HomeMy WebLinkAboutMiscellaneous - 81 SugarcaneEll
pp" Location. �.lVC-�AQCi4w1t�
" No.t�--' Date
E
of M° o' TOWN OF NORTH ANDOVER
" - 3: i t�• •a OOH �.�ee ��
j p Certificate of Occupancy $
Building/Frame Permit Fee $
CH " a Foundation Permit Fee $
SAGMUSS � - a
All
�.
M1 Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ '- ?C
TOTAL $
w Co(,Po4, Building Inspector
08/03195 14:52 2,130.00 P91D
.8679
Div. Public Works
Location'%U�tG
1
'. No `Z7 Zo' - Date ` G - zo 4s'
y ai;;° "T ; TOWN OF NORTH ANDOVER
iL
a
o?. `, i o
t � Certificate of Occupancy $
Building/Frame Permit Fee $
sSA 14 sfr' Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ /D 77, 50
TOTAL $
�. 33:t
Build 'fig I for
5
Qfi 1.077.50 PAID
s 3g w1 Diy. uoic Works
3
l Y
77.
Location-.:
�U6•6fL.G4tt�l;�
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No. 2'Z Z.. Date
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R
NORTF� 1.
TOWN OF NORTH ANDOVER
,t
Certificate of Occupancy $ Q)
Building/Frame Permit Fee $
Foundation Permit Fee $
ti C USE��
Other Permit Fee $
f
Sewer Connection Fee $
Water Connection Fee $
b �
TOTAL
a
Building Inspector
- 06/22/95
12:00 150.00 PAID
,,,72 865.3
Div. Public Works
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- ,-'0E,114/1995
'95 06/15 09:15
-16: 01 ' 617-396-87 4
$ 617 438 9674 CICATELLI E50s.
H:W, BOUDREAU, ESQ.
FORK D - IAT IJI."SI 1 -'OM
-04
PAGE • @3 .
INSTRUCTIONS: This Form is used to verity that all necessary
approvals/permits Iron boards and Departnents bavin9 juriadiction
have been obtained. This does not relieve the applicant and/or
landowner From oomplianee With any Applicable local or state law,
rmplations or requirements.
****************Applicant rills out this
APPLICANT:o Phone
IWATION: Assessor's Map Number Parcel
subdivision , Lots)
Street /old St. �
Q,f�L� St. Numbs
Use Only�t***1tw�►ww,e******,r*******
RECOMMa OATI NS OP y� EDITS:
bate Approved
Conservation Admini.s/t/rat x Date Rejected
Comments W��i��
ApprovedTQwn Planner Date
.
31
Comments
.9..3;I1e��AYJ4�ei�!��lwlii�:�G:L....�_ �►
Food Ir,apeetor-Health - Date Approved
Date Rejected
Septic Inspector -Health nate Approved
Data Rejected
Comments
I ad" -""
Public work.
Water connections
driveway permit
s
Fire Department
Received by Building Inspector �--J
Data
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am a homeolkTiff perTrr�Ji1?_A.
all wo k mv,Clr
aAl d sole proprietor and havene, on- wo-Aing
im a�y car)-Jc4tv
1C;_7Fajn an empiovem providing war "'S CL)V4'*YA!"o-1 for my e MPIT. ees word ng on 1this - iub.
Liu,
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M109446 I SV1:1!11
am s0l't PrOPnctriT, geutral contractor. or hoffleowner (circle O."e) and have hired the contractors listed betiow who havt
tile fbllOwing workers' com;wnsatjor polic-m-
Aduirc to secure
Otte yearn , . coverage 2.1 reqr under �25AG(�MVLASTCXCIekd to Cbe Impwition of criminal P uP to $1.500.00 andior
2r" Mprtso n well 't c'" P"filtics i® tbt ft m of 0 STOP WORK ORDER and a firit GfSM0.00 a dZY 999JnSt Me. I anderstend that it
copy of this st ment rosy, c forwarded to the office of )"VC5bgm1ioj1* of the DT.A for cover*gt If rincodod,
ME* Wommdon jurovidL#d above is true
Daie
Pfim nme
uffijpiai uaiz only do not wtite itj this errs
4o be co-pleW b -t rty of tov.rr ofneW
L'Itnxrtment
0 check If iff"Medlote responge is requirt.-d 00croung 6o*rd
t_:
.SC1t?_L1fteFV1j OMCC
eolmtsetpersoll. JDHralth Dtps."Mezjt
(rertw !Am PIA)
CERTIFIED PLOT PLAN
LOCATED IN NORTH ANDOVER, MASS
SCALE -.1"=80' AUGUST 1, 1995
Scott L. Giles R.P.L.S.
50 Deer Meadow Road
North Andover, Mass.
16.78
116.91 111.39
Ln
4
LOT 11
2.465 ACRES
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Lp
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LOT #33A
7.20
ACCESS
0.48
I CERTIFY THAT
OFFSETS SHOWN ARE FOR THE USE
tM or
THE OFFSETS
OF THE BUILDING INSPECTOR ONLY
SHOWN COMPLY
AND SUCH USE IS FOR THE
WITH THE ZONING
DETERMINATION OF ZONING
972�$�
BY LAWS OF
CONFORMITY OR NON
CISTt eo
oaAt
NORTH ANDOVER
-CONFORMITY
_SOD
WHEN BUILT
WHEN CONSTRUCTED.
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