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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 v j ZX Ce-1, / K . i i