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HomeMy WebLinkAboutMiscellaneous - 530 FOSTER STREET 4/30/2018 (2) ,� . . Foster St. \ -30 t s Address 6- b 6-2 Title of File Page of Date File Open: Date file closed: Doc Document/Action Title Date of Refer to other Purpose of Document/Action and'notes action Document/ document/ filum• Action Department Board of Appeals - Board of Health - Planniing Board - Conservation Commission - Building Department Ak c10RT/y own of - 4Andover.. No. ,;L/Y dover, Mass., /�-7 19 s C L AN OCNCNEWICN RiY1^ �S 04q T E D�A�� BOARD OF HEALTH Food/Kitchen /0/=)Z,PERMIT T D Septic System BUILDING INSPECTOR . .. THIS CERTIFIES THAT.........................fffr:�I�J r .............. ..rZ v - �• 0-.:....... �:�?........................ Foundation has permission to erect....................I................... buildings on ...4.3 P.........r—d ST,6A Ste' ou to be occupied as........................................... .. . . . ( mney f pn?.C.�,z�............ ...A. /n..... ..�.......... . . . . . . . . . . ... . ... . - provided that the person accepting this permit shall in every respect conform to terms of thea lication on file in ~ '5 ~ this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Final Buildings in the Town of North Andover. PLUMB G SPE_CTQR VIOLATION of the Zoning or Building Regulations Voids this Permit. � ���`-- PERMIT EXPIRES IN 6.MONTHS UNLESS CONSTRUCTION ST EL CTRIC uvSPECTo ........................... .... . ....... .. .................................................. Service UILDING INSPECTOR Occupancy Permit Required to Occupy Building GA INSPECTOR Display in a Conspicuous Place on the .Premises — Do Not Remove Rough No Lathing or Dry Wall To Be Done Final Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT JfiBurner Street No. q Smoke Det.) Town of North Andover, Massachusetts Form No.2 ,AORTh BOARD OF HEALTH 199 . F w P �n• ;•+++��,o'•***,— DESIGN APPROVAL FOR • �SSACMUSEt� SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Test No..2Z Site Location Reference Plans and Specs,. i �• -d- '4111/`/8 ENGINEER DESIGN DATE Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. -, /U/LIV CHAIRMAN,BOARD OF HEALTH Fee _ Site System Permit No. / 00 '{�tf 1,• 1 1,e.. -. - ,�, :..: - .... .. ... _. ,F..v"Y .-£r...c... _.. .... c. Nail- tt.,...._... ... ,. .. ... ..,... til.-:+ ,.. :k, .,.- ., ._. .... ' • t y Town of North Andover, Massachusetts Form No.3 < µoRTM BOARD OF HEALTH q Q f o•a 1 ___LS1_ 19 , CMDISPOSAL WORKS CONSTRUCTION PERMIT . .. •• �,SSAUSEt Applicant NAME ADDRESS pp TELEPHONE Site Location3 r : Permission is hereby granted to Construct ( v�/br Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. CHAIRMAN,BOARD OF HEALTH Fee D.W.C. No. )C�� lu 1 y S 85053'2.71•' E N?Z'2g'S7 4 5 209.47' , 33.0 S 13030'7.4"W Cd 37.98' v LOT 48B X631219 2 y�• 47,268 S.F. S 5o 43 58..w 1 0 r v 18.87' •-0► 12 o�p 3� , -louse #530 ,^ 0 �4 42 tea. CERTIFIED FOUNDATION PLAN Of DRAWN FOR MESSINA DEV. CORP. z o yti39o� �� LOCATION 5 iVflRTt 1 ANDOVER, MA N SCALE: V =40' DATE: 6/24/98 D t70' I CERTIFY THAT THE OFFSETS SHOWN COMPLY ii33 i H WITH THE ZONING BY-LAWS OF 'PFs n WHEN BUILT. SCOTT L. GIL'ES, R'P'L'S' OFFSETS SHOWN ARE FOR THE USE OF THE BUILDWG FRANK GILES, CAD INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION NORTH ANDOVER, MA OF ZONING CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. {978) 683-2-645 Assessors.Map 104$ Parcel 222 6/24/98 Compiled from plans #6638 & 12572 at the N.E.R.D. C:IAFTRDRKIBMFS530 NORTH ANDOVER BOARD OF HEALTH DESIGN REVIEW REPORT FEE: Sala PERMIT # /6,01 DATE RECEIVED APPLICANT AtAJOI-b /4L.6j4A)6 MAP 16414 PARCEL S ADDRESS X00 770,5r@Z 5,7- LOT ##_ 4-8 ENG. :5 . D 'be-6o ST. )'o5r,5,e 577 ADD. PLAN DATE REV. DATE CONDITIONSOFAPPROVAL APPROVED DISAPPROVED REASONS FOR DISAPPROVAL: 17S/ �� .a, , � �5511uG GaCU�S • (� � . N1 AN�foc E' �c�ui,��b Tv r. )� SEPTIC PLAN SUBMITTALS LOCATION: 'x-57 411 C�j NEW PLANS: YES $60.00/Plan