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Home My WebLink AboutMiscellaneous - 141 APPLETON STREET 4/30/2018 141APPLETON,-,,. 210/037./037. EET =0000.0 i ji 141 APPLETON STR-- EE 210/037&0049,0000.0 i LibqyMutual. Liberty Mutual Insurance 1 New England Region Central Property Unit INSURANCE 75 sylvan Street Danvers,MA 01923 Tel:(800)566-0323 July 1,2015 Town of North Andover Attn:Building Inspector 120 Main Street North Andover,MA 01845 Re: Property Address:141 Appleton St,North Andover,Ma 01845 Policy Number:H3S21859783840 Underwriting Company: LM General Insurance Company Claim Number:031814217-0001 Date of Loss:2/1/2015 Attn: Town/City Official Pursuant to M.G.L. c. 139, 3B, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect alien pursuant to Mass. General Laws, Ch. 139, 3A&B, or Mass. General Laws, Ch. 143, § 9, or Mass. General Laws,Ch. 111,§ 127B. This letter should not be construed as a waiver or estoppel of any of the terms,conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 Date r#f z l-tD �M TOWN OF NORTHANDOVER of �� `_, ••o�� PERMIT FOR PLUMBING ,SS'q us � This certifies that . .`. . . . .. .' has permission to perform_. plumbing in the)buildingsat � '' North Andover, Mass. Fee. . . . . . . . .LtC. No.. . . . . . . . . .`. =. -mayy. .d. . . . . . . . . . . . 7 PLUMB'NGASPECTOR Check # " f 72U4 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS D� ��,,� Date Building Location � /q/�' 7d/�c Owners Name ��7/7 /�. IIOvkPernut# 7a� Amount 3p / Type of Occupancy New Renovation ReplacementGZ( Plans Submitted Yes No ❑ FIXTURES LO 12 i S{BB6iVIC ' R4SEW II' i M HDM ZDHDM 3M ROM 4I MOM 5MIt" 6MHDM 7MHDM SIHpIDQt (Print or type) Check e: Certificate Installing Company Name Andover Pl ba. & Htg. Co., Inc. corp. 2122 Adders20 Aegean Dr. Unit 110 Partner. Riathimn Na n1 M4 Business Te ep one�1 07 ) fiRsAuR3 Firm/Co. y Name of Licensed Plumber. fieorae LaRose Insurance Coveraee: Indicate the of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond E. 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 Mass=uu is State Plumb Cod� d C pter 142 of the General Laws. By: Signaluru or Licensed rtumoer Title Type of Plumbing License City/Town icense um er Master �Joumeyman ❑ APPROVED(OFFICE USE ONLY 9983 ` Date..12— 4� . . .. .. . .... . .... ... ,ORTk i 3� 4. �O WN OF NORTH ANDOVER O � D ' PERMIT FOR GAS INSTALLATION SAC MUSEI This certifies that . . . . . . . . . . . . . . . ... . . . . . . . . . . . has permission for gas installation . -! �. _: . . . . . in theA//. //buildings,of . X21!��s-� �. . . . . . . . . . . . . . . . . . . . Al at f. .{ . . . . . . . . . . . . ., North Andover, Mass. Feed. . . . . wic. No.. . . .. .. . . . ti . . . . tf . . .. . . . . .. . GAS INOR Check 5831 1MAMUNUNMUMM MArMICATON1FORPMVWTSODOGASMl'!NG (Type ori) Date 12 4f 0 NORTH ANDOVER,MASSACRUSEWS / Z (37,-c� Permit �3 ownwsName -✓�%T� �U�!/% � New P�Snbmitoea kaovom ❑ EJ/ New[] o Q � a O Sob-BASZRBMT FA BASHMHNT 0 1ST. FLOOR 2"D. FLOOR 3ItD. FLOOR 4TH. FLOOR STH. FLOOR TH. FLOOR 7TH. FLOOR TH. FLOOR Nam .z A N /O ❑ ,�: Tdhokm Fmm/Co. Noom of boned or On rOer Il3SU�tANCi=ODV�A� xhama, m mi ft aeaoepo�,yorirss�eY�+la�iealamt. Y Nu❑ 1f ' mcbocl"AL'Ieae alet�i coma b!►�edue��Capp��lab�- Nil [3 13 ownw8 7n=a m Wmvw I as� I by Chnow 142 cf&e VSs.C�eoe�lIaars,aod�ntsya�aoaiispe�tappSea�ioswaicesRis . cbm& c 33�ureofOarnQarO�aer'sA�t Omm ❑ Agot ❑ � t haebry►c�tiC�mc�afieadiSaa�ief6n..�osll�asab�6ea(ar�is9ba�ap�aae�aea�daa�a�etotbe u�af�►ImoWiadgea�PoataHp�mb�wadcaudiostaAat+cos�a�'ammadeaa�P�I�sae��or� t�bear aan�aaoewiSiaQpgietmtaf�e � adC�l42 Taws_ plw�OrGas Fid . Plumbs PROVET3t vs�aome.� 1:3 Lc% ation ` .li- , No. Date TOWN OF NORTH ANDOVER a - cp Certificate of Occupancy $ Building/Frame Permit Fee $ /S• a U �,ssACNUSEFoundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL a A �-7 *j� Building Inspector t _ / / 11/22/93 08:53 15.40 PAID ! :- 6733 Div. Public Works APPLICATION FOR PERMIT TO BUILD— NORTH ANDOVER, MASS. PAGE I MAP 4.40. 7 LOT NO. —� G1 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE ZONE / I SUB DIV. LO—T NO. — 4-COCATION cis L PURPOSE OF BUILDING L-OWNER'S NAME _ _ - � ��(/� r:� NO. OF STORIES SIZE �r`�1 , BI NER'S ADDRESS �( j �, _ ; BASEMENT OR SLAB ARCHITECT'S NAME ( (-T� SIZE OF FLOOR TIMBERS IST 2ND 3RD L- 90ILDER'S NAME t {- � 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 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 EBT. BLDG. CO of y-� ol PAGE I 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 DATE FILED BOARD OF HEALTH SIGNATURE OF'OWNkk OR AUTHORIZED AGENT FEE Jov v O ER TEL.# [�`dZ ``1' 7 PLANNING BOARD PERMIT GRA,NyTED' 7 CONTR.TEL.# 70 2 :..� �T � 1a _ Z—CUNTR.LIC.#�t U . BOARD OF SELECTMEN Cf/ BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY A_ S-OkIES 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 } L 2 FOUNDATION _I 8 INTERIOR FINISH � f. (r� S.kr „4, 0-L, 64Z JOE+LSA Cart O u I11fA CONCRETE d I ? la CONCRETE BL K. I PINE _ ./. BRICK OR STONE HARDWD —___ /�Sp(i(� PIERS PLASTER _ DRY WALL UNFIN. ( ` 11 3 BASEMENT I �I [^C�W 1 .1 0(A,jl G f/yQ f.l S'I" f v o AREA FULL FIN. B'M'T' AREA — r 1/ y, l/ FIN. ATTIC AREA = ry HE B M'T — FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ 1 WOOD SHINGLES EARTH ASPHALT SIDING HAROWPI) ASBESTOS SIDING COMMON VERT. SIDING ASPH.TILE lit STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY - ATTIC STRS,d FLOOR I_ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING Sti STONE ON FRAME , SUPERIOR I POOR ADEQUATE I I NONE sj ROOF 10 PLUMBING � GABLE I HIP BATH (3 FIX.( GAMBRELMANSARD TOILET RM. (2 FIX-) _ FLAT A SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY _ WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR 8 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. 6 COLS. STEAM STEEL BMS. &COLS. _ HOT W'T'R OR VAPOR y r WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GA S IL B'MT 2nd _ ELECTRIC 1st 13rd NO HEATING f k NORTH Town of over 0 o gV'ort dover, Mass., AVD y at 3 19 2 COCHICHE—CK '9S H BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT......3140.Afr...... XI ............................ ........................�................ Foundation has permission to erect.WA104P�3...... buildings on ................ Rough to be occupied as... W, 8 ... .I.. J'�... �Nt� I�i..� ►�+1'yr Chimney 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. 4#0 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR• Rough .......... Service BUILDING INSPECTOR 1 Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Cons icuous Place on the Premises s 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. d Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT Location No. Date I—L S �3 „oRT„ TOWN OF NORTH ANDOVER c . ' - ;, Certificate of Occupancy $ JE2.0 0 41 • : Building/Frame Permit Fee $ ZZ0,U v cMusE"^CH <� Foundation Permit Fee $ a^ Other Permit Fee $ Sewer Connection Fee $ '�— Water Connection Fee $ -"'`- - MIT -1$ I 1 v Building Inspector tom: - 6603 Div. Public Works v - PER3tIT NO. �sa2 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS /tfy�1 jfG f/� AGE 1 MAP 4.40. -317 LOT NO. 7 Q 2 RECORD OF OWNERSHIP DATE BOOK "PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING. ` OWNER'S NAMEI L,1��1 /�.t C� NO. OF STORIES SIZE z_ X 3 OWNER'S ADDRESS `(l� 7 h/1 �e r r BASEMENT OR SLAB ARCHITECT'S NAME / { ) i � SIZE OF FLOOR TIMBERS `JIST/ 2ND 3RD BUILDER'S NAME tri t q ; 1,, .•� SPAN --- DISTANCE TO NEAREST BUILDING w✓ Yl DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR " GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION "t THICKNESS /Z 2 IS BUILDING NEW SIZE OF FOOTINGif �• x 6 IS BUILDING ADDITION MATERIAL OF CHIMNEY a IS BUILDING ALTERATION iS.}O 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 fpfjj IS BUILDING CONNECTED TO NATURAL GAS LINE - INSTRUCTIONS 3 PROPERTY INFORMATION. LAND COST BEE BOTH SIDES EST. BLDG. COST t n PAGE I 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 DATE EO ( ��( BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT FEE � r o v LY-7 �d 6 PLANNING BOARD PERMIT GRANTED OWNER TEL.# In CONTR.TEL.# g17d 1I,3 t9 CONTR.LIC.#nt Q WARD OF fELECTMEN 7,y 3 f 1 ING INfPE ' R BUILDING RECORD 1 OCCUPANCY 12 .SINGLE f,AM tY •SiOkiES 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 I GES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDWD PIERS PLASTER _ DRY WALL UNFIN. 3 BAStMENT AREA FULL FIN. B M T AREA _ 1/1 1/1 1/ FIN. ATTIC AREA _ -NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDV✓'D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC SIRS.8 FLOOR I_ BRICK ON FRAME CONC.OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME SUPERIOR I-I POOR ADEQUATE NONE ' $ ROOF 10 PLUMBING GABLEHIP BATH Q FIK.I 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 _ TILE FLOOR TILE DADO 6 FRAMING 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM - STEEL BMS. 3 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7--7 N0. OF ROOMS GAS OI L r B'M'T 2nd _ ELECTRIC Ist 13rd I NO HEATING _ 1 PerirQIl�itiCFi'iit , STRUCTURAL ENGINEERS 148 Park Street P.O. Box 364 North Reading, MA 01864 (617) 944-8440 (508) 664-6733 Fax: (508) 664-1359 September 24, 1993 Jane Griswold, Architect 14 Woodland Road Andover, MA 01810 Re : Repair and reconstruction of dwelling at 141 Appleton St. , North Andover, Massachusetts Dear Jane: On the 16th of September I met with you and Robert Wilkie, the General Contractor, to examine the structural condition of the framing and the stone foundation-at the referenced dwelling. I found that the original stone foundation of the house is in excellent condition and can properly support the structure above. I also examined the existing foundation under the ex- isting kitchen which was a later addition to the house. This part is in poor condition and must be replaced. Robert Wilkie has begun the replacement with a poured in place concrete footing with four foot frost protection and 12" concrete block walls . The defective framing members are being replaced with like size and material or better. The workmanship, shoring. and replace- ment members are very good and proper. The work to date is ap- proved. I will continue to examine the progress of the work. I have re- viewed the framing plan that you have prepared and have found that it conforms to the actual framing of the house. Very truly yours, OF Kenneth Dennison, PE Denco Engineering, Inc. DBPMMsN £ NO. STFP ulartim ON it ILI,� 9 —i .e�-�,...,..., t .A,�. F e.•.N. s -.: ' .,c.:ir.„e. ,::��• .�..':,� „i'.;-a ,?. .-.M.- _ .,,, .�'; _ ;...dx....,,..:s-.-r.�- _,a. _ _ .�y5y _ -, PER3lIT Nom: - s - .r - APPLICATION FOR: PERMIT TO. BUtLQ.--- tkRTW ANWVE*; MASS.;. .r PwaX,: . ,• . IYR �+e>w,.�:� - cow NSF RECORDrf.OW[VERSHIP• DATE BOOK PAGE SJB DIV. LOT NO ('---- •. ..mc•-.---,,�-, � .ry a .�.` `, _ _ .. _ ..r_ OWNS,R'! NAME •:i,/L"i J `�. /� N0.OF STORIES'-y - Six ` *"•' OWNER i ADORES*"iz.Sw OAiEMENi OR tL4 It'! . ARCNIT[CT'i'NAM!" _ SIU OF.FLOOR:TIMNERS. IST_., SRO BUILOER-S NAME" ilii! ! i iJ�t� .- SPAM- .. . DtSTANG[TO NEAREST B1ILDIN6 DIMENSIONS OF SILLS' _ - _j;- DIST NC _DISTANCE FROM STREET - - FOlTf; - - �• , DISTANCE FROM LOT LINES-SlDES REAR p _ '.GIRO[Ita.. AREA OF LOT FRONTAGE HEIGHT OF rouNDATIOIs THICKNESS 12 ■UILOIyO NEW SIZE OF FOGTING x 16 BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERA TION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMEN S of COOP IS BUILDING CONN[CT[t]TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY 19 BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND, coBT SEE BOTH SIDES _ EST. ■LDG- COST t PAGE 1 FILL OUT SECTION! 1 - >tZ( pT. BLDG. COST PER SQ. FT., PAGE 2 FILL OUT SECTIONS I - 12 y EST. BLOG. COST rER ROOM SEPTIC PEwM1T NO. ELECTRIC METEPS MUST S[ON OUTSIDE OF BUILDING 4 APPROVED BY { ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLAN! MUST BE FILOA APPR [O BY BUILDING INSPECTOR DATE FILED BUILDING INSP[CTD/ SIGNATURE OF OWNER OR AUTHORIZED AGENT , :1 OWNER TEL I PERMIT GRANTED CONTR.TEL 1 - - CONTR.UC./ ,r�r 1 �� T10RTjy Town of over No. - ._ /-tc�'-o * Z �, _ _ dover, Mass., 191� . 9 CO CHICMEWICK .9s �qA E p BOARD OF HEALTH PERMIT T Food/Kitchen Septic System - BUILDING INSPECTOR THIS CERTIFIES THAT............................. �1��i1L.... Foundation 3 has permission to erect........... ............bec.on........� ..�... ?Jp .' Rough ....... ................... tobe occupied as............................•------..........-��-�°--...Com....... .. . .......................................................... Chimney 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 reiatingatq.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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ................. Service ..... . ..... . ..L ... ............................ BUILD INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR 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. r10R1'N Town of 4Andover 0 0% No- 45 - - - ?_ 41o o LArt M over, Mass., l��s 19� COCHICHE wick 'l. AoRq TE o BOARD OF HEALTH „m. PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT................3v.. BUILDING INSPECTOR ................................ .............................. n � Foundation has permission to e"-Jose**'I�...... buildings ............. Rough to be occupied as.10.10440we.%not.L..*8,16e � ��i[��..�.. i........... Chimney 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 PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ........� .... .. .. .. ... ... .................. Service 0Pr��v Bq CC) INSPECTOR Final Occupancy Permit Required t0 Occupy Building GAS INSPECTOR Display . Conspicuous Place on the Premises — Do Not Remove Rough P y in aCons P Final 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 Insurance Adjustment Service, Inc. 139 Billerica Road, Unit A-1 Chelmsford, MA 01824 (978) 256-3334 Fax (978) 256-3354 UNDER MASSACHUSETTS GENERAL LAWS CHAPTER 139 SECTION 3B Date: July 5,2007 TO: Board of Health/Building Inspector RE: Insured: Judith Meunier REECEi ]VER Property Address: 141 Appleton St. [HCAOLTF�i�Co, UL 1 3 North Andover,MA 01845 RTHr , Date of Loss: 6/29/2007 Policy Number: BP1634356 Type of Loss: Unknown vehicle struck Insured's stone wall,and caused damage to window screen. File or Claim Number: 43021 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. 38 is appropriate,please direct it to the attention of the writer and include a reference to the captioned insured, locations,policy number,date of loss and claim or file number. Thank you for your cooperation. Very Truly yours, Tim Martino Adjuster Ext. 135 1� Date. .. .. . .. ..... ........ ,4pRTR TOWN OF NORTH ANDOVER 0 ' p;, PERMIT FOR GAS INSTALLATION 4 ♦ Dq .. �(�..a nil SA USO This certifies that . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . ... has permission for gas installation . . . . . . . . . . . . . . . . .. . . . . ... . . . in the buildings of .. . . . . . . . . . . . . . . . . .. . . . . . . . ... . . . . . . . . . .. . at .. . . . . . . . . . . . ... . . . . . . . .. . .. . . . . . . . .. North Andover, Mass. Fee. ... . . . . . . Lic. No... . . . . . . . . . . . . . . . . . .. . . . . . . . . . . .. . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING tv . (Print or Type) NORTH ANDOVER Mass. Date p kuilding Location ` SY ,Permit 3 J' Owners. Name; u�, ge ff 441 r'- • New Z- ( Renovation D Replacement F1 Plans Submitted p FIXTURES N � Y W N z Q ri � .o = rA i W W a o q to l x a r z o f. W z t- m w d W W O a CC W 4 N st N d V W y 01 W A cc O G y W Its W 117 tu z Q Y cc tL a s Wt- lu x C1 Cr. W j h 2 l, W D k H W .i i- W z 4 W 4 = F' }• N tb = 0 2 O sA S a c4 Q X c O tti Y U. q O J V s } Q d f- O SUR—HSltT. BASEMENT IST FLOOR 2ND FLOOR G1 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) /�` Check .one: Certificate Installing Company Name �r v/ Corp. �S ` Address _�6-73 � Gfize rh. S'�` = Partner. _ ,-7-uaYe-,kce . d , = Firm/Co. Business Telephone: e �S—O �S ,j Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 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 ❑ Agent El 1 hereby certify that all of the details and information t have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and lnsadations performed under'Permit issued for this application will-be In compliance with all placrit provisions of tho Massachusetts State Gat Cade and chapter 142 of the General Lws. By TYPE LICENSE: , Plumber Title Gasfitter Signature of License Master Plumber or Gasfitter City/Town: Journeyman /o� 7 3 9 APPROVED (OFFicE USE ONLY) License Number