HomeMy WebLinkAboutMiscellaneous - 60 SUNSET ROCK ROAD 4/30/2018 (2) 60 SUNSET ROCK ROAD
210/106.A-02240000.0
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Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or
Inspector of Buildings
1600 Osgood Street
North Andover, MA 01845
RE: Insured: Kevin & Jill Dean
Property Address: 60 Sunset Rock Road
Policy Number: HP3013203
Date/Cause of Loss: 1/6/2014, Water/Shower Leak
File or Claim Number: 29224-R
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 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.
Ryan Werner
On this date, I caused copies of this Notice to be sent to the persons named above at the
addresses indicated above by First Class Mail.
lill�
Signature and Dae /
ANDERSON ADJUSTMENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053
PERMIT NO. +� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1
MAP 4-40. j� G I LOT NO. �' 2 RECORD OF OWNERSHIP IDATE BOOK i PAGE —
ZONEZ SUB DIV. LOT NO. 12
L'JCATION O Sa,-Ise, � �[�' Q PURPOSE OF BUILDING ['�N• ��
OWNER'S NAME 'v ��" ®r NOtv- . OF STORIES -�V/� SIZE44
OWNER'S ADDRESS ,/ I1/JP / p� BASEMENT OR SLAB ��S..R /�9 4t A.0
o.,o �L✓<
ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 2 X /0 IND 3RD
eniz�/ /z�•vo 2 � >v 2X�
BUILDER'S NAME Ce ' i q ,t, � 't"Ao Ce c,/,e
SPAN
DISTANCE TO NEAREST/ BUILDING �D / !, DIMENSIONS OF SILLS J 7 _
DISTANCE FROM STREET �O O POSTS
DISTANCE FROM LOT LINES - SIDES REAR i GIRDERS lok,, o
AREA OF LOT �LJ """ ��rG?• FRONTAGE / /O HEIGHT OF FOUNDATION y_�JC THICKNESS
IS BUILDING NEW I/V�p� J SIZE OF FOOTING4 X
O X 2
IS BUILDING ADDITION /vo MATERIAL OF CHIMNEY "T •< K
IS BUILDING ALTERATION /vQ IS BUILDING ON SOLID OR FILLED LAND G(
o
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE C IS BUILDING CONNECTED TO TOWN WATER Ve-s
BOARD OF APPEALS ACTION. IF ANY p♦ _? IS BUILDING CONNECTED TO TOWN SEWER �fD
✓� IS BUILDING CONNECTED TO NATURAL GAS LINE S
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY -EST. BLDG. COST
J
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PAGE I FILL OUT SECTIONS I - 3 REGULATED BY PARA. 114.8-5. p D.V/f. EST. BLDG. COST PER SQ. FT. 2
qo,,V �Q
EST. BLDG. COST PER ROOM
PAGE 2 FILL OUT SECTIONS 1 - 12
tOd SEPTIC PERMIT NO.
t-�� FEE PAt�, — c�
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDI{�TE nV ra ��� 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED 7" Z
SUILDINO INfPSGTOR
SIGNATURE OF OWNER OR AUTHORIZED AGENT
P E E OWNER TEL.# ��� sem✓ 7-7
- UILDING
PERMIT FOR FRAME/BS
PERMIT GRANTED CONTR.TEL.N
DATE:- Zti �'Q FEE PAID' p... `L` CONTR.LIC.#
j H.I.C.#
JUL ?Q 1995 _ E.PERMIT fa ,LL ^.�. S�Z�
I LESS FDAFEE. �� — 8� w jom--
_ _ _ DUE SIE PERMIT 8 IB l .=
e
BUILDING RECORD
1 OCCUPANCY 12 -
SINGLE FAMILY IA KFF
ORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY ICES 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 B 1 2 13
CONCRETE BL K. PINE _
BRICK OR STONE HARDW D _—
PIERS PLASTER
DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN, B'M'TAREA _
1/1 1/1 1/1 FIN. ATTIC AREA
NO 8 M FIRE PLACES
HEAD ROOM MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS B 1 2 3
DROP SIDING CONCRETE �—
WOOD SHINGLES EARTH _
ASPHALT SIDING HARD"J D L/ _
ASBESTOS SIDING COMLAGN
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY r
STUCCO ON FRAME �^
BRICK ON MASONRY ATTIC STRS. & FLOOR
BRICK ON FRAME
CONC. OR CINDER ELK.
STONE ON MASONRY WIRING
STONE ON FRAME
— t -
SUPERIORPOOR _ _ - ••.�
ADEQUATE I NONE
5 ROOF 10 PLUMBING _
GABLE I HIP BATH 13 FIX.)
GAMBQEL MANSARD 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 T
TILE DADO
6 FRAMING I 11 HEATING
WOOD JOIST PIPELESS FURNArE -
FORCED HOT AIR FURN.2
TIMBER BMS. 8 COLS. �_ STEAMS• _
STEEL BMS. & COLS. HOT W'T'R OR VAPOR
WOOD RAFTERS AIR CONDITIONING aY t
RADIANT H'T'G
-UNIT HEATERS
7 NO. OF ROOMS GAS
OIL
B'M�I 2nd I ELECTRIC 36—B tyn fl+� W.lar 3�d NO HEATING �?.�1 (S1 r'i.i7
.--3',!'
--I', TtMM- 3t.Fol 3UG
I _ Y _
Location 4� �,Z�6S�rt &(e
9�
r
No. Date 7 Z a
;- at w°o';�tio TOWN OF NORTH ANDOVER
3? - 6 0
. p Certificate of Occupancy $
Building/Frame Permit Fee $ _
k s
CH CH a Foundation Permit Fee $
•, sAt
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL
Building Inspector
- 8 b LPR95 13,36 1,511.00 PAID
Div. Public Works
Location Cu1-ASrzT' VI G
No._ Date
°"T" TOWN OF NORTH ANDOVER
0
p Certificate of Occupancy $
+ Building/Frame Permit Fee $
040
• ',o-__�,•,,• • _
ACMUSE�� Foundation Permit Fee
}
Other Permit Fee $
r
_ Sewer Connection Fee $
s
Water Connection Fee $ —ter
TOTAL
k. � O+
►/ ! uilding Inspector
3
8627 Div. Public Works
Location
3 _
No. Date �`� 20`gs
NORTH TOWN OF NORTH ANDOVER
F Ot�t� o ,�1•ti•
O? +' — e OOA
„ Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
S cMusE
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ f ��
TOTAL $ 'Ova
ildi Ins ct r
8901 Div.'u is Works 4
•
FORM U - IAT 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
LOCATION: .Assessor's Map Number Parcel
Subdivision _ �ey?r'' l Lot(s)
Street St. Number
************************Official Use Only************************
RECOMMENN TIONS OF WN A S:
J
Conservation Administrator Date Approved
Date Refected
Comments
Date Approved
Town Planner _ Date, Dejected - -
Comments
Food Inspector-Health Date Approved
Date Refected
Date Approved
Septic Inspector-Health
Date Rejected
Comments
Public Works - sewer/water connections _ -Z�
- driveway permit -_(-�Lo -7-2o -q5
Fire Department
R ceived by Building Ifis
ector Date
JU 01995
u X ` 9 `,� \ N8` \�,71, r�rZc'�locur' ZONE
148 �♦ _ X14-0
15 ` `� �, ` nrrutr>•n �U� �__,.I f f `= - '
FoL4l-fOA Tib
Rafts
ry
ArG I-[ 7 R2 r N C.44
STTr+ too U3. �. '.T I.G_ t4 K.
4
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N$E T R o c�c'� OA a
10± left
PLA N
5 G/k L E
3
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IN
COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY
OF ; ONE ASHBORTON PLACE
MASSACHUSETTS BOSTON,MA 02108
EXPIRATION DATE L I-:E N:;E
05107/1'='=; CIDN:31TR. ..11PERVI'=ClR
RESTRICTIONS EFFECTIVE DATE LIC-NO.
oo
-• - __. _.� �. ._ RONALEI L PI TI iCCHE L;_
50 COPLEY DR
PHOTO(BLASTING OPR ONLY1( FEE: '1 E T H 1 1 E N i 1 f1 CJ i '1 tl
NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY R
HEIGHT: _ - STAMPED-OR-SIGNATURE OF THE COMMISSIONER
DOB:
=1S DOCUMENT MUST E'
'. CARRIED ON THE PERSON OF � — SIGNATURE OF LICENSEE
-!HE HOLDER WHEN EN-
OTHERS-RIGHT
N-OTHERS-RIGHT THUMB PRINT I iAGEDINTHISOCCUPATION.
17
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1 1
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CERTIFIED PLOT PLAN
LOCATED IN NORTH ANDOVER, MASS.
SCALE:1"=50' DATE.-9/14/95
7I
f
1
I
Scott L. Giles R.P.L.S.
50 Deer Meadow Road / w�
North Andover, Mass.
i
I
LOT #2
I
�± I LOT #12
40,244 S.F.
O Np
R=30.00
0 L=27.40 a
10> 11,
180.91,
LOT #13
I CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE
THE OFFSETS �l►�'
OF THE BUILDING INSPECTOR ONLY c�
SHOWN COMPLY AND SUCH USE IS FOR THE
WITH THE ZONING DETERMINATION OF ZONING 13PI
BY LAWS OF CONFORMITY OR NON-CONFORMITY 1 ,gyp
NORTH ANDOVER
WHEN BUILT WHEN CONSTRUCTED.
