HomeMy WebLinkAboutBuilding Permit #Exception - 54 LONG PASTURE ROAD 5/1/2018 (4) NORrH
BUILDING PERMIT of tt>eo 16
TOWN OF NORTH ANDOVER 32 � '`- `-J''''6 0
APPLICATION FOR PLAN EXAMINATION ~
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Permit No#: Date Received °
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Date Issued:
IMPORTANT: Applicant must complete all items on this page
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PROPERTY OWNER _llli1rd _ �9G - _ /G/
Print 10D Year Strucctu a yeses no
,MAP f_D,b _._.�PARCEL , 20 ZONINGIDISfRICT: Histoc'District yes.
Machine Shop Village yes
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building KOne family
/gAddition ❑Two or more family ❑ Industrial
❑Alteration No. of units:' ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
El Septic D 1Nell ❑ Floodplain,
_ Wetlands q WatersheddDistrict
DESCRIPTION OF WORK'TO BE PERFORMED:
Identification- Please Type or Print Clearly
OWNER: Name: LA -S4zb-7-i 4 V461 Z 4 Phone:
Address:
Contractor
Address K%0,-13-�,�0 C43__ '(K►K-.fb. MA
Su -'Nisor's.C:onstructionILicense 3Z6�' ip /Z-b
Ap ���- - Exp ate
Hoine.Improvement L•icense 1 f ��3 !Expo I®ate
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.-$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
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Total Project Cost: $ � �� ! FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
`_:9-e g Signature of contractor.
Si natur_ of A ent/Owner, _ _�
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISP
OSAL
Public Sewer ❑ Tanning/Massage/Body Swimmin
Art ❑ 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
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PLANNING & DEVELOPMENT NT Reviewed
On
Signature_
COMMENTS
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CONSERVATION Reviewed on Sianature
COMMENTS
HEALTH Reviewed on
Signature �
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COMMENTS
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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
:FIREDEPARTMENT emp IDumpster on site
yes Lo-ate 4t 124±Main Street
-
Fire'Departmentsignature/date..
COMMENTS —
EX. PROPANE TANK
N41*29'27"W
139.89'
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104x6 69.89'
E WATER EAS MEN - -
I
i x8 CoA
_y 32.3' 30.0' S'
— —
N41*29'27"W
" - s.s' �'
l y/c'y All
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Ex. Septic
Tank
105x0
• o � r
c
� O
oo�+9�0A;� ROP. 3' HIGH
/ S4
NDSCAPE WALL
_ SPF
_ ��q Sp ti10 TO
\` --
104x4 FFF F SpRJ-lyoo ��SS•
0 0\ o
\ .,..� ter_. ,
885, �F � :, �..::�._. � , � } w-;•.; '. N � i
IN, c �G1 N -P
Q'
\
QVI 47.8, �� 0DA) rli
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1
4 �q(/r�q ` /00 --
}- BIT. CONC. \
DRIVEWAY 104x2
\ i
99x4 \ v-
17.60'
1000 \ O�
x5 A4 94x9 ` \ I
'5 PROP. 3' HIGH
t ` 5' HIGH FENCE
B f oK; OF THE WALL
^�h ` STONE RET. W.
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