HomeMy WebLinkAboutMiscellaneous - 64 CHURCH STREET 4/30/2018 (2) 64 CHURCH STREET
2101041.0-0044-0000.0
BUILDINGFILE
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AMERICAN CLAIMS SERVICE ANA I NA
SOCATION
INDEPENDENT
INSURANCE
ADJUSTERS
MULTI-LINE ADJUSTERS ADl�E'
I A VI(
BUILDING COMMISSIONER OR BOARD OF HEALTH OR
INSPECTOR OF BUILDINGS BOARD OF SELECTMAN
120 Main Street
North Andover, MA 01845
RE: INSURED: Sheryl Pendexter
PROPERTY ADDRESS: 64 Church Street, N. Andover, MA
POLICY NUMBER: PHOO100721864
LOSS OF: 6/19/12; Water Damage/Mold
FILE/CLAIM NUMBER 30012
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 file
number.
Tim McLaughlin
Claims Representative
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 .
Unless we hear from you within the next 10 days, we will not be
obligated to pay any portion of this claim to you.
July 19, 2012
Date
7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940
TELEPHONE (781) 245-9516 • FAX: (781) 245-1077
Lociltion C, � '�--
No. Z z 5 Date
TOWN OF NORTH AN DOVEFL
a
p Certificate of Occupancy $
Building/Frame Permit Fee $
sACMUS Foundation Permit Fee $
Other Permit Fee $ / _5 .0
Sewer Connection Fee $ ,r
Water Connection Fee $
TOTAL
Building Inspector
rr r
` �L Div. Public Works
PER.IiIT N,.T 7 3 APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. PAGE I
MAP 4-40. LOT NO. 2 RECORD OF OWNERSHIP (DATE BOOK ;PAGE
ZONE SUB DIV. LOT NO. I
OCATION PURPOSE OF BUILDING � �_
OWNER'S NAMErj C NO. OF STORIES SIZE
CG i _
OWNER'S ADDRESS BASEMENT OR SLAB" -
ARCHITECT'S NAMESIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME - SPAN
DISTANCE TO NEAREST BUILDING 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. COST11 - nd
PAGE 1 FILL OUT SECTIONS 1 - 3
EST. BLDG. COST PER 64. 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
I
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
e
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
BOARD OF HEALTH
SlGN,kTtJRE OF OWNE O UTHORIZED AGENT
FEE �.�+ o D
OWNER TEL.H_ A PLANNING BOARD
PERMIT GRANT'E�D CONTR.TEL.#
-- 5`-�' 19 J�-�- CONTR.LIC.#
BOARD OF SELECTMEN
�7?6
/z,,A,5 v,2r','
'� � [ � BUILDIN 1 SPECTOR
� � J
BUILDING RECORD
1 OCC! NCY 12
SINGLE FAMILY _/STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES 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 E 1 2 13
CONCRETE BL K. PINE _
BRICK OR STONE HARDW D _
PIERS PLASTER
_ DRY WALL _
UNFIN.
3 BASEMENT
AREA FULL FIN. B M AREA _
V. 1/2 '/ FIN. ATTIC AREA _
N_O B M T FIRE PLACES _
HEAD ROOM MODERN KITCHEN
4 WALLS 9 FLOORS
CLAPBOARDS B 1 _22 3
DROP SIDING CONCRETE I_
WOOD SHINGLES EARTH _
ASPHALT SIDING HARDW D _
ASBESTOS SIDING _ COMMCN
VERT. SIDING ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. 6 FLOOR _
BRICK ON FRAME
CONC. OR CINDER ELK.
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR POOR
ADEQUATE
S
ADEQUATE NONE
5 ROOF 10 PLUMBING ` r
GABLE I HIP BATH (3 FIX.)
GAMBRELMANSARD TOILET RM. (2 FIX.) _
FLAT A SHED WATER CLOSET _
ASPHALT SHINGLES LAVATORY
WOOD SHINGES KITCHEN SINK
SLATE NO PLUMBING _
TAR & GRAVEL STALL SHOWER _
ROLL ROOFING I MODERN FIXTURES _
TILE FLOOR
TILE DADO
6 FRAMING 11 HEATING
WOOD JOIST V PIPELESS FURNArE
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'T2nd _ ELECTRIC
1st Sj 13rd I NO HEATING
S
G
OFFICES OF: (.S
. _ tzomain�trczt
North Andover.
APPEALS NORTH ANDOVER Massachusetts 01845BUILDING �'•rtr (617)685.4"'75 .
CONSERVATION �"""` DIVISION OF
HEALTH
PL-\NNING PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
In accordance with the provisions of MGL e 40, S 54, a condition of Building Permit
Number / 2 3 is that the debris resulting from this work shall be
disposed of in a preperiv licc:tsed solid waste disposal facility as defined by MGL c 111, S
150A.
The debris will be disposed of in:
(Lo tion of Facility)
Y/7-�'
Sicnature of Fd'lftnil Appiicznt
Date
N'OTB: Demolition permit from the Town of Vorth Andover must be obtainer for
tris project through the Office of the Building Inspector.
Town of ori over
.-�
No. ►{�$`
f ti r�..;_
oNorthom dower, Mass., 19
i HIt t Wlt ,.
TE 1)Ilk
� BOARD OF HEALTH
PERMIT TO Food/Kitchen
Septic System
THIS CERTIFIES THAT............. r!.` If x oxrA.....S,�„�,�,... BUILDING INSPECTOR
Foundation
has permission to erect..40.0.0 buildings on ....,&..y.. , .v.. ....S.rRough
to be occupied as....JAt,.10. .44.49iffS...#W...4C.*#.#Wo .. ..0.4.6,r Chimney
provided that the person accepting this permit shall in ever respect conform to the terms of the licatiffn on file in
p p p g p y p pp 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
PF-13-All F JN 6 Final
�.S ELECTRICAL INSPECTOR
Rough
�. ...... . ....
R Service
BUeiDa)ING61INSPE
Final
0(-ci!�'t?ticy P- 7 t i '( f l ve(l 1() �_ �t'�-'1��'�' 131(ild[l i E.r 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
PLANNING FINAL CONSERVATION FINAL Street No.
Smoke Det.
SEWER/WATER FINAL DRIVEWAY ENTRY PERMIT