HomeMy WebLinkAboutMiscellaneous - 35 EQUESTRIAN DRIVE 4/30/2018 (3)"QE Filo No. 2-76
(To be provided by DEOE)
r L i-)(' )V(.r
Commonwealth City[Town
I --r i In fs I �'l t e
of Massachusetts Applicant e,
J
Order of Conditions
a
The has reviewed the above -referenced Notice of
.Intent and plans and has held a public hearing on the project. Based or.'the information available to the
at this time, the has determined that
'the area on which the proposed work,is to be done'Is significant t- the Mowing Interests In accordance with
the . Presumptions of Significance set forth in the regulations for each A. -a Subject to Protection Under the
Act (check as appropriate):
'D PUblic,water supply
IM St6rm'damage prevention
Private'Water supply 9 Prevention of pollution'
(A Ground water supply 0 Land containing shellfish
Flood control 0 Fisheries
Massachusetts Wetlands Protection Act
G.L. c.131, §40 .
nnd under the'Town -of North Andover Bylaw, Chapter 3..5
A'& B`
oii
From
To_
(Name, of Applicant). (Na ne of property owner)
P iv(' r S1,
i.
Addres Address -
This Order is issued and delivered as follows:
D Eby hand.'delivery to applicant or representative. on
(date)
0 by certified mail, return receipt requested on October 3 9
(date)
This project is located at 1-' A, 9 92%,
t-, t ;-1 t. Dr.,
..:1c OTI CD-Cle,
The property Is recorded at the Registry of
Book Page
Certificate (if registered)
The Notice of Intent for this project was filed on t
(date)
o
The public hearing was closed on I C) r-, t ? (date),
Findings
a
The has reviewed the above -referenced Notice of
.Intent and plans and has held a public hearing on the project. Based or.'the information available to the
at this time, the has determined that
'the area on which the proposed work,is to be done'Is significant t- the Mowing Interests In accordance with
the . Presumptions of Significance set forth in the regulations for each A. -a Subject to Protection Under the
Act (check as appropriate):
'D PUblic,water supply
IM St6rm'damage prevention
Private'Water supply 9 Prevention of pollution'
(A Ground water supply 0 Land containing shellfish
Flood control 0 Fisheries
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING
- — (Print or Type)
i
NORTH ANDOVER Mass. Date 8/25/95 19 Permit #
STEVEN u1juh
Building Location 35 EQUESTRIAN DRIVE Owncr's Name REBECCA DODGE
~` Type of Occupancy SINGLE
G
New ❑ Renovation ❑ Replacement 6 Plans Submitted: Yes❑ No ❑
Installing Company Name A. BELL & COMPANY, INC. Check one: Certificate
Address 18 GOVE AVENUE
® Corporation 1990C
❑ Partnership
Business Telephone 508-922-215S ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter ELWIN G. BELL, JR.
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes IM No ❑
If you have checked Vis, please Indicate the type coverage by checking the appropriate box.
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 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 entered) in above application _ e e nd accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit i fo s on `II' a in compliance with all
Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of t n ws.
T of license:
Title Plumber asfitter nature of Licensed ber or s Ftter
u ;^y � G
City/Town Master License Number 9033
O l NL Journeyman
Y
•
■i■
■■
i■
■iii
■�
■ENEMA
son
Installing Company Name A. BELL & COMPANY, INC. Check one: Certificate
Address 18 GOVE AVENUE
® Corporation 1990C
❑ Partnership
Business Telephone 508-922-215S ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter ELWIN G. BELL, JR.
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes IM No ❑
If you have checked Vis, please Indicate the type coverage by checking the appropriate box.
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 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 entered) in above application _ e e nd accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit i fo s on `II' a in compliance with all
Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of t n ws.
T of license:
Title Plumber asfitter nature of Licensed ber or s Ftter
u ;^y � G
City/Town Master License Number 9033
O l NL Journeyman
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*u Date .......................
p* NORTH 1 TOWN OF NORTH ANDOVER
O� PERMIT FOR GAS INSTALLATION
9
This certifies that ...1 :. �.' 1. �� .....' '.. t
has permission for gas installation ....' . �'l .... �................
in the buildings,of .. . �'.....':. f :...-�.....................
at ..� . > ..^ ' ...... .�: North Andover, Mass,
Fee./. �.�:. Lic. No.. V:. . �.. '.................... .
V 50 PAID GAS INSPECTOR
WHITE: Applicant CANAAV'Building Dept. PINK: Treasurer GOLD: File