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Home My WebLink AboutMiscellaneous - 195 LANCASTER ROAD 4/30/2018 []i r , - ------- 195 LANCASTER ROAD 210/104.D-0153-0000.0 - - - Y Phone: 978-632-2660 Fax. 978-632-2662 JAMES A. TRUDEAU Adjustment Service Inc. P.O.Box 7 Gardner,MA 01440 claim s6krudeauadi,com Notice of Casualty Loss of Building Under Massachusetts General Laws, Chapter 139, Section 3B September 15,2015 uilding Inspector 120 Main Street North Andover,MA 01845 Board of Health 120 Main Street North Andover,MA 01845 Fire Department Dept. of Records 124 Main Street North Andover,MA 01845 Insured: Richard & Linda Arndt Loss Location: 195 Lancaster Road,North Andover,MA 01845 Insurance Company: Preferred Mutual Insurance Co. Policy No.: PHOO100728737 Date of Loss: September 11,2015 File Number: 15-13838 Claim Number: 15122786 Type of Loss: Water Damage 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, Chapter 139, Section 3B" is appropriate, please direct it to the writer and include a reference to the captioned insured, location,policy number, date of loss,and file or claim number. Claim has been made involving loss, damage or destruction of the above-captioned property, which may exceed $5000. If any notice under Massachusetts General Laws, Chapter 175, Section 97A is appropriate, please direct it to the attention of this writer and include a reference to the above-captioned insured, location,policy number,date of loss and claim number. On this date, I cause copies of this notice to be sent to the person(s) named above at the address indicated by first class mail. Sincerely, Joshua M. Trudeau Claims Adjuster Phone: 978-632-2660 Fax. 978-632-2662 JAMES A. TRUDEAU Adjustment Service Inc. P.O.Box 7 Gardner,MA 01440 claimsAtrudeauadi.com Notice of Casualty Loss of Building Under Massachusetts General Laws, Chapter 139, Section 3B March 26,2015 JBuilding Inspector 120 Main Street North Andover,MA 01845 Board of Health 120 Main Street North Andover,MA 01845 Fire Department Dept. of Records 124 Main Street North Andover,MA 01845 Insured: Richard&Linda Arndt Loss Location: 195 Lancaster Road,North Andover,MA 01845 Insurance Company: Preferred Mutual Insurance Co. Policy No.: PHOO100728737 Date of Loss: March 25,2015 File Number: 15-13252 Claim Number: 15109810 Type of Loss: Ice Dam 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. j Gen. Laws, Chapter 139, Section 3B" is appropriate, please direct it to the writer and include a reference to the captioned insured, location,policy number,date of loss,and file or claim number. Claim has been made involving loss, damage or destruction of the above-captioned property, which may exceed $5000. If any notice under Massachusetts General Laws, Chapter 175, Section 97A is appropriate, please direct it to the attention of this writer and include a reference to the above-captioned insured, location,policy number,date of loss and claim number. On this date, I cause copies of this notice to be sent to the person(s) named above at the address indicated by first class mail. Sincerely, Joshua M.Trudeau Claims Adjuster Location / /C'/9S z { � No. Date 9 ' f NpRTq 1 TOWN OF NORTH ANDOVER . p Certificate of Occupancy $ I �� s . Building/Frame Permit Fee $ Foundation Permit Fee j'v$ �o u s�CHusE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ '� a Building Inspector 09120� 5 ?Z � s,04 PialI} TO Div. Public Works a• � I No. 3So Date p'7 Ste' ORTil - TOWN OF NORTH ANDOVER F �, Certificate of Occupancy $ Sv Q Building/Frame Permit Fee $ sACNUS t� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector " 809 p A Div. Public Works `t Location / � �O 47 No. i Date —� .r • 1 ' RTIy TOWN OF NORTH ANDOVER: 0 Certificate of Occupancy $ Building/Frame Permit Fee $ �'7b''••°''t�' Foundation Permit Fee $ Ss�CHU d+• Other Permit Fee $ 6�7 Sewer Connection Fee $ j� Water Connection Fee $ /0G>H g TOTAL $ j�� Building l Ispect r 6978 Div. R6blig4Vorks PEbi'll'T xo 3110 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. I�1`I►J PAS C 1 • Y MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE . c ZONE I SUB DIV. LOT NO. LOCATION /9�`' �a PURPOSE OF BUILDING OWNER'S NAME 0�4, s• NO. OF STORIES SIZ tf Q OWNER'S ADDRESS //J�SG BASEMENT OR SLAB Ie __ ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST o�.