF CATCH �!
BA1 N RATE. ELEV 100.00 (assumed) �I
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RESERVE x '
900 AREA V E m � I
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PRESSURE
WATER SERVICE — — — — —
18, 48
--•..._— j. = 131.52'