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HomeMy WebLinkAboutMiscellaneous - 13 MAY STREET 4/30/2018 13 MAY STREET 2101017._0-0013-0000.0 J I Date........ .. .. . . ...... RT#j TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .........RC( kI& .. ..................................................................................... rm has permission to perform ..... ............................ wiring in the building of................Ar 4 ...... at )3 /� 0-ti < r ...................................... ............................................. ..........North Andover,Mass. Fee... ........Lic.No. ................ ............................................................. ELECTRICAL INSPECTOR Check# 3 U 1 2-/ i • t Cvmmonwea�//h ol Maaeac4ueetfa Official Use Only Apartment o f gire Services Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Jan. 11,2016 City or Town of. North Andover To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 13 May Street Owner or Tenant Annie Williams Telephone No. (978)376-1238 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Text Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Text Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -Change 200 Amps ricer on electrical service p Completion of the ollowing table maybe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. BattLeq Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and To-tInitiatin Devices No.of Ranges No.of Air Cond. Tons No,of Alerting Devices No.of Waste Disposers Heat Pump Number TonsKW No.of Self-Contained Totals: --'- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Kms, Security Systems: No.of Devices or Equivalent No.of WaterNo.KW No.of No.of Data Wiring: 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 Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: CKB Electric LLC LIC.NO.: 14361A Licensee: Ernest R.Hart Signature LIC.NO.•• 14361A (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.; (978)685-0301 Address: P.O.Box 2062 Salem NH 03079 Alt.Tel.No.: (978)809-2600 *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,l hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S G 7704 The 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 Legibly Name (Business/Organization/Individual): CKB Electric LLC Address: P.O. Box 2062 City/State/Zip: Salem NH 03079 Phone #: 978 685-0301 Are you an employer? Check the appropriate box: I am a general contractor and I Type of project(required): 4. l.U I am a employer with ❑ g employees (full and/or part-time).* have hired the sub-contractors 6. E]New construction 2.❑ i am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp. insurance.: 9. E] Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their l 1.❑ Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑ Roof repairs insurance required.] 1 c. 152, §1(4), and we have no 13.❑ Other employees. [No workers' comp. insurance required.] *Any applicant that checks box#1 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 such. +Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Hartford Fire Insurance Company Policy#or Self-ins. Lic.#: 08WECCM9941 Expiration Date: 6/18/16 Job Site Address: 13 May Street City/State/Zip: North Andover,MA 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 penalties of perjury that the information provided above is true and correct. Signature: Date: Jan 11,2016 Phone#: (978) 809-2600 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#: �.W T { # R A OA,Rop 5 c N, e i L S T F,,,01L It ED -E,C E-ST RV , ll� K 9.0 , LOW xFzp '€. � Date.. .......:`....: /..... f NORT/1 1 TOWN OF NORTH ANDOVER ' p PERMIT FOR WIRING AC14US This certifies that . /y ' ��' . ... has permission to perform ...:..::; . wiring in the building of.. ! P:!��- -a ................................................................ at......1..z....... ...... ................... . .... .North Andover,Mass. Fees.................... Lic.No. ............ . . . . . . ' ELECTRICAL INSPE R Check !iG�/ 9224 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and may be.deemed_by-the-Inspector-of__Wires abandoned.and_invalid_if he—_. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or.the instetlirg en'ti`ty stated on the permit application. C ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 d extending-through August 15,2012. ule 8—Permit/Date Closed: t/ "Note:Reapply for new permit 0 Permit Extension Act—Permit/Date Closed: A r ..._ L,onsrnonwaatuI or 1r1a,,,.4ch,44,;ld V5, ..UaparfmanL o��ue ssrvtcal Pe:mit No. BOARD OF FIRE PREVENTION REGULATIONS Occupant, 2nd _b Checked [Rev. I 0%; i;A3ve blank) APPLICATION FOR PERMIT-TO PERFORM Al!work to be performed in accordance w ELECTRICAL WORK i44 the�fassachuselu Eiec.:,cal Code'� °Lc c P �`T!;V LAK OF. 7"✓ate r �' t r�;, 2-C�tR 12.00 L�±LL �'. OR.tL-i770.v7 Date: Cir} or Town of: 00 Q,� hU �. _ 5�,th:s ap,!ication the urtdersi;ned gives notice of Its oLr n-e. o the trspe_xr of tyres: intention to ye,lorm the;let~csi work desc^bed below, Locarion (Street &Number) Owner or Tenant In,," 1 Telephone No. O�vners Address �' a�'�C. Is this permit in conjunction with a buildin;permit' yes G1 � Purpose of Building No K-!., (Check Approoriate Box) Existing Service Utility Authorization No, Amps /i Yolts Overhead Dndgrd_I o,of:Yfeters New Service .Amps i Volts I" Overhead,� L nd;rd +1 No.of Viecers Number of Feeders and Ampacity Location and Nadir:of Proposed Electrical Work: 1 Cvrrv!etior,of:he.r'oilv�virg ray a,MCI.�2:rc,'ye�j; ;re "spec:or of r7ires. !No. of Recessed Luminaires 110.of CeiL-Susp.(Paddle) Fans y tio.o; TOM1 f Transformers KVA No. of Luminaire Outlets 1 JNio.of Hoc Tubs i Gererarors KV A '•No. of Luminaires Above 1Swimminb Pool U ! o of r.tneraency t,nnn; _rnd. Qtnd. (Batter Lnits !No• of Receptacle Ouriets iNo,of Gil Burners t FIRE ALAXI MS iNo.of Zones No. of Switches INo.of Gas Burners �+o. of Detection and No. of Ranges ! Initiating Devices 1No-of Air Cond, otal Tons 1No.of Alerting Devices No. of waste Disposers 1 eat Pump I dumber I Tons !KW' No.of Seil= ontained De Totals: ! r""'; — - tectioN�Iertina :No.of Dish%v ashers i Devices !Boatel.-+tea Heating KW ILocal_ Municipal No. ofDryers 1 — Connection Qom' 1Heating Appliances KW ISecurir. Systems: U. of eater KW No o; No,of Devices or Equivalent N Heuiers I 0. of ! Signs Ballasts 'Data g: !No. Hydromassaae Bathtubs No•of Devices or Eouivalent �No. ,f Motors Total HP !Telecommunications wiring: 'OTHER: f No.of Deices or Eouivalent I Esti-aced`a':: of Electrical Work: cda;bone!��ra Wcr Cta:7 ti ( (When required by municipal Irspec:ens to be;eauested ir, y INSLR .NCE COVERA E: r.;'riless wa: c Lp,,_,;- and uper, c rptetien. veaccordance wit;KIEL owner, no e !icer ee arc`: ocf pe=nit for the " , "set :deS pr of ltabilit;'IIIS':.*�r;ce including"comp'l -A Cr'ic:.C,,_. ::eC:P,Cal work.may iss-ae',_,niess undersi, c�^ilies that eta..ope/at.on"coy,-_--ga .,r , such coverage is ir. fora,and: d - s substantial uivaien CHECK ONE: 1NSUR�NCE � $py�y i-i t tea"'n bite.?roof of same to .,e-e-;: :ssurr._odic; t T`Ie GTHER t 1 c rijy, under the paint and penaln s o e.*u (Soec:fy:) r j lP I D',that the information on this application is ue and conrpleie. FIRM NAME . (C r• Licensee:11Lm a LIC.NO.: 7 ler 2mFt' 'n th :zc r Si-nature LAW z e numar. LIC.ld.. i�+dd1.v.L. =M1•- -61hC! G �a $"Q .Tel.No.: .z </ _ ' security OWNER'S [!S; R INCE W' wTrk requires Department of.o:oli Li - 41t.Tel.No.: a �, WAIVER: c Safety ce..Se: d ann awn-e that the :` by !a ; 8y my s:ryrlatt:re below,T Licenses does nott' I 2 :lab :t� uran O«'ner'A en ° ` - c`'waive this regt:r :tent. irs c:covemp normally O t is i e 1 am the(c recti o, :;nature ❑owner I-1 owner's anent. IV Telephone No. 1'£R:1fIT ` Department ofltldlistria1.4ccidents •p Office of Investigations <r 600 it'ashingtotl Street Boston, 31.4 02111 -A a Www- IN-orkers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information _ Flease Pi•int Le ibl�• 1lillle i,BusiuessiOrgatuzatiou1Tedit°ideal): -f U �" leC, rt C ^ Address: 1 .3 C 4 \a., Cit :'StaterZip:C�1t. Phone 6t( ;7 Are}'ou an employ er'Check the appropriate box: 1. I am a employer with-----1_1_ 4. ❑ I aur a general contractor and I ripe of project(required): �.❑ employees(full and`orpart-time).* have hired the sub-contractors 6• ❑New corlstuctioll I am a sole proprietor or partner- listed on the attached sheet. ship and have no emplovees These stub-contractors have Remodeling working for me in anv capaciq,,. erinployees and have workers' 8. ❑Demolition [-No wworkers' comp,insurance COMP,insurarnce.