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Miscellaneous - 2 BRECKENRIDGE ROAD 4/30/2018 (2)
2 BRE KENRIDGE ROAD // ---- `---- J 210/107.D-0117-OOpOA � - s v o North Andover Board of Assessors Public Access Page 1 of 1 Q14ORT"1 North handover Board of Assessors 9SSACMU 1 4roperty Record Card Click Seal To Return Parcel ID:210/107.D-0117-0000.0 FY:2011 Community:North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlar e Search for Parcels Search for Sales Summary Residence +" r. : Detached Structure Condo 2 BRECMIUDGE ROAD_ Commercial Location: 2 BRECKENRIDGE ROAD Owner Name: HO,BENSON P VENNA LEE HO Owner Address: 2 BRECKENRIDGE ROAD City: NORTH ANDOVER State: MA Zip: 01845 righborhood:6-6 Land Area: 1.09 acres e Code: 101-SNGL-FAM-RES Total Finished Area: 3233 soft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 575,800 580,500 Building Value: 368,200 372,900 Land Value: 207,600 207,600 Market Land Value: 207,600 Chapter Land Value: LATEST SALE Sale Price: 375,000 Sale Date: 11/05/1991 Arms Length Sale Code: Y-YES-VALID Grantor: AL MIC REALTY TRUST Cert Doc: Book: 03344 Page: 0087 http://csc-ma.us/PROPAPP/display.do?linkId=1709090&town=NandoverPubAcc 4/5/2011 NUMBER COMMONWEALTH OF MASSACHUSETTS BHP-2011-0571 North Andover FEE $135.00 Board of Health ♦ spa _ t �� ' WILMINGTON PUMP SUPPLY, INC. ----------------------------------------------------------------------------- NAME 2 BRECKENRIDGE ROAD ------------------------------------------------------------ ------------------------ ADDRESS IS HEREBY GRANTED A PERMIT Well Construction Well Installation This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires -----------------July_04, 2011_________________unless sooner suspended or revoked. ---------e-------- April 04, 2011 -- -- - Board of 1 -C rA/---------------- Health -------------------------- -------------- � I --------------------------------------------- ' Board of Health Chairman 5 ��f] gf (y Cf HO RTM�� r r V j/ 7 1 f r • Town of North Andover `�'•�;, ;:: HEALTH DEPARTMENT ,SSAC NUStt CHECK#: DATE: LOCATION: H/O NAME: _ ---- CONTRACTOR NAME: Type of Permit or License: (Check hoyx / ❑ Animal $ r ❑ 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 $ ❑ Trash/Solid Waste Hauler $ k ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ n ❑ Septic-Design Approval $ 11Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ther:(Indicate) s Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer H , TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT r' 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@,townofnorthandover.com www.townofnorthandover.com Well and/or Pump Application (Please print) DATE: LOCATION to Drill Well or install a pump:I-e LCC p 7a r I Al y 'e 1?ce Licensed Well Contractor Name and Cormpany Name: Tel y Wil/ e(-'e 6- ra Contact Phone Numbers: J, ,y I cS�W Homeowner: �� 0 S'(� t1 ►'� Address: &d' Pt_ e t P C2 1/7. 4 Le, Contact Phone Numbers: 7 6 3 WELLS(to be completed at time of pump test) Type of well: Use: 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: hours at: GPM Date of Completion: Signature of Well 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 ype of well seal: Date: Signature of Pump Installer Date water analysis report submitted to Health Department: Plumbing Wiring Inspector Health Department Representative C:\DOCUME-1\bcurran\LOCALS-1\Temp\Well Application.doc Y � 7 , L_ 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. ZONING: R-2 REFERENCES. PLAN NO. 11256 N/F KASHA NEK 285.94' p� LOT 2A DT 1 AREA 47,286 f S.F ' � - , 09 PWOPOSED WOOD DECK 31.1 CONCRETE ti FOUNDA TION 10 h X08 4 o h� •y L=151.63 cpy I CERTIFY: TO THE NORTH ANDOVER BUILDING INSPECTOR ( THA T THE FOUNDA TION DEPICTED HEREON IS L OCA TED y ON THE GROUND AS SHOWN. R=60.00 F T _ �,ti1H Of,y4� BRE'C ENRIDGE I ,� _ W ROAD �D Esslo � (PRIVATE - 50 FT. WIDE) SURV PLOT PLAN OF LAND IN NORTH ANDOVER PREPARED FOR KENTYOOD DEVELOPMENT CORP. SCALE 1» = 40AUGUST 30, 1989 HANCOCK SURVEY ASSOCIATES, INC. 2 ELECTROMCS AVENUE, DANVERS, MA TE. 'S PLAN NOT TO BE USED FOR 71 TLE ,URANCE PURPOSES, NOR FOR ,ONSTRUCTION OF BOUNDARY LINES. 0 20 40 80 160 3675 TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: -411& D� SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) ,�� C/ DATE OF PUMPING: QUANTITY PUMPED /�o� GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE ✓ EMERGENCY OBSERVATIONS: GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS �,/ FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) SYSTEM PUMPED BY: r COMMENTS'. C'G(Ji CONTENTS TRANSFERRED TO: Add ress,?`tjQ j "e{r tit 2 i-no g- Title of FiJe Page of Date File Open: Date file closed:^ Doc Document/Action Title Date.of Refer to other Purpose of Document/Action and,notes action Document/ document/ fWum. Action Department Board of Appeals — Board of Health — Planning Board _ Conservation Commission — Building Department G r� 1 (1i�1� o� 2cx.Eryl�rDG� 'SOwPLI WEu- 6pp�ou f lYJTC SSL60 StPTIc SYS►�M �S►<� ; ' (pi�©vED D�Jr�' APR�OviN6 Aurllol?)Ty PL�n1 DESS Ca�vC i� (�MltiS� F aV PNiT 7- DISAPP1�V�p COn�DIT��S 0� E ( f�EOCAI W TUAT�- �R45oNS = CCULD 6� ',vcE ZC-11-63 d \ - Dw� ONly OIC T-0 C-YCAV4-f(OA) V,)c 6-.6TIoti U�rG �o t:�5S EI F4 "r t^'S� �rn�AL !�15PF.�TIo�J ,bPP��dvEl� �fl��po Q/STC n� f Nj T4l,�(� Iry NY C'o9Y SNS ��F Q^'y) .c�o�'E a1 o 45 13,t LT 0V *Lba o47'l)7_ RAL /6PPI pvaL D� APP WVJ6 /6uiNog HSA HANCOCK SURVEY ASSOCIATES #3675 May 21, 1990 Mr. Michael Graf Board of Health Town Hall 120 Main Street N. Andover MA 01845 Re: Subsurface Sewage Disposal System Lot 2, Breckenridge Road Dear Mr. Graf: I hereby certify that the subject system was installed as shown on the enclosed as-built sketch. Field changes made by the North Andover Board of Health and Ken DiRaffael include: Bottom of leach trenches being constructed at elevation 208.5 (1.13 feet lower than the original design bottom elevation). The bottom of the trenches is 4.5 ft. above the observed seasonal high water table elevation 204.0.Therefore the top of the leaching trenches is below elevation 210.5 (bottom of subsoil) and soil replacement within 25 ft. or 10 ft. of the leaching trenches is not required. Please call if you have any questions. Veil truly , t> TH OF C. CLA AL Vacla V , civil �O -100- O/STfYL r 0N NAL� enclosure cc: Mr. Kenneth DiRaffael 3 Breckenridge Road N. Andover, MA 01845 vvt3675 2 Electronics Avenue•Danvers Industrial Park•Danvers, MA 01923•(508)777-3050•(508)283-2200•(617)662-9659•FAX(508)774-7816 139 Beach Road•Salisbury,MA 01952•(508)462-3036•(508)352-7590•FAX(508)462-5547 P.O. Box 587•Haverhill, MA 01830•(508)521-5515 HANCOCK SURVEY ASSOCIATES, INC. JOB 235 Newbury Street (Route 1 North) SHEET NO. / OF DANVERS, MASSACHUSETTS 01923 r/ 8� (617) 777-3050 (617) 662-9659 CALCULATED BY ry DATE > �� (617) 352-7590 (617) 283-2200 CHECKED BY � DATE_ SCALE . ........... ......... urJuh Z7LGiI ee ^ ...