HomeMy WebLinkAboutMiscellaneous - 50 WEST BRADSTREET ROAD 4/30/2018THE MAIN STREET AMERICA GROUP TrustedChoice
August 7, 2015
Building Inspectors Office
1600 Osgood Street
Building 20, Suite 2035
North Andover, MA 01845
Insured :
Address:
City, State, Zip
Policy Number:
Loss Type:
Date Of Loss
Claim Number:
Margherita Caron
50 West Bradstreet Road
North Andover MA
53T75831
Water Damage
3/25/2015
53T75831-100001
01845
Claim has been made involving loss, damage or destruction of the above -
captioned property, which may either exceed $1000 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 this writer and include a reference to the above -
captioned insured, location, policy number, date of loss and claim number.
Title : Property Claims Adjuster.
On this date, I caused copies of this notice to be sent to the persons named
above at this address indicated above by first class mail.
Signature:
Daniel Lanotte
ATTN: Claims Mail
800-252-8704 x180
The Main Street America Group
P. O. Box 19000, Jacksonville, FL 32245-9000
claimsmail@msagroup.com
Cunningham Lindsey U.S., Inc.
P.O. Box 703689 Gunnln ham
Dallas, TX 75370-3689 Lindsey
Telephone (888) 738-8714 Facsimile (214) 488-6766
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS Ch. 139, Sec 3B
Building Commissioner or
Inspector of Buildings
120 Main Street
North Andover, MA. 01845
Claim Number:
53T75831
Policy Number:
53T75831
Company Name:
MAIN STREET AMERICA
Date of Loss:
03/25/2015
Insured:
MARGHERITA CARON
Property Location:
50 WEST BRADSTREET ROAD, NORTH ANDOVER, MA 01845
Claim has been made involving loss, damage, or destruction of the above captioned property,
which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,
to be applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please
direct it to the attention of the writer. Kindly include a reference to the captioned insured,
location, date of loss and claim number.
Cunningham Lindsey
Catastrophe Department
cicat@cl-na.com
800-867-3885
_
KU SETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
NORTH ANDOVER , Mass. Date -L] q1
Building j
Location, permit #
Owner's
Name Mqp-4 E7
New ❑ Renovation ❑ Replacement COY plans Submitted:. Yes ❑ No Lj—
TT Check one: CertHicate
Installing Company Name_ ��y-��/+�/1/L
orp. lssZ
Address�D [i partnership
-- l L /�7 �h'i, i cN �'l %l ❑ Flrm/Co.
Business Telephone 652-7-710
Name of Licensed Plumber or Gas Fitter L J
INSURANCE COVERAGE: Check of
have a current liability Insurance policy or its substantial equivalent. Yes No ❑
If you have checked Ye, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy Other type of Indemnity CI 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:
nature of Owner or Owner'a Agent Owner 11 Agent 11
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 an plumbing work and Installations performed under the permit ISWO for this application will be In compliance with all
pertinent provisions of the Massachusetts State rias Code and Chapter 142 of the La
� T nse:
Title umber ns ure o e r or as or
iter
aster License Number
�'�ON'" . � Journeyman
Al'"MED (OFFICE USE ONLY)
MUNNINNOMN
OMEN
MEN
MEMO
Nunn
TT Check one: CertHicate
Installing Company Name_ ��y-��/+�/1/L
orp. lssZ
Address�D [i partnership
-- l L /�7 �h'i, i cN �'l %l ❑ Flrm/Co.
Business Telephone 652-7-710
Name of Licensed Plumber or Gas Fitter L J
INSURANCE COVERAGE: Check of
have a current liability Insurance policy or its substantial equivalent. Yes No ❑
If you have checked Ye, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy Other type of Indemnity CI 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:
nature of Owner or Owner'a Agent Owner 11 Agent 11
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 an plumbing work and Installations performed under the permit ISWO for this application will be In compliance with all
pertinent provisions of the Massachusetts State rias Code and Chapter 142 of the La
� T nse:
Title umber ns ure o e r or as or
iter
aster License Number
�'�ON'" . � Journeyman
Al'"MED (OFFICE USE ONLY)
I
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a !t
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Date ..
'6 "� 770
HORTIy - TOWN OF NORTH ANDOVER.'
