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HomeMy WebLinkAboutMiscellaneous - 52 PLEASANT STREET 4/30/2018 �2PLEASANT STREET I I . / 210/055.0-0014-0000.0 00,1 Date.lle!4 .Z . .... .. o? �` TOWN OF NORTH ANDOVER t - 'PERMIT FOR GAS INSTALLATION SSACHUSESS This certifies that . .. .. . ' !?. .?. .!!! . . e. . . . �` has permission for gas installation in the buildings of . .G�Ll�7f?. . ��! �'! ... . . . . . . . . . . . . . . . . . at . . ?. ? - t. .--fit . . . . . . . .. North Andover, .,Mass. Fee.4?, Y� . Lic. No..�f�3Sa GAS INSPECTOR Check# .;�—z Sw 8019 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY ,i ��r 024 nAD0✓ MA DATE PERMIT# JOBSITE ADDRESS OWNER'S NAME OWNERADDRESS __._ TE _ FAX G - TYPE OR PRINT OCCUPANCY TYPE COMMERCIAL® _EDUCATIONAL L] RESIDENTIAL CLEARLY NEW:[j RENOVATION:[I REPLACEMENT:Eg—/ . PLANS SUBMITTED: YES E] N0EI APPLIANCES Z FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 1 13 14 BOILER - BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS - MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST - UNIT HEATER UNVENTED ROOM HEATER WATER HEATER OTHER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES Q NO Ej I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICYEJ OTHER TYPE INDEMNITY E] BOND Ej 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 AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are tru and a rate to the bp4o y wledge and that all plumbing work and installations performed under the permit issued for this application will be in com ance A all rtine i f the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME h8(1. R i C'h l LICENSE# S GNA R MP 0 MGF EI JP F--] JGF[:] LPGI[:] CORPORATION[j�# PARTNERSHIP # LLC Cj#� COMPANY NAME: C)&,,est real u O_ ADDRESS ) 3 CITY 0P P �e�� — STATE ('rlI ZIP 1(0 TEL TEL SpE'7 — J J . FAX b- QffJ i //Y CELLI EMAIL d__ -►C' C�f n r �rn.b.•C.'o CM_e___ _.. ___ ... ._. ..—--.__-- ___-- w1 e ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes • No , THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ d FEE: $ PERMIT# PLAN REVIEW NOTES I 9272 T„ TOWN OF NORTH ANDOVER Ot 14, s PERMIT FOR PLUMBING SSACMUS This certifies that . . w. .L.^ .� !L© `. has permission to perform . . . '??/ AlAi . f'�9lcr". . . . plumbing in the buildingsof . . . . . . . . . . . . S7` . . . . . . . . . . . . .. No- h Andover Mass. e. Fee32'S"c�.Lic. No.. . .01. . . . . . /y PLUMBING IN PECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY .O �r —__ MA DATE PERMIT# JOBSITE ADDRESS C14..Ia�1,e- .._ OWNER'S NAME�� P OWNER ADDRESS [ � _ TEL L�� FAX TYPE OR OCCUPANCY TYPE COMMERCIAL[ EDUCATIONAL [ RESIDENTIAL PRINT CLEARLY NEW: RENOVATION:[ REPLACEMENT: ---' PLANS SUBMITTED: YES D NO[ FIXTURES-1 FLOOR— BSM 1 2 3, 4 5 6 7 8 9 10 1 11 12 13 14 BATHTUB ---- r CROSS•CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM _ _ DEDICATED GAS/OIL(SANO SYSTEM i _ I DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM i — DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER,, FLOOR./AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOFDRAIN — SHOWER STALL'. SERVICE/MOP SINK �. TOILE[,; ; URINAL. i WASRING MACHINE CONNECTION (- WATER'HEATERALL TYPES WATER:PIPING,"; OTHER" -- I--� �. i I E i 3F jr EIII, INSURANCE COVERAGE: have a current liabilityinsurance policy or its sl bstaritial equival'erit which meets the requirements of MGL Ch.142. YES[A NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY [] BOND r 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 mylsignature on this'permit application waives this requirement. CHECK ONE ONLY: OWNER Ej AGENT SIGNATURE OF,OWNER OR AGENT