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HomeMy WebLinkAboutBuilding Permit #Exception - 67 FOSTER STREET 5/1/2018 TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit NO: Date Received 7 /112 Date Issued: IMPORTANT:Applicant must complete all items on this page LOCATION Print 4 PROPERTY OWNER %�- Print MAP NO: 104y PARCEL: ZONING DISTRICT: Historic District yes Machine Shop Village yes TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building { One family $Addition ❑Two or more family ❑ Industrial ❑Alteration No. of units: ❑ Commercial ❑ Repair, replacement ❑Assessory Bldg ❑ Others: ❑ Demolition ❑Other ,Sept c) Well '� DFloodpla nes ®Wetlands �O�WatershedDistct IBM _ _.; � ►► ' :zQ DESCRIPTION OF WORK TO BE PERFORMED: Q L"M9 v-J d eel Identification Plose Type or Print Clearly) OWNER: Name:. Phone: on T- 'Lsl� ZS'O D Address: d`1 Ewa 4-t- CONTRACTOR Name: Phone: "-,C- :-5,37j- Address: b 5,37 —Address: 1.'%4Z- Supervisor's Construction License: QS3 V'I'k, Exp. Date: _.6(1-%, I Home Improvement License: t O 0 -1 Exp. Date: 6 ARCHITECT/ENGINEER Ste_ �� Phone: Address: Reg. No. FEE SCHEDULE.BULDING PERMIT.$12.00 PER$9000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F. Total Project Cost: $ I-Ae, FEE: Check No.: Receipt No.: NOTE: Persons contractin with unregistered contractors do not have acce s to the guaranty fun Signatiare:_ofAgent/Own r i Signature of contractor t 1aJ Plans Submitter 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 UrSE ONLY INTERDEPARTMENTAL SIGN OFF - U FOR ' DATE REJECTED DATE APPROVED El PLANNING DEVELOPMENT El i COMMENTS CONSERVATION Reviewed on �S�inature l� ��vv COMMENTS HEALTH Reviewed on Si nature COMMENTS 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 Osgoo Street FIRE DEPARTMENT -Temp Dumpster on site yes no Located at 124 Main Street Fire Department signature/date ;COMMENTS tPIC 0, 22-141 50 SHEETS aewpnu 22-142 100 SHEETS 22-144 200 SHEETS r Cow gW �W Yeo �--� =:D O ra 0 l� 22.141 50 SHEETS \I a L 22-142 100 SHEETS 22.144 200 SHEETS eo7 oW a D Fa � P 6`R Ow .. . --Ju- In Jr Zr\ fao I O= F- 6 i I • North Andover Health Department [ommunity Development Division Date: July 12,2011 Matt and Pam Rinet 67 Foster Street North Andover,MA 01845 Re: Application for 2 story addition at 67 Foster Street Dear: Mr. and Mrs. Rinet, �S Your application for a deck submitted on July 11, 2011 at has been reviewed by the Health Department. Unfortunately,the application cannot be approved by the Health Department for t following reasons found in red: 1. x Missing information - only a partial floor plan was submitted. Also note that the septic pan used in the application was not the actual As-Built of the septic system. This can be b found in the Health Dept. file. L/x Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system ***need more information before determination **** To address the Vproblem(sl: If#1 is checked,please supply: a. A floor plan of the existing home and proposed addition—please label all rooms b. Draw in the project on the As-built at the Health Dept. showing house, septice system and proposed project in scale (this can be done in the Health Dt�_ If#2 is checked: a. Once the Health Director reviews the room count and.gives the approval, have the septic system inspected by a certified Title 5 inspector to determine whether it is— operating properly: A list of licensed inspectors can be found at http://www.townofnorthandover.com/Pages/NAndoverMA Health/permitsandreg_s �r 67 Foster Street July 11, 2011 operating properly: A list of licensed inspectors can be found at http://www.townofnorthandover.com/PagesNAndoverMA Health/permitsandregs b. Tie-in to municipal sewer If#3 is checked: NO a. Relocate the project • If#4 is checked: Please be aware that this cannot be determined until further . information is receive Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, u Sawy f Public Health Director Cc: Building Department File 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com Commonwealth of Massachusetts R ECEIVED W Title 5 Official Inspection Form 11 Subsurface Sewage Disposal System Form -Not for Voluntary Assessm �' �NORTH R67Foster Street D PAR Property Address Matthew& Pamela Rivet / Owner Owner's Name r� ri` information is North Andover Ma. 01845 7-20-2011 6 ,.� required for every - ,t page. City/Town State Zip Code Date of Inspection 'n Qy�/ V Inspection results must be submitted on this form. Inspection forms may not be altered in any way. Important:When A. General Information filling out forms i on the computer, use only the tab 1. Inspector: key to move your cursor-do not F. Paul Cardone use the return Name of Inspector key. Septic Compliance, Inc. _ `rdb Company Name 447 Boston Street Company Address Topsfield Ma. 01983 City/Town State Zip Code 978-407-1808 978-681-0726 3294 Telephone Number License Number B. Certification I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection performed based on m training and experience in the proper function and maintenance of on site was pe y g p sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000).The system: ® Passes ❑ Conditionally Passes ❑ Fails ❑ Needs Further Evaluation by the Local Approving Authority or's Signature Date The system inspector 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 10,000 gpd or greater, the inspector and the system owner shall submit the e regional office of the DEP. The original should be sent to the system owner report to the ro rlat g 9 Y p pp p and copies sent to the buyer, if applicable, and the approving authority. ****This report only describes conditions at the time of inspection and under the conditions of use at that time.This inspection does not address how the system will perform in the future under the same or different conditions of use. Rivet 67 Foster Street No.Andover 7-20-2011•08/06 Title 5 Official Inspection Form:Subsurface Sewage Disposal System•Page 1 of 15 - - G 1 rj ���.Q �� �• �• '- — •' r 7 7 .tG 7'rh711�4i-AG2 �l'7�d�ji41.. G 4y-e';Tet'H . TT Is V-EcoGa OP Ti• 9 iCr�rfbtil self . A, u4 E Lir V4,Tl0L-1 of 'rs4 E r-D- -T t a.lei t y9M-r XT cl 7 �oHPol�>`►a rti. N Y Y Y u �r i i n.� .z G�Eai,.lbu.'( C2 -24 i ft it `} �ja j cP f 4 ` t I AS RU I LT PLAN OF SUBSURFACE . DISPOSAL SYSTEM LOCATED IN AS PREPARED FOR DATE' TOWN OF IMP- . .��. IBOARF SCALE: I' �t�I ( e94 j .J 3 0 2001 MERRIMACK ENGINEERING - SERVICES, INC. PROFESSIONAL ENGINEERS • LAND SURVEYORS • PLANNERS 66 PARK STREET • ANDOVER, MASSACHUSETTS Ol i l0 TEL (617) 473-3533, 373-5721