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Home My WebLink AboutMiscellaneous - 106 BOSTON STREET 4/30/2018 106 BOSTON STREET 210110 i 0000.0 Z6 - Glens Falls Regional Claims Office `'-Encompass, Po BOX 660187 Creatk) saroleciion eruund ou DALLAS TX 75266-0187 'IIID"�II�II��I�III�I��IIIIII'11'I'�IIIIIIII�II��IIIIIIII��II INSPECTOR OF BUILDINGS 1600 OSGOOD STREET BUILDING 20 SUITE 2035 NORTH ANDOVER MA 01845-5327 April 18,2016 INSURED: Jennifer A Abouezzi and Pierre Abou-Ezzi PHONE NUMBER: 800-262-1145 DATE OF LOSS: April 17,2016 FAX NUMBER: 866-253-0916 CLAIM NUMBER: Z6252093 V4 OFFICE HOURS: Mon-Fri 8:00 am to 4:30 pm PROPERTY ADDRESS: 106 Boston St,North Andover,MA POLICY NO.: 281321813 I Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws.Ch, 139.See.3D TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen I Claim has been made involving loss,damage or destruction of the above-captioned property which may either exceed $1,000.00 or cause Mass.Cen. Laws,Chapter 143 Section 6 to be applicable. If any notice under Mass.Gen. Laws, Chapter 139,Section 3D is appropriate,please direct it to the attention of the undersigned and include a reference to the captioned insured, location, policy number,date of loss and claim number. On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. SIGNATURE AND DATE I Lynn Gaulin April 18,2016 i I PROP054 Z6252093 V4 2000020160416ET001000155001001000264 Date..�l./ . �.�..... NORTH TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION 5 S,q USES l 6 This certifies tha� ,f�.!1^4I.JJ. . .D!.Z. . . . . . . . . . . . has permission for gas installation . . . . �D z. . . . . y in the buildings of . . f{��. . . - " . . . . . . . . . . . . . . . . . . at rt � S � �� ov Mass. Fee43.0. . . . Lic. No.. . GAS INSR Check# 8 + 92 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) w r , Mass. Date l City, Town Permit # Building t Owner's AT: Location aaS�� ?- Namer eF2 '2Z� Type of Occupancy: New Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ❑ N Q � N N W N . 14 bd Z Q N W N W to W Q O V m H Z N 4) N W J W F cc x cc 0 U1 QNffi FQW > d_ C G W WCCcc W GU1 z V IC L7 F. Z W yet V' C > lL r W J h- W 9 k Y Q W OC W Z 4 0>C N Q O O W O W = o c� z u. > o d o _. a sue-6sMT. BASEMENT 1ST FLOOR 2ND FLOOR goo 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) Check One: Certificate Installing Company Name Tn=-gp d n;1 rn , Tnr ® Corp. Address 27 Cherry Street — ❑ Partnership T)nnvers, MA 01923 q ❑ Firm/Company Business Telephone 979-777-0701 Name of Licensed Plumber or Gasfitter .los I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner"Agent I have a current liability insurance policy to include completed operations coverage. ❑ By TYPE LICENSE: 1,2 tg/p,� gnature icensed Title C1 Plumber Plumber or Gasfitter City/Town ® Gasfitter ❑ Master APPROVED (OFFICE USE ONLY) License Number ❑ Journeyman Location No. Date lrf A NORTH TOWN OF NORTH ANDOVE% 3? °. •• OL F p Certificate of Occupancy $ Building/Frame Permit Fee $ �'�S'•••°•Ecn Foundation Permit Fee $ s�cMus — Other Permit Fee $ Sewer Connection Fee $ tU Water Connection Fee $ - TOTAL $ -25 / ~-Building Inspector 12751 (/ Div. Public Works S Location i No. Date A TOWN OF NORTH ANDOVER a Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ sACMUSE Other Permit Fee $ 30 t, Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works lop I'EIZM IT NO. APPLICATION FOR PERMIT TO BUILD********NORTII ANDOVER, MA M►P No. LOT.No. �\ 2. RECORD OF O►\'NLRS11IP DATE BOOK PAGE O 7OnE SUB DIV. LO'FNo . 1.0( A I ION PURPOSE OF 13011 DINO OWNER'S NAMEe NO,OF STE. ORIES SIZE G BASEMENT OR SLAB OWNLR'S ADDRESS RD ARl'I II I ECI'S NAf lE \) SIZE OF FLOOR 1 INIHERS 1 ST 2 HD 3 HIIII DER'S N.MfE \M ` C- S°1�� SPAN DISI ANCE TO NEAREST BUILDING DIMENSIONS OF SILLS INSI'ANCE FROM SFREE.I. DIMENSIONS OF IY)SI S DIS I ANCE FROM LOT LINES-SIDES REAR DIMENSIONSOF GIRDERS AREA OF LOT FR(NdFAGE II nITOFFO(INDAIIOJ THICKNESS IS BUILDING NEW SIZEOF FO(YIINC. X IS BUILDING ADDITION OF Cl IIAINEY IS BUILDING ALTERATI(N! IS BUILDING ON SOLID OR Fit LED LAND Wil I.BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING C(N1NL'CI ED l O TOWN WA I ER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CFNJNECI ED TOIOWN SEWER IS BUILDING CONNECI LD TO NA 1'URAI.GAS I.INE INSTUC-PIONS 3. PROPERIN INFORNIATION TES NDC'C%1' 1. BI lXi.COST C) PAGE I FII.I.OII'f SECTIONS 1-3 1. BLDG.COST PLR SQ. PT. I. BLIXi.COS 1 PLRROOMEIEC-TRIC METERS MUST BE ON OLITSIDE OF BIM DING PI IC PERKII 1'NO. AIT ACHED GARAGES MUST CONFORM'TOSFATE FIRE REG111ATI(NJS a. APPROVED BY: PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR �� OWNERS l l:l.al DA I E Fit Ii D CCN I R.LIC11 `C) W(li IRF.OP OWNER l lR AlfIIIORIZIiD AGENT °i PIiRh1ITGRANIFD CCCC7777^^^^ 19 � NORTjy trTown of over No. .358 rn i LAKE dower, Mass.,1219 '9 ;F � A_GOCNIC HE WICK Y'�. 9S °AA E o-�°P`y •C� `G BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ILI BUILDING INSPECTOR THISCERTIFIES THAT.............................................................. ... ................... ............................................. ... .. Foundation has permission to ere buildings on.. ..... Rough t0 be OCCUp18d as... �..... y'�'�.....1 ............. .................................................................. Chimney provided that the person acceptin his permit shall in every respect co o to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to t Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTIONTS Rough ................ Service .. . ............................... . .... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector., FIRE DEPARTMENT Burner Street No. Smoke Det. r10 R T/y Town of _ _ Andover No. •3s8 m * Z dover, Mass., dw 19;F O _ - LAKE C.CMICHEW I CK E o BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System • • BUILDING INSPECTOR THIS CERTIFIES THAT..........................................:7................. ... . ................... �� Foundation has permission to ere ........ ..... ... ............. buildings on... .....G....... .. .... Rough f0 b8 OCCUpled as... �.....10100 —!f�I..... .. .................................................................. Chimney provided that the person acceptin his permit shall in every respect co o to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to t Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTIO TS Rough ........................ ................................................... ........................ Service ..... ..... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final - No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det.