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HomeMy WebLinkAboutBuilding Permit #Exception - 51 WELLINGTON WAY 5/1/2018 (3) t4ORTH O� 9 BUILDING PERMIT �t�Eo ro TOWN OF NORTH ANDOVER o < � APPLICATION FOR PLAN EXAMINATION �mh Permit No#: Date Received �s4°0R,TE,PPa'R5 gSSACHUs�� Date Issued: IMPORTANT:Applicant must complete all r�items '{,o¢nn€thi�s rYpage .Z? a^ # , �'"M +et LOCA'TI©N �.a- r, Lis / ✓ � " `� � . .z,t [ g xw •-fiza+*• +x __."'. 'a".. ''r'^'�.r-Y +� ! y r a .d-v+..ssu�cv-,s'.kw���y "`�+. ,� _ I6t. a g it 2 ',a R ,,,� 3�' .vim •y„y .' ` R kb v k,Xt , a" ' r /'1 i` �PROPERTYOWNER es.-z MAP FSCs�� 'PARCELZONING�pISTRI'CT/�/` _a,Htistone®istrict .r4+, yest 4 a''�F "� g .a. .^K.�..a '�"N"' ...i"ie y i4sMachineShop Villa9e��` YeS.- 10 TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ANew Building XOne family ❑ Addition ❑Two or more family ❑ Industrial ❑ Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other — - °�epti lewer Io VWfe: pla0Ne . tc ate�/ DESCRIPTION OF WORK TOBEPERFORMED: Identification- Please Type or Print Clearly OWNER: Name:" s—s ,A- ZISJC• Phone: ?`7/ 31?6 Address: SHd e&-f" - e) F3 w 2r„t �§ ,.�, i F Co tractor}Name _° . Pho e � � iS /�:� ErnWX ���,�u� '��5'#3�i�cr�^�'.�•,� `v K ,qi q,, NAA`4p .. .'.�r-,, �#� �. W "',d.'a.F � s�r.. "�sc-�+Y �'�' ', .,60- -uc Cs �� tionLicense �'. 4x: � _ e7 { ` v'F�.•ya ,�'ja¢,�fi '"'. `" v "C" Ptrt E 'if•"+ ' �k'}1 l i�'.n. -� r r, ��c��.7, �q �' ',�ry,�^� a f�a� � ` s �+ 7+ ?'� t"A,ell' ��� 4` Yt+.:Fe3 3 A � 'k'� e � t " Figmelmprovementicense �� �. Date n �. Exp e ARCHITECT/ENGINEER f^l Phone:L3 .SS2-Y-?/St" Address:/re—,RX o�✓ /�iQ [ f Reg. No:��7 96- FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 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 Ngnatdhe -- NNE- Flans Submitted Plans Waived ❑ Certified Plot Flan ❑ Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ I Food Packaging/Sales_ ❑ Private(septic tank,etc. Permanent Dumpster on Site ❑ i THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On v Signature_ COMMENTS G'l ` ° J C 120 _ LAUNUA6:�O CONSERVATION Reviewed on '-4 1 Si nature7LI COMMENTS HEALTH Reviewed on l Zlr ( �o Si nature *, COMMENTS N��a �dJJI, a'4 ne 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: FILocated 84 Osgood et RE DEPARTMENT - Temp DumID on sit yes : 3no¢ ,`ood Str e � Located at 1x24 Main S reet y _; - - f, S .r w 11,----7- J C®MME�NTS �, �. AKA Vj6kqV1,__�J TOWN OF NORTH ANDOVER . Office of COMiMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; SUITE 2035 - -- - -- ---- -- - -NORTH ANDOVER;MASSACHUSETTS 0184 - - Susan Y.Sawyer,RENS,RS 978.688.9540—Phone Public Health Director 978.688.8476—FAX —- healthdept(Ltownofnorthandover.com www.townofiiorthandover.com APPLICATION FOR SOIL TESTSv RECEIVED DATE: 11/24/2014 MAP&PARCEL. 105C.22 LOCATION OF SOIL TESTS: 602 Boxford St, NA Lot 4 "' 4.0 "" --- .. -,---------------_� _ r 14U K I H ANUC)VER -- Gorton Famil- Trus 1�EATI2EPARTMENT OWNER: Y Contact#: APPLICANT:Messina.Development Contact#:978-837-950-13 ADDRESS: 277 Washington-St,- Groveland;-MA 01834 ENGINEER: Christiansen-&-Sergi;-Inc-- -Contact#: 978-373-0310- - - - - CERTIFIED SOIL EVALUATOR: Phili (�p `.'hristiansen Intended Use of Land: Residential Subdivision- Single Family Home _ Commercial Is This: Repair Testing: Undeveloped Lot Testing: ^ Upgrade for Addition: In the Lake Cochichewick Watershed? Yes No X THE FOLLOWING MUST BE INCLUDED WITH THIS FORM ➢ Proof of land ownership(Tax bill,or letter from owner permitting test) ➢ 8.5"x 11"Plot plan&Location of Testinz(please indicate test nit sites on the plan) ➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and two percolation tests required for each disposal area. Fee of$360.00 per lot for repairs or upgrades. GENERAL INFORMATION ➢ Only Certified Soil Evaluators may perform deep hole inspections. ➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans. ➢ At least two deep holes and two percolation tests are required for each septic system disposal area. ➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH representative. ➢ Full payment will be required for all additional tests within two weeks of testing. ➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health showing the location of all tests(including aborted tests). ➢ Within 60 days of testing soil evaluation forms shall be submitted. Please Do Not Write Below This Line N.A.Conservation Commission Approval te: l Signature of Conservation Agent: 0 I Date back to Health Department: (stamp in): rA % e- - AlW ----------------------- -- -------- 15. 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