HomeMy WebLinkAboutMiscellaneous - 15 ENGLISH CIRCLE 4/30/2018 (5) r-,,
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PO Box 55098
Boston,AMA 02205-5098
i
617-951-0600
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS Ch. 139 Sec. 3B
To: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectman
City Hall City Hall
NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845
RE: Insured: PAULA MAGLIOCi IETTI
Property Address: 15 ENGLISH CIRCLE,NORTH ANDOVER, MA
Policy Number: HMA 0307262
Claim Number: BOS00059532
Date of Loss: 3/17/2015
Company: Safety Insurance Comp
any
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. Laws Chapter 143 Section 6 to be
applicable. If any notice under Mass. Gen. 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 number.
Joshua Terenzoni Claim Examiner 4/20/2015
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098
Phone: (617) 951-0600 EXT 3287
Fax: (617) 531-6648
Email: JoshuaTerenzoni@Safetylnsurance.com
Location
No. Date
A
Of 'kO"T" TOWN OF NORTH ANDOVER
Certificate of Occupancy $
* ` Building/Frame Permit Fee $
Y • o� .«.a«.s.moi+
�ss�cMusE�� Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
�,,C Water Connection Fee $
TOTAL
/ Building Inspector i
Div. Public Works
Location '��rt E k'
No. r �'? Date
i
°RTM TOWN OF NORTH ANDOVER
a OL
p Certificate of Occupancy $
* +' Building/Frame Permit Fee $
4 �e�� Foundation Permit Fee $
SACNCM US
Other Permit Fee $
Sewer Connection Fee $
[ MM
Water Connection Fee $ f �'
TUTACNC,er C/
JA
f Building Inspector
Div. Public Works
PE.a�iIT %70. oZ i APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ! PAG): 1
MAP +40. I LOT NO. 12 RECORD OF OWNERSHIP JDATE BOOK !PAGE
Are+EZONE . 3 SUB DIV. LOT NO.
LOCATION Elv� L/-5 /fie 1-Lc— 's PURPOSE OF BUILDING ��
OWNER'S NAME � Q ��3 NO. OF STORIES 2 / Z SIZE 38'.t" 26 Z3�Zf�
OWNER'S ADDRESS J)r,4f o � V�T� B SEMEN R SLAB
ARCHITECT'S NAME l//_ 67L fSIZE OF FLOOR TIMBERS IST 2x-lo 2ND Z),reD 3RD 2x�
BUILDER'S NAME � ,, SPAN
DISTANCE TO NEAREST BUILDING /7 DIMENSIONS OF SILLS y6
DISTANCE FROM STREET JO V POSTS Z // C�2C.!/L 16 UHN
DISTANCE FROM LOT LINES — SIDES o REAR .30 GIRDERS •J
AREA OF LOT 2 9-ooQ Fr - FRONTAGE 1_2E1 HEIGHT OF FOUNDATION C//1 THICKNESS
IS BUILDING NEW J 1 /�3 SIZE OF FOOTING (I X IV-
IS BUILDING ADDITION Y --- MATERIAL OF CHIMNEY
IS BUILDING ALTERATION IS BUILDING O OLID R FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE /C 3 IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY ^�/ IS BUILDING CONNECTED TO TOWN SEWER Y�U
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS 3 PROPERTY INFORMATION
LAND COST
SEE BOTH SIDES PERMIT FOR FOUNDATION ONLY EST. BLDG. COST
REGULATED BY PARA.- 114. �00
BCEST. BLDG. COST PER SQ. M U
PAGE 1 FILL OUT SECTIONS 1 - 3
GrpEST. BLDG. COST PER ROOM ?7S0
PAGE 2 FILL OUT SECTIONS 1 - 12 DATE. i i' � SEPTIC PERMIT NO.FEE PAID: _ 6Z/
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR =am
DATE FILED
S f�j
BOARD OF HEALTH
SIGNAYUURE ER OR AUTHORIZED AGENT
OWNER TEL.#-6j'JC�-.ST77-
F E E �o !D r CONTR.TEL.# - i4
CONTR.LIC.# OS/2-?2 9 PLANNING BOARD
PERMIT GRANTED
4PA 19
BLDG. PERMIT RE d?
