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HomeMy WebLinkAboutMiscellaneous - 150 GREAT POND ROAD 4/30/2018 (3) ' 150 GREAT POND ROAD ad 21O/O37.0-0007-0000.0 I `' DaJJ . . . .... . MORTM 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 4CNUSES rr This certifies that . . _ ��.,may. . . . . . . has permission for gas installation in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . at .� .�. . ., '�/ �-''. - c� ! North Andover, Mass. Fee,3 . . . . . . Lic. No -?A, ,43. ` . . . . . . . . . GAS INSPECTOR Check# --2 g 7 578 © i MASSACHUSETTS UNIFORM APPLICATON FOR PERMPT TO DO GAS FITTING (Type or print) Date /O/-7//O 6 NORTH ANDOVER,MASSACHUSETTS Building Locations 150 G fe'4—/ /0-0 All) Permit# 1:5-2 ED Amount$ 20, Owner's Name New❑ Renovation ❑ Replacement © Plans Submitted ❑ � W � W W CG O U M y rA v� W 0a � � x 0 z 0 W ww 0 CA a+ W d a W F O9F0 0 > 00F 1 d F.x r:. 3 A cal U C 4 110 SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) k one: Certificate Installing Company Name 77 J14 L L O r'q^J Corp. Address /' 0- 13 d X S 7,?, ❑ Partner. c,4kiAe,,v« 14 ; aid 5�Z Business Telephone 97 f 6 b'5"- 9 So y ❑ Firm/CO. Name of Licensed Plumber or Gas Fitter n/vey Is fl 4//y eq INSURANCE COVERAGE Check one: II have a current liability Insurance policy or it's substantial equivalent. YesEl No❑ you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code an Chapter 142 of the General Laws. By. Signature of Licensed Plumber Or Gas Fitter Title ® Plumber a( Y � 3.3 City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) © Journeyman Date.//.�.-off . . . ".O RT:��o TOWN OF NORT ANDOVER �? �• , o� 0 PERMIT FOR PLUMBING 41 40 ,SSACMUS� / .. This certifies that . . . . . . . . . . has permission to performer-r'` plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . ✓-! � . . . . , North Andover, Mass. Fee, n. . .Lic. No..,.A< . . ,-!�:!... . . . . . . . . . . c9v PL UMBING'INSPECTOR Check # g v 7167 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date rd/s//,b- Building Location/,5-0 elpew /0.4-0 /70-Owners Name lai-3 *Cl-'S C1/e1LPermit#7/ 4 7 Amount cy Type of Occupancy 1.2wefl'/V 5 New Renovation Replacement � Plans Submitted Yes ❑ No FIXTURES d w a a, as as a a IA Rpt za HIMPR M HAOCR 4M Hf t 5M HfM 6M Hi" 7MHfM 9M HDM (Print or type) Check one: Certificate Installing Company Name RA Aj l� vry�f?1'ri `-- ❑ Corp. Address -a, /3 Q X 5772- El partner. LAEv/R IP.tife 074 Oiy VA Business Telephone �F'7k 6Y S- PS--CJ `'/ Frm/C0. A Name of Licensed Plumber: T/78p1 A 1 114X-7�9f.� I-' urance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Llbility insurance policy ® Other type of indemnity ❑ Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Pl mbi ode and Chapter 142 of the General Laws. By: Signature 01 Llcenseci Flumoer Type of Plumbing License Title y vy3 Cit icense UMDer Master ❑ Journeyman IAPPRO VED(OFFICE USE ONLY 2Pi STATEMENT, DANIEL A. GIARD 130A Appleton Street _ NORTH ANDOVER, MA 01845 DATE J/ > Phone 686-7653 r ; TERMS: PLEASE DETACH AND RETURN WITH YOUR REMITTANCE i 'PATE rfNVO1GENUMBER l DESCRIPTION_ ?r BALANCE FORWARD 1 { Ki. h F — ,F( ; • L �' F1 Ste{ h �Y J a k I { L 14 t K�,.r - €i Q DAN JIr�--A. GIARD PAY LAST AMOUNT �� IN THIS COLUMN j PIIODIKT100.2(AIE /Irc.faoan snlnl r........•o...vc.,�.,.,,R.,-._......_ 1} tr� �1 R��'i •1l o�'�ti1 �I J.r t .. .1 r r{ � r.ii� �1. . r I '� _-. _ . ... ' ,hj d /Siar rry �1�-fr !y >• t 1� 5`S. � I t tia �pp {r,A F��•ri'+{i' t�)�IM�j'�'�i:�'��+r.►'�.t t;�ly;' "�j y t r � t 1 i �{5. T gIM6�1i{ iti. ��l"�'*.''' Y+ a��+!" Y'/rS�uRr l t 1.., i,•K L ,.!