HomeMy WebLinkAboutBuilding Permit #Exception - 115 LACONIA CIRCLE 5/1/2018 " TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT:Applicant must com lete all items on this page
LOCATION
Print
PROPERTY OWNER A r�-A ✓ v- UniJyesno
Print
MAP NO: PARCEL: ZONING DISTRICT: Historic District
Machine Shop Vill100 year-old structur
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
Nf Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Setick
rt 1,, D Tloodplain . �❑We llands ,, ]WatersheDistn w
i i®Water/SeWeT _ _ �L:
�J DESCRII'TION OF WRK TO BE PERFORMED:
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T,�S Ae_y1 Y► P ��,/ �i-GF �` �k r do o,, t�klt f, Chi„s�-r�c
(Identification Please Type or Print Clef. ly)
OWNER: Name: Phone:
Address:
CONTRACTOR Name: Phone:
Address:
Supervisor's Construction License: Exp. Date:
Home Improvement License: Exp. Date:
ARCHITECT E
/ NGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.•$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to theuaran
g and
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Sgliature,ofAgen2Owner ,yrx '',.~ -' z - >. t� -_
_ .-r 5 �4z, �=�Sigrtature�of�contractor, fz' �,: . =:f� I
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer El' Tanning/MassageBody Art ❑ Swimming Pools ❑
i '
' 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 -2-q i Signature
COMMENTS )S i 4-
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
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
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