HomeMy WebLinkAboutMiscellaneous - 165 CHESTNUT STREET 4/30/2018 cfi E r- 165 CHESTNUT STREET
210/060.0-0120-0000.0
BUTTERWORTH & O'TOOLE, INC.
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
P.O.BOX 8294
SALEM,MAO 1971-8294
TEL. (978)741-5731
FAX (978)740-9109
claim sp_butterworthotoole.com
10/24/2012
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: Philip McTague
Address : 165 Chestnut Street
North Andover, MA 01845
Policy No. : 1627358
Loss of: 10/24/2012 Mysterious disappearance
File or Claim No. : 021-0978
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.
Brad Doherty
Adjuster
Member of
National Association of Independent Insurance Adjusters
BUTTERWORTH & 01TOOLE, INC.
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
P.O.BOX 8294
SALEM,MA 01971-8294
TEL. (978)741-5731
FAX (978)740-9109
claims@butterworthotoole.com
10/24/2012
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: Philip McTague
Address : 165 Chestnut Street
North Andover, MA 01845
Policy No. : 1627358
Loss of: 10/24/2012 Mysterious disappearance
File or Claim No. : 021-0978
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.
Brad Doherty
Adjuster
.. f, .-
a '
Member of
National Association of Independent Insurance Adjusters
Location
No. _ Date
NORT1y TOWN OF NORTH ANDOVER
O
Certificate of Occupancy $
t Building/Frame Permit Fee $
� 07 w�iis. 4
;�s''^•''<�
MuFoundation Permit Fee $
s,+cst
a
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
i/� wilding Inspector
L
el
v i; j Div. Public Works
m
PERMIT NO. 3 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER MASS. PAGE 1
MAP d40. LOT NO. 2 RECORD OF OWNERSHIP JDATE BOOK ;PAGE
ZONE SUB DIV. LOT NO. ^ �
• LOCATION Ch e� /u \ PURPOSE OF BUILDING p Q ,
OWNER'S NAME P 1 v a C-eAzf t �� �1/`hl de lkl
OWNER'S ADDRESS , ! n 1_ '}�• 0146tAftKWIR SUAB
ARCHITECT'S NAME —IST D l
oq
BUILDER'S NAME V„t,eS 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 /�(� r, 1l 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
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
a 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 /
BUILDING INBPtCTOI!
1 NATURE Of
OWNI OR AUT RIZED AGENT q
FEE lt,o Z • �V OWNER TEL.#
PERMIT GRANTED CONTR.TEL.#19
CONTR.LIC.# ''���
H.I.C.# 1� / 3 J /
s a
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY Si0kIES 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 IRAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
CONSTRUCTION
2 FOUNDATION —I 8 INTERIOR FINISH
CONCRETE B 1 2 13
CONCRETE BL K. PINE
BRICK OR STONE HARDW D
PIERS PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT 11
AREA FULL FIN. BM'T AREA _
'/. 1/2 1/. FIN. ATTIC AREA _
NO 8 M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS 8 1 2 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH
ASPHALT SIDING HARDVJ'D _
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH.TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK N MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I� POOR _
ADEQUATE NONE t
$ ROOF 10 PLUMBING
GABLEHIP BATH 13 FIX.)
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. & COLS. _ HOT W'T'R OR VAPOR
WOOD RAFTERS _ AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M'T 2nd _ ELECTRIC
1st 13rd I NO HEATING
NORTH
Town of d
No. 6 9 _ 4
0
COC NICC nE WICK dover, Mass., 19
�
AORATED Pl? ' 1
5 BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
(� BUILDING INSPECTOR
THIS CERTIFIES THAT................f.... .�./L 0.................Af ..
.C. ........!.Y..�, -k T�..................................................... Foundation
has permission to erect. buildings on .... �........ � .-r.................
Rough
tobe occupied as.............................................. ........... .... ..................................................................................................... Chimney
provided that the person accepting this permit sha 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
VIOLAfiION of the Zoning or Building Regulations Voids this Permit. Rough
PERMIT EXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION ST TS ELECTRICAL INSPECTOR
Rough
................. ........................................... Service
LD INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — 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
Street No.
Smoke Det.
S'�nrli T Sf
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j ZX Ce-1,
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