HomeMy WebLinkAboutMiscellaneous - 32 ELMWOOD STREET 4/30/2018 32 ELMWOOD STREET
2101006.8-0000.0
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Safety Insurance
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
To: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectman
City Hall City Hall
N ANDOVER, MA 001845- N ANDOVER,MA 001845-
RE: Insured: VITO NAPOLITANO
Property Address: 32 ELMWOOD ST,N ANDOVER, MA
Policy Number: HMA 0289154
Claim Number: BOS00045739
Date of Loss: 10/23/2014
Company: Safety Indemnity Insurance Company
Claim has been made involving loss, damage or destruction of the above-captioned property,
which may either exceed $1,000.00 or cause Mass. Gen. Laws, Chapter 143, Section 6 to be
applicable. If any notice under Mass. Gen. 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 number.
Lisa Monette Claim Examiner 10/24/2014
Safety Insurance Company
Homeowners Claims Unit
P. 0. Box 55098
Boston, MA 02205-5098
Phone: (857)233-8618
Fax: (617) 535=5833
Email: lisamonette@safetyinsurance.com
❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the
Permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed
on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an
electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the
notification of completion of the work as required in M.G.L.c.143,§3L.
Permits shall-be limited as to the time of.ongoing construction activity,and may be.deemed.by-the.Inspector-of-Wires abandoned-and.im-alid-if he—. ._
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written
application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written
request of either the owner or the installing entity stated on the permit application.
The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of
the Acts of 2012.The purpose of this act is to promote job growth and long-ter
m economic recovery and the Permit Extension Act furthers this
puipose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With
limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was
"in effect or existence"during the qualifying period beginning on August 15,2008 and extending'through August 15,2012.
t
e8—Permit/Date Closed: —f Z;) *"Note:Reapply for new per
mit Extension Act—Permit/Date Closed:.•lZ--/y
Date
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..................................
NORTHof e 4,0
feTOWN OF NORTH ANDOVER
3g e� 0
0
PERMIT FOR WIRING
SS CHUS
This certifies that
....................
.....................................
v
has permission to perform ..... ....................
.................
wiring in the building
. ... ........ . ...... ..............................
at-.3,2 ...................................,North Andover,Mass.
Fee/V.9.7......... Lic.No.............. ..................................... ......... .. .
ELECTRICAL ISI
PE
Check #
605
Commonwealth of Massachusetts
0.
Department of Fire Services Pvt
Occupanc\ mid Fee Checked
7Y
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 05]
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
,\I[ 4ork to lie rcrt'ormed III accordance koil,tile\h,,,,adILISCItS Flect"ical Code(VEC). 527 CAIR 12.00
tPLE.ISE PRIA T A INK OR TYPE,ILL 1AFOR.If I TIO,\,-,, Date: 57-7?C—o C
City or Town of: Amabo- /-- To rhe! 117NIV001'01 Wil'('A.'
By this ;Ipplilalion the klndersi-nc(f,Ives notice ot'his Or her 1111CIIIII011 to Pfft'01-111 the electrical 4%ork described below.
Location(Street& Number)
Owner or Tenant ®1t e4" *,e Telephone No. fT 64
Owner's Address 3d' C-1A LJ odd
Is this permit in conjunction with a building permit? Yes ❑ No Kl-- (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 1,0d ARIPS 12� /K! Volts Overheadc� Undgrd F❑ No. of Meters
New Service 10b Amps 00 /09C/6 Volts Overhead F71, UndgrdF-1 No. of Meters
I 121--Ij
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
CrLt
pill, MCAbe it Lill 1.11;w
L
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot rubs Generators KVA
No. I-iialinaires Swimming Pool Above ❑ No.of Emergency Lighting
grnd. ❑
Batter v Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS* No.o-f Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiatine Devices
No.of Ranges No.of Air Cond. Total I:No.of Alerting Devices
Tons
Number Tons
No.of Waste Disposers "eat Pump Nu. . . .. . 1 . 1 KW.. No.ofSelf-ContainedTotals: Detection/A lerting Devices
No.of Dishwashers Space/Area Heating KW j Local[] lvlunicipal ❑ Other
--....,Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Water No. of No.of No.of Devices or Equivalent
Heaters KW Signs BallastData Wiring:
Ballasts
No.of Devices or Equivalent
No. Hydromassage Bathtubs No.of Motors Total I-IV I clecommunications Wiring:
No.ul'Devices or EquiNalent
OTHER:
F.,-tirnatvd Value of lectrical Work: 0,k hen required by municipal policy.)
Work to Mart: ln:;pections to be rcqLICStCd in accordance with NIEC Rolle 10, and upon completion.
INSURANCE ERAGE: (. lilcis waked by the owner. 110 permit for the perl'onnance of electrical work may i'-AIC tilliu-,
the licensee prey ides proof of liability insurance includim-, -'0IlIpIctt:d operation"(:over.v.,e or its
1:11oler:;I! lied('cl-tiric" tllat,;(Icll cmcral-,e 1:- III h:1"C']Iihitcd proof ct!:,IrIC Ic the rul-Illit i. Mice.
Ill..'CKONL. iiNSI R.1\0- [] 11( 'm)
I-] Isrccil'y:)
wrfjt,, index 1I pe! jol:)" .;n,ifis IpplicaChill 18 09'11."d C-1)
c4ep/-&—c
Lictilsee: )"111.,itare
. TJ.. No.: QA-15VjAddress: 3-
:SCCUrity Se,ton Contractor Licence ro:LILIII-Cd tor this %',urk; il'applicable,cntci ;he IiCLAIsC IILIIIlbVI-110V
OWNER'S INSURANCE INAIVER: I III,., nvt havc the liability iIlAII-;IIICQ
lquired by IMV. 1.3"111y bcluvv. I larch" WLIiVC this, I'LAILlil-Olkilt. I rlll the(-licek one) (-Mftr", -P-11'.!nt.
Owner/Agent
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1y ystateGas
A NiSource Company
May 22, 2006
Domenic Napolitano Account Number: 3873520071
32 Elmwood St
North Andover, MA 01845
Dear Domenic Napolitano:
This follow-up letter is to inform you that your gas Water Heater located at 32 Elmwood St has been
tagged due to a violation of state safety regulations. It is unsafe to use until the following condition
has been corrected.
Lock due to flood
The Masachusetts code pertaining to the installation of gas appliances and gas piping, established
under Chapter 737 Acts of 1960,requires that the condition be remedied.
If you have questions or would like to discuss this issue, please call 978-687-1105 and ask for the
Service supervisor.
Please disregard this notice if the condition has been corrected.
Sincerely,
Y
Service or Meter Department
Bay State Gas Company
CRR: CRR#
CAdsupdatedlegr 36 05/22/06
arston Street P.O. Box 869 Lawrence, MA 01841-2312 978-687-1105 Fax: 978-688-1875