05-020 (2) BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES $4.00 PROGRESS INSPECTION
FEE
NO. 51/88
APPLICATION FOR PERMIT TO DO GASFITTING
dwelling Unit
NAME a TYPE OF BUILDING
Leonard BAskin
LOCATION OF BUILDING
395 Audbbnn Rd.
PLUMBER OR GASFITTER
janvTer W. 3
Whiting Energy Fueld
LIC. NO.
PERMIT GRANTED
DATE 2 Feb 19 88
George W. Staples Jr.
GAS INSPECTOR
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
Mass. Date / 2D 19 710
City, Town Permit #
Building Owner's
AT: Location .'`�j At1 'U�3Deu� e6m Name L.,4:01014& emi
1-6C-j�j (OJj 1pjCg?�j60jj F/ � Type of Occupancy: k,-rJ1J16n)i7&,
New ❑ Renovation ❑ Replacement d
Plans Submitted Yes ❑ No [:
N
Y W N
N N V
Z cc N
OC F fY
W J N W 0 V m F a i N
Y O W F' 1 -C Z Z O Z W
m N N pat W O o. W F-
W a t- to > a
W W N W Z a Y LU cc to W W W F- O F Y Uj
t7 t- Z J F' Y F- W W O O > W H W J H W
Z � O N Z
Q W > W 4W Z Q W Q a O O W O W I-
ac x O c7 u. 3 c t7 J 0 W > c a I- O
SUB—BSMT.
BASEMENT
ISTFLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
GTH FLOOR
7TH FLOOR
8TH FLOOR
� (Print or Type)
Check O e: Certificate
Installing Company Name 1A1/l1,73i&r LAJafri/ F1 �i vCorp.
y
Address_ PO, A(X S3- . 3tbA Sj-&EF [] Partnership
bb,C'T 4AAAPrhA kid 01661 ❑Firm/Company
r
Business Telephone -. lj Name of Licensed Plumber or Gasfitter
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.
TYPE LICENSE: y i try
By Plumber
V Gasfitter � Signature of Lic sed
Title _ Master Plumber or Gasfitter
} City/Town: Journeyman
License Number
APPROVED (OFFICE USE ONLY)
P IN P
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES FEE
$4.00 PROGRESS INSPECTION
'r No. 460187 L.P 1 19
1 lec—a r
APPLICATION FOR PERMIT TO DO GASFITTING G
Dwelling Unit
NAME 3 TYPE OF BUILDING
Leonard BAskin
LOCATION OF BUILDING
395 Audubond Rd.
PLUMBER OR GASFITTER
Janvier W. Lindsay 111
Whiting Energy Fuels
LIC. NO.
PERMIT GRANTED
DATE 18 Dec 19 87
George W. Staples Jr.
GASINSPECTOR
01 - 90
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
_- ? 1�,1(�j�l/�/,/d�p71j/�� Mass. Date ? /5 1987
- I' City, Town Permit #
Building Owner 's
AT: Location ,3 $ Adj1U&A) / pyo Name' 4f-WAAe AUS /Aj
Aaa Type of Occupancy: 44A0AJ -57V,6)0
GNew d Renovation Replacement El
Plans Submitted Yes E] No d
Y W N
N W V
_ W. N
N tC N 0 N =
W J (A W 0
Z C W F. Q 0 _ = 0 Z W
4 m N I-' W W 0 O d � W F-
W Q F- N > Q
W W W W Z < Z cc N W < W FO- W H cc
(7 H Z j W W O O > W h W J F. W
Z Q W Q I. 0 m 2 O Z O N =
Q W > OC W 2 Q I Q Q O O W O W t-
1z = O c7 Y W 0 3 a tti J C> W > O IL 1`1 1 O
SUB—BSMT.
BASEMENT
IIST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
(Print or Type)
Check One: Certificate
+; Installing Company Name uclNll'/AIl dCorp.
It Address p�U J,j^5 .3nnq g"tr s7ner O Partnership___
"1l)nj* AM (141]61 ❑ Firm/Company^
Business Telephone i:Se�-3150) Name of Licensed Plumber or Gasfitter
\,1MVjfZ IA/. L/fie 9V--Dr
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.
TYPE LICENSE: y�
By lumber y
Gasfitter Signature of Licen ed
Title - Master /� Plumber or Gasfitter
City/Town: Journeyman ( 70
License Number
APPROVED (OFFICE USE ONLY) PQ-2 P
At
No.......�21.oO
APPLICATION FOR
PERMIT TO DO GAS FITTING
Location
.......... :......... mod w.........................
.. .5.".. �1. . '. ........ .......D..............
................................
Gas Fitter....ic�.Q.....!.:.�f. U.c ...'................
