HomeMy WebLinkAboutBuilding Permit #Exception - 299 DALE STREET 5/1/2018 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION
Print:
PROPERTY OWNER �'lll��r �` EY� r f-� 7`�`)_C .J�
Print 100 Year Old Structure yes no.
MAP NO: q _PARCEL: ZONING DISTRICT: Historic District yes no
Machine SFiop Village yes. no-
.TYPE OF IMPROVEMENT. PROPOSED USE
Reside Non- Residential
❑ New Building -E-dine family
❑A tion ❑Two or more family ❑ Industrial
Iteration No. of units: ❑ Commercial
❑ Repair, replacement 0 Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑'Water/Sewer_
DESCRIPTION OF WORK TO BE PERFORMED:
Identification Please Type or Print Clearly) 3-k 7
OWNER: Name: Jt ) ��' / /� T/ it Phone: ?
Address: i L t J
- - -- - - - 1
CONTRACTOR Name: j/�/ -`Z� Phone: Cf 25S
Address:
Supervisor's Construction ',License CS bo 7(b 7__ iExp Date:
Home Improvement License: Exp. Date:
ARCHITECT/ENGINEER ) ) ZA Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ '`� (� 66 — FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting 'th nregistered contractors do .not have acces t e u ranty fund
Signature�of Argent/,Owner . Signature of'.contract_or
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
a
_ Plans Submitted . .Plans Waived-E] Certified Plot Plan ❑ Stamped Plans ❑
•TYPE:OF-SEWERAGEDiSROSAL '
Public SewerSwimming Pools ❑
Tanning/MassageBodyArt ❑
Well ❑ Tobacco.Sales ToodPackaging/Sales ❑
;. Private(septic tank,etc:: -E1 -• _ permanent Dempster on Site El
THE,FOLLOWINGSECTIONS FOR-OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED: DAT•E:APPR-OVED
PLANNING'&DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on ..s) !V � Sig nature �_l I g
u
COMMENTS NO
HEALTH Reviewed on Si nature
Y `
COMMENTS+L L(YA U Q��v r au- a- �0-a M( M
)-du) CN,3ktv�n MAL,4wn, 962A01 (:�*.,2014
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 Tows Engineer: Signature:
Located 384 Osgood Street
FIRE DEPARTMEINT Temp Dump"star on :yes no
Located at:124,Mair Street S
Fire`®epartmen sigrjatu"reldate'
COMMENTS
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- � •:i R£'{�Jislti+'+i�� .'. ;ifvl"1"':.a�Ci.:a
construction svper%icor
License: CS-007864
us
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GERARD E W ICH
PO BOX 248. law we
S
N ANDOVER MA»01845
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92,� 5, \
Comm.issioner�� Expiration
. 04/18/2014
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APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass.
Application by the undersigned is hereby made to connect with the town sewer main in ��/ �% Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. Street
or subdivision lot no. 1 C
J�/b/i,,Ct `�r 1/Pkv �( T i �1C—.
Owner Address
Contractor Addres {
App' nt's ignature
le
";rv�
Co�c�S�P i0�
PERMIT TO CONNECT WITH SE ER MAIN ,
c '
The Division of Public Works hereby grants permission to f f2
to make a connection with the sewer main at Street
subject to the rules and regulations of the Division of Public Works.'
Divi ion of Public Works
By—
Inspected by
Date
See back for rules and regulations
1 �
DEBORAH A.CHITTTICK 603
53405412113
MICHAEL E.CHITTICK135
28 STREET
9-DALE
NORTH ANDOVER,MA 01845 Date
Order of /��
n Cj �ollars
itanlc
America's 11 Most Convenient Bank..
For
�: 21 137054So: 8 24767938 lli10603:
u� e w„�
Larkin and Larkin Development Corp.
709 Lowell Street,Methuen,MA 01844
781-944-7808
email larkinandl l-m@aol.com
web www.larkinandlarkindevco.com
Proposal/Contract
February, 10 2014
Mike and Debbie Chittick
299 Dale Street
North Andover, MA
Job location:
299 Dale Street North Andover
Scope:
Pull Permit with health and Engineering department.
Pump and crush existing septic tank excavate and dispose off site.
Excavate from street to sewer exit location at front of house and install new 6" p.v.c.
sower service from sewer stub at edge of street.
All work to conform to the town of North Andover regulations and to be inspected by
town official.
Dispose of excess material and rough grade ready for landscaper.
Total: 3,900.00..... Deposit 10%
Exclusions:
Ledge removal or blasting, boulder removal over 3' x 3'
A grade will be taken prior to commencing work to determine weather a pump needs to
be installed if a pump is required there shall be and additional charge to purchase and
install pump system.
Accepted b J — Date
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