HomeMy WebLinkAboutMiscellaneous - 350 GREENE STREET 4/30/2018 (6)m
Cac
SM
CLAIMS DEPT.
August 02, 2012
Ccmmerce Insurances -
The Commerce Insurance CompanySM
Citation Insurance CompanySM
Members of The Commerce Group, Inc. -
11 Gore Road, Webster, Massachusetts 01570 (508) 949-1500
www.Commerceinsurance.com
BUILDING COMMISSIONER or
INSPECTOR OF BUILDINGS
TOWN/CITY HALL
N ANDOVER MA 01845
RE: Our Insured: MOIIRA PROUT KELLEHER
1P_ roperty,Ad'dres - 350 -GREENS ST 405
Policyk BBHZML
Date of Loss: 08/01/2012
Filek CCJY73-WYXP86
Board of Health or
Board of Selectmen
Town/City Hall
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
ANGELA YURKEVICIUS Telephone: (508)949-1500 Ext: 15371
Claim Representative I, Property Toll Free: 1-800-221-1605, Ext: 15371
On this date, I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail.
August 02, 2012
CcmmGrc Companies .... COME GROW WITH US
CIC 254 (Rev. 4/95) MAIL L96
a
Safety Insurance
W
Form of Notice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. '139, Sec. 3B
To: Building Commissioner or
Inspector of Buildings
City Hall
N ANDOVER, MA 01845
RE: " 'Insured:
Property Address:
Policy Number:
Claim Number:
Date of Loss:
Company:
Board of Health or
Board of Selectman
City Hall
N ANDOVER, MA 01845
RAL;PWDELLATTO and CAROL DELLATW - _._
RIVERBEND CROSS 350 GREEN ST, N ANDOVER, MA
HMA 0119796
BOS00039438
9/20/2013
Safety 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.
Allan Leavitt Claim Examiner 9/24/2013
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098
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
NORTH ANDOVER, MA 01845 NORTH ANDOVER, MA 01845
RE: Insured:
Property Address:
Policy Number:
Claim Number:
Date of Loss:
Company:
ALBA FUNARI - �, _ - ..._ . _ _
350 GREENE STREET, UNIT 208, NORTH ANDOVER, MA
HMA 0354587
BOS00046863
12/21/2014
Safety 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. Warty 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 12/30/2014
Safety Insurance Company
Homeowners Claims Unit
P. O. Box 55098
Boston, MA 02205-5098
Phone: (857) 233-8618
Fax: (617)535-5833
Email: li samonette@safetyinsurance. c6m
® MAPFRE The Commerce Insurance Companysm
Citation Insurance Companyw
Commerce 11 Gore Road, Webster, Massachusetts 01570
508.949.1500 www.commerceinsurance.com
INSURANCE -
May
NSURANCE-
May 20, 2014
BUILDING COMMISSIONER or
INSPECTOR OF BUILDINGS
TOWN/CITY HALL
NORTH ANDOVER MA 01845
RE: Our Insured: LINDA VOTO
Property Address: 350 GREENE ST., UNIT 205
Policy#: BDZJSZ
Date of Loss: 05/17/2014
File#: JAVH45-CRXAV8
Board of Health or
Board of Selectmen
Town/City Hall
Claim has been made involving loss, damage, or destruction of the above captioned
property which may exceed $1,000, 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 my attention. Please reference the above captioned insured, location,
policy number, date of loss, and file number on any correspondence.
DIANE LECLAIR Telephone: (508)949-1500 Ext: 15004
Sr Claim Representative, Property Toll Free: 1-800-221-1605, Ext: 15004
On this. date, I cause copies of this notice to be sent to the persons indicated above, at the
address above, by first class mail.
May 20, 2014
WATER DAMAGE FROM REFRIGERATOR LINE TO CONDO UNIT.
CIC 254 (Rev. 4/95) MAIL C78
y �
097 �.
alum
of �.SSachusetts
A NiSource Company
995 Belmont Street
Brockton, MA 02301
November 29, 2013
Ms. Nancy Abel
350 Green Street, #104
North Andover, MA 01845
Dear Ms. Abel:
During a recent visit, our service technician detected a safety problem with your gas
heating system located at 350 Green St., #104 — North Andover, MA 01845 — house heater
making carbon monoxide. Accordingly, we have issued a Warning Tag because of this
situation.
Under the circumstances, we strongly urge you to correct the code violation. In addition,,
the Massachusetts 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 any question, please call our Service Department at 1-800-677=5052 and ask to
speak with the Service Supervisor.
Please disregard this notice if the condition has been corrected.
Sincerely,
Customer Service Department.
Columbia Gas of Massachusetts
�ae7Y-UL /Ony- 1110A.
Z -1q 71 '� 7
e✓ I /1 --1--e' �.c.— LC4 /2 G/3
"),Ie
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
Thiscertifies that ............................................................................................................
has permission to perform
............................................................................................
of ..... 0 t.,j 0
wiring in the building ...................................................................................................
a-� . .....
t . .................... ...... .............................................................. North Andover, Mass.
Fee
............
.......... ....... Lic. No.9..
.............. 'ELECTRICAL INSPECTOR
''--',--
Check # 2-1
1879
.f
t
Cotnmonwea& of Massacfutsetb Official Use Only
Permit No.
r� 97 9
e1JeParfinenE o�._i'ire �ervices
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev, 1/071 (leave blank)
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: 9/24/2013
City or Town of: NORTH ANDOVER To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) 350 GREENE STREET UNIT 102
OwnerorTenant RIVERBEND CONDOMINIUMS TelephoneNo.978 683-4101
Owner's Address C/O PROPERTY MANAGEMENT OF ANDOVER P.O. BOX 488 ANDOVER, MA 01810
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: ELECTRICAL REPAIRS DUE TO WATER DAMAGE FROM WATER
SPRINKLER
Completion of the following table naav be ivaived by the Inspector of Wires.
No. of . ecessfd LuminairesNo.
of Ceil.-Susp. (Paddle) Fans
of
TransTotal
Trsformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In- ❑
rnd. rnd.
0.0Emergency Lighting
Batter Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. Detection and
No. of Switches
No. of Gas Burners
Initiatin Devices
No. of Ran es
g
No. of Air Cond. Total
Tons
No. of Alerting Devices
Heat Pump Number.
Tons
KW
No. of Self -Contained
No. of Waste Disposers
p
Totals: ...................................................
Detection/Alerting Devices
No. of Dishwashers
S ace/Area Heating KW
p g
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
SecNo. Systems:*
or Equivalent
No. of Water KW
No. of No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or E uivalevt
OTHER:
Attach additional detail if desired, or as required by the Inspeclor of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
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 Q BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties of perjury, that the information on this application is true and complete.
FIRM NAME: Crowe & Sons Electrical Corp.- N LIC. NO.: 17168A
=a
Licensee:
t'J
Licensee: James B. Crowe Signature ���1! 1 (� (��LIC. NO.: 17168A
(If applicable, enter "exempt in the license number line.) Bus. Tel. No.: (978)453-6696
-TT-5T-
Address: 590 Middlesex Street, Lowell, MA 01851 Alt. Tel. No.. 7 453-6696
Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. SS CO 001051
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, l hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $ 865,.Q�
V-ex�
k
Please visit our web site at http://www.mass.gov/dpl/boards/EL
CROWE & SONS ELECTRICAL CORP
JAMES B CROWE (EL)
590 MIDDLESEX STREET
LOWELL MA 01851-1428
Fold, Then Detach Along All Perforations
COMMONWEALTH OF MAN SACHUSETTS