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HomeMy WebLinkAboutMiscellaneous - 345 CHESTNUT STREET 4/30/20189 2tC Claim # Advantage Claim Services 522 Chickering Road #B North Andover, MA 01845 Adjuster Assigned: Glenn Guarente Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner /r Board of Health or Inspector of Buildings Board of Selectmen Town Hall Town Hall North Andover, MA 01845 North Andover, MA Re: Insured: John Libront Property address: 345 Chestnut St. North Andover, MA 01845 Policy #: 2101714 Loss of: 2015/02/17 File or Claim No. AD 1765 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. Signature and.date Of ~ORTH 0 P a • o •. SACHUSEt Date. . ` . ........ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ..'.................. ' ......... . has permission for gas installation . . ........... in the buildings ok.:...................... . at �`5v....`.r-� , North Andover, Mass. Feb -7'-...... Lic. No... `........ % .......... GAS ItiW&OR Check # 6401 G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Building Location 345 CHESTNUT ST Date 05/02 2008 Permit # &C,/L / Owner's Name JOHN LIBRUNT Owner Tel# 978 685 2087 Type of Occupancy RESIDENTIAL New 1:1 Renovationw] Replacement Plan Submitted: Yet No[:] FIXTURES Installing Company Name Eastern Propane & Oil, Inc 131 Water Street Danvers, MA 01923 Business Telephone # 800-322-6628 Name of Licensed Plumber or Gas Fitter JOHN LIPINSKI Check one: Certificate Corporation FPartnership Firm/Co. INSURANCE COVERAGE: I have a cur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have c ecked M, please indicate the type coverage by checking the appropriate box. A liability insurance policy F/ 1 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 waives this requirement. Check one: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in above appli( knowledge and that all plumbing work and installations performed under the permit iss4eq for this ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gen rN Laws. By Type of License: 4-19 lumber Signatur Lice Title ;Plumber fitter • -Master License Number- City/Town • -Journeyman APPROVED (OFFICE USE ONLY) nd accurate to the best of my be in compliance with all umber or Gas Fitter N2 2616 Date .................................. AV TOWN OF NORTH ANDOVER PERMIT FOR WIRING ACHUS This certifies that ....... .............................................................. has permission to perform ............................................................................... 7-75/- wiring in the building of ... -......................................................... at,,3 -A.... ......................... . North Andover, Mass. Fee'�k ............... Lic. ............................................. 61 `— ELECTRICAL INSPECTOR Check -117 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 0-0 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Otlicial Use Only Permit No. ca�lO�� Occupancy and Fee Checked (l [Rev. 111991 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1-02 %—C9 0 City or Town of: Na1f,7_14 >" V0C To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) 1,645 (14E37/24 /24 7— 'S/T Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Scrvice Amps / Volts New Service Amps ! Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Telephone No. Yes ❑ No ® (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters C-1 lriinn nrlhe r -!!O o ­d,l., . 1,,, ,,,1 l,. .f.,. l.. -I ri•: Attach additional detail if desired, w• as required by the Inspector of Ifires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electnca Work: 5 (Expiration Date) 7 (When required by municipal policy.) Work to Start: 9//F ilO Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: ADT Security Sen•ices Ill Morse Street, NonvooA, MA 02062 LIC. NO.: 1533C 1A Licensee: John S. Bassett Signature LIC. NO.: 1533C (If applicable, enter "exempt" hl the license limber line.) Bus. Tel. No.--7&-278-1-169Address: Alt. Tel. No. 603 594 5928 RESI ONLY required by law Owner/Aglent Signature JRANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally By my signature below, I hereby waive this requirement. I am Ute (check one) ❑ owner ❑ owner's agent. Telephone No. PERMIT FEE: S No. of Recessed Fixtures No. of Ccil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Above In- Swimming Pool ❑ ❑ o. o Emergency Lighting „rnd grnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners No. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons 'Nu No. of Alerting Devices el No. of Waste Disposers Hcat Pump mtic r ... ... Tons ""' ""'" KW _ o. Nof Self -Contained Totals: I Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑Municipal ❑ Other rection No. of Dryers Heating. Appliances KW curity ystems. / or Equivalent w No. of Water KW Heaters o. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, w• as required by the Inspector of Ifires. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electnca Work: 5 (Expiration Date) 7 (When required by municipal policy.) Work to Start: 9//F ilO Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: ADT Security Sen•ices Ill Morse Street, NonvooA, MA 02062 LIC. NO.: 1533C 1A Licensee: John S. Bassett Signature LIC. NO.: 1533C (If applicable, enter "exempt" hl the license limber line.) Bus. Tel. No.--7&-278-1-169Address: Alt. Tel. No. 603 594 5928 RESI ONLY required by law Owner/Aglent Signature JRANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally By my signature below, I hereby waive this requirement. I am Ute (check one) ❑ owner ❑ owner's agent. Telephone No. PERMIT FEE: S Location yJ rAlq�-S !/czo% ' S No. 7 DateZ Nom,, TOWN OF NORTH ANDOVER c p Certificate of Occupancy $ * : , Building/Frame Permit Fee $ °' ts�i•ws. 4 Foundation Permit Fee $ SACMU loo Other Permit Fee $ �� 7 f ��C`aSewer Connection Fee $ 4A, v Connection Fee $ Al /Ij,, $ /�, Z o 0r Building Inspector 510 L G'oN 0,I Div. Public Works PEa.IiIT NO. APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. ('/PAGE 1 MAP 4,40. I LOT NO. 2 RECORD OF OWNERSHIP IDATE iPAGE 7014E SUB DIV. LOT NO. (BOOK — LOCATION) I I PURPOSE OF BUILDINGz EA OWNER'S NA E — NO. OF STORIES SI E ` OWNER'S ADDRESS Cl BASEMENT OR SLAB c ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2ND 3RD . BUILDER'S NAME %/ �✓'r DISTANCE TO NEARESTrBU DING SPAN 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 1S BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE i 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 1 FILL OUT SECTIONS I - 3 PAGE 2 FILL OUT SECTIONS i - 12 ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND A PROVED BY BUILDING INSPECTOR DATE FILED SIGNATURE, OF OWNPrR F E E it PERMiT G TED ` � 9 F2 G/ 3 PROPERTY INFORMATION LAND COST EST. BLDG. COST EST. BLDG. COST PER SQ. FT. lJ EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. 4 APPROVED BY BOARD OF HEALTH PLANNING BOARD BOARD OF BE MEN euII.D � BPECTOR 1 OCCUPANCY SINGLE FAMILY STORIES MULTI. FAMILY OFFICES APARTMENTS CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE _ d I 2 CONCRETE ECK. PINE I -I -I PIERS v PLASTER DRY VJALL UNPIN. 3 BASEMENT 11 AREA FULL FIN. B M " AREA _ '. '/ '/� % FIN. ATTIC AREA _ N_O 8 -MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN Q WALLS II 9 FLOORS CLAPBOARDS 8 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH ASPHALT SIDING HARD IVD ASBESTOS SIDING _ COMMCN VERs. SIDING ASPH. TILE 1_ I— STUCCO ON MASONRY---JJIIIJ—iiillll STUCCO ON FRAME STONE ON MASONRY WIRING STONE ON FRAME _ _ SUPERIOR I-1POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING BUILDING RECORD 12 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. r At A SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST 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 7 NO. OF ROOMS UNIT HEATERS GAS OI l B'M'T 2nd _ 1st 13rd I ELECTRIC NO HEATING ca z x O -nm 1!070 3m mc 'w c v c° y °c d A c In o n^ A � v � O O O N c y Z v m wk to Cl n rA � O O A Z pop Z O t a T � M o- -v f1 'v 3 (. 70o e W) O 0 _ uV ca ao x „Cl)M -nm 1!070 3m mc 'w c c° y °c d c In o n^ O m N c y Z v m z Cl n � O rn rw Z Z Z a _ M f1 el 70o O 0 _ m 0 z 4& 1 NORTH TOWN OF NORTH ANDOVER O A ' PERMIT FOR GAS INSTALLATION X ��SSACHu5E1 This certifies that ...... ...... `... has permission for gas installation ... ...................... in the buildings of .................... . North Andover, Mass. Fee..:....... Lic. No...........' �.:. :. �! ........ . i GASINSPECTOR Check # C 34 44 C MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) /` /�p , �� 1r8A- ,MA /Date �' �`V 20 0 -^Receipt# Permit# 7 6 3T Building Location�y� � r✓Ts'T Owner's Name`�'22h2 A b'ee-e �— Map: Lot: Zone: Type of Occupancy Sy's New Renovation ❑ Replacement ❑ moans Submitted: Yes ❑ No ❑ installing Campany Name EASTERN PROPANE & OIL, INC Address 131 WATER ST DAN -VERS tiL�k 01923 Estimate Value of Work: Business Telephone 800-322-6628 Name of Licensed Plumber orGasFitter 'i-le—ti .l3T%� Sim/z-(J/y Checkone: Corporation ❑ Partnership ❑ Firm / Co. Certificate INSURANCE COVERAGE: I have a current Iia' ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policyllY 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 waives this requirement. Checkone: Owner Agent❑ Signature of Owner or Ownees 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 perfcrmed underthe permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: F� RPlumber Signature of Licensed Plumber or Gas Fitter Title Gasfitter Master License Number City/Town ' LJJcumeyman APPROVED (OFFICE USE ONLY) R�svd 05117= Fee: N ¢ Y w N 2 U1 N W N ¢ W N ¢ U O¢ m S H C7 w fn ¢ W O F- U m z 2 ¢ Q O W > 2 C7 = W Q © y !- Q W ¢ W G C d d ¢ W F Q N ¢ W U < W - 97 W ~ O C > lu WLUcn(nzH ¢ F -- Z F- Z h.. W I W - O W O !- J O W Z Q W — < ¢ — Y m 2 Z ¢ rp Q W > ¢ W = Z Q 2 Q Q O O W _ O W Q y O 1 c= W Ic 3 c v v¢> c I a r 1 o SUB-BSMT. BASEMENT l IST FLOOR I II 2ND FLOOR I 3RD FLOOR 4TH FLOOR STH FLOOR 8TH FLOOR 7TH FLOOR 8TH FLOOR installing Campany Name EASTERN PROPANE & OIL, INC Address 131 WATER ST DAN -VERS tiL�k 01923 Estimate Value of Work: Business Telephone 800-322-6628 Name of Licensed Plumber orGasFitter 'i-le—ti .l3T%� Sim/z-(J/y Checkone: Corporation ❑ Partnership ❑ Firm / Co. Certificate INSURANCE COVERAGE: I have a current Iia' ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policyllY 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 waives this requirement. Checkone: Owner Agent❑ Signature of Owner or Ownees 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 perfcrmed underthe permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: F� RPlumber Signature of Licensed Plumber or Gas Fitter Title Gasfitter Master License Number City/Town ' LJJcumeyman APPROVED (OFFICE USE ONLY) R�svd 05117= T m m T Z b r z cn m C) O z cn X m n m cn t a O O m m m cn z m m O O z m m r 0 T O a O T T n m a Lo m 0 z r r z 3 "' i z o m r o r s 0 O p v m -4 0 D C T Z N r -+ r v 9 m ss o a- z a 3 a Z m C O 3 9 �I D � z O m v v o 0 a to T .a N O � Z Q T m m T Z b r z cn m C) O z cn X m n m cn t a O O m m m cn z m m O O z m m r 0 T O a O T T n m a Lo m 0 z r