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Home My WebLink AboutMiscellaneous - 55 ELM STREET 4/30/2018 55 ELM STREET 210/042.0-0021-0000.0 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108.1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 5/12/2016 Form of Notice of Casualty Loss to Building Under Mass. Gen.Laws,Ch.139,Sec.313 NORTH ANDOVER BUILDING COMMOSSIONER NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: JANNETTE N.GRAY-KIRBY AND BRYAN T. KIRB Property Address: 55 ELM ST,NORTH ANDOVER,MA 01845 Policy Number: 1318174 Type Loss: Water Damage:All Other Water Damage Date of Loss: 04/30/2016 Claim Number: 406388 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 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 the writer and include a reference to the captioned insured,location,policy number,date of loss and claim or file number. MPIUA Claims Division CMA00021 Location No. 1 t "i Date 2 ?2 5 °"T" TOWN OF NORTH ANDOVER � L . p Certificate of Occupancy $ * + Building/Frame Permit Fee $ Ss�cwust Foundation Permit Fee $ ' Other Permit Fee 19 $ Z� ' as. Sewer Connection Fee $ Water Connection Fee $ I � L199§oTAL $ ZS` r Building Inspector Div. Public Works PERJIIT NO. 5 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PACE 1 MAP K40. LOT NO. 2 RECORD OF OWNERSHIP ;DATE BOOK ;PAGE ZONE I SUB DIV. LOT NO. LOCATION /" y J- PURPOSE OF BUILDING OWNER'S NAME +d /J 1/ �p / — NO. OF STORIES SIZE OWNER'S ADDRESS r`�/ �. CJ 17- BASEMENT OR SLAB -- ARCHITECT'S NAME ] �^ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME /� i�?/q / �(' C' fr' � SPAN DISTANCE TO NEAREST BUILDING 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 0 SIZE OF FOOTING % 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 INSTRUCTIONS 3 PROPERTY INFORMATION 1 LAND COST SEE BOTH SIDES s/r1� T C T�00 T s/p EST. BLDG. COST PAGE I FILL OUT SECTIONS I - 3 �d/� /11 Q f /`O b JQ .20 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS I - I2 /A rC /Y .-.F.�Q EST. BLDG. COST PER ROOM A' J 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 DATE FILED -p -' SUILDINO INSPECTOR SIGNATURE OF OWN OR ORIZED AGENT ?� •F E E � OWNERTEL. v `>l tokU-iw' P2� _ PERMIT GRANTED CONTR.TEL.1! 19 cir CONTR.LIC.N H.I.C.# �� R l- 0 of �� got Y � Vover� O '�,31J - os-q io fort '� ' dower, Mass., 2 2 —199S LAKE COCHICHEWICK y ;E BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...."@A .....?A6fc ................................................................................................................................. Foundation has permission to ereet...jt�..�4�.................. buildings on ...rS... ........:STRA .................................. Rough . 'Z. to be occupied as�&ersN�cbptlng p ... !.... ~-........SQ..................................................................................................... Chimney provided that the 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 Final PERMIT EXPIRE 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONS-Mt 1 Sr Rough .... ... ..... . ..................... Service BUILD INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough Final No Lathing or Dry Wall To Be Done Until Inspected and Approved by the Building Inspector. FIRE DEPARTMENT Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT OF ' l E ASHBORTON PLACE MASSACHUSETTS BOSTON,MA 02108 3 EXPIRATION DATE CONST RLIStE3PERVISOR CAUTION 7/16/1996 fI EFFECTIVE DATE LIC NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB 1G 03/31/1994 05151892 PRINT IN APPROPRIATE 1 $ 2 FAMILY HOME o BOX ON LICENSE. SY_LVAIN R LEBEL > 36 TALLANT RD BLASTING OPERATOR8r 58 # 022-52-8337 PELHAM MA 03076 � MUSTINCLUDE'PHOTO. ,,t,.._.- PHOTO(BLASTING OPR ONLY)i Ff b o o O o V I NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY , I HEIGHT: iI STAMPED-OR-SIGNATURE OF THE COMMISSIONER t DOB: 07/16/1960 , THIS DOCUMENT MUST BE{{I SIGN NAME IN FULL ABOVE SIGNATURE LINE CARRIEDON THE PERSONOF f; IGNATURE OF LICENSEE a THE HOLDER WHEN EN- OTHERS-RIGHT THUMB PRINT - GAGED IN THIS OCCUPATION. COMMISSIONER ' Y T f NTRA �HOME IMPROVEMENT _ Registration 104627 Type - PARTNERSHIP j 1 Expiration 07/15/96 1 Label's Construction Sylvain R. Lebel. ' allant Road ` ADMINISTRATOR a has NH 03076 J6 2-- Location �V No. V,►� �� Date r r La NORTH TOWN OF NORTH ANDOVER C,F p Certificate of Occupancy $ * ; : Building/Frame Permit Fee $ �ssAC)4 t Foundation Permit Fee $ ` Other Permit i Sewer Connection Fee G $ Water Connection Fee $ TOTAL 13,01ding Inspector Div. Public Works "UtIT NO. APPLICATION FOR PERMIT TO SUILD— NVRIM ANLIUVEt, anal. •• ' MAP NO. L LOT NO. / a RECORD OF OWNERSHIP OATS 1iooK PAGE ZONE SUB DIV. LOT NO. /f OCATION ' L fi PURPOSE CW BUILDING Ref 11 .1a I OWN[w•S NAME ' a 5, NO. OF STORIES S12[ OWNER'S ADOREit �� L/1;7 S T BASEMENT OR BLAB5•f f7l?