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Home My WebLink AboutMiscellaneous - 433 MARBLERIDGE ROAD 4/30/2018 _ 433 MARBLERIDGE ROAD 210/038.0-0068-0000.0 ROAD r h � � FORM U - LOT RELEASE FORM _ 4 INSTRUCTIONS. ThifI necapprovals/pe s form is used to verify that a Boards and Departments having jurisdiction have b l essary srmits fro; e nobaai'ed. This does not reliev the applicant and/or landowner from compliance with Y pp cable or requirements. *****************************APPLICANT FILLS OUT THIS SECTION s APPLICANT !L G i LOCATION: Assessor's Map Number ):5 PHONEEV r PARCEL-----. SUBDIVISION LOT(S) STREET ST. NUMBER � OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: t. I ------------- CONSERVATION ADMINISTRATOR 5i�' ' DATE APPROVED _,�" DATE REJECTED COMMENTS j TOWN PLANNER +- DATE APPROVED DATE REJECTED --------------- COMMENTS FOOD INSPECTOR-HEALTH DATE APPROVED DATE REJECTED /� —SEPTIC INSPECTOR-HEALTH / DATE APPROVED 10 �11111 DATE REJECTED COMMENTS /-4ff C76 el 1 . PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY P RMI FIRE DEPARTMENT ' RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm ------ :�,�' tlx�"$ra �;'; ,�,a�_�•y!�'t+�fi^t' `'��'c'�'wf�Y�c�*:i"' . .�� '"�y+.aaa. _. ,,,5` 9+�. _• .:,��-.�.r - �vim': _ ._ _. _ _ au ti ,. ..q IPs i. PA11-i ❑ a KI1"CN�N WNG f3Nbp00M �A11NG Y ❑ COUN�p a� ri r Py�n ,k I rr 3 �N AIN fi FAMILY p00M ¢s Y " 12INING p00M j• 13np00M f3Fnp00M 4 �, IY) fP yy� 4 ,yy4 qp CV 1 AAI �� '• � �- � aha }i �g y! /YN ppyy f` i { FIp5f FLOOp p�AN q, 'ekk _ - g{1 - '� n 7.�' •f' _ .. u $• o h d ..fit.fi.r y ay aj _ s b.. r ..,:.;.., #.a'-..y `' _ °� _ * A„' �'ei n.ca +� ,�. .^s:+.a^x u�an,Vii!#' ..., -'�.��'�>a"*•t--•x,--,,.�-.,,�^'-�.-�y:tr-�"*f$.��"`?;�—,�" • , ,i __ .- A `jYa ael:,;.P+�,w` �ra+a&+..:"@-:`-..+...��-,.ie+.n.-'.,,,,,�.rer�...m�s. .. LAUNIXY 13A11-I 1 KlfCNFN N . FAfING 13Fn1?OOM WA 5? 13►r�3vV I �f? Lu- F-AnNG I ❑ COUN1 'j CL b CL 1 F h. . . . . . . . . . . . . . .I. . . . . . F.. PINING DOOM FAMILY DOOM .1 -r0 A130VF ¢r 4 `POACH 5 tl . £ 4 FIp5f FLOOD PLAN r 1 owc �• - - - A _ T i I h I i �If i 1 - � At L �Cp ,0 F� G _ v Q a-y Ci14 t ,oL, y_o 2 � t0 t '0`1 ' J ORTh r TOWN OF NORTH ANDOVER 3?°,`.N``°.•.'."o HEALTH DEPARTMENT 27 CHARLES STREET NORTH ANDOVER MASSACHUSETTS 01845 ss�caus� Sandra Starr Telephone(978)688-9540 Public Health Director FAX(978)688-9542 MEMORANDUM DATE: February 27, 2003 TO: Board of Health FROM: Sandra St �G��- "P RE: Update on 433 Marbleridge Road The attached packet details the chronology of the Health Department's interaction with Mr. Richard Querci of 433 Marbleridge Road. The last actual contact was my letter of June 11, 2001. As far as I am aware there has been to date no additional letters, applications, telephone conversations, etc., concerning this project. Sometime in December of 2002 or January 2003, I was contacted by Assistant Town Manager, Ray Santini, about a letter that he had received from Mr. Querci generally alleging that he was treated unfairly by the Health Department because his project was denied but his neighbor was allowed to build a sunroom. I have never received a copy of this letter so am unable to include it in this package. Mr. Santini also informed me that Mr. Querci stated he would be willing to move out of the house and not re-occupy it until he received an occupancy permit and the house was connected to sewer, if he could get permission to start his addition now. I explained to Mr. Santini that the occupancy of the house has little if anything to do with how Title 5 has been written or is enforced. Determinations about size of the septic facility are directly related to the number of rooms that the system is designed for and whether the system meets current Title 5 regulations. (The system was installed in 1956.) I also stated that if it were solely up to me, I would have no problem with signing off on an updated application for the project, but it would be a direct violation of Title 5 and is outside my and the Board's legal authority. In answer to Mr. Santini's question of how Mr. Querci could appeal, I stated he could placed on the meeting agenda to talk to the Board, if he sent a brief letter requesting a place on the agenda. To date no such correspondence has been received; however, Mr. Santini directed me to put him on the agenda regardless. k R k In your packet there are copies of the pertinent state and local regulations; the DEP response about adding flow to a failed system; the procedure for requesting a variance of this type from the Board and from DEP; and Title 5 requirements and options for a septic system that is and has been in failure for over the maximum limit of two years. In order for the Board to grant a variance from Title 5 requirements, other than an extension of time for the failed system, the applicant must request the specific variance in writing, advertise the hearing time and date in the newspaper, and notify all abutters in writing by certified mail of the hearing time, purpose, date and location. If the Board grants the variance request, then the applicant must apply to DEP for their review and approval. There is a fee connected to this application. If the Board is willing to entertain a variance to allow construction on an addition before the house is connected to sewer, then a hearing may be held at the beginning of the meeting on March 27, 2003. Mr. Querci can pick up a written procedure and a copy of the defining section of Title 5 at the Health office. Town ®f North Andover ViQRYN Office of the Health Department as 0 Community Development and Services Division ^o e 27 Charles Street ,> North Andover,Massachusetts 01845 ��q�ren.