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HomeMy WebLinkAboutMiscellaneous - 63 SUTTON PLACE 4/30/2018 �. i E 1 i i i Commerce InsurancesM The Commerce Insurance CCmpanysM C1c Citation Insurance CcmpanySM SM Members of The Commerce Group,Inc." CLAIMS DEPT. 11 Gore Road,Webster,Massachusetts 01570 (508)949-1500 www.Commerceinsurance.com July 12, 2013 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: EVON B DANUS Property Address: 63 SUTTON PLACE Policy#: BCYDZZ Date of Loss: 07/12/2013 File#: HCWN37-YPKH65 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 313 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. MEGAN FINACOM Telephone: (508)949-1500 Ext: 15847 CLAIM REP I, PROPERTY Toll Free: 1-800-221-1605,Ext: 15847 On this date, I cause copies of this notice to besent to the persons indicated above, at the address above, by first class mail. July 12, 2013 CCmmCrC CCll Pdnies ....COME GROW WITH US CIC 254 (Rev.4/95) MAIL, 786 Location53 �-i-tz��-t pc1JcrL, No. c 2 Date Of 40 TOWN OF NORTH ANDOVER o # Certificate of Occupancy $ * Building/Frame Permit Fee $ Eta Foundation Permit Fee $ s�cHus Other Permit Fee S12t��� $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Z�2 uilding Inspector ° 1786 Div. Public Works PEWMIT NO. V APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP a40. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK :PAGE ZONE I SUB DIV. LOT NO. —I LOCATION �"� PURPOSE OF BUILDING OWNER'S NAME I�j���jU C `Z V MA i� NO. OF STORIES- SIZE 1 NER'S ADDRESS lZ �!^N BASEMENT OR SLAB ARCHITECT'S NAME ) SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAMETr.f,;:: j,Z L t�C SPAN -- DISTANCE TO NEAREST BUILDING 1(J 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 SIZE OF FOOTING X 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 LAND COST SEE BOTH SIDES - - — EST. BLDG. COST PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 EST. BLDG. COST PER ROOM 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 I Z^ (— 1 0 0 F4AQ BUILDING INSPECTOR SIG URE OF;OWINER OR AUTH R GENT E E �� --- % OWNERTEL.N I/ i 'liU 't le Z q ?ERMIT GRANTED CONTR.TEL.N Q Co 19 1-r y.CONTR. LIC.#. © �f ` H.I.C.# fir/— 7 4 BUILDING RECORD 1 OCCUPANCY 12 s SINGLE FAMILY STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY QFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE 3 112 I3 CONCRETE BL K. PINE BRICK OR STONE HARDW D — _ PIERS PLASTER _ DRY WALL _ UNFIN. 3 BASEMENT AREA FULL FIN. B"M'TAREA _ V, '/z l/, FIN. ATTIC AREA _ NO 8 M T FIRE PLACES - HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDW D _ ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER ELK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR (� POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE I HIP BATH (3 FIX.) _ GAMBRELMANSARD TOILET RM. (2 FIX.) f FLAT I SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO g FRAMING II 11 HEATING WOOD J sIST PIPELESS FURNACE FORCED HOT AIR FURN. TIMBER BMS. &COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T 2nd ELECTRIC 1st 13rd NO HEATING Town of � p 4 F �`\ Over � L No. ��� ' o o , `R�+ ort dower, ass. LAKE COCHICHEWICII �a AOre o P i �� U BOARD OF HEALTH 0 Food/Kitchen Setic System PERMIT T ,ff BUILDING INSPECTOR THIS CERTIFIES THAT-M�2...�O]g3 .....�ATII.?5........................................................................................ Foundation i has permission to ereet-..A.4 ............... buildings on .. 3.....5c? ....P .. .............................. Rough to be occupied as.... 4N.t.�.�.... l�l!�!