HomeMy WebLinkAboutMiscellaneous - 145 BRIDLE PATH 4/30/2018 (2) 145 BRIDLE PATH
2101104.C-0087-0000.0
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101 HIGH STREET, PO BOX 40, NORWICH, CT 06360 FOUNDED 1840
INSURANCE COMPANIES
(860)887-3553 — TOLL FREE 1-800-962-0800/1-800-243-4080 — FAX(860)886-8270/(860)887-2898
www.nlcinsurance.com
January 8, 2014
Building Inspector
Town Of North Andover
120 Main Street
North Andover, MA 01845
RE: Insured: Lauren Eagle
Property Address: 145 Bridle Path
Company Policy Number: H5195069
Date of Loss: 01/05/14
Claim Number: C40233
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, Sec 3B is appropriate, please direct
it to the attention of the writer and include reference to the captioned insured,
location, policy number, date of loss, and claim number.
On this date, copies of this notice have been sent by first class mail to the
municipal officials named above at the address shown.
Sincerely,
Linda M. Fahey
Sr. Property Adjuster
„ n 107,
y
�'"oo*:otic TOWN OF NORTH ANDOVER
WWI PERMIT FOR PLUMBING
'�i,'�o++no•A�4h
SSACMUS�
This certifies that . . . . . : . . . . . . . . . . . . . .
has permission to perform =. . . . . . . . . . . . . . . . .
plumbing in the buildings of . . . . . . . . . . . . . . . . . . . .
at�y'5. . North Andover, Mass.
<�. � .
Fee3-3 . . . . .Li c. No. .3
GPLUMBING INSPECTOR
Check #
7725
MASSACHUSETTS UNIFORM APPLICATION FOR-PERMIT TO DO PLUMBING
zl"ass:.
i]a e 2GO Per it #
Building L cation �I\ r`s ame
Type of Occupancy
New 0 Renovation 0 Replacement",^ Plans Submitted: Yes 0 No 0
hr .
FIXTURES
B.P. # SEWER # SEPTIC #� -
z
W >P �' o Q �, z w L
T11oz � 1Q— of d� U z (D c�1 w �
O LL z 0-
vi cn Z F- U Ll 0
ucj�I = O w Ln 0 � � W � � � w z p � . Q O b w
Z— U _ = a z cZn Y a 0 Z Z . ►�- Y w
> H O
uZi o ¢ O < o 0 m o O
SUB-BSMT I
BASEMENT
1ST"FLOOR I
2ND FLOOR I
3RD FLOOR
4TH FLOOR
5TH FLOOR
5TH FLOOR
7TH FLOOR I I =--F'-8TH FLOOR I I
nst1ling Company Name t j�
Check ons: Certificate
address
0 Corporation
elm
3usiness Telephone � _ ' � 0 Partnership
lame of Licensed Plumber or Gas Fitter rmfCo.
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142.
Yes f/ No 0
If you have checked Yes, please indicate the type of coverage by checkingtheappropriate P'ProPriate box-
A liability insurance policy P1 Other type of:indemnity 0 Bond 0
OWNER'S INSURNACE WAIVER: 1 am aware that thelicensee 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.
Signature of Owner or Owner's Agent Check ane:
Owner 0 Agent 0
iereby certify that all of the details and information I have submitted entered)ln above application are true and accurate to the best of
y knowledge and that all plumbing work and installations performed nd r the permit iss Ior this application will be in compliance with
1 pertinent provisions of the Massachusetts State Plumbing Code a p# 942 of the era)Laws.
By
StIna ure of Licensed lumber
Titie
City/Town �
APPROVED(OFFICE-USEONLY) Type of License: bel faster n.Journeyman
License Number
Date. .
y'
s '
NORTp TOWN OF NORTH ANDOVER
• s
PERMIT FOR PLUMBING
,SSACMus
This certifies that . . . . . . . . . . . .
has permission to perform . . . . . . . . . . . . . . .
r plumbing in
�he buildings of-J) ! 6 .( . . . . . . . . . . . . . . . .
at .� ? 1�(1(6 � X�. . , . . . .,
North Andover, Mass.
