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HomeMy WebLinkAboutMiscellaneous - 66 SUNSET ROCK ROAD 4/30/2018 66 SUNSET ROCK ROAD 210/106.A-0267-0000.0 At TOWN OF NORTH ANDOVER BUILDING DEPARTMENT � APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Buildin Commissioner/Ipector of Buildings Date SECTION i-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: c0G G- ac�� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use I Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided _Required Provided 1.7 Water Supply M.G.1-C.40. 54)": 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ ❑ t -Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 er of Record Nam, (Print) Address for Service: f Signature Telephone 2.2 Owner of Record: Name Print Address for Service: M Signature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1Li ed Construction Supervisor: _ Not Applicable ❑ CC o� Licensed Co struction Supervisor: C—J c) c)07! 1 3's & " License Number Ad mess "' E�' ,8( -7.) `4000 xP E ira'n Date*,;0� Oic Sig tune Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name 1 �`� �i �� Registration Number ra+ rM Adt xss SOMMEJ `� -let Expiration Date Sig6ature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Aherations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify e-Mp 4cn V— Brief Description of Proposed Work: Free t 30x30 on CAI- a1 -01 tv19e k.sed 04 dA,:O ¢-d 4,l.el1 d vtv/1 cn-a3-D( t2o Coo k.►n y GC S/ka �ktn SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)tobeFFICIUSEONLY �x A u * Completed b permit a hcant R<=n,�. .��. � �� :.� �� :��;`��`_� 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical AC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property 1 Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTI N 7b OWNER/AUTHORIZED AGENT DECLARATION t I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief 3 Pn e "Signa"ture of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST 2ND 3 SPAN DRMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Location L42 ecjr_� No. Date �I Ofpstip ORTq TOWN OF NORTH ANDOVER t��•o y 3? � • OG f 9 i Certificate of Occupancy $ + i � Building/Frame Permit Fee $ CLAUS Foundation Permit Fee $ -rein P Other Permit Fee T.cI.++- $ TOTAL $ Cq- Check # 1501/" 9 Building Inspector Certificateof tame3&C.5t.5tallre REGISTERED Issued by Date Manufactured �srf,4 FABRIC NUMBER TOPTEC, INC. 6/8/00 ►- 1905 N.E. Main Street 2 31.02 Simpsonville, SC 29681 a E T,,a This is to certify that the materials described are inherently flame retardant. Name PETERSON PARTY CENTER Address 39 SWANTON ST MA 01890 City WINCHESTER State Zip Certification is hereby made that: The articles described are flame-retardant, approved and registered by the State Fire Marshal and that the fabric is in conformance with the laws of the State of California and the Rules and Regulations of the State Fire Marshal. Fabric has been tested and passes NFPA701-96, CPA184, ULC 109, MVSS302. Method of �'ppllc.ati;,on o . Description of item certified: EPIC END 30x30 WHITE The Flame Retardant Process Used WILL NOT Be Removed By Washing. TOPTEC, INC. MODEL TEM3030200 SERIAL # 203633DG Name of Production Superintendent J I 1 I _ 1 T24e .,uuealG4 0aaeaoiae!!e BOARD OF BUILDING REGULATIONS Ucense: CONSTRUCTION SUPERVISOR Number: CS 060219 BlRhdde: 04/27/1954 Expires:04/17/2003 Tr.no: 9111 Restricted To: 00 MARK TRAINA _ 33 HANFORD RD �.�...►r �C', . STONEHAM, MA 02160 Administrator r _3 The Commonwealth of'Massaclttts•etts Deparlinent of Industrial Accidents office offfeyeslioations ��' -- -- GOO Washinton Street Boston, Mass. 02111 Will n : Workers' Compensation Insurance Affidavit r name: he(Ic, location: Wo &n&e_F LL 9 city Nott dAVu M hone . 70) 7a5 • 69to ❑ I am a homeowner performing all work myself. ❑ I am a sole proprietor and have no one working in any capacity ❑ lam an employer providing workerscompensation for my employees working on this job. com ari .name: ddress. elf hone# . insurance co _.. . p I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: Ad'dress: ci . hon e# $ ': 1[7 i l . .....: ;;:...: .:. ... adtl.... cit MIND! .......................::. Failure to secure coverage as required under Section 25A of MGL 152 can lead to the Imposition of criminal penalties oCa fine up to 51,500.00 and/or" one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature /Lc /�— U Date � ` 18 Print name 121919 � A� Phone# ?8 t' 74 9 `BONN y�v official use only do not write in this area to be completed by city or town official R city or town: permit/license# fl Building Department []check if immediate response is required []Licensing Board []selectmen's Office yt contact person: []flealtli Department phone#; _E Otiter (rmsed 3195 PIA) NORTH Town ® E _ over p c% O dower, Mass., T `- COC LA MIC P y ,9 ADRATED p? 5 S H BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System �f! �� (� BUILDING INSPECTOR THISCERTIFIES THAT...... ../..(. ...................................................................................................... ....................... ..... Foundation has permission to erect........o........ 3............... buildings on ......5�.:`95.:�............... .............. Rough �3 ?c. m ' _ G...... • SWI P p r 1 tiJ '1-- ( IV ^ t z✓� 4C - Chimney to be occupied as........................I.................. .....................................................................................:Y.................................. provided that the person accepting this p mit shall in every respect conform to the terms of the application on file in Final . 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. /b ev /-lc;-) 10 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR ... .. Rough LService ........ ............. BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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 Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. CERTIFICATE OF USE & OCCUPANCY Town of North Andover Building Permit Number Date -2—g ^96 THIS CEERTIFIES THAT p THE BUILDING LOCATED ON MAY BE OCCUPIED AS GI-E t 4 IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO R l 9 E- ADDRESS 70 1J'"""S� Building nspector ORT *� � - -Town of over No. 419 0 oAj - rtedower, Mass., , OG, Sq 19` s T Q �= LAKE T . COCMIC HEW": �- 7 BOARD OF HEALTH Food/Kitchen Septic SystemPERMIT T . /WL BUILDING INSPECTOR THIS CERTIFIES THAT....CYlAl2L--- 2A P_ .................................................................................................................................................... ..... Foundation � � C 13 has permission to erect.L �.... n1�buildings on � � .. �o.....�V1.:�.� .....� 4.�.�- x............ ....... ... .... P<QLf ca& 4q, r�0 � o to be occupied asSqn-1 , . � A.m6...... ..... .( 4 ,........................ Chimney accepting this pe it shall in eve res ec�onform to the terms of thea lication on file in provided that the personp g p every p PP ina this office, and to the provisions of the Codes and By-Laws relating to the Inspectinn,_NT61i BI JAW T&I of Buildings in the Town of North Andover. PERS PLUMBING TOR REGULATED BY PARA. 114.8-S. B.C. ' j// � � rum �.� VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough& f Sof-� �/l 9. FEE PAID 16_ Fin17/j.Ja, PERMIT EXP 6 MCM4 sa e ELECTRIC IN PECTOR UNLESS CONS ou /d 3� S /r� ', ME/BUILDING PERldlt' ' . ... ... . .......... ...... .............. ......... ............. . ........... Service BUILDING INSPECTOR Q DATE: FEE PAID:_1.Sa�� Occupancy Permit Required to Occupy Building CAS INSPECTOR Display in a Cons icuous Place on the Premises — Do Not Remove Rough ! � (-,0*`A PY p No Lathing or Dry Wall To Be. Done inaa`3 .LI f r Until Inspected and Approved by the Building Inspector. FIRE DEPA ENT �L Burner � �,lq PLANNING Y-�C- `FT�A� CONSERVATION " I A Street No. Smoke Det. SEWER/WATER 7--J &J FI NAL DRIVEWAY ENTRY PERMIT © PR fl ;, -9 5-28_96 AR7_L — 8`l4F- �S"XR 'ER'lf T NO. !!119 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP h40. fO� c LOT NO. 3 2 RECORD OF OWNERSHIP DATE BOOK PAGE 'k ZO�j7 I SUB DIV. LO NO. O.� �3 LOCATION `:^a s,_ / dyC� A' r /_� PURPOSE OF BUILDING , �] OWf1ER-S NAME (G� /'C AE- �Y"• CCJ NO. OF STORIES SIZE OW NEWS ADDRESS ZZ / �'� I BASEMENT OR SLAB - ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST - ,� 2ND Z)"a 3RDZ2V& BUILDER'S NAME �/►_/l�'� �QSPAN �� - � ,DISTANCE TO NEAREST BUILDING p/V DIMENSIONS OF SILLS DISTANCE FROM STREET :Fro POSTS &,r/lo DISTANCE FROM LOT LINES -SIDES / REAR 7�,, / GIRDERS AREA OF LOT O q �.�a/, FRONTAGE ��( � HEIGHT OF FOUNDATION - P THICKNESS IS BUILDING NEW ,r'-i C"`�: SIZE OF FOOTING X IS BUILDING ADDITION J MATERIAL OF CHIMNEY I IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND 145e5o / WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER `/e T BOARD OF APPEALS ACTION. IF ANY /.1/J�A IJP IS BUILDING CONNECTED TO TOWN SEWER .�77� V0. IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION ONLY LAND COST SEE BOTH SIDES REGULATED BY PARA. 114.8-S. B.C. EST. BLDG. COST Sc� EGT. BLDG. COST PER SQ. FT. t^r® �N PAGE 1 FILL OUT SECTIONS 1 - 3 J EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 DATE , FEE PAID —' c SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED ANp. PPRO ED BY BUILDING INSPECTOR • DATE FILED BU ILDI NO 1 NfrSCTOR SIGNA REtfF E O�+AUTTHORIZED AGENT '�^ F E E t-1910 OWNER TEL.# 6y 3-� 7J— b CONTR.TEL.#PERMIT FOR FRAME/BUILDING 12, /10 (5 7 PERMIT GRANTED - 19 ATE —FEE PAID CONTR.LIC.# I/ / H.I.C.# ` AUG 2 2 1993 � (�o I -- ` a t ..- (- 6) BUILDING RECORD i OCCUPANCY 12 SINGLE FAMILY JS,ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION $ INTERIOR FINISH CONCRETE _ d 1112 I3 CONCRETE BL'K. PINE - BRICK OR STONE HARDW D _ PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT S AREA FULL FIN. B M'T' AREA '/, 1/1 3/1 FIN. ATTIC AREA _ NO B M T FIRE PLACES HEAD ROOM _ MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH __ ASPHALT SIDING HARD\'J'D _ ASBESTOS SIDING COMMON _ VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY I• ., ° 1 t I STUCCO ON FRAME n •� BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. ° STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR POOR ADEQUATE NOW 5 ROOF 10 PLUMBING GABLE I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHIN G ES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING I MODERN FIXTURES TILE FLOOR Ell TILE DAOO 6 FRAMING 11 HEATING , WOOD JOIST PIPE LESS FURNACE 1 •�''� eif.N' FORCED HOT AIR FURN. TIMBER BMS. & COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR - WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G - UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd ELECTRIC 1st 13rd I NO HEATING ' AIR V 1 I Location � s T Pnnu No. Date ?o.N°"T;era TOWN OF NORTH ANDOVER s p Certificate of Occupancy $ ' O Building/Frame Permit Fee $ 'ssA UsE<� Foundation Permit Fee $ H Other Permit Fee Sewer Connection Fee- . $ ; `i Water Connection Fee $ �r i TOTAL $ ' s Building Inspector t 8749 + 5:23 1.690.00 PAID Q ,1 t 4 9 Div. Public Works Location Roax� 0 U kl t Cast- 13 . No. Date Z ca— _rpRTly TOWN-OF NORTH ANDOVER _ Ar;afim p Certificate of Occupancy $NOW Building/Frame Permit Fee $ J �'ssAc useth Foundation Permit Fee $ c Other Permit Fee $ i Sewer Connection Fee $ 4 1 = Water Connection Fee $ TOTAL $ Building Inspector di :54+ 150.00 PAID 't."� 8748 4p Div. Public Works . Location ,s No. "'# t Date 8'ZZ-U :- . . is F r N RTM TOWN OF NORTH ANDOVER of A,c.° � A a o0 o Certificate of Occupancy $ r + �' Building/Frame Permit Fee $ Foundation Permit Fee $ Ss�CHuse -� Other Permit Fee $ Sewer Connection Fee $ AI Id 7Y Water Connection Fee $ /Q77. TOTAL $ O7 SIEZ CU ildi In ctor r 1 T, 8921 9 21 Div. Pu0lic Works ORT Townof - Andover No. 1 o �Y. td40 G, 2q 1911g- 0E�anrt�Yy dower, Mass.,T_� LAKT COCI1i C nE w ICK ADR 7E D AP E BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System ���� �� BUILDING INSPECTOR THISCERTIFIES THAT........................................................................................................................................................ ..... Foundation has permission to erect. ....F MVI&buildings on ...lao.....:S ..... ...... >...... .. 13 Rough to be occupied asg�'� ?�.1. l ...J� �.1�16....... ....3...��.d.1L.....4(24��........................... chimney his errhit shall in ever res ect Lform to the terms of the application on file in provided that the person accepting t p y p PP Final this office, and to the provisions of the Codes and By-Laws relating to the Inspect �lteratiFORmad k tr8 � of Buildings In the Town of North Andover. REGULATED BY PARA. 114.8-S. B.C. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough FEE PAID_1!Q Final PERMIT EXPIRE 6 MOR S1I ELECTRICAL INSPECTOR UNLESS CONS Rough Service BUILDING INSPECTOR - Final V� TOR Occupancy Permit Required to Occupy Building R NSPEC � Q gt, Cc�p�0'�/' Display in a Conspicuous Place on the Premises — Do Not Remove Q�� Final ``` No Lathing or Dry Wall To Be Done ��`� FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT 1�kc(Zt -- 8`l��` �� A4 r FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessa approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone J LOCATION: Assessor'd Map Number Parcel Subdivision Lot(s) Street ���� /G(� St. Number CC ************************Official Use Only************************ RECOMME DATI S OF WN ENTS: ( S Conservation Administrator Date Approved 7120 Date Rejected Comments Date Approved Town Planner pp Date Rejected Comments Food Inspector-Health Date Approved Date Rejected Date A / Septic Inspector-Health pproved �ZX�/ Date Refected Comments Public Works - sewer/water connections 7_2 �t S - driveway permit ::22_aL_ 7-2-j_95 Fire Dep rtment _ / ved b Blildi Y ng Ins ector Date AUG 22 i��� �/ f SILL'REQUIR9MEP 7� / �`-S OF 10 FEET BEY( © T 1 WASHED'ISAND Q t FROM CLAY, FINlt . . STUMPS, FROZEN WASTE CONSTRU X128 RATE EQUAL-TO. t /34 2� �I (SEE CROSS-FIAj! Mn _jz6 sit. 10 i 0.92; AG 4, p r zs N /�T - / �. • 9 r /rt It Ci .01 ol Ira 1 / t06 it ^tt�w� ��. rte/ ./ l7p w Z # / LSA CH T.FZENCFi T i-4 T I o f f RE-Q`T 5¢ `; ; 1 I , 5uAlS T r • • Y a g n � CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE:1"=50' DATE:8/31/95 Scott L. Giles R.P.L.S. 50 Deer Meadow Road North Andover, Mass. NOTE:SEPTIC SYSTEM CERTIFIED 9/11/95 ELEVATIONS OUT OF HSE.=149.71 INTO TANK=149.25 OUT TANK =148.95 LOT #12 INTO D.B.=148.93 OUT D.B. =148.78 #1 =148.33 1 p 12 #2 =148.30 #3 =148.40 #4 =148.33 180.91 #a R=60.00 #3 +' L=100.00 10, #2 T. .W.=155.38 40' SUNSET ROCK #1 35 ROAD 31.5, s LOT #13 40,194 S.F. PLAN#12,544 N.E.R.D. R .sQ D LOT#14 o �^o I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE f THE OFFSETS OF THE BUILDING INSPECTOR ONLY 0 SHOWN COMPLY AND SUCH USE IS FOR THE WWIITH THE ONING DETERMINATION OF ZONING " BY LAWS 0 H NORTH VER AND0 CONFORMITY OR NON-CONFORMITY g � 'fit lANd WHEN BUILT WHEN CONSTRUCTED. Main KARE.S H.P. NELSON - -_ :-Town of _- .. 120 StftL01845 D"morNORTH ANDOVER (508) 682.6483 BUILDEN CONSERVATION :.:�OrM10140F - PLANNING L NNI PLANNING g COINDIUNITY DEVELOPMENT CHIMNEY APPLICATION AND PERMIT DATE PERMIT —C T C L OCAT_ON X.0 'I OWNER' S NAME 0 jL L 31 BUILDER'S NAME MASON' S NAME MASONS ADDRESS A".1 C�LGi im-ASO:7' S TELEPHONE Z-0 o mATERIAL OF CHl.•INE'_ f� INTERIOR CH11VEY G- i EXTERIOR CH111.NEY'-/f-� e- Z NUMBER A1.10 SIZE OF FLUES THTC.�IESS OF HEART; 1/0 Win, ;^ney or firsm _ca crOnfo to reg::irements of tine code an have rules and reculdtio:ns gee : received: DATE SIGNATURE OF MASON CONLIC.tl EST. CONSTRUCTION COS i/CONT~AC= PRICE PER141T GRRNTED ROBERT NICETTA, BUILDT.:G =.�5- INSPECTED REMARKS s:_-LID :=Ct REOUIRI ED THIS PERMIT MI ST BE DISPLAYED ON THE PREMISES ��Z'� —C409-2q9- Location S 6U No. Date L-7 C( W °RTS TOWN OF NORTH ANDOVER Certificate of Occupancy $ ° Building/Frame Permit Fee $ s f<� Foundation Permit Fee $ $ s�cMus Other Permit F� $ � `o Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 1 9424 Div. Public Works