HomeMy WebLinkAboutCertificate of Inspection - Certificate of Inspection - 49 ORCHARD HILL ROAD 6/4/2019 ZnxL S
_E The. Commonwealth of Massachusetts
i 1
CY-y\Town of North Andover
7
Certificate o Inspection
In accordance with 780 C R,Chapter I(The Ninth Edition of the Massachusetts State Building Code)and Chapter 304 of the Acts of 2004{an Act to
further enhance fire and Itfe safety),this empo ary certificate of inspection ats issued to the premise or structure or part thereof as herein identified.
Identify Name of Establishment Certificate No.
Issued to AAA Driving School 49-2019
Identify Property Address Including Street#,Name,City or Town Certificate
Located at E iration
49 Orchard Hill Drive June 2020
Use Group Allowable
Classifications) Driver Education School Occupant Load
Classroom -34,Classroom B-36,Classroom C-35 - 105
Certificate of inspection is hereby issued by the undersigned to ce.rtify that the premise,structure or portion thereof as herein.specified has been.i nspected for
general fire,and life safety featuxes. This certificate shall allow for the temporary use as herein described and in conformance with any and all con&titons as
identified below. It shall be framed behind clear glass and\or laminated and posted in a conspicuous place within the space as directed by the undersigned.
Failure to post the certificate,failure to comply with conditions or,tampering with the contents o,f the certificate icate is strictly prohibited.
Conditions of
Temporary Use
Name of Municipal William McCarthy,Fire Chief Name of Municipal Paul Hutchins,Bldg.hzsp. Date of 4/16/2019(B)
Fire Chief Building Comnussioner: Inspection 6/4/2019(F)
Signature of Municipal Signature of Municipal Date of June 4,2019
Fire Chief Building Commissioner Issuance
o„
u,
ma
r,
.. Town,of Nodh Andlover
u
Inspectionall Services
0100
120 Main �,f u
Street
P I
' "^'4
a /
D efe
Time f
6 ���Wo �n.,tON m "o
m
A�,
.....���
A didressZotiftll
V
O "" M °.o
yp,��u
r M i
baa,
m
I
...
Adress
� Im
r
5 s.? yes C) � C w "n
i
;,;,,,,,.,,,
t .�a dirt g r kJtt, wd? "'s°'Date
0-10
Nfeal'ts of ic:gt'less blocked
ri
o��P lut,e'),
Slide bolts on doors 00001
�..... w
, foleated wig
figh
00 atin/g: battery b�a,,ckup
119
,�
115
wn� �W
1000 ' ti ' milts tmrdr s intact avid inelets cod
°°°......°°°............
°..°ro°° ° ......
..mm.
44
,w,
Fire exfirrg
..w.�.�. °°° *�k ,���,�,����w,w�w,awu,W°� �w�w..°v°°v� �.,..��� �v.,�„ww~ ��wa..^a-
s,
Jil
.„........ �mm��...mmmm �W� w��w ��w°�� uuu�,,..�",,°""", �°°°°wu. __��_... °°�....°°� �°°°.°°°°.°°°°�°��. °� � �...
An,,°constj°°ttctj(,°°)n chatiges,requi�ring er tn,it ,.
TIP
Otber
� . ��. '10 R A"'];: ()' 11141""'FTJK S S UE) )1!1 0I °., � N 0'1
..°°° °°°,°, °°°°,j ., ...�.....................°,. °
7e
CIOMMONWEALTH' OF'MAS'S,AC'HUSE'T"TS, TOWN OF NORTH ANDOVER'
11 "Jlkl�
120 Main Street, North Andover MA 01845
Tel : 978-,6818,-,91545' Weblsite : northandoverma.gov 17
..
