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Misc Annual - Permits - 165 FLAGSHIP DRIVE 12/22/2022
TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES ►+y*'e a 4 HEALTH DEPARTMENT Susan Y. Sawyer, REHSIRS 1600 OSGOOD STREET; BUILDING 20; UNIT 2035 Public Health Director NORTH ANDOVER, MASSACNUSETTS 01845 �.jc ub��`' Phone: 978.688,9540 Fax. 978.688.8476 E-mail: health t townofnortliaiidover.com I 1 APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 3,1 A AND 3.1 B OF CHAPTER III A��� ��` V,. OF THE GENERAL LAWS, AND RULES AND REGULATIO11lS OF THE € NORTH AND0VER BOARD OF HEALTIT 12/12/16 UY DATE: �� NN ���' �•dt.��,I x.;_jl'';Fl� �'y', „'I Application pp cation is herebymade for permit #o maintain a dum ster s on p p � } property located at 185 Flagship Drive, North Andover, MA 81845 in accordance with the rules and regulations of the Board of Health. United Plastic Fabricating, Inc. Applicant: Property Owner., URT Name of Contact: Kevin Babcock Owners Address:401 Edgewater Place, Ste. 105 Address. 1 65 Flagship Drive Wakefield, MA 91880 North Andover, MA 01845 Owners Phone #: � Telephone,,.978-975-4520 Federal ID or SS#:04`2946658 Dumpster Company: Republic Services Telephone#:800-442-9096 Pick-Up Schedule:Monday On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY Is' WILL BE DOUBLED - ,$120,00 *PIease note that all contact information and the associated fee is required upon application submittal. Page f of 1 t t s TOWN OIL' NORTH AN DO'VER '. �Tteial Office of COMMUNITY DEVELOPMENT AND SERVICES • HEALTH DEPARTMENT Susan Y. Sawyer, REIS/RS 1600 OSGOOD STREET; SUITE 2035 - -- Public Heal(h Director NORTH ANDOVER, MASSACHUSETTS 01845 3�. ;,:a ,,. Phone: 978,698.9540 Fax: 978.688.8476 E-mail: licalth(lci)tCir),toivnofiloriliaiicloye€•.coiii I APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 31B OF CHAPTER III ' OF THE GENERAL LA PTIS, AND R ULES AND RE ULATIO1rS OF THE .NORTH ANDOYER BOARD OF, HEALTH DATE: ' A/5— Application is hereby made for a permit to maintain a dumpster(s) on property located at in accordance with the I'LlIes and regulations of the Board of Health, p A licant: } �x � 3' r�e � ,t. Pro er r Owner: �� Pp . � �, Name of Contact. - r� .�� ���� . Owners Address. Address: • ti� �b ►'e_ fx . 1 Owners Phone #, Telephone#: f i` 2 Email address: Federal ID or SS#: _ .4 F Dum ster Company: Teleplione#: m � Pick-Up Schedule: M P 4 44 , On the back of this form., please sketch an outline of property, shoving the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover, LATE FEE AFTER JANUARY V WILL BE DOUBLED - $120.00 *'lease note. that all Contact information and the associated fee is required upon application submittal, Page IofI ell TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES - • HEALTH DEPARTMENT Siisati Y. Sawyer, REHS/RS 1600 OSGOOD STREET; SUITE 2035 Public Health Director NORTH ANDOVER, MASSACHUSETTS 01845 Phone: 978.688,9540 Fax. 978.688,8476 E-mail; l�ealtl�rlel�t cr t�Ey��tzfi�nrthandover.c0171 APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 31.B OF CHAPTER Ill OF THE GENERAL LA YYS, AND R ULES AND REG ULATIONS OF THE NORTHANDOVER BOARD OF HEALTH d DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at 14��/ �/I�1 /I LA �d / y in accordance with the rules and regulations of the Board of Health. 7 T Applicant: _ i � � � ,.mot.�� �G i, '�..� Property Owner: Name of Contact: � �` ��, f : Owners Address: Address: / � , �g 3 1 (� ��L.,, ��. : ' ....` ` Owners Phone #:_ee. Tele hone#: Email address. 'z Federal ID or SS#:_.0 2 e Dumps ter Company , 3 Telephone#: Pick-Up p Schedule: ' a.,� � fbrf ; x On the bacl of is::.form, lease sketch an outline p of property, showing the pro osed location of thdum st e em lve distance from clumpster to other buildings lot li g nes or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY Isf WILL BE DOUBLED - $120.00 *Please Mote that all contact information and the associated fee is required upon application submittal. rage I or i -__-___-____ ........ .................___.......................... -___--__-__' ............. -_----_ .................................................... - -__-............. --_-......... _-�`^_-'_'-_-�����--_-� o'all r7) D�I � � ° ~ ° ~ ~ � � � � - - - ^-` � ' / ' TOWN OF NORTH H ANDOVER ` ► �if£A 1 Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT i Susan Y. Sawyej-, REl-[S/RS 1600 OSGOOD STREET; SUITE 2035 i flub]ie Health Director NORTH ANDOVER, MASSACHUSET"I'S 01845 3 Plimie: 978,688,9540 Fax: 978.688,847E E-mail: liealthclet3tC(�towj'iolnor-tl3andoverocorii APPLICATION FOR DUMPSTER PERMIT P URSUANT TO SECTION 31A AND 31 B OF CHAPTER III OF THE GENERAL LA YVS, AND RULES AND REGULATIONS OF THE NOR TA AND OVER BOARD OF HEALTFH DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at in accordance with the rules and regulations of the Board of Health. Applicant: (Property Owner: Name of Contact Vio Ule-of.-k Owners Address. 9 Address: W, Pg. '41 pk-,v T ,�' ab /I ols& r_ i :e4,ve;-, 019 K Owners Phone #: ....:.::. . Telephone#: � `�- Email address: V Federal ID or SS#: 2 0z Dumpster Company: Telephone#: _ l '1 � a t— 1 ,, , Pick-Up Schedule: _€, On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE TEE .AFTER. JANUARY Is' WILL BE DOUBLED $120.00 *Please dote that all contact information and the associated fee is requited upon application submittal. Page 1 of I j i I i i 0 r t F. r s(yn xt� t Y f I TOWN- OF NORTH ANDOVER aE ►a°�+���a Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT rr Susan Y. Saw�+ei, REIISIRS f600 OSGOOD STREET; BUILDING 20; UNIT 2035 * rng �.fL•• 4 Irya Public Health Director N0101-1 ANDOV ER, NIASSACH USErI""]"S 01 845 AC,,USt Phone: 978.688.9540 Fax: 978.688.8476 E-mail: healtlidept a torvtiofiirn-thandover.coi7t APPLICATION FOR DUMPSTER PERMIT .PURSUANT TO SECTION 31A AND 31 B OF CHAPTER III OF THE GENERAL LA WS, AND RULES AND REGULATIONS OF THE NOR THAND0 vER BOARD OF HE'ALTII DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at �- in accordance with the rules and regulations of the Board of Health. Applicant: Plastic Fabricating Property Owner: U RT Kevin Babcock . 401 Edgewater Place, Ste. 105 =,.. t Name of Contact. Owners Address. Address: 165 Flagship Drive Wakefield, MA 01880 Owners Plione #: Telephone#: 978-975-4520 Federal ID or SS#: 04-2946658 Dumpster Company: Allied Waste Tele>Itlty€te#: 800-442-9006 Pick-Up Schedule: Monday & Thursday On the back of this form, please sketch an oxitline of property, showing the proposed location of the dumpster(s). Give distance from di€mpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY lst WILL BE DOUBLED - $120.00 *Please note that all contact information and the associated fee is required upon application submittal. Page i of I . ............ ........ ..... ......................... ........ ............ ................. ........................... ...................... ... ......... ... . . I 5 F .rv�. •7 f M l� -A- i i i i 1 r,...:. ...................................................................................................................... .65 FFL� � ° ...................................... . Deference No. `-2004-00013 . Department: Permit No: - -20 .4-096 ... i North Andover BOARD OF HEALTH ................................... ' f ............................................................ee Type. Accoun t No: ool of .1.05.05 0.00 ; D"I"pster PERM IT Receipt No: CY�2� -0U07: S United Realty TrustPaid in Full Can: ThuNov 20g20 4 .................................................... .... ...... Deceived By; .............................. Check No: 11-5880 s'a Blackburn .............................DEPARTMENT'S COPY Amount: $ 0.00 ............................................... ....... VENDOR, 000000200040 CHECK NO. 115880 150380 2019D[ MP PERMIT 11/05/14 60 . 00 60 . 00 . ao 60 . 00 Check Total 60 . 00 i i i ... ..�._ .