•"4Re $ACHUS� Sandra Starr Telephone(978)688-9540 Public Health Director Fax(978)688-9542 June 11,2001 Richard Querci 433 Marbleridge Road North Andover,MA 01845 Re: Proposed addition Dear Mr. Querci: I have attempted to reach you by telephone on several occasions with no success. Therefore,this letter comes as a follow-up to our recent telephone discussion concerning your desire to build an addition to your home at 433 Marbleridge Road. As promised,I have spoken to both the North Andover Department of Public Works(DPW)and the Department of Environmental Protection,Division of Water Pollution Control(DEP). Mr.Bill Hmurciak,DPW Director,assures me that the sewer for Marbleridge Road will be in operation by July 1,2002. Unfortunately,the date that sewer will be available for tie-in at your address does not affect the answer to your question. The DEP stated that under no condition could an addition be built unless the septic system fully complies with Title 5 or is tied in to a functioning sewer. I have attached the e-mail to this letter for your review. Please understand that the Board and I will do everything I can to help you solve your space problems as soon as possible,but we must abide by the laws of the Commonwealth. Should you wish to discuss this matter further with the Board of Health,please drop me a line requesting a spot on the agenda of their next meeting. The next meeting will be held on June 28,2001 at 7:00 P.M. at the DPW building on Osgood Street. Sincerely, Sandra Starr, R.S., C.H.O. Public Health Director Cc: BOH DPW Director Town Manager File L'O.1PD OF AYPFill 5 688-9541 33UILDING 688-9545 COTITSERVATION 688-9530 NURSE 688-9543 PL_NTNING 688-9535 rGl�'v 1 V1 G i Town of North Andover E-Mail From: Golden, Claire(EQE) (Claire Golden) <Claire.Golden@state.ma.us> To: <sstarr@townofnorthandover.com> Sent: Tuesday, May 22, 20018:04 AM Subject: re:Addition to home with failed septic system I Hi Sandy, Any addition of bedrooms to that home over the exisitng approved capacity of the failed system(or if no info is available regarding the exisitng sytem, the assessors'bedroom count), the system needs to be replaced with a fully complying system complying with new construction standards in the Code. Although sewer is coming to this area within the next few years, no design or actual flow may be added to this existing failed system even with binding agreements, etc. If this homeowner wants to expand the number of bedrooms in the dwelling and he is unable to construct a fully complying system then he needs to wait until the sewer is available. Claire A. Golden, EEIV Wastewater Management Program Department of Environmental Protection/Northeast Regional Office 205a Lowell Street Wilmington, MA 01887 (978) 661-7743 (978) 661-7615 (fax) ---------- Original Text ---------- From: "Sandra Starr" <sstarr ,townofnorthandover.com>, on 05/21/20012:21 PM: Hi Claire, Have a question. I have a resident whose wife is about to deliver and he wants to add an addition onto his home. It's currently on septic and it's failed. The sewer is supposed to coming out to his street in the next year (or two?) He wants to put on the addition now since the baby has no intention of waiting until sewer is available. I doubt there's room on his lot for a fully complying system since he installed an inground swimming pool a while ago without the benefit of permits. It's large and his lot really isn't. Once I get a date from DPW on the sewer being available, can I let him put on his addition if he puts money in escrow for the tie-in? I'd appreciate a clear, written response so I can better explain to him what the rules are. Thank you, ma'am. Feel free to e-mail me at sstarr townofnorthandover.com. Sandy Starr 5/22/2001 Town of North Andover cF NORTH Office of the Health Department `'t '6'°�O Community Development and Services Division William J.Scott,Division Director 4 ' 27 Charles Street �RSSACMUS Sandra Starr P ( )hone North Andover,Massachusetts 01845 Tele 978 688-9540 Health Director Fax(978)688-9542 January 3,2001 Richard Querci 433 Marbleridge Road North Andover,MA 01845 Re: Application for addition Dear Mr. Querci: Your application for an addition at 433 Marbleridge Road has been reviewed by the Health Department. The application was been denied on December 29,2000 for the following reasons: 1. k Missing information 2. t Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable To address the problem(s): If#1 is checked, please supply: a. Floor plan of existing and proposed addition b. Certified plot plan showing house, septic system and proposed project 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 Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Reviewer Cc: Building Department File Mark Rees,Town Manager William Scott,Director CD&S BOARD OF APPEALS 688-9541 BUIILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-953; NOTES ON 433 MARBLERIDGE—R. QUERCI In early December of 2000 the departments of Building and Health were notified that a complaint had been lodged with the Town Manager about an addition on 433 Marbleridge Road. Files were reviewed and no applications were found. At that point, both departments wrote to the complainant, Mr. Richard Querci, and informed him that there was a procedure in place for obtaining building permits and that he should make a formal application. Mr. Querci applied for a building permit to add a second floor on to his existing single-floor home at the end of the year 2000. Health reviewed.his proposal and sent a form letter denying his application because of missing information. He was asked to supply a complete floor plan of the existing house and the proposed addition along with a passing Title 5 inspection report. This information has to date not been supplied. Mr. Querci and I have had a number of telephone conversations about his desire to construct an addition. Most recently we discussed the possibility of his beginning construction of the addition since municipal sewer will be coming to that end of Marbleridge Road, possibly by the fall of 2002. It was this possibility that I proposed to the DEP and stated that Mr. Querci was willing to sign a binding agreement and place funds in escrow for the sewer connection. As seen by her e-mail, reply this is not possible under Title 5 regulations. I have no recommendations since there does not seem to be anywhere to go. I asked Ms. Golden how strict the Department was on this particular regulation and she responded that she has not seen this particular section waived by the DEP. However, Mr. Querci can always apply to DEP for a waiver from this rule. Town of North Andover � ttORTy Office of the Building Department �=OQy1wo ybalom Community Development and Services Division. William J. Scott, Division Director 27 Charles Street �ssgcwus�� D. Robert Nicetta 1 (978 one North Andover,Massachusetts 01.845 Telephone ) C88-9545 Building Conimissionet" Fax(978)688-9542 Mr. Richard Querci 433 Marbleridge Rd. North Andover,MA 01845 December 11, 2000 Dear Mr. Querci; I have been notified that you have inquired about constructing an addition onto your home. Please be advised that in order for this to occur you will need to obtain a building permit, of which there is a procedure that is required to be followed. Please contact me so that I may explain the procedure that you will need to follow in order to expedite this process. I may be reached between the hours of 8:30— 10:00 AM and 1:00—2:00 PM at (978) 688=9545. Respectfully, Michael McGuire Local Building Inspector ' Cc Mark Rees, Town Manager William I Scott, Director, Community Development & Services Sandra Starr, Health Department Director D. Robert Nicetta, Building Commissioner File FILE BOARD OF APPE;VS 6840541 B131LDING 654-954:> IIEALTI{6,8£s-9540 PLA`,�ING 654-9535 ` Town of North Andover Of,ttc° b�h0 Office of the Health Department F 70 ommunity Development and Services Division William J.Scott Division Director °° ��°- '� 27 Charles Street �9Ssacaus try North Andover;Massachusetts 01845 Telephone(978)688-9540 Sandra Starr Fax(978)688-9542 Health Directoi December 8, 2000 Richard Querci 433 Marbleridge Road No. Andover,MA 01845 Dear Mr. Querci: I have been notified that you are hoping to build an addition onto your home at 433 1VMarbieridge Road. Please be advised that there is a required procedure to be followed when additions to.;existing homes are proposed. The first-step is to apply,for a building permit from the Building Department. .Becau se your home is currently served by a septic system, you must receive approval from the Board of P Health/Health Department before a building permit can be issued. I suggest est that you apply for a all required information. At this point we can review our proposal building permit, subrruttIng q P Y. P P and make a:determination on the project. You should also be aware that if you disagree with any decision that Imake,you:have the right to appear before the Board of Health and have the case reviewed. Please feel free to call me at 978-688-9540 with any questions you may have. Sincerely, Sandra Starr' R:S., C:H.O. Health Director Cc: Town Manager x Director, CD&S. jB uding Department File 0 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLA�NTNING 688-9535 i FORM - U - LOT RELEASE FORM y INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT /(C_k Pd (1{'0 C ( PHONE ASSESSORS MAP NUMBER U LOT NUMBERy SUBDIVISION LOT NUMBER STREET STREET NUMBER / .......... ............a ■........r..................■ ■...........a.....■ / + OFFICIALUSEONLY C0v6^�� RECOMMENDATIONS OF TOWN AGENTS got, a3, a Q ..........r.r..........................■■.......r.... ...■ ■........■ �C'T .. L�6/j5�( DATE APPROVED ` �� d! CONSERVATION ADMINISTRATOR ' DATE REJECTED COMNEN-17S 00c— DATE APPROVED 'i TOWN PLANNER DATE REJECTED j COIvvIIIvIENTS i DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED c .1GG�!JC DATE APPROVED SEPTIC INSPECTOR-HEALTH p ff 0 DATE REJECTED /O�/a►910 COMMENTS PUBLIC WORKS-SEWER!WATER CONNECTIONS DMEWAY PERMIT DATE APPROVED 'i FIRE DEPARTMENT DATE REJECTED i COMIyyIF,NNTS RECEIVED BY BUILDING INSPECTOR" DATE s i Town of North Andover f NORTH OFFICE OF COMMUNITY DEVELOPMENT AND SERVICES p 27 Charles Street ° North Andover, Massachusetts 01845 '' `°4• ° ay WILLIAM J. SCOTT �SSACHUSEt Director (978)688-9531 Fax (978)688-9542 Richard & Stephanie Querci 433 Marbleridge Road No Andover, MA 01845 RE: Permit application for in round pool g Please be advised that it has come to my attention that the 16 x 32 foot inground pool has been installed without the benefit of a building permit. Please be advised that this is in violation of the Town of No Andover zoning bylaw as well as the State Building Code (780 CMR). Please contact me so that we may rectify this matter in a timely manner. I may be reached in the office between the hours of 8:30 to 10:00 AM and 1:00 to 2:00 PM Respectfully, Michael McGuire Local Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 y r I INTERNAL MEMORANDUM Date: July 16, 1999 To: Mike Maguire, Building Dept. From: Sandra Starr, Health: Re: 433 Marbleridge Road When Health Department personnel first saw this application for an inground pool our file was checked and found to have insufficient