HomeMy WebLinkAboutMiscellaneous - 344 WAVERLY ROAD 4/30/2018 (2)N
O
J
D
�o "'
m
o �
O D
o v
74 �, 6
Date../
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that . g. . -T� . �� ��? :'� ... 6.—. & ..... * * '
has permission for gas installation
in the buildings of ..............................
L
at .... J. y .... <orth Andover, Mass.
Fee. Lic. No.. /TO 3. OR -4�
eAi IN�PiC�d
Check#
0
I
NAASSAa SEMUNUDRIVIAPPLICATONFORPERINHrTODOGASFfrr]NG
(Type or print)
NORTH ANDOVER, -MASSACHUSETTS
Building Locations
New ❑ Renovation
Owner's Name'a%
Replacement' Plans Submitted
Date /d//f`/4)
Permit #
Amount $
('Print or type)
Name
4-
lame of Licensed Plumber or Gas Fitter 1-3 0 �Y� /_
Check one: Certificate Installing Company
In Corp.
ElPartner..
®' Firm/Co:
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 0- No
If you have checked yes, please indicate the type coverage by checking the appropriate. box.
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
Mass. General Laws.. and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent
I hereby certify that all of the details and information I have submitted (or entere(l)1n above appllcatlon are true nnu accurate ro me•
best of mti knowledge and that all plumbing- work and installations Vurforniod under t Po-.rn t Issued for this application will be in
compliance with all pertinent provisions of the Massa lscStaeAti Codd �1ncl Chap 12he General Laws.
®ate
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of
lumber
ED Gas Fitter
0 Master
r 1 Journeyman
aCd Plumber Or Gas Fitter
tcc� ,nse (Num er (�
U
vi
x
0
z
H
r
0
z
o
H
w
w
N
z
popi�
a
p
H
rxW�
F
x7
O
$
A
U`
a
U
x
H
IS
SUB -BASEMENT
B A S E M ENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR .
4T I1. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH. FLOOR
8TH. FLOOR
('Print or type)
Name
4-
lame of Licensed Plumber or Gas Fitter 1-3 0 �Y� /_
Check one: Certificate Installing Company
In Corp.
ElPartner..
®' Firm/Co:
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 0- No
If you have checked yes, please indicate the type coverage by checking the appropriate. box.
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
Mass. General Laws.. and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent
I hereby certify that all of the details and information I have submitted (or entere(l)1n above appllcatlon are true nnu accurate ro me•
best of mti knowledge and that all plumbing- work and installations Vurforniod under t Po-.rn t Issued for this application will be in
compliance with all pertinent provisions of the Massa lscStaeAti Codd �1ncl Chap 12he General Laws.
®ate
By:
Title
City/Town
APPROVED (OFFICE USE ONLY)
Signature of
lumber
ED Gas Fitter
0 Master
r 1 Journeyman
aCd Plumber Or Gas Fitter
tcc� ,nse (Num er (�
Date.5//�/.—.�. � ......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ... r ..........
has permission for gas installation ......
in the buildings of. .................................
at 1A /-,/ .......... North Andover, Mass.
Fee.5-.q.'.. Lic. No..3?.
�GA*S INSPECfOR
Check#
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO UO GA,SFiTTING
(Print or Type)
NO 2T H I QL06(Z
Mass. Date --�P 1-�AQQJ Permit #��
Building Location 3 �i — 3y�O CJAVC-94E y Owner's Name .C66CkT l-EVV
Uol?�TH A QD0V6 nA Type of Occupancy f ES/DEEi 7119L- -.2 FA411G /
1-1
C-1
New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑
Installing Company Name BAY STATE GAS COMPANY Check one: Certificate #
Address 55 MARSTON STREET XJ Corporation 1862
LAWRENCE, MA 018 4 1 - 2312 ❑ Partnership
Business Telephone (j' 71B- 6 8 7 -110 5 exr *30
❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter Francis X. Corkery
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes K No ❑
If you have checked res, please indicate the type coverage by checking the appropriate box.
