HomeMy WebLinkAboutMiscellaneous - 22 SUMMIT STREET 4/30/2018 22 SUMMIT STREET
210/081.0-0059-0022.0
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AJ, , Michael Winston & Associates, LLC
Innovative Risk Specialists
7171711
' �; ` " POB 287
Salem,NH 03079
Tel: 603-494-2366 - Fax: 888-306-8106 - E-mail: michaelwinston@comcast.net
October 3,2016
Building Commissioner/Building Inspector
Board of Selectman/Board of Health
1600 Osgood St. Suite 2043
North Andover,MA 01845
RE: Susan Greco& Jon Bojas
Summit Condominum
22 Summit Street
North Andover,MA 01845
Type of Loss: Ice Damming
Date of Loss: February 14, 2016
Policy: BP21006908
Claim number: BOP55878
Our File#: MW16-247 Location of Loss: Same
To whom it may concern:
The above captioned claim has been made involving damages or destruction of property which may exceed
$1,000.00 or cause Massachusetts General Laws, Chapter 143,Section 6 to be applicable. If any notice
under Massachusetts General Laws, Chapter 139E is appropriate,please direct it to the attention of the
undersigned and include a reference to the captioned insured, location,policy number, date of loss, cause of
loss and claim or file number.
On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated
above via first class mail.
Sincerely,
Michael Winston.
Adjuster
Date
N2 3536
TOWN OF NORTH ANDOVER
o ,:. . .
PERMIT FOR PLUMBING
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This certifies that . . . . . . . . . . . . . . . .
has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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plumbing in the buildings of I . . . . . . . . . . . . . . . . . . . . . . .
at North Andover, Mass. y
PLUMBING I SPECTOR '
pppp 9
11/20/97 1$A*E:Applica4t•00 CA ARY: Building Dept. PINK:Treasurer
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type) e
=i �< r4" Otl" Mass. Date _19 97 Permit#
Building Location _ —So..I&r+YOwner's Name
�y--Type of Occupancy
New ❑ Renovation C7 Replacement CLI— Plans Submitted `Yes ❑ No LA-J--
FEATURES
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SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
Installing Company Named �• S /�/ Check one: Certificate
Address __ ✓ /� /�i U Corporation
`7 A< ®��` _ 11 Partnership
7 _
Business Telephone /was/ -— d G.3�4 I, irm/co.
Name of Licensed Plumber
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142.
Yes,t� No ❑
If you have checked yes, please indicate the type of coverage by checking the appropriate box.
A liability insurance policy l / Other type of indemnity I-1 Bond D
OWNERS 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:
Si nature of Owner or Owner's A ent
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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 underjAb permit issued for this application will
be in compliance with all pertinent provisions of the Massachuse Ium ',g de end Chapter 142 of the General Laws.
By
Big—nature o ice er
Title
Type of License: Mester IX/ J rneyman ❑
Ciiy/Town License Number_ 114//Z o 9
APPROVED OFFIrF USF ONI.Y)
BELOW FOR OFFICE USE ONLY
FEE
NO:
APPLICATION FOR PERMIT TO DO PLUMBING
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OWNER:
NAME & TYPE OF BUILDING
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LOCATION OF BUILDING:
PLbJMBER OR GASFITTER:
LICENSE NO:
PERMIT GRANTED
DATE: 19
PLUMBING INSPECTOR
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.. Date//,�Y-7
T. .
N° 3536
Noarh
oo TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
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,SSACMUS�
This certifies that . . . . . . . . . . . . . . . . . .
has permission to perform . . 1N H. . . . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of .. . . . . . . . . . . . . . . . . . . . . . .
r. . . . . . . . . . . .. North Andover, Mass.
. . . . . . ..� . . . . . .
PLUMBING INSPEC
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer