HomeMy WebLinkAboutPermits - 145 FOREST STREET 5/10/2018 i
_.,—. Map-Block-Lot
Commonwealth of Massachusetts M A0178
BOARD OF HEALTH BHP-
• ,°�� BHP-2018-0134
North Andover
1'EE
P.I. —
$175.00
F.1. -- -.._
DISPOSAL WORKS CONSTRUCTION PERMIT
t
Todd Bateson
'
Permission is hereby granted To
to(Construct.)an Individual Sewage Disposal System.
atNo 145 FOREST -STREET--.__..__...
as shown on the application for Disposal Works Construction Permit No. .3HP-2018-013
ated
10 0
Issued On: May-10-201.8 BOARD OF IIEALTH
Application for Septic Disposal System T4
Construction Permit — TOWN OF Ars DATE
$2�O:fJO'-Full Repair
NORTH OR' 'H A TI OVER, I4S A 01845 MUG-component
Application Is hereby made for a permit to.
Construct a new on-site sewage disposal system*
❑Repair or replace an existing on-site sewage disposal"system* 4 _
('Repair or,replace an existing system component-What?
A. Facility Information.
Address or Lot#
City/Town _._.
2.-*TYPE OF SEPTJQ SYSTEM*:
❑ Pump ❑, ravity(choose one)
**"If pump sy m, attach copy of electrical permit to application*'
➢ Conventional System (pipe and stone system)
A ❑Infiltrator or Biodiffuser(Gravel-Less)(Attach a copy of your certification to install this type of system.)
➢ ❑Pressure Distribution S.A.S.(No D-Box)
➢ ❑ Pressure Dosed(D-Box Present)S.A.S. ;
➢ ❑ Does the system require an effluent filter? Yes No,
If yes, does plan specify make and model of filter? YES=(no further info; needed)
NO=(installer must specify brand of fiiter before DWC issuance)
Wf'hatis the Maker' "at is theModa<
2. Owner Information
Name
Address(if different from above _
No AN.
Cltyfrown State Zip Code
Telephone Number
3. installer Information
Name Name of Company
/ f At c 1(w4- _ t _ TESDN ENTERPRISES,INC.
Address 111 ARGILLA ROAD
ANDOVER,MA 01810
Cityrrown State Zip Code
Telephone Number(Cell Phone#ifpossibleplease)
4. Desi_g.ner'alnformation
Name _ Name of Company
Address
City/Town State Zip Code
Telephone Number(Best#to Reach)
Application for Disposal System Construction Permit-Page 1 of 2
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PAGE 2-Of 2
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S. T-P-P'-�f Buildiinncl:. esidentlal.Dwdlllhor(]Commercial
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The on-site se age d1s'posa/syst�rrx In acccrdariewlth#h,d rnalntenance of the atgre» escrlbegl
prc.vlslons of Tlfle 5 q"f the .
Environmental Code, as well as the. L,oca/Sur�surf�i;e QlsposailRegulatJons for the Town of
North Andover, and mot to place•1he'system 1n operatloh u»f/l 4 Cer7lflcat of Compilat i`e:has
been issued b 1;Boatd of Health.
• Name � � � _
Cate
Appiicail Ap (Board of Health ftresentstive)
Name
C3ate
Application Disapproved for the following reasons:" '
For Offfae Use Only.
T�rwwYry MPi!I ! 'lI�M r. .. • • ..
.1. "PeeAttachedp Yes
No
2.• PtOlect.11 f'artaget Obhgation Form Attachcdr' Yes t No
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41,
Town of North Andover
HEALTH DEPARTMENT
CHECK#:
DATE:
LOCATION: ,,,
H/O NAME:
CONTRACTOR NAME:
Type of Permit or License: (Check box)
• Animal
• Body Art Establishment
• Body Art Practitioner $
0 Dunipster $—
• Food Seroice- $
• Funeral Directors $
• Massage Establishment $
0 Massage Practice $--
0 Offal(Septic)Hauler $
0 Recreational Camp $
0 Sun tanning $
0 Swimming Pool $—
• Tobacco $
• Trash/Solid Waste Hauler $
• Well Construction $
SEPTICS�;
D Septic-Soil Testing $
0 Septic-Design Approval $
411 Septic Disposal Works Construction(DWC) $-LLIz-
0 Septic Disposal Works Installers(DW[)
D Title 5 Inspector
El Title 5 Report
0 Other. (Indicate)
t.
gent Initials
White-Applicant Yellow- 'health Pink-Treasurer
Residential Property Record Card#1 of 1
Parcel Year:2019
PARCEL ID: 210/106.A-0178-0000.0 MAP 106.A BLOCK 0178 LOT 0000.0 PARCEL ADDRESS: 145 FOREST STREET as of:5,110/2018
PARCEL INFORMATION Use-Code: 101 Sale Price: 427500 Book: 06393
Tax Class: T Sale Date: 10(1/2001 Page: 0191
Tot Fin Area: 1966 Sale Type: P Cert/Doc: !
Tot Land Area: 1,16 Sale Valid: Y
Owner#l: ANDERSON, HEIDI Grantor: VENKATESH CHAR[
Owner#2:
Address#1: 145 FOREST STREET Inspect Date: 3/2212012 Road Type: T Exempt-B/L%: 010
Address#2: Meas Date: 3122(2012 Rd Condition: P Resid-13/1-W 100/100
NORTH ANDOVER MA 01845 Entrance: X Traffic: M Comm-B/L%: 010
Collect ID: RRC Water: Indust-BIL%: 010
Inspect Reas: C Sewer: Open Sp-13/1W 010
RESIDENCE#1 INFORMATION LAND INFORMATION
Style: CL Tot Rooms: 8 Main Fn Area: 1014 Attic: NBHD CODE: 6 NBHD CLASS: 6 ZONE: R1
Seg Type Cade Method Sq Ft Acres Influ-1(2/3 Value Class
Story Height: 2 Bedrooms: 3 Up Fn Area: 952 BsmtArea: 1014
Roof: G Full Baths: 2 Add Fn Area: Fn Bsmt Area: 1 P 101 S 43560 1 N 215622
Ext Wall: FB Half Baths: 1 Unfn Area: Bsmt Grade: 2 R 101 A 0.16 N 1216
Masonry Trim: Ext Bath Fix: Tot Fin Area: 1966
Foundation: CN Bath Qual: M RCNLD: 268961
Kitch Qual: M Eff Yr Built: 1996 Mkt Adj:
Heat Type: FA Ext Kitch: Year Built: 1993 Sound Value:
Fuel Type: G Grade: G Cost Bldg: 269000
Fireplace: Bsmt Gar Cap: 2 Condition: GV Aft Str Vail: DETACHED STRUCTURE INFORMATION
Central AC: Y Bsmt Gar SF: Pct Complete: Aft Str Va12: Str Unit Msr-1 Msr-2 E-YR-Blt Grade Cond %Good P/F/E/R Cost Class
Att Gar SF: %Good P/FIE/R: 11191
Porch Type Porch Area Porch Grade Factor
W 266
VALUATION INFORMATION
SKETCH Current Total: 485800 Bldg: 269000 Land: 216800 MktLnd: 216800
19 Prior Tot: 485800 Bldg: 269000 Land: 216800 MktLnd: 216800
W PHOTO
14 266 Sq.Ft. 14
19 34
2_ 68 Gq.Ft. 2
5 34 �.
FM/ .�t _.�IEt•,
130 Sq.Ft. FU/FM/B
884 Sq.Ft.
26 26 26
5 34 II II
145 FOREST STREET