HomeMy WebLinkAboutMiscellaneous - 825 JOHNSON STREET 4/30/2018wo
Safety Insurance
P.O. Box 55098
Boston, MA 02205-5098
1-617-951-0600
July 7, 2016
Building Commissioner or Inspector of Buildings
Fire Department or Arson Squad
Board of Health or Board of Selectmen
City Hall
NORTH ANDOVER, MA 01845
Insured: EDWARD CAIN and GRACE CAIN
Property Address: 825 JOHNSON STREET, NORTH ANDOVER, MA
Policy Number: HMA 0101271
Claim Number: BOS00070414
Date of Loss: 7/5/2016
Notice of Loss Under M.G.L. c. 139, � 3B
This communication shall serve as written notice pursuant to M.G.L. c. 139, § 313 that [Safety
Insurance Company] ("Safety") has received a claim involving loss, damage or destruction to a
building or other structure at the above -referenced address which may either: (1) meet or exceed
$1,000; or (2) cause the condition or the building or other structure to render M.G.L. c. 143, § 6
applicable.
In accordance with M.G.L. c. 139, § 313, if the city or town intends to initiate proceedings
designed to perfect a lien under Section 313, M.G.L. c. 143, § 9 or M.G.L. c. 111, § 127B, please
notify Safety of the same by certified mail. Kindly forward such notice to my attention, at the
address indicated below, and include with such notice a reference to the above-described insured,
property address, policy number and claim number.
If you have any questions regarding this notice, please feel free to contact me directly at (617)
951-0600 EXT 3324.
Sincerely,
Maria Rivas
Claim Examiner
Location 'f-"- .-- J , " I I ) :� -) cC7
No. Date -7�
Th
TOWN OF NORTH ANDOVER
ziillillll�� Certificate of Occupancy $
0 Building/Frame Permit Fee $
s Foundation Permit Fee $
ACI
Other Permit Fee $
Sewer Connection Fee $
Pater Connection Fee $
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Buildind"ihspect&
Div. Public Works
PER;Afl ' NO. SSI
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APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
PAGE 1
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LOT NO.
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2 RECORD OF OWNERSHIP IDATE
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IS BUILDING NEW
SIZE OF FOOTING X
IS BUILDING ADDITION
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'66ARD OF APPEALS ACTION. IF ANY
i
IS BUILDING CONNECTED TO TOWN SEWER
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INSTRUCTIONS
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
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TOWN OF NORTH ANDOVER
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Building/Frame Permit Fee $
Foundation Permit Fee
CHU $
Other Permit Fee 1 006, $
el L-.>
Sewer Connection Fee $
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Div. Public Works
Location
No. Date
,&ORTN
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Certificate of Occupancy
$
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$
Foundation Permit Fee
$
Other Permit Fee
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!Icdow Building Inspector
Div. Public Works
PER11IT NO.
J
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APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
m7kia KJO.
LOT NO.y
2 RECORD OF OWNERSHIP iDATE
BOOK 'PAGE
ZONE
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LOCATION r--
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PURPOSE OF BUILDING
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DIMENSIONS OF SILLS
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HEIGHT OF FOUNDATION THICKNESS
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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
SEE BOTH SIDES
PAGE 1 FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS 1 - 12
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BYY%BUILDING INSPECTOR
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3 PROPERTY INFORMATION
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4 APPROVED BY
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FORM U
TOWN OF NORTH ANDOVER
LOT RELEASE FORM
SUBDIVISION
ASSESSORS MAP
SUBDIVISION LOT(S) S
PERMANENT ADDRESS (ASSIGIB BY D.P.W.
STREET 1).r 0114n_Q'n AZ S
APPLICA
PHONE } i 7
DATE OF APPLICATION
TOWN USE BELOW THIS LINE
PLANNING BOARD
DATE APPROVED
TOWN PLANNER DATE REJECTED
CONSERVATION COMMISSION
DATE APPROVED
CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEALTH
DATE APPROVED j
HEALT S IT I DATE REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT
SEWER/WATER CONNECTIONS
FIRE DEPT.
RECEIVED BY BUILDING INSPECTION
DATE
This form shall be signed by the agents of the Planning and Health Boards,
` the Conservation Commission prior to the issuance of any building, permits
for the subject lot. This form shall not releive the applicant from the
compliance of any applicable Town requirement or Bylaw.
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