HomeMy WebLinkAboutMiscellaneous - 9 WILLIAM STREET 4/30/2018s�+
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Date ... 9 ... A
�-1 ...... - I .............
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
L..�..................
This certifies that Aj...,
has permission to perform ....... ......:..
....................................................................................
wiring in the building of........C`4..........................................................................
arJ ...............�........W�`'1.....%'�=-'!...... ; ort hAndover, ss.
Fee., .% M3�.......... Lic. No.gwo. .....fl. ..... ............. C
Check #
3 EL CTRICAL INSPECT
0
_t\ Commonwealth of Massachusetts Official Use 091y
l2
Department of Fire Services Permit No. Z,91'
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS[Rev- 1/071 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Cod (MEC), 527 CMR 12.00
oPLEASE PRINTW INK OR TYPE ALL INFORMATION) Date: O M
City or Town of: NORTH ANDOVER To the Inspec or of Wires:
By this application the undersignA gives ofice of his or her intention to perform the electrical work described below.
Location (Street & Number) —i V J U (�, M c51-,
Owner or Tenant
rl
Owner's Address
Is this permit in conjnnc 'on with a bi 'dingy ermW Yes No ❑
ti
Telephone No.
(Check Appropriate Boz)
Purpose of Building Utility Authorization No.
Existing Service 00 Amps J,(C /220 Volts Overhead ndgrd ❑ No. of Meters
New Service 2!00 Amps /Z Volts Overhead ❑e- Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Propos TItctr cal Work:
c o
V Completion ofthe followinv tahle may he waived by the Incnectnr nfWiro_v
No. of Recessed Luminaires
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above ❑ In-
md. rnd. ❑
o. o Emergency Lighting
Batter Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o. ofDetection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
eat Pump
Totals:
Number I Tons I KW
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ un Connection
on ElOther
No. of Dryers
Heating Appliances KW
Security Systems:*
No. of Devices or Equivalent
No. of KW
Beaters
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring
No. of Devices or E uivalent
OTHER:
-M3
Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value of El trical Work: 7 Z C2 ®, dQ (When required by municipal policy.)
Work to Start: i - Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE C RAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
the licensee provides proof of liability in urance including "completed operation" coverage or its substantial equivalent. The
undersigned certifies that such coveKe is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCEKr BOND ❑ OTHER ❑ (Specify:)
I certify, under the airs and penahiq ofpei jury, that the information on this application is true and complete
FIRM NAME: E LIC. NO.: Iq S/ 3
Licensee: Cort L 4 A CJ& te/' Signature LIC. NO.:
(If applicabl , er " pt" 'n the l' ease ber line.)'' Bus. Tel. N0. Z3 41 s'
Address r of �l• ✓4- G l 93 Z Alt. Tel. No.:
*Per M.G.L c. 147, s. 57-61, gecurity work requires Depirtment of Public Safety "S" License: Lic. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) [] owner owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE. $
Ira C-/ � -
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7 -If- I /�G_y/f
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The Commonwealth o, f ffawh.aseft
Depri ientof)ndtfsftI I AcCId&ff
Office o, favesfigadoas
6#0 WashingtonSteeet
.Roston, AM 02111
-Www rmssgovtd'lrz
Worckexq' Comp emation bsuxance Affidadt: � c err IGo °ac oz� IE�c� �e ezansl�'Z mbe c
Nama
,Are you an employer? Clzeekther appropraato lbom Type of project (required):
1, [(1 am a employer with. �_ 4. n S am a general contractor and 1 6. El New construction
employees ('illand/orparEtime).� havenedthesub-contractors
i [] S am a sole proprietor orpaxin er
listed on the attached sheet T 7� El Remodeling
ship and`hayena.employees These sub-contractorsb:ave 8. �[ Demolition
ti working forme in any capacity. workers' comp. insurance, g, Building addition
[No workers' comp. j"BU P-0 5. ❑ We are a corporation and its 101] Eleetricalrepairs or additions
required.] o�xcers have exerelsed.their
3. S am a homeowner doing all work right of exemption perMOL 11..[] Wwnbingxepairs or additions
anyseL �3�ioworkers' comp. o.152, §1(4), andwehave�.o 12.E] Raofre�aixs
insurancexequixed.a � employees. [No workers' 13.n Oilier '
comp. insurance required.]
Anya�plicaniff�acchecksbox ZmustalsomlouitheswiionbeldwsgovIgtheirworkereeompensatiorzp07icyinformatiou.
i Someowners wha sutmitfhis aWdavit!AoatijiW Aie doing allwork and them Me outside contractors must submit a now affidavit indicating such,
xConiractors that cbecki6is bo�mvstattached as additional sheetshowingthe name ofthe sut}-cozrtiaetors andtheirworkers' comp. policy infomia�on.
_ram wcxnptgyevtliatisprovirlingNporke=s'corpipetasatiorxinst�ranea r•.�r�,yernproyees; BetIV thepalicyaririjoxsite
War Moll.
Lnsux'ance company lame:.
yar,y # ox so ins..l G. #-:
ExpiraiiortDate:
Yob bite.A,ddress
`t� ( �iiav7 C CiiylSEate/Zip: O'OUe�
on-p01teycjeclaratioupage (showing•the pol�icynmahor and expiration. date.
Attaeli a copy catt le workers*' compensati
)Failure to scourer coverage as requixedi mder Section 25.A. ofMC(L o.1.52 can lead to the imposition of eximinalpenalties of
jine up to $ X,500.00 and/ox cine' -year xmpriso�ment., as well z.- rhApenaltzea z the form of a S pOF VY OP.S ORDpR an d a e
ofup to $250.00 a day againstthe iiolator. Be advised that a copy ofthis statementmay be forwarded to the Office -of•
1'nvestigations of: the DI& for insurance co)Trage vexffication.
—T do Xiereby e uvider'tiie . iti ci aloes oilyerhup tiiat the information wovided above i(ssttue and eo reel
Si afizre: f
Date: SS" ` 261—
V
Thone4:_
offlew use ow,} . V0 not write in triiy area, to be completed by city or town official
Cate' or Town: EerznztlLz`cense #
fssuingAuthorzty' (circle one):
1, Board of Realth ?. BuildingDepartment I Catyll'owzz Clerk 4. Elect�acal xr�spector 5. 1°lum�bingJ nspector•
f. Other
Information and -Instructions '
Massachusetts General Laws chapter 152 requires all employers to provide woxkexs' coma ensation fox their employees,
. Paxsuant to fids statute, an employee is doftd as ",,.everg poison tri the service o£ano thex index any corifract o�hire;
express orimlrlied, oral oxwriiten."
An er layei%Xs defined as "art individual, partnership, association, coxpoxation or, other legal entity, or any two Orxnoxe
o£the f6xego3ng engaged in a joint enterprise, and includingthe legal 1,Txesentatives ofa:deceased @lnpzg ex,.or the
receiver oixustee ofan individual paxtnexsliip, associatiou or otherlegal entity, employing empXoyees,(owevex the
owner o£a dweEngh.ousehavingnotmore-tb.mthtee apartments audwho xesides therein, orthe occupantofihe
dwollirogliouse o£an.4orwho employs, poisons to do maintenance, construction orxepair workonsucizdweliinghouse
ov ort the grounds orbuilding appuxtoumtthereto shall not b0cRug e Of such einploymentbe doemedtobe an employer;"
MGL chapter 152, §25C(6) also states that "every state or lobal ji
iicenszng agency shalt wztlrTroZd the issuance or
renewal of a Iicense or permi, to op orate a husMess or to construct buildings in the co-wmorrwealth for airy
applicant who has not pro duced.acceptabla evidence of compliance with the insurance coverage required;'
Additionally, MGL chapter 152, §25C(7) states Weitherthe eommonwealthnox any of its political subdivisions shall
enter into any contract for the perforxmnce ofpublic workuntil acceptable evidence of compliance with, the insurance
requirements ofibis chaptexhave beextpresentedto. the contracting authority,"
Applicants
