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HomeMy WebLinkAboutMiscellaneous - 155 GRANVILLE LANE 4/30/2018 (2) i GEM PLUMBING � (Opy a GREEN company September 23, 2015 1 Wellington Road Lincoln, RI 02865 tel. 401.867.5309° Mr. Mike Collins 877.GemOnTime 155 Granville Lane fax. 401.528.1976 North Andover, MA o1845 www.genlontime.coni RE: Inspection Request #2 on Job #-f;9260� Dear Mike: As indicated in our 1St letter dated September 8, 2015 Gem installed a 40 gallon Gas Hot Water Heater in your home on September 4, 2014, and we have made attempts to contact you for a final inspection with the Town of North Andover, MA, but you have not responded. A copy of this 2nd letter is being mailed to the Plumbing and Gas Inspector for the Town for his records. The final inspection is MANDATORY under the Massachusetts Building Code, and furthermore you have agreed, under paragraph 6B, to provide reasonable access to your property for reasons, such as an inspection. Please be further advised that if we do not hear from you by October 7, 2015, we may elect to terminate the contract, including any and all warranties, or, in the alternative, if any additional time is required to schedule an inspection, you will incur additional charges. It is our hope that you will cooperate with us so that we can bring this matter to an amicable conclusion. When you call, please provide several dates and times when you will be available for an inspection. We expect the inspection to take about one hour. Please contact Audrey Marano at 401-459-4826 to make arrangements. Reg rds, Plumbing Larry ma H e a t i n g President Cooling LG car Drains VIA Certified Mail #7014 2120 0003 4760 3727 Electric CC: Plumbing &Gas Inspector Town of North Andover ON SITE. ON TIME. ON THE MONEY.® 24 HOUR EMERGENCY SERVICF Home& Commercial<4> G '"'' E LI V M LI Services a GREEN companyNEY 7 One Wellington Road/Lincoln/RI!02865 :,t�' "'kms r.. 1, 0 2 IP n 0001911790 SEP 22 2015 MAILED FROM ZIP CODE 02908 c I hi Hi.l1 wv, .Triw€i ?)f N{�!' .t1 LR�e.�iJ.l)t,Fes" 20, Suit- 20;5 North An.dover, TVU 01S45 . ^: ,• a .......... c OemOnTimeCom On site.On time.On the money. b5FENE M' PLUMBING <4> 3 �ea GREEN company September 8 2015 Q Fy o Wellington Road _incoln, RI 02865 el. 401.867.5309" Mr. Mike Collins . 877.Gem0nTime 155 Granville Lane ax. 401.528.1976 North Andover, MA o1845 . vww.gemontime.com RE: Inspection Request #1 on Job #592601 Dear Mike: i Gem installed a 40 gallon Gas Hot Water Heater in your home on September 4, 2014, F and we have made attempts to contact you for a final inspection with the Town of North Andover, MA,but you have not responded. A copy of this letter is being mailed to the Plumbing and Gas Inspector for the Town for his records. The final inspection is required under the Massachusetts Building Code, and furthermore you have agreed, under paragraph 613, to provide reasonable access to your property for reasons, such as an inspection. Please be further advised that if we do not hear from you by September 22, 2015, we may elect to terminate the contract, including any and all warranties, or, in the alternative, if any additional time is required to schedule an inspection, you will incur additional charges. It is our hope that you will cooperate with us so that we can bring this matter to an amicable conclusion. When you call, please provide several dates and times when you will be available for an inspection. We expect the inspection to take about one hour. Please contact Audrey Marano at 401-459-4826 to make arrangements. I Re ards, � I Larry mma Plumbing President Heating LG/car Cooling VIA Certified Mail #7014 2120 0003 4760 3413 Drains CC: Plumbing P&Gas Inspector Town of North Andover Electric ON SITE. ON TIME. ON THE MONEY.® 24 HOUR EMERGENCY SERVICE Home& Commercial ."Es PON (G E Services ti a OREEN company ®PITNEY BOWES One Wellington Road Lincoln RI 02865 02 1P $ 000.485 • 0001911790 SEP 08 2015 MAILED FROM ZIP CODE 02908 L El'hii g 7 tI Z!tp 1p;D i 11 - ._r,�J, -rowi% o f f- 1600 Ose-71(�()dl Strcc'�L Ig 20, SU; C North Andk.)vergNYAC#1:"45 GemOnTime.com On site.on time.on the money. p - Date......7-.,3.,0..-J........ NOR T/y 0* TOWN OF NORTH ANDOVER I PERMIT FOR WIRING V sSACHU This certifies that ............. ................ .......................................... has permission to perform ._ 14 . ...................................................... wiring in the building of co .................. ...................................................................................... at ........../55....... /P....... h Andover,Mass. ............... ................. ...... /ry Fee Lic.No J .................... ELECTRICAL INSPECTOR Check'4 12538 -/ Commonwealth of Massachusetts Official Use Only ..a Permit No. Department of Fire Services Occupancy and Fee Checked aM BOARD OF FIRE PREVENTION REGULATIONS [Rev.l/07j (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR12. (PLEASE PRINT INNK OR TYPE ALL INFORMATION) Date: —.,?6 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant L e Co h! Telephone No,7 - 0;d Owner's Address Is this permit in conjunction with a building permit? Yes Rr No ❑ (Check Appropriate Box) Purpose of Building t''� 4 Utility Authorization No. - Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W 11,1 ` I Completion of the following table maybe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above [iIn- o.o Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets 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. Tons TotNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other P g Connection No.of Dryers Heating Appliances KW Security Systems:* Y No,of Devices or Equivalent No.of Water I 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 Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of 97res. Estimated Value Af Electrical W (When required by municipal policy.) Work to Start:_ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless 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 El BOND ❑ OTHER ❑ (Specify:) I certify,under th ains and penalties of perjury,that the information fit this application is true anti complete. FIRM NAME: AGS �t 101,e L �'l f��! LIC.NO.: Licensee: /?j��it¢/'fol C� (� Signature LIC.NO.: (If applicable,, t'er "e pt" 'n the icense amber line.) Bus.Tel.No.: Address: 1 �7 1q,^ /` -Te— n if:eer ,z V 1©3 Z3 Alt.Tel.No.: *Per M.G.L c. 147,s.57-61,sec r'7i ity work requires Department of Public Safety"S"License: Lic.No. 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 PERMIT FEE: $ Signature Telephone No. ❑ 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c. 143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an Q electrical permit shall be issued to the person, firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall be limited as to the time of ongoing construction activity,and may be deemed by the Inspector of Wires abandoned and invalid if he or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012. ❑ Rule 8—Permit/Date Closed: ***Note:Reapply for new permit ❑ ❑ Permit Extension Act—Permit/Date Closed: Trench Inspection Pass Failed Re-Inspection Required($.) ❑ J Inspectors Comments: Inspectors Signature: Date: SERVICE INSPECTION: Pass M Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: PARTIAL ROUGH INSPECTION: Pass M Failed Re-Inspection Required($.)❑ Inspectors Comments: i Inspectors Signature: Date: ROUGH INSPECTION: Zwe �i/5 0--, Pass 0 Failed Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: - Date: - /3 FINAL INSPEC ON: Pass 0 Failed ❑' Re-Inspection Required($.) ❑ Inspectors Comments: Inspectors Signature: Date: DEB WEINHOLD ...TOWN OF MERRIMAC,MA. .......dweinhold@townofinerrimac.com The Commonwealth of Massachusetts . _ Department of IndustrialAccidents ~.m. _ �� X Congress Street,Suite 100 _ Boston,MA 02114-2017 �< www mass.gov/dia 7 O^M 5J'v� Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. please Print Le 'bl A licant Information L Name(Business/Oiganization&dividual): G �' Address: 'G City/State/Zip /1V7T ;OV,?Phone#: A _ Are you an employer?Check the appropriate box: Type of project(required); em to ees full and/or part time).* [91. . ❑New'construction 1.Q I am a employer with P y 2, m a sole proprietor or partnership and have no employees Working for mein Remo delilig any capacity.[No workers'comp,insurance required.] Demolition 3.Fj I am a homeowner doing all work myself[No workers'comp.insurance required.]t 10❑Building addition 4.F]I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 11.❑Electrical repairs or additions proprietors with no'diriployees. l2 []plumbing repairs or additions 5.❑I am a general contractIp and I have hired the sub-contractors listed on the attached sheet. 11 0 Roof repairs These sub-contractors have employees and have workers'comp.insurance 14 Other 6.Q We are a corporation and its,officers have exercised their right of exemption per MGL c. 152,§1(4),andwe have no employdes.[No workers'comp.insurance required.] *Any applicant that checks box#Z must also fill out the section below showing their workers'compensation policy information: rs must submit i Homeowners who subs X must arched indicaanadditional g they are sheegshowing the all work andname of the sub-contractors en hire outside and state wheth r or affidavit thoseentities,have such. tcontractors that check ontractors have employees,they must provide their workers'comp.policy number. employees. If the sub-contractors workers'compensation insurancefor my employees. Below is the policy and job site X am an employer that is providing information. Insurance Company Name: Ins p Expiration Date: Policy#or Self-ins.Lie.#: City/State/Zip: `�4 Job Site Address: �C Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiuration date). Failure to secure coverage as required under MGL e.152,§25A is a criminal violation punishable by a fate 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA.for insurance coverage verification. X do hereby cert under the pains and penalties of perjury that the information provided above is true and correct. Date: Si ature: Phone#: Official use only. Do not write in this area,to he completed by city or town official, Permit/License# City or Town: Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Phone#: Contact Person 4 D 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 Wo, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver'or trustee 6fan individual,partnership,association or other legal entity,employing employees:.However the owner of a dwelling house having not more than three apartments and who resides thereon,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 such employment b6 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 commonwealth 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=contractors)name(s),address(es)and hone numbers aloe with their certificates of p () g () insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. B e advised that this affidavit maybe 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 lice -• nse number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit forou to fill out in the event the Office of Investigations Y 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/license 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 5`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 burn leaves etc.)said person is NOT requited to complete this affidavit. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston,MA 02114-2017 Tel. # 617-727-4900 ext.7406 or 1-877-MASSAFE Fax#617-727-7749 Revised 02-23-15 wwwmass.gov/dia ® MAPFRE The Commerce Insurance Companysm Citation Insurance Company-Im Commerce " Gore Road,Webster,Massachusetts 01570 INSURANCE- 508.949.15001 www.commerceinsurance.com September 19, 2013 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall NORTH ANDOVER MA 01845 RE: Our Insured: MICHAEL COLLINS Property Address: 155 GRANDVILLE LANE Policyk BCRTSJ Date of Loss: 09/17/2013 Filek HKRR74-YWNC39 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 313 is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. LISA LEAHY Telephone: (508)949-1500 Ext: 15846 Claim Representative 1, Property Toll Free: 1-800-221-1605,Ext:15846 On this date, 1.cause copies of this notice to be sent to the persons indicated above, at the address above,by first class mail. September 19, 2013 Water damage CIC 254 (Rev.4/95) MAIL 788 Date..... ...` .�' .... NOFTI{ TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING $SACMUSEt This certifies that ........ . ............ has permission to perform ..................°-!.................................... .... 41, wiring in the building of...' ... .:� `.`............................... .................. at....:ChJ — -y'`''r~'.. .. . ,North Andover,Mass. Fee k*.............. Lic.No.h y-?M............... ..... ........ .... . ......?cam . .. ........... LEC'PRICAL NS CTOR" Check # 7776 j C'ommonwealg of Maddackudettd Official Use Only nn Permit No. 2e/oartmant ol5lre Jervicej G� Occupancy and Fee Checke BOARD OF FIRE PREVENTION REGULATIONS [Rev, 1/07] (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) Date: / City or Town of: Pv oz r4 oqy ,10 Vee To the Inspector of Wires: By this application the undersigned gives notice o his or her intention to per/form the electrical work described below. ! Location(Street&Number) / S' �/,7,yye jl C V Owner or Tenant 10-7C C•4 ,t2P �.'L Telephone No.97S-73 c-5PS"3! Owner's Address /A✓ Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Vndgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed.Electrical Work: WltZe x0oe WI T/Z i Completion of the followingtable may be waived by the Inspector.o Wires. t. No:of Recessed Luminaires No.of Ceil:Sus addle Fans No.of Total P ) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA . Above In- o.of Emergency Lighting No.of Luminaires Swimming Pool 'rnd. ❑ rnd. Battea Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of D No.of Switches No.of Gas Burners No. Initiating D and Devices No.of Ranges No.of Air Cond. Tons No..of Alerting Devices Beat Pump umber ons . K o.o Self-Contained No.of Waste Disposers Totals: Detection/Alerting.Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal Other Connection P g Connection �( No.of Dryers g Appliances KW Security Systems:* �i r.y, Heatin A [lances No.of Devices or Equivalent ' No.of Water No.of No.of Data Wiring: Heaters Imo' Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs' No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work; >? o ,06 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless 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 X BOND ElOTHER ❑ (Specify:) L�bc,r,�y �,,�'�vr�� I certify, under the pains and penalties.of perjury,that the information on this application is true and complete. FIRM NAME: ;v,g r: S LIC.NO.: I 0/aLicensee: t`n r�r.� CaV ec- ignature LIC.NO.: (If applicable,enter "exempt"in the license num er line.)` Bus.Tel.No.:?gi- Sr(^�i�t 3c3 Address: &Q' „_, Qc c...r3Ave— Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-6I,security work requires De�&rtmenf of Public Safety"S"License: Lic.No. 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 a ent. Owner/Agent PERMIT FEE: $ d. OCT Signature Telephone No. a Date.....'.. ..�!..-. •y� ` w f koRTM TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ITSACMUS� t This certifies that . � L� .... r� ............................. has permission to perform .... ..AS./....��,t�. .......... R�T �,; ... wiring in the building of'.... /�... .�L1.1.�.................................... at.....�-3� �D�/�.�- ,North Andover,Mass. ate.--�.. Fee.�f�:"''...... Lic.No 7..7 y.� .... e✓1 �.. .. ......... ELECTRICAL INSPE OCT R Check # �2U� 8919 II 4N Commonwealth of Massachusetts Official Use only Department of Fire Services Permit No. k I t BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(IEC),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE AL INFO TION) Date: r0 0� City or Town of: IV . To the Inspector of Wires: By this application the undersignedgives notice of his or her intentio to perform the electrical work described below. Location(Street&Number) s Owner or Tenant Telephone No. Owner's Address 21 o Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: a5 red a Completion of the ollowin table may be waived hy the Inspector of Wires. No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets 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. Total No.of Alerting Devices Tons g No.of Waste Disposers HeatCon Pump •Number Tons KW •,,..... No.of Self-Detection/Alerting P No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water K`,1, No.of No.of Data Wiring: Heaters Signs Ballasts 11 No.of Devices or Equivalent 1 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. INSURANCE COVERAGE: Unless 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:) (Expiration Date) Estimated Value f Electrical Work: (When required by municipal policy.) Work to Start: -fl Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under thic pains anpenalties ofperjury,that the information on this application is true and complete. FIRM NA E: LIC NO.: ` T-14 rA Licensee:Y 1 m Signature k,,- Cf (Ifapplicabl ep ter "e mpt" ' the li)ense numbe hne.) �h Bus.Tel.No.: 4 Address: ' /� Q� Qt6 �k AX (i� Alt.Tel.No.: s 1 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 VO Signature Telephone No. PERMIT FEE: $ Date. . . . .G. TOWN OF NORTH ANDOVER OO. PERMIT FOR PLUMBING •'sSACHUS� V ' 1 This certifies that . . . . . . . . . . . . . . . . . . has permission to perform .0. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in thepu ldings of . . . . . . .. . . . . . . . . . . . . . . at . . . . . . . . . ..�. . North Andover, Mass. Fee a�. . . . . .Lic. No/°.97�3. //�/.. . . . . . . . . . . . . . PLUMB AiG�INSPECTOR Check 8123 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING r` City/Town: �t'�� ✓/) /7-f9Q�cl p / MA. Date: �` Permit# `> Building Location:/_ ��i'i.ClydY�� l �JC Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: Plans Submitted: Yes❑ Nox FIXTURES z Z y O Y U (o W to Z H .W } J V W 0 W z a w z z rn a o Z F N X a . W N } WW Q` in 2 co J a X_ D Q W a Z OW MID0 o w N W J Z p� W � 0 � X n°. ° y 3 L) > > 0 0 o z i 0 � � X oc a a y N ° a 0 0 = J a a a a a fn m 0ILL 0 X Y W to to F— 3 3 3 0 SUB BS-MT. BASEMENT 1 FLOOR 2ND FLOOR 3 RD FLOOR 4 FLOOR -8 FLOOR J FLOOR ,� FLOOR ---,j8TH FLOOR Check One Only Certificate# Installing Comp ny Name: e- d �'J XCorporation C S Address: City/Town: State: 144 ❑ Partnership Business Tel:978=(0 0/"Q5?, ,;? V Fax: 2_ ❑ Firm/Company Name of Licensed Plumber: r- INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YesK No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. `9Iy Type of License: (Title _ ia ber Signature of Licen Plumber ster / 119 -" City/Town ❑Journeyman License Number: C./ APPROVED OFFICE USE 0NLY �) FINAL INSPECTION BELOW FOR OFFICE USE ONLY PKOGKESS INSI'I CTION(ti) FEE: S PERMIT k I APPLICATION FOR PERMIT 1'0 DO PLUMBING I NAMi:&TYPE OF BUILDING LOCATION OF BUILDING i SKETCH PLUMBER I LICENSE NUMBER -N i PERMIT GRANTED❑ DATE: I i i PLUMBING INSPECTIOR f c Date. .. . . .. . . .. . . ....... . NORTH 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION SACHUS This certifies that has permission for gas installation 4 . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . .. North Andover, Mass. Fee'r?"-)-. Lic. No.�07 - - GASIN ECTOR . ... . . . . . . . . . Check# 6 6841 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING \ l CitylTown:i(/1�,�?�i/I .dL Date. t/Q�O�/i � Permit# Building Locatic �SL (/� Owners Name: Type of Occupancy: Commercial s Educational Industrial Institutional: Residentiax, New Alteration: M Renovation Replacement Plans Submitted: Yes f' No FIXTURES Z FW- N V W Q: O = N rn CO) MIX 0 O � >. W z Cn m w w O w QQ Z W O F- rn z m O w U) W m 0O ~ a IW— O t�i - a X us > W z N C7 ~ 6 TWO u o x 0 W V W Q uj J W Z CO) J W W N 2 W W W W W W v o o LL 0 0 i i g o n0.W 1.2 > >3 3 0 SUB BSMT. BASEMENT -;'FLOOR 2 FLOOR 3 FLOOR 4 THIFLOOR 6TH FLOOR 6 FLOOR 7 FLOOR 8 FLOOR (� y... Check One Only Certificate# Installing Company Name Corporation ddress / �w P /) City/Town:(!yr'� !j� State MA' A mcg >.,.. _,. _�. Partnership Business TO: '? Fax ��N����� -..�. _ Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liabilityes insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YNo If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy/` Other type of indemnity. Bond E OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ... _^ Agent Signature of Owner or Owner's Agent By checking this box❑;1 hereby certify that all of the details and information 1 have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: Byi Plumber Title, <.Gas Fitter Master Signature of License I mber/Gas Fitter ... citylTown n .journeyman License Number „ APPROVED OFFICE USE ONLY) LP Installer L J_ FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER GASFITTER_LP INSTALLER LICENSE NUMBER: PERMIT GRANTED❑ DATE: GAS FITTING INSPECTIOR Date.///. . � . ..... r,. MORTM TOWN OF NORTH AN VER 00 • PERMIT FOR GA4 IN90TALLATION 1 9sS1CHU5ES This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . .4�: . . . . . . . . in the buildings of . /7?. < . . . . . . . . . . . . . . . . . at .. . . . . . . . . . .. North Andover, Mass. Feel. t-7" . Lic. No.�r .!-.?. . . . . . . � . . . . . . . . . . . . . 6AS INSPECTOR Check# 6216 i I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTCNG (Print or Type) r .. JJ 141'�e GL 7A 40do✓rvass. Bate la L2 Permit # / c2 Building Location /Ss�/,�,9.d✓i�/C fid Owner's Name 9qt1c/1qrd i 9 75- 7? F— S S-3 9 Type of Occupancy—ZL New p Renovation ❑ Reptacement 9 Plans Submitted: Yesp No,�. N S Y 2 it of Ch: y V O Cn 0-- 49 - J W 49 W 4C M .O > W LU AU O z '� F- yW. .ill m W LU 4K SUB—@SKIT. BASEMENT 'i ST FLOOR 2KD FLOOR II y 3RD FLOOR t 1. 4TH FLOOR . S,TK FLOOR 6TH FLOOR 7TK FLOOR BTM FLOOR. installing Company Name rrCJ"t 14orne �� �-/Check one:. Certfficate Address UC:)- 'Corporation ❑. Partnership 'Business Teiephone Io D Firm/Co. Name of Licensed Plumber or Gas.Fitter INSURANCE COVERAGE: I have a curren c 11 ty insurance policy or its substantial equivalent which meets.the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑ 'Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WANER: 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 Owners Agent Ihereby certify that all:of the details and information I have submitted (or entered)in above application are true and acurate to the best of my knowledge and that all plumbing work and installations performed under the permi for this appication will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of Ge;ra&tws. By T of License: :.a Plumber gnat o1 Lcensed PI r or rifler Titlej Gasiiner J : Master Ucense Number Dty/Town 1J Joumeyman APPRJrVED(0 I L I Nr� 5 BELOW FOn OFFICE USE ONLY PIIOOFIESS INSPECTION FINAL INSPECTION SKETCHES - FEE - N0. APPLICATION FOR PERMIT TO DO OASFITTINO NAME d TYPE OF.BU1161N0 -- LOOAT .Of OF B.U.ILDINO PLUMBER OR GASFITTER. LIG NO• - pERMIT GRAMED ' DATE 1A OAS MSPECTOFI s Date. fgl. .