Loading...
HomeMy WebLinkAboutMiscellaneous - 67 MEADOW LANE 4/30/2018 67 MEADOW LANE % 2101045.F-0021-0000.0 I 4 F 1 I I I I I I I I I Date. v.l.�...1.................. OF MORTIi�h TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION HU This certifies that 'F.:..�:.I.............................i.......................................j......................:�?...... has permission for ga i stallation ..1......r1 c....�.......4P J............................ —� in the buildings of......1.`..... .u. .ti" '. . ................................................................ `..:V................ North Andover,Mass. Ir�........................................................ q GASINSPECTOR Check# (y f• I *' MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY I North Andover MA DATE 4/1512014 PERMIT# 61 JOBSITE ADDRESSI 67 Meadow Lane OWNER'S NAME l� lil t GOWNER ADDRESS I Same TEC IFAXI TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL❑ RESIDENTIALED PRINT CLEARLY NEW:® RENOVATION:E] REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NDE] APPLIANCES 1 FLOORS- BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER — BOOSTER CONVERSION BURNER COOK STOVE _ DIRECT VENT HEATER DRYER FIREPLACEj FRYOLATOR r--- - -- 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 OTHERI E-71 Replace 1 Gas Meter x r and Pi ing as Needed INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES Q NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER TYPE 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 AGENT 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 performed under the permit issued for this application will be2cpliance with all Pertinent provision ofthe Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Joseph Marino LICENSE# 8736 SIGNATURE MP0 MGF❑ JP❑ JGF❑ LPGI® CORPORATION E]# 3285C PART ®# LLC❑# COMPANY NAME: RH White Construction Co ADDRESS 141 Central St CITY I Auburn STATE MA ZIP 01501 TEL (508)832-3295 FAX 508-926-4347 j CELL 508-832-4614 JEMAILI JMarino@RHWhite.com NIh ry ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES 112 u /z,1 a _-=-C&a�111iltiO,NitUEAL TH OF MASSA t _UEl es•: M. BERS AND GASFIT�T- � 5 LIB ED AS-.A_Ma`='STER PSE - ( SUES T1 IS`48C2UE LiC_EN_SE ''J�O:S�E`E''�El.''D 'M•A-R.IN.O .--.. - �:c• `'= • RRITJGTON ST __ l M; r s6 05/01/14 I • G:®iuilUICDNWEALTH OF MASSA -.USET.._. iS'; ERS AND GASFITTERS L('CEIVS`EU AS A JOURNEYMAN-PLUM, TSSUES THE ABOVE�LIOEVSE TO«zY _ Fi4RR_'I=NGTON ST- -_ - -( 'V7i GIr Sof'-E R �9A 0 1 G o:4='=3-rC19'' • .Y = } 05/01!14 I - I . i ' &4/&:i/1&14 14: &4 b088J2b 1b1 KH WHI I t GUNS I KUU I FACE 111/&1 ,14CC31PLO® CERTIFICATE OF LIABILITYINSURANCEPage 1 Of 08/29/20 3 TTF(IS CERTIFICATE IS ISSUED ASA MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the Poliey(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s)- PROpUCEft CONTACT Williq pE hJWR Masamehusetts, ins. PHONE c/o 26 C011tury Blvd. No_FXD. 877-945-7378 FAxAIL _NO)_ 888-467-2378 P. 0. Box 305191 n 5s cex ificate�r�w•illis.com Nrsghville, TN 37230-5191 INSURER(S)AFFORDING COVERAGE NAI Crr INSURER A_The CbartAs Oak Fixe Inaurarnoo Company 25619-001 INSURED R- H, White Conatruction Company, Inc. INSURERS:TrdVclaXs property Casualty Company of Am 25674-003 41 Casntrdl Street INSURERC:National Union Firs) Ineuranea Company of 7.9445-001 P. 0. Box 257 Auburn, MA 01501 INSURERD;Travelers indemnity Company 25659-DO1 INSURER F; INSURER F; COVERAGES CERTIFICATE NUMBER:20287680 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN[$SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IJJJL NSR TYPEOPIN$URANCE DDSUB pOLICYNUMB@R POLICY EFF POLICY EXP LIMITS A GENERAL LIABILITY VTC20C0 977$9946-13 9/1/,2013 9/1/2014 EEAACHO�CCURRENCE ^F 2,000,Q00 X COMMERCIAL GENERAL LIABII.ITY ORE�Igg�Ee Oce Fiancrf R 3 0 0,0 0 0 CLAIMS-MADE10OCCUR MED EXP(Any one ereen R 10J 000 PERSONAL&ADV INJURY $ 2 000,000 GF.NERALAGGREGATE $ 4'Q00'000 FG.EN'LAGGREGATELIMITAPPLIESPER; PRODUCTS-COMPIOPAGO $ ,.000 1 000 POLICY PR$ L0C AUTOMOBILE LIABILITY VTJCAP 977K955A-13 9/1/2013 9/7/2014 $ OII (eDSINGLEI.IMIT q 2,000,000 X ANY AUTO BODILY INJURY(Perperson) $ AUIT)S NED nUTosULED BODILY INJURY(Peracclden!) X HIREDAUTOS X NON-OWNED AUTOS eraccldent S X Co Dad X Cv11 Ded $ C UMBRELLAI,IAB OCCUR BE8766140 /1/2013 9/7./2014 EACHOCCURRENCE $ g�000,000 EXCESS LIAR CLAIMS-MADE AOOREGATE $ q-6001000 DED $ RETENTIONS 10,000 S D WORKERS COMPENSATION k21CVB 6205A785-13 9/7/2073 9/1/2014 XWO STAT AND EMPLOYERS'LIABILITY y�N TARY,LJ, D ANY PROPRIETOR/PARTNFRlEXECUTIVEI I NIA VTC2KDB A203,A71A-13 9/1,/2013 9/1/2014 E.L.FACH ACCIDENT .% 1.000.000 OFFICER/MEMSEREXCLUDEm LL"JJ fMyyendato IN5uniar E.L.D18EASE-EAEMPI,OYP.E $ 1,000,000 UESVK1IIB I IUN Ud OFF'RATIONS below El,DISEASE-POLICY LIMIT $ 11000,000 DEsc RIPrION OF OPERATIONS/LOCATIONS/VEHICLES(Attach Acord 101,Addltonel Rematke Sehedula,It more ep eeo It r¢qulrad) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZI!D REPRESENTATIVE EvxdAnCe of InlauzanCe colli4197604 Tp1:1694012 Cert:20287680 ®1988-2010ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD Columbia Gas® of Massachusetts A NiSource Company 995 Belmont Street Brockton, MA 02301 February 19, 2013 Mr. Jonathan Mutunga 67 Meadow Lane North Andover, MA 01845 Dear Mr. Mutunga: During a recent visit, our service technician detected a safety problem with your gas heating system at 67 Meadow Ln.,North Andover, MA 01845— runaway oven. Accordingly,we have issued a Warning Tag because of this situation. Under the circumstances,we strongly urge you to correct the code violation. In addition, the Massachusetts code pertaining to the installation of gas appliances and gas piping, established under Chapter 737, Acts of 1960, requires that the condition be remedied. If you have any questions, please call our Service Department at 1-800-677-5052 and ask to speak with the Service Supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Customer Service Department Columbia Gas of Massachusetts GDI= a Gas- of Massachusetts A NiSource Company 55 Marston Street P.O. Box 869 Lawrence, MA 01841-2312 October 18,2012 978.687.1105 Fax:978.688.1875 Edith Nahill Account Number: 67 Meadow Ln North Andover MA 01845-4328 Dear Edith Nahill: During a recent visit, our service technician detected a safety problem with your gas basement range and wall oven located at 67 Meadow Ln., North Andover, MA. Accordingly, we have issued a Warning Tag because of this situation. Coulter top range in basement is leaking at burner knob and wall oven is leaking through valve. Under the circumstances, we strongly urge you to correct the code violation. In addition, the Massachusetts code pertaining to the installation of gas appliances and gas piping, established under Chapter 737,Acts of 1960,requires that the condition be remedied. If you have any questions, please call our Service Department at 1-800-698-0940 and ask to speak with the Service Supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Customer Service Department Columbia Gas of Massachusetts CRR: CRR# CAcisupdatedletters1110 10/18/12 At Location 4'0 .