HomeMy WebLinkAboutMiscellaneous - 59 FARRWOOD AVENUE 4/30/2018 59 FARRWOOD AVENUE U-6
210/467.40059-0006.0
Date.. a�1.vet.... .. . .
,AOR T/,
of o 14
o� TOWN OF NORTH ANDOVER
' PERMIT FOR GAS INSTALLATION
A �,SSACHUSE�t
' This certifies that . . . . . . / r. t !. . . . . .( ��:� �... . . . . . . . . . . .
has permission for gas installation . . . . . . . . . . . . . . . . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . .
at . .). .0
`. ` `. .�. . . .,1, North Andover, Mass.
Fee. .?U. Lic. No.. .':�. F.�. . . . . . .
GAS INSPECTOR
Check#
72 / u
Date....`.`.`.��` . . . ... ..
OF MO°TM 1ti
3? TOWN OF NORTH ANDOVER
1 O P
PERMIT FOR GAS INSTALLATION
SSAC MUSES'(
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This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . . . . . 1: .1."3 . . . . . . . . . . . . . . . . .
in the buildings of . . . 1.1. !!'. : . .... . . . . . . . . . . . . . . . . . . . . . . . .
at . . . ). .`.�.-.�. �. . .r.`��!k North Andover, Mass.
Fee. .7.Y. Lic. No..13.SS. .`: . . 4!. . . . . .
GAS INSPECTOR
Check
72 , 9
Y
MASSACHUSETTS UNWORMAPPLTCATONFOR PERMTTToDo GAS FfrrjNG
(Type or print) Date
NORTH ANDOVER,MASSACHUSETTS
Building Locations � dA,I�Q w a Q Permit#
Owner's Name ount$
New❑ Renovation Replacement Plans Submitted
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SUB-BASER ENT
B A S E M ENT
IST. FLOOR
2ND. FLOOR
3RD. FLOOR
4TH . FLOOR
5TH . FLOOR
6TH . F L 0 O R
7TH . FLOOR
S.TH . FLOOR
(Print or type)'-,,,, — � f� ;Q Ch_erkone: Certificate Installing Company
Name 1; tP ty C
Corp.
Address
�°'— m P .' ❑ Farmer.
business Telephone
S-Fum/Co
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. yes [E '
If you have checked Yes,please indicate the a coverage b checkingate box.
the ro nNo�
Liability insurance policy 0 Other type of indemnity p Bond
13
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.
Signature of Owner or Owner's Agent Check one:
Owner 13 Agent 13
1 hereby certify that all of the details and information I have submitted(or entered)in above appli • n are true and accurate to the
best of my knowledge and that all plumbing work and in 'ons perfo ed under Permit 1s _,3,t_.
d for is application will be in
compliance with all pertinent provisions of the Massac setts tate G d d Cha 14 f General Laws. _
BY Signature of Lie ed Plumber Or Gas Fitter
Title Plumber 9 9 p y
City/`1 own [3Gas Fitter License Numoer
Master
APPROVED(oFi 1c> usE oNL1) 0 Journeyman
Date.
TOWN OF NORTH ANDOVER
- p PERMIT FOR PLUMBING
,SSACMUS�
This certifies that . . . f�.� ! . �. . . . �.r .� .'�... . . . . . . . . . . . .
has permission to perform . . . . . �!t . .t. . . . . . . . . . . . . . . . . . . . . . .
r
plumbing in the buildings of . . .j .l. r(! ! .{ `.... . . . . . . . . . . . . . . .
at . . . 5 `. G J. . .t. /.7.,?�. 9.,. . , North Andover, Mass.
Fee. . �.�. .�Lic. No..� S. ?. �. . . . . �. . . . r.l.�... . . . . `.
b PLUMBING INSPECTOR
Check #
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MASSACHUSETTS UNWORMAPPLICATONFORPERwrTODO GAS FiT'TING
(Type or print) Date
NORTH ANDOVER,MASSACHUSETTS
Building Locations a
Permit# Z L c+
Owner's Name e.41yx
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_�9 /Al 7 ount$ 1,0
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New❑ Renovation ❑ Replacement Plans Submitted ❑
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SUB-BASEMENT O
BASEM ENT i
1ST. FLOOR
2; D. FLO O R
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH . FLOOR
7TH . FLOOR
18-T.H . FLOOR
(Print or type v �� 1 J eck one: Certificate Installing Company
Name ' i�tP 1 ! ea �V
nn Corp. _
Address VJ OK 665--
ri— .� P nl 0 Partner..
