HomeMy WebLinkAboutMiscellaneous - 910 JOHNSON STREET 4/30/2018 (2)N
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1 INSURANCE
March 10, 2015
Town of North Andover
Attn: Building Inspector
120 Main Street
North Andover, MA 01845
Liberty Mutual Insurance
New England Region Central Property Unit
75 Sylvan Street
Danvers, MA 01923
Tel: (800)566-0323
Re: Property Address: 910 Johnson St, North Andover, Ma 01845
Policy Number: H3S21803918970
Underwriting Company: LM General Insurance Company
Claim Number: 031595889-0001
Date of Loss: 2/20/2015
Attn: Town/City Official
Pursuant to M.G.L. c. 139, 5 3B, please be aware that a homeowners insurance claim has been made
involving loss, damage or destruction of the above captioned property, which may either exceed
$1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch.
143, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with
Mass. General Laws Ch. 175, X99, if you intend to initiate proceedings designed to perfect alien
pursuant to Mass. General Laws, Ch. 139, 5 3A & B, or Mass. General Laws, Ch. 143, § 9, or Mass.
General Laws, Ch. 111, 5 127B.
This letter should not be construed as a waiver or estoppel of any of the terms, conditions or
defenses afforded by the policy or applicable law.
Please direct your notice to the attention of the undersigned and include a reference to the above
captioned property address, policy number, claim number, and date of loss.
Sincerely,
Liberty Mutual Support
Liberty Mutual Insurance
New England Region Central Property Unit
1-800-566-0323
Location
fin
Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
. Other Permit Fee
r �r„! C _Sge1 er Connection Fee
r -11",
^ i 1:�
CUL -u i C1 Connection Fee
TOTAL
FEB 9 1993
Building Inspector
Div. Public Works
_ t
Location
No.
Date 4111/11
TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $ s, s
if) Sewer Connection Fee $
Vater Connection Fee $
IKAAL
VP V040Z
Building Inspector
Div. Public Works
PER -MIT No. �, S� APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE Y'
MAP K40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK ;PAGE
ZONE , SUB DIV. LOT NO.I
I-OCATION Gam+
PURPOSE OF BUILDING 24.5:2Ga2C
It d�A 3 B s�w;N , u
OWNER'S NAME N `' to
NO. OF STORIES SIZE -
oq
OWNER'S ADDRESS Q1 l I 11BASEMENT
OR SL /V� j'Z
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST �Q J j 21�/ f 3RD
SPAN --
BUILDER'S NAME
U
DISTANCE TO NEAREST BUI DING
VVV
DIMENSIONS OF SILLS
DISTANCE FROM STREET ,V
•' POSTS
DISTANCE FROM LOT LINES -SIDES REAR
f
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION 1A/<C6?NA {j T / L C`
^~+` Q
IS BUILDING NEW Al -0
SIZE OF FOOTING 7 �� fe it X
v 6
IS BUILDING ADDITION %J/ Q
v
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION rz- C
IS BUILDING ON SOLID OR FILLED LAND do/;c!
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE C G
Z J
IS BUILDING CONNECTED TO TOWN WATER Yt �
BOARD OF APPEALS ACTION. IF ANY �'Jf
IS BUILDING CONNECTED TO TOWN SEWER �Q
IS BUILDING CONNECTED TO NATURAL GAS LINE
` INSTRUCTIONS
SEE BOTH SIDES
F
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
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
4bATE FILED//d ! r
E.IGNATUOF 0I?
W OR AUTHORIZED AGENT
FEE ,! :2s-
PERMIT GRANTED / f �
'/�/L / ! 19 / j
l
lop
+ t' OWNER TEL. N o y
CONTR. TEL. M
CONTR. LIC. # 000T37�
3 PROPERTY INFORMATION
LAND COST
EST. BLDG. COSTaJ; 6�
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
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY
SIOkIES
MULTI. FAMILY
OFFICES
APARTMENTS
CONSTRUCTION
2 FOUNDATION _I 8 INTERIOR FINISH
CONCRETE B 2 13
CONCRETE BIL K. PINE
BRICK OR STONE
HARDW D
PIERS
PLASTER
DRY WALL
_
UNFIN,
3 BASEMENT
AREA FULL,
FIN. B M TAREA
'h '/t
FIN. ATTIC AREA
_
NO B MT
FIRE PLACES
_
_
HEAD ROO
MODERN KITCHEN
4 WALLS I
J FLOORS
CLAPBOARDS
CONCRETE
B
_
1
2
�_
3
_
_
_
DROP SIDING
WOOD SHINGLES
EARTH
ASPHALT SIDING
HARDVV'D
COMMCN
ASPH. TILE
ASBESTOS SIDING
VERT. SIDING
_
STUCCO ON MASONRY
STUCCO ON FRAME
_
_
BRICK ON MASONRY
BRICK ON FRAME
ATTIC STRS. & FLOOR
_
CONC. OR CINDER BILK.
WIRING
STONE ON MASONRY
STONE.ON FRAME
SUPERIOR I I POOR
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
I HIP
BATH (3BATH (3 FIXE
TOILET RM. (2 FIX.)
WATER CLOSET
—
_
GAMBREL
FLAT
MANSARD
SHED
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
_
SLATE
NO PLUMBING
_
TAR & 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. & COLS.
_
STEAM
STEEL BMS. & COLS.
_
HOT W'T'R OR VAPOR
WOOD RAFTERS
_
AIR CONDITIONING
_
RADIANT H'T'G
LIN IT HEATERS
7 NO. OF ROOMS
GAS
OIL
B'M'T 2nd _
t.r 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.
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P VO T
910 Johnson Street
North AndoverMassachusetts
Buyer: j oluz B, Van Houten
Date: October -41.6 _1.979
s,
f7d ,
"tom'
(\ Mr S ?• �"Y. /h�j-Z f"��. /) ~ ✓ WWF R
9P4SF0 !'0/CGh k
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� - NOTE: This is nota survey and
is to be used for mortgage
purposes only.
Z hereby oorti.fsr that the building on this
prQperty i -located as shown on plan and complies
td th the Building and: Zop.ng Laws of the Tawn CYR ENGIPEMING SERVICES, TRIC.
Qf North Andover,300 CANAL STREET
PLAWRENCE, MASSACHUSKTS
t )
N.B. - Ao r_ot use offsets for establ.ishin r
lot lines for the erection of
fences, walls, hedges, etc.
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