A liability insurance policy 19( 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:
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) in abo pplication are true and accury�te to the best of my
knowledge and that all plumbing work and installations performed under the permit issuf r this application will b>;in,compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. d
FBy T e of License: PlumberSignature of Licensed Plumber or Gas Gasfitter0
Master License Number 274-5
Journeyman
FICE USF ONLY)
••
■�����������������
■■Omnison
Installing Company Name BAY STATE GAS COMPANY Check one: Certificate #
Address 55 MARSTON STREET XJ Corporation 1862
LAWRENCE, MA 018 4 1 - 2312 ❑ Partnership
Business Telephone (j' 71B- 6 8 7 -110 5 exr *30
❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter Francis X. Corkery
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes K No ❑
If you have checked res, please indicate the type coverage by checking the appropriate box.
A liability insurance policy 19( 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:
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) in abo pplication are true and accury�te to the best of my
knowledge and that all plumbing work and installations performed under the permit issuf r this application will b>;in,compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. d
FBy T e of License: PlumberSignature of Licensed Plumber or Gas Gasfitter0
Master License Number 274-5
Journeyman
FICE USF ONLY)
CI
z
LL
N
J C7
2
O
N O
a ~
W ~
U �
LL a
0
v
LL
z
O
Z
J
Z
O O
F
LL LL
❑
tl
J_
LL
Q
GZO
LL
O
m
r}
W t.
a
w
LL
Q
m
a
O
O
U_
}
J
F
ZO
w w
°-
.+s
O
a
w
o
?
cS
a
LL
Z
J
a
J
J
I
a�
W
F -
Z
Q W
cc I—
C) a
F.. o
i
Q
W
a
Locatiog
No. Date
970S
CI
TOWN OF NORTH ANDOVEO
Certificate of Occupancy $
Building/Frame Permit Fee $ Ile �,— �C)
Foundation Permit Fee $
Other Permit Fee $
Z5
Sewer Connection Fee $
Water Connection Fee $ 5:
9 -
TOTAL $
Building Inspector
Div. Public Works
p�
I W
0
Z�
O
Z
I
m
W
03
1L
0
0
N
u
z
m
O
0
d
K
L
m
W
0
LL
O
Z
m
J
m
m
F
W
m
m
Ixc
m
0
4
O
W
N
m
tl
tl
4
c
i
z 4
< 7
N [
aro
I
N
p
O
~
do
0 I
C7
W
V
H
f I
a
�
60
s
III
J
J
%i
�•
4J
7 I
O
W
3
o
IL
I
w l
W
Q^�^
V
Z
�
L
f
Y
0
W l
�
0
K
z
✓t
l
0
0�
0
m
LL
N
'm
l
F
W
l
W j
< t
0
z
0
W
F
<
z
O
0
<
Z <
N z f
1- 1
I
p
O
n
z
U
m
z
m
z=
0
o
leN
J
z
N
O
i m i
w
_
41
f
F i
IOZ
a
N
lrl
0
LL I
m
VI
0
0
N
N
W
U
z
z
m
p�
I W
0
Z�
O
Z
I
m
W
03
1L
0
0
N
u
z
m
O
0
d
K
L
m
W
0
LL
O
Z
m
J
m
m
F
W
m
m
Ixc
m
0
4
O
W
N
m
tl
tl
4
c
i
z 4
< 7
N [
