HomeMy WebLinkAbout10X12 SHED AT APLIN FIELD ---------- ............................................
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%0T#1 UILDING PERMIT ',
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TOWN OF NORTH ANDOVER
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APPLICATION FOR PLAN EXAMINATION
4
Permit No#: Date Received
Date Issued:
PO licant must complete all items on this page
WIN,
......................... ...........
TYPE OF IMPROVEMENT PROPOSED USE
.e Residential Non- Residential
-
19"New Building El One family
El Addition 11 Two or more family 11 Industrial
El Alteration No. of units: El Commercial
El Repair, replacement El Assessory Bldg El Others:
11 Demolition El Other
DESCRIPTION OF WORK TO BE PERFORMED' R(k
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Identification- Please Type or Print Clearly
OWNER: Name: Phone:
Address:
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/,,rrr/, �; >� r�/
01
ARCHITECT/ENGINEER Phone:
Address: Req. 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 con meting with unregistered contractors do not have access to the guaranty fund
,Signature of Agebt/Owner Signature of bontrador/A4)-1/11
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❑
Plans Sub(nitted F1 Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans
Ty-pF,OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools
❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Durapster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
PLANNING & DEVELOPMENT Reviewed On Signature
COMMENTS
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CONSERVATION Reviewed on Si nature` J L
COMMENTS bn- r\-k, "KY
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HEALTH Reviewed on Signature
COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
�Planning Board Decision: Comments
Conservation Decision:
WComments
Drivewa Permit
ater & Sewer Connection/signature & Dat
DPW Town Engineer: Signature:
Loc ted 384 Osgood Street
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Town of2 e ''"'
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U BOARD OF HEALTH
Food/Kitchen
ERMIT �T� LU Septic System
THIS CERTIFIES THAT ...........I.owrL.. .. ..... .....r... ... . ...... BUILDING INSPECTOR
has permission to erect buildings on ... .. ..(. a.!^......�l. C. Foundation
.......................... .......................................
Rough
tobe occupied as ......L.?�...V.i. ..........4,S..... ... ..:..................................................................... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and
Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough
Final
EXPIRESPERMIT I �+® T ELECTRICAL INSPECTOR
UNLESSS Rough
Service
... .... ... .... ...................... . . . . .............................
Final
BUILDING INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Buildinz Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approvedy the Building Inspector. Burner
Street No.
Smoke Det.
North Andover MIMAP January 16, 2015
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Interstates
SR Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83,
Roads Meters Data Sources:The data for this map Was produced by Merrimack
pORTFr Valley Planning Commission(MVPC)using data provided by the Town of
tr`r Easements Q* 1C p� North Andover.Additional data provided by the Executive Office of
MVPC Boundary „�, a4.�4o•pp Environmental AffalrslMassGIS.The information depicted on this map is
Parcels for planning purposes only.It may not be adequate for legal boundary
M ti - ''"' definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
♦ ; THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY
4 "s OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT
ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF
THIS INFORMATION
�S�CNUS�t
1"=71 ft �-�°