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HomeMy WebLinkAboutMiscellaneous - 95 OLD CART WAY 4/30/2018I Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. tab Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 8B — Certificate of Compliance Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 A. Project Information 1. This Certificate of Compliance is issued to: Thomas J. Murtha III Name 95 Old Cart W Mailing Address North Andover DEP File Number: . -1 _. RfiA n-1 OAC City/Town State Zip Code 2. This Certificate of Compliance is issued for work regulated by a final Order of Conditions issued to: Thomas J. Murtha III 3. Name January 11, 2007 242-1377 Dated DEP File Number The project site is located at: 95 Old Cart Way North Andover Street Address City/Town Map 1078 Parcel 27 Assessors Map/Plat Number Parcel/Lot Number the final Order of Condition was recorded at the Registry of Deeds for Property Owner (if different) Essex Northern County 14424 118 Book Page Certificate 4. A site inspection was made in the presence of the applicant, or the applicant's agent, on: 11/3/15 Date wpafrm8b.doc • rev. 5/29/14 WPA Form 86, Certificate of Compliance • Page 1 of 3 Massachusetts Department of Environmental Protection 7L"J Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 242-1377 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP B. Certification Check all that apply: ❑ Complete Certification: It is hereby certified that the work regulated by the above -referenced Order of Conditions has been satisfactorily completed. ❑ Partial Certification: It is hereby certified that only the following portions of work regulated by the above -referenced Order of Conditions have been satisfactorily completed. The project areas or work subject to this partial certification that have been completed and are released from this Order are: ® Invalid Order of Conditions: It is hereby certified that the work regulated by the above -referenced Order of Conditions never commenced. The Order of Conditions has lapsed and is therefore no longer valid. No future work subject to regulation under the Wetlands Protection Act may commence without filing a new Notice of Intent and receiving a new Order of Conditions. ❑ Ongoing Conditions: The following conditions of the Order shall continue: (Include any conditions contained in the Final Order, such as maintenance or monitoring that should continue for a longer period). Condition Numbers: C. Authorization Issued by: North Andover 4DTof 1 s Conservation Commission Issuance This Certificate must be signed by a majority of the Conservation Commission and a copy sent to the applicant and appropriate DEP Regional Office (See wpafrm8b.doc • rev. 5/29/14 WPA Form 813, Certificate of Compliance • Page 2 of 3 Massachusetts Department of Environmental Protection ,LiBureau of Resource Protection - Wetlands DEP File Number: WPA Form 8B — Certificate of Compliance 4-1377 �Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 P o2; ed by DEP D. Recording Confirmation The applicant is responsible for ensuring that this Certificate of Compliance is recorded in the Registry of Deeds or the Land Court for the district in which the land is located. Detach on dotted line and submit to the Conservation Commission. To:-------------------------------------------------------------------------------------------------- North Andover Conservation Commission Please be advised that the Certificate of Compliance for the project at: 95 Old Cart Way 242-1377 Project Location DEP File Number Has been recorded at the Registry of Deeds of: Essex Northern County for: Thomas J. Murtha III Property Owner and has been noted in the chain of title of the affected property on: Date Book Page If recorded land, the instrument number which identifies this transaction is: If registered land, the document number which identifies this transaction is: wpafrm8b.doc • rev. 5/29/14 Document Number Signature of Applicant WPA Form 8B, Certificate of Compliance • Page 3 of 3 Ll Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 Important: When filling out forms on the computer, use only the tab key to move your cursor - do not use the return key. VQ A. General Information From: North Andover 1. Conservation Commission 2. This issuance is for (check one): ® Order of Conditions 3. To: Applicant: Thomas Murtha a. First Name b. Last Name 95 Old Cart Way d. Mailing Address North Andover e. City/Town 4. Property Owner (if different from applicant): Same a. First Name b. Last Name Cl. Mailing Address c. Company DEP File N.:,i- .)er: 242-1377 ❑ Amended Order of Condit! --r ; MA. 01845 f. State g. Zip Code c. Company e. City/Town f. State g. Zip Code i 5. Project Location: 95 Old Cart Way North Andover a. Street Address _ b. City/Town Map 107B Parcel 27 c. Assessors Map/Plat Number d. Parcel/Lot Number Latitude and Longitude, if known (note: electronic filers will click for GIS locator): _ e. Latitude f. Longitude 6. Property recorded at the Registry of Deeds for (attach additional information if more than one p ircel): Essex North a. County 8450 b. Certificate (if registered land) 15 c. Book d. Page �% 11/30/06 I , Pic -H- 8. o4 I I 07. Dates: a. Date Notice of Intent Filed b. Date Pu arn Closed c. Date Iss ance Final Approved Plans and Other Documents (attach additional plan or document references as needed): Plan of Land a. Plan Title Giles Surveying Scott L. Giles, R. P. L. S. b. Prepared By c. Signed and Stamped by 12/20/06 1" = 20' d. Final Revision Date e. Scale f. Additional Plan or Document Title 9. Total WPA Fee Paid: $ 220.00 $ 42.50 a. Total Fee Paid b. State Fee Paid g. Date $ 177.50 c. City/Town Fee P wpaform5.doc • rev. 3/1105 P 019 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 -- Order of Conditions 242-1377 _ Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 B. Findings 1. Findings pursuant to the Massachusetts Wetlands Protection Act: Following the review of the above -referenced Notice of Intent and based on the information provided in this application and presented at the public hearing, this Commission finds that the areas in which work is proposed is significant to the following interests of the Wetlands Protection Act. Check all that apply: a. ® Public Water Supply b. ❑ Land Containing Shellfish c. ® Prevention of Pollutic'l d. ® Private Water Supply e. Fisheries f ® Protection of Wildlife Habitat g. ® Groundwater Supply h. ® Storm Damage Prevention i. ® Flood Control 2. This Commission hereby finds the project, as proposed, is: (check one of the following boxes) Approved subject to: ® the following conditions which are necessary in accordance with the performance standards set forth in the wetlands regulations. This Commission orders that all work shall be performed in accordance with the Notice of Intent referenced above, the following General Conditions, and any -other special conditions attached to this Order. To the extent that the following conditions modify or differ from 'he plans, specifications, or other proposals submitted with the Notice of Intent, these conditions sha. control. Denied because: ❑ the proposed work cannot be conditioned to meet the performance standards set forth in the wetland regulations. Therefore, work on this project may not go forward unless and until a new Notice of Intent is submitted which provides measures which are adequate to protect these interests, and a final Order c,f Conditions is issued. A description of the performance standards which the proposed work cannot meet is attached to this Order. ❑ the information submitted by the applicant is not sufficient to describe the site, the work, or the ef`ect of the work on the interests identified in the Wetlands Protection Act. Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides sufficient information and includes measures which are adequate to protect the Act's interests, and a final Order of Conditions is issued. A description of the specific information which is lacking and why it is necessary is attached to this Order as per 310 CMR 10.05(6)(c). Inland Resource Area Impacts: Check all that apply below. (For Approvals Only) ❑ Buffer Zone Impacts: Shortest distance between limit of project disturbance and _ wetland boundary (if available) linear feet Resource Area Proposed Permitted Proposed Permitted Alteration Alteration Replacement Replacement 3. ❑ Bank a. linear feet b. linear feet c. linear feet d. linear feet 4. ❑ Bordering Vegetated _ Wetland a. square feet b. square feet c. square feet d. square feet 5. ❑ Land Under a. square feet b. square feet c. square feet d. square '3et Waterbodies and Waterways e. cu.yd dredged f. cu.yd dredged wpaform5.doc • rev. 3/1/05 r'a;; 2 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 DEP File Number: 242-1377 B. Findings (cont.) Coastal Banks 15. ❑ Rocky Intertidal Resource Area Proposed Permitted Proposed 17. ❑ Alteration Alteration Replacement 6. El Bordering Land Subject to Flooding a. square feet b. square feet c. square feet Cubic Feet Flood Storage e. cubic feet f. cubic feet g. cubic feet 7. ❑ Isolated Land Subject to Flooding a. square feet b. square feet Cubic Feet Flood Storage c. cubic feet d. cubic feet e. cubic feet 8. ❑ Riverfront area a. total sq. feet b. total sq. feet Sq ft within 100 ft c. square feet d. square feet e. square feet Sq ft between 100-200 ft e. square feet f. square feet e. square feet Coastal Resource Area Impacts: Check all that apply below. (For Approvals Only) 9. ❑ Designated Port Areas In size under Land Under the Ocean, below 10. ❑ Land Under the Ocean a. square feet b. square feet 11. ❑ Barrier Beaches 12. ❑ Coastal Beaches 13. ❑ Coastal Dunes 14. ❑ Coastal Banks 15. ❑ Rocky Intertidal Shores 16. ❑ Salt Marshes 17. ❑ Land Under Salt Ponds 18. ❑ Land Containing Shellfish 19. ❑ Fish Runs 20. ❑ Land Subject to Coastal Storm Flowage Permitted Replacement d. square feet h. cubic `eet f. cubic feet f. square feet f. square feet Indicate size under Coastal Beaches and/or Coastal Dunes below a. square feet b. square feet c. c/y nourishmt. d. c/y no :rishmt. a. square feet b. square feet c. c/y nourishmt. d. c/y nourishmt a. linear feet b. linear feet a. square feet b, square feet c. square feet d. square feet a. square feet b. square feet a. square feet b. square feet c. square feet d. square feet Indicate size under Coastal Banks, inland Bank, Land Under the Ocean, and/or inland Land Under Waterbodies and Waterway3, above wpaforrn5.doc • rev. 3/1/05 F'p,;e 3 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1377 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 C. General Conditions Under Massachusetts Wetlands Protection Act (only applicable to approved projects) 1. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 2. The Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of private rights. 3. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state, or local statutes, ordinances, bylaws, or regulations. 4. The work authorized hereunder shall be completed within three years from the date of this Order unless either of the following apply: a. the work is a maintenance dredging project as provided for in the Act; or b. the time for completion has been extended to a specified date more than three years, but less than five years, from the date of issuance. If this Order is,intended to be valid for more than three years, the extension date and the special circumstances warranting the extended time period are set forth as a special condition in this Order. 5. This Order may be extended by the issuing authority for one or more periods of up to three years each upon application to the issuing authority at least 30 days prior to the expiration date of the Order. 6. Any fill used in connection with this project shall be clean fill. Any fill shall contain no trash, refuse, rubbish, or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles, or parts of any of the foregoing. 7. This Order is not final until all administrative appeal periods from this Order have elapsed, or if such an appeal has been taken, until all proceedings before the Department have been completed. 8. No work shall be undertaken until the Order has become final and then has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land upon which the proposed work is to be done. In the case of the registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is done. The recording information shall be submitted to this Conservation Commission on the form at the end of this Order, which form must be stamped by the Registry of Deeds, prior to the commencement of work. 9. A sign shall be displayed at the site not less then two square feet or more than three square fee; in size bearing the words, "Massachusetts Department of Environmental Protection" [or, "MA DEP"] "File Number 242-1377 wpaform5.doc • rev. 3/1/05 Pa �e 4 of 9 If you need more space for additional conditions, select box to attach a text document Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 DEP File Number: 242-1377 C. General Conditions Under Massachusetts Wetlands Protection Act 10. Where the Department of Environmental Protection is requested to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before DEP. 11. Upon completion of the work described herein, the applicant shall submit a Request for Certificate of Compliance (WPA Form 8A) to the Conservation Commission. 12. The work shall conform to the plans and special conditions referenced in this order. 13. Any change to the plans identified in Condition #12 above shall require the applicant to inquire of the Conservation Commission in writing whether the change is significant enough to require the filing of a new Notice of Intent. 14. The Agent or members of the Conservation Commission and the Department of Environmental Protection shall have the right to enter and inspect the area subject to this Order at reasonable hours to evaluate compliance with the conditions stated in this Order, and may require the submittal of any data deemed necessary by the Conservation Commission or Department for that evaluation. 15. This Order of Conditions shall apply to any successor in interest or successor in control of the property subject to this Order and to any contractor or other person performing work conditioned by this Order. 16. Prior to the start of work, and if the project involves work adjacent to a Bordering Vegetated Wetland, the boundary of the wetland in the vicinity of the proposed work area shall be marked by wooden stakes or flagging. Once in place, the wetland boundary markers shall be maintained until a Certificate of Compliance has been issued by the Conservation Commission. 17. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized with vegetation or other means. At no time shall sediments be deposited in a wetland or water body. During construction, the applicant or his/her designee shall inspect the erosion controls on a daily basis and shall remove accumulated sediments as needed. The applicant shall immediately control any erosion problems that occur at the site and shall also immediately notify the Conservation Commission, which reserves the right to require additional erosion and/or damage prevention controls it may deem necessary. Sedimentation barriers shall serve as the limit of work unless another limit of work line has been approved by this Order. 18. All work associated with this Order is required to comply with the Massachusetts Stormwater Policy Standards. Special Conditions: See attached wpaform5.doc • rev. 3/1/05 Page 5 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands. WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 DEP File Number: 242-1377 D. Findings Under Municipal Wetlands Bylaw or Ordinance 1. Is a municipal wetlands bylaw or ordinance applicable? ® Yes ❑ No 2. The North Andover hereby finds (check one that applies): Conservation Commission 3. ❑ that the proposed work cannot be conditioned to meet the standards set forth in a municipal ordinance or bylaw specifically: a. Municipal Ordinance or Bylaw b. Citation Therefore, work on this project may not go forward unless and until a revised Notice of Intent is submitted which provides measures which are adequate to meet these standards, and a final Order of Conditions is issued. 4. ® that the following additional conditions are necessary to comply with a municipal ordinance or bylaw: North Andover Wetland Protection Bylaw Chapter 178 a. Municipal Ordinance or Bylaw b. Citation The Commission orders that all work shall be performed in accordance with the following conditions and with the. Notice of Intent referenced above. To the extent that the following conditions modify or differ from the plans, specifications, or other proposals submitted with the Notice of Intent, the conditions shall control. If you need more c. The special conditions relating to municipal ordinance or law are as follows: space for p 9 P Y additional See attached conditions, select box to attach a text document wpaform5.doc • rev. 311/05 Page 6 of 9 IJEP FILE # 242 —1377 Therefore, the North Andover Conservation Commission (hereafter the "NACU) hereby finds that the following conditions are necessary, in accordance with the Performance Standards set forth in the State Regulations, the local Bylaw and Regulations, to protect those interests noted above. The NACC orders that all work shall be performed in accordance with said conditions and with the Notice of Intent referenced below. To the extent that the following conditions modify or differ from the plans, specifications or other proposals submitted with the Notice of Intent, the conditions shall control. GENERAL CONDITIONS 18. Failure to comply with all conditions stated herein, and with all related statutes and other regulatory measures, shall be deemed cause to revoke or modify this Order. 19. This Order does not grant any property rights or any exclusive privileges; it does not authorize any injury to private property or invasion of property rights. However, the NACC, agent of the NACC or the Department of Environmental Protection (DEP) reserves the right to enter and inspect the property at all reasonable times until`a Certificate of Compliance is issued, to evaluate compliance with this Order of Conditions, the Act (310 CMR 10.00), the North Andover Wetland Bylaw and Regulations, and may require any information, measurements, photographs, observations, and/or materials, or may require the submittal of any data or information deemed necessary by the NACC for that evaluation. Further, work shall be halted on the site if the NACC, agent or DEP determines that any of the work is not in compliance with this Order of Conditions. Work shall not resume until the NACC is satisfied that the work will comply and has so notified the applicant in writing. 20. This Order does not relieve the permittee or any other person of the necessity of complying with all other applicable federal, state or local statutes, ordinances, by-laws or regulations. 21. The work authorized hereunder shall be completed within three years from the date of this order. 22. This Order may be extended by the issuing authority for one or more periods of up to one year each upon application to the issuing authority at least thirty days (30) prior to the expiration date of the Order (Refer to Section 8.3 (p.37) of the North Andover Wetland Regulations). 23. The NACC reserves the right to amend this Order of Conditions after a legally advertised public hearing if plans or circumstances are changed or if new conditions or information so warrant. CAWinword\00C\9501dCartWay.doc 1 NACC 1/10/2007 DEP FILE # 242 —1377 24. Where the Department of Environmental Protection (DEP) is requested to make a determination and to issue a Superseding Order, the Conservation Commission shall be a party to all agency proceedings and hearings before the Department. 25. This Order of Conditions is issued under File No. 242-1377. 26. The conditions of this decision shall apply to, and be binding upon, the applicant, owner, its employees and all successors and assigns in interest or control. These obligations shall be expressed in covenants in all deeds to succeeding owners of portions of the property. 27. The term "Applicant" as used in this Order of Conditions shall refer to the owner, any successor in interest or successor in control of the property referenced in the Notice of Intent, supporting documents and this Order of Conditions. The NACC shall be notified in writing within 30 days of all transfers of title of any portion of property that takes place prior to the issuance of a Certificate of Compliance. 28. The proposed work includes the construction of an in -ground pool, Jacuzzi, cabana, storage shed, fence, retaining wall, crushed stone walkway, and other associated landscaping features within the Buffer Zone to a Bordering Vegetated Wetland (BVW). 29. The work shall conform to the following (except as noted in the remainder of this document where revisions may be required): Notice of Intent filed by: Thomas Murtha (applicant) 95 Old Cart Way North Andover, MA 01845 Received Date November 30, 2006 Prepared by: Arrow Environmental, LLC. (representative) P.O. Box 574 North Andover, MA 01845 Site Plans prepared by: Giles Surveying. 50 Deer Meadow Road North Andover, MA Entitled: "Plan of Land", Dated November 13, 2006, last revised December 20, 2006. Stamped & signed by Scott L. Giles, P.L.S. 30. The following wetland resource areas are affected by the proposed work: Buffer Zone to Bordering Vegetated Wetland (BVW). These resource areas are significant to the interests of the Act and Town Bylaw as noted above and therein. The applicant has not attempted to overcome the presumption of significance of these resource areas to the identified interests. CAWinword\00C\9501dCartWay.doc 2 NACC 1/10/2007 DEP FILE # 242 —1377 31. The NACC agrees with the applicant's delineation of the wetland resource areas on the site as shown on the plans dated referenced herein with exception to the.off property flag A-16, flag A-14, which was eliminated in the field, and flag A-12, which was moved upgradient in the field by approximately 2 feet. 32. The NACC finds that the intensive use of the upland areas and buffer zone proposed on this site will cause further alteration of the wetland resource areas. In order to prevent any alteration of wetland resource areas a twenty-five foot (25') No -Disturbance Zone and a fifty -foot (50') No -Construction Zone shall be established from the edge of the adjacent wetland resource area. The Conservation Administrator and/or other agents of the NACC do not have the authority to waive these setbacks as established under the local bylaw. No disturbance of existing grade, soils or vegetation is permitted in the No - Disturbance zone. (See Section 3.4 & Appendix F of the local Regulations). 33. This document shall be included in all construction contracts, subcontracts, and specifications dealing with the work proposed and shall supersede any conflicting contract requirements. The applicant shall assure that all contractors, subcontractors, and other personnel performing the permitting work are fully aware of the permits terms and conditions. Thereafter, the contractor will be held jointly liable for any violation of this Order resulting from failure to comply with its conditions. 34. The owners of the project and their successors in title, in the event they proceed to alter areas subject to the Commissions jurisdiction under the order, agree that the Order does not in itself impose upon the Town any responsibility to maintain the proposed drainage system and that said Town shall not be liable for any damage in the event of failure. By acceptance of this Order, the owners agree to indemnify and hold harmless to the Town and its residents for any damage attributable to alterations undertaken on this property pursuant to the Order. 35. Issuance of these Conditions does not in any way imply or certify that the site or downstream areas will not be subject to flooding, storm damage or any other form of water damage. PRIOR TO CONSTRUCTION 36. No work shall be undertaken until all administrative appeal periods from this Order have elapsed or, if such an appeal has been filed, until all proceedings before the Department or Court have been completed. 37. This Order shall be recorded by the applicant at the Registry of Deeds immediately after the expiration of all appeal periods. No work shall be undertaken until the Final Order has been recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name CAWinword\00C\9501dCartWay.doc 3 NACC 1/10/2007 DEP FILE # 242 —1377 of the owner of the land upon which the proposed work is to be done. In the case of registered land, the Final Order shall also be noted on the Land Court Certificate of Title of the owner of the land upon which the proposed work is to be done. The recording information shall be submitted to the North Andover Conservation Commission on the form at the end of this Order prior to commencement of the work. Any Order not recorded by the applicant before work commences may be recorded by the NACC at the applicant's expense. 38. A sign shall be displayed at the site not less than two square feet or more than three square feet in size bearing the words "Massachusetts DEP, File Number 242-1377." 39. Any brush/tree cutting stockpiled areas on the site as a result of recent cutting/cleanup shall be properly disposed of to a location outside of the 25 -foot no disturbance zone. 40. Any changes in the submitted plans caused by the applicant, another Board's decision or resulting from this Order of Conditions must be submitted to the NACC for approval prior to implementation. If the NACC finds said changes to be significant, the NACC will call for another public hearing (at the expense of the applicant). Within 21 days of the close of said public hearing the NACC will issue an amended or new Order of Conditions. Any errors found in the plans or information submitted by the applicant shall be considered as changes. The proposed project may be still under review by other local or state boards or agencies. This may result in changes to the project plans or wetland impacts. If any such changes occur a revised plan and an explanation of the revisions shall be submitted to the NACC for review and approval prior to the start of construction. No work shall begin on a project until written approval has been granted by the NACC. 41. It is the responsibility of the applicant, owner, and/or successor(s) to ensure that all conditions of this Order of Conditions are complied with. The project engineer and contractors are to be provided with a copy of this Order of Conditions and referenced documents before commencement of construction. 42. Prior to any work commencing on-site, the applicant shall submit to the NACC for approval, a detailed sequence of construction, including the construction of compensation and retention areas, installation of sedimentation/ erosion control devices and re - vegetation to be completed before other work begins on-site. 43. Wetland flagging shall be checked prior to start of construction and shall be re-established where missing. All wetland flagging shall remain visible and enumerated per the approved plan(s) throughout the life of the project and until a Certificate of Compliance is issued so that erosion control measures can be properly placed and wetland impacts can be monitored. The proposed limit of work shall be shall be clearly marked with stakes or flags and shall be confirmed by the NACC. Such markers shall be checked and replaced as necessary and shall be maintained until all construction is complete. Workers should be informed that no use of machinery, storage of machinery or materials, stockpiling of CAWinword\00C\9501dCartWay.doc 4 NACC 1/10/2007 DEP FILE # 242 —1377 soil, or construction activity is to occur beyond this line at any time. All flags used for the above purposes shall be of a color different from other flagging used on the site. 44. A row of staked hay bales backed by trenched siltation fence shall be placed between all construction areas and wetlands. The erosion control barrier will be properly installed and placed as shown on the plans approved and referenced herein and shall be inspected and approved by the NACC prior to the start of construction and shall remain intact until all disturbed areas have been permanently stabilized to prevent erosion. All erosion prevention and sedimentation protection measures found necessary during construction shall be implemented at the direction of the NACC. The NACC reserves the right to impose additional conditions on portions of this project to mitigate any impacts which could result from site erosion, or any noticeable degradation of surface water quality discharging from the site. For example, installation of erosion control measures may be required in areas not shown on the plan(s) referenced in this Order of Conditions. Should such installation be required by the NACC, they shall be installed within 48 hours of the Commission s request. 45. The applicant shall have on hand at the start of any soil disturbance, removal or stockpiling, a minimum of 15 hay bales and sufficient stakes for staking these bales (or an equivalent amount of silt fence). Said bales shall be used only for the control of emergency erosion problems and shall not be used for the normal control of erosion. 46. A check payable to the Town of North Andover shall be provided in the amount of $3,000, which shall be in all respects satisfactory to Town Counsel, Town Treasurer, and the NACC, and shall be posted with the North Andover Town Treasurer through the NACC before commencement of work. Said deposit of money shall be conditioned on the completion of all conditions hereof, shall be signed by a party or parties satisfactory to the NACC, and Town Counsel, and shall.be released after completion of the project, provided that provisions, satisfactory to the NACC, have been made for performance of any conditions which are of continuing nature. The applicant may propose a monetary release schedule keyed to completion of specific portions of the project for the NACC's review and approval. This condition is issued under the authority of the local Bylaw. 47. Prior to construction, the applicant shall permanently mark the edge of the 25 -foot no - disturbance zone with ten (10) markers spaced evenly every 30 -feet incorporating the following text, "Protected Wetland Resource Area". These markers can be purchased at the North Andover Conservation Department. This will designate their sensitivity and assure no further inadvertent encroachment into the wetland. These permanent markers are subject to review and approval by the Conservation Department. The applicant shall instruct all agents to explain these markers to buyers/lessees/landscapers and all persons taking over the property from the applicant. CAWinword\00C\9501dCartWay.doc 5 NACC 1/10/2007 DEP FILE # 242 —1377 48. The applicant shall designate a Professional Wetland Scientist as the project's "Environmental Monitor" (EM) to oversee. the construction of the restoration activities and landscape features, regular inspections, and any emergency placement or replacement of erosion and sedimentation control devices. The name and phone number of the erosion control monitor must be provided to the NACC in the event that this person has to be contacted, due to an emergency at the site, during any 24-hour period, including weekends. This professional must submit a letter on company letterhead stating they have been retained as the project's Environmental Monitor. The designated Environmental Monitor is subject to approval by the NACC. This person shall also be given the authority to stop construction for erosion control purposes. The ECM will be required to inspect all such devices and oversee cleaning and the proper disposal of waste products. Cleaning shall include removal of any entrapped silt. 49. ON EVERY MONDAY OF EACH WEEK, or otherwise arranged by the NACC or the Conservation Administrator, in which construction activities within the jurisdictional areas, referenced herein, occurs on-site and for as long thereafter as the ground remains unstable, it is the applicant's responsibility that the Environmental Monitor (EM) monitor the site and submit written reports to the NACC. The EM shall certify that, to the best of his / her knowledge and belief based on a careful site inspection, all work is being performed in compliance with this Order of Conditions and that approved setbacks are being adhered to. The EM must visually inspect all sedimentation / erosion control measures and assume responsibility for their maintenance on a weekly basis and that they are functioning as intended. In addition, all wetland resource areas must be visually inspected for siltation, turbidity, and/or other water quality impacts. The reports shall also include current condition of erosion and sedimentation controls; describe any erosion or sedimentation repair and / or replacement; and describe any erosion or sedimentation problems and mitigation measures implemented. Such reports shall continue until the applicant requests a less frequent reporting schedule or an end to reports. This request must be submitted in writing and is subject to approval by the Conservation Administrator. 50. The applicant and/or the legal owner of that portion of land upon which these Orders of Conditions have been placed shall provide to the NACC prior to transferring, or assigning any portion of said land to another party, subject to said Orders of Conditions, the "Compliance Certification Form Affidavit" attached via "Appendix A" signed under the pains and penalties of perjury, stating that said applicant and/or owner has read these Orders of Conditions and is in compliance with each and every condition. This document shall apply to each of the conditions referenced herein and shall be provided to the Conservation Department at least five (5) business days after to the closing of said land transaction. 51. Once these above mentioned pre -construction requirements are complete, the applicant shall contact the Conservation Office prior to site preparation or construction and shall arrange an on-site conference with an NACC representative, the contractor, the engineer, wetland scientist and the applicant to ensure that all of the Conditions of this Order are understood. This Order shall be included in all construction contracts, C:\Winword\00C\9501dCdrtWay.doc 6 NACC 1/10/2007 DEP FILE # 242 —1377 subcontracts, and specifications dealing with the work proposed and shall supersede any conflicting contract requirements. The applicant shall assure that all contractors, subcontractors and other personnel performing the permitted work are fully aware of the permit's terms and conditions. Thereafter, the contractor will be held jointly liable for any violation of this Order of Conditions resulting from failure to comply with its conditions. The applicant or contractor shall notify the NACC in writing of the identity of the on-site construction supervisor hired to coordinate construction and to ensure compliance with this Order. A reasonable period of time shall be provided as notice of the pre - construction meeting (e.g. 72 hours). DURING CONSTRUCTION 52. Accepted engineering and construction standards and procedures shall be followed in the completion of the project. 53. The pool filter system shall be a backwashing filtration system. 54. Pool waters and backwash shall not be discharged towards the wetland resource area at any time. This condition shall remain in perpetuity. 55. Construction access shall be limited to the existing driveway as noted on the plan unless otherwise discussed and approved by the Conservation Administrator. 56. Any de -watering activities anticipated shall be supervised and witnessed by the designated erosion control monitor. This designee must be on-site while work dewatering is occurring. De -watering activities shall be conducted as shown on the approved plans and shall be monitored daily by the erosion control monitor to ensure that sediment laden water is appropriately settled prior to discharge toward the wetland resource areas. No discharge of water is allowed directly into an area subject to jurisdiction of the Wetlands Protection Act and / or the North Andover Wetland Bylaw. If emergency de -watering requirements arise, the applicant shall submit a contingency plan to the Commission for approval, which provides for the pumped water to be contained in a settling basin, to reduce turbidity prior to discharge into a resource area. 57. Any fill used in connection with this project shall be clean fill, containing no trash, refuse, rubbish or debris, including but not limited to lumber, bricks, plaster, wire, lath, paper, cardboard, pipe, tires, ashes, refrigerators, motor vehicles or parts on any of the foregoing. 58. No exposed area shall remain unfinished for more than thirty (30) days, unless approved by the NACC. 59. No re -grading in the buffer zone shall have a slope steeper than 2:1 (horizontal: vertical). Slopes of steeper grade shall be permanently stabilized using clean, stone riprap or biodegradable matting. C:\Winword\00C\9501dCartWay.doc 7 NACC 1/10/2007 DEP FILE # 242 —1377 60. There shall be no stockpiling of soil or other materials within twenty-five (25) feet of any resource area. 61. Washings from concrete trucks, or surplus concrete, shall not be directed to, any drainage system, or wetland resource area. 62. All waste generated by, or associated with, the construction activity shall be contained within the construction area, and away from any wetland resource area. There shall be no burying of spent construction materials or disposal of waste on the site by any other means. The applicant shall maintain dumpsters (or other suitable means) at the site for the storage and removal of such spent construction materials off-site. However, no trash dumpsters will be allowed within 50' of areas subject to. protection under the Actor local Bylaw. . 63. During and after work on this project, there shall be no discharge or spillage of fuel, or other pollutants into any wetland resource area. If there is a spill or discharge of any pollutant during any phase of construction the NACC shall be notified by the applicant within one (1) business day. No construction vehicles are to be stored within 100 feet of wetland resource areas, and no vehicle refueling, equipment lubrication, or maintenance is to be done within 100 feet of a resource area. AFTER CONSTRUCTION 64. No underground storage of fuel oils shall be allowed on any lot within one hundred (100) feet of any wetland resource area. This condition shall survive this Order of Conditions and shall run with the title of the property. This condition is issued under the authority of the Town's Wetland protection Bylaw. 65. Fertilizers utilized for landscaping and lawn care shall be slow release, low -nitrogen types (< 5%), and shall not be used within 25 feet of a resource area. Pesticides and herbicides shall not be used within 100 feet of a wetland resource area. This condition shall survive this Order of Conditions and shall run with the title of the property. This condition is issued under the authority of the Town's Wetland Protection Bylaw and shall remain in perpetuity. 66. Upon completion of construction and grading, all disturbed areas located outside resource areas shall be stabilized permanently against erosion. This shall be done either by loaming and seeding according to SCS standards. If the latter course is chosen, stabilization will be considered complete once vegetative cover has been achieved. 