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HomeMy WebLinkAboutMiscellaneous - 67 PHILLIPS COMMON 4/30/2018 67 PHILLIPS COMMON 210/058.0-0038-0000.0 .. L Llbe Liberty Mutual Insurance ull New England Region Central Property Unit INSURANCE 75 Sylvan Street Danvers,DIA 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:67 Phillips Common,North Andover,Ma 01845 Policy Number: H-3621804186440 Underwriting Company:The First Liberty YInsurance Corporation Claim Number:031813751-0001 Date of Loss:2/19/2015 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 $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, S 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, 599, if you intend to initiate proceedings designed to perfect a lien pursuant to Mass. General Laws, Ch. 139, � 3A & B, or Mass. General Laws,Ch. 143, 5 9, or Mass. General Laws,Ch. 111,§ 127B. This letter should not be construed as a waiver or estoppel of any of the terms,conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, I Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 I i MASSACHUSEI'I'S UNIFORM APPUCATON FOR PERNU TO DO GAS FMING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations (P? s (o m M D l? Permit# Amount$ a©,O O Owner's Name Phil + kl n o(a 3u e 1^5 New❑ Renovation Replacement Plans Submitted � w � a ° o N x x z a a z 10 ° z H w a p a rij z E-4O �G wCS A F�Ua SUBBASEMENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR Date.A1�71,. . . . .... . 3RD . FLOOR 4 TH . FLOOR 5TH . F L O O R NORTH 6TH . FLOOR f O .o , ti 7TH . F L O O R i 0 '.. .0 TOWN OF NORTH ANDOVER zo 41 PERMIT FOR GAS INSTALLATION r (Print or type) �,' ,o•••'�c5 Name Mannan ?rI Cp sSAcMuSE Address 3 11.lest A t r This certifies that . 11.�1!?/h?!?. ./Ql"!�9 -' . . . . . . . . . . ,e4�iLgn , MV4 /� usmess Telephone q� has permission for gas installation . 4e,akoz ol.401- . Name of Licensed Plumber or Gas Fitter in the buildings of . . .OY er, . . . . . . . . . . . . . . . . . . . . . . . . at . . . . ,d?.,�°a . .,�Nthndover, Mass. INSURANCE COVERAGE ,AU . �y�I have a current liability Insurance policyFee. Ltc. No. . . . . . 1. If you have checked.yes,please i icate 1 GAS INSPECTO Liability insurance policy Check# SO,0& Owner's Insurance Waiver: I am aware t 7841 ['—Signature ass.General Laws,and that my signatu of Owner or Owner's Agent _ I 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Signature of Licensed Plumber Or Gas Fitter By. [jPlumber ( 0 �(� Title City/Town Gas Fitter License Number ! 9 Master APPROVED(OFFICE USE ONLY) Journeyman Date4?. :-?2 N° 4224 NOR7p TOWN OF NORTH ANDOVER lima, p PERMIT FOR PLUMBING ,SSACMUSE� This certifies that .... -n-�t�-�-tel. . . . . . . . . . has permission to perform .c` '' <-z-- -1. . . . . . . . . . . . . plumbingin.th buildings of . . . .!c. .. . . . . . . . . . . . . . . . at . .�. . l � �� . . . . . . . . . . . . . orth Andover, Mass. Fee . . . . .Lic. No.. , gj . . --�. . ./. . . . . .