I hereby certifV that all of the details and information I'•have submitted or entered regarding this application arp 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 mpl' nce with ertinent provision of the Massachusetts State'Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Stephen G Ritchie' I LICENSE# 10355 SI NATURE MPEli+I JPLl CORPORATION #2551 PARTNERSHIP # � LLC #[ � COMPANY NAME Worcester Gold Cor oration ADDRESS 134 Gold St , CITY Worcester j STATE MA ZIP 01608 TEL 5087989955 FAX 5087578114 CELL �®- EMAIL `office amrplmb.com ..ROUGH PLUMBING�INSEECTION'NUTES BELOW-FOR:UFFICE'=USE'ONLY -FINAL INSPECTION NOTES Yes. No „<t 7HIS'APP.LICATION SERVES AS THEP,ERMIT . FEE: $ PERMIT W ~ €' PLAN REVIEW NOTES f{ 4 1 I� , 3352 Date. ::. .. ........ NpR*M TOWN OF NORTH ANDOVER pF 4�.ao ,ti0 PERMIT FOR GAS INSTALLATION t • • i .^ a s o9� ,' • 39SSACeHUSEt< This,certifies that . . . . . . . . . . . .:�:�:�: . . . . . . . . . . . . . . . . . has permission for gas instal ation in the buildings off _��. . . . . . . . . . . . . . . . . . . . . . . . . . . at . ' .� . ....... .-- '� . . ., North Andover, Mass. Fee?�5. . . . . . . Lic. No.Fs.33. . . . GAS INSPEOTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Iy d R- 7(-4A A/DO�Qr°Mass. Date / Permit # BuildingLocatiy�- Pt- ,, ;� S 1 er• Name :S�0,-f on s :� 0r2- T{� p4 "JI-x-, Type of Occupancy_ -RES I T—) N T! P L New ❑ Renovation ❑ Replacement 2 Plans Submitted: Yes❑ No p N OW N N Y Z ¢ tlf N U ¢ F ¢ y ¢ N ¢ O z N S H 40 UA I- S ql d m z O V ~< 30- _ O W < ¢ O O F < m of F- y W O d ¢ i ¢ W < I.- N < N ¢ W Z V W = N W < 4 _ _ ¢ Uj G7 f- ZJ F Z �.. W, W �A Om Z O Z W O f~a S Z < W < c < W > x W O Z. < ¢ _< < O O W o SUB—BSMT. BASEMENT [+4 1STFLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR a STH FLOOR Installing Company Name �iieji;=(Z T • :>AtYN MAT A i20 Check one: Certificate Address Q t nA C H/A A ry i- ( ❑ Corporation 111 ' 7 H ' - rJ 01 a U 1 N Ll ❑ Partnership Business Telephone 5 9"7 ( 2- Firm/Co. Name of Licensed Plumber or Gas Fitter "i Q/3 E P T A- 5A MM rq Tr4 (-) INSURANCE COVERAGE: I have a current�I'abiltty insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 2' No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box A liability insurance policy id 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 are true and accurate to the best of my knowledge and that all plumbing work and installations performed underthe pe ' i ed for this application ' be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 co ne Laws. By T of License: TitleGgtt Plumber n ure of Licensedu -. or Fitter fifter er License NumberCityq33� /Town Journeyman �i BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO DO GASFITTING I NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. I PERMIT GRANTED DATE-19 GASINSPECTOR r f N • •-,- -••��� "0 Umlt"UH M APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date_ /t- 7 - 197 -_L__ Permit # 2 cX- Building Location ��,q ,4 .�._ �_� Owners evY>d VLA 'eE. Type of Occupancy New p Renovation p Replacement Plans Submitted: Yes❑ No la N � W IU CC co Y W N W W cc a Q O = N = F., (y J_ N W 10- V m r z x Vf 2 O W 1- < = Z O h- m N H cc cc 0 O W W 6 W d C W ~ a N t7 V W = Z I- N `( W W W 2 N W < a O' a W 2 F, W a O W W !