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Home My WebLink AboutMiscellaneous - 1248 SALEM STREET 4/30/2018 1248 SALEM STREET i 210/106.A-0185-0000.0 BUItnjHr* FILE 1' DEAR SALEM STREET RESIES: THIS WEEK I WENT TO THE ASSESSORS OFFICE AT TOWN HALL AND SAW THAT THE DIBLASIS AT 1248 SALEM HAD A LIEN PUT ON THEIR HOUSE BY THE TOWN DUE TO NOT PAYING REAL ESTATE TAX. THIS IS UNBELIEVABLE! OUR HOUSE VALUES DROPPED BECAUSE OF THEIR BUSINESS AND THEY ARE NOT PAYING TAXES. WHAT IS EVEN MORE DISGUSTING IS THAT THEY ARE TRAVELLING THROUGH EUROPE RIGHT NOW. OBVISIOUSLY THEY ARE SCREWING THE SYSTEM AGAIN BECAUSE MONEY IS NOT AN ISSUE FOR THEM. HOW MANY OF YOU CAN AFFORD TO GO TO EUROPE THIS SUMMER? MY FAMILY WILL BE LUCKY TO GET A WEEK AT THE LAKE. BOYCOTT GOING TO THE TAILORSHOP. THEY SHOULD BE CLOSED DOWN FOR NOT PAYING REAL ESTATE TAXES THAT FUND OUR SCHOOLS. IF YOU DON'T BELIEVE ME GO TO TOWN HALL YOURSELFS. ITS ALL PUBLIC INFORMATION. c s V V �Z'wo ; =µ,Vi_ . _ �ijil : �i!!!Il�1i i�#°!it #'.�tl3li�i�'tr!•ll�,ii_#„!!},!.!r!#,i�, c c RECEIVED ,. Dear Selectman Officers, Inspectors,and DiBlasis TO t, i°1f, f�.CR A couple of weeks ago I received a letter from an anon RIAPsAyperoonl olm laliinin p p g about a tailor shop on my street, l have never been at the homa%latusLoess,which is at 1248 Salem St.,and it never really concerned me. I bellev%bR1pA i 00iigowners once or twice at the block parties and they did not seem ted �iWA IlPa acs so I think we are safe as a neighborhood. I have heard about some complaints through the years regarding the traffic/accident but I felt let the lady make a living. However,the letter did concern me. I called Town Hall and they informed me of the numerous letters and phone calls through the years. If the homeowners have been aware of years of complaints,my question is why haven't they tried to resolve the issues. Take some trees down and make the driveway more visible, put a sign out so people aren't asking residents where your business is,and shorten your hours by eliminating the evening hours during the home traffic rush. Obliviously,there are people in the neighborhood who are overly consumed by your shop but you are not helping the situation. Maybe if you make some changes the complaining will stop, Maybe you can relocate to a storefront. 1 have seen your advertising in Merrimack Valley magazine and the Patch. It would seem you are looking to increase your customer base not stay as is and that is not fair to our quiet. neighborhood. Just some food for thought. y, y` .7•v T v� tl 2.1 �e H: RARD rff zti�:rbl Y: �%r 'S``=[?' .'�f a..:o�'�L';; 'r t• .�T -• , SUN .^L e F EMANCIPATION �k PROCLAMATION neaexa-- m FOREVER -USA e.- zr I,I,I�uIllll�t1�11114i'a11!'.�i:1D1��11t7��ill.�f�l,1r111ii�lttaj:�l /March .21, .2013 Sa/eM Street /fe%9h6ors, 4` z was recent/y y%5%ted 6y! a ase% h6or who wanreed to discuss /1e J%6/a6; -Ia My and Me 1.2yfs 6alem 6&eef -ed/or Shop- I am not sure I who has heard the yoss;p ,ward A3 them the past years but /i(% many chose to ;9nore it. But now ;t 45 not` ;n the 6e5t ;ntereSt off'My hoMe, �%nance5, and Secur;ty to do so. j . We %n{otMed Me that the D/%61a5% ZusineSS %S not "3a/weed or checked 6y the gown. I dont care chat the-,- ;5,/a h-me 6uSine55` on aur street but I do Care ehae there are na check Z--3a" rrly/ resecu ch and %t %s &ae a -ea%/or shop %s prone ec' Mote than a restaurant i5. The /forz`h �ndo%r Y% 5: 4 10R7y r OF teo '9.y 9 9SSACH05E� 16000sgood Street Building 20, 2035 North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 COMPLAINT FOR INVESTIGATION DATE: 12- 2012 Tel #: FROM: Sci — CX/- Ck 181 ADDRESS: Complaint Against: ELECTRICAL: PLUMBING: GAS: BUILDING CONTRACTOR: PROPERTY OWNER: OTHER: 6e e, _ Signed: d� , o s Attention Mr.Manzi, North Andover ZBA 24 Main Street North Andover, Mass This letter is to notify you how upsetting it is to have the garage tailor shop 1248 Salem Street has neighbors. There are several reasons. #1 Last week as I went for a walk I was almost run of the road by someone leaving their driveway. All I got in response is"when will the tailor be back from vacation?" Really! This is not the first time that happened. Im glad their having fun in the sun and we are risking our lives walking by their house.An elderly neighbor had a similar incident in August when they were away. But those people driving were looking for work. Non Americans to. They are bringing problems to the street. #2 Thfe Diblasis are unethical people. They do things very underhandedly. When they do construction work they don't pull permits or have proper inspections. That statement came right from their contractor's wife . They have had much renovations to their property through the years. Roof,windows,siding,stairs, additions,and patios by conservation land.Check and see if permits were pulled. I never saw one posted. Not right!!!!!! Everyone else has to and so should they. #3 They hire illegals to work. Thats very disturbing. She is not Amerman and that's why they think it is ok. Maybe homeland security should be notified.They pay their employees cash. That info came from the Bruckers in town. #4Mainly because of the cars exiting and entering their driveway which is at a curve point on the road. It is very dangerous. They need to put a sign on the property. I complained a few years ago anomously but nothing was ever done. I am afraid to confront them because I believe Mr.Diblasi to be violent. After my complaint,he attended a neighborhood Easter event and he was very hostile. They were even investigated by child services.That scare me. I will not make a signed complaint because of my fear. My point being please take care of this. Make them have tougher restrictions and fine them heavily for past behaviors. A tailor shop which has numerous employees does not belong on a residential street. If it does it needs better car safety restrictions. Really!What is the difference from them and a dry cleaner? I am forwarding this letter to the Diblasis as well in hope that they will make some changes or close shop and maybe child services wont have to visit. From Salem Street high paying taxpayer r 7.../��,,t` 1`�` /"�•+�.. � �..t.,..3'r' �:v.- •...^y, _��-:..�Z,�_- r..ary':`t wtt USP t ,,,,, ..,. :......._ ., lIEFiFiFFiI;.Fl�illFil?? E??iF�ilfi?iFl I .' p!}pF ? •�F7 F� r F i i2 F�i ii it i711F tai (r I 2-n f-z- Attention Mr.Manzi, North Andover ZBA 24 Main Street North Andover,Mass This letter is to notify you how upsetting it is to have the garage tailor shop 1248 Salem Street has neighbors. There are several reasons. #1 Last week as I went for a walk I was almost run of the road by someone leaving their driveway. All I got in response is"when will the tailor be back from vacation?" Really! This is not the first time that happened. Im glad their having fun in the sun and we are risking our lives walking by their house.An elderly neighbor had a similar incident in August when they were away. But those people driving were looking for work. Non Americans to. They are bringing problems to the street. #2 The Diblasis are unethical people. They do things very underhandedly. When they do construction work they don't pull permits or have proper inspections. That statement came right from their contractor's wife . They have had much renovations to their property through the years. Roof,windows,siding,stairs, additions,and patios by conservation land. Check and see if permits were pulled. I never saw one posted. Not right!!!!!! Everyone else has to and so should they. #3 They hire illegals to work. Thats very disturbing. She is not American and that's why they think it is ok. Maybe homeland security should be notified.They pay their employees cash. That info came from the Bruckers in town. #4Mainly because of the cars exiting and entering their driveway which is at a curve point on the road. It is very dangerous. They need to put a sign on the property. I complained a few years ago anomously but nothing was ever done. I am afraid to confront them because I believe Mr. Diblasi to be violent After my complaint,he attended a neighborhood Easter event and he was very hostile. They were even investigated by child services. That scare me. I will not make a signed complaint because of my fear. My point being please take care of this. Make them have tougher restrictions and fine them heavily for past behaviors. A tailor shop which has numerous employees does not belong on a residential street If it does it needs better car safety restrictions. Really! What is the difference from them anda dry cleaner? I am forwarding this letter to the Diblasis as well in hope that they will make some changes or close shop and maybe child services wont have to visit. From Salem Street high paying taxpayer � r I f r r J i f /J! r yi {/I �ncC�r 1 USA 144, y [ milt fi!'f`!fiiF:a£il�i!7!iS F'sa-t 1 i r { t r Dear Bar of Overseers, I first want to tell you that I never hired Joseph Diblasi as an attorney and that my complaint is on a personal level. After many years of living in the same neighborhood as he I can no longer live with his arrogantly immoral behavior and I believe the lawyers association should know what kind of person he is and question his practicing law. He lives on 1248 Salem Street North Andover and his office is in North Reading. I apologize for being somewhat vague with names and dates as I fear for my well being and my familiy and my neighbors because I believe he can bedangerous. I apologize to for the fragmented thoughts. I am not a good writer and I am very nervous. My dealings with Mr.Diblasi started years ago as one of my family members worked for him and his wife in their basement tailoring shop. This family member was always paid in cash even when this person asked for a check and taxes to be removed to show proof of working. Mr. Diblasi himself told this person said"no the government doesn't need your few dollars and this will be easier on everyone." He seen many times taking cash out of the money box which I am sure they did not claim as income. In the winter of 2008 this member also witnessed a customer slip and fall out in their driveway. The poor lady was hurt but all Mr.Diblasi cared about was a possible claim against his property. I think because it is an illegal business. He intimated the woman into not reporting her fall.This family member finally quit when she could no longer take the perverted stares of Mr.Diblasi. Around the same time a neighbor commented that Mr. Diblasi put in his home addition illegally and did not go through the inspection process. The neighbor who made that claim is married to the contractor who did the work. I found it disturbing so I contacted the building inspector. A couple of months later,the neighbors encountered Mr.Diblasi at an Easter gathering. He was very disturbed and made many intimating motions and comments trying to find out who made the call. I was scared as were others. In 2010 I noticed some outdoor work being done at the Diblasi property and as always there was no building permit posted. I too noticed the same truck of the contractor who did the addition. I thought something sneaky could be going on. I went down to town hall and spoke with the building inspector. He told me for a proper investigation I need to write a formal complaint with my name. I am truly scared of Mr. Diblasi and told him that. The building inspector told me he had a dealing with Mr.Diblasi earlier and was best to leave it alone. He told me that with an earlier complaint Mr.Diblasi blamed his sisterinlaw and tortured her with it. The inspector spoke with her and he knows it was not her. He said she broke down crying and claimed that Mr.Diblasi is harassing her by telling friends and family when she never did anything.The building inspector said he did this to take fault and suspicion off of him and did not care who he hurt. So I thought best to stay away. It is known too in the neighborhood that their children were investigated by child services. They were often seen roaming outside unattended with bruises and cuts. They missed a lot of school too for no reasons. Mr.Diblasi really did not seem deo I c� 6112- f 5 to care what condition his boys were in. Small kids should not be around hot irons and needles. Then this past summer an elderly neighbor was ran off the road by a group of illegals coming out of the Diblasi driveway. They