BOARD OF SELECTMEN
LESS PDA FES
PERMIT FOR FRAMUBUILDING DUE FRAME FMI MR
(/ /a/ O S a �~ auILDINa INspECTOR
DATE: — / �-�f-FEE PAID:_.�.. �
BUILDING RECORD
1 OCCUPANCY 12 _ tt,,,.�
SINGLE FAMILY STORIES THIS SECTION(MUST b WkiAC 1 ,IS OF LOT AND DISTANCE FROM
MULTI. FAMILY OFFICES -- LOT LINES AND.,EXA,CT'-DIM BUILDINGS. WITH PORCHES. GA-
APARTMENTS RAGES. ETC.'�SU'PERIMPOSED THI ,B.E .S PLOT PLAN.
CONSTRUCTION
2 FOUNDATION 8 INTERIOR FINISH
CONCRETE _xl _ 3 1 2 13
CONCRETE BL'K. PINE
BRICK.OR STONE HARDW D _
PIERS PLASTER
DRY VJALL
UNFIN.
3 BASEMENT I �. .
i
AREA FULL FIN. B'M'TAREA
1/1 1/1 1/ FIN. ATTIC AREA
N_O 6 M T FIRE PLACES _
HEADBOOM _ MODERN KITCHEN
4 WALLS I 9 FLOORS :�Lt.'A;�}'
CL BOARDS B 1 2 3 3 L:Iii
DROP SIDING CONCRETE �_
WOOD SHINGLES EARTH
HALT SIDING HARDW D
ASBESTOS SIDING COMMON ^'
VERT. SIDING ASPH. TILE _
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY ATTIC STRS. & FLOOR _
BRICK ON FRAME L. �•�� )'
CONC. OR CINDER BLK. +
STONE ON MASONRY WIRING
STONE ON FRAME _
SUPERIOR I I POORNON
ADEQUATE I E
5 ROOF 10 PLUMBING
GABLE I P BATH (3 FIX.)
GAMBREL MANSARD TOILET RM. (2 FIX) L ,
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 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 1 `
RADIANT H'T'G
UNIT' HEATERS
NO. OF ROOMS GAS
OIL
B'M'Tr 2nd ELECTRIC
jst • 13rd I ,NO HEATING
FUKP! U
TOWN OF NORTH ANDOVER
LUT RELEASE FOR11
SUBDIVISION (
ASSESSORS MAP3�j'
SUBDIVISION LOT(S) 3
PERMANENT ADDRESS ASSIG ED BY D.P.W.
STREET L G J�' S -
APPLICANT PHONE
DATE OF APPLICATION i
TOWN USE BELOW THIS LINE
PLANN NG BOARD
Ak —C A 4/�� ,- 0,
DATE APPROVED � • • � �
TOWN PLANNER DATE REJECTED
CONSERVATION COMMISSION
j�
UA'I'E APPROVED ,
CONSERVATION ADMIN. DATE REJECTED
BOARD OF HEALTH
UATEI Al'1'KOVEU 143 g�
HEALTH I DATE REJECTED
DEPARTMENT OF PUBLIC WORKS
DRIVEWAY PERMIT is e y�
/WATER CONNECTIONS /!-
FIhRE DEPT. t Z,.a� e4iL dadg4oc ttl /IMX &-/�A l ��
RECEIVED BY BUILDING INSPECTION
DATE _
This form shall be signed by the agents of the Planning and llth hoards,
the Conservation Conunission prior to the issuatice of any bu11di.nr berm1is
for the subject lot. This form shall, not releive the applicant from the
compliance of any applicable Town requirement or 13ylaw.
_ FINAL WNSER 'ATION FINAL
SEWER/WAT _FINAL NORTtc .h
(own 0 �_ 6 OL
Andover
243
DRIVEWAY ENTRY PEI�R,�I°�' er, Mass. L1 195 /
A ICK
\� >
oR Q�
w " BOARD OF HEALTH
LD
R
.04 ...1 '
THISCERTIFIES THAT............ .. : ...... t........ ..... ....... .... ..................
e 1`•�� o& Ora
•jf's)••.•.. s BUILDING INSPECTOR
has permission to erect ... .... .. ..... .... buildings on d ...... Rough
• Chimney
004.1
Ch' ey
to be occupied as :�t!,1, . .. �.. ......... .. ..... .> .. ...... Final
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
PLUMBING INSPECTOR
this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Rough
Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY
REGULATED BY PARA: 114. 8-S. B.C. Final
VIOLATION of the Zoning or Building Regulations Voids this Permit. i` ` FEE PAIDAl
PERMIT EXPIRES IN 6 MONTI-WE: • • ELECTRICAL INSPECTOR
UNLESS CONSTR ST R - Rough
« service
Final
... .. .... ... . ... ....... .... ...... .
