HomeMy WebLinkAboutMiscellaneous - 34 CHURCH STREET 4/30/2018CII Z5L 'ON v,s•n Ni 30dw
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Date ... ` . y. ........ .
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that .....�... f^ ..
w l �
has permission for gas installation .. ..... . . y. .............. .
in the buildings of .. ?.17!�! :`'.. .........................
r
at ....3..'.... ` ..'. ° . ................ North Andover, Mass.
Fee......... Lic. No.. , .. .
Check # I I C i
L `: :" ......
GASINSPECTOR
J,6
MASSACHUSETTS UNIFORM APPUCATION FOR PERMIT TO DO GASFITTING
_ (Print or Type) _ c�
T A _, Mass. DateoPermit #
Building Location 3 1/ ��—Owner's NameL� a tV.UeA-
Type of Occupancy I \ � �
G
Installing
New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No"M
ral
Business Telephone 'tZ.'
Name of Licensed Plumber or Gas Fitter
d Check one:
O Corporation
�(S
0. Partnership
VFirm/Co.
Certificate
INSURANCE COVERAGE:
I have a curt nt liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No O
If you have checked JL, please Indicate the type coverage by checking the appropriate box.
A liability insurance policy (W Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner[] Agent ❑
Signature of Owner or Owner's Agent
I 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 installations performedunder the permit 'sued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of th neral La
By T of license:
Plumber g re of tensed tuber or Fitter
Title Gaster
stet Ucense Number
City/Town Journeyman
i L
M
111
������������l�■11111111
ral
Business Telephone 'tZ.'
Name of Licensed Plumber or Gas Fitter
d Check one:
O Corporation
�(S
0. Partnership
VFirm/Co.
Certificate
INSURANCE COVERAGE:
I have a curt nt liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No O
If you have checked JL, please Indicate the type coverage by checking the appropriate box.
A liability insurance policy (W Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner[] Agent ❑
Signature of Owner or Owner's Agent
I 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 installations performedunder the permit 'sued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of th neral La
By T of license:
Plumber g re of tensed tuber or Fitter
Title Gaster
stet Ucense Number
City/Town Journeyman
i L
M
Of,
1O 9
At
SS US
Date—^7,//Z.1 /e,
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that . ." ,
....), .........I / ... i.!J. ............... . i
has permission to perform PC'!. 7A .�f: ..................
plumbing in the buildings of. 3rs':. ....................
at. . .............. North Andover, Mass.
Fee. 7. . Lic. No. � . ..... .........
PLUMBING INSPECTOR
Check # ) 5 ,
ODOP
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT T CLIMBING
(Arint or Type1
(� 1\1 , a Ari It, V2_ Mass. Date-2:_7F�_ Permit #
p�/
Budding Location 5q a9j2e-k Owners^�n o ►ria
Type of O=VUM-4=�
New O
IN
Installing
Business
Renovation CL," Replacement ❑ Plans Submitted: Yes ❑ NoQ,
I FIXTURES I
Name_(� I P) L„i' &A/ 'C Pr-A7/AA
L-. 7 n72
Name Of Licensed Plumber
Check one:.
O Corporation
❑ Partnership
.LTJ ftm/Co.
INSURANCE COVERAGE:
I have aYcururrent dablky No ❑� policy or Its substantial equivalent which meets the requirements of MGL Ch. 142:
SJO
If you have d yam, please indicate the type coverage by checift the appropriate boot
A liabddy Insurance policy �Q Other type Of indemnity ❑ . Bond O
OWNER'S INSURANCE WAIVER:1 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 wahres this requirement.
Check one:
Owner ❑ Agent O
I hereby cw* Nat all of the details and k farrnation 1 have submitted (or entered) in above application aro tris and accurate to the gest of ny
knowledge and that all Obmbi g work and installations pertained under the pemrit issred for ttus application wR be in awoliarim with all
pertinent provisions of the Massadwselts State PI Cods and 9MI42 of the Geral laws.
E�
rifle
t�ty/Tovm Type of license: Master
I�oense 'tVumber t�3 � O
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SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STN FLOOR
STH FLOOR
7TH FLOOR
STH FLOOR
Name_(� I P) L„i' &A/ 'C Pr-A7/AA
L-. 7 n72
Name Of Licensed Plumber
Check one:.
O Corporation
❑ Partnership
.LTJ ftm/Co.
INSURANCE COVERAGE:
I have aYcururrent dablky No ❑� policy or Its substantial equivalent which meets the requirements of MGL Ch. 142:
SJO
If you have d yam, please indicate the type coverage by checift the appropriate boot
A liabddy Insurance policy �Q Other type Of indemnity ❑ . Bond O
OWNER'S INSURANCE WAIVER:1 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 wahres this requirement.
