HomeMy WebLinkAboutMiscellaneous - 171 HICKORY HILL ROAD 4/30/2018 171 HICKORY HILL ROAD t'
210/062.0-0122-0000.0
1 rd.
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FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION
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ASSESSORS MAP
SUBDIVISION LOT(S) (�
PERMANENTr, A DRESS ASS D BY D.P.W. /
STREETIC
APPLICANTT7 k
d rr C r"1� rpt t I/D PHONE
DATE OF APPLICATION 1h Iq z
TOWN USE BELOW THIS LINE
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COMMISSION
DATE APPROVED
CONSERVATION ADMIN. ATE REJECTED
BOARD OF ALTH
DATE APPROVED / 9
HEA TH ANIT llATE REJECTED7Z-)
DEPARTMENT OF PUBLIC WORKS
P*
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS Q rhl rfW
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health hoards,
the Conservation Commission prior to the issuance of any building permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
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NORTH G� ICE, -q—z
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Town of ` '\ 6 °LAndover
No. 030 iY +d1 ri
^RIVEWAY ENTRY PEPWIT UY.___�. �T Ela� er, Mass. 19 -
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SSA BOARD OF HEALT
PERMIT
...... �...., .N.® .........
THIS CERTIFIES THAT ....... ... .... .... ....... OB
has permission to a~. .... . . . buildings on'7/... � ma.....R.O.
to be occupied as. ...�l0M/ky...... �•� ................... Chimney
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provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
U BINGJNSPECTOR
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. /
PERMIT FOR FOUNDATION ONLY /(S G
VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA: 112.7 S.B.C. l
PERMIT EXPIRES W--6) MONTIWEa f� 9?FEE PAID: W , a ELECTRICAL INSPECTOR
UNLESS CONS UC N START
Rough e
Final
PLK PERM' FEE
--- --^----- ... . .... . ... .. . . ..... . . . . . . I
BUILDING INSPECT
VSS FDA FEE,_.___.___..__ GAS INSPECTOR
01JE FRAME PERMIT �, f ermit Required to Occupy B Rough
nth InOR FRA BU LDING
2 in
Display in a Conspicuous = ifs�fEE PA In
p y Place on th�A Remises
Do Not Remove - - FIAE
No Lathing to Be' Done Until Inspected and Approved by `Smokeo
ke Det.
VSVgZ Building Inspector