HomeMy WebLinkAboutMiscellaneous - 2155 TURNPIKE STREET 4/30/2018® MAPFRE The Commerce Insurance Company""
Citation Insurance Company5m
Commerce"
Gore Road, Webster, Massachusetts 01570
INSURANCE- 508.949.1500 www.commerceinsurance.com
May 12, 2015
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
N ANDOVER MA 01845
RE: Our Insured:...MICHAEL CONWELL / CAROL CASEY-CONWELL
Property Address: 2155 TURNPIKE ST
Policyk PN4917
Date of Loss: 02/25/2015
File#: KHYR70-HWNTP9
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable.
If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate,
please direct it to my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
REBECCA MCGOVERN THERRIEN Telephone: (508)949-1500 Ext: 15189
Sr Claim Representative, Property Toll Free: 1-800-221-1605, Ext: 15189
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail. - - - .
May 12, 2015
CIC 254 (Rev. 4/95) MAIL M33
® MAPFRE The Commerce Insurance Company SM
Citation Insurance Company -m
Commerce"
Gore Road, Webster, Massachusetts 01570
INSURANCE- 508.949.15001 www.commerceinsurance.com
August 05, 2014
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
NORTH ANDOVER MA 01845
RE: Our Insured: MICHAEL CONWELL / CAROL CASE Y-CONWELL
Property Address: 2155 TURNPIKE ST
Policy#: PN4917
Date of Loss: 07/25/2014
Filek JKAK83-CXKAH3
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143,
Section 6 to be applicable.
If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate,
please direct it to my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
LISA LEAHY Telephone: (508)949-1500 Ext: 15846
Sr Claim Representative, Property Toll Free: 1-800-221-1605, Ext: 15846
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail.
Water damage in basement
August 05, 2014
CIC 254 (Rev. 4/95) MAIL 788
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or
Inspector of Buildings
1600 Osgood Street
North Andover, MA 01845
RE: Insured: Michael Conwell & Carol Casey -Conwell
Property Address: 2155 Turnpike Street
Policy Number: PN4917
Date/Cause of Loss: 3/22/2012, Water Damage
File or Claim Number: 26136-R
Claim has been made involving loss, damage or destruction of the above captioned property,
which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER
143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS,
CHAPTER 139, SECTION 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.
Ryan Werner
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.
Signauffre and Date
ANDERSON ADJUPTMENT CO., INC.
50 Nashua R ad, Suite 303
POR x 1098
Londonderry, NH 03053
•'r`` vzvtv+- rFryw:;ir7.i..'er �.G�-:->^�a' +("-'�N`+•."' - _ r _
l)i2.1�i� Y ljcC.�
..Location
Nor
Date
4, ,•
3
`t°RT" TOWN OF NORTH ANDOVER
p Certificate of Occupancy $
,' Building/Frame Permit Fee $ _3 SM
Foundation
Permit Fee $ a.
0 tier Permit Fee $
Sewer Connection Fee $
t Water Connection Fee $ s'
TOTAL
Building Inspector
f
f Div. Public Works
Location tS� ` UQ�.lt�i Kms. Q�
f
No Date la q9-
-
N
OORT..
o« _TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Fran Permit Fee $
SsAc►+uSEt Foundation Permit Fee $
`� Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
�� T I VUeI
Building Inspector
Div. Public Works
PERMIT NO
5? -g- APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP 4-40.
lo$G
LOT NO.
5 I _ Af�CEt- 6
2 RECORD OF OWNERSHIP DATE
BOOK :PAGE
ZONE
SUB DIV. LOT NO. ' A
—
LOCATION
Utz pp ly' ty__(k.-fl_'
PURPOSE OF BUILDING
s � nlC� Lt; F R HI.t_y
OWNER'S NAME d PxN P Li -R a t;lV TI l— l
NO. OF STORIES SIZE .21 , X 3 L( s„
�1
—
OWNER'S ADDRESS
- 114 RlJls RI-Zi8R1STO�DoLt.ry`2fl-Des-ARh/tellA
BASEMENT OR SLAB
6� n r�s(:FA/ r G42
ARCHITECT'S NAME ,V/lg
C.ANIYp1}
SIZE OF FLOOR TIMBERS 1STa x 2ND x x 3RD
BUILDER'S NAME I i' PRa IC, R l.: P /' CNT 1 L 1
I '` Il
SPAN
IG' o.0
DISTANCE TO NEAREST BUILDING /'il ) +
.,
DIMENSIONS OF SILLS D_
DISTANCE FROM STREET ] o& 1�
"' POSTS 8/ R V L C.O L V KA/ S
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DISTANCE FROM LOT LINES - SIDES ] �� REAR
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-9,((o
AREA OF LOT LII 7 / Fr FRONTAGE
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/" TV.r, THICKNESS /01%
HEIGHT OF FOUNDATION -716"
IS BUILDING NEW yt? S
SIZE OF FOOTING I1 -71y GX
IS BUILDING ADDITION/
MATERIAL OF CHIMNEY ,V ,j//+ Powe--'p,jj 6',t/�
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE �/�
Y
IS BUILDING CONNECTED TO TOWN WATER /V13
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER Alo
IS BUILDING CONNECTED TO NATURAL GAS LINE ^/ (-) .
INSTRUCTIONS PERM FOTO FOUNDATION ONLY 3 PROPERTY INFORMATION
REGULATED BY PARA. 114.8-S. B.C. LAND COST '5010(-)o
SEE BOTH SIDES EST. BLDG. COST 132,
0 O
PAGE 1 FILL OUT SECTIONS 1 - 3
.���� Or EST. BLDG. COST PER SQ. FT. 0 .e 0 O
DATEdio—FEEPAID 0 EST. BLDG. COST PER ROOM 000 -.�PAGE 2 FILL OUT SECTIONS i - 121 -
d
SEPTIC PERMIT NO.
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGUL'PiIT FOR FRAME/BUILDING
i
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
ED DATE: -L FEE PAID:
s
c S%GNATURE OF OWNER OR *OTHORIZED AGENT
FIE E
PERMIT GRANTED
W 19
OWNER, TEL. # t- 51 - 3Z
CONTR. TEL. #- 6 5 5 x,40
C NTP. LfC. #--o 5-9
OCTmm pum Fa
LIM IN IFEE Cc
2 5 1994
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BU'ILNWIG RECORD -
1 OCCUPANCY 12
c
SINGLE FAMILY I I 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 —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
AREA FULL FIN, B M AREA _
1/1 1/2 ', FIN. ATTIC AREA
N_O B M T
HEAD ROOM
4 WALLS
FIRE PLACES
MODERN KITCHEN
_
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CLAPBOARDS
STEEL BMS. & COLS.
B
1
2
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DROP SIDING
_
CONCRETE
WOOD SHINGLES
UNIT HEATERS
EARTH
ASPHALT SIDING
B'M'T 2nd
HARD"✓ D
ASBESTOS SIDING
NO HEATING
COMIdC;N
VERT. SIDING
ASPH. TILESTUCCO
ON RY
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STRS. & FLOOR
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR POOR
ADEQUATE
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
GAMBREL
FLAT
HIP
MANSARD
BATH (3 FIX.)
TOILET RM. 12 FIX.)
_
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
F R
WOOD JOIST
PIP_LESS FU NR
FORCED HOT Al
TIMBER BMS. & COLS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR
WOOD RAFTERS
_
AIR CONDITION
_
RADIANT H'T'G
7 NO. OF ROOMS
UNIT HEATERS
GAS
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CERTIFIED FOUNDA TION PLAN
LOCATED /N NO. ANDOVER. MA
SCALE: /". _40" DATE: 11116194
Scott L. Gi/es R. L. S.
50 Deer Meadow Road
North Andover, Mass.
o�
-LOT /•A
r� 54,376 S.F.
34'
EXISTI/ 5
\DR/VE- ,a2,4s 30.5
WA Y
EASME
/06' n�
. 00'
/50.00' TURNPIKE S TREE T
(RTE: //4)
II
/
CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE
THE OFFSETS OF THE SU/L DING INSPECTOR ONLY
SHOWN COMPLY AND SUCH USE /S FOR THE
WITH THE ZONING DETERM/NATION OF ZONING
SY LAWS OF CONFORMITY OR NON -CONFORMITY
AO.ANDO VER , MA. WHEN CONSTRUCTED. dot LA1014 g``¢
WHEN BUIL r. 94
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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_
****************Applicant fills out this section*****************
APPLI CANT : 1 '(? P t O i'� 6,. A/) 1 L
LOCATION:
Assessor's
Subdivision -
Map Number
J 4
Street --A/T,�-A . >V
RECOMMENDATIONS OF TOWN AGENTS:
Conservation Administrator
Comments
YX..b W&Kv 0
Town Planner
Comments
Food Inspector -Health
Septic Inspector -health
Comments
/OFC
Phone C3 S�Z_ $�Irl0
Parcel �^
Lot (s)
St. Number Z S S
Use Only************************
Date Approved 41xq_
Date Rejected
Date Approved a Q
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works - sewer/water connections N4 5?�'✓
- driveway permi LSj(/2
Fire Department
Received by Building Inspector Date
r
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_
****************Applicant fills out this section*****************
APPLI CANT : 1 '(? P t O i'� 6,. A/) 1 L
LOCATION:
Assessor's
Subdivision -
Map Number
J 4
Street --A/T,�-A . >V
RECOMMENDATIONS OF TOWN AGENTS:
Conservation Administrator
Comments
YX..b W&Kv 0
Town Planner
Comments
Food Inspector -Health
Septic Inspector -health
Comments
/OFC
Phone C3 S�Z_ $�Irl0
Parcel �^
Lot (s)
St. Number Z S S
Use Only************************
Date Approved 41xq_
Date Rejected
Date Approved a Q
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Public Works - sewer/water connections N4 5?�'✓
- driveway permi LSj(/2
Fire Department
Received by Building Inspector Date
William F. Weld Argeo Paul Cellucci James J. Kerasiotes Laurinda T. Bedingfield
LTJ Governor Lieutenant Governor Secretary Commissioner
November 3, 1994
Robert Nicetta
Building Inspector
Town of No. Andover
120 Main Street
No. Andover, Ma. 01845
Dear Sir:
I am writing this letter to -you _in order to verify that a driveway
approach on<Route_114__(Turnpike_Street)-between stations 236+ 53
and 236+83 at the southerly location line was approved in
accordance with a permit issued on April 4, 1991.
If you should need any further information, please feel free to
call our Permits Section at 617 648-6100 ext. 435.
Sincerely,
Sherman Eidelman, P.E.
District Highway Director
WJD/wjd
cc: File
P-Pergeritil-i
NOV - 91994
Massachusetts Highway Department • District 4.519 Appleton St., Arlington, MA 02174 • (617) 648-6100
a
N'
COMMONWEALTH
OF
MASSACHUSETTS
EXPIRATION DATE 12
RESTRICTIONS
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ENT OF PUBLIC SAFM
16.10 OMMONWEALTAAVE.
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BOSTON, MA 02216
. T':c
EFFECTIVE DATE LIC_
LIC -NO.
7 ... . ... ...
PHOTO (BLASTING OPR ONLY) FEE:
L
NOT VALID UNf4L SIGNED BY Ll-ENSEE
HEIGHT:
AND 011IC,%—,,
STAMPED - OR - S!dNATURE OF THE
DOB:
THIS DOCUMENT
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CARRI�ONTHE=P E
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THIS DOCUMENT J_` CARRIEDON THER
THE HOLDER W
OTHERS_- RIGHT THUMB PRINT GAGEDIN THISOCci ' i
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NGT VALID UNTIL S'GNED BY UCENSEE.AND OFFICIALLY
STAMPED - OR -t,+..
SIGNATURE OF THE COMA115SIOIJFR
SIGN� 9r
RE Of
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DRIVERI S LICENSE
013462266 " 01—f#12 '
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PIERRO� LI
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."
1010 COMMONWEALTH AVE..
BOSTON, MA 02215
i -
a '"
i
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EXPIRATION DATE
RESTRICTIONS''
? EFFECTIVE DATE LIC -NO.
PHOTO (BLASTING ORR ONLY) FEE:
HEIGHT:
DOB:
THIS DOCUMENT J_` CARRIEDON THER
THE HOLDER W
OTHERS_- RIGHT THUMB PRINT GAGEDIN THISOCci ' i
1,
NGT VALID UNTIL S'GNED BY UCENSEE.AND OFFICIALLY
STAMPED - OR -t,+..
