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HomeMy WebLinkAboutMiscellaneous - 237 CARLTON LANE 4/30/2018 (2)I '1� MetLife Auto & Home® Homeowner Operations Field Claim Office Attention: Claims P.O. Box 6040 Scranton, PA 18505 (800)854-6011 April 9, 2015 North Andover Building Inspection 1600 Osgood St, Suite 2035 North Andover, MA 01845 Our Customer: Paul M. and Joline Mcgaunn Claim Number: JDF05868 4X Date of Loss: March 30, 2015 Dear North Andover Building Inspection: Pursuant to M.G.L. 139 § 313, please be advised that a property loss at the address referenced below has been estimated to have damage to the dwelling or other structures that will exceed one thousand dollars. Please let us know within ten (10) days if there is a pending or existing lien against the property as provided by M.G.L. 139 § 3B, or if there is an intent to initiate proceedings to perfect such a lien. Loss Location: 237 Carlton Ln, North Andover, MA Sincerely, Larry Branco - FLD Metropolitan Property and Casualty Insurance Company Senior Claim Adjuster (800) 854-6011 Ext. 7177 Fax: (866) 958-0736 Email: lbranco@metlife.com MetLife Auto & Home is a brand of Metropolitan Property and Casualty Insurance Company and its affiliates, Warwick, RI. MPL MA-REGDEPT Printed in U.S.A 0698 Date.? �✓.. a. � ....... / / TOWN OF NORTH ANDOVER • . PERMIT FOR GAS INSTALLATION This certifies that .... P., ):...Sl ►./:�!-%. �:. .. � . 1 4. �K .... has permission for gas installation ................... in the buildings of ...,/V -r- ..... .................... at ........ , North Andover, Mass. GAS INSPECTOR Check # / 7 7 3 5059 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations 7 Ctj�t n Permit # Ci 2s-- Owner's Name �� Amount $ New Renovation Replacement Plans Submitted 1 : MIWISAIJAM —iSAW IRK I IN I uuu���<� IST. FLOOR 1 1 -___------_- (Print or type)''rr— ``�y� 2 /�p� /j Name le' 1 / 5�(ChMone: Certificate Installing Company -��( C � � Corp. Address O d k FeJl''t—� 1/� G Partner. Business I a ep one 13441 34 inn/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ©____ If you have checked es please indicate the type coverage by checking the appropriate box. No� Liability insurance policy 011"_ Other type of indemnity 0 Bond 13 Owner's Insurance Waiver: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner 13 Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the s application will be in best of my knowledge and that all plumbing work apd installations performed under Permit Issued for thi compliance with all pertinent provisions of the Massachusetts Sr Gas�de and Fhapter 14�'of the Gens apel Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) ,.9 Si nature of Licensed Plumber Or Gas Fitter Plumber rp3 Gas Fitter License Number aster Journeyman W w OG O W F CYi z O O z z Cot F w V U x F a. > 1 : MIWISAIJAM —iSAW IRK I IN I uuu���<� IST. FLOOR 1 1 -___------_- (Print or type)''rr— ``�y� 2 /�p� /j Name le' 1 / 5�(ChMone: Certificate Installing Company -��( C � � Corp. Address O d k FeJl''t—� 1/� G Partner. Business I a ep one 13441 34 inn/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ©____ If you have checked es please indicate the type coverage by checking the appropriate box. No� Liability insurance policy 011"_ Other type of indemnity 0 Bond 13 Owner's Insurance Waiver: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Check one: Owner 13 Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the s application will be in best of my knowledge and that all plumbing work apd installations performed under Permit Issued for thi compliance with all pertinent provisions of the Massachusetts Sr Gas�de and Fhapter 14�'of the Gens apel Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) ,.9 Si nature of Licensed Plumber Or Gas Fitter Plumber rp3 Gas Fitter License Number aster Journeyman �C Date... .... .... ..... ... ........... 991 ��`e �p� TOWN OF NORTH ANDOVER PERMIT FOR WIRING 504 This certifies that ...... . . ....... ......t:..................... has permission to perform ............ ` t........ .......................................... wiring in the building of ................ ................................................ Qq LQ . at .......... I..�..1...............%�.....:fv`.......................... , North Andove, FeeM.S:.4J.. Lic.No. ......... .. ...... ......�' l j J ELECTRICAL INSPECTOO ! W C, 06/03/97 11:49 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer checx_# d(oi7 9 i ✓i 6�D1�,2 #� 1�37� 110auaoawtalt4 of Alazzac4ulattts '7`uNk Sq* BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Office Use Only permit No. Ottuyancy 6 Fre Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Elwrical Code, S2I CMR 12.00 (PLEASE PRINT IN INK OR TYPEALLIN/FOMJATK)" Oate %� 1/e/� O a -�% City Town of f 'T / 1(l Y i' .�.� The undersigned applies fa a permit 10 put#W0 j#pe eternal work diMd bebw To the Inspector of Wires Location (Street A Number) tom'+ --+— Owner or •Tenant Owner's Address C(1L�_/__/C Is this permit in conjunction with a bui prettier Yes U No' Ld'- (Check Appropriate Box) Purpose of Building i Utility Authorization. No. Fxistlng Service Q` Arnps aLc L2 +L Volts Overhead Cl Undgrd 9 No. of Meter New Service t.� / Vohs Overhead ❑ Undgrd ❑ No. of Meter Number of Feeders and Ampacity c2/r� �/ I ix anof and Nature Proposed Ekt!ctrical Work / ,Ae / � /' f� . � t�� � No. of t i htin Outlets No. of Hot Tubs TOTAL No. d Trans(urmen KVA No. of Lighting Fixtures Above In - SwimmingPool rnd. ❑ rnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergen—cy lig ting Ballery Units No. of Switch Outlets No. of Gas BurnerToU FIRE ALARMS No. of Zones--. No. of Ranges No. of Air Conditioners Tons' No. of Detection and Initiating Devices at Tot a ora No. of pisssals No. d Pum Tons KW No. of Sounding Devices No. of Sell Contained No. of Dishwasher e/Area Healing KW Detection/Sounding Devices Municipal local❑* Connection ❑Other No. of Dryers Hearin Devices KW No. of Water Heaters KW Signs Ballasts Low Voltage Wiring No. H deo Massae Tubs No. of Motor Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirenteta of Massachusttes General laws I have a current liability Insurance Policy including Canpleled Operations Coverage or its substantial equivalent. YES n NO f l I have submitted valid prop( of same to this uffice. YES U NO U If you have checked ES, please Indicant dw"of oowrage by chKking rite appropriate box. INSURANCE BOND ❑ OTHER❑ INee1e Sp@cifo Estimated Valw d Electrical Work i (Expiration Dam) Work to Start kwpeckn Dant Requested: Signed under die peukNt of perjury: . FIRM license Iiiddres Rough Final LIC. NO. LIC. NO. ZEE No. 1013 All. Tel. No. JWNER'S INSURANCE WAIVER: I am aware that rise licensee doer not have the insurance coverage or its substanti.l equivalent as required by Massachusetts :rneral laws, and drat my signature tut his parol application waives this requirement. Owner Agent (Please check one) (Signaure of Owner or AgtrW Tt>aspisOra g _ PERMIT FEE S