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HomeMy WebLinkAboutMiscellaneous - 190 BERRY STREET 4/30/2018 A4. ��' FORTH Town. of � _�,w0% _0 L A*_ _o dover, 11�'[ass., C - � COCMICHEWICK �� oRATED P'Pat�C� v U ` BOARD-OF HEALTH ERMIT T P U 75 Food/Kitchen • BUILDING SPECTOR THIS CERTIFIES THATt S f ........ -.................................: ...... ....... .�......................... .. ..... ............................ .:'�.�`�^ 9.2'x. �✓ r° �1,.. "'" Foundation: has permission to erect........................................ buidin s on . .. .:...................: .......... - ...... Rough to be occupied as.........N ......S.1....... — �........ ..... Chimney .. ... ............... . .. ......................................... provided that the person accepting this pe it shall in every respect conform to the ter 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough co PERMIT EXPIRES IN 6 MONTHS Final tJCTI S ELECTRICAL INSPECTOR UNLESS CONSTR Rough ...... . ................................................................................................. Service BUILDING INSPECTOR Final - - ----Occupancy N-rmitRequired to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To BeDone FIRE DEPARTMENT !Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. i i I f'.O°TM 53 .59 o � , w 9 Town of North Andover ,sS^CMUSt'i HEALTH DEPARTMENT CHECK#: — DATE: LOCATION: CONTRACTOR NAE:�` TVDe of Permit or License:(Check box ❑ Animal ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool ❑ Tobacco $ ❑ Trasb/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC .5.ustems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other. (Indicate f sir . ea h Agent Initials White-Applicant Yellow-Health Pink-Treacvror 12/09/2010 09:46 9783528236 C M ROLLINS CO INC PAGE 02/02 NashobaAn 0yqcaj, LLC 'rel:978.391-4428 Fmi 978.391-4643 LabNurnber; 118264 31A Willow Rond,Ayer MA 01432 website:hup://www,N"inbaAnnlyticaI.Com Use this number wit],011 corrmpolidence Client: ReportDate, 12/212010 Charles M. Rollins Co., Inc. 126 Depot Road Boxford, MA 01921 Certificate of Anal viis Lot#3 Berry Street, North Andover MA a Parametei* Method Result MCL MRL Date of Analysis Analyst -Wellhead Sampled:11/29/2010 4,10-'00 PM by Client Total coliform Ooataria,1100ML MF-SM92228 0 0/Absent 0 11130/2010 10:30:00 AM M-MA1118 Calcium,MG/L EPA 200.7 28.9 Not Spec 1 1113012010 M-MA11118 Copper,MG/I- EPA 200.7 NI) 1.3 0.01 11/3012010 M-MA1 118 Iron,MG/L EPA 200,7 0.2 0-3 0.01 11f3012010 M-MAI 118 Magnesium,IVIGIL EPA 200.7 2,7 Not Spec: 1 1113012010 M-MA1118 Manganese,MGfL EPA 200.7 0.019 0.05 0.005 11/30010 M-MA1118 Sodium,MGIL EPA 200.7 9 See Note 1 11/3012010 M-MA1118 Alkalinity,MG/L SM 23205 75 Not Spec: 1 1113012010 M-MA1116 Ammonia,MG/L SM 4500-NH3-0 NO Not Spec 0111 11/30/2010 M-MAI 118 Chloride,MG/L EPA 300.0 8,4 250 1 1113012010 M-MA1118 Chlorine,Free Residual,MG/L SM 4600-CL-G 02 Not Spec 0,02 I1/3012010 M-MA1 118 Color Apparent,CU SM 21208 10 15 1 11/30/2010 M-MA1 118 Conductivity,LIMHOSICM SM 2510E 230 Not Spec 1 11130,7010 M-MA1 118 Hardness,Total,MG/L SM 23408 84 Not Spec 2 11/3012010 M-MAI 118 Nitrate as N,MG/L EPA 300.0 ND 10 0.05 11130=10 M-MA1118 Nitrite as N,MG/L EPA 300.0 ND 1 0.01 1113012010 M-MAI 118 Odor,TON SM 21506 1 3 0 11/30/2010 M-MAI 118 pH,PH AT 25C SM"r 0-H-8 8.1 6.5-8.5 NA 11/3012010 M-MA1 118 Sediment,poo/neg NEG — NEG 11130/2010 M-MA1118 Sulfate,MOIL EPA 300.0 14.8 250 1 1113012010 