HomeMy WebLinkAboutBuilding Permit #Exception - 30 MILL ROAD 5/1/2018 ' BUILDING PERMIT f $ORrh
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TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
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Date Issued: �SS�CMUS*
IMPORTANT Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
ResideNon- Residential
New Building One famil
ddition Two or more family Industrial
teration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
DESCRIPTION OF WORK TO BE PREFORMED:
n a yr
Identificatio Please T e or Print Clearly)
OWNER: Name:--&I Phone: L) 1
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Address: �JO i
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ARCHITECT/ENGINEER Phone:
Address: e
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: FEE: $ At
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Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
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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
^E REJECTED DATE APPROVED
CONSERVATION
COMMENTS VIwAJ
DATE REJECTED DATE DDROVED
77
HEALTH
COMMENTS / v -- 5 f'� �--
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted ye ` �
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature &Date Driveway Permit
Located at 384 Osgood Street
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