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HomeMy WebLinkAboutBuilding Permit #Exception - 26 STANTON WAY 5/1/2018 (5) NORTH BUILDING PERMIT qti TOWN OF NORTH ANDOVER 0�, APPLICATION FOR PLAN EXAMINATION �O myy Permit No#: Date Received �9SSAC HUS���y Date Issued: IMPORTANT:Applicant must complete all items on this page a LOCA 'TIONS PR�OPERTYa 01/1IN,ERCE Pain ( '1 DO�Year Structure yes°2 no, ZONIN,Cd®)tSTR��CT _ _ Hastorrc�Distn0t� yes. n:o Ma�h; e Sh©pf ViUage`� yes, TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building IKOne family ❑Addition ❑Two or more family ❑ Industrial dAlteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other -_. --.___ — �- - Septic E1,VN 1 pGFI`oo�dpla.n 0 Wetlands; bFstnctp G DESCRIPTION OF WORK TO BE PERFORMED: �Re'se Ine"i Re".JA,6n Sheof roc.i w<Its , SU.S�CretiC1P.� e-c, CrYpCi urJ Identification- Please Type or Print Clearly OWNER: Name: f M6n�hun Phone: 1913 3o I90(D Address: i Con.tracmr? Wa_me Emailt fh.ick cwt Address:-_ SG-_._,IOorth. �5 '")Jern N- .._—_.�... �...�..a.r-.�..anm._mss---®•yam.-...-,sv,..�v—Lx.�— - Supervisor s C.onstru`ctio.nl License ` -�sU_ 33�, Exp I®ate: -2., F C '` E 6^ d L 5 �... . 7 _ Homme Im'provemen�t�License ARCHITECT/ENGINEER Phone: Address: 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: $ / Y 2Z5 , 0c3 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to e guaranty fund ig;nature of¢Agent/Owne:r _ a'_, _ °Signafure�©fFcontr`act®rr�_ Plans Submitted ❑ Plans Waived.❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank, etc. ❑ Pennanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM . PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Siqnature COMMENTS HEALTH Reviewed on t l t Sin �WA- --1 10R COMMENTS LL-- L16 Com- l� 6A/) I'lC 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 Osgood Street fFI�F2aE;DEPARTMENT -��em ®amu f�;psteon�sitef eyes Illi 9te3cr ?i "am Streets lF retirDeppart�rn°e.,t,s gnatiarie/date - --- LGOMME N�TS �_ RECEIPT Printed: July 9, 2015 ® 12:34:13 Essex North Registry M. Paul Iannuccillo Register Trans#: 13702 Oper:KEVINZ BROS Book 14295 Page: 210 Inst#: 16875 Ctl#: 109 Rec:7-09-2015 ® 12:34:08P DOC DESCRIPTION TRANS-AMT DECLARATION OF TRUST 20.00 Surcharge CPA $20.00 200.00 200.00 recording fee 5.00 5.00 TECH FEE _- b Total fees: 225.00 G-- Book: 14295 .Page: 219 Inst#: 16876 Ctl#: 110 Rec:7-09-2015 ® 12:34:08p �-- NAND 26 STANTON WAY DOC DESCRIPTION TRANS AMT s --- ----------- --------- '= DEED 3 Surcharge CPA $20.00 20.00 100.00 recording fee 100.00 5.00 TECH FEE _-- 5.00 ._ 0.. Total fees: 125.00 S www Total charges: 350.00 �+ 350.00 CHECK PM 1858 I 3 I Grant, Michele To: Teresa Brosnihan Subject: RE:deed restriction Sounds good Teresa, I sent you the schedule for the registry of deeds. I sent it after I sent this email. Merry Christmas to you and your family Michele E.Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgrant@townofnorthandover.com Web www.TownofNorthAndover.com f. From: Teresa Brosnihan [mailto:teresabrosnihan@yahoo.com] Sent: Tuesday, December 22, 2015 1:22 PM To: Grant, Michele Subject: Re: deed restriction Hi Michele, Thanks so much for the call and email today. This attachment seems pretty straight forward and easy enough to complete. I can ask my attorney if he will review and do it for me and then 1 will scan it and send it for your review if you don't mind doing that for me. Then we can file it after that. And maybe we will get lucky and you will get the approval to sign off on it instead of going before a board. That would be awesome. This is a first time ever for us so we needed a lot of guidance. I should have called you months ago (my fault) instead of just having the deed restriction done as the 4 bedroom. Live and learn as they say. Thought we were doing the right thing at the time. Anyways, I am hoping he can get to this next week for me but we'll see. I will be back in touch at some point (hopefully soon) so we can try to continue with our end of January remodel plans instead of pushing it off. 1 thank you very much for your time, help and assistance on this. I wish you a very Merry Christmas and I hope you have some good time off this week. All the best, Talk soon. Teresa Brosnihan On Tuesday, December 22, 2015 12:21 PM, "Grant, Michele" <MGrant@townofnorthandover.com>wrote: it Hi Teresa, As per our phone conversation, the deed that was recorded and submitted today to the health department is related to the terms and provisions of the Declaration of Restrictions and Easements relating to a shared driveway. I am forwarding a Missing information letter, as well as a Sample Deed Restriction. When you are completed with the Deed Restriction, please feel free to bring it to the Health Department and I will be glad to take a look at it prior to your submitting it to the Registry of Deeds. Sincerely, Michele E. Grant Public Health Agent Town of North Andover 1600 Osgood St I Suite 2035 North Andover, MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mgranttc'D.townofnorthandover.com Web hfti)://www.townofnorthandover.com/ From: Sawyer, Susan Sent: Monday, November 10, 2014 11:37 AM To: bill.broz(a comcast.net Subject: FW: deed restriction Below is the link to the draft sample via the Topsfield health dept. You would just change it to (4) bedroom Be well, 2 TS�tSL'ED? Y MCOPY PUBLIC HEALTH DEPARTMENT Town of North Andover Community Development Division CERTIFICATE OF COMPLIANCE As of: 8/19/2014 This is to certify that the individual subsurface disposal system received a SATISFACTORY INSPECTION of the: Complete Repair and Construction of an p p On-Site Sewage Disposal System By: Matthew Manning At: 26 Stanton Way (lot 8) Map 61 Lot 123 North Andover, MA 01845 Th Issu e of this rti to sh 1 not be construed as a guarantee that the system will function satisfactorily. / _ � g y y ichele Grant Public Health Agent 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Of.%yORTN 1h d. O A SSACWU5E PURL►C HEALTH DEPARTMENT Community Development Division -...___.--...._..•.__..__.–._.m—...__....,.–_---.___–_._..----..--_.. --...._.--.—.– _-_.._–...... ---.A __..R1 ECENED TOWN OF NORTH ANDOVER ��:NORTH 204 SEPTIC DISPOSAL SYSTEM–INSTALLATION CERTIFICATION TOWN OF ANDOVERThe undersigned hereby certify that the Sewage Disposal System( )constructed;( )repaired; HEALTARTMENT By: Ma i Z3 (Print Name) Located at: (Installation Address) Was installed in conformance with the North Andover Board of Health approved plan,originally dated and Fast revised on /� f i3 with a design flow of gallons per day. The materials used were in conformance with those specified on the approved plan;the system was installed in accordance with the provisions of 310.ClvIR 15.000,Title 5 and local regulations,and the final grading agrees substantially with the approved plan. All work i ccurately represented on the As-built which has been submitted to the Board of Health. Bottom of Bed Inspection Date: 7/11/1 Engineer Repr ntative(Signature) a � e t And–Print Name Find Construction Inspection Date: Engineer Representative(Signature) And–Print Name Installer,.fi.....____...._._.....�........ _.....__...e..a—(Signature)...._._..w._._.__e,_....�.___.�.._--°Date..._... Ll .__...� And–Print Name Enginer: —(Signature) Date: And–Print Name 1600 Osgood Street, North Andover, Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web http://www.townofnorthandover.com • S�TTi,"ED•=7 «s« Qc«Mrwfwc,... R �ka'rE�h►"�`�� North Andover Health Department (ommunity Development Division ONSITE WASTEWATER SYSTEM CONSTRUCTION NOTES ADDRESS: 26 Stanton Way MAP: LOT: Lot 8 INSTALLER: Matthew Manning DESIGNER: Christiansen & Sergi Inc. PLAN DATE: 5/1/13 revised 6/19/13 BOH APPROVAL DATE ON PLAN: 7/1/13 INSPECTIONS TANK INSPECTION: 7/15/14 DATE OF BED BOTTOM INSPECTION:7/20/14 DATE OF FINAL CONSTRUCTION INSP T. N 7/31/14 DATE OF FINAL GRADE INSPECTION: _ ADDITIONAL INSPECTIONS or SOIL CO LEC I NS j Type' Date:j Type Dater Type' Dater SITE CONDITIONS ® Contractor reports any changes to design plan ❑ Existing septic tank properly abandoned ® Internal plumbing all to one building sewer ® Topography not appreciably altered Comments: SEPTIC TANK ® Building sewer in continuous grade, on compacted firm base ❑ Cleanouts per plan X Bottom of tank hole has 6" stone base ❑ Weep hole plugged ® 1500 gallon tank has been installed H-10 loading ® Monolithic tank construction X Water tightness of tank has been achieved by visual testing ❑ Inlet tee installed, centered under access port ® Outlet tee installed, centered under access port (gas baffle) ❑ inch cover to within 6 of finish grade installed over one access port ® Hydraulic cement around inlet & outlet Comments: MRC –Tank has rubber boots not hydraulic cement which is ok; Inlet tee not under tank opening, requested contractor to correct this. 8/19/14 observed baffle PUMP CHAMBER ❑— Bottivrm oftank hole has 6" Ge base ❑ Weep hole plugged EJ] 1500gallon Pump eF i�iiorl n H1 loading inlet tee installed, Gent red undeF assessport� n P Umn/S\ installed on stable baso LQ--j alarm float WGFkinn 9 Pump nn/n#floats working n S Drain holo in PFessuro�c n Gaver at final grade installed ever n�y pin a�s-��t-t h'"' -i Water tightness of tank has been aGhieved by n HydFa.Lllinane t aFG Rd inlet & nutlet GommcntG* CONTROL PANEL r� AlaF m & Demo are en pgaFpte ni�� rn�? D laFm 6oi Rd6 when float icy tripped E_Lenation of nontrol n ell–ba-seTmeR n—!ate-sigRallesated inside. asemeet Gernmentse DISTRIBUTION-BOX ® Installed on stable stone base ® H-20 D-Box ❑ Inlet tee (if pumped or >0.08'/foot) ® Hydraulic cement around inlet & outlets ® Observed even distribution ® Speed levelers provided (not required) ® Schedule 40 PVC Pipe i r Comments: SOIL ABSORPTION SYSTEM (General) X Bottom of SAS excavated down to C soil layer, as provided on plan X Size of SAS excavated as per plan X Title 5 sand installed, if specified on plan ❑ 40 Mil HDPE barrier installed ❑ Laterals installed and ends connected to header (and vented if impervious material above) ® Elevations of laterals and chambers installed as on approved plan ❑ Retaining wall (boulder/ concrete /timber/ block) ❑ Final cover as per plan Comments: SOIL ABSORPTION SYSTEM (Gravel-less Chambers) Brand and Model of Chamber: Standard Quick 4 Infiltrator Chambers ® Number of chambers per row: 10 ® Number of rows (trenches): 2 Comments: Total Chambers = 20 FINAL GRADE X Loamed X Seeded X Cover per plan Comments: DOCUMENTS NEEDED i i X Certification of Installation Form submitted By engineer and signed and dated by Engineer and installer X As-Built Plan BM = 133.38 HR = 8.62 HI = 142.00 SYSTEM ELEVATIONS ROD AS-BLT INVERT DESIGN INVERT ELEVATION ELEV ELEV Benchmark Building Sewer OUT 3.80 137.87 137.68 Septic Tank IN 4.07 137.60 137.48 Septic Tank OUT 4.34 137.33 137.23 Pump Chamber IN Pump Chamber OUT Distribution Box IN 4.62 137.05 137.03 Distribution Box OUT 4.78 136.89 136.86 Lateral 1 TOP Lateral 1 INVERT 4.89 136.78 136.76 Lateral 2 TOP 4.89 137.11 137.13 Lateral 2 INVERT 4.90 136.77 136.76 Lateral 3 TOP 4.89 137.10 137.13 Lateral 3 INVERT Lateral 4 TOP Lateral 4 INVERT Lateral 5 TOP Lateral 5 INVERT Lateral 6 TOP Lateral INVERT Top of Chamber Bottom of Bed/Chamber 6.25 135.75 MRC-Benchmark was a stake located in vegetated area between lots 16-7 & 16-8. Lateral 1 for purposes of chart above is located closest to dwelling SKETCH PLAN CRITICAL SETBACK DISTANCES Mark those distances checked in the field against the design plan and regulatory setback Tank SAS Sewer ® Property line 10 10 -- ® Cellar wall 10 20 -- ® Inground pool 10 20 -- ® Slab foundation 10 10 -- ® Deck, on footings, etc 5 10 -- ® Waterline 10 10 10' ® Private drinking well 75 1002 50 ® Irrigation well 75 100 ® Surface Water 25 50 ® Bordering Vegetated Wetland , Salt Marsh, Inland/Coastal Banka 75 100 ® Wetlands bordering surface water supply or trib. (in Watershed) 150 150 ® Trib. to surface water supply 325 325 ® Public well 400 400 ® Interim Wellhead Prot.Area ® Reservoirs 400 400 ® Drains (wat. supply/trib.) 50 100 ® Drains (intercept g.w.) 25 50 ® Drains (Other)Foundation 10(5) 20(10) ® Drywells 20 25 ' Suction line 222(2) 2 100 feet is a minimum acceptable distance and no variance is allowed for a lesser distance(NA 5.02). s As defined in 310 CMR 10.55, 10.32, 10.54,and 10.30,respectively,pursuant to 15.211(3),also by NA wetland bylaws.