HomeMy WebLinkAboutBuilding Permit #Exception - 667 FOREST STREET 5/1/2018 OF tAORTh q
BUILDING PERMIT f� "°
TOWN OF NORTH ANDOVER `S \J ° o
APPLICATION FOR PLAN EXAMINATIit
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Permit NO: Date Received
Date Issued:
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IMPORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building Pne family
)(Addition ❑Two or more family ❑ Industrial
Alteration No. of units: ❑ Commercial
❑ Repair, replacement ❑Assessory Bldg ❑ Others:
❑ DemolitionElOther
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DESCRIPTION
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Vt �� DESCRIPTION OF WORK TO BE PREFORMED:
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Identification .Please Type or Print Clearly)
OWNER: Name: J % ' er/ � Phone: og-ql/'-5-
Address: 66 � Fdfes -Cl,,W-
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peruls�or's,Corstrtion �cene k Exp Date 3�r f ?� �
ARCHITECT/ENGINEER j�al7k7 Phone: Lig)6gS- 'i0o
Address: 4$i T ,�,
„� TA✓' 0/tyy Reg. No. Z-0117
FEE SCHEDULE:BOLDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ /N , /d. FEE: $
Check No.: -V Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the/'47a'
ra y fund
51gnatureof.Agent/Ow erfi w3' r Sgnatureaof contrac#ori a �72&
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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 ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ ❑
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COMMENTS
DAT R ECTED DATE APPROVED
CONSERVATIO Z 967-
COMMENTS
DAT REJECT D DATE APPR VED /
HEALTH ] _ ��l t� 7 . ❑ /r�
COMMENTS
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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 Dt�mpster onsi#e es
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CERTIFIED PLOT PLAN
667 FOREST STREET, NORTH ANDOVER, MA
MAP 105D LOT 20
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MAP 1050 LOT 20
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PROPOSED .
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REV. 2 BY: 40' O 40' 80'
REV. 1 BY:
ORIGINAL IS A RED STAMP PLAN
ZONING DISTRICT: R1 .,a= - v I HEREBY CERTIFY:
REQUIRED SETBACKS:
THAT THIS PLAN IS THE RESULT
FRONT — 30 FEET
��, ��d,? s OF AN. INSTRUMENT SURVEY
SIDE — 30 FEET � t,
REAR — 30 FEET AND THAT ALL MEASUREMENTS
j HEREON ARE TO BE CONSIDERED
'�� '�°'Y TRUE AND ACCURATE.
DEED REF: BK. 61304 PG. 794ARMI���•
PLAN REF.: N.E.R.D. PL. 6746 o$-
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DRATED
9SSAC HUgfc'�
PUBLIC HEALTH DEPARTMENT
Community Development Division
Date: August 31,2007
Address: 667 Forest Street
Re: Application for addition
Dear: Mr. Palladino,
Your application for the addition has been reviewed by the Health Department. The application
was denied on, August 31, 2007, for the following reason as shown in red:
1. Missing information
2. x Passing Title 5 inspection of septic system required per local N. Andover regulations
3: ❑ Location of structure not acceptable (unknown at this time)
4. ❑ Undersized septic system
To address the problem(s):
U#1 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)
N#2 is checked:
a. Have se is syst 'nspe y a cern T' le 5 ' pec r to rmi a the
s' of the yst and her it i op ting pr y: (ins or list att he
R
b. Tie-in to municipal sewer
N#3 is checked:
a. Relocate the project
1600 Osgood Street, North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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T If#4 is checked: Options
• 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. Dire 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 4-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
in. 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.
Sincere
7
Sawyer b'c Heal Director
Cc: Building Department
File
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com
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