HomeMy WebLinkAboutMiscellaneous - 370 GREAT POND ROAD 4/30/2018 (2)Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Inspector
1600 Osgood Street
North Andover, MA 01845
RE: Insured:
Property Address:
Policy Number:
Date/Cause of Loss:
File or Claim Number:
Alan & Deborah Hope
370 Great Pond Road
HP2282111
2/23/2015, Water/Ice Dams
31848-W
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.
Wade Anderson
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.
r'i 9.i.r
Signature and Date
ANDERSON ADJUSTMENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053
t
IA-' 930
APPLICATION FOR SEWER SERVICE CONNECTION
'North Andover, Mass.�� _ �� 19
Application by the undersigned is hereby made to connect with the town sewer main in I 422/4::L�T_Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No. 379 f7,- T �G 2,J Street
or subdivision lot no
Nick I �_Rul</\ Co&U AN �
Owner
/^41_ 'I
Contractor
:!)I O CZRE". `r ?0��
Address
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to %?`(
to make a connection with the sewer main at alb/ 1 7 Street
subject to the rules and regulations of the Division of Public Works.
Division of Public Works
By
Inspected by
Date
See back for rules and regulations
e
RULES AND REGULATIONS FOR GOVERNING THE INSTALLATION OF SEWER SERVICES
1. No unauthorized person shall uncover, make any connections with or opening into, use, alter, or disturb any public sewer
or appurtenance thereof without first obtaining a written permit from the Division of Public Works.
2. All costs and expense incident to the installation and connections of the building sewer shall be borne by the owner. The
owner shall indemnify the (town) from any loss or damage that may directly or indirectly be occasioned by the installation
of the building sewer.
3. A separate and independent building sewer shall be provided for every building; except where one building stands at the
rear of another on an interior lot and no private sewer is available or can be constructed to the rear building through an
adjoining alley, court, yard, or driveway, the.building sewer from the front building may be extended to the rear building
and the whole considered as one building sewer.
4. Old building sewers may be used in connection with new buildings only when they are found, on examination and test by
the (Superintendent), to meet all requirements of this ordinance.
5. The size, slope, alignment, materials of construction of a building sewer, and the methods to be used in excavating,
placing of the pipe, jointing, testing, and backfilling the trench, shall all conform to the following requirements. The sewer
shall be 6" diameter SDR 35, PVC pipe. Minimum slope shall be 1/8" per foot. The minimum depth of sewer shall be four
feet below finish grade. Sewer pipe shall be installed on a stable trench bottom of hard durable crushed stone to a
minimum (6) inch depth below the pipe. After the pipe has been installed, crushed stone shall be brought up to the crown
of the pipe. Care shall be taken to carefully grade and compact the stone, and prevent pipe displacement. The remainder of
the trench shall then be backfilled in one foot lifts with mechanical tamping after each lift.
Whenever possible, the building sewer shall be brought to the building at an elevation below the basement floor. In all
buildings in which any building drain is too low to permit gravity flow to the public sewer, sanitary sewage carried by such
building drain shall be lifted by an approved means and discharged to the building sewer.
No person shall make connection of roof downspouts, exterior foundation drains, or other sources of surface runoff or
ground water to a building drain which in turn is connected directly or indirectly to a public sanitary sewer.
8. The applicant for the building sewer permit shall notify the (Superintendent) when the building sewer is ready for
inspection and connection to the public sewer. The connection shall be made under the supervision of the (Superinten-
dent) or his representative.
9
9. All excavations for building sewer installation shall be adequately guarded with barricades and lights so as to protect the
public from hazard. Streets, sidewalks, parkways, and other public property disturbed in the course of the work shall be
restored in a manner satisfactory to the (town). ,
FA
i' ' 0- 6_ �
120 MAIN STREET
NORTH ANDOVER, MASS. 01845
APPLICATION FOR ABANDONMENT
OF SUBSURFACE DISPOSAL SYSTEM
(SEPTIC SYSTEM)
PURSUANT TO SECTION 310 CMR 15.354
OF THE STATE ENVIRONMENTAL CODE, TITLE V
TEL. 682-6483
Ext23
This form must be submitted to the Board of Health no less than
five (5) days prior to date of abandonment and be accompanied with
a copy of the sewer connection permit.
