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Miscellaneous - 87 BARKER STREET 4/30/2018 (2)
Date.Z� ... 6.�......... oo� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that C.'U-'�-'�� ..:.......................................................................................... has permission to perform.......r::.:................................................................ V wiring in the building of :r.:...'.... at..,/./ ...!..�.............................. > .............................. .North Andover, Mass. �......... 1�-Fee`���,,......................... / ELECTRICAL INSPECTOR i Check # er66'i A I Office Use Only The Commonwealth of Massachusetts �l&d'i G? � Permit No. Department of Public Safety F. Occupancy 8 Fee Checked /,..' 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 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 1 City or Town of o } �( A -q �V-tr. The undersigned applies for a permittoperform the electrical work described below. Location (Street & Number) S M L M G,^y5 . Owner or Tenant Owner's Address Is this permit in c Date — ,T- _ 0 To the Inspector' of Wi Purpose of Building Existing Service — New Service Amps Amps Number of Feeders and Ampacity Yes ❑ Volts Volts - - - ._-- -- Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work (. ) 4rk he !21. 11-n tj Mvnd OCT 0) - No. of Lighting Outlets No. of Hot TubsTotal No. of Transformers KVA No. of Lighting Fixtures Above In - Swimming Pool rnd. ❑ gmd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Municipal Local ❑ Connection []Other No. of Ranges No. of Air Cond. Total tons No. of Disposals No. of Heat Total Total Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers rY Heating Devices KW No. of Water Heaters KW No. of No. of Signs Ballasts Low Voltage Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. 1 have submitted valid pr same to this office. YES ❑ NO ❑. If you have checke S, please indicate the type of coverage by checking the appropriate box. INSURANC BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work $ Work to Start W \.6\, k � C g6A Inspection Date Required: Rough Signed under the_penalties of perjury: FIRM NAME Ir, "r L '��,{ -e c, d1• -t,{, Licensee 1 -IC-© C106..-� 111721-<V-1141 -tr-1141 Signature YES ❑ NO ❑ (Expiration Date) Final LIC. NO. LIC. NO. �t�C) �Xl�( s % �Y,�a V„,,� U jy.Z(, Bus. Tel. No. �/7.Y VI -32-3a Address 1 Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner ❑ Agent ❑ (Please check one) Telephone No. PERMIT FEE $ Location � 7�!'7. I9r V, ?:nc No. Date MaRTh TOWN OF NORTH ANDOVER / p?• - •OCG F A Certificate of Occupancy $ Building/Frame Permit Fee $ N7SSA�M�SE<�' Foundation Permit Fee $ Other Permit Fee pool $ TOTAL $ OD Check # .�k14iC�IR��r Front Yard Side Yard Rear Yard Required Provide Reqwred Provided Re red Provided � 2 --TT 1.7 Water Supply M.G.L.C.40. 34) Flood Zone Information: PuMic 0 private 0 1 Zone Outside Flood Zone 0 1.8 Sewerage Disposal System: Municipal 0 On Site Disposal System E SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record Name (Print) Signature Telephone 2.2 Owner of Record: Name Print Signafure T SECTION 3 - CONSTRUCTION SERVICES J 3.1 Licensed Construction Supervisor: Licensed Construction Supervisor: Address iignaturc Telephone i.2 Registered Home Improvement Contractor ;ompany Name ,ddress tgnature Telephone Address for Service : Address for Service: Not Applicable 0 License Number Expiration Date Not Applicable 0 /Z-3 7� Registration Number y��,- C2,3-- Expiration Date 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 .......0 No ....... 0 -SECTIONS Descri ' n of Proposed Work check all applicable) New Construction V I Existing Building ❑ 1 Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ,W Specify v Brief Description of Proposed Work: ZivGyUr4-J �-o � 1 %LS SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to bepOLLTSE ONL' `� Completed by permit a hcant 1. Building (a) Building Permit Fee Z( 1061 Multiplier 2 Electrical r(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) Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as Owner/Authorized Agent of subject property Her orize �/ �1 �/ to act on My h m�l matters 't�tive to rNXAzed by this building permit application. I SigUbtgotCw1'"-Uk- CJ_, —s % Date C� PI-TTON 7h nWN1PR/ArrTHnRT7.Fn Af NT nFrT AAATTl1N 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 C_ Al Print N e S t Date IV NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVIBERS I 2 3 SPAN N ONS OF SILLS ONS OF POSTS ONS OF GIRDERS F FOUNDATION THICKNESS OOTING X L OF CFMvvMY ING ON SOLID OR FILLED LAND ING CONNECTED TO NATURAL GAS LINE . _ poi f FORM - U -LOT RELEASE FORM INSTRUCTIONS:. This form is used to verify that all -necessary approval /permits from Boards and Departments having junisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT 7fZ37L( /-I� PHONE b�Z. .3 Z, 3 5 ASSESSORS MAP NUMBER LOT NUMBER a 74r SUBDIVISION LOT NUMBER �, STREET 641e`e-ms. .S"7`` STREET NUMBER_ ...................................■...........................r.■ ■......