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HomeMy WebLinkAboutMiscellaneous - 850 JOHNSON STREET 4/30/2018l i.6NOTOWN OF NORTH ANDOVER .. i PERMIT FOR GAS INSTALLATION This certifies that .1,4 .!. ....... r d has permission for gas ......... in the,buildin s f . ................ at ........ ..............:.. , North Andover, Mass. Fei--.�.)..... ic. No..1%. 9 ..,,� ........ GAS INSPEC�. Check # /�—J 5696 a 'MASSACHUSEI'IS UNUDIINL 1 APPLICATON FOR PERNIrr TO DO GAS FI rnNG (Type or print) NORTH ANDOVER, MASSACHUSETTS Date /r- 2 2 -,:7 K Building Locations C� iJZ Y5'G?PK Permit# Amount $ Owner's Name S` New ❑ RenovationF1 191-1 Replacement Plans Submitted ❑ (Print or type) Check on • Certificate Installing mpany Name _ �� �}- �ZC.0 �' /lY Corp. Address Partner. Business Telephone Z Firm/Co. Name of Licensed Plumber or Gas Fitter(h�y�, �erzCr`�7' INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 NoO If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 ---- Other type of indemnity 13 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: Signature of Owner or Owner's Agent Owner 1:3 Agent I herHhv ri-rtifv th,t III of - -- -- --•. 1.r.r.,—11111ucu kul cutelCu) In aDove application are true and accurate to the best of my knowledge and that all plumbing work and installations pperrforrrmvdduunder Permit Issued for this application will be in compliance with all pertinent provisions of the iVlassachusettt.! J." tye General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter rer-Plumber Z 47'02 Y Gas Fitter License Numoer aster CjJourneyman �� jj O� t�V Ij z -) z -)a O F w W w e w F z (�+ z W W cL�1 t x r� �1 WWC cx F z z 02 O O z O cFi� T O SUB-BASEM ENT B A S E M ENT IST. FLOOR 2ND. FLOOR 3RD. FLOOR. 4T 11. FLOOR v 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 18TH. F L O O R (Print or type) Check on • Certificate Installing mpany Name _ �� �}- �ZC.0 �' /lY Corp. Address Partner. Business Telephone Z Firm/Co. Name of Licensed Plumber or Gas Fitter(h�y�, �erzCr`�7' INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 13 NoO If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 0 ---- Other type of indemnity 13 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: Signature of Owner or Owner's Agent Owner 1:3 Agent I herHhv ri-rtifv th,t III of - -- -- --•. 1.r.r.,—11111ucu kul cutelCu) In aDove application are true and accurate to the best of my knowledge and that all plumbing work and installations pperrforrrmvdduunder Permit Issued for this application will be in compliance with all pertinent provisions of the iVlassachusettt.! J." tye General Laws. By: Title City/Town APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter rer-Plumber Z 47'02 Y Gas Fitter License Numoer aster CjJourneyman �� jj O� t�V /Date.TOWN OF NOOVER PERMIT FOR PLUMBING This certifies that ... ...... . -- has permission to perform .............. ' ............... . plum ,iiiIng in the - build ings of-. ............... ............ at ........ /..�-+^ ... ..�!....K—� ..... oath Andover, Mass. Fee`'.` .. er .(,Lic. No... ....... PLUMBI �.eE�TOR Check .N 7070 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLliMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location li JV/41(SG4nwners Name of New Renovation Replacement PTVTiTDUc S Date C Z2�v Permit # %l Amount L �� Plans Submitted Yes No ❑ (Print or type) Check o Installing Company Name f—��i.j�/-(LCL` �- Cert' irate orp. Address r'S2./��/ [� llY/.� Partner. Business Tefep`h,ne ® Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the NEW of insurance coverage by checking the appropriate box: Liability insurance policy r4 Other type of indemnity ❑ Bond El Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any cne of the above three insurance Signature Owner ❑ Agent ❑ I hereby ccrtifv that all of the details and information 1 have submitted Ior entered) in above ;application are true and nccuratc to the Inst of my knowledge :uid th:.ut all plumbing work and installations perfurnied under Permit Issued fi>r this application well he ill compliance with all Pun-tinent provisions of the Massachuc' nn o By: Title City;Town APPROVED (C -FF,( -,'E USE ONLY - rpt h,-, Uencral Laws. Type OF Plumbing License uccns m 5' ;Master8-,,, Iourne,man &d' Town of Jv SYSTEM PUMPING DATE: 01 SYSTEM OWNER & ADDRESS �VLko' SSO 36l�Vt Som 8f— CEIVED SFp — 3 ')nQ4 SYSTEM LOCATION (example: left front of house) (,-R ka-c L - k� '�t DATE OF PUMPING: QUANTITY PUMPED : `I 5 o GALLONS CESSPOOL: NO YES SEPTIC TANK: NO YES NATURE OF SERVICE: ROUTINE EMERGENCY OBSERVATIONS: GOOD CONDITION HEAVY GREASE ROOTS EXCESSIVE SOLIDS SOLIDS CARRYOVER FULL TO COVER BAFFLES IN PLACE LEACHFIELD RUNBACK FLOODED OTHER (EXPLAIN) SYSTEM PUMPED BY: Bateson Enterprises, Inc. COMMENTS: CONTENTS TRANSFERRED TO: G.L.S.D V Lowell Waste C nmio veal h of Massachusetts assachusetls System Pumping Record System Owner System Location 00 t� Mite of Pumping. ?,l��Uv Cesspool: No ���/ Yes L) Quantity Pumped: S5� gallons Septic Tank: No Yes"l System Pumped by: Fairedart 'Fria "" da License # Contents transferrred to : Greater Lawrence sanitary District Date: Inspector ,/ Location S15"C) .5Ci �,SU ST 3GDate 3/4 No. NORTp TOWN OF NORTH ANDOVER Certificate of Occupancy $ U Building/Frame Permit Fee $ s'°tFoundation Permit Fee $ s�cMusE Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ %Building Inspector 1 1rr�� . ` % 6 ? oeVq")94j4, 25.(41 pQDiv. Public Works T L`bcation ' > No,, Date ' MGRTN TOWN OF NORTH ANDOVER ,. A Certificate of Occupancy $ Building/Frame Permit Fee $ �SsC � Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ • Water Connection Fee $ TOTAL $ Building Inspector CS13119@ 09:3P �.Ca FaTD ' f Div. 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' a p� PERMIT FOR GAS INSTALLATION JSACHU d Sc- tw This certifies that .!. CF..�,?���...J..,7 i• .�. l jam........ . has permission for gas installation ... �4..�-/ ................. . in the buildings of ........................ at .... North Andover, Mass. C Fee. f ?:.:.. Lic. No.. . ...... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING -� (Print or Type) �I© (e Q 9/UD U 11CZ Mass. Date c GT 19 Permit # 302 77 - Building Location ��V ^��NS f 1vs� Owner's Name �����R y ����N�'9 Type of Occupancy l� 4 LL N New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ Installing Company Name t/dP?R %aN �rLL- fr Check one: Certificate Address Sl ❑ Corporation a N n. V 4 O - r N/; r s G tiV9'v Partnership vl Business Telephone 071 V SI` 9 i^ 3`/Ay ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter TOSMW- w~ %y49ff --19iV INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. �i Yes No LJ If you have checked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy X 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 Generalkaws. By Tme of License: ;?.,W,&- ;ourneyman umber Signatur of Licensed Plumber as Fitter Title asfitter �* 2�.� aster License Number City/Town o APPROVED (OFFICE USE ONLY) SHE SEE jISTFLOOR RENEE RNA".-MOMENEENEEME MEMO IMS FIRM.". - EMENEENEEMSEEMEMEN no MEN Installing Company Name t/dP?R %aN �rLL- fr Check one: Certificate Address Sl ❑ Corporation a N n. V 4 O - r N/; r s G tiV9'v Partnership vl Business Telephone 071 V SI` 9 i^ 3`/Ay ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter TOSMW- w~ %y49ff --19iV INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. �i Yes No LJ If you have checked Yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy X 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 Generalkaws. By Tme of License: ;?.,W,&- ;ourneyman umber Signatur of Licensed Plumber as Fitter Title asfitter �* 2�.� aster License Number City/Town o APPROVED (OFFICE USE ONLY) ,.. --_� -.,,iy .+ . _ ,.., w � .., _.>_,..,..,._ .�+-•—" `��__ � ° � roti. ,. .., ._� 1T` 4157 i (-11..( Date. /0— -7. f S TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . ..'e� A!? .�. (,::.. /� �7 . has permission to perform .. ......................... plumbing in the buildings of ..�'??.`�'"`` < tr at ... �xt, s y ..... r -- North Andover, Mass. Fee../.).,. �' . Lic. No.. G. 3. � . ..... �. �� ... �.:...... . U PLUMBING INSP CTOR 10/15/99 13:43 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM_ APPLICATION FOR PERMIT TO DO PLUMBING = (Print or Type) me, R L%I R N d G V� Mass. Date 0 0-1- -r 19—LL Permit Building Location ��l1�l+� �'/� ST Owner's Name Type of Occupancy New ❑ Renovation ❑ Replacement .Ep- Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name Address m0glL41'GJ X10 Business Telephone S ? 3, V? S'yZ 9 Name of Licensed Plumber ''ostia L" Check one:. Certificate ❑ Corporation 5(Partnership riL1� ❑ Frm/Co. INSURANCE COVERAGE: I have a curren liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box A liability insurance policy ;r 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: 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 above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issaed for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Coder Chapter 142 of the General laws. Signature o cePlumber Title Type of license: Master Ar Joumeyman (OFFICE USE ONLI� license ❑ City/Town APPROVED cense Number G 3 MEMEMME MENEM MEtINtteIM®M1I Installing Company Name Address m0glL41'GJ X10 Business Telephone S ? 3, V? S'yZ 9 Name of Licensed Plumber ''ostia L" Check one:. Certificate ❑ Corporation 5(Partnership riL1� ❑ Frm/Co. INSURANCE COVERAGE: I have a curren liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box A liability insurance policy ;r 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: 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 above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issaed for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Coder Chapter 142 of the General laws. Signature o cePlumber Title Type of license: Master Ar Joumeyman (OFFICE USE ONLI� license ❑ City/Town APPROVED cense Number G 3