HomeMy WebLinkAboutMiscellaneous - 302 REA STREET 4/30/2018 302 REA STREET
210/038.0-0124-0000.0
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4
® MAPFRE The Commerce Insurance Company1'
Citation Insurance Companyw
Commerce "
Gore Road,Webster,Massachusetts 01570
INSURANCE- 508.949.15001 www.commerceinsurance.com
April 06, 2015
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: ELIZABETH GILL/WALTER GILL
Property Address: 302 REA STREET
Policy#: BCPYBR
Date of Loss: 03/11/2015
File#: JYXY12-HRNVY2
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.
DONNA KIMBALL Telephone: (508)949-1500 Ext: 11527
CLAIM CONSULTANT Toll Free: 1-800-221-1605, Ext:11527
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.
April 06, 2015
CIC 254 (Rev.4/95) MAIL I74
Office Use Oniv
s
u1jP v:>1nITnIln1UI:IIltEI55�L11�E5 Permit No. ItJ OU
It Et;r t mzrrt Qf 11uhUr ;�ftttl Occupancy&Fee Checked � ,, i
r 3M (leave blank)
BOARD OF FIRE PREVENTION REGULATIONS 521 C JR 12:00
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
(I)Q or Town of NORTH ANDOVER To the Inspector of wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes. No r (Check Appropriate Box)
Purocse of Buildina Utility Authorization No. r
Existing Service Amos —1 Vcits Overhead Unagrnd [ No. of Meters
New Service Amps _/ Voits Overheae _ Uncgrna No. at Meters
Numoer of Feeders ana Ampacity 4,-J r r ` ?,�d -,-2 (;2 , r
Lccaticn aria Nature of Prcaasea Elec:ncal :`JerK
No. at i Lighting Outlets i No. cf -!ct ':�s No. ^_t Transtormers ictalKVA
Na at Lighting Fixtures i Swimming Paoi Above.— ;n-
grna. — grnc. Generators KVA
I I No. of Emergency Ughting
No. at Recectac:e Outlets No. of Cil =urners 3acery Units
No. at Switch Outlets No. at Gas 3urners I FIRE ALARMS No. of Zones
Total No. at Cetection ana
Na. of Ranges I No. ct air Corc. tons Initiating Oavices
No. of Oiscosais I No.cf Heat Total Total
P-J. .cs Tons KW No. ct Sounding Oevices
No. at Sant Contained
No. of uisnwasners - ! SaaceiArea Healing K<•J Oe:ec::onrSaunatng Devices
No. at Oryers Heaang I–evices KW Lccai -_ CoConicicnnec::an
^Other
_
No. ct No. of I Low voltage
No. of Water Heaters KVY i Signs 3ailasts Wiring w
No. Hycro Massage Tubs I No. of motors Total HP
OTHER:
INSURANCE CCVERAGE: Pursuant :o the requirements of f.tassacausers ;enerai Laws
I have a current Liaotiity Insurance Policy inclucing Comc:etea Ooeraticns Coverage or ;is suostantial eeuivatent. YES = NO = I
nave suamirtea vatic ;.roof of same to the Office. YES = NO = It ecu nave cnecxea YES. pease inatcate :he type at coverage cy
checxing the appropriate cox.
INSURANCE = BONO = OTHER = (Pease Scec:ty)
(Exotration Oatei
Estimates value of E!ectncal 'Nark 5
¢ Warx :o Start Inseecuon Oate Recues:ec: Rougn Fnai
Signed unser:he Penatt t perjury. �✓ � J /
FIRM NAME UC. No.
Licensee Signature LIC. N0.
/ //� [� Sus. Tel. No. �� 3
Acaress �� r v alt. '.'ei. :jo.
OWNER'S INSUR NCE WAIVER: I am aware that the Licensee aces not nave the insurance coverage ar its suostantial equivalent as re-
ouirea oy Massachusetts General Laws. ana :nat my signature on :n:s permit aoptication waives this reeutrement. Owner Agent
(Pease cnecx onel
7etecnone No. PERMIT FEE S
(Signature at Owner of Agent(
t+7�OJ
� Dat .�.../�..:..!��.......
