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Miscellaneous - 1160 GREAT POND ROAD 4/30/2018 (23)
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NORTH. .COVER.BM-DING DEPARTAIENT .f.A CXCNICX[ y1• 1600 Osgood Street NorthAndover Tel: 978-688-99545 Fax: 978-688-9542 .B't7S.E`,�,�FOM FOR TOWN CLEC" AZ DATE NAYM,: r,�ac� �Ct ADDRESS � I i TYM OF)BUSINESS., BUMDING LAYOUT PRO'S BI) YES NO ZoN.i GBYLAWMA.GE: 'YES NO WiLD G i�40E TGA.SIGNATURE PUSM S S FORM P OR TOWN CLBR X 2.40 Hogue f3ccupAGn(1989132) An accessory use conducted, within a dwelling by a resident who resides in the dwelling as his principal address, which is clearly secondary to the use.of the-building for Ribg ptuposes, Home occupations shall include,"but not limited to the following uses; personal services such as fxnished by an artist or instnmtor, but not occupation involved with motor vehicle repairs, beatify parlors, animal fennels, or the conduct of retail business,or the manufacturing o£goods,which impacts the xesidwtial nature ofthe neighborhood; 4. For use of a dwelling in auy residential district or multi-f roily distdct for a home occupation, the following conditions shall apply: a. Not more,than a total of three (3) pAeople may be employee.,in,boj flame occupation, one of whom shall be-the;owxier ofthehone ocduatioiz and xesidingia�aid drelling; b. The use is carried on stdctly withinthe principal building? c. Theze shall be no exterior alterations, accessory buildings, or display which are not customw with residential buildings; - d. Not more than.-twenty-five (25) per=t of the, oxisting gross iloor area of the dwelling unit. so used, not to ewceed one thousand (1000) square feet, is devoted to'such use. ln conuectioia.with such use,there is to be kept no stock in trade, commodities or products which occupyspace, beyond these Wts; e. There will be no display ofgoads or wares visible from the street; f The building or premises occupied shalt not be rendered objectionable or detrimental to the residential character of the neiAoxhood duo to the exterior appearance, emission of odor, gas, smoke, dust, noise, disturbance, or in any other way become objectionable or detrimental tany residential use within the neighboxhood; -g. Aw such. 11th halt include no features of design- not customary in buildings for residential t?se. igaature Date I i CY16Ni{NlWRY '\Y CONSERVATION DESA ENT Community Development Division MEMORANDUM DATE: January 9, 2014 TO: Brian Palm, Director of Environmental Stewardship FROM: Jennifer Hughes, Conservation Administrator SUBJECT: Retaining wall maintenance at Lake Cochichewick boat ramp Brooks School is authorized to proceed with the proposed retaining wall maintenance without further review by the North Andover Conservation Commissionprovided the project adheres to the proposal provided (and attached) and the following conditions: The work will be conducted under frozen ground conditions to minimize soil disturbance and the possibility of erosion. j • There will be no increase in the height or width of the wall beyond the minimal height increase that may result from installation of the leveling course. • The work will be done when water levels are below the work area. • As stated in the"best practices' section of the project proposal, excess concrete will be recovered (via vacuum) and disposed of properly. No equipment washing is permitted within 100' of the lake. Please,notify the Conservation Department at the start of work and upon completion. 1 y 1600 Osgood)Street,Suite 2035,Horth Andover,M ossa diusetts 01845 Phan 97&6B&95M Fox 918 8.9542 Web www.townaWarthundaver.com NAME: )J ADDRESS: N . CT EUSTAT:E: ZIP::RlWALArC HOME: BUS: CELL: EMAIL: DATE: SALESPERSON: R) Redo: New Construction: Pictures r Poo ctot&ead Source vl3TC:` Pool Techo/Gravel a x-To BC �j-)J� D �wElevations Water Concrete Steps/Type NEw` Crin�E G Be. Sw-, Ay u Access Electrical Pre P Stairs Yes o s 1 CALx, t`6w2cm '%�UC1� Type of Finish Length 77. '` F( bU WXMTZ..-FL mL C*t-xi4- -m Ll AS44OU�S: ,SLL W2y L3GJC 7p Color �Y2O� Height ers) Sq.Ft. Wall Type faM F ' lam nj3 Pr{'aM�.L1.T7W J or= }-ju-R Rpa Height ` Length 9 - - Coping Style. Drainage of Ft. t $ PVC Joints Solid• j Blac Grey Amount of Gravel in Contract y /wA� yqq!! ,,^^ Cut Joints Random attern Backhoe Needed©No J _. Dec O S al k- - e Hand Grade a No I FGrey Tan Pav rs: Sq.Ft. Laddecs.B-Cups Cap l (d4V61 Divirignard Rotundo I ECNb .... . ,. „_ ... .. CK Asststflail-� Bo Dye in Concrete Yes No Pillar Vacuum Pool Yes CTo-N Steel MatS mall r) y A µOQ i SPECIAL INSTRUCTIONS: =k) C-=kLC- LZ vEU><X? �Dli`1AN" 19t>,, /!cN CNU2S} - F � i v I►Im WA�L ,B1 oI:K W i-i-N 2 2 Ar�R t A, Grp r z >...•.+.+ ..._...,.:-.--...�. i �.- - ...Y ... .�. ,. _ -.y w.!__.,...... _ w jriadassodateslm corn r �f i PROPOSAL OF WORK TO REPAIR AND MAINTAIN EXISTING CONDITIONS ON THE RETAINING WALL AT BROOKS SCHOOL DOCKS M 2014 Background and Description of Current Conditions: The project site is located in front of our boathouses by the docks(which serve as the launching landing spaces for rowing in the spring and sailing in the fall for our school and then as the `waterfront' for Brooks Summer Camp). Appendix A"Existing Conditions Repair—Wall Brooks School" serves as the description of narrative that Brooks School used for the statement of work filed in the fall/winter of 2013 (last year). Appendix B "Brooks School—retaining wall repair" is the memorandum we received after appearing before the Conservation Commission in December of 2013. Unfortunately last year,the process of securing a contractor bid and the application effort combined with budget questions on our end disallowed the project from happening prior to the Lake level rise which made the project impossible without adverse impacts on water quality and without significant expense to keep the excavated area clear of water. We have learned that it is important to do this project in November because that is when lake levels are lowest and because the docks are not in the water; allowing for clear working space in temperatures and soils that allow for appropriate forming of the structure. This past March,we performed a much smaller emergency measure where we poured a `dead man' which was then tied into the granite block which serves as the attachment point for one of the gangways down to the longer dock. This held us through the summer and is at least providing some stability through the fall. Heavy rains(moving water down the hill),wind action and ice action from last winter have all combined to cause us to be concerned about a length of wall that is larger than last winter's proposal. The school is concerned that more movement is likely because of larger wind/wave events and these heavy rainfall events that now seem commonplace. The large granite is looking questionable in a number of areas(perched relatively perilously)and there is erosion behind the wall which has created small sink holes. In short,this is a project that is overdue and which when completed will serve to project water quality and provide a greatly improved area in terms of safety for students at the school and in summer programs. Loss of that granite slab into the water is something that we would like to avoid. The current header attachment and granite slab is pictured and labeled below. Picture 1• �.+► ,Ir fit s. T I Below,Picture 2 shows a view looking down from the top of the wall shows that while the top slab has f' moved out approximately 2 inches,the significantly larger slabs of granite forming the bottom two layers of the wall are actually well placed and extend well beyond the base of the top two layers slabs that we are proposing will need securing. For this reason,we are interested in only replacing the top large layer of granite slabs which are causing the instability. Picture 2• `r a:�a 51 '► yryS¢. A[X�� yt h*d�¢iG`�r�i�s�tJ�j te,� • d, ,. % i .� . Proposed Work to Repair/Replace Existing Conditions: After initially garnering approval for a more limited project in December 2013/January 2014,the school is requesting permission to proceed with a project that would be larger and more costly. The school feels that this will provide a much longer term solution(25+years)and is one that can be added to incrementally over time. The proposed work to be completed by Triad Associates,Inc. based in Haverhill, MA will secure and stabilize the area currently serving as the `header' for the dock as well as the adjacent area(of about 15' on either side of the header)for a total project length of approximately 35'. The following scope of the work has been determined and proposed by Triad Associates: -Remove granite down to the level pieces of granite that are at the current water level for the outlined 35' of failing wall. -Form and pour a 4500psi concrete leveling course that will vary in thickness, according to the granite base layer 6" to 16". -Install(2) 16" levels of Techo-Bloc brand, "Monumental" wall block to be tied in with lengths of 1/2" rebar to the poured in place "dead-man". -Install a poured in place, 18" x 18"x 35'concrete, steel reinforced "dead-man" T to 6'from the back of the "Monumental"wall block. -Install a T wide, cantilevered, exposed aggregate, concrete cap over the wall block. -Haul off the removed granite and dispose of it. -Realign and level `header' rocks to meet the needs of the dock header. This work is described and drawn in Appendix C(attached)"Brooks Seawall Cross Section" Impact to water quality/wetland areas: The school believes that this solution will be an improvement to current conditions and the long-term quality of the water resource for the following reasons: - This longer term solution will require less future work and will immediately stabilize the slope. Stabilization of the wall will reduce any erosion of the current soil/rock substrate,particularly that which might flow overland down the current hill Since lake levels are below the elevation of the area of work, minimal impact on water quality will be observed at this time of year during construction. The design described sets the school up for future work to incrementally secure the wall/substrate in future years to further secure areas as funding becomes available. Best practices to be employed during construction to minimize impact on water resources: Triad Associates will wash all concrete into a preformed plastic form that they will remove from the site after work is complete. This wash station will be located at the top of the hill (away from the water resource to further reduce any impact). - Triad Associates will have vacuums on hand that they would use in an area like this to recover any material of concern. - Any potentially disruptive work will be completed in areas adjacent to the facilities yard(at significant distance to the lake). - Completing the project while water levels are low is important since a higher water table would allow for water to move into the area of work. All sedimentation barriers shall be maintained in good repair until all disturbed areas have been fully stabilized. At no time shall sediments be deposited into the water body. During construction,the applicant shall inspect the erosion controls on a daily basis and.shall remove accumulated sediments as needed. The applicant shall immediately address any erosion problems that occur at the site and shall also immediately notify the Conservation Commission,which shall reserve the right to require additional controls to prevent further erosion. Sedimentation barriers will be placed where applicable and will serve as the limit of work. - Equipment and staging areas(if needed)shall be clearly identified prior to the start of work. Workers will be informed that no use of machinery, storage of machinery or materials, or construction activity is to occur beyond the staging area without prior approval from the . Conservation.Department. - All work, including site preparation, land disturbance, construction and redevelopment,shall be implemented in accordance with the construction period pollution prevention and erosion and sedimentation control plan and, if.applicable,the Stormwater Pollution Prevention Plan.required by the NPDESSCGP as required by Stormwater Standard 8. - Prior to commencement of any activities,the applicant will notify the Conservation Department of the start of work to confirm that appropriate signage, erosion controls and lake level conditions exist for the scope of work described. - The work areas shall remain in stable condition at the close of construction each day. Ka. 4 - During and after work on this project,there shall be no discharge or spillage of fuel, or other pollutants into any wetland/water resource. If there is a spill or discharge of any pollutant during any phase of construction the NACC shall be notified by the applicant within one(1)business day. Brooks School is seeking permission from the Town of North Andover's Conservation Commission to proceed with this work and will openly and regularly communicate with Jennifer Hughes or any other members of the NACC to assure compliance to town concerns as we aim to protect the water source while minimizing activities that disturb vegetation and soil. Triad Associates are prepared to begin work upon notification and is working to schedule their crews to being in the second week of November to complete the job. We anticipate that construction will take five business days. The school greatly appreciates the hard work and consideration of the Committee. h SCOPE AND ADMINISTRATION d SECTION 114 tilation,or which constitute a fire hazard,or are otherwise dan- VIOLATIONS gerous to human life or the public welfare,or that involve ille- gal114.1 Unlawful acts.It shall be unlawful for any person,firm or improper occupancy or inadequate maintenance,shall be or corporation to erect, construct, alter, extend,repair, move, deemed an unsafe condition.Wnsafe_structures shall 6E_ta_Fe—n down•and.removed or made-safe;as the building official deems remove,demolish or occupy any building, structure or equip- c necessary arnd.as provided foriin this section.A vacant structure equip- ment regulated by this code,or cause same to be done,in con- k flict with or in violation of any of the provisions of this code. that is not secured against entry shall be deemed unsafe. 114.2 Notice of violation.The building official is authorized to 116.2 Record.The building official shall cause a report to be serve a notice of violation or order on the person responsible filed on an unsafe condition. The report shall state the occu- for the erection, construction, alteration, extension, repair, panty of the structure and the nature of the unsafe condition. moving, removal, demolition or occupancy of a building or 116.3 Notice.If an unsafe condition is found,the building offi- structure in violation of the provisions of this code,or in viola- cial shall serve on the owner,agent or person in control of the tion of a permit or certificate issued under the provisions of this structure,a written notice that describes the condition deemed code. Such order shall direct the discontinuance of the illegal unsafe and specifies the required repairs or improvements to be action or condition and the abatement of the violation. made to abate the unsafe condition,or that requires the unsafe 114.3 Prosecution of violation.If the notice of violation is not structure to be demolished within a stipulated time.Such notice complied with promptly,the building official is authorized to shall require the person thus notified to declare immediately to the building o request the legal counsel of the jurisdiction to institute the official acceptance or rejection of the terms of the ate proceeding at law or in equity to restrain correct or order. approprn p g q y > abate such violation,or to require the removal or termination of 116.4 Method of service.Such notice shall be deemed prop- the unlawful occupancy of the building or structure in violation erly served iif a copy thereof is(a)delivered to the owner per- of the provisions of this code or of the order or direction made sonally;(b)sent by certified or registered mail addressed to the pursuant thereto. owner at the last known address with the return receipt requested;or(c)delivered in any other manner as prescribed by 114.4 Violation penalties. Any person who violates a provi- local law.If the certified or registered letter is returned showing Sion of this code or fails to comply with any of the requirements that the letter was not delivered,a copy thereof shall be posted thereof or who erects,constructs,alters or repairs a building or in a conspicuous place in or about the structure affected by such structure in violation of the approved construction documents notice.Service of such notice in the foregoing manner upon the or directive of the building official,or of a permit or certificate owner's agent or upon the person responsible for the structure issued under the provisions of this code,shall be subject to pen- shall constitute service of notice upon the owner. alties as prescribed by law. "-"" "" alts, .........escri. - `Restoratidtn The structure-or equipnie t7deterrm_ iled_to, be unsafeby the budding o}ficitil is permitted to be restored to a, saf ffdition.To the extent that repairs,alterations or addi- SECTION 115 r, r STOP WORK ORDER trans are made ora change of occupancy occurs during the res- toration of the structure,such repairs,alterations,additions or 115.1 Authority. Whenever the building official finds any change of occupancy shall comply with the requirements of work regulated by this code being performed in a manner either Section 105.2.2 and Chapter 34. contrary to the provisions of this code or dangerous or unsafe, the building official is authorized to issue a stop work order. 115.2 Issuance. The stop work order shall be in writing and shall be given to the owner of the property involved,or to the owner's agent,or to the person doing the work.Upon issuance of a stop work order,the cited work shall immediately cease. The stop work order shall state the reason for the order,and the conditions under which the cited work will be permitted to resume. 115.3 Unlawful continuance.Any person who shall continue any work after having been served with a stop work order, except such work as that person is directed to perform to remove a violation or unsafe condition,shall be subject to pen- alties as prescribed by law. SECTION 116 tUI�SI E STRUCTURES-AND EQUIPMENT 116.1 Conditions.Structures or existing equipment that are or hereafter become unsafe, insanitary or deficient because of inadequate means of egress facilities,inadequate light and ven- 2009 INTERNATIONAL BUILDING CODE® 9 I Brown, Gerald From: Normand Grenier[NGrenier@brooksschool.org] Sent: Thursday, October 23, 2014 2:52 PM To: Brown, Gerald Cc: Brian Palm Subject: FW: Retaining Wall Project Attachments: Existing Conditions Repair-Wall Brooks School.docx; Brooks School- retaining wall repair- memo.doc; Brooks Seawall Cross Section.pdf; Retaining Wall Repair-Brooks School 2014.docx Thanks Gerry as always here the attachments of the process we went through and the cross section of the wall repair. nmg Normand Grenier Director Of Facilities Brooks School 1160 Great Pond Road North Andover, MA.01845 (P)978-725-6284 (F)978-725-6295 From: Brian Palm: - Sent: Sunday, October 12, 2014 11:22 AM To: Jhughes@townofnorthandover.com; megge(abtownofnorthandover.com Cc: Dean Ellerton; Normand Grenier Subject: Retaining Wall Project Jen and Matt— Matt... quickly as background(and Jennifer so that you have this in.one spot)—Jennifer came out on Friday morning of this past week to examine the retaining wall that we have down in front of our boathouses by the docks(which serve as the launching landing spaces for rowing in the spring and sailing in the fall for our school and then as the `waterfront' for Brooks Summer Camp). The attached document"Existing Conditions.Repair—Wall Brooks School" is the description of narrative that we used for the statement of work filed in the fall/winter of 2013 (last year). The attached`Brooks School- retaining wall repair"document is the memorandum we.received after appearing before the Conservation Commission in December of 2013. Unfortunately last year... the process combined with budget questions on our end disallowed the project from happening prior to the Lake level rise which made the project impossible without adverse impacts on water quality and without significant expenseto keep the excavated area clear of water;it is important to do this project in November from our perspective because that is when lake levels are lowest and because the docks are not in the water. We performed a much smaller emergency measure in March of last year to pour a `dead man'which was then tied into the granite block which serves as the attachment point for one of the gangways down to the longer dock. This held us through the summer and is at least acceptable at present. Looking ahead,we have major concerns both for student safety and for the integrity of the wall whose status has grown worse in the past 9 months. The failure of the wall(resulting in pieces of granite sliding into the Lake)would have significant cost implications and potential impact on sediment moving into the water. We feel that it is imperative that the project happen in the window between early and mid-November(prior to snow/heavy freezing/cold temperatures which would inhibit the structure from being formed correctly). I have put together a new proposal"Retaining Wall Repair—Brooks School 2014"for the work and would like your. thoughts on the project. Jen was going to confirm an g P J g g y issues with Chapter 91 regs in the meantime.and then confirm a 1 response about RDA vs.NOI. Matt,your inclusion on this was to make sure that we continue to run all projects by necessaryP arties within the town. s Thanks for your consideration of this project. We are available at your convenience to discuss further. Brian Brian T.Palm Brooks School Director of Environmental Stewardship-Environmental Science-Director of Rowing 1160 Great Pond Road-North Andover,MA-01845 (c)781-405-5205 (0)978-725-6251 2 d e PROPOSAL OF WORK TO REPAIR AND MAINTAIN EXISTING CONDITIONS ON THE RETAINING WALL AT BROOKS SCHOOL DOCKS Background and Description of Current Conditions: In March of 2013, Brooks School replaced the dock system at its boathouses with new, low profile docks that were designed for rowing and sailing programs. The new dock system utilized the same number of attachment points to the shoreline(2)but it changed the way they are attached(in the new system they use a solid, 6x6 oak timber as a header). While the company who installed the docks was confident of the attachment(tied to granite slabs that are likely 1,500+pounds), it seems that their confidence was overstated as one of the granite slabs has been pulled about 2 inches out. The school is concerned that more movement because of larger wind/wave events might cause this shift to continue; a process that would put the entire dock in jeopardy. Loss of that granite slab into the water is something that we would like to avoid. The current header attachment and granite slab is pictured and labeled below. Picture 1• s �A "1 -' i I R li I Below,Picture 2 shows a view looking down from the top of the wall shows that while the top slab has moved out approximately 2 inches,the significantly larger slabs of granite forming the bottom two layers of the wall are actually well placed and extend well beyond the base of the top two layers slabs that we are proposing will need securing. For this reason,we are interested in only securing and realigning the top stones that serve as the attachment for the header. Picture 2• A�j ani 5`',�'` a t `a R 1 � — "' 'tWNom MIDA �r Utz Proposed Work to Repair/Replace Existing Conditions: After initially seeking for an emergency order to stabilize, the school has received counsel that the solution will likely not be sufficient to last more than five years. Given this prospect, the school went.back,asked for further input.and would now like to proceed with a project that while more expensive, will be a much longer term solution (25+years) and is one that can be added to incrementally over time. The proposed work to be completed by Triad Associates, Inc. based in Haverhill, MA will secure and stabilize the area currently serving as the `header' for the dock as well as the adjacent area (5-7' on either side)that are currently the home of granite slabs that are I t even closer to reaching their tipping point. The granite blocks will be removed from the wall, a concrete leveling course will be poured, the granite will be reset (drilled and pinned(both vertically and horizontally to adjacent rocks)) to lock them into place. The `header' rocks will be aligned and leveled to meet the needs of the dock header. Diagram#1 gives a pictorial of the work to be completed. The school believes that this solution will be better for the area and the water resource for the following reasons: Longer term solution will require less future work - Stabilization of the wall in this way should actually reduce any erosion of the current soil/rock substrate. Less earth moving will be taking place with this plan given that the larger area of disturbance where the former concrete `dead man' was to be poured is not required - Since the soil is frozen now,the substrate is more secure. This also sets the school up for future work to incrementally secure the wall/substrate in future years. Additional best practices to be employed: Though Triad Associates has determined that this type of pour will not require washing,they have vacuums on hand that they would use in an area like this to recover any material and would do any of that work in areas adjacent to the facilities yard. Completing the project while water levels are low is important since a higher water table would allow for water to move into the area of work. Diagram 1 Oak header Dock ramp Granite slab, connected to"header" f Brooks School is seeking permission from the Town of North Andover's Conservation Commission to proceed with this work and will openly and regularly communicate with Jennifer Hughes to assure compliance to town concerns as we aim to protect the water source while minimizing activities that disturb vegetation and soil. Triad Associates are prepared to begin work upon notification and would need 3-4 days to complete the job. The school greatly appreciates the hard work and consideration of the Committee. R �tso arq'Ra.. <raoti r List of EPA Certifted XPoo l Heaters (Heaters certified as meeting tate 1998 StandatYk of Performance for New Residential NVood Heaters) October 2014 EPA aboJXMerbYcrnaw Enclosed.is the list of wood beaters cettifiedbythe United States Environmental-Protection Agency(EPA).as meeting the 1988 Standards of Perfoimatice for Nese Residential Mood Heafers. The.EPA Ceitified Rood Heaters list conlains the.i1 anufactirter's game,model nante,eniisiion rate(g4w),heat output(btMir),efciency(actual:measured and estimated),and gpe.of appliance of +oodlieatets approved by the EPA for'sale in the United States fl also indicates algelhcr tire'appi ante is sfill beilig tnanufacti red. An EPA certified wood heaters has been independently tested by an accredited laboratory to determine.if it-meets-the particulate eaussions'-limit of 7.50 grams pet hour:for non-tatalylie W ood lreaeets and 4.1®grains peritour for'catalytiewood heaters. AU EPA certified wood heaters that are otfeted or advertised for sale m the Unites{States aresubject io dw f988 New Soutce,Perfo`meance Standard(HSPS)for New Residential Wood Heaters under the Clean Air Act and are required to meet these emission litnim An EPA certified wood heater can be identified by a temporary papa[label affrxed to the front of the wood heater and a penuaneut thecal libel affixed to the back or side of the:%mood heater(see exainples belon). if youhave questions regarding a part at mod tine or manufact mr,please contact Rafael Sanchez at 2A2-564-028 or etia e.-mail at Sanchczsa€aeif)a eoa eoe: 'tt oad stords of bee far sale hi the stoto of washfpgtan musrmccr apnrrfrnfoto onlirtons theft of 4.5grams per hoar far non cataf}tic xrooil Storrs acrd 2_S gmrnx perlmlrrjorcafa(i7Fcxom%rloeas. - Emcl coioK,eueameteazio.+eoeemir --w�iSecs+allaYC bO+sN»xf ... ti . >4 4 .._ CgACaporatian(ve"mm 64 est .&r Wflava 101oa 1935. 06 106M44400 72 Cha ' ftACattmatial(Yermtxli . 65 Cast .kis_ 2370 to 5760.103Q0- 72 -Co!a °• - E&I"Tcapmebm W-9 66 C ..1aP' t west S naL+Ccerv:.s'tcp WaW 82460 4.1 .661627300 72 Cats. 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RA Caaaatiasl(Venimm '.. - - . ;74 - - Cast-amInc)- 9ader2170 2.1_. 94002900.2 - 72 WOW .. - GRA C(vprxaliYtialewas - - 15"" sawn ,Inc. ...:,.-,.„.,� vartedvarmrmvacorilseatrObrw12E4- - 2.1. .,.10' - ..,.72 ,_Ca• etmcsl . -,.• 76 casrft2b mej lvintovtmn smiii msen IJ.DQa120a0.- .r- 870U31 t00, - - .....M 7– ti`:.; Capor .. . _ 22 956031700 -72� C t . CF11Gapaatlat(Valnmit rmdd21t71i '24 9206rtk100 -... 72 CFIl.C q-5mn.(vel"MI CII:E:a4ato Fed±lat Cartect!al Flag er .. 79 Cas111 t.6.1 FA2118CCL •2.fi 2r0o38h10 72 -Ca!a 9. rl0 aitd,,1 ) -- EltF35 -- :.. 2-T t I,I:00.1m600 72 - CFrl1.Calwr pel(td[atwat C.D.�- Feda:ai cowe tin Heater- .. all ICbSfa3&,InCj IFAMML .. 21'. 