HomeMy WebLinkAboutMiscellaneous - 246 BRADFORD STREET 4/30/2018Lot & Street g" � ST, Map/Parcel
CONSTRUCTION APPROVAL
Has plan review fee been paid: NO Permit# /D%6
Plan Approval: Date: Approved by:
Designer: Plan Date: -
Conditions: T)CED 'RC—RCr�O�Q BEA MS Bpi'=O.Q �G�
Water Supply
Well Permit:
Well Tests: Chemical
Bacteria I
Bacteria II
Plumbing Sign -Off:
Comments:
Well- -
Driller:
Date Approved
Date -Approved
Date Approved
_ -Wiring Sign -Off -
Form "U" Approval: Approval to -Issue:
YES
NO
Date Issued By:
Conditions:
Final Approval:
All Permits Paid?
YES
NO
Well Construction Approval?
YES
NO
Septic System Construction Approval?
YES
NO
Certification?
YES
NO
Other
YES
NO
Any Variance Needed?
YES
NO
FINAL BOARD OF HEALTH APPROVAL:
DATE:
APPROVED BY:
SEPTIC SYSTEiYI INSTALLATION
Is the installer licensed?
<rED
Type of Construction:
N -EW
NQ
New Construction: -.-Certified Plot Plan Review
YES
NO
–Floor Plan Review
YES
NO
— Conditions of Approval from Form U
YES
NO
_Issuance of DWC permit: -
NO
_DWC Permit Paid?
NO
---DWC-Permit # - / d 7 t Installer.
.
-- _-- Begin -Inspection: -
YES
NO
_ Excavation Inspection:
--Needed.
Passed: By:
_... _ .
..--Construction Inspection:
Needed:
As. -Built -Plan Satisfactory:
YES:
-- Approval of Backfill: Date: q By.
---Final Grading Approval: Date: B
Y:
Final Construction Approval: Date:
Certificate of Compliance: Approval:
By:
Date:
`;- BUILDING PERMIT
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit No#:
Date Received
Date Issued:
If Applicant must complete all items on this page
If
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LOCATION* �.1tZe4l��e d S�IEi'
Print
PROPERTY OWNER Lt.egLi H—� S rA,,,jUE4 yt4 LAA J b
Print 100 Year Structure yes nd'
MAP PARCEL: ZONING DISTRICT:_ Historic District yes
Machine Shop Village yeso�
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: F x t 0 -coo\
❑ Demolition
❑ Other
Q Septic ❑ Well
❑ Floodplain ❑ Wetlands
p Watershed District
❑ Water/Sewer
DESCRIPTION OF WORK TO BE PERFORMED:
e\fl k its -Too � Svkt,o
Identification - Please Type or Print Clearly
OWNER: Name: _71A O k+kA w S 5 4.E c ,p wx 0 Phone:
Address: S—1 —lig 1c�-7 T
Contractor Name:
Email:
Address:
Supervisor's Construction License:
Home Improvement License:
ARCHITECT/ENGINEER
Phone:
Exp. Date:
Exp.. Date -,—
ARCH ITECT/ENGINEER
ate:_
Phone.-
Address:
hone:
Address: Reg. No
FEE SCHEDULE. BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F.
Total Project Cost: $ Ca 3 0 6 e 0 FEE: $ z
Check No.: Receipt No.:
NOTE: Persons contracting with unregistered contractors do not have access to the guaranty fund
s:
• ' Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF SEWERAGE DISPOSAL
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Public Sewer ❑
Tanning/Massage/Body Art ❑
Swimming Pools ❑
Well ❑
Tobacco Sales ❑
Food Packaging/Sales ❑
Private (septic tank, etc. ❑
Permanent Dwnpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SIGN OFF m U FORM
PLANNING & DEVELOPMENT
COMMENTS
Reviewed On Signature
CONSERVATION Reviewed on �.
COMMENTS r/•_.o
HEALTH Reviewed on
Sianature
Cr
COMMENTS
Zoning
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Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes.
