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Home My WebLink AboutMiscellaneous - 1592 SALEM STREET 4/30/2018 1592 SALEM STREET 210/106.6-0057-0000.0 ! ,I 1 ]�/( �� Liberty Mutual Insurance L be 1�lutua New England Region Central Property Unit g g P ry INSURANCE 75 sylvan street Danvers,MA 01923 Tel:(800)566-0323 i I. October 26,2012 Town of North Andover Attn:Building Inspector 120 Main Street North Andover,MA 01845 Re: Property Address: 1592 Salem St,North Andover,Ma 01845 Policy Number: H3221815270001 Underwriting Company: Liberty.Mutual Fire Insurance Company Claim Number:024236488-0001 Date of Loss: 9/14/2012 Attn: Town/City Official Pursuant to M.G.L. c. 139, § 313, please be aware that a homeowners insurance claim has been made involving loss, damage or,destruction of the above captioned property, which may either exceed $1,000.00 or causes the condition of a building or other structure to render Mass. General Laws, Ch. 143, 5 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, 599, if you intend to initiate proceedings designed to perfect alien pursuant to Mass. General Laws, Ch. 139, 5 3A & B, or Mass. General Laws, Ch. 143, 5 9, or Mass. General Laws,Ch. 111,5 127B. This letter should not be construed as a waiver or estoppel of any of the terms, conditions or defenses afforded by the policy or applicable law. Please direct your notice to the attention of the undersigned and include a reference to the above captioned property address,policy number,claim number,and date of loss. Sincerely, j Kristen Hart Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 Ext. 70417 E-mail: Kristen.Hart@LibertyMutual.com Date. .,�l.... ... .. .. 2.. .. .R 1 Of ND°TM is o= ryat„a ,• • o� TOWN OF NORTH ANDOVER ti A PERMIT FOR GAS INSTALLATION p9 SAC MU`�F'� f This certifies that . . . .� . .! . . . S .��. ! ef-c:. . . . . . . . . . . . . . . . has permission for gas installation . . . . . ..�.;. . . . . . . . . . . . . . . . . . in the buildings of . ��'.�'.......... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . ./.5:.9. . . . . 3 E!�.��-.: f?� . . .,'North—Andover, Mass. Fee.,. ?. . . . . Lic. No 3.1. . . . . . . . . . . . . . �!)..'. . . . GRAS INSPECTOR Check# 4188 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FI ITING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations �� % J/-f'/Z°�2l ��1� Permit"# Poc— Amount$ Owner's Name f� (�� k-,`y� New�� Renovation Replacement El Plans Submitted U a o w 3 A u 1% o SUB-BASEMENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR STH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH . FLOOR (Print or type) '7 one: Certificate Installing Company Name �< �l e 1 /�1�l C' y°` L' Corp. Address /3-8 X ��/Z -� Y( Partner.Business Telephone G Firm/Co. Name of Licensed Plumber,or Gas Fitter ��J J /�G r 77C INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes [a— No o If you have checked ye—s .please indicate the type coverage by checking the appropriate box Liability insurance policy 0- Other type of indemnity a Bond 0 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 0 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 ofthe Massachugetts S6te Gas CoAe and Chap 142 of a General Laws. Signature of Licensed Plumber Or Gas Fitter By: Title Plumber rD 3 G City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) . ED Journeyman Date. . ./�.,/:OG... .. .. Of MO DTM ,ti -. TOWN OF NORTH ANDOVER 411 PERMIT FOR GAS INSTALLATION •,CNUSEtt y This certifies that . . . .1 :.. �•. . .S't?1 .-" .�. . . . . . . . . . . . . . . . has permission for gas installation . . �,�a;)'r /'. . . . . . . . . . . . . . . . in the buildings of . . It ... . . . . . . . . . . . . . . . . . . . . . . . . . . . at ./. �. . . . S ��:. . . .r'�. . . . . North Andover, Mass. Fee. . . . . . . . . Lic. No.. .3 t. . . . . . ..-r-�.. . . . GASINSPECTOR Check# 5457 MASSACHUSETTS UNIFORM APPUCATON FOR PERM TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations IS Z � l `emu" y Permit 4 Amount C Owner`s Name New Renovationp acement ❑� Plans Submitted ❑ El a� O � F i4 z E• 04 Z 5 d a o• o o F U a a a F o SUB -BASE M ENT BASEMENT IST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR °i 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) C e one: Certificate Installing Company Name /L. r V c 7 / ��_�r_��— /`0`1 _ Corp. Address 7) Partner. BusinessTelephone G 24 / Name of Licensed Plumber or Gas Fitter EIj //J T/ P�� -e, INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13-- No❑, If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 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 ❑ t 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 Issue for this application will be in compliance with all pertinent provisions of the Massachu to Gas ode and apter 142 the Genera ws. nature of License lumber Or Gas Fitter By: Title Plumber CitylTown Gas Fitter tie i um er. Master APPROVED(OFFICE riSE ONLY) Journeyman