stopped and asked her if she when the shop will be open because they heard they were hiring. Not good if they are hiring illegals. You may read this and say just rumors and gossip but there is truth to it. Absolute truth. If you investigate properly you will see everything is true. Here is a lawyer who knows the laws and cuts corners at any time. He should not be allowed to practice law if he does not follow the law. I leave this in your hands and pray for the safety of our neighborhood because he is a lose cannon. V11 E FEB + J 2008 1248 Salem StreetVW ' ,. North Andover, MA 01845 ,s > �'' ' , February 13, 2008 x, V" Q �; ot- Gerald A. Brown, Inspector of Buildings ° �" Town of North Andover CON-, ,o , Building Departmentk' '� 1600 Osgood Street North Andover, MA 01845 Re: Written Complaint Received for Our p Home at 1248 Salem Street ' Dear Mr. Brown: r I met with Brian Leathe of your office on Friday, February 8th, and he shared with me the undated, unsigned, anonymous letter regarding my wife's seamstress studio at our home at 1248 Salem Street. As soon as I read the letter, it was readily apparent to me, as well as to my wife as soon as she read it,that the'letter is not authentic,,but instead fraudulent, written not by a neighbor seeking to raise concerns, but instead by a non- blood, non-resident, family member, known to us, who has long harbored feelings of ill- will and whose "internal fuse"was lit as a result of a recent dispute. While I will detail for you below the reasons for our conclusion that the author is not a neighbor, as I did for Mr. Leathe, I nevertiieiess would like to First respond to the letter so that you may have a true background and understanding. My wife, Laura, and I have lived at 1248 Salem Street for almost 8 years now and she has had her studio there for 7 '/2 years. Prior to our purchase, Laura had done alterations work in a local cleaners and was even voted the town's best seamstress in a newspaper survey her last year there. We searched for and bought our home, in anticipation of starting a family, so that Laura could care for our eventual children in our home, without giving up the vocation she loves. Prior to purchasing the home, I met with Michael McGuire, the then town building inspector, and reviewed our intended use as well as the applicable home business by-law. He informed us a seamstress/tailoring studio complied with the regulation and gave us his well wishes. In addition to loving the home itself, we specifically settled on our current home as it was on a well-traveled street, was situated well away from neighbors' homes, and had a very large driveway. It was and is our plan to have Laura stay at home and continue with her part-time hours until the kids were settled in school, whereupon she would like to open her own shop. We have two sons, one almost 5 and one 20 months old. Laura's first and foremost duty is the caring of our children. Laura's studio is open 3 '/2 days during the week, not 5; and is not open before 9:OOam or after 5:00, except for one day when she starts at noon and works until 7:00pm. Laura has one assistant who helps her an average of 2 half-days per week and has a local school girl help her with the children. On no occasion has a client parked on the street, as our driveway easily holds 6-8 cars, not including the garage. We have never received any complaints from our neighbors. In fact, about three-quarters of our surrounding neighbors, virtually all the ones Laura knows, come to her to have alteration work done when needed. It is my understanding from speaking with Mr. Leathe, that your office has also received no such other complaints. As you can see,the author of the complaint letter does not relay the accurate facts that an actual neighbor would observe, because of that very reason- she is not a neighbor. The author, in her letter, goes on to make accusations regarding our private residence that would be beyond the scope of any "neighborly"relationship. The author unthinkingly demonstrates a family relationship when she uses the words "the owners", "they" and "constantly make remarks", as 1, myself, have almost no substantive contact with any of our neighbors. Moreover, the author tries to hide her true identity by slyly feigning ignorance about the spelling of our name, "DiBlazi" instead of"DiBlasi". After all, wouldn't one who had so much supposed knowledge about our household information and our"constantly making remarks" know how to spell our last name? Lastly, if my wife's studio was such a nuisance to a neighbor, and a danger to school buses and children, I would expect the person to be more than willing to give his or her name, address, and date and sign the letter and request that your office contact them so that he or she could further discuss the matter and resolve the problem. It is transparent that the author's intent is not to remedy a problem,but instead to cause a problem. Unlike the letter's author, I would be happy to speak with you further if you wish and would even be happy to provide names and addresses of those neighbors who could confirm the facts and refute the allegations made in the anonymous letter. My daytime telephone number is (978) 664-6500. On behalf of my wife, I thank you for your kind attention to this matter and apologize for the time you have incurred as a result of the fraudulent complaint. ie trulyoph RD iBlasi r Mr. Brown, I would like to make a complaint regarding a business that is being run out of a house on 1248 Salem St. It is a tailor shop called Laura DiBlazi's Tailoring and is quite busy. I don't understand how it was given approval when there is not even enough parking spaces in the driveway for the patrons. Cars end up parking along the road. It is quite dangerous especially when the school buses are running. I along with other residents have had some close calls there. It is open five days per week and she has employees there as well. We purchased our home on a residential street not a business zoned area. It is not a small operation and it is not fair to people who run their lives ethically and get the proper permits. How was all that renovating permissible with the septic laws and plumbing codes? Please look into this because I do not think the town is aware of all the illegal practices that go on there. The owners constantly make remarks how they fly under the radar with permits and such. They joked once that they were not to put oil heat into a first floor addition which they built,but they added it after the inspection because otherwise their septic would have to been redone. It's not right and should be addressed. ED CIS PM 14 L let R � vt//t"/ LV,41-e se ec h'�C7 if cj l 2 v �o► _ ndov r —'::.mow..