X ) [","ee Requh,�'e,-,d (Arrl,,ount) 1010''.00
Njo Fee Reqtiirecl
L WOO
te:
.,t-2 01-1.11,
Accordance with, the provisions of the Massalchusletts, State Build,ing code, Section 106.5, lhereby appik for
Certificate of Inspection for the belo�w,-na,tz")ed',pt"et7,7,isjois localeld atthe following,address,,,
Street and Numbler 49 Orchard Hil/R Iola d'
Name of Premlisys...,AAA DI AAA
��� I�'�I
Pt,j!rpose for the Preivisvis, used., Drivin,g,.,5�qtl�ool
Liclenses,(s) or Permit(s) Required'for,tf)e Premises by she Govemmentia/A gencies.-
Contact Persjon�
Licenise or Plem,,iit
............................................................... .....................
............................................................
-—---------
Cettificate t�o be,isstledto
Address leptione
E
mre '�, + ,. Coritact Pe,nssvin mail ......
Owne,r of Record of Building.,
2L
Address,
yyyyj........................
N ame of Present Holder of Certificate, ell W1,
Name of Agency,, if any-M-1
...........
SIG URE OF PERSONS TO W,HOM CER'TIFICATE TITLE
,IS,ISSUED, ORHISAH,ER AUTHORIZED AGENTIII
DA TE
INSTRUCTIONS.*
1), Make,check payab/e to Town of' North Andover
2.), Return this application with your,check to.- 120 Main Stree�t North Andover,MA 018,45 Attn. Building D2pt._,
PLEA SE NO TE..
Application form, with a r,colinpanying,FEE ICI be,subtr7itted fdr,lealct),bluilding or struciture,orpart ttiierejofto, be,ceffified.
3), Application at)dlee,triust bel receiveld before the certifi cote well ble issued.
4) Tti,ebtjildin,,go,ffi'cli'a�Iss,t)ia�lIb,et�)llotified'w,it,h,in, te,t�i (IO) dc,),ysofiatiyjch,arigeintl7eabo,veitilfd,rriiat�io�rij.
CERTIFICA TE # EXPIRATION
DATE:
Appli a tion,for Cl 1/20 1
.. .......
41(......... ...........
110o
eon ........k
.�
INSPECTION REPORT T FORM
CLASSIFICATION PASSES INSPECTION YES NO DATED
OWNER
BUILDING NAME OR N
STREET LOCATION
TYPE OF OCCUPANCY- lay Care❑ Auditorium ❑ Restaurant ❑ Oaf - ❑ Gym ❑ Apt ❑
School ❑ Common i tualer's D. Liquor ❑ Place of Assembly ❑
OPERABLE
EXIT SIGN yes ❑ no ❑
LIGHTED EXIT BINS yes ❑ no ❑
NUMBER OF GRADE FLOOR MEANS OF EGRESS DOORWAYS
NUMBER OF SEPARATE STAIRWAYS ACCESSIBLE PER STORY
EMERGENCY LIGHTING SYSTEM dry cell ❑ wet cell ❑ operable ❑
�P. -I i KLE1 STE 4 - !op. r bl ` D _ ressu r , no
�111II CTE .� . R:_ _ _} r'aI �' ry* _ ��` �ti. F ._,... -8 _ ;:i yes'.
y4` , � 4 ,,.,n,S,.w.t,.r��r.aw�'...���,.: y.a Tr�' �-+fir.+*+'.�rk+-w�o-cr�v.w.i.T...a.gcw'rV*+ ''..,R-.�r-.=�.Ya!' iT"*a+e,n..rw.�esK+v�.i�.�Tan.rbpwdas��.,k�1 ��.r.,nr
IF E= LAI 111I:�i'� 'Eti11I, ...-� k.� rr � t �.. �. _ ..�. � s .. ,..... :r�e
ry F{
ELECTRIC EQUIPMENT UIPMENT IOLATIONS yes ❑ no ❑
FIRE RESISTANT CURTAINS OR DRAPERIES yes ❑ no ❑
EGRESSES LAWFULLY DESIGNATED unobstructed ❑ yes ❑ ne ❑
HANDICAP ELEVATOR yes ❑ no ❑
STAIRS PROPERLY RAILED yes ❑ no ❑
HALLS AND STAIRWAYS LIGHTED
yes ❑ no ❑
UTILITY ROOM-,CLOSETS yes ❑ no ❑
RADIATOR GUARDS yes ❑ no ❑
COMPLIES HANDICAPPED PERSONS LAWS yes ❑ no ❑
HOW HEATED N . FIREPLACES yes ❑ no ❑
BOILER ROOM 60 DIT1 N:
ROOM LOAD IF APPLICABLE
a
INSPECTOR:
DATE OF INSPECTION
10
'A("Ll' .. jL-
'ALI 4 �.w
en I
ANNUAL BUSINESS FIRE INSPECTION
FFacility Inspection rvNAM-184FACIns Inspelction D3 - Juln 04, 2,1019
Facility Name- AAA Driviri�g School
FacJlity Address: 9' I C I HILL ROAD
—[Owner[O. tor Addres& 110 Royal Littlie Drive Providei,x,e
Owner/Operator, Steven Thiornhill AAA Southern NE, RI 1020914
Owrier/OperatorPhone: s )r I @ I eas,t., ,rwroAfter Hours r a w a Iklrrl
After Hours Contact Phorie: 4516 lnspe c it°i i Officer- Laclolla" i att
Its there excess cola ,usfi.............bil e Iion rl
Are he means,of e ir ss obstructeld r10
Exit doors
erate,and maintainled
yes -------------- ..._ .__
he Certificate of Inspe� tion/Oc an Lola s,,igIr�.......................................................p s ed � ,.
Are all exits clearly r w,k().,
Are all Il xi i s a r-------......."�`ri ` it i ii ng...................o � r�................ ii Sri i .............. ��
r ther",—,........................e any �I r r p r� hold d open a I �
Accessand Premisesn,rnre pis
Proudly Serving Since 1,9121
i„ NOIR77.1,4NI) „ IT
(S J;w
011845
E.
I�
FIRE ALARM SYSTEMS
..........m.....a.............m. a............
„........................ ............
.����:.:.. ...... ..... .............,... .....
., , �..... ""�.��
FAS Last Inspected d II ay,01,, 204
FA Panel Maintained
..... _,,.. .....__.. ....... ......._. es
_...._._ ...... ...... ....... . ....._r.._ ..... ....... ........__. ......... ...... r.._....... _.. ,,... ..... _ _ ... ..,......
FA electrical breakw, marked �yes
FA glu l to nr s,ti,iiah�iitahed yes
FIRE SUPPRESSION SYSTEM
Fire (tested t,n a �y) yes,
Proper clasp a size or z n� � s des
location yes
tare e N/A
..............SP TYPE
SP Maintained ye,w
M
_.. �...� �.. ._.."" o.. .��o �.,. ......... —
Sprir,*Ier System (annuial) Wet
Date Last Inspected Jun 20, 2,018,
Kitchen Suppmssilon System n n'l Annual Sy to r
Inns 'e'� non�n
Kitchen Hood Beni (Date Last, Il ns n,c ed
....m .... m . ...
Cleaning Inspection Company N inne
Fire p ss n ertrcn Corn n
)0 f"ER CHUS'llw"T7 kS1
111"(11?L) pen-tin eti,I
795 Rotu Noi-,tli
....................... ..................................... ............... ...............
GENERAL HOUSEKEEPING
Is there.N.excessive decoratior-i n o
Is there excessive stiorage �n o
Proper'Trash C,o,riitait,, i's �ov,alI yes,
..........
Proper Locatbin of Du seer yes,
Hazardous Mate rials Stored Properly yes
----—------------------
Fire Sprinkler System Heads Obstructed NO
Electrical Service well Obstructed no
............. ......
General Housekeepirig Comments
............
INSPECTIONISTATUS: Pass,
Reason for faftire (if appficable)"
"Perildfrig Comvnents,".
IRieco,iiime!nd�atio,r Cor imients,,,,,
Sprinkler System, is, dUe to be inspected this i,Tionthi.
Pwudly Serving Sinice 19121