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Home My WebLink AboutMiscellaneous - 87 COACHMANS LANE 4/30/2018 (2)Date .... 5� . � . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that has permission for gas installation .. ... .. . in the buildingWf� ....``-mac �-'�. .................. . at .....� . .... ...... orth Andover, Mass. Fed......... Lic. No... ..... ...�,.:......... . / `.,GAS PECTOR Check # 4650 MASSACHUSEi'IS (Type or print) NORTH ANDOVER, MASSACHI Building Locations e w G lIl/ w 1� vt &,e 1 v� L -F FOR PEWWr TO DO GAS FITI]TG S -, V) ;A It a VC Uner's Name Date Z— Z,( — O v New Renovation ❑ Replacement ❑ Plans Submitted ❑ Permit # 4/GS Amount $ 3c;,�'—C� (Print or type) � n u4 Name { Address smess r 1a Na me of Licensed Plumber or Gas Fitter e dvo- � C.1AkQ-&O Check one: Certificate Installing Company ❑ Corp. ❑ Partner. ElFirm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 01-- 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 1 have submtttea dor enterea) in aoove appucauon are true anu accurate io me 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 Stae Gas Code aAChapter 142 of the General Laws. n APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber 1 q j 2—`— Gas Fitter tcense Numoer Master Journeyman � w a U x O F U F o x w z o w a z z ,ems - ` w w W a w w U �, a 0 44 A 7 U a ; a H O c� x o w7 ..4 A SUB -BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR STH. FLOOR (Print or type) � n u4 Name { Address smess r 1a Na me of Licensed Plumber or Gas Fitter e dvo- � C.1AkQ-&O Check one: Certificate Installing Company ❑ Corp. ❑ Partner. ElFirm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy 01-- 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 1 have submtttea dor enterea) in aoove appucauon are true anu accurate io me 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 Stae Gas Code aAChapter 142 of the General Laws. n APPROVED (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter Plumber 1 q j 2—`— Gas Fitter tcense Numoer Master Journeyman J1 !§4CKUS.P_TT3 MASt 'UNIFORM APPLICATION FOR PERMIT TO DO GAS f or PC) . '' [yORTH ANDOVER ; Mass. Date building Location Permit 7 —Owners Name 4FIAle New Renovation Replacement i3_1*" Plans Submitted F Y-rlla=z 0 t 11 � insurance coverage by chik I ftufd*011�44W) di .�the, type of' t r po tlt� 'Other type of indemnity Bond ik'' 1.J, wL Insurance Waivert-,,,-the undersigned, have been made aware that the I Ic ht f this applicati6'n-ddes no �t have any one of the above three insurance co verages . Sigglture'oT owner agent of property M1 Owner Agent ij hereby certify that all of the detAilt and iti(OffnixtiOn I have submitted (or entered) In above application are true and accucate to the bed of my knOwtcdgd and that all Plumbing work and Installations pftrormcd under" Permit issLed for this application will -be in compliance With W peziftent PCQVW*gts Of the Massachusetts State Cas Cadd 04 Chaptet 142 of the GcnUAJ I.AWL ay-- Title yTitle City/Torent APPROVED wricit uSF ONLY) TYPE LICENSE: Plumber Gasfitter- Sign-a"ture -,'oOLiCensed Master Plumber or.?'Gasfitter Journeyman 9983 'License Number!?-',, Check one: .!-qCer1tIfI cat( PMYLName ANDOVER PLBG. & "TG. CO., INCM Corp. `2'12i " Address 73T'Soo-, UNION STREET Partner. LAWRENCE NA. 01843 F-1 Firm/Co"-`T"1;`1 Business Telephone: 0 -978 685-A383 N -,or Cas Fitter r-PnDr-r I Anner 07 a: ul U1 as cc 91 Cr 3d z cc ch ut 01 0 Z to Im a us ac 0: 0 0 0 CC tu t to cc 0 a ul v en Eu W I- 0 W > us W 0 ju a z _1 J 14 Z W W cc W cc 0 LAS > W LU tu 21. W cctu =j dc 0 0 0 Mi 0 W U. Q (a J 0 W SUR --SNIT. BASEMENT'; 'I ST FLOOR 2ND FLOOR 3RD-OLOOR 4TH FLOOR Is fl 5TH FLOOR GTHFLOOR 7TK FLOOR 8TH FLOOR EH_r. t 11 � insurance coverage by chik I ftufd*011�44W) di .�the, type of' t r po tlt� 'Other type of indemnity Bond ik'' 1.J, wL Insurance Waivert-,,,-the undersigned, have been made aware that the I Ic ht f this applicati6'n-ddes no �t have any one of the above three insurance co verages . Sigglture'oT owner agent of property M1 Owner Agent ij hereby certify that all of the detAilt and iti(OffnixtiOn I have submitted (or entered) In above application are true and accucate to the bed of my knOwtcdgd and that all Plumbing work and Installations pftrormcd under" Permit issLed for this application will -be in compliance With W peziftent PCQVW*gts Of the Massachusetts State Cas Cadd 04 Chaptet 142 of the GcnUAJ I.AWL ay-- Title yTitle City/Torent APPROVED wricit uSF ONLY) TYPE LICENSE: Plumber Gasfitter- Sign-a"ture -,'oOLiCensed Master Plumber or.?'Gasfitter Journeyman 9983 'License Number!?-',, Check one: .!-qCer1tIfI cat( PMYLName ANDOVER PLBG. & "TG. CO., INCM Corp. `2'12i " Address 73T'Soo-, UNION STREET Partner. LAWRENCE NA. 01843 F-1 Firm/Co"-`T"1;`1 Business Telephone: 0 -978 685-A383 N -,or Cas Fitter r-PnDr-r I Anner t 11 � insurance coverage by chik I ftufd*011�44W) di .