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' BUILDING PERMIT NpRrk
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APPLICATION FOR PLAN EXAMINATION y
Permit NO: Date Received 'Qp�RATM,rFay�S
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Date Issued:
IMPORTANT:Applicant must complete all items on this page
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MAPNO PARCEL ZONING�DISTRICT Histonc`[?istnct yes 3no ,
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Ma"chme:ShopaVillage_
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
New Building One family
Addition Two or more family Industrial
Alteration No. of units: Commercial
Repair, replacement Assessory Bldg Others:
Demolition Other
_ y.. . _. .. Watershed District
Septic Well t Floodplain `1Netlands c '
1Nater/Sewer.
DESCRIPTION OF WORD TO BE PREFORMED:
Identification Please Type or Print Clearly)
OWNER: Name: ` Phone
Address:
CONTRACTOR' Name Phone: >.
A'dd ess ;
Supervisor siConstruction Licenser x
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E ate
.Home Imgrovement,License:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BOLDING 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 contractij
g with unregistered tractors do not have access to the guaranty fund
Signature of Agent/Ovvnei Signature of contractor '
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Plans Submitted Plans Waived Certified Plot Plan Stamped Plans
TYPE OF SEWERAGE DISPOSAL
Public Sewer Tanning/Massage/Body 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
CONSERVATION Reviewed on Signature
COMMENTS
HEALTH Reviewed on 7ll41z Sianatum-
COMMENTS_ C� ��� —� �-� t,���,. VID
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 Oscjood Street
. ... 14 EPARTMENT -Temp. Dumpster on site yes no 4:
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RICHARD
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F�s�OMAL
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ELEVATIONS OS�
description designa s
• built 11
INV. PIPE OUT OF HSE. 98.67 "AS - BUILT
INV. PIPE INTO TANK 98. 17
INV. PIPE OUT OF TANK 97. 92 96.83 SUB • SURFACE DISPOSAL
INV. PIPE INTO DIST. BOX-1 89.86 91 . 14
INV. PIPE OUT OF DIST. BOX-[ 89.69 91. 09 " p p
SYSTEM INV. PIPE INTO DIST. BOX- 2 85.77 85.06 T M
I N V. PIPE OUT OF DIST. BOX-2 85.60 85.00 IN
INV. END OF PIPE- 1 85.5 84.71 NORTH ANDOVER
INV. END . OF PIPE - 2 81 . 5 81 .96
FOR : CLARKE CONTRACTING
Scale: I " = 401 Date: JULY 21 , 1987
RICHARD F. KAMINSKI AND /-ASSOCIATES , INC.
ENGINEERS • ARCHITECT • SURVEYORS • LAND PLANNERS
NORTH ANDOVER , MASS .-