__ . . ...... Gl l r) J�trY7 - .`.'i 7-r�r �� r .......... _ LIG►r hofg�/ and ..._ ..... oe�q S �hc :...... . .... . . � .� .................. 8 S 7L� _ ... 3 I ✓�J, / a2/� �r� , M = Oq ... / J , .2 .... l h V ........... .... ...:...... .......... X32: ._ ,1'1/,83 . fio �, y� o � �, o �/o ,7 ................ .. ..... ......<... (�� - /+7 .. ........ ... ..... . meq .... .. ........ .. ... . cl, lP�, :... .....: �fe.� V. f ltcrh I o�ia� 2 Oo -7i Q a��f7 r 1 GJ, J0: �Je L,... ->Lre rah! ... . .... ..... .. .... � , j i3 X107 0�l (, -- .. 3 . ... . - �� '� :���1 .... - �.--... 1, �•�---•�- � �: ........... ...... .;.... .. . ....... ._.. ... ... .__. .... ...... .. .. .... .... . .... . ........... .. PROOIIC7N— t01d ees x.CMm� 1 Mut 01471, HANCOCK.SURVEY ASSOCIATES, INC. JOB 235 Newbury Street (Route 1 North) SHEET NO. of DANVERS, MASSACHUSETTS 01923 '/ B (617) 777-3050 (617) 662-9659 CALCULATED BYy � DATE (617) 352-7590 (617) 283-22001 J CHECKED BY DATE_ SCALE ..... ..,. . .. . . ._...... :.. .... .. ...._ i... _ .. .. . �O� rcc��r: rr� �lol�h ,�hc�c�!%er- � �l . �{ 4,6 mem 14� .... S' ....... Q , r4 -ca d . ....._ . . n /gh �-C 1-�vtC4 �.tfj�Gcr - ���i .... Ct ... Loi �r l ..... a h o/ z 44C op..... . : . ............:... ....... ...... _ ...... 8 SSS Li rrt, ...... ... : " i1 /5/�! .. ................ . e o .... .. ... �3 th Z'hv,. ,� ,ca ��h� : .. .... . z: .... ,.83: fio�..... .1.. . .:o ,/ ....... :............................... ............................. ....._... ....;. .... ,�o fo ..... .. ............. ............... ... �,b /o- n .....: . .:. . .. oqi O O ...... ✓T GJ,>j �lD, owl rr ,--�- 3 ;. . . . �1, g ,log, , .... ...... . / _ .... GI,3zo�.�o ee�o�- ra`j .......... q,3 . ... X1:4© moi �, .. .... ................ GJG., ^! HANCOCK SURVEY ASSOCIATES INC. JOB 235 Newbury Street (Route 1 North) SHEET NO. / of DANVERS, MASSACHUSETTS 01923 /' (617) 777-3050 (617) 662-9659 CALCULATED BY Y -DATE (617) 352-7590 (617) 283-2200 CGa J CHECKED BY "7 DATE_ SCALE 3D,t 7777 1 t. I r f ,; rr u eyes FT-17 -tt ,.; , ....... :... ....... 7013 A.44-4--b.. cow' .D�i-4�r j ......... A-44--f-f : .. ass 6dk :.. / 8 ' 3 F . 4.................;3q +4..............[JJJQ'_ �..i.......... 1 10...1 .1. 1 1 011 .......... !n z .......... ..... 74_41 44 ......... 41-id8 i PR0W 2041�IM.,Gmtm Mm 01171. Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH o A APPLICATION FOR SITE TESTING/INSPECTION � 7� �RATEDE PPp,��`J SSACHUS0 ' Applicant -� X t�/o 1�. /�� pp NAME ADDRESS TELEPHONE Site Location L3kl--c- !-- /u( , ,� - Engineer 'fol y-5�-(f NAME ADDRESS TELEPHONE .ti Test/Inspection Date and Time— AV, CHAIRMAN,BOARD OF HEALTH_ Fee / �� 9 Test No. ,1 lwaghfYC:Gf�I�\ S.S. Permit No.�S� D.W.C. No._AZ�.C. Date Plbg. Permit No. HSA E HANCOCK SURVEY ASSOCIATES #3675 May 21, 1990 Mr. Michael Graf Board of Health Town Hall 120 Main Street N. Andover MA 01845 Re: Subsurface Sewage Disposal System Lot 2, Breckenridge Road Dear Mr. Graf: I hereby certify that the subject system was installed as shown on the enclosed as-built sketch. Field changes made by the North Andover Board of Health and Ken DiRaffael include: Bottom of leach trenches being constructed at elevation 208.5 (1.13 feet lower than the original design bottom elevation). The bottom of the trenches is 4.5 ft. above the observed seasonal high water table elevation 204.0. Therefore the top of the leaching trenches is below elevation 210.5 (bottom of subsoil) and soil replacement within 25 ft. or 10 ft. of the leaching trenches .is not required. Please call if you have any questions. Verl truly , TH 0 i C• CLA AL Vacla V , V�l �O �'/jpo c�s�r enclosure cc: Mr. Kenneth DiRaffael 3 Breckenridge Road N. Andover, MA 01845 vvt3675 2 Electronics Avenue•Danvers Industrial Park•Danvers, MA 01923•(508)777-3050•(508)283-2200•(617)662-9659•FAX (508)774-7816 139 Beach Road•Salisbury,MA 01952•(508)462-3036•(508)352-7590• FAX (508)462-5547 P.O. Box 587•Haverhill, MA 01830•(508)521-5515 . RECEIVED SYS`I"l' PUMPING �z�:��ORi AUG 0 9 2004 TOWN OF NORTH ANDOVER S'Y;N FE M OWNER & ADDRESS ��SYS "f.� i()I,�, �TF+BEPffiR3A�}ENf ..__ fi© QiVOLI) I t E:)A°("EF OF EsEJMl'3R1O: (?E1AN"Ti"E'Y ETUMPF E) /(?OC3 ROUTINE' 0131S'LRVA HONS GOOD CONDI-110N COVER HE=:/IVY GREASE BAFFLES S fN E'LAC4_ ROOTS E?P�C:F IZE'NF#ALS l:X hSSEVE St3LIDS FLOODED F3 ............ SOLID CARRYOVER, OTTIER EXPLAI-IN System Pujapcd h, A.10 -. c - �Sl1© s �cGl ad R " Commonwealth of Massachusetts I E- ` 5 2013 w City/Town of North Andover TOWN OF NORTF-AND- OVER System Pumping Record " LTH DEF FESINT Form 4 M DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority within 14 days from the pumping date in accordance with 310 CMR 15.351. A. Facility Information Important:When filling out forms 1. System Location: on the computer, use only the tab �J key to move your Address cursor-do not North Andover Ma 01845 use the return key. City/Town State Zip Code 2. System Owner: Oc� Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping ate / 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) �] Septic Tank ❑ Tight Tank ❑ Grease Trap ❑ Other(describe): / 4. Effluent Tee Filter present? ❑ Yes No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition of System: �cd - 6. System Pumped By: Ra—me Vehicle License Number Stewart's Septic Service Company 7. Location where contents were disposed: re-treatment Plant, 20 So. Mill Bradford, Ma 01835 gna ure of Hauler Date Signature of Receiving Facility Date t5form4.doc•03/06 System Pumping Record•Page 1 of 1 TRUS JOIST ATI STEVE BROWN p ® 1 Grater Road Amherst, NH 03031 603/673-2132 : 70 P { j , I r i ... .. �I P 01I i +JG S "95 -� �D o R It ►J'` S t!l(.STAR-�Z 'u o•i -6oT`To►j o� 9 3 , . 'to .lo t _ JOB NAME: JOB # LOCATION: _ SHEET OF SALESMAN: — _ BY _ DATE: THUS JOIST CORPORATION STEVE BROWN �- o 1 Grater Road i . Amherst, NH 03031 603/673-2132 � I Po sED. S a t i I . e -rte (�`( �}�7 ',-J- / l of PfP6 7,01.5 ! 2-0 T.5 � � ..� r x.My f� :;Hg�"�,},.fi'.dirt• �k r .i.Wif� �(�v�' .. TE,y./j 3)0•F+ r 4._.. ._ 1 : o `1btE1' lA b , - e 7 oak 1zT� [.E Iw01 �P©sib �lA��oaS wt�� . 1, SKw6 Lia11v50l� f0 15 F1�1Tc -fR�',f� �� �Duc� NuSA �u fZ Cr�+4v6c_. Jul JOB NAME: _ JOB N LOCATION: SHEET OF SALESMAN: BY _ DATE: