HomeMy WebLinkAboutMiscellaneous - 62 HUCKLEBERRY LANE 4/30/2018 62 HUCKLEBERRY LANE
210/065.0-0212-0000.0
I,
Liberty Mutual® Liberty Mutual Insurance
New England Region Central Property Unit
INSURANCE 75 sylvan street
Danvers,MA 01923
Tel:(800)566-0323
May 12,2015
Town of North Andover
Attn:Building Inspector
120 Main Street
North Andover,MA 01845
Re: Property Address: 62 Huckleberry Ln,North Andover,Ma 01845
Policy Number: H3S21860097040
Underwriting Company: LM General Insurance Company
Claim Number: 031891779-0001
Date of Loss:2/20/2015
Attn: Town/City Official
Pursuant to M.G.L. c. 139, § 3B, please be aware that a homeowners insurance claim has been made
involving loss, damage or destruction of the above captioned property, which may either exceed
$1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch.
143, 5 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with
Mass. General Laws Ch. 175, 599, if you intend to initiate proceedings designed to perfect a lien
pursuant to Mass. General Laws, Ch. 139, § 3A &B, or Mass. General Laws, Ch. 143, 5 9, or Mass.
General Laws,Ch. 111, 127B.
This letter should not be construed as a waiver or estoppel of any of the terms, conditions or
defenses afforded by the policy or applicable law.
Please direct your notice to the attention of the undersigned and include a reference to the above
captioned property address,policy number,claim number,and date of loss.
Sincerely,
Liberty Mutual Support
Liberty Mutual Insurance
New England Region Central Property Unit
1-800-566-0323
i
PINEWOOD DEVELOPMENT CORP. D/B/A FOXWOOD PLACE 19 9 2
VENDOR ID: TOWNHALL ___ CHECK NO. : 1992 DATE: 08/07/97
PAYEE: TOWN OF NORTH ANDOVER MEMO: LOT 6 FOUNDATION PERMIT
CHECK TOTAL: *****$2, 232 . 00
LR2204-1 BEACON SYSTEMS INC. 508-879-3700
PRINTED IN U.S.A.
PINEWOOD DEVELOPMENT CORP. D/B/A FOXWOOD PLACE 10 5 0 DATE: 08/19
VENDOR ID: TOWNHALL /9 7 1050
CHECK NO- : LOT 6 BUILDING PERMIT
PAYEE: TOWN OF NORTH ANDOVER MEMO:
CHECK TOTAL: *****$1, 265 - 00
PRINTED IN U.S.A.
LR2204-1 BEACON SYSTEMS INC. 508-879-3700
A
PINEWOOD DEVELOPMENT CORP.
offn.A F-onv000 PLACE
'J.j TURNP-.KE$T., SU,I-E 3i'
INORTH ANDOVER.MA 01845 IT-)
714M15A,viD. TWO HUNDRED SIXTH'-FIVE ,)()il %RS
0 p 11 Cl e?l
TO T�-',L- i.T P14DOVER
'TWO$1CINATURES ReQJIREk-)IF iN J;XU-Sr,
040--33 1 .'3 71
0,15 5t-32'.5
MA U,-1 4-5
k
1: 2 0 S I rn 1: 0 7 5 2 5 ? U tj Ll'j a
ts
C;4
4 )a,i?
N° << 5 Date '...0.7:.�......
f pORTM,
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
i
,sSACMUS�
f
This certifies that
has permission to perform .....>,:: .. _
wiring in the building of .........................................................
at...G....`......... :/`.......... ....�.......... ' ' `".. ,North Andover,Mass.
(/
Feed ..... Lic.No z/�G. ...............................................................
ELECTRICAL INSPECTOR
03/02/98 10:01 35.00 RAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
The Coninionwealtil
Massachusetts Office Use Only
DePlrTrnent of j,�/tjj7c Sjpry r9rmit tic.
f
U
rer" ll'
-)N REGULATIONS 527 CMR 12:00
BOARD OF Fins PREVENTIC
0'f'CuPnncy A Fon Checked
3M (109vn blank)
APPLICATION FOR PER841-F TO PERFORM
0.0 ELECTRICAL WORK
—r*10 tio Perfatmad in ace7m,
(PLEASE. Prilra IN INK OR -r(PE Al-L INFORMATION !27 CMn 12.00
Cityor To. of Date-
-
-The under7innod applies for a permit to Perform the elec rlc2-1 work desc�Ibod bn`lo,, -------------To the Inspector Of Wires:
I-Ocallon (,:tiqqt & Number). 4215
Owner or 7'qiiant
C,wner's Ad,.1re, 2
Is this permit in conjunction with a building permit
611 T�ff---
.01
Uj a N &—&-- 6i
Purpose of BufIdIng&Vv"'4�jW,�" h.k Aporopriltog Box)
Existing Service
Authorization' No.
New Service OverheadCl Undgrd ❑
Flo. Of Motors
Overhr-id U und9rd ❑
Number of Feeders and No. of
Location and Nal""? Of Proposed Elic
Irical Werk___
1`40. of Ightl No.'of Hct Tubs----
NO. Of Lighting Fixtures -JNO T5 TTi—
A Above 11 Tansl,�rrriors
§wirTirninq p(j()I
orrid Generators
110.-Of Receptacle outlets — -- -, rl(d - . IVA
No. of Cil Burners E—�
of ET1rgnn,1--j -
-110-.Of Switch Outlets Sat1_01y Units
FIRE ALARMS
No. of Ranges No. of Gas Burners lOiAL NO. of Zcrl,!.q
N�
N,-
No. of Air COMIltioner!; TONS f'o' Of [)Otec*!On and
40. Of Disposals --H El-AT-1AI- Initiating Devices
N tj
0. of PumpsI ONS NO. Of Sounding
KW
fJO- Of Dishwashers Y Of Self Conf-iin,l
Soace/Area HeatlLiq
KIN Det"tiOn/Sctinding Devices qs
Heatin Devices X119 j
No. Lcr-il F Municipal
Of Water Heaters KW No. TI of -L::� Connec-ioll 00ther
�o
Si ns Ballasts
NO. assage Tubs - ',Yirin Igo
No. of clots Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to it
—
I have a current Uabili ��'eq"'�ern"Trlls Of I� 35 hu,ott., Gorinr-11
valid proof of same to this office. YES 0 No C] PCIPLnws—�
ty Insurance Policy Including Comf"ted IF.-ItIons Coverage or its substantial qrlijival"(1t. yE:!-
If you have chocked YES, P10330 Incilcito the t"" Of coverage 131F checking the .1pproprilte boC] NO C1 I h�rinvo lubmitinj
INSURANCE 0, BOND n o rHER [-] (Please Spe--Ify)— x.
Esllmat@d Value of Electrical Work (Expiration onto)
Work to Start__
Signed underInspection Dn(jj i�,Iunsteri:
the penalties of era Inspection Rough
Final
I'In'4 NAME
U,
—LIC.
Addimise'.'a.
Ll(,. No
A-� Inf. 1`40.60-aL
O All, TnI.
�'?)EXS INSURANCE WAIVER: I am aware that the Licen.5o, 0 le!-il not liny. I ri 4111-11,111ro Cove(
ki;11-chuserts General Laws, and that my signalurn on thin ;11�CFiflort N -1qc or its substiriti,11 'lquivilent is rf�q-lifnd by
- --=---- I V�I?I t:"iq Ovmnr Agnnt (rif"I"chin( rrj.v
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. .. � �..
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Date. '. .?�s.�...
�- • 9.20 i
NORTH
TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
�SSACMUSE�
L
This certifies that ...O.W... ...... �. ........................................
has permission to perform .....l.`!:c.o......Aktm-(........................................
' wiring in the buildingof.... .!t.f.+ r(�.
at...Ld..f:.. ...... .g-:.. fNorth Andover,Mass.
i CC// q�
kFee.�.,1.0. dJ.. Lic.NoI�.: 1,. ...............................................................
ELECTRICAL INSPECTOR
C� �rXdl�+ 10/10/97 11:14 g0 0o PAID
WHITE:Applicant CANARY: Building Dept. PINK: Ireasurer
- � �� E �QIItIIttII 1111` t Office Use Only )
t aJ 11 of tt��tttl�u�etts Permit No.
10cpurttucttt of I-tublic iWrt0 Occupancy,& Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /G- 7- .2:�7
City or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) /-c,/- 6.-2
Owner or Tenant PC,,.o. w0Y,
d �Q��•
Owner's Address Zoo Park S
Is this permit in conjunction with q building permit: Yes JICJ No ❑ (Check Appropriate Box) /
Utility Authorization No
Purpose of Building � �. (C.�..� ✓' '26) S-6
Existing Service Amps —_J Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service 2-00 Amps /?_6J Z*O Vclts Overhead ❑ Undgrnd 54'
No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work I /O," d
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In-
grnd. ❑ grnd. ❑ Generators KVA
No. of Emergency Lighting
No. of Receptacle Outlets No. of Oil Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
Nei. of Ranges No. of Air Cond. Total No. of Detection and
tons Initiating Devices
No. of Disposals No.of Heat Total Total
Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices
No. of Dryers Heating Devices KW LocalMunicipal ❑Other
❑ Connection
No. of No. of Low Voltage
No. of Water Heaters KW Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
...OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws
I have a current Liability Insurance Policy including Com leted Operations Coverage or its substantial equivalent. YES C NO ❑ 1
have submitted valid proof of same to the Office. YES 0 NO ❑ If you have checked YES, please indicate the type of coverage by
checking the appyopriate box.
INSURANCE q BOND ❑ OTHER ❑ (Please Specify)
(Expiration Date)
Estimated Value of Electrical Work$
Work to Start ,/n _ 7- `j '7 Inspection Date Requested: Rough Final
Signed under the Penalties of perjury:
FIRM NAME C CO LIC. NO.
Licensee rr I^e p Signature - LIC. NO.
Bus. Tel. No. �� � �g U6-
Address Aft. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one)
Telephone No. PERMIT FEE $
(Signature of Owner or Agent)
N, x•6565
a 1
PERMIT NO. APPLICATION FOR PERMIT TO BUILD--NORTH ANDOVER, MASS PAGE 1
MAP NO. LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PA
SUB DIV.LOT NO 3/
Z 14C ,fes PURPOSOF7§UCDING
OWNER'S NAME NO.OF STORIES SIZE
OWNER'S ADDRESS BASEMENT OR SLAB
ARCHITECT'S NAME Z O SIZE OF FLOOR TIMBERS 1 3 cZx oau l D 7 a
BUILDERS NAME SPAN
DISTANCE TO NEAREST BLtHLOING ' DIMENSIONS OF SILLS
DISTANCE FROM STREET POST -4
DISTANCE FROM LOT LINE-SIDES U' REAR GIRDERS /
AREA OF LOT oVn FRONTAGE
IS BUILDING NEW yex HEIGHT OF FOUNDATION THICKNESS
IS BUILDING ADDITION SIZE OF FOOTING Id X
IS BUILDING ALTERATION A rn MATERIAL OF CHIMNEY
ZONE IS BUILDING ON SOLID OR FILLED LANDLq Y1_6
LOCATION IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION,IF ANY IS BUILDING CONNECTED TO TOWN SEWER e.S
IS BUILDING CONNECTED TO NATURAL GAS LIN
INSTRUCTIONS 3 PROPERTY INFORMATION
SEE BOTH SIDES LAND COST �7S
f -�
PAGE 1 FILL OUT SECTION 1 -3 EST.BLDG.COST Z,®
EST BLDG.COST PER SQ. FT. #60
PAGE 2 FILL OUT SECTIONS 1 -12 EST BLDG COST PER ROOM
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS SEPTIC PERMIT NO. 6 ,
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED C 7 4 APPROVED BY:
t
BUILDING INSPECTOR
SIGNATURE OF OWNERblVAU ORIZ AGENT /1
PERMIT GRANTED 9 � OWNER TEL.# Som t7p y 3�
CONTR.TEL.# g�96
1 MIA
CONTRA.LIC.# 9
1
H.I.C.#
4
T40RT/y
ovm of
L
No. 4,0..2- ° m
_ Z dover, Mass.,
LAKE
COC HICHE W I CK
Z7,9 �gATEj)PP`s •��
S E BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
pp BUILDING INSPECTOR
THIS CERTIFIES THAT.................................1...e/ Qv.d..........bE'4).............. .O.R..P............................
Foundation
has permission to erect.................. ..................... building$on ......Co..?...........
........ Rough
to be occupied as .2t/.v..cke i.1�4.mv./ .. Chimney
provided that the person accepting this permit shall in every respect conform to the rms 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 S 5
Rough
.............. Service
LD G 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 FIRE DEPARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det.
Growth Management Bylaw Exemption Statement
Town of North Andover Building Department
This form shall be used to assist the Building Department in their determination of exemptions under section 8.7.6 of the
Town of North Andover Growth Management Bylaw. The building applicant shall provide all of the necessary information
as requested below.
Name of Applicant on Building Permit below) Address of Property for Permit(below)
t�'
Map and Parcel : Purpose of
Aonlicati n (check below—)
Ph � bf A Plicant: � 9le Family
Two Family
_ S
I the undersigned applicant for the above property attest that the attached building permit for which this
form is completed does comply with the EXEMPTION section 8.7.6 of the North Andover Growth
Management Bylaw. I also understand providing this form does not absolve me or any party to this permit
from the requirements of obtaining other permits required prior to the issuance of the Building Permit.
Further I understand that my interpretation of the EXEMPTION status is subject to review by the Building
Department and is only officially accepted when the Building Permit is issued.
Based on section 8.7.6 of the North Andover Growth Bylaw the above lot and the work as applied for on the
above lot, in the building permit application and associated attachments, complies with one or more of the
following sections as indicated by a check mark.
