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Home My WebLink AboutMiscellaneous - 42 MARTIN AVENUE 4/30/2018 42 MARTIN AVENUE 210/045.G-0037-0002.0 1 ® MAPFRE The Commerce Insurance Companyw Citation Insurance Companyw Commerce 11 Gore Road,Webster,Massachusetts 01570 508.949.1500 www.commerceinsurance.com INSURANCE' December 17, 2014 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: SANJEEV R GUPTE/SEEMA S GUPTE Property Address: 42 MARTIN AVE Policyk BCKLMS Date of Loss: 12/17/2014 Filek JTNA80-HKAXTI 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. MELANIE CROWE Telephone: (508)949-1500 Ext: 15974 Sr Claim Representative,Property Toll Free: 1-800-221-1605,Ext:15974 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. December 17, 2014 CIC 254 (Rev.4/95) MAIL 787 n� The Commonwealth of Massachusetts Office Use oat penlc :b. Department of Public Safety occupancy 6 fee Macke BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 1200 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 INFORMATION) Date 10 fy, 9 -7 City or Toon of /`/o mn/.I 'A A)Davc& To the Inspector o.f Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street A Number) y�2 ti (my/V A Ula Owner or Tenant_ I G �4 1J E t_/ Owner's Address Ca L /-1 A K2-FJ Al p(/C, Is this permit in conjunction with a building permit: Yes ❑ No E211- (Check Appropriate Box) Purpose of Building Utility Authorization NO. Existing Service Amps i Volts Overhead ❑ Undgrd❑ No. of !eters New Service Amps / Volts Overhead ❑ Undgrd❑ No. of ?eters Number of Feeders and Ampacity a ion and Nature of Proposed Electrical Work W k CA— C-q--\,A WC r S ` R_�tnA C)� No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total INA No. of Lighting Fixtures Above In- No. 8 Swimming Pool grnd. ❑ ❑ grad. Generators RVA No. of Recrptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners e., FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. 2Total No. of Detection and tons Initiating Devices No. of Disposals No. of Pumps Total Total No. of Sounding Devices Tons KW No. of Dishwashers Space/Area Heating KWNo. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local 11Municipal ❑Other Connection i No. of Water Beaters KW No, of No. of Low Voltage 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 LiabilityInsurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO[] I have submitted valid proof of same to this office. YES❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE U BOND ❑ OTHER❑ (Please Specify) Estimated Value of Electrical Work S Expiration Date Work to Start i a 2 Inspection Date Requested: Rough Final Signed under the penalties of perjury: r� �1 FIRM NAME . , S �' LIC. NO. ey- 13 5--] !- Licensee r`�� a_ G- Q,V--1-o.,x Signature N0. f- Address `]2_ Bus. Tel. Nok�jcj) 3'3Z -%F 6(o Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sui - stantial equivalent as required -- Massachusetts General Laws, and that my signatur( on this permit appl -w Ives this requiremet.Owner Agent (Please check one) Telephone No. 5 y` PERMIT FEE S.gnaeui� or (timer Ag t f M ELECTRICAL APPLICATION PERMIT# DATE: ELECTRICIAN LOCATION DATE COMPLETED COMMONWEALTH OF MASSACHUSETTS OF ELECTRICIANS REGISTERED MASTER ELECTRICIAN ISSUES THIS LICENSE TO ASSURED FIRE ALARM COMPANY INCT RONALD G DEMAIO 70 AUSTIN STREET NEWTONVILLE MA 02160-1844 16170 A 07/31/98 460083 COMMONWEALTH OF MASSACHUSETTS DIVISIONOF REGISTRATION OF ELECTRICIANS AS A REG JOURNEYMAN ELECTRICIAIN .SSUES THIS LICENSE TO RONALD G DEMAIO 70 AUSTIN ST NEWTONVILLE MA 02160-1844 27390 E 07/31/98 320971 - - Commomoealth of lgaswh,usetts f DRIVERS LICENSE raa.�ma:+ vyxr:ay 023462753 06-27-99 06=27-62 M -r✓say #::•:.., f'_M r:a�:). EMA10 RONAt.D A 926 ®REENDALE AVE NEEDHAM MA 9E r 1 i i -v 4 ,ONTROL IMPORTANT t this license is lost or destroyed. notity vour Board at the Division of Registration. 100 Camondge St., 1,5th P . Boston. Mass. 02202. name or address shown hereon is cnanged notify your Board ,f correct name or address to insure prooer mailing of next Renewai Application. ,always refer 'c your license number. L cense Is sup;ect to the provisions of the General Laws as :mended. its a cersonal privilege, and must not oe loaned )r assigned to any other person. Keep this license on your Jerson or posted as required by law. CONTROL = — d JMPORTANT If this license Is lost or destroyed, notify your Board at the Division of Registration. 100 Cambridge St., 15th Fl.. Boston. Mass. 02202. If name or address shown hereon is changed notify your Board of correct name or address to insure proper mailing of next Renewal Application. Always refer to your license number. '_icense is subject to the provisions of the General Laws as amended. It is a personal privilege, and must not be loaned or assigned to any other person. Keep this license on your Gerson or posted as required by law. Class kArryNlflON;iial, Y11aC43'wltn�a_ 'damtilnaten pwWs at mare proV10eA 7Ae�1'YA!Ut Me"IlMS)beag I WrJS ih'MOcea 01 10,000 paalds,eltow a 3hool Bus. Gass B'.Any singlayeOMe 10 a Oros vehlck welphl ofto GVWR-0126,901 p ands or 1 more,a any such VOcie atwino another vehicle not Woman o710 prods Class C.Arrysngkietade:AlalklssNen 1WiSV VA..(IMS - vehiokapyiileiweap170000poupdsNWR .(IMS orAesiyneAmtrit150ai1�prmompersan;;u¢ArdlpRlabpeiadr,exceptaSNrolBOs. Class P.Arty motor vdi&w arabimtion„eaceal a pass A.'pass 0,pass C.can K a Shcool Bus. . Class W.Momrcyde RESTRICiIW®- eConmOtm lenses 0{idt b 0aeepM arlf%t�padcks9atlfaul RdGHrAott 1AYei0k GMechdrEd alO'.•R{imi,ppin Nr Srolias.� ^- wTart reMtlM -, 0-fta ieW 14. �57r+� NFaaep(o7an.k�a PPasFaepar Yeaaylea. E-Autoide Trnn J-0tllcr 3 L,,N£apfpl Chm:Ai87Ys 7AOWIq/TIbYs 3 #•. f:94stl1 iiror KCOL Inialaeony"4Ein9 TsxbrTakr '7SaiarAoM liiMil � AEAIEiStAIaAYiunREiOStAJAIgAifAQIBAAFINTlfJIdAAlpKl4' �, _r Date....e�-11,3-�7 7 V ........................ 1 1284 NORTH 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 'SSACHU ..... This certifies that .......:. :. '................................ has permission to perfo .... /.. ......................... . .... ...... .... ..-... ........... wiring in the building ofti......... ...:: .. at �......................... -2- .......7..... ........................ .North Andover,Mass' Feec26... ......... Lic.NA.Z .......... ................................. ELECTRICALINSPECTOR WHITE:Applicant CANARY:.Building Dept. PINK:Treasurer