HomeMy WebLinkAboutMiscellaneous - 184 COTUIT STREET 4/30/2018IV
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TOWN OF NORTH AOVER
PERMIT FOR GAS INSTALLATION
This certifies that .. .% �.... 4?. ...... .............. .
has permission for gas installation.. f �� ... �K . S rA. 1� .......
in the buildings of 4.'N ...........................
at�....q....... . L -I
North Andover, Mass.
Fee. J� .. Lic. No.. 4.t? °.'.... ............ NSPECTO
Check # 36')
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
City/Town. Iv Do UE- `t— mate: � 0 d Permit#
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Building Locati 114 COTC;17— S' Owners Name: 7/k - Ge C
Type of Occupancy: Commercial❑ Educatio i❑ Industrial❑ institutional❑ Residential
Now: ❑ Alteration:❑ Renovatiorn&�eplkement:❑ Plans Submitted: Yes No
FIXTURES
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Check One Only Certificate #
Installing Company Name: / PLC- SaN
El Corporation
Address: S . /9/N Isl Ctty/Town. !,a/)7.0 %61 State: MA
❑Partnership
Business Tel: O Fax:
Y jFirm/Company _
Name of Licensed Plumber/Gas Fitter. 1 C
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalentwtlich•meets the requirements of MGL Ch. 142Y Na❑
If you, have checked Ys, please Indicate the type.of coverage by check)ng the appropriate box below.
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A liability insurance policy Otlter type of indentn ❑ 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 Aaent
By checking this box ❑; I hereby certify that all of the detalls 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:
By l Plumber
rrtle� Q Gas Filter algrfature of Licensed'Plumber/96 Fitter
master
uty/Towni Journeyman License Number: O
APPROVED OFFICE USE ONLY) LP Installer
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Location
No. ! Date
MaRTM TOWN OF NORTH ANDOVER
O •� - 0
Certificate of Occupancy $
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
Building Inspector
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Div. Public Works
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Town of North Andover °f NORTIj
OFFICE OF Qet'`°
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COMMUNITY DEVELOPMENT AND SERVICES #�- - p,
27 Charles Street `� %a ", I
North Andover, Massachusetts 01845 I9 ,°
WIIVI
ILLIA1. SCOTT TSgCHus
Director
(978) 688-9531 Fax (978) 688-9542
HOMEOWNER LICENSE EXLvIPTION
Please print.
DATE 10,1/,;?
JOB LOCATION r �C®TU IT S,T
Number Street address Section of town
"HONIEOWtiFER" W1A,7NEuJ LASWL-A 97FS- &z� S--640
Name Home phone Work phone
PRESENT MAILING ADDRESS SAME RS MOUE'
City/Town
S tate
Zip code
The current exemption for "homeowners" was extended to include owner -occupied dwellings
of six units or less and to allow such homeowners to engage an individual for hire who does
not possess a license, provided that the owner acts as supervisor. (State Building Code Sec-
tion 109.1.1)
DEFINITION OF HOMEOWNER:
Person(s) who owns a parcel of land on which he!she resides or intends to reside, on which
there is, or is intended to be, a one to sic family dwelling, attached or detached structures ac-
cessory to such use and/or farm structures. A person who constructs more than one home in a
two-year period shall not be considered a homeowner . Such "homeowner" shall submit to
the Building Official, on a form acceptable to the Building Official, that he!she shall be
responsible for all such work performed under the building permit. (Section 109.1.1)
The undersigned "homeowner" assumes responsibility for compliance with the State Building
Code and other applicable codes, by-laws, rules and regulations.
The undersigned "homeowner" certifies that he/she understands the Town of No. Andover
Building Department minimum inspection procedures and requirements and that he/she will
comply with said procedures and requirements.
HOMEOWNER'S S
APPROVAL OF BUILDING OFFICL-�L
a
Note: Three family dwellings 33,000 cubic feet, or larger, will be required to comply with
State Building Code Section 127.0, Construction Control.
BOARD OF APPEALS 688-9541 BUILDING 683-9545 CONSERVATION 688-9530 HEALTH 688-9540 PLANNING 683-9535
Smolag Remodeling
(603} 898-6607
16 North Main St.
Salem, NH 03079
Proposal
To: Mathew Lascola
184 Cotuit St.
N.Andover, MA 01845
October 4, 1999
Install 8 Harvey "Classic" replacement windows in existing openings.
Windows to be white in color with full screens and "AdvantEdge" low -E argon
filled glass.
Replace 5) interior doors with 6 panel masonite units with stain grade jambs
and 2-1/2" clamshell casing.
Install 12x14 area of client supplied hardwood flooring.
Replace broken balusters.
Remove all trash.
Work can begin on or around November 1 st, 1999.
If acceptable, please sign below and return.
FNr-
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Date.. L'.�.�
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
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This certifies that ..... I...... % ..........
has permission to perform ......:. .................
plumbing in the buildings of/.'.... ............... .
at � y .........,,• • , North Andover, Mass.
Fet- 7� s'... Lic. J: '..�tB
G INSPECTOR
Check #�
5663
MASSACHUSETTS UNIFORM APPLICATION
(Print or Type)
Mass. Dated
FOR PERMIT TO DO PLUMBING
JOwner'sam
Type of Occupancy iS 5 , D E IJ Tl Ac—
New ❑ Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑
Installing. Company Name '�OtIELE Q - LPai rIATAec) Check one: Certificate
AddressC04(HM4&) y-t`J ❑ Corporation
lY) E% I-{ U Fn1. Al f 0 t rf (At, ❑ Partnership
Buiiness Telephone-�� Z -i9-7 1 ❑�rm/Co.
Name of Licensed Plumber 'r5 f; ✓3 r=e T SA MAji4 rK eo
INSURANCE COVERAGE:
I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes lNo ❑ '
If you have checked ve, please
/indicate the type coverage by checking the appropriate box.
A liability insurance policy kd" 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 O Agent C3Signature of Owner or Owner's Aaent
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 poormed under the permitissu for this application will be in compliance with all
'
pertinent provisions of the Massachusetts State Plum g e and apter of the era[ laws.
By. 'V(sU
Title
re of Licensed Plum er
•
Type of Ucense: Master Journeyman ❑
City/Town
16 APPROVED OFFICE USE ONLY) Ucense Number
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SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
Installing. Company Name '�OtIELE Q - LPai rIATAec) Check one: Certificate
AddressC04(HM4&) y-t`J ❑ Corporation
lY) E% I-{ U Fn1. Al f 0 t rf (At, ❑ Partnership
Buiiness Telephone-�� Z -i9-7 1 ❑�rm/Co.
Name of Licensed Plumber 'r5 f; ✓3 r=e T SA MAji4 rK eo
INSURANCE COVERAGE:
I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes lNo ❑ '
If you have checked ve, please
/indicate the type coverage by checking the appropriate box.
A liability insurance policy kd" 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 O Agent C3Signature of Owner or Owner's Aaent
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 poormed under the permitissu for this application will be in compliance with all
'
pertinent provisions of the Massachusetts State Plum g e and apter of the era[ laws.
By. 'V(sU
Title
re of Licensed Plum er
•
Type of Ucense: Master Journeyman ❑
City/Town
16 APPROVED OFFICE USE ONLY) Ucense Number
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