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
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ar °` TOWN OF NORTH ANDOVER
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• - PERMIT FOR GAS INSTALLATION
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has permission for gas installation
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at •>— . . . . . . . .;. . . ., North Andover, Mass.
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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#
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4TH FLOOR
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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
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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
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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
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MASSACHUSETTS UNIFORM APPLICATON FOR PEIMT TO DO GAS FITTING
(Type or print) Date
NORTH ANDOVER,MASSACHUSETTS I
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(Print or type) ( Che k one: Certificate Installing Company
Name9ax/ Corp.
Address �G- It, �j�
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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
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Date. . /. h�
TOWN OF NORTH ANDOVER
S PERMIT FOR PLUMBING
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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�
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Type of Occupancy ,pS� .` jL / Amount
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FIXTURES
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Partner.
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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.
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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
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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❑
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6TH FLOOR
7TH FLOOR
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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
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NAME A TTPE OF BUILDING
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LOCATION OF BUILDING
PLUMBER OR GASFITTER
j -
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LIC. NO,
q
PERMIT GRANTED
DATE -19
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GASINSPECTOR