�the, type of' t r po tlt� 'Other type of indemnity Bond ik'' 1.J, wL Insurance Waivert-,,,-the undersigned, have been made aware that the I Ic ht f this applicati6'n-ddes no �t have any one of the above three insurance co verages . Sigglture'oT owner agent of property M1 Owner Agent ij hereby certify that all of the detAilt and iti(OffnixtiOn I have submitted (or entered) In above application are true and accucate to the bed of my knOwtcdgd and that all Plumbing work and Installations pftrormcd under" Permit issLed for this application will -be in compliance With W peziftent PCQVW*gts Of the Massachusetts State Cas Cadd 04 Chaptet 142 of the GcnUAJ I.AWL ay-- Title yTitle City/Torent APPROVED wricit uSF ONLY) TYPE LICENSE: Plumber Gasfitter- Sign-a"ture -,'oOLiCensed Master Plumber or.?'Gasfitter Journeyman 9983 'License Number!?-',, 2829 Date . �/ 5�5 ... ....... . A TOWN OF NORTH ANDOVER g �PERMIT FOR GAS INSTALLATI01i D M O �1 �� This certifies that . � ...� .... � ..... ............ .... �. . has permission for gas installation (� c . f.�. �Y .0 .. 1,-7, Grc -e in the buildings of .. ep............................... . at .4�..� ..�� `. ..l G . -.5• • • • , North Andover, Mass. Lic. No. % ? �.. .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N° 48?9 Date:—. ./-. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... .. �... �.�� .�. '. '............ • • • • has permission to perform ... . ` .� ..� . ... �•` • ` ''�` plumbing in the buildings of . l`q ./�."."• .T •l..... • • • • • at ...�f . �..�'c ��.f. l� .'.`•...... • • • • • • • • . , North Andover, Mass. Fee. /M. ....Lic. No. if L .. . r � ��........ PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer i Date. . �? /:;/�/ .... � NORTIy TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION This certifies that , ... .. . . has permission for gas installatio /. in the buillings of..�... .. ...:.... ........ . at��.�(: ! .L ... .. —//X, North Andover, Mass. Fee'?'2, . . Lic. No;� 745 . ......................... . GAS INSPECTOR Check # ✓' ! � 4614 i MASS APPROVAL # MASSACHUSETTS UNIFORM APPLICATION F f�_ _ _ (Print or Type) •q A1'h W , Mass. Date G Building Location R�Ajt ; -690 New ■ Renovation � Replacement ■ i rr Pians Submitted: Yeso NoRL Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET 2 Corporation 103C MIDDLETON, MA 01949 [. Partnership Business Telephone 978-774—'2760 C- port(/Co. Name of licensed Plumber or. Gas Fitter WILLIAM R, HAR R I S INSURANCE COVERAGE: I have a current liabiltty Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 13 No O If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability Insurance policy L3 Other type of indemnity ❑ Bond O OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does nct 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 J Agent ❑ Signature of Owner or Owner's Agent hereby certify that all of the details and information I have submitted (or entered) in above ay� we true And accurate to best of my knowledge and that all plumbing work and installations performed under the permit' for tics appl• tic II be in co Iia with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Laws By T of license: Of Signature ct umber or Fitter — Title Gasfiner Master license Number 3785 City/Town Journeyman APPROVED ( I NL n N ¢ W h rn N Y V = ¢ ¢ f ff S W W �' ¢ O m ►� !- S 3� C7 z A O � u< w p. ¢¢ z Z 0 O f. ¢ d V :+r x W zFfi ¢ O w W y�j h J = < _: rt Q ¢ W ~ Q> W V = - q rr C �•2z .4 J F- = F• FW' to 0 2 0 t -W O N S sue—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR I I 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR ' 8TH FLOOR Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET 2 Corporation 103C MIDDLETON, MA 01949 [. Partnership Business Telephone 978-774—'2760 C- port(/Co. Name of licensed Plumber or. Gas Fitter WILLIAM R, HAR R I S INSURANCE COVERAGE: I have a current liabiltty Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 13 No O If you have checked yes, please Indicate the type coverage by checking the appropriate box A liability Insurance policy L3 Other type of indemnity ❑ Bond O OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does nct 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 J Agent ❑ Signature of Owner or Owner's Agent hereby certify that all of the details and information I have submitted (or entered) in above ay� we true And accurate to best of my knowledge and that all plumbing work and installations performed under the permit' for tics appl• tic II be in co Iia with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Laws By T of license: Of Signature ct umber or Fitter — Title Gasfiner Master license Number 3785 City/Town Journeyman APPROVED ( I NL J 6 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING. (Type or print) NORTH ANDOVER, MASSACHUSETTS Building LocatioL f 7 (1-" ( lfuc .G C Owners Name �y� y, / Date h da - C !�[ Permit # Amount o / Type of Occupancy New Renovation ❑ Replacement Plans Submitted Yes ® No FIXTURES (Print or type)n Check one: Certificate Installing Company Name ; �� Q1,,e 414, �-P %fid" �� E] Corp. Address 2 1 ) k rn ,t...., r Partner. Business Telephone (9 ,� - fj Zy Firm/Co. Name of.Licensed Plumber Insurance Coverage: Indicate the type of insurance 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 A. Signature OwnerAgent 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 insllatiorperformed uer Pernyt Issued for application will be in compliance with all pertinent provisions of the Massac�etts�Sfte ambing,, e and., hapter 14 the General Laws. I5y/Town PROVED (OFFICE USE ONLY Type of Plumbing Lim se !o icense um er Master Fc -4-- Joumeyman ❑