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HomeMy WebLinkAboutMiscellaneous - 2201 SALEM STREET 9/17/2015 Town ®A North Andover R�"°�T Community Development and Sefvuees Division 0� Office of the Health Department 400 OSOOOD STREET North Andover,Massachusetts 01.845 �SSacwus�� Susan Y.Sawyer,REHS/RS (978)688-9540-Phone Public Health Director (978)688_8476_Fax Date: ,June 6, 2005 Address: 2201 Salem Street Re: Application for: Farmer's Porch,3 Season Porch,Deck Dear: Mr.Barton Your application for a Deck,Farmer's Porch and a 3 Season Porch has been reviewed by the Health Department. The application was denied on,June 6,2005 for the following reasons: 1. X Missing information 2: 11 Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the problem(s): If#1 is checked, please supply: a. Floor plan of existing and proposed addition—all rooms b. Certified plot plan showin>?house,septic system and proposed prglect in scale If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project If#4 is checked: a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult an engineer to determine the flow capacity of the septic system. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, M chele E.Grant Cc: Building Department File 130ARD OF APPEALS 688-9541 RMI DING 688-9545 CONSERVATION 698-9530 NURSE 688-9543 PLANNING 688-9535 I2 $C/A 17�e CK FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. APPLICANT FILLS OUT THIS SECTIO APPLICANT_ Ifi eZt PHONE LOCATION: Assessors Map Number 06 PARCEL SUBDIVISION LOT(S) STREET__ �S�ZL')^�t S'�' ST. NUMBER_ OFFICIAL USE ONL U Mq1:a D S OFT AGENTS: VATION ADMINISTRATOR DATE APPROVED , DATE REJECTED COMMENTS]d� o1 O lit TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD NSPECTOR-H H f�' DATE APPROVED JDATE REJECTED SEPTIC INSPECTOR-HEALTH TH DATE APPROVED DATE REJECTED COMMENTS S,C 1 PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT Jun 10 05 08::73,y2(a� (A & A Sher/viiccee�s, Inc. �{yny,_ (978) 741 -2012 p. 2 r C? ♦ \\\\ T LAX i♦►NVuWw�«+•...y+v+'♦w.w.�..«....w•+FVM!ta�+'W`++'^k lwa....tw.+w+r...v.l wr., ..h,..w.••.....v...c......»»,w./ ,,o-..v a.. •...... ., .«...a+..p+y�-w+w.,...,y.,.e.♦rw••.n..n.ww• !J lVo i yLL f�aTi�L /k2 W�T)q a TA�'�1. New�Z x(o DEC K �2RM, END O��-7X f,5 TJNG '�•�� r a O l f2•x2y,Dt'Ck • ,� � 9 i�. --NEB rzxl$ . �. •• �' S e?q SOAJ 5VN2Co'J AAF R/tl � �• 1J U. vtp SC AL E7 r ro � .i *`` •J r. r Jun 10 05 08: 32a A & R Services, Inc. (978) 741 -2012 p. 1 A & A Services, Inc. A & A Services Deleading Co., Inc. 115 North Street Salem, MA 01970 Phone: (978) 741-0424 Fax: (978) 741-2012 To: M 104 ct i- er- c- -J Lot-'T, Fax Number: 979- (q 98 - 3V 7La From: L) 13 c/12. r- Date: -/0 Number of Pages to Follow: Regarding: 2 201 S/a�ev�� ST" 131U,7`o" 1)a0jV-67- -'- 7-#�tik; Gov PAINTING-DELEADING--WINDOW&DOOR REPLACEMENT SUNROOMS-VINYL SIDING-CARPENTRY Jun 10 05 08: 32a R & R Services, Inc. (978) 741 -2012 p. 3 T US?lE?-S"D2A\)J I rc2 o T_m 14.2 C:•—P_l:+� :.�1 Gt °4�' � `�1°•i'_-ME'U.�J�T�) � �s' •:� y ,r�:ia:iL�• r -rt , �: tx w•t ' - M' trjgy ty'►')1.J �•x.�•.}vt11t�1`'�tT�-W'� tYl t't r AS BUILT • ,.;tom.,,., OF 'LAN e .' ,.'jc,.iM.,•}�z t SUBSURFACE DIS , „• S LOCATED IN I. 8T .'.:: ° AS PREPARED JFOR S1 "101.1 ;• ' s'•:`•':� ; ''t ,d,,, .,,. ., '' •rLL'1: ,; t1 7 MERRIMACK ENGINEERING SERVICES; y� INjt PROFESSIONAL ENGIt4EERS • ,LAND Su V Y O RS "+DONIM MASSACx PART • PIwNN�RS;.' r af',' fifi p •' t1SE TiS OIa10- . tt:l I�IrI lYi?SS�,�SY} "`Y° FORM U - LOT RELEASE FORM - INSTF�UCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having.jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. j *****************************APPLICANT FILLS OUT THIS SECTION*********************** APPLICANT Cc)�/` i" /-U _ PHONE—�, { LOCATION: Assessor's Map Number f� l© PARCELOO SUBDIVISION LOT (S) STREET Z �1' — 7` ST. NUMBER -2--210/ ** ********************* **************O F F I C!A L USE ONLY******************************** ** 14XI8 RECOMMENDATIONS OF TOWN AGENTS: CONSERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS 1, FOOD INSPECTOR-HEALTH DATE APPROVED f DATE REJECTED SEPTIC INSPECTOR-HEALTH DATE APPROVED o2 DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE Revised 9197 jm BOARD OF HEALTH I Town of North Andover ,Mass . Permit # Date 19 APPLICATION FOR WELL & PUMP PER J Application is hereby made for permit to drill a well (;Application is . made to install C ) a pump system'. Location. Address e-Z !Z1 Lot # Owner � � �i/. Address � ���2 K )✓��i�✓ G rJl r�J�/t/ Tel . �,. :... Well Contra torfrarrrcrlal �rz{eslrx /�� Address /,S- rs � ✓ �/` ,c/ Tel . Pump Contractor Me- Address ..S Tel . S-e1fv7 _. WELL CONTRACTOR (To be completed at time of pump test ) Type of VVIell„ Well used for Ze�rrre s Diameter of Well " Size of Casing Depth o.f Bed Rock 'd' Depth casing into Bed Rock Was Seal Tested? Yes ( No (_) Date of Testing ,� , '✓,' / 6p Dept-h - -- �"'� - Well Ended, in W.ha-t- Material ' ` Depth to Water & Delivers Gals .Per Min . for 4 hours Drawdown feet after pumping hours,–at�/— GPM / �, Date of Completion_ C . y Signat Wel Contractor y PUMP INSTALLER (To be• ft11ed in before installation) Size & Name Pump Pump Type Used , r/r> Water Pump Delivers / GPM Size of ,Tank _ e) Pipe Material Used in Well : Cast Iron (_) Galvanized (–) Plastic (G � Well Pit ( ) or Pitless .Adapter (_ Was sleeve used to protect pipe? Yes (1� NO(_) Type or Name Well Seal/YJoRkL.f Date �r�riW�w'r�4�b�4�ro��k�4�'rtiati ay4tiNti w�'r���r�r�r�r�rs'rths4�rs4s�titrs'r�4��Wti�rti4i4w'r�'K�'rti'r5';;�t1`:::•',2�n�G�?��;:;P T���� Date Water analysis repor-t submitted to Board of Health Date release given tD owner of record & Bldg . Insp Health Inspector