HomeMy WebLinkAboutMiscellaneous - 2 WALKER ROAD 4/30/2018 (4)�`
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Leathe, Brian
From: Tracey Zysk [Traceyzysk@comcast.net]
Sent: Tuesday, August 27, 2013 7:59 AM
To: Leathe, Brian
Subject: flood at Walker Rd Bld 2 last night
MY UNIT IS FINE !! thank god
Put this on your radar ... as this one may get ugly.
But last night unit 11's bathroom toilet flooded into unit 8. Looks like it was the wax band
It was a heavy enough flood that the ceiling will need to come down in unit 8. Unit 11 doesn't have insurance and is
the in the process of a short sale. Unit 8 is a landlord tenant situation. Landlord is from out of town and not an
experienced landlord.
My concern is I do not believe this was just a wax band problem as it was just replaced on 10/2011 and there may still
be a small lingering leak.
The unit under unit 8 is unit 4 which has been in foreclosure for over 5yrs. If any water has gone into that unit through
the walls we would not be aware because of the foreclosure
Thanks
Tracey
PS my kitchen sink flooded this past weekend. That's what happened when Rick's people use it to wash away plaster,
grout and paint !
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: http://www.sec.state.ma.us/pre/preidx.htm.
Please consider the environment before printing this email.
NW 9650
FA01
9
Date.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
llThis certifies that .V.. . ......... .
has permission to perform.�...��L..,.._ . .
plumbing in the buildings of . .........71
at .. tla'!L... .. �� .C`� . North Andover, Mass.
Fee.. /�.... Lic. No... % 44/ ......................:1�44? . .
� PLUMBING INSPECTOR
(
Check # (�2-oV� `o i�
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
INSURANCE COVERAGE:
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 TH YPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW i 7
LIABILITY INSURANCE POLICY _€ OTHER TYPE OF INDEMNITY D BOND 0 �rh`
OWNER'S INSURANCE WAIVER: I 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 ONLY: OWNER DI AGENT 0
SIGNATURE OF OWNER OR 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.
PLUMBER'S NAME f LICENSE # I . l SIGNATURE
MPO J J CORPORATION D# _ PARTNERSHIP D# __ _- E LLC E�# j
COMPANY NAME i e f%� -t I—)&*94,ij ADDRESS 3'J'
CITY e I/✓ - - STATE ZIP I-�/�-t �� it TEL L -127 Z y J L
FAX ; CELL EMAIL V
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY
Y -J -d ov _
�( MA DATE ( PERMIT #
JOBSITE ADDRESS
C f—i ed
1---"4 OWNER'S NAME
P
OWNER ADDRESSTEL
T
TYPE
TYPE OR
OCCUPANCY TYPE
COMMERCIAL 0
._]FAX
EDUCATIONAL D RESIDENTIAL
PRINT
CLEARLY
NEW: RENOVATION: ® REPLACEMENT:
t PLANS SUBMITTED: YES [�I NO�_}
FIXTURES Z FLOOR-
BSM 1 2
3
4 5 6
7
S 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GASIOILISAND SYSTEM
}
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
___._J
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
} I l I
} iI .....
KITCHEN SINKJE--71
ROOF DRAIN
�;HOWER STALL
SERVICE / MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER ALL TYPES
WATER PIPING
OTHER
INSURANCE COVERAGE:
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 TH YPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW i 7
LIABILITY INSURANCE POLICY _€ OTHER TYPE OF INDEMNITY D BOND 0 �rh`
OWNER'S INSURANCE WAIVER: I 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 ONLY: OWNER DI AGENT 0
SIGNATURE OF OWNER OR 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.
PLUMBER'S NAME f LICENSE # I . l SIGNATURE
MPO J J CORPORATION D# _ PARTNERSHIP D# __ _- E LLC E�# j
COMPANY NAME i e f%� -t I—)&*94,ij ADDRESS 3'J'
CITY e I/✓ - - STATE ZIP I-�/�-t �� it TEL L -127 Z y J L
FAX ; CELL EMAIL V
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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):
Address:
City/State/Zip:
Phone #:
Are you an employer? Check the appropriate box:
1. ❑ I am a employer with 4. ❑ I am a general contractor and I
employees (full and/or part-time).* have hired the sub -contractors
2. ❑ I am a sole proprietor or partner- listed on the attached sheet. I
ship and have no employees These sub -contractors have
working for me in any capacity. workers' comp. insurance.
[No workers' comp. insurance 5. ❑ We are a corporation and its
required.] officers have exercised their
❑ I am a homeowner doing all work
myself. [No workers' comp.
insurance required.]
right of exemption per MGL
c. 152, § 1(4), and we have no
employees. [No workers'
comp. insurance required.]
Type of project (required):
6. ❑ New construction
7. ❑ Remodeling
8. ❑ Demolition
9. ❑ Building addition
10. F1 Electrical repairs or additions
11.❑ Plumbing repairs or additions
12.❑ Roof repairs
13.❑ Other
*Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information.
' 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 their workers' comp. policy information.
I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site
information.
Insurance Company Name:
Policy # or Self -ins. Lic. #:
Expiration Date:
Job Site Address: City/State/Zip:
Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date).
Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a
fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of
Investigations of the DIA for insurance coverage verification.
I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct.
Sijznature: 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 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 for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should
be returned to the city or town that the application for the permit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Town Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.
Please be sure to fill in the permit/license number which will be used as a reference number. In addition, an applicant
that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current
policy information (if necessary) and under "Job Site Address" the applicant should write "all locations in (city or
town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the
applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each
year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license or permit to 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. # 617-727.4900 ext 406 or 1-877-MASSAFE
Revised 5-26-05
Fax # 617-727-7749
www,mass.gov/dia
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This certifies that .......... b;4 � /xo2
has permission to perform .... �C r 7-���� 40.tj .
wiring in the building of
at . , f�llt . ,�, , North Andover Mass.
Lic. No..i2
ELECTRICAL INa EC R
C Teck # 9 7I
11170
1
r
Commonwealth of Massachusetts
` ` K -A Department of Fire Services
air �:0
.;: BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. I L,[7 D
Occupancy and Fee Checked
[Rev. 11/991 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Beetrical Code (MEC) R 12.00
(PLEASE PRINT IN INK OR TYP ALL INF RMATION) Date: 0 � 9
City or Town of: To the Inspecto of Wires. `
By this application the undersign gives notice bf hiu or her intention to perform the electrical work described below.
Location (Street & Number) /
Owner or Tenant F / L G I )1 u a � l L P , Z Telephone No. F
Owner's Address
is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building 1) Utility Authorization No.
Existing Service _Amps --/-- Volts Overhead ❑ Undgrd (I No. of Meters
New Service — Amps _Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity 1 54
Location and Nature of Proposed Electrical Work: A)
` Completion of the following table may be waived by the Inspector of Wires.
No. of Recessed Fixtures
No. of Ceil: Susp. (Paddle) Fans
Transformers K A
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
swimming Pool ove ❑ n- ❑NO.
grnd.d.
oEmergency
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o. o on and
Initis Devices
No. of Ranges
No. of Air Cond. Tons
No. of Alerting Devices
tspose
No. of Waste D' rs
Heat Fns
Totals:
- nm r
ons
K
o. o f- ntained
Detection/Alertin Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ .Nn son C1 Other
No. of Dryers
Heating Appliances KW
s�tu
SecurNo e of Devices or Equivalent
No. of Water KW
Heaters
NO. of
S• Ballasts
Data Wng; .
No. of In-ces or Eguivallent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecon m micattons iring:
No. of Devices or Equivii1ent
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 eov rage is in force, and has exhibited proof of same to th permit issuing offtee.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify)wl, t
(Expiration Date)
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start:/ r% – )6r– 1 �2 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, ander dte pains and rallies of tjury drat information on this application is true and complete.
FIRM NAME: LIC. NO.s��.7b�
D
(If applica
Address:
OWNER'S INSURANCE WAIVEK: t am aware that the tacensevaoes
required by law. By my signature below, I hereby waive this requirement.
) `h-4', a L f J V)Pr �� A�
LIC. NO.:
t Bus. Tel. No • '
Alt. Tel. No.:
not have the liability insurance coverage normally
I am the (check one) ❑ owner ❑ owner's agent.
5�i
- - - - - -- - #
D' AMBROSIO ELECTRIC INC.
Carmine D'Ambrosio I / MA LIC: A12369
Master Electrician NH LIC: 10225M
508-654-2056 Fully Insured
268 Main Street
PM B 328
North Reading, MA 01864
FAX: 978-256-5701
Email: crdambrosio@comcast.net
www.dambrosioelectric.com