+,•..: : .:_.-•:....•.. "1��st,ts,t� aslt,�:s�tEt'ltte-fe�t�,e�.t-a�s��tttttfs�i�ttttsit�S i ` . f 6 0 Date...Cf�'.�a... 4 ........ ti f NpR7p 1 o?°.<;�``°..•�."�p� TOWN OF NORTH ANDOVER '° PERMIT FOR WIRING SSACMUS� ` This certifies that ....... �• has permission to perform - '-r,ry -,- -r ...:: r -- wiring in the building of ....t: ............................................................... /f lA at..: �.��,, —��"' ................ .North Andover,Mass. .............................................. Fe � o, Lic.Ntr�7.,lr��. .. ................. .... ... .......+...T.. .......... ............. .4. f.............. ELECi'RICAL INSiEC'�p�' Check # /f// DEFA ETOFPUB[x'14PWPennit Na 0 ft 0 BOMOPMEP,REVfMIgWUMLA11gi1ISM7(OZZ-0 lkcapmcy R Fes CWCW APPUCA17ONFOR POW W PERFORM ELECTRICAL WORK ALL WORK TO BE PFAPORMED 24 ACCORDANCE WITH THE MASSACHUSSTS E12CMICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL ZrtPORMATION) pgm Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant i Owner's Address 'f; c--'N _Ak—x— Is this permit in conjunction with a building permit: Yes No (Check Appmprmft Box) Purpose of Building 4nN U Utility Authorization No. Existing Service Amp@ f,��►olts Overhead Underground C3 No.of Meters NewServes Amin.. / VoW Overhead Underground No.of Melees Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Ughtht;Ocilla Na or Hot TOM No.dTymubpagg@ Tota KVA Na of Ughdng Fimm Swbutaing Pool Above in Babes Osoentaa KVA No of Rwgtwle owlets No.doll Burma Na of Emergency Lig►tdng Battery Units No.of switch Outlets No.dos Bumere No.of Ranpa No.of Air Coad. Tota FIRE ALARMS No.of Zooft + Touts Kl of mtpsale Na of Haat Total Total No.of Dateedwt and Tone Kw ruidadag Davlan No.of Dishwasbers Space Alae Headug Kw Na of Sonetang Derkme Na of Serf CUAWNd �Devices Na dDryer Huft Devices KW Odaar No.of Weser Neaten Kw Na of Na of D cmowtiotta Sim Baibui No,Hydro Mmage Tabs No.Of Mous Tota HP 17r'HER• i L==Cbvwp RvamiobeleI uflbltwdxmftChMLm JpwaQamIJt6*hu=Fbftkciiftotitst*dWWgiAW y� NO the es ftftdmiUpoddsatatohClffia3 YMEriyouhnededocdYB4►picasit�csle6etyped MlaNd rj BM[j aMM [3 BooftDo WadnDStata' —"'hpmlan W�ftd Ra* F dVAzdEh2WWhtS � POW find I�tMNAtve0� u C Li==Na orb 1 Bilats'I>,lNa AkTdNa T r CJWI�R'S WAIVER;Imoawselstdieticmz��tzistmneac�ariba�hlanlYegivolsteec}iedbylNeezcfas�('asriiLaRs ardl�mysi�ttaeonfiepearitappicaiQtwsi�sti� (Please check one) Ownat 0 Apo aIIIIIIIIIIIIII 01 UWner or AMM Telephone No. 1 'FEE 1,—R:5 DffAXRWMT0FPUBW&4FMy Permit Na e 0 BQAI�DO�RFBPBAI�V6N11�1►R1�UTA7Ig1�SSZ7(�tlt�2�1 r� oabpon"at Feel � APPLICA1'lONFOR PERMIT70 PERFORM ELECTRICAL WORK -� ALL WORK K MMRMBD m MXORDA=1HrrH nM MASS ants F1ECWAL CODR.527 12:00 (PLEASE PR T IN INK 09TYPE ALL 0MRMAMN) • , A Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perfomt the electrical work described below. Location(Street&Number) Owner or Tenant t Owner's Address is this permit in conjunction with a buildinS permit: Yd No Q (Check Apptoptisle Bolt) Purpose of Building 45� \C� Y�,, Utility Authorization No. Existin j Service l 7 Amps /`�olb Overhead Uadapround No.of Metas New Amps Volta Overhead Underground No.of Metes �s Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Na of t Oft Oahu Na of He TWO d TOW Na d Uandq Fixtatss Swimming Pool Above Below �sasrsOOA KVA RVA Na of RecepWh Owiw Na Of on Bvrs Ns,Of&WPOc7 Lim BatM Units Na of Swimb Oadeb Na of Oss Bwn Na Of RMSss Na d Air Cont TOW FIRS ALARMS Na d za Tess Disposals No.d Heat TOW TowPIm" TOM Kw Na d Debella sM �� Na d Dbhwub= Spaoe Ars Hudq Kw Nm d g=Kft Days Na d SMf Ca tabta Na d Dryers �i Ds� KW �b d p Otltss No.of Wsw Homers Kw Na d No.d D Cansecdwe Sign Bab* Na Hydro M=W TsbsNo d Maas Taal Hr [7r7iF.R• OXW FaNIWIDI ereqrieneordlNseldaaeiClmecillsie ataatetlisf:iw►>istmae�9► RarirstfrBdYe�iraktrt yes attitriidwidptaofdsametDle�7f t)whe*chsdedYB4,Pirsidtiehtyped h dVAN cll�u L� L �Adk% c� B�atsT6iNa 10-7r-5' 0W?�WS WA1VEilt:Iamaraae#sdrLicale��tlteirlaarne At'Ia!!No T 7 f arddorM i�aecrithI ntr�icia o°� orirts��tftia}irelmtaec�iedbYll�e■dsarmC�rmiLart (Please check ons) Ownat Agalt Q oma'' Tebphofta Na -.Ymthur FEE i fCk �. 00 A M � �a e,,,Ae� � Date. No t. 5 9 of'" .. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ♦ � a SSACMUS� This certifies that . . 4' . . .+ .. . .`. . . . . . . . . . . . . . . . . . has permission to perform .. . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . at . . . !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , North Andover, Mass. Fee. . G. . ". .Lic. No.. . . . . . . . .. . . . . . . . . . . . . . PLUMBING INSPECTOR Check # `I �' 2 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer y MASSACHUSETTS UNIFORM APPLICATION FOR P MIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ,J DLl ate Building Location /o? 5, S Owners Name`/4S o�L�� Permit# C( C! Amount T 7 Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES I- x a a s )--4H a En En a �Ln x a Zn w w d c 0 a a w w ArAx a s x Fa = a Cn a a dIn a d d x m SCBM BEFIDM zn FLOOR 3MHJ0CR 4M Ra R SM FLOC R sM HU 7MROCIR gni HffR (Print or type) Check one: Certificate Installing Company Name C��ui,9ic B G° / C/.GCr_'.� �.,12 -dT. [] Corp. Address wo El Partner. /r c i s�3 tr iN iI l`7A Business Telephone ( e) 2F)' 6/Firm/Co. Name of Licensed Plumber- Insurance lumberInsurance Coverage: Indicate the Ve of insurance coverage by checking the appropriate box: Liability insurance policy 1_I Other type of indemnity El Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent previsions of the Massachu efts Statelumb' C e d Chapter 142 of the General Laws. By: SignaTure Signsof MEMOum r Type of Plumbing License Title 211� City/Town icense Sumer Master Journeyman ❑ APPROVED(OFFICE USE ONLY �--+ µOR70{ 3� TOWN-OF NORTH ANDOVER J D o PERMIT FOR GAS INSTALLATION SACHUSES This certifies that . .4/?.f .". . . � {�'.-`. . . . . . . . . . has permission for gas installation . . . .F!n . . .Pl ev.,: :-�. . . . . . in the buildings of . . .D.j. 0.,r.f t. . . . . . . . . . . . . . . . . . . . . . . . . . at .. . . . . . . . . . . . . , North Andover, Mass. Fee. .-''�. Lic. Nol?f'. . . . . . . . r i-�. ... ,.:,. . . . . . . . . 1 GAS INSPECTOR Check# C?':3 MASSACHUSETTS UNIFORM APH ICATGN FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations 1248 Salem St. Permit# residentialAmount$ Owner's Name Joseph Di Masi 978 689 9355 New f7l Renovation ❑ Replacement ❑ Plans Submitted ❑ w v; 0 U a $30.50 w a ° x a ° H z ° GC7 w d x zW v a > H z d x w a w �" w d d 1~ H � m ° � O � � x o a a p y SUB-BA SEM ENT BASEMENT 1ST. FLOOR t 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print Ortype) EastNameern Propane Gas Ch kone: CertificatelnstallingCompany UjCorp. Address 131 Water St. ❑ Partner. ?dart rarer MA (�l a�3 Business Telephone 1 goo 3Plo hh�€i ❑ Firm/ o. Name of Licensed Plumber or Gas Fitter f F'have RANCE COVERAGE Check a current liability Insurance policy or it's substantial equivalent. Yes � No❑ have checked�,please" dicate the type coverage by checking the appropriate boxty insurance policy E Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner.or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and _ apt 42C General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town Gas Fitter Ticerise Numb7r ❑ Master APPROVED(OFFICE USE ONLY) ❑ Journeyman i N- 2 f. Date...l............................ f NORTH 4 ��?°•_ �`"- O� TOWN OF NORTH ANDOVER o p PERMIT FOR WIRING �,SSACMUS� This certifies that r . ............................................................................................. has permission to perform ................................................................................ wiring in the building of,/ ....:.............: ..........:........................................ at. .. . .............:.....:...:........................................... .North Andover,Mass. Fee.. Lic.No, / ELECTRICAL INSPECTOR Check # - WHITE: Applicant CANARY: Building Dept. PINK:Treasurer AUG-D-99 r tt i Uv ;4; AM FAX: PAGE 1 Rough Service Final z 04e (911mmnnwM110 of Mssaar4uaeii otrtce use only Department of Public Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy 6 Fce Chccksd� ]M Ileave blank) APPLICATION WFOR�PERMITmed in eTO with the MPERFORM ELECTRICAL WORK All $27 C R12.00L (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) paten,/ "OL City or Town of ftpermit \�� To the Inspector of WiresThe undersignedapplies rto perform the electrical work described t>dow. Location (Street & Number) -./,;� Q k p �a t eon Owner or Tenant ��Se-VD� 1 ' �t (AS lr _ Owner's Address Is this permit in conjunction with a building permit: Yes No (Check ��\S Appropriate flax) Purpose of Building -----. Utility Authorization No. usBng Service Amps / Volts Overhead ❑ Undgtd LJ(� No.of Meters New Service Ami / Volts Overhead 11 Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Qi'1-•o+'T� �� No. of Li Outlets No, of Hot Tubs No.of Transformers TOKV^ e In- No. of Lighting Fixtures SwimmingPool rnd rnd. Generators #CVA 1o. of REEacle Outlets No, of Oil Burners No. Emergency Lighting Battery Units No. of Switch Outlets 7 No. of Gas Burners FIRE ALARMS No. of Zones .�. RIO_of Ranges oraNNo. of Detection ando.of Air Conditioners Tons Initialing Devices Heat lotal Total No. of Ois sals No, of Pumps Tons KW No.of Sounding Devices No.of Self Contained No. of Dishwashers S e/Area Hearin KW DetectionlSotl ing Devices ('�. Municipal No. of Dryers Hearin pevices KW LWILJ Connection []Other No. of Water Heater �Kw 0. N0' low Vo(age 5i ns Ballasts Wiring ,f io, Hydro Massae Tubs No. of Motor$ Tolal HP OTHER: INSURANCE COVERAGE Pursuant to the requirements of Massachustle �s General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES O NO O 1 have submitted valid proof of same to this office. YES 0 NO U If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND 11 OTHER❑ (Please Specify) Estimated Value of Electrical Work $ (Expiration pate) Work to Start SI'-�11/�`� inspection Date Requested: Rough Erml Signed under the penalties Of perjury; FIRM NAME Licensee CIC, NO. Signaturef �e �q LIC. NO. Address --Z7 - lt7iy�6' Y'LG�eS Bus. Tel. No_ p OWNER'S INSURANCE WAIVER:I am aware that the Licensee d AIL Tel No,�7 7l � ��Z as not have the_insurance coverage or its substantial equivalent as required by Massachusetts Gen ws, my sig (ure on this permit application waives this requirement. Owner Agent (W.eaw check one) `( / / �/ / Telephone No. (, J�V PERMIT FEE S (Si nature of Owner yr Agent) Date.C. t ,,ORTH pF4��io ,°,ti0 or 5• TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION SACHUSEt ' This certifies that . . . . .. . . . . . . . . . . . . .-y°"`�� . . . . . . . . . . . . has permission for gas installation . . .�.- %:: v:�r?. . . . . . . . . . . . . in the buildings of . . . .. .. .0 � �•- � �. .�. . . . . . . . . . . . . . . . . . . at /f � North Andover, Mass. Fe�).4!. . vLic. No:�? �`r/. . GAS INSPECTOR Check# f 5L3Z MASSACHUSETTS UNIFORM APPLICAT N FOR PERMIT TO DO GAS FITTING (Type or print) Date 2/15/05 NORTH ANDOVER,MASSACHUSETTS Building Locations 1248 Salem St. Permit# Amount$ Joseph DiBlasi ner's Name 978 689 9355 New Renovation ❑ Replacement ❑ Plans Submitted ❑ coktp w a a a o H $30-50 z ai Z 1. v x a o a x w 6 o z o N� x o ' w 3 a ° a° a a°» F o SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Check one: Certificate Installing Company Eastern Propane Gas Corp. Name ► 131 Water St. ❑ Partner. Address ')anvPrR MA QI W ; Business Telephone 1 X300 3P? EiF,Pc9 Firm/Co. r Name of Licensed Plumber or Gas Fitter !�v/'�y/y� /4. /'64`5 ro INSURANCE COVERAGE Check I have a current liability Insurance policy or it's substantial equivalent. Yes - NO❑ Ifyou have checked yes,please dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts tate Gas Code a n4 Chapter 1 eral Laws. Signature of Licensed Pr Or Fitter Title By: Plumber City/Town Gas Fitter License Nuffiber Master APPROVED(OFFICE USE ONLY) ❑ Journeyman ` Location l qB �,�A��'�` No. Date t'� 6 NORTIy TOWN OF NORTH ANDOVER 3? ' °c f 9 + ; ; Certificate of Occupancy $ 'ss�cMusE` Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL $ o d Check # 164. 