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HomeMy WebLinkAboutMiscellaneous - 91 AUTRAN AVENUE 4/30/20184 Form 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: 89-91 Autran Ave. Association c/o Nick Ippolito Property Address: 89-91 Autran Avenue Policy Number: SBP1987936 Date/Cause of Loss: 2/15/2015, Ice Damage to Roof File or Claim Number: 32556-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 the pons named above at the addresses indicated above by First Class Mail. /� 17 Signatule and Date ANDERSON ADJUSTMENT CO., INC. 50 Nashua Road, Suite 303 PO Box 1098 Londonderry, NH 03053 0 INSURANCE' August 24, 2015 The Commerce Insurance Company-Im Citation Insurance Company1m 11 Gore Road, Webster, Massachusetts 01570 508.949.1500 1 www.mapfreinsurance.com BUILDING COMMISSIONER or INSPECTOR OF BUILDINGS TOWN/CITY HALL NORTH ANDOVER MA 01845 Board of Health or Board of Selectmen Town/City Hall RE: Our Insured: GEORGE MOUZAKIS / DIANA MOUZAKIS Property Address: 91 AUTRAN AVE Policy#: BCXQVY Date of Loss: 08/22/2015 Filek KPWR48-JHMTT5 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. ELIZABETH B07 -FIERI Telephone: (508)949-1500 Ext: 15284 Sr Claim Representative, Property Toll Free: 1-800-221-1605, Ext: 15284 On this date, I cause copies of this notice to be sent to the persons indicated above, at the address above, by first class mail. August 24, 2015 CIC 254 (Rev. 4/95) MAIL M39 "� INDEPENDENT CLAIMS SERVICE, INC. Service • Integrity • Experience Notice of Casualty Loss to Building Under Massachusetts General Laws, Chapter 139, Section 3B 08/25/2015 North Andover, MA Building Inspector 120 Main Street North Andover, MA 01845 North Andover, MA Board of Health 120 Main Street North Andover, MA 01845 North Andover, MA Fire Department 124 Main Street North Andover, MA 01845 INSURED: ADDRESS: LOCATION OF LOSS: COMPANY: POLICY#: CLAIM#: DATE OF LOSS: TYPE OF LOSS: Dear Sir or Madam: George & Diana Mouzakis 91 Autran Ave, North Andover, MA 01845 91 Autran Ave, North Andover, MA 01845 The Commerce Insurance Company BCXQVY 15-61818 08/22/2015 Water Independent Claims Service is the insurance adjusting firm hired by the above referenced client to handle the captioned loss on behalf of their insured. A 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 notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please bring it to our attention, and include a reference of the captioned insured: Location, policy number, and/or date of loss. Sincerely, INDEPENDENT CLAIMS SERVICE, INC. 22 Water Street • Westborough, MA 01581 • 508.366.8535 • FAX 508.366.091 7 • www.icsclaims.com Form 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: 89-91 Autran Ave. Association c/o Nick Ippolito Property Address: 89-91 Autran-Avenue Policy Number: SBP1987936 Date/Cause of Loss: 10/29/2012, Hurricane File or Claim Number: 26837-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 the persons named above at the addresses indicated above by First Class Mail. and Date ANDERSON ADJUSTMENT CO., INC. 50 Nashua Rod, Suite 303 PO Box 1098 Londonderry, NH 03053 u aaaaawauauWLW 0b1 • IV...axa.uu xwie o: in accoroanee-wrttithe provisions of M.G.L. c.143, § 3L, the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth, and applications shall be filed on the prescribed form. After a permit application has been accepted by an Inspector of Wires appointed pursuant to M. G.L c. 166, § 32, an electrical permit shall be issued to the person. firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L. c. 143, § 3L. Permits shall_be limited as to the time of ongoing construction activity, and maybe deemed by-the3'nsp.ector.of_Wires abandoned.aud-imxalid-ne— or she has determined that the authorized work has not commenced or has not progressed during the preceding 12 -month period. Upon written application, an