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Home My WebLink AboutMiscellaneous - 10 MILLPOND 4/30/2018N �O O o I f Date .... 7- / 9- 06 ............................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... ........... k. z . '5e .. '7 ............ .... .. ...... ....... has permission to perform ........ �167 . . ...... 7116 .............................. I .......... ...... .. ............ wiring in the building of .......... Z Z - at ........... ............................. . North Andover, Mass. Fee ... Lic. No. ........... .4 .............. A Check # 6805 -� Commonwealth of Massachusetts - Department of Fire Services 1+% BOARD OF FIRE PREVENTION REGULATIONS t 111i�i..l I .•�' 1 trl� t )Cctll, incl '111d Fcc C hcck,2d APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI ",)rk to i -e I-crt'crntcd .^t .tCCt n,!;u'C� "1111 ,,j�- l `.IR tl, IA (�a TYPE.1cc 1.1FOa.1 LITlO.\-, Date: �`o Z2" 6 C'it\ or Town of: � /'rl !ht: h1.S/"(!L'1 ,r 0j II'ii L % 11115 ::pphcatiun the urldersi.-med ,I�cs nonce ul IIN qtr IICr intcntiun h> herturm the Icctrir;tl '.�rrk ele criht �l Lt lu�r. Location (Street & Number) j7 Nit a�T�. �� 1. L -L) A.- I � . � n (honer or Tenant Telephone No. 011ner's Address 1 t Is this permit in conjunction with a•b 'Iding permit? Yes No ❑ (Check ,appropriate Box) Purpose of Building LLtility authorization No. Existing Service Amps i Volts verheiad ❑ Lndgrd ❑ No. of icters New Service amps / Volts Overhead ❑ L'ndgrd No. of .Meters Number of Fecders and ampacity Location and Nature of Proposed Electrical Work: � %t✓-�, tJ -t•ub I h( No. of Recessed Luminaires No. OfCeil.-Susp. (Paddle) FansNO ° 'Tula! 'Transformers KV,V No. of Luminaire Outlets No. of Hot Tubs Generators KV. III, No. of Llrminaires Swimming Pool El In 0.0 mergency Lighting 'r n�1. fr lid. Battcry L'ni(s No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS [No. of Zones - — No. of Switches No. of Gas Burners No. of Detection an t Initiating Devices No. of Ranges No. of air Cond. Tonal No. ofAlerting Devices No. of Waste Disposers Heat Pump Number Ions 1 KW No, of Sel -Contained Totals: 1 1 Detection/alerting Devices No, of Dishwashers SpaceiArea Heating KW Vlunicipal - g local ❑ Other Connection I.No. of Dryers Heating :appliances Securify .5 tifeins:*^ KW No. of Devices or Equivalent No. of Water . No, o No. of Heaters KW Data Wiring: Ballasts Vo, of Devices or Equivalent No. Hydrormassage Fiathtnbs I Nq: of Vlorors Tntai FIP Ielecommunications Wiring OTHER: No. of Devices or Eq trivalent Ili... .I ,: , �r,,...1, ;•i.l. ' w I tim mA V, luc ul Flcctrical ',V•.'.rk: 1 i 1•� lrn ruyuircd by rumicrp;ll pclicy.t `.lurk toIn;hcctiuns to be rccluc�tcd in ,Ic urJ.ntce t0h EIEC Rule iU. ,111(1 upon cunlplutiuo. SI IANC E COV ERMA: 1. ulc:.:; �aitctl Ir: the ut�ncr. sir, Lcjmit tur 111e herturnulncc h.: licun:;c� er;'.i•Ic; proor'Jf IiCA TITh in a.tr:ulu''_ includimt"'' mplcr,.,.l cratit:li ::�cra"c.,r it; LIh'_lanti;ll •.',luit.lh nt. I1,2 I'. •:I"IP!,;' 'h:it :.'fl t; .: y':I",l' .II I: r::�, .,ll.f it, C. ,-' It li)Irt:�I Ic Hit: I':I"111 f' IIIit' lhi l' rt-I't.lch. •-, lc IIC�II:c •`!VNFIR 5 !t'�lt-'{ �.( F t� 111, ��: i �,.�n... !�!J i '. t. Itt• .I? iib r —._' I , (llll'lt� I,, !dl4 i�v !;l' , III�ltllrl. bt I'..',e, f Ik I',_ • .+, � I W�,, 2972 Dat/� ��F ..... TOWN OF NORTH ANDOVER CL PERMIT FOR GAS INSTAL CU This certifies that ................... CU has permission for gas ...... tv. in the buildings of .............. / I ....................... at ...................... North Andover, Mass. FeeLic. No ... .......................... GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 4ASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FTITING or print) twnIH ANDOVER, MASSACHUSETTS Date 19 '74— Building Locations` A-1-1 x10,6_1 Cif Permit 9 Amount S /v5�,�->✓i Owner's Name New ❑ Renovation ❑ Replacement lD Plans Submitted (Print or type Name_L Check one: Certificate Installing Company ❑ Corp. Address ❑ Parmer. usiness Telephone 5/. dame of Licensed Plumber or Gas Fitter /`�//_ �l /I�zJSo.//S ❑ Firm/Co. INSURANCE COVERAGE Check o I have a current liability Insurance policy or it's substantial equivalent. Yes No ❑ if jou have checked ves, please indicate the type coverage by checking the appropriate box. Liability insurance policv ❑ Other type of indemnity ❑ Bond ❑ 0V! ner'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: Signiture 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 anti 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 Vlassac�� State as Code and Cj pter�? of the General Laws. By: Title City/Town APPP OVL-D (oFFicf: USE 0NLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber / a s-�," ® Gas Fitter License i umoer Master ❑ Journeyman �' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) ISO . ANDOVER , MA , Mass. Date a G Permit # Y Building Location /gl% MILLPOND Owner's Name J/�fSb1�� NO . ANDOVER , MA Type of Occupancy, RES New ® Renovation ❑ Replacement ❑ . Plans Submitted: Yes❑ ' No ❑ Installing Company Name CALLAHAN AIR CONDITIONING Check one: Cedulcate u Address 91 B ..MONT STREET 13 Corporation NO . ANDOVER, MA . 01 84 5 ❑ Partnership Business Telephone 508-689-9233 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes R7 No ❑ If you have checked Les, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy J -L) 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 C1 I hereby certify that all of the details and information I have submitted (or entered) In ove application are true and accurate to the best of my kncwiedge and that all plumbing work and Installations performed under the permit sued for this appllcati will b In p(lance with all pertlnent provisions of the Massachusetts Stale Gas Code and Chapter 142 of the neral Law ey Type of Ucense: umber 9 naturg ol Lic nse um a oras filer G Title asfilter aster Ucense Number M-3440 APY Journeyman 0 . (n N rr W N V1 N Y U ¢ � n7 H W ¢ WN Cn ¢ O U m I- S !f c7 '� =F- < = L ,O F- 4 m N F- < ¢ p O}- ¢ ¢ w = yr U < w = N W < 0, W W J < ¢ W ¢ O ¢ Am W 2 W ~ W W < W > ¢ W A Z. < ¢ H < < O O O W 2 O O to yt F- ¢ S O A Y. O O J U C > O d A SUB—aSMT. BASEMENT 1ST FLOOR 2ND FLOOR 31113 FLOOR 4TH FLOOR STH FLOOR I 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name CALLAHAN AIR CONDITIONING Check one: Cedulcate u Address 91 B ..MONT STREET 13 Corporation NO . ANDOVER, MA . 01 84 5 ❑ Partnership Business Telephone 508-689-9233 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes R7 No ❑ If you have checked Les, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy J -L) 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 C1 I hereby certify that all of the details and information I have submitted (or entered) In ove application are true and accurate to the best of my kncwiedge and that all plumbing work and Installations performed under the permit sued for this appllcati will b In p(lance with all pertlnent provisions of the Massachusetts Stale Gas Code and Chapter 142 of the neral Law ey Type of Ucense: umber 9 naturg ol Lic nse um a oras filer G Title asfilter aster Ucense Number M-3440 APY Journeyman 0 . Date.. 2046 4, TOWN OF NORTH ANDOVER 0 PERMIT FOR GAS INSTALLATION<� SACHUS S This certifies that . .... ..... has permission for gas installation in the buildings of ............ at . . ... ....... North Andover, Mass. Fee..7,'� Lic. No. .-3 UVO ........... GASINSPECTOR C WHITE: Appli !��CANARY: Building Dept. PINK: Treasurer GOLD: File