HomeMy WebLinkAboutMiscellaneous - 33 WEYLAND CIRCLE 4/30/2018N
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i� INSURANCE
May 12, 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: 33 Weyland Cir, North Andover, Ma 01845
Policy Number: H3221815905321
Underwriting Company: Liberty Mutual Fire Insurance Company
Claim Number: 031870375-0001
Date of Loss: 3/14/2015
Attn: Town/City Official
Pursuant to M.G.L. c. 139, � 3B, 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, § 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 alien
pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, § 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
71 b
ocation
Date
pN°
TOWN OF NORTH ANDOVER
Certificate of Occupancy $.
Building/Frame Permit Fee $
T
0
, ��ss�cMus s
Foundation Permit Fee $
$
Other Permit Fee $
Sewer Connection Fee $
# ¢t
{5 �
Water Connection Fee $
108Z,00
TOTAL $
c�Uc t
h
` 9 din gIns tor.,
11000.00
IpA p
Div. uKc
Works
Location's
No. ^ Date
i A
'r
woRTM TOWN_ OF NORTH ANDOVER
O? •'�' 'e OO. —�✓
to p .Certificate of Occupancy $41
o
Building/Frame Permit Fee $
Foundation Permit Fee $
s�CHus
ro
Other Permit Fee $
0
Sewer Connection Fee $
Water Connection Fee $
a
TOTAL $
Building Inspector
-I
L 'J
10145 _
Div. Public Works
- „ .. 'L °- ..:-...�.r .ter' ..,�.. �. .... ,,...q, _ _ .:. ..-:�•`�y i .... � ._ _ � _ ..
_ location 3 C.� Y /1-N- C, P.
.
No.�.�
Date
z; °R,►, TOWN OF NORTH ANDOVER
3? .•_. _ mMIii&
• °oma
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
3�crus
Other Permit Fee $
Sewer Connection Fee $ 't
Water Connection Fee $
TOTAL $, X15
tG�1�
" 1 37 150.41 MVing Inspector
1�
.f �* 1 a 1 4 Div. Public Works
_J
PER30T NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAS KBO.
I LOT NO. `
2 RECORD OF OWNERSHIP DATE
BOOK ;PAGE —
ZONE
SUB DIV. LOT NO. /� 'f.� �
✓✓�
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
LOCATION
A f 1�G
PURPOSE OF BUILDING S'1� J -e r%�d-N%
r
OWNER'S NAME
W _/' /� Co r
C" [
NO. OF STORIES C r1 %IZE
dk- Go 6
� 1
OWNER'S ADDRESS r2`33
n`
u
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST q0(g) 2ND 9.yl o 3RD
BUILDER'S NAME
./ /'
`
SPAN S
DISTANCE TO NEAREST BUILDING t Lj s ('�
DIMENSIONS OF SILLS 4 /l® --_
DISTANCE FROM STREET
S
POSTS
DISTANCE FROM LOT LINES — SIDES �ia{� REAR
GIRDERS
AREA OF LOT 26
FRONTAGE 013
A 71 T7.1 J r? i
%
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
.-� S
SIZE OF FOOTING / `� N X �] e
P
IS BUILDING ADDITION
MATERIAL OF CHIMNEY a. `�� F
IS BUILDING ALTERATION �v
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE es
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY �y A
IS BUILDING CONNECTED TO TOWN SEWER yr.Ps
IS BUILDING CONNECTED TO NATURAL GAS LINE -r•�
INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 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(O 1 tel�i.
