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Home My WebLink AboutMiscellaneous - 47 EDGELAWN AVENUE 4/30/2018 (2) �� v l� r Date. �..� .�'/... .. f MORT/j , TOWN OF NORTH ANDOVER p D • PERMIT FOR GAS INSTALLATION s �+ SAC'H�SE<t r This certifies that . . . :. . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . 1. . . . . . . . . . . . . . . . in the buildings f . . . . . . . . . . . . . . . . . . . . . . at . . . .... . . . .. North Andover, Mass. Fees :° Lic. No:. 9�q4. . �tWf . . . . . . . . . Check# 695iO MASSACHUSETTS UNIFO--M APPLICATION FOR PERMIT TO DO GAS FITTING — CitylTown:'I�N- N n�Oo qay MA. Date: Z� �� Permit# 70 Building Location��t� �,`%W1A �iV� Owners Name: ywe►�q Q— 1"Q-e1 V � Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional❑ Residential New: ❑ Alteration: ❑ Renovation: ® Replacement: [ Plans Submitted: Yes❑ No FIXTURES ui � Z lw Y = W Q Z W 0 U) = rn m 2 (9 J_ U IY ~ 0 OO 2 w w 0 z z z O iY W w O m 0 a o w x w w Q � > z 47 W O w N o '+- w x H > v w Z O -� Iw— H O z j 0 LL w W w w z w �- W fn - Q Q m w O z O N t- > z x SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 Ku FLOOR 4 FLOOR 5 FLOOR 6 FLOOR -i'FLOOR 8 FLOOR Check One Only Certificate# Ins-2alling Company Name_ ' ��t �°+� Corporation Address: City/Town c,5 a n State: ❑Partnership Business Tel: fl\ rOWN LV�'-A1 Fax: ❑ Firm/Company Name of Licensed Plumber/Gas Fitter:rlo-�Q—T k(-� INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes 2Q No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 9 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 application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑;1 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 compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ® Plumber ❑Gas Fitter Signatureof LI nsed Plumber/Gas Fitter Title a Master CityFrown [-]journeyman License Number: APPROVED OFFICE USE ONLY ❑ LP Installer FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS) FEE: $ PERMIT# APPLICATION FOR PERMIT TO DO GAS FITTING I a NAME&TYPE OF BUILDING LOCATION OF BUILDING SKETCH PLUMBER GASFITTER LP INSTALLER LICENSE NUMBER: PERMIT GRANTED n DATE' GAS FITTING INSPECTIOR i Date.-7�. ".OR'r:'� TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING 49 'SSACMUS� This certifies that . . . . : . . . -f1-: r f� "�"�- . . . . . . . . . . . . . has permission to perform . .. . . . . . . . . plumbing in the-buildings of . . .° `. . . . . . . . . . . . . . . . . . . . . at North Andover, Mass. Fee- . . . . . .Lie. No..�P: . . � . 1<-. . . . . . . . . . . . . . . "PLUS ING INSPECTOR Check # 5160 MASSACHUSETTS UNIFORM APPLICATION FOR-PERMIT TO DO PLUMBING (Print j or Type) nt _A.,nAvi .C, Mass. Date 2�� Permit # Building Location "1 / Owner's Name` ( n in n AST, O Type of Occupancy d _/ New❑ Renovation Vor Replacement❑ Plans Subm.it"ted: Yes 0 No Mgr y� FIXTURES B.P. # 'SEWER # SEPTIC # .. z Z Y cn � } O ¢ z W w Y J ¢ U v' Z v) Q � a ~ z O z O ," w _ � i- U w N u_ z a z a w O m w Q vWi : a W Z a z a p LL _ (/� Q H Q . 0 J rr Iw— u a S Oa z le a 0 z z w � Y w Q ¢ = " " Q O ¢ OJ OJ Q Q O ¢ LU i=— g m to o o g 3 to u_ 0 SUB-BSMT BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR i 7TH FLOOR 8TH FLOOR Installing Company NameLNC. Check one: Certificate Address ?0, /34,K / / �' /' Corporation Klo), tztz,,,, eY/�id l�a /�A ' Business Telephone 7 9'1 — !7,1—. ❑ Partnership /f` Name of Licensed Plumber or Gas Fitter �eS C a ❑ Firm/Co._ ry INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes� No ❑ i If you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy 411, Other type of indemnity ❑ Bond 0 " OWNER'S INSURNACE 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.0 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 performed under the permit issued for his application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 42 of the Gener ws. By Signature of Licen edumber Title City/Town Type of License: Master ❑Jourrieyman APPROVED(OFFICE USE ONLY) License Number 72 2 ,K