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HomeMy WebLinkAboutMiscellaneous - 27 COACHMANS LANE 4/30/2018I C:l C') 0 -4 z C6 z 0 m Date..................... 40RTk TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that r%- ........ ................ has permission for gas ................ in the buildings of wl.r.f.e -17. C7 .................... North Andover, Mass, at Fee. ...... Lic. NoZ ...... . . ......... '111�-GASINSPECTOR ' ' ' " ' L -1 -- WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 4ASSACHUSETrS UNIFORM APPLICATON FOR PERMIT TO DO GAS Fr=G or print) I-IVK I ri Arl LPV V Erk, 1V[AaaAt-n var, 1 la Building Locations 2 Permit # SV7,f Amount S Owner's Name A a 6 mou A & t,3 so- r [New M Renovation F-1 Replacement 0/ - Plans Submitted 1:1 (Print or type) Check one: Certificate Installing Company N.ame_ Andover Plbd. & Ht -q. Co., Inc. El Corp. 2192 Addrtss 20 Agean-Dr..' Unit -10 F� Partner. us; Ar Name of Licensed Plumber or Gas Fitter Georae Lagar F1 -FirTn/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes M* NoE] ease indicate the ty If vou have checked ves, pl pe coverage by checking the appropriate box. Lia'bility insurance policy Other type of indemnity Bond . El - M Owner�s Insurance Waiver I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mas�. General Laws, and that my signature on this permiTapplication waives this requirement. Check one: Sign,iture of Owner or Owner's Agent Owner E3 Agent herebv c-.riifv that all of the details and information I have submitted (or entered) in above application are true and accurate to Me best of my knowledge and that all plumbing work and installations performe4 under Permit Issued for this application will be in compliance with all pertinent provisions of the N-lassachuserts State Gas �Xe and Cha ��-!"the General Laws. By: Title Ciry/T�wn APPRO VED (oFi.-icii (ISE ONLY) ignature of' Ell"'Plumber . M�as Fitter �Iasfer Joumeyman sed Plumber Or Gas Fitter 9983 License Nurnoer N2 1 . - -6 ;-'i jr TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING / ........... This certifies that ............ 3V.4 has permission to perform ..... 13 .......... I ........... plumbing in the buildings of ... ................ at. ....... North Andover, Mass. Fee. Lic. No..,�.q� 4 .. ........ ....... PL � UMBING INSPEqTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer A. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUS= A(—) Date Building kv pt .4,- �- owners Name Permit Amount Type of Occupancy I e New Renovation Replacement PlansSubmitted Yes NO FTXTURES (print or type) Check one: Certificate Installing CompanYNaxne Aj Corp. Address 13 e) Y r—.) x Partner. 740, V L) --eA -1 /J Bus m—ess Telephone 19 x b - e r Name ofLicensed Plumber 6 6-�D X x le Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate bO3c Liability insurance Policy Other type of indemnity Bond Insurance Waiver L the undersigned, have been made aware that the licensee of this application does not have any one of the above three m'surance Owner Agent F1 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 ins"ons performed under permit Issued for this application will be in ter th Cleneral La comloliance with all pertinent provisions of the Massaqhu�ett$jState PWbin;,Code and C�5, 142of e . v ws- Ilue Cit3dTown APPROVED (oFFICE usE ONLY T�rpp ofPlumbing License 9")') r'4 — Mot . e Numoer er Journeyman 11 N T 464S Date TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .................... has permission to perform ......... . .................. plumbing in the buildings of ........... .............. North Andover, Mass. FeP�5. . !