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Home My WebLink AboutMiscellaneous - 136 HEATH ROAD 4/30/2018 136 HEATH ROAD 210/097.0-0040-0000.0 1 Commerce Insurances- The Commerce Insurance CcmpanysM Clic Citation Insurance Company SM SM Members of The Commerce Group,Inc.s' CLAIMS DEPT. 11 Gore Road,Webster,Massachusetts 01570 (508)949-1500 www.Commerceinsurance.com January 17, 2013 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MAO1845 RE: Our Insured: JANE GREEN Property Address: 136 HEATH RD Policy#: P50396 Date of Loss: 01/16/2013 Filek CRCM83-XVCK19 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. JOHN E RICHARD Telephone: (508)949-1500 Ext: 15984 Clm Representative II, Subrogation Toll Free: 1-800-221-1605, Ext: 15984 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above,by first class mail. January 17, 2013 CcIl mCuc Ccmpanies ....COME GROW WITH US CIC 254 (Rev.4/95) MAIL I50 Date k7 HORTF, 3t0 y., .o ,• �� TOWN OF NORTH ANbOVER O A - PERMIT FOR GAS INSTALLATION S^CHUSE� ` This certifies that . ... . . . . . . . . . . . . . . . . has permission for gas installation . A1. . . . . . . . . 4eZA in the buildings of .' 2us . . . .0-. .. .! . . . e>� at North Andover, Mass. Fees 34A - Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .`. . GAS INSPECTOR Check# �/o� �{ 6268 a t MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:N rth Andover ry c Date 12/19/2007 N permit# to -( Building Locatid 136 Heath Rd _ Owners Name:1 Walter Green Type of Occupancy: CommercialEducationalD Industrials Institutionala Residential/ New. Alteration: Renovation: Replacement:F/ Plans Submitted: Yes( No FIXTURES co W W Y (A z co Qco 0 U W m = O0 (� J U ~ N 2 WO co W W 0 W z E- z W W z w O E- W z � O F- � w W w g m o� Q a � � w � 1i X > Z W Q = U a LU H Cn Q W W W z w = w - w o lY LL > U W Z U J H H O Z J U' u- co _ H W W W W Z W >- W cnJ Q Q m w O z 0 H � � E- � V o o 0 _ _ > O Q O w z w Q Q Q 0 JQ O a WW I— > > O SUB BSMT. BASEMENT " 1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR 5 FLOOR 6 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: Climate Design Heating A C L L C Corporation .µ 2884C � Address 5 South Summer St City/Town Bradford State �MA . . .,� _. .�y....,,�, .�.: :r Partnership Business Tel 978-372-9999 Fax _._. " ...... .,• Firm/Company. Name of Licensed Plumber/Gas Fitter:,Glenn Bosteels � INSURANCE COVERAGE: -f I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes,z(.'',No If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy't/ Other type of indemnity , N� Bond 11—Al OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner Agent Signature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and inform ion I have submitted %egarding this application are true and accurate to the best of my Knowledge and that all plumbing work and i tallations erformed nder th p sued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plu in Code nd Cha er 142 th1 La s: --- _ - Type of License: By »;. Plumber .. _ Gas Fitter " S natu of License lu er/Gas Fitter Title �,�.._.�... � � Master �- -% Journeyman city/Town y a, License Number. 19875 APPROVED OFFICE USE ONLY) LP Installer Date. .�.b`6. .�3 ;. RT:�4, TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING ,SSACMUSE� p This certifies that . . �.C d U. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .aC(C �wc� P V, ti *`.e � . r . . . . . . . . . . . . plumbing in the buildings of r `e at . . .�. .O . . . . . . . . . . .0 . .\ . . .l.. . . . . . . ., North Andover, Mass. Fee. . . Lic. No.01 ' PLUMBING INSPECTOR Check # 0? q 5747 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date / n Building Location Owners Name (,e Yt/ /l/ Permit# Amount Type of Occupancy �� New ® RenovationReplacement Plans Submitted Yes No FIXTURES H z o w a A a w w H z a H SLRESW > MENr M HIM MHDM ,:MHDM 4M>LOOR 5M HIM 6M HIM 7HIHAO(R 911 MOOR (Print or type) Check one: Certificate Installing Cny Name / Corp. J� Address07 Partner. BifsVess Velephone Firm/Co. Name of Licensed Plumber: Z44,2jr C 10 Insurance Coverage: Indicate th type ot4nsurance coverage by checking the appropriate box: Liability insurance policy 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 ve s Red entered)in above application are true and accurate to the best of my knowledge and that all plumbing work an in a perfo d under Permit Issued for this application will be in compliance with all pertinent provisions of the Mass ch et tate Plu de and Chapter 142 of the General Laws. By: IL e icensea viumBer _p �T pe of Plumbing License TitleYA �' City/Town icenseum e" r Master Journeyman Ely APPROVED(OFFICE USE ONLY �I Location �- i No. �� Date GS -97 C ��oRTh TOWNOF NORTH ANDOVER „ Certificate ofEbccupancy $ Building/Frame Permit Fee $ ForJnd io��Per it Fee $ s�cMus T v rr�lt- $ -� r fgs5 Sewer Connection Fee $ r Water Connection Fee $ / A TOTAL $ _ f' Building Inspector o`+ G 3 7 7 Div. Public Works APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 {� Y,iAP hJO. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE SUB DIV. LOT NO_. — I LOCATION PURPOSE OF BUILDING OWNER'S NAME/ NO. OF 8TORIEB SIZE OWNER'S ADDRESS BASEMENT OR SLAB r ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME SPAN DISTANCE TO NEAREST BUILDING 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 IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD-'5F APPEALS ACTION. IF ANY - IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST 70 SEE BOTH SIDES C✓ EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 8Q. FT. PAGE'2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM ELECTtAG: METEPS MUST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO. 4 APPROVED BY /;TTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND AP PROVED BY BUILDING INSPECTOR DATE FILED_ BUILDING 816NATU E OF OWNER O LITHO IZEp AGENT INSPECTOR FEE v OWNER TEL# PERMIT GRANTED CONTR.TEL# 19 CONTR.LIC.#` 2t' /O''7 H.I.C.N �` ✓ d d A r � BUILDING RECORD ANCY 12 )RIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM FILES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. ICTION INTERIOR FINISH 3 A 2 13 IE RDW D %STER VJALL —— FIN. B'M'T' AREA _ ATTIC AREA _ PLACES DERN KITCHEN FLOORS B 1 2 3 JCRETE �_ 'TH I_ IDV,/'D P b NIACN _ 'H. TILE IC STRS.3 FLOOR I_ WIRING ERIOR 1-1 POOR `QUATE NONE PLUMBING y H 13 FIX.) _ LET RM. (2 FIX.) TER CLOSET _ 'ATORY _ :HEN SINK PLUMBING _ Lt SHOWER _ AERN FIXTURES _ FLOOR DADO I HEATING _ LESS FURNACE CED HOT AIR FURN. 1 km W'T'R OR VAPOR CONDITIONING IANT H'T'G _ T HEATERS HEATING �`\� t*OR Town of over No. LAKE dover, Mass., 191 C!"IC-NEWICK A- BOARD OF HEALTH Food/Kitchen PERMIT T Septic System BUILDING INSPECTOR rOR THIS CERTIFIES THAT................................................................ ....................... . ............. ......... Foundation u" has permission to erect........................................ bull l'?s on........... . 1. ... .. .... .... ... ......... Rough to be occupied as.......................................................... . . -.0 the Chimney provided that the person accepting this permit shall in ery respect conf o the s of the application on file in Final ir this office, and to the provisions of the Codes and By ws relating to the Inspe n, 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 • UNLESS CONSTRUCTION S S ELECTRICAL INSPECTOR T T Rough ................ ............................... .........................................7"--,SB....... .....G I INSPECTOR Service Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in 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.