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Home My WebLink AboutMiscellaneous - 23 FERNVIEW AVENUE 4/30/2018 I ,` i I i 1� MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108.1904 (617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424 10/1/2014 Form of Notice of Casualty Loss to E,ilding Under Mass.Gen.Laws,Ch.139,SE(;.3B NORTH ANDOVER HEALTH DEPT. _ r NORTH ANDOVER TOWN HALL LU I'4 NORTH ANDOVER MA 01845 TC LF �,�,,npTu ►�n�:� HEALTH DEPAF2TMEh►-p Re: Insured: MADELINE CINCOTTA Property Address: 23 FERNVIEW AVENUE, UNIT 2, NORTH ANDOVER, MA 01845 Policy Number: 1288415 Type Loss: Water Damage:All Other Water Damage Date of Loss: 09/24/2014 Claim Number: 326355 Claim has been made involving loss,damage or destruction of the above captic,(ied property,which may either exceed$1000.00 or cause Massachusetts General Laws,Chapter 143,sectio;�'6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 313 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. MPIUA Claims Division CMA00021 TRAF•iSMISSION VERIFICATION REPORT TIME 05''12/2008 15: 37 NAME HEALTH FAX 9786888476 TEL 9786888476 SER.# 000E4J120960 I?ATE.TIME 05/12 15:36 FAX HO. NAME 89786089556 DURATION 00:00:30 PAGE(S" 03 RESULT I_IK MODE STANDARD ECM Indoor Air Quality Association(IAQA) Moore I Sign in I Search i Contact us oa,� ViMtt}��o�v�1 �7�n,, dCir:lk ,yp",y,ay alcl:a cr )n`¢ t{h rt ��rr itfl,R 4 Ia J d 9 � i i P , Find an XAQ Professional Search by Area Code, Company or Name , este,Your three digit teleahonn area code,the partial name of a camPrnYi ^.... or a person's Inst name to view the IAQA Members nonrest A�t'�1�.t4�t,:lmtvl„"N:;�:Il��.E..IC��It1M1r✓�alitt�;.,,' _... .. y ou: rms. (V3 Includeonly Listings with JAQA PROYIIES ' :14h�mbeCs;Clttty Back to search map ;(�brl�pltltef:lttldtlT1.,� indJM'.tR;rt t�Nlal6,.' or try our Advanced Search by Xndustry DiSCiplines 7> tr`51"r:C8rR9C;;i IAt1- If for,)ny reason an IAQA member does not appear in your area,please call IA at(301) 291 3380 for Further aGsrfi ta Ge. tarsal dn+n+t'r�r .;'� To see an expanded list, click here 6etltacf:ml4klttllklkltm ' Individual Members $tephei w._Nlcholas Visit us at http:/l+nnyw,alrinds_Pon) P07Ma11b�(�i_C541gie- Air Industries, Inc. Emsil_Mem)3er 200 Sutton St.,Ste 230 (978)682-9993 North Andover, MA 01845 Fax: (978)682-2740 Industry Disciplines: Product Manager, IAQ Practitioner, Contractor Rater OttoWit Visit us at http://wwruu,�dvp.�celooknta:_COm AflState Home Insp/Hawkeye Indoor Air Quality Association(IAQA) {Paige 1 of 1 ILLIndoor NleQuality Aswia8aun Inc. Home I Sign In I Search I contact us 12339 Carroll Avenue ■ Rockville,AID 20852 Phone(301)231.8368 Fax:(301)231-6321 Aat Tlol1 E-mail:ia"Oaol.com About IAQA Find an IAQ Professional Join IAQA I Education Search by Area Code, Company or Name Research ' Enter your three digit telephone area code,the partial name of a company, I or a person's last name to view the IAQA Members nearest you: Chapters Annual Meeting&Exposition I Publications ' Include Only Listings with IAQA PRO.FILES Members Only Consumertnformabon I Back to search map Find An IAQ Professional Or try our Advanced Search by Industry Disciplines >> IAQA News ' Career Center I IAQ Resources I If for any reason an IAQA member does not appear in your area,please call IAQA at(301) 231-8388 for further assistance. Insurance ' Send Comments ' To see an expanded list, dick-here Contact Information ' Individual Members Stephen W. Nicholas Visit us at http:/Avww.airinds.com •` Powered by Go. le Air Industries, Inc. Email Member 200 Sutton St., Ste 230 (978)682-9993 North Andover, MA 01845 Fax: (978)682-2740 Industry Disciplines: Product Manager, IAQ Practitioner, Contractor Peter Ottowitz Visit us at httg//www.advancelookma_com a Allstate Home Insp/Hawkeye Email Member PO Box 371 (978)897-7130 Stow, MA 01775 Fax: (978)897-7235 Industry Disciplines: IAQ Practitioner Matthew Morris Visit us at http:/Avww.mcsenyironmental.com " MCS Environmental Email Member 113 Brigham Street, Suite 5-A (978)549-9131 Hudson, MA 01749 Fax: 978-562-3949 