-...._. ._. it COMMONWEALTH OF MASSACHUSETTS NUMBER SHP-2014-0968 North Andover BOARD OF HEALTH $60.00 United Plastic Fabricating Inc. DATE ISSUED NAME January 01, 2015 165 FLAGSHIP DRIVE - - -- --------------- - ------------------------------------------- ------------ --- ---- ADDRESS IS HEREBY GRANTED A Dumpster Permit Dumpster PERMIT This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires -------------December•31, 2015--------- -unless sooner suspended or revoked. RESTRICTIONS: Allied Waste; 800,442.9006; 2x week pickupMon & Thurs --- -------------------------------------------------- --- BOARD OF -------------------------------------- ------------------- NOTES: Contact: Kevin Babock; 978.975,4520 -------------------------..-------- - --- - - - HEALTH ------------------ BOARD OF HEALTH CHAIRMAN 1 i j • COMMONWEALTH OF MASSACHUSETTS NUMBER ri, t;�� ` H -2014-4380 :.. ; BHP ` North• Andover BOARD OF HEALTH FEE $60.00 United Plastic Fabricating, Inc. DATE ISSUED NAME January 01, 2014 165 FLAGSHIP DRIVE - - ---------------------------------------...- RESS IS HEREBY GRANTED A Dumpster Permit Dunipsler PERMIT' This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires -------------December,31, 2014 ---------unless sooner suspended or revoked. RESTRICTIONS: Allied Waste; 800.442,9006; 2x week pickup Man & Thurs - -- --- - - ----- - --- BOARD OF --- -- ------------ ---- EALTH NOTES: Contact: Kevin Babock; 978.975.4520 r ..... - --- - - - - -----=----- BOARD OF HEALTH CHAIRMAN i E F E E E 1 i i i ...........................................................................................................................................................................ti 1.05 FLAGSHIP DRIVE Reference No: -2004-000: .3 . ..... ; pep rfinent: Permit No: HP-20 4-03 0 .............................. North Andover 130ARI) OF HEALTH ................................... Fee Type: ................................. Account No: 1.001001.165.0 1.0.0 ............................ E Dumpster PERMIl, Receipt No: REC-2014-000 30 .................•---.........-................................................,. ................,.... Paid By: Paid in Full On: Tue Oct ^20.1.3...---, United Realq, Trust .................................... ............................................................................... Check No: 11.1593 Received By: ............................... Lisa I31acykburn DEPARTMENT'S COPY Amount: $60.00 ............................................................................................................................................................................a I I COMMONWEALTH OF MASSACHUSETTS NUMBER BHP-2013-0280-., rt ��" ` North Andover BOARD OF HEALTH FEE $60.00 United Plastic Fabricatina, Inc. DATE ISSUED NAME January 01, 2013 165 FLAGSHIP DRIVE -.. A©DRESS IS HEREBY GRANTED A Dumpster Permit numpster PERMIT This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires ____- .. Dece--ber 31, 2013 3 „-____--- unless sooner suspended or revoked. RESTRICTIONS: Allied Waste; 800,442.9006; 2x week pickup Mon& Thurs BOARD OF - - HEALTH NOTES: Contact: Kevin Babock; 978.975.4520 ---- --.- ------- I BOARD OF HEALTH CHAIRMAN i r.......:.................................................................................................. ........................................... . S ................... 65 LAG P . ; Reference No: 1 ........................ f Department: Permit o: - -a 9� ............................... ......................... ; Fee Type: Account No: 01001,11. .a5 .®.()a ..................... 3-000898 ......................... Receipt...........................aid r ................... Paid in Full Ors: Mon United Real St �� 4g ................................ . ............... ............. Received y: ................................ Checko: 0 1 I.6 1 1 S,a Blackburn i ........................................w...........................................,..a, 1 DEPARTMENT�S COPY 1 1 1 f Amount: $60.00 1 1 ........................................................... ........ 1 VENDOR, 000000200040 CHECK NO, 108116 j 136543 12-13-12 12/13/12 60 . 00 60 . 00 . 00 60 . 04 i Check Total 60 , 00 I . ....................... i I I i i I . .................. ............................................. I j3f KpkTN .k � pt S 4.t n I a ; � � ; Town of North Andover ' HEALTH DEPARTMENT CHUS�S CH ECK #: " "'DATE: /0 1 LOCATION: M6 ) 1. , .. ` dot of H/O NAME: CONTRACTOR NAME: ��i�' I Asl,c, �' t"�I�►�' ' LNG Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ 3 Dufrxpster $�•� na •P Food Service - Type: $ j ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ i ❑ Offal (Septic) Hagler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ TrashJSolid Waste Hauler $ i ❑ Well Construction $ 3 SEPTIC S 3 s terns: 3 ❑ Septic- Soil Testing $ ❑ Septic Design Approval $ ❑ Septic Disposal Works Construction {DWC) $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report $ 1 { ❑ Other: (Indicate) $ I 9 ealth Ott 1�Mitiars White -Applicant Yellow -- Health Pink - Treasurer i f i l i I f i COMMONWEALTH OF MASSACHUSETTS NUMBER •� BHP-2012-0733 North Andover w y � BOARD OF HEALTH FEE $120.00 United Plastic Fabricatin '' Inc -- — DATE ISSUED NAME October 17, 2012 165 FLAGSHIP DRIVE ------ - ------ - ------- ------ ADDRESS - I I IS HEREBY GRANTED A Dum ster Permit-LATE FEE I This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires December 31, 2012 unless sooner suspended or revoked. -------- -------- - BOARD OF HEALTH --------- ------------------- BOARD OF HEALTH CHAIRMAN 1 I TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DLPARTAIENT .s..�f �;.. Nel SL5�1E3 Y. Sawyer, RJH51RS I600 OSGOOD STREET; BUILDING 20; SUITE 2�3f •, ;; : � =,:', #��► ���� �4r'^� Public Health Director NOWIT. ANDOVERa MASSACHUSETTS 01845 Phone: 978,689.9540 Fax: 978.688.8476 E-mail: hea tlide t cr,toyvnofnorthapdover.com APPLICATION FOR DUMPSTER PERMIT P URSUAIITT TO ,SECTION 31A AND 31 B OF CHAPTER III OF THE GENERAL LEI WS, AND R ULES AND R E G ULATIOIITS OF THE NORTHANDOVER BOARD OF HEALTH : DATL. l Application is hereby made for a permit to maintain a durnpster(s) on property located at 165 Flagship Drive, Noah Andover, MA 01845 in accordance with the rules and regulations of the Board of Health. Applicant: united Plastic Fabricating Property Owner: I�RT Naxne of Contact: Kevin Babcock Owners Address.- 401 Edgewater Place, Ste. 105 Address: 165 Flagship Drive Wakefield, MA 01880 North Andover, MA 01845 Owners Phone #: Telephone#: 9 7 8-975-4 520 Federal ID or SS#: 04--294665$ t Dumpster Company: Allied Waste Telephone#: 800-442-9006 Pick-Up Schedule: Monday--Thursday On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Tee: $60.00 per establishment Payable to: Town of North Andover. LATE TEE AFTER JANUARY I" WILL BE DOUBLE - $120.00 *Please note that all contact information and the associated fee is required upon application submittal. Page I of I r i . oN � t � L 5 n l� • I i I �I I i I 7 i --............. .... NUMBER COMMONWEALTH OF MASSACHUSETTS BHP-2006-0411 s North Andover FEE g Board of Health —_----------- $60.00 DATE ISSUED United Plastic Fabricating, Inc. January 01 2007 NAME 165 FLAGSHIP DRIVE ---------- .. --------- --- --------.. --------- .. --------.- ADDRESS IS HEREBY GRANTED A Dumpster LICENSE Dunipster This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires December 31, 2007 unless sooner suspended or revoked. RESTRICTIONS: BFI; 978.649.7564; Weekly Pickups Board of ----------- - --------- -------- _ ------ Health --------- NOTES: Contact: Kevin Dillon; 978.975.4520 ... i --- ..---------- L............................... 1 ............ - { I �{on 7}f 1 O} Town o,f North Andover HEALTH DEPARTMENT ]/f �,SSSCHtfy4t CHECK #: 0 LOCATION: H/O NAME: CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ : ❑ Bogy Art Practitioner $ ❑- Dutnpster $ `� ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Esta blishinent $ ❑ Massage Practice $ ' ❑ Offal (Septic) Harder $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ TrasWSolid Waste Hauler $ s ❑ Well Construction $ SEPTIC Slstems: ❑ Septic-SoiI Testing $ ❑ Septic-Design Approval $ t ❑ 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 VENDOR: 000000200093 CHECK NO, 79353 88785 000000000101906 10/19/06 60 . 00 60 . 00 . 00 50 . 00 Check Total 60 . 