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HomeMy WebLinkAboutMiscellaneous - 157 LANCASTER ROAD 4/30/2018 157 LANCASTER ROAD _ 210/104.D-0157-Ob00.0 _ NEW ENGLAND CLAIMS SERVICE, INC. ❑ Incorporated 1985 Reply To -, :. Reply To Mansfield, MA 02048 131 Dodge Street, Suite 6 P.O. Box 345t` ^ff + Beverly, MA 01915 TEL. {508} 337-8058 '��`'sI5 TEL. {978}927-3000 FAX{508}339-5835 tt „§s FAX{978}927-3002 wrandall@newenglandciaims.com Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec 3B To: Building Commissioner or Inspector of Buildings �O City Hall N Andover, MA 01845 �' a l l TOWN OF NORTH ANDOVER RE: Insured: Barbara Tomkins HEALTH DEPARTMENT Property Address: 157 Lancaster Rd, N Andover, MA 01845 Cause of Loss/Date: Ice Dams Loss of 2/7/2011 File or Claim No: BOSO48568 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 or file number. Mark Randall Adjuster 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. Signature 9Date /4///i i Location N& - Date &ORTM TOWN OF NORTH ANDOVER OA Certificate of.Occupancy $ Building/Frame Permit Fee $ �SS�cNosEt. Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee 11N %ateronection Fee TOTAL / $ - — /,(/��/� Building Inspector 1 T� 7368 Div. Public Works Location No. 2— 3 .S Date a pORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ ----�� 4is4CHU Foundation Permit Fee $ G s�cNusE / Other Permit Fee $ Sewer Connection Fee $ > Water Connection Fee $ �^ $ TOTAL y �a _1 4 -V,- Buildind Inspector 05/13/44 09:53 250.00 PAID 7350 � '" Div.Public Works " Location 57 LfS � l I{ No. CP .��� Dateer 6 N°RT„ TOWN OF NORTH ANDOVER ,S p Certificate of Occupancy $ * + Building/Frame Permit Fee $ S i s�cNUs<� Foundation Permit Fee $ Other Permit Fee $ #i;5$ Sewer Connection Fee $ r *-jWater Connection Fee $ 1 -Q• t r TOTAL $ 6—u`ilding In p ctor 6972 Div. Public Works PE)�ItIT NfL 1�2 3's APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. �/✓/ L) PAGE i MAP K-4O. 4/ LOT NO.- i`i 2 RECORD OF OWNERSHIP DATE BOOK :PAGE ZONE I SUB DIV. LOT NO.' 2- - -I LOCATIOp15^1 l � M PURPOSE OF BUILDING O*NER'S NAME / 11 '�,( /'yw _ l Id n hr-V-111 41 V1 JI- .NO. OF STORIES J SIZE D /9P OWNER'S ADDRESS 4/�- BASEMENT OR ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST ✓J 2ND 3Rpl / /�✓ BUILDER'S NAME y AR ,7k/ 1- /� /�/ A SPAN / // /^S'-�r�— / DISTANCE TO NEAREST BUILDING / �(� + ,[ DIMENSIONS OF SILLS—�� C, ,..- ✓ / --- DISTANCE FROM STREET n �O POSTS -3'/1- 1�•� /� J{`/ DISTANCE FROM LOT LINES-SIDES O�-/�iy REAR GIRDERS /' r / O AREA OF LOT •7 �, f C/ FRONTAGE®©/ HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW cS G s SIZE OF FOOTING v X013 �1 IS BUILDING ADDITION MATERIAL OF CHIMNEY / V IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 1/ IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY C) ff IS BUILDING CONNECTED TO TOWN SEWER y� S IS BUILDING CONNECTED TO NATURAL GAS LINE S r INSTRUCTIONS ��� f( �r G� 3 PROPERTY INFORMATION v LAND COST SEE BOTH SIDES Mc j" �{y EST. BLDG. COST z �U U .PAGE 1 FILL OUT SECTIONS 1 - 3 kWM FM � �� EST. BLDG. COST PER SQf FT. V EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 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 APPROV//+D BYY/BUILDING INSPECTOR ' DATE FILE / C/ BOARD OF HEALTH SIGN O R OR AUTHORIZED AGENT r FEE 6 �� Q a , OWNER TEL PLANNING BOARD PERMIT GRANTS / CONTR.TEL. 19 CONTR.LIC.#aogxO,Z y ------; BOARD OF SELECTMEN i.. I[r T d( �r R 7 � , . z a MAY 27M y SUILDINO INSPECTOR � � t !I- r BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM • MULTI. FAMILY ==l OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE d 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS PLASTER L/ _ DRY WALL UNFIN. 3 BASEMENT AREA FULL 11 FIN. B M AREA _ Y, 1/2 l/. FIN. ATTIC AREA N_O B M T FIRE PLACES _ HEAD ROOM _ MODERN KITCHEN 4 WALLS I 9 FLOORS M CLAPBOARDS B I 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD"J D _ ASBESTOS SIDING _ COMIAC;N VERT. SIDING -AS-PH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME Di eth .Ij BRICK ON MASONRY ATTIC STRS. 8 FLOOR BRICK ON FRAME �I CONN. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ 1 SUPERIOR I� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES je LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR s TILE DADO 6 FRAMING I 11 HEATING T r WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS Y AIR CONDITIONING ` RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL � B'M'T 2nd ELECTRIC 1st 13rd I NO HEATING CERTIFICATE OF USE & OCCUPANCY Town of N cr h Andover Building Permit Number 235 Date NOVEMBER 16, 1994 THIS CERTIFIES THAT THE BUILDING LOCATED ON 15 7 IANCASTER ROAD - Lot 42 MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/3 CAR IN ACCORDANCE GARAGE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED Tp Andover Construction & Dev.. 66 Spring Hill Rd. ADDRESS North Andover MA Building I spector I o -r CERTIFIED FOUNDA TION PLAN LOCATED /N SCALE: /I�_ ¢oDATE ��B laa- Scott L. Gi/es R.L.S. 50 Deer Meadow Road North Andover,Mass. 133 Ssg s.F- T d J �fl 0 v N ` riil F i p 1 1r 'l Q7 �(o e oo L,-- - 4- CERTIFY CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE �b or THE OFFSETS OF THE SU/L DING/NSPEC TOR ONL Y SHOWN COMPLY AND SUCH USE/S FOR THE WITH THE ZONING DETERMINATION OFZONING .�s BYLAWS OF CONFORMITY OR NON-CONFORM/TY '°fc uWHEN CONSTRUCTED. WHEN BUIL T. G ¢ rte' DEP��RTtJ�ENT • • ori over a No. 21. 5 North Andover, Mass., r40404� /O 19 f�lr S t J • 1 BOARD OF-AEALTH +f f Food/Kitchen PERM IT TO BUILD Septic System BUILDING INSPECTOR t THIS CERTIFIES THAT...1*, fW000#44- �rr •• • • 9.......e.&.*.#*.................. Foundation has permission to erect.. .�� �dings on .. 1 �i� � Rough to be occupied as4. .I{il.A.+ � +1 + ���. �. ••• • ••• mney hi provided that the person accepting this permit shall in every respect conform to the terms of t e application on file in � iria'2 this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of 11 I a4 O1� Buildings in the Town of North Andover. pERMIT FOR FOUNDATION ONLY PL/UM N IN PEC R VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. Rou hol° lG P l_`[�.N41T EXPIRES Cly 6 N40I jal - 4 FEE P 1 '/6) � � n 1 � c � . a v ELECT CAL INSP C R lJ f\]I_,ESS CON S 1_�RZl._ACTION S'FA�`t S G Rough �� ~ PERMIT FOR FRAME/BUILDING ........... ...................... /......... Service pA�' FEE PAID BUILDING INS CTOR Fina (� j6k [' ,milt Rt'C. l{f i it t0 OCCld Jy Builcting GAS IN P CTOR g � Display in a Conspicuous Place on the Premises — Do Not Remove ,� No Lathing or Dry Wall To Be Done FIR DEPARTMENT Until Inspected and Approved by the Building Ins , tor. tt� � Burner & gZ �qL `/'� FINA Street No.PLANNININAL CONSERVATI 4,, l �� Smoke Det..e SEWER/WATER FINAL 4 DRIVEWAY ENTRY PERMIT.l NORTH Town of ` f 6 J Andover O `u4 � No. 235 or dover, Mass., V APS 19LA f COC MICE EWICK �ADRA TE D P'PP-��`G) '9S ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...Aws. . . .*.......e.040 .............•••• Foundation has permission to erect..&.#AFA~dings on ...�d#404# .. �40.. Rough to be occupied asr`w.d. 'AN 60 .... .1� Ity himney provided that the person accepting this permit shall in every respect conform to the terms 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. P �FOR FOUNDATION ONLY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED By PAK 114.8-S. B.C. Rough PERMIT EXPIRES IN 6 MOIJE P Final o�.