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Home My WebLink AboutMiscellaneous - 83 LOST POND LANE 4/22/2003 sego �t 0 » w o , _ O FORM U- L ' ERELEASE 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 or requirements. *****************************APPLICANT FILLS OUT THIS SECTION**'��*��*�*�*�� ; APPLICANT f �a+ r,,�J�dr,yy �riy;r o'�Ir� t� 6PHONE ` 7f-V ilr LOCATION: Assessor's Map Number �� q 2> PARCEL SUBDIVISION LOT (S) STREET y -e �%ST. NUMBER ✓ USE OMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED 1 � � COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED_ L/ SEP-MC INSPECTOR-HEALTH DATE APPROVED —� , DATE RE °ECTED COMMENTS u? tv PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR Revised 9\97 jm Feb 20 03 01 : 06p Blackdog Builders 6038980021 P• 3 r j i I i 5HC GL MAYGH 5101NG --- - t I Feb 20 03 01l06p Blackdog Builders 6038890821 p. �. i6'-0" X g,-e)• 1 PELLA 43753 EXT: SLIDER RO. 3'-I 3/4" X W-5 3/4" I ` • /"MIG TILE O i i P,4MtL`r ROOM ?DITION DIMENSIONS D,N5'FEp PER MAIN OEILING 1406Nr 2X4 rURRED E ,o ntAr NEw I^UaLL5 ('7�.d" ./-) es,aSEMENT WALL ,�,_2. / MAIN FLOOR t^lALLS - -. ... L�F7OPPlrD EN;tNEEREI� JtM = CEILING Hel(Wr o OIL - TANK r- � �- •O � � I Z-2. AIR 1 2,�• vENr --�— _ - — — FIIN'.N. I i t t t t I i l l l l l t 1 I i t I O VENT Town of North Andover NORTH Office of the Health Department o ��'��!° Community Development and Services Division 27 Charles Street '11,9 North Andover,Massachusetts 01845 SSACHUS�t Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 March 31,2003 Mr, and Mrs.Madden 83 Lost Pond Lane North Andover,MA 01845 Re: Application for an addition to an existing home Dear Mr. and Mrs.Madden: Your application for an addition at 83 Lost Pond Lane has been reviewed by the Health Department. The application was denied on March 31,2003 for the following reasons: 1. ✓ Missing information 2. ✓ Passing Title 5 inspection of septic system may be required 3. Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a. Floor plan of the existing dwelling including the back porch or sunroom. All rooms must be accurately named; b. Certified plot plan showing house,septic system and proposed project in scale,including any associate grading. 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. The proposed the project must meet all current Title 5 setbacks. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincgrely,-7 Wian'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 FOR 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 oes not relieve the applicant and/or landowner from compliance with any applicable on equirements. *** * *******************APPLICANT FILLS OUT THIS SECT ION*****************� APFLICANT l/®`iii �k•r�P PHONE LOCATION: Assessors Map Number AO _ PARCEL Z/g SUBDIVISION LOT (S) STREET ST. NUMBER r * �OFr1ClAL USE ONLY* * * *. RECOMMENDATIONS OF TOWN AGENTS: -orck e-vslo — a ANC�as�rJ/ �- CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED nr\ �.re �S� -OP's or 0 Coo COMMENTS �� L�� 5 � c� S �"1 t &PLANNER WN DATE APPROVED JDATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED a'a DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING !,NJSPECTOR DATE — Revised 9197 jm CERTIFIED PLOT PLAN LOCATED IN NORTH ANDOVER, MASS. SCALE:1"=40' DATE:8124199 Scott L. Giles R.P.L.S. Frank. S. Giles 50 Deer Meadow Road North Andover, Mass. 299 9> 0 LO T x#10 ^ 31,379 9 S.F. PROP.ADD. PLAN#12610 N.E.R.D. EXIST.ENC. PORCH Qi Z \J Z 90,+/-- Q) � 28 .731 S C/) 0 v I CERTIFY THAT 7 OFFSETS SHOWN ARE FOR THE USE ��14 Or THE OFFSETS OF THE BUILDING INSPECTOR ONLY SHOWN COMPLY 3 �' AND SUCH USE IS FOR THE ES h WITH THE ZONING DETERMINATION OF ZONING 138T2 BYLAWS OF � TE% CONFORMITY OR NON-CONFORMITY '�6qE LA�U S NORTH ANDOVER WHEN CONSTRUCTED. WHEN BUILT ?' 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***************** /- APPLICANT: /,aft IN Phone LOCATION: Assessor' s Map Number <!J Parcel/A�j�'c �Z /S �737-/7,5- Subdivision z °N� Lot(s) Street ( 0 S� /'off ��`Ne St. Number 83 Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation Administrator Date Rejected Comments �11a — 20 "�5 - 9sf� Date Approved Town Planner Date Rejected Comments Date Approved Food Ins e tor-Health Date Rejected lG> Date Approved ep c nspector-Health Date Rejected Comments Public Works - sewer/water connections lU) CD--255 F5 - driveway permit Fire Department Received by Building Inspector Date