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HomeMy WebLinkAboutMiscellaneous - 51 PHILLIPS COMMON 4/30/2018 51 PHILLIPS COMMON 210/058.0-0036-0000.0 PO Box 55098 Boston,MA 02205-5098 617-951-0600 I ■ Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Board of Health or 1 Inspector of Buildings Board of Selectman + City Hall City Hall NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845 RE. Insured: KEVIN'F MAHONEY and CELESTE MV MAHONEY Property Address: 51 PHILLIPS COMMON,NORTH ANDOVER, MA Policy Number: HMA 0262244 j Claim Number: BOS00047878 Date of Loss: 2/9/2015 Company: Safety Indemnity Insurance Company 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 lthe'atteittion of the writer and include a reference to the captioned insured, location, policy number;date of loss and claim number. ColemanFoley C�aim Exar��iner 2� t y , 11/2015 Safety Insurance Company Homeowners Claims Unit P. O. Box 55098 Boston,MA'02205-5098, Phone:,(6'17)'951-,0600:EXT:5180 `Fax`: (617) 531=8886 Email: ColemanFole Saf y@et I y nsurance.com _...-. _ .._ .. _. .. -f..nom..-.. .♦res... Y.y''T .y Location 1rrf- 7 07 _ t No. Date °o TOWN OF NORTH ANDOVER t Certificate of Occupancy $ A ;W4 Z— ° Building/Frame Permit Fee $ f Foundation Permit Fee +�'� � s�cMuse �OPAermit Fee $ A ?er Connection Fee $ Water C9,nnection Fee $ Building Inspector Div. Public WorIR Location ALI— .� ?�!99 NORTM TOWN OP49PRTgANDOVER 60 F? ��, Certificate of OccupantQq,$ # ' Building/Frame Permit Fee $ ♦°off '�s 'Ss�cMuSEt Foundation Permit Fee $ Other Permit Fee $ ---------- Sewer Connection Fee $ Water Connection Fee $ ' TOTAL Building Inspector Div. Public Works Location �� �i%' !��„� !�, �✓,`%1,v No.j .i Date i i NORTH TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ ' Foundation Permit Fee $ Other Permit Fee $ / lf' wer Connection Fee $ �4U '�P G /.J ff connection Fee $ 4/0'��(Y j�� TOTAL ' $ OCJ(J�0U Orc �c/ -'Buildiri Ins e"ctor �f �� Div. Public Works PERMITNO. � yy �' 'PLICATION FOR-rE MIT TO BUILD — NORTH ANDOVER, MASS. IV PAGE 1 MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. LOCATION �` PURPOSE OF BUILDING I Q I +! OWNER'S NAME — NO. OF STORIES r/ .� l MAANYhIoil [� SIZE (��f OWNER'S ADDRESS 7-R3 ril © C�a �'( ti ` n -'p SEMENT R SLAB ARCHITECT'S NAME` 1 O� JjQ� SIZE OF FLOOR TIMBERS IST `Z7 Vim\ 2ND �4 3RD BUILDER'S NAME O SPAN 41 1 V l� s .'L DISTANCE TO NEAREST BIYILDING I DIMENSIONS OF SILLS DISTANCE FROM STREET71� LI� POSTS DISTANCE FROM LOT LINES—SIDES 2-0 REAR 3^ I GIRDERS( 5' AREA OF LOT _, ey f FRONTAGE(/� HEIGHT OF FOUNDATION C'X l THICKNESS/0 IS BUILDING NEW ( ` - SIZE OF FOOTING 1� r7 �S X (1 IS BUILDING ADDITION �1 MATERIAL OF CHIM -- ij� \,.. �.l`•�- IS BUILDING ALTERATION K3 0 IS BUILDING O SOLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE QC IS BUILDING CO-AMCTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY N .,Q� IS BUILDING CONNECTED TO TOWN SEWER 1 IS BUILDING CONNECTED TO NATURAL GAS LINE( �s s ' i INSTRUCTIONS 3 PROPERTY INFORMATION,{ SEE BOTH SIDES. LAND COSTEST. - BLDG. COST,171cp0 EST. BLDG. COST PER 8Q. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 , L z ROOM COST PER R tJ� PAGE 2 FILL OUT SECTIONS 1 - 12� EST. C- 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 FIL D AND APPROVED BY BUILDING INSPECTOR DATE FILED. �Q L BOARD OF HEALTH SIGNATURE OA OWNER OR AUTHORIZED FEE OWNER TEL # jZ PERMIT GRANTED CONTR.TEL.# � PLANNING BOARD 4 t9 — CONTR. LIC.# _3� r /30 ­Vni q BOARD OF SELECTMEN 777 AUG 19 I� 1991 ® IS 7 /— ll 4A-Cor BUILD NO IN6PECTOR 1 'BUJLDING RECORD 1 OCCUPANCY' 12 1; T SINGLE FAMILY 4 SioR1Es THIS SECTION MUST SHOW,EXACT DIMENSIONS OFLdT-AND DISTANCE FROM MULTI. FAMILY ' ' o,FFtCES: LOT LINES AND-EXACT D'iMENSIONS OF "BUILDINdS` WITH-PORCHES. GA- APARTMENTS RAGES, ETC._SUPERIMP0,5E0...THIS,REPLACES PLOT PLAN, CONSTRUCTION q ' 2 FOUNDATION �y I 8 INTERIOR FINISH CONCRETE ]�f _ 3 1 2 I3 CONCRETE BL'K. , PINE BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT i AREA FULL FIN. B'M'T' AREA' 14 1/2 '/, FIN. ATTIC AREA,; a NO BM FIRE PLACES HEAD ROOM _ MODERN KITCHEN /- J 4 WALLS FLOORS CLAPBOARDS B 1 2 3 , DROP SIDING CONCRETE �_ WOOD SHINGLES e ''EARTH ASPHALT SIDING :HARD\!d'D _ ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH. TILE _ STUCCO`ON MASONRY STUCCO ON FRAME BRICK,ON;MASONRY-. ATTIC STRS. & FLOOR _ - BRICKbN FRAME, CONC.OR'CINDER�B'LK. STONE'ON.MASONRY WIRING . STONE OK FRAME _ Y SUPERIOR POOR _ e ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE IV I HIP BATH 13 FIX.) GAMBREL MANSARD TOILET RM. I2 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 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. i TIMBER BMS. &COLS. STEAM 1 STEEL BMS. & COLS. HOT W'T'R OR VAPOR l• = WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GASJF OIL B'M'T 2nd ELECTRIC 1st 13rd NO HEATING /S'7 83 ' o� 2i o l � � Q,00 Fov.voArio.�/ I Q' '1p L �0'—'Poo97-10N LaGAT/OAA �.eo,r, ,Q,v /.vsre�mE.vT EP -S, 1992 1 .�/EPE/3Y CE PT/FY TO TNS' T'/TGE %t1S&/WOP ANO PL O T f'L, / TO 7,4E'B-4,Ve 7-447- 2'1,46'G07'4.5 NgTT1,/EGOTAS S1f0/YN ANO T1/4T/T OOES CONFOPiY/ /N ,OY/Ts/ 71/ETaz,&'N OFNO. AvUo�Ee20N/NG PE�iULAT/ONS ,PEGAPO/N!, SETBAL,t'S FROM STPEETS t LOT G/SES. ��/Q �,ypay��l �Jq�� 'r F/j,PryE,P CE,PT/FY TiSGOT T.�//S O/s�EGL/N6 /S NOT v�/ I / G/�L9TEO IAA T.YE FEOEPAG FLOOO ffA24.P0 APE4. �i` �7�/V FOiP ,$yawN O/(/ FfM MSN/Ty /°.4NEL � �.G//c.G/�5 ��irJmO,e/ .�EvE�oom�,vT �Q.eA �HOFMgss 2Soo98 X758 ' 9cti Oq rED 6/rs�g3 RE ✓ F P,G.S, O�� sko`'p� TN/S PLAN p�8� P/iePOSES- wOT FD.P Bovvo.Ps� oE- � .,;:Bo�.vo.v,es�iri.�a.P•rf- �E.P.P/�J.9GY �.vGidEE,Pi.[iG SE.Pv/�'ES 4r�ov ryrEy ,�,Po,H Exrsr�vc e< za A.t/OD�'E�P, �Y1,4SS,4C//l/SETTS O/8/O ! FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone 2 D 1 LOCATION: Assessor's Map Number Parcel Subdivision Lot(s) JL Street � St. Number 5 ************************Official Use Only************************ RECOMMENDATS OF TOWN AGENTS: Date Approved Conse ation Administrator ZON Date Rejected Comments i I, Town Planner Date Approved '/ Date Rejected Comments Date Approved g1114 la.