PleasefiU out the workers' comp ensadon affidavit completely, by checking the boxes that apply to your siiva on and, if
iiecessaty, supply sub-contractox(s) name (s), addresses) and phonenumb er(s) alongwiih their certicate(s) o£
insitrattce, LimitedLiability Companies (LLC) oxLimitedLiabilityParinerships (LLP)withno employees oiherthatrthe
xaembers oxpartners, era notrequiredto can7workers, compensadminsurance. LanLLC orLLF doeshave
employees, apolicyis xequixed, Do advisedthatthis afdavitmaybe submittedto the Do of 7rrdusirial
Accidents for con£rmat[on ofinsuxanca coverage. Also be sure to sign and date the ar"fida- . The afrtdavit should
be xetoxnedto the city or town that the application for the permit ox license is being requested, no y the Department of
indusirialAcoldents. Shouldyouhaveany questionsxegardingthe law orifyouarexeq*edtoobtaka*o6ars'
eompensatiozcpolicy,pleamcall the, Depaxtmentatthermmber11stedbelow. Self-iusuxedcompaviesshoufdentextlae7x
self insurance license number on the appxopxiate line.
pity or Town Qf cials
Please be sure thatihe affidavit is complete andpxinted legibly: The Department has provided a space atthe boitolxt '�
Of the aii-tdaVit fat you to .m out in the even,, the, Office ofkvestigailonsAas to contactyou-rag arding the applicant.
Pleasebesatetanitirttliepexmit/Jicensenumbexwbicbvrillbeused asarefexencenumber, fuaddidon,an.applicant r
thatxnust submitmultiple permit/ixce e applications in any givenyear, no0d ordy submit one afRdavit indicating cur e,
policy information Ofteeessmy) and index "1'Ob No Address" tho applicant shouldwxite "alzloeaiioxis in (city or
towir7" A copyo% the affidavitthatha9beenofhciallyststnpadormaxkedby:thecityortownmaybepxavidedtothe
applicant aspxoofthat avalidafrzdavitisort le oxfiriurepexmitsorlicanses, •Astewaffidavitmustbomgdonteach
year- W -hare ahome, owner or citizen is obtabingaEcense oxpennitnotxelatedto anybusiness or commercial venture
(i.e. a dog license orpexmit to burn leaves etc) said person is N'OTxequhcd to complete, this affidavit,
The Office o£fnvestigations would like to thank you in advance for your coopexation and should you have any gtzesiions,
please do noth-esita%to give us a call.
The Depaxtm.ent. s address, telephone aitdfaxnumber.
T'ha CQ OXIMIalth OfTmawar W011M
)DT-axt=ut QfIndu*W l cc d i
():Mee o Tn e iz oxo
504asc�a- Sxe
0.2111
TQL 9 617-7-- L-4.1QQ W406 ax 1-977
Revised 5-26-05 Fax # 617-727-7749
' v��•zx����,�¢v�di�.
Date..... ....................
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that --4 .0...1�....t.LA VO .S
has permission for gas installation . ............................................
in the buildings of ...off
at ............. ........... ( ... A ....... .... A ....
......
.................... . North Andover, Mass.
Fee. .... Lic. No..1............................................................
GAS INSPECTOR
Check #
It
107'
Date .9'.1-u,el.1.4 ........
)F NORTH ANDOVER
All FOR PLUMBING
,� S
......................................................................
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FA -A-115 AAA &-,1"Al%AxAAr0 MA
at .....I..WN��,
.
... . North Andover, Mass.
FeJ............... Lic..No.
.................................................................