Check one:
Owner ❑ Agent O
I hereby cw* Nat all of the details and k farrnation 1 have submitted (or entered) in above application aro tris and accurate to the gest of ny
knowledge and that all Obmbi g work and installations pertained under the pemrit issred for ttus application wR be in awoliarim with all
pertinent provisions of the Massadwselts State PI Cods and 9MI42 of the Geral laws.
E�
rifle
t�ty/Tovm Type of license: Master
I�oense 'tVumber t�3 � O
v• .
A
3 �� Dates inspected
C41-1
Address IJA S Type of Structure and Occupancy
co, brick veneer, solid brick; residential, factory, store)
a0e A��
Owner and Address
No. Item
Yes
/No
CM
No. Item
Yes
No
CM
1. Water supply in each apt
satisfact. quality and quan-
tity (no X -conn).
2. Private in each .apt.
(a) water closet
(b) washbasin
(c) shower/tub
(c) kitchen sink
(e) c ets and counter
rcfrtg. nd stove
3. Yip of water for
(a) washbasin
(b) shower/tub
(c) kitchen
4. Plumbing, heating, electric-
ity, and fixtures properly in-
stalled and maintained.
5. Water-repellent floor and
base in toilet room and bath-
room.
6. Window -� floor area in every
room; openable, adequate
light and air or induced ven-
tilation for bath.
7. Dwelling unit provides 150
ft' for one and 100 ft' area for
each additional occupant.
8. Dwelling can be heated to
68°F
9. Sleeping rooms provide 70
ft' for one person and 50 ft'
for each additional person.
10. Every habitable room has 2
electric outlets; bathroom,
w.c. stall, laundry, and hall
have a min. loft -c on floor.
11. Occupant keeps dwelling unit
and fixtures clean and.sani-
tary.
12. Space and water heaters ade-
quate, properly connected,
and vented to outer air; back -
draft guard.
13. Premises free of rodent and
vermin infestation; rodent -
proof.
14. Refuse, garbage, and ash
storage proper and adequate.
15. One or more apartments
above 2nd floor have 2 means
of egress.
16. Public halls and stairs light-
ed, daylight and artificial in
MD.
17. Property and dwelling prop -
erly drained and severed.
18. Owner keeps public areas of
building and premises clean.
19. Living in cellar prohibited.
20. Dwelling in good repair, safe,
sanitary, and weatherproof
(handrails, stairs, walls, wir-
ing, floors, siding, doors,
frames, plaster, porch, eaves,
roof, foundation beams firm
and sound).
21. Lodging house has one wash-
basin, shower or tub, and
water closet per 6 persons.
22. Lodging house supplies clean
linen and towels prior to `
letting and weekly.
23. Cooking in lodging house
done in approved and lawful
kitchen or kitchenette only.
(�
/
✓'
i
V
-- --
_
NOTE:
is checked
Explain
or dated
cacti
when
"No" item
correction
on back by item
is made.
number
"MD"
and
dcnotes
follow with recommendation for correction."CM"
three or more dwelling units.
Remarks: (tenant names, agent, change in
ownership)
Floor
Apt.
Total
Hab.
Area
Total
Hab.Per-
Rooms
Bedrooms
sons
Shelter
monthly
rental
No. Area
l
Inspcctcd by-
7V_
j
R
1}
71 1190
Mr. Jcv;t,ph Borg:. i
30 Morningnidu Ln
N. nndovur, MA. OMAi
31v CIIUI-,�h w. , N. nr,c4'civt--,-, mn.
Mr, Mil'[1 .", i ;
nL h ci u- i n 1j i rit -, pC,u t i on that vi"' Jonp of 30 Church St.. in
OMO/10, thp t"llowing housing violation:; mra Vound.
Th.., ovLr hi' .d :Irctrical fixture in thn pink hadroom in not
1'ro"king.(105 CMR 410-253M)
Th ,ink ml.v,t wcjT-k properly to providc h"th KoL -nd eolc!
(111! ( H11,
1,111 pipc"' iiluit bi' !wpL Y-
�i, !Ikjtjtl ,-p ir Mnd:,i- MLL-h-n
, ink .%nd in bom,umunt) Thuy :;hould b,, f7rcm
(too cmR 4ionum)).
pip—. in oir- iin pt -o-,,
fV, 1, L u•- 61 U 1), 1 -i ofil,)v -d 01 i'u u 1
--hi, 'tot. -1).Mm rit vump.ny (IDS CMR AID, 350)
- Thin Wfivw 1"Un thv inquiomimiL tw t.. .L for I: Ad pint. it
wow rof,wriA to Lawraninn if paint inopouturs.