aro
N
p
O
~
do
0 I
K1
Q
V
H
f I
W
d
60
s
III
J
J
%i
�•
4J
7 I
O
W
3
o
o
I
w l
W
Q^�^
V
Z
�
L
f
A
0
W l
fn
z
K
z
✓t
l
0
0�
0
LL
N
'm
l
F
W
l
W j
< t
0
z
0
W
F
<
z
O
0
<
Z <
N z f
1- 1
I
p
O
n
z
U
m
z
m
z=
u
W W
i
o
leN
J
O
O
i m i
w
Z
f
F i
IOZ
a
0
m
K
W
0
C
N
W
N
N
W
_z
J
F-
0
J
F
0
C
LL
W
U
z
0
m
0
z
0
F
z O
0 z
0 F
LL o
0
LL
= 0
W
W N
]: m
W
U
f I
z
0
LL
Y
W
z
F
x
u
LL
0
J
rc
W
F
Emig
zF
O C
Oz ` IL
0
z
0
0 H U
0 J U
a < z
Z Z 0
J
0 O �
m
m m J
TIT13
z
<
LL
z
O
F
u
<
N
J
W
IL
L
a
LL
0
0
C
0
M
u
J
IN
m
aro
N
p
do
0 I
K1
Q
f I
60
J
J
J
%i
�•
H
7 I
J
W
3
o
o
I
w l
W
0
c7
u
=
�
C
Z
W l
fn
K
z
0
0
LL
'm
F
ViL
0
1~II
W
0 j
N
o
r
I
Z
f
F i
IOZ
lrl
0
LL I
0
0
N
N
W
U
z
z
m
O
O
a
I
W
W
F
N
Q
0 I
F
F
O
O
F
I
a
<
J
J
t7
to
J_
J_
F
LL
LL
U
W
f
0^
N
F
U
M
l
W<
R
J
U)
d
d
W
< I
IN
aro
N
p
do
1
K1
Q
60
J
J
%i
�•
H
f
J
W
3
o
o
§
C7
0
c7
u
=
0
0
c
D
Z
J0
1
>01
N N
�mj1 r (A
Zn
�mN -,
n
DO
yzz
cc
�X1
D
n
0�0
Lo
p3m
mx
-izD
I_N_(1
(A 0o
MZ_
mNi
TO
�N
nwo/
c�cz
�ru►-
pZ�,
-1vr-
�rn0'
r• �
z�z
-+ v
=o
0�
MD-
nz
x0
mm
0m
D0
3
II
N
y
A
y
D
OOm
T O O
N N
00
n m
y N N
ccmvOODA
m D D
v
n
m
r
Z
l�
D
m0�
m n n
N
D 3 IN
M CZOp
yyMo-
v
vm
NnnnO
A +m
> w
O
0
Q
A
2 N
r
Z Z
A Z
2 0 0
v 0
>
S
3\
C
0,-
m
m
O
T P
N
y
Z
m
O
p;
A
Z Z
GZ: 0 O
O
3
N
C
wN
'tp, n
°'
'�
G)
N Gj-11
00
DNmD0>D
3
DN
Z
i
in
O,
Z�c
Z
as
0
On
NmDv
=;=
O
T
m0
Z�OmZ;O
'^
,aH
r
3
Z
^
D
O`^
N
=
N
<
A Z
N
~
Q
110
j
Z
1^
0
�
_
1_
U)
T
TTT_
I I
I
I I
I I
LLL I
1
1 1
11��
1
z
0 -
00CAD2NT7
ZDAOm
Ov
r
yy
rODO
NZ7C
yDDOy
<
-gym
Dom'
vv
y
n2
NOD
DO
n
(G
OAZ
M.
Z
Z
AOD
'�
v,
Z
.ZI
c
Om
O
i y
Z
O C;
m
O
T
r I
r A.,
n
T D
r 2
A y
0
C A
n
S
O=
Z
m
Q
A
y
N
m
Z`
N
A
O m
m
n F
m A
y n
=
m y
<
Z y
O
(/�
N
D
A
rO Z=
C
Z
A N
D O
m '°
H
~ O`
r Z
v
Z
D y
m
D A
<
v
H
N N
Z
1=
1O
0
2
O
p m
0O m
N
A
m e
y
O
ni
A y
N
G1Z<
y O
0m
y
DZ
A S
m
X
-.
f Z
07c
Z
m N
yT
T
r
C
Pe
T
n
N D
mm
D
'
Al
mA�
m
y
0O
T
O
Z
DD
I I I la
f0i
O
m
N
X
O
z
S
A
1�J_L I
N
I I I I
.z
z
N
IIIA
I
I
I
II I II
IIII
0
0
c
D
Z
J0
1
>01
N N
�mj1 r (A
Zn
�mN -,
n
DO
yzz
cc
�X1
D
n
0�0
Lo
p3m
mx
-izD
I_N_(1
(A 0o
MZ_
mNi
TO
�N
nwo/
c�cz
�ru►-
pZ�,
-1vr-
�rn0'
r• �
z�z
-+ v
=o
0�
MD-
nz
x0
mm
0m
D0
3
II
1
.
"
r
A
4
0
0
c
D
Z
J0
1
>01
N N
�mj1 r (A
Zn
�mN -,
n
DO
yzz
cc
�X1
D
n
0�0
Lo
p3m
mx
-izD
I_N_(1
(A 0o
MZ_
mNi
TO
�N
nwo/
c�cz
�ru►-
pZ�,
-1vr-
�rn0'
r• �
z�z
-+ v
=o
0�
MD-
nz
x0
mm
0m
D0
3
II
{ ` It
�FO 1;
c
'. a d �# iw t �
i T N
� S t
�� •r••. r r. .��. �� �� � �
,
� ten.. r• �
'
V a - '
��. , wi...��. 1`
t
UhULTirr'GNU
illl,l
•�
sate i'
i • r • " e � I
N'
,r�i4
1.
