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HomeMy WebLinkAboutMiscellaneous - 14 ALCOTT WAY 4/30/2018 14 ALCOTT WAY 2101025 16'0014.0 J QlWnDta Gas® of Massachusetts A NiSource Company 995 Belmont Street Brockton,MA 02301 February 26,2013 Mr. Michael Provenzano 14 Alcott Way,Apt. C North Andover,MA 01845 Dear Mr. Provenzano: During a recent visit, our service technician detected a safety problem with your gas heating system at 14 Alcott Way,Apt. C.—North Andover,MA 01845—gas valve leaking needs to be replaced. Accordingly,we have issued a Warning Tag because of this situation. Under the circumstances,we strongly urge you to correct the code violation. In addition, the Massachusetts code pertaining to the installation of gas appliances and gas piping, established under Chapter 737,Acts of 1960,requires that the condition be remedied. If you have any questions,please call our Service Department at 1-800-677-5052 and ask to speak with the Service Supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Customer Service Department Columbia Gas of Massachusetts Date. /, <f.d ..... .. HORTM OF ar °` TOWN OF NORTH ANDOVER O F • - PERMIT FOR GAS INSTALLATION �9SSwCMUSE� - 1 This certifies that . . . ? ��c . . ..:/ .� . . . . . . . . . has permission for gas installation in the buildings of . . . . . . . . . . . . . . . . . . . . . . . at •>— . . . . . . . .;. . . ., North Andover, Mass. L! r Fee,3r . . Lic. No:.�3. . 2� . . . . . . . . . . . �` GAS INSvPEG�OR Check# 7062 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) , Mass. Date �°� 20 � / Permit# Building Location 7 w /ner's Name 06 /,��C)Y� Z/�.�Jd �5Type of Occupancy New ❑ Renovation ❑ Replacement 2 Plans Submitted Yes ❑ No ❑ Cn w (n cn Y z � vi U) � rn � o � rn _ ¢_ 0 J � W U m — rn Z a: F" Q �- Z_ O F- W cc m W Q W W O O a. � W Q Cc = Z O > W C7 ~ Z J F— Z W W O W u_ W U J U) W z WLu> CC W cc ~ Q )- Q m Z O Z O ff _ SUB-BSMT. BASEMENT 13T FLOOR / 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Ins;alling Company Name , � i �/k Check one: Certificate Address r�y �� l.�j� ❑ Corporation s i i9Gfc7" x'1/9 . / "a ^yj ❑ Partnership 0.-/Firm/Co. Telephone %�/ `'`7r / Firm/Co. Name of Licensed Plumber or Gas Fitters INSURANCE COVERAGE: 1 have a curre liability insurance policy or its substantial equivalent which meets the requirements of.MGL Ch 142. Yes V No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy a/ Other type of indemnity ❑ Bond ❑ OWNERS 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: Si nature of Owner or Owner's A ent Owner ❑ 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 performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Pllubing Code and Ch 42 of the G neral Laws. By Type of License ❑ Plumbers Title ❑ Gasfitter Signature of Licensed um er or Gas Fitter Cit; ❑ Journeyman License Number e Master canvcn r = 111a i icc n.s %A NORTH TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SS^CHU`,Et 'i This certifies that . . . `? ! .t /g . . . . � ��. . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . in the buildings of . . . %)V 14 G. . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . .. North Andover, Mass. Fee. .?.s . .r Lic. Nod.? !. U. . . . 'GAS INSPECT Check# 3 cu 6185 MASSACHUSETTS UNIFORM APPLICATON FOR PEIMT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS I Building Locations Permit Amount S 1 Y- Owner's Name W (� n r7)VrA,,n 774e,t)0- New Renovation Replacement Plans Submitted w vi 1z Z H OG U w < x F a x d w W Vi .Li d '1" Cq � W � w � W z d w Q z F" F w O > tr, p., W w > w a z d > m Z O z x o x 3 c a z > c w F o SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH. FLOOR (Print or type) ( Che k one: Certificate Installing Company Name9ax/ Corp. Address �G- It, �j� Partner. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance'policy or it's substantial equivalent. Yes 0 No� If you have checked Les pleasthe type coverage by checking theappropriate box. Liability insurance policy Other type of indemnity Bond 13 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: D g D Signature of Owner or Owner's Agent Owner A ent I hereby certify that all of the details and information I submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and inst la ions performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachu s 'ate Gas C de and Chapter 142 of the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber 1, City/Town [—] Gas Fitter License Number ®'Master APPROVED(OFFICE USE ONLY) Journeyman n �� Date. . /. h� TOWN OF NORTH ANDOVER S PERMIT FOR PLUMBING SS US This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . t.l. C.t(-t . --. . . . . . . . . . . . . . . . . . . "plumbing in the buildings of . . .P J?.k *vv?14!,� k. . . . . . . . . . . . at . . . . 4e .4.77 . . . . ., North Andover, Mass. Fee. ��. :. .Lic. No..�2.j '�. .. . . G�� ` PLUMBING INSPEETOR Check # � (1 7538 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS I , d � Date Building Location Owners Name (/G / vCG6'I Y�l� Permit# j� /!` ! _ Type of Occupancy ,pS� .` jL / Amount New Renovation Replacement 10 Plans Submitted Yes No FIXTURES z d w - x a z cc x C Z CA a w w w F a Q w z 14 w o F d w a ° 9 z A 4 A w w x 3 x x a w w x zU o 0 rwn SL]3-B C bT M" I l M FIDOR -IM FIOOR M H" 5M Flak 6M FL" 7M H OOR gm fffm (Print or type) ( r Check one: Certificate Installing Company Name G't V✓Cv5' I �—( -f ❑ Corp. Address L VHH 0139 Partner. Business Telephone (( El Firm/Co. Name of Licensed Plumber: Q I ctA Gl S Ste.V✓C,c-S Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy El Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature Owner Agent I hereby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and i tallations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massa use tate u ing Code and hapter 142 of the General Laws. ZZ By: igna ure o ice e er `�Type of Plumbing License Title /c5�l City/Town icense jNumuer Master S Journeyman ❑ APPROVED(OFFICE USE ONLY Date.. .. ... . .. .,..?.. .. NORTH 0.1„ao ,,X1'0 or ° TOWN OF MORT NDOVER i PERMIT FOS CaA INSTALLATION . ACMUSEtS 3 This certifies that . ... . . . . . . . . . . . . . . . . . . has permission for gas installation .. . . . . . . . in the buildings of . .. ,�... . . .. ... � ;a,�n. . . . . . . . . . . . . . . . . . at � . . . �J��-�` ?j.. . . ., North Andover, Mass. Feef ;. S1. . Lic. No./�,a o.y�r`./. _ � , ,,�'... . . . . . . . . . / ~GAS INSQEvTOR Check# 5999 3 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Dated ii Permit# Building Location tr Owner's Nam 1,r/,,,/ Type of Occupancy % New ❑ Renovation ❑ Replacement [� Plans Submitted: Yes❑ No❑ N G Y 2 ¢ N y S N ¢ O N = O 0 t7 Z OW q C 6 p O 0 W d m N F" :V W O d X N d W W = ur W < ¢ O 0 > W N ft W t U W h I S C7 F Z .r F' z ►. W W o O > u. i- W J to .W F� .y N m 2 O 2 O N 'X Y < W 6 W < 6 cc 'S O O Y IL 0 3 O r! J U C > D 6 (r O SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR I Installing Company NameCheck one: Certificate Address 5f ❑ Corporation ❑. Partnership Business Telephone ZL 303 3 ❑ Firm/Co. Name of Licensed Plumber or.Gas Fitter �il�LOl!y_SC�t/t/C�� INSURANCE COVERAGE: I have a Curren liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 0 No ❑ If you have checked rtes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy Gds 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 1 have submitted(or entered)i—n4iove application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit J ued for this application will be in compliance with all pertinent provisions of the Massachusetts State.Gas Code and Chapter 142 of the Aws. BY T of.License: Plumber gnature o n u or Gas atter Title Gaser 2 ster license Number -_d q 241'rown Journeyman APPROVED( I NL M ` V BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO OASFITTING � r NAME A TTPE OF BUILDING I LOCATION OF BUILDING PLUMBER OR GASFITTER j - i LIC. NO, q PERMIT GRANTED DATE -19 _ r j GASINSPECTOR