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TOWN OF NORTH ANDOVER
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Building Inspector
Div. Public Works
Certificate of Occupancy
$
Building/Frame Permit Fee
$
3 undation Permit Fee
MUS Ro
$
f �&
�t r Permit Fee-'
$
r Epile
Sewer Connection Fee
$
Water Connection Fee
$
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Building Inspector
Div. Public Works
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SIGN PERMIT APPLICATION
NORTH ANDOVER BUILDING DEPARTMENT
Division of Planning & Community Development
Date Filed:
1. Site Address `v�ccawl S%. %tea s /2s /3jr��r1
2. Owner /'��O wo�,� �zgc /—/
3. Applicant
4. Number of SignsSize of Sign(s) �XV'
�
5. Site of Proposed Sign(s) /C//���- /Z.S- 13y6!/ .S Z19W1.1C-e ha -•!c"
6. Materials: /y�D ,d'o�f+?y - //,-Z"-z;0
7. How attached: (a) Against the wall ( )
(b) Roof
(c) Ground
(d) Other ( )
8. Illumination: (a) Not illuminated ( )
(b) Internally illuminated
(c) Illuminated from separate service
9. Proposed Colors: Background 4:L)
Lettering C at—
Border.
rBorder. &V c ,.]
10. Will sign overhang any public road or walkway: Yes ( ) No (�
11. If Yes, Name of Agency who will provide liability insurance:
12. Attachments:
( ) -',Photographs of building
( ) Material sample
( ) Color samples
( ) Site or Plot Plan .(Required for all free-standing
signs)
( ) -;Drawings of proposed sign
( ) Other, specify
13. Is Board of Appeals decision required? Yes ( ) No ( )
Signature of Applicant
poatM
Zoning Bylaw Review Form
Town Of North Andover Building Department
---L' 27 Charles St. North Andover, MA. 01845
Phone 978-688-9545 Fax 978-688-9542
Street:
W i ll m u9 s
Ma /Lot:
a5
Applicant:
/fid '- c o( /Pal R o s
Re uest:
C2 940ty o l ec 'u, l ix w IPAflktVq6aPa e- o� ,,r --
Date:
1
9 4 9 a o C
Please be advised that after review of your Application and Plans that your Application is
DENIED for the following Zoning Bylaw reasons:
Zoning R-1� z
QS /iS/ X30
Remedy for the above is checked below
Item # I Special Permits Planning Board Item #
—Special
Item
Notes
Setback Variance
Item
Notes
A
Lot Area
Common Driveway Special Permit
F
Frontage
Variance for Sign
1
Lot area Insufficient
Independent Elderly Housing Special Permit
1
Frontage Insufficient
Earth Removal Special Permit ZBA
2
Lot Area Preexisting
Planned Residential Special Permit
2
Fronts - e Complies
Ll e- S
3
1 Lot Area Complies
*-S
3
Preexisting frontage
4
Insufficient Information
4
Insufficient Information
B
Use
5
No access over Frontage
1
Allowed
G
Contiguous Building Area
2
Not Allowed
1
Insufficient Area
3
Use Preexisting
2
Complies
4
Special Permit Required
Ecs
3
Preexisting CBA
5
Insufficient Information
4
Insufficient Information
Ll e
C
Setback
H
Building Height
1
All setbacks comply
e g
1
Height Exceeds Maximum
2
Front Insufficient
2
Complies
3
Left Side Insufficient
3
Preexisting Height
4
1 Right Side Insufficient
4
1 Insufficient Information
Le -5-
5
5
Rear Insufficient
I
I Building Coverage
6
Preexisting setbacks
1
Coverage exceeds maximum
7
Insufficient information
2
Coverage Complies
D
Watershed
3
Coverage Preexisting
1
I Not in Watershed
4 e
4
Insufficient Information
Ll e 5
2
In Watershed
j
Sign
A&A
3
Lot prior to 10/24/94
1
Sign not allowed
-
4
Zone to be Determined
2
Sign Complies
5
Insufficient Information
3
Insufficient Information
E
Historic District
K
Parking
1
In District review required
1
1 More Panting Required
2
1 Not in district
2
Parkin Com lies
3
1 Insufficient Information
3
Insufficient Information
4
Pre-existino Parkin
Remedy for the above is checked below
Item # I Special Permits Planning Board Item #
—Special
Variance
B-4 I Site Plan Review Permit
Setback Variance
Access other than Frontage Special Permit
Parking Variance
Frontage Exception Lot Special Permit
Lot Area Variance
Common Driveway Special Permit
Height Variance
Congregate Housing Special Permit
Variance for Sign
Continuing Care Retirement Special Permit
Special Permits Zoning Board
Independent Elderly Housing Special Permit
Special Permit Non -Conforming Use ZBA
Large Estate Condo S ecial Permit
Earth Removal Special Permit ZBA
Planned Development District Special Permit
Special Permit Use not Listed but Similar
Planned Residential Special Permit
Special Permit for Sign
R-8 Density Special Permit
Special permit for preexisting
nonconforming
Watershed Special Permit
The above review and attached explanation of such is based on the plans and information submitted. No definitive review and
or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to
provide definitive answers to the above reasons for Any inaccuracies, misleading information, or other subsequent
changes to the information submitted by the applicant shall be grounds for this review to be voided at the discretion of the
Building Department. The attached document titled *Plan Review Narrative° shall be attached hereto and incorporated herein
by reference. The building department will retain all plans and documentation for the above file. You must file a new permit
application form and begin the permitting process.