-5
KARENH.P. NELSON �+��TM� - -- F :Town of . . 120 sic.
01845
Dirmfor �! "': _ (508) 682-6483
BCILDI\G NORTH ANDOVER
i,.•
CONSERVATION DIVWON of
HE..ALTH�; PLANNING & CONI Ti BILTITY DEVELOPMENT
-2
`z CHIMNEY APPLICATION AND PERMIT
i
L
DATE G � �f PERMIT J
LOCATION �(
OWNER IS NAME
BUILDER' S NAME
MASON ' S NAME Z4 . 0-
MASON ' S
MASON ' S ADDRESS
:�.ASO`7 I S TELEPHONE G —� S
MATERIAL OF CHIN?NEYd'r>
INTERIOR CHIMINEY g, l EXTERIOR CHIMINEY :f --
NUM'�LER AND SIZE CF FLUES / .• i�`�
=-7—
C'-C, OF HEAR^_':: 112
C/
will chine, or f_replaZe ccn=ort to requirements of the code and
have rules and reculatIcns -ee" received
DATE -
SIGNATURE OF MASON
CONTR. LIC. = D
r-,-r. CONSTRUCTION COST;%C'ON .AC'T PRICE �6U�
PERi.ITT GRANTED U Z1
ROBERT NICETTa, BUITDING
iNS-ECTED
RE:.ARKS
10 =RIC{ REQUIRED
THIS PERMIT S{[;S T BE DISPLAYED ON THE PREMISES
Location
-2
No. Date 11
40RTN
TOWN OF NORTH ANDOVER
0
Certificate of Occupancy $
4L Building/Frame Permit Fee $
,SSACXUStt Foundation Permit Fee $
Other Permit F40" $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
11/27/95 13:14 25-00 PAID
9395 Div. Public Works
f
CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 375 (1995) Date SEPTEMBER 13, 1996
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 60 SUNSET ROCK ROAD (lot #12)
MAY BE OCCUPIED AS SINGLE FAMILY W/3 CAR GARAGE IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
01 y° :~� CERTIFICATE ISSUED TO Copley Development Corp.
3? : " '• °= 50 Copley Dr.
° ADDRESS Methuen MA 18
�. -,,..o
''=,CHUsic� uil Inspekir
ORT
0VM Of ®ver
1 1G'ki4N��
r1W
No. r0
y�
u
u �rt yy doves, Mass., Q)G, 2-
0 LAKE T
COCHICHE WICK
ATEO
H
S BOARD OF HEALTH
Food/Kitchen
IT T U Septic System,,,. .� ✓� �6
BUILDING INSPECTOR
THIS CERTIFIES THAT..0 . .. ...7D ...... ....................................................................... Founda ion
has permission to erectlkZ)0.0..... 4* buildings on .. .... U.................................... .......................... ou D u�-L
to be occupied as l ?�� �..{. ..... ...... . .....3....UL....� �..... �................ Chimney
provided that the person accepting this p rmit shall in eve res ct conform to the terms of the application on file in 4final c�
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of i�
Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY PLUMBINGINSP CT
VIOLATION of the Zoning Building g
or B ildin Regulations Voids this Permit. REGULATED BY PARA. 114.8-S. B.C. ugh �i
FEE PAID
PERMIT EXP IN M® �--� W ELECTRICAL INSPECTOR
UNLESS COLTS O• r 011 '/ /�/"
PERMiT FOR FRAME/BUILDING .. .. .... .. ... ... ......
Service
LDING INSPECTOR � ina
DATE: FEE PAI D•.�-
Occupancy Permit Required to Occupy BuildingG' SINS EQTOR
Display in a Conspicuous Place on the Premises — Do Not Remove In 1 t G - �_6 `1
No Lathing or Dry Wall To Be Done FI --, — MEN
Until Inspected and Approved by the Building Inspector. Burner �
PLAN (nQL CONSERVATION FINAL Street No. _�,
Smoke Det.
SEWER/WATER
FINAL- DRIVEWAY ENTRY PERMIT �� �
BUTTERWORTH & O'TOOLE, INC.
P.O. BOX 8294
SALEM, MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978)741-5731 FAX (978)740-9109
March 28, 2002
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
City/Town Hall City/Town Hall
ADDRESSES
North Andover, MA 01845 North Andover, MA 01845
RE: Insured: Timothy Brown
Address : 60 Sunset Rock
North Andover, MA 01845
Policy No. : H000008840
Loss of: 03/27/02
File or Claim No. : 27-0311
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, Ch. 139, Sec. 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.
If no reply is received from your office within ten days, we will
assume you have no liens of any type against this property and we will
recommend to the insuring company that this claim is paid.
David Vincent
Adjuster
(AM AV V--