HomeMy WebLinkAboutBuilding Permit #Exception - 50 STANTON WAY 5/1/2018 (3) BUILDING PERMIT of NORTy q
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TOWN OF NORTH ANDOVER 10
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APPLICATION FOR PLAN EXAMINATION
Permit No#: Date Received °R,rEp
SSACHUSE
Date Issued: -
IMPORTANT: Applicant must complete all items on this page
LOCATION 30
Print
PROPERTY OWNER Ci C;5 0
Print 100 Year Structure yes no
MAP PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building 9One family
❑Addition ❑Two or more family ❑ Industrial
W Alteration No. of units: ❑ Commercial
❑ Repair, replacement - ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
;`®Septic "® ell "� �®FCoodp,,lairt�"' I�WekHands; ;'� 1/UAter hed ®strict
ater/Sc }
�I DESCRIPTION
N OF WORK TO BE PERFORMED:,
kT�'1Cx1 r1G extl �1ah�l�t� a.�. I�My,30 p w-c- lAcs� �i1C'6 '
CcQ4a t"l . 01 sctee,,eA in pocc k .
Identification- Please Type or Print Clearly
OWNER: Name: CMS\S [5 J1 L) Phone:
Address: --6o zg tv N t,.3 c-Y== a\ t7 i 5
Contractor Name: Phone: X03 944
Email:
Address: SL UeA\, �h�;n 5* S�Irm N R 6 0-79
Supervisor's Construction License: CS _ DSS �3�- Exp. Date:_
Home Improvement License: y$ Exp. Date: UZI it
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ 0 o FEE: $ '
Check No.: 55.9 Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Plans Submitted'9 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ TanninglMassage/Body Art ❑ Swim�g 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
PLANNING & DEVELOPMENT Reviewed On l Si nature V
COMMENTS )C(A .101� RV ey�yoacj� [d fn U I&11GCU} !i ft(
tp��k eA\-3N '36M1,,W 416M� WA �V6qX.. rpxv �C6P� a0l
�tru l h6u� rum J
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on (lJ Si na 4 ��,rzx�
U
COMMENTS �—O
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
FIREDE_PARTMETeinp Dumpster on,situ,gyes ,,, t-�, ta � i 'no � ' F :
Lr"o aed at 12.4 Main t '�`,
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p i nature/date �y t �• {
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COIVIMENTS4�-'• -�a x. -'� Y"' �x ► ;�=�;ra '`�t , ► :,. ' .?
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PUBLIC HEALTH DEPARTMENT
Town of North Andover
Community Development Division
CERTIFICATE OF
COMPLIANCE
As of: 11/20/2014
This is to certify that the individual subsurface disposal system received a
SATISFACTORY INSPECTION of the:
Complete Repair and Construction of an
On-Site Sewage Disposal System
By: Matthew Manning
At:
50 Stanton Way Lot 16-5
Map 61 Lot 120
North Andover, MMA 01845
Iic
s anc;,fthis c• 'ficdt��shall no be construed as a guarantee that the system will function satisfactorily.
f
A
hele rantPublic Health Agent
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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