HomeMy WebLinkAboutMiscellaneous - 225 BRIDLE PATH 4/30/2018 (2) r
225 BRIDLE PATH `
210/104.C-0084-0000.0 \`
�I
�a
1
``SII
I
I
I
Date.. .........I...... ..
t pORT1{,
3r°,•` `` 0. TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
,ss^CNUS�
This certifies that 5 V e �e C
...............................................................................................
has permission to perform L3,`S.s w £� � ke w,u J c
............... .................................... ...................
wiring in the building of...... .N d r `' S UN
.............../...,.................................................
at......a �l ..®.................`..�.° North Andover,Mass.............. .... .........
Fee....3� . Lic.NoA.�b.0 r....r7...P(-61!I. ;./b?. .rt ?..-i✓�
ELECTRICAL INSPECTOR
Check #
5220
TBE CQjWDAT9E4LTH0FA1A.SSACHU,S'ETI',S Office Use only
DEPARTA1EW0FPUBL1CSAFEIY Permit No. �
BOARDOFFREPREVEMONRWUTAHOI�527CMRI2.010
Occupancy&Fees Checked
APPLICATIONFOR PERMIT TOPERF' ; ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUS S ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover r To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical worZdescni d below.
Location(Street&Number) (� ►�''"
i
Owner or Tenant
Owner's Address -5 for�
Is this permit in conjunction with a building permit: Yes® No (Check Appropriate Box)
Purpose of Building �I N fj Utility Authorization No.
Existing Service U Amps /cl�b Volts Overhead Underground No.of Meters
New Service Amps / Volts Overhead Underground No.of Meters --��L—
Number of Feeders and Ampacityj�y, Y
Location and Nature of Proposed Electrical Work fo ; A. r✓'�' n�tra,�'P e Iti o b�k�ropv
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
round zround
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
No.of Disposals No.of Heat Total Total No.of Detection and
Pumps Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW Ng.of Sounding Devices
Na'of Self Contained
Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal Other
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
t
OTHA.
A
h1XT[a MCOVtraW_PLumanttothc ImpmnffZofMclmdni9cMGMTA aws
[baveaanertLiabhtyhiSum=PbhcynrkxmgComplete tM
Covelageoritssubslaegtuvalent YES NO
[have subnhwdvandpmofofsametothe0�YES Yyouhavedlad�edYES,pkaseindicatethetypeofCDWrageby
Irckingffieappfaxotebox.
NSURANCEE BOND O [IER r7 (Please Specify) / t,41 Y1�e. 6, �N5
F*talionDale
NodctoStatt 4� E�ntaledValueofl1ecluc�alWotk$
InspearonDateReguested Rough Final
�i�Iedund�-�ief�natliesofpeijtay. S�����r� �1_ � Al
MMNAME LioffWNo. I� �d 5
Signature LicenwNo 63$25 G
BusitmTel.No.
,ddtAlt Tel.No. B g l 5
)AVMR'SINSURANCEWAIVER;IamawarethattheLic=doesnothavetheinsT&-D_-coverageoritsai)st alegtuvalentasro medbyMassac-huseasG.netalLaws
.d thatmysiimt mon thispeuT it appficationwaives dh smgi merit
?lease check one) Owner El Agent
Telephone No. PERMIT FEE$
rgna ure o caner or 7gent
U The Commonwealth of Massachusetts
d Department of Industrial Accidents
Office of investigations
Boston; Mass. 02111
Workers'Compensation insurance Affidavit
Name Please Print
Name:
Location:
City Phone #
0 I am a homeowner performing all work myself.
I am a sole proprietor and have no one working in any capacity
I am an employer providing workers' compensation for my employees working on this job.
Company name:
Address
City: Phone#:
Insurance.Co. Policy#
Company name:
Address '=
City: Phone#:
Insurance Co. Policy#
Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of,a fine up to$1,500.00
and/or one years'imprisonment-as-well_as_civil.penalties lnlheform nf-a_STOP WORKORDER..and..a.fine.of.(.$1AO.DD).adayagainst.me. I
understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification.
