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HomeMy WebLinkAboutMiscellaneous - 16 GREEN HILL AVENUE 4/30/2018 16 GREEN HILL AVENUE 210/022.0-0097-0000.0 J Leathe, Brian From: hlambers00@gmail.com Sent: Friday,July 24, 2015 9:00 AM To: Leathe, Brian Subject: Re: 16 green Hill ave Brian, We have a finished basement which did not have a permit. What do we need to do to rectify that? I will stop by now if you are in the office. Hanh Lambers, Realtors Cell: 978-764-7256 Direct: 978-269-2272 Hanh.lambers@raveis.com Http://hanhlambers.raveis.com William Raveis Real Estate >On Jul 24, 2015, at 7:57 AM, Leathe, Brian<BLeathe@townofnorthandover.com>wrote: >You should come in the office and pull the file to make sure everything matches with your listing sheet. For example, if you have a finished basement and there's no permits for the renovations then that could be a problem with the sale. > It's wise to know what paper work exists for your house. > Brian >-----Original Message----- > From: Hanh Lambers [mailto:hlambers00@gmail.com] >Sent:Thursday,July 23, 2015 7:26 PM >To: Leathe, Brian >Subject: 16 green Hill ave > Hi Brian, >We had our kitchen redone 4 yrs ago.You came in to inspect the final work, we had a little conversation about the added room in the back of the house. It was mention that when the time comes to sell I should consult you. >Our house is under agreement.Will there be any issues with the room in the back of the house. Please advise. >Thank you Brian, > Hanh Lambers/Realtor >William Raveis R.E and Home services > 12 Bartlet St. >Andover, MA 01810 > Direct line 978-764-7256 >Office 978-475-5100 > Hanh.Lambers@Raveis.com > Nothing in this email shall be deemed to create a binding contract to purchase/sell real estate.The sender of this email does not have the authority to bind a buyer or seller to a contract via written or oral communications including, but not limited to, email communications. >All email messages and attached content sent from and to this email account are public records unless qualified as an exemption under the Massachusetts Public Records Law. >Visit us online at www.townofnorthandover.com >Social Networks >twitter.com/north_andover >www.facebook.com/northandoverma z 9363 Date. ./�.�!'.?. . TOWN OF NORTH ANDOVER t PERMIT FOR PLUMBING ` `4y � ,SSACMUS(c� �(J 2. This certifies that . . . .:S . . . . . . . . . . . . . . . . . 4 has permission to perform . . . . . . . . . . . plumbing in the buildings of . ././ a . . . .410V Agr'.{�. . . . . . . . . . at . ��. ej?"ep.�. . , CL. . . U�° , North Andovet, Mass. Feed?, `? PLUMBING INSPECTOR Check # �z ' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA. DATE Y " .�-- PERMIT# JOBSITE ADDRESS Y G '�e e Ave OWNER'S NAME 1- L9 ele fe, POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑ PRINT NEW:❑ RENOVATION:® REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑ CLEARLY FIXTURES 7 FLOOR BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR I AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER —4-1 1 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. 'Yes®. No❑ , IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ❑ BOND ❑ , OWNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE BOX ONLY: OWNER ❑ AGENT ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. r. PLUMBER NAME V�l 9 V"`{ � U V-;5¢' $ • f SIGNATURE LIC# I I 8�q Y MP fA JP❑ CORPORATION ©# a S PARTNERSHIP ❑# LLC El# COMPANY NAME 13 U f S e S S ek,-+ (g 9 Aj ADDRESS: (9 O l of k--2 i..,d s l CITY 1 ,%� S V� (4 a STATE ��'' i ZIP G� EMAIL 18u'�S e f S pk�, !� .+s 09 d�.��` t�r� b�Y TEL �J 7 -._4 YCELL 9 7 !S/S 7�42 FAX �/ 7 0 - 161311 - Fi Y1 S-S�0 t- The Commonwealth ofMassachusetts Department oflndustriglAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass govIdia Workers' Compensation Insurance.Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): ,J U v,S,e f $ ti,s Address: a�� � e� � 9 �( {2 C City/State/Zip: 7-t S 5 ►?ovo J"2 5 Phone#: 7 b 6 Y F - W16 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.® 1 am a sole proprietor or partner- listed on the attached sheet. 7. []Remodeling ship and'have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers comp.insurance. g, ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 1 LE Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),and we have no 12.❑Roof repairs insurance required.]i employees.[No workers' .13.❑Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. I Homeowners who submit this affidavit indicatin the•are doing all work and then hire outside contractors g Y g must submit a new affidavit indicating such. tContractors that checkthis box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees Below is the policy and job site information. ,�/ Insurance Company Name:. J " `3 V_ Fo v k ee 01 A'* Policy#or Self-ins.L9ic.M fit! e o CD 0 Expiration Date: - � % - p�l 3 Job Site Address:_ / G e e L__ /�j J1 f v City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as requiredunder 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. Ido hereby cert! under the pains and penalties of perjury that the information provided above is true and correct. - Signature: Date: Phone#: Official use only. Do not write in this area,to he 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#: i • M Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or.written." An em to er is defined as an individual partnership,association corporation or other legal entity,or an two or more . P y �p P> � g Y of the foregoing engaged in a j oint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of adwelling house having not more than three and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be,deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their,certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents fox confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance.for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Conumonwealth of Massachusetts Department of Industrial Accidents � Office of Investigations 600 Washington.Street Boston,MA 02111 TO.