Loading...
HomeMy WebLinkAboutMiscellaneous - 373 RALEIGH TAVERN LANE 4/30/2018101 HIGH STREET, PO BOX 40, NORWICH, CT 06360 FOUNDED 1840 INSURANCE COMPANIES (860) 887-3553 — TOLL FREE 1-800-962-0800 / 1-800-243-4080 — FAX (860) 886-8270 / (860) 887-2898 www.nlcinsurance.com February 11, 2015 Inspector of Buildings 1600 Osgood ST North Andover, MA 01845 RE: Insured: Arist Frangules Property Address: 373 Raleigh Tavern RD Company Policy Number: H5188150 Date of Loss: 02/09/15 Claim Number: C50538 Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Sec 313 is appropriate, please direct it to the attention of the writer and include reference to the captioned insured, location, policy number, date of loss, and claim number. On this date, copies of this notice have been sent by first class mail to the municipal officials named above at the address shown. Sincerely, arbara Garofalo Property Adjuster W Jeannine McEvoy From: Town Man. Secretary Sent: Tuesday, August 29, 2000 3:27 PM To: Jeannine McEvoy Cc: William Scott Subject: Complaint on Roofing Contractor Importance: High Jeannine, Karen Frangulis called to complain about a contractor. He did roofing work and her roof still leaks. She keeps calling and sending certified mail, no response. Her number is 685-6804. Contractor David Castricone. Her repair bill is $135.00. She asked if we had any suggestions or could do anything. I do not know if they pulled a permit to repair the roof. Do you have any suggestions for her, can you call her please as I will be out of the office until 9/5/00. Thank you, Kathy `p Ao 'e- C 4s4r (co 't— a o r7 2.y p.a 1. ";Z ""M S�A"USETTS UNIFORM APPLICATION FOR PERMIT TO DOfGASFITTING (Print or Type) 2� r NORTH_ ANDOVER , Mass. Date a( tg ✓✓� Building Permit # % Z Location 3 73 L7�LitP Ow New 123"� Renovation ❑ Replacement ner s f /y Name �/ N( le 4-!,7 ❑ Plans Submitted: Yes E) No EQ Check one: Certificate Installing Company Name o VS tJ cQ Corp. Address y C el L/ d Partnership C'Firm/Co. Business Telephoneto n ir- 3 �? Name of Llcensed Plumber or Gas Fitter w A-10 INSURANCE COVERAGE: ; Check one 1 have a current liability Insurance policy or Its substantial equivalent. Yes ❑ No ❑ If you have checked ,yes, please Indicate the type coverage by checking the approprlate box. A liability Insurance policy [ Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I 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. Check one: Signature of Owner or Owner's Vgent Owner ❑ Agent ❑ I hereby certify that all of the details and Information 1 have submitted (or entered) M above application are true and accurate to the best of my knovvled a and that all lumbin work and installations rformed under the rmn is ed for this application will be In compliance with all 0 � 0 peMnenl provisions of t e Massachusetts State Gas Code and Chapter 142 of the al Laws. By Typeof License: TRb umber urs o nse um er or as Filter GGafastilter �yR� I�'Joumeyman 7nise Number / o`�� M XYVEO (OFFICE USE ONLY) �����I1����AS/IA��I/���/11N 1Non 111■ mom cz NNNN Non 00000000090NNN mom mom Check one: Certificate Installing Company Name o VS tJ cQ Corp. Address y C el L/ d Partnership C'Firm/Co. Business Telephoneto n ir- 3 �? Name of Llcensed Plumber or Gas Fitter w A-10 INSURANCE COVERAGE: ; Check one 1 have a current liability Insurance policy or Its substantial equivalent. Yes ❑ No ❑ If you have checked ,yes, please