HomeMy WebLinkAboutBuilding Permit #Exception - 102 PETERS STREET 5/1/2018 %AORTH
BUILDING PERMITf6gti
TOWN OF NORTH ANDOVER 10 0
APPLICATION FOR PLAN EXAMINATION
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Permit NO: Date Received �SsgAr
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Date Issued:
IMPORTANT:Appicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
(New Building One family
Addition- _ Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other 0 f:F(�.
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DESCRIPTION OF WORK TO BE PREFORMED:
6 to serm L)C-TI 0 a 0(- scl'pf� wGQ0—R*Mf_ f 'S1t4CL'6 S-rwzyl
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Identification Please Type or Print Clearly)
OWNER: Name: P-ST&&S QT- ACCisqtATES u Phone:
Address: 0. 601. 100,39 A'tJ 04VEL M14 6181 a
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77-77
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ARCHITECT/ENGINEER eF&Lo MU ikjd?- Phone:
Address:(o W04wiftO W!1 J , f4C-wiSdJ1PbA7(_JR0 olf9a Reg. No. q'Z?,S4
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FEE SCHEDULE:BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ Lf, ZSo FEE: $_14 33 1
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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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
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals:Variance, Petition No: y10I '000-Zoning Decision/receipt submitted yes
Planning Board Decision:W3/12- Comments
Conservation Decision:-��29�/2 #Zq2-1.5A Comments
Water & Sewer Connection/signature &Date- Driveway Permit
DPW Town Engineer: Signature:
Located 384 Os ood Street
FIREQEPARTMENT Tem Du°
p mpster on site `yes �:�� w,�r r o' g e r Y A r
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