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HomeMy WebLinkAboutMiscellaneous - 247 FOREST STREET 4/30/2018 (2)d I IJ 3- Date.................................. t NORTI, , 3r'•t'`�•o+•_s��0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING SAC14US� This certifies that .............. RY�� W 4! rE ............................................................................. has permission to perform ....... .......'� Z/..l. � ....IeE.... wiring in the building of ........-Sl ©! f? ..................................................... at ....... '` ....... ' ./......... S.7 ........../........ ,North Andover, Mass. Fee ............... ..". Lic. No .............. .. �............. f `� ELECTRICAL INSPE&I ORC/ Check Jt v 655;1 I IN Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 9 051 Cleave hlank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK \II'.) n•k to he pert i-nied in accordance c)ith the \lnssachuSCttS I:Iee 601 Code t\11:0. 527 CAIR 12.00 1 PLE. ISE PRL\ T [ IN OR TYTE . I L l.1•�FO I L I TIO,\��1 Date: � -�- 2 - City City or Town of: /U�f �i1dCrLlC, TO 1he h7v1?rr•101' Oj WilT. . 13y this :Ippliration the undersi'med gives notice of his or her intention to perform the electrical work described below. Location (Street & 'Number) 2 q 7 %���–�— Owner or Tenant LcjTelephone No. Owner's Address 2z•, 7 �;.rnel cL Is this permit in conjunction with a building permit? Purpose of Building Existing Service /00 ,\nips / Volts New Service A&O amps / Volts Number of Feeders and Ampacity Location and Mature of Proposed Electrical Work: Yes ❑ No [R* (Check appropriate Box) Utility Authorization No. (7 �r Overhead Undgrd ❑ No. of Meters Overhead Undgrd ❑ No. of :Meters / No. of Recessed Luminaires . ._. ._.......,t ,.,. •.,..,....q; No. of Ceil.-Susp. (Paddle) Fans .,..., ....I1 r.e manna rpt• me nm :c.. -t sir r�[ n r No–of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool :\bove ❑ In- ❑ , o. o Emergency Lighting � -nd. rrul. Battery L'oits No. of Receptacle Outlets No. of Oil Burners��FIRE ALARMS rVo. of Zones No. of Switches No. of Gas Burners �No. of Detection and t Initiating Devices No. of Ranges No. of Air Cond. Total Tons i:No, of Alerting Devices No. of Waste Disposers Heat Pump Numher Tons KW !'No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection__ No. of Dryers Heating appliances KW Security .S stems:* No. of Water No. of No, of No, of Devices or Equivalent Heaters KW Signs Ballasts __.—. Data Wiring: No. of Devices or Equivalent______ No. Hydromassage Bathtubs No. of Motors Total HP _ Telecommunications Wiring: No. of Devices or E ulv alent vInett: .Il/ilCh ii, �r.lrll Ul7tl� h'i,lll ;/ -1r•S:r('l1, .t':1,1' I'l',I11NYll h:L IIIc- %1:;,/, L 0 GI' F1tinlatvd \'clue of Elcctri •al \York: (\hhen required by municipal policy.) kk ork to Mart: ,� In:,pections to be requested in accorclance with \IEC Rule 10, and upon completion. INSLRANCE COVERAGE: t•nicss waived by the owner. no permit fur the pertornulnce ofcic.trical work may i •sue unle', the' licensee pil"Nides proof ,tf liability insur;utcc including" ontplctcd operation" cov'erauc or its 1.11 �dontiAl :quiv;Ilvrtt. ' h'- ndvrr,i ne.l cerritie: that ouch cue rn;;e i:. in li)1 :ntd ha, c .hillited proof (f ,ante ro rile 1'crntit i ..•uin :Lottie.. 11 F( I til R,\�,C'L: ❑ i3t;�.1? �� illll'.R ❑ (Spr-'cily:i i -N -1 j i.,ide' 1hej!Il.'ll.)' ?/[� f1C,'Itl%/%r'.0 l�/1[!['illl')', 'il!!r 11P %t!j/11''Nt[/,/rl/l Jll Ill.)' rl111.1[CUlfull !J ;l'[lr• U,`+[l C'U "'fl�..'l!'. _Ji.. 40....,x® 0 %, ..r -i: r;a- _ rl,l�.l .n li,r L., Ir, , ..;,rrti•, r,,,t(., --- - �---- �oy 3 2®� i31i.s. TUI. '•to.: Address: — ---- --- numlt. Tel. `to.:.