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Home My WebLink AboutMiscellaneous - 154 GRANVILLE LANE 4/30/2018 i 154 GRANVILLE LANE r + - -- --- -- - -- 210/106.C-00740000.0 FI y V C J Page 1 of 1 BUILDING FILE Nicetta, Robert bi To: ` Lou Subject: RE:As below Mr. Maglio, This is to advise you that you were speaking to Local Building Inspector McGuire about this matter and not to me. However, I have been in contact with Mr. McGuire and he has assured me that he would address the matter today. Mr. McGuire will then advise you as to the result of the meeting. Bob Nicetta -----Original Message----- From: Lou [mailto:jetman1948@comcast.net] Sent: Monday, December 06, 2004 8:25 AM To: micetta@townofnorthandover.com Subject: As below Dear D Robert; Followup to our discussion on 12/2/04 re. Commercial Truck problem Nugent/Granville Plumbing. I will assume you haven't gotton to this matter yet which is ok. Just to advise matter continues-early morning noisy 5:45-6:15 AM truck deliveries to this address. Most recent trucks-at least 3 per week, :01,02,03,06 Dec. Please contact me as needed. Sincerely; Lou Maglio �y 978 687 2292H 978 688 7283B S' 978 685 0220 FAX email : ietman1948@comcast.net 2�5C 12/6/04 wcation No. Date : ,•rf�L �oRT� TOWN OF NORTH ANDOVER oma,,,.. :•'"o • ; ; Certificate of Occupancy $ cMusE`t� Building/Frame Permit Fee $ 4 Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �- Check # r7�1 15 3 94 Building Inspecto TOWN OF NORTH ANDOVER BUILDING DEPARTMENT WPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING WOW WILDING PERMIT NUMBER: DATE ISSUED iIGNATURE: Building Commissioner/Ing3ecror of Buildings Date iECTION i-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ;"/) .�,.�� lo / �, / ✓ / �� / fl/S V Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: O ronirig District Proposed Use Lot Area Frontage ft ..6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required ProvideRe qu 'red Provided R red Provided .7 Water Supply M.GL.CAWO. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: ublic ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ iECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT !.1 C4T;.er of Record dame(jPrint) Address for Service: signature Telephone ;.2 Owner of Record: Name Print Address for Service: ;i nature Telephone ►ECTION 3-CONSTRUCTION SERVICES ;.1 Licensed Construction Supervisor: Not Applicable ❑ ' ��y� coni .ice%�; -A -sed Construction Supervisor: License Number Wdress (�� /�l�C//(/�� Expiration ate lignature Telephone r -.2 Registered Home Improvement Contractor Not Applicable ❑ ;ompany Name Registration Number r address Expiration ate A .i nature Telephone SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Desch tion of Proposed Workcheck all applicable) New Construction ❑ Existing Building 0 Repair(s) ❑ Alterations(s) ❑ Addition Accessory Bldg. ❑ Demolition Other 0 Specify Brief Description of Proposed Work: i SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be SCI ISEfUN.Y , Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier i 2 Electrical X00` 4�0 (b) Estimated Total Cost of i Construction 3 PlumbingBuilding Permit fee(a)X(b) 4 Mechanical HVAC 15:> 5 Fire Protection 6 Total 1+2+3+4+5 Ov Check Number SECTION 7a OWNER AUTHORIZATICFN TO BE COMPLETED WHEN ..q OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT r as Owner/Authorized Agent of subject property t Hereby authorize to act on My behalf all matters relative to work authorized by this building permit application. v OL- Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent (/ Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TMMERS 1 2 RD 3 SPAN DIN ENSIONS OF SILLS DIN ENSIONS OF POSTS DM4ENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE \ r J<,4 -� —D1&)•PoA 'e`f PA^1 <t'�C�r�rrrn� 13 ►� FORM U LOT RELEASE FORM ' ' S 0 Y66%a xa IQ INSTRUCTIONS: This form is used to verify that all necessa approval `0 ' ts Boards and Departments having jurisdiction have been obtain . This does not perIrelieove the applicant and/or landowner from compliance with any applicable or requirements. *********''*******************APPLICANT FILLS OUT THIS SECTION APPLICANT r _ // PHONE LOCATION: Assessor's Map Number PARCEL��, SUBDIVISION LOT(S) STREET �� ST. NUMBER -- ONLYOFFICIAL USE ***********�*********************** RECO N ATIO F TOWN AGENTS: coNSE VATION AD INISTRATORDATE APPROVED j DATE REJECTED COMMENTS Q odd l TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS ------------- FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED Z DATE REJECTED COMMENTS e k. T/UN PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE_ Revised 9197 jm North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid.waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: (Location of Faci 'ty) /Gr Signature of Pe it A plicant Dat NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector .'� P sf �f a ¢.4 .� 'r ,� � t.3 'CViV �e•�..M•v.u�h'3'�_v''r.-,wua.Mb+4* 4 ....y�, r f•W Via+'"'A.M' { "s'r"v`.i. r '. Cd .�' Yt �. .! �,"ii ' "t:: .•„�� Rtt�at'f. fy t�1.. i�,#"•''�r�.', •' � ."? tl'�'�'4f, �.w f*«C,F ! "' "�' -�•>„". r. ft'4' ,�; j t,+f+�'..,� .��' rd.�,.'4r-ri. ' d,w' �,/•�� mow) , ,/yam_t,+c.y:" ,F{ t �� ''�h•e GK.�+tC"' /�' �r` �,.sr�'� j fw,'r..k r"eJ',�1.�7w'..+ri.I« at« ••+..•r ! .+rG.ei+,.... f ,..'�` _ tl K •L' f. .'"q�ja�c7 F } b 4 Yi� '1F 4 .t •,AF ,� f Y 'Si ..,''§� ...{;f} } e �� `�i:'I �'4�'¢...le R�� ice'��'`�.('fFry>..�' t�'• � $• � f •. '. � F - r =•j v .0 x+i r k � z } " •tom G4 � ' $ , .. S ;'t a S-.i et K { .. �� T•• �• b ti\ce+. .�` k .k � �i 5 �h.� t 5... r � r .+ �. '' • f rst�. t'4 as��j7.,� :.. �. °�°r ° -r t t.. �r s va';S vt i "!$A Py:- s _. t _ f py,, .r + r, •r ni ��'`_��y� A-• t y''° :r t tz� ;a !.•, f�'�, �g. �. � "'' ..R f7fd/fj�r/� O,-c x�}{ •< p. t ", yr` t F t„ 7 Sia ��s <�a+,r q: ''r1 ar. t,` Fr t x,, ✓,�, tt a r. sty ,..t •/'t, <�' �`F � .� t e }(j 4 �, �, y rT 2 fir •{ r� Na.:.: >t kx. ''vt �mjf it • rr 'e. w,� ;s Y f'�� _ 8 a k• ,(,/ fit 3 .•, y .. LS + „Tr✓ _�s if F.�^�1rt,-s.2 - 4 A j{ #`jp .�• -9 s t Y„fh �w M s �: �( q:�A t ::pr� � ti ^ qa .y • w i f T p. { r ,� t 4.:;.� ...:...-..-..-u+.,..�.�•wr•.--:—.�-cwt.,+.::., t 4 ,..5..,..,a,.,. .r*««. —.•y.... b �'> � -� ^r '� .�!•:f m� S�+ {"e,^a�? (g is 3�� [y,'�-t '� �,,,•F.P�`'f”�i�'""'.,a ��r. .T., i it # '#• 2°r� ... t 3 n r .. P.e" -�•a � �• M«�e4fe, [%,.+m _''.--lr+✓ina 1..•:ia'R" .rfr«nca eba.,v..r...w...}e✓•r YN+2^'M,�.Yn..us{. .a_,+rxPn.'nq�s^st,+;�•?itae•^r-r.irn,,n,w vi..C.«..• HYD- �v... ..r.�•>•«e+•� ._..;5.(-++K-r.i...»..a .•y,._,...:.. y h: .,3'J,.`.....-»_<...r,........,•._a.:. ...,�F.,r...�_.._.u_ _._..,..,_._.-_... _-_ y_. r..r,a,�, r..� .A'r... ._-.s......r'r.. -s_._ ...�.t•.. -_.._�_ .....� _.,-__.,.._ p_'zt.>.� �. �.a:i MAR 21 2002 4: 49PM SERVICE PUMPING & DRAIN C (9781 276-0548 p. 2 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 154 Granville Lane Nn Andover MA. Owner's Now: _ Francis&Paula Nugent Owner's Address: 154(]tanville Lane No Andover MA. Date of Inspection: March )1 2002 Name of Inspector:(please print) John B.Nicholas- Company icha asCompany Name:, Service nein &Drain Co..lnc. Mailing Address: 5 Hallberg Park North Reading_MA 01864 Telephone Number. (278)276-021 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems.I am a DEP approved system inspector pursuant to Section 13.340 of Title 5(310 CMR 15.000). 'Me system: Passes Conditionally Passes Needs Further Eva] tion by the Local Approving Authority Fails Inspector's Signature: Date: The system inspector sW a,mit a copy of this inspection report to the Approving Authority(Board of Heal th or DEP)within 30 days of completing this inspection-If the system is a shared system or has adesign flow of 10,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional office of the DEP.The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes and Comments: ****This report only describes conditions at the time of Inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 MAR 21 2002 4: 49PM SERVICE PUMPING & DRAIN C (978) 276-0548 Pap 2 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address:, 154 Grau�lle Lane No Andover MA, Owner:_ Francis&Pau%Nu eut Date of Inspection:_March 2i.2002 Inspection Summary: Check A,B,C,D or E/ALWAY complete all of Secthan D A. System Passes: �f7 _ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist.Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements If not determineV please explain. The septic tank is metal and over 20 years old*or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: of sews bac or break out or high static water level in the distribution box due to broken or Observationge kip obstructed pipe(s)or due to a broken.settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s).The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: MAR 21 2002 4: 50PM SERVICE PUMPING & DRAIN C (978) 27G-0548 p. 4 Page 3 of 11 OFk'ICLAL INSPECTION FORM POSAL NOT SR VOLUNTARY STEM INSPECTION FORNIASSESSMENTS . SUBSURFACE SEWAGE PART A CERTIFICATION(continued) Property Address: 154 GMM41le Lane No.Andover MA. Owner: Fraavcis Pa.