call first Industry Disciplines: Restoration http://www.iaqa.org/member—listings/Member—zip_search—new.asp 5/12/2008 North Andover Board of Assessors Public Access Page 1 of 1 Eltowd..of .A.S'sessors.. o = '.. .M P. .M Property Return to the Home page click on logo Record Card Parcel ID:210/452.9-0023-0004.0 Community:North Andover New Search SKETCH PHOTO Sales No Sketch No Pictu re Summary Residence Available Available Detached Structure Condo Commercial Comparable Sales Location: 23 FERNVIEW AVENUE Owner Name: MARY A.IVERSON LIVING TRUST MARY A.IVERSON Owner Address: 23 FERNVIEW AVENUE City:NORTH ANDOVER State:MA ZIP:01845 Neighborhood: Land Area:0 acres Use Code:102-CONDOMINIUM Total Finished Area:850 sqft ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 172,800 181,900 Building Value: 172,800 181,900 Land Value: 0 0 Market Land Value:0 Chapter Land Value: LATESTSALE Sale Price: 1 Sale Date:08/07/2006 Arms Length Sale Code:F-NO-CONVNIENT Grantor:IVERSON,MARY Cert Doc: Book:10331 Page: 132 http://csc-ma.us/NandoverPubAcc/jsp/Home.jsp?Page=3&Linkld=1182764 5/12/2008 North Andover Board of Assessors Public Access Page 1 of 1 .E s noRry Town Of Worth Andover �°�•"" "� Uoa>rd( f Assossors h � Return to the Home page clic,on logo MATCHING PARCELS Fiscal Parcel ID Address Owner Name Year New Search 23 FERNVIEW CHEN, ZHU B TRUSTEE Sales 2008 2101452.9-00_2.3=0006.0 AVENUE FERNVIEW TRUST GREGOS REALTY 2008 2101452.9_0023-0005.0 23 FERNVIEW TRUST AVENUE DEMETRI, GREGORY TR 23 FERNVIEW MARY A. IVERSON 2008 210/452,9-0023-0004.0 AVENUE LIVING TRUST MARY A. IVERSON 2008 210/452.9-002370003.0 23 FERNVIEW ROSEN, PAUL G AVENUE 2008 210/452.9-0023-0002.0 23 FERNVIEW DEROSA, SUSAN AVENUE JOHN M DEROSA 2008 210/452.9-0023-0001.0 23 FERNVIEW FISH, DEBRA AVENUE Page: 1 of] l http://csc-ma.us/NandoverPubAcc/j sp/SaveSearch.j sp 5/12/2008 23 FERNVIEW A VENUE U-4 452.9-0023 Complaint Detail Report Printed On:Mon Sep 16,2013 Complaint#: CT-2014-000020 Status: Closed GIS#: 8236 Violator: W Address: 23 FERNVIEW AVENUE U-4 Map: 452.9 Address: —" Date Recvd.: Sep-09-2013 Time Recvd.: 08:17 AM Block: 0023 Category: Housing Lot: Type: YP - - - - GeoTMS Module: Board of Health District: Trade: Recorded By: Lisa Blackburn Zoning: IStructure: Description Complaint- Howard and Mary Iverson filed a complaint though email regarding a broken hot water pipe in the condo that they own.The water caused extensive damage to their unit.They also said that there are sewerage backup issues in the building that have not been addressed by the condo assocation.She feels that the building has many issues and is not inhabitable.The Iverson's are currently living in Florida.Susan Sawyer called Mrs.Iverson and spent quite a long time addressing Mrs.Iverson's concerns.Very few of her concerns have to do with the specific laws that the health department enforces.The health dept does not intervene in unit owner and management conflicts.Mr.Iverson would like to speak with the town manager and feels that the Health Dept.should get involved.The information was relayed to Adele Johnson(see attached emails). Comments: Inspector Assigned to Complaint: Susan sawyer Contacts Contact Type Date Time Name Phone Best Time To Reach Recorded By Response Letter Sep-09-2013 8:17 AM Mary Iverson (727)264-6583 Q Lisa Blackburn Follow-Up by Health Director Actions Taken GeoTMS Module Status Date Time Response Type Action Taken Comments Board of Health REFERRAL, GeoTMS®2013 Des Lauriers Municipal Solutions, Inc. Page I of I 4 Sawyer, Susan From: Sawyer, Susan Sent: Monday, September 09, 2013 4:51 PM To: Johnson,Adele Subject: Heritage Green complaint Hi Adele, II This is a follow-up to the phone message that you sent Building and Health on August 29th. Below, I copied an email sent us in July as well from the same person. I called and spoke to Mrs. Iverson about a week ago and spent quite a long time going through the list of concerns. i The unfortunate result is that she is still requesting that the Town Manager contact her husband; Howard Iverson. He would like to