HomeMy WebLinkAboutMiscellaneous - 58 Water Street x` w
58 Water Street _
t
U,Y,j
' Sp
4x
4
0
Location
No. .� .� U/l Date
i
MOATry TOWN OF NORTH ANDOVER
N � A
9
♦.i + ems
Certificate of Occupancy
Building/Frame Permit Fee $
�cMus
Foundation Permit Fee $
Other Permit Fee $
TOTAL $
Check #
241 17
Widing Inspector
A N_
CERTIFICATE OF USE.& OCCUPANCY
TOWN OF NORTH ANDOVER.
Building;Permit Number 655-2011 Date:-May 3,•2011
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 56 58,W
aterStreet, North Andover, MA
M-A 01845
New Beginnings Hair Design, Laurie Guarini
MAY BE OCCUPIED AS :beautyyarlor, uild=out IN ACCORDANCE WITH THE
PROVISIONS OF THE MASSACHIISETTS_STATE BUILDING CODE AND SUCH OTHER
REGULATIONS AS MAY APPLY.
Certificate Issued to: La AW Guar"ini '
56f-58 Water'Street
North Andover,MA 01845
Buldui�Inspeetoi-�.
Fee: 100.00
Receipt: 24117
...,. _._
... -'. _ ;`�7ie''.a•���F=G.av+< sr.�. �y. s�y�
QRTH And
Town of , _ ® over
No.
�Q 0
LAKE o dower, Mass.,
3• aI - �c
COC MIC ME WICK
7®AQ'QAYED PP����'J
� M D SS BOARD OF HEALTH
P E� 1�i I T T
Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT .4.
g. - ......T.7. ... ..G ............. ..... ..................................
" " " " Foundation
i .......��.. . ......
has permission to erect buildings on .....� •......:................... Rough
to be occupied as........ PI!�.. ........ .. ..01��.....................................................:...... ney
provided that the person acceptinj is permit shall in every respect conform to the terms of the application on file in Fina ��,
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. ou
3V
PERMrF EXPIRES ES I V 6 1liAO S Fina 0t �/o
�
ELECTRICAL INPECTOR
LNLESS C ONSTR SQT'S
WL
Rough
.. ..................................................................................... .................... Service
BUILDING INSPECTOR
tnal
5. 3L ,
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Rough
Display in a Conspicuous Place: on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done,
Until Inspected and Approved by the Building Inspector. BurnerRE DEPARTMENT
Street No.
SEE REVERSE SIDE
- - - Smoke Det: _. ..
0 -16
0
Date........ z.-zl...
TOWN OF NORTH ANDOVER
4L PERMIT FOR WIRING
C14
This certifies that ..............�'.e,l.......
/.LUQ...........................
has permission to perform ......... ...........................................
wiring in the building of................... �?,�..........................................
at........S 6......5.?..........'..... ............. .........S. .
7 ................. Nqrth Andover,Mass.
Lic.No.l.Z.O.Te".')................ ..
ELECTRICAL INSPECTOR
Check # 0
Commonwealth of Massachusetts Official Use Only
Department of Fire Services
Permit No. lb
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 1/07] leave blank
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 ININK OR TYPE,- LL INFORMATION) Date:
City or Town of: NORTH ANDOVER To the Inspector of Wires: y
By this application the undersigned gives notice of hisor r intention to perform the electrical work described below.
Location(Street&irj4t�
Telephone No.
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit? YesNo
❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps _ / Volts Overhead ❑ Und rd
g ❑ No.of Meters
New Service Amps / _Volts Overhead❑ Und rd
g ❑ No.of Meters
Number of Feeders and Ampacity -
Location and Nature of Proposed Electrical Work:
Completion of thefollowing table maybe waived Ly the Inspector o 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
.o mergency ig tingrnd. rnd. ❑ Matte 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
Initiatin Devices
No.of Ranges No.of Air Cond. Total
' Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertin Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal
Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No.of No.of Devices or Equivalent
Bal
Heaters ' Data Wiring:
Si ns
Ballasts No.of Devices or E uivalent
No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring:
OTHER: � .
No.of Devices or E uivalent
Attach additional detail ifdesired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work:
(When required by municipal policy.)
Work to Start: 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 K- BOND ❑ OTHER ❑ (Specify:)
I certify,under the ins andpenalties ofperjury,that the information on this application is true and complete.
FIRM NAME:
rc,r c, LIC.NO.: p 13
Licensee: �;�1 .� "�la Signature
(Ifapplicable, enter "exem "int a license number line.) LIC.NO.: ��
ZOL;��
Address: Sr
� �— Bus.Tel.No.: c�7Sl—t_r.)� s�
*Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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/Agent )❑owner Downer's agent.
Signature Telephone No. PERMIT FEE: $
ELECTRICAL PERIIIIT NO. !
INSPE CT,ION REP ORT:
ELECTRICAL INSPECTOR -DOUG SMALL
Y.ROUGH INSPECTION:
Passed— Failed—[ ] Re-inspection requirecT($50.00)-[ ]
Inspectors'comments:
(Inspectors'SignaUrfe-no initial Date
tlINArL FINALPECTION:
Tailed—[ .] Re-inspection required($50.00)
mments:
(Inspectors'Siature-no initials)
Date
3.TINDER GROUND INSPECTION:
Passed—[ ] Failed—[ ] Re-inspection required($50.00)
Inspectors'comments:
ti
(Inspectors'Signature-no initials) Date
F
NSPECTION—SERVICE:
E CALLED NATIONAL GRID:ed—[ ] .failed—[ j Re-inspection required($50.00)ectors'comments.