11 . i
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Signature Date
Print name Phone
Official use only do not write in this area to be completed by city or town official'
City or Town Permit/Licensing
Building Dept
❑Check if immediate response is required E] Licensing Board
p Selectman's Office
Contact person: Phone#: Health Department
F-1 Other
i
Address �?S�/��D�.�S- �i�-7-!/ Title of File
Page 9 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/
filum• Action Department
Board of Appeals — Board of Health Planning Board Conservation Commission — Building Departrnen,fi
o5-
576
APPLICATION FOR SEWER SERVICE CONNECTION
North Andover, Mass. }9'
Application by the undersigned is hereby made to connect with the town sewer main inr �s ( Street,
subject to the rules and regulations of the Division of Public Works. I J�
The premises are known as No. ?1215 �G ��'— T Street
or subdivision lot no.
Owners 7 Address
Da/Gr uel _K;�G/�' p 14 �P
Contractor Address
pp n s Signature
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
to make a connection with the sewer main at Street
subject to the rules and regulations of the Division of Public Works..
Division of Public Works
By
Inspected by
Date
�a _
OS/ZZ%00 18 '.5 i iL�9784703700 SUSAN SELLS 4j,
AGREEMENT
This Agreeent, made as of the 25`h daof MAX, 000, by and between,
John En & Yuen Egug (the "Sellers") and GregorL And sin & Jeanne
Andrusin (t a `Buyers") and the Town of North Andover Board of
Health (the B0H11).
WHEREAS The Seiler and Buyer have entered into an Agreement for
the sale of ft e Property located at ZZ5 MC1919 Path, North Andover,
Mossachuse s (the "premises"), which sale is to occur on Jawe 9, 2000,
WHEREAS, the Premises will be served by the Town of North Andover
public sani sewer system in the immediate future and the Premises
will be conn cted to the public sewer system when it becomes available;
WHEREAS, the Seller and Buyer, request a waiver of Title V,
NOW THEIR EFORE:
In considers 'on of a waiver by the Bon of the applicability of Title V
to the Premi s, the Buyer agrees and warrants to the Town that the
Premises w' be connected to the public sanitary sewer system which
will serve the area located at 22_5 Bridle path, as soon as the system is
available for connection.
This agreem t has been signed in two.original counterparts.
Witness our liand this 25h day of May, 20
Bu er
Selle u e
T a -
rd of Heal h
05/22/00 MON 15:53 FAX 978 688 9573 NORTH ANDOt-'BR DPW 0 001
TOWN OF NORTH ANDOVER
DIVISION OF PUBLIC WORKS
384 OSGOOD STREET
NORTH ANDOVER,MASSACHUSETTS 01845
J.William Hmurciak,Director
Timothy.!. Willett Telephone(978)685-0950
Sta„(fEngineer Fax(978)488-9573
i
May 22,2000
Ms. Sandra.Starr
Health Agent
27 Charles Street
North Andover,MA 01845
RE: Sewer Connection at 225 Bridle Path
Dear Ms. Starr:
Please be advised that a new sewer main is currently being installed on Bridle Path as part of the
town's sewer extension. program. All homes on Bridle Path will have access to sewer once it
has been completed. A reasonable time estimate for completion of the sewer on Bridle Patti is
two to three months from today.
If you have questions,please contact me.
Very truly yours,
i
Timothy J. ett
Staff Engineer
CC: Keller Williams Realty
I
--7/0
OrvyJ
027
41 eoll-11911:59 *6,2 7 se—
A7/
arld
over
consultants EIGHT TILTON STREET
METHUEN. MASSACHUSETTS 01644
inc. (617) 667-3828
:Jll"fe"I(qla C-;n9ineers
f) DATE, 79
TO 1rORTII till,�jGVE`R h—EA11-
fJ7*C:.;41-t TALL , 1,0. 'i i'i-U-0 V
PA t-H M. Al"IDOVER lilASS .
I hereby certify that I have inspected the construction of the
disposal system at -',67- g2/.OL4�F P,17jV North Andover, 1,"-ass
and that the location and elevations are as shown on the As-Built
Drawing dated Dec: Z 1976
ANDOVER CONSULTANTS INC.
Registered Sanitarian
r
This r,
lot to b- construel ;�-F a �-,ua- rantee of the systen.
tj
i
Commonwealth of Massachusetts
Massachusetts
System Pumping Record
System Owner System Location
I
Date of Pumping: Quantity Pumped: gallons
Cesspool: No ��" Yes �._) Se tic Tank: No —
1 I �_� Yes
i
I
System Pumped by: vcttredore gfeamhlaa License#
Contents transfeirred to : Greater Lawrence Sanitary District
Date: _ Inspectors j
� I
'i
1
v '
STEWART'S
CS ! SEPTIC TANK SERVICE
47 RAILROAD STREET, BRADFORD, MASS. 01835
Telephone' 372 71
Date
Mr.
Street [0 16f I YV4
City D �,
SERVICE CHARGE
DIGGING
PUMP TANK
SNAKE LINE
SERVICE CHARGE
Not responsible for grass.,& driveways.
INVOICE DUE AND
PAYABLE UPON RECEIPT
TOTAL /70"
Driver
Signature
Work done in satisfactory manner.
i
J1V P'Z-R i EZ F V,4 T10A1S
;r A T yOLSSS-. . /74 G,!
• a .
TANK INLET• • i74 ¢4
T,4NK OL/TL f 7-• • • • • •
BOX 11V[ET- . . . . . . i74•is
BOX OUrLE-r• • • 7
/ 3. 99 ,
EMD of BED . . . . . . 173. 7, a
tw'
1
l 9. 96'
.4s - BU/L T Z) W
�UB�SCJ�c'PAC'E CSSEWA6E D/SPDSAL cSYST�,1/j
r
c�C.4LE / 9�0� DATE DEc• /2, /9�g
011VIVE Q: LL44JD,5WZ- COti/�ST /NC.
L-OT 33 B.e/OLE PAry
X
�gD � P,
LOCA T/ON � GOT' 5"l8,�/ULE 47-Al
ABso,C� S� 1
LOT-
�� 5.F Zis' .�/O. •9,(/L)D//E!2 , /fifl��S'�S.
0 9Q0
900 sF
OF 4f,
X66 ¢2 andover
consultants
inc. o� 9Eo. 7420
F -/STOk a�
8 Tilton Street, Methuen , Mass. 'IAL S
Tel. 687- 3828
7-,<J/S1�,E' 4 W iL/�, W/rN a r,Q �, /F n ��T, ,L�4
AIcI7 .'L� f3lE�: 'C;t� 1TE'��EL� .-l<S 4 �� :4oQ.;,�'7F� I,
.��f� .T / /'1 G_� •57<ST F..�� ��4 �r�L� �C.�,1/„-a-�i���,�..r' ��i� ^�"rG'.�.�.�y' �I.
\- - .-z:--_tee-x_�_-.�-racer.._- - - - - •r:+c -�-` .�- .. -. s -. Q�f
(�
I�,� �i
��
;i
..
. - I `� �,
�, S
`_ �
• .
NOR T1 ILLIDOVER .BOARD OF HEALTH
• SUBSURFACE DISPOSAL SYSTEM CHECK LIST
. kPPROVED PROVIDED DISAPPROVED
�Z- •7?
General Information
Seg. 2.5 Fail Ox The submitted plan must show as a minimum:
a) the lot to be served (area,dimensions) lot #� abutters)
location and dimensions of system (including reserve area)
design calculations
calculations showing required leaching area
existing and proposed contours
cation and log of deep observation holes-distance to ties
cation and results of percolation tests-distance to ties
cation of any wet areas within 100' of the sewage disposal
system or disclaimer
surface and subsurface drains within 1001 of sewage disposal
system or disclaimer
,,—H)--location of any drainage easements within 1001 of sewage
disposal system or disclaimer
oat sources of water supply within 200' of sewage disposal
system or disclaimer
ation of any proposed well to serve the lot(1001 from leaching facilil
ocation of water lines on property (101 from leaching facilities)
mum ground water elevation in .area of sewage disposal system
ocation of benchmark
lan must be prepared by a Professional Engineer or other
professional authorized by law to prepare such plans
_41)--driveways
rbage disposers
profile of the system (elevations of basement, plumbers pipe
septic tank, ..distribution box inle.ts and outlets, distribution
field piping and any other elevations)
t) no PVC is to be used in construction
Septic Tanks
Reg. 6.1 a Capacities - 150% of. flow
Reg. 6.7 Water table
Reg. 6.0 11 c Tees
Reg. 6.9 Depth of tees
Ree. 6.1 ccess
Reg. 6.1 ing
Cleanout r
Seg 3.7 101 from cellar hall or inground swimming pool
from subsurface drains
jPumps
Seg: 9.1 ` a Approval
Seg. 9.61 (b) Stand-by power
• SOIL PROFILE & PERCOLATION TEST DATA
T 6wn/ �dyer- No.&Street .zLc. t-tom Lot No. S
Log./Subd�1V'�-tea
V Investigato,�e,�d'& Observer
t
j N SOIL PROFILES-DATE
Elev. 3. Elev.
_ 4'Elev.
E1 v. 2.
�0 ._ ' ,26 77 IlS o26 77 0 . 0
"3 I
_2 2 2 2 \�
\�
j 3 3 3 ,
\4 4 4
�5 5 - 5 5
i
c
6 � a 6 6
7 7 b 7
8 - 8 $
9 9 9 9
10 10 10 J 10
Benchmark Location
Elevation Datum_.
Percolation Tests-Date 717177
Pit Number 1 2 3 4 5
Start Saturation
Soak-Mins. Y
Start Test-Time
Drop of 3"-Time
Drop of 6"-Time
Mins.lst 3*'Dro
Mins.2nd 3"Dro i
Notes & Sketch/es on Back - - Frank C. Gellinas &/Associat,es.,_N.orth And: -
��i'' C O�G✓�4� 0-'L /UGC-hate, �-/ /J, L /
A-1
I)T, ,APP�OVFD DATE
.r�, -•,, --_ r'XCAVA`PION GK
_ L OK
Dis';ance T0: ''Z1'
'• et1 aids
Dr=ains
wall
? ,-'-I-,Tater Line Vocation
r-T PITC Fine ,
Septic man's
Tees - Length To Clean Out Covers
Cement- Pipe to Tank - On Both Sides of Tank
S. Distribution Box
Cover x BOX - PTo Crac'�s
All Lines F1 o',"ing 1Equal Amounts
TTo Back Flow
Leach Field Or Trench �
ions
't L
Cd.r" d Ends
Clean D;,�ble t:, d
ashed S,.;cne
�
a � �• Le Cfl r1_t.s
D}T"oij,gi 0?ls
St one D,. x
c 1 I
Tees
Ce'rent Pee to _Pit - Bo-t.11 Siczes
roiibl_e 'Washed Stone
S. 'To Ga-,' ��e Disposal
Q, nal ,d -ng TnsPect�_on
„7 0. Barr�,�.., �_;_�� Co: ered SSTs .em
As - Built d
Dot T,ocatiOn
D_irmens-j -,r- Oi yS
em
LOCatiOni.th ReF and to p erc 5t
Elevations
t,T � `T:5ble
:�.�,er
SEPTIC SYSTEM INSPECTION FORM
ADDRESS Z z s- j
DATE INSPECTED i
PROPERLY FUNCTIONING? Y N
WEATHER CONDITIONS
COMMENTS :
DYE TEST PERFORMED? Y N
DATE?
SKETCH:
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name
2. Street Address � ' �-L�!_ L=
1 --
J 3. How many members are in your household?
I
4. What type of sewage disposal system do you have?
❑ cesspool
septic tank and leaching area
connection to municipal sewer
j ❑ other (describe)
❑ do not know
5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health?
7 yes ❑ no ❑ do not know
6. How old is your sewage disposal system?X 0-5 years ❑ 6-10 years ❑ 11-20 years
i ❑ over 20 years ❑ do not know
7. Has your sewage disposal system been rebuilt or repaired?
FO yes � no %, do not know
If yes, approximately how long ago? years. What was done?
8. How frequently is your sewage disposal system pumped out? ,I annually
❑ every 2-4 years ❑! every 5-10 years ❑ over 10 years ❑ never
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 l dishwasher garbage disposal
dehumidifier drain sump pump toilet
—
roof/pavement drains shower/bathtub -I-
11. Please state the brand and type (liquid or powder) of detergent you use for:
dishwasher 7C—r,° c--C
clotheswasher 1( 'f S<<-
12. Does your property have a lawn? g yes ❑ no
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre1/2 acre ❑ 3/4 acre ❑ 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn?
No. of applications per year _
Season(s) of the year ���'f'tT +
14. Please state the brand and type (liquid or granular) of lawn fertilizer you use:
C'6- D w-- C C-7 U (C>
LG-Check here if your lawn is maintained by a professional landscape contractor.
Town of North Andover f NORT1y
OFFICE OFoa°°`' `p °'e�0�
COMMUNITY DEVELOPMENT AND SERVICES ►- A
146 Main Street
North Andover,Massachusetts 01845
WILLIAM J.SCOTT 9SSAcmUS
Director
April 7, 1997
John Eng
225 Bridal Path
North Andover, MA
Dear Mr. Eng:
have attempted to reach you by telephone with no success, therefore I
am faxing this message to you and will follow it up with a certified letter.
On January 7, 1997 in response to a complaint, Health Inspector Susan
Ford of this department performed an inspection of your property at 45 Pleasant
Street, North Andover and subsequently sent you an order letter requiring you to
repair the roof. To date this has not been done. An additional inspection was
performed by myself and Ms. Ford on March 27, 1997 which showed that the
roof still had holes leading to the outside and that an animal, probably a bird, +
has had access to the dwelling. These situations are violations of 105 CMR
410.500.
At this point you have until April 18th, 1997 in which to effect repair of the
roof at 45 Pleasant Street or a complaint will be filed by this office in the
Lawrence Housing Court.
am enclosing a copy of the document entitled "Legal Remedies for
Tenants of Residential Housing" for your edification. In particular, please note
items 3 through 6.
Please call this office as soon as repairs are complete.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: Tenant
Wm. Scott, Dir. CD&S
BOH
File
BOARD OF APPEALS 688-9541 BURRING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
BOARD OF HEALTH
27 CHARLES STREET
NORTH ANDOVER, MA 01845
TELEPHONE# (978) 688-9540
APPLICATION FOR ABANDONMENT'
OF SUBSURFACE DISPOSAL SYSTEM
(SEPTIC SYSTEM)
Pursuant to Section 310 CMR 15.354
of the State Environmental Code, Title V
Name �^� �-� s ,� Phone
Address Is- 1321 /%e-
Contractor hired for work:
Name DANIEL A. GIARD Phone (978 ) 686-7653
Address 130-A APPLETON ST. NO. ANDOVER MASS.
Date for scheduled abandonment
The septic system at the above address has been abandoned according to
Title V specifications.
':Dell-�-� A. az:��
Signattde of Contractor
Me od of septic tank abandonment (check one). ( ) removal ( ) sandfill
( crush ( ) other
Name of Offal Hauler DANIEL A. GIARD
This form must be returned to the North Andover Board of Health.
PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH
REPRESENTATIVE'S USE ONLY.
Inspecting Agent Date