�..... !..........r........................................................................... Chimney provided that the person a e- tin this permit shall in every respect conform to the terms of the application on file in -- Final - ` p P P 9 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 EXPI. T 6 MONTHS ELECTRICAL INSPECTOR UNLESS CON tjA Rough ................ .......... .. ........ ............................... - .3......... 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 PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT -) Registration 102097 ,,- ; •'!: TYPO - INDIVIDUAL f. _ Expiration 06/30/96 rt Joseph P. Bradish Jr Starwood Dr - P.O. Box 148 - Naspstead NN 03826 co�� to/ ADMINISTRATOR J { yl J T { r � 07 FP COMMONWEALTH $ DE ARtMENT OF PUBLIC SAFETYcurrent r `•A OF. ONE ASHBORTON PLACE F�t1lurmtapo sOR aulldl ,�. a*�ackugi$StoBaflding c U �MASSACH $ET1PS BOSTON, A ! r NM0108 Code is aaa?ab for nroeaaog of chis ficess. EXPIRATION DATE ' L O N S T R. :;U P E I2 V I S IL VAUTION 05/21 /1996 EFFECTIVE DATE LIC NO. FOR PROTECTION AGAINST RESTRICTIONS THEFT, PUT RIGHT THUMB NONE s '16/ ;3 P/ 1 ")?j %J 21 2 S9, PRINT IN APPROPRIATE ' l i ° BOX ON LICENSE. J(1'1: PH P i0ADISH ° TAI ')0 J R ° ••I ; BLASTING OPERATORS _ SS 016-34-1990. E HANPSTi:A NH •J� 32 ) m MUST INCLUDE PHOTO. ' PHOTO(BLASTING OPR ONLY) FE - 0. `i(��J��• NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY HEIGHT: � STAMPED�OR-SIGNATURE OF THE COMMISSIONER _ .,g �µ•;;;:�„ , F i , � Ct DOB: i +��rf irk i4 11y/�1 �1 94 / « THIS DOCUMENT MUST BE SIGN NAME IN FULL ABOVE SIGNATURE LINE t I' SIGNATURE OF I ENS E. _ r\�i\�!;•,,� - CARRIED ON THE PERSON OF , '�• - .>' =l=�. THE HOLDER WHEN EN- ( I. - ;'4, OTHERS-RIG Ht THU6i8 PRINT GAGEDINTHISOCCUPATION. SIONER - Date.. ./ 1.'Z/D> . . ... f TM 1 o� TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SACHUSES This certifies that . . .� f � . �... . . . . . . . . . . . . . . . has permission for gas installation ���. �tr�. . . . . . . . . . . . . . . in the buildings . . .' . .. . . . . . . . . . . . . . . . . at . /1 1i.<.,. , North Andover, Mass. Fee.y.-g. Lic. No)/1 �?7� . . . . . . . . . . . . . . . . . . . . . . . . . . l e GAS INSPECTOR Check# '' 4547 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING tin (Print or Type) J 4y , Mass.'. Date //-02 41 _T1,FbO3 45 �.7 permit # Building LocationOI �/ Owner's Name holie, .Q�}/✓US Type of Occupancy_h"..,Si'd e--1,1C P New Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ N tt N W N Y Z ¢ Vl N N U N ¢ N S 0 y F J N W O U m t S ?1 S < m N H < ¢ Q W < y W W W W J = < Q rt LLI C W }- W �", = N W W O > U. (" U W Z Co Z O — W O to = < W > 5 W 7 Z < Q < A 0 a U4Q rj f. W 2 0 0 2 L6 Q 3: J U C > O SUB—BSMT. , BASEMENT IST FLOOR 2NOFLOOR I 3RD FLOOR I 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name Boule's Gas Check one: Certificate Address 39 Oxford Avenue ❑ Corporation Haverhill, MA 01835 ❑ Partnership Business Telephone 978-372-u783fl Firm/Co. Name of Licensed Plumber or Gas Fitter Charles H. Boule' INSURANCE COVERAGE: I have ayes current liability Insurance policy or its substantlal equivalent which meets the requirements of MGL Ch. 142. No If you have.checked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy �ff Other type of indemnity❑ Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: .Signature of Owner or Owner's Agent OWnerO Agent C1 1 hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued f Ir this ap lication will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the r ws. / By T of license: l�? Plumber Signature of Licensed Plumber or Gas Fitter Title Gasfitter City/Town Master Ucense Number!"3 Z 2 5=/ J3558__ I 9Journeyman �r Boule's Gas 39 Oxford Avenue Haverhill, MA 01835-8324 Town of North Andover 27 Charles Street North Andover, Ma 01845 ATTN: Gas Inspector r a'