#•/Ad&(l - a No. DateQ NORTIy TOWN OF NORTH ANDOVER O�t .•o ,•1ti0 3? i • O 0 AL A Certificate of Occupancy $ s�CM�s t� Building/Frame Permit Fee $ `) Foundation Permit Fee $ Other Permit Fee $ TOTAL $ _3 Check # v b 17204 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATF4. OR DEMOLISH A ONE OR TWO FAMILY DWELLING WELDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: Building Commissio&AE'f vor of Buildings Date SECTION I-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: e)LAI mal I 4_­ Map Number Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: Zoning District Pr Proposed Use Lot Areas Frontage(ft) 1.6 BUILDING SETBACKS(ft) Front Yard Side Yard Rear Yard Required Provide Required Provided Recmired Provided 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: 1.9 Sewerage Disposal System: Public 0 Private 0 Zone Outside Flood Zone 0 Municipal 0 On Site Disposal System 0 SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT T Historic District: Yes Nn 2.1 Owner of Record N (Print) Address for Service: ighae Tc!0rdfi­, 2.2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3-CONSTRUCTION SERVICES 37nsed Construction Supervisor: Not Applicable 0 7TIL- Licensed Construction Supervisor: License Number -7 (1-3 vs—0 Expiration Date *oTelephine 3Ze istered Home Improvement Contractor Not Applicable 0 y,-11 r r. :">,4 -T;N (�)ompany Name V - 1015- o��s— 3 /z_1-4 IV i5 N Registration Number Address- 1— Expiration Date Telone } T SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavit m be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the buildin rmit. Signed affidavit Attached Yes.......IV No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction ❑ Existing Building ❑ Repair(s) ❑ Alterations(s) ❑ . Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify `S�?;? f ���—jZ�,Q .mac ✓ �� Brief Description of Proposed Work: C �y D(J l Z �7G€ + r27;-2 4 7-1E 3fiJ'F5 _S NES , 12) /20 SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be -',,OFFICIAL USE ONLY Completed by permit applicant _ 1. Building (a) Building Permit Fee CO Multiplier 2 Electrical (b) Estimated Total Cost of .F Construction 3 Plumbing Building Permit fee(e)X bbl 4 Mechanical HVAC `j 5 Fire Protection 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT h as Owner/Authorized Agent of subject property t Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ' I, j��V'47 o D _ , rvt i�tE e c}t S as Own e Autho Agen subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief a ci 'Jif 2 Prim e a !/ Si atur f Owner/A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2 3FD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS 4 DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHRVINEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02111 Workers'Compensation Insurance Affidavit Please Print Name: Location: /✓> � �� ©2l� iy City lU d 7-( Q 0 1/ Phone F-1 am a homeowner performing all work myself. F-1I am a sole proprietor and have no one working in any capacity �m an employer providing,workers' compensation for my employees working on this job. ' Company name: :4"r,11y•p t ady'1 Ma ut r£ tk o or-f i IRclo F, iY C- G a --7&--ref C Address City: Phone#7 Z/L'1 0 Insurance Co. Uzz_ z/1-f Policy# l<0 3 - b 3 x Company name: Address City- Phone#: Insurance Co. Policy# Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of($100.00)a