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HomeMy WebLinkAboutBuilding Permit #515-2016 - 32 JOHNSON STREET 10/27/2015BUILDING PERMIT TOWN OF NORTH ANDOVER APPLICATION FOR PLAN EXAMINATION Permit No#:/`� � Date Received NORTH\ ^61 tia 32 - 6 Date Issued: Ad 2 % �Ac IMPORTANT: Applicant must complete all items on this page LOCATION#' Qr�S v T µ r PROPERTY OWNER YAee ' Print bb Year strd6tbre esno .MAP PARCEL - ZONING'DISTRICT: _Historic'District es no . , Machine Shop Village yes no TYPE OF IMPROVEMENT PROPOSED USE Residential Non- Residential ❑ New Building ❑ One family ❑ Addition kl'w' o or more family ❑ Industrial ❑ Alteration No. of units: a ❑ Commercial ei�epair, re�grtt ❑ Assessory Bldg ❑ Others: ❑ Demolition ❑ Other d Septic El We'll ❑ .Floodplain ❑ Wetlands ❑ Watershed District 0 Water/Sewer D UESGKIPTION OF WORK T BE PERFORMED: & ea 1C dvrr2 >'^�a� b o..e ._1.4rgcJf b ec/t. Sad' d m,¢ /�dL14 60A el OWNER: Name: efe Identification - Please Type d {rti "e 1/y T2v5 Address: -7/ f,4_100t Print overt, !j' hone: 'e d1l ARCHITECT/ENGINEER Phone: Address: Reg. No. FEE SCHEDULE: BULDING PERMIT: $12.00 PER $1000.00 OF THE TOTAL ESTIMATED COST BASED ON $125.00 PER S.F. Total Project Cost: $ /o Oyo. �_ FEE: $ _ • Check No.: 96 L/a Receipt No.: c�Z�7 %L0 NOTE: Prsons contrA, Awith unregister5d contractors doo not have -access tie guaWty fund Plans Submitted ❑ Plans Waived ❑ Certified Plot Plan ❑ Stamped Plans ❑ F SEWERAGE DISPOSAL ewer ❑ F Tanning/MassageBody Art ❑ Swiimning Pools ❑ Tobacco Sales ❑ Food Packaging/Sales ❑ Private (septic tank, etc. ❑ Permanent Dumpster on Site ❑ THE FOLLOWING SECTIONS FOR OFFICE USE ONLY INTERDEPARTMENTAL SIGN OFF - U FORM PLANNING & DEVELOPMENT Reviewed On COMMENTS Signature_ CONSERVATION Reviewed on (� % ��f Signatureq�'-� 1taL COMMENTS HEALTH Reviewed on Signature COMMENTS } ' Zoning Board of Appeals: Variance, Petition No: Zoning Decision/receipt submitted yes Planning Board Decision: Comme Conservation Decision: Comments Water & Sewer Connection/Signature & Date Driveway Permit DPW Town Engineer: Signature: Located 384 Osgood Street FIRE DEPARTMENT - Temp Dumpster on site yes no Located at 124 Main Street - Fire Department signature/date _. COMMENTS Rc Dimension } Number of Stories: Total square feet of floor area, based on Extenarr dimensions. N,_ Total land area, sq. ft.:; ELECTRICAL: Movement of Meter location, mast or service drop requires. -approval of Electrical Inspector Yes No DANGER ZONE LITERATURE: Yes No MGL Chapter 166 Section 21A —F and G min.$100-$1000 fine NOTES and DATA — (For department use) ❑ Notified for pickup Call Email Date Time Contact Name Doc.Building Permit Revised 2014 Building Department The following is a list of the required,forms to be filled out for the appropriate permit to be obtained. rr Roofing, Siding, Interior Rehabilitation Permits ❑ Building Permit Application ❑ Workers Comp Affidavit ❑ Photo Copy Of H.I.C. And/Or C.S.L. Licenses ❑ Copy of Contract ❑ Floor Plan Or Proposed Interior Work ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit Addition Or Decks ❑ Building Permit Application ❑ Certified Surveyed Plot Plan ❑ Workers Comp Affidavit ❑ Photo Copy of H.I.C. And C.S.L. Licenses ❑ Copy Of Contract ❑ Floor/Cross Section/Elevation Plan Of Proposed Work With Sprinkler Plan And Hydraulic Calculations (If Applicable) U Mass check Energy Compliance Report Of Applicable) ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg Permit New Construction (Single and Two Family) ❑ Building Permit Application ❑ Certified Proposed Plot Plan ❑ Photo of H.I.C. And C.S.L. Licenses ❑ Workers Comp Affidavit ❑, Two Sets of Building Plans (One To Be Returned) to Include Sprinkler Plan And Hydraulic Calculations (If Applicable) ❑ Copy of Contract ❑ Mass check Energy Compliance Report ❑ Engineering Affidavits for Engineered products NOTE: All dumpster permits require sign off from Fire Department prior to issuance of Bldg. Permit In all cases if a variance or special permit was required the Town Clerks office must stamp the decision from the Board of Appeals that the appeal period is over. The applicant must then get this recorded at the Registry of Deeds. One copy and proof of recording must be submitted with the building application Doc: Building Permit Revised 2014 / r Location ,2 ? -S/ No. �'� ©l,(, / Date -) Check # / U'� r 2: ro 0: r L J 2 LL Q m O UJco t O LLL N O_ N LLL U ui N Z z J C O 3 t to 3 OC > Ct U LL O W Vf z Z m J 4 l70 3 K t6 LL O W CA z u I- W J W ..0 3 Gp 2' U i (n E OC Q U a0. Z Ln Q 110 K — LL z W °C Q W W W LL i m 0 N Y O N O .M y v:"a[2 CL (D Q • 0 o E� L Q N .0O �Ecn a� C ; L m t �: _ c 0 c N 41 tt.1 E�y-' L s: L C O to: a� z �rw o L �• QQ.ai � v O r = O_ y0, C N -2 CO LUco W C +�•� O O LL C N C cn .N Q O W E 0�,�� V (D O O co d> `� 2 w -0 0 0 0 F- .c - CL 0 0 ti u M O O W CL z cl Co C ~ o O /G^ W O O z � y W a w O •,�, U J W v az October 22, 2015 Owner/Agent of Record: Center Realty PO Box 876 North Andover, MA 01845 Dear Property Owner, North Andover Health Department Community Development Division Property Location: 34 Johnson Street North Andover, MA 01845 An authorized inspection was made of your property at the above address on October 20, 2015. This inspection revealed violations of the State Sanitary code, Chapter Il, as listed below. Owner must repair within seven days or contact a contractor for work and submit proof of contract within seven days. Corrective action is to be completed within 30 days. A re -inspection will be scheduled for seven days after receipt of the order letter for corrective action. Failure to act will result in further action. 105 CMR 410.000 Kitchen Regulation # Description ✓ if Time limit for compliance conditi ons may endang er .501 (B) (4) Exterior kitchen door — rotten area of frame. In Owner must repair within 7 days or disrepair. contact a contractor for work. - Owner must ensure all doors to the outside Completion is to be within 30 days. be weather tight Repair door frame as needed 34 Johnson Street, Order Letter October 22, 2015 North Andover Health Department, 1600 Osgood Street North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 - Must have working smoke and CO detectors as required by fire codes Tenant shall replace the units 410 551.2 Window at top of stairs with ripped screen Owner must repair within 7 days or - Owner responsible to maintain screens free contact a contractor for work. Has from defect. max 30 days for complete correction Fix screen 410.500 Window at top of stairs screwed shut by tenant Tenant must repair within 7 days concerned about unauthorized entry from roof. - All windows should open and close with ease and have working locks Tenant shall remove screw as long as the lock works. (Could not test) Second Floor 410.504 B Bathroom walls near tub; evidence of chronic water Owner must repair within 7 days or damage. Some repair of soft wall areas in progress. contact a contractor for work. Has 410.500 (Check ceiling areas as well for issues) max 30 days for complete correction - Premise shall be free from chronic dampness - Walls of all rooms with a tub and toilet should have non-absorbent surface up to 48" from the floor Owner shall investigate reason for the water problem; remediate areas that may be saturated. Place smooth non-absorbent covering to 48" Second Floor — rear bedroom 410.352 Smoke detector missing off the base. Tenant admitted Tenant shall reinstall