= 9. ❑Building addition required] 5. ❑ We are a corporation and its 10.'Eleetrical repairs or additions ❑ I am a homeowner doing all work officers have exercised their Myself. ['_Vo workers' comp. right of exemption per 1NIGL 11 ❑ Phuubiug repairs or additions iusuranee required.]x e. 152. §10).and we have no 12•❑ Roof repairs employees. [No workers' 131-0 other comp. instuarlee required.] ttv applicant tliat checks box=l must also fill out the section below showing their workers-compensation policy informztion. Homeowners who submit this affidavit indicatins them are doine all work and then hire<Contractoi5 that check this box mast attached an additional sheet showing the none of the its ide contractors rc toms and ate Whether or nor ilit 1, new ho;e e•1 it�llhat such.1 employees. If the sub-contractors have employees.they must protide theiru ork -comp.polio number. 1 ant all eulployer that is Providing Workers'conlpellsation illstlrallee for m>`°Pmplol'P�S. Beloit'is til information• Re epoliq andjob site Insurance Company Nairne: Policy=or Self-ills. Lic.=: K Y V/G Expiation Date: °,7 Job ob Site:address: 5t Ciq?State/Zip: 0 Attach a copy of the Workers' coin' nsation polict�declaration page(shoRiug the policy num d e L�- Failtue to secure coverage as required under Section 25A of�ZGL C. 1�2impositionp tion date), file lip to S 1.500.00 andbr one-year i iplisomnent.as well as civil penalties in the fo in SZ 0-imil1', Penalties of a Of up to S'S0.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office ORDER anti a tele Investigatious of the DLA for insurance coverage verification. e of I do hereby certifj•inkier the pains and penalties of perjllinformation provided abo e Is utile and correct. Sigattre: Phone Date: 7 t� =: of,01(7al Ilse 01111 DO not lt'rite ill this area,to be completed by city or tone ofj9cial. ` City or,ToRv: Issuing Authority(circle one): Pei'mit./License# I.Board of Health 2.Building Depal-tinent 3. Cih?/TOR-n Clerk :t.Electrical Inspector �,Plumbing 6. Other nbing Inspector Contact Person: Phone#: Date l.(JZ'?. v�.............. OF NORTM,IIO TOWN OF NORTH ANDOVER 9 PERMIT FOR WIRING It $B�cMug� This certifies that .....�..bYnA-.'I ..e.......................................................... .............. has permission to perform .Y,!.T... !1✓>t.,i......'1 \P F� wiring in the building of....l...... F�... .?.......................................................... 4 ! atd......... .........� � ..................................,�iorth Andover,Mass. Fee..%&�...........Irc.No. '1 ... C" �`''jG ELCMUCAL INSPECTOR•`. /7 Check# t" t 1 /'�� L1 r 15L� 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed 1 on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and maybe-deemed-by-the.Inspector_of-Wires abandoned.and_invalidaf he—_. ._ or she has detennined'r°hat the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. � ❑ The Permit Extension Act.was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15 2008 and extending-through August 15,2012. ule 8—Permit/Date Closed: ***Note:Reapply for new VIC- 0 ❑Permit Extension Act—Permit/Date Closed: Commonwealth ofMas4achllsefts offfd'al 9 ctly I7e �e1r� oflr� F- 1 o, I l BOARD OF FIRE PREVENTION REGULATIONS � .r= 3 lease a ;uta ceacles&elecfticlart°s cell and ed, nec_ (Zev.1/07] (leave blank) conft aGf 9&bfcf perrari$ffi if ap,elfcalxle,} _••� '� PPUGATION FOR PERMIT TO PERFORM ELECTRICAL WORK M work to bepeformed in accordance with the Massaohuseits Electdcd Code(MEG'),527 CUR 1200 (-PLESSEPRI HEYXORYTPEALLWORMAU04 Data: Cit, or Toren of � � . � �J. Amita v e C' .7'o the Inspec�or of Wires: ;- By this application the undersigned gives notice of his or her intention.to perform the electrical work described below` i Location(Street&Number) 13 VA a+? C�e Owner or Tenant A \-C, al o Tele bone ZtTv. '1$ �►�L p Q: b�� 307Si` ' Owner's Address ( f D this permit in conjunction with a building permit? Yes f�l P 7 g p ❑ No � (CbeckAppropriateBox) Purpose of Building Utility Authorization No. F;d f ng Service Amps / volts Overhead❑ Undgrd•❑. _ ,No.of T&,ters I: New Service Amps. / Volfs Overhead❑. Undgrd❑ No,of maters um er o f2 eeders and Amp acity ; aeafion and Nature of Proposed Electrical_Work: 4 Compledon of the following table may be waived by the Inspector oflYires. s No of—R-ac saLamina'. o of-Ceil.-Sus _ No.of Total- p � �` ' J No.of Luminaire Outlets No.of Hot Tubs Generators KVA i -No.of Luminaires IS�vimmingl'ool Abover-1 ❑ In- o,o mergency Ig qng �xnd. d. BatEe Units =---t -I'i�e�R�eptae3�=�n-tlets=.--1`Tv�If��B�rrre�s- -— =� �-No-.--ak�ir.,.-€�---_.•— i —t No.of Switches No,of Cas Burmers No.ofDetecfion and Initiatin Devices No,of Ranges No..ofAir Cond. Tons Na.of AlertiugDevices No.of Waste Disposer $eatBump I Number Tons IOW No.ofSelf-Contained Totals:I DetectioDevices No.of Dishwashers Space/Area Heating IOW Local ElMunicipal Connection ❑ Other No oflhyers Heatins Appliances KW securzty Systems:* j No.of WaterNo.ofDevices or E 'valent Heaters I1Yo.of No.of Data.Wiring: Si BaIIasfs s No.ofDevices or E uivalent Telecommunications Wiring: i No.Hydromassage Bathtubs 114o.of Motor, Total H1' No.of Devices or' uivatent OTHER: lltiach a'cef'Ponal detail if desire4 or as required by the Inspector of M7 es_ Estimated Value ofBlectdcalWork. gq.0 (V7henregniredbymunicipalpolicy.) 1 T1Torkto StartInspections to berequest4aaccordanca with, Rile To,and upon completion. INSURANCE COVERA.C'E: Unless waived by the owner,no permit for the performance of electdcal work may issue unless the Iioi msDa provides proof of liability.insurance including"completed operation"coverage or its substantial egoivaleut4 The undersigned ceriifaas that such.coverage is in force,and has exid'bited proof of same to the permit issuing office. —� CHECK ONE: INSUR&WCE ❑ Baan ❑ OTRER X(Specify:) Selflnsnred i`cerkifyT under fhepagrs cazdpene7iies ofperjury,that the rrzia0lOn tFtis appTrcaon is true and corrpfua F12Nd NAME: ADT LLC DBA ADT Secuciiy i- LIC.NO.. C-172 Licensee: Thomas T.Lee ignafure LIC.ATO.: C-172 (If applicable enf,,r"P>xemor"inthe h e nvmher 1"01 Bus.Tee No. Address, , ��e'�✓ fi2� ff s ��/ •fvlJ;�✓? Alt:Tel No-:0 r1 r ';j stem Contr2ctorLicense re ! `5 �5/"� utitY Sy quired for this work;if�plicabie,eater the licensenumberhere: 001779 1 ®V1NBR'S INSURANCE WAIVER: I am aware that die Licensee insr does not have the liability .rance coverage noamatly required by law. By my signature below,I hereby waive this regnu-emcat. I am the(check one)❑owner [(owner's agent. Qwrer/Agent Signature TeleplloueNo. �S • z� f« ►� -Y\0.,L 90 0o t'-b 71�53yG�� - s, ME .�7 ': = _.: - - EY �- Ti r;V{_ gra I t -- r - 'Fi. 1 !`[ �E sNi ;. { vfM I% _ I Comm•onaFi of(fassaG,usss 4� Deoariment of pgblic safety License:SS-041T-q f. rs IbamasS'7La ,' t westw.d2r ,.?,. � Gorr'vrrissi-Doer ps(-(�Og4 •� if 1 i 1 i ' 1 Tito Conunonweaft of Massachitsetts t Deparr:t IndustrialAccideniv en _;"-V4Office trfInvestigations I k': 600 Wavhington Street Boston,MA 02111 ``�• ww . rtss.govIffia Workers' Compensation InsuraneeV Affidavit.Buil,er,l/C ntr-aettsrslElectrielans/Plurnbe ApVlicant Information__-__-- .. please Print LcMitt>dy Name Security Services Addie ,ss: 18 Clinton Drive CitylState/Zip:___Hollis NH 03049 Phone 9 603-594-5930 ,+ire you An employ=er?Check the.appropriate box: Type ot'project(required); 1.3 1 ata a employer wid, 1000+ 4 ❑ 1 aria a general coati motor acid T employees(full andlor Part-time).* have hired the stab-contractors � ®1�"t w oottsttztction 2.Q ,f atn a.soil:prtrlrrict r err pati E4r- listed net h�cthe attached sh? et. 7. C1R odcEng ship and har ,e.ao employees Tiiesty:sta <rritractars have �.l3�rrtr5l'noir working Cor talo hi an capacity. employees find _have workers' ' �' P �'• 9. 0 Building addition [No ttrker.5rinp•insurance xomp•insuanc .. , We a corporation and its 7. requirudj Electrical repairs or a dditions 3.El i am a homeowner doing all,work offevrs have exercised their 11.0 Plumbing repairs or additions myself. [No Nvo lee rs'imp, right of exemption per.-MOL 12.[j Roof repairs insurance required.]! c.152,§1(4),and we hati,eno 13.[o other Low Voltage Mploys:es, [No mvrkers' c;inip. insurance s°ap red.7', SecuritV System +Any apslimnt chat uhtcksbox#E must assn iill riot the section bv`luvb sl5vivirig 4h4i�3rOc}efs'tc�mlfer�9arittn pinlicy infories&1iAn. Honneowners who submit this affidawit indicating and then hire oulsWe epntractors must submit a stew affidavit indicating such konttactors that check this box miist fittaohcd an additional sheet showft the ImnX of the sub-conic vaTs ane!state wlrn tkt or not alu*sc Inti[+cs have ernploym, l(the%ub-cantractars have employee:,they musE ptuviae their w ricerx'comp:Policy number. f am an employer tinct is°,r molding workers'compensation,insurance fpr my employees. Relow is site;palicp rind job site Inf0fMatlon. Insurance Company Name: Zurich American Insurance Co. � wj I'glie r#or Selt=in5,l.ie. WC509589701 M/C509589801 _ ^ Fxpi ration Taste; 10101/2014 - Job Site Address: � _.._._.. �_� � — - - City/Statd- iP.___ a&-I1J� - Attach a copy of the workers'compensatiots policy declaration page(showing,the policy number and expiration date). railure to secure coverageas required tinder Section 25A of MGL c. 152 can lead to the tr position of crim ind penalties of, r t3nc up to$1,500400 udlor one-year imprisonment,.as well as civil.penalties in the 3arm eta STOP WORK 0RD8R and a time of tip to&250.00 a dray agphnst the violator, Be advised that a,copy of this statement may be fonvarded to lite Of m of Investigations ofi the DIA for instim w cevcragc-vu-rifcation, I do trtereby�ccrti nder the p ns and p*rtaffle-s�n,/"l edurtf licit t to information provided above rs tort.and correct. . uture- IZQ�� �=-�1Z �s �.,.. iYate: >> ne_ 603-594-5937 (lfcial ttse only. Dir not write in this area,to be ctrnrleted 6j,dry ortown officiaC fits'or Town: Pyr mi 11'kense t� Issuing Authority(circle ane)t I.Board+ofHealth 2,Floilding Department 3..CityMbum Clerk 4,Electrical Inspector 5.Plumbing inspector 6.0th.er Contact l-ersairr Phone#: Date.................................. f NORTH 1 o?;•t;�``°;':"�O� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS� ` This certifies that , � D ............................................................................................. PA1 �' has permission to perform ............................................................................... Waring in the building of......... ................................... at.......j.3......��.A -fS �......................... .North Andover,Mass. Fee......�. Lic.No.R 8q6 -�'.J� .. .� L'1 (La---- F�...... ......................! .... !............................ ELECTRICAL INSPECTOR Check # OC 433 ) Commonwealth of Massachusetts Official Use Onl A twig Permit No. f Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: City or Town of: &,� _ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) [ Owner or Tenant Telephone No.7 7,q7 t11(l Owner§ Address f 7j . IQT�jI-` Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work J 1 l rl o � jY4 'C'ompletion of the following table may be waived by the Inspector of Wires. No.of Recessed Fixtures No.of CeilSusp.(Paddle)Fans No.of Total : Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ElBatter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones id of Detection a No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No. A Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Ileat Pump Number TonsKW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers JHeating 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. INSURANCE COVERAGE: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) JJY ZC 'S c1 Estimated Value of Electrical Work: (Nhen required by municipal policy.) (Expiration Date) Work to Start: — `/—U?j Inspections to be request-d in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this a plication is true and complete. 1 FIRM NAME: efl C i�C�� �GvI,�I?t' �` �'�`� ( 6i' LIC.NO.: Licensee: / fiSignLIC.NO.: i']�=� �1� atltre (If applicable, enter 'exempt the license ninnber h ) Bus.Tel.No.: Address: `7, t4114/J. �';,Q ,�%!� G-�� �;03 Alt.TeL No.:!�24 OWNERS INSURANCE WAIVER: 1 am aware that the(Lkensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this rcluirement. I am the(check one)❑ owner ❑ owners agent. Owner/Agent _ Signature Telephone no. FP—ERMITFEE: $ 1 Q U Date. r.- 01 Of PORT"�Mo TOWN OF NORTH ANDOVER o? •• O� PERMIT FOR PLUMBING r i i ,SSACMUS� This certifies that .' `' ` . �j� • '0" has permission to perform ,�! . �•:-�_.. ._.< .:. r.t . . .,. . . . ....:�,.:- �.. � t plumbing in the buildings of . . . . . . . . . .,.,�-� . . . . . . . 'g at . . .. . . . . . . r. . . . . .`. . . . . . . . . , North Andover, Mass. Feed..' . . . . . .Lie. No.. . . . . . . . . ..'. : . . .:,... . ... . . . . . . . . PLUMBING INAECTOR Check # ((( 5677 3 W11FOYER.9 AXIDPI JCATION -OA P-2r NUT TO 0 PLU' , I v L 6 NAZSAC�- 1. `977 (Pr;nt or Type) Nises. Date 9- Permit #—6741 ' tX z Building Location n P1 64 0,Nnar's Name &WUj L4j A/ 0 it ALA 0 Type of Occupancya _rA lj� N e,,,v ❑F1 Ranovaticn ❑0 Replacement ❑El Plans Submitted:5,-Yes 0 No El S.P. # SEWIER # SEPTiC # Z Z 1-- Z CO (.0 z Uj a:LLI 8 W �e cc %J W (n Cr(L M CIO Lu (5 z Q_ U) _1 W U) CD Z: C.: CC 0- a- g :3: 'X 0 cc m LLJ 2 W CD rD 0 I-L M W 0 a: C', z _j LU _j LL 0 z < < Uj LL Lu a. 0 0 < CL 0 D z 0 > < _j _j < 0 < 3: S2 P W LL (5 :3 0 < M SUB-BSMT. BASEMENT 1 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLCCR ZT H FLOOR 7TH FLCCA 3-TH FLCC,9 Inatal,fing Ccrr, any Nanrr.,3 Chack cna: cani-ficat'a Ad4r3si 0 0 Cc.(perst`9cn _ j Bt siness Talaphona % I Firrp/Co. NIme of Lcansed Plumber INSURANCE COVERAGE: Oiava a curren insurance policy or its substantial equivalent which meets the requirements or NIGL Ch. 142. Yes No 7 If you have chocked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy. Other type of indemnity 0 Bond El 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 an this permit application waives this requirement. Check one: Owner 7 Agent 0 Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or anterod)in above appcation are true and accurate to the best of my knowledge and that all plumbing work and installation performed under 0 9 pa it iscuad for this appiicatlon will b in c prance with ail pertinent provisions of the Massachuserm State Gas Code and Chapter 142 of the G , ai Larm. By Signa'03 ef L!"Cano—ad PVC-ii.tai Tilla Typa ct I lc3r.,;a: 1,la-atir �curn�ymanxl_ BELOW FOR OFFICE LASE OHLY i i FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE. - Ho. - APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUIL®IHO PLUMBER PERMIT GRANTED ®ATE 19- PLUMBING 9-PLUMBING INSPECTOR (Print or Type) y f .. � ■-r—�■■ irl 1 Mass. Date__.46 1 •y L i = .• 4 Iir�l t Building .'� Permit # location Owner'sju New Renovation O Replacement O an u mltted: Yes. No OINJ , N L J � K i i r1 ' L F• L W W y L O V m S h ', Z Q yLj < _ 0 W t' L N O W W S s N H O L � < . W yL� r! W S < S L C W C W r W �' ♦t L J W Y. H V .j C�. d h• Z H Y �. ` Y y a S O i LW O y Z r`� q9 0 S 7 O J 0 C > 0 6 H 0 V sue-8SMT. BASEMENT r- IST FLOOR YNOFLOOR JRO FLOOR 4TH fLooR OTH FLOOR STH FLOOR TTHFLOOR OTM f100R ' f 1 • , ` / ., � s .� °� Check oriel ''�I'�CertKiC�'.o _�� '� t� - Installing Company Name J r /C D .M ! I 'C�orP. Address 0 e?&4 d Partnership -- 6 AJ e-1A a ✓1n 1y1el - o z i O Firm/Co.- Business Telephone 6,17" -1/3 Name of Ucensed Plumber or Das Fitter INSURANCE COVERAGE: Check on I have a current liability Insurance policy or its substantial equivalent. Yes No O If you have checked yn, please I -Icate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity O Bond. O 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: Owner O Agent O, Signature of Owneror Owner's Agent I hereby certify that all of the details and information I have submitted (or entered)in above application are true and accurat to�ha best of my knowledge and that all plumbing work and installations performed under the permit i ed for this application will b mil Since with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the ral laws. f� By T Ucense: lumber na gure o nsb um r or atter, Title .ter s�— Gty/Town C Journeyman stef Ucense Number U 7 3-X APPROVED(OFFICE USE ONLY) "'*'' _ 2302 Date.. .v—... NORTH TOWN OF NORTH ANDOVER Of ,s,4, 0 � op PERMIT FOR GAS INSTALLATION a oq a �9SSACHUS"- This certifies that . . . . . . �� . . . . . . . . . . . . . has permission for gas instal atif o . . in the buildings � � at . J. . . . 1. North Andover, Mass. Fee. . Lic. No.. Gi.�4. . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARYluilding Dept. PINK:Treasurer GOLD:File Location No. 0 Date TOWN OF NORTH ANDOVER o p Certificate of Occupancy $ Building/Frame Permit Fee $ 'sJ�cMU Found Ion Permit Fee $ h ' t1 ermit Fee $ Sewer Connection Fee $ _ Wper Connection Fee $ 6AL $ G1 I L .JJ .Building Inspector 3 4 S Div. Public Works 1 ;,>;aMlT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PA(, y MAP 4.40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ONE I SUB DIV. LOT NO. rI OCATION �1 M (' r._ y� PURPOSE ORCIINIGrU �^C O � OWNER'S NAME 1e� t 1 cin �R-�• NO. OF STORIES SIZE rcv ✓OWNER'S ADDRESS cv _clv f y� :S - t� ���' /r ` tJ BASEMENT OR SLAB ARCHITECT'S NAME L • SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME fr, L•'V Ctt I/)� � ` SPAN DISTANCE TO NEAREST BUILDING T� DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ILL BUILDING CONFORM TO REQUIREMENTS OF CODE C IS BUILDING CONNECTED TO TOWN WATER � J L__---BDARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND C SEE BOTH SIDES T. BLDG. COSTtf PAGE t FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 4 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS P S M ST BE FILED AND APPROVED BY BUILDING INSPECTOR D E I D L[ c' BOARD OF HEALTH SIGNA LYRE O NER OR AUTHORIZED AGENT FEE PERMIT GRANTED OWNER TEL.# PLANNING BOARD -,*CONTR.TEL.#_k 7-7 "�y t9 -�TR.LIC.# ` BOARD OF SELECTMEN t BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES I THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE _ HARD BRICK OR STONE 6NFIN D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. 8 M'TAREA _ V. 1/7 1/1 FIN. ATTIC AREA _ N_O 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"J'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 6 FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING h STONE ON FRAME _ Y SUPERIOR I� POOR _ S ADEQUATE NONE 5 ROOF 10 PLUMBING I' GABLE HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. 12 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 11 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 3 COLS. HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING } r� Page No. of I 1 Pages Q, MERRIMACK VALLEY ROOFING COMPANIES, INC. 37 Stevetis Street x HAVERHILL, MA 01830 (617) 374-9224 :y. PROPOSAL SUBMITTED TO PHONE DATE`Terry O'Reilly y1•�9 93 STRE , ET — JOB NAMr' t , 1 Cherry Street a-22 y Street- +� T ,8 AT and ZIP CODE r JOB LOCATION ;eor etownj Ana. 01833 t'r. lndover f ;✓ ¢+ ARCHITECT DATE OF PLANS JOB PH NE 61 "• =,. P-f roposp hereby to furnish material and labor—complete in accordance with specifications below, for,the sutra of:t Payment to be ma a as Ilowe: o8afs-h$--. / tz All material Is guaranteed to be as specified.All work to be completed in a workmanlike z4 a '.manner according to standard.practices.Any alteration or deviation from specifications be- Authorized low involving extra costa.will be executed only upon written orders,and will become an Signature _ } extra charge over and above the estimate.All agreements contingent upon strikes,acci- dents or cct-dents'or delays beyond our control.Owner to carry fire, Note:This proposal may be tornado and other necessary insurance..Ourworkers are fully covered by Workmen's Compensation Insurance. Withdrawn by us If not accepted Within day1r- ,We,hereby.submit specifications and estimates for: For Flat Roof Consisting of Approx. 1 , 500 SF; . ' A) Remove,lmodified asphalt roof system and dispose of debris in a legal , fashion ctS .1P)' Mechanically, fasten high' .density recovery heard roof igisulatfon c to wood deck C) install fully -adhered T?PDM (Rubber) Roof System by Carlisle,! StaFa.st, or equal in 060 ml membrane P DY-Flash all roof penetrations as re yuire`l and dictated by co ' ` J . roof practice M} J 1 ' z r P1;} .'Fabricate new pari}Meter metal in black aluminum and 'strrip ixZ 7- with with rubber flashing Tpon' comTpletion a;te1 payment is: 1.1 R�t, f system to be warrantietl i+ , ,Eor .a. period of ten years by roofcontractor lternaate #1 : a sit: S011"Ptitute 2.8 inch polyisocyar' _-e roof insulation and wood., blocking at perimeter for recr •y board roof insulation ADD ? 0? ,, o base Proposal A. .ni.+n c 4<... +... .> Y`Y..v-- , ,.._n i•+ r r A , r r r. v • '•.Mt: v f r,tie , �,'Ywr- Vii. kc 5 t Cytil Sl ( Vie C, Sr t,( .4 r 'tie, ', i .Q,^Q t I k 1^. �'M.. `� C,L W-,::t.Ia+ (7.i1 f.,`�,1 � 1"�j }�w��"�'"� S'�'�� •�.r L1..C•1��/^. ..-�" � ��''' Tri r O, �� �?• ` �+ �'4'+5 �` t� Ir►K Eh '" t ? I �° c G .•i!e 00tu ar $ Arrieplawr of Proposal—The above prices,specifications arta conditions are satisfactory and are hereby accepted. You are authorized Signa' 1 ;, ` o the work as specified._Payment will be,made as outlined above. 'M Date of Acceptance:- Signa` t FORM 218-3 Available fromeBs In 8.01411 .' COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY -�' 4 OF ONE ASHBORTON PLACE failaretopossessaenrront MASSACHUSETTS BOSTON,MA 02108 AtassachasettsStats8milding Code is causeforrerocation LICENSE of this il°aatUTION EXPIRATION DATE CONSTR. SUPERVISOR 01 /1711996 FOR PROTECTION AGAINST RESTRICTIONS EFFECTIVE DATE LIC-N0. THEFT, PUT RIGHT THUMB NONE -16/31',/19 13 026791 PRINT IN APPROPRIATE BERT BOX ON LICENSE. RONALD G LAM ° 3' STEVEINS ST SS 4 010-32-8924 HAVERHILL MA 01232 BLASTING OPERATORS m m MUST INCLUDE PHOTO. „`y4,P-ING OPR ONLY) FE NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: STAMPED-OR-SIGNATURE OF THE COMMISSIONER r; 115 DOB' "PRO-0005 '� - ^i %17/1942 / _� \, THIS DOCUMENT MUST BE E 1�.1( t�"� sJ}!''-i CARRIEDON THE PERSON OF TORE OF LICENS « SIGN NAME IN FULL ABOVE SIGNATURE LINE 1.... THE HOLDER WHEN EN. OTHER$'-�i(GHT THUMB PRINT GAGED IN IN i HOME IMPROVEMENT CONTR�;'TOR� REGIIRATION Esoard of ELlildirig F;e;Julat -Lons and : taridards One Ashburton Place: - ROOff, 1301 80stO1-1 , Mas sa-cl"usat.ts 02108 HOME IMPROVEMENT CONTRACTOR Registration 104731 Expirat.iorl 07.115/94 Type - PRIVATE CORPORATION - _- HOME IMPROVEMENT CONTRACTOR ' Registration 104731 Merrimack Valley Roof ng Companies Type - PRIVATE CORPORATION C° Ronald G . Lambert Expiration 07/15/94 - �= 37 Stevens Street i'-i�VCri"illl MA 01530 MerilaldCk Valley Roofing CGwN Ronal C. Lai.bert 37 Stevens 5treet ADMINISTRATOR Haverhill MA 01630 w ' AOR!'f a Town of Andover O PSrt dover, Mass P 19 A p coca c ew i .. '7 A0'QA T E D PP \ AN b BOARD OF HEALTH Food/Kitchen Septic System PERMI.. T Ta BUILDING INSPECTOR THIS CERTIFIES THAT............:u:...........i ,P ....... Foundation has permission to ........ ' dings ......{f. ....... .. ... ....... Rough to be occupied asp . Chimney ....... .. .. .... ....... ........... .................... provided that the ers pting er hal in every respect on rm terms of the application on file in Final this office, and to the provisions of the Co and By-Laws relating to the In ction, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. L Rough PERTV1 t I� E� 'I RES IN 6 NION�I HS Final UNLESS CON S'T R UC}-I-,1(. )N ST\PTS �� + ELECTRICAL INSPECTOR Rough ........ .',. !"''L '. Service E T R Final () c-uj)anc-y .hennit Regd7-ed to Occ-itj.ly BIIIICIIIl GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. (ZMA/PR /1AIATGR FIKIAi =c a4 DRIVEWAY ENTRY PERMIT e / TOWN GIS NORTYI.ANDGNT-.R � kORTH� Office €f the Building Department �r tib,�4tD"6'°�°ate Community Development and. Services a � 27 Charles Street North A-ndover,Alassaebusetts 01845 R-T ACHU5E� D.Robert Nixt#a, Telephone(978)688-9545 Building Cnirzr€/isrioner FAX('978)688-9512 January 16, 2003 James R. McCarthy Lynne M. Kenney 28 Ross Drive Londonderry,New Hampshire 03053 Dear Mr. McCarthy&Ms. Kenney: C 3 — 15 M Ay S+) Please be advised that this department has received a copy of a letter sent to you by the health department in regards to various violations at the property located at,15 May Street in North Andover. Please be advised that building permits, electrical permits and or plumbing permits may be required. Should you have any questions I may be contacted between the hours of 8:30— 10:00 AM and 1:00—2:00 PM at 978-688-9545. Respectfully, Michael McGuire Local Building Inspector a r Town of North Andover NURTp Office of the Health Department ;� Community Development and Services Division 27 Charles Street North Andover,Massachusetts 01845 4ss,,C,,usEt Sandra Starr Telephone(978) 688-9540 Public Health Director Fax(978)688-9542 NORTH ANDOVER BOARD OF HEALTH ORDER LETTER Issued under the provisions of the State Sanitary Code,Chapter II,Minimum Standards of Fitness for Human Habitation, 105 CMR 410.000. Date: January 9,2003 To Owner of Record: Property Location: James R. McCarthy and 15 May Street Lynne M.Kenney North Andover,MA 01845 28 Ross Drive Londonderry,NH 03053 An authorized inspection was made of your property at the above referenced address by North Andover Health Department personnel on January 6,2003 in response to a complaint regarding several housing code violations. The inspection revealed violations of the State Sanitary Code,Chapter 11,as listed on the attached Violation Form. You are hereby ORDERED to correct the violations within the time allotted on the enclosed form. Failure to comply within the specified time period may result in further action by the North Andover Board of Health. You have the right to request a hearing before the Board of Health if you feel this order should be modified or withdrawn. A request for said hearing must be made in writing and received by the Health Department within seven(7) days from the receipt of this order. At said hearing you will be given an opportunity to be heard and to present witnesses and documentary evidence as to why this order should be.modified or withdrawn. 