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Home My WebLink AboutMiscellaneous - 63 INGLEWOOD STREET 4/30/2018 BUILDING FILE ® The Commerce Insurance CompanySm MAPFRE Citation Insurance Company'"' 11 Gore Road,Webster,Massachusetts 01570 INSURANCE* 508.949.1500 1 www.mapfrei nsurance.com August 11, 2015 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: KEVIN J. SMITH Property Address: 63 INGLEWOOD STREET Policy#: BBWLRD Date of Loss: 02/14/2015 File#: KPJM76-JCWKWI 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. SUZANNE FOUCHE Telephone: (508)949-1500 Ext: 11421 Sr Claim Representative,Property Toll Free: 1-800-221-1605,Ext: 11421 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. August 11, 2015 CIC 254 (Rev.4/95) MAIL IN3 /2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed "I on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§ e fan electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§K. - Permits shall-be limited as to the time of-ongoing construction activity,and maybe-deemed-by_the Tnspector_of-Wires abandoned-and_invalidafhe _ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or.the installing entity stated on the permit application. The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections.74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this Purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending1hrough August 15,2012. R le 8—Permit/Date Closed: Note:Reapply for new permit' it Extension Act—Permit/Date CIosed v�� Date...�`../..... +. t NORTH, 3?�•_`r`��-• o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUSEt • //II This certifies that . .a�..�/ *J 40 ........................... . .. ............................................. i has permission to perform .../�—Y evplo.............. .. ,...............................� r wiring in the building of...... .............� ! ................ t .` „�.......5 -.... ,North Andover,Mass. Fee.` �!.�....... Lic.Noll Y-3, :f ...1-9u, .. ? �..... ELECTRICAL INSPECTOR Check # 6 'Y S4 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. �96 BOARD OF FIRE PREVENTION REGULATIONS Map&Parcel APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK e erformed.in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 work to b � ) All rk p (PLEASE PRINT W INK OR TYPE ALL INFORMATIOA9 Date: J`--/ F-416 City or Town o€e IVOR7,f� L./S✓. G To the Inspector of Fres: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1-/l/ L -57� Owner or Tenant Telephone No g78 ,9 61,76V f! Owner's Address _.5;AW467 Is this permit in conjunction with a building permit? Yes 0 No ❑ Building Permit# Purpose of Building1�>vPL,CX.. ca"_Pi o 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: 12EW19F WA77-14-1, a Completion of the ollowin table may be waived by the Ins ector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans o.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above n- No.o mergency g ng No.of Lighting Fixtures Swimming Pool rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o e ec on an Initiatin Devices t No.of Ranies No.of Air Cond. Toons No.of Alerting Devices No.of Waste Disposers Heat Pump I_, "Number oae o.o e onto n Totals: ""� Detecdon/Alerting Devices. L No.of Dishwashers Space/Area Heating KW Local ❑ c 0 Other Connection No.of Dryers Heating Appliances KW SiekurltYSystems: No.of Devices or Equivalent No.of Water l o.o o.o Data Wirth s Heaters Si as Ballasts No.of T�evices or.E uivalent No.hydromassage Bathtubs [No.of Motors Total HP a ecommu ca onsuivaleg: . No.of Devices or E nt OTHER: Attach additional detail if desired,or as required by the Inspector of Fires 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:) 9 17 Estimated Value of Electrical Work: When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. Ieert*,under the pains andpenalties ofperjury,that the Information on this application is true and complete: FIRM NAME: LIC.NO.:A 1 1 9 8 3 Licensee: LOUIS CONT I NO Signature LIC.NO.:E 2 8 7 8 8 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.$7 8-3 63-54?0 Address:_ nnNnvaN nu uTR..c.m NFWRTTRY,M,A 019_85 Alt.Tel.No.; 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 Signature Telenhone Na- PERMIT FEE.s D ko Th A Of Dti TOWN OF NORTH ANDOVER PERMIT FOR-GAS.,INSTALLATION 'ISSACHUS This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . in the buildings of . . . . . .: . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . . . . . . Lic. No.. 9'r 62? GAS INSPECTOR Check# 6653 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) 14-pWo�R ,Mass. Date ► 2069 Permit# r - - I\_ 'b Building Location C /k b i•C i s—mo Owner's Name li Owner Tel# Type of Occupancy .S// New ❑ Renovation ❑ Replacement n Plan Submitted: Yes ❑ No n FIXTURES a � w wn" 0 0 j < 0WdW WW� � Zxozw O O a a w c W CO O U x z F O Q W W w m w Z cG ` W gp W F W F xCO y ��rra11 < w > w w � F _eP4 GO 2 ¢ O O W � OO w [x a o: 3-- o O w 9 3 Q 0 w U SUB SMT BASEMENT 1ST FLOOR /,7.• 2ND FLOOR s1 I' 3RD FLOOR �t 4T"FLOOR 5T"FLOOR 6Th FLOC' 7T"FLOOR 8T"FLOOR Installing Company Name ks L Check one: Certificate �t Address C// dc-L y�� er'corporation f y ❑ Partnership Business Telephone# ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current Iia ility insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. Yes No ❑ If you have checked yes,pl,•ise 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 issu o is ap lication will be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge f I S. By T e of License: • lumbe Sig Licensed Plumber or Gas Fitter Title ^-Gas fitter ® � y� • ase License Number ! 'j J F City/Town •Journeyman APPROVED(OFFICE USE ONLY)