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HomeMy WebLinkAboutMiscellaneous - 32 WATER STREET 4/30/20181-1 '11-� 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: 32-34 Water St. Condominium c/o Arthur Gordon Property Address: 32 Water Street Policy Number: SBP1988294 Date/Cause of Loss: 3/29/2014, Water/Ice Dam File or Claim Number: 29449-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. Y 8 /� Signatur _'and Date ANDERSON ADJUSTMENT CO., INC. 50 Nashua Road, Suite 303 PO Box 1098 Londonderry, NH 03053 Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...J.`...:. .......-:..L --:,— .!......k'...... -.r. .................................... has permission to perform ..... ........... ............. :......;................................... wiring in the building of "' at ... =... x....l...-..:......?.:..:..............:,..1....................... , North Andover, Mass. r +rr. � r Fee..- . .:............ Lic. No..... :i ..:..1............................................................ ELECTRICAL INSPECT/OR 07/24/9515:39 39.00 F'�ID WHITE: Applicant CANARY: Building De� : Treasurer GOLD: File 14 The Commonwealth of Massachusetts Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 Office Use Only Permit No. Occupancy & Fee Necked ✓ V 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetu Electrical Code, S27 CMR 12:00 (PLEASE PRINT IN INR OR TYPE ALL INFORMATION) Date —�— )/— City Or Town Of /y. 4A.) boj e k- To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number)-- 3 61,14 AJ b 3(/ et) S �• cr Owner or Tenant 8gRQ'+RA ii2��lA�y.cl� Owner's Address 3 V w �i S -t— Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service Amps �0 / �Z Volts Overhead ` Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total xva No. of Lighting Fixtures g g Above In- Swimming Pool grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets P 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 Self Contained Detection/Sounding Devices Local ❑ Municipal ❑ 0ther Connection No. of Ranges Total No, of Air Cond. tons No. of Disposals No. of Pumps Total Total Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW Not of No. o Si ns Ballasts Low Voltage Wiring No. Hydro Massage -Tubs No. of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverageo its substantial equivalent. YESX NO E] I have submitted valid proof of same to this office. YES NO If you have cher ed YES, please indicate the type of coverage by checking the approp is a box. �" INSURANCE BOND OTHERl� (Please Specify) ,% /5 TTT��� Expira ion Date Estimated Value of Electrical Work $ i Work to Start 7--,2/'— s Inspection Date Required: Rough Signed under tie penalties of perjury: Final ;?—,) /`�S FIRM NAME N -c- 5 Cr ®c V Hi /, .--► LIC. NO./ 3 " S V 4i Licensee ( G/�i � J� a Signa re /lye 671 . LIC. NO. 3j© Q (� / Bus. Tel. -No. Address l -� f �� �� �� Alt. Tel. No. Sz)� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit, application waives this requirement. Owner Agent (Please check one) (� Telephone No. PERMIT FEE $� 1 (Signature of Owner or Agent Location 3 - 3 + wAi?-- No. 4- Date c� 0,% TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ 4-i:5 yes ^°' Eta Foundation Permit Fee $ sACHUs O Other Permit Fee $ n 0M Sewer Connection Fee $ N Water Connection Fee $ -4 TOTAL 17 94-46 $ �l Building Insector Div. Public Works \��,,,T I (p ;04 Mw APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP +40. LOT NO. 12 RECORD OF OWNERSHIP IDATE BOOK PAGE ZONE SUB DIV. LOT NO. I�I I LOCATION,$.Z_ ✓ Z_ 4 e ' RPOSE OF BUILDING O I t ' i�l t N OWNER'S NAME _�; NO. OF STORIES SIZE OWNER'S ADDRESS BASEMENT OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME Y rl a , 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 �� S IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUyIREMENTS OF CODE ye --s l 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 METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED /// /3D /9t-<— 7 -� e SIGNATURE OF OWNER OR AUTHORIZED AGI OF FEErl wl 43 �- PERMIT GRANTED //-.50 19 - 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BUILDING INSPRCTOR OWNER TEL. # // o t7 CONTR. TEL. # 4 8 0 7/1-3 9 CONTR. LIC. # H.I.C. # 40 af �k S6,/7 BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION —� 8 INTERIOR FINISH CONCRETE PINE d 1 2 13 CONCRETE BL K. BRICK OR STONE PIERS PLASTER DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B'M'TAREA _ 14 1/2 1/. FIN. ATTIC AREA N_O B M T FIRE PLACES _ _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B _ 1 2 �_ 3 _ _ DROP SIDING WOOD SHINGLES ASPHALT SIDING ASBESTOS SIDING CONCRETE EARTH HARDIVD COMMCN fAl. TILE VERT. SIDING _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY BRICK ON FRAME ATTIC STRS. b FLOOR _ CONC. OR CINDER BLK. WIRING STONE ON MASONRY STONE ON FRAME SUPERIORI� POOR _ ADEQUATE I NONE 10 PLUMBING 5 ROOF GABIEHIP BATH )3 FIX.) _ GAMBREL MANSARD TOILET RM. 12 FIX.) 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 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. 6 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 OIL B'M'T 2nd _ 1.1 13rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. ri ril cz d a� w p J Z � O u z a U w � w x W cu t4 w , cn o cn Qki uj CLM o m c c � o � c ` O N Cc O vU co Cc o m N Ea i wmr C 0 V :tea N C L � m : O r V � C 1 : N ca C m J m N C e0 .L� N E CD o CD zip • :toQ CL. 0 V y o 0 �2 C O O H y m C _ CL... O ms H O M— .r N N Ct R C �lot 33: C-13 CD cad VD a m� o5 = A Clm N H t .- d� m E d N Z N O N C O cm m ac m c m O cm C C N CD L 0 Z O i T NO - 21 O Co O E co O o Q Z CO CL O y 0 CO tm I O o— MO) cD W W CD 0 co CD �r Cl CD C L C.3 CL 0 CL tmQ c o c to "FL cm !D V J � O C Z G3 0 CL V y C CO) 0 �. � � `i Date.... �. . z.10 ..... .. NORTH TOWN OF NORTH ANDOVER 9 PERMIT FOR GAS INSTALLATION This certifies that ..W - ate(_ has permission for gas 'nstall on '"A .... ............ in the buildings of . ...`. ....................... . at .a.:->� ... .Si ........ North Andover, Mass. VV Fee... L).Q ..o ci%�5 y�. ...................... . (e/� 30.00 PMS INSPECTOR WHITE: Ap Iio�nt uiiding Dept. PINK: Treasurer GOLD: File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 00 : Ti �l ,Mass. Date %— �� 19 9� 030 =- - — Permit # YeicJr 1t Building Location JA-3� G�G`l-Owner's Name �Gl�pa20.. Type of Occupancy dwY)e✓t New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑ FIXTURES Installing 'Company Name NI10— hAEL' V� I"lent Check one: ' Certificate Address VZ -3 IACO'A St— P/Quee.hf,1 44r4 11 Corporation ❑ Partnership Business Telephone / ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ Ndoe— If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware,that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application walves this requirement. Signature of Owner or Owner's Agent Check one: Owner Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 141 of the General Laws. Type of license: BY ❑Plumber ❑ Gasfitter Title C Master Signature of Licensed Plumber or Gas Fitter City/Town Journeyman License Number APPROVED (OFFICE USE ONLY) ■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■ Ist ... ■■■■■■■■■■■■■■e■■■■■■■■®■ or MW •• ■■■■■■■W■■■■■■■■■■■■�■■ OEM, ff re Wu EM .. ■■■■■■■n■■■■■®■■■■■■■■■■ Installing 'Company Name NI10— hAEL' V� I"lent Check one: ' Certificate Address VZ -3 IACO'A St— P/Quee.hf,1 44r4 11 Corporation ❑ Partnership Business Telephone / ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ Ndoe— If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware,that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application walves this requirement. Signature of Owner or Owner's Agent Check one: Owner Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in the above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 141 of the General Laws. Type of license: BY ❑Plumber ❑ Gasfitter Title C Master Signature of Licensed Plumber or Gas Fitter City/Town Journeyman License Number APPROVED (OFFICE USE ONLY) h Z O C W a H Z J Z 66 d d N C r • q C u i% " •Z Z J 0 H Q u W O H C u 66 0 cc 6w Z a z O w 0 66 O O O J z W W m L.7 " O W IL C6 a Z Q + a W z H W h Z O C W a H Z J Z 66 AP E d d N C q C u i% f 66 O z " O W O C Z O + a W AP E d d N C q C u i% AP E