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Home My WebLink AboutMiscellaneous - 284 HILLSIDE ROAD 4/30/2018LU 2 C/) 6 ui CN 60 m Claim # 5503283 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health C'.-/ Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA 01845 Re: Insured: Mamta Lohia Property address: 284 Hillside Rd. North Andover, MA 01845 Policy #: 5503283 Loss of: 2014/01/05 File or Claim No. AD 9907 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, -Ch. -139 -Sec. -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. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 01-08-14 4i��ature anJ-. date�'�i-- Claim # 5503283 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner V/ Board of Health or Inspector of Buildings Board of Selectmen Town Hall- Town Hall North Andover, MA 01845 North Andover, MA 01845 Re: Insured: --Mamta Lohia Property address: 284 Hillside Rd. North Andover, MA 01845 Policy #: 5503283 Loss of: 2014/01/05 File or Claim No. AD 9907 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, - Ch. - 139 -Sec. -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. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 01-08-14 4i*iature anl-. dat&*�. Tl 2710 Date ...... 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHUS r.e . .......... L -4 -f -c . ......................... This certifies that ..... ... .... has permission to perform ...... /V:f..w ..... &qzzz:� ........ '1� ....................... wiring in the building of ........... ....... at .... L6 t S' 1-�JIKJLA I J'E .......................... . ..:I ....................... . North Andover, Mass. Fee..CIA:A) .. Lic. No..1.197.)) ............... i�E—C—T' R*I*C* A**L* *1' N**S* P**E*C"T' 0**R" * — * " * .... *'*** C k �Jq"'-50 216-00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File a office Use Only 01 4t Tommumfult4 of Ausar4ustfts Permit No. -71d lgepmtntnt of Vublir *afrtij Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12: U/1 00 3/90 peave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date flfbo 6 %* or Town of NORTH ANDOVER To the indpect for oi Wires: The udersigned applies for a permit to QaLform the electrical work described belowjor Location (Street & Number) I -OT- Y 12.,1- �� Owner or Tenant 1 _(Wa Owner's Address Is this permit in conjunction with a building permit: Yes (Check Appropriate Box) �_In_ 1 0. S—W 3 1-/ Puroose of Building rdle -,,e /Z Utility Authorization N Existing Service — Amps —Volts Overhead El U dgrnd F7 No. of Meters New Service 9OC2 Amps 0-0 1 R:' -Id Volts Overhead ��Uncdgrnd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Me Total No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Swimming Pool Above In- — Generators KVA No. of Lighting Fixtures I qrnd. 1:1 gmd. F—" No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Seit Contained Detection/Sounding Devices Local Municipal Ei Other 117— Connection No. of Ranges Total No. of Air Cond. tons No. of Discosals No.of Heat Total —iota! Pumps Tons KW No. of Dishwashers Scace/Area Heating KW No. of Orvers Heating Devices KW No. of Water Heaters KW No. of No. of Signs Ballasts Low Voltage Wiring No. Hyaro massage Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to trie reouiremenils ot Massachusetts general Laws ing C.m. >i I have a current Liability Insurance Policy inciuci ro, 4d Operations Coverage or its substantial equivalent. YES NO I have submitted valid e�pof of a .. e to the Office. YES — NO = If you have checked YES. please indicate the type of coverage by checking the ap ate box. INSURANCE __.;_�BONO -_- OTHER Z (Please Specify) (Expiration Date) Estimated Value of E!ectricai Work S Work to Start 2Q Iq �r_ inspection Date Reauested: Rough Final Signed under the 6nal(ies of perjury: '�_# '/ LIC. NO. FIRM NAME r�' 70 Licensee /"14j�f)Z L-4LWYe", Signature _LIC. NO. Bus. Tel. No. I'll & 1) C4 '71 "..9 Address /Z- f r f2J /Y)� �1 * _ Alt. Tel. NO. OWNER*S INSURANCE WAIVER: I am aware that the Ucensee does not have the insurance coverage or its substantial equivalent as re- quirea by Massachusetts General Laws. and that my signature on this permit application waives this requirement. Owner Agent (Please check one) a Telephone No. PERK 41 *) (Signature of Owner or Agent) X-65,65 Location 2 �94. LUSI Q1F- P No. Date A 9111- 1 n 8874 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL 60 $ Building Inspector Div. Public Works Location 2. B!1: �k L" (0 rr- 9:�, No. r--, 0 1 Date (.0+9 &OR ol 0 i TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Bev CHU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ ?,C) Building Inspector /16/95 14:37 150. 00 PAID 8873 Div. Public Works Location No. Date 957 OR, TOWN OF NORTH ANDOVER 0 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ CHU Other Permit Fee $ Sewer Connection Fee s zzw'o Water Connection Fee s Zo77, 5 TOTAL $ 7 C3-1 -7. \-z nspector 00 ZQQM 14:36 1,000. / / ) Wvfl- 7 45" 8 9 4.1 Di�.)R'Ublic Wollk�-s-' PER11IT NO. sb t t MAP 440. 4 - APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 INSTRUCTIONS SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY PAGE I FILL OUT SECTIONS 1 3 REGULATED BY PARA. 114.8-S. B.C. PAGE 2 FILL OUT SECTIONS 1 12 DATE 16 � LO 12CFEE PAID -Lq� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING I ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED I-,-- I SIGNATURE FE E v lw�l (o � Sb c IZED AGENT DA PERMIT FOR FRAMUBUILDING PERMIT GRANTED t 19 FEE PAID --- OCT 2 — 10 rcs $ CL I aLm Pow MIL LW FDA fEr. - . . Lbo - DIN fRAME KRMIT 3 PROPERTY INFORMATION LAND COST o ocq o EST. BLDG. COST (3 6 U45V EST. BLDG. COST PER SQ. FT. X'q EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY NUILDING OWNER TEL. # " cj CONTR. TEL. # F 7 - / / ---2 9 CONTR. LIC. # 65-03cI9 H.I.C. # 05-,931 za LOT NO. Cl � 12 RECORD OF OWNERSHIP IDATE BOOK ;PAGE ZON E SUB DIV. LOT NO. C� I ( 7, 1 0:?� Z) I r LOCATIONZS4_, — PURPOSE OF BUILDING te OWNER'S NAME NO. OF STORIES *fZE a OWNER'S ADDRESS7S,3,, _nj 04 ARCHITECT*S NAME '1 ke ��t /� 'a ;� BASEMENT OR SLAB Y 2��&XUV z SIZE OF FLOOR TIMBERS IST a jo 2ND 3RD BUILDER'S NAME SPAN DIMENSIONS OF SILLS "(-4 n< POSTS DISTANCE TO NEAREST BUILDING DISTANCE FROM STREET DISTANCE FROM LOT LINES SIDES REAR 15- GIRDERS -5-""< AREA OF LOT FRONTAGE 7 ti� HEIGHT OF FOUNDATION THICKNESS /Oil IS BUILDING NEW SIZE OF FOOTING x IS BUILDING ADDITION MATER:AL OF CHIMNEY -AZ IS BUILDING ALTERATION IS BUILDING ON4� �LIR 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 s IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY PAGE I FILL OUT SECTIONS 1 3 REGULATED BY PARA. 114.8-S. B.C. PAGE 2 FILL OUT SECTIONS 1 12 DATE 16 � LO 12CFEE PAID -Lq� ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING I ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED I-,-- I SIGNATURE FE E v lw�l (o � Sb c IZED AGENT DA PERMIT FOR FRAMUBUILDING PERMIT GRANTED t 19 FEE PAID --- OCT 2 — 10 rcs $ CL I aLm Pow MIL LW FDA fEr. - . . Lbo - DIN fRAME KRMIT 3 PROPERTY INFORMATION LAND COST o ocq o EST. BLDG. COST (3 6 U45V EST. BLDG. COST PER SQ. FT. X'q EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY NUILDING OWNER TEL. # " cj CONTR. TEL. # F 7 - / / ---2 9 CONTR. LIC. # 65-03cI9 H.I.C. # 05-,931 za BUILDING RECORD OCCUPANCY, 12 LINGLE FAMILY I S TORIES S MULTI. FAMILL::�__:��[OFQF CESS APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE PINE 3 21 13 CONCRETE B LX BRICK OR STONE HARDW D PIERS PLASTER _�RY —WALL t7NFIN 3 BASEMENT AREA FULL 1/1 1/2 l/. N. B M'T' AREA F N. ATTIC AREA NO BMT HEAD ROOM FIRE PLACES MODERN KITCHEN 4 WALLS 9 FLOORS CLAPBOARDS Ul�Q DRO SIDING WOOD SHINGLES B 1 2 3 CONCRETE EARTH HARD", D COMMON ASPH. TILE ASPHALT SIDING ASBESTOS SIDING VERT. SIDING STUCCO ON MASONRY STUCCOON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. & FLOOR CONC. OR CINDER BLK. I WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I iDEQUATE 15� POOR NONE 5 ROOF 10 PLUMBING LE '!�L HIP BATH (3 FIX.) .4 — GAMlil'RELj_j MANSARD TOILET RM. f2 FIX.) J— F LAT ED WATER CLOSET GLE� LAVATORY WOOD SHINGES KITCHEN SINK, Y A P,, SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER ROLL ROOFING MODERN IIXTUREI TILE FLOOR TILE DADO 6 FRAMING WOOD JOIST HEATING 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 I — OIL B'M'T 1 — 11 NO HEATING _1_sT___5 1 -3rd 1 THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS. 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Co CD L- > C) CD C.3 CIO CD CL M CD CIO = Cc < C.) 10 Z-1 CL CD CLI) W CD cm CL CD cr --4 LU CIO C#13 co cc: LU < 3: i LU Cl- C/) CPHONE.CALL) A.M. FOR [DATE A-06 —TIME—P.M. .2 A:/1' I -L 51J 4) —��a PHONED RETURNED :3HONE YOUR CALL AREA CODE NUEF70 EXTENSION PLEAS . E CALL MESSAGE 10Q I V WILL CALL AGAIN C��E TO EE YOU rig W NTS TO SEE YOU SIGNED =--I OPS (' :'? FORM 4003 j ll� I XAOR H -1 6106 0 0 It. L A KEE CoCMIC" WICK 4A C Of?4T D "? _<A� I U APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION ADDRESS/LOCATION OF PROPERTY:- C> DATE REQUEST FILED/READY FOR INSPECTION: dyl6k -)ZI3 q CLOSING DATE ON PROPERTY: AJV`?'� FIVE (5) DAYS NOTICE PRIOR TO CL40SING DATE IS REQUIRED. AM WORK AND SIGN -OFFS MUST BE CO�PLETED WITHIN THIS TIME FRAME. A RE -INSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALI APPLICABLE CODES. SIGNED: