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Home My WebLink AboutMiscellaneous - 11 AMELIA WAY 4/30/2018 /i Arse<i.v wny BUILDING FILE � y CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 338(11/14/OS) Date: July 15. 2009 THIS CERTIFIES THAT THE BUILDING LOCATED ON I 1 Amelia Way MAY BE OCCUPIED AS Single Family Dwelline IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Edgewood Retirement Community 575 Osgood Street North Andover MA 01845 Building Inspector ' Of MORTFI ` O`tt�ao X32 � ,� �,+• OC O " M 41 ;�SSACiNfs t� APPLICATION FOR CERTIFICATE OF OCCUPANCYANSPECTION Building Permit# v� ADDRESS/LOCATION OF PROPERTY : 1\ 1Ag Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILEDIREADY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE(5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS$20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. Pe�mnit Issued ta: Address es 066 -- SIGNED ROUTI G CONSERVATION PLANNING DPW-WATER METER X04 0 SEWERIWATER CONNECTION Fri NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCYIINSPECTION REQUEST DPW Lot 6&t Signature -" Fite: Application for OC farm revised Jan 2007 V% TH q Town of No. 2.39 - L o dover, Mass.,Y -wyCOC LA K MICHE W ICK DRATED I y A `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System '..'.... .. .. . . ! ................................ G INSPECT r DIN THIS CERTIFIES THAT...... .....�!. EG�(SD EI�t 1�'!� t _�''� / ... ........ .............. .............. G��1.. r. ................ Fou :o C'`� �G, � has permission to erect........................................ buildings on...lL.1 ....... .. .. ................................. ough - „ � �t�� y:✓- r—,.,<<�; to be occupied as...................C. .� u .. �..1 .. ��'` .... .. f.....�/�/C. ........ c ey t provided that the person accepting this permit shall in every respect conform to the terms of fhe application on file in inal this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. PLLIIB G INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. 'Roux � 5 PERMIT EXPIRES IN 6 MONTHS 9612 6f�” ELECTRICAL INSC, OR UNLESS CONSTRUCTION STAR 1 S /� K! ............ ' "'` Service BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTO Display in a Conspicuous Place on the Premises — Do Not Removel� k No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. 7(1 IF SEE REVERSE SIDE Smoke Det. • Registered Architectural and Engineering Services Construction Control Affidavit Project Number_ DSA Project#0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #11 Amelia Way,North Andover,MA 01845 Scope of Project: 22 Individual Cottages In accordance with Section 116.0 of the Massachusetts State Building Code 1,Allen Dewing Jr.,MA Registration#4301 being a registered professional engineer/architect,hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Entire Project YX Architectural Structural Mechanical Fire Protection Electrical Other (Specify) For the above named project and that,to the best of my knowledge, such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code. All acceptable engineering practices and all applicable laws for the proposed project. I further certify that I shall perform the necessary professional services and be present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and shall be responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples,and other submittals,which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required materials. 3. Be present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general,if the work is being performed in a manner consistent with the construction documents. Upon completion of the Work, I shall submit a to the satisfactory completion and readiness of the project for occupancy. `� Q /4;lv/ A No.4301 v� 3 CONCORD, MA �s lien Dewing Jr. G� ?� N OF`hAP`''P! F:\DSA Project Files\Edgewood 0706\05. Project Word Documents\a.Correspondence and Transmittals\vi.Misc I CHRISTIANSEN & SERG1, INC. PROFESSIONAL ENGINEERS AND LAND SURVEYORS 160 SUMMER STREET-HAVERHILL,MASSACHUSETTS 01830-6318 (978)373-0310 FAX:(978)372-3960 Project No.:06084 July 15, 2009 Ms. Judy Tymon Town of North Andover Planning Department 1600 Osgood Street North Andover, MA 01845 RE: Edgewood Retirement Community CertRicate of Occupancy Dear Ms.Tymon: Please consider this letter as a statement of substantial compliance with the approved plans, in accordance with §8.a of the Site Plan Review Special Permit and §l O.a of the CCRC Special permit, for the building, landscaping, lighting and site layout for the following units at Edgewood Retirement Community: • 9 and 11 Amelia Way Building, landscaping, lighting and site layout are within substantial compliance with minor modifications made to the building size and site grading; • 8 12, 19 and 27 Samuel Wav Building and site layout are within substantial compliance with minor modifications made to the building size and site grading. Landscaping and lighting have not been installed. The landscaping is scheduled to be installed by the end of this month. Christiansen & Sergi, Inc. trusts this is sufficient to satisfy the requirements of the above referenced conditions for occupancy and your office will be able to sign off on certificates of occupancy at your earliest convenience. Should you have any questions or comments please do not hesitate to contact us at the number listed above. Regards, PHILIP G. EN v L No. 95 ti q�G 9F�isTE�� ,R �S��NAL Philip G. Christiansen, P.E. DSA Dewing & Schmid Architects July 13, 2009 30:Monument Square Property Address: #11 Amelia Way Suite 2008 Edgewood Retirement Community Concord,-MA 01742 North Andover,MA 01845 Tel 978.371.7500 Fax 978.371.3388 Subject: Final Construction Control Affidavit 280 Elm Street South Dartmouth,MA 02748 Tel 508.999.0440 In accordance with Section 116.0 of the Massachusetts State Building Code,I Fax 508.999.7709 Allen Dewing Jr.,MA Registration#4301,being a registered professional wttiwdsarch.com engineer/architect certify that I was present on the construction site on a regular basis and observed that work was completed in accordance with our Construction Documents and the State of Massachusetts Building Code and the requirements of the Town of North Andover and its officials for the construction of the dwelling referenced above. ED °rE.W �%c-' C) a No.4301 y CONCORD, 7. /3- d MA rJ Allen Dewing Jr. Date 3�jy�, QG �l�H OF Date..... ........ NORTH ,,, - 1, 0 TOWN OF NORTH ANDOVER Siam. p PERMIT FOR WIRING ,ssACHU This certifies .................................................. has permission to perform .......... wiring in the building of........ ................................................... atl/............. ............................... ?.................North Andover,Mass. Fee.i�',............ Lic. ......I. -- ......... ............... aELECTRICALCheck # 7 Commonwealth of Massachusetts Official Use Only + Permit No. ?6e�z Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dater ( I'm City or Town of: A)OffN AA)DOVIEK To the Inspector f�Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) * I I a M fjj pW Ay OwnerorTenant JEh('r(,jnajj f20ri1ZllEM1F.K)7' (1nrn IU►J►T�_ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building-J,NWE LI IJG Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 14� Amps i2Q /2Ar,( Volts Overhead❑ Undgrd No.of Meters Number of Feeders and Ampacity t_ 2,00 AMP Location and Nature of Proposed Electrical Work: t�121E l�3�L� SIiJGI�E 1✓A Yh 1 t J `] L_Z J/J t"r Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires J.3 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.o Emergency Lighting No.of Luminaires Swimming Pool rnd. ❑ urnd. ❑ BatteryUnits No.of Receptacle Outlets 9A No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers , Space/Area Heating KW Local❑ Municichopal [I Other Connen No.of Dryers / Heating Appliances KW SecuN o oy f Devices or E quivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of E ecuical Work: (When required by municipal policy.) Work to Start:-_AU Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: finless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties of perjury,that the information on this application is true and complete. FIRM NAME: Interstate Electrical Servi s rporat i LIC.N .:A-521 7 Licensee: Pasquale A. Alibrandi Signature ` . I (Ifapplicabl rater "exe t"in the license number line.) Bus.Tel.No.:9 7 8—6 6 7-520 O Address: �60 Tre��le Cove Rd. , N: Billerica, MA 01862 Alt.Tel.No.; *Security System Contractor License required for this work;if applicable,enter the license number here: 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 PERWT FEE: S Signature Telephone No. 343-o 0 Dk 0 / Date....-1..9..... /...... AORTN °�,"`° '•�"� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,r:o cMusE� This certifies thatS��.!l.t..'r' ...�-:.r.��:%.t.......1....... r..d.I ..'.:..:�.... has permission to performr� =;j.................... wiring in the building of ��.�'='^�:^�.... ` • (.!.)JY...-., at...... �........ ►:,,. .i . .J....... . ....... ,North Andover,Mass. Fee..../fir....... Lic.No.. L1. ....... . ................ ' ELEcnucAL4M ` Check # S�� Jk� Commonwealth of Massachusetts •—. Official Use Only Department of Fire Services Permit No. j BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ [Rev. 1/07] Qeave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINTWINK OR TYPE ALL INFORAMTION) Date: 3 — Z 3- 15 City or Town of: NORTH ANDOVER . nspector By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) /J i5?�y ,�r G /,V Owner or Tenant /=V Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes y�� 0 NO LJ (Check Appropriate Boa) Purpose of Building �i7�/ Utility Authorization No. Existing Service Amps _ / Volts Overhead ❑ Undgrd No.of Meters New Service Amps ___L_Volts Overhead ❑ undgrd❑ No,of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: /J p.3v/c i•- lr� Completion of±hyollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total No.of Luminaire Outlets Transformers "7A No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o.o mergency ig nng nd. rnd. ❑ Battery Units -- No.of Receptacle Outlets No.of Oil Burners F ALARP:1c No.of:ones No.of Switches No.of Gas Burners No..of Detection and No.of No.of Air Cond. Total Ranges Initiating Devices Tons No.of Alerting Devices No.of Waste Disposers eat Pump Number onKW ry� No.of Self-Contained Totals: Detection/Alertin Devi •• No.of Dishwashers Space/Area Heating KW Local Municipal y A Connection Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.ofo. No.of Devices or Eq u'valent 't Heaters KW Signs Ballasts. Data Wiring; No.Hydromassage Bathtubs No.of Devices or Equivalent No.of Motors Total Hp No. Wiring: OTHER, No.of Devices or Equivalent Attachadditional detail if desired,or as required by the Inspector of Wir (When required b es. Estimated Value of Electrical Work: �� ,t'i✓ y municipal policy Work to Start 3—,?3 -q Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Tiniess waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove a is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [Bffi OND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties ofperjury,that the information on this application is true and complete. FIRM NAME: In110 Ila LIC.NO.: Jvt f 6 Licensee:�i r� / ✓ Signature - (If applicable, enter"exem t"'n the tens tuber line.) !"-� LIC.NO.:Z 2 if7 Address:.17 /`�i C�56c; Bus.Tei.No.:--. *Per M.G.L c 147,s.57-6 1,security work requires D Alt.Tel.No.: ep ent of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability ---- required by law. By my signature below,I hereby waive this requirement. I am the check one ml one coverage normally Owner/Agent ( )El owner F-1 owner's agent. Signature Telephone No. PERMIT FEE. $ J r ar The Commonwealth of Massachusetts 1 Department of Industrial Accidents Office of Investigations i'si�P tL 600 Washington Street ami; ;. Boston, MA 02111 www.mass.gov/dia . Workers' Compensation Ins4rance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Levibly Name(Business/orgattiza6on/Individual):J"'lf�/�i Address: City/,State/Zig: v ✓I .t /7/ Phone 9: 4-d2- 6 V-7? ''' Are you an employer?Check the appropriate box: 1.�I aro a employer with I 4. Type°f Prete(required):' ❑ I am a general contractor and I r-,,� employees(full and/or part-time).* have hired the sutrcontractors 6. 2 ��ew construction 2.❑ I am.a sole proprietor or partner- listed on the attached sheet f 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demoiition working for me.in any capacity, workers' comp.insurance. [No workers'comp.insurance 5. 9• ❑Building addition p ❑ We are a corporation and its required.) officers have exercised their 10.❑Electrical repairs or additions ' 3:❑ i am a homeowner doing all work right of exemption per MGL I I.❑Plumbing repairs or additions myself.[No•workers'comp. c. 1.52, §1(4),and we have no insurance required.]t 12.❑Roof repairs q ] employees. [No workers' 'Any eppiicam that checks box'#t m homeowners who submit this affidavit iust also 51l out the section below comp. insurance required.] l 3.❑Other their workets'compensation Poo icy information. ?Contractors that check this box must t ndicantra ting they are doing all work and then hire outside contractors must submit a new affidavit indicating such. ahached an additional sheet showing the name of the sub-contra dors-and their world'ec:nF•PG., i,:Lura-atior,. ant an employer that is.providing workers'compensationinformation. insurance f or my employees: Below is the policy and job site . ' Insurance Company Name: 111r-„, 41 ��—C Policy#or Self-ins, Lie. Expiration Date: .5 -/G-- Job Site Address: _ � City/Stflte/Zip;_Q Attach a copy of the_worke_rs'_compensation.policy declaration page(sh Failure owing flue Policy number and expiration date) k to secure cove age as required under Section 25A of MGL c. 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 may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ido hereby certify under the ins a penalties of perjury that the information provided alcove is true and correct Si ature.- 3 3 - Date: Phone#: Official use only. Do not write in this area,to be complejed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1. Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An emplayer is defined as"an individual,partnership„association,corporation or other legal entity,or any two or more ofthe'foregoing engaged in a joint enterprise,and includirig the legal representatives of deceased employer,or the receiver or trustee of an individual,partnership,associatioi n 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 sucb 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, MGL chapter 152,§25C(7)states`Neither the comm-onwealth nor any of its political subdivisions shall enter into any contract for the performance of public 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 that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees otherthan the members or partners,are not required to cant'workers'compensation insurance. Van LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of industrial Accidents for confirmation of insurance coverage.. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit 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 obtain 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 Town Officiais 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 in the event the Office of Investigations has to contact you regarding the applicant Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/iicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town):'A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e, a dog license or permit 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. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel.#617-7.274900 ext 406 or 1-8.77-MASSAFE Fax:9 617-727-774 Revised 5-26-05 www.mass.govldia Registered Engineering Services Structural Construction Control Affidavit at Completion of Structural Work Project Number: DSA Project#0706.00 Project Title: Edgewood Retirement Community Cottages Project Location: #11 Amelia Way,North Andover,MA 01845 Scope of Project: Wood Framed Cottage with Concrete Basement and Foundations In accordance with Section 116.0 of the Massachusetts State Building Code,1, Geoffrey S. Conway, MA#32753 being a registered professional engineer(structural),hereby certify that I have prepared or directly supervised the preparation of all design plans,computations and specifications concerning: Entire Project Architectural XX Structural Mechanical Fire Protection Electrical Other (Specify) For the above named project and that,to the best of my knowledge,such plans,computations and specifications meet the applicable provisions of the Massachusetts State Building Code,all acceptable engineering practices and all applicable laws for the proposed project. I further certify that I have performed the necessary professional services and have been present on the construction site on a regular basis to determine that the work is proceeding in accordance with the documents approved for the building permit and have been responsible for the following as specified in Section 116.2. 1. Review for conformance to the design concept, shop drawings, samples,and other submittals,which are submitted by the contractor in accordance with requirements of the construction documents. 2. Review and approval of the quality control procedures for all code-required materials. 3. Been present at intervals appropriate to the stage of construction to become generally familiar with the progress and quality of the work and to determine,in general,that the work has been performed in a manner consistent with the construction documents. OF A Geoffrey S. Conway, P.E. Date Ir GEOFFREY1 � S. CONWAY STRUCTURAL pt No.32753 u� A1'0 ST r-��`Q�� FSS�ONAL�� i f AORT", 1__ '.•hooL TOWN O __ TH ANDOVER PERMIT FOR PLUMBING s � � SSACHUS� This certifies that . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . .-- + . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . .... . . . . . . . . . . . . . . . . at. /l. . . . � (.0 . . . . . . . . . . . North Andover, Mass. Fee��S.. . . .Lic. No..3. . . . . . . . . . . PLUM;BiNG INSPECTOR Check # 7983 mining long 11111111000 . loolloolli g„l,o,,,, NOT WATIR TANKS _ T - - - ` 1111111x11 IT T malsommons 1 4 TIT• • • ■ ,l .: WATER■1111��101 ., :, ■111111111 • _ _PIPING = = 11111111131 . - . ■111111111 - _ r 0111111111 1111111111 ■ t Date 3 f ........ of toFTM ,� o� �` TOWN OF NORTH ANDOVER .. . PERMIT FOR GAS INSTALLATION SSACHUSEt i This certifies that .. . ! .. . . . . . . . . . . . . has permission for gas installation �!�' . . .j. ... . . . . . . . . . . in the buildings of . . . .. . . . . .. . . . . . . . . . . at .J./. . f9. .1?'�. �.f0: . . /. . . . . ., North Andover, Mass. JJ Fee.,�.Q�.. Lic. No.<. . . . . GASINSPECTOR . Check# 3 6740 �Ot p pl {fl01 ? W a G CONVERSION BURNER lAng" $ a'1 DIRECT VENT HEATERS a DRYERS FURNACE8 > S ❑ OAS GENERATORS g GRILLES HEATER RANGE ❑ HEATING BOILERS 8' LABORATORY COCKS C OVENS ❑ O } POOL HEATERS 3 a g RANGES ❑ c $ _ ROOF TOP UNITS C S TESTS O �� S ❑ �,.` UNIT HEATERS W z UNVENTED ROOM HTRS. L'9• 6, $ VENTED ROOM HTRS. ❑ ❑n 8 S WATER HEATERS ❑ CJ . OTHER FgCrURE8. off ❑ _ � � o