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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 s i ,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 ��h�1 � � 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- `� Type of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES Ur F rA U W C rn �. x o. O a ❑ x .a K&FESNE BAs» lsr.Rfm MKOM M RaR RDM sM H-OCR 61HHjOM - 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 c . . PP 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: $