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HomeMy WebLinkAboutMiscellaneous - 110 WOODCREST DRIVE 4/30/2018 (2)O ��bb Andover MIMAP August 30, 2017 �North 001, � 103:0//-0071 0 WOODCRESWOF DRhYE 9 00 61.OESSEX STR/EET 1n3"0O5r00/ III WOODCREST DRIVE 103.0-00.72 `03:0-0070 120 WOQD'CREST DRIVE 00 �s 00 e 00 00 0 OOOA 00 OF i° 1.10 WOODCREST ORA00 01 E 103.0=0073. R+1 63.01H OW//O��U�D WAY 00 103Y.0=00:74 96 WOODCREST DRIVE OF 0 =0088 �45ii"HIGHbWOOD WAY 103.001 or 01 OF OF to • OOFA 103:0-0075 103.0-0089 80iW0"ODC�REST DRIVE. 33IGH WOOD WAY00 r11�0�' 07 103.0-00.7 E3 MVPC So Zoning Overlay Zoning [3 Municipal Boundary ® Adult Entertainment Distric 0 Busine 0' Machine Shop Village Ove 0 Busine s 1 District s 2 Dis[nct Horizontal Datum: MA Staleplane Coordinate System, Datum NAD83, --Rail Line Ea Watershed Protection Dist 0 Businei Interstates Q Historic Mill Area 0 Businei s 3 District Meters Data Sources: The data for this map was produced by Merrimack s 4 District 14ORTFl Valley Planning Commission (MVPC) using data provided by the Town of Interstate Medical Marijuana 0 Genera —Major Road ® Downtown Overlay Distract 0 Planne ©Historic Distract 0 Cored Business District Of i c qh North Andover. Additional data provided by the Executive Office of Commercial Dev e`tt� .e •6 00 Environmental AffairslMassGIS. The information depicted on this map is Development Dist 3. — Roads ® Osgood Smart Growth (40 0 Comdo t r Easements 0 Hydrographic Features 0 Comdo Indusiri El Parcels -- Streams 0 Indu: L for planning purposes only. It may not be adequate for legal boundary Development Dist O .—" "` 0 definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER Development Dist f p MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING I 1 District x * THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY 12 District 0 Induslri i s • OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT 13 District Wetlands 0 Exem t Lands 0 Induslri P Reside ASANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF I S Dist ct 9vo °LY"'"r p,. THIS INFORMATION ce 1 Distric[ �.' ��Tic •� 0 Reside O Reside 'C ce 2 District SSA�NUSE ce 3 District dei 65 ft -q }rdece5 ce 4 District Distric[ Y de .o a ce 8 District esidential District North Andover MIMAP August 30, 2017 103.0-0071 1 O WOODCREST DRIVE 61 ESSEX STREET 103.0-0005 S 111 WOODCREST DRIVE 103.0-0070 103.0-0072 120 WOODCREST DRIVE lL 0 d N dq9 110 WOODCREST DRIVE 103.0-0073 63 HIGH WOOD WAY 103.0-0087 103.0-0074 96 WOODCREST DRIVE 45 HIGH WOOD WAY 103.0-0088 103.0-0075 103.0-0089 80 WOODCREST DRIVE 33 HIGH WOOD WAY 103:0-0077 103.0-00,76 ® MVPC So 13 Municipal Boundary Horizontal Datum: MA Stateplane Coordinate System, Datum NA083, — Rail Line Meters Data Sources: The data for this map was produced by Merrimack Interstates &ORTJI Valley Planning Commission (MVPC) using data provided by the Town of = Interstate — Major Road .e �p OO North Andover. Additional data provided by the Executive Office of Environmental Affaim[MassGIS. The information depicted on this map is bat 3 G for planning purposes only. It may not be adequate for legal boundary — Roads C. Easements O --• "` iu I- A 4w, definition or regulatory interpretation. THE TOWN OF NORTH ANDOVER MAKES NO WARRANTIES, EXPRESSED OR IMPLIED, CONCERNING ❑ Parcels 41- s 1 ++ �r THE ACCURACY, COMPLETENESS, RELIABILITY, OR SUITABILITY OF THESE DATA. THE TOWN OF NORTH ANDOVER DOES NOT O Hydrographic Features ; o �� • ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF - Streams q�'^ .,. n '�"4y THIS INFORMATION Wetlands 9SSA�NUS�t O Exempt Lands _ 1"=65ft -� PO Box 55098 Boston, NW 02205-5098 617 -951 -MO Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE: Insured: RANDA-.MAHMOUD and ADAM RAGAB - Property Address: 110 WOODCREST DRIVE, NORTH ANDOVER, MA Policy Number: HMA 0413053 Claim Number: BOS00054946 Date of Loss: 3/10/2015 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above -captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. , If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate, please direct it'to the attention of Ithe writer and include a reference to the captioned insured, location, policy number,,.date of loss and claim number. Pat O'Sullivan Claim Examiner 3/11/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 1 . Boston, MA 02205-5098 Date ... % TOWN OF NORTH ANDOVER, PERMIT FOR GAS INSTALLATION This certifies that .... 4� r!A? l i.f. 1114.01k -w.' ..................................................... has permission for gas installation ..q�ll....................................... in the. buildings off ..................... :......... ...... .................... Fee(4S...7:... Lic. No. C .7A....�?..... Check # No Andover, Mass. .............................................................. GArS INSPECTOR 0. 1� Date.OV ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that e-110 ............... .... .......f...............:........ has permission to pe ............... ..................................... . wiring in the building of ........................... at ... ....... North Andover, Mass. fee..t!.,.e..:= ..... Lic. No A//V ................ ... .. . . . .. ...... ...... VLE RIJC�IN E� �RW�' Check # 9 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only �y Permit No. G' Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECT ICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME�f, 5 CMR ` 2.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: a l City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention Th perform the electrical work described below. Locattlion (Street & Number) Owne or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No P' (Check Appropriate Box) Purpose of Building Utility Authorization No. - Existing Service New Service Amps / Volts Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Trsformers KVA Trans No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above n- E, rnd. rnd. No. of -Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Detection and No. of Switches No. of Gas Burners Initiating Devices No. of Ranges Tot No. of Air Cond. Tons No. of Alerting Devices Heat Pump Number Tons KW No. of Self -Contained No. of Waste Disposers P Totals: 1------ ­ ��' ­ * ** .................... Detection/Alerting Devices No. of Dishwashers S ace/Area Heating KW P g Local ❑ Municipal ❑ Other Connection No. of Dryers Y Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of ectric Work: C/r/d (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE OVE GE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such co�verais in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEND ❑ OTHER ❑ (Specify:) I certify, under thepains andpenaltiess ofperjury, that the i rmation on this application is true and complete. FIRM NAM ,( �c LIC. NO.:6�� Licensee 5. �cJ Signature LIC. NO.:. (If applica le, enter "exempt" in t e license nu ber line.)Bus. Tel. No.: (�/%-Sly Address: f7 SD,� � `G% .ClS /�.� r ��S {, /sI'�/ Alt. Tel. No.:,/ Z *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. J .-. • �JU1tJ1l.rS..4Vl.'U.�-[J/ti��J.�j-'I�f%J"-�R�.R `•i�®'�� 'p�j �''(+�'�J'� .�.1.�}y.+. �'UJL.�.��J.911�r.i��� '�ssecT �Cwimw 32eYuspectuxs'�ts: ;i y; tr• • e n �'. 4 t • (jr'nspeefore signature -xto :f3-1 iiials) Date �'nspectoxs' c�msaeuts: . ------------------ (1Gosiectozs°`zguatuxe xto 7stitiaTs} Slate 3. UNMRGROTIND MRACTION. 'assed--j) +ailecT--j) Re -imp action requixea($50.00)-[ r'nsliectoxs' comments: , �lnspectoxs�ignatuxe�oiaTsj Pate . assocl--r I )Tauel.