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HomeMy WebLinkAboutMiscellaneous - 862 SALEM STREET 4/30/2018f N Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... IM ............. RA-yR.!��,VA .......... .... ....................................... has permission to perform ........ wiring in the building of * 4�Afl .................................... I ....................... at ......... F4 �� ...... 5 S ........ . North Andover, Mass. Fee lig q '00 -2 ......... :777:7.. Lic. No.S'/'?P? ...../ ...... '**" - ELECTRICAL INSPECTOR Check #C) ? 683 1 -C\- Commonwealth of Massachusetts Official U e Only Department of Fire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked T [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORM TION) Date: - p City or Town of: �/n,-� tia,L,� To the Ins)ector 6f Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Owner or Tenant /111 ,, Owner's Address R(n -- g.5'S2 Telephone No. q 79 -6iS Is this permit in conjunction wi h a building permit Yes No El (Check Appropriate Box) Purpose of Building K_ ;„, 1�. o Utility Authorization No. Existing Service 4QQ_ Amps p / 40volts New Service aQQ Amps 12Q±2 4 Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead Overhead Undgrd ❑, No. of Meters Undgrd ❑ No. of Meters Completion of the following table may be waived by the Inspector of Wires. No. of Recessed FixturesNo. 13�Transformers of Ceil: Susp. (Paddle) Fans No. o Total KVA No: of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures AboveIn- Swimming Pool rnd. ❑ rnd. EJ o. o mergency Lighting Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches qNo. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Totals: Number Tons ....................... KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating'.Appliances Kms' pp Security Systems: No. of Devices or Equivalent No. of WaterKW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation” coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE b BOND ❑ OTHER ❑ (Specify:) o )--o ? (Ex iration Date) Estimated Value of ectriqal Work:-- When required by municipal policy.) Work to Start: O Inspections to be'requested in accordance with MEC Rule 10, and upon completion. I certify, under th pain and enal 'es of per'ury., that the i ormation on thi application is true and complete. FIRM NAME: LIC. NO.: Licensee: Signature LIC. NO.: (Ifapplicable, enter "exempt" in the lic nsm veQ r line.) Bus. Tel. No.: 7 �r - 90 2 s7 OC. Address: ).!� `% , �ae u. a, iM C)19 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the License does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ . BOARD OF HEALTH 146 MAIN STREET TELEPHONE# (508) 688-9510 APPL ICA TION FOR ABANDOAMENT OF SUBSURFACE DISPOSAL SYSTEM (SEPTIC SYSTEM) Pursuant to Section 310 CMR 15.354 of the State Environmental Code, Title V Name Phone Address Ali Z_ ' "-Nc epl' , Contractor hired for work: Name Phone - 372- -5e)? 3 Address. Date for scheduled abandonment 4--Z?— -�5 The septic system at the above address has been abangoned according to Title V specifications. Si ature of Contra for Method of septic tank abando t (check one). O removal O sandfill ( crush O other Name of Offal Hauler„ This form must be returned to the North Andover Board of Health. PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH REPRESENTATIVE'S USE ONLY. Inspecting Agent � of Date Board of Health North Anverits- FAIT, I OK 3/i a BEPTIC SISTEM INSTALLATION CHECK LIST III ID DATJS eammst LOT l EXC AVATI —OK RAIL 1. Distance Tos- a. Wetlands b. Drains c. Well 2, Water Line Location 3- No PPC Pipe. 4. Septic Tank a. .Tees --Length & To Clean Oat Covers. b. Cement Pipe to Tank -- On Both Sides of Tank 5. Distribution Box a. Covers & Box - No Cracks b. All Lines Flowing Fqual Amounts c. No Back Flow 6.. Leach Field or Trench a. Dimensions b. Stone Depth c. Capped Ends d. Clean Double' Washed Stone' 7. Leach Pits a. Dimensions b. Stone/Depth c. Splash Pads CI, Tes e.�CMMt Pipe to Pit - Both Sides. f. Clean Double Washed Stone 8. No Garbage Disposal ,• 9. -Final grading Inspection 10. Barricading Covered System 11. As Built Submitted - a. Lot Location . b. Dimensions of System c. Location with Regard -to Pere Test d. Elevations e.' Water Table o/ SOIL PROFILE & PERCOLATION TEST DATA ..ity No. &Street_ _'/�„-, Lot No. . / Subdiv .i h1 /�� Plan Owner, vestigator -QQ.f�p Observer SOIL PROFILES -DATE 1' 3' Elev. 3. Elev, 4 -Eley. E1 v. 0 3� 2 2 2 2 3 4 5 v 6 �3 �7 8 3 4 5 6 7 A- N Ml 41 51 6 7 M M 101 10 �� 10 ,� 101 I Benchmark Location Elevation Datum Percolation Tests -Date V Pit Number Zl 2 3 4 5 Start Saturation Soak -Mins. Start Test -Time Drop of 3" -Time Drop of 6" -Time Mins.lst 3"Dro r Mins.2nd 3"Dro Notes & Sketches on Back c Prank C. Gelinas & Associates, North And. -jp ►.� o ib cd �/ p ti o•oy osl oo•Z N -LbO N ON d H-LtJON v va..v vasa. aav ++ Ly va. vva. .., v.v�yll Vi1LV11 L1All I NORTH ANDOVER BOARD OF HEALTH APPROVE-i'DATE PROVIDED DISAPPROVED DATE TIME REASON F7( fq(7'� -ate Title 5 Reg: 2.5 Fail OK The submitted plan must show as a minumum: KM Reg. 6 a) the lot to be served (area,dimensions,lot //,abutters) (Planning Board files) b) location and log of deep observation holes -distance to ties c) location and results of percolation tests -distance i to ties dam)` design calculations & calculations showing required leaching area 65� location and dimensions of system (including reserve / area) f) existing and proposed contours g location of any wet areas within 100' of the sewage j disposal system or- disclaimer (check wetlands mapping) h) surface and subsurface drains within 100' of sewage disposal, system or disclaimer z)- location of any drainage easements within 100' of sewage disposal system or disclaimer (planning board [mzles) own sources of water supply within 200' of sewage disposal system or disclaimer location of any proposed well to serve the lot (100' from leaching facility) ' 'location of water lines on property (10' from leaching facilities) location of benchmark }% driveways ew)— garbage disposers no PVC is to be used in construction 4' 'a profile of the system (elevations of basement, plumbers pipe septic tank, distribution box inlets and outlets, distribution field piping and any other elevations) ay}' maximum ground water elevation in area of sewage disposal[ system s-)" plan must be prepared by a Professional Engineer or other professional authorized by law to prepare such plans Septic Tanks (a) > apacities - 1506 of flow, water table, tees, depth of tees, access, pumping, Cleanout �c) 10' from cellar wall or inground swimming pool d) 25' from subsurface drains Reg.10.2 Reg.10.4 Reg.11.2 Reg.11.4 Reg.11 .1 C Reg.11 .11 Reg. 15.1 Reg. 15.1 Reg. 15.4 Reg. 15.8 Reg. 3.7 Reg.14.1 Reg.14.3 Reg.14.4 14.5; Reg.14.8 Reg.14.7 Reg.14.10 Reg. 9.1 Reg. 9.6 Disttz�ibution Boxes � Slope greater than'0.08 (b Sump Leaching Pits Leaching pits are preferred where the installation is possible a) Calculations of leaching area (minimum 500 S.F.) fiU Spacing c- Surface drainage 2% d)- Cover material Leaching Fields (a)RiGreater than 20 minutes/inch - (b) Area (minimum 900 S.F.) (c) Construction of field (d) Surface drainage 2% (e) 20' from -cellar wall or inground swimming pool Leaching Trenches (a) Calculations of leaching area (min. 500 S.F.) Spacing (4 ft. min. 6 ft. with reserve between) Dimensions Construction Stone Surface drainage 2% Downhill Slope �`(a) Slope y/x = (to be shown) (b) y/x X 150 = (to be shown) Pump (a) Approval (b) Stand-by power SOIL PROFILE & PERCOLATION TEST DATA Town/Ci'ty No.&Street ��„-, Lot No._� 4 Loc . / Subdiv . P7-) �� /�/� Plan Owner,-/j- \j wner ,V 0 Investigator ,�� Q ..//0 Observer SOIL PROFILES -DATE 1' E1 v. 2. Elev. 3' Elev, 4'Elev. .a o 1 � A o 77 o ;o 2 1 31 4 1 1 2 1 31 4 5 1. 1 5 6 6 7 7 9 _J 1 9 -. 11 2I 3 4 5 6 7. RE to ' '1-- i to 1 to I.___---1 Benchmark Location Elevation Datum Perco ation Tests -Date Pit Number 2 3 4 5 Start Saturation Soak -Mins. Start Test -Time Drop of 3" -Time Drop of 6" -Time ;v Mins.lst 3"Dro Mins.2nd 3"Dro Notes & Sketches on Back F� ank C. Gelinas & Associates, North And. 0 601 oSl C> L b o N zN d H LtJO N "o' -1 d -3 -101 -,Z l - .O 0-1) S if 1p Notia�d �j j0 I.io1S�/�IC't�171�`, 0 �1Nno yAlows �} b gam. bod-',Co`oS1 ,• ,;a d j r ��nooevd H��oN N ,A- E _... U UJLV-AX. S DispDS• a LOT � YSTEM DEciG N Nopi-H At'DXVERI MA PfZEPACZE� F oz 'T�'J s7" �Lb FQ AIdK C GE Ll1VAS A�vo ASSOCIA"t >✓S ENGtN��RS ANO AczLH1TL- CTS SV o.c�-rH A+�o ov tea. O G.� l« P��►c. Nort-r►a Acroo.rEcz,MA otags D ATT -"u`Y Z6, � Y U UJLV-AX. S DispDS• a LOT � YSTEM DEciG N Nopi-H At'DXVERI MA PfZEPACZE� F oz 'T�'J s7" �Lb FQ AIdK C GE Ll1VAS A�vo ASSOCIA"t >✓S ENGtN��RS ANO AczLH1TL- CTS SV o.c�-rH A+�o ov tea. O G.� l« P��►c. Nort-r►a Acroo.rEcz,MA otags D ATT -"u`Y Z6, 13th 7 ~~ 1 -- {gyp �" , � � 1`'•--•,-, f J ;, r LL. �. �,��_ ` 1 '• � tilt' _•� � �`"T OF WA Mee ►.«.. ...i3r*.bRoos t -'`A '' R oN ' 16 k S,A 340 AS 4199 I Fav i �. NC v�+R$•� CTRrNDr72 StIALc E r N ST> t -LED r r ! t 1�i uvATi�1l W t rVi i N 100+, . 1�0 SURF�►Gt FT or -- i+, l�jU StlR�'AC� OR St,r�SUR�A[f j _ .----- 9� J) RA t &IS OR D RA , N � tit EARS ,-n4i j r t,o* Fr- oF-sys`sm. ' i `{ TOP Au SU�Sp,t. 54AU- $E t_EC,e ID : r ry Ar..L v,RlEcrraNS ANI) 7 T' PJ- r E n VA•Q1 W I TH C -PA v EG.. 5 FLL FDR 6QAj>AjG PuRNaSES �l�lq•q t;�fi1 . F-)Usrl Ncr GRAPE, i \A/ WA -Wk WAVIZZ- fir• .! i ,A. �Rr�OgED /��� «_.. � � PIT - E' PAmsiom AREA DEs1GN DATA 4 CALCULATIONS :SOIL OSSERVATION5 BY: PERCOLAT ION FEST MO. 1 1 2 3 4 S DATE.5/13/7 7 - -TOP -ELEV4TION o BoTToM- ELF -VA -t ION 0 sk URAT10N,_ MNIS. 12" —. 