HomeMy WebLinkAboutMiscellaneous - 520 SHARPNERS POND ROAD 4/30/2018 520 SHARPNERS POND ROAD -
'-- 210/090.6-0042-0000.0
r �_ f
Commonwealth of Massachusetts 7 RECEIVED
w City/Town of North Andover
9 2014
System Pumping Record `
AY
Form 4 ;TciW"a QP i. �.
G....�...�-_.._�-..yam. ....
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,
5��
use only the tab
key to move your Address
cursor-do not N. Andover Ma
use the return City/Town State Zip Code
key.
2. System Owner:
-F +
Name
ISI
Address(if different from location)
City/Town State Zip Code
Telephone Number
B. Pumping Record
1. Date of Pumping ` 2. Quantity Pumped:
Dattee 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: Ona)`
6. System Pumped By:
t�(P 092C ('� II•
I fame Vehicle License Number
Stewart's Septic Service i
Company
7. Location where contents were disposed:
Stewart s re-treatmentPlantf20So. Mill Bradford, Ma 01835
ina ure�o�auler Date
Signature of Receiving Facility Date
t5form4.doc•03/06 System Pumping Record•Page 1 of 1
No 114 Date.......�S`�,,/l /
NORrM
°.'f TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
.P �,SswCNUSE�
W
This certifies that .........��-f.. .....1.=;.`e. `` .......................................�c
bj has permission to per .<, F:.:. ..:....f4 1............................ .
g wiring in the building of... � ...4CHu .kt. !�5....1..�...lP
....... ...................
v at...1� R.!1 I.. t.. y Y/Is'� ............................ Orth Andover,Mbss.
Li,.No f .�h ............... .. .�....;.. ................
ry 1 5ILNK:
CTRIC INSPECTOR
Cot77 7(WHITE:Applicant CANARY: Building Dept. Treasurer
FORWARD 91
O:iice Use Only -71t.
The Commonwealth o Massachusetts
•�'- Pereit b:
Department of Public Safety
occupancy b Fee Checked��"//f�
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 (leave Dank)
/APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed In accordance With the Massachusctu Electrical Code. 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE A I ORMATION) Date
City or Town of / To the Inspector o Wires./
The undersigned applies for a permit to perform the electrical work de ibed below.
Location (Street & Number) �5ZQ
Owner or Tenant ��171
Owner's Address PARCEL 7
Is this permit in conjunction with a bu'lding permit: Yes ID/No C] (Che
Purpose of Building J/ Utility A thori.zation 140._
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters.
New Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters
Number of Feeders and Arpacity
Location and Nature of Proposed Electrical Work p00D ,
No. of Lighting Outlets No. of Hot Iubs No. of Transformers Total
KVA
Above In-
No. of Lighting Fixtures Swimming Pool grnd. grnd. ❑ Generators KVA
No. of Receptacle Outlets No. of Emergency Lighting
P No, of Oil Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges Total No. of Detection and
g No. of Air Cond. tons Initiating Devices
No. of Disposals No. of p=Ds Total
Total
No. of Sounding Devices
No. of Dishwashers Space/Area Heating KW No. of Self Contained
Detection/Sounding Devices
No. of Dryers Heating Devices KW Local Municipal
El ❑Other
Connection
No. of Water Heaters KW INo, of No. o Low Voltage
Si ns Ballasts Wirin
No. Hydro Massage Tubs No. of Motors Total HP
OTHER: Gi�/f _'!'-�
ov � l _l..-
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy including Completed operations Coverage or its substantial
equivalent. YESK NO C] I have submitted valid proof of same to this office. YES® NO 0
Y If you have checked YES, please indicate the type of co�age byhecking the appropriate box.
INSURANCE BOND [I OTHER i� (Please Specify) / / 126h
9. —
Ex ir/a ionnDD e)
s Estimated Value of Electrical Work S
Work to Start Inspection Date Requested: Rough Final
Signed underthe enalties of perjury:
FIRM NAVE 446W
/�C T /C C./f LIC. NO..A,'5?33
Licensee S- let• 7a-01.1 Signature �` LIC. N0. S9 3.3
Address 16 Z /LL $/!lE �j/�� s. Tel. No. SDS !vy
Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit
application waives this requirement. Owner Agent (Please check one)
Telephone No. PERMIT FEE S
Signature of Owner or Agent
Location 562 0 /1)of S 't'cl Rd
No., c>2 .� Date Voz cf�/
NORT►y TOWN OR NORTH ANDOVER
- - p Certificate of Occupancy $
Building/Frame Permit Fee $
,SSACNUSEt Foundation Permit Fee $
Other Permit Feegoo/ $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ !'
Building Inspector
3 ' 32
07/09/99 12:43 97•00 PAID Div. Public Works
I'I?IZMIT NO. o4-0 APPLICATION FOR PERMIT TO IIUILI)******** R`I'11 ANDOVER, NIA
AI\1'NO. !tea ' 1.01.No . QO 2. RECORDOFON'NlltJll(P DATE BOOK Z��® PAGE
LONE � M� SUB DIV. LOTNu. (�
LOCA IION �el�r$ QA1VyS�,� I'UH1105I:(k BI)II IIING
OWNERS NAME Gar �11` K �e n � 1 � NO.01:S TORIES K SIZF.
