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HomeMy WebLinkAboutMiscellaneous - 11 HODGES STREET 4/30/2018 �� l 1��n�-�s .:�5'r�s�-r� i � t%ORTH 0 A 9SSwcHus 16000sgood Street Building 20, 2035 North Andover MA 01845 Tel: 978-688-9545 Fax: 978-688-9542 COMPLAINT FOR INVESTIGATION DATE: b2 Tel #: WI:�.Ss FROM: ;J ADDRESS: Complaint Against: �� ELECTRICAL. PLUMBING: GAS: 1 BUILDING CONTRACTOR: 1 1 d 43 j PROPERTY OWNER: OTHER: V-2 C--C--,L�\(-,2. �o SlV e- lmalo j III Signed: I lt P� � . �MASSACHUSETTS UNIFORM APPUCATiGN FOR PERMIT TO DO PLUMBING (Print or Typo! NORTH ANDOVER, Masa. Dais p D� 1 q _10 G� Building Permit # Location A &QS Ownel'f . I Name I New JZ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ No ❑ FIXTURES s w M • * • o s � r � j . �- u < r o s ! s M Z M < sS a= }' A O = s a. r t- r � t p r. i ! i p t . i Mis Z U ss n a < aa ;< o asi a o a a a a a = s a. t s s a s 10 11 0 i a� sje a p M < it -9r< a s 3 ats 1 i a o o 0 = s- • ► u a a < )r s s o 1-1 sura—itaesT. SAsssat;NT IST FLOOR 21+0 FLOOR a 1 1 31to FLOOR 4TH FLOOR ' STH FLOOR STH FLOOR 7TH FLOOR aTH FLOOR — _ - Check one: CartMiute Installing Company Name �!f 0 vhf r ❑Corp. Address �-kb _ \�/SL ❑Partnership 1AAp�r Q Flrm/Co. Business Telephone Name of Licensed Plumber INSURANCE COVERAGE: Mecx one 1 have a current Ilabifty Insurance policy or Rs substantial equivalent. Yes No ❑ It you have checked yM. please Indicate the type coverage by checking the appropriate box. A Ilabiity insurance policy ❑ Cther type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my slgrattus on this permit application waives this requirement.. Check one: Owner ❑ Agent ❑ jSignature of ownef or Owner a AQent I hereby certify that all of the details and Inlormation l haw submitted for ent«ed)in above appkatlon are We and accurate to the best of my knowledge and that ai plumbing wok and Installations performed under the permit Issued lot this aoplkatlon rn7 be In comp8ance with aH pertinent provisions of the Mausclursetts Slate Ptumbing Cads ar+d C iapter 142 of the General laws. 5ignature 04 Licensed Plumbw TRIO Ueense Number I I � Cfty/Town Type of Plumbing Ucansa: Mosier JA APPfUVED (OFFICE USE ONLY) Journeyman ❑ I s _r"�tr.�;,:__„/._•yew � :.,`.�:__s..:,{-...•'+�...[9.y"�is.�.$""�iv�Yly-�`.j^t3 .9 �j, ._,F;s..�,.a.y: . �F^•` Date. ,--�y J..1. �1 ..`. .} i R -1 • . c 2614 !%• 777 ,,go, aL TOWN OF NORTH ANDOVER 41 ' PERMIT FOR PLUMBING 'SSACHUS� This certifies that . .t. A'1.� �. has permission to perform . . . . . . . . . . . . .� plumbing in the buildings of . . . . . . . . . . . . at. .t. :! r . . .) 1. . . . . . . . . . . . . . . .. North Andover, Mass Fee.d. Lic. No..,.,,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR 4. S' WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File N° 2659 Date/nz ..��........ NORTIy °ft °.•'"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,.• ACMU`��� f I This certifies that �"``��....��-n^-*�� .... .. . ....................... has permission to perform p �� �......................... ........ ............ wiring in the building of at.....Z,/....... ..................... .....,_,,North Andover,Mass. Lic.No.............. ........JJ ................... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ®� Official Use Only is Permit No. C a� 4,ate s "i BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 F_ BOARD FeeCheckedz6o APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date/ �cl/e/`�, 2 -0,-o Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Numberd4�'.f Owner or Tenant A :Z/2 'V/'A Owner's Address 9-1%1.'