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HomeMy WebLinkAboutMiscellaneous - 326 CANDLESTICK ROAD 4/30/2018 (2)Cunningham Lindsey U.S., Inc. P.O. Box 703689 Dallas, TX 75370-3689 Telephone (888) 738-8714 Facsimile (214) 488-6766 CLCAT@CL-NA.COM *****.***********.*****AUTO**3-DIGIT 018 755 T3 P1 95000058945 Building Commissioner or Inspector of Buildings 120 MAIN STREET N ANDOVER, MA 01845 Cunnin ham �% Lindsey Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 3B 3076494 3076494 00 MERRIMACK MUTUAL FIRE INS ICE DAM 2/19/2015 DAVID CRUCIOLI 326 CANDLESTICK RD 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 36 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 313. 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. Claim Number: Policy Number: Company Name: LO Cause of Loss: co g Date of Loss: Insured: 0 Property Location: Cunnin ham �% Lindsey Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS Ch. 139, Sec 3B 3076494 3076494 00 MERRIMACK MUTUAL FIRE INS ICE DAM 2/19/2015 DAVID CRUCIOLI 326 CANDLESTICK RD 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 36 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 313. 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 N2 1922 Date ....../d ..... /V/,� / TOWN OF NORTH ANDOVER PERMIT FOR WIRING r - This certifies that .....Eel. ...... 'I .................................... has permission to perform .......... AMI .... .................... wiring in the building of ..... Avwmo .. t-1 ........ / .................................... cCr q At's 6C, -A AK-� at ......... 3.AA� .................................... . ........... orth,�4�0 v S. Fee...,? Lic. No. � j� .......... ...... ........ // ELEcrRicAL INsP'ECTOR tt 10/12/9912:26 35-00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ,� �!11�P LIIriiritIIlilUPttl� Qf FI�,�ttt�1l�Pf�� i9pal:'tment of PubliL—Aafell 7 BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 rI Office Use Only cy Gj Permit No. / O` Occupancy & Fee Checked 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMAT ON) Date /O — e % % City or Town of /1-7 Z/ %dG &91— A//1 To. the Inspector of Wires: The udersigned applies for a permit to perform the electrical work describedFE0 oop . , Location (Street & Number) —2-C rfo Owner or Tenant _rd7 f�0/,0,W1a1C1 r•r t•i Owner's Address e— _ I—_ Is this permit in conjunction with a building permit: Yes [Fr No ❑ (Check Appropriate Box) Purpose of Building Existing Service Amps �. New Service Amps /. Utility Authorization No, Volts Overhead ❑ Undgrnd ❑ Volts Overhead ❑ Undgrnd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- ❑ grnd. grnd. Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and No. of Ranges No. of Air Cond. Total tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices KW Local[]Municipal ❑ Other Connection No. of No. of Low Voltage Ilb. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES �NO El have submitted valid proof of same to the Office. YES 2 NO ❑ If you have checked YES, please indicate the type of coverage by checking the appro gate box. INSURANCE Or BOND ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work Work $ Work to Start �O �� 7Inspection Date Requested: Rough /10 - .2 - % 9 Final w e � LG o G/ Signed under the Penalties f perjury: _/ FIRM NAME �t�r. G ' ��/�/G y�� LIC. NO.'1OZSJ Licensee ShG Signature ��'-� LIC. NO. Bus. Tel. No. Address �d ��� �EIf7L�iGY�h d! Yc/ Alt. Tel. No. OWNER'S INSUR NCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) � Telephone No. PERMIT FEE $ l (Signature of Owner or Agent) M Date .....5 . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION p /i J Tltis certifies that .. ...1 . u-.^ . `"` .................... . has permission for gas' installation ........... in the buildings of .,. ...... - ................... . at ........ North Andover Mass. Fee??. �... Lic. No.........f�; 'r . '..... . C ` / . _.. GAS INSPETO di WHITE: Applicant CANARY:/.Building Dept. PINK: Treasurer ✓IASSACHUSETTS UNIFORM APPLICATO[N FOR PERMIT TO DO GAS FITTING or print) Date E 11 IvvtcTH AIN""V11 MASSACHUSETTS Building Locations 3--; G e, ► *100 " q Owner's Name New a Renovation ❑ Replacement ❑1 - P ns Submitted ❑ Permit 9 3 Amount S WrXA-AJ (Print or typ� Check one: Certificate Installing Company Name ❑ Corp. Address xSt— ❑ Partner. Business TeleofiorfZ ❑ Firm/Co. r Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No EE[-' Ifyou have checked yes, please indicate the type coverage by checking the appropriate box. Liabiliry insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owners Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the f Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: �:ignature of Owner or Owner's Agent Owner ❑ Agent ❑ I herebv 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 installatio ormed under Permit lssu " this application will be in compliance with all pertinent provisions of the Massachuse tate ase and a er 1 _ o e General Laws. City/Town APPROVED (oFFIC1: USE ONLY) ature of Licensed Plumber Or Gas Fitter Plumber J a0 I ❑ Gas Fitter icense INumoer Mase oumeyman N° 1 721 Date ....4�/..l..e ... �.