Fee 4. . . .Lic. Na . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
Check #
6220
r MASSACHUSETTS UNIFORM APPLICATION Fe6R PERMIT TO DO PLUMBING
(P(int or Type)
� D rd
L17/�T71 24)dd l Mass. Date (g C) Permit #
t
Building Location Owner's Name � -y-l'®
79 "—/,p 6l0(p Type of Occupancy Residential
New ❑ Renovation ❑ eplacement IN Plans Submitted: Yes ❑ No ❑
FIXTURES
V N U) N o z F O W b
W Y J N Q U -.4L7 7 W
a ¢ cc
m ~i i ¢ } r Y a a
v 0 'a a c , N rd rd t
U
W O 7 d Q W N J z S Q J x x x 9 ri
r f W a J ¢ W
W Q Y J. Y z Y a. O. F• a Y .� W LL Y til
F' U > ►- o s a o w ►' z o o W z x W F O U H
a s z N a a 0 a J J Q ct cc a Q 0 a n
3 Y J (D v1 O p J 3 y F- W LL 0 O a3: Lt fu p1
SUB—BSMT, VJJ
BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
Installing Company Name Heritage Htg. &Pig. Co. Inc.' Check one: Certificate
Address 35 Pleasant Street IX Corporation 714
Stonehamy Ma 02180 ❑ Partnership
Business Telephone 781 —43 8-77 76 I1 Firm/Co.
Name of Licensed Plumber Gordon Switzer
i
INSURANCE COVERAGE:
1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® 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:
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 the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts State Plumbing Code and Chapte�12 of the General Laws.
By
Title gnatur of censed lum er
City/Town Type of License:Master[A Journeyman❑
APPROVED Z07IF CEtTSE ONLY) r License Number 8322
1/2"Watts 9D bfp on water line to water boiler
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME&TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 1g
PLUMBING INSPECTOR
iJ
t, Date..../....�Jr...................
f NORTH 9
TOWN OF NORTH ANDOVER
60
PERMIT FOR WIRING
1/GG7l�L
This certifies that ..... .... ................. (�.... .......................................
has permission to per'form d/ -... ��� � � 7 % u: .Xlle`�
c wiring in the building of,....... ...::. !{�J.........................................�......
at`.1 . �/1.:+:::f_.. _ � ......... ,North Andover,Masse„
Fee.�J...� .�. Lic.No.4�!?./�..�....... ''�l�/.����f-!
..
� ��� ELECTRICAL INSPECTOR
i Check #
a
5 4r G L
ru
E30ARD OF FIRE PREVENTION F?EGULA.TIONS Occupancy and Fee Checked o?�
.Rev. 1I19g) ---- _ _
1--- blank)
APPLICATION F O.R P E.R M I T TO
,11t walk io be perlorn,ci in accorwlanc•c wail, rile �1 sS; :husct S Uccirir3t{ ELECTRICALc I, 2,00 WORK
(" "CASEPRINT INIIVKOZYYI'1:.fl,Ll,Vl0l�rll t1JOI� ( ) sz7c ��ia Izno
Cit or ) Uafc:� �? ___Q
City "l�otvn of: __ � _ _1
By tills application the urldersi�ue<9 i_iv� rr,t c rs or her in rtrio r t`t c7(v th )rt.Sf>t C1Ut O 1Yi).
Locatiun (Street & Ntrrrrber-) P crnl/PC e1ecnlc3l work described below-.
Owner or Tcnaut
Owner's 1 ([l e s s C Telephone \o.
Is
this perwit in conjunction tvitlr a building permil? Yes --
Purpose of Buildin; F-1 !N0 (Check rlrlpropriato Bot)
—_ - ------ Utility'1ulhuriz:rliun Nu.
E:nistirtd Set vice ilIupS ! 1'ults ---
_. _----_ C)scricadU tJlldurtl
of,deters .
Nett Scr�ice No.- �lrrtlts / 1 alts .-
-_-_— O,cnc�ad Utiogrd ❑ Nq. of-Meters.
Number of Feeders am) Ampacity
Localiun and Naturc of oposcr Elcrtrical lYork. --- - _
CuruLlrlio+io0heollovir,`erablemayber,nirc,(bvrlrc/rrs"morg Mires_
No. of Recessed [`ixtures - - - No.of Ccii.-Sash. (1':tddle) Fairs "' molal
No. of Lighting Onilcts - � ----`---- .�ransfonatcrs KV,1,
No. of Ilol 'ful)s '`-- --
------- -- __ _ Gencralors
t\'o. of Lightitlg Fixtures - -- S+wintnl;rr� Abvvc -� air- .C� o. o anergettcv T to tttug
Battery Units
No. of,Receptacle putlels 1V"o. Burne oC Oil Burj
--! F1FLE ALAR11lS No. ofZoites
`lo`oCS,vitches No. of Gns Burners - � NO.of Detection and
No. of lZ a n n e S— _—_-------- ---- f o l a 1 --- —
Initiating Devices
b No.of Air Coud' No. Of Alcrtinn
_ Tons n Devices
No. of Waste Disposers Flcat k'untp ynniber 'f oris }C1V
Lie
elf-Contained
--- --- ------ --- _.._.. -I -T-� lertinoDerices
:\u. of l)ishtrashcrs __-L.--- $ ace/,1rea FIe_tli-ng fC11' Connection Other
No. of Drycr.s llcalin,± Appli:tnccs Key ---- Svsicnts01"Devices or E vivalent
tcrs lC`,V . iritr�; ---
_ ---Si��r� IS - l3atl:rsis rlo.of Dtevices or Equivalent
No. H)drarttassabe Bathtubs No. off�lolors Total I:(,P 1'elecorrtmunrcations !1'iiillg:
{
OTHER: - - ----- _ _. to.of Devices or l~ uiv a[ent
r11117ch(ildiiional delgi/f rlesirerl,or as rcrjnired br the/nspactor of Wires.
I,NSUP-A- iCE CONJAU1GL: Unless waived by the owner,no permit for the performance of electrical work may issue unless
ilte licensee provides proof of liability insurance including; "completed operation,,coverage or its substantial equivalent. The
undersigned certifies that such cOVCraP `s in force,and has ezhihited prooforsanie to the permit issuing, office.
CF]f_QkoNE: INIYS�R1wCE BOND [) 0JIIrR El (Specify:)
Estimaled Value of Electrical \Volk: 07 0Vlren rcgmied by municipal polic, ) (E.wpiralion date)
'•Fork to Stait �f" '� btspeclions to be rcduested in acc;:•ri)ance ,g i:h NIEC Rule i0,and upon completion,
1 cr'rfi(t, urr,1"r Ilrr lrain.w rrrrJ/terrnlrresprrjrul, rlr,rt the r,jnrr;rnli0lr nrr lltis n/,plicetiorr i.c trite orrd c•orriplc•,e.
LIC. N0.: _
oil"n:rru,a ti.�
(If nl phcablr, crrliy y r"lit! c lrccli.cr m,nt-rr ltic) - L1( t\O - ��
- - lius. Tet..IN
Address: � 1, 1�' _ �///
011 NF,R'i li\ IRAN(_.E \VANE R: i to :1%tiare llt:rf the 1.11L Br` rloe's tial hnre the 1i36itit insurance „�
required by la.v. It\ my siS.r.ttu,c below, I hcrcb • w:,iw�c ibis rc: ,iin Wren!. 1 ant rhe (cf,c'ck ni,c r:n nr rC`❑ ow,rRor'sta'rnl.
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