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HomeMy WebLinkAboutMiscellaneous - 120 SALEM STREET 4/30/2018 120 SALEM STREET 210/037.0-0020-0000.0 t ---- _ _ __ _ - - - _ -. -- _ _ _•- -. Date. . . . . . . . . . . . ..... .. Of vFORTH 0 6 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SACHUS This certifies that . . . .1.).?0: /e -.-T. . . . ... . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . f,A;. -1-e-—- - - - - - - - - - - - - - - - North Andover, Mass. Fee. .I )�-. . Lic. No..7.7. A' INSPECTOR ' Check 4745 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) aT4 — OOCW�, Mass. Date S _ Q Permit # Building Location . joSlJ�Lf M STReeT'pw er's Name_ 4��4�� /,�/���ST 70 `' .. pe of Occupancy_S/N GLe W fLL�0'G- New ❑ Renovation Replacement Plans Submitted: Yes❑ No,K N N N cc ' U) tc fn W a N h 9C W W a O3:h m s z W < Q CC _ O h w 4 cc O ix m y h :U W O O h ¢ N d W d = z �. N d > R N cc W 2 U W y W < a O. O W W W W J < = a x cc W r' W r' Y d h Z J h z f. W W ° O > w (- V J W z 4 W 4 C h y- N O z O z WO Ww a > M z. Q cc a a .= O d Y U. O C d J V ¢ y Q.'Q a F- O SUB—BSMT. BASEMENT I ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 'r 6TH FLOOR 7TH FLOOR 8TH 0:::O:R::fl± I I Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET SCJ Corporation 1862 LAWRENCE r MA 01840 ❑ Partnership Bus •687=1 Business Telephone 10 5 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No ❑ If you have checked res, please indicate the type coverage by checking the appropriate box. A liability Insurance policy / Other type of Indemnity 0 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 abo plication are true and aocu�te to the best of my knowledge and that all plumbing work and installations performed under the permit Iss f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene l/ i BY TYRO of License: Plumber Signature o oen Plumber or Gas Title Gasfitter Master 3-145 License Number Cit /Town gJoumeyman O IC S_ONL Date.-.S. . . .. . HORTM Of TOWN OF NORTH ANDOVER 0 J D • PERMIT FOR GAS INSTALLATION US 4 This certifies that X . . . .&. . . . has permission for gas installation . . . . . . . . . . in the buildings of - /'1/" . .... . . . . . . . . . . . . . . . . . . . . . . . at . . . ... . . . . . . . . . . . . . . . North Andover, Mass. Fee. . . . . Lic. No. . . . . . . . . . . . . . . . . . . . . . . AS INSPECTOR Check# 4746 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING 2 t__ (Print or Type) (� �''aQTlf fiNOdyeti , Mass. Date o- 1 Permit # Building Location-. / 0 0 Sf} PI'1 ,5��'T'Owner's Name I- I T/4 /� 1 Tc Type of Occupancy New ❑ Renovation (V/ Replacertlent ❑ Plans Submitted: Yes❑ No ¢ N W N Y cc zQ NNJtl Q ¢ z N ¢ N O W z N_ N ¢FOO O 2 v9HCi VwLj m Ul O O ¢ Wz ia ¢ >W F1- 4 0 cc O. W W 07 J Z Q S Cr ¢ W ¢ W I' W I•' 2 it a H Z F- Z W W tl O > LL I- W J ��. W Z Q W > N m Z O Z ¢ O to 2 Q W > ¢ W Z. Q Cr Q a '.Z O tl Y U. 7 3 G tl J V ¢ 5. a a F- O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR s STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR HT- Installing Company Name BAY STATE GAS COMPANY MARSTON Check one: Certificate # STREET Address 55 S X7 Corporation 1862 LAWRENCE, MA 01840 ❑_ Partnership Business Telephone -68,7-1105 ❑ Firm/Co Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy X( 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: Signature of Owner or Owner'sAgent Owner❑ Agent El hereby certify that all of the details and information 1 have submitted(or entered)in abo plication are true and accu�Ate to the best of my knowledge and that all plumbing work and installations performed under the permit iss f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. l/ i T of license: .al Title Plumber Signature o oen umber or Gas GasGtter G1tylTown Master Ucense Number ai'PROVE6�0- IC S O Journeyman Date. 4! � NORTH H?Oy`t..a° ,a,tiOOp TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SACMUSEt 1L�. This certifies that .,. . . . ! . . . . . . . . . . ./ . . . . . . . . . . . . . . . . has permission for gas nstallation in the buildifigs f �f: :1` . /�/.1�-'� .