HomeMy WebLinkAboutMiscellaneous - 61 PHILLIPS COURT 4/30/2018 �/ /���d/��S
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® MAPFRE The Commerce Insurance Company'
Citation Insurance Company^
11 Gore Road,Webster,Massachusetts 01570
Commerce
f N S O R A N C E- 508.949.15001 www.commerceinsurance.com
September 09, 2014
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
NORTH ANDOVER MA 01845
RE: Our Insured: RONALD A HAMLET/AMY P HAMLET
Property Address: 61 PHILLIPS CT
Policy#: MM1807
Date of Loss: 09/06/2014
File#: JMMM39-CYVCYI
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
i
ANGELA LUHTA Telephone: (508)949-1500 Ext: 15371
Claim Representative I,Property Toll Free: 1-800-221-1605,Ext:15371
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above,by first class mail.
September 09, 2014
CIC 254 (Rev.4/95) MAIL L96
f 30RT!•r�
0`z4ae 'ati�
F 9
"Ssac"us Tel: 978-688-9545
Fax: 978-688-9542
COMPLAINT FOR INVESTIGATION
DATE: / /O Lf Tel #:
FROM: go A ( d
ADDRESS:
Complaint Against:
ELECTRICAL:
PLUMBING:
GAS:
BUILDING CONTRACTOR:
BUILDING CONTRACTOR: REDEIVED
PROPERTY OWNER: JUN 4 2004
OTHER: BUILDING DEPS',
Signed: ,
r i
Comp aint form 4.03
TOWN OF NORTH ANDOVER
BUILDING DEPARTMENT
APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING
4Y ;9& k.- ` a ��.��
BUILDING PERMIT NUMBER: DATE ISSUED: rn
SIGNATURE:
Building Commissioner/I for of Buildings Date
SECTION 1-SITE INFORMATION 0
1.1 Property Addr 1.2 Assessors Map and Parcel Number:
4)ff l� y, "�0- Ll03r 6660,
Map Number Parcel Number
1.3 Zoning Information: 1.4 Property Dimensions:
Zoning District Proposed Use Lot Areas Frontage ft
1.6 BUILDING SETBACKS ft
Front Yard Side Yard Rear Yard
Required Provide Required Provided Required Provided
v
1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System:
Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑
SECTION 2-PROPERTY OWNERSEEIP/AUTHOP
4ZED AGENT Historic District: Yes No
2.1 Owner of Record M`
� U�2.2
Name(Print Address for Service
22P
Sknatu Telephone
2.2 Owner of Record:
I o
Name Print Address for Service:
M
Signature Telephone go
SECTION 3-CONSTRUCTION SERVICES
3.1 Licensed Construction Supervisor: Not Applicable ❑
Licensed Construction Supervisor:
License Number
Address
Expiration Date
Signature Telephone
3.2 Registered Home Improvement Contractor Not Applicable ❑
Company Name
Registration Number r
Address r
z
Expiration Date Q
Signature Telephone V
r
f .
SECTION 4-WORKERS COMPENSATION(AG.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:
G
J.
61
SECTION 6-ESTIMATED CONSTRUCTION COSTS
Item Estimated Cost(Dollar)to be OICi °USE ONLY
Com leted b ermit a licant • � w �.` a
1. Building (a) Building Permit Fee
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 AUTHOkIZATION TO BE COMPLETED WHEN
OWNERS AGENTqR CONT TOR APPLIES FOR BUILDING PERMIT
/ ........ n,�
I,
"(
as Owner/Authorized Agent of subject property
Hereby authorize to act on
My behalf,in all tters relati e jowork au o d by this building permit application. n
U 0'�
Signature of Owner Date
SECTION 7b OWNE AUTHORIZED A NT DECLARATION
I, C' A l/ 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
r
NO. OF STORIES SIZE
BASEMENT OR SLAB
SIZE OF FLOOR TINIBERS 1 2ND 3
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
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PHILLIPS coul•�T '
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Scale: 11 = 30
JOHN S. tAUAETANI
A PROFESSIONAL LAND SURVEYOR, AMERICAN SURVEYING COMPANY
DO HEREBY CERTIFY THAT THE
ABOVE MORTGAGE INSPECTION 1264 Main Street, Waltham, MA 02154 (617) 893-6477
PLAN WAS PREPARED FOR
W O RTi-i A M ER tu41`1 MT-G. IN
CONNECTION WITH ANEW MORTGAGE F�*rtgage Inspection Plan
AND IS NOT INTENDED OR REPRE
SENTED TO BE A LAND OR PROPERTY ES SS-21, N o
LINE SURVEY. NO CORNERS WERE THE LOCATION OF THE ORIGINAL RECORDED ATCOUNTY REGISTRY OF DEEDS
SET. IT CANNOT BE USED FOR ES- DWELLING SHOWN HEREON EITHER BOOK 1 o PVE. Z6-7 L.C. Cert. #
TABLISHING FENCE,HEDGE OR WAS IN COMPLIANCE WITH THE LOCAL PLAN REFERENCE: P_ N o, Z7-7o
BUILDING LINES.THE LAND AS SHOWN APPLICABLE ZONING BYLAWS IN EF- DRAWN PER TOWN OF ASSESSOR'S
HEREON IS BASED ON CLIENT FUR- FECT WHEN CONSTRUCTED WITH RE- MAP# PARCEL# DATED
NISHED"INFORMATION AND MAY BE SPECT TO HORIZONTAL DIMENSIONAL ADDRESS: 6 PN tL L_I PS C7-,
SUBJECT TO FURTHER OUT-SALES, REQUIREMENTS ONLY),OR IS EXEMPT N O r_'T}! �N LTV ERS MA
TAKINGS,EASEMENTS AND RIGHTS OF FROM VIOLATION ENFORCEMENT AC- BORROWER:RONALD AJ"y HP1ML-F-1
WAY. tQ RESPONSIBILITY IS EX- TIONUNDER MASS.G.L.TITLE VII,CHAP.
TENDED HEREIN TO THE LAND OWNER 40A, SEC. 7, UNLESS OTHERWISE SUBJECT DWELLING LIES IN FLOOD ZONE
OR OCCUPANT, IT IS NOT INTENDED NOTED OR SHOWN HEREON. A CON- AS SHOWN ON NATIONAL FLOOD INSURANCE PROGRAM FLOOD
TO BE RECORDED, FIRMATORY INSTRUMENT SURVEY INSURANCE RATE MAP DATED j V NF Z, 199:
IS ADVISED WHEN STRUCTURES ARE COMMUNITY_PANEL# Z.S0 0 9`3 0 0 C
DATE - I -S7 SHOWN TO BE t' OR LESS FROM
CLIENTRUS.SCLL FIELDED DRAFTED CHECKED
PROPERTY OR REQUIRED ZONING
CLIENT REF.#9-7=123 BY I G ET I \Jf(_ /-7 o d==)
Town of North Andover ProJect: 1�po r 4ald,,
Building Department "oRTti
OF,t�ao ,�7a
400 Osgood Street 00
978-688-9545
APPLICANT: Am/`j �I / N �1SSACNImS�T(`�
r�
DATE:
Title of Plans and Documents: as above
Please be advised that after review of your Application and Plans that your Application is
DENIED for the following reasons:
Zonin
Use not allowed in District Not in conformance with Phased Development
Violation of Height Limitations Sign exceeds requirements
Violation of Setback Front Side Rear Insufficient Lot Area
Insufficient Parking Violation of Building Coverage
Insufficient Open Space Use requires permits prior to Building Permit
Sign requires permits prior to Building Permit Form U not complete by other de rtments
Not in conformance with Growth By-Law Other
Remedy for the above is checked below"
Dimensional Variance S ecial Permit for Watershed Review
Special Permit for Site Plan Review Special Permit for sign
Complete Form U sign-offs Copy of Recorded Variance
Information indicating Non-conforming status Copy of Recorded Special Permit
Other Other
Plan Review The plans and documentation submitted have the following inadequacies:
1.Information Is not provided,2.Requires additional information,
3.Information requires more clarification 4. Information is incorrect. 5.All of the above.
# I #
Foundation Plan Plumbing Plans
Subsurface investigation Certified Plot Plan with proposed structure
Construction Plans 116 Affidavit
Mechanical Plans and or details Plans Stamped by proper discipline
Electrical"Plans and or details (iI Framing Plan
Fire Sprinkler and Alarm Plan I Roofing
N
Footing Plan 1I Plans to scale
Utilities
Site Plan
Water Supply Sewa a Disposal
Waste Disposal I Other see reverse
ADA and or ABBA re uirements
Administration
The documentation submitted has the following inadequacies:
1.Information is not provided.2.Requires additional information.
3.Information requires more clarification.4. Information is incorrect.5.All of the above.
# #
Water Fee State Builders License
Sewer Fee Workman's Compensation
Building Permit Fee Homeowners Improvement Registration
Building Permit Application Homeowners Exemption Form
Other Other
The above review and attached explanation of such is based on the plans and information submitted. No definitive review and
or advice shall be based on verbal explanations by the applicant nor shall such verbal explanations by the applicant serve to
provide definitive answers to the above reasons for DENIAL. Any inaccuracies,misleading information or other subsequent
changes to the information submitted by the applicant snap be grounds for this review to be voided at the discretion of the
Building Department.The attached document tided'Plan Review Narrative"shall be attached hereto and incorporated herein
by reference. The building department will retain all plans and documentation for the above file.You must file a new building
Permit application form and begin the permitting process.
Building Department Official Signature Application Received '-7/-? Z
If faxed: Application Denied 8//Lj
Denial Sent
Referral recommended:
Fire Health
Police Zoning Board
Conservation Department of Public Works
Planning Historical Commission
Other BUILDING DEPT
cc: Heidi Griffin
Revised 9W Im
Plan Review Narrative
The following narrative is provided to further explain the reasons for denial for the building
permit for the property indicated on the reverse side:
• .,,, " T� a xt 'art s
'.
� J
r
R
Location �
A
No. Date `
Of
NORTH TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
�'�s'• •Eta Foundation Permit Fee $
s�cNus
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
�
j �} 07/21/98 09:41 25.00 PAID
1 " ` ` Div. Public Works
n
Location
No. [ C! L� Date
NORTH TOWN OF NORTH ANDOVER
f 1
O?O'`•••o ,•• ti0 w
M Certificate of Occupancy $ _
` �
Building/Frame Permit Fee $ '
1
Foundation Permit Fee $
swcNus
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
'" TOTAL $
Building Inspector
97127/48 09:41 25.00 PAID) Div. Public Works
vlo 1?R�MIT NO. / AI'1'LICATION FOR I'CRMV TO IIUIL1)********NORTII ANDOVER, MA
M%P NO. LOT.NO. 2. RECORD OF OWNERSI111' DATE BOOK PAGE
Zdit,L SUB DIV. LOT NO.
1.0( A I ION I V pa l )r /1 PURPOSE Ol BIM 1NNG
OWNER'SNAME [ �� NO.OF STORIES SIZE
OWNER'S ADDRESS 1 /7 BASEMENT Olt SLAB
AR(1111EC1'S NAME l� SIZE OF FLOOR I IMBERS IST 2 3
131111 DER'S NAME �. STAN
DISI ANC E IO NEARESI BUILDING 0 o L DIMFNSI(NJS OF SILLS
INS FANCEmom sTREE T ,.1elo DIMENSIONS 01:l'OS'IS
I)IS IANCE FROt l[.OT LINES-SIDES tg- REAR DIMENSIONS OF GIRDERS
AREA OF I.OT FR(N4IAGE I IEIGIIT OF FOUNDAI ION THICKNESS
IS BUILDING NEW SIZE OF I'(X)I ING X
IS BUILDING ADDITIINI,, MATERIAL OF Cl IIMNEY
IS BUILDING ALTERATION ✓V� IS BUILDING ON SOI.ID OR FII LED LAND
%1'11 1.BUILDING CONFORM TO REQUIREMEN I S OF CODE � IS BALDING C(NJNECIED I O I OWN WA IER (,^
( BOARD OF APPEALS ACTION, IF ANY IS BUILDING C(NJNECI ED TO TOWN SEWER I W
.1
IS BUILDING CONNECIED TO NATURAL GAS LINE
INSIII("[IONS 3. PROPERIX INFORMATION LAND COST
ESI. BI.IXi.COSF zzeo
PAGE I FII.I.CXffSECIIONS 1-3 EST. BI.IXi.COSII'ERS( . T.
ESI I. BLDG.COS I PPR R(X)h1
ELECTRIC METERS MUST BE ON OUTSIDE OF B1111.DING SEPTIC PERMI f NO.
ATTACIIEDGARAGESMUSTC(NJFoRm*roSTATEFIRE REGULATIONS a. APPROVED BY:
PIANS MUST BE FILED AND APPROVED BY BUILDING INSPECUOR Bl DING IN :(:TOR
DA I E FII 1i1) OWNERS 1 EI.N
0
C(Nd1RAVI.N
i CC)Nl R.1.1CN
SIGN.AR ORE OF OWNER OR A1111 K)RIZI )AGLNf
FIT: s
S-- n.lr.a
PERMIT GRAN IED 7 ,Z4 19 Q
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 or requirements.
