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Home My WebLink AboutMiscellaneous - 62 STONECLEAVE ROAD 4/30/2018 62 STONECLEAVE ROAD 210/1040"0000.0 ccmmerce Insurance- The Commerce Insurance CcmpanySM Citation Insurance CCmpanysM SM Members of The Commerce Group,Inca" CLAIMS DEPT. 11 Gore Road,Webster,Massachusetts 01570 (508)949-1500 www.Commerceinsurance.com July 03, 2013 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: DOUGLAS J BARRY/PATRICIA M BARRY Property Address: 62 STONECLEAVE RD Policy#: WP8780 Date of Loss: 07/01/2013 Filek HCNH15-YNVN24 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. DIANE LECLAIR Telephone: (508)949-1500 Ext: 15004 Sr Claim Representative,Property Toll Free: 1-800-221-1605,Ext: 15004 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. July 03, 2013 WATER DAMAGE TO LIVING ROOM CEILING AND CARPET FROM ROOF. CCMMCrC Comnanies ....COME GROW WITH US CIC 254 (Rev.4/95) MAIL, C78 Date..... . . . . .... . . i HORT e Of,—*D , y.._� ' o ti TOWN OF NORTH ANDOVER ►, p v ' • - PERMIT FOR GAS INSTALLATION '�,9SSAC NUSE4t 3 This certifies that . . .=-t—�.`. .. . . . . .. . . . . . . . has permission for gas installation in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at 0.c -' . . . • . . . . • . . . . , North Andover, Mass. Fee` . Lic. No.� �u. . . . . . . . . . . . . . . GASANS ECTOR Check 6334 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) -- , NORTH ANDOVER ,Mass. Date 2/22 2008 Permit# �jzo 62 STONECLEAVE RD PATRICIA BARRY Building Location Owners Name Owner Tel# 978 557 0016-978 499 9250 Type of Occupancy RESIDENTIAL New O Renovation❑ Replacement Plan Submitted: Yet NOD FIXTURES L6 a W 0 a rA U) U w W o U x z x H H � z z o F W � m w W 0 a Oa' 14 ¢ z �j J. S6 w w rn w z a x a w W ° A �. x W x ,, (7t- z - H a F 0 0 > w U z w w z o z o x w > o ¢ x ¢ ¢ o o w O w F o 2 0 (D 2 w A 3 A C7 .a U w > A a F- O w SUB-BSMT BASEMENT 1ST FLOOR I 2ND FLOOR 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7T"FLOOR 8T"FLOOR Installing Company Name Eastern Propane & Oil, Inc Check one: Certificate Address 131 Water Street ZCorporation Danvers, MA 01923 Partnership 6628 322- Business Telephone# 800- Firm/Co. t Name of Licensed Plumber or Gas Fitter BRIAN KIMBALL INSURANCE COVERAGE: I have a cur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. ye sNo ❑ If you have'''c ecked yes,please indicate 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: Owner ❑ Agent ❑ Signature of Owner or Owner's 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 the permit issued for this application will be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws By Type of License: lumber Signature of Licensed Plumber or Gas Fitter Title -JGas fitter 1210 • -Master License Number City/Town •-Journeyman APPROVED(OFFICE USE ONLY) < �� -d� Date.r................................ t ?°.<"'° '• ,"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,S3ACMUSEt . -� This certifies that .................... ,.................................... Y has permission to perform ........ -?,: ...,. J wiring in the buildin of...43') ......... ... .. at... ....:_. ............... c �... .Fs ....:...... ,North Andover,Mass. e'l ............ Lic.No/q.3?l u3'.... . .. ... ................ ...... ELECTRICAL INSPECrj�$TR Check # 7007 Official Use Only Commonwealth of Massachusetts Pcrmit No. �700 Z Department of Fire Services ot, Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICALI WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE AL INFORMATION) ate: City or Town of: N` n tho lu.,,ncrtnr rf Hlires. By this application the undersigned gi es notice of his or her intention to perform the.electrical work described below. Location (Street& Number) 62- 57_1x,F' CcF4V C Owner or Tenant 491)644-S Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ 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: YL,� Completion of the following lable mai,be waived br the his pector of bGires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No.of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o. o Emergency Lighting rnd. rnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches S No.of Gas'Burners No. of'Detection and Initiatin Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons g P e Disposers Heat Pump Number Tuns KW No. of Self-Contained .1 otals: I. Detection/Alerting Devices ashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection s Heating Appliances KW Security Systems: No.of Devices or Equivalent t r KW No. of No. of Data Wiring: ters SiUns Ballasts No. of Devices or Equivalent assage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent Attach additional derail if desired,or as required by the Inspecior of Wires. 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 covera 's In force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) ,:. (Expiration Date) 1-+ Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: R-1 f Oa Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is tnie and complete. FIRM NAME: 040/O LIC. NO.; Licensee: A3,W1V Signature LIC. NO.: (If applicable, enter "exempt"in the license number line.,) _4Bus. TeL No.:97� 692-62-4>2- Address: .T$C-�e,tlj rr 4f�r/,2G�rC� /�Q 01 � Alt. Tel. No.: 797 3-r s- �i-1 3Y 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 ❑ ovmer's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S