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MAP # LOT # _�_ PARCEL # STNBET__________________ APPROVAL HAS PLAN REVIEW FEE BEEN PAID? ��E� NO PLAN APPROVAL_: DATE '' APP. BY .. DESIGNER: PLAN DATE CONDITIONS WATER SUPPLY: WELL PERMIT__ WELL TESTS: TOWN WELL DRILLER CHEMICAL BACTERIA l BACTERIA II ���������������``���` DATE APPROVED________ DAlE APPRUVED____ ' DA[E APPROVED_______ FORM U APPROVAL: APPROVAL TO ISSUE YES NO DATE ISSUED CONDITIONS: X -S --____--_--_.--�_.......... ....... ....... .... ........ '-'-_......... '- '---'--___.____-_- FINAL APPROVAL: ALL PERMITS PAID YES NO WELL CONSTRUCTION APPROVAL YES NO SEPTIC SYSTEM CONSTRUCTION APPROVAL YES NO OTHER YES NO ANY VARIANCE NEEDED YES NO FINAL BOARD OF HEALTH APPROVAL: DATE:___ _ BY: ____ i of IS THE INSTALLER LICENSED? YES NO TYPE OF CONSTRUCTION: NEW REPAIR__ NEW CONSTRUCTION: CERTIFIED PLOT PLAN REVIEW YES NO CONDITIONS OF APPROVAL YES NO (FROM FORM U) ISSUANCE OF DWC PERMIT YES NO DWC PERMIT NO. _ INSTALLER: BEGIN INSPECTION YES NO: EXCAVATION INSPECTION: -NEEDED: Of NORTH 1ti fa s` r.a • Lp Town of North Andover `�'•°;;;o.: HEALTH DEPARTMENT ,ss�CN�st4 CHECK #: DATE: LOCATION: �C H/O NAME: CONTRACTOR NAME: 3952 vL . Type of Yermit or License: (Check box) -� 411-71 nimal $ c�� • ❑ 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 �.SrPex":'.w�*^,N�,;+.-0'.""ptye.v?�."R.n.�,�l»�+!`^'+dreg',+brow+s.d/•"�il4,�e�..rovm.w:.�.,�'.+`�..r.�r.w,,..i•,,.- xF. _...:f �► - _ 3952 to ��• O o Town of North Andover HEALTH DEPARTMENT $ACHUSf CHECK #: DATE: LOCATION: e, H/O NAME: CONTRACTOR NAME: Type of Permit or License: (Check box) �,-- - $ ❑ Septic Disposal Works Construction (DWC) imal $- ❑ Body Art Establishment $ ❑ , Body Art Practitioner $ 0 Dumpster '4 ❑ Food Service - Type: $. ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ TrashlSolid Waste Hauler $ ❑ Well Construction $ SEPTIC Sustems: ❑ Septic -Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other: (Indicate) $ Al Health Agent Initials White --Applicant Yellow -Health Pink.- Treasurer NORTH O�S��au a1tip . TOWN OF NORTH ANDOVER p Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENTcMu "s CH S�se 1600 OSGOOD STREET; Building 20; Suite 2-36 NORTH ANDOVER,. MASSACHUSETTS 01845 978.688.9540—Phone Susan Y. Sawyer, REHS/RS 978.688.8476 — FAX Public Health Director healthdeptgtownofnorthandover.com www'townofnorthandover.com Animal Permit Form The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESS/LOCATION OF ANIMALS. �7a� OWNER'S NA ME: G (3CR ► /rvZ112. OWNER'S ADDRESS/LOCATION IF DIFFERENT: Dealer: Yes Nom TOTAL ACREAGE: J15*1 1. Cattle (Adult = 2 years & over) Dairy Beef Steers/Oxen 2. Goats (Adult = 1 year & over) 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders Feeders 5. Llamas / Alpacas 6. Equines: Horses / Ponies Donkeys / Mules Adult Young (number of) s -10 0 Stable use: Private O Boarding O Training O Rental O Lessons O Name of Applicant (PLEASE PRINT) i i 7. Poultry: Chickens Turkeys 8. Rabbits: j i 9. Other: RECEIVED i MAR 10 2009 i TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Signature o pplicant Contact Phone Numbers (indicate cell; home; work, etc.) 0-2,y &i? %/ FEE: $35.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH IST THE FEE WILL BE DOUBLED TO $70.00 Information requested by the Department of Agricultural Resources Bureau of Animal Health— Form 74- 500 BKS — 7/03 — 4DBSBBI- IJ y Town of North Andover Health Department Date: Location: (Indicate Address, if Residenti, or Na f Business) 41-1 Check #: T e of Perfffift or License: (Circle) ➢ c.A mal ➢ Dumpster ➢ Food Service - Type: ➢ Funeral Directors ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal (Septic) Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER; (Indicate) Health Agent Initials �6 9 2 White - Applicant Yellow - Health Pink - Treasurer 14ORTH i TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT tSS�1CHU5t� 400 OSGOOD STREET 978.688.9540 — Phone NORTH ANDOVER, MASSACHUSETTS 01845 978.688.8476 — FAX Susan Y. Sawyer, REHS/RS healthde t a townofnorthandover.com Public Health Director www.townofnorthandover.com Animal Permit Form The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with ChapterIII, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESS/LOCATION OF ANIMALS: 2,c TP,-oS %C -K OWNER'S NAME: A LQ / ,�M9Nz l V t � OWNER'S ADDRESS/LOCATION IF DIFFERENT. Dealer: Yes Noy Adult Young (number of) 1. Cattle (Adult = 2 years & over) TOTAL ACREAGE: 1=� 6 Dairy Beefy S 7.Poultry: Chickens Turkeys Steers/Oxen 8. Rabbits: 2. Goats (Adult = 1 year & over) 9. Other: 3. Sheep (Adult = 1 year & over) i 4. Swine: Breeders Feeders 5. Llamas / Alpacas ! X005 z 6. E uines: Horses / Ponies9 Donkeys / Mules AR H TMENTftStable use: Private 1 Boarding O Training O Rental O Lessons O Name of Applicant (PLEASE PRINT) Sigaaftu r -e pplicant Contact Phone Numbers (indicate cell; home; work, etc.)_ 4? .70 FEE: 25.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1sT THE FEE WILL BE DOUBLED TO $50.00 C. .Documents and SeuingslpdellechlMy Documental COMMERCIAL PERMITSI Permit)Permit ApplicationslAnimal Application-Rev-2005.doc — Information requested by the Department of Agricultural Resources Bureau of Animal Health — Form 2/10/200512:31 PM 74- SOO BKS— 7/03 — 4DBSBBI-Created on COMMONWEALTH OF MASSACHUSETTS North Andover Board of Health NUMBER BHP -2005-0050 FEE $25.00 DATE ISSUED Albert Manzi February 28, 2005 ----------------------------------------------------------------- -------------------------- NAME 72 FOSTER STREET ------------------------------------------------- ------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Animal LICENSE Animal This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires February 28, 2006 unless sooner suspended or revoked. RESTRICTIONS: 26 Acres: 45 Beef Cattle --------------------------------------------------------- Board of ---------------- --------- Health NOTES: Contact: Al Manzi; 978.681.1147 ------------------------------------------------------------ 14ORT011 i , 4 <<° •�ob COMMONWEALTH OF MASSACHUSETTS North Andover Board of Health NUMBER BHP -2008-0015 FEE $35.00 DATE ISSUED '�� Albert Manzi March 05, 2008 ------------------------------------------------------------------------------------------------------------- NAME 72 FOSTER STREET -------------------------------------------------------------------------------------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Animal LICENSE Animal This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires February 28, 2009 unless sooner suspended or revoked. RESTRICTIONS: 26 Acres: 45 Beef Cattle: 30 Adult; 15 Young------------------------------------------------------------ NOTES: Contact: Al Manzi; 978.681.1147 ----- --------------------- ------------------ ------------------------------------------------------------ ------------------------------------------------------------ Board of Health . 1 i1 4 MORTN 1 r 4 3(Aj_'` i Town of North Andover `'•�,; a :: HEALTH DEPARTMENT CHU CHECK #: 020 -DATE: (9 LOCATION:. `� s. H/O NAME:.__ -� CONTRACTOR NAME: 61, Type :ot ermit or License: (Check box) Septic - Soil Testing ©''Animal ❑ $ ❑ Body Art Establishment $ a ❑ 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 $ y SEPTIC Sustems: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ ❑ Other: (Indicate) $ "Z�Ej Agent Initia White - Applicant Yellow - Health Pink - Treasurer VkORTH T6WN OF NORTH ANDOVER b Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT ��. 9ss^cNUSe'� 1600 OSGOOD STREET; Building 20; Suite 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540 —Phone Susan Y. Sawyer, REHS/RS 978.688.8476 — FAX Public Health Director healthdeptna,townofnorthandover.com www.townofnorthandover.com Animal Permit Form The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESS/LOCATION OF ANIMALS: �� ®�S ��lL 67 OWNER 'S NAME: Jql� �i�' , /41+J Z 1 OWNER'S ADDRESS/LOCATION IF DIFFERENT: Dealer: Yes No 1. Cattle (Adult = 2 years & over) Dairy Beef Steers/Oxen 2. Goats (Adult = 1 year & over) 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders Feeders 5. Llamas / Alpacas 6. Equines: Horses / Ponies Donkeys / Mules Stable use: Private O Boarding O Rental O Lessons O Adult Young (number of) Training O TOTAL ACREAGE: d`y 7. Poultry: Chickens Turkeys 8. Rabbits: 9. Other: i J (&( J - /0. /*1,u zl z�q,� Name of Applicant (PLEASE PRINT) Signature o is Contact Phone Numbers (indicate cell; home; work, etc.) q 2�5> 61 O>// r q 2 FEE: $35.