HomeMy WebLinkAboutBuilding Permit #Exception - 80 MAPLE AVENUE 7/12/2007 1 r►ORTH
BUILDING PERMIT to
TOWN OF NORTH ANDOVER o -.
APPLICATION FOR PLAN EXAMINATION
Permit NO:
Date Received
�SSACHUS��
Date Issued:
IMPORTANT: Applicant must complete all items on this page
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III USE
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TYPE O
F IMPROVEMENT PROPOSED E
Residential Non- Residential
❑ New Building ❑ One family
❑ Addition ❑ Two or more family ❑ Industrial
Iteration No. of units: ❑ Commercial
❑ Repair, replacement ❑ Assessory Bldg thers: -sc h .
❑ Demolition ❑ Other
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DESCRIPTION OF WORK TO BE PREFORMED:
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j OWNER: Name: h L� - U Phone: f /7"
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ARCHITECT/ENGINEER A914"I" /r/f Phone:
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Address: a6 o7-- l/��. j � ���-. Reg. No. 1k,
FEE SCHEDULE:BULDING 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.:
s NOTE: Persons contracting with unregistered contractors do not have access
to the
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Signature of Agrjt�3ru F�� � .�� � Sag �at�rNcon�tr�actor- ��.,,. '�Y� �.�
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 L�
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
P NNING & DEVELOPMENT ❑ ❑
COMMENTS
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DATE REJECTED DATE APPROVED
C 4SERVATION
COMMENTS
DATE REJECTED DATE ARPOVED
HEALTH ❑ f -21.3w 7
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
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Water & Sewer Connection/Signature & Date Drivewav Permit
Located at 384 Osgood Street
757 OR
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