SIGNATURE OF THE COMA115SIOIJFR
SIGN� 9r
RE Of
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DRIVERI S LICENSE
013462266 " 01—f#12 '
'81-12-37 M
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PIERRO� LI
84 SHAWSHEEN AVE .
MILMINBTON MIA
01887-2631
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i, a
Right Linder
Your Own Property!
POWER SUPPLY
FUSED DISCONNECT 1
SWITCH
CONTROL BOX
PRESSURE
TANK \
-ii-
PRESSURE
— TO SER
PRESSURE RELIEF
VALVE
PRESSURE SWITCH
prez
WIRING
TO PUMP
DROP
PIPE
PRESSURE /
G
SUMERSIBL
PUMP
WELL SEAL
CAP COVER
r
WELL CASING
r�
UNDERGROUND
DISCHARGE
COUPLING
(PITILESS
ADAPTER)
SUBMERSIBLt
CABLE
(TAPED TO
DROP PIPE)
CHECK VALVE
/ Y Y 244A Haven Street, Reading, MA 01867
T (A Division Of Avellino General Contractors, Inc.)
Y .,
(617) 944-5454
CALL TODAY FOR A F RE E, NO OBLIGATION CONSULTATION
1
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OGT -18-1994 11.,26 gIomI PIN P.01
i
&iPli.F. .0• $QX i1b3, G4 U ' A. MASS, 01931-1153
pMQNI : (5Q$) 28110292 FAX; (508) ZR�ii4
V014F COTE • 8.F ` "OLY S I S
4V'9L�Li }1NGV.l NN $ `.RP�T.N�,:
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8
OCTOBER 18. 199.4
hiADIHN0g
MA blow]
Ira fl 4URLITY flNll�k$IS
, giaoitlea: Now.Well, 105 tsj t ds6p, located at 910 Turnpike $Yoert, N. Andovef, MA.
:mpl t
No 11 by Angelp Clano on $aptember 29, 1984.
(continued)
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N M
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING
(Print or Type)
' NORTH ANDOVER , Mass. Date lc�k 1-?
P�
4uilding Location ;�15 � TV1�✓� Permit #1673
Owners Name 1Day\ P)ap.Ef-7ffi`v-,
• New '-D--"Renovation D Replacement Plans Submitted D
FIXTITRPz
0
(Print or Type)
Check one: Certificate
Installing Company Name
AFTC Z )CAbie- Q(,-& `A 4T-6
0 Corp.
Address %�� A te)
5-11-
Partner.
'�o KsbuN
[Firm / Co.
Business Telephone: SfjI-s
14!2 -
Name of Licensed Plumber or Gas Fitter s?, C:, -
Insurance Covera e: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy
Other type of indemnity
Q Bond
Insurance Waiver: I, the
undersigned, have been made
aware that the licensee of
this application does not
have any one of the above three insurance coverages.
MEEMEEM
OEM
(Print or Type)
Check one: Certificate
Installing Company Name
AFTC Z )CAbie- Q(,-& `A 4T-6
0 Corp.
Address %�� A te)
5-11-
Partner.
'�o KsbuN
[Firm / Co.
Business Telephone: SfjI-s
14!2 -
Name of Licensed Plumber or Gas Fitter s?, C:, -
Insurance Covera e: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy
Other type of indemnity
Q Bond
Insurance Waiver: I, the
undersigned, have been made
aware that the licensee of
this application does not
have any one of the above three insurance coverages.
Signature of owner/agent of property Owner 17 Agent El
1 heteby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations performed under' Permit iuued fo: this application will -be in oompliance with all pertinent
provisions of the Massachusetts Slate Cas Code and C4aptet 14I of tho General laws.
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYom
PE LICENSE:
lutrtber
Pa fitter Signature of Licensed
aster Plumber or.Gasfitter
Journeyman t !2-D 7 91,
License Number
Date ............ F .. ! ... .
rz
1673
ci
so
HO DT
TOWN OF NORTH ANDOVER. 8
cF a �tia
PERMIT FOR GAS INSTALLATION
X.
,SSACHUSES
M
/�.
q
This certifies that .
_�
.... ! ....
. .�. ,l,
has permission for gas installation �. �.
.....
in the buildings of ...'':.�:.. . !.. ..�.r
at
..............
.....s'.....f. , North Andover, Mass,
Fee.'��)..`�' Lic. No..(,.........
..........................
�f
�t
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File