Name N t c K i LP, v21\ Co\,\ H N i Phone('5�1 Cb --1 - 93-S-7
Address 370 �-,,,d &J�/
Contractor hired for work:
Name; �Z, � , L /_ -7-,,--- Phone &M
&2-2652
W
Address z16� C�l�1�ic5i �� KSB
(CRY
Date for scheduled abandonment %'1eL h:5
Method of septic tank abandonment (check one).
( ) removal (X) sandfill (X) crush ( ) other (describe
below)
Other
PLEASE DO NOT WRITE IN THE SPACE BELOW
FOR HEALTH AGENT'S USE ONLY
7/- �S
nspecting Agent ate
Comments 4a -v\- r- CA V^v SL. e IrL -(r, -C ;/��j
Town of North Andover f NORTH
OFFICE OF 3�a`'6.
COMMUNITY DEVELOPMENT AND SERVICES °
146 Main Street *` /c0'4pP`y
KENNETH R. MAHONY North Andover, Massachusetts 01845 9SSACHUSE�
Director (508) 688-9533
To Whom it may concern,
The septic system serving the home at 370 Great Pond Road was
permanently abandoned on July 28,1995. The abandonment was viewed
by the Board of Health as required by the Massachusetts
Environmental Code Title Five.
If you have any questions please call the Board of Health at the
number below.
Sincerely,
O
Susan Ford
Health Inspector
C
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Julie Parrino D. Robert Nicetta Michael Howard Sandra Starr Kathleen Bradley Colwell
r , ,
PERMIT NO. 3
I
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
MAP NO. I
LOT NO.
12 RECORD OF OWNERSHIP iDATE
BOOK PAGE
ZONE
SUB DIV. LOT NO.
I
—
LOCATIONf/ '
vv
PURPOSE OF BUILDING
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
SPAN
DISTANCE TO NEAREST BUILDING j�� ��/ , _�
av
DIMENSIONS OF SILLS
DISTANCE FROM STREET
" POSTS
DISTANCE FROM LOT LINES — SIDES [ �� REAR ` to
AREA OF LOT FRONTAGE
" GIRDERS
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 RE UIREMENTS OF CODE `/�j� _
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 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 MUSTBE LED AND APPROVED BY BUILDING INSPECTOR
DATE FILED ®'L- ( V S e
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE C_l
PERMIT GRANTED /
/ 19
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST _ �f
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
BUILDING INSPECTOR
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Date ..... 4 —..0 .. 4
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ............ ...................
has permission to perform ay -,-7 .... Qvi ...
wiring in the building of . ....:/:.1.. a-
.. ..................................................
at ... 5-2( .. ..... . . .... ............ .North Andover, Mass.
Fee ....... Lic. Nqj. .. .........
LECTRICALINSP
U� 7 -1407/97 11:28 15.00 PAID
-a
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
01 Lfummunw alt4 of 14fittugar4uuetts
Mepa '1ment Of Pub11L 26afttg
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only
Permit No.
Occupancy & Fee Checked EJ(92-f
-73/90 (leave blank) j 3
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 41OZA 11"11
17—
�& 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) 320 G f e -CA ?-,,A P,A
Owner or Tenant
Owner's Address
Is this permit in conjunction with a buildingtpermit: Yes ❑ No el (Check Appropriate Box)
Purpose of Building t nc 11 it a r+�. ti tility Authorization No. 702 Ao 7
Existing Service 0200 Amps aol a,40 Volts Overhead Undgrnd ❑ No. of Meters CEJ
New Service 5a"t- Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Co feted Operations Coverage or its substantial equivalent. YES NO — I
have submitted valid proof of same to the Office. YES NO = If you have checked YES, please indicate the type f coverage by
checking thea ropriate box.