speak directly to him. I told her that I would pass that request on but I wanted to be sure to send it via you so we are all on the same page. There are a lot of concerns; but very few have to do with the specific laws that we enforce governing health or building. I expressed our concern over her disappointments regarding her property management company. Also,that I would check with the property manager about the comments about unhealthy situation she described in common areas. However, I told her that we do not intervene in unit owner and management conflicts. Insurance issues or in monetary issues.She is very unhappy with this situation they are in and insists we should and are obligated to do something, but in the same breath is also complimentary of all employees of the town. I have no doubt that she is having a very difficult time. She has been in FL since February and I don't know when she will be back. Howard and Mary Iverson Owners building 23 unit#4 727 264-6583 Cell 978 489-4968 Susan Sawyer Public Health Director Town of North Andover 1600 Osgood Street Suite 2035 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email mailto:ssawyer@townofnorthandover.com Web www.TownofNorthAndover.com 1 Sawyer, Susan From: Blackburn, Lisa Sent: Thursday, July 18, 2013 8:36 AM To: Sawyer, Susan Subject: RE: a matter of interest I haven't heard anything. From: Sawyer, Susan Sent: Thursday, July 18, 2013 7:52 AM To: Grant, Michele Cc: Blackburn, Lisa Subject: FW: a matter of interest ... has this person called us? I don't'think I have spoken to her.This may be the first communication. Does this ring a bell? From: hliverson@aol.com [mailto:hliverson@aol.com] Sent: Wednesday, July 17, 2013 11:29 PM To: Sawyer, Susan Subject: a matter of interest Adele Johnson suggested that I bring this matter to your attention July 16, 2013 Susan Sawyer, Director North Andover Board of Health Dear Director Sawyer There is an ongoing situation at 23 Fernview Ave. (Heritage Green) that needs your immediate attention. We have owned Unit 4 at 23 Fernview Ave., since 1996. In 2000, we purchased a condominium in New Port Richey, FL and spent our winters there until 2011. For a variety of reasons we spent the past two winters in North Andover. Late in February of this year the poor health of two of our relatives in Florida necessitated us being there and we left North Andover for New Port Richey on Feb.25. In a way, that was our good fortune. Eight days later we were notified by a neighbor at Heritage Green that our condo was "flooded." The damage was caused by a hot water pipe, owned by the Heritage Green Condominium Trust, that ran between our ceiling, in the living room near the slider, and the floor above. We were told that"wear and tear" caused the ancient pipe to burst. Our condo was extensively damaged—including walls in the living room, ceilings in the living room and kitchen, the Pergo floor in the living room and hallway—as were a variety of personal effects, including rugs, irreplaceable antique furniture, and a set of drapes over the slider that originally cost nearly $2,000, books, magazines and other odds and ends. Fortunately, we had Homeowner's Insurance. It took more than a month for the MetLife Auto and Home Insurance Co. to complete repairs to the unit, which included two new living room walls, painting of all walls in i the living room, kitchen and hall, replacement of the living room ceiling and painting the living room and kitchen ceilings, replacement of the Pergo floor in the living room and hall and new drapes. Although the damage to our condo was caused by a broken water pipe in a common space owned by Heritage Green, the Condominium Trust, managed by Affinity Reality and Property Management of Boston, initiated a$10,000 per unit deductible several years ago. Supposedly, the Condo Association Board of Trustees approved the increased deductible, but no one remembers a vote being taken in open meeting. Our insurance company had to pick up the whole tab, more than $8,000. We had planned to returned from Florida in mid-March, but couldn't because we had no place to stay. By the time the contractors finished their work, Mary's step-daughter took a turn for the worse and we're still here (in Florida), But if we had returned to North Andover, we would have had no habitable place to live. Sometime in early June, sewage began backing up in Units 1 and 2, downstairs from us, at 23 Fernview Ave. The problem is still not resolved, according to our neighbors. The sewage line between 23 Fernview and 25 Fernview, the attached building next door appears to have been the main cause of the sewage backup, but no one seems sure. The owner of Unit 2 at 23 Fernview, Madeline Cincotta, moved to a motel (LaQuinta) when her home became unliveable three or four weeks ago and is still there, Sewage is still a problem in Unit 1, rented by Anthony and Ruth Anne Lucci. The occupants of Unit 5 on the third floor at 23 Fernview, moved out a month ago. Donna Roberts, who rents Unit 6, is still there but her grown son moved out. She says the place "stinks all the time." The washer and dryer at 23 Fernview has been unusable since the sewage problem developed. Mold is present in units 1 and 2 and the tester said it was likely moving up through the open walls to unit 2 to our unit above.. No one at Heritage Green seems to know when the sewage situation will be resolved and Units 1 and 2 and livable again. A note of interest, the chairman of the Heritage Green Board of Trustees,Nina Romano, lives in Somerville and rents her condo. My wife suffers from situational asthma and other respiratory problems. We cannot live there at present, but are still financially burdened by condo fees,taxes, insurance, etc. We have considered selling the property, but couldn't even consider it until the sewage and mold problems are resolved. And how will we know that? Moreover,the other condo owners and residents are living in an unhealthy situation. The ones who left, temporarily, have been burdened by additional financial costs. We hope there is something the Town of North Andover can do to help resolve this situation. Thank you, Howard and Mary Iverson 23 Fernview Ave. #4 North Andover, MA (978) 489-4968 Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 2 Sawyer, Susan From: Grant, Michele Sent: Tuesday,June 18, 2013 4:19 PM To: Blackburn, Lisa Cc: Sawyer, Susan Subject: RE: Phone Call Spoke to him, he does not have mold in his apartment, no health problems to speak of.The condo association and the tenants insurance company are in negotiation regarding payment on remediation.The apartment has had floors and walls already taken out. Work is being done From: Blackburn, Lisa Sent: Tuesday, June 18, 2013 2:58 PM To: Grant, Michele Subject: Phone Call Michele, Please call Nick Roberts 508.982.2377. He lives on the 3rd floor of Bld 23 Heritage Green Condos. He is a renter and has a question regarding mold in an apartment on the 1St floor. The 1s'floor tenant has been moved to a hotel while the mold is fixed. He is concerned because he has a 3year old child and is concerned about the mold. I told Sue about it and she said for me to email the message to you so you can give him a call. Thanks. Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street,Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email Iblackburn@townofnorthandover.com Web www.TownofNorthAndover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hftp://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 Sawyer, Susan From: DelleChiaie, Pamela Sent: Wednesday, June 27, 2012 12:53 PM To: Sawyer, Susan Cc: Grant, Michele Subject: Heritage Green Condos - 23 Fernview Drive - Unit 1 -Issue regarding condition of building, etc. Hi Susan, I received a call from a Jonathan Flynn of 23 Fernview Drive-Unit 1. This condominium is located in the Heritage Green Condos. Mr. Flynn was calling to complain about water leaking through the external brick wall outside and into the units, (his and others)causing the paint on the internal walls of the units to bubble up,and some units have visible mold,etc. There