HomeMy WebLinkAboutMiscellaneous - 29 GLENWOOD STREET 4/30/2018L
August 6, 2015
Town of North Andover
Attn: Building Inspector
120 Main Street
North Andover, MA 0 1845
Liberty Mutual Insurance
New England Region Central Property Unit
75 Sylvan Street
Danvers, MA 01923
Tel: (800)566-0323
Re: Property Address: 29 Glenwood St, North Andover, Ma 01845
Policy Number: H3121869018740
Underwriting Company: Liberty Mutual Insurance Company
Claim Number: 031784308-0002
Date of Loss: 3/14/2015
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 tender 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 hen
pursuant to Mass. General Laws, Ch. 139, § 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,
Liberty Mutual Support
Liberty Mutual Insurance
New England Region Central Property Unit
1-800-566-0323
July 16, 2013
Town of North Andover
Attn: Building Inspector
120 Main Street
North Andover, MA 0 1845
Liberty Mutual Insurance
New England Region Centfal Pfoperty Unit
75 Sylvan Street
Danvers, MA 01923
Tel: (800)566-0323
Re: Property Address: 29 Glenwood St, Nordi Andover, Ma 01845
Policy Number: H3121869018740
Underwriting Company: Liberty Mutual Insurance Company
Claim Number: 027366420-0001
Date of Loss: 6/22/2013
Attn: Town/City Official
Pursuant to M.G.L. c. 139, § 3B, 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 hen
pursuant to Mass. General Laws, Ch. 139, § 3A & B, or Mass. General Laws, Ch. 143, 5 9, or Mass.
General Laws, Ch. 111, § 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
Date.,;L /7 —zU
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01
T01 N OF NORTH ANDOVER
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MIT
FOR PLUMBING
A^ .... ..........
This certifies that ....
has permission to perform ...... �A- .......................
plumbing in the buildings of ..w , I,
................................
at ...... 9.1� .......... North Andover, Mass.
Fee S. L i c. N o. ....... .........
- huM-BING INSPECTOR
Check #
7030
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date July 14, gQO6
Building Location 29 Glenwood St. OwnersName Amela Melia permit # — 10,30
Amount
TypeofOccupancy Residential
New 0 Renovation 0 Replacement b Plans Submitted Yes No
FIDCrURES
(Print or type) Check poe: Certificate
rp. 2122
Installing Company Name Andover Plumbing & Hgating rn-. Tnr �-o i
Address 20 Aegean Dr. Unit #10 Partner.
Mothiian Mn Q1AAA
Business Telephone — (q7g) F,,qr,_ jqq Firm/Co.
Nameof Licensed Plumber George Larose
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy a Other type of indemnity 11 Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature I Owner 1:1 Agent 1:1
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 Massac
,P&etts State Plumbi dSAio Chapter 142 of the General Laws.
By: Signature WEicensea Flumver -
Type of Plumbing License
Title 9983
iCityfrown I Acense NumDer Master
APPROVED (OFRCE USE ONLY
ElCiourneyman 1-1
Date..? .. ..........
0* '40RT#j
TOWN OF TH ANDOVER
ST T
PERMIT FOR;S INSTALLATION
4 -7"
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This certifies that . . ;4. . . ,,. ********''***'**'
has permission for gas installation ..................
in the buildings of ... ;ell,, t* . Ih ..........................
at -11� fi t-kl j�. r-. ........... North Andover, Mass.
Fee.-2)�.—.. Lic. .......
Check# 3 � (I 1� �GASINSPECTO
5659
MASSAC I HUSKMUNIPORMAPFUCATONFORPERMFrTODOGASFf.rDNG
(Type or print)
NORTH ANDOVTX MASSACHUSETTS
Building Locations 29 �1MOOD aTRFFT Permi# . 3—C)-7
Amount $
Owner'sName Amela Melia
New Renovition Replacement El Plans Submitted 0
cer"cate lin CznVany
(Print or type) IMV
WMI, I -- 2
Name- AndDy-ei--P] um-NAMEMM. 'AlloW a Corp.
Address 90 Apna;in -Dr . 11nit 4U10 0 Partner.
Wthiipn- -Ma OJq44
DwinasTelepbDuc J-978) 685-8383 0 FkWCo.
Nam ofUcensed Plumber or Gas Fitter rPnrnP,-j;;Pnro
INSURANCE COVERAGE Chackow
I have a � , , - jimbffity bsoomoc, policy 4w irs sobsoweial equivalcoL Ycs 13 NbO
IfywhmchedWdm*we-'-- I &ctWwvwwbychaMngdwqvffqpdMbwL
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,1s1nMw.MMw8ivw. laosawme6dibe dWj"bxwetbtJomqow mpfi-red by Chagdw 142 afthe
Quend Lw*,s. and do my sionature w ibis pennit application Ms
Check one:
weefOwnercrOwneesAnd . Owwr 13 Asent 13
ag offln dab and infimudon I hm submitIed (or emwed) in above appficafim awtvae and accurate tD the
best ofmy knowledge and dW all plumbing wak and installatim Pedmud I Permit Issued fm On apphcation will be in
cumpL=e w& aU Munat pwdow ofjbe Munduseft State Cps CAMeand ampler 142 9%r-q� Laws. . I
C
'M
(OFFEE USF ONLY) I F] Imneyman.
Date./.—. �� .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that . A1:1.4. I,. f. I
has permission to perform ... H. �A. . 7:� .......................
plumbing in the buildings of 44.� .....................
at. f,% North Andover, Mass.
. . . . . . . . . . .
Fee Lic. No..� **' -111-7 ........
/PLUMBING INSPE&OR
Check #
5005
MASSACHUSETTS UNIFORM APPLICA
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location
Owners Name ,
M
N FOR PERMIT TO DO PLUMBING
Date "�Ilylv
Permit # , /
Amount S-0
Type of Occupancy
New Renovation Replacement ff Plans Submitted Yes No
(Print or type)
Installing Company Name
Address
Name of Licensed Plumber:
Insurance Coverage: Indicate th pe
Liability insurance policy T
V,
-ance coverage ny cnecKj
Other type of indemnity
Check o e: Certificate
ffz rp-
11 Partner.
ElFinn/Co.
box:
Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner 9(' Agent F1
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 perf rmed under Permit Issued for this application will be in
P
compliance with all pertinent provisions of the Massachusetts StatijimEibiing �Co�de=ter 142 of the General Laws.
lk
By: Ti—gnaiure ol 1-icenseupwumuci
Type of Plumbing License
Title
City/Town
APPROVED (OFFICE USE ONLY Eicelise lNutijoer Master 0 -----Journeyman 1:1
W315,
0 US 17
(Print or type)
Installing Company Name
Address
Name of Licensed Plumber:
Insurance Coverage: Indicate th pe
Liability insurance policy T
V,
-ance coverage ny cnecKj
Other type of indemnity
Check o e: Certificate
ffz rp-
11 Partner.
ElFinn/Co.
box:
Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner 9(' Agent F1
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 perf rmed under Permit Issued for this application will be in
P
compliance with all pertinent provisions of the Massachusetts StatijimEibiing �Co�de=ter 142 of the General Laws.
lk
By: Ti—gnaiure ol 1-icenseupwumuci
Type of Plumbing License
Title
City/Town
APPROVED (OFFICE USE ONLY Eicelise lNutijoer Master 0 -----Journeyman 1:1
Date. ./� . ? -. .,�. 36 .......
0 ",to
TOWN OF NORTH ANDOVER
0
PERMIT FOR GAS INSTALLATION
This certifies that
has permission for gas installation
.....................
in the buildings of .... ..........................
at .......... North Andover, Mass.
Fee. X Lic. No.. f�5. ........
GASINSPECTOR
Check# ) 1 4 5
3 " 77
MASSACHUSLTIS UWDRMAPPLICATON FOR PERNUr TO DO GAS WrING
(Type or print) Date
��/ 14LI
NORTH ANDOVER, MASSACHUSETTS
Building Locations Permit # 3F-7 7
Amount $
Owner's Name
New F1 Renovation 1:1 Replacement Ef"
Plans Submitted
(Print or type) Check o e: Certificate Installing Company
Name— fflnrp.
Partner.
Firm/Co.
Name of Licensed Plumber or Gas Fitter e��104�5 A662,19—
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes E] No 1:1
If you have checked yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 0", Other type of indemnity 1:1 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 El
I nereny certiiy mat aii ot tne aetaiis and intormation I fiave submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performso under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Q�fde and Chapter JA2 obbe General Laws.
By:
Title
City/To,A
APPROVED (OFFICE USE ONLY)
Signature of
Plumber
Ga8-Fitter
Journeyman
sed Plumber Or Gas Fitter
License lNumber
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Name— fflnrp.
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Firm/Co.
Name of Licensed Plumber or Gas Fitter e��104�5 A662,19—
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes E] No 1:1
If you have checked yes, please indicate the type coverage by checking the appropriate box.
Liability insurance policy 0", Other type of indemnity 1:1 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 El
I nereny certiiy mat aii ot tne aetaiis and intormation I fiave submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performso under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Q�fde and Chapter JA2 obbe General Laws.
By:
Title
City/To,A
APPROVED (OFFICE USE ONLY)
Signature of
Plumber
Ga8-Fitter
Journeyman
sed Plumber Or Gas Fitter
License lNumber