HomeMy WebLinkAboutApplication - 101 CROSSBOW LANE 6/14/2007 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit N0:
Date Received ` rn
Date issued:
IMPORTANT: Applicant must complete all items on this page
r r
7�. �. r 'bir s � �, H rr w -�✓^ s ...z c,c �' '� 3' �%i..-��'�:.�".�%
g
r r' F'x '�� Vii" y `,� '?� �.a,", ,x ~_•� ��;* � a�f
,� �" s-a� ,s'�-�.�xt r•2�r�t xs.�.r^ � F�y£� `� .y."m��."` � ' '��✓'��'*'�,,.,�.� �n *.?:^ e� `�,'r 3,`a +i 7, ��
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building [ One family
gAddition PV.(-V, ❑ Two or more family 11 Industrial
[I Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑ Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
c W'� r � �a.✓..^< ,�axr . ` [ a, l
d W
z RI' ` esa
,xytg9 � A ro su.
DESCRIPTION OF WORK TO BE PREFORMED:
t ReMlED NEW 't�l+�g�Tr`-Ctil 2"�b� C�MGts��T�becKN� aN Ott
p W7�- fiwt3 Q- � ttt.itj(o> Ste= rs 'kt1 � Llrw
Identification Please Type or Print Clearly)
Phone:OWNER: Name: MDRe IN-ND `3e►� Ph(-k)U9 71_2C
C , � N �C- ���tR-
Addre °►��
"r-
�
�.7���Iw7�l���� ��W �����1%l'��1I�� � � r"�r,�r�,,': r' rX k�� �X�a✓ ��11'� � �
ARCHITECT/ENGINEER � Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.,
Total Project Cost: $ C)1 000-o0 FEE:
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the gi
Sigriattare of AgentlC?uune Signature of coritrattor °'
Plans Submitted Ll Plans Waived Ll Certified Plot Plan Ll Stamped Plans C
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales caging/Sales ❑•
ANDRE PAQUETTE 5-194110 427
0008449757
JENNIFER PAQUETTE
101 CROSSBOW LN. DATE
w NORTH ANDOVER, MA 01845-3006
FAY TO THE (/ �U USE ONLY
ORDER OF T R M
DOLLARS
)ATE APPROVED
3 Banko America
e
81010 Boston,Massachusetts Z' "
���_�~Q 1 .;
Y W ----—`'
MEMO 77
1:0 L L000 L 381: 00084 49 7 ii' L4 2 7
E REJECTED DATE APPROVED
CONSERVATION �-J ^^
`t�
COMMENTS
DATE REJECTED DATE IPPR VE D /
HEALTH ❑
COMMENTS AZ, i�c Y���� � �, ��'�cn--�- � /� i_1C_(C s 15
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
EIRE DEPARTMENT Temp Durnptern It
Ye rio
Located at'124 t�alr�Str�e#
1
Fire De�arfirnent-s�gnafur>a/date
LL
m
x .
{
(=x s`1 N(;D
i
qoD S�� � �xt5'Cttgtt;
i
r 3 �
-- -
A ka ft(p -
� }
_ Ib (b Sr?nsv Ra6�l Tr
D a I fi 1l`- b"
D n' 4z li�lC) i I
fib 4'3 '°��"�`�
To � Zo -�
G fi"d
G tv (7 ltJC�_ _►
6
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
i
"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
CONSERVATIO �'� �
COMMENTS A In I
DATE REJECTED DATE APPROVED
HEALTH % %❑ " , ❑
.r
COMMENTS '
r y -_A AF' G.d �_ ""„ e _ t❑x c° r'`'te, ..p. mI r„ i U,1,
r
Zoning Board of Appeals: Variane 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
EIRE`DEPARTMtN't ''Te.mp�bo' ►pster"on ' *""'-,"Yes/ na
Lo66ted,at 124',Majrf Streef
;
Fllre.DepeirlLrndrit' nature/date
N66°03'10"E i
151.44' I '�
J� - EXISTING
- - --� :2 ' DRIVEWAY
r
I.L-
cn r
—Ci 1 0 �
Z r Lij a
,nv ' z I
- r, w o
Q W I q cy
W ~ W I W
i (17WQ � W � W <
I C/) r � � I 4 CD
>{ < Q 01
LLJ
I
4 , f W
r m
m
_.\", 00 0
U
V) w
--- �
L d- t--,
co
a
166.17'
\ r N71 030'53"E
o z o , Z
m z ui I Nom'
c a
V) U = w a �
liJ
l� o < n cn
_ Q _
W t-1 w I-
u �,