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Home My WebLink AboutMiscellaneous - 40 EQUESTRIAN DRIVE 4/30/2018 (2) --------------------- 40 EQUESTRIAN DRIVE j210/105.D-0135-0000.0 it r Office Use Only qq j � o 01 4e LgamTIIIII mmft i If —Mus tf Permit No. r�C 3-7 / . 13gar=r= of JIttbUr Enifttq Occupancy&Fee Checked / �+ BOARD OF FIRE PREVENTION REGULATIONS 527 CUR 12:00 3/gp (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massacnusetts EIectrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date '��s'�S MQor Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit//to perform the electrical work described below. Location (Street & Number) `r� Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes—\,� No (Check Appropriate Box) Purpose of Building « �� `-4 N Utility Authorization -n<2211 No. S Existing Service Amps _l Vcits Overhead ' Undgrnd a No. of Meters y New Service Amps (Pte/C�LK) Vorts Cverneac Undgrnd No. of Meters L� Numeer of Feeders and Ampacity — � Location and Nature of Proposed E'.ectr:cal ''NorK l 5 Total ; No. =f Hct -,;cs No. of ranstormers No. of LightingCutlets ; — I KVA I y/ l:cve'— In- / No. of Lighting r;xtures I Sw,mm,ng =cc, yr^a _ Echo. _ I Generators KVA OF I No. at Emergency Lighting No. at Recectac:e Cutlet No. of Cif Surners I Battery Units Ia Switch C No. of c No. -at Gas =urr.ers FIRE ALARMS No. of Zones „ utlets Total No. of Cetection and No. at Ranges sss No. of Air Coro. .ons Initiating Devices �y i Nc.cf `eat Ton Total No. ct Ciscosais y a;,-cs Tans oto No. of Sounding Devices tt No. of Self Contained No. of Dishwashers l '; ScacetArea r�eanr.g <`N Detect:enfSounding Devices i Heating Devices !(W Local Municipal r--Other No. at Dryers I g _ Cannec;ion No. of No. ct Low Voitaae No. of `Nater Heaters KW Signs Ballasts Wiring No. Hycro Massage Tubs No. cf Mcters Tota: HP I CTHER. INSURANCE CCVERAGE: Pursuant to the recc,remen;s ct Massacnusetts general Laws I nave a current Liaoiiity Insurance Policy inctucina C:.mc:etec Ccera;:cns Coverage or its sucstantial ecuivaient. YES = NO = I have submitted valid proof of same to the Cff:ce. YES = NO = If you nave checkea YES. please indicate the type of coverage by cnecxing thea p ate box. INSURANCE BOND = OTHER = (Please Scec:ty) (Exbiranon Oate) Estimated Value of E:ectnncal. or Work SS —:54— nn Worx ;o Start aal -te_ lnscec::en Cate Recuestee: Rough Fnal Signed under the Pe{ytaities of ped J F!RM NAME 1 LIC. NO. -;censee �R c S attire LIC. NO. ! �� `Tir4 'g^ _tis. —No. Address __ Alt. gel. No. 4261,— =?*z = CWNEa'S INSURANCE WAIVER: I am aware that :he Licensee does not have the insurance coverage or its substantialequivalentas re- cused by Massachusetts General Laws. and that my signature an :his permit application waives this requirement. Owner Agent ;P!ease checx one) eteonone No. PERMIT FE= 5 ,Signature of Owner or Agent) ;i56; y Date....../ ...7A. 4' 257` HCRTN f TOWN OF NORTH ANDOVER p PERMIT FOR WIRING SSwCMUSE This certifies that ......,�-.f. ..../j . N..�i............................................... has permission to perform .... ......&-f."t,........l ...... wiring in the building of....,,r,,).v( ........xv.4!!.sfq.!�............................... at. ....W...... a........Q..r.(�.......... ,North Andover,Mas . U q �� Fee*.V:C).. Lic.No.,/(),?./ ................ ........... ......// .... ,. LECTRICALINSPECTOR � �-- 9/28/95 13:15 270.0 PA�YAp WHITE: Applicant CANARY: Building Dept." NK:Treasurer GOLD: File i i AMERICAN CLAIMS SERVICE MULTI-LINE ADJUSTERS BUILDING INSPECTOR/COMMISSIONER, BOARD OF HEALTH AND/OR BOARD OF SELECTMAN Building Inspector Town of North Andover 1600 Osgood Street Building 20, Suite 2035 North Andover, MA 01845 Insured: Sgrosso Address: 40 Equestrian Drive North Andover Policy: PHO 0100 75 86 24 Loss Date: March 5, 2015 Loss Type: Ice ACS File: 32055 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, Section 313 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 file number. Tim McLaughlin Claims Representative 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. Unless we hear from you within the next 10 days, we will not be obligated to pay any portion of this claim to you. Date 5/11/15 7 KIMBALL LANE, BUILDING C, LYNNFIELD, MASSACHUSETTS 01940 TELEPHONE (781)245-9516/FAX(781) 245-1077 E-MAIL—daims.acs@verizon.net Cry umbra Gas!, of Massachusetts A NiSource Company 995 Belmont Street April 26, 2013 Brockton, MA 02301 Ms. Kristen Sgrosso 40 Equestrian Drive North Andover, MA 01845 Dear Ms. Sgrosso: During a recent visit, our service technician detected a safety problem with your gas heating system at 40 Equestrian Dr., No. Andover, MA 01845—high amounts of carbon monoxide from exhaust. 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 questions, 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 Columbiaf ac of MaccarhncPttc Date. . NORT►r + I, - ..*;. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 41 ,SSACHUS� This certifies that ._. . . . ... . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . plumbing in the buildings of .�.,,.�. -r . S. .-.' !. . . . . . . . . . . . . . . . . at . 4-� '. . .`. .-�-�-. .... . .. . .F` . . . .,North Andover, Mass. Fiei:.-� Lic. No.. `—'� . . .*"! ; .tom . . . . . . . . . . . // PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM-APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date Permit # Building Location �q/i�z �9 ��s�"• Owner's Name Ar C� ,41 Type of Occupancy t 51 D E t t T i r-�L_ V New ❑ Renovation ❑ Replacement [E" Plans Submitted: Yes ❑ No ❑ FIXTURES Z N N Z Y a h� N N O Z > Us N W93 0 LU Y J N Y V N O O Q ¢ J H H O = H H V W N Y a d 3: X V Z to W W O O ¢ < W ¢ S < 4j D a of Z .¢ 4 ¢ O0L6 j W < S 3 O Z S Y d C O W It JC F- V > F- O = d O N Z O O N Z Z a F- O < = a < < m H < O a J < ¢ ¢ a < o o SUR—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR 1 Ij calling Company Name kr3£eT mA7Ae_Q Check one: Certificate Address ?j(`) L R t H(Y)t4 tj s.r1 J ❑ Corporation /r E%N i!,=A) yo t4 U ❑ Partnership Business Telephone 2--h'im/Co. Name of Licensed Plumbed ,3r=�r cif SA,►�Irylr9 �r4�r�` INSURANCE COVERAGE: I have a current flability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes a No ❑ If you have checked Yes, please /indicate the type coverage by checking the appropriate box. A liability insurance policy ld Other type of indemnity ❑ Bond ❑ _ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by hapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. I Check one: Signature of Owner or Owner's Agent Owner ❑ Agent❑ 1 hereby 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 installations orme I under the permit Issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws. Title re of Licensed Plumber City/Town Type of License: Master % Journeyman ❑ _ APPROVED(OFFICE USE ONLY) License Number !Z33 5 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES 1 PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED ` DATE 19 PLUMBING INSPECTOR