Indicate the type coverage by checking the approprlate box. A liability Insurance policy [ Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I 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. Check one: Signature of Owner or Owner's Vgent Owner ❑ Agent ❑ I hereby certify that all of the details and Information 1 have submitted (or entered) M above application are true and accurate to the best of my knovvled a and that all lumbin work and installations rformed under the rmn is ed for this application will be In compliance with all 0 � 0 peMnenl provisions of t e Massachusetts State Gas Code and Chapter 142 of the al Laws. By Typeof License: TRb umber urs o nse um er or as Filter GGafastilter �yR� I�'Joumeyman 7nise Number / o`�� M XYVEO (OFFICE USE ONLY) s N x N V m 0 0 33 Z D r z N ro rrn n 0 z r ro • � r c O y o t � O 33 n � a ! P m rn > � 1 i • S � t Z D r z N ro rrn n 0 z r • o n ! P m f; > o. z r o' n m m 0D0 m . I C ro 0 0 c c •n i r o 0 1 a d x i • z z o a o icM -� c o y 0 m O 0 , z s -rt t y •z . c � . ro 0 Gl a� . m N N N ro m n -1 o z r ueA'' . n :.'" ". .r;..' •:..,•w,.,.' .r''; KaC` 2'Ri CERTIFICATE OF INSURANCE,., -This is to certify that STATE FARM FIRE AND CASUALTY COMPANY :Bloomington, Illinois I . STATE FARM GENERAL.INSURANCE COMPANY, Bloomington, Illinois. has in force for } Name of Policyh r ' Address ofP licyholder location of operations r the following coverages for the periods and limits indicated below. POLICY NUMBER `..TYPE OF INSURANCE:- POLICY PERIOD .: LIMITS OF LIABILITY (eft./exp) r ve, 141jet Comprehensive General Liability ❑ Dual Limits for:.' M ^ s:; • .,Each Occurrence $ BODILY INJURY :' ... :.:. _ ❑ Manufacturers' and Contractors' Liability Aggregate Each Occurrence $ $ PROPERTY DAMAGE ❑ Owners', Landlords' and Tenants' Liability The above insurance includes (applicable if indicated by x❑ ) : PRODUCTS -COMPLETED OPERATIONS Aggregate' $ OWNERS' OR CONTRACTORS' PROTECTIVE LIABILITY' Combined Single Limit for: CONTRACTUAL LIABILITY BODILY INJURY AND BROAD FORM PROPERTY DAMAGE PROPERTY DAMAGE BROAD FORM COMPREHENSIVE GENERAL LIABILITY Each Occurrence $ Aggregate $ U POLICY NUMBER TYPE OF INSURANCE POLICY PERIOD (eff./exp.) CONTRACTUAL LIABILITY LIMITS ❑ (if different than above) BODILY INJURY Each Occurrence $ ❑ PROPERTY DAMAGE Each Occurrence $ ' Q of e- ❑ Aggregate $ EXCESS LIABILITY Umbrella �� �L Combined Single Limit for: BODILY INJURY AND PR PERTY DAMAGE (i it/ Other (v Each Occurrence $ UU O Aggregate $ .� i��(/ O Compensation �j and Employers ]`Liability �_ rt rt 1 STATUTORY P: PPart 2 BODILY INJURY Each Accident $ �GU� IiUo %v Disease -Each Employee $ �zo,(46yO Disease -Policy Limit $ aL4 ai(y 'Aggregate not applicable if Owners', Landlords' and Tenants' Liability Insurance excludes structural alterations, new construction or demolition. THE CERTIFICATE OF INSURANCE IS NOT A CONTRACT OF INSURANCE AND NEITHER AFFIRMATIVELY NOR NEGATIVELY AMENDS, EXTENDS OR ALTERS THE COVERAGE APPROVED BY ANY POLICY DESCRIBED HEREIN. KENNETH T. BQSIES INSURANCE AGENCY, INC. 1,30-J/� / f 220 MAIN ST.- P. 0, BOX FG3 T n_ �/j�• SALEM, NH 03079 U'7� /.�4K`� / z � J / /`/ 6,�Iae' • PHONE 893-5220 NAME AND ADDRESS OF PARTY TO WHOM CERTIFICATE IS ISSUED Dale , �J Signatur of A thorized Representative /JGJhj / V Title (558) F6-994.9 Rev. 1-86 Printed in U.S.A. " nrerr•tr r%ntov Date. %ORTH TOWN OF NORTH .ANDOVER Q�EtT lEO d ��oQ p PERMIT FOR GAS INSTALLATION �•9 OHATEO This certifies that I.................. has permission for gas installation ... ....'::'........'