INSURANCE � BOND = OTHER = (Please Specify)
(Expiration Date)
Estimated Value ofncal Work S
Work to Start 'YAO 97 Inspection Date Requested: Rough Final
Signed under the Penalties of per. ry
FIRM NAME �� 'SC ` do LIC. NO.
Licensee
Signature LIC. NO..-7,�4/�3
i IBus. Tel. No. 2300' 3 29 � 02 16
Address g�fC ai Y''�' t N 030-7-7 Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one)
Telephone No. PERMIT FEE S
(Signature of Owner or Agent) x•6565
Total
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers KVA
Above In -
No. of Lighting Fixtures I Swimming Pool grnd. ❑ grnd. ❑
Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets I No. of Oil Burners
Battery Units
No. of Switch Outlets
I No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Detection and
Total
No. of Ranges
No. of Air Cond.
tons
Initiating Devices
No. of Sounding Devices
No. of Dis
Disposals
P
No.of Heat Total Total
Pumps Tons KW
No. of Self Contained
No. of Dishwashers
I Space/Area Heating KW
Detection/Sounding Devices
Municipal
Local 11 on [I Other
1
No. of Dryers
Heating Devices KW
No. of No. of
Low Voltage
No. of Water Heaters KW
I Signs Ballasts
Wiring
No. Hydro Massage Tubs
I No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Co feted Operations Coverage or its substantial equivalent. YES NO — I
have submitted valid proof of same to the Office. YES NO = If you have checked YES, please indicate the type f coverage by
checking thea ropriate box.
INSURANCE � BOND = OTHER = (Please Specify)
(Expiration Date)
Estimated Value ofncal Work S
Work to Start 'YAO 97 Inspection Date Requested: Rough Final
Signed under the Penalties of per. ry
FIRM NAME �� 'SC ` do LIC. NO.
Licensee
Signature LIC. NO..-7,�4/�3
i IBus. Tel. No. 2300' 3 29 � 02 16
Address g�fC ai Y''�' t N 030-7-7 Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one)
Telephone No. PERMIT FEE S
(Signature of Owner or Agent) x•6565
j
Date..................................
e
3:°'..` " TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
a _ •
,SSAGMUS� fel.
This certifies that...................:.r..:...{.......:...,..................:.............................,.;
has permission to perform ........ '...
J,
wiring in the building o€•...1. " �, {
at ........._.......... ,.....(i+.....�41.......................... , North Andover, Mass.
n
Lic. No, ..�.:....... '.
Fee.. �.. ..........................................................................'
ELECTRICAL INSPECTORCU
WRITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
1
of 4P (f,0MMVnWe# of 14fiasoar4useftli
+13epartntent of Public _9,ufetq
a _ BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only�� • y{,/
Permit No.
Occupancy A Fee Checked`8/
3/90 (leave blank) o -I g�,,
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 6
(%* or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to performthe electrical wrk described below.
Location (Street & Nurgber) 70 2� %
Owner or Tenant N(C [�- LAIZA Co G 0 ,4/v I
Owner's Address
Is this permit in conjunction with a building permit: Yes 1:1u No ❑ (Check Appropriate Box)
Purpose of Building
Existing Service
New Service
Amps —J Volts
Amps _J Volts
Utility Authorization No,
Overhead ❑ Undgrnd ❑
Overhead ❑ Undgrnd ❑
No. of Meters
No. of Meters
Number of Feeders and Ampacity r/� /� /�
Location and Nature of Proposed Electrical Work 1NSLq<C 6%142EWitltC/� rC�/n/✓ CtQT Alb
1,11 - a o /J,4 l rl Al A,4:Q. M
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES = NO = I
have submitted valid proof of same to the Office. YES = NO If you have ciiiecked YES, please indicate the type of coverage by
checking the appropriate box.i