HomeMy WebLinkAboutMiscellaneous - 17 UNION STREET 4/30/2018m
DelleChiaie, Pamela
From: Sawyer, Susan
Sent: Wednesday, May 23, 2012 9:46 AM
To: DelleChiaie, Pamela
Cc: Grant, Michele
Subject: 17 union complaint response
May 18, 2012. Susan Sawyer contacted Lenny Severino —
Discussed issues. Renter is unhappy with the current situation. The number of tenants is more than when he moved in
and is annoyed. They have complained to the owner. It was noted that the owner could investigate and take action
against the party for breaking their lease if more people live there than they rented to. The Health De . does not
regularly check the occupancy numbers of rental units. Also has concerns about legality of the child/ attending N.
Andover schools; sees them dropped off in the mornings. I took his email and said I would pass on ny information onto
him on who checks this out.
Lendawg56@vahoo.com
This is what I sent Lenny on May 23, 2012 after speaking with the NA schools.
Hello Lenny, U
I spoke with the schools about the procedure regarding pupil residency complaints.
All complaints go to the Principal of the school that the child attends. Must submit all details; complainants information,
child's name, child's address and reasons of concern.
Good luck,
Susan
No additional action needed at this time.
SS
Susan Sawyer
Public Health Director
Town of North Andover
1600 Osgood Street
Bldg. 20, Unit 2-36
North Andover, MA 01845
Phone 978.688.9540
Fax 978.688.8476
Email mailto:ssawver@townofnorthandover.com
Web www.TownofNorthAndover.com
Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more
information please refer to: hfto://www.sec.state.ma.us/ore/preidx.htm.
J`a1 14 2009 9:23AM RLL CITY REMOLDELING CO. 1-978-535-3563 P.2
llama
97/14/2009 09tBB 7616624915 MELROSEGLAS PAGE 01/01
Melrose Glen cMy Ltmumbcs
1.88 Main Street - .r
Melrose, MA 02.178, tli.ie J ; :NiER"',.; .. ;
(y$1) 9i62�8599 FAX (781) 887.4015 71141200 30444
R:S:-# 132 Tax Exempt'#
'o iANSWA
... .... '.•J.. .,,'1�' ,S' l
17-19 Union Street
Ali CitY'R4model 4 ' Notih'Avidnver; MA ,Vti.
3 9"ble'Rload
W: Peabody, Mn��' �a
�, �, •.�w1��.3���1��.-,.� ..� ���., ..':..r�•�..V' .V� r,';^'"'it . ..".. ..�... V..., � ,In,. �.. .. ��.�.,r, �: r.•., p�..,.•
;.�I��1}ia!t•'. �;�''�'��' .,tb8t�n �°•-��e�'.•'�:�.�;� •�,; _:L.�bt;ic.Y�gUf�j��'•,��!; .
�'�� ' 11+81UI'• �•,• � ,;, ,r�'•��bEa!litl{�'I�N`' •�.' .,,; ,�QTY';�' ,.�„•;:'' 'I:t81'� �A?�IbVtt1'; :aa
Labor • gu'MiAh and J.poall (4) Safes Window 4100,0 400.00
lcfam
Sslel lax 5.0 0.00
6 ,.51 ,C.. .. r,��i.r.,�....'•Y�nl��� 7r P •`i•'•
jC�ittcn'+�;e1� Tl1w'iYN”t1ir1lii+lll/nttY!°eP1lYtAiILAY#lt it iAg';CO�Ap''
' 'NyA'eilrfnitlri,tk# y tifkdt h4'�11�''r�a�.Kerljilrtl/ I�jB'iib#'aro�0�101rt`1►ea.IrrAiipldoi°6'iiMd'
YbTri inire.ia• girlerr►e+ .rar"ol►ok" ri1r;� ' 08,,
.pbd"gjiali,�ahsr;B?u, dOudfaliOaidnlpd�dhy'iAled kYbiiio0&00
I'rpMlrtayRer?:Ae?p4"in�l'ab�dnnyedrh.i'iiipA�nislFi�di'/srr�,,. �Gl�nn:erlpyt� �ltgJdi�+spn•rtly0'rtibe':dtwrwliiu.yli:';+;'
r
l4luihie'i'Dj�INlfel,diM�ilde�
%' ,;�i�4Qft�i>t4NiM� • �vdt f fDltt'bId �dlr �eY d,Y�l�"yiiia'SAF,Or'�X'e!R'lytfby..`-�fx/p�V, 'ta�OvdH:d�lNn� bn,�';dbd;e8•oVrlr�►t,W!d': �' ,
;• niliYN`,ol":ran WAj�h+Tl �+A';�id�+'rweV���%ai�tprY/il��•'lJMtl�;;•sAllbo�illon'''o/sap(.�oitrdn:•by.•,MNnea.,bt.iynh
,: �eremr►;;Mauri�r•it4on+rrepi+•:dre.ra�r'.1,rk•++ari�i'.�eaeej,,,r4au�w:'r.'ne'ro,�y'�t'Rp88:•���3',q�r�i►nn�,�";
:''tdeh'�k'hrear'/n{!gfrSidii;y!A►udN�aidit�iis;•rdr4ie�'WiinjpfV:vNoNiun�br;�ii�lat(er»rrr�tlttllq,�nd�rdG,.: ',...• •,.;
Cusbmet 81deaNro '
YO B $400.00
�'�� ' 11+81UI'• �•,• � ,;, ,r�'•��bEa!litl{�'I�N`' •�.' .,,; ,�QTY';�' ,.�„•;:'' 'I:t81'� �A?�IbVtt1'; :aa
Labor • gu'MiAh and J.poall (4) Safes Window 4100,0 400.00
lcfam
Sslel lax 5.0 0.00
6 ,.51 ,C.. .. r,��i.r.,�....'•Y�nl��� 7r P •`i•'•
jC�ittcn'+�;e1� Tl1w'iYN”t1ir1lii+lll/nttY!°eP1lYtAiILAY#lt it iAg';CO�Ap''
' 'NyA'eilrfnitlri,tk# y tifkdt h4'�11�''r�a�.Kerljilrtl/ I�jB'iib#'aro�0�101rt`1►ea.IrrAiipldoi°6'iiMd'
YbTri inire.ia• girlerr►e+ .rar"ol►ok" ri1r;� ' 08,,
.pbd"gjiali,�ahsr;B?u, dOudfaliOaidnlpd�dhy'iAled kYbiiio0&00
I'rpMlrtayRer?:Ae?p4"in�l'ab�dnnyedrh.i'iiipA�nislFi�di'/srr�,,. �Gl�nn:erlpyt� �ltgJdi�+spn•rtly0'rtibe':dtwrwliiu.yli:';+;'
r
l4luihie'i'Dj�INlfel,diM�ilde�
%' ,;�i�4Qft�i>t4NiM� • �vdt f fDltt'bId �dlr �eY d,Y�l�"yiiia'SAF,Or'�X'e!R'lytfby..`-�fx/p�V, 'ta�OvdH:d�lNn� bn,�';dbd;e8•oVrlr�►t,W!d': �' ,
;• niliYN`,ol":ran WAj�h+Tl �+A';�id�+'rweV���%ai�tprY/il��•'lJMtl�;;•sAllbo�illon'''o/sap(.�oitrdn:•by.•,MNnea.,bt.iynh
,: �eremr►;;Mauri�r•it4on+rrepi+•:dre.ra�r'.1,rk•++ari�i'.�eaeej,,,r4au�w:'r.'ne'ro,�y'�t'Rp88:•���3',q�r�i►nn�,�";
:''tdeh'�k'hrear'/n{!gfrSidii;y!A►udN�aidit�iis;•rdr4ie�'WiinjpfV:vNoNiun�br;�ii�lat(er»rrr�tlttllq,�nd�rdG,.: ',...• •,.;
Cusbmet 81deaNro '
YO B $400.00
late....3.- /.p �:,52.S......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ...... 5—...f ..'. A7.n4,41. ZZ. ,v....
haspermission to perform .................................................................. �......
�................
wiring in the building of .......�> T ..... / v
.....................................
at .. 7...� ........ (Jfv o/V....S7—
.......................... , North AndovJer, Mass.
Fee.3 f>„.-'.. Lic. No . ..Q?7/3 ........................................ ,...........
e / M.
ELEC'MCIMspIcroR/
Check #
bj 6 1;. ,)
Date. ��,. /;/- 0 9
...............
AORT#1
OF
'NORTH ANDOVER
0,tiTOWN OF
PERMIT' FOR GAS INSTALLATION
This certifies that.................
has permission for gas installation
in the buildings of
/ 7 IZ-.........................
at ................. North Andover, Mass.
Fee. Lic. No./
GAS INSPE6f0JR
Check # 12,22e
6660
MASSACHUSETTS UNIMRM APPUCATON FOR PERMPT TO DO GAS FITTING
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS ZL ZZO
Building Logations Y V1, 2,1 f- P
Owner's Name
New ❑ Renovation D Replacement
ermrt # U
Amount $ 4 i
4114 -
Plans Submitted
(Print or type)
Name.- '44-&-, 04,
U W H
p O C W w
O a > w
ame of Licensed Plumber'or Gas Fitter
Check one: Certificate Installing Company
Corp.
Partner.
Firm/Co.
INSURANCE COVERAGE
I have a current liability Insurance,policy or it's substantial equivalent. YeSck one:
If you have checked es please indicate the type coverage by checking the appropriate DOX. Noo
Liability insurance policy � Other type of indemnity .13 Bond
13
Owner's Insurance Waiver: I am aware that the licensee does not the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent Check one:
Owner [3 Agent 13
I hereby certify that all of the details and information 1 have sub ed (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and install 'ons erfo ed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachuse
Gas Chapter 142 of the General I .aWc
By:
Title
City/Towm
APPROVED (OFFICE USE ONLY)
Signature of LiLensed Plumb r Or Gas Fitter
Plumber U
Gas Fitter is nse INUMDer
Master
Journeyman
Wj
Z
C
F,
F■
W
W
Q
14
94e
x
a
&
z
W
x
>
t:
a
F•
3
!SU B-BASEM ENT
o
x
0
iBASEM ENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. .FLOOR
8TH.' FLOOR
(Print or type)
Name.- '44-&-, 04,
U W H
p O C W w
O a > w
ame of Licensed Plumber'or Gas Fitter
Check one: Certificate Installing Company
Corp.
Partner.
Firm/Co.
INSURANCE COVERAGE
I have a current liability Insurance,policy or it's substantial equivalent. YeSck one:
If you have checked es please indicate the type coverage by checking the appropriate DOX. Noo
Liability insurance policy � Other type of indemnity .13 Bond
13
Owner's Insurance Waiver: I am aware that the licensee does not the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Signature of Owner or Owner's Agent Check one:
Owner [3 Agent 13
I hereby certify that all of the details and information 1 have sub ed (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and install 'ons erfo ed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachuse
Gas Chapter 142 of the General I .aWc
By:
Title
City/Towm
APPROVED (OFFICE USE ONLY)
Signature of LiLensed Plumb r Or Gas Fitter
Plumber U
Gas Fitter is nse INUMDer
Master
Journeyman
MASSACHUSETTS UNIFORM ,APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location /% 1),4, A" 5(1—.
New Renovation
Date 2
/ h Permit # 4l
Amount
Plans Submitted Yes ❑ No ❑
This certifies that+?P?�
.
has permission to perform
Plumbinginof . ���. .. .
at. _� �. ...
Fee ......... Lic. No. % c� �� .. .... ' ' . North Andover, Mass.
Check # 13 d0u,4 PLu a(� gpECTOR
74zt9
on does not have any one of the above
application are true and accurate to the
Issued for this application will be in
ipter 142 of the General Laws.
Journeyman ❑
P
�-� Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No. 96, q
BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked
[Rev. 1/07] n 1,1.,..1.E
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 PRINTININK OR TYPE ALL INFORMATION) Date: 3-/6-07
City or Town of: NORTH ANDOVER TO the —Inspector of W
By this application the undersigned gives notice of his or her intention to perform the electrical work dires:esnbed below.
Location (Street & Number) 7 1 C W A
L Z < .4—
Owner or Tenant
Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? yes
Purpose of Building r%r R No ❑ (Check Appropriate Boa)
^� Utility Authorization No.
Existing Service Amps / Volts Overhead
❑ Undgrd ❑ No. of Meters
New Service L100 Amps / aV Volts Overhead S
Undgrd ❑ No, of Meters
Number of Feeders and Ampacity
lou A eUof
Location and Nature of Proposed Electrical Work.e 1 h / A6
Cl csfi 0ti-��/�a Urf�,�
INo. of Recessed Luminaires
No. of Luminaire Outlets
No. of Luminaires
No. of Receptacle Outlets
No. of Switches
No. of Ranges
of Waste Disposers _ ..
Totals: I`- _.._.._..._
No. of Dishwashers Space/Area Heating KW
No. of Dryers Heating Appliances KW
No. of Water No. of
Heaters KW No. of
Si s Ballasts.
No. Hydromassage Bathtubs No. of Motors Total HP
OTHER:
the
o. of Ceil.-Susp. (Paddle) Fans
�_1
win table may be waived by the Inspector or Wires
No. of Hot Tubs
No. of
Swimming Pool Al:
SU
1
No. of Oil Burners
C
No. of Gas Burners
/
No. of Air Cond.
�_1
win table may be waived by the Inspector or Wires
No. of
Total
Transformers
KVA
Generators
KVA
❑
o, o mergency
ii.. L4...... TT_r
ig ng
ALARMIS JNo. 0 --Zones
ons 15 /6n4No• of Alerting Devices
❑ municipal
C=.C!, it ❑ Other
No. of Devices or
Data Wiring:
No. of Devices or
Telecommunications
No. of Devices or
11— Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (%(%(j
(When required by municipal policy.)
Work to Start —3::1--o� Inspecti ns 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 &L BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties ofperjury, that the information on this application is true and complete
FIRM NAME:
Licensee:�LIC. NO.: cllGZ2t'i Signature NO
LIC. .:
(Ifapplicable, enter exempt" in the license number n�.) — V '
Address: I r►/'G/ / �-P� >y-�PM Al !� a� c� 7�1 Bus. Tel. No.:_C/
-��S
*Per M.G.L c 147, s. 57-61, security work requires D Alt. Tel. No.:
Department of Public Safety "S" License: Lic. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner El owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE. $
q"Otz ,�, 7- z
1v,f-m4rcfi
r�14 C; �
)� %
Uk i
I
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Krashin ton Street
Boston, MA 02111
' www_nnassgov/dia .
Workers' Compensation Insurance Affidavit. Builders/Contractors/Electricians/Plumbers
A► piicant Information Please Pr>lnt Lendbly
Name (Business/Orgmization/individual): �± if VeIL"- /V1 0�� • z
P.
Address:
City/State/Zip: Sa I pM m g cl 176
Phone #: q 7
Are you an employer? Check the appropriate
box:
I . ❑ I aro a employer with
4. ❑ I am a general contractor and I
(full and/or part-time).*
have hired the sub -contractors
2.<mployees
am.a:sole proprietor or partner-
listed on the attached sheet, _
ship and have no employees
These sub -contractors have
working for me .in any capacity,
[No workers' comp. insurance
workers' comp. insurance.
5. ❑ We are a corporation and its
required•]
3. ❑ 1 am a homeowner doing
officershave exercised their
all work
right of exemption per MGL
myself. [No•workers' comp,
C. 1.52, § 1(4), and we have no
insurance required.] t
employees. [No workers'
comp, insurance required.]
Type of Project (requiter[):
6. ❑ New construction
7. WPemodelffig
8. D Demoiition
9. ❑ Building addition
10. Electrical repairs or additions
1 I - Plumbing repairs or additions
12.[] Roof repairs
13.M.Other
-
t14- d I'll uo[ me secnOn below showing their workers' compensation policy information,
omeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
4contractors that check this box must attached an additional sheat showing the name of the sub -contractors and their work, ccmp. policy inwm ation
I am an employer that is providing:workers' compensation unuranee for my employees; Below is the
informapolicy and job site
tion
Insurance Company Name:
Policy # or Clf-ins. Lic. #:
Expiration Date:
Job Site Address: City/State/Zip-
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby cMader tibpains d penalties of perjury that the information provided above is true and correct
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 produced acceptable evidence.of compliance with the insurance 'coverage required."
Additionally, MGL chapter 152, §25C(7) states "Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation. affidavit completely, by checking the boxes that apply to your situation and, if
necessary, supply sub -contractors) name(s), address(es) and phone number(s) along with their cetificate(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' cornpensation 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 numberlisted below. Self-insured companies should enter their
self-insurance license number on the appropriate tine.
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 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 Commonwe<h of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston, MA 02111
Tel. # 617-727-4900 ext 406 or 1-8.77-MASSAFE
Revised 5-26-05 Fax # 617-727-7744
www.mass.gov/dia
CERTIFICATE OF USE & OCCUPANCY
TOWN OF NORTH ANDOVER
Permit # 058 7/23/08) Date: July 10, 2009
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 17-19 Union Street
MAY BE OCCUPIED AS Permit for rehabilitation of 4Unit Home ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
OTHER REGULATIONS AS MAY APPLY.
.t
J.
Certificate Issued to: Patricia Lindquist
17 —19 Union St
North Andover MA 01845
lam;
Budding Inspector
6
t s
v
Location 12 - / �p /�2�
No. n.S PI
Check d,,�a17
Date �7" ef D
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
TOTAL $ ew
2z >2Lr_
Bui�Inctor
rf NN .iN
CERTIFICATE OF USE & OCCUPANCY "
TOWN OF NORTH ANDOVER
TEMPORARY PERMIT 30 days.
Permit # 058 7/23/08) Date:. July 10, 2009
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 17-19 Union Street
MAY BE OCCUPIED AS Temn Permit for rehabilitation of 4Unit Home
ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE
AND SUCH OTHER REGULATIONS AS MAY APPLY.
Certificate Issued to
Patricia Lindquist
17 —19 Union St
North Andover MA 01845
J�G &4,.,
Building Inspector
t r, I
O
O
0
7:1
ai
C.)
O
co
co
H
15
CD
co
co
PLO
ca 1=
co
CD
O
G3
03
C-2
cc
Q
aC3:
=<
Co
E
CD
Cc
CL
1111 J
'F=
X
CIO
G3
0
Q.
ca
6
;L4
0
wo
CO)
73 cd
0
�J.
E 4cc
CQ (1) C/)
O
O
0
7:1
ai
C.)
O
co
co
H
15
CD
co
co
.CA
p
ca 1=
co
CD
O
G3
03
C-2
cc
Q
aC3:
=<
Co
E
CD
Cc
CL
1111 J
'F=
CD
G3
rf C3
ci
Q.
ca
cc
CL
CO)
E 4cc
co
E.S
c 2
24D
cm
co
93 co
C3
?A :E,
N
cm
0
CO2
CO) cc
CD
CD 0
cm
N =CD
a
c"
C\': a
0m
13
0
CC*
cm
MCLA
V
pCA
cc,
�=z
oC
'F
CL=
3, CD
C-3
W
C3 '0 CM
L)
C3 CD
,
CA
CL
CO3
:9
m C43
CD
CL
O
O
0
7:1
ai
C.)
O
co
co
O
O
ai
C.)
O
co
co
H
0
co
co
.CA
p
ca 1=
co
CD
G3
03
CD
cc
Q
aC3:
=<
Co
E
CD
Cc
1111 J
'F=
CD
G3
rf C3
ci
Q.
ca
cc
CL
CO)
M
NALLY PLUMBING & HEATING COMPANY
COMMERCIAL • RESIDENTIAL • INDUSTRIAL
July 08, 2009
TO: TOWN OF NORTH ANDOVER, MA
BUILDING DEPT.
FROM: DON NALLY
PROPERTY: 17-19 UNION STREET
NORTH ANDOVER, MA
SUBJECT; RESIDENTIAL SPRINKLER SYSTEM
RESIDENTIAL SPRINKLERS WERE INSTALLED AND DESIGNED
ACCORDING TO NFPA-13R REQUIREMENTS.
ALL TESTS WERE COMPLETED AND INSPECTED BY THE TOWN
OF NORTH ANDOVER FIRE PREVENTION DEPARTMENT.
P.O. BOX 431 • 186 BROADWAY REAR • MALDEN, MASSACHUSETTS02148
(781) 324-1210 • FAX (781) 324-1693
I
I
I
i
I
I ,
I
I
I
, o LAWRENCE H. OGDEN, PE.
198 EAST MAIN STREET
GEORGETOWN, MA 01833
978-352-831.8 fax 978 —352-2858
cell 978-502-5921
April 8, 2009
Mr. Jerry Casaletto
All City Remoldeling Co.
3 Sophie Rd.
Peabody, Ma. 01960
RE: 17 Union Street, North Andover, Ma. 01845
Dear Mr. Casaletto
As you requested I visited the site March 25, 2069 to review the installation of
LVL members utilized in the reconstruction of the above project after it sustained
damage in a fire. These are shown on drawings prepared by Golden Designs dated July
16, 2008 with the framing plans shown on sheet A4 & A5 certified by me July 18, 2008.
This site visit yielded various conditions that were not in conformance with the
drawings and therefore require additional review.
The first condition was that the roof beam at the front left corner of the structure
was not of the size specified, this was corrected by adding an additional .1.75" * 9.25"
LVL at this location with an increase in the post supporting it. I revisited the site April
6,2009 -to- verify that this WAS., completed correctly.
The second condition was that the plan showed the second floor framing in the
front left area to be replaced. This was based on the assumption that this area sustained
fire damage. You stated that there was no fire damage, which from what I could see is
correct. It is my opinion that the existing framing is acceptable.
The third condition was that the exterior stair railings at the exit stairs on each
side of the structure as detailed on the drawings were not used. A prefabricated railing
system was used The rail system used is manufactured by Composatron Manufacturing
Inc. You provided a copy of an ICC evaluation report ESR -1481 issued June 1, 2005
stating compliance with the 2003 International Residential Code (IRC) and a report from
Intertek Testing Services'Ontario Canada dated April 10. 2002 verifying compliance with
NES load and deflection requirements for One and Two Family Dwellings.
You should verify that the use of this product is acceptable to the North Andover
Building Department.
Based on my site visits and additional review as stated above I can Certify that to
the best of my knowledge the LVL members utilized in the construction of the above
project are acceptable and meet the loading conditions of the 7`' Edition of the
Massachusetts State Building Code.
Should you require any additional information please do not hesitate to call.
Yours truly,
awrence H. Ogden, P.E.
LAWRENCE C-
EN
EN
2 3
�ss�ONAL ENG\
D
M
r. 0 a
ARCHITECT/ENGINEER
Certificate of Compliance
Control Construction
OWNER: ��T�-� C -t Cr 1-.l tJ f7Q 0l S! M
PROJECT ADDRESS: 1'7 I I UN 0-t%J
BUILDING PERMIT# D (7 -Z3-00
In accordance with the provisions of Section 116.0 of the Massachusetts State
Building Code, I hereby certify that the construction is in accordance with said
plans and specifications, except as noted below, and that the structure is
suitable for occupancy in accordance with the provisions of Section 116.4.
ARCHITECT/ENGINEER: 4f--%6 L471E:I�1
(Please P ' t Name)
..... Gad. ............................
(Signature)
N U) Y H N
LoI-
0
o O
E2 C Q
UcEm f�-
0.9 8w Z
@=Ye w O
6a V
aaco >
p �O
cc
a U
Q
� � O
cc
LLJLu
a '�+� W
U
U
Q
A
m rl
f(0too
E M '?
- In 2
W LQ op
0 CO OD
lL m 0)
lLC
0
t
o CL
e
. .0
V�
I ., v
v
t
-{ I W
•
d'•U fi-7 10'-7 d' -C
7-6• 7,T 1T•1• I -e
I
I I
t I I
I I I
I -------------------------------- —,
I
I •� I �� r/ I R
sue ,
o-
- i suo I R
TTr ---------
----------- # — —
A \ b
I------------------------__ ------------ ---------------
Ln
__ -_ - -
W
adz I \ R
I�a xi r------------------------------- —,
I i I I
I I
I
2
$ > 150!..r
TA
Epi
a
0 IF
Res:lde�ddiions KdcQec►cS
B Fire nest reticns
E 1MP�pVEMENTS ATp Z
Q�5e "pM �1in9 Co. _
CSM �Ql'�(1� RAE�OP
Ci�Iy GON
All
GEN s�ran�e Go Y Ins red F�ee�sim3563
In sed & F� 535"
L'cen ce%l?Fae9710, �35-.VRENCE H. OGDEN PE.
hon
A`pw GN �E1° �euP 198 EAST MAIN STREET
GSR L0c.cs� e�ti2i>>� GEORGETOWN, MA 01833
No�eict`Ptevem 978-352-8318 fax 978 —352-2858
April 8, 2009 cell 978-502-5921
Mr. Jerry Casaletto
All City Remoldeling Co.
3 Sophie Rd.
Peabody, Ma. 01960
RE: 17 Union Street, North Andover, Ma. 01845
Dear Mr. Casaletto
As you requested I visited the site March 25, 2009 to review the installation of
LVL members utilized in the reconstruction of the above project after it sustained
damage in a fire. These are shown on drawings prepared. by Golden Designs dated July
16, 2008 with the framing plans shown on sheet A4 & A5 certified by me July 18, 2008.
This site visit yielded various conditions that were not in conformance with the
drawings and therefore require additional review.
The first condition was that the roof beam at the front left corner of the structure
was not of the size specified, this was corrected by adding an additional 1.75" * 9.25"
LVL at this location with an increase in the post supporting it. I revisited the site April
6,2009 to verify that this was completed correctly.
The second condition was that the plan 'showed the second floor framing in the
front left area to be replaced. This was based on the assumption that this area sustained
fire damage. You stated that there was no fire d unage, which from what I could see is
raming is acceptable.
correct. It is my opinion that the existing f
The third condition was that the exterior stair railings at the exit stairs on each
side of the structure as detailed on the drawings were not used. A prefabricated railing
system was used The rail system used is manufactured by Composatron Manufacturing
Inc. You provided a copy of an ICC evaluation report ESR -1481 issued June 1, 2005
stating compliance with the 2003 International Residential Code (IRC) and a report from
Intertek Testing Services Ontario Canada dated April 10. 2002 verifying compliance with
NES load and deflection requirements for One and Two Family Dwellings.
You should verify that the use of this product is acceptable to the North Andover
Building Department.
Based on my site visits and additional review as stated above I can Certify that to
the best of my knowledge the LVL members utilized in the construction of the above
project are acceptable and meet the loading conditions of the 7t' Edition of the
Massachusetts State Building Code.
Should you require any additional information please do not hesitate to call.
Yours truly,
Zi-ence H. Ogden, P.E.
V4 OF
o�
LAWRENCE �G
°N
z $
50��
��S��NAL ENG��
A.
Vol
I .. 7
,
m I
} y
J
Tktt,Ofi
s
F�g3
{ j��YtltktFYSiti4$
tu
VI
r
rr'
J (F
H
tr I
v!
f �wylYtlrW �kY�WW Q.. •
pill
5
}
Fes,' q1 ;'i� �4.' �'�ii'✓r,'^V! ��
yallt%N,V '""
ASSESSORS.•
MAP 104 A, LOT 91
R 1 — RESIDENTIAL 1
REFERENCE'S.•
DEED BOOK 5451, PAGE 152
PLAN #8799
NO TES:
1) THIS PLAN IS NOT TO BE CONSIDERED AN
ALTA/ACSM LAND TITLE SURVEY, NOR IS IT TO BE
USED FOR RETRACEMENT OF PROPERTY LINES.
2) THIS PLAN IS PREPARED WITH REFERENCE TO
ORDER OF CONDITIONS RECORDED IN DEED BOOK
11487, PAGE 217.
3) BOUNDARY RETRACEMENT IS BASED ON FIELD
SURVEY PERFORMED IN MAY, 2008 OF PLAN # 8799
AND UTILIZED AS—BUILT INFORMATION PREPARED BY
MERRIMACK ENGINEERING SERVICES, INC. DATED APRIL,
1983 AS PROVIDED BY TOWN OF NORTH ANDOVER.
O
+0 x
`J •410 °tiF '�• O
°\
ti `' F'�•ti m CY
43, °Gti�,s�
1
'� '� sae•
�(( • 1 STY
14.0' U
�
�0�
v<'06
T1, •
0
19
S•0,.
I CERTIFY TO THE NORTH ANDOVER BUILDING
INSPECTOR THAT THE EXISTING DWELLING
AND FOUNDATION SHOWN HEREON ARE
LOCATED ON THE GROUND AS SHOWN AND
THAT THEY CONFORM TO THE DIMENSIONAL
REQUIREMENTS OF THE ZONING BYLAW OF
THE TOWN OF NORTH ANDOVER WITH
REGARD TO SETBACK§ AT,THE TIME OF
CONSTRUCTION.
PROFESSIONAL LAND SURVEYOR
U
0
0
COMMONN/F
WEALTH MASSACHUSETTS OF
84.00'
�A
Z
O
,�••
C
QJ
�.
r
COR.
Ci
VINYL
(M')
38.6'
<
D
Z7
�p
41
CC)
40.5'
m
2 k�S7'1
TORY
=
OOp
�WW£l RAMr
0
0
COMMONN/F
WEALTH MASSACHUSETTS OF
84.00'
Date ...Z'"...�- R- ..
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .. !S�, ,/!¢/�?f ZZ ...........................
has permission to perform ...... ; � 1 ...............
wiring in the building of .........I �Lt�. $.................................
at ........ (PV ...-` =............................. . North Andover,
®Mass.
Feel? -5 .:�.... Lic. No. ............. ............... .. ".. T4.......
E CTRICALINSPECTOR _i
Check j/ 103? ��JJ
a54P
�o
-N Commonwealth of Massachusetts
44 Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. ZTS— / S
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 W INK OR TYPE ALL INFORMATION) Date: Q1 — �f-G
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) 17 VALGA -1 '9 �--
Owner or Tenant e f ,- C -Q 1-�.O'Al d Q V �` St Telephone No.�{
Owner's Address W a5h,°n a h:,N Sr- F3Q X Fad M al
Is this permit in conjunction with a building permit? Yes
❑ No ® (Check Appropriate Box)
Purpose of Building me tAv ,,Ge Utility Authorization No. -571 q� C) Cis/
Existing Service Amps / Volts Overhead
❑ Undgrd ❑ No. of Meters
New Service 10 Amps NC/� , a V Volts Overhead Undgrd ❑ No. of Meters 5
Number of Feeders and Ampacity 2 - Ser (
(IM -0 CVA4/n04/ 100
Location and Nature of Proposed Electrical Work:
h aM.P f hell' kC,d '. f%IrL
u�.� uua««nae ae,aic 1 aestrea, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: rc) 0 _ (When required by municipal policy.)
Work to Start: 1\ -rd --0c{ 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 D< BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME:
LIC. NO.:
Licensee: _5{-p fvl alfclr--ci 2.,z0 Signature LIC. NO.: 1UTJ
(If applicable e t 11empt " in thq license number line.)
Address: _w -pt; I %er �j' �PM M q a I Q 7d Bus. TeL No.:�7�' fl0 -0
*Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Alt L cl. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below; I hereby waive this requirement. I am the (check one) ❑ owner ❑owner's agent
Owner/Agent
Signature Telephone No. PERMIT FEE: $
The Commonwealth of Afassachusetts
Department of Industrial Accidents
k- !
Office of Investigations
600 Washington Street
., Boston, MA 02111
{ 1 www.mass gov/dia .
Workers' Compensation insitrance Affidavit: Builders/ContractorsMectricians/Plambers
AapHcant Information Please Print Legibly
Name (Business/Organiration/Indi
Address: 3 tZ 1,�a f_r
M
U
City/State/Zip:_ S a IC m /" I a G 1 7d Phone #:. 017 V- 3 6 0- C i-6 1
Are you an employer? Check the appropriate box:
1. El 1: am a employer with 4. ❑ I am a general contractor and 3
Type of project (required):
,employees (full and/or part-time).*
have hired the sub -contractors
6. ❑ New construction
2. I am .a -sole proprietor or partner-
listed on the attached sheet 1
7• ❑ Remodeling
ship and have no employees
These subcontractors have
11. Q Demolition'
working for me .in any capacity,
[No workers' comp, insurance
workers' comp. insurance.
5. ❑ We are a corporation and its
9 Building addition
required.]
3. ❑ 1 am a homeowner doing
officers have exercised their
I 0 'Electrical repairs or additions
all work
right of exemption per MGL
11. [D Plumbing repairs or additions
myself. [No -workers, comp,
c. 152, § 1(4),'and we have no
12.❑ Roof repairs
insurance required..] t
.employees. [No workers'
ME] Other
comp. insurance required_]
-rr •�� .1.1 WICIUK5 oox ff 1 must also Tall out the section below showing their workers' compensation policy information
r Homeowners who submit this affidavit indicating they are doing all work and then him outside contractors must submit a new affidavit indicating such.
=Contractors that check this box mustattacbed an additional sheet showing the name of the sub*eontnactom and their workers' comp. policy infomuuion.
I ant an employer that is.provi&ng:workers' compensation insurance for my employees: Below isthe policy and job site
information.
Insurance Company Name:
Policy # or SeIf-ins. Lic. #:
Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pals and_p�naftiz of perjury that the information provided above is titre and correct
r7� . / CL_
Date: — — U
r 36 0� G 1 rlce7
Official use only. Do not write in this area, to be completed bycity or town official
City or Town:
_ Permit/Lieense #
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 ya
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 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), addresses) 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 cavy 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 numberlisted below. Self-insured companies should entertheir
Self-insurance- license aumber on the appropriate lh .
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. in addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating•current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to 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 Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Basion, MA 02111
Tel. 9 617-7274900 ext 406 or 1-877-MASSAFE
Revised 5-26-05 Fax 4 617-727-7744
www.mass.gov/dia