` �.. .. .. .. NORTIy pf �? y` TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION ISS AC MUSES�ya This certifies that . .0/!Ec. (!A . . . . ... . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . in the buildings of . ; z 5. C.1.-qe n.4. l '. ,l at Noah Andover, Mass. Fee. .3 P. Lic. No.., . 1.'.�. . . .IN. . `�: ... . . . . AS SPECTOR Check# 5 7 U 9 r 1 t MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) �L��✓ - Date—!z! 6 is r%a_�.., Mass. Oi � Permit # 5 7 v ti Building Location ZLJ �2,1 i- ,,LGA= ' ,Owner's Name/,;4z4"" 141'a Type of Occupancy New ❑ Renovation ❑ ,. Replacement 0 Plans Submitted: Yes[] No ❑ ¢ N W h Y Z ¢ N W W XO U m F- S n C7 J W }. y. z z O F z O LJ Q ¢ ¢ O = O W W O _ a z }- ¢ N O W a = z t- w O > w U W H < ¢ a N .W z = ¢ W W F- W F- _ rW.. W W O O > W }- W J tN„ W F- >. m m z o z o ff = a w > ¢ wz z. a ¢ a ` o o W o SUB=35MT. BASEMENT I 1ST FLOOR 2ND FLOOR 3RD FLOOR I 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR CLIMATE DESIGN HEATING and AIR CONDITIONING,LLC- Check one: Certificate Installing 5 South Summer Street Address Bradford,MA 01835 Corporation 9.78-372-9999 (phone) - Partnership 978-372-0882 (fax) Business Telephone Lic. Plumber: rm/Co- Name or Licensed Plumber or Gas Fitter INSURANCE COVERAGE: equivalent which meets h I have a current liability insurance policy or its substantial .eq ent i the requirements of MGL Ch. 142. . Yes No ❑ If you have checked Yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy 21 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-0 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 performed under the permit issued for this application will be in co'mplia.nca with all pertinent provisions of the Massachusetts State Gas Code and Chapter J42.0f th e Brat Laws I ` ly T of License ; Plumber ' nature of Men Plumber Gas Fitter Title Gastitleir Master. License.Number GtyfTown __ burneyman APPPdWFn(7+in USF ON[Yl Date. . 1,��. <. . ".O RT"'4, TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING ,SSACNUSE� This certifies that . . . . 1" .� k�.:: .�^. . . Q.�.r.? . . ... . . . . . . . . ` has permission to perform . . .f . .T7. . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .k?.%.� . . `. . . . . . . . . . . . . t . . .�. �^ .). . .�a► !a .�. .��. ... .(. .(. . . . . , North Andover, Mass. Lic. No.. T..l!. . . . . . . . . . (� PL, MBING INSPECTOR f heck .N1 7085 C r J rr 40� �.r�� _ _.._�.�-._ �..,-:._T�_�_—_�_...—.�„—� _ ^� i r .r.rF a .��, � rq 0 1 Z1 I I F "L € I ''= E r"cur j z41 or X I — ac C9 a < V, ri BASEMENT FLOOR 2HD FLOOn 3RD FLOOR 4TH FLOOR STH FLOOR GTH FLOOR If 7 Ti-,' r- V Fl t CLIMATE DESIGN HEATING and AIR CONDITIONING, Installing Company Name 5 South Summer Street LLC Address Bradford,MA 01835 Check one: (-ertificate 978-372-9999(phone) -:Z/Corporation �6S2 978-372-0882 (fax) Partnership -� Business Telephone Llic. Plumber. Name of Licensed Plumber INS*URA14CE COVERAGE: I haVe a curr,ent liability insur&-nce policy or its substantial equt%-alerd which meets tt� re-q m Yes J21 No 0 Ulreents of MGL Ch- 142. It You ftave checked ye.s. Plea-se indicate the type COM29e by Checking tljL'-appropriate b--x A liability insurance policy 23 Other type of Indemnity 0 Bond ❑ OWNER'S WSURANCE WAIVER: I arr, aw-are Mat the licensee Chnpf.mr 1,-42 ol 11h- M does riot have the Insurance covera,']e required by ILD D. lass. General Laws. and that My-119nature on this permit application Vralves this re -Ment. Check one: quIrL anatur e of C�W Wjldlure QI lent Owner ❑ Agent ❑ hefPBbY 0arify ihat all of thadetaiLs and k1forn&Uon I hav.e submided(or entered)in at*ve knowledge and tNat all Plumbing work&r4 inSWI 60 aPPIic25Gn Us truss and accurate to Site b�s�-t of my a trio under the it issue for this zpplj,;aUon-vAII biz in complitr. Pertinent Provisions of tha mas'.—C-husetts,SUN plui, i g-cr, ©WW k 2 of thli'General Laws. .08,.vth&11 M M re of cerns�ed- mbar re of Title Type 01.4icen-sna:I-Aaster Journeyman License..Nurnber MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS p Date 6 Z1-1-'' Building Location Owners Name DU/P?'-f5- Permit# ��C/Pm �f� Amount ��� '�C/ , )/(9 LV Type of Occupancy eS New Renovation Replacement Plans Sub ed Yes 13 No FIXTUR I a w x w w H H p� z � ~' rA cea d d x w w w x A x w A Cr xH z d w w A* z x acc a a a Q a co S03-EM ]5')V Him ern HJOCIR 3M H-0011 41H FO I 5M H,oat Date. . 2a. N2 4531 ;ck one: Certificate HO'R°T:��c Corp. TOWN OF NORTH ANDOVER J • s PERMIT FOR PLUMBING Partner. ,SSACNUSfct his certifies that, ox: has permission to perform . . . �: . . .:K U- -t. ? ��-�'has ,1/ ration does not have any one of the above plumbing in the buildings of at �? . . . . . . . "!." . . . . . . . . . . . North Andover, Mass. Fee. ` . . . . . . .Lic. No01D,�. . . . . . l'-'G'' 4. . . . . . . PLUMBING INSPECTOR ;application are true and accurate to the i Check # �� �'� Issued for this application will be in tapter 142 of the General Laws. r WHITE: Applicant CANARY: Building Dept. PINK:Treasurer G R ype-or'rYnmuiu�nicc��---------- Title / City/Town tcense i um er MasterJourneyman ❑ APPROVED(OFFICE USE ONLY FRI u MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING -11 �1 (Print or Type) Mass. Date L=L 19 %_ Permit# ///7/-n®�/ 2133 + Building Location _, % �s K/r// 1//��� )Av�wner's Name aZ- 6le-As 14 Type of Occupancy V New m Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No co Y W co U Z cr to 07 cc (1) cC O M (1) _ cr W W cr O U cp f' 2 t/) Z O w ~ ¢ } Z z O ~ W m cn � W O O w W Q = Z in a Cr W W Q o 07 C7 H Lq Z J F- Z W W 0 > W LU W U J W. W F" Q W > Cr W j Z a Q Q m O O W Cr O W F- � = O0 _ u. 03o (6gUit > oa o SUB-BSMT. BASEMENT 1 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company NCaame 40& Z&1i& l1 e y��%�✓�� Check one: Certificate Address 5�/ ❑ Corporation !�!� ❑ Partnership Business Telephone_ �/' 0 1 l�' r �/// X.Firm/Co. Name of Licensed Plumber or Gas Fitter 011-11-71f ell-,, INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes IR No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box.. A liability insurance policy Ek' 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: Signature of Owngr or Owner's Agent 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 Plurgbing Code and Chapter 142 of the General Laws. Ty / By ❑ Plumber of Title O Maasste er i Nature of LicGerfsed Plumber or Gas Fitter Ciryl�own ❑ Journeyman License Number APPROVED FFI E U E NLY) ` ,f Date. .: ...!... . . . .......... NORTH TOWN OF NORTH ANDOVER 0 ° `p PERMIT FOR GAS INSTALLATION 41 ,SSAtMUSEt This certifies that . . .�. . . !. . . . . .:f �: '. . . . . . . . . . . . .�. . . . . has permission for gas installation . . . . . . . . . . . . .`. . . . . . . . . . . ... . in the buildings of . . . : c . . . . . . . . . . . . . . . . . . at . . . . ' . . . . . . •. . : . . . . . .,. .!. , North Andover, Mass. „ Fee.: . .`. . ." Lic. No... . . . . . . . . . . . . . :. . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File (-"w-�//p h Say State Gas Company GAS INSTALLATION AUTHORIZATION Date -' Issued to - lqu awl-A Address For Installation of: �iSCv BTU Input / Restrictions BSG Representative PERMIT ISSUED _ BY INSPECTOR This Portion of Authorization To Be Returned to BSG. Inspection Has Been Made of the Following Gas Equipment: ❑ Heating System (BTU Input ) ❑ Range ❑ Water Heater ❑ Clothes Dryer ❑ Room Heater Location All Work Has Been Done In Accordance With The Massachusetts State Gas Code And Is Ready For Use. INSPECTOR NO POSTAGE NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY CARD FIRST CLASS PERMIT NO.721 LAWRENCE,MA POSTAGE WILL BE PAID BY ADDRESSEE BAY STATE GAS COMPANY ATTN: SALES DEPT. 55 Marston Street Lawrence, MA 01840 IIi11111111111l„IllI��I�II�i��l�l��l���ll��l���l�ll