� . rl d atf �C? .�.G.,1�. . ". . . . . . . ., North Andover, Mass. Fee. • Lic. No.. '11� . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check#-- h4b8b MASSACHUSETTS UNIFORM APPUCATIO *FOR PERMIT TO DO GASFITTING (PrintorType) / /V v (�/, .a lz , Mass.. Date _PPL4 PermiA!Z Building Location Owner's Name r Type of Occupancy �E51 1—) N T1 P New ❑ Renovation ❑ R ° acement Plans Submitted: Yes❑ No❑ N S N W N Z c N N V W W N rt O V m f Z fA tl W Z O 0 W Q IC o 0 C � r C2 W 6 y W0 rA d C W W W = ` S Q N W C m Z O 2 W O q S Z Q W rG W Z. < Q < < O O W O SUB-8SMT. BASEMENT 7 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name :f CjA g T "{ . :�-lm MA T A�Q Check one: Certificate Address C) h y � r_'DA[N� ,�ry 4-K, ❑ Corporation M F I H U e n) r11 rl • U l gq� ❑ Partnership Business Telephone 9 9"7 ( - Firm/Co. Name of Licensed Plumber or Gas Fitter -f q g P T A 5AMm►9/A o INSURANCE COVERAGE: i have a current (}•ability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.. z Yes lad' No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box A liability insurance policy dd ' 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: Signature of Owner or Owner's Agent Owner❑ Agent C3 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 installations performed under the pe i ed for this application ' be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ner laws. BY T of License: G� Plumber n ure of Licensedu or Fitter Title tter O4�+ er Ucense Number 2333 y/Town I Journeyman BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING i NAME S TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO, PERMIT GRANTED DATE 19 GAS INSPECTOR �Z Date.0.%:— y+� No 4773 4o TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING SSACMUSEt This certifies that .. .. . . . . . . . . . . . . . . . . . . . has permission to perform . . .�% : ... : . . : ?: !. . . . . . . . . . . . plumbing intSrwildingsof �' "--- • • • • • • • • • • • • • • • at.!'.�* ). . . . . . . . . . . . . . . . ., North Andover, Mass. Feed". . . . . . .Lic. No../:�. . . �� PLUMBING INSPECTOR Check # � ? WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or T ) l 13) ll/,2 ��C� Mass. Date4 1l D© Permit # 411 .. Building Location d / � Owner's Name/&f- ' fz1 Type of d' cupancy + 0E."' 7 E U 11 New El Renovation ❑ Replacement [� PIa s Sd miffed: Yes 13No ❑ FIXTURES - Z Z N Q Z Y Py N N O z > N h- Uf Z W Y J N Y U < N M O C ¢ N Z N a ¢ a ~ Z O _ Z cn a Z J N Q m 2 ¢ a W N ¢ a O < — < ¢ W J N C ¢ J G C O W S 4{ = a S p IL Z r Y d p F- < x d W k Y w W Q O U S < a r a s a J J a ¢ Sa p a H Y J m N D C J 3 z F- 4f IL t7 M a C S a m O SUB—BsMT. BASEMENT 1ST FLOOR 2NOFLOOR 3RD FLOOR 4TH FLOOR S*H,FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR/� i Installing Company Name P10 f1iEe-r - ,-'5 PM m F4 T A e-0 Check one: Certificate Address ��/? CDA L N M t4 n) 1 Pi ❑ Corporation rNL/ ❑ Partnership Business Telephone -�7� -/'7 7 1 Name of Licensed Plumber r=,-T fry -SA INSURANCE COVERAGE: I have a currentLiability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ET" No ❑ -iqf you have checked rtes, please x. /indicate the type coverage by checking the appropriate bo A liability insurance policy 2 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 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 installations owned under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State PiumoKig Oode and apte?rl of the eral Laws. BY Title �'L L vwffire of Licensed Plum r Type of License: Master % Journeyman ❑ Oty/Town APPROVED �2�Z OF IC U NL License Number � ; FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE .............................. illollil'Ill it TOO 11, FOR PE'll I AIT' T D 0 1:1 GA1 141111111111 .......... NAMI! 11 E oil°, 3ul'i PLUA1,11JOIR 110 11 LIC. RUI:1. ........... .......... ........I.......... .......... 1111 IT I:, tl1W I'll, —I.................. l--.................. ......