■ OFFICIAL USE ONLY ............................................................................ RECOYWNDATIONS OF TOWN AGENTS ......................9 !,DATE W APPROVED 0" CORSJJTVATIONADMINISTRfrOR DATE REJECTED COMMENTS DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR - HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR - HEALTH DATE REJECTED COMMENTS PUBLIC WORKS - SEWER / WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED — COMMENTS RECEIVED BY BUILDING INSPECTOR nATF CARKEra T& T)4-- JAV401165 49ANX I HEREBY CRRrIFY TO THE TITLE WSUROR AAM To rHIR' BANK THAT THE DDBLIAVC IS LOCATED ON THS IAT AS SHOWN AND rRAr Ir DOSS Cox"" wIrH FEZ mLvNOF ivo. iWVOVM ZONAIIC RECULATiONS RRGLRDINC S912UCXS PROM STRSSTS & LOT LIMS.a ffi 1 FURrizi CRRTIFY THAr Mils DriLLING 1S mor LOCATED IN THE PROM FLOOD IIASARD AREA AS SHOWN ON FRMA COMMMIT PANEL f t 5 bG 96 Oao S C i K ..0A " 6- 7- �3 srEPHE t.s. rB THIS PLANSSS — mor POR BOUNDARYMMXD,/%t* BOUNIIiRY IMFORMATIOx TAKEN FRdM S. M-l03Ce9' 6rX667 PLOT PLAN rN /�/Oi2rfl gr�40Vc'2 DRAW FOR SrEliEw -L TC R 67.sx9 11a /1 109 ^/ w S 1 1/ . 60 1 S Ep� I RTS MRJMMACK ENCINEERING SERVICES 8e PARK SMIT ANDOVER, MASSACHUSETTS 01810 CO m m C m C/) Cn O O -• ca C' w no5my = EF CD CO) ' O 0N P d C o Z � �. �lo CO) y o � °:m Ca T o a..a y m H .. o.. > > ,o c o 0 5. to �. o na o y H :� CO2 Cl) rt '0 O :CD O :� C2, z v, s:4 r n .. CD O = (� 06 CO) Cn �oy1`J b noG* o IAm co, CL Lr cr z -o C.)C/)o CCD yCD C36 ^ CL COD cr :� O O _o ? —1 O O o o Q CD O CD ••zt CD o C' CDCD n N a c rA! G: C CO) RJ tC = Q = a CO) O �• �i C/)W H %Q CD z o ? 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C�oNi r r CS Li -b rV LN y� O oai �,.���►� a �o o� IG) � Li ti o zr) w� wboZb od►���� o $ Li LA L)�►��0 0 �� �z� �a�^ jL as Z� -N �ImNo 'o 10 Li IN.;•f.�,,•'�.. •��\ � 1y '�oao � •Tye a `��` u,nxelio• ( � 3� n •.`j Au 3 ,•,�orii�• • ' VVVo° M �C 3� oA _t. � I L•. ' VVVo° M �C 3� oA _t. 0 � I 0 •� v Q D N e 0 O 0 No 276 Date/- TOWN ate TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that I haypermission to perform .........:...... ..'.......:....'`..' `:..................................... wiring in the building of ....`......................:.:....'.. " ' �-d/ � r � at ...1 ..:�: ............. .. , North Andover, Mass. ............................................ .. / i , Fee ....1,5 ................. Lic. No.",i _ ELECTRICAL INSPECTOR Check # / / WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ITHECOMMO�THOFMASSA� Office use only DEPARTMENTOFPUBLICSAFM Permit No. % o¢ BOARD 0FMEPREVEW0NRWa4710NS527CMR 12-M ' Occupancy & Fees Checked 'V Occupancy PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatL/ Z Z 7 �- Town of North Andover To the Inspecto of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) S7 f } ��i� '�� ST Owner or Tenant E -S1} Owner's Address ?S / D/f< fC IL -2> T_ Is this permit in conjunction with a building permit: Yes P No (Check Appropriate Box) � F, Purpose of Building o P7 FL 7-6 itFE-&-) Utility Authorization No. Existing Service Amps / Volts Overhead 1:3 Underground M No. of Meters New Service Amps Volts Overhead ED Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work _ <I %C No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total V KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground E3 ground No. of Receptacle Outlets/0 No. of Oil Burners No. ofEmergency Lighting Battery Units No. of Switch Outlets /_ ((1 No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges I S No. of Air Cond. Total At Tons No. of Detection and No. of Disposals No. of Heat Total Total ( Pumps Tons KW Initiating Devices No. of Sounding Devices No. o ishwashers Space Area Heating KW ' No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW Connections a No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER P InRMO 6,0MagP R193arItIDihetag mie&dMmmdtmesGmedLaws IhaNeawSotliaH*htsua=Pdxye i&gCarifl* CoArdWoritss>fstridegivaiat YES NO lhawshmJWdvalidptoofofsametothe0ffi= YES 0 � lf}uuha%edmJWYES, p1mseindx*the cfwmaWbydrddrtgthe NSURANCE P BOND a OIIH R (Plea espeffy) / hl� / &nrkd ValeWo&$ ��UO WO&IDSrait D*RWslea Rao FIRM undAc Prehies MiV �p L �—� T I �— lU I�oaiseNa /1✓) LZ-c�i2 Lim l��l 7W cam. � .` L;t�eNo %6V �71VZ OWNER'S INSURANCE WAIVER, Iamawa i[AtheLimmdamnut tC strmWWVM@ Ontgs>b93tBleWndfftastagtmadby sessC=wJLaws andditmyWmbLaernthispmniWpka6mw&'%Cs tismw'mnem (Please check one) Owner Agent a Telephone No. PERMIT FEE Location �� (� / �r f `� No. � O Date 1 �^ �� d d TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ 11.30, Foundation Permit Fee Other Permit Fee TOTAL Check # > `� - Building Inspector I A TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR, RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING 0Aur rtn �� ✓ BUILDING PERMIT NUMBER: a DATE ISSUED: 1 (PO SIGNATURE: Building Commissioner/I for of Building's Date SECTION 1- SITE INFORMATION 1.1 Property Address: 21 22AV l e -c 5-�- 1.2 Assessors Map and Parcel Number: I Map Number Parcel Number 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: r 43101 F Lot Ar s 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. 