67. Upon approved site stabilization by Conservation staff, the erosion controls shall be removed and properly disposed of and exposed area underneath the erosion controls shall be seeded for permanent stabilization. CAWinword\00C\9501dCartWay.doc 8 NACC 1/10/2007 DEP FILE # 242 -1377 68. Upon completion of the project the applicant shall submit the following to the Conservation Commission as part of a request for a Certificate of Compliance: a. WPA Form 8A - "Request for a Certificate of Compliance." b. A letter from the applicant requesting a Certificate of Compliance. c. The name and address of the current landowner. d. Signed statements from the individual property owners shall be submitted with the request for a Certificate of Compliance indicating that they read and understood the recorded Order of Conditions prior to purchasing their property. e. The name and address of the individual/ trust or corporation to whom the compliance is to be granted. f. The street address and assessor's map/ parcel number for the project. g. The DEP file number. h. A written statement from a Registered Professional Civil Engineer (and/or Registered Professional Land Surveyor) of the Commonwealth certifying that the work has been conducted as shown on the plan(s) and documents referenced above, and as conditioned by the Commission. i. An "As -Built" plan prepared and signed and stamped by a Registered Professional Civil Engineer (and/or Registered Professional Land Surveyor) of the Commonwealth, for the public record. This plan will include: ➢ "As -Built" post -development elevations of all drainage & stormwater management structures constructed within 100 feet of any wetland resource area. ➢ "As -Built" post -development elevations and grades of all filled or altered wetland resource areas including the encompassing buffer zone, which is regulated as a resource area under the local Wetland Protection Bylaw. ➢ Distances from structures to wetland resource areas. Structures include (but are not limited to) septic systems, additions, fences, sheds, stone walls, pools, retaining walls, subsurface utilities and decks. ➢ A line showing the limit of work and the extent of existing erosion control devices. "Work" includes as disturbance of soils or vegetation. ➢ Location of all subsurface utilities entering the property. CAWinword\00C\9501dCartWay.doc 9 NACC 1/10/2007 DEP FILE # 242 —1377 69. The following special conditions shall survive the issuance of a Certificate of Compliance (COC) for this project: ➢ 25' No -Disturbance Zone and a 50' No -Construction Zone shall be established from the edge of adjacent wetland resource areas except in those locations approved under this filing. Future work within 100' of existing wetland resource areas will require a separate filing with the NACC. The Conservation Administrator and/or other agents of the NACC do not have the authority to waive these setbacks as established under the local Bylaw (Condition #32); ➢ Pool waters and backwash shall not be discharged towards the wetland resource area at any time. (Condition #54); ➢ Discharge or spillage of pollutants (Condition #63); ➢ Prohibition of underground fuels (Condition #64); ➢ Limitations on the use of fertilizers, herbicides and pesticides (Condition #65). CAWinword\OOC\9501dCartWay.doc 10 NACC 1/10/2007 DEP FILE # 242 —1377 I, APPENDIX A — AFFIDAVIT (authorized agent of applicant and / or owner) 1) I am the on oath do hereby depose and state: (PLEASE CHECK AT LEAST ONE BLOCK) (position with applicant) of the applicant upon whom the Order of Conditions (applicant's name) (DEP or NACC File #) have been placed upon by the North Andover Conservation Commission (NACC). 2) I am the (position with owner) and / or Of (owner) the owner upon whose land Order of Conditions (DEP or NACC File #) placed upon by the NACC. have been ♦ I hereby affirm and acknowledge that I have received said Order of Conditions and have read the same and understand each and every condition, which has been set forth in said Order of Conditions. ♦ I hereby affirm and acknowledge that on this day of 20---, I inspected said property together with any and all improvements, which have been made to the same and hereby certify that each and every condition set forth in the Order of Conditions are presently in compliance. ♦ I hereby affirm and acknowledge that this document will be relied upon by the NACC, as well as any potential buyers of said property, which is subject to the Order of Conditions. Signed under the pain and penalties of perjury this day of 20 (Authorized agent of applicant or owner) CAWinword\00C\9501dCartWay.doc 11 NACC 1/10/2007 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1377 Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 E. Issuance This Order is valid for three years, unless otherwise specified as a special/0 condition pursuant to General Conditions #4, from the date of issuance. — 1 //0:7 1. Date f3f Is uance Please indicate the number of members who will sign this form: This Order must be signed by a majority of the Conservation Commission. 2. Number of signers The Order must be mailed by certified mail (return receipt requested) or hand delivered to the applicant. A copy also must be mailed or hand delivered at the same time to the appropriate Departure of Environmental Protection Regional Office, if not filing electronically, and the pro pe ner, if different from applicant. Signatures: �r. s Notary Acknowledgement Commonwealth of Massachusetts County of 10--6 of On this Day Before me, the undersigned Notary Public, personally appeared Essex North : x007 Month Year `] GO + mw-' se - Name of Document Signer proved to me through satisfactory evidence of identification, which was/were Massachusetts License Description of evidence of identification to be the person whose name is signed on the preceding or attached document, and acknowledged to me that he/she signed it voluntarily for its stated purpose. As member of North Andover Conservation Commission Cityrrown DONNikK WEDGE NOT/ COMMONWEALTH MASSACHUSETTS My Comm. Expires Aug. 7. "009 Place notary seal and/or any stamp above This Order is issued to the applicant as follows: ❑ by hand delivery on Date Dom,,. 7n Signature of Notary Public 01 In. ivG/ D66' Printed Name of Notary Public My Commis on Expires (Date) E3/by certified mail, return receipt requested, on I // /07 Date wpaform5.doc - rev. 3/1/05 Page 7 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 F. Appeals DEP File Number: 242-1377 The applicant, the owner, any person aggrieved by this Order, any owner of land abutting the land subject to this Order, or any ten residents of the city or town in which such land is located, are hereby notified of their right to request the appropriate DEP Regional Office to issue a Superseding Order of Conditions. The request must be made by certified mail or hand delivery to the Department, with the appropriate filing fee and a completed Request of Departmental Action Fee Transmittal Form, as provided in 310 CMR 10.03(7) within ten business days from the date of issuance of this Order. A copy of the request shall at the same time be sent by certified mail or hand delivery to the Conservation Commission and to the applicant, if he/she is not the appellant. Any appellants seeking to appeal the Department's Superseding Order associated with this appeal will be required to demonstrate prior participation in the review of this project. Previous participation in the permit proceeding means the submission of written information to the Conservation Commission prior to the close of the public hearing, requesting a Superseding Order or Determination, or providing written information to the Department prior to issuance of a Superseding Order or Determination. The request shall state clearly and concisely the objections to the Order which is being appealed and how the Order does not contribute to the protection of the interests identified in the Massachusetts Wetlands Protection Act, (M.G.L. c. 131, § 40) and is inconsistent with the wetlands regulations (310 CMR 10.00). To the extent that the Order is based on a municipal ordinance or bylaw, and not on the Massachusetts Wetlands Protection Act or regulations, the Department has no appellate jurisdiction. Section G, Recording Information is available on the following page. wpaform5.doc • rev. 3/1/05 Page 8 of 9 Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands WPA Form 5 - Order of Conditions Massachusetts Wetlands Protection Act M.G.L. c. 131, §40 G. Recording Information DEP File Number: 242-1377 This Order of Conditions must be recorded in the Registry of Deeds or the Land Court for the district in which the land is located, within the chain of title of the affected property. In the case of recorded land, the Final Order shall also be noted in the Registry's Grantor Index under the name of the owner of the land subject to the Order. In the case of registered land, this Order shall also be noted on the Land Court Certificate of Title of the owner of the land subject to the Order of Conditions. The recording information on Page 7 of this form shall be submitted to the Conservation Commission listed below. North Andover Conservation Commission Detach on dotted line, have stamped by the Registry of Deeds and submit to the Conservation Commission. --------------------------------------------------------------------------------------------------------------------------- To: North Andover Conservation Commission Please be advised that the Order of Conditions for the Project at: 242-1377 Project Location DEP File Number Has been recorded at the Registry of Deeds of: for: County Property Owner Book and has been noted in the chain of title of the affected property in: Book Page In accordance with the Order of Conditions issued on: Date If recorded land, the instrument numbor identifying this transaction is: Instrument Number If registered land, the document nu Document Number Signature of Applicant wpaform5.doc • rev. 3/1105 identifying this transaction is: Page Page 9 of 9 �-j e,J � �p�ti1iMl5/��✓� SOD/I'/ �f9"i ��✓ /O Z5 I TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 1600 Osgood Street, Building 20, Suite 2035, North Andover, Massachusetts 01845 Thomas Murtha III 95 Old Cart Way North Andover MA 01814 RE: 95 Old Cart Way Dear Mr. Thomas Murtha III Telephone (978) 688-9545 FAX (978) 688-9542 August 18, 2015 I would concur that moving the stairs would create a safer situation based on the existing stairs location under the drip edge of the roof line. As noted, the platform installed at the base of the stairs does not need a permit based on section R105 of the International Residential Building Code. Per Section R105 Permits: R105.2 Work exempt from permits. Section 10. Decks not exceeding 200 square feet in area, that are not more than 30 inches above grade at any point, are not attached to the dwelling and do not serve the exit door requirements by section R311.4. Feel free to contact the Building Department our office hours are between 8-10 and 1-2 daily. Sincerely Yours, Brian Leathe Local Building Official TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 1600 Osgood Street, Building 20, Suite 2035, North Andover, Massachusetts 01845 Thomas Murtha III 95 Old Cart Way North Andover MA 01814 RE: 95 Old Cart Way Dear Mr. Thomas Murtha III Telephone (978) 688-9545 FAX (978) 688-9542 August 18, 2015 I would concur that moving the stairs would create a safer situation based on the existing stairs location under the drip edge of the roof line. As noted, the platform installed at the base of the stairs does not need a permit based on section R105 of the International Residential Building Code. Per Section R105 Permits: R105.2 Work exempt from permits. Section 10. Decks not exceeding 200 square feet in area, that are not more than 30 inches above grade at any point, are not attached to the dwelling and do not serve the exit door requirements by section R311.4. Feel free to contact the Building Department our office hours are between 8-10 and 1-2 daily. Sincerely Yours, Brian Leathe Local Building Official TOWN OF NORTH ANDOVER NORTFI Office of the Building Department=mob-`• � �° Community Development and Services 1600 Osgood Street, Building 20, Suite 2035, North Andover, Massachusetts 01845 Telephone (978) 688-9545 FAX (978) 688-9542 August 18, 2015 Thomas Murtha III 95 Old Cart Way North Andover MA 01814 RE: 95 Old Cart Way Dear Mr. Thomas Murtha III I would concur that moving the stairs would create a safer situation based on the existing stairs location under the drip edge of the roof line. As noted, the platform installed at the base of the stairs does not need a permit based on section R105 of the International Residential Building Code. Per Section R105 Permits: R105.2 Work exempt from permits. Section 10. Decks not exceeding 200 square feet in area, that are not more than 30 inches above grade at any point, are not attached to the dwelling and do not serve the exit door requirements by section R311.4. Feel free to contact the Building Department our office hours are between 8-10 and 1-2 daily. Sincerely Yours, Brian Leathe Local Building Official O `' ;<=Ontlme.Dnneright" July 9, 2015 Brian Leathe 1600 Osgood St. Bldg. 20, Ste 2035 North Andover, MA 01845 Re: Deck modifications Mr Handyman of North Essex County My Handyman of Rockingham County 60 Pine St. Unit I Methuen, MA 01844 978-521-0042 Hi Brian, I am writing today in regard to my client, Dr. Tom Murtha's deck modifications at his residence located at 95 Old Cart Way and the subsequent request to stop work on his deck modifications due to permitting. It is my understanding that a deck that is lower than 30 inches and less than 200sf in dimension did not require a building permit. If I am incorrect in my interpretation of the building code please let me know. In 2008 & 2011 Dr. Murtha hired my company to repair the rear deck stairs due to extensive wood rot, the deck had been previously rebuilt by the former owners prior to Dr. Murtha's purchase of the home back in 2003 as well. It is my opinion that the wood rot that is taking place is a result of the location of the stairs and the overhead roof lines and valleys. During rains and snow the location is saturated by water and snow. The impending result is an extremely