information for a decision to be made. The homeowner was asked to locate his septic system and have it drawn to scale on a scaled plot plan. He stated that he had both Bateson Septic and engineer, Bill Dufresne, out to look at the system. Upon discussing the site with Mr. Dufresne, I was told that his septic system is in failure. After discussing the problem with the BOH chairman, I attempted to contact the homeowner to discuss the issue of the failed septic system and the possibility that constructing a large pool in his rear yard could severely limit his options with respect to his sanitary waste disposal. Before I was able to make contact, however, I learned that he had already installed the pool. At that point I discontinued attempts to reach him. h TOWN OF NORTH ANDOVER DIVISION OF PUBLIC WORKS 384 OSGOOD STREET NORTH ANDOVER, MASSACHUSETTS 01845-2909 J. WILLIAM HMURCIAK, DIRECTOR,P.E. Timothy J. Willett GE�10RT11 1 Telephone (978) 685-0950 Water Superintendent P F p Fax(978) 688-9573 December 9, 2002 SwCHU Mr. Richard Querci 433 Marbleridge Road North Andover, MA 01845 RE: Phase 4A Sewer Project Status update Dear Mr. Querci: Please be advised that the Phase 4A Sewer Project, which includes a new sewer line to be installed in front of 433 Marbleridge Road, is now an active project. Attached is a copy of the Notice to Proceed signed by the Director of Public Works and accepted by the contractor, RM Pacella, Inc., on December 5, 2002. RM Pacella, Inc. has begun work on Great Pond Road near Bonny Lane with the installation of a new water main, and sewer lines on Great Pond Road will be installed thereafter. The project also includes sewer lines on Osgood Street near Great Pond Road, a small section of Abbott Street, and Marbleridge Road from Abbott Street to Dale Street. RM Pacella will continue to work on Great Pond Road as long as weather permits. It is very likely that winter weather will force the contractor to shut down for a few months and return next spring. We expect RM Pacella to complete the project sometime during next summer. Very truly yours, Timothy J. Willett Water& Sewer Superintendent CC: Sandra Starr Page 1 of 2 Town of North Andover E-Mail From: Golden, Claire(EQE) (Claire Golden) <Claire.Golden@state.ma.us> To: <sstarr@townofnorthandover.com> Sent: Tuesday, May 22, 20018:04 AM Subject: re: Addition to home with failed septic system Hi Sandy, Any addition of bedrooms to.that home over the exisitng approved capacity of the failed system(or if no info is available regarding the exisitng sytem, the assessors bedroom count), the system needs to be replaced.with a fully complying system complying with new construction standards in the Code. Although sewer is coming to this area within the next few years, no design or actual flow may be added to this existing failed system even with binding agreements, etc. If this homeowner wants to expand the number of bedrooms in the dwelling and he is unable to construct a fully complying system then he needs to wait until the sewer is available. Claire A. Golden, EEIV Wastewater Management Program Department of Environmental Protection/Northeast Regional Office 205a Lowell Street Wilmington,MA 01887 (978) 661-7743 (978) 661-7615 (fax) ---------- Original Text ---------- From: "Sandra Starr" <sstarr(a,townofnor andover.copn>, on 05/21/20012:21 PM: Hi Claire, Have a question. I have a resident whose wife is about to deliver and he wants to add an addition onto his home. It's currently on septic and it's failed. The sewer is supposed to coming out to his street in the next year (or two?) He wants to put on the addition now since the baby has no intention of waiting until sewer is available. I doubt there's room on his lot for a fully complying system since he installed an inground swimming pool a while ago without the benefit of permits. It's large and his lot really isn't. Once I get a date from DPW on the sewer being available, can I let him put on his addition if he puts money in escrow for the tie-in? I'd appreciate a clear, written response so I can better explain to him what the rules are. Thank you, ma'am. Feel free to e-mail me at sstarr townofnorthandover.corn. Sandy Starr 5/22/2001 Page 1 of 2 Town of North Andover E-Mail From: Golden, Claire(EQE) (Claire Golden) <Claire.Golden@state.ma.us> To: <sstarr@townofnorthandover.com> Sent: Tuesday, May 22, 20018:04 AM Subject: re:Addition to home with failed septic system Hi Sandy, Any addition of bedrooms to.that home over the exisitng approved capacity of the failed system(or if no info is available regarding the exisitng sytem, the assessors'bedroom count), the system needs to be replaced with a fully complying system complying with new construction standards in the Code. Although sewer is coming to this area within the next few years, no design or actual flow may be added to this existing failed system even with binding agreements, etc. If this homeowner wants to expand the number of bedrooms in the dwelling and he is unable to construct a fully complying system then he needs to wait until the sewer is available. Claire A. Golden, EEIV Wastewater Management Program Department of Environmental Protection/Northeast Regional Office 205a Lowell Street Wilmington,MA 01887 (978) 661-7743 (978) 661-7615 (fax) ---------- Original Text ---------- From: "Sandra Starr" <sstarr@townofnorthandover cam>, on 05/21/20012:21 PM: Hi Claire, Have a question. I have a resident whose wife is about to deliver and he wants to add an addition onto his home. It's currently on septic and it's failed. The sewer is supposed to coming out to his street in the next year (or