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Home My WebLink AboutMiscellaneous - 25 SUNSET ROCK ROAD 7/18/2002 FORM U LOT RELEASE FORM laxaq 3uq r.00 k 'F I & -a � f. s TIONS: This form is used to verify that all necessary approvals/permits from d Departme nts having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT�y� PHONE LOCATION: Assessor's Map Number--/&L-4— PARCEL SUBDIVISION LOT(S) 4 STREET S E(-j n3 e-� RGo� ST. NUMBER__ay *****************************************OFFICIAL USE ONLY*********************************** RECOA#MENDATIONS OF TOWN AGENTS: CON RVATION ADMINI BATOR DATE APPROVED DATE REJECTED COMMENTS e-oUt, b 66 flh -(re-censtru-clllon mue TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED 2- COMMENTS lo e- I/v t r es PUBLIC WORKS - SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9\97 jm Town of North Andover Office of the Health Department Community Development and Services Division 27 Charles Street tlpATtlenpP`� North Andover,Massachusetts 01845 CHUS�t Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 July 18,2002 Ron Trecartin,North East Builders,LLC. 11 Overlook Drive Danvers,MAO 1923 Re: Application for a 121X24' Sunroom addition at 25 Sunset Rock Road,N.Andover,MA Dear Adrian: Your application for a sunroom addition at 25 Sunset Rock Road has been reviewed by the Health Department. The application was denied on July 18,2002 for the following reasons: 1. X Missing information 2. X Passing Title 5 inspection of septic system may be required 3. X Location of structure may not be acceptable To address the problem(s): If#1 is checked, please supply: a. Floor plan of the existing house and the existing house with the proposed addition b. Certified plot plan showing house,septic system and proposed project in scale. The plot plan submitted did not correspond with the floor plan. If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocating or amending the project may be necessary. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, All" rian J.LaGrasse Health Inspector Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section*************C****** APPLICANT: -�I '-� � s Phone q /cS7- LOCATION: Assessor' s Map Number -�1 .'�-- Parcel Subdivision e�g� �- Lot(s) / Street ��{ n�P �(1( St. Number Z ************************Official Use Only************************ RECOMMENDATIONS F TO NTS: / _ Date Approved ��4 �� Conservation Administrator Date Rejected Comments 4R Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected 7`AA=� Date Approved z Z .S Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - - driveway permit IT L-0 Fire D9 artment Date �ived by Building Inspector FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** A,PPLI CANT: .�CL_Lf1G1 �4'I - Phone IACATION: Assessor's Map Number Parcel. Subdivision li/ Lot(s) Street ��/7 1 P ,� St. Number Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conservation Administrator Date Approved Date Rejected Comments Date Approved Town Planner Date Rejected Comments Food Inspector-Health Date Approved Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date