extension of time for completion of work shall be permitted for reasonable cause. A permit shall be terminated upon the written request of either the owner or the installing entity stated on the. permit application. The Permit ]Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012. The purpose of this act is to promote job,growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain -permits and licenses concerning the use or development of real property. With limited exceptions, the Act automatically extends, for four years beyond its otherwise applicable expiration date, any permit or approval that was "in effect or existence" during the qualifying period beginning on August 15, 2008.and extending trough August 15,20 2 Mule 8—Permit/Date Closed:* Note: Reapply for new permit ,m Permit Extension Act —Permit/Date Closed: ��— Date.... r. " TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that has permission to wiring in the building of ... ........................ ............................... at ... ....... ... .... . North Andover, Mass. — Fee�.............. Lic. No:-�'&-z0'$:!' ... ... .? . ............ ... .... ELECTRICAL INSP CTOR Check # --ZV–Y-O- 8322 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WO All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 81- City ';City or Town of: NORTH ANDOVER To the Inspector of Wires.,-" By this application the undersigned gives notice of his or her intention to perform the electrical work d6s'bed below. Location (Street & Number) �'/ A9c,74 .Ai n pLe . / Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building &SA' Utility � Existing Service Amps 1.�, /a1 1. --,Volts Overhead E New Service Amps / Volts Overhead ❑ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: No. (Check Appropriate Box) .tion No. Undgrd ❑ No. of Meters Undgrd ❑ No. of Meters r Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. grnd. No --. of mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners No. of Switches No. of Gas Burners 1 No. of Ranges No. of Air Cond. Total Tons 3 No. of Waste Disposers Heat Pump Totals Number ............................................................... Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Alerting Devices No. of Self -Contained Detection/Alerting Devices Local ❑Municipal ❑Other Connection Attach additional detail if desired, or as required by the Inspector of Wires. 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. 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 "complete peration" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhi ' ed proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER , (Specify:) 2 I certify, under the pains and penalties of perjury, that thejWiformation on this application is true and complete. FIRM NAME: GL !v LIC. NO.: ,3 S,� J 1? 1-7 Licensee: Signatur LIC. NO.: (If applicable, enter "exempt " in the license_ number line.) Bus. Tel. No. %� %'7Q� Address: ,�, C c 1' (z? 42/d'r Alt. Tel. No.: *Per M.G. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $, � Signature Telephone No. d • WAIN he C•omm Donwea Part Ith n0_01,7,v, e SY Ofd eto I dusMala husetts f, Ac�ide Workers, 600 Washi stigatio�s nts lac a n o Bo gto or od w n 1114 0 eet Hanle a�tjbf ma�odsati Insurab H'w,yna ZIII (Business/pr ce Af da ssgov/aria Address: gantzationZIndivid vat' Builders/ °a1): C1tylstatel . ! p °ntractOrs 01 tic tris. Are Z1 �•c, /`je �b Please Pri Plumbers You an emAloYer? c( b t Le ibl 2. • I P1 oYe� (full r withkeck tie aAArOAriat Phone I shiand h Propra for or a 4. � l ar hav or ). am � working a no a Partner a general % �o workers, k r°r me in n nes listed oared the sub contractor and I TY e G 3.0I am Ired.j cOmA. insutanccel� On 6 ce attached she -contractors 6. Q "project (requir Myself a horn 4 S. Workers, ontractors et' � � w const ed): net doi ur coal have r IR ruction /N Insur �O k Dyke ng al] a are a co p Insurance 8 modelin Insurance re rs co work officer rpOratio g req t MA r s have n and i � Demoliti 'any a I right of ex is 9• on tNo Pplicant t C. 152 exemPtion ed their O Buildin #Contr epwners that checks box � §1 4 Per 10 g add actors that ()� and MGL n cnecub>nir thus f,must also fll c ON), we hav 1 Elect"Ica] addition I am ane k this box mu davit Ind;carib ut the section ornp Inset (NO Workers e no 1 Plumbi TO orad isr mplo attached g they are below s once 12. ng re dations lorynatio yet Eliot ' an ad arc doing all w lowing their W re9uired� Pairs k or 13.0 O oe, repairs or addltions 112S ° Isprovldinb' w nal sheet show and the kers c e Com °rkers� 'ng the n hire ou °Inpensat, they III PolicY # or pony Hanle: epmpensatioii insu au nal ofthe sub oside ntrac dors post submi i on. SL f . Job -Sit ns Lic, #. eeformJ' em d their work rs new affdavlt plot'ees. Aelow is o"'p. policy 7 Dying such Attac a Address: h nnatio F coAY ofa) and n. . ailure to recur the workers lob site fine uP to $1 a covera c°mAen of up to $2$ 50p 00 ExPlration D ,'j,v 0.00 and/or o required unsati°n Ao1ider ScY dee ate: estigations Of thedD against he v r lmpr, ection 2SA ration Page (S6 CIty/State/Z• Ido hereby pert fy u IA for Insurancoea�o�eBe advisede11 acivil C. can lead the Policy Huhn Si Yr rider the age v0 . Ic at a copy of naltJos in the to the I mPosit bet and eBAir Phone # e pains and s o f e ation. this statement trio be a STpP W,Oriminal penalOn date)• p r;III that the infor forwarded t th GRDE121tIes o fa �ffcialuse only. motion o the Gffrce Of nd a fine y DD no prov1Q,e4,Qb I City Town. t N'>~ite in this area t"be Date: e rs true 4ud eo e rr et. 1• goo dAuthortY e' epmpletei �- O 6, ether °f Bealth 2, Bui/die)• Y cl1J' or toH,n offciQl Contact person. ng DeAartment 3• Cl / permit/j ice�se # ty T °,'n Cj erk 4• Electe Phorca1lnSA ne #• ctor S plumbing Ins e Actor ~.___,, r- (- Date....... .. ..... TOWN OF NORTH ANDOVER s PERMIT FOR GAS INSTALLATION A \S `SSwSEt This certifies that has permission for gas installation c, :_. ........ in the buildings_of .............................. at .. ! ! ....� ..:'. , North Andover, Mass. Fee? ..... Lic. No. �- ? U . �. �. ... ,. ........... . J� 'GAS INy Check# --'? CSS 6506 1 "4� The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): zlG r_ 6. /Y (f `d Address: 10 wt r LX4'1/ 1. City/State/Zip: L,,t. Phone #: 7P, f�S-� 1 I lr 7 Are you an employer? Check the appropriate box: ❑ I a employer with 4. ❑ I am a general contractor and I ployees (full and/or part-time).* have hired the sub -contractors Er I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub -contractors have working for me in any capacity. [No workers' comp. insurance 5. required.] ❑ I am a homeowner doing all work myself. [No workers' comp. insurance required.] t workers' comp. insurance. ❑ We are a corporation and its officers have exercised their right of exemption per MGL c. 152, §1(4), and we have no employees. [No workers' comp. insurance required.] Type of project (required): 6. ❑ New construction 7. ❑ Remodeling 8. ❑ Demolition 9. ❑ Building addition 10.❑ Electrical repairs or additions I L ❑ Plumbing repairs or additions 12.❑ Roof repairs 13. ❑ Other *Any applicant that checks box #1 must also fill out the section below showing their workers' compensation policy information. fi Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub -contractors and their workers' comp. policy information. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy # or Self -ins. Lic. #: Job Site Address: Expiration Date: City/State/Zip: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). ' Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains a!! a !iies. of perjury that the information provided above is true and correct. F- O 1— Official use only. Do not write in this area, to be completed by city or town official, City or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: y a 4 l � w I y a 4 V MASSACHUSETTS UNIFORM APPUCATON FOR PERM TO DO GAS F rnNG (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Logations 17 V Permit # Amount .• I el -Vey _Owner's Name New ❑ Renovation D Replacement Plans Submitted 1 (Print or type) , Name_ /9yy97G SoCv T Address �� PO ur.ness Telephone w U Z p� d rA .. x Z U W w > W w --t SU B-BASEM ENT BASEMENT" 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7T H. .FLOOR 8TH. FLOOR (Print or type) , Name_ /9yy97G SoCv T Address �� PO ur.ness Telephone 'heck one: Certificate Installing Company E Corp. Partner. Firm/Co. :z of Licensed Plumber'or Gas Fitter Z S eP"V v 7, - 4,,--- ly ♦ini i—UKANCE COVERAGE Che*on 'I have a current liability Insurance, policy or it's substantial equivalent. Yes " If you have checked ves, please ipdicate the type coverage by checking the appropriate bo . 12�1— Liability insurance of Noln P Other type of Indemnity ID Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent13 I hereby certify that all of the details and information 1 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 S_!�,gade and Chapter 142 of the General Laws. 1By: _ LAPP DYED (OFFICE USE ONLY) I 5Wature of Licensed Plumber Or Gas Fitter �- Plumber / -?3L-"—D E3Gas Fitter License NumDer Master Journeyman w U > w 'heck one: Certificate Installing Company E Corp. Partner. Firm/Co. :z of Licensed Plumber'or Gas Fitter Z S eP"V v 7, - 4,,--- ly ♦ini i—UKANCE COVERAGE Che*on 'I have a current liability Insurance, policy or it's substantial equivalent. Yes " If you have checked ves, please ipdicate the type coverage by checking the appropriate bo . 12�1— Liability insurance of Noln P Other type of Indemnity ID Bond 13 Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner Agent13 I hereby certify that all of the details and information 1 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 S_!�,gade and Chapter 142 of the General Laws. 1By: _ LAPP DYED (OFFICE USE ONLY) I 5Wature of Licensed Plumber Or Gas Fitter �- Plumber / -?3L-"—D E3Gas Fitter License NumDer Master Journeyman 63u9 Date.../ — � d— 0'... TOWN OF NORTH ANDOVER PERMIT FOR WIRING S�CriR rTy JF,Pl/icF `'�''e This certifies that....,4107— 0j ................................................:........................................ has permission to perform�aE tSz`....v't ` S wiring in the building of.... T... � phi ...... .......y ............................................ q / /9 4/7 ' A.. /. .......... , North Andover, Mass. at............................. %S3 3.��.............. ° S-oo Fee ....y....= Lic. No.,?74p.................... ELECTRICALINSPBCTOR � It Check # A �Z Zb Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. `30 9 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TY ^ALL INF9VL4 TION) Date: % -- 5—� City or Town of: O/Etjl I-1Ajt)1j To the Inspector of Wires: By this application the undersigned gives notice o leas or her intention to perfggn the electrical work described below. Location (Street & Number Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Telephone N Yes ❑ NoRp (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: Installation of Security and or Fire alarm systems Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- El rnd. arnd. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners of Detection and No. Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump Number *. ................................... Tons KW ........... No. of Self -Contained Totals: Detection/Alertin Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* D No. of Devices or E uivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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. 