HomeMy WebLinkAboutMiscellaneous - 7 HEATH ROAD 4/30/2018 / 7 HEATH ROAD
210L060.A-0005-0000.0
' Date. .. .d . .a�.�. • 0.�...
'd NOR7p
Of
3r TOWN OF NORTH ANDOVER
O D
• - PERMIT FOR GAS INSTALLATION
SACHU
This certifies that . .�. . . . . . . . .�! . !.l. ! . . . . . . . .�'f1. . . . . . . . . . . . .
has permission for gas installation . . . 1
in the buildings of . / . -e o}� . . . . . . . . . . . . . . . . . . . . . . . . .
k at . . . . ° .� +. . c� . . . . . . . . . . .. North Andover, Mass.
Fee.' .. .Y. Lic. No..'C �. a. L-0., ,��.,�
INSPECTOR V
Check# 13 7Jr
6076
MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING
(Type or print) Date �� lei
NORTH ANDOVER,/MASSACHUSETTSS�
Building Locations �T �v� th /` j
Permit#
�-�
Owner's Name Amount$���
New D Renovation Replacement Plans Submitted
C7 wa W OU o]0 F x
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C9 z a o w w t-
a mzz w > CA
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SU B-BASEM ENT >
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BASEMENT
1ST. FLOOR
2ND. FLOOR
3RD . FLOOR
4TH . FLOOR
5TH . FLOOR
6TH . FLOOR
7 T H . F L O O R
8TH . FLOOR
(Print or type) J' /� Check one: Certificate Installing Company
Name � -J / .�a-t�l�GLZIiLr ,P l��p�-�� D Corp.
Address L�y ��y t` Cj M
Partner.
usmess a ep one irm/Co.
Name of Licensed Plumber or Gas Fitter ►,)4jL
INSURANCE COVERAGE Check one:
1 have a current liability Insurance policy or it's substantial equivalent. Yes NoO
If you have checked yes,please indicate the type coverage by checking the appropriate box.
Liability insurance policy IBJ/ Other type of indemnity D Bond 13
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass.General Laws,and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner E3 Agent
1 hereby certify that all of the details and information 1 have su fitted(or entered)in above application are true and accurate to the
best of my knowledge and that all plumbing work and ins ati s perf rmed under Permit Issue for this application will be in
compliance with all pertinent provisions of the Massa se tate Code and apter 142 the Ge al Laws.
By: Signature of License umber Or G Fitter er
Title lumber
City/Town [3Gas Fitter lcense um er
aster
13--
APPROVED(OFFICE USE ONLY) 1:3 Journeyman
Complaint# 30 Complaintant
Complaint
Date Mary Ann Detora
Past several nights around 10.00PM there is a strong odor.
02/20/2001 She has all windows closed&storm windows,problems now
what will summer be like?
Address
7 Heath Road
Phone#
688-0613
Owner of Property
Action
2/26/01 SF spoke with Mary Ann incident Sunday,Monday&
Tuesday trash burning,not leaves or brush,definitely trash.
Told her to try to get us when she smells it.
Owners Address Phone
I
WATERSHED RESIDENTS QUESTIONNAIRE
1. Name �:�.r1 N/� /,��'/ .4e,J"G c ivy•4
2. Street Address ���AJ�� �•
O3. How many members are in your household?
4. What type of sewage disposal system do you have?
❑ cesspool
❑ septic tank and leaching area
I" connection to municipal sewer
❑ other (describe)
❑ do not know
5. Are the plans (drawings) fory°ur sewage disposal system on file with the Board of Health?
❑ yes ❑ no M do not know---.
6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years—
C► over 20 years ❑ do not know
7. Has your sewa a disposal system been rebuilt or repaired?
❑ yes no ❑ do not know
If yes, approximately how long ago? years. What was done?
1 S. How frequently is your sewage disposal system pumped out? ❑ annu�v
Elevery 2-4 years Elevery 5-10 years Elover 10 years 2 never
O' 9. Have you hadany problems with your sewage disposal system? ❑ yes 2"'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 applice are connected to your sewage disposal system?
washing machine ✓ dishwasher garbage disposal
E' dehumidifier drain sump pump toilet
roof/pavement drains shower/bathtub _'
11. Please state the brand and type iquid or powder) of detergent you use for:
dishwasher CASCA, c- P-
clotheswasher �aa F o w')' 4-�_o
12. Does your property have a lawn? Y"'yes ❑ no _
If yes, approximately what size?
❑ less than 1/4 acre ❑ 1/4 acre ❑ % acre &""3/4 acre ❑ 1 acre
❑ more than 1 acre (Specify) acres
13. How often do you fertilize your lawn?,
No. of applications per yeary A/C C
OSeason(s) of the year S)a21nN G
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.
NORTH ANDOVER HEALTH DEPARTMENT
120 Main Street • North Andover, MA 01845
Telephone (508) 682-6483, Ext. 32
Complaint Investigation/Inspection Report
OWNER x4")0e2 t-i-N—V
ADDRESS j4� a.jj=�2: P a�
DATE ?.,�9 P
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NSPECTOR
NORTH ANDOVER HEALTH DEPARTMENT
120 Main Street • North Andover, MA 01845
Telephone (508) 682-6483, Ext. 32
Complaint Investigation/Inspection Report
OWNER
ADDRESS
DATE 7. / 99 1'
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SPECTOR