-------.._ ">eeurity Sy'.:teln C)nn'actor t.icerlse iequirud tier titin ttii.rk; if/r'plic.lb e, anter the license ber Iture: _ ONVNER'S 1NSl:RAN(_'E bVAIVER: I ;int nwnrc that Iltr Li+:unree Ju,." 170 havr the liability insurnna_ ::, .'Ia c n� rnr,llk. luquired by law. By my ,i,gnatttre below, I hcr.hy waive this; requirement. 1 ;un the (.heck one) ❑ r.>wnvr ❑owner':, ,u, nt OwnerlAgent - �gilatur'c a'.;.,;1t,>.t; , :.;. JormWIT f='�'�'• t BOARD OF HEALTH TOWN OF NORTH ANDOVER., 11ASS. D'� 6© id a3 C, 3 e— i 2� �y �d 7, SHOW DII,,ENSIOIS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AIM DISTANCE OF WELL FROM SEWERAGE SYSTEM 10, SHOW LOCATION OF BROOKS, STREAN,S 9 DITCHES 2 LEDGE OUTCROP, ETC. 11, SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULAT IOVS SHOULD BE READ CAREFULLY. ,Ko NAME � '� DATE 1. . . . . . --- �j 2. ADDRESS :�r`: :� .S� .LC1T NO. . TEL 3. -� N0. OF BEDROOPIS DEN YES NO. . 4. GARBAGE GRINDER YES . . N0. 2•0 . . . 5. SHOW DIDIENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7, SHOW DII,,ENSIOIS OF LOT 8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AIM DISTANCE OF WELL FROM SEWERAGE SYSTEM 10, SHOW LOCATION OF BROOKS, STREAN,S 9 DITCHES 2 LEDGE OUTCROP, ETC. 11, SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULAT IOVS SHOULD BE READ CAREFULLY. WELL DATABASE ADDRESS: )_ 4 %S�— AGE OF WELL: WELL DRILLER: WELL PERMIT #: 4 WELL LOCATION: WELL PERMIT DATE: DEPTH OF WELL: TYPE OF WELL: a.. DRILLED b. D G c. TYPE OF WATER BEARING ROCK:. 7' WATER ANALYSIS DATE: 7 G - MAN HIGH IRON: Y N OTHER CONTAMINANTS WELL DATABASE )WN GANESE: Y Y N ADDRESS: 2 AGE OF WELL: WELL DRILLER: WELL PERMIT #: ? WELL LOCATION: F i N WELL PERMIT DATE: ? DEP OF WELL: TYPE OF WELL: Ca..DRILLE b. DUG OWN TYPE OF WATER BEARING ROCK: WATER ANALYSIS DATE: ? HIGH MANGANESE: Y N HIGH IRON: Y N OTHER CONTAMINANTS: Y N L xv APPLICATION FOR SEWAGE DISPCSAL INSTALIATION HEALTH DEPARTMENT - NORTH ANDOVER, PASS. tion fora permit for a sewage disposal installation at . I will install this system in ac- corda"nce with all the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of V- until 10 feet pre- ceding the septic tank, where thp grade shall not exceed 2%. I will install a con- crete septic tank of .tea rg - in size. A manhole (s) permitting easy cleaning will be provided with remov laS a cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with 4 inch perforated or open jointed pipe and laid in a series of trenches, the bottom of which will pro- vide a minimum of / X,_D lineal ( ) feet of effective absorption area. The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia.) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less than 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line. I further agree not to cover any portion of this installation until approved by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DA TE u / i V ture of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DA IE _ / �� ;L gnature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DA TE t Ct pp nn Signature of idpecting Officer Percolation Test (/ Garbage Grinder '� w' 4s April 7, 1962 Miss Mary Sheridan R. N. Health Agent Board of Health North Andover, Mass. Dear Miss Sheridan: An examination waa made as requested in order to determine the suitability of the soil for the subsurface disposal of sewage on the proposed Forrest Street (Lot #8) building site of Mr. George Farr. The land in general is high. The subsoil in tlm area was of clay content and a 7 -minute percolation test was conducted. It is recommended that a 750 gallon concrete septic tank be installed together with 200 lineal feet of drain pipe. WJD:hd Very truly yours, William J'. Drisco��. Geo. Farr J- Forest St. APPLICATION FOR SEWAGE DISPCSAL INSTALLATION��' F HEALTH DEPARTMENT - NORTH ANDOVER, MASS . n ?herle7bymakepplication for a permit for a sewage disposal installation at Forest St. 10 I will install this system in ac- cordance withN!�ll the laws of the Commonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Further, I will construct the house sewer of bell and spigot pipe, the minimum diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 2%. I will install a con- crete septic tank of 0 al, in size. A manhole (s) permitting easy cleaning will be provided with remov ble cover (s) of iron or concrete within 12 inches of the ground surface. I willrovide subsurface disposal field with 4 inch perforated or open jointed pipe and laiNn a series of trenches, the bottom of which will pro- vide a minimum of 180 \ lineal (&W&) feet of effective absorption area. The pipes will be laid on a 6 in6h layer of washed gravel or crushed stone ranging in size from 3/4 to 1-1/2 inches (dia.) and the pipes will be surrounded by similar material to a height of 2 inches ab�ve the crown of the pipe. The joints of these pipes will be protected from cloggQand before filling the trench, 2 inches of gravel or stone 1/8" to 1/4" (dia.) wi`1 be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single tile line will exceed 100 feet in length and in any case, two lines of the will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not exceed 36 inches. No part of the installation will be less thin 100 feet from any private water supply, 25 feet from any stream, 20 feet from any dwkling or 10 feet from any property line. I further agree not to cover any portion of this installation until anuroved by the inspection officer, as provided below, and to - that may be attached to the permit. Plot Plans DATE APB 2 5 19s2 orporate any additional requirements ust be submitted with application. igna I hereby issue the above permit for the Board of Andover, Massachusetts. DA 7E APR 2 5 1962 Signat of Applicant th of the Town of North I have inspected the uncovered system indicated above and as described. up Percolation Test 4 min. Soil: Clay Garbage Grinder of Health Agent everything done Signature of Inspecting Officer System Owner S - 6 f Commonwealth of Massachusetts Massachusetts Svstem Pumping Record System Location Date of Pumping: `'C % Quairiity Pumped: ";�� gallons Cesspool: No Yes L.l Septic Tank: No U System Pumped by: Fctt`edda License # Contents transferrred to : Greater Lawrence Sanitary District Date: Inspector: Yes [4 ------ FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT LOCATION: Assessors Map Number Q A SUBDIVISION STREET 2 �' 7 ):G rle4t OFFICIAL USE ONL RECOMMENDATIONS OF TOWN AGENTS: TION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED PHONEI'7' PARCEL LOT (S) ST. NUMBER SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED T PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT �..�ne DATE. SEP -27-2005 11:22 FROM:DEUINE MILLIMET BRNC 978 684 5054 TO:9786888476 P.001/003 To: Michele, l-lea.ltlt & Conservation Dept. Town of North Andover From: Pamela. A. Storch Phone: 978-475-91.00 Email pstorch@devhlemi11imet, coil, Fax: (978)688-8476 Re: Deck Permit for 247 Forest Street Michele, I have attached a certified plot plan for otir property, 1 am also attaching a copy of the letter from the Town approving the deck permit a. few years ago (sa.m.e location of deck, saris plan). I do not have an "as built" for the septic tank, Our Home w,,iq built in the 50°s and we bought before Title V carne into cffect, I do know that the septic tank is oil the opposite side of the house from. where the deck will be built, I'm not sure whether the Town has any records for the scpl:ic tank. on file, if you could direct me to someone 1 might be able to speak with [ could give them a. call, to sue if there are any records for mir property. Your assistance is much appreciated. Thank you. Regards, Para Storch � • '?�'a!%DS Q�eK SEP -27-2005 11:22 FROM:DEVINE MILLIMET BRNC 978 684 5054 T0:9786888476 P.002/003 ITAL ANT r. uFi uy I m/p lo"M60n► r aOHN $ �,u��inN► � 3A311_ 8ENTEDT0SEA VWU— LLNE SURYB'f. %0 �� 8E1.1S GIR2_.__ 'i=f�Rf`S'r S t Cz.CC'i ten%,. i --100 AMERICAN SURVEYING COMPANY 77hum(ordAv#nue, Waltham, MA QM 54 (617) a92 -M77 ;UU—NW fteGI8TR1' OP DEEDS LM vert.--- � == A.SEB +ORS L_GATED—� 3ACT DWELUMo urx in ­ BHDWN ON NATtoNA4 F=D INSURANCE PR M FLOOp ,UF,00a RATE GAAP DATED � .,.niut7v PANEL# F.B,W-7 FOE. TOT'Ri.. P.m SEP -27-2005 11:17 FROM:DEVINE MILLIMET BRNC 978 684 5054 N17,6; MILUMET ATTORNEYS ,AT 1_Aw TO:9786888476 P.001/003 FAX COVERSHEET Date: September 27, 2005 Number of Pages (.I.ncluding Covershact) � NAME COMPANY FAX NO. PHONE NO. - To: Micllele w Health & Conservation Dept. (978) 688-8470 From: Pamela A. Storch Phone: 975-475-91.00 Ei-nail,l)storcii@dcviiiei,niiiiiiiet.co.i,n Comments: Declt Permit for 247 Forest Street Michele I have attached a. cerl:ified plot: plan for our properly. t am also atutching a. copy of the letter from the Town approving the deck permit a few years ago (same location of deck., saanc plan). I do not have an "as bui.11" for tine septic tank. Our haute was built hi t:lte 501s and we bought before Title V came into effect.. I: do know that the Septic tank is on the opposite side rA i r 1...._ ..1.. .1--1....'I1 I- - 1_._'1.. 10— -..e ....-- ...1.-41.--a1... T....... L.-- -...........,...1,. SEP -27-2005 11:22 FROM:DEVINE MILLIMET BRNC 978 684 5054 TO:9786eBB476 P.003/003 Tows. of North Andover. Office of the Building Department CommtIn ty Development and Searvk es Division 27 Cbar.,les Street - North Andover, Nlassa.ch1wetts 011 D, Robert Nicetta. Building Coa iniissioner Date: From: D. Robert Nica , wilding Commissioner Re: PERMIT PICK UP t*90 w �ACH�g� Telephone (998) 688-9545 Fax (978) 688-9542 We have attempted to cmtact you with regard to your Permit ` I . 79tis Permit has been ready for If you, do not cQxno into this Office to pickup and pay the fee, an inspection will be conducted. and A.ppropriata action taken if we %.nd that emstruction has begw or hn been completed, BOARD OP APPFALS M-9541. BLTILDTN(. 688-9545 iCONSMVAMN 688-9530 HEAT T[ -I 68R-9540 PLANNTNG 68Q-9535 Town of North Andover Community Development and Services Division o? •`'° ��°� Office of the Health Department , .� ;. 4.00 OSGOOD STREET ..' • North Andover, Massachusetts 01845 �"sS�CHUS��� Susan Y. Sawyer, RENS/RS Public Health Director (974} 688-95=10 -Phone (978) 688-9542 - Fax Date: Qp-, 02/010 o S Address: 2q -7 IZvr-e ST S, ,, North Andover, MA 01843 Re: Application for: 9 p k R 4 Dear: Your application for OU &k -c- 1r atQN 7 C�Sr has been reviewed by the Health Department. The application was denied on, 2004 for the following reasons: 1. Iv Missing information 2. ❑ Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the problem(s): If #1 Is checked, please supply: a. Floor plan of existing and proposed addition - all rooms / 2ertified plot plan showing house, septic system and proposed project in scale If #2 Is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer It #3 is checked: a. Relocate the project If #4 is checked: a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult an engineer to determine the flow capacity of the septic system. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Reviewer Cc: Building Department File 13)7,11�.0 OI- ,WITM S (M 9541 ti1'ILDIN(i 6XX 0> Ii C( )N. I:R` A PION 0 { S-4131'1 N( W 1{ ()88-943 I'VA,.NNING 0."J)515 Iw • N O U a) t .Qi OD in LL 4-- O N 0- 0 V) H L 11 1 1 I ,= C .S C Ip Q E u 0 G 0 m O e. L a. L O C � � O � DG ZT A c N O E c Gl 3 .0 m 0 CCQ G1 I H C _O Q � c U O O C, ,=