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Home My WebLink AboutMiscellaneous - 193 GRAY STREET 4/30/2018 (4) vW 1� i 7661 Date..-/, S 1/ I...... 00 r N0R7N 3= °` TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION 'ISS CH 5Etth This certifies that . . e� I� . . . !� �. . . . ��J a!!'�.0 . . . .l r!C has permission for gas installation C 4.. . . . . . . . . . . . . . . . . in the buildings of . . . . . . . ./ �✓�, �- ��j . . . . . . . . . . . . . . . . . . . . ay . . . .d3. . . . .. . . . . . . .. . . . . . . .. North AnAover,Mass. Fee??S jam. . . Lic. No.. GAS INSPECTOR Check# 106 f MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING c, (Print or Type) Z , y1�,Ace� , Mass. Date 1V1,11 20 Permit# Jar r # Building Location 1-73 Owner's Name Telephone Type of Occupancy New Renovation[:] Replacement Plans Submitted: Yes No d m N iis V > N = cr0 t G1 >n � V m = = L c o 4) M ` Z` o 0C m M m w 0 d p N rL d tea Vl d = d L O > m fC d > G�1 C M .0 C O C 6 O 0 L fY x O Z u- o 0 J U W m o iL F°-' O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name EnergyUSA Propane, Inc. Check one: Certificate Address 100 Myles Standish Blvd.,Suite 101 X❑ Corporation 132 C Taunton,MA 02780 Partnership Business Telephone (800)822-1300 X8055 Mike Smith Cell(508)922-7891 Firm/Co. Name of Licensed Plumber or Gasfitter William Kent Corson(800)822-1300 X8051 Cell (508)294-6660 INSURANCE COVERAGE: EnergyUSA Propane, Inc. has a current liability insurance policy or its substantial equivalent,which meets the requirements of MGL Ch.142. Yes X❑ No n If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy X❑ Other type of indemnity ❑ Bond M OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 oft the Mas eneral Laws, and re on this permit application waives this requirement. Check one: Owner � Agent LSignaturfeof 20wLneror O ers t I hereby certify that afilof 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 Code and Chapter 142 of the General Laws. Type of License: By Plumber Title X❑Gasfitter Signature of Licensed Plumber or Gasfitter City/Town X❑Master APPROVED(OFFICE USE ONLY) EjJourneyman License Number 3707 BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 20 GASINSPECTOR 89 - 3 TOWN OF NORTH ANDOVER j PERMIT FOR PLUMBING This certifies that . . . r ./. . ._. . . . .�� . . . . . . . . t has permission to perform . . . . �"? :. . . . . . . . . . . . . . plumbing in the buildings of . . 'c%t!t C. . . . ��Ci L 5 . . . . . . . . at J . . . . . . . . �l .�'�. . . . s F. . . . . . . ., North Andover, Mass. Lic. No. PLUMBING INSPECTOR Check .* _ 1 MASSACHUSE S UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: MA. Date: �_ �- Permit# Building Location: /� Owners Name: t` h e � Type of Occupancy: Co mercial❑ Educational❑ Industrial❑ Institutional❑ Residential Lam' New:❑ Alteration:[] Renovation:❑ Replacement:❑ Plans Submitted: Yes❑ No[❑ FIXTURES DEDICATED H z SYSTEMS _ Z . > z U z y m h o: D: y w Q h Ycc: 0 O o. LL F a W o Q z z rc z vNi v� z u ii ,X—L _ a s h W o 0 o W W W u F- m m o I 0 O ~ '> >V z Q z z to F- F_LL a Y Q 2 W W Q: asC• V) W !n to O 0 Q LU I Q �' H N in H 0 Ltl Q -SUB BSMT. Q (D 3 BASEMENT IST FLOOR 2ND FLOOR 3"FLOOR 4T"FLOOR ST"FLOOR 6T"FLOOR 7'FLOOR 8'FLOOR Installing Company e: G yp Check One Only Certificate# O v Corporation Address: City/Town: lc/ -_ �� El State: ❑Partnership Business Tel: Fax: ❑Firm/Company Name of Licensed Plumber: �1 /'1 d INSURANCE COVERAGE: 1 have a current liability 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 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 Si nature of Owner or Owners A ent Owner ❑ 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 942 of the General Laws. By Type of License: Title ❑Plumber Signatur Li ense ber CitPROV ❑ aster APPROVED OFFICE USE ONLY Journeyman License Number: -T r Date. $ � JrI "pR'M TOWN OF NORTH ANDOVER to va s � PERMIT FOR PLUMBING ,SSACNUSE� This certifies that . . . . ��.!' !� (�. . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . plumbing in the buildings of . +1.�i.� !1��. . . . . . .�fu�1.>�. . . . . . . at . '�f�. . . S. . . . . . . . . . . .. No h And Ma S. Fel.E.'.qO. .Lic. No..r !)V. . . . . . . . . . . PLUMBING INSPECTOR Check f _� i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING <<tl City/Town. MA. Date: Permit# i. Building Location:Z Z G-t� j Owners Name: I Type of Occupancy: Commercial[] Educational❑ Industrial❑ Institutional[] Residential I New:❑ Alteration:❑ Renovation:❑ Replacement:❑ Plans Submitted: Yes❑ No FIXTURES DEDICATED L z SYSTEMS z � Y u z v, h a it z FQ- Y Q c=� l- w o 0 w �7 C a' z IX Qm to C oC H v> >. w Q H Ln O a N v) LL F� 0 W W y W ...1 _z x �J Q be m oZ! O w U F� tx/f L- 00~ (.7 > > O -a Y Q x W W W < 4 � ~ O x OJ Q fY Q Q Q x O w W < H l a m m o o LL x Y 3 3 H � Q .SUB BS T. 0 0 0 Q 3 BASEMENT I'FLOOR I 2"D FLOOR 3RD FLOOR 4r"FLOOR Sr"FLOOR 6r"FLOOR 7r"FLOOR 8r"FLOOR f Check One Only Certificate# Installing Co Impany Na Address: City/Town: h�/�m State: El Corporation ❑Partnership Business Tel:-! Fax: trm/company Name of Licensed Plumber: I INSURANCE COVERAGE: I have a current liability 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 of coverage by checking the appropriate box below. A liability in urance 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 Signature of Owner or Owner's Agent Owner ❑ Agent El 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 prov I islon of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title ❑Plumber Signatu LicetneP! er X City/Town ❑Master I� APPROVED OFFICE USE ONLY) ❑Journeyman License Number:v—! I Massachusetts Department of Environmental Protection Bureau of Resource Protection - Wetlands DEP File Number: WPA Form 5 - Order of Conditions 242-1164 Massachusetts_ Wetlands Protection Act M.G.L. c. 131, §40 Provided by DEP A. General Information Important: When filling From: out forms on North Andover Conservation Commission the computer, Conservation Commission use only the tab key to This issuance if for(check one): move your' cursor- do ® Order of Conditions not use the return key.I ❑ Amended Order of Conditions To: Applicant: Property Owner(if different from applicant): Scott&Kellee Twadelle �rwn Name Name 193 Gray Street Mailing Address Mailing Address North Andover MA 01845 City/Town State Zip Code City/Town State Zip Code 1. Project Location: 193 Gray Street North Andover Street Address City/Town 107D ' 110 Assessors Map/Plat Number Parcel/Lot Number 2. Property recorded at the Registry of Deeds for: Essex North District 5606 259 County Book Page Certificate(if registered land) 3. Dates: 6/27/02 8/28/02 9/6/02 Date Notice of Intent Filed Date Public Hearing Closed Date of Issuance 4. Final Approved Plans and Other,Documents (attach additional plan references as needed): Site Plan Prop. Swimming Pool 6/24/02 Title Notice of Intent Date Title 6/24/02 Date Title Date 5. Final Plans and Documents Signed and Stamped by: John W. Hargraves, Jr, P.E. of GeoAmbient Consultants, Inc Name 6. Total Fee: $55 (from Appendix B:Wetland Fee Transmittal Form) Wpaform5.doc•rev.12/15/oo Page 1 of 7 i