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" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services, Inc. LIC. NO.: 1533 C Licensee: Kenny Wong Signature 5� LIC. NO.: 5966D (If applicable, enter "exempt" in the license number line.)^� Bus. Tel. No.: 603-594-5900 Address 18 Clinton Drive Hollis N.H. 03049 Alt. Tel. No.: 603-594-5930 *Security System Contractor License required for this work; if applicable, enter the license number here: SS CC 001975 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent ftnature Telephone No. PERMIT FEE: $ � , Town of North Andover Office of the Building Department Community Development and Services Division William J. Scott, Division Director 27 Charles Street North Andover, .Massachusetts 01845 D. Robert Nicetta Building Conin2issioner Todd & Anna Salvagin 91 Autran Ave. North Andover, MA 01845 December 7, 2000 Dear Mr. & Mrs. Salvagin, Telephone (978) 688-9545 Fax (978) 688-9542 It appearing upon an inspection on November 16, 2000 it was observed that a shed was constructed without the benefit of a building permit. Please be advised that a building permit is required for any structure constructed within the Town of North Andover. Storage sheds sixty four (64) square feet in area or smaller require a five (5) foot setback from property lines, sheds larger than this are required to meet the setback for the district in which it is located which in your area is thirty (30) feet from front and rear property lines and fifteen (15) feet from the side lot line. Please contact me so that we may begin the process to rectify this situation. I may be reached between the hours of 8:30 — 10:00 AM and 1:00 — 2:00 PM at (978) 688-9545. Respectfully, %i �K� Michael McGuire Local Building Inspector BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION688-9530 HEALTH 688-9540 PLA,\tiT\TG 688-9535 d SENDER: a 'rn ❑ Complete items 1 and/or 2 for additional services. 4) Complete items 3, 4a, and 4b. ❑ Print your name and address on the reverse of this form so that we can return this card to you. ` ❑ Attach this form to the front of the mailpiece, or on the back if space does not y permit. Y ❑ Write "Return Receipt Requested" on the mailpiece below the article number. ❑ The Return Receipt will show to whom the article was delivered and the date p delivered. c: 3. Article Addressed to: 4a. Article Number CL X c� 7- 3 70 Ga 7 yX� E 4b. Service Type Q ❑ Registeredrtifiei W�/G w ❑ Express Mail ❑ Insured In �� ,yx + El Return Receipt for Merchandise ❑COD a 7. Date of Delivery z cc 5. Received By: (Print Name) 8. Addressee's Adi fee is paid) c6. ig ature (Addr see JAI, nt) 0 y I also wish to receive the follow- ing services (for an extra fee): 1 • ❑ Addressee's Address 2• ❑ Restricted Delivery PS Forrn 3511, Dep4rnber 1994 0 if requested and 102595-99-B-0223 Domestic Return Receipt UNITED STATES POSTAL SERVICE First -Class Mail Postage & Fees Paid USPS Permit No. G-10 • Print your name, address, and ZIP Code in this box • NORTH ANDOVER BUILDING DEPT 27 CHARLES STREET NORTH ANDOVER MA 01845 tl�rrrr►f ��Ilrlrrlfrlrlr�ffr�l�f iF�ff�lrfr�fr�rtlr�ifrlif��fri a Q 0 O OD M 0 LL Z 370 627 423 US POStal Service Receipt for Certified Mail No Insurance Coverage Provided. Don t use for Ir) emational Mail See reverse Se tt Mtnmbe Post S e & z b/60 Postage $ 33 Certified Fee O Special Delivery Fee Restricted Delivery Fee Return Receipt Showing to Whom & Date Delivered Retum Rece pt Showing to Wham, Date, & Addressee's Address TOTAL Postage & Fees 1 $ a Ty— Postmark or Date (JMdJ98wdv`pc©Gs f :t z /§ § E mak) LL '0\� /� \�-. /cu w ) .0 --E{M _ «« 2 \t . k @f/{§f ° S §\ k ] f mf / ) at * R )) )��® 2 - kf § ' §[ •=7kMk2®kf>2}f «-I{(\ \ \ 3®f §§ t#2])/Q� 2- 0© Lc & Z- -0 &-d �� @2§ cL _ Lu k§ / E M0 }f) (2 /kke 7§ {/) a) CL -- �� k /yL cc �e a� 7_ § ID $ f 3 ( _ - §)E) /�\9� \\}} \w\\ �\ 0 �`! ee [a L- _ {3§) w)w0&c 4k LO