�. Is this permit in conjunction AT a building permit Yes ❑ No ��(Check Appropriate Box) Purpose of Building t�y U�C Sp .c. Utility Authorization No. d 0 Existing Service_ t9 0 Amps /p Voits Overhead C'Y Undgrnd ❑ No.of Meters New Service c2 0 n Amps � 1 o Voits Overhead 0,"- Undgmd ❑ No.of Meters Number of Feeders and AmpacityOt7 - i� �P 'Ph!1!-� Location and Nature of Proposed Electrical Work `9S0 app V1'X © 9 �/P `� No.of Lighting Outlets Total No.of Hot fuse No.of Transformers KVA Above ❑ In, ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA c/ No.of Receptacles Outlets C� No.of Oil Burners No.of Emergency Lighting Batte Units No.of Switch Outlets No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di osal No. Pumps . To KW No.of Sounding Devices No./of Self Contained 1'Jo.of Dishwashers Space/Area Heating KW Detection/Sounding Devices 'V ❑ Municipal El Other o.of pryers Heating Devices KW Local Connection . No.of Noof Low Voltage No.of Water Heaters KW Si ns Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type oI have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent ES NO = f coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ J 00 Work to Start Inspection Date Resquested Rough Final Signed underthe P aliq~S pf perjury; � � FIRM NAME /i y/��K//ham C� t f7i�i�1 'G� LIC.NO. Lfb,ensee 04��� li-krv1 flea / Signatt8us. � �� �'/// / LIC.NO. /�/G' C fy�5 sT l .itJiC'd9 e Tel No. 2 4 7�-7-7 Addres It Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE (Signature of Owner or Agent) � R MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG (Print or Type) �t l NORTH ANDOVER Mass. Date �uilding Loc tion Permit # t?PL .� 1AAAArAJAt I Owners Names' r • :' New Renovation ] Replacement Plans Submitte D FIXTUR=� a� UJ vi z is ri LU N 0'1 U a F C F a Vt _ W- t— }- z O f. Q o � e x a o x z w Z m H t' W yj O — (L Cr W 4 cc ul a t• to N CcW Z V W - 0) y 4 0: 0 a > !Y U4 LU Q7 rz r x .r W to O O ? 1 F W 2 d W J < a >- N at O Z O to x u > C W 2 < tL 4 d O O W O W F- a x o o z u. c o I I V x y Q a 11- o SUhi—$SNIT. BASEMENT 1ST FLOOR 2140 FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 4 TTH FLOOR L.ITH FLOOR (Print or Type) Check one: Certificate Installing Company QOK-A ,Ajc4 Q Corp. Address LAS �� �� ,( : - Q Partner. Firm/Co. Business Telephone: olsq--j S(p Name of Licensed Plumber or Gas Fitter Insurance Coverage. Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [� Other type of indemnity Q Bond Q 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 coverages. Signature of owner/agent of property Owner Q Agent Q I hcteby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowlcdge and that all plumbing work and installations performed under'Permit ismed for this application will-be in compliance with all p=ttneat provisions of tho Massachusetts State Gas Code and Chapter 142 of tho General Laws. .. By TYPE LICENSE: I Int.► Plumber Title Gasfitter- Signature of Licensed ' City/Town: Master Plumber p-x�, Gasfitter Journeyman 11 APPROVED (OFFICE USE ONLY) License Number -:..:r�`:�.?�..r�.=t.;c.iy,,.,+,,,�::�.._�--:,F;,.�ti.Ilii •J�w-'.`'�r' '^-".� •�.Ya:: ry:.,Q.a JSv::.:r.. :.�'r,a. i "y . Date... .. .'i.. .... HOF7N CI TOWN OF NORTH ANDOVER FL 0 � `p PERMIT FOR GAS INSTALLATION; LX s a �9SSACHUSES ^ This certifies that . . . . .- has permission for gas installation in the buildings . . .. . . . . . . . .g . at ./.! .1. �`. . . . ... . . . . . .. .: . . . , North Andover, Mass. ' Fee. . � Lic. No. ?�. " � . . . . . . . . . ... . . . . . . . . . . . . . . . GASINSPECTOR WHITE:Applicant CANARY: Bi itd nig Dept. PINK:Treasurer GOLD:File