V" !
s'`�' ., �. .+ rte.• �... ��. r..
�Y vts 1 �
bi
1DN `�
1' Y
UhULTirr'GNU
to
M'EM
5
3f-,tA z
vuiNw�.r uvlr a,
1' Y
i`t.•,J'Od' �-
iick�i 4`� le••t i st •c.
Cry y � .ri ` � !�•,. t..{
i•
to
M'EM
5
3f-,tA z
vuiNw�.r uvlr a,
I
0
rA
W)
s.�
S
H
uml
CL
u
°o
w
N
cn
13.
C/)w
0
O
a
z
aor-
w
'
U
q
w
Q
U
w
R+
an
o
G
0
w
H
U
no
o
r�
a
x
p
E''
o
Cdo
x
i
w
a4
o
b
cn
v
Q
cn
S
H
uml
CL
a
n
co
O
co
L
cm
0 �
Z °o
C.
O y
D �
CD CM
IG 'CO
CD
CO2 co
'9 m m
CD 0 03
CD
45
O L CD
CD i
O d
�Q
C
y
Cc
0 G
C3
EL 0 CD
.coo Z
CD
.CL
V y
C
C3
,C t+
C
CC
CA
o
c�a
C, `
O N
O
C�
Qc
�A R
m C
\: i
O
C7
N
Ea
•mom
= C3
: D d
N
c_.
•
rI O O
Qf
M
O7 c
m m
` L
N
c
�
CAM
v
cm
o
O -=
N
c
• W
Coc
O
Co
m
:Lmo
c
c.C7 �
y m '
m
_ = O
T
:aspc
p.Ct
O
CO
�•`t
: y O
L
VCi.
oo
p
c
c
_
CAO
H
O
m=o
O.
p H
N
O
N
Wr-
y. , c
AR O.=
NLL.
CL
Z
ac
E
� -M C., N
o
v
m
o.�
y
FEN
CL
m '� O
o y
O
=aa,m�
a
n
co
O
co
L
cm
0 �
Z °o
C.
O y
D �
CD CM
IG 'CO
CD
CO2 co
'9 m m
CD 0 03
CD
45
O L CD
CD i
O d
�Q
C
y
Cc
0 G
C3
EL 0 CD
.coo Z
CD
.CL
V y
C
C3
,C t+
C
CC
CA
Location
No' Date
TOWN OF NORTH ANDOVER
e .- - -
zjjfflgj�mft o Certificate of Occupancy $
L 1i Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
�4 lBuilding Inspector
25.00 PPID
03/29* t361
Div. Public Works
i
W
a
Y
0
m Cf
r�
0
LW
H
�- W
N_
I ` N
LL
N
m
W
Z
0 O
Z
W 0 <
0 J
Ir
O O n h
m W
0 LL O
0 0
WW 0 Z
a' " LL w
o f
N IIL Z m
0
rc
M
0
z
N
F
N
N
K
W
OD
i
a
O
0
J
LL
LL
0
W
N
N
Z
IL
N
a
W
O
C
z
O
F
O
z
3
0
LL
LL
0
H
0
W
I
W
O
Q
Z
O
rc
LL
x
Z
%ft
%
Z
0
UA
W
0
W
Z
o(L)
Ir W
Z
<
LL
II<
W
`
Z
0
I
0
n
¢
F
H
Z
O
z
0
{-
O
F
lC
rc
0
O
F
U
U)
wW
`
z
W
i
W
z
N
0
J
0
3
Z
°<
H
<
U
u
<
a
O
<
N
U
Z
.
0
W
LL
W
4
W
1--
J
l7
_z
l7
_Z
t7
Z
0
J
<
LL
.
