HomeMy WebLinkAboutMiscellaneous - 75 SECOND STREET 4/30/2018Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or
Inspector of Buildings
1600 Osgood Street
North Andover, MA 01845
RE: Insured:
Property Address
Policy Number:
Date/Cause of Loss
File or Claim Number:
John & Lucy Licciardi
75 Second Street
H P0646792
11/11/2013, Water/Pipe Leak
28657-R
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 or
file number.
Ryan Werner
On this date, I caused copies of this Notice to be sent to theersoy�s named above at the
addresses indicated above by First Class Mail. ////
141 1�//�
Signat* and Date
ANDERSON ADJrTMENT CO., INC.
50 Nashua Road, Suite 303
PO Box 1098
Londonderry, NH 03053
Location
No. Date
TOWN OF NORTH ANDOVER
p
Clificate of Occupancy
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Town of North Andover
. OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
KENNETH R. MAHONY
Director
Please priin^tt..'
DATE �l �0�
JOB LOCATION
"HOMEOWNER"
146 Main Street
North Andover, Massachusetts 01845
(508) 688-9533
HCME %`NER LICENSE EXEMPTION
41r
3� 64 OL
O
9
A -Y
Number Street address Section of town
) " . L_ L c Cl 14-t—L
Name Home phone Work phone
o Lojf o
PRESENT MAILING ADDRESS / I ��/l y"', ��t/� �l �I
City/Town
S tate
Zip code
The current exemption for "homeowners" was extended to include owner -occupied dwellings
of six units or less and to allow such homeowners to engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Sec-
tion 109.1.1)
DEFINITION OF HOVIEOWNI ER:
Person(s) who owns a parcel of land on which hershe resides or intends to reside, on which
there is, or is intended to be, a one to six family dwelling, attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner . Such "homeowner" shall submit to
the Building Official, on a form acceptable to the Building Official, that he/she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned "homeowner" assumes responsibility for compliance with the State Building
Code and other applicable codes. by-laws. rules and regulations.
The undersigned "homeowner" certifies that he. -she understands the Town of No. Andover
Building Department minimum inspecton procedures and requirements and that heishe will
comply with said procedures and requirements.
HOMEOWNER'S SIGNATURE
APPROVAL OF BUILDING OFFICL-kL
Note: Three family dwellings 35,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0, Construction Control.
BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 688-9535
Julie Pairino D. Robert Nioeua Michael Howard Sandra Stan KaUem Bradley Colwell