69 Ali J Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REP RENOVfA�TE,�O,Ry�D�E�MOLISH A ONE OR TWO FAMILY DWELLING ullrn BUILDING PERMIT NUMBER. DATE ISSUED: / �UQ X < 1 SIGNATURE: Building Commissioner/I or of Buildings Date SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 105() ra16� Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: (1-1 5-0, S£sY 150 Zoning District Proposed Use I Lat Area Frarta ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided ? 1.7 Water Supply M.G.L.C.40.1 34) 1.3. Flood Zone Information: 1.8 Sewersp Disposal System: ❑ Zone Outside Flood Zone Municipal ❑ On Site Disposal System ❑ .J SECTION 2-PROPERTY OWNERS111P/AUTHORIZED AGENT '!Ctr!Ct: Yes (,10 X rni 2.1 Owner of Record 3 s e-�I,. � ju.✓rc. ��(aS� t L�-1�' Stile wi s l-rac.� Name(Print) Address for Service: \ Signatu a Telephone 2.2 Owner-of Record: o Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: 0 �100 „�� J I License Number II Add ( j —3— r> Expiration Date tgnature Tele one r 3.2 Registered Home Improvement Contractor Not Applicable ❑ 0 d Company Name M Registration Number ra r Address Expiration Date Signature Telephone • SECTION 4-WORKERS COMPENSATION(XG.L C 152 § 25c(6) : Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No.......0 SECTION 5 Descri tion of Proposed Work cheelr al!nopkable New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: E/"LIOSG �o�Xay' j3reC-� -D a Ck— SECTION 6-ESTIMATED CONSTRUCTION COSTS - - Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by penrnit applicant I. Building d 0 (a) Building Permit Fee— Multiplier eeMulti lier 2 Electrical (b) Estimated Total Cost of U Construction 3 Plumbing a Q Building Permit fee(a)x tb) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5) 30,000 30,oCheck Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT L .� o S-e,'vr 1. P- ��1.Qc-3 i as Owner/Authorized Agent of subject property Hereby authorize a,`a nvVQ S to act on My behalf in all matte relative to work authorized by this building permit application. r -C Si iawre ot'Ukiier V Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION a, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge f and belief �;�3tarIL Print Name rl s Si ature of duker/Agentr Date NO. OF STORIES SIZE I BASENIENT OR SLAB fj SIZE OF FLOOR TIMBERS 1 2 2' RD 3 SPAN Z b d-67 DIl,IENSIONS OF SELLS Z)C DMIENSIONS OF POSTS DIlIENSIONS OF GIRDERS X 2 HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING ' X MATERIAL OF CHDI NEY --- i 1S BUILDING ON SOLID OR FILLED LAND SO IS BUILDING CONNECTED TO NATURAL GAS LINE ` r7 CX/cfOsS C 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 SECTION APPLICANT ��`�Se1Pj^ Q- bks' PHONE LOCATION: Assessor's Map Number PARCEL SUBDIVISION LOT(S) STREET S��e"^ Tk•/cek ST. NUMBER OFFICIAL USE ONLY R M A N TOWN A N : CO SERVATION ADMINISTRATOR DATE APPROVED DATE REJECTED COMMENTS TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR-HEAL H DATE APPROVED ATE REJECTED AEPtIZILNSPECTOR-HE&T—HVDA APPROVED DATE REJECTED COMMENTS P �? / _ d PUBLIC WORKS -SEWER/WATER CONNECTIONS DRIVEWAY PERMIT FIRE DEPARTMENT DUMPSTER PERMIT RECEIVED BY BUILDING INSPECTOR DATE i FORM U-Revised 6.05 JMC COT t3 �' c� i 317'3 Lb is„ 4 L cS Ab wi H.H. 7ea57 LCAT to 44 — moo_ LOT f/AA fir.. dDT 13 _ V N G� Q• CPI V� O � •` �1.5 r R i� 4c.i' t5O.tl� 79 Z 53 79 m " L 5 TREE T J t 4 , DE VELLIS CARPENTRY PROPOSAL QUALITY WORKMANSHIP FT115,OSA RESIDENTIAL•COMMERCIAL ISHEIET!�O DATE PROPOSAL SUE MITTED TO. WORK TO BE: PERFORMED ATNAME ADE5PN�; I i IaUr,�ESS 1 CITY S ?"r. l lo PHONE NO. 11le her by f)mpos''e tf ana perform the f bQr necessiiry for'he comp;BfIOn of 61 —r– ✓//�`//�ga�'L _ tea* � �-r �"9/f� ��l.�"'�''d� x �('�,�+(..if .. ��} 1,.,.. 1 jj i II Ail material is guaranteed to by is Specified, and the above uteric be periorrned in accordance with the drawings and j peci;ic:aiions sub nYT d t;or a vtwork an p rr� eted in a s,ubsta .iai �eor�rr�andike manner to the surn cf# � _- --- /fo-, .�._;Faith paymen?s to be aslows k -ii fit or 0 db w!' :row aL-e G 1 C9fid'!S I.Lfkv i'�bl^,lt CiwiS ReC vl(.J i!y GAJ .jal w,me,^f t^.,.av-w!'Lec,.r,an ma C"aw { evef ono ztllo+fhe 11M.—Ia V rx"m-"'ms ronll-gsaa2 :raCKl�!�*c8 ::CC�ry'!t;t<,pl ff4,".S C�eyor;d C"J-COSY 6. SSy 9 ------- _._.._.____.__._...—_— ----'--- J q �y��Oty PROPOSAL�fUt�7U{Slizi silciy:::i?N;'Jt(iClrea�Nf':!y us;t not aC�C$j:`e°.�'�MI(hin--- :Says.! �,.......�....r. ..,..®............_...,.,....._.�.......®.s....�m ---�-AirJ��"�"�!'il��..:1_ 11�' I`C'�1.J��.t�f`":L _.».,__...._........______.._....-._..�...m................_....�....m�.........�.,...�__�,.�..n...� i m The above prices, spedficatians anti conditions are satisfactory ano Orr;hereby accepted. You are au!(oriza a do the v:cfrk as specitieu. F'aymen'.s t iii j 1 be made ae out#Jned abo:vs. SIGNATURE BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number.C$, 005743 Birthdite'r 03/26/1954 Expires:0k&2 006 Tr.no: 23554 I�eebirllnn.RC ,j :.r�F 1 Restricted DAVID J DEVELLIS ,`;, 198 MAIN ST SANDOWN, NH 03873 " Acting CcVnmisVoner 00-35,000 cf enclosed space (MGL CA 12 S.60L) 1A-Masonry only 1 G-1&2 Family Homes Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. 1 � i i DIG SAFE CALL CENTER: (888)344-7233 J I He Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www-mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le 'bl Name (Business/Organization/Individual): 111D � Ile— Address: e.Address: /99 1r1g1t) S__�- 5&14WV1 .3el?.? City/State/Zip: 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. El New construction employees(full and/or part-time).* have hired the sub-contractors 2.01 I am a sole proprietor or partner- listed on the attached sheet. $ 7. Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. [�Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' comp. insurance required.] 13.