Loading...
HomeMy WebLinkAboutMiscellaneous - 201 DALE STREET 4/30/2018Town of North Andover Community Development and Services Division o Office of the Health Department 400 OSGOOD STREET i • North Andover, Massachusetts 01845 Michele E. Grant Public Health Inspector (978) 688-9540 -Phone (978) 688-8476 - Fax Date: July 13, 2005 Address: 201 Dale Street Re: Application for: Addition Dear: Mr. Aude, Your application for an addition at has been reviewed by the Health Department. The application was denied on, July 13, 2005 for the following reasons: 1. X Missing information 2. X Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the problem(s): If #1 is checked, please supply: a. Floor Plan of edstins and proposed addition — all rooms b. Certified Plot plan showing house, septic system and proposed proiect in scale If #2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If #3 is checked: a. Relocate the project If #4 is checked: a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult an engineer to determine the flow capacity of the septic system. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, l IJ le� i ele E. Grant Cc: Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 A. ZONING DISTRICT R1 DATE: OCTOBER 15, 2004 pq I" IRON PIPE FOUND REVISIONS: MAY 18, 2005 SCALE: 1 INCH= 40 FEET 0' 40 80 SUBJECT PROPERTY Map 37B, Parcel 23 AUDE, MARK S. & STEPHANIE N. 201 DALE STREET NORTH ANDOVER, MA 01845 deed 6983 pg. 324 SEE PLAN#2100 (N.E.R.D.) SCOTT L. GILES - FRANK S. GILES SURVEVINC 50 DEERMEADOW ROAD NO. ANDOVER, MA 01845 TEL: (978) 683-2645 FrankGilesSurvey@comcast.net FRANK S. C S. ei ES n �1 4B793 PLOT PLAN OF LAND LOCATION 201 DALE STREET NORTH ANDOVER, MA DRAWN FOR MARK AUDE V IRON PIPE FOUND V IRON PIPE FOUND 213.4 PLAN ET RALL__��� I CERTIFY THAT THE OFFSETS SHOWN COMPLY WITH THE ZONING BY LAWS OF NORTH ANDOVER, MA. AT THE TIME OF CONSTRUCTION. THE OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION OF ZONING CONFORMITY OR NON -CONFORMITY WHEN CONSTRUCTED. r•\ri frVTQ\ AY InIP \PT .OT PT AN T)R(: II FORM U - LOT RELEASE FORM INSTRUCTIONS: This form it used to verify haat all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT K AT C[zni'U ri'o� LOCATION: Assessoes Map Number__3 % iJ SUBDIVISION STREET 10 ! A 0-1 i OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS OWN PLANNER /a COMMENTS ,TH DATE APPROVED DATE REJECTED DATE APPMVEC DATE REJECTED PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT, FIRE DEPARTMENT DUMPSTER PERMIT PHONE (0o- -V el -10 PARCEL LOT (S) ST. NUMBER_: 01 RECEIVED BY BUILDING INSPECTOR DATE FORM U - Revised 6.06 JMC h� TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING : x BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/I for of Buildings Date SECTION t- SITF. INFORMATION 1.1 Property Address: � Q 1 ' "Q LW I I t-, v I a 1 r i U1. T&5 Iv O 1.2 Assessors Map and Parcel Number: Map Number Parcel Number 01 A i- Iry X o / bale 1.3 Zoning Information: Zoning District Proposed se Name (Print) z1.4 Property Dimensions: Lot Area Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R 'red Provided 3 Name Print 1.7 Water Supply M.G.L.C.40. 54) Public &� Private ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone 8-- 1.8 Sewerage Disposal System: Municipal 2" On Site Disposal System 0 SECTION 2- PROPERTY OWNERSHIP/AUTHORIZED AGENT ' "Q LW I I t-, v I a 1 r i U1. T&5 Iv O 2.1 Owner of Record 01 A i- Iry X o / bale 57" Name (Print) Address for Service Signature Telephone 'v'c. OA all , Al", 2.2 Owner dT Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: iy S Q License Number Address rf - %` p� 9 _'�7\ ":t c // �� (off Expiration Date Signature a Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ S otf- Jr a �or �A— ~ K-l�-� ['oh Sth•c.�iv� cy Company Name Registration Number 1 Address 0.3 — pe/V o Exp tin Date Signature Tele hone TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING x stR�COil BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissioner/1for of Buildings Date 1-Jl lr. 11\r 11V1\ i 1.1 Property Address: 6J IJ Lf IUL. YP. J^ NQ 1.2 Assessors Map and Parcel �9 8 Map Number Number: 2� Parcel Number -0) Ai -)C 9v d e Name (Print) 1.3 Zoning Information: R es; dp,, l -/!3 ZoningDistrict Pr osed se SignatureTelephone 1.4 Property Dimensions: 9.5- 2 S�. ,41 Lot Areas �; / 3 Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R 'red I Provide 'red Provided R 'red Provided 3-4 .13/ 1 -2 K 1.7 Water Supply M.G.L.C.40. 54) Public R-' Private ❑ 1.5. Flood Zone Information: Zone outside Flood Zone 2 ---Municipal 1.8 Sewerage Disposal System: 8� On Site Disposal System 0 .aaa�. aavt\�,-rl�vrrl�il Vnl\li MaKIar/AU l frlV1Usr.l7 Alt1:P11 6J IJ Lf IUL. YP. J^ NQ 2.1 Owner of Record -0) Ai -)C 9v d e Name (Print) 2 0 / &,A �7 Address for Service SignatureTelephone 1 �,e 12A ah, /1/,i,/ 2.2 Owner A Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ / —se O f� T, Licensed Construction Supervisor: (! -S 6,/� / G /',' {.t mn /� d � On �,. e ll�/� Address (%3 US.� License Number (2o-,3 iX 3 %-9 Signature Telephone %%U Expiration DateO 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name % cis �{¢�.� iL� � .�n r(oh ���� ti l - , Registration Number Address 19 �� U Expiration Date Signature Telephone Ma rn X ic Z O rn NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit at: �, o te S T is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150 A. Also, note Permits are required under Fire Prevention laws Chapter 148 Section 10A. The debris will be disposed of in: Fire Department Sign oil:: Dumpster Permit Siafore of Permit Applicant O OKI 06 - / Date TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845-2909 Timothy J. Willett Water Superintendent June 5, 2002 Ms. Bonnie Goodman Carlson GMAC 73 Chickering Road North Andover, MA 01845 RE: Sewer Connection 201 Dale Street Dear Ms. Goodman: J. WILLIAM HMURCIAK, DIRECTOR, P.E. Telephone (978) 685-0950 Fax (978) 688-9573 As we discussed, in order to connect 201 Dale Street to town sewer, we require the following. 1. A Professional Engineer must produce a plan for the proposed connection. 2. The plan will be reviewed by this office. Changes to the plan may be necessary. 3. The Conservation Agent must sign the plan. 4. Any work in a town roadway requires a street opening permit. 5. After plan approval, a sewer connection permit can be obtained from this office. The fee for the permit is $1,000.00 6. A private contractor must be hired for all work. Very truly yours, Timothy J. Willett Water & Sewer Superintendent CC: Bill Boles Bob Beshara Sandy Starr Julie Parrino SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM Address of property 0 © � 0 a �- e s4 4' �o 0 v C� Owner's name ilieo Qlo r r, Pe$-erS Date of Inspection t1..42 y _ Cir 60, PART A CHECKLIST HEALTH MAY Z 5 1995 Check if the following have been done: I I Pumping information was requested of the owner, occupant, and Board of Health. ©Ame S4;P S//16/.94( C S None of the system components have been pumped for at least two weeks and the system has been receiving normal flow rates during that period. Large volumes of water have not been introduced into the system recently or as part of this inspection. IVA Asabuilt plans have been obtained and examined. Note if they are not available with N/A. yes The facility or dwelling was inspected for signs of sewage back-up. The site was inspected for signs of breakout. i 5 All system components, excluding the SAS, have been located on the site. The septic tank manholes were uncovered, opened � and the interior of the septic tank was inspected for condition of baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge, depth of scum. The size and location of the SAS on the site has been determined based on existing information or approximated by non -intrusive methods. The facility owner (and occupants, if different from owner) were provided with information Y the proper maintenance of SSDS. , G SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B ` ujw j7 b v e - SYSTEM INFORMATION conk'in d SEPTIC TANKJtLe—plan) e5 (locate on depth below grade: material of construction: concrete metal FRP other(explain) i dimensions:--�5��� iCB X d3" A & e to sludge depth distance from top of sludge to bottom of outlet tee or baffle !L$ r scum thickness '"1 distance from top of scum to top of outlet tee or baffle 14 distance from bottom of scum to bottom of outlet tee or baffle Comments: (recommendation for pumping, condition of inlet and outlet tees or baffles, depth of liquid level in relation to outlet invert, structural integrity, evidence of leakage, recommendations for repairs etc.) ,fir urr, Oi-�f S'u i Ali» -77;/rf s'/1tL f Z'-G/.ra► r,o_ x 1'r,.-./ DISTRIBUTION BOX: AldA1e. (locate on site plan) No got depth of liquid level above outlet invert Comments: (note if level and distribution is equal,.evidence of solids carryover, evidence of leakage into or out of box, recommendation for repairs, etc.) PUMP CHAMBER (locate on site plan) pumps in working order, yes or no Comments: (note condition of pump chamber, condition of pumps and appurtenances, recommendations for maintenance or repairs,etc.) n SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION connu&/g7 G v SOIL ABSORPTION SYSTEM (SAS): (locate on site plan, if possible; excavation not required, but may be approximated by non -intrusive methods) If not determined to be present, explain: Type leaching pits and number leaching chambers and number leaching galleries and number leaching trenches, number, length leaching fields, number, dimensions overflow cesspool, number Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc.) 'Co o u r.5 C 47 ra Lxe L► If CESSPOOLS (locate on site plan): number and configuration depth -top of liquid to inlet invert depth of solids layer depth of scum layer dimensions of cesspool materials of construction indication of groundwater inflow (cesspool must be pumped as part of inspection) Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc.) PRIVY: (locate on site plan) materials of construction dimensions depth of solids Comments: (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, recommendations for maintenance or repairs,etc.) a SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART BJJ 19 // d (' 0 SYSTEM INFORMATZONw FLOW CONDITIONS If residential 4 number of bedrooms number of current residents IVO garbage grinder, yes or no CS laundry connected to system, yes or no /tel) seasonal use, yes or no If nonresidential, calculated flow: Water meter readings, if available: Sp q6L,-& .QC,_y OCCU '/_4I Last date of occupancy GENERAL INFORMATION Pumping records and source of information; -4y Uo u -e r 4Qu r� 0 / of C 14 q yjaSystem pumped as part of inspection, yes or no if yes, volume pumped OVt G3�//oL,;j Reason for pumpilq: ., JI Typeof system Septic tank/distribution box/soil absorption system Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Other (explain) Approximate age of all components. Date installed, if known. Source of information: '** (.%CaenrS Ir" 0 L��/' V H Sewage odors detected when arriving at the site, yes or no 0 'r"fPc/ v { ■ SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B SYSTEM INFORMATION corft�inued SKETCH OF SEWAGE DISPOSAL SYSTEM: include ties to at least two permanent references landmarks or benchmarks locate all wells within 100' 3, DEPTH TO GROUNDWATER 46 i f depth to groundwater method of determination or approximation: aL� t SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTIO14 FORM PART C FAILURE CRITERIA' Indicate yes, no, or not determined (Y, N, or ND). Describe basis of determination in all instances. If "not determined", explain why not) NO Backup of sewage into facility? Discharge or ponding of effluent to the surface of the ground or surface waters? JV6 Static liquid level in the distribution box above outlet invert? Liquid depth in cesspool <6" below invert or available volume< 1/2 day flow? 30 c a - " \,; :, Q Required pumping 4 times or more in the last year? number of times pumped PSeptic tank is metal? cracked? structurally unsound? substantial infiltration? substantial exfiltration? tank failure imminent? Is any portion of the SAS, cesspool or privy: below the high groundwater elevation? NO. within 50 feet of a surface water? i within'100 feet of a surface water supply or tributary to a surface water supply? PO within a Zone I of a public well? YO within 50 feet of a bordering vegetated wetland or salt marsh (cesspools and privies only, not the SAS)? P within 50 feet of a private water supply well? less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis? If the well has been analyzed to be acceptable, attach copy of well water analys for coliform bacteria, volatile organic compounds, ammonia nitrogen and nitrate nitrogen. e M ' t - SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART D CERTIFICATION, Name of Inspector J O „ j I// N C -C w 1-6 Company Name 5-j1"*e(.N4rtS P Company Address q 1 ry a Ct Q ca d *Drd rn a, Certification Statement I certify that I have personally inspected the sewage disposal system at this address and that the information reported is true, accurate and complete as of the time of inspection. The inspection was performed and any recommendations regarding upgrade, maintenance and repair are consistent with my training and experience in the proper function and manitenance of on-site sewage disposal- systems. r . Ch�ec��' one: I have not found any information which indicates that the system fails to adequately protect public health or the environment as defined in ,310 CMR 15.303. Any failure criteria not evaluated are as stated in the FAILURE CRITERIA section of this form. I have determined that the system fails to protect public health and the environment as defined in 310 CMR 15.303. The basis for this determination is provided in the FAILURE CRITERIA section of this form. Inspector's Signature Date- t�-,n: Original to,,system owner Copies to: �/Or, {. Ile crL�- A Buyer (if applicable) a1 Approving authority SYSTEM LOCATION (example: left front of house) DATE OF PUMPING: QUANTITY PUMPED GALLONS CESSPOOL: NO X YES SEPTIC TANK: NO YES ,r� ,. ; ROUTINE EMERGENCY NATURE OF SERVICE: R r tl r r S • - OBSERVATIONS: ";' .f GOOD CONDITION FULL TO COVER HEAVY GREASE BAFFLES IN PLACE ROOTS LEACHFIELD RUNBACK EXCESSIVE SOLIDS ,_ FLOODED SOLIDS CARRYOVER OTHER (EXPLAIN) 1 F, SYSTEM PUMPED BY:. no&& , CQMNIENTS: TOWN OF N'�ORTH AND ��l' � e r—AAED. � �✓�' ■/� y� �,T, i ri•5�, 7�t{�Q11T 'F,�l� -- �R.A►1�TS�F TO:. ✓ Vl S` - I " ' ,r� ,. 1 11/29/2000 201 Dale S# 11/29/2000 65 Brookview Dr 11/30/2000 886 Salem Rd ,4d -PA g 1000 1500 1000 SEPTIC SYSTEM INSPECTION FORM ADDRESS Iz d DATE INSPECTED PROPERLY FUNCTIONING? Y� N WEATHER CONDITIONS COMMENTS: a WATER OVAL I i Y TES, E• i ? ES�iTs? DYE TEST PERFORMED? Y N DATE? SKETCH: WATERSHED RESIDENTS QUESTIONNAIRE 1. Name 2. Street Address QMk��. 3. How many members are in your household? �+ 4. What type of sewage disposal system do you have? ❑ cesspool G� septic tank and leaching area ❑ connection to municipal sewer ❑ other (describe) ❑ do not know 5. Are the plans (drawings) for your sewage disposal system on file with the Board of Health? ❑ yes 5e' no ❑ do not know 6. How old is your sewage disposal system? ❑ 0-5 years ❑ 6-10 years ❑ 11-20 years V over 20 years ❑ do not know 7. Has your sewage disposal system been rebuilt or repaired? C, yes ❑ no ❑ do not know If yes, approximately how long ago? L& years. What was done? 8. How frequently is your sewage disposal system pumped out? ❑ annually ❑ every 2-4 years v❑r every 5-10 years ❑ over 10 years ❑ never 1 9. Have you had any problems with your sewage disposal system? ❑ yes Q' no If yes, what problems? ❑ repeated pump -outs needed ❑ system clogs, backs up, or drains slowly ❑ odors ❑ sewage surfaces through ground 10. How many of each appliance are connected to your sewage disposal system? washing machine _I dishwasher I garbage disposal dehumidifier drain sump pump toilet_ roof/pavement drains shower/bathtub --t- 11. Please state t e brand and type (liquid or powder) of detergent you use for: dishwasher��c.�� t -`r clotheswasher S'� 12. Does your property have a lawn? Cr yes ❑ no If yes, approximately what size? ❑ less than 1/4 acre ❑ 1/4 acre ❑ 1/2 acre ❑ 3/4 acre 1 acre ❑ more than 1 acre (Specify) acres 13. How often do you fertilize your lawn? No. of applications per year Season(s) of the year 14. Please state the brand and type (liquid or granular) of lawn fertilizer you use: 0 Check here if your lawn is maintained by a professional landscape contractor. 201 Dale Street North Andover, Plass . August 6, 1961 north Andover Board of Health North Andover, Mass. Dear TIrs. Sheridan: I would like you and the Board to know that I, as well as the neighbors, appreciate ,your efforts in eliminating the nuisance we had from the mess on the Giard property. The condition appears to be completely under control as a result of covering the pile of waste with earth. Yours very truly,