HomeMy WebLinkAboutBuilding Permit #Exception - 245 BOXFORD STREET 8/9/2013 (3) c'
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BUILDING PERMIT ��° :`,``° "� L
TOWN OF NORTH ANDOVER ° : A
APPLICATION FOR PLAN EXAMINA O « -
Permit NO: Date Received "° «
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Date' need,; 9SSACHUs,
IMPORTANT:Applicant must complete all items on this page
LOCATION A1rx-114, fq yaclower Afi
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PROPERTY OWNER C_ rC3 l ;2 o sz-,-5
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MAP NO: PARCEL: ZONING DISTRICT: Historic District yes
Machine Shop Village yes Shq
TYPE OF IMPROVEMENT PROPOSED USE
Residential
Non Residential
❑ New Building Vone family
OAddition ❑ Two or more family ❑ Industrial
R"Alteration No. of units:
11 Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑ Septic ❑Well ❑ Floodplain ❑ Wetlands ❑ Watershed District
❑Water/Sewer
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Identification Please Type or Print Clearly)
OWNER: Name: Leto,-CA 'oc—,&-V5 Phone' /
Address:
CONTRACTOR Name- Phone: (,/ye) gal-f-l'y5
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Address:
SU &i , G, -r�-=- - �-c r 1 61 g 15'
Supervisor's Construction License: Exp. Date:
Home Improvement License: �0 3lc�o Exp. Date:
ARCHITECT/ENGINEER �` e- I^vcck�^;Lky Phone: c?-) 6 c ( !,,6,,)57
Address: Reg. No. ', X35
FEE SCHEDULE.,BOLDING PERMIT:$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $_ 19 l a Sy Q FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
Signature Agen Owner .Signature of contractor~
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Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF-SEWERAGE-DISPOSAL
Public Sewer ❑ Tanning/Massage/BodyArt ❑.. . Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private�Ieptic 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 Signature
COMMENTS
HEALTH Reviewed on �l �3 Sicinature � �✓
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COMMENTS
Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes
Planning Board Decision: Comments
Conservation Decision: Comments
Wate & Sewer Connection/Signature& Date Driveway Permit
DPW)Ib-,NL.Engineer: Signature:
Located 384 Osgood§Street
FIRE DEPARTMENT -Temp Dumpster on site yes no
Located-at 124 Mair.. Street
Fire Departiner-it-signatdre/date
COMMENTS
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ELEVATIONS TAKEN AT TOP OF PIPE THIS IS TO CONFIRM THAT I HAVE
INSPECTED THE CONSTRUCTION OF THE
DWELLING ELEV.: 135,88 SAID DISPOSAL SYSTEM LOCATED ON
TANK IN: 135.50 LOT M - evrv)-o Pon),mw)v iwoovL•R,IAA .
TANK OUT: 1is.zZ THE GRADES;;ARE AS SPECIFIED IN THE
D—BOX IN: 134,121
PLANS.AND ,;S�E;CIFICATION DATED
D—BOX OUT: 134.44 �' :s.. °
B'�,,M 'RCHIONDA'V& ASS O INC rof
END OF DISTRIBUTION
LINE A: 13411 } ""
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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 41 is checked, please supply:
a. Floor plan of existing and proposed addition—all rooms
b. Certified plot plan showing house, septic system and proposed 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 43 is checked:
a. Relocate the project
If 44 is checked: Options
1600 Osgood Street,unit 2035,North Andover,Massachusetts 01845
Phone 918.688.9540 Fox 918.688.8416 Web www.townofnorthandover.com
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
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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,
Susan Sa er, P lic Health Director
Cc: Building Department
File
1600 Osgood Street,unit 2035,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com