s11 y � \ REVISED PLANS: YES . $25.00/Plan Q lU o r DATE: M DESIGN ENGINEER- When the submission is all in place, route to the Health Secretary 1� � �� S � � �'� � � � �` �S G��� u� � t,,�l f 6 f 3 Miss%`�`a �-�-�- SEPTIC PLAN SUBMITTALS LOCATION: NEW PLANS: YES $60.00/Plan y REVISED PLANS: YES . $25.00/Plan DATE: 1 / lj k DESIGN ENGINEER: . , When the submission is all in place, route to the Health Secretary Town of North Andover &ORTh OFFICE OF 3?og t���� 1�OL COMMUNITY DEVELOPMENT AND SERVICES A 30 School Street North Andover,Massachusetts 01845 WILLIAM J. SCOTT 9SsgCMUs t Director April 2, 1998 Mr. Steven D'Urso 22 Lilly Pond Rd. Boxford, MA 01921 Re: Lot 4B (500) Foster St., N. Andover, MA 01845 Dear Steve: This is to inform you that the proposed plans for the site referenced above have been disapproved for the following reasons: 1. Missing Benchmark w/in 75' of system. (310CMR 15.220(8)) 2 Missing Locus. (N.A.8.020. 3. Manhole required to within 6" of grade.(3 1 0CMR1 5.228(2)). 4. Missing map and parcel on plan. (N.A..02a) 5. Abutter's names missing (N.A.8.02j). If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, � Sandra Starr, R.S. Health Administrator SS/rel cc: Arnold Albano File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 No. COMMONWEALTH OF MASSACHUSETTS Board of Health,/N,2 Am> MA. APPLICATION FOR DISPOSAL SYSTEM CONSTRUCTION PERMIT Application for a Permit to ConstructKRepair()Upgrade()Abandon()- ❑ Complete System ❑Indvidual Components Location J"' s 7Z—:- s7- Owner's Name Atl[t� L A1 6 Map/Parcel# 4140 Address ® O nee Lot# Telephone# Installer's Name Designer's Name Address Address Telephone# Telephone# ^3 � 7 C� Type of Building: fees Lot Size y,7j Ztzi8S sq.ft. Dwelling-No.of Bedrooms 4& Garbage grinder Wo Other-Type of Building No.of persons Showers( ), Cafeteria( ) Other Fixtures Design Flow( q tred)_44Q/0 gpd, Calculated design flow Design flow providedy&0gpd Plan:Date Q Number of sheets Z- Revision Date Title � a ,k Description of Soil(s) Soil Evaluator Form No. Name of Soil Evaluator Date of Evaluation �k07 DESCRIPTION OF REPAIRS OR ALTERATIONS The undersigned agrees to install the above described Individual Sewage Disposal System in accordance with the provisions of TITLE 5 and further agrees to not to place the system in operation until a Certificate of Compliance has been issued by the Board of Health. Signed Date Inspections DEP APPROVED FORM 5/96 No. Fee COMMONWEALTH OF MASSACHUSETTS Board of Health, MA. CERTIFICATE OF COMPLIANCE Description of Work: ❑ Individual Component(s) ❑ Complete System The undersigned hereby certify that the Sewage Disposal System;Constructed O, Repaired O,Upgraded O, 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 permit shall not be construed as a guarantee that the system will function as designed. DEP APPROVED FORM 5/96 No. Fee COMMONWEALTH OF MASSACHUSETTS Board of Health, , MA. 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. DEP APPROVED FROM 5/96 Date Board of Health pPLAN REVIEW CHECKLIST � ADDRESS,ZDT�� ���'C ENGINEER c 2) GENERAL 3 COPIES ✓ STAMP V LOCUS_)!( NORTH ARROW �� SCALE CONTOURS ✓ PROFILE Sc) SECTION `� BENCHMARKS SOIL & PERCS ✓ ELEVATIONS WETS . DISCLAIMER L✓ WELLS & WETS WATERSHED?& DRIVEWAY_IZ WATER LINE_ FDN DRAIN L--' M&P SCH40 ✓ TESTS CURRENT? f/ SOIL EVAL SEPTIC TANK / f MIN 150OG -1 --'. 17 INVERT DROP �/ GARB. GRINDERA L(2 comps +200 ) 10 ' TO FDN L-" MANHOLEZ ELEV L,--- GW ## COMPS .-L— GB D-BOX SIZE ## LINES FIRST 2 ' LEVEL STATEMENT L� INLET /37.9 7 - OUTLET 13 7 9'a = -/7 (2" OR . 17 FT) TEE REQ ' D? LEACHING MIN 440 GPD? RESERVE AREA ✓ 4 ' FROM PRIMARY? � 2% SLOPE �� 100 ' TO WETLANDS `f 100 ' TO WELLS ��- 4 ' TO S .H.GW ( 51 >2M/IN) 20 ' TO FND & INTRCPTR DRAINS X400 ' TO SURFACE H2O SUPP L-- 4 ' PERM. SOIL BELOW FACILITY'S MIN 12" COVER ✓ FILL? --- ( 15 ' ) BREAKOUT MET? �✓ TRENCHES / MIN 440 gpd ✓ SLOPE (min . 005 or 6"/100 ' ) �IDEWALL DIST. 3X EFF. W OR D (MIN 61 L---- RESERVE BETWEEN TRENCHES? �N FILL?��MUST BE 10 ' MIN. v k PEA STONE? ✓ VENT? tom- ( >3 ' COVER; LINES >501 ) BOT 40 + SIDE 60 X LDNG :�O = TOT 41907 ( L x W x ##) (DxLx2x#) (G/ft2 ) Copyright © 1996 by S.L. Starr SEPTIC PLAN SUBMITTALS LOCATION: NEW PLANS: $60.00/Plan REVISED PLANS: YES 25.00/Plan DATE: DESIGN ENGINEER: When the submission is all i place, route to the Health Secretary .t s , FORM 11 -SOIL EVALUATOR FORM Page 1 of 3 No. Date: Commonwealth of Massachusetts AN/> , Massachusetts Soil Suitability Assessment for On-Ate,Sewage Disposal Performed By: S ���d Date: �20 a Witnessed By: Location Address or Owner's Name Lot# �� Address and )OW) v \,.,r��� Telephone# /lam �e ,' New Construction ® Repair Office Review Published Soil Survey Available: No Yes Year Published 19&f Publication Scale ��;�GG7 Soil Map Unit Drainage Classk//� Soil Limitations Surficial Geologic Report Available: No F�] Yes . Year Published Publication Scale Geologic Material(Map Unit) Landform Flood Insurance Rate Map: Above 500 year flood boundary No Yes >C Within 500 year flood boundary No -f' Yes Within 100 year flood boundary No Yes Wetland Area: National Wetland Inventory Map(map unit) Wetlands Conservancy Program Map(map unit) Current Water Resource Conditions(USGS): Month Range: Above Normal Normal Below Normal Other Refereftes Reviewed: DEP APPROVED FORM-MUMS soilevd-am a FORM I I -SOIL EVALUATOR FORM Page 2 of 3 Location Address or Lot No. z-.,t On - Site Review Deep Hole Number Ci Date y-13 Time /, pU Weather ��� Location(identify on site plan) _ Land Use G( 00G_Pri( Slope(%) Surface Stones Vegetation Landform Position on landscape(sketch on the back) Distances from: Open Water Body /DO feet Drainage way 'A�1—+ feet Possible Wet Area. OD feet PropertyLine 3 p SD feet Drinking Water Well ,�)/„_ feet Other DEEP OBSERVATION HOLE LOG* Depth from Soil Horizon Soil Texture Soil Color Soil Other Surface(Inches) (USDA) (Munsell) Mottling (Structure,Stones,Boulders,Consistency,% Gravel) 0 Al 5 57- �I,t� /!s-L �oy�y? _ /I aw r /,/,0/ h VFe- f /01/24� - 3z—/2a C Ls -MINIMUM OF 2 HOLES REQUIRED AT EVERY PROPOSED DISPOSAL AREA Parent Material(geologic) /CC 4fo/y-(-�1C-7- Depth to Bedrock: 2� Depth to Groundwater. Standing Water in the Hole: 139 ,/ Weeping from Pit Face: 13 21 t Estimated Seasonal High Ground Water. 1-39 1'� — r DEP APPnovED FORM-12107195 �oi�rnl um FORM 11 -SOIL.EVALUATOR FORM. Page 3 of 3 Location Address or Lot No.- � Determination for Seasonal H&& Water Table Method Used. QDepth observed standing in observation hole J inches Depth weeping from side of observation hole inches Depth-to soilmottles �,v!E-r-- inches- Ground-water adjustment feet Index Well.Number Reading Date Index well level Adjustment factor Adjusted.ground water'level Depth of Naturally Occurring Pervious Material Does at least four feet of naturally occurring pervious material exist in all areas observed throughout the area proposed for the soil_absorption system? If not,what is the depth of naturally occuring pervious material? Certification T certify that. on / g (date) I havepassed. the soil evaluator examination approved by the Department of Environmental Protection and that.the. above analysis was performed by me consistent with the. required training, expertise and- experience ndexperience described in 310 CMR 15.017. Signature Date DEP APPROVED FORM-11!07/93 wiievrl�am FORM 12 - PERCOLATION TEST Location Address or Lot No. COMMONWEALTH OF MASSACHUSETTS Massachusetts Percolation Test* Date: J Iq 7 Time: //. 0 � Observation Hole# / Z Depth of Perc �c� f 7Z ' Start Pre-soak ��- p / //-, -36 End Pre-soak Time at 12" �S Time at 9" 11-. 