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HomeMy WebLinkAboutMiscellaneous - 70 PINE RIDGE ROAD 4/30/2018Cunningham Lindsey U.S., Inc. P.O. Box 703689 Dallas, TX 75370-3689 Telephone (888) 738-8714 CLCAT@CL-NA.COM Facsimile (214) 488-6766 ***********************AUTO**3-DIGIT 018 811 T3 P1 95000059001 Building Commissioner or Inspector of Buildings 120 MAIN STREET North Andover, MA 01845 Cuminfiham OLindsey Form of Notice of Casualty Loss to Building Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 3B.,No insurer shall pay any claims (1) covering the loss, damage, or destructions tos a building or y other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Under MASS. GEN. LAWS Ch. 139, Sec 3B Claim Number: 1688459 Policy Number: 168845920 M Company Name: MERRIMACK MUTUAL FIRE INS Cause of Loss: ICE DAM o Date of Loss: 3/15/2015 Insured: Robert Constantino 0 Property Location: 70 Pine Ridge Claim has been made involving loss, damage, or destruction of the above captioned property, which may either exceed $1,000 or cause Massachusetts General Laws, Chapter 143, Section 6, to be applicable. If any notice under Massachusetts General Law, Chapter 139, Section 313 is appropriate, please direct it to the attention of the writer. Kindly include a reference to the captioned insured, location, date of loss and claim number. Section 3B.,No insurer shall pay any claims (1) covering the loss, damage, or destructions tos a building or y other structure, amounting to the one thousand dollars or more, or (2) covering any loss, damage or destruction of any amount, which causes the condition of a building or other structure to render section six of chapter one hundred and forty-three applicable, without having at least ten days previously given written notice to the building commissioner or inspector of buildings appointed pursuant to the state building code, to the fire department or arson squad of the city or town and to the board of health or board of selectmen of the city or town in which the same is located. If at any time prior to the payment the said city or town notifies the insurer by certified mail of its intent to initiate proceedings designed to perfect a lien pursuant to section three A, or to section nine of chapter one hundred and forty-three, or section one hundred and twenty-seven B of chapter one hundred and eleven, the said payment shall not be made while the said proceedings are pending; provided, however, that said proceedings are initiated within thirty days of receipt of such notification. Any lien perfected pursuant to section three A, or to section nine of chapter one hundred and forty-three or section one hundred and twenty-seven B of chapter one hundred and eleven, shall extend to and may be enforced by the city or town against any casualty insurance policy or policies covering any loss, damage, or destruction pursuant to which the proceedings to perfect the lien were initiated. No insurer shall be liable to any insured owner, mortgagee, assignee, city or town, or other interested party for amounts disbursed to a city or town under the provisions of this section, or for amounts not disbursed to a city or town under the provisions of this section. 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. Cunningham Lindsey Catastrophe Department cicat(d)cl-na.com 800-867-3885 Claim # 1688459 Advantage Claim Services Adjuster Assigned: Glenn Guarente 522 Chickering Road #B North Andover, MA 01845 Form of Notice of 'Casualty Loss to Building Under Mass. Gen. Laws, Ch. 139, Sec. 3B To: Building Commissioner or Inspector of Buildings Town Hall North, Andover 01845 Board of Health dr Board of Selectmen Town Hall North, Andover 01845 Re: Insured: Robert D. Constantino Property address: 70 Pine Ridge North, Andover 01845 Policy #: 1688459 Loss of: 2014/06/16 File or Claim No. AD 9993 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,_ Ch _139_Sec._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. Glenn Guarente Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named at the addresses indicated above by first class mail. 06-25-14 Signature -and date , 3 8 1E 6 Date ..:j '�x�.�- TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ ....... ............ :��. ... r.'**-*******"***' has permission to perform .......... ... ....................... wiring in the building of ..... .... .. ........ ....................... at ........ 7.0 ... 0 .......... N dh Andover, S .... ... ... .. .... ... P N Fee.Lic.No.. ................ ... ........ .. ... Check # (semIN SPE L S E q Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. zW Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 27 CMJZ 12.00 (PLEASE PRINT IN INK OR TYPE L INFORMATION) Date: (11,41 City or Town of: XA/'1Q(/� To the Inspe for o Wires: By this application the undersigned -gives ce of his or er intent' perform the electrical work described below. Location (Street & N)gnber) � /✓/Q%)e f7 �%�, , Owner or Tenant Owner's Address Telephone No. -- --�71�5 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 ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the followin table maybe waived by the Ins ector o Wires. 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 Above In- Swimming Pool rnd. ❑ rnd. 1E:1 . o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. ol nd Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump I.Number Tons KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances Kit Security Systems: No. of Devices or Equivalent No. of WaterKms, No. o No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify: / ---) d (Expiration Date) Estimated Value of E ectrical Work: (Z /Q , (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under th-lTaihsf and penalties ofperjury, that the information on this application is true and complete. FIRM NAME:LIC. NO.: jr,-1-II, Licensee: John S. Bassett Signature LIC. NO.: 1533C (If applicable, enter "exempt" in the license number line) Bus. Tel. No.• 603 594 592$ Address: Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Li see 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 Telephone No. PERMIT FEE: $ , f = r a s j i€ E r. -�� rv+A Ad' TTS UNIFORM APPLICATION FOR PERMIT TO DO (Print or Type) j �- ' NORTH ANDOVER . Mass. date ig ql, t/ Building Locatlon -r> � Permit #_1 3v �fJ Owner's Name New Renovation ❑ ReplacemerA ❑ Plans Submitted: Yes p No p Installing Company NameL,,�/� AddressJ/s',d�.�.i_� Business Telephone 9X' 7— /moi Name of Licensed Plumber or rias Fitter Check one: V1,6orp. Ei Partnership ❑ Firm/Co. INSURANCE COVERAGE: : Check or}e I have a current liability Insurance policy or its substantial equivalent. ; Yes L�' No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity ❑ Bond ❑ Certificate 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: %natuto of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and Information 1 have submitted (or entered) M above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the pmm iI pertinent provisions of the Massachusetts State Das Code and Chapter 142 of PPlkallon will be (n compliance with all T Ucenso: Title umberum er or as er asfiller Clty/Town AnTiowo (OFFICE USE ONLY) Master Ucense Number 11J 7/ L� Journeyman oil MEN m�������������A/i1�N11�11���1111��11■ ONE�SA�I�IAA��A�■ ■ 1t moon NNINNON on NINENNORNINN-0 Installing Company NameL,,�/� AddressJ/s',d�.�.i_� Business Telephone 9X' 7— /moi Name of Licensed Plumber or rias Fitter Check one: V1,6orp. Ei Partnership ❑ Firm/Co. INSURANCE COVERAGE: : Check or}e I have a current liability Insurance policy or its substantial equivalent. ; Yes L�' No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Other type of Indemnity ❑ Bond ❑ Certificate 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: %natuto of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and Information 1 have submitted (or entered) M above application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the pmm iI pertinent provisions of the Massachusetts State Das Code and Chapter 142 of PPlkallon will be (n compliance with all T Ucenso: Title umberum er or as er asfiller Clty/Town AnTiowo (OFFICE USE ONLY) Master Ucense Number 11J 7/ L� Journeyman a m 77 N x m -f 0 X m N m 1� m r Z Z r > O > r C: z n a t .ti D� b m 0 0 m a O o=' p. Z t mm O p O Z Z t v o O m o m N. r m m O xi •n t = m rn o a d O O , a Q r > s t � o •z n . r j i t N x m -f 0 X m N m 1� m r lopm Z > r z a N .ti , b m 0 a O Z N x m -f 0 X m N m m lopm r , b a O p Z o O o m O m xi •n o -N m o O O , a Q r > •z n at AO oT a"tio � TOVY1 'y,OF NORTH ANDOVER y PERMIT FOR. -Q NSTALLATION ;cif rCr�+:�V� YU J.y:i�uV�lrU:v This certifies that .. ` .. has permission for gas installation ....�l r��.:..! "...!:: . in the buildings of . ! ; .` % f...� :� . �, r.-.,/ .......... at .,,� .,, ,.f../.(. f.r!...'. /North Andover, Mass. Fee..�-:�- ic. No , .�'..%f .'. ..............`.... . GAS INSPECTOR ' WHITE: Applican CAM Y: Building Dept. PINK: Treasurer GOLD: File Location /41%- No. Date U��9 TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ -S Foundation �"— Foundation Permit Fee $ 1 L' 2-7�- �,��Oth�r Perrriit'Fee1 1 $ Sewer Connection Fee $ �7 'V1l�td Connection Fee $ TOTAL uita Fri- $ Q7 ��®.,aCCit Building Innsspector� Div. 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Z • N O � ' � C F S°O ��r Z v ,UNO r any m ?�z A xo 0 _uN 0 !- v ma 0 In mm to ,� �z D0 - SUBDIVISION Z S ASSESSORS MAP S SUBDIVISION LOT(S) PERMANENT ADDRES STREET -WD ,0,'4e 4� it FOIZM U TOWN OF NORTH ANDOVER LOT RELEASE FORM ASSIGNED BY D.P.W. APPLICANT PHONE DATE OF APPLICATION G ZOARD TOWN PLANN CONSERVATION COMKISSION CONSERVATION BOARD OF HEALTH TOWN USE BELOW THIS LINE DATE APPROVED. // DATE REJECTED DATE APPROVED 4 7 ql DATE REJECTED DATE APPROVED 7, / HEE'Ar 9ANITARIAN DATE REJECTED DEPARTMENT OF PUBLIC WORKS �? DRIVEWAY PERMIT SEWER/WATER CONNECTIONS P_YA41 ,S &vt-' 6 SID ql FIRE DEPT. I RECEIVED BY BUILDING,fiNSPECTION DATE JUN 1 0 r This form shall be signed by the agents of the Planning and health Boards, the Conservation Commission prior to the issuance of any building; permits for the subject lot. This form shall not releive the applicant from the compliance of any applicable Town requirement or Bylaw. .-- n�,i Hr jl;L 1 1991caa-r�o�..i._A► �..i ILDMG DERAkRTEAEk i i `�jGA c._.E.:1 `� _ -� _ QA-T'E.: 7i2it i R 1 E� oQ�T I-1 A �-•+ fl o v E.2. S M A SS �t&-bF--- THS oFFS�c.TS o ti o �t ►..1 CvMPI�y lalNE.•_ o PFSt✓TS SHaw ►-1 t2%r—C . ToCt, USE o F -T--14 t_, 1=—> U t t., I=p t ►-1 C= O1.3t�y Rk-+fl S��H 1]�T �2 t✓l t ►.� AT" l o t- 1 d �a t.J �V Gr .13972 C c= 1-.1 F 02 1-1 CT y oiZ. 1. 0 ►-,1 Ge k_j Fo2.Nl- yPfCtStEREO \T' Y . H E. k 1 Go til ST 2r V GT E.fl . �'�1t Lir y Z ( 24 (4( 2 �+✓z /�-l7 — -�_. lam-- � �� - --�vL c� � �c__'tz�c'�`� _ _��_-�` cy" �_ !4-C.L ��2_� � �uCe- f3c'�u.�_S.- e•��,..:►rt s �"r_rze _ i'�.cc cs � �_ C�s�- T'�r3�, �7� . -- ------ .y ,. , ., a, r 2. POOL S VM LTJ n eD CL 7AA C 00 3, H LAOR z r rn V) Zy B� 0 m o � DO 0 to co 70 2! cn - 2 n m 3 c o m o o :3_� o m m :rrrn r C o0 n K O N 70 v z ,o z Z v � c _n _� o T Z Z Z T •.j MM V1 � -4 m m (� i•i f" O 0 0 _ • 66 m m L; O eb eb O O t eD LTJ n ov m ZE E—< vase, a Yea WE lA co T T cs) 37 T 77 'n c) m 7 0 O j C N < C mN O N <D A 7' ? r CDD =rC n n C: r 0 CD !3 `� z o � z n a Z� Z o m o Z Z T � ..j .Q •p N � 17'1 4 0 Ldd o 0 ca m M. m ma LE V\ c - FG ,a o n � T S yUSfTTS I Town of Mouth Andover Building Permit Number •• Date NOVEMBER •• THIS CERTIFIES THAT THE BUILDING LOCATED ON LOT 7, PINE RIDGE ROAD (#70) MAYBE OCCUPIED AS SINGLE FAMILY DWELLING W/2 -CAR GAR. IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. NORTH X09 tt�to °stip 3 CERTIFICATE ISSUED TO MARK RAE * 4,70 Pine Ridge Road 0y ADDRESS 9A cec:ii.ewrc. `��' �SSACHUSE� Building Inspector rn rm A .► fb A A .r •� rp - .•s 1. ,.OL eb O O O Ar `� . > Ob C6' cr rA CL. if -4 � ti �.e s Z rA to , n < FJ A S S r= z f r n eD ,p ,yam. C7 `. 6� �,y ✓ r �. � ti Td� *i° u•!� "'�"� �!�- x'17.' } cr "'� .., r' . - � N „ n K r t :� i a�, f IZ ~�-:''�,+'gym E. .v �•�. f1r . •O "yam` r1 �� � �i � Y °" +n tidy, �, `•J• f :.y '� T` '.y - � i ' V „yatYrX.+ •t'�''� f jrr' +,��,y����ry� .r• �, �� i - } „g�' ¢`,vs�cw y(,Y 'tr a _ S - • � rssk. ' ar, r. ". c... -_ a, v fieri r�.. � .:yi" J9' {,�pe£•� r,,( • ...�'i� a+=�7 .�' '' � '., a � � k�3' c. � "�* �'�,+i�.'+� �4 �'7ir �;-tky �' ar � J� M �r��§..t`d�'`,.> r•• r, > IIl'* 'r � u ' Y,.' ., , r sf t�'1�'wy� �..S: _. k. •, y"'!• t '� �'ST JvF-. k :���, fir. r � � aK.. _ ��. 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