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HomeMy WebLinkAboutMiscellaneous - 77 CHICKERING ROAD 4/30/2018O IS go Q_j o I COMPLAINT NUMBER DATE: 9 Q1 11 c COMPLAINTANT: ADDRESS: CLOSE DATE: PHONE: OWNER: ADDRESS: �� PHONE #: INSPECTION DATE: COMPLAINT: s ORDER L DATE: ACTION: A- IG a- r -A �a �a a v �� IK, NORTH ANDOVER HEALTH DEPARTMENT 120 Main Street 0 North Andover, MA 01845 Telephone (508) 682-6483, Ext. 32 Inspection Report COMPLAINT # 9 COMPLAINANT ADDRESS OF PREMISES OCCUPANT OWNER k"VWK OWNER'S ADDRESS DATE OF INSPECTION S^i - OUR ROOMS/VIOLATION: N AA V) VV `� W I W4 UK W 0 A `�� Form #HIR -1 Action Press 685-7000 INSPECTOR I< COMPLAINT NUMBER DATE: #39- MAY 6, 1992 COMPLAINTANT:JANET DONNELL CLOSE DATE: ADDRESS:QUAIL RUN PHONE: OWNER:RICHDALE DAIRY PHONE #: ADDRESS:75 CHICKERING ROAD INSPECTION DATE: ORDER L DATE: COMPLAINT:FUMES FROM DRY CLEANERS. PLACE IS NOT PROPERLY VENTILATED. FOOD EXPOSE TO FUMES. � �^ � � i7 C://.r�--' G �•' Ci4 /G� ,�il e' .f'u�n litj Cv'? G./��_ er e�— 42 0 L c� �i ry r.�✓` � � l yam? � •� ° ��� of c C1 o a r' {/ ' � � 1P/✓ �Ct. �� C.. r'fi/7��V „ "�'�� l . e? r/ rlGCc� <tS�� V le v . v �� llyL /oma �J�n Gil / lel , le, li �vcS�il �c6l� ('-l>'e ////C, c v" �// Date . ) . 2 .l.. o j, 409E N N TOWN OF NORTH ANDOVER Lq o PERMIT FOR PLUMBING g41 This certifies that .r.! ....�,�ar>`.. ............... . Ahas permission to perform .. .`'`- .... . t .................. "plumbing in the buildings of . ��%/ 5.. �* �. ........... at ... < <i ! .. .... y . , North Andover, Mass. Fee /©.' . Lic. No..`.%! C? . ....... '�.. L__. ... } � ... . G4UMBING INSPECTDR M WHITE: Applica�3�jj� ANARY` PINK: Treasurer 07122/9 MAPters IF M APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) PARCEL NORTH ANDOVER, — LL ��-7a Building Location/l. i'ame S� Permit # Amount p Type of Occupancy New M//" Renovation 171 Replacement 171 Plans Submitted Yes ❑ No F1YTTTRFS (Print or type) k '1 H Check one Certificate g Installin Company Name J `i Orp. -jr Address v , Partner. Business Telephone A Firm/Co. Name of Licensed Plumber: U J t Insurance Coverage: Indicate the type of ranee coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond 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 ignature Owner Agent F1 I hereby certify that all of the details and information I have submitted or entered) in above appl* n are and accurate to the best of my knowledge and that all plumbing work and installat' s perf nder P rmit ued r t ' a ication will be in compliance with all pertinent provisions of the Massachuses State i Cod e General Laws. By: igna ure or cense er Type of P1 tubing License Title City/Town Vicefise t7amoer Master Journeyman ❑ APPROVED (OFFICE USE ONLY ON MR OWN MWONMOM ow onNo r�n������������ . No 0 No 0 MON 0 NOON �■���������������������No low 0 ONO 0 No mom 0 NOMME ON ONO ,. No (Print or type) k '1 H Check one Certificate g Installin Company Name J `i Orp. -jr Address v , Partner. Business Telephone A Firm/Co. Name of Licensed Plumber: U J t Insurance Coverage: Indicate the type of ranee coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond 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 ignature Owner Agent F1 I hereby certify that all of the details and information I have submitted or entered) in above appl* n are and accurate to the best of my knowledge and that all plumbing work and installat' s perf nder P rmit ued r t ' a ication will be in compliance with all pertinent provisions of the Massachuses State i Cod e General Laws. By: igna ure or cense er Type of P1 tubing License Title City/Town Vicefise t7amoer Master Journeyman ❑ APPROVED (OFFICE USE ONLY Date.' �.: ! ..��(..... . q ,4O(tT1, TOWN OF NORTH ANDOVER g py ao ,e,hOL PERMIT FOR GAS INSTALLATI01 A s d This certifies that ........................................... has permission for gas installation,.:::-:-; .