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Home My WebLink AboutMiscellaneous - 20 HAROLD STREET 4/30/2018 _ 20 HAROLD STREET '210/015.0-0041-0000.0 1 I I I f i �I k i �� . i ENCOMPASS® I N s U R A N c E encompassinsurance.com Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws.Ch, 139.Sec.3D TO: Building Commissioner or Board of Health or Qm Inspector of Buildings Board of Selectmen CITY/TOWN HALL: ADDRESS: CITY/TOWN/ZIP CODE: RE: INSURED: David Licciardi PROPERTY ADDRESS: 20 Harold St N Andover, MA 01845 POLICY NO.: US 281203967 DATE OF LOSS: 01/30/2011 CLAIM NUMBER: CH041572 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 3D is appropriate, please direct it to the attention of the undersigned and include a reference to the captioned insured, location, policy number, date of loss and claim number. TITLE: Claims Representative 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 AND DATE: Picot CatastropFie Sen ces, 3/24/2011 �� ,�� e.�' �` i /�J1//' 1 q/fi//f�J"Ti�. G� ./v i��;�%try� / ��'�' 1�� j% ENCOMPASS® INSURANCE encompassinsurance.com RECEIVED Form of Notice of Casualty Loss to Building APR 13 2010 Under Mass.Gen.Laws.Ch, 139.Sec.3D BOARD OF HEALTH TO: Board of Health or Board of Selectmen RECEIVED JUN Andover Health Department 36 Bartlet Street TOWN OF NORTH ANDOVER Andover, MA 01810 HEALTH DEPARTMENT RE: INSURED: David Licciardi PROPERTY ADDRESS: 20 Harold St N Andover, MA 01845 POLICY NO.: US 281203967 DATE OF LOSS: 02/25/2010 CLAIM NUMBER: CH037081 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 3D is appropriate, please direct it to the attention of the undersigned and include a reference to the captioned insured, location, policy number, date of loss and claim number. TITLE: Claims Representative 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 AND DATE: Encompass Insurance, 4/7/2010 ';' ENCOMPASS. N S U R A N C E encompassinsurance.com Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws.Ch, 139.Sec.3D T0: Board of Health or Board of Selectmen North Andover Health Dept RECEIVED 120 Main Street North Andover, MA 01845 DEC 2 9 2008 TOWN OF NORTH ANDOVER RE: INSURED: David Licciardi HEALTH DEPARTMENT PROPERTY ADDRESS: 20 Harold St N Andover, MA 01845 POLICY NO.: US 281203967 DATE OF LOSS: 12/13/2008 CLAIM NUMBER: Z6056879 Claim has been made involving loss, damage or destruction of the above-captioned property which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143 Section 6 to be applicable. If any notice under Mass. Gen. Laws, Chapter 139, Section 3D is appropriate, please direct it to the attention of the undersigned and include a reference to the captioned insured, location, policy number, date of loss and claim number. TITLE: Claims Representative On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. SIGNATURE AND DATE: (Picot Catastrophe Services, 12/16/2008 Date`{. .�,/•�� ... .. f ,�ORTF/ pF ,.to 1tip 3� TOWN OF NORTH ANDOVER O P � tX PERMIT FOR ,GAS INSTALLATION SACNU5Et This certifies that . . . . . . . . . . . . . has permission for gas installation . . . . . . . . in the buildings of dp.�. . . . . . . . . . . . . . . . . . . . . . . . . . . . at . .2.o. ,, /t� , North Andover, Mass. Fee . . . . . . Lic. No— Y ! �.�''• . . . . . . GAS INSPECTOR Check# 3 1 6276 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) (� NLS/STN PO UJC�l , Mass. Date �Z /3 �DU`j Permit# 7G Building Location_ <- �A> D z:0 Owner's Name &W O L ICLI A�Q 1 TN A 090 VG/Z . Type of OccupancykfS/DD,U7/OL -$//VGL New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No ❑ W N W N `� Y Z Q � U) 0 0 W J N W 0 U a M N N a W O 4 N tl W a = z ~ N O. > W N W 2 V W N cc W a a cc Wp. c _ tl H Uj ZJ f- Z W tl 0 > W 1- V J H W Z a W a C H y. N m Z O Z a Wtl Y u 3 C tl J a 0> W V > aao: '= O p z , O SUB--BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RDFLOOR _ 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET �O Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone q 71B-.68.7-1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: have acu rent liability insurance sa rce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. No El If you have checked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy N( Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's agent , Owner❑ Agent [I I hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and accur to to the best of my knowledge and that all plumbing work and installations performed under the permit iss f r this application will n mpiianoe with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. (/ T e of License: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 374"5 City/Town Journeyman APPROVEff O IC SF O BELOW FOR OFFICE USE ONLY 1 FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO;DO GASFITTING c ' NAMES TYPE OF BUILDING LOCATION OF BUILDING_ PLUMBER OR GASFITTER LIC. NO. I PERMIT GRANTED DATE X19 i GA13 INSPECTOR Location iv - No. Date rORTF� TOWN OF NORTH ANDOVER Certificate of Occupancy $ * +' Building/Frame Permit Fee $ Foundation Permit Fee $ C- Other e��- . $ `/,5 S la .rte Sewer Connection Fee $ "Suer Connection Fee $ __--------- cj ' TOTAL $ v ` J � x� Building Inspector ( 6606 ` -- Div. Public Works AR' -mrr No. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP 4-40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO. LOCATION PURPOSE OF BUILDING OWNER'S NAME NO. OF STORIES SIZE OWNER'S ADDRESS f.A,� BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME 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 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 mla PAGE 1 FILL OUT SECTIONS I - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 1 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY i ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH 04"ATURE OF OWN`` OR AU H IZED AGENT FEE �Y�. 0 PERMIT GRANTED O4"A!ER TEL.# PLANNING BOARD 19 COVR,TEL. # _ CONTR. L'C. #_ BOARD OF SELECTMEN L y cul INa INSPECTOR c —► 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 RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION _ 8 INTERIOR FINISH CONCRETE 3 t 2 13 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY VJALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B'M'T AREA _ '/4 1/2 1/1 FIN, ATTIC AREA _ N_O 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE I_ WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING _ COMMON 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 I WIRING STONE ON FRAME _ q SUPERIOR I-I POOR _ 1-'ADEQUATE NONE 5 ROOF 10 PLUMBING J GABLE I HIP BATH Q FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT I 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 LS BsA T ELECTRIC 13 d I NOHEATING r AORTH Tovwvn of a over 0 .N 4 ns v. A o L=A E dover, Mass., 66 ,C S/ 19 ,r A- COCHICMEWICK V 7 '7A �RArED PP � BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT............� . . .......4f*Cr140.AV.............................................................. Foundation has permission to erect...49AX ...... buildin s on .... #....110040A.0...f.�...... .................. Rough to be occupied as....R� .�.. �� .# .v.. ... ......ro. . ............................ Chimney lic.al./. �. *4 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 EXPIRES IN 6 MONTHS Final ELECTRICAL INSPECTOR UNLESS CONSTRUCTION STARTS Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occltpy 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 PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT