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HomeMy WebLinkAboutMiscellaneous - 79 LACY STREET 4/30/2018 (2)N O O v 0 0 w_ 0 0 0 i Location -191 QAC cit ST No. ' Date TOWN OF NORTH ANDOVER Certificate of Occupancy $ ' �""�"—� .-► Building/Frame Permit Fee $� Foundation Permit Fee $_ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ I- 1 1, 427. oo PAID Building Inspector 1D Div. Public Works Location I CA 1-h1CC� � No. Date A [to ksn- 04 / TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ 100 v Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ i TOTAL Building Inspector Div. Public Works a qo Y O m Q A � z I Y U W F O f- X Z Z J N C w N F W i9 o < ; Z 3 0 i 0 0 Q O O Z C W U 4 O O O ZO O D r N i C Z 0 W W W % 3 W N N W W Of - O Z J W W W ( O J J F N d U Z O = N Z Z Z m W 0 0 = F LL 0 U U U C�. LL O p a O p O O O U Z O 0 F J Z 0 O Z Z Z Z 0 O 4 -f r W N N W U. N f„ 4 < O D O O dIL O W 0 Z I O W]>>> C N N A. 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Ea y c CD N `x A o N C C � m E m y m m c �¢ Ott yZ coo o a m Q CD m mr 3 F- y COD mom~ LU 7S CM as .3`�5 ac E o,00y_ C.3 m C3.8 CO2 m 0 ft � CL il c 2 g dam, �6 O� Q o J z E LL- coL O O Z C.� co O D d CA � cm z o CODG� •� y .G2 co mm LIJ cn z Cl G) H= o U =CD O � cL- CD CC CL O d CMa COD O.� �� v J� CL .c C:j a� Z a) z Cl y C C Cv C_ C CO CL C� Z_ Z Z FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary 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: ,cr�vs�'c�Cf 5���� ,f/C avi i Phone 6R3-1'170 LOCATION: Assessor's Map Number Subdivision Street LAcy 105- D Parcel 31 Lots) / St. Number 7 9 ************************Official Use Only************************ RECO ND T ON OF WN AGENTS: +� ps Date Approved Conservation A*�,, dmi strator �j Date Rejected Comments cx,✓ - 5uw 110 wrr_ �O,,�S g,1 -.S'ik Town Planner Comments Food Inspector n-Health Septic Inspector-Heglth Commefhts se�T/G ig Y6 Date Approved 1zq1qa Date Rejected Date Approved _ Date Rejected Date Approved X31 Date Rejected A.71nl )5 /SS44 .b Public Works - sewer/water connections :=U) 3-3-f-5 - driveway permit __TZ,i_61) 3 - 3 ; 15- Fire 5 Fire Department Received by Building Inspector I Date �+{ v e d by Town 'Clerk; •f DEA�NELlLONG NORTIA�; ��� OWN y. �,. "4 ION FOR ENDORSEM�NT- -OF .PLAN tf ELIEVE dial- ��1.'.►�.f�DypE�AFFt?C�I�P,i.. .4 34 F September`, 14 _, -19 88 - - To`the :'lanninq Board- f the 7o`rrn of No th .trdover: M The Un. aersi anct wishe' - to record --the accompai�yin9 p ran and --eques-ts a de'termii.ati` . --y sa-;d-Board-tFwf-iTproval 'bV:it under' the. Subdivision. Control Law . i s not rem -ii red. The _.und;yrs i fined bel Teves 'that such approval is nct required for the following reasons: 1. The division of land shown -on -the accompanying pian is .not a' sub- . r di vision... because every lot=sho*iiit.here on has the amount -of•ifrontage required by 'the -Ncrth An.dove►- Zoning By.. -,Law and .is�`.on a public way, namely,- La`cy- Street or a private: way, namely, being land bounded as follows: _jjesterly by._LacyStreet ? Easte ly by Land of Perrotta, Commonwealth of Mass. & Thompson .1 Westerly by Land of Finnegan, Cheung, Lehman, Chines & Buchanan _i n r a c n :, r a .. . v s Z Ih.. :�'.':I.,�On of 1 ':d !'!0'.'.11 �:.: tC d..G:iiil�util(l�a 1-►1t?!t ::.i i1Jt .7. SLb - di vi s i on for the fo ,', ow; n;; reasons y —Conforms to all current Zoning By Laws of the Town of — i North Andover. __..— ._ 3. Title reference North Essex Deeds Book 1098 ; page 50 or ?- Certificate of Title No. , Registration.Book ; F Fane Applicant' s Si y^ aiure: .. Owner's signature and address if not -' Barbara B.�Ti )je_ the applicant: E &'F Builder's Inc.. ( Scott Applicant's Address: -n 33 WalkerRoad Box 398 '-- _- North Andover, MA 01845 �- Tel. 140 _ Very truly yours, NORTH ANDOVER PLANNING BOARD By: Date i e c e i v e d -by 'Town Clerk { IOWLLOSO CE ERK P �g8 . Notice to APPLICANT/TOtJN CLERK. of� action .of Planning Board on T accompanying plan.: a ., �:. 1. .The North Andover Planning Board has determined_ that's.aid plan does not require approval under the Subdivision Control Law, and the appropriate endorsement has been made upon the same. 2. The North Andover Planning Board has determined that said plan shows a subd' isi defined by c. 41, s.'81 -L, and must therefore be re-submitt to for approval under the Subdivision Control Very truly yours, NORTH ANDOVER PLANNING BOARD By: Date i kk 5TK. CsE ,off p�' 109.� m. st _ N3� � iii �� 3 p �8 E S r Town of North Andover 1 AORTN ,R p t,�ao ,a� y0 OFFICE OF 3a 4 0� COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street KENNETH R. MAHONY North Andover, Massachusetts 01845 ,SSAcMUs�t Director (508) 688-9533 M E M O R A N D U M TO: Dick Colantuoni, Local Building I7pec/ or FROM: Sandra Starr, R.S., Health Adm' t t RE: Lot lA Sharpner's Pond Road Lot 1 Lacy Street DATE: August 8, 1995 Please be advised that it is okay for final sign -off for Lot lA Sharpner's Pond Road and Lot 1 Lacy Street. If you have any questions, please feel free to call. Thank you. AUG - 7 BOARD OF APPEALS 688-9541 BUILDING 68&9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Julie Parrino D. Robert Nicelta Michecl Howard Sandra Starr Kathleen Bradley Colwell f I ti (u}P•M� � S CD cr Vl r O O k 0~ O (b j. O II C J O rn (u}P•M� � S CD cr Vl r \ 6. 00 A cres ` o/ f:LC- \` R, E v E N T j \ poNP� NC7 I0� /. ' ... Benchmork. Nail in 12 " Oak iso \ \ ` \\ \ ` Ele v. = 139.33 LL- \ . 58,0. 144-, r r - ' mac' i .' �. .+. } 1 \ \ •`, \ `� i �• C6 Sep tic ...... 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C m R � .0 V1 m c-3 o Hma� 3 O� m C T .�.►d.� CD a?w O m CO2 m CD O N i �m Vr^CD O ...� a > ooCA moos y .► O o N CE o aco : co S Cl - o CD C', O N ' _o.,.. m S. c'?m Q os m 3 PI �y N Gd Q O O _ •C d N N m m CO) ...r S N N m ✓ O O cm 0 0 0 CD o �% =a r*+ -No >' rn m �S O cuhm y0d v � �y n Ma m C/) C/) c� o o o C1 o C o 0 p or �> c) \ 4t 4v C N , �- r z x cx CInq �; ' f COD z �' 1Ao y ,z O H 0 0 c n m mn 00 �m ..k 0 Z 'n 0 C 3m go CL0 00 CD 0 � C Z 0 c A►�-] xx K a m ° s y x t=i O z 3 c Q A y rA A ` til Oy d I—' H o >x rA vrA A a C b> A K `� drx(nd En o y o y�i N cr 'TJ cif yr t17 d z H z d CEJ 2 n n m mn 00 �m ..k 0 Z 'n 0 C 3m go CL0 00 CD 0 � C Z 0 S MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING ----, (Print or Type) Mass. ,ate___l/�L/ 191 Permit # Building Location -79 649- _ST Owner's Narne��C�Q0/�2� �lC7gR,0 _ Type of Occupancy 