00 Nov IV To 3 ` TOWN OF NORTH ANDOVER a0HT1 a Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT Susan Y. Sawyer, REHSIRS 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 ! �°°�f,�' x Public Health [hector, ..NORTH ANDOVER, MASSACHUSETTS 01845 � RH TD Phone: 978.688.9540 Fax: 978.688.8476 E-mail: healtlide i(2tovviiofnorthatid ver.coiii NOV 0 1 2006 APPLICATION FOR DUMPSTER PERMI TOVIM OFrN,1,)RT H ANDOVER PURSUANT TO SECTION 3IA AND 31B OF CHAPTER III OF THE GENERAL LA WS, AND R ULES AND R E G ULATIONS OF THE NORTHAND0VER BOARD OF HEALTH DATE, o' 7_73 12,6 .0 F Application is hereby made for a permit to maintain a dumpster(s) on property located at Nc>,rik PrIjoile.., in accordance with 'the rules and regulations of the Board of Health. Applicant: Un+• I��c. � b. �t Property O�i�ner: u►'t���c� • i fi o h Owners Address: �l �, rc. Name of Contact: e%j fr'• Address: CP(v , lid►tp ,-+° O�vnez•s Phone #: � � el� �d Telephone#: C17X 409_ _0 7,_'�0 Federal ID or SS#: 04 Z9 Dumpster Company: Telephone#: Pick-Up Schedule: k 1 f On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 Per establishment . Payable to: Town of North Andover. LATE FEE AFTER JANUARY 1 t WILL BE DOUBLED - $120.00 ti *Please Mote that all contact information and the associated fee is required upon application submittal. Page l of I f 4 v jf3 I y kt 14 THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH Date: 12/04/01 Fee: $25.00 Permit# 183-2D This is to certify: United Plastic Fabricating, Inc. 165 Flagship Drive No. Andover, MA 01845 is hereby granted a.. .. DUNIPSTR PERM 'I' This permit is granted in conformity with statutes and ordinances relating thereto, and expires December 31, 2002 unless sooner suspended or revolved. 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 DUMPSTER PERMIT PURSUANT TO SECTION 3IA AND 3 1 B OF CHAPTER III OF THE GENERAL LAWS, AND RULES AND REGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at in accordance with the rules and regulations of the Board of Health. Cheek use.- Residential use (X) Commercial use ( } 30 day temporary } Annual Name of Contact: Name of Applicant: A) WAe-A ir� , r s � ►�� Owner of Prop'earty: Mailing Adel ress: ) (,4*3 rActc a e Telephone#: 4 Federal ID or SS# OL4 `Z�q 61,5' r Number of Dumpsters: ,��� Dumpster Company: 9 F Tc1cphone#: q 7 W - (qj 51q- Pick-Up Schedule: F-vc� Trash Contractor: Frequency of Pick-Up: On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries: FEE: $25,00 per establishment Payable to: Town of North Andover LATE FEE AFTER. JANUARY I" WILL BE DOUBLED - $50.00 }.r .....Tf-�,•,,'••.. ...r« .�If_r!IC r-- Y;�;���:•_ '......+I:�"_-�"•• .�r r +T r � n r .., r rr��ww 1 i i ti cc a � f' 19 � - L _ '- '-' _ _ _ - .j S r. - 5� 4 cR7 44 TO All) jk I �i ,tip' --- �— E i►'� ._...- - _ _ I ;:I � i� ,, � - '1 "l:v r .E .. _E_ ...E iSEI• .� _.. _• _ �'� j 1 k J_1 � I - � - - n { ( i s. I I I I € y P _ - iJ k- - - -I- - - --i F- FE 1s 4 wn.rrw � i N ISd . .... ........._..� I r THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH Date: November 16, 1999 Fee: $25.00 Permit# 183-0D This is to certify: United Plastic Fabricating 165 Flagship Drive No. Andover, MA 01845 is hereby granted a. . .. DUNIPSTER PRMI' .............................. ........:................. .. ........................:..:.:......................... .. ........... This permit is granted in conformity with statutes and ordinances relating thereto, and expires December 31, 2000 unless sooner suspended or revoked. Gayton Osgood, Chairman Francis P. MacMillan, M.D., Member John S. Rizza., D.M.D., Member q q � TOWN OF NORTH ANDOVER BOARD OF HEALTH 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE (978) 588-9540 APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 3 1 B OF CHAPTER III OF TBE GENERAL LAWS, AND RULES AND REGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH DATE: NOVEMBER 4 , 1999 Application is hereby made for a permit to maintain a dumpster(s) on property located at uNZTED ASZTC PARR T TTNG . INC _ 165_ ET-AGSHTP DRTVF._... in accordance with the rules and regulations of the Board of Health. Check use: ( ) Residential use (x) Commercial use ( } 30 day temporary (x) Annual Name of Applicant: UNITED PLASTIC FABRICATING Owner of Property: Mailing Address: 165 FLAGSHIP DRIVE , NORTH ANDOVER , MA 01845 Telephone#: 978-975-4520 Number of Dumpsters: 1 Dumpster Company: BROWNING FERRIS INDUSTRIES Telephone#: 9 7g-6 4 9-7564 Pick-Up Schedule: EVERY OTHER WEEK Trash Contractor: BROWNING FERRIS INDUSTRIES Frequency of Pick-Up: EVERY OTHER WEEK On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. FEE: $25.00 per establishment Payable to: Town of North Andover LATE FEE AFTER JANUARY 1s' WILL BE DOUBLED - $50.00 ts' rJ `?ff .T.W .Fit pal .. - pf/ iif �•�L! - _ 13 I n ' w NE ! L _ L J L avrrn T�F.-J[ o 01 - - - _M' �I �T; j .Q-d II ff f I ;,I € acmo�i �mr..nea I •••. •-mnnwo- I� xrZn ! — I-„,! ' '� � eN r! � []f f —�sr,■..ZEsr-�•..r m.anero �� I � a a , I € � 67 • � .i .ra � arr r.� �" �-� � �.,Y�—I i J-� t ...e � si< i s..r � �.v 1 :€-�., T a 1 1 1 I i I l THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH ANDOVER BOARD OF HEALTH Date: December 17, 1998 Fee: $25.00 Permit#: 183-9D This is to certify that: UNITED PLASTIC FABRICATING, 165 FLAGSHIP DRIVE, NORTH ANDOVER, MA 01845 is hereby granted a. . .. f f This permit is granted in conformity with statutes and ordinances relating thereto, and expires December 31 , 1999 unless sooner suspended or revoked, a„uo�" p,•��a� Gayton Osgood, chairman J� Francis P. MacMillan, M.D., Member John S. Rizza, D.M.D„ Member 1 TOWN OF NORTH • ANDOVER �l BOARD OF HEALTH 27 CHARLES STREET NORTH ANDOVER, MA 01845 TELEPHONE# (978) 688-9540 1 APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 31B OF CHAPTER III OF THE GENERAL LAWS, AND RULES ANDREGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH j DATE : November 20 , 1998 Application is hereby made for a permit to maintain a dumpster ( s ) on property located at165 Flagship Drive in accordance with the rules and , regulations of the Board of Health . Number of Dumpsters : 1 Check use : } Residential use (X ) Commercial use } 30 day temporary (X ) Annual Name of applicant : United Plastic Fabricating Owner of property : Telephone# : 97$- 975-4520 Dumpster Company : Browning Ferris Industries Telephone# : 978-649-7564 Pick-Up Schedule : Every other week Trash Contractor : Browning Ferris Industries Frequency of Pick-Up : Every other week On the bottom half of this form, please sketch an outline of property, showing the proposed location of the dumpster ( s ) . Give distance from dumpster to other buildings and .lot lines or boundaries . Use back side if additional space is needed . Please return this application with a fee of $25 . 00 per establishment, Late fee after January 1.70' wil1 be doubled the cost - $50 . 00 to the Town of North Andover, Board of Health Office, Town Hall Annex, 146 Main Street, North Andover, M A 01845 . i i f i THE COMMONWEALTH OF MA SSA CHUSETTS TOWN OFNORTHANDOVER BOARD OF HEALTH Date: DECEMBER 31, 1996 '..._. Permit#: 00060-7 This is to certt&that: UNITED PLASTICS, 165 FLAGSHIP DRIVE, NORTH ANDOVER, MA 01845 3 IS HEREBY GRANTED A DUIIIPSTER PERMIT This perndt is granted in confortnity with the statues and ordinances relating thereto, and expires DECEMBER 31, 1997 unless sooner suspended or revoked. Gayton Osgood, Chairman Francis P. MacMillan, M.D., Member John S. Rizza, D.M.D., Member l TOWN Off+ NORTH ANDOVER BOARD OF HEALTH TOWN HALL ANNEX 146 MAIN STREET NORTH ANDOVER, MASSACHUSETTS TELEPHONE# ( 508 ) 688-9540 APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 31B OF CHAPTER III OF THE GENERAL LAWS , AND RULES AND REGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH DATE : Application is hereby made for a permit to maintain a dumpster (s) on property located at 15r� j � ry in accordance with the rules and regulations of the Board of Health. Number of Dump sters : Check use : ( Residential use Commercial use } 30 day temporary } Annual Name of applicant : owner of property: S Telephone# : 50 ` Z/5z0 Dumpster Company: Telephone# : Pick-Up Schedule: erlc f, Trash Contractor:_ Frequency of Pick-Up: On the bottom half of this form, please sketch an outline of property, showing the proposed location of the dumpster (s) . Give distance from dumpster to other buildings and lot lines or boundaries . Use back side if additional space is needed . Please return this app ' cation with a feewf�$25 . 00 per establishment ( $10 . 00 fo temporary permit) to Town of North Andover, Board of Health 4 fice , Town Hall Annex, 146 Main Street, Nor nd ver, M A 01845 . E 1 i EE k THE COMMONWEALTH OF MASSACHUSETTS TO NON OF NORTH AND OVER BOARD OF HEALTH Date: December 18, 1997 Pernrit # : 183--8D This is to certify that. UNITED PLASTIC FABRICATING, 1 65 Flagship Dr., North 3 Andover, MA 01845 IS HEREBY GRANTED A DUMPSTER PERMIT This permit is granted in conformity with statutes and ordinances relating thereto, and expires DECEMBER 31, 1998 unless sooner suspended or revoked. Dayton Osgood, Chairman Francis P. MacMillan, M.D., Member John S. Rizza, D.M,D., Member I i i TOWN OF NORTH ANDOVER BOARD OF HEALTH TOWN HALL ANNEX y . 146 MAIN STREET NORTH ANDOVER, MASSACHUSE TTS TELEPHONE# (508) 688-W9540 APPLICATION FOR DUMPSTER PERMIT 3�� PURSUANT TO SECTION 31A AND 31 B OF CHAPTER III �D� OF THE GENERAL LAWS , AND RULES AND C� REGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH DATE ., Application is hereby made for a permit to maintain a dumpster ( s ) � on proper �r-1 located at 3F .:� � �� � . -K\.,j in accordance with the rules and regulations of the Board of Hea14h . Number of Dumps tens : .w- Check use ; } Residential use 7 Commercial use } 30 da\r temporary Annual Name of applicant: owner of property: Telephone# : , . (I. Dumps ter Company : -�r � � , ,.�. -:� 5�. �., - f.. Telephone Pick-Up Schedule : Trash Contractor -� Frequency of Pick-Up : �;.; �� -, _...� .... .a on the bottom half of this farm, please sketch an outline of property, showing the proposed location of the dumpster ( s ) Give distance from dumpster to other buildings and lot lines or boundaries , Use back side if additional space is needed . Please return this application with a fee of $25 . 00 per establishment , $10 . 0 � for temporary permit} to 'Town of North Andover, Board of Health Office, Town Hall Annex, 146 Main Street, North Andover, M A 01845 . I d ' d 3V96 S89 909 - na❑ • WOO ,.Aenvpu►d y�-AvN d90 = V0 L6-- Z I -noN t i THE COMMONWEALTH OF MASSACHUSETTS TOWN OF NORTH AND O VE R BOARD OF HEALTH Date: 11/14/00 Fee: $25.00 Permit# 183-1D This is to certify: United Plastic Fabricating 165 Flagship Drive No. Andover, MA 01845 is hereby granted a.. .. HUMP $TE This permit is granted in conformity with statutes and ordinances relating thereto, and expires December 31, 2001 unless sooner suspended or revoked. Gayton Osgood, Chairman Francis P. MacMillan, M.D., Member John S. Rizza, D.M.D., Member r l� TOWN OF NORTH ANDOVER BOARD OF HEALTH � 27 CHARLES STRIET NORTH ANDOVER, MA 01345 TELEPHONE (978) 688-9540 APPLICATION FOR DUNIPSTU PERMIT PURSUANT TO SECTION 3 lA AND 3 1 B OF CHAPTER III- OF THE GENERAL LAMS, AND RULES AND REGULATIONS OF THE NORTH ANDOVER BOARD OF HEALTH DATE: NOVEMBER 7 ► 2 0 0 0 Application is hereby made for a perry t to maintain a dumpster(s) on property located at __UNTTF;D PLASTIC'. PARR TC;AT.T.N.G...., INC . 165 FLAGSHIP DRIVE in accordance with the rules and regulations of the Board of Health. Number ofiDumpsters:. si Check use: ( } Residential Use W Co=ercial use 30 day temporary ( ) Annual Name of applicant: UNITED PLASTIC FABRICATING Owner of property: Telephone#: 978-975-4520 Dumpster Company: BROWNING FERRIS INDUSTRIES Telephone#: 978-649-7564 Pick-Up Schedule: EVERY TUESDAY AND THURSDAY Trash Contractor: BROWNING FERRIS INDUSTRIES Fre-quency 0f Fic,k-UP: EVERY TUESDAY AND THURSDAY On the back of this farm, please sketch an outline of property, showing the proposed location of the dumpster(s), Give distance from dumpster to other buildings and lot luxes or boundaries. t� �4 FEE: S25M per establishment Payable to: Town of North Andover LATE FEE AFTER. JANUARY Est WILL BE DOUBLED - S50.00 . . .. .................. .......... ...... ......................................................... .... ....... ... ...................................... .......................................... ... ............ . ........... ........ ...... ............... .... ...... tf � k�l I bR[ �t.ir a2[ t.p 1-f .w•.K � �Ar AL t!t _ � bJa y,y .aft _ 1 7 .rI ttt 1., ram ! I of 6-sit 3- II I I T i I 70 LW Ya xr.a .Ill I-.M m F 1 ! LJ L - - - t - _ - - - J .0i2 , l � [ •a,�rru wr nraamrr.n*r n � J f {t i'l + � ' � ,�.....iff ��— — — — — .t!-� n.. � a.u-nW fvr rw.s.nl.c ��ti•��i� .� 'w"/ / � � _� 1 ' I f �i I ! I L.�,..._._.4•S2.,..._ �'-:c«ro- — — � ..-31 •R 'o-�l�" ! r !�� I�'� 1 on , - - - - - - - - - r (aI � [1 r ��+ I �1 �I ! "; i �!��a E A•(IL a t `�r I ,,..ter r --rs.Nu.r a�•rss,. _r I ♦t e r att r Eat M. 20 !I '~ I 1W!!!✓r I ! �� �`R JN+!W 6e STM Trlf+R I � ! j r• r 3m r :o..n T ! .�.�. 771- a _ �� _ j ' .� r.r I a-.1• � .rx � rf. .,•.>c � ! 1 .s.r � i r �k I. .1 I i fit _.. r-�-t ._ � .ti yam,__ ry t•,'r J• '� .. i I ' Town of North Andover COMMUNITY DEVELOPMENT AND SERVICES 27 Ctaai•1es Street � ray rat-•i-ewer« h0 � 1 TII LIAM J. SCDTT North Andover, Massachusetts 01845 ��SsgcH 50�� Director (978) 688-9531 Fax (978) 688-9542 9 Establishment : 4/ Address : Telenhone : Date , -'� Person Sucken With : Owner — _ On this day an inspection was made of your waste receptacle area , Your waste receptacle area was found (-``—clean dirty and the cover of your waste receptacle was found min good repair in poor repair and h/ kept closed not kept closed . Other Comments : t 410 . 600 Storage of Garbage and Rubbish - Garbage/Rubbish shall be stored in watertight receptacles with tight-fitting covers . Said receptacles and covers shall be of metal or other durable , rcdent-proof material . 410 . 6G1 Collection of Garbage and Rubbish -- The owner of any dwelling shall be responsible for the final collection or ultimate disposal or incineration of garbage and rubbish by means of a regular collection system approved by the Board of Health . 410 . 602 Maintenance of areas free from Garbage and Rubbish (A) - The owner of any parcel of land , vacant or otherwise , shall -be responsible for maintaining such parcel, of land in a clean and sanitary condition- and free from garbage , rubbish or other �- refuse . The owner of such parcel of land shall correct any condition caused by or on such parcel or its appurtenance which affects the health or safety , and well--being of the occupants of and dwelling or of the general public . ersan in Ca arse 1nscec-or - % w_ S { Town of North Andover , Health Dep artm.ent Dater fVlo Location.- .� k_... (Indicate Address, if Resid 'itial, o Name of Business) Check #: �-�.�.�. '' Type of Permit or License: (Circle) ➢ Animal $ 'Y Dumpster ➢ Food Service - Type: $ ➢ Funeral Directors' $ ➢ Massage Establishment $ ➢ Massage Practice $ ➢ offal (Septic) Hauler ➢ Recreational Camp $ ➢ SEPTIC PERMITS. o Septic - Soil Testing $ © Septic- Design Approval $ © Septic Disposal Works Construction (DW0 $ © Septic Disposal Works Installers (DWI) $ ➢ Sun tanning $ ➢ Swimming Pool $ ➢ Tobacco ' ➢ TrashlSolid Waste Hauler $ ➢ Well Construction $ ➢ OTHER: (Indicate) Health Agent initials Wid e Applicant Yellow--Health Pink- Treasurer I !i I TOWN OF NORTH ANDOVER %4GRr11 Office of COMMUNITY DEVELOPMENT AND SERVICES `4ti4n +.�°o'• HEALTH DEPARTMENT Susan Y. Salvyei`, REHSIRS 27 CHARLES STREET ,.- �... 'rra Public Health Director NORTH ANDOVER, MASSACHUSETTS 01845 s 1'lione: 978,688.9540 Fax: 978,688.9542 E-mail: healthde t ttownofnnrthandover.con 3 APPLICATION FOR DUMPSTER PERMIT NOV �A3 PURSUANT TO SECTION 3 I A AND 31 B OF CHAPTER III OF THE GENERAL LAWS, AND RULES AND REGULATIONS OF T NORTH ANDOVER BOARD OF HEALTH DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at in accordance with the rules and regulations of the Board of Health. Check use: } Residential use ( } Commercial use } 30 day temporary 4/0A' nnual Applicant: U&P � Property Owner; u u 94,1 L tt� '� Name of Contact: Owners Address:. I(66 E�� V%, eu Address: i 6 .;k,;p 0 r ove.. pt 1 � A,L,ut- Owners Phone #: I`M'` 7 -q,5_'W Telephone#: Federal ID or SS#: Dumpster Company: 9FT Telephone#:_ R-76- (a t't - "7SCv q Pick-gyp Schedule: `Tias q, T�wrs On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $50.