HomeMy WebLinkAboutMiscellaneous - 13 MAY STREET 4/30/2018 13 MAY STREET
2101017._0-0013-0000.0
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Date........
.. .. . . ......
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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#
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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#:
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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 •
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f« ►� -Y\0.,L
90 0o t'-b
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4� Deoariment of pgblic safety
License:SS-041T-q f.
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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
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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
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Parcel ID:210/017.0-0013-0000.0 as of 10/10/06 Page 1 of 1