HomeMy WebLinkAboutMiscellaneous - 9 BUCKLIN ROAD 4/30/2018N
Location��.�.���,.
No. _ Date
:4
HORT" TOWN OF NORTH ANDOVER
•.. • OL
p Certificate of Occupancy $�.'
Building/Frame Permit Fee $
�cHuse Foundation Permit Fee $
s
Other Permit Fee $
Sewer Connection Fee $ 1Q10
Water Connection Fee $-�D
6859
TOTAL
/,t/,)OA� x-?-r-Zt�
Building'lnspector
5U.4Q PAID
Div. Public Works
Location
No. Date
's
i
TOWN OF NORTH ANDOVER
Certificate of Occupancy $ U U
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $ J,j�U U D
��C�/�
I /-{{,C-////19� Building Inspector
�:�L>,7 a 2y30/93 1b:18
6838
150.00 PAID
Div. Public Works
Location
No. P Date
fTOWN OF NORTH ANDOVER
pORT1l i..
?O:t.o .*'6q.O i a.
Certificate of Occupancy $
+ ; Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $ /4cb�
Water Connection Fee $ 10419
TOTAL $/1 C)U�G/U a J
wlding In(�pect r
12/334/9316:18
Duf`Ptu"blic Works
PER311T NO. _
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS. /12-1" J,,_:eG/ /FltGE 1
MAP 4•10.
I LOT NO.
2 RECORD OF OWNERSHIP �DA7�IBOOK
'PAGE
ZONE
SUB DI LO
a
—
LOCATION
PURPOSE OF BUILDING
OWNER'S NAM{/
®
NO. OF STORIES r SIZE)
OWNER'S ADDRESS —�
16
�
BASEMENT OR SLAB
ARCHITECT'S NAMEr,C / _4
Y�/,
2ND
312E OF FLOOR TIMBERS IST 9,Y] e)
d
V/ v 3RD
/l
BUILDER'S NAME
/ 6��LiG1 Ga u e(/'afi/l
1
/
SPAN
_ l V
DISTANCE TO NEAREST BUILDING �D
DIMENSIONS OF SILLS
DISTANCE FROM STREET (
_
'" POSTS
DISTANCE FROM LOT LINES - SIIDDEfS ,5L,
O REAR z
"' "" GIRDERS t/•'j/ / �'1
AREA OF LOT
1 (//p/
FRONTAGE 7s /
L
HEIGHT OF FOUNDATION �O" THICKNESS /6 //
IS BUILDING NEW
1
SIZE OF FOOTING 2 X
!T
IS BUILDING ADDITION /L,/ v
MATERIAL OF CHIMNEY IVA
IS BUILDING ALTERATION % � v
iv
IS BUILDING ON SOLID OR FILLED LAND
J /
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE S'
IS BUILDING CONNECTED TO TOWN WATER
j%S
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
7:rf s
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
BLDG. PERMIT Frirt� o
PAGE 1 FILL OUT SECTIONS 1 - 3 LESS FDA F1 / U 6:� �i.�
PAGE 2 FILL OUT SECTIONS 1 - 12
DUE FRAME PERMIT ZL-2- 0 0
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
v .
DATE FILED
SIGNATURE OF OWNER OR AUTHORIZED AGENT
FEE U
J"o
PERMIT GRANT OWNER TEL. #
q� �•� CONTR. TEL. # . //
/ 19 -1=� CONTR. LIC. k
i
daL
s PROPERTY INFORMATION
LAND COST
EST. BLDG. COST
EST. BLDG. COST PERS .FT. 7!!JJ
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH
PLANNING BOARD
BOARD OF SELECTMEN
Mzl- f16
�/
BUILDING INSPECTOR
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
S DRIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
I
IIS
8 INTERIOR FINISH
a 2 13
PINE
CONCRETE—�Q
CONCRETE 8L K.
BRICK OR STONE
HARD W D
PIERS
PLASTER
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
FIN. B'M'TAREA _
'/. '/f 1/1
FIN. ATTIC AREA =
N_O 8 M
FIRE PLACES-
HEAD ROOM
MODERN KITCHEN
4 WALLS I
9 FLOORS
CLAPBOARDS
A
B
_
1
X
2
3
_
_
_
_
DROP SIDING
CONCRETE
WOOD SHINGLES
EARTH
ASPHALT SIDING `
ASBESTOS SIDING
VERT. SIDING
STUCCO ON MASONRY
_
HARDVJ'D
COMMCN
ASPH. TILE
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. 8 FLOOR _
CONC. OR CINDER BILK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR
ADOO_
ATE I NONRE
EQUP
10 PLUMBING
BATH 13 FIX.)
5 ROOF
GABLE HIP
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
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
GAS
OIL
7 NO. OF ROOMS
B'M'T 2nd _
3rd
1st I I
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.
