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HomeMy WebLinkAboutMiscellaneous - 80 MORNINGSIDE LANE 4/30/2018 (3)NN ! ..,"Location 61 No. v Date pNORTH TOWN OF NORTH ANDOVER 3?:o • s�OpL p Certificate of Occupancy $�" Building/Frame Permit Fee $ ACMUS Fou gid$ i�p,, ?ermit Fee $ r Other Pefr�,,, ,, $ r�rr• .) D k&kConnect ioW,*ee $ �later Connection Fee $ TOTA 9 Building Inspector 4 �l 6036 Div. Public Works i a aI Q a Y 0 m W Q O- W N N N a Q X N piW � 3.1 Z p 0 z Z U. o i 0 J W S. e~[ 0 WO 0o h z Ww N m I IL 0 0f W D N d z m m 0 t~ t CC W d de s Z 0 0 F- Z I0 OL �J Q 0 Z p �m 0 N N W C f o Z t o Z < 0 0 in a WQ W W Q F N J 0 0 w n w U, m W Z Y u x h x I I N O W J N 0 F Z O ¢ o f N IL ZO _ LL 3 Z u 0 h 4 Z 4 0 O O O 4 U. 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SAL.E#A. trtM 14/411FOUM 03073 (6u) d C. t WE PROPOSE to furnish labor.: and material - complete in accordance with above specifications, and subject to conditions found on both sides of this agreement, for the sum of: dollars ($ ` ). Payment to be made as follows: ACCEPTED. The above prices, specifications and conditions ate satisfac• {- Respectfully submitted; tory and are hereby accepted. Yoe, authorized; t6. do the work as specified. Payment will be made as tlined bove. (Rtiad reverse side). g RUWDELM Date of Acceptance By r By - By Note: This proposal may be withdrawn by us if not accepted within days. I OFFICES OF: APPEALS BUILDING C:( )NS1LI1VA'I'!UN H EA LZ'H PLANNING o Town of _ NORTH ANDOVER •S''`" "` DIVISION OF PLANNING & COMMUNITY DEVELOPMENT KAREN H.P. NELSON, UIRECYOR 12O Main Street North Andover, Mastia('h(IR(:I1S U 1 H4 i r ((i 17) GHS -4775 In accordance with the provisions of MGL c 40, S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 111, S 150A. The debris will be disposed of in: I Lion of Facility) Signature f Permit Applicant Y-7 Date ;TOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector. 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O C �. < O aCa �y y �j w O aQ °'— e O arcPVI O CL so O 0.. rfD I j H 0 0 c CDol 9 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING (Print or Type) NORTH ANDOVER Mass. Date a _ �uilding Location �Q '�Mov��n:.�e..s`��-� �.h Permit i# ► TO .� �N- Av.'�"oy �L— Owners Name V\,�A s Y • New 77 Renovation Replacement Plans Submitted =] F1 XTUftrlz u (Print or Type) Check one: Certificate Installing Company Name ©c--. Corp. Address,a'�8 lCz, Partner. Firm/Co. Business Telephone: %111 Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q 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 coverages. Signature of owner/agent of property Owner 17 Agent Ej I hereby certify that all of the dettils 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 WcAllations performed undo: Permit issued lo: this application will be in compliance with all pertinent provisions of the Massachusetts State Cas Cade and C lLapter 142 of tho General Laws. By YPE LICENSE: Plumber Title Gasfitter Signature of Licensed City/Town: Master Plumber or Gasfitter _Journeyman 0 APPROVED (OFFICE use ONLY) License I umber w MEN (Print or Type) Check one: Certificate Installing Company Name ©c--. Corp. Address,a'�8 lCz, Partner. Firm/Co. Business Telephone: %111 Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q 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 coverages. Signature of owner/agent of property Owner 17 Agent Ej I hereby certify that all of the dettils 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 WcAllations performed undo: Permit issued lo: this application will be in compliance with all pertinent provisions of the Massachusetts State Cas Cade and C lLapter 142 of tho General Laws. By YPE LICENSE: Plumber Title Gasfitter Signature of Licensed City/Town: Master Plumber or Gasfitter _Journeyman 0 APPROVED (OFFICE use ONLY) License I umber Date. 5�✓. �. �`�' ...... 1501, � A NORTH TOWN OF NORTH ANDOVER � PERMIT FOR GAS INSTALLATION$ This certifies that ........ ! ................. Q-�"i'.S... has permission for gas installation .. � .' .......... in the buildings of . PA +. �.... 3 ............. . at ! c' :,e....... North r Fee ../J ...... Lic. No.:;! 9.7. ?. t . AS INSPF' WHITE: Applicant CANARY: Building Ddpt. PINK: T/