�-Building Department official Signa�tl,�
/c/091' p a,s
Appli on Received Ap 'cation enied"
Plan Review Narrative
The following narrative is provided to further explain the reasons for DENIAL for the
APPLICATION for the property indicated on the reverse side:
� 1
Referred To:
Fire
iy C�C!}tkrP 'i.t (! 4 `h a� � Y1� A �• �� � '+"P' a�'I
-4-
Police
Zoning Board
Conservation
aci a %doe Ar..�
Planning
Planning
5 ,� y r 6� i Vc"
Other
14,,
_7 10 � m'" S4r�dv� HiQ%rte
S %til C �S
12 L j n e a a r -I,i
ANNA 02 AO 0/,
Referred To:
Fire
Health
Police
Zoning Board
Conservation
Department of Public WoiWs-
Works-
Planning
Planning
Historical Commission
Other
Building Department
I
TOWN OF NORTH ANDOVER BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR, RENOVATE, CHANGE THE USE OR OCCUPANCY OF. OR DEMOLISH ANY BUILDING
OTHER THAN A ONE OR TWO FAMILY DWELLING
Section for ofriciai use oRl
BUILDING PERMIT NUMBER:
DATE ISSUED:
SIGNATURE:
Build,i,% Commissioner/19sMor of Buildings Date
SRCTM, t,,
1.1 Property Address:
of U&
1.2 Assessors Map and Parcel Number:
Map Number Parcel Number
1.3 Zoning Information:
2-/o -? (C C-
iaring District Proposed Use
1.4 Property Dimensions:
Lot Area (sf) Frontage(ft)
1.6 WELDING SETBACKS (ft)
Front Yard Side Yard Rear Yard
Required Provide Required
Provided Required
Provided
1.7 roster Supply UG.L.C.40.9 34) 1.5. Flood Zone Infinmation: 1 -8 ScwcnV Dispowil Syd—
Public 0 Prmft 0 zoac Outside Flood Zone 0 Municipal on Site Disposal System 0
PPow
IN " A -W
2.1 Ow7el.of Record
I bunAa 0'.
Name (Print) Address for Service:
Signature Telephone
2.2 Authorized Agent
Name Print Address for Service:
Signature Telephone
3.1 Licensed Construction Supervisor
Not Applicable 0
Address
License Number
Licensed Construction Supervisor:
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor
Not Applicable 0
Company Name.
Registration Number
Address
Expiration Date
Signature Telephone
Owner/Authorized
Agent
Hereby declare that the statements and information on the foregoing application are true and accurate_ to the best of my
knowledge and belief.
Signed under the pains and penalties of perjury
Print Name
Signature of Owner/Agent
Date
Item
Estimated Cost (Dollars) to be
Completed by permit applicant
Q_ FFKUL USI< ONLY
1. Building
(a) Building Permit Fee
Multiplier
2 Electrical
(b) Estimated Total Cost of
Construction from (6
3 Plumbing
Building Permit fee (a) x (b)
4 Mechanical (HVAC)
5 Fire Protection
6 Total (1+2+3+4+5)
Check Number
� .St fY �,'-
rrtih
t� �! /t1�7•s f -7,i ('M` _1) 'S+ i`I� Cyt (,
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TIMBERS IST 2
3 PD
SPAN
DEMENSIONS OF SILLS
DEMENSIONS OF POSTS
DIMENSIONS OF GIRDERS
IiEIGHT OF FOUNDATION THICKNESS
SIZE OF FOOTING
X
MATERIAL OF CHIMNEY
IS BUILDING ON SOLID OR FILLED LAND
IS BUILDING CONNECTED TO NATURAL GAS LINE
c,