HomeMy WebLinkAboutMiscellaneous - 101 DUNCAN DRIVE 4/30/2018 (2)E P Date ... /.— - ,!J- —/ '71P ..........—................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...................... ..am..... has permission to perform .............1 ....................................... wiring in the building of .......,::.....pi v?A............................... at .............../,(:?/......D .,.,vn. &J ... YNK ............. . North Andover, Mass. %Fee .3 ... Lic. No "I ........ /' ................ ELECTRICAL INSPECM]k Check# Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. % Z Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7 r , City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention tR perform the electrical work described below. Location (Street & Number) Owner or Tenant Owner's Address Is this permit in conjunction with a buildink-permit9 Yes ❑ Purpose of Building T Telephone No. No L�r (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: e Completion of the followingtable maybe waived by the Inspector of Wires. No. of Recessed LuminairesNo. of Ceil.-Susp. (Paddle) Fans o. o Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of LuminairesSwimming Pool Above ❑ In- ❑ rnd. rnd. o. o mergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detectinn and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number I Tons I KW No. of Self-contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ F-1OtherI Municipal Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water KW Heaters No. of No. or—'—Data Signs Ballasts Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP 'TelecommunicationsWiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such C?Ver3ge" is in force, and has exhibited proof of same to thep rmit issuing office. CHECK ONE: INSURANCE OND [—]OTHER ❑ (Specify:) , -, 4 s• I certify, under the pal and pennq 'es o perjury, thatAqnformation on this application is true and complet FIRM NAME: Zi it t C ( LIC. NO:3 Licensee: Signature LIC. NO.: (If applicable, enter "exem>n the icense n ab r line Bus. Tel. No.:�'7J Address: t4, / ! Alt. Tel. No.: 'Security System Contractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, 1 hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent ' Signature Telephone No. PERMIT FEE: $ Date'�% �� ! ....... /' A TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION '•AGMUSE This certifies that ... e., t�l.f �:.� .`.... J ?fix ` �!? �'. . has permission for gas installation .. 1!.. i' N .................. in the buildings of .. P/.7fi::.:............................. . at .......... , North Andover, Mass. Fee. . Lic. No.. '7. ?.... ..... n ... �....:: , .... . GASINSPECTOR ' Check # / � ` I' .'r)J; c.1 !J . G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Mass. Date 10/24 Building Location 101 DUNKIN DR 2006 Permit # �- Y f Owner's Name GARY PARKER Owner Tel# 978 794 3456 Type of Occupancy RESIDENTIAL New 7 Renovation❑ Replacement Plan Submitted: Yet NQ FIXTURES Installing Company Name Eastern Propane & Oil, Inc Address 131 Water Street Danvers, MA 01923 Business Telephone # 800-322-6628 C—) Name of Licensed Plumber or Gas Fitter rV/ k -0—t A Check one: Certificate Corporation Partnership Firm/Co. INSURANCE COVERAGE: I have a cu liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ✓ No 11If you have ecked y&s, please indicate the type coverage by checking the appropriate box. A liability insurance policy ❑✓ 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 entered) in above application are true knowledge and that all plumbing work and installations performed under the permit issued fo ti—is-pplicatio will be in compliance with all ertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene By Type of License: / Plumber Signat r of Licensed Plumber or Gas Fitter Title i/(;as fitter .� r/ • -Master License Number J ij Cityrrown • -Journeyman APPROVED (OFFICE USE ONLY) Date. TOWN OF NORTH ANDOVER PERMIT F2R PLUMBING This certifies that ............ ......• has permission to perform .... plumbing in the buildings of . -Ail?. ................... at rt (.-............ North Andover, Mass. Fee. t 1. . Lic. No... c t.... ......... Pj,, - - ..... PLUMBING INSPECTOR Check # - 7 1! - .MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date J njd Z-31 d6 Building Location iOI PNw2ners Name ?