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HomeMy WebLinkAboutMiscellaneous - 561 MASSACHUSETTS AVENUE 4/30/2018 561 MASSACHUSETTSRVENUE 210/0458-0001-0000.0 I MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(8001392-6108, FAX(8001851.8424 4/8/2015 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws,Ch.139, Sec.36 NORTH ANDOVER BUILDING COMMOSSIONER NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: ALBERTO&MARY V FLAHERTY ANGLES Property Address: 561 MASS AVE, NORTH ANDOVER,MA 01845 Policy Number: 1117462 Type Loss: All Other Section I Losses Date of Loss: 04/03/2015 Claim Number: 336816 I 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 li Date... .....C.57...>7...W..... N2 1743 .. .. ...... NORTH –6 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING CHU This certifies that .... ........ -.- ................................... has permission to perform�� 1- -. ..:..........�r'/i wiring in the building of -? 2' .............................................. at....0.-/............. ...... ...................................... .North Andover,Mass. Fee's-?....(..`......... Lic.No215........... ...... ............... ELECTRICAL INSPECTOR 07/01/99 11:54 WHITE:Applicant CANARY: BuIldin 110 got. PAID PINK:Treasurer g MMO�TH0FA:4SS'AC7 VS= Office Use only MAPMAP _ DEP,ARTA�7'OFPUBLICSAFETY Permit No. _/ 4� _._(.J--�---"--"""'BO 0FFIREPREVENI70NREGUTATT0ACS527CMR 12. (1\ ` Occupancy&Fees Checked PARCEL_ uj----'"'"' - PII�M�TTO PERFORM ELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat" �/,&�J Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) E Owner or Tenant mtoA &W�,py Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service —X) Amps 4Q1 c3vokts OverheadEM UndergroundNo.of Meters _1 New Service Amps 1 Volts Overhead [Z3 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA ,kAo.of Lighting Fixtures Swimming Pool Above Below Generators KVA and ound No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW htiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP "i OTHER- oliS{ /adc. Q Ts--6, L ;Mpib U� A A. n htstrarce Ptasuant�thetac�matla�ckMnGateral Iha%eaomwLia�yhvwancePobcymdL&gCm#At Comar,crits�t�alo*ivWat YES � NO Ihmesubmadvalidpcoofofsamiothe0 ice YES U NO F-1 If}uuhmtdviwdYES,plemmdc*thetAxofwmaWbyd=ktrtgihe II IM CZJ BOND p OIHMp ) a- �3L I Aim*d V"dUechid Wak WodctaSla¢t hq)ectimDa1eRe�d Rao Fctal Signed undo&Pd�ahes of 'try I FIRM NAME LioenseNa Licatsae i✓114C�{ ��A� Siglaane Liof�eNo j S /�_ +�� Bus¢I�sTd Na77 677743- Adim �''r ' Ak.TdNa OWNER'SINSURANCEWAIVT Iamawa�ethattheLse e�thei<rnar�roeoo�a or�ssi>�ntialegl�valartasiec�medbyMa�adt sG�lIsws and fat my si�IemB'�p�r�apQF�on wair�this tegll�at>�rt. (Please check one) Owner Agent 1:3 _E../j Telephone No. PERMIT FEE$ Location No. Date ^ _d pORTH TOWN OF NORTH ANDOVER 3?O:�.. o '•'x.40 O 41 h � Certificate of Occupancy $ cNBuilding/Frame Permit Fee $ s� us Foundation Permit Fee $ Other Permit Fee $ TOTAL $ cif Check # 156110 Building Inspector I TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING it<.er T?�i��'��X}�k�i" kt� ,�- ,.z% v .r�A:+�':f��y�.,,�,,, y _ ,' '- ��� .� �� 1., �,y,•z� P"' ;., BUILDING PERMIT NUMBER: DATE ISSUED: �'1 SIGNATURE: BuildingLommisssioner/Ictor of Buildings Date SECTION 1-SITE INFORMATION7 z 1.1 Property Address: 1.2 Assessors Map and Parcel Number: �� Map Number Parcel Number �i i 1.3 Zoning Information: 1.4 Property Dimensions: Zoning DistrictProposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Re red Provided 1.5. Flood Zane Information: Sewerage sal on: 1.8 Sew a S 1.7 Water SupplyM.G.L.C.40. 54) IfoDisposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record 'e- Name(Print) Address for Service: q7 Signature Telephone `" 6 2.2 Owner of Record: Name Print Address for Service: z Signature Telephone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: License Number Address icM Expiration Date Signature g Telephone 1a 3.2 Registered Home Improvemvent�bntractor e r Not Applicable ❑ C�G� Company Name Registration Number /%f Nyer7, Address r 3S� /C; o Expira on Date j Ll m ture Telephone i 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( , ❑ Addition ❑ 4 Accessory Bldg. ❑ bemoliti&f ❑ Other X, Specify r e R T Wf R S Brief Description of Proposed Work: < ung WthS_gV3 arj i Pt t F"e "Arls©L(J wf f Q. ©n 'e ( V W h�l�J 5�2 t��e o e n l n� SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be ,aCIA , #1 ,Sf a x Completed by permit applicant 1. Buildingb (a) Building Permit Fee g ✓ o Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical HVAC 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. 0 Signature of Owner Dat SECTION 7b OWNER/AUTHORIZIED AGENT DECLARATION I, _k6ma 6 1 J as O r/Authorized Agent-Nd subject property Hereby declare that the statements and information on the foregoing application are true and a �.So� est of my knowledge and belief C Print N e &e_� � O Signature of Owner/Agent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TEVMERS 1 T 2ND 3 SPAN ' DIlvIENSIONS OF SILLS DIMENSIONS OF POSTS DUvIENSIONS 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 M r r ROI-;IMPROV NT cON Rack R h ��Regtstrattor �100E33 xk TYAe 089 I u TN01995 RU8ILL9R6I0IftG � Igmas R6billat`d 4 Ga it filbert St ADMINISTRATOR Methuen MA 01844,, I NOrr r1y r„ Town of over 0 G S� LA o dover, Mass., COCMICKEWICK y 7�A0R4TEO S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR r THIS CERTIFIES THA V .............................. Foundation Ghas permission to ere buildin s on ................. Rough . . .. ... .......... ........................................................... to be occupied as. 4�.... �� Chimney . . .. . . . . . . . . . . . .. provided that the person acc ting this permit shall in every respect conform to th erms of the application on file in Final this office, and to the provisi s 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 EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S T _ Rough Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. FS7EE REVERSE SIDE smoke Det'