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HomeMy WebLinkAboutBuilding Permit #Exception - 495 Forest Street 5/1/2018 * %O R'r BUILDING PERMIT oF�tLEo ,ga, TOWN OF NORTH .ANDOVER APPLICATION FOR PLAN EXAMINATION .T permit No#: Date Received f �'qs"A ED P-? sgct�us� Date Issued: - IlVRORTANT:Applicant must complete all items on this page 11117 XPI � -� ppp 1 LOCATION _ -- '` J - - o -'""� '.r AbPant . ca o _ v PROPERTY OWNERI� a� - ��= � °. „ • 8 TR1CTx ,• oYerst�ruwt - Y �MAPt I'ARCEL�- ZONIN �_-Historic Distnct�, yes z o Macline.Sfiop Village. _yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building )4 One family ❑ Indust ❑Addition ❑Two or more familyIndustrial ' Alteration No. of units: ❑ Commercial ❑Repair, replacement 0 Assessory Bldg ❑ Others: ❑Demolition ❑ Other _ e .tic, VVefl - r q Floodplain 1Netlands Watershed D►sfriG- ptid ,< F ❑ _ - _Water/Sewer: :...:.. DESCRIPTION h�F WORK TO BE PERFORMED: ,nig` GN ' Identificatio - lease Type or Print Clearly OWNER: Name: 1.0C h � v�-��k Phone: Address: �� 5 Contract©r Name: .fits _. Phone: .. Address:,- ( cLC eiii son's''Constr`ucgori= Dates ove ent:Livens Home<Imprf=g, ? - - - = .a..R .. ..._.:._ e _ - ARCHITECT/ENGINEER Phone: Address: Reg. Ido. FEE SCHEDULE:B ULDING PERMIT.-$92.00 PER$1000.00 OF THE TOTAL.ESTIMATED COST BASED ON$125.00 PER S.F. 1. _,Total Project Cost: $ 3 1 , 000 FEE: $ Check No.: Receipt No,,- NOTE: o,.NOTE: Persons contracting wid, unregistered contrac ors do not ave:acces -the guaranty fund • - t,�n::°` -'"^°' rrrnafrirr� rnn eai rt nr' .r L Plans Submitted Plans Waived Certified Plot Plan ❑ Stamped Plans ❑ �ypE OF SEWERAGE DISPOSAL Public Sewer ❑ Swk ming Pools ElTanningWassage/BodyArt ❑ well ❑ Tobacco Sales - ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF e U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ .COMMENTS CONSERVATION Reviewed on . Signature COMMENTS HEALTH Reviewed on Si nature ' J COMMENTS44aA. rn in apm 11 Im, I,A /I"UA I ,. 4'I '1�1.� t I, l 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 Dumpster on site yes no Located at 124 Main Street Fire Department signature/date rr�n nn n�ni-r'e i VN ................._,_.. _,,.___........_..._....... 1 } j G.� L � \0