M-MAI 118 Turbidity,NTLI EPA 180,1 2.9 Not Spec 0.1 11/3017.010 M-MA1 118 MCLmMaxirnum Contaminant Level(EPA Limit),MRL II Minimum Reporting Level Sodium Guidelines-Most,20,EPA 250, #P Result Exceeds Limit or Guideline NO�None Detected(4MRL), Background Bacteria Noted Massachusetts Certified David L.Knowlton Page 1 of I Laboratory#MA1 118 Laboratory Director Massachusetts Department of Conservation and-Recreation Office of Water Resources 161720 TYPE OR PRINT ONLY Well Completion Report GPS (Required) North _ West Address at Well Locations L p c c + -Property Owner/Client: L 16.1 Subdivision Name: 0. Mailing Address: City/Town: N of 4An- A nci bpi'2c . City/rown: 4- .Assessors Map Assessors Lot# NOTE:Assessors Map-and Lot#mandatory if no d available Board of Health permit obtained: Yes Not Required E3 Permit Number C1' issue r11-14 2 1N4RKERFOtMiEp =:VORTYPE 4._DRILNGIIEHOD fi. iakSING Overburden I Bedrock From(ft) To (ft) r e , Thickness Diameter 5 WfL!LE)G Extra OVERBURDEN ❑ Water Loss or Drop,in { ❑ LITH©LOGY Bearing Addition Drill Fast or From(ft) To(ft) Code Color Comment zone of Fluid Stem D ul Raten !LC Y / Y / iF S From(ft)7p,(fjt 1 ' Type Slot Size V Diameter ❑❑❑ Y / N, Y / N F / S ` --- - Y./;N ' ;Y_/.N : E./.S . ❑a❑ - _.- ❑0 — Y / N -Y / N_ F /-S 1L Nll _- L1 .4 ..FCt _ F ci To (ft) Material-Description- Purpose: Y / N . El El F /` ❑. Y / N Y / N4 El El 0E w BEDROCKNor Water Drop�n Eztta, Nast sale Loss:or #k of , G_)"r �' LITHOLOGY Bearing Drill Lame Rust Addition Fractures From(ft) To(ft) Code Comment zone. Stem slow We Staining of Fluid perfoot (Nr t -Y Y /r Y p© 10D C,L 00 Y F A S Y Y 4 r4 m nJ 0(0 [../L. 40 / N 4 F AS Y / N Y N b,� NYlNF SY /IN Y j N / N F / S Y / NY N b-o Y:-/ F l Y !_N. Y IN MNY / F / SY /.NYtN � - / NY / N''F-/ SYlNY / N u - YINYlN FIS Y / NY /'N ` Y./ NiffNAF ISY / NY / N 10�lil►ELL ES[pATA{IUL EC ONS 1tiEANOIk Y FC3R PR#�pt Ql! iIVEL1.5) 11.STA TlC Wa LE)tE (AL S iAtEtLSj' Yield Pumping Level TwtoReoover Recovery Depth Below Date Method (GPhq rti'"(h �°3r n .- (R.BGS) (hrs&min) (FL BGS) Date Measured Ground-Surface(ft) 3-4 It 3.�, rt- T12.4, it ANEl+rlr U�11<is vat _e f � Pump Description Horsepower '�— Developed Y N Fracture Enhancement Y -Pump Intake Depth �. (ft) Norninaf Pump_Capacity _ (gpm). Disirttected Y� N Surface Seal Type Total Well DepthDepth to JBedrock- 15 S aTf k llil +fl;: This welt was cfnikx;altered,and/or abar♦doned.urM my supervision,according to-applicable - l' tis rules and regulations,and tl', is completeto the best of my kwvvledge. Driller �/ - u Supendsibgi Drflier Signature: - Firm: m Date- ..Complete, t: R' `Permit# .I NOTE: WeU CoMpk&Mr R PMU const be filed by&e'Wgisjded*vff&kr-w&N' n 30 days of':weU conWk&m, Massachusetts Department of Conservation and Recreation Office of Water Resources .1617.2 0 TYPE OR PRINT ONLY Well Completion Report GPS.(fl uired) North West _ - ° Address at Well Location: L o 13-- Q�� S°�'f�°Q'� Property Owner/Client: i L 'Subdivision Name: `` Mailing Address: Citj/Town: /voc-k�- Ancic»Pe.c . Citylrown: *� Assessors Map Assessors Lot# NOTE.Assessors-Map.and Lot#mandatory if no d f available Board of Health permit obtained: . Yes M Not Required 0. Permit Number Da le.issu 2.1NORK PER Et ,..; WFt:L,7*OE a 1?FHt N IIETHO� s GAS11�tG Overburden Bedrock From(ft) To(ft) yq Thickness Diameter 5-j] Q : 1�1000 Ra ® o t(I 5 OLL,LQCa OVERBURDEN Extia '•� Water Loss or Drop-in Fast or ❑❑ LITHOLOGY Bearing. Addition