HomeMy WebLinkAboutMiscellaneous - 546 SHARPNERS POND ROAD 4/30/2018 (2) 546 SHARPNERS POND ROAD 210/105.D-0085-0000.0 - Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Commissioner or Inspector of Buildings 1600 Osgood Street North Andover, MA 01845 RE: Insured: John & Dawn Petrozza Property Address: 546 Sharpners Pond Road Company: Merrimack Mutual Fire Insurance Company Policy/Claim Number: HP2219947, HP2219947 Date/Cause of Loss: 4/4/2016, Water/Pipe Leak Our File Number: 33328-RP 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 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 or file number. Rob Parilla, Ext. 119 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. Signature and Date ANDERSON ADJUSTMENT CO., INC. 50 Nashua Road, Suite 303 PO Box 1098 Londonderry, NH 03053 Cc: Health Department North Andover Fire Department 1600 Osgood Street 795 Chickering Road Building 20, Unit 2035 North Andover, MA 01845 North Andover, MA 01845 T h Date... !—........................ ,ORTN TOWN OF NORTH ANDOVER PERMIT FOR WIRING41 w. �, ,SSACMUSEt t ..;G vt This certifies that ........at................. has permission to perform�.�`` ........................................... wiring in the building o A... .... at `may./ � � -North Andover Mass. Fee .....,.....'....... Lic.No./&�f. . .,:.-; ................ ... .. -<., ELECTRICAL INSPE&rOR ' 'r Check # n 7061 3 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services ,- Occupancy and Fee Checked%;Gt BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / ; ".6' City or Town of: NORTH ANDOVER - To the Inspec or of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant —70-4, Telephone No. Owner's Address .S4>�e Is this permit in conjunction with a building permit? Yes 4 1 No ❑ (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: " Completion of the following table may be waived by the Inspector of Wires. No.of Recessed LuminairesNo.of Ceil.-Susp.(Paddle)Fans No.o Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 1:1In- ❑ o.o mergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets c; No. of Oil Burners FIRE ALARMS No. of Zones o Detection and No.of Switches �% ; No.of Gas Burners No. Initiating Devices t Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices F No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained Totals Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other r Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of WaterKW No.of No. of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications ging: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: i�e%'l-e 7-i, `r-_ LIC. NO.:11-7x—lf Licensee: �r� Signature ,,� �/' . tom— LIC. NO.// �'r7� (If applicable, enter "exempt"in the license num¢er line.) Bus. Tel. No.s '7 � Address: go /c� � .�ere�i�y ,�✓�� rf J/ Alt.Tel. No.: *Security System Contractor License required for this work; if applicable,enter the license number here: 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, I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. /9Y-4. Rtes 0" �� F►-ee��� �- / �—�'� 6�'�`t , t q i N� Date. . . . . . . HORYN_ 3?0.<� � .'�ooL TOWN OF NORTH ANDOVER 40 p PERMIT FOR PLUMBING j. ,SSACNU`�� 1 This certifies that . �<<,.� . .� . �-:�'� . . . . . . . . . . . . . . . . . c . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . s plumbing in the buildings of . . .. ' . . . . . . . . . . . . . . . . . . . . . . . . . . at ' ` !. '.` ... . . . . ... . . . North Andover, Massa r' Fee/7 Lic. No;=�S�/d, . . . �` G unnei . . . . . . . . . . . / NSPECTOR Check t/ 3 7281 _` MASSACHUSETTS UNIFORM APPLI ION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS (� Date ' �' 7Building Location Cry6 SQA r PoWr PaA-Z 2D Owners Name ,,w- !'16,v Pe fro 2 zg Permit#_2 / _ Amount Type of Occupancy �S New ❑ Renovation Replacement ❑ Plans Submitted Yes ❑ No ❑ FIXTURES Cn 0 0 t � a ell 3 s ppm M FM M ZO E OM 41E FUM 5MFIDCR 61E FUM 71E FWR gm RDM (Print or type) - �• '/ ` `L C Check one: Certificate Installing Company Name 3J , K - Elnrp. Address !� 86x 0-7 -2 u �S�vns 11-7a d/9T7:2 ❑ Partner. Business Telephone_ y,_ �! - -2oefi�S— Q--DFirm/Co. f Name of Licensed Plumber JJ'So^+/ _" Insurance Coverage: Indicate the type of insurance coverage by check' g the appropriate box: Liability insurance policy A3:� Other type of indemnity ❑ Bond ❑ insurance Waiver I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I 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 in tali s performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massach efts S to Plu ing Code and Chapter 142 of the General Laws. By: Sig na tcens um er ype of Plumbing License Title City/Towndense umber Master ❑ Journeyman ,APPROVED(OFFICE USE ONLY WtQ" M 80iSE- Triple 1-3/4" x 14" VERSA-LAM® 2.0 3100 SP Floor Header1F1304 BC CALC®9.3 Design Report- US 1 span I No cantilevers 10/12 slope Wednesday, June 28, 2006 16:32 Build 047 File Name: Joists Job Name. � Qc Description: FB04 Address: ''�rll � Specifier: City, State, Zip: , Designer: Customer: Company: Code reports: ESR-1040 Misc: k� �' ti•�� -,�����f��'.'A �� it�f�� .31� Ky�� s2� \_ � "Fy'� "X�`-,S°. ��t,;�',�,t. f- Y r 12-V V1IN B0,41/Z' "��B 1,41/2 LL 384 lbs _ 2 kG � J LL 6000 lbs DL 3844 lbs �J DL 3844 lbs SL 2460 lbs !� SL 2460 lbs Total Horizontal Product Length=12-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 126% Trib 2 Roof& Sewcond Floor Loads Unf. Lin. (plf) Left 00-00-00 12-00-00 1000 620 410 n/a Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 33167 ft-lbs 66.2% 115% 13 1 -Internal Completeness and accuracy of input must End Shear 9143 lbs 56.9% 115% 2 1 -Left be verified by anyone who would rely on Total Load Defl. 0424(0.322") 84.9% 2 1 output as evidence of suitability for particular Live Load Defl. 0617(0.221") 77.8% 2 1 application.Output here based on building Max Defl. 0.322" 64.3% 2 1 code-accepted design properties and Span/Depth 9.8 n/aanalysis methods.Installation of BOISE 1 engineered wood products must be in accordance with current Installation Guide %Allow %Allow and applicable building codes.To obtain Bearing Supports Dim.(L x V4) Value Support Member Material Installation Guide or ask questions,please 60 Wall/Plate 4-1/2"x 5-1/4" 12304 lbs n/a 69.4% Unspecified call(800)232-0788 before installation. B1 Wali/Plate 4-1/2"x 5-1/4" 12304 lbs 92.2% 69.4% Southern Pine BC CALC®,BC FRAMER®,AJSTM, ALUOISTO,BC RIM BOARD-,BCI®, Notes BOISE GLULAMTM SIMPLE FRAMING Design meets User specified (0360)Total load deflection criteria. SYSTEM®,VERSA-LAM®,VERSA-RIM Design meets User specified (U480) Live load deflection criteria. PLUS®,VERSA-RIM®, Design meets arbitrary(0.5") Maximum load deflection criteria. VERSA-STRAND®,VERSA-STUD®are trademarks of Boise Wood Products,L.L.C. Connection Diagram I� a Tax>\4 W 1 vl a minimum = 1-1/2"c= 11" b minimum = 4" d =6" e minimum = 1" off' soy F� . 0 FgIT 0 M Paae 1 of 1 Date.: N° 4242 .�4, TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ,SS4CHUSEt 1-71 This certifies that . . � .`. . . . ���. .� /�?. • . • �.) . has permission to perform . . . . . . . . . . . . . . . . . . plumbing in the buildings of . �� ' `�.��. . . . . . . . . . . . . . . . at . .� l,v. . . .Jf !�'`� h r �o� �� . . . . . . .�.,: . ., N Orth Andover, Mass. Fee._3.01.- Lic. No.. . . 0,.>, ... . . . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO ISO PLUMBING (Type or print) - ©© NORTH ANDOVER,MASSACHUSETTS Date Building Location. %0 etS P Owners Name l,l / !�!� Permit t G/1 y 1- A�ount '3 0 Type of Occu anc / New ® Renovation ©^ Replacement Plans Submitted ❑ ' No FIXTURES F+ aCnW x W a " W H W En CrH � " H d w x W �.+ W SW-BS�Z BASEAM ISE MOOR 21 1 HIM t aCHfM 4M FLOCR 5M HI ai - - sIH HDM 7ffiH MIROOR F-H (Print or type) Check one: Certificate Installing Company Name!&110 P l L Lv'eL P r ly, ❑ Corp. Address al�3 MQ'W 4 r r 4 Oa 15S Partner. Business Telephone '7gi Z-J:j7 -5'y Lf,',) L—T—F'irrn/Co. Name of Licensed Plumber: __LJ19U LIQ <c L- Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Other e of indemnity Bond Liability insurance policy n� type ty Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance — Signature Owner ® Agent I 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: Signature at rcens um er Type of Plumbing License Title City/Town Mcense Nu1noer Master ❑ Journeyman ❑ APPROVED(OFFICE USE ONLY c� ~ COMMONWEALTH OF MASSACHUSETTS DIVISION . IN PLUMBERS AND OASFITTERS LICENSED AS A MASTER PLUMB ISSUES THIS LICENSE TO 1 OliVTD H PILLERI R C C v PO BOX 283 MEDFORD MA 02155-0003. r 11321 05/01/00 623811 JUl-@2-97 09:37 AM ERAWEBSTERGROUP 15084701988 P. 03 � Imo•.t ��� v:f t ' ./ 1;fj. Lor-ff .75 V Lor Lor•i�;�: ,;• , # Lorr7 1x. '� •� . �.r•r . .. � � Lor /3 ��• /qLa:� �. � Y� Nst•sff�1•' r •r♦ -�a -a'f•A - w � b 14 a � � i ur Mna } � •. I.DT•O r t _ •+ �',+ 7Ftie A� � Ate •,• I j t. _ •.I_ � . / a a• f s• .t. { ? � 1 � it � Q '�. t�.� �'�•.�.\na ru'r<ltiaaeaM°'�'.pwivi ioirww t # o el :wf Deas a t o i s` q a C 4003 .,ncra ark .owed' M' OO-•. ,Io 1d /!l0-M' /�O�' r�N•��Vow iil0 oy"- t •ad - A R P N C R J P O N L7 o A JO •• •ova MAP. KA►'iewvi ew w.�,• �.irnw.vf A�fe"e'° •r -� I/Ma O 1I1t na,�I�1aq Of brie ..—..,,. r wh..f 4a�wsyi/• h •a_Mfr/���"�,�-/Y/� u' j, 'd 8828-669-SLG-T uaMTI T ;W une4S I aiydOS eLZ:OT 90 LO unr