+1A Nueettt --- Date of Inspection: M uJ:21 2002 C. Further Evaluation is Required by the Board of Health: Conditions east which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(i)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within SO feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is krictioning in a manner that protects the public health,safety and environment: The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of.a surthce water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone t of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**.Method used to determine distance **This system passes if the well water analysis,performed at a DAP certified laboratory.for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less thea 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form. 3. Other: MHR 21 2002 4: 51PM SERVICE PUMPING & DRAIN C (978) 276-0548 p. 5 ` Page 4 of i 1 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION(continued) Property Address: 154 Gram ille Law _No Andover MA Owner: Francis A Paula Nugent Date of Inspection: Ma t.21.22 --D. System Failure Criteria applicable to all systems: You nor indicate"yes"or"no"to each of the following for&inspection s: Yes No �[ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool X Discharge or ponding of eluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool , X Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool Y Liquid depth in cesspool is less than 6"below invert or available volume is Icss than'h day flow X Required pumping more than 4 times in the last year KQT due to clogged or obstructed pipe(s). Number of times pumped _, Any portion of the SAS, cesspool or privy is below high gourd water elevation. X Amy portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. X Any portion of a cesspool or privy is within a Zone 1 of a public well. __2L Any portion of a cesspool or privy is within 50 feet of a private water supply well. X Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria And volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered.A copy of the analysis must be attached to this form.l �No (Yes/No)The system fail&I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails.The system owner should contact the Board of Health to dctcnnime what will be necessary to correct the faihmt. lid. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15ADO You must indicate either`yes"or"no"to each of the following. (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinidng water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area—IWPA)or a mapped Zone H of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered `yee in Section D above the large system has failed.The owner or operator of any large system considered a significant threat under Section E or failed under Section D sball upgrade the system in accordance with 310 CUR 15.304.The system owner should contact the appropriate regional office of the Department. 4 MAR 21 2002 4: 52PM SERVICE PUMPING & DRRIN C (978) 276-0548 p. 6 Page 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 154 Granville ane X1'0• Andover MA Owner.__ FrancisA Paula Nugent Date of Inspection: March 21 2002 Check if the following have been done.You must indicate"yes"or"no"as to each of the follawin : Yes No or Board of Health X _ Pumping information was provided by the owner,occupant, X Were any of the system components pumped out in the previous two weeks? Has the System received normal flows in the previous two week period? X{ Have large voimnes of water been introduced to the system recently or as part of this inspection? X Were as built plans of the system obtained and examined?(if they were not available now as NIA) X _ Was the facility or dwelling inspected for signs of sewage back up? X Was the site inspected for signs of break out? X _ Were all system components,excluding the SAS,located on site? X Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the bales or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? X Was the facility owner(and occupants if different from owner)provided with information on the proper maintenance of subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No X _ Existing information.For example,a plan at the Board of Health X Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)1310 CMR 15.302(3)(b)) MAR 21 2002 4: 53PM SERVICE PUMPING & DRAIN C (978) 276-0548 p. 7 Page 6 of 11 i OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address.' 154 Granville Lane No Andover A. Owner: F P ant Date of Inspection: Margh 21 2002 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design): 4 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203(for example: 110 gpd x#of bedrooms): 600 Number of current residents: _..2 - Does residence have a garbage grinder(yes or no): Yes Is laundry on a separate sewage system.(yes or no): No ]if yes separate inspection required] Laundry system inspected(yes or no): NIA Seasonal use: (yes or no): N- Water meter readings,if available past 2 years usage(gpd)): Sump pump(yes or no): No Last date of occupancy: Occupied COMMERCIAL/INDUSTRIAL Type of establislunent: Design flow(based on 110 CMR 15.203): gpd Basis of design flow(seaWpersonslsgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last elate of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: Pumped July 21 2001 per records Was system pumped as part of the inspection(yes or no): NQ_ 1f ym volume pumped: gallons—How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM X Septic tank,distribution box,soil absorption system _ Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes.attach previous inspection records,if any) InnovWve/Alternadve tecluiology.Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source or information: 19, 1971 Were sewage odors detected when arriving at die site(yes or no): moo__ MHR 21 2002 4: 54PM SERVICE PUMPING & DRRIN C (9781 27G-0548 P. 8 Page 7 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 154 r*A-nville LABS N,Andover,MA Owner: Francis &Fau1p Nugent Dstte of Inspection: March 21 2002 BUMMING SEWER(locate on site plan) Depth below grade: 1T' Materials of construction:__cast iron 40 PVC other(explain): Distance from private water supply wcllor suction tine: Comments(on condition of joints,venting.evidence of leakage,etc.): SEPTIC TANK: Yes— (locate on site plan) Depth below grade: 0_ 1 " Material of oor!mction: X concrete metal ftbergWs__polyethylene other (explain) If tank is metal list age: is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 8' x 5'x 5' Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: >2' Scum thickness: i" Distance from trop of scum to top of outlet tee or baffle: 7" Distance from bottom of scum to bottom of outlet tee or baffle: >12" How were dimensions determined: Plan Comments(on pumping recommendations, Wet and outlet tee or baffle condition4 structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): No visible signs of failure,tank should be owner every year, GREASE TRAP: No_(locate on site plan) Depth below grade: Material of construction: concrete metAl_-Jberglaw olyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations,inlet and outlet tee or baffle condition, structural intxgrity,liquid levels as related to outlet invert,evidence of leakage,etc.): MAR 21 2002 4: 5GPM SERVICE PUMPING & DRAIN C (9781 276-0548 p. 9 i Page&of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) property Address: 154 Granville �►�No.Andover NLA, Owner. FranciL&.Paula Nugent Date of&Spec&n: March 21 2002 TIGHT or HOLDING TANK: No-_(tank must be pumped at time of inspectioa)(locate on site plan) Depth below grade: Material of construction: ooncrete metal fiberglass_.,polyethylene other (expo) Dimensions: capacity: gallons Design Flow: - -- eallons/day Alarm present(yes or no): Alar level; Alarm in working order(yes or na): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: Yes (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0 Comments(note if box is level and distribution to outlets equal,any evidenoe of solids carryover,any evidence of leakage into or out of box,etc.): Minor corrosiom box level minimal solids PUMP CHAMBER: No (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no): ' Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 0 MHK 21 2002 4: 57PM SERVICE PUMPING & DRRIN C (978) 27G-0548 P. 10 i Page 9 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address:. 154 G nvill§1AM &dover MA. Owner: Francis A Paula Emm Date of Inspection: March 21 2002 SOIL ABSORPTION SYSTEM(SAS):!Y .(lacate on site plan,excavation not required) If SAS not located explain why: Type X_leaching pits,number. 3 leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: innovativeJalternative system TyWname of technology: Comments(note condition of soil, signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): No visible size of failure CESSPOOLS: ._ 1_(cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth—top of liquid to inlet invert; Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction. Indication of groundwater inflow(yes or no): Comments(nate condition of soil,signs of hydraulic failure,level of ponding condition of vegetation,etc.): PRIVY: , No (iocate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding,oondition of vegetation,etc.): n MAR 21 2002 4: 58PM SERVICE PUMPING & DRAIN C (9781 276-0548 p. 11 Page 10 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 154 rrmwille Loge No. gmer MA Owner. F s&Paula Nimes Date of Inspection: b21,2002 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks.Locate all wells within 100 feet.Locate where public water supply enters the building. 1t,Mv Ji 1t E L.i1w� .n MAR 21 2002 4: 59PM SERVICE PUMPING & DRAIN C (978) 276-0548 p. 12 Page 11 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 154 Granville Lane No,Andover MA. Owner: Francs 8t Paula Date of Inspection: March 21 2002 SITE EXAM Slope Yes Surface water No Check cellar,es Shallow wells_ 1�o Estimated depth to ground water 7'+ feet Please indicate(check)all methods used to determine the high ground water elevation: X Obtained from system design plans on record-If checked,date of design plan reviewed: October 1477 Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health-explain: Checked with local excavators,installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Plans at B O K and toaaaraolu layout of lot - NORTH Town Andover .of -. 4 `' L No. 460 o A E dover, Mass., a �. i - - - 3 a �, -aoo z_ COCHiCHEwiCK ��. ADRATE D Cl `� 1 H BOARD OF HEALTH Food/Kitchen PERMIT , T D Septic System THIS CERTIFIES THAT.....f� ..../a...¢. 'v.!�....... ., .- .-,+e/� BUILDING INSPECTOR .. . , ......................................................... Foundation has permission to erect../..3..X.ar1'................ buildings on ... 6�.....y..... .�'.a..v.vt/.......�f,!•V.�........... Rough '� /^YM c7�a�i�id.✓ — 6�.� o�'xo� "PE C,< /o?iX�(� c5/jr� Chimney tobe occupied as........!....... ......................................................................../.............. 7....................................................... y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. /0�/-7x/ 16-3.3, PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S ARTS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. ti 1 Commonwealth of Massachusetts North Andover, Massachusetts System Pumping Record System Owner & address: Frank Nugent RECEIVED 154 Granville Road North Andover, MA FEB 2 3 2006 Location of system: Front, left side TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Date of Pumping: 1/9/2006 Type of system: Septic tank Gallons Pumped: 1000 Gallon(s) System pumped by: Service PLimping &Drain Co. Inc. License #: BHP-2005-0649 Contents transferred to: Greater Lawrence Sanitary District Date: January 9, 2006 Pumping Technician: MW This is PROPRIETARY and CONFIDENTIAL information that may be used only by the Board of Health for regulatory purposes Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'ti' •O•.n°.A"4h ,SSAC04US� - This certifies that . . . . . . . Ya . . . . . . . . . . . . . . . . . . . . . !x has permission to perform . . - �c a..J. . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . at. . . . . ., North Andover, Mass. Fee.- 7. . . .Lic. No. . . . . . . . . . .01 .,. .:��. �yy�. . . . . . . / `PLUMBING INSP�.CTOR Check # c v 5177 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date' ?` Building Location IS41 Gr;Pe 11,411-c- 44n C � —,----'Permit# 6--1'7 Amount 6,� Owner ,gyl c.' 14, A/V 4 ..,-7-- New New Renovation / Replacement Plans Submitted Yes No FIXTURES N Cn Cr a U x w x oz zA H > x x ao Cn S�BgVIC M MOOR 2'!\II 1FIOQR �)FIOCI(2 M HDM 5M HIOOR 6M HDM 7M IMM `�` S1H�IOCg2 . a (Print or type) Check one: Certificate Installing Company Name �orp. Address zzkPartner. usmess Telephone Firm/Co. Name of Licensed Plumber: 10� /1//l9P 7r Insurance Coverage: Indicate the type of insurance coverage kry checking the appropriate box: Liability insurance policy E3 Other type of indemnity El Bond J 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 E] 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 Plu ing Code and Chapter 14 of the General Laws. By Signature ol 1-icensea FlumDer Type of Plumbing License Title City/Town icense IN UMDer Master Journeyman ❑ APPROVED(OFFICE USE ONLY Date. . . . ... . . ',�'. . .. Of,NORTH L TOWN OF NORTH ANDOVER O A • PERMIT FOR GAS INSTALLATION y SACHUSE�� This certifies that . . . ` . . . . . .. A�. . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas . . . . . . . . . . . . . . . . . p in the buildings of ` . . . . . .'. .:`°!'s . . . . . . . . . . . . . . . . . . . at . . . .!. 1. - ��`. .� � ^;North Andover, Mass. Fee. .A.) . Lic. No/a;r f. . . . . . . . ... . . . . . . . . . . GAS INSPECTOR Check 3 , 66 MASSACHUSETTS UNIFORM APPLICATON FOR PERAffr TO DO GAS FrrnNG (Type or print) Date lft�c%/.2,2 .,2004 NORTH ANDOVER,MASSACHUSETTS l/ Building Locations i!5WAnl/i`L4G Permit# 291,1, y,A�/mount$ af' •'� Owner's Name2G``S New❑ Renovation Er Replacement ❑ Plans Submitted ❑ O 3 3 U a ' SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR STH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Printor type) one: Certificate Installing Company Name o+4 ei.S ��/l/!/�7e� 7— Corp. Address - � 6n',P,�-;ZLe '40 r ❑ Partner. � O Business Telephone 9J,e-9W 9- �" ❑ Firm/Co. Name ofLicensed Plumber or Gras Fitter INSURANCE COVERAGE Check one: I have.a current liability hismanm policy or it's substantial equivalent. Yes 0' Noo If you have checked des,please indicate the type coverage by checking the appropriate bolt. Liability insurance policy Other type of irxlemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe 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 mum 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 Gras ode and Chapter 142 o the General Laws. B1'' Signature of Licensed Plumber Or fitter Title ❑ Plumber /off/e 9 CitylTown Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) 0 Journeyman 3767 Date....7.�.. .d.. �: ,•'� ':"°oma TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUSE� This certifies that ........UrA..(J.k.rj....... i+...1'`S..l.c 1.:.. �t...�....................... has permission to perform ............ �f..�!.�.. :..Uhl.................................... wiring in the building of � ...... ....... .......: North Andover,Mass. Fee JV -.V..... Lic.No. IMi C/......../� q / ELECTRIC AL INSPECTOR Check # ly (fomrnonwea&of/i'lamachaielfo Official Use Only cc� cc�� Pernut No. 2eparintenl o`.}ire Servicee Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 ChIR 12.00 (PLEASE PRINT IN INK OR TYPE:ILL iNFORiII,I TION) Date: J''— '1—O Z City or 1 oivil of: A&?f 4cp-oc.- To the Inspector of FY'ires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant j(/(0(j'ex, Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes [�' No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service�� Amps /7i0 /'Z✓jd Volts Overhead Undgrd ❑ No.of Meters New Service Antps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity N Location and Nature of Proposed Electrical Work: `/lhdIrl E AAR/ r Completion of the following table may be n•aived by the Ins cera•of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)FallsNo.of Total Transformers KVA No. of Lighting Outlets S No.of Hot"Tubs Generators KVA No. of Lighting Fixtures S)vimn)ing Pool Above [IIn- ❑ o.o m )ti ergency )g ng rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Z No.of Detection and No.of Gas Burners Initiating Devices No. of Ranges No.of Air Cond. Tonsl No.of Alerting Devices Heat Pump Number "Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal Connection El Other Heating Appliances Security Systems: No.of Dryers PP K�� No.of Devices or Equivalent No.of Nater KW Signs of No.of Data Wiring: Heaters Sins Ballasts No.of Devices or Equivalent No.Hydron)assage Bathtubs No.of\lotors Total IIP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURE\NCE 'BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: lfOQb ---- (When required by municipal policy.) Work to Start: ,j 1-0 Z Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certifj•, under the pains and penalties of petjruj•,that the information on t s a plication 's Imre and complete. FIIL,I NAME: IV-7L 0 G,�2.�-a,—� LIC.N'0.: J �6�/q Licensee: 44(.1/T> ��' Sibnature LIC.NO.: (If applicable, enter "e.vempi-in the license number line;) Bus.Tel.No.: 9797 d$Z 614"— Address: �6 �e 4,cr>, S'� X O��Y Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,1 hereby waive this requirement. I am the(check one) ❑ owner ❑ oWner's a"ent. Owner/Agent Signature Telephone No. IPIRjVIT FEE: S PLEASE FILL OUT BACK SIDE