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Home My WebLink AboutMiscellaneous - 133 PLEASANT STREET 4/30/2018 (2) f133 PLEASANT STREET U-4 y 210/070.0-0027-0004.0 j P� Form of Notice of Casualty Loss to Building Under MASS. GEN. LAWS, Ch. 139, Sec. 3B To: Building Inspector 1600 Osgood Street North Andover, MA 01845 RE: Insured: Pleasant Estate Condominium Association c/o Alexie Valverde Property Address: 133 Pleasant Street, Units 1 &4 Policy Number: BP11029082 Date/Cause of Loss: 1/3/2014, Pipes Froze & Burst File or Claim Number: 28953-W Claim. has been made involving loss, damage or destruction of the above captioned property, which may either exceed $1,000.00 or cause MASSACHUSETTS GENERAL LAWS, CHAPTER 143, SECTION 6, to be applicable. If any notice under MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. Wade Anderson On this date, I caused copies of this Notice to be se to the persons named above at the addresses indicated above by First Class Mail. 4i S', nature and Date ANDERSON ADJUSTMENT CO., INC. 50 Nashua Road, Suite 303 PO Box 1098 Londonderry, NH 03053 q —7 Date. . . %ORTH TOWN OF NORTH ANDOVER i - PERMIT FOR GAS INSTALLATION SACNUSEtt This certifies that . .'/.P . . . . . . . . . . . 'F`. . . ,�� . . . . . . has permission for gas installation . . . . . . . . . . . . . .. . . . . . . . . . . in the buildings of �.cG',�?<<t.►. �:�'. . . . . . . . . . . . . . . . . . . . . at . . � .� ?/-.�� ! .�. . . . . . . . . . . . . . .. North Andover, Mass. t Fee. .3 P... . Lic. No.2"f ?�. . . . . . . `. . . . . . GAS INSPECTOR Check# 5187 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations J-?3 j4Le9514NT Sr Permit# � Amount$ 34 E/feit., /wed o/Ji`$/v --- Owner's Name New❑ Renovation ❑ Replacement ® Plans Submitted ❑ C4U w O w H OF a z W w d W Z O W w Z d x W G FAw» y a Fo z� z 0 > A N o SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH . FLOOR 7TH. FLOOR 8TH. FLOOR (print or type) heck one: Certificate Installing Company Name T 114 L L ori/a r✓ PY�� U Corp. Address D Q O X S T?, ❑ Partner. e-4z,,-)4e,,v<e 14 Iq a i? YL Business Telephone 7-7-Y 6 Y!5-- 515-0`l' ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter 7�yvrt IS W-} INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® No❑ Ifyou have checked M please indicate the type coverage by checking the appropriate box. 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 application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gli /asCode an Chapter 142 ofthe General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ® Plumber a: Y � 33 City/Town ❑ GasFitter License Number ❑ Master APPROVED(OFFICE USE ONLY) ® Journeyman Date. ..�. . . .. . . ... . ... . . E I l NORTH , 1 3?0 f` �. o ,a. 1•pL TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACH SES 9 This certifies that . �(1j. . . . ./tJ_ /1�. ` `'�- `! . . . . . . . . . . . . . . I has permission for gas installation :-�. z. �`"�. ' . . . . . . . ii?the buildings f r.. . . . . . . . . . . . . . . . . .` � aid �_. 'Nv !:. . ., North Andover, Mass. FeeLic. No.. . .? . . 7 GAS INSP?/ Chec", 3d 61-- 8 MASSACHUSETTS UNIFORM APPLICATOON FOR PERMIT TO ®O GASFITTING (Print or Type) F6 ANbOVCI' y W Mass. Date /� f 7 2 0 0 Permit # r -- Z i d Building Location�33 OeNj- N'�" �T Owner's Name fBrrglCR- - A` No Aid ova/: Typeff"`O upancy 5� New ❑ Renovation ❑ Replacement P�' Plans Submitted: Yes ❑ No C1 COW Cfj � � a: co m � Z W W > z 5 0 Z W t- mWQ = � 00o ° > w W W Uj LU _Z Q _ CC W a W N W _ � Q W > D: W Z) Z Q X Q Q U W O W X = O 0 Z LL C7 U- -X > O a. H O SUB-BSMT. BASEMENT ie 6 dc e 1ST FLOOR 2ND FLOOR t 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name ItIla h le w► /Jur Check one: Certificate # Address 0.0 C o r►1 rn o.$) s r ❑ Corporation } L!�!.✓ /�/►¢S'S' d r�y� ❑ Partnership i Business Telephone �9Y.S"Pf'a I�e� ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent: which meets the requirements of MGL Ch. 142. Yes a?— 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 ❑ 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 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 installation performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Type of License: .EPlumber Title ❑ Gasfitter Signature of Licensed Plumcber or Gas Fi er ❑ Master �7a�^ 2 City/Town License Number APPROVED(OFFICE USE ONLY) AEI—Journeyman BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES NO. PROGRESS INSPECTIONS MERCURY TEST FEE FINAL INSPECTION APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING /33 PLUMBER OR GASFITTER i LIC. NO. PERMIT GRANTED DATE Is x aAS INSPECTOR �yy Date. . .. ..Q. .G..... . J IE � f „oR*M TOWN OF NORTH ANDOVER OF ..ao ,e1q•0 PERMIT FOR GAS INSTALLATION 10 . • r 5 �9SSACHUSESt This certifies that . . . . . . . . . . . . . . . . . . . . . . ... . . . . . has permission for gas installation ... .. . . . . : . .! . . . . . . F in the buildings of . . 4 e rx ... . . . . . . . . . . . . . . . . . . . . . . at -2/'---North Andover, Mass. Fee . . . . . . . Lic. No.. . . . � Q . . . . . . . . . . . . . GAS Ifs PVR nl JJ� WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUS f TTS' UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ` A},,)e T tf Acv"i)n ae . Mass Date LLT-- , -.-, Vrm Peit# ole Building Location / 3 lC-IA"ty rS T,A OT a OwnersName P' x tA JJ Q x.74 A AJD0 V C yr, /VA A Type of Occupancy_ R E51 7L7 N T! rq New ❑ Renovation ❑ Replacement 2111" Plans Submitted: Yes❑ No ❑ N Y Z U) x ¢ N N V 1•- S 0 ad ¢ O V m t = 0 t7 = 1-1 o ~ < we z p } ¢ < ¢ aO O W F- < m M F- y W O d ¢ s ¢ W < H H < N t7 W = Z qK O W W y¢j a» W = < = ¢ ¢ W Q W ~ W = H Y < W J < L' ~ F- : O m Z O Z W O to = < W Z ¢ W O Z. < ic < K O O W = O W ¢ '= O tl Y W O G O J V ¢ > G o. H O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR I 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name Elie-28 (Z T A . `AM MA T A X20 Check one: Certificate Address_ op'4 C H ih to 1'j i- ❑ Corporation n r 7 N U E rJ 01 rl U ❑ Partnership Business Telephone_ /o)�2 — 7 9"7 ( 2--Firm/Co. Name of Licensed Plumber or Gas Fitter ' (-)jjE P T A 11 INSURANCE COVERAGE: I have a current I' bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Ye, please Indicate the type coverage by checking the appropriate box A liability insurance policy fd 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 C3 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 pe '� ed for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 co ne Laws. BY Tj of License: C� Plumber n ure of Licensedu _. or atter Title tter er License Number 933 - City/Town Journeyman I N II' BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE, N0. APPLICATION FOR PERMIT TO DO GASFITTING I NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO, I PERMIT GRANTED DATE - 19 GASINSPECTOR