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1sT, THE FEE WILL BE DOUBLED TO $70.00 Information requested by the Department of Agricultural Resources Bureau of Animal Health — Form 74- 500 BKS — 7103 — 4DBSBBI- Commonwealth of Massachusetts �:. North Andover M J Board of Health 1600 OSGOOD STREET BUILDING 20; SUITE 2-36 NORTH ANDOVER, MA 01845 renew your permit, you must complete the enclosed application and return it along with the renewal fee of $35.00 Please fill out the enclosed form completely, since applications submitted without the necessary completed information will delay the issuance of your permit. Application and fee must be returned to: Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 no later than February 29, 2008. Please make check payable to the Town of North Andover. If you have any questions, please call the Health Office at 978.688.9540. Our website is: http://www.townofnorthandover.com. All regulations and applicable forms can be found on the website as well. If you have any questions, you can e-mail us at: healthdept@townofnorthandover.com, or call: 978.688.9540. Thank you for your cooperation during the renewal process. Enc: Animal License Application Form ANIMAL LICENSE DATE PRINTED 02/21/2008 ESTABLISHMENT NAME: Albert Manzi 72 Foster Street File Number: BHF -2004-000173 NORTH ANDOVER MA 01845 RE: 2008 LICENSE RENEWAL LOCATED AT: 72 FOSTER STREET ,MA OWNER: Albert Manzi PHONE: (978) 681-1147 RENEWAL FEE DUE: $35.00 LATE FEE AFTER MARCH 1st - INCREASE FEE TO $70 PERMIT TYPE FEE DURATION: ANNUAL SEASONAL TEMPORARY Animal $35.00 ❑ FJ RESTRICTIONS: 26 Acres: 45 Beef Cattle: 30 Adult; 15 Young NOTES: Contact: Al Manzi; 978.681.1147 Total Fees: $35.00 This is a COURTESY RENEWAL REMINDER...........your 2007 Animal License expires on March 1, 2008. In order to renew your permit, you must complete the enclosed application and return it along with the renewal fee of $35.00 Please fill out the enclosed form completely, since applications submitted without the necessary completed information will delay the issuance of your permit. Application and fee must be returned to: Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 no later than February 29, 2008. Please make check payable to the Town of North Andover. If you have any questions, please call the Health Office at 978.688.9540. Our website is: http://www.townofnorthandover.com. All regulations and applicable forms can be found on the website as well. If you have any questions, you can e-mail us at: healthdept@townofnorthandover.com, or call: 978.688.9540. Thank you for your cooperation during the renewal process. Enc: Animal License Application Form r COMMONWEALTH OF MASSACHUSETTS North Andover BOARD OF HEALTH Albert Manzi NAME 72 FOSTER STREET NUMBER BHP -2013-0494 FEE $35.00 DATE ISSUED March 01, 2013 ADDRESS IS HEREBY GRANTED A Animal Permit an Animal Permit This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires February 28, 2014 unless sooner suspended or revoked. RESTRICTIONS: 25 Acres; Cattle - 10 Dairy I NOTES: Contact: Al Manzi; 978.852.1401 - #-!--E----�--�----------- I 1 L.L.'wi t� ----------------- ------------------------------------------------------ ------------------------------------------------------ ------------------------------------------------------ BOARD OF HEALTH CHAIRMAN BOARD OF HEALTH 72 FOSTER STREET Reference No: BHF-2004-000173 j................................... i Permit No: BHP-2013-0494 Department: ................................... North Andover BOARD OF HEALTH .............................•-----......................------..........--•---------.... Account No: 1001001.1.5.0510.00 FeeType: .................................... Animals Receipt No: REC-2013-001134 ...----------------•----------..........................--------..........---................................................ Paid By: Paid in Full On: Wed Feb 13,2013 Albert Manzi .--------------•---------...............-----..........-•---------........----•---....... Check No: 4791 Received By: ---•-----------•---------•-•-•----- Lisa Blackburn ......-----•............................................................................. , DEPARTMENT'S COPY Amount: $35.00 ....................................................................................•---.......------...........------•---......------......... ^� "Y TOWN OF NORTH ANDOVER ' Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT rF,,,, 1600 OSGOOD STREET; Suite 2035 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540—Phone Susan Y. Sawyer, REHS/RS 978.688.8476 — FAX Public Health Director healthdept@townofnorthandover.com www_townofnorthandover.com Animal Permit Form r , The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESSILOCATION OFANIMALS: - 50 S (� Sj OWNER'S NAME: A&A �t� : /9�L,[��J Z t OWNER'S ADDRESS/LOCATION IF DIFFERENT. Dealer: Yes No TOTAL ACREAGE: Adult Young (number of) 1. Cattle (Adult = 2 years & over) Dairy Beef '7. Poultry: Chickens Turkeys Steers/Oxen 8. Rabbits: 2. Goats (Adult = I year & over) 9. Other: 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders . Feeders 5. Llamas /Alpacas RECENtu 6. Equines: Horses / Ponies Donkeys / Mules 2013 Stable use: f l 0 Private O Boarding O Training O TOWN OF NORTH ANDOVER Rental O Lessons O HEALTH DEPARTMENT Name of Applicant (PLEASE PRINT) Si Contact Phone Numbers (indicate cell; home; work, etc.) FEE: $35.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1sT THE FEE WILL BE DOUBLED TO $70.001 Information requested by the Department of Agricultural Resources Bureau of Animal Health — Form 74- 500 BKS — 7103 — 4DBSBBI- A "' Commonwealth of Massachusetts DATE PRINTED: 03/07/2012 ESTABLISHMENT NAME: Albert Manzi File Number: BHF -2004-000173 North Andover BOARD OF HEALTH 1600 OSGOOD STREET BUILDING 20; SUITE 2-36; South NORTH ANDOVER, MA 01845 Albert Manzi 72 Foster Street NORTH ANDOVER MA 01845 LOCATED AT: 72 FOSTER STREET ,MA Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes Animal Permit BHP -2012-0510 Mar 1, 2012 Feb 28, 2013 $35.00 26 Acres; Cattle - 40 (Beef) / Contact: Al Manzi; 978.852.1401 Total Fees: $35.00 PERMIT EXPIRES IFebruary 28, 2013 BOARD OF HEALTH r- r-1 rnpy Page 1 OfNORip n �1h� .� t � lo -3r �� r` _ � 09 � ✓ 4A Town of North Andover '�'•>,; ;o :: �' ,SSAC HEALTH DEPARTMENT M�Stt $ CHECK #: DATE: LOCATION: H/O NAME CONTRACTOR NAME: 6025 // SEPTIC Sustems: ❑ 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 Type 91KP rmit or License: (Check box) C17�Anima l $� ❑ 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 Sustems: ❑ 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 .* Ops«°O �•• O TOWN OF NORTH ANDOVER `' p r Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 20; Suite 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540 —Phone Susan Y Sawyer, REHS/RS 978.688.8476 —FAX Public Health Director healthdept@townofnorthandover.com www.townofnorthandover.com Animal Permit Form The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 23, 131 and 143 of the General Laws, and �subject,,jo the�r-ules and regulations of the local Board of Health and Zoning Bylaws. y ADDRESS/LOCATION OF ANIMALS: OWNER'S NAME: &AWT-_ �2 a LTC VVN Or NOVO rh s00`�''ER OWNER'S ADDRESS/LOCATION IF DIFFERENT. HEALTF I)E ~'3 Dealer: Yes No 'Cl� TOTAL ACREAGE:) Adult 1. Cattle (Adult = 2 years & over) Dairy Beef Steers/Oxen 2. Goats (Adult = 1 year & over) 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders Feeders 5. Llamas / Alpacas 6. Equines: Horses / Ponies Donkeys / Mules Stable use: Private lC Boarding C Training O Rental O Lessons O Name of Applicant (PLEASE PRINT) Young (number of) Contact Phone Numbers (indicate cell; home; work, etc.) !?-7 Oak /yd I FEE: $35.