—ncz1�tsZ Permit # Amount Type of Occupancy 1JW� LL t A A New fj Renovation Replacement ® Plans Submitted Yes E] No {�( )(c 'nTRES i (Print or type)-� Check one: Certificate llin Instag Company Name 1 )Cly l�/��I �-� '� PTC El CSP. Address �t'u `� Partner. ��L F�mlCo. Business Teienhanc. r A- 7 — % 1 n Name ofLicensed Plumber. K. Lt.Po�- Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate boac Liability insurance policy tD Other type of indemnity Bond Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does noi have any one of the above three insurance rgnanrre Owner Agent I hereby certify that all of the details and information I have submitted (or entered) in above application ale 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 Massa&etts Stat ffl i& co e and Chapn1142 of the General Laws. own ROVED (OFFICE USE ONLY Type offlumbing License Llc=c Numoer Master El Journeyman 11 N e- - -, :�' e�� '-, Date......... ............ AORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR GAS INSTALLATION This certifies that ......................................... has permission for gas installation .. ................... in the buildings of . ... ............................. at .............. North Andover, Mass. ..... Lic. No... . . ... ........... .......... GAS INSPECTOR Check # 0/ CW u MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) N ANDOVER ,Mass. Date 6/23 Building Location 101 DUNKIN DR 2006 Permit # Owner's Name GARY PARKER Owner Tel# 97 -794-3456Type of Occupancy RESIDENTIAL New Renovation Replacement F1 Plan Submitted: Ye[] No[] FIXTURES Installing Company Name Eastern Propane & Oil, Inc Address 131 Water Street Danvers, MA 01923 Business Telephone # 800-322-6628 Name of Licensed Plumber or Gas Fitter Check one: Certificate Corporation Partnership Firm/Co. INSURANCE COVERAGE: I have acur liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ✓ No ❑ If you have c ecked yes, 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: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I herebv certifv that all of the details and information I have submitted (or entered) in above annlication are tn,e and ar.mirnta to tha hast of n, knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all City/Town APPROVED (OFFICE USE ONLY) tts State Gas Code and Chapter 142 of the General Law Type of License: /9 • plumber Signature Vidbnsed PlUraffer QL Gas Eifter •Gas fitter • -Master License Number • -Journeyman / I- r,:z Date. ; ............. "ORTPI TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 'Nqcmus This certifies that has permission to perform .................................... plumbing in the buildings of ...... ...... ................ at. . .......... : ....... ..... North Andover, Mass. ..... Fee. . ..... Lic. No................ . .............. .... PLUMBING INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Lpf.0 Mass. Date _ Permit # �O 03 Building Location % I i'1 fan _�/�i YejOwner's Namer Type of Occupancy `Residential New f.1 Renovation LJ Replacement Plans Submitted: Yes ❑ No O FIXTURES Installing Company Name Heritage Htg 4 &Plg . Co. Inc. Check one: Certificate Address_ 35 Pleasant Street [X Corporation 714 Stoneham, Ma 02180 n Partnership Business Telephone __781 X38 — 73 7-6— rl Firm/Co. _ Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes F-1 No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy IN 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 cartify that a!! cf the details and infortnalion I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing vrork and installations performed under the permit issued tor this application wiii be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Si ature ofW icense rl lber Title __---..__-- —�--�-- Type of License: Master IX Journeyman ❑ City own 3 2 2 -� APPROVED 0 FICE-3l SE ONLY) License Number__-.______.__ _ �;� X h n � o z W O W t .: .. O 2 v, w 6 F w F U w X a O C 3 lIf rii fd ? I W _ U ¢ V)u1 m N N ¢ w >-a F w _`_ Q a rn ;_ Z ¢ a ¢ x x x Z CC Ul0> ¢ a(n¢ a w N ¢ � Q¢ LL ri a F- Q z N N a O C ° °ink a a LL U 7 D a l= N 3 7 ra VVVJJJ SUB—BS MT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR L STH FLOOR Installing Company Name Heritage Htg 4 &Plg . Co. Inc. Check one: Certificate Address_ 35 Pleasant Street [X Corporation 714 Stoneham, Ma 02180 n Partnership Business Telephone __781 X38 — 73 7-6— rl Firm/Co. _ Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes F-1 No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy IN 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 cartify that a!! cf the details and infortnalion I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing vrork and installations performed under the permit issued tor this application wiii be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Si ature ofW icense rl lber Title __---..__-- —�--�-- Type of License: Master IX Journeyman ❑ City own 3 2 2 -� APPROVED 0 FICE-3l SE ONLY) License Number__-.______.__ _ �;� J z O w N O W U LL 4. O ¢ O U. 3 O J w m N z O H U t:l a N X J Q Z LL W W U. O z O z m J a O O O r r ¢ W a ¢ O LL z 0 r 4 V J a a C7 z 0 J jl m LL O z O F- 4 V O J IT w m Ji a, J a