BUILDING INSPECTOR GAS INSPECTOR
Occupancy Permit Required to Occupy Building Rough
Final
Display in a Conspicuous Place on the Premises
Do Not Remove Burner FIRE DEPT.
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector
SCri ER/WA / FINAL ••� • r�v..rvr. �/ VV!/vL.D1 � P� I IVIV r•I�dAL
F NORTH
Town of
over• ' _ 6 OL CONTROL
Nop ;.:y., < iF r;{ to CONSTRUCTION
. 2 4 3 � �
)RIVEWAY ENTRY PERMIT° � � N� � er,HEWICK Mass., � 191 /
A �V
OR P�
SS
BOARD OF HEALTH
PERMI . . to
WNSTRUCTION
� �' .....� 7. .
THIS CERTIFIES THAT........... .. .l... ...�. l........ .........�.......,. ...•
ft% ,r BUILDING INSPECTOR
has permission to erect ..�Alk0 k.... buildings on�� 13 In�� 's�. � Rough
,,��.e► j............ .... ....... ... ....r..... ... g
to be occupied asl II*.W..
Chimney
f ... .. Fina
provided that the person accepting this permit shall in every respect conform to the terms of the application on file in
PLUMBING INSPECTOR
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of Rough
Buildings in the Town of North Andover. PERMIT FOR FOUNDATION ONLY.
REGULATED BY PARA: 114. 8-S. B.C. Final
VIOLATION of the Zoning or Building Regulations Voids this Permit. �`,`, 1 FEE PAID��..�—
PERMIT EXPIRES IN 6 MONTH ELECTRICAL INSPECTOR
(L - Rough
PERMIT FOR FRAME/BUW&VSS CONSTR ST R Service
Final
OO ... .. .... ...
DATE: 6 '27• / FEE PAID: SI o ... ....... .... .....
�• BUILDING INSPECTOR GAS INSPECTOR
CONTROL
Occupancy Permit Required to Occupy Building CaISTRUCTION Rough
Final
Display in a Conspicuous Place on the Premises
FIRE DEPT.
Do Not Remove Burner
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
CONTROL Building Inspector CONTROL
CONSTRUCTION CONSTRUCTION
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ARCHITECTS • PLANNERS
July 24, 1991
Building Inspector
Town of North Andover
Town Hall
North Andover, Mass. 01845
RE: Lot # 3 English Circle
Dear Bob,
On July 22, 19919 I inspected the insulation in the above
building. The insulation meets or exceeds the State building
codes.
If you have any questions, feel free in contacting this
office.
Sincerely Yours,
Charles A. Tanzi , Jr.
0, E0 AV
A.Tq�iF�f
o No.4851 p
TEWKSBURY• W
P
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&zchdecture Pew 9mc.
ARCHITECTS . PLANNERS
ZERO MARSTON STREET LAWRENCE, MASSACHUSETTS 01841
(508) 975-4560
July 1 , 1991
Building Inspector
Town of North Andover
Town Hall
North Andover , Mass . 01845
RE : Lot # 3 English Circle
Dear Bob,
On June 28 , 1991 , I inspected the foundation being poured .
The foundation was poured in accordance with the
Massachusetts building codes .
If you have any further questions , feel free in contacting
this office .
Sincerely Yours ,
a'etl��
Charles A. Tanzi , Jr .
ERf D A,q��
F iT
OF
� Pt
a4rch tectute Xa Voc..
ARCHITECTS • PLANNERS
531 South Street
Tewksbury, Mass . 01876
Building Inspector
Town of North Andover
Town Hall
North Andover, Mass . 01845
RE: Lot # 3 Residence English Circle
Dear Bob,
On July 12 , 1991 , I inspected the above frame . The frame
meets the State Building Codes .
In the .garage , the ceiling joists were tied back to the
rafters to form a truss .
If you have any questions, please feel free in contacting
me at my office.
Sinc rel Yours ,
r-
Charles A. Tanzi , Jr .
/fes �5 A.'r.1 FCf,
i
(�
mo.4851 '� y
C' TEY,IKGD'JRY: W
ILA Jy
P
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PSS
Il..
CERTIFICATE OF USE & OCCUPANCY
Town. of North Andover s
Building Permit Number 243 Date SEPTEMBER 30, 1991
y
THIS CERTIFIES THAT
THE BUILDING LOCATED ON LOT 3, ENGLISH CIRCLE (#15) I'
E
MAY BE OCCUPIED AS SINGLE FAMILY DWELLING IN ACCORDANCE i
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH
r
OTHER REGULATIONS AS MAY-APPLY.
ISSUED ON CONTROL CNSTRUCTION PROJECT AS PER INSPECTIONS
NORrN
F CHARLES A. TANZI, JR. , REGISTERED ARCHITECT 44851
304 t oto L .
` „ ,,,,L. . CERTIFICATE ISSUED TO R.M. P. Properties
opley Drive
ADDRESS Me OuAn MA
�•9 Qqr[o PPt�S
VSACHUS�
Building Inspector
SEV6l�RI1�AT 1*4A ��\� ��� PLANNING ' • =IAL CONS ERVATIO q ill' FINAL
INAL N� RTS
s _
6 O
No. 4 3 _ �,�G� ,,
Andover
R �
Q nv 8 fi
� �� �� � C�.�l�STRtiUIQN
DRIVEWAY ENTRY PERMIT 1h � � �� er, Mass., � 195 /
v �E
WiCK
pR ?�
SS
BOARD O01
F LT
• CGMSTIM10N
? .. 1
THIS CERTIFIES THAT..............
.. t... ...�. l........ .
` . � BUILDING
GINSPECTOR
OR
has permission to erect :... buildings ldmgson�� 4 .� Rough,
,a
J .: cr •
� •
Chimney. ►tobep � •.. A1W.. &TA
'. . Final
"3 n accepting this permit shall in every respect conform to the terms of the application on file in
provided that the perso ,
,. UM N NSR !i
this office,and to the provisions of the Codes and By-Laws relating to the Inspection,Alteration and Construction of. ou /
1�
, x
x' PERMIT FOR FOUNDATION ONLY
Buildings in the Town of North{Andover: 114. 8-S.5B.C. Fin
REGULATED BY PARA. ,�/I�
VIOLATION of the Zoning or Building Regulations Voids this Permit. �j `j FEE PA1D...�..,----
PERMIT EXPIRES IN , 6 MONTI- • • ELEC ICALINSPECTOR
- Rough
PERMIT FOR FRAME/B SS CONSTR ST R Service01�
J„ Final .
6#'27*
e � ! r
DATE: 1 FEE PAID:_ ... .. .... ... . ... ....... .iiU ... . .
I �� BUILDING INS;PECTOR
;�S INS ECTOR.Occu anc Permit .Re uired to Occu Buildin CONTROL Rau n6�� �c�- � �� �-,r�-`���
- � -
Occupancy q PY g WNsTRueTION
in
Display in a Conspicuous Place on the Premises
Remove
DEPT.
Do Not Remove Burner tL
No Lathing to Be Done Until Inspected and Approved by Smoke Det.
Building Inspector COMM
cot,"10L ter_-,.,,•�.... r;. ` 10T t?7Z
oI 2ehiore 'Ctare Pew Am.
ARCHITECTS - PLANNERS
531 SOUTH STREET TEWKSBURY, MASSACHUSETTS 01876
(508) 694-1620
September 24, 1991
Building Inspector
Town of North Andover
Town Hall
North Andover Mass . 01845
Re : Lot #3 English Circle
Dear Bob
On September 6 , 1991 I made the finial inspection of
the above residence -The building meet the Mass . State building
code.The finished grading was finished.
Sincerely Yours
A ITE TURE P S
2
Charles A. Tanzi J .
i,ysea
q �
4
E K 8
�y
rH of 9
SEP 2 5 191
ofechitectmee Nai 9ma
ARCHITECTS • PLANNERS -
531 South Street
Tewksbury, Mass . 01876
Building Inspector
Town of North Andover
Town Hall
North Andover , Mass . 01845
RE: Lot # 3 Residence English Circle
Dear Bob,
On July 12 , 1991 , I inspected the above frame . The frame
meets the State Building Codes . '
In the garage, the ceiling joists were tied back to the
rafters to form a truss .
If you have any questions , please feel free in contacting
me at my office.
Sinc rel Yours ,
Charles A. Tanzi , Jr .
�ti En a
A.T- FC'
No.4851
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