wet location that does not benefit from long amounts of sun and never really dries promoting the rot. Dr. Murtha had requested a more permanent solution to the issue due to the rear deck exit being the only other direct means of egress from the home and his concern for family safety. His only other means of egress from the house would be through his garage which is not an excepted means of egress. Dr. Murtha's feeling is that having to continually replace and/or repair the staircase on an approximate 4 year cycle has become a hazard and the structural integrity of this stairway directly impacts the safe, direct and timely egress from the house in the event of a fire or other emergency circumstance. The alternative proposed to Dr. Murtha and decided upon was to relocate the staircase to the front portion of the deck away from the corner where it is presently located. This is not Dr. Murtha's preferred location but based on the overall layout of the home and location this was his only good location. At the same time it was decided to extend the deck to surround an existing hot tub that was there. D is P. l tl wrier MA HIC# 158844 / CSL Lic# 101611 Location 9 O &z+ u"G No.. i Check # 7 29198 Date U 1 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation. Permit Fee $ _ Othe. frrit•Fee CO $ TOTAL $ uilding Inspector TOWN OF NORTH ANDOVER Office of the Building Department Community Development and Services 1600 Osgood Street, Building 20, Suite 2035, North Andover, Massachusetts 01845 July 7, 2015 Thomas Murtha III 95 Old Cart Way North Andover MA 01814 RE: 95 Old Cart Way Dear Mr. Thomas Murtha III Telephone (978) 688-9545 FAX (978) 688-9542 The proposed and partially built deck and stairs does not violate the North Andover zoning code and a building permit may be obtained once clearance has been approved by the North Andover Conservation Commission. Per Section R105 Permits: R105.2 Work exempt from permits. Section 10. Decks not exceeding 200 square feet in area, that are not more than 30 inches above grade at any point, are not attached to the dwelling and do not serve the exit door requirements by section R311.4. Feel free to contact the Building Department our office hours are between 8-10 and 1-2 daily. Sincerely Yours, Brian Leathe Local Building Official 4 alternative materials or methods, the building official shall have the authority to require tests as evidence of compliance to be made at no expense to the jurisdiction. Test methods shall be as specified in this code or by other recognized test standards. In the absence of recognized and accepted test methods, the building official shall approve the testing pro- cedures. Tests shall be performed by an approved agency. Reports of such tests shall be retained by the building offi- cial for the period required for retention of public records. SECTION R105 PERMITS R105.1 Required. Any owner or authorized agent who intends to construct, enlarge, alter, repair, move, demolish or change the occupancy of a building or structure, or to erect, install, enlarge, alter, repair, remove, convert or replace any electrical, gas, mechanical or plumbing system, the installation of which is regulated by this code, or to cause any such work to be done, shall first make application to the building official and obtain the required permit. R105.2 Work exempt from permit. Permits shall not be required for the following. Exemption from permit require- ments of this code shall not be deemed to grant authorization for any work to be done in any manner in violation of the provi- sions of this code or any other laws or ordinances of this juris- diction. Building: 1. One-story detached accessory structures used as tool and storage sheds, playhouses and similar uses, pro- vided the floor area does not exceed 200 square feet (18.58 mz). 2. Fences not over 6 feet (1829 mm) high. 3. Retaining walls that are not over 4 feet (1219 mm) in height measured from the bottom of the footing to the top of the wall, unless supporting a surcharge. 4. Water tanks supported directly upon grade if the capac- ity does not exceed 5,000 gallons (18 927 L) and the ratio of height to diameter or width does not exceed 2 to 1. 5. Sidewalks and driveways. 6. Painting, papering, tiling, carpeting, cabinets, counter tops and similar finish work. 7. Prefabricated swimming pools that are less than 24 inches (610 mm) deep. SCOPE AND ADMINISTRATION Electrical: 1. Listed cord -and -plug connected temporary decorative lighting. 2. Reinstallation of attachment plug receptacles but not the outlets therefor. 3. Replacement of branch circuit overcurrent devices of the required capacity in the same location. 4: Electrical wiring, devices, appliances, apparatus or equipment operating at less than 25 volts and not capable of supplying more than 50 watts of energy. 5. Minor repair work, including the replacement of lamps or the connection of approved portable electrical equip- ment to approved permanently installed receptacles. Gas: 1. Portable heating, cooking or clothes drying appliances 2. Replacement of any minor part that does not alter approval of equipment or make such equipment unsafe. 3. Portable -fuel -cell appliances that are not connected to a fixed piping system and are not interconnected to a power grid. Mechanical: 1. Portable heating appliances. 2. Portable ventilation appliances. 3. Portable cooling units. 4. Steam, hot- or chilled -water piping within any heating or cooling equipment regulated by this code. 5. Replacement of any minor part that does not alter approval of equipment or make such equipment unsafe. 6. Portable evaporative coolers. 7. Self-contained refrigeration systems containing 10 pounds (4.54 kg) or less of refrigerant or that are actuated by motors of 1 horsepower (746 W) or less. 8. Portable -fuel -cell appliances that are not connected to a fixed piping system and are not interconnected to a power grid. The stopping of leaks in drains, water, soil, waste or vent pipe; provided, however, that if any concealed trap, drainpipe, water, soil, waste or vent pipe becomes defective and it becomes necessary to remove and replace the same with new material, such work shall be considered as new work and aper - mit shall be obtained and inspection made as provided in this code. 8. Swings and other playground equipment. The clearing of stoppages or the repairing of leaks in pipes, 9. Window awnings supported by an exterior wall which valves or fixtures, and the removal and reinstallation of water do not project more than 54 inches (1372 mm) from the closets, provided such repairs do not involve or require the exterior wall and do not require additional support. replacement or rearrangement of valves, pipes or fixtures. 10. Decks not exceeding 200 square feet (18.58 mz) in area, R105.2.1 Emergency repairs. Where equipment replace - that are not more than 30 inches (762 mm) above grade ments and repairs must be performed in an emergency situa- at any point, are not attached to a dwelling and do not tion, the permit application shall be submitted within the serve the exit door required by Section R311.4. next working business day to the building official. 2009 INTERNATIONAL RESIDENTIAL CODE@ t TOWN OF NORTH ANDOVER Office of the Building Department 3= 4•`; _ �'•\ Community Development and Services 1600 Osgood Street, Building 20, Suite 2035, North Andover Massachusetts 01845 ------- July 7, 2015 Thomas Murtha III 95 Old Cart Way North Andover MA 01814 RE: 95 Old Cart Way Dear Mr. Thomas Murtha III Telephone (978) 688-9545 FAX (978) 688-9542 The proposed and partially built deck and stairs does not violate the North Andover zoning code and a building permit may be obtained once clearance has been approved by the North Andover Conservation Commission. Per Section R105 Permits: R105.2 Work exempt from permits. Section 10. Decks not exceeding 200 square feet in area, that are not more than 30 inches above grade at any point, are not attached to the dwelling and do not serve the exit door requirements by section R311.4. Feel free to contact the Building Department our office hours are between 8-10 and 1-2 daily. Sincerely Yours, Brian Leathe Local Building Official Liberty Mutual® INSURANCE June 10, 2014 Town of North Andover Attn: Building Inspector 120 Main Street North Andover, MA 01845 Liberty Mutual Insurance New England Region Central Property Unit 75 Sylvan Street Danvers, MA 01923 Tel: (800)566-0323 Re: Property Address: 95 Old Cart Way, North Andover, Ma 01845 Policy Number: H3121832373470 Underwriting Company: Liberty Mutual Insurance Company Claim Number: 029789751-0001 Date of Loss: 5/14/2014 Attn: Town/City Official Pursuant to M.G.L. c. 139, § 3B, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, X99, if you intend to initiate proceedings designed to perfect a lien pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, � 9, or Mass. General Laws, Ch. 111, § 127B. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address, policy number, claim number, and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 Location�� No. '�� V Date' TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ ACMUS Foundation Permit Fee $ Other Permit Fee $ TOTAL $ < Q Check # 185'12 �- -�-- Building Ins '(6r (or 1.1 Property Address: CiAiXL.�J/�lil 1.2 Assessors Map and Parcel I 0__ Map Number Number: Parcel Number a/Lj fl o „!/T 1.3 Zoning Information,:: Zoning District Proposed Use 1.4 Property Dimensions: Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1 1.7 Water Supply M.G.L.C.40. 54) Public ❑ Private ./ ❑ 1.5. Flood Zone Information: Zone Outside Flood Zone ❑ 1.8 Municipal Sewerage Disposal System: ❑ On Site Disposal System ❑ I A-ra\VrMJM1I I — I—Ll IIV LJ I0 LIIL;L. TU5 1\10 __ 2.1 Owner of Record 1710 -14 L Telephone 2.2 Owner of Reco d: Ni fi` a Pnn A lr�Y2 W. Address for Service: owe 1* D� yS- ECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable lqr—c ? YR I e - 9 . .— Licensed Construction Supervisor: License Number 4r.gn. op — �iL —TLJ �� Expiration Date e elephone 3.2 Company Name Address Contractor Not Applicable ❑ Registration Number Expiration Date 09 rn ;o ic z 0 0 rn 90 0 r v rn r r z G) .r SECTION 4 - WORKERS COMPENSATION (M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......0 No ....... 0 SECTION 5 Description of Proposed Work check au a ucable New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify Brief Description of Proposed Work: 4t Y 0 X 6o 7 SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by pennit applicant OFFICIAL USE ONLY 1. Build l 02 (a) Building Permit Fee Multiplier 2 Electrics (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (a) x (b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf, in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, _ `' as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge' and belief Print Name Si at er A ent Dat NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIIv1BERS iST2 ND3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRvINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE 607 779 2291 04/20/00 THU 15:59 FAX 607 779 2291 EUREKA TENT C tificate of F1dme Resistance REGISTERED FABRIC ISSUED BY Date of Manufacture NUMBER JOHNSON OUTDOORS INC. BINGHAMTON, NEW YORK 13902 F-14t)A1 Manufacturers of the Finest May 1998 Tent Products Described Herein This is fn certify that the products herein have been manufactured from material inherently flame retardant as here afterspecified by the material supplier. NAME: Access Tent CITY:Woburn MA -- STATE: CertificafJon is hereby made that. The articrm described on this certificate have been manufactured with an approved flame retardant chemical in compliance with California State Fre Marshal Code, NFPA-701•. Underwriters Laboratory of Canada, and have been tested in accordance with the Federal Test Method Specifications and meet or exceed the Military Flame Specifications of MIL•C-43006G. Type, color and weight of material: 150 Z Vinyl, White Bl ockout Description of item certified: 20' Mid for 40' Elite Tent Flame Retardant Process Used Will Not Be Removed By Washing And Is Effective For The Life Of The Fabric Snyder Manufacturing, Inc.0. - Ift Manufacturer of Flame Retardant Vinyl Laminates TE pARThIENT, JOHN�SoTOUT00ORs tNc. 'Large Scale g•d eGEtOT SO Sz 2nd m 3 t%—* �I 0 C z H = � W ~ V �Z w co chi H w w U —Cd x .fit .1 QV W w ,c w Ca v 'o a4 is � w x o aG .� w � co z � U)cn E �I 0 C z H = � W ~ V �Z li .fit .1 QV W �1 11 10 Ca v is � NG �I 0 C z H = � W ~ V �Z Ca v CLC m ea m C :Z O . r O CD Ea • o m _ : 0 CL CODE m 1 C w Q O m C N W ISm o Z' 3 C42 CD �p m J ,. _m N O � E� m O US o a m O Lr � Ci Z o c o a m vi m c m m. 3 . O 'COL C ++ m C V� O.Z E5 5. �.. cm -00�C o_ 32 moo= 73 a. -m E Me _ yr H H cm C IN cmS 32 m 0 cm c m 0 Z O 5 CD mo O 0 0 z O U U) CD cm I O C_ h m O CM m L- HCl CD C =CD O � OCD 0 O e_Cv o a CMa C C C Cc CD c Z CD 0 CL V N3 O C _ C •� C CL 0 U) LLI U) W W I% W U) Isabel Lopez . 95 Old Cart Way North Andover, MA 01845 June 1, 2005 Michael McGuire, Building Inspector Town of North Andover 400 Osgood Street North Andover, MA 01845 Dear Mr. McGuire: I wish to thank you and your office for your time and assistance in recently granting us an in-home business permit. And while I had initially intended to apply for a permit to erect a sign in front of our house to advertise my business to the public, I have recently decided against erecting a sign and have decided it would be more in keeping with our neighborhood to simply put up just an address post and plaque. The enclosed photocopy of the address post and plaque are tactual items we wish to purchase (from "FRONTGATE", a catalogue of strictly r ntial products available to home owners nationwide). The company insists that it ' t ne `ary in most areas of the country to obtain permitting for this product and any Oise -owner may install an address post on their property if they wis owever, we JWwanted to run this by you and get your ok, before making any assum ns oq-reatiq&ny issues or problems with the town or your office. The plaque woulAimplotate (in relatively small letters) our address and the name of my in-home busine Please respond at your earliest convenience. Your time and attention are greatly appreciated. Sin erely, s bel Lopez I3. All-weather Address Post and Plaque are the /" perfect pain Our Nantucket Address Post is the ideal companion to our Arched Address Plaque. Made entirely from high-grade, weatherproof PVC, it provides a permanent maintenance -free background for your home address plaque. While it looks like hand -carved wood, your post will never We, split or rot. It never needs painting and will look new for years. Plus, it's double -sided, so it can be mounted perpendicular or parallel to the street. Easy installation with basic tools. 39V4"W x 3I"H x 5"D. Arched plaque sold separately, see page 32. 7o7o9 Nantucket Address Post $229 E Our Arbor accents never need painting. Place it in your garden and that's where the maintenance ends. It may look like wood, but it's actually crafted from high-grade PVC vinyl, so it will never fade, split, or rot like wood. Plus, it's completely weatherproof, so you can count on it always looking new and freshly painted for years. And if you d like a nice place to sit, the optional Garden Seat creates a welcoming r F t oasis for enjoying the fruits of• your labor. Assembles in an afternoon with basic tools and includes all stainless steel > hardware and instructions. Arbor Mounts (below) add rock- f.4 solid stability. 54"W x 99t/s"H x 4r 33"D. 20 -year limited warranty. 7o718 Nantucket Arbor $399($40) 08 Nantucket Arbor with 7-7 Arbor alone makes Garden Seat $799 (s4o) a grand focal point G. Arbor Mounting Systems — no digging required. Securely mounts the Nantucket Arbor (above) in the garden or on a solid surface like cement. Slides over sturdy steel posts for wobble -free stability. Includes four posts and all necessary hardware. 7o713 Ground Mount $69 70714 Surface Mount $89 G ." I 1111' i I 1111' �d L 9 '2 1 .c° :% � $ y e 9 Aw- X A-16. ZZ -73.5-7" I so C � ACGE / SO /l.,io6, ':vo e��t D ZS'v �E va cvr" I EAS SS { EASEmFNTS EAJ�Mf�S � ��� �1 Q /� D,Egi.V•76c ; C✓ETtAs/D,$ 1 I zs °08' .(3Z, 5`60x. FOUNO.o-s/ et/, 40, -nr i3 "019-q3 � GP 1x0.¢7/ S //EPEBY CE.cr/FY To ryE rirLE /,vsU.eo.P.vvO T?J T.�,E BR.vr T.S�gT T.yE Gn'EGL/.u6 /S LOCATED O.v TyE coT.9s .ssni,-.v A.vO r,�cor/roc�s cv,✓�aP/r1 ,QLr6r0.?O/MG SETBAC.CS i�OM ,STPEET,,S � LOT L/�✓E.S. '' S FU.CTif�E.0 CE,rT/FY T.�.4T T�/s ONELL/N6 /s,vOT LOCATED /,S/ THE FEOE.PAL FLOioO H/1ZA.P0 A.PE,�:. SHCIvn! OiV FfM^/' COMMUNITY P.tvCL '� 2S0o9g cY.t�6e GATE N /pi- or P4,4.v /N O,PAN�it/ fO.P /NE.P.P//tf.4Gf' E,vGis�EE.P/.(/6 ` SE.Pi�/�'ES 6G �-4�P.f� ST.PEET A.t/ODYE.C, /fi,4S.S,4G,f///SETTS O/8/O Z13-1 . a HORTp 3a •� ".' OL O 9 ,SSA US� Date ....� 1......... �.:`............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....5.-:. 1 f 1 has permission to perform .. I.......:... ...............................................:................:.. wiringin the building of.................................................................................. at ........ �................ l.. ��..... . L'....��OrsteApass. Fee..................... Lic. No................................................................ ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 014e of fflassar4usttt Mtpartmrnt of Vublic _%fietq BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Offic:Fee Only Permit No. Occupancy &Checked3/90 (leaank) y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date _Z5 // g tX)� or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform theelectricalwork` described below. Location (Street & Num"r) /yGy G�//C�T IA% / Owner or Tenant Owner's Address (Check Appropriate ro riate Box I 'h' m t in co tion with a building permit: Yes L.. No s Is perI Puroose of Building eSf �Q Y", Utility Authorization No. Existing Service Amps Volts Overhead fJ Undgrnd F7No. of Meters New Service Amps _J Volts Overhead L_ Undgrnd F-1 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -9u YC� iG Y ; �`' i' V 1 J OTHER: INSURANCE COVERAGE: Pursuant to the redutrements of Massachusetts general Laws— I have a current Liability Insurance Policy including Comc!eted Operations Coverage or its substantial equivalent. YES NO I have suomittea valid proof of same to the Cffice. YES ANO _ If you have checked YES. please indicate the type of coverage by checking the appy rlate box. INSURANCE BOND — OTHER = (P!ease Scec:ty) — (Expiration Date) A � v Estimated Value of Electrical Work S nl . odo Work to Start Inspection Date Recuestec: Rough Final Signed under th Penalties of perjury:�� LIC. NO. FIRM NAME �/� h ( Lt (J Signature LIC. NO. 2Z_ J Licensee t / �n /� 2 Y `H � /�A4 ! T Bus. Tel. No. Address / 6 --, Alt. Tel. No.re- OWNER'S INSURANCE WAIVER: I am aware that the L:censee does not have the insurance coverage or its substantial equivalent as quired by Massachusetts General Laws, ana that my signature on this permit application waives this requirement. Owner Agent (Please check one) Teleohone No. PERMIT FEE S (Signature of Owner or Agent) X-6565 Total No. of Lighting Outlets No. of Hot Tucs No. of Transformers KVA No. g 9 Fixtures Iwim of Lighting Swimming Pool Above,— grnd. — In- grnd. r' Generators KVA No. of Emergency Lighting No. of Receptacle Outlets I No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. ct Air Conc. I tons Initiating Devices Heat Total Total No. of Disposals I No.of Pumos Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers I ScacelArea Heating KW Detection/Sounding Devices Municipal�— Local ! 1 Connection L Other No. of Dryers I Heating Devices KW No. of No. of Low Voltage n No. of Water Heaters KW Signs Ballasts Wiring �f(� No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the redutrements of Massachusetts general Laws— I have a current Liability Insurance Policy including Comc!eted Operations Coverage or its substantial equivalent. YES NO I have suomittea valid proof of same to the Cffice. YES ANO _ If you have checked YES. please indicate the type of coverage by checking the appy rlate box. INSURANCE BOND — OTHER = (P!ease Scec:ty) — (Expiration Date) A � v Estimated Value of Electrical Work S nl . odo Work to Start Inspection Date Recuestec: Rough Final Signed under th Penalties of perjury:�� LIC. NO. FIRM NAME �/� h ( Lt (J Signature LIC. NO. 2Z_ J Licensee t / �n /� 2 Y `H � /�A4 ! T Bus. Tel. No. Address / 6 --, Alt. Tel. No.re- OWNER'S INSURANCE WAIVER: I am aware that the L:censee does not have the insurance coverage or its substantial equivalent as quired by Massachusetts General Laws, ana that my signature on this permit application waives this requirement. Owner Agent (Please check one) Teleohone No. PERMIT FEE S (Signature of Owner or Agent) X-6565 NORTH ANDOVER BUILDING DEPARTMENT 400 Osgood Street Tel: 978-688-9545 Fax: 978-688-9542 BUILDING FILE BUSINESS FORM FOR TOWN CLERK DATE: °� b NAME: -::7-,,4 6e ADDRESS: G% Si e2 /,W C,,7 te 7` wi4 ZONING DISTRICT: TYPE OF BUSINESS: c .A oJ n5 (.-v �(nN f BUILDING LAYOUT PROVIDED: YES �O AVAILABLE PARKING SPACES: yVly (+ i ZONING BY USAGE: YES NO UILDING INSPECTOR SIGNATURE Revised 11.5.04 BUMESS FORM FOR TOWN CLERK Isabel Lopez 95 Old Cart Way North Andover, MA 01845 March 18, 2005 Michael McGuire, Building Inspector Town of North Andover 400 Osgood Street North Andover, MA 01845 Dear Mr. McGuire: I am writing this letter to request a permit for an in-home business at our home at 95 Old Cart Way here in North Andover. I am a seamstress/fashion designer and also provide special event planning services (primarily weddings). In terms of my clientele and traffic to and from our home, this in-home business would be a relatively low volume type of business, with from zero to several client visits on average per week. There may be times of the year (May through September) when, as an event draws nearer, I might have several client visits on a given day. Although I realize it is separately permitted, ideally I would like also to have a tastefully done sign (probably a wood -carved sign mounted on arched white brick) installed at the entranceway to our driveway. I wish to thank you for your time and assistance in this matter and look forward to hearing from you. Sincerely Isabe1j_opez RECEIVED MAR 2 1 2005 BUILDING DEPT. NORTH ANDOVER BUILDING DEPARTMENT 400 Osgood Street Tel: 978-688-9545 Fax: 978-688-9542 BUSINESS FORM FOR TOWN CLERIC DATE: aI b5 NAME: ---r5 4 d� / /04-p z ADDRESS: C,4 t2 7` ZONING DISTRICT: U TYPE OF BUSINESS: o BUILDING LAYOUT PROVIDED: AVAILABLE PARKING SPACES: mu J( ZONING BY LAW USAGE: / YES NO �` ` ©f i BUILDING INSPECTOR SIGNATURE Revised 11.5.04 BUSINESS FORM FOR TOWN CLERK Location qS" Cert- I No.', 115- Date -4 4 o �o o' TOWN OF NORTH AN DOVER of :1ti A Certificate of Occupancy $ t Building/Frame Permit Fee $ ��ssACMUs t� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ . Water Connection Fee $ , TOTAL $ ISO' - Building Inspector Q 0 0 6 Div. Public Works ' r Location Date ✓�—o—%S 0 A TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ r. Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ I TOTAL $ ),A 4 i M "R 8484 Buildi Insp ctor � Div. 06 Works Location q S- dCk) CAff T No. 11 S7� Date i F Y 9 I Y ,ssACHUSE� i R 8010 Lor ( o TOWN OF NORTH ANDOVER $ Certificate of Occupancy $ iO Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ ---^' Sewer Connection Fee $ m Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works PERMIT NO. IIC- APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +4O.M7_ V� LOT NO. 2 RECORD OF OWNERSHIP !DATE BOOK iPAGE - ZONE I SUB DIV. LOT NO. I LOCATION o—r ozo C-Ae-r �fj/ PURPOSE OF BUILDING ��rj_ S`t4`L&T �� T��� Q� C4 9. //^,/�% O%VNER'S NAME R_ T ,\ / s/�Q� lJl�J JJ�� NO. OF STORIES SIZE Q ] 4f �KJ� OWNER'S ADDRESS LL1�r �l�/�O'L/ /T( Vje111_1Z nr ASEMENT OR SLAB Dm-0,_�FIE�,� Q ARCHITECT'S NAME �� SIZE OF FLOOR TIMBERS ISTT zyo 2ND � 3RD BUILDER'S NAMEa,67,eQ ,nr� ��p SPAN DIMENSIONS OF SILLS 3y� -- "" POSTS DISTANCE TO NEAREST BUILDING 6o, DISTANCE FROM STREET J o'� DISTANCE FROM LOT LINES - SIDES REAR `®�.f� "" '" GIRDERS (O(j���• AREA OF LOT 3 FRONTAGE HEIGHT OF FOUNDATION THICKNESS O IS BUILDING NEW CSr-CJ G SIZE OF FOOTING rr X 1 sr IS BUILDING ADDITION ,/� MATERIAL OF CHIMNEY 0�fG IS BUILDING ALTERATION iit?V 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 �SQ IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST / CF SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY B.C.EBT. BLDG. COST fie" 2-131 ono PAGE 1 FILL OUT SECTIONS 1 - 3 - REGULATED BY PARA. 114.8'S. DNEST. BLDG. COST PER SQ. FT. 4� PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM FEE PAID �3 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING DATE APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS n/ PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED ;?— (J t SIGNATURE OF OWNER OR AUTHORIZED AGENT. FEE lv14.+ PERMIT GRANTED 19q c PERMIT FOR FRAME/BUILDING DATE: FEE PAID- tb Rm— PERMIT FEE I LESS FDA FEE_.._._.._. to DUE FRAME PERMIT i".4--- OWNER TEL. # 5W 374-3A&2 CONTR. TEL. # rONTR I Ir # H.I.C. # FxDb 4p 160 10 1' OCCUPANCY SINGLE FAMILY Si0 IES MAPARTMENTSULTI. ENTS OFFICESFAM CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ 3 I 2 I3 CONCRETE BL'K. PINE_ f� _ BRICK OR STONE HARDWD PIERS PLASTER DRY WAIL UNFIN 3 BASEMENT AREA FULL FIN. B M AREA _ 1/1 '/t 3/ FIN. ATTIC AREA _ NO B M T FIRE PLACES HEAD ROOM MODERN. KITCHEN 4 WALLS JI 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE r/ �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDIV D — ASBESTOS SIDING _ COMMON VERT. SIDING ASPH. TILE —{I STUCCO ON MASONRY STUCCO ON FRAME BRICKONMASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR IL POOR ADEQUATE NONE 5 R F 10 PLUMBING GABLE 1 1,00'HIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY Ldn WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER_ ROLL ROOFING MODERN FIXTURES BUILDING RECORD 12 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES, GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. - TILE DADO 6 FRAMING I 11 HEATING _ WOOD JOIST IV PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 8 COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING v- RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd 1st 13rd 11 ELECTRIC NO HEATING 9..y A rA CCS ui am .c tet- m C5 N 00 o� a = a �N� CE 3 N m J CD C.9 ca Q O a �o m Q •� m le m c N A v O m N N w� m C � �= is �_ CC ■YtS, j N m CD CIE. :tom o N ['T dOt • � V N Z ' c C)o �-- v. Q CD q m c = m V It o !- —Lj- N m F -- W o . W C ,= v cm G� O CD p�� C y d m ' O :a ate.. m i co J CC 0 U 0 fir, p w E w 0 w0 Z Z .r F - 2 U Z Z %,A a d r m g .= CL F y G 7 = c � w > � �T u G w C w wG' cn u. c m cn cn ui am .c tet- m C5 N 00 o� a = a �N� CE 3 N m J CD C.9 ca Q O a �o m Q •� m le m c N A v O m N N w� m C � �= is �_ CC ■YtS, j N m CD CIE. :tom o N ['T dOt • � V N Z ' c C)o �-- v. Q CD q m c = m V It o !