* ` 1 .•;��(y�13;; "1p.. �If{I: l il..:'c?* vyi L ! t Ctl•� �! • r� }1t!f a} ,.1 r OCT�.f, ,,i�t,1/`��,,fr!,t�S. �1�+•` 1.. �l�•.rq.a'^l, t 1 iw'.1 (il e ` •1 � rhof .. >!' R y t/:r^',*;tlf•''}.'4ix. *,:+,!i5 fl,�( l`d 7r 't.f t1 S + R(q .1�`1.r���. , .3 Cl o �: 5'�p� t7���'�F����!�r��� �YKti•+.tt,tY��/.�.�Ir r+�;•,:•�,�' , `,,• 1 fY�!y`� l��'f' t . . U ,e,e>, fit•,►; a`j ! ,�• ,fit It ��N,t�, TOWN OF , NORTH ANDOvER a :; .a ' '♦ . SYSTEM PING RECORD ai{'• •. •'• , S �,. .v ,„ i.; 1' •: '�I•I' ,'�,r�,/fTs����1N•�. 1 .. 1�, �. ' f �� 5f' i q�'� r •, Mir ���'•�����, t, � • � � �iih~/'� j'l'9 -4 r T� i Iq "rIS•hi Rl 'tf� ) t f;., .,. 1',>7(� . � •yM��t( I ,�. t. ,! 1 Iby a 1 ..t as „��t�Y� 1�./7 . .. •{ '•'�'� �i.��i�.v�V�Y�'f1�d �(I;Ijy+,��:�r f.,.� A.i t. wl�r�.'.i tn,1. '' Y �. - SYSTEM ., •�_''x.�Ir� •�� ,�'ti,'.::q•;,.� LOCATION ��'{ `�� ' >,.n�tw _ .( �pw; ft•iroat of boon) Ij • ,� t. i • i fi.-11 r l ' iln GALW • 1 � •,tai_ .� i ~t; � rti`� It(,It• / \% • s'ir/{n'}t w �1,x�Y'(f11 , +IY'�. •ri 1 i ^ •1 NS ` r�„ „ .�.I..,u,. �`�X C TAW:NO 1:•1I \ � ��� ,.. A ' rl,,i�ti r t 1� •OM1 °A„". �Jnn•.�rAL r i xi�,���rl'�ti .h,''+w•�� ..• . ENCY To COQ JKOOTS' IN PLA E SOLIDS ' CH�'IET,D RUNBACK -. YO -""'..,. • FLOODED --..... ` • OTHER i 1 ..5� ,♦ �� .►',SII 1 1 1..'1 1 � M ♦—_��\/ 1`�f s ,T+trY,� 1i�i: '��.�}'w'�,1i�, '", �t. I til-.•.ttl 7, rett 1 1 ~ 11, .Lr- 1("Ji,i Jr h'Vrj,p l i • • .• ' •txj•��I�•, •�.;''�I, 4r, „ql WS„�),. .✓ii .'r, _t 71 ' �. �� �{,�t�+�1��r�p}•�r[11Y(�a l r rit't'w+a A�pb.,�,f',t�C�eta \1 F)A, •r•l'F�'iii' . ",J5`r" 1r �y�t•��nr1�'�T.�1�1•'�1 �I`Yj� t y,1 #' ��t *r�� ,r Sr�A1ti•!"a�} ��IL.Y•1, r ,* ,t • , 1 I ::.�s�A�;1111,,j� Cl/I.iS 1' f4fu�`rq I.S�,�t�j Ir1r'�1 {rl r^ � '• :• ` `� t' .I t'F%.r'..C..rle"{.Ir,J; I!Y'_�.,y,•1;�,jo-�,�M;1 t4 ..k,11 � rll 'r ri � V`��ca SEPTIC SYSTEM INSPECTION FORM ADDRESS DATE INSPECTED -7- PROPERLY FUNCTIONING? N WEATHER CONDITIONS COMMENTS : WATER QUALITY TESTED? RESULTS? DYE TEST PERFORMED? Y .N DATE? SKETCH: WATERSHED RESIDENTS QUESTIONNAIRE 1. Name JAIS D s 04 CM 2. Street Address S� AL- 3. How many members are in your household? iL 4. What type of sewage disposal system do you have? ❑ cesspool X 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? ❑ yes no ❑ do not know ' 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ® 11-20 years.- E] ears.-_❑ over 20 years ❑ do not know �S yGOt,YS 7. Has your sewage disposal system been rebuilt or repaired? Je yes ❑ no ❑ do not know If yes, approximately how long ago? years. What was done? 6KTE 5_ Eb L EAMAIG PELD ` 8. How frequently is your sewage disposal system pumped out? ❑ annually OK every 2-4 years Elevery 5-10 years [Iover 10 years Elnever 9. Have you had any problems with your sewage disposal system? ❑ yes no 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 9 / 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher g'SC.zAtD E clotheswasher A j. .L. 12. Does your property have a lawn? l$ yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acr ❑ 1/z acre ❑ 3/4 acre ❑ 1 acre L� more than T acre (Specify) acres _ 13. How often do you fertilize your lawn? No. of applications per year v R - Season(s) of the year 1 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. 150 Great Pond Road North Andover, Mass. November 23, 1955 Board of Health North Andover Massachusetts Attn: Mary F. Sheridan, Agent Gentlemen: Your notice of past evidence of cesspool leakage on my property caught me completely unprepared. I bought the property only last June and to the best of my knowledge, the cesspool was functioning satisfactorily and continued throughout the summer. As a rmsu.lt, I was unaware of any trouble and had given no attention to plans for any changes in the existing system. Being a stranger, without previous cesspool experience , I was not even sure, at first, what was required. I have now located a contractor who has agreed to survey the situation on Saturday, November 26. At the completion of this survey: I expect to be in a position to advise you of the plans for whatever remedy is required. Very truly yours , DO,-C- 1�1 Dana N. Fisher Cr November 9, 1955 t J Ur Gana Fisher 1.50 Great Pcnd Road Horth Andover, Hassachusetts Dear Mr, Fisher. The State Department of Public :Health has recently completed a sanitary survey of the watershed of Lake Gochichewick, the hater supply for the town of Iforth Andover. This report shows "Evidence of past overflow of a cesspool at the rear of your property, a violation of Rale 3," uh1dh is in violation of our Rules and Regulations. A copy of the Rules and Regulations adopted by the Stag Department of Public Health in 1.912, for the purpose of preventing the pollution of the waters of Lake Cochichewick is enclosed. You are hereby notified to remedy the condition names:, and within ten days of the survice of this notice plans for the construction must be submitted to this department for approval. If at the expiration of time allowed, the plans have not been receivad and no cause aforesaid be shown, such action as the lau requires will be taken. Yours very truly, BOARD OF H-ALTH By Mar y F. Sheri an, Agent G• / _ r Lr —T,) ' .,[ S Ci _ l _.r1�_�,,.,. ,.�i.L fir• ?-i� z.�-yt_, ,KL tet_ll�.� �.; r, l/I�•C.t-o �� CC �r' ��'"r-f: CO r I y 1 r June 6„ 1956 ro Dana N. Fisher L50 Great Pond Road Forth Andover, Mass.. Dear Sir: As per your request, I con ucte p rcolation test at the rear of your residence at 5D rest d Road, North Andover, Masso Assuming six (6) occu s the results of this test indicate that 192 fe 11 & Spigot pipe will be required in the disposal f moron use. An additional 50 feet will be require pith ar age disposal or grinder. The distrik� o c should have a Minimum width of 18% a minimum o hod stone under the pipe and a minimum of 41 ve !bn pipe, maximum pitch shall not be over 6nper 100 linea eat I do not eco nd that a leaching cesspool be used instead of a drainage field, due to the charactor of the site. I recommend that this leaching bed be placed as high as is practicable* Yours very truly, CEC:P CHARLES E: CYK 9 Z Z BOARD OF HEALTH TORN Or NORTH ANDOVER, IWS. f '20i . -e Q\ I .,._._.i_ .... . �tl r 1 WE /�, � DATE 2. ADDRESS l SC} 2 Cr,� f7 LOr NO. TEL A4 _3- 3 3 7 7 3. NO. OF BEDROOMS . L . DEN YES . . . NO.. 4• GARBAGE GRIMER YES . . « . NO.. . a 0 . 5. SHOW DINENSIO^IS OF HOUSE +/ b. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES � 7. SHOW DIMEIZIONS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK - G 5°i Zc' G�/VM A' 9, NOTE LOCATION AND DISTANCE OF WELL FROM SEGV'aAGE SYSTEM Alomc 10, SHOW LOCATION OF 13ROOKSO STREAPaS, DITCHES, IEDGE OUTCROP, ETC. i✓�>� 11• SHOW DISTANCE OF SEPTIC TANK FROM HOUSE N=: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. L� 150 Great Pond Road Nortb. Andover, y ss. June 24, 195r, Board of Health North Andover, Mass. Gentlemen: The enclosed copy of Pyr. Charles Cyr 's letter of June � Indicates the plan for correcting the septic tank drainage problem, as you requested. Very truly yours, Dana N. Fisher