HomeMy WebLinkAboutBuilding Permit #Exception - 94 FLAGSHIP DRIVE 5/1/2018 v
A
1
�lORTFf
•
,
O�S6 q1.
BUILDING PERMIT 3r y�,;,. °0
TOWN OF NORTH ANDOVER °
APPLICATION FOR PLAN EXAMINATION
H
Permit NO: Date Received
��SSACHUs��t�
Date Issued:
IMPORTANT: Applicant must complete all items on this page
LOCATION94 Flagship Drive
Print
PROPERTY OWNER Nova Flagship LLC
Print
MAP NO: PARCEL: . ZONING DISTRICT: Historic District yes no
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building ❑ One family
❑Addition 0 Two or more family C(Industrial
E�Alteration No. of units: ❑ Commercial
❑ Repair, replacement 0 Assessory Bldg 0 Others:
❑ Demolition ❑ Other
❑ Septic 0 Well ❑ Floodplain ❑Wetlands ❑ Watershed District
❑ Water/Sewer
Identification Please Type or Print Clearly)
OWNER: Name: Nova Flagship LLC Phone: 978-685-4811
Address: 80 Flagship Drive,North Andover,MA 01845
CONTRACTOR Name: Steven R.Webster Phone: 603-401-7601
Dutton&Garfield,Inc.
Address: 43 Gigante Drive
Hampstead,NH 03841
Supervisor's Construction License: CS-039771 Exp. Date: 03/17/16
Home Improvement License: Exp. Date:
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: $ FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Si nature o --
f A ent/O -
_9_ _ g_. . , Signature of contractor
s
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 ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE PPROVED
PLANNING & DEVELOPMENT ❑ , ❑ /5
I
i,
COMENTS
CONSERVATION ❑ ❑ ,-)-a'/1
COMMENTS
DATE REJECTED DATEAPPROVED
HEALTH ❑ ❑ t?(9
COMMENTS-a
I�
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