HomeMy WebLinkAboutApplication - 200 HAY MEADOW ROAD 5/17/2011 TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received nl i
Date Issued:
IMPORTANT:Applicant must complete all items on this page
LOCATION 2-a D cow
Print
PROPERTY O WNER e
Print
MAP NO: PARCEL: 769 ZONING DISTRICT: 1( Historic District yes no
Machine Shop Village yes
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building A One family
❑Addition ❑Two or more family ❑ Industrial
Iteration No. of units: ❑ Commercial
Repair, replacement ❑Assessory Bldg ❑ Others:
❑Demolition ❑ Other
eptrc $U Well Floodplam" ❑ Wetlands g❑ Watershed€District
❑Water/Sewer, ,
DESCRIPTION OF WORK TO BE PERFORMED:
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t3`rte Z� lJ.i LPL.
Identification Please Type or Print Clearly)
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OWNER.a Name.. �•:,� r �r ,� c: " °
� Phone:
Address: -Loo
CONTRACTOR Name: Phone: 3 3 5
Address:
Supervisor's Construction License: U-5 3 Q`k Exp. Date:
Home Improvement License: xp. Date: (-L1 U'2—
ARCHITECT/ENGINEER_ t✓4Et ,,,Phone: Ck'1-� E, 15-1 1
Address: \-i.?) �lw ran, Reg. No.
FEE SCHEDULE:BULDING PERMIT.$92.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Cost: $ �A -1 L 0 2 0 FEE: $_ -� S-61-(
Check No.: Receipt No.:
on c tract with unregistered contractors do not have access to the guaranty fund
Signature_of;'Ag_`nt/Owner . ignature of contractor I
L:._
Plans Submitted Plans Waived ❑ Certified Plot Plan Stamped Plan
FPublic WERAGE DISPOSAL
❑ 'Tanning/MassageMody Art ❑ Swimming Pools ❑
❑ Tobacco Sales ❑ Food Packaging/Sales ❑
c tank,etc. Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMMENTS
CONSERVATION Reviewed on Si nature
COMMENTS
HEALTH Reviewed on .7/z,, Signature f`
COMMENTS
Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connection/Signature& Date Driveway Permit
DPW'.town Engineer: Signature:
Located 384 Os ood Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located at 124 Main Street
Fire Department signature/date
COMMENTS
Town of North Andover
HEALTH DEPARTMENT
4
Community Development and Services Divi
1600 OSGOOD STREET
Building 20; Suite -36
North Andover,Massachusetts 01845
http://www,townofnortliandover.corr
' (978)6$8-9540
Susan Y.Sawyer w3' F 978 888-8476
Public Health Director "'°"' m
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INFORMATION QUEST
Health Department
°IwYWN OF O��°gym: ua ��:o �� ;
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Please use this form if the Health Inspector or Health Direc o"i"`Ve' r� � ' ravide
immediate assistance to you.
Please fill out this form in its entirety to ensure an accurate and prompt response. All requests
for information will be handled as soon as possible.
CONTACT INFORMATION
Date: l 10
Name: Ga 9 , (-
Phone number:,
Fax number:
Address: ",10D 44AY MCADQV� i .
INQUIRY d Property in question: (Please include as much information as possible)
Subject:
Inquiry: �.�� ,�� S ( .� D(�,A iAf A 1 0J //6-
You will receive a call back within 24 hours. Thank you.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNfNG 688-9535
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Paul Partridge
Prom: Kristen Partridge [kristen.partridge @gmail.com]
Sent: Thursday, July 08, 2010 8:29 PM
To: Paul Partridge
Subject: Fwd: proposed porch
Attachments: Partridge_1 st floor plan-existing_7.4.10.pdf
---------- Forwarded message ----------
From: Stephen Foster
Date: Sun, Jul 4, 2010 at 11:16 AM
Subject: proposed porch
To: Kristen Partridge
Kristen&Paul:
see attached plan showing existing porch/deck
note location of septic tank with respect to existing porch structure and underground drainage pipe
there are two potential issues concerning the septic tank; (reference 380 CMR 15.211 - state of MA dept. of
envir. protection)
proximity of porch/deck foundation(concrete piers);
the required setback from the septic tank to the foundation was 5' on my last(similar)project
this setback is not shown on the state website...it may be a local ruling
proximity of existing drain pipe
title V lists this setback distance at either 5' or 25'
the local board of health can clarify these setbacks
I would recommend bringing a copy of the attached sketch to them for discussion
they would be able to provide setback distances (noted above) so as to allow the design to proceed with full
knowledge of all design parameters
for your information, the bah will also most likely need to 'sign off on the permit "form U" for the porch
renovation... so you might as well cross this bridge now vs. later
alternatively: (but not recommended)
the owner could provide drawings which totally ignore the existence of the septic system
I
you may receive a building permit if you get'signed off without any discovery/discussion concerning the septic
system
however you do not want to have the septic tank'issue' be discovered by the authorities during the construction
as this may lead to costly modifications or delays of the remodeling project
keep in mind that it is the responsibility of the permit applicant to provide the necessary design, engineering
,etc. to the authorities to prove that they are 'code' compliant and deserving of a permit
I can share my knowledge of the above in greater detail
please call me to discuss the above
steve foster
z