HomeMy WebLinkAboutMiscellaneous - 186 INGALLS STREET 11/30/2015 Blackburn, Lisa
From: Gaffney, Heidi
Sent Thursday,July 16, 20154:04PK4
To: \wrdufnesne@comcastnet'
Cc: Hughes,Jennifer; Grant, Michele; Blackburn, Lisa
Subject: RE: 186 Ingalls Street
Hi Bill, We reviewed the wetland line today at 186 Ingalls Street and agree with it. The erosion control line will need to �
be survey staked Up-gradient of the 100' buffer zone line and the installed erosion controls will need to be confirmed by
the conservation department prior to the start of work in order to not need to file with the Conservation Commission.
Heidi Gaffney
Conservation Field Inspector
Town uf North Andover
l6UU Osgood Street,Suite 3035
North Andover,Kxx 01845
Phone 978'088-9530
Fax 978'688'9542
Email
Web
From: [
Sent: Tuesday,July 14, 2015 5:37 PI4 /
To: Gaffney, Heidi
Subject: Fwd: 186 Ingalls Street
'
From:
To: "Lisa Blackburn"
Cc: "Michele Grant" , "Jennifer Hughes"
Sent: Tuesday, July 14' 20154:12:19 PM
Su�����: 1�� �O�@��G ��F�Bt |
_° �
Lisa, �
�
Attached please find QDdfOfthe Septic System Upgrade Design for the above subject site. �
The owner, Roll@mdMUise. will be submitting @ complete application package and fee tO you iDthe
next day O[two.
Thanks,
1
I
I
Blackburn, Lisa
From: Blackburn, Lisa
Sent: Tuesday,July 14, 2015 3:27 PM
To: Dan Ottenheimer;Isaac Rowe; Pam Lally
Cc: Grant, Michele
Subject: 186 Ingalls
Good afternoon,
I am mailing out septic plans for 186 Ingalls St.
Did you get the email that our July B0F1 meeting has been cancelled?
Isaac,
I gave John Butt your cell number. He picked up the permit and plans for 1353 Salem Street, Fie will be looking
for an inspection sometime probably tomorrow.
Lisa Blackburn
Health Department
Town of North Andover
1600 Osgood Street,Suite 2035
North Andover, MA 01845
Phone 978-688-9540
Fax 978-688-8476
Email IblackburnC townofnorthandover.cam
Web www.TownofNorthAndover.com
J���rrr s ,f„rt
1
1
i
rv,
_
�,, ,,� h:
C }
{
I7 Z
— T
I j —
�4 —
I
l
,
7 a ,
TOWN OF NORT'll ANDOVER
Office of COMMUNrry DEVELOPMENT AND SERVICES "
.11EA1.314 DEPARTMENT
1600 IISGilOD STREET;ET; S I.)I'I' ;2035
NORTH ANDOVI:J , I"v104SSAi:IMS1,.1.TS 0184
Susan Y.Sawyer,IIE11r,It:S 978,688.95 40 Phone
Public Health Director 978.688.8476- FAX
lmc;.ahllid.ep tryv ncad tz lcz � ccarl
ww%v.to�vnoftiortIianidov(,r.coni
APPLICATION FOR SOIL TESTS
DATE: ZL-V)-15 MAP&PARCEL: d(p / 47
LOCATION OF SOIL TESTS: L.Vjf
OWNER: I( � �I�IG '✓ Contact#: �
APPLICANT: G Apt 9 Contact#:
ADDRESS:
ENGINEER."MU,1IA � W,� —Contact#(���76 ,7 5
CERTIFIED SOIL EVALUATOR: kL ( i✓Yi..l eye l` 20J
Intended Use of Land: Residential Subdivision Single Family me Commercial "
Is This: Repair Testin g Undeveloped Lot Testin g U pg rade for Addition: .e �7 )
In the Lake Cochichewick Watershed? Yes No
THE FOLLOWING MUST BE INCLUDED WITH THIS FORM
➢ Proof of land ownership(Tax bill,or letter from owner permitting test)
➢ 8.5"x 11"Plot plan&Location:of Testing(please indicate test pit sites on the plan)
➢ Fee of$425.00 per lot for new construction. This covers the minimum two deep holes and
two percolation tests required for each disposal area. Fee of 360.00 per lot for repairs or upgrades.
GENERAL INFORMATION
➢ Only Certified Soil Evaluators may perform deep hole inspections.
➢ Only Mass.Registered Sanitarians and Professional Engineers can design septic plans.
➢ At least two deep holes and two percolation tests are required for each septic system disposal area.
➢ Repairs require at least two deep holes and at least one percolation test,at the discretion of the BOH
representative.
➢ Full payment will be required for all additional tests within two weeks of testing.
➢ Within 45 days of testing,a scaled plan(no smaller than 1"-100')shall be submitted to the Board of Health
showing the location of all tests(including aborted tests).
➢ Within 60 days of testing soil evaluation forms shall be submitted.
Please Do Not Write Below This Line
N.A. Conservation Commission Approval Date:_ ul I 's �, Q
Signature of Conservation Agent:
Date back to Health Department: (stamp in):
c>�✓e�rr�e E�1 t 97P , t ih.m 4o:
1- c/✓ x4.'/16/!/.•.JL6/+�i MYi4�
' f r� l • N Nom' '
w
i
w y,
t
6ARAf;R $�
• V-
L
Ln
!Sir
c
h4
tocalion s"%-veY w;.5 made. 6Y tnp-an4�e- Braun ;
end - al e dare. Vtj,:� shown is koea- e_j oq-& lO+ apps-oxiMAety as.
p�o#-iced,zand -6a. -C-Omptied whem et-ec- ed. w4" -E�je. Zot L(Kcf L AW o�° ke O'w ci a�
hlo�`cK ANppv�E�1 end-th�� -the. t� m�e�s�he�'aK(�!G t-e�)uit-ernes 4s ® '-k(�e.
� `ot es�id `Cow(y . .
e dwe t(in shown 15 6 -. Rooa VLAl t 7oKE.
Commonwealth of Massachusetts V-p A,
uTitle 5 Official Inspection Form L--0C0_$CV^\
Subsurface Sewage Disposal System Form Not for Voluntary Assessments
186 Ingalls Street
,p
Property Address
Roland Muise
Owner Owner's Name
information is
required for North Andover MA 01845 6/4/2013
every page. c/qx/»w» State Zip Code Date ofinspection
|
D. -~y~~—e~_ .~..~.~~~.~~.~~~~ (==..`.)
�
Sketch Of Provide system, including ties- ' ' -- ' ^ �
at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate
|
where public water supply enters the building. Check one of the boxes below: |
hand-sketch in the area below
[] drawing attached separately
Ht LTH rA111 Z:
FIT
t5ins 3113 Title 5 Official Inspection Form:Subsurface Sewage Disposal System-Page 15 of 17
�
|
�
�
I
TOWN OF NORTH ANDOVER
APPLICATION FOR PLAN EXAMINATION
Permit NO: Date Received 61
Date Issued:
IMPORTANT:AppliShnt must complete all items on this page
.LOCATION
Print
"PRO'PROI?ERTY OWNER j;` :
Print ' „ :100 Year Old Strktdre' yes ' no
MAP`NO: PARCEL: ZONING DISTRICT. ,Histioric,District yes
Machine Shop Village yes' no
TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
❑ New Building One family
❑Addition ❑Two or more family ❑ Industrial
❑Alteration No. of units: ❑ Commercial
ts(Repair, replacement ❑Assessory Bldg ❑ Others:
❑ Demolition ❑ Other
❑,Septic ❑Well El Floodplain ❑Wetlands ❑ Watershed District
0 Water/Sewer
/ DESCRIPTION OF WORK TO BE PERFORMED:
/(V
r, Identific tien P ease Type or]Print Clearly) ri
OWNER: Name: �7 fir. Phone. ° f �� d,
...
Address: �'7
CONTRACT R Name: ' 4 Phone: 7
Address:
Supervisor's Construction Licenser yo 7/ Exp. Date:
Home Improvement License: / Exp. Date:
ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE:BULDING PERMIT:$92.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$925.00 PER S.F.
Total Project Coat: $ % t` , l`- FEE: $
Check No.: Receipt No.:
NOTE: Persons contracting ivith ecnregistered contractors do not have access to th g aT ind
Signature of Agent/Owner Signature of contract
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan 11C,8/tamped Plans 11
Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑
TYPE OF-SEWERAGE.DTSPOSAL j
Public Sewer ❑ TanninglMassageBody Aid ❑. . Swimming Pools ❑
Well ❑ Tobacco Sales ❑
Food Packaging/Sales ❑
Private(septic tank,etc. ❑ Permanent Dumpster on Site ❑
THE FOLLOWING SECTIONS FOR OFFICE USE ONLY
INTERDEPARTMENTAL SICK OFF - U FORM
DATE REJECTED DATE APPROVED
PLANNING & DEVELOPMENT ❑ Q
COMMENTS
CONSERVATION Reviewed on Si nature
COMMENTS ��� � � ,j\1 1 00 e_ ;'3
HEALTH Reviewed on G Si nature
COMMENTS
Zoning Board of A�als: ri ance, Petition No: Zoning Decision/receipt submitted yes ._
Planning Board Decision: Comments
Conservation Decision: Comments
Water & Sewer Connectlion/Signature Plate Drivewav Permit
DPW Toiv,! Engineer: Signature:
Located 384 Osgood Street
�f j FIRE ®EPARTML�i�9`f - Temp Dumpster on site yes no
Vii,
�� orated at'l24 MainStreet .
dire
��,g Depamerit'signature�daf�
COMMENTS
f
I
JUN-5-2013 04:00 FRUM:BATESGN ENTERPRISES 5764755451 T0:5786888476 P.1/1
Commonwealth Of Massachusotts
lugTitle 5 Official Inspection Form t
SubsUfface�'iOWO90 DISPOSef YSt$m Form-Not for Voluntary Assessments
Pis Inailtrex
PnDpertyAddress-
Owner Foland Mu(so
Information Is Qwnget Name
raquired for North Andover MA 0184 6/4/201 0
every page. Ijt wn ' —,..—, — —
D. State ZIP code 6 tq 4r Inopeation'
SYStem Information (Cont)
Sketch Of Sewage Disposal System; Provide a view 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- Check one of the boxes below:
hand-sketch in the area below
l drawing attached separately
tee l-et+ae.
t
- � a tl I
rG nr 3l13 Tivo 6 omoni Ina
p9Ctron corm:suW40 seweoe oiapoadi tay.rom•Nye 16 or 17
" an
l
e
�w
-, >.
"�.�•�� �^�—._u � ���«./4':_�s:��u3 �r x�-�._lL_....._. ma=r e '�°„+—,�, '"('.r:> ..�"�, �� .,.�"w' �) L�;,, � '� ����„,�
j
j
1
i
North Andover Health Department
Community Development Division
May 30, 2013
Roland and Joanne Muise
186 Ingalls Street
North Andover, MA 01845
Re: Application for: rear deck @ 186 Ingalls Street,North Andover,MA
Dear Mr. and Mrs. Muise
Your application for a building permit at 186 Ingalls Street has been reviewed by the Health Department.
As you are aware from a conversation I held with you,the application cannot be approved until further
information is received. The Health Department has no information of file on the accurate location of the
subsurface disposal system.
For protection of the structure of the new deck; the footings must be at least 5 feet from the edge of the
tank. This minimum distance is needed in case this tank needs to be removed or crushed in the future. The
Health Department has requested that components of the septic system be located by a licensed septic
inspector.Authority to request this is granted by the MA DEP Environmental Code, which states Boards
of Health may require septic inspections at any time a building permit is issued.
A list of local inspectors can be found at this website.
trttl?;//ww ,towiiofioi-thandovei-.coin/l,l s/NAndoveLMA I_�eat /perirnns,znd
A plan is to be submitted depicting at minimum;the locations of the house; septic tank and building
sewer; porch proposed with the deck sona tubes/footings. This should be with ties between each
component and preferably to scale. A full Title V inspection is not required for this building permit.
Thank you for your cooperation in this matter.
Please feel free to call the Health Office at 978-688-9540 with any questions you may have.
Sincer ly,
usan S;awycr; RE S/RS
Public Health Director
Cc: Building Department
File
1600 Osgood Street,Bldg 20 Unit 2035,North Andover,Massachusetts 01845
Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthan dove r,com