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1sT. THE FEE WILL BE DOUBLED TO $70.00 Information requested by the Department of Agricultural Resources Bureau of Animal Health — Form 74- 500 BKS — 7103 — 4DBSBBl- r � � 3 FORT Commonwealth of Massachusetts North Andover - Board of Health 1600 OSGOOD STREET BUILDING 20; SUITE 2-36; South NORTH ANDOVER, MA 01845 DATE PRINTED: 03/07/2011 ESTABLISHMENT NAME: Albert Manzi File Number: BHF -2004-000173 LOCATED AT: Albert Manzi 72 Foster Street NORTH ANDOVER MA 01845 72 FOSTER STREET ,M Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes Animal Permit BHP -2011-0522 Mar 3, 2011 Feb 28, 2012 $35.00 26 Acres; Cattle - 15 (Beef) / Contact: Al Manzi; 978.852.1401 Total Fees: $35.00 PERMIT EXPIRES IFebruary 28, 2012 Board of Health TIDED Page 1 I Of NORTH �" 5276 F `� • L9 Town of North Andover ;p HEALTH DEPARTMENT ,•SSCHUS CHECK #: DA E: ��®l� LOCATION: H/O NAME: CONTRACTOR NAME: Tvpe €'hermit or License: (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) $ "Wealth Agent Initials White - Applicant Yellow - Health Pink - Treasurer ,;,J +r TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 20; Suite 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540 — Phone Susan Y. Sawyer, REHS/RS 978.688.8476 — FAX Public Health Director healthdept(a_townofnorthandover.com www.townofnorthandover.com Animal Permit Form The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS:' within the Town of North Andover, in accordance with Chapter III, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESS/LOCATION OF ANIMALS: 2J-- os '—t�,7z 56— — OWNER'S NAME:%Ll A)7,1 OWNER'S ADDRESS/LOCATION IF DIFFERENT. Dealer: Yes No TOTAL ACREAGE: Adult Young (number of) 1. Cattle (Adult = 2 years & over) Dairy Beef -F�— 7. Poultry: Chickens Turkeys Steers/Oxen 8. Rabbits: 2. Goats (Adult = 1 year & over) 9. Other: 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders Feeders 5. Llamas / Alpacas 6. Equines: Horses / Ponies Donkeys / Mules Stable use Private O Boarding O Training O Rental O Lessons O Ataar Z� Nanfe of Applicant (PLEASE PRINT) TOWN OF NORTH ANDOVER HEALTH DEPARTMENT Contact Phone Numbers (indicate cell; home; work, etc.) 0 1 FEE: $35.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1sT, THE FEE WILL BE DOUBLED TO $70.00 Information requested by the Department of Agricultural Resources Bureau of Animal Health — Form 74- 500 BKS - 7103 — 4DBSBBI- DelleChiaie, Pamela From: DelleChiaie, Pamela Sent: Friday, September 24, 2010 3:18 PM To: 'rschruender@ghsre.com' Subject: FW: I.R. - 531 Forest Street - Health Department File Scan Attachments: 20100924151222161.pdf Importance: High Here is the information you requested. Best Regards, Pamela DelleChiaie Departmental Assistant lCommunity Development I Health Department Town of North Andover 1600 Osgood Street I Bldg 201 Suite 2-36 North Andover, MA 01845 N Office - 978-688-9540 9 Fax - 978-688-8476 9 Email - pdellechiaiegtownofnorthandover.com ; Website http://www.townofnorthandover.com/Pages/index "We can never see the path of our life if we are too busy focusing on the pebbles under our feet."—Anonymous -----Original Message ----- From: noreply@townofnorthandover.com [mailto:noreply@townofnorthandover.com] Sent: Friday, September 24, 2010 3:12 PM To: DelleChiaie, Pamela Subject: I.R. - 531 Forest Street - Health Department File Scan This E-mail was sent from "RNPOA428C" (Aficio MP C5000). Scan Date: 09.24.2010 15:12:22 (-0400) Queries to: noreplyntownofnorthandover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. C" New t" England ase Environmental iw Technologies A�yj p {l{qq,,,, NEE, �T 'i 9 I9l � o TOWN OF Nps ANDOVER Thomas Trowbridge, DDS, MD, Chairman Board 1600 Osgood St. Building 20, Suite 2-36 North Andover, Massachusetts 01845 July 21, 2010 Number 3-25399 Re: Notification of Phase IV Remedy Implementation Plan Report Submittal For the property located at: 80 Flagship Drive; North Andover, Massachusetts Dear Mrs. Sawyer, In accordance with the public notification requirements of the Massachusetts Contingency Plan (MCP) at 310 Code of Massachusetts Regulations (CMR) 40.1403(e), New England Environmental Technologies (MEET) is notifying the town of North Andover, Massachusetts, on behalf of our client, Central Metal Finishing, that a MPC Phase IV Remedy Implementation Plan has been completed and submitted to the Department of Environmental Protection (Department) for the above referenced property (site). The Phase IV Report described the process that will be used to remedy the subsurface contamination resulting from the historical disposal of Trichloroethylene at the property. Arrangements can be made to review the report at the Department's Northeast Regional Office File Facility or at NEET's 921 Salem Street, Groveland, Massachusetts, office. If you have any questions or require additional information, please do not hesitate to contact NEET at (978) 521-1111. Sincerely, NEW ENGLAND ENVIRONMENTAL TECHNOL(CG IES Donald B. Steele Project Manager Att: Copy of Table of Contents from the Phase IV Remedy Implementation Plan. Also sent to: Mr. Mark Rees, Town Manager, Town of North Andover New, (England IErimrxanmen,tal Tech, nologles a92i1 Salem Street, Gruvelan, d, Massachusetts 01834 Phone 978-521=1'1'1'1 IFax 978452 1-1760 October 15, 2010 Release Tracking Number 3-27978 Thomas Trowbridge, DDS, MD, Chairman Board of Health 1600 Osgood St. Building 2, Suite 2-36 North Andover, MA 01845 Re: Notification of MCP Release Abatement Measure (RAM) Plan to modify an existing AUL for property located at: 80 Flagstaff Drive, North Andover, Massachusetts Dear Mr. Trowbridge, In accordance with the public notification requirements of the Massachusetts Contingency Plan (MCP) at 310 Code of Massachusetts Regulations (CMR) 40.0444-0446 (Subpart D), New England Environmental Technologies (MEET) is notifying the town of North Andover, Massachusetts, on behalf of our client, Carol Shibles, that a MCP Release Abatement Measure (RAM) Plan Submittal has been completed and submitted to the Department of Environmental Protection (DEP) for the above referenced property (Site). The RAM Plan Submittal describes the actions that are planed to take place to remediate the Site and the measures necessary to maintane a condition of no significant risk at the Site for the forseeable future. The AUL which was necessary as part of the previous A-2 RAO will be modified and the new AUL will identify a much smaller area of the subject property. The levels of a contaminant of concern, cadmium, in the area to be identified will not reduced to levels below the Method 1 Standard for S-1 soils. Arrangements can be made to review the report at the Massachusetts DEP, Northeast Regional Office File Facility or at NEET's 921 Salem Street, Groveland, Massachusetts office. If you have any questions or require additional information, please do not hesitate to contact NEET at (97 8) 521-1111. Sincerely, NEW ENGLAND ENVIRONMENTAL TECHNOLOGIES Donald B. Steele Project Manager Copy: Cc: Mark Rees, Town Manager 10 -DAY EMERGENCY BEAVER OR MUSKRAT PERMIT Name: Albert Manzi Address: 72 Foster Street, N. Andover 01845 Permit No. Authorized Agent Name (if applicable): _Mike Callahan Complaint Location:_0 Foster Street, map 104D lot 14 In accordance with and pursuant to provisions contained in chapter 131 of the Massachusetts General Laws section 40, 80A and 321 Code of Massachusetts Regulation 2.08 and 10.00 (Wetlands Protection Act), the permittee(s) above named may immediately remedy the threat to human health and safety by one or more of the following options: (a) the use of conibear or box or cage -type traps for the taking of beaver or muskrat, subject to the regulations promulgated by the Division of Fisheries and Wildlife (see back) (b) the breaching of dams, dikes, bogs or berms, so-called* (c) employing any non -lethal management or water -flow devices* *If the permittee chooses option(s) b and/or c, he/she must appear before the local conservation commission to obtain an emergency certification regarding specifications for breach size and/or water - flow device installation in accordance to M.G.L. c. 131, s. 40 (Wetlands Protection Act). The Board of Health has determined that said beaver or muskrat problem poses a threat to public health and safety as stated in M.G.L. c.131, s.80A. Specify:—The beaver have a blocked culvert which poses a threat to the agricultural fields and to the integrity of the road. Board of Health Official Name: Susai7Sawyer Board of Health Official Signature: X_ Date: July 26, 2011 The above signature validates this permitof 10 consecutive days from the date shown for option (a) only. If the permittee chooses options (b) and/or (c), he/she must return to the Board of Health for a final signature after obtaining an emergency certification from the conservation commission. Please attach the emergency certification to this permit and return to the Board of Health for final approval. (See Back) e This permit is valid for 10 consecutive days from the date of the final Board of Health signature. ' Board of Health Official Name: Susan Sawyer. Board of Health Official Signature: Date: July 26, 2011 This permit does.not allow permittee(s) or their authorized agent to trespass on private property. This permit or a copy thereof shall be carried on the person of any individual exercising the authority thereof and shall be shown upon request if challenged by any local or state law enforcement officer empowered to enforce the provisions of M.G.L. c. 131. Massachusetts Division of Fisheries and Wildlife trapping regulations Permittees) may destroy problem furbearing mammals (named above) by means of a body gripping trap or by means of a box or cage type trap including Hancock or Bailey traps for catching beaver. The pan of Hancock and Bailey traps must be submerged in water. Problem furbearing mammals that are captured alive shall be disposed of by destruction in a humane manner. Body gripping traps with a jaw spread not less than 4 inches and not greater than 7 inches or body gripping traps with a jaw spread not less than 6 inches and not exceeding 10 inches for the trapping of beaver only, may be used if such traps are completely submerged in water. The placement of traps in reference to the proximity of the beaver lodge or beaver dam is unrestricted, but the disturbance or destruction of the beaver lodge or beaver dam is strictly prohibited unless otherwise authorized. Permittee(s) taking problem furbearing mammals, on the property of another, by means of a trap shall possess a valid Massachusetts trapping license and traps shall be registered according to M.G.L. c. 131, s. 80. Said problem furbearing mammals (named above), their carcasses or parts thereof may be retained by the permittee, sold, bartered, or exchanged for consideration during the open regulated harvest season for that species. Sealing of beaver pelts is required. Disposition of all carcasses obtained from the incidental capture of furbearing mammals not authorized by this permit must be surrendered to the District Wildlife Manager of the Division of Fisheries and Wildlife having jurisdiction in the town where the furbearing mammal was taken. APPLICATION FOR 10 -DAY EMERGENCY BEAVER OR MUSKRAT PERMIT TO BE FILLED OUT BY APPLICANT Fee (if applicable): $ Name: I Cr'�. + Date: Address: 72 - Town: 2 Town: U r ill l jl Y) di 0 ye r Zip Code: C) % S Daytime Tel. # , V CLL 1 1 -1 1 Evening Tel. # len Agent Name: 6/111- ke (if applicable) Complaint Location: Tel. # Is the problem entirely on your property? Yes: Z No: Don't Know: Note: If the problem does not occur entirely on the applicant's property, consent forms from all other property owners must be obtained. Type of Complaint: Provide a detailed description of the perceived threat to public health and Under M.G.L. c. 131, s. 80A, an emergency permit authorizes the applicant or his duly authorized agent to immediately remedy the threat to human health and safety by one or more of the following options: (a) the use of conibear or box or cage -type traps for the taking of beaver or muskrat, subject to regulations; (b) the breaching of dams, dikes, bogs or berms; and/or (c) employing any non -lethal management of water -flow devices. The emergency permit will be good for 10 days from the date of issue. Signature of Applicant: ! Date: /'e5;1 67,11 NOTE: Options (b) and/or (c) above require applicant to get conservation commission approval prior to such work in accordance with the wetlands protection act. BEAVER S O L U T I O N S 14 Mountain Rd, Southampton, MA 01073 Phone: (413) 695-0484 Website: www.heaversolutions.com July 23, 2011 Albert Manzi 72 Foster Road North Andover, MA 01945 Dear Al, Thank you for the opportunity to assess the beaver damming issue of the culvert affecting your hayfields in North Andover, MA. A blocked culvert certainly poses a threat to your agricultural fields and to the integrity of the road. At the time of my recent site assessment the beavers were again damming inside the culvert even though it had just been cleaned out, I am pleased to report that a long term, cost effective solution for this beaver problem does exist. Since 1998 our culvert protective fences and beaver dam pipe systems have solved over 750 beaver problems in six states. Our culvert protective fences have over a 98% success rate. See the studies on our website. We also offer beaver trapping services for the occasional site where flow devices are not feasible. For this site I recommend a large culvert protective fence as the most cost-effective and long-term solution. When properly designed and constructed the fence system will stop all beaver damming of the culvert. Any device exposed to the seasons and the beavers will require some maintenance. While our culvert protective fences are designed to be very low maintenance, this maintenance is important. Quarterly all floated leaves and sticks should be cleared from the fence in order to keep the beavers from damming on it. When this routine maintenance is performed as recommended, the flow device will remain effective for many years. Since our customer's satisfaction and our reputation are very important to us, we offer a maintenance service at a low cost. Also, at no additional cost Beaver Solutions guarantees every device we maintain. See attached. However, if you would like to do the maintenance, I am always available to answer any questions at no charge. Please contact me with any questions or concerns regarding the proposal, or to schedule the work. Sincerely, Mike Callahan, Owner INorth Andover MIMAP Foster Street July 26, 2011 Interstates Interstate — Major Roads — Roads Ce Easements ❑ MVPC Boundary ❑ Parcels 104.L-0014 1" = 183 ft ' -(�° Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, Meters Data Sources: The data for this map was produced by Merrimack NORTH Valley Planning Commission (MVPC) using data provided by the Town of pf t"ao r e �ti North Andover. Additional data provided by the Executive Office of et .a �� Environmental Affairs/MassGIS. The information depicted on this map is L for planning purposes only. It may not be adequate for legal boundary 9 definPoon or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING i THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY t .^ OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT \e+ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF °o. THIS INFORMATION +y J � w IL). Interstates Interstate — Major Roads — Roads Ce Easements ❑ MVPC Boundary ❑ Parcels 104.L-0014 1" = 183 ft ' -(�° Horizontal Datum: MA Stateplane Coordinate System, Datum NAD83, Meters Data Sources: The data for this map was produced by Merrimack NORTH Valley Planning Commission (MVPC) using data provided by the Town of pf t"ao r e �ti North Andover. Additional data provided by the Executive Office of et .a �� Environmental Affairs/MassGIS. The information depicted on this map is L for planning purposes only. It may not be adequate for legal boundary 9 definPoon or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING i THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY t .^ OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT \e+ ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF °o. THIS INFORMATION THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH Date: 2/17/00 Permit # 102 -OA Fee: $25.00 This is to certify that: Albert Manzi, Jr. 72 Foster Street North Andover, MA 01845 is hereby granted an... ANIMAL PERMIT This permit is granted in conformity with the statutes and ordinances relating thereto, and expires March 1, 2001 unless sooner suspended or revoked. Gayton Osgood, Chairman Francis P. MacMillan, M.D., Member John S. Rizza, D.M.D., Member ,. p, Town of North Andover OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES 27 Charles Street North Andover, Massachusetts Ol 845 WILLIAM J. SCOTT Director (978)688-9531 //aP Of NORTN L H p Fax (978) 633-9542 APPLICATION FOR PERMIT TO KEEP ANIMALS AND BIRDS IN NORTH ANDOVER DATE • � -- O5 To the Board of Health: The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the Board of Health. Kind of Animals Lccation %d- Fos7'E2. No. Total Acreage 4.:�— —� Kind of Birds No. I Z<ZA�, natur f Appli ant Address Albert p. Manzi Jr. 72 Foster N. Andover, MA ®1845 FEB 17 2nno Date Received Approved By �,t THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH Date: 05/14/99 Permit # 102-9A Fee: $25.00 This is to certify that: Albert Manzi 72 Foster Street North Andover, MA is hereby granted an... ANIMAL PERMIT This permit is granted in conformity with the statutes and ordinances relating thereto, and expires March 1, 2000 unless sooner suspended or revoked. Gayton Osgood, Chairman Francis P. MacMillan, M.D., Member John S. Rizza, D.M.D., Member Town of North Andover }� o N0 oTH ti OFFICE OF �� yet t ` ! �C O L COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street North Andover, Massachusetts 01845 WILLIAM J. SCOTT 9SSACHU Director (978)688-9531 Fax(978)688-9542 a APPLICATION FOR PERMIT TO KEEP ANIMALS AND BIRDS IN NORTH ANDOVER DATE • - l- qq To the Board of Health: The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the Board of Health. Kind of Animals No. Kind of Birds No. Location -7o RS7� si- Total Acreage Date Received nature of Applicant AddressAlbert P. Manzi Jr. 72 t. N. A dover tMA 01845 A roved"" ,� L) I H ANDOVER/ PP D OF HEALTH EMAY1999 4-- O i 6 C � C O � I O EJ O D � O � � m H s E O Q. L a L f C C E 1 C � O V f: s+ a C N p E = � s .N U ,O rC GGQ = c a c m F= v o Q Q o � m U O O C , THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH - Date: 2/26/01 Permit # 102-1 A Fee: $25.00 This is to certify that: Albert Manzi 72 Foster Street No. Andover, MA 01845 is hereby granted an... ANIMAL PERMIT . ''thi§ permit is granted in conformity with the statutes and ordinances relating thereto, and expires March 1, 2002 unless sonnet suspended or revoked. Gayton Osgood, Chairman Francis P. MacMillan, M.D., Member John S. Rizza, D.M.D., Member APPLICATION FOR PERMIT TO KEEP ANIMALS AND BIRDS IN NORTH ANDOVER DATE: To the Board of Health: The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the Board of Health. Kind of Animals No. Kind of Birds No. 7 a� Fbs y f2 S7 Location ... -3� Total Acreage Date -Received gnature of A�fplicant -7d- �;sT�ic. s7 - Address r - Address Approved By FEE: $25.00 Please make check payable to: Town of North Andover 6NIN OF NORTH ANDO: FEB 2 2 inn, TOWN OF NORTH ANDOVER 70 BOARD OF HEALTH 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE# (978) 6889540 APPLICATION FOR PERMIT TO KEEP ANIMALS AND BIRDS IN NORTH ANDOVER DATE: To the Board of Health: The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the Board of Health. Kind of Animals No. Kind of Birds No. 7 a� Fbs y f2 S7 Location ... -3� Total Acreage Date -Received gnature of A�fplicant -7d- �;sT�ic. s7 - Address r - Address Approved By FEE: $25.00 Please make check payable to: Town of North Andover 6NIN OF NORTH ANDO: FEB 2 2 inn, North Andover Board of Health 120 Main St. North Andover Ma.01845 Haul Lic. #151 -OOH Install Lic. # 128-0 Date Name & Address 12/1/2000 Murphy - 16 C.r_ossbow Lane 12/2/2000 Manzi - —2-Foster--St,---�, -12/4/2000 Grifin - 240 Candlestick Rd 12/5/2000 Mcilvien - 57 So .Cross Rd 12/6/2000 Small- 440 Fosrer St 12/6/2000 Orlando - 274 Foster St 12/7/2000 Weger - 29 Barco lane 12/8/2000 Walton -,161 Bridges Lane 12/11/2000 Coflan - 73 Christian Way 12/12/2000 Orlando - 7 Laconia Cir 12/12/2000 Fitzgerald - Sharpner Pond Rd 12/18/2000 Mangano - 324 Bradford St 12/19/2000 Galea -= 1589 Salem St 12/19/2000 Johnson - 91 Boston St 12/22/2000 Senton - 1620 Turnpike St Andover Septic 47 Railroad St. Bradford Ma. 01835 Gallons Comments 1500 1000 1500 1500 Flooded 1000 1000 1000 1500 . 1500 1000 1500 1500 1000 1000 1250 Flooded December 2000 s i L �i..i BOARD OF HEALTH 120 MAIN STREET NORTH ANDOVER, MASS. u1845 TEL. 682-6483 Ext. 32 APPLICATION FOR PERMIT TO KEEP ANIMALS AND BIRDS IN NORTH ANDOVER DATE:— To the Board of Health: The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the Board of Health. Kind of Animals No. Location %o- Y 6-7�iZ S7 - Total Acreage Kind of Birds No. natu a of Applicant Address MR. & MRS. ALBERT P. MANZI, JR. 72 FosteiStreet North Andover, MA 01845 Date Received Approved By NUMBER � r �S ----- *sou^vwowwEALrHoFwxssAc*ussrrs 2 ----------I}16M--_-' o{ --- Nl]IlTlI..AND1}-VEIl-'---_----' z.00- .. .........'...������'���� m��o --'-'----'- ex '--'' --- Stree±'°-Nor-th..Auodo.v-er-,-MQL../ll8-4 9--_-'--'----'_-' ADDRESS /S HERESY GRANTED A PERMIT For................................. -----------'-----'-�--' -------------'- -_�_lO ---'----------'- _-----_------.------_-... � ----------------------- -'-_'_----_---___._-_---' .--_---.-----------_-.-'__.----_----_--_____''-_--_--_'_--_'_-- �umy�rm��io�ruu��6�u --''---------''-----'---- ���� ��n����the g�o�m�o����oz��n '--�«���eoUJ��][-�l^_J^�}����__ � om�r��o, and --'��o/ ]�' --~- --''-''-'--./O'- 9-2 FORM 451 HO13E3S & WARREN. INC. NOV 5 20L13 r C �!'✓,1„'i+ i� t,.Y { .Yu ( 11 � L :, C I ! J , U ' — a--,w�r�-�ws•A..'- r! 1l�t 42b'j (!91' till 1t 1 I4C' 777-777-7777:--- Ma .— WN O.F . N OT R HAN'po / �� �'I EM..U.:WfER:& huDfZ.CSSS Y .TCM J 0('aT mON. 1, IIr ' U i I C yF,P(JMYIiQ (�Vaf�TITY f'UM(^C . (.'I:>>I'VUl rf0 YES SEPTI('T/,NK: MD - =. -� , 1�.�. ,111, � r'' I. h•!,I"+Y rt( 11 + ) ;:.I '',1_... , (!I.1§.';. lJv4 , f�' 1•S`,'i;+J�l'�''! y r�i'I�I!;1.,,, .,, li I u� i I �1 i��':1ricnNS�rcl�l'p ISI ` \`3TUHE'0F SERYICC. R0QTINE,.' EM ERCENCY U,UUO C,Qf��l1'IQ� h'Ul L:T0 CUYCIr .: rif �yY q�E',A r' ' i_I�FF! LJ CEACHFICLO CXCESSI+YEi$,g17DS, ;' FLOODED, — ssq� Iu;cayyR�YOY�R r �• pmNF(Z il'.� I l+M'PUM:('C.O OY.. -� , 1�.�. ,111, � r'' I. h•!,I"+Y rt( 11 + ) ;:.I '',1_... , (!I.1§.';. lJv4 , f�' 1•S`,'i;+J�l'�''! y r�i'I�I!;1.,,, .,, li I u� i I �1 i��':1ricnNS�rcl�l'p ISI 68 '09 Health Agent White - Applicant Yellow - Dept. Pink - Treasurer TOWN OF NORTH ANDOVER HOARD OF HEALTH V �� Location "` 4�1� �V�i # Ov Permit Food Service $ Retail Food $ Limited Retail $ Seasonal $ Disposal Works Installers $ Disposal Works Construction $ Soil Testing $ Design Approval Permit $ Dumpster Permit $ Burial Permit $ Swimming Pool Permit $ $ �g Animal Permit,,--,' Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ Other $ 68 '09 Health Agent White - Applicant Yellow - Dept. Pink - Treasurer qT - C-6 TOWN OF NORTH ANDOVER BOARD OF HEALTH 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE# (978) 688-9540 APPLICATION FOR PERMIT TO KEEP ANIMALS AND BIRDS IN NORTH ANDOVER HEALTH A DATE: February 21; 2003 MRS The undersigned hereby applies for a permit to KEEP CERTAIN - " 815 w thin the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the Board of Health. Kind of Animals No. Kind of Birds No. Albprt is nne%.,.,o o. 72 Foster Street North r,19A 01845 % s� Sv— Location Siga ure of Appli t 415,- - i-�os TE(Z sC Total Acreage Address Date Received Approved By FEE: $25.00 Please make check payable to: Town of North Andover ; NUMBER '-10 BHP -2006-0039 CJMMONWEALTH OF MASSACHUSETTS North Andover FEE # ° $35.00 ' Board of Health �+ "°"•*+° .r �s DATE ISSUED �SSAC"USt� Albert Manzi March 01, 2006 --- ---------------------- -- ------------ NAME - ---------------------- 72 FOSTER STREET ------------ ADDRESS IS HEREBY GRANTED A Animal LICENSE Animal This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires February 28, 2007 unless sooner suspended or revoked. RESTRICTIONS: 26 Acres: 45 Beef Cattle -------------------- Board of ------------------------------------------------------------ Health NOTES: Contact: Al Manzi; 978.681.1147 ---------------- - A Town`of North Andover Health Department Date: Location: (Indicate Address, if Residential; of NamBusiness) Check #: T e of Permit or License: (Circle) - ➢ Animal ➢ Dumpster ➢ Food Service - Type: ➢ Funeral Directors ➢ Massage Establishment $ ➢ Massage Practice $ ➢ Offal (Septic) Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ );> Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ OTHER (Indicate) 430 Health Agent Initials White - Applicant Yellow - Health Pink - Treasurer + AORTN Commonwealth of Massachusetts °s�"`° North Andover ti o x, n Board of Health 400 Osgood Street . ^� .„Q .� ,�•, NORTH ANDOVER, MA 01845 ANIMAL LICENSE DATE PRINTED 02/15/2006 ESTABLISHMENT NAME: File Number: BHF -2004-0173 RE: 2006 LICENSE RENEWAL OWNER: Albert Manzi MAILING ADDRESS: 72 Foster Street NORTH ANDOVER RENEWAL FEE DUE: $35.00 Albert Manzi 72 FOSTER STREET NORTH ANDOVER, MA 01845 PHONE: (978) 681-1.147 MA 01845 LATE FEE AFTER MARCH 1, 2006 - INCREASE FEE TO $70 PERMIT TYPE 1 FEE DURATION: ANNUL SEASONAL TEMPORARY Animal ��Ir RESTRICTIONS: 26 Acres: 45 $e'ef Cattle NOTES: Contact: Al Manzi: 978.681.1147 $35.00 Total Fees: $35.00 This is a courtesy reminder.... your 2006 Animal License expires on Wednesday, March 1, 2006. In order to renew your permit, you must complete the enclosed application and return it along with the renewal fee of $35.00 Please fill out the enclosed form completely, since applications submitted without the necessary completed information will delay the issuance of your permit. Application and fee must be returned to: Health Department, 400 Osgood Street, North Andover, MA 01845 no later than Monday, February 27, 2006. Please make check payable to the Town of North Andover. Please note. that the Board of Health will levy a penalty fee by doubling the renewal fee if the license is not renewed by March 1st. Therefore, if your license fee is $35.00, your cost for being late will be $70.00. If this is disregarded, the North Andover Board of Health may revoke your license, and/or levy an additional fine. If you have any questions, please call the Health Office at 978.688.9540. Our website is: http://www.townofnorthandover.com. All regulations and applicable forms can be found on the website as well. If you have any questions, you can e-mail us at: healthdept@townofnorthandover.com, or call: 978.688.9540. Thank you for your cooperation during the renewal process. Enc: Animal License Application Form vtORTN Ottt�aO •1�0 "- TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 400 OSGOOD STREET 978.688.9540 — Phone NORTH ANDOVER, MASSACHUSETTS 01845 978.688.8476 — FAX Susan Y. Sawyer, REHS/RS healthdept@townofnorthandover.com Public Health Director www.townofnorthandover.com Animal Permit Form The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESS/LOCATION OF ANIMALS: l c� Es, ,_ % •WNER'SNAME: OWNER'S ADDRESS/LOCATION IF DIFFERENT. Dealer: Yes No Ll TOTAL ACREAGE: 6 Adult Young (number of) 1. Cattle (Adult = 2 years & over) Dairy Beef Steers/Oxen 2. Goats (Adult = 1 year & over) 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders Feeders 5. Llamas / Alpacas 6. Equines: Horses /Ponies Donkeys / Mules Stable use: Private O Boarding O Training O Rental O Lessons O Jr - Name of Applicant (PLEASE PRINT) 7.Poultry: Chickens Turkeys 8. Rabbits: 9. Other: Signat scant Contact Phone Numbers (indicate cell; home; work, etc.) 197 � 68 //1,47 FEE: $35.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1sT, THE FEE WILL BE DOUBLED TO $70.00. Information requested by the Department of Agricultural Resources Bureau of Animal Health —Form 74- 500 BKS — 7/03 — 4DBSBBI- COMMONWEALTH OF MASSACHUSETTS North Andover Board of Health NUMBER BHP -2007-0029 FEE $35.00 DATE ISSUED 4kiUSc - Albert Manzi IMarch O1, 2007 ----------------------------------------------------------------------------------------------------------.— NAME 72 FOSTER STREET ---------------------------------------------------------------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Animal LICENSE Animal This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires February 28, 2008 unless sooner suspended or revoked. RESTRICTIONS: 26 Acres: 45 Beef Cattle: 30 Adult; 15 Young------------------------------------------------------- NOTES: Contact: Al Manzi; 978.681.1147 ------------------------------------------------ ------------------------ 2V111- ILE ------------- ----------------- 0-- ---Ir ------------------------------- Board of Health f ,10RTq , • fy". ♦ v s Town of North Andover �,�'•�,,,,o ,SSACMUSft HEALTH DEPARTMENT Body Art Establishment $ CHECK DATE: DGS% 10 LOCATION: $ H/0 NAME: CONTRACTOR NAME: Type of -Permit or License: (Check box) A,-<n—imal $ ry ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ k ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ry ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic - Soil Testing $ R ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ k ❑ Other. (Indicate) $ 2325 ealth Agent Initials f) White - Applicant Yellow - Health Pink - Treasurer NORT11 -� TOWN OF NORTH ANDOVER b Office of COMMUNITY DEVELOPMENT AND SERVICES, HEALTH DEPARTMENTC °'��� S�NU58 1600 OSGOOD STREET; Building 20; Suite 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540 - Phone Susan Y. Sawyer, REHS/RS 978.688.8476 —FAX Public Health Director healthdeutg_townofiorthandover.com Animal Permit Form www.townofhorthandover.com The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North . Andover, in accordance with Chapter III, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESS/LOCATION OF ANIMALS: 0WNER'S NAME: OWNER'S ADDRESS/LOCATION IF DIFFERENT. - Dealer: Yes No_,4:�— 1. Cattle (Adult = 2 years & over) Dairy Beef Steers/Oxen 2. Goats (Adult = 1 year & over) 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders Feeders 5. Llamas / Alpacas 6. Equines: Horses / Ponies Donkeys / Mules Adult Young (number of) :30 Stable use: Private O Boarding O Training O Rental O Lessons O AMM,IT P. MANZI, JR. Name of Applicant (PLEASE PRINT) TOTAL ACREAGE:_ 449 7. Poultry: Chickens Turkeys 8. Rabbits: 9. Other: 7 007 FEB 2 N OF NORTH AN00 E Signture of Contact Phone Numbers (indicate cell; home; work, etc)9-2 �j� l �i % FEE: $35.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1sT, THE FEE WILL BE DOUBLED TO $70.00 Information requested by the Department of Agricultural Resources Bureau of Animal Health — Form 74- 500 BKS— 7103 — 4DBSBBI- .� DATE PRINTED 02/20/2007 ESTABLISHMENT NAME: File Number: BHF -2004-000173 RE: 2007 LICENSE RENEWAL LOCATED AT: 72 FOSTER STREET NORTH ANDOVER, MA 01845 OWNER: Albert Manzi Commonwealth of Massachusetts NUrth Andover Board of Health 1600 OSGOOD STREET BUILDING 20; SUITE 2-36 NORTH ANDOVER, MA 01845 ANIMAL LICENSE Albert Manzi 72 Foster Street NORTH ANDOVER MA 01845 PHONE: (978) 681-1147 RENEWAL FEE DUE: $35.00 LATE FEE AFTER MARCH 1st - INCREASE FEE TO $70 PERMIT TYPE FEE DURATION: ANNUAL SEASONAL TEMPORARY Animal $35.00 ,r E ❑ RESTRICTIONS: 26 Acres: 45 Beef Cattle NOTES: Contact: Al Manzi; 978.681.1147 Total Fees: $35.00 This is a courtesy reminder.... your 2006 Animal License expires on Thursday, March 1, 2007. In order to renew your permit, you must complete the enclosed application and return it along with the renewal fee of $35.00 Please fill out the enclosed form completely, since applications submitted without the necessary completed information will delay the issuance of your permit. Application and fee must be returned to: Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845 no later than Monday, February 26, 2006. Please make check payable to the Town of North Andover. Please note that the Board of Health will levy a penalty fee by doubling the renewal fee if the license is not renewed by March I st. Therefore, if your license fee is $35.00, your cost for being late will be $70.00. If this is disregarded, the North Andover Board of Health may revoke your license, and/or levy an additional fine. If you have any questions, please call the Health Office at 978.688.9540. Our website is: http://www.townofnorthandover.com. All regulations and applicable forms can be found on the website as well. If you have any questions, you can e-mail us at: healthdept@townofnorthandover.com, or call: 978.688.9540. Thank you for your cooperation during the renewal process. Enc: Animal License Application Form 6 COMMONWEALTH OF MASSACHUSETTS NUMBER BHP-2010-0502 