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Home My WebLink AboutBuilding Permit #Exception - 105 CARLTON LANE 5/1/2018 (12) O� pORTH 9 f BUILDING PERMIT 4ttt-to *bs6ti c TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 0 �9SS�CH Date Issued: US IMPORTANT:AppEcant must complete all items on this page LOCATION10� OCLA�� c Ptn, � tt PROPERTY OWNER l��( C( - L .(�. ►'` Co(-Ac,r0 Print MAP NO: PARCEL: ZONING DISTRICT: ," S I iht6riG-,139tr cit J yesW no �rfr MachineShdp Vil g yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building VOne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ❑Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District ❑Water/Sewer Identification Please Type or Print Clearly) tt _ OWNER: Name: &AV� (�O(,� to Phone: -70S- Address: ( C)( C) Lo n e- CONTRACTOR Name: Phone: Address: Supervisor's Construction License: Exp. Date: Nome 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: $ Check No.: Receipt No.: NOTE: Persons contractin iunregistered-contractors do not have access to the guaranty fund Sig,,Mure of Agent/Owneg"nature of-contractor—'-- a' MCWTN BUILDING PERMIT ,��.!.�+• * '• o� TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION - Permit NO: Date Received Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION 10CAr1c'grt LisZ Ar1�c�Vf'r' MA t.0:5Fih Pnnt PROPERTY OWNER E►�►�_s �! C'rsrdar- t� Print MAP NO: 0 PARCEL: ZONING DISTRICT: \,,L—Historic District yes no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non-Residential ❑New Building k6ne family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other _ x m. flood lain etlands ❑ Watershed District ❑ ❑Septic ❑Well P ❑Water/Sewer �h'tiw\\ Pi i�� X 4(7` OhQ O"-.C — tn�►r©c�n� �', ra� 1�S �L� Identification Please Type or Print Clearly) OWNER: Name: �rn (� l'o rdr�r ) Phone: Address: 05� �l r 1 n Lnruz- ri - A G r- rKV1 CD CQNTRA_CTOR Name: Phone: `7$( dab tv a r-�-� �i lV Ory��r•d`��('"?�l l � a rn fY)C�c�l� Address: -Sk N Supervisor"s Construction License: Exp, Date;. / 8 Cam_ Home Improvement License: ' Exp. Date: q ja �a6t y ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost: $ El�, FEE: $ Check No.: Receipt No.: NOTE: Persons contractin it unregistered contractors do not have access to the guarantyfund ignature of Agent/w Signature of contractor s Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan l Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑/ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. u Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF -U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ COMENTS YCONSERVATION ❑ ' ❑ COMMENTS DATE REJECTED DAT P ROVED I HEALTH1 � ❑ l + y ZQ /w� Poe,! O ,�❑ COMMENTS Zoning Board of Ap als:variance,Petition No: Zon' g Decision/recei submitted yes c Planning Board Decision: Comments Conservation Decision: Comments Water&Sewer Connection/Signature&Date Driveway Permit Located at 384 Osgood Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date COMMENTS Plans Submitted ❑ -Plans Waived ❑ . :Certified Plot Plan ❑ Stamped Plans ❑ -..•TWE-OF:SEWERNGEDISPOSAL- .. Public Sewer ❑ Tanning/Massage/BodyArt ❑.. . Swimming Pools ❑ Well ❑ Tobacco.Sales ToodPackaging/Sales ❑ Z. Private.{septic tkk,etc.. ❑- _ Permanent Dempster ori-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 Z' COMMENTS 0,1(. (21 4V Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: :Comments Water&Sewer Conn ectionlSignature&Date Driveway Permit DPW Tow;-, Engineer: Signature: Located 384 Osgood Street .IRE-DIEPARTItI.feNT:=Temp Rumpst�r on site yes no � Fire Departme►it signature/date COMMENTS �' TOWN OF NORTH ANDOVER ! i APPLICATION FOR PLAN EXAMINATION o�"°oT 6 gtio { 0 Permit NO: Date Received * i Date Issued: �9SSAcauP IMPORTANT:Applicant must complete all items on this page i LOCATION 105 C Af-\\—Oc1 Lon e ' i Print PROPERTY OWNER M;c�pcGrnu�n Print _MAP NO.: PARCEL: ZONING DISTRICT: TYPE AND USE OF BUILDING HISTORIC DISTRICT YES ❑ ' TYPE OF IMPROVEMENT PROPOSED USE ! f Residential Non- Residential ❑New Building One family I Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Repair, replacement ❑Assessory Bldg ❑Commercial ❑ Demolition I ! ❑ Moving(relocation) ❑Other ❑ 0th rs: E Foundation only R i DESCRIPTION OF WORK TO BE PREFORMED Qem&,J,e r 4 over Isf Qoor CLAlm$ ►?m are.& Vgm (3 x 14 ' anc, i f f a.,Ae second le4e& ey►bo o.� tbcF s�s�er.. , l Identification Please Type or Print Clearly) OWNER: Name: MC\^&, l arc\Wen Phone: 918 258 9548 � Address: 105 Car,1-bn LwAe NOc'Nk. Af4o4er Mg O1gtE.S CONTRACTOR Name: NP_9%A S 11 S(2r�;teS Phone-. -781 160 ;ZO30 Address: 2123 r, (YAA o 1 s-$'tr Supervisor's Construction License: CS 073f""11 Exp. Date: 0 A 0-7 12.008 Home Improvement License: Exp. Date: -7) IR ) 20o1 ARCHITECT/ENGINEER f,1 I A Name: Phone: r,� Address:_ N 'A Reg. No. N� l� FEE SCHEDULE:BULDING PERMIT.•$10.00 PER$1200.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F. Total Project Cost :$ $ $$O JC13" x12.00=FEE:$ Check No.: Receipt No.: r 1 1� TYPE OF SEWERAGE DISPOSAL Tanning/Massage/Body Art ❑ Swimming Pools Public Sewer ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Well Pennanent Dumpster onsite Electric Meter location to Private(septic tank,etc. project NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund i ---- of contractor Signature of Agent/Owne �� Signature Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Starrrped Plans ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF-U FORM DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT ❑ ❑ ❑Water Shed Special Permit ❑ Site Plan Special Permit ❑ Other COMMENTS T ,REJECTED DATE APPROVED CONSERVATI6 COMMENTS O W"1 f I :D:A:TEREJECTED DA ROVED ElHEALTH ❑ ��Z�/ate COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments Conservation Decision: Comments Drivewa Permit Water&Sewer connection/Signature& Date Temp Dumpster on site yes no Fire Department signature/date