HomeMy WebLinkAboutBuilding Permit #Exception - 38 FARNUM STREET 5/1/2018 BUILDING PERMIT of 0 oT J
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION '-
Permit NO: Date Received
Date Issued: gSSACHU
IMPORTANT:Applicant must complete all items on this page
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PROPERTY OWNER �` ,t �j _,o,u l-��,►�J
EMAP 21`0 1 1 P�ARCEt $ ZONING DISTRICT His#onc District .-* yes
Machine Shop Village yes _
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building I Zn-67_—_ami y .�
Addition Two or more family Industrial
era io - No. of units: Commercial
epai eplacement Assessory Bldg Others:
Demolition Other
Se 1Nell T ; Floodplain Wetlandsy Watershed District: ?
ewe
DESCRIPTION
_
DESCRIPTION OF WORK TO BE PREFORMED:
re�-r Ot'c!,
Identification Please Type or Print Clearly)
OWNER: Name: rkZ ''D :�Q.,aNYu b Phone: ` 715- (56)
Address: ���-. /l7 �� -� �,�} �c� '1V1 +►�
CONTRACTOR `Name - W iie
r -
AAdd�ess
4J,-tom
Su-pervisor's;ConstructionL'icense C S
_. Exp� v I .
Home Improvement_License r_ ® a zExp Date
,-
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature of Agent/Owner : =Grp: ure of contractor
�/iLwiv � � 22 t I1` K
VPED OF CONTENTS, ) ! TH BENCHMAR .411Ekis '
'EMOVED FROM SITE. ?S7 No �j \ 1 SPIKE IN 10" PINE
K
!i 1 6.sELEVATION =PT 100.00
!
l ! r x (ASSUMED DA TUM)
1 ! 10M/N 20 ' orxo 1 1.1'f FROM GROUND
,o d !
� 29.7'
atuMe�/vc To rorx3 1L,L��? !
SIDERI °� �► / ! (SEE SHEET 2)RA1SE0 EX/S77N ppR \
.T � � / ! WOOD 2 ST �� FOU OAAO � !
/ OD FR ORY C--
70p
- i
AME - ! _
/ Toa 5 SEDRooM STRUCTURE ggxg PROP. CONCRETE
/ OF FOUNpg77ON _ DWe4ft 1 D-BOX - 6 OUTLE;
n 102.89 (ASSUMED �EX. BIT. !
l;_..._ DATUM 1
o -
i l oRwewA r
^ Il
W g4A-WA Y _
PRESSURIZED
WATER SERVICE �
ws SE
BOTTOM OF. SE,
MAX. SEASONAi
THEREFORE, BO
o / / / / DOES NOT APPS
N 6 716'30 W �000Q0000��'oo0 53.99'
! , 102.43
ws
E,O.P.- r w oAA STREET
Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
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 APPROVED
PLANNING & DEVELOPMENT
COMMENTS
i
CONSERVATION Reviewed on a Signature
COMMENTS , p V-ccs' /l'D L"�z. fvtoo
HEALTH Reviewed on 15/3, Q Signature
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
DPW Town Engineer: Signature:
Located 384 Osgood Street
FIRE+DEPARTMENT Temp Dumps#er onsite _:yes
L>ocated at 124, Mam Street = - r
Fide Department signature/date _