The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 131 WATER STREET 4/30/2018r .i 0523 Date./.......Z.7-�//.... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........... ,1-................... has permission to perform�CG ter' � fT� ................... ............. wiring in the building of ...... a ./.. .H7 .e.. ........ /....... ��......... ................ at ..../,$./ ...... 7 .......... ........... , North , doves; ass. �..... Lic. No.Fee ....7-1......�r ELECTRICAL NSPECTOR Check #, 6 D e - � ID 0 m pMw 0. 0 g qaa*' r'• two ❑ o a O O �N •� � � N 4_i � � aVi � pct .�0• moi' y q O + 1,20. :..A P. O U yam-' NN a O -E O 0) 0p N O44 U O 11V-tii Q cd c 0 [cdy O a� q N d 2 cd ck �ami �� •st- q � c � o r b y m O d O d ho 0. "H 't V 4a N d ,~ O O n q m O OO"' ;� Fi Rd M O y E, 44a O O t O 4 U N ypp.. .0 d0 q, t b . C ' a'qi 3ib,y E5 q MO" ov �p#e F 0 O. y A4 O N a/ fin/ / Official Use Only _ Lolnmortcuea�fh o� !/�cr.�sachct�eil6c Y Permit No. .�epartrtento/Fre �erviceb --- -- � BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1 Occupancy and Fee Checked /071 (leave blank) APPLICATION FOR PERMIT TO PERFORM- ELECTRICAL WORK' All work to be performed in accordance with the Massachusetts Electrical Code'(MEC),:512.00 (PLEASE PRINT IN INK OR TYPE ALL INFOR NATION) I) ate :1.1 . City or Town of: Q o v,-4� To the -[:?Spector of wires By this application the undersigned gives notice of his or her intention to perforin the electrical work described below. Location (Street & Number) Owner*or Tenant ..a. M 1'e �-0 Y-, Ar- Telephone No.T2J-�6 Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service .Amps / Volts Number of Feeders and Ampacity Yes ❑ No [] (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ •Undgrd ❑ Location and Nature of Proposed Electrical Work:R? No. of Meters No. of Meters ('mmnletion -0ha fnlin ,; 1 T 1 ... :.. ! c...r__ r._____._-. _S--___ No, of Recessed Luminaires --.- ._•••,••„ •, •,, i.......,.,. -Ii.-- No. of Ceil.-Susp. (Paddle) Fans �c Wwi VGu U�CRe 1rW]Yewur u1 it lrL, Pt9. of I otal Transformers KVA No. of Luminaire Outlets No. of Piot Tubs Generators KVA No. of Luminaires S !immiiig fool Above ❑ In- ❑ o. of emergency aghting rnd. arnd. Battery Units No. of Receptacle Outlets No. of ,Oil Burners FIRE ALARMIS No. of Zones No. of'Switches No. of Gas Burners No. of Detection and -- In_itiatintr Devices No. of Ranges g Total No.. of Air Con.d. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number Tons KW No. of Self -Contained Totals: Detection/AIerting Devices_ No. of Dishwashers Space/Area Heating KWLoca unlch ❑Other o . tion No. of Dryers Heating Appliances KW ecurity S sterns: r 1'l0. of Water KW No. of No. of s or Equivalent 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: � - 3/ � a �" . attach additional detail Ydesired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 6 S" (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 [N BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ofperjury,-fhat the information. on this application is true and complete. FIRM NAME: X '' < LIC. NO. L X51 3censee: CL ?' KSignatu � LTC. NO,: (Ifapplicable, enter "ezem t" in the license number —e ., Address: _ C.�-i r, � Ory) 'Dr. , l �s U I-{ O c3� Bus. eI. No. + / Alt. Tel. No.: `Per. M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No, 0017.53 OWNER'S INSURANCE WAIVER:. I am aware that the Licensee does not have the liability insurance coverage noribally required by Iaw. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner LJ ownei's anent. Oyiner/Agent dvz- Sigpaturc Telephone No.�'ER1V�W FEE: $ 7 -=:'.AsP;EGISTERED SYSTEM CONC T bP,,=•'.'.: = - _•:+ISSUES IHEABOVELICENSE Tb: : - ,:•eDT;S"ECURI I -Y, S_ERVICL :rINC::,:.'i..:: - MARK�:p :BROPHY:: SR Oi'UNIVERSITY.-AVE • 'IN ;�)ESTWQOD MA:.02.09.0-231.1.:';�: ((4°.45 C 07/31/15 :849174':.'. • +,�+,� ,111 + rr w+❑ cJl• •tri• i 'r'U — y�a •Iq� +.. .. C ' r.'.:: . • "Fob. 7Trn Del3cn alonq.AV P%r:omdoru Keep top for receipt and change of address notification. DPS -CAI a 2514-10."J9.10162009LICENSEFORMI r--\� DEPARTMENT OF PUBLIC SAFETY License Atg Number:' SS CO 000953 �Expires:02/07/2013 Tr. no: 195.0 - S -License: ADT . MARiiA BROPHY•SR' 410 UNIVERSITY AVE 1! WESIINOOD, IAA 02090 DIG SAFE CALL CENTER: (888) 344-7233. j Commissioner r 9 '16 Date ... `.. ..l. . . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �SACNUSt' This certifies that .. -!rU ...... !`' '... .. ...... � has permission to perform ... >>e� )< ....... .. .....� .....1 plumbing in the buildings of .....r. ..!r!�'..'J..4......!& 1/X......................... . North ndover Mass. Fee d l . Lie. No... 5Z Z�d.. ...... PLUMBING INSPECTOR Check # �� 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) 1v O ►171x' IA r1 D D\? -e-A-,Mass. Date C?--? 20 f i Permit # Building Location 131 ( *I -.e A- 5 T Owner's Name 13,q 1 4,v,, /, 4AA Owner Tel# Type of Occupancy D LA --61 I r �g New ❑ Renovation ❑ Replacement ❑ Plan Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name ? n �� 11'►f► P-1- }.{- Check one: Certificate Address ti "L [ ✓ly 5 S 5- ❑ Corporation S 4 �-[. �i', a 3 D -7 9 ❑ Partnership Business Telephone #. C -e t-[- 27 L4 O I Q Firm/Co. Name of Licensed Plumber 5' .4 L* -e— 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 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: Owner ❑ Agent ❑ Signature of Owner or Owner's Agent i nereny certny mat au or me aetaus ana tmormanon t nave sunmtnea for enterea/ m anove appncanon are true ana accurate to the nest or my ttnowteoge and that all pl robing work d i tallations performed under the permit issued for this application will be ' co liance withall pertinent provisions of the Massacl et 'tate ,l4 C de and Chapter 142 of the General�Tn By Yy I✓,( _ Signature of Licensed Plumber j Title Type of License: Master, Journeyman ❑ City/Town a APPROVED (OFFICE USE ONLY) License Number q Z Z