.,,,..�-.:.:r.�.•rir�-s-..awe-`�. �,�t i'..-/l,.a F an`.�'3.. .',i
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FORM U - LOT RELEASE 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: _ / 6 C/&�li D r� Phone i^ /%�
LOCATION: Assessor's Map Number Parcel
Subdivision ,/� a r��i.� �n r✓_ _ Lot (s)
Street C St. Number l
************************Official Use Only************************
RECO�AT ONS OF TOWN AGENTS:
Date Approved
Conservation Administratore
Date Rejected
Comments
LE a4a&Lk Date Approved _
Town Planner Date Rejected
Comments
Health Agent
Comments
Public Works - sewer/water connections
driveway permit
Fire DepartmTuilding
t
7��
I
Received by Inspector
Date Approved
Date Rejected
Date
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Location f
No. Date V7-0-17
N°
. o TOWN OF NORTH ANDOVER
� oft,��°
Fr p Certificate of Occupancy $
Building/Frame Permit Fee $
CUSEt Foundation Permit Fee $ 1
'• Other Permit Fee $
'Sewer Connection Fee $
Water Connection Fee $
i yV
h`- TOTAL $
Buil0ng inspector
1%4 10 7ofv&/97 13:30 � 25.00 PAID---�^-�--
Div. Public Works
PERNIrl N0. `j
APPLICATION FOR PERMIT TO BUILD - NORTH ANDOVER, MASS.
✓
PAGE 1 I
MAP KVO. eqst1
`
OT NO. i 11
2 RECORD OF OWNERSHIP iDATE
BOOK PAGE —
ZONE
SUB DIV. LOT NO.
LOCATION (Z o
PURPOSE OF
OWNER'S NAME •c}->.'1 /� p i ^ T r) /
L
NO. OF STORIES 1 SIZE 1 �l �" + o
1 / V /� 1 V
OWNER'S ADDRESS { (ice
BASEMENT OR SLAB
ARCHITECT'S NAME
--
SIZE OF FLOOR TIMBERS IST O-JXI•O PND 3RD -
`
lgUILDER'S NAME �%?�(J
SPAN / —9/c
�
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS 11
/` v --_
POSTS O-�
GIRDERS �--
DISTANCE FROM STREET
Z STANCE FROM LOT LINES - SIDES f REAR fO
AREA OF LOT /� Q ` FRONTAGE
IS BUILDING NEW `i
HEIGHT OF FOUNDATION rL ��f S THICKNESS
`4
SIZE OF FOOTING �V X
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
SISBUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND �c ``k
ALL BUILDING CONFORM TO REQUIREMENTS OF CODE
!
IS BUILDING CONNECTED TO TOWN WATER N-(:)
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER V--rJ
IS BUILDING CONNECTED TO NATURAL GAS LINE -rj.
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
a
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
SIGNATURE PF OWNER OR AUTHORIZED AGENT
F E E
PERMIT GRANTED
19
3 PROPERTY INFORMATION
LAND COST /�
66i: BLDG. COST .3, O 0 0 a
EST. BLDG. COST PER BQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
SUILDIN0 INSPECTOR
OWNER TEL. N 6F2
d7 2 r
CONTR.1
—CONTR. I
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION
I
8 INTERIOR FINISH
3 I 2 13
PINE
CONCRETE_III
CONCRETE BL'K.
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
_
UNFIN.
3 BASEMENT
AREA FULL
'/, '/2 '/l
FIN. B'M'TAREA
FIN. ATTIC AREA
_
_
NO BM'T
HEAD ROOM
FIRE PLACES
MODERN KITCHEN
_
4 WALLS I
9 FLOORS
CLAPBOARDS
B
1
2
3
_
_
_
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
CONCRETE
EARTH
HARDVJ D
COMMON
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. 8 FLOOR
_
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIOR IJ POOR _
ADEQUATE 1 NONE
10 PLUMBING
5 ROOF
GABLE
I
HIP
BATH (3 FIX.)
GAMBRELMANSARD
A
TOILET RM. 12 FIX.)
_
FLAT
SHED
WATER CLOSET
_
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
_
TAR 8 GRAVEL
STALL SHOWER
_
ROLL ROOFING
MODERN FIXTURES
_
TILE FLOOR
TILE DADO
6 FRAMING I
11 HEATING
WOOD JOIST
PIPELESS FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. 6 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
OI l
B'M'T 2nd
ELECTRIC
_
to 13rd1
1 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.
0
r
FORM U - VERIFICATION 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: �{V Phone�f
LOCATION: Assessor's Map Number L02__"__3 Parcel /Z_?
Subdivision Lot(s)
Street St. Number 9
***Official Use Only************************
RECO NDA IOe,JWN AGENTS:
1 J
Date Approved A1zi1Vr
Conservation Administrator Date Rejected
Comments 6� 6 o .
Town Planner
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works - sewer/water connections
- driveway permit
Fire. Department
Received by Building Inspector
Date Approved
Date Rejected
Date Approved
Date Rejected
Date Approved
Date Rejected
Date
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BUTTERWORTH & O' T OGLE, INC.
P.O. BOX 8294
SALEM, MA 01971-8294
ADJUSTER&APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978) 741-5731
June 8, 2009
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
FAX (978) 740-9109
UNDER MASSACHUSETTS GENERAL LAW, CH. 139, SEC. 3B
TO: Building Commissioner or Board or Health or
Inspector of Buildings Board of Selectman
ADDRESSES
City/Town Hall City/Town Hall
North Andover, MA 01845
RE: Insured: 4 Ramakrishna and Aruna Alla
Address: 9 Bucklin Road
North Andover, MA 01845
Policy No.:
Loss of:
D0678143
June 6, 2009
File No.: 091-0560
Origin: Burst water heater
North Andover, MA 01845
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 Mass. Gen
Law Chapter 139, Sec. 3.3 is appropriate, please direct it to the attention of the writer below and include'a reference
to the captioned insured, location, policy number, date of loss and file/claim number.
If no reply is received from your office within ten days, we will assume you have no liens of any type against this
property and we will recommend to the insuring company that this claim is paid.
Thank You,
Brad Doherty
Adjuster
BUTTERWORTH & OITOOLE, INC.
P.O. BOX 8294
SALEM, MA 01971-8294
ADJUSTERS/APPRAISERS
FOR INSURANCE COMPANIES ONLY
TELEPHONE (978) 741-5731
June 8, 2009
FORM OF NOTICE OF CASUALTY LOSS TO BUILDING
FAX (978) 740-9109
UNDER MASSACHUSETTS GENERAL LAW, CH. 139, SEC. 3B
TO: Building Commissioner or Board or Health or
Inspector of Buildings Board of Selectman
ADDRESSES
City/Town Hall
North Andover. MA 01845
RE: Insured: " Ramakrishna and Aruna Alla
Address: ,,
9 Bucklin Road
North Andover, MA 01845
Policy No.
D0678143
Loss of:
June 6, 2009
File No.:
091-0560
Origin: Burst water heater
City/Town Hall
North Andover. MA 01845
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.Mass. Gen
Law Chapter 139, Sec. 2ig is appropriate, please direct it to the attention of the writer below and include'a reference
to the captioned insured, location, policy number, date of loss and file/claim number.
If no reply is received from your office within ten days, we will assume you have no liens of any type against this
property and we will recommend to the insuring company that this claim is paid.
Thank You,
Brad Doherty
Adjuster
rte , . "
e`, ,,. •, of
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COMPLAINT FOR INVESTIGATION
DATE: J,,,, � �- 9-o03
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Complaint Against:
ELECTRICAL:
PLUMBING:
GAS:
BUILDING CONTRACTOR:
BUILDING CONTRACTOR:
PROPERTY OWNER:
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Signed:
Tel#: TN3 (091 93D/
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO QASFITTINO
(Print or Type)
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_.Mass. Date. It —11, 19 9- Permit
Sulding Locatlon g �l )� � Owner'a Name ' C-
Type of occupancy_ S//?9�I�'I/lam
New Renovation Replacement tj plans Submitted: Yest) No tj
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Installing Company Name- Skle
✓l check one: 9 CertificateAddress_ a? 3 . Ga k, S �r 0`�Corporatlon , I ? o 4
El Partnership
Business telephone_,,1'DJ 3 7Sy-/7YJ p Plan/Cs
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Name of Licensed plumber or Gas Fitter �'f PP%1 of C41 4 S /r7
INSURANCE COVERAGE:
I hAvd A curtent liability insurance policy or its substantial equivalent Which meets the requirements of MOL Ch. 142.
Yes Uj-- No d
It YOU have checked yet, please Indicate the type coverage by checking the appropriate box.
If
A liability Insurance policy L3— Other type of Indemnity 13 Bond O
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage r6=by
chapter 142 of the Mass, General LAWS. and that my signature on this permit application Waives this requlreMent.
Check one:
Signature of owner or owner's Agent Owner(J Agent d
I hereby certify that all of the details and information I have submitted lot entered) In above
knowledge and that all tumbing work and Installations erformed under the permit Issued
Ortineht
knowledge
of the Massachusetts State Das =And Chapter 142 of the General 1
T of Ucense:
?itlA Plumb-er
I asfitter
Ci Master
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license
lication are true and accurate to the best cl rn�
his ap cation YAR be p"A h an
n or s Fitter
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r Date ............. �.. ' ....
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NORTPI TOWN OF NORTH ANDOVER ._
OF t..w ,e 1ti0 .
o? �� PERMIT FOR GAS INSTALLATION
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This certifies that ..: �... F f .f c.
.......................
has permission for gas installation
in the buildings of ... ..�
at•�.•
... ,North Andover, Mass.
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Fee. .... Lic. No. .%ra.'�'.i�r ..
......................... .
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GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept.
PINK: Treasurer GOLD: File