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HomeMy WebLinkAboutMiscellaneous - 60 PLEASANT STREET 4/30/2018 / -60 PLEASANT STREET 210/055.0-0015-0000.0 I I 7 6 ► 9 (--- Date.. /. .... ....... .. MORTH V pf ,.ao 1h° o? TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SSACHUSEt This certifies that . . . . �.� !��. . . . . V `�. �- . . . . . . . . . . . . has permission for gas installation . . . . ° . . . . . . . . . . . . . . . in the buildings of . . . . . .K (' 1. !.� ./ . .Z . . . . . . . . . . . . . . . . . at . . . . �.v . .�'. '!�3 G", ` . . . . . . . . . ., North Andover.�M/aass. Fee!?. 5.'. . . . . Lic. No. G) . . . . . . ./Gt 6A.,W. 7 GAS INSPECTOR Check# (Print cr Tyre) ONCE Puss. .Cate e>,Rtit # ~_t ----------- Building. Lxaiion 6� tQ1�aSe�� ST Owner's Name 0 Tyre of Occupancy ) �1" Svsy New ❑ Renovation O Raplacament Plans Submitted: `fes ❑ No O N wdo Y z Q Ui N Q U W W O = Cr O � ¢ m m H a: O p w w Q = ¢ a U) Cr do w Z Q S ¢ ¢ w Q ¢ p _ f' Z J 1— Z f W W d7 ¢ > u- UJ U J W d i O a i t=i D 3 0 � � �00ZQ > o a ~ O SUB-BSMT. BASEMENT 1ST.FLOOR 2NO FLOOR 3RD FLOOR 4TH FLOOR .5TH FLOOR 6TH FLOOR TTN FLOOR 8TH FLOOR Installing Company Name ,f tt 7L' /� C Check one: Cei i icate Address o? 76 Sri) ❑ Corporation, A/W-tyrn Mff ❑ Partnership . Business Telephone 9l����34GG ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter D INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No O If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy. ❑ Other type of indemnity O Bond O 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 O Agent O 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 installation performed under the 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. By /Type of License: Title 0 Plumber �Gasfitter Signature of licensed Plumber or Gas Fitter Cttyrown Master I`/3G 71 BELOW FOR OFFICE U'-E OFi1.Y FINAL INSPECTION SKETCHES NO' PROGRESS INSPECTIONS MERCURY TEST FEE FINAL INSPECTION APPLICATION FOR PERMIT TO VO 1 L1.°E 1.'ITINC+ NAME & TYPF OF BUII_UIM6 LOCATION OF nuiLDIMG PLUMBER OR GASFITTER LIC. NO. PERMIT CnANTITP DATE I^ qw) wmrrCTOR =-29!2011 9;09 NI FROM: MTM Insurance MTM Insurance Associates, LLC. TO: 19786839300 PAGE: 002 OF 003 DATE YY CERTIFICATE OF LIABILITY INSURANCE 3/29/2011) PRODUCER (978)681-5700' FAX': (978)681-5777 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION MTM Insurance Associates ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 575 Chickering Rd ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. North Andover MA 01845 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A:Citizens Insurance CompanyOf 31534 DICK,S TV INC INSURER B;Allmeri.ca Financial Benefit 41840 276 BROAD14AY INSURER C: ,f INSURER D: METHUEN MA 01844 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OFSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR D'L POLICY EFFECTIVE. POLICY EXPIRATION LTTYPE OF INSURANCE POLICY NUMBER DA. M ID ATE MMID Y LIMITS GENERAL LIABILITY EACH'.OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LADAMAGE (RENT � PREMISES Ea occun-ence) $ 300,000 A CLAIMS MADE ®'OCCUR DBN6530652 10/29/2010 10/29/2011 MED EXP(Any one person) $ 5 000 PERSONAL&ADV INJURY $ 110001000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 X POLICY PRO LOC AUTOMOBILE LIABILrrY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) B ALL OWNED AUTOS WN6530654 10/29/2010 10/29/2011 BODILY INJURY X