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Home My WebLink AboutMiscellaneous - 254 LACY STREET 4/30/2018 (2)dr r,Li mutu *ber - al. r • y March 10, 2015 Town of North Andover Attn: Building Inspector 120 Main Street North Andover, MA 01845 Liberty Mutual Insurance New England Region Central Property Unit 75 Sylvan Street Danvers, MA 01923 Tel: (800)566-0323 Re: Property Address: 254 Lacy St, North Andover, Ma 01845 Policy Number: H3221811707912 Underwriting Company: Liberty Mutual Fire Insurance Company Claim Number: 031463414-0001 Date of Loss: 2/11/2015 Attn: Town/City Official Pursuant to M.G.L. c. 139, � 313, please be aware that a homeowners insurance claim has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, 5 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect a lien pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, 5 9, or Mass. General Laws, Ch. 111, § 127B. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address, policy number, claim number, and date of loss. Sincerely, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 PERMIT NO. S APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE 1 MAP NO. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE - ZONE SUB DIV. LOT NO. I LOCATION — t'•- / PURPOSE OF BUILDING OWNER'S NAME f� (� NO. OF STORIES SIZE 6 l fi /�IV OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST ND 3RD BUILDER'S NAME Or^ jl _ - D , LL [Ts.9� SPAN /G DISTANCE TO NEAREST BUILDING �1 ^�• DIMENSIONS OF SILLS O.3 DISTANCE FROM STREETA& --- POSTS a 1� �a(t� n •7, DISTANCE FROM LOT LINES - SIDES(( , REAR A& AREA OF LOT FRONTAGE GIRDERS 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 SEE BOTH SIDES PAGE 1 FILL OUT SECTIONS 1 - 3 PAGE 2 FILL OUT SECTIONS 1 - 12 ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS, PLANS MUST BE FILED AND APPROVED BY BUILDING I PECTOR DATE FILE L% SIGNATURE OF OWNER OR AUTHORIZED AGE F E E PERMIT GRANTED I 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST Q EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF SELECTMEN BUILDING INSPECTOR - S3anlXld Na300W ONIIV3H ON _ I Pic I 1s l P"L 1.W,9 _ DISID313 SOOl3 110 SWOOm d0 "ON L NNIS N3HD11N SV'J S631V3H 11Nn S3ONIHS DOOM .l8O1VAV1 O.I.H 1NVIOVa ONINOI11(IN0:) aIV aOdVA ao a.1.M IOH _ S8313V6 OOOM slO 7 'SW9 1331S 13SOID a31VM WV31S 03HS 'Slob B 'SW9 a39Wll _ 'Nand aIV IOH 03Ja03 3JVNNn3 SS313did ONIOIS 11VHdSV 1^Slot DOOM _ ONIMH L l I ONIWVmd 9 ONIHIM _I S3anlXld Na300W JNHUUa Ilea _ a3MOHS llV1S ONiawnld ON SOOl3 13AV80 9 aVl 31VIS _ NNIS N3HD11N k8NOSVW NO NDIN9 S3ONIHS DOOM .l8O1VAV1 3111 'HdSV NOVJWOD S910NIHS 1lVHdSV 3WV83 NO O»n1S 13SOID a31VM ANNOSVW NO O»n1S ONIOIS '143A 03HS 1Vl4 13a9WVJ 319VO _ 1'X13 LI Wa 131101 ONIOIS 11VHdSV OaVSNVW _ 'X13 EI H1V9 11 dIH ON19Wflld OI doom 5 �I 3aO sloold 6 II S71VM y good I M 3d3dns N3HD11N Na3(GI0W II 3WVN3 NO 3NO1S ONIHIM _I 3WVa3 NO N71a9 SOOl3 '8 Sb1S DMV k8NOSVW NO NDIN9 —� _E__ e I jjj"'��y — 8 3111 'HdSV NOVJWOD 3WV83 NO O»n1S ANNOSVW NO O»n1S ONIOIS '143A ONIOIS SO1S39SV O.Pi\Oa VH ONIOIS 11VHdSV HAV3 S310NIHS DOOM Oaj 313aDN0D SMVO9dNMIS sloold 6 II S71VM y —I N3HD11N Na3(GI0W II wood OV3H 1 VI" .1.W.9 'NH 11 1 llll3 VdaV 1N3W3SV9 £ N13Nn nvM na0 a3lSvld Sa31d _ (J.MOaVH 3NO1S do ND1N9 3NId 'N.19 313aDN0:) E Z I 9 313dDN0:) HSINId 1101HUNI 8 NOUVONnoa Z N0I1Df1 MISNO0 NV1d 1O1d S30V-Id3EI SIHI 'a3SOdWIH3df1S '013 'S3DVH S1N3Wlavdv -VE) 'S3HDLI0d H11M 'S9NIa'71f18 =10 SNOISN3WIa 1DVX3 CNV S3NI'1 10'1 kiiwv3 'mnw WOMA 3DNV1SIa CNV 107JOSNOISN3WIa 1DVX3 MOHS1Sf1W NO1133S SIHI s31ao!S kIIWV3 31!JNIS Z I ADN Vdf1DD0 I 010338 JNlalln9