HomeMy WebLinkAboutMiscellaneous - 871 SALEM STREET 4/30/2018 (2)N
NOTICE OF AGREEMENT
In order to obtain permission from the Board of Health to
construct and addition to the existing structure at
y / L 54 r Pf • , which will result in a total
Address
of _ bedrooms I, F/7"knr
Number Owner
being the owner of the premises at 771 Sal zip V'
Address
in North Andover, MA agree to the following:
1)
Should a common sanitary sewer be constructed in the
street abutting the property, the sewer from said
x
dwelling shall be connected to the sewer regardless of
the condition of the subsurface disposal system.
2)
If a common sanitary sewer is not constructed in the
street and the existing subsurface disposal system
should fail or causes a violation of 310 CMR 15.02
(20), the existing subsurface disposal system will be
replaced in accordance with the plan on file at the
Board of Health Office.
3)
If a common sanitary sewer is not constructed in the
street and should I desire to sell this property, the
existing subsurface disposal system will be replaced in
accordance with the plan on file at the Board of Health
co
prior to the transfer of the property.
I understand the conditions of this agreement as set forth
and agree
to comply fully.
CA.)
Owneris Signature
This agreement shall be recorded at the Registry of Deeds
and proof of recording shall be presented to the Board of Health
prior to the issuance of a building permit.
'SSEX NORTH RE STRY OF DEEDS
LA`AI FENCE, MASS.
A ;-RUE COPY: AT T:
REGISTSR Of REEDS
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FORM U - LOT RE EA E 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: & Phone
LOCATION: Assessor's Map Number
Subdivision
Street
Parcel
Lots)
St. Number
************************Official Use Only************************
RECOI1NDATIONS OF TOWN AGENTS:
Conservation Administrator
Comments
Date Approved
Date Rejected
Public Works - sewer/water connections
- dr'veway permit
L�Fire Department
e
e artene
Received by Building Inspector Date
Date Approved
Town Planner
Date Rejected
Comments
Date Approved a
Health Agent
Date Rejected
Comments
Public Works - sewer/water connections
- dr'veway permit
L�Fire Department
e
e artene
Received by Building Inspector Date
Town of North Andover, Massachusetts Form No. 1
NORTH BOARD OF HEALTH
Oh ttlED
19
APPLICATION FOR SITE \ TESTING/ INSPECTION Oc icew.oP.S
Applicant - YIAl -V,--
NAME I ADDRESS TELEPHONE
Site Location 2 /7 1 -.n A� 4r _/sem -
Engineer
Test/Inspection Date and Time
Fee f
CHAIRMAN, BOARD OF HEALTH
Test No. 5—L
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts Form No. 1
NORTFj BOARD OF HEALTH
3�OS`Eo '646 -0 \ /. l Q 19 `.
O a a A
K
\y°AOco-C.-C.
a..11 APPLICATION FOR SITE TESTING/INSPECTION
Applicant P -U i ILhd A-4 �Y`, f t ��
NAME + ADDRESS TELEPHONE
Site Location �''7 1 � ��1_ J.I - 1 0
Engineer - `K
Test/Inspection Date and Time
Fee D-01'
CHAIRMAN, BOARD OF HEALTH
Test No.
1�i
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
0
SCOTT L. GILES, R.P.L.S.
50 Deer Meadow Road
North Andover, MA 01845
683-2645
v �
SCOTT L. GILES, R.P.L.S.
50 Deer Meadow Road
North Andover, MA 01845
683-2645
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IN
BOARD OF HEALTH
120 MAIN STREET
NORTH ANDOVER, MASS. 01845
871 Salem Street - Robert Meikle:
TEL. 682-6483
Ext. 32
Dr. MacMillan asked Mrs. Starr if the present septic system at
871 Salem Street is functioning properly? Mrs. Starr replied,
"yes". Mrs. Starr stated that if Mr. Meikle sells, he will have
to bring the system up to code. Mr. Meikle signed a notice of
agreement. Mr. Meilke wants to finish two bedrooms on the second
floor of his home, using the existing septic system.
The Board Members approved the agreement for Robert Meikle at 871
Salem Street to finish off his second floor and the agreement
must be registered with his deed.
��l
Vb NOTICE OF AGREEMENT'
In order to obtain permission from the Board of Health to
construct and addition to the existing structure at /
S / S4 /fry',, • , which will result in a total
Address
of _ bedrooms I, X4,l P F,A4 /,
Number Owner
being the owner of the premises at 771 s7a /61-t S/,
Address
in North Andover, MA agree to the following:
1) Should a common sanitary sewer be constructed in the
street abutting the property, the sewer from said
dwelling shall be connected to the sewer regardless of
the condition of the subsurface disposal system.
2) If a common sanitary sewer is not constructed in the
street and the existing subsurface disposal system
should fail or causes a violation of 310 CMR 15.02
(20), the existing subsurface disposal system will be
replaced in accordance with the plan on file at the
Board of Health Office.
3) If a common sanitary sewer is not constructed in the
street and should I desire to sell this property, the
existing subsurface disposal system will be replaced in
accordance with the plan on file at the Board of Health
prior to the transfer of the property.
I understand the conditions of this agreement as set forth
and agree to comply fully.
Owneris Signature
This agreement shall be recorded at the Registry of Deeds
and proof of recording shall be presented to the Board of Health
prior to the issuance of a building permit.
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