HomeMy WebLinkAboutMiscellaneous - 76 MILLPOND 4/30/2018N° 4283
Date '../: �2e�.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ..............
has permission to perform -a ................. .
plumbing in the buildings of. 1.1.
.....................
at . !�� ''�? ... ......... , North Andover, Mass,
Fee':.Z3....... Li c.
.�%�............ .
PLUr INSPECTOR
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WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
1i
n � A rJ ice, r�2_ , Mass. Date c, 7 Zp_L6M Permit #
Building Location M1 Owner's
/\j A of dl� a t � -Type of
New ❑ Renovation ❑ Replacement 2-11
FIXTURES
)L_ -r ,^J % A tK (t, -f 0AD
1) E ,v TI r -Z L_
Submitted: Yes ❑ No ❑
Ir,ling Company Name P1013EleT /� • _'jP rm,4. TA -0 Check one: Certificate
Address co AC H mt4 n) / , ❑Corporation
N r'_ A J* YO A v i T VL/ ❑ Partnership
Business Telephone Z - i9-7 1 ❑-fi—rrn/Co.
Name of Licensed Plumber ':Zf; r3 r ga_ T fr' S4 / M1,4 re -4/0C,1
INSURANCE COVERAGE:
I have ayes enE'fiability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checkedrtes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy ld' 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 ❑
I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations pefformed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g Itode and;!pte?l of the eral Laws.
Title re of Ucensed Plu—m-ber
Type of Ucense: Master % Journeyman ❑
CitylTown _
APPFSONED
OFFICE
FFIC U E ONL Ucense Number Y3 3S
NEW
Ir,ling Company Name P1013EleT /� • _'jP rm,4. TA -0 Check one: Certificate
Address co AC H mt4 n) / , ❑Corporation
N r'_ A J* YO A v i T VL/ ❑ Partnership
Business Telephone Z - i9-7 1 ❑-fi—rrn/Co.
Name of Licensed Plumber ':Zf; r3 r ga_ T fr' S4 / M1,4 re -4/0C,1
INSURANCE COVERAGE:
I have ayes enE'fiability insoura ce policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
If you have checkedrtes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy ld' 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 ❑
I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations pefformed under the permit issu for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plum ' g Itode and;!pte?l of the eral Laws.
Title re of Ucensed Plu—m-ber
Type of Ucense: Master % Journeyman ❑
CitylTown _
APPFSONED
OFFICE
FFIC U E ONL Ucense Number Y3 3S
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
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NO . ANDOVER , MA , Mass. Date_ggV—d3 = 19 �� Permit # 2033
Building Location ;7L MILLPOND Owner's Name '447,W;/—
NO . ANDOVER , MA Type of Occupancy L RES
New ® Renovation ❑ Replacement ❑ • Plans Submitted: Yes❑ ' No ❑
Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certificate !r
Address 91 BE •MONT STREET I3 Corporation
NO . ANDOVER, MA . 01845 ❑ Partnership
Business Telephone 5 0 8— 6 8 9— 9 2 3 3 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142-
Yes
42Yes Q No O '
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy ZI Other type of indemnity O Bond O
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 4bove application are true and accurate to the best of my
knowledge and that all plumbing work and Installations performed under the permit sued for this appifcatJ will b In p(lance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the neral Law
8Y
Type of Ucense:
Plumber gnatur o c nse um a or Gas titer
Title Gasriller
Master License Number M-3440
City/Town Journeyman
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SUB—BSMT.
BASEMENT
,
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ISTFLOOR
2ND FLOOR
3RD FLOOR
_
!
141I
I
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certificate !r
Address 91 BE •MONT STREET I3 Corporation
NO . ANDOVER, MA . 01845 ❑ Partnership
Business Telephone 5 0 8— 6 8 9— 9 2 3 3 ❑ Firm/Co.
Name of Licensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142-
Yes
42Yes Q No O '
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy ZI Other type of indemnity O Bond O
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 4bove application are true and accurate to the best of my
knowledge and that all plumbing work and Installations performed under the permit sued for this appifcatJ will b In p(lance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the neral Law
8Y
Type of Ucense:
Plumber gnatur o c nse um a or Gas titer
Title Gasriller
Master License Number M-3440
City/Town Journeyman
APPnMr-.0 O
i
''��° 2033
Date. 6...... X
f NORTH , TOWN OF NORTH ANDOVER: - Q"
tiO ti
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n
O PERMIT FOR GAS INSTALLATION
p
4S$ACNUSEt
This certifies that . C `%g. ..... . .. .
has permission for gas installation ..,���/�/� . �........... s
in the buildings of ..14q f�m,.
.......................
at ..%.../fit rx, .......... ,North Andover, Mass.
Fee. r} 3.! Lic. No y.Y..U....
`
.. , . .
i AS iNSPECTO
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File