HomeMy WebLinkAboutBuilding Permit #Exception - 7 INGALLS STREET 5/1/2018 BUILDING PERMIT
TOWN OF NORTKANDOVER °
APPLICATION FOR PLAN EXAMINATION - y
Permit NO: Date Received °q<� � <-
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Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION 'n S S-\R-e O 2A-
PROPERTY
—PROPERTY OWNER SQ!M Pri�
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MAP NO: PARCEL: ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building KOne family
❑Addition ❑ Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑Walter/Sewer
Aec�gAce snow 2ve1� — ice
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Identification Please'type or Print Clearly)
C01/11NER:1 Name: �. Phone -% 5
I Addres"s: .01
CONTRACTOR Name: Phone: �]$'� �L 0 zo3 I
f��/-�l�S _11 SeT� ;c as
Address:
ac 2 3 Vel
Supervisor's Construction License: S o,.7 3��I Exp. Date: -7 20I 6
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Home Improvement License: ' 1-77
Exp. Date: -7119L2,0 IS
ARCHITECT/ENGINEER I 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: $_32-, FEE: $
Check No.: Receipt No.:
NOTE: Persons contract1ngjyith unregistered contractors Flo not have access to the guaranty fund
Signature of Agent/Owner ;.�iL. >� � Signature of contractor
_
Plans Submitted 11Plans 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 ❑ ❑
COMENTS
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH n `
;C'OMMENTS l 11� _ S1 , 3 -
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
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
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NORTH ANDOVER
CONSERVATION COMMISSION
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A North Andover MIMAP 7 Ingalls Street June 30,2015
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—I Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
—SR
Meters Data Sources:The data for this map was produced by Merrimack
—Roads 40RTN Valley Planning Commission(MVPC)using data provided by the Town of
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CI Easements .�`° North Andover-Additional data provided by the Executive Office of
O '1'
� et '�.6 00 Environmental AifairslMassGIS.The information depicted on this map is
❑MVPC Boundary 3, o L for planning purposes only.It may not be adequate for legal boundary
_Parcels O 1- definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
N p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
# ; THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
41 ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
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