` in the buildings of ..... ! .......:..: :..................... . at `77 . JI :-........... .-i........................... , forth Andover, Mass. Fee t...:. r J. Lic. No/ .-7. GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File o, A Bay State Gas Company �r Issued to Address For Install BTU Input Restrictions AS INSTALLATION AUTHORIZATION , BSG Representative 0 PERMIT ISSUED _ BY 41 INSPECTOR This Portion of Authorization To Be Returned to BSG. Inspection Has Been Made of the Following Gas Equipment: ❑ Heating System (BTU Input ) ❑ Range ❑ Water Heater ❑ Clothes Dryer ❑ Room Heater Location All Work Has Been Done In Accordance With The Massachusetts State Gas Code And Is Ready For Use. INSPECTOR NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY CARD FIRST CLASS PERMIT NO. 721 LAWRENCE, MA POSTAGE WILL BE PAID BY ADDRESSEE BAY STATE GAS COMPANY ATTN: SALES DEPT. 55 Marston Street Lawrence, MA 01840 i, Location ? / U� No. Z60 Date SORT►, TOWN OF NORTH ANDOVER Ot�ac ;,ti0 p Certificate of Occupancy $ Building/Frame Permit Fee $+ �d qC"U �t� �Ss�cMusE Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 9876 Div. Public Works W < a Y 0 0 m W I HAI = mm ° Ix n ° N O N a Q X in r m m p� W W > 3 d 040 13 m m p 0 _Z m J r O Z� ° m I 0 m Q 0 5 P � m a t7 a m IL 2 m W m0 0' OC 0 ` 0 0 o Z 0 F zIr W W 0 Z 4 O Z 0I W W 0 W 0 Z I , N < I c N a Z m m y O C13 I3 o —� OC W J W d s Q rRCLI CL 1 Z Z J H m j 0 N r1 7 W \ — .� m r z t \1 W m f 0 `7 yl I W Z < YI J Z � 0 0 �/ p Z Z O¢ Z t 0 0 N tll u W W W W K u u u L W < W W i CL O < < < z N o 0 0< m o o to w i+a tL V 0 1y. y � 6 x .j 0 Z_ r 0 0 LL 4 0 W N 0 u z 0 cr 4 tS' O O r 3 W Z 00 0 J _Z LL ° 0 J W m � N y Y Z U. Z 0 r u < N J W a CL W 0 O s < 0 m z 0 F 0 U. z ry r Ix W IL 0 Ix IL in I g C W 0 u 8 0 • W Z, H � m 0 W 0 it a L Q 0 j u I W a I � I Z O J r W � < W N ¢ p L a o O �Z J U. W i � m r- < I r i 0 tll W ujJ W ° r � m I W 3 r N O U 2 0 LL p o ° Z < 0 u N m W 0 Z Z m j 0 0 � � m < Z W W I O N W � H W C 0 0 W J I 4 W u_ Fx m O N m W W U 111 a a W J O � I 1.J J i0 ujJ W W �j W 3 o o O U U 2 W 0 < C7 O W I U < ° Z < 0 4 W 0 W 0 r' j � � < Z < a O x O A o N u Q O w .V.. v cn OU z z r V 7 O w b °p° O a: c -a U _ m C w R: O W z a A I—' � C p C2 _ co C w a O W � u a o w W 7 p cz y cn _ ce C w O w ¢ C p _ C w W A W w 6J 3 w z L v cn Q -y p cn LLJ a p� z CO c c o 'W VO V 'Ur . cv CD cn criCLO C vi m �+l: E c 4s� 0 ts CO2 Cc m c �7�. 1 O 3 t/f • ...,aa N t 02 � : = cc4-1 0 o Em H U a 2 R m o RMco ►-� v H o — U CC. -), >Z o ev o � cm c o. o c_ aL :�nmc c = m L N .- � C. H- o y m p H m W C Oy=..�L 5 AD co a s `! z E v� rn o u m p m= = CA) d~ 0.5 O O� g s _ CA a H O O co O CD L O V Z CO O. CD O y Q, CD CD .O a)mm o co a. F-=•.• CD ca � O _��• j Cc O. a S .a Q Cc Cc V J 10 O C Z � LD y R C E CO COD � 1 � ✓/Le �jo�nimaouuea�i ¢�✓llzccaeC�t DEPARTMENT OF PUBLIC SAFSTY CONSTRUCTION SUPERVISOR LICENSE Nuaber: Expires: Birthdate: CS 0233365 12/04/1997 12/04/1957 Restricted DAVID REITANO 56 PLEASANT ST, oO?.l S4 RSTF, UEN, MA 01844 to .,% _ .or }Y ,FORM U - VERIFICATION FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: Phone ,/ 5 �� le S `� Phone LOCATION: Assessor's Map Number Parcel 5 .Subdivision Lot(s) Street J .C�'�. c,-,/ eZ-�r C t. Number Use Only************************ 