� p. UNLESS CONSTRUCTION ST TS ' d v ELECTRICAL INSPECTOR PERMIT FOR FRAMUBUILDING Rough Ifto 1115 ..... .... ..................... Service BUILDING INS CTOR ATE FEE PAI Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 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. Smoke Det. CLIAIM /%AIATCD nRIVFWAY FNITRY PERNAIT `11 FORM U - IAT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this ,section*****************-c, APPLICANT: g, ���. (yam y,s� Tf vt /� Phone LOCATION: Assessor's Map Number zD 'e/ J0 Parcel Subdivision AJe Lot(s) �/2 StreetSt. Number ******************'********Official Use Only************************ ICOMMENDA S OF TOWN AGENTS: C �ihA Date Approved a 7 ConserVaon Adminis rator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected `2 kq&= Date Approved Septic Inspector-Health Date Rejected Comments Sir Public Works - sewer/water connections (tit N - driveway permit � ,�r�tGfe3� Fire Department Received by Building Inspector Date DEC 2 2 1993 1p %00 ,. 44 , tib•• ¢G P � � 4 _ — -�--ar ---- --r�. -� � / to WWI— U \ 1 1 c, I ,- Cl,- Zs �' PHOTO REPRODUCTION OF THE ABOVE SEAL IS �.. INDICATIVE OF UNAUTHORIZED REPRODUCTION OF THIS PLAN AND IS TO BE CONSIDERED A COPYRIGHT INFRINGEMENT AND/OR FRAUD. ENFORCEMENT AUTHORITY SHALL NOT ACCEPT PHOTO REPRODUCTION FOR ANY PURPOSE. g r M0 0 4 f �Fit' � 4931 North 300 West Structural Group Provo,UT 84604 P: (801)234-7050 Scott,E. Wyssling, PE Head of Structural Engineering scott.wysslingC@vivintsolar.com November 4, 2015 Mr. Dan Rock, Project'Manager Vivint Solar 24 Normac Road Woburn MA 01801 Re: Post Structural Certification Keating Residence 85 Laconia Cir, North Andover MA S-4535961 5.72 kW System Dear Mr. Rock: Pursuant to your request, a representative from our company conducted a post installation site visit under my supervision and provided post installation photos for the above referenced solar panel installation. As you are aware, this office initially prepared a structural assessment of the proposed solar panel installation, the adequacy of the connections for this system and identified maximum spacing of the connections. The photographs show panel support locations and spacing which conform to our structural assessment. Acceptable minor changes to the layout include panel position, support spacing less than or equal to 64", and/or additions or deletions of panels at roof locations. Based upon the post installation site visit, our office certifies the solar panel installation for this roof and that it was in conformance to our structural assessment report dated August 7, 2015, Ecolibrium Solar product installation criteria, and the layout plan as specified in our report. This letter pertains only to the panel support attachments to the roof framing and not the engineered photovoltaic panel products, components, panel positioning, or electrical related installations/connections. This certification is based on the 8th Edition Residential Code (2009 International Residential Code with Massachusetts Amendments), professional engineering assessment and judgment and covers this dwellings assessment for solar panel connections and support only. Should you have any questions regarding the above or if you require additional information do not hesitate to contact me. OF ry truly yours,(02 �N ` � oa E ti� `G cwi N Scott E. W slin a '0 MA License No. oFGIST ONN WOWOim o S+c)aT v M' VERSICO TOTAL ROOFING SYSTEM WARRANTY VSW-1 Rev 01/15 Versico, a division of Carlisle Construction Materials 4. This Warranty shall be null and void if any of the following shall occur: Incorporated (Versloo), warrants to the Building Owner (Owner) of the (a) If, after installation of the Versico Total Roofing System by building described below, that subject to the terms, conditions, and a Versico Authorized Roofing Contractor, there are any alterations or limitations stated in this warranty, Versico will repair any leak in the repairs made on or through the roof or objects such as, but not limited to, Versico Total Roofing System (Versico Total Roofing System) structures, fixtures, solar panels, wind turbines, roof gardens or utilities installed by a Versico Authorized Roofing Contractor for a period of 20 are placed upon or attached to the roof without first obtaining written years commencing with the date of Versico's acceptance of the authorization from Versico;or Versico Total Roofing System installation. However, in no event shall (b) Failure by the Owner to use reasonable care in maintaining Versico's obligations extend beyond 20.5 years subsequent to the the roof, said maintenance to include, but not be limited to, those items date of substantial completion of the Versico Total Roofing System. listed on Versico's Care & Maintenance Information sheet which See below for exact date of warranty expiration. accompanies this Warranty. The Versico Total Roofing System is defined as the following 5. Only Versico brand insulation products are covered by this Versico brand Materials: Membrane, Flashings, Adhesives and warranty. Versico specifically disclaims liability, under any theory of law, Sealants, Insulation, Cover Boards, Fasteners, Fastener Plates, for damages sustained by or caused by non-Versico brand insulation Fastening Bars, Metal Work, Insulation Adhesives, and any other products. Versico brand products utilized in this installation. 6. During the term of this Warranty, Versico shall have free access TERMS,CONDITIONS,LIMITATIONS to the roof during regular business hours. 1. Owner shall provide Versico with written notice via letter, fax or 7. Versico shall have no obligation under this Warranty while any email within thirty (30) days of the discovery of any leak in the Versico bills for installation, supplies, services, and warranty charges have not Total Roofing System. ,Owner should send written notice of a leak to been paid in full to the Versico Authorized Roofing Contractor, Versico, Versico's Warranty Services Department at the address set forth at or material suppliers. the bottom of this warranty. By so notifying Versico, the Owner 8. Versico's failure at any time to enforce any of the terms or authorizes Versico or its designee to investigate the cause of the leak. conditions stated herein shall not be construed to be a waiver of such Should the investigation reveal the cause of the leak to be outside the provision. scope of this Warranty, investigation and repair costs for this service 9. Versico shall not be responsible for the cleanliness or shall be paid by the Owner. discoloration of the Versico Total Roofing System caused by 2. If, upon inspection, Versico determines that the leak is caused environmental conditions including, but not limited to, dirt, pollutants, or by defects in the Versico Total Roofing System's materials, or biological agents. workmanship of the Versico Authorized Roofing Contractor in installing 10. Versico shall have no liability under any theory of law for any the same, Owner's remedies and Versico's liability shall be limited to claims, repairs, restoration, or other damages including, but not limited Versico's repair of the leak. to, consequential or incidental damages relating, directly or indirectly, to 3. This Warranty shall not be applicable if, upon Versico's the presence of any irritants, contaminants, vapors, fumes, molds, fungi, inspection,Versico determines that any of the following has occurred: bacteria, spores, mycotoxins, or the like in the building or in the air, land, (a) The Versico Total Roofing System is damaged by natural or water serving the building. disasters, including, but not limited to, lightning, fire, insect 11. This warranty shall be transferable upon a change in ownership infestations, earthquake, tornado, hail, hurricanes, and winds of (3 of the building when the owner has completed certain procedures