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HomeMy WebLinkAboutMiscellaneous - 65 GREENE STREET 4/30/2018 65 GREENE STREET 210/043.0-0006-0000.0 NCP845 Executive Lane Suite 200 This claim handled on behalf of: I 0�0) GI'OIOp Rockledge, FL 32955 Arbella Mutual Insurance Company P. 0. Box 699174 Quincy, MA 02269 Building Inspector's Office 1600 Osgood Street Building 20,Suite 2035 North Andover, MA 01845 4/27/2015 RE: Policyholder: James Smedile Policy Number: 02672400003 Claim Number: 033566159 Date of Loss: 2/9/2015 Loss Location: 65 Greene Street, North Andover, MA 01845 To Whom It May Concern: Claim has been made involving loss, damage or destruction of the above referenced property, which may exceed either $1000 or cause Massachusetts General Laws Cha 3ter 143 Section 6 to be applicable. If any notice under Massachusetts General Laws Cha ter 139 Section 3B is appropriate, please direct it to the attention of this writer and include a reference to the above captioned insured, location, date of loss, and claim number. Title: Property Claims Adjuster On this date, i caused copies of-this notice to be sent to the persons named above at this address indicated above by first class mail. Sincerely, NCP Group, LLC 877-576-0061 x 401 claimassistance@ncp-claims.com NCP Group, LLC 845 Executive Lane, Suite 200, Rockledge, FL 32955 Office 321-684-7018 Fax 321-338-2920 Location '7 � Date No. , a NORTH TOWN OF NORTH ANDOVER Certificate of Occupancy . $ 1 Building/Frame Permit Fee $ CHusEt Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 19,lding Inspector 7 08/10/9810;39 195.00 PAID �N L �� n Div. Public Works EAST COAST REGION E-MAIL: TM7525@AOL.COM COMMERCIAL-RETAIL V-MAIL: 508-801-7525 0� l of c Lut 2 T & M CONSTRUCTION TEL: 978-470-8959 520 SO. MAIN ST. FAX: 978-470-0304 ANDOVER, MA 01810 PAGER: 978-629-7525 33Y -APP IN CATI ON FOR I-11-1 MIT TO BUILD NORT11 ANDOVE'Rs MA f~ &Iv•Nil. 3 IIIf.NI). 2. fill (1R11(11'O\\'Nllt$1111• DATF 11000 lei IN1. .SUII 11 W. 1111 NO. 1111 J(IN 65 Green Streef, 1I\\•NI:It.s NAML James Smed i le PH). Of SIOKOII:S SIZE ()\VNI:R*SADIMLS) 65 Green Street DASEML-441 OR SI All .>Itt1111E<'1•SN.V.IE SIZE OfI 10(AIII.IIIF.RS Z 3 fit III DER'S NAME SPAN DIS I ANC'F.70 NEAREST DUII.DING DIMENSIONS(Y SI1.1 S 1)IS I-AN('E I RCW i STREET INIIII:NSIO NS I l:It D Is DISI"AWE FRO"1.01 LINES-SIDES REAR DIMENSIONS OF GIRDERS AREA(If I or FRO NIACE IIEIGI If OF 1`01,)NOA1ION TI HCKNE•SS IS U1111.INN(i NEW SIZEO]F 1(Y)IINC, xv 1 ISDU11111IN4ADIxTION 2nd . floor sded dormer MArERIA1.OFCU1IINEY IS BI111.DIN(i ALTERATION IS DUII J)iN(i ON SCX.ID OR FII LED(.ANI) %k,ll 1.BUILDING CONFORM TO REQI IIREMEN I-S OF CQDE IS Bi HIDING CONNECIED 1C)1(VWN WATER ` BI LARD OF APPEALS ACTION,IF ANY 7t IS DUIIAMNG CONNECI EI)TO TOWN SEWER y IS BUILDING CONNECT 0)1'0 NA111RAL CAS LINE INSIU(`IIONS 3. YI101'E11.1.1- INFO1MATION 1-ANDC'OST � Q Q y Est.BI IXi. COST P,kGE 1 PII.I.O:Y(r SEcTioNS 1-3 ES7. D1.Iki.COST PLR S/).FT. j f EST. B(Iki.C'(ISIIGRR(KY,.O ELECFRIC ME(ERS MUST BE ON(XITSIDE OF DIRT DING ��) SEPTIC PERI 11 r NO. "11 � ✓ A rl ACI IEDGARAGES MUST CONFORM TO S rATE FIRE RE(:ULATR INS PI.ANS MUST BE FILED AND APt'ROvED DY DIM DIN(:INSPECTOR BUILDING INSPEC—FOR DAIE.Fit ED OWNERS r1:IN 978-689-2949 • clxrrR.1E1.N 978-470-8959 cO°f1R.11(l 005385 MA . _ s11:Ni Cl IRIi(ll l)WNF.R IKt AlII1K)( 171.1)A(:LN7 - it • \ \oz 1'1 1-411111(:ILANff:U 4; Fri . 017 s* _ vi�ri ;� � GIlli�ld �� 'as pa �iJ�sad E" �cs� ��.na sss:rs;,aa .s :aa r. 1-ail A d 317 i JUL 1 lj'u' VIONI U8:Ub MARTINI INSURANCE TEL,61793302?0 P 001 AC Any CERTIFICATE OF LIABILITY INSURANCE DATE 7/27/9 6MC�0�-1 07 27/98 PN4G•UctJI THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION Martini Insurance Agency, Inc. ONLY AN13 CONFERS NO RIGHTS UPON THE CERTIFICATE 6 Common Street HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 565 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, Woburn MA 01801-0565.'- • COMPANIES AFFORDING COVERAGE Martini Ineuraneo Agency Inc COMPANY anon.Na. 781-935-0220 FaNe.781— -9445 A Construction Ins Service Inc INSURED COMPANY B Maryland Casualty Ins Co T & M Construction COMPANY Mich$'a1 Silverio, dba C 5202 Main St COMPANY Andoi!or MA 01810-6221 D COVERAGES : ' THIS IS TO CERTIFY THAT THE POLICIES-OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN 1$SUBJECT TO ALL THE TERMS, EXCLUSIONI3 iffl)CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYPE•Of INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTA DATE IMMIDDIM DATE IMMIDDIYY) GENERALLIAHILITY GENERAL AGGREGATE 32,000,000 A X COMMERCIAL GENERAL LIABILITY CEM28580737 04/04/98 04/04/99 PROnUCTS.COMP10PAGG i 2 000 000 CLAIMS MADE Q OCCUR PERSONAL A ADV INJURY $1 000 000 OWNER'S.ACONTRACTOWSPROT EACHOCCUPRENCE $ 1,000,000 S I FIRE DAMAGE(Any ons,lira) S 300,000 ' MED EXP(Any onm person) f 10,000 AUTOMOBILE IJARILITY yf COMBINED SINGLE LIMIT I ANY AUTO ALL MINED AUTOS BODILY INJURY I SCHEDULED AUTOS (Perpanan)_ HIRED AUTOS BODILY INJURY t NON-OWNED AUTOS ` (Par accident) PROPERTY DAMAGE I GARAGE LIABILITY AUTO ONLY•EA ACCIDENT S ANY AUTO _i OTHER THAN AUTO ONLY: I ,Z EACH ACCIDENT I AGGREGATE I 09EAS UABILITY EACH OCCURRENCE I UMBRELLAFORY AGGREGATE f OTHER THAN UMBRELLA FORM' s WORKERS C&PENSATION AND r TORY-UMITSW A X 0TIR H- EMPLOVE;WLIABILITY EL EACH ACCIDENT 61,000 000 as j H THEPROPRIETORIX INci_ TC9 95577756 05/31/98 04/04/99 ELDISEASE-POLICY LIMIT $1,0009000 PARYNE11mm@CUTIVIE OFFICERS ARE: EXCL I EL DISEASE•EA EMPLOYEE S 1 000 000 OTHER I,s DESCRIPTION OF OPERATIONSn OCATION9NEHICLEMPECIAI,ITEMS Subcontract work-buildings CERTIFICATE HOLDER :! CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE .; EXPIRATION DATE THEREOF,THE IS6UING COMPANY WILL ENDEAVOR TO MAIL y, 10 DAYS WRITTEN NOTICE TO THE CERTTPIGATF HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESEN TIVES. AUTHORIZED REPRESENTATIVE Martini Insurance Agency ACORD 2ES(1194) ' " ACORD CORPORA ON 1996 N2 2 ,11 5 Date Of S.CaoT e1ti0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING S CHU This certifies that—,......:..: ............ ILI has permission to perform ....... .............. ....... ...... ....... wiring in the building of.-,,....,4..... ,4—,-e -zr .....................rl, .......... .................... atAl't........................... .North Andover,Mass. ....... Lic.Ni/?� ................. SP.ECT... OR................. ELECTRICAL 11/04/98 12-17 105.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Date: uN oar _. ; , �.he t;orrimdt�weal h 'of Massachusetts eper6tt7ItA1Nb1tt:&fdy HOA110 OF l A9 3eAVENt10H hEGUL MONS S21 CMR 1200 3/90 tt••.. ►tutj APPLICATION FOR . P,4WT 30 PERFORM ELECTRICAL WORK Nl vetk to 64 pertotmed In.aetetdanee with the Hewcholetu Mcctrlesl Code.327 CHR It-00 (PLEASE PRIt1T Ili ]NDC Oh: 011 Date DaCn_N /�. Cit Totra f Y or o `' � Tm the Inspector of direst , The undersipted Ippltet for 'A Petah to pertoty the elettr"i"�i, vork described belou. Location (Street to lhrsbet) _ r�ReNe, St Ovner or Tenant L)gh►QS �- � e.MC.It' V 6�med. 1 e '0vncr's Address %5Q Y1_e� Is this permit in conjunction vlth A building peraits Yes ❑ No ❑ (Check Appropriate Box) , O cis's rurpose of Building Pest - �'J1 4" L utility Authoritstion No. U®8g_®0 Fu1S ting Service1190 flops /2LO l_2.qo_ Volts Overhead ❑ tlndtrd❑ No. of Heters t4" ScrTice 900 A"ps / Volts Overbesd ❑ Uod d gr ❑ No: of Meters • Ifu=ber of Feeders sod Aepaeity , ' 1 Bccllda'+�S Location and Nature of Proposed Electrical Uork t ig-e 'StM -be,+ an( uta Z 16—a5 M'00 No. of Lithtinst Outlets Po. of Not Tub*. No. of Transformers Total No. of Lighting Fixtuces, sv�-ring fool ' Above d ❑ grnd. ❑ Ceneritor* •1;VA Ito. of Receptacle Outlets No. of Oil Burners No. of Eotrgeney Lighting Battu Units Ito. of Switch outlets No. of Cas Burner* T= ALJUW2 - No, of Zone$ Ito, of lunges No. 'at Air Cond. ' Total No. of beteetioti and e eat tons itUting Devic ! No. of Disposald . Iot; l s W No. of Sounding Devitt$` lotilrump Igns No. of Dishvashlrs Spice/Area Iteating !31 No...of.Sal! Codtiined Detection/Sounding De*jtt:s4 Ito. of Dryers Neiltag Oe4ite* bt t,eeil❑il`"+it pii Other_ Connection❑ Ito. of Vater lteateri St9 110e ! 1>al]ast* �ingUste Ito. Hydro Itssisge Tubs No; of Motors Total NP I LISU—MICZ OC•h AUX ' Tuisuaitt to the.re uiredents of Kiitschusett$ Ceneral Laws I have i current C ilii Incur*nee policy including Cf plated operatiodd Coverage omit* substantial equivalent. YES�O[� Y have submitted valid proof of aaelb to this office. YES No it yW Tuve eh ked TUt.pleftte iodieate the type of coverage by checking the 1pptopri,ate box. USUTWICE B0IW 011Mt 0 (Ple SO Specify) Esti=ted Value of Llectriaal 04k S • ace! p rac on Vork to Start,1 �.. Inspection Date Requested! Roughk,U I�1 C �, 1•ina1 `` ' ,Signed under the pensltiei of perjuryt - >-z P_r- g I CCL\ O-0 dpmc Om ;*e LIC. so. 6 Licensee . o' Ij ' Sittatdre _LIC. I10. •Address �• Bus. Ta1. No. � - A1C tai. ?to.'Igl- a - D 9' a Vi ou`tE 13 INSURJIIICS•StuYL�t1 x AM quare;that the Llteneied does not: hive.tae,insut'inee coverage or is suo- s 'stantLti equi4ple.At ii teejuired,by Has'ssehusetts Cenertll v:v and thatvr signature odl this persist •5-0'00 S*okt✓ application Waive* thi! requirenegto Owner Agent (Please thick one) 1 5,00 jv�1'S 4 U 0 Telephone _ :IT:7mi s .::naear+ tt • +nee ttr' .caner Date. �- N-2 3869 f HORTI{ TOWN OF NORTH ANDOVER p tt�+o ,• �h PERMIT FOR PLUMBING VSs �MusE� This certifies that Al.-4.L��/. . . . . has permission to perform . . . £'k.G1sLet�!,�. . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . at. Cv.3 . . /° .P,�,�,.e , , , , . , North Andover, Mass. Fee.f� c 1:7 . Lic. No..l���/4... . . . . DBING PLUMNSPE 11/16/48 09.05 50.00 RAID y WHITE: Applicant CANARY: Building Dept. PINK:Treasurer •(Type or Print) .:. " .. . .r :... . . ,. �. _.. .�,...,,;• �ir:"''�a`uwiol{�G ; . NORTH ANDOVER Mass. Building Location Permit 13� 4' Owners Name y' v New IQ--1novation j] ' Replacement [] Plans Syibmitted FIXTI. RFS- 0 F O Z t• O W Y J P. d u h N D Q Q z In Q ac ¢ sZ o _ �' 66 a O W W o7 1" u (t X < W W Z .. Z �. • • U Z' ac c as 9) w a• ►W- H x o a ° a a o. K O a a: < N < W = J < _ X = Y a o .� w k X W • �' u > F, O X 4 7 N Z O Q 41 Z Z W OU3 0 V = 3L .:/ N W D Q < .0 SUB�BSMT. • BASEMENT IST FLOOR TND FLOOR 7i 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR ' 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name j�,� �� � Q Corp. Address ioliy� �-P fa tomer. of ICC Cj Firm/Co. Business Telephone I-A-71; Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the y appropriate box: Liability insurance policy ❑ Other type .of indemnity 0 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 coverages. .. Signature of ownerlagent of property Owner Agent ,, I busby culify Wal all of Oic dclails and in(osmalion I luwc subiuillcd lot cnlcicd)in ahowc applicaliw Ne IIaK 4:944 to dw btu r wl �.• kwowkdgt and WA all plumbing was and inslallalinns Irco(nfmcd undo Pcimi�d(os ibis applica ' NiN I Ml pwlN(ipq Nigh so pgW1aN pop,, t•{iglla of ghe llasiatbwelli Slut 1'lumbiaj C.odt and(]uplcl 142 0(the(:u►aal L40L Ii Y Title . Signature of 'Licensed Plumber _ City/Toon• Type of Plumbing License i / A License Number © Master 6 JourneytWlq TOWN OF NORTH ANDOVER AFFIDAVIT Home Improvement Contractor Law Supplement to Permit Application MGL c. 142 A requires that the"reconstruction, alteration, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units...or to structures which are adjacent to such residence or building"be done by registered contractors, with certain exception, along with other requirements. Type of Work: 2nd floor dormer Est. Cost$50,000 .00 Address of Work 65 Green Srteet Owner Name: James Smed i le Date of Permit Application:_ I hereby certify that: Registration is not required for the following reason(s): For office Use Only Work excluded by law Pemit No. Job under $1,000 Date Building not owner-occupied Owner pulling own permit x Other (specify) TTnrPQi .-,t.PrPC1 rant rartnr Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FIND UNER MGL c. 142A. Signed under penalties of perjury: I hereby apply for a permit as the agent o the o er. ' Date Contractor Name Registration No. OR: Notwithstanding the above notice, I hereby apply for a permit as the owner of the above property: 00/9 F D e Owner Name