are 6-7 unit owners who are having issues with moisture. The buildings were built back in 1969 (approx.). The Heritage Green Condo Assoc.currently has a contractor working on a building next to his, and contractor stated that the building has"extensive issues." Mr. Flynn is requesting that a Health Inspector come to view the walls of all of the affected units. I went through the complete explanation about condominiums being owned by individual owners,and that if the Health Dept.were to view any violations,an order letter would be issued to the owner. Therefore,the Health Dept. does not normally get involved in condo/maintenance issues. I advised Mr. Flynn to address the building issues with his condominium association and/or an attorney if necessary. Mr. Flynn feels that he pays taxes to the Town and that he should be able to have a Health Inspector come to the affected unit(s) and do an inspection. I told Mr. Flynn that I would defer to you for further information, as I have helped him as much as I know how to do. Please note that Mr. Flynn states he is staying in New Hampshire now because of the health risks of living in his condo. His number is: 603-764-1040. Thank you. Pamela DelleChiaie Health Department Town of North Andover 1600 Osgood Street I Bldg.20 1 Suite 2-36 North Andover,MA 01845 Phone 978.688.9540 Fax 978.688.8476 Email pdellechiaie@townofnorthandover.com Web www.TownofNorthAndover.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:http://www.sec.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 Sawyer, Susan From: Grant, Michele Sent: Tuesday,June 18, 2013 4:19 PM To: Blackburn, Lisa Cc: Sawyer, Susan Subject: RE: Phone Call Spoke to him, he does not have mold in his apartment, no health problems to speak of.The condo association and the tenants insurance company are in negotiation regarding payment on remediation.The apartment has had floors and walls already taken out. Work is being done From: Blackburn, Lisa Sent: Tuesday, June 18, 2013 2:58 PM To: Grant, Michele Subject: Phone Call Michele, Please call Nick Roberts 508.982.2377. He lives on the 3rd floor of Bid 23 Heritage Green Condos. He is a renter and has a question regarding mold in an apartment on the 1St floor. The 1St floor tenant has been moved to a hotel while the mold is fixed. He is concerned because he has a 3year old child and is concerned about the mold. I told Sue about it and she said for me to email the message to you so you can give him a call. Thanks. Lisa Blackburn Health Department Town of North Andover 1600 Osgood Street,Suite 2035 North Andover, MA 01845 Phone 978-688-9540 Fax 978-688-8476 Email Iblackburn@townofnorthandover.com Web www.TownofNorthAndover.com yet lnp*' Please note the Massachusettsr Sec etary of State's office has determined that most emails to and from municipal offices and officials are public records.For more information please refer to:hftp://www.see.state.ma.us/pre/preidx.htm. Please consider the environment before printing this email. 1 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108.1904 (617)723.3800 Ma Only(800)392-6108,FAX(800)851-8424 8/28/2014 Form of Notice of Casualty Loss to Building �� - Under Mass.Gen. Laws,Ch.139,Sec.3 B Sep NOP, ' ?o�� NORTH ANDOVER HEALTH DEPT. �q(ti4GRp' NORTH ANDOVER TOWN HALL �p�RT�40 NORTH ANDOVER MA 01845 Re: Insured: MADELINE CINCOTTA Property Address: 23 FERNVIEW AVENUE, UNIT 2, NORTH ANDOVER, MA 01845 Policy Number: 1288415 Type Loss: Theft Date of Loss: 08/11/2014 Claim Number: 325690 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 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. MPIUA Claims Division CMA00021 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617)723-3800 Ma Oniv(800)392-6108,FAX(800)851-8424 9/20/2016 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch,139,Sec.36 NORTH ANDOVER BUILDING COMMOSSIONER NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: MADELINE CINCOTTA Property Address: 23 FERNVIEW AVENUE, UNIT 2, NORTH ANDOVER, MA 01845 Policy Number: 1288415 Type Loss: Water Damage: Plumbing