[:] Other *Any applicant that checks box#I must also fill out the section below showing their workers'compensation policy information t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating suck tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp,policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic. #: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under 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 certify under the pains and pe hies of p rj lthat the information provided above is true and correct. C Si afore: Date: Phone#: rc, Ug,� ? " / Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# 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#: f f and Instructionsinformation , 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 of hire, 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 ab 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 nant thereto shall not because of such do maintenance,construction employment be deemon such ed to be an eling mployer.house or onthe grounds or building appurte 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 of public 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-contractors)name(s),address(es)and phone numbers)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for 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(license 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 bur 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 and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 5-26-05 wwwmass.gov/dia Feb 7 2005 11 :10 ` _ ICT LIABILITY INSURANCE nT�fnrr . ' O3 $ z_4r A � sX CT3)38'Z-2t'34 'T"a GE "09C/ATE IIS ISSUED AS A.MAITER OF IF40VO ;TICJN '�Susi'! Solutions Corporation � ONLYiAND CONFERS No RIGHTS UPON THE CF'€TIFICATE Pu BOX 1079 (y y p I i?°1t3i.�?py�E§y��,�3;^I�IS C;1E�g p E KATE DOES�➢OL�7`q,��gl>�Et�!ND,,Ea��T,y�@�pC3�;4�+13p[ Atkinson. 4P7 R� l Q l THE liEl rl a[FS Y i i THE E'�a isR.�io� IMO. B. Dolores Raglia I INISORMS AFFORDING 0VVE ,vE ( KAIC# 198 Main Street nsuratKa_ Go,_0 Maine_._ ��►��ts4sl4dr, ��# i�J��33 iP�;:ae��: ___._.__._—�__.._..�..._,..._.- ,,.........__...,�......._..- _..._..j IN:3Ui 1 NY!�EQL)I E E [ iS IF',4NCE LI87ED 8@L"j�MBEEN iSSUEU TO,`tiE IhSUR�J vAi�4ls�?ABC�V FrvR TF#�'POLICY PEF{ft?D INL'i iTaD.N4'�Dl@TtiSTRg1Di4D MA'f :EC t9iG��4$EI,'i`,T hY CJit CQN (i IC I G ANY a(J1NTt 4GT�R QTTi iESi D�CUME17F'iN9vN�ESF GT'{�?WHICH T141 C.tFY1iF9CATE' iY BE "yv`l!' D GFS L4b9fe1°PE'TAIdd,TTdE ti`)SUPANCF.A r-Fo;Z ip BY THE POLICIES[)Z SS �t3BF-V HEREIN IS SUBJECT TO ALL TMF,TERMS,I.XCLU$#8NS ANC CONE)ETiONS•")F SUCH � POLICIES,JCC A1E L18uifTS SHOWN 4Y—AY IRkNI-E 4EEN RECOW-0 BY PAID CLAIMS. 'maA it 1 --."_ ��T-f.414 � C EPA!-LiA>5{LI:'Y i CLANS F✓ALE :G'Ct)R /4. I LOW UMfTAFPJFS FFR; I q'- F-c r €z�-s-CO-slew AGG S f A�At tC Y f i' _ _ I kuT�aDalLSADc. vl�19729i Q2l2 �4-f1r / 7,it➢ _._ -r _ ,_-_ �_. __ It k ALL orw Aures AUTOS DAILOAGF- (For 29114w 2 AMO ONLY EA.'DlU-1pHRr IANYoUTO S ----_�,._ 0=09 7—j U.Alms MADe f Wok COMPS NS�AT'OR AND 1G"Sf TU 07 1 3; ANY Pf'es?A�l�:rC�F Wf�i1 J�X��i1T NF ; � � F .f3Cl A_�:tCiG�iY f g OFFIC �dr'Sv! yye�aa o ��;-..-.........-.----- kPEG{A1. %CF_L_13MASC'.-POLICY Iii?ST { I i f I f3A4 FrAT�SYPt�{LS3GAIX0491 VBMICL,AS/EXCLU.SMINS A I)F-D My ERIUG»RS IR�at f:SAEClaA FO�RS9f0.40NS C:rKSILOG 14OU1.4' A Y OF to W�MseM PaUcjeS Ora G�kj Cr3 L�JS�� iFP YTiI� I EJ4F'3lSA�YOA€(yd19 7T4CR�t/F,Tft(SSUND DSR.V'ttR,7K3 iDAtaEl. _ 1+9. DAYS WArn-m fjomCm To'T;-v C:Wnvjc.A7E DKK'IDEA?tl ea TO TU!@ Lan, Aubay C i mdy Carmus c-i o ftt9T FAILUP19 rte MAIL 56PIR NOTICE S A"i@1 POW.NO.0BLQAn0N UR UASIU Y 29 HonegsuckleoFANY►q WON T74GlwGVRM 4SAG 4T`--%G4; iF AT 1TT Westford, MA 01866 LA DE VELLIS CARPENTRY QUALITY WORKMANSHIP RESIDENTIAL•COMMERCIAL Joe DE VELLIS CARPENTRY QUAUTY WORKMANSHIP RESIDENTIAL m COMMERCIAL 67A � EEE 1 I f 7 Val Y8s DE VELLIS CARPENTRY " QUALITY WORKMANSHIP RESIDENTIAL•COMMERCIAL NORTH Town of Andover 0 No. 7;0- �i 3o D � �/8 C, dover, Mass., i: LA loom COCHICHE!� OA?A'rED Is BOARD OF HEALTH Food/Kitchen PERMIT T D Septic System a I BUILDING INSPECTOR THIS CERTIFIES THAT....7 1S. P, �...dt...10.0.61.......... A.t............................................. .... .... ... Foundation has permission to erect... N ....... buildings on ....M.y ..... 41C.01...... ............ Rough ..... ........ ....... .......... 4_1 �..X Q Chimney to be occupied as...........Fes ............/A Y.10...... DCCX ........... ............. .............................................................. provided that the person accepting this permit shall In every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatin to the Inspection, Alteration and Construction of Buildings In the Town of North Andover. ADS PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCT19N 5TAIITS Rough ........ Service ...... BUILDING INSPECTOR Final Occupancy Permit Required to Ocatpy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING . m r BUILDING PERMIT NUMBER: DATE ISSUED: ic SIGNATURE: Building Commissionerfl for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �o r eV�r�aJ�r Map Number Parcel Number 1..�3 Zoning Information: 1n 1.4 Property Dimensions: ak` 12e.Ss2-1000 S. tl yfr.x /g-u — 200 Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide ReqWred Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal 0 On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record J0696 0,J L ,j YJA,.K S Eek au. "0-/e-.- Name 0✓earName(Print) Address for Service � 4 F . 1(96 q Signature U Telephone 2.2 Owner of Record: Name Print Address for Service: Z rn Signature Telephone y� SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction S rviso: d ✓ 7 y License Number Address 1 q g Expiration on D d Signature Telephone r 3.2 Registered Home lm&6vement Contractor Not Applicable 0 Company Name rn Registration Number r Address r e Z Expiration Date /) Signature Telephone V� SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buil rmit. Signed affidavit Attached Yes.......IV No.......❑ SECTION 5 Descri tion of Proposed Work check au applicable) New Construction L,-' Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: -a, w, i rJ e JT'/0 A/ SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee 000 Multi lier 2 Electrical (b) Estimated Total Cost of �v U Construction 3 Plumbin 0 p Building Permit fee(a)X (b,) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 0 OF d Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, 1 0 o ^. / 4 S ! as Owner/Authorized Agent of subject property Hereby authorize :1)/'t V/'0 1/e J�1 S to act on My behalf,in all matters r tive to o b this building permit application. Signature of Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, J r as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief OSS � Print Name Si ature Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS IsT2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Q The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name_ 1 C VeJ ro t Location: l q S yn a l k/ 5+ City :)IC, Q«i /V _ A) , t- Phone 66.3 n 7 aam a homeowner performing all work myself. 2I am a sole proprietor and have no one working in any capacity 0 1 am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone#: Insurance Co. Policy# Company name: /'pm we—R c w Inn Lz L-1 I - ��.J Address / C' City: Phone#: 6 0 3 ►►3 a o� �4 0 d Insurance Co. U (T 1� Policy# 1 M c�� a 79 Ll 7 3 Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify er the pains and penalties of peiJurAhat the information provided above is true and correct. Signature / Date /00 Print name A Phone# ('00 '?(37-�0 7 1 Official use only do not write in this area to be completed by city or town official' ❑ Building Dept ❑Check if immediate response is required Building Dept ❑ Licensing Board ❑ Selectman's Office Contact person: Phone#: ❑ Health Department ❑ Other FORM WORKMAN'S COMPENSATION IV fr CURRIER ^OR3b?d-SYSTE,�q PJ1�9}+�rO�E CORD 8 ��4.2�i,�, 49 SSACFIL,S2 TS r r SYSTEM LOCA-IAN: DATE OF QUAIv?Ta y PUN"ED: QAI LGNS CESSPaO;: NO I r— . . YES � SEP'T`IC T�tiK__ NO Sysmm Pi,F1�IED BY: CITRPJER �j 7 DR k�SER`TC� -ENTS rRANSFERRZD TO: DEC 2 2 Z� L1t?y 7;51 i[lel� Lr= •.i_�. �_.[:�n_ 1 . 'IL HSbrlcJH1 iLJdS 3-1>idbdS i iUtl-� r;±hr t RV ASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING ` ^t. (Print or Type) • �r P061& fvta^ - Date J `/�i9 Permit # Building Location < typo o( occupancy, Now f IlCtruv:rllutr ) ) Hf'I,I,1Cc.'trrent Ll Plans Submitted: Y040 N0 . (n Y Cr c o � rnul Ul fa tr L Cr m N Fu- d cc O 'd tW. v, cc d' W Z U W N ZUj CL (A 0 d CC O D y W OF t W U V, J �: X a t7 CC W N1 a t „ <� 4� C7 F Z J F- Y W W 0 � LL V N+;' W �. C t > N 'm X O x w O - }4ry �r° v..,• d W ? a W < d -K O O W cL O 1- V n 's o > o a o 1 I SUB—BSM7. BASEMENT < r? y S T FLOOR U" .,, 2ND FLOOR — — rtt 77, F 3Rb FLOOR ' �v� 4THF LOOR atK•. 1R5�1, -. " 5TH FLOOR N. kw.; may' �. 6THFLOOR 7TH FLOOR STH FLOOR Insta�ling Company Name �T/d iv/ r s* 4 Pf f Check.one.., Certificate.,,.#, , Address y 3 Corporation ❑ Partnership 6usl�es3,Telephone_SCI ❑ Firm/Co. .,"Name of Ucensed Plumber or Gas Fitter_ / wvp •� �A "INSURANCE COVERAGE: %• II hay*a Mrrel2 liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. :.Yes No ❑ , } I(,yOU have C eckedyes, please Indicate the type coverage by checking the appropriate box. l Allablifty Insurance policy [ nth type r �...�r ,,�� o, Indemnliy ❑ Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by ,• Chapter .142,of the Mass. General Laws, and that my signature on this permit application waives this requirement. y L 4„- ` Check one: Sig natutoo Owner or Owner's Agent Owner❑ Agent ❑ �,1 fieteby certify that all of the details and information I have subwilted (or onterod) In above application are true and accurate to the best of m .knowtedDe and that all plumbing work and installations performed under the Pormil Issued for this application will be In compliance with all y parUaentprovisions of the Massachusetts State Gas Code and Chapter 112 o tho General S. H Te of Llcensu: wrte'�#s} r lumber Title' $gnalur o CensO Um er or ' '`�::.,:•, . '' Gasfitlor diet ' 'f' Cull�y/T Master l.icenso Number Jo w n e yi n a n AFP7.1 $ , 3} t�•�=«;*r•;ice:i• I COMMONWEALTH OF MASSACHUSETTS ";;,w !,;•: IMPOnTANT NOTIOf nIInI;II Ira i•I u14n1 US ANU d BP T I It .1 11 n r n JUUI TTg gg 11 uy yy NN <Nc4FTO I�L�MUaI TS pd ,LON� ►TrO ii c.r,ln r nuR I ICI9NAf!TO VA01 II MU•T UI FILIuAl nr I YI'I, I II(IHA" N GAGNON OFFIO 0 THIIITATFDOAnn. 1'n IU1'!, llri60 nl I w MA 01971-8860 691786 1859/ 05/01/96 691784 99FIRATIONDATE SERIAL NO, COMMONWEALTH OF MASSACHUSETTS. IP08T TNOTICE. ;r BOARD IN PLUMBERS..-AND, casF= p , PL LICENSED AS•A''•M'ASTER •PL' SIS 1 1 • !•;.•' • •' ISSUES TNS LICENSE TO "' '' EA FC:R CLuMa;NG AND w NSTALLATIONS ON STATE OWNE ,•.'� FACILITIES MUST BE FILED AT TH TYPE THOMAS R GAGNOW OFFICE OF THE STATE BOARD. -M PO BOX 8860 SALEM MA'.°01971-8860 691783 10136 05/01/96 691783 I Ila yy - v I COMMONWEALTH OF MASSACHUSETTS BOARD IN PLUMBERS AND GASFITTERS IMPORTANT NOTICE PL REGISTERED AS A- PLUMBING CORP PERMITS FOR PLUMBINO AND OAS ISSUES THIS LIC N E TO INSTALLATIONS ON STATE OWNED .� FACILITIES MUST BE FILED AT THE OFFICE OF THE STATE BOARD. TYPE THOMAS R GAGNON m —C / P. PO BOX 8860 SALEM MA`;'(�1971-8860 674686 1524 05/01/96 674686 • CCIMMONWEn1 I'll DEPARTMENT OF PUBLIO SAFETY � t of ONE ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 LICENSE CAUTIC t:xrmnncrNnnn SPRINKLER CONTRACTOR 08/31/1995 EFFECTIVE DATE LIC-NO. FOR THEFT PUT TIGI .. RFSTHIC'f HON^ NgNL 08/31/1993 002265 a PRINT INAPPF ' 6 BOX ON LIC zTI10MAS R GAGNON f?4 DRUMLIN R D BLASTING OPI SS d 025-48-6k1l IPSWICH MA 01938 MUSTINCLUOI rr,iliSb�.y� E.�lS b.UO •.Ofv-DtWtK WN(O GY uC4m$U AMo OI[,Wuv y . 8 ,K-?c.0 + i'`•' HEIGHT slwnio.w.wwrwarw cowuwgwt� ' SEP e �-�= :! DOB- k/31 /1957 r•n:w'e.n Mus,uE •. —. . / -uIWCu! .E✓ENS0.01 N O/UCfMY1 Sam MAWNRA1ADM 94- O,wf.P+.niOrrf rrrir rrrrrr., ..rirr.r.rr rr r.ru wlxw �60 i 19-11 3 Date.. .......... . .. a 1 o'a�yaL TOWN OF NORTH ANDOVER p PERMIT FOR GAS INSTALLATION r: �SSACMUSE� c.� r. f This certifies that . . ' - � i; 5. . . . . .. . . . . . . has permission for gas.installation . . �;!��..!: .!: . . . . . . . . in the buildings of'/��. . ! % -. . , . . . , , . `. . }.at .�':�.� . .s.,��.�(, i,l., , ,� . . . , . . . . ,, North Andover, Mass. Fee.tr�4? ?*-0 �-:�.�/ Lic. No.Z . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANA�Y: Building Dept. PINK:Treasurer GOLD: File