1000.301;00 72 t w�iiUasralri�.ong.h*rNd x1151 �'�+'a'1i'Ri nEp xsbaatyFM{tic a+s¢cd"dugieabt�a/)R.h3a�.v>R.iV�.Siilenca�`yi4.4Ce-'a ail fd%•wa1G�s1}4`!'1.S.S1Y? : - - .. t i SENT" �:yas2 WINS L 81`acllirerst,xla!ldl .,�' _ �7�fe�is esc t ieslrl[li VY �9nailezni± crsaar7( w;�. - �gtld u^r;a,Ccctir ra,�idtj . - �p�tytigtior, "`�,tlky i3 Y¢All c¢!!lruui ih¢:119a r t PROPOSAL OF WORK TO REPAIR AND MAINTAIN EXISTING CONDITIONS ON THE RETAINING WALL AT BROOKS SCHOOL DOCKS Background and Description of Current Conditions: In March of 2013,Brooks School replaced the dock system at its boathouses with new, low profile docks that were designed for rowing and sailing programs. The new dock system utilized the same number of attachment points to the shoreline(2)but it changed the way they are attached(in the new system they use a solid, 6x6 oak timber as a header). While the company who installed the docks was confident of the attachment(tied to granite slabs that are likely 1,500+pounds), it seems that their confidence was overstated as one of the granite slabs has been pulled about 2 inches out. The school is concerned that more movement because of larger wind/wave events might cause this shift to continue; a process that would put the entire dock in jeopardy. Loss of that granite slab into the water is something that we would like to avoid. The current header attachment and granite slab is pictured and labeled below. Picture 1: �. . t g x � � FZ � ffV [ k i Below,Picture 2 shows a view looking down from the top of the wall shows that while the top slab has moved out approximately 2 inches,the significantly larger slabs of granite forming the bottom two layers of the wall are actually well placed and extend well beyond the base of the top two layers slabs that we are proposing will need securing. For this reason,we are interested in only securing and realigning the top stones that serve as the attachment for the header. i Picture 2• AV_ { s _ F 1r " d I u ti �I Proposed Work to Repair/Replace Existing Conditions: After initially seeking for an emergency order to stabilize, the school has received counsel that the solution will likely not be sufficient to last more than five years. Given this prospect, the school went back, asked for further input and would now like to proceed with a project that while more expensive, will be a much longer term solution(25+years) and is one that can be added to incrementally over time. The proposed work to be completed by Triad Associates, Inc. based in Haverhill, MA will secure and stabilize the area currently serving as the `header' for the dock as well as the adjacent area (5-7' on either side)that are currently the home of granite slabs that are r 4 even closer to reaching their tipping point. The granite blocks will be removed from the wall, a concrete leveling course will be poured,the.granite will be reset(drilled and pinned (both vertically and horizontally to adjacent rocks))to lock them into place. The `header' rocks will be aligned and leveled to meet the needs of the dock header. Diagram#1 gives a pictorial of the work to be completed. The school believes that this solution will be better for the area and the water resource for the following reasons: - Longer term solution will require less future work - Stabilization of the wall in this way should actually reduce any erosion of the current soil/rock substrate. - Less earth moving will be taking place with this plan given that the larger area of disturbance where the former concrete `dead man' was to be poured is not required - Since the soil is frozen now,the substrate is more secure. - This also sets the school u for future work to incremental) secure h p the wall/substrate in future Y years. Additional best practices to be employed: - Though Triad Associates has determined that this type of pour will not require washing,they . have vacuums on hand that they would use in an area like this.to recover any material and would do any of that work in areas adjacent to the facilities yard. - Completing the project while water levels are low is important since a higher water table would allow for water to move into the area of work Diagram 1• Oak header Granite slab, connected to`:`header" Dock ramp is - I - - A i Brooks School is seeking permission from the Town of North Andover's Conservation Commission to proceed with this work and will openly and regularly communicate with Jennifer Hughes to assure compliance to town concerns as we aim to protect the water source while minimizing activities that disturb vegetation and soil. Triad Associates are prepared to begin work upon notification and would need 3-4 days to complete the job. The school greatly appreciates the hard work and consideration of the Committee. i i a• Y .. NAME: ADDRESS: CITY: N -7-A l) IVEtn/ 1 A►1JCr WALL ON 1111 Co PIC�-IEW1,2K STATE: ZIP: HOME: BUS: , i CELL: EMAIL: DATE: SALESPERSON: Redo:' New Construction: 4 { Pictures Poo ontrecto ead Source „ - Pool. 7echo/Gravel Y Sw , AwA, r ,Sw2 X'To -nt.D ` Access ns PrenPre le Water to Step ype c Electrical Stairs Yes o `f tJ2 :l4td.. (20N4�C* '%tLKJ� Type of Finish Length h W/-r�-rZ: IC3-fRl- t�1G1 T TU �1 ASW)U�: JZ LYe(LY.B(JJC 70 BElftG)tD Color Height rs) y �0f t}71-57701.1 �u+Z ChM >• Sq.Ft. Wall Type Height Length : Coping Style (nage Dra of Ft. PVC Joints Solld: t Blac Grey Amount of Gravel in Contract C�t E C� /WAl. 1Y J ointsrz i - _ ! ) Random attern Backhoe Needed t�No 0 /�(�LiT£ I Deck- - ea O S I Hand Grade No t Tan Grey Pav ts: F � , 3 Tan- --Grey- Sq.Ft. l3(d4u6L Ladders-&.Cups--� Cap Diving Board Rotundo _ 1" {b C� J 1�' ! )�f�Y}(YfI;� L�"- .I CE✓ AssistPait•- _ Bo Dye in Concrete Yes No Pillar �l I Vacuum Pool Yes o Steel Mat Small ,'� /S,1JCN02 SPECIAL INSTRUCTIONS: 8 CALC ?666 Ji 1N t'(f10E e01Jc2r:�£" J 'DEAUCIANNC 1400J, 11 c j i�M— 7WAL6 OLOCK WT-t 2E8A2 Ex�s„NG GraAN'iiE- j WA-r4s,R wmvarfadassoc tesinc com - VICi1M iE SALUtAMUS BROOKSSCHOOL NORTH ANDOVER MASSACHUSETTS 01845-1298 January 2, 1996 Mr. D. Robert Nicetta, Building Commissioner Town of North Andover Office of Community Development and Services 146 Main St. North Andover, MA 01845 Dear Mr. Nicetta: I am writing to you further to a conversation which Fred Chaput had today with Mr. James DeCola concerning the use of licensed trades for certain repairs and installations at Brooks School. It is the practice at Brooks School to engage licensed trades on a contract basis (outside contractors)to accomplish such tasks. I presume, therefore, that it will not be necessary for Brooks School to obtain the permits described in your letter of December 1 st, 1995, but that necessary permits would be obtained by such contractors at the appropriate junctures. Should there be any questions regarding this understanding, please do not hesitate to contact me. Si e y, G ` Bruce Wallin -- Busin ss Manager cc. Mr. James DeCola, Electrical Inspector Mr. James Diozzi, Plumbing Inspector 'A' ate. . 91Y111 z-. 9512 NORTH TOWN OF NORTH ANDOVER n OfI'�%o 3j � � � •�OOC PERMIT FOR PLUMBING ,SSACHUSE� This certifies that . . . . . has permission to perform . . . . .. . . . .. ... . . . . . . . . . . . . . . plumbing in the bu• dings f . . . . .. . . . .59�� . . . . . . . . . . . M1 at . . .,�/.�©. . . .�. . . . . . . . . North Andover, Mass. Fee2.31.Zp.Lic. No.. 4�15�7. �/ / q PLUMBING INSPECTOR Check N ]'ZZ�! MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATE PERMIT# JOBSITE ADDRESS // O Gree P, R o( OWNER'S NAME POWNER ADDRESS TELL --IFAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ® RESIDENTIAL PRINT CLEARLY NEW:® RENOVATION:9 REPLACEMENT:[j PLANS SUBMITTED: YES® NO® FIXTURES Z FLOOR— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL t SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current.liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE.BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY [j BOND Ej OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ® AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application ar true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application ill b n co pliance with all PRerup7provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws-. PLUMBER'S NAME Daniel B.Cellucci LICENSE# 6857 SIGNATURE MP El JP® CORPORATION# 398C PARTNERSHIP®# LLC[J# COMPANY NAME Dan-Cel Co.,Inc. j ADDRESS 15 Crawford St. CITY Watertown STATE MA ZIP x02472 TEL 617-923-1011 FAX 1617-926-5746 CELL EMAILcath ike dan-cel.com i 11 ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES ,des No THIS APPLICATION SERVES AS THE PERMIT ❑ FEE: $ PERMIT# PLAN REVIEW NOTES f a Date . . . .7 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . . ..3 ? has permission to perform .� �.T.� .Or,GiCr--, , S4f 1<e . , . . . . wiring in the building of . . . SGL , (. . . . . . . . . . . . . at . . . . . .North Andover, Mass. Fee . >' , ° . Lic. Nod P` q6 . . . . . . . . . . r/ ELECT ICAL INSPECTOR Cjeck# -116o 7 10 'b8 I , Common weafth of Massachusetts --OiFic—ial Use Only Department of Fire Services Permit No,---JQ7 GE Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leavebla* APPUCATION FOR PERNT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE SE PPJNT IN INK OR TYPE ALL INr,ORMA TION) Date: --7//F(//Z Cky or Town of: Al. AAy-bovex To the Inspictor' of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 1164 6 JZCA% ?o� -o IZO42) Owner or Tenant ZROOIQ) S-C—HW L Telephone No. Owner's Address lis this permit in conjunction with a building permit? Yes No (Check Appropriate Box) Purpose of Building aH(JoC. Utility Authorization No. I Existing Service Amps Volts Overhead [:1 UndgrdE:] No.of Meters New Service Amps Volts Overhead Undgrd No.of4Weters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,-DemoLtr oAj o Extarinic /-AB wnqeE -/T) Completion of the.following table inay be waived by the Inspector of Wires. N®.of Recessed Luminaires .- No.of CeilSusp.(Paddle)Fans No.of Total Tra sformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires .2q 7Wq( Swimming Pool Above ElN o-.-o-f-E ierjeeyl,ug htung grnd. rnd. battery—Unit's 3 No.of Receptacle Outlets 3o No.of Oil Burners FIRE ALARMST0.of Zones - No.of Switches No.of Gas Burners No.of DetectionI No.of Ranges No.of Air Condo Total No Initiating Devices Tons .of Alerting Devices Coned Heat Pu I N T No.oel f SF- No.of Waste Disposers Heat .P .....PT4�r.. - Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local[IMunicipal R other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Rte, No.of No.of Data Wiring: Heaters Signs ballasts No.of Devices orb uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring.. I i No.of Devices or Equivalent OTHER: J?eL OC-17-C (i ) Ft FC7-1Z IC A L -PAIUEL r el� r W& 'box t —2 ReA.K--tY CoiZ Ault zP4741 Attach additional delail iftlesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 2r7 K (When required by mu�rii6pdl-p-(51 icy.) Work to Start: .7 LA-Y - I Z 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE R BOND [] OTHER [] (Specify) Norfolk&Dedham Policy#R0658739A I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: S&W Electrical Contractors,Inc. LIC.NO.: 20406A Licensee: Brian Washburn Signature C. C.NO.: 40833E (If applicable, enter "exempt"in the license number line.) --Z Bus.Tel.No.: 508,697,9680., Address: 30 First Street,Bridgewater,Ma 02324 Alt.Tel.No.:--50.8.294,1655 *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,I hereby waive this regirement. I am the(check one) 11 owner El owner's agent. Owner/Agent Signature - I... FEF,.- S i f .� . ,/ �� ��� f� , _ � _ _ . , , �� r 9 � . e .? . � �' � 5 I The Commonwealth ofI�l�,�,��c>h�u��� • nn F3�; epoirtmentoflnielusttrrkdiA.ccidei;z& Office of Irma esfigouione " 600 Washington 91rreet Boston,MA. 02 111 Worrkers9 (Compezga flon Msll rahmee Affi uk- ] llnu➢dclr�/cCOra Ali°al�tt�>l /} ➢c���1r➢�g�11rIl�/1 ➢caul I�� � Name (Business/Organization/Individnal): S�V W �iug�,h,c Address:.._ A_ t . cCity/State/Zip° phone 4,_ t 0 Are you an employer?Cheek the appropriate box- - Zama general contractor and I Type®f project(rreqeuilreJ): 1.LTJ I am a employer with `L 4. g 6. 0 New construction employees(full and/or part-time)." have hired the sub-contractors 2.0 1 am a sole proprietor or partner- listed on the attached sheet. 7. [KRemodeling ship and have no employees 'These sub-contractors have S. Demolition working for me in any capacity. employees and have workers' 9. Building addition [No workers' comp.insurance comp.insurance: required.] 5. We are a corporation and its 10.E Electrical repairs or additions 1 am a homeowner doing all work officers have exercised their 11.M Plumbing repairs or additions myself. [No workers'comp. right of exemption per Mail_ 1.2.[l Roof repairs insurance required.]'t c. 152,y1(4),and we have no employees.[No workers' 13.E] Other------ comp.insurance ther-- _ a—comp.insurance required.]_ "Any applicant that checks box 41 must also fill out the section below showing their workers'compensation policy information. f llomcowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. "iContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp.policy number. n�a an eknplOycr traat i5 prOViClirdg rte®r'lcPFsl corrapcngadoii arr.vadrarrcc f'Car'my empl ayeev. Below is thepolicy ses d job site information. g Insurance Company Name: Policy#or Self-ins.Lic.#:—.U-Vj_6 \4 RLA - - � Expiration Date:_1 k�7[AD 13 Job Site Address. l(t ��lZ` r�N -._ .�� City/State/dip: /ti. ANDot,rEiZ�� Attach a copy of time wolrkers,compensation policy declaration page(show,inn the pohey nt§mber and expiration date). Failure to secure coverage as required tinder Section 25A of MG1.,c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1(Cl®hereby certify linder the pairas aFd Penalties of perjaky that the informa4on provided above is ftwe and correct. Si nature: Tate . /2 PI�one#: �$��' ���y� Q(16 r'� Oficial save only. Do not write are this arca,to be completed by city or toum,official. CRy or Town: }Incl;moi 9/ILacewsc 1(sswung Authority(eiill°cle®rme)t 1.Beare]of Health 2°Bttlfilding Deparfiraerrot 3.Cuty/'1'own cCRcrk d,LllectrriicaU lirmepector S.)i"➢aulamMng IImpectorr 6.Other Contact Laelrsolvr Phone 930 Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACNUSE� f� This certifies that . . . . . . . . . . . . has permission to perform ., .f,.{! plumbing in thee�buildi gs of at . ��.h3. .C1T'�'r. ���'. . . . . !. .�-% , No h dov Mass. Fee. ®© .Lic. No.. �l.s `?ar� . .ter'°' . . . . PLUMBING INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY (MA DTE 13—a/—I �— I PERMIT tf JOBSITEADDRESS �e 0�(�( OWNER`S NAME1 I 3 ' R 10f �r�v ISS P OWNER ADDRESS I TEL IFAXf TY.PF-OR, OCCUPANCY TYPE COMMERCIA DUCATIONAL ), RESIDENTIAL PRINT CL1°ARLY NEW.( I RENOVATION:( REPLACEMENT:f ITT€De-:YES J I N01 I FIXTURES T FLOOR-' $SFA 1 ti 7 a 9 10' 1t 12 13 14 BATHTUB . ..._,._.. ...._ _ -- - _ ._ CROSS CONNECTION:DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASIOtUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM f I i DEDICATED WATER RECYCLE SYSTEM i I I , . . DISHWASHER DRINKING FOUNTAIN i FOOD DISPOSER FLOOR(AREA DRAIN INTERCEPTOR(INTERIOR) " KITCHEN SINK — ... ! ;... i i . � .• 1 LAVATORY _ ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING .OTHER - r, , INSURANCE COVERAGE: 1 have a ctirront liability iiisttratice policy.ar its suEistantial equiValent Ylhicil sleets the requirements of MGL Ch.142. YES I I NO ( i IF YOU CHECKED YES,PLEASE INDICATE rF TYPE OFCOUERAGE.BYCHECKING THE APPROPRIATE BOX BELOW LiANUTY INSURANCE POL(CiINKOTHER TYPE OF INDEMNITY I BOND�, I OWNER'S INSURANCE:WAIVER,I ani Awaro that the licensee does not have the insurance coverage required by Chapter"142 of the Massachusetts Getieral'Laws,and thatnty signature oiltlii$pertriit application.vaaives this requireinent. — - OECK-ONEONLY:. OWNFRI I AGENT- 1 -1 SIGNATURE OF OWNEk OR AGENT I hereby certify That all of the details and infonnaHon I havesubhiitted of enlered regardingahis application are 'nd fate he est m tvledge and that all plumbing work and installations performed under the permit issued for this application twill be' comp` n e' i all P i nt p',,'s' the Massachusetts Male Plumbinq Code and C iaptet42 of Hie General Laws. j PLUMBER'S NAME[ ILICENSE it 19065� i fGN R i MP4 JP I I CORPORATION ;PARTNERSHIPjp O#' LLC J j#I { COMPANY NAME f v1IP{ tr�v�ljtw�Q' fADDRESSI 112 -e�OJS 3- I CITY STATEt ZIP 3 ® /f y 1 r � f ( � TEL 7 9 7���J'�� FAX CELL f f EMAIL i PLLTIMMINO INSPJ,'OTION'NOTE,S IRLLOW rOr � + cz u5L_ONLY ANAL INS1PEC II ION NOTE i Yes No THis APPLICATIONSERt6ES AS THE PERM -.r S'z9 i FEE:: PERMIT PLAN RxL �'�7.NOTES { i t t 2 F . t t F ch y f tYrpf�iin�jtr!eirlli�i, llfc�s��cli�ts�ls I2�i�ri~'lu;eirfo XtttttsfrttrlAcj(A?& >>� ICrrQ�`XllIleat l011S i Af1.tT tslelttgfoit=AZ,81 - - 3QsloIt;7YfE 021X:1 ►i(otIIr(tsswpi/tilt �i,T�tTsctts�Contl�etis�ttkmr�'tt�hifnlit:c,���icl_ity��:I�ttpC(tcislColtf>,�a�fo3stte�trlcin)tsl�'�util��eli,� { 111�1i'it=lttt€Iltfotl7uitioii . ._ .P7ens ►in-Lm—l'1 - 4itlil�(13iii'utrt.LrQigltt'i�:iti�nrJTtBividualj� .,(J�. 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" a�i Elltttfrf::' l) tCz O,fjzct�e`tcs�*atrtit jlarrvEtifer'ictirrliticffl-W,toGseatillleleillt=c7l?orlali>ttojftelnC.� I fj•ot•`[oiizi� L'etiiilfft Sceligo is fig..Aii horif�i:(c�rcreoilc); f<.!kO1trctoM01t6 2.iTnitllin9Dc(in+;tIim113.Cifjfrfol}'iiC0.0f 4BIptrisntTuspec(oi= I+ltntLtugFns)leftol- 6=Q(itt:t, Ceiti�ici.l'ei•�b{li: ... .. ..__._ ,�'tioi[rs!{'; mat 9 1<'fasstfcliuSEfts GeneralL�tt�s c7>apfer X52 retlitii`e,4 nil`etitpIagersjoaJYavide:iunr'�er5'co7pit;ias�EotefortlteirottlpTn}'ees I'tttsuant fo-thlsslafitt�aneri��oy��i�tTefiitedas•`:.,ei;�ecyperso�•Iirilte�ettice o€eit.othcrttider�uycontrac�o£dire,, etuio�orliitplied,.Qrnlo�t%7ilteit " . • �Iieri�Ioler'•is�c�inettas"�nnilivitiu'a),yai-titersl'iio;,as�otiatioh;cpxppr��ionQroffier=iegi#[eiitiGyrotra�}litiab�Siiorz ' lllefotzgoingeitgagetlnti� oinFenFerprise,aitc iu litcl thelegaliipri's titatttr�s:6 a'deeeasecFeruptoj�et;ort7�e •recen�erortiitsfee:' `%` - . � .. ofeuuteltttd�raf,IratGtersTiip,.,as�aciatihn:oroFlter:Ieg11°euti�;�ibpi_o}=mg;etnpIayeesFfol�celerfne .411ngsa€a.dtt�elliuglioiise-hrivingttotltibr`zilian.tiit��a' aiFinents:flud�vlib • .� ,p t itssuteslhereku;.ortitooecupmttoffue Cliffel#ntg@ott oftitiotliern=ltoeittplo}fsTiersbuS>orlbniaiithnatice,emis[nicliditoi`repairitoikoil suc71(1611iugltoiis� s ioli:tli it ng ltpurfenalit tliererot'liallhtotbecouse.ofsuch.eittfito}intentbadeeutecl`t¢be uentpJo)�er�'° �t'iGL•c'lia�Icr;t$2;:�23G{G�,�jso'siates fltat•`•`escl•}c�t:±fea.�ItocnT IicenSit►«pg,;itcj�sTt�lEiyItliTtoliY€Ile jss-tiatice oz^ elteti a st.liceji5i bl permit t o apertt fea btisiuesso fo:eottsft ticf btiildiugs in fhe ronnribiuiealfit_ioi ctti� rtT,f�]icattl�vii.��Jrasliotlttotltteeil.nccepfstbleei�icl'eltceof ceuili]iflttcetvifRflteirFstii•siucet:okei•{tgerequireEl.'= Additibitali};lt?GI;eli pterl5 '25C(7)stares"�leithertiteComntomvealtlutoraa}=ofitspotiticalsubclEyision$s all �iltriueoanycontractortlieyerfomlaticcofptt(iligiron ittttil�cceiitaGTeevizleliceofgompliaucet�titlitliFznsurance t:e.�iruementsoftiaiscltaptecltaveliecnprgsztitecltoflieeo)itzastingautltorit}�;' - Iiiiliciiltls I Pleasefli.outtltYispt�:ers'�co11)��ils3tl0iz��'fit}atiti;6pi13le�taly, ��?ie�kiit''t�te�iotesiliata "I�••:`81tcs ta[, t . .�3• t t - t t 1 oti�d tf g ilboos ij;,supply=Stth-contmaoics)italue(s),aticliess(csj'�tidpltotiejtul111iEi;(s)fl101 lt'ithflteircec#ificate�s�pP nsiiraitct-,Limited ialiilifs=Canpaites(LLC)orlim€1cdLiabiGtl�PaYl"noislups�ifi�' 3Villtnaettlyloyersotlter'tii titiiE: lite-ntliers orpareters;arettot requiredto cant workers''compensation insuiatico. IfaItLLC or LLP does have eplo}eassapoliel!isrequired.-)3h.�dvisedth�tfttisffFclavifmay6estibniitfecitotheDep;tt'ettientol Yndus[riui AccidenFsfbrconfu,uafiotiofitisuraitco.roverage. j Isobespre-fosignrtticltlttteflib0 rldattit: 'TheriffidaWshould be refurnedto the city or town that 1110 applicatiou for the permit or license is beim requested,not fltaDepartmeni of FnrictsFtralf#,ccideitfs. Sltoiitdyroitlt3v�ttiiy'�uesiiousregardntg.tltelat%oi•ify6Uaret'Ccgtii-cdfo.•obt,:jtiatvotkcrs' � '� �uktipe}t§,,Itionpolicy,please caltflte'p,^jiaifine ttittftenuntber isfectb Joty.:golf-fiistus{i,cotupat(ies Itoulcienfertlteit pelf-insurance 1 icense numberoiLtlte tlppropriate line. City or Totvit Oft;clals ' Pleasebvsitretlilt@fheaifiitat'itiscoi►�leteRflttpriiitecfileg161y. �'riebepattttientlrasproYi4etiu.;parpattlt�.tyoltoiit .aft8,40'davitfoi•jrotittifillotitk-IN-event the.Off iceofi»ves.'tigationshastocouf dyourzg*jm lvi,ihiiePplicaitt, Pleasabei surd to fill in fhepenniflliceustirtutnberivlticli trill.6e.ttsed l �sa.refereio-lilmiber.Inaddil ann lic�tnt fliafmusfsttbihitntitiii le �mtlilticensefl ]isatoisittaa* r r •gyp I P P� PP }giteit}eat,sieetl'oniy suUntiEone�ff_rdatit tudicafmgcurrent folic}'Infonitation{ifnecessaty�atultutler�`TotiSifaAdclrass"flteapplicatit'shotticltvrite"aillocalioiis�lu (cifyor 1 �birit}"A cppk o€llie a[iidaS�ittliatliasbeen ofFtciulfyslatnped of rtiarkect by the.cit}F or fo»jiniay UeprOvidecl to the slip]icaneasprooffhaeat�aliclaTEidtit'itisotiJrlefbrfir[ureperutitsorlicenses.Atieit•.fiftldavitmust befine<l��fteach. i ve<�r.S�t'liere t Jtot►te o►s°nerorcitizenis o6faii2ws fl jiceitse oi:perniif itotrelafed fo ankbusiitess ore oiiiuterciat t+zlttuie f (i:e_a(10,9Iicense or.'perntit to burn leaves etc.)said peisoiiis NOT 1:zqu hd to col I iple fe,Ods a1fida%if. - - ih Q icedfI(iSie tigaiio�s3t%oft[illi(;etbtliz[t �dtiiitaittiaiicefort'ntu o¢ r"atEo�ih2tctMAO-rotilt"moniiyo�iiestiotts, IilEasa do not ltcsitatc tagivztt5lt cplL t i fiiic b�pat$ntent'sactcirass,feIcpltoiteaatd fa::ittlnlTiz� .. t J)e1iadmettt of11tdtt ief,11Acoicieitts flee of Iiitrt's)igaolt F - 61)0•tVasiiitigfol>.Sfiett Boston,11&02111 �=c�.�G17�127-�t�QDe���QG�o�`1-$77S+�IASSA)<E I�eiiisYil 2G•a� -FRO 1,727 7749 �t't���.iltass,govlcila Date SY' NORTH A TOWN OF NORTH ANDOVER O A 9 PERMIT FOR GAS INSTALLATION SAC HU This certifies that . /V. .5 ��,cr✓�!"p. . ,SdnS0-4 has per for gas installation . .���1 . ..�. . . -S'W F i in the buildings off. .Arm . . . a ,. at . ./.A ?. . ... . . . . . . . . . . , North Andover Mass. k= Fee. .r®. f . Lic. tv GAS INSPECTOR Check# 80,60 �l <LIN MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: /*1C1iS►5'� �''L MA. Date: Permit# Building Location: /l6 0 C5x f"+I /p6x 11D J?,CC Owners Name: &L'064-S r- Le,-e L Type of Occupancy: Commercial ❑ Educational Ej-' Industrial ❑ Institutional ❑ Residential ❑ New: [Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes❑ No❑ FIXTURES coN W W U) z l U _ W < m 2 0 w w L) Cf) Fes- 0 = W w 0 z 9 z o W � w O Q N w CO w m O Q a. t- o O w X v W V LZL W W 4 w CO W = LLL > V w Z C7 H H O Z -j 0 LL N x W H W W Z } v, J a a m w O z 0 0 L > z 1- x 1� 0 Q w w Q > O O w z z W a F- a V O D u_ t7 O z x 0 a F- > > > 0 SUB BSMT. BASEMENT 1 FLOOR 2 No FLOOR 4 3 FLOOR 4 FLOOR 61HFLOOR 6 FLOOR -T'—FLOOR g—FLOOR Installing Company Name:A— Check One Only Certificate# "zoG-,S L �G�S / .�� p i& L( [}Corporation Address:2-3 ('`?,4A60,4 KQx//IICity/Town: �fI�B�LlCs4r State: A ❑Partnership Business Tel: %r-b,il7-3S.SJ' Fax: ❑Firm/Company Name of Licensed Plumber/Gas Fitter: 6 FIC----4 oL!jco-ej INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalentwhich meets the requirements of MGL.Ch.142 Yes®-Wo❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. 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, Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner El Agent El By checking this ls�box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent pro isiop of the Massachusetts state Plumbing Code and Chapter 142 of the General Laws. By Type of License: ❑ 'dumber Title*�� ❑Gas Fitter Signature Licensed Plumber/Gas Fitter [iftster City[Town ❑Journeyman License Number: APPROVED OFFICE USE ONLY E] LP installer rq, The Commonwealth of Massachusetts Department of Industrial Accidents Office ofinvestigations ..600 Washington Street .Boston, MA 02111 www mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le�bly - Name (Business/Organizationdndividual): A- Sn n f,-.-?�,,,,L,. Address: Z- 3 e� City/State/Zip:_ /3 /4e,,_cW i �'Z/ Phone#: AT ou an employer?Check the appropriate box: L am a em to er with 1 S 4. Type of project(required): P y ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t 7• ❑Remodeling ship and have no employees These subcontractors have 8. ❑Demolition working for me in any capacity. workers' comp,insurance. com .insurance 5. 9• Building addition [No workers ' p ❑ We are a corporation and its required.) officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.[l Plumbing repairs or additions myself. [No workers' comp, C. 152,§1(4),and we have no insurance required.] t 12.E]Roof repairs Q ] employees. [No workers' comp.insurance required.) rn3'E^rph t tL't checls boy:#1 must also GIl out fhe section belote, o�*.,^. =tea_ b work=,'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:A1f. Policy#or Self-ins:Lie.#: Expiration Date:_ l Job Site Address:& ° h k-1-W l Up-A �f � j¢4,DvL)--4L, City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fne of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjayy that the information provided above is true and correct. Si attire: Date: Phone#: �J 7 j S S J Official use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): L Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.PIumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer;or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,'§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of coinpliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or tout that the app l;cafion for the permit-or license is bring requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant.. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Sob Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business.or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would' ike to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investibations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-8.77-MASSAFE Revised 5-26-05 Fax#617-72.7-7749 vc ,.mass..govfdia f Date . ..... r= Of NORTH 1M1' of ° TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION � SACMUSEt�S• This certifies that . . ... . .� . . . . . . . . . . . . t .` . . . . .`f . . . . . . . has permission for gas installation . . /Ytn4. 1. �?S. ..�-f/�✓1 . in the buildings of . .��O���s. .SG. .�?d / . . . . . . . . . . . . . . . at (0. . .4�: . . . ., Nort d erg Mass. Fee. . 8r . . Lic. No.. . .�rG GAS INSPE OR Check 7980 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town:/Vo1"-� A"XU-1✓z MA. Date:_/ aZ°Z-W-11/ Permit# Building Location: 15;&wT Igo uC� /Zp Owners Name: rgzyok5 sc�cn Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: [' Alteration: ❑ Renovation: ❑ Replacement: ❑ Plans Submitted: Yes ❑ No❑ FIXTURES W C6 LIJ Z W Y = U m = O W W OO 0 -j (nQ _ coW z F Q~Q z W W W W O I."" D vi V5 W W W m Q D LU o 0 Q H uj >C J� > z W x W ~ Q W W W z N x COW O Z O LL > V W z O J I— H O z --I O LL co W W W W z W >- W W J Q Q m w O z O ~ > z ~ x o a W w Q > o g O w z z W a l— v SUB BSMT. BASEMENT { 1 FLOOR 2 FLOOR 3 FLOOR +i 4 FLOOR 5 1 HFLOOR 0 FLOOR 7 FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name:/4�o L r Do/z6 S6 pj /� [ 'Corporation l0 4<S— Address:Z3 c4A-LgP'4 �� City/Town/ /�(•POZlfpf State: 11-1A ❑ Partnership Business Tel: 17 3 c-S.S Fax: `y ❑ Firm/Company Name of Licensed Plumber/Gas Fitter: ���FJ INSURANCE COVERAGE: I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes 3-90 El If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Efr*' 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ype of License: BY umber 4ez4 ❑ Gas Fitter Title, [I-Master Signature 6f Licensed tuber/Gas Fitter City/Town ❑Journeyman License Number: 3 APPROVED OFFICE USE ONLY ❑ LP Installer 7 4 b 'V' Date.. . . ! ,... ,.l. .. .. NORTH O�Oy TOWN OF NORTH ANDOVER i � 9 ' PERMIT,.FOR GAS INSTALLATION SSACHUSE 4,. ff £ This certifies that . . . . d has permission for as installation . �V +. P g in the buildings of . . .. z:0.0 . . . -Sc_k. 4 ` . . . . . . . . . . . . . at . . �. A. . . ?�� . .�°!! %. .—, North Andover, Mass. Fee.3 v.. . . . Lic. No..?l @ b57. . ., . . . . F GAS IN•PECTOR Check# 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: M Dater I C Permit# Building Location: Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ ResidentiaXEI New: Alteration: F1 Renovation: E] Replacement: E] Plans Submitted: Yes❑ N UC k r 90 U,VP IXTURES to ui W Uj Z � Y = a m x0 LLI 0 W v co ~ U) O w W z H 4 z O W W w w O � m N w w W m O Q~ a I o w w X W � m U W W Lu z = m O W H 0 W W W W Z J ~ H O z J U' W Fes- x W F W v o o LL (�7 _ _ O a. > > > O SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR --i'FLOOR 4 FLOOR STH FLOOR ' --i'FLOOR 7 IHFLOOR 8 FLOOR El Installing Company Name: Ch ck One Only Certificate# � Corporation Address:_ ^ �>'tl �Clty/Town: State: El Partnership Business Tel: U Fax ❑Firm/Company Name of Licensed Plumber/Gas Fitter: �J INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes❑ No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVE : I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box I];I hereby certify that all of the details and information I have submitted(or entered)re ng this application are true and accurate to the best of my Knowledge and that all plumbing work and installations erformed under the pe it iss ed r his application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing e a Ch er 1 of t Gene I w . By Type of License: El Plumber Tale ❑ as Fitter aster Sighatue dKi nsed Plumber/Gas Fi er M Cityrrown ❑Journeyman License Number: APPROVED OFFICE USE ONLY El LP Installer 7607 Date. A.I... .. .. WORTH 3r �' TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION �9SSACHU`'E� . This certifies that . . . . . . . . . . . . . . . has permission for gas installationv in the buildings of . . .``. ,r . . . . . . . . . . . . . . . . at . ��. .C� . . v .l�. ,, North Andover, Mass. Fee. . . . . . . . . Lic. No.qA6 5 . . . . . . .�� . . . . GAS INSPECTOR Check# 01 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: MA. ate Permit# Building Location: �' P�iOwnersName: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: Alteration: ElReno tion: E] Replacement: E] Plans Submitted: Yes[I No❑ O c FIXTURES co Cd W W Y FF- Cd Q Z � co V = p W p F- to m z 00 W W V co co O = z w z ~ Z p w j w O Q F=— WCO V w w Z ui ca ca O 0 W F 0 = W W Z 1 H F O Z -t 0 LL co = W � W W v o o = z O a IW— > > > O SUB BSMT. BASEMENT 1 FLOOR 2 N uFLOOR 3 FLOOR 4 1HFLOOR -5'FLOOR 6 FLOOR f 7 FLOOR 8F A I / -T-E�H FLOOR A I t Installing Company Name: FC(rtnership k One Only Certificate# rporation nAddress: 6 /Ci /Town: State: Business Tel: l.�(S 0 a ; a ElFirm/Company Name of Licensed Plumber/GafFitt!r INSURANCE COVERAGE: I have a current liability,insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ❑ No❑ If you have checked Yes,please i icate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIV : I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner El Agent El By checking this box❑;1 hereby certify that all of the details and information I have sub ' d(or entered)regarding this application are true and accurate to the best of my Knowledge and that all plumbing work and installations orme and r the permit,ssor thi lication will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Co and Ch to of the Gen 1 L S. By Type of License: ❑Plumber TitleJE]IGas Fitter Signature of Licensed P umb as Itter Master City/Town DJourneyman License Number: APPROVED OFFICE USE ONLY ❑LP Installer --9 n ro 7s v 89b6 Date. 6 ln !k. . . NORTH TOWN OF NORTH ANDOVER - PERMIT FOR PLUMBING SSACMUS� l This certifies that . . .tt:%Jhk.� . `.�►,14.�q . . . . . . has permission to perform . . . Nd-T. . . s- plumbing in the buildings of . . .T!:�1r.Q'Jr:`r. . . . . . . . . . . . at . . . 0 - .66&-r RGA . . . . . .. North Andover, Mass. Fee. . . . . . . . .Lie. No.. . . . . . . PLUMBING INSPECT Check # 4 n� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town-MA. ate: Permit# Building Location: h Owners Name: Type of Occupancy: Commercial❑ Educational❑ Industrial 0 Institutional❑ Residential K New. Alteration:E] Renovation:❑ Replacement: Plans Submitted: Yes❑ No❑ FIXTURES DEDICATED b z SYSTEMS z z j Y U D z y aZ 6 W V W C7 p' ao' z rY p m to OC C of W Q y ix Y Cn O y N Q m 1LU o LL F a N o a z o L z 'n u a �` s Ln ¢ Q U E- y LU LU a O X LL V j p a . Y Q w w m oZ! O w 3 3 c c O z to F- F- W N Q m m O LL 2 Y g 7 y O p of Q vF-i -SUB BSMT. Q 3 BASEMENT I'FLOOR 2ND FLOOR 3"FLOOR 4r"FLOOR 5r"FLOOR 6r"FLOOR 7"FLOOR 8r"FLOOR Installing Company Name: r Check One Only Certificate# orpohip El Address: 9city/Town. Q� State. �- Business Tel: Q Fax: Partners ❑Firm/Company Name of Licensed Plumber: f.A \ INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes ❑ No❑ If you have checked Yes,please indicate the.type of coverage by checking the appropriate box below. 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information 1 have submitted(or entered)regarding this applicatio r true and accurate to with all the best of my Knowledge and that all plumbing work and installations performed under t it issued for this appl' ton ill be' compliance Pertinent provision of the Massachusetts State Plumbing Code and Cha er 142 a Gener I Laws. By Type of License: Title ❑Plumber Sigrraturef of Licensed Plum er City/Town aster APPROVED(OFFICE USE ONLY) Journeyman License Number: r 9915 Date..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING . . .... ..... SA This certifies that ........ ........... . . .. ..... .. .. ... ....... .......................... has permission to perform ........../Io va/T,(, C- ...................................................... wiring in the building of ,!e ............ ............. at...... .......... /N�rjh Andbvel. oq 46 , 9s Fee, A:... �'Lic.No............. . ....... .... ..... . .. ......... .. ........... ...... ELEcrRICAL'INS*'CT0***t Check # 2— _A COMMOnwealth of MassachusettsFOccupanoy Official Uso Only Department of Fire Ser wees . BOARD OF FIRE PREVENTION REGULATIONS and Fee Checked eave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ` \ All work to be performed in accordance with the Massachusetts Electrical Code(AEC),527 CMR 12.00 I I \ (PLF.45EPRINT)7VINKORTYPEALL.INFO T701V) Date: 1/17/11 City or Town of: To the Inspector of Wires: �\ By this application the undersi gi"noGO his or her intention to erfor7n fire electrical work described below. Location(Street&Number) 1160 Great Pond Rd. Owner or Tenant Brooks School Telephone No. 978-725-6300 Owner's Address 1160 Great Pond Rd.,North Andover,MA 01845 Ls this permit in conjunction with a building permit? Yes E� No .0 BLDG PERMIT N Purpose of Building Photovoltaic installation on existing building Utility Authorization No. Existing Service 2500 Amps 480 /277 Volts Overhead❑ Undgrd No.of Meters 1 New Service Amps / Vohs Overhead❑ Undgrd❑ No,of Meters Number of Feeders and Ampacity Location and Nature of Proposed Eleetrical WorlC 80 kW photovoltaic installation on existing athletic building's roof.Interconnect t through building's main electrical service(2500 A,480/277 V) Completion of the followin table be waived by the I ector of Wa es. FNo.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o•0f Total. Transformers KVA of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool OYe - 0.o mergency ig ti—ng rnd. rnd. Bane Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of.Zones No. of Switches No.of Gas Burners o.of etection and Initis ' Devices No.of Ranges No:of Air Cond. Tons No.of Alerting Devices rHydromassage e Disposers nn mp amber ons No.o Self ontamed als: -- _...._..._.�_ ...__..�..�.. Detection/Alertin Devices ashers `pace/Area Heating KW Local Q Moan aI Connec�iort � ��' s Heating Appliances KW curt S stems:* o.of No.of evices or E uivalent ' ters KW Signs NO. Data Wiring: No.of Devices or,E uivalent j assage Bathtubs No.of Motors Total HP ' Te ecommunicatlons -inn No.of Devices or E uivalent c .L -4aach additional detail ifdeA*ed,or ar required by the Inspector of Wires. Estimated Value of Electrical Work: $341,764 (When required by municipal policy.) Work to Start: 4/4/11 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no peuding`°completed.operation"coverarmit for the performance of electrical work may issue unless clge or its"substantial equiv the licensee provides proof of liability insurance inent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the pemut issuing office. al CHECK ONE: INSURANCE E] BOND n OAR ❑ (Spec,:) I certify,under the pains and penalties ofperjury,that the info rmatlon on this applicratiort is true N�[Eand complete: FIRM NA : Waterline Industries Licensee: Barry Houston _ Signature NO.: 724MR (Ifapplicable,enter `exempt"in the license number Brie.) NO.: 724MR Address: 7 London Ln.,Seabrook,NH 03874 Bus.Tel.No.:603-474-7477 *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety« »S Licen Alt.LIC.NTeL No.: ICN.: 603-474-0170 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. 13y my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent Owner/Agent Signature Telephone No. �FEE.- PV Sub-Arra 1 PV Sub-Arra 2 PV Sub-Arra 3 PV Sub Arra 4 Brooks School---- 3 Phase v v v v ` 1aoo KVA LEGEND 10 Strings 10 Strings 10 Strings 10 Strings 13200 4150VAC 8 Modules/String 8 Modules/String 8 Modules/String 8 Modules/String 80 kY1lr PV Array Utility Service DC Pos.,AC Hot 320 Canadian Solar CS5P-250M DC Neg.,AC Neutral —--— -- > tl iii Voc= 59.6 V,ISO= 5.49 A r Ground - - - Vmp=48.7 V Imp= 5.14 A \� YGNDSIO _140 Strings/8 Modules per String1NG 05800684WIRING Crouse Hinds Crouse Hinds Crouse Hinds HindsFibersNema Fiberglass Noma FiberglassNema s Nema •--------- - EMH-B4X-CCBF12 t 4X-CCBF12 4X-CCBF72 IIBF 12F75 FIS F155 Pitched Combiner 1 Combirr 2 1 Combiner3 ner 4 Roo! (Max10AFuse) (Max 10A Fuse) ` (Max IOA Fuse) Fuse) Exterior 1-T01 010 THNM W 46 GND #10 THWN W 48GND AID THWN.10SIO THNM w/#8 GND 1500 kVA ______.____-______________________________________________________________________ ..______TGOA 60A __ ___ EMH-C60A A `Electrical Room LABELING DC Maximum: 576.93V 219.6A D0 °C °C ` MDP Diswnma Disconnect Disconnect nnect DC operating: 389.6V 205.6A Flat Roo! 2000AF ----------•--------------------------------------------------------------- — .............. i AC Operating: 480V 113A ------------------------------ i 2(GFI) 1 — 0GFI) I II ---------------------------- % F mist rel 800A-3P 225A-3P Spare N uI ARD Ac .-. 0 600A-3P 4N OAS -^ D 500A-3P A. Q VOLKIN uCi 300A-3P w �3--� Dc Inverter #2THwNwr r 225A-3P Spare—CHANGE to125A-3P ,per Q�0.222820 i I �y--J Salecbia #2 GND '�-�,.�t _____________________________ _ , C/.S-rE�G�`1�� _______________ _l--______, 'I A. Inle8m1 Disconnect. Ground FaW Pratec0on l/ 200A, ORAvgNG ONE LINE ELECTRICAL L_____---------------.__-._.—__.-..__.__-_-, I #4 THNTI w/#4 GND GEC � ORIGINAL DATE ORIGINAL REVISION Exterior -------------------------------------- SH 1/12/11 A.003 1/28/11Disconnect Exterior NOTES r [1]All conductors to be copper unless noted. CUSTOMERINT L r [2]Module type Is negatively grounded and inverters to be so set. Aeng Leasing LLC A LTE RNAT I V .� [3]Installation to meet minimum requirements of the 2008 NEC except where required otherwise by local code specifications. 4 Battery Wharf, Unit ^' -r _�, , • [4]Interconnect breaker shall be within visual proximity of inverter. 4308 7 �! [5]Maximum system voltage calculated with factor of 1.21 based on NEC Table 7 London Ln.•Seabrook•NH•03874 690.7. Boston, MA 02109 d 603.474.0170 [6]All grounding electrode conductors shall be installed in single continuous SCALE REVNo. www.WaterlineCompanies.com lengths except where spliced b irreversible connector or exothermic weld. NONE A.003 i HOST: .. Brooks School .# .. 1160 Great Pond Rd. -• North Andover, MA 01845 OWN = .^ `% AEng Leasing,LLC 0 Or ,. 4 Battery Wharf U 4308 Unit Boston,MA 02109 ar , � _ Site Diagram 1 of 2 80 kW PV Array Sub- arrays)�.W arrays) T 411 a c l u NEW(Outside) � DC Disconnect a (x4)on Flat Roof * NEW(Outside) i Exterior AC Disconnect t �� NEW(Inside " Electrical Located at grade level,across Room) from pad mounted transformer, Solectria PVI 82 Inverter ., ,a DAS with Revenue Grade Pad-mounted 1500 # w ' Metering 0 kVA transformer. t 9 Main electrical room.Ground n- floor,with access from interior doors and exterior Cfr` � � T doors. �)�" sf.�ct' I ,•' ro�'�s r ,r „�`��„ , ��� wt A HOST: PEABODYBrooks School TvS<,r r NOS �.� .•� �sam 1160 Great Pond Rd. t � North Andover,MA 01845 E • ,� ! 80 kW PV Array I p 1� OWNER: E Exterior DC 1 ( , AEng Leasing,LLC M � __ __?:��— -�-•'� Disconnect x4 { — Solectria PVI 4 Battery Wharf � atm 'S Unit 4308 �( � L t _ 82KW Inverter _ 1 ' 114 S<�m ra t �, Boston,MA 02109 • E + at, Main Electrical 3 Exterior Hocked E uAaNt ,..• I i � Disconnect ARENA. Room Vr { Uri Site Diagram 2 of 2 ANT' sun°" �.. ,raaz - ��{{ /'+ TransformerkLo f T / 1-TO1(1500 kVA) Mass Electric Pole 4189 .aid--+-�LS✓"°"`.?�,�•✓� , ` � DOSt 4."CATOR,VALVt Underground gip., SHUT Orf vAi,Y- r Service(UGS) L j 4i WATER.atavWOtEQUM Existing Electrical Service STEAM MANHOLE 1{ \� 6 STORM GRAIN NAKHOLE .E 7`r Primary Meter 0 SANITARY MANHOLE :� - -t e l�s `I ., l tom. ,, •o. POWER POLE y),aa 5,1, /+ tT''� ✓?: END CAP Neal PV CompWCUNMP Orronents _ el• \\ �. CATCH WIN Overhead Service V Pn UGS UNOERCROUND SERVICE (OHD) t LIST UNDERGROUND STORAGE.'TANK Lt ((( 1D tufti.Y71N GR.. GRAVITY.PED SAi6?ARY Mass Electric Pole 4188 UC UNDERGROUND TRANS. ELECTRICAL TRAHSfORWE* �,• Mass Electric to 'tERMLNMS Or PIPE DNI<NOWN Pole 4187 OND OVERHEAD SERVICE +� - SPRiNkLER.LIES 1000 KVA Pad-Mounted � '~ CITY WATER UfIr(CW.) Transformer, — q 13200-4160VAC ' AM LIKE(St.) 4 S � STORM ORAtt!LINE(SO) o .t Mass Electric — _ SANITARY UNE(SAN') ,Ig Pole 1751 SANITARY rORCE MAIN({'M) •+ rb s- ,-_-_._ ELECTRIC LINE _----...— TELECOMMUNICATIONS UNE'4( r Mass Electric RETAIHINO'NAL! Pole 1751 I a STONE WALL r +, MATCH POINT FDR VIEWS a WATERLINE ALTERNATIVE ENERGIES LLC February 8, 2011 Town of North Andover :Building Department Peter Murphy- Electrical Inspector 1600 Osgood St. North Andover, MA 01845 Dear Mr. Murphy, Enclosed is an electrical permit application and for a photovoltaic installation at the Brooks School in North Andover. Electrical: 1/10th of 1.5% for Additions and Alterations $341,764 * .015 = 5126.46 5126.46/10 = $513 Backup for the permit is included. If there are additional pieces of information you need, please do not hesitate to let me know. Reg4Hopi i ScotshoppsC� aterlineae.com 603-760-6210 Waterline Alternative Energies 7 London Ln. Seabrook, NH 03874 J' W Date ............................. 3: OL TOWN OF NORTH ANDOVER A PERMIT FOR WIRING -S'qCWuS 41 t T This certifies that ................... ` t...........�:�... .�............... ......... ;3 has permission to perform .................. .... Al _ wiring in the building Of.... SSc4w�. .................................... ..... ....................... K I 11 . ,North Andover,Mass. Fee.�.US...... ! Lic.No.��.�. �6 .......... ..................... ... . ... . ELECTRICAL INSPECrolk }' 011 Check ti 8292 Y r' Commonwealth of Massachusetts Offici 1 Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] 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: City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intentio"o perform the electrical work described below. Location(Street&Number) (_prv<t I� W v yJ Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a b ilding permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building 6,f tility Authorization No. Existing Servic 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: L rus 17J Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp:(Paddle)Fans No.of Total Transformers KVA . No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Na of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ........................ """""" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent ` OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 5�j� (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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE; INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains andpenalties o perjury, that the informal n on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: � �( Signature LIC.NO.: I applicable, en "exempt1"' ` ) 0.4 (f pp ' m the license number line. Bus.Tel.No.: Address: Alt.Tel.No.: *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. 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,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. SAGAMORE PLUMBING & HEATING, INC. Mechanical Contractors 90 Libbey Industrial Parkway Weymouth, MA 02189 Phone(781)331-1600 Fax(781)331-8641 PIPING TEST REPORTS DATE:. J 0 B JOB NO. 1 a -22 2" '2- JOB ADDRESS A,"', A SUB-CONTRACTOR DESCRIPTION & LOCATION OF PIPING TESTED Le2t" �o Ck", TYPE OF TEST SPECIFIED & EMPLOYED 5 TEST EXPERIENCED: DURATION: FROM TO 32 HR. PRESSURE: START END = LOSS COMMENTS: TEST WITNESSES SAGAMORE PLUMBING&HEATING,INC. GENERAL CONTRACTOR SUB-CONTRACTOR INSPECTOR OTHERS Jul, 11. 2008 11 : 11AM No. 6080 P. 1 sagamore Plumbing&Heating,int 90 l.ibbey Industrial Padcway Mak Telephone:781-331-1600 www.eegamoremechanical.fW Mecharkal Contrsdm Weymouth,MA 02186 PWMbMg Fax: 781-331-8641 HVAC Fax: 781-331-9900 MPL 12287 2129C Moto famore SATE: ��jl/0$ Stmn Prod 111111"Niff rft l , ro: �J 1 "b i t� �, ( oMg[g Sadmilcal Plumbing&Fieetirg.Inc. 80 oau�t Parkway ,OMPANY: ► i� WeyyMay u,MA 021 y Direct: 781129 'AX NUMBER: // Fax 781,991841 'ROM: 0,� �®'(0 18 8 '.61,51frt'�'� � Vol� p D!d"'°e;hanh�l.can C X11,1 1 � �9 3 3 :E. ().)oks BROOKS SCHOOL � v UMBER OF PAGES(Including this ever page): New Science Building YOU do not receive all pages,please contact me for retransm.Ission. Y QQ �..o t✓�r'P>; oYv a1 A-5 tY7'}d11�v v�eq Rol v r � r 6 �k,t4S � � I S � c � 9MS a-c� ,p�e o � c be �.ro, ; 11. � � ►I.1 ' •� ram+ ^" r� w—� ■iw�IPwr—��r �w ���� mow+rr a r� ��ri raaaw•r_ = �.. .��,�_���•� ���.x.111.-�� ate. �.��r.�-tT't•::s.�.�� .����•��,fir.••�' .�. .�r r�y�raari� +w•r���� r.ur.r�..rr�.a�i w�-.::�� �r�r. �f■.�r �r•r r�ra�r� mom .r M, JUT i JAi '? AR CH IS Mom- •• Jul, 11. 2008 11 : 12AM No. 6080 P. 3 Parj :2�tmetr:�rra� Nilhml SL1 nl'S? I r,jroi.!'LrNn f.j1�p.a'•1.SiR8 C,Q�,'SIGLI r11iY10 f.:0'.i r:2NIM fur• �uu•y i Submittal Job: 647 Spec Section No: 15880 Brooks School•Science Bldg Submittal No: 001 1160 Great Pond Road Revision No: 0 North Andover,MA 01845 Sent Date: 11/12/2007 Spec Section Title: Chimney Fan System Submittal Title: P/D: Chinmey Fan System Package Contractor. Consigh Construction Co., Inc. 7 2 Sumnn ons onstrufstion Co.. t757 er StreaR — f1A11tord. AAA 01757 Approved to A0 Review ❑F%vlae ti ResUbntlt IErI3 Approve*A%New for AIE Review D Rejected silec.sewon psubmetal Nd, Rol Date o a so marked. approval is given for design ony.It doe's not relieve Me eabcoMtac tw atom cmV ytng with tha raqulrt mems of the contract.Contract orawings and spectricatioft The Subcontractor aw bo twoonsibm for all dirnanSiotta, scledubs and flaw bona. Architect(Primary): Architect's Stamp Architena, Inc. Arens, Dan RECEIVER NOV 14 2001 t t f;kCH!i .RRA tnC. eonmaccon ti:tt!••" damn Mtctp—A--h m farther docum�tl Engineer's Stamp daaat:ant.. itarlse and Ras•. . rarnlsh as Come-.;,,C Carrege"s or ce-mcn: drDYYI",s during tbi. , eoneracttor frons c:.mal;.�-::.;, .. . of the drawings arve oely for rewew of Uenerni.. . design to"t cr tha qr k- complianes with die :aierr^�c.•.:. . cormea deCYMErrG. Tlh eCgrii�:'Gf:. . for tonArmmg and coneia".,.:; a''. .;acti: dlmenttont; sa:aRting fa�r,C:'.ic,� aux:.•. techniques of construction; ezordim;h!;,'0:' with Mit of ill wbar traQ=s: sud pArk.'." . weft in a safe And trisfactory a10nw. ARCHRARA MC � Jul, 11. 200811 : 12AM No. 6080 P. 4 197 yv s Weft� QXrk,j,ST1�ICA CO PAX(,508)650.1780 ASSAcxUS�� j �NC. 650�74Z xs 01760 DATE: SUBAll NOV e��r 2 �� �O"EAR pROd ' z�7 sER,7' Ems. Rtooks S* 1166 001 GAN North And r pond Rd.w Science attildin Rq Andog �, `, MA cTOR. 2gnn cOns� finer �n Milford, Mq St. ARC�IIT�p. Architerrc Inng c. dos o MA 02110 . ER; Rist Frost S6�mw 71 water Sr aY CO 1 aconic, NN 03,246 � 1VrEN�S: Exha�to`combusbo SUl'pLI,ER; F n a,r and gent system 6S y 1. R°��Is Specificatio P.0 k Ave. Section,. n R Rix 746 1588 7g1 �phZOA 02368 New P Reviewed 6 a er Rev1tw_ Date: y TJ1k Initials; /6/07 1 Revle a intde Wed by: nt ev1ew . Dare: Dials: 11/6107 Jul. 11. 200811 : 12AM No. 6080 P. 5 SUBMITTAUTRANSMITTAL Frank 1.Rounds Co. 65 York Ave. P.O.Box 746 Randolph,MA 02368 781-9634440 TO: Terry Moynahan RECEIVED JOB NAME: Brooks School Science Center Nov $ 20UI CONTRACTOR: Phoenix Mechanical PAIC Rist ENaINEBR. s Frost S humwa y DRAwIN S/HROCHURE DES MON I i Exhausto 391202108,05,.. Exhawto Chimney Fans Product Information Exhausto 39130010301 System Description of Exhausto Chimney Automation System Exhausto 3901010 0307 Exhausto Combustion Air BESB Product Information Exhausto 3913026 0401 Exhxwto WAS System Description Exhausto 3912022 0205 Exhausto Modulation BHC 30 Control Exhausto 3912034 0203 Exhausto VFD I Equipment: Exhausto BESB 315 Combustion Air System Exhausto RSV 315 Chimney Venting System Insurance&Codes: UL o i i . For Approval—Please return one(1)copy"Approved" Copies Enclosed. 10 p Pr ; Customer P.O. 020219 i Date: November 2,2007 I i Salesman: Christopher P.Sullivan j i I i f + I Jul, 11. 2008 11 : 12AM No. 6080 P. 6 SYSTEM DESCRIPTION 3913026 04.01 EXHAUSTO ®XMI,USTO Modulating Combustion Air Supply System MCAS Description EXHAUSTO's Modulating Combustion Air System,MCAS, is for installation and use In mechanical rooms containing heating appliances,like boilers and water heaters,or commercial laundry dryers. The purpose of the system is to provide an exactly measured amount of combustion air for the appliances and eliminate the use of gravity air louvers. `.� °� op - It can be used in conjunction with any type combustion I 1 system,whether a boiler,furnace,commercial dryer etc.that j 0014 �. �► is gas-or oil-fired. ::. xW -� Function 1 The WAS System maintains a perfect,constant mechanical room pressure during the combustion process by modulating the fan capacity. The system creates and maintains a pre-set room pressure prior to or immediately after the appliances start. It can also be set up to operate continuously. The system monitors the mechanical room pressure condition all of the time,and has an integrated safety function. Should the operating pressure fall more than 40% below the set point for more than 12 seconds,it deactivates the appliances to prevent a potentially hazardous situation. System Components The system consists of: • BESS Box Ventilator • EBC 14 Modulating Fan Control with XTP-Sensor (transducer)and outdoor pressure probe • GE/Fuji AF-300 MSII Variable Frequency Drive(VFD) (with 3-phase only) EXHAusTo s IhhoduWng combustion Air Supply Systoms.►!ICAs.we t:TL-IMod to UL SUnderd twos Acce33Clrles for satoty Hea*v sad Coo ft t'ou4me d es well as canedlan==dud csAML2,No.Z W7. The following accessories are available: MUM MMOng combuetlwn Air Sydmws are leppikd with a 21M wanaMy. • ES 12 Relay Box for multiple appliances ExW ATO is wedteed awmAnp to ilio 0001 • External Proven Operating Pressure Switch(PDS) (CoNceb No.MO - ES9201921 Relay Box for multiple appliances. - Duct Heater Olk EXHAUSTO Jul. 11. 2008 11 : 12AM No. 6080 P, SYSTEM DESCRIPTION Installation 1 ' 1. The ventilator can be installed indoors or outdoors. The VFD must always be installed indoors. BES8 (See Fig. 1) The ventilator can be installed in any position, except with the motor pointing down.(See Fig.2) ja Attach the duct-work to the fan-inlet and discharge as shown. (See Fig.3) See also'BESB Installation&Operating Manual". 2. The ESC 14 Control is installed in the mechanical room. It can be placed up to 304 feet(100 meters) Motor from the XTP-Sensor.(See Fig.4) VFD See also"EBC 14 Installation&Operating Manual". 3. Theputdoor pressure sensor is installed on the -� outside of the building and tubing is run into the ` mechanical room,where it is attached to the XTP- Sensor. 'the distance between the outdoor pressure.� sensor and the XTP-Sensor should not exceed 50 V-Z - feet.(16 meters). (See Fig.4) The'best location for the outdoor pressure sensor is ` on the roof top,but an outside wall is also acceptable as tong as it is positioned away from turbulence. Wire the XTP-Sensor to the EBC 14 Control. I ,•� � 4. Run wire to the VFD on the BESB Box Ventilator,or directly to the box ventilator(BESB 250 only). i. See also"BESB Installation&Operating Manual". 6. 1 an ES 12 Relay Box is used,it should be mounted next to the EBC 14 Control and wired to it and the appliances in eccordance with the -'� instructions. See also'ES 12 Relay Box Installation&Operating Manual". 3 Sequence of Operation ExnRust 1. When the first appliance is activated,the pressure changes in the mechanical room. The EBC 14 receives a signal from the XTP-Sensor that the pressure is changing and is below the set-point. The EBC 14 responds by Increasing the RPM of the BESB until the room pressure satisfies the set-point. The appliance operation is than released by the EBC 14. 2. As more appliances are activated,the sequence repeats itself. 3. The actual room pressure is constantly displayed on the EBC 14's LED-display. Inlet EXHAUSTO Jul, 11. 200811 : 12AM No, 6080 P. 8 3912021 09.05 Product Information Chimney Fan R8V 200=45(0 Description Mechanical draft fan for installation at the chimney tetmktation point,vertical or side-wall venting'. Ensures a negative pressure In the entire chimney or stack system. Discharges vertically(hortzontally,9 side-wall venting)at a high velocity. The fan housing is hinged and the top can be opened for easy service and access to stalk.The design is a Type B.Spark Resistant Construction. The RSV model is approved for temperatures up to 576°F(300'C). The RSV is a component in the CASV, Chimney Automation System. 'RSV 450 m mot be&&-well mowed. Material Housing is made of cast aluminum with a thickness of 3116'and is corrosion resistant. One coat of grey hammerpaint finish is applied. Backwards curved impeller of cast aluminum. Dynamically and statically balanced with penrmnentiy Listings attached balancing weights. ETL listing#E109205550D motor UL378-Draft Equipment RSV 2MIS, Single phase, split capacitor, totally CSA-CAN3-13255-M81-Mechanical Flue enclosed, Clm H insulated, IP54 Protection Class. Gas Exhausters Sealed ball bearings. Variable Speed. Thermal Complies with and meets Type B.Spark Resistant overload protection. Construction per AMCA standard 990401 RSV 400.450: Three phase totally enclosed TEFC moons of Spark Resistant Construction. motor, Class F insulated. Sealed ball bearings. Approvals Variable Speed. Thermal overload protection. CE Compliant Standard Equipment City of New York Department of Building 2W or 4'xV junction box with cover and conduit City of Los Angeles 'Bbd Screen The Commonwealth of M essachusetts Optional Equipment (Gt-1296.29) SAmp or SAmp Fan Speed Control Warranty Variable Frequency Drive Two-year factory warranty on entire fan Proven Draft Switch 10-year warranty against corrosion perforation Manufactured at ISO9001 cartilled plant VENTING DESIGN SOLUTIONS r 4 All i'mil5wo ■ _: . ■■ ■■■ ■ ■ AAAA .■ , ..SC , � M .C...•.�\`■■ ■E■■ SEEM_. O . ■► ■FAME ■■•■■�.■ \■ .■E ■ ■■■/�■U■E■ on 11 ■a�■Nmu' llsomo ■■�EN 0 :�■E om ■■E■M/�IAMMO■ No ME monam M 1, AMR71" ENO 011 UAWAWO go orinuKAIMENES� ■1 ■1�■ &■■■►� ■■\W "-:%■■■E�■■■■t Jul- 11. 200811 : 13AM No. 6080 P. 10 SYSTEM DESCRIPTION 3913001 03.01 CXHAUGTC EXHAUSTO Chimney Automation System CASV 009-315 for Boilers and Water Heaters Description 3^� R6Y EXHAUSTO's Chimney Automation System(CA8V)is for installation and use with multiple and/or modulating boilers and water heaters. It can be used in conjunction with almost any type of appliance and fuel.whether it be forced draft,atmospheric or condensing design. The CASV System can be installed onto any type of chimney r or stack. Function DiD it The Chimney Automation System maintains a perfect, constant draft for the appliances by modulating the chimney tan capacity. " it The system is activated when there is a call for heat. it will create and maintain a pre-set draft prior to or immediately ro after the appliance fires. The system monitors the draft condition at any time,and has an integrated safety function. Should the draft fail more than 40%below the set point fpr more than 12 seconds,it will deactivate the appliances to prevent a potentially hazardous situation. System Components The system consists of: • RSV Chimney Fan(single-phage) ESC 12 Modulating Fan Control with control box, XTP-Sensor(transducer)and stack probe Accessories The following accessories are available: • ES 12 Relay Box for multiple appliances tinxnausto%Chivy Autonumm systemcAsv aro ER RaW to UL Me ' M for Draft • Steel Chimney Adapter(SCA) Equipment and ETLalistad to C&43-92554MI for Machanieal Flue Gas Exhausters. • Balancing Baffle for use with atmospheric appliances owAu00 Chimney Aukontion 8ystsm:aro ° 0 (BBM or BBF) supPed whb a Z"ar warranty. • External Proven Draft Switch(PDS) tG^�u�Na 7362) �nq to 180 9W • ES 920/921 Relay Box � o EXHAUSTO Jul. 11. 2008 11 : 13AM No. 6080 P. 11 SYSTEM DESCRIPTION _ Installation 1. A Steel Chimney Adapter(SCA)is inserted into the flue and the chimney fan(RSV)is mounted on top of j RSV it. It is secured to the adapter with stainless steel sheet metal screws and sealed with hi-temp silicone. r Alternatively,the chimney can be terminated through a roof curb,where the chimney fan is mounted on SCA--,� ; ; top of it.(See Fig.1) i I i i Sidewall venting is also an option i I The included junction box should be installed on the side of the chimney. A disconnect switch(not n . .4 1 included)should be installed as well. See also"RSV Installation&Operating Manual". 2. The ESC 12 Control is installed in the boiler room. . .. It can be placed up to 300 feet(100 meters)from the Z i XTP-Sensor. (See Fig.2) See also"EBC 12 Installation&Operating Manual'. EeG 3. The copper probe is inserted into the connector or 12 COM01 the header/breeching at a minimum distance of 4 J XTP-sonaor �� feet(500 mm)from any elbow or tee. The XTP- Sensor is mounted close to the probe and connected by the silicone tubing. The distance between the probe and the XTP-Sensor should not exceed 6 feet :i „ _ ► ; (2 meters).(See Fig.3) If the system is being used with condensing or pulse combustion equipment,the probe may have to be moved as close to the fan as possible to avoid possible draft misreading. max.a tae► I 4. If an external proven draft switch(PDS)is used, Max-Sao teat it should be mounted, and the probe inserted into the stack,at a location where the draft will satisfy the pressure range of the switch. See also"PDS Product Information". 3 5. If an ES 12 is used,it should be mounted next to the EBC 12 Control and wired according to 2W 12 Aossft pobe the instructions for the control and the appliances. ��arseniorlocarron See also"ES 12 Relay Box Installation&Operating Manual". j VIP � meow Sequence of Operation 1, When the first appliance is activated there will be i a pressure change in the stack. The EBC 12 { Control receives a signal from the XTP-Sensor that - 't. the pressure has changed and is now below the set- point. etpoint. The EBC 12 Control responds by increasing the RPM of the RSV until the draft satisfies the set- I :. . point. The appliance operation will be released by the EBC 12 Control. ! EXHAUSTO i Jul. 11. 2008 11 , 13AM No. 6080 P. 12 2. As more appliances are activated this sequence will repeat itself. C 3. The actual pressure is constantly displayed on the B 1 LCD-display of the EBC 12 Control. - 4. As the RSV's RPM cycles,the LED-diodes indicate increasing and decreasing RPM. 5. When the last appliance is turned off,the RSV will j continue to operate for up to 3 minutes to assure all exhaust gases have been removed. 6. In case of insufficient draft or system failure,the EBC 12 will shut down the appliances and indicate malfunction with a visual alarm. A System Start-Up 5 1. Obtain operating draft requirements for the appliances from the appliance manufacturer. Set the operating draft on the EBC 12 Control by \ Pas pressing the"set point'button(A)while turning potentiometer B clockwise with a screwdriver dte poten ( ) ;. until required setting. the LCD display(C)shows q g Release the"set poinr button. See Fig.4) 2. Start the Chimney Automation System and check the draft at each appliance outlet with a draft gauge/ manometer. If the draft reading is too high,reduce the draft setting on the EBC 12;i1 the draft is too low, increase the draft setting on the EBC 12. aeffie Adjustment of Balancing B s.R installed e«ao 3. On larger atmospheric appliance Installation(3 l appliances or more),the boilers closest to the chimney fan may experience excessive draft. If this is the case,balancing baffles should be installed in all appliance connectors except for the appliance furthest away from the vertical stack. Starting with the baffle closest to the chimney fan,adjust the baffle a so the required draft is achieved. Follow the same procedure with the remaining baffles working away ' from the chimney fan.(See Fig.6) r'" Sam Adjustment of PDS,if installed 7 4. Adjust the"low"setting of the PDS with a screwdriver,so the contacts will close when the Chimney Automation System Is operating. (See Fig.5) 5. On forced draft boiler installations,a barometric damper can be installed in the header/breeching to help balance the system.(See Fig.7) Please contact EXHAUSTO or an authorized representative for system fawd iso-hnoo at advira Ju1. 11. 200811 : 13AM No. 6080 P. 13 Connection Diagram RSV 009315 CAlmney Fan P Jundon Box Ineludod wlChi Moy Han 1 ES 12 /ROMY Bax /^� r EBC U XTP•eenaot (fid) f �+I Inc4xieC wlEBC 12 ° ° M° EDC 12 EAU _ r Modal wv Fen COMrd Qaaoa l � ---- -- ---- - -- -- -- -- -� POWERSUPPLY Ma.M'(IMM) 1 x 120 V AC Mo.06 V DC,s O.IAmp 1 00 Hz.8.3 AfM USE SHIELDED CABLE I x 120 V AC.LB AmP Oft.) i i I I 1200 N010►rrww PwkwW.STE 180•Roewdl.r-GAR 90076 (770)5873238om25Crm3 (7ro)►auslD.com Jul, 11. 2008 11 : 13AM No, 6080 P. 14 3X2010 03.07 Product Information Box Ventilator MRSO Use The EXHAUSTO BESB Box Ventilator is a high- efficiency ventilator with a backward curved centrifugal Impeller. BESB Can be used for combustion air supply or exhaust systems where reliability,efficiency and low noise are important factors. Its intended use is exhausting of lint-laden air from single or multiple type I and type 11 residential and commercial clothes dryers whether electrtc or gas-fired,exhausting commerical hoods.or for providing make-up air for laundries or mechanical rooms. . The BESB Box Ventilator is a component in the WAS Modulating Combustion Air SystemTM and MDVS Mechanical Dryer Venting SystemTM. Description The BESB is completely insulated to reduce noise and 1 condensation. The ventilator housing is galvanized ' steel,whie the impeller is cast aluminum.The design 1 is a Type B,Spark Resistant Construction. The BESB is equipped with an energy-efficient,totally Listings' enclosed, variable speed motor (TEFC). A service ETL listing OEI0920M5501 l door is provided allowing easy access to the motor UL705-Power Ventilator and Impeller. Suitable for venting lint-laden air from dryers. Matoriei Component in an ETL Listed WAS System, The housing is galvanized steel and insulated with fiber (ETL Report J99.18091-003) i mats. Impeller is cast aluminum and balanced with Component in an ETL Listed MDVS System, permanently attached lead balancing weights. (ETL Report.19918091-004) Motor CE compliant j Commercial grade. totally enclosed, variable speed Martafectured at IS09001 certified plant i 1 or 3-phsse motor.Class B Insulated,IP54 Protection Complies with and meets Type B,Spark Resistant Class. Seated ball bearings, Thermal overload Construction per AMCA standard 99-0401 classifications protection. of Spark Resistant Construction. i i Standard Equipment Warranty ; Slip connections with silicone seals. 2 year factory warranty Accessories j EBC 12,Modulating Fan Control ESC 14,Pressure Control I� spmffcdM ale Wbjed to deanP WOWA nWJM. OEXHAUSMO1 VENTING DESIGN SOLUTIONS Ju 1, 11. 2008 11 : 13AM No. 6080 P. 15 M02010 03.07 Product information Specifications Model 8118111260 1 BESS 315 1 RUB 400 1 BESS 300 FAlI CeoUsAs hpekl(B"Wo udw 7ypp TEFC Vo a VAC 1.120 3 x 200.440/3x411048(l An"rap Amps 6.8 3.3/1.9 5.52.0 7.814.1 S 01n1or0u1pat HP O.S 1 2 3 kW US 0.76 1 1.5 2.2 RPM 1600 1720 vai0M no 110 126 187 227 kg 50 57 76 103 `r a Dual E in 10 12 18 20 Connection 1001 250 316 400 600 Dimenshn! A In 30.01 3021 35.24 38.98 1001 785 766 896 800 ® in 24.81 26.67 30.51 33.68 Wald 826 875 775 C in 12.80 13.98 15.35 10.73 am 326 355 390 d2S , D In 7.611 7.88 102A 12.20 c - 01m 196 195 260 310 G In 31.50 31.50 $1.50 33.48 j Won 000 B00 900 am • H In 13.78 16.10 17.32 19.09 101W 360 385 440 485 ,•'?•-. J In 111.90 17.91 20.67 22.83 f' 0110 480 456 525 Soo ' K In 7.28 8.08 9.84 11.81 0110 185 205 250 300 L In 4.92 4.02 4.92 6.69 f l f � i 0100 125 125 125 170 91 In 2.88 3.15 3.15 2.36 MIR 60 80 80 80 s + i •i. Capacity P,(MW.C.) i e 4.S•- i 4 1 as � Zk 2. 2a � 1 I 1.0 0.6 � ° 0 tom 20M Scop 1000 hoop a000 ,l volume ion) j E) AUSTO lw- P.n0.01-v 8 I 1200 Nmlismoodow Pkwy. F:710.587.4731 i HAUS supe 180 T.800.255.2023 11tonvatGA3MM gNpow,b„slo.c„ VENTING DESIGN SOLUTIONS us.exhmado.eom `{ t i i � - --� _ I� '�- a � �'� S `✓ � v S �' v r� G �� �� a Jun. 9. 2006 7:59AM Sagamore Plumbing Heatting Inc. No- 4190 P. 1 Sagamore Plumbing&Healing,Inc, 90 Llbbey Induetdal Parkway Main Telephone:781-331-1600 www.sagamommschanical.net Mechanical Contmetors Weymouth,MA 02189 Plumbing Fax: ?81-331-8841 HVAC Fax: 781.W1.woo MPL 12287 2128C sagamore SATE: stoves AMlosanto (O V P►oNct NFanaper ro: . sagamoro PlumT�ng 8 Healing,Int ��� � a �„�`' �� �m O C Q Mscfianiwl.Contractors :OMPANY: eSt9Wy ,,MAo9 ► Dtrea 781.882.0129 `AX NUMBER: p Fac 761-331-8641 , O 6vS4angelmenb@aphimeChWcal.com ROM: 981..~fib` V59 33 ',E, BROOKS SCHOOL IUMBER OF PAGES (including this cover page); New Science Building you do not receive all pages, please contact me for retransmission. q\yn GPCto o u Y ®ej ✓ ..2 � � ACV f i ' X v UP 2" V UP ` TP UP i EL[Y t't1ACHINE dM. .3' i licAV an 3" W EXPF- 9 2 TO FD•_ ;[� =v=Et€� `_`- r' - - IA 1 t L..��—PF—,6 t TAI V _._ EXP t s ® 2 ! PF-16 PP 3" NATURAL GAS — ;TIG WATER ` "—PTtE--W*TER z i ! EXP ME W u 3 c O PF-17 ®•.. PF-16 f \\—NATURAE, GAS PRESSURE -—s---- — -- '— " !i REGULATOR & SERVICE I �� ," GAS (VENT TURNED DOWN N TO OUTSIDE WI —19 TH STAINLESS .! STEEL BUG SCREEN i ; 1 1 � i tom- . ;�-, �t+• \ j� r- � ;r 4 00jJ o . PRM 11 N ASL J'GAL =V-0" OSS--02-08 06-4984 i ce'"°°'Enskemina.°'c ROOKS SCHOOL--NEW SCIENCE ttC.on, c `4 ni'' Mow 4- "°nipa1i Fax a UILDING-GAS ENTRANCE & VENT SKP8 ceoo) —.ss� �.(earl 6a�Asas LOWER LEVEL PLUMBING MODIFICATIONS ""��2m C031NRI W 0 V= RMT—FROST—SfWk%AY ENONEERM. P.� =R � I f " I ; 4« „ L;� _ __ __.�I�� _rF� 1 _ EMERGENCY FIXTURE I _ _ _ _� _ TMV. SEE DETAIL ON UP fCQ S t DWG. P3.01 ff L------- _ .I----� r-TPD ---- -- - " HW & H��► 1 " W c 3" C DROP s " & 4" W - CW UP , CW UP UP ;UP t" GV DROP 3 V UP 2 „ SOLA9 SUPPLY UP 2" SOLARETURN UP I �� ,. �2 2% a DOMESTIC WATER AND k a 1 2 ! LHW & ?4" LCWf''--�— --�--- -- --`-- — ' , I FIREENTRANCEECTION VDNI Q' I -• -TP-7UN FROM � � � n I DOMES7IC WATER DROP (TYP OF 4) 14 ( - TP TO ETP ^ DOMESTIC WATER SERVICE CW, TO 70 ' I PIPING, SEE WATER ENTRANCE { I DETAIL ON DWG. P3.01 FOR :E-UP WATER FO f2 `: r_J I PIPING BETWEEN 00 �13._..SEE_AdECs L.1� CONTINUATION I MECH. RM {4 " CW DROP ' ® n 6" FIRE PROTECTION rte. - -- � - - �� - DN (BY OTHERS) �-4 DOMESTIC WATER CROP W/SHUT- t rd AND 6" DIRT ! I "' TO BOILER Les J PLUMBING PART PLAN "Co" 0 a ML GAL /'=1'-0" 05-02—OS 06-4984 rn lila[-Fror!SOntwa�r Enpinsvi",YC O n ,iia►swo.i ROOKS SCHOOL—NEW SCIENCE SKP9 BUILDING—GAS ENTRA14CE & VENT PLUMBING PART PLAN MODIFICATIONS �p201� 00PYf GHT 0 21-08 P137—FR06T—SHUFMAY DiGN=ECRING. P-Q Jun. 9, 2008 8;OOAM Sagamore Plumbing Heatting Inc. No- 4190 P. 4 EXTERIOR WALL 2" MODEL 132—A ROTARY DISPLACEMENT GAS METER BY ETTER ENGINEERING WITH FLANGED WAFER CONNECTIONS, GAS SHUT—OFF VALVE 2" INLET SCREEN FILTER GASKET REGULATOR, METER AND NON—ASBESTOS GARLOCK GASKET ASSOCIATED FILTERS W/INTEGRAL 100 MESH 316 SS PROVIDED & INSTALLED SCREEN FOR 125 & 150# FLANGES BY PLUMBING 2" QONKIN SERIES 274 TYPE 960 CONTRACTOR GAS REGULATOR SET ® 14" W.C. 1" GAS VENT FROM REGULATOR (3565 MBH) 15 MM ORIFICE, DUCT IRON BODY, 125# MAX RATING 3" GAS SUPPLY TO W/1" GAS VENT (SEE PLANS BUILDING FOR CONTINUATION) Is \� 1 Y � �w GAS MAIN DN-- M FINISH GRADE GAS SERVICE ENTRANCE DETAIL NTS MECHANICAL ROOM DOOR 1" GV TO EXIT VENT TO OUTSIDE SIDE WALL AT WITH STAINLESS STEEL THIS SONROXIMATE BUG SCREEN EXTERIOR GAS REGULATOR WALL 1w OM' VENT DETAIL SOUTH ELEVATION NTS NTS REVISED 05--02-08 WAM c+ �o scAtE DA PR"aro ML GAL AS NOTED 04-22-08 06-4984 ftMroe sShi R°r vngineefiay,P.C. owa MQ a�a ROOKS SCHOOL—NEW SCIENCE SKP1 0 (603)R4--4847 Fan 1m>see-7osa BUILDING--GAS ENTRANCE & VENT PLAMS SKpI *, W,Re� PLUMBING DETAIL MODIFICATIONS °'" 1�O COPYRICMT 0 2003 KIST—FROST—SHUMWAY ENGINEERING. P.C. Jun, 9. 2008 8:00AM Sagamore Plumbing Neatting Inc. No. 4190 P. 5 ,;. ;i .5t1flMRTAI REIKEW R14T-:FRQST-9NUh11NAY�NGINEEIi�NI�,_p,C. M NahJSCEP 014TAKEN'' a' t VMTr313•"' ' RElEk '• •C. Oi!AE:�i�l0� gY'K�gIh0:trary RIViEWE@ll�l"QNiQRMAIVEf•WnTt,TF�ErOISIfsM'COI�CEJ'T;,, StON�'R�ORNOT REtiEVEG't�!•pFSiONSi01tIlY P.ORAGCURAGy Qt BETAIIIlD QIj.,P*O,NA:t*.©F:VUANI$NINQUA'TERUA;AMO WQRKli1AN5h11P.REQUIREQ 9VTIiE'CQIJTR.ICT 6R)SWfPIG�fJaP if�CATiGt45 WhRCFt MAYNOT'f(f'6Hbh'N NMEpW. D,gtet. OWN TO,. pan Arons Mhiterro int. -66 i ongWhwf* Boston,MA.02110' Project Namiat Brooks Scionce: Project#;: 96-4984 RFS- 4mineft blo Ken Goft 5pWficatton 15450 Co mers•or Rema � 15450-- 06s ni g! r troirnei Meter NETT Gas Metering Eq:u TERZ �4 & 132-A • � �r F t 7"n 1 " 1 < t 'V'r jd�,, AV12114 P gni efcora�rti�nNo t BRYAN D4NKIN USA Brochure: h9ETERs-on Jun, 9. 2008 8:00AM Sagamore Plumbing Heatting Inc. No- 4190 P. 1 IQftBt�' OF 8 n::t�onlcrn.lJSA:1:3�2:•A.rofa ttisp,(acetnent`meter.:is:tis»u :°.troium : "nt -•�,. .• ,••uc!�mant;an;';aas;in�t�.li�stt�ha:The;:rotar��;mefer,�s:_a;positive°=displacerrie., ':. r+sis. °; .?titsunit al�d.1 nter unit The flowing�n the`rrrei�surin unit::' :::• ti 1: rind ' coU ::� . c1> I;;).tars ta:tura:�<:Thi !�; -Asibp of fs to u h: S e d F;d t'1i1r0 TYI6'.i?. :caiu e ;:rcltafrbn$:- t+er.ZNO nfife:: dtb,the;rwn-presaurized:Coiintar:;linit;vasa riagnatlp. pt.cr: itit1S ;tt�� r� a:;totletl:; t n �cateciFpn-tiie.itldex; >:; .:vAlume�ritvItie;:TherUte�:;unit:; ;:; ,;. is bfsil an' rt ` eito<tfiactrespanding flow dl ectiorts of the5,; rter The ; s `•:4i?•Y•;<-t:: .,:•`�••=oPt:'.•.:x. *W-0,0 p ..r• .•4: a. 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The- `a5 :aw° aas+aa't�tei. .t1[�ulari let;se ionto eas re erl tri �t�.r�ine:w.:�� �., Gt f,. 9. ck :fhe: axial! :=moyntedautbina:viwtia.�l;:whossspei3d''i�,directly:: roportianal:i: '':�" :h> " ;.del :�lYitt es' With 'tltie riatisfttis;rrigterin inst[umeritr.T�a'a aetl:iifsthe.::: 9 . B.. ,:e#.�rt=o�n:'dthlluBc;fa�" t!�tii�e:n:6o�,n8t,;freg�m as. mb� lyi.. drect >. •:9 ..i.,r:.:;:Y.x: ell b - }.1 ,..:......,C..,...........:.:.... u� ................. ............... .: .i.....' ::M��1'1� _..,;.\'r•l,Y... moi:' 200- 3.500 1/10/100 7800 2.0 3fr' `3:Y_ 400- 8,800 0.1/1/10 2375 2.4 • 4., $00- 14,100 0.111 1250 5.6 • 900- 14,100 0.1/1/10 1060 1,6 • 1,400- 23.000 0.1/1/10 600 4.0 1,400- 35,300 0.1!1/10 330 2.4 „L 3,500- 56,500 0.1/1 190 4.8 • 3t500- 58,500 0.1/1 135 1.2 !:fa: � ::,�t��� :#;:�i•=i- 5,700- 88,300 0.1n So 1 3.2"R 5,700- 88,300 0.1/1 75 1,2 81800. 141,300 0.1H 44 2.6 • ?1 `` r":• 8,800- 141,300 0.1/1 48 1.6 • 14,100- 228,b00 0.111 28 3.6 • `•d:. ,:x 14,100. 229,500 0.1/1 24 1.2 . �Sr: 4• f x1 `; ':• =` 23,000- 353,100 0.111 14 3.2 23 000- 353,100 0.1/1 12 1.6 35,300- 565,000 0.01/0.1 7 3.8 • ' `= 35,300- 565,000 0.01/0-1 6 1.6 56,500- 882,900 0.01/0,1 4 3.6 • -->� A 211 57/8 2 318 7118 10 318 22 AIdSl+soa soo ::::a:•: •. __....tc ..: ,,, as B 4/1 S&L 5 718 2 8718 13 55 1 Aaa+50 77 C 8" S&L 7 718 2 314 11 181/2 132 AND 160 •y,/�/� y�� ll •yam 'v�;�kk��`.��et}}�� •+!� tt��rr�� '.i:,�,,.. 'r., J,�.•:: :#Y: :'.>:;•`:_1a:Jl.Qar I:::61�'•.' ::IA9:Fcu.a..�,.t1 . 12" S 1139 3$14 12 314 22 7/8 220 ,ua is ....-:. 161, S 15 314 5 314 13114 25 5/8 398 A +eo L -► -''20" S 15 314 4318 15118 29 718 660 Atua+so .. Flanged-end design 24" S 23 518 5116 17 318 34114 880 Am iso ..... ,. 1: :�:::;::::-:�;X31.$��: :38;"1,a�.,;�; ;'1$..�': �� �:4-���_. I� Jun, 9. 2008 8.02A Sagamore Plumbing Heatting Inc. NLo. 4190 P.--------------- 9 meter Electronics Options for Installing the electronic totalizer Installing the electronic toterizer in different ways, special type of Installation is specified,the totalizer is to By g optimum readings can be taken in any position.If no be installed in accordance with the standard figure below. Standard Mounting Optional Mounting Totalizer Optional Xbox at meter ® 18 ga.(Min.)2 wire twisted pair ® with shielded ground one end in separate conduit,max ISO ft No i Meter Equipment Options Our product range also Includes the following device uncorrected Vm totalizer along with a corrected function types which are based on the electronics of the TERZ 94: with real time compensation based on measured pressure and temperature values.The pressure TIRx08.1rEtTEL Electronic Turbine Meter 1 or 2 channels,Identical measuringelement as with the transmitter is incorporated directly into the meter body. All TERZ designs receive their signal from a Wiegand TERZ 84,but incorporated into the housing of the TRZ 03 sensors, which are directly installed in the meter and or TRZ 03-L which improves overall accuracy.These have LF and HF pulse outputs. Applicable to both the versions has been approved for custody transfer Rotary and Turbine Meters. As an option they are ' measurement. available with a current output board for analog output of EC 21 Temperature Corrector rate of flow directly proportional to a 4-20mA signal but 1 or 2 channels,directly installed on a turbine meter or only for the Turbine. Additional equipment is required for volumeter with an electronic measuring element 4-20mA output of rate for the Rotary Meter. (liegand sensors)or 1-channel version installed together With a(separate)mechanical totalizer(volume pulses OLUME CORRECTORS from reed contact).Features an uncorrected measured volume totalizer along with a corrected volume function with real time compensation of measured temperature values and a fixed pressure value, Applicable to both the Rotary and Turbine Meters. EC 74 volume corrector 1 or 2 channels as with the EC 21,directly Installed on a Mosel EC MOW 4 turbine meter or volumeter with electronic measuring Tent rreaa Pressure a Temperaw r element(Wiegand sensors)or 1-channel version installed p a note that additional Information is available in together with a(separate)mechanical totalizer(volume Technical Brochures specific to this equipment. pulses from reed contact).The EC 24 features an liMral IrT c 44 _ �.. f11• 1 Y V *' ,tF\�+c4 tN`.hro�'_j�. � y ',,;;(( ri t 7! r>c ir" ��;✓.:'�" r r` ��x /rti� v yet'. crtr _�+ S � � t du /1 �a� � k:�t_i� ` til { "`! • � .s f r,<'� '� � U ti��{Yt,,,1�\�i�rfi4^ j��r y,J�:✓t a.� .-.'.7� ��y ��1'r • Jun. 9. 7008 8:03AM Sagamore Plumbing Heatting Inc. No. 4190 P. 11 MODEL 274 GAS PRESSURE REGULATOR .General Description Applications • Primarily utilized for commercial and industrial applications • For natural gas and all non-corrosive gaseous media • Various options for specialty applications • Fixed Factor Billing model available for PFM applications, that ensure outlet pressure accuracy to +/- 1% absolute pressure Characteristics • Specifically designed for safe, accurate, pressure reduction of gaseous media • Wide inlet pressure range 1-125 psig (0.07-8.5 bar) depending on orik fice diameter • Maximum inlet pressure 150 psig (10 bar) • Maximum operating pressure 125 psig (8.5 bar) • Spring-loaded, lever-operated to accommodate changes in inlet pressure • Various interchangeable orifices for ease of maintenance and increased turndown ratio to accommodate a wide range of flows and pressure con- ditions (inlet & outlet pressures) Outlet pressure settings from 6" w.c. to 6 psig (15-420 mbar) over '5 spring ranges • Balanced valve version available for increased accuracy and control • 3 different inlet/outlet thread diameters (National or British Pipe Stan- dards—NPT, BSPT, BSPP) • 2" flanged version available in ANSI 150 or PN 16 with fiat or raised face profiles • Flanged body available in cast iron, ductile iron or cast steel • Various relief valve assemblies available (full, limited and zero capacity relief discharge) • 1" threaded vent connection • Available with Internal Impulse or Control Line (I.C.L.) or External Impulse or Control Line Connections (E.C.L.) • Ease of maintenance due to interchangeable diaphragm casing cartridge Various safety slam-shut valve (SSV) models available for pressure/flow cut-off protection • Custom designed and pre-fabricated regulator assemblies available 2 Jun. 9. 2008 8:03AM Sagamore Plumbing Heatting Inc. No- 4190 P. 12 MODEL 274 GAS PRESSURE REGULATOR ! _` General Description Fixed Faftr Billing for PFM applies- tions—to maintain outlet pressure accuracy for applications that require downstream pressure to be held within+/-1%absolute pressure OOutiet pressures from 6'w.c.to 6 psi& over 5 spring ran&ea. Set point can be adjusted easily with standard socket. Regulator top cap hes the cepability of Including the provision for a wine seal. Under&Over pressure Safety 00ver Pressure Safety Slam-Shut Slanwshut valve(upCO/OPCO) Valve(OPCO)options available options available Ointegral sism-shut valves available to protect against under(UPCO)and over pressure(OPCO) conditions In the downstream pipe-work. Slam- OV threaded vent shut•vahreg also available with low differential connection protected pressure cutoff and thermal trip (T-type)protec- by screen that Is easily tion feature to shut gas off ff regulator is engulfed removed to attach in a fire. vent extender or vent- line. entline. OPresaure test potr a available at O Reinforced dia- inlet&outlet chambers of the body, phragm for increased as an option. spaad of response and durability. OSeveral available orifice diameters to accommodate a 'wide range of pressure condi- lions and flow require- 03 different pipe thread diameters DAvailable with full capacity, limited 180-) . able an an inline(tBa) capacity, no capacity internal relief vake body designs. Wo', designs to manage the capability of the 1 Yr"or 2'or 1"W. regulator to discharge over pressure gas. BSPT or 83PP Safety diaphragms also avaliable. 02"flanged eonrac. tions available in AN- SI 150 or PN16 with flat Cartridge style ragulator diaphragm DAvailable with Internal impulse or caging design so retrofitting new regulator Control Line(I.C.L)or External Impulse casings is very easy without removing regu- or Control Line Connections(E.C.L) lator body from the pipe4vork. AtmospherlC Pressure OAvailable with Integrated union fitting with 9-ring seal for 100%bubble-light seal Inlet Pressure on botlt inlet or outlet body connections to ease and reduce ihatallation labor. Union Outlet Pressure available in standard or insulated versions. 3 Jun. 9. 2008 8:04AM Sagamore Plumbing Heatting Inc, No- 4190 P. 13 MODEL 274 GAS PRESSURE REGULATOR General Description AvailabIg Constructions 274 R: full internal relief capacity 274 F no internal reliFf capaceTy 274LR 290 OPCO: limited internal relief capacity with integral Over Pressure Cut-Off safety slam-shut valve 274P-290 OPCO: no internal relief capacity with integral Over Pressure Cut- Off utOff safety slam-shut valve 274SD-290 OPCO SD: n`o internal relief capacity with safety diaphragms and Over Pressure Cut-Off safety slam-shut valve 274LR-309 UPCO/OPCO: limited internal relief capacity with integral Under and Over Pressure Cut-Off safety slam-shut valve 270-309 UPCO/OPCO: no internal relief capacity with integral Under and Over Pressure Cut-Off safety slam-shut valve 274SD-309 UPCO/OPCO: no internal relief capacity with safety diaphragms and Under and Over Pressure Cut-Off safety slam-shut valve. PFM version: fixed factor billing or pressure factor metering version for out- let pressure accuracy within t1%absolute pressure. Outlet pressure range from 2 to 5.5 psig (140 to 385 mbar) Thermal Protection (T-Type): no internal relief capacity with safety dia- phragms and integral safety slam-shut valve (OPCO or UPCO/OPCO) that has shut-off protection if assembly is engulfed in a fire. Assembly has many steel component parts. I.C.L. Type: Internally sensing or internal control line to measure outlet pres- sure E.C.L.Type: Externally sensing or external control line required to measure outlet pressure in downstream pipework. Diaphragm casings drilled and tapped 1/2" NPT or SSPT to connect downstream sensing line. F version: complete with inlet mess filter Body Sizes and Connection Types Screwed Type Bod 1'/a", 1'/:" 2" screwed NPT, BSPT or ISSR threaed types • U type: with modified inlet union fitting on either inlet and/or outlet connections Flanged Type Body • 2" flanged inlet/outlet 4 Jun. 9. 2008 8:04AM Sagamore Plumbing Heatting Inc. No. 4190 P. 14 MODEL 274 GAS PRESSURE REGULATOR .:..`.;7 General Description Pressure Ratings Maximum Recommended Inlet Pressure • 150 psig (10 bar) Maximum Recommended Operating Pressure 125 psig (8.6 bar) with 5,0, 7.5mm & 10.Omm orifices 75 psig (5 bar) with 15.Omm orifice 60 prig (4 bar) with 20.Omm orifice • 15 psig (1 bar) with 25.Omm & 30.Omm orifices 125 psig (8.6 bar) with 30.Omm orifice and balanced valve Materials of Construction Screwed Body Cast Iron Flanged Body Cast Iron, Ductile Iron, Cast Steel Diaphragm Casings die Cast Aluminum Diaphragm Molded Nitrile Rubber with Nylon Reinforcing Valve Head (Seat) Buna-N Rubber& Polyurethane Diaphragm Plates Steel Orifice Brass or Stainless Steel (T-type) Vent Screen Stainless Steel Fasteners Steel Top Cap (standard) Aluminum Weights • w/ screwed body— 18 Ib. (8.2 kg) w/ cast iron flanged body-28 Ib. (12.75 kg) • w/ ductile iron flanged body—30 Ib. (13.6 kg) • w/ cast steel flanged body—36 Ib. (16.4 kg) • w/ 290 OPCO- add 1.1 Ib, (0.5 kg) w/ 309 UPCO/OPCO— 2.2 Ib. (1.0 kg) • w/ 309 T Type UPCO/OPCO—4.75 Ib. (2.2 kg) Temperature Rating • 40-to 6(Kelsius • 40-to 140-Fahrenheit 5 Jun, 9. 2008 8:04AM Sagamore Plumbing Heatting Inc. Na. 4190 P. 15 MODEL 274 GAS PRESSURE REGULATOR General Description Outlet Pressure Range Range (imperial) Range (metric) Spring Number/Colour F6-— 14"w,c. 15—35 mbar 960 (grey) — 14"w.c. 12"- 22"w.c. 30—56 mbar 961 (yellow) 20"-40"w.c. 50 — 100 mbar 962 (brown) 1 —3 psig 70—210 mbar 963 (orange) 2— 6 psig 140— 420 mbar 964 (blue) Relief Pressure Range Outlet Pressure Spring Relief Range (imperial) Relief Range (metric) 960 12" -34"w.c. 30— 85 mbar 961 22"- 50"W.C. 55 — 125 mbar 962 34"-68"w.c. 85— 170 mbar 963 2-5 psig 140—350 mbar 964 3-9 psig 210-630 mbar Relief Valve Options SD-Type R t► Safety bl8phragm °rrs nrr8. tat TYr6 Pilot-Operated Version for Higher Outlet Pressures and Flow Capacity, see Model 273PL and 270/3PL Regulator echnical Bulletins. 6 Jun, 9. 2008 8.04AM Sagamore Plumbing Heatting Inc. No. 4190 P. 16 MODEL 274 GAS PRESSURE REGULATOR General Description Ouvat Into 140avre al0ax123 YORRictet./Incks) Proann P4 be S-ow 7.5mrn 10.0" 154MM 20.0mm 10:0mm 30.8mm 6.A(11NCED VALVE 1 (9,00) 400 (11.8) goo 122.7) 100 (90.31 1600 (42.91 1760 (49,4) 1700 1411.21 1700 (410) SET POINT 7"w0. 2 (0.140) 660 (10.x) TWO (362) taw 141.1) 2200 162.91 ISM (76.6) 8800 09.61 2000 15cr) 110 meaq 8 1336x1 900 121.51 1750 149.41 2900 (10.0) 1600 199.21 4200 2119.01 S6N (155.1) 4000 1117.31 DROOP/ t0 10.7001 1200 184.01 2900 (65.2) 4000 (118.9) 5500 (156.) 14000 1296.61 79000 (3110.9) 120, 1340411 aR; 80087 18 (1) 1600 (46.4 80m PLO) SM (141.6) 13000 (840.0) 000 ISM (4fto) 16 (459.91 14000 (s96.6) 30 l .a . !.s mbar 142200 16E.91 4700 (153.1) 10000 (2695) 16000 WA 16000 N51A ;14000 (x96.61 7 Accuracy 43 13) 1700 176.51. 7200 1204.01 16000 (4692) 16000 (49951 16000 (459.9) •14060 (396.61 = cuea N (4) UOD (96.8) 10000 PB8.1) 16000 (43951 16000 (4594 16000 1493.0) '•14000. 1696.61. 75 15) 4206 (119.0) 11000 (Stt.6) 16000 1455.9) 16000 (469.3) 14006 ('96.61 100 (1) 7000 (190.2) 12990 P54.11 16000 1498.21 */6r ,41600 (94,61: 12s (e.4) 9500 (If9.11 16M (458.7) 16000 1436.E F INPAO 14W •(3?�A1 1 (00701 980 10.9) 400 (17.0) 000 (22.71 1100 191,21 1409 (45.2) 1650 (46.1) 1560 (43.9) 69rPOIW 2 (0-14M See (14.2 1000 (20 s) 1850 (80.2) 2000 186,7) am (65.2) 5000 (ism 1900 (50.0) l�lnbaq S (p06p) 100 (22,7) 1600 1452) 2300 165,2) 3200 (90.71 4000 (119.8) 5400 (t5a.01 9000 1107.41 DROOP/ 10 10.7001 1100 (el.� 2150 160.91 1700 (104.0) $200 (147.8) 11000 (396.6► 12000 (399.9) 11000 1311.61 a't 00067 id a W.W.9, 13 (1) 1400 (89.7) 2700 (769) 4700 1131.1) 12000 (769.0) 16M 145931 I&ON Ia000 (396.4) ua 6-0 Mbar 30 121 2100 (99.9) 4400 (124.6) 10000 (239.5) 16000 (459.3) 16000 1453.0) ._14000• '1306.6) Accuracy a'?h I5 (� :000 (Me] 6999 1196..6.1 16000 1453.E 16060 (469.31 16000 (x66.6! 't40pp 139x6) , S. Toll f0 (4) 3160 (09.2) 0000 (293.0) 16000 (469.31 16009 (1589( 16000 (459.3) 14ago (29641 7S (5) am (107.6) 10000 (2813) 16000 (095) 16000 (453.3) 11066'', 18966). too Oj 6000 (170.0) 11000 1311.6) 160011 I"" WAF '14000. '1490,61 128 (061 0000 (226.6) tS000 1424.9) 16000 (489.9) (Rr/10) 14000 (396.61 1 (0.0701 350 (9.9) 550 119.41 foe (19,0) toxo (213) 1430 (41.11 1660 (462) 1400 (39.6) SET POINT 11-w.a. 2 (0,140) 450 (12.7) 900 123.91 1100 131.2) 1760 149.6) 2200 (62.31 I800 (79.8) 1700 (41.2) IRS mpxh 6 (995Q 050 (24.1) 1500 (44.5) 1150 (62.4) 2650 (75.1) 17o (00.7) 9100 (147.9) 9606 (10.4) 8: DROOP/ 10 (0,100) 1111), 200 (32.6) 0 t66.71 Soo PLO) 4460 I114.6) 12600 13Sa.q 12500 1334.1) 11900 1311,61 BOOST is (1)19 1400 (39.7') 3109 to1.6) 3900 (110, 8600 111 (156.0) 16999 14:6.91 16090 14695) lam i90a,q 7.S mew 20 2oW 66.7) 4100 (116.11 9000 (165. 17000 (491.4) 11000 (996.6) 121 t o► 1431.6) :x111 R-0 Accuracy 45 13) 2600 (73,7) SS60 (155.1) 12000 (999.9) 11500 (609.1) 24000 1679.9) :,11040: 1396.6). Clam 20% 60 (y 8900 (92451 3000 (2492) taw 1410.8) 21500 (S",q 2450D (604.1) 14000 (6.96.6) 16 (9) 3700 (104.) 10500 1297.5) 11900 1495.11 21600 (609.11 14000 100 P) 4200 (119.01 12000 1939.91 17300 1493.0) ft./hr .•16000 125 ISM 51100 (155.8) 19000 1 (424.9) 17500 1495.6) INW/M 140G6 .(89") HIGHLIGHTED AREAS MUST BE SERVICED BY AN EXTERNAL CONTROL LINE(E.C.L.) Scfh(ft,/hr)-natural gas,0.6 sg Scmh(ma/hr)-natural gas,0.6 sg 7 Jun. 9. 2008 8:04AM Sagamore Plumbing Heatting Inc. No- 4190 P. 17 MODEL 274 GAS PRESSURE REGULATOR General Description gum 11mi+hw1w4 Or15ce Gia(m116116ten,InlAe1) (1111'YR pal( !x 5.0mm 7.5mm 10.Omm 15.00x11 20.OInm 50.Omm 30.0mm 8ALMW)VALVE i (4a7% 250 (9.9) boo (14.2) 750 121.21 logo 128.8) 1600, (4151 I"o 0514 1350 (811.2) au POINT trw,e, 2 (0.140( &H (12.7) 850 124.11 1000 126.3) 1790 (48.21 2200 (62.31 Saco (1150) 1550 (48.0) pm 6 644 5 (4254 890 (24.1) 1480 141.1► 1800 (51.01 Y5oo0.% 3000 P 144 5200 1147.81 8800 (915) OR099/ to (0.7001 1150 (32.61 2000 156.7) 5000 185.0) 4000 (115.8) 12599 (754.1) 13000 1868.81 It000 1511.61 8 4? vow t51 kw 4'w.e () 1400 (39.71 3000 (AS.0) 8600 (1024 5500 (155.81 145M (410.8) 16990 1488.51 14000 189&61 a 10m04r (% 2000 (56.71 4200 (1f9.0) 0800 (246.51 17000 (481.61 22000 (625.21 14000 (39&6) f Aleurxy43 !1130 S B1 (609.31 :2600 (687.q 14000, ("16) (72.2) 6500 tts 12099 (989.% 21500 M 60 141 Slog (90.7) 8590 (210,.5) 14000 (896.61 21500 (609.1) 22600896.6) (637,41 31000' ( 75 l5) 3600 1102.4 10599 1297.51' 16600 (167.4) 21500 (609.1) 14000•• )3911% 100 (7) 4000 1113.31 12500 (654.1) 16399 (467.4) M/Ar 14010 '(59&6) 126 10.6) 6400 (153.1) 14500 (4 MAI 16500 (667.0 prr/31d 14000: (596.6): 2 (0140 400 111.5) 600 122.71 1000 (28.31 1600 (45.3) 2290 (62.81 2799 (7dA too* (46.14 1iET 1101147 28°w.c. S IM350 700 (10.% 1400 (30.7) 1750 (49.61 X406 (68.0 2900 (82.21 3700 (150.)) 3400 (96.% X0 1 10 (0.70% 1100 (31.2) 2000 (56.7) 2600 t7&Q 3600 (102.0) 4100 (136.0) 6810 (155.8) 3900 (110.5) a OR00P/ 16 (1) 1406 (50.7) 2400 (66.4 $300 (93.6) 4799 (1811) 6099 (1740) 36000 (457.7) 11900 1311,0) ill 0, v 800ST 600 DO (2j 2002 (62.8) 8700 (104.8) 5500 (159.% 15000 0 80WT (424.9) 20000 156661 11 1 �i6j' i60msar g 9 g 48 (% 2610 (717) 5100 1143.4 11500 (725.8) !loop (70881 24000 (670.9) �'I�QQQ. :(346.6). s60 (41 Slog 195.51 9100 (257.4) 14500 (410.8) 26600 (750.7) 26500 1780 71 16000,, (396.6) 75 IN 4000 (113.% 10500 (297.5) 11099 (509.% !6600 (7547) 14000' (506.6) too fi 5600 (157.4) 12500 (334.1) 20600 1580.71 Why '11000' ._(396.6) 126 (8.6) 7000 (196.% 13500 (434.1) 2499(1 1670.9) pm/hj 140DO (596,61 ' 5 (0,160) 600 (17.4 1100 131.21 1450 141.1) 2200 162.31 loop (78.7) 3599 (99.1) 2200 (62.7) SET P12NT 2PSI 10 004 logo (29.71 11100 (51.01 7000 156.7) 2900 (02.4 (1000 (85.0) 4600 (130.1) 8800 (107.6) (140 mbsn S 1S (1) 1800 (36% 2250 (dS.71 2550 172.7) 1099 (121-61 q80 338461 13000 (368.31 11000 (811,% � / 50 (% 2000 (6&71 5800 (107.41 4190 (119.4 9250 (260.61 11500 (861.11 14000 . (996%• o �? BOW7 N j 4� It•w.4 45 (3) 2600 (7171 6000 1141.61 5700 (161,11 16990 {437.3) 22000 1623.21 11000 (396.6)•: 0 w 281x6) 60 (% 3250 (92) 5790 11619 12500 (354.(1 12600 (637.41 24000 (660.91 14000 134ee1 Clem 76 15) 2800 (107.6) 19900 (283.5) to= (465.9) 22500 1637.41 34099 (t4e61' 20% 100 4200 1119.4 12509 (194.11 18500 (M.1) (p/hr 14000'. (396.6): 126 (16) 3100 1150.11 15000 (624.9) 2150 (609.1) (ar/hr) '.14000. WfAi HIGHLIGHTED AREAS MUST BE SERVICED BY AN EXTERNAL CONTROL LINE(E.C.L.) Scfh(ft-/hr)-natural gas,0.6 sg Scmh(ms/hr)-natural gas,0.6 sg 8 Jun, 9. 2008 8:04AM Sagamore Plumbing Heatting Inc. No. 4190 P. 18 MODEL 274 GAS PRESSURE REGULATOR ' General Description 0u6et Wd Prumn Ordtee 61M(mNllrrews/irmhnl vr4uare Pe16 bar 5.Omrn 7.5ma1 le.Omm fS.Omm a0.anm OO.Omm 90Omm BALANCED VALVE 10 (0.70011 790 (21.21 1660 (49.9) 1900 131,0) 2400 (60.0) sloe P7.6) 9600 (IOLO) POO (64.2) off$IstPONT 16 (Q 1000 12L9) 2150 (40,01 2200 162.9) 3000 (107.6) 4800 (136.0) 5900 (110.5) 5 i ash (eso) 3300 T614 90 kit 2000 (56.71 2900 (32.2) 7600 (IOZO) 6000 (141.6) 6900 (240.91 12600 0 :!2000 (999.9)' 49 e / 40 (91 2s00 170.61 4000 (113.3) 4960 (136.0) 8000 (226.6) 11600 (925.61 liotio (9933). ff�i 1009 0 (4) 3000 (65.0) 5000 (+41.41 6300 (176.6) 11"0 (999.9) 16500 (467.4) 14000' (3v6.6). a 70 ndw 79 (91 0500 109.21 7800 (2e6.ei e60 (t4a6) lesoo µa7.4) 21000 p "+acAo (996.6} Ae4way class 100 (7) 4000 (113.0) too (255.0) 1t000 (311,6) ra/tir u000 1906.d) lora 125 . (e.61 3500 (1275) 12000 (3a9.v) 16900 µ99.D tm'/bl 24000. (sve,d) Pressure Factor Metering (tl%Absolute Pressure) Measurement Canada Approval-AG-0539 Outlet Pres. Inlet Pressure orifice Eft(Pnla"eters/Inches) sure 1 S Poll: bar 7.bnarl Mom % to (0.700) 396 (10.9) 195 (66.2) SET POINT 2.0 P4 20 (+.4) 710 (20.1) 965 (273) wm (140fib4r1 90 (?) 1356 (39.4) 1229 (34.7) oaooP/ 40 (2.7) 1906 (51.1) 2515 (71.21 o O DOST so (3.4) 2900 (32.2) 1740 (49.3) Is o 3 I mbar 60 (4,1) 8160 (99.5) 6065 (171,8) dS 70 (4.9) 4935 (127.0) 6450 (192.7) ACCWOCY Class eo 15.61 6125 (173.5) 7355 (209.3) 1K•/(tr 61%A93 (m'/hr) P.F.M. 90 (6.1) 1 7970 (222.9) 3255 1 (233.9) Outlet Prea- Inlet Pressure Orifice Sae(m9l+mcon/Invt s) sure Petr; bar 7.5mtn tO.Omm 10 (0.700) 195 (SS.2) 195 (55.2) 35r POINT a S.0 P;4 20 (1.4) 820 (9.1) 255 (7.2) H (350 mbar) 30 (Y) 710 (20.1) 710 (20.1) 40 o N DROOP/ (2.7) 710 (20.1) 775 122.0) e ' e SOOST 30 (3.4) to" (31.0) 1095 (31.0) p 0.2 Pale �. g¢>S 14 mbar 60 (4.11 1290 (36.51 1225 (84.7) 70 (4.91 1493 (42,1) 2645 176.9) Accuracy Claes 90 PA) 2000 (56.7) 3610 (102.3) Rr/hr t1%ABS (rw/hrl PYJYL 90 (d.1) 2886 (67.6) 4320 (122.4) Sdh(ftr/hq-natural gas,0.6 sg Somh(m/hr)-natural gas,0.6 sg 9 Jun. 9. 2008 8:05AM Sagamore Plumbing Neatting Inc. No- 4190 P. 19 MODEL 274 GAS PRESSURE REGULATOR General Description Capacity Calculation or Correction Factors for Other Gases Gas Type Specific Gravity Correction Factor (CFI Air 1.00 0.77 Butane 2.01 0.55 Carbon Dioxide (Dry) 1.52 0.63 Carbon Monoxide (Dry) 0.97 0.79 Natural Gas 0.60 1.00 Nitrogen 0.97 0.79 Propane 1.53 0.63 Propane-Air-Mix 1.20 0.71 Vent and Body Orientations For Other Correction Factors Orientation — Body Position Letter followed by Vent Position Number 0.6 CF = Sg of Gas VENT POSITION - 3 ' VENT POSITION - 4 VENT POSITION - 2 VENT POSITION - 1 ,BODY POSITION - A BODY POSITION - D BODY POSITION .- B ,BOOY POSITION -tC MATCH GAS FLOW INDICATING ARROW FOUND ON CASTING 10 Jun. 9. 2008 8:05AM Sagamore Plumbing Heatting Inc. No- 4190 P. 20 MODEL 27'4 GAS PRESSURE REGULATOR ;.::r�. General Description Sectional Diagrams Inlet Pressure Outlet Pressure Atmospheric 274 R(screwed body) UL 274—290 OPCO AMR 274—309 "T"OPCO r ., Jun. 9. 2008 8:05AM 5agamore Plumbing Heatting Inc. No. 4190 P. 21 MODEL 274 GAS PRESSURE REGULATOR General Description Dimensional Drawings i E _ a 274(screwed body) 274 (flanged body) Overall Length-18" Overall Length—20" ( C ! i C E t 6 G N 274--290(screwed body) 274-290 (flanged body) Overall Length—25" Overall Length—25" A ( C E D T 274309 (screwed body) 274-309 (flanged body) Overall Length—27" Overall Length—27" A a c 0 r E F 11 H FIT J I K I L 11" W I SW WM6" 1 10` 1 3'h° 1 68 W 1 7W 1 CA' 1 ash" 12" 12 Jun. 9. 2008 8:05AM Sagamore Plumbing Heatting Inc. No. 4190 P. 22 MODEL 274 GAS PRESSURE REGULATOR General Description External Control Line Versions (E.C.L.) • Regulators with an external control line have the throat of the regulator blocked with a seal and the outlet pressure measuring chamber(lower diaphragm casing)drilled and tapped for an outlet pressure sensing line. It is recommended that the sensing point is a minimum of 5 times the outlet pipe diameter downstream of the regulator. • Sensing outlet pressure via an external control line enables the regulator to response more accurately to the downstream system. 'throat Seal f I i External Control Line Connection (tapped A") Diagram of Regulator Station and Recommended Location of External Control Line (E.C.L.) Connections 'Vent Vent Rtlef'Vale Vent A P4 SIRMshat--Eidsmut Iffulft Pa: RegulOMFINtMMl tmpulso •Siamghut I r --� Lt hdet Filter Ragulatorx I DN 3 DN Outlet , valve a ,Pasa 4•--��:,..-_,.I viol" measuring point 13 Jun. 9. 2008 8:05AM Sagamore Plumbing Heatting Inc. No- 4190 P. 23 MODEL 274 GAS PRESSURE REGULATOR General Description Internal Relief Valve and Safety Slam Shut Valve Options Regulators for Reduced Clearances or Venting Limitations • Please contact one of our representatives for more detailed information Regulators for Indoor Installations without Requirement for Vent-Line • Please contact one of our representatives for more detailed information Internal Safety Relief Valve (SRV) Description • The SRV is designed to monitor the pressure in the outlet chamber or downstream of the regulator and to relieve by either venting gas leakages or full flow capacity (depending on the device design) into the atmosphere in the event of an over- pressure condition. • If the pressure in the measuring chamber exceeds the force of the set point spring of the relief valve,the diaphragm rises and opens the relief valve. The gas then flows from the outlet pressure line to atmosphere or another desired location. The relief gas pressure and flow is discharged until the pressure is returned to the predetermined safe level. The safety relief pressure of the internal relief valve occurs slightly above the set pressure of the main spring or outlet pressure Safety Slam Shut Valve (SSV) Description The SSV is designed to monitor the outlet pressure and to interrupt the gas flow,if preset limits are exceeded. • This preset pressure is adjustable in the field. If the measured pressure reaches the set point of the SSV,a release mechanism is triggered and the SSV closes the valve on the inlet pressure side of the regulator. This closing function completely blocks the forward movement of gas past the SSV. • Safety slam shut valves are available in over pressure cut off(OPCO) protection or under and over pressure cut off(UPCO/OPCO)protection. After the SSV is tripped,the condition that triggered the closing of the valve must be addressed and then the SSV can be manually reset. • Thermal trip protection is also available as an option to shut the gas flow off,if the safety slam shut valve is exposed to high temperatures or engulfed in a fire (T-Type). • Please contact one of our representatives for the technical brochure on all of our safety slam shut valves. 14 k NORTH TOWN OF NOR , ANDOVER PERMIT FOR.PLUMBING US This certifies that . . . 4„ has permission to perform . . . f3 . . . . . . . . . . Y; plumbing in the buildings of . . . 4 f e".11.f. . ti. z at North Andover, Mass. .s73�, 2.2 d. . Fee .f. . ,. ..T.Lic. No.,�. 7. ., PLUMBING INSPE% . : . . . Check # 2 . MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date C � Z -07 Building Location 1 l0G GST Permit N-0 Owners Name Permit# Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes 0 No F1 FIXTURES H a o W>W OIT H w x ~ a h d UC d C C H U W� 3 a as A A a 3 w 1 g a o� � � BASEMINr ISERfm tt 2 4M moat 5M gloat 6M Moat 7Mboat MH-0m (Print or type) (( Check one: Certificate Installing Company Name (}N\U cz Ply 1'1 t3i N -a N C Corp. 2-\)-, 3 G Address -zNbjStr "3Partner. U3 Z-k/M,U..'Ri . M Or d 2_k f'q Business Te ephone 81 , y p p Firm/Co. Name of Licensed Plumber: X70 41 3 "Ny-u l� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Bond El 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 Signature Owner C] Agent 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 StatePlu bilCode and Chapter 142 of the General Laws. By: gnature.T Licenkeaer N--Tyre of Plumbing License Title /2— )�( - City/ icense NumDer Master Journeyman PROVED(OFFICE USE ONLY Date. 3 S NORTH _ ...i TOWN OF NORTH ANDOVER O 9 • PERMIT FOR GAS INSTALLATION �9SSACH USES - ,1 a This certifies that . .. !� �,�-na,!?t. . ,� °�.`... . . . . . . . . . . . F has permission for gas installation . . . x.44. . . cr1 A a:t . . . . . in the buildings of . � � a � � r at { J . . . . . . .. North Andover, Mass. n Fee..Y Q0 ."_Lic. No../7.2.6.?. . . . . . . . �,_. . . . . . GAS INSPECTOR If Check# 62:4 f fr MASSACHUSEMUNNORMAPPUCATONFOR PERMITTODO GAS FMING (Type or print) Date 1112-107 NORTH ANDOVER,MASSACHUSETTS �j Building Locations // (0() �/1��t O� Y� O for Permit# _ 0 O O ks E—C-11 o o ( Amount$ Owner's Ng e � � a ` New Renovation ❑ Replacement ❑ Plans Submitted ❑ U w a z c J W ' ti z F pC O94 a" kYa U o a w SUB-BASEM ENT h B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 1� 5TH . FLOOR 6TH . FLOOR, 7TH . FLOOR 8TH . FLOOR Name (Print or type Check one: Certificate Installing Company Q,,160rp. 21 2–F C Lr�� N�v - Address J Sin I�}' W �� ''�'`� ❑ Partner. usInessTelephone— '' ep one781 — 331 — !lBc�c7 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter -To 5�F--p L li A-f-O (a _ INSr RANCE COs ERAGE Check one: I have a current liability Insurance policy or It's suFstlpt4ftTuh Pnt. Yes NR❑ Ifyou have checked rtes,please inSlicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond Owner's'nsurpgx: Ijver: ' 1p Dvl)'e thl)the Q�ensee does not have the Insurance coverage required by Chapter MOof the Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: SIgnljure Rl Owner Rr Owner's$gent Owner ❑ $gent ❑ 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 and r Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and hapter MOof the General Laws. r.. By: —Z"Signatu AfLicented P1 r Or Gas Fitter Title umber (e City/Town ❑ Gas Fitter LicenseNumber Master APPROVED(OFFICE USE ONLY) Journeyman i Date. . 1:.�. . • Of 40 oT 1y o� °` TOWN OF NORTH ANDOVER f D y • PERMIT FOR GAS INSTALLATION ,SSMC HUSES ;i This certifies that . . . . . .. has permission for gas installation . . . . .: . . . . . . . . . .. . . . . . . . . in the buildings of . . 3 �:-. - . .t ��.. . . . . . . : . . . . . . at f � . .,, . . . . . . . . . . . *sem `; North Andover, Mass Fee-3 . .�... Lic. No:AIPJA:5. . . \ s_a:. . . . . . . . . 'GAS IN�EGTOR Check# 6158 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Mass. Date 0 City, Town Permit # Building Owner's AT: Location OL�n p—►— )) -� ,',r„� ��. Name mck f Sckd Type of Occupancy: New ❑ Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ❑ N i Nm W y 14 N y be Z N N N Q N W F OC 4j O O W = J- W J N W O V m H � S H v z W Q r z z s x fa 0 1- W CC W p C O W F- b N N a W W x z F. y 0 > W W W N cc 1 Z Q Z W t j cc C W W U x N y z Q W J < Ix ~ H H O > 0 Z W 0 0 W D Q W > W O Z Q ¢ Q O O 5 O F=- cc x O x U. 3 o c� .� ¢ > a o. t- O x. SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 6TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR -T-F (Print or Type) Check One: Certificate Installing Company Name Tngmcanrl n;i Co—, Tnr ❑ Corp. Address 27 Cherry Street ❑ Partnership Ilan r S, MA 01 923 ❑ Firm' /Company Business Telephone 978-777-0701 Name of Licensed Plumber or Gasfitter josP11h_Glrr.3z I hereby 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 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. I have informed the.owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/Agent - I have a current liability insurance policy to include completed operations coverage. ❑ 13y TYPE LICENSE: Title ❑ Plumber Anf Licensed Gasfitter City/Town ® Gasfitter APPROVED (OFFICE use ONLY) ❑ Master ❑ Journeyman License Number ��`°� Date. .�. 47 aro. 40RT:.1"�0� TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACHUS� This certifies that . . '. . . . . . . . . . . . . . . . . . . . . . . • • • • • s has permission to perform -. • • • . r plumbing in the buildings of . . . . .✓ --- . . . . . V - q at . . . . . . s North Andover, Mass. -; ate' Fee//&.'. "".Lic. No/i. . � � � . . . . . . . . . . . . . . . PW'M1A' 'IB NG INSPECTOR Check # L � f. 7410 mrrL1t,r 1 HjN 1-UH PERMIT TO DO PLUMBING (Print or Type) V� !, r , Mass. Date l 1p Permit # 6uffding Locationt�- ,Owner's Name a Type of Occupancy New ❑ Renovation ❑ Replacement ❑ Plans Submitted: ❑ Yes ❑ No FIXTURES z z Fes- O Y N Y cn Q U z cn � W W .,O w _ tr to a z Z z a U z m Q Crw. a ��- cin ? a n. o < a a 3 cn ¢ a o = _ o Q z o o° ? z p o W t 3 x m cn o a 3 x c-'n LL o o Q 3. � m �!►' Z SUB-BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR. Ready for Inspection 6TH FLOOR Date Will Call 7TH FLOOR 8TH FLOOR FINAL INSPECTIONS ARE MANDATORY _ Ins&2ng Company Name P.J. Dionne Company, Inc. ` 60 Jons in Road Check One: Certificate Ad,r �s 2100 `r �] Corporation Wilmington, MA 01887 Business Telephone 978-657-3990 ❑ Partnership Name of Licensed Plumber Paul J. Dionne ❑ Firm/Co. FINSURANCE COVERAGE: rent liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. es ❑ No checked Yes, please indicate the type of coverage by checking the appropriate box. K) 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. f Signature of Owner or Owner's AgentCheck one: ❑ Owner ❑ Agent hereby certify that all of the details and information I have submitted entered ove application are true and accurate to the best of my knowledge and that all plumbing work and installatio perfor der the permit issued for this application will be in compliance with all pertinent provisions of the Massachuse Sla u mg Code and Chapter 142 of the General Laws. F(OFFICE Signature of icensed Plumber Type of License: Master ❑ Journeyman USE ONLY) License Number 11164 Date!"--// -ee 6 . 4- �. � ': 6tioot TOWN OF NORTH ANDOVER 1` p PERMIT FOR PLUMBING AOL ^ r S.CACNUSE� P". This certifies that (�' '`"'`` '. . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform plumbing in the u'ildings of- "-�. . . -`�� '" ``�" . . . at. . . .. . . ., North Andover, Mass. Fee. . /•E. . . . .Lic. No... . . . . . . . . / �. . . . . . : ���. . . . . . . . . . . . . J I M.'2"INSPECTOR Check # 6798 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location ll o �yP�� � X� Owners Name �tee—k5 5���,vZ— Permit# (r 7 l,.� Type of Occupancy- Amount q New Renovation Replacement Plans Submitted Yes No ❑ FIXTURES Hz z > Ix U C7 fx w 0 W w U z z �" x � � w 3 a z a z a a o xz z 3 a � a A a 3 H � � a � °a Sr-ERVE IST f of I NnFLOCR 4IH HjOOR 5M HfM 6M MOOR 7M HDM SIH 1HTJOCIt (Print or type) Check one: Certificate Installing Company Name i:- fyj yQ eve- p 3 I �Cori Address 5T V fit— Partner. 42Ea):--'V,Ad 1'5 Business Telephone � Firm/Co. Name of Licensed Plumber: �{, [�•, ;� =' �>r�1 s 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 threeinsurance Signature Owner ❑ Agent ❑ 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 Massach yState Plumbing Code and Chapter 142 of the General Laws. By: .,.b.,uture of i. uenseu FIUMDer Title Type of Plumbing License City/Town ice91 um eumMaster 0/Journeyman ❑ APPROVED(OFFICE USE ONLY /C79 9 �� Date . . . . . "O°T:��o TOWN OF NORTH ANDOVER o41 PERMIT FOR PLUMBING SSACMUS� j (J This certifies that . .. ... . .C � ���� -��r��''. . .L.--G!. . . . . . has permission to perform c�. . . . . . . . . plumbing in the b ildings of r . . . � . at./�/. . t�. . . � '�AW1, North Andover, Mass. M ING INSPECTOR Check # Go� l/// 6201 i � Q MASSACHUSETTS UNIFORM APPLICATION FOR/ (Print or Type) ERMIT TO DO PLUMBING j A/ Ail doyz-,- . Mass. Date t� t Permit # a - BuildingLocation 1/ &i ea nki �( PIC-Ick Owner's Name ����� c.r Type of Occupancy Sc-/r oo / New 21-� Renovation ❑ Repl c ment ❑ Pians Submitted: Yes O No ❑ F URES Z N H Z x < N O Z y H W x J > V N Z N < ¢ < . ~ Zcc x O 2 H W N F- W N i- V ¢ Y N 2 a f. . L7 'Z ¢ m Cr N W ~ N z D < N IL O ¢ a ¢ Oo x ¢ W F. F. W d o G • J N ¢ ¢ J G C c IL ¢ pW. V < x 3 = a z x x a O F- < x d W w x W � r o v, Z z '� F < < x 2 N < < O Z D O N W O < Y < -j J < ¢ ¢ CG < O Q F-• 6 m N o G J 3 x r- of W a z o < 3 ¢ m o SUB—BSMT. BASEMENT IST FLOOR 7 1-7 2ND FLOOR I 3R0 FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH 'FLOOR Installing Company Name F. A. WILLIAMS , INC. Check one: Certificate Address BOX 148 , 12 BRIGHTON STREET ® Corporation 1934-C R F r M n NT T • M A 0 2 4 7 8 ❑ Partnership Business Telephone 617-4 8 9-4 7 7 0 ❑ Firm/Co Name of Licensed Plumber Francis A. Williams INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ No ❑ If jou have checked ye, 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: Signature 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 and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbi Code and Chapter 114220 �eal By iG0 Title nature o cen um r City/Town MP�O IC N Type of License: Master®725-8 Journeyman [3195- Fxjv/f License Numberaoo ��-�Gc4— _ GI�� i Date..ftp . `.U . .. .. NORTH Of 94 o� �` TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACHUSEtS This.certifies that . . . . . . . . . . . . . . . . . . has permission for gas installation , �.. . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . North Andover, Mass. Fee--'POO-. . . . Lic. No..�P.�5.4'. . . . . . . . . . . AS IN ECOR Check# 4872 MASSACHUSETTS UNIFORM APPUCATI O N FOR PERM �" TO DO GAS (Print or Type) FITTING cn Al AAdC)Ve/ Mass. Date _ •Permit # Building LocationAct ��,yO4ners Name �rognks Type of Occupancy Sc � New,)16' Renovation ❑ Replace e ❑ Plans Submitted: Yes❑ No ❑ N Z � Vf inQ u GS F- W W a OA in X. O O IA = p u m t- z Ow h' < _ = Z O 1- W 1C N F y W o a. I F- W < �. y� A W N J = < _ 0: W Q W H W N I Y ` W N O > k. z W o: col a y te e a. *1 0 SUB—BSMT. BASEMENT 1ST FLOOR 2ND .FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR ' 7TH FLOOR 8TH FLOOR "r Installing Company Name F. A. WILLIAMS , INC . Check one: Certificate Address BOX 148 , 12 B R I G H T O IQ STREET M Corporation 1914-C BELMONT MA 02478 ❑ Partnership Business Telephone 617-4Z6-4770 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis A. Williams INSURANCE COVERAGE: I have a current liability Insuranceopolicy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box liability Insurance policy.❑ Other type of,indemnity❑ _ Bond ❑ OWNER'S INSURA14CE WAVIER: 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 submitted(or entered)in above knowledge and that all plumbing work and installations performed under the application are true and accurate lthe best of my it pertinent provisions of the Massachusetts State Gas Code and Chapter 142 otpt� i oral Laws.Is application will be in compliance with all �-- TyDe of License: �5 ,= r Title 7t Plumber �749naturom r or Gas disc /® Un 1 Tf Gasfittet Oty/Town .b rn�ayman License Number 7258 I Date .. ...'...r............ 40RTm TOWN OF NORTH ANDOVER PERMIT FOR WIRING •°Czq Mus This certifies that ... . ., .. . ....... has permission to performw ..... ...... wiring in the building f.................. ....... ::.....................�............... ° /11 ,- ,North Andover,Mass. Fee..................... Lic.No.............. /' ELECTRICAL INSPECTOR Check v 5450 TME COMMONWEALTHOFMAS94CHUSE77S office Use only DEPAMMEN 'OFPUXJC9&NY f Permit No. � BOARDOFFMPREVEMONRBGULMONSR70✓1R121b Occupancy&Fees Checked APPLICARONFOR PERMIT TO ERFORMELECTItiCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE ASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the ele&tricalork described below. Location(Street&Number) Owner or Tenant JG k Owner's Address Is this permit in conjunction with a building permit: Yes® No a (Check Appropriate Box) Purpose of Building Utility Authorization No. _ Existing Service Amps �Volts Overhead Underground No.of Meters New Service a? C1 Amps.,WoVolts Overhead Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round around ri if Jo.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units ,.No.of Switch Chalets E No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other No.of Water Heaters KW No.of No.of Connections Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP O'T'HER- hmnatoeCo�et•�R>ruurant8�theregtmanatso#1VI��llsGaaalIaws ltmeaamaltLiabTiyhmaa=FbbL,YirddTCmViet ' Cowagorilssub9atWeg difft YES 10 NO a IharesubnbledvaBdpniafofsamelodeO>lix YES F771 � ff}mhaNedrd®dYES, drddrtgdte P1 irdica�dletypeefeoreageby rqs�� r771 BOND o MIER a ) F*ffafiMD* WodooRat ��' �® D*� Esrirrr�dvatleofDLxmcalWodc$ suwun&rTranakiescfpajtxy F>r� Fi(I2MNAME74 S' �L%�7�jGG Gyp�Y /IJ' �.Ti IioaneNa � S�/ Lica>see �9G� �3" 1�F �Av�- SCyG� .0 ' w� � e I�I,seNo BtlsirlessTelNo. ��� ���1��� Adrhess ��i AkTel.No. 2214' OWNER'S INSURANCE WAIVER,I am mvm duft doesmthavethe irnur mem orksmbswfial anddratrrrysgxhwcnd>isPeQrr ffbcabmwai�esdlisragtma»�t �►a9 bY�GalealLaws (Please check one) Owner M Agent a Telephone No. PERMIT FEES signature o caner or gen RESIDENTIAL•COMMERCIAL•INDUSTRIAL INSURED•FREE ESTIMATES B. A. S. ELECTRICAL CONTRACTORS 3 Graf Road,Unit 8 Newburyport,MA 01950 DONALD J.SELIVEAU (978)465-6693 PAGER(978)545-1442 MA MASTER#14571A FAX(978)499-0554 NH MASTER#9730 CELL I1? ----'.^--'rr.+--""r--+..,.y.`,..r.f.'�-Vr^r_-.rte,.-.••�,.^�--..r.,,,�,-,,.r.-3+-.-..-+•..-...-a.*.,^^......-..3 ...-,+;'..-.,...^'+.:...-.0^"-...-'-.•y;,i i+,. Date.....7/.. f �&ORTH 1 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 1SSACMUSE� This certifies thatr . ... Of... .............................................................. has permission to perform ... �. \ wiring in the building of� �....................................................c,� ,North Andover.....as'� vs' Fee VA Lic.No!Y' /? �` ..... ............ ............ ....... . . ......... .................. ELECTRICAL NSPECTOR i Check # Y' 544 TBE COM MONWEALTHOFMASSACHUSENS Office Use only DMffME1170FPUX1CS4Permit No. BOAMOFFREPREVEMONRR ONSWCM120 Occupancy&Fees Checked APPLICATTONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MAS9ACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical'wul/orescribed below. Location(Street&Number) Owner or Tenant Owner's Address fov Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building f�(f jyL Utility Authorization No. Existing Service Amps volts Overhead Underground No.of Meters New Serviceo?� Amps /d ,941pVolts Overhead M Underground }M No. of Meters Number of Feeders and AmpacityDvS Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets No.of Oil Burners. No.of Emergency Lighting Battery Units No.of Switch Outlets z No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons r No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of 1:3 Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP b� OTHER- k=M=C0MTd8ft Plts =1DthemgtmarrWofNbmd t9eMG=WLa ws Itawa=eMLnWimrmmPohLy=b&gCmri*Ogr&=CoverdForitmbftMqxafft YES NO IhaweaibnitladvaMproofofsmwiD he0�YES EI ffymi mdwdmdYES,pleas mdc*drtypeofo vmpby drddrigthe b0X NSURANCE BOND 011118 (PleaseSpetdEy) pFVuefiarlDale WodcooSlat�/ 'a— h�pecimD* Npe*d Ra* FvW Estirrr�dvaieofEbc�calwodc$ Sigladt>r dArl'tnakiesa-p"My FIRMNAME 'er LicamNo. Licer►see �!/�t/,9� J— QE.UG/E,9y Signallae LimmNio Busffx%TdT% X6A'::- I& tiJ % E�� /` Alt Tel No. OWNER'SINSURAN EWANER;Iamawmetha&Lxawdoesmthmed e' oo CriSaibstartial ardthatmyVmtmecnd ispwntappbcabmwam sd*mgttaarert � �'�GalaalLzws (Please check one) Owner Agent Telephone No. 07 P PERMIT FEE$ G� signature of Owner or Agent Date.:- —.. 1 .L. . . . . N°QTH TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION A -qSSACNUSEtS 1 7-1 This certifies that . . 11'41).41/i. . . . . . . .. . . .. . . . . . . . . . . . . . . . has permission for gas installation . . .4".1n. � . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . f. . ., North Andover, Mass. Fee. . . . . . . . ?.? Lic. No. � � . . . . � . .`i.-�:-:-�-:�:�?_. . . . . CTAS INSPECTOR e� Check# 4147 MASSACHUSETTS UNIFORM-APPLICATION FOR PERMIT TO DO GASFITTING �,- (Print or Type) Vill Date-9/7-6 +jr'Z-V- 1 c Permi.t*°#' Building Q /� owner's " AT: Location !/4k 6-�A�C 4.4 ame� d ` Type of occupancy: JL�� New Renovation ❑ Replacement❑ Plans Submitted Yes ❑ Nolte x W ' m OZ W � a E. J H W IO.. V >, Z. tr x O W t- a W Z O W a cc o ® Z z a m al 1- o .. r W W -t .4 X a ac m ac m r w W yr x Nac a s. z A M Y r ut W o o > a r o I_ to a4 > - 4 W d a 0Q m z A = X O to z oc x O O U. 3 o Cy J V fpt > a o0 A - Sua-eSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR ' 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) Check One: Certificate Installing Company Name Uptack Plumbing & Heating, Inc [3 Corp. 1415 Address 32 Rochambault Street ❑ Partnership Haverhill , MA 01832 ❑ Firm/Company Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hail 1 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Sip-mc of 0—/Agra 1 have a current liability insurance policy to include completed operations coverage. By YPE LIC$;NSI;. Signature of Licensed Title umber Plumber or Gasfttter City/Townttter APMOVED (omm usE ONLY) 9"Master 8678 0 Journeyman License Number Date..` -. . c�.. .. .. ,AORTH 6ti0 TOWN OF NORTH ANDOVER Al p ..._. P PERMIT FOR GAS INSTALLATION �9SSACMUSE� This certifies that . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . in the buildings of . . . 17"�. . . . . . . . . . . . . . . . . . . . . . . . at . . . .l`. f. l'<.:. . . . ., North Andover, Mass. Fee. .�... Lic. No.. i� :'.r . . .. V` '�y�. . . . . . . GAS INSPECTOR Check# 4148 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASF117ING (Print or Type) Date 411.46 +91-Z-00 Z a a Permit #� Locating / D f?a wrier°s " AT: Location !l`� �-�"s,,�''' Name Type of occupancy: New Renovation ❑ Replacement❑ Plans Submitted Yes ❑ No N � Xcc W N tuu m cc O V m !�- t- tI a� ! z o u°Ct r a a z o M w [ W 0 u cc, �► t9 o > tst i W W to j z a x a x W cc tu W F' t- Z 0 m 0 F. z F z E. r 0 > a h j W }- ut z a .� < dr 0 z 0 X W G 0 a a M o 0 � U. 3 0 c� J v x > a a tW- o SUR—BSMTa BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR ' 5TH FLOOR 8TH FLOOR tri! 7TH FLO** 8TH FLOOR (Print or Type) Check One: Certificate Installing Company Name UPtack Plumbing & Heating, Inc[3 Corp. 1415 32 Rochambault Street Address ❑ Partnership _ Haverhill , MA 01832 ❑ Firm/Company Business Telephone 978 372-8503 ]Mame of Licensed Plumber or Gasfitter Leonard A. Hall I hereby 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 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. s�wurc otthvoerJAeem I have a current liability insurance policy to include completed operations coverage. [+� QSiggnature By TYPE LICENSE:Title Plumber of Licensed Plumber or Gasfitter City/Town �Master fiasfitter 8678 ' APPROVED (OFFICE USE ONLY) ❑ Journeyman License Number Date. k, M Of NO DTH 1ti o= TOWN OF NORTH ANDOVER . o PERMIT FOR GAS INSTALLATION - \ 9 X� q 9S SACHUSEt .k P This certifies that . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation X<e'-.y . . . . . . . . . . . in the buildings of . . . 171/ .G c I. . . . . . . . . . . . . . . . . . . . . . . . . . at . . . ���. . .G ?.r .!�./.�U . . ., North Andover, Mass. Fee.,?f. . . . . Lic. NoJ. .7�. . . . . . . . . . . . . . . /GAS INSPECTOR Check# k C 1 4149 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DG GASFITTING (Print or Type) Bate /2_4. 7-0.0 Z.- /� Permit #� �C��9^ UAT: Building / nOwner°sLocation __ Name Type of Occupancy: S New Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No W m 2 = try W h GG oNc p tW9 ; H W t0- at m w ttt W It H O. COC. W All W W W 2 O W �► W 4 W 1 a 1„ Y x oc Z a W 1- a W W o o > Y. P V A tN- W I- 4 4 m > 9 W z i 4 a a c�� 4 o A W a o w 1�- �. oc s o CO :e U. n . 3 o a s> e a h o SUR—BSMT. BASEMENT IST FLOOR /f 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR '6TH FLOOR .7TH FLOOR STH FLOOR All (Print or Type) Check One: Certificate Installing Company Name uptack Plumbing & Heating, Inc [ Corp. 141.5 Address 32 Rochambault Street ❑ Partnership Haverhill , MA 01832 ❑ Firm/Company Business Telephone 979 372-8503 ]Mame of Licensed Plumber or Gasfitter Leonard A. Hail 1 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. sigouum of Owr"/Agem ' I have a current liability insurance policy to include completed operations coverage. ByZT PE LICENSE: Title Ldtuber Signature of Licensed Plumber or Gasfitter City/Town fitter APPROVED OFFICE USE ONLY) Master 8678 I ❑ Journeyman License Number FINAL INSPECTIONS SKETCHES BELOW FOR OFFICE USE .ONLY PROGRESS INSPECYPONS FEE NO, APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER UG NO. PERMIT GRANTED Date _ ___ 19 • Gas Merc. Fin.sl Insp. Date.��. ... . . .. .. . . ... .. . . 4 NO oTH Of O q1 3� '"" I TOWN OF NORTH ANDOVER F 9 41PERMIT FOR GAS INSTALLATION 9 SACHUSE� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . in the buildings of . . . . 13� (- 6l ,f . . . . . . . . . . . . • . . . . . . . . . . . . . at '.�l'.�. 1�. .:'. .`�. . . . ., North Andover, Mass. Fee. J.I . . . . . Lic. No.,S.C.??. . . . . . . . .