HomeMy WebLinkAboutBuilding Permit #Exception - 299 DALE STREET 7/10/2012 4 NORTH
BUILDING PERMIT 0
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
d
Date Receive
Permit NO: CHU
Date Issued:
IMPORTANT:Applicant must complete all items on this page
w—. 5
L0QA,,TI0N1-
W 1ti
gin
k'R R 0 R 1 T- !Y-
Xg—W t
un
-1 DISTRI District!q,'--,-! n ...A"
L
L
0
�.-,PARU NING
s.1,.yes;,-, no
-.4
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family Industrial
Addition Two or more family
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
-d 1**.'�-' "-'...-""W'tiarid��*
el- Flo- painf
t' 10
i Septics 'Welly . ;�,, , e
Z.lvv
atef/S6W&d!
DESCRIPTION OF WOI K TO BJE PREFORMED:
2 L)5-) If -5-9&5 Lb
v 5--; -2)
e,
Identification Please Type or Print Clearly)
OWNER: Name: Phone:
Address:
�i P h a
N
NTRAG-TOR0 affd�-: t7L1'J!V
AdWresg
TMA
4
aNk"
vor -ensex �E
- UijiAi66-01i, a 'e.--�
G
Mr. V
id
S�
z e-:Y4
,Date.
ic
n ! )'
2MpIpploy E! Q 6A�
. --ATL E- P- .
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT:MOO 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 contrac ing w unrezistered contractors do not have access to the guaranty fund
- - - I"— 7 7�- -
7-r
whe 3-..-�.,
Signature of
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/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 o Signature �-40
COMMENTS
HEALTH Reviewed on li v l 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 38.4 Osgood Street
FIRS DEPARTMENT; Temp'Dumpster on site. yes ���k ►F�not r�.: �i
• 1 s sic rr
L'ocatetl�a_t,124,,,Main Streetl''
Ferree aitment ,i gnatureLtlate 2
�,�'�7t.,y��.1. ���E`•�"'Fi tl--r"*'*. r'R�"'`t.'s v. r ,�� �, ^ti y..�.,�.--•.v 1�--c -�..K� .�1-.' ,r -- .i--* .! `;j
3LD6. --F71=S: I MV,, 1=LE�flT i b
&Z)6. Go R• A avT S,77 - 107,R I
S,i" H-&Tv ZZ 'f y7,S ' �, 1u F'c. = 187,SR
P.e.i--t.N• (�-rE 3z'" S3 To P P, C , ! 88 ��I
1 K D-BOX = 1
X 73,3 11 ! OvT D-eoX
y�-
37.a �. , 1 - 100,R3 I � �
g
Z = iS8,R3
= 100 , 3
106, -7 3
424,67Z 5,F'
Sir— .
g
TRS
! JATFJ2�
� s��vi cam' C PPP_oX)
,r O
I o /
I �
fl-BOX
2>a q
)5n
L STRUT
AS BU 1 L (` PLA Kv
NOR 4 A Q DDS fz , M V r'
{"�`;�`5�,4�3.�r°i'f� s s`''1 D1ZA1J Imo! F"O t'`.• <A�
.W fA U L 1-1 GA eT�Vzs zHo',a,�
DTA: 8 - 7- o� �MURPNI
SANITARIAN
No. 708Tt-io1--1
S i ilk�O l`G I F
3
. :: SS/ONAI E
,
..
ILI .:iy',;.....
1