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Home My WebLink AboutMiscellaneous - 679 SOUTH BRADFORD STREET 4/30/2018 (� 679 SO BRADFORD STREET 210/104 0000.0 I r W � 9800Fredericksburg Road San Antonio,TX 78288 USA® 04664. 330FP.JSS1200580114. 01 . 01 .5207 TOWN OF NORTH ANDOVER, MA February 17, 2016 120 MAIN STREET NORTH ANDOVER MA 01845-2420 Reference: MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Attention Building Commissioner, I am writing regarding the claim referenced below. Policyholder: Thomas C Browne Reference #: 001013273-21 Date of loss: February 12, 2016 Loss location: North Andover, Massachusetts Address: 679 S Bradford Street North Andover, MA 01845 A claim has been made involving loss, damage or destruction of the property referenced above, 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 my attention and include the reference #. You may submit correspondence or questions to me using one of the following options: Address: P.O. BOX 659463 SAN ANTONIO, TEXAS 78265 Fax: 1-800-531-8669 Phone: 1-210-531-8722 Ext 42562 Sincerely, Peter J Geib Property Claims United Services Automobile Association P.O. Box 33490 San Antonio, TX 78265 Phone: 1-210-531-8722 Ext 42562 Fax: 1-800-531-8669 j KRR/PGG 001013273 - DM-04664 - 21 - 8585 -44 54577-1215 Page 1 of 1 Location No. v Date TOWN OF NORTH ANDOVER eti0 01 p Certificate of Occupancy $ Building/Frame Permit Fee $ ,SJACMUSE� �1/r�'EQUnda;ion Permit Fee $ 00 & Permit Fe Y $ Sewer Connection Fee $ Jer Connection Fee $ � OTAL Building Inspector 6272 Div. Public Works Location - ! Y No. Date - ,AORTN TOWN OF NORTH ANDOVER 0 . p Certificate of Occupancy $ # # Building/Framei Permit Fee $ t}�� Hus t� Foundation Permit Fee $ Other Sewer Coine�Yi��l�R $ Water Connection Fee $ j TOTAL FEB 2 s $ 1993 — Building Inspector i Div. Public Works ocation No. Date f 0 of "ORT" �h TOWN OF NORTH ANDOVER Certificate of Occupancy $ + -- „Buildin /Frame Permit Fee $ Foundation Permit Fee $ MUSE s� Other Permit Fee $ SSq�pr Connection Fee $ CIO Water Connection Fee $ TOTAL $ Building Inspector Div. Public Works R Location N9. Date ' 40RTM TOWN OF NORTH ANDOVER O��t`ae ,a,1•G - „ Certificate of Occupancy $ • , # Building/Frame Permit Fee $ �cNuse Foundation Permit Fee $ s ,�09;ther Permit Fee $ ewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector { Div. Public Works L-J-r- z3 Location 6:27 ✓ �r� s v ;No. 2 Date NORTH TOWN OF NORTH ANDOVER O • 0 - e F : „ Certificate of Occupancy $ 41 Wpkw,-4w • ; Building/Frame Permit Fee $ �'�b''°•'�� Foundation Permit Fee $ a SS�CHUS Other Permit Fee $ k > ��• etef ction Fee $ L31 - ilv PAP ' at t.1 rThOtion Fee $ > ✓ :.r TOTAL $ a I c,o , I-j () Zi Building Inspector f Div. Public Works Pt'a-s ('I' N10 of APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. /�"O�;flJ 3,575 LPAGE 1 MAP +40. /c7;/ �� I LOT NO. '� 2 RECORD OF OWNERSHIP DATE BOOK PAGE - �y ZONE 7 SUB DIV. LOT N/O. 3 � 1 I LOCATION / 7 G S _ 21 h n, J r PURPOSE OF BUILDINGle (es 7 �[ �C, J OWNER'S NAMEOLj;/J/JY Q/1 NO. OF STORIES SIZE OWNER'S ADDRESS Noe n +J IY � BASEMENT OR SLAB ARCHITECT'S NAME /2 d�I^ f� OTS SIZE OF FLOOR TIMBERS 1SSTT+ F+IND �X. IQ 3RDo� BUILDER'S NAME V4lC71rC gJlij- SPAN r`/ - DISTANCE TO NEAREST BUILDING DIMENSIONS OF SILLS DISTANCE FROM STREET / POSTS i DISTANCE FROM LOT LINES-SIDES o/ REAR �8`�/ " GIRDERS Y•' y `� y AREA OF LOTf /j p,�� .�'�,. ��fFRONTAGE 1-w 'J HEIGHT OF FOUNDATION pV/ THICKNESS IS BUILDING NEW �e SIZE OF FOOTING ! A X Al IS BUILDING ADDITION MATERIAL OF CHIMNEY IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND ( I WILL BUILDING CONFORM TO REQUIREMENTS OF CODE lei IS BUILDING CONNECTED TO TOWN WATER ,/e f BOARD OF APPEALS ACTION. IF ANY fun IS BUILDING CONNECTED TO TOWN SEWER Xe j IS BUILDING CONNECTED TO NATURAL GAS LINE J S• INSTRUCTIONS 3 PROPERTY INFORMATION LAND COST �O D [ SEE BOTH SIDES an gamin 3 .