HomeMy WebLinkAboutBuilding Permit # 10/27/2015 ORTH
BUILDING PERMIT of t%
TOWN OF NORTH ANDOVER CC>
APPLICATION FOR PLAN EXAMINATION
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Permit No#: Date Received qSs ATED
Date Issued: 16/2711--
IMPORTANT: Applicant must complete all items on this page
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TYPE OF IMPROVEMENT PROPOSED USE
Residential Non- Residential
0 New Building 0 One family
0 Addition RTw- o or more family D Industrial
11 Alteration No. of units: a 11 Commercial
Kl�epair, PepPace7mM 0 Assessory Bldg 11 Others:
0 Demolition El Other
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DESCRIPTION OF WORKBE PERFORMED:
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Identification- Please Type or Print Clearly y
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OWNER: Name: e4 "el
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Address: '71
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ARCHITECT/ENGINEER Phone:
Address: Reg. No.
FEE SCHEDULE.BULDING PERMIT.$12.00 PER$1000.00 OF THE TOTAL ESTIMATED COST BASED ON$125.00 PER S.F.
Total Project Cost: $ FEE: $
Check No.: 6 Receipt No.:
NOTE: Persons contracfiwith unregistered contractors do not have access to e guar antyfund
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4Signature gent/Owner Signature;
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BOARD OF HEALTH
Food/Kitchen
PERMIT T Septic System
THIS CERTIFIES THAT ��'`( �-s�o� ............... BUILDINGINSPECTOR
......... ....................... ....... ......................
Sv Foundation
has permission to erect .......................... buildings on �,.. ....`,�. .... . ..... .............. ............................
Rough
to be occupied as ..... C /1. .°..?. ..�? r:.. ry f?(/..�t:.�./.....�Gce �.�.G1.4......... Chimney
provided that the person accepting this permit shall in every respect conform to the terms of the application Final
on file in 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. �(�� a/�� l ��Gj PLUMBING INSPECTOR
Rough
VIOLATION of the Zoning or Building Regulations Voids this Permit.
Final
IT EXPIRES I6 MONTHS ELECTRICAL INSPECTOR
LESS T10 RTS Rough
................................. Service
............... ...... 4 � .... Final
BUILD G INSPECTOR
GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Displayin a Conspicuous Place on the Premises — Do Not Remove Final
No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector, Burner
Street No.
Smoke Det.
North Andover Health Department
(ommunity Development Division
October 22, 2015
Owner/Agent of Record: Property Location:
Center Realty 34 Johnson Street
PO Box 876 North Andover, MA 01845
North Andover, MA 01845
Dear Property Owner,
An authorized inspection was made of your property at the above address on October 20,
2015. This inspection revealed violations of the State Sanitary code, Chapter 11, as listed below.
Owner must repair within seven days or contact a contractor for work and submit proof of
contract within seven days. Corrective action is to be completed within 30 days. A re-inspection
will be scheduled for seven days after receipt of the order letter for corrective action. Failure to
act will result in further action.
105 CMR 410.000
Kitchen
Regulation# Description ✓if Time limit for compliance
conditi
ons
may
endang
er
.501 (13)(4) Exterior kitchen door—rotten area of frame. In Owner must repair within 7 days or
disrepair. contact a contractor for work.
- Owner must ensure all doors to the outside Completion is to be within 30 days.
be weather tight
Repair door frame as needed
34 Johnson Street, Order Letter October 22, 2015
- Must have working smoke and CO detectors
as required by fire codes
Tenant shall replace the units
410 551. 2 Window at top of stairs with ripped screen Owner must repair within 7 days or
- Owner responsible to maintain screens free contact a contractor for work.Has
from defect. max 30 days for complete correction
Fix screen
410.500 Window at top of stairs screwed shut by tenant Tenant must repair within 7 days
concerned about unauthorized entry from roof.
- All windows should open and close with
ease and have working locks
Tenant shall remove screw as long as the lock
works. (Could not test)
Second Floor
410.504 B Bathroom walls near tub; evidence of chronic water Owner must repair within 7 days or
damage. Some repair of soft wall areas in progress. contact a contractor for work.Has
410.500 (Check ceiling areas as well for issues) max 30 days for complete correction
- Premise shall be free from chronic dampness
- Walls of all rooms with a tub and toilet
should have non-absorbent surface up to 48"
from the floor
Owner shall investigate reason for the water
problem; remediate areas that may be saturated.
Place smooth non-absorbent covering to 48"
Second Floor=rear bedroom'
410.352 Smoke detector missing off the base. Tenant admitted Tenant shall reinstall the units
they removed the unit Tenant states batteries are unless indicated by fire department
dead. that they are unnecessary units.
- Must have working smoke and CO detectors
as required by fire codes
Tenant shall replace the units
410.500 Ceiling shows water leaking from outside Owner must repair within 7 days or
- Owner shall maintain premise free from leaks contact a contractor for work.
and defects Completion is to be within 30 days.
Identify problems and repair as needed
Basement
410.501 Exterior door basement—gaps. Door partially Owner must repair within 7 days or
covered w/plywood. contact a contractor for work.Has
- Owner must maintain structure free from max 30 days for complete
defect and must ensure all door to the outside correction
be weather tight
Eliminate gaps
North Andover Health Department, 1600 Osgood Street
North Andover,MA 01845 Phone:978.688.9540 Fax 978.688.8476
34 Johnson Street, Order Letter October 22, 2015
You are hereby ORDERED to correct these violations within the noted time limit. Failure to
comply within the allotted time period, or subsequent violations, may result in a criminal
complaint against you. You have a right to request a hearing before the Board of Health/Health
Director. This request must be made by you, in writing, and filed within seven days after the day
this order was served. If you request a hearing, all affected parties will be informed of the date,
time and place of the hearing and of their right to inspect and copy all records concerning the
matter to be heard. The petitioner has the right to be represented at the hearing. Conditions exist
which may permit the occupant of the dwelling to exercise one or more statutory remedies.
Sincerely,
Susan Sawyer,RS
Health Director
Cc: tenants;Nicole Stroumbos and Laura Brien
North Andover Health Department, 1600 Osgood Street
North Andover, MA 01845 portio;978.688.9540 Fax:978.688.8476
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NOTICE NOTICE
TO W
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TO
EMPLOYEESw EMPLOYEES
The Commonwealth of Massachusetts
DEPARTMENT OF INDUSTRIAL ACCIDENTS
600 Washington Street, Boston, Massachusetts 02111
617-727-4900 — http://www.mass.gov/dia
As required by Massachusetts General Law, Chapter 152, Sections 21, 22 &30, this will give you notice that
I (we) have provided for payment to our injured employees under the above mentioned chapter by
insuring with:
THE TRAVELERS INSURANCE COMPANIES
NAME OF INSURANCE COMPANY
P .O . BOX 1 450
MIDDLEBORO, MA 02344-1450
ADDRESS OF INSURANCE COMPANY
(IEUB-3F36793-7-15) 02-10-15 TO 02-10-16
POLICY NUMBER EFFECTIVE DATES
M P ROBERTS INS AGENCY 1060 OSGOOD ST
N ANDOVER MA 01 845
NAME OF INSURANCE AGENT ADDRESS PHONE #
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CENTER REALTY TR OF NO.ANDOVER 177 SALEM ST
o
NORTH ANDOVER
�_— MA 01845
N— EMPLOYER ADDRESS
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EMPLOYER'S WORKERS COMPENSATION OFFICER (IF ANY) DATE
MEDICAL TREATMENT
The above named insurer is required in cases of personal injuries arising out of and in the course of
employment to furnish adequate and reasonable hospital and medical services in accordance with the
provisions of the Workers' Compensation Act. A copy of the First Report of Injury must be given to the
injured employee. The employee may select his or her own physician. The reasonable cost of the services
provided by the treating physician will be paid by the insurer, if the treatment is necessary and reasonably
connected to the work related injury. In cases requiring hospital attention, employees are hereby notified
that the insurer has arranged for such attention at the
NAME OF HOSPITAL ADDRESS
003101 W20P1G02 TO BE POSTED BY EMPLOYER
Massachusetts -Department of Public Safety
Board of Building Regulations and Standards
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c.uFISu iICwuii aupct i ts0i i m
License; CS-075302
BENJAMIN C OSG-bOID,
69 Old Village l-aw,
North Andover Oi84
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Expiration
Commissioner 9210412096