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Home My WebLink AboutMiscellaneous - 402 JOHNSON STREET 4/30/2018 (2) 402 JOHNSON STREET 210/038.0-0090-0000.0 Liberty Mutual, Liberty Mutual Insurance New England Region Central Property Unit INSURANCE 75 Sylvan Street Danvers,NtA 01923 Tel:(800)566-0323 July 10,2012 Town of North Andover Atm: Building Inspector 120 Main Street North Andover,MA 01845 Re: Property Address: 402 Johnson St,North Andover,MA 01845 Policy Number: H3221217670421 Underwriting Company: Liberty Mutual Fire Insurance Company Claim Number: 023212546-0001 Date of Loss: 6/23/2012 Attn: Town/City Official Pursuant to M.G.L. c. 139, § 313, 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, 5 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, Kristen Hart Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 Ext. 70417 E-mail: Kristen.Hart@LibertyMutual.com Location ' No. Date - MORTN TOWN OF NORTH ANDOVER Of t�ao 1+ O? +'' •• OO ,. 0A Certificate of Occupancy $ * # Building/Frame Permit Fee $ s„CHUs t� Foundation Permit Fee $ 0' Other Permit Fee $ f• Sewer Connection Fee $ 1.Water Connection Fee $ TOTAL $ 'JJI wa �, Building Inspector Div. Public Works PERJiIT NO. Q 6 4e APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. v PAGE 1 MAP+40. 3 LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK !PAGE — ZONE 3 I SUB DIV. L'OT NO. I /3 I Q / LOCATION PURPOSE OF BUILDING /j� _J _c�j_ Ay OWNER'S NAME " _1 A v N(—� NO. OF STORIES SIZE OWNER'S ADDRESS 1 �Ib�`lla, l'o% f4SO_1 \ BASEMENT OR SLAB ARCHITECT'S NAME `T st \� SIZE OF FLOOR TIMBERS IST 3RD r BUILDER'S NAME `5 % SPAN --- DISTANCE TO NEAREST BUILDING y DIMENSIONS OF SILLS DISTANCE FROM STREET L�rr' 1/ ' POSTS !�4 x I�CL /I—� DISTANCE FROM LOT LINES—SIDES 3 T—j�y REAR 7y GIRDERS l AREA OF LOT / .J 'l FRONTAGEI•� HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW ,!/fj 0 SIZE OF FOOTING /�/l [L S?`//X IS BUILDING ADDITIONI/' MATERSAL OF CHIMNEY IS BUILDING ALTERATION f � IS BUILDING ON SOLID OR FILLED LAND So&/ _j WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER L� BOARD OF APPEALS ACTION, IF ANY lij�.,r1 IS BUILDING CONNECTED TO TOWN SEWER r✓ V IS BUILDING CONNECTED TO NATURAL GAS LINE�t`j� INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DAT FILED BOARD OF HEALTH S ATURE OF OWNER OR AUTHORIZED AGENT e OWNER TEL.k 6 S PLANNING BOARD PERMIT GRANTED CONTR.TEL.# ,�G4 j q 19 q l CONTR.LIC. BOARD OF SELECTMEN BUILDING INSPECTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I StORIES THIS SECTION MUSTSHOW EXACT DIMENSIONSOF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL'K. PINE BRIrK OR STONE HARDW D PIERS PLASTER UNFIN. 2 BASEMENT AREA FULL FIN. B MTAREA _ 1/1 1/2 1/1 FIN. ATTIC AREA NO B M FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDVJ D _ ASBESTOS SIDING _ COMMON VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME p CONC. OR CINDER BLK. STONE ON MASONRY WIRING 'T RR1 STONE ON FRAME _ //,?hr SUPERIOR PONOOR _ e—&��'s� ADEQUATE I-i NE 5 ROOF 10 PLUMBING GABLE HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. 12 FIX.) _ 9 FLAT I SHED WATER CLOSET --- ASPHALT SHINGLES LAVATORY _ fi � �(,.L�I.44-f WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING TAR & GRAVEL STALL SHOWER _ 4'^�7> ROLL ROOFING MODERN FIXTURES TILE FLOOR 7Jr TILE DADO lt-------� 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 UNIT HEATERS 1 e•Q 7 NO. OF ROOMS GAS OIL / B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING �'�. t"� _ e i►.. L^' . _ _ 1 k Citi Fit-MAI NORT FI -T own o bdover . 0 066 E er, Mass., .—mc A ♦ �e 19 T o c —ICK aoR Pa�� - SS BOARD OF HEALTH P. ERMIT T 0 THIS CERTIFIES THAT. Q r.C..AtIn IWOJW..Al!�; 0. ........................ • BUILDING INSPECTOR has permission to erect . 0 .i.op�Tiuildings on Rough � .• Chimney to be occupied af- trXPALf. .. •� •• � •••• Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR fl-is office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR Rough UNLESS CONST TION STARTS Service • rFinal • ••••••• •••• ••• •BUILDING INSPECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises Do Not Remove Burner FIRE DEPT. No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector Town of North Andover !.' BUILDING DEPARTMENT Homeowner License Exemption (Please print) DATE_AAA�fcW 'I, 17 / JOB LOCATION h�0� Number Street Address HOMEOWNER" Section of town !! J�/fi� �. /�Av r.1 �y " Name i; Home Phone Work Phone PRESENT MAILING ADDRESS �Oa �l p, •lso, S`7-- City TOWII State Zip code The current exemption for "homeowners" was extended to include owne occupied dwellings of six units or less and to allow such homeowners to engage an individual for hire who does not possess a license ;' i that the owner acts as supervisor. (State Building Code Section 109 .. .:DEFINITION OF HOMEOWNER: on 109 . 1 . 1) Person(s) who owns a parcel of land on which he s reside, on which there is , or is intended to be/ aeonestdes or intends to ing, attached or detached structures accessory to such usesix and/otrlfa dwell- ,;' ,'' structures . A person who constructs more than one home in a two-year rm period shall not be considered a homeowner . Such "homeowner" shall submit to the Building Official , on a form acceptable to the BuldingOfficial that he/she shall be responsible for all such work performed under the ' building permit. (Section 109. 1 . 1) The undersigned "homeowner"g eowner assumes responsibility for compliance with the . : State Building Code and other applicable codes , by-laws , rules and d The undersigned "homeowner" certifies that he/she understands the T own of d North Andover Building Department minimum inspection procedures an requirements and that he/she will comply with said procedures and .requirements . 'HOMEOWNER ' S SIGNATURE '' APPROVAL OF BUILDING OFFICIAL „Note : Three family dwellings 35 , 000 cubic feet , or larger , will be required to comply with State Building Code Se Control . ction 127 .0, Construction