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HomeMy WebLinkAboutBuilding Permit #Exception - 24 CROSSBOW LANE 5/1/2018 (3) .r TOWN OF.NORTH ANDOVER F APPLICATION FOR PLAN EXAMINATION b Permit N0: Date Received �SSACHUS�� Date Issued: IMPORTANT Applicant must complete all items on this page rr Sk rt:� �s,�mst '$. £, >ks �1z �' 675y2� �, �? wx. �'` �` r` i,s �. mf ' 9✓'3 n yap < � r'�,�a- ;. Ed. sY�`�" �.T's'�S��4aa"�x, '�"�- + QC �' ,+R� 4 �- � � i. r,cF,s" � .r�{'yu, yt�?:�t �, �.�'+-cµ,<Ma�•� ��:' _.. ^�Y3zs.>a}. Fm�'�n ,}.� k., ..X�i .,�,. � � i �'�t�.�"i� 'Cv%" r vis � �3, ��r:�s-" }E �r'Y '" -.�.te}�'„�v�,'s�s� z` ski`,.�. r:. �'� � a �' s ?��sks��t �""� �"� '`sx� � �uS ":� ��:. 33�°,x<. '`'a�r•.,.�£. e',� ������� ,,�� � �'� ��r _q gig TYPE OF IMPROVE_MENT PROPOSED USE 'Residential Non- Residential ❑ New Building ❑,One family ❑ Addition ❑ Two or more family ❑ Industrial ❑ Alteration No. of units: 0 Commercial ❑ Repair, replacement ElAssessory Bldg 0 Others: ❑ Demolition ❑ Other q .0 � '� rte` � "k Y % i� brs�, r�✓ � � �^�� c x X »• 'f uz r "k'u ➢ t fir. a ' r1 s'h%". *a s1 ' a§Y z x ; �. DESCRIPTION OF WORK TO BE PREFORMED: //vC�2c9 U v✓r� l9't/A/L T� r S'w! -1 Rr/"t- ,v Identification Please Type or Print Clearly) OWNER: Name: !�/L'/C. Phone: Address `� GESS ,B'OGJ �' �°f -`r°'S. --�+ ,,s. r�: r"� � s>E"zt-�r}' �, '� � � '�ak^ d � �""` ,`< 'u-�,:o<, ,s�°, "z4 � Y'h`" a � ,: r?K �`:• t#x'"' ,� a >°'�- ' �` ., y��k fl'` x..'�+� r 7 rf` } t S' .: �S .�' .F�rs aae �.x" s ia + ✓sa' t a� zxFk k crht'�t S '• tf A' � rt' '.yK ' i -i S .�� y��x; Ake. �a `J:A� g ,,w�" �,. R. t `'�' ,i t .. rogv P P4 Lk' a ibt3� ��a� �a��.? :.. 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. i A� Total Project Cost: $ ��� OAC FEE: $ Receipt Check No.: t No.:p NOTE: Persons contracting with unre istered tractors do not have access to the guaranty and ,. ... ., Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ i TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body 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 i DATE REJECTED DATE APPROVED PLANNING &-DEVELOPMENT ❑ ❑ r , COMMENTS x r D E REJECTED DATE APPROVED CONSERVATION jg (COMMENTS 1 Z.413 — DATE rDATE REJECTED DATE P OVED ` HEALTH ❑ ❑ ©��[�> COMMENTS Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comments ,Conservation Decision: Comments Water & Sewer Connection/S9nature & Date Driveway Permit Located at 384 Osgood Street gmn Ck rn^'"es .L,.:i §�s- ''t »;m 3s lo .YSY .fix ral Kxr« ;,:,�' :r u g - z'.. •.,a xai ,,,,5 a 'r� .. � ��"�l�+� .�tee��+`�'� Y,A