Drill Zone of Fluid Stem Slow 7"$ORE11 "' _} 7, 772 From(ft) To(ft) Code Color Comment Drill Rate ' > Type Slot Size Diameter s($� 2 t� Y / Y / F S From(ft) fo(fj•, Y / N_. Y / N FIS Y Y/ N_ 'F./ S - - _ >LIi;NNlf[¢kR S>�It!? ARA##QO'NME . YINY../ N -f / _ To(ft). Mafed'al Description Purpose. Y X / N FEl El" 001 / - . . ❑❑ a❑ YIN Y El El El BEDROCK • Water Drop in Extra: siti]a toss:or #of t LITHOLOGY Bearing DO La S� Rust Addition Fractu From(ft) To(ft) Code Comment Zone- .Stem Shining of Fluid perfoot Ll Lob 444— 1,A Y Y / Y 00 'LOD 6,L Y / : F S Y Y / zap rJ 300 64L rJO / N F S Y / N Y N C* CL I e3J Y`"`; NY / NF SYINY N > 5 jj / N F / S Y / Y N bfl Y:-C ' F-I Y /.N Y tv ANY /'N'F %'SY /.N- `Y 14 / N .Y / N `F1SY / NYI'Nw Y / NYINF / SY / NY /'N r,J Y:/ NY1•N;FIS'. Y / NY / N it).1 1.L ES1 DRTA:(Ail1. Et M #i{AN lkT4 tYFOFi< VELLSj 1.#.STA't•1C IfAf) f ;LE EI{ALS:WltsI.LS Yield e. 'v Pupping:Level Time to Recover Recovery Depth-Below Date Method (GPM) (firs 9r+m) .. (R.BGS) (l rs&min) (Ft.SGS) Date Measured Ground Surface(ft) ")-4 .F.;; •— — 72 PI�RIfiFJlt+tEl�f'�'Pllll��{tF%VAt#ABL ; r. 13.--AD �;I�+tIF'bl#IYI '�7CiN Pump Description ` .` Horsepower '�-- Developed Y N Fracture Enhancement Y Pump Intake Depth a '' (ft) Nominal Pump Capacity {gpm,). Disinfected. Y) N Sur#ace Seai Type 1Total Well f)'epth Depth,to Bedrock:J 1_ This well was dulled,altered,and/or abandoned and my supervision,according to.applicable rules and regulations,and th rt i5=p complete a to the best of my knowledge. Ddl►er. .. u 'L SuperWsing Orrller Signature: - ..'' ! .• _ egisfiation k 1 1.31 1 Firm: Date Corn e: 1 Rig Permit#- •1 1-). I"7 I I. NOTE. WeR+Compte ion'Reports must be fikd by die,reowa weld&Xer.within 30 craps of,welt completion: C)fficr of C OAT1Tf ° TT J600 OSS OD STR1 ET, BW 1.0Jiti.(; r i?;. c, 10011 I I A`,DOVER. \1,1.`SACT i i 15, (i 1 S I:1 �;tuall i'.tiat�'t•;•r, ic!•:li`7r2:i '.!";ti.6S�'�:'I!+ i'ro� �'c Y'ucil[r iita(111 i2it1'clOr :,?�.htiti.�:�i ':i ! '\�\ ;ka`i}tile'\: ;qua;ll�''•rhsl'i};`;11C},:1'iJ'.C:ylit .'r V.'11.::••11'a.e jj;,11'�i1,ll:at:1\'�)'.Ct!I11 Well and/or Pump Application (Please print) DATE: LOCATION to Drill Well orinstall a pump: f2- � .y Licensed Well Contractor Name and Company Name: L k4ACtL1.e 5 1M ' A ' '-5 e'--q - =Vc- 1 Contact Phone Numbers: 7 — g7,?7— 2'3 Z v aF.c� < <('1 g— 3 75•-4 r> C,e t Homeowner:�kf Address: R �OX A FAO-S to Contact Phone Numbers: ANY 1=JZA W F,LIS(to be completed at time of pump test) Typeofwell: '13-c, DAmcp� Use: VClsikeSr k Diameter of well: Size of Casing: Depth of bedrock: (1 Depth of casing into bedrock: 1 1 Seal been tested? Yes(N�) No( } Date of test: It—( OL fU Depth of well: 4$Q Water-bearing rock: Depth of water: L t Delivers:_- ,c GPII for: Q •�•� (how long) Drawdown: Q feet after pumping: J' hours 2t:— GPP% Date of Completion: l.i-a i o h Signature oflr ell Contractor PUMPS(To be filled in before installation) � n Name&size of Pump: +t t'` /'- •� Type: t� '` Size of Tank: 10 (7 4Lt-1L a r Pump delivers: GPAI X I Go PS Pipe used in welt: Cast Iron_ Galvanized Plastic Cn �� Sleeve used torotect pipe? Yrs NoK Iype of well sea,: i p P Date: 1 I i0 Signature of p Installer Date water analysis report submitted to Health Department: 1101 a !to Flamhing Wiring inspector Health Department Representative C:\DOCUME—ilbcurran\LOCALS-1\Tetnp\Well Application.doc Np o7M . • 51 1 3 pt 'ly • � 10 Town of North Andover �.'