HomeMy WebLinkAboutMiscellaneous - 37 SCOTT CIRCLE 4/30/2018i
MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617) 723-3800 Ma Only (800) 392.6108, FAX (800) 851-8424
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:
LYNDON AND TESHA MYERS
Property Address:
37SCOTT CIRCLE, NORTH ANDOVER, MA 01845
Policy Number:
1224155
Type Loss:
Ice Dams
Date of Loss:
03101/2015
Claim Number:
333265
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
3/512015
Location /..-.r 3- :37 SCoI 1 dl pec)
No. �L:6 Date
TOWN OF NORTH ANDOVER
Certificate of Occupancy
$
A' n
Building/Frame Permit Fee
$"_'
00
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
N
Water Connection Fee
$_
TOTAL
$
1 3 g S
C7 /C 0 i , ¢ Building ctor
1,395.00 PAID
Div. Public Works
Location
Date
NORTH TOWN OF NORTH ANDOVER
0
r I p Certificate of Occupancy $ 5 Dy C)
Building/Frame Permit Fee $
-SACMU5 Foundation Permit Fee $ d
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $ —
TOTAL $ �� • / l
�,��//� ,,,,•,r ,r 15J .,a`r3Building Inspector
7395 �y
Div. Public Works
PERJtIrr NO.r d APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. ,E„t rPAGG
MAP +%I . ( CJ D
ZONE /
LJT NO.
I SUB DIV. LOT NO.
2 RECORD OF OWNERSHIP DATE
BOOK 'PAGE
LOCATION ?
PURPOSE OF BUILDING
OWNER'S NAME /
4
' 1
V
NO. OF STORIES
OWNER'S ADDRESS ,
s`h ,p
`QCs
BASEMENT OR SLAB
3
,3
ARCHITECT'S NAME
--
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME
SPAN
DISTANCE TO NEAREST BUILDING 9/n
v
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - S DES
REAR
GIRDERS
AREA OF LOT
FRONTAGE 1�/� /
a�J7
HEIGHT OF FOUNDATION THICKNESS ! D
IS BUILDING NEW j�
SIZE OF FOOTING P 1 X
"I
IS BUILDING ADDITION
MATERIAL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID O R�L_L%B-�AND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER a
BOARD OF APPEALS ACTION, IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES am= cza0 0
MGM !/ V)
PAGE 1 FILL OUT SECTIONS 1 - 3����" .... .
PAGE 2 FILL OUT SECTIONS 1 - 12'
ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
T ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND
APPROVED BY BUILDING INSPECTOR
MU
DATE IF LED A
FEE
PERMIT
OWNER TEL. # WV tLR' ""
CONTR. TEL. #
CONTR. LIC. #
/Gf -3e&
Z
3 PROPERTY INFORMATION
LAND COST pQ , Q
EST. BLDG. COST tO
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
BUILIMING INSPECTOR
!1
BUILDING RECORD
1 OCCUPANCY 12
SINGLE FAMILY L1,4
STORIES
MULTI. FAMILY
OFFICES
APARTMENTS
_
CONSTRUCTION
2 FOUNDATION
CONCRETE
—I
—{
8 INTERIOR
FINISH
PINE
HARDW D
d
—
1
—�Y'
I2� I3
—
—
CONCRETE BL TON
OR STONE
PIERSBRICK
PIERS
PLASTER
DRY WALL
UNFIN.
—
3 BASEMENT
AREA FULL
FIN. B M AREA
_
'/. 1/1 1/
FIN. ATTIC AREA
NO 8 M T
FIRE PLACES
_
HEAD ROOM
MODERN KITCHEN
_
4 WALLS I 9 FLOORS
CLAPBOARDS
B
iz
1
-tj_
2 3
_
_
DROP SIDING
WOOD SHINGLES
CONCRETE
EARTH
ASPHALT SIDING
ASBESTOS SIDING
VERT. SIDING
_
HARDW D
COMMON
ASPH. TILE
STUCCO ON MASONRY
STUCCO ON FRAME
_
11
BRICK ON MASONRY
ATTIC STRS. & FLOOR _
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
SUPERIORPOOR _
ADEQUATE I NONE
5 ROOF
10 PLUMBING
GABLE
GAMBREL
HIP
BATH (3 FIX.)
as
MANSARD
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
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
7 NO. OF ROOMS
GOAL
B'M'T 12nd I
ELECTRIC
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.
fnn
1st 3rd NO HEATING
i
23.69
•
CERTIFIED FOUNDATION PLAN
LOCATED IN NO AND(ZVFR, M A ,
SCALE /"= 4 0' DATE : 716 Z c,L4
Scott L. Gi/es R. L. S.
50 Deer Meadow Rood
North Andover. Moss.
/50' TO
LOT L/N'
SCOTT CIRCLE
/ CERT/FY THAT OFFSETS SHOWN ARE FOR THE USE
t�
THE OFFSETS OF THE SU/L DING /NSPEC TOR ONL Y
SHOWN COMPLY AND SUCH USE IS FOR THE
WITH THE ZONING DETERMINATION OFZONING 13M
BY LAWS OF CONFORM/ T Y OR NON -CONFORMITY
WHEN CONSTRUCTED.
WH N SU/L T.
ti
ADF ARCHITECTS INC.
Anthony DiFrancisco, AIA
22 Woodland Park Drive Haverhill, MA 01830 (508) 521-5554 s
July 8, 1994
TO: Building Department
No. Andover, MA
RE: Inspection Report
Lot 3, Scott Circle
No. Andover, MA
Excavation, footing and foundation walls at Lot 3, Scott
Circle in No. Andover, MA, were inspected at the request
of Andy Schaub, Curran Construction.
Soil at the excavation is a good grade of gravel. Concrete
footing is two feet wide by one foot deep, resting on
urIdisturbed soil and adequate to properly distribute
anticipated loads,
Foundation walls are ten inches thick and properly installed
to withstand vertical and horizontal load pressures.
Exterior of foundation walls have been properly dampproofed.
Foundation installation is in accordance with Article 34,
Section 3402., of the Mass. State Building Code.
Submitted by:
i --
i ADF Archict-., Inc.
Anthony DiFrancisco, President
i
T
Z
D
0
z
cn
M
D
0
z
C3
y
10
03
Q3
CO) C')
10 0
CD
n Z CO)
CD O
O
CZ = y
nC
O
-� CD
v
CDCL
o
Q
-< fy CD
CCD O CD
mm23
C CD y.
CD
O H
OO
cfl CD
S-
CA
O
'v Z
O O
0 �+
O CD
0
CCD
SII O
i
0
I13
o
v
I IF
I.�
G c?�om 2
�• y O CT N
a O O fl co
CL
n m C7
C CA n a n r11
Z =r -S y -�
mCL 0
y 17
? C �m o
CD � O O y p
-*=
O O. OOD O
> >-0 C` C07
to �• 1 .rt
s: O O N• CD
n n CA
cm o rr=r
CD OCD
N
O C9 N
c CL -'
m cn
OCA•
w C �
C& o
G
o .W a
CA
C H
w CosWCD
3 c coo
ca
•• n
00
C
CD C*
•v'o o
CD ,rt
_.
CD
C CA
to �:
Pin.o
w
m
c
M
(rt
r
°
C1J
7
d
z
'� 1
m
'�7
C)
�
^Tl
w,
Cn
<•
yb
wG
y
�
7d
X17
w
z
w
G
G
C/W1
0'
r
z
z
0
n�
r
�y
O
o
0
c
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 witbi any applicable local or state law,
regulations or requirements.
****************Applicant fills out this section*****************
"VZAPPLICANT: iL.sS01'7 Phone 1p
LOCATION: Assessor's Map Number 07' 3
Subdivision /'All'
�Be` Lot (s) ko 3 _
Street eili�IL St. Number 37
************************Official Use Only************************
REC MMENDATIONS OF TOWN AGENTS:
Date Approved 6 /*
Conservation Administrator Date Rejected _
c
Comments
i-9.1 Date Approved ]Act,-\
Town Planner Date Rejected
Comments
Food Inspector -Health
Septic Inspector -Health
Comments
Public Works
Date Approved
Date Rejected
Date Approved %
Date Rejected
sewer
drive
Fire ,Vment
Received by But. fding
Inspector Date
CERTIFICATE OF USE & OCCUPANCY
?ewn of Mcftr A.^dcvp7
Building Permit Number 258 Date OCTOBER 26, 1994
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 37 SCOTT CIRCLE - LOT #3A
MAY BE OCCUPIED AS SINGLE FAMILY DWERING W/2 CAR IN ACCORDANCE
GARAGE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO Cheryl Dickerson
1 Scott Circle
ADDRESS North Andover.
Building Inspector
m
C
0
z
cn
M
D
i
0
z
T
z
D
r
C3
C O
Chi
GO C -i
n Z y
Q O �•
r�
CL � C
O CO)
n�
O
CD
v
CD o
CC �
CT c ?
% co
CD CD
C CD
CD
O y
OO
CM Cl)
� v
-v
CD ZO
O CD
O
CCD
... A...m..a...r:..
YY 1
' C C 97 •o _
rO —•y O cr yCL =
a:m CD n
C7 d X17
Z 5� co
O d •••F W N T
9
� mated � �
CD —40-0 H O �
3r o �®s� �
=� c` C
0
�. o o y co
_ -co
S.
Vl �•
CR
VI cc, CO '
Cn ►—•+ CD -1 na3
� ti
...�
O GO
= N
r�^� y O.
v J�j-� O .0 O
r CL
11hr T�••-JJiI y_y) i„
Ham_ o
co
O
O
b'
�O
ltz
2
�rL
CD
N
O ~ ^�
M
o
phi
z C
_ OG
n
n
O
G
c r
n A0
OGc
e coo o' C
O
Q
x
`° �. 7d
cq
F
� O
OD
y
0
ld
0
c
Q
tlaCA`-
OD
y
0
ld
0
c
.._lel:: i::sl�f:[iv.:.::.%sI)s.,k._1;cs+L`1'1:s,�Y:i�lY:f:::.1<,dT,.:t4i: ^.'�.�t,.\i':3i,�:3.d.,;r cn�,.es_..�.L+•„ �:,z:�i.tn1[3�e1r' gin.. �-•a��n��yr•�r n ��;.-.�;�s-� - _.cc�uw: �_—..,..e,,.....».......:, .,.
i — m
a tc
mom
.. C c
m �� 0
z c� ao co
y Q t
m = W n
z CO n d C9 �' m
z 1 Z rn cn S,a CA
CO) 1-44 a
D !�DO
CL -+ a = m CA
CD o Po
o
3. o icooMft cn n
_• _
CO) co
v� CO) o y. c
'Ilk
' ' 'v ;LC co
O
i a
CO) ZZ
D r O I i CD C9CD
y
co o cb%�
n� v
7 O �
v CD
CDCLV
�F
Q V
C7 CD p CD
C
M
D C CLC y
M o Cc CD
CO) O -
CD Z
m Cl) O
CD
G � C
CD
asp
1
.s
m
O
Vl
C
0
O.
C43
N
CD
co
y � .
d y
CL
W Q.
�C
G N
d H%
'O
CO
toav
Co.)
O G
co
o
�3
ca o'
CD -P
N '
010 Nib
co
o
bo21Eoco
2.
w:
S
w
M"
-01
0
O 7
ro
n7i^ G
?
< C
UQ
7' rl
G
W �� G
T w
p
n' a
z
O ►M
o
M
C1
rot-
a
7
�eQ a. C
O
o
9
w
W
' �r L, ..L. ., ' v c ,�: �r `f�`���1p+�a�L��y�y� 3 r'+t'� _}�,'i�g ♦ �1 l _ L
't •,� '0\ lN+atN `�.S) i� l )�Zl l k � i S't a i{..
.. ;♦ 1R! .. \� � 1,"j`4 `fit, ;"��i�.���,s-.'1i,�1 F. S' �\,; �l ,
r,* `a��.TtiyY;•i..tik\
NN,
Is�3yAxt��
SI,Hw s •n z rbcE)*,cj"
13R;ac-�N�- o Fr
Lt N be72- 5'T2?S .
P- 3940
_ µOR71y
O� ..ao .•'�ti.0
F A
SS S�
Date:
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
ACH.
This certifies that....
has permission to perform ........... ...................... .
plumbing in the uildings f ................... .
at .17 . ........ .... . North An ver, Mass.
FeP %4 •
.... Ltc. NOAC C;;�, ... . «.---.. ....... .
PLUMBING INSPECTOR^
02/16/99 12:15
27.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
�7,
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type) p` /
t�102-E L, f 7 r 1U cNC� , Mass. Date 3 19�? Permit # &I �!
a Building Location 3 % 'C� Ci.L, Owner's Name dfye—&—s
-- Type of Occupancy Residential
oti 'v'o.
New ❑ Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑
FIXTURES
Installing Company Name Heritage Htg. &P1g. Co. Inc.
Address 35 Pleasant Street
Stoneham, Ma 02180
Business Telephone , 781 —438-7776
Name of Licensed Plumber Gordon Switzer
Check one: Certificate
M Corporation 714
[] Partnership
[l Firm/Co.
INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy 13 Other type of indemnity ❑ 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.
Check one:
Owner ❑ Agent ❑
I hereby certify that all of the details and information I 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 the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 112 of the General Laws.
By
ign tura of Licensed Plufnber eg
Title
City/Town Type of License: Master (X Journeyman 0
APPROVED OFFICE USE ONLY) License Number 8322
z N
r, -,(v
N
N
N
O X
~
}
W
W
>
Q
U Q
~
z N a
�
OW
z
0a¢
N F-
U
z
O
(U
a)
i -I
NN
T
Cr
W
N
U
zer
O
0]
7
y
Q
W
¢
Q
W
F-
W
U
j
W
S
N
d
W F.
N
00
K
y
J
2
-
X
p
O
F O
T.
a~
a
F
a
O
0 c�
7
a
a o
z O
W
U
rf
J
3 X
F- N
LL
0
O
A
a
lC N
O
rd
(d
rIi
SUB—BS MT.
BASEMENT
1ST FLOOR
W
2ND FLOOR
N
A
3RD FLOOR
D
T
4TH FLOOR
I
I
T
5TH FLOOR
R
S
6TH FLOOR
E
7TH FLOOR
C
9
STH FLOOR
T
I ID
Installing Company Name Heritage Htg. &P1g. Co. Inc.
Address 35 Pleasant Street
Stoneham, Ma 02180
Business Telephone , 781 —438-7776
Name of Licensed Plumber Gordon Switzer
Check one: Certificate
M Corporation 714
[] Partnership
[l Firm/Co.
INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked Yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy 13 Other type of indemnity ❑ 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.
Check one:
Owner ❑ Agent ❑
I hereby certify that all of the details and information I 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 the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 112 of the General Laws.
By
ign tura of Licensed Plufnber eg
Title
City/Town Type of License: Master (X Journeyman 0
APPROVED OFFICE USE ONLY) License Number 8322
J
J
z
O
W
N
w
U_
LL
LL
O
LL
O
J
W
w
Y
w
LU
LL