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HomeMy WebLinkAboutMiscellaneous - 12 GARDEN STREET 4/30/2018 12 GARDEN STREET 210/042.0-0010-0000.0 I IL i I 95*e 2 �,_ Dated.`.. ... f NORTH, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �SS�cHusf� This certifies that 14G(--")......z5Z.6I T.fe 4.......................... has permission to perform .........���FTA/..................................................... wiring in the building of............. .../../!1//��.................................................. at.......�. �9r�,�� .....S ...................... ... .North Ando er,Mass. od Fee.�'"'�-.... Lic.No.. y.>6 ........... ............... ELECTRICAL INBPE Check # 3399- o` e Official Use Only .1.1tPa�nw�o`�i+w�arvica� Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/071 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 INFO TION) Date: 16 6.6 �r City or Town of: A&2`74, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) /Z ;5i Owner or Tenant 0,41l2e,Es /i(/fq e Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of thefollowing table m be waived by the Ins ector of Wires. No.of Recessed Luminaires No.ofCeil.-Susp.(Paddle)Faas o.of Total Transformers KVA No.of Luminaire Outlets No.`of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ n- ❑ o.o mergency Ligtng rnd. rnd. Battery Units No.of Receptacle Outlets / No.of Oil Burners FIRE ALARMS No.of Zones k No.of Switches No.of Cas Burners o.o Detection an Z Initiating Devices No.of Ranges No.of Air Cood. Toota No.of Alerting Devices No.of Waste Dis posers eat Pump um .er ons o.oSelf-Contained r� po Totals: Detection./Alerting Devices V I Municipal No.of Dishwashers S ace/Area Heating KW �1❑ Conoectioa ❑ Omer ecus Systems:* No.of Dryers Heating Appliances . KW No.of Devices or Equivalent No. o atero.o o.o Data Wiring: Heaters KW Signs Ballasts No.or Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications NofDevices r tong: No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 6W fa Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 a BOND ❑ OTHER ❑ (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this application Is true and complete. FIRM NAME: GT Q1 Al. CoLrr OA C-704G !_l.C- LIC. NO.: 1 `1`� 103I4 Licensee: D A kI 10 NA(a 4 A tQ Signature LIC. NO.: (If applicable,enter "exempt"in the license number ll.) Bus.Tel.No.: 116 Address: R"1 F3E1-MONY STS NO ATH 4NDDu 57k1' d l 6q!5' AIL Tel.No.:'t 11-3-16- �1 '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, 1 hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. 1 0 9456 A Date... q- /f,7- ....... .... NORTH °`t"`° '•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ��SSACMUS� This certifies that ... !.............' .v. ........................................ has permission to perform ...... ......... ��)............ wiring in the building of...&.t...�,.NPS. ....................................................... Orth Andover,Mass. �arg7� . Fee...�,�........ Lic.No. ............ .................... . ...... ........... E CTRICAL IMPECTOR Check 4 je-flof6 Commonwealth o f Mamachumf Official UOnl eLJe cc��rr��Partmenl ol..tcc77ire Permit No. ��/ �ervices 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 TYP�Ef LL INFORMA 011 Date: City or Town of. /� �r- � A A76 U-47 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) a- lT�`rdeq S �r pe— �- Owner or Tenant a(/� 2 ( Telephone No. s Owner's Address _C�► M� ! 7�' ��'• S S 3 G Is this permit in conjuncti t:.0 (iwith a uilding permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Fl-` Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location ature of Proposed Electrical Work: 1.19 2 c �� �h ire lr D 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 Swi AboveIn- o.o Emergency Lighting d. ❑ rnd. 1:1 No. Units No.of Receptacle Outlets No.of Oil Burne / FIRE ALARMS No.of Zones No.of Switches No:of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. TotalTons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: .......... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other . Noof Dryers Heating Appliances KW Security Systems: 1 y No.of Devices or Equivalent Y No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.of Devices or Equivalent OTHER: Q �— Attach additional detail if desired or as required by the Inspector of Wires. ' Estimated Value of Electral Work: (When required by municipal policy.) Work to Start: C8 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 cov rage is in force,and has exhibited proof of same o the permit issuing ot�e. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) Z-a I/'C 6 —/�,3 a rt? II Icertfy,under thepains and,pen&des of 'urY,thae information this appfication is true and complete. FIRM NAME: k, eo AA LIC.NO.: Licensee: Signature LIC.NO.: 7 (If applicable,enter "exempt"in thelicense numb line.) lL Bus.Tel.No.: Address: /l�e �'� rp +9P 1 Qt Alt.Tel.No.:c77 k'• rQ,S'7 *Per M.G.L.c. 47,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. -7-5 � 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 F1 owner a ent. Owner/Agent Signature Telephone No. PERMIT FEE. $ Date.7 "onTM TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING SSACMUS� This certifies that . . 