HomeMy WebLinkAboutMiscellaneous - 88 ELM STREET 4/30/2018 (2)El:
"11EW ENGLAND CLAIMS SERVICE, INC.
Incorporated 1985
El_.
Reply To
P.O. Box 345
Mansfield, MA 02048
TEL. {508} 337-8058
FAX {978} 927-3002
M, JNA
'ASSWAIK)
1 IN)UST CJ;
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wrandall@newenglandclaims.com
Reply To
131 Dodge Street, Suite 6
Beverly, MA 01915
TEL. {978} 927-3000
FAX {978} 927-3002
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASS. GEN. LAWS, CH. 139, SEC. 3B
To: Inspector of Buildings
North Andover, MA
RE: insured: Hamilton House Condominiums
Property Address: 88 Elm Street, North Andover, MA 01845
Cause of Loss/Date: Water/2-1-15
Pile/Ciaim No.: BOS54399::'.`!
Claims 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. nc.dce 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, police number, date of loss and claim or file number.
Section 3B. No insurer shall pay any claims (1) covering the loss, damage or destruction to a building or
other structure, amounting to one thousand dollars or more, or (2) covering any loss, damage or
destruction of any amount, which causes the condition of a building or other structure to render section
six of chapter on,� "uncr ed and forty-three applicable, without having at least ten days previously given
written notice te. ;he building commissioner or.irspector of buildings appointed pursuant to the state
a� rr�
building code, to '.`,e fir,, department or arson squad of the city of town and to the board of health or
board of selectmen of , he city or town in which the same is located. If at any time prior to payment the
said city or town notii;us the insurer by certified mail of its intent to initiate proceedings designed to
perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or
section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not
be made while the said proceedings are pending; provided, however, that said proceedings are initiated
within thirty days of rc2ipt of such notification.
Any lien perfectf ant to section three A, or to section nine of chapter one hundred and forty-
three or section tired and twenty seven B of chapter one hundred and eleven, shall extend to
and may be enfo ke r7�y or town against any casualty insurance policy or policies covering any
loss, damage ori,_ j, -ion I:;,.rsuant to which the proceeds to perfect the lien were initiated.
No insurer shall ; - ' , . : to any insured owner, mortgagee, assignee, city or town, or other interested
party for amour, r ed to a city or town under the provisions of this section, or for amounts not
disbursed to a city .v - v,n ui der the provisions of this section.
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.
Very truly yours,
Mark Randall
Adjuster
m.randallnecs@corncast.net
978-223-7332
c:
•
1Jsparttman� a`.fira �arvicas Permit No.
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGU TIONS Rev. 11199] (leave blank) --
APPLICATION FOR PERMIT T PERFORM
ELECTRICAL WORD
All work to be perfornxd in =*Cordaro with c Massachusetts El,--mricsl Codc (NIEC), 5 7 CNIR 1? 00
(PLEASE PRINT JN INK OR TYfE .4LL iNFOR6fwv ION Mite: Q
City -'= on ��gives � � f To the Ins ectorf o Wires:
By this application the undersigned notice of h /or her intention to perform the Iectrical work described below.
Location (Street & Number) 2 2 L i'h/r-
Owner or Tenant
Owner's Address
Is this permit in conjunction with a buildinIt? Yes U No !X (Check Appropriate Boa)
!'uriiose of Building• P. (..�b riiiUtility Authorization No. i %% 5'
ExistingService
�LQAmps / Volts Overhead ❑ Uadgrd ❑ No. of illeters .
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. ofitileters:
Number of Feeders and Ampacity
Location and Nature bf Proposed Electrical Work: C)h a n c4 e m (f,.' '
Com luiat oldie olloiviuE table may be waived by tl / f dtr
No. of Recessed Fixtures
No. of Cet1-Susp. (Paddle) Fans
re ► for o ryes.
No. oota
Transformers KVA
No, of Lighting Outlets
No. of Hot Tubs
Generators " XVA
No. of Lighting Fixtures
No. of Receptacle Outlets
ore -
Swimming Pool orad. ❑ d. ❑Batt
No. of Oil Burners
i o. o nrergenty ig t
Units
)LARiYIS No. of Zones
No. of Switches
No. of Gas Burners
o. oeteetion an
.
Initis Devices �
No. of Ranges
No. of Air Cond. To ns
No. of Alerting Devices
No. of Waste Disposers
P
eat Pump
Totals:
Number ons
t o. o Self -Contained
DetectionfAlertiag Devices
I
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal
pal 11 Other
Connection
No. of Dryers
Heating Appliances iKtiY
Security
of Systems;:
NoDevices or E nivnIent
No. of Water It'1V
Heaters
0.01 `o. of
Si Ballasts
Data W' �wg
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. otl►Iotors Total HP
' ecommunications ir,
Yo. otDetiices or E uivaIent
OTHER:
Attach additional detail ifdesired, or as required by t/te 1►rspector of Wires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work: may issue unless
the licensee provides proof of liability insurance including "completed operation" covekee or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has e:dubited proof of sarne to the permit issuing office_
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
(Eipiration Date)
Estimated Value of Electrical Work- (Wbm required by municipal policy.)
Work to Start. Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I cortify, under the pains and penalties of perjury, that the information on this application is ante and complete.
FIRRI NAME:
Licensee: J,< Cbp,f e ,
(If applicable, enter "evenipt "
Address- 2
Signature
OWNER'S INSUPLANCE WMVEM I am awat6 dist the Licensee d6es
required by law. By my signature below, I hereby waive this requirement.
Owner/Agent
4�on�t.,rn Telephone No.
LIC. NO.:
LIC. NO.:ZL
I3us. Tel. No.;�_I� -3 1
Alt. Tel. No.:�7fr-
not have the liability insurance coverage normally
I am die (chcck one) ❑ owner ❑ owner's agent.
PE-RA11T FE- E- S6�5 , 0
di
NoR7„
Town of North Andover
Machine Shop village Neighborhood Conservation District Commission
1600 Osgood Strcet North Andovcr, MA 01845
no
5404 S
Application For EXCLUSION From Certificate to Alter
Certain alterations are excluded from review by the Machine Shop Village Neighborhood
Conservation District Commission in accordance with the Bylaw. Applicants for exempt projects
must fill out the form below and submittothe Commission Chairperson (contact info below).
Date: 12- , I U ki 7,V 1
Contact Name & Address:
0, T-) J
Project Address:
Project Description (attach additional pages, if needed):
Exclusion From Review Requested For.
❑
1. Interior Alterations
existing conditions including materials,
design and dimensions.
❑
2. Storm windows and doors, screen
windows and doors.
❑ 9. Replacement of existing substitute
doors, substitute siding or substitute
❑
3. Removal, replacement or installation of
windows with new materials that are
gutters and downspouts.
substantially similar to the existing
condition.
❑
4. Removal, replacement or installation of
window and door shutters.
❑ 10. Replacement of original fabric
windows or doors with substitute
❑
5. Accessory buildings of less than 100
windows or doors that maintain the
square feet of floor area.
architectural integrity with respect to
form, fit and function of the original
❑
6. Removal of substitute siding.
windows or doors.
❑
7. Alterations not visible from a public
❑ 11. Reconstruction, substantially similar in
way.
exterior design, of a building, damaged or
by fire, storm or other disaster,
Kdestroyed
8. Ordinary maintenance and repair of
provided such reconstruction is begun
architectural features that match the
within one year thereafter.
MSV NCDC Pagel Current Chair. Liz Fennessy, 77 Elm Street, lizettafennessy@yahoo.cam, 978-688-2915
NORTH
�e,900
Town of North Andover
Machine Shop Village Neighborhood Conservation District Commission
1600 Osgood Street North Andover, MA 01845
'SSwCHU g
Application For EXCLUSION From Certificate to Alter
For Items 9,10 or 11, provide the following documentation:
Photos/drawings of existing doors, windows or siding, as applicable
Description/Catalog Cuts of proposed materials to be used for doors, windows or siding
Plan and elevation of reconstruction for Item 11
Determination:
This project is determined to be
pl�lxeinpt
O not exempt
from review by the Machine Shop Village Neighborhood Conservation District Commission. Projects
that are not exempt must complete the Application for Certificate to Alter, available from the Building
Department and be reviewed by the Commission.