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY Pt WILL BE DOUBLED - $100.00 30 Day Temporary Dumpster Permit Fee: $25.00 per dumpster. Payable to: Town of North Andover, *Please note that all contact information and the associated fee is required upon application submittal. C:Ny DocumeI1tsTermitTennit ApplicationsWpmpster Application -2005.doe Page 1 of t 1 � s ■r_•..•y� J i LEE- IN FAO n F �i rIT. ILID �eI l �`f�/�� �,�; �� `� �-�'Y�'3r.�. Imo... .. .. _..... I - -• ia•1 I_ _ - 7 !- - -F: -- � �� _� .r � � . -ter; IV c-`,ti + I [- it P -t [If•4N• i..., � Q- r "e I►� � 'L:_i�sr �'_ __. _ "' _. � _ T3� - �y�� '�F�..: 1 ilf► rd5 �_ .ti• :T Hl {�. _� __.-___�__,._ _- .. .. ._ ._ ___ � _ _�n.�.ii a.. S.l.,.rs�s�••� f ; rf. r..:..,.i7... :Gli..•. � �. ��. _�.. � ! - --a��-.. �ux. __ sts _. lel +rr +ir •=t - - 1 _ . t J ,, 1 ,�i G i ![E •!! X I.-_ - L'r^.!{E[1 K=�.�. ram- •I. J �( �ti} L� Irl [rF I,I �•! 1 `• �! •� - -....._.. aR>C�_�--•----'•"-�'^_.�.._._ _1JI _ T J • I 14ORTH Commonwealth of Massachusetts °4< ``" ' North Andover 0 Board of Health 27 Charles Street � NORTH ANDOVER, MA 01845 AciiU. i DUMPSTERS DATE PRINTED 10/19/2004 i ESTABLISHMENT NAME: United Plastic Fabricating, Inc. File Number: BHF-2004-0131 165 FLAGSHIP DRIVE NORTH ANDOVER, MA 01845 1 RE: 2005 LICENSE RENEWAL OWNER: United Plastic Fabricating, Inc. PHONE: (978) 975-4520 MAILING ADDRESS: 165 Flagship Drive NORTH ANDOVER MA 01845 RENEWAL FEE DUE: $50.00 LATE FEE AFTER JAN. 11, 2005 - INCREASE FEE TO $100.00 PERMIT TYPE FEE DURATION: ANNUAL SEASONAL TEMPORARY Dumpster $50.00 RESTRICTIONS: BFI;978.649,7564;Bi-Weekly Pick- Ups on Tues/Thurs a,m. NOTES: Contact: Kevin Dillon;978,975,4520 Total Fees: $50.00 Your 2004 Dumpster License expires on Friday, December 31, 2004. In order to renew your permit, you must complete the enclosed application and return it along with the renewal fee of$50.00 Application and fee must be returned to: Health Department, 27 Charles Street, North Andover, MA 01845 no later than December 3, 2004. 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 ]anuaiy 1, 2005. Therefore, if your license fee is $50.00, your cost for being late will be $100.00. If this is disregarded, the North Andover Board of Health may revoke your license, and/or levy an additional fine. I E Please be advised that this office received numerous complaints regarding dumpsters in the past year. Common violations related to the following exerpts of the North Andover Dumpster Regulations were as follows: 3.1 []The contractor shall have the dumpster(s) deodorized, washed, or sanitized as necessary at the time of emptying, or as directed by order of the Board of Health. 3.2 []The emptying of the contents of the dumpster(s) by the contractor shall not commence before 7:00 a.m. and not continue after 9:00 p.m. The Board may modify these hours, if, in its reasonable judgment, it is convinced that the public health, safety or public welfare would be better served. The Board of Health shall be guided in this regard by the location, proximity to residential property, frequency of emptying, resulting noise and other factors, which it considers appropriate. f::l Sincerely, Susan Y. Sawyer, REHS/RS Public Health Director Eric: Application i Commonwealth of Massachusetts �(SF North Andover ° Board of Health 8., 27 Charles Street .. NORTH ANDOVER, MA 01845 DUMPSTERS F DATE PRINTED 10/19/2004 4.4 ❑It shall also be the responsibility of the owner or agent whose property is being serviced by the dumpster(s) to maintain the lid(s) in a closed condition at all times except when actually in the process of placing refuse in the dumpster. 4.7 ❑Dumpsters are not to be filled after 9:00 p.m. or before 7:00 a.m. for residential property, nor after the close of the business day for commercial property, at which time the lids are to be locked. All dumpsters provided to North Andover sites must be maintained in a condition to allow for easy closure and to have the ability to be locked. The Board of Health at its discretion may levy fines upon the authorized agent/property owner in accordance with MOL Section 40, Chapter 21D. Fines will be no less than $50.00, and no greater than $100.00. A complete copy of these regulations may be purchased at the Health Department located at 27 Charles Street,North Andover, MA. 01845. If you have any questions, please call the Health Office at 978.688.9540. Our website is: http://www.townofnorthaiidover.com. If you would like, you can e-mail us at: healthdept r@townofnoi•tliandover.com. Thank you for your cooperation during the renewal process. i a S cerely�/' Susan Y. Sawyer, RE,HSIRS Public Health Director lime: Application r ; f TOWN OF NORTH ANDOVER. 0 BOARD OF HEALTH 27 CHARLES STREET ._. .... ; NORTH ANDOVER, MA 01845 , TELEPHONE (978) 688-9540 APPLICATION FOR DUMPSTER PERMIT `d PURSUANT TO SECTION 3 IA AND 31 B OF CHAPTER III r OF THE GENERAL LAWS, AND RULES AND REGULATIONS OF THE �, 9 NORTH ANDOVER BOARD OF HEALTH DATE: 1 f 1 13 IO'o�, Application is hereby made for a permit to maintain a dumpster(s) on property located at Le'5 RmadA,p &rr tj,� � r d E Jul) C W-15 in accordance with the rules and regulations of the Board of Health, Check use: ( ) Residential use M Commercial use } 30 day temporary ( } Annual Name of Contact: Name of Applicant: Owner of Property: ��� �{:�- � c •I � - �'�`' Mailing Address: 105 Flr I h iP &1(16 , 1%)VI � AAC164ZV � M 4 0C�df v�, Telephone#: el-N " 9 7 5 0 Federal ID or SS# o tI a cl�/ [per Number of Dumpsters: 1 Dumpster Company: 0 F Telephone#: el f5 6,ti 9 '7 5 fl-,�I Pick-Up Schedule: •r,)CC;dq'd & ' Nvv5& Trash Contractor: Frequency of Pick-Up: On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. FEE: $50.00 per establishment Payable to: Town of North Andover LATE FEE AFTER JANUARY 1"' WILL BE DOUBLED - $100.00 may';�r• • :;r �„; � .�a-� _,._-_��...�'^••^^��—�—_�_•�"'W�r---�� . . s v- x,, a r.J 1- 7 n sa r•r �_ l ! 1 --Il3i — — Z31 ems: -'7 I QiE.ir2 . j uls I �i[ I ���I f,� .I... , { a•nt Er 1 j J o SI I I I t I.K. _ r LrW af8 [IIf! TP ....'Ytir. I 3 f •.,r.f._ *�� 7� �E � _ f � ; �_ -�....... ' �'�� L'1�J .1 �k11� (� "' �I-.,.1 I �, j [ 77 I ' 19 jf is .. _: i i_ -�I '}�v I-_•�7w f' �_._, r7I • 1 i_-per, .... `�•�_.---.__...._i _.R_ .-. Eii .ii I: t� ..11 ._-.... r: _._ ..._. .._ - __ ._'__.Fw-•-..-,.,._ -'--"I`•...r j low NUMBER COMMONWEALTH OF MASSACHUSETTS 8HP-2oo4o2ys North Andover i�EE Board Of Health 50.W DATE ISSUED United Plastic Fahrc ating, I nc January 01, 2004 - ------ - -- - - ---------- - - :rn - - - -- --- -- - - - 165 FLAGSHIP DRIVE f - ---- ------ - -- ADDRESS 1S HEREBY GRANTED A Dumpster.LICENSE j Ws permit is.granted in conformitY Mot the statutes.and ordinances relating thereto, and expires December 31 2004 } unless sooner suspended or revoked. RESTRICTIONS: BFI; 978.649.7564;Bi-Weekly Pick-Ups on Tuesfrhurs a.in. - - ---------------- ---- - - - - -- % - --- - Board Of -- - -- - U_- - - --- -- - Health NOTES: Contact: Kevin Dillon, 978 975.452p _-- TOWN OF NORTH ANDOVER BOARD OF HEALTH J/ 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 $ Animal Permit $ Recreational Camp Permit $ Well Construction Permit $ Funeral Directors Permit $ Massage Establishment License $ Massage Practice License $ Suntanning Establishment $ Offal/Trash Hauler $ other Health Agent White Applicant Yellow Dept. Pink Treasurer . .............. . .......... V 1:--'ND0R: 000000200093 CHECK NO, 65066 63932 000000000121603 12/16/03 50 . 00 50 . 00 , a0 Sa , Qa Check Total �.J 5a . 00 i i i i CHECK VENDOR: 000000200040I3. 59321 54627 `000000000111302 1.1 /1.3 /02 50 . 00 50 . 00 . 00 50 . 00 Check Total. 50 , 00 ,t tZOftTH TOWN O NORTH ANDO W Eli �`Y Office of COMMUNITY DEVELOPMENT AND SERVICES �,po4 ffi HEALTH DEPARTMENT Heidi Grif n r a 27 CHARLES STREET '� °,q.. . �,• F CUlllllli[lllf�'Development Director � oRRrrp rr"y�`� Acting Health Director NORTH ANDOVER, MASSACHUSETTS 01845 Chus�� Plione. 978.688.9540 Fax: 978.688.9542 E-n ail; healtlidcpt(it toxi=nofiiortliaiidoNrer.coin APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 3 IA AND 3113 OF CHAPTER " `f,' OF THE GENERAL. LAWS, AND RULES AND REGULATION OF Tom.:., ... NORTH AND O' ER.BOARD OF HEALTH DATE,- Application is hereby made for a permit to maintain a dumpster(s) on property located at in accordance with the rules and regulations of the Board of Health. Check use: ( ) Residential use Commercial use } 30 day temporary Annual Applicant. =1 � she �. 2hc% Property Owner: idled /26o-11 Pp s � Name of Contact-. Owners Address: « +► ►�. Address: '1�� yo�_A fa Is, { � Owners Phone #: Telephone#:j ,� Federal ID or SS#:04 Z s 81 Dumpster Company: go A71 .- Telephone#:�Z6 Pick-Up Schedule: �.� t � �`�w� Can the back of this form, please sketch an outline of property, showing the proposed location of the dumpster Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $50.00 per establishment Payable to: Town of North Andover. LATE FE AFTER JANUARY is' WILL BE DOUBLED - $100.00 30 Day Temporary Dumpster Permit Fee: $25.00 per dumpster. Payable to: Town of North Andover. 'Please note that all contact information and the associated fee is required upon application submittal. C:\Nfy DocumenisTernutTennit AppliaatioosWumpster Application2001doc Page I of 1 ,• � -��F) T ---•--.,,,,- � ._..—._�s, •--_.. - Er�. (jilt 1�t_ .,,"�.,...*n'"'_•" -��.Z �.-.._;..-- -I..-'--:,. I .y s v 7 r. 7 T. : u J 12 - 1 r - rTs ---ff77,- . --�_'S 17---•-- L 1.. t 'x...ti� ` - _� -��"iZ •r:. - •wes•-r;n,y I I •f l _•-- S} ----,+_ _ -S ---- -• ._. .. _ .» .__--- L• 1 1 .rfi-!11 I--- A !! -• -i r .I �:. `�� � f. � �� J 1 �"` L11 -,11� 1 I r E• 7 J . �_�;s,%tf�%� / / �'� _ -r._ t ; . - i .......«.-f .._....�. E � .,....�. ; .� .... � 1•1! ._. r '; .. 1 .�.._. ��•v I r' Q 1 '� 1 I�ll�.....-��. 1 � I ��� 1 I l S ff I 7 rl •• -•- �. .» �� � j�� i11 ` 0 hl -- -- -- -Rrs1 r -�LSI lip If a1 li. r�l' t l•I :-rI+ -- - ,' 1 l�l 1_ _ b1!€ Turn lfil ril r�s . . ie�rr l rr Ft — I 7 A it LN +�•"' � � lil7 — _Wel.----- - laf 3f i ` • �r•i1 fi, �-li � sr I �7 ��1 - 'e'ei .�--max---- �,. .- -•--•' � I . . � � - �.•..,.�. z�>r �..=�r.s,. � t Commonwealth of Massachusetts North Andover 01 Board of Health x g 400 Osgood Street s 3Ar,NU'5 NORTH ANDOVER, MA 01845 DATE PRINTED: 12/23/2005 WHO'S PLACE OF BUSINESS IS: United Plastic Fabricating, Inc. File Number: BHF-2004-0131 165 Flagship Drive NORTH ANDOVER MA 01845 LOCATED AT: 165 FLAGSHIP DRIVE NORTH ANDOVER, MA 01845 Permit Type Permit Issued Permit Expires Fee Restrictions 1 Notes Dumpster Jan 1, 2006 Dec 31, 2006 $60.00 BFI; 978.649.7564; Bi-Weekly Pick- Ups on Tues/Thurs a.m. i Contact: Kevin Dillon; 978.975.4520 Total Fees: $60.00 _ PERMIT EXPIRES [December 31, 2006 Board of Health .: � i i s a 'I k . Towh of North Andover Health Date: Z.d Department Location: (Indicate Address, if Residential, or Name of Busittess) r Check #:(_" Tvpe of Permit or License: (Circle) �` ➢ Animal $m k ,ter-Dumpster x $ 9 `' ➢ Food Service -- Type.- $ ➢ Funeral Directors i ➢ Massage Establishment $ ➢ Massage Practice $- i ➢ Offal (Septic) Mauler $ A ➢ Recreational Camp $ - 3: ➢ SEPTIC PERAHTS: © Septic - Soil Testing $ ❑ Septic - Design Approval $ © Septic Disposal Works Construction (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ f` $ ➢ Sun tanning i $ 4 ➢ Swimming Pool $ i ➢ Tobacco ➢ Trash/Solid Waste hauler $ ' ➢ Well Construction ➢ OTHER: (Indicate) Health Agent Initials s i. i . White- Applicant Yellow--Health Pink - Treasurer i VEND0A: 000000200093 CHECK NO. 74783 80425 000000000102605 10/26/05 60 . 00 60 . 00 . 00 60 , 00 Check Total 60 . 00 .... ..... :. 10J i l\j�. I i Commonwealth of Massachusetts �.`',►4`"'" '` ,� ';� North Andover Boar d ofHealth 400 Osgood Street ", r lk � NORTH ANDOVER, MA 01845 DUMPSTERS DATE PRINTED 10/14/2005 ESTABLISHMENT NAME: United Plastic Fabricating, Inc. File Number: BHF-2004-013 I 165 FLAGSHIP DRIVE NORTH ANDOVER, MA 01845 RE: 2006 LICENSE RENEWAL OWNER: United Plastic Fabricating, Inc. PHONE: (978) 975-4520 MAILING ADDRESS: 165 Flagship Drive NORTH ANDOVER MA 01845 RENEWAL FEE DUE: $60.00 , LATE FEE AFTER JAN. 1, 2006 - INCREASE FEE TO $120.00 PERMIT TYPE FEE DURATION: ANNUAL SEASONAL TEMPORARY Dumpster $80:0fr ❑ F-1 RES`I'RICI'IONS: BFI; 978.649.7564, Bi-Weekly Pick- 60' 0b Ups on Tuesrrhurs a.m. NOTES: Conlad: Kevin Dillon;978.975.4520 Total Fees: S80100— u0, 0'0 Your 2005 Dempster License expires on Monday, December 31, 2005. In order to renew your perlalit, you must complete the enclosed application and return it along with the renewal fee of$60.00, The application and fee must be returned to: Health Department, 400 Osgood Street, North Andover, MA 01845 no later than Monday, November 14, 2005. Please make your 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 January 1, 2005. Therefore, if your license fee is $60,00, your cost for being late will be $120.00. If this is disregarded, the North Andover Board of Health may revoke your license, and/or levy an additional fine. As a reminder, the fallowing excerpts fi•ona the Dunipster Regulations are as foIlows:: 11.4 It shall also be the responsibility of the owner or agent whose property is tieing serviced by the dtampster(s) to maintain the lid(s) in a closed condition at all times except when actually in the process of placing refuse in the dunipster. 4.7 Dumpsters are not to be tilled after 9:00 p.m. or before 7:00 a.m. for residential property, nor after the close of the business day for commercial property, at which time the lids are to be locked. All necessary forms and regulations may be found on the Town of North Andover website: www.towlaoflaortliandove,r.coria - town offices - Community Development - Health - square box in upper left hand corner. if you have any questions, please e-mail the Health Department at: laealtlidept cr townofiiortliandover-.cam, or call at 978.688.9540. Thank you for your cooperation during the alanual renewal process. Enc: Application 'TOWN OF NORTH ANDOVER � ,►Q�=� #'#'ice of C(]fVINIUNITY l)EVF,L()PMENT AJND SERVICES HEALTH DEPARTMENT ,` Susan Y. S:1wycr, REIISI RS 400 Osgoo(i Streetj' �I f[-'�:; � p �`4'." , P11111ie I lcallh Diredor NORTH ANDOVER. MASSACHUSE'1'TS Ui 845 ��S�4actitk8�tl Phone: 978.688.95�40 Fax: 978.688.8476 E-mail: healifidel�N_1)t�iiv�iz�i'6!1-L 1YtiE}clovei'.ct���� APPLICATION FOR DUMPSTER PERMIT PURSUANT' TO SECTION 3]A AND 31 B OF CHAPTER III OF THE GENER/IL Lfi TVS, AND R ULES AND REGULATIONS OF THE NOR THANDOVER BOARD OF HEALTH DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at k 6!,s Aj o r in accordance with the rules and regulations of the Board of Health. Applicant: ���: � �� �� �, C , Property Owner: 1A r,, �1�,, "° � •, � Name of Contact: Owners Address: =1� . N `� •��. Address: V�, 1�� i pz' AA t444S, _ Owners Phone 1,s- Telephone#:_ !N K - !j,?s d g S LO - - Federal ID or SS#: D'1 Dumpster Company: Telephone#: '10-S - UA S, ?L,-)W4 Pick-Up Schedule: A On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY 0 WILL BE DOUBLED - $120.00 *Please note that all contact informatioii and the associated fee is required Ltpon appIication submittal, f'f��e i ir3' I +'::.t54r.��y� f�'`.a�,�".; ti.��..a'. LsY+'.',�F; t-,1'•�{:�w"r:':i:�;�. S _ - 1 r.; r: ..�:-til. .t1�='�i.� •�'i C. 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" - 1 r • i 1 ,r•r;••'l,•';is r � k}}{>k��[ ��iCyr �ad�t. i�1 sl 1 ='. •. t~ :r•�3� �r��..��ri,'s'a f � • ;I � i S r r' •'•:y',,i•.-�. i �a���il:s.'i!. ��ii.\. ..C.r. �i �' ,r'• �•�_r •• .::•fir E��P,,}}tf�� `a�.• :? Commonwealth of Massachusetts North Andover Board of Health ' -'�'" h 1600 OSGOOD STREET �..