FEES FOR GAS FITTING PERMITS
NewInstallation .............................. .............
Additions to existing piping ..... .........
.........JUR.2 1.1.9.v............19..........
APPROVED: JUL 983
Inspector.
PERMIT GRANTED.
Permit filled out by.......................................................
FORM 1243 HOBBS &WARREN. INC.
THE COMMONWEALTH OF MASSACHUSETTS
OF
APPLICATION FOR PE MIT TO DO GAS FITTING
a ----------------
The undersigned hereby applies for a permit to perform gas fitting work according to the following specifications:
y�p J
Location.. � .,... �'N ..................................................Chane•e/of` qc ccupancy—.Yas...n........No.�,��....tr....
... ..Address.. .X ..14..!-'.{�.��Q Ni
Name of owner.... G. .. �....
Material of building......W.Q.4�9........................../.��........'..n.............. . . . .AFc r^sr old........................Number of families.`...../I./.......Stores... . ...
What was the building last used for?.�4-V� 44?...I.4 y�•�,� •What is the building to be occupied for?.��.y /! .•.•� /�
NATURE OF PROPOSED GAS FITTING IN �MDETAIL _
Pipe E ° o
Floor +� F.f"I VJ
Si y y ami ari U1
Size
W A0.'
BaSellleAt --
1st ! -- --
3rd 1 -
I
NOTE—Mark Below by X Whether
3.. .... ..... ....
New Gas Fitting NOTE• �-I••• �•f (.�� •• ••••• ."' "'.'.............. ................................................................
Alterationsin Gas Fitting ......................... ..........................................................................................................................................................
Replacement of Fixtures ...................................... ........................................
EstimatedCost $..................................... . .......... �..,.................................................................... .. ......................................
.SIGNATURE OF MAS ER GAS FITT ......�... . /..y� 1:..................................... .......LICENSE No..... .. .. ..................
TELEPHONE NO.. .. .. .. {!•�pF• .........ADDRES5.....(••u••�/� ylt /•/. G�Uy �.�:........LICENSE EXPIRES...II. �J •/••.....................
�/fJ (� Tom"
GAS FITTER MUST RECEIVE PERMIT BEFORE COMMENCING WORK
All work hereafter performed must be tested before being used, and the Supervisor must be notified when all connections are in
position and the final test is applied.
APPLICATION FOR
PERMIT TO 00 GAS FITTING
Location
....................... ..a
e .................................
: # ft-
4..................
".Iep
Gas Fitter..... ......Aoic-4—
'8
FEES FOR GAS FITTING PERMITS
NewInstallation .................................... ......
g .....
Additions to existing pipin ..........••....
.......... ............19..........
APPROVED: N(OV 6 1983
Inspector.
PERMIT GRANTED.
.......................................................................................
Permitfilled out by.......................................................
PMf.lg
M P op
W
City of Northampton,Massachusetts
e
APPLICATION FOR PERMIT TO DO GAS FITTING
a
/K .........r..............19k.3
The undersigned hereby applies for a permit to perform gas fitting work according to the following specifications:
Location...................................... . ......t.................................................................................Change of occupancy—Yes............No...................
Nameof owner............. .�: ]� ............................................... .........Address........................................................................................
Material of building...........1„ *OtL^ ...))................................................New ci o d4}......................Number of families........ ....... .Stores.........
What was the building last used for?..A..t. . �,(�cf.........What is the building to be occupied for?...A./.ux.�...`R(.�X"xT�t.�..
NATUA OF PROPOSED GAS FITTING IN DETAIL t/
d m m
H p m
Pipe o ° °°
� uFloor Cr S
CD be
W
Basement
1st
snd
ai•a
NOTE—Mark Below by Y W hethe _ I
New Gas Fitting ............. ........................ NoTE....... Q U..�* j ?�'° T�^-t`_....� ...1�..... �► :,I-.... �..............
). ......... . .....
Alterationsin Gas Fitting .................................... .................... .................................................................................................................
Replacement of Fixtures ...................................... ........................................
EstimatedCost $........... ..................... .................................................................................................I..............�............
SIGNATURE OF MASTER GAS FITTER........1/..f4GSX.... ...rl�. LICENSE No...............�5 ?.. .:-3.......................
.. . .... .. .. ...
... . .............. .. .
TELEPHONE NO. .V.....JU.'(..........ADDRESS.... .�.. .. LICENSE EXPIRES..../'(�/ �f....l...� 1...
... .. ... .. .
GAS FITTER MUST RECEIV PERMIT BEFORE COMMENCING WORK
All work hereafter performed must be tested before being used, and the Supervisor must be notified when all connections are in
position and the final test is applied.