Loading...
HomeMy WebLinkAboutBuilding Permit #Exception - 1050 FOREST STREET 5/1/2018 NORTH BUILDING PERMIT QF<�, �bq" TOWN OF NORTH ANDOVER F - w- APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received S�CLA Date Issued: IMPORTANT: Applicant must complete all items on this page _ a.. rlQt: nf WME , R�aur - � TYPE OF IMPROVEMENT PROPOSED USE _Residential Non- Residential New Building One family dditio wo or more family industrial Alteration No. of units: Commercial Repair, replacement Assesso y Bidg Others: Demolition Other mantic `s '`W�11 Y f�h Lc�otipia�rx� Jetlanr�s ' aterst�ed3istr<rot k n '�1�ater`lS�weT � ��DESCRIPTIONkOF WORK TO BE PREFORMED:r �_;�x_.. �;.'� �; Identification Please Type or Print Clearly) OWNER: Name: h/Oiuc K9 oL.r 111- Phone: 1 7E-6 E6 -0613 Address / 0 S 1 *1 =Cp> TATORla f done , h _ �fY� � 'c t,�� r� n- **•*4t� _ z h�x �� .i 4��3� j'4 'r r Ys� W ,� ' Ks � � ; " t ;Aldr�ess �•� "t'rxr r9k ,r 73 '�'. r Supervisor"" In"n- acenseEX pate C W Dae ' bornera�prcavemePl rtese ARCHITECT/ENGINEER Cfis1Gkll 0es-/5 Phone: Address: 1' L Leal`l ST IZ06(e-106,1 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: $ `/, 6 ) ' FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund S�gr at re afi Aaont/Owner A T �, = ignature of contract©r Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/Massage/Body Art Swimming Pools JWell 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 44&DATE JECTED DATE APPROVED CONSERVATION COMMENTS DATE TE REJECTED DATE A n VED H Le EALTH -7 �i/y Ll1;i7 7 t/ COMMENTS a � S y - �wl -,ter, dZv ot.-�1 li. o t�S !' S 4,7- r-�7� may( '1'C 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 "FIRE DEPARTMENT, Temp iDum,pstef onsite _yes no Located:at-124 Main Street Fire Department s"igna#ure/dale COMMENTS