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Home My WebLink AboutMiscellaneous - 1414 Salem Street JI, 1414 Salem Street - -� i i I Y APPLICATION FOR SEWAGE DISPOSAL INSTALLATION HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I hereby make application for a permit for a sewage disposal installation at ,Y . I will install this system in ac- cordance with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed eo. I will install a con- crete septic tank of in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of lineal (square) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia. ) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia. ) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I _further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE 7-61- Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE Signature of Health Agent I have inspected the uncovered system indicated above and find everything done as descr'bed. DATE Signature f respecting Office Percolation Testyc L � Garbage Grinder BOARD OF HEALTH TOWN OF NORTH ANDOVER, MASS. _moo r 114-T � 41 -. few 1. NAMEO VF e DATE 'lt:' 1� + 2. ADDRESS 5;r/eM LOT NO. TEL. 749 3. NO. OF BEDROOMS „2 DEN YES A' ' NO 4. GARBAGE GRINDER YES �- NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL q. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. BOARD OF HEALTH OF NORTH ANDOVER , MASSACHUSETTS SEWAGE DISPOSAL DATE 4/7 NAME OF APPLICANT LOCATION f4 P 2L Addre s of lot no, BUILDING: Dwelling X- Other SYSTEM: New K Repair GENERAL DESCRIPTION OF LAND - , q-L_� I , SUBSOIL: Clay G vel Sand PERCOLATION TEST minutes per inch, MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK. jh=,,:a _gallon capacity. LEACH FIELD 10-_p lineal feet of drain pipe, William J. Dr' s oll, Engineer Board of HealtW No 2 J J 5 Date...�9... ......... b NOR7/� °f,"`° '°�"� TOWN OF NORTH ANDOVER F P PERMIT FOR WIRING This certifies that .......... ..: -n-.. `J....r. ...................................... has permission to perform wiring in the building of... ........ ? ................................................. at....... ........................... ,North Andover,Mass. Fee?�..t .......... Lic.No�ZG4n........................................................... ELECTRICAL MpECTOR 08/20/98 10:1515.00 pqI WHITE: Applicant CANARY: Building Dept. K:Treasurer I Office Use Only Permit Na- Occupancy aOccupancy 8 Fee Checked —llti D.�.orr..�+r��ar�Ue Suety BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical U9 Code Vpector"of R 12:000 (Please Print in ink or type all information) DateTom' To the IWires: i Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number % 7 =27465�L �4 • Cllr �qA� Owner or Tenant Owner's Address Is this permit in conjunction with a building permit '/Yes C3 No a- (Check Appropriate Box) Purpose of Building �0w�( Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity L t f r� n ,rte Location and Nature of Proposed E!e=cai Work kl,e7� Spm �iG` r*+ i`"' �sT'°`�S Gt tcaTc,. fc e- �o7O✓ /C7�f �r� (�/ �i7toh..�CL �rrySP�c-f,Es� a -4AW /"A' �w,744�2w% fie �`+t �8 k r Ltit n1G� - Total No.of Lightling Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumas Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Soace/Area Heatinq KW OetectioniSounding Devices ❑ Municipal ❑ Other _ o.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Si ns Badases Wiring $to.Hvdro Massage Tuds No.of Motors Total HP OTHER' INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you hive checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to StartI p WJon a uested Rough Final Signed under the Penalties of perjury: ` FIRM NAM�E�/' LIC.NO. / 7 Licensee r �2A /� � � '�" Signature LIC.NO. / 7/, f Bus.Tel No. Address // IrOC,//4,4fA 'tr C4WIP— 2-C Aft Tel.No. OWNER'S IN RANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.Aa,xLMat my sicnature a� s permit applic tlon waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE Ste.-- (Signature of Owner or Ag nt)