Loading...
HomeMy WebLinkAboutMiscellaneous - 66 WEYLAND CIRCLE 4/30/2018 (2)�� .' i Date: 02/10/2011 Adjusting Associates, LLC PO Box 660 Hudson, MA 01749 Tel: (978)562-3763 Fax: (978)293-0202 Email: Milleradjs@aol.com NOTICE OF CASUALTY LOSS TO A BUILDING Under Massachusetts General Laws, Ch. 139, Section 3B To: Building Commissioner or Inspector of Buildings Town Hall North Andover, MA 01845 RE: Insured: Loss Location: Policy Number: Co. Claim Number: Adjuster File Number: Insurer: Date of Loss: Cause of Loss: Steven & Frances Dukich ` 66 Weyland Circle, North Andover, MA HP 5007065 1100077545 M11 UM 086 New England Guaranty Ins. Co. 02/04/2011 Water Board of Health or Board of Selectmen Town Hall North Andover, MA 01845 RECEIVED HL6 .l 4 [U11 TOWN OF NORTH ANDOVER HEALTH DEPARTMENT As representatives of the above captioned Insurance Company, we hereby notify you, on behalf of said Company, that 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. Law, Chapter 143 Section 6 to be applicable. If any notice under M.G.L. Chapter 139, Section 3B is appropriate, please direct it to the writer and include a reference to the captioned insured, location, policy number, date of loss and file number. On this date I caused copies of this notice to be sent to the departments named above, at the addresses shown, by first class mail. Adjuster: Bruce A. Miller SIMSOL® FORM REP-1/3.0-SP4 E a 2008 Date � � ��� � ........... ,.OR7H TOWN OF NORTH ANDOVER p PERMIT FOR GAS INSTALLATION QL ;,off pp '9SSAC'HUSEt� a C} 0 ti This certifies that Ar. has permission for gas installation �.ir. s.. G e y.. in the buildings of ..(!.P P. t:4 1 :e. ;r ......................... p at .. .� ..1� F ��!�! �..t ci............. . North Andover, Mase; N Fee r? -.:.... Lic. No. /? >?. `!... ....................... U .. GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 1 .. ;L MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTI ' %(Print or Type) I ' ( NORTH ANDOVER Mass. Date /Z-,- Y 1iuildin 9 Location GJ_,rj C) Permit #, Owners Name J„ New Z Renovation Replacement Plans Submitted D (Print or Type) Installing Company Name of Licensed 1_ Check one: Q Corp Certificate Partner. Firm/Co. Insurance Coverage: Indicate t: -e type of insurance coverage by checking the appropriate box: Liability insurance policyOther type of indemnity Q Bond Ej Insurance Waiver: I, the under iened, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of ownerlagent of property Owner = Agent I hereby certify that all of the dcuds and information I have submitted (or "tered) in above application are true and accurate to the best of my knowledge and flat atl plumbing work and lnsettlations ;aformcd under-1'errtit izsccd for this application will -be in cowpHanea With ali pertinent provisions of tho Massachusetts Slate Gas Cade Ind Cbaptes 14'. of tho Gene:af LAW&. By TYPE LICENSE Plumber Title ( Gasfitter- Sig Lure of Licensed City/Town: I Master Plumber or Gasfitter Journeyman APPROVED (OFFICE USE ONLY1 License Number a� � W N N z rz a; U: m C O t] m FLA y CI < 0 C us m H W N < W •� _ W O W y t -- n N W G W W , 2 V Q W G C _ W C 4 Q Q W O ~ G W W G C2 G 2 d W_j < C La !� }W N O T U. l-• .� W 1 (a W W G O t1 u_ O O O 1 U G y G a. t— O Sua—BSTAT. ' ( r I w ( 1 SASEMEXT + I I I I I IST FLOOR 2KD FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR E 11 I I I ! I 7TK FLOOR I I I I ( } I I I STH FLOOR (Print or Type) Installing Company Name of Licensed 1_ Check one: Q Corp Certificate Partner. Firm/Co. Insurance Coverage: Indicate t: -e type of insurance coverage by checking the appropriate box: Liability insurance policyOther type of indemnity Q Bond Ej Insurance Waiver: I, the under iened, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of ownerlagent of property Owner = Agent I hereby certify that all of the dcuds and information I have submitted (or "tered) in above application are true and accurate to the best of my knowledge and flat atl plumbing work and lnsettlations ;aformcd under-1'errtit izsccd for this application will -be in cowpHanea With ali pertinent provisions of tho Massachusetts Slate Gas Cade Ind Cbaptes 14'. of tho Gene:af LAW&. By TYPE LICENSE Plumber Title ( Gasfitter- Sig Lure of Licensed City/Town: I Master Plumber or Gasfitter Journeyman APPROVED (OFFICE USE ONLY1 License Number ' c- Location u L 1 (.p No. Date (Z 3 %4 TOWN OF NORTH ANDOVER Certificate of Occupancy $ _ Building/Frame Permit Fee $ �8 Foundation Permit Fee $ Other Permit Fee $ Sewer ConnectiSn Fee $ Water Connection Fee $ TOTAL $ Building Inspector Q 7 `� Div. Public Works Location CIP—CUrr- No. Date 1 Z co q4 TORT""TOWN OF NORTH ANDOVER ' p Certificate -of Occupancy $ ii� Building/Frame Permit Fee $ us t Foundation Permit Fee $ (� Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 7783 - Div. Public Works 01 KZ(O � 4 Location / L G No. Date , a 7aD �fiK�J3� ,r 3447 TOWN OF NORTH ANDOVER Certificate of Occupancy $ a0 Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ 10rf Water Connection Fee $ _/U 7T.50 TOTAL $ _.�1dinfi(Ingpec or D11.6blic Works PER UIT NO. S80 1 APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS PAGE 1 MAP K40. LOT NO.2 I RECORD OF OWNERSHIP IDATE (BOOK 'PAGE ZONE SUB DIV. LOT NO. LOCATION ` j PURPOSE OF 13UILDING 1F OWNER'S NAME N . OF STORIES SIZE�l+r ���s.3t-•����� �T�(}GJCTc, OWNER'S ADDRESS ` ` BASEMEN OR SLAB ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST 9 Y 2ND !—_•l``'' 2 f 3RD /l BUILDER'S NAME y-� ` Q 2 SPAN 1 - DIMENSIONS OF SILLS / DISTANCE TO NEAREST BUILDING 1- DISTANCE FROM STREETL',L POSTS ' 31I DISTANCE FROM LOT LINES - SIDES i, G 2� REAR <DO GIRDERS AREA OF LOT �` FRONTAGE1 D� ` HEIGHT OF FOUNDATION /' 11 THICKNESSV iD 1l! IS BUILDING NEW v�g 1 SIZE OF FOOTING tb X z_q IS BUILDING ADDITION I� ( MATERIAL OF CHIMNEY IS BUILDING ALTERATION -Co IS BUILDING O SOLID R FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE Y7 S IS BUILDING CONNECTED TO TOWN WATER s BOARD OF APPEALS ACTION. IF ANY © � IS BUILDING CONNECTED TO TOWN SEWER yF 5 IS BUILDING CONNECTED TO NATURAL GAS LINE lc INSTRUCTIONS 3 PROPERTY INFORMATION PERMIT FOR FOUNDATION pOpYLAND COST SEE BOTH SIDES REGULATED BY PARA. 114.&S. B.C.NEST. BLDG. COST EST BLDG COST PER On FTC A),- PAGE 1 FILL OUT SECTIONS 1 - 3 ' APAGE 2 FILL OUT SECTIONS 1 - 12DATE /0��6�'� FEE PAID /�� EST. BLDG. COST PER ROOM ems, n 'PEPTIC PERMIT NO. ✓V 4 1 leu 60 _ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 4 APPROVED BY 'ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGI�.RQWIT FOR FRAMUBUILDING PLANS MUST BE FILED AND APPROVED BY BUILDING INSP�E''CCTOR�f� DATE FILED oeDAATE: t �EEzPAID: rat SIGNATURE OF OWNE AGENT FEE 'amv� PERMIT GRAN 19± 19 DEC — 51994 PIP OWNER TEL. lxd� CONTR. TEL. # 0 1(2-3 CONTR. LIC. #. AAJWWMMW H.I.C.# DUE FRAME 1 C�� 1 �o cx� . BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY ORIES MULTI. FAMILY rO'FFICES APARTMENTS _ CONSTRUCTION 2 FOUNDATION 8 INTERIOR FINISH CONCRETE PINE HARDW D 3 — 1 2 13 _ _ — _ CONCRETE BL K, BRICK OR STONE PIERS PLASTER DRY WALL UNFIN. _ 3 BASEMENT AREA FULL FIN. B'M'TAREA 1/1 1/2 '/, FIN. ATTIC AREA _ N_O B M T FIRE PLACES HEAD ROOM MODERN KITCHEN 4 WALLS d 9 FLOORS CLAPBOARDS B _ t 22 J 3 _ DROP SIDING WOOD SHINGLES CONCRETE EARTH ASPHALT SIDING HARDW D ASBESTOS SIDING VERT. SIDING _ COMMCN ASPH. TILE STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. I_ WIRING STONE ON MASONRY STONE ON FRAME SUPERIOR I� POOR ADEQUATE NONE 5 R�POF 10 PLUMBING GABLE HIP BATH 13 FIX,) GAMBREL MANSARD TOILET RM. 12 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 TILE DADO 6 FRAMING WOOD JOIST v 11 HEATING 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 t B'M'T I 2ndI i t.t�—I 3rd ELECTRIC NO HEATING THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. ♦ 1 1 r1't � 1w e si o CS N o 2-.00 O N O -0: C A O Q Vol v V � 1 Cc R c m Co eA �m �- 9n Ea g� � C W O CD.2 CL CD t --C.3 :tea N �Ec O m c 0 IL �CM �m a:.. E m m a CN N • m3: s N r•+ cmN C 'O ._ CN 3 N m C . lat. O p • a� N o � m V � m N m oC s z o o> :cam¢ N d C L CO V N O c o a CD �. H m C C •• N m .., t y... C N_ O C Z .E v •N O v m oo� c aCIO �Ilp S emv � i y•� �ON bpII 0 co O C L O O C3 z °' CL O CO) D � I C cm <y 0 :2 OCOD — -E m m CL ~ _•+ co O i O D O CL �Q H C o Cc R O .v J 10 O CO) Z a) 0 CL L) y C M C _M O. h 0 J z_ LL �C G 30 rs r`' 00 rL4 0 p O HCd E� U d v w O w ww x C z z w o �� Q z z U z w Q a v LOJ A d W o aG cn ' U w m -c s G ro C.�w.� °�° m s u W °�° > is m v ,� v x o LL cn w U w w wo' cn w wo' w cA cn cn o CS N o 2-.00 O N O -0: C A O Q Vol v V � 1 Cc R c m Co eA �m �- 9n Ea g� � C W O CD.2 CL CD t --C.3 :tea N �Ec O m c 0 IL �CM �m a:.. E m m a CN N • m3: s N r•+ cmN C 'O ._ CN 3 N m C . lat. O p • a� N o � m V � m N m oC s z o o> :cam¢ N d C L CO V N O c o a CD �. H m C C •• N m .., t y... C N_ O C Z .E v •N O v m oo� c aCIO �Ilp S emv � i y•� �ON bpII 0 co O C L O O C3 z °' CL O CO) D � I C cm <y 0 :2 OCOD — -E m m CL ~ _•+ co O i O D O CL �Q H C o Cc R O .v J 10 O CO) Z a) 0 CL L) y C M C _M O. h 0 J z_ LL �C G 30 rs r`' 00 rL4 rM O w A u p w° cn p cn o z z 7 G 0 w° neo ' °' U w z z � iro w w z U U W no rL > U) w x w a z ►-. C7 °° 7 m w z w w GL v w� o z v cn ° 0 cn loo UID ui A. . o CJ z00 c H O e!' :moo Q C-3 c3 c CL Co cQ n, LL. g: = CD •C ISL CIO 0 c WO W F"� •- cr CL y 0: o m C, "m CM �c V ma a j! 3 s c , r Q� C � � m p •�� y = C C //��.� y ea o 2c uk •y rc m cv m y Co CD S CE E o cm V- y • acs x Q CO o � c3m ca •� Z o cEc c HC3 0 a. Q L L y c • L:5 3 NO r to m �0, m co CcCD L_ re mg Cc Cc •ca dt C Z •� C1'p v •y O S W a y•5 O 1— $ o. .