Loading...
HomeMy WebLinkAboutMiscellaneous - 61 MAIN STREET 4/30/2018 (2) _ � i i i '` 1 .�` �. �. i i Date:7`�4� N° 4318 NOR7N ° TOWN OF NORTH ANDOVER too PERMIT FOR PLUMBING ,SSACMUS77� This certifies that . . . 4f.�; . ... - o-- -. � -rte'. . . . . . . . . . . . . has permission to perform .rte_- �..a. <r-r �.�. . . . . . . . . . . . . . . . plumbing in the buildings of : . . . . . . . . . . . . . . . . . . . . at. .�l . '�!`<- �. . . . . . , North Andover, Mass. t � Fee . . . .Lic. NoYa& . . . . . ..,�. .-.`. . . . . . . . . . . . . . . . PLUM8N'G�SPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) /nI NO(Z74 ON j/oy Mass. Date / 2 Permit # Building Location n4 QAl J-P is Name /)U 6�l O,/ ype of Occupancy t 51 L7 E V New ❑ Renovation ❑ Replacement ud' Plans Submitted: Yes ❑ No ❑ FIXTURES Z � Z N Z Y Q 1-LLI N N H O Z > H J � V a .r W W N 2- N Q ¢ Q = ~ = O Z N a 2 J H W N F- W N H 0 ¢ Y Q N W 2 a = f. V ¢ m y ¢ > a H N Z ¢ d O Q a X Z O O ¢ Q W ¢ > a W o a N z ¢ a ¢ O Ix W tu (aV < S to J Ix = CZ = X d O ~ Z Z d W LL Y W < ►. > 1- O N N O N F = O O N W O V 2 < Q r a Q O a J < ¢ rr a a o a f- 3 x J m {q C p J 3 = r. co o SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name p1011)Eeg7 /-14 - �Srmm,4TAxe-0 Check one: Certificate Address- ��r C�r4C hi Ind n) ❑ Corporation JYl E TN i '15-A) . fti A 0 t fi L/LJ ❑ Partnership Bus',ness Telephone ^�j_ -i97 1 9rrn/Co. Narre of Licensed Plumber 4 r r3 r=,i'T fry S!f,�vl,►1,4 �r4 Vic"` INSURANCE COVERAGE: 1 have alcurrent Jability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. [a' If you have checkedrtes, 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: 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 ormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum g e and apter OF of the oral Laws. BY 'tiL L Title re of Licensed Plum r City/Tow n Type of License: Master % Journeymah ❑ p APPROVED OFFICE U ONL License Number �j33 55 �I BELOW FOR OFFICE USE ONLY V FINAL INSPECTIONS SKETCHES 1 PROGRESS INSPECTIONS FEE i NO. APPLICATION FOR PERMIT TO DO PLUMBING I i E NAME &TYPE OF BUILDING I I LOCATION OF BUILDING ' f PLUMBER I I ' a PERMIT GRANTED DATE 19 I PLUMBING INSPECTOR k k I Date.i.'�.7" L °f,".0 RT TOWN OF NORTH ANDOVER ° PERMIT FOR PLUMBING. SSACMUS� This certifies that . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . i�r' at. .6.f. . . l� � . . �- . . . . . . . . . . . . , North Andover, Mass. Fee.6p),.:'. .Lic. No..?Z x`1.1.. . . . . . . . .� .. . . . . . . LU WING INSPECTOR Check # t G 5339 r a MASSACHUSETTS UNIFORM APPLICATION FOR,PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date ' Building Location (A h1,VA i,N-' �" Owners Name T1.G&PSS �(d c-I Z Permit# j Type of Occupancy Amount New Renovation Replacement Plans Submitted Yes ❑ No ❑ FIXTURES z d H w � w oz Cn Cnx a � � A � C- A Bsv»r a a as �1v�N1 m mm 3MHDM 4MKOM 5M KBM 6M HDM 7MH-"gm I mm (Print or type) Check one: Certificate Installing Company Name—Ad 5TA12 PO4 2 0 Corp. Address 1q3 ��l**r�y� q• ❑ Partner. C'L,c rv'r' 3 Business Telephone Name of Licensed Plumber: PIMA Insurance Coverage: Indicate thexpe of m urance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity El Bond ri Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature 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 Permit Issued for this application pp on will be in compliance with all pertinent provisions of the Massachus s to B P P � �� �o d Chapter 142 of the General Laws. By: SignaLure 77 Licensou riumuer Title Type of Plumbing License City/Town icense Numner Master Journeyman APPROVED(OFFICE USE ONLY t V L� L . o b Date. .Y .-. /.S.'R.i.. ... . u1 SNpRTM 0 '6 o� ° TOWN OF NORTH ANDOVER F A r- ' PERMIT FOR GAS INSTALLATION SACMUSEt C This certifies that .yf9. �.1. . . . ./ W' -/ . ... . . . . . . . . . . has permission for gas installation . .P.e.4- a .. . . . . . in the buildings of . . ./?/ .'�- p.'f.s r, . . . .I� t/-I. .. . . . . . . at . . . . . . . . . . . . . . . ,North Andover, Mass. Fee./.).�. Lic. No.. . . . . . . . . . �l..?r . ._ . . . . . GABS INSPECTOR Check# L/I ? D ✓ 4105 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO G_AS FITTING (Type or print) NORTH ANDOVER,MASSACHUSETTS Building Locations G/ Permit"# - /V�D.�'� Amount Owner's Name New o Renovation [g/ Replacement 0 Plans Submitted at ae � � � O ►� a a ,W c7 z W o E SUB-BASEMENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR i 7TH. FLOOR STH. FLOOR ON*it one: Certificate Installing Company Name �'''`� �!�'i� +T U.Corp` Address Parti Business Telephone - Firm/Co. Name of Licensed Plumber or Gas Fitter l2 j2✓� �j ��j��.G�t,/L II3SiJRAIJCE COVERAGE Clieck one" I have a current liability Insuraaeepolicy or it's sibstaztiat equivalent: Yes ATo ; Ifyou;have checked :please indicate`the. e by checkingtheappwdaftbm, )liability insurance poli,y Other type of indemnity Q Bond Owner's Insurance Waiver I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe Mass.Geral Laws,and that my-signature aa►this permi application waves this requirement , .. Check cxie Sighature.of Owner or O*vJo-'s Agent Owner Agesit I hereby.certify that all o€the details and information I have submitted(or entered)in above application are true and.accurate to the best of my knowledge andthat all plumbing work and installations perfenned under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts to Gas Code an,0.piapter 142 of the GeneralLaws. Signa o icensed Plumber Or Gas Fitter rl [3Plumberley/Town Gas Fitter Icense NumDer Master APPROVED(OFFICE USE ONLY) . M__M61neyman .