The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 131 GRANVILLE LANE 4/30/2018 NVILLE IANE 1 V/106- -- Date...... . NORTH TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING Ss4c*us This certifies that .............2 9 .s......41F.Pima.,)........................ has permission to perform J2,Ppap.0,61ys..6&Li�v................ wiring in the building of..................... 7......................................... at....... I (-4404)a.L(,e......./... .............. North Andover,WIM"as Fee.,;� ............... Lic.No..............66Z5....... .................... ?�;��41 EAICAL INSPECT R/ Check # 6 0639 Fr 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the " permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.01 c. 166,§32,an electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of ongoing construction activity,and may be.deemed.by the,Inspector_of_Wires abandoned.and.invalid_if he .. ._ or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending"through August 15,2012. le 8—Permit/Date Closed: - ** Note:Reapply for new p�❑ 0 Permit Extension Act—Permit/Date Closed: C,om.morawealth o/Ma3backu3e1b Official Use Only Aao owd ol3ire Serviced Permit No. ��) (^ j P 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 INFORMATI N) Date: ! `'13 D 1 , Z - City or Town of: pts : , To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant 4 Telephone No. Owner's Address T �7 9'c/o Rese, r Q I Is this permit in conjuncts with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building_ e C e— 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 Natur of Proposed Electrical Work: (�/Yo— Rep f,-<C,t 6 q S Completion o the ollowin table maybe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceff.Susp.(Paddle)Fans TransTotal Trsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ElIn- EJo.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas BurneNo.o Detection and rs Initiatin Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump I KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Aleir-fing Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other P g Connection No.of Dryers Heating Appliances KW Security Systems: 17' No.of Devices or Equivalent 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 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: �� r (When required by municipal policy.) i Work to Start: comelde, Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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:) tQ YYG �G I certify,under the pais ns and enald of perjury,that the information n this application is true and complete 1 n' j FIRM NAME: I')Le ,10 ;7 LIC.NO.: 1w,39 7 Licensee: Signature _ LIC.NO.: (If applicable,enter "exempt"i the licen a number i .) L Bus.Tel.No.: R 7 1"5"h-S 7 Address: fi ��P C Alt.Tel.No.: . z *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"9"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: $ j Signature Telephone No. Date. ,lf•3�,1,�Z..... .. Of.NORTh 1ti o= TOWN OF NORTH ANDOVER F .� P • PERMIT FOR GAS INSTALLATION �1S SACMUSEtS - This certifies that "�. ?.'. '!�. .f/FrY1.� av" ?. . . has permission for gas installation in the buildings of . . . . . . . . A.iJ$Q. . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . i!04 . . . . . . . . . . . . . .. North Andover; Mass. Fee.,..-sP,0. Lic. No.. . . . . . . . . GAS INSPECTOR Check# f 8033 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY ! MA DATE0?40 P MIT# JOBSITE ADDRESS 1/3 �y@ y� t/i Ile Q4 e OWNER'S NAME'! OWNER ADDRESS �O ro ola3 TEL= FAX; TYPE OR OCCUPANCY TYPE COMMERCIAL' EDUCATIONAL '. RESIDENTIAL; PRINT CLEARLY NEW: . RENOVATION:' REPLACEMENT: PLANS SUBMITTED: YES _. N0[ APPLIANCES Z FLOORS— BSM 1 2 3 5 6 7 8 9 10 11 12 13 14 BOILER } BOOSTER CONVERSION BURNER -_ I COOK STOVE ._.__.. . - DIRECT VENT HEATER DRYER1.. .... f .. f - ..' FIREPLACE FRYOLATOR , FURNACE GENERATOR GRILLE INFRARED HEATER [ LABORATORY COCKS _ . f MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER I UNVENTED ROOM HEATER ? WATER HEATER .... .... ......._.. ... ........ OTHER _ i s INSURANCE COVERAGE I have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ['"NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY !. OTHER TYPE 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 I AGENT I SIGNATURE OF OWNER OR 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 ofmy knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertin r),t pro .sl of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. I� /ir P PLUMBER-GASFITTER NAME#MICHAEL H HOUSE LICENSE# 7173 \• SIGNAT R MP' V MGF JP JGF LPGI t CORPORATION:1 1 3377 C PARTNERSHIP #i LLC # COMPANY NAME:` MERRIMACK VALLEY CORPORATION ADDRESS 15 AEGEAN DRIVE,UNIT#3 CITY METHUEN STATE MA ,ZIP01844 TEL!978-689-0224 FAX 978-689-2206 CELL(978-884-3427 EMAILI(little@mvalleycorp.com or srutter@mvalleycorp.com I - 'i ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA. DATE / `Q/ PERMIT# JOBSITE ADDRESS V:3/..... _ OWNER'S NAME ... / P OWNER ADDRESS: TEL: (� FAX:L_.___� TYPE OR PRINT OCCUPANCY TYPE: COMMERCIAL EDEDUCATIONAL ❑ RESIDENTIAL CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT: PLANS SUBMITTED: YES❑ NO❑ FIXUTRES 7 FLOORS Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB - - — ---__ _ CROSS CONN DEVICE DEDICATED SPECIAL WASTE SYS f3 f J1Z DEDICATED GAS/OIL/SAND SYS 9290 Date. / DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYS DEDICATED WATER REUSE SYS DISHWASHER "ORT:'ti TOWN OF NORTH ANDOVER DRINKING FOUNTAIN FOOD WASTE GRINDER UNIT PERMIT FOR PLUMBING FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK 'SSAcmUS LAVATORY ROOF DRAIN This certifies that SHOWER STALL has permission to perform . . 1 `ate )=RVICE/MOP SINK ' ' ' ' . . . . • • ° TOILET plumbing in the buildings of . . . . h . . . . . . . . . . . . . . . . . . . . . JJ. . URINAL at /,�� L✓I _, , North Andover, Mass. WASHING MACHINE CONNECTION WATER HEATER ALL TYPES Fee."p,. gip. .Lic. No.. �/7 4- 4, . . . . . . . WATER PIPING PLUMBING INSPECTOR Check # X38 have a current liability insurance policy or its If you have checked YES please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY ❑■ OTHER TYPE 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 [I AGENT ❑ SIGNATURE OF OWNER OR AGENT 1 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 applicatip� will be in compliance 'th all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER NAME: MICHAEL HOUSE LICENSE#17173 SIGNATURE 1MPANY NAME: MERRIMACK VALLEY CORPORATION ADDRESS: 15 AEGEAN DRIVE,UNIT 3 CITY: METHUEN STATE: MA ZIP: 01844_... _ . ..... FAX: 978 689-2206 EL: 978-689-0224 CELL: 978 884-3427 EMAIL: LLITTLE@MVALLEYCORP.COM MASTER❑■ JOURNEYMAN❑■ CORPORATION X# PARTNERSHIP❑#F=LLC❑# Date.. . . .. . . . . . .. . .. . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION • t �,SSACMUSE�t ) (( (.�'V l f ,/ l ` This certifies that . !�. .%t:.r . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . ,7 in the buildings of �l�f.t .� . . � No i h Andover, Mass. Fee. G?/ Lic. No.. .�� :J� . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# � 7q7) 7 4764 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG �y (Print or Type) 4 LI / �G . Mass. Date r z ZI Jq ` Permit * T �O Building Location Owners Nam61* 4 c A/ i�' Type of Occupancy_ 1R"I 7C N T i P New p Renovation p Replacement Plans Submitted: Yesp No p r CC � y Z fL y y N V i c o r ac W. r < m y r ;� W O O Oc y M W W = Z �' O a W W W y J Z < = Q ¢ OW Q W i— W S q4 C 0 h� r W W m Z O 2 W 0 to = Y < C < .W <W O O W O ly r Q =1010 O . SUB—BSMT. BASEMENT - 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name�r)Aeg T A . `Ain MA T A�Q Check one: Certificate Address 30 00A C H Ih A ry 4-Kf. O Corporation 111 E T H U E fJ 01 ri ❑ Partnership Business Telephone �z,92 -(7 9-7 f 2--Firm/Co. Name of Licensed Plumber or Gas Fitter '�R o a E P T A• 5 A M A 114 1 A Pr� INSURANCE COVERAGE: I have a curre�nt pI' bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.. Yes W' No O If you have checked yes. please Indicate the type coverage by checking the appropriate box Aability insurance policy 01" Other type of indemnity O 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 OwnerO Agent p 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' pe i ed for this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne laws. By Tj of License: G� We Plumb r rt ure of cen u _ or Fitter er License Number Cly/Town (OFFICE Journeyman i BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING I NAME S TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 19 i OAS INSPECTOR f►