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HomeMy WebLinkAboutMiscellaneous - 23 SAUNDERS STREET 4/30/2018 23 SAUNDERS STREET 210/029.0-0015'0000-0 Date....3....'..n't.`1...:.(.�............... �pORTM, TOWN OF NORTH ANDOVER � � 9 PERMIT FOR GAS INSTALLATION Bs�cHus� This certifies that ...�o G�. ,b. !......... ......` . ................................................ has permission for gas installation .....�...PL ..... .o•L'r in the buildings of.... i t't ........UZJL !............................................................... at 15;L�........ .. .r Y.s....S�T.-..h.'*, N rth Andover, Mass. Fee �....... Lic. No. l UO`C.... ... .............................................. GAS INSPECTOR Check# 76 i � J� Qr�V - ~ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: R"..l && ,MA. DATE:. 3v�r( '� y PERMIT# I CQ 1 JOBSITE ADDRESS: T-2 ��,clan�Q�J"S= OWNER'S NAME:CL.r,4. (t`ff's- GOWNER ADDRESS: TEL: FAX: N TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL$ PRINT CLEARLY NEW:❑ RENOVATION:d REPLACEMENT: PLANS SUBMITTED: YES❑ NO❑ APPLIANCESZ FLOOR Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER Z BOOSTER CONVERSION BURNER y COOK STOVE 'T DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY 9 OTHER TYPE INDEMNITY ❑ BOND ❑ 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 ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and acc rate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application ill be in p' nice with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER/GASFITTER NAM E:-.- STi EPREN C. GALr145KY LICENSE# 103-16 SI URE COMPANYNAME: 6AL)A3- Kq PLOMAi" t I4C*-l`W& ADDRESS: P.Q. WX 1701 CITY: M AV e7tLH I LL STATE: Irl•A• ZIP: 01231 FAX: 479- 621-4131 -- TEL: 978-3714- i7g3 CELL: 5,0q - SOA- 5gdq EMAIL: W'VV"VV• Mr'p1UMber c,arn rj MASTER 12� JOURNEYMAN❑ LP INSTALLER❑ CORPORATION/#--,19b PARTNERSHIP❑;# ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL/INSPECTION NOTES Yes No `7r1 s ( r�S 14 THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES Division of Professional Licensure: License Search Page 1 of 1 The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES ........................................................................................................................................................................................................................................................................................ Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency LICENSEE More... Name:STEPHEN C. GALINSKY REFERENCES& HAVERHILL,MA RELATED INFO Disclaimer Regarding **This Licensee has additional Licenses,click here to view them.** Website License Searches Enforcement Process Glossary Licensing Board: PLUMBERS tt GASFITTERS Glossary of License Status License Type: MASTER PLUMBER Codes License Number: 10348 More... Status: CURRENT Expiration Date: 5/1/2016 Issue Date: 11/18/1986 Exam Date: School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Monday,March 24,2014 at 10:18:41 AM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/PubLicenseQ.asp?board_code=PL&type class=_M&li... 3/24/2014 r 0OFTM :�tiooL TOWN OF NORTH ANDOVER ° n PERMIT FOR PLUMBING �ss.+cMuss� This certifies that.......G�..� 1.b6.`,1•......... ;Y✓.............................................. has permission to perform......... .: ...... .1- ................................... plumbing in the buildings of....... c!.,:...... ... :........................................ at... .3.....: ��..D.�.S..:............................................. North Andover, Mass. Fee.t ......Lic. No. t . .... .MD................................................................ PLUMBING INSPECTOR Check# 76 y I �L ..I A / S�—,\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY TY Ire MA. DATE 3 PERMIT# JOBSITE ADDRESS (2-2 6 CL.yv1 eGN . OWNER'S NAME 15CA (.�-y`✓S POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION: REPLACEMENT:❑ PLANS SUBMITTED: YES ElNO El FIXTURES 1 FLOOR BSMT 1 2 3 4 5 S 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIL/SAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER i INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes MN.❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY JR(- OTHER TYPE OF INDEMNITY ❑ BOND ❑ 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 BOX ONLY: OWNER ❑ AGENT ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information 1 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 iss ed for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chap r 14 oG neral Laws. PLUMBER NAME SIEM+150 C GALIIJGK+' SIGNATURE LIC# 1D3/1S MP[' JP❑ CORPORATION A# PARTNERSHIP ❑# LLC ❑# COMPANYNAME &AI413SKY PLUMOIAjb � RVAT O ADDRESS: P.D. GGX 1701 J 1 CITY HAV6IZR1LL- STATE aM-A- ZIP 01131 EMAIL vvww• mr l,jrAberW1.. C,om r TEL g7Si-371- 17+t CELL 505`50ci-590+-I FAX ROUGH PLUNIBrNG INSPECTION NOTES THIS PAGE F FINAL]3 INSPECTOR USE ONLY INSPECTION NOTES p, -- Yes No THIS APPLIQ,ATION SERVES AS THE P R IT ❑ ❑ PEE: $ PERMIT# PLAN REVIEW NOTES Division of Professional Licensure: License Search Page 1 of 1 �J The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES ........................................................................................................................................................................................................................................................................................ Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency LICENSEE More... Name:STEPHEN C. GALINSKY REFERENCES& Business:GALINSKY PLUMBING Ft HEATING INC RELATED INFO HAVERHILL,MA Disclaimer Regarding Website License Searches **This Licensee has additional Licenses,click here to view them.** Enforcement Process Glossary Licensing Board: PLUMBERS it GASFITTERS Glossary of License Status Codes License Type: PLUMBING CORPORATION License Number: 3196 More... Status: CURRENT Expiration Date: 5/1/2016 Issue Date: 4/6/2010 Exam Date: School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web server on Monday,March 24,2014 at 10:19:22 AM. ©2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/pubLicenseQ.asp?board_code=PL&type_Class=_C&li... 3/24/2014 i HORT/� ti0 TOWN OF NORTH ANDOVER • - PERMIT FOR GAS YWALLATION SACHUSES•( f This certifies that . . . . . . . . . . . . . . .14 . . . . . . .ry/4- '. . . . . . . . . . has permission for gas installation . . . .... . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . t . . . } . . s r `. . . . . North Andover Mass. G , Fee. . o �. . Lic. No.. 3 T . GAS INSPECTOR Check# 5099-7 MASSACHUSETTS UNIFORM APPUCATON FOR PIItMrr TO DO GAS FfrnNG (Type or print) Date 7 NORTH ANDOVER,MASSACHUSETTS Building Locations 2-1 Permit# 5 � Amount$ eL j Owner's Name < < New Renovation Replacement 13-- Plans Submitted w a� oZ g z F G Zo w d W ? > w C W m O x A 1U a > 0 SU B-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR STH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) . ( Name A nly( CAI one: Certificate Installing Company rr U Corp. Address 'I�` Partner. u-44 usmess a ep one 5 r1„ M n y p n Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Checkone• I have a current liability Insurance policy or it's substantial equivalent. Yes No0 If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy 0/ Other type of indemnity 13 Bond 0 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: Signature of Owner or Owner's Agent Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in above apply tion are true and accurate to the best of my knowledge and that all plumbing workapd install performed under Permit Issu for this pplication will be in compliance with all pertinent provisions of the Massachu s ate Code and C pter 142 f the eral Laws. By: Signature of Licensed Kumber Or Gas Fitter Title Plumber 3 City/Town Gas Fitter (cense Number aster APPROVED(OFFICE USE ONLY) Journeyman Location No. too Date �oRrh TOWN OF NORTH ANDOVER F 9 " Certificate of Occupancy $ 0+4 ,,•' ' "••"''t�' Building/Frame/Frame Permit Fee $ a ss�cHusa 9 'z Foundation Permit Fee $ Other Permit Fee $ TOTAL $ c--:�2 S Check # jy Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING wn r� BUILDING PERMIT NUMBER. DATE ISSUED: / ® d l (J � SIGNATURE: Building Commivssion'brAnspector of Buildings Date Z SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: t�l Map Number Parcel Number tk f- 1.3 Zoning Information: 1.4 Property Dimensions: (I—V'90 z Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide R redProvided Required Provided 1.7 Water Supply M.GI.