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Home My WebLink AboutMiscellaneous - 120 LIBERTY STREET 4/30/2018 (2) 120 LIBERTY STREET 210/090.6-0056-0000.0 AMERICAN CLAIMS SERVICE MULTI-LINE ADJUSTERS I BUILDING INSPECTOR/COMMISSIONER, BOARD OF HEALTH AND/OR BOARD OF SELECTMAN Building Inspector Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 INSURED: Palma ADDRESS: 120 Liberty Street North Andover POLICY: PHOO100906741 LOSS DATE: 03/10/2015 LOSS TYPE; Falling Ice ACS FILE: 31379 PD Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General 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 file number. Craig Gillespie j Claims Representative 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. Unless we hear from you within the next 10 days, we will not be obligated to pay any portion of this claim to you. Date 03/11/2015 7 KIMBALL LANE, BUILDING C LYNNFIELD MASSACHUSETTS- 01940 TELEPHONE (781) 245-9516 /FAX (781) 245-1077 E-MAIL—claims.acs@,verizon.net AMERICAN CLAIMS SERVICE INNA 1,NAL DEPENDENT INDEPENDENT INSURANCE MULTI-LINE ADJUSTERS 70 IRVI D[DIEA 10 Exv�EE BUILDING COMMISSIONER OR BOARD OF HEALTH OR INSPECTOR OF BUILDINGS BOARD OF SELECTMAN 1600 Osgood Street North Andover, MA 01845 RE: INSURED: Gerard Palma PROPERTY ADDRESS: 120 Liberty Street, North Andover, MA POLICY NUMBER: PH0O100745830 LOSS OF: 10/29/12; Property Damage FILE/CLAIM NUMBER 30165 PD Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1, 000. 00 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General 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 file number. Craig Gillespie Claims Representative 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. Unless we hear from you within the next 10 days, we will not be obligated to pay any portion of this claim to you. November 5, 2012 Date I 7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940 TELEPHONE (781) 245-9516 • FAX: (781) 245-1077 Date g�G . . . . i C NORT1r TOWN OF NORT ANDOV . r ~ ° PERMIT FOR LUM G i `• ,SSACMUSE� .c�C,.wr I This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . P. R.U 1 i St �Y 4.�" at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , North Andover, Mass. Fee. �". . . . . .Lic. No..��. . . . . . . . . . .1 . . . . �. . . . . . . . . . PLUMBING INSPECTOR h C eck # 7467 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) , Mass. Date L 2007 Permit# Uy nom' Building Location �o L,be-,r'}`/ �� ' Owner's Name GVro�ce �C, mol Owner's Tel# 'l7s-m p - �j3 Type of Occupency New❑ Renovation ❑ Replacement Plan Submitted: Yes No I I z z Z Y Q W Y J W O Q fn D O LU X � N z cn < w g x F- z O z z Z o- 0 z uj� m � w w } v¢ W vi z � n. � U LL H U Lu 0 LL Q 2 Lu Cl) LLI z = a z Y t1 O � Z Z Q W U. Y W W ,F- O U 2 a a = D a a o a ° ° a W it W' a O a I- Y I M rn o o - = I— cn u- 0 CA"¢ w M 0 SUB-BSMT BASEMENT 1st FLOOR 2nd FLOOR t I 3rd FLOOR 4th FLOOR 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Installing Company Name Addario's Plumbing & Heating LLC. Check one : Certificate Address 20 Cooper Street x Corporation 2720 Lynn, MA. 01905 Partnership Business Telephone 339-440-8100 Firm/Co. Name of Licensed Plumber or Gas Fitter Steven J. Addario Jr. Insurance Coverage I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes Ex No M If you have checked rte, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑x Other type of indemnity M Bond OWNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws,and that my signature on this permit application waives this requirement. Check One : Owner 1:3 Agent Signature of Owner or Owner's Agent I hearby 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 the permit issued for this applicatio will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: Title x Plumber City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter Approved(OFFICE USE ONLY) x Master Journeyman License Number 13106 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE ,2007 PLUMBING INSPECTOR N� ( 8 6 Date........�..... ... ........... t Ot NORTM,� : °.;�.•,ao� TOWN OF NORTH ANDOVER o PERMIT FOR WIRING ,SSACMUS(c� This certifies ........r.. .c..................................................... has permission to perform `^ wiring in the building of........ ......................................................... at..... ......... . f......... .. .............. ........... -North Andover-, ass. Fee..../. ��. Lic.No,< � '?ti.... /..1.... ......:. ELECTRICAL INSPECTOR I WHITE:Applicant CANARY: Building Dept. PINK.Treasurer 17RWARDUoffice Use only D !� IIM=IIllIPII� Qf 5ar#M2t� Perrttit No. 3 MgzirL zrrt of Ilu blit �fEtg Qceupaney Bt Fee Checked r' BOARD OF FIRE PREVENTION REGULATIONS 527 C JR 12.00 3M (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacnusetts Electrical Cade, 527 CMR 1 :00 (PLEASE PRINT IN INK OR TYPE ALL INFORh1AT10N) Date S (%X or Town of NORTH ANDOV -R To the Insp cor of Wires: The udersigned acclies !or a permit to perform thelectncai work descrytzeddb low. Laces;tan (Street & Number) 12D �'4 \cc JJ Owner or Tenant G_ c MAP (170 C%vner's .address Is this permit in ccnlunc:ion with a building permit. Yes _ No — (Che a ?ur^cse of SutiCin" Utility Aumcnzation No. 4Ezisang Sarrice Amos ! Vcits Cverne_c Uncgrnc ! No. of Meters Nevv Service Amos —1-1/cits Cverr:eac _ Uncg.na _ No. of Ivie!ers Nurncer of =eecers anc Arr.cac::/ _..,._..,.,, z,.,. alit._ _. __csa_ __c:,...at .'Jcrx 1 ` Nc. _. _.cr..nc _ .vets No. a. �as _ Te;at No. =f Transtcrmers K:A ACove— In- No. ar L:gr.;:r.g .xt::res Sw mminc =_at j KVA c.nc. _ _mc. _ Generatcrs No. at ^ergency L4gntirg Nc. at -____.ac:e Covets Na. at Cil =urners Sarery Units No. ct Sw.tcn. Cuuets No. ar Gas =_rners I =IRE ALARMS No. cf Cones Total I No. ct Cetec::on arc No. c! Rances No a! Air 'Cant. :cr.s Initiating Cavtces No. --t a sccsais No.at meat Total Total Rur..os Tors K•.v No. at Scurte:n5 Cevtces No. at Sett Containea I No. _t C,snwasners - ScacerArea �eaur.c �'J Cetect-anrSounetng Cevlces I yNo. ct Cr�er9 KW I scat - Muntciaat —Other Neauna Cawces Cannec•cn i No. at No. at - - I Law vcitage No. at '.'later _eaters :•CEJ Sicns Sailasts Wir:nc No. :wcro >.tassace was No. of !.lot's Total INSuF;ANC= CC'.'E?.:Gc ?-_rsuant :a the recuirements r t sacnuans ;er.erai '_aws _ I nave a current 1rac:,tty insurance ?aucy �nc:uc;nc =•�ee Ocerattens Coverage cr its suestanual eeutvaient. YES _' NO _ nave suam:rea vau aroct at same :c :ne Cries. YEV = It ycu ve aaecxea Ye= crease arcate :ne tyoe of ccverace av tsecKtn ne aacr crate cox. INSURANCc _ SONO = O -ER = lPtease Sae Rif) (Ecatratton 0atet sarnatec value ct EEec:ncat 'rvorK 5 'Nerx :o Star, tnscec::en Oa:e Rescues:ac: Rcucn nal ~- S gnea anter :ne Penai at ",eriury• =:;;,%I NAME U l LIC. NO. J Licensee V Sicnatcre —LIC. NO. ��r' Bus. Tel. No. Acaress C kC l n t.. '"" Alt. -el. No. OWNER'S INSURANCc WAIVE=+: I am awes :nal :ne Licensee tees rot nave vna insurance coverage or is suostanaal eewvatent as re- cuueo ov .Massacnusetts Ganerai Laws. ana tnat my signature an :n:s cermet acoucanon waives :nts reoutrement. Owner Agem IPlease cnecx cnet r etecncne No. °CPMIT FE= S Sicra:ure:t Cwner V agenn Location Z-0 U 3e!Z No. 5 Date "1 J a f NCRTh, TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Q Building/Frame Permit Fee $ k cHusE�� Foundation Permit Fee $ f Other Permit FeH $ I'S —. Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector ` 8599 Diva Public Works l -f 71 PE&JiIT NO. 3, APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK PAGE ZONE I SUB DIV. LOT NO. ; ,/LOCATION URPOSE OF BUILDIN ;.OWNER'S NAME NO. OF STORIES SIZE !{//L� _ OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD jU1LDER'S NAME SPAN DISTANCE TO NEAREST BU DING DIMENSIONS OF SILLS DISTANCE FROM STREET "' POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY BUILDING ALTERATION / IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE - INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 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 *15AT FI '��((J - nuI INa INSPscTOR SIGN URE OF OWNER OR AUT O IZ AGENT FEE OWNERTEL.#,�J[.0 1PERMIT GRANTED CONTR.TEL.# 19 CONTR.LIC.# H.I.C.# ��z. BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY SiOR1ES 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 —I 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALL UNFIN. 3 BASEMENT AREA FULL FIN, B'M'T' AREA _ 1/1 '/i '/l FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE ---{I STUCCO ON MASONRY �— STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR 1. 1 POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD $HINGES KITCHEN SINK SLATE '' NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST 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 11 NO HEATING ORT Town of C.— over , 0 0 , NO' 369 V mirthdover, Mass. U�u Z71 19 Ctv 0 LAKE 11 # ,PAORcoctlictiLWICK\'- -C I D BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR THISCERTIFIES THAT.<a.PA�......................................................................................................................... .. .... Foundation 'A -.r................................ .... . ..... ....................... Rough has permission to erect... . .............. buildings on ....tzc' Lk a'W2�rm ..... Chimney to be occupied ......w-tArp!c�W. ........... ...... ..N.......................................................................***'* provided that the person.accepting this permit shall In every respect conform to the terms of the application on file in Final 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. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXP 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS S Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Foagh. u No Lathing or Dry Wall To. Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT I TOWN of NORTH ANDOVER AFFIDAVIT I3 m Improvenait Catcwtnr Taw SuDlmmalt to POMit tURlicatiM ML c. 142 A rMAres that the ' , altmatirn,-m=atim, nEpair, ®dnubatim, caXErsim, inpnwant, remel, dffiDlitirn, or caisUmtim of an aifidm to any pre- adstiig,aom-om#ed held' irg cmtair g at least me but not mxe ttan far doellkg .Ats...or to shirt Oddi are adjacent to &di residffm or buil"'be dne by r pStered arMmctas, oath certain OCEpt., alag iuth ot3>EI ape of Work Est. Cost gess of Work mer Name: Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Fur of cy, Lie Only Work excluded by law Rmdt No. Job under $1,000 Date Building not owner-occupied Owner pulling own permit --r (specify) Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WTTH UNREGISTERED CONTRACTORS_- FOR APPLICABIE HOME IMPROVffM WORK DO NOT HAVE ACCESS TO THE ARBITRA- TION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. Signed urrler penalties of perjay: I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above prope y D e wner Name