second) peak gust speeds of fifty-five mph or higher measured at 10 including a transfer fee and an inspection of the Roofing System by a meters above ground,or Versico representative. (b) Loss of integrity of the building envelope and, or structure including, but not limited to partial or complete loss of roof decking, VERSICO DOES NOT WARRANT PRODUCTS UTILIZED IN THIS wall siding, windows, doors or other envelope components or from roof INSTALLATION WHICH IT HAS NOT FURNISHED; AND SPECIFICALLY damage by wind-blown objects,or: DISCLAIMS LIABILITY, UNDER ANY THEORY OF LAW, ARISING OUT OF (c) The Versico Total Roofing System is damaged by any THE INSTALLATION AND PERFORMANCE OF, OR DAMAGES SUSTAINED BY OR CAUSED BY, PRODUCTS NOT FURNISHED BY VERSICO OR THE intentional or negligent acts, accidents, misuse, abuse, vandalism, civil PRIOR EXISTING ROOFING MATERIAL OVER WHICH THE VERSICO disobedience,or the like. ROOFING SYSTEM HAS BEEN INSTALLED (d) Deterioration or failure of building components, including, but not limited to, the roof substrate, walls, mortar, HVAC units, non- THE REMEDIES STATED HEREIN ARE THE SOLE AND EXCLUSIVE Versico brand metal work, etc., occurs and causes a leak, or REMEDIES FOR FAILURE OF THE VERSICO TOTAL ROOFING SYSTEM OR otherwise damages the Versico Total Roofing System;or ITS COMPONENTS. THERE ARE NO WARRANTIES EITHER EXPRESSED (e) Acids, oils, harmful chemicals and the like come in contact with OR IMPLIED, INCLUDING THE IMPLIED WARRANTIES OF FITNESS FOR A the Versico Total Roofing System and cause a leak, or otherwise PARTICULAR PURPOSE AND MERCHANTABILITY, WHICH EXTEND BEYOND THE FACE HEREOF. VERSICO SHALL NOT BE LIABLE FOR ANY damage the Versico Total Roofing System. INCIDENTAL, CONSEQUENTIAL OR OTHER DAMAGES INCLUDING, BUT (f) The Versico Total Roofing System encounters leaks or is NOT LIMITED TO, LOSS OF PROFITS OR DAMAGE TO THE BUILDING OR otherwise damaged by condensation resulting from any condition within ITS CONTENTS UNDER ANY THEORY OF LAW. the building that may generate moisture. OWNER: RCG WEST MILL NA LLC BUILDING: 1 HIGH STREET BUILDING 36,NORTH ANDOVER,MA 1 HIGH STREET BUILDING 36,NORTH ANDOVER,MA ROOFER: PORTANOVA ROOFING,INC. 148 MINOT STREET,DORCHESTER,MA 02122 DATE INSTALLATION COMPLETED: 07/31/2015 DATE OF ACCEPTANCE BY VERSICO: 09/04/2015 WARRANTY NUMBER: 1176235 WARRANTY EXPIRATION DATE: 09/03/2035 VERSICO,a division of Carlisle Construction Materials Incorporated \/E2SIC0 P.O.Box 1289 Carlisle,PA 17013 BY ROOFING SYSTEMS (800)992-7663 (717)960-4035 FAX Cunningham Lindsey U.S.,Inc. P.O.Box 703689 Cunnin hand. Dallas,TX 75370-3689 Lindsey Telephone(888)738-8714 Facsimile(214)488-6766 CLCAT@CLNA.COM ""*******************AUTO**3-DIGIT 018 793 T3 P1 95000058983 Building Commissioner or Inspector of Buildings 120 MAIN STREET NO ANDOVER,MA 01845 Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 36 Claim Number: 2531280 Policy Number: 2531280 08 Cn M Company Name: MERRIMACK MUTUAL FIRE INS M Cause of Loss: ICE DAM g Date of Loss: 2/16/2015 Insured: BARBARA TOMKINS 0 Property Location: 157 LANCASTER RD Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 313. No insurer shall pay any claims (1) covering the loss, damage; or destructions to a building or other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. 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. Cunningham Lindsey Catastrophe Department cicat@cl-na.com 800-867-3885 Date....... ............................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING HU This certifies that ................... ............................ has permission to perform .................4 ............................................ wiring in the building of......................T .. .................................... at ......L�17.....L.............................. ..... ..............�:6...........North Andover,Mass. .... Fee... Lic.No. f/.,ez ......... ELEcmcAL INSPEcrdR Check# 13 ?,W7 3 C,ammonwea oja6�achu�e Official Use Only Permit No. i l Z r3 - aLJeParlmertL o�.}ire Jervcce� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev- 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TE A RtLIATION) Date: Al) 3 City or Town of: < A T= To the Inspector of Wires: By this application the undersigned gives notice of his or her intention o perform the electrical work described below. Location(Street&Numbe ) y d r Owner or Tenant &�h d Z Telephone N o. Owner's Address _ Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 11 )0 Amps / Volts Overhead❑ UndgrdE No,of Meters New Service Amps I Volts Overhead❑ Undgrd Q No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r Completion o the-followingtable ma be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Faus °•° Total Transformers 'VA .� No.of Luminaire Outlets No.of Hot TubsGenerators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting grnd. rnd. Battery Units No.of Receptacle Outlets ) No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection an Initiating Devices No.of Ranges No.of Air Cond. .tans No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW SecuritySystems: No.of Devices or Equivalent No.o Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No,of Motors Total HP elecommunicationsWiring: No.of Devices or Equivalent OTHER: a Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of tec 'cal Work: (When required by municipal policy.) Work to Start: 0'7 3 Inspections to be requested in accordance with MEC Rule 10 and upon completion. 9 po p on. 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 the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: i. �` r /.c fir=JC.. LIC.NO.: Licensee: Ciic �`'/ iz►%1I' Signature LIC.NO.:j,/`7S (Ifapplicable,g�ter" mpt"4n the h erase n ber line Bus.Tel.No. :t 7f l+ - Address: �rd7 y art r- ,/I"� C)fi *Per M.G.L.c. 147,s.57-61,security work requires 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 ❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE. S enc 2-2&— f�� 2-6-13�"�- r Date ' by,K3Lt"iD`�W TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . P.{ 4,(? has permission for gas—iiin_stallation . rig► z. . . . . . . . . . . . . . . . . . . in the buildings of. . . at . . . . r`),I. . .4.-A"' T.4: . , North Andover, Mass. Fee . - . . Lic. No. `�Z Z.. M.�. . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check 8597 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY NORTH ANDOVER MA DATE0211212013 mµm W PERMIT# JOBSITE ADDRESS 157 LANCASTER RD m =OWNER'S NAME �TOMKINS� z GOWNER ADDRESS TE _ --- FAX TYPE OR OCCUPANCY TYPE COMMERCIALS EDUCATIONALF-1 RESIDENTIAL ! PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES N 0 0 APPLIANCES Z FLOORS— VBI� 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER _ COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE I FRYOLATOR ' f FURNACE 1 .amu,,. _� a.,.:w _ _ .. .-. ... m m.. w GENERATOR i = r GRILLES INFRARED HEATER t LABORATORY COCKS I I MAKEUP AIR UNIT OVEN POOL HEATER i _ I ROOM/SPACE HEATER — -A- ROOF TOP UNIT _ ._ ?� I TEST ,. ....,.. I ,. .._ .. «,H,... .,... � UNIT HEATER _ UNVENTED ROOM HEATER WATER HEATER OTHER x = INSURANCE COVERAGE I7have current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES u',y NO 4 I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE INDEMNITY € BOND F 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 AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true a c rate he best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compli e . all a inent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER GASFITTER NAMEJEFF HUTNICK 4 LICENSE# 15212 _; /ff AGNATORE MP 0 MGF Ej JP JGF LPGI CORPORATION # 2840 PARTNERSHIP #FE— mm^ LLC # COMPANY NAME: CALLAHAN AC AND HT G ADDRESS91 BELMONT ST CITY NORTH ANDOVER STATE MA ZIP101845 TEL 978-689 9233 FAX CELLryv EMAIL PLUMBING @CALLAHANAC COM _ .R ����,, e� .' i VV , �V 1 Print Form The Commonwealth of1�✓assdrehusell.� � � r i Department of IndustrialAccidents t tr Office of Investigations 1 Con-r•ess Street, .write 100 r Bostim,, MA 02114-20.17 Wol"kers9ns1111 kj.'7� vs �..; ; 95;�d➢7a 6} Ili >'•lflo@A �yy e� Pe, 411 yy t)�' Nan1t (l�usinca'Or anis;ition%Indi\idual): �,( � _ . /� jj / ....... Address:--- C'I t'� ddress:C'it� StaIC II ��Vd�"l"/o `�� �� Phone # �7� V" are }ora im e+a vloyw. 'Check, the.approp a,ate I)o Type of h3o,jkcl:(required): I. [ .1 1 ail? a general contractor and I am a employer 4v ith B 6. [ Nevy'construrtic,n employees(full am}!or part tin7e). have hued the sub-contractors 2. 2.Cl I am a sole proprietor or partner_ listed on the attached sheet. 7. [_� R ca i i o,IC I i i ig ship and have no employees 'I hest,sub-contractors hrave. S. Deniolitit:'n working for nae in any ca}')achy'. employees and have workers' . ,. 9. [_._� f ui!dirl� addition [No wor,ers' comp. 11-ISH�11CO comp. Insurance.= rc ;uir d.j >• C I We are a corporation ani:! its f:lecarical n.l'�iir;0; liil.litir ns i doill"all woi'k0}}LCC C': }have eXel'Ci_i':d tl7eli' t 1.( I)IUI!1bin'll I'i'lW,i!':S 01'cU�l!itl(>Ii5 _. myself. [Nlo wo;:erg' comp. t•i ;ht ofoxcniption per NIC1. I IF c. 1 ?, 8} } 1 Insurance rc�lttir:x+.) ), � ` 13.��_.,� C3i111c•r__ ( aih \Ve have 110 � emplovL S. [No wort;: s f.0171p. II3Sln'anr:8 i'dClair�il.� xA ,., ap,)In.nu boz I'kl nnl,i:d,o fill out th. ,cction t:lo.v ahu'.rinq th:il cunl};cu.:uGmi pti,li,; u)linr. ut+n. it UlU1Cl���hu uhrnll tlri;alfi�l,at it iudi•.a nq tfI'2Y afc doin all [!!tit th It hire outsjdc I)ul>I,ubrnit.l ilc:f a fial.it i'oiiti,i,:I s that c.lia,�k thk hili mua i!Kt idlu'd all atdditi ,.!I Ilse l am') of the su`-:o•Itlac(:Ir,'ni{ t..�':,.•\t-Ited".-I or nhi 1,;—":Cillo :.c L:n, culjJlo ce<- 11Th;iui,..coutl:IcCur:haY;;empl') cC ,they Irlu::t pro'id-lhcir ��oikcrs'comp.pl)licy nulyd;:r- r ztw fL, {'1Vtplo r'"hW 15 pro 0ifiu 1 Ii�s('1:1 (!,i_f7 r,i(?>r1Po IR-S 1lYt9iIL[ �of'i!!j Cfi1�I�(J Ctl4, f7� �Uif. le Iil�'C)l)11,f'li ,t�).�ui3�',l! irjuf•,f?;�'rurr. l,; t;rr:nc:�Cnrnnrny Na3ne:�Gl�i/�G� !'Arc or sill"It'I'S. _. ._... .. ._. ............. C.If�,._ .ills' .��IQ: , l'd''ii Z '1';' h' i ..' 'si t.,i,,i� 'ti y i' - { •, i it ^' .p.l, I .t IJ _. ... , § Iil1' - . ,, I("-''' (r1 d'';. J �)�; f7'!: _ •�.' ^.1 ii , _ ..., , I'. t:� ?��..f 11\. ',.;C moi:•, i';,!l�i( JIB',t,_. :.�.11 - ;�iii (IV)�.ii,t. I i_'. �'.'I7 },:fa lJ t!-•: !I ��,. .',!I: J l•. ,�i � � :'I :.'. i -.l I;!. ., 1:,;,•1 tIr!s°I:IiCI'l,'t f . I'�I�i it tUl il+,•.!I,,+Il�.l <_.o VrI \�' it iii;.Jl' t il"o�f;';'e't'�!'l't J)(�'I f!i ) rill ! ! P 1J) .r„ r'.Y �l.,o af�� Yf t�yt'�tl ulf,�'t ,,I�dU,.r ?1 ��.;'l.d, 1(:S: i i D. �Pty:i I�ci ( J f �;• 1 y y n�: n' :f'r. ,r ,q v i I ,.J- d li•y; _'ill ��ii.'.ii1A 'I li. ?yi .l)i; ' r i COMMONWEALTH.OF MASSACHUSETTS . . `' PLUMBERS ANI. GASFITTERS I REGISTER,® AS.I\ PLUMBING'CORP. r ISSUES THE ABOVE LICENSE TO: } II JEFFREY P'��iUTNI1•'K �' CALLAH_AN •AIR CO,,DITIONING & HEA ;j 91 BE UM 5T N NORTH :'NDDU _R ME 01845=2304 a r X84"0 L5/01/1r, 147818 ":.lf CQMMONWEALTH OF MASSACHUSETTS IT mm-I �'• pLi IM:BER A�oURNEYMAN PLUMBER ICE N, ED AS I L ISSUES THE ABOVE LICENSE TO IFFRE;1 ',P IHUTNICK p . 6=] PLYaI"41UTYH ST 1. MEIHUEN MA 01844`=4256 21881 147803 05/01/14 I {. — -- — . 77 ka. `-COMMONWEALTH OF MASSACHUSETTS PLUMBERS AND GASFITTERS'. LICENSED t03 A Mi,STER PLUMBER ,z ' ISSUES THE ABOVE LICENSE TO JEFFREY P`rf''.0TNIC�' II G0 PLYM0UT:H •;ST ME'THUEN MA ' •11844=4256 11 15212 I },/01/14. 1.47804 = i