3F�66
usmess a ep one 4� rt— UTirm/co.
Name of Licensed Plumber or Gas Fitter 7),y v,!\ i P�.E
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. yes
If you have checked ves,please indicate the type coverage by checking th6opri ate box. No�
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.
Signature of Owner or Owner's Agent Check one:
Owner r Agit
1 hereby certify that all of the details and information I have submitted(or entered)in above appli n are true and accurate to the
best of my knowledge and that all plumbing work and' ons perfo ed under Permit Is for is application will be in
compliance with all pertinent provisions of the Massac setts tate Ga d d Cha 14 f General Laws,
-9__
By. Signature of Li ed Plumber Or Gas Fitter
Title Plumber
City/Town [3Gas Fitter icense Number "
Master
APPROVED('OFFICE vsE oN1.Yj Q Journeyman
Date.
HORTIy
3:�,<� •�,;.��oo� TOWN OF NORTK ANDOVER
PERMIT FOR PLUMBING
SSAONUS�
This certifies that . . . D. �- .�. . � . . . ��r. C. .`�.s. . . . . . . . . . . .
has permission to perform . . . . . .1 �!�. �.
I . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . . . .r.�.�''.�
/I •r
at . . . .Yv. �. . .F-01 n.L�. �AA . . . .. . . , North Andover, Mass.
Fee. . 2�. . . .Lic. No.. . S.9 .`' . . . . . .
(PLUMBING INSPECTOR
Check # /� r 1 V
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APPROVED
(OFFICE
{�_ • tlt u:11
y • � if
t
Date. . . . . . . . . . . . .
No
o'<"•O RT:�4, TOWN OF NORTH ANDOVER
p PERMIT FOR PLUMBING
,SSACNUS�
This certifies that . . . . . . . . . . . . . . . . . . ... :. . . . . . . . . . . . . . . . . . . .
has permission to perform r. . .. . ... . . . :. .,. .y.. . . . . . . . . . . . . . . . .
plumbing in the buildings of . . '` .' . :.' . .. . . . . . . . . . . . . . . . . . . . .
at. . . ... . . . ./.. .. ... . . . . . . .<5.. A... . . . , North Andover, Mass.
Fee. . . . . . . . .Lic. No.. . . . . . . . . . . . . . . . . . . . . . . :. . . . . t. . . . . .
PLUMBING INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING cAb
(Print or Type)
_)'�OfL7�1 �,�/DOVP� Mass. Date 4ab_vo Permit # �Z
Building Location�� FF eeuj do 2) -Ira Owner's Name ME ELLZA QET r( veje I E"
IU U Y 4 . l-oV Q_ve-( Myq , 6 Type of Occupancy i_')I D E U t i 41 L_
New ❑ Renovation ❑ Replacement 2"0' Plans Subm' Yes ❑ No ❑
FIXTURES
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z W W (a D • J W C ¢ J O G D
W < 2 3 3 0 z S Y d O d W W Y W
a N F z O O o z = W I- O u _
3 ,c J m H G O J 3 Y f- M W c� a < S r+ m 0
SUB—BSMT.
BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR/�
Installing.Company Name f'1 LVkel m rY►,4 TA 7 Check one: Certificate
Address ��r Co AC H oit4 n) A ❑ Corporation
QI E TN I 'f-:::-AJ fr A U e� / ❑ Partnership
,Business Telephone -�7� Z-i97 1 ❑-fl-rm/Co,
lame of Licensed Plumber �4 f'r3 r=P_T fry SA n�ryl r4 tr4 fir"
OSURANCE COVERAGE:
I have a currentjability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes [Er No ❑ If
If you have checked Yes, please
/indicate the type coverage by checking the appropriate box.
A liability insurance policy 1d" 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❑
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
:nowledge and that all plumbing work and installations M#ormed under the permit• issu for this application will be in compliance with all
.iertinent provisions of the Massachusetts State Plum g e and apter of the oral Laws.
visL
Title
re of Licensed Pluffibe,
'
y/T Type of License: Master � JourneymanCitown
❑
APPRMM O ICE U ONL License Number �33 I
q P
Z
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES 1 PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME &TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 19
PLUMBING INSPECTOR