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HomeMy WebLinkAboutBuilding Permit #Exception - 605 OSGOOD STREET 5/1/2018 BUILDING PERMIT of NORT{Itt,ac 66gti TOWN OF NORTH ANDOVER �? "` -�`'° oL y _ APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received M-� o "6gAT.o' `cy Z SSS5E� L ACHU Date Issued: IMPORTANT:Applicant must complete all items on this page 7-IMMM-0,011 t °�: A e ar{ RAMMMI r 3a �a`041 ? f � 4zx a; x a c- - a�`" ga..x c .xf _ � a rr` 6 az to 3�p kffls"Aid`✓ :; - MARINEam .--_V" �i` r�3' °x`��. re�sz�r�'�.s� .a?`n'{T sq­g �aiS� NI�?IOEMh+se.'4-' _ter . �uJa ` .fM'...... ... x-� x _ ' t a 5- 'r R,tl ANR -x °k i� �: P :"'� - �� ,�F3' ,� �"���b '"^%��{�'^ ,"'•��"r�'�:�... '��r"�,�y ';'c^e' ;_.r3n�`''4ti�*i,. ,.�Y ...�� ter'Ir TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential New Building One family - Addition Two or more family Industrial No. of units: Commercial Repair, replacement Assessory Bldg Others: Demolition Other 'mss i �.4,. .. re. x �''hCi� -d a ,�'r,z m f- �'a7F �.csx= rr�y. ,�S _ '� i} st'•.. �fes-' -r J.; +.v"'S't'.����'`:�`- Na,>tE. � DESCRIPTION OF WORK TO BE PREFORMED: wls-K t✓X1Si��L mow f�►Jo�E ����F 1?2.*A-0VE 2- Noble Jeors i iZ►4wt£ 1�1 4 Identification Please Type or Print Clearly) OWNER: Name: DV\k c kg-�k4 '1 Phone: Address: (mos CL.s600_b STp_*tF--k: T q� v i ' � 1 - Vim" " `: � .-. -�, " �°d` M. t :. t n y.^,`� g � 'j+r aF''+F t '�t »� �r E ,i H n p �-�C'a`+'Sa9' q�,'....r j�xe. „ �Sy �F �ya"•^.,'a=:rr go— tn .'x-, ., Nh 40 �.. 4 � ��i����-`-'�...- IN , .F IRM Mr ARCHITECT/ENGINEER Phone: Address: - Reg. No. 5 FEE SCHEDULE.BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F Total Project Cost: $ r 28i y2F3 FEE: $ Check No.: Receipt No.: NOTE: Persons contracting with unregistered contractors do not have access to the 1guaranty fund S7 ratoreoAer� 0a �er ,7 . nati � rortrc#© u,.a _ I 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. Permanent Dumpster on Site i I� THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM DATE REJECTED DATE APPROVED PLANNING &-DEVELOPMENT COMMENTS I � Ih DATE REJECTED DATE APPROVED CONSERVATION COMMENTS a DATE REJECTED DATE AR ROVED c� HEALTH -� COMMENTS 7" f) rte^— ; .,`u 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 tEt3 � ►Rll�l ler-pus#er � �#ewes jsa5`s.,'.,r�'dR,;.tra3r�.1ran .x� e.�,,.�y, Looa�#ec ( lairreet �h - Tit'J t+ .,:v -,wU y 3"x-• �' * r-`�` x , w' '?r."'.:.' -'i.','`",�: n.`�,new`?` '' f'' ;E" ne� �a ;e r..,� �,. +-.�; �s - E 0 �}-`.:4 _.t/'+pt - s. y aa '�'s.y . ,..:.r� c 3 _sa +� vs" r� r ' r ,a 4 .av,. .. n.....,,.. .. 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 ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A—F and G min.$100-$1000 fine i NOTES and DATA— (For department use) 0 Notified for pickup - Date Doc.Building Permit Revised 2007 4 i f 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 ❑ 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 NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit l Addition Or Decks ❑ 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/Crossection/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Mass check Energy Compliance Report (If Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit a New Construction (Single and Two Family) ❑ Building Permit Application ❑ 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 ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: 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 stamp the decision from the Board of 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:INSPECTIONAL SERVICES DEPARTMENT:BPFORM07 �I Revised 2.2007 1 1 a s --------------_-------- I i J I A,10 L • - \�/i/' �y � +---- � `'_��. -----�� k.-__-._rte-+ � �-?----� 1 , 01 I F P"L -A-. i rr; i F t TA 4 J' if f f I f ! 555 i.l T✓ f k Li - - T -7-_ 7 �l I I I i o S f DRAWING NO: APPROVED: x ..= CUSTOMER: �-, SCALE FT. BY: rnv� THIS !S AN ORIGINAL DESIGN AND REVISED: ALL DIMENSIONS&SIZE DESIGNATIONS y MUST NOT BE RELEASED OR COPIED SUPERSEDES DRAWING GIVEN ARE SUBJECT TO VERIFICATION UNLESS APPLICABLE FEE HAS BEEN NO ON JOB SITE AND"ADJUSTMENT TO FIT � PAID OR JOB ORDER PLACED. JOB CONDITIONS. :• DESIGNER: q ---------------------- ...:.„r. �r_,.,.-.1...-_n.F✓q...-�..r�.f�.'",,eg,,-,,�.�./���.aql.,,.•1...�..4r..!'iw°f.�a:p;?+-�.,,y.,,�,.�. .�,)-`✓l,.�.i�`!rF,�n`'^�*./-'�.`.rr;�..�,..,.c,r.r.a,tra. .. .,,_,f � u <,'F',.r 3.2f:,.r. ,i: •„,.�-;a,' r t+.�„..':..✓,.,.:...—?'_....,r_1'��Y_'/_?._.—�P� u..d—F8..A,...� ':d..'a::� ;7 ,'?'e+ r <'ca,,i/1 �•r r.r ,rrx."�'.r'.a �i,,....f(.'.*f.,2*t'...��+ �:r�.f.d.�'s:-..'',1;..0 Y�.`i,,�,'.,..r.�4&,,%•o33:'-�A r'tr+'•v!.a+�.�„��x.s,C'�., y �:7 �e.s:e.: �J_rN- �;va'6uW � ? vJ x 1 r,y -,.• .:nr ,.f;' t..,�.r+.. ., '°,�'-?r�r.',FYC7'' e.-aa.r' .. � ..- ._ - ----'---- � i .. �<F• � r rr ��,. : r-! I - .•.4a T— •J �9tiZ10\S 71�vN29o� �1 "�Wb�ZI +s. r f Tp QY\0A �'; �N.1NMd' .�, �\ ✓ 3�calt�0 tn1---S"lZ�!M'M��— � �---. A , f------ `�— -1 IV-;$ QMtf�l Y�J 1� �M 9 M1�Slk� (y�d0� + f` �✓? , �r``� �. z 77w.f.'S;V77„%/ O�O d`J f�! 9icK(�fil Hf ,+� \ t r�;•r'.:� 'F; r. .�!�!-/��a''d'.ro''��/'.,�(/��� � t•r vG .Ri{�F :Z• t ��r�,v,.F F ��F' 4r 4 v V I Y //�!•.a y .�r� .P�� ,'0a.�r�i��� �����{•.•. � .ff.'.,,,y� ._.._._..—.__—____.___.�M:6” �� r'/�T�'��.{�� 7777 VV j T 1� i I �; �� Ire,�.--.t, I r✓I i ocAp vef / � ::I� =j DRAWING NO: APPROVED: X SCALE 1 '-� "=�FT. CUSTOMER: REVISED: BY: ALL DIMENSIONS& SIZE DESIGNATIONS (��r. E __ _ THIS IS AN ORIGINAL DESIGN AND I ... t 1-� +�^ -�— MUST NOT BE RELEASED OR COPIED SUPERSEDES DRAWING GIVEN ARE SUBJECT TO VERIFICATION - UNLESS APPLICABLE FEE HAS BEEN ON JOB SITE AND ADJUSTMENT TO FIT 4'' �j JA J '.j 1� , J ,r " PAID OR JOB ORDER PLACED.' NO. JOB CONDITIONS. DESIGNER: 3 A 1 t I of 11 COMMONWEALTH OF MASSACHUSETTS S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION 4% y TITLE: 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: MUfMt,Trust for Public Land Owner's Address: 33 Union Street 4`b Floor Boston,MA 02108 Date of Inspection: June 6,2006 Name of Inspector: (please print) Benjamin C.Osgood,Jr.Certified Title 5 Inspector Company Naive: New England Engineering Services Inc. Mailing Address: 1600 Osgood Street Building 20 Suite 2-64,North Andover,MA 01845 Telephone Number: 978-686-1768 CERTIFICATION STATEMENT I- I certify that 1 have personally inspected the sewage disposal system at this address and that the informatioil reported below is true, accurate and complete as of the time of the inspection.The inspection was performed based on my training and experience in the proper function and maintenance of the on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15340 of Title 5(310 CMR 15.000).The system: X Passes Conditionally Passes Needs Further F.,valuation by(lie Local Approving Authority , Fails /? Date: / Inspector's Signature:_ �� �d.9 c}c� The system inspection shall submit a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of Io,00o gpd or greater,the his for and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. I Notes and Comments t ****This report only describes conditions at the time of inspection and under the conditions of use at that tune. This inspection does not address how the system will perform in the future under the same or different conditions of use. J I. /I 2of11 OFFICIAL INSPECTION FORM—NOT FOR VOLITNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION TION C011tlil ued Properly Address: 605 Osgood Street North Andover,MA 01 845 Owner's Name: Trust for Public Land Date of Inspection: June 6,2006 Inspection S rru pe u Ik'lr}': Check A,I3 C,D or E/ complete allot Section D A. System Passes: YES I have not found any information which indicates that any of the failure criteria described in 310 13.304 exist. Any failure criteria not evaluated are indicated below. CMR 15.303 or in 310 CMR Comments: B, System Conditionally Passes: I NO One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system, upon completion of the replacement or repair,as approved by the Board of Hcalth,tivill pass. Answer yes, no or not determined(Y,N,ND)in the for tile following statements. If"not determined" ex lease lain. p P The septic tank is metal and over 20 years old*or tine septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or cxfiltration or tank fiilthre is imminent. System will pass inspection if thcc xislin9 tankis replaced hhith a complying septic tank as approved by the Board of Health. *A metal septic tank~viii pass ilspectiolh if it is 5(mcuhranily sound,not leaking and if a Certificate of Compliance indicating drat tlhe tank is less than 20 years old is available. I' ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipc(s) or due to a broken,settled or uneven distribution box. System will pass inspection if(with approval of Board of Health): Broken pipe(s)are replaced Obstruction is removed Distribution box is leveled or replaced I N.D explain: The s}stenh required pumping more than 4 times a Year due to broken or obstructed pipc(s). The system will pass inspection if (with approval of the Board of Health): Broken pipc(s)are replaced Obstruction is removed ND explain: E 3 of 11 OFFICIAL INSPECTION FORINT—NOT FOR VOLUNTARY ASSESSNIENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 505 Osgood Street North Andover,Iv1A 01815 Owner's Name: 101111111ft,Trust for Public Land Date of Inspection: June 6,2006 II C. Further Evaluation is Required by the Board of Heath: �Vo Conditions east which regturc fitrther evaluation by the Board of IIeaitir in order to determine if the system is failing to protect public health,safety or the cnvirorunent 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland ora salt marsh 2. System will fail unless the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the pxxblie heath,safety and environment: The system bas a septic tank and (SAS)Soil Absorption System turd the(SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. Tile system has a septic tank and the SAS is within 5o feel of a private water supply well. I i The systems has a septic tank acrd SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well**. Method used to determine distance j **This system passes if the well water analysis,performed at a DEP certified laboratory,for coliform bacteria and volatile organize compounds indicates that the well is free from pollution frons that facility and the presence of anunonia nitrogen and nitrate nitrogen is equal to or less than 5ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form, 3. Other: t I I 4of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE .DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (colithlued) Property Address: 605 Osgood Street North Andover,MA 0184.5 Owner's Name: tOftOW,Trust for Public Land Date of Inspection: June 6,200' 6 D. System Criteria applicable to all systems: You must indicate i°yes or Nd'to each of the following for all inspections: Yes No M Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool Discharge or ponding of effluent to the surface of the gronmd or surface waters due to all overload or clogged SAS or cesspool. ✓ Static liquid level in the distribution box above outlet invert due to an overload or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available voltune is less than%day flow Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s).Number of times pumped Any Portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. V Any portion of a cesspool or privy is less than 100 feet but greater th�arr 50 feet from a private water supply well with no acceptable water quality arl<alysis. (this system passes if the well dvater analysis,performed at a DEP certified laboratory for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the Presence of ammonia nitrogen and nitrogen is equal to or less than Sppnn,provided that no other failure criteria are co triggered. A copy of the analysis must be attached to this form.) NO _(Yes/No)The system fails. I have determined thatone or more of the above failure criteria exist as described un 310 CMR 15.303,therefore the system fails. The systern owner should contact the Board of Flealtb to determine what will be necessary to correct fire failure. E. Large Systems: To be considered a large system the sy m must serve a facility with a design flow of 10,0glad to iS,000 gpd. You must indicate either"yes"or"uo" to eac f the following: (The following criteria apply Yo large systems in a • 'on to the criteria above) Yes No The system is within 400 feet of a surface drinidn r er supply _ The system is wiQwi 200 feet of a lribut to a srufacc dririlal water supply The system is.located in a nitro 1 sensitive area(Interim Wellhead Pro ion Area—1WPA)or a mapped Zone II of a public water supply w If you answered"yes"to any quer ' in Section E the system is considered a significant threat,or answe "yes"in Section D above the large system has failed. T3 owrier or operator of any, large system considered a significant threat under on E or failed under Section D shall upgrade 0 ystein in accordance Mth 310 CMR 15.304. The system owner should contact tI1e ap palate rebional Office of the Departr it. I 5 of 11 OFFICIAL INSPECTION FORM—NOT FOR 17OLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM.INSPECTION FORM PART B CHECKLIST Property Address: 605 Osgood Street North Andover, MA 01845 Owner's Name: bbWdkW Trust for Public Land Date of Inspection: June 6,2006 Check if the foilolviriLl have been done. You must indicate"Its"or"no"as to each of the followin : Yes No Pumping information was provided by tine owner,occupant,or Board of Health Were any of the syystem components pumped out in the previous two weeks? Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of an inspection? ✓ Were as built plans of the system obtained and examined? (If they were not available note as T'/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for sign of break out? Were all system components,excluding the SAS,located on site? ✓ Were all the septic tank manholes uncovered, opened,and tine interior of the tank inspected for the condition of tine baffles or tees,material of construction,diunensions, depth of liquid,depth of sludge and depth of scum? Was file facility owner(and occupants if difference from owner)provided with informationon the proper rmaintenance of tine subsurface sewage disposal systems? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No Existing information. For example, plan p a p at the Board of Health. ✓ D < Determined in the field(if any of thc,failure critera related to Pani G is at issue aPProxiznation of distance is unacceptable) [3 10 CMR 15.302(3)(b)j 6of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: Trust for Public Land Date of inspection: June 6,2006 FLOW CONDITIONS RESIDENTIAL Number of bedrooms(design) — Number of bedrooms(actual): 3 DESIGN flow based in 3.10 CMR 15.203 (for example: 110 gpd x #of bedrooms) !- Number of current residents: 2 Does residence have a garbage grinder(yes or no): YES Is laundry on a separate sewage system(yes or no):_ NQ [if yes separate inspection required] Laundry system inspected(yes or aao): - Seasonal use: (yes or no): No Water naeter.readings,if available(Inst 2 years usage(gpd):�3 Bl. �(o. , � > ��L Sump Pump (yes or no): Yes Last date of occupancy Current (2u5 2 -3,3 COMMERCIALIINDUS TRIAL Type of establislunent. Design flow(based on 310 CMR 15.203): gid Basis of design flow(seats/persons/sgft,etc Grease trap present(yes or no): Industrial waste holding tank present(yes or no): Non-sanitary waste discharged to the Title 5 system(yes or no) 1 Water meter readings,if available: Last date of occupancy/use: OTHER(describe): Pumping Records GENERAL INFORMATION Source of information: Unknown Was system pumped as part of the inspection(yes or no): No If yes,volume pumped; gallons—How was quantity pumped detenunaed? Reason for pumping: TYPE OF SYSTEM X Septic tank, distribution boa,soil absorption system Single cesspool Overflow cesspool Privy s Shared system(yes or no)(if yes,attach previous inspection records,if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight tank- Attached a copy of the DEP approval Other(describe): %pproximate age of all components,date installed(if known)and source of information: 3uilt 1997 per owner Vere sewage odors detected wen arriving at the site(yes or no): No 7of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: ANNROWTrust for Public Laud Date of Inspection: June 6,2006 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: cast iron 40 FVC other(explain) Distance from private water supply wellor suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): Pipe looks ok in basement. SEPTIC TANK: (locate oil site plan) Depth below grade: 4'with 2 risers . Material of construction: X concrete metal fiberglass polyethylene 011ier(explain) If tank is metal list age: Is age confirmed by a Certificate of es or z,o Dimensions: 1000 gallons Compliance(y ) (attach a copy of certificate) Sludge depth: L l Distance from top of sludge to bottom of outlet tee or baffle:`, Scum thickness: ,�- Distance from top of scum to top of outlet tee or baffle:_ 7 u Distance from bottom of scum to bottom of outlet tee or baffle /g" How were dimensions deternuned: '-1-1 Eq-S�K 0, �`1]Gi4 Continents(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tank in ok condition risers to within 6"of grade. Sch 40 outlet tee in good condition. I GREASE TRAP:_.N-_(locate on site plan) Depth below grade: Materials of construction: concrete metal fiberglass-----Polyethylene other Dimensions: Scum thickness: t Distance from top of scull,to top of outlet tee or bafflc: Distance from bottom of sludge to bottom of outlet lee or baffle: Date of last pumping: Comments(on pumping reconmiendations, inlet and outlet tee or baffle condition slriclunal integrity, liquid levels as related to outlet invert,evidence of leakage, etc. 8of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORAI PART C SYSTEM INFORMATION (continued) Property Address: 605 Osgood Street North Andover,MA 01845 Owner's Name: Trust for Public Land Date of Inspection: June 6,2006 TIGHT OR HOLDING TANK: N/A (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Materials of cortstniction: concrete tectal fiberglass aolyetltylctne other. (explain) Diniensions:_ Capacity: _gallons Design Flow: gallons/day Alarm present(yes or no): Alarm level: Alarin in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: .(if present must be opencd)(locate on site plan) )epth of liquid level above outlet invert: 0` Comments(note if box is level and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out )f box, etc.): 13ox ok cover cracked. Riser added as part of inspection. TMT CHAMBER.—N/A (locate on sire plan) umps in working order(yes or no) lanes in working order(yes or no) I _ (note condition of pump chamber,condition of pumps and appurtenances, etc.): 9of11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 605 Osgood Street North Andover,MA 0.1845 Owner's Name: 164660f I,Trust for Public Land Date of Inspection. June 6,2096 SOIL,ABSORPTION SYSTEM(SAS) (locate ou site elan exeaIvation not required If SAS not located explain.why TYPE X leaclhithg pits number 1 shall)w leach pit leaching cbmubers, number leaching galleries number leaching trenches,number in length leaching fields,number,dimensions: overflow cesspool,number: innovative/alternative system Type/name of technology: Comments(note condition of soil, signs of hydraulic failure.Level of ponding,(:hnhp soil,condition of vegetation etc) Area of'system looks normal. CESSPOOLS: N/A (cesspool must be Pumped as part of inspection)(.locate on site plan) Number and confhg=ion:_ Depth—top of liquid to irhlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of Construction: Indication of groundwater inflow(yes or no): Conhments(note condition of soil, signs of hydraulic failure,level of ponding,condition of vegetation,etc.): PRIVY: NIA (locate on site plan) Material orconstruction: Dimensions: Depth of solids: Comments(note condillon of soil signs of hydraulic failure,level of ponding;condition of vegetation. c(c. 1.0 of 11 OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENT SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 605 Osgood Street North Andover,MA 01815 Owner's Name: 10111WWW,Trust for Public Land Date of Inspection: June 6, 2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least hvo permwient reference huichiiarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building, Drzive: AL a s b` �9,t " Zt► i i I1 Of It OFFICIAL INSPECTION FORM NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORNI PART C SYSTEM INFORMATION (continue(j) Property Address: 605 Osgood Street North Andover,M-A 018=45 Owner's Name: 7-T?vST 1� Date ofinspection: Jwte 6, 2006 2 P�g�ie `ANv SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water t9 feet PIease indicate (check)all methods used to determine the high grotuid water elevation: Obtained from system design plans on record—If checked,dale of design plan reviewed: _ Observed site(abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health—explain: Checked with local excavator,installers—(attach documentation) _ Accessed USGS database-explain: You must describe holy you established the high groundwater elevation: �.vn ic,l4, 1-; C a.1 G d r1/r re r Q f2rt is c cY �J UtcQ e,,cc� 1, 7-1 7—aec T}t ItipfC.477uq- DeeP �.-a7- - i79h3LC t North Andover Board of Assessors Public Access Page 1 of 1 woR.y 'Fown,of Worth Andover, °�,,•� "o Boarld 0.f Assessors P, o R � M •''q''^^^:y°".�'r Property �swcHuse �� Record Card Return to the Home page click on logo Parcel ID:210/035.0-0032-0000.0 Community:North Andover SKETCH PHOTO New Search Click on Sketch to Enlarge Sales NA, "Picturf Summary Residence Available Detached Structure Condo - - Commercial Comparable Sales Location: 605LOT A OSGOOD STREET Owner Name: TRUST FOR PUBLIC LAND Owner Address: 33 UNION STREET City:BOSTON State:MA ZIP:02108 Neighborhood:7-7 Land Area:2.2 acres Use Code:905-CHARITY-PROP Total Finished Area:4237 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 801,100 919,300 Building Value: 567,200 589,200 Land Value: 233,900 330,100 Market Land Value:233,900 Chapter Land Value: LATEST SALE Sale Price:1,035,000 Sale Date: 11/21/2006 Arms Length Sale Code:K-NO-EXEMPT Grantor:THE TRUST FOR PUBLIC Cert Doc: Book: 10503 Page: 145 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=1175287 3/11/2008 Residential Property Record Card PARCEL_ID:210/035.0-0032-0000.0 MAP:035.0 BLOCK:0032 LOT:0000.0 PARCEL ADDRESS:605LOT A OSGOOD STREET PARCEL INFORMATION Use-Code: 905 Sale Price: 1,035,000 Book: 10503 Road Type: T Inspect Date: 05/22/2007 Tax Class: E Sale Date: 11/21/2006 Pager 145 Rd Condition: P Meas Date: Owner: Tot Fin Area: 4237 Sale Type: P Cert/Doc: Traffic: M Entrance: X TRUST FOR PUBLIC LAND Tot Land Area: 2.2 Sale Valid: K Water: Collect Id: SGC Address: Grantor: THE TRUST FOR PUBLIC Sewer: Inspect Reas: M 33 UNION STREET _ BOSTON MA 02108 Exempt-B/L% 0/0 Resid-B/L% / Comm-BILP/o Indust-B/L% / Open Sp-B/L% / RESIDENCE INFORMATION LAND INFORMATION Style: CL Tot Rooms: 9 Main Fn Area: 2197 Attic: Y NBHD CODE: 7 NBHD CLASS: 7 ZONE: R2 Story Height: 2.25 Bedrooms: 5 Up Fn Area: 2040 Bsmt Area: 2148 Seg Type Code Method Sq-Ft Acres Influ-Y/N Value Class Roof: G Full Baths: 5 Add Fn Area: Fn Bsmt Area: 1 P 905 S 43560 1 224,769 Ext Wall: FB Half Baths: Unfin Area: 600 Bsmt Grade: 2 R 905 A 52285 1.2 9,120 Masonry Trim:_ Ext Bath Fix: Tot Fin Area: 4237 VALUATION INFORMATION Foundation: CN Bath Qual: T RCNLD: 567210 Current Total: 801,100 Bldg: 567,200 Land: 233,900 MktLnd: 233,900 ICxt tch:OuaT Eff r Built: 1965 Mkt n d: Prior Total: 919,300 Bldg: 589,200 Land: 330,100 MktLnd: 330,100 Heat Type: ST .Ext Kitch: Year Built: 1900 Sound Value: Fuel Type: O Grade: GV Cost Bldg: 567,200 Fireplace: 4 Bsmt Gar Cap: Condition: GV Att Str Val1: Central_AC: N Bsmt Gar SF: Pct Complete`. -Att Str Val2: Aft Gar SF: 11leVoGood P/F/E/R: /100/100/82 Porch Type Porch Area Porch Grade Factor P 564 SKETCH PHOTO 16 5 52 4 36 FM1S UP0.35 FU'O 75 2M54*Mq.ft. Spy G $ 2 0 g9.R. 1116 Sq. .3_ 1 1 22 qlE?q 30 1 36 No Picturw q .R. Avaflabl%$ Parcel ID:210/035.0-0032-0000.0 as of 3/11/08 Page 1 of 1 Andover 89 North Main Street 11 ® Kenneth M. LaRose W ;I M. Andover, MA 01810` President wo, F`� f ti , ut'`li`ofne"as if rt were alu'.,�iame.; 6}YN Tel: 978-470-4753 Fax: 978-470-0258 www.andoverequitybuilders.com April 2 , 2008 Keith Residence 605 Osgood Street N. Andover, Ma. 01845 .-Doug's Cell 978-886-4117 Sunnyridge Proposal:#8 (Amended) Proposal to Finish the playroom above the Garage Andover Equity Builders Inc. proposes the following cost for finishing the.playroom as per the redesigned scope as defined by meeting with Kathy at your house on 2-15-08. Included items in proposal: • Demo the existing stairwell partition wall to allow for the installation of a new-open handrail design where the existing plexi glass is. • Supply and install new primed skirt boards with cap from the garage mudroom platform to the top tread below the playroom floor. • Supply and install new oak handrail and a primed baluster system at the top of the opening between the two walls over looking the stairwell. • Remove the set of double doors to the exterior and frame in with four Andersen A-31 or similar operating awning windows at transom height to allow for the installation of a wall mounted television below. • Completely patch in the exterior trim and siding. • Patch in all interior insulation and sheetrock from the above window installation. • Frame in the four sides of the front dormer walls, insulate, and install drywall. • Frame in the new playroom bath wall as per design by Daher Interior designs. • Supply and Install a new door for the above wall. • Supply and Install all finish baseboard and door/window trim material and labor to complete the above. • Frame the new garage mudroom hallway at the bottom of the playroom stairs. • Supply and Install the new fire rated entry door from the garage. 1 • Electrical: (as per plan by Daher Interior Designs) o Supply and install 9 recessed cans o 1 —floor outlet o Electrical demo of existing lighting and ceiling outlets. o One TV outlet • Patch and plaster any of the remaining openings. • Paint the entire room primer and 2 coats finish. • Removal of all waste materials. Proposed Total: $ 25,732.50 Does not include: ➢ The necessary-Building Permit. (Permit is based upon the entire scope and can be determined when options are defined). ➢ Any plumbing to complete the above. " ➢ Any baseboard heating removal. ➢ Any finish flooring. ➢ Smoke or carbon monoxide detectors. ➢ _.Any Alarm wiring. Additional Scope—As required by the North Andover Health Dept. • Open the existing cased opening at the top of the kitchen stairwell wall to the open landing above the kitchen area below. • Reframe the existing opening from 30"to 60"to expand the laundry hallway into the open landing. • Re-case the new opening to match the existing as close as possible. - • Install a new door threshold to match the existing flooring and stain as close as possible. • Includes relocating the existing electrical outlet and the wall thermostat. • Prime the new opening and prep for the final painting. Proposed Total: $ 2696.00 2 *This is the total cost of your project as outlined above. Change Orders will be written for all changes in the scope of the work. These change orders are based on the cost of materials and labor plus an 18% management fee. Each change order must be approved by you before the work is done. Payment for all change orders is expected at the time they are signed. Payment Schedule for: Sunnyridge Proposal#8 Upon Amount Due Signing of Contract $10,000.00 After Rough Inspections $8,000.00 Completion of Plaster Work $6,000.00 Completion of scope $4,428.50 $28,428.50 We understand the above Payment Schedule and agree payments are due upon receipt. We will make those payments directly to the Project Manager or by sending them to Andover Equity Builders at the above address. We also understand that Andover Equity Builders reserves the right to delay completion of the work for nonpayment. This proposal expires one month from the date written. If this proposal is accepted please sign one copy and return it to Andover Equity Builders Inc. Signature below acknowledges receipt of two Rights of Rescission forms included below. Signed Date /_/2008 Signed Date / 2008 Andover Equity Builders, Inc. Representative ** Federal Law provides you with the right to cancel this transaction, if you so desire, without any penalty or obligation, at any time before midnight of the third business day from the date you sign this contract. Any down payment or other consideration you may have tendered on entering this transaction must be refunded to you in the event you cancel. If you desire to cancel this transaction, you may do so by filling out the following form and mailing it to Andover Equity Builders, Inc., 89 North Main Street, Andover, MA 01810 3