-2 Health Agent Date Rejected Comments ' Public Works ,- sewer/water connection ,-0-11hi -,, - driveway permi /0 Fire Department Received by Building Inspector , Date t CQNSERV'ATI® FINAL PL N G ����-'�� FINAL SEW /WATER FINAL `F ® n ® � o� n over 0O ' VEW Y ENTRY PERMIT - - �Lry■ "Andover,, Mass., 19AL �'-K r f CII I:,ME WICK �^ AOR �PP'1_1/GA'{/�y ! A. �'! 9 BOARD OF HEALTH PERMl� a ILD THIS CERTIFIES THAT. .�QNNOO P!° ..ri/..l..cQ,e eell,, BUILDING INSPECTOR has permission to erect�F�Obuildings ongar .. .. �� � I Rough ���041640 It J�M-f L1.0�� ... ... ..�� Chimney to be occupied as . . Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection Alteration and Construction of Rough , PERMIT FOR FOU1 ONLY Buildings in the Town of North Andover. REGULATED BY PARA IRM B.C. Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES I N 6 ELECTRICAL INSPECTOR I INLESS CONSTRUCTION] STARTS'5)1� `r°. 6-or— Rough service PERMIT FOR FRAME/BUILDING Final Da' FEE PAD BUILDING 1 •PEcrOR GAS INSPECTOR Occupancy Permit required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove _ Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector r CERTIFICATE OF USE & OCCUPANCY TGWY, H Of IN QMRO Ir A Ft, Building Permit Number . Date THIS CERTIFIES THAT THE BUILDING LOCATED ON MAY BE OCCUPIED AS IN ACCORDANCE WITH THE PROVISIONS OF MASSAC SETTS STATE DING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. OF tAORTH q CERTIFICATE ISSUED TO O m f- • ADDRESS pqn r¢o a`(5 9SSHCHUS Building Inspector G®NSER1/ATI® FINAL PL NI G I _� --FINAL SEW I�lA1'ERli— �, ; : �'�� 'i�' — , '4— a 3 , � FINAL own o ` �0 6 0 n ov No. 3 a y . li/l3 5Z k Y ENTRY PERMIT ► - rL ��� C E ng over, 1Vlass., 19" I BOARD OF HEALTH PERMIT It • ��AfAe� THIS CERTIFIES THAT. �7F��� ..�'QI!9til.' 0� e,� .... �.. .. .. p toj LLi�f,�, 7# g 40 rW.A• •• •��O•••� . , BUILDING UILDINGINSPECTOR has permission to erec buildin son Rou h >k" 1 `� 00401-640#1 11 yJWAA14P-1#WChimney/`zl '�/ 3�, }- to be occupied as Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in U7G 'LB1 INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection Alteration and Construction of R6u ° �' �'�,52 WMIT FOR FOUL!ONLY , Buildings in the Town of North Andover. REGULATED BY PAK JUM B.C. VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MO[WT44&ia.. fFMD&0,0_Q ELECTRICAL IN ECTOR �O- Rough �— PERMIT FOR FRAME/6UI1.01N� LESS CONSTRUCTION STARTS Service Ak Final DATE: FEE PAI. - 0 4-- ;•. BUILDING I PECTOR GAS INSPECTOR Occupancy Permit Required to Occupy Building °" 6l' Display in a Conspicuous Place on the Premises P y P FIRE h Do Not Remove Burner �� i�/���`�� No cathing to Be Done Until Inspected and Approved by Smoke Det., � �y Building Inspector �� t Location Sf - 'jLL tr'S Lgm^,oro Rvc� No.,, Date 3 S b NORT�y TOWN OF NORTH ANDOVER F . Certificate of Occupancy $ Building/Frame Permit Fee $ 5 ub CMUS c� Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water.Connection Fee $ _ TOTAL $ 5 LL Building Inspector '9584 Div..Public Works P'ERAIIT NO. 016001! PAGE 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER MASS. MAP ado. I LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK 'PAGE — ZONE SUB DIV. LOT NO. LOCATIONSI 7 PURPOSE OF BUILDING I l+I LL L(�s Ce,�rr�re�u �.ory-� _ )►2`(�n�l tw�i�'Yl1 o�C cL' L�o«�►Yr. ►2�onn OWNER'S NAME Ktv;f., �Y NO. OF STORIES SIZE��igt Ian OWNER'S ADDRESS /1MO� /, BASEMENT OR SLAB ARCHITECT'S NAME lD AGO SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME S` SPAN DISTANCE TO NEAREST BUILDING �/' DIMENSIONS OF SILLS DISTANCE FROM STREET �C POSTS DISTANCE FROM LOT LINES—SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THIC NESS IS BUILDING NEW No SIZE OF FOOTING X IS BUILDING ADDITION ND MATERIAL OF CHIMNEY IS BUILDING ALTERATIONYG�— �2w1►,LL ��`� p! �� IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY N co y IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST � �1•2�� O PAGE I 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. _VELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING - 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS 4 PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED 1 I ' Z. 4, T ' BUILDING INBP[C ftft SIGNATURE OF NER OR AUTHOR1130 AGENT F E E 1If'aZ.S " OWNERTEL # 5g2$^ Q7$ i�ScA- PERMIT GRANTED CONTR.TEL# s 3 S 19 90�0 _ CONTR.LIC.# -``-- I H.I.C./ 5 M 4 t... 7 BUILDING RECORD 1 OCCUPANCY 12 SINGLE.FAMILY _ S oRIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF 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 8 INTERIOR FINISH CONCRETE 3 1 2 13 CONCRETE BL K. PINE _ BRICK OR STONE HARDW D PIERS PLASTER _ DRY WALL UNFIN. 3 BASEMENT 11 AREA FULL FIN. B M'TAREA _ '/4 1/1 1/1 FIN. ATTIC AREA _ N_O B MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH ASPHALT SIDING HARDW'D ASBESTOS SIDING _ COM/.CCN VERT. SIDING ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. 8 FLOOR _ BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR POOR I� _ ADEQUATE NONE rj ROOF 10 PLUMBING D GABLE HIP BATH Q 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 11 HEATING WOOD JOIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. 8 COLS. _ HOT W'T'R OR VAPOR WOOD RAFTERS _ AIR CONDITIONING r RADIANT H'T'G UNIT HEATERS NO. OF ROOMS GASOIL B'M'T2nd _ ELECTRIC 1st 13rd NO HEATING f v'of r -� .r NOR TI-r F Town of 0 dover No. 060 o ' _ �1�T rt ; dover, Mass., inn t�2e� 5" 1976 COC HiC HE wICK I . ,p �DF'`ATED PP� '�� - 1 S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System Owl I3UILUINC: INSI'f:C"I'OIZ THISCERTIFIES THAT.......................................................!... 1..........�` Y............................................................. Foundation has permission to mw........NCV--Pz— buildings on .45.. .... . � .IF'S... .... Rough to be occupied as............�.!2`t W.NLL_... t`s'T 1Zt qR-..... xr►�sT/a .....� o.M................ chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in p p 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 PERMIT EXPIRES IN 6 MONTHS Final e� UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough w......... .. ....4�! .............................. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR------ Display NSPECTOR Dis la in a Conspicuous Place on the Premises — Do Not Remove Rough p Y P Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner Street No. Smoke Det.