HomeMy WebLinkAboutMiscellaneous - 535 CHICKERING ROAD 4/30/2018 (15) 1
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BUILDING FILE
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2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the f
permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed
on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an
electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the
notification of completion of the work as required in M.G.L.c.143,§3L.
Permits shall-be limited as to the time ofongoing construction activity,and may be.deemed.bytheaspector-of_Wires abandoned-and.invalidafhe—. ._
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written
application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written
request of either the owner or the installing entity stated on the permit application.
❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of
the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this
purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With
limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was
"in effect or existence'during the qualifying period beginning on August 15,2008 and extending"through August 15,2012.
ule 8—Permit/Date Closed: Note:Reapply for new perm-B'
0 Permit Extension Act—Permit/Date Closed:
Date
` TOWN OF NORTH ANDOVER
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PERMIT FOR WIRING
This certifies that . ,Q./ .�. � ,+�►� , , , T�. . . . . . . . . . .
Has permission to perform . p7Q. .tcYr=,//00 �
wiring in the building of IqG.. /54p. . r"i�/. �•, �--
at . . . \� 3 ��z'�!� Z� !`,,a . . , Nqqh Andover, Mass.
Fee . Tic. No. . . . . .
I �t fS f� ELETRICALINSPECTOR '
Check#
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Commonwealth of Massachusetts Official Use Only
�- Permit No. t� f
Department of Fire Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] 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 W INK OR TYPE ALL INFORMATION) Date: 6 - %
City or Town of. NORTH ANDOVER To the Inspector of Wires:
By this application the.undersigned gives notice of his or her intentiolLto perform the electrical work described below.
Location(Street&Number) j 4`
Owner or I 0enanJc Telephone N 36 )
Owner's Address �;I-L .-doCI
Is this permit in conjunction wiJh a building permit? Yes E:1 No [V (Check Appropriate Box)
Purpose of Building PL, I�. tility Authorization No. 3 / 606 1
Existing Service y� Amps /°tC>/ �`�QVolts Overheadji 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.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No. of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ .o Emergency Lighting
" rnd. rnd. Baotter Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
" No.of Waste Dis osers Heat Pump Number Tons KW No.of Self-Contained
p Totals: ' Detection/Alerting Devices
No.of Dishwashers S ace/Area Heating KW Local❑ Municipal El Other
p g Connection
4 No.of Dryers Heating Appliances KW SecNoto Device s or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: en required by municipal policy.)
Work to Start: ' oZ` 2 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 the ams and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: . �r�►�1 r��e� �f! �- :c LIC.NO.:"3 77 3 rC
Licensee: �4tv e^. LGr"J C rA� Signature LIC.NO.:f L
(Ifapplicable,enter "exempt"in the license number We.) �� A 1 Bus.Tel.No.: )
Address: ��U LJk, ff,2 C d t , r i('�^C, !y O-Z Dq 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 my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE. $
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. The Commonwealth of Massachusetts
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Department of Industrigl Accidents
Office of Invesfigations
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/Organizationgndividual): t^ ►
Address: / KO fits , p c` dr '
City/State/Zip: II—re-6 K N c)3()gyPhOne#: (e,- `7 �7
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 '
❑
� have}fired the sub-contractors 6. New construction
employees(full and/or part-time).
I am a sole proprietor or partner- listed on the attached sheet. �• E]Remodeling
2�
ship and'have no employees These sub-contractors have 8. ❑Demolition
'+ com insurance.working for in any capacity, workersp• E]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 J
myself. [No workers'comp. c. 152,§1(4),and we have no 12.❑Roof repairs
insurance required.]t employees.[No workers' 13.[i Other
comp.insurance required.]
*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 aie 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 isproviding workers'compensation insuranceformy employees. Below is thepolicy andIob site
information. /�
Insurance Company Name:. I�a SAO"\ ; A(—,
Policy#or Self-ins.Lic.#: Expiration Date:
Job Site Address: City/State/Zip:
"1
Attach a copy of the workers,compensation policy declaration page(showing the policy number and expiration date).
Failure to secure coverage as requiredunder 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 certlo under thepains and penalties of perjury that the information providedt.
Sin above is true and correct
Siture: O'er. Date: 1 —
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#:
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��SSACHU`���
BUILDING DEPARTMENT
(ommunity Development Division
February 26,2013
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Chickering Properties, LLC
231 Sutton Street
Suite 1B
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North Andover, MA 01845
Re: 535 Chickering Road
To Whom It May Concern,
On February 25,2012,while conducting my annual inspection of the Dunkin Donuts
establishment located at 535 Chickering Road, I observed numerous violations. In Dunkin Donuts.the
heat sensor behind the doughnut counter is hanging and should be secured. In addition, I observed that
the exit sign at the back door at Pickwick is not illuminated. Also,the rear egress in the liquor store is
blocked with debris and needs to be cleared. Lastly,on a previous inspection I observed that the main
service drop located at the rear of the building for the electrical service that the cover is missing and the
feeder lines are exposed. Please update that this particular issue has been addressed.
Please contact our office at 978-688-9545 and let us know when these issues have been
rectified so that the facility can be reinspected.
Sincerely,
Brian Leathe
Local Building Inspector
Town of North Andover, MA
1600 Osgood Street,North Andover,Massachusetts 01845
Phone 918.688.9545 Fax 978.688.9542 Web www.townofnorthandover.com
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TOWN OF NORTH ANDOVER F NORTfy q
BUILDING DEPARTMENT °�`."E� °•6�°0�
1600 Osgood Street, Suite 2-36, North Andover Ma 01845 0 4
NOTICE OF VIOLATION
7 DAATED
LSSA C HUS��
Date:
�Addres rt L 0✓1- r__5' ��-
❑ Building ❑ Zoning BylawJE03
St p Work Order Certificate of inspections .
Electrical Plumbing Gas
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Violation}observed: eej+ d '1 l t�lGl a t►,�'-� v n �p p
vin Ald G, .
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Failure on your part to comply with this notice within 10 days may subject you to penalties prescribed by Massachusetts Law
E78OorNorth Andover'sZon'ng By la lease contact the Building Department for further information at 978-688-9545
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Contractor
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Vorth Andover Board of Assessors Public Access Page 1 of 1
NaRTN North Andover Board of Assessors,
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S"CH°s° roperty Record Card
Click Seal To Retum Parcel ID:210/071.0-0033-0000.0 FY:2013 Community :North Andover
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Summary '
Residence "
Detached Structure
Condo � �
533 CHICKERING ROAD V�
Commercial
Location: 535 CHICKERING ROAD
Owner Name: CHICKERING PROPERTIES,LLC
Owner Address: 231 SUTTON STREETSUITE 111
City: NORTH ANDOVER State: MA Zip: 01845
Neighborhood:31-1 Land Area: 1.52acres
Use Code: 013-MULTIUSE-RES Total Finished Area: 11851 s ft
:]
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: . 1,382,900 1,356,600
Building Value: 906,200 893,100
Land Value: 476,700 . 463,500
Market Land Value: 476,700
Chapter Land Value:
LATEST SALE
Sale Price: 10 Sale 12/14/2006
Date:
Arms Length Sale F-NO-CONVNIENT Grantor: ESSEX REALTY
Code: TRUST
Cert Doc: 15558 Book: Page:
http://csc-ma.us/PROPAPP/display.do?linkld=2255069&town=NandoverPubAcc 2/26/2013