-'. . . . . . . . . PLUMB'IM��I� PEOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer I MASSACHUSETTS UNIFORM APPLICATION FOR RMT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS / Awip�ermnit#ate Building Location ers Nam J �� Amount Type of Occupancy / New ® Renovation ® ' . Replacement Plans Submitted Yes ® No FIXTURES z �] a a " W F W N z -let A g a a W W � a x a A a A H A d � H U ° x o d z w a 0.4 A a H � d Q d a m o SLRB%E Rk9MEvr 1LOCIZ M rL R 3MMaR 4MrLOCIZ M FUM 6M HDM 9M FLOOR :j(Print or type) Check one: Certificate Installing Company Name 0 Corp. Address Partner. Business Telephone Q--firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the e o insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver: 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner ® Agent I 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 in lations performed under P it Issued for this application will be in compliance with all pertinent provisions of the Mass State PIbKfCode Chapter 1 eral Laws. By: NIP1,41M01 LiCenSeaer Type of Plumbing License Title City/Town TIkens um er Master Journeyman APPROVED(OFFICE USE ONLY Location No. / Date 40RTN TOWN OF NORTH ANDOVER Ot�t�ao e1H0 , F p Certificate of Occupancy $ < - + r Building/Frame Permit Fee $ ZZ 0 0 unth Foundation Permit Fee s�cMB � Other Permit Fee CIV Q PA r Connection Fee AVG ,I Water Connection Fee ��� TOTAL $ 1f Building Inspector Div. Public Works Location /• r_� �, .:,�� ir�_� Date No. . "O"T" TOWN OF NORTH ANDOVER p Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ �Ss�cMugE N,Ot ter Permit Fee $ ----�"'' Sewer Connection Fee $ __,__Av i _.��. Water Connection Fee $ ---"""�"'" TQTALF r 9 - ry Building inspector r - Div. Public Works Location (, 7 P4, z No. t ✓S Dates— �. Y NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ SACHU Other Permit Fee $ %( Sewer Connection Fee $ ( � r Water Connection Fee $ TOTAL I $ ``�00 G U a B'uild'ing Inspector �C!!U Div. Public Works i {Location ��7 ! t� 1 L 1� �AA 6, ti ,,No. Date AORTH TOWN OF NORTH ANDOVER Certificate of Occupancy►. A P Y Building/Frame Permit Fee $ .sMug tFoundation Permit Fee $ �cE �, r` Ot r Per f' e $ Se e - ect.� Fee $ e (C n e tlo'n Fee $ TAL $ Building Inspector Div. Public Works +Location JOTI'$ 1 ,tu-t(qs N, o. 3 o Date 97-1/-2-2-- 0 NORTH TOWN OF NORTH ANDOVER p �: Certificate of Occupancy $ � ` ' y Building/Frame Permit Fee $ �SSAC14USE` Fou dation Permit Fee $ Ot er P $ See ec ' R Fee $ e n ec ' ee $ TIAL $ Building Inspector 5457 Div. Public Works �t,IT NQ,. vy APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS r V� ,,r � j PAGE I MAP d-40. I LOT NO. 2 RECORD OF OWNERSHIP iDATE BOOK 'PAGE ZONE SUB DIV. LOT NO. �I LU'CATION PURPOSE OF BUILDING OWNER'S NAME kwQ—,,tvlzl NO. OF RIES ZV IsIzi T OWNER'S ADDRESS A.` SEMENT SLAB ARCHITECT'S NAMEQLnN SIZE OF FLOOR TIMBERS IST v i ND 'y 3RD BUILDER'S NAME SPAN /`/ DISTANCE TO NEAREST BUILDING � DIMENSIONS OF SILLS / --- DISTANCE FROM STREET ; r POSTS DISTANCE FROM LOT LINES—SIDES 2 ( REAR GIRDERS AREA OF LOT (�i y�e � FRONTAGE �,��) r HEIGHT OF FOUNDATION THICKNESS 2 IS BUILDING NEW E/ rS -1 - SIZE OF FOOTING < < X f _ 1•! AJ � J2- IS BUILDING ADDITION MATERIAL OF CHIMNEY V IS BUILDING ALTERATION IS BUILDING ON FILLED L LAND _ WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER L4 Q BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER - `G - IS BUILDING CONNECTED TO NATURAL GAS LI E C� INSTRUCTIONS 3 PROPERW INFORMATION LAND COST Lit /yif/1 SEE BOTH SIDES NOW FOR MM�UILDING EST. BLDG. COST / {J(JC�J PAGE 1 FILL OUT SECTIONS 1 - 3 ibri'i,�.`1 R EST. BLDG. COST PER SQ. FT. z PAGE 2 FILL OUT SECTIONS 1 - 12A �` FEE PAID EST. BLDG. COST PER ROOM y &Q DAM SEPTIC PERMIT NO. .%ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATEFIREREGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR `2� - DATE FILED V Z BOARD OF HEALTH SIGNATURE,OF OWNER OR AUTHORIZED A ENT FEE rOQ OWNER TEL.# 7 L PUNNING BOARD PERMIT GRANTED CONTR.TEL.# f 19 - CONTR.LIC.# BOARD OF SELECTMEN ram=By pm HM mc. o . dv �_ Imor _ BUILDING INSPECTOR um l��` 4!7 moo` r�o �,e t IT 3 a ,1 BUl.LDiNG RECORD 1 OCCUPANCY, 12 SINGLE FAMILY SroRIEs7n s,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 'LTiJl CONCRETE _ a 1 2 l3 CONCRETE BL K. PINE BRICK OR STONE HARDW D PIERS PLASTER y. DRY WALL _ _ .•,�. UNFIN. 3 BASEMENT'., AREA FULL FIN. B'M'T' AREA _ Y, '/p '/, FIN. ATTIC AREA NO BMT FIRE PLACES • HEAD ROOM _ MODERN KITCHEN t _ 4 WALLS I' 9FLOORS �- CLAPBOARDS B 1 2 3 t DROP SIDING CONCRETE �_ WOOD SHINGLES -EARTH ASPHALT SIDING - 'HARDVJ D ASBESTOS SIDING COMMON _ VERT. SIDING ASPH. TILE _ STUCCO QN'AhASONRY; _ ST YS ON FRAME BRICK f9N MASONRY ATTIC STIRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY . WIRING STONE ON FRA'A1E 'y' e�' T` „tea� SUPERIOR POORaJj .�aa..r,. er RRsf ADEQUATE I NONE / 5 ROOF 10 PLUMBING GABLE I HIP BATH Q FIX.) GAMBRELMANSARD TOILET RM. (2 FIX.) FLAT rl SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK '-•' r ` i . SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ a TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE Cf h FORCED HOT AIR FURN. TIMBER BMS.-&COLS. STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING e RADIANT H'T'G _ UNIT HEATERS 7 NO. OF ROOMS OAS ol B'M'T2nd LECHEATIN l 1st 13rd., I NO HEATING., g I FORM U - IAT RELEASE' FORK 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: 7�►l�3pS N1a�nr�nipi �..�p Phone Zc� LOCATION: Assessor's Map Number Parcel Subdivision r k-� Lot s Street St. Number ( � ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Conserva 'o Administrator Date Approved Date Rejected Comments Town Planner Date Approved Date Rejected Comments Health Agent Date Approved AL g Date Rejected Comments Public Works — sewer/water connectionsro� v 5 � - driveway perinit Fire Department 7 P i Received by Building Inspector Date I 1 . -lop 9 M92 iSUILDAG DEPARTMENT �vo CUT p_ /2 SOO S.F l C28 7 Ae• / 1 I k �� o / Ei4Ss/Y1C.V'l ��o I 3 I 30 \ ii NOS=J•• �auvflAT�o.c/ LofAT/ON � /`.e oiy7 A•v Al cSuovzy I </c PEBY CE eT/FY TO Tye Ti TGE 1XIS61,eOIC ANO TD Tf/E BR�V lr 77V47' TyE OwEGG/NG /S f OG•ATE"O O V Tile L OT AS rY/Tf1 Tf/ETov�/ OF NO, �lvOov6.e 20.v/vG .PEG�/LATjO//S //�� �,�/ REGA,PD/.t/G SETBAf.Y.S F•POM ST-PESTS � COT c/.vES. " ��0. /7.c/I>c5✓�.e /�/,q.SS "r rU.P>//E.P fE.PT/FY �V�4T T.f/S O�rELL/N6 /S NOT L/�Gq TEO /,t/ T.YE AL"!;��ODO .S',92,0•PO A.PE4. O,PA{•j�j(/ FO.P doe -.5 TR- -CAT/ tR -CA/ T/!