HomeMy WebLinkAboutBuilding Permit #Exception - 305 ABBOTT STREET 5/1/2018 i
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BUILDING PERMIT 3 Oett,eo;bqoZ.
TOWN OF NORTH ANDOVER °
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received
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Date Issued:
EMPORTANT:Applicant must complete all items on this page
LOCATION a-J'
Print
PROPERTY OWNER 1-1,C-. 6 o b Co r c,& r-4,y ✓c F C R
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MAP NO: 35' PARCEL: 0 ZONING DISTRICT 3�Historic District yes
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building )One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units.- ❑Commercial
❑Repair, replacement ❑Assessory Bldg ❑ Others:
❑Demolition ❑Other
❑Septic ❑Well ❑Floodplain ❑Wetlands ❑ Watershed District
❑Water/Sewer
Identification Please Type or Print Clearly)
OWNER: Name: d b e r (',v LCA, Bib core"a r ,.Vy, N1AuCZy1,k Phone:
Address:
CONTRACTOR Name- / 7 Phone: .7Y6 7
Address: ,
Wf�,fuey R d, ;3 4 xf �M '0172 /
Supervisor's Construction Lice se: (:f'T- Exp. Date: oZ - /,s--
Home
,s—JHome Improvement License: Exp. Date:
ARCHITECT/ENGINEER P o1Zet- 1/cu- Phone: —717 - '7617- IS-7!
Address: 11 k,6 M[e ,y��nt �ef�tva4 Ogg Reg. No. -5-: J-46
FEE SCHEDULE:BOLDING PERMIT.$1200 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ . (�d`l,J� FEE: $ �i ff, YO
Check No.: 3. 68` Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner Signature of contractor
Plans Submitted Plans Waived'❑ Certified Plot Plan LlStamped Plans ❑
,_ TYPEOF-aB);W�RAGEDiSP:OSAL -
Public Sewer ❑ Tanning/MassageBody 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:APPR_OVED
k'PLANNING & DEVELOPMENT ❑ [�` Jf)3 j 3
COMMENTS Lvcr,�' /1/0,0
CONSERVATION Reviewed on o Signature
COMMENTS
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)(HEALTH Reviewed on Si nature
COMMENTS �j/J3��13
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Oe t Comments l� fGl�� /� dZc 3
-Conservation Decision: � o`m�{rients
Vater& Sewer Connection/Si natu e DriveWa Permit
D W Towz Engineer: Signature:
Located 384 Osgood Street
FIRE QEPARTNI ='iVT ---Temp burn ter on;site yes no
16cafed-at.124(Main Street :
Fire'D a�W.
epar`tmerj gpatiar 7date: i•
COMMENTS_ J_