OWNERS ADDRESS 52D ��a�4n�S bn I tmsEmEw OR SLAB ST RD RD
Alt(l IIIECI''S NAME ,( Q` SILL'OF I:I.00R 1 IMDERS 1 2 3
III III DL•R'S NAME I �jCa<� $- o� SPAN
DISI ANC E TO NEAREST BUILDING DIMENSIONS OF SILLS
DIS I'ANCE FROM S FREE T DINIENSI(NJS O( IY)SIS
I)ISI'ANCE FROI`l I.Or LINES-SIDES REAR DIMENSIONS OF GIRDERS
AREA OF Lor FRONT AGE IIEIGIrr(7FFC)UNDATI NJ THICKNESS
IS BOILDING NEW SIZE 01 1 O(JI ING ;} j X
IS BUILDING ADDI I-ION MAI ERIAL OF Cl IININEY
? IS BUILDING ALTERATION IS BUILDING ON SOLID ORTILLED LAND
WILL.BUILDING CONFORM TO REQUI REMENI S OF CODE IS B(III-DI NG CONNECT ED TO TOWN WATER
r.
t BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNEC'I ED TO TOWN SEWER
IS BUILDING CONNECI ED TO NA IURAL GAS LINE
INSI"l1C1 iONS 3. PROPER FY INFORAIA HON LANDCOST
EST.BLDG.COSI
PAGE I FII.I.our SECTIONS 1-3 EST. BLDG. COi C PER SQ. FT.
ESI BLIXi.C'(riT 1'ER R(X)1
EI ECTRIC METERS MUS r BE ON o(rrSIDE OF BUILDING S6,11c PERMIT NO.
A1-IACT IED GARAGESMOST C(NJ oimiToSTATE FIRERE(; ILA IIONS d. .krmtovEi) BY: Km� �7
e9
PLANS MUST BE FILED AND APPROVED BY BI)ILDING INSPL(:r(Ni Bt
DATEHLED f �- ��� OWNEliSTEIA T(2) -&�6 -` 'iII L
CON IR.TULH \�v WT r 2 2-� -- 4
C()NIlt.LIc'Nrm
tiIGNAI I IRI:tN OH'Nlat uli AUfllt IY):D AUI:Nr - �, +-'_
F l l i 7, JUN ` l
o
o
t!
- ,4
I'1 111.11 V GRAN 11:1) I �- -- ...-+- •-_
19 �,_,.. .. .v .h
I
FORM U - LOT RELEASE FORM
r
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***********************
APPLICANTA�Ck� I��'� 0,FG&) R76-&%- PHONEyI�Fc3.3—
LOCATION: Assessor's Map Number 0 Yo U5 PARCEL
SUBDIVISION S AA-P(�43LE-, R0 7 LOT (S)
STREET ST. NUMBER
****************OFFICIAL USE ONLY***************************
i Y, &-C) � 3ckOD
JROE MMENDATIONS OF TOWN AGENTS:
NSERVATION ADMINISTRATOR DATE APPROVED bZCl
DATE REJECTED
COMMENTS Ne t✓ ad
TOWN PLANNER DATE APPROVED
DATE REJECTED.-
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
COMMENTS GK- /T' P461- Z0619TErD QXJ 616 0,4- ZKO-06,:tL-
PUBLIC WORKS -SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
Reviser!9197 jm
1_�'�---Gibraltar PoolstN Corp. For Marketing Dept. Use Only
Where Buyer Heard About Gibraltar:
428 Boston Street
U.S. Route One 1. Buyer in
Topsfield, MA 01983
(978) 887-2424 2. 1.
3._ 2.
Date 1 ! �- 19
ll
Bu e.r_1's name and phone umber at Buyer 2's name and phone n�4fnber
q �o ctf� -P $(10 c�/ 0-0
Buyer 1's address (street, town, state and zip code) _.. t o� } Buyer 2's address (street, town, state and zip code)
We hereby agree to sell, and Buyer and any Co-Buyer shown above agree to buy in good faith subject to the terms and conditions set
forth below and upon the reverse side hereof, the following:
SWIM AREA Your Pool has the features and accessories checked below: OUTSIDE DIMENSIONS
Ia 4 A Sand Filtration System: Qf
A G-90 steel Buttresses and Supports Deluxe High Rate Vacuum Cleaner
with baked acrylic finish p
Standard Main Bottom Drain
VInterlocking G-90 Steel Side Panels Virgin Vinyl Printed Liner J6' Aluminum Coping
2f Aluminum Fence A- Pump
f�
�O Flush In Wall Skimmer In Pool Ladder Deluxe
e3 Tufdek
Stainless Steel 16 7" Bottom Leveling Channel O Standard
O Aluminum - 2S Starter Chemicals
Aluminum Outside Ladder
Test Kit
• • ] Approximate 4'depth
Your pool includes only those features and accessories specifically stated herein and those included by the manufacturer of such pool
unless otherwise indicated in writing in this agreement.