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. You may be represented by an attorney. You have the right to inspect and obtain copies of all relevant records concerning the matter to be heard. Certified Mail# 7099 3220 0010 32416827 BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535 ORDER LETTER An authorized inspection of 15 May Street was performed by Board of Health staff on January 6,2003 at which time violations of 105 CMR 410.000 Chapter II of the State Sanitary Code, Minimum Standards of Fitness for Human Habitation were found. If upon inspection, any dwelling is found unfit for human habitation and may endanger or impair the health,or safety and well-being of a person or persons occupying the premises in accordance with 105 CMR 410.750,then per 105 CMR 410.830(A)(B) the owner must make a good faith effort to correct the violation within twenty-four(24) hours and/or begin necessary repairs or submit a contract in writing with a third party within five (5) days for the correction of the violations. Failure to respond within the allotted time period may result in the Board of Health taking further action. VIOLATIONS OF 105 CMR 410.750(A-N) TO BE ADDRESSED WITHIN TWENTY-FOUR (24) HOURS 1. There does not appear to be a sufficient amount of light for the exterior passageway oleading to the entrance stairway going of the subject apartment. There are sections ofS�41 f"" the pathway that are not illuminated at night and may constitute a safety hazard for the tenants and emergency personnel. "The owner shall provide and so locate electric light switches and fixtures in good working order so that illumination may be provided for the safe and reasonable use of every laundry,pantry,foyer,hallway,stairway,closet,storage place, cellar,porch,exterior stairway,and passageway." (105 CMR 410.253(A)). There is an exterior light with a motion sensor above the entrance to 13 May Street that is turned off. Please turn this exterior light on and leave it activated for the illumination of the passageway between the two apartments. This violation is also a violation of 105 CMR 410.750(D)which states that this condition, "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of an occupant or the public... (D)Failure to provide the electrical facilities required by 105 CMR 410.250(B),410.251 (A),410.253 and the lighting in a common area required by 105 CMR 410.254." Please address this violation within 24 hours. VIOLATION CORRECTED: DATE: 2 2. The hall light in the front entrance does not have a switch at the top of the stairs for the tenants in top floor apartment(15 May Street). The tenants occupying the top floor need ore, to be able to turn on the main hall light before heading down the stairs. "The owner shall provide and so locate electric light switches and fixtures in good working order so that illumination may be provided for the safe and reasonable use of every laundry,pantry,foyer, hallway,stairway,closet,storage place,cellar,porch,exterior stairway,and passageway." (105 CMR 410.253(A)); "Except as allowed in 105 CMR 410.254(B),the owner shall provide light 24 hours per day so that illumination alone or in conjunction with natural lighting shall be at least one foot candle as measured at floor level, in every part of all interior passageways, hallways,foyers,and stairways used or intended for use by the occupants of more than one dwelling unit or rooming unit" (105 CMR 410.254(A)). Please install an electrical light switch at the top of the stairs that will control the light fixture in the main hallway or rectify the violation by supplying an ample amount of light to meet the requirements set forth by 105 CMR 410.254(A). This violation is also a violation of 105 CMR 410.750(D)which states that this condition, "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of an occupant or the public... (D)Failure to provide the electrical facilities required by 105 CMR 410.250(B),410.251 (A),410.253 and the lighting in a common area required by 105 CMR 410.254." Please address this violation within 24 hours. VIOLATION CORRECTED: DATE: 3 "1 3. The light switch in the master bedroom closet does not work properly when being 0-ec YOA turned on and off. The light switch does not operate properly,is loose and works 1 sporadically. "The owner shall provide and so locate electric light switches and fixtures in good working order so that illumination may be provided for the safe and reasonable use of every laundry,pantry,foyer,hallway,stairway,closet,storage place,cellar,porch,exterior stairway, and passageway." (105 CMR 410.253(A)). "The owner shall install in accordance with accepted plumbing,gasfitting and electrical wiring standards,and shall maintain free from leaks,obstructions or other defects, the following: (A)...all electrical fixtures,outlets and wiring, and ...". (105 CMR 410.351(A)). Please repair or replace the light switch in the master bedroom closet. This violation is also a violation of 105 CMR 410.750(D)which states that this condition, "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of an occupant or the public... (D)Failure to provide the electrical facilities required by 105 CMR 410.250(B),410.251 (A),410.253 and the lighting in a common area required by 105 CMR 410.254." This violation is also a violation of 105 CMR 410.750(L)which states "Failure to install electrical,plumbing, heating and gasburning facilities in accordance with accepted plumbing,heating,gasfitting and electrical standards or failure to maintain such facilities as required by 105 CMR 410.351 and 105 CMR 410.352,so as to expose the occupant or anyone else to fire,burns,shock,accident or other danger or impairment to health or safety". Please address this violation within 24 hours. VIOLATION CORRECTED: DATE: 4. The attic does not have any lighting. The tenants on the top floor are allowed to use this q`r, area for storage. "The owner shall provide and so locate electric light switches and fixtures in good working order so that illumination may be provided for the safe and reasonable use of every laundry,pantry,foyer,hallway,stairway,closet,storage place,cellar,porch,exterior stairway, and passageway." (105 CMR 410.253(A)). Please install adequate lighting for the attic storage area and stairway. This violation is also a violation of 105 CMR 410.750(D)which states that this condition, "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of an occupant or the public... (D)Failure to provide the electrical facilities required by 105 CMR 410.250(B),410.251 (A),410.253 and the lighting in a common area required by 105 CMR 410.254." Please address this violation within 24 hours. VIOLATION CORRECTED: DATE: 4 5. There are several outlet and switch faceplates missing throughout the subject apartment and several of the outlets are loose and do not hold electrical plugs properly. "The owner shall provide and so locate electric light switches and fixtures in good working order so that illumination may be provided for the safe and reasonable use of every laundry,pantry,foyer, hallway,stairway,closet,storage place,cellar,porch,exterior stairway,and passageway." (105 CMR 410.253(A)). "The owner shall install in accordance with accepted plumbing,gasfitting and electrical wiring standards,and shall maintain free from leaks, obstructions or other defects, the following: (A)...all electrical fixtures, outlets and wiring,and ..." (105 CMR 410.351(A)). Please repair or replace all loose electrical outlets and replace all missing faceplates. This violation is also a violation of 105 CMR 410.750(D)which states that this condition, "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of an occupant or the public... (D)Failure to provide the electrical facilities required by 105 CMR 410.250(B),410.251 (A),410.253 and the lighting in a common area required by 105 CMR 410.254." This violation is also a violation of 105 CMR 410.750(L)which states "Failure to install electrical,plumbing,heating and gasburning facilities in accordance with accepted plumbing,heating,gasfitting and electrical standards or failure to maintain such facilities as required by 105 CMR 410.351 and 105 CMR 410.352,so as to expose the occupant or anyone else to fire, burns,shock,accident or other danger or impairment to health or safety". Please address these violations within 24 hours. VIOLATION CORRECTED: -DATE: 6. The electric clothes dryer does not appear to be connected to the correct type of outlet. The appliance needs to be directly plugged into a 220 outlet with out the use of any extension cords,adaptors etc. "The owner shall install in accordance with accepted plumbing, gasfitting and electrical wiring standards,and shall maintain free from leaks,obstructions or other defects, the following: (A)...all electrical fixtures,outlets and wiring,and all heating and ventilating equipment and appurtenances thereto;and(B)all owner-installed optional equipment, including but not limited to, refrigerators,dishwashers,clothes washing machines and dryers,and garbage grinders ". (105 CMR 410.351(A,B)). Please install a 220-volt outlet for the clothes dryer. This violation is a violation of 105 CMR 410.750(L)which states "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of an occupant or the public...(L) "Failure to install electrical,plumbing, heating and gasburning facilities in accordance with accepted plumbing,heating,gasfitting and electrical standards or failure to maintain such facilities as required by 105 CMR 410.351 and 105 CMR 410.352,so as to expose the occupant or anyone else to fire,burns,shock,accident or other danger or impairment to health or safety". Please address this violation within 24 hours. VIOLATION CORRECTED: DATE: 5 7. The occupants of 15 May Street do not have proper access and egress from the subject apartment. The tenants do not have a key to the main entrance of the subject building and the deadbolt on the main entryway door is a double-sided keyed lock. This lock is a serious hazard and may cause building entrapment in case of emergency. "Every dwelling unit,and rooming unit shall have as many means of exit as will allow for the safe passage of all people in accordance with 780 CMR 104.0, 105.1,and 805.0 of the Massachusetts State Building Code." (105 CMR 410.450). "The owner shall provide, install and maintain locks so that: (F)Locking devices shall comply with the requirements of 780 CMR1017.4.1 to avoid entrapment in the building." (105 CMR 410.480(F). Please install a proper deadbolt that does not require a key to lock and unlock from the interior. This violation is a violation of 105 CMR 410.750(G)which states "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of an occupant or the public...(G)Failure to provide adequate exits,or the obstruction of any exit,passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR410.450,410.451 and 410.452." Please address this violation within 24 hours. VIOLATION CORRECTED: DATE: 8. Several items of garbage and trash are located in the main entrance stairway. These items constitute obstructions of an exit passageway. "No person shall obstruct any exit or passageway. The owner is responsible for maintaining free from obstruction every exit used or intended for use by occupants of more than one dwelling unit or rooming unit..."(105 CMR 410.451). Please remove all objects in the front entrance stairway. This violation is a violation of 105 CMR 410.750(G)which states "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of an occupant or the public...(G)Failure to provide adequate exits,or the obstruction of any exit,passageway or common area caused by any object,including garbage or trash,which prevents egress in case of an emergency 105 CMR410.450,410.451 and 410.452." Please address this violation within 24 hours. VIOLATION CORRECTED: DATE: 6 9. There is a severe build up of ice on the side stairway entering 15 May Street that appears to be a result of frozen and blocked gutters. "The owner shall maintain all means of egress at all times in a safe operable condition and shall keep all exterior stairways,fire escapes,egress balconies and bridges free of snow and ice,provided,however,in those instances where a dwelling has an independent means of egress,not shared with other occupants,and a written letting agreement so states, the occupant is responsible for maintaining free of snow and ice, the means of egress under his or her exclusive use and control. All corrodible structural parts there of shall be kept painted or otherwise protected against rust and corrosion. All wood structural members shall be treated to prevent rotting and decay..." (105 CMR 410.452). Please remove any snow and ice from all exterior stairways and passageways and maintain them in a safe and operable condition. This violation is a violation of 105 CMR 410.750(G)which states "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of an occupant or the public...(G)Failure to provide adequate exits,or the obstruction of any exit,passageway or common area caused by any object, including garbage or trash,which prevents egress in case of an emergency 105 CMR410.450,410.451 and 410.452." Please address this violation within 24 hours. VIOLATION CORRECTED: DATE: G' 10. The apartment has only one smoke detector. "The owner of every dwelling that is required I by any provision of the Massachusetts General Laws to be equipped with smoke detectors shall provide and maintain all such required smoke detectors in compliance with such provision and p Jr with any applicable regulation of the State Board Fire Prevention (527 CMR)or of the State Fire 1 Marshall..." (105CMR410.482). Please contact and meet with Andrew Melnikas,theft �Q Fire Prevention Officer of The North Andover Fire Department immediately. You can contact him by calling The North Andover Fire Department at(978) 688-9590. This violation is a violation of 105 CMR 410.750(N)which states "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of an occupant or the public...(N)Failure to provide a smoke detector required by 105 CMR 410.482." Please address this violation within 24 hours of the meeting with the Fire Prevention Official. VIOLATION CORRECTED: DATE: 7 VIOLATIONS TO BE ADDRESSED WITHIN FIVE (5)DAYS 11. The tenants have observed rats and mice on the property and in the dwelling. There were burrow holes and tracks around the foundation at the time of the inspection. "(B) The owner of a dwelling containing two or more dwelling units shall maintain it and its premises free from all rodents,skunks,cockroaches and insect infestation and shall be responsible for exterminating them. (D) "Extermination shall be accomplished by eliminating the harborage places of insects and rodents, by removing or making inaccessible materials that may serve as their food or breeding ground, by poisoning,spraying,fumigating, trapping or by any other recognized and legal pest elimination method..." (105 CMR 410.550(B,D)). Please contact a professional exterminator to eliminate the existing rodent population. This work must commence within five (5) days. A written contract and any invoices or statements of condition prepared by the exterminator must be submitted to this Department immediately. This violation is a violation of 105 CMR 410.750(0)(5)which states "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health, or safety and well-being of an occupant or the public...(0)(5)Failure to eliminate rodents, cockroaches, insect infestation and other pests as required by 105 CMR 410.550." VIOLATION CORRECTED: DATE: 12. There is a portable outlet strip in the back foyer that has been placed through a hole drilled in a wall (structural element) and is the only electrical outlet servicing this room. "No wiring shall lie under a rug or other floor covering,nor shall extend through a doorway or other opening in a structural element. No temporary wiring shall be used or made available for use by any owner or occupant;provided that extension cords which connect portable appliances or fixtures to convenience outlets shall be considered temporary wiring." (105 CMR 410.256). Please remove the outlet strip, install an outlet per Massachusetts State Building Codes and seal any holes in the wall. This violation is a violation of 105 CMR 410.750(0)(3)which states "when found to exist in residential premises,shall be deemed conditions which may endanger or impair the health,or safety and well-being of an occupant or the public...(0)(3)Any defect in the electrical, plumbing,or heating system which makes such system or any part thereof in violation of generally accepted plumbing,heating,gasfitting,or electrical wiring standards that do not create an imminent health hazard." Please contact an electrical contractor to address the violation referenced above and submit a written contract or any invoices to the Health Department within five (5) days. VIOLATION CORRECTED: DATE: 8 VIOLATIONS TO BE ADDRESSED WITHIN THIRTY(30) DAYS 13. The front,right,kitchen stove burner appears to have a replacement dish that does not fit properly and appears to be unintended for use with the stove model present or is defective. This defective burner constitutes an accident hazard. "(A) Every dwelling unit,...,shall contain suitable space to store,prepare and serve foods in a sanitary manner. The owner shall provide within this space: (2)a stove and oven in good repair(see 105 CMR 410.351)except and to the extent the occupant is required to do so under written letting agreement;and... (B)The facilities required in 105 CMR 410.100(A)shall have smooth and impervious surfaces and be free from defects that make them difficult to keep clean,or create an accident hazard." (105 CMR 410.100(A)(2),(B)). "The owner shall install in accordance with accepted plumbing,gasfitting and electrical wiring standards,and shall maintain free from leaks,obstructions or other defects, the following: (A)all facilities,and equipment which the owner is or may be required to provide including,but not limited to all sinks,washbasins, bathtubs,showers, toilets,waterheating facilities,gas pipes,heating equipment,water pipes, owner installed stoves and ovens,catch basins..." (105 CMR 410.351(A)). Please replace the ill-fitting stove burner dish. VIOLATION CORRECTED: DATE: 14. The toilet leaks at the base of the fixture. "The owner shall install in accordance with \�N` rc" accepted plumbing,gasfitting and electrical wiring standards,and shall maintain free from Q y� leaks,obstructions or other defects, the following: (A)all facilities,and equipment which the owner is or may be required to provide including,but not limited to all sinks,washbasins, bathtubs,showers, toilets,waterheating facilities,gas pipes,heating equipment,water pipes, owner installed stoves and ovens,catch basins..."(105 CMR 410.351(A)). Please repair the toilet leak. VIOLATION CORRECTED: DATE: 15. The washing machine does not appear to be draining properly. The tenants claim that � the tub fills up with wastewater when the washing machine is draining. The washing �] .a( machine may not be properly connected to the plumbing system causing these problems. "The owner shall install in accordance with accepted plumbing,gasfitting and electrical wiring standards,and shall maintain free from leaks,obstructions or other defects, the following: (B)all owner—installed optional equipment, including but not limited to, refrigerators,dishwashers,clothes washing machines and dryers,and garbage grinders " (105 CMR 410.351(B)). Please have a licensed plumber assess the situation and check to see if the washing machine drainage meets the plumbing code. VIOLATION CORRECTED: DATE: 9 16. Several of the windows in the apartment,including but not limited to,windows in the kitchen,bathroom and master bedroom cannot be locked and secured. "The owner shall provide and maintain locks so that... (E) Every openable exterior window of a dwelling shall be capable of being reasonably secured and shall be properly fitted with an operating locking device." (105 CMR 410.480(E)). Please have operating locking devices on all exterior windows. VIOLATION CORRECTED: DATE: 17. The owners'information was not posted inside the dwelling. "An owner of a dwelling which is rented for residential use,who does not reside therein and who does not employ a manager or agent for such dwelling who resides therein,shall post and maintain or cause to be posted and maintained on such dwelling adjacent to the mailboxes for such a dwelling or elsewhere in the interior of such dwelling in a location visible to the residents a notice constructed of durable material,not less than 20 square inches in size,bearing his name,address and telephone number...(see M.G.L. c.143,§3S.).". (105 CMR 410.481). Please post contact information accordingly. VIOLATION CORRECTED: DATE: 18. There are holes in the plaster in the hallway above the door to the first floor,in the top floor apartment and in the hallway to the attic. "Every owner shall maintain the foundation,floors,walls,doors,windows,ceilings,roof,staircases,porches,chimneys,and other structural elements of his dwelling so that the dwelling excludes wind,rain and snow,and is rodent proof,watertight and free from chronic dampness,weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks, loose plaster,or other defect where such holes,cracks,loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage." (105 CMR 410.500). Please repair any holes in the plaster or walls throughout the subject apartment,the main hallway and in the attic hallway. VIOLATION CORRECTED: DATE: 19. Rodents may be entering the dwelling along the foundation and around the first floor. "Every owner shall maintain the foundation,floors,walls,doors,windows,ceilings,roof, staircases,porches,chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof,watertight and free from chronic dampness, weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks, loose plaster,or other defect where such holes, cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage." (105 CMR 410.500). Please repair any holes in the foundation or walls throughout the dwelling where rodents may be gaining access. VIOLATION CORRECTED: DATE: 10 20. The bathroom ceiling has large gaps around the electrical light fixture. "Every owner shall maintain the foundation,floors,walls,doors,windows, ceilings, roof,staircases,porches, chimneys,and other structural elements of his dwelling so that the dwelling excludes wind,rain and snow,and is rodent proof, watertight and free from chronic dampness,weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks, loose plaster,or other defect where such holes,cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage." (105 CMR 410.500). Please repair any holes in the bathroom ceiling. VIOLATION CORRECTED: DATE: 21. The hardwood floor in the living room has a nail protruding through the floor and is a safety hazard for the occupants of 15 May Street. "Every owner shall maintain the foundation,floors,walls,doors,windows, ceilings, roof,staircases,porches,chimneys,and other structural elements of his dwelling so that the dwelling excludes wind,rain and snow,and is rodent proof,watertight and free from chronic dampness,weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks,loose plaster,or other defect where such holes,cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage." (105 CMR 410.500). Please properly remove the nail. VIOLATION CORRECTED: DATE: 22. There are exposed nails along the edges of the back foyer carpeting. "Every owner shall maintain the foundation,floors,walls,doors,windows,ceilings,roof,staircases,porches, chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof,watertight and free from chronic dampness,weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks,loose plaster,or other defect where such holes,cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage." (105 CMR 410.500). Please remove the nails or finish the carpeting to properly cover the nails as intended. VIOLATION CORRECTED: DATE: 11 23. The threshold going from the kitchen to the living room is missing or has never been installed. "Every owner shall maintain the foundation,floors,walls,doors,windows,ceilings, roof,staircases,porches, chimneys,and other structural elements of his dwelling so that the dwelling excludes wind, rain and snow,and is rodent proof,watertight and free from chronic dampness,weathertight, in good repair and in everyway fit for the use intended. Further,he shall maintain every structural element free from holes cracks,loose plaster,or other defect where such holes,cracks, loose plaster or defect renders the area difficult to keep clean or constitutes an accident hazard or an insect or rodent harborage." (105 CMR 410.500). Please install a threshold between these two rooms. VIOLATION CORRECTED: DATE: 24. The windows in the subject apartment appear to be letting in excessive cold air and drafts. Several of the windows may not be properly sealed or caulked around the exterior window frame and exterior wall and several windows do not appear to entirely close which makes them unable to lock as noted in a previous violation. "(A)A window shall be considered weathertight only if.• (1)all panes of glass are in place, unbroken and properly caulked;and(2) the window opens and closes fully without excessive effort;and (3)exterior cracks between the prime window frame and exterior wall are caulked;and(4)one of the following is met: (a)a storm window is affixed to the prime window frame,with caulking installed so as to fill exterior cracks between the storm window frame;or(b)weather stripping is applied such that the space between the window sash and the prime window frame is no larger than 1/16 inch at any point on the perimeter of the sash, in the case of double hung windows and 1/32 inch in the case of casement windows;or(c) the window sash is sufficiently well fitted such that,without weather stripping, the space between the window sash and the prime window frame is no larger than 1/16 inch at any point on the perimeter of the sash in the case of double hung windows and 1/32 inch in the case of casement windows."(105 CMR 410.501(A)). Please inspect each window and repair each window that does not meet the aforementioned requirements. VIOLATION CORRECTED: DATE: 25. The kitchen floor linoleum is peeling up around the edges and has exposed the subflooring. This surface is porous,water absorbent and unclean able. "The owner shall provide: (A) On the floor surfaces of every room containing a toilet,shower or bathtub and every kitchen and pantry,a smooth,noncorrosive,nonabsorbent and waterproof covering..."(105 CMR 410.504(A)). Please repair kitchen floor so the surface is impervious to water and cleanable. VIOLATION CORRECTED: DATE: 12 26. The bathroom floor linoleum is peeling up around the edges and has exposed the sub flooring. This surface is porous,water absorbent and unclean able. "The owner shall provide: (A) On the floor surfaces of every room containing a toilet,shower or bathtub and every kitchen and pantry,a smooth,noncorrosive, nonabsorbent and waterproof covering..."(105 CMR 410.504(A)). Please replace or repair bathroom floor so the surface is impervious to water and cleanable. VIOLATION CORRECTED: DATE: 27. Several of the window screens in the subject apartment were missing. "The owner shall provide screens for all windows designed to be opened on the first four floors opening directly to the outside from any dwelling unit or room unit provided, that in an owner-occupied unit, the owner need provide screens for only those windows used for ventilation. All new replacement screens shall be of not less than 16 mesh per square inch. Said screens: (1)shall cover that part of the window that is designed to be opened but in no case less than the area as required in 105 CMR 410.280(A);and (2)shall be tightfitting as to prevent the entrance of insects and rodents around the perimeter. (3)..." (105 CMR 410.551). Please fix or replace screens as necessary to meet the minimum standards set forth. VIOLATION CORRECTED: DATE: 28. The side entrance did not have an adequate screen door. "The Owner shall provide a screen door for all doorways opening directly to the outside from any dwelling unit or rooming unit where the screen door will be permitted to slide to the side or open in an outward direction, provided, that in an owner-occupied unit, the owner need provide screens only for those doorways used for ventilation. All new or replacement screens shall be of not less than 16 mesh per square inch... Said screen door: ...(2)shall be tight fitting as to prevent the entrance of insects and rodents around the perimeter." (105 CMR 410.552). Please repair the screen door on the side entrance of the subject apartment and check the status of the main entrance. VIOLATION CORRECTED: DATE: 13 VIOLATION TO BE ADDRESSED IMMEDIATELY 29. Please note that"reasonable notice" must be give to the occupants prior to entering the apartment for any repairs scheduled. The Health Department interprets the Code of Regulation phrase "reasonable notice" as twenty-four(24)hours prior to entrance of the apartment for any reason,including but not limited to repair of violations and showing the house with real estate agents to prospective buyers. If reasonable notice is given to the occupants,it is their responsibility to be present at the time requested if they desire. "Every occupant of a dwelling,dwelling unit,or rooming unit shall give the owner thereof,or his agent or employees,upon reasonable notice, reasonable access,if possible by appointment, to the dwelling,dwelling unit, or rooming unit for the purpose of making such repairs or alterations as are necessary to effect compliance with the provisions of 105 CMR 410.000." (105 CMR 410.810). Please give the occupants reasonable notice prior to entering the apartment. 105 CMR 410.910 PENALTY FOR FAILURE TO COMPLY WITH ORDER 30. "Please be aware that any person who shall fail to comply with any order issued pursuant to the provisions of 105 CMR 410.000 shall upon conviction be fined not less than$10.00 nor more than$500.00. Each day's failure to comply with an order shall constitute a separate violation. See also 105 CMR 410.854(B)."The Board of Health shall levy a fine in accordance with 105 CMR 410.910 for each.day or portion thereof in which a violation exists after its associated deadline. A Re-inspection will be performed by the North Andover Health Department subsequent to the deadlines stated above. If the conditions are corrected prior to the required time limit,please call the North Andover Health Department at 978-688-9540 for an inspection. If you have any questions,comments or concerns,please feel free to call me at the aforementioned number between the hours of 8:30-4:30,Monday through Friday. Sincerely, Brian J. LaGrasse Health Inspector CC: Sandra Starr,Public Health Director Occupant, 15 May Street Andrew Melnikas,North Andover Fire Department James McCarthy and Lynne Kenney, 13 May Street,N.Andover,MA 01845 (Previous address/record address per the North Andover Tax Assessor) File Michael McGuire, Building Inspector 14 NORTH ANDOVER HEALTH DEPARTMENT 120 Main Street • North Andover, MA 01845 Telephone (508) 682-6483, Ext. 32 Complaint Investigation/Inspection Report OWNER Y6%n%,e5 L lug Cc rjft\ AA M. ew ADDRES DATE O` .a t C,w� � •-- �� � She e 6�G O.ZS N. 4— 4(0, :So D :Sti. I'�fi U/fic�' G M6;4114 14 t o. 2 f 4- 4(j � �t(a �sU C UL9 N&`- �v f �c- ,� d-'L( �, D rw 6„ WV uL (,� �t t4. 14(o. b� ez- o Cry + 14(o. {. cls! ke Y s Pn C vi c rt s . t,l 'u' (4(0.'3_5_D t um-4vio(w) qcb S 1��t- hie . 2 t6 0 3 b� a 0% +g,— "r AAP�a B&NmW (� .. 4 it dG t /�liV'l. � G gg �,.r �v,, ��'��.� tib L'�_c..�.. h... �� �-� S)•-• ��tr7�� �� •� � �®- v � INSPEC Residential Property Record Card PARCEL_ID:210/017.0-0013-0000.0 MAP:017.0 BLOCK:0013 LOT:0000.0 PARCEL ADDRESS:13 MAY STREET PARCEL INFORMATION Use-Code: 104 Sale Price: 355,000 Book: 7858 Road Type: T Inspect Elate: 06/16/2000 Owner: Tax Class: T Sale Date: 06/01/2003 Page: 59 Rd Condition: P Meas Date: 06116/2000 Tot Fin Area: 2240 Sale Type P '.Cert/Doc: Traffic: M Entrance: D WILLIAMS,ANNIE Tot Land Area: 0.28 Sale Valid: Y Water: Collect Id: RO Address: Grantor: MCCARTHY,JAMES R. Sewer: " Inspect Reas: R 13 MAY STREET NORTH ANDOVER MA 01845 Exempt-B/L% / Resid-B/L% 100/100 Comm-B/LeW Indust-B/L% 0/0 Open Sp-B/L% 0/0 RESIDENCE INFORMATION LAND INFORMATION Style CO Tot Rooms: 6 Main Fn Area: 1226: Attic: Y NBHD CODE: 4 NBHD CLASS: 4 ZONE: R4 Story Height: 2.35 Bedrooms: 3 Up Fn Area: 1015 " Bsmt Area: 1015 Seg' Type Code Method Sq-Ft Acres lnflu Y/N Value Class Roof: H Full Baths: 2 Add Fn Area: . Fn Bsmt Area: 1 P 104 S 12150 0.28 145,890 Ext Wall: AV Half Baths: Unfin Area: 355 Bsmt Grade: VALUATION INFORMATION Masonry Trim: Ext Bath.Fix: Tot Fin Area: . 2240 Current Total: 316,300 Bldg: 170,400 Land: 145,900 MktLnd: 145,900 Foundation: CN Bath Qual: T RCNLD: 170390 Kitch Qual: T Eff Yr Built: 1962Mkt Adj: prior Total: 296,700 Bldg: 161,600 Land: 135,100 MktLnd: 135,100 . . Heat Type: HW Ext Kitch Year Built: 1900 Sound Value: Fuel Type: O Grade A Cost Bldg: 170,400. . Fireplace: Bsmt Gar Cap: Condition: A Aft Str Val 1: Central AC: N Bsmt Gar SF. Pct Compiete: Aft Str Va12: Aft Gar SF: %Good P/F/E/R: /100//76 Porch Type Porch Area Porch Grade Factor P 240 SKETCH PHOTO P 8 240 Sq.Ft. 8 PicturAISIF No FM AL "' I *-,-% b I 1225 Sq.R. Aft 29 AVqat a 43 20 8 6 is Parcel ID:210/017.0-0013-0000.0 as of 10/10/06 Page 1 of 1