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HomeMy WebLinkAboutMiscellaneous - 35 SANDRA LANE 4/30/2018 (2)0 3916 TRAVELERS J� The Phoenix Insurance Company P.O. Box 1450 Middleboro, MA 02344-1450 11/18/2015 Town of North Andover Building Inspector 120 Main Street North Andover MA 01845 Insured: Robert Denney Claim Number: HXV5224 Policy Number: OVG420-981591208-633 -1 Date of Loss: 09/08/2015 Loss Location: 35 Sandra Lane North Andover MA To: Board of Selectmen Building Commissioner Inspector of Buildings Board of Health A claim has been made involving loss, damage or destruction of the above captioned property which may either exceed $1,000 or cause Massachusetts General Laws Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws Chapter 139, Section 313 is appropriate, please direct it to my attention and include a reference to our insured, the policy number, the claim/file number, the date of loss, and the location. If you have any questions, please feel free to contact me at (508)946-6317 or email me at NVI LANDR@travelers.com. Sincerely, Nicholas Vilandre Claim Professional (508)946-6317 Ext. 9466317 Fax: (877)786-5584 Email: NVILANDR@travelers.com On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. Signature Date P0062 F3162C1515323003916 00001 N Date ....�� "l.7" d ...... j NOR7M TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......5Co.7:r.....:f.".4.©.: .A/ ................................. a has permission to perform ........Vii../.!.a .-i ............ C�f> ?� wrongIn the building of ./..,.�.................... v.... ............................................. S` S•gtJ� L �v at............................................................................. .North Andover, Mass. Lic. NoJ'ir.l�.�'..................... . .. 10 ELECTRICAL INSPECTOR Check # 1S 684 THEC0H1101NWE LTH0FiYI4mcHUSEns DEPARo/lrce Use only T1bIDVfOFPUBlICS4FETY Permit No. (Q tl BOARD OFFIREPREV&VHONRECU A770ASS27Ct�iR 11.-1 Occupancy & Fees Checked ..,...�..� APPLICA17ONFOR PERMIT TO PEUORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wire! The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant ` Owner's Address„ Is this permit in conjunction with a building permit: Yes ® No ® (Check Appropriate Box) i Purpose of Building Utility Authorization No. Existing Service ?-�?Q Amps I L/ z1(0 Volts Overhead Lt Underground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity —� Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA t No. of Lighting Fixtures Swimming Pool Above Below Generators KVA and round No. of Receptacle Outlets No. of Oil Burners. r No. of Emergency Lighting Battery Units • No. of Switch Outlets e No. of Gas Burners a No. of Ranges No. of AirCond. Total FIRE ALARMS No. of Zones Tons No. of Disposals No. ofHeat Total Total No. of Detection and Pumps Tons KW Initiating Devices No. of Dishwashers Space Area Heating KW No. of Sounding Devices No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local MunicipalOther No. of Water Heaters KW No. of No. of a Connections Signs Bailasis No. Hydro Massage Tubs ' No. of Motors Total HP OTHER S + UmaalrreCoaeag� AastaYbthetagtmat�c#M�ach�sGataalLaws IhaeaaxmtLiabtTdyh x==PbbLynixmgca plate C ma@!crilsRksbrtUwfivakrt y6 NO Iha%.eabngedvaWp ofofsanetotheOliimYFS Ifjcuha%edw*edYEs,Pkmm&*thetMxofcvmwbydrd the bcoL 1NSURfWCE ®OND OTHER a (Pk=Spm&y) _ 1 Esf FxpnatimI) to nekd VakrdBec tical Wbtk $ WakbSfat o InspedmDaleRapmled Signed utxia�iel 411j .. Rtxgh Fatal FIRMNAME Li enseNa Litx��see ��C S S r� N`as�4�1 Sigramae � !ieatseNo 1 �l `j'� �'11�c Btsirles Td. No. I IT ? Acle � � � S� . ✓hc�-.r-<-�_ . ,n..�A . c ��?`'I `I -- -r AkTel.Nn OWNER'SINSLRANCRSVAIVFR;tamawated=thef sedtiesnothay+etheirmtr�renneta�orilss arteir ¢vol asmTmedb,N Com!Laws �d tmysigtxattaernihispennitapp6 ttwainthism4menad. (Please check one) Owner � Agent Telephone No, PERMIT FEE $ �f Mr. Fames Cunningham 35 Sandra Dane No.Andover, Mass. Dear Mr. Cunningham: Sept 14, 1981 Complaints have been filed with this Board regarding early morning noise coming from roosters kept on your property. No permits have been issued by this Board for the keeping of poultry, -,*hich, therefore, must be removed. There is also a, zoning regulation regarding; the amount of acreage needed for the keeping of animals or poultry. Since your lot is Less than the required three acres ve are also referring this matter to the Building inspector who is in charge of zoning regulations. Very truly yours, Julius Kay, M.D. Chairman Julius Kay, M.D., Chairman R. Georg: ('Bron Edway d,a . Scanlon Made by Address Nature of coiTplaint BOARD OF HEALTH >:'L•AA NORTH ANDOVER>froRry' . MASSACHUSETTS a(.OR��1T• O 01845 ' o: `SAV RIL7A`O ♦ F k, 1855 ' j} ''' SSgCHUs��4 COMPLAINT REPORT "•••�` TEL. 682-6400 r / Date r T el R ecoiTm►en dation s Action taken 101 M WATERSHED RESIDENTS QUESTIONNAIRE 1. Name S u l/ H a 1 5:ftti9 o'j 2. Street Address 3 S —5A^4& ie12-4 i►/ No :.4 ` o v 3. How many members are in your household? a-- 4. What type of sewage disposal system do you have? ❑ cesspool ❑ septic tank and leaching area Jk_ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no do not know'"_ _ :..: 6. How old is your sewage disposal system? ❑ 0-5 years 6-10 years ❑ 11-20 years"="--' 0 over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ 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? ❑ 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 - dishwasher �2 garbage disposal dehumidifier drain sump pump toilet roof/pavement drains -S� shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher = y4 a % clotheswasher Tc d e - 12. Does your property have a lawn? Mal yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre 1/4 acre ❑ 1/z acre ❑ 3/4 acre El1 acre Elmore than 1 acre (Specify acres 13. How often do you fertilize your lawn No. of applications per year Season(s) of the year J 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: ❑ Check here if your lawn is maintained by a professional landscape contractor. EO WATERSHED RESIDED&TS QUESTIONNAIRE 1. Name 5 `i" -e U en an -e- OCC Id M a ti 2. Street Address q1 7CL�'dfo- t -A- 3. How many members are in your household? 4. What type of sewage disposal system do you have? ❑ cesspool ❑ septic tank and leaching area C' connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes ❑ no ❑ do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ over 20 years * ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? ❑ yes ❑ no E do not know If yes, approximately how long ago? ❑ 6-10 years ❑ 11-20 years years. What was done? 8. How frequently is your sewage disposal system pumped out? ❑ 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 ✓ dishwasher garbage disposal dehumidifier drain 'MTmP-pump toilet roof/pavement drains shower/bathtub 11. Please state the brand and type (liquid or powder) of detergent you use for: dishwasher C S ca -0 t clotheswasher T n 12. Does your property have a lawn? If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre ❑ more than 1 acre (Specify) C� yes ❑ no ❑ V1/2acre ❑ 3/4 acre ❑ 1 acre _ acres 13. How often do you fertilize your lawn? No. of applications per year Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: SGo-r7-S - ❑ _ Check here if your lawn is maintained by a professional landscape contractor. ✓f /1) APPLICATION FOR SEWAGE DISPOSAL INSTALLATION - S HEALTH DEPARTMENT - NORTH ANDOVER, MASS. I he e maapp1. tion,) for a permit for a sewage disposal installation at 1�kel' o--'-� . I will install this system in ac- cordance 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 1% until 10 feet pre- ceding the septic tank, where the grade shall not exceed 226. I will install a con- crete septic tank of le—r--v in size. A manhole (s) permitting easy cleaning will be provided with removable 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 / Lo lineal (square) 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.f,�, DATE Y-51- -7d 'vv ignaiure of/ pplic ' I hereby issue the above permit for the Board of Health of the Town of North Andover, Massachusetts. DATE ?- k - d Signa a of Health Agent I have inspected the uncovered system indicated above and find everything done as described. ) DATE 7 / `2 oil Signature f Inspecting Office - col i Pe T ` ; . r at on est �� gg'-1 Garbage Grinder BOARD OF HEALTH 4� TOWN OF frO,-aTH ANDOVER, MASS. P Win.•..., "v Croq'L f -7" s»-- C70 K 'S Copy 1. NAME ( 9A1At1A1,11 /a /a'% �% A h�( S �! . �l'� DATE "E P7ENl C3 E R /g 1 2. ADDRESS SAXIOA-ff L-41YE LOT NO. TEL,314 3. NO. OF BEDROOMS DEN YES NO 4. GARBAGE GRINDER YES NO 5. SHOW DIMENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMENSIONS OF LOT 8. SHOW LOCATION. AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC. 11. SHOW.DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY. 0 N_- ��"~ BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS SEWAGE DISPOSAL NAME OF APPLICANT James J. Cunningham„ Jr. LOCATION Lot #12' S'andra bane Address of lot no, BUILDING: Dwelling X Other SYSTEM: New X Repair GENERAL DESCRIPTION OF LAND high A DATE SUBSOIL: Clay Gravel Sandry Clay X PERCOLATION TEST 5 minutes per inch, MINIMUM INSTALLATION RECOMMENDATIONS CONCRETE SEPTIC TANK 1.O�gallon capacity, LEACH FIELD 180 lineal feet of drain pipe, lj)JLL _\�� J1 William J. 'scoll, Engineer Board of Heal h