- —Lj- N m F -- W o . W C ,= v cm G� O CD p�� C y d m ' O :a ate.. m i co J CC o z E co o F - 2 C.1 LU °- Z CL O cc cm o W cn p -v Q U M O O m m LU z W o o 0 co •� Oco i 0 Q Cc O 0 CL C Q COD a+ Qom--' CIO J C.�_ ev . V- �. C Z c Z v Q V CL O cc C C w R H Q _ Ck Z z W )I - FORM U - IAT 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. ****************A,pplicant fills out this section***************** APPLICANT: .�1�.� - rxg Phone �;�74-7a�o2 LOCATION: Assessor's Map Number '�'✓ Parcel Subdivision ku" td' -d Lot (s) Street St. Number ************************Official Use RECOMMENDATIO S F T Date Approved Copse ration Administrator Date Rejected Comments Date Approved J�— Town Planner Date Rejected Comments Date Approved Food Inspector-ealth Date Rejected Date Approved Septic Inspector -health Date Rejected Cor=e r.ts -2-52"'MDo%+'1 /TDC)S� y Pub -'-c Wcr::s - sewer/water connections _ driveway permit (f 4� Fire Depart:ient�1;( Grp-/�cL.. Received by Building Inspector Date 11ig9r, 0 BOARD OF HEAD 120 MAIN STREET NORTH ANDOVER, MASS. 01845 TEL. 682.6483 Ext23 April 28, 1995 Les Godin Merrimack Engineering 66 Park Street • Andover, MA 01810 Dear Les: This is to confirm that on April 27, 1995 the North Andover Board of Health granted a variance to North Andover regulation 4.18 of the Minimum Requirements for the Subsurface Disposal of Sanitary Sewage to allow the construction of a leaching _ area 25 feet from a foundation drain instead of 35 feet for'Lots 1 and 20 Old _ .Cart _Way. If you have any questions, please call the Board of Health office at 688-9540. Sincerely, Sandra Starr, R.S. Health Administrator cc: R. J. Richard File N tl Z73.S7" SO�wiD6 vo suico ?�cv�DE'va cvr EASEmE,v: S EAss�ns.�TS ' . � 1 D,eq�a/A6c � wETGAa/D,$ 1 4 174416' E P \ i2 09.08 .�oa,voxri ac% a�� S ,S�EPEBY CE,cT/ICY ro Tye rirLE ivsaeo,P,4,00 TU T.�/E B,4N,t' T.S�gT TyE O�rEGL/.v6 /S LOCATED O.v T/1E GoT AS .Sifb/1'N ANO Ti�/.4T?OGEES CO,f/FGtFif/ !Y/T/1 T•NE T'awN OF .va. ,o.vaa�E,e. ZON/.vG ,CE6vGAT,t9,t/S �lr4.e0/MG SETBAC.CS FEO� STPEET,,S r GoT L/vES. '' I FU,�T,S�GX LE.PT/FY TN.OT TiY/.S OA✓ELL/N6 /•s �t/QT LOGATEO /,S/ T.s�E FEOE,PAG FLOIOO ff'`1Z.4.00 A.PE,4, SHCIvN DIS/ FE�+A' COMMtiN/Ty P.ftIGL '� ���►►aa,���� 2S0o98 cYY19e �d �ArEp 6��93 GATE 1 ti / ^, ,?o wio PEGESreir9�l/ 'QC�55 RL O T /N DiC q�� �DiP 8d /flE.P,P/,ff,4Gt' E.!/G�•s/EE.P/,1�6 SE.PI�/C'ES A.t/ODYE.� �1,4SS,41,%l/SETTS O/8/O Location OLD CA Tr Q-A No. SS_ Date MORTM TOWN OF NORTH ANDOVER ? Certificate of Occupancy Building/Frame Permit Fee $ $ s+c«us Foundation Permit Fee $ 1 Other Permit F e $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $� OkI4. �� _ Building Inspector 8569 Div. Public Works KARE—N H.P. `ELO` d� j,=Town of °"w°' NORTH ANDOVER BUILDING w''�::::>•• ''+� •► ' DIVISION OF CONSERVATION HEALTH PLANNING g cONI BIUNITY DEVELOPMENT PLANNI\c; CHIMNEY APPLICATION AND PERMIT DATE �^ �a -qs LOCATION OWNER'S NAME •, ! �'� �� BUILDER'S NAME / 1 i ,� /? t c4e4--� MASON'S NAME t v' S �?`dt-' (e MASON IS ADDRESS � ✓�� �/ti 120 Main Street. 01845 (508) 682-6483 i�1.SOP7' S TELEPHOit MATERT_AL OF CHIMNE•: IP7T='RIOR CHIMNEY EXTERIOR CHIiaNEY NL:1EE R A 7D s= OF crrCrc 1 Ctiaj--OF HEARTH G �� i :m:1eV Or f "n ' :: _ .�... 4-0 iea 4 r-ments ai the code and have ru es and recu'_a-_c s ce_-�eceived X'e5 SIG""ATURE OF MASON CO"TR. LIC. = G O rc:+ 1v CS: L4 v' ON J 0 uj z `Q R v co O vfQ� CO c:= Vl� o LmmO� :r w° Cf)- ` P.1 C, o / Qi4r o Cf) v o C w - 6J_ v -0 ° 7 m � t� cn J 0 uj z E N s co N 0 zipN c O R m cm c 75 m CDL cm C c 0 N m 0 Z O 5 O F. G � ` 0 W Y� W LA - LL. C== 2 C Wam yj 0 RM `Q R v co O a CO c:= Vl� o LmmO� y rT Z m C. J� N c O 0 CD m } cc i CM m � N R c L CD 'E m 3 y J� m � � Hca z Co � L N c R � H o C2 - -O �7: acs 0 i O c � O 0. m N m c i m f- o C/7 aoH rr N W c R = m 4�..�_ Li m +' c " o� Q CL.:s LU m C3 c CO3 C E R m o� OL N O F- L r0.. Q. rte.. CO E N s co N 0 zipN c O R m cm c 75 m CDL cm C c 0 N m 0 Z O 5 O F. G � ` 0 W Y� W LA - LL. C== 2 C Wam yj 0 RM co O ' Z d LU � O 0 y } cc i O C1 w Q _� Q CD 'E w w m m z C) o C2 - -O CD i O O � i M o Q a- o� Q `a a y Z ci CD CL C- ti C � � LU V! C� G Z z � � z w Cl) r N U r I m a z E m CL 0 75 In 1 t5 I ` 4 1 z z � w O U Z �A d � M 3 e H xa x 0' W v� z U aw A U O 1 t5 I ` 4 1 Y OWNER: R.J. RICHARD CORPORATION PROPERTY: LOT 1 OLD CART WAY, NORTH ANDOVER, MASSACHUSETTS C TITLE REFERENCE: BOOK / S, PAGE SEPTIC RESTRICTION The current owner, R.J. Richard Corporation, its successors and/or assigns, hereby acknowledge that the above -referenced property is serviced by a septic system to cover\.a three (3) bedroom home and no larger dwelling shall be allowed thereon without the approval of the North Andover Board of Health. Signed and sealed this 16th day of March, 1995. R.J. RICHARD CORPORATION BY: (/ ' Rog r J. Richard its President &Treasurer COMMONWEALTH OF MASSACHUSETTS Essex, ss. March 16, 1995 Then, personally appeared the above-named Roger J. Richard, President and Treasurer, and acknowledged the foregoing instrument to be his free act and deed and the free act and -deed of R.J. Richard Corporation, before me, My Commission Expiress',,'04/06/01 f Mibhael E. L rd Notary Pub is pis N N i U; cn i b� Essex, ss. March 16, 1995 Then, personally appeared the above-named Roger J. Richard, President and Treasurer, and acknowledged the foregoing instrument to be his free act and deed and the free act and -deed of R.J. Richard Corporation, before me, My Commission Expiress',,'04/06/01 f Mibhael E. L rd Notary Pub is pis N N i U; cn r ESSEX R,j,e MASS ri _ Y. �- tsr: - _ i COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL TITLE 5 V,0 PROT_E_CTION TOWN OF NORTH ANDOVER/_ BOARD OF HEALTH N(W = g L,.. OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 95 Old Cart Way_ _North Andover_ Owner's Name: _Rudolf Hecken_ Owner's Address: _95 Old Cart Way_ _North Andover, Ma 01845_ Date of Inspection: _10/24/2001_ Name of inspector: Neil J. Bateson_ Company Name: Bateson Enterprises Inc._ Mailing Address: _111 Argilla Road_ _Andover, Ma. 01810 Telephone Number: ( 978 ) 475-4786_ CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true, accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5 (310 CMR 15.000). The system: _X Passes Conditionally Passes Need Further Evaluation by the Local Approving Authority 41f Fail Inspector's Signature: C ' Date: _10/24/2001_ The system inspector shall sub c y of th` spection report to the Approving Authority (Board of Health or -DEP) within 30 days of complet th's inspection. If the system is a shared system or has a design flow of 10,000 gpd or greater, the inspector and the system owner shall submit the report to the appropriate regional office of the DEP. The original should be sent to the system owner and copies sent to the buyer, if applicable, and the approving authority. Notes and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. / Page 2 of I I OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: _95 Old Cart Way_ _North Andover— Owner: Hecken Date of Inspection: 10/24/2001_ Inspection Summary: Check A,B,C,D or E / ALWAYS complete all of Section D A. System Passes: _X I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the "Conditional Pass" section need to be replaced or repaired. The system, upon completion of the replacement or repair, as approved by the Board of Health, will pass. Answer yes, no or not determined (Y,N,ND) in the for the following statements. If "not determined" please explain. The septic tank is metal and over 20 years old* or the septic tank (whether metal or not) is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound, not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s) or due to a broken, settled or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s) are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if (with approval of the Board of Health): broken pipe(s) are replaced obstruction is removed ND explain: Page 3 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: _95 Old Cart Way_ North Andover — Owner: Hecken Date of Inspection: 10/24/2001_ C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health, safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b) that the system is not functioning in a manner which will protect public health, safety and the environment: — Cesspool or privy is within 50 feet of a surface water _ Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2. System will fail unless the Board of Health (and Public Water Supplier, if any) determines that the system is functioning in a manner that protects the public health, safety and environment: _ The system has a septic tank and soil absorption system (SAS) and the SAS is within 100 feet of a surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. T The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: Page 4 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: _95 Old Cart Way_ _North Andover_ Owner: Hecken Date of Inspection: 10/24/2001_ D. System Failure Criteria applicable to all systems: You must indicate `yes" or "no" to each of the following for all inspections: Yes No _ _No Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool No Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool No Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or — cesspool _ No Liquid depth in cesspool is less than 6" below invert or available volume is less than ''/Z day flow No— Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped No_ Any portion of the SAS, cesspool or privy is below high ground water elevation. _No_ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. T —No Any portion of a cesspool or privy is within a Zone 1 of a public well. _No_ Any portion of a cesspool or privy is within 50 feet of a private water supply well. _No Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm, provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No) The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303, therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large Systems: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 lfld- You must indicate either "yes" or `no" to each of the following: (The following criteria apply to large systems in addition to the criteria above) yes no ____ — the system is within 400 feet of a surface drinking water supply — the system is within 200 feet of a tributary to a surface drinking water supply _ the system is located in a nitrogen sensitive area (Interim Wellhead Protection Area — IWPA) or a mapped Zone II of a public water supply well Ifyou have answered "yes" to any question in Section E the system is considered a significant threat, or answered "Yes" in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. Page 5 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 95 Old Cart Way North Andover— Owner: Hecken Date of Inspection: _10/24/2001_ Check if the following have been done. You must indicate "yes" or "no" as to each of the following: Yes No Yes_ — Pumping information was provided by the owner, occupant, or Board of Health No Were any of the system components pumped out in the previous two weeks ? Yes_ _ Has the system received normal flows in the previous two week period ? _No Have large volumes of water been introduced to the system recently or as part of this inspection ? _Yes __ _ Were as built plans of the system obtained and examined? (If they were not available note as N/A) Yes _ _ Was the facility or dwelling inspected for signs of sewage back up ? Yes _ Was the site inspected for signs of break out ? Yes_ _ Were all system components, excluding the SAS, located on site ? _Yes_ _ Were the septic tank manholes uncovered, opened, and the interior of the tank inspected for the condition of the baffles or tees, material of construction, dimensions, depth of liquid, depth of sludge and depth of scum ? _Yes_ _ Was the facility owner (and occupants if different from owner) provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System (SAS) on the site has been determined based on: Yes no Yes _ Existing information. For example, a plan at the Board of Health. _No Determined in the field (if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable) [3 10 CMR 15.302(3)(b)] Page 6 of 11 OFFICIAL INSPECTION FORM - NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: _95 Old Cart Way_ North Andover_ Owner: Hecken Date of Inspection: _10/24/2001 FLOW CONDITIONS RESIDENTIAL Number of bedrooms (design): `3_ Number of bedrooms (actual): 3� DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x # of bedrooms): _495 Number of currant residents: Does residence have a garbage grinder (yes or no): Yes_ Is laundry on a separate sewage system (yes or no): No_ [if yes separate inspection required] Laundry system inspected (yes or no): Seasonal use: (yes or no): _No Water meter readings: _July 99 to July 01= 69,600 Ft3 x 7.5 = 522,000 Gals. /730 Days = 715 GalsJDay _ Sump pump (yes or no): _No * Has sprinkler system Last date of occupancy: _Current_ COMMERCIAL/INDUSTRIAL Type of establishment: Design flow (based on 310 CMR 15.203): gpd Basis of design flow (seats/persons/sgft,etc.): Grease trap present (yes or no): _ Industrial waste holding tank present (yes or no): Non -sanitary waste discharged to the Title 5 system (yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER (describe): GENERAL INFORMATION Pumping Records Source of information: Pumped last year, owner Was system pumped as part of the inspection (yes or no): Yes_ If yes, volume pumped: _1500_gallons -- How was quantity pumped determined? _Measured tank _ Reason for pumping: Inspect tank & tees._ TYPE OF SYSTEM _X_ Septic tank, distribution box, soil