•�.,,,o.. HEALTH DEPARTMENT ,sSACHUSf� CHECK#: �l�. S� DATE: LOCATION: H/O NAME: U CONTRACTOR NAME: ro Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Tr �ash/Solid Waste Hauler $ 3,-V ell Construction $1 � SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other:(Indicate) $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer s TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 ''• •�` NORTH ANDOVER, MASSACHUSETTS 01845 Susan Y.Sawyer,REHS/RS 978.688.9540-Phone Public Health Director 978.688.8476-FAX healthdept(a�townofnorthandover.com www.townofnorthandover.com Well and/or Pump Application (Please print) DATE: LOCATION to Drill Well or install a pump: LdT 3 �xP- y T r /y�• �� v Licensed Well Contractor Name and Company Name: C e S 1IA ' t �'L� �"� �' i Vic- Contact Phone Numbers: j ? - g7,?7- Z 3 Z, Ormr-,e, g-28375-a Homeowner: PL INKS Q A K- PA'o T 1 S Address: P, Q , &QX (0 b 4 4Vi tea} 1 +�ll�St'A J +•jc�c5y9 Contact Phone Numbers: (4 0 3 - ' �� y �0 0' f=12A WELLS(to be completed at time of pump test) Type of well: (7�b�� Use: �► sr Diameter of well: Size of Casing: Depth of bedrock: Depth of casing into bedrock: Seal been tested? Yes( ) No( ) Date of test: Depth of well: Water-bearing rock: Depth of water: Delivers: GPM for: (how long) Drawdown: feet after pumping: ours at:-��{� GPNL Date of Completion: -Ga�Z L�+' Signature of ell Contractor PUMPS(To be filled in before installation) Name&size of Pump: Type: Size of Tank: Pump delivers: GPM Pipe used in well: Cast Iron_ Galvanized Plastic Sleeve used to protect pipe? Yes No Type of well seal: Date: Signature of Pump Installer Date water analysis report submitted to Health Department: Plumbing Wiring Inspector Health Department Representative C:\DOCUME-I\bcurran\LOCALS-I\Temp\Well Application.doc J • r , Town of North Andover RE: Applications for a permit to drill a well: Before a permit can be issued, you must have your contractor submit the following: 1. Submit to the Health Department a site plan showing the house and or lot footprint 2. Indicate any wetlands within 200 feet of the proposed location for the well 3. Indicate the well location 4. Submit a check for $135.00 with the application Note: All submittals must be drawn to scale. Please note that you may also be required to file with the Conservation Commission if wetlands are near to the proposed well, and to the Planning Board if you are located in the Watershed District. North Andover Board of Assessors Public Access Page 1 of 1 r Nart r NORTH '".; ii ,moi /..z P'ylfI+.�r'?fi�'.o � SOyF,��AP <+Tii:-> sr- roperty Record Card Click Seal To Return Parcel ID:210/106.D-0039-0000.0 FY:2010 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlar e Search for Parcels Search for Sales Summary Residence Detached Structure Condo 142 BERRY STREET Commercial Location: 142 BERRY STREET Owner Name: HOUGHTON,NANCY C/O KIETH THOMPSON Owner Address: 142 BERRY STREET City: NORTH ANDOVER State: MA Zip: 01845 Neighborhood:5-5 Land Area: 1.00 acres Use Code: 101-SNGL-FAM-RES Total Finished Area: 1693 s ft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 331,000 349,700 Building Value: 133,700 152,400 Land Value: 197,300 197,300 Market and Value: 197,300 Chapter Land Value: LATEST SALE Sale Price: 1 Date: 09/21/1998 Arms Length Sale F-NO-CONVNIENT Grantor: RITA HOUGHTON Code: Cert Doc: Book: 05184 Page: 0331 http://csc-ma.us/PROPAPP/display-do?linkId=1520944&town=NandoverPubAcc 10/7/2010