-------------------------
(Inspectors'Signature-no initials) Date
5.INSPECTION-OTHER: —
Passed—
[ Re-inspection required($50.00)
Inspectors' comments: � '
(Inspectors'Signature-no initials) Date
DOOR TAGS.ARE TO BE FILLED OUT AND LEFT ON SITE 7F THE AREA TO BE INSPECTED IS NOT
ACCESSIBLE AND A RE-EYSPECTION OF$50.00 IS TO BE CHARGED.
k
5�
The Commonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
'Y www massgov/dia
Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers
Applicant Information Please Print Le ibl
Name(Business/Organization/Individual): O�� �� E&k:C t c,
r--
Address: -a777—
City/State/Zip: Phone#: S^
Are you an employer?Check the appropriate box: Type of project(required):
1.Mlam a employer with t 4. ❑ I am a general contractor and I
employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction
2.❑ I am a sole proprietor or partner- listed on the attached sheet. 1 7• ❑Remodeling
ship and have no employees These sub-contractors have 8. ❑Demolition
working for me in any capacity. workers' comp.insurance. 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 repairsairsinsurance required.]f employees. [No workers'
13.❑Other
comp.insurance required.]
*Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information.
f 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: Go_ J
Policy#or Self-ins.Lic.#: .W a o� a �( Expiration Date:
Job Site Address:_ 5,6"t,^� (,f SV- City/State/Zip: a--
' 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.
7Idoh7erebyce 'yun apains and enalties ofperjury that the information provided above is true and correct.
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):
LL6.Other
rd of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector
ct Person: Phone#:
Information '
tion 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-contractors)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 R
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 y
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 an questions,
please do not hesitate to give us a call.
Y
The Department's address,telephone and fax number:
The Com, Lonwealth of Massachusetts
Department of Industrial Accidents
Office of Investigations
600 Washington Street
Boston,MA 02111
Tel. 4 617-727-4900 ext 406 or 1-877-MASSAFE
Revised 5-26-05 Fax 4 617-727-7749
www.mass.gov/dia
I
' 040 �%ORTN 1
616
iiilll � O
113 3 # :
Mai 24 ,
9 c
TOWN OF NORTH ANDOVER
MASSACHUSETTS
a ,
BOARD OF APPEALS
NOTICE OF DECISION
Property: 52-56 Water Street
Robert & Claire Daigle Date: May 20, 199.7
58 Water Street Petition: 009-97
01845 Hearing Date: May 8, 1997
The Board of Appeals held a regular meeting on Thursday
evening, May 8, 1997 upon the petition of Robert & Claire
Daigle requesting a variance from requirements of Section 7,
Paragraph 7 . 1,7 .2, 7. 3 ,7. 5, as to provide relief from lot
dimension area of 201997 square foot, the street frontage
relief of 84. 051 , front setback relief of 16. 31 , side
setback relief of 22.081 , rear setback relief of 30 ' and
relief of 12 percent for the lot coverage in the GB district
of Table 2 of the Zoning By Laws. A request for a Special
Permit under Section 9, Paragraph 9. 1, & 9. 2 to allow
expansion of office space to a non-conforming structure.
The following members were present and voting: William
Sullivan, Walter Soule, Raymond Vivenzio, and Robert Ford,
John Pallone.
Upon a motion by Raymond Vivenzio seconded by Walter Soule
the vote was unanimous to Grant the Variances as to provide
relief from lot dimension area of 20,997 square feet, the
street frontage relief of 84 . 051 , front setback relief of
16. 31 , side setback relief of 22 .08 ' rear setback relief of
30 ' and lot coverage relief of 12 percent. A Special Permit
Granted to allow for the expansion of office space to a
non-conforming structure as shown on the plot plan for
Robert & Claire Daigle dated February 12, 1996. Voting
Members were: William Sullivan, Walter Soule, Raymond
Vivenzio, Robert Ford and John Pallone.
The hearing was advertised in the North Andover Citizen on
4 .23 .97 & 4. 30.97 all abutters were notified by regular
mail.
f
i
The petitioner has satisfied the provisions of Section 10,
Paragraph 10.4 of the Zoning Bylaw and that the granting of
these variances will not adversely affect the neighborhood
or derogate from the intent and purpose of the Zoning By
law.
The Board finds that the applicant has satisfied the
provisions of Section 9, para. 9.1 of the Zoning Bylaw and
that such change, . extension or alteration shall not be
substantially more detrimental than the existing non-
conforming structure to the neighborhood.
Notes The granting of the variance and special Permit as
requested by the applicant does not necessarily ensure the
granting of a Building permit as the applicant must abide by
all applicable local, state and federal building codes and
regulations, prior- to the issuance of a building. permit as
required by the Building Commissioner.
BOARD OF APPEALS,
William Sullivan, chairman
A
I
f
t
Form 4 -- System Pumping Record
Commonwealth of Mossachusetss
: Massachusetts
System Pumping Record
System Owner System Location
Croativu Buildorc Bob
5K tatty ;-t 75 Bridel path
Bob Dakylo
t'iorth And.ovr,r. . MA O184'5-2`.`ou Nurth Andovnr. MA 01645
68:--994S ;178) 411-6930
Type: Emergency Routine
Cesspool: No Yes Septic tank: No EDYes
Date of Pumping: O'Z74,41 Quantity Pumped: Gallons
System Pumped By: Wind Riva Environmental, LLC Permit
Contents transferred to:
Contents Disposed at:
z
Date: Pumper Signature:
Condition of System/Other Comments
Twi
BOARDF F'•E---.-
Dep Approved from - 12/07/95