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Home My WebLink AboutMiscellaneous - 20 HIGH WOOD WAY 4/30/2018 (2)N_ O C o O = W O= c) ::E O CO O 66 o n0 j May 12, 2015 Town of North Andover Attn: Building Inspector 120 Main Street North Andover, MA 01845 Liberty Mutual Insurance New England Region Central Property Unit 75 Sylvan Street Danvers, MA 01923 Tel: (800)566-0323 Re: Property Address: 20 Highwood Way, North Andover, Ma 01845 Policy Number: H3521803724740 Underwriting Company: LM Insurance Corporation Claim Number: 031803079-0001 Date of Loss: 2/3/2015 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, § 6 applicable. You are required to notify Liberty Mutual by certified mail in accordance with Mass. General Laws Ch. 175, §99, if you intend to initiate proceedings designed to perfect a lien pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, § 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, Liberty Mutual Support Liberty Mutual Insurance New England Region Central Property Unit 1-800-566-0323 NORTH - WN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that ...`.. t .... ...................... . has permission for gas installation . A� �": `".......... . in the buildings/of ...`?'" `'_..................... at ............ North Andover, Mass. Fee......... Lic. No./ c 7 7 ` .... ' ` - ....... . GAS INSPECTOR Check # (G 7 5252 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Building Locations MASSACHUSETTS Owner's Name New ❑ Renovation ❑ Replacement ❑ Date - q -X� - CSsr, Permit # rz. A L Amount $ Gle 6I C 1 '� \� CA.S. `A& Plans Submitted ❑ Check one: Certificate Installing Company Corp. ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE ' Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes [2r No[:] If you have checked yes, please in 'tate the type coverage by checking the appropriate box. Liability insurance policy Or 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 her -hu —r -f;4;7 4}.04 011 ..FA....J. -n_ __ •_ ___ _ __ .._ _.,, ,..,,,,.. ----viniauvii i uavc ,uolnjuea for enterea) mBove application are true and accurate to the best of my knowledge and that all plumbing work and installations perf un ermit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State �i�� e v° / apter 142 of the General Laws. (OFFICE USE ONLY) ,Signature of Licenseer Or Gas Fitter Plumber t Q 3 4 T Gas Fitter License Number Master Journeyman • 1ST. FLOOR TR D. FL60R 4TH. FLOOR „R Check one: Certificate Installing Company Corp. ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE ' Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes [2r No[:] If you have checked yes, please in 'tate the type coverage by checking the appropriate box. Liability insurance policy Or 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 her -hu —r -f;4;7 4}.04 011 ..FA....J. -n_ __ •_ ___ _ __ .._ _.,, ,..,,,,.. ----viniauvii i uavc ,uolnjuea for enterea) mBove application are true and accurate to the best of my knowledge and that all plumbing work and installations perf un ermit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State �i�� e v° / apter 142 of the General Laws. (OFFICE USE ONLY) ,Signature of Licenseer Or Gas Fitter Plumber t Q 3 4 T Gas Fitter License Number Master Journeyman e 0 -Date .. • N, TOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING This certifies that ."(-I ................... I ......... ,-has permission to perform .. 1plumbing in the buildings of . ................ �at. . ...................... North Andover, Mass. Fee. 3 ...... Lic. No.Lc? 1 Y ........./ M_- BING INSPECTOR Check # GC 6626 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING P' ( rint or Type) Nz Y1 Mass. City, Town Building A*4- 9 i AT: Location V" New ❑ Renovation Date Q Permit # (2 Z� Owner's Name M+1 4" 62 Type of Occupancy: Replacement ❑ FIXTURES = 0 N z Y • F- to N O Z f W Y J N } v Q N W Z N ¢ tr Q f' _ O— W N t` W S ir y C V Z m N W Q }W. N Z M d C W Y F" !