day against me. I understand that a copy of this statement may be forwarded to the Office of investigations of the DIA for coverage verification. I do herby cert' er the pains and p775, penury that the information provided above is true and correct. Signature _ Date'- 0 c��° 6 Print name /rj'I o N 7 r .'9 rh Ohl a✓t S r .ti Phone# g G b o Official use only do not write in this area to be completed by city or town official' Building Dept ❑Check if immediate response is required Building Dept p Licensing Board E] Selectman's Office Contact person: Phone#.. ❑ Health Department Other FORM WORKMAN'S COMPENSATION Official Use Only Permit No. „ Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date To the Inspector of:fires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number Owner or Tenant Owner's Address Is this permit in conjunction with a building permit Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Voits Overhead 0 Undgmd 0 No.of Meters New Service Amps Vofts Overhead 0 Undgmd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above 0 In 0 No.of Lighting F"ndures Swimminq Pool gmd 0 gmd 0 Generators KVA No.of Emergency lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Diposal No. Pumps Tons KW No_of Sounding Devices NoJ of Self Contained No.of Dishwashers SpaceJArea Heating KW Detection/Sounding Devices 0 Municipal 0 Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiri No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO have submitted valid proof of same to the Office YES= NO - If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE - BOND - OTHER - (Please Specify) (Expiration Date) Estimated Value of.Electrical Works Work to Start Inspection Date Resquested Rough Final Signed under the Penalties of perjury: FIRM NAME LIC.NO. Licensee Signature LIC.NO. Bus.Tel No. Address Att Tei.No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMIT FEE $ (Signature of Owner or Agent) Boar)of Buil'iing Itceulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 101862 Expiration: 6/29/2004 Type: Private Corporation RAYMOND E. DAMPHOUSSE,JR. Raymond Damphousse,Jr. 75 Butternut Lane _ Methuen, MA 01844 ' Administrator BOARD OF BUILDING REG License: CONSTRUCTIONLATIONS NumSUPERVISOR Number: CS 046636 Birthdate: 06/02/1048 t Expires:mo2/20Q5 Tr,no: 11256 RAYMOND E Restricted:tr1G 75 BUTTERNUT LANE UR METHUEN, MA 01844 « — ' Administrator � t RAYMOND E. DAMPROUSSE, JR. AND SONS ROOFING CO-9 INC. BOX 431 LAWRENCE P.O. MA. CONSTRUCTION LAWRENCE, MA 01842 SUPERVISOR LIC. #046636 TEL: (978) 683-4588 HOME IMPROVEMENT REG. #101862 ROOFING — SIDING — INSULATION Date From: f;��/ 1 /f (Name) (Address) To: UTNOU L DAMP9OOSSE, ,IS. AND SONS ROMIG CO., IMC., BOX 431 LAWRENCE P.O., LAWRENCE, MASSACHUSETTS 01842 I (we) hereby authorize the Contractor to furnish all materials and labor necessary to install, construct and place the Improvements described below in-on building located at No. `y F �'� y '1A/ /_ Al Street, City :! =% / r✓-c State .I r in accordance with the following specifications: r'c/f.r �'..✓+ I .r. ... %^+' !I _.�L L e, N G!` ,17�J's iJ �/?G,l.f '� i•'y j�./7��-� ,v^� I! A /QYtn f? 1✓ Y '. All of the above work to be done in a good and workman-like manner. All men and equipment insured. Premises to be left clean upon completion of work. For the total sum of dollars. Entire Sum to be paid immediately upon completion in accordance with plan as shown below. TOTAL CASH SELLING PRICE . ... . . . ... S DOWN PAYMENT IN CASH . . . . . . . . .. . . . DEFERRED BALANCE UPON COMPLETION . .. . . . . . . . . . . . . . . . The undersigned agrees to keep property mentioned in this agreement properly insured against loss by fire Including the Contractor's interest therein. This agreement shall become binding only upon the written acceptance hereof by said Contractor, and upon such acceptance this shall constitute the entire contract and be binding upon the parties hereto, there being no covenants, promises or agreements, written or oral except as herein set forth. It is the intention of the parties hereto that this contract shall be binding upon their respective heirs,executors, administrators, successors and assigns. Customer agrees to pay a reasonable sum as attorney's fees and Court Costs if placed in hands of attorney for collection. The owner further agrees that in event of cancellation of This contract after acceptance by the contractor and before the work is commenced the OWNER agrees to pay 20% of the total consideration herein named as liquidated damages for breach of contract. Said contractor shall not be responsible for damage or delay due to strikes, fires, accidents, or other causes beyond his reasonable control. We, the undersigned, certify that we are the sole owners of the property herein described on which said work or repairs are to be performed. IN WITNESS WHEREOF, the undersigned has (have) hereunto set his (their) hand(s) and seal(s) the day and year written above. Accepted By Husband RAYMOND E. DAMPHOUSSE,JR.AND SONS Wife ROOFIN 0.,INC. Mail Address (If different from above) (Signature an a of Off, NH ORT ® of 6Andover No. ` o a cy2 - -� fc �O _�'- LAK lover, Mass., I� COCMICMEWICK y�. ADRATED PC `S U BOARD OF HEALTH i PERMIT T D Food/Kitchen Septic System i �� � �/ BUILDING INSPECTOR THIS CERTIFIES THAT.............................................. .9................................ .............. .................... ............ Foundation has permission to erect...S 4.t... .......... buildings on .......A.. ..................:.... Rough to be occupied as r 0NAr • Chimney ................�.�......0.................. .. .............. ................................................................. ...... y provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and�BLawsrelating to the nspection, Alteration and Construction of Buildings in the Town of North Andover. I � ff ® � PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough Final PERMIT EXPIRES IN 6 MONTHS UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ................................................................. Service BUILDING INSPECTOR � Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. January 9,2003 Edith Nahill Account Number: 9963520010 67 Meadow Ln North Andover MA 01845-4328 Dear Ms.Nahill: This follow-up letter is to inform you that your gas boiler&water heater located at 67 Meadow Ln., North Andover,MA has been tagged due:ton violation of state safety regulations. It is tuisafe to Luse until the following condition has been corrected. Needs make up air ixt basement. There is a bedroom on that level. Air enforcer is in nlech-allic it room. Left window cracked open. The Masachusetts code pertaining to the inslallation of bas appliances and gas pilling, established under Chapter 737 Acts of 1960,requires that the condition be remedied. if you have questions or would like to discuss this issue:, please call 978-687-1105 and ask for the Service supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Service or Meter Department Bay State Gas Company CRR:CRR# //z� A4 J X,"eti, !) f s 12 � , nr � �t,�, Olt i!u✓ �1/1i .i� 7�a..