HomeMy WebLinkAboutBuilding Permit #Exception - 140 COLONIAL AVENUE 5/1/2018 (3) BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Date ReceivedAORArgo►�P`
Permit NO: �SSACHUS��
Date Issued:
IMPORTANT Applicant must complete all items on this page
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TYPE OF IMPROVEMENT- PROPOSED USE l
i entia
Residential
Non Residential
in
One family
New Build g Industrial
Addition Two or more family
No. of units: Commercial
Alteration Others:
Repair, replacement Assessory Bldg
Oemolition Other
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DESCRIPTION OF WORK TO
BE PREFORMED:
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Identific tion Please Type or Print Clearly)
OWNER: Name:
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Phone: 2—
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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 contracting with unregistered contractors do not have access to the guaranty fund
TWO
Sgraure of
FIVO 4 w, Signatutefionracor°
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/S,ales
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: 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
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