-...:.::...... ... . in the buildings of :....... `......` `. ..................... . at . l ........... ........ North Andover, Mass. FeeF/� . Lic. Na -%V. " GAS INSPECTOR �� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer I� OR UNIFORM APP[AP -FAR-PfRMIT,'O DO GASFITTING (Print or Type) C Mass. Date Ze- is 1Permit # Building Location 11 C ;cA C- a l -P.. 7c�AV Owner's Name mrL k .,nn Own e hniL141 IA�je.� vhf Type Of ccopancy I C New ❑ Renovation ® Replacement ❑ Plans Submitted: Yes ❑ No Ig Installing Company Name aAII `f).1. 2 k �kff Check one: Certificate Address 1!5q VY1 Al U(1.dLIJ 2 n J ❑ Corporation SAV &fLL , Yn A C) \5 ()1 ❑ Partnership Business Telephone J() V Z :5 3 . 4q -7 ® Firm/Co. Name of Licensed Plumber or Gas Fitter �hw� tJ \ rAT•2r) INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes N No ❑ If you have checked yes, please indicate the 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 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 performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene I Laws. By Tof Ucense: Plumber nature of Ucensed Number or Gas Fitter Title Gasfitter Master License Number Qiyl y4 City/Town �JDumeyman I L ME NNEENMENNNEE moor WrOMMINEIR mom mom 00000000000000 mom on son Installing Company Name aAII `f).1. 2 k �kff Check one: Certificate Address 1!5q VY1 Al U(1.dLIJ 2 n J ❑ Corporation SAV &fLL , Yn A C) \5 ()1 ❑ Partnership Business Telephone J() V Z :5 3 . 4q -7 ® Firm/Co. Name of Licensed Plumber or Gas Fitter �hw� tJ \ rAT•2r) INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes N No ❑ If you have checked yes, please indicate the 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 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 performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene I Laws. By Tof Ucense: Plumber nature of Ucensed Number or Gas Fitter Title Gasfitter Master License Number Qiyl y4 City/Town �JDumeyman I L Date 4053 NORT►, ;� 3��.<��•°;.;;�ao� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �,SSACMUS�� This certifies that .. . �J, ....'t. ............ has permission to perform ..�.G�-y�•-<.-K:.�. . plumbing int the buildings of..... . at. �Z�L 7 � ......... ,North Andover, Mass. FA� ...... Lic. N ... 97!S.. ....... . PLUMBIN I PECTOR 06/'" 14:4b X50 DWTl) PINK: Treasurer WHITE: Applicant CANARY: u1g 's" ) MASSACHUSETTS UNIFORM APPLICATION FOREPARCEL ING (Print or Type) --- FORWARD — r 0 2- Z = d NceaTi( N-Uhu �-';'r f Date W City, Town Permit # Building Owner's wM AT: Location CLAW 11LpA.0 Name mak-; rv\ wc�yrvil Ak tje.fl, M A Type of Occupancy: 1� ��+ r.LRA&>Pn,, New ❑ Renovation ® Replacement ❑ FIXTURES Plans Submitted Yes_ ❑ No (Print or Type) Check One: Installing Company Name _A k �� •\t„N1��►1.��iQ l ►l..e� Address _ V �g m Al Vent-) Au &Yt, t-.., m A - c i ❑ Corp. ❑ Partnership 2 Firm/ Company Business Telephone 't t Name of Licensed Plumber or Gasfitter �tP�ielw F La`�ttc� Certificate 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 will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. Signature of Licensed Plumber By Title City/ Town APPROVED (OFFICE USE ONLY) Foam 1240 -H--&W HOBBS & WARREN TM Type of Plumbing License OU C/ I ❑ Master ® Journeyman License Number i (Print or Type) Check One: Installing Company Name _A k �� •\t„N1��►1.��iQ l ►l..e� Address _ V �g m Al Vent-) Au &Yt, t-.., m A - c i ❑ Corp. ❑ Partnership 2 Firm/ Company Business Telephone 't t Name of Licensed Plumber or Gasfitter �tP�ielw F La`�ttc� Certificate 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 will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/ Agent I have a current liability insurance policy to include completed operations coverage. Signature of Licensed Plumber By Title City/ Town APPROVED (OFFICE USE ONLY) Foam 1240 -H--&W HOBBS & WARREN TM Type of Plumbing License OU C/ I ❑ Master ® Journeyman License Number v r c N m Z z O •