- m J z LL I cc W CL CC z F- U -1 Q � }Q W WU Z 0 0 J Q Z J � z W �� Z \ z � ZLU W a. (n CD 0 C L O O v Z CD Q. •-� v O � i/o C C C CO2 C Cop U m m O i CL~ ow o CD 4) O Q O L Q O O Q a cma COD C cqo CO2 z CD O o. U V CO) O R _ •� to is CLCO2 ' 0 J z LL I cc W CL CC z F- U -1 Q � }Q W WU Z 0 0 J Q Z J � z W �� Z \ z � ZLU W a. (n TY() -e . l ,' ►` FORM U — IAT REIFARE 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: 1A)Oa� (R,pI ��/ CD _r 12 Phone 67 ) l 1i LOCATION: Assessor's Map Number Suhdyvision OS( I) C)d Q( Street `Q Parcel Lots} _go S t . Nu: -h e r *x***xxx*****x**x******Offlclal Use Only*yc�c�r�e*,tic�t*�cic�t*�i�e�c7c�e�c�c�cic� RECOMMENDATI N OF OWN A NTS: Conserv ation Ada inistratcr Cc= er. Date Antroved l2 l Date Rejected Date Approved Town Planner U Date Rejected Cc=erts ony ho � 1 Date Approved Fced _ns=ectc` -1 ealth Date Re-iecteA Date Acnrcved SeTt_c 7nsp, t;,r-ciea_th Date Re., ecce_ J Pi:.:__c iNc";c - seWer/water ccnnect_ons - driveway pertit F ire Detart me.^.t c ���/�.49n%�vir y '�✓�n� �Y1Ah�-��'Gg •td•,1a�.J u/ ,T,,�� Received by Building Inspector DEC - 5 1,994 Date 145 00' .- WEY G,4/yD C'/.ee4 ,=-- Z C'ecT/FY TO rye T/TLE AlSelIrO 4VO -V THE B,4Me T11.4T /S LGC47:--.0 O.c/ THE Car AS _eoWliWANO 7AW-17-Pas:S GOAlx2Aza1f , YWrW T//E ' O .W. A.400�ae ZONi va .ee64(1G.4T. w -f ,QL�6A.e0/.W ad-rA4GCSF1--aM STREETS / 407 U.vES. - r F/jn'y CE.dT/F3� THAT TW'/s OA✓ELL/N6 /S.,NOT [044740 IAA r1lie Ale4CC.44 F0000 f/AZdeo A.PEA. %SHdWAt OAI iEM.4' L'Oia.IMt/N/Ty P.l t/GL '� 250098 Gi�7C y�OF M pump 6/2� yG 9 _ L.S. GATE /pL or Rz AV O,P.9�✓iV fO.P /—CJX wQa-v ,��A�Ty �aeP• /// 7. LVOT FD.P Bovvo.Ps� OET Bo/%vo v eY /,vFoR W- /ilE.P.P�iy1.4Gt� �NG��EE,P/•(/6 SE.Pv�C'Es A7'1041 7Weel.S/ F,PO.,� /NC .PE'L'o,PpS. 6G P-4•P,E� .ST,rEET fA,VP0Yd;r, �1.,4S.S.,4GfU/SETTS o/8/O J- v J` = o cli O ♦h r74W AL C` ?- d � � ^�7 � � ~ .►� � � � ¢� �. �� Hwy `. c� Y U c ,��`�. LL o olls c c w o D o w z E LL V) Cm Z. RCa rx u: c C] cn V) v J` = o cli c a ao o o �r il. v R m O Cm Z. RCa 1 G N C �o m c� mm mc H �m 3 �= m m t c de c � ca Cl l� m Cij -- CD A dLi i m to m O 10 cm x= : cl . COm IS o u. o co cm H4D O. _ m � m wZ, p N w -. �::� r t- m W=.. Cc R— cm cma°'� O¢¢ L3 4D CL ��_ y = .-mom J � CD "S env =J-a�mZip v :T 0 >r� LU O � Z Q CL as o� o w i O ■� La O O Cw W 'E m m z fi �I CD .a O �' �04 CD O R O Q 0-' �a ca �••• t0Q C.3 Z CL. O J L.L Go z m z C Cl CL C-2 CO2 cc � W V2 C.0 C Z Z � W J` 0 :T 0 >r� LU O � Z Q CL as o� o w i O ■� La O O Cw W 'E m m z fi �I CD .a O �' �04 CD O R O Q 0-' �a ca �••• t0Q C.3 Z CL. O J L.L Go z m z C Cl CL C-2 CO2 cc � W V2 C.0 C Z Z � W LAWRENCE ELECTRICAL CO. Phone 508-688-6846 February 21, 1996 Jim DeCola, Electrical Inspector Town of North Andover 146 Main Street North Andover, MA 01845 Dear Sir, 292 Hampshire Road V(ethuen. N&A 01844 This is to inform,you that as of 2/21/96, I am releasing the permit for Lot 27, Weyland Circle, Foxwood Development Corp. I am no longer associated with the electrical wiring for that property. Sincerely, /i 1 � G Christopher C. Lawrence, owner Lawrence Electrical Co. Permit #2779 FFR 2 ? iecn . .