HomeMy WebLinkAboutMiscellaneous - 209 JOHNSON STREET 4/30/2018 (2)AMERICAN CLAIMS SERVICE
MULTI -LINE ADJUSTERS
BUILDING INSPECTOR/COMMISSIONER,
BOARD OF HEALTH AND/OR
BOARD OF SELECTMAN
Building Inspector
Town of North Andover
1600 Osgood Street
Building 20, Suite 2035
North Andover, MA 01845
INSURED:
Corey & Christine Fritts
ADDRESS:
209 Johnson Street North Andover
POLICY:
PHOO100884582
LOSS DATE:
02/11/2015
LOSS TYPE;
Ice Dam
ACS FILE:
31108 CG
Claim has been made involving loss, damage or destruction of the above -captioned
property, which may either exceed $1,000.00 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 the attention of the
writer and include a reference to the captioned insured, location, policy number, date of
loss and claim file number.
Craig Gillespie
Claims Representative
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.
Unless we hear from you within the next 10 days, we will not be obligated to pay any
portion of this claim to you.
Date 02/11/2015
7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940
TELEPHONE (781) 245-9516 / FAX (781) 245-1077
E-MAIL — claims.acs@verizon.net
North Andover Board of Assessors Public Access
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Page 1 of 1
North Andover Board of Assessors
property Record Card
in: 209 JOHNSON STREET
Name: U.S BANK NATIONAL
Address:
City: State: Zip:
Neighborhood: 7 - 7 Land Area: 1.27 acres
Use Code: 101-SNGL-FAM-RES Total Finished Area: 2689 sqft
ASSESSMENTS CURRENT YEAR PREVIOUS YEAR
Total Value: 457,600 457,600
Building Value: 229,900 229,900
Land Value: 227,700 227,700
Market Land Value: 227,700
Chanter Land Value:
http://csc-ma.us/PROPAPP/display.do?linkld=1893657&town=NandoverPubAcc 10/9/2012
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N° 5 5 U Date......' �..... /...........
O`
,t,ppL TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
This certifies that* - L- ` `
................................ ``................................
has permission to perform ...... ..� !.... .� > r 6.; Z-
............
wiring in the building of `i-j�` ` �' � ` ` '
....................................................................................
at G
J ..................... A.!`'` I O "� ............. . North Andover, Mass.
Fel /�: - Lic. No. l -, )�4 ��� ........ ' ..r......................
- G� ELECTRICAL INSPECTOR
Check # � __1"�
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
i
_ COmmonw* e'& o/, adeacinueel OfFcial Usc Only
�t-- c� Permit No. tj 31/
eL.leParfinenl. ol.}cc77 ire �erviced
61-01
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 11,99] ttewr ht�„t•.
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All wurk to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CNIR 12.00
(PLE:1 SC PRINT IN INK OR TYPE ,,ILL INFOR L-17YON) ll jte:��e- , / '� de
City or Town of: Po /);v o d v- t� To the Inshectot• of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) y J ®�A ;jry N
Owner or Tenant N Pao /j Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No l— (Check. Appropriate Box)
Purpose of Building OW -4, n rf Utility Authorization No.
Existing Service Amps 1 1101ts Overhead ❑ Undgrd ❑
Ne:v Service Anips / Volts Overhead ❑ Undt, ❑
Number of Feeders and Anipacity
Location and Nature of Proposed Electrical Work:
No. of Meters
No. of itileters
tSem•;2 _ L• J Q�uOt Aidte
(•loon tenon nI'tbo rnll....d.... ,,.r.r
No, of Recessed Fixtures
---- •---.-..
No. of Ceil.-Susp. (Paddle) Fans
"my oe n-arvea as tae ins ccior-ot (vires.
tNo. of Total
Transformers KVA
No. of Lighting Outlets
No. of I -lot Tubs
Generators KVA
No.
No, of Lighting Fixtures
Swimming Pool o bove ❑ In ❑
rttd. Rrnd.
t o. o mergency i -
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARtbISNo.
of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
NAlerting of Alerting Devices
No. of Waste Disposers
Heat Yump
Totals:
Number "Tons ....
—�--
K1V
--�-
No. of Self -Contained
DetectioulAlerting Devices
No. of Dishivashers
Space/Area Heating KWLocal
❑ tMunicipaI El Other
Connection
No. of Dryers
No. of Nater KWNo.
Beaters
Heating Appliances K11'
of No. of
Signs Ballasts
Security Systems:
No. of Devices or Equivalent
Data ►firing:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of illotors Total HP
Telecommunications Wiling: .
No. of Devices or Equi
OTHER:
.4itacn addltionai detail if desired, or as required by the Inspector of ;Vires.
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 PT BOND ❑ OTHER ❑ (Specify:)
Estimated Value of Electrical Work:' (When required by municipal policy.) (Expiration Date)
Work to Start: 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 trrie and complete.
FIRAI NAME: Buddy Electric Inc LIC NO : 12017_A
Licensee: VjrCen.t B. Landers JR_ Signatut' L1C.NO. 23684 E
(If applicable, enter "aw—P, " in the license rtruuber line.) Bus. Tel. No.: — 4 4 5
Address: 24 C;olL7ate lir 1L A-ndQ tPr9 Nfa C)1R45 Alt. Tel. No.:
OWNER'S INSURArCE 1VAIVER:. I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By rtty signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's ager t.
Owner/Agent
Signature "Telephone No. Pi?Rt31I7 TEE: I