SCHEDULED AUTOS (Perperson) $ 5bb,0.b0 X HIREDAUTOS BODILY INJURY X NON-OWNED AUTOS (Peraccident) $ 500,000 PROPERTY DAMAGE $ 100,000 (Per accident). GARAGE LIABILITY AUTO ONLY-EA ACC[DENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS I UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR F-1 CLAIMS MADE AGGREGATE $ $ DEDUCTIBLE $ RETENTION $ $ A WORKERS COMPENSATION S. vc STATLY OTH- ANDEMPLOYERS'LIABILnY YI.N, P ANY PRO PRIETOWPARTNERIEXECUTIVE❑ E.L.EACH ACCIDENT $ 500,000 OFRCER/MEMBEP.EXCLUDED? (Mandatory in NH) N6530658 1/1/2011 1/1/2012 E.L.DISEASE-EA EMPLOYE $ 500' 000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE'-POLICY LIMIT $ 500,000 A OTHERProperty Coverage DBN6530652 10/29/2010 '10/29/2011 Bus Personal Prop $576,534 Deductible 1,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS. Certificate holder as listed below CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLEDB FORE THE EXPIRATION L E E EX RATI N Town of North Andover DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN 120 Main St. NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL North Andover, MA 01845 ' IMPOSE NO OBLIGATION OR LIABILITY OF ANY-KIND UPON THE INSURER,ITS AGENTS OR. REPRESENTATIVES.. AUTHORIZED REPRESENTATIVE P MacDonald CPCU, CIC JOfao!/`i ACORD 25(2009101) O 1988-2009 ACORD CORPORATION. All rights reserved. INS025(200901) The ACORD name and logo are registered marks of ACORD r 3/29/2011 9:09 AM FROM: MTM Insurance MTM Insurance Associates, LLC. TO: 19786839300 FAGE:. 003 OF 003 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed'. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). If SUBROGATIONIS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). DISCLAIMER This Certificate of Insurance does not constitute a contract between the issuing insurer(s), authorized representative or producer,and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. i ACORD 25(2009/01) INS025(200901) ! [7 16 Date. i .... ..�. NORTIy pf �.ao 1ti0 TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION h C us This certifies that . . . �Ak.w.'y. �.. . . . . . .- U Al�L�1.�. . . . . . . . has permission for gas installation . . . .Bo ., . . . . . . . . . . . . . . . in the buildings of . . . do. M . . . . . . . . . . . . . . . . . . . atj.�1�. . . . ( � .! . . . -'. . . ., North Andover, Mass. Fel,3b.-.00' . Lic. No...1-2.3.c).(o . . . . . GAS INSPECTOR Check# S L SO MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: /JQ' MA. Date: —�/ Permit# r Building Location:// Owners Name: VA I Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: [ Alteration: ❑ Renovation: ❑ Replacement: [ Plans Submitted: Yes❑ No FIXTURES m m W coca W 0: OC UO to 2 = N N m 2 O� (WLu 7 U fA H to p W W _ } Ix Z p z Z o H 5 w W pO a p- rn > Co z m O� w a ~ w = LL a LUCe w u� �' o > U W Z J ~ H O z J (D O Fy- = W W W z w } 0: ca Q Q op w O z 0 'SUB BSMT. BASEMENT 15T FLOOR 2 ND FLOOR 3 FLOOR 4 FLOOR 5TH FLOOR 6 FLOOR VH FLOOR 8 FLOOR tt � Check One Only Certificate# Installing Company Name: 'TlC---3/-T-r PL-13 Wt tAj G _ ,�( ❑Corporation Address: 57z (11 1 rte► City/Town:CJ 'MWWS-,Q-1j-Q;tate: ✓ A � / ��� a�a9 � El Partnership Business Tel: ��0 Fax: 6A w ki-Prm/Company Name of Licensed Plumber/Gas Fitter: ►J t s INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbin a and Ch pt 142 of the General Laws. Type of License: By (lumber Title El Gas Fitter Signature of L ensed Plumber/Gas Fitter master City/Town ❑Journeyman License Number: 2 3 APPROVED OFFICE USE ONLY ❑LP Installer l -60 PLEASANT STREET 055.0-0015 Complaint Detail Report Printed On:Fri Apr 07,'-2 06 Complaint#: CT-2006-000032 Status: In discovery GIS#: 2982 Vol KLISIEWICZ,TADEUSZ K paRrp Address: -60 PLEASANT STREET Map: 055.0 Address: 60-62 Pleasant Street ?�y,,ta +` yoo� Date Recvd.: Apr-06-2006 Time Recvd.: ^ 02:35 PM Block: 0015 NORTH ANDOVER,MA 018 a Category: Zoning Violation Lot: Type:. Residential--•--__. GeoTMS Module: Board of Health District: Trade: �,SACNU�E� Recorded By: Pamela DelleChiaie Zoning: Structure: Description Complaint: Received an anonymous complaint from a resident of Wiley Court complaining about residents at a house on the corner of Pleasant and Water Street who are keeping at least"3 roosters/chickens. The exact number of the house was not known/given,but guessing it is 70-72 Pleasant Street(THIS NEEDS TO BE CONFIRMED VIA A SURVEY OF SURROUNDING PROPERTIES TO BE SURE). Caller also concerned about outdoor domesticated fowl contracting"Avian Bird Flu"from wildlife. Confirmed with Public Health Nurse that the Avian Bird Flu is not a threat in this capacity. Therefore,there are no health code violations. There are,however zoning violations if indeed a person or persons are keeping chickens: Zoning Bylaw-Section 4.122-Residence 4 District 6.b.On any lot of at least three(3)acres,the keeping of a total of not more than three(3)of any kind or assortment of animals or birds in addition to the household pets of a family living on such lot,and for each additional acre of lot size to five(5)acres,the keeping of one additional animal or bird;but not the keeping of any animals,birds or pets of persons not resident on such lot. Please have the Building Inspector follow-up and investigate possible violations. Thank you. --Pfd xc: Gerry Brown,Inspector of Buildings Brian Leathe,Building Inspector ich Glennon,Zoning Department _ Comments' 4/7/06-I observed chickens in yard at approximately 2:45 p.m.On Friday,4/7/06-pfd Callers Date Time Name Phone Best Time To Reach Recorded By Response Apr-06-2006 2:35 PM Anonymous Pamela DelleChiaie Forwarded to Building Inspector Actions Taken i GeoTMS Module Status Date Time Response Type Action Taken Comments Board of Health REFERRAL Apr-07-2006 2:45 PM Follow-up b(y/Health 4/7/06-1 observed chickens in the yard at Assistant approx.2:45 p.m. There appears to be a chicken coop area as well.--pfd GeoTMS®2006 Des Lauriers Municipal Solutions, Inc. Page 1 of 1 North Andover Board of Assessors Public Access Page 1 of 1 1 w Parcel ID: 210/055.0-0015-0000.0 Community: North Andover SKETCH PHOTO Click on Sketch to Enlarge Click on Photo to Enlarfe 60-62 PLEASANT STREET 1 LN_ Location: 60 PLEASANT STREET r N Z Owner Name: KLISIEWIC , TADEUSZ K EWA B KLISIEWICZ Owner Address: 60 PLEASANT STREET City: NORTH ANDOVER State: MA ZIP: 01845 Neighborhood: 5 - 5 Land Area: 0.26 acres Use Code: 104 - TWO-FAM-RES Total Finished Area: 2540 sqft i ASSESSMENTS CURRENT YEAR PREVIOUS YEAR Total Value: 400,400 376,500 Building Value: 239,200 227,200 Land Value: 161,200 149,300 Market Land Value: 161,200 Chapter Land Value: LATEST SALE Sale Price: 136,000 Sale Date: 03/07/1991 Arms Length Sale Code: L-NO- Grantor: LAWRENCE SAVINGS REPOCESSN BK Cert Doc: Book: 03226 Page: 0236 http://csc-ma.us/NandoverPubAcc/j sp/Home.j sp?Page=3&Linkld=804610 4/7/2006