1. . .`.`. .`. .`. .. . .!. . .:<.G, �.-� . . . . . . has permission to perform . . . .�C..'.h t . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . at . .1.? . . . .x,.74: . . . . . . . . . . . . . North Andover, Mass. Fee. .�17 .�:v.Lic. No., . . . . . . . � * . ' . . . . . . . . . PLUMBING INSP CT R Check 8366 1 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS LL , 1 9014CDateBuilding Location raST— Owners Name IM Permit# JjGr / -- Amount x/� Type of Occupancy .S'�IS(D l New Renovation Replacements Plans Submitted Yes 0 No E FIXTURES W. i BASEUM MRfM zn IF m �►iNItOCR 4M R" SM FI" 6MBIOM 7lS FIDQi SIH HffR (Print or type) 1 !C� Check Certificate Installing Company Name ,v JaCo/e.-rp. Address 2 Partner. 1 usiness a ep one Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the twEof insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity D Bond D r 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 Agent 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 pe ed under rmit Issued for this application will be in compliance with all pertinent provisions of the Mass huseus e P mbi C and Chapter 142 of the General Laws. By: Signamfe 01 LicenseauDer Type pf Plumbing License Title City/Town is MniNumaer Master Journeyman APPROVED(ORKE USE ONLY I I I Date. F G °ftMORT��ti° TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING j • +; a VA ,SSACMUS� . lY P This certifies that . . . . . . . . . . . ... . . . . . . . ���. . . . . . . . . . . . 5. . . . . . . . . . . . . . has permission to perform . . U? t x=11,, � �C k Y z `' plumbing in the buildings of . . . .ti!`. . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . .A ., North Andover, Mass. AY i/ IUMBING INSPECTOR Check 103 8364 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town.: l✓OR` -MA. :Dater vA.�2-��" �� Permit#. , Building Location: /o2 & qdd A ,5 Owners ��es Gi��I /�14� Type of Occupancy: Commercial❑ Educational ❑ Industrial❑ Institutional:❑ Residential New: ❑ -.-Alteration:❑ Renovation:,❑ Replacement: Plans Submitted: Yes ❑ No❑ FIXTURES z 0 Y N V m rn W Cn to :Q N > J U W Ch W IL :z z '� rn Q CD O .z . z O m :W W z z N .rn C7 L) a LL o -LL ; - <Q W .� .Q .W o 0 o w .� ;Q = w w w Q .Y '= 2 00 0 :� .= _z O O p .z z to I- ►- _ U.113 I- = N p L) 0 ._ .0 •z .Q Q 2: .Q _ .a o a .SUB BSMT. BASEMENT -1 LOOR 6 2 FLOOR .3 FLOOR •4 . FLOOR - S FLOOR 6 FLOOR - FE 7FLOOR 8 FLOOR —++ / Check One Only Certificate# Installing-Company Name: °�.0 pp ❑Corporation Address: LI0 city/Town:Ree)J e— State:_h/14 D partnership Business-Tellc 22,5 LQ 'Fax: . /7 M7 `733 irm/Company -Name oflicensed'Plumber: INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of'MGL.Ch.'142 Yeso El 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 Owner _❑ Agent ❑ Signature of Owner or Owner's Agent 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 Generai.Laws. By. -Type of-License: ig 71t1e _Si'In atur Lice sed umber ❑PPlumber City/Town lel Master License'Number: ,APPROVED OFFICE USE ONLY []Journeyman Date. . 40R'rol TOWN OF NORTH DOVER 0 0 LUMB PERM11FOR LUMBING 40 S C14US This certifies that . . . . . . . . . . . . . . . . . . . . . . has permission to perform ... . . .jz . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the,buildings of . . . . . . . . . . . . . . . . . . . . . at . X� .�. .�' .�. . .�. e .. . . . . . . . .. North Andover, Mass. -lr$ '( I - Fee-,26 . . . . .Lic. No..ZS-?. . '� . . . . -:.-: . . . . . . . . . . . . . . . . I/; PVffMB'1`NG INSPECTOR Check # 7656 MASSACHUSETTS UNIFORM APPLICATION FOR-PERMIT TO DO PLUMBING (Print orType) -24 i ss:; ©ate �.– 20�_ Pe mit # Building Lo anon Owner's ame �/ 6 �< ype of Occupancy New 0 Renovation D Replacement Plans Submitted: Yes D No D FIXTURES $•P•-# SEINER # SEP_HC #' . . z Y tJt10 z U Z Z I– z cr LU U Z © z= Of t/l tYLU Of V} Q of O. ? J �. J rY 0 J Q LL - L): Q = Z t1 Z. Y II O Z Z Lu LL Y Z) LU g Q: ZO Q Q O Q - Q 00 Q -L H M to Q Q g _ Q Lr m d O SUB-BSMT to LL 0 ¢ BASEMENT IST FLOOR 2ND FLOOR I 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR.. 8TH FLOOR 1 { nstaliing Company Name A0 L Check ong: Certificate � • t td d res, uai 0 Corporation i lusless Telephone jn ' U 0 Partnership ame of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGLCh. 142. Yes No . 0 If you have checked es, please indicate the type_of coverage by checking the appropriate box. A liability insurance policy P1--- Other type ofindemnity D Band 0 OWNER'S INSURNACE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass.General Laws, and that my signature on this permit application waives this requirement. Signature of Owner or Owner's Agent Checkone: 0 Agent D Hereby certify that allof the details and information I have submittedentered]in above application are true and accurate'to the best of y knowledge and that all plumbing work and installations performed Ind r the permit iss for this application will be in compliance with pertinent provisions of the Massachusetts State Plumbing Code a Zt142 of the eral Laws. By SPOnalure of Licensed lumber Titic City/'Town i ', �� f APPROVED(OFFICEUSE ONLI7 Type of License: �iVlaster DJourneyman License Number-1-3-3----3-