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Home My WebLink AboutMiscellaneous - 30 CHURCH STREET 4/30/2018PI) Date. TOWN OF NORTH A VEIR V PERMIT FOR GAS 1� ALLATIO This certifies that . . ./,-. - . . /:wy��//�. :1 ......... has permission for gas installation . . ��. n. /:� .................. -R 1 .......... t ........................... in the buildings of r i� at ... '/ .................. North Andover, Mass. Fee. ?K% Lic. No..4//!�.� ... ..... dAs INSPECTOK Check # / 3 c7 / tl V __W A MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Building Location 30 CHURCH ST Owner Tel# 603 898 4750 X=223 Date 11/13 2007 Permit # Owner's Name DICK RICHMOND Type of Occupancy RESIDENTIAL=game rog New W] RenovationF] ReplacementF-1 Plan Submitted: Ye[] NoE] FIXTURES Installing Company Name Eastern Propane & Oil, Inc Address 131 Water Street Danvers, MA 01923 Business Telephone # 800-322-6628 Name of Licensed Plumber or Gas Fitter Scott Cohen Check one: Certificate ZCorporation F]Partnership FFirm/Co. INSURANCE COVERAGE: I have �rfej liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. No 13 If you have 6ejcked yLs, please indicate the type coverage by checking the appropriate box. A liability insurance policy RV Other type of indemnity 11 Bond ID 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 0 Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in abop application Ve)true and accurate to the best of my nowledge and that all plumbing work and installations performed under the permit issuef for tWppy6o(on will be in compliance with all )ertinent provisions of the Massachusetts B Title City/Town APPROVED (OFFICE USE ONLY) State Gas Code and Chapter 142 of the Type of License: - flumber &AGas fitter -Master -Journeyman Signature of Licensed Plumber or Gas Fitter License Number 4199 2 Installing Company Name Eastern Propane & Oil, Inc Address 131 Water Street Danvers, MA 01923 Business Telephone # 800-322-6628 Name of Licensed Plumber or Gas Fitter Scott Cohen Check one: Certificate ZCorporation F]Partnership FFirm/Co. INSURANCE COVERAGE: I have �rfej liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. No 13 If you have 6ejcked yLs, please indicate the type coverage by checking the appropriate box. A liability insurance policy RV Other type of indemnity 11 Bond ID 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 0 Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (or entered) in abop application Ve)true and accurate to the best of my nowledge and that all plumbing work and installations performed under the permit issuef for tWppy6o(on will be in compliance with all )ertinent provisions of the Massachusetts B Title City/Town APPROVED (OFFICE USE ONLY) State Gas Code and Chapter 142 of the Type of License: - flumber &AGas fitter -Master -Journeyman Signature of Licensed Plumber or Gas Fitter License Number 4199 97E T-!r� I NO (A 4-j ca Date / ... � - NO 4, TOWN OF NORTH ANDOVER I- 'A PERMIT FOR PLUMBING M 14 U This certifies that has permission to perform . .':. . I . . . . . . . . . - -e�- --- ....................... plumbing in the buildings of ............... at. . .,I ................ North Andover, Mass. Fee .......... Lic. No.x1- ... ............... PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer M�� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) .A ) A, i cL) —cl 2if -, . mass. Date �4 '/ i Permit #-qzL--1q I& Building Location C Owners Name_j� 0 1 Type of Occupancy New [3 Renovation 0 Replacement 19""' Plans IJKAPU*� 2-0 '�* 0/L/1 1: Yes El No 0 Installing Company Name _lj,4 (r MA T A e 0 Check one: Certificate Address I -?j (� 14 (-n 4 K) Pj 13 Corporation I -P E 7d U 6�-A) YO A 0 C] Partnership Business Telephone L7 7 2-A'rm/Co- Name of Licensed Plumber 7- (MMt4 It-goae- INSURANCE COVERAGE: I have a current jability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. ,Yes Er' No 11 .1 If you have checked Yes, please indicate the type coverage by checking the appropriate box A liability insurance policy 2--� Other type of Indemnity 0 Bond 11 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 C1 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 knowiedge and that all plumbing work and installafijon��orrned under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum de and qapter of the eral Laws Title SLOMre of Ucensed Plumber'. Type of Ucense: Master Journeymah t Y/TM "X _ OFF_ ICE UT eo_ NLV�_ Ucense Number 133 1 NOW NEEMEMENEEN 0 Installing Company Name _lj,4 (r MA T A e 0 Check one: Certificate Address I -?j (� 14 (-n 4 K) Pj 13 Corporation I -P E 7d U 6�-A) YO A 0 C] Partnership Business Telephone L7 7 2-A'rm/Co- Name of Licensed Plumber 7- (MMt4 It-goae- INSURANCE COVERAGE: I have a current jability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. ,Yes Er' No 11 .1 If you have checked Yes, please indicate the type coverage by checking the appropriate box A liability insurance policy 2--� Other type of Indemnity 0 Bond 11 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 C1 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 knowiedge and that all plumbing work and installafijon��orrned under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum de and qapter of the eral Laws Title SLOMre of Ucensed Plumber'. Type of Ucense: Master Journeymah t Y/TM "X _ OFF_ ICE UT eo_ NLV�_ Ucense Number 133 1 a l r c c ols� CO v m 10 ic z "n I