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Home My WebLink AboutMiscellaneous - 463 Windkist Street 463 WINTER STREET 210/104-A-0069-0000-0 463 WINTER STREET 210/1040000.0 I 1 NEW ENGLAND CLAIMS SERVICE, INC. ReplyTo ❑ Reply To ❑ Reply To ❑ P.O. BOX 345 100 CONIFER HILL DRIVE, SUITE 308 P.O. BOX 578 MANSFIELD,MA 02048 DANVERS, MA 01923 SHREWSBURY, MA 01545 TEL. (508) 337-8058 TEL. (978) 777-9900 TEL. (508) 842-3995 FAX(508) 339-5835 FAX (978) 774-9296 FAX (508) 842-7510 Form of Notice of Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3D APR 2 3 2001, TO: Building Commissioner or Board of Health or Inspector of Buildings Board of Selectmen addresses NU+\TI-t ANai.-c" VSA RE: INSURED PROPERTY ADDRESS 4N LA-1-W �AA U 1�_9 POLICY NO.: aN i�)oe 6i�65 LOSS OF: 31 T j ° 19 FILE OR CLAIM NO.: 22os —3 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 3D 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. TITLE 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. GNATURE AND DATE cc: Fire Dept. ® MAPFRE The Commerce Insurance Company''' Citation Insurance Companyw Commerce " Gore Road,Webster,Massachusetts 01570 INSURANCE' 508.949.15001 www.commerceinsurance.com April 09, 2015 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: JOHN J BENINCASA/JOAN H BENINCASA Property Address: 463 WINTER STREET Policy#: YW2327 Date of Loss: 02/18/2015 Filek JXJV31-HNYPRO 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. ESTHER O'NEILL Telephone: (508)949-1500 Ext: 15388 Sr Claim Representative,Property Toll Free: 1-800-221-1605, Ext: 15388 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. April 09, 2015 CIC 254 (Rev.4/95) MAIL M80 No.: os _ Date �� O� NORTH `SS�ED ,,gtia TOWN OF NORTH ANDOVER ` ° A _ BUIN EPARTMENT F , '6'f { x �9 y1.m.,• E .�.Jd Building/Framd,,31brmit Fee $ SACHUS ivu, i n hlv)D'rER Foundation Permit Fee $ /'other'Permit Fee $ A 1 . ��~� Building Inspector PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 MAP d10. LOT NO. 2 RECORD OF OWNERSHIP IDATE BOOK 'PAGE ZONE I SUB DIV. LOT NO. I LOCATION ,PURPOSE OF BUILDING ;, Oc)pU e7—;4e y OWNER'S NAME C 00/k/ 15/v�A( tLQ=O.F.e"STORtET SIZE /;r y OWNER'S ADDRESS lJj! ly Q,�/y,ofe BASEMENT OR SLAB ARCHITECT'S NAME (�/ SIZE OF FLOOR TIMBERS IST 2ND 3RD BUILDER'S NAME C400ra Z AF SPAN --- DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION r/�S IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION. IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST SEE BOTH SIDES EST. BLDG. COST OC-) PAGE 1 FILL OUT SECTIONS 1 - 3 EST. BLDG. COST PER SQ. FT. EST. BLDG. COST PER ROOM PAGE 2 FILL OUT SECTIONS 1 - 12 SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING 4 APPROVED BY 0 2 ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS UST BE FILED AND APPROVED BY BUILDING INSPECTOR ATE F icEC BOARD OF HEALTH SIGNATURE OF R OR AUTHO IZED AGENT FEE � / PLANNING BOARD PERMIT GRANTED 19 BOARD OF SELECTMEN BUILDING INSPECTOR WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer BUILDING RECORD 1 OCCUPANCY 12 , SINGLE FAMILY S,OR1ES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY OFFICES LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS RAGES, ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION —I 8 INTERIOR FINISH CONCRETE d 1 2 13 CONCRETE BL'K. PINE BRICK OR STONE HARDW'D PIERS PLASTER DRY WALL UNFIN. 3 BASEMENT AREA FULL FIN. B M'TAREA _ 1/1 1/1 '/ FIN. ATTIC AREA _ N_O BM'T j - FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS C4 PBOARDS B" 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH AWALT SIDING HARDW D - - ASBESTOS SIDING _ COMMCN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. & FLOOR _ BRICK ON FRAME CONC. OR CINDER BILK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I-i POOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3BATH (3 FIXE_ GAMBRELMANSARD TOILET RM. (2 FIX.) _ FLAT I 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 RADIANT H'T'G UNIT HEATERS NO. OF ROOMS GAS 7 OIL B'M'T 2nd _ ELECTRIC 1st 13rd NO HEATING