1e -NT�1�� Newne Renovation ❑ Replacement ❑ Plans Submitted: Yes(] NoLY\ Installing Company Nameyankpp rag (1i i Check one: Certificate # Address 140 SO. Main Street 1�k Corporation 103c Middleton Ma. 01949 ❑ Partnership 1 Business Telephone Scg_774197fin ❑ Flrm/Co. Name of Ucensed Plumber or Gas Fitter w; 1 1 ; am IR T3arr,i s INSURANCE COVERAGE: I have a current Ilabllity Insurance policy or Us substantial- equivalent which meets the requlr•ements of MCL Ch. 142. - Yes IR No ❑^ !'- If you have ch,6cked yes, please indicate the type coverage by checking the appropriate box: ,' --- - A liability Insurance policy ® Other type of Indemnity ❑ Bond ❑ JQJL 1995 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance cook rage required -by. Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement:.-? Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby cerUfy that all of the details and Information I have submitted (or entered) in above application aro truo and accurate to the best of my knoyledge and that all plumbing work and Installations porformed under the permit Issued for this ap ication vrlli compliance Mth nil pertinent provisions of the Massachusetts Slate Gas Code and CKapler 142 of the Gee I laws/. ci 4 By T o of license: /Gl/ � K Plumber Tignalure ofUcenso Plumber or Gas Alter Title Gaslillor Master License Number 3785 Cit /Town Journeyman Al ONLY) z OEM NONE No 0 INE]NI ME ON ME 0 on ONE NEON Installing Company Nameyankpp rag (1i i Check one: Certificate # Address 140 SO. Main Street 1�k Corporation 103c Middleton Ma. 01949 ❑ Partnership 1 Business Telephone Scg_774197fin ❑ Flrm/Co. Name of Ucensed Plumber or Gas Fitter w; 1 1 ; am IR T3arr,i s INSURANCE COVERAGE: I have a current Ilabllity Insurance policy or Us substantial- equivalent which meets the requlr•ements of MCL Ch. 142. - Yes IR No ❑^ !'- If you have ch,6cked yes, please indicate the type coverage by checking the appropriate box: ,' --- - A liability Insurance policy ® Other type of Indemnity ❑ Bond ❑ JQJL 1995 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance cook rage required -by. Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement:.-? Check one: Owner❑ Agent ❑ Signature of Owner or Owner's Agent I hereby cerUfy that all of the details and Information I have submitted (or entered) in above application aro truo and accurate to the best of my knoyledge and that all plumbing work and Installations porformed under the permit Issued for this ap ication vrlli compliance Mth nil pertinent provisions of the Massachusetts Slate Gas Code and CKapler 142 of the Gee I laws/. ci 4 By T o of license: /Gl/ � K Plumber Tignalure ofUcenso Plumber or Gas Alter Title Gaslillor Master License Number 3785 Cit /Town Journeyman Al ONLY) z .'� Date.......t ............. L c. ,40RT#4 TOWN OF NORTH ANDOVER p` «co ,^1ti0 C op PERMIT FOR GAS INSTALLATION s This certifies that .........................................4,1 has permission for gas installation ......................... r . in the buildings of .......................................... at .................................... North Andover, Mass. Fee.......... Lic. No........... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File