ASSEMBLY: Your pool will be assembled by ❑ you • us • ° - • • • • •
LOCATION OF YOUR POOL Your pool will be assembled at Buyer 1's address stated above or,
^if�not, tat-
1. Price of pool $ jg ��® a
2. Less trade in (include description) $
3. Net price of pool $� hy V
4. Sales tax $ r ~}`
A 11-
-5. Total price (3 plus 4) $ ` ®0 `y 1 ca
6. Initial deposit O 4,000 O 2,000 O other $ 10 0 O Cash :O Check O Visa O Master Card ❑Am.Express
7. Total Balance due (5 less 6) $l— 7 5' '00 r 14, r'U V l o u tA1- ,g��t��
8 Amount due on or before delivey $ �' r
a See associated finance documents;if any,and the provision on the
9. Amount due on completion and/or financed $ �Tt 7 �11 reverse side hereof entitled'Credit application and finance documents'.
liens
and enc ces.
By signing this agreeTent you acknowIed receipt of a completely filled in copy of this agreement,two completed copies of the
attached notice of ca c Ilation and confirm hat you have been orally informed of your righ o cancel;and that have read and
un a tood comp.tofW
t�.e ont and b k this agreement.
Sig atd e f ye �? In epend alespers
Signat re of Buyer 2 It Signature of an Officer of Gibraltar Pools Corporation
NOTICE OF CANCELLATION
YOU MAY CANCELTHIS TRANSACTION,WITHOUT ANY PENALTY OR OBLIGATION,WITHIN THREE BUSINESS DAYS FROM THE
ABOVE DATE. IF YOU CANCEL,ANY PROPERTY TRADED IN,ANY PAYMENTS MADE_BY YOU UNDER THE CONTRACT OF SALE,
AND ANY NEGOTIABLE INSTRUMENT EXECUTED BY YOU WILL BE RETURNED WITHIN 10 BUSINESS DAYS FOLLOWING
RECEIPT BY US OF YOUR CANCELLATION NOTICE,AND ANY SECURITY INTEREST ARISING OUT OF THE-TRANSACTION WILL
BE CANCELLED. IF YOU CANCEL, YOU MUST MAKE AVAILABLE TO US AT YOUR RESIDENCE, IN SUBSTANTIALLY AS GOOD
CONDITION AS WHEN RECEIVED ANY GOODS DELIVERED TO YOU UNDER THIS CONTRACT OF SALE, OR YOU MAY IF YOU
WISH,COMPLY WITH OUR INSTRUCTIONS REGARDING THE RETURN SHIPMENT OF THE GOODS AT OUR EXPENSE AND RISK.
IF YOU DO MAKE THE GOODS AVAILABLE TO US AND WE DO NOT PICK THEM UP WITHIN 20 DAYS OF THE DATE OF YOUR
NOTICE OF CANCELLATION,YOU MAY RETURN OR DISPOSE OF THE GOODS WITHOUT ANY FURTHER OBLIGATION. IF YOU
FAIL TO MAKE THE GOODS AVAILABLE TO US,OR IF YOU AGREE TO RETURN THE GOODS TO US AND FAIL TO DO SO,THEN
YOU REMAIN LIABLE FOR PERFORMANCE OF ALL OBLIGATIONS UNDER THIS CONTRACT.TO CANCEL THIS TRANSACTION,
MAIL OR DELIVER A SIGNED AND DATED COPY OF THIS CANCELLATION NOTICE OR ANY OTHER WRITTEN NOTICE,OR SEND
A TELEGRAM,TO GIBRALTAR POOLS CORPORATION,428 BOSTON STREET,TOPSFIELD,MA 01983 NOT LATER THAN MIDNIGHT
OF
(Date)[
I HEREBY CANCEL THIS TRANSACTION .-
}tts}
(Date) +: (Buyer's signature)
rpt.
Z . 13OTT. OMDiSTRIBUTION
OF
;f
- NOT TO SCALE 0,51
OT
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A
NORTH
own of .�' - OL over
No. o?
LOCH, 1CFE TL dover, Mass., 7 a
ADRATED P199' C,
S 5`
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
810
_` BUILDING INSPECTOR
THIS CERTIFIES THAT........ ..r..�^.. ....... ....lea....re ........��.......2..... ...�..r'.a.�(it ........ .
y Foundation
has permission to erect.a.Q.... ... ....... buildings on ...�a� 0 r Nrr c Al.........(S. ...........V...............! ........................... Rough
to be occupied as..A......6 A.V.�......6 r%tj .... ..I........�. .......5.�. .....6,f; ..�................ Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final
this office, and to the provisions of the Codes and By-Laws relating to the Insp ction, Alteration and Construction of
Buildings in the Town of North Andover.h 1 N t i 1 N 10 S41 b A C k F r o l�#% PLUMBING INSPECTOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. r o P+ r Rough
PERMIT EXPIRES IN 6 MONTHS Final
JNr, MAP ELECTRICAL INSPECTOR
PARCEL N LESS CONSTRUCTI0 T TS
C1 00 Rough
.... . ......... . ............ ...... ....... Service
R�._.c"- in& BUILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE Smoke Det.