#617-727,4900 ext 406 or 1.-877:,MASS.Ak`B Revised 5-26-05 Fax#617;,727-7749 xww.mass,gov/dia ' .,:.. Date... "T. ................ f pORTPt .. op;r;�`"..��.."ao� TOWN OF NORTH ANDOVER % PERMIT FOR WIRING C04 This certifies that " L............. `-� has permission to perform ... .................................. wiring in the building of......P�Pok� ..Lo%vn a s............................. at...k .... P.m\.. :+.�t......./. 1.�N... . ,North Andover,Mass. Fee. r0.... Lic.Nolo 1? �^ ... . ELE c SP Check # 0757 t - commonwealth of Massachusettts official Use only Department of Fire Services Permit No. f '7.�' 7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leaveblank fA� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527 CMR 12. V (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: — l p City or Town of: NORTH ANDOVER To the In p or of Wires: a By this application the undersigned gives notice of his or her intention to p6rfo5rin the electrical work described below. Location(Street&Number) 6 /-,Q P// h 1 /l 4 or `.1 + Owner or Tenant �,.¢t�f LA�1 h err- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes [;I-- No ❑ (Check Appropriate Box) Purpose of Building i2Q,l�a 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: jrj-t-eke,-J a 7-7/,j S ci (i-{- >la &S os qz/ Com letion o the ollowin table m be waived b the Inspector o 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- E] o.o mergency ig mg rnd. grnd. Battery Units No.of Receptacle Outlets ell- No,of Oil Burners FIRE ALARMS No.of Zones No.of Switches / No.of Gas Burners No.of Detection and Initiatin Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number ,Tons KW No.ofSelf-Contained Totals: " "�'"""' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:*. No.of WaterNo.of Devices or E uivalent Heaters KW No.of No.of Data Wiring: signs Ballasts No.of Devices or E uivalent • No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent 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 E BOND ❑ OTHER ❑ (Specify:) g e w� �� 6//-71 Z rj�ry,that the information.on this application is true and con piece. I certify,under the pains and penalties ofpe FIRM NAME: l; L / lC LIC.NO.: Licensee: %2oaAk 1-^t1,t.PVe., Signature LIC.NO.: (If applicably, nter`ex pt"in the licen number line.) Address. �!� ,44 oL S7� Bus.Tel.No.: Alt.Tel.No.. Per M.G.L c. 147,s.57-61,security work requires Departm-e0f of Public Safety"S"License: Lic.No. l 7?G OWNERS INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityinsurance coverage ge normally required by law. By my signature below,I hereby waive this requirement.rement. I am the check one)❑owner El owner's a ent.Owner/Agent Signature Telephone No. PERMIT FEE:$ t- _ MECWC.AL PERMT NO. _ EEEC'J[`�1CC,AlG�SP��T®�.•- T _ . . � • .ROTTG 7SP CTION; Pgssec , - ];;+'ailed—[ ] Re-iuspeetzon required($50.00)-[ j Inspectors'coxnmexts: ;. (Insp eetors7 f4guat4••no:fP-ztials) Date Passed—[ Sailed—[ J ate-Inspection required($50.00)•-[ T Inspectors'comments: ( 4ectors'Signature-no imitials) AP-92145 3.T)NDER G$ODM INSPECTION. Passed--[ ] Sailed—[ ) ?fie-insp ectloa required($50.00)-•[ l Inspectors'comments: (Insp ectors}Signature-•no Wtials) Date 4.NSPECTION--SMIM DXAM CST D NA+ON'M�GS i I : NAM:. Passed -[ Sailed—[ Re-inspection required($50.00)-[ Inspectors'commepts: (Grasp ectors'Signature-zio initials) Date INSPECTION•-OTBER:' .Re-inspection requited($50.00)-j ) Inspectors'eon meds: 'Ohsp eciom'Signature••no imitials) Date 1)GOP,TAGN.A_PX TO BE FILLED OUT AND LEFT OST SITE-W M ABEAs.TO BE INSPECTED 19 NOT ACCESSIBLE AND.A.EE WSPECTION OF$50.0 0 IN TO BE CHARGED. The Commonwealth of Massachusetts Ln Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UT . www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information /,, �f Please Print Legibly Name(Business/Organization/Individual): C�D �`—c C ` �� c4 " C Address: Dr City/State/Zip: �L, vJ Phone#: Are you an employer?Check the appropriate box: Type of project(required): 1.OIam a employer with_� 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.t 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. workers'comp.insurance. 9. ❑Building addition [No workers'comp.insurance 5. ❑ We are a corporation and its officers have exercised their 10.❑Electrical repairs or additions required.] o 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.❑Roof repairs insurance required.]it employees.[No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they aie 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. / Insurance Company Name:. Policy#or Self-ins.Lic.#: �� �S Expiration Date: 2 3�l 2— Job Site Address: ` 6, k/( fes( City/State/Zip: �C 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. Ido hereby ce ' u er the pa' s a d penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not producedacceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)"A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture i (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel.#617,7274900 ext 406 or 1-877-MASSAFE Revised 5-26-05 Fax#617-727-7749 www.mass.govfdia