�1. GASINSPECTOR Check# C y 4150 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO-DO GASFITTINC 4 (Pr=int or Type) D to Permit #�__ Locating /� Owner's UVAT: Location_ Name le Type of Occupancy: New Renovation ❑ Replacement❑ Plans Submitted Yes [] No a� � s _ �. a M dl r a C °o a W o t- 9 W W to 1 z < x Q a W W W t- w t- 0 W MC W o a a 3 0 a o e m ° W s -8 U tX > a 4 O SUR—BSMT. BASEMENT 1ST FLOOR . 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOO-ft 8TH FLOOR (Print or Type) Check One:U tack Plumbin c4 Heatin Inc 121 Corp. I415Ce�cete Installing Company Name P g P Address 37_ Rochambault Street ❑ Partnership Haverhill , -MA 01832 978 372-8503 ❑ Firm/Company Business Telephone Dame of Licensed Plumber or Gasfitter Leonard A. Hall 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. a / Si--d0—/As- /' I have a current liability insurance policy to include completed operations coverage. (v]� By YPE LICENSE: ovedlal Title �mber ignature of Licensed City/Town Plumber or Gasfitter,. sfttter APPROVED (Omm usE oNLlf) YJ Master 8678 0 Journeyman License Nurr' FINAL INSPECTIONS SKETCHES BELOW FOR OFFICE USE .ONLY PROGRESS INSPECTPONS FEE NO, _ APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING — -- LOCATION OF BUILDING r PLUMBER OR GASFITTER . LIC. NO. PERMIT GRANTED �; + r , Date '19 _ Gas mert. !anal Insp. Date:.3 .-U. ,.oR'►, TOWN OF NORTH ANDOVER a PERMIT FOR PLUMBING SSACMUS� This certifies that . ./t�r7,f< ���. . . .��d. � . . . . . . . . . . . . . . . . has permission to perform . �.. � .c. . . . . � . . . . . . . . . . . . plumbing in the buildings of . . . /.�1 v�1�� Pr.t« C at. . . . . . . . !-? .��s :.�. . . . . ., North Andover, Mass. Fee.//65.—.Lic. No.. .S.6.7.1: . . . . . . . UMBING INSP CTOR Check # 7� 6164 MASSACHUSETTS UNIFORM APPLICATION FOR PERMITTO DO PLUMBING YG $ (Print or Type) . Za to �. 2, 200 Permit # n Building Owner 's " Name AT: Location_ 2�' Type of Occupancy: Arz— New Renovation ❑ Replacement ❑ Plans FIXTURES Submitted: Yes ❑ No � z z to >� z a > 0 a J N O Z W = W W Y J V1 Q V Z O CcZ V) N OW' 1— zW a zar Q n J zo N N 0. 7 a Q O W CC m N Z a a NZ ¢ ¢ 3 XW O M ¢ J in J W ¢ FLL ¢ ieaO W o O U oU) 0 = o Lj a SUB—BSMT. BASEMENT f 1ST FLOOR I I I I 2ND FLOOR oc III 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) Check One: Certificate Installing Company Name Uptack Plumbing & Heating, Inc Corp 1415 Address 32 Rochambault Street ❑ Partnership Haverhill , . MA 01832 ❑ Firm/Company Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hall 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signuum of ownerAgent j 1 have a current liability insurance policy to include completed operations coverage. L.I" By SigLZure of Licensed Plumber Title Type of Plumbi>-License City/Town 8678 APPROVED (OFFICE USE ONLY) License Number Master ❑ Journeyman Date. "ORT" TOWN OF NORTH ANDOVER �`• 0 PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . . . . . ... . . . . . . . . . . . has permission to perfform . . .AC3 �. L.�. . . . . . . .��. . . . . . . . plumbi;n.g in the buildings of . . . . .�? °v� r 5 c L o at. . .t . .��-. �.z:". . : . . . . .. . . . . . . . . .. North Andover, Mass. Fee. Lie. No.. . .G.? f: . . . . . . . . . . . . . . . PLUMBING INS ECTOR Check N D X165 �r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING ,per (Print or Type) Date 2001/ Permit # Building � Owner 's AT: Location &-44Name /�!r Type of Occupancy: New Renovation �; Replacement El Plans ❑ FIXTURES Submitted: Yes ❑ No z z to a Z Y E N J fA O Z = W W �' U Q N a CC a z ¢ N y, Z - Z W N 3 X V N to N N Wx W !� < F N = a Q N O !r o O !; = O O m a y W 2 Q W N rL J Z W G J jr s a =. � 3 0 z ,� Y a 0 W M g W t- o > r0 a = rn ~ z o c N x z W o v Y a r a Q s W W Q Q o Q J ,, Q = W m Q O Q I-- re - re -J m N O t] J 3 x F W U. O c Q 3 ¢ W O 1r SUB—BSMT, BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR j 8TH FLOOR (Print or Type) Check One: Certificate Installing Company Name Uptack Plumbing & Heating, Inc Corp 1415 Address 32 Rochambault Street ❑ Partnership Haverhill , MA 01832 ❑ Firm/Company Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hall 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. I have informed the owner or his agent that I do not have liability insurance including com let oPe tions coverage. spatum dO.n"J,►gtot d [have a current liability insurance policy to include completed operations coverage. By ' ature of Licensed Plumber Title Type of Plumbing JL nse City/Town 8678 aster ❑ Journeyman APPROVED (OFFICE USE ONLY) License Number f t'. rG. Date. . . . t. . . . . .. . . . . .... x NOFTM. :tr, TOWN OF NORTH ANDOVER ' O p ' PERMIT FOR GAS INSTALLATION �9SS�CHUSES �T ' This certifies that . . .!'l . . . . . . . . . . . has permission for gas installation . .A f . . . . . . . . in the buildings of . .� /?.')G 11 r. . .5C C. . .�. : . . . . . . . . . . . . . . . at . . . . . . .r1I`,G,. ,/? . .`. . . . . . . . , ort ndover, Mass. Fee. 7 . . . . . Lic. No. % 6.? . . �' . . . GA INSPECTOR Check# A � ? x� 48.24 1':yf s MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) /!ate 612, 20 xl ,y Permit # Building ` Owner 's " AT: Location4 Name Z4 Type of Occupancy: GNew Renovation ❑ Replacement ❑ d Plans Submitted Yes ❑ No N N Y W N. N N V Z cc h �} W a N GC O D N = e��i 0 W W FO- V m ~ .0 = N Z Q 00 y N Q � p ' O W W W W a � Q N pC N (7 U W x N = a O Q > W W W N W X_ x pc WCC WF F' x 0 1.. 2 F- Y f W W O O > WH W J W W > W 7 Y Q cc N Z O W O Q W x W x 0 c� Y a 3 o c� j 0 Wo a o SUB,—BSMT. BASEMENT f 1 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR —Flit8TH FLOOR (Print or Type) Check One: Certificate Installing Company Name Uptack Plumbing & Heating, Inc ( Corp. 1415 Address 32 Rochambault Street ❑ Partnership Haverhill , MA 01832 ❑ Firm/Company Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hall 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/Agent I have a current liability insurance policy to include completed operations coverage. By TYPE LICENS . Title Plumber Signature of Licensed Plumber or Gasfitter City/Town �� sfitter L7 Master 8678 APPROVED (OFFICE USE ONLY) Journeyman License Number ❑ t FINAL INSPECTIONS SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS FEE J. NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING r . ' f LOCATION OF BUILDING _ PLUMBER OR GASFITTER LIC. NO. v PERMIT GRANTED 3' Dale 19 (vas Merc. Final Insp. ----- --- -------- --------- - i..a•. Sn.mv lur Date -. . .. .. . .... . .. . r,ORTk •:rf pf a.a 3? TOWN OF NORTH ANDOVER O A --�; PERMIT FOR GAS INSTALLATION f s so � • • a SACMUSES This certifies that . . ' -1�. �. . . . . . . . . . . . . . . . . . . . P . . . . has permission for gas installation . . .A.f.�: . . . . . . . . . . . in the buildings of . . . . .,t�.}17U s.A.r: . .s.':c`� . �. . . . . . . . . . . . . . . at °� . .4/.?rA ,��� ., North Andover, Mass. FeeJ . . . . Lic. No. S. . . . . . . . . . GAS INSPECTOR Check# 4826 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Date 20 x Permit # Building Owner ' s AT: Location Name > Type of Occupancy: GNew Renovation ❑ Replacement Plans Submitted Yes No N N W N Y Z OC fq N N t) N a N Q N = N DJ 0 W m Z _ N W W Q t1: 0 0 7C IW W a 0 tL W N C7 W Q >: = f. y > Q L) LAJN Q oC p W .5 W W N -j Z Q .Y W Ix W ~ W V x N tr cc tsu oc Z 0mz iaaNo W o W> w Q V aO Wo SUR—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR e.TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check One: Certificate Uptack Plumbing & Heating,_ [3 Corp. 1415 Installing Company Name g, Inc Address 32 Rochambault Street I] Partnership Haverhill , MA 01832 ❑ Firm/Compan Y Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hall 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/Agent ,--/ I have a current liability insurance policy to include completed operations coverage. lb By TYPE LICENSE: TitlePlumber Signature of Licensed Plumber or Gasfitter City/Town Gasfitter APPROVED (OFFICE USE ONLY) a Master 8678 ❑ Journeyman License Number f FINAL INSPECTIIONS SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS fl"ISPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED Date _ yg Gas Merc. Final Insp. __--- —A--------- F:.. in•.Ir.•r torr r Date. 0'.4,o R7:�� TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING �/ °++no•A��4h ,SgACHUSEt This certifies that . .r r'. .�. . . �.�.�.'0 .�. . . . . . . . . . . . . . . . has permission to perform . . . Z .a �. . . . . . plumbing in the buildings off . . . . . hd� at . . j j �_o c, . . . . . .� North ndover,Mass. Fee. . . .`S . . .Lic. No,�� 5 . . �Dt 7 .1 N\l� � ^iy© � PLUMBING INSPECTOR r Check # p� 4 5661P/'j MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location f v)j-d Owners Name I k Permit# Amount Type of Occupancy New ® Renovation ® Replacement Plans Submitted Yes ® No El FIXTURES z E-4 a >4 w rA 9 a F w H H arA rz Ena �a cex a w Enh w a d a a d x' Ln 1 2 '3 1 SLRlM BAS&M r t >�B� 2M Rfm —MHIM 4M HIM 5IH RfM 61HH1= R" sM Rfm (Print or type) M Check one: Certificate Installing Company Name I ti�C�:v��CrA M-160-rp• Address ® Partner. Business Telephone Fkm/Co. Name of Licensed Plumber: j Insurance Coverage: Indicate the type of insurance coverage bykhecking the appropriate box: Liability insurance policy P]/ Other type of indemnity E] Bond Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner Agent I hereby certify that all of the details and information I have submitted(or entered)in abov plication are true and accurate to the best of my knowledge and that all plumbing work and in tions perfo ed unde�daptser ed for this application will be in compliance with all pertinent provisions of the Mass tate u g Code 142 of the General Laws. By: Ygnature of LicerfseaTium Type of Plumbing Licens Title . &455 ,�, / City/Town icense um er Master r(T Journeyman APPROVED(OFFICE USE ONLY ��--++ Date....... TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING S CHU This certifies that ......I/-,. P ........ �!�S ....5....dJ..�..P�..... .,permission to perform ......../?... .. wiring in the building of....... c)d r�'5 5c-�jc) .................................................. f,.("C 4�... at...fl..............C). I. ........ ........................ Northdove s. Fee...M��.. . ....... Lic.NOAH3q4........... ..................... c �. o ELECTRICAL INS;E Check # 4 6 Commonwealth of Massachusetts �— Official Use Only � Permit No. �10 Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] leaveblank 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: — � City or Town of: ►n7-,(4 t4i\1 b00r_- I . To the Inspector of Wires: By this application the undersigned gives notice of his or her intent' to perform the electrical work described below. Location(Street&Number) //f� 12 ElrY - O Al kj:�) Owner or Tenant a 266 0 �5 �� l��l L. Telephone No. Owner's Address ,'s &M/ Is this permit in conjunction with a building permit? Yes � No ❑ (Check Appropriate Box) Purpose of Building kr_16 c ,�&_^J1 V/✓y �-' Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead❑ ;Jndgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �� ynQ�, c� -GC A Completion of thefolloit;ing table may be waived by the Inspector of Wires. No. of Total No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA AboveIn- o. o mergency Lighting No. of Lighting Fixtures ) Swimming Pool rnd. ❑ rnd. 1E:1 Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones of No.of Switches No.of Gas Burners No. IDetection and nitiatin Devices No. of Ranges No.of Air Cond. Tonsl No. of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices lio.of Dishwashers S ace/Area Heating KW Local ❑ Municipal g El Other P Connection Heating Appliances KW Security Systems: No.of Dryers No.of Devices or Equivalent No.of WaterKms, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: _ No.of Devices or E uivalent OTHER: Re- Lu Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCECOVERAGE: 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work:1§ 0d2) (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the sins and penalties of perjury, that the information on this appirltcw true and complete. FIRM NAMA: 1' &0'17' L.- t k C 7—g 1. C e�_o C, LIC. NO.: / Q Licensee: Siguatur LIC.NO.• (If applicabl enter "exempt"in the license nu line.) Bus.Tel.No.:Z Address: /6ttiXIA /7 Alt.Tel. No.: - � OWNER'S ITISURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage norma ly required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ �` �Il Signature Telephone No. Receipt 0 a `APPLICATION FOR ELECTRIC WORK PERVJT IDO NOT FILL OUT THIS FOLD) No. Send \o. S�. d ♦o. Op'wer Beclrk,a• Petmil Issued + REPORT OF INSPECTOR OF WIRES I Date. 'L- TOWN TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SACMUS� This certifies that . . .f /.^��. . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . (. at . . .1,1 f. .��o. . . . . . . . . . . , North Andover, Mass. Fee.,�. .>.f. Lic. No../. 1 . . . . . . . . . . .... . . . . . . . PLUMBING INSPECTOR Check # r t 5325 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) 9 1_=-i_ - Mass. Date11 l�U EY Permit#-.- 661_ Building Location.illi© 0,,►— o Owner's Name Type of Occupancy New ❑ Renovation ❑ Replacement Lq-" Plans Submitted Yes ❑ No FEATURES z z Z ~ U7 J V) z F-- > (n LU y J rn } Q cn z LU W I O ? cn F- LLJCc2 z C7 m a (j a 0 _ � ~ Q w rn Y v; � z z Fes-- z 00 � 111 } F- to z x CL C7 ¢ a. Q � _X w i 0o `u < to o Q w � z m tx O i- v Q = X O z = Y a ¢ F Q Y ¢ > o �, z o o ms Q w u Y w Y 5 m rzn ca a °z IQ- cJn Uj < Q oo Q Q m o SUB-BSMT. BASEMENT 1 ST FLOOR. P !% 2ND FLOOR 3RD FLOOR 4TH FLOOR , 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name ' �i ac ll iA 46<V Check one: � �1 Certificate Address 19� .�inl���T6 J UT,�c E'1 t:J Corporation ✓'�/a irF�.n'�!='o yrs �'yl/� Di�lv.3 — L.) Partnership Business Telephone_ �j�- i-/apo a / 14= irm/co. Name of Licensed Plumber � I?4J�\ 42Lj ':15//9 --_-----—ter t INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes 2, No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy CYC Other type of indemnity l_J Bond D OWNERS 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: Si nature of Owner or Owner's A ent Owner ❑ Agent ❑ 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 installatlonq performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts.$tate P.tumbino Code and Ohaoter 142 of the General Laws, By Title •'SLicense ignaTure of A� Type of License: Master L�ourneyman ❑ Cltyffown License Number_ APPROVED OFFICE USE ONLY) 'i Date.. :.> .�4. t.. ... . NORTH o� ° TOWN OF NORTH ANDOVER ti D PERMIT FOR GAS INSTALLATION 9SSHGMUSfti This certifies that . . has permission for gas installation . . .�c,7,/s y.�. -z. . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . 116 a . . . . North Andover, Mass. Fee. . ,�U,.-. Lic. No../�✓c �. . . . . . . ... . . . . . . ACAS INSPECTOR Check# i () )' t 4094 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO OD GASFITTING i (Print or Type) f Mass. Date Permit# p, --1�a _ Q l _ Building Location I1I IF G ThrC E2� .-0,n _ w > ner�.s Name,�„�l 4,L 8 � rr � lfZt a'S 1,;. r t a-. p..e . 'Fz-X{ '�r ✓ .,; � T ype ,of Occupancy New ❑ Renovation ❑ Replacement Plans Submitted 1'es ❑ Nc GI� e I T cn W ( . CC. . U) U) U Z W' Uj (7 Ld U) W 0 Cc ul cc O U] ~ W Q Z I I Z W Z N r D W Cl) Cr U) C7 U w = Z FG- O 0 > W W W U) W Z Q = Ir a W Q W 1- 0F- T Z Q W F Z W o > LL FW W J W I i Q W > (r W 0 Z Q CC Q °° 0 0 W M O W H Q__ = O C7 S LL o C7 �J U M > 0 a H O SUB-BSMT. BASEMENT i IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR i . 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Na/m�e_�A4Jh' GU =� � /�,�j����� Check one: 1 Certificate Address e7X6rF1 ❑ Corporation _ ND• �i'�G L/�J.S FD,e D ,�/� �J/�/��� I 1 Partnership —_ Business Telephone Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes 9"' No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy 6-�-' Other type of indemnity ❑ Bond ❑ OWNERS 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: i na r wn r or Owner's Agent Owner ❑ :.Agent 11 i 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 the permit issued for this application will be in Compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By T+pe of License Title u Plumber ❑ Gasfitter Signature cf Lice ed Plumber or as City/Town ❑ Master APPROVED OFFI E U E NLY) ❑ Journeyman License Number /D. � Date.. TN f o 1 ° ojo° °� TOWN OF NORTH ANDOVER F D • PERMIT FOR GAS INSTALLATION h SACNUSEtt This certifies that . .IKv.'. / !'. . . f' .!?!. . . . . . . . has permission for gas installation . ., �. ... .. . . . . . . `. . . . . . . . . . in the buildings of . . t . . . . . . . . . . . . . . . . . . . . . at . . . . . . North Andover, Mass. Fee.(.,.5. :. . . . Lic. No.G1 U�. .'. . . L:.` .?. . . . . . . . . ;GAS INSPECTOR Check it r7 ? r. [ r- i MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date O NORTH ANDOVER,MASSA HUSETTS Building Locations Permit# Amount$ Y U v Owner's Name 14 re, New Renovation ❑ Replacement ❑ Plans Submitted ❑ w z c x x a o 0 0 �' 0 SIB-BASEM ENT BASEMENT 1*T. FLOOR 2NjjD FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) " one: Certificate Installing Company Name Corp. Address ❑ Partner. Business Telephone 77 _ ❑ Finn/Co. P Name of Licensed Plumber or Gas Fitter 'J INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked M,please mdi the type coverage by checking the appropriate lox Liability insurance policy Ete 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 I have submitted(or entered)in above application a and accurate to the best of my knowledge and that all plumbing work and installations perfo er it Is ued this ppl' will be in compliance with all pertinent provisions of the Massachusetts State Code d apter araYs. By: Signature of Licensed Plumber O Fitter Title ❑ Plumber City/Town ❑ Gas Fitter License Number er APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. .. . ... .. .. . . ..?.... ,ORTk4 pf ..o X4.0 04 TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SAC HUSEtt This certifies that . . .,�.4�i ... . . . /. . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . !�<1:i . . . . . . . . . in the buildings of . ?`. �. . .s. . . . .. .� rhhcl j. . . . . . . . . . . . . . . . . at . .��. .�. . ��' !'/� �. . . . . . . ' North Andover, Mass. Fee. G:.: . . Lic. No.. . ��.'. . . .c. . . " . . . . . . . . . •'GAS INSPECTOR Check# 356 i MASSACHUSETTS UNIFORM APPLICATON FOR PERNIlT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS /° Building Locations Permit# Amount$ p Owner's Name [�M � New Renovation ❑ Replacement ❑ Plans Submitted ❑ O d d°d a z c . 04 G O A g ao O �F H o SUB-BASEM ENT BASEMENT • 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH. FLOOR 6TH. FLOOR 7TH . FLOOR 8TH. FLOOR (Print or type) CJIVfk one: ertificate Installing Company Name r orp. Address J ❑ Partner. Business Telephone dL7 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter UV 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 ��' ther 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 AgentOwner ❑ Agent ❑ I hereby certify that all of the details and information I have (or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and in - llati Med under P t Issu this application will be in compliance with all pertinent provisions of the Massach setts to C ap r 14 o the General Laws. By. Signature of Licensed P um er Or. fitter Title ❑ Plumber G City/Town ❑ Gas Fitter Licensg Number APPROVED(OFFICE USE ONLY) ❑ Journeyman PN2 3514 Date... ...... NORTH 0 TOWN OF NORTH ANDOVER 0 6- PERMIT FOR WIRING This certifies that ........ ...... ......... ................................................. has permission to perform ....... �A �,1, � (- ......................................... ............... ............ wiring in the building of......... ... . ............ .......Z .............. at 14�............/...../....6....0..........C.......4.1.. Andover-Mas�� Fee.........a... ... Lic.No. ..... ELECTRICAL INSPECTOR �Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer I Official Use Only Permit No. c.5 ���d?lrJ?2d721U��f.C'??f d� SS>¢C�ZtS�7'1S Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 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 A__2 ' 1:>2 /' O J To the Inspector of Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number Al 0 I Owner or Tenant ����� Owner's Address j Is this permit in conjunction with a building permit Yes(C7(,, No ❑ (Check Appropriate Box) Il / rL U-v i iS A.�- I Purpose of /7�yS�/�� �UL� / a � Utility Authorii'.�:r�,_ i Existing Service Amps voits Overhead ❑ Undgmd ❑ No.of Meters New Service 61 Amps �A�O d volts Overhead ❑ Undgm _ No.of Meters M� Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery 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 ! 1 Heat Total Total No.of Di osal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No..Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalentYES NO = have submitted valid proof of same to the Office YES= NO = if you have checked YES please indicate the type o coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) �i�/.Sv/lsf�Lst (Expiration Date) Estimated Value of Electrical Work$ Work to Start -. — .2k-0/ Inspection Date Resquested /—. 3'a ZL Rough Final Signed under the PNal�sofperjur�r: n y� FIRM NAME LIC.NO. Lkensee _/�4�� ��/!/'�i4U Signature ` LIC.NO. Bus.Tel No. Address AR Tel.No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not haye: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) /YEivly'v.4y�p�P�' .mr� pr S5Y) 0 Telephone No. PERMITTEE $ (Signature of Owner or Agent) A \ Date,,/..// .. . . .. NORTH ' TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s o+ •"a SACMUS� This certifies that . . ti �1 �7 r. G has permission to perform . . . . ./-�.�.`. . J-1 a".. .. . . . plumbing in the buildings of . . . �� .. at . . . . .f. �.4. .(7/?f�l/" '. .� . . . . . .. North Andover, Mass. Fee. . . .Lic. NoIC. PLUMBING INSPECTOR Check # 5104 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) / ?�, j�La�L�v- Mass. Date �.3 20,01 Permit # L Building Location lf� owners-Na�;-&-�z G I "� Type of Occupancy—?! New Renovation ❑ Rla�eIt ❑ Pian Submitted: Yes❑ No FDMRES Z � [11A rA m O Z W W z N < Z < S O Z d Q tp U VA tiL J W !C m NQ Y < f N = C (7 < d Q O V = O p Q < W C < W 1A p J = p C p N 0 p . J W U. Y W 1- L7 > H O S IL H F- Z O Q N Z Z W r" 3 U Z < � < < s = a < O < J ,, < d < o s r 3 ,c .+ m w n o J 3 s �. a ,� c7 a o SUB—BSMIT. BASEMENT I t IST FLOOR I I 2NOFLOOR j 3RO FLOOR 4TH FLOOR I STM FLOOR i 6TH FLOOR mt FLOOR STHFLOOR Installing Company Name U p t a c k Plumbing & Heating , I n c check o; Certificate Address 32 R o c h a m b a u l t Street arcorporation Haverhill , M A 01832 p Partnership Business Telephone 9 7 8 3 7 2-8 5 0 3 ❑ Firm/Co. Name of Ucensed Plumber Leonard A . Hall rN- ISURANCE COVERAGE: ave aturn Ilabillty Insurance policy or its substant� equivalent which meets the requirements of MGL Ch. 142. Yes � No❑ lcate the covers a by checking the appropriate box. you have checked yam, please trld type g Other"of Indemnity ❑ Bond ❑ A liability insurance policy OWNER'S INSURANCE WAIVER:I am aware that the Ilcensee 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 Owners Agent I hereby cerufy that all of the details and hnf mwdon I haw submitted(or sr WW)in abaft appb Jbm ars true and=mate to the(rest of my knowledge and that all piumbirq wok and installations ps br4d the permit isaued for this application will be in compliance with all Cods tat 142 of the General Laws. pertinent provisions ofthe Mtaaaadwattts Stan Phtmang . I By Title - Type of umnse:Master i" Journeyman❑ City/Town License Number 8678 ` VON rollFOBICE UlE amt gs3lNapECT10Ns pgDen FINAL IplIPECTiONs �- FEq N U�IN4 ,� Oq Flow TO Do Pb APPt�- iia • NAS A��d111� . ' DU1LDi1N1 OCA1lON r i �f ' lEA011 OMNTEO DAT! p1.UM91Nd INspEQTOq 6 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Wft Type) 22, jLvv-6y . Mass. Date /2 /3 2Q®� Permit # Suilding Location �.r-� .%L Owner's Name � h- Type of Occupancy New 9--' Renovation ❑ Replacement O Plans Submitted: Yes O No FD(TURES z � W 0 m O Z y W H N J Y V < y L7 ¢ W Y J a = O _ Z N < ¢ C Z ~ WZ s ¢ U. F� O W h W M f V Y < N d 3 % W N10 _ fA 'A IC S W O 7 W [ y tt < W y Q J Z O ¢ o W S h. r O . P- 0 ? ! O = a N p S O 0 y _Z _ W r.. O V Z < 1- < < T. < < O < J J < c ¢ rc < O < F- ; Y J O m O O J 3 = N W W O O O < ; ¢ m O i SUB-BSMT. BASEMENT I IST FLOOR I 210 FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR STH FLOOR tTH FLOOR STH FLOOR IT--,] Installing Company Name U p t a c k Plumbing & Heating , Inc cheek ow Ce trate Address 32 R o c h a m b a u l t Street eCorporation Haverhill , MA 01832 OPartnership Business Telephone 9 7 8 3 7 2-8 5 0 3 O Firm/Co. Name of Ucensed Plumber Leonard A . H a 11 INSURANCE COVERAGE: have a cuffeqliabtilty Insurance policy or Its substance equivalent which meets the requirements of MGL Ch. 142. Yes 0 No ❑ It you have checked yM. 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 d the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner O Agent O Signature of owner Or Owner's Agent hereby cw*that all of the details and i fam uMon I Imre submitted(or a WW)In above apOkatien are tau and acauate to the gest of my krtovdedgs and flat all ounft work and indabdom mbyriedmOff Ow p4mt4 issued for this Wkatiort will be in Compliance with aq pertinent provisions of the Musuianeds State ftnbing C0&16ter 1'2 at the CWNW Laws a TWO Type of(ksntse:Master Q� Journeyman❑ City/Towni0koeffWFICE USE ONLY) tkense Number 8 6 7 8 i I p BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS amTCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 111 PLUMBING INSPECTOR _. I r G N Date. .. . .. .. . .. . . . ... .. t' r [ 'AORTM pf TOWN OF NORTH ANDOVER p D • PERMIT FOR GAS INSTALLATION • • r� s o'a C,NUSE��(y This certifies that . .!�<. .f . .' �. !� . '�{. . . . . . has permission for gas installation . . A - .(:l.`-:` . . . . . . . . in the buildings of . . . .,�.� . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . , North Andover, Mass. ( _ Fee. . . . . . Lic. No.. . . . . . ... .. .`..`. ... .. .. . . . . . JGAS INSPECTOR Check# 39/ 03 � MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) sN— Date 12-11-7 A-9- Zoo ' Permit # 35 O Building Ownerts �l" ' AT: Location L� . Name 'c - Type of Occupancy: New Renovation Replacement ❑ Plans Submitted Yes C1 No m W N H t) Z x to 0; (A CC O OC M IZ cc a '� W F- V m '� Z OOC Q®� Z O W ~ 4 W Z ' O Z to V oa: < x Y 1- A t4 V ice' to IC R ats 0 Y t X t, W W O O > W H W A II- pal ku a OC E' Y H Z O 1° Cg O (a Z Q W > a W Z < Cr 4 O O W O W F pC: O O. ?. Y. 3 d J O dx > ® tL F O SUB.—BSMT. BASEMENT 1ST FLOOR J 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR (Print or Type) Check One: Certificate Installing Company Name Uptack Plumbing c4 Heating, Inc n Corp. 1415 Address 32 Rochambault Street ❑ Partnership Haverhill , MA 01832 ❑ Firm/Company Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hail 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. Signature of Owner/Agent I have a current liability insurance policy to include completed operations coverage. By 'HYPE LICENSE: Title ❑ Plumber. Signature of Licensed Plumber or Gasfitter City/Town ❑ Gasfitter ❑ Master 8,678 APPROVED(OFFtCE USE ONLY) JourneymanLicense Number i 1 • FINAL INSPECTIONS SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS INSPECTPONS FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING .y NAME & TYPE OF BUILDING _ LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED ,n Date Fads Meet. Final Insp. Date./—. ���` . Z. . ... .. Of ,ORTH 14, o� TOWN OF NORTH ANDOVER r PERMIT FOR GAS INSTALLATION SA US n This certifies that . . has permission for gas installation . in the buildings of . . i d c c 1! �. at . . !� . . .. . . . . . c, . . . . . . . . . : North Andover, Mass. Fee. 1�. :. . Lic. No. J'G ? : . . .'.i GASINSPECTOR Check# n �, 3 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) /' • /T/�!�©f'��-• Date /Z-//.? ZOA� Q ! (� Permit # 3 d U l a P�� . 1 , 13dii-ding Owner s �� n_'rc � AT: Location Name Type of occupancy: GNew Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No ©� N W W N O N V Z 0: N OC W aC Ccy I- 0 m W W cc o o m r Z O W ~ Z O Z t- J m N t•• y�j W O d ¢ W W I• to > Q dj a W Z V W x t7f W Q >r D H ® W W W J a x CC IC d x W W N � 0 F. Z J H Z F. W W O > W h w J f. W Z .4 W a cc f r N Qp 2 t3 Z cc 0 N x = W O Z Q at Q Q O O W O W t— a i o 0 x w 3 o tCll A c> 9C > o IL � a � sue—BSMT. BASEMENT i IST FLOOR I j 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR (Print or Type) Check One: Certificate Installing Company Name Uptack Plumbing & Heating, Inc (3 Corp. 1415 Address 32 Rochambault Street ❑ Partnership Haverhill , NIA 01832 ❑ Firm/Company Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hall 1 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. i S*Wwee(AwnedA► I have a current liability insurance policy to include completed operations coverage. BY TYPE LICENSE: 6,1 Signature of Licensed I` Title ❑ Plumber Plumber or Gasfitter City/Town ❑ Gasfitter Master 8678 APPROVED (OFFICE USE ONLY) 0 Journeyman License Number i FINAL INSPECTIONS SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS (NSPECTPONS F FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING _ LOCATION OF BUILDING _. PLUMBER OR GASFITTER I LIC. NO. PERMIT GRANTED If Date Gas Merc. Final Insp. I I f Date. . . —�. .... ... . I: et* N°RTH 9 1 pf „to 6 TOWN OF NORTH ANDOVER N PERMIT FOR GAS INSTALLATION SACNUS 1 f This certifies that . . !�. l�. . a `. . . . . . . . . . . . . . . . . . . . . . . i has permission for gas installation . 41.,..-`. . . . . . . . . r j in the buildings of . . . .�. . . . . . . . . . . . . . . . . . . . . . }, North Andover, Mass. Fee. . 7). . Lic. No.. ..)- o.. . iGASINSPECTOR Check# 30/ 5 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Datesf`y /.� .-9-- Zoo ermit Building Owner's AT: Location Name Type of Occupancy: New Renovation ❑ Replacement ❑ Plans submitted Yes ❑ No ❑r cc W W W N Olt N C1 0: H EC O J W I- I.. m = OC O Y O WQ C n p Z iW- V fY m W W W F- dl d Q > ul W W O W Z a cc 0: WI-- W VN Q J (� F- ku J 1' z H ku h r 0m Z o z uj O N x Q W > oc W j 2 OC (y a O O W O W P O` x 0 C9 Z W. O 3 D ('J .� U OC > O SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check One: Certificate Installing Company Name Uptack Plumbing & Heating, Inc [ Corp. 1415 Address 32 Rochambault Street ❑ Partnership Haverhill , MA 01632 Q Firm/Company Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hall 1 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. 1 have informed the owner or his agent that I do not have liability insurance including completed operations coverage. S*Mwe of owm i ASM I have a current liability insurance policy to include completed operations coverage. By TYPE LICENSE: `` ❑ Plumber Signature of Licensed Title Plumber or Gasfitter City/Town ❑ Gasfitter APPROVED (OFFICE USE ONLY) ❑ Master Li 8678 e 0 Journeyman cense Number � I FINAL INSPECTIONS SKETCHES BELOW FOR OFFICE USE ONLY ,PROGRESS INSPECTPONS FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING _ LOCATION OF BUILDING PLUMBER OR GASFITTER UC. NO. -- r PERMIT GRANTED Date 19 Gas Merc. _-- FinalInsp. __....__.-•---_�_._._._ ___.__-•----._____—_.__.__._...._ j Date. . . . . . . . . . . ".O RTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUSEt This certifies that . . . ..�1. . 1 .. . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . ... ... . . . . . plumbing in the buildings of . . . . �. . . . ... . S... at . . .1/6-.�,. . t.' �+//�. ,. r- . . . . . . . . . . . . . . North Andover, Mass. Fee. .? . .Lic. No.. . . . . . . . .`�... . 1� . . . . . . . /PLUMBING INSPECTOR Check # 5105 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) / -� /�,.�.L-c�. . Mass. Date /Zhy 2()0/ Permit # 0 fT2Building Location d- - - - -- Owner's Name Type of Occupancy New Ids Renovation ❑ Replacement O Plans Submitted: Yes O No Oma' FD(TURES Z Y to to m O Z t• W r toJ } V < W Y J (A N V Z N < S S c IA 4•i1A U. _ r '' a R m °' to °C 47 < d tt O < fe x Z C Ii S fp y Q; J p O 0: W 3 Q tL Y W r V > r O S e. 7 H r Z O O w 2 Y. 2 W r , V = 3 �cJ ra a o J 3 = �- H e. o a < 3 < m o ar SUB—BSMT. BASEMENT �. IST FLOOR I I 2N0 FLOOR 3RO FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR U tack Plumbing & Heating , Incch�o; Cemcate installing Company Name P -- Address_22 2 R o c h a m b a u l t Street eCorporation � �5 Haverhill , M A 01832 0 Partnership Business Telephone 9 7 8 3 7 2-8 5 0 3 O Flrm/Co. Name of Licensed Plumber Leonard A . Hall INSURANCE COVERAGE: I have a curre4 liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes &I No O if you have checked yep, please indicate the type coverage by checking the appropriate box. A liability Insurance policy Other typed Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER:1 am aware that the Ikensee 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 requ{cement Check one: Owner O Agent O Signature of Owner or Owner's ent v6ij .cortiy Drat all of do details and kfonrta m I have& nMW(or catered!in above app are true and wwats to ftbest of my I heis!� epow d tlra tp rn�t is:aud for appGcatim YA be in compWm with all pwWmt pmat to manadumus State Pho"M visjw Title type of Ucense:Master[13/ Journeyman 0 Ci !Town ty License Number 8 6 7 8 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS S(ETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME E TYPE OF BUILDING r LOCATION OF BUILDING r PLUMBER PERMIT GRANTED DATE 19 t ` PLUMBING INSPECTOR i I r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING 12 , . Mass. Date 12- 13 20®/ Permit # e g�ing mon / .�� Owner's Name &,07r - a Type of Occupancy New 9--' Renovation ❑ Replacement O Plans Submitted: Yes O No ®—"' FIXTURES s : m < (A H � W Y J (A < p. = W at Ul Z iA < Q _ %6 ! Z + 4 W qi ; X V Q m N Jig p < 1A v 4 Q O Y. x Q 7 C < W S < W W d J =cc W O O W S < _ ; 3 0 Z S Y O M� .4 Y 4 W Y W 1- V Y F� O Z d N �' Z O Q < < < s < < Q ¢ a; < o a r 3 Y J a va a s J ; x :!- U. ci 2 a < 3 s m o Sus-BSMT. A I I I I ' BASEMENT 1ST FLOOR I ,, 2NO FLOOR { ; 3R6 FLOOR 4T FLOOR 8TH FLOOR 6TW FLOOR , TTHFLOOR 8TH FLOOR installing Company Name U p t a c,!k Plumbing & Heating , I n c gtedt one: Certificate Address 32 R`o c h amb a u l t Street n Haverhill , MA 01832 ❑ Partnership Business Telephone 9 7 8 3 7 2—8 5 0 3 O Flrm/Co. Naof licensed Pfumber Leonard A . Hall Nam INSURANCE COVERAGE: I have a Ilabalty Insurance pollcy or its substantial equivalent which meets the requirements of MG!_Ch. 142. YesW No❑ Yes 0 it you have checked ease indicate the type coverage by checking the appropriate box. Y Y4>� please A liability insurance policy Other 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 taws, and that my signature on this permit application waives this requirement. Check one. Owner O Agent O Signature of Owner or Owner s Agent I lvx'eby cw*that all ol the details and anima timt I have submitted W afteaM in abas application are true and acauate to the best of my kiwwledgrr and dal ak plttmbinp work and inatagations the pemtit WwW for this appiicNiar will be in compbarrce with all pertinent provi��ons of tM setts State pkl nb m Code 142 of the general Law/ BY . Title Type of Ucetrse:Master Journeyman❑ City/Town license Numtar 8 6 7 8 x BELO*FOR'OFFICE USE ONLY ` FINAL IIISPECTIONS SKETCHES PROGRESS INSPECTIONS } FEH NO. APPLICATION FOR PERMIT TO DO PLUMBING - NAME i TYPE OF BUILDING LOCATION OF BUILDING PLUMBER._ PERMIT GRANTED r DATE /0 - - PLUMBING INSPECTOR jr t i Date. .r. 4. .'.. .:. . .i.. .. ,aORT1y f` �, jOrya.�ao ,eti0 3 TOWN OF NORTH ANDOVER 'r PERMIT FOR GAS INSTALLATION .`ty 'S9SS+AC,HU5Et i This certifies that . . 1 has permission for gas installation . . . �A. .? .�-: . .�. : . . . . . . . . in the buildings of l? f< j at . . . :`. . . . . . . .� , North Andover, Mass. f' Fee. .?.). . . . Lic. No.. .S ` GAS INSPECTOR i Check# 3901 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) • �/�l�G�f'E�—• Date 12, 1J A-9- ZOA� Per�i , 3 f d I Building ` Own AT: Location C Name roe Type of Occupancy: GNew Renovation ❑ Replacement ❑ Plans Submitted Yes ❑ No a� rn CC W z N x CC to Ix m x 0 to i— ¢ W W a0 () n m ►- = i m z o m 'W' < 0: z � 0 � W Q m y F� < CC 0 0 O Z t. W. 0 0 0 z �. d a > a t» CC W Z o Y tx N W a oC ~W. Y CJ iW. 2 H z I. W W cc O O > LL H U J f W a t a � m Z O x dO S W > W a 1 00 W z 0 o CC > o AL o 1 SUH—BSMT. BASEMENT 1ST FLOOR J 2ND FLOOR 3RD FLOOR 4TH FLOOR ' 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check One: Certificate Installing Company Name Uptack Plumbing & Heating, Inc [3 Corp. 1415 Address 32 Rochambault Street ❑ Partnership Haverhill , MA 01832 ❑ Firm/Company Business Telephone 978 372-8503 Name of Licensed Plumber or Gasfitter Leonard A. Hall 1 hereby certify that all of the details and information I have submitted or entered)� Y Y ( d)m 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. I have informed the owner or his agent that I do not have liability insurance including completed operations coverage. i i sipaure ortwriAyent 1 have a current liability insurance policy to include completed operations coverage. BY TYPE LICENSE: Signature of Licensed Title ❑ Plumber Plumber or Gasfitter City/Town ❑ Gasfitter ❑ Master 8678 APPROVED (OFFICE USE ONLY) ❑ Journeyman License Number I FINAL INSPECTIONS SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS INSPECTFONS FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING _ LOCATION OF BUILDING PLUMBER OR GASF17TER LIC. NO. — — 1 PERMIT GRANTED Date ___ 19 Gas Merc. Final Insp. No 3 4 U 1 Datel.o.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4L it us 4 This certifies that ............ .................................................... has permission to perform ............................................................................. �U wiring in the buil dipg of.........L.............. ...... .................................................... at... ..... .North Andover,Mass. Fee7A...R........... Lic.N6....c i. .. ......... ........................................................ ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts ell'"""'"'' Deportment of Public Sgfety hrels NOAHD OF FINK PR UNHON HiGULATION§ 521 CMR 12;W j/90 s►."my •too "Wo~•' "_'•� (Ise" kla•$ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK W Wit to M plllwlnld M 8e191d1n11 edlh Ib1 Menslhweltl Wsuhal GW%N1 CNN I109 (PLEASE PRINT IN Tit[ OR TYPE ALL INFORMATION) City ur Tuw(t of IJ,N1t V(—:R, --•_..�_ 10 tIla Inspector of Wires$ underaiwned appl&" for s passu to parlors the electrical Work described below. hwatLvn Wroot A Nueber) (k(QQ C�PIQaAcZ _ gyp F->- Clew or Zeaaat Owner'. Address Is this peon is eonjunetiat with a building peroitt Yea [I He [3- (Clack Appropriate Fos) Tor � - • Wp a o! Mlul Utility Authorlsatlon 1110. �I L Ltla0 ieivici .. .OPa - Volts Wei,fi ad ❑-Ilndird❑ No. of hater!_.�.._ New � ..__wW-- _L______Volts Overbead ❑ Uodird❑ Va. of lusters Wtusbes 09,1400094 and Amps" locatiop and Nature of Proposed electrical Work --r4d_ IkaCr (� �r�sal;Nc. '{fi g (l� 1.1jN1' >-VA,,JK U-14K NArs14t ott Cjs) LEM S��JSolZS tL4iGb�+c SI��T ��N �- Nee of Liphtlnt Outlets No. of Hot Tubs No. of Tranaforurs to Nos. n1 1.1shrins Nature@ awlw01114 Pout Ahnven- KYA 1 ❑ t lid ❑ Iiellal atYl7 KYA No. ot•Receptacle outlets No. of Oil Burners No. of Us esr t IS Ito. of sw/tah outlets No. at Gas Burners I1R ALWO Not of Zones 140' ®I! N . of Aft Could. oca Ito. of Detestion.and ons Iaitiatial Oeviaea No_ of Disposal o of MU1111W -2""A RW eat Total Iota1 No. of Sounding Devices No. of Oiahwasl> rs spool/Area Hosting KN NQ. of �e 1`�Cont1�Ilag DatastLn/foulldhng Devices No. of Dryers Heating Devicesgs► �alDhmicipal ❑Othae Nu. of Water Mestere IWMI Alan M VvliAps Mb. Hydro Massage Ubs No. of Motors Total Hr 1J1�(IItMICs OOVIWA(if:l pursuant to till requirements of hasssuhuaetts go lnsal Laws I have a current 1,1611141y Insurance polio includingCompleted equivalent. Tai I have submitted valid proof f 'son to thisoff�e TSS erage to substantial If rml have abboaMad YKNO plwasw indlest• lite Irpa or nuverage Irl vliasklna the appropriate this❑ IJIS(IaAKCIt u ❑ (please Specify) Natta,ated Value o! ilestrioal Werk i 35700,61 _V"—11 rat on to Work to •tart l0-7-b-Ol inspection Wte rNequestedl Mouse W J" CM Final ' Signed o►•'WIr the penalties of perjur,•t tow NAlla d Kjj� y F-U&C-T-w- s���lc.�s GOR LiC. NO. l t9�188 Lleenaa� al�lnl G �ITV►M��/l —Signature� A , re LIC. NO. 0808 Address as IQ, (�oNf RGAN RD, M f DDIETpN A OIQ�)Q Ws Tel. No. _ � s �'0 INs(INANCs VSUI I IN aware that the Licensee Alk. zol. MIs. q7� 4y(,-qi7� .F,yX atantial equivalent as tequired by lysachusetta General •ws an she 1"wanse severs e o a s e applioatLott wawa tbLa »quicuwftt. Owner • h► !l�tatue+e eft this,permit Agent WOO so cheap one . �+�--, ?slepncne Na. ?&NUT Flit A Cure o r or Won-U— Date. . . . .. . . . .. . . .�/ %ORTH 4, 6 6 TOWN OF NORTH ANDOVER 0 • PERMIT FOR GAS INSTALLATION SACHUS This certifies that (.. . . . . . . . . . ... . . . . . . . . . "has permission for gas installation rl -- - . . . . . . . . . . . '.4). .. . . . . . . . . . . . in the buildings of . . at �.�-North Andover, Mass. Fee;%5 . . . ... Lic. -2�rGZ INSgCTOR' Check 2/51 37118 MASSACHUSETTS UNI ORM APPLICATON FOR PII2NIlT TO DO GAS FITTING w (Type or print) Date NORTH ANDOVER,MASSACHUSETTS y� Building Locations rP-CJP6Permit# oun Owner's Name Ri_odo New Renovation ❑ Replacement ❑ Plans Submitted ❑ x � d LL F z [� O w d O 0 rr��. O z F O A a H o SUB-BASEM ENT BASEMENT 1-ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH . FLOOR w. (Print or type) one: Certificate Installing Company Name .4 . L Address I _ C( y _ ❑ Partner. Business Telephone -- ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter p �11 INSURANCE COVERAGE Check one: I have a current liability Insurance policy o '''s substantial equivalent. Yes ❑ No❑ If you have checked ,please indica a type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity Bond ❑ r 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 ofthe 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 pe ormed under P itor thi lication will be in compliance with all pertinent provisions of the Massachusetts S Ga C d -o he ral Laws. F By: Signature of Licensed Plumbe Or Gas Fitt Title ❑ Plumber City/Town ❑ Gas Fi Icense um er GP APPROVED(OFFICE USE ONLY) ❑ Journeyman I'I Date.. . ?,. .d/.. . .. . WORTH o� p TOWN OF NORTH ANDOVER F P • - PERMIT FOR GAS INSTALLATION t �9'0., o,.•'Sq9 SSACHUSE _J✓a� This certifies that . ''.ti: -` . . . . . . . . . . . . has permission for gas installation "''- '. . . . . . . . . . . . . . in the buildings o '. � `°./ - -- �_: .. . . . . . . . . . . at �� � . '�?�: 11. �� ; North Andover, Mass. Feed . . . . Lic. No.. . .. .. 4 ;- --&S INSPECTOR Check# d 3717 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations r V,azPermit# t$ � Owner's Name I New U// Renovation ❑ Replacement ❑ Plans Submitted ❑ I U d F- z O Ow O a a 0 I ir � O � O � U p EE, 0 1 1a SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH . FLOOR (ante or type) A4 '� n one: Certificate Installing Company `�— . Address C�CD ❑ Partner. Business Telephone — 6 ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter V INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked M,please indica the type coverage by checking the appropriate box. 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 ofthe Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: S gnature of Owner or Owner's Agent Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submi tered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installati s pe rfo Pemi Ifapplication will be in compliance with all pertinent provisions of the Massachuse State a neral Laws. By: Signature of Lice ed Plumber r Gas Fitter Title ❑ Plumber City/Town Gas ' er Icense umber rzp APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. . . . . . . . . ... .. MORTM I =pry.t«�o ,e,ti0 TOWN OF NORTH ANDOVER FO 9 • PERMIT FOR GAS INSTALLATION 9SSACHUSE� ^4 CThis certifies that . ... .�-� : 1. . . . . . . . . . . . . . . . . . . . � has permission for gas installation . , . . . . . . . . . . . . . . . in the buildings of ff` �� � A �' "• • . at f1° ? .�. . . • �`'��' � �, North Andover, Mass. Fee: `. t% . Lic No..7�!! a . \. i �C.�_ '/� . . . . - . . . GASINSPECTOR Check# /�.����v� " 3716 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACIPSETTS Building Locations / � d Permit# 0 Owner's Name New Renovation ❑ Replacement ❑ Plans Submitted ❑ a N F >+ z Off" W O W d C OG p F vl F 19 a x CW7 N z � d � w � � C a O w � � „ x x E, 0 Fr a 06, H o SUB-BA SEM ENT BASEMENT 1ST. FLOOR / 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR / (Print or type) one: Certificate Installing Company U Name I 1` 9411'' Address T• 1= ❑ Partner. Business Telephone — ❑ Finn/Co. Name of Licensed Plumber or Gas Fitter V INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No[] Iflou have checked yes,please indicate type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Ili Owner's Insurance Waiver: I am aware that the licensee d n th does of have a 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 1:3Agent 13 I hereby certify that all of the details and information I have submitted or entered)in above appl' 'on are a and accurate to the best of my knowledge and that all plumbing work and install 'ons pie der sued r s plication will be in compliance with all pertinent provisions of the Massachus .State S d r 2 t neral Laws. By: Signature of Licensed Plum Gas Fitter Title ❑ Plumber 0 City/Town ❑ Gas Fitt Icense um er er APPROVED(OFFICE USE ONLY) ❑ Journeyman Date.. . . .... .. r ,NpRTM , �,I 3� y` ��ao ,n. •y0L TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION . h �9SSACMUSESt This certifies that . . . -r �'. .l` :'� � . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . in the buildings of .ec. - -.. .. . . . . . . . . . . . . . . at /. . 1 -� ��. J., North Andover, Mass. Fee—.79,'). . . . . Lic. No.Y(?kit --�rEZ��;" . . . . . . . GAS INS ! Check# r� I i 37 . 9 ! MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date r NORTH ANDOVER,MASSACHUSETTS Building Locations �r -4?-6 °J� a�- � Permit# Owner's Name �3�ol< New Renovation ❑ Replacement ❑ Plans Submitted ❑ vi a GG O F � W SUB-BASEMENT BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH . FLOOR ; 8TH. FLOOR (Print or type) , k one:—Certificate Installing Company Name � rp Address �v ❑ Partner. Business Telephone o — ❑ Firm/Co. -Name of Licensed Plumber or Gas Fitter d �j 1 INSURANCE COVERAGE Check one: �I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ Ifyou have checked yes,please indicate the type coverage by checking the appropriate box. 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 ofthe 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 I have submitted(or entered)in above acati a true and accurate to the best of my knowledge and that all plumbing work and ins ions p o ed er P Is 2 o is application will be in compliance with all pertinent provisions of the M, sac setts S ode er o e General Laws. By: Signature oiVcens lumber Or Gas Fitter Title ❑ Plumber 90 6 s- City/Town ❑ Gas F' Icense Number aster APPROVED(OFFICE USE ONLY) ❑ Journeyman a 3559 Date:A.: .G(J. ........ NORTH TOWN OF NORTH ANDOVER � Of 4.,,ao ,e 1ti0 PERMIT FOR GAS INSTALLATION K • • SA us This certifies that .,4.v AA .`1. . . . . . . . . . . . . . . . . . . . . . . r has permission for gas installation . . . .s. . . ... . . . . . . . . . in the buildings of . . ' ac,. F S��`�� �. . . . . . . . . . . . . . . . . at x! r�. North Andover, Mass. :� Fee: � ?.�:'. Lic. No �:� 1:: . . `"` (. -� : '� ... . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UN FORM APPLICATON.FOR PERMIT TO �ASFITTING Type or print) Date � 19 NORTH ANDOVER, MASSACHUSETTS Yv�.Building Locations � � 7>0 � Permit# 3 �� ;/� vZ �� �O 1 Owner's Name Amount S L�I New 11 .Y Renovation ❑ Replacement ❑ Plans Submitted ❑ rn . In Cn W m C, Z .• �" m �7 z m ^� rn L m n �n J to — fY SUB -BA SEM E :NT r r BASE .M ENT IST. FLOOR 2N D . FLOG R 3RD . FLOOR 77-11 11 . F L O O R s'rif. FLOG R 6'r 11 FLO U R l 7"rlt. FLOG R 3 T fly. F L O O R t 'Print or type) U l` f ���( j N j�� Check ultra"Certificate Installing Company .Name I Ej / � /torp. Address ❑ Partner. Business Telephone (n p ❑ Firm/Co. 3 a a Vame of Licensed Plumber or Gas Fitter v V NSURANCE COVERAGE Check one: have a current liability Insurance policy or it's substantial equivalpnt. Yes ❑ No❑ f you have checked ves,please indicate the type coverage by checking the appropriate box. _lability insurance policy �� Othertype of indemnity ❑ Bond ❑ Dwner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the vlass.General Laws,and that my signature on this permit application waives this requirement. Check one: iienature of Owner or Owner's Aaent Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the test of my knowledge and that all plumbing work and installations performed under Permit Issued i ap on will be in :ompliance with all pertinent provisions of the Massachusetts Stat as Co e ha_ey.l f-t e aws. Bv: Signature of Licensed Plumber Or Gas Fi er Title ❑ Plumber �Q ityiTownH—�� uerase iivumoer aster kPPROVED(()~Dict:usE omr y) lournevman 3544 Date. .:a:3 .: uc>...... r OF ND oT eTOWN OF NORTH ANDOVER f y� p _._. •e O 9 PERMIT FOR GAS INSTALLATION SgACHUSE t This certifies that . . . . . . . . . . . . . . . . . . . . . has permission for gas installation I GG/� s <�in the buildings of . . .1 . . . �: �. . . . . . . . . . . . . . . . at . ll �'. . � < '?��% North Andover, Mass. Fee. ? . Lic. No.. .L✓.,2. . . �. . +/� . . . . . . . .6. f { ASINSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPUCATIO re. tPrrttorT I N FOR PERMIT TO DO CASFITTINC Masa. Date ^ �� Permit r 3�s y Building t.ocau«t2L-4m--el /L m_ l P,, —OwnePs Name—&-01T Type of Occupancy New`� RenovationO pl Re acement 0 Submitted: Y"C) No O • N N W N N N V Y Q N ¢ yr Q M� Z t W W4C 10 N = V J „ W p•, u O ~ = rA Ic 0 O O O W N Q N (a W t = W I- W d C � < W y q W = 6) W W < ¢ O O y W r t = C Q u dc 4 W r t• S O > Y. 1— V Q = O V = r D O O V C > O v h O Stip—dSMT. BASEMENT 1STFLOOR 2ND FLOOR ZRO FLOOR I —ATH FLOOR STNFLOOR 6TN FLOOR TTN FLOOR 9TNFLOOR Installing Company NaR1e__Ampr{ c Prnn AddreSi�1 5 Boston S*roe.. Check one: Certificate Tn n c p t p j d1 MA 01 9 B Corporation Business Telephone 1—9 7 8—8 8 7—2 3 5 3 D• Partnership Name of Ucensed Plumber or Gas Fitter — / O Firm/Co. INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which Yes)J No U meets the requirements of MGL Ch. 142. If You have.checked yeS. please Indicate the type coverage by checking the appropriate box. A liability Insurance poli 0 Other type of indemnity❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage r ufrcC Chapter 142 of the Mass. General Laws, and that my Signature on this permit a by application waives this requirement. Check one: Sgnature or Owner w Ownet's Agent Owner(] Agent O I hereby pd;fy that all of the details and information I have submitted(or entered)in above application are true and knowledge and that all plumbing work and installations performed under the permit issued lot this application will be�r�complran a waiN of perunent provisions of the Masuchu$ctu Stale.Gas Code and Chapter 142 of the General LawsBy . Tpe of License: Cil l P True Rumber ure of Gaslrner 9 L+censed um ben or as ruet City/Town Mister License Number y 7 1 Ni Journeyman AUG-28-00 10 :03 AM AMERIGAS LP INC. 978 887 9782 P. 01 I I Y AIMI�p��•'MM (}Ij�iKQai•I[+!!WI A�� f.Y`ts� ��M A�'� �'. ."�,�!� �oKs�O,PS, �� . sal, �1aw, C?�l`C1�'D>77S • t�t0 SMd tVUMbBR •'' , ,,. APPLICATION F0 .MX ' CI 62 S140 KG.1.. srN►s a►Ts: � � 1 Tot Us&4 of Fire 04partmeatt �/0 (" C1D ►/L'�• ; City/Town ' IA aceotduue with the provisions of Chapter 148,M,GILI as provided in SeclionMARtic� .�is Aeby mead by; 1 Hams. , Y /«•�. «wra..N I Address: T Meld M A 019 8 3 « PEW .For porroiaiiop t0: �" i' l . ;- fi, _ A;r� • �, � Stere clearly the purpose for which th rmit is roque ed: L , 1 'I Enation: ! I NWA of competentrater if appiirable: Cc 'ficato of Compete N: Data Issued { ) Date Rejected ( }; By; r t C M Date of Expiradaa! -/- O r Fee Paid ( ) Fee Due ( ) Amount: Applicant Signstute; Fire Department Number: a�r�saaaaa�asaasa■■■aaaaaaaaa.■■■■■■■■ad ■*evades asaaaa■a■raaaaaaaaaa 1 e -'t®lp ojldo rola, d�« a 4wo(al . . as f0m, gals Road, &&P aaw ne"S PERMIT nro sN►e Hu>a Dale; •� ' �AumYYw �• C.tit S.40 IK.= ra+tT asn Io aeeordatue with the provisions of Chapter 148,M.G.L.as provided in Section�_ this permit is granted to: For Pasta uioa to: 1^I 1 \YP�I III I.■ State alauly the purpose for which the permit is granted: I�Y�II11 II��Y.IIYA-w --- ___ ��.YIII II�.�Y II•��II.III�.11..�.�� I I�eiOfiCticru: Location: 7M Pemit wen rxnire On: �_-- i Date. . N2 489 © NCpTq TOWN OF NORTH ANDOVER ' PERMIT FOR PLUMBING s i ^ i SSACNUS� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . ... .-:. . .:. plumbing in the buildings of . . . . . . . . . . . . . at X/f K!o. . . . . . . : . . . . .. . . North Andover, Mass. Fee. . . . . . Lic. N .. . . . . . . .. '�.--�;— fLum�ajl-eG * ECTOR Check # 9Z- WHITE: Applicant CANARY: Building Dept. PINK:Treasurer I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS �) Building Location (� C�' wners Name ('0 C� J l �, 0 Date-en it it Type of Occupancy Cs I= NC Amount ' I New Renovation Replacement !l^ Plans Submitted Yes No El T FIXTURES a x w a a a�w>Hru' ].ST HOW�O 2n H= 4]H FiOQt - s>aEi F 6M FELO R W F110M (Print or type) ° Check one: Certificate Installing Company Name (� C - V/, % o Address partrrer. Business Telephone _ Finn/Co. Name of.Licensed Plumber. Insurance Coverage: Indicate the insurance coverage by checking the appropriate box: Liability insurance policyEr Other type of indemnity ❑ Bond Insurance Waiver. I,the undersigned;have been made aware that the licensee of this application does not have anyone of the above three insurance Signature Owner ❑ Agent f I hereby certify that all of the details and information I have submitted( ., )entered or in above application are true and accurate to the best ofmy knowledge and that all plumbing work and installationsormed un er P sired this application will be in compliance with alI pertinent provisions of the Massachus tate Ding `Cha�t�er of the General Laws_._ By. Signature o icens r j Type of Plumbing License Title OQ City/Town tcense sumer Master loumeyman APPROVED(OFFICE USE ONLY i I 3360 Date. NORTN TOWN OF NORTH ANDOVER a� a• PERMIT FOR GAS INSTALLATION s a �9SSACHUSEt J This certifies that . . . .,�1�:'!. r !. . �- . . . .l .f�f. . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . .. . . in the buildings of . . .,f?�?�o. � S . . .S r l::. 1... . . . . . . . . . . . . . . . at . ... . . . . . . . . North Andover, Mass. ' -cam Fee. .�:3./. '. Lic. No�� ) . . . . . . . . !- . ... .. . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer ' f MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING A T ' Type or print) Date J—G ci 19 NORTH ANDOVER, MASSACHUSETTS �- Ct 7 Building Locations ✓ 1160 Permit U 11<_jOwner's Name I, , - New Renovation ❑ Replacement ❑ Plans Submitted ❑ A N n U z cn Cn W Cnm C," `t = n z C W z 4 W J Cn :cl Z .� ... :cm l =r :� z y > C w z SUB -BASE;vI ENT BASE .vl ENT a IST.. FLOG R I 2ON D . F.LOUR 3 R D . F L U O R 41 If FLOG R 5'. If . FLO O R 6T If FLOOR 7T If FLOOR 3T If FLOOR ;Print or type) Check one: Certificate Installing Company Name C, ore, Address ❑ Parmer. r 3usiness Telephone �. ! Firm/Co. vame of Licensed Plumber or Gas Fitter U �t NSURANCE COVERAGE Check one: have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ i fvou have checked yes,please indicate-the type coverage by checking the appropriate box. _lability insurance policy ��� Other type of indemnity ❑ Bond ❑ Dwner's Insurance Waiver. I am aware that the licensee doesnot have the Insurance coverage required by Chapter 142 of the vlass.General Laws,and that my signature on this permit application waives this requirement. Check one: iienature of Owner or Owner's Agent Owner ❑ Agent ❑ hereby certify that all of the details and information I have submitted (or entered) in a ue applica 'oro are true and accurate to the )est of my knowledge and that all plumbing work and inst ns pertorme and e it 1ss ddfor this application will be in :ompliance with all pertinent provisions of the vlassa - sett tat as C e tr�r 2 dt the General Laws. i Bv. Signatur ..of6censed Plumber Or as itte Tide ❑ Plumber �itv/Town ❑ Gas Fitter Icense INumoer ster APPROVED((>FI-.Ice usE i)NI.Y) ❑ Journeyman 70507 Date. MpRTti TOWN OF NORTH ANDOVER 14, _ p� p� PERMIT FOR GAS INSTALLATION 4 . �O+..ro^•rr Rh �9SSACHUSEI This certifies that . . . , .y. :.r.-, C. . . . . . .(,c. . . . . . . . . . . . . . . . . has permission for gas installation . . . .1[--e. in the buildings of . . �'31'x.c,.c. T u.4.r c. . l. . . . . . . . . . . . . . . . -at North Andover, Mass. Fee.�.��.. :. Lic. No.. . . . . . . . . .' GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFU,RM APPLICATION FO ERMIT TO DO GASFITTING 1 .(Print or Type) 07 Mass. Date 19 Permit Y u9i " 'Buflding Location -'� (Co 0 9 p p�� ' �©'Q 6'S 6Q_�Me, L , Map: / Lot: Zbne w," 7 0l occuba r f New rJ Renovation J Y� ric Replacement J Plans Submitted: Yes vJ No J Fee: . W ¢ N 0 O LL y = ¢ U' J N Q. O U. O ►" x N fly Z - ¢ W r > m z 2 Q O W a ¢ ¢ z a O Z W N ¢ V V W Y cc 0 z �' ;n o ¢ > W W (A '� z a s ¢ in w ¢ �- o , -, f z W CC W U O W u,• W U Yl W � QI > ¢ W O 2 Q d: Q a O O WM 4n O w rt IC x 0 c7 x w 3 o c� U ¢ > o a I- o SUB-85MT. ' i BASEMENT IST FLOOR r 2N0 FLOOR P 3RD FLOOR 4TH FLOOR 6TH FLOOR '• 6TH FLOOR 7TH FLOOR a Ism 6TH FLOOR Installing Company.Name Dan-Cel C o ,F Inc Check one: Certificate Address 1�Crawford Street , Watertown. Ma . Xl. Corporation 3 9 8 C Estimate Value of Work: F Partnership Business .61 - r t - ,.. slues ; s 2. • Telephone ' �'9 3 1 01 t • P t . a J' Firm I Co. t Name of Licensed Plumber or Gas Fitter D a n i e 1_B . 'C e 1 1 u C C 1 ! INSURANCE COVERAGE; I have a current liability Insurance a policy or Its substantial equivalent which meets.the requirements of MGL Ch. 142. Yes U( No J I , II you have checked r ; yam;please Indicate the type coverage by'checking the appropriate box., A liability Insurance"policy olic I I I I P Y XX { i Other type of indemnity Bond :I OWNER'S INSURANCE WAIVER:- R. I am aware that the licensee does not have the insurance coverage required by Chapter 142 0l the Mass.General Laws, and that my signature on this permit the waives this requirement. Check one: Slgnatura of Owner or Owner's Agent Owner U Agent U 4t ' I hernb certi that al • to f the Y N details and No • rmation I have submitted(or entered)in abov lication are ccurate to the best of my knowledge and that all plumbing work and installations performed under the per�mi ssuued, r this a pli true tia�il 'dcompl anco with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Goner I Laws. 6y Ty of Liconse: ( / Title'' Plumber gnature of Licensed Plumbor or Gas Fitter Gaslitter Clry%Town Master Llconse Number 6857 , APPROVED (OFFICE USE ONLY ' , Journeyman Date. ' .%�� � N° 45G5 "pRT„ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING r o � •'s l: SA HUS This certifies that . . .P/-)'�l :.�.