HomeMy WebLinkAboutMiscellaneous - 132 BEAR HILL ROAD 4/30/2018 132 BEAR HILL ROAD
210/064.0-0092-0000.0
Crawford
CRAWFORD AND COMPANY
1001 SUMMIT BLVD
ATLANTA, GEORGIA 30319
RAY CALVETTI
830-734-0235
ray_calvefti@us.crawco.com
4/7/2015
Inspector of Buildings North Andover
1600 Osgood Street
North Andover, MA 01845
Re: Insured: BRIAN R. PASQUALE and CAITLIN J. PASQUALE
Claim Number: KAVK51
Policy Number: BGBNMJ
Our File: 6776-
Date of Loss: 1/9/2015
Type of Loss: Weight of Ice &Snow
Location of Loss: 132 BEAR HILL ROAD
NORTH ANDOVER, MA 01845
Insurance Company: Mapfre Insurance
To Whom It May Concern:
Claim has been made involving loss, damage, or destruction of the above captioned property,which may either
exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6,to be applicable.
If any notice under Massachusetts General Law, Chapter 139, Section 3B is appropriate, please direct it to the
attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number.
Very truly yours,
Ray Calvetti
Claim Representative
CC: Inspector of Buildings North Andover
Date . . ��.
"oRTM TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
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,SSACMUSE�
This certifies that .°�/. . ., . . \,.� -u�""' `.... .. . 7:--01
has permission to perform . .-. .`. .. .. . : . . . . . . . . .. . . . . . .
plumbing in the buildings of . 'j=%'-'`T': . . . . . . . . . . . . . . . . . . . . . .
at. fc?. . / �?- . .f, North 'Andover, Mass.
. . . . . . . . . . .
LU` M�N�IG.6N' SPECTOR
Check � P
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7600
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
Building Location�� �c" tit`!( /C Owners Name UeL B f E'<- Date ` ��v
Permit#---i24a
Amount _;Z.S-
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Type of Occupancy
New Renovation Replacement Plans Submitted Yes No
FIXTURES
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K&FESNE
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71H FLOM
(Print or type) ,p/ Check one: Certificate
Installing Company Name /� ,0- ��n 6(n s 1�t e_Gr�i�r Corp.
Address (!1- Partner.
t
usmess Telephone — FirnVCG.
} Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity Bond
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature 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 Pe
. P Permit Issued for this application will be in
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compliance with all pertinent provisions of the Massach ett a
P P p us, State Plumb Code and Chapter 142 of the General Laws.
By:
Signature.o icense uf'mT)er—
Type of Plumbing License
Title
City/Town � �"�
cense 114UMDer Master Journeyman F1APPROVED(OFFICE USE ONLY u
4217 OCL
If Date..////70.....
aj 4"1 TM 4,0,
Ot NO 0 TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
T.D
AcmUS
Et
This certifies that ......11.4x...tl), F S�o c.....Syj
................................. ..... .........................
has permission to perform ........'5':f.5z......... .................................
wiring in the building of....... ......0/ 44.q.12.H................
at,......1-3.. ..... North XAndd v7ass.
. . . .. ..............
Fee.....V�..'—40
Lic.No.533(............ ... ..................
Check # >
ELECTRICAL INSPECTOR
Commonwealth of Massachusetts Official Use only
Permit No. 7-
Department of Fire Services
Occupancy and Fee Checked
k4�.V�) BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 C siR 12.00
(PLEASE PRINT IN INK ORTYPE AAL INFORMATION) Date: Affia
City or Town of: , To the Inspe for of Wires:
By this application the undersigned rues n ce of his or r intentio o erform the electrical work described below.
Location(Street&Number) /
Owner or Tenant ` Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Installation of Security system
1
Completion o the followin table may be waived by the Inspector of Wires.
No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No.of TotalTransformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
Above In- o.o Emergency Lighting
No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Batte Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
o Detect>ton aad
No.of Switches No.of Gas Burners o. Initiatin Devices
No.of Ranges No.of Air Cond. Total No.of Alertin Devices
Tons g
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: I I Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal El Other
Connection
No.of Dryers Heating Appliances KW Security Systems:
No.of Devices or E uivalent
No.of Water KW No.o No.o Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
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 substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
CO (Expiration Date)
Estimated Value of lectrical Work: c (When required by municipal policy.)
Work to Start: l I Inspections to be requested in accordance with MEC Rule 10,and upon completion.
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Ser�AicasLIC.NO.:
Licensee: John S. Bassett Signature LIC.NO.: 1533C
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.- 603 594 5928
Address: Alt.Tel.No.:
OWNER'S INSURANCE WAIVER: I am aware that the Li see does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's a ent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $