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Home My WebLink AboutMiscellaneous - 192 STONECLEAVE ROAD 4/30/2018 192 STONECLEAVE ROAD 210/104.B-01 30-0000.0 1 I BRODERICK_JOHN_I39_LETTER CRAW.PDF Crawford Crawford &Company 1001 Summit Blvd Atlanta, GA 30319 Phone 877-346-0300 3/25/2015 Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 Re: Insured: John Broderick Claim Number: 033561427 Policy Number: 17074400005 Our File: 6776-2583614 Date of Loss: 2/12/2015 Type of Loss: Ice Damming Location of Loss: 192 Stonecleave North Andover, MA 01845 To Whom It May Concern: A claim has been made through Ar bella Mutual Insurance Company which involves 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 3B 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. Very truly yours, James Warren James Warren Crawford &Company 361-332-9387 CC: City/Town Fire Dept, City/Town Health Dept March 20,2015 Inspector Of Buildings Town Of North Andover 1600 Osgood Street North Andover MA 1845 Claim Number: 033561427 Policy Number: 17074400005 Company Name: Arbella Mutual Insurance Company Date of Loss: 2/12/2015 Insured: Broderick,John Property Location: 192 Stonecleave Rd North Andover,MA01845 To Whom It May Concern: Claim has been made involving loss, damage, or destruction of the above captioned property, ,vhich 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 3B 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. Very truly yours, James D.Warren Crawford& Company 204 Second Ave Waltham,MA 02451 CC: North Andover Fire Department North Andover Heath Department Arbella Mutual Insurance Company FORM U IAT RRTFASR 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***************** 100�PLICANT: Tpcx Phone LOCATION: Assessor' s Map Number Parcel Subdivision Lot(s) greet1 �� 7'01JE CkA/116 St. Number C ************************Official Use Only************************ R;ZOMk1ENDATIONS OF TOWN AGENTS: Date Approved �b Conservation Administrator Date Rejected Ccra ents Date Approved Town Planner Date Rejected Comments Date Approved F d Ispector- ealth Date Rejected Date Approved Sept-c Inspector-Health Date Resected Co=, enzs J Publ;c Works - server/water connections _ - driveway permit re Department Received by Building Inspector Date PERMIT . APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 P 4.40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE t_= AZONE I SUB DIV. LOT NO. �I LOCATION /. \T'A/VCLf ✓� PURPOSEBilil BNt6 OWNER'S NAME I �^ rc / £L NO. OF STORIES SIZE WNER'S ADDRESS ! �� ,�C', Y� BASEMENT OR SLAB -- aC ARCHITECT'S NAME 7 SIZE OF FLOOR TIMBERS IST 2ND 3RD e,/ UILDER'S NAME "i7� �. i/r``J SPAN DISTANCE TO NEAREST BUILDING fes. 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 Ll S BUILDING ADDITION IAJ6edaly o MATERIAL OF CHIMNEY IS BUI DING ALTERATION ICJ' /`��JJC- IS BUILDING ON SOLID OR FILLED LAND L 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 T. BLDG. COST PAGE I FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SStliii PERMIT NO. If 76� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING .4 APPROVED BY C� ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS • PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR `r DATE FILED -alS 1 , �� BOARD OF HEALTH SIGNATURE O OWNER OR AUTHORIZED AGENT FEEn�J PERMIT GRANTED OWNER TEL.# �+�j��,,��y/ PLANNING BOARD _ CONTR.TEL.#_alz �_L J uaE ,w 19 /z CONTR.LIC.#--O/0 31,,j_ BOARD OF SELECTMEN _—� 1 , BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY _ STORIES 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE _I d 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW D PIERS � PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M T AREA _ Y. 1/7 1/1 FIN. ATTIC AREA _ N_O B M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I. 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE ��_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARD"J D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� PO'SR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 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 II 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COTS. 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 1 B'M'T 2nd _ ELECTRIC 1sr 13rd. I ' NO HEATING Location No. o�� Date � Q of N°; , + TOWN OF NORTH ANDOVEW „ Certificate of Occupancy $ • Building/Frame Permit Fee $ s oma- _ �i • CMusE< Foundation Permit Fee $ Other Permit Fee Pva $ cc �r Sewer Connection Fee $ Water Connection Fee $ m 4V TOTAL $ - r�� 5 Bui I d i rig4r� poor 7409�• •" Div. Public Works ,5�.�)R•T�hi Town of o over 0 No. 266 o A ort. over, Mass. COC r1IC-E wICK �� AD�'ATED p•P�\��GJ BUILD L BOARD OF HEALTH PERMIT TO Food/Kitchen Septic System BUILDING INSPECTOR c n THIS CERTIFIES THAT................J �? r......G?' .....r. .... ..�/G G,�.................................................... Foundation has permission to erect..... on ....��,�.��.. .....� �t .1� � . 0(b Rough p .. ... .... lQa ............................... Chimney to be occu ied as................. 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 I-;.!?,.ID-IR fS I 1 `) M01�T1S Final UNLE �, � 1J�� fE��. ��)I�� , I�, ELECTRICAL INSPECTOR MQ Sttiro 0 V- e-A 6 MON 4Rough �.................... `+.............................. Service BUILDING INSPECTOR Final j0LqWpV;0r!0cc lj)ancy Permit: 1�eqth-ecl to Occ-i{.[)_y Bulldirlg GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough 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 J!N Sao ♦ .� Z 1 ' 1 � '+.-•...+ ..a--"'r/' i• ! �„� ,it �' io Ole � . 1 'r' •f r '! , •... �v Cpl' r..L� t+�, ;.. � �� I. ;•� ��. � .. .� 1 r " ! I ..� �: � �i � . i �♦ is 1� j I .n . n\ The Commonwealth of Massachusetts FOR OFFICE USE ONLY PermitNo. 3,371 Department of Public Safety - Receipt No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work will be performed in accordance with the Massachusetts General Code.527 CMR 12:00 (PLEASE PRINT IN INK OR TYPEALL FORMATION) Date City or Town of �( o �"� l+t�t�0 tr To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below: / G Location(Street and Number) ! �� ho q? C)eo,a e_ 1Z OG C\ Map: Lot: Nu Owner or Tenant U O�_,V%, (� (?— 4 i J Zone: Owner's Address _Sa yyL Is this permit in conjunction with a building permit? Yes❑ No (Check Appropriate Box) � Purpose of Building L) W eG G) Utility Authorization No. ��-� Existing Service;2 Q() Amps Z O / Volts Overhead❑ Underground 91-� No.of Meters New Service Amps / Volts Overhead❑ Underground ❑ No.of Meters Numbe?of Feeders and Ampacity Location.f,and Nature of Proposed Electrical Work Re No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above grnd. ❑In-grnd.❑ Generators KVA No.of Receptacle Outlets No.of Oil Burners No.of Emerg.Lighting Battery Units No.of Switch Outlets No.of Gas Burners FIRE ALARMS No.of Zones No.of Ranges No.of Air Cond. Total Tons No.of Detection and No.of Total Total Initiating Devices No.of Disposals Heat Pumps Tons KW No.of Sounding Devices No.of Dishwashers Space/Area Heating KW No.of Self-Contained No.,of Dryers Heating Devices KW Detection/Sounding Devices No.of Water Heaters KW No.of Signs No.of Ballasts Local❑ Muncipal Connection ❑ Other No.of Hydro Massage Tubs No.of Motors Total HP Low Voltage Wiring OTHER: INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES 21NO El have submitted valid proof of same to this office.YES 2'&0'El If you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE L7BOND❑ OTHER❑(Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start /0/3/0 Inspection Date Requested:Rough Final Signed under the penalties o perjury: n FIRM NAME 4 _ C LIC.NO. Licensee _ Signatur c LIC NO. is U/W �n Address //2 14 ht'W �_O C A A 5 &fid l'/!?.3 Bus.Tel.No. 2V- )J2- (S q QZ) Alt.Tel.No. OWNER'S INSURANCE WAIVER:I am aware that the Licensee DOES NOT HAVE the insurance coverage or its substantial equivalent as required by Massachusetts General Laws,and that my signature on this permit application waives this requirement. ' Owner❑ Agent❑ (Please check one) Telephone No. PERMIT FEE$ _Z 5,C,0 N2Date.1...".1.1...�� .�..... N_ 3371 R HOR71{ TOWN OF NORTH ANDOVER M A PERMIT FOR WIRING °.AT D �,SSACNUSEt This certifies that .......CA � � `/ (U. .................. ..................... ................................. has permission to perform ........ �. � . P ��......... ............................ wiring in fthe building of...... ,F-. ..... '....1...,.................................................. at........./..��......�t CJrr C.�. ./ `Ct... North Andove ass. ..� ..........�.... n..................... Fee.... / � Lie.No/�. ...../........ ............ ........ � ..... ELECCRICALINSPEcrOR Check # �� WHITE: Applicant CANARY: Building Dept. PINK:Treasurer PErJ11T Ntl. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /PAGE 1 MAP h40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK ;PAGE Z E SUB DIV_ LOT NO. I OCATION YI Q �t� -, PURPOSE OF BUILDING ' 4w+,' A I /a OWNER'S NAME ? + Su.e- 6 Zee I ty NO. OF STORIES Z SIZE G'f k; OWNER'S ADDRESS fey G 9 A-1 _1 1% w BASEMENT OR SLAB of SiweldfAva- 4- .91019.91019� ARCHITECT'S NAME • SIZE OF FLOOR TIMBERS IST 2ND l YQ 3RD GUILDER'S NAM V M O{.� SPAN O „y UDISTANCE TO NEAREST BUILDING 60� + DIMENSIONS OF SILLS DISTANCE FROM STREET �I + POSTS ! !, DISTANCE FROM LOT LINES-SIDES �d * REAR J-o GIRDERS �. AREA OF LOT FRONTAGE ! HEIGHT OF FOUNDATION I/ rRoS wAt'THICKNESS )Olt BUILDING NEW /.a SIZE OF FOOTING O )( i10 W 1 X IS BUILDING ADDITION NV �s MATERIAL OF CHIMNEY j14 IS BUILDING ALTERATION eS' IS BUILDING ON SOLID OR FILLED LAND CO WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Q c IS BUILDING CONNECTED TO TOWN WATER r�� r BOARD OF APPEALS ACTION. IF ANY W IS BUILDING CONNECTED TO TOWN SEWER 'V IS BUILDING CONNECTED TO NATURAL GAS LINE ,y/9 INSTRUCTIONS 3 . PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER 66. 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 MUSCAE FILED AND APPROVED/BY BUILDING INSPECTOR DATE FILED_ I`r BOARD OF HEALTH S�GNATURE OF AUTHORIZED AGENT F E E CE yJ PLANNING BOARD PERMIT GRAN v OWNER TEL. / CONTR.TEL.4 19 –�2 CONTR.LIC.# vi '. g �- BOARD OF SELECTMEN �a�� } d8l.111LID&INGINSPECTOR A f BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY S ORIES 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 2 FOUNDATION 8 INTERIOR FINISH ' CONCRETE d 1 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D _ PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. BM'TAREA _ 1/1 +/1 1/1 FIN. ATTIC AREA _ NO 8 M T FIRE PLACES HEAD ROOM MODERN.KITCHEN 4 WALLS II 9' FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE_ WOOD SHINGLES EARTH ASPHALT SIDING HARD+',/D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STIRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR IPOOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH Q FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) FLAT SHED WATER CLOSET _ ASPHALT SHINGLES X LAVATORY WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 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 GASOIL B'M'T 2nd ELECTRIC 1 sr i rd I NO HEATING " Location / 7 r No: / � Date � �LORo TOWN OF NORTH ANDOVER _ Oft .aa1h _ id .a oar Certificate of`Ocb upancy $ Building/Frame;Permit Fee $ �, y Foundation Perrrlt Fee $ s�CHust Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 3 � Building Inspector 1I�?� 05/12/% 09:28 .(o PAID 7232 3 � Div.Public Works r- FORM U - LOT 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***************** APPLICANT: 1111151L �jy,� s Phone ��L -yZZ 3 LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) Street 5 Z SSD 0,/e- G �e,4vSt. Number /C7 7 ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: V� Date Approved Conservation Administrator Date Rejected Comments Date Approved Town Planner Date Rejected Comments Date Approved Food Inspector-Health Date Rejected f v _� /1) Date Approved Septic Inspector-Health Date Rejected Comments ZVD C001 PILI 6-iV7" TO17 65 6 Public Works - sewer/water connections _ - driveway permit Fire Department ++j Received by Building Inspector It ; !� +�^r�' ' �� Date r Jlj 51994 (' '1 EU t n1NG DEPARTMENT i a i J. F;"A }; O�oSC4 1000G ALIo) i r dA) • e 30'+ 17, � OA) SZ I96 bD rl X) TL `Q ZdN b A7-/0A,) /9a S�oiv _D I ( � �A O R T H own of � over p No. 1,6;3 dover, Mass., &AVA9 /it 19 9'r CocwICHE WICK / BOARD OF HEALTH Food/Kitchen •t. Septic System ,,,., PERMIT k... BUILDING INSPECTOR 'THIS CERTIFIES THAT.........�WO. ...Ir.v0....... iff.OrL....� Fou ..................... ............... has 8r Foundation i permission to erect. 40400-ya .. buildings on .... ...� .40Arg. V� AW Rough to be occupied as.. �/.Ir/.��I...J..j.. e./5/ici ..... ..... .. Chimney provided that the person accepting this permit shall in every reconform 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 ;1 Buildings in the Town of North Andover. PLUMBING INSPECTOR 1 VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS .I ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS • Rough ... Service 4U1LDIKG6* INSPE CTORR 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 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