Planning Board Decision: Comments
Conservation Decision: Comments
Fater & Sewer Connection/Signature & Date Driveway Permit
DPW Town Engineer: Signature:
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Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
27 Charles Street
North Andover, Massachusetts 01845
WILLIAM J. SCOTT
Director
(978) 688-9531
May 11, 1999
Owner
246 Bradford Street
North Andover, MA 01845
Dear Homeowner:
'a. 'e
FO p
Fax (978) 688-9542
Prior to your purchase, a new individual subsurface disposal system was installed on this
property. This letter comes to inform you of maintenance requirements for your new septic
system. First, it is recommended that the tank be pumped approximately every two years or
whenever the top of the scum layer is within two inches of the top of the outlet tee or the bottom
of the scum layer is within two inches of the bottom of the outlet tee. This can be determined by
an inspection. In addition, you have a Zabel filter in your septic tank. This filter must be cleaned
annually for the proper functioning of your septic tank and the rest of the system. Any company
that performs septic pumping should be able to clean the filter.
If you have any questions concerning this letter, please call the Health Department at the
number below.
Sincerely,
Sandra Starr, R.S.
Health Administrator
Cc: Mukerjee
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
f AORTO,
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SSACHUSEl
Applican
Site Location J
Town of North Andover, Massachusetts Form No. 2
BOARD OF HEALTH 1� /go
190
DESIGN APPROVAL FOR
SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM
Reference Plans and Spec
DESIGN
Test No.
0.2-
Permission
1
DA
Permission is granted for an individual soil absorption sewage disposal system to be installed
in accordance with regulations of Board of Health.
Fee 160 CC
CHAT RVAN, BOARD OF HEALTH
Site System Permit No. ���
Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
27 Charles Street
North Andover, Massachusetts 01845
WILLIAM J. SCOTT
Director
(978)688-9531
May 11, 1999
Owner
246 Bradford Street
North Andover, MA 01845
Dear Homeowner:
NORTFf�
3�Q tt�eo n11.OL
O A
\I'q pOA�TFOµ�PP i'�y/
Fax(978)688-9542
Prior to your purchase, a new individual subsurface disposal system was installed on this
property. This letter comes to inform you of maintenance requirements for your new septic
system. First, it is recommended that the tank be pumped approximately every two years or
whenever the top of the scum layer is within two inches of the top of the outlet tee or the bottom
of the scum layer is within two inches of the bottom of the outlet tee. This can be determined by
an inspection. In addition, you have a Zabel filter in your septic tank. This filter must be cleaned
annually for the proper functioning of your septic tank and the rest of the system. Any company
that performs septic pumping should be able to clean the filter.
If you have any questions concerning this letter, please call the Health Department at the
number below.
Sincerely,
/ 19
Sandra Starr, R.S.
Health Administrator
Cc: Mukerjee
File
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
t
ARGEO PAUL CELLUCCI
Governor
COMMONWEALTH OF MASSACHUSETTS
EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS
DEPARTMENT OF ENVIRONMENTAL PROTECTION
METROPOLITAN BOSTON - NORTHEAST REGIONAL OFFICE
July 23, 1998
Swati Mukhurjee
246 Bradford Street
North Andover, MA 01845
RE: APPROVAL OF DEP VARIANCE (BRPWP59c)
246 Bradford Street, North Andover (IRV)
DEP Transmittal No. P27134
Dear Mr. Mukhurjee:
TRUDY COXE
Secretary
DAVID B. STRUHS
Commissioner
The Metropolitan Boston -Northeast Regional Office of the Department of
Environmental Protection has received and reviewed your application for approval
of sanitary sewage variance pursuant to 310 CMR 15.412 with the above transmittal
number. The application was received on June 30, 1998.
The application contained written notification, dated May 29, 1998, stating
that the North Andover Board of Health had, on May 28, 1998, approved a variance
to the following provision of the State Environmental Code:
• 310 CMR 15.104, as it relates to performing a percolation test.
Accompanying the application was a plan consisting of one (1) sheet titled
as follows:
Title: Sewage Disposal System
Location: 246 Bradford Street
Municipality: North Andover
Applicant: Swati Mukherjee
Designer: Joseph J. Serwatka, P.E. No. 36981
Date (Last Revision): April 21, 1998 (July 15, 1998)
An engineer of the Department reviewed the plans and the accompanying data,
and it is the opinion of the Department that the plans are in compliance except
for:
• 310 CMR 15.104 as it relates to percolation testing [A percolation
test could not be performed because of high groundwater. Performing
a dewatered percolation test would have been difficult given site
restraints. However, a sieve analysis was performed to determine an
estimated percolation rate of the soil.).
As part of its approval, the Department will require that the following
conditions be complied with or this approval shall be rendered null and void:
• The revised plan, received on July 17, 1998, did not note the date
of the revision. The Department will consider the revision date as
July 15, 1998, which is the date of the received response letter
submitted by the design engineer. Please insure that a copy of the
revised plan with this date be submitted to the North Andover Board
of Health.
205a Lowell St 0 Wilmington, Massachusetts 01887 • FAX (978) 661-7615 0 Telephone (978) 661-7600 9 TDD H (978) 661-7679
• Prior to construction, the applicant must obtain a Disposal System
Construction Permit (DSCP) from the North Andover Board of Hea=th.
• The system is not designed to accommodate a garbage disposal. As
such, one should not be neither installed nor used at this dwell --ng.
It is the applicant's responsibility to assure that the approved
plans, which will be the recently revised plan as noted in the first
condition of this approval letter, are available at the site during
construction.
It is the opinion of the Department that the requirements for the granting
of variances as specified at 310 CMR 15.412 have been satisfied. The enforcement
of the provision of the Code from which variance is being sought would do
manifest injustice and the applicant has proved to the Department's satisfaction
that the same degree of environmental protection required under Title 5 can be
achieved without strict application of the subject provision. The following
paragraph outlines the Department's findings relative to manifest injustice and
equal environmental protection as they relate to the variance, granted by the
Sherborn Board of Health, which the Department hereby approves.
The site is limited by high groundwater. Because of this condition, a
percolation test could not be performed. In the case of granting a variance from
the percolation rate for upgrades of existing systems, the Department has granted
this variance only if a dewatered percolation test cannot be performed. In these
cases and with a variance, a sieve analysis may be used as an alternative method
to estimate the percolation rate of the soil. The soil absorption system was
designed using a percolation rate based upon a previous percolation test from a
nearby site that is more conservative than the results from the sieve analysis.
This provides for a more conservative system design. Based on this information,
the Department has concluded that to deny this variance would be manifestly
unjust and that the applicant has provided equal environmental protection.
If you have any questions or additional information is required, please
contact George A. Kretas at (978) 661-7744.
Sincerely,
Madelyn Morris
Deputy Regional Director
Bureau of Resource Protection
mm/gak
CC: - Sandra Starr, Board of Health, 30 School Street, North Andover, MA 01845
- Joseph J. Serwatka, 31 Kendrick Street, Lawrence, MA 01841
- Marcia Sherman, DEP/Wastewater Management/Boston
Fee
Town of North Andover, Massachusetts Form No. 3
N_TN OF HEALTH
19
;ONSTRUCTION PERMIT
ADDRESS TELEPHONE
or Repair) an Individual Soil Absorption
gn Approval S.S. No.__���cc
r
CHAIRMAN, BOARD OF HEALTH
D.W.C. No. /0/1
Town of North Andover, Massachusetts Form No. 3
pORTN
BOARD OF HEALTH
f 1
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O41A
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DISPOSAL WORKS CONSTRUCTION PERMIT
,SS�CHU0.
Applicant =Jii�l�C,
NAME ADDRESS TELEPHONE
/.
Site Location'i�,
Permission is hereby granted to Construct ( ) or Repair -r) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
'C
Fee -�
CHAIRMAN, BOARD OF HEALTH
D.W.C. No. /0 %/
D
f` h
��A cOc nicwewicK �'/
Applicant
Site Location
Engineer
Town of North Andover, Massachusetts
BOARD OF HEALTH
Form No. 1
APPLICATION FOR SITE TESTING/INSPECTION
M
UIVHMC HUU KCJJ ICL Gf r7VIVG
Test/Inspection Date and Time
CHAIRMAN, BOARD OF HEALTH
r �.y
Fee % � • Test No. [�?9-5—
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
Town of North Andover, Massachusetts
BOARD OF HEALTH
LEO
o < :,
r
APPLICATION FOR SITE TESTING/INSPECTION
QOAATED PPp\�h
Form No. 1
19
Applicant
NAME ADDRESS TELEPHONE
Site Location
e
Engineer
NAME ADDRESS TELEPHONE
Test/Inspection Date and Time
Fee
CHAIRMAN, BOARD OF HEALTH
Test No.
S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No.
I
AS -BUILT CHECKLIST
LOT NUMBER, STREET NAME
ASSESSORS MAP & PARCEL NUMBER
LOT LINES & LOCATION OF DWELLINGS
i�
LOCATION & DEMENSIONS OF SYSTEM,
INCLUDING RESERVE
/
Nv
TIES TO LOT LINES & DWELLING, WELLS
3. FROM SEPTIC TANK
b. FROM LEACH AREA
t�
LOCATIONS OF DEEP HOLES & PERC ?
TESTS
V
ELEVATIONS OF DISPOSAL SYSTEM
TOP OF FDN ELEVATION
p C� LOCATIONS OF WELLS, DRAINS, WATERCOURSES
�W/IN 150' OF SYSTEM
LOCATION OF WATER, GAS ELECTRIC LINES CABLE
DISTANCES FROM CORNERS OF HOUSE TO CENTER OF
TANK & D -BOX
STAMP & SIGNATURE
IMPERVIOUS AREAS - DRIVEWAYS, ETC.
10 NORTH ARROW
FINAL CONTOURS
LOCATION & ELEVATION OF BENCHMARK USED
1/ LOCUS PLAN
77,
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
10 W A-) O F A) 0 le7%W At, P,o y �i,� e—
P'PR APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT
Application for a Permit to Construct ( ) Repair X) Upgrade ( ) Abandon ( ) - ❑ Complete System $(Individual Components
Loc ion
p/Parcel#
Lot #
Installers Name
Address
Telephone #
Owner's Name _
G �9Xdjdress
Telephone #
�Je4iUf�T1'. Pr �•-
DesigDersName,
Telephone #
Type of Building: t -z -e /%% Lot Size Pa=et--
Dwelling — No. of Bedrooms Garbage Grinder ( )
Other — Type of Building No. of persons Showers ( ), Cafeteria
Other fixtures
Design Flow (min. required) gpd Calculated design flow gpd Design flow provided 33*9 gpd
Plan: Date —7— Number of sheets �_ Revision Date
Title `!5 DGl7P0 `7� _ �� /Yl _
Description of Soil(s) 9.A -W any L,'0_ -4—A4
Soil Evaluator Form No. Name of Soil Evaluator7_ 6gE59442,Date of
DESCRIPTION OF REPAIRS OR ALTERATIONS
The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of
TITLE S andel further agrees not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health.
Signed I Date a 6 I
Inspections
FORM 1 - APPLICATION FOR DSCP DEP APPROVED FORM 5/96
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
Description of Work: ❑ Individual Component(s) ❑ Complete System
The undersigned hereby certify that the Sewage Disposal System; Constructed ( ), Repaired ( ), Upgraded ( ), Abandoned ( )
by:
at
has been installed in accordance with the provisions of 310 CMR 15.00 (Title 5) and the approved design plans/as-built
plans relating to application No. dated Approved Design Flow (gpd)
Installer
Designer: Inspector Date
The issuance of this certificate shall not be construed as a guarantee that the system will function as designed.
FORM 3 - CERTIFICATE OF COMPLIANCE DEP APPROVED FORM 5/96
No. THE COMMONWEALTH OF MASSACHUSETTS FEE
BOARD OF HEALTH
DISPOSAL SYSTEM CONSTRUCTION PERMIT
Permission is hereby granted to Construct ( ) Repair ( ) Upgrade ( ) Abandon ( ) an individual sewage
disposal system at as described
in the application for Disposal System Construction Permit No.
dated
Provided: Construction shall be completed within three years of the date of this permit. All local conditions must be met.
Date
FORM 2 - DSCP
FORM 1255 (REV 5/96)
Board of Health
DEP APPROVED FORM 5/96
H&W HOBBSB WARREN TM PUBLISHERS - BOSTON
SEPTIC PLAN SUBMITTALS
LOCATION: (-�'�( 0o
NEW PLANS: (C YES" ) 560.00/Plan ✓�—
REVISED PLANS: YES 525.00/Plan
DATE: �7
DESIGN ENGINEER: �C
When the submission is all in place, route to the Health Secretary
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