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Home My WebLink AboutMiscellaneous - 83 LOST POND LANE 3/31/2003 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 or requirements. `8 *****************************AP'PLICANT FILLS OUT THIS SECTION APPLICANT /J.�vZJ f,�,�t,s;�t . :,� l�7,1c Z✓ PHONE ` 71� m ,c I m 7A LOCATION: Assessor's Map Number (c) q PARCEL ° ( ' SUBDIVISION LOT(S) 1�Q STREET1 yr/ aL j �av� Y-7ST. NUMBER d ************************************OFFICIAL USE L OMMENDATIONS OF TOWN AGENTS: r T� CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEP'f1C INSPECTOR-HEALTH DATE APPROVED DATE-RE ECTED COMMENTS Avr' PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR_ -----—---------DATE Revised 9197 jm Few 20 03 01 : 0Gp Blackdog Builders 6038980821 A• 3 I i - 3T,' GLP MATGN 51O1NO ARO EXPO` t I � i I Fep 20 03 Q1i06p Blackdog Builders 6038880821 61-0" x 6'-0' ! PELL.A 43'153 I EXT. 5L I UER I RA. 3'-1 314" X 4'-5 3/4" � E • � I `—GERAMIO TILE O P,4MtL'f ROOM >DITION OIMENSION5 D-VSTED P Z MAIN GEILfNG H I6H't 2X4 PURRED 'E 50 TI IAT NEW{^1A-LS (71.6' •/-) eW;F_MENT WALL 4'-2' / MAIN r-LOOR WALLS — L'iZOPP�D e!NC;tN1=ERf-:D JtM CEILING HEI6HT d OIL - TANK O 1 � � I AIR /ENT FoPN. i I I l I 1 I r ! t ! r r l l l ! r I I ! ! I I p ^� TENT L Town of.North .Andover q p`ORTh Office of the Health Department 0`�`°��'` Community Development and Services Division tta e„� 27 Charles Street North Andover,Massachusetts 01845 �4SSgcHUS 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. Sincqrely,-7�`V ian J.LaGrasse,Health Inspector Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLAINNING 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 4�quirements.es not relieve able the applicant and/or landowner from compliance with any applic or FPL.ICANT FILLS OUT THIS APFLICANT �kp� PHONE LOCATION: Assessor's Map Number AM PARCEL T/g SUBDIVISION LOT (S) STREET Z OS%��J��f//�'i(, /I�� ST. NUMBER O F F IC IA L USE ONLY********y ** *****************,�* RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS r X11/ PLANNER DATE APPROVED JDATE REJECTED COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS -SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 919;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. 2g .g1, LOT #10 31,379 S.F. PROP.ADD. PLAN#12610 N.E.R.D. EXIST.ENC. PORCH 90%/ O 288�3, g CO I CERTIFY THAT THE OFFSETS OFFSETS SHOWN ARE FOR THE USE ��N Ot SHOWN COMPLY OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE WITH THE ZONING DETERMINATION OF ZONING • »ara H BY LAWS OF CONFORMITY OR NON-CONFORMITY "eTM'� NORTH ANDOVER WHEN CONSTRUCTED..[LAO 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*******GG********** APPLICANT: �li�'7 N Phone LOCATION: Assessor' s Map Number !!� Parcel�eT,F /� /S�'3r/7� Subdivision f 0 N� Lot(s) Street (�D 5� �� '�'ye St. Number 83 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved C ni Conservation Admistrator Date Rejected Comments /�CCC�7 U� U�i�P�f'h2l nCZO� /» lL7 -� - 9sf 1c, ) ctu t l Date Approved Town Planner Date Rejected Comments Date Approved Food Ins e tor-Health Date Rejected Date Approved 4/// -�7ee-pptfc nspector-Health Date Rejected Comments Public Works - sewer/water connections ��U) CU-- 25 - driveway permit Fire Department Received by Building Inspector Date THOMAS E. NEVE ASSOCIATES, INC. �---E-_T--1_ER OF TRANSM11-1. AL Engineers . Land surveyors . Land Use Planners 447 Boston street US Route 1 TOPSFIELD, MASSACHUSETTS 01963 DATE 91291,95 NO. (508) 887-8586 ATTENTION .Sandy Starr FAX (506) 6673460 ---------- -"---- RE: Lot 10 --Lost- Pond Lane- --- -- TO Sandy Starr, R.S., C.H.O. - - ___ Board of Health _ -- --- ---- _ --__--__-- North Andover, MA „ � WE ARE SENDING YOU [(Attached ❑ Under separate cover via— the following items: [J Shop Drawings X Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of Letter ❑ Change order ❑ N0. — DESCRIPTION ___ ----—------ COPIES_ DATE Sanitary Dispasa! System far Lot 10 Lost Pond Lane 4 Revised 1276-10 p spared t3 Thomas_f.-Neve_ Associates-Inc. ------------------ 9/26/95 -�-. -X--- THESE ARE TRANSMITTED as checked below: Resubmit 4 copies for approval ❑ For Approval ❑ Approved as submitted ❑ Approved as noted ❑ Submit copies for distribution' El For your use corrected prints ❑ As requested ❑ Returned for corrections ❑ Return— p — ❑ For review and comment 19 ❑ PRINTS RETURNED AFTER LOAN TO US ❑ FOR BIDS DUE Dear Sandy: Please find enclosed 4 prints of a revised septic design for Lot 70 REMARKS _ he p — g_----— Lost Pond Lane. The revised system has been deli ned to accommodate the pro as' stated in the new Title V. The previously submitted design for this lot was designed under the old code. if you should have any concerns or questions please do not hesistate to ca/l us. ----------- -- - Thank you, in advance for your time in reviewing this matter. David Kindred ------ _— --- SIGNED COPY TO -David Steven Saraceno, E.L T Engineer In Training PLAN REVIEW CHECKLIST ADDRESS 16 ENGINEER —GENERAL 3 COPIES STAMP— LOCUS NORTH ARROW SCALE- ` CONTOURS PROFILE I-" SECTION BENCHMARK SOIL & PERCS ELEVATIONS— WETS . DISCLAIMER— WELLS & WETS WATERSHED?_j DRIVEWAY L-----(Elev) WATER LINE FDN DRAIN SCH40 TESTS CURRENT? SOIL EVAL ,J W012"),-) /L SEPTIC TANK MIN 150OG . 17 INVERT DROP GARB. GRINDER_z /CMS (+200% EDF) 251 TO CELLAR -"', MANHOLE— ELEV_ GW # COMPS. I)-EGX SIZE # LINES FIRST 21 LEVEL STATEMENT_ INLET OUTLET / , — (211 OR . 17 FT) TEE REQ-D?-z--1'1 _LEACHING MIN 660 GPD? RESERVE AREA 41 FROM PRIMARY? 2% SLOPE_ 1001 TO WETLANDS l' 1001 TO WELLS 4-1, TO S .H.GW (51 >2M/IN) 351 TO FND & INTRCPTR DRAINS 3251 TO SURFACE H2O SUPP 41 PERM. SOIL BELOW FACILITY_L/-` , MIN 1211 COVER S-.--' FILL? (251 if above natural elev; 101if below) BREAKOUT MET?_ TRENCHES MIN 660 gpd 4.."..,..,,;, SLOPE (min . 005 or 611/100 ' ) -rySIDEWALL DIST. 3X EFF. W OR D (MIN 61 RESERVE BETWEEN TRENCHES? IN FILL?`-° MUST BE 10 ' MIN. 411 PEA STONE? VENT? (>31 COVER; LINES >501 ) SOT + SIDE X LDNG TOT (L x W x #) (DxLx2x#) (G/ft2) Copyright Q 1995 by SA. Starr MAS E. NEVE ASSOCIATES, INC. sneers a Land Surveyors ® Land Use Planners 447 Boston Street US #1 TOPSFIELD, MASSACHUSETTS 01953 DATE 1 JOBNO. Ct (1P_1C:)1 (503) 337.3536 ATTENTION 1 1 -t to 11 FAX (503) 337-3430 A RE: VE ARE SENDING YOU Attached ❑ Under separate cover via the following items: ❑ Shop drawings ID( Prints ❑ Plans ❑ Samples ❑ Specifications ❑ Copy of letter ❑ Change order ❑ i COPIES DATE NO. DESCRIPTION 1® � l 1�°i(o° 1� Ps. -c't�o ~>�• �t� A 5 Sa c t t,��. S`V% tda'T 11 t ST j:> ° 1,® 2$1951Z"I� -61 �� 1�`�'�'+ ''Me►S F�1�J� ��t AT>�.5 ItiSG . i -HESE ARE TRANSMITTED as checked below: ❑ For approval ❑ Approved as submitted >( Resubmit copies for approval ❑ For your use ❑ Approved as noted ❑ Submit copies for distribution ❑ As requested ❑ Returned for corrections ❑ Return corrected prints ❑ For review and comment ❑ ❑ FORBIDS DUE 19 ❑ PRINTS RETURNED AFTER LOAN TO US REMARKS V-f It PrSE V" i"r-> C. fl (4) v 1 tP 1JC_P'r tom.. S%C=A" tearT 1 V\ S 1 c--c �-rLC3,-� 12 rA t"/we-A P�,-r 1�5)3- . >=t t�I® e- tie, �sTS ® -7-14Poh 1Y. --fc)N_A re— `fc"re_ —r\m 1t" M flc-tTr.CLL t W G Ai®1 06 CI� �°� �►S�l S�C GJ� P S� N�—j ' 1-re CU °t COPY TO RECYCLED PAPER: SIGNED: ° Contents:40%Pre-Consumer•10%Post-Consumer If enclnsures are not as noted.kindly notifv us at once.