7RECOMMENDATIO F AGENTS: C� Date Approved fjr Conservation Administrator Date Rejected Comments ` 01! � A" Q(ti/�,s `I e � b-� Nk L�p*j ( Town Planner Comments Food Inspector•-l-lealth ptiAI spector-Health Comments Public Works - sewer/water connections - driveway permit Fire Department Received by Building Inspector Date Approved Date Rejected Date Approved Date Rejected Date Approved 7 e i Date Rejected Date , ! l BUYER: Alist & P 3ren Yrangules fi,�r,JA��n 2o3 24 , Lor 35 44, O 96, Wc�v 92 t 1 I 1 1 , 1 al' . 1 �1 �1 1 1 1 1 5ur31Ec7 70 ,Qt;Sra/cr�oNti o� a�Golzr�. C\ f\ N � ' r� �0 Lor 35 44, O 96, Wc�v 92 t 1 I 1 1 , 1 al' . 1 �1 �1 1 1 1 1 5ur31Ec7 70 ,Qt;Sra/cr�oNti o� a�Golzr�. /50.00 TO THE ( Family Bank AND ITS 11TLE INSURERS. ) MORTGAGE INSPECTION PLAN I CERTIFY THAT THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REQUIREMENTS LOCATED IN . I -F- (FRONT, SIDE. & REAR SETBACK ONLY) OF N 0 R T H A N D 0 V E 1 WHEN CONSTRUOTED, OR ARE EXEMp FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. 0.L TITLE Mi. CHAPTER 40A. SECTION 7. UNLESS OTHERWISE NOTED. MAssakusmS I FURTHER CERTIFY THAT THIS PROPERTY IS NOT LOCATED IN THE ESTABUSHED FLOOD HAZARD AREA. PANEL NO.: 250098 0008CDATE: 6/2/93 DEED 3035 THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED BOOK DATE Of TtiE LATEST DEEC OF RECORD. PAGE 286 WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM *THE PROPERTY UNE IT IS ADVISED THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. CERT. NO. e,• THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY ft�a%cw THERS. AND DOES NOT PLAN BK. PAGE REPRESENT A PROPERTY SURVEY. VERIFICATION OF SUR U OFFSETS. AS SHOWN. MAY Be ACCOMPLISHED ONLY BY AN ACCURATE, INSTFIU k -, i� . PLAN + 5 A 1 3— DATED THIS CERTIFICATION TO BE USED FOR 14 �GE PUR('0 NLY. AIL gu s t 1995 OFFSETS AS SHOWN AR* N' M1,11LI, USED FOR THE ESTABLISHMENT' P3 RQfi'kR I SCALE: 1'' 401 BRADFORD ENGINEERING CO. &- s °ti►L:�4 P.O. BOX 1244 JAMES W. BOUGIOUKAS R.LS. #9529 HAVERNILL MA. 01831 TEL (608) 373-2394 I N � ' I� N P /50.00 TO THE ( Family Bank AND ITS 11TLE INSURERS. ) MORTGAGE INSPECTION PLAN I CERTIFY THAT THE BUILDINGS SHOWN DO ( ) CONFORM TO SETBACK REQUIREMENTS LOCATED IN . I -F- (FRONT, SIDE. & REAR SETBACK ONLY) OF N 0 R T H A N D 0 V E 1 WHEN CONSTRUOTED, OR ARE EXEMp FROM VIOLATION ENFORCEMENT ACTION UNDER MASS. 0.L TITLE Mi. CHAPTER 40A. SECTION 7. UNLESS OTHERWISE NOTED. MAssakusmS I FURTHER CERTIFY THAT THIS PROPERTY IS NOT LOCATED IN THE ESTABUSHED FLOOD HAZARD AREA. PANEL NO.: 250098 0008CDATE: 6/2/93 DEED 3035 THIS COMPANY IS NOT RESPONSIBLE FOR ANY INDENTURES MADE SUBSEQUENT TO THE RECORDED BOOK DATE Of TtiE LATEST DEEC OF RECORD. PAGE 286 WHENEVER BUILDINGS ARE SHOWN LESS THAN ONE FOOT FROM *THE PROPERTY UNE IT IS ADVISED THAT A MORE PRECISE SURVEY BE MADE TO VERIFY THESE MEASUREMENTS. CERT. NO. e,• THIS CERTIFICATION IS BASED ON THE LOCATION OF SURVEY ft�a%cw THERS. AND DOES NOT PLAN BK. PAGE REPRESENT A PROPERTY SURVEY. VERIFICATION OF SUR U OFFSETS. AS SHOWN. MAY Be ACCOMPLISHED ONLY BY AN ACCURATE, INSTFIU k -, i� . PLAN + 5 A 1 3— DATED THIS CERTIFICATION TO BE USED FOR 14 �GE PUR('0 NLY. AIL gu s t 1995 OFFSETS AS SHOWN AR* N' M1,11LI, USED FOR THE ESTABLISHMENT' P3 RQfi'kR I SCALE: 1'' 401 BRADFORD ENGINEERING CO. &- s °ti►L:�4 P.O. BOX 1244 JAMES W. BOUGIOUKAS R.LS. #9529 HAVERNILL MA. 01831 TEL (608) 373-2394 . ... Office