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Home My WebLink AboutBuilding Permit #Exception - 24 CROSSBOW LANE 5/1/2018 Ar BUILDING PERMIT NoeTN � Oft�eo TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION � O e Date Received��—/(0 _0_17— .0_ Permit N0: �SSACNUS�� Date Issued: IMPORTANT Applicant must complete all items on this page .r. t � . kc C - �, Y4 a 4 =r T T ay* G t�' a �.-. -+ ,x'# s, ra %r4re1. -s++ +5 st }lr r�" `y,.'eL ,x`.c.� . X —TA G, Y"S SA L + Y©^W ) E'vY �' .# 1 'J .�_. I �h{ iu q.�,y+4 A� '"t y.Y •mY- K .,na4rp.y dpi+ � . � � -3° u�Y. 'd0 V E b +skP f. 9'..,. �' •' S p '' "–r"!r+ ? e"r r''}I ra A+� " ' ''}' •.�_. v TYPE OF IMPROVEMENT' PROPOSED USE Residential Non- Residential New Building One family Two or more family Industrial �./ Addition Y Alteration No. of units: Commercial Repair, replacement Assessory Bld Others: Demolition Other he' Hea }py p { r � LrdA��i A� Y 7,C) 5h-e-W - ,I _I D RMED: T Identification Please Type or Print Clearly) OWNER: Name: � 1 n t- l Phone: Address s-S v t rhOne R''Name L Ys l rc rnn�' X t' k K" ; h+ a x'.. 3$ 4r r c, ^; * ,,�..' �'a�`a :.. � "� tw'�`�. .,y rr 's `/ `' 5"s r "2 r;sunsuctiora cense z•r '�.!.%% .roC '+... i+ 4 s`' 'sr`. xY{r ,.•3 771. r �rt, > � � a� �� •;,'. �+-� '�r t � � r ..-1 f:, 4 i"f -. 'x S 'a-" z ,c.�n�'4.a � �k a� �' tai r. .: �"5+.,�.r . 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: $ O FEE: $ Check No.: Receipt No.: 'NOTE: Persons contracts g with un is red�contractors do not have access to the guaranty fund igrxaureo Agent/t3r�e = S%gr�atu�e ofiontradtor _ e. f Plans Submitted Plans Waived Certified Plot Plan Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Tanning/ 4assageBody 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 DATE REJECTED DATE APPROVED PLANNING & DEVELOPMENT � .% COMMENTS D REJECTED DATE APPROVED CONSERVATIO;� 2� COMMENTS Z-' 3 DATE REJECTED DAT P OVED �C HEALTHY COMMENTS Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes i Planning Board Decision: Comments Conservation Decision: Comments Water & Sewer Connection/Signature &Date Driveway Permit Located at 384 Osgood Street FREDE�'ARTMENT l'emp .Durnpster onsite, Yes Lica#ed a#'1'c4Aa�n Streetf t , moireDepaitn�ent �gnatureldate ; x y- aj °:COMMENTS=. ° WF 2 ► / � / _ DECD a , ►� ELS a PRO ' • / BRICK F /I�,,, # 24 000000 WALK �✓ ?�4. o► 7 PRO CABANA f 00 ARBORVITAE'S TAE'S // �/ ° '� ��' 20� I '. T p B. AI PLANTED. 'mss O VER S EP T C � D WA TER/NG/ 7 MA LE ,� BRICK A '\ REA 10 0' WALK / �A000 PPROXIMA 7E LO A TION 2_0 ' OA l OF SEP 'TIC SYSM CONTRAC OR TO V RIFY ' 8„IMAf'� LEACHFIELD/LOCA TION A� MARK As IN FIEL"RIOR TO CONSTR C 11®AI�F� ,� 0 • LOT 21 4J 595 SF 10" PINE REPLACED WITH BLUE SPRUCE LANA _ I OCT 2 4 Ml i f�WN d;=it, HEALTP !.:- , . . ,`r.