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ....... 4:1....................1.....,.....,........................... has permission to perform ....0 e.. f? 4 .:..:... wiring in the building of ... � AR.:..... .C1. � .� a ...................................... at .. ��. .�r....�r..�:� .. � :f ...... �..... , North Andover,.Mass. �,. �� d� JAU? Fee.......... .... Lic. No ....... ........... ,.�x:�^r. w.,r..............:Y...�� '' ELECTRICAL INSPECTOR ' C �( 4 i�15/99'���� 14:43 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer PAID ThFC0M110A WE4LTHOFMASSACKUSEM o DEPARTALEW OFPUBLICSAFETY OFFIREPREVENI70NREGUTA7IOA S527CMR 12:00 xq Office Use only Pemtit No. 1 Occupancy & Fees Checked GST PERAff TO PEUO M ELECTRICAL WORK ALLACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) <_} d !rr" Owner or Tenant M D_ D A, I M 4.J Owner's Address Is this permit in conjunction with a building permit: Yes No ® (Check Appropriate Box) Purpose ofBuilding s_1� Afy l SN) 1/.Lr N(, Utility Authorization No. Existing Service Amps / Volts Overhead Underground M No. of Meters New Service Amps / Volts Overhead ® Underground No. of Meters+� Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ! Ao7- -t-�- ,� P S �_�_I� t 4 -in M ells 1 34'U I T( e -Y1 -S No. ff Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA NQ. of Lighting Fixtures Swimming Pool Above Below Generators KVA and El ground 17 No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW a Connections F7 No. of Water Heaters KW No. of No. of Signs Bailasis No. ' ydro Massage Tubs No. of Motors Total HP OTHER - .{{ •• cr ro I r •' I• - • i{ry• . • ::: •:•1 Estinied ValuecfBxbd Woik $ Rath Tirol �n V Bush) Tel Na Arirircr �I` L L L� ItU `� � V / AIt Tel.Na 7 $t ` oz:, % OWNER'SMJRANCSWAN)R,IanawmtbldrLao=dnes theazstraneoae cress r>:rale ala�ta5te zc}byM lam andfiatmysigubjea i d%pwnkTpfica6m%MiAS djs tawff'arnt (Please check one) Owner ® Agent El Telephone No. PERMIT FEE $, Location 4� No. /� %i Date �ORT� TOWN OF NORTH ANDOVER 40, O:`an ,a,1•G . ' p Certificate of Occupancy $ '3/ :5z 41 i • # Building/Frame Permit Fee $ sic usEFoundation Permit Fee $ 4� R 12 L Other Permit Fee $ RE�E��E® PAW4@qponnection Fee $ Water Connection Fee $ 3 -,3/- 3 APR 2 �CMTAL $ 11-04,VV NO. Andover qo^i.' eCfor3 wilding Inspector 5 . r Div. Public Works i /_arson No. �'p Date 3 36 2 - TOWN TOWN OF NORTH ANDOVER Certificate of Occupancy $ �� 00 Afj�j�►g/Frame Permit Fee $ 'Foundation Permit Fee $ /00,00 i;Qther Permit Fee $ Sewer Connection Fee $ N0. Andover C tOrConriection Fee $ TOTAL $ % Building Inspector Div. Public Works Lo Location 5 Z (, 12z"Ilck— No. 0 0 Date i TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ ,gOther Permit Fee p" SdtNnnection Fee QpWater Connection Fee �Q end T�TAL °VerCollector A �5v73) t $ A - /n #771((�� `Builling Inspector �,(� 4,%� W -11,I V Div. Public Works Ir! •� J ] l7 W u W 6 m Z Z Z W O Z ] m O W � N J � m p p~ i m W 19 O oZ K uu MIt < N 0 N 0 W ,m. 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LJ _` , C.� r t r `1,�� �v �1 �.; � `' SUBDIVISION ASSESSORS MAP FORDS U TOWN OF NORTH ANDOVER LOT RELEASE FORM v-c-rr.A-v &IHc- SUBDIVISION LOT(S) /0 ;' �z PERMANENT ADDRESS (ASSIGNED BY D.P.W. STREET, /'jA/!> Ze-X, 7&1r L111�6r APPLICANT /j, /�f• �; �O�—a2T/�c3 PHONE DATE OF APPLICATION PLANNING BOARD T CONSERVATION COMMISSION � .. �v--c CONSERVATION ADMIN. TOWN USE BELOW THIS LINE DATE APPROVED-�� DATE REJECTED DATE APPROVED DATE REJECTED BOARD OF HEALTH DEPARTMENT OF PUBLIC WORKS DRIVEWAY PERMIT -SEWER�WATER CONNECTIOV RECEIVED BY BUILDING INSPECTION a Rv DATE APPROVED DATE REJECTED This form shall be signed by the agents of the Planning and Health Boards, the Conservation Commission prior to the issuance of any building permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. A r m ON12MM fl. 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