HomeMy WebLinkAboutBuilding Permit #Exception - 320 Pleasant Street 5/1/2018 C`NO oTFf
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BUILDING PERMIT
TOWN OF NORTH ANDOVER - .4 o
APPLICATION FOR PLAN EXAMINATION * -
Permit NO: Date Received `b
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Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION 56 Phillips Court
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PROPERTY OWNER Ryan M.Schruender
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MAP NO: 095 PARCEL: 36 ZONING DISTRICT: R4 Historic District yes nb
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
IN New Building 1� 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
N Water/Sewer
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Identification Please Type or Print Clearly)
OWNER: Name: Ryan M.Schruender Phone: 978-869-6880
Address: 56 Phillips Court North Andover,MA 01845
CONTRACTOR Name: Phone: 978-360-0215
Stephen M.Smolak
Address:
762 Dale Street North Andover,MA 01845
Supervisor's Construction License: Exp. Date:
Cs-053176 2-15-17
Home'Improvement License: Exp. Date:
ARCHITECT/ENGINEER Martha Macinnis/Paul Marchionda Phone: 978-374-8719/(781)438-6121
Address: Reg. No.
FEE SCHEDULE:BULD/NG PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ $350,250 FEE: $ 4,200
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
'Signature of Agent/Owner ignature of contractor
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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 ❑ ❑
COMENTS
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
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
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
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Located at 124 Main Street
Fire Department signature/date
COMMENTS
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Dimension
Number of Stories: Total square feet of floor area, based on Exterior dimensions.
Total land area, sq. ft.:
ELECTRICAL: Movement of Meter location, mast or service drop requires approval of
Electrical Inspector Yes No
DANGER ZONE LITERATURE: Yes No
MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine
NOTES and DATA— (For department use)
❑ Notified for pickup - Date
Doc.Building Permit Revised 2012