HomeMy WebLinkAboutBuilding Permit #050-15 - 245 BOXFORD STREET 7/15/2014 (3) fNo°Tye
/ BUILDING PERMIT o
TOWN OF NORTH ANDOVER ►- ::
APPLICATION FOR PLAN EXAMINA O
Permit NO: J Date Received
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IMPORTANT: A licant must com lete all items on this page
LOCATION l,)rX't" Anld(J'_fr /419
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PROPERTY OWNER GCX y-0
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MAP NO: PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village yes no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building One family
tAddition ❑ Two or more family ❑ Industrial
["Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑ Wetlands ❑ Watershed District
❑Water/Sewer
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OWNER: Name: ��'r1� �d Phone: G,l` l"
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Address:
CONTRACTOR Name- t Phone: (CI VV 9a1�-a'�
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Address:
Supervisor's Construction License: Exp. Date: USI �Ur
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Home Improvement License: Exp. Date:
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Cyt- �.rcCk Phone: 61cJ
ARCHITECT/ENGINEER
Address: Reg. No703,51
FEE SCHEDULE:BULDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
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Total Project Cost: $ ►`-I-E— o a - FEE: $
No.:
Check No.: _� Receipt p
NOTE: I ers_o ontra ting with unregistered contractors do not have access to the guaranty fund
5i nature A en Owner Z ` _Si nature of contractor
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46 ,*.rTO WNOF NORTH ANDOVER
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This cerfifies that
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WHITE`: Applicant CANARY:. Department PINS, Treasurer
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan P"4 Stamped Plans EY
TYPE OF SEWERAGE DISPOSAL
Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑
Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑
Private(septic tank,etc. IV Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
COMENTS
CONSERVATION ❑ ❑
COMMENTS
DATE REJECTED DATE APPROVED
HEALTH ❑ ❑
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
Located at 384 Osgood Street
FIRE DEPARTMENT - Temp Dumpster on site yes n
Located at 124 Main Street 2-9 -43
Fire Department signature/date
COMMENTS
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a. Provide additional information proving that the existing septic system meets current
capacity requirements. Please consult a professional engineer or registered sanitarian to
determine the flow capacity of the septic system.
b. Hire a professional engineer to design a new septic system that meets State Regulations
C. Request approval of a deed restriction agreeing to always be a_-bedroom home.
i. Submit a request in writing to the Board of Health identifying why the need to upgrade
the septic system is a severe hardship.
ii. Attend a BOH meeting to address the board
iii. If approved, record the deed restriction at the registry of deeds
Please feel free to call the Health Office at 978-688-9540 with any questions you may have.
Sincerely,
-' usan Sawyler, P lic Health Director
Cc: Building Department
File
:5
1600 Osgood Street,unit 2035,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
North Andover Health Department
(ommunity Development Division
Date: August 28, 2013
Carol.Rogers
245 Boxford Street
North Andover, MA 01845
Re: Building application room addition
Dear: Ms. Rogers,
Your application for the room addition has been reviewed by the Health Department.
Unfortunately the application cannot be approved at this time for the following reason as shown
in red:
1. X Missing information
2. ❑ Passing Title 5 inspection of septic system required
3. ❑ Location of structure not acceptable
4. ❑ Undersized septic system
To address the problem(s):
If#1 is checked, please supply:
a. Floor plan of existing and proposed addition—all rooms
b. Certified plot plan showing house, septic system and propo d project in scale (you may
pick up an as-built septic plan at the Health Office)
If#2 is checked:
a. Have the septic system inspected by a certified Title 5 inspector to determine whether it
is operating properly: (inspector list attached) OR
a. Tie-in to municipal sewer
If#3 is checked:
a. Relocate the project
If#4 is checked: Options
1600 Osgood Street,unit 2035,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com