ut
SIGNATURE OF OWNER OR AUTHORIZED AGENy�
FEE
PERMIT GRANTED 9
T Y 19 `
.Mi(
LESS fill FEE...._- - - (3 y
DUE fRAME PERMIT $--X0.3-
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST ✓J�/,ZCd"�
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM / �! �7i�,�
SEPTIC PERMIT NO. !/A (! �/
4 APPROVED APPROVED BY
BUILDING INSPECTOR
OWNER TEL. #� / 7
CONTR. TEL. # C�
CONTR. LIC. #
H.I.C. #
�L y
I �U ,
3 --4 40�
BUILDING RECORD
I OCCUPANCY
12
SINGLE FAMILY 's-ORIESFROM
THIS SECTION MUST SHOW EXACT DIMENSIONS bF"LoT ANb,DIST
MULTI. FAMILYOFFICES LOT LINES AND EXACTi-D'IM,E-�JSIONS�-0,F-BUILDI,NGS�-, WITH .PORCHES. GA -
APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS -REPLACES PLOT _F:i_LXN:_
CONSTRUCTION
2 FOUNDATION Fj INTERIOR FINISH
CONCRETE 3 1 2 13
CONCRETE BL K. PINE
4
BRICK OR STONE HARDW D
PIERS PLASTER
DRY WALL
-6-N F I _N
3 BASEMENT%,
AREA FULL 1 --FIN. B M'T' AREA
-FIN. ATTIC AREA
NL,O B M T FIRE PLACES
HEAD ROOM -MODERN KITCHEN
7—
4 WALLS •FLOORS
CLAPBOARDS B 1 _2_f 3
DROP SIDING CONCRETE
WOOD SHINGLES EARTH
ASPHALT SIDING 1 HARDW'D
ASBESTOS SIDING COMMCN
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY.
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR
BRICK ON FRAME 4
CONC. OR CINFDD 0R.
STONE ON MASONRY WIRING
STONE ON FRAME
SUPERIOR I I POOR
ADEQUATE 1 44 NONE
5 ROOF 10 PEUMBING
GA HIP BATH (3 FIX.)
EM:BQEL .7-
GABLE
MANSARD TOILET RM. (2 FIX.)
FLAT
LAT SHED WATER -CLOSET
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING
TAR & GRAVEL STALL SHOWER
ROLL ROOFING MODERN FIXTURES
TILE FLOOR
j
TILE DADO
6 FRAMING 11 HEATING
WOOD, -JOIST PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & OLS. STEAM
STEEL BMS. & COM HOT W'T'R OR VAPOR
WOOD RAFTERS AIR CONDITIONING
RADIANT H'T*G
33 P" t
UNIT HEATERS
7 No. OF ROOMS AS
I 2
2nd ELECTRIC
1st Al I 3rd NO HEATING
I
FORM U - VERIFICATION FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
Applicant fills out this section*****************
' APPLICANT: 8 �P a or Phone P
LOCATION: Assessor's Map Number Parcel
SubdivisionLot(s)
Street� C6'G
i -�--�- St. Number-23
************************Official Use Only************************
RECOMMENDATIONS 0 TOWN AGENTS:
7 '/7
Date Approved
C servation inistrator Date Rejected
Comments
VDate Approved
Town Planner Date Rejected
Comments
Date Approved
Food Inspector-HealthDate Rejected
Date Approved
Septic Inspector-Health Date Rejected
Comments
Public Works - sewer/water connections
driveway permit
Fire Department�/�
.Received by Building Inspector
Date
Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below.
meName
f Applicant onui ding Permit (below) Address of Property for Per)#low)
Map and Parcel: PurposeMRilngle
lication (check below)
Pho a umber of Applicant: Family _ Two Family
_ lt7 36r)y
I the undersigned applicant for the above property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or any party to this permit
from the requirements of obtaining other permits required prior to the issuance of the Building Permit.
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement, restoration, or reconstruction of a dwelling in
existence as of the effective date of this by-law, provided that no additional residential unit is created.
yThe lot(s) were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
law.
This application is for dwelling units for low and/or moderate income families or individuals, where all of the
conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents, where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running'with the land. For
purposes of this Section "senior" shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40% permanent
reduction in density, (buildable lots), below the density, (buildable lots), permitted under zoning and feasible given the
environmental conditions of the tract, with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland. The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction, Conservation Restriction, dedication to the Town, or other similar mechanism
approved by the Planning Board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an
adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building permits,(i.e. all other permits from all other boards and
commis ons_have been received and the project -is in compliance with those permits), and th :.Development Schedule
does not accommodate issuing a building permit in that Year, one building permit wi;i bs issued per Year per
Development until such xirne as the Deve.!opment Schedule accommodates issuing building permits. Applicant must
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy
allowed an EXEMPTION as cited above.
inaccurate information, or the checking
knowJofte or ng;, is groWds fpr rpfLpay
iture or uwner or Fiumonzea Agent wno
form must be attached to the Building
of the information provided and that the attached building permit is
Further I understand that the submittal of misleading and or
iff of an above item which does not comply, whether done to my
?1y the Building Department to issue a Building, Per it.
signed the Attached Building Permit D to
Permit upon application for such permit.
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6 L /•I�Gt' •�'e
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. Office Use Only
Y I ssa st(/
uhE (,ammnnwPttl�h of �uft7 Permit No.
tt �
? i9eparittunt of public *aft2q Occupancy &Fee Checked
a BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 Qeave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts E'ectrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / i J_ z — < to
(XK or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a per/mit to perform the electrical) work described below.
Location (Street & Number) `' 33's�v /" /� C ��
Owner or Tenant 2 rz - U
Owner's Address
C -c_.. J
r
!s this permit in conjunction with a building permit:
Yes
No ._ (Check A roDriate Boxj
Purcose cf Ruiiding
Utility Authorization o.
r•o
Existing Derv.i_„
Amos _1 `:oitS
Cvemead
_ Und rnd r! No. ers
9 —
New Service Zoo
Amps _/K9J?.<,(o /nits
Cvernead
_ Undgrnd No. of Meters _
Number of Feeders and Ampacity
'NerK
N
Lccarcn and Nature of Prcccsed E!ec:rices!
Tc'al
No. of Llgntinc Cutlets
No. of Hot '.:cs
i No. of Transformers KVA
No. of Lighting Fixtures
Swimming Pool .Atcve— n-
yrnc. — rr.c. —
Generators KVA
: No. of Emergency Lighting
No. of=,eceotacie Cutlets
No. of Cil Sur^ers
Battery Units
^
No. o Svntcn Cutlets
No. at Gas Burners
�
FIRE ALARMS No. of Zones I
No. of Detection ar.c
Initiating Devices
-ota,
No. of Ranges No. of Air Corc. .chs
I
I
Sounding Devices
Cii
Heat ;ai -a;
No.z:t
No. of Disposals
Pumas Tons
K'.V
I
No. of
No. of Serf Contained
No. of Dishwashers
Scace Area Heatmc
[ "l
, Oetect;on/Soundinc Devices
Municicai r- Other
( Local Cannec:;on
No. of Dryers Heating Devices KJJ
No. at No. of
I Low Voltage
NO ^f Water Heaters
i
KW S;cn5 Sa: ass
Wiring
No Hyaro Massage Tubs
I No. of Motors
.ota) HP
C T 1HER:
INSURANCE COVERAGE: Pursuant ,a the recu,remen;s or aassacnusetts general 'Laws _
I have a current Liae:iity Insurance Policy inc:ucinc Ccrr.c:e(ec Ccerat:cns Coverage or its suostantial ecu:va)ent_
. YES NO I
nave sucmttted valid proof of same to the Office. YES = NC = t you nave cneexed YES. please indicate the type a Coverage cy
checking the aDdrodnate box.
INSURANCE BOND = OTHER = ;Please Scec:`..•;
(Excirauon Date)
Estimated Value of Electrical Work S C'Gc ��
'Work 'o Start � Inscecuon Date Rac::es:ec: Reugn F nal
Signec cncer the Penalties of perjury: �- /'� Q��
FiR.M NAME '_fc. NO. �-1--2:2a! L
Licensee .J Signature �rC. NO.
G Bus. Tei. No.
�/ alt. :al. No.
address 2 �
CWNER'S INSURANCE WAIVER: I am aware that the Licensee cces not nave the insurance coverage or its suostantial urva)ent as re
cured oy Massachusetts General Laws. and that -1v s:gnature on :nis :errnrt aep:icat:on 'Naives 'his requirement. O r wAdent%J\
,P!eass cnecx one) f �Y
7etecnone No. PERMIT FEE S P
(Signature of Owner or Agent) c -i5,65
Date..../..
ltEqg_ 502 `
t NORTH Q
" TOWN OF NORTH ANDOVER Q
e
3ra -.r .-....-•° OL
PERMIT FOR WIRING g
u, This certifies that... ��...*..'mss 1.��.f �::.f. .........
...............................�,
has permission to Perform d'V/ a W' A
..................................�...�..�
wiring in the building of f� c 7. ....... f JJ
0
w
=, at .........: �.e.. �.eEt!......: .<..:�11t...f ............... . North Andover, Mass.
Fee .��k^� ..:7::. Lic. No. b� .%.��'i........................................
' ELECTRICALINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer