HomeMy WebLinkAboutMiscellaneous - 566 FOREST STREET 4/30/2018 566 FOREST STREET
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Residential Property Record Card
PARCEL ID:210/106.B-0097-0000.0 MAP:106.B BLOCK:0097 LOT:0000.0 PARCEL ADDRESS:566 FOREST STREET FY:2011
PARCEL INFORMATION Use-Code:_ 101 Sale Price: 1 Book: 02469 Road Type: T Inspect Date: 09/21/2003
Tax Class: T Sale Date: 04/13/87 Page: 0185 Rd Condition: P Meas Date:
Owner: Tot Fin Area: 2208 Sale Type: P -Cert/Doc: Traffic:_ M Entrance:
SULLIVAN,STEPHEN M Tot Land Area: 1.99 Sale Valid: A Water: Collect Id: RRC_
JUDITH A SULLIVAN Grantor: SULLIVAN STEPHEN M Sewer: Inspect Real
Address:
566 FOREST STREET Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LP/o Indust-B/L% / Open Sp-B/L% /
NORTH ANDOVER MA 01845
RESIDENCE INFORMATION LAND INFORMATION
Style: CL Tot Rooms: 6 Main Fn Area: 1248 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R2
Story Height: 2.00 Bedrooms: 3 Up Fn Area: 960 Bsmt Area: 1248 ' Seg Type Code Method Sq-Ft Acres_ Influ-Y/N Value Class
Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 840 1 P 101 S 43560 1.000 206,910
Ext Wall: FB Half Baths: Unfin Area: Bsmt Grade: 12 R 101 A 0 0.990 7,524
Masonry Trim: Ezt Bath Fix: 0 Tot Fin Area: 2208 DETACHED STRUCTURE INFORMATION
Foundation: CN Bath Qual: T RCNLD: 210436 Str Unit Msr=1 Msr-2 E-YR-6It*Grade Cond"/oGood P/F/E/R Cost Class
Kitch Qua[: T Eff Yr Built: 1980 Mkt Adj ,: PA S 615 0.00 1988 A A 50///50 4,400
Heat Type: HW Ext Kitch: Year Built: 1977 Sound Value:_
rG61 Type: O a Grade: AG_ Cost Bldg: 210,400 " VALUATION INFORMATION
Fireplace: _ 1 _ Bsmt Gar Cap: Condition: A Aft Str Val
_ ._:_ r. , Current Total: 429,200 Bldg: 214,800 Land: 214,400 MktLnd: 214,400
Central AC N� Bsmt Gar SF: Pct Complete: Att Str Va12: Prior Total: 443,100 Bldg: 228,700 Land: 214,400 MktLnd: 214,400
Aft Gar SF: %oGood P/F/E/R: /100/100/82
Porch Type Porch Area Porch Grade Factor
P 272
SKETCH PHOTO
17 24
240 Ft C =f
20 2D 576 Sq.F 24 -'
28 40 20 I.R
24
4 LA is
840 8 Sq.F %Ft ~5
30 960 S Ta 408 Sq.Ft "
24 $
28 40 1 12
566 FOREST STREET
Parcel ID:210/106.6-0097-0000.0 as of 4/1/11 Page 1 of 1
I RECEIVED
Commonwealth of Massachusetts
W City/Town of No Andover �J�"^� 09 Q1�
OWN OF NUR fid ANDOVER
T
a
System Pumping Record HEALTH DEPARTMENT
Form 4
DEP hasrovided this form for use b local Boards of Health. Other forms may be used, but the
P Y
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,
use only the tab 566 Forst St
key to move your Address
cursor-do not No Andover MA
use the return City/Town State Zip Code
key.
r�
2. System Owner:
Sullivan
n a
Name
ienen �
Address(if different from location)
City/Town State Zip Code �-
� 7
Telephone Nu ber
B. Pumping Record
1. Date of Pumping e-711SJI 111 D 2. Quantity Pumped:
Date canon/C7
I
3. Type of system: ❑ Cesspool(s) eptic 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: ff
6. System Pumped By:
Name Vehicle License Number
Stewart's Septic Service
Company
7. Location where contents were disposed:
Ste rt' Pre-treatment Plant, 20 So. Mill Bradford, Ma 01835
i f Hau r Date
gnature of Receiving Facility Date
t5form4.doc•03/06 System Pumping Record•Page 1 of 1
Commonwealth of Massachusetts Map-Block-Lot
o ,, 6e ,�� b00 '2jeswiako 106.80097
Board of Health Permit No
• North Andover BHP-2011-0570-----------------------
P.I.
HP-2011-0570P.I. FEE
-.sqa. .
S$�cwuS i F.I. $125.00
DISPOSAL WORKS CONSTRUCTION PERMIT
Permission is hereby granted John DiVincenzo
to(Repair-OUTLET BAFFLE)an Individual Sewage Disposal System.
at No 566 FOREST STREET
as shown on the application for Disposal Works Construction Permit No. BHP-2011-057 Dated Apr RT1,_2011
! pp
Issued On:Apr-01-2011 Board of Health
I joRri, Map-Block-Lot
Commonwealth of Massachusetts 106.60097
4
- •� Board of Health -----------------------
North
----------- -
North Andover
CERTIFICATE OF COMPLIANCE
Ss�cwus�
THIS IS TO CERTIFY,That the Individual Sewage Disposal System (Repair-OUTLET BAFFLE)
by John DiVincenzo
- ------------------- - ---------------------------------
Installer
at No 566-FOREST-STREET
has been installed in accordance with the provisions of TITLE 5 of the State Environmental Code as described in the
application for Disposal Works Construction Permit No. BHP-2011-057 Dated Apdt01,_2011
-----------------------------------------------------------------
Printed On:Apr-01-2011 Board of Health
MORT N 5374
�
h p
Town of North Andover
`�'•>.;;o:• HEALTH DEPARTMENT
,SSACHUStt
CHECK#: h9d Y DATE:
LOCATION:
H/O NAME:
CONTRACTOR NAME.
Type of Permit or LicensV(Check box)
❑ Animal $
❑ Body Art Establishment $
❑ Body Art Practitioner $
❑ Dumpster $
❑ Food Service-Type: $
❑ Funeral Directors $
❑ Massage Establishment $
❑ Massage Practice $
❑ Offal(Septic)Hauler $
❑ Recreational Camp $
❑ Sun tanning $
❑ Swimming Pool $
❑ Tobacco $
❑ Trash/Solid Waste Hauler $
❑ Well Construction $
SEPTIC Systems
❑ Septic-Soil Testing $
❑ Septic-Design Approval $
® Septic Disposal Works Construction(DWC) $
❑ Septic Disposal Works Installers(DWI) $
❑ Title 5 Inspector $
❑ Title 5 Report $
❑ Other:(Indicate) $
Health Agent Initials
White-Applicant Yellow-Health Pink-Treasurer
r• r
Application for Septic Disposal Svstem 4/1/2011
��•`' ' `' `4D TODAY'S DATE
onstruction Permit - TOWN OF
ORTH ANDOVER, MA 01845
$250.00—Full Repair
a $125.00-Component
Important: Application is hereby made for a permit to:
When filling out ❑Construct a new on-site sewage disposal system*
forms on the
computer,use ❑ Repair or replace an existing on-site sewage disposal system*
only the tab key
to move our Outlet Baffel
y ❑■ Repair or replace an existing system component—What?
cursor-do not
use the return
key. A. Facility Information
566 Forest St
Address or Lot#
f
North Andover
tee, City/Town
TOWN OF,NORTH ANpOyCIll
2.-*TYPE OF SEPTIC SYSTEM*: HEALTH 01PARTMENT
❑ Pump ❑Gravity(choose one)
***If pump system,attach copy of electrical permit to application***
❑Conventional System(pipe and stone system)
❑Infiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system.
❑ Pressure Distribution S.A.S.(No D-Box)(Attach Draft Maintenance Agreement)
❑ Pressure Dosed(D-Box Present)S.A.S.
2. Owner Information
Stephen Sullivan
Name
566 Forest St
Address(if different from above)
North Andover Ma
Cityrrown State Zip Code
978-686-5674
Telephone Number
3. Installer Information
John DiVincenzo Andover Septic
Name Name of Company
58 South Kimball St
Address
Bradford Ma 01835
City/Town State Zip Code
978-372-7471
Telephone Number(Cell Phone#if possible please)
4. Designer Information
Name Name of Company
Address
Cityrrown State Zip Code
Telephone Number(Best#to Reach)
Application for Disposal System Construction Permit•Page 1 of 2
< O„ ,e Application for Septic Disposal System 4/1/2011
TODAY'S DATE
onstruction Permit - TOWN OF
ORTH ANDOVER, MA 01845 $260.00-Full Repair
$125.00-Component
PAGE 2OF2
A. Facility Information continued....
5. Tvue of Building: WResidential Dwelling or ElCommercial
B. Agreement
The undersigned agrees to ensure the construction and maintenance of the afore-described
on-site sewage disposal system in accordance with the provisions of Title 5 of the
Environmental Code,as well a the Local Subsurface Disposal Regulations for the Town of
North Andover, nd n t to pl ce the system in operation until a Certificate of Compliance has
been ' u d b this aro/ f Hlealth.
