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Home My WebLink AboutMiscellaneous - 115 ROSEMONT DRIVE 4/30/2018 / 115 ROSEMONT DRIVE 210/098.B-0057-0000.0 Safety Insurance AMOLW Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 001845- NORTH ANDOVER,MA 001845- RE: Insured: VINSANT ABRAHAM and SUSELLAMMA V ABRAHAM Property Address: 115 ROSEMONT DRIVE,NORTH ANDOVER, MA Policy Number: HMA 0074446 Claim Number: BOS00046075 Date of Loss: 8/5/2014 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 313 is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Lisa Monette Claim Examiner 11/11/2014 Safety Insurance Company Homeowners Claims Unit P. 0. Box 55098 Boston, MA 02205-5098 Phone: (857) 233-8618 Fax: (617) 535-5833 Email: lisamonette@safetyinsurance.com pw,dwo—w—o Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 001845- NORTH ANDOVER, MA 001845- RE: Insured: VINSANT ABRAHAM and SUSELLAMMA V ABRAHAM Property Address: 115 ROSEMONT DRIVE,NORTH ANDOVER, MA Policy Number: HMA 0074446 Claim Number: BOS00046075 Date of Loss: 8/5/2014 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. .If any notice under Mass. Gen. Laws, Chapter 139, Section 313 is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Lisa Monette Claim Examiner 11/6/2014 Safety Insurance Company Homeowners Claims Unit P. 0. Box 55098 Boston, MA 02205-5098 Phone: (857) 233-8618 Fax: (617) 535-5833 Email: lisamonette@safetyinsurance.com Y I Safety Insurance Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectman City Hall City Hall NORTH ANDOVER, MA 001845- NORTH ANDOVER, MA 001845- RE: Insured: VINSANT ABRAHAM and SUSELLAMMA V ABRAHAM Property Address: 115 ROSEMONT DRIVE,NORTH ANDOVER, MA Policy Number: HMA 0074446 Claim Number: BOS00046042 Date of Loss: 11/1/2014 Company: Safety Indemnity Insurance Company Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3B is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim number. Lisa Monette Claim Examiner 11/4/2014 Safety Insurance Company Homeowners Claims Unit P. 0. Box 55098 Boston, MA 02205-5098 Phone: (857) 233-8618 Fax: (617) 535-5833 Email: lisamonette@safetyinsurance.com Location //5 mil i W f 6 ��of No. 34 Date Also , TOWN OF NORTH ANDOVER A Certificate of Occupancy $ • ; Buil in /Frame Permit Fee 3 +,�s' °'�t�'.•�' FoundaRion Permit Fee sAcMUSE . . Other Permit Fee $ Sewer Cgnnection Fee $ �I1 WateLx ��onnection Fee $ Cl� F yb 3 �k-, Building Inspector 6875 Div. Public Works ocation 40. Date O "ORT" TOWN OF NORTH ANDOVER A Certificate of Occupancy $ �iL- 'J • � � ' Building/Frame Permit Fee $ • o� ' a cMusEt_ Foundation Permit Fee $ / I � Other Permit Fee $ -� Sewer Connection Fee $ Water Connection Fee $ ' AUG i2 X'TOTAL $ /,��_> ? „ .''3 l3 Building Inspector 3 3 3 -f Div. Public Works -,Locations 104 35 No. Date '- N°"TM TOWN OF NORTH ANDOVER Certificate of Occupancy $ 3 ; auilding/Frame Permit Fee $ CHU Foundation Permit Fee $ �t Other Permit Fee $ S7Z Sewer Connection Fee $ /1^41�9 a Z�7 .Water Connection Fee $ TOTAL �j�✓�1f. r -Building In/pectgr r DIV!Public Works PEu,mlT NU. 7 6 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 _ MAP 440. LOT NO. i, 2 RECORD OF OWNERSHIP IDATE (BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION �� Q . PURPOSE OF BUILDING OWNER'S NAME n_ NO. OF STORIESTwo �+ SIZE /W 1[�[ • � OWNER'S ADDRESS BASEMENT OR SLAB n ARCHITECT'S NAME ,/C SIZE OF FLOOR TIMBERS '13JT ' 2ND 2 y 3RD � BUILDER'S NAME ��` l , Q� SPAN DISTANCE TO NEAREST`BUILDING �b'Jr DIMENSIONS OF SILLS DISTANCE FROM STREET 2C POSTS // mac) T ^ DISTANCE FROM LOT LINES - SIES�7/ �f REAR '7 Art f GIRDERS +7�1L1 &yh�\ AREA OF LOT IV, 5'63 •SC9 FRONTAGE�F��,�'�(y HEIGHT OF FOUNDATION 7 ( THICKNESS IS BUILDING NEW C(Jl 1-') T SIZE OF FOOTING 1 �fJ 4) X 0 IS BUILDING ADDITION / /(/D MATERIAL OF CHIMNEY woo oo D IS BUILDING ALTERATION f V/��,i IS BUILDING ON SOLID OR FILLEDLANDQ�I t t d WILL BUILDING CONFORM TO REQUIREMENTS OF CODE ci/ ,5 IS BUILDING CONNECTED TO TOWN WATER V /�'5 / BOARD OF APPEALS ACTION. IF ANY vo&0 c. IS BUILDING CONNECTED TO TOWN SEWER f S `2` IS BUILDING CONNECTED TO NATURAL GAS LINE y-C INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH BIDES are FM /�f a EST. BLDG. COST t� PAGE I FILL OUT SECTIONS 1 - 3 LESS FDA FEE / Q 0, 0 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 DUE FROAP P17111pIT �a 6,3`,v O SEPTIC PERMIT NO. ` ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE WNE AU H RIZ D AG NT t F E E , PLANNING BOARD PERMIT GRANTED OWNER,TEL.#� � • CONTR. TEL.# 19 CONTR. L!C, BOARD OF SELECTMEN SSV 0 5 3 3/. BUILDING INSPECTOR � 33 �g�� C BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI_ FAMILY OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 I 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D — PIERS PLASTER _ DRY WALL _ UNFIN 3 BASEMENT l AREA FULLFIN. B M T AREA _ '/, '/t '/ FIN. ATTIC AREA N_O B MT FIRE PLACES HEAD ROOM MODERN KITCHEN J� 4 WALLS 9 FLOORS d CLAPBOARDS B 1 2 3 ONCRETE � DROP SIDING C — , WOOD SHINGLES EARTH ASPHALT SIDING HARD"✓'D ASBESTOS SIDING COM/ACN V�_ VERT. SIDING -SPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 3 FLOOR ..'-�g`,� BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR ADEQUATE NONE r 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES 4 TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST JZ PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM • STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING a� FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ***********+***1**Applicant fills out this section***************** APPLICANT ly�h �� 25 S-i�� Phon 4_Q�- qq LOCATION: Assessor'sMap Number Parcel Subdivision aceW L\ cwcQ Lot(s) Street v.t3.y� JCZ`�1� St. Number ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: �• 21j4.._ Date Approved 3 Conservation Administrator Date Rejected Comments Date Approled Town Planner Date Rejected Comments Date Approved Food Ins cto ea th Date Rejected (41 Date Approved Septic Inspector-Healtfi Date Rejected Comments Public Works - sewer/water connections GU �j - driveway permit �z �z cC Fire Departmentl •� 0--q. Received by BuYlding Inspecor Date ORTFt"' Town of An over 0 } f,(; ��i, t 'f,' FP�'`�.1M• sir' 7. r r�lCf�'� :G3•t1�1 ',#•�`G'4i No. V o 4 . AN,; over, Mass.,4060sr06 19 tr a AERATED f BOARD OF H EALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT �,L�!......./S o.t •...., /.�!.....(77.JV^C(!.).................................. Foundation has permission to erect..V.0400Lt buildings on J1S.#f0..4r17.Q.M.w.rA0 -0.7W Rough to be occupied asS0"qlJC..^i�ln.—-0. ..! ... .L 6iW. aL �.!,.I1.6'#Aw. t..it-ax '� chimney provided that the person accepting this permit shatf in eve respect conform to the terms of the application on file in P P P 9 P every P PP Final this office, and to the provisions of the Codes and By-Laws relating to the InspecConstruction of t�o Buildings in the Town of North Andover. NIMT10N ONLY PLUMBING INSPECTOR REGULATED BY NK IA" &L VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MOUXAI 4L&FEE PAIdf -G4 0... Final UNLESS CONSTRUCTION STARTS" I O u ELECTRICAL INSPECTOR PERMIT FOR FRAME/BUILDING 4 • Rough Service -DATE �� FEE PAtt/- � C� BUILDING INSPECTOR Final ccu an 'Permit Required to Occupy Building P py g GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough P Y P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAI-b-33 DRIVEWAY ENTRY PERMIT e CERTIFICATE OF USE & OCCUPANCY Building Permit Number Date THIS CERTIFIES THAT THE BUILDING LOCATED ON MAYBE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. N°"'" -1°"'" CERTIFICATE ISSUED TO O� Mo SLC gyp ADDRESS,T/D 3u � �.,.. � Y� i p � JJACNl1S Building Inspector o oN Tf ort dover 0 No. 3 M 0-, ,,.North >Andover, Mass.,AM60S1' 4 19 1�'A T E 1) MH BOARD OF HEALTH Food/Kitchen ,_J . . PERMiT TO BUILD Septic System Nll�l (77y �Co.................................. BUILDING INSPECTOR THIS CERTIFIES THAT..7;��A<........*OAPss -D I .......... ............................. Foundation has permission to erect..YAMA buildings on . Rough to be occupied as$AWAAC.. .,Ce Chimney provided that the person accepting this permit snap in every.respect conform to the terms of the application on file in this office, and to the provisions of the Codes and By-Laws relating to the Inspec d Ristruction of I FZ�1 / Buildings in the Town of North Andover. MROMM ON ONLY PL B G INSGINS PECTOR REGULATED BY MW M" &C. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERTOIT EXPIMES IN 6 MODAXL� -,5�-F FEE PAId!L�6) z) 0 53VCr XUAOL UNT-F.SS C(__)1-,4S t-RUC TION STARTS 0. ELECTIA -N§SPECTOR PERM FOR FRAMUBUILDING Rough .... .. ... . . 4W&4&& a.. ................................ Service 'DATE: FEE PAI BUILDING INSPECTOR Fin Occ-itl)(Mc�, Pci-liiif Rc(jiili-c�d to Occ-t(j)-N, Budding L" GAS MPECTOR�� Display in a Conspicuous Place on the Premises — Do Not Remove 4�w_?11 L No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIREbEPARTMENT Burner PLANNIN CONSERVATION Street No. SEWER/WATER FINALk? Smoke et. ,3,f I LA/ DRIVEWAY ENTRY PERM ke Dox - �� MA55ACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING —\ (Print or Type) NORTH ANDOVER, Masa, tate BuildingYJ Pernik # /4' 0 Location/a/ Owner's Id``G�-P Name /x New t4 Renovation p Replacement p Pians Submitted: Yes❑ No to FIXTUAE3 ..._..... J x ON = UJ M � 0 s s No a s « s ac t p • w m s ` sIL 1- r � ! r o Hu ; 0 Is a a � � Mads � 0r � � a� Q r r � {� 0 r M o 0 1 s N • o o ei r 0 Gut—eaMT. eASKMINT +H 1sT FLOOR 11111111 FLOOR 1110 FLOOR 4TH FLOOR 1TH 'LOOR IT" FLOOR. ITH FLOOR eTHFLOOR f�/� // Check one: Certificate Installing Company Name 4 K �/?` (]Corp. Address Zparfnetship ❑Firm/Co, Business Telephone �Gi� F _ �/� .Name of Licensed PlumberC� INSURANCE COVERAGE: Check one 1 have ■ current liability Insurance policy or No substantial equivalent. Yes A No ❑ If you have checked y", please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the Ilcensee does not have the Insurance coverage required by Chapter 142 of the Mass. General laws, and that my slgnatute on this permit application waives this requirement. Check one: Owner p Agent Signatufare o et a Orvner a en 1 hereby ewil"at aM of the detalls and information I have submttted for entered)In above application are true and soauate to the best of my knowledgeen and that all plumbing work and Installations performed under the permft Issued for this appikatlon will be h pertlnen provisions of the Massachusetts State Plumbing Code d Chapter 142 of the at laws. compliance with all BY Title e lJcense Plumber gtylTown Type of Plumbing License: Master 0 APP 110YED(OFFICE USE ONLY) Journeymen ❑ /l f Date. . . . . . TOWN OF NORTH ANDOVER . o PERMIT FOR PLUMBING f ,SSACMUSE� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . . . . . . , ' / i has permission to perform . . . . . . . . . . . . . . . 4 . . . . . . . . . . . . . i plumbing in the buildings of . . . . . . . . . . . . . . ... . . . . . . . . . . . . . . . . .1. , North Andover, Mass. Fee. .. . . . . . .. .Lic. No.. . . . . .-'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....'. PLUMBING INSPECTOR IWHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTINC (Print or Type) - f NORTH ANDOVER Mass. Date .j �uilding Location ly Permit # 3 Owners Name • Y New ° i Renovation D Replacement Plans Submitted 0 FIXTUP, N � W N z s rri t- Wtu Ul Wj Ar to N W w a O a COC W 4 tL 40 aul d _ " O } N � W Z U W .r Of W d cc F-0. t] h S W W 0 .I d a LC Q W tu U L7 tL LL Z e Z ,� F' Z {• FW' yt". N O 2 O ~ W O N Z Z d W < !L -� C! Q yr y tr W O 2 d G o d O O W O W f- Q O tS Z W t1 O .1 U y Q a f— O SUR—$SMT. t $ASEMENT ZSTFLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name �7�/7` Q Corp. Address > - Partner. Firm/Co. Business Telephone: �22331 Name of Licensed Plumber or Gas Fitter J—Zfd Insuranct' Coverage: Indicate the type of insura,�ce coverage by checking the appropriate box: Liabilitv insurance policy [71 Other type of indemnity E-�] Bond __( Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner u Agent 0 1 hereby certify that all of the details and information 1 have submitted (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing woric and installations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Cas Code and Chapter 142 of the General Laws. By TYPE LICENSE: Plumber Title Gasfitter Sig ature of Licensed Master Plumber or Gasfitter City/Town: Journeyman APPROVED (OFFICE USE ONLY) License Number ` Date........... ........... f MpRTM TOWN OF NORTH ANDOVER tip a?O PERMIT FOR GAS INSTALLATION 9 i t i SACHUSEt4h This certifies that . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . .. . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ., North Andover, Mass. Fee. . . . . . . - Lic. No 1. . . . . . . . . . t f?(�i f.) -T � d3� INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File