3? hE 3 PERMIT FOR GAS INSTALLATION
o
* # r
SSACHUSES _
This certifies that .......#. t C...! ....�./. {{.,
has permission for gas insta lation ,� ` �OSZ"":C ..' a'J: ;
in the buildings h�of ..;:�f t ...... . .
at ... f .vt!i C.(� �?(Ct—,-; l{ orth Andover, Mass.
Fee../Cl.mac. No..T. A ... ............ t
�#�t--�z� GAS INSPECTOR •. .. `'
WHITE: Appl%��Kmt G �"9�uilding Dept. PINK: Treasurer GOLD. File-
Address
j/a197
Bay State Gas Company
GAS INSTALLATION A11THORIZATION
it n
rDate _-- �ao -9/
For Installation of:
BTU Input %
Restrictions
BSG Representati
PERMIT ISSUED _ BY
INSP� ,ECTOR
This Portion of Authorization To Be Returned to BSG.
Inspection Has Been Made of the Following Gas Equipment:
❑ Heating System (BTU Input ) ❑ Range
❑ Water Heater ❑ Clothes Dryer
❑ Room Heater
Location
All Work Has Been Done In Accordance With The Massachusetts
State Gas Code And Is Reactor Use.
INSPECTOR
BUSINESS REPLY CARD
FIRSTCLASS PERMIT NO. 721 LAWRENCE, MA
POSTAGE WILL BE PAID BY ADDRESSEE
BAY STATE GAS COMPANY
ATTN: SALES DEPT.
55 Marston Street
Lawrence, MA 01840
NO POSTAGE
NECESSARY
IF MAILED
IN THE
UNITED STATES
-%'t
Nq 4576
tiooL TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ...//�-=` .'. : `...../) . `/.-/ .............. .
has permission to perform ...... `^� . r) .........................
plumbing in the buildings of ... .55 .{. C ....................
at .. C.! n�'. 'k. r rR '.`. ( , North Andover, Mass.
Fee.d.? Lic. No... 3L..z ...... ......... .
LUMBING INSPECTQR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
y
;�
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Pri t or Type)
vv�V� Mass. Date Permit # ,
s Building LocationCO+� T'Tner's Name
Type of occupancy Residential
iy V
New ❑ Renovation ❑ Replacement N Plans Submitted: Yes ❑ No ❑
FIXTURES
Installing Company Name Heritage Htg. &P1g. Co. Inc. Check one:
Address 35 Pleasant Street LX Corporation
Stoneham, Ma 02180 n Partnership
Business Telephone 781 —A3 -8-7T (_ I ; Firm/Co.
Name of Licensed Plumber Gordon Switzer
Certificate
714
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 91 No ❑
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy . IX 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 ❑
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 performed under the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing CodVand hapter 142 of the Gen ral Lraws.
By Signature ofd Plumber .
Title _
City/Town Type of License: Master i Journeyman ❑ '
APPROVED OFFICE USE ONLY) License Number 8322
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Installing Company Name Heritage Htg. &P1g. Co. Inc. Check one:
Address 35 Pleasant Street LX Corporation
Stoneham, Ma 02180 n Partnership
Business Telephone 781 —A3 -8-7T (_ I ; Firm/Co.
Name of Licensed Plumber Gordon Switzer
Certificate
714
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 91 No ❑
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy . IX 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 ❑
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 performed under the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing CodVand hapter 142 of the Gen ral Lraws.
By Signature ofd Plumber .
Title _
City/Town Type of License: Master i Journeyman ❑ '
APPROVED OFFICE USE ONLY) License Number 8322
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PERMIT NO. L'G
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
V/ PAGE 1
KVO.
P �� LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE
ZONE a I SUB DIV. LOT NO. 1
LOCATION V�&f tA4CJ &1v 9 PURPOSE OF BUILDING Pl&* w X4,t RA"
OWNER'S NAME JV �/vo OR(Azoo NO. OF STORIES SIZE+L
OWNER'S ADDRESS SO
' 1 r" �U�_ 1 �I�C _� BASEMENT OR SLAB -
ARCHITECT'S NAME J W"' i� (+lA SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME (aRTt j,�V p�,«{../�L / / (el,q„�f `(� .. SPAN
DISTANCE TO NEAREST BUILDING 1 iV /l/OV4C 1 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
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 1 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 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 tv12 Lp1(J� fy
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE
PERMIT GRANTED
19
�+r
I
3 PROPERTY INFORMATION
LAND COST p
EST. BLDG. COST 4 5800,®0
EST. BLDG. COST PER SQ. FT. �v
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INSPECTOR
OWNER TEL. # 6&3 ClUk"iOd�
CONTR. TEL. A GV2�c L 8<-
CONTR. LIC. M U4190-
H.I.C. # -zm
f
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 tv12 Lp1(J� fy
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE
PERMIT GRANTED
19
�+r
I
3 PROPERTY INFORMATION
LAND COST p
EST. BLDG. COST 4 5800,®0
EST. BLDG. COST PER SQ. FT. �v
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BUILDING INSPECTOR
OWNER TEL. # 6&3 ClUk"iOd�
CONTR. TEL. A GV2�c L 8<-
CONTR. LIC. M U4190-
H.I.C. # -zm
f
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
3 1 2 I3
PINE
CONCRETE
CONCRETE BL'K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY VJALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B'M'T' AREA
_
'/, 1/2 1/1
FIN. ATTIC AREA
_
NO BMT
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
B
_
1
22 J 3
I_
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
_
HARDW'D
COMMCN
ASPH. TILE
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STIRS. 8 FLOOR _
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR (� POOR _
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLEHIP
BATH (3 FIX.)
GAMBREL
MANSARD
TOILET RM. 12 FIX.)
_
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK '
SLATE
NO PLUMBING
_
TAR 8 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
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd _
10 13rd
ELECTRIC
NO HEATING
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.
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Location. S -b WeAt U)=Wj0(r.
No. r Date
40RTfy
TOWN OF NORTH ANDOVER
p .
Certificate of Occupancy
$
Building/Frame Permit Fee
$
s� CHus
Fee Foundation Permi
Other Permit Fee
$ <
$ 3
Sewer Connection Fee
$
Water Connection Fee
$
TOTAL
$.
Building Inspector
06/19/95 11:08
39.00 PAID
,0 8 3 4
Div. Public Works
PER31IT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP 4J0.
LOT NO.
2 RECORD OF OWNERSHIP DATE
BOOK
PAGE
7-QNE
SUB DIV. LOT NO.I
LOCATION
PURPOSE OF BUILDING
OWNER'S NA
A
NO. OF STORIES SIZ —w
_
OWNER'S ADD ES �'�O J/�,
�!
BASEMENT OR SLAB "
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME n%
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
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
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
IS BUILDING CONNECTED TO NATURAL GAS LINE
.a
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
'IF EE `5
PERMIT GRANTED
19
1 ,
" 112 1995
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST I s
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
OWNER TEL. N 6 �- 3 Y(—`-3
CONTR. TEL. # Ca _ -3
CONTR. LIC. # d Z Z P k u
H.I.C. M z
r
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
SiOR1ES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
CONCRETE
PINE
d
1
2
13
CONCRETE BL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
V, 1/1 1/1
FIN- B'M'TAREA
FIN. ATTIC AREA
_
_
NO BMT
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
DROP SIDING
WOOD SHINGLES
B
_
1
2 3
I_
_
_
CONCRETE
EARTH
HARD\!J'D
COMMON
ASPH. TILE
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STRS. 8 FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
_
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR II POOR _
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
I
HIP
BATH Q FIX.)
_
GAMBRELMANSARD
I
TOILET RM. (2 FIX.)
_
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
_
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
UNIT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 12ndI
ELECTRIC
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THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- .r
RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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OFFICES OF: Town of
a
HYPE iLs .:.; NORTH ANDOVER
BUILDING ° `�::::� +•
CONSERVATION "`"" 4 DIVISION OF
HE.•.LTH
Irl--\NNI�G PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
120 Main Street `
North Andover,
Massachusetts 01845
In accordance with the provisions of :LiGL c 40. S 54, a condition of Building Permit
Number is that the dcbris resulting from this work shall be
disposed of in a property liccascd, solid waste disposal facility as dcfincd by MGL c III, S
250A.
The debris will be disposed of in:
5
(Location of Facility)
Sign cure of Pcrmit A -C
t
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.