absorption system _ Single cesspool Overflow cesspool Privy Shared system (yes or no) (if yes, attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract (to be obtained from system owner) _ Tight tank _ Attach a copy of the DEP approval — Other (describe): Approximate age of all components, date installed (if known) and source of information: 6 years old. $/13/1995. As built plan._ Were sewage odors detected when arriving at the site (yes or no): _No Page 7 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 95 Old Cart Way_ _North Andover_ Owner: Hecken_ Date of Inspection: 10/24/2001 BI7ILDING SEWER (locate on site plan) X Depth below grade: 16" Materials of construction: _cast iron —X-40 PVC other (explain): Distance from private water supply well or suction line: Comments (on condition of joints, venting, evidence of leakage, etc.): _4" PVC thru wall to septic tank. 3" PVC in house. No leaks. SEPTIC TANK: X locate on site plan) Depth below grade: _4"^ Material of construction: _X_concrete _metal fiberglass _polyethylene other(explain) If tank is metal list age: — Is age confirmed by a Certificate of Compliance (yes or no): ^ (attach a copy of certificate) Dimensions: 10' x 5' x 4' Sludge depth 2" Distance from top of sludge to bottom of outlet tee or baffle: 25" Scum thickness: 2" Distance from top of scum to top of outlet tee or baffle: 8" Distance from bottom of scum to bottom of outlet tee or baffle: _19" How were dimensions determined: Subtract scum & sludge depth to tee length. _ Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): _Pumped septic tank. Inlet tee ok. Outlet tee ok. No evidence of leakage. Depth of liquid at outlet invert. _ GREASE TRAP: (locate on site plan) Depth below grade: Material of construction: _concrete metal `fiberglass _polyethylene other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments (on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert, evidence of leakage, etc.): Page 8 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 95 Old Cart Way_ North Andover Owner: Ilecken Date of Inspection: 10/24/2001 TIGHT or HOLDING TANK: (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: concrete metal fiberglass _polyethylene other(explain): Dimensions: Capacity: _ gallons Design Flow: gallons/day Alarm present (yes or no): Alarm level: Alarm in working order (yes or no): Date of last pumping: Comments (condition of alarm and float switches, etc.): DISTRIBUTION BOX: X (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: 0— Comments (note if box is level and distribution to outlets equal, any evidence of solids carryover, any evidence of leakage into or out of box, etc.): _D -box level & distribution equal. No evidence of leakage. No evidence of carryover._ PUMP CHAMBER: (locate on site plan) Pumps in working order (yes or no): Alarms in working order (yes or no): Comments (note condition of pump chamber, condition of pumps and appurtenances, etc.): Page 9 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 95 Old Cart Way_ North Andover — Owner: _Hecken Date of Inspection: _10/24/2001_ SOIL ABSORPTION SYSTEM (SAS): _X (locate on site plan, excavation not required) If SAS not located explain why: Tye leaching pits, number: _ leaching chambers, number: leaching galleries, number: X leaching trenches, number, length: —6 trenches 48' long:_ leaching fields, number, dimensions: overflow cesspool, number: innovative/alternative system Type/name of technology: Comments : —Soil ok. Vegetation ok. No sign of ponding to surface._ CESSPOOLS: (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth — top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow (yes or no): Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): PRIVY: (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments (note condition of soil, signs of hydraulic failure, level of ponding, condition of vegetation, etc.): Page 10 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 95 Old Cart Way_ North Andover_ Owner: Hecken Date of Inspection: _10/24/2001_ SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Page 11 of 11 OFFICIAL INSPECTION FORM — NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: _95 Old Cart Way_ North Andover_ Owner: Heeken Date of Inspection: _10/24/2001 S]TE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 4 feet Please indicate (check) all methods used to determine the high ground water elevation: X Obtained from system design plans on record - If checked, date of design plan reviewed: _5/12/1986 _ Observed site (abutting property/observation hole within 150 feet of SAS) Checked with local Board of Health -explain: Checked with local excavators, installers- (attach documentation) Accessed USGS database -explain: You must describe how you established the high ground water elevation: As per design plan._ Tel: (978) 475-4786 Fax: (978) 475-5451 BATESON ENTERPRISES, INC. Excavating -Water.& Sewer Lines -Septic Systems & Pumping Service 111 Argilla Road Andover, Mass. 01810 Title 5 Inspection Report Property Address: 95 Old Cart Way, North Andover Owner: Hecken Date of Inspection: 10/24/2001 My report contained herein does not constitute a guarantee of future usage and the functionality of the existing septic system. Such report issued herewith is merely based upon my observations, and I hereby disclaim any further operation of your current septic system. Neil J. Ba son Bateson Enterprises, Inc. Town of North Andover, Massachusetts Form No. z f „ORTq BOARD OF HEALTH .� L2n Q O•tt.a I'1�O (vX CJ A. 1 19 F w A DESIGN APPROVAL FOR SOIL ABSORPTION SEWAGE DISPOSAL SYSTEM Applicant Test No. Site Location — C-)�A e U Reference Plans and Spec Permission is granted for an individual soil absorption sewage disposal system to be installed in accordance with regulations of Board of Health. Fee CHAIRMAN, BOARD OF HEALTH Site System Permit No. 5-� t ° .i. .:. ♦ .: \_ � ,,. ♦ y.:� �s �.. ♦\\t t�.1vP 4L��'.fi`' 1�+.�'r � ��� \ C'�yr�T�Y T' ^r,. -}'—. � ,z ♦y � }- `>� ' ,i ' 1 \♦ ��' ��Y)� \. y; �. v♦3 1 r} ;�� � �:'�'Z•;t. 1� '\�;. Town of North Andover, Massachusetts Form No. 3 HORTq BOARD OF HEALTH _ + t 199 O m F 9 ♦ - s "°•,.,o��"� SgACNUSEt DISPOSAL WORKS CONSTRUCTION PERMIT 9 Applicant .)G, ti NAME ADDRESS TELEPHONE Site Location' Permission is hereby granted to Construct V�or Repair ( ) an Individual Soil Absorption Sewage Disposal System as shown on the Design Approval S.S. No. i Fee CH�T2T M— N, BOARD OF HEALTH D.W.C. No. MEMORANDUM DATE: December 28, 1994 TO: Building Department FROM: Sandy Starr, Health RE: Lot 1 Old Cart Way There has been some question about this lot and the number of bedrooms that may be built in the proposed dwelling. The history of the lot is that on January 21, 1993 the Board of Health granted a variance to the North Andover septic regulation 2.14-4 which will permit a three (3) bedroom house to be built on this lot. At this point this is the maximum number of bedrooms that may be put on this lot. If you have any questions, please give ma a call. BOARD OF HEALTH 120 MAIN STREET NORTH ANDOVER, MASS. 01845 January 22, 1993 JAN 25 Les Godin zi�'r�'r�PdCE 5AU!1`l�;S SANK Merrimack Engineering Services, Inc. 66 Park Street Andover; MA 01810 Dear Les: TEL. 682-6483 Ext. 32 This is to confirm that at the Board of Health meeting held on January 21, 1993, the Board granted variances to North Andover regulations: 2.14-4, minimum design flow for single family dwellings, for Lots 1 and 18 Old Cart Way; 17.03, spacing between leach trenches for Lots 8, 10, 11, and 14 Old Cart Way; 4.18 distance to a catch basin for Lot 5 Old Cart Way; 4.14 to allow a twenty minute design rate. With these variances, all current lots on Old Cart Way have been approved, specifically, Lots 1, 2, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20 and 21. If you have any questions, please do not hesitate to call. Sincerely, � j v i�/L Sandy Starr DATE Sheet of BOARD OF HEALTH TOWN OF NORTH ANDOVER ADDRESS ENGINEER ADDRESS PARCEL #-17 LOT # / STREET PLAN DATE Ma z REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED _ NO �Ni �R%�0� •'sT/D/v (/i/,g - 4 /V) SUBSURFACE DISPOSAL DESIGN REVIEW (� \ FEE 7 �o U PERMIT #��' DATE % j RECEIVED /D//yam APPLICANT ASSESSOR'S MAP 1676 ADDRESS ENGINEER ADDRESS PARCEL #-17 LOT # / STREET PLAN DATE Ma z REVISION DATE CONDITIONS OF APPROVAL: APPROVED DISAPPROVED _ NO �Ni �R%�0� •'sT/D/v (/i/,g - 4 /V) Al-11-199.ri 07: 7GIPM FpnM HATFM R MAHnNFY Tn 4?A744R P. Glp C . _ E E D JDP DEVELOPMENT CO., INC., a Massachusetts corporation organized under the laves of,: the Commonwealth of Massachusetts, having an usual place of business in Eaverhill, Essex County, Massachusetts, for consideration paid, and in ful.1 consideration of One Hundred Twenty-five Thousand and 00/100 ($125,000.00) Dollars, grant to R.J., Richard Corporation, a Massachusetts corporation organized under the laws of the Commonwoa.lth of MassachurseLUs, of with QUITCLAIM COVENANTS, A certain parcel of land, with the buildings thereon situatna in North Andovor, Essex County, Massachusetts, being shown ai Lot `1 on a plan of land entitled, "Subdivision Plan Wagon Whsel Eotato3 in North Andover, Mass., drawn for Arthur Gauthier; 1 Jenkins Road, Andover, Mass., Scale 1"=401, Feb., 1987, Rev. Doc., 1987, Rev. 3-26-91, Merrimack Engineering Services, 66 Park Street, Andover, Massachusetts, 01810", which plan ie filed with the Essex North Registry of Deeds as Plan No. 12029. Containing 132,560 square feet of land, more or less, according to said plan. Included within said conveyance is the grant of an easement to the Grantees, their successors and assigns, for the right of passage on foot and by motor vehicle over, upon and across all ways shown on`said plan, in common with others lawfully entitled thereto for all purposes for which public ways are used within the Town of North Andover. This conveyance is subject to Protective Covenants dated August 23, 1994, and recorded in the Essex North Registry of Deeds, in Book 4111, Page 252. The -Grantor reserves for the benefit of Lot 2A as shown on said plan a 20 x 75 -foot slope and fill easement to accommodate the disposal system located on Lot 2A. The easement starts at a point 25;leet;distant from Old Cart Way along the Easterly line of Lot 11and runs 75 feet south along sAi.d lot lino a width of 20 feet for'the length of said easement, all as shown on "Plan of Subsurfaoe Disposal System in North Andover, Mass., au prepared for Arthur Gauthier, I Jenkins Road, Andover, Mass., dated May, 1989, (as thereafter revised), Merrimack Engineering Services, .Lnc., 66 ;park ;Street, Andover, Mass. 0183.0." .t A1-1.7-1995 07:71PM FRnM HATFM R MAHnNFY Tn 47A744R P.A7 This coiveyance is subject to the right of Grantor, which Grantor expressly reserves from the conveyance hereunder, to dudicatO or convey to the Town of North Andover as a public way at such:time as the Town is willing to accept such dedication or conveyance, the way shown as Old Cart Way on the Plan, including the right to;convey to the Town the fee interest of the land in said way. This conveyance is further subject to the right of Grantor, which Granton expressly reserves from the conveyance hereundt:z, to (a) grattirights and easements far access, utilities, drai*zage and such other purposes as Grantor in his sole discreLion deems advisable, in, on and over said Old Cart Way, and (b) to extend, alter, modify± or otherwise change tho layout of Wagon Wheel Estates as shown on the Plan. No such change, however, shall limit or affect the present frontage of Old CdrL Way in regard to the premises being conveyed; nor create any new easements or liens over the subject premicc3. This scalp does not constitute a saiv of the majority of the assets of the corporation and this sale is within the ordinary course of itslbusinees. Being a Portion of the premises conveyed by deed dated March 30, 1994, and'<recorded in the Essex North Registry of Deeds, in Book 4015, Page 121. Sec Corporate vuLe, dated March 14, 1994, and recorded in ,said Registryiin Book 4038, Page 62. in WITIMSIB WHEREOF, the said JDP DEVELOPMENT CO., INC., has caused these presents to be signed in its name and behalf by 7oseph J, sc;ott, its President, and Daniel P. Betty, its Clerk, this day;of January, 1995. JDP DEVELOPMENT CO., INC., By Joseph J. Scott, President Daniel P. Betty, Clerk Gil -1 7-1995 07: 71 PM FRf1M HATFM R MAHnNFY Tn 4?A744R P. A4 i COMMONWEALTH OF MASSACHUSETTS WESSEX, ss. January , 1995. i Then personally appeared the above named Joseph J. Scott, ;and Dan e3,­P.; Betty, and acknowledged the foregoing instrument to :be the Oree act and deed of JDp DEVELCPMSI+TT Co., INC., before me, i Notary Public My Commission Expires: TOTAL P.04 BOARD OF HEALTH 120 MAIN STREET NORTH ANDOVER, MASS. 01845 Les Godin Merrimack Engineering 66 Park Street Andover, MA 01810 Dear Les: TEL. 682-6483 Ext23 April 28, 1995 This is to confirm that on April 27, 1995 the North Andover Board of Health granted a variance to North Andover regulation 4.18 of the Minimum Requirements for the Subsurface Disposal of Sanitary Sewage to allow the construction of a leaching area 25 feet from a foundation drain instead of 35 feet for Lots 1 and 20 Old Cart Way. If you have any questions, please call the Board of Health office at 688-9540. Sincerely, Sandra Starr, R.S. Health Administrator cc: R. J. Richard File I N m p -sax �A 3 .. F I Z 6 79*,,- 7vq •3 TIZ*Z TIz" 1 &0 OLD 5uII-T -nffS ,,. ..>„ S.TM•N cre. 37.6' 149.6' p Bo x 67.) 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