/S PGAic/FO;� s�d;�y-G.4GE PU,ePOSES' tiOT FO,P �90U,vO.Py' PETE.Pyr//�(/•4T/c?.c/'�:;:BOtiv09.PY/�f/FOR�f- �E'P,�//Y/�9�iY E-it/C/.(/Ef.P/�(/G SE.PI�/lES ,477041 7We<!5,l/ F,Poy� Erisr�vc eEcoPvs. 6� �q.P,(� ST,PEET A,t/ODYE�P, /YJASS,4C,f///SETTS O/8/O SES EWWATER FINAL PLANNING ��- F1NaL�®NSRVATION FINAL N own o � over r. . 0 AY ENTRY PERMIT ---- _ - -r N .R�EV� EAn� � er, Mass., 19�� ORF ? BOARD OF HEALTH PERMIT T ILD pil THIS CERTIFIES THA-1 ............ .. . ..� ��• �• 41M• 40 f BUILDING INSPECTOR Anghss permission to erect �� 0buildings on ��r .. �!,�, Q.A�'!1e� Rough Chimney to be occupied as s il �oc .� �.� :. •••T DO> "' Final provided that the person accepting this permit shall in every respect conform to the terms of the application on file in PLUMBING INSPECTOR this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough Buildings in the Town of North Andover. PERMIT FOR FRAME/BUILDING Final VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 M 0 N PATES FEE PAI e-ZLIZ 0 0 ELECTRICAL INSPECTOR Rough UNLESS CONSTRUCTION STARTS ► Service PERMIT FOR FOUNDATION ONLY Final .REGULATED BY PARIL 114A x, B.C. ......, BUILDING INS CTOR GAS INSPECTOR DATE FEE P�11Q ,--, ,,Permit Required to Occupy Building Rough Final Display in a Conspicuous Place on the Premises FIRE DEPT. Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. Building Inspector WE 1 f 1 . "'*^ 44V1�1bLhV 1UN Iv -FINAL o 9 An Town : 6. .OL over PERMIT DRIVEWAY ENTRY P ��KKR er, Mass., 19!x'4 C lH HE WIt.H Azo I BOARD OF SALT PERMI LD THIS CERTIFIES THAT ................. . •.� ��• �• • BUILDING INSPECTOR has permission to erect"AI A�O .. buildings on AA t*..r . .�410AUIP�0*®�. RoughChi 5 l 4�A04"ACAP&�A.&A10i�r. . ' .../^r .... Finamney (_• w��j� to be occupied a provided that the person accepting this permit shall in every respect conform to the terms of the application on file in .14� 1 1i! C'-t'A-yq PLUM�I�GANSPj CTOQ this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of 0 � is --l 7 � L Buildings in the Town of North Andover. PERMIT FOR FRAME/BUILDING Ka �U VIOLATION of the Zoning or Building Regulations Voids this Permit. PERMIT EXPIRES IN 6 MONTUrig':459-3`I zFEEPAiAZZILZO O E CTRICALINSPECTOR UNLESS CONSTRUCTION STARTS Rough e � �9z_r PERMIT FOR FOUNDATION ONLY .•.••.' Final NIC REGULATED BY PAR1L 114.84 B.C. ,. 'BUILDING INS CTOR GAS INSPECT R DATE _.FEE P��D • d-v-- ;koup_ �� y Permit Required to Occupy Building 046Display in a Conspicuous Place on the Premises 9e,S....,.w-IfE DE Do Not Remove Burner No Lathing to Be Done Until Inspected and Approved by Smoke Det. '4*1aA g p Building Inspector CERTIFICATE OF USE & OCCUPANCY Building Permit Number 360 1 Date OCTOBER 29 , 1992 THIS CERTIFIES THAT THE BUILDING LOCATED ON LOT #8 PHILLIPS COMMON (#67) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING Tyne D) IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. oFNORThq Phill ' s C iWelopment Corp. vv o� y, 6 � CERTIFICATE ISSUED TO 733 Turnpike St. ADDRESS • �= N r Andover. MA 09 / SSgcNuse Building Inspector r