HomeMy WebLinkAboutMiscellaneous - 56 BRIDGES LANE 4/30/2018 (3) L
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LaMarche Associates
5 North Road, P.O. Box 250
Chelmsford, MA 01824
800-349-1525
Fax: 978-256-8590
July 14, 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: DONNA A &JEFFREY W MORGANTHALER
Loss Location: 56 BRIDGES LN
NORTH ANDOVER, MA 01845
Policy Number: HN003529
Date of Loss: 02/01/2015
Cause of Loss: Ice and Snow
LA File Number: MA-2-29770
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.
John Anderson
Adjuster
LaMarche Associates,Inc.-800-349-1525
Page 1 of 1
Date. .1 7!?.l: ;? 9
4098
:' TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSAC14USE� •77
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This certifies that /.�.�. ��."`. . 16-4q . :2.d f.��:er
has permission to perform . . �. . . . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . . . . . . . . . . . . . . . . .. . . .
at. . .3. 6. . .1'3�1.!�y.*.s. . . .�.�`! . '�. , North Andover, Mass.
Fees.?. Lic. No.. .1.Z.Z. . . . . . . � . . . . . . . . . .
PLUMBING 14SKECTOR
08/04/99 11:32 27.00 PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
S MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)LV�>� n r (Y .JC 1► Mass. Date jd,--�,- 19 Q Permit # 0
L Building Location C�I �P _Owner's Name QUl (W*,`I
Type of Occupancy Residential
New O Renovation ❑ Replacement K Plans Submitted: Yes ❑ No ❑
FIXTURES
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Installing Company Name Heritage Htg, &Plg. Co. Inc . Check one: Certificate
Address 35 Pleasant Street (A Corporation 714
Stoneham, Ma 02180 ❑ Partnership
Business Telephone _781 –43 8–7 7 76 — f l Firm/Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or ils subsiantia) equivalent -which n-ieets the requirements of MGL Ch. 142.
Yes P No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy 13 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:
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
1 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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plurnbin ode and Chapter 142 Al the General Laws.
By_
Title_ 9
i nature of-Licensed- Plumber
Type of License: Master I-X Journeyman[j
City/Town 8322
APPROVED-T01=FIC€�1SE ONLY) License Number
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BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SK•_TN
_ CES
FEE PROGRESS INSPECTIONS
NO.
APPLICATION FOR PERMIT TO DO PLUMBING'y,
NAME$ TYPE OF BUILDING
r
LOCATION OF BUILDING
t
PLUMBER
I
PERMIT GRANTED
DATE __ - 19
-----------------------3
PLUMBING INSPECTOR