HomeMy WebLinkAboutMiscellaneous - 29 ANNE ROAD 4/30/2018 (2)a
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MAP #
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PARCEL # STREET--:�V-j -R0aC(--- . .. .... ......
QONSTRUCTI%L.6RfjRqVA.L.
HAS PLAN REVIEW FEE BEEN PAID? NO
PLAN APPROVAL: DATE -7 17 APP.
DESIGNER: 5co-/,— PLAN DATE
2r
CONDITIONS �Z'46'elo llde6:7' 6;�9-52 To
11V 3-,7WZ- Z 19,7-10 IV
WATER SUPPLY:
WEL4,P RMIT
WELL TES .
COMMENTS:
WELL
DRILLER.—...—.. -.-.-.-
CHEMICAL
BACTERIA I
ilACTERIA II
DAIE APPRUVED.-_-_.- - - ------- --
DA I E (IPP RUVED
DAT'E APPROVED
FORM U APPROVALs APPROVAL TO ISSUE NO
Z 171lu By - _Ijy . ...........
DATE ISSUED—
CONDITIONS:
A/oz� 457. 0111-- 77-13
FINAL APPROVAL:.
ALL PERMITS PAID NO
WELL CONSTRUCTION APPROVAL YES NO
SEPTIC SYSTEM CONSTRUCTION APPROVAL <�� NO
OTHER YES NU
ANY VARIANCE NEEDED YES NO
BY:
FINAL BOARD OF HEALTH APPROVAL: DA I'E: /Z//�/
is T HE'INSTALLER LICENSED? YES�)
NO
'''REPAIR
TYPE. OF- CONSTRUCTION: NE
NEW CONSTRUCTION:,..,.CERTIFIED PLOT PLAN REVIEW YES
NO
CONDITIONS OF..APPROVAL YES
NO
(FROM FORM U)
ISSUANCE OF DWC PERMIT. -YES
NO
DWC PERMIT.NO. RLLER
to
.,BEGIN INSPECTION'' NO.
:;lEXCAVATION,INSPECTION: :NEEDED:
PASSED py_
.:CONSTRUCTION INSPECTIONs NEEDED s
_A;
AS BUILT PLAN SATISFACTORY:<�.� YES:
,APP.ROVAL TO BACKFILL: DATE: -BY
''.FINAL.GRADING APPROVAL: DATE y
DATE: M,1qki By
FIN AL CONSTRUCTION APPROVAL:
Sent By: FTI Consulting;
Wa
t1to U00 tutu, - -- ----
Town of North Andover
Request for
*r W Time Line to Hook Up to Municipal Sewer
and
A -ement to Connect to Municipal Sewer
gn.
June 23, 2006
A I. 1k
I understand that I am presentl awaiting finish construction OT a Pool nouse an L CZ Y 5 W" "W
this document the tlmetablo�du ng which a residenee must hook upto-municipal sewer.will-be
temporarily waived by the �par( of Health of North Andover.
I also state that this proper.V* h; s passed an official Title V septic system Inspection within the
..y
past seven (7) days and suo Ti1e V Inspection was provided. to the Board of Health of North
Andover, The Board of Heafth c f North Andover, at a meeting held on lune 22., 2006, agreed to
waive the requirement to c&net to the town sewer system until December 31, 2009.—In
reaching its decision the Board 4 ited, among other Items;
• the relatively low ag#� of he property owner's existing septic system;
• the fact that the preihou design of the current septic system can accommodate the
additional flow from fbe ol house.;
• the recent successfui..*�pa ing of a Title V Inspection;
"jh
d,
ir
• financial hardship ofj".-he st of connecting to the sewer system;
s the property owner'SI.-.-big ement to connect to the sewer system by December 31, 2009;
r I
the 0ro0erty.owner'9!:S:g ement to have this waiver attached to the deed;
t 'h
e property owner'i'!� ment to coordinate with the Registry of Deeds In Lawrence,
Massachusetts to haft s ch waiver recorded -at- such registry;, and
0 The oronertv ownerl: 0 Cal ment that this is a one-time waiver and that there will be no
further extensions.
4
Robert 3. Duffy and Elizabet.k'E. puffy
Property Owner
29 Anne Road, Nort MA 01845
Property Address
':7.- -8251
617-633-8251Acq1I), 617-80, 1�01 (office), 978-688
Phone and Contact
$30,000
Estimate for sewer tie -In
Signatmig—C Chairman of Bob
0
S) Of
s) oQrembers of$
.1:
Health of North Andover
of Health of North Andover
of Health of North Andover
4
,I' A-*A��
Sent By: FTI Consulting;
978 688 7510; Jun -23-06 2:22AM; Page 2/2
Robert 3. Duffy and Elizabet:of:: E.
Town of North Andover
Property Owner
Request for
Wai�er
W Time Line to Hook Up to Municipal Sewer
Property Address
and
i -A greement
z
to Connect to Municipal Sewer
Phone and Contact Informa#,on
June 23, 2006
I understand that I am pre�*ntl
awaiting finish construction of a pool house and that by signing
this document the timetabld'Auring
which a residence must hook up to municipal sewer will be
temporarily waived by the $bar(
of Health of North Andover.
I also state that this property' h�
s passed an official Title V septic system Inspection within the
past seven (7) days and su6 ri
-le V inspection was provided to the Board of Health of North
Andover, The Board of HeAh c
F North Andover, at a meeting held on lune 22, 2006, agreed to
waive the requirement to co�net
to the town sewer system until December 31, 2009. In
reaching its decision the Boi.�'d (ited,
among other Items,
a the relatively low ag,t of
he property owner's existing septic system;
V the fact that the pre4.jouz
design of the current septic system can accommodate the
additional flow from the pool
house;
the recent successfulf� asilng
�..:p
of a Title V inspection;
,financial hardship oU
.Oie onst
of connecting to the sewer system;
s the property ownefds-,.�:,ag
ement to connect to the sewer system by December 31, 2009;
the orooerty owner'&,.'.tg
ement to have this waiver attached to the deed;
-it the property owner's;.: ag r
ement to coordinate with the Regis" of Deeds in Lawrence,
Massachusetts to ha*.e s
h waiver recorded at such registry; and
The property owner'i�ag
ement that this is a one-time w4lver and that there will be no
further extensions.
Z91A t2
roatu're oyProperty ownee::
Robert 3. Duffy and Elizabet:of:: E.
Duffy
Property Owner
29 Anne Road, North AndoNi IY1A
01845
Property Address
617-633-8251 (cell), 617-8t
7-1501
(office), 978-688-8251
Phone and Contact Informa#,on
$30,000
Estimate for sewer tie-in
Signatut6_9? Chnirman of 136ird
of Health of North Andover
Wature s) embers of X1.1,oarJ
of Health of North Andover
SlgofureVs) QTernbers of toarp of Health of North Andover
1% N
I�North'Andover Health Department
1600 Osgood Street
Building 20, Suite 2-36
North Andover, MA 0 1845
978.688.9540 - Phone
978.688.8476 — Fax'
healthdept(CD-townofnorthandover.com - E-mail
www.townofnorthandover.com - Website
.1
Letter of Transmittal
Page of
T11
TO:
DATE: �
A? e
COMPANY:
FROM: Pamela DelleChiaie, Health Department Assistant
Phone:
RE:
Fax: v1 S7�3
We i7re se,76qg you.- alro �Yof ietter D Nans /7 Other tfill in helow)
These are transmitted as checked below:
L7*RapWW
L7,&Rqt#W
> L7Fff4Pvbd_
Erwrow&e
EAmbdt a*iwfhr
4*yvmi
L7Suk* api�sfhrdk.
REMARKS:
Tom,
per the meeting last night, I am sending this agreement for your
review. Please let me know if you think the joaW wording is
acceptable. Thank you.
--Pamela
COPY TO:
COPY TO:
SIGNED:
COPY TO:
TRANSMISSION VERIFICATION REPORT
TIME
06/23/2006 13:20
NAME
HEALTH
FAX
9786888476
TEL
9786888476
SER.#
0004J120960
DATEJIME
06/23 13:11
FAX NO./NAME
816035958753
DURATION
00:00:35
PAGE(S)
03
RESULT
OK
MODE
STANDARD
ECM
Sent By: FTI Consulting;
978 6B8 7510; Jun -23-06 2:22AM; Page 1/2
Fnxn: Robert J . DuffY
Pages: 2 Including cover
Date: June 23, 2006
CC:
moming.
F T I
can me at 617-633-8251 or W-897-1501. ff you cannot
d. Maria Won at 617-897-1520 if you need immediate
12$ High St"� SURO UO2
Boston, MA 02110
Tolophons' 847-891-1500
Fax: 61T497-1510
jjORT4
-6
PUBLIC HEALTH DEPARTMENT
(ommunity Development Division
Robert Duffy
29 Anne Road
North Andover, MA 0 1845
June 13, 2006
Dear Mr. Duffy,
Ile
The Health Department has received the information regarding the proposed changes to the
building permit approved by the Health Department in June 2004. The plan that accompanied the
original permit referenced locations of the proposed pool and cabana in relation to the existing
septic system and associated components. The Health Department approved thelocation as
shown on the plan dated October 17, 2003 and the cabana as an open area assumed for sitting
and changing.
The proposal approved at that time did not include internal designs of the cabana, nor was there
any reference to a bathroom, dishwasher, summer shower, sink or wasber and dryer. Nor was
there documentation presented as to the proposed connection to the existing Septic system. This
new information brings new issues to light that need to be addressed.
1) The first was septic design flow. Your system design altered to reflect current
standards would serve a home of a maximum I I rooms. The addition of the cabana
will bring your room total to 10. Therefore no upgrade will be necessary.
2) The building perm it triggers the need for a passing Title V inspection within the past
5 years (local regulation, see attached sheet #1) Please engage a MA state licensed
Title V Inspector to conduct a standard Title V inspection and submit it to the Health
Department. Attached is a list of locally licensed Title V Inspectors (sheet #2). Please
note that here is also a $50 fee for the report submission.
3) No person shall perform work on a septic system without first obtaining a license to
install. This includes all associated components and work such as you. are proposing.
(approved list attached #3)
4) No installer can work on a septic system with outfirst obtaining a permit. This permit
must be accompanied by an N. Andover approved septic system plan. A licensed
Professional Engineer or a Registered Sanitarian may draw up a septic system plan.
The plan must meet all criteria of local and state regulations. At minimum the plan
must show the location of the proposed or existing slab/foundation, the location of all
septic components, the foundation elevation, the elevations of the tank inlet to be
1600 Osgood Street, North Andover, Massachusetts 01845
Phone 978.688.9540 Fox 978.688.8476 Web www.townofnorthandover.com
utilized, the elevation of the building sewer at the structure, the proposed pitch of the
pipe, type of pipe to be used etc.
5) In review of the new information, it is noted that the base structure is two feet greater;
there is an addition of a summer shower and a fireplace. All these items must meet
setbacks per local and state regulations. Also, note it appears that the Conservation
Dept. has a slightly different plan than that approved by the health office.
The second issue, which came to light, is your accessibility to the municipal sewer. The N.
Andover BOH has a regulation regarding the tie-in of homes to sewer (see #4, 5). Per our
conversation, I have placed you on the June 22, 2006 Board of Health meeting. It takes place
at 7 PM, at the town hall selectmen's room. As this was a late item you need not come too
early as we have a large agenda.
