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Home My WebLink AboutMiscellaneous - 62 BANNAN DRIVE 4/30/2018 (2) / T 62 BANNAN DRIVE �- 210/038.0-0112-0000.0 1 E V� PO Box 55098 Boston,MA 022055098 617-951-0600 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: GEORGE DUNHAM and DEBORAH VISCO Property Address: 62 BANNON DR,NORTH ANDOVER, MA Policy Number: HMA 0301039 Claim Number: BOS00051120 Date of Loss: 2/23/2015 Company: Safety Indemnity 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. Dane Iovino Claim Examiner 2/24/2015 Safety Insurance Company Homeowners Claims Unit .._ .,. P. O. Box 55098 : ._ _ Boston, MA 02205-5098 Phone:.(6.17) 951-0600 EXT 3533 Fax:. (617)..535-5851 Email: DaneIovino@Safetylnsurance.com i i i V'k The Cornmolicue6hb of MclssochusettsD". rfrtierii of Public Safety BOAnD or rihE OnEYEti"Olf AEGUumn oNs S27 O 12.00 )/90 roe r],ec bdtt„v. blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All a.'ork to bf performed In iccotdance with the Maaachusetu Electrical Code. 527 CMR 12:00 (PLEASE PRINT; IN INK OR TYPE All. INFORMATION) Date 7 .Town of IN., To the Inspector of Wires: The undersigned applies for A permit to nerfnrra the +tpctri_al ;;vtk described below. Location (Street t Humber) (0-2-- Owner `Z.Owner or Tenant L�C�� Vis; owner's! Address Ste-. if_ Is this permit in conjunction with a bundling permits Yes ❑ No 1& (Check Appropriate Pox) Purpose of BuildinUtility Authorization 110. Existing Service Amps / Volts Overhead Ej Undgrd❑ No. of Meters New Service limps / Volts Overhead❑ Undgrd❑ No. of Heters Number of Feeders and Ampicity, Location and Nature of Proposed Electrical Work Ito. of Lighting Outle^s No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Ln- _ grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners No: of Emergency Lighting Battery Unita No. of Switch Outlets No. of Gas Burners FIRE ALARMS Ito. of Zones No. of Ranges Total. No. of Detection and B tic: of Air Cond: tons Initiating Devices No. of bisposalt No: of Pups Total Total No, of Sounding Devices No. of Dishwashers Space/Area heating KW No. of Self Contained Detection/Sounding Devices No. of Dryers Heating Devices KW Local 0 Municipal Q Other Connection No. of Water Heaters K14 signs Voltage Ballasts Wiring No. Hydro Massage Tubs Ito. of Motors Total HP OTiIER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES® NOE] I have submitted valid proof of same to this office. YESPg NO [] If you have checked YES, please indicate the type of coverage by checking the appropriate box. �Z INSURANCE gC 130111) ❑ MIER ❑ (Piease Specify) ��xpiration Date) Estimated Value of Electrical Work S Work to Start--7—,31 -q Inspection Date Requested! Rough Ftnal g Signed under the penalties of perjury: FIRM NAME G t 6 CSe--"I c.-e.S yNc,. . LIC. No. IS 4L(Q Licensee .ova &+ft ``K.%AcO G�_Signature_a _ LIC. NOA 1c%\ O Addressyc� p _ �b , mc�B�us. Tel. No.s"b$-384—'7 S l0 1 s Fine 1. No. (_• OWNER'S INSURANCE WAIVER! I :un aware that the 'Licensee does not have the insurance coverage or is s,iti- stantinl equivalent as reriulted by Massachusetts General Laws, an tat my signature nn this permlt application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT E S 7 Signature of (timer or Agent f 21"2- ,� � • Date... �/f....� ......... .. . 1121 HORTh TOWN OF NORTH ANDOVER , O Siam. A PERMIT FOR WIRING Allo 'SSACHusE� .S . This certifies that .........�s e ��C c 7k 7 ......./........... .. .................................... has permission to perform ...... .....�4L.1?l. ............ wiring in the building of...... .f.Yz....\,,.,.5A.... . f':`� ..... . L ' Q, at.......�. ....... ��.,in t. �!! 'D 9 ..... North Andover, Ai..:. ..:.............. ... s f� �r Fee. :U J Lic.No,.../... m ELECTRICAL INSPECTOR C. WHITE:Applicant CANARY: Building Dept. PINK:Treasurer is MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date Aa //q 199Y Permit # /26t;k _ Building Location6-) /:�Il1)A)Ayn DR Owner's NameaLa.D,ajJm. '4 Type of Occupancy -1 New pr Renovation ❑ Replacement ❑ Plans Submitted: Yes[] No U/ ¢ N W ori Y z cc vi N N U ¢G 0 }- ¢ to = O O 0 = f W J N W O U ¢ r a z z o r W O W k ¢ ¢ 0 0 O F- Q ra (n F' tJ W O G C N ¢ W 2 U W N W Q ¢ O r z W W N J Q .T. ¢ ¢ Ya¢ O ¢ W W 0 2 Z W O > W f- U _! y{/) rSa W N m z O = W O W > C a o wW 'x O 0 U. O 3 o 0 a .1 U ¢ > Q 0. N O SUB—BSMT• BASEMENTF1 ISTFLOOR 2ND FLOOR , 3RD FLOOR 4TH FLOOR I STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name Check one: Certificate AddressEr`Corporation ❑ Partnership Business Telephone ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE CAGE: I have a current ' ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please in 'tate the type coverage by checking the appropriate 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 Agent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in above applicatio. are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permi issued for this ap kation will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of th G neral Laws. BY T 'cense: -. Plumber Signatur o4,enWd lu b as Fitter Title Gas'ter ster License /do s City/Town Journeyman APPROVED(OFFICE USE ONLY) t BELOW FOR OFFICE USE ONLY t FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO fPLUMBING NAME &TYPE OF BUILDING v LOCATION OF BUILDING A A PLUMBERI-'-'�e-,c;, , f-e-, PERMIT GRANTED DATE 99 PLUMBING INSPECTOR �i�`"`.....�i.wry,+».^. o,,:.w[,i q.• "` ... r.'+„+maar''_R,'.'.yNt'6.=t*Zsw;n.<.,s '<:, r z oa `,t d':."` - , � Date./, l ..... ...... 1702 �^ •F ,R NORTH TOWN OF NORTH ANDOVER �! OF 1y0 ° 0 PERMIT FOR GAS INSTALLATION i ► j: i SSACHUSE ` This certifies that . .,/ ` !`. .'. . . . . . . . . . . . . . . . . . . . . . , . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . in the buildings of r e�f jfat . . . . . . . . . . . . . . . . . . .. . . .... . . . /... . .... .''North Andover, Mass. Fee. .? ?. . . . . Lic. No.!.,. !. . . . . . E. . . . . . . . . . . . . .f . . . . . 12/27/% U8C38GASINSPECTOR 15.00 AAID=' WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File