-I/ pGfilf 1. ARCHITECT'S NAME / ` J 9129 OF FLOOR TIMfERS IST 2"D SUILDIER'S NAM[ 1 Qjt /1 1V S712 DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS - DISTANCE FROM LOT LINES - SIDES REAR GIRDERS AREA OF LOT <' L'"` �j'L , /�h 74- FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW l 0/0 - SIZE OF FOOTING x IS BUILDING ADDITION /2/0MATER:AL OF CHIMNEY 16 BUILDING ALTERATION . //,/o IS BUILDING ON SOL10 OR FILLED LAND - WILL BUILDING CONFORM TO REOUIREMENTS OF CODE l/� C� It BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY < / IS BUILDING CONNECTED TO TOWN SEWER It BUILDING CONNECTED TO NATURAL GAS LINE 2 PROPERTY INFORMATION • INSTRUCTIONS LAND COPT SEE BOTH SIDES meq " �a�3� �v EST. BLDG. COST - ►AGS i FILL OUT SECTIONS I - 2 UT. BLDG. COST PER 9-0. ►T. .3 Go EST. BLDG. CWT PER ROOM PAGE 2 FILL OUT SECTIONS I - 12 SEPTIC PERMIT NO. ELECTRIC NE-TEP-9 MUST BE ON OUTSIDE OF BUILDING A APPROVED BY ATTACHED GARAGES MUST CONFORM TO STAT9 FIRE REGULATIONS PLANS MUST SE FILED AND APPROVED BY BUILDING INSPECTOR _ DATE FWX r SUILDING INSPECTOR • f10 ATUw OWN9R OR AUTHORIZtD AGENT Owners Tel # Contract Tel# �� a4� . 94UW IT S1RAl[T9D \ /�_ ` p .• z Contra. Lic 0 67 t HIC # le a 7 1 s Town of North Andover NORTH OFFICE OF F?°,`•`•' '•,�oo� COMMUNITY DEVELOPMENT AND SERVICES 146 Main Street North Andover,Massachusetts 01845 �,'•�,,,,, -'g a WII,LL4M J.SCOTT North Director In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: S Cr (Location of Facility) Signature of Permit Applicant ate NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9340 PLANNING 688-9535 6 of � �0 _ - over �� rn No. - * Zdover, Mass.,___ 9� LAKE COCMCNEWICK .9s GA.,E p j pP�y BOARD OF HEALTH PERMIT D Food/Kitchen Septic System BUILDING INSPECTOR- ................. NSPECTOR ................. THIS CERTIFIES THAT...jAl ....... Foundation has permission to�. buildings on ... ...... 1:71Rough tobe occupied as........................................................................................................................................................................ 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, 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 UNLESS CONSTRUCTION S ELECTRICAL INSPECTOR Rough ............................ .......... .... . . ... ....................................... Service DING INSPECTOR Final Occupancy Permit Require copy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove Rough nal No Lathing or Dry Wall To Be Done FIRE Until Inspected and Approved by the Building Inspector. DEPARTMENT Burner Street No. Smoke Det. Oe -Cowvmo�rce��e ;. HOME IMPROVEMENT CONTRACTORS REGISTRATION E oard of Building Regulations and Standards One Ashburton Place Room 1301 Boston , Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 104627 Expiration 07/15/98 Type - PARTNERSHIP -NMEME HOME IMPROVEMENT CONTRACTOR Registration 104627 Type - PARTNERSHIP LEBEL 'S CONSTRUCTION Sylvain R . Lebel Expiration 07/15/98 36 Tallant Road LEBEL'S CONSTRUCTION Pelham NH 03076 o—A Ivain R. Lebel !: ADMINISTRATOR Tallant Road Pelham NH 03076 -P 9981 44 VW-2w OEPARTHENT OF PUBLIC SAFETY 981 M ONE ASHBURTON PLACE, RM 1301 _1 18 BOSTON, MA 02108-1618 CONSTRUCTION SUPERVISOR LICENSE 0 P S D.P.S. Number: Expires: Birthdate, CS 055892 07/16/1998 07/16/1960 Restricted To: 1G SYLVAIN R LEBEL Detach bottom, fold , sign on 36 TALLANT RD back, and laminate license card. PELHAM, NH 03076 Keep top for receipt and change of address notification. Restricted To: 1G DEPARTMENT Of PUBLIC SAFETY 69981 CONSTRUCTION uSUPERVISOR LICENSE 00 - None,pz Number: .. Expires: Birthdate: 1A - Masonry only CS 055892 07116/1998 07116/1960 IG - I & 2 Family Homes Restricted To: 1G failure to possess a current edition of the Massachusetts State Buiildinq Code SYLVAIN R LEBEL is cause for revocation of this license. 36 TALLANT RD PELHAM, NH 03016