- Thp joiW in thv bammuM "m uraokLd. Thuy mu�t Lin rupairod
Lo innure thi n"Futy uT Qh" umup"NuMOn Chin 11MOO)
T4i,- ii. ,.%t v yntpm in 1""king watm. It munL LIN An# in pnuc!
(10i CMR 110.351(n))
v;indov; '-.'-n Lhi-, biithr^oom hov b(. -(,r jj.J;,t -d -'hut. Thin winduw
ii( op-m"b 1 P - ( IOU CMR 410. w8o (r) )
h- i J.d Lin tai: L.y Vluvi n wK nant Ail., i4whi —s I%.)
ih —i, irenuisi, . u ..wi. P.,m novi (-.mA m, o cm)
I i; III I ": .t Nei I I L fF , T- :I,... U:' L:
Iri , i ,iLt e, ),, i. ;, (lob Am woo cm
,',:filljv s; i i,tmi , rk ri i it, t{] v.,
pl.0LO 1iv. . (10" Emn tlo-noo (M)
fill viol.ationL should bu cor,rcUnd :within 20 buArl. dayn of ti:
date of this luttar. Pluanu contact sic: within 10 ;sm:,inaos doy:,
with yugr int,'ilb Tim, , n i% in` p ct i"" wi i i 5 ah d"l,.d on 'pili
20th bun i n. io day.
M.".4 [`Urlv.lA gill' "VFW .lw ASP -MM.
.M.
£31nc::rt:ly,
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C� �11)1 V9
AUG 2 8
1990
`AR'MiENT
.BUILDING DFF
1;
1*
W
U_
O
C '4
Q LU
CU Cr
%,*�
ZUA
40
'I C)
y
P .
Dates inspected
Addresst . Typ of Structure and Occupancy Zri
ftl
ThQ 80� 9� 14 ran e, stucco, brick veneer, solid brick; residential, factory, store)
Owner and Address
No. Item Yes ./No ( CM No. Item Yes No 'C'M
1. Water supply in each apt.
satisfact, quality and quan-
tity (no X -conn).
2. Private in each apt.
(a) water closet
(b) washbasin
(c) shower/tub
(c) kitchen sink
(e),_c' ets and counter
refrig. nd stove
3. Pip of water for
(a) washbasin
(b) shower/tub
(c) kitchen
4. Plumbing, heating, electric-
ity, and fixtures property in-
stalled and maintained.
5. Water-repellent floor and17.
base in toilet room and bath-
room.
6. Window-� floor area in every
room; openable, adequate
light and air or induced ven-
tilation for bath.
7. Dwelling unit provides 150
ft' for one and 100 ft' area for
each additional occupant.
8. Dwelling can be heated to
68°F
9. Sleeping rooms provide 70
ft2 for one person and 50 ft2
for each additional person.
10. Every habitable room has 2
electric outlets; bathroom,
w.c. stall, laundry, and hall
have a min. 10ft-c on floor.
11. Occupant keeps dwelling unit
Apt.
Total
Hab.
Area
Total
Hab.
Rooms
and fixtures clean and.sani-
tary.
12. Space and water heaters ade-
quate, properly connected,
and vented to outer air; back -
draft guard.
13. Premises free of rodent and
vermin infestation; rodent-
proof.
14. Refuse, garbage, and ash
storage proper and adequate.
15. One or more apartments
above 2nd floor have 2 means
of egress.
16. Public halls and stairs light-
ed, daylight and artificial in
MD.
Property and dwelling prop -
erly drained and sewered.
18. Owner keeps public areas of
building and premises clean.
19. Living in cellar prohibited.
20. Dwelling in good repair, safe,
sanitary, and weatherproof
(handrails, stairs, walls, wir-
ing, floors, siding, doors,
frames, plaster, porch, eaves,
roof, foundation beams firm
and sound).
21. Lodging house has one wash-
basin, shower or tub, and
water closet per 6 persons.
22. Lodging house supplies clean
linen and towels prior to
letting and weekly.
23. Cooking in lodging house
done in approved and lawful
kitchen or kitchenette only.
Shelter
monthly
rental
3
�
l
__
l
Z
V11
A
NOTE: Explain each "No" item on back by item number and follow with recommendation for correction."CM"
is checked or dated when correction is made. "MD" denotes three or more dwelling units.
Floor
Apt.
Total
Hab.
Area
Total
Hab.
Rooms
Bedrooms
Per-
No. Area sons
Shelter
monthly
rental
3
�
l
l
l
Eli -49,5
Remarks: (tenant names, agent, change in
ownership)
Inspected by:
I
OWNER
ADDRESS 3�
DATE
NORTH ANDOVER HEALTH DEPARTMENT
120 Main Street e North Andover, MA 01845
Telephone (508) 682-6483, Ext. 32
Complaint Investigation/Inspection Report
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