� rpt Ct.,e;G;M /, L-r��� . t (t't, {;sc. �'O�Ii� ui�.r.�/r a' L •c.�... //z. ..a� /f"� 2.... Jf'r•.� �t!J�li'r �r ()r7Ll�^✓ /I� tr.>��_,/,�f'�rG. iCf)r,,././'&..d�tXr/•c-rJ C:ldsupdaL,dlc1ors%23G 0I/0� 3 71 ZO 'd 8LOL9£8805 'ON XVA NH/OS8 WV ££,60 INH £OU-01-NK Fax Transmission No, of pages incl. this one: 3 To: Fax number: g7 ( IY '95 V-�. Phone: From: 179)0,7-//05' Extension; l,j,) 6 Date: /--/a��.�o� If you do not receive all pages, please contact: Bay.State Gas Company 55 Marston Street Lawrence, MA 01841 Fax.:978-688,1875 Phone:9 78-687-1105 Subject f G 7 eli,Qa e� r� fi+'n ✓Fre , t Comments: 10 'd KOAES-805 'ON XU 8H/OSB WV MR INJ £OU-OI-W c.., z 0 I N CD O rpa O Q NATE GAS ��V_l NORTHERNJI'APANY ; UTILrTIES,INC. WARNING NOTICE AVISO coFoaAvy cc,;-,Y ,✓ r J ��l/ aiY::Ea TEJE �O'.c C70 AL '//J SUPE E/ 7£lF?R;NE y = r 7 Jlv�j'6C r� A.-•'+FSS � THE FOLLOWING PROBLEM MUST BE CORRECTED IMMEDIATELY: L' 13 `'P'N' A-9 TCRE90SL.PPLl { :_i .45 SV!�"':ST90S OE AIRE LOS SIGUIENTES PROBLEMAS OEBEN SER CORREGIODS IMMEO(ATAAIENTE: ❑ fa;t-.EF A`C�T=O OE GAS Cv`-J*`IDLC `CS DE YEI✓f-l:aCICN EXP QUE ,tN DS ,�>g,�[e. V l A YOU MUS ,.ONTACT A QUALIFIED CONTRACTOR FOR REPAIR: �1 h(fe_#7jN1C 4FL rjro O'"1 COMM QUESE CON IN CONTRATISTA ESPECIALIZADO PARA EFECTOS DE LA REPARACION: l D ry PLUMBER £lE•:'P-V A17 ! Clydrv=_Y CL AI.E'R ""'�"+✓�"'�-'! O-,M.E L_ PLOVERD ❑E:EC P.CISTA 17 PERSONA DUE L91APIA EL CAPON Ein O;"NERD DE CH'IAENEA OT R0- THIS WARNING NOTICE IS FOR YOUR SAFETY AND PROTECTION, AFTER ESTE AVISO ES PARA SU SEOURIDAD Y PROTECCION. PARA LA RE- rl REPAIRS ARE MADE CONTACT BAY STATE GAS!NORTHERN UTILITIES FOR � STAURACION DEL SERVICIO COMUNIOUESE CON BAY STATE GAS 1 NOR- x THERN UTILITIES DESPOES DE QUE LAS REPARACIONES HAYAN SIDO RESTO9ATION OeoN f. HECHAS. o GAS LEFT CONECTA00 VETER LOCKED ❑YES-SI �o1Ce4 w7k tt7l- - CONTADOR APPLIANCE LOCKED ❑ YE SI CJl EL GAS SE CERRADO AATEFACTO CERRADO : yco ENCUENTRA ❑OFF-DESCONECTADD CON LLAVE NO•NO DE GAS CCN LLAVE L=J NO-NO co w CUSTOVER SinNATURE: TP.WtT OW R CA F:RIAA DEL CSI U V E: El INOUILINO PRC?I ETARIO O DATE ( ~ TIME EMPLOYEE co Q wORA EAIvLEADO SZ5 7 205 r 'LI 0 W Lpeaz ► �a State Gas A NiSource Company , January 9,2003 Edith Nahill Account Number: 9963520010 67 Meadow Ln North Andover MA 01845-4328 Dear Ms.Nahill: This follow-up letter is to inform you that your gas boiler&water heater located at 67 Meadow Ln., North Andover,MA has been tagged due to a violation of state safety regulations. It is unsafe to use until the following condition has been corrected. Needs make up air in basement. There is a bedroom on that level. Air enforcer is in mechanical room. Left window cracked open. The Masachusetts code pertaining to the installation of gas appliances and gas piping, established under Chapter 737 Acts of 1960,requires that the condition be remedied. If you have questions or would like to discuss this issue, please call 978-687-1105 and ask for the Service supervisor. Please disregard this notice if the condition has been corrected. Sincerely, Service or Meter Department Bay State Gas Company CRR: CRR# RECEIVED SAN 1 0 2003 BUILDING DEPT. Q\dsupdatedletters\236 01/09/03 55 Marston Street P.O. Box 869 Lawrence, MA 01841-2312 978-687-1105 Fax:978-688-1875