: T3 1087
NORTH
TOWN OF NORTH ANDOVER
o PERMIT FOR WIRING
It
SSAc Usft M
N
ca F
This certifies t at .......................... i
has permission to perform-1.1-0 .........................
wiring in the building OP—.--, ........ ... ............................................
at..........R 0,:� .....1 ...:-....— '................ .North Andover,Mass.
Fee.44.............. Lic.NoA.Xj SF.
"� ELECTRICAL INSPECTOR r„�
�7 C
X3/9/ CM
WRITE: Applicant CANARY: Building Dept. PINK:Treasurer
0
PERMIT NO. / v APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE i
MAP 4d0. LOT NO. `/ 2 RECORD OF OWNERSHIP DATE BOOK iPAGE
ZONE I SUB DIV. LOT NO. I
LOCATION Q n G3� PURPOSE OF BUILDING t 1 O_` v •t •1
OWNER'S NAME �e �i3`\ \� NO. OF STORIES SIZE
OWNER'S ADDRESS +'1. �4 e� C BASEMENT OR SLAB
ARCHITECT'S NAME d, J` 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 —'1 q
- PAGE 1 FILL OUT SECTIONS i - 3
EST. BLDG. COST PER SQ. FT.
PAGE 2 FILL OUT SECTIONS i - 12 EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FI ED `
BOARD OF HEALTH
SIGN RE OF OW OR AUTHORIZED AGENT
FEE
PLANNING BOARD
_ PERMIT GRANTED
19
BOARD OF SELECTMEN
BUILDING INSPECTOR
i
I
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY S.-ORIES 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 I -
AREA FULL FIN. B M AREA _
14 1/2 1/1 FIN. ATTIC AREA '
NO B M T FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS II 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH ------III_
ASPHALT SIDING HARDW D
ASBESTOS SIDING COMMON
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STIRS. & FLOOR _
BRICK ON FRAME I -
CONC. OR CINDER BLK.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIORI—J POOR
A-
1DEQUATE 1 NONE -
5 ROOF 13 PLUMBING
GABLE HIP BATH (3 FIX.) —
GAMBREL MANSACJ TOILET RM. 12 FIX.I
FLAT 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
WOOD JOIST PIPELESS FURNArE
_ 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 GAS
011
B•M'T 2nd LECTRIC
1st 13rd 'Z I_ ENO HEATING .
OR
Town -of ove r
No. zlle;
over, Mass., x 19
LAKE
C 0'C ICNEWICK
-4 r E
BOARD OF HEALTH
Food/Kitchen
. PERMIT T Septic System
THIS CERTIFIES THAT.................................lj.#/tx�e...............0 BUILDING INSPECTOR
.............................................................. Foundation
has permission to0fect-....44-.4nY-t,-X........ buildings on ..... d.2................J;.� ..................................... Rough
tobe occupied as.............................................0�yy../................ ..G....................................................... Chimney
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
PERMITEXPIRES IN 6 MONTHS Final
UNLESS CONSTRUCTION ST T ELECTRICAL INSPECTOR
Rough
.... . .......
.......................... ... ........ ...................................................... Service
UILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove Rough
Final
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT
Burner
Street No.
Smoke Det.
ir
• NORTH ANDOVER, Mass. Oele
Location Penna
Ownsel
None
New 0 Renovation O Re acemeM
d Plant Submitted: yes Q . Na Q
FIXTURES
st w
w s W <
wM J N O IN i y M
r J M P. V < M q ` 111
o s « < s < = o •31
V s : » O S �tP. : -
• M r w s i� M w O S O .` •- c.
M i O .. • q 'r
u y o f Y ar >l Id a a` < Is • a 66 .4
f to M y.
_
x 0. 0 < s s er
�' • a • s s •s • a
Ar . r.
eAtl11lNT
w -
itT FLOOR
IND 'LOOR
IIID FLOOR
FJ-
4TH
- ITM 'LOOR
eTN FLOOR
PIT" FLOOR -
ITN ►L0011 -
Check one: cc Cate
Installing Compan Name
F I
Address C /'' Q cor;�-
Q Partnership
0 Firm/Co.
Business Telephone ��. .
Named Licensed Plumber - ... .._ . .
INSURANCE COVERAGE:
1 1 have a eurrent Ilabllty Insurance policy or Its substantial equtwlenL yet 0 e
K you have checked y". please Indicate the No p
type coverage by checking the appropriate box ='
liability insurance p cy �
-Other type - .
d indemnity [3 Bond Q
OWNER'S INSURANCE WAIVER: I im aware that the llceniee sites rad have the insurince�coveriQs ie ulred b
Chapter 142 d the Mass. General Laws• and that my signature on 11hia q Y
Permit appluuon.wabss.thla rsgulrers {_
_.. Check one:
Aurs o er« er s en Owner Q
I y artlty that all of the detAMs And Inlormatiott I have eubmMed for entered)in above appp� ass,
Irwwladge and thal AA phrmbinp work and Initallat{ona Wormed wWar the pants hued br a aaasrala fattu►.bG*J*k yr-
perllnen provisions of a M&uachusetts Slate Pturnbirq Code arW Chapter 112 of tl» aPt�llon w0 be.ln oompl with 1!1
TRIO Ona urs
M/Town Lkense Number _<
1 MPnMTD(OF'nCE USE ONLY) Typo of Pwmbino License: Master �'
1 Jownsymn O
i
Date. .� i�. /
No 41.204
L
4, TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
SACMUS6t
This certifies that . . . . . . . . . . . . . . .
l
has permission to perform . . F. : �: :.r. . �. . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . 'e e. ;.l.,! ; . . . . . . . . . . . . . .
at . . .�. .�. . . . . .�. . . .`. . . . . . . . . . . . . . . . . . . . . . North Andover, Mass.
Fee. ?. .'. . . . .Lic. No.. ` :. ?>. . . . . . . . . . . . . . . .
I/ PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
• Date. . . . . . . . .
3424
".��':��a TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
�- ,SSACMUS�
This certifies . . . . . . . . . .
has permission to perform . . . . . . . . . . . . . . . . $
plumbing in thp...buildings of . . �. . . . . . .
at . . . . . . . . . . North Andover, Mass.
Fee- . . . .Lic. N0^141- . . . . . . . . . . . . . . . . . . . . .
/ PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer o
MASSACHUSETTS UNIFORM APPLICATION FO ERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS _LL�JJ
,��/� Date JJf
Building Location�6 7 � �� Owners Name/�� Y1e1f1 CZ�S%/'I�J/d�jPermit#_ oy
Amount ,
Type of Occupancy
New Renovation Replacement 1=1 Plans Submitted Yes No
FIXTURES
z
rna
w H w H a z H
w a Zn
F. z W �;
SCBM
B��'IIVT
IS1C FLOOR
2M FLOOR
ROOK
4IH FLOOR
SIH FLOOR
6IH FLOOR
71H FLOOR
SIH ROOR
(Print or type) Check one: Certificate
Installing Company Name n11— lam/ 0 � Corp.
AddressaZa e Partner.
Business Telephone 19 - 71 Firm/Co.
Name of Licensed Plumber: �G
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ 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
Signature Owner ® Agent
I hereby certify that all of the details and information I 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 Issued for this application will be in
compliance with all pertinent provisions of the Massac s tate umb' Code Chapter 142 neral Laws.
BY rgnarpm-oi Licenseariumoer
Type of Plumbing License
Title f,313 -�- ^ /
City/Town - rcense Numoer Master Journeyman ❑
APPROVED(OFFICE USE ONLY u