***************************"APPLICANT FILLS OUT THIS SECTION
APPLICANT I cPHONE(OH-'5 /-�-(-,,-
LOCATION: Assessor's Map Number PARCEL
SUBDIVISION LOT (S)
STREETST. NUMBER
*********OFF IC IAL USE ON LY**** h.It
ECOMMENDATIONS OF TOWN AGENTS: '
'
CONSERVATION ADMI TRATOR DATE APPROVED 2
DATE REJECTED
COMMENTS nn�U t ) /k D�
I `
i
TOWN PLANNER ` DATE APPROVED
j DATE REJECTED
COMMENTS
FOOD INSPECTOR-HEALTH DATE APPROVED
DATE REJECTED
SEPTIC INSPECTOR-HEALTH
DATE APPROVED
DATE REJECTED
COMMENTS
i
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTOR DATE
LOT- 1 -7
LDT 16
i
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4ED �o
LOT 13 107 1 4
LO_71 Is
09
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No. S 9 I I t-
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134.30 �6.i6'y o
PHILLIPS &/0 'J RT
1 A r TAN.a rn 1
Scale: �' _ 30
JQHN S. LAURETANI
A PROFESSIONAL LAND SURVEYOR, AMERICAN SURVEYING COMPANY
DO HEREBY CERTIFY THAT THE
ABOVE MORTGAGE INSPECTION 1264 Main Street, Waltham, MA 02154 (617) 893-6477
PLAN WAS PREPARED FOR
NotZ-ni AmS-Q%cA)Q MrG.co IN
CONNECTION
NOT INTENDED ORR GAGE
EPRE- Mortgage inspection Plan
AND IS NOT INTENDED OR REPRE- mortgage y��rr 1 1 V
SENTED TO BE A LAND OR PROPERTY S 5 C__251>'4 o
LINE SURVEY. NO CORNERS WERE THE LOCATION OF THE ORIGINAL RECORDED ATS— COUNTY REGISTRY OF DEEDS
SET. IT CANNOT BE USED FOR ES DWELLING SHOWN HEREON EITHER BOOK t o P/�E Z6� L.C. Cert.#
TABLISHING FENCE, HEDGE OR
WAS IN COMPLIANCE WITH THE LOCAL PLAN REFERENCE: L 'N O, 'Z.7-70
BUILDING LINES.THE LAND AS SHOWN APPLICABLE ZONING BYLAWS IN EF- DRAWN PER TOWN OF ASSESSOR'S
HEREON IS BASED ON CLIENT FUR FECT WHEN CONSTRUCTED WITH RE MAP# P RCEL# DATED
NISHED INFORMATION AND MAY BE SPECT TO HORIZONTAL DIMENSIONAL ADDRESS PH)�L 1 PS CT',
SUBJECT TO FURTHER OUT-SALES, REQUIREMENTS ONLY).OR IS EXEMPT N O>;'T!\ AN00VE9,1 A
TAKINGS,EASEMENTSANDRIGHTSOF FROM VIOLATION ENFORCEMENT AC- BORROWER: RoNAL-D AWAY HP%Mt_ET
WAY. jam( RESPONSIBILITY IS EX- TIONUNDERMASS.G.L.TITLE VII,CHAP.
TENDED HEREIN TO THE LAND OWNER 40A, SEC. 7, UNLESS OTHERWISE SUBJECT DWELLING LIES IN FLOOD ZONE
OR OCCUPANT, IT IS NOT INTENDED NOTED OR SHOWN HEREON. A CON- AS SHOWN ON NATIONAL.FLOOD INSURANCE PROGRAM_FLOOD
TO BE RECORDED. FIRMATORY INSTRUMENT SURVEY INSURANCE RATE MAP DATED J V NF -2, Ig93
IS ADVISED WHEN STRUCTURES ARE COMMUNITY_PANEL# ZSo 09t3 O o 0 3 G
DATE 8 �97 SHOWN TO BE 1' OR LESS FROM
RUSSC LL-1- FIELDED DRAFTED CHECKED
CLIENT
PROPERTY OR REQUIRED ZONING BY G E ��-
CLIENT REF# 0 o 8%) 6 SETBACK LINES. DATE 9 5 97 8-6 S. -97 F.B.—PGE.7 a PGE. ALI`,
J.O.#
NOR 41,
yTown of over*.,...,,.,,...,. -,.,.".,,.-,\.0
-
: .. dover, Mass., 19
�O'9A_000NLAKE
ICMEWtCK -
S BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
/ BUILDING INSPECTOR
THISCERTIFIES THAT......................................R..._.................. '7 !4.e......................................................................... Foundation
has permission to erect........ f �i ......... rings on..........�P...�......�Wl..�i.l,P ...............Q- '.... Rough
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
Final
PERMIT EXPIRES IN 6 MONTHS ELECTRICAL INSPECTOR
UNLESS CONSTRUCTION ST TS Rough
.. .. ........ .... Service
.... .. ... .. .. ...... ..... ..... .............
UILDING INSPECTOR
Final
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove RougFinah
No Lathing or Dry Wall To Be Done
Until Inspected and Approved by the Building Inspector.' FIRE DEPARTMENT
Burner
Street No.
Smoke Det.