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HomeMy WebLinkAboutBuilding Permit #Exception - 101 SUTTON HILL ROAD 5/1/2018 BUILDING PERMIT tko TF.1 o TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION b� Permit No#: Date Received 120 1)(a 4�R^TED IPpy.(5 V gSSACHV`��� Date Issued: IMPORTANT: Applicant must complete all items on this page Id, l� LOCATION I U I S U � � C<,ca Print PROPERTY OWNER T K� LLC yes Print 100 Year Structure no MAP 69A PARCEL: 8 ZONING DISTRICT: R3 _Historic District yes Machine Shop Village yes: no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential .-New Building XOne family ❑Addition ❑ Two or more family ❑ Industrial ❑Alteration No. of units.- ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other ❑ Septic Elwell ❑Floodplain ❑ Wetlands ❑ WatershedDistrict KWater/Sewer . DESCRIPTION OF WORK TO E PERF RMED: s�R Fri S�rt,c Ltd–Sxti44 do y Identification- Please Type or Print Clearly Y OWNER: Name: TK Z. LLC Phone: 978�g52-`(CMZ Address: �.15kS 5�\-t� Z© . ,4d Lx A �f Contractor Name: l� Phone: 4 79-gSZ- oaZ Email: 7`Z Address: SUA ?sal M,A r S Supervisor's Construction License: d�S y/� Exp. Date: Home Improvement License: — Exp. Date: 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: $ De�•&D Fa o�Va N Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the uaran and Plans Submitted,® Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer TanningfmassageBody 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 e U FORM PLANNING (OU DEVELOPMENT Reviewed On Signature_ ' COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed onSignature COMMENTS i Zoning Board of Appeals: Variance, Petition No: Zoning Decisionfreceipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/Signature& Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPAR+TiMENI; .T�efnp£Duppster' pnesite ;yes Q Eocateat12 � �4 Mam{Streets - _M +FireDe fid f pafinenfsigature/date COMMENTS