54) 1.5. blood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record -TG:RESA S-7 BAc der Sit Name (Print) Address for Service Signature Telephone 2.2 Owner of Record: Name Print Address for Service: Si nature Telephone SECTION 3 - CONSTRUCTION SERVICES 3,Vicensed Construction Supervisor: Licensed Construction Supervisor: Address Signature Telephone Not Applicable License Number Expiration Date 3.2 Registered Home Improvement Contractor Not Applicable Company Name Registration Number Address Expiration Date Signature Telephone 9 O z M 90 0 ic r M r r z 0 m m m C/) 0 m CO) 10 CD 0 Z CD O ar d d o p a� Q CD o 0 CO) 10 CD 0 O CO) O CO) n CD 0 CD CDa y CO)CD 0 CD 0 CD C W �'o I' to =r-4 S. clw C7 Go ao:9m .c H =�m= C) me2n� m O HO-Wc .= I Z = -� ?CL ,.n o O CD y C y ® O = =CD p n ® cc O, z IN _ •-• O n Otim b c ?b CL CL m m H CD VJ �� O m n c d m m� O � o yam: � F D1 H VJ cr O. �r O. 1 IQ�.ss H p� m CD f�0• C � H �'� _ Cl ►y � O n cn �rZ^ a __ O H ED cn cn CDCD y r. C w O: nom: v o p Oo� ow C/) 0 C/)M r' da y I w G p � w C r" H O �� w G ] ro O w zr C a O p a M w J 0 O 0 c 4.t6 Ob't CA (2exA% i�rw�6 . � cemuxn� Date CUMMUNWLAL I li OF +U5L I I S y TOWN OF NORTH ANDOVER APPLICATION FOR CERTIFICATE OF INSPECTION (X ) Pee Requ,&ted (Amou►Lt) ( ) No Fee Requ iAed In aceoAdance with the tovis.io►vs o the Piassacluzsettts State BcLUdiz2 Code Section p �� g lOk, 15, I hereby apply 6o,% a Ce ti.6-ieate o6 I►zspection {yore the beecco-named pAemisu f.ocated at .the 6oZtowing addnea�s : S.tAeei and Numbest. Name o6 PAemiz ers PuApo,s e 6oA Which e6 rs eciG L.ieen.6e (6) ort PeAm.c t (s) Requ. Aed �oA7'tte PAem.c s e s y ieA GovuLmi Licenrse oA Pelunit Cert tc icate .to be Zc ,sued .to AddAa s Owner o6 Reeorcd o6 Bu,ctdeng AddAa,s Name 06 PAe� ent o eta eritc tea to Name o6 Agent, 16 any SIGi5 L ( it 1$ ISSUED OR HIS AUTHORIZED A ENT INSTRUCTIONS: 1) Maize check payab.Le to: Town of North and '79y- /V�t Q%_ eac.c n : Agency 2) Retaxn this appZi.cati.on with you,,. cheer tio: Building Dept., Town Office Buildi.ng_,.__ 1?0 ,lain Street, North Andover, MA 0184-5 PLEASE NOTE: 1) AppZi.eati.on 6o, -un with accompanying bee must be 5ubmu,tted 6n each. bu,ied�ng oA 's.t'Iuctme oA paltt ,theAeo 6 to be eestti6.ied. 2) App.Etca,tion and bee mu,5t be tece ived be'ote .the cntUi.cate wiu be -imued. 3) The building o66.ieiat 6haU be noti6.ied tc Ltlzcn .ten (10) dac_i.d o6 arty change .in ,the above .in 6 wunati.o n . CERTIFICATE # EXPIRATION DAFE: FORM SBCC- 3- 74 2.26.1 Building Coverage (1989/32) The horizontal area measured within the outside of the exterior walls of the ground floor for all principal and accessory buildings ' . on a lot-. ` 2.27 Building Height " The vertical distance measured from the lowest point of the finished grade at any location of the building to the highest point of the roof, but shall not include chimneys, spires or mechanical equipment, or penthouses used for enclosures of mechanical equipment. 2.28 Building, Principal A building in which is conducted the main or principal use of the lot on which said building is situated. 2.29 Car Wash An area of land and/or a structure with machine or hand operated facilities used principally for the cleaning, washing, polishing or waxing of motor vehicles. 2.29.1 Congregate Housing A non -institutional residential shared living environment which integrates shelter and services needed by the functionally impaired or socially isolated elder (age 55 or older) who does not require the constant supervision or intensive health care services provided in an institution. The shared living environment must include at least two of the following: a) shared accessible community.space, b) shared kitchens, c) shared dining facilities, or d) shared bathing facilities. 2.29.2 Day Care Center (1985/21) Any facility operated on a regular basis whether known as a day nursery, nursery school, kindergarten, child play school, progressive school, child development center, or pre-school, or known under any other name, which received children not of common parentage under seven (7) years of age, or under sixteen (16) years of age if such children have special needs, or non-residential custody and care during part or all of the day separate from their parents or the elderly 60 years of age or older. Day Care Center shall not include any part of a public school sys em; any part of a private organited educational sy�m, unless a ervices of such system Areprimarily limited to kindergarten, nursery or related pre-school services; a Sunday school conducted by a religious organization where children are cared for during short periods of time while persons responsible for such children are attending religious services; a family day care home; aninformal cooperative arrangement among neighbors or �._._._.. relatives; or the occasional care of children with or without compensation thereof. 2.3 District f � Jill•" 1I / WILLIAM F. WELD GOVERNOR ARGEO PAUL CELLUCCI LIEUTENANT GOVERNOR FRANKLIN RETARY RRE INFORMATION REGARDING SOCIAL DAY CARE AND ADULT DAY HEALTH PROGRAMS Social Day Care (SDC) programs provide structured community settings for persons who require daytime supervision due to social/or emotional problems or physical impairments. SDC is one of the services available to clients in the State Home Care Program which is administered by the Executive Office of Elder Affairs (EDEA) through contracts with 27 Home Care Corporations (HCC's). Participants also may pay privately to attend SDC. Currently, SDC 'programs _have no licensing :requirements in Massachusetts. ' However, SDC programs contracting with any of the HCC's must adhere to standard contract requirements and service standards (Attachment A) established by EDEA. The rate of reimbursement is negotiated between the SDC and the HCC. The current minimum rate established by EOEA is $20.00 per day. If you are interested in starting a SDC program, contact your local HCC. The Executive Director may be able to inform you of the need for the service as well as contracting procedures for referring Home Care clients. For more information, contact the SDC program in your area. A SDC listing is included in Attachment A. You may also contact EOEA at 1 Ashburton Place, 5th Floor, Boston, MA 02108, telephone number (617) 727-7750 or 1-800-882-2003. . Adult Day Health (ADH) programs provide an alternative to long-term institutional care through organized community programs of health care and supervision, restorative services, and socialization. Medicaid recipients who are 18 or over, who require skilled services or assistance with Activities of Daily Living, may be eligible for ADH if they are willing to attend a minimum of 2, full six -hour days per week. HCC clients may also be eligible to participate in the ADH program. Participants may also pay privately. ADH is regulated (see Attachment B for excerpts from these regulations) by the Division of Medical Assistance under the Executive Office of Health and Human Services. The current Medicaid per diem rate is $32.41. An ADH listing is included in Attachment B. For information on how to become a certified ADH provider, contact the Division of Medical Assistance, 600 Washington Street, Boston, MA 02111, telephone number (617) 348-5570. Attachments: A and B April 1995 PROVIDER AGREEMENT ATTACHMENT A SOCIAL DAY CARE SERVICES provide individualized programs of recreational -and social activities, and support for elders who require day time supervision and assistance with daily care needs. This service includes assistance with mobility, grooming, and mealtime activities. * Nutrition services provided by this program include a minimum of one (1) meal per day which is of suitable quality and quantity, and supplies at least one-third (1/3) of the daily nutritional requirements. Special diets must be made available if indicated. * Social Day Care services are provided by trained, supervised staff and the provider must comply with the Social Day Care Standards issued by the Executive Office of Elder Affairs. These standards are as follows: SOCIAL DAY CARE STANDARDS A. Operates;=the .service :in:: -.a - site -that 'meets all local building --codes; B. Employs qualified staff. to operate the program. Qualified staff includes: 1. A -Program Director responsible for supervising the" program. (he/she may not have administrative responsibility for the Center within which the Program is located). AdditionalYstaff.should be employed -at a: ratio.of one staff member--forAeach eight participants or,%portionithereof 2. The Program Director shall have a Master's degree in social work or a related --f ield;-----or shall -°--have comparable; experience. Inf4dlition,-Phe/she'shal1 have experience in geriatrics -or -gerontology,_ supervisory' skills, ..and transferring;.skills. 3. Staff 'staff members7 shall --have: experience- in working witti:elders,and/or-special needs=clients;: and group' w�,ork::orrarecreational-skills : 4. At„-least�one:,:staff-pn ersoain _;each- l-: SociaDayFCare Rx_,_ i- program;shall``be,"CPR=Ltrained 5. 'Elder Service Corps enrollees and Senior Aides may be used as available. �,,.�,,.�_��+c^�-+..w..�...., .�,� .,.won..c..�w+�w..arw �i'.."�"-`y""",„". �., „yr_.;.. _• _3 i_ C. �Has-theacapacity�to,provide �ndiv�dual�.and group;actzvity programs that offersocial, recreational; and`educatioial: events designed�tb meetL'theqie6ds-1of-�-'-parti8ipants " D. Has-thewcapacitywtoprov de,nutrition,�servic} a neither .._-. directly-or;Ras._a ssite-at-which-other�agencies4mayrprovide the _service. .Nutritionsery ices =must =include=a--minimum'-of one -meal :per?.day .-which-is7 f_"suitablequality and quantity and -supplies ;at'•least,one-third=: EXECUTIVE OFFICE OF ELDER AFFAIRS SOCIAL DAY CARE PROGRAMS Adult Community Day Center' - Assabet Valley Home Health Assoc. E Landmark House Adult Social Day Care Oran a St 17 Washington St 9 Nantucket, MA 02554 Marlborough, MA 01752 (508) 228-5543 (508) 485-9685 Contact: Anna Grizzard Contact: Denise 'Allegrezza Adams COA Social Day Care PO Box 225 [site: 18 East St.] Adams, - MA 01220 (413) 743-8333 Contact: Antoinette Alizio Adult Day Center, Inc. _ Box 9008 [site: Dudley Rd.] Framingham, MA 01701-9008 (508) 879-1771 Contact: Nancy Sargon Age Center of Worcester Area Social Day Care Whitcomb Hall, 51 Harvard St. Worcester, Ma 01609 Contact: Kathy Urquhart [site: Zion Lutheran Church 41 Whitmarsh Ave] (508) 755-4388 / 852-3205 Contact: Gloria Castriotta Andover Adult Day Health 36 Bartlet St. Andover, MA 01801 (508)470-3830 Contact: Kathy Urquhart Dorn Davies Center ..789 N. Main St. Brockton,MA 02401 (508) 580-7811 / 583-2517 Contact: Charlotte Frye Beaumont Adult Day Health 18 Granite St. Whitinsville, MA 01588 (508) 234-6481 Contact: Letty Wheelock Belchertown COA Social Day Care 2 Maple St. Bellingham, MA 02019 (508) 966-0398 Contact: Muriel Simmons Boston Aid to the Blind . 1980 Centre St. P.O. Box 22 West Roxbury, MA 02.132 (617) 323-5111 Contact Sheila Fitzpatrick Braintree Social Day Care 507 Washington St. Braintree, MA 02184 (617)848-2124 Contact: Pat Conrad Cape Heritage Day Center 37 Route 6A Sandwich, MA 02563 (508) 888-8222 x 27 Contact: Carol Weston a V% i 'AMENDMENTS TO CHAPTER 143 — CHAPTER 6140 ACTS OF 1966 . AN ACT DEFINING THE TERM "CHARITABLE H014E FOR THE AGED► AND PROVIDING FOR THE LICENSING AND REGULATION OF SUCH HIES. (Page 5 - New Definition) Section 1 of chapter 143 of the General Laws is hereby amended by striking out the paragraph defining "Institutional, as amended by section 1 of chapter 446 of the acts of 1959, and inserting in place thereof the following parggrapht "Institutionaa, any hospital, sanatoriums convalescent or nursing home, infirmary maintained in a city or town, private infirmary, rest home or charitable home for the aged, licensed by and under the super-. vision of the department of public health; any hospital, sanatorium, or establishment, public or private, licensed by and under the super- vision of the department of mental health under the provisions of section forty of chapter one hundred and twenty-three; and any building used, or occupied for the purpose of providing group care therein b r f09ter Cara agency licensed by the department of public welfare under the Ca provisions of section fifteen of chapter one hundred and nineteen. (Page 18 - Change first sentence) Section 3Q of said chapter 1439 inserted by section 1 of chapter 630 of the acts of 1962, is hereby amended by striking out the first sentence and inserting in place thereof the following sentence: — Notwithstanding any other provision of law to the contrary, the provisions of this chapter relative to the safety of persons and the prevention of fire in convalescent or nursing homes, rest homes and charitable homes for the aged licensed under the provisions of section seventy --one of chapter one hundred and eleven, including the regulation of the inspection, materials, construction, alteration and repair of such homes, shall be enforced under rules and regulations promulgated by the department.. (Remainder of Section 3Q continued on Page 4). (Pages 21 and 22) Section 15 of said chapter 143 is hereby amended by striking out the first sentence, as most recently amended by section 1 of chapter 687 of the acts of 1963, and inserting in place thereof the following sentence: -» No building which is designed to be used, or in which alteration shall be made for the purpose of using it, or continuing its use, in whole or in part, as a public building, a public or hotel or family hotel, or as a facto private school, a le or establishmentother , and which has aceommod tionskforpien or moremercantiemployees., or as a hOgpitall sanator7.1IIf1, eonvalMffit er nursing homey infirmary maintained in a city or tow n, private infirmary or rest home housing three or more patients, charitable home for the aged, or as a day care service for children, licensed by and under the supervision of the " 2 w department of public health, grandstand., stadium, bleacher or arena or for the purpose of providing group care therein by a children's foster care agency licensed by the department of public welfare under the pro.. visions of section fifteen of Chapter one hundred and nineteen and no building more than two stories in height designed to be used above the second storyo or in which alteration shall be made for the purpose of using ity or continuing its use' in whole or in part., as an office build- ingp dormitory, apartment house, boarding house.. lodging house or tenement house, and to have eight or more rooms above said storys shall be erected, and no alteration shall be made thdreinp until a copy of the plans and specifications thereof has been deposited with a supervisor of plans by the person causing its erection or alteration or by the architect thereof, Such plans and specifications shall include those for heating, ventilation and sanitation, if a supervisor pf plans SO requires, not be erected or altered without sufficient egresses and cother lmea ssns ofng ii escape from fire, properly located and constructed, sor of plans may require that stairways shall be enclosedy that theysupeshall have suitable landings2 that they shall, be provided with hand rails, that egress doors and windows shall open outward and have approved hardware, that places of egress shall be properly