HomeMy WebLinkAboutBuilding Permit #Exception - 169 GRAY STREET 5/1/2018 BUILDING PERMIT NORTFl
of�t,.Eo ,b qtr
'- TOWN OF NORTH ANDOVER 32 y '' A' '` °
APPLICATION FOR PLAN EXAMINATION
Permit No#: Date ReceivedZED
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION
Print
PROPERTY OWNER_ (
Print 0 100 Year Structure yes no
MAP �PARCEL:IZ1Z ZONING DISTRICT:�Historic District yes
I _
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building .9One family
'Addition El Two or more family El Industrial
❑Alteration No. of units: ' ❑ Commercial
❑ Repair, replacement R-Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
J'✓tS l v`�'� •'� 1�7-tam,: G� �� X �O r lit �n e-f' J t..J i .•Kea„
Identification- Please Type or Print Clearly
OWNER:, Name: Phone: 1` 12L
Address �I?-1Y'l - 4-Z71 Gte'v,
3
Contractor Name:1 tL R-1-L)4lN10 Phone: -9-367iG�ru /q-6-360 3(0 ccll
Email:
Address: 7t). 5' - Jo's 0 s l k 61
Supervisor's Construction License: O/Q33oExp. Date: /}-7-/q-tZ
.Home Improvement License: 11 k Zvy _ _ Exp. Date: az-13-71
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 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 the guarantyfund
Signature of Agent/Owner �!'�� Signature of contractoe'r ,�q44K z
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/MassageBody Art ❑ Swimming Pools ❑
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
PLANNING & DEVELOPMENT Reviewed On Signature_
COMMENTS
CONSERVATION Reviewed on Signature
COMMENTS
HEALTHReviewed n ( (� Signature
i
J ..�
COMMENTSIVO Y�
U
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 noa-
Located'af 12.4. MainStreet - - �-
_�
Fire DegAftmentsignature/date
COMMENTS._
y ` PROPOSED SWIAIIII OOL le� f�'ROPOSE 2'x2' .MIN. SIZE
' '� � `� . �► / BOULDER 2' OKF NO. DISTURB, ZONE
PROPOSED CEM. CONC. DECKS' s
PR ?SED PUMP
CARTRI E FILTER �P-R-OPO7SED ~ --
G -- SI!T FENCE '
p PROPOSED LOAN �" i 4 `� " . T�FP:}
c\ .G AND SEED _ _ �' 07.
G
PROPOSED HAYBco A 93 i
FOR DEWATE o._ o a_____---Q 9 -- CEAfENT cn 0
r IF NEC :' .- `` o BLOCK - ' �" �'` ~ -- m 0 �
cn Cn �' Tl p
(SEE NOT 3� -- T o - -- `� --
TEMP ARTY , i� ,- p0 -' PROPOSE �. - �- ``
DEWA RING ,'" , 46 4 HIGH CHAIN LINK.
REA F FENCE ENCLOSURE G�
r d =? PROP. PLANTINGS o,
PRO OSED CR `� DECK
�. STO DEWATERING t1 -' _ p /
FILT (SEE QETAIL --
r, PROPOSED _ / 1 STORY -
0 TEMPORARY
OIL/
1 - -- .
•� STOCKPILE 1W.F.D. . �5 , `�A`PPROXI€�ATE1 1 X1696,, LO T€(?N OF
1. _r SEPT€ ,TANK.
1 STORY
f
CIA
Ln
r l
3
8,gg, 82.85
STILES STREET
- _ (PUBLIC—VARIABLE WIDTH) -
Lo
0
0