- V s H a Q W < C H W O Z 0 J W WIZIz. < � q( m z o z W o CL O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name. BAY STATE GAS : COMPANY Address 55 MARSTON STREET Check one: Certificate # LAWRENCE;' MA 01840 10 Corporation 1862 Business Telephone 5 0 8-6 8,7=110 5 ❑ Partnership Name of Licensed Plumber or Gas Fitter Francis X, ❑ Firm/co. _ INSURANCE COVERAGE: _ I have a current liability insurance policy or Its substantial equivalent which meets the requirements Yes No ❑ s of Ch. 142. If you have checked, yes. please Indicate the i � 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 Chapter 142 atu ee d not P of the Mass. General Laws, and that my signature on tt j_ have the insurance coverage required by permit application Waives this requirement. Signature of Owner or Owner's AgentOwnerCheck one: ❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered)in abo IaWMedge and that all plumbing work and Installations performed under the permit iss t r this app are true and accur to to the best of my Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene application w11U n� mplianoe with all BY Tga of License: Title Plumber Gasfitter Signature o cen um r or Gas QWT,own Master Journeyman License Number 8697 �'.,cO M"17 cx O S • I, BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION i FEE N0. APPLICATION FOR PERMIT TO ADO GASFITTING NAME S TYPE OF BUILDING • S • LOCATION OF BUILDING 10 PLUMBER OR GASFITTER 1.10. NO. > PERMIT GRANTED DATE i GA43 INSPECTOR 275 7 Date. �j.�L'.: �.•...... Of TOWN OF NORTH ANDOVER 3? a ° ` PERMIT FOR GAS INSTALLATION f F s a •e . y SAt11U5ES4 _ This certifies that � . .�-�`.r. . . . . . . . . . . . .!'. � m has permission for gas installation . C1 . . . . . . . . . . . . . . . . . . C in the buildings of . . 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . .z=.. at . . . S. t 6' i�r.�?; f. . _ . . . . . . ., North Andover, Mass. Fee. . �. �. . . . Lic. No.. 1peET). . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer � ��. .. Date.. . . .. E „ORTh �`' TOWN OF NORTH ANDOVER • . PERMIT FOR GAS INSTALLATION 9 . y �9SSACHUSEtt r This certifies that has permission for gas installation in the buildings of . .��oywy�"-'�'. IZa./. . . . . . . . . . . . . . . . .� . . . . North Andover Mass. Tee.—5t— o� .. Lic. No.�Y—X3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . / GAS INSPECTOR Ch-- k# �/ 458 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING �jti (Print or T��a6 ) t 01-i✓ , Mass. Date Z OL J Building Location.yr / Owner's Namsz&/6 42L&L�61jy� v Type of Occupanry� I 7e N 7i r� New ❑ Renovation p Re cement 2 Plans Submitted: Yesp No p N N V Z C ; UA W n J to W 1� Z H < � Z Z Q Y W < m H tW- y ¢�IC 0C z H o < W < Q W W Wid J < = W lu Z Q O W ~ W V ' < m a Z < )w N Z O 2 =O us UA Co O0siamo U. 0 A fHA QS 1w- o SUB-BSMT. BASEMENT 'IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name �f rj e T A . `�-lm MA T A(2C� Check one: Certificate Address -I na r t r h f4, p Corporation 11"1 F 7 N :E n} t11 rl • C) l k g r p Partnership Business Telephone_ 6 2 -() q-7 1 2-,firm/Co Name of Ucensed Plumber or Gas Fitter Ao(A E ie T A- 5 A m M A 7A k0 INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes (� No ❑ If you have checked yes. please indicate the type coverage by checking the appropriate box A HaWity insurance policy ' Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required Chapter 142 of the M g � by 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 are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the pe i for this pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of Laws application be in compiianoe with all T%our License:Titie_Pmber n ure n u or fitter or License Number , J')AyRo: urneyman /1PPROVF�. 1 BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION FINAL INSPECTION SKETCHES FEE NO. APPLICATION FOR PERMIT TO 00 GASFITTING NAME& TYPE OF BUILDING LOCATION OF BUILDING y PLUMBER OR GASFITTER LIC. NO. I PERMIT GRANTED DATE �9 GAS INSPECTOR