HomeMy WebLinkAboutMiscellaneous - 109 SULLIVAN STREET 4/30/2018 109 SULLIVAN STREET
210/107.8-0012-0000.0
Ccmmerce Insurance-
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The Commerce Insurance Company
�C Citation Insurance Ccmpanysm
Members of The Commerce Group,Inc."
CLAIMS DEPT. SM 11 Gore Road,Webster,Massachusetts 01570 (508)949-1500
www.Commerceinsurance.com
November 09, 2011
BUILDING COMMISSIONER or Board of Health or
INSPECTOR OF BUILDINGS Board of Selectmen
TOWN/CITY HALL Town/City Hall
N ANDOVER MA 01845
RE:. Our Insured: NANCY BOUCHER/SHELBY AIMS/PATRICK J MCNEIL
Property Address: 109 SULLIVAN STREET
Policy#: BDBKQJ
Date of Loss: 10/30/2011
Filek XYJ496-VVHR51
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.
I
JANE SMITH Telephone: (508)949-1500 Ext: 15163
Sr Claim Representative, Property Toll Free: 1-800-221-1605,Ext:15163
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.
November 09, 2011
CommGro Companies ....COME GROW WITH U3
CIC 254 (Rev.4/95) MAIL M48
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1 No ; ! 5 Date..............-'�.......�....
,aORTM
°t,"`°:•'"° TOWN OF NORTH ANDOVER
= p PERMIT FOR WIRING
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This certifies that]
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has permission to perform ....: . ' r--��%
.........:...:.........................................
wiring in the building of.... 7'y''— :. ... . ::. .............................
at Z� ... ...._. a- ._4 �Cry....
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.....:�............................/�.��............�North Andover,Mass.
Fee..�`..�...^.......... Lic.No.F—L ...` ... /f.....................................
—�ELECrRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
111L/WLIILILVLTFFL AL4111V1 LIfl J1.Jr.XivliV►lL/1 l✓ --
DEPARTAfiMOFPUBUCSAF= Permit No.
BOARD OFFIREPREVEWONRWUlATIOASS270M 12.0 �y
Occupancy&Fees Checked
FAPPUCATTONFOR PETZIVIIT TO PEUORMEZE=CAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below. }
Location(Street&Number)
Owner or Tenant '
Owner-'s Address
Is this permit in conjunction with a building permit: Yes M No (Check Appropriate Box)
' Purpose of Building16i�- Utility Authorization No.
Existing Service ` ,c�� Amps /�o Volts Overhead P71 Underground No.of Meters
New Service Amps Volts Overhead Underground No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Worts L
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool AboveBelow Generators KVA
ground ci ground
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
No.of Disposals No.of Heat Total Total No.of Detection and
Pumps Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
9 No.of Self Contained
Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal Other'
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP it 5
OTHER-
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IhmaarrtrtLnb&yhslr&=Pbficmdr&ngCbn#A1e CoYtaWcr9s%*9m alecgdvvtlat YES NO
ItMesthniuedNd dptocf'of=Wl0the0�YES NO Ifjouha%ed-edWYES,pimeidttie fwmaWbydwckirgthe
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INSURANCE BOND OTHEREViaticn(PleaseSpecdy)
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Estimated Valueoffiketrical Wak$
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OWNER'SRgKJRANCEWAIVFR;lam awaðatthelioesedoesmt I�thei&u�aneao►�rageorAsst lecgrivala>rastec�madbyM�r�GareralLaws
andivtmy onttuspem>gappkafimv4 iAS#ism*Mncnt
(Please check one) Owner ED Agent Q � ,
Telephone No. PERMIT FEE$ ''� .