--j rRe-luspeed;nrequired ($50.00) ispsctoxs9 eoxn.itiepfs: QCQSP ectoxs' ffigastute»azo ' m i{iais Date f Lt�7�z'�+c7Cxoz�7�mi`�+z�, l ,sea —[)azlerT- j].tenspeciioxtxe0uixed($50.OD}�[ - pectoxs' cwhments: - aORTA QQg AU TO 13E FJ LED QVT AO UFT ONISITEIF TM APXATOBE WSPEGM Xg NOT The Commonwealth ofMassachusetts , - �' Department oflndustrigl Accidents Office oflnvestigations 600 Washington Street .Foston, MA 02111 www.massgov1dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Name (Business/Organization/Individual): Address: Z/ / 1- City/State/Zip:_ �Ji�� p l Phone #:�- Are you an employer? Check the appropriate box: Type of project (required): 1. ❑ I am a employer with 4. ❑ I am a general contractor and I ' 6. New construction employees (full and/orpart time) * have Hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. t 7. ❑ Remodeling ship andEl no employees These sub -contractors have 8. Demolition I worldng forme in any capacity. wo s' comp. insurance. .g,' ❑Building addition [No workers' comp. insurance 5. kll& are a corporation and its required.] officers have exercised their 10. ectrical repairs or additions 3. ❑ I am a homeowner doing all work right of exemption per MGL 1 Ln Plumbing. repairs or additions myself. [No workers' comp. c.152, §1(4), and wehave no 12,❑ Roofrepairs insurance required.] employees. [No workers' .13.❑ Other comp. insurance required.] '.Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy! miation. T Homeowners who submit this affidavit indicating they Ste doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name ofthe sub -contractors and their workers' comp. policy information. lam an employer that 1s providing workers' compensation insurance for my employees Below is the policy and job site information. Insurance Company I 4 Policy # or Self -ins. Lie. M LZL-;;- G F j c/7 Expiration Date:IL Job Site Address.-" �n oriN_ ��.�i e- City/State/Zip:Zoog Attach a copy of: the workers' compensation policy tleclaration page (showing the policy number and expiration date). Failure to secure coverage as xequiredunder Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA, for insurance coverage verification. I do hereby, cert under the ppinyVqnCdpenal(les ofperjury that the information provided above j8)�rue and correct - �/A Phone #: 617 6r Official use only. Do not write in this area, to be completed by city or town offrcial. City or Town:. PermitUcense # Z2_ Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other - - - Contact Person: Phone Information and Instruction*8 Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as "...every person in the service of another under any contract ofhire,• express or implied, oral or. written" An employer is defined as "an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced -acceptable evidence of compliance with the insurance coverage required" Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance ofpublic work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary, supply sub-contractor(s) name(s), address(es) and phone number(s) along with their certificates) of insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with noemployees ocher than the members or partners, are.not required to carry workers' compensation insurance. ?fan LLC or LLP does have employees, a policy is required. De advised that this affidavit maybe submitted to the Department of Industrial Accidents fox confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a 'space at the bottom Of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. in addition, an applicant that must submit multiple permit/liceuse applications in any given year, need only submit one affidavit indicating current policy information (if necessary) and under "Job Site Address" the applicant should. write "all locations in (city or town)" A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.) said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone anal fax number: Tho Conamonwoalth of assaclivsotts Dep.a>t ant offhdusWat,A.celdants Office of Investigations 600 Wasbi-Von Street Boston? MA. 021.1 X Tel # 61.7-7274900 at 406 or 1.-87MASS.AF Revised 5-26-05 Fax # 617"727-7749 WWW-Mass,govaa Page 1 of 1 • r 7 r r � r https://mail17.homesteadmail.com/service/home/—/photo.JPG?auth=co&loc=en US&id=27... 6/4/2012 V Page 1 of https://mai117.homesteadmail.comlservice/home/—/photo.JPG?auth=co&loc=en US&id=27... 6/4/2012 v D.