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HomeMy WebLinkAboutMiscellaneous - 469 BOSTON STREET 9/1/2007 omw U"only The Commonwealth of Massachusetts —/ / �5-/ " = Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS 827 CMR 12:80 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK` A11 wcxk to be in accordatrce wNh the M hu rk�i S27 CMFI 2:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date City or Town of To the Inspector of Wirm- The undersigned applies for a permit to perform the electrical work described below. Location(Strviet b Number) 4! Owrw or Tenant�" 66L , Owner's Address -° Er-- -, Is this permit in ooNlur�.citlon with a buNdkV permit: Yes NO E (Check Appro. ppropriate Box) Puirposs at 9ugdirtg t e'er AuMorlzatlon.No. Undgrd No.at Meters � lfndgrd Q No.of Meters Date........ ...... Ott, .o;•Atio TOWN OF NORTH ANDOVER No ofTrsn TOW p PERMIT FOR WIRING + _ . Generators KVA * ra.. >" of E y Lighling 1SSACHUS� - FIRE ALARMS NO,of X10.of DelecUur►and This certifies that ......... "a` � . ..... :: '' ! nitisting Devices . °� . s ........?.} ".............. Flo.of Sounding D a has permission to perform ....... fo.of Salt contai wiring in the building of.................. r s ./, . 'r�'4...................................... ................. )etectlon/Sound Devices .. Mu section®at........... "!°f 7.. ....... r" ...... .. ,North Andover,Mass. ❑ Other ow voitago Fee. ?.................. LtC•NO. ELECTRICAL�NSPEC,,,,O Check 1l � "•S—' ^/ 7 - - " u ng omplet bons Otwerage orb substolial equivalent. YES [f NO O m I have submitted valid proof of sae to this orrice. YES NO 0. If you have check YES,pt ir"te the type of coverage by checking the aWopriate box. INSURANCE 0 OTHER (Plesse specify) Estimated ts Value of Electrical Work 3f (Expiration Data) Vftk to Start J 11117 Signed undor the of perjury: FIRM-NAME UC.N0. Uoe C Signature ( UC. NO q � c;Y/K %l�lfl'�Y 1 �' Aft.TM.No. 1.=?y^' r 2 2 O R'$ INSURANCE WAIVER: I am aware that the daM not have the insurance coverage or its w sgWy ss required by Massachusetts,Gor"Laws,and that my signature On this pwmk application waives this requiremeM. Owner 0 Agerit,© ( one) Telephone No. PERMIT FEE S (Signature of Owner or Aper+t) -- -- i t%O R T1l Q 44Le0 Ig® �•� �� �'� a L O Z. *' n rya � O COCNIC M•WICN ^'' reo -A C7 ss�►c HUS�t PUBLIC HEALTH DEPARTMENT Community Development Division September 11, 2007 Glen Hartford 469 Boston Street North Andover, MA 01845 RE: Septic System Design; 469 Boston Street,North Andover, Map 107D,Lot 49 Dear Mr. Hartford, The North Andover Board of Health has completed the review of the septic system design plans, for the above referenced property, submitted on your behalf by New England Engineering Services, dated August 22, 2007. This plan has been approved. This plan is valid for two years from the date of this approval. The design has been approved for use in the construction of an onsite septic system for a 4-bedroom house (maximum 9-room). During this time, a licensed septic system installer must obtain a permit and complete this work, and a Certificate of Compliance be endorsed by the installer, designer and the Town of North Andover. In the event an imminent health problem such as sewage backup into the dwelling is occurring,the North Andover Board of Health may reduce the time period for which this plan is valid. This approval is subject to the following conditions: 1. The request by the engineer to perform an additional soil test pit prior to the start of construction approximately 10 feet from the existing shed to confirm the soil type and Estimated High Ground Water Elevation has been approved. The installer must comply with this requirement. If conditions are found significantly different than the engineer will modify the plan accordingly. 2. If site conditions are found in the field to be different from those indicated on the design plan and/or soil evaluation, the originally issued Disposal System Construction Permit is void, installation shall stop, and the applicant shall reapply for a new Disposal Systems Construction Permit. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com i 3. It is the responsibility of the applicant and/or the applicant's septic system designer, septic system installer or other representative to ensure that all other state and municipal requirements are met. These may include review by the Conservation Commission, Zoning Board, Planning Board, Building Inspector, Plumbing Inspector and/or Electrical Inspector. The issuance of a Disposal System Construction Permit shall not construe or imply compliance with any of the aforementioned requirement. Your effort to provide a properly functioning septic system for your dwelling is greatly appreciated. The Health Department may be reached at 978-688-9540 with any questions you may have. Sincere 1 S an '5 7Y Sawyer fRS Public Health Director Encl: list of licensed septic system installers Cc: New England Engineering Services, Inc. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com TOWN 01' i'"€ #R 1�l fU.Nt„VONA.,..R Office of°( t .N1.k1t,JN1'1 ' Iii±,�'1±,1._,t.11�,�'11d+.��I i� �'t� S1<<R)"WFS .�`as`` HEALTH DEPARTMENT 1600 W.1GO D d,'s"t IZEEI`t`. Bl1It.,DIM", 0, SSA Tt:; 2-36 NORTH ANDOVER. Susan Sawyer, 8t l y (,' 9 t -Phone 07,h,68„y S4 x0... 1 , Public Health Director t MAIL licalflid h tnd a ve"'Oh v �w 1\ 1;13 ,11€ ;_41[(t qtr t tct tc7ft � € yet, _t €orri, SEPTIC PLAN SUBMITTAL FORM Date of Submission: Site Location: r y Engineer: _. l CC- New Plans? Yes /,-'$225/Plan Check# (includes 1” submission and one re- review only) Revised Plans?Yes $75/Plan Check# Site Evaluation Forms Included? Yes L No Local Upgrade Form Included? Yes No p () (D off / Tele hone#: Fax#: E-mail: Homeowner Name: OFFICE USE ONLY When the submission is complete (including check): Date stamp plans and letter }� Complete and attach Receipt Copy File; Forward to Consultant Enter on Log Sheet and Database Page 1o[l DelleChiaie, Pamela From: Sawyer, Susan Sent: Tueadey, September 11. 2OO7Q:51 AM To: OaUeChieie, Pamela Subject: FVV [BULK] 469 Boston Street Importance: Low can you pull this one too thanks -----Original Message----- From: Shawn Bxaze| [mei)to:Sbraze|@neeOginearinQinc.com] Sent: Monday, September 1O/ 2OO7Z:41 PM To: Sawyer, Susan Co: BEN OSGO{}D, ]R Subject: [BULK] 469 Boston Street Importance: Low / Susan, I've received and reviewed your comments concerning the septic system design at 469 Boston Street. Our responses are efollows: 1. The elevations depicted on the design plan are correct. The form 11'e were filled out before the final topography survey was completed. They shall be naviaed, and resubmitted. 2. We would like to request that the plan be approved subject to an additional test pit being performed prior to start of construction approximately 10 feet from the existing shed to confirm the soil type and ESHGW. Thank You ShavvnBraze| New England Engineering Samivau. Inc. �-, ✓✓/✓l� �i�„ r�0// ?✓/�j�r� ✓?r/✓%l0✓/1/N�/mil✓✓ago// ✓/✓Oa/%,,,✓�/,�!✓✓�a, „✓,y ✓�� W . ., o��� ky K 1 � � W M � ��� IS I (Sp. �w / a i Page 1 of 1 i DelleChiaie, Pamela From: Marianne Peters[mpeters @millriverconsulting.com] Sent: Monday, September 10, 2007 4:53 PM To: 'Daniel Ottenheimer'; dobrzut @millriverconsulting.com; Grant, Michele; DelleChiaie, Pamela; Sawyer, Susan Subject: Soil Eval -Granville Lane/Lot 4 -Sept 24 @ 10:00 Soil Eval scheduled for 9/24 @ 10:00 w/Ben Osgood for Granville/Lot 4. Marianne Peters Mill River Consulting 2 Blackburn Center Gloucester, MA 01930 978-282-0014 ph 978-282-0012 fx www.miliriverconsulting.com 9/11/2007 TOWN OF NORTH ANDOVER Office of COM M UNITY DEVELOPM ENT AND SERVI CES �� •'; . �a°� HEALTH DEPARTMENT I '1600 OSGOOD STREET; BUILDING20; SUITE2-36 "•. . ��. � NORTH ANDOVER, MASSACHUSETTS01845 C F�Us 1 Susan Y. Sawyer, REHS, RS 978.688.9540 _Phone Public Health Director 978.688.8476 _FAX heal thdept(a),townofnorthandover.corn www.townof northandover,com APPL I CATI ON FOR SOI L TESTS DATE: MAP& PARCEL: LOCATION OF SOIL TESTS: y(�19 � �a/� T t Jb . fin& lmz- OWNER: Contact#. APPLICANT:_�=(( k �`]Q,tiii Contact# ADDRES,&.. tS11011 IVD. An&w� ENGINEER: .S . Contad#. CERTIFIED SOIL EVALUATOR: Ds I 7 ntended Use of Land• Residential Subtly' ' Single Family Home Commercial IsThis: Repair Testing: L,---Undeveloped Lot Testing: Upgradefor Addition: In the Lake Cochichewick Watershed? Yes No 1�� THE FOLLOWING MUST BE INCLUDED WITH THISFORM > 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 siteson theplan) > 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. Feeof 1360.0 0 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 required least two deep holes and at least one percolation test, at the discretion of the BOH representative. ➢ Full paymentwill be required for all additional tests within two weeks of testing. A Within 45 days of testing,ascaled Pan(nosmailerthan 1--100)sh2il besubmitted to the Board of Heafth shawl ng the I ocati on of al I tests(i ncl udi ng aborted tests). ➢ Within 60 days of testing soil evaluation for ms shall be submitted. Please Do Not Write Below This Line N.A. Conservation Commission Approval Dater °! Signature of Conservation Agent: Date back to Health Department: (stamp in): ( U Cat ((/40 (00 1 V"5t, (,e IKDA vj� NACC- 1 I r i l Dyad b 0 a n F i � s �3NS b9h Commonwealth of Massachusetts City/Town of Mo4t' AoJou' l- Percolation Test Form 12 Percolation test results must be submitted with the Soil Suitability Assessment for On-site Sewage Disposal. DEP has provided this form for use by local Boards of Health. Other forms may be used, but the information must be substantially the same as that provided here. Before using this form, check with the local Board of Health to determine the form they use. Important: A. Site Information When filling out forms on the computer, use Glen Hartford only the tab key Owner Name to move your 469 Boston Street cursor-do not use the return -Street Address or Lot# key. North Andover MA 01845 City/Town State Zip Code 978-682-6002 Contact Person(if different from Owner) Telephone Number retwn B. Test Results 7/31/07 10:35 Date Time Date Time Observation Hole# PTI — Depth of Perc 27"/20" Start Pre-Soak 10:35 End Pre-Soak 10:50 Time at 12" 10:50 Time at 9" 11:08 — Time at 6" 11:32- Time (9"-6") 24 min. Rate (Min./Inch) 8 min. per inch Test Passed: z Test Passed: ❑ Test Failed: ❑ Test Failed: ❑ Thomas Hector Test Performed By: Randy Burley, Mill River Consulting_ Witnessed By: Comments: t5form 1 2.doc-06/03 Perc Test•Page 1 of 1 ❑ ❑ N O O � p `ter ❑ ❑ as (D Cl)i 1 J l � CL cn w _0 - N rn Q o c6 (, O m l ' - 4 c Q) . o L O U) o N rJ CD Q m N o � ro o Z Z G) can �. -a Q � Y o v Lo Co N z c @ U > � �' ❑ ❑ co Q� O E ❑ "= E �= o O o '.E P� -p z 7 a El 0 LL O .� Z ❑ � �� (n 0- E v– O %, N N o o ❑ ❑ > El CL m c Cl. C- c > f� v _0 � c @ UU)ti -c Q Cr Cl. :3 o U) N T3 a N T �° p up ��p C -0 > - C e✓d L Q p O @ @ O 7C3 o e �. . 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