Loading...
HomeMy WebLinkAboutBuilding Permit #Exception - 859 WINTER STREET 5/1/2018 p pORTh BUILDING PERMIT •D �6�h TOWN OF NORTH ANDOVER 4_�•,=6 of r APPLICATION FOR PLAN EXAMINATION y J S � Oa4 ExM i 10 PermitNO: . ..- Date Received 1-l� SgACHUSE Date Issued: IMPORTANT Applicant must complete all items on this page a'zi h L s b{ ,{�„z 9� �"T h xa,• �3 ", .�y 4'� i,r£ sr * >t, 1 t �'�+ns';ai+�` �S �+ ;�- "� r'� � � ,�s,w•„ bR,k' a'^ � a � .t �- �..� r;tF �a sr��4^ �,r,;.ar.'.�, ,�. m �� :..x x F jet '£L©IyA.J:�Q �. ;-- ��`- 2a a�' �" t � h�. r „, �' r c n � �r.�PnT�t �„ a � '��` r t •srx, >�'"� �- r r _`° s , �,rte 4'xt��� $A �� '� t< �� � t"�:: f '�s•�� ,.7.�yas.'�3"sr�, ,�a7k^'^`k F� � i':k '''S§.,s,.�u Y-'*� �*•-�`s 2'Yr�s wh tU q z+ i�I'°N3aPARCEsL"� NhNt I1ST =1'C "a1NH�soric{llstr=�ct � A ?. des ' }ryr t" 're` ys- a� ,+ k•5s ,! r3a','y °• P 1 a £ F . 77 .15� ar`., �.'a. ..s �' �' ;�.�a.,.a -fix. n 'r`"' ^a -a.c�, a=zr zr `•` 1.:„.4 ... %"err z`tir: -,. 7la�chlr�e SIz10d�llag�k., }ypi.S§s.,4.��} ...1k,A.• TYPE OF IMPROVEMENT PROPOSED USE Res i Non- Residential Ne wilding One famil R Two or more family Industrial Alration No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other y. � . . =9n � £� c f DESCRIPTION OF WORK TO BE PREFORMED: l9 6/i� �Lt:! --L`�.�i�f L•.i`{-'�'�b �t7 J -�\, b Identification Please Type or Print Clearly) OWNER: Name: Phone: 31L- — 14 Address: r .. s 'ka. � a a- a• -f' -;T�' �"'"' i-x. N Vie=' ry* .E y",. #'`xyey ny5' u r Rtrt S � z j t r sd+.. k 1 ra r _NT RA�OTOR Names �..�. �, Phone �a fc.P` � w �� ,t�Vtir . 51 /�„�p•� cam+ d / `�` "`. k�,& a. rr .a. cV d r ii ra ti a t a£ x 4v {+S` JF'yE' i�,xv -4-: �� 1•'� a 7 � -�,:. 5 r t, � a"ti x. ''-r� �, c t>�,c.r n "��'-" s m x ,��.ti� � Unti 4 a1.� _ i a` S. m -•c- F ..�" : 'Su, s .:� X.. � �t�� tzt t �a a �� .2, �J"h5�„zxa :i--t z m�a 1 t��' c ti s .+•� i�77 t "� a a. :. Saperv�sor sCc��asrct�o> L�cetasex mate apt ry"Fa r d7ka as sG ^..r v"r" 1 d im "I %pro a ai - t acense ARCHITECT/ R R udl�� '�w (_c\, Phone: L 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: $ '')-D, 0 V ' FEE: $ Q Ll 0 Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the.guaranty fund Signature6of Agen /O�Ine Signature of contracto PYans Submitted Plans Waived Certified PIot.A1 Stamped Plans TYPE OF SEWERAGE DISPOSAL Public Sewer Taming/Massage/Body Art Swimming Pools Well Tobacco Sales Food Packaging/,Sales :Pnriva:tetank,etc.D Permanent Dumpster on Site r ,THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &'DEVELOPMENT aA, � 1COMMENTS �. DATE REJECTED DATE PPR VED CONSERVATION 7 ` COMMENTS h DATE REJECTED DATE APPROVED HEALTH 25- e 5;- COMMENTS f�� 4 an-1 ssz" J 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 �12E*DEP ►RTI�IETempDiarnpstenite, fires ono r hx h pocate5t'.ii Main Street` x t x ; Fireepartmen#sig nature/date ,