HomeMy WebLinkAboutMiscellaneous - 40 LINCOLN STREET 4/30/2018 (2) n
40 LINCOLN STREET � ��� ��-'
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_ Safety Insurance
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectman
City Hall City Hall
NORTH ANDOVER MA 01845 NORTH ANDOVER MA 01845
Re: Insured(s): PETER J SKAMBAS
Property Address: 40-42 LINCOLN ST,NORTH ANDOVER MA 01845
Policy Number: 0110801
Claim Number. BOS00007581
Date of Loss: 02-25-2010
Company: Safety Insurance
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, 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.
Bill Jones,Adjuster 03/02/10
Safety Insurace Company
Homeowners Claims Unit
P.O.Box 55098
Boston,MA 02205-5098
Phone: (800)9511-2100x3461
Fax:
I
CC012.001
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Date. . . .. . .. .
� NORTH !
Of
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• PERMIT FOR GAS INSTALLATION
SACHUSE�
,
This certifies that . . . . . . . . . . . . . . . . . .
f
has permission for gas ihstallationl.�_�:! ... . . .. . � .. . . . . . . . . . .
in the buildi sof: +. .Y. �. .;I/ . . . . . . . . . .
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at . . .. . . . . . . .. North ndover, Mass.
Fee d �. Lic. No..q,,-;V3 . . . . . . . . . . . . . . . . . . . . . . . . . . .
GAS INSPECTOR
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NORTH[ANDOVER BUILDING DEPARTMENT
us ,1600 Osgood Street
�SSAcw '�K . .
North Andover
Tel: 978-688-9545
Fax: 978-688-9542
,BUSINESS FORM FOR TowN CLERK
DATE- L Z�
NAME: vim&a✓�va
ADDRESS:__ / 2 C�,�e v�,✓
ZONwGDISTRIOT:_ ,� 1
TYPE OF BUSINESS.:
BUILDING LAYOUT PROVIDED: YES
A7 ALLPi!`iiLEPARKMG RAMS:_
ZONING BYLAW USAGE: �S NO
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BUMDING INSPECTOR.SIGNATURE
BUSINESS FORM FORTOWN CLERK
2.40 Home Occupation(1989/32)
An accessory use conducted within a dwelling by a resident who resides in the dwelling as his principal
address, which is clearly secondary'to the use..of the building for living purposes. Home occupations shall
`include,"but not'limited to the following uses; personal services such as furnished by an artist or instructor,
but not occupation involved with motor vehicle repairs, beauty parlors, animal kennels, or the conduct of
retail business,or the manufacwring Of goods,which impacts the residential nature of the neighborhood.
4: For use of a dwelling in any residential district or multi family district for a home occupation, the
following conditions shall apply.
a. Not more than a total of three (3) people may be,employed in the home occupation, one of
whom shall be the owner of the home occtipation and residing in said divelling,
b. The use is carried on strictly within the principal building;
c. There shall. be no exterior alterations, accessory buildings, or display which are not customW
with residential buildings; -
d. Not more than twenty five(25) percent of the existing gross floor area of;the dwelling unit.
so used, not to exceed one thousand (1000) square feet, is devoted to'.such use. In
connection with
such use, there is to be kept no stock in trade, commodities or products which occupy space
beyond these limits;
e. There will be no display of goads or wares visible from the street;
£ The building or premises occupied shall not be rendered objectionable or detrimental to the
residential character of the neighborhood due to the exterior appearance, emission of odor,
gas, smoke, dust, noise, disturbance, or in any other way become objectionable or
detrimental to any residential use within the neighborhood;
g. Any such building shall include no features of design not custOmW in buildings for residential
use.
L g. •Z
� oy
ignatur Date
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFIITING
(Print or Type)
Mass. Date Zctou
Permit #
Building Location
Owner's NamXL ZLL
e1�YC r
Type of Occupancy
New ❑ Renovation ❑ R placement 2 Plans Submitted: Yes❑ No ❑
- / y
N Q
W y
y y 39 Z Q
y C C O 0 y = C
0 J y W FO- V m ~ S 7!
< 30- Z Z
Z O W !" C O �. W
m y I- y W O d O r F-
y 0 W < = H y C <
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C 19 O C W M- W ~ _ (� C
J F- 2 h- W W O > W t- V J 1-4.
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Y < W < C �' �, 0 m 2 O Z W O
UA O Z. < C < t O O W C
C Z O 0 = W 0 3 0 d J 0 S > O
SUB—BSMT.
BASEMENT
!ST FLOOR
2ND FLOOR
3RD FLOOR _
Ff
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
Installing Company Name-2 e"Ae(Z T q . ZAM M T A 180
Check one: Certificate
Address3 L nor r N,h 4,y `M ❑ Corporation
111 - 7 N�% n} r11 a 0 l k ❑ Partnership
Business Telephone_ 9-71
R--firm/Co.
Name of Licensed Plumber or Gas Fitter r E P T /� �,A n,i,yt fq A l?o .
INSURANCE COVERAGE:
I have a current Lability insurance policy or Its substantial equivalent which meets the requirements
Yes f�
No ❑ of MGL Ch. 142.
,If you have checked res, please Indicate the type coverage by checking the appropriate box
A,liability insurance policy 0 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:
Signature of Owner or Owners Agent Owner❑ Agent ❑
1 hereby certify that all of the details and information I have submitted(or entered)in above
knowledge and that all plumbing work and installations performed under the apPlication true and accurate to the best of my
Pertinent provisions of the Massachusetts State Gas Code q�apter 142 of ed for this application be in compliance with all
T of Ucense: t3
Title0Plumb n ure o cen u L
or itter
QI/Town Joum r an License Number �.33
JZ
i
BELOW FOR OFFICE USE ONLY
PROGRESS INSPECTION
FINAL INSPECTION SKETCHES
FEE -
140.
APPLICATION FOR PERMIT TO DO GASFITTING
NAME S TYPE OF BUILDING
LOCATION OF BUILDING -
PLUMBER OR GASFITTER
LIC. NO.
i
PERMIT GRANTED
1
DATE - 19
i
+ OAS INSPECTOR
Location ! ~ �` °2 l^ /NCU✓N 5
i
No. 8 0;2 Date J3- �
�pRT►, A Y
TOWN OF NORTH ANDOVER
O:tt�.o r•,�C
p Certificate of Occupancy $ _
Building/Frame Permit Fee $
Foundation Permit Fee $
s�CHusE
Other Permit Fee $
Sewer Connection Fee $ _
Water Connection Fee $
TOTAL
Building Inspector
1 3 1 2 4 05/21/99 14:55 25.00 PAID
Div. Public Works
PERMIT NO. / g oZ APPLICATION FOR PERMIT TO BUILD********NORTH ANDOVER, MA L/
MAPNO. LOT NO. 2. RECORDOFOWNF.RSIIIP DATE BOOK PAGE
ZONE, SUB DIV. LOT NO.
LOCATION �� �� PURPOSE OF BUILDING
OWNER'S NAME NO.OF STORIES SIZE
OWNER'S ADDRESS 41. f} yZ <J✓G��� BASEMENT OR SLAB
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS Ise 2ND 3RD
BUILDER'SNAME �'—/!�/4 SPAN
DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS
DISTANCE FROM STREET DIMENSIONS OF POSTS
DISTANCE FROM LOT LINES-SIDES REAR DIMENSIONS OF 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
T IS BUILDING CONNECTED TO NATURAL GAS LINE
1NSTUCTIONS 3. PROPERTY INFORMATION LAND COST
t 14)
EST.BLDG.COST 6 A '-
PAGE I FILL OUT SECTIONS I-3 EST.BLDG.COST PER SQ. FT.
EST. BLDG. COST PER ROOM
ELECTRIC METERS MAST BE ON OUTSIDE OF BUILDING SEPTIC PERMIT NO.
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4. APPROVED BY:
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR BUILDING INSPECTOR
DATE FILE OWNERS TE L9 C� y^ �-�
�< CONTR.TEL# f 7 e�7 gzp/ S7 /q�7 e
SIGNATURE OF OWNER OR AUTHORIZED AGENT coNTR.l.lc#
AE
PERMIT GRANTED
& 19
Revised 5/5/99 .IM
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Town"of North Andover NORTH
ti
OFFICE OF 3?O`Strto ,e OL /
COMMUNITY DEVELOPMENT AND SERVICES - p
27 Charles Street
North Andover, Massachusetts 01845 "o4A710•''`cy
WILLIAM J. SCOTT SSACHUS��
Director
(978)688-9531 Fax (978)688-9542
I
In accordance with the provisions of MGL c 40 S 54, a condition of Building
Permit
Number /9,
is that the debris resulting from this work shall be disposedosed
of in a properly licensed solid waste disposal facility as defined by MGL c 11, S
150 A.
The debris will be disposed of in:
/
(Location of Facility)
Signature of Per #Applicant
l Date
NOTE: Demolitionp ermit from the Town of North Andover must be obtained for
this project through-the Office-of the-Building Inspector
i
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BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
a! R T H
'own of Andover
"No. li2—
�� r dower, Mass.,
DATED P'' �
BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
BUILDING INSPECTOR
THIS CERTIFIES THAT........ l.I.. ..P.d....... .. .®�. .......... . Foundation
has permission to erect.. .8... ........ buildings on ............... ... ...® ........ ,I rV O.0 I A—4 .S� Rough
® i 16 *1� Chimney
to be occupied as..............................................................
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
e e l� EJB N i �9 .�..;.X ;�V-S Rl�1 6 TVIO A�JTHS Final
-NI LESS CONS RUCIII , S TS ELECTRICAL INSPECTOR
Rough
........ ............... ................................................... Service
BUILDING INSPECTOR
Final
Ocaipancy, Permit Required to Occupy .Bui!'d ing GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RoughFinal
+ No Lathing or Dry Wall To Be Done FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector. Burner
Street No.
SEE REVERSE SIDE smoke Det.