At that meeting you may request the following:
1) A waiver to the time line in which a residence must hook up. See 5.0 for details.
Documentation that could be helpful would be the Title V Inspection, conditions of
hardship, time in years requested for an extension, plan showing the proposed hook up to
the septic tank.
2) Enter into a legally binding agreement with the BOH members to tie in within a
reasonable time, but be allowed to hook into the existing system until the work time
agreed to has elapsed. Additional documentation could include an actual draft agreement
(see similar document #6) a line should be placed for the Board Chairman and members
to sign, Title V, tie-in estimate
The Board may then agree or not agree with your chosen proposal. If they do not agree with time
extensions, you may wish to ask for simultaneous construction of the cabana and the sewer tie-in
so that you may move forward in your project. I am sorry this has become such a complicated
issue. We will attempt to connect on Wednesday morning to review questions or corrections that
you may have noted.
Sincerely'
I— F %
Susan Sawyer, REHS/RS
Public Health Director
Cc: Building Dept.
1600 Osgood Street, North Andover, Mossochusetts 01845
Phone 978.688.9540 Fox 978.688.8476 Web www.towndnorthandoversorn
TON"
S)
DATE: I
TEM PUMPING RECORD
SYSTEM OWNER & ADDRESS
SYSTEM LOCATION
(example: left front of ho e)
�ns
DATE OF PUMPING: L� QUANTITY PUMPED:
�S-7 GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
EMERGENCY
FULL TO COVER
BAFFLES IN PLACE
LEACHFIELD RUNBACK
FLOODED
OTHER (EXPLAIN)
SYSTEM PUMPED BY:Bateson Enterprises, Inc.
COMMENTS:
CONTENTS TRANSFEIMED To: G.L.S.1) Lowell Waste
06/13/2006 09:56 FAX 516 682 1610 LEVITZ RJRNITURE
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Sent By: FTI Consulting;
978 888 7510; Jun'23'08 2:224M; Page 2/2
Estimate for sewer tie -In
Town of North Andover
Request for
Waiver to
Time Line to Hook Up to Municipal Sewer
and
,Agreement to Connect to Municipal Sewer
June 23, 2006
I understand that I am pre�*�,:'intly
awaiting finish construction of a pool house and that by signing
this document the timetablWduring
which a residence must hook up to municipal sewer will be
temporarily waived by the *ard
of Health of North Andover.
I also state that this property hi
s passed an official Title V septic system Inspection within the
past seven (7) days and suo Tiffle V inspection was provided to the Board of Health of North
Andover, The Board of Heafth of
North Andover, at a meeting held on lune 22, 2006, agreed to
waive the requirement to cd�not
to the town sewer system until December 31, 2009. Tn
reaching its decision the Soo0d
ited, among other Items;
a the relatively low ag,* of
he property owner's existing septic system;
4P the fact that the pre4iou
design of the current septic system can accommodate the
additional flow from6e
ol house;
• the recent successfu�,,.-.`p'as Ing of a Title V Inspection;
• financial hardship oFthe
st of connecting to the sewer system;
o the Property owner`s..`1,,.-6g
ement to connect to the sewer system by December 31, 2009:
0'.".iiigr ement to have this waiver attached to the deed;
the property ownerli,-agr
ment to coordinate with the Registry of Deeds in Lawrence,
Massachusetts to ha*e such
waiver recorded at such registry; and
The property owneri ' �agreement
that this Is a one-time waiver and that there will be no
further extensions.
q.
RqV1iatufb jFmpe Owner.:
Robert 3. Duffy and Ellzabe!;t. E.
Duffy
Property Owner
29 Anne Road, North AndovAii, IWA
01845
P;—operty Address
617-633-8251 (cell), 617-8.0-7-1501
(office), 978-688-8251
Phone and Contact Information
Estimate for sewer tie -In
DelleChiaie, Pamela
Subject:
Susan -Pipe Inspection
Location:
29 Anne Road
Start:
Thu 7/27/2006 12:00 PM
End:
Thu 7/27/2006 12:30 PM
Show Time As:
Tentative
Recurrence:
(none)
Meeting Status:
Meeting organizer
�Susan
Required Attendees:
DelleChiaie, Pamela; Sa)N�er,
Chad Jablonski came in and requested this inspf�ti?n.t Tentatively scheduled_�pr�bon tomorrow. 978,360.9358
t,
The baffle in in good condition. Will not put a e
P_ _r —
C:�
1
FORM - U - LOT RELEASE FORM
INSTRUCTIONS:. This forn, is used to verify that all -necessary approval / permits from
Boards and Departments havm',g jurisdiction have been obtained. This does not relieve the
applicant and or landowner from compliance with any applicable requirements.
APPLICANT ?4- PHONE .5-j
ASSESSORS MAP NUMBER_ -57,6 —LOTNUMBER 67
SUBDIVISION
LOT NUMBER
STREET 144, e-
,"11411111 ....... =111011mommiussins-Ennumm""", STREET NUMBER
OFFICIAL USE ONLY
RECO!�WNDATIONS OF TOWN AGENTS
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jCO /ER"VAnONADMINISTRA
DATE REJECTED
COMNMWrS —pre
TOWN PLANNER DATE APPROVED
DATE REJECTED
COMMENT'S
DATE APPROVED
WFOWODIN CT - HEALTH DATE REJECTED
/0 . e�
4C, DATE APPROVED
S CTOR
7 DATE REJECTED
CONRVIENTS
>
PUBLIC WORKS - SEWER WATER CONNECTIONS
DRIVEWAYPERMIT'
DATEAPPROVED
FIRE DEPARTNffiNT
DATE REJECTED
CONMIENTS
RECEIVED BY BUILDING INSPECTOR I -N A
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MERRIMACK ENGINEERING SERVICES, INC.
PROFESSIONAL ENGINEERS 0 LANDSURVEYORS * PLANNERS
PARK STREET 0 ANDOVER. MASSACHUSMS 01glo o TEL (617) 473-35M. 3M5721
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Town of North Andover, Massachusetts
BOARD OF HEALTH
/�-j <:5 'E -19 ?'-�f
Form No. 3
DISPOSAL WORKS CONSTRUCTION PERMIT
Applicant- NAME ADDRESS TELEPHONE
Site Location /- .1-3 A41 Al,--- 2/2 b --
Permission is hereby granted to Construct A -T or Repair ( ) an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
Fee
74
CHAIRMAN, BOARD OF HEALTH
D.W.C. No.
FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that 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 local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
APPLICANT: 6- R Phone
LOCATION: Assessor's Map Number
Subdivision
Parcal
Lot (-e� -3
Street -A �) tv f� Rb, St. Number
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
Date Approved
conservation Acim-inistrator Date Rejected
Comments
�, - pzakl Q g L�_- . Date Approved ('O� I VLA� I
,f aw-n "Planner _U Date Rej ected
Comments
Date Approved
Food Inspector -Health Date Rejected
Date Approved
Septic Inspector -Health Date Re-iec-ted
J
Comments FW161f 7-0 ;561),5
( IV6 Te
public Works --,
Fire Department
�Received by Building
717191
Inspector
Date
DATE
Sheet—/ of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE.DISPOSAL DESIGN REVIEW
FEE_ PERMIT # DATE RECEIVED
APPLICANT 5-/,!)"/ ASSESSOR'S MAP 37S
ADDRESS 1Z& r// - PARCEL # 617
LOT # l?)
ENGINEER STREET 171AIA46-
ADDRESS &-o Wr) . 119AI DO 11C-�e
PLAN DATE w -'A 193 REVISION DATE Z. R
L J
CONDITIONS OF APPROVAL:-
- 7r,/?/6k 76 -
APPROVED
DISAPPROVED