�� ... Lic. NoJ� ... .. /A--PLUMB-I'NG I� �XR WHITRp7 MIaA4*'55 CANARAOIRdinMt. PINK: Treasurer a V a — .--� 4 1 %0 %J4,156 %.#§ %awl 4%J41 g-%Jgl a- 5-4 &eggs (I'drill im TW41 NORTH ANDOVER, Miss. c)aje Btillding Permit v/,—? Location 27 64r.,4f,413 1��vx— Owner a I Name New Cl nenovallon C] Fleplacernent C9/ Plant Submitted: YexC1 No C1 FIXTURE8 Check one: cerIVIC-Ata Installing Company tisma ANDOVER PLG. & HEATI NG CO. NC. 2122 Address 573 112 SQ- UNION ST- 0 Parinetship LAWRENCE, MA. 01843 C3 Firm/Co. 13tj3lnes3 Telephone 508 685-8383 Name of Ucented Plumber GEORGE LAROSE msunANCE COVEnAGE: Che" OVkd I have a current IlablIfty Insurance policy or Re substantW equNidenL Yet Er No D If you have checked y_", please triclIcale the type coverage by chackkig Ilia appropriate box - A RabilRy Insurance p<Alcy . Other type of k-odanindy 11 Bond C1 owmms iNsunANCE WAIVER: I am aware that the licensee d"s rxA haye the Insurance coverage required by Cl-rAer 142 c4 Ilia Makes. GeneW I-Aws. and that my signature on tWs permit application watves this requirement.. Check one: owner 0 AgerA 0 I hereby c*ttlty that &A of the dalsils wid inImmallon I have o;ubrrAt*d Jog onto," in abo�v app&allon we tius and accurate to the best of my kna-4<196 and that sA p4umblng wvfk and InsWattona W(xffwd unda the pqffrA Itumd lo5 this appkaljon will! be In compliance wiLh &A "Olnent provWons of the Mess.2chutstis State Pkimbirq Cod* and Chaplaer 142 of the ad Laws Cffyflown A"'I'KI-TO lrf F)CE USE 01101 3 DOW Lk*nse tiumb4w 9983 Type o4 riumbing Llcsnsa: Maslef Ea� Journeyman C] "W x a X X Z to J 14 a It .4 0 0 .4 z 0 J ; t U ; 31 u K r 16 a U x "X : '.4 Wo 4 a 4 as ! ig a IL is a j 66 K )r ad x W N t: 30 a j 0 U 101 a 0 Ua-1 OUT. SAORMRMT :'4 ISTFLOOR SHO FLOOR 111AD FLOOR 47H FLOOR STH FLOOR 4'r M f, zoo it ITH FLOO OTH FLOO Check one: cerIVIC-Ata Installing Company tisma ANDOVER PLG. & HEATI NG CO. NC. 2122 Address 573 112 SQ- UNION ST- 0 Parinetship LAWRENCE, MA. 01843 C3 Firm/Co. 13tj3lnes3 Telephone 508 685-8383 Name of Ucented Plumber GEORGE LAROSE msunANCE COVEnAGE: Che" OVkd I have a current IlablIfty Insurance policy or Re substantW equNidenL Yet Er No D If you have checked y_", please triclIcale the type coverage by chackkig Ilia appropriate box - A RabilRy Insurance p<Alcy . Other type of k-odanindy 11 Bond C1 owmms iNsunANCE WAIVER: I am aware that the licensee d"s rxA haye the Insurance coverage required by Cl-rAer 142 c4 Ilia Makes. GeneW I-Aws. and that my signature on tWs permit application watves this requirement.. Check one: owner 0 AgerA 0 I hereby c*ttlty that &A of the dalsils wid inImmallon I have o;ubrrAt*d Jog onto," in abo�v app&allon we tius and accurate to the best of my kna-4<196 and that sA p4umblng wvfk and InsWattona W(xffwd unda the pqffrA Itumd lo5 this appkaljon will! be In compliance wiLh &A "Olnent provWons of the Mess.2chutstis State Pkimbirq Cod* and Chaplaer 142 of the ad Laws Cffyflown A"'I'KI-TO lrf F)CE USE 01101 3 DOW Lk*nse tiumb4w 9983 Type o4 riumbing Llcsnsa: Maslef Ea� Journeyman C] Date. TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATI 71 This certifies that ........... -�E� , * * has permission for gas installation .... ....... in the buildings of ................ ..................... .............. at North Anclover, Mass. Fee Lic. No.�% . . . . . . . . . . . .. . . 14,4/� GASINSPECTOR Rt; I WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN'G (Print or Type) NORTH ANDOVER Mass. Date kuilding Location '-'2/ Permit # �311& Owners Name JIZZ4-- A�Alslll� New —7 Renovation Replacement Plans Submitted 0 FIXTURalz a, (Print or Type) Check one: Certificate lnstalling'Compariy':'Name ANDOVER PLBG. & HTG. CO., INCM Corp. 2122 Address 5731'�l SO. UNION'STREET Partner. LAWRENCE, MA. 01843 Firm/Co. Business Telephone: _978 685-8383 Nameipt. Lim .,,or Gas Fitter CIFORGE LAROSE In erage: ndicate the type of insurance coverage by��checklng the appropriate box: Liability insurance policy [Zi/Other type of indemnity = Bond Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property . Owner 17 Agent El I hcseby certify 1.4st all of the dccAUs and infotmaLion I have submitted (or entered) In above application see true and accurate to the best al' my knowledge and Mat all plumbing work and Installations performed Under'Mmit Issued for this application will -be In Compliance w(Ut all Pertinent PfOrisions Of the Massachusetts State Gas Gida and ChAptes 142 at the General LAwL By YPE LICENSE: P U, lumber f Title rua s z I r- r- e r sig4ature of LiCensed City/Town: Master Plumber or Gasfitter Journeyman... 9983 APPROVED (OFFICE USE ONLY) Li ense Number 201�- M IMIMMMIMNIM OEM (Print or Type) Check one: Certificate lnstalling'Compariy':'Name ANDOVER PLBG. & HTG. CO., INCM Corp. 2122 Address 5731'�l SO. UNION'STREET Partner. LAWRENCE, MA. 01843 Firm/Co. Business Telephone: _978 685-8383 Nameipt. Lim .,,or Gas Fitter CIFORGE LAROSE In erage: ndicate the type of insurance coverage by��checklng the appropriate box: Liability insurance policy [Zi/Other type of indemnity = Bond Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property . Owner 17 Agent El I hcseby certify 1.4st all of the dccAUs and infotmaLion I have submitted (or entered) In above application see true and accurate to the best al' my knowledge and Mat all plumbing work and Installations performed Under'Mmit Issued for this application will -be In Compliance w(Ut all Pertinent PfOrisions Of the Massachusetts State Gas Gida and ChAptes 142 at the General LAwL By YPE LICENSE: P U, lumber f Title rua s z I r- r- e r sig4ature of LiCensed City/Town: Master Plumber or Gasfitter Journeyman... 9983 APPROVED (OFFICE USE ONLY) Li ense Number HAUL LIC # 777 $100 1996 INST LIC # 659 $200 1996 NO ANDOVER BOH TOWN HALL ANNEX 120 MAIN STREET NO ANDOVER, MA 01845 PH# 508-682-6483 508-688-9540 FAX 508-688-9556 Dear SIRS: STEWART'S SEPTIC TANK SERVICE 47 RAILROAD STREET BRADFORD, MA 01835 508-372-7471 May 3, 1996 ,,-��7 7 ; 11-- N- � , ..-n The following is a list of properties that we punped in your town. In accordance with TITLE V regulations, we are complying by sending you the following on a monthly basis, if need be. If we didn't purnp, you will not be notified. PUMP DATE ADDRESS GALLONS 04-01-96 197 ABBOTT STREET 1,500 105 WINTERGREEN DRIVE 11000 04-02-96 A 42 OLYMPIC LANE 11000 04-04-96 A 71 PENNI LANE 11000 04-06-96 492 SHARPNERIS POND ROAD 11000 A 39 HAYMEADOW ROAD 1,500 04-08-96 498 WINTER STREET 11000 187 SOUTH BRADFORD 11000 04-09-96 A 495 REA STREET 11000 04-10-96 A 706 FOSTER STREEET 11000 04-11-96 A 83 CAMPBELL ROAD 11000 04-11-96 A 43 CHRISTIAN LANEM 1,500 04-12-96 7 HAYMEADOW ROAD 11000 1577 SALEM STREET 11000 04-13-96 278 BARKER STREET 1,000 HEAVY 04-16-96 A 130 BRENTWOD CIRCLE 11000 04-17-96 A 27 ODACHMAN'S LANE 11000 04-18-96 369 HIGH PLAIN ROAD 11000 28 CEDAR LANE 11000 A 121 CAMPBELL ROAD 11000 04-19-96 A 160 BRIDALPATH LANE 2,200 04-20-96 A 200 RALEIGH TAVERN LANE 1,500 A 1 GARFIELD LANE 1,800 Z:I/