HomeMy WebLinkAboutMiscellaneous - 292 GRANVILLE LANE 4/30/2018 (2)K)
o"
to
CA
(P F
C:) M
m
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 0 1845
RE: Insured:
Property Address
Policy Number:
Date/Cause of Loss
File or Claim Number:
John & Nicole Laspisa
292 Granville Lane
YW7228
9/14/2013, Water Main Leak
28500-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.
Sianatu'rg and Date
ANDERSON ADJUSTMENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053
0,
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies th!2 ...... -31,te-,
.... .................
........................................................
1has permission to
fwiring in the building 9f
:1�.� ..............
. ...........
Fe6- ,.: . . .... Lic. No�� �Q—
Check #
5 4% 6
......... . North Andover, Mass.
.....................
ELECTRICAL INSPECTOR
TBECOMMONWEAL771OFMASUCHUSE77S Office Use only
DJ9ARTA1W0FPMU— C-S4FM
B0AM0FFMPRLVEW0NMG"0MR7(W12W Permit No. 410
Occupancy & Fees Checked
APPLICATION FOR PERA/ff TO PLI A—%.WELE=CAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE THE MASACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the In/spec/tor of Wires:
The undersigned applies for a permit to perform the electrical workWscribed below.
Location (Street & Number) 04 4:r"1VVJ1 1
(:21 T4;0 , 46� '406111Z
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes
(Check Appropriate Box)
Purpose of Building 1,4 Utility Authorization No.
Existing Service 1-10-25 A m p SI./.. Volts Overhead rL77Knderground No. of Meters
5��
New Service Amps I Volts Overhead [M Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work c- h,4 deO
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
1:1
Below
Generators
KVA
ground
ground
ri
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
NO. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local M --J Municipal
Other
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
-Z
Total HP
OTHER:
IhimaajmtLmWka==Pokymb&gCmpl*Oma=CovoWortsmbsmWqxvaht YES 1:3 NO
Ihave&ftn0dvafidpcdcfmrlDdleOffi= YES If)uuha%edxdodYBpimwmdc*drtAxofwvwWby
4— . , Sw_ 0--- Ea
UZAAWS ' Ea,
r,ELRAPIM, _BOW r7 M11R
Wbikio&vt 71111,er V . hVeclicnDWRequesled
signadun&rTrPAakidof '
Paw.
FIRMNANE
ftmsm*) —
F4iAmD*
Eqffn*dVAVofa0CftralW0k $
Rc* Fnal 211,3 /,-;:Z
OWI�WSk4SURANTWAP;ER,Iamawmedat[L,LjoffwdDsmthawtbe
aWditniysgmbncnftpmmffbcabmwa*mdmmw*mmnt
(Please check one) Owner r,�i Agent rMMI
LiamNo.
� Lioml%
B==TeLNcx
. AlL Tel NO.
m#edbyMamdxmMC=aWUm
" - O'V
Telephone No. PERMIT FEE IQ 10
signature ot Owner or Agent
A
PiR311T NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I
MAP NO.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK !PAGE
ZONE
SUB DIV. LOT NO.
F -
LOCATION
PURPOSE OF BUILDING
OWNER'S NAME P
NO. OF STORIES SIZE
OWNER'S ADDRESS
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME Atti v-ews (i N
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
DISTANCE FROM STREET
POSTS
DISTANCE FROM LOT LINES SIDES
REAR
GIRDERS
AREAjUT
FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS ff0k9Zihbi-7 NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER:AL OF CHIMNEY
IS BUIL=LTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL -01511 -DING CONFORM TO REQUIREMENTS OF
CO
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 I 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 INSPECTOR
F E E jz — &0 / ike,
PERMIT GRANTED
19
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST roe)
EST. BLDG. COST PER Sd FT.
EST. BLDG. COST PER ROOM
mwwmv+e PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
ww.�.M%m lnwr-r.%.l%Jm
*NV-1d.LO-ld S3:>Vld3U SIHI'C33S0cJWim3dns *:)13 'S30YU
-VV *S3H:)El0d HIIM 'SE)NIC3-line =10 SNOISN3WIC3 1:)VX3 ONV S3NI-1 101
WOUA 3:)NV.LSIU C3NV 10-1.40 SNOISN3WIG 1:)VX3 MOHS -LsnW N01103S SIHI
zi
QUOD3V DNic i i n 9
bOOIJ 3111
S3dnlxiA N�306W ONIA008 110�
I I d3MOHS IlViS I 13AVSO 7 "1
AN I
I ONigwnld OL 11 JoOH 9
ONIHIM
dooli IR Sdls DIIIV
� 9111 'HdSV
'A19 UGNID �O
3WVNA NO o:)Dnis
ASNOSVW NO o:):)nis
HldV3 S310NIHS GOOM
313d:)NOD ONICIIS dOd(I
T SG"OgdVlD
sloold 6 Silym- v
N3HDIDI NN30OW WOO?l GV3H
S3DVId 981A I.W 9 ON
V3"':)IIIV NH 1/1 1/1
VgMV AMA 'NH iinj v3mv
IN3W3SVO E:
NIANn
IlVtA A60
�31SVld Sd3ld
(3 M(JdVH 3 OIS �O AD168
3NId ')I.li3 3138DNOD
313b:)NOD
HSINIA 11011131NI 9 NOUvaNnoA z
NOuonEIISNOD
SIN3WISVdV
s3l�ols IkllwV4 glor,
AONvdn000 I
E)NILV3H ON
DI dD313
110
svo
PC 49 L
PUZ I.W.9
SWOON 10 'ON
S�RV3H iiNn
O.I.H INVIOVd
ONINOURINOD M
S631AVd OOOM
�OdVA �O d-I.M IOH
'SIOD 7 'SW9 1391S
WV31S
'SIOD 7 *SWG b31lffll
Ndnj dIV IOH d,3 -:MOA
3:)VNdnj SS3!gdld
Isior 000FA
9NlIV3H L L
DNIWVNI 9
*NV-1d.LO-ld S3:>Vld3U SIHI'C33S0cJWim3dns *:)13 'S30YU
-VV *S3H:)El0d HIIM 'SE)NIC3-line =10 SNOISN3WIC3 1:)VX3 ONV S3NI-1 101
WOUA 3:)NV.LSIU C3NV 10-1.40 SNOISN3WIG 1:)VX3 MOHS -LsnW N01103S SIHI
zi
QUOD3V DNic i i n 9
bOOIJ 3111
S3dnlxiA N�306W ONIA008 110�
I I d3MOHS IlViS I 13AVSO 7 "1
AN I
I ONigwnld OL 11 JoOH 9
ONIHIM
dooli IR Sdls DIIIV
� 9111 'HdSV
'A19 UGNID �O
3WVNA NO o:)Dnis
ASNOSVW NO o:):)nis
HldV3 S310NIHS GOOM
313d:)NOD ONICIIS dOd(I
T SG"OgdVlD
sloold 6 Silym- v
N3HDIDI NN30OW WOO?l GV3H
S3DVId 981A I.W 9 ON
V3"':)IIIV NH 1/1 1/1
VgMV AMA 'NH iinj v3mv
IN3W3SVO E:
NIANn
IlVtA A60
�31SVld Sd3ld
(3 M(JdVH 3 OIS �O AD168
3NId ')I.li3 3138DNOD
313b:)NOD
HSINIA 11011131NI 9 NOUvaNnoA z
NOuonEIISNOD
SIN3WISVdV
s3l�ols IkllwV4 glor,
AONvdn000 I
�-m
ago=
0
O'l
E L—E
IMV PIPEOUTQf7H5f=- Isct C14 E5uiL—r
.lwy PIPE JNTOM§"tA�L
i KI �z P3 PE UTQF—r
i N V- p i P- E I N _gLabQx-
i N v P p r-- o
[?-7, 39"
�elA
T.'v
'e" L-. EF
Pa,
Z. tj
jo