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Home My WebLink AboutMiscellaneous - 118 BEVERLY STREET 4/30/2018 - _ � �` I I k ./ _.. ? a Date R•.. •• i NORTH 3j TOWN OF NORTH ANDOVER p 9 PERMIT FOR GAS INSTALLATION • s SACMUSESS This certifies that .- ' .P . . . . . . . . . . . . . . . . . . . 'bias permission for gas installation . '` �. . . . . . . . . . . . . . . . . . . . Y, r in the buildings of . . . : -- '"... �:. . . . . . . . . . . . . . . . . . . . . . . at -�- / . . . . . .. North Andover, Mass. Feer. `.�I . . Lic. No. � aG � ' !: ?�... . . . . . . . . . / GASINSPECTOR Check# 4468 ti MASSACHUSETTS UNNORM APPUCATON FOR PERMIT TO DO GAS FMING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations 118 i, 1p_y C F I * Permit# ` n Amount$ A)p V-4) �AJd C)V -C M 1"' Owner's NameA Aj �kwu Y New❑ Renovation Replacement ❑ Plans Submitted ❑ � w � U 0: 14 F. . CW7 a F OF �, z O x W c�71.9 � FO p x W F A U O F F o O C w 3 a o a° a ° H o SUB---BA SEM ENT BASEM ENT IST. FLOOR 2ND. FLOOR 3RD . FLOOR 4TH . FLOOR 5TH. FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Pent or type) �e Check e: Certificate Installing Compaiy Name ❑ Cxp r xh Address S��f 9�Q ST= / tJ ❑ Panner. 41 Business Telephone 7 ,g y 6 G a'33 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter R c, 6 e-r+ L e O e r INSURANCE COVERAGE Checkone- I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ Ifyou have checked yes,please in �to the type coverage by checking the appropriate box Liability insurance policy Mr 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: I Signature of Owner or Owner's Agent Owner ❑ Agent ❑ 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts to Cjas Code gnd Cha ter 42 ofthe General Laws. By: ignature of Licensed Plumber Or Gas Fitter Title Plumber L a--6 City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) 0110urneyman I OICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER umber Date 9'-,,,3 ^�=' THIS CERTIFIES THAT ATED ON j v e L y AS 46 PvO 6-I / /3,4 Fl� ✓� 1�Af-'- SLL�(ceiv' ITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING BER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO #otiv4o1c16-)v1z10' 106o Do Building Inspector Norri �y Town of4Andover O ` No. o dover, Mass., `/3 a COCHICKEWICK V 7,p ORATED P'PaG,`�� S 4 BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... v......... ........... .. .. .d .. ..Z... ...0...................................... Foundation has permission to erect�!�~44%�........ buildings n ....11 (0 . . . � Rough ...... ...... ... ... MA CQ---- to be occupied as..�� 4.: B.A A r K anti V r "� 'Ft r � Chimney P .. . .............. ............................................................................................................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and -Laws relating to the Inspection, Alteration and Construction of V- "`'--- Buildings in the Town of North Andover. $ rl�• PLUMBING INSPECLOR i VIOLATION of the Zoning or.Building Regulations Voids this Permit. hq Cl_� I' PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION START ELECTRICAL IN �! .............. ............. Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS-INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEP TMENT Until Inspected and Approved by the Building Inspector. Burner t Street No. i Smoke Det. SEE REVERSE SIDE �� "Z elf+TN O=oa;.eo, Rapo N J p r Y x'Al, 4^tno✓�F sACM15E CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number '7', Date o THIS CERTIFIES THAT p THE BUILDING LOCATED ON MAY BE OCCUPIED AS � PCO 01 B,+W/ J9 AV P 4,016-V4- IN 16-VTIN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. CERTIFICATE ISSUED TO Building Inlifeaor r Town of4 over No.41? /7 �. y LA o � dower, Mass., s` 400 A- COCHICMEWICK V 7,9 ORATED. o'P5 `s BOARD OF HEALTH Food/Kitchen Septic System PERMIT T D �vAJBUILDING INSPECTOR THIS CERTIFIES THAT..Am- ti ,Ad.. ...................................I................................ - Foundation ,� !� ` has permission to buildings on 11.4.. . � Z �/ . 1...... . .. ..... � �UTA� to be occupied as... ..........CL.00!....0.046.. ....... t Ili ................................................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final (� 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. 9r/c a $ y 4.y PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough A10 0 00 Final j IT EXPIRES IN 6 MONTHS _ 2 46 A r4 PPVW% PERMT TS )ELECTRIC INSPECTO r� w� 4UNLESS CONSTRUCTION S o tor V tle ............................................... rvice BUILDING INSPECTOR Fi �O Occupancy Permit Required to Occupy.Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final 1 to IL:Ix No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. Smoke Det. SEE REVERSE SIDE MASSACHUSETTS UNIFORM APPLICATON ni mma TO_ HOASGSFFITTING (Type or print) V Date 2 NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# �7`3�__ Amount$ `5 Owner's Name s New❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ H °O 12 a, ° w V c� H W UU�y O F LL R SUB—BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR Iffone: Certificate Installing Company Date. . .�? :. . .. .. .. . .. .. . Corp. ❑ Partner. Of NO oTM ,h � ❑ TOWN OF NORTH ANDOVER Firm/Co. ' PERMIT FOR GAS INSTALLATION • a SS iACHUSEtty Check one: / es E No❑ This certifies that .. : �-�: '. .�.'� . . .. . • . ox ❑ . . . . . . . . . bBond has permission for gas-i-n'-stallation .��:�. . . . . . . . . . � lee.,�� the buildin s �..�_rz"1,�i.,.-.�- � • • jcoverage required by Chapter 142 of the gof . . . .N.-f!.?. . . . . . . . . . . . . . . . . . lui ement. ., North Andover, Mass. ! Agent. . . . . LiC. No.!? above application are true and accurate to the GAS INSPE&OR Permit Issued for this app tion will be in / 7 Check#,�/1 �'S J 6pter 14 S. 3733 -- II6er Or Gas Fitter Fi -ime 5T City/Town Gas Fitter License um er Master APPROVED(OFFICE USE ONLY) ❑ Journeyman 3130 Date. - /� s ?...... ea Q „pRTM TOWN OF NORTH ANDOVER pf��ao ,a11•p �•` °? 'a PERMIT FOR GAS INSTALLATION p 'o 9 • • ACHUSE4 rq CU This certifies that . . .�J��.��-��?�. . . C• • • • • • • • • • • •v• • has permission for gas installation . ? ?�,� ` . !�. v.r!•�•'• in the buildings of C 1. . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . :;, North-Andover, Mass. Fee. . �� Lic. No.. 3`!.`�. . lrGAS INSPECTOR WHITE:Applicant CANARY:Building D'e//p't. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TOGASFITTiNG (Print a(Type) � L?i/.��.r� . Mass. Gate �d� _ 19 Permit # 3 a Buildingi Location / � �� S/-7— ' Owner's Name�� Type of Occupancy • New Q Renovation Q Replacement Ur- Plans Submitted: YesQ No Q N ytr W N � Y � y ' y N V y ¢ y CC O y Z f— J y W O V m �- — 2 Z !f 2 1= IE O W W� ¢ ¢ O � O rs.9K ul U3 W ¢ all W 2 U W N W < ¢ ! O f. Z LU W W O O ? IL H W r.. 2'„ y m = O O !A ¢ < W ? tt W Z < ¢ < < O O W O ¢ 'Z O C7 S U. D d J V ¢ > D 6 SUB—aSMT. BASEMENT J 1ST FLOOR 2ND FLOOR 3RD FLOOR I I 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name Check one: Certificate V Address Corporation O Partnership Business Telephone y Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current Iia-My insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes C� No O If you have checked yes. please indicate the type coverage by checking the appropriate box A liability insurance policy Gro' 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: pignature of Owner or Owner s Agent OwnerO Agent O I hereby tartly that all of the details and inlormation 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 I ued for this a Ilca pertinent provisions of PP tion be In comply with all the Massachusetts Stale Gas Code and Chapter 4 of the G eralV,Jw p 1 2 La T e of Ucense: Title Plumber i natur o cense um er or titer �tler aster Ucense Number City/Town Journeyman APPrX7v'