PLUMBING INSPECTOR
Check #
Ld.A L"i
D�c�- r� rM '1 iZ� �i�
y
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
�(
CITY L 0C MA DATE PERMIT
JOBSITE ADDRESS OWNER'S NAME
POWNER
ADDRESS TEL FAX _
TYPE OR
OCCUPANCY TYPE COMMERCIAL EDUCATIONAL Q RESIDENTIAL
PRINT
CLEARLY
NEW: Ell RENOVATION: ® REPLACEMENT: Q PLANS SUBMITTED: YES ROQ
FIXTURES Z FLOOR- BSM 1 2 3
4
5 6
7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE.ml
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIL/SAND SYSTEM I
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTEM
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER f _-_.___)
FLOOR / AREA DRAIN
INTERCEPTOR (INTERIOR) - I
KITCHEN SINK I -k —__—k
LAVATORY ! - -J -----.j _.__i ______! ______i __.__.l __J __._.__! J .�.__I
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK -J
TOILET
URINAL j! ..._._J __-_J,
WASHING MACHINE CONNECTION k
._k
WATER HEATER ALL TYPES
WATER PIPING
OTHER
i ---I ---_ -f ___j--.-3
INSURANCE COVERAGE:
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES P.flF M
IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY E�/ OTHER TYPE OF INDEMNITY D BOND M
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 _i AGENT
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are true an acc e t he best of m k dge
and that all plumbing work and installations performed under the permit issued for this application will be in complia h a t rov' of t
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME L,z 4 — � _ ,LICENSE # G SIGNATU E
MP01_ JP Q -I CORPORATION_j #PARTNERSHIP 0# LLC DO j
_
COMPANY NAME —__ ;ADDRESS _(
CITY�►���STATE I It ZIP TEL
FAX € CELL EMAIL N1
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MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
Y
CITY1 MA DATE / PERMIT #
JOBSITE ADDRESS s OWNER' NAME
<J
OWNER ADDRESS J TEL FAX
TYPE OR
OCCUPANCY TYPE COMMERCIAL D- EDUCATIONAL ® RESIDENTIAL 2----
PRINT
CLEARLY
NEW: RENOVATION: REPLACEMENT: ® PLANS SUBMITTED: YES 2-V-00
APPLIANCES 7 FLOORS- BSM 1 2 3 1 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER[-G
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR.
GRILLE--
INFRARED HEATER
LABORATORY COCKS
MAKEUPAIRUNIT
OVEN
POOL HEATER
ROOM / SPACE HEATER
ROOF TOP UNIT-
TEST-
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHER r
-
T
INSURANCE COVERAGE
have liability insurance its the MOL. Ch.142 YES 13<0 [l
a current policy or substantial equivalent which meets requirements of
I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY OTHER TYPE 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 0 AGENT EDI
SIGNATURE OF OWNER OR AGENT
1 hereby certify that all of the details and information I have submitted or entered regarding this application are true and cc e t he best of now dge
and that all plumbing work and installations performed under the permit issued for this application will be in complian w' all rtr e r no e
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLU7BER-GFSFITTER NAMELICENSE # SIGNATURE
MP JP JGF _( LPGI 0 CORPORATION # PARTNERSHIP ®#=LLC 1#
COMPANY NAME: !"'�--- =1J ADDRESS
CITY ,� STATE [ERZIPJ]'5� Z TEL
FAX CELL EMAIL
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y The Commonwealth ofMassachusetts , -
Department of Indiistrigl,4ccidats
Office of lnvestigations
600 Washington Street
.Boston, .ice 02111
www.mass.gov/cita
Workers' Comnensation Insurance Affidavit: Bufftiers/Cont°actors/.Electric iansfPliimbers
Address: q &zzl i �4wc S S -I-
City/State/Zip: r l J AA -96 U -9–r— Phone #:
Are you an employer? Check the appropriate box:
(required):
Ty=traction
-LE] I am a employer with
4. ❑ I am a general. contractor and I
6, `
emplo e full and/oxpax� tame).
have hired sub -contractors
T
`!• emodeling
2. am a sole proprietor or partner
ship and'haveno employees
listed on the attached sheet.
These sub -contractors have
S. ❑ Demolition
working for me in any capacity.
workers' comp. insurance.
9. Building addition
[No workers' comp. insurance
5. ❑ We are a corporation and its
10.❑ Electrical repairs or additions
required.]
3. ❑ I am a homeowner doing all work
officers have exercised.their
right of exemption per MGL
11. ❑ Plumbing repairs or additions
myself. [no workers' comp.
c.152, §I(4), and we have no
12.❑Roofrepairs
insurance re �'ed. a
employees. [No workers'
13.❑ Other
comp. insurance required.]
t xAny applicantthat checks box#f must also fill outthe section bel6w showingtheir workers' compensation policy information.
T'Homeowners who submitihis affidavit ind catingthey 2're dging all work and then hire outside contractors must submit anew affidavit indicating such.
tContractors that cheekthis box must attached as additional sheet showingthe name of the sub -contractors and their workers' comp. policy information.
lam an employer that isproviding workers' compensation insurance formy employees Below is flee policy and job site
information. ,
Insurance Company
Policy /# or Sell✓ias. Lic. ff: J Expiration Date:
Job Site Address - __9 f/V J �l > 4 w� S S City/State/Zip: JU,24U
Attach a copy of the workers' compensationpollcy declaration page (showing the policy number and expiration date).
Failure to secure coverage as reV1IM dander Section 25A ofMGL o.152 can lead to the imposition of criminal penalties of a
:fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine
of up to $250.00 a day against the violator. Be, advised that a copy of this statement maybe forwarded to the Office of
Investigations of the DIA. for ibsurance coverage verification.
do hereby certz
fy under the pains and penalties ofperjury that the information provided above is true and correct.
Sienature• Date:
Phone 4:
Official use only. Do not write in this area, to be completed by city or town ofcial.
City or Town: Permit/License 9
Issuing Authority (circle one):
1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector
6. Other - - -
Contact Pers
Phone
Information and Instructions '
Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. t
Pursuarif to this statute, an eYr�,ployee is defined as "...every person in the service of another under any contract of like
express orimplied, oral orwzitien."
An employes is defined as "an individual, partnership, association., corporation or other legal entity, or anytwo or more
of the foregoing engaged in a joint enterprise, and including the legal representatives of a -deceased employer, or the
receiver or trustee of individual, partnership, association or other legal entity, employing employees. However the
owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the
dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house
or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be, an employer."
MGL chapter 152, §25C(6) also states that "every state or local licensing agency shall withhold the issuance or
renewal of a license or permit to operate a business or to construct buildings in the commonwealth .for any
applicant who has not produced.acceptable evidence of compliance with the insurance coverage required."
Additionally, MOL chapter 152, §25C(7) states `Neither the commonwealth nor any of its political subdivisions shall
enter into any contract for the performance ofpuhlic work until acceptable evidence of compliance with the insurance
requirements of this chapter have been presented to the contracting authority."
Applicants
Please fill out the workers' compensation affidavit completely, by checking the boxes thatapply to your situation and, if
necessary, supply sub -contractors) name(s), address(es) andphone number(s) along with their certificate(s) of
insurance. Limited Liability Companies (LLC) or Limited Liability Partnerships (LLP) with no employees oilier than the
members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have
employees, a policy is required. B e advised that this affidavit maybe submitted to the Department of Industrial
Accidents for confirmation of insurance coverage. Also be sure to sign and date the affZdavit. The affidavit should
be returned to the city or town that the application for thepermit or license is being requested, not the Department of
Industrial Accidents. Should you have any questions regarding the law or if you are required to obtaim a workers'
compensation policy, please call the Department at the number listed below. Self-insured companies should enter their
self-insurance license number on the appropriate line.
City or Towns Officials
Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom
Of the affidavit for you to fill out ift the event the Office of Investigations has to contact you regarding the applicant.
Please be -sure to fill in the pemlit/license number which will be used as a reference number. In addition, an applicant
thatmust submitmultiple permit/license applications in any given year, need only submit one affidavit indicating current
Policy information (ifnecessary) and under "rob Site Address" the applicant should write "ail locations in (city or
town)." A- copy of the affidavit that has b eon officially stamped or marked by the city or town maybe provided to the
applicant as proof that a valid affidavit -ii on file for future permits or licenses. Anew affidavit must be filled out each
year. Where a homeowner or citizen is obtaining a license or permit not related to any business or commercial venture
(i.e. a dog license orpermit to bum leaves etc.) said person is NOT required to complete this affidavit.
The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions,
please do not hesitate to give us a call.
The Department's address, telephone and fax number:
Com monw.eaithofMas arhvsetts -
DeparGment off dwWal.accidents
( flee of fAvestigAvona
60 Was g m Street
BWon, MA 02111
TeL # 617-727-4.900 o A 406 ox 1-8,77-MSSAFE
Revised 5-26-05 Fay,# 617-727-7749
v�.xlta�s,govfc�`a
,0,1116—
CCERTIFICATE OF LIABIUrrY INSURANCE
5/21/14
THS ATE M WSUED AS A lSiATT R OF @F'OR6dATHM OJLY AND CXWFERS KD I NWM UPON 'RE BATE WIDER TTS
CERUFWJUE DOES MDT AFMOAMELY OR NEGNTPA3LY ADEN % EXTEND OR ALUR UE COVERME AFFOREED BY Tw PouaES
BES_ TEAS aRUMCM'E OF 111SURMCE DOES NOT CONUFFUM A CMP -WT BERWER THE ESUNG MUMMR, AWKIREZED
ATlit€ORPROMEEP,ANDTHEC.ERnFEATEHOfDEP-
EIPCRIAMr B the a hokes is apt ADDFRCHAt_ DCSEMM, if= pn m 6e auhmse& N SUMWGPWAM M WA'YEQ; to
ffie terms End candftm ofthe pact * Celt Param s may reqmm amerdwsement A skdament antNs dws nuteaefr d9w tar fle
Cafes ha bkW es UOU of sarh endorsee
paumacm
Harry J- BT. South � ns Agency
t
PCD Bog 5206
rrCCNWACT Dana Kbodw
.-
EUDEE
378 373-8400 (ST8) 373-3360
�
Aanek& c#aaa9kL _cora
BDNVCF
Bradford, IIS. 01835
NISMERMNVOWOM MASMWE -PACs
zE;uRmA-Cbum:eroe Imax, snce Co
115050-
OWURB-Cbumerce Insuizzme Co
A� C Holmes
Holmes plumbing & Beating
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MAKES NO WARRANTIES, EXPRESSED
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E3 Downtown Overlay District
13 Induzuri 13 District
12.
ASSUME ANY LIABILITY ASSOCIATED
WITH THE USE OR MISUSE OF
E3 Historic District
IN Ind District
usn'l S
Reside i ice I District
•
THIS INFORMATION
E3 Water Protection
•Reside ice 2 District
E -I Parcels
93 R—ide ce 3 District
Hydrographic Features
1" 56 ft
_4��de ce 4 District
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Print
Ownerl WATSON, TRACY M.
Owner2 WATSON, MATTHEW C.
Address 9 WILLIAM STREET
PropertyID 010.0-0030-0000.0
Lot Size 7405.2S
Fiscal Year 2013
Land Use Code 101
Last Sale Date 38943
Book/Page 10339
Total Valuation $319700
Building Type CL
Year Built 1940
Finished Area 1746 sq. ft.
Assessor Map NorthAndoverAssessorMaplO_26x36.pdf
More Info: Click here for Assessor website
Water Tie: WILLIAM_STREET_0009.pdf
http : //mimap. mvpc. org/NorthAndovennimaplldentify. aspx?datatab=ParcelB asic&id=010....
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