North Andover Board of Health FEE $35.00 �aq m Albert Manzi �,, `'�•.p �+^`��, DATE ISSUED �s a Mu ks NAME March 01, 2010 72 FOSTER STREET -------------------------------------------------------------------------------- --------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Animal Permit an Animal Permit This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires February 28, 2011 unless sooner suspended or revoked. RESTRICTIONS: 26 Acres: 35 Cattle --- -- Board of ----- 01"*A�- 01- Health NOTES: Contact: Al Manzi; 978.681.1147 ------------------------------------------------------------ ------------------------------------------------------------ Board of Health Chairman 728 Town of North Andover HEALTH DEPARTMENT SACHU , CHECK #: DAE:7;Lf /,/ o r.P -;,4 LOCATION: 7" -. H/O NAME: - CONTRACTOR NAME: // TypeofPermit or License: (Check box) Q -"Animal $ 0 Body Art Establishment 0 Body Art Practitioner $ 0 Dumpster $ 0 Food Service - Type: $ 0 Funeral Directors $ 0 Massage Establishment $ 0 Massage Practice $ 0 Offal (Septic) Hauler 0 Recreational Camp $ 0 Sun tanning 0 Sivimming Pool $ 0 Tobacco $ 11 Trash/Solid Waste Hauler $ ti 0 Well Construction $ SEPTIC Systems • Septic - Soil Testing $ • Septic - Design Approval- $ 0 Septic Disposal Works Construction (DWQ $ 0 Septic Disposal Works Installers (DW) 0 Title 5 Inspector 0 Title 5 Report $ .4 1 0 Other. (Indicate) $ t Health Agent White - Applicant Yellow Health Pink - Treasurer, CJ L f_ TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 1600 OSGOOD STREET; Building 20; Suite 2-36 NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9540 — Phone Susan Y. Sawyer, REHS/RS 978.688.8476 — FAX Public Health Director healthdept townofnorthandover.com Animal Permit Form www. townofnorthandover.com The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 23, 131 and 143 of the General Laws, and subject to the rules and regulations of the local Board of Health and Zoning Bylaws. ADDRESS/LOCATION OF ANIMALS: - 0 WNER'S NIMALS;OWNER'S NAME: ALa-5;,zT- OWNER'S A`DDRESSILOCATION4F DIFFERENT. Dealer: Yes No__,X_ 1. Cattle (Adult = 2 years & over) Dairy Beef Steers/Oxen 2. Goats (Adult = 1 year & over) 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders Feeders 5. Llamas / Alpacas 6. Equines: Horses / Ponies Donkeys / Mules TOTAL ACREAGE: Adult Young (number of) fD 7. Poultry: Chickens Turkeys Stable use: Private O Boarding O Training O Rental O Lessons O Ntime of Applicant (PLEASE PRINT) 8. Rabbits: 9. Other: MAR - 9 2010 TOWN OF NOS} ANDOVER HEALTH DEPART u rm-r � a SIE a=' re o 'A p scant Contact Phone Numbers (indicate cell; home; work, etc.) VS—4 Ly o FEE: $35.00 Please make check payable to: Town of North Andover (mail to above address) IF NOT RENEWED BEFORE MARCH 1sT, THE FEE WILL BE DOUBLED TO $70.00 Information requested by the Department of Agricultural Resources Bureau of Animal Health — Form 74- 500 BKS — 7/03 — 4DBSBBI- 4, j,OR of Commonwealth of Massachusetts °is'`t° 'a# •' Board of Health b 4L i North Andover 1600 OSGOOD STREET BUILDING 20; SUITE 2-36; South 'ss�c►�us� NORTH ANDOVER, MA 01845 DATE PRINTED 02/24/2010 ESTABLISHMENT NAME: Albert Manzi File Number: BHF -2004-000173 RE: 2010 LICENSE RENEWAL LOCATED AT: 72 FOSTER STREET �MA OWNER: Albert Manzi RENEWAL FEE DUE: $35.00 ANIMAL LICENSE Albert Manzi 72 Foster Street NORTH ANDOVER MA 01845 PHONE: (978) 681-1147 PERMIT TYPE FEE DURATION ANNUAL SEASONAL TEMPORARY Animal Permit $35.00 NOTES: Contact: Al Manzi; 978.681.1147 Young Total Fees: $35.00 This is a COURTESY RENEWAL REMINDER ........... your 2009 Animal License expires on March 1, 2010. In order to renew your permit, you must complete the enclosed application and return it along with the renewal fee of $35.00. Please fill out the enclosed form completely, since applications submitted without the necessary completed information will delay the issuance of your permit. Application and fee must be returned to: Health Department, 1600 Osgood Street, Building 20, Suite 2-36, North Andover, MA 01845. Please make check payable to the Town of North Andover. For your convenience, if you wish, you can fax your application to: 978.688.8476, and send the check via regular mail. If you have any questions, please call the Health Office at 978.688.9540. Our website is: http://www.townofnorthandover.com. All regulations and applicable forms can be found on the website as well. If you have any questions, you can e-mail us at: healthdept@townofnorthandover.com, or call: 978.688.9540. Thank you for your cooperation during the renewal process. Enc: Animal License Application Form COMMONWEALTH OF MASSACHUSETTS North Andover Board Of Health NUMBER BHP -2004-0499 FEE $25.00 DATE ISSUED Albert Manzi July 20, 2004 ------------------------------------------------------------------------------------------------------------- NAME 72 FOSTER STREET -------------------------------------------------------------------------------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Animal LICENSE Animal This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires February 28, 2005 unless sooner suspended or revoked. RESTRICTIONS: Acreage: 30; Cattle: Adult - 10; Young - 10 Board Of ----------------------------------------------------------- Health NOTES: 72 Foster Street _ _ Town of North Andover Health Department Date: Location: (Indicate Address, if Reside t al, or Name of Business) Check #: 140 ➢ OTHER: (Indicate) Health Agent Initials 159 White - Applicant Yellow - Health Pink - Treasurer Type of Permit or I;onse: (Circle) ➢ Animal G/ $ ➢ Dumpster $ ➢ Food Service - Type: $ ➢ Funeral Directors $ ➢ Massage Establishment $ - ➢ Massage Practice $ ➢ Offal (Septic) Hauler $ ➢ Recreational Camp $ ➢ SEPTIC PERMITS: i9^ ' ❑ Septic - Soil Testing $ ❑ Septic - Design Approval $ ❑ Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco $ = ➢ Trash/Solid Waste Hauler $ ➢ Well Construction $ ➢ OTHER: (Indicate) Health Agent Initials 159 White - Applicant Yellow - Health Pink - Treasurer {it7FFFtM TOWN M N OF NORTH ANDOVER F Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT 9SSACNJ`��t 27 CHARLES STREET 978.688.9540 - Phone NORTH ANDOVER, MASSACHUSETTS 01845 978.688.9542 - FAX Heidi Griffin healthdeptna townofnorthandover.com Acting Health Director www.to-vvnofnorthandover.com Animal Permit Form February 13, 2004 The undersigned hereby applies for a permit to `KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the Board of Health. ADDRESS/LOCATION OFANIMALS: Fos —, k 5, - OWNER'S ADDRESSILOCA J OWNERSADDRESS/LOCA TION IF DIFFERENT. Dealer: Yes No Z---- 1. --' 1. Cattle (Adult = 2 years & over) Dairy Beef Steers/Oxen 2. Goats (Adult = 1 year & over) 3. Sheep (Adult = 1 year & over) 4. Swine: Breeders Feeders 5. Llamas/ Alpacas 6. Equines: Horses / Ponies Donkeys / Mules Stable use: Private O Boarding O Rental L7 Lessons O Adult Young (number of) Training O TOTAL ACREAGE: 7.Poultry: Chickens Turkeys 8. Rabbits: 9. 10. Please list schedule of inoculations to prevent contagious diseases (Attach additional sheets listing the information) 11. ➢ What accommodations are provided to allow for cleanliness, light, ventilation and water supply? Attach an explanation. ➢ Please attach property plan locating structures that house the animals, and the dimensions of each structure, indicating animals housed in each. 'Name of Applicant (PLEASE PRINT) Sign o A imff 3 Attachments Requested: Innoculations; Explanation of Accomodations; Plan of Land indicating structures for animals FEE: $25.00 Please make check payable to: Town of North Andover (mail to above address) C. My DocumentslPermitlPermit ApplicationslAnimal Application. doc — Information requested by the Department of agricultural Resources Bureau of Animal Health — Form 74- 500 BKS — 7103 — 4DBSBBI gIORTil TOWN OF NORTH ANDOVER �r06,r,ao otioo` HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER, MASSAC1 USETTS 01845 SSACMUSE Susan Y. Sawyer, REHS (978) 688-9540 - Phone (978) 688-9542 — Fax Public Health Director heslthdept ntownofnortbandover.com www.townofnorthandover.com February 13, 2004 To All Animal Permit Holders: Your 2003 Animal Permit expires March 1, 2004. Please complete the enclosed application and submit with the fee of twenty-five ($25.00) dollars made payable to the Town of North Andover. Please mail your payment to the above address. Please notify the Board of Health Office at (978) 688-9540 if you no longer keep animals on your property, or if you have any questions. Thank you for your cooperation. Sincerely, Susan Y. Sawyer, RE -HS Public Health Director /pfd Enc: Animal Permit Application �j,�*V �t >uk �' ;':k � '� �+. 'tom �.n. ,.r% "'}':xra. # �yf°a :.�•t �,,... �ar��� y v �t „,`r��'+� �T iiY tri,. ,� '�.��• w'� �''ii ;3a'� a��,- ;'t��,._•e'��.� � #`��z .+a,,�� i ,• nV7c4 `�� �r sad � ♦ ' e �r. � a a3'�.. 'i�. �y:: �: %..1' �4� u�KtY a s.t lit ; h�A� w hK yjta0.t7 a f G a t t gyp✓ +i Y �-'A Prr• )� RkG § vaw.yt.S�51� ': R fQl y� N iY= . yf .% 3-,K2 1{5 ®r k r�* Y ': a� Fi7�rkY s, tnt�a y fQl y� N iY= . v rF• � , .� A r�It� �O mF 4 q •. tAa � 'f... it EK° T+y {`4.- N ! C r�* Y ': a� Fi7�rkY s, tnt�a y fQl y� N iY= . v rF• � , .� A r�It� �O mF 4 q •. tAa � 'f... it EK° T+y {`4.- N ! I —F - F-1--] F, -- FFI I N I —F - F-1--] F, -- FFI I � n:' :N �iy+ 1 t,,. ...,,.. 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TS 1g'!:D a,l w +i- $': �•u�:. - :�i:. 1 .t�;#..:�+�.' tr !r ��'IW ��'. .� �L,} �ti4iT' 5,✓..:::: �' n. 4 elk � �x Via. ^� .r�f r8S `lh, r! i i � - �+- .I't�. •: >i5� ,�i y { +-. ! � ��, , } � _� �,+.�+. t. �t�9 � ' N°at�a ;:•.;� "�T >��+ � '� �'� 'j �. � sf �� %x .�'��' ate, • v �, i; :, t i' "_ � �` !4 1_ya. '" �� � � � ISS - ;� �j } � y� F Yy� � �'" `'s l� �R,.firis „�r*�"^4 ; �:.' a .,`'k'�a, �' � JP� "grp'°`rJ'a `r �;a �k'3.:'i� a a � 1F� ,!•n � � � tti k.. ? a dd iA n !:. 0 \ � 4 \j At s 4 ' � t 1 ;y3 was t "5 t 3 "CiP Y\ R r, r OV • i w� i Awl 2 �, SACMUS t� TOWN OF NORTH ANDOVER MASSACHUSETTS BOARD OF APPEALS NWIC8 OF DECISION Revised per MGL Chapter 40-A, Paragraph 7.5.6.4. Modification of the decision (To clarify the ZBA's intent) Property: 1028 Salem Street The Board of Appeals held a regular meeting on Tuesday evening, April 17, 1997 upon the petition of Pacific Realty Trust requesting a variance under Section 7, Paragraph 7.1 and Table 2 of the Zoning By -Law seeking relief from the required lot dimension. The following members were present and voting: Raymond Vivenzio, John Pallone, Robert Ford, Scott Karpinski, and Joseph Faris. The hearing was advertised in the Lawrence Eagle Tribune on March 26, 1997 & April 2, 1997 all abutters were notified by regular mail. Upon a motion by John Pallone seconded by Raymond Vivenzio to Grant the petition as requested in R-1 Zoning District seeking relief from the lot dimension area to create two separate lots. Lot #1 to be 43,560 square feet (one acre) and lot #2 to be 72,902 square feet (1.7884 acres) and a Parcel "A" 50 foot right of way as shbwn on plot plan for Pacific Realty Trust, dated:February 13, 1997. It was determined that the unique shape and topography and wetland on this parcel would create a hardship for the petitioner. Voting members were: Raymond Vivenzio, John Pallone, Robert Ford, Scott Karpinski and Joseph Faris. The petitioner has satisfied the provisions of Section 10, Paragraph 10.4 of the Zoning Bylaw and that the granting of these variances will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning By law. The Board finds that the applicant has satisfied the provisions of Section 9, para. 9.1 of the Zoning Bylaw and that such change, extension or alteration shall not be substantially more detrimental than the existing non- conforming structure to the neighborhood. Notes The granting of the Variance and Special Permit as requested.by the applicant does not necessarily ensure the granting of a Buildinq permit as the applicant must abide by all applicable local, state and federal building codes and regulations, prior to the issuance of a building permit as required by the Building Commissioner. BOARD OF APPEALS, William Sullivan, Chairman r IL f pORTp • • r. •�ee 1"C � : �Ir'i CH TOWN OF NORTH ANDOVER . MASSACHUSETTS 60ARD OF APPEALS .v. RE01VED .JOYCE BRADSHAW ,TOWN CLERK NORTH ANDOVER APR Z4 I . io. PP. '97 NOTICE OF DECISION Any Appeal shall be filed within (20) days after the date of filing this notice in the Office of the Toxo Clerk i Yropert -1028 Salem Street Pacific Realty Trust Date: April 24, 1997 72 Foster Street Petition: 005-97 North Andover MA 01845 Date of Hearin : 4/17/97 The Board of Appeals held regular meeting on Tuesday evening, April 17, 1997 upon the petition of Pacific Realty Trust requesting a Variance under Section -7, Paragraph 7.1`and Table 2 of the Zoning By - Law seeking relief from the required lot dimension. The following members were present and voting: Raymond Vivenzio, John Pallone, Robert Ford, Scott Karpinski, and Joseph Faris. The hearing was advertised in the Lawrence Eagle Tribune on March 26, 1997 & April 2, 1997 all abutters were notified by regular mail. Upon a motion by John Pallone, seconded by Raymond Vivenzio to grant the petition as requested in R-1 Zoning District seeking relief from the lot dimension area to create two separate lots. It was determined 'that the unique shape and topography and wetland on this parcels would create a hardship for the petitioner. Voting member were: Raymond Vivenzio, John Pallone, Robert Ford, Scott Karpinski and Joseph Faris. Petitioner has satisfied the provisions of Section 10, Paragraph 10.4 of the Zoning Bylaw and that the granting of this variance will not adversely affect the neighborhood or derogate from the intent and purpose of the Zoning By law, The variance is in keeping with the general harmony of the area and is compatible with the lot size and number of homes in the neighborhood. Note:'The granting of the Variance and/or Special Permit as requested <by the applicant does not necessarily ensure the granting of a tuilding permit as the applicant must abide by all applicable local, state and federal building codes and regulations, prior to the - issuance of a building permit as required by the Building Commissioner. THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH Date: 3/4/02 Permit # 102-2A Fee: $25.00 This is to certify that: is hereby granted an... Albert Manzi 72 Foster No. Andover, MA 01845 ANIMAL PERMIT This permit is granted in conformity with the statutes and ordinances relating thereto, and expires March 1, 2003 unless sooner suspended or revoked. Gayton Osgood, Chairman Francis P. MacMillan, M.D., Member John S. Rizza, D.M.D., Member TOWN OF NORTH ANDOVER BOARD OF HEALTH 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE# (978) 688-9540 APPLICATION FOR PERMIT TO KEEP ANIMALS AND BIRDS IN NORTH ANDOVER DATE: To the Board of Health: g3��v The undersigned hereby applies for a permit to "KEEP CERTAIN ANIMALS AND BIRDS" within the Town of North Andover, in accordance with Chapter III, Section 31 and 143 of the General Laws, and subject to the rules and regulations of the Board of Health. Kind of Animals -).- io s .,c;A - Location ds - Total Acreage Date Received No. Kind of Birds - . _a z2e&o� ture of Applicant —)OL FQ s, -E s Address Approved By FEE: $25.00 Please make check payable to: Town of North Andover M 70, ROOF IVORfk—�A-- J (OF HEALTH FEB 2 8 &2 7771 1. j ly . _V Pd, Massachusetts eR Mrr e !b ItK'* A'ANDOVER: MA C H rUs T7 66 RT SSA x, :Ii',�T -,...!.Systern. Pumping Recdtd Nov T�j �,�4DOVER To t4 0i , m NORTH t) -NENT 10 E �PAR PLTH DE E EP. has provided this form for use by local Boards of Health. The System Pumping Record must be submitted to the .local'Board of Health or other approving authority. Gallons Type of system:. El Cesspool(s) Septic Tank ❑ Tight Tank Other (describe 4. Effluent Tee Filter present? E2A Yes o If yes, was it cleaned? ❑ Yes43-No t . 5fomA.doc- 06/03 System Pumping Record - Page 1 of 1 X Facility Inf9irmation '-.'.=on thV,�t I.' System Location , computer, use only the tab key Address to move your cursor -do not use the return City/Town State Zip Code �2. System Owner F11WA Name ILS Address (if different from location) City/Town State 97? F/ Telephone Number Gallons Type of system:. El Cesspool(s) Septic Tank ❑ Tight Tank Other (describe 4. Effluent Tee Filter present? E2A Yes o If yes, was it cleaned? ❑ Yes43-No t . 5fomA.doc- 06/03 System Pumping Record - Page 1 of 1