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT m 2.1 Owner of Record XNa Address for Service t Telephone 2.2 Owner of Record: N ri Address for Service: na re Telephone 4SWtION 3-CONSTRUCTION SERVICES go 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed GlIhstruction Supervisor: /� �/I //- License Number mn Expiration Date Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ Company Name rn Registration Number r Address r Z Expiration Date /1 Signature Tele hone Y� U SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......0 SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: a rZ, C' \J x Coo SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant _ 1. Building (a Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee tel X @1 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, fi Cc -t• ln0 W, I �� S� as Owner/Authorized Agent of subject property Hereby WAftize to act on My b ;in a i by o' r eddy this building permit application. Si raho Date SEftg 7b OWNER/AUTHORIZED AGENT DECLARATION I, As Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/A ent Date M =04=10012 MINES NO.OF STORIES SIZE f BASEMENT OR SLAB SIZE OF FLOOR TRVIBERS 1 ST2ND 3RD SPAN DIN ENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHININEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE i ` - ✓//6 �(N!L'tX472i4M-ilLl/L O� i�7QditlCltfLdF,��3 '. BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR hr Number: CS 028147 -_ -- Birthdate: 03/25/1953 Expires:03/25/2002 Tr.no: 19595 — P Restricted To: 00 EUGENE P WILLIS 76 BOSTON HILL RD [�•" N ANDOVER, MA 01845 Administrator Department ofIndustrialAccidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: e Location' City (�i� � d tJL° Phone am a homeowner performing all work myself. am a sole proprietor and have no one working in any capacity QI am an employer providing workers' compensation for my employees working on this job. Company name. Address City Phone#: insurance Co. Policy.# Company name: Address Cid Phone Insurance Co Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy cf this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do herby certify un �palndperia)tie t the intonnation provided above is true and correct Signature Date ,n D es Print nam Phone Official use only do not Unite in this area to be completed by city or town official' r_1 Building Dept ❑Check if immediate response is required Building Dept p Licensing Board Selecfman's Office Contact person:_ 30l 1 (r Sr Phone#: _t'��j -��/ealth Department 0 /Other FORM WORKMAN'S COMPENSATION Town of North Andover Building Department 27 Charles Street , North Andover, MA. 01845 An D D. Robert Nicetta Building Commissioner (978) 688-9545 (978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print,. j DATE JOB LOCATION oC �J� —';;t 5 Number Street Address Map/lot "HOMEOWNER N&k Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be,a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedure 4: a ents and that he/she will comply with said procedures and re �� HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL 11,e% / NORTH 01%?M ® over No. C a- o - oo o�A COC H," �V dower, Mass., 0RATEO I"') C 3 H E BOARD OF HEALTH PERMIT T Food/Kitchen Septic System /it BUILDING INSPECTOR THIS CERTIFIES THAT... ........................... ........ ........................ '. P _ Foundation has permission to erect 1O S....... buildings on � 3 � A V� S S� Rough Q .. ..... .... ..... ..!��44@��44 604"ft to be occu ied as 070 % 1EGftSS 5140* , , WC Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ma at ' PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough AM L�1V l� EMS IN.. 6 MONS Final wMLESS CONSTRUCTIONS T ELECTRICAL INSPECTOR Rough .......... ....................... ............................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT • Until Inspected and Approved by the Budding Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Town of North Andover F t%ORT" O R2l.Ea r6 R1. Office of the Building Department O � Community Development and Services Division William J. Scott, Division Director 27 Charles Street �SSaeHusE D. Robert I�T icetta North Andover,.Massachusetts 01845 Telephone(978)688-954.5 Building Coinnussioncr Fax(978)688-9542 Pleasant Street Trust Atty. Marybeth McGinnis, Executer 807 Turnpike Street North Andover, MA 01845 December 14, 2000 Dear Atty. McGinnis.- It cGinnis:It appearing upon an inspection on December 7, 2000 at the property located at 23 —25 Saunders Street in the Town of North Andover it was observed that the second floor front and rear apartments are without a second means of egress. This is in violation of the MA State Building Code Chapter 10 section 1006.2.1 which states "... Means of egress from dwelling units, rooming units, guestrooms and dormitory units shall not lead through other such units, or through toilet rooms or bathrooms."This violation must be remedied within 7 days of receipt. Please contact me at (978) 688-9545 between the hours of 8:30— 10:00 AM and 100—2:00 PM so that we may begin the process to correct this situation. Respectfully, Michael McGuire Local Building Inspector Certified mail 4 Z 370 627 425 Cc file D. Robert Nicetta, Building Commissioner Susan Ford, R.S. Health Inspector !� BOARD OF APPEALS 698-9541 I-ILDiN 688-9545 HEALTH 6H-9540 PLANNT1 G 684-9535 Z 370 627 425 Jr US Postal Service Receipt for Certified Mail No Insurance Coverage Provided. Do not use for International Mail See reverse t St et&Num r Q 7 Post office,State,& Code Postage $ Certified Fee Special Delivery Fee Restricted Delivery Fee LO Return Receipt Showing to Whom&Date Delivered .a Return Receipt Dminit to Wham, Q Date,&Addressee's Address 0 TOTAL Postage&Fees Is 02 M Postmark or Date t �y E (L _ __� Stick postage stamps to article to cover First-Class postage,certified mail fee,and charges for any selected optional services(See front). 1. If you want this receipt postmarked, stick the gummed stub to the right of the return address leaving the receipt attached, and present the article at a post office service window or hand it to your rural carrier(no extra charge). a� 2. If you do not want this receipt postmarked,stick the gummed stub to the right of the � return address of the article,date,detach,and retain the receipt,and mail the article. �- LO 3. If you want a return receipt,write the certified mail number and your name and address M on a return receipt card,Form 3811,and attach it to the front of the article by means of the gummed ends if space permits. Otherwise,affix to back of article. Endorse front of article n RETURN RECEIPT REQUESTED adjacent to the number. 4. If you want delivery restricted to the addressee, or to an authorized agent of the C addressee,endorse RESTRICTED DELIVERY on the front of the article. M 5. Enter fees for the services requested in the appropriate spaces on the front of this E receipt. If return receipt is requested,check the applicable blocks in item 1 of Form 3811. io 6. Save this receipt and present it if you make an inquiry. 102595-99-M-0079 � r *'�' �Togylh p. 1"Ap� Town of North F IAORTH ®tRt yca+6�•�p Office of the Building Department � �,Y Community Development and Services Divisionx William J. Scott, Division Directora41 27 Charles Street ,C us��c North.Andover,Massachusetts 01845 Telephone 4" )6�8 D. Robert I�I icetta P. (. 88-954.5 B2,_ritrling Cnztmzissioner Fax(978)688-9542 Pleasant Street Trust Atty. Marybeth McGinnis, Executer 807 Turnpike Street North Andover, MA 01845 December 14, 2000 Dear Atty. McGinnis: It appearing upon an inspection on December 7, 2000 at the property located at 23 —25 Saunders Street in the Town of North Andover it was observed that the second floor front and rear apartments are without a second means of egress. This is in violation of the MA State Building Code Chapter 10 section 1006.2.1 which states "... Means of egress from dwelling units, rooming units, guestrooms and dormitory units shall not lead through other such units, or through toilet rooms or bathrooms." This violation must be remedied within 7 days of receipt. Please contact me at (978) 688-9545 between the hours of 8:30— 10:00 AM and 1:00—2:00 PM so that we may begin the process to correct this situation. Respectfully, A/ Michael McGuire Local Building Inspector Certified mail#Z 370 627 425 Cc file D. Robert Nicetta, Building Commissioner Susan Ford, R.S. Health Inspector BOARD OF APPEALS 6F8-9542 Ftp tLI TNG f88 9545 C07 SF,IZv;1TICj':ti 688-9530 ITFALTI i_688-9540 PLANNING68F-9535 Location 7;22 �II,., - -�1--, No. 6-(e Date 2- /Z MORTIS TOWN OF NORTH ANDOVER 3?O't,,,o.