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Home My WebLink AboutMiscellaneous - 27 COCHICHEWICK DRIVE 4/30/2018v I 9222 Date. �z Xr, TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... (AA Ir , * , , , * A * , * ... A;� , * * , has permission to perform . . /. ui yngs o plumbing in the b ....... 7 at. . .000 ... N h And ass. �7, �� Over, Fee. �V'�Lic. ..... .. v- .... Check # / ?�/' I PLUMBING INi rPECTOR r757 Z� 4- MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY North Andover MA DATE 12/1/11 PERMIT # JOBSITE ADDRESS 29 Cochickewick Ln OWNER'S NAME Campion Estates LLC GOWNER ADDRESS Campion Estates LLC TEL FAX TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL v CLEARLY NEW: " RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES -1 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM / SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER fireplace INSURANCE COVERAGE I have a current liabili!y insurance policy or its substantial equivalent which meets the requirements of ll Ch. 142 YES NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE 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 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 complian h all PE"'nent pro si n of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. t r V 711�1� PLUMBER-GASFITTER NAME Kerry Martin LICENSE# 9320 SIGNKT-URE MP MGF jP JGF LPGI CORPORATION , # 2135 PARTNERSHIP # LLC # COMPANY NAME: K.Martin Pig & Htg Inc ADDRESS 124 Abbott St CITY Lawrence STATE Ma ZIP 01843 TEL 978-685-2521 FAX CELL 508-509-9898 EMAIL 4- Date. .141�kl .......... TOWN OF NORTH ANDOVER M PERMIT FOR GAS INSTALLATION N. k This certifies that .................. has permission for gas installation .4�7. S ... k ............... in the buildings of ...... S ............. at ... (70<4;C?0�4� North Andover, Mass. ............ Fee A�, �� Lic. No.. GAS INSPECTOR Check# 1961� 7945 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY North Andover MA DATE 12/1111 PERMIT # JOBSITE ADDRESS 29 Cochickewick OWNER'S NAME Campion Estates LLC OWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO FIXTURES -1 FLOOR- BSM 1 2 3 -4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR / AREA DRAIN INTERCEPTOR (INTERIOR) KITCHEN SINK LAVATORY 2 1 ROOF DRAIN SHOWER STALL SERVICE / MOP SINK TOILET 2 1 URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER 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 CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW 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 applicafion waives this requirement. CHECK ONE ONLY: OWNER AGENT SIGNATURE OF OWNER OR 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 knowledg , e and that all plumbing work and installations performed under the permit issued for this application will be in compliarim with all Pertinent provision of the Massachusefts State Plumbing Code and Chapter 142 of the General Laws. 4-1 A PLUMBER'S NAME Kerry Martin LICENSE # 9320 SIGNATURE MID i P CORPORATION ( # 2135 PARTNERSHIP # LLC # COMPANY NAME -K.Martin PIg & Htg Inc ADDRESS 124AbboftSt CITY Lawrence STATE Ma ZIP 01843 TEL 978-685-2521 FAX CELL 508-509-9898 EMAIL 'LOR CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 825-2010 Date: April 27, 2011 THIS CERTIFIES THAT 4? THE BUILDING LOCATED ON 29Cochichewick Drive, North Andover, MAO 1845 7 Campion Hall MAY BE OCCUPIED AS unit IN ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Campion Estates, LLC 1518 Cochichewick Drive North Andover, MA 01845 Building Inspector Fee: 100.00 Receipt: 24097 Town of North Andover VkOWT" '60"T BUILDING DEPARTMENT & INSPECTIONAL SERVICES Community Development and Services Divis 1600 OSGOOD STREET Building 20; Suite 2-36 "C North Andover, Massachusetts 01845 P (978) 688-9540 Susan Y. Sawyer hM2://www.townofnorthandover.com F (978) 688-8476 Public Health Director INFORMATION REQUEST Health Department Please use this form if the Health Inspector or Health Director are unavailable to provide immediate assistance to you. Please fill out this form in its entirety to ensure an accurate and prompt response. All requests for information will be handled as soon as possible. CONTACT INFORMATION Date: /10//OVC�v Name: n"4- V) �1 Phone number: 32--b Fax number: Address: -2.-q INQUIRY - Property in question: (Please include as much information as possible) Subject: CAM&flowers 04 �p k-drL->D#ff (2 Inquiry: Al I 0 �' C ,wh o �ie- You will receive a call back within 24 hours. Thank you. BOARD OF APPEALS 688-9541 BUILDING 688-9545 CONSERVATION 688-9530 HEALTH688-9540 PLANNING 688-9535