the units they removed the unit Tenant states batteries are unless indicated by fire department dead. that they are unnecessary units. - Must have working smoke and CO detectors as required by fire codes Tenant shall replace the units 410.500 Ceiling shows water leaking from outside Owner must repair within 7 days or - Owner shall maintain premise free from leaks contact a contractor for work. and defects Completion is to be within 30 days. Identify problems and repair as needed Basement 410.501 Exterior door basement— gaps. Door partially Owner must repair within 7 days or covered w/plywood. contact a contractor for work. Has - Owner must maintain structure free from max 30 days for complete defect and must ensure all door to the outside correction be weather tight Eliminate gaps North Andover Health Department, 1600 Osgood Street North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 34 Johnson Street, Order Letter October 22, 2015 You are hereby ORDERED to correct these violations within the noted time limit. Failure to comply within the allotted time period, or subsequent violations, may result in a criminal complaint against you. You have a right to request a hearing before the Board of Health/Health Director. This request must be made by you, in writing, and filed within seven days after the day this order was served. If you request a hearing, all affected parties will be informed of the date, time and place of the hearing and of their right to inspect and copy all records concerning the matter to be heard. The petitioner has the right to be represented at the hearing. Conditions exist which may permit the occupant of the dwelling to exercise one or more statutory remedies. Sincerely, Susan Sawyer, RS Health Director Cc: tenants; Nicole Stroumbos and Laura Brien North Andover Health Department, 1600 Osgood Street North Andover, MA 01845 Phone: 978.688.9540 Fax: 978.688.8476 NOTICE QIP EMPLOYEES NOTICE TO EMPLOYEES The Commonwealth of Massachusetts DEPARTMENT OF INDUSTRIAL ACCIDENTS 600 Washington Street, Boston, Massachusetts 02111 617-727-4900 — http://www.mass.gov/dia As required by Massachusetts General Law, Chapter 152, Sections 21, 22 & 30, this will give you notice that I (we) have provided for payment to our injured employees under the above mentioned chapter by insuring with: THE TRAVELERS INSURANCE COMPANIES NAME OF INSURANCE COMPANY P.O. BOX 1450 MIDDLEBORO MA 02344-1450 ADDRESS OF INSURANCE COMPANY (IEUB-3F36793-7-15) 02-10-15 TO 02-10-16 POLICY NUMBER EFFECTIVE DATES M P ROBERTS INS AGENCY 1060 OSGOOD ST N ANDOVER MA 01845 NAME OF INSURANCE AGENT ADDRESS PHONE # CENTER REALTY TR OF NO.ANDOVER 177 SALEM ST NORTH ANDOVER MA 01 845 EMPLOYER ADDRESS EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE MEDICAL TREATMENT The above named insurer is required 'in cases of personal injuries arising out of and in the course of employment to furnish adequate and. reasonable hospital and medical services in accordance with the provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the injured employee. The employee may select his or her own physician. The reasonable cost of the services provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably connected to the work related injury. In cases requiring hospital attention, employees are hereby notified that the insurer has arranged for such attention at the NAME OF HOSPITAL ADDRESS 003101 W20NG02 TO BE POSTED BY EMPLOYER i\ Massachusetts - Department of Public Safety Board of Building Regulations and Standards i-+. __.____.___ c_._..�.:.._._ . .:. s _ '�. wnt1 Ut 11Ull '3upe1 iSUI License: CS -075302 BENJAMIN C OS(O r. 69 Old Village Lal% North Andover AfA 01845' Expiration Commissioner 12/04/2016