HomeMy WebLinkAboutMiscellaneous - 42 Water Street_� Q� W�i�f� �'�1���i
North Andover Health Department
(ommunity Development Division
April 10,2015
Mn &Mrs.William Barratt
40 Water Street
North Andover,MA 01845
Re:Notice regarding trash and sanitary conditions
Dear Mr. &Mrs. Barratt,
The North Andover Health Department received a complaint.on April 8,2015,in regards to the
Otrash and sanitary conditions located at 40 Water.St.An inspection was conducted on Apri19,
2015 and found violations to The Human Habitation code 410.602a(please see attached pictures
and code reference).
The Health Department requests thatyou correct these violations which include in of all
trash and trash bags that are enclosed within the large green dumpster bag along with any other
trash debris around the property.Please comply with this letter to avoid farther action.A re-
inspection will be done within 14 days.
If you have any questions regarding this letter please contact the Health Office.
I
you, r%Sa er
Health Dire r
I
Encl: Code Refei.ence Page
Pictures
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Page 1 of l
North Andover Health Department, 1600 Osgood Street, Suite 2035,
North Andover;MA 01845 Phone: 978:688.9540 Fax: 978:688.8476
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0 Corrido Development Dist 3L for planning purposes only.It may not be adequate for legal boundary
0 MVPC Boundary 0 Corrido Development Dist O to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER
0 Municipal Boundary 0 Corrido Development Dist F p MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING
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0 Wateri Protection
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041.0-0031
-40 WATER STREET
Complaint DetaiPrinted On:Thu Jun 30,2005
Complaint#: CT-2005-000058 Status: In discovery GIS#: 2329 Violator:
Address: -40 WATER STREET Map: 041.0 Address:
wry�4�t�
�.� �,* •a a°c Date Recvd.: Jun-30-2005 Time Recvd.: 08:52 AM Block: 0031
Household Trash Lot-
Type:
g Y�
P r+ GeoTMS Module: Board of Health District: Trade:
. _ Zoning: _Structure:
�� �c►cu4<"+ Recorded By: Pamela DelleChiaie
Description
Complaint: on Wednesday,June 29,2005,received an anonymous hand-written letter from a"long-time resident of North Andover"concerned about the following:
• "Would you please check and correct the disgraceful,unhealthy accumulationof trash outside the residence at 40 Water Street. Many of us walk past this house
daily to the hairdresser,tea room,and other shops,and this is a depressing site:"
Please investigate. File and assessor's information are in-the folder in your inbox.--pfd
Comments:
Callers
Phone
Best Time To Reach Recorded By Response
Date Time Name
- PamelabelleChiaie
Jun-30-2005 8:52 AM Anonymous
Actions Taken
GeoTMS Module Status Date Time Response Type Action Taken Comments
*NEW
Board of Health REFERRAL Jun-30-2005 8:56 AM Follow-Up by Health
Inspector
vt
} age 1 of 1
Ge^Te11S��'05 Des Lauriers Municipal Solutions,lnc. a
Dates/'/-.(e
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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that . .,R .A-'?. . x. . . a t!!�. . . . / T'.•. . . .
has permission to perform . . . Lt.: . . . .•. . . . . .
wiring in the building of ��� . . ��t .. . . . . . . . . . . . . .
at North Andover -Mass.
FeeLic. No. . jJ�. . . .
ELECTRICAL INS CT
Check#
11206
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Commonwealth of Massachusetts Officia Us�onv
G-
Department of Fire Services Permit No.
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leaveblank
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 IN INK OR TYPE ALL INFORMATION) Date:
City or Town of. NORTH ANDOVER To the Inspector of Wires:
By this application the undersigned gives notice of his or her intentionto perform the eled,ctr' al work described below.
Location(Street& umber) O �-9� �'t� j T N �`*i7 `�= G`1 �'q� .
Owner or Tenant b 1 1) I?s` f-redf- Telephone No.(t-f 7 9 Rf_ `3
Owner's Address 'S%V
Is this permit in conjunction with a buil ing ermit. Yes ❑ No (Check Appropriate Box)
Purpose of Building u5e—. c-->J , i`@ Utility Authorization No.
Existing Service,;Lob Amps 1 )-0 /Q110 Volts Overhead JAI Undgrd❑ No.of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
I
Completion of the following table may be waived by the Inspector of Wires.
of
No.of Recessed Luminaires No.of Ceil: TranSusp.(Paddle)Fans s Total
Trsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting
rnd. rnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones
No.of Switches No.of Gas Burners No.of iDetection and
Initiatin Devices
No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices
No.of Waste Dis osers Heat Pump Number Tons J.KW No.of Self-Contained
P Totals: Detection/Alerting Devices
No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other
P g Connection
No.of Dryers Heating Appliances KW Security Systems:x
y No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER: 4'tr— `,Ipe 1< 4'+ Z,s4S
Attach ad itional detai f desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 'Soo. C>O (When required by municipal policy.)
Work to Start: 1 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 ❑ BOND ❑ OTHER ❑ (Specify:)
I certify,under tl pains and penalties o perjury,that the information on this application is true and complete. _
FIRM NAME: +n k. L c, +, d s c4f t,t k LIC.NO.:3I�15I 5- E
Licensee: � Qv� << 04
qJ-n Signature r LIC.NO.: 5 I S L-
(Ifapplicable,enter "exempt"in the lic. se numbe�(line.) Bus.Tel.No.tQ1 "
Address: ST f`� � ��}hv� Mot* �1�yc� Alt.Tel.No.:
*Per M.G.L c. 147,s.57-61,security work requires 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 rW signature below,I here aive this requirement. I am the(check one)El owner El owner's agent.
Owner/Agent i<tT_ �I- �3 PERMIT FEE: $
Signature Telephone No.
1
f -
_ JUJ rICICJ�L,H e.Ci�iJ t u lk'lit®, �s ttYd Ju�.�Ll.�l 9 �i1lC o
3nspecto7rs'Ca7mzue�afs: -
QCnspectoxsyzgttatuze� toit�iaTs) date
J?aSSea +aiTec7�I ) ens eetfox�xe4uixe ($50.40)- j
Avectors'Comm
PA
(JCns�adorsl glgnature 4o inzfials) date
3,TMAR GRODND WgR CTION:
�'asser�--j � �'azIec�_l � ate-ins�ectZou,xet�uixe[�(�5d.40)�j ] •
U spectors'Comments. ,
(lnspectoXs'aignatuze-ao?nit:aTs) Pate
ATM,C.LD-roo 16,16+ONA:Ii CM-131 .
asset--[ � �`aile�--j � rhe-xuspection�requixer�(�50A0)�j � .
!s aectoxs'cawmepfs:
(Tns�ectozs' iguatuze��ojnztzals) Date
WSPACWON•-0rjuR:' '
!s e�—j � �'azter��-( �- 'ate�nsp ectzon�'er�uixet�($50.0 D)•-[ �'
�ectors' corsixnenfs: - _
. s
. 'psp edoxs'Slinature-m Sui tf als) Pate
:POR T'.AQ,9 AM TO DE INZED YUT AM X EFT OXBITE N TM.A XA.TO INSEECTED 18 NOT
Y
The Commonwealth of Massachusetts
Department of IndustriqlAccidints
Office of Investigations
600 Washington Street
Boston,MA 02111
www.mass.gov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information I Please Print Legibly
Name(Business/OrganizatiorAndividual):Kyga\� K ,a n7A.,;l L 1 c_ '11r1`L.
Address:
City/State/Zif 1'14. C�f P T9 Phone#: T 7&'(o?7 —q 797
Are you an employer?Check the appropriate box: Type of project(required):
1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction
employees(full and/or part-time).* have hired the sub-contractors
2.[�I am a sole proprietor or partner- listed on the attached sheet.t ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
workingfor me in an capacity. workers' comp.insurance.
Y p tY• 9. ❑Building addition
[No workers' comp.insurance 5. ❑ We are a corporation and its
required.] officers have exercised their 10.electrical repairs or additions
3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑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'
comp.insurance required.] 13.❑Other
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. ,
i Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such.
tContractors 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.
Ido hereby certify under the pains andpenaldes ofperjury that the information providepd above is true and correct. -
Signature: 9` s Date:Phone#: 9"7e— (,-oq"?--q 1 1/ Q'
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 t
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 !r
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 cater.their
self-insurance license number on the appropriate line.
City or Town Officials
r
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 y
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 Iavestigati ons
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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Office Use Only Q C2
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Gibe Tnmmnnwralt4 of ffiss#usPfts Permit No. °(
i9ep rtalirrit tf Public -tfetq . Occupancy&Fee Checked
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BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CM 12:00 S
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date S'
�& or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the� electrical work descrriibed below.
Location (Street & Number) ® WT� ��" E�
Owner or Tenant
—AA/A/ T ft tl ti
Owner's Address t
Is this permit in conjunction with a building permit: Yes No C (Check Approp(r'i�lie-SG
Purpose of Building .Utility Authorization N v
Existing Service 0O Amps —J Voits Overhead li-t" Undgrnd ❑ No. of Meters
New Service c)N od Amps 0 Volts, Overhead Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity 3- -:V11- (3° 4M)9
Location and Nature of Proposed Electrical Work
t/ pD/-� TL - ��� U/c �
i Total
No. of Lighting Outlets No. of Hot :ubs No. of Transformers KVA
AtovNo. of Lighting Fixtures I Swimming Pcoi grno. - n r
g 9 grnd. '_ grnd. '._ I Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets No. of Oil Burners Battery Units
No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones
Totai No. of Detection and
No. of Air Cond.
No. of Ranges i tons Initiating Devices
Heat Tota! Total
No. of Disposals I No.of Pumcs Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers SpaceiArea Heating KW Detection/Sounding Devices
-7 Municipal
No. of Dryers I Heating Cevices KW Local Connection Other
No. of No. of Low Voltage
No. of Water Heaters KW I Signs Ballasts Wiring
No. Hydro Massage Tubs I No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws _
1 have a current Liability Insurance Policy including Ccmoietec Cperaucns Coverage or its sups:antiai equivalent. YES NO I
have submitted valid proof of same to the Office. YES - NO = If you have checked YES. please indicate the type of coverage by
checking the appropriate box.
INSURANCE X, BOND -- OTHER Z (Please Spec:fy)
(Expiration Date)
Estimated Value of E!ectrical Work S fC L e t
Work to Start oZG Inspection Date Recuestec: Rough F nal C!
P 1 ry:
Signed under t Penalties of er'u 7-/)Al 1/ LIC. NO. r
FIRM NAME �d ,
Licensee 3 Al - �+ /rSiignaattulre (� / L1C. NO. ,L
�0/5 C. S / '�- "v'' / !}SJ C) � Bus. Tel. No.
z
Address Alt. Tei. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee Coes not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws. and that my signature on thrs permtt aopiication waives this requirement. Own - Agent
(Please check one) V `
.eieonone No. PERMIT FEES
(Signature of Owner or Agent) x-5565
�r
Date... .....��. ,
" 2537 -41
! NORTH
_TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
ry
This certifies that ....... r .�? `2..."...! zl..��t. .. �7
............. ... .....
has permission to perform ... ....... .c�'. ....:.........
wiring in the building of. 14..� .��. .' . ...!�R.!.. d�.....
..... ....... .
/0..77
Y
at........../0.."...94 .... ...... .. ,North Andover,Ma
Felldaed .. Lic.No. /, � 'A....
ELECTRICAL INSPECTOR• -
Al
()9/19/95 49:25
144. PAID '
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD:.File