9" DRO- MtN5 . � - 9" —.. G" DRoP _MINs. .... _ - PERc..IRAiE (SOIL PROFILF_—DEEP PIT NO. DATE 'Top- ELE VATION -TOPSOIL _SUBSOIL PARENT SOIL WATER TABLE WATERTABLE E LE\1ATION 1 511317 7 1450 O' -or' —r O (:arfAVE. w aTE jZ Ca 9 S PAI N& f 4 78 5pRs.,vcr t178 111-5.0 1-13.6 01 -of, r r -o a Lia 4. t 138-67 136.33 4 1 -s VVATM T BLC rMM.i:b;Eo TW EM} T �4, 's ' Fef `_i 5 _ 6 616, 0B0 7OM ELEVATION / 3 7 D 13 JCS 13.5. 0 ' BUILOIt4%TYPI` — -I)WI-L.LIM CT -q g.R.,oR X /Sn GAI.JUNIT - - (eQQ GPD FLOW oO QRD Fi"ow X 1S•O7/,. = 20 CPD USE / 000 GAL,.S €PTIc TArAK LEACHINGS AREA BED ar-Ko FLO\N X SPIG-AL.= SF BE -D USE SF PrTs -TYPE MFPt. (TYP.) SHCA SHAD i)iTS w _:C},_- SIDEWALL AREA _ �'� 3 SF X 1. 83 _GALS.1 SF - i5 7 93� GPD BO-TTOM AREA :1�_9 2TSF x ,. 27__GALs.j SP = 81t. 4 2 GPD TOTAL PIT LFAC-WIlcr CAPACITY _ _ _ _ _ _ _ 239'2.!D GPD /PIT GOO GPD FLOW 21�P_GpD/PIT .�. 98 PIIS REQ' . USE . � PITS TR Ery c N Es SIDEWALL AREA�AL.�i.IN.FT- $OTTOM AREA ___ SF/LF x GALS/S'F = GAL:/ LtN.FT. -TbTAL Er.4C+I ACHING CAPACITY _ _ _ _ _ _ GAL L1N. T. E'i!1' LAW GhL bvA .PT.= L.F._T'ZENCHES RF-gD. USE L.R LinJ -47— cs1 ELEuAVON ScHE6ULE BENc0 VAjkx - A F3litLDlKG- SEWER- S SEPTIC "LANK INLET C SE{PTIC'Z'Ai4%<. ©UTLE' --- D DiSTR. e6OX AMLET Di ST. 30*X OUTLET F LF-ACttNG vcr 1NSLE _ G S OTT0 KA 09 PIT u PLAN OF: I E AC'H 1 �-A G Pt WO SGALF— E M/!77G 44be y j�ri ; � 716 L, youf NOTE; ALL ELEVAT%ONS REFER TO INVERT OF PIPE. 1 l SWALLOW LEAW-liN480- i !P CTS , E P FZ C`r tV► B LRAC#LUW t ACCESS W"OLES TO WITglM ��`� NAAOF PI WSH GRADE. - 'ntELUNG FDN. / �- G.Z.TE ES /Gbp GAL - C SEPM'T-ANK D i 1 DIS rRBOX LEvATtON SCHEDULE BITNCHMARK :S66- P46 -c .1 WLDtNGF SEWER 8 SEPTiC'TANKTi-4LET /its, 66 C SEPTIC -TANK OUTLET /¢S,4/ D D 3 ST'. B0lA_lIN L ET /�5. 3 'F ST. BOY OU -r LET LFAcH I'W PITIN LET So -'Tom or PIT .t6K wAT.'fiAs LF_ `c f C7 O O —Y O 2°x 2'K 4•' CONC 0 ���--DAY LfACN- -�,, S��ATN PAO � 1NG PIT,REQ, CADARSE !SAI-4DM G- � WASHED CRUS4-I£D S-roNE. kRoul,4D PE:RIMETERZ -TYP(CAL LEAcH t hiCT 'P rT �PtROP LE qQ SCALE NOTE' ScHEMAT I,C cONLy - P0R SCE LAYOUT, S I- I- •PAEsE I . '7/ w LF.yAT �t',3►. '..446 E5 1-u I i.si V�t STD WV PIPE I NT or FRANX milli $ ► . Y �r Na ?T: `4.� " a= t.►K GC7E�..iilA,S As5cc�y-r�5 :t A ���t2 k Town of North Andover f NORTH OFFICE OF ��o`�� ,�0 COMMUNITY DEVELOPMENT AND SERVICES p a y 146 Main Street x North Andover, Massachusetts 01845 April 2, 1996 Mrs. Brenda Clark 862 Salem Street North Andover, MA 01845 Dear Mrs. Clark: The North Andover Board of Health, at their regularly scheduled meeting on March 28, 1996 discussed your request for an extension to tie-in to sewer in eight (8) years. Although i was unanimously felt that an eight (8) year extension is unacceptable, they agreed to consider an extension of some length, providing that an inspection of your septic system by a certified inspector shows that the system is functioning properly and meets all appropriate criteria. If you need assistance in locating an inspector or if you have any questions, please call the Board of Health Office any week day between the hours of 8:30 a.m. and 4:30 p.m. Sincerely, Sandra Starr, R.S., Health Administrator SS/cjp BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLA,\NING 688-9535