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Home My WebLink AboutBuilding Permit #579-14 - 96 DALE STREET 2/6/2014 (2) TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION �-- Permit NO: — � Date Received L4Date Issued: IMPORTANT:Applicant must complete all items on this page + LOCATION, Rrint PROPERTY OWNER<�r� _ .� 1fl(1 Yeai Old StrUClur2 Yes Print„ -v - MAP NO: 7 PARCEL ZONING D[S}TRICT -� Historic.Distract yes; _ T - -- Machine Shop Village yes .TYPE OF IMPROVEMENT. . PROPOSED USE Residential Non- Residential ' New Building 7�-One family ❑Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other __ ---- --- —- - rshed District'— - - ❑ 1Nate_ _ - Flood Iain 0 Wetlands ❑Se tic. ❑Well .----. P�.-- ❑WatoV,5 wer.-- r� �f(' DES IPTIO OF WORK TO BE PER/F�RMED' 21 ccw5 T� C�' Ide tificat'on Please Type orPrintClearly) OWNER: Name: n hone: 9r?��s G�� Address: 1!3G c>� C?'S� _---— -- - - -- � Phone:- CONTRACTOR' Name: _ -- C:YSZC Address -- !56 :_ -- � Su.p_:ervis_or-.s_ Construcetion License: 1 L��_ _ __ Exp Date: �-5z5' Z- Exp:- Date: _C�-- z _��`7 — Home Improvement License_: - ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00-OF THE TOTAL ESTIMATED COST BASED ON-'$125.00 PER S.F. Total Project Cost: $ FEE: $ .�9� 4 160.�?L Check No.: L53J Receipt No.: NOTE: Persons contracting with u egist red contractors do not have access to th uaran fund Si natureloflA _ent70wner Sighatur& tractof,~ E31--- C..km;++'nA l i Plane \nlaivPri r] Certified Plot Plan �P Stamped Plans -i� 9ified Plot Plan ❑ Starnped Plans ❑ Cert Plans Submitted ❑ - -Plans�111alved'❑ - -- DiSPSJ.SAL-' - - Swimming Pools 0 .OF:SE TYPEWP : []. ❑ TanningwassageBody Public Sewer ❑ 'Food Packaging/Sales ❑ TobaccO.Sales Well stet on Site Private(septic tank, ete:_ ❑ Permwieint Damp SECTIONS FOR OFFICE USE ONLY THE-FOLLOWINGU FORM INTERDEPARTMENTAL SIGN OFF - R-OVED DATE REJECTED DATE:APP PLANNING'& DEVELOPMENT COMMENTS �� hay � un• Si d nature CONSERVATION Reviewed on COMMENTS L/ ` Si nature HEALTH Reviewed on COMMENTS �tJY� Zoning Decision/receipt submitted yes Zoning Board of Appeals:Variance, Petition No: _ Comments Planning Board Decision: :Comments Conservation Decision: Drivewa Permit Water &Sewer ConnectionISi nature�Date inset' Signature: Located 384 Os ood Street IDR'VV'I ovy Fng no §ter on site :yes SIRE Q'fPpRTlil1 Nt -Temp Dump. , airy.Street i Located"at 124 M �, . turelilate F►re D"epartme!it's�gna _. AN-18-2011 TUE 04: 41 PM P 001 Excavators 45 Little River Rd. Kingston, NH 03848 Phone. (603) 642.8910 Fax: (603) 642-8952 Email Tom:arcoexQcomcag net Email Liz: ar oliz comca t net FAX COVER SHEET Date: January 18,2011 To: Heidi North Andover Conservation Fax#: (978) 688-9542 # Pages: 1 (including cover sheet) Message: Re:,Leaking water service at ZOO Dale Sit We anticipate starting work as soon as weather permits. Scope of work: Excavate and replace 1"water service from existing water meter pit on Marbleridge Rd through woods to house#100 Dale St. We do not anticipate removing any trees, service location. other than brush,and plan to follow the same path as the existing Submitted by William(Torn) Sawyer, President Arco Excavators, Inc. 0 o-6 i Y"f Oma"' Town of North Andover, Watershed septic system servicing Report Date: 7' D Homeowner: / G�.�. �°'— Pumper : ' ew{Cs�wHy ek .Se��ae e c Street bag,. SrAddress: Phone Phone Nature of Service: Routine Emergency 'Observations: Good Condition Full to Cover Baffles in Place Leachfield Runback Excessive Solids Heavy Grease Roots Other (Explain) Description of Work: Ay Comments: a 40 P T+y BOARD OF HEALTH . s a 120 MAIN STREET TEL. 682-6483 SACHUt5 NORTH ANDOVER, MASS. 01845 Ext23 ,SSES APPLICATION FOR ABANDONMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) PURSUANT TO SECTION 310 CMR 15 . 354 OF THE STATE ENVIRONMENTAL CODE, TITLE V This form must be submitted to the Board of Health no less than five (5) days prior to date of abandonment and be accompanied with a copy of the sewer connection permit. / G Names ��C Phone Address Contractor hired for work: OName_ (i�YIS + -L�'!C Phone 150 3�6-/ —.11<1, 6-;k Address l/' td ��r �Jls vrL tl Date for scheduled abandonment Method of septic tank abandonment (check one) . � removal sandfill � crush ( ) other describe ( below) Other PLEASE DO NOT WRITE IN THE SPACE BELOW FOR- HEALTH AGENT ' S USE ONLY Inspect g ge ate Comments O i N° 10 -44 0 APPLICATION FOR SEWER SERVICE CONNECTION North Andover, Mass. / `��' L 19 Application by the undersigned is hereby made to connect with the town sewer main in -Street, subject to the rules and regulations of the Division of Public Works. The premises are known as No. ACU �% Street or subdivision lot no. + - sem' Address Owner / Ze, -Ew c y. /� T7 Contractor Address -� s Sign ure pp5 1 ' 0 —6 vI.Z�xs'/�t �/)�l --7W- PERMIT � PERMIT TO CONNECT WITH SEWER MAIN The Division of Public Works hereby grants permission to to make a connection with the sewer main at Street subject to the rules and regulations of the Division of Public Works.. Division of Public Works By Inspected by Date See back for rules and regulations 0 WATERSHED RESIDENTS QUESTIONNAIRE 1. Name - L 'L 2. Street Address s 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool 92/ septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? Oyes ❑ no ❑ do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years [ over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? LK yes ❑ no ❑ do not know J If yes, approximately how long ago? years. What was done? 8. How frequently is your sewage disposal system pumped out? annually ❑ every 2-4 years ❑ every 5-10 years ❑ over 10 years ❑ never 9. Have you had any problems with your sewage disposal system? ❑ yes Eno If yes, what problems? ❑ repeated pump-outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each appliance are connected to your sewage disposal system? washing machine dishwasher garbage disposal dehumidifier drain sump pump toilet roof/pavement drains shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher clotheswasher 12. Does your property have a lawn? yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre ❑ % acre ❑ 3/4 acre ❑ 1 acre [D�more than 1 acre (Specify) '4/, o, acres - 13. How often do you fertilize your lawn? /72D No. of applications per year Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here if your lawn is maintained by a professional landscape contractor.