HomeMy WebLinkAboutMiscellaneous - 40 CARTY CIRCLE 4/30/2018 / 40 CARTY CIRCLE
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LaMarche Associates
5 North Road, P.O. Box 250
Chelmsford, MA 01824
800-349-1525
Fax: 978-256-8590
February 28, 2015
Building Commissioner/Inspector of Buildings
North Andover, MA 01845
Board of Health/Board of Selectmen
North Andover, MA 01845
NOTICE OF CASUALTY LOSS TO BUILDING
UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B
Claim has been made involving loss, damage or destruction of the property captioned below, 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, Section 3B is appropriate,
please direct it to the attention of the writer and include a reference to the captioned insured,
location, policy number, date of loss, cause of loss and LA file number.
Insured: Ryan Zannini & Kathleen Reckendorf
Loss Location: 40 Carty Circle
North Andover, MA 01845
Policy Number: PHOO100812612
Date of Loss: 02/06/2015
Cause of Loss: Water
LA File Number: MA-2-25927
On this date, I caused copies of this notice to be sent to the persons named above at the addresses
indicated above by first class mail.
Jack Grochala
Adjuster
LaMarche Associates,Inc.-800-349-1525
Page 1 of 1
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
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Thig certifies that . . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . .
has peimission for gas installation .1. ... . . . . . . . . . . . ..:
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at
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North Andover, Mass.
Fee.c'>-7.'— . Lic. &� . . . . . . . . .
Check# le '741
5219
MASSACHUSETTS UNIFORM'APPUCATION FOR PERMIT TO DO GASFITTING ,
-- (Print orTur,al
Mass. Date Permit #
Building Localioh,�[? /+ai r✓ ec"/'e,LcOwner's Name
01
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/�C i. �r' Type of Occupancy a
New p Renovation ❑ Replacement MK-7 Plans Submitted: Yes[] No p
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1ST FLOOR
2ND FLOOR '
2R0 FLOOV
4TH FLOOR,' _
slit FLOOR_
6TH`FLOOR « e'
'7TH'FLOOft"
8TH FLOOR
Installing Company Name
(fie, 6 Check one: Certificate
Address `TLS s,�' ~ L - rporation �
Q. Partnership
Business TelepA 0 Firm/Co.
Name of Licensed Plumber,pr,:Gas;Fitter e,,,c S 4ile ,
INSURANCE.COVERAGE `'•,.,. }
n.
I have:a'current Lability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.'
No l
If you,have checked yes ;please_indicate the type:coverage'by checking the appropriate"box.
` A liability insurance policy ❑` Other iype of indemnity O n` Bond ❑
WMER'S INSURANCE W,AJ ER '(am aware that the licensee does not`have`the Insurance coverage required by ,
Chapter 142 of G
the Mass" eneral Laws and-that'my`signature f19p,1his,permit application,.waives'this requirement. "
r g' Check:orie:
°` Owner0' Agent 0
Signature of Owner or,OwnersA9 e•
nt -
(hereby certify that all of thedetails and.information I have submitted(or entered)in above appiicafion are true and accurate to the best of my
knowiedge and that all plumbing':work i i&installations performed under.the permit issued•lor,this application will be in.compliance with all
pertinent provisions of the N,assact uU'SO sFState Gas,Code and:Chapter 142.of the General laws
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By ; T�Rl
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ber
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lumx gna ur mot tensed lumber or Gas Fitter
Title, Gasfrtter;', t !
License Number.' 2/ C� i
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APP l I USF
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;� f Permit Fee
Date.
� NORTM
:�.,.� •�.;.'�ooL TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
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This certifies that . . . . -a: -'. . . . . . . . . . . . . . . .
has permission to perform_.M.�/ . . . . . . . . . . . . . . . . . . . . . .
dumbing in the buildings of . . . . . . . . . . . . . . . . .
. . . ..-:.. . . . . . . orth Andover, Mass.
Fee . .fteC . . Lic. No . ... . . . . . . . . // . . . :. . . . . . . . . . . .
PLUf�IB(N INSPECTOR
Check #
6592
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WATER PIPING • O.
ROOF DRAINS Q
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S• O SACKPtOw PREY. •-
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