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Home My WebLink AboutMiscellaneous - 122 AUTRAN AVENUE 4/30/2018 1�1 __ - — 3nA'311 be /vWY-1 Date. . . No �+. 7 3 9 t ".oa'" TOWN OF NORTH ANDOVER �0 ° PERMIT FOR PLUMBING SACMus� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . . . . has permission to perform . . ;t: ^r . . ...`'. . .. ." ..`. .`. . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee-��. . . . . .Lic. No.. . . . . . . . . ' ?. . . . . . PLUMBING INSPECTOR Check At WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or Print) �.�- O . Building Locationi Pe`rnnt# Owners Name New ❑ Renovation Replace=4t ❑ Plans Submitted ❑ FIXTURES X r— mw o v r x —9 0 T i7 c v > * r Mm O > a > > = W W > > p > r > a a a > C) s > -4 0 < -r O s y c ca � z O O co 9 ; m O n s M s a O z x 7c v O > m O O x m s z O c m > M C re > m 7o x r v a 70 T A n a w a w �" cf r� o > O a o v a p O 2 fi q ao s y .i = m to � T R w -+ m a ! > 7C > s A > ,y 2 s 9 s -� m < _ > w z w co m m Ol y co Z 1 0 n > m < O Cc z z SUB43SMT BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR GTH FLOOR 7TH FLOOR STH FLOOR H+ (Type or Print) Check One: Certificate Izistalling Con4my Name � �. T( Le ❑ Corp. Adbress 64 ko I 03-C 11t— ❑ Partner j f Epi 1 U ❑ Firm/Co Business Telephone k , Name of Licensed Plumber: ?1Ct4,V1WC1 f•G./ 7 Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability Insurance policy E]-Other type of Indemnity EI-Bond Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance coverages. ❑ -Owner ❑ -Agent Signature of owner/agent of property I hereby oertily that eG of the d"IS and Wo melon I have submined(or entered)in above eppfoetlon we fits and Smile to odyny knowledge and that al pkjmbnp work and ndafiseons under Permit issued far this eppkeWn will be in ith wWle oe we9 percentprovisions prons of the ws 142 of the General La . By Title 'sig6tureof Licens6d Plumber City/Town Type of Plumbing License APPROVED(OFFICE USE ONLY) 12-CZO Master ❑ -Journeyman License Number `. Date. + TOWN OF NORTH ANDOVER F PERMIT FOR PLUMBING ,SSACHUSE� This certifies that . . . . . . . . . . . . . . . has permission to perform . . . .I--Ael;ol!'. . . . . . . . . . . . . . • • • . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at�-7.4��,9�. . . . .5�. . . . . . . . . . . . . . . . . . Noor-th Andover, Mass. Fee. . V—'/ ic. NO..c .06 . !d'1. l/.!D`Z.7. ! . . . . . . . . . . PLUMBING INSPECTOR Check ff 7024 MASSACHUSETTS UNIFORM APPLICATON FOR PEIMf TO DO GAS FrrrING (Type or print) Date 7 ��`d 6 NORTH ANDOVER,MASSACHUSETTS �� Building Locations 2 4 U� /fit' V Permit# Amount$ Owner's Name -'�'�2 t2 New❑ Renovation Replacement Plans Submitted � a U x F-4 rA W ° U go x a z w G zw w a� Q a z w ° U F z WF z F W W C7 O W F WU ►� F W o x w Z A c¢7 a U BOG Wz a O W F D A a F O SUB -BA SEMEN T BASEM ENT 1ST. FLOOR 2ND . F L O O R 3RD . FLOOR 4TH . FLOOR 5 T H . F L O O R 6TH . FLOOR 7 T H . F L O O R 8TH . FLOOR Print or type)e �^ / Name I1.�� / �/�vr2�GC..-Q /�� Gv Check one: Certificate Installing Company Corp. Address Address v vy FU � I f, q Partner. Business Telephone 7 T(n X- D -Zp13-firm/Co. Name of Licensed Plumber or Gas Fitter f2 6(p 5 -,4,1e - ✓` e INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes U/ No 0 If you have checked yes, please ind' ate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity El Bond 13 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 t 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 Massa chus s S e Gas Co and Cha er 14 of the General Laws. BY: Signature of Lic used Plumber Or Gas Fitter / Title Plumber 77 3 L City/Town Gas Fitter License um —Master APPROVED(OFFICE USE ONLY) 0 Journeyman N 2901 Date.... . ... pORT11 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ;,SSACMuSEt This certifies that .......&(.,?J....... E✓..r'.�i. d. ................................... has permission to perform ...... d�'ylo� . . ........f�P ...........�.... .. 9%iring in the building of...... Gt ? ..................................................... � 1 at.......�.. ... ..�1 .! .u.l...... .�.................. North Andover, ass? s Fee..,.—.............. Lic.No=,.� �.. �.....�..��.� �.. /iELECTRICALINSPECTOR Check # WHITE:Applicant CANARY: Building Dept. PINK:Treasurer THE09A M AW E4LTH0FMgYS40 tJSE77S Office Use on DEPART EW0FPUBLIC&*M Permit No. a BOARDOFMEPREVEMONREGUlATIOAN527CMR 12:00 ��- � Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 Z U� (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 work described below. Location(Street&Number) j Z.-2- Owner Owner or Tenant �`i 11A^ (-A ki -r / Owner's Address P-9 n Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building gLj — 1�}7 �p u>F/^ J � 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 =7r✓ o9Yi c�-,5'h 1)c)L)ei,i /�� T` _ No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets 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 iNo.of Dryers Heating Devices KW Local Municipal a Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER htmr=Co=W-Rust>arttntltetagt»anatsdiv%mdxBdtsGMaalLaws lhawaaxraitldbtkhmm=P xyeEk&gCcn#ele Co cris leWivalmt YES [�3L NO 1ha%esubmadvalidpradafmMlotheOlfm YES i If}cuhmdmJWYES,pimenbc*thetypeofo mawbydakirgthe WSURANCE MBOND OBER ftweSpecfy) ExpQ'�a►Dete Esti n*dVak&cfE1eCicalWok$ Wok o Start ` 2-�-- ... hgxc imD&Regt MWd Ranh \ �z— y �� FM Signed underlie Pet>alties of FIRMNAME l� i b-e 7v Lioa,9ee �f rC/l �� / �1 sigttatiue / Lioaserlo „✓ 6O BusiressTel.Na ��.. AlTeLNa OWMR'SRsSLNANCEN WAIVMlamawar dAtheljcaBedo t �vetheitts�ratoeoo�era�ogss[�arbalegrrivalt rac;tmedbyMasa�uBel�GareralLam aodIatmys4EMmonthispemitappltta6mv 'Asthisrtsffmiat (Please check one) Owner a Agent / „ Telephone No. .PERMIT FEE �/(