Systems Date of Loss: 07/30/2016 Clam Ni m r: 409146 Number: Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 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. MPIUA Claims Division CMA00021 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723.3800 Ma Onlv(800)392-6108, FAX(800)851-8424 8/6/2016 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch.139 Sec.313 NORTH ANDOVER BUILDING COMMOSSIONER NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: MADELINE CINCOTTA Property Address: 23 FERNVIEW AVENUE, UNIT 2, NORTH ANDOVER, MA 01845 Policy Number: 1288415 Type Loss: Water Damage:All Other Water Damage Date of Loss: 07/30/2016 Claim Number: 408256 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 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. MPIUA Claims Division CMA00021 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston, Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108, FAX(800)851-8424 4/17/2015 Form of Notice of Casualty Loss to Building Under Mass.Gen. Laws,Ch.139,Sec.313 NORTH ANDOVER BUILDING COMMOSSIONER NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: MADELINE CINCOTTA Property Address: 23 FERNVIEW AVENUE, UNIT 2, NORTH ANDOVER, MA 01845 Policy Number: 1288415 Type Loss: All Other Section I Losses Date of Loss: 04/01/2015 Claim Number: 337688 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 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. MPIUA Claims Division CMA00021 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851.8424 8/12/2014 Form of Notice of Casualty Loss to Building Under Mass. Gen.Laws,Ch.139,Sec.36 ' i AUG 19 2014 NORTH ANDOVER HEALTH DEPT. I TOV'r;�OF NOR-i H ANDOVER NORTH ANDOVER TOWN HALL -ALTH DEPART,', ENT', ti NORTH ANDOVER MA 01845 Re: Insured: MADELINE CINCOTTA Property Address: 23 FERNVIEW AVENUE, UNIT 2, NORTH ANDOVER,MA 01845 Policy Number: 1288415 Type Loss: Theft Date of Loss: 08/06/2014 Claim Number: 325339 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000,00 or cause Massachusetts General Laws,Chapter 143,section 6 to be applicable. If any notice under Massachusetts General Laws,Chapter 139,Section 36 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. MPIUA Claims Division CMA00021 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 (617)723-3800 Ma Only(800)392-6108,FAX(800)851-8424 8/28/2014 Form of Notice of Casualty Loss to Building Under Mass.Gen. Laws,Ch.139,Sec.36 NORTH ANDOVER BUILDING COMMOSSIONER NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: MADELINE CINCOTTA Property Address: 23 FERNVIEW AVENUE, UNIT 2, NORTH ANDOVER,MA 01845 Policy Number: 1288415 Type Loss: Theft Date of Loss: 08/11/2014 Claim Number: 325690 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 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. MPIUA Claims Division CMA00021 MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION Two Center Plaza Boston,Massachusetts 02108-1904 16171723-3800 Ma Only 18001392-6108,FAX(8001851-8424 8/12/2014 Form of Notice of Casualty Loss to Building Under Mass.Gen.Laws,Ch.139, Sec.313 NORTH ANDOVER BUILDING COMMOSSIONER NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 Re: Insured: MADELINE CINCOTTA Property Address: 23 FERNVIEW AVENUE, UNIT 2, NORTH ANDOVER,MA 01845 Policy Number: 1288415 Type Loss: Theft Date of Loss: 08/06/2014 Claim Number: 325339 Claim has been made involving loss,damage or destruction of the above captioned property,which may either exceed$1000.00 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, MPIUA Claims Division CMA00021 II i 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: Kate Ricciardone & Rodney Conley Property Address: 23 Fernview Avenue, #5 Policy Number: BDCYGZ Date/Cause of Loss: 11/2/2012, Water Damage File or Claim Number: 27226-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. a-- Sign re and Date ANDERSON ADJUSTMENT CO., INC. 50 Nashua Road, Suite 303 PO Box 1098 Londonderry, NH 03053 7 566 Date. ,/ . ? � ..... .. HORTh OE 3? TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION .•t �� SACHUSEt t 4 This certifies that . . . f' !�x,,G� , ,�A�+, has permission for gas installation . . . . 1� r. .s. . . . . . . . . . . . . . in the buildings of . . . . . .� .�.<. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . , . . . .f.P^'.v.z . . . . . , North Andover, Mass. � y .Fee. Lic. No. N . . -Z. . . . . . . . . GASINSPECTO� Check# MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: MA. Dates, PP=1it# Building Location:'10 '2) --C Owners Name-Ally Industrial Institutional Residential . Type of Occupancy: Commercial❑ Educational❑ Indus ❑ ❑ LId New: ❑ Alteration: ❑ Renovation:❑ Replacement: Plans Submitted: Yes❑ No❑ FIXTURES [( vi Z H f Y 2 W W O to = rn rn m W U ~_j M W O w z I- z p W w W O a rn W@ O ~ D. 1— o 0 W X rr> > W z 1' O a W x u. Ix F' M vLu a a W w Z �a W = W 1- N = z w � rr > V W Z J P F- O Z J U' �+- F W I— W W o a w w 0° > ° 0 W> > 3 0 O a > r SUB BSMT. I BASEMENT 1 a 1 FLOOR l -'i'FLOOR 3 FLOOR 1 ' 4 1H FLOOR 1 5 FLOOR 4 6 FLOOR T'-FLOOR -i'FLOOR Check One Only Certificate# Installing Company Name. 0 � Corporation Address: Cityrrownt State: 1 ❑Partnership Business Tel: �� t�cJl/ Fax:_ ❑Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes to❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ 4 OWNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. i Check One Only Owner ❑ Agent F1 Signature of Owner or Owner's Agent By checking this box❑;1 hereby certify that all of the`details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plu ing Code and Chapter 142 he General Laws. Type of License: 00, By ❑Plumber Title ❑Gds Fitter a ure of Licensed lumber/Gas Fitter aster{ h Cityrrown :]Journeyman License Number: APPROVED OFFICE USE ONLY) ❑LP Installer Date..).` �� . ... . . . . Of NORTH o� TOWN OF NORTH ANDOVER f D • PERMIT FOR GAS INSTALLATION h SACHUS This certifies that . . . . ��. �. `. . .��. .�� . . . . . 4 . . . . . . has permission for.gas installation . . .Y .n . . . . . . in the buildings of . . . . . . �.7. . . . . . . . . . . . . . . . . . . . . . . at ... . . . . . ., North Andover, Mass. Fee. .2. . . . . . Lic. No.. .% . . � �-. . . . . . AS INSPECTOR Check# /c, ) j f- 7234 7234 MASSAMUSEM UNIFORM APPLICATON FORMg MIT TO DO GAS FITrJNG (Type or print) NORTH ANDOVER,MASSACHUSETTS Date =1 "7 Building Locations Permit#_-7L�� Y �i �y >In I Owner's Name ount$ —..,.Z'0 e.4►y 77 New❑ Renovation 0 Replacement Plans Submitted O L w 0 o O z w ti U w z z ° a <�+ A 4 �' W �" Z W W W O f� a a �- 1% < m° z 0 .a w tU > 1 -„ '" O �_. a a O .�.� UO 9 > k B-BASEMENTSEM ENTT. FLOOR D. FLOOR 3RD . FLOOR qFTH FLOOR FLOOR FLOOR FLOOR FLOOR (Print or typey ' Check one: Certificate Installing Company Name. I iP t !� 1� ••• El Corp, Address �`- Al El Partner. 1 X� - business Telephone�4-Z)F_- & �qy. 9-Firm1Co. Name of Licensed Plumber or Gas Fitter V,IN FINSURANCECOVERAGEt liability Insurance policy or it's substantial equivalent. YCeck one: cked yes,please indicate the type coverage by checking the appropriate box.es 13' Nonce policy Other type of indemnity 13 Bond 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. Signature of Owner or Owner's Agent Check one: Owner 1 Agent13 i hereby certify that all of the details and information I have submitted(or entered)inabove appli n are true and accurate to the best of my knowledge and that all plumbing work and in ons perfo ed under Permit Is ed for is application will be in compliance with all pertinent provisions of the Massac setts tate G d d Cha 14 f General Laws, By. Signature of Li c ed Plumber Or Gas Fitter Title Plumber lCityfrown9 9 p y 1:3Gas Fitter icense Number Master APPROVED usE ONry) r3 Journeyman Date. .a. °TM�ti0 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACHUSE� This certifies that . . . . . Q.��. ` .�. . . . . .FY . . r! has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . at . 2. C ,... . . . . . . ., North Andover, Mass. Fee.4!`!. . . Lic. No.. .`f. . . . . . . .t_. ( . u .�. . . 4710 PLUMBING INSPECTOR Check # G 8627 1 ' • ' 1 / I i ! 1 it i 1• . 1•1 . •:1.11 •• Iti ,; ■ 1• :..1 ■ ' -. : :1111 � ' 1 •11 Imo• - ■ • . KIM .11 dllh A ■ 1- '11,1- "► I' :Ill- . .II �. • til 1:.1 r � 1 1 :Ii«- • - ,• M: - 1- ..- . 11 1 /«' . :1 . •tf� it• it .. .. .. lots —■ :416 ■ t 1 I 1- 11.- CJI.. t 1�:/1 11:. 1: s «'1 • 1 1• «:1.1 ..-:� t• 1 i 1 •/ / t 1-• 111 � t 1 :11 •J7:1 1 ■ ■ 1: t 1- 1' 1• fl •1111:1•1 1 t 11 t �• . / ti �1 / i• 1. «;1•f - i 1• 1 1 l ' • 11 ,\l 1• �• - 1. 11 . 111 1 11 • • / 1 \ 1.1 •- ••111-• 11 ' •-Ill •1 1 1• 1•l 1- 11 •Ill• /«' t 1' 111'1 ,•• •. . t t o _ • r1 �-1�._ •-" - do !J I 1 • «'1 . � 171 1� /' • • 111 1 11 • :11 City/TownAPPROVED t , ■ It i' • 1 1' 11.11 N° Date..... ... ..........6 J ........... ,aoRT1i ° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING -SS US ( n This certifies that ....... ................................................................ tihas permission to perform ... ......:.:...4.,.- <................................................ wiring in the building of ... r ........!!�....:>.......................................... .......:..:.....4.::.--.�. .......r" Via.. North Andover,Mass. Fee. :....... :....... Lic. ..... ... ... * .:��:.t.......................... ELECT RIC ALINSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Commonwealth of Massachusetts official Use only - Department of Fire Services 9 Permit No. c., >�c� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 'ov [Rev. 11/991 cave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All Work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12-00 IN (PLEASE PRT IN INK OR YPE ALL ORMATT0h1 Date: r- 61-01 City or Town of: To the Inspector of Wires: By this application the undersigned gives no of his or her intention to perform the electri work described below. Location(Street&Number) nV[ieJnLe 1 Owner or Tenant sa 11 - 6 Telephone Na _I Owner's Address Is this permit in conjunction with a building permit' Yes ❑ No ® (Check Appropriate Box) Purpose of Building Utility Authorization Na Existing Service Amps / Volts Overhead❑ Undgrd❑ Na of Meters New Service Amps / Volts Overhead❑ Undgrd❑ Na of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work uAtamg 10 (- Completion othe follawin Coble may be waived by the l=ector o0vires. kNh ecessed Fixtures `No.of Ceb-S ) No.of Total usp.(Paddle)Fans Transformers KVA ighting Outlets INo.of Hot Tubs Generators KVA ighting Fixtures (Swimming Poo( Above ❑ In- ❑ o.o mcrgcncy ibnung « rnd. rnd. Battery Units eceptacle Outlets No. of 00 Burners FIRE ALARMS INo. of Zones t witches INo.of Gas Burners No.of Detection and anges Initiating Devices No.of Air Conti. onsNo.of Alerting Devices aste Disposers Hot Pump Number Tons 1CW No.of Self contained TotalsDetection/Aiertine Devices ishwashers Space/Ar=Hcating KW Local ❑ Muni ipal Connection ❑ Other No.of Dryers Heating AppliancesKW ecunty vstems* No.o atero.o No.of Devices or Eouivalent KW Ivo. S Heaters o Data Wiring: b Sins Ballasts Na of Devices or Eouivalent No.Hydromassage Bathtubs No.of Motors Total HP Tciccommunications W it in, Na of Devices or Equi -nt OTHER: Attach additional detail if desired,oras required by the Inspector of{fires. 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 " undersigned certifies that such coverage is in force,and has ohtbit g ts substantial equivalent. The ed proof of same to the permit issuing office. cxEcx ONE: INSURANCE ❑ Bos?m�❑ ort� C] (Specify:) Estimated Value of Electrical Work: $ 3a 3 •�Od (When (Erpuanon Date) required by muniapal polity.) Work to Start ,-o I Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penaLdes of perjury,that the inforn ation on this application is true and complete FIRM NAME: ADT Security ServicesD�; o.11 s NR 03049 LIC.NO.: 1533C Licensee: John S.Bassett Signatu IC.NO.: 1533C (7f applicable,enter"exempt-in die license number line.) ' Address: Bus Tel.No.:-503 594-5900 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabiliry�msurance coverage normally required by law. By my signature below,I hereby waive this requirement check one I am the Owner/Agent ( )❑owner ❑owner's agent. Signature Tc jcphonc No. PERMIT FEE: S 35-001