two?) He wants to put on the addition now since the baby has no intention of waiting until sewer is available. I doubt there's room on his lot for a fully complying system since he installed an inground swimming pool a while ago without the benefit of permits. It's large and his lot really isn't. Once I get a date from DPW on the sewer being available, can I let him put on his addition if he puts money in escrow for the tie-in? I'd appreciate a clear, written response so I can better explain to him what the rules are. Thank you, ma'am. Feel free to e-mail me at sstarr ctownofnorthandover.com. Sandy Starr 5/22/2001. Town of North Andover° p1ORT11 Office of the Building Department Community Developmentind Services Division William J. Scott, Division. Director D klTe°� G7 Charles Street �ssaeseu5�� D. Robert Nicetra I (978 North uncover,Massachusetts 01845 Telephone 688-9545 ) Building Corrrmissioraer Fax(978)688-9542 Mr. Richard Querci 433 Marbleridge Rd, North Andover, MA 01845 December 11, 2000 Dear Mr. Querci; I have been notified that you have inquired about constructing an addition onto your home. Please be advised that in order for this to occur you will need to obtain a building permit, of which there is a procedure that is required to be followed. Please contact me so that I may explain the procedure that you will need to follow in order to expedite this process. I may be reached between the hours of 8:30— 10:00 AM and 1:00—2:00 PM at (978) 688-9545. Respectfull Michael McGuire Local Building Inspector Cc Mark Rees, Town Manager William J. Scott, Director, Community Development& Services Sandra Starr, Health Department Director D. Robert Nicetta, Building Commissioner File R0ARD OF APPE,'V S 6"-9541 Ist?ILDI\G 688-954.5 Cil vcLI2.�".1TID 685-95:30 Iir,\LTFt 688-9540 PI.,ANMNG 688-95M Town Of North Andover E kORT" Q <t LE° 16. Q Office ®f the Health Department V Community Development and Services Divisi®n 00 William J.Scott Division DirectorA°9a°--°•'-•• 7 °R'Ire. pPy'�g 27 Charles Street Rssnaas�� North Andover,Massachusetts 01845 Telephone (978)688-9540 Sandra Starr Health.Director Fax(978)688-9542 December 8, 2000 Richard Querci 433 Marbleridge Road No. Andover, MA 01845 Dear Mr. Querci: I have been notified that you are hoping to build an addition onto your home at 433 Marbleridge Road. Please be advised that there is a required procedure to be followed when additions to existing homes are proposed. The first step is to apply for a building permit from the Building Department. Because your home is currently served by a septic system, you must receive approval from the Board of Health/Health Department before a building permit can be issued. I suggest that you apply for a building permit, submitting all required information. At this point we can review your proposal and make a determination on the project. You should also be aware that if you disagree with any decision that I make, you have the right to appear before the Board of Health and have the case reviewed. Please feel free to call me at 978-688-9540 with any questions you may have. Sincerely, Sandra Starr, R.S., C.H.O. Health Director Cc: Town Manager Director, CD&S Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PL.-1NINING 688-`-)535 Town ®f North Andover E NOR „qy Q ILEO 16 Office ®f the Health Department O A Community Development and Services Division * ^, William J.Scott,Division Director 27 Charles Street gSSACHUS�t North Andover,Massachusetts 01845 Sandra Starr Telephone(978)688-9540 Health Director Fax(978)688-9542 December 8, 2000 Richard Querci 433 Marbleridge Road No. Andover, MA 01845 Dear Mr. Querci: I have been notified that you are hoping to build an addition onto your home at 433 Marbleridge Road. Please be advised that there is a required procedure to be followed when additions to existing homes are proposed. The first step is to apply for a building permit from the Building Department. Because your home is currently served by a septic system, you must receive approval from the Board of Health/Health Department before a building permit can be issued. I suggest that you apply for a building permit, submitting all required information. At this point we can review your proposal and make a determination on the project. You should also be aware that if you disagree with any decision that I make,you have the right to appear before the Board of Health and have the case reviewed. Please feel free to call me at 978-688-9540 with any questions you may have. Sincerely, l Sandra Starr, R.S., C.H.O. Health Director Cc: Town Manager Director, CD&S Building Department File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 NURSE 688-9543 PLANNING 688-9535 PEaat.>rT Nb. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4J0. I LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK PAGE ZONE SUB DIV. LOT NO. F—) — LOCATION PURPOSEOF BUILDING I. 2yC e A l�uQ.�t��vm S:.� -� /`I4 w•. h OWNER'S NAME �_( k.cYCl NO. OF STORIES ' Sat 4 OWNER'S ADDRESS �M• BASEMENT OR SLAB �?3 r►a a�Blc�► g e l 3 4 sew,&,.. ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND /1x10 3RD BUILDER'S NAME lug. &rrttl ^ A 1, SPAN DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET `b POSTS DISTANCE FROM LOT LINES-_•7SIDES J_..,REAR + GIRDERS AREA OF LOT 16,O7� �'v1F+ �FRONTAGE No G+- HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW Oc ` SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY ��•t IS BUILDING ALTERATION A IV A� �� ,O_ 1 IS BUILDING ON SOLID OR FILLED LAND so WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �n/�!V IS BUILDING CONNECTED TO TOWN WATER �s BOARD OF APPEALS ACTION. IF ANY '-! IS BUILDING CONNECTED TO TOWN SEWER NO IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION !'^ 1, i LAND COST 4 f SEE BOTH SIDES ` L `su( ± } a LLLSSS i EST. BLDG. COST Grwy PAGE I FILL OUT SECTIONS 1 - 3 .�` k r EST. BLDG. COST PER SQ. FT. I § 0 0 «,� 12 EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - � V>t'O E � SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING - 4 APPROVED BY - ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATI NSU',LIE' z. PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED WILDING INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT li F E E OWNERTEL.# PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# �B H.I.C.# f BUILDING RECORD I OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE � a , 2 �3 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER C y DRY WALL �i— ._ _ + st (/��t 2.�� i lWV 'V'�A C' Wt l l t 1✓.�. �I'"'fJl ItIF�+'.R UNFIN. 3 BASEMENT I AREA FULL FIN. B'M'TAREA 1/1 Vt � FIN. ATTIC AREA _ N_O 8 M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMMON _ VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRI K ON MASONRY ATTIC STIRS. & FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. � STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NO _ NE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) 1000, _ GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLATSHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING-11MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC 1st 13rd I NO HEATING PE&MtT Nd. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. I LOT NO. 2 RECORD OF OWNERSHIP !DATE BOOK 'PAGE ZONE SUB DIV. LOT NO. �-1 - LOCATION - + �.I { S1 PURPOSE OF BUILDING - 1 OWNER'S NAME NO. OF STORIES SIZE r OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 1 ,: I ! SPAN i DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET '" POSTS DISTANCE FROM LOT LINES-SIDES REAR "" GIRDERS AREA OF LOT r, r r FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY , IS BUILDING ALTERATION r. ( IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER 1 IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. ! EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR 1 DATE FILED BUILDING INSPECTOR SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E OWNER TEL.✓rJ PERMIT GRANTED CONTR.TEL.1i 19 CONTR.LIC.N H.I.C.A BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETEB I ?y I3 (�N6S.t�1' /'/IQ�AM� s�1 CONCRETE BL K. —{ PINE _ 1� / d BRICK OR STONE HARDW D PIERS PLASTER /� I D -� A 2`,,�//� DRY WALL _ _ _ NO�� • a` ' Sfi FIOOI Q/"��+IKS WA`( 64- 40-o Jj *WK UNFIN. 3 EASEMENT AREA FULL FIN. B'M'T' AREA _ ��"�"� S �� Q�� 1/1 1/2 FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIORCOR _ ADEQUATE i NONE 5 ! OF 10 PLUMBING GABLE I IP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC lit 13rd NO HEATING vG' i 1 �: Vim.` .., . • Nom•/ ♦... 1 BOARD OF HEALTH TOPN OF NORTH ANDOVERO MASS. t 1 . ,�. ,yo�l� 1. Ise �R a n T . DATE . 2. ADDRESS Iler �f• . LOT No: . o ,. . TEI 3. NO, OF BEDROOMS .'3 . . ► DEN YES :'. . . . NO.. . . . 4. GARBAGE GRIIMER YES . . . . . NO..v . . 5, SHOW DILIENSIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7, SHOW DIIIlENSIONS OF LOP 8, SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9, NOTE LOCATION AND DISTANCE OF WELL FROM SEWERAGE SYSTEM 10, SHOP) LOCATION CF BROOKS V STREWS, DITCHES j IEDGE OUTCROP, ETC. Il. SHOW DISTANCE\'OF SEPTIC TANK OR CESSPOOL FROM HOUSE NOTE: LOCAL REGULATIONS SHOULD EE READ CAREFULLY. 1 MORTGAGE F tdORTH ANDOVER/ AT' BOARD OF HEALTH 33-,-MARBL ER/OGE ROAD FEB 1 6 NORTH ANDOV�4 MA. , NO.: ESSEX REGISTRY ! OF DEEDS.'BK. pG. 6 PLAN.' N0. 927; CERT/F/ED__. TO.'F/,QST EAST�'RN;MORTGAGE'- CORPORA TION .SCALE•? /'l 40' DATE:' AUGUST: 7 /992 - i i i T ,^ . . . . • 00 Its .r14 v { ' w000 ;2SF 6 076 t I F,BANE P)YEl L../NG. 0 _._..., :.r. NOTES.• NO T , . . IA OF USE--OFF BUSH- PROPERTY H wNSTS�-T0-ESTg " ,OR TO ERECT ANY STRUCTURE i 2)PROPERTY: 4/NES ;ARE DETERM/NEO FROM i COMP/LED /NFORMAT/ON TO BE USED] FOR�MORT.GAGE PURPOSES ONLY #l 3) GARAGE EXEMPT PER MG ; :40A,`SEC. 0 i s CERT/F/CAT/ONS..:.... .. BASED ON MY ,KNOWLEDGE; INFORMATION AND BE"L/EF % HEREBY CERT/FY THAT�,*r r ' HE PERMA N E _ NT SThY/CTU . ARE LOC ATE •�" 0 N Q THE GRGYJND APPROX/MATELY AS SHOWN. ANDRE SEENOTE CONFORM/NG 'TO i THE ZON/NG:�SETBACK`REa11REME/yTS OF THE� TOWN OF NO. ANDOVER.W,HEN�-CONSTRUCTED -�4ND ,,THAT.THE- 57RUCTURE SHOWN%S NOT LOCATED IN A FLOOD HAZARD ZONE-AS PER ,FE.M.A. MAP, COMMUNITY NO.2500980aoB ! EFFECTIVE,DATE-06-/5:.83 . ZONE.'C JOHN ABAG/S ASSOC/AYES, �' PROF475S/0VAL LAND SURVEYORS 137 CHANDL'ER_ROAD, -ANDOVER, MA• (508) 688- 4899 `-)4 g - 0 Z / LT si6'0.C. •. 3v�c -- - - - I fro fi,S=�� „ � �, — i F-1 F-1ILJ. El -- o111FIl _- nil 01 1 ti.� , r - M ' � 4 __ � _ .. _ C k . ., , 1) � j / i Lr LLLU 1_ -n a '4 1- 1) Ir Vol rl ;L)u cr r- 14, - _ -- i EF-11 IIF 11, - ' 64 -- - - _ _ b r L - - 7 - -X 32- -e'-9 V H1H Ej 1 2�`oV6 , , V1il <} t - r L �g ':7 �'c - ,xv I I i ., E E l } . f } i 10 cl c7 Ll `J L G� ❑ �r 7 t l7 ❑ z� Nt� G l o *-Sep J o �`.l� I-A IF 6-/ / i f� 1 � I 0 i j 1 FOR—MU - 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 or requirements. APPLICANT FILLS OUT THIS SECTION APPLICANT IZ614 ` .�fC'.: ,u PHONEI iii JLOCATION: Assessors Map Number PARCEL SUBDIVISION LOT (S) STREET •4( Gf ST. NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS: i "CONSERVATION ADMINISTRATOR DATE APPROVED 14 M 1� DATE-REJECTED COMMENTS �l � -- �l� �� b�.c� `P � � re— C (✓ iii U10 TOWN PLANNER DATE APPROVED rjl DATE REJECTED COMMENTS 1 FOOD IN PECTOR-HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED DATE REJECTED COMMENTS 77 61q4)1()07 PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE (978)688-9530 Town of ' NORTH ANDOVER DIVISION OF COMMUNITY DEVELOPMENT&SERVICES RICHELLE MARTIN CONSERVATION ASSOCIATE I 27 Charles Street•North Andover•Massachusetts•01845 Date: July 16, 1999 To: Mike Maguire, Building Dept. From: Sandra Starr, Health Dept. Re: 433 Marbleridge Road When Health Department personnel first saw this application for an inground pool our file was checked and found to have insufficient information for a decision to be made. The homeowner was asked to locate his septic system and have it drawn to scale on a scaled plot plan. He stated that he had both Bateson Septic and engineer, Bill Dufresne, out to look at the system. Upon discussing the site with Mr. Dufresne, I was told that his septic system is in failure. After discussing the problem with the BOH chairman, I attempted to contact the homeowner to discuss the issue of the failed septic system and the possibility that constructing a large pool in his rear yard could severely limit his options with respect to his sanitary waste disposal. Before I was able to make contact, however, I learned that he had already installed the pool. At that point I discontinued attempts to reach him. i II I I i { Y .�> > � � - 1. •'. �. .`' . . Y ., 1 r � � � a r 1 ' t 1 1 ,�. ;, � ,, ' � ,� "� r . _.�� e I J• � � ' �: � i �.� � _ . , i� .. � � ' I �! 7/ I f E g i � � __ � ' � 1 _ _. _. I� F' __— I —.— I I i —— i is 11 F-} ;I H _ _....__._ ___.. —_�—« —_ I, � q � (; . _ I '�' � � .�1�a — 7 d� ,a _�.L- - u-- _ _ _ _ _ w 1 � f w"� 4�.w'4r• f f I 1� ` Marbleridge Ra,` ` - APPLICATION FOR SEWAGE DISPOSAL USTALLATION \ HEALTH DEPARTIMT--NORTH AIMOVER, MASS. I hereby make application for a permit for a sewage disposal installation at Marbleridge Rd. . I will, install this system in accordance with all the laws of the CoLmonwealth of Massachusetts and regulations of the Board of Health of the Town of North Andover. Furthers I will construct the house sewer of bell and spigot pipes the minimum diameter being 4 inchest and will maintain a minimum grade of 11% until 10 feet preceding the septic tanks where the grade shall not exceed ;4,1,. I will install a concrete septic tank of JPO gal. in size. A manhole (s) permitting easy cleaning will be provided with removable cover (s) of iron or concrete within 12 inches of the ground surface. I will provide subsurface disposal field with open jointed bell and spigot Ackron pipe at least 4 inches in diameter and laid in a series of trenchesp the bottom of which will provide a minimum of 200 lineal (d4ffdW) feet of effective absorption area. The pipes will be laid on a 6 inch Layer of washed gravel or crushed stone ranging in size from 3/4 to 1.1/2 inches (dia.) and the pipes ,will be surrounded by similar material to a .height of, 2 inches above the crown of the pipe. The joints of these pipes will be protected from clogging and before filling the trench,, 2 inches of gravel or stone 1/80 to 1/4t' (dia.) will be placed over the course gravel or stone. The disposal field will be installed at a grade of 4 to 6 inches/100 feet. No single the line will exceed 100 feet in length and in any case., two lines of tile will be installed. A minimum of 6 feet will be maintained between the center lines of the disposal field trenches and the average depth of trench shall not' exceed 36 inches. No part of the in- stallation will be less than 100 feet from any private water supplyt 25 feet from any streams 20 feet from any dwelling or 10 feet from any property line. I further agres not to cover anv portion of thisisinstallation until pMroved,.by the inspection officer, as provided below, and to incorporate any additional requirements that may be attached to the permit. Plot Plans must be submitted with application. DATE 9 r Signature of Applicant I hereby issue the above permit for the Board of Health of the Town of North Andover, Masachiisetts. DATE <<� �-'� 1 q -k SJJgnature of Health Agent I have inspected the uncovered system indicated above and find everything done as described. DATE DATE _ t.71 2 y- c-3 Signature of Inspecting Officer Percolation Test Garbage Grinder - �1� / ..� r� BOARD OF HEALTH TOWN OF' NORTH ANDOVER, MASS. 1.15 'o, 3 t o 1. NAME 6 Flt T .�` /7L�' . DATE -G . . . 2. ADDRESS �02/, �e! . :�f`. , �;�;rti�. LCTN0. . . TELMU,�;�i! 3. N0, OF BEDROOIB �'. DEIJ YES . . . NO.. . . . . 4. GARBAGE GRINDER YES NO. . 5. SHOW DIT-WISIONS OF HOUSE 6. SHOW DISTANCES OF HOUSE TO ALL PROPERTY LINES 7. SHOW DIMEIZIONS OF LOT 8, SHOW LOCATION AND SIZE OF SEPTIC TANK C. CESSPOOL 9. NOTE LOCATION AND DISTAIqCE OF WELL FROST SEUdERAGE SYSTEM 10. SHOW LOCATION OF BROOKSp STREATZ, DITCHES, LEDGE OUTCROP, ETC. 11, SHOW DISTANCE OF SEPTIC TANK OR CESSPOOL FROM HOUSE NONE: LOCAL REGULATIONS SHOULD PE READ CAREFULLY. October 29, 1956 Miss Mary Sheridan R.N. Health Agent Board of Health North Andover, Massachusetts Dear Miss Sheridan: An examination has been made relative to the suitability of the soil for the sub-surface disposal of sewage on the proposed Marbleridge Road building site of Mr. grant Houle. The soil in the areaconsisted of clay, below which was a mixture of sand and gravel. No percolation test could be made at the time. It is recommended that a 750 gallon tank be insta.11.ed torrether i�Titha minimum of 200 lineal feet of drain pipe. The clay material below the loam should. be removed and replaced with two feet of bank gravel. Very truly yours, Finest F. Romano T, FORM U - LOT RELEASE FORM INSTRUCTIONS: phis form is used to verify that all necessary,approvals/permits Boards and Departments having jurisdiction have been obtained. This does not eli the applicant.and/or landowner from compliance with any applicable or requirement: * APPLICANT FILLS OUT THIS SECTION R APPLICANTS Qy e�G( PHONE id 3 LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S)_ STREET _Q x'61 l - ST.NUMBER q 3 USE ONLY RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVE6 DATE REJECTED COMMENTS s� TOWN PLANNER DATE APPROVED DATE:REJECTS[ COMMENTS ------------ FOOD►NSP O EALTH DATE APPROVED DATE REJECTED TIC 1 S OR-H DATE APPROVED. AD . DATE-REJECTED COMMENTS- PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT ------------ FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE____ Revised 9197 jm II BOARD OF HEALTH TOWN OF' NORTIi ANDOVER, MASS. 4210 .1 b{ r 4 to AaK 7'AL A/®�� Nav' 4 I imi . . . . . . . . . . . . . . . . . DATE . . . .Ao . 2. ADDRESS LCT NO. TETE. . . . . . . 3. NO. OF BEDROOII6 .'3 y DEN YES NO.. . . . . 4. GARBAGE GRII1DER YES . `. . . . NO..�. . . 5. SHOW DII9EATSIONS OF HOUSE 6. SHM DISTAI4CES OF HOUSE TO ALL PROPERTY LINTS 7, SHOW DII ENSION OF LOT $. SHOW LOCATION AND SIZE OF SEPTIC TANK OR CESSPOOL 9. NOTE LOCATION AND DISTANCE OF WELL FROYJ SEWERAGE SYSTEM 10. SHOW LOCATION OF BROOKSt STREM51 DITCHES, IEDGE OUTCROP, ETC. 11. SHOW DISTANCE'-OF SEPTIC TANK OR CESSPOOL FROil HOUSE NOTE: LOCAL REGULATION SHOULD HE READ CAREFULLY. ('01111110 Weald of Massachusetts ass acltusetts System Pumping Record System Owner System Location l � �33 Date of Pumping: ( � Quantity Pumped: S�</gallons Cesspool: No [.-+ Yes U Septic Tank: No U Yes L ! P System Pumped by: Stewart 51&?' 6Z a License# Contents transferrred to : Greater Lawrence Sanitary District Date: _ Inspector: -�A�F.��Vt�� LOF FORM U - VERIFICATION 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. i ****************Applicant fills out this section***************** APPLICANT: bFA 60Mr� "et Phone 108Z-a.'32o LOCATION: Assessor' s Map Number Parcel Subdivision Lot(s) Street Yjy/&AQ��`�QGe & 4J St. Number 33 ******************'******Official Use Only************************ RE NDATIONS F TOWN AGENTS: Date Approved o2 l,� /99 Conservation Ad inistrator Date Rejected Comments Date Approved Town Planner j Date Rejected Comments i i Date Approved Food Inspector-Health Date Rejected Post•it"routing request pad 7664 -d Septic Inspe( -"° ;d ROUTING - REQUEST Comments Please ��( READ To Y �f� DO) �❑�/HANDLE LJ APPROVE ❑ o aMPublic Works DIS:)54Pm/or- //1 n7� _—FORWAR j :: RETURN a ❑ KEEP ORFire Departm, D ❑ REVIEW WITH ME Received by Date ( � 4 From PA Date OARD of FORM U - VERIFICATION 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. i ****************Applicant fills out this section***************** APPLICANT: luwt Phone 18Z-lei-x0 LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street Yo w4r- Qr/`�Ge ICo AcY St. Number ************************Official Use Only************************ RE90WNDATIONSQF TOWN AGENTS: Date Approved Conservation Ad inistrator Date Rejected Comments Date Approved. Town Planner Date_ Rejected Comments i i Date Approved Food Inspector-Health Date Rejected Date Approved Septic Ins ector-He p p alth Date Refected Comments i Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date f� i 59'11 173 295 4'11 13'4 26'3 T 32 2'5 T 26 i i 29'1 —�--1710 11'9 i Rear entry Uffdy-47 Kkohen dining area I N a iv23 u aNtter bedroom c 1T9 V H T IvirK eo ire room 0 Famiy room r' N 12'2 15'8 Front porch 16'2 {� 12'8 1 Z'8 18'5 I LIVI 1AREA 6m sq ft s . r 59'11 123 29'5 4'11 13'4 263 nj 2'5 T 2'6 29'1 i 12'10 1119 Rear entry y 9 47 ,mom cining area Kitchen \ I droom 2 \` N Y3 sv a, 1 r9 N � Ivin T Family room iFay room •- N t 12'6 1 go 00 v 7 �\ '- i Bedroom 3 � Master bedroorrw 12°2 T7� 15'8 27 1011—� 1 5'1 r7 18'5 l 162 1r8 IIVIP1r .REA 1667 sq ft Town of North Andover YH Office of the Health Department a.. t Community Development and. Services Division 27 Charles Street ^o North Andover,Massachusetts 01845 $Ar nHU Sandra Starr Telephone (978)688-9540 Public Health Director Fax (978)688-9542 June 11,2001 Richard Querci 433 Marbleridge Road North Andover,MA 01845 Re: Proposed addition Dear Mr. Querci: I have attempted to reach you by telephone on several occasions with no success. Therefore,this letter comes as a follow-up to our recent telephone discussion concerning your desire to build an addition to your home at 433 Marbleridge Road. As promised,I have spoken to both the North Andover Department of Public Works(DPW)and the Department of Environmental Protection,Division of Water Pollution Control(DEP). Mr.Bill Hmurciak,DPW Director,assures me that the sewer for Marbleridge Road will be in operation by July 1,2002. Unfortunately,the date that sewer will be available for tie-in at your address does not affect the answer to your question. The DEP stated that under no condition could an addition be built unless the septic system fully complies with Title 5 or is tied in to a functioning sewer. I have attached the e-mail to this letter for your review. Please understand that the Board and I will do everything I can to help you solve your space problems as soon as possible,but we must abide by the laws of the Commonwealth. Should you wish to discuss this matter further with the Board of Health,please drop me a line requesting a spot on the agenda of their next meeting. The next meeting will be held on June 28,2001 at 7:00 P.M. at the DPW building on Osgood Street. Sincerely, Sandra Starr, R.S., C.H.O. Public Health Director Cc: BOH DPW Director Town Manager File BOA-PID OF APITALS 688-9541 BUILDING 68£-9545 COL SERV_` IO\6`:S-95 3Q \NURSE 688-9543 PLANT 1N(.4 688-9;35