� . �� . . . . .6�.. . . . . . . . . . . . . . . . has permission to perform . . . . . : QA . . . . . . . . . . . plumbing in the buildings of . . . 4 Af.S. . . .a c 1. i: . . . . . at . . ,/,�' U . . . . !?�� !� � .<.t. . . . . , Forth Andover, Mass. Fee.a/ `Lic. No.. 6J� . ?. . . . . . . . J"6'ULBI'N*1G �. . . . . . INSPECTOR Check # � WHITE: Applicant CANARY: Building Dept. PINK: Treasurer � MASSAkHOS" ETTS UNIFORM APPLICATION FO pE IT TO'DO PLUMBING (Print or ry s �Kt fa A N-D QUer k Masa: uste MNC If- 19 60 Permit M- Building Location_&Gb (�krtai 'PC, 15 ED : OwneesName 9� QtVS 3C 140 o Map: Lot: Zpne:. Type of Occupancy z } 'r NOW, Renovation U Replacement ❑ Plans Submitted: Yes No U FIXTURES . Fee: z tu 5d 2 CC CA Y O tn W F- W bt H. V 0. 4 < VI O 2 �. Z F- yq(((• t1 h N x < W ur x IC 4 W < 4 < NF4— Till _ ai' W p' W e: R W � �. f- N z O -< H l7 x 4 le O W a• F„ W r0 < w N W J z a O J (0 P_ 0 < x 3 O x 4 z �' x x 0 0 4 a x s W W X W- > v x < p. > F- H W O N M H x W F- Y J a1 N O O in J 3: x, ♦• W LL 0 O < � R m O �! I'.\ Sue–BSMT. BASEMENT IST FLOOR i 1 # ;1N0 FLOG n 2 1 int) FLOOR` rn ATH FLOOR1.4t t °5TH FLOOR ' 5TH FLOOR r _ I r 1TH RLOOR' 4 5TH FLOOR : Installing Colnpa�ty,Nor rs D a n,-C e I C p `. , ,1 h c . Check one: Certilicile se Addri r,. —iS Crawford tt wa.tPrrpWU Ma f„ -.Corporation 398C Estimate Value of Work: Cl Partnership Business Telephone 6 1 7-9 2 3- 1 0 1 1 Cl Firm/Co, Name of Ucensed Plumber or Gad Fitter_ h a n I P 1 I G I' i :t r r I INSURANCE COVERAGE: I have a curr@�I liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. 7 II ou have checked y asp p ea Indicate the type coverage by checking the appropriate box. A liability Insurance policy R1 Other type of Indemnity U Bond O OWNEFIt INSURANCE WAIVER: I am aware that the licensee dR s 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. i Check one: Signature of Owner or Owner's Agent Owner U Agent U 1 hereby certify that all of the details and Information I,hove submlll (or on In above a all are true and accurate to the best of my knowledge and that all plumbing work and Inslali�Uons erform undo ut a ►mil Iss r s a iicatlon will be in compliance with all pertinent provisions of the Massachusetts State Plum ng Ca and o e ws. By Title gnature of Licensed umber 'I City/Town Type of Ucense:. Master 11h Journeyman U APPROVED OFFICE USE ONLY) License Number 6857 Date. N2 4475 ,.ORTq TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Id �SSAcHUS This certifies that . . .f���!Y�. �!�. . . .� .°�. ?-. . . . . . . . . . . . . . . . has permission to perform . . . .Ree'' ." plumbing in the buildings of . . . . . at . . /. f.e .v. . . . f. . . . . . North Andover, Mass. Fee. Lic. No.. . . . . . . �'`'� . . . . . . . . . PLUMBING INSPECTOR Check # 1� WHITE: Applicant CANARY: Building Dept. PINK:Treasurer x ,l r _r!p dz r�*,'�,;r*`MaF` �,. . --- .n x 4 jos;•. . a A < , y z L ; �r ; g • �„ Air cni(C s 'yr.✓ hs,Zt.,^.. ,� aw ih.c't , ra-..n &�cg-iS:zr.a"-` �, a:�rX..r - -St.:�'��.rn^` a �'t'ta.`fix `"''�4 _ '.r: --s' fl:.'.,'+Y� s�,�: s ,x,;: t f.:' MASSACHUSETTS"UNIFORM.APPLICATION"FOR PERMIT�TO QO PLUMBING �i. {Print'orType)' � - .. ..F }y 1W V Mass. Date3jte 16 .*00 01Permit # _ d Owner's Name Budding Location Type of Occupancy (Y. a ❑ New Renovation ❑ Replacement ❑ Plans-Submitted: ❑ Yes ❑ No FIXTURES ; Y z Z N N } U z N M w w �I U) z < ¢ X _ Z 'O 0 to a O U �A W U F- U 0 to N U_ Z ? Date. N2 4375 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . . . . . . . has permission to perform . . . '.m .�^ . . . c .(. �t .i.c : .�. . . . . . . . . . plu Cbi the buildings of . . ./,� /.� UCS. �! .s . . . ...3?� 1. .4. . . at--A .(�l.?�.�`.�,l�4 4-( . . .. . . . . . , North Andover, Mass. Fee. ���S. .Lic. No.. . .7. . . . . . . _. . . .L J.,r'-a U . .. . . . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer }�VtYY r} ...r x t � � 4. t J. `YJ .}�`.- a a� f•Y i. ''''MASSACHUSETTS'UNIFORM'APPLICATION,FOR PERIVIIT-<TOMO PLUMBING. rinfor'Type)` Q Mass. Date MAR 2� Permit# ` ,J Building Ld'ction �� Owner' N e d �d4flQ J t' Type of Occupancy �Iot tym� a ❑ New ❑ Renovation ❑ Replacement ❑ Plans Submitted: ❑ Yes. . ❑ No FIXTURES z ? y } V Z O Z W W W X a co a 6 Z' p O Z d j N w vi i ¢ ¢ a w W Y � a a a a a 3 , O U- 4 V. Z m W W F- to Z O a , Z 2 W D W � y Q W lA 0: J � � 3 U- W FV- _ _ = o O Z O O co CL Z Z W H D U S 3 x g cn o o g 3 = ai LL o �o < 3 ¢ i SUB-BSMT. I BASEMENT IST FLOOR 14 1 111S 4 2ND FLOOR 3RD FLOOR L 4TH FLOOR Ready for Inspection, 5TH FLOOR 6TH FLOORDate iI II will call 7TH FLOOR 8TH FLOOR FINAL INSPECTIONS ARE MANDATORY : Installing Company Name 3 t Check ne: Certificate Address �- Corporation a ❑ Partnership f Business Telephone r 3 ❑ Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: 1 have a cW4nt liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Ff Yes ❑ No ave checked Yes, please indicate the type of coverage b checking the appropriate box. Alability V insurance policy ❑ Other type of inderrinity ❑ '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. a Check one: -- Signature of Owner or Owner's Agent ❑ Owner: O- Agent hereby certify that all of the details and information Ihave submitted (or entered)in above application aretrue and accur ate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the M usetts tate Plumbing Code and Chapter 142 of the:General Laws. z. — y ,Title � Signature of L ensed Plumber CitylTown _ Type of Licens : l9�Master ❑ Journeyman F 6:7 APPROVED(OFFICE USE ONLY) Lice mber (, F ,p777t P. '.e "�ya�:�aR��",^'.'L���::;.:.�.u..a. �4i �3 ,•�f/�+ZA1�=='^.f,�hr .�"�-�s•"'���"�'�.'�'^,•++i'S €, Date./Y .. . . . . . . . 2 49.85 N°RrM ?°•< �° • ti° TOWN OF NORTH ANDOVER • PERMIT FOR PLUMBING ti SSACMUSE� This certifies that �.��--- -•�-?� '"� . . . . . . . . . . . F; ,�f has permission to perform ' ./ - plumbing in the uildings of at.!`��v. • . . . . . . . . . North.Andover, Mass. S Yee 147. . . . .Lic. No'l /.� . . . . . ' . . . . . . . . . PLUMBI SPECTOR o4l -# ,3 WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Typo) ' i N. ,�,v Dy cR , Mass. Date 19 q/ 60ding Location Owner'§Name N400a Type of O panty New ❑ Renovation O Replacement O Plans Submitted: Yesy No O FIXTURLS z z V+ 0 VI O z .Z W W H Vol J } U < 0 V C C W Y J VI < 1- z G ' z W a O 0 Z N < C C I W Ve y, .. T x .�-- J N Q W N Q d N N .YZ. 6 4 < d O t� z O O G < W G < yt O < N Z C F N V1 O J V1 C tt J O C D < ~ to U3: < < 0 V) 0 XIL < < o i � ° < a ac Wa < O < ►- chi J N 4 V O O < 3 Q EO O i Sus—BSaiT. BASEMENT IST FLOOR � l 2ND FLOOR IRO FLOOR 4TH FLOOR I STN FLOOR 6TH FLOOR TTH FLOOR STH FLOOR Installing Company Name V d t �`. V r:1�1�a-( Check one: Certlticate Address !] Corporation 6?,( 66 p Partnership Business Telephone Firm/Co.m/co. of Ucensed Plumber rD r. t INSURANCE COVERAGE: I have b current0ability Insurance policy or Its substantial equivalent which meets the tequlrements of MGL Ch. 142. Yes 3 No C If you have checked yo, pleaid Indicate the type coverage by checking the appropriate box. A liability insurance policy t/ Other type of Indemnity 0 gond O OWNER'S INSURANCE WAivm I im aware that the licensee does not have the lns'iftahce coverage required by Ch` ter 142 nhMisi. General taws, and that my signature on'thls permit application +.Valves this requirement. KA Check one: Owner ❑ Agent C Sig lure er or Owner'spent 17 I hereby rtify that ell of the details and information 1 have iubmitted(or entered)H above application are true end eccurate to the best"of my knowledge and that all plumbing work and Installations performed nder the permit Issued for thls application will be in compliince with all pertinent provisions of the Massachusetts Stale Plumbing odd/ d Chapter 142 of t ener I Laws. . By 97,g ignature o icensed umber Title Tyne of License Master Journeyman 0 City/Town APPROVE ONL License Number J _ � N° 7c� Date... .. .... .... f NORTN o?;•,:�`` TOWN OF NORTH ANDOVER wr PERMIT FOR WIRING ACMus� This certifies that ...... ............... �P.....-:....G- Q( =�A � p c ik has permission to perform R.qvzx)!4.,. .... �-".i..t1. .5.............. ~ wiring in the building of t,1 �p4} �z 5 C)6 r° at. .�/.�.. .r,�.... �a ./dn ...f..............'...orth Andove...... o Fee.1A.U.i!50 Lic.No�.l�...!!.. ..... ;1 .. . ......... ECTRICALINSPECTOR o WHITE:Applicant CANARY: Building Dept. PINK:Treasurer FOR�/AR® f #728 F3R{} ICIr JSE ?NLY _ - 1 s T (0 P Tommilt1w alto Qf FI Sc�t�jll5Pf�5 R :{i s r� e i Fine tteni of _ I1 u61 tc IIft;t BO - ARD 0 F FIR - E PREVENTION REGULATIONS 527 CMR 12:00 .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 7/22/99 City or Town of North Andover To the Inspector of Wires: The udersigned applies for a permit to perform the electrical work described bel hv� Location (Street & Number) 1160 Great Pond Road, N. Andover, MA MAP Brooks School Owner or Tenant �o I . - CEL Owner's Address Same as above Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ElUndgrnd ❑ No. of Meters New Service Amps � Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Relocate existing overhead 15KV lines to new underground duct bank. No. of Lighting Outlets No. of Hot TubsTotal No. of Transformers 2 KvA 275 No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle OutletsNo. of Emergency Lighting No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total No. of Detection and tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of DishwashersNo. of Self Contained Space/Area Heating KW Detection/Sounding Devices No. of Dryers Heating Devices. KW Municipal Local ❑Other ❑ Connection No. of No. of Low Voltage No, of Water Heaters KW Sions Ballasts ynr• .. pry No. Hydro Massage Tubs No. of Motors Total HP OTHER: Install (2) new padmount transformer and G & W loop switch t INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES ❑ NO ❑ 1 have submitted valid proof of same to the Office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE Xi BOND ❑ OTHER ❑ (Please Specify) Estimated Value of Electrical Work $.2 9 0 1,0 0 0 (Expiration Date) Work to Start 7/26/99 Inspection Date Requested: Rough Final Signed.underdhe-Penalties of perjury: FIRM NAME Wayne J. Griffin Electric Inc. Licensee Wayne J.- Griffin- LIC. NO. 116 Ho Signature C . ,fir` LIC. NO. A8999 Hopping Brook Road, Holliston MA 508-429-8830 Address �s. . No. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner (Please check one) iAgent (Signature of Owner or Agent) _ Telephone No. _ PERMIT FEE $ 1,282.50 r S� zr . Brooks School Permit fee worksheet 7/21/99 Job#728 General Contract Price $ 855,000.00 Mult x 1.5% $ 12,825.00 10% of 1.5% $ 1,282.50 Electric permit fee $ 1,282.50 i ° 1 7 4 8 Date.... Z�...y..... NORTN -•9, pL TOWN OF NORTH ANDOVER 00 p PERMIT FOR WIRING 4 41 ATIO �SSACHUS� �f This certifies that ............................................. .............................. '......... ell has permission to perform ............ .............................:.. .................... r wiring in the building of ........ .T.............�... ..� ............ at........... ...<.................... .. ......................-- :�..... ,North Andover,Mass. Fee ............ Lic.No/'/Y/ .............. ., ................ C��AL INSP ECTOR WHITE:ApO709/99 12MARY: BulljMjWepqAjD PINK:Treasurer Ml'lOr 'E4LTOFMASSACIi�E'ITS ore use only DEP,9RTMHNI OFPUBLICSAFETY MAP OFFM2EPREYENI7 , Pet7rtit No. ONRE crn,�TTONssncu�e �. Occupancy&Fees Checked Q3115�— PARZEL V PERNff Tfl PER'ORm aECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE.MASSACHUSSTS ELECTRICAL CODE, $27 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL TNFORiMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical worst described below. Location (Street&Number) Owner or Tenant a o CC V (1 (j �— Owner's Address t, 0 Is this permit in conjunction with a building permit: Yes® No ® (Check Appropriate Box) Purpose of Building � - ����" I,r �' ,� �G(Yj Utility Authorization No. Existing Service Amps / Volts Overhead Underground ® No. of Meters New Service Amps / Volts Overhead ® Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of,Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures I Swimming Pool Above Below I Generators KVA groand around No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Oirtlets No.of Gas Bumers No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.'of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local ,Municipal ® Other ctions .of Water Heaters KW No.of No.of Conne ` Siens Bailasis No. Hydro Massage Tubs No.of Motors Total HP OTHER Ir»'�Co�e Ptsstmrx�the ;tsar�Ga>s-aiLaws I have a a taa,i Llabtiity hlArar Pcdcy>n �Ccrr Cae- crus sutzxial tx tlivala s YES NO Iha,,eahmutedvabdprccfofsanmiotroffmYES If}cuha�,edvzkedYES,pleziseirr ether} cf byd tip NUZANCE � BOND ® OTr- ( —*y) E�v-�cn Dam r—� Esft ed Vahiedi Er�d Work S Wcdc�Siatt / � ^ >rL�Re� ` `•••R� Final SiQsted utxl`3-c�e P /� FIRM NAME 1�C Sim -VW-1,4 icensee Busir=Td.Na OWNEZ'S ItN�1RA1�WAIVF�I amawaretl�tt�Lz�rxBCey uct hcne the Q>str�rner�tx�ssl ����C>�ral L•m�s a�t�mysi�serntt9s�i�r. czivai<.es ibis te�cr�rc. -) lease check one Y �' ) Owner Agent Telephone No. PER`vfTT FEE S Office Use Only Permit Na Occupancy&Fee Checked Dyo-wt�ut e6 Pa6Ue Sa(ety I BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK j '• 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 r` lye To the Irispeet r of Wires: Town of North Andover The undersigned applies for a/peerrmit to perform tt�he�electrical ywork described below. Location(Street&Number //O �F L� � ✓ �� Owner or Tenant `-tel �L Owners Address Is this permit in conjunction with a building permit Yes ❑ No 0:�' (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑. Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work UQ I CF-- 44M 1/If 6 Total No.of Liqht8ng Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimmin Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery 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 al No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen8ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested c Rough Final Signed underthe Penalties of perjury: g eon -7— � z�. �/enwgw/n LIC.NO. FIRM NAME /// /v Licensee Signature y //��^� LIC.NO. Bus.Tel No. / 7 L21 TJ` 2 Address ,0 Alt Tel.No. OWNER'S INSURANCE WAIVER: I am aware that thefLicenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts Genecal Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Telephone N d f PERMIT FEE $ (Signature of Owner or Agent) ,N°-4 5 3 8 Date.....Lf. ... f �aOR71i 1 :;�';�`"-� "°o o ff TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS This certifies that ....!. ..........n.... �. . ; .. ..... .,� . .... ...�',............... has permission to perform ........ / �.. .... . . -�"�`...... ..................�.. wiringin the buildingo� �?..�-4'!` ........ ..... 41 ......1 �...1� ?.. ... at /.. .....(... �i^z...... ,,. L ' ••••.. .? ..................... .North Andover, ass. Fee..../ o... Lic.No..�. ............................................................... ELECTRICAL INSPECTOR Ol ( ( / 1/98 09:38 150.00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Permit Na Ta s 6417 X4S5,464W5775 s Veo-&--t 4�u�S4&# Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK •` All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00f (Please Print in ink or type all information) Date 4 ` To the Inspector of Wires: Town of North Andover The undersigned applies for al permit to perform the electrii/cal work d�fes�cdbed below. Location(Street&Number r�Jr O 644*-F /'001V Owner or Tenant A Ir is 91(� &. w L Owner's Address Is this permit in conjunction with a building permit Yes ❑ No j (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgmd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Works Total No.of Light8ng Outlets No.of Hot fuse No.of Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool gmd ❑ gmd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outlets No.of Oil Burners Battery Units No.of Snitch Outlets No of Gas Bumers 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 Tons KW No.of Sounding Devices No.l of Self Contained No.of Dishwashers Space/Area Heating KW DetectionlSounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If you have checked YES please indicate the type of coverage by checking the appropriate box INSURANCE = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value of Electrical Work$ Work to Start Inspection Date Resquested Rough Final FIRM underthe Penalties of perjury:IoM O S T 6 81 E ti�M6 LIC.NO. FIRM NAMEy`YItS /� --�-�/p-- Licensee Signature / V LIC.NO. Bus.Tel No. Address Alt 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 husetts General Laws.And that my signature on this permit application waives this requirement. Owner Agent (Please Check one) Mass 1 A Telephone No. PERMIT FFA $—� (Signature of Owner or Agent) N-0 14 6 7 Date..... f NORTH 0 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 4L 4L "SA MUS This certifies that ........ ........ ..................... has permission to perform ...... ....... ............................... wiring in the building of.... C.3...Wh ................... at, (1-10 ........................ .North Andover,Mass. F ... Lic.No. ....................................................... ELECTRICAL INSPECTOR CN ((03 �/t 09:44 150-00 PAID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer lice Ute 011y a - The (1.or7177a0nu)Cczlth of Massncliirsetts t t,; ' l?ePar,nlenf of 1'Ilf)fir_ Safety — `' Occupancy S Fee Q�ecked �D�. BOARD OF FIRE PREVEN11M REG1;111TlONS 527 MAR 12 0 3/90 (leave blank) 41y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Massachusetts Eiectrical Code. 527 CMR 12:00 (l.'l,Iin:il: i'1t.1;P1T 7.D1 7:P1K Olt 77Yl'I; 1iI.T, 7N%011ltA'CT()N) nate City or Town of ,. QNopvem To Lila Inspector of Wires: The undersigned applies for a permit to perfona the electrical Work described below. I: 64tiatl (Skedat & Number)_ G QA-r— A Owner or Tenant �56LoO L. Owner's Address Is this permit illconjunction With a bui.lding�permit: Yes^ No (Check Appropriate Box) Purpose of building Q,�S S(SI Ile /b0rLfh$-Utility Authorization 110. � Existing Service _^ -Amps / - -Volts Ovt•:head llndgrd Ia. of Dieters Neu Service w Amps- "_-/ - 'v'olts Ovr.rhead IJ Undgrd 0 No. of Meters llwabr.r of Feeders and location and Nature of Proposed Electrical Work -� --- /V LW M S 1 Qi�Sr 5ta 17 No. of Lighting Outlets 5" No. of Not Tubs No. of Transformers Total KVA Aboven prodGen In- wimPool 0 n No. of Lighting Fixtures Swimming Pl 1 1 __ __— . Generators KVA No, of Recoptacle Outlets No. of Oil lturncrs No. of Emergency Lighting - --__---- Ba L t c r y Units No. of Switch Outlets No. of Cas Burners FIRE ALAKIS No, of Zones No. of RangesNu. uE Air Cowl. Total No. of Detection and ions Initiating Devices _ Feat luta 1'< tai No. of Sounding Devices No, of Disposals Nu. of 1'uH 'Pons _—,_ KW g No. of Dishwashers Space/Area Heating KIl No. of Self Contained - Detection/Sounding Devices Municipal. No of Dryers heating Devices K14 LC�ocal oOther _ Conna:ction No, of No, o Tow Voltage NoofWaco Heaters ---KW Sil;ns ---_Ballasts _ _ ----___-- ld f r I ng tlo. )lydro Massage '.tubs No. of Motor •Total LIP OTHEK: INSURANCE COVERAGE: Pursuant to (Ile roquirement.s of Massachusetts General Laws -- I have a current 1. riA iLy Insurance Policy including Completed operaclons Coverage or substantial equivalent. YES NO I-] I have sulimicicd valid proof Of Same Lu this office. YI:S NO ❑ If you have cI d YES, please Indicatu t1 Lyp._ of coverage by chocking the al ropy e box. INSIIRANCE BOND U 0-MER J (Please Specify)-- � /- 9� � (Expiration Date Estimated Value of/Electrical Work $ L ,- qhWork to Start I^/C7" 9�_ Tr;spectioi; Date Requested: Rough rj U� `Final vlitli/I Signed underthepenalties of perjury: FT101 NAME S 1 ATE _f tiV �.� `TjtI-, - /`�C.-- - _ � � _ L_ �"� LZi;. N0. 1.itensec �fjrl• .1•�T�A�It7/1/ -5il;nature — -- - *� --LIC. N0. S Address- - t/V� cltj �1 lies. "rel. No. $7i ' (------ ...._.-. --- - ---- --—A 1 t. Te 1. No. 7?-Y OWNER'S INSURANCE WAIVER: I am aware t.liat the Licuijse,. Lues not have the Insurance coverage lir its sub- sr.anL.ial equivalent as required by Dlassachusutts General 'aus, and that my signaLure on this permit application waives this requirement. Owner Agent (Please check one) No. 11i11,IIT FEE S , (Sil;natut'c of (honer or_. A1•enr) A/i-�ry�Y �'���"�,e?o.awe*r-.»-:ist�'+w:�+ysa:t�.:.�i.•-ti.+.�.s.�sa,c....ti�ay.,.-e,� .,-+.K7C"p�*".y,'�r Date... .... 1,J412 1177 f' NORTH TOWN OF NORTH ANDOVER �OSim 9 PERMIT FOR WIRING 1SSACMUSE� O _ / � d This certifies that ...................................:.................. has permission to perform ,,,< f a- y'-ter`....: . e ms^ .. ... ao wiring in the building of N .. ........................ at...... rf��a.U......... ��.... ...t A�.... ,North Andover,Mass. ` -�- - CU - CU Fee.40?.::.: .:: Lic.No-A.......:. .....:..:........... .....:..........:...: .....:.........:.. ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer The Commonwealth of Massachusetts _ °t"" ON qtr �`f Deparnm=1 of Public&fcry knit 2*' $OARD OF FIRE PREMMON RECULMONS =7 CUR °""�`r a r•• o..... APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK � M geek to be 12 r4 6f4"ete With tAt 14"o"humu Qtaricat Cody=7 CMR 11 (PS0o un p8� mt = ca Tm Am m m�-mow .. Date 7/9/97 City c= =ow of - North_ Andover To the Ias Mhe undetzi�ed sPP� for a perm" to P*'fo= the electriesl ..,o gear of pi:•ea: r>K deseti� below. Locatlaa (Sereee i")oobet) 1160 G. a on Owner at Town Brooks School Ounerts Address U 013s Pmt la eonjt=CJ Aq Frith a buUdLng pwmit: Yes a $* ED (Check Appropriate lox) ?=Pon of >saiLd >It�Zii�►�lnc�o�� !1�. Z"Stut Service ___Amp � golcs � Overhead lb. of !Eaters UO •� ��� / �lol,ts OrrFhesd Q p�i�❑ No. of tEeters Number of laedara� -- sad Aw"41t7 =d $s=e of 7rcposad =ft=Lcal Uxh Low Voltage Card Access and/or CCTV Security System Installation leo. of Lighting outlets No. of sot mtbsNo. of Trsasformers l No. of T.VA s > nn Svtmsiag ?oai '°D d. fCanerators LVA No. of %saeptaC" Outlets No. of OU Deemer$ tin. of 121arpacy Ligbt.Lnz batten► Units No. of Switch outlets No. of Cas 3L1ro4 s ,.y,..,�_w .. )�Y ALUM ;�tla. of Zonas lb. od Baedw so.-of W Gond. zal Pa,, of Detection sad --� tons Iairiati� > � Ib. of DUPOSSU No. of fries Total �� ]b. of ming D*vLcss 1b. of Dishwashers Spa4lAru 8eatiag JW No. of Self Contained betectien/Soundia; Devicus ft. of Dryers � Orating Devi*" >at. Undeipai �`'`� E3 CotmectionLJ�� me. of Mata SMUWs » U6,--a no. !Low voltage S s Ballasts No- Bydso llas+s" Tabs No. of !!nears Soesl up MiiRF+ti: I r 'Julnam1�� lussttastt Co the I e&caTeat Liabili r6quire�ats of ��h-etrs General Lava equivalent. YZS�; 110 = ��ai d I=Iudtag pleced Oiler:tiaets Coverage or its substantial 7OU here chaclF" YES# plwe Indicate the valid prof of save h this office. oyES rr ED NO type of cove E= by =ha the apprpYiate box- '`� d ❑ (nsum $pacify)• Scottsdale Insurance 12/31/97 3 /97 U bated Value of tleetrio111 Unt S 967+•00 p:recon aced Worik to Start ASAP ct� gate Re .T� Pe ttvesteds lleygh Fins! Signed aa+dar thea penalties of perjury% Feld lM Secdr i•ty Design, Inc. j Teh. W04 108C L,itaftsea Robert W. O' Rourke. Si tLIC. Nd. 2 2 5 D— Address eatAshland MA 0 1 . Iel. AD. 22 0 1 ' � M= I a &were that the Ltcansee does not have rhe MULaAlt. Tel. nee coveragenor S suo- S equivalent as tequa by tLYssachusetcs General Laws nil rn.1� U, 'm Wai7/)�:�o , a s7 sigtsa"rc on this pe:tt1: nt. O6mer Agent (please check. one) - - xtltphane Nfl_ 508.881 .8822 75.00 _ „�-�� �.,W,. .�c;,..,.y,.�.,..+,r,,,...,�„_..,_.�,..-,Y u���-may,_,.t.,ti-� '..,�• Date .. f . f A57 HOR7M - 4; TOWN OF NORTH ANDOVER A. PERMIT FOR WIRING a ,SSACNUSEt ti f This certifies that ..........St....C-.�l.a:?..t.. ',j.......yJ. �. c�� has permission to perform ........ <«' ; y (s.r ........... f.. ......... wiring in the building of k.:5?s ........ > ......: ...... r at.. a s. .....: <<: s..1.... ....................... North An r, w Fee. } ........ Lic.No. o C lf/ .. . ' LECTRICAL IN3 ECTOR c� 77 �. WHITE: Applicant CANARY: Building Dept. PINK:Treasurer _ _ Office Use On ty w j GI If 5Zjrh i &S t, GI hl LfUMIiIIIIIW Zj" if Permit Na. /Q Ee artmrat of Occupancy& Fee Checked � 'Public ��. ; 319t] (leave blank). BOARD OF FlAE PREVENTION.REGULATIONS 527 C,�1fl 12:90 j r� APPLICATION "FOR PERMIT TO PERFORM ELECTRICALWORK " g; � All work to 6e`Qerformed in accordance with the Massachusetts Electrical Cade; 527 CMR.12:00 PLEASE PRINT. TYPE ALL,INfORMATION)'. Date` urant7�' T, the Ihspec,or,of Wires ; (X)�. or Town of The 1udersigned applies' ;for a:permit to perform. the ,electrical work descrcbed below; r tib / N t Location (Street'& NUmmber)1 G U Owner or'Tenant'_ �oo�s h Owner`s Address: C h Sox) x , Is this per in Con)unrton Nith a butldin-g permit: Yes _ No tGheck r.ppf0ona, s r r Utility Authorization No. °urccse of Sutid'irta ' No or eiers y Existing Szrvlce �Ic,s Overr,eaa UngSrnd _,M ( Gver ead UncS o No a,.+titerers ' / + tJttS Ne,,v Service H� Amos —� -t 4 ,r Numcer,of Feede�rrsr Arncacity, IL err +< Uccancr, and Nature of ?rdoosed'ciec r;c i 'veric t � �z I �diai r a t No..at ' . nnn Outlets No. ` :mot ,of ransformers KVA r No. .at.Lignung r+xtures x zt' I;, Sw+mm,ng or, •.grnc _ .crnc. Cszneraters's KVA a a Vo.-ct cmergency Lignteng �{ w til No. at Recectac e.0utlets 1 No ,f Oil _urners $atcery Units as a RE AL,ir�'iAS Or of cones No r Gas rers No. of Switch Outlets r, --RE Tota, �N00 t refection an uo. f air, C rc, rr inittattn '`av,ces Nq. at Ranges I ons 9 .{ F t:, w meat Iota: _ +otai ;: t5d No;,of piscosals f: No af' tuns K:V• uo f Sounaing.�ev+ces 4 5 } V 'Contained, rk rlr t �atf Na: or O snwasners - L SoaceiArea r±eanr.g '� r Os ec on)Sounain ]ev ces s �$ Munictaat Othar z uo .af.Gr ers 1; Heating,.*Ce v,aes. �ccat . KLV�. an - r Cannec 7}III Na r No. of Caw Voltage _r , t,No. of water Heaters KW �" S+gns Saalasa. 'Nfrng r° > I r. No. Hvaro'Massaq.e uos 5. I No. at Motors totai V OT;1E ,A, a • t�*F. 'i �INS�J F:ANGc C_1VEAAGG Prsuant a iYl '�eQu,rernents at .'.tassacn:.5e.S yenera:.!_3w3 i,have.a eurrent Li,aou+t Insurance policy,inctuc,ng r.,,.etee.Oceraucns,Coverace or s`suos:aniial Peui�aient Yea r- `Fs y' ve y u If Cu: nave.checKea vc� a(ease ,naicate ha t �e`a� ;average.cy '. :have suom!aea valid proof same to the'Gtf+ce _� O r y (� '. r ' z :. •,�,`,/ mil cnec c,ng .Me aoproonate dox 7 INSURANCE ONO , Otl tEa lP�ease ec:?�) � o,ranon ]a et >, d J ,{ ry _Sumatee Value of•:E ec tical Norx:'ST tnsnec::on Oateacuestec Rougn, Fnai > Warx.:a$tart . yI, x Signea unser :he'Penaities at`peryuq/ M F•,�1 NAMEAT Ly Licensee ►p S l/VNI • Z"Z f S+g,nat�re LIC NO _ 539s / [ A 6 _i/f�1,f us =a1. No'. 'I ?Caress: �C/�r jGY� �/ t 0"f�e r'a�p 2✓�. Alt Tel:•: la. x b OWNER'S 1NSURANCc:WAIVER: t am aware that tris !aense� hoes not nave the insurance coverage.or its suostannal eeu:valent as -,a- //0ti au,reo by Massachusetts General, Laws..aria :Mat my signature on :s erm+t aDpticauon waives tM+s reauvement :Owner '. Agent (P!ease cnecx.ane);. _ Te+ecnone No. PEFIMIT r• —.S. (Signature at Owner or Agenic <� a Date. . ." i'1~ 505 ":°1"�0� TOWN OF NORTH ANDOVER PERMIT FOR WIRING • This certifies that t� has permission to perform........ . :� R wiring int a buildin of .. a+ O ... 'ref••.., ¢ Y .............. .North Andover,Mass. Lic.No.!.: .y , ......... .:...RICALIN...:...:S.PECTOR- ............1...:.::...... ELECT r WHITE:Applicant CANARY:Building Dept.. PINK:Treasurer v27 W MASSACHUSETTS uNjronM APPLICATION ton 11'111giT 1-0 Uo pi_U 010611 of typo) MHINQ Mass. Dale 19 hetfnit 8 tlltllding Location //G a .4-T' �.vp zel+p Owner's Name f,,a o1. Type of occupancy 3�p0 New hettovalion Ll 1leplaceltrenl U Plates Subm.11led: Yes U Flo.L PIXTUnFS • x rn q x ' fax N 4 a _ o x ;L o Mw H on x N H u w to `^ a 3 is U x a po 0 rJ !- t- W o d x a ° a ° 1L o d a -( y a -c w N a pp -' 0c >c w d x �` a N x o a N x X W w ♦~ 0 v x 3 >e cd a o ' sue--agMt. — — — tiAAt Meltt — Itt I'l.00n _ _ — 211b r-Loon L / 9tin rLooft — Atll t-Loon — — Bill rLood e t 11 r Loon lilt 0 n o — — tr 9111 t L o o tl — — -- — — — _ -- -- (nstalling Company Name_ �►-.eiGamiA n'�/ ��L Check one: Cetllilcale a a T o ti ' .e_��— >-- Cot potatlon Address Husiness Telephone 617— 737-0,962--2— t7 him/co, Flame o1 Licensed Plumber ���/� �� �`��/�/��' 0j/ 1�l INSO"ANCh COVEl1AGE: have a cutleht ha4lllly insurance policy or lis subslanllai equivalent which tneels the tequ(tements of MGL Cli. W. Yc9 ( No I7 II you have checkedym, please lndicale the type covetage by checking Ilia apptoptlate bOX. A liability Ili- titmice policy Int/ olher type of Indehutily U pont) tj oWllr.il's 11ISUPANCp WAIVEII: I am aware that tite licensee do11—es ILl leave Ihe Insurance covelagn IedttltCd by Chaplet 142 61 Ilse Mass; Qenelal Laws, and that Illy signature 011 11119 permit applicaliolr waives this te(tuhMeld. Check one: owner q AUenl Cl glil-1-851-0-61 miler of Ume0 s xyen horeby ce011fy Mat all of life details and inlormallon I kava submitted lot enleted)In alcove oppllcallon Aro We and accutale Ia the unsl of my howleda d ttleg�ualt nad.Inslnliatlons peftormed undet Ilia pefmll Issued fol Ihls appllcallotr will be Ili compliance A,Ii all porQnon pf tri h! M s h ll la d'1'lumblil de of Chaplet 142 of Ilia Oenotal LAWS. y_ I.UJI le ry. j 1Sig a uta ocense 'urn or y "of Uceilse Haslet ( lourrioy0natt UUP toval te" ( cense l illi►lMt...�1_ - - Date. . . . .t!� s, NpR*M TOWN OF NORTH ANDOVER o . p PERMIT FOR PLUMBING SSACMUS� This certifies that .ice• • • 'f has permission to perform . . . plumbing in the buildings of,.. North Andover,*Mass. at Fe�eq PLUMBING INSPECTOR - ' 6 y936-00 PAID , jl!/ /UU!iV k�� �� PINK:easue GOLD. File WHITE: Applicant CANARY: Bwlding Dept.