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Home My WebLink AboutMiscellaneous - 26 ALCOTT WAY 4/30/2018Cunningham Lindsey U.S., Inc. P.O. Box 703689 Cunnin ham Dallas, 75370-3689 Lindsey Telephonene (888) 738-8714 Facsimile (214) 488-6766 CLCAT@CL-NA.COM Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 3B Building Commissioner or Inspector of Buildings 1600 Osgood Street, Building 20, Suite 2035. North Andover,MA 01845 Claim Number: 26S4651 Policy Number: 265465103 Company Name: MERRIMACK MUTUAL FIRE INSURANCE CO Date of Loss: 02/28/2015 Insured: PETER NAWFEL Property Location: 26 ALCOTT WAY, NORTH ANDOVER, MA 01845 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. Section 3B. No insurer shall pay any claims (1) covering the loss, damage, or destructions to a building or other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. 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. Cunningham Lindsey Catastrophe Department cicat@cl-na.com 800-867-3885 4130 Date.. /AA4 NORTI{ 3=°;,„`'.°.;•�"°0� TOWN OF NORTH ANDOVER PERMIT FOR WIRING 'ISA us f/C This certifies that ..........! .................. /_ ...................J................................ has permission to perform .... r . f . wiring in the building of ........................ at ......�............ ...� f. !...... -,j �' _ 6)()�f /7 Fee..................... Lic. No.............. .... 1-3 7K Check # . : f \ Cf l I ............''...n.......................................... , ',C P-*t((c i ........................................................... .............. . ortndoveh Aerr-MMo� .......... .........��..:.......... LECTRICAL INSPECTOR Commonwealth of Massachusetts official Use only Department of Fire Services Permit no.Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (leaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10/3/2002 City or Town of. N Andover To the Jn ect re o{{W, ire By this application the undersigned gives notice of his or her intention to perform electricalwor- describe bi elow. Location (Street & Number) 26 Alcott Way Owner or Tenant Kathrine Pirri Owner's Address 26 Alcott Way N Andover MA 01845 Is this permit in conjunction with a building permit? Purpose of Building home Telephone No. 1-978-681-1952 Yes ❑ No ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Overhead Undgrd New Service Amps / Overhead Undgrd Number of Feeders and Ampacity No of Meters No of Meters Location and Nature of Proposed Electrical Work: ran a cable line, instlled outlet in hallway, installed customer No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above In- find. ❑ ❑ No. of Emerg�ency Lighting Batter Unifs No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. o asurners No. of Detection and Initiatin2 Devices No. of Ranges _ No of Air Cond. No of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No. of Self -Contained r Totals: Detection/AlertingDevices o. of Dishwashers- Space rea ReaungKwoca Municipal Other Connection ❑ o. of Dryers Heating pp icances KW Security Systems: No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices of Equivalent No. of Hydromassage Bathtubs No of Motors Telecommunications Wiring : Total HP No. of Devices of Equivalent OTHER: INSURANCE COVERAGE: Unless waived b the owner, no ermit forts eager` o°"rniance i e ire , or s re fired b theIn ugpec r o ares. y p €ii p ` c�{te�elica9 wcir'Ic Ma issue unf°essrt ie 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:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 10/3/2002 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 Expert Electrical Services, Inc. LIC. NO.: 17222A Licensee: Stephen Decker Signature _ L1C. NO.: 1-800-418-3221 (If applicable enter "exempt" in the license number line) Bus. Tel. No.: Address: 44 Stedman St, Unit 2, Lowell, MA 01851 Alt. Tel. No: OWNER'S INSURANCE WAIVER: I am aware that the Licensee 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) ❑ownerDwner's agent. Owner/Agent 25.00