•,�Ot � n Certificate of Occupancy $ 1'�b'••° '<� Building/Frame Permit Fee $ s1ACH Foundation Permit Fee $ Other Permit Fee $ �y TOTAL $ Check # /y-3 o ' Building Inspe, pr TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMj�O�LISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED. & ic Z- /Z- oo SIGNATURE: �- Building Commissioner/Inspector of Buildings Date SECTION 1-SITE INFORMATION Z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: O �� S�✓err Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning Distric—t Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G.L.C.40. 34) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 J SECTION 2-PROPERTY OWNERSHIPIAUTHORIZED AGENT m 2.1 Owner of Record _ Name(Print) Address for Service rgnature Telephone 'i 2.2 Owner of Record: (V Name Print Address for Service: O Z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O t--- License Number mn Address tz D Expiration Date �,., �} ic` tgnature Telephone v pp egistered Ilome Improvement Contractors Not Applicable ❑ Company Name 1 1 / ` �! Registration Number AddCD1 / �] r Z — Expiration Date S�ature Tee hone Y' f SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ S Brief Description of Proposed Work: ,-T772, , {- SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL.USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee Multi Tier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a) X(b) 4 Mechanical HVAC 5 Fire Protection 6 Total 1+2+3+4+5 wc� Check Number SECTION 7a OWNER AUTHORIZATIdN TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT 1, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, ,as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Aent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS OT 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH Town of Andover 0 No. `to " 2 �D� �o� ,��EW,o dover, Mass. 1 RATED S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System W * , BUILDING INSPECTOR THIS CERTIFIES THAT... ............................................... d....... ........................................................... Foundation has permission to erect.............. ........................ buildings on ..: ........ . . ...... .....��• .,...... Rough to be occupied a �� .......................................................... Chimney . . ............... ..................... ...... ................... provided that the per c pting this permit shall in ev ry pact conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR � /� Rough ....................................� . ............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. Town of North Andover ti N ORT11 6� Q Building Department o 27 Charles Street ` North Andover, Massachusetts 01845 4 ?a� .0.r 4 (978) 688-9545 Fax (978) 688-9542 Aca+us���� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit.# the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s150a. The debris will be disposed of in/at: Facility location ' ' nature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. s Town of North Andover of NQ�TH Al.6y O Building Department o 27 Charles Street ` North Andover Massachusetts 01845 1 .r �► (978) 688-9545 Fax (978) 688-9542 ��40"""@ K. �9S SAC HUS���� DEBRIS DISPOSAL FORM In accordance with the provisions of MGL c 40 s 54, and a condition of Building permit # the debris resulting from the work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL cl 1, s156a. The debris will be disposed of in/at: Facility location nature of Applicant Date NOTE: A demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. proposal COVER-RITE -_1 mr , Haverhill, MA SIDING & WINDOW CORP. Atkinson, NH 372-3260 Siding & Window Specialists 362-9951 SIDING 177 MAIN STREET WINDOWS GUTTERS ATKINSON, NH 03811 SHUTTERS FREE 5 Yr. ESTIMATES WGuaranteelp PROPOSAL SUBMITTED TO PHONE _ DATE STREET JOB NAME CITY,STATE AND ZIP CODE JOB LOCATION ARCHITECT DATE OF PLANS JOB PHONE We hereby submit specifications and estimates for: Color l,J4;Tf- Style Insul. Window Trim Trim Color JOB OUTLINE COST JOB OUTLINE COST Siding Gutters Insulation Pipe i Facia Cover Sid' Removal Facia Board Replmt. Windows Soffit Cover t2L/1/20 Storm Windows t"I`�� Window � 4 4&AAO _ Storm Doors 574,15 Door Casings Ceilings Shutters `"v Roof .� NOTES: �� 1'�it/�%!�.•� %t.Y.�i����5. Lt't✓i is'�i, d �'�j—/y i3clrr�. C) Bit f moose hereby to furnish material and labor — complete in accordance with above specifications, for the sum of: dollars (S Payment to be made as follows: C: g All material is guaranteed to be as specified.All work to be completed in a workmanlike manner Authorised according to standard practices. Any alteration or deviation from above specifications Signature i involving extra costs will be executed only upon written orders,and will become an extra charge g over and above the estimate.AN agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado and other necessary insurance.Our workers are fully Note: This proposal may be covered by workmen's Compensation Insurance. withdrawn by us if not accepte in days. AcceptunCP of ilrII�1IIStt —The above prices,specifications and conditions are satisfactory and are here accepte .You are authorized to do the Signature work as specified. Payment w II be de as ou ned above. Date of Acceptance: �� Signature 7 ` J J a Date.X . .. . .. . . ........ „pRTN TOWN OF NORTH ANDOVER pf 4t•ao ,e 11.0 PERMIT FOR GAS INSTALLATION p f 9 ♦ s SACMUSEt This certifies that . . ` .CL ?."« . . . . . . . . . . . . . . . . . has permission for gas installation . . .I-?k.4 t . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . �. '? . . .S �.� .r. . .�. . . . .�' ., North Andover, Mass. Fee. . s.,.7. . Lic. No.. 3. . . . . . . . . .. . .".. . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer s MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT T GAS FITTING Date ype or print) /// 19 NORTH ANDOVER, MASSACHUSETTS Building Locations � �� �7� Permit# Amount S Owner's Name 6e,�//j New❑ Renovation ❑ Replacement 1=! Plans Submitted ❑ z c Z —'; Cn w C C N w w Z w EnC CA C. Ci W n Z SUB-BASENI ENT BASEMENT IST. FLOOR 2N D . FLOG R 3RD . FLOOR 4T H . F L O O R 5TH . FLOOR 6T 11 . FLOOR 7T 11 . FLOUR sTH . F1, 00 R (Print or typA4111,14-or A/ �i,. Check one: Certificate Installing Company Name Address ,�eool� ❑ Partner. We A1W,6e4:2L !� Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes Ua— No❑ If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ 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: Signature of Owner or Owner's Agent Owner F-1 Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installati s performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts tate Gas Co and C apter of the Ge I Laws. ignatur of Licensed Plumber Or Gas Fitter By. ❑ Title Plumber . /o/ City/Town r-jR—Gas Fitter lcense 715-mber Master APPROVED(OFFICE USE ONLY) ❑ Journeyman MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING t (Print or Type) `, t ,f NORTH ANDOVER Mass. Date 4uilding Location f� Permit # "Ii Ot '&W J dwners Name —��' 't'l a-11 -i S J� ke�lzgo ' New '7 Renovation Replacement flo Plans Submitted 0 FIXTUPElz 34 x tL • N V3 U a t— m a m ¢ .Q ? u ej M a ;- z zta-< x` a w aWm o mNa ¢ x " y N o asu � "� no tu ¢tx4wwaw x aus H x a au > Wzc 4 < o o ozxa o j Cr .aa- s ¢foWwa - SU$—BSP.1T. 1 BASEMENT IST FLOOR 2N0 FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTI{FLOOR STH FLOOR (Print or Type) Check one: Certificate Installing Company Name �"'K- Corp. Address mg Partner. //// F/ Firm/Co. Business Telephone: �� Name of Licensed Plumber or Gas Fitter ,�/2 n Z— Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy PQ Other type of indemnity Q Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 0 Agent F7 I heteby certify that ail of the dcuils and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that aa plumbing worst and installations performed under'Permit issued fo: this application will=be in compliance with all pertinent provisions of the Massachusetts Slate Cas Code and Chapter 142 of the General laws. By TYPE LICENSE: Plumber Title Gasfitter Signature of Licensed City/Town: Master Plumber or Gasfitter Journeyman APPROVED (OFFICE USE ONLY) License Number Y Date... .. .. . ..... ........ F „pRTly , TOWN OF NORTH ANDOVER p tt ao ,e tip �? �• • pp PERMIT FOR GAS INSTALLATION SACHUSE�Ah r This certifies that . . . . .. . . . . . . . . . . . . . .. . . . . . . . . . . .. . . has permission for gas installation . ,f.. . , . . . . . .I. . . . . .. . . . . . . . in the buildings of . . . . . . . . . . . . . . , . .. . . . . . . . . . . . . . . . . . . . . . at . , . . . . . . . . . .'. . , . . . . . .. North Andover, Mass. d Fee. A." . . . . Lic. No.. . __'. . . .Y'.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 I GAS INSPECTOR WHITE:Applicant CA#ARY:"Building Dept. PINK:Treasurer GOLD:File R Al `own of North Andover %40RT4 VonSh6 6�OL Office of the Building Department Community Development and Services Division x William J. Scott, Division Director oa°=M;g.''y41 AT427 Charles Street 9SS ►+usti�z D. Robert Nicetta North Andover,Massachusetts 01845 Telephone (978)638-954.5 Bar_ilriizzg Cazrartzissinzzer 1 k Fax(978)683-9542 IAO s r 1 002 01*S 5 P,Joao Pleasant Street Trust Atty. Marybeth McGinnis, Executer 807 Turnpike Street North Andover,MA 01845 { December 14, 2000 �a Dear Atty. McGinnis: It appearing upon an inspection on December 7, 2000 at the property located a3 —25 Saunders Street in the Town of North Andover it was observed that the second oor ont and rear apartments are without a second means of egress. This is in violation of the MA State Building Code Chapter 10 section 1006.2.1 which states "... Means of egress from dwelling units, rooming units, guestrooms and dormitory units shall not lead through other such units, or through toilet rooms or bathrooms." This violation must be remedied within 7 days of receipt. Please contact me at (978) 688-9545 between the hours of 8:30— 10:00 AM and 1:00—2:00 PM so that we may begin the process to correct this situation. Respectfully, Michael McGuire Local Building Inspector Certified mail#Z 370 627 425 Cc file D. Robert Nicetta, Building Commissioner Susan Ford, R.S. Health Inspector BOARD OF APPEALS688-9541 BULDTNCT 634 95 45 COQ SF;RV,MON 633-9530 11FALTI€.683-9'40 PL,:1��Z�Ci C>33-9535 0 j N Town of North Andover E NORTy�ti d C ♦�aO s Office of the Health Department Community Development and Services Division • � William J.Scott,Division Director �gs 27 Charles Street CHU North Andover,Massachusetts 01845 Telephone(978)688-9540 Sandra Starr Fax(978)688-9542 Health Director NORTH ANDOVER BOARD OF HEALTH ORDER Issued under the provisions of the State Sanitary Code, Chapter II, Minimum Standards of Fitness for Human Habitation, 105 CMR 410.000. Date: December 7, 2000 To Owner of Record: Property Location: Pleasant Street Trust 25R Saunders St Atty. Marybeth McGinnis, executer North Andover, MA 807 Turnpike Street 01845 North Andover, MA 01845 North Andover Health Department personnel made an authorized inspection of your property at the above address on December 7, 2000. This inspection revealed violations of certain regulations of the State Sanitary Code, Chapter II, as listed on the attached Violation Form. You are hereby ORDERED � correct these violations within the time allotted on the enclosed form. Faillre to comply within the allotted time period may result in a criminal complaint against you in the Lawrence District Court and may result in an assessment of a fine. 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 witness 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. An attorney may represent you. You also have the right to inspect and obtain copies of all relevant records concerning the matter to be heard. ' ' z Su"s"an Ford, R.S. Health Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATIONT689-9530 NURSE 688-9543 PLANNING 688-9535