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HomeMy WebLinkAboutMiscellaneous - 14 ASHLAND STREET 4/30/2018 14 ASHLAND STREET 210/017.0.0008-0000.0 i I i BUTTERWORTH & O'TOOLE, INC. ADJUSTERS/APPRAISERS FOR INSURANCE COMPANIES ONLY P.O.BOX 8294 SALEM,MA 01971-8294 TEL. (978y741-5731 FAX (978)740-9109 claimsp_butterworthotoole.com I 03/25/2015 FORM OF NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASS . GEN. LAWS, CH. 139, SEC. 3B I 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: McCarrick Properties LLC I Address : 14-16 Ashland Street i North Andover, MA 01845 Policy No. : 1903038 Loss of: 03/19/2015 CAT ICE DAM File or Claim No . : 57-0808 Claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1, 000 . 00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be applicable. If any notice under Mass. Gen. Laws, Ch. 139, Sec. 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. If no reply is received from your office within ten days, we will assume you have no liens of any type against this property and we will recommend to the insuring company that this claim is paid. Robert Ellenberg j Adjuster I u�^IE�I it Member-of National Association of Independent Insurance Adjusters i Columbia Gas- of Massachusetts 't A NiSource Company 995 Belmont Street January 14,2014 Brockton, MA 02301 Arelys Moreno 16 Ashland Avenue,#2 North Andover,MA 01845 Dear Customer: During a recent visit, our service technician detected a safety problem with your gas heating system located at 216 Ashland Ave., #2—North Andover,MA 01845—carbon monoxide emitting from house heater. Accordingly,we have issued a Warning Tag because of this situation. Under the circumstances,we strongly urge you to correct the code violation. In addition, the Massachusetts code pertaining to the installation of gas appliances and gas piping, established under Chapter 737,Acts of 1960,requires that the condition be remedied. I. If you have any question,please call our Service Department at 1-800-677-5052 and ask to speak with the Service Supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Customer Service Department Columbia Gas of Massachusetts I i i i R•EGctS`t RY Dom' "DEEDS `SLAM of LAWD im N0' P-TH Awo F—R., MASS . Fo;t , SCALE: I " �Ot W►R,30% 1983 1-.Awp Etc r.. CtT`C. LINF- 0 ou � is - C"AMMAu L•FL;l.tCE - � d . 10 d V V W a 44 • Locus �• � d �AT� • . o U) aA. i J 0 0) Ld-c 8 0 b j-- a W 7 SKowt t ow N }' 7 W v Q L 5 G9•PLAW p, lu 2'7 4•o0 J . W " � J 4 5 ro a wU IPA • Q W t$ S F'es.Gl ES Jia o . Nv � U w - d � N � d - > t scY, Am). Q 3Qr.35 _ 3�.9 .�---• bW�tl . w DWELL , N 01 2 STY, _ 0 DWELL. irvz 0 N X00.©�"` oC r s t O, ��.�� .. 52.84'-•.� .. 84,5i' - •� - --- . ISUVOW ST. CwaRIAZLE ST � S >� LA.NL� wloru� S OWNERS ADDzesc : i so MAC c. -0 ET s 1 hereby Certify that the property lines shown on this � f,r ASS, 018-IG plan are the lines dividing existing ownerships, and 1ZvFEI~LEwcF- : L.C. BK., 62- P. l2S ^' CERT, OF the lines of straits and ways shown are those of TITLE * 9130. public or private streets or ways already established, ZOL1ttgG'D1ST;Z%CT and that no new lines for division of existing owner- Ass Essop,,,, N(Ap 1-r— L.oT E> . ship gr for new ways are shown. _ Su t��j� /�-�' Covs;zA se G°Yo , 7 certify that this plan was pre- R M�ss7 �Roeaper G. C oo ow t�4 pared in conformance with the ao`' ROBEE RT cy� GILLETT ser Lard and Regulations of the o ,� d 5uver�. ' GOODWIN Registers of Deeds. $2 CE W1r(2 .L STREET Q- MAQ, Am �i V � U � ��_� i Location ���� /\t5�r A ti S No. J a Date •, _/3 - [17� 140R, TOWN OF NORTH ANDOVER n Certificate of Occupancy $ J;CMUSBuilding/Frame Permit Fee $ 6 S Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 3 r 1371 Building Inspector v TOWN OF NORTH ANDOVER j BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: Al X SIGNATURE: Building Commissionerff for of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: ( 1.2 Assessors Map and Parcel Number: f�S�Jv��Ld SF l7 y tt Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUII.DING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R red Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone lnfomration: 1.8 Sewerage Disposal System: Public 0 Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record Name(Print) Address for Service: r Signature Telephone Q 2.2 Owner of Record: i Name Print Address for Service: M Signature Telephone g SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Li seb Construction Supervisor: ® I License Number Wn ress —/ Det Expiration Date natur Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ PAW & Company ame fj �j X05 M Registration Number rM rM Add s r 7 7 / Expirati n Date ^ i natur Telephone !�, Y SECTION 4-WORKERS COMPENSATION(M.G.L. C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work(check au applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify S r.C4 'F ^ O c Brief Description of Proposed Work: SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee . S-ID �aQ t Multiplier 2 Electrical (b) Estimated Total Cost of ` Construction 3 Plumbing Building Permit fee(a)X tbl 4 Mechanical HVAC 1p S 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZA11ON TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. r- Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION z I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief !� r pk r»4.a h, Print N e Sy Si a e of O er/A ent V Da NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TINMERS 191, 2ND 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE NORTH 0 0 :R over o � _ 0% No. 7 o L A O over, Mass., COCHICHEwICK %psRATED PPG41 7 4 BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D BUILDING INSPECTOR THIS CERTIFIES THAT............................................................................................................................... Foundation has permission to erect...VA.*4....`,...... buildings on ... ......jA.S�����....� Rough to be occupied as �. f �� ' V r ' ............................... Chimney .........:.. ... v. ........... ....... .... ............................ provided that the person accepting this" shall in every respect conform to the terms ofZhe 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 EXPIRES IN 6 MONTHS a( ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough . Service $,Woo BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises - Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected_ and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. Date T 0* 4,0 o= TOWN OF NORTH DOVER Ole OV • PERMIT FOR� eNSTALLATjTION SAC14US Et This certifies that T. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation .-<7?!/O. . . . . . . in the buildipfs i 'Je�qe,- esc— :)f . . . . . . . . ��. �W .. . . . . . . . . . . . . . . . . . . . . . . . . at ? Ah X1, North Andover Mass Fed�' 5. . . . . Lic. No.(;��—'�. . . . . . . . . . . . . . . . . . . . . . .�y 61 r -I GAS INSPECTOR Check# 6027 MASSACHUSETTS UNIFORM APPUCATON FOR PERNU TO DO GAS FrrnNG (Type or print) Date G l� NORTH ANDOVER,MASSACHUSETTS Building Locations �►c� " �� Permit# Amount$ Z / Owner's Name New Renovation Replacement Plans Submitted D w � 21 z z z E, o � $ z F Gw a v w e x F o, ac w w za Q a a� w Q �(>r'! ZMEE F W d F N Q > W Iw., 'o x a 3 a $ g > 9 g H o SUB-BASEMENT B A S E M ENT 1ST. FLOOR 2N D. FLOG R 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR tiTH . FLOOR (Print or type) C k one: Certificate Installing Company Name (/- ¢ LT Q Corp. Address �� ! t`u //-C/ /�N�flh ,�� 'rn� (J1ffG,l/0 Partner. BusinessTelephone = 12X-77777 -7 -2= 'Firm/Co. Name of Licensed Plumber or Gas Fitter .lCj � INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No� If you have checked ygs,please indic to the type coverage by checking the appropriate box. Liability insurance policy a" Other type of indemnity D Bond 0 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: Signature of Owner or Owner's Agent Owner 13 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 apd installations Armed under P rmit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts a Gas Code and C er 142 of the General Laws. By: Si nature of Licensed Plumber Or Gas Fitter Title Plumber G 4- City/Town D Gas Fitter License Num er Master APPROVED(OFFICE USE ONLY) Journeyman