Nam Dat
Ap on proved (8 of Heal Representative)
- 1�1 / � d
`N Date
Application Disapproved for the following reasons:
For Office Use Only:
1. Fee Attached. Yes No
2. Project Manager Obligation Fotm Attached? Yes No
3. Pump System? If so,Attach copy ofElectrical Permit Yes No
4. Foundation As-Built?(hew construction ronly). Yes No
(Same scale as approved plan)
5. Floor Plans?(hew construction only). Yes No
Application for Disposal System Construction Permit•Page 2 of 2
•
•••
Y w RRECEIVED
u'A I tel
F0WN u� N0A'I
SYS'T'8N1 PUMPINU RFC�Ok ., OCT 7 2005
Y�rBM ��YN�R DUi $5 ����� TOWN OF NORTH ANDOVER
--^-- --____- __ HEALTH DEPARTMENT
tsSPOOL;
hn rUK� Oe sNiRvlckC>UrlrlC
UbsttR V.� ►
0000 CONflITIUN Nt;l.; ��, �ii� r.Y
HMAYY OUsa
KO0T'3
MUMS SOLIp$
"OL fDCARJBYpYU �� O1"H�R EXPLAIN '
l'UMM�NTs.
'y
TbWN OF NORTHANIJOVER
SYSTEM PUMPING RECORD
)1'� I'EM OWNER & ADDRESS .. SYSTEM LOCATION
tj 6/�l'� (ezamPle: icfl front of house)
/v, i
U:\'I,C OF PUMPINC: - y3 QUANTITY PUM PCD 1640d Ct LLU"�
NO YES SEPTIC TANK: NO YES
-\TUBE OF SERVICE: ROUTINE _ EMERGENCY
MhrRYATIONS:
COOD CONDITION. FULL TO COYER
HEAVY CREASE 13AFFLLS IN PLACE
ROOTS LEACHFIELD RUNBACK...
CXCESSIVE SOLIDS _ FLa-ODED
SOLIDS CARRYOVER AHU (EXPLA.IN)
>1 >TL'M. P U M f'CD 0Y:
lyI rNTs:
UNTI:n' rs 1+IZANSFEIZIED TO:
Address T . Title of File Page 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/
Num. Action Department
Board of Appeals - Board of Health - Planning Board - Conservation Commission - Building Departrment
l� G.
y 14
Nr
4h ANwver 2.6. 4. STEMTIS SEPTIC TANK SERVICE
»D Main Sf 47 RAILROAD STREET
/1/a/�h L1 nr�cver BRADFORD, MA 01835
N-aw 1 Lit- )G1-[6 14978-372-7471
Lac
MOM OF O cf6 b e r cQ o
MONTHLY REPORT FOR 'lXMN OF Wo An r,
i .
DATEADMUM6ALIM COMKWM
lem
10-3. /a5 &)cky Brae Rcl I��®
Ido®
lib
L166 W/O -r
�YWr c /fin lUd6
l a�� 790 Oq /e.
61b
I"allo i/l/le- /gym
PS(no
�5cr7
16,6o
z1d Oxy C I r- 6-2116
fU
SEP-69-2099 05 :43 PM LARRY OGDE:N 978 352 2858 P. 01
LAWRENCE IL OGDEN,P.E.
198 EAST MAIN NMET
GE(IRGETOWN,MA 01833
978.3;52*8318 tart 978—382-2858
' cxlt: 978.502.5921
September 9,2009
Mr.1 ilm Aden
47 Prescott Street
North Andover,Ma. 0
RE, Sulliv esidence 566 Forest Street,N dover,Ma. 01845
Dear Mr, Rodde
As you requested I visited the site to review the installation of the Steel Beam,
post and plates added to wood boom ueed in tho finning of the above project, 'These are
shown on plans prepared by Steve Foster Dated 7/12/09 and Detail 1 Dated 7/27109 and
certified by me,
Based on the above site viidt and based on what I could visibly see I can certify
that to the best of my knowledge the Steel Members utilized in the framing are installed
properly and meet the loa&ng conditions of the Massachusetts State Building Code for
1&2 Family Residences. This certification assumes that all other framing requirements of
the code,including but not limitki io materials and nailing schedules,were properly
complied with by the licensed construction supervisor responsible for the project.
Should you have any questions please do not hesitate to call.
5
Yours truly,
uw
Y
WAIF
c
nee H. Ogden RE, Structured 27765
$ria
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