HomeMy WebLinkAboutBuilding Permit #Exception - 104 COLONIAL AVENUE 5/1/2018 O'wK�iA ,��y0
BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMIN +.
Permit NO:
Date Received
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Date lssued.:
INIPORTANT:.A licant must coin lete all items on this pqye
LOCATIONilPriaL
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PROPERTY OWNER_ / yrl
Print
MAP Na. CEL ZONING DISTRICT: Historic District yes
Machine Shop_Village yas o
l TYPE OF IMPROVEMENT + PROPOSED USE
Residential Non- Residential
New Building One family
T--- ~�
" Addition Two or more family Industrial
Alteration No. of units: " Commercial
_ Repair, replacement Assessory Bldg Others:
_.
Demo li#ion ,r'Other
p -Welt Floodplain i Wetlands Watershed District
VYINKISewer
Identification Please Type.or Print Clearly)
OWNER: Name: ' ` +
Address:
CONTRACTOR Name: Phone: Gs —/ Co
Address:
t
Supelviec S C ONA13idw License: .,, S ' Exp. Date:
2_C -1
Mc�n+e t�nproVe#wtgLJcense: TExp. Date: ple
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE Tor jL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost:
Check No.: Receipt No.:
:MOTE: Persons contracting wi h unreg', red contractors do not have access to,t#e guaranty fund
S n vire t f Age.7_wner
Signature of contractor,
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPF OF SEWERAGE DISPOSAL,
Public Sewer TanningrMassage-13ocIN Art S),kinirning Pools
Well' 'tobacco Sales Food Packaging Sales
Private(septic tank,etc. /< Permanent Durripsteron Site
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
/PLANNING & DEVELOPMENT
CO,MENTS
UA I I- REJEU I ED L)A I E AHFJRUVED
/CONSERVATION
COMMENTS
DATE REJECTED DAT,,E P V D
HEALTH
COMMENTS
COMMENTS
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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
FRE BEPAR7VOW Temp Dumpster on site yes no
S.Tr�.�{. (crc� 31.y ' 1SS' llt ST /57,30
b-So x — yy 3' 3e,5' �juT'S.? = I S7,08
Eun 'i M%V i 18.x 32,3 11.c D-Box =/S r( .67
r5mb Trztr- 3 40.2 4K.5' thli`D-SaX 1S_' ,4f �
IUt "Eij =151.,.37
luLr--T'Z =ISG.-3Z
111JL'F-T"(17 =IS6.37-
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f5ul� 0 =ts,.00
E lz =156.00
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Trr 1&0.57 Go103 lu ^W
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rn(ouf A L A�rEIJ vE
AS BUILT PLAN
OF
SUBSURFACE DISPOSAL SYSTEM
LOCATED IN
ND i-1 H A I JDOVER, "I( .
AS PREPARED FOR
I .C. BUILD5RS INC.
DATE: 7`vwF:� 30, M7
SCALE: i"-qO I
L4 r 1`t 6a 0Q1AL AVe.
MERRIMACK ENGINEERING SERVICES
66 PARK STREET
ANDOVER MASSACHUSETTS 01810