HomeMy WebLinkAboutBuilding Permit #Exception - 546 SHARPNERS POND ROAD 7/12/2006 J;AL.O
TOWN OF NORTH ANDOVERAPPLICATION FOR PLAN EXAMINATION .
dt NO: Date Received: G'
Issued:
IMPORTANT: Applicant must complete all items on this page
'
CATION � 16 S karpners rP��1 qV.J f
Print
)PERTY OWNER M ,v, � D&,.;^ Pe kro 7Z6,
Print
T NO.: ;L10 PARCEL: DOOST ZONING DISTRICT:
'E AND USE OF BUILDING HISTORIC DISTRICT YES ❑
'E OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
f
New Building )C-One family
Addition -' Two or more family ❑ Industrial
Alteration No. of units:
Repair, replacement ❑ Assessory Bldg r Commercial
Demolition
Moving(relocation) a Other Others:
Foundation only
SCRIPTION OF WORK TO BE PREFORMED(o^s f/'o J- o-,
i
,.�.,���.G _ ��-li�;�y�i1.t�-;�"k.;�S PA�.s�Cr �cl'�►too. i &rl�Pr��c i'fa►,e AkA''rt� 6,*r&z-
.J
e lo5ef 5 rxcC r c rW YL wce-r'Z C W,-ZS/c,.wl,
rer ,v 11 also �� a rra, edc cation Please
u�letlt�d� t LS y®P�e Arsrint t5neal,
'NER: Name:fit,h rA - 17c,%.,:wv, PPe tr02 t c, Phone: A78) '799-1-33 1
Iress: 5Li(-' '5�ulPners fC:^A Re,-CAA
NTRACTOR NameCLKEY ar — C-Irs SQ 1 �dE25 Phone: q 10 JT 77
irc s: Amcleuiteao F AG` 0 iC '/
iervisor's Construction License: Exp. Date: Jo
i
ne Improvement License* I Exp. Date: i 0 ' OrZ
CHITECT' GINEE f AZI e: Phone: , 005.57
"'
No.
i
SCHEDULE:BULD1NG PERMIT.$10.00 PER,81000.00 OF THE TOTAL ESTIMATED COST BASED ON S135.00 PER S.F.
al Project Cost :$ x10.00=FEE:$
ick No.: Receipt No.:
lot +
f
E
YPE OF SGWARGE DISPOS7Tanning/Massage/Body j Swimming Pools iJ y
Art -_
ubtic Sewer acco Sales Food Packaging/Sales
_
Fell Ji
Permanent Dump ster on Site !_I
Electric Meter location to
rivate(septic tank,etc.
project �
CE: Persons contracts -will unregistered ntractors do not have access to the guaranty uu
ature of Agent/Ow er ^'
Signature of Contractor
i
s Submitted Plans Waived ❑ `" Certified Plot Plan 9 Stamp P ans s
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF- U FORM
DATE REJECTED DATE APPROVED
t
INNING & D VEL MENT ❑ ❑
[]Water Shed Special Permit
r
❑ Site Plan Special Permit
❑ Other
MMENTS
TE REJECTED DATE APPROVED
INSERVATI
iMMENTS b
rqaT'
1 4
{
DATE REJECTED DA PPROVED��
:ALTH 310
)MMENTS -
'' J
4--r` 'P
ping Board of Appeals: Variance, Petition No:
ning Decision/receipt submitted yes
inning Board Decision: Comments.
,nservation Decision: Comments
ater& Sewer connection signature& date
,mp Dumpster on site yes no Fire Department signature/date
Ao�-
wildingPermit Approved-and-Issued by:"
sez{r.a
DINING ROOM
LIVING ROOM
OFFICE
FAMILY ROOM
KITCHEN
CLOSET
BAT OM
KITCHEN/EATING
I ST FLOOQ PROPOSED
DINING ROOM
LIVING ROOM
OFFICE
FAMILY ROOM
KITCHEN
CLOSET
BAT OM
KITCHEN/EATING
ST FLOOQ EXISTING
rr,
BEDROOM BEDROOM
BEDROOM
O
BEDROOM
CLOSET BATHROOM
BATHROOM
2ND FLOOQ P�,)OPOSED
BEDROOM BEDROOM
BEDROOM
BEDROOM
CLOSET BATT--IROOM BATN200M
2ND FL00f� EXISTING