Determination made by:
bL fCOrV5SV
Signature n
Conservation
2 J
— / Date
MSV NCDC Page 2 Current Chair: Liz Fennessy, 77 Elm Street, lizettafennessy@vahoo.com, 978-688-2915
This certifies that
has permission to perform
wiring in the building
Date ..... .........
TOWN OF NORTH ANDOVER
—1
PERMIT FOR WIRING
........ .. ... .. .......
..... .....
at
North, (. over, Mass,
,o
Lic. No., .. ......... ....:/ .... ....
C JELEMUCAL INSPECTOR
Check # 112-—Z—
i
5411
CommonweaM of 1414l3achu 16
Ennis cc--��
29Farbnan1 o1..tcc7
ira Sarvica.6
BOARD OF FIRE PREVENTION REGULA
APPLICATION FOR PERMIT TO Pj
All work to be perfornxd in accordance with the M=4-1
(PLEASE PRINT IN INK OR TY L• ALL lltYl" ORf
City - _ of: lk_n ! ! Aga
By this application the undersigned gives notice of his or
Location (Street S Number) 1{'
Owner or Tenant \ ,s JrA ry 4Z Vn m Q SS
Owner's Address V.?- 1rn'
Official Use Only
Permit No. _ _ JfN//
Occupancy and Fee Checked
NS Rev. 11!991 �—
(tcave blank)
ZFORM ELECTRICAL WORK
ctts EIcetrical Code (MEC), 5;7 CMR 12.00
Dace:
_ To the Ins ector of FYires:
to perform the Slectrical work described below.
Telephone No. L�O6�
Is this permit in conjunction with a building.t? Yes ❑ No ((Check
Appropria(e Bot)
Purpose of BuildingerruUtility Authorization No.
Existing Service 00 Amps 1 Volts Overhead ❑ Undgrd ❑ No. of lleters .
New SeMce Amps 1 Volts Overhead ❑ Undgrd ❑ No. oftileters:
Number of Feeders and Ampacity
Location and Nature bf Proposed EIectricai Work: (1 Jh pL tl U tom, iYl e-1
Comaletion of the %llmrine table may be ttait i In rbn hicnrianr n!(tr.we
No. of Recessed Fixtures
No. of Cei1 -Susp. (Paddle) Faso
No. o. o of - -- -- - - - •'TotaE -
N o. mors KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Above -
Shimming Pool orad. ❑ d. ❑
i 0. a mergency lighting
Battery Units
No. of Receptacle Outlets
No. of Ori Burners
FIRE ALARiYIS
No. of Zones
No. of Switches
No. of Gas Burners
o. o Detection an
Initiating Devices ?
Na. of Ranges
No. of Air Cond. Total
No. of Alerting Devices
\o. of Waste Disposers
P
Heat Pump
Totals:
Number Tons K
i o. ofSelf-Contained
DetectionfAlertiag Devices
No. of Dishwashers
Spacehirea Heating KW
Local ❑ Municipal 1:1 Other
Connection
No. of Dryers
Heating -Appliance s K%V
SecuritySystems:
No. ofDevices or E uivalent
No. of Water K�V
Heaters
IO. of ilio. of
Sksts Ballasts
Data i>rr*ina:
No. of.Dbevices or Equivalent
No. Hydromassage Bathtubs
Hydromassage
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or E uivalent
OTHER: •
Attach additional detail if desired, or as required by [lie Inspector of fires
hNSUR.-uNtiCE COVERAGE: Unless uraived by the ov.-ner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including "completed operation" coveiaoe or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has irlubited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
(Eipiration Date)
Estimated Value of Electrical Work: ('When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains and penalties•af perjur}T, that the information our this application is taste and complete.
MUNI NAME: L:r t
Licensee: Signature
(If applicable enter-evenrpt " i 11, license hnuber Cine)
Address: l
OWNER' I`tSURANCE NVRIVE • larnawraPtilialtheLicense-ed6es
required by law. By my signature below, I hereby waive this requiretttcnt.
Ownrer/Arent ,
Cinngf.irn Telephone \o.
LIC. NO.:
LIC. NOMQk3
Bus. Tei. No.-- I
Alt. Tel. No._ `_9 3L2. 1 %,2,?'
not Gave the liability insurance coverage normally
I am the (check one) ❑ owner ❑ o%,vmcr's a-ent.