lighted and designated, and that proper fire stops shall be provided in the floorsi walls, partitions and stairways of such building. He may make such further requirements as may be necessary to prevent the spread of fire or its communication from any St&M boiler or heating apparatus therein. The certificate of approval by a supervisor of plans of such plans and specifications' endorsed with the approval of the chief of inspections of the department*9 or a specification of requirements ections fifteen to sixty, inclusive necessary for compliance with s , set forth in detail. and so endorsed, shall be issued to the person causing its erection or alteration, or to the architect thereof$ and a copy of the same, together with the planso shall then be turned over to the inspector in whose district the building is to be erected or altered,. who shall enforce the requirements thereof and supervise such erection or alteration. After a certificate of approval, or a specification of requirement has been issued no change shall be made in the plans or specifica Without the written permission of a supervisor oftplans* in the building Acts 19620 6620 approved duly 16, 1962, provides as follows: Notwithstanding the provisions of any general or special law to the contraryl all plans and specifications for the erects tion of public buildings by the commonwealth or an politic subdivision thereof shall provide facilities for thehandi-al capped to the -extent deemed feasible by the contracting auth. ority of the commonwealth or such political subdivisions pro., vided that in so far as feasible and financially reasonable in the opinion of said contracting authority said facilities shall coufQM with the booklet entitled "American standard specifi. cations for making buildings and facilities accessible to and usable by the physically handicapped"j, approved by the American Standards Association., Incorporated on October thirty-first. nineteen hundred and sixty-one, � 3 - (Page 24 - Change first sentence) Section 21 of said chapter 143 is hereby amended first sentence, as most recently amended by section 2 and inserting in place thereof the following sentence: by striking out the of said chapter 687, The owner, lessee or mortgagee in possession of any building, in whole or in part, used as a public building, hotel or family hotel, or as a factory, workshop, mercantile or other establishment, and which has accommodations for ten or more employees, or of a hospital, sanatorium, convalescent or nursing home, infirmary maintained in a city or town, private infirmary) rest home, charitable home for the aged or of a day care service for children, licensed by and under the supervision of the department of public health, building use d or occupied for the purpose of providing group care therein by any children's foster care agency licensed by the department of public welfare under the provisions of section fifteen of chapter one hundred and nineteen, a grandstand, stadium, bleacher or arena, or of an office building, dormitory, apartment house, boarding house, lodging house or tenement house which has eight or more rooms above the second story, or in which ten or more persons are accommodated, lodge or reside above the'second story, to which building sections fiftQpn tQ giXtyp incIusive) apply) shall provide such building with proper egresses or other means of escape from fire sufficient for the use of all persons employed, lodged or resident therein; provided, that in all' buildings subject to this section, other than mercantile establishments, hotels and buildings used solely for office purposes, such egresses or means of escape from fire shall also be sufficient for the use of all persons accommodated or assembled therein; and, in such mercantile establishments, hotels and buildings used solely for office purposes, shall be sufficient, to the greatest extent compatible, in the opinion of the inspector, with the reasonable use thereof, for the use of all persons accommodated or assembled therein; and provided, further, that no owner, lessee or mortgagee in poss Mi9n Qf a building subject to any provision of this section shall bo deemed to have violated this provision unless he has been notified in writing by an inspector as to what additional egresses or means of escape from fire are necessary, and for thirty days has neglected or refused to provide the same. The egresses and means of escape shall be kept unobstructed, in good repair and ready for use, and, if the inspector so directs in writing, every such egress shall be properly lighted and provided with a sign having on it the word "Exits' in letters not less than five inches in height, and so mad, and placed as plainly to indicate to persons within the building the situa— tion of such egresses; and stairways shall have suitable hand rails. There shall be at least two means of egress from each room above the second story in which women or children are employed in a factory, workshop, mercantile or other establishment. Portable seats shall not be allowed in the aisles or passageways of such buildings during any service or entertainment held therein. Stairways on the outside of the building shall have suitable railed landings at each story above the first, accessible at each story from doors or windows, and such landings, doors and windows shall be kept clear of ice, snow and other obstructions* -4 - (Page 29 - New Section) Said chapter 143 is hereby further amended by striking out section 33 as most recently amended by section 4 of chapter 446 of the acts of 1959,� and inserting in place thereof the following section: -- Section ��* In every, city, town and district wherein there is in force a building code, so called, established under authority of section three or corresponding provisions of earlier law or established by or under authority of any other provision of law, the provisions of sections fifteen, seventeen, twenty, twenty-one, twenty-one A, twenty-one BY twenty-one C, twenty. -four, twenty-five, twenty-eighth twenty. -nine, thirty, thirty. -one, forty-two.. forty-• three, forty-nine) fifty-one, fifty-two, fifty. -three, fifty-four, fifty-seven and fifty-nine relative to buildings other thanchurches, theatres, special halls, public halls, schoolhouses and buildings owned or Occupied by the commonwealth or by any county, or other than l-.ospitals, sanatoria, conval- M ent or nursing homes, infirmary MAintained in a city or town, private infirmaries, rest homes or charitable homes for the aged, licensed by and under the supervision of the department of public health, buildings used or occupied for the purpose of providing group care therein by any children's foster care agency licensed by the department of public welfare under the provisions of section fifteen of chapter one hundred and nineteen, hotels, family hotels$ grandstands, stadia, bleachers or arenas, shall, unless other- wise provided, be enforced by the inspector or inspectors of buildings of such city, town or district and the terms "supervisor of plans", "chief of inspections" and "inspector"s as used in said sections and in sections fifty- five and fifty-siX) shall include an inspneter of buildings of such city, town or district, and shall be enforced in accordance with the regulations authorized by section fifty-four; in all other cities and towns the pro- visions of said sections shall be enforced in accordance with their specific terms.. The provisions of this act shall not affect the validity of any existing license issued by the department to any institution which qualifies as a charitable home for the aged. Approved September 2, 1966. (Section 3Q continued) Such rules and regulations may provide for the installation of a sprinkler 8y9tEm where, after hearing, the department finds such system necessary for the safety of persons; provided, that the department may require alternative methods of fire protection where a sprinkler system would be unnecessary or impractical either as to location, size or construction of a home. Acts 1962, 630 approved July 5: 1962s provides as follows: Notwithstanding the provisions of section three Q of chapter one hundred and forty-three of the General Laws, inserted by section one of this act, no rule or regulation promulgated by the department of public safety relative to the installa- tion of sprinkler systems in convalescent or nursing homes and rest homes shall take effect prior to January first, nineteen hundred and sixtr-five, August 2, 1995 87 Barker Street (508) 794-1492 Dear Sir / Madam, would like to introduce myself and a new service I am offering to the community. My name is Patricia Greig and I am a resident of North Andover. I am opening a Social Day Care for Adults, in my home, called "Pat's Place." I have a degree in Gerontology / Social Welfare from North Shore Community College. I have worked as a Recreation Director in a variety of settings; such as a retirement home, nursing homes, and in an adult day care center. My goal is to bring the same programs offered at those facilities into my home. I believe that without activity and human contact many of our elder citizens are deprived of what could be a meaningful period in their lives. I will be providing continuous care from 6:30 AM to 6:00 PM, Monday through Friday. The hours will be flexible, part time and full time care will be available. Morning and afternoon snacks and a regular lunch will be provided every day. I know there is a real need for such a service, in our community, and I believe that I can fill that need. I hope you agree and will spread the word. I am offering a home away from home for our aging relatives who may be unsafe, lonely, mentally or physically impaired and in need of a little extra T.L.C. So; if you or someone you know are part of the "sandwich generation," caught between job, family and aging parents, I know that time is of the essence. We can all help to add quality time to aging years. I will be calling to set up a convenient time to meet with you personally Yours truly, Patricia Greig 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 .......0 No ....... 0 SECTION 5 DescrintKn of Proposed Work (check all applicable) New Construction Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition 0 Accessory Bldg. 0 Demolition 0 Other Specify sydv Brief Description of Proposed Work: /N 4.-�JA-o r %LT )�?Oy(/- SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to be Completed by permit applicant pf r m`g ;� z 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee (,) x (b) 4 Mechanical(HVACa 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 as Owner/Authorized Agent of subject property Hereb orize to ct on My in `I I matters tive to o ed by this building permit application. o w1 Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I 1, 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 c- C Print N e S t Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 1 2ND3 SPAN 77 DIMENSIONS OF SILLS DD/fENSIONS OF POSTS Dl viENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CI NINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE Ai Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that...... :�Lf ...................... P has permission to perform .... ............................................. ..... ..... wiring in the building of. --),z_ .............................................. North -Andover, Mass. Fee./74 ........... Lic. No. ... . -- .............. ELECTRICAL INSZ�MR Check It 5208 I C'mmonweaR o f Ma_i0ac4ujel1s ..GJeParlment o�.}ire Jervice� _ BOARD OF FIRE PREVENTION REG APPLICATION FOR PEF All work to be performed in accoic PLEASE PRINT IN INK OR TYPE .-ILL iN City or "town of: A/: X)A/A By this application the undersigned byes notice Location (Street S Number) gJ �e! 9c Official Use Only Permit No. Occupancy and Fee Checked TIONS [Rev. 11/99] (Icoveblank) MIT)Q PERFORM ELECTRICAL WORK lice with ' c Nlassachusetts Electrical Code (N1EC), 527 CNItt 12.00 jORAL 70N) Dnte: g �a/ 200 To the hupector of J'vb•es.: f hjeor her intention to perform the electrical work described below. Owner or •tenant�.5'vF�ein ���j�� Telephone No. L�'/k (ogoi atf� Owner's Address Is this permit in conjunction with a building permit'.' Purpose of Building Existing Service Amps / Volts New Service Antes / Vults Number of Feeders and Ampacily Location and Mature of Proposed Electrical Work: Yes" No ❑ (Check Appropriate hos) Utility Authorization No. Overhead ❑ Undord ❑ Overhead ❑ Undgrd ❑ No. of Meters No. ofiYleters Coma/etion o%the (ollmvine table mall br naked be the I11SOOC-Inr Cf 1''i -VT of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fan Trans'Iota( 'Csforuurs KV:1 No. of Lighting Outlets No. of Ilot Tubs Generators KVA o. of Lighting Pictures Above ❑ In- ❑ Swimming Poul nnd. rnd. t o. o mergence Lighting ---;I Battery Units b b No. of Receptacle Outlets No. of Oil Burners FIRE ALARRNIS �No. of Zones No. of 5�7itches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Tonal Nu. of Alerting Devices Heat Pump \umber Tons K)V_ — -- No. of Self -Contained ,No. of Waste Disposers Totals: _... .. . _ ._ Detection/Alerting Devices No. of Dishwashers S nce/Area Heatin KW SP: g nl Local Co n echoEl El Connection Other J No. of Dryers Heating A linnces PP It�ti Security Systems: No. of Devices or Equivalent _ — No. of \Vater I'\\ No. of No. of Data Wiring IIenter's Signs Ballasts No. of Devices or Equivalent!_ Hydromassage Bathtubs bNo. No. of Motors Total IIP I'cicconunuuications Wiring:No. of Devices or Enuiy lec1 —_ OTHER: Attach additional detail if desired, oras required by the !r,scecror (j l % i r; I\'SUR-'1,i`iCF_ COVERAGE: Unless waived by the owner, no permit for the performance of elect ical work may isss:. ;:less the licensee pro\,idcs proof of liability insurance including "completed operation" coverage or its substantial equivalent. -f ir- undersigned certifies that such ov rage is in force, and has exhibited proof of same to the peril-iit issuing. office. CHECK ONE: INSUIL'\NCE BOND ❑ 01TIER ❑ (Specify:) — (t:tpr�tion C'al'---- Estimated Value of Electrical Work: (When required by municipal police.; Work to Starr. I certifj', under tltth 1,IR\l N.- )IL: Licensee: (if applicable, enter Address: Inspections to be requested in accordance with NIEC Rule 10, and upon comple(ion. s and penaltiesof perjmy, that the information of this api lication is trite and complete. IlArl 1'.71A,117.1 /) x LIC. NO.: in the license number lin Signature 0\VNEWS INSURA:NC-t \VAI'VER: 1 am aware that the Licensee docs not required by L3y my signature below, I hereby waive this requirement. I O viler/Agent Sioitatw-e _ — 1 cicphunc No. LI C. N 0.: E,3,rr37_ BUS. "rel. No.:_7.�sh= / D All. Tel. No.:---__--- tmethe li;;bilit}' insurance coverage non;n..i, n the (check one) ❑ owner ❑ gyne:': 3_rt::. 1'i RHIT F--E1_S -- _-- FROM : SMA FAX 'y0. TO: Town of North Andover Building Department FR: Steven .Mcklanus 87 Barker Street North Andover, MA 01845 978-632-2445 RE: Relinquish Electrical Pcrmit 44681 DT: May I1.2004 May, 11 2004 06:26AM P? On August 13, 2003 R&L Berube Electric Inc. pulled electrical permit #4681. I have decided to use Daniel Remold, Electrician, for this project, therefore I wish to relinquish permit 94681. A.uy questions, p1mw- call me at the i