=
W
t
K
W
0
Z
0
Z
0
Z
W
O
0
J
0
J
0
J
7
n
0
O
3
0
<
m
0
O
0
<
N
;
0
n
Z
%ft
%
LU
UA
ci
0
W
Z
o(L)
Z
Z C1
II<
t
a
8
m
Ixd
d
W
Ix
6
0
u
U
U
f
L
L
d
p0
O
m
o
m
m
u
W
W
W
!q
j
M
�}
4*
K
0
F
u
W
6
0
_z
ti
z
0
J_
n
%ft
%ft
%
LU
UA
ci
W
Z
o(L)
Z
Z C1
(L) =
I-
W f
W
W
6
;NnA
C) N
p
N r N
OQ
Zm
MN1
Y
D
Ov
DO
N
NZ 2
°°z
°c
ND
•N/p
�A
�x-j
D
x
ImZ
Q
w
NO:E
nZ
D c
�z-
pm
'vOm
�mN
C
mODO
D
�-
v
rr
Sao:
oG)r
Z
O
�v
r
DSD
m
2�Z
A
=o
O
o�
iv
v
A~rO
20
mm
N -q
D
O
r
ZZAzzooFD
O
NO
~
X2A
A
O;
"D_
cAAz
Am"m
mmO
—�umZ
Zm
ZZO
vN*
ND
3<O
p
Q
AD
O
Nm
3
p
HZ
ZG
�P•Hl!
pAmZZ
N~
3c
Aa
1
10
0
Z
11111
1
111
10
n
c
zmoocADxmT
rV
DZDApDAm
O
v
y
p
D
�-w
D O
D
()
DxD
OD
0
p
Z
Z
Z
D_
C
rO
N timA^
Z
Zx
Tnnm
nZ
mN3j;N~~p1A
Zp
DOm
Z
DtiZ
OCOy
xQ
N
Z
c
Z n
A
D
A
A
Z
0
mZ
Z
D
DOpxmN
/.�.
OO
ir X
^
,mn
Tpy
Ox
-imCT
yZ
C
PI
m
D
A
OO
ZG
?t
Al
z
A0x
m
I
D
s
I
II II
II wnm
I I I
z
O
Z
I
A
OQA
Iz
Z
�I
IIN
1I�.-1
_11�1I
�����"
m A
I
I
IIIIIIIIII
IIIIII!III
illllll�
����
i
C) N
s
N r N
Zm
MN1
Y
i
C) N
N r N
Zm
MN1
DO
NZ 2
°c
mmN
�x-j
D
A
O1O
NO:E
minim
mx
IUln
�noo
�z-
mN3
'vOm
�mN
C
mODO
Wsz
�-
v
rr
Sao:
oG)r
Z
O
9N0
r
DSD
n�
2�Z
A
=o
O
o�
iv
v
mD
0Z
20
mm
N -q
I
I
i
O
z
r-1
cd
�¢
w
O
v
u
o
w°
v
cn
U
a
U)
o
�
z
Q
Cts
p
b
a
wo
°�°
C2
v
C
u
w
P4
O
H
w
PIA
z
c�
'•�
�'
X
°�°co
w
O
a
U
W
�
°a°
QG
v
U)
�c
w
0
F
u
C7
x
aao
rL
m
w
w
w
A
GG
w
v
wo
z
,
°
cn
v
o
o
cn
�o
Co c
c �
CD
c `
Y
O N
C.2
O
V
•dam
p• C
CC A
i m C
L O
O
N
Ea
tel' :mc
• Y
CD
. m Y
t v
: Y
0.
Y N
y C
_ m
O0
O
m c
:a=
N CC
m m
i
CD
3
N m
Q1 �
m
N CC
E ca
o
N m coco
�L O
Y
: CD
y
�+ C. N C
C� •� Z
ae: :coo
2 m :ago
NY CNC m Y m
W C •O L
O Y C Y
U- m
O C
m•
LU
m` o� c
CL m. o
= ca CC m 0 y O
F- L , a,m
E
d
N
O
i
N
cm
m
cm
'o
CID
0
rn
c
0
N
m
t
O
Z
0
ow
O
O
O
Z
O
C
y
w
.E
co
L
CL
co
C
O
CD
C.3
_cc
M
CO2
O
O
V
W
C
V/OD
O
c
cc
CL
L
CDV
co
C.
COD
C
CD
C C^
O .`
W W
0 co
3 .a
CD
D O
O Q'
0.
�a
C
O O
J .O
O O
Z CD
d
COD
C
J
Zs
.H•N `etpuuD'*PN zalsaqauLW — ITN `salsa OMM "IS enuseN SL
•axon �o�x�xoxg
D IISVarl
qj
Y�
V
A
V.( biO/Lj
X,19
��J
zalsauauvW — .H.N `ialsauauLW "IS enuseN SL
.f
•axon �o�x�xoxg
f)Nl5vgrl x