This is an application for a building permit for the enlargement,restoration,or reconstruction of a dwelling in
• existence as of the effective date of this by-law,provided that no additional residential unit is created.
B awe lots)were/was created prior to May 6, 1996 are exempt from the provisions of this Section 8.7 of the Zoning
This application is for dwelling units for low and/or moderate income families or individuals,where all of the
conditions of 8.7.6.c are met and/or represents Dwelling units for senior residents,where occupancy of the units is
restricted to senior persons through a properly executed and recorded deed restriction running with the land. For
purposes of this Section"senior"shall mean persons over the age of 55.
This application is a part of a development project which voluntarily agreed to a minimum 40%permanent
reduction in density,(buildable lots),below the density, (buildable lots),permitted under zoning and feasible given the
environmental conditions of the tract,with the surplus land equal to at least ten buildable acres and permanently
designated as open space and/or farmland.The land to be preserved shall be protected from development by an
Agricultural Preservation Restriction,Conservation Restriction,dedication to the Town,or other similar mechanism
approved by the Planning Board that will ensure its protection.
This application represents a tract of land existing and not held by a Developer in common ownership with an
adjacent parcel on the effective date of this Section 8.7 shall receive a one-time exemption from the Planned Growth
Rate and Development Scheduling provisions for the purpose of constructing one single family dwelling unit on the
parcel.
This application represents a lot which is ready for building permits,(i.e.all other permits from all other boards and
commissions have been received and the project is in compliance with those permits),and the Development Schedule
does not accommodate issuing a building permit in that Year,one building permit will be issued per Year per
Development until such time as the Development Schedule accommodates issuing building permits. Applicant must
supply approved form U with this EXEMPTION.
Please provide any and all information that would assist the Building Department in making a determination
that your application is allowed one or more of the above EXEMPTIONS.
By signing below I attest to the accuracy of the information provided and that the attached building permit is
allowed an EXEMPTION as cited above. Further I understand that the submittal of misleading and or
inaccurate information, or the checking off of an above item which does not comply,whether done to my
knowledge or not, is grounds for refusal by the Building Department to issue a Building Permit.
Signature 5f Owner or Authorized Ag n o Signe th ached Building Permit Date .
This form must be attached to the Building Perm i on application for such permit.
I '
I
FORM U - VERIFICATION 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.
i
****************Applicant fills out t is section*****************
-o
APPLICANT: l� Phone � � i
LOCATION: Assessor's Ma Number Parcel
Subdivision
Lot(s) 6
Streeti'y�i(,c/� LoSlK�`P St. Number
************************Official Use Only************************
RECO DATIONSOIF TOWN AGENTS:
Date Approved '
Conservation A finis rator Date Rejected
Comments S ( n
0 A 0A nn 1�hAA,J
Date Approved
�To Planne YDate Refected
Comments
Date Approved
Food Inspector-Health Date Rejected
DateApprovedApproved
'Septic Inspector-Health Date Rejected
Comments
Public Works - sewer/water connections ` �( h 27
- driveway permit
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Fire Department
Received by Building Inspector Date
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CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 402 Date February 27, 1998
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 62 Huckleberry Lane
MAY BE OCCUPIED AS Single Family Dwelling
IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
oq,",°o' CERTIFICATE ISSUED TO Pinewood Dev
200 Park St No. Reading
ADDRESS
��s"""'� Building Inspect r
F NCH Ty '
TONM Of : Ir Andover
No. 4 -
* s . dover, Mass., / 19 a
LAKE
0 - -
C MICHEWIC K '�• _
-qs, AA TED ►.v ,��
`G BOARD OF HEALTH
PERMIT T D Food/Kitchen
Septic System
THIS CERTIFIES THAT.......................................... _ BUILDING INSPECTOR z''f
............................................:.: .,.............................,.....................................
Foundation
has permission to erect........................................ building; on ............
.............................................. Rough
t0b8 OCCUpled 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 IbWmk&TOR
VIOLATION of the Zoning or Building Regulations Voids this Permit. Q C1 >Y7>
PERMIT EXPIRES IN 6 MONTHS i Z -L-p
UNLESS CONSTRUCTION STARTS ELECTR INSPECTOR
Rough`
BUILDING INSPECTOR e,,/
��. �/"
Occupancy Permit Required to Occupy Building GAS INSPECTOR
Display in a Conspicuous Place on the Premises — Do Not Remove u �t�/�"!� 4-z�
No Lathing or Dry Wail To Be Done FIRE ARTMENT
Until Inspected and Approved by the Building Inspector.
Burner
Street No.
Smoke Det. Z 7