�J/O 2ND iQ� 3RD BUILDER'S NAME ' SPAN �1 v' �f i DISTANCE TO NEAREST BUILDING ? DIMENSIONS OF SILLS --- DISTANCE FROM STREET (� Q POSTS DISTANCE FROM LOT LINES-SIDES �J� REAR �QQ GIRDERS AREA OF LOT / FRONTAGE HEIGHT OF FOUNDATION 'dell f\ THICKNESS 16.0v IS BUILDING NEW /`✓`///�ii�-, SIZE OF FOOTING J� .r X C! IS BUILDING ADDITION(/]K•/ MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE 44*0 IS BUILDING CONNECTED TO TOWN WATER Gli�3 BOARD OF APPEALS ACTION. IF ANY y�p3YY" IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS x. c: ! FOR FOUNDATION ONLY 3 PROPER INFORMATION (REGULATED BY PARA 114.8-S. B.C. LAND COST SEE BOTH SIDES EST. BLDG. COST 4?, �7 o eo• PAGE 1 FILL OUT SECTIONS 1 - 3 DATE `� �_�� PAID /d0�'� EST. BLDG. COST PER ROOM EST. BLDG. COST PER SQ..'FT. V PAGE 2 FILL OUT SECTIONS 1 - 12 HERMIT FOR FRAME/BUILDING SEPTIC PERMIT .ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING - 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATI NS nT . . - .03Z • PLANS MUST BE FILED AND APPROVED BY BUILDING I�C FEE PAID DATE FILED BUILDING INiPECTOR SIG ATURE OF OW OR AUTH IZED AGENT • •= L? F E E OWNER TEL. e-4 o a 0 a-r-b PSN. � � J /��• W /J PERMIT GRANTED LESS�i�spy CONTR.TEL.N d'� + S el-r, 19 9� LES FNA od•O o WE FRAME PERMIT$ �-03.91 coNrR.LIC. . H.I.C.N SFP 7 1994 S~c- +3Loq.As -- * 4 k • BUILDING RECORD ` 1 OCCUPANCY 12 SINGLE FAMILY S Ok1ES 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 —I 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M TAREA _ 1/1 1/1 1/. FIN. ATTIC AREA _ N_O B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS 11 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARDI!J'D ASBESTOS SIDING _ COMIACN _ VERT, SIDING ASPH.TILE _ STUCCO ON MASONRY .0 4 .. .� . •. 1 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� POOR ADEQUATE NONE f r 5 ROOF 10 PLUMBING GABLE HIP 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 I 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. }°� 2211 TIMBER BMS. &COLS. STEAM 11AV STEEL BMS. & COLS. _ HOT W'T'R OR VAPOR ,. • 1 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 ty 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. I � ****************Applicant fills out this section***************** APPLICANT: �1 c/ Qt'6 6 y� '� S Phone �� 1 LOCATION: Assessor' s Map Number 6 Parcel 151Y II Subdivision Lots) G Street St. Number l� ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved Conservation A inistrator Date Rejected Comments Lill Q Date Approved Town Planner Date Rejected Comments Date Approved Food Inspect-0 -H. lth Date Rejected Date Approved Septic Inspector-Health Date Rejected Comments Public Works - sewer/water connections Z�4 _A4_�g - driveway permit Fire Department Received by Building Inspector D`at;e ' SEP 71994 1 PLAN OF LAND �N• 150. NO.ANDOVEI? SCALE 1�' 40' DATE!1-8-,93 SCOTT L. G/LES 4 �' L NO. ANDOVER, MA. L 0 T 47 44,544 S.F. IN Of ESaGE y �� o � y 13972 H CI$1EPE� NO{� E lAl�OS O� NOq-3 10 ce L _ '1`,,ti LL �M Rw. h \ 00. 0 Rs 3.0.00 Rpt► ,,f, C A LAN i 7 Town of : o r 4s over 0 11% No.340 �,, J, Tor '� dover, Mass., S'��' 1�' a y ' t• T/��A <OCMICHEwICK\_ CJ DRa ATED PP �CJ BOARD OF HEALTH Food/Kitchen as Septic System BUILDING INSPECTOR r. f �.�. Co ruSt oN 'THIS CERTIFIES THAT...................�.... •••••••••••• �.} l Foundation -��`� .has permission to erect......W...m ............... buildings on ...%.R.%....� .... Rough • Chimney PERMIT T D `. o be occupied as..... '— t�t'7�2 ch �l.ta(�r.'�.�. .'F�.��1- ..�....��.�ll~�!s.('t-...�!!� 3..Z�1.�...�.�.�. ..�� ...�!v. ey provided that the person accepting this permit shall in every respect confo 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, AlterfjfflA fidFWFb0 N ONL Buildings in the Town of North Andover. REGULATED BY PARA. 114.8-S. IC. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough jDATE q'�"S FEE PAID laaL PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR PERMIT FOR FRAMEkWWW& CONSTRUCTIO�l ,_ TARTS Rough • 4^+ Service DATE: FEE PAID.- ................................................................................................................ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough 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 PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. cFlAXP i1A►ATPP FINAL DRIVEWAY ENTRY PERMIT 4 CERT/F/ED FOUNDA TION PLAN LOCATED /N NO. ANDOVER MA. SCALE: /"= —:12DATE 2Z 94 Scott L. Giles R.L.S. 50 Deer Meadow Road North Andover,Mass. 1, OT 4T 44, 544 SF. LOT 22 a �Xj`5'T F A% v 1 11 J 4-5 133.43 - L. AWCASTER ROAD / CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE THE OFFSETS OF THE BU/L D/NG INSPECTOR ONLY oma' s 1 SHOWSE IS FOR THE N COMPLY AND SUCHT ON OFZONING NG W/TH THE ZONING DETERM/N 1 72 L AWS OF CONFORM/T Y OR NON-CONFORM/T Y spy"'Sm BY �t rano WHEN CONSTRUCTED. L-9-2 / WHEN BUIL T. LocationsZ-2 �17c�GsG / No. SD-C Date 2 „ORTp TOWN OF NORTH ANDOVER ' Q? •'� a OA } „ Certificate of Occupancy $ ` Building/Frame Permit Fee Foundation Permit Fee $ t s�cMus t Other Permit Fee0Y iw,#jq $ �5 Sewer Connection Fee $ Water Connection Fee $ TOTAL $ UK ¢ � Buildin flspector II/947t> :31i 25.00 pAIn 0 7552 Div. Public Works Or NORTN,y R KAREN H.P.NELSON a{ °n Town Of 120 Main Street, 01845 - Director •: NORTH ANDOVER (508) 682-6483 BUILDING CONSERVATION ssAC..9. DIVISION OF HEALTH PLANNING PLANNING & COMMUNITY DEVELOPMENT CHIMNEY APPLICATION AND PERMIT DATE ! q PERMIT #qV- C 1 LOCATION L �l ,�/ `J� 14 ,-"(J- OWNER'S 4 ,-"(: ,OWNER'S NAME ,a L v'i I BUILDER'S NAME MASON'S NAME k Lt+C1, A lr 1V( I /(V I - MASON'S ADDRESS MASON'S TELEPHONE b V J�(' MATERIAL OF CHIMNEY INTERIOR CHIMNEY ,_,(z- EXTERIOR CHIMNEY �T NUMBER AND SIZE OF FLUES THICKNESS OF HEARTH 10 Will chimney or fireplace conform to requirements of the code and have rules andd regulations been received: DATET SIGNATURE OF MASON `. �'� CONTR. LIC. # n� A� �. z EST. CONSTRUCTION COST/CONTRACT PRICE PERMIT GRANTED PC FEE ROBERT NICETTA, BUILDING INSPECTOR INSPECTED REMARKS SOLID BRICK REQUIRED THIS PERMIT MUST BE DISPLAYED ON THE PREMISES C ERTIFICATE OF USE & OCCUPANCY �p 3 'fAt, Building Permit Number 39D U994) Date TA LARV 27 995 THIS CERTIFIES THAT THE BUILDING LOCATED ON 195 LANCASTER ROAD (Lot #47) MAY BE OCCUPIED AS Single Family Dwelling w/3 car Garage IN ACCORDANCE WITH THE PROVIISIONS OF THE ONS AS MAY MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER RE CERTIFICATE ISSUED TO Alvin J. Maillet Construction escott Road, ADD 1SS ve Budding Inspec or -�idover Town of N'o' rt \ Ai No.-390 'Andover, Mass.,ass., Q ie 1994- BOARD OF HEALTH Food/Kitchen PERMIT TO BUILD Septic System * BUILDING INSPECTOR THIS CERTIFIES THAT................... .................................. . ...................................................... .. Foundation has has permission to erect......SO4 0................ buildings on ...19..S.... .....ay. �Eu:g� v C �1_ Coam— to be occupied as....s.lt*kke... provided that the person accepting this permit shall in every respect confo to the terms of the application on file in Final -2.1 this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alter i"AffI&OW"N ONL` *1I Buildings in the Town of North Andover. REGULATED By PARA. 114.8.S. E C. PLUMBING I1*+SPE TOR -le- U al,VIOLATION of the Zoning or Building Regulations Voids this Permit. 0�Pt �D I Tf 1 k I I-, DATE VIL FEE PAID 1I S J 0 NlON"111S ELECTRICAL INSPECTO� -'PERMIT FOR FRAME/BUILDING S Rougesc Service ELECTRICAL LIN PE C To ................................................................................................................. BUILDING INSPECTOR DATE: -FEE PAID-- Final 7 0 y 'erl mL Ik) I -vpy R.'Idding GAS INSP�EOR oug Display in a Conspicuous Place on the Premises — Do Not Remove J�7 M No Lathing or Dry Wall To Be Done -A �A TNEN-F j Until Inspected and Approved by the Building Inspect r FIRE EP R 1F-n er Burn kMct� treet No. PLANNINGY-AC- FINAL CONSERVATION Ao��, keDet. SEWER/WATER- FINAL DRIVEW ENTRY PERMIT 0 \y V � AY 4 -X> 'Al )n<e2 �1 f a