PdRtlilT FE• E• : s6:�j ,,
CONTE ELECTRIC, LLC
ROBERT J. CONTE, X
COMMERCIAL -INDUSTRIAL -RESIDENTIAL
72 GREENLAWN AVENUE, HAVERHILL, MA 018324433 * TELEPHONE (978) 372-6931
MASTER ELECTRICIAN LIC. No. 16289A
November 7, 2004
William Nutter
Electrical Inspector
Town Of North Andover
400 Osgood Street
Andover, MA 01845
Dear Mr. Nutter:
I have enclosed and. application for an electrical permit for work to be
done on the property located at 88 Elm Street, North Andover Massachusetts.
I have also included a check #1526 for the amount you stated at our meeting of
$55.00 made payable to the Town of North Andover to cover the cost of the
permit fee.
Please process the application and return the permit to this company in
the self-addressed, stamped envelope included with this letter.
Thank you for your cooperation in this matter. If you have any
questions, please do not hesitate to contact me at 978-360-1928.
Yours truly,
Illi �(
Robert J. Conte, Jr.
Master Electrician
Enclosures: 2
Lo,,ation
F��='� �llra.
Na. r Date A- 1 /"-7 2
TOWN OF NORTH ANDOVER
i?
No, Andover collector
Building Inspector
Div. Public Works
p Certificate of Occupancy
$
Building/Frame Permit Fee
$
+O*.„e
�ssACHU < Foundation Permit Fee
$
! 'Other Permit Fee
$
r
ANUENTection Fee
$
RECENEp
Water Connection Fee
$
AUG 2r� �L
$ '
i?
No, Andover collector
Building Inspector
Div. Public Works
SraMtT No. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
6-o'/PAGE 1
MAP 4.40.
I LOT NO.
2 RECORD OF OWNERSHIP iDATE
BOOK 'PAGE
ZONt'
SUB DIV. LOT NO.
LOCATION
PURPOSE yrs r1 n E
OWNER'S NAME
NO. OF STORIES SI E
OWNER'S ADDRESS S O [ W`
'
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND 3RD
BUILDER'S NAME n,
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 cl�
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
f
'v
IS BUILDING CONNECTED TO TOWN SEWER
1S 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 METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
b
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE Ft D `?fl I l
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE�� `►r}i
PERMIT GRANTED
OWNER TEL # 7 -137
CONTR. TEL. #ZC�
CONTR. LIC. # f 9
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
W
BUILDING RECORD
1 OCCUPANCY
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
B 1 2 13
PINE
CONCRETE
CONCRETE BL K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
_ DRY WALL
UNFIN.
3 BASEMENT
AREA FULL
FIN. B'M'TAREA
_
14 1/2 3/4
FIN. ATTIC AREA
_
NO B M
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
4 WALLS I 9 FLOORS
CLAPBOARDS
B
_
1
2
�_
3
_
_
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
CONCRETE
EARTH
HARDW'D
COMMON
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
_
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR I_
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIORI� POOR
ADEQUATE NONE .
5 ROOF
10 PLUMBING
GABLE
GAMBREL
HIP
BATH 13 FIX.)
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 II
11 HEATING
WOOD JOIST
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
OIL
B'M'T 2nd _
10 13rd
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.
11
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OFFICES OF:
APPEALS
BUILDING
CONSEI WATION
HEALTH
PLANNING
MONIy
ar:
Town of
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NORTH ANDOVER
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DIVISION OF
PLANNING & COMMUNITY DEVELOPMENT
KAREN H.P. NELSON, DIRECTOR
`,
120 Main Street I
NOrtll Andover,
mass lchusCItSOIti4 i
Ui 17) 6H5-4775
In accordance1th the provisions of MGL c 40, S 54, a condition of Building Permit
Number t6b is that the dcbris resulting from this work shall be
disposed of in a properly licens
150A ed solid waste disposal facility as defined by MGL c 111, S
The debris will be disposed of in: C e'•)
C�V� a vv� I
(Location of Facility)
Signature of Permit A plicant
Date
NOTE: Demolition permit from the Town of North Andover must be obtained for
this project through the Office of the Building Inspector.