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HomeMy WebLinkAboutBuilding Permit #Exception - 70 SALEM STREET 5/15/2012 NoKiM BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION *yy y 1* ./ T T• M eb T Permit NO: Date Received � �9J q°4ATID �SSACHU`��� Date Issued: IMPORTANT Applicant must complete all items on this page r`,t�a,.i 3-' +„iki ..�^ -w s .ay T$i 'sr'laa aat.=.. u 'a 8. " Xa x ,'$".y,fEt Fx s.- ^,k ,,.., rS ;bi'exia `LOCATIONS .� 3 t ? bc �x a affil 4� x r "sem t t v 5 a*e 4 a,.,,,3 x a t:.k a „� h !. .+ �t t s` ''s�:: �x a'. ", <.'ia�' k'r " r.ys ;l• �':' s`'ts &RROPERTY ��5 �..t #4105.�1-kr. x` (s �,. .,'mss ."� ,,.x.. �a ri-:"4s..,�"' t "r fl'^sr,i*+�3�£p•,�.c�'Fy� fg"- ,.�.r?!,.�.'1 "s'i:'� ?Pt� �.L°_at �- R - r •s"w. •r E x., �.As� '? Oxy -�"�+;�k;• ��- s 1'�r i,, z `?`t `��?� x.: �°�� -..xt a,yr .a :' >p ��._:.wac�,rs,'r,. .. rp �.rak ._,ir L�v'� '��in L.„ar� �:qy 7+- .�'�', ri�k' •*..r+F9 Y'`-ye'.�.1�� n Q�' �*' �'MAP�ryNO`���'re �' PARCEL'S X�:.T =ZO I�hfG C�}`1S�TR`ICT� z �r�Historic Dis#r�ct��- � L���� TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ew Building One family ❑ Addition El Two or more family El Industrial ❑ Iteratio No. of units: Q Commercial Repair(replacement Assessory Bldg ❑ Others: ❑ Demolition ❑ Other We.ldhd�s x �;�Vlratersh�ed District jSept�c ; �UUaeli z 3 fl Flooaplam a ��" r� �A �Y e .ir' 4. ;7 � � as-r^�-1 S.'� -�-I ,.x•:S -n. .,s r 3 r P- - � `s n �t -ch �. 7 �'� yL_F�1Nat_et/Sewer��.'�_, �-�,, s�rk- �� ���?'ix x..�.._;'i ..a a.t.`U,�.3 ,.�a � ,:•;fir,' a''; .v' .Ts, ..:5a!?•T >:Lw'�-1.�.�.,_ c �iur,r _ DESCRIPTION OF W, ORK TO BE PREFORMED: /30/ .2 C e �k 5k.- 2WA�,ce-- r (S �Cl 7Zhe�1 r ✓► l'd dr fi7 t�✓1 Identification Please Type or Print Clearly) (� OWNER: Name: /3ar-`- %,A .Phone: ')) � o Address: 70 SSa(e, , /IJL) ata - r .s.a: r• .ic; sir-. :rrxrE �-scw x da f ' r-.-,. r ; ^y....•, m 1 v rry r 4 s 1 r r fy04fFa- �w-t rlj { .rxts a. �ws-„�Cy,' ,ls .- _ .+, ..f "t �. xlsa '7 u, ry5t - 5.3,,` °< L #t t5 �F dl- r -# c a CT` k •y ,s” c 5t' x 'at k -- 1 i'L s t yF * x" + 'k r, Rt'ke s n s z ismk CONTRAGTaR„Narne _� tts x rr Phone x� � � 5 a^w -• i. t ;., •`°' f f...- 2k .}7 SRF ..�kti�i} 1f i� y�,��,�+'� .v�,:: r" a,. �t't "` "`�r �:✓��, r� - �r �<< t,;.s`i���¢�,i�rp„�,�'�,�.^'� ,�. -,�,t e t.-. a �+§'..+'�k Vii. t6 t ?�,xx ,3s`i'". �'pa�t. >z^s`..-k-�['..g 't-+ ,y. ,yi b r''�' ;q t zt �;. . .3;r Address w #n� y(�,�'�*N.°t y 'S"Y a[� �t`+1.F x Y' a y K< �--�kt- rs.�.�€ qr�e� a. �. xs pd '�' �e'��l' �7 -0 ,3+�"�' �': � �F.-� e a`r �.+• ey 'Y"��t � �y�',�t,�.x"�u^t, :• R�.'�G�tX :tn �v�i��e.h-� �':;?�' � '�`'�&—"� ��� -�-`ti�.�s It x t'� u�'t +mak � � � �L�p��e�.'� �"" �� s�- � A,�. _p .,♦. �. rax ��h a.aa.s -�. .F x � i- � s Sfb`A hSx.: s� t'..n �"r .''€"e��-c a ,,� -.�4r �s� .�'�"..,�� � f-". f t s - ! M r �,�° P"� �� ;�s� �C.. 'h3-^+ ,rR?� t-v �x��,s ,yeF �, ,ti< �,�� � 9'�� ,"• -w ts•�5 i^ !• L ;.. �N• Y ��. �'`�# "rr�'.M•N }f s � r ,�` x .- .?4.-x� � r?° 3`a r�� �-.� '.'�_'� c Hornelmprovement . 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. Total Project Cost: $ 5 o0 L,) FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund Signature of Agent/Qwner, Signature o#; .on tractor '. •' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan El 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 DATE REJECTED DATE APPROVED CONSERVATION ❑ ❑ COMMENTS DATE REJECTED DATE= ATE ROVED iEALTH El ❑ Z/-1 /� � COMMENTS / 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 k S ..irtyc FIRE DEPARTMENTYTemp'Dumpstefi,otlYsite M- �e LOGBted'at24�`Maln Ftre ©epartmen signature/dafe ,�3 K ss y 4 L v r 'rj i ,3 2f: t i ah •..^ '�N. .>Yd�i.` �....H:t1!.-: ..tom{Y niu:rW.- .F.'1P� ?Fw .'� F. ... T l ..> .1.. ".4$-.s �A... --- - - t ��} �• �,+% �z7•,���� �� a r ,ate' � y 4 ,.3' .�C?f�1�•+'Zjt�I��';Y` ✓ice�. :�'PJP' `�" .. • yi}'°�1,.� 4 a � � ..r� ��"",,,.�'�aj,,,����,�`'r +�Y! /�Grf i-�'.S D.'7`. ` $ � �. �. �� .�w'� ',� i`��ul /i�t1C`Y drat.�`^..-•...� j�I� � ' 46 , 4 J4 co A�m if ..ar- 4tF' C Ale gS ss- 1 . j a "04 R ' 1 � r(y[tya•� [ !f • i � a i r 3 f 1 1• � • REBAR SET Ir 12500' ,5'E REBAR — SET MAP 96 BLOCK 41 LOT 0 AREA - 25,000 S.F. 0.574 ACRES PROP. 24' X 24' GARAGE 22.2/ , 21.8' 0 H OF M,ysJq 11MOTHYJ. cya X / r v WININGS 44.6 - No.45099 y PROP. 4 X 8 °FFss�o�Q.. PROPOSED LANDING u00 5' X15' ': P Ada t-t-;C)10) IRON PIPE 1 SO+p'; .E FOUND -- - REBAR SET - - SALEM STREET - GRAPHIC SCALE 40 0 90 40 '0 IN FEET 1 inch = 90 it PROPOSED PLOT PLAN 70 SALEM STREET PENNONI ASSOCIATES INC. PREPARED FOR: APRf►c 9, 2012 Pennon 100 Burtt Road,Suite 120 93 Stiles Road,Suite 201 BART F. WEITZ PL- Andover,MA 01810 Salem,NH 03079 70 SALEM STREET 0( 6D3-2263235 ) i PE NNONI/ISSOCIATU INC. (1)978-749-9920 603-226.1950 NORTH ANDOVER, MA 0111145 (n enn� xw�cviann