HomeMy WebLinkAboutMiscellaneous - 4 ALCOTT WAY 4/30/2018 % 4 ALWAY
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' PERMIT FOR GAS INSTALLATION
�9SSACHUSEt h
This certifies that .�./r.aMz. /�. .1q VL
s has permission for gas installation . . . . .,� ,� . . . . . . . . . . . .
in the buildings of . . . . . .2 . . a.-,/ . . .. . . . . . . . . . . . . . .. . .. .
i at . . . .#. . . .... .I..6,. North Andover, Mass.
t Fe. SO-o.0. Lic. No..10 ?e).�l !. . . � . .
IGAS INSPECTOR
Check#
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aI
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
' City/Town: "I Ayl d wed Date: � Permit#
Building Locatio Owners Name:J0.1
Type of Occupancy: Commercial Educational Industrial Institutional Residential
New: Alteration: Renovation; Replacement:x Plans Submitted: Yes No K
FIXTURES
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SUB BSMT.
BASEMENT
1 FLOOR
2 FLOOR
3 FLOOR
4 FLOOR
5 FLOOR
6 FLOOR
7 FLOOR
8 FLOOR
Check One Only Certificate#
Installing Company Name: Climate Design Systems-DBA Merrimack Valley Corporation
,/ Corporation 3210
Address:.15 Aegean Drive,Unit#3 City/Town:. Methuen State: MA
Partnership
Business Tel: 978-689-8312 Fax: 978-689-2206
Firm/Company
Name of Licensed Plumber/Gas Fitter: Stephen R.Landry
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Ye$/\ No
If you have checked Yes,please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy V/ Other type of indemnity Bond
I
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 Owner's Agent
By checking this box❑;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 rformed under the nt issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State PlumbingC nd Chapter 142 o Gen I Laws.
Type of License: f
By Plumber 1
Title .� Gas Fitter Signatur of LicerSsed Plumbe Fitter
Master
City/Town Journeyman License Number: 10704
APPROVED OFFICE USE ONLY LP Installer
FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S)
FEE: S PERMIT#
APPLICATION FOR PERMIT TO DO GAS FITTING
NAME&TYPE OF BUILDING
LOCATION OF BUILDING
SKETCH
PLUMBER,GASFITTER,LP INSTALLER
LICENSE NUMBER:
PERMIT GRANTED❑ DATE:
GAS FITTING INSPECTIOR
I
i
i
` COMMONWEALTH OF MASSACHUSETTS
LICENSED AS A JOURNEY
YMAN P
a
a
ISSUES THIS LICENSE TO
STEPHEN B RUTTER 2
33 SUMMER ST
I
ANDOVER MA 01810-3.
1 .
17835 05/01/12 753821
N,
I
r
Date. /13 X.G
Of �aORT/y,
°„• 4, TOWN OF NORTH ANDOVER
f c w e49 .
PERMIT FOR PLUMBING
sSACMUS�
This certifies that . . . . . ! . .� . . . .FA Y. . . . . . . . . t. . . . . .
has permission to perform . . . .. . . . . . . . ./ . . . . . . . . . . . . . . . .
plumbing in the buildings of . . . . G.x. . . . . . . . . . . . . . . . . . . . . . . .
at. . . . . ��. <<<.: . . . . .I`. `�. Y . . . . . . . .. North Andover, Mass.
Fee. :�. . . . . .Lic. No.. .2�. .� . . . . . . . . .4- . L:%
PLUMBING INSPECTOR
Check # `!
8646
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
/d
• yI,CTodty __,Mass. Date ,�•p?'T 20/D Permit#
r� � •
Building Location �r�na r� USN Owner's Name�l��Y'1CO- Fed'
Owner Tel# f 7F 4 S 7 Type of Occupancy
New ❑ Renovation ❑ Replacement X Plan Submitted: Yes ❑ Nop''
FIXTURES
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SUB-BSMT
BASEMENT
PT FLOOR
• 2M FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
71"FLOOR
RTH F1 DOR
Installing Company NamebA 0, f) f/{y Ph?f to(� Check one: Certificate
Address 41 Rc&sa f U` ❑Corporation
4P6, A&;d Ir•s a& 0l FIS y ❑Partnership
Business Telephone# / 92-0" Z r1 4A, /Co. Z,o L
Name of Licensed Plumber /jUr P
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meas the requirements of MGL Ch. 142.
Yes ❑ No ❑
If you have checked yes,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:
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
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 installations perfo ed under the permit issued for th' application will be in compliance with all pertinent provisions of
the Massachusetts State Plumbing Code and Chapter the General I aws.
B
Y
Signature of Licensed Plumber
Title
Type of License:Master ❑ Journeyman }
City/Town
APPROVED(OFFICE USE ONLY) License Number
I
Date. r .......
/ A
40RTTOWN OF NORTH ANDOVER
pf av ,•,tib p
c= ' • 0� PERMIT FOR GAS INSTALLATION
I �,SSAGHUSEt<
U,
� 1 pGp
t "," T
This certifies that �1/ !. .I. . . . . . . . . . . . .!. .. . . .. . . . . .. . . . .
has permission for gas installation . .1'. . . .. . . . . .. . . . . .�tg
in the buildings of /: .I` F.1. ). .. . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
at . . . . a. S. .c T r. . . . . . . . . .. North Andover, Mass.
Fee. 1.7 4 .: . . Lic. No../. . . .. . .! . . . . . . . . . . . . . . . . . . . . . . . . . . .
GASINSPECTOR
WHITE:Applicant CANARY:Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FORRMIT TO DO GASFITTING
(Print or Type) }� p
l �[j, t�Mass. Date - f 19 9� Permit
Building Location-4 A`C t - n
Owner's Name 1,R�1"Ny
Type of Occupancy
New p Renovation p Replacement Plans Submitted: Yes
O No
N N U z ¢ rA
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Y < W < C N )- N m Z O Z W O N S
aac 'i o cal Y U. a 3 0 o � v ¢ y a a `t 0
SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR I
3RD FLOOR _
4TH FLOOR - —
STH FLOOR
6THFLOOR
7TH fLOOR
STH FLOOR
I dl MAFFEI PLUMBING, INC. b Tio- Check one: Certificate
198 High St., Ipswich, MA 01938 - !�-Corporatlon 'a.0 go
TEL(978)356-1122•FAX(978)356-8722 ❑ Partnership
Bush
O Firm/Co.
Name of Ucensed Plumber or Gas Fitter G tic
r
INSURANCE COVERAGE:
I have a current bility insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes, No O
If you have checked yes, please Indicate the type coverage by checking the appropriate box.
4A liability insurance policy,0--- Other type of Indemnity O Bond O
OWNER'S INSURANCE WAIVER: 1 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 tamer or Owner's Agent OwnerO Agent O
I hereby certify that all of the details and information I have submitted(or entered)in above application are true d accurate to the best of my
knowledge and that all plumbing work and installations performed under the permi ' ed for this application II be i compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of th eral laws.
T of license: `
rTi,tl,e— Plumber nAture of cens Plum r rtter
slitter
�:,,,,, aster License N ber OO S
BELOW FOR OFFICE USE ONLY
'
FINAL INSPECTIONS SKETCHES fc
FEEt__ v \ PROGRESS INSPECTIONS
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME&TYPE OF BUILDING
LOCATION OR BUILDING
Ac�-}
PLUMBER
----------------
PERMIT GRANTED
DATE 19
PLUMBING INSPECTOR