HomeMy WebLinkAboutMiscellaneous - 55 WINTERGREEN DRIVE 4/30/2018 (3)Q
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MAP LOT # ��
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PARCEL # STREET
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QN��W.�� , APPROVAL.
HAS PLAN R
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PLAN �o��n
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CONDITIONS
WATER SUPPLY: WELL
WELL PERMIT DRILLER_________________
WELL TESTS: CHEMICAL DAlE APPRUVED_______
BACTERIA l DAlE APPRUVED
BACTERIA II DA[E APPROVED_______
,
FORM U APPROVAL: A NO
DATE Y
CONDITIONS: � -
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- ----'----'------
' FINAL APPROVAL:
' ALL PERMITS PAID NO
WELL CONSTRUCTION APPROVAL YE.5 NU
SEPTIC SYSTEM CONSTRUCTION APPROVAL NO
OTHER YES NO
^
ANY VARIANCE NEEDED YES NO
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|` FINAL BOARD OF HEALTH APPROVAL: DATE:_BY ___
�EejkQ__5_Y5jEM LLR
THE INSTALLER LICENSED?
".'TYPE OF CONSTRUCTION:
,'�A'NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW
CONDITIONS OF APPROVAL
`
(FROM FORM U)
ISSUANCE OF DWC PERMIT
DWC PERMIT NO.
BEGIN INSPECTION YE 0:
;.EXCAVATIOWINSPECTION:
PASSED
y t5 CONSTRUCTION INSPECTION:
Fat lAcaevrs
a-% oo'c I -O. L
i1v e.L
AS BUILT PLAN SATISFR
CTORY:
Q) NO
(EP REPAIR
( 110
4 -YES ss) NO
YES
INSTALLER:.
NEEDED:
BY
NEEDED:—...
A d -
Y ES
APPROVAL TO BACKFILL: DATE: BY
J_A
FINAL.GRADING APPROVAL: DATE
BY.
FINAL CONSTRUCTION APPROVAL:
IN,
DATE:
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Town of North Andover
D.B.A. — Zoning Compliance Form
978-688=9545
This form must be reviewed With the Inspector of Buildings.
Office Hours are. Monday -Friday -S-10 am, and 1:2 pm Monday -Thursday.
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K0 o''J')�; I � 6, SS 6
Map /0� Lot 2 ---
Phone: M. l .Email
5
Do you own this property? Yes ✓ No
If no, written permission is required fi-om your landlord.
Will you have clients coming to this property? Yes
Will you have any employees? Yes
Will you have any major deliveries? Yes
Description of Business Activity (Must be Completed)
s Sf`�fi�v`�GE-rtil�) QSULT?lf C7
No
No ✓
No
Signature of Applicant
pplicant
For Signage Refer to North Andover Zoning B v S tion 6
The propos se r to u this zo g district.
Issued By Date %/�
2.40 Home Occupation (1989/32)
An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal
address, which is clearly secondary to the use of the building for living purposes. Home occupations shall
include, but not limited to the following uses; personal services such as furnished by and artist or
instructor but not occupation involved with motor vehicle repairs, beauty parlors, animal kennels, or the
conduct of retail business, or the manufacturing of goods, which impacts the residential nature of the
neighborhood.
4. For use of a dwelling in any residential district or multi -family district for a home occupation, the
following conditions shall apply:
a. Not more than a total of three (3) people may be employed in the home occupation, one of
whom shall be the owner of the home occupation and residing in said dwelling.
b. The use is carried on strictly within the principal building;
c. There shall be no exterior alterations, accessory buildings, or display which are not customary
with residential buildings;
d. Not more than twenty five (25) percent of the existing gross floor area of the dwelling unit so
used, not to exceed one thousand (1000) square feet, is devoted to such use. In connection with
such use, there is to be kept no stock in trade, commodities or products which occupy space
beyond these limits;
e. There will be no display of goods or wares visible from the street;
f. The building or premises occupied shall not be rendered objectionable or detrimental to the
residential character of the neighborhood due to the exterior appearance, omission of odor, gas,
smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental to
any residential use within the neighborhood;
g. Any such building shall include no features of design not customarily in buildings for residential
use.
6u h1v
Date
� Commonwealth of Massacl
aL City/Town of
System Pumping Record
Forth 4
RECEIVED
JUL 31 2014
TOWN OF NORTH ANDOVER
HEAi71 H DEPARTMENT
DEP has provided this form for us&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.
A. Facility Information
1. System Locatio/ Rig o t of Nous , Left / Right rear of house, Left / right side of house, Left /
Right side of building, Left / Righ ron of building, Left / Right rear of building, Under deck
Address 6S7 ��J p I• �a
City/Town State
2. System Owner.
Name
Address (if different from location)
Ckyrrown
B. Puimping Record
1. Date of Pumping
3. Type of system: ❑
❑ Other (describe):
Tip Code
State p o
Telephone Number
Date 2. Quantity Pumped: Gallons
Cesspool(s) eptic Tank ❑ Tight Tank
4. Effluent Tee Filter present? ❑ Yeas
' S. Condition f1. stem:
6. System Pumped By.
7.
Neil Bateson
Name
Bateson Enterprises Inc
Company
If yes, was it cleaned? ❑ Yes ❑ No;
contents were disposed:
Waste Water
F5821
Vehicle License Number
Date
t5form4.doc- 06/03 System Pumping Record • Page 1 of 1
Commonwealth of Massachusetts RECEWE.D
City/Town of
System Pumping Record MAY 2 6 2009
Form 4 TOWN OF NORTH ANDOVER
_' ``• HEALTH DEPARTMENT
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.
Important:
When filling out
forms on the
computer, use
only the tab key
to move your.
cursor - do not
use the return
key.
A. Facility Information
1. System Locatio a ron . rear, left side of house. Right front, right rear, right side of house.
Address
lfir
�Citylfown State Zip Code
2. System Owner: r
Name
Address (if different from location)
Cityrrown
B. Pumping Record
State Zip Code
-63 - :S 3 (,, 3
Telephone Number
1. Date of Pumping 'D 3 _D l 2. Quantity Pumped:
Date Gallons
3. Type of system: L] Cesspool(s) Ll Septic Tank [] Tight Tank
Other (describe):
4. Effluent Tee Filter present? 0 Yes No
5. Condition of System:
t) I &V
6. System Pumped By:
Neil Bateson
If yes, was it cleaned? a Yes [j No
F 5821
Name Vehicle License Number
Bateson Enterprises Inc
Company
7. Locationyrh�contents were disposed:
—.1
Lowell Waste Water
re of
Date
t5form4.doc• 06/03 System Pumping Record • Page 1 of 1
j
z
TOWN OF �[
SYSTEM PUMPING RECqRECEIVED
DATE:�-q-0-4
SYSTEM OWNER & ADDRESS
AUG 17 2004
TOWN OF NORTH
ANDOVER
HEALTH DEPARTMENT
SYSTEM LOCATION
(example: left front of house)
't� �G�I 61 VlOUS'�
DATE OF PUMPING: 04 QUANTITY PUMPED: '50 GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES
—r
NATURE OF SERVICE: ROUTINE . EMERGENCY
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
FULL TO COVER
BAFFLES IN PLACE
LEACHFIELD RUNBACK
FLOODED
OTHER(EXPLAIN)
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
COMMENTS:
CONTENTS TRANSFERRED To: G.L.S.DI ' Lowell Waste
TOWN OF NORTH ANDOVER
SYSTEM PUMPING RECORD
DATE: O- 0 01�,
55 lv�vt��e�q �ee✓�
U
SYSTEM LOCATION
(example: left front of house)
6P ko usr,__
DATE OF PUMPING: 0 MUNNTITY PUMPED 15 � GALLONS
CESSPOOL: NO ZYES SEPTIC TANK: NO
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
SYSTEM PUMPED BY:
COMMENTS:
CONTENTS TRANSFERRED TO: �l e > ` L
YES -Z
FULL TO COVER
BAFFLES IN PLACE
LEACHFIELD RUNBACK
FLOODED
OTHER (EXPLAIN)
Commonwealth of Massachusetts
City/Town of
System Pumping Record RE+
Form 4MY
DEP has provided this form for use by local Boards of Health. O er forms may be us t the
information must be substantially the same as that provided her mrelblt , c eck with your
local Board of Health to determine the form they use. The Syste Pd submitted to
the local Board of Health or other approving authority.
A. Facility Information
1. System Locatiomle-P Rig onsof houselft / Right rear of house, Left / right side of house, Left /
Right side of building, Left / Right front of building, Left / Right rear of building, Under deck
Address
City/Tow
2. System Owner. ,
State
Zip Code
Name
Address (if different from location)
City/Town State Zip Code
Telephone Number '
B. Pumping Record
1. Date of PumpingDate\ ` _ 2. Quantity Pumped: Gallons
S)6
3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank
❑ Other (describe):
4. Effluent Tee Filter present? ❑ Yes [g/No If yes, was it cleaned? ❑ Yes ❑ No
5. Condition of System:
A)f
6. System Pumped By:
Neil Bateson
Name
Bateson EnterDrises Inc
Company
7. Location whe a contents were disposed:
S;7 7 Lowell Waste Water
F5821
Vehicle License Number
Date
t5form4.doc• 06/03 System Pumping Record • Page 1 of 1
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