-� EST. BLDG. COST , •OO �d ��J (' EST. BLDG. COST PER SQ. FT. PAGE 1 FILL OUT SECTIONS 1 - 3 S� PAGE 2 FILL OUT SECTIONS I - 12 OW RWE PERmrr Q�� , y,[5^� _EST. BLDG. COST PER ROOM SEPTIC PERMIT NO. • 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 DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER OR A ORIZED AGENT FEE • PLANNING BOARD PERMIT GRANTED OWNER TEL.#. � .. 7�f'" �3 y CONTR.TEL.#�,3 7 O 19 0CONTR. LIC.#_Qltl i rf►� 1 F BOARD OF SELECTMEN �ja DEC 2 8INSP[CTOR BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILYI_ STORIES 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 8 INTERIOR FINISH - CONCRETE d t 2 13 CONCRETE BL K. PINE BRICK OR STONE PINEHARDW D —_ r PIERS PLASTER ti _ DRY WALL _ UNFIN. 3 BASEMENT I ,, AREA FULL FIN. B'M'T' AREA _ 1/1 1/1 l/. FIN. ATTIC AREA \ �. N_O 8 MT FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 Rooks CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE WOOD SHINGLES EARTH _ ASPHALT SIDING HARDN!✓'D ` ASBESTOS SIDING COMMON VERT. SIDING ASPH. TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON MASONRY ATTIC STRS. a FLOOR BRICK ON FRAME AM ' CONC. OR CINDER BLK. r�} STONE ON MASONRY WIRING N, }x ri i" �A1 STONE ON FRAME - --•M •-^'�> -^`^" ' ` '- µ SUPERIOR I—_IPOOR ADEQUATE NONE 5 ROOF 10 PLUMBING GABLE HIP BATH (3BATH (3 FIXE_ GAMBREL MANSARD TOILET RM. 12 FIX.) >� FLAT SHED WATER CLOSET ASPHALT SHINGLES LAVATORY ' WOOD SHINGES KITCHEN SINK SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER t 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 t WOOD RAFTERS AIR CONDITIONING , RADIANT H'T'G UNIT HEATERS 7 NO. OF ROOMS GAS OIL B'M'T2nd _ ELECTRIC 1st 13rd NO HEATING r s: FORM II - IDT RELEME FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/pests from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. **************/*y*�AAppllicant fills out this section***************** APPLICANT: Phone 7 . LOCATION: Assessor's Map Number Parcel _ 3 Subdivision Lot(s) ,� 1Q Street .S�2uj17 2�eakoveA A-� St. Number _ ************************Official Use Only************************ RECOMMENDATIONS OF TOWN AGENTS: Date Approved l7iG Conservation Administrator Date Rejected • Comments Date Approved xl2.3 Town Planner Date Rejected Comments Date Approved HealthAgentAgent11 r1 Date Rejected Comments-WK (�W V L. V Public Worcs sewer/water connections p driveway permit / Fire Department1 E'64, -lk-Ai Received by Building Inspector Date �} ----- �6 0 56 /I i l) ry) �1 LOT 23 ,E m'OD / co I N r M CD � � I _ _ l_r•s> G, 38CD 0,E CD U) e !J lbiA , �S 3 , Q 9 z 53'36 !°®I'S5�•W �• �`,�3 24 33� R=575 89" rEo IN IG :SE C r. F) CERT/F/ED FOUNDATION PLAN LOCATED /N - No. aNpPkr7R,MA: SCALE: DATE: t to q3 Scott L. G//es R.L.s. 50 Deer Meadow Rood o North Andover,Moss. LOT Z3 A, cliM t r 6q , 3S� BO tizs.0 ' )O� / CERTIFY THAT OFFSETS SHOWN ARE FOR THE USE ` THE OFFSETS OF THE BU/L DING/NSPEC TOR ONLY SHOWN COMPLY AND"SUCH USE/S FOR THE WITH THE ZONING DETERMINATION OFZONING BYLAWS OF CONFORMS r y OR NON-CONFORM/TY t _ 119, cxuER,M�. WHEN CONSTRUCTED. �`'�N BUIL T. ur e • NORTH Town � tt � 4� over of No. 573 r r A E o dower, Mass., . 2-... 19 COCHICKEWICK �ADRATED D`P�y� ,`� BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System L , B UILD ING INSPECT OR .00. . ....................THIS CERTIFIES THAT ... � .. .... . .. ........... Foundation has.permission to.erect Q ��j40.&Wtfuildings onj*. �f4$..4. VX�•••• Rough } p V1)/ ..�4d. ../Ci �''1�t.�. Chimney .o be occupied as provided that the person accepting this permit shall in every sped conform to the terms of a application on file in Final this office,and to the provisions of the Codes and By-Laws relating to the Inspection, Altera ion and Construction of Buildings in the Town of North Andover. *40 N AA ACY PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. REGULATED BY PARA 114.8,5. B.G. Rough PERMIT EXPIRES IN 6 MON S Final U F�PAID D 0' tJ U ELECTRICAL INSPECTOR UNLESS CONSTRUCTION S b,d PERMIT FOR FRAMUBUILDING 10..dig f&4 Rough M:."......... ............ Service BUILDING INSPECTOR 43 FEE PAI 3 `� Final DATE: Occupancy Permit Required to-Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — -Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner PLANNING FINAL CONSERVATION FINAL Street No. Smoke Det. SEWER/WATER FINAL 5'�p2 7-4 DRIVEWAY ENTRY PERMIT Towil III.1)IN A1.411 ALS I;I3.`"a J. NORTH L�..NICU`r �Lit N•nII► :�► L ►. � '.,• . � f:ON J:l(VATlON ISI\'Itil►IN I IF U i l 71(ili!i.17 • I I l ii\I:I'I II.I.ANNIN(i I LANNIN(; & (AMAIAWNITY UI;V1:1101'I111?N'I' I:.. HI:fd I I.P. Nl:l at )N. I )Il WC I OI t . . CHIMNEY APDL ICA f ION ANO I'EI;lIII l' ATE 1,ERNIT. # �� 3 OCAT ION -7.:�r Z�E- W—/ VNER'S NAME: L/,/, JILDER'S NAME: ' ' ' Q ISON'S NAME: SON'S ADDRESS: ISON'S TELEPHONE: JERIAL OF CHIMNEY: �J IFERIOR CHIMNEY: EXI ERIOR CHIMNLY:1-1 ll�iBER AND SIZE OF FLUES: ;�'V p AY/O? II CKNESS OF HEARTH:-* -- ',U chbiney an. ()-vtep.Cace con(laitm to Vie ite(iu.iJle►nerl.t:5 u() the curie and have -min arl(t ,gutatiou been hecvZved: ---E: .G .GNATURE OF MASON: " • :RMIT GRANTED: FEL: ;)S� c � )BERT NICETTA IILDING INSPECTOR SPECTEO: :MARKS: /Y/ SOLID BLOCK Itl-'QUlltl:l) THIS PERMIT I,IIISr GE OISPLAYEU ON IHE I'RLAUSES CERTIFICATE OF ISE & OCCUPANCY Town of North Andover • r Building Permit Number 573 (1992) Date JULY 22, 1993 THIS CERTIFIES THAT THE BUILDING LOCATED ON 679 SO. BRADFORD STREET (Lot #23A) MAY BE OCCUPIED AS SINGLE FAMILY DWELLING W/3 CAR GARAGE IN ACCORDANCE & OPEN DECK WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Mark Rae 321 Blue Ridge Road ADDRESS North Andover, MA +. "<ti ,ss"C""5� Buil ing Inspector n G NORTFI 'TL D No. vpj. 1 0 ory I over _..: 19 o� COCHI E dower, TVlass., I� ADRATED .p`P \ �C� �S L GG� 74 BOARD,OF HEALTH Food/Kitchen PERMIT T D Septic System .THIS CERTIFIES THAT4.4e....... `*r�.. �UILDI G �1� f3 SPECTOR .... . ... .. .................................................... ... dation has permission to erect$"#.�� . buildings on �.. ...... . . . ... �....... Rough -3 o7 to be occupied as.�`./l'.V.S.A..Ar.10&��1,141YAD.MAP" .. .�.�� i ` Chimney �l acce tin this permit shall fi eve respect conform to the arms of the app ication on file in provided that the personaccepting p every p Final �(° this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. o/�� sd Aw PL 4 G INSPECT Zoning r Building Regulations Voids this Permit. p � � 'VIOLATION of the oni g o g g �PARA. 114r8Sr 8��PERMIT EXPIRES IN 6 MONTHS3n; UNLESS CONSTRUCTION ELECTRI INSPECTOR Rough ^�- PERMIT FOR FRAME/BUILDING service BUILDING INSPECTOR / - Final} Date 3 FEE P 9tt44OPermit Required to Occupy Building �// P�i— QA$ INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove gh ilt �' 10A 7 i No Lathing or Dry Wall To Be Done T� Until Inspected and Approved by the Building Inspector`: `�j FIRED PARTME `TJ :�.�� . Burner /.." 1� ��(3 �a �- /�� ~ Street No. ill PLANNING X1 �""' FINAL �a 0 CONSERVATION ' FINAL )i I �� Smoke Det// � c��n►GQ i�n►oTGR'I/iS�� 6I�lA� <.�D7 .�8:2DRIVEWAY ENTRY PERMIT � %D —