The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 124 STONECLEAVE ROAD 4/30/2018 124 STONECLEAVE ROAD 210/104.6-0125-0000.0 BUTTERWORTH & 01 TOOLE, INC. P.O.BOX 8294 SALEM,MA 01971-8294 ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY TELEPHONE(978)741-5731 FAX(978)740-9109 January 14, 2004 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 Selectmen City/Town Hall City/Town Hall ADDRESSES North Andover, MA 01845 North Andover, MA 01845 RE: Insured: Michael and Natalie Papell Address : 124 Stone Cleave Road North Andover, MA 01845 Policy No. : H000052611 Loss of : 01/12/04 File or Claim No. : 041-0096 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, Ch. 139, Sec. 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 or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Vicki Gardner Adjuster BUTTERWORTH & O'TOOLE, INC. P.O.BOX 8294 SALEM,MA 01971-8294 ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY TELEPHONE(978)741-5731 FAX(978)740-9109 3 0 %O IR A January 14 , 2004 �AP1212b0� � s 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 Selectmen City/Town Hall City/Town Hall ADDRESSES North Andover, MA 01845 North Andover, MA 01845 RE: Insured: Michael and Natalie Papell Address : 124 Stone Cleave Road North Andover, MA 01845 Policy No. : H000052611 Loss of : 01/12/04 File or Claim No. : 041-0096 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, Ch. 139, Sec. 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 or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Vicki Gardner Adjuster l F t-ummonwearrn of Massachusetts - Official Use Only Department of Fire Services Permit No.lug BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [Rev.1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION). Date: dF 7 14r/o 8 City or Town of: NORTH ANDOVERTo the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) /-1-/— eS lolc cl eve Owner or Tenant /rjf{eL jge pt/ Telephone No. Owner's Address `JCS Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Boz) Purpose of Building S;n �,t,, I�� W� t11 ►� Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Und grd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: u-r-- 1�. C15�.f�:r;5� — K�tc�eN '�cw. ', y Foci, vL3 cw. Com letion of the ollowin table may be waived by the 1 ector of Wires. No,of Recessed Luminaires ® ::No-of Cet7.-Susp.(Paddle)Fans NO•°f Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No,of Luminaires Swimming Pool Above ❑ In- ❑ —o mergency ig o d. d. Batte Units No.of Receptacle Outlets �- No. of Oil Burners FIRE ALARMS No. of Zones No.of Switches 30 No. of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond, Total Tons No.of Alerting Devices FNo. E aste Disposers \ eat Pump Number Tons KW No,of Self:Contained Totals: Detection/Alertin Devices ishwashers 1 Space/Area Heating KW Local❑ Municipal Connection [I Other of Dryers \ Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent KW No.of Heaters Si'ms Ballasts. Data Wiring: No.of Devices or Er� OTHER: Total uivalent No.Hydromassage Bathtubs No. of Motors Tel No.of Devices or E W eat Attach additional detail if desired, or required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Ins Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon_completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑_ OTHER ❑ (Specify:) I certify,under thepains andpenalties ofperjury,that the information on this application is true and complete. FIRM NAME: Licensee:�:c V- P-.co-rrd , LIC.NO-:A a dSa-a Signature LIC.NO.:C,3 gpa.rj f (If applicable enter"eze t" 'i the license number line.) Address: t Q t� �(J Sy C Bus.Tel.No.: -L3LL3 7 *Per M.G.L c. 147,s.57-61,security work requires Tel.No.: H y-7brequires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑o Owner/Agent wner El owner's agent Signature Telephone No. PERMIT FEE:$ :��_, S✓'' `.,1 ��I �''�/ / �� . .� f Date....................7..�.. NORTH ` " TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��Ss�cNUSE� a.. This certifies that ............... �..C.. ..:..... Cyd/ . ...................... has permission to perform ...kd.c.jl ....�.f , 1`�A,.!.l..tedV"-;-- wiring in the building of........... F..t' ..........................................:.......... at................... ... ....r ! !' ............. ,North Andover,Mass. Fee.Am :5....... Lie.No.r Q.Sd 4? .............. .f .... ELECTRICAL INSPECTOR Check # J r � 0 0 A 0 V ` The Common wealth ofMassachuseft j t! Department of Industrial Accidents 1 Office of Investigations Washing 600 1. til; ton Street a. a i Boston, MA 02111 www nws&gov/dia Workers' Compensation Insurance Affidavit- Builders/Contractors0ectricians/Plambers Applicant Information Please Print Le--ibly Name(Business/Organization/individual): Pi cc_ C-C-) (� Address: ( L G"-`r' City- /State/Zip: ,SUS O L9o(o Phone#•7 K 1' �-3� — i �j 7 Fyoumployer?Check the appropriate box: mployer with `(- ` 4. ❑ 1 am a general contractor and I 7'ype.of proles(required): es.(full and/or part-time).* have hired the sub-contractors 6. ❑New construction ie proprietor.or partner- listed on the attached sheet t 7• ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition` working for mein any capacity. workers' comp.insurance. [No workers comp.insurance 5. ❑Building addition ' p ❑ We are a corporation and iiss . required.) off+cers have exercised their 10•❑Electrical repairs or additions 3.❑ I am a homeowner doing ail work right of exemption per MGL 11.❑Plumbing repairs or additions myself.[No•workers'corrip. c..I52, §I(4),and we have no 12.❑Roof repairs insurance required.]t .employees. [No workers' comp. insurance required.] 13.[]Other `Any applicant that checks bDi#1 must also fill out the section below showing their workers'oompansation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. (Contractors that check this box mustattached an additional sheerShowircg the name of the sub-cortttEctots and their workers'comp.policy inf'oenwtioa. i arm an employer ihat_is proViding:warkers' infornralion. compensa don insurance for pry.eRtptoyem Below is.the policy mid job site ' Insurance Company Name: Otf�� CW_4 411\ Policy#or Self-ins.Lie.#: W E I A- Expiration Date: 7 �.'j G - Sob Site Address.: City/statelZip_t101'� �1v1C Attach a copy of the.workers'compensation policy declaration page(showing the policy number and expiration date Failure to secure coverage as requited under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the informs dan provided above is tree and coned Si flue: Date: Phone#: 2 r/ [6. fficial use only. Do not write in.this area,to be completed by city or town official ity or Town: Permit/License# suing Authority(circle one): Board of Health Z Building Department 3.City/Town Clerk 4.-Electrical Inspector 5. Plumbing Inspector Other Contact Person: Phone#: Information and Instructions y!' Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any,two or mom of the'foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership,association or other legal entity,employing employees. 'However the owner,of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence.of compliance with the insurance coverage required." Additionally, MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation.affidavit completely,by checking the boxes that apply to your situation and, if necessary, supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no.employees other than the . members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial s Accidents for confirmation of insurance coverage.. Also be sure to sign.and date the affidavit. The affidavit should be returned to the city,or town that the application for the permit or license is being requested,not`#he Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers'. compensation policy,pleaw call the Department at the number listed below. Self-insured companies should enter their self insurance'license number on the appropriate line. City or-Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that.must submit multiple permit/license applications in any given year,need only submit one affidavit indicatiripcurrent policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of-the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled outeach year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit A The Office of Investiptions would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigstiions 600 Washington Street Boston, MA 02111 Tel.# 617-7274900 ext 406 or 1-8.77-MASSAFE Fax 4 617-727-7744 Revised 5-26-05www.mass.gov/dia MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS � Date (U Building Location `S4dne C1&4�wners Name `l ��}' 1 Permit#--7-7c' t Amount -:;2 Mi Type of Occupancy f2 New Renovation El/-,** Replacement '❑ Plans Submitted- Yes El No FIXTURES 0 A Mfficaz 3Mlf 4MF MR-Om 8MFLOM (Print or type) /`� �/J Check one: Certificate Installing Company Name 1 ►�/ // '�Gh�J 6�L rG� S Corp. Address _ /P&/) idle WL Ivit- U.7 � Partner. usmess I elephone 0 Firm/C0. Name of Licensed Plumber. Insurance Coverage: Indicate the of insurance coverage by checking the appropriate box: Liability insurance policyIT Other type of indemnity 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 Signature Owner Agent ❑ 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 Massa se State umb' ,g de and Chapter 142 of the General Laws. B y: tans R:n n Title )-0,3 irPcP Tye of Plumbing License icense um er Master ❑ Journeyman APPROVED(oma USE ONLY Date. ?0 4, u NORTIy .'h TOWN OF NORTH ANDOVER- 3? !!.f .... •• OCL PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . . . . . . . . . has permission to perform . . . `? ! . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . �. . . . . . . . . . . . . . . . . . . . . ., at . . �.y. . .S ok c -<< � . . . .,!*orth Andover, Mass. l Fee.7`,./ v.� .Lie. No.?.G j Y S. . . . . . . . . .. . . . . . PLUMBING INSPECTOR Check # 7762 MASSACHUSETr S UNIFORM APPLICATON FOR PERM TO DO GAS FMING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Lc�ations 4 ne C ✓ Permit# i� rya $ 7 U Owner's Name Amount /�/_-+0 1� ''�G�Q/I New Renovation D Replacement D - Plans Submitted ❑ % i n a W W a � M Z ' — x F y m mw Q a z z ° G � a z w °" a > V F z F z x w C w W O c F ^ W C7 til rh C W >o x Z x g o °o W ° m 3 o J > SUB -BASE ITE NT BASEM ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR .� 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR r 7TH . .FLOOR. 8TH .' FLOOR. (Print or type) Name Check one: Certificate Installing Company Corp. Address Lrn :Pr�l��i^�nCl �ci - �/ Partner. Business lelephone �, Firm/Co. Name of.Licensed Plumber or Gas Fitter �� ^ INSURANCE COVERAGE I have a current liability Insurance,policy or it's substantial equivalent. Check one: If you have checked es please indicate the a cove Yes � No❑ typ rage by checking the appropriate box. Liability insurance policy. 1-3 Other type of indemnity D _ 1 Bond Owner's Insurance Waiver. I 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. Signature of Owner or Owner's Agent Check one: OwnerAgent I hereby certify that all of the details and information I have submitted(or entered)in D application and accurate best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will e in the compliance with all pertinent provisions of the Massac etts State Gas Code and Chapter 142 of the General Laws. IBy: Signa re of Licensed Plumber Or Gas Fitter Title Plumber _ 3 _ L city/Town-, ,Gas Fitter icense Number- Master um erMaster APPROVED(OFFICE USE ONLY) 13 Journeyman Date. q/ .. 3 . } ... ... . NORTH °f TOWN 0`F TH ANDOVER - . � • PERMIT F GAS INSTALLATION .� SACMUSESS This certifies that . . .Hr has permission for gas installation . . . . . . . . . in the buildings of . .P.10,n n . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at �.c f: . .S:�< �.:�. r!*.e?. . . . . . . . . .. North Andover, Mass. Fee.3.q. . . . . Lic. No.3°.`!::. . . . . . . . . �-INSPECTOR x Check# r_ 6540 JUL-17-2008 09 :43 AM LARRY OGDEN 978 352 2858 P. 01 LAWRENCE EL OGDEN,P.E. 198 EAST MAIN STREET GEORGETOWN,MA 01833 978-352-8318 tax 976.352-2858 cell: 978-502.5921 July 17,2008 Mr.Kevin Murphy 169 Boxford Street North Andover MA. 01845 RE: Parrpel Residence 124 Stonecleave Rd.,North Andover,MA. 01845 Dear Mr,Murphy As you requested I visited the above site July 14,2008 to review the I,V,Beams and Steel beam used in the renovation of the above property. These are$Mvvn on drawings prepared by Steve Foster dated 5/8/08 with the structural portions certified by me 5128/08. Section C,C shows a W 6*25 beam detailed on Detail',F"upon uncovering the work we discovered a 6"* 16"wood beam exist at that location,therefore the W6*25 Steel beam is not required. Based on this site visits I can certify that to the best of my knowledge the steel beam andpre-erkgineercd wood members are acceptable and meet the loading conditions requited by the Mamachusetts State Building Code. Should you have any questions please do not hesitate to call. Yours truly, OF wrencV240e H. Ogden,P.E. Structural 27765 a ONAL � A4 tAORTFi 1 4"1.E D f 6 t O •y R M T 0y c«.ii eAr w.c.. �. SSac PUBLIC HEALTH DEPARTMENT Community Development Division Date: April 22,2008 Michael Papelle 124 Stonecleve Road North Andover,MA 01845 Re: Application for: addition 124 Stonecteve Road Dear: Mr. Papelle, Your application for an addition at has been reviewed by the Health Department. The application was denied on, April 22, 2008 for the following reason: 1. x Missing information 2. ❑ Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the problem(s). If#1 is checked, please supply: a. Floor plan of existing and proposed addition—all rooms b. Certified plot plan showing house, septic system and proposed project in scale If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project If#4 is checked: a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult an engineer to determine the flow capacity of the septic system. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 fax 978.688.8476 Web www.townofnorthandover.com I left a message for your contractor on April 22nd in regards to this correspondence. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely, Jf� u# Sawyer,Oublic He th Director r Yi Cc: Building Department File 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com 1 *� NOR TN j O� t�eo qti t 676 O c * ! lb �9SSACHUS`�� PUBLIC HEALTH DEPARTMENT Community Development Division Date: April 22,2008 Michael Papelle 124 Stonecleve Road North Andover,MA 01845 Re: Application for: addition 124 Stoneclepe Road Dear: Mr. Papelle, Your application for an addition at has been reviewed by the Health Department. The application was denied on, April 22, 2008 for the following reason: 1. x Missing information 2. ❑ Passing Title 5 inspection of septic system required 3. ❑ Location of structure not acceptable 4. ❑ Undersized septic system To address the problem(s): H#1 is checked, please supply: a. Floor plan of existing and proposed addition—all rooms b. Certified plot plan. showing house, septic system and proposed project in scale If#2 is checked: a. Have the septic system inspected by a certified Title 5 inspector to determine the size of the system and whether it is operating properly: OR b. Tie-in to municipal sewer If#3 is checked: a. Relocate the project If#4 is checked: a. Provide additional information proving that the existing septic system meets current capacity requirements. Please consult an engineer to determine the flow capacity of the septic system. 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com I I left a message for your contractor on April 22nd in regards to this correspondence. Please feel free to call the Health Office at 978-688-9540 with any questions you may have. Sincerely,) usIn Sawyer, blic He th Director ' Cc: Building Department File 1600 Osgood Street,North Andover,Massachusetts 01845 Phone 978.688.9540 Fax 978.688.8476 Web www.townofnorthandover.com