Use Only v C (fUMMUnWt 1f .40a 39ar4u5Eftji Permit +lepartaimt of Public: _J�afetg Occupancy & Fee Checked '<a BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3190 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date L�4d (%,V o, Town of --METH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to peAg r Qctrical work described below. Location (Street & Number) 2) j , /-I v '— Owner or Tenant Owner's Address 5 AlAd I% �- Is this permit in conjunction with a building permit: Yes 2r No (Check Appropriate Box) Purpose of Building j k)cz Utility Authorization No Existing Service Amps _J Volts Overhead ❑ Undgrnd lld New Service Amps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Ul�(i S �' F IVkbe— /' ,01h OTHER: INSURANCCOVERAGE: Pursuant to the requirements of Massachusetts general Laws ^ I have a c _ ent Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES NO I have submitted valid proof of same to the Office. YES j NO If you have checked YES, please indicate the type of coverage by checking thea propriate box. ' l INSgjrpCE BOND -_ OTHER � (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Ze Work to Start 7 Inspection Date Requested: Rough Final Signed under the Penalties of1perjury: ©f1 G 7 r C C ! ` LIC. NO. FIRM NAME V c� Licensee U Signature Bus. Tel. No. �r Address b N0rN�t N �� v� �f �r Alt. Tel. No. OWNER'S INSURANCE 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 S J (Signature of Owner or Agent) x•6565 Total No. of Lighting Outlets No. of Hot Tubs I No. of Transformers KVA No. of Lighting Fixtures 7 I 444 ;�I In - Swimming Pool grndAbove1! grnd. ❑ I . 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 Total No. of Ranges No. of Air Cond. tons Initiatiing Devices Heat Total Total No. of Disposals P No.of I Pumps Tons KW No. of Sounding Devices I•io. of Self Contained No. of Dishwashers I Space/Area Heating KW Oetection/Sounding CLwices DrIu.iicipat ; _oC2± C Other U Connection No. of Dryers I Heating Devices. �� • No. of No. of Low Volta 9e. .� !�.Vatrr. uc._,'n.S. 1 7 _W! L .Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER: INSURANCCOVERAGE: Pursuant to the requirements of Massachusetts general Laws ^ I have a c _ ent Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES NO I have submitted valid proof of same to the Office. YES j NO If you have checked YES, please indicate the type of coverage by checking thea propriate box. ' l INSgjrpCE BOND -_ OTHER � (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Ze Work to Start 7 Inspection Date Requested: Rough Final Signed under the Penalties of1perjury: ©f1 G 7 r C C ! ` LIC. NO. FIRM NAME V c� Licensee U Signature Bus. Tel. No. �r Address b N0rN�t N �� v� �f �r Alt. Tel. No. OWNER'S INSURANCE 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 S J (Signature of Owner or Agent) x•6565 * Date ...... 301 NORT1, °1+o°L TOWN OF NORTH ANDOVER o p PERMIT fFOR WIRING 4 ' Y 6qp SSACMUSE This certifies that ....... u. R Q t P..... � .. L .. has permission to perform ........%�'1.�. � . ..... �.`' \L................. wiring in the building of ....:.. Fkck.c.. ('e. t...........:C . ....................... at.3 .�1........ kck—kk..TarA ................ , North Andover, Mass. Fee .... 1V.t..f 0 Lic. No..A.3.7s7............................................................. C ELECTRICAL INSPECTOR C4S� A5 0 WHITE: Applicant CANARY: Building Dept. PINK: Treasurer