31 ,4• s?) Time at 6" 12-, OS Time (9"-6") O �Z Rate Min./Inch 7evZl4n *Minimum of 1 percolation test must be performed in both the primary area AND reserve area. Site Passed lysite FailedF-1 Performed By: Witnessed By: Comments: DEP APPROVED FORM-12/07/95 PefctmtSAM Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH 3�oz t E° i6�tiOL 2 (V �� 19 APPLICATION FOR SITE TESTING/INSPECTION 7�AOAATE°PPR��� SSACHUS� 1 Applicant �— NAME 4DDRES TELEPHONE Site Location—CLT tog A F-6sk- S 1 Engineer��`� l� I-S U NAME ADDRESS TELEPHONE Test/Inspection Date and Time 0,.1 CHAIRMAN,BOARD OF HEALTH V Fee Of Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. Town of North Andover, Massachusetts Form No. 1 NORTH BOARD OF HEALTH F q Q �11E° 16 46 0� 19 r APPLICATION FOR SITE TESTING/INSPECTION 7,y AORA 'ED SS ACHU Applicant NAME ADDRESS TELEPHONE Site Location Engineer NAME ADDRESS TELEPHONE Test/Inspection Date and Time CHAIRMAN,BOARD OF HEALTH Fee Test No. S.S. Permit No. D.W.C. No. C.C. Date Plbg. Permit No. AKN®LP Obdw /fid MA10 of 500 poster street Worth Andover# Xasnachueette with MIM a==M , So 1a8!4a said North Andov®r with the builfi,ags thereon BOUNDED and y described as follomst FIRST TRACT: Beginning at a point in the westerly side of. Poster o Street or Winter Street, the o]4 -deeds calling it Poster Street, and a" the Town 3►saaesor's Plan Calling it Winter Streetf at the northeast corner of the granted premises and sunning thence southerly along said Poster Street two hundred and eight one ( 281) feet; thence southwester, y along said Poster Street one hundr% and thirteen (113) feet to a stop® wally thence narthwasterlY along Ston® wall forty three and five tenths (43.5) feet; thence westerly along wall ninety tour ( 94 ) test; thence westerlyone har�dred ar,.d sevaaty isive (175.) feet to•this• eo oea••. . . ' of a stone walnear an apple treas thence northerly eighty one (81) feet to the corner of a wally tbence in the same direction along said wall forty six (46) feet; then;e easterly along wall one hundee&_. and seventy one (271) lost; thence northerly along wall fifty nine (59) feet; thence easterly ailang wall one hundred and seventy three (173) fact to a point begun at. Containing one and eighty eight ohe hundredths (1.98) acres of land. Ir SECOND TRACT, s Beginning at a point irAhe northerly side Of Foster � street at tha 'southeasterly corner of the granted preti&sss, And gunning thence wsstexly along said roster. Street six hundred and• 'seventy (670) feat to a wall; thence northerly along said V`411 ori hundred and forty seven (147) fest; thence northwesterly along ., aid wall one hundred and forty two (142) feeti thence easterly a Ong sAid wall four hundred and forty six (446) feet; thence southerly to oosnsi' of wall '.at apple tree .eighty one (81) feet; thence easterly along wall ninety f our (94) Pact, thence easterly along wall one hundred and seventy five (S 73) feet; thende southeasterly aloes val l 'td`ftater 'Street and the point begun at. Containing two and six tenths (2.6) acres, so pacepting therefrom the--parcel c0ftvayed ,t*•'Caron by dead dated April Is, 1939 recorded at Worth District Es®ex Registry of -Deeds, Eook 891, Page 430 and the parcel conveyed to Vallieree by dead dated March -26, 1962 recorded at North District Ps®®x Registry of Deeds, Book 957, Page 451. Being this same premises conveyed to me and Louis A. Camasso by deed dated October 7, , 1986, recorded at North District Essex Registry of Deeds, Sock 2364, page 338. said Louis A. Camasso died November 27, 1992. gill, -17a ' & O Gtj�Aw- 46 I T ,p ATIy ?pg 9 BOARD OF HEALTH 146 MAIN STREET TEL. 688-9 540 ,CMNORTH ANDOVER, MASS. 01845 APPLICATION FOR SOIL TESTS DATE: LOCATION OF SOIL TESTS: Assessor's map & parcel number: 0 [-OSS OWNER: 'kAIPL.,IjALA#& EL. NO.: (�B8 ADDRESS. roc r-fe -<-;- r ENGINEER: �-i Cf/Gi.1�0 TEL. NO.: CERTIFIED SOIL EVALUATOR: -5-myE PKC Intended use of land: residential subdivision, single family home, commercial THE FOLLOWING MUST BE INCLUDED WITH THIS FORM: 1. Proof of land ownership (Tax bill, deed, or letter from owner permitting tests) 2. Plot plan 3. Fee of$175.00 per lot for new construction. This covers the two deep holes and two percolation tests required for each lot. Fee of$75.00 per lot for repairs or upgrades. GENERAL INFORMATION 1. Only Certified Soil Evaluators may perform deep hole inspections. 2. Only Mass. Registered Sanitarians and Professional Engineers can design septic plans. 3. At least two deep holes and two percolation tests are required for each septic system. 4. Repairs require at least two deep holes and at least one percolation test, at the discretion of the BOH representative. 5. Full payment will be required for all additional tests within two weeks of testing. 6. Within 45 days of testing, a scaled plan (no smaller than V-1 shall be submitted to the Board of Health showing the location of all tests (including aborted tests). 7. Within 60 days of testing soil evaluation forms shall be submitted. APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT DATE: — 07 y'1�'� CURRENT INSTALLER'S LICENSE#_&y LOCATION: l6/ LICENSED INSTALLER: ��}�- /�f,.�•���vt SIGNATURE: o TELEPHONE# CHECK ONE: REPAIR: NEW CONSTRUCTION: IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT. Administrative Use Only $75.00 Fee Attached? Yes �� No Foundation As-Built? Yes ✓ No Floor Plans? Yes No Approval Date: ERMPL-L- PLAS - ! 4-3oh.x 6431+ H-6(Ox x 821/1. 1-3042.x4814 82'4- _ C-49x AZ 1'4 f * y W.p t r-77X81 4 map G-jai '1xxs9 vr�e s9nd'Praraw ed - rlmlr'q�•eewle,' I I 1 ..ter 7 ,•a? �. Iva 1 r I 011 avrc� W+e wr OIHSTT L 4LvP D t�S s r ' . ..It r _ WIr�ICZ_�M r2. 70- 1IL30 !d k'.,p ' -!J 3'.J i 1-l� , ,_arl r-� w'or .-- rr 7x1.sr•.o nocc rrm♦rYus p 'i �, II nn_Haas onAw'mC�usuvYtp I O ... �tn►n rdl cONJISURph pL�,� 1a.le a_R c�rrrc�:t>z�l' i. - /V/""•�•�� �' �I-vll_.. , , ' 1.Illi 01MYnlIOM�MM' 1l YOIIIIm OY OOMIUC101� 1t�'DO MOr 1GYZ Of1R1M�Ol .:\. so'-oil y„ 1-3oIli-X 48% r---- a1IIJ/.ELOaI.� _ 563/4 I WLLt>}CGW /� r41t1�'fd N r-SsI/z x77 1. j 0 i t ��PILE 4F►ItLD W 7r q '!� f r �, I I 1 _'. . .._.. Ic r¢o s p I/Z y 56 4 S- y _ 9-- 4-CtrL'� t-\- rr is'wo I b Gto r b NW I I •Mq HVG iL7 ' ' •i . !. ----� -----r 44IaeaP I Prey I -� r---� � - �--- I + •" I`�'`I--reg d �� ��J - _WIL_-__ �sr � r Du M A 1 N IO� --- s D T O _.PLA N� . 1 • !WLE��MaI'.011 O t. LIN —I ao r i 1W li '•�_ i 4 ? in 7 gC4LE_ 10dV--, 3v " rd-d F d•d' �5!d J--d' '!at aYaD -- � ' 60'-aI' .1•w vanes ai Ca��era'� r - 1 M NoT or OIUWwM� • I i M Id PO OPAPIMM ♦le►ela v�vea ¢IDCIB R7LF --.._.___.._ Z[d'PeYI G1MTCA9 ?lr I L• � -1�"ia '.'•11 dad raw eAvnrE9 Few vri4r.. Z'7(!COL�dG TL's 4("p•b PW I vv4cPZG IL/d/1. S IGS p•G •b? Cntf 0MC424 Vag FoG t..sToragG A'&04 LCbu!?A ZlrGI♦G�GLwC� 91MP�fNY ! 'fi WIC-1(� ��e.IO�H�P/►fGe _ ---._ —- I fl' i � t'r4"0n+D6-IdpG i t ---- crr wr I __ Ij L'ra•suos-Idoc N eu INeul. A SAYE { d�ILY P�Nr�.-.... gCQLE—V-ilol t-CrormLvr{v t'nt°LIRaE rrn.t ` VAUI.-f ED GEI LI _ FAMIi.YM -- �I��T Flame FPMit- IN �/a �Ie�n� t'/�'�P�FY� " -Id'sG I gC46E_ wall-o� •--'-- .. o.GALG yp'I>•I'-ou---- I I �o.e.. . Cole lr osluuq ,rlrrlodra i i 1 t10 Ij ii T S P .: f1'.Y4"eruv�-Idoc) wales ...,. ,{ N. ch,},�•�' Iv sMr d'I*, bror o PL.-.M aca•ew�L+q T:w• I s I I _ T44 RY w.. t"Rld'I�Z..bVJf ' PL"" ' y i C- ex IV. D'iY��l4+•'(eel' .r 5 :{. .•{'�1 ¢Il 04&-V- �� � t•tr01e 71LL�caL. v.Eeearaa.erev CI Id :i. . YL'� nuaHOL MTS b G^I•'O'*Ave ecr t•�AP09 Te ',.r• A�. HP �� F�QMi14 FLAH l4"rIt"COL2T PTc� ILS 7TLIV CO/!L rrq, r..,(4.rEr war Iwo, i • ,: EG-noH THpu Hougff_ I J� �CaLti_ kl'=Troll convrtic�tl •��,. II w1'N n I Vf V Y i•i:C1:A.:1•.t I � 1.ALL dMLN11I0N!1 MVff L W MO1{C LC MI�wIM�, f CHMiGES TO PLAN: Reversed plan. _ Step-down family roan - 16' X 24' M m screen porch 1 '� Mud roan door on front of house is ami tted. Windows in the area where door was will be symetrical. tiHOpR yew" � e�11eL* oH�u4Lt4 • �fl�v � i.R{G vOlr /� •� � 41t.• AGE* ' /�Y> ♦. ewxe � �- "g.F-V--WAtIrA i h vCFx 4uos: 1 Gust r.1i i _ ;p: ' L, �Idx X;iMNir MnM.LT ININQLLOO ;,• • w.Ii MUM 11 WE 15«'E`._:.~+ i G[AG"low _s 1' •1 � k: (. w ssMr wwrr r.w _ —_. ��'.d:rr•�!".rllr �w iSd�Mµwwrl.1•�.��wY - '�,T �r• rr.....—r1w.�..r .�.w.���.w tHIL__ �l....• �... - 13 _ w •!•s'"'r^iw wnw r�i�`iawwiiw�ir w ( � �'j(( _ O I ' •��'`• tape amici-.__fist.:: LLU iiia=" LeesOA 1 ..... �.�w�..��.■w.w�.�.:.'�.'� 1 I ; I ceNe• is Gauvc - w ,�.L"`•�..n""'.�r•w e'w+wn w w s..r• � F _-----_ __--_--+I-_ 1+-�_ �_�+_ __- - _-_-.Jy '. d,%i;';.ji^�:C1a .. a.�'�'....v�'r�w�r'o wwrw�a�an� i -__-__-_-_-- �___----_1_ y__ i— L_____-___ .• .. : err«rr _..----_. . .. ....._....__.-...--- - 5so.r. �';'► W H-F 5Y�EL / 11 wn.s a.•:-nna�nr.lrn�. 1 1 w..r.....w....w W r w wr r.ww• I Irj 11� f � '• " �t�-+ Te7A1.-27-1¢it Itm-ineaa nna..lw.:a. r�mtn '"" •.t" "� . ... .. -'-'— y�1!'n r•�.con Tlrrtrrr'„� r;.r."•:.'S�'�t.rR. • CO':Yti1Gf7TFDt 'f P� a .mmlal. `��•�r�r rl.�. IIC vri a Town of North Andover t 40RTH OFFICE OF 3��`t T�t D 6.64, COMMUNITY DEVELOPMENT AND SERVICES ° 30 School Street WII LIAM J. SCOTT North Andover,Massachusetts 01845 sgc,HU5���5 Director April 16, 1998 Mr. Steven D'Urso. 22 Lilly Pond Rd. Boxford, MA 01 921 Re: Lot 4B Foster St. N. Andover, MA 01845 Dear Mr. D'Urso: This is to inform you that the proposed plans for the site referenced above have been approved. If you have any questions, please do not hesitate to call the Board of Health Office at the number below. Sincerely, Sandra Starr, R.S. Health Administrator S S/rel cc: Arnold Albano File BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 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. ****************Applicant fills/ section*****************out this section***************** APPLICANT: AA,t 5S IVI 4 I)e /• � C Phone 1 7� -Fk?-3 NZ- LOCATION: Assessor's Map Number / Parcel Subdivision Lot(s) Street ]��,� S/j'� 7L St. Number ************************Official Use Only************************ REC DATIONS OF rWN AGENTS: I Date Approved onservation Admin' strator Date Rejected Comments 1,0 Lil- lho (f 60 Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected Date Approved X Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections 1_J w j -Zy— �6 - driveway permit Tu) -� -� Fire Department 1i_ J 1i1.rtyl it., 0 L J3 n,c-r IT Received by Building Inspecftor Date 1 Lot & Street �5TE.Q S7 Map/Parcel CONSTRUCTION APPROVAL ,Has plan review fee been paid: YES NO Permit# /OCA - Plan Approval: Date: �/��98 Approved by:. /L Designer: �J Plan Date: /�Ll Conditions: _Water Supply: _ .. _Town. Well " Welt Permit'_ Driller: Well-Tests: Chemical Date Approved - Bacteria I _ Date Approved Bacteria II ___ Date Approved, Plumbing.Sign-Off- Wiring Sign-Off: Comments:. � y � 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: 1 ' SEPTIC SYSTEM INSTALLATION Y Is the installer licensed? NO Type of Construction: W REPAIR New Construction: Certified Plot Plan Review NO Floor Plan Review _ S 4 O Conditions of Approval from Form U YES Issuance of DWC permit: __ YES NO DWC Permit Paid? YES NO DWC Permit#-Z y -- Installer: Begin Inspection: __ YES NO Excavation Inspection: _ Needed: Passed: By. Construction Inspection: Needed: -Built Ian Satisfactory: YES: Approval of Backfill: Date: V171 By: Final Grading Approval: Date: Z�4- By: �^ Final Construction Approval: Date: By: Certificate of Compliance: Approval: Date: J AS-BUILT CHECKLIST LOT NUMBER, STREET NAME ASSESSORS MAP & PARCEL NUMBER LOT LINES,& LOCATION OF DWELLINGS LOCATION & DEMENSIONS OF SYSTEM, INCLUDING RESERVE TIES TO LOT LINES & DWELLING, WELLS a. FROM SEPTIC TANK b. FROM LEACH AREA LOCATIONS OF DEEP HOLES & PERC TESTS ELEVATIONS OF DISPOSAL SYSTEM ✓ TOP OF FDN ELEVATION 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. ✓ NORTH ARROW A— - FINAL CONTOURS �Jop� LOCATION & ELEVATION OF BENCHMARK USED f►�p LOCUS PLAN LOCUS PLAN r0� NO SCALE OR WATER COURSES. �ARp JOR, ANppV NOTE NO WELLS, DRAINS, HALT FRi WITHIN 150'OF THE SYSTEM. H tiTHE TOP OF FOUNDATION WALL IS THE BENCHMARK AT ELEV.= 142.00 2 2 /g9 LW S 85'53102" E co cux �lo � 209.4 7' event � j ' LOT 48 B S 13°30'07"W F 47,268 S.F. 37.98' FO 'Pk' \ +\ \ \ W g� d 27' a 4n- 18.87' S 5'8$ .... 01D . . Ofir, & N o,�� a 0► O � OF co S CERTIFIED FOUNDATION PLAN DRAWN FOR .•`� MESSINA DEV. CORP. ti g� SEPTIC CERTIFIED 827/98 LOCATION ELEVATION TABLE NORTH ANDOVER MA OUT OFHSE.=13 � Nt� �� IN TANK= 138.50 .50 t` OUT TANK =138.34 SCALE: 1" = 40' DATE: 6/24/98 `O IN BOX =138.11 0' 40' 80' 8/27/98 120' OUT BOX =137.95 I CERTIFY THAT THE OFFSETS SHOWN COMPLY #1 TRENCH =137.63 WITH THE ZONING BY-LAWS OF #2 TRENCH =137.63 WHEN BUILT. I HEREBY CERTIFY THAT I HAVE INSPECTED THE CONSTRUCTION OF THIS DISPOSAL SYSTEMAND SCOTT L. GILES, R.P.L.S. OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING THAT THE CONSTRUCTION AND THE FINAL GRADING FRANK GILES, CAD INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION HAS BEEN IN ACCORDANCE WITH THE DESIGNERS NORTH ANDOVER, MA OF ZONING CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. INTENT AND THAT THE MATERIALS USED CONFORM (978) 683-2645 Assessors Map 104B Parcel 222 TO THE LAN SPECIFIC TIO S AND 310 CMR 15.00. 8127198 6!24/98 /� �8 8/31!98 ComP fled from plans-#6638 12572 at the N.E.R.D. �/ C:%AFTRDRKI13MFS530 LOCUS PLAN NO SCALE TOWN OF NOR7 NOTE NO WELLS, DRAINS, OR WATER COURSES. ROARD OF, Q�VER/ �� WITHIN 150'OF THE SYSTEM. CO THE TOP OF FOUNDATION WALL IS THE OCT I"- BENCHMARK AT ELEV.= 142.00 2 2 �9MLu Uj S 85°Jill53'02" E (/� btA is x �oo2g•5Z 209.47' � �,p ZOOT � �� \ LOT 48B S 13370987~W ��-P IN, 47,268 S.F. a SOS �`�� X19.� � \ G V `' Uj �eQ��° r r ? ems\ S 5°18 8 N Z SOO ` 3 0. 5630�ti�`� \\�+�6 ?� *'' •��, op,M&sE�� H of S h CERTIFIED FOUNDATION PLAN 07 to DRAWN FOR MESSI NA DEV. CORP. z �tih 9SEPTIC CERTIFIED 8/27/98 LOCATION �+ yy ��` ELEVATION TABLE NORTH ANDOVER, MA , OUTOFHSE.=138.71 Oy /N TANK= 138.50 SCALE: 1" = 40' DATE: 6/24/98 t- OUT TANK =138.34.11 IN BOX =138.11 0' 40' 80' 8/27/98 120' OUT BOX =137.95 I CERTIFY THAT THE OFFSETS SHOWN COMPLY #1 TRENCH =137.63 WITH THE ZONING BY-LAWS OF #2 TRENCH =137.63 WHEN BUILT. I HEREBY CERTIFY THAT I HAVE INSPECTED THE SCOTT L. GILES, R.P.L.S. OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING CONSTRUCTION OF THIS DISPOSAL SYSTEM AND FRANK GILES CAD INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION THAT THE CONSTRUCTION AND THE FINAL GRADING OF ZONING CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. HAS BEEN IN ACCORDANCE WITH THE DESIGNERS NORTH ANDOVER, MA INTENT AND THAT THE MATERIALS USED CONFORM 6/24198 (978) 683-2645 Assessors Map 104B Parcel 222 TO THE LAN SPECIFIC TI S AND 33110 CMR 15.00. 8127/98 Compiled from plans 46638 & 12572 at the -N.E.R.D. �0 flze/f8 8/31/98 C:IAFTRDRKIBMFS530 I I IL. I V/ V I I VV/ VL✓r-I I IV/ V Y Y!7i_I... I V I I IL- BENBEI�l CNMARK A T ELEV. = 142.00 � ���WN OF NO ANDOVER/i PARD OF HEALTH Z� ' ocr 2 S 85053102.1 oz8'S '� 209.47' ,moo 33 ,� � ,0 � �� �'� �� �'. '� �e�t,, LOT 48B S 13030'07" w TEST 0 47,268 S.F. 37.98' 5 S 5043'58" 000 C�, , �Po 27 � ,� / � 18.87 J10 0 �,, \ \ �. \, O� �,, 40 & ,00 • • AV LOPCO ASO �Cp \ Q�QN C �► \ \ &S cry. \ PM 1 ►1. 1 V/ VI 1 V4./1 Y1.JP1 11 VI Y V N/'1L.L I V BENCHMARK AT ELEV. _ 142.00 _OW-:P/_ TT 2 2 Igo$ - --- . S 85 53102" E o 'S Zg ? '� 209.47' 33.04 \, Vetrt LOT 48B S 13030'07"' W 00 479268 S.F. 37.98' Q OQ h �• ��, / ` \ S 5°43158.2 o ° 27' 18.87' � �+ \, \, ` \ Ego � •moo ° � c ,�,L W gyp► \��� , °° '�� a'i� � / h� F \ 0 �0` \ \ . �b \3` C COO') �► Commonwealth of Massachusetts City/Town of Rw CZEE IV1 System Pumping Record Form 4 SEP 16 2008 Ti}PJ^ �F NOR-'-H ANDOVF DEP has provided this form for use by local Boards of Health.C�therforms may,bewSed;Rb the information must be substantially the same as that provided here Before using this orm,c eck with your local Board of Health to determine the form they use. The System Pumping Record must be submitted to the local Board of Health or other approving authority. A. Facility Information Important: When filling out 1. System Location: forms on the computer,use only the tab key Address to move your cursor- use the return not Cityrrown stake Zip Code r key. 2. System Owner: ^' VQ Name��M o svz Address(if different from location) City/Town State Zip Code Telephone Number w B. Pumping Record l 1. Date of Pumping Date 2. Quantity Pumped: Gallons 3. Type of system: ❑ Cesspool(s) Septic Tank ❑ Tight Tank ❑ Other(describe): 4. Effluent Tee Filter present? ❑ Yes No If yes,was it cleaned? ❑ Yes ❑ No 5. Co1=: ' � C) .S 6. System Pu ped \ Nam Vehicle License Number Company �-- 7. Location where co is were disposed: Sign r of f lauler Date t5form4.doc•06/03 System Pumping Record•Page 1 of 1 LOCUS PLAN NO SCALE �k NOTE.NO WELLS, DRAINS, OR WATER COURSES WITHIN 150'OF THE SYSTEM. CO THE TOP OF FOUNDATION WALL IS THE [� BENCHMARK AT ELEV.= 142.00 W ��� Lu �� Ix S 85053902" E ~ /Ocus x 41 o28'STS E \ 209.47 ��� N X33 04. 7�� -"8 ''Po' vent LOT 48B S 13030'07"W TSTgRFq \ v 47,268 S.F. 37.98' Ar \ Ix VA Lu 63og01Aw 9® \ g g�QQa •� �A S 5°43'58.. cP \ '� 27 18.87' 0 &SSE° ,o+����N.off° 3 00 og oAM&�ti� �• 1 of CERTIFIED FOUNDATION PLAN o��� SCO q � �� J°" ��,� DRAWN FOR 4 5 WA 72 a� O o MESSINA DEV. CORP. p�ClSTERE����`' oti5��a 5� 1t tAM4 ty� Z 0� 9 SEPTIC CERTIFIED 8/27/98 LOCATION oo y5 � ELEVATION TABLE NORTH ANDOVER, MA t Zs�QB °' �� �� �,[ OUT OF HSE.=13 _ ` IN TANK= 138.50.50 SCALE: 1" = 40' DATE: 6/24/98 r t-� OUT TANK =138.34 IN BOX =138.11 8127/98 OUT BOX =137.95 0' 40' 80' 420 I CERTIFY THAT THE OFFSETS SHOWN COMPLY #1 TRENCH =137.63 WITH THE ZONING BY-LAWS OF #2 TRENCH =137.63 WHEN BUILT. I HEREBY CERTIFY THAT I HAVE INSPECTED THE SCOTT L. GILES, R.P.L.S. OFFSETS SHOWN ARE FOR THE USE OF THE BUILDING CONSTRUCTION OF THIS DISPOSAL SYSTEM AND FRANK GILES, CAD INSPECTOR ONLY AND SUCH USE IS FOR THE DETERMINATION THAT THE CONSTRUCTION AND THE FINAL GRADING NORTH ANDOVER MA OF ZONING CONFORMITY OR NON-CONFORMITY WHEN CONSTRUCTED. HAS BEEN 1N ACCORDANCE WITH THE DESIGNERS INTENT AND THAT THE MATERIALS USED CONFORM 6/24/98 (978) 683-2645 Assessors Map 104B Parcel 222 TO THE PLAN SPECIFICATIONS AND 310 CMR 15.00. 8/27/98 Compiled from plans #6638 & 12572 at the N.E.R.D. 8/31/98 C:IAFTRDRMBMFS530 � h �' � �k '�,j � ep���s � ,yN ���ff`•'iI I �(y �e?u fi�yi � 1'� : .. ' is 4 K�J 4'fy `' ,.t�. ��. �.�_ _ `f S 85053'02" E Xo 57' � - , , 209.47` NZl $33.0 vent-,, LOT 48B13030'07"' \ . S W TEST �, 00 47,268 S.F. 37.98 • ,\ SESTA •� �• \ S 5043`58" 271 �• ,� / �% 18.87, 0 o , \ Q1/0 -- ■ 5b ' o � co I 8'6 ?�' � ? � Oma? SE�p � (b��,H of µops \ \ C �• PM o 4JOSEPHJ. c ' �O EawnrscA civ \ \ \ o. 3872 aQ No.34981 \ srEa !A� � o A� a A � +I{ i s � . 4 <^} ,r 0 TOWN OF NORTH ANDOVER SEWAGE DISPOSAL SYSTEM INSTALLATION CERTIFICATION The undersigned hereby certify that the Sewage Disposal System(xj constructed; ( ) repaired: by I C-, / a w3✓ located at L,,"t7 `t was installed in conformance with the North Andover Board of Health approved plan, System Design Permit#/ dated �� with an approved design flow of 4— f E) gallons per day. The materials used were in conformance with those specified on the approved plan; the system was installed in-accordance with the provisions of 310 CNIR 15.000, Title 5 and local regulations, and the final grading agrees substantially with the approved plan. All work is accurately represented on the As-built which has been submitted to the Board of Health. Bed inspection date: q Final inspection date: Installer: Lic. #: Date: gineer: Date:Af)/Z_-?A� TOWN OF NORTH ANDOVER BOARD OF HEALTH CERTIFICATE OF COMPLIANCE October 23, 1998 This is to certify that the individual subsurface disposal system constructed (x) or repaired ( ) by North Andover Licensed Installer Dave Maynard at 4B Foster Street, North Andover, MA 01845 has been installed in accordance with the provisions of Title V of the State Sanitary Code and with the North Andover Board of Health regulations as described in the Design Approval Site System Permit 91009 dated April 14, 1998. The Issuance of this certificate shall not be construed as a guarantee that the system will function satisfactorily. Board of Health Inspector