HomeMy WebLinkAboutMiscellaneous - 141 Winter Street Al Winter Street
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,,OR TOWN OF NORTH ANDOVER
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PERMIT FOR PLUMBING
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SACHUS
This certifies that . .. .. . . '
has permission to perform . .✓.,;!��. ?�.. . _. . `����. . . . . . . . . . . . . . . . . . . .
plumbing in the buildings ofd/ . . . .
fd . . . . . . . . . . .
at / �:;. . . . , North Andover, Mass.
Fee��/. Lic. No.---?C? !. /.—f . . . . `
PLUMBING INSPECTOR/
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Check #
789
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City/Town:%f mT jjj�"J - MA. Date:, _ Permit# �Ie
Building Location:_'� Owners Name�V _���
Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential
New: ❑ Alteration: ❑ Renovations( Replacement: ❑ Plans Submitted: Yes ❑ No ❑
FIXTURES
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SUB BSMT.
BASEMENT
1 FLOOR
2 FLOOR
3 FLOOR
4 FLOOR
5 FLOOR
6 TH FLOOR
7 FLOOR
-T'FLOOR
Installing Company Name:� Check One Only Certificate#
�/-ty/��t M) W ��
❑Corporation
Address [_EMICity/Town: State:
❑ Partnership
Business Tel:! ft Fax: Firm/Company
Name of Licensed Plumber:
INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes<No ❑
If you have checked Yes,please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my
Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter 1Q of the General Laws.
By Type of License:
Title - tgPlumber Signatufe of Licensed Plumber
Master
APPROVED(OFFICE USE ONLY
City/Town 'gKourneyman License Number:
F>
MacKay, Glenn
WintliAtJ ')4
APPLICATION FOR SEWAGE DISPOSAL INSTALLATION
HEALTH DEPARTMENT - NORTH ANDOVER, MASS.
I hereby make application for a permit for a sewage disposal installation at
Tau nter St. I will install this system in ac-
cordance with all the laws of the Commonwealth of Massachusetts and regulations of
the Board of Health of the Town of North Andover.
Further, I will construct the house sewer of bell and spigot pipe, the minimum
diameter being 4 inches, and will maintain a minimum grade of 1% until 10 feet pre-
ceding the septic tank, where the grade shall not exceed 2%. I will install a con-
crete septic tank of 1000 Cel' in size. A manhole (s) permitting easy cleaning
will be provided with removable cover (s) of iron or concrete within 12 inches of
the ground surface. I will provide subsurface disposal field with 4 inch per
or open jointed pipe and laid in. a series of trenches, the bottom of which will pro-
vide a minimum of 180 lineal feet of effective absorption area.
The pipes will be laid on a 6 inch layer of washed gravel or crushed stone ranging
in size from 3/4 to 1-1/2 inches (dia. ) and the pipes will be surrounded by similar
material to a height of 2 inches above the crown of the pipe. The joints of these
pipes will be protected from clogging and before filling the trench, 2 inches of
gravel or stone 1/8" to 1/4" (dia.) will be placed over the course gravel or stone.
The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single
tile line will exceed 100 feet in length and in any case, two lines of tile will be
installed. A minimum of 6 feet will be maintained between the center lines of the
disposal field trenches and the average depth of trench shall not exceed 36 inches.
No part of the installation will be less than 100 feet from any private water supply,
25 feet from any stream, 20 feet from any dwelling or 10 feet from any property line.
I further agree not to cover any portion of this installation until approved by the
inspection officer, as provided below, and to incorporate any additional requirements
that may be attached to the permit. Plot Plans must be submitted with application. .
DATE June 1, 1965
` Signature ofApp' lisdnt
I hereby issue the above permit for the Board of Health of the Town of North
Andover, Massachusetts.
DATE June 12 1965
'gnature of Health Agent
I have inspected the uncovered system indicated above and find everything done
as described.
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DATE
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SignaturV of Inspecting Officer
Percolation Test min, Clay
I Garbage Grinder Ne
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BOARD OF HEALTH - , r6 et. /4401,9
TOWN OF NORTH ANDOVER, MASS.
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I-rST �r
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1000 GAL CaOG SAP& �D►
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1. NAME �"`/Gwl' � �Y �:� / - DATEc�
2. ADDRESS +t LOT NO. TEL.
3. NO. OF BEDROOMS -,3 DEN YES NO 4---'
4. GARBAGE GRINDER YES NO
5. SHOW DIMENSIONS OF HOUSE
6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES
7. SHOW DIMENSIONS OF LOT
8. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL
9. NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM
10. SHOW LOCATION OF BROOKS, STREAMS, DITCHES, LEDGE OUTCROP, ETC.
11. SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE
NOTE: LOCAL REGULATIONS SHOULD BE READ CAREFULLY.
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BOARD OF HEALTH OF NORTH ANDOVER, MASSACHUSETTS
SEWAGE DISPOSAL
DATE Mav 29 . 1965 .
NAME OF APPLICANT gacgay construct ion, no.
LOCATION Winter Street
Address of lot no.
BUILDING: Dwelling x Other
SYSTEM: New X Repair
GENERAL DESCRIPTION OF LAND high
SUBSOIL: Clay_ Gravel Sand
PERCOLATION TEST 4 minutes per inch.
MINIMUM INSTALLATION RECOMMENDATIONS
CONCRETE SEPTIC TANK 1,,000 gallon capacity.
LEACH FIELD lgp —lineal feet of drain pipe.
e-
William J. Dr s oll , Engineer
Board of Healtfi
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