The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 54 KARA DRIVE 4/30/2018 -54 KARA DRIVE 210/098.A-0098-0000.0 i BAY STATE ADJUSTMENT SERVICE 45 New Ocean Street, Swampscott, MA 01907 Telephone Numbers 24 Hour Emergency Number(887)551 7344 (781)599 9922 (800)865-2206 FAX (781)599 9099 Town Fire Department Inspector of Buildings Board of Health Town of North Andover Town of North Andover Town Hall Town Hall North Andover, MA 01845 North Andover, MA 01845 Re: Steven C. and Linda S. Ricketts Company: Patrons Mutual Insurance Company Property Address: 54 Kara Drive Date of Loss: 01/01/01 North Andover, MA 01845 Policy Number: HMA2025818 File Number: 1008 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 Law Chapter 143 Section 6 to be applicable. If any notice under Massachusetts General Law Chapter 139 Section 313 is appropriate, please direct it to the attention of the writer and include a reference to the,captoned insured, location, policy number, date of loss, and file number. This is not a request for a report, this is to comply with Masschusetts notification laws as set forth above. Paul R. Nestor. Jr: Adjuster On this date, I caused copied of this notice to be sent to the persons named above, at the aresses indicat d by first class mail. January 3 2001 Signature Date r ,4�wrr;atww o f I►tide,�en�.�I w�,u-avLce��i dj w�te,�-�M M entiUer Nat',,onaL A�ociatCow o f I videpev�.de�v�.t I w�.u�a.v�.ce,Adj w�ter�M ew�l�ex s l Date. . ......... .. ........ F ,40RT" TOWN OF NORTH ANDOVER 10? PERMIT FOR GAS INSTALLATION s o a SSACMUSE This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . has permission for gas installation . . . . ... . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . . . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING (Print or Type) = NORTH ANDOVER Mass. Date 4&6.1 4 a _ building Location 54 Kara Drive Permit # / i-(9_ 0 ers Name Stephen M Ircko Y • New 77 Renovation Replacement Plans Submitted �] FIXTUP=-,IS to YW N z N Q N C: .O O W _ WUlto d LU Z m to tW- w w O O a W 4 er N a v W z .� z � Q o c w CC W C7 J z Q + n= 0: a Q W Ir- W V z C3 CL W W O ? W r W F. W z d W < a ►' >- N m z o z d o u� x d t;, y c W z a a d o o w _ o W t- tL O 4^ ti in C7 BASEMEMT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STHFLOOR (Print or Type) Che one: Certificate Installing Company Name Andover P1g . & Htq . Co . Inc . [71 Corp. 1051 N Y Address 5731 -So Union Street = Partner. Lawrence , Ma . 01843 F-1 Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance- Coverage: Indicate the type of insura.-ice coverage by checking the appropriate box: Liability insurance policy Other type of indemnity I, Bond E] Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 1-1 Agent 0 1 hereby certify that all of the details and information 1 have submitted (or entered)in above application are true and accurate to the best of my knowledge and taut a❑ piumbin; work and WcAllations performed under Permit issued for this application will be in compliance with all pertinent provisions of the Masnchusetrs State Cas Code and Qmapter 141 of the General Laws. By TYPE LICENSE: Plumber Title Gasfitter Signature of Licensed Master Plumber or Gasfitter City/Town: Journevman 6739 APPROVED (OFFICE USE ONLY) License Number Location No. Date N�RTq TOWN OF NORTH ANDOVER 41 Certificate of Occupancy $ C,N)4 9 Buildin /Frame Permit Fee $ sAUSE Foundation Permit Fee $ Other Permit Fee $ TOTAL $ �� Check # Building lnslwctor TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING qq BUILDING PERMIT NUMBER: DATE ISSUED: / D 43 7*7 1 SIGNATURE: A 04/m C(� Building Commissioner for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: 15 C1 V ::,ara Dr k&O Vit r- VV L1 Map Number Parcel Number Q 1.3 Zoning Information: V 1.4 Property Dimensions: R S o O O c-&S' 1 VL6- k3 /NW h"6 � Q Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided R 'red Provided 1.7 Water Supply M.G.L.C.40. 541 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT rn 2.1 Owner of Record / altlf �> C ✓J r1 �1 - 0 .1 � e(( �� Address for Service: U ` -7 rot Si re Telephone Q 2.2 Owner of Record: 1 O 5�tVef/k C. �c �� cira r, 1C aj.-er O Name Print G a\ , \C Address for Service: 0 Z Signature Tele hone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Number M Address Expiration Date ic Signature Telephone r. 3.2 Registered Home Improvement Contractor Not Applicable ❑ v Company Name M Registration Number r Address r �^ Signature Telephone Expiration Date P1 SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......❑ No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: lis I Zoor—,?cI 1;41 �)'eC. -k/.. SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFFICIAL USE ONLY Completed by permit applicant 1. Building (a) Building Permit Fee 3 a Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC r- 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS iST 2 ND 3 RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE t NORTFr ' Town of North Andover ° ' �" Building Department 27 Charles Street " North Andover, MA. 01.845 ��',".°•,�°•�'4�g* D. Robert Nicetta S'CHUSe Building Commissioner (978) 688-9545 '(978) 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE XJOB LOCATION ( q (0(—Number Street Address Map/lot "HOMEOWNER L440A VIC1C_P_j 1 J Name Home Phone Work Phone PRESENT MAILING ADDRESS i City Town State Zip Code The current exemption for"homeowners"was extended to include owner-occupied dwellings of two units or less and to allow such homeowners to engage an individual for hire who does not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling,attached or detached structures ac- cessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and reqjuirem nts. r HOMEOWNER'S SIGNATURE t APPROVAL OF BUILDING OFFICIAL FORM - U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all-necessary approval/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and or landowner from compliance with any applicable requirements. APPLICANT754-c G• �2kckk PHONE L-1 ►icy i(- -e+ S ASSESSORS MAP NUMBER LOT NUMBER Z7-f-- SUBDIVISION LOT NUMBER Z STREET Ka rA 0 r. N - U SIRE T NUMBER OFFICIAL USE ONLY RECOMMENDATIONS OF TOWN AGENTS Dc, �- ... ......................................................................... DATE APPROVED -,?I,CO SERVATION ADMINISTRATOR DATE REJECTED CONOAENTS � V DATE APPROVED TOWN PLANNER DATE REJECTED COMMENTS DATE APPROVED FOOD INSPECTOR-HEALTH DATE REJECTED DATE APPROVED SEPTIC INSPECTOR-HEALTH DATE REJECTED y COMMENTS PUBLIC WORKS-SEWER/WATER CONNECTIONS DRIVEWAY PERMIT DATE APPROVED FIRE DEPARTMENT DATE REJECTED COMMENTS RECEIVED BY BUILDING INSPECTOR DATE MORT6A6E INSPECTION PLAN c�y OF a City/Town_�\l o__ A N Dov E R State G . Date:_ A scale.---) 11. 4-of H ---------- Buyer: 1\A u R G K O Deed Re f. 2071_3 z 3 Plan No. I i Drawn per City/Town of2�p cP� -___Tax Assessors Map. % �o o 2 'vl p 2 • � E V104%0 C`1 , ed Ur I,I �- - - -<.< - Zp Y , •o G AI c:/�J�N T To: A ►• VC>VL P- - — SAvt�lC� S �Ar.: � ---------------------------------------------------------------------------------- --- I hereby certify that the above Mortgage Inspection Plan was prtpartd for use in-connection with a new Mortgage and is not intended or rtpresenttd to be i property lint or land survey. It cannot be used for establishing fence, hedge , walls or building lines. No responsibility is extended herein to the land owner or occupant. The location of the original building(s) as shown herein was in compliance with the local applicable zoning bylaws in effect when constructed, with respect to horizontal disensional rtquirements, or is exempt from violation tnforcraent action under Mass G.L. Title VII, Chap. 40A, Sec. 7, unless otherwise shown herein. Subject building(s) lies in a flood zone designated Zone: L" Communit Panels 2 5 O O _________________________ and shown on FIRM map y- ��------------�'�- - -d v- - -------------- - Dated:_ : : � —g _ Job No. J I — D 3 O JCD, INCORPORATED, LAND USE t DEVELOPMENT CONSULTANTS 4 AUTUMN LANE, METHUEN, MA 01844 508-683-9932 NORTH Town of Andover 0 397 -_= - o dover, Mass. —� —dy o� > COC MIC MEwICK ADRATED C?a��5 S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT..... .V rN.... .....ki do.........Il 2 ..... BUILDING INSPECTOR.0.0#e . r�,� Foundation has permission to erect.. 4`40 ........ buildings on ...... .....�A R ............ ........... ..............l............. Rough to be occupied as... !/1 i........... .....�. .�. .0�.`.I... A.0 'e< 4r....3...41034N....P�0 00% Chimney 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 Iteration and onstruction of Buildings in the Town of North Andover. M 9► s A in6 a .� PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTI S Rough ... ............................................................ Service 4/ BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building 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. Date . . . . . . N2 v � ! o'<",°R7:'� TOWN OF NORTH ANDOVER 0 ° PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . .'. . . .'. . . . .!. . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . ..... . . . . . . . . . . .. . . . . . . . . . •�* plumbing in the buildings of . .. ... . . . . . . . . . .:. . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . .. North Andover, Mass. Feer?. . . . . .Lic. No.."". .,_-, o..' . . !. . . . . . . . . . . . . . . . . . . :. . . . . . . . . . . PLUMBING INSPECTOR Check # l �- WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATON FOR P GAS FITTING (Type or print) Date ��3 G NORTH ANDOVER,,MASSACHU SETTS Building Locations " �r'� r �v Permit# t?j Amount$ �,?J? Owner's Name �r C�C.{�fs New❑ Renovation ❑ Replacement� Plans Submitted ❑ � a � U � a � rn F � � O 2 CwO w F O C > Gw z H w w rv� F aWW Q a x O � � � �" � <n z O z � O w E J a W A Gal SUB-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH. FLOOR 7TH , FLOOR 8TH. FLOOR LL (Print or type) one: Certificate Installing Company Name Corp. Address "�` `j ✓�rivlL ❑ Partner. Business Telephone Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No❑ If you have checked M,please indicate the type coverage by checking the appropriate box. Liability insurance policy �_ 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 Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or above application are true and accurate to the best of my knowledge and that all plumbing work and installations perf ed der Permit Issued for this a 11 be in compliance with all pertinent provisions of the Massachusetts State Gas a and Chapter 142 s. By. ' ature of Licensed Plumber Or G tter Title ❑ Plumber ij $'S'9 City/Town ❑ Gas Fitter LicenseNUM e� r EL Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. .1`. .. . �. .^. a— Date 1 ,4ORTH TOWN OF NORTH ANDOVER p D • . PERMIT FOR GAS INSTALLATION 9 h SACMUSE�� This certifies that . . . . . . . . . . ... . . /: %. • • • • • . . . . .. . . . . . . • • • • • has permission for gas installation ..... . . . . . . . . .. . . . . . . . . . . . . in the buildings of . . . .'/. .= � . . • • . . . . . . . . . . . . . • • • • • at . . . . . X '`�'. ..�- " � • • • • , North Andover, Mass. Fee.�'!:. . . . Lic. No.. . . . . . . . . . . .`. ..... :. . . . . . . . . . . GAS INSPECTOR Check# 4 3 MASSACHUSETTS UNIFORMAPPLICATONFORPERMIT TO DO GASFf'ITING (Type or print) Date S^' 2 NORTH ANDOVER,MASSACHUSETTS Building Locations �� /� r A9- Permit# 11b 3,9 Owner's Name Amount$ New❑ Renovation ❑ Replacement Plans Submitted ❑ a o 0 CW9 � � � d ►moi � � (y 0 Gri Gj � F °� o a $ o O , SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR STH. FLOOR (Print or type) f/. / QWk one: Certificate Installing Company Name h `/ �� Corp. Address �Gc 6 rr.,/C Partner. Business Telephone -9 7 9 – G S 2-00 g a' E.Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: i have a current liability Insurance policy or it's substantial equivalent. Yes ® No.❑ If you have checked M.please indicate the type coverage by checking the appropriate box. Liability insurance policy E) Other type of indemnity ❑ Bond 13 +'� Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State and Chapter 142 o ws. By. Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber 9 9 City/Town Gas Fitter License um Master APPROVED(OFFICE USE ONLY) Journeyman Date. .�Z.�ly :oz' s Of 40R': 0 TOWN OF NORTH ANDOVER F . Y . 9 49 PERMIT FOR PLUMBING ,SSACHU$ This certifies that . . . . . . >�..�/. . . . . . . . . . . has permission to perform . . .-. . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of .(� . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . . . . l.` . . . . . . . . . `.: . . ./. . , North Andover, Mass. Fee: '? . . . . . . . . . . . PLUKI IN NSPECTOR Check # 5456 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT -D6—PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTSLL t V� Date Building Location rr� Owners Name Vpermit# Amount Type of Occupancy New Renovation Replacement 15 Plans Submitted Yes ❑ No ❑ FIXTURES z Cn Cn � sx z a a � SMBM, >AWVTNr bTImm 3MHfM 4MFLOOR MMOCIR 6M IUM 7MMOOR s>x�pox (Print or hype) K Check one: Certificate Installing Company Name ❑ Corp. Address Partner. Business Telephone Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy R4 Other type of indemnity ❑ Bond F1Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ❑ Agent El 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 ins performed under Permit e or this application will be in compliance with all pertinent provisions of the Massac inns Plu the General Laws. -.dooppow— -0441- q0 By: igna icense um er Title � '" Type of Plu biyg License City/Town icense umDer Master ® Journeyman ❑ APPROVED(or-r�ce use ONLY