< , SArv4ati�� BUILDING 20; SUITE 2-36 NORTH ANDOVER, MA 01845 DATE PRINTED: 12/12/2007 i i ESTABLISHMENT NAME: United Plastic fabricating, Inc. File Number: BHF-2004-000131 165 Flagship Drive i Attn: Kevin Dillon NORTH ANDOVER MA 01845 LOCATED AT: 165 FLAGSHIP DRIVE NORTH ANDOVER, MA 01845 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions 1 Notes Dumpster BHP-2007-0433 Jan 1, 2008 Dec 31, 2008 $60.00 BF1; 978.649.7564; Weekly Pickups 1 Contact: Kevin Dillon; 978.975.4520 Total Fees: $60.00 PERMIT EXPIRES December 31, 2008 Board of Health [: 0 l Page 125 of 499 j i i ik%0"T r ¢ O.lei 10 Sise Town of North Andover ' HEALTH DEPARTMENT SA L Iitl5Eti`� i ATE: LOCATION: [ .. .� �r _�� .. .. ,a a,• . H/O NAME: CONTRACTOR NAME: . 3 Type of Perinit or License: (Check box) ❑ Animal � ❑ Body Art Establishment $ ❑ Body Art Practitioner $ 6- Dutnpster $ ❑ Food Service e Type: $ ❑ Funeral Directors $ ❑ Massage Establishinet:t $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Suit tanning $ ❑ Swimming Pool $ ❑ Tobacco $ El TrasIVSolid Waste Hauler $ ❑ Well Construction $ SEPTIC„Sy s�t teats. ❑ Septic- Soil Testing $ ❑ Septic- Design Approval $ ❑ Septic Disposal Works Construction (DWO $ Septic Disposal Works Installers (DWI) $ ❑ Title 5Inspector $ ❑ Titre 5 Report $ ❑ Other: (Indicate) $ Ufa , � l Hea lth Agent Initia Is - White - Applicant Yellow - Hearth .fink - Treasurer 3 ;: TOWN OF NORTH ANDOVER No�rr� Office of COMMUNITY DEVELOPMENT AND SERVICES o`"�y} SERVICES 't A w HEALTH DEPARTMENTJF Susan Y. Sawyer, REHSIRS 1600 OSGOOD STREET; BUILDING 20; SUITE 2-36 s . a►r�i'.; ti�� Public Health Director NORTH ANDOVER, MASSACHUSETTS 01845 ��s""° F RECEIVE D Phone: 978.688.9540 ' Fax: 978.688,8476 E-mail: healthdept@townofndrthandover.com NOV �� �) ' APPLICATION FOR DUMPSTER PER F r orTH AraO OVER "'HEALTH DEPA�"Ci�iENT PURSUANT TO SECTION 31 A AND 31 B OF CHAPTER III OF THE GENERAL LAWS, AND R ULES AND REGULATIONS OF THE NORTHANDOVER BOARD OF HEALTH DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at in accordance with the rules and regulations of the Board of Health. Applicant: batik e-s& e, Property Owner: i Auji'l Name of Contact: Owners Address:_ - -�►-�- - Address:_f(,�a S' 1i Owners Phone Telephone#: ` - 1 Federal ID or SS#:CT � Dumpster Company: P114 ect yf,,�y it Telephone#: 600 Pick-Up Schedule. ' r_�� ��.• „ ���� �� On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY 1" 'WILL BE DOUBLED - $120.00 *Please note that all contact information and the associated fee is required upon application submittal. Page 1 of 1 OR,.N Commonwealth of Massachusetts North Andover Board of Health 1600 OSGOOD STREET �p `* a BUILDING 20; SUITE 2-36 CEIVED µ • "t.n "e ,'R3 SAC,14v`� NORTH ANDOVER, MA 01845 DUMPSTERS DATE PRINTED 10/31/2007 TOWN OF NORTH ANDOVER ' HEALTH DEPARTMENT ESTABLISHMENT NAME: United Plastic Fabricating, Inc. File Number: BHF-2004-000131 165 Flagship Drive Attn: Kevin Dillon NORTH ANDOVER MA 01845 RE: 2008 LICENSE RENEWAL LOCATED AT: 165 FLAGSHIP DRIVE NDRTH ANDOVER, MA 01845 OWNER: United Realty Trust PHONE: (978) 989-0251 RENEWAL FEE DUE: $60.00 LATE FEE AFTER JAN. 1st -INCREASE FEE TO $120.00 PERMIT TYPE FEE DURATION: ANNUAL SEASONAL TEMPORARY Dumpster $60.00 ® ❑ ❑ RESTRICTIONS: BFI;978.649.7564;Weekly Pickups NOTES: Contact:Kevin Dillon;978.975.4520 Total Fees: $60.00 COURTESY RENEWAL REMINDER.,..........Your 2007 Dumpster License expires on December 31 st. In order to renew your permit, you must complete the enclosed application and return it along with the renewal fee of$60.00. The application and fee must be returned to: Health Department, 1600 Osgood Street, Building; 20; Suite 2-36,North Andover, MA 01845. To ensure timely processing, please return your application and payment by November 30th, Please make your 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 January I st. Therefore, if your license fee is $60.00, your cost for being late will be $120.00, If this is disregarded, the North Andover Board of Health may revoke your license, and/or levy an additional fine. As a reminder, the following excerpts from the Dumpster Regulations are as follows:: 4.4 It shall also be the responsibility of the owner or agent whose property is being serviced by the dumpster(s) to maintain the lid(s) in a closed condition at all times except when actually in the process of placing refuse in the dumpster. 4.7 Dumpsters are not to be filled after 9:00 p.m. or before 7:00 a.m. for residential property, nor after the close of the business day for commercial property, at which time the lids are to be locked. All necessary forms and regulations may be found on the Town of North Andover website: www.townofnorthandover.com - Town Departments- - Health Department- Permits &Regulations. If you have any questions, please e-mail the Health Department at: healthdept rt townofnorthandover.com, or call at 978.688.9540. Thank you for your cooperation during the annual renewal process. Enc: Application i ►{a�„� Commonwealth of Massachusetts 3 yktOfi ' North Andover x Board of Health { ' • : 1600 OSGOOD STREET ����cEaz► #� BUILDING 20; SUITE 2-36; South NORTH ANDOVER,MA 01845 DATE PRINTED: 1.0/28/2009 ESTABLISHMENT NAME: United Plastic Fabricating, Inc, United Plastic Fabricating, Inc. 165 Flagship Drive Attn: Kevin Dillon NORTH ANDOVER MA 01845 FileNuinber:BHF-2004-000131 LOCATED AT: 165 FLAGSHIP DRIVE , MA Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions 1 Notes Dunlpster BHP-2010-0157 Jan 1, 2010 Dee 31, 2010 $60.00 Allied Waste; 800.442.9006; 2x week pickup 1 Contact: Kevin Dillon; 978.975.4520 Total Fees: $60.00 I • 3 S PERMIT EXPIRES December 31, 2010 Board of Health i Page 1 1 I Hart rN 1 i Town of North Andover �P, „o F:�• HEALTH DEPARTMENT �SSAG Hk1s�i � .I CHECK #: DATE: LOCATION: H/O NAME: e i i> f CONTRACTOR NAME: i Type of Permit or License: (Check box) # ❑ Animal $ I i ❑ Body Art Establishment $ I ❑ Body Art Practitioner $ b Dumpster $ � ..� c„ 1.N ❑ Food Service-- Type: $ ❑ Funeral Directors $ � I ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ f ❑ Swimming Pool $ ❑ Tobacco $ j ❑ Trash/Solid Waste Hauler $ I ❑ Well Construction $ 1' I SEPTIC Systems: ❑ Septic- Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Coustruetioti (DWC) $ ❑ Septic Disposal Works Installers (DWI) $ I ❑ Title 5 Inspector $ ❑ Title 5 Report $ i I ❑ Other: (Indicate) $ { 1 e lth Agent Initials E White o Applicant Yellow -Health Pink - Treasurer f.: i i i TOWN OF NORTH ANDOVER Office of COMMUNITY DEVELOPMENT AND SERVICES ��.�4•t' ' HEALTH DEPARTMENT 2 SUITE ;• BUILDING 2 1600 OSGOOD STREET- SE -36 " StiSciti Y. Sawyer, REHSIRS s a a,t1'rP'" r, Public Hea tli Director NORTH ANDOVER, MASSA.CHUSETTS 01845 �ssac�us��s Phone, 978.688,9540 Fax: 978.688.8476 E-mail: liealtlidJ)t rr,towriofiiortliatulover.com APPLICATION FOR DUMPSTER PERMIT PURSUANT TO SECTION 31A AND 3.1 B OF CHAPTER III OF THE GENERA LAWS, AND RULESAND REGULATIOITS OF THE NORTHANDOVER BOARD OF HEALTH DATE: Application is hereby made for a permit to maintain a dumpster(s) on property located at �Ve 4 4 ...............1Z, 4v"elevel" in accordance with the rules and regulations of the Board of Health. Applicant: �'7i'd�'"�` • Property Owner: 0 R pr p ty Name of Contact: Owners Address: e Address: brive Owners Phone #. Telephone#: Federal ID or SS#: Dum ster Company. � "G S P Telephone#: '" Pick-Up Schedule: ' On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and tot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY t" WILL BE DOUBLED - $120.00 *Please note that all contact information and the associated fee is required upon application submittal. Page 1 of t ler's,41) i Commonwealth of Massachitsetts E � tte North Andover Board of Health } 1600 OSGOOD STREET s 'NA Y'1_ ae. �4 i ' ^qf„Ls4 BUILDING 20; SUITE 2-36 NORTH ANDOVER, MA 01845 DATE PRINTED: 02/06/2009 i ESTABLISHMENT NAME: United Plastic Fabricating, Inc. File Number BHF-2004-000131 165 Flagship Drive Attn: Kevin Dillon NORTH ANDOVER MA 01845 LOCATED AT: 165 FLAGSHIP DRIVE , MA Perinit Type Permit No. Permit Issued Permit Expires tee Restrictions 1 Notes Dunipster BHP-2009-0143 Jail 1, 2009 Dec 31, 2009 $60.00 Allied Waste; 800.442.9006; 2x week pickup / Contact: Kevin Dillon; 978.975.4520 Total Fees: $60.00 PERMIT EXPIRES December 31, 2009 Board of Health Page 1 r a g , Commonwealth of Massachusetts North Andover Board of Health 1600 OSGOOD STREET T 44� slraa r9 '�� i BUILDING 