HomeMy WebLinkAboutBuilding Permit #Exception - 350 SUMMER STREET 5/1/2018 ISUILUINU f r-KMI I
TOWN OF NORTH ANDOVER c :.
APPLICATION FOR PLAN EXAMINATION
Permit N0: Date Received °"�R,T.o
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Date Issued:
IMPORTANT:Applicant must complete all items on this page ,
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TYPE.OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
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DESCRIPTION OF WORK TO BE PREFORMED:
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Identification Please Type or Print Clearly)
OWNER: Name: I� its) Ll A L 18 PAND I Phone: ��-(o$� -09 LF
._.� Address: 3.5� SUmm� �
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SC14EDULE:BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $77 foo, ar FEE: $
Check No.: Receipt No.:
NOTE:, Persons contracting with unregistered contractors do not have access to the guaranty fund
�, �Igna �e-pfgentlOuneT ,'' Slglna#ure o contractor
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public SewerTanning/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 APPROVED
PLANNING & DEVELOPMENT
COMMENTS
DATE ECTED DATE APPROVED
CONSERVATIO;;;�g
�1- e -
COMMENTS
DATE REJECTED DATE PROVED
HEALTH
COMMENTS r +
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 " Tern Durn ster on site Y` esn 4 n ar
P P h '
Located at ,M Street g . "' A x sl
Fire epartment signatureldate a�
WIN
"- $�TkJ- ri5y`0.•J� L Lt�,y�-"� L .1'k ` d `� ,; � � h
OMMETS ` n�r
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SEPTIC SYSTEM AS BUILT
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IN ,
`NORTH ANDOVER, MA. \�
DRAWN FOR
MESSINA DEVELOPMENT LOT 11A
SCALE:1"=40' DATE: 11/17/95 �I]
SCOTT L. GILES ,R.P.L.S.
NORTH ANDOVER, MA. -'
LOT 10A
43,593 S.F.
TABLE OF ELEVATIONS
INV. OUT HSE. = 107.70 ,` 2G� �� ®��®F NORTH A �DOVERi
p a1 _ $'_ BOARD OF FIE LTH
INV. IN TANK = 107.13 G ��
INV. OUT TANK= 106.98
INV. IN D.BOX = 106.52 'oma NJOA/
INV. OUT D.BOX= 106.33/5 LINES 0
INV. END LINES = 105.90/5 LINES
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U 1 352g
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