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Home My WebLink AboutBuilding Permit #1093-15 - 314 REA STREET 6/24/2015 I pT" BUILDING PERMIT qti TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION .4000a Permit No#• Date Received • ^' Cl �gSSH �� Date Issued: Z"t CHUs IMPORTANT: Applicant must complete all items on this page LOCATION 31Y R A sT Print PROPERTY OWNER Amy CrANc.TARySn - Print 100 Year Structure yes no MAP _PARCEL: ®/2J ZONING DISTRICT: Historic DistrictY es no Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building O'One family ❑Addition ❑ Two or more family ❑ Industrial RAlteration No. of units: 0 Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑ Other Se tic' We P ❑ Floodplain ❑Wetlands ❑ Watershed District 0 Wates/Sewer-_ _ , DESCRIPTION OF WORK TO BE PERFORMED: 1,IRcI� vP / MC- wTcc, AE El a AMID MADE A PLI�y mr, Identification- Please Type or Print Clearly OWNER: Name:_ Arny C94q/ TA2us0 Phone: Address: 319 9-C4 ST. /1/e &D gA Contractor Name: k,aw A ScNu4 Phone: 461 051-4 Email: K ms,2 KM5cQC607 _ Address: G0 FoRrsr- s1: UMICEFTEI-b MA m81ro Supervisor's Construction License: Cs - Exp. Date: C6/M Home Improvement License: /96Y2:� Exp. Date: 11V1:7-1.Z ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: ,�5 1 $ prf.3, so FEE' Slo. Check No.: "5 2-D Receipt No.- NOTE: -PeI"sons contractin. ith un istered contractors do not have access to the14ar : and g - �f Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Tanning/Massage/Body Art ❑ Swfim ing Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ ElPermanent Dumpster on Site THE FOLLOWING SECTIONS FOR OFFICE USE ONLY � INTERDEPARTMENTAL SIGN OFF m D FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENTS HEALTH Reviewed on -9Signature C MMENTS ` e - 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 _ ,AIFIRE DEPARR+TM "Tem `Durr"stet onsite;�1es� . ,sroa E ._ �4..� t M t p� .per _ �; Y _ �_ __ �- I�Loat d atKj.4�1MainfSfreLt. ,FireDepaOmentsgnatur�eldate Dimension Number of Stories: Total square feet of floor area, based on Exterior dimensions. Total land area, sq. ft.: ELECTRICAL: Movement of Meter location, mast or service drop requires approval of Electrical Inspector Yes No DANGER ZO ME LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$10041000 fine NOTES and DATA-- (For department use) ® Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required forms to be filled out for the appropriate permit to be obtained. Roofing, Siding, Interior Rehabilitation Permits Building Permit Application 4. Workers Comp Affidavit Photo Copy Of H.I.C. And/Or C.S.L. Licenses Copy of Contract Floor Plan Or Proposed Interior Work Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks 4. Building Permit Application Certified Surveyed Plot Plan Workers Comp Affidavit Photo Copy of H.I.C. And C.S.L. Licenses Copy Of Contract Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) 4, Mass check Energy Compliance Report (If Applicable) Engineering Affidavits for Engineered products OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) Building Permit Application 4� Certified Proposed Plot Plan Photo of H.I.C. And C.S.L. Licenses Workers Comp Affidavit Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) Copy of Contract 2012 IECC Energy code Engineering Affidavits for Engineered products IN OTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stampthe decision from the Board o f Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc:Building Permit Revised 2014 Pans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ TYPE OF SEWERAGE DISPOSAL Public Sewer ❑ Taming/Massage/Body Art ❑ Swimming Pools ❑ Well ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑ THE F'OLLO'WING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF m U FORM PLANNING & DEVELOPMENT Reviewed On Signature_ COMMENTS CONSERVATION Reviewed on Signature COMMENT S HEALTH Reviewed on o� Si nature Y1ZC MMENTS L0, Y- IA/1 d— • 0 Zoning Board of Appeals:Variance, Petition No: Zoning Decision/receipt submitted yes Panning Board Decision: Comments Conservation Decision: Comments Water& Sewer Connection/signature &Date Driveway Permit DPW Town Engineer: Signature: Located 38.4 Osgood Street FIRECDEPARVTMENiT Ternp ®urnpster�ontsite nrStr'eet 'Fire 6' t :,�i �- artment si p gnatureld"afe, C-- i s i 3 i �o F -------------- I E 04WO-4Y OOF a ' I- r I I Jx I - 1 ��f i I �'a l I 1 I I i I I• I I -- - - I I1I � � illllf I1I I _ I ' lolitln y �uv3r _ � ��R�F ��.� �_v�_.�'R I-- n l . ��_.- _ !+P � ... /Y IRS� sf_---, — ► I -�-- �' ��GEi �/ L � �a � v�,� -�, iq ��r� Sr, FY 97 BUDGET WORKSHEETS EXPENSE BUDGET BY PRIMARY SERVICE FY'97 FY'97 FY'97 FY'97 FY'95 FY'96 ADMIN. PRIMARY PRIMARY PRIMARY ACTUAL BUDGET EXPENSES SERVICE SERVICE SERVICE # 1 #2 #3 0.00 0.00 i 88.00 5,676.00 0.00 0.00 0.00 0.00 64.00 300.00 Town of North Andover NCRTIy OFFICE OFoL COMMUNITY DEVELOPMENT AND SERVICES p 146 Main Street North Andover, Massachusetts 01845 �,''q;:;o..• s5 WILLIAM J. SCOTT 9SSACHUS�� Director January 2, 1997 John Kendrick 319 Rea Street North Andover, MA 01845 Dear Mr. Kendrick: It has come to the attention of this department through the report of a Title 5 inspection report performed by Raggs, Inc. on December 4, 1996 that the septic tank on your property at 319 Rea Street, North Andover is structurally unsound and should be replaced. Please secure the services of a North Andover licensed septic installer (list enclosed) to obtain a permit and replace the septic tank within one month of the date of this letter. If you have any questions concerning this process, please call the Board of Health office between 8:30 A.M. and 4:30 P.M. Monday through Friday. Sincerely, Sandra Starr, R.S. Health Administrator BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 Commonwealth of Massachusetts City/Town of NORTH ANDOVER, MASSACHUSETTS System Pumping Record Form 4 DEP has provided this form for use by local Boards of Health. The System Pumping Record must be submitted to the local Board of Health or other appro[ng aK CC JUN A. Facility Information2Q9Important:When filling out 1. System LOCatIOn: WN QF NORTH ANpQVERforms on the 'Q �^ EALTH DEPARTMENT computer, use L 1 1 only the tab key Address to move your /V cy� cursor-do not f�f� use the return City/Town State Zip Code key. 2. System Owner: GoyGO/j ' i �� Name Address(if different from location) City/Town State Zip Code offs- Telephone Number B. Pumping Record 1. Date of Pumping 11 Date id 1 C 2. Quantity Pumped: Gauons v 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes �No If yes, was it cleaned? ❑ Yes ❑ No 5. Condition f 0 o System: 6. System Pumped By: Name Vehicle License Number Gk)G _ Co pany 7. Location where contents were disposed: Signature of Hauler Date http://www.mass.gov/dep/water/approvals/t5forms.htm#inspect t5form4.doc•06/03 System Pumping Record•Page 1 of 1 TOWN OF NORTH ANDOVER SYSTEM PUMPING RECORD DATE: 8/8/02 SYSTEM OWNER & ADDRESS SYSTEM LOCATION (example: left front of house) JAMES GORGANI 319 RAE STREET EST. DATE OF PUMPING: 73/02 QUANTITY PUMPED 1500 GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES X NATURE OF SERVICE: ROUTINE X EMERGENCY OBSERVATIONS: GOOD CONDITION X FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS FLOODED SOLIDS CARRYOVER OTHER(EXPLAIN) SYSTEM PUMPED BY: RAGGS SEPTIC SERVICE INC COMMENTS: CONTENTS TRANSFERRED TO: GREATER LAWRENCE SANITARY DISTRICT • • • :-Poo I NORTH ANDOVER , MVsem -stem 1.6cation JAMES & LISA GOfNIRE � 319 REA STREET 2007ANDOER - TMEN Date of Pumping: 613/07 . Quantity Pumped: 1500 gallons C 1: No El Yes . 0 Septic Tank: No ❑ Yes esspoo RRGGS SEPTIC SERVICE, INC' �• -SEPTIC a .�. System Pumped b• • d.b.a. COMEI►t1 Licens Contents transferred to: ITGHBtI RG tr RAGGS SEPTIC SERVICE, IN Inspector Date 7/15/07 i vaL•a -V..t jp....-.. ...-r 46'1v AX&JURD Conunomrealth of Massachusetts N. ANDOVER: • Massachusetts &stem PuM pin a rd . i !jy stem %%rer System Location flRECEVQEDJAMES & LISA GORGONI 2008 319 REA STREET N OF NOR7RTMEANDOVER NT 4 Date of Pumping: 8/11/08 Quantity Pumped: 1500 gallons Cesspool: No 0 Yes , ❑ Septic Tank: No ® Yes RAGGS SEPTIC SERVICE, INC. - S}•stem Pumped br: d.b.a. E. A. COMEAU SEPTIC License r: Contents transferred to: F`'YTCHBURG TREATMENT PLANT Date 8/11/08 • Inspector RAGGS SEPTIC SERVICE, INC - Commonwealth of Massachusetts \\\ .f City/Town of NORTH ANDOVER MASSAC LIVED System Pumping Record JAN p E 2010 Form 4 TOWN OF NORTH ANDOVER DEP has provided this form for use by local Boards of Health. The ystelu must be submitted to the local Board of Health or other approving authors . I A. Facility Information Important: When filling out 1. System Location: forms on the (t computer,use _3lei rea A-'e'f t only the tab key Address to move your N1 Poh And Uy ev KA �/�L/S cursor-do not Ci /Town use the return ty State Zip Code key. 2. System Owner: Gll�nt S Cho r wl Name Address(if different from location) City/Town State Zip Code Telephone Number B. Pumping Record 1. Date of Pumping 1 10 iuoc► 1500 p g Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) []-Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes 2-190 If yes, was it cleaned? ❑ Yes ❑ No 5. Conditionf o System: 6. System Pumped By: f��Vt 60*tft*n 7z 9/ 4 Name Vehicle License Number c°r'vr e jnC Co ny 7. Location where contents were disposed: _ OU V 9 !v� Zoaq _ Signature of Hauler Date http://www.mass.gov/dep/water/approvals/t5forms.htm#inspect t5form4.doc•06/03 System Pumping Record•Page 1 of