20; SUITE 2-36; South NORTH. ANDOVER, MA 01845 DATE PRINTED: 12/15/2010 ESTABLISHMENT NAME: United Plastic Fabricating, Inc. United Plastic Fabricating, Inc. 165 Flagship Drive Attn: Kevin Dillon NORTH ANDOVER MA 01845 File Number: BHF-2004-000131 LOCATED AT: 165 FLAGSHIP DRIVE , MA Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions 1 Notes Dumpster Peniiit BHP-2011-0481 Jan 1, 2011 Dec 31,2011 $60.00 Allied Waste; 800.442.9006; 2x week pickup /Contact: Kevin Dillon; 978.975.4520 Total Fees: $60.00 PERMIT EXPIRES December 31, 2011 Board of Health Page I I. i f:. Town of North Andover HEALTH DEPARTMENT s�tK�sti CHECK #: 't �� l DATE: { �� LOCATION: : �" /i c; S i g ; l A/ i H/O NAME: CONTRACTOR NAME: 0 Type of Permit or License: (Check box) ❑ Animal $ Cl Body Art Establishment $ ❑ ody Art Practitioner $ ❑"o Dumpster $ l;e�') , 0 ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Harrier $ ❑ Well Construction $ SEPTTC_Systerns: ❑ Septic- Soil Testifrg $ ❑ Septic--Design Approval $ ❑ Septic Disposal Works Cotxstmetioti (DWQ $ ❑ Septic Disposal Works Installers (DWI) $ 0 Title 5 hispector $ ❑ Title 5 Report $ ❑ Other: (Indicate) $ Flea th Ageht Initials White -Applicant Yellow - Health Pink - Treasurer i �O`4L le rl.l�D � A Town of North Andover HEALTH DEPARTMENT 351L HUSEi CHECK #: DATE: 1 tv CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ;1Dumpster Body Art Practitioner $ orl $ f .. d ❑ Food Service - Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal (Septic) Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ WelI Construction $ SEPTIC Sy,Sterns: 1 ❑ Septic- Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction (DWO $ ❑ Septic Disposal Works Installers (DWI) $ ❑ Title 5 Inspector $ i ❑ Title 5 Report $ r ❑ Othen (Indicate) $ 4.. I ealt Agent Initials White -.Applicant Yellow - Health Pink - Treasurer ` TOWN OF NORTH ANDOVER G�,�4u rd�NO Office of COMMUNITY DEVELOPMENT AND SERVICES` HEALTH DEPARTMENT I600 OSGOOD STREET• BUILDING 20, SUITE 2-36 Susan Y. Sawyer, REHSIRS 0 Argo,+rr 4 Public Health Director NORTH ANDOVER, MASSACHUSETTS 01845 Phone: 978.688.9540 Fax: 978.688.8476 E-mail: liealthdept@townofnorthandover.com APPLICATION FOR DUMPSTER PERMIT .PURSUANT TO SECTION 31 A AND 31 B OF CHAPT a OF THE GENERAL LA WS, AND R ULES AND REG ULATI S' y. NORTHA.NDOVER BOARD OF HEALTH DATE; HEALTH DEPART�ENT Application is hereby made for a permit to maintain a dumpster(s) on property locate a IK5 FLs-Af- I've 16 ,iZ 0/,? in accordance with the rules and regulations of the Board of Health.Applicant: V�i� &s'hc 54�, a'�! Property Owner-, VR T Name of Contact: e -i Owners Address: FAPe Wll' Address: J �t v� e � . R Al e y�A.A-W OVer, CIA 01,&5 Owners Phone #: Telephone#: � ""_ � � Federal ID or SS#:_12 � — 20919 -3 Dumpster Company:-,A °¢e�/ Vl . T`lephone#; �- Pick Up Schedule: 00 tit, f' On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lilies or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover, LATE FEE AFTER JANUARY 1st WILL BE DOUBLED - $120.00 *Please note that all contact information and the associated fee is required upon application submittal, Page I of I 1 TOWN OF NORTH ANDOVER ORTN Office of COMMUNITY DEVELOPMENT AND SERVICES HEALTH DEPARTMENT - 1600 OSGOOD STREET• BUILDING 20; SUITE 2-36 Susan Y. �aWyOF REH51R.5 } Public Health Director NORTH ANDOVER, MASSACHUSETTS 01 845 ACIHUS t Phone: 978.688.9540 Fax: 978,688.8476 E-mail: healtlidept( townafnorthandoyeia� s APPLICATION FOR DUMPSTEA PERMITNMI (F 3 PURSUANT TO SECTION 31A .AND 3.1 B OF �AP TIER III gl_l._� : OF THE GENERAL L4 TVS, AND R UL.E'S AND REGU�4TlC��S;o ��` NORTHANDOVER .BOARD OF HEAL' >:''*:.. :'.., DATE: Application is hereby made for a permit to maintain a durnpster(s) on property located at A Rio in accordance with the rules and regulations of the Board of Health. Applicant: o Property Owner: Name of Contact. 1�c444y Owners Address. 1 ����� _ ������ Address: le, , 0 A�ee .� � M 4- O/W Owners-Phone #: . r Telephone#: � � _ Federal ID or SS# 2 Y_401619 j Dempster Company: /� 1 � � 6 t � 4, Telephone#: - Pick-Up Schedule: On the back of this form, please sketch an outline of property, showing the proposed location of the dumpster(s). Give distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60.00 per establishment Payable to: Town of North Andover. LATE FEE AFTER JANUARY 1" WILL BE DOUBLED - $120.00 1 Commonwealth of Massachusetts }�. ,,� •s � Board of Health North Andover i " 1600 OSGOOD STREET BUILDING 20; SUITE 2-36 NORTH ANDOVER, MA 01845 low DUMPSTERS ` DATE PRINTE 10/21/2008 ESTABLISHMENT NAME: United Plastic Fabricating, Inc. File Number; BBF-2004-000131 165 Flagship Drive Attn: Kevin Dillon NORTH ANDOVER MA 01845 RE: 2009 LICENSE RENEWAL LOCATED AT: 165 FLAGSHIP DRIVE MA I OWNER: United Realty Trust PHONE: (978) 989-0251 i RENEWAL FEE DUE: $60.00 LATE FEE AFTER JAN. 1st - INCREASE FEE TO $120.00 PERMIT TYPE FEE DURATION ANNUAL SEASONAL TEMPORARY Dumpster $60.00 NOTES: Contact:Kevin Dillon;978.975.4520 pickup Total Fees: $60.00 COURTESY RENEWAL REMINDER............Your 2008 Dumpster License expires on December 31st, In order to renew your permit, you must complete the enclosed application and return it along with the renewal fee of$60.00. The application and fee must be returned to: Health Department, 1600 Osgood Street, Building 20; Suite 2-36,North Andover, MA 01845. To ensure timely processing, please return your application and payment by November 30th. Please make your 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 January 1st. Therefore, if your license fee is $60.00, your cost for being late will be$120.00. If this is disregarded, the North Andover Board of Health may revoke your license, and/or levy an additional fine. As a reminder, the following excerpts from the Dumpster Regulations are as follows:: 4.4 It shall also be the responsibility of the owner or agent whose property is being serviced by the dumpster(s) to maintain the lid(s) in a closed condition at all times except when actually in the process of placing refuse in the dumpster, 4.7 Dumpsters are not to be filled after 9:00 p.m, or before 7:00 a.m. for residential property, nor after the close of the business day for commercial property, at which time the lids are to be locked. All necessary forms and regulations may be found on the Town of North Andover website: www.townofliorthandover.com- Town Departments - - Health Department - Permits &Regulations. If you have any questions, please e-mail the Health Department at: healthdept cr townofnoilhandover.com, or call at 978.688.9540. Thank you for your cooperation during the annual renewal process, Enc: Application i HP-201 NUMBER COMMONWEALTH OF MASSACHUSETTS B * , HP-2fl17-a300 • North Andover e • FEE BOARD OF HEALTH $60.00 United Plastic Fabricatin Ine. DATE ISSUED NAME March 01, 2017 165 FLAGSHIP DRIVE - - ---------- - - - ------------------.. - - - - -- - - - - -- ADDRESS IS HEREBY GRANTED A Dumpster Permit Dunupster PERMIT This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires -------------- February 28, 2018 - unless sooner suspended or revoked. RESTRICTIONS: Republic Services 800-442-9006 Mondays ---- --- - - -- -- ---------,----------..-_ - - BOARD OF -- ---.-- HEALTH NOTES: Contact: Kevin Babock; 978.975.452 - BOARD OF HEALTH CHAIRMAN i s 1 fi I i 1 1 F NUMBER COMMONWEALTH OF MASSACHUSETTS BHP-20i 5-0702 ' • ' North Andover FEE $ BOARD OF HEALTH 60.00 � United Plastic Fabricatin Inc• DATE ISSUED NAME Ianuary.01, 2016 165 FLAGSHIP DRIVE ---------------- -------------------------- --- --------- - - ---------------- - - -------- - ADDRESS IS HEREBY GRANTED A Dumpster Permit Dtimpster PERMIT This permit is granted in conformity with the Statutes and ordinances relating thereto, and expires -__-- ----__February 28, 2017------------- unless sooner suspended or revoked. RESTRICTIONS: Republic Services 800-442-9006 Mondays ------_ _-___---_--__--___.-___-__--___-------------------- BOARD OF --------------------- HEALTH ----------- NOTES: Contact: Kevin Babock; 978.975.4520 -- - - - - ---- '_- - -- -- --- ----- ---------- 4. BOARD OF HEALTH CHAIRMAN E I