- W d y a a J N G cc J= Q Y Y be a. 0 H Q S! 3 Y J d S _O = N O z O p N 2 Z Fa- N a t9 � o SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOORtf+f- 4TH FLOOR 5TH FLOOR BTHFLOOR 7TH FLOOR BTHFLOOR (Print or Type) Installing Com any Name Gctf1c1�4�sv�- Addresso �— Business Telephone 0 ) P • j'7 Sar Plans Submitted Yes ❑ No ❑ Check One: IN Corp. Partnership _ Firm/ Company Certificate Name of Licensed Plumber or Gasfitter 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 Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/Agent I have a current liability insurance policy to include completed operations coverage. By Title Sig tcensed Plumber City/Town I / f0 L�� License Number Type of Plum b'License APPROVED (OFFICE USE ONLY) ElJourneyman FORM 1240 R—Tw- u„o— o rM 0 SOMEONE Emmons MENNEN MENEM Check One: IN Corp. Partnership _ Firm/ Company Certificate Name of Licensed Plumber or Gasfitter 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 Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/Agent I have a current liability insurance policy to include completed operations coverage. By Title Sig tcensed Plumber City/Town I / f0 L�� License Number Type of Plum b'License APPROVED (OFFICE USE ONLY) ElJourneyman FORM 1240 R—Tw- u„o— o rM . �+� �,:-s-_r.�w-?r�`}`'r�;,..4�z'�..a;•ut:rr`14.:G.rn.r�.i�� f�'"�'.k•�Y.^'�1 ti'tf.' ::z"�+.',;'''"?n �r-'.:�..r•.,�...,--^''e.-rek"�.,A�^'•*T,� sa.e..t Date ... !%y�� S •� l TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that....... PASS -.-A U 4F/V C ` ...................................................................................... has permission to perform ........�� ....................................................................... wiring in the building of ..........`�. !. /i d .................................... at .................. oP6..... fit tt:Ob....... .......... , North And ver, Mass. Fee .................. Lic. No. r` ELECTRICAL INSPWrolR** Check #�" _' APPUCATIONFOR PER TTTO PERFORM ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECM (PLEASE PRIIVT IN INK OR TYPE ALL WORMAMON) Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street dt Number) 2Q Owner or Tenant Owner's Address G Is this permit in conjunction with a building permit Purpose of Building r) Yeses No Permit No. / S' Occupancy R Fees Checked rRICA.L WORK 527 CMA 12:00 To the Inspector of Wires: (Check Appropriate Box) Utility Authorization No. Existing Service Ampa� Volts OverheadUnderground a No. of Metes New Service Ampa� Volts Overhead Underground 1=3 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of lighting Outift No. of Hot Tube No. of Trarieft mn TOW KVA No. of t.ighdog Rateree Swimming Pool' Above 13 Below r7lNo. Omtaetan No. of FarrXgeory Lighting Battery uzdts KVA of Receptacle Oudet No. of OU Bumem No. of Switch Outlet No. of On Bamms FIRE ALARMS Na of Zooes No. of Deleedoo and No. of Rangs No. of Air Cord. ToW Tom—? No. of DbpouM No. of Had TOW TOW Ponve Tom KW No. fS Dericee Devices No. of Dlshwuhen Space Mea Heating Kqr No. of self Coothbd I.00d Mmddpd Other No. of Dryers , Heodng Devices KW Cortmctiom No. of Water Heaton KW No. Of No. of S Bdb* No. Hydro Mousse Tobe No. of Motors Total HP ,� f 7r7iER+ c'I IN s IrutaanaeCo�at� PtsRatbeErac}irerlmbafM�adsEr�CiQs�llaw� IlreeaanQtLiahYYhaatceFbisj'irlcidr�Ntt orbsttt�ntirle�i►almt y� NO Iheresth irtedvddpioafCf=ClD ie� YM ><ynthatedrededympkm Wed UXL" o ti wmVby �. . B= MM c1 WodebS41t itepe rlDoeftzad S+gle order P iesofpajuty. ..� G MNAl1ME /Ci fBM E�mrbdvalzdEhc IWb& S ft tiaenwe �1° � i�omseNo &U=Xn Zo .R a /637 -1*0 A1t % S78 -S/2.? 29 OWISR'SROJRANCEWAM3 ;lanawaetgdieliowdn,mbmdlei wmuam*ailsabonddgmvduaatapWbyMmdmetbanwLan nddetrrrysWn"Cfift-. itsppicAialfiinwbama (Please check one) Owner Agtnd . aiisnamm or Owner or Alm — Telephone No, PERM. FEE