HomeMy WebLinkAboutMiscellaneous - 1337 SALEM STREET 4/30/2018 (2) 1337 SALEM STREET
210/106.A-0126-0000.0
y'I'R,MASSACHUSErrs UNI17OHN1 AI'1'I_I�:n'rloh4 1 C)n PERMIT TO DO GASFITTINO 6c��
1 ! (Prfnt•or Typo)
0ru P6
1—Q!— formal 0 0
qullcllnu Lnr,ull„n.. 3 .._S LEs'r? r+wnnr'a
Nauta
P New
Acnovatlon lcl>accrncnt
vy
„ Plans Submitted: .Yap
No
► Y,
vt ta i
w u,
N
ul IC �r urLIJ
1`13
W ul f t1 ul }' In ul d ly 0 O > W
` ti /F;1�' urs!'µ X I+• 1
to ui V O •r LL N W J � �..
d ur n: irr ` r c�i uxi n G
0 l7 s: •���"J++
u: 'x it. :� c r� u
.r J u ¢ Y o off,
SUB—aSMT.
DASIIMENy+
T 1 s -- — Ip ,,
t 'IST FLOOR ,;jgl t ( t , t
s %2ND FLOOR 77 7,.71
v OnD FLoon
rr 5 >t 4TH FLOOR
o 7 STH FLOOR
I,A tt ll etH FLeor
,t.� !
w: 7TH FLoon
aTH FLOOR
�k' ' ` r Insta Ung Company Namc r A,/4i
�. + , _ __ . _ f'f;`
r' riy�d y �dy . r1 [7 b Q
-- Chock one:
-"'Add Cartificalo #re, Corporation
15-17 v
Btisl�es�Telcphone O
` t t O Firm/Co,
1 Name of Ucensed Plumbcr or Gas FlUcrL6
"INSUnANCE COVERAGE:
1 hayo a curry liability Insurance hollcy or Its euhr.lanll,l rrinlvalcnt which rnects lho roqulramanla of MDL Ch. 142.
rwYon Nc� O
' a �PL± S II OU hav0
C ee�kery,d e,., Please indicate, the t1saIc I„Y
avmhcc kltq 11i.t1e� appropriate)OX
" f
A<Ita;r (DTcrIyI? . rlnblit insurancepOIICyYrr
t
OWNER'3'IN'Snd
URAJCE WAIVER: I om�awarc lltat fit(: rn.,r.(, rlr.�r
Chapter 142, of the Mass. Gcncrnl Laves, nnri lital J,IV ab,ncrlinr r„t [lilt.�,l niiltap he Inion nce c lhla'araroqu quIrod by
il
C eek
;Ona Ufa o not or nora �WPart]
Agent -
O
ffhereby eorU that all of the details and inlormalion I have subnlillnd(or onlerod)In above applicallon aro(rue and aoeurale to the be Of fny
f _ knowledge and that all plumbing work and Inctallatlons rturiormml under III 7nnnitInsuod(or this application will be In compliant wl
WfUnant provlalons of tho Massachuaalla StLto Gns Cod
o and Chapter I A2 0'Iho Gnnoral. s; Q lh all
h .v,.�•, :...
i f'r att {rfldJ il. 1' on er Llcun::"' /J "� • M' .._��
y,Tl�le" J'luml,cr gn.luro o '
^it A f- G'I Slillnr Can m of of 1 er
I i
Y
� Ly
a'
r. .
,
'4 _
COMMONWEALTH OF MASSACHUSETTS
BOARD IN PLUMBERS AND GASF TIE IMPORTANT NOTION
PL RLG1S'I'LRELl AS"A' �PLUMB�NCORP PERMITS FOR PLUMOINOAND OAS PITTINU
ISSUES THIS LICENSE TO INSTALLATIONS ON STATE OWNED OR USED
FACILITIES MUST BE FILED AT THE
TYPE THOMAS R GAGNON ':f1 OFFICE OF THE STA TE BOARD,
}a;
PO BOX 8860.1
SALEM MA"'01971-8860
674686 1524 05/01/96 674686
Iml TIP-
a •
COMMONWEALTH OF MASSACHUSETTS
BOARD IN PLUMBERS...-AND- GASFITTERS IMPORTANT NOTICE
y' PL LICENSED AS-,A�T9•ASTER PLUMBER. PERMITS FOR PLUMBING AND OAS FITTING
ISSQES'THIS LIC NSE TO INSTALLATIONS ON STATE OWNED OR USEI
r� t� FACILITIES MUST BE FILED AT THE
TYPE THOMAS R',GAGNON 1 m� OFFICE OFTHE STATE BOARD.
:..
—M
• PO BOX 886.0, W ,�
SALEM _ A°01971—..8860
691783 10136 05/01/96 691783
I
COMMONWEALTH OF MASSACHUSETTS
BOARD IN PLUMBERS AND GASFITTERS IMPORTANT NOTICE
PL LICENSED AS A JOURNEYMAN PLUMBE PERMITS FOR PLUMBING AND OAS FITTING
ISSUES THIS LICENSE TO INSTALLATIONS ON STATE OWNED OR USI.FACILITIES MUST BE FILED AT THE
TYPE THOMAS R GAGNON OFFICE OF THE STATE BOARD.
—J
PO BOX
8860, <
SALEM - —
;01971 8860
691784 18597 05/01/96 691784
w
•. � ✓he U/oivJxanu��/�o�✓l(.tUJ(ce�rwe/(J 7—
Restricted To: 00 . 13428
j DEPARTMENT OF PUBLIC SAFETY
SPRINKLER CONTRACTOR LICENSE
Nueber: Expires: Birthdate:
SC, 002265 08/31/1997 08/31/1957
Restricted To: 00
2018Date./.�7 .2./�g1. ........ «'
7
"ORTM TOWN OF NORTH ANDOVER
OF
J' y° .6 O
o PERMIT FOR GAS INSTALLATION
♦ o
°•r•'4y
9SSACMUSEtC?
Ln
This certifies that . .
has permission for gas installation . .0-' . , , , , ,
in the buildings of . :!'�o.`n. . /3 t wk z.��. . . , , , , , , , , , ,L
at . . . . . . . . . , N Andover, Masf
Fee. ./ .,.. . . Lic. No.IQI A3 . . . . . . .
GAS INSPECTORP
F WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File
The Commonwealth of Massachusetts ffice Use OnlyT�
�r_=-l- setts �v y
a
Department of Public Safety
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Fee Checked
-
V
3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL
All work to be Performed in dance with the Massachusetts Electrical Code,527 CMR 12:00 WORK
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION `
Date-
City
ate_
City or Town of_ _dV U• sg�y2�
'The undersigned applies for a permit to perform the electrical work described below. To the Inspector of Wires:
Location (Street & Number)_ .� ��;IY S`7N
Owner or Tenant J•f`c'uP, Cko- o,��
Owner's Address / 3) Sc(e,�, N. Ak 4/1 ✓n
Is this permit in conjunction with a building permit
yes ❑ no
(Ch•';k Appropriate Box)
Purpose of Building
Utility Authorization No.
Existing Service /D-Amps fr(}volts
Overhead Undgrd El No. of Meters_
New Service Amps i
Volts Overhead ❑ Undgrd ❑ No. of Meters_
Number of Feeders and Ampacity ('
Location and Nat-.,!e of Proposed Electrical Wor
1GclYr1 ,/t �l.ft° h
No. of lighting Outlets No. of Hot Tubs TOTAL
No. of Transformers KVA
No. of Lighting Fixtures Swimming Pool Above In
rnd.❑ rnd❑ Generators KVA
No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting
Bette Units
No. of Switch Outlets No. of Gas Burners
FIRE ALARMS No. of Zones
No. of Ranges TOTAL No. of Detection and
No. of Air Conditioners TONS
Initiating Devices
No. of Dis osals HEAT TOTAL TOTAL
No. of PuNo. of Sounding Devices
m s TONS KW No. of Self Contained
No. of Dishwashers Space/Area Heatin KW Detection/Sounding Devices
No. of Dryers Heatin Devices Municipal
KW Local ❑ Connection ❑Other
No. of Water Heaters KW No, of No. of Low Voltage-
Signs;
Ballasts
Winn
No. of Hydro Massae Tubs No. of Motors Z Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy fflcluding Completed Operations Coverage or its substantial equivalent. YES U NO [II heave submitted
valid proof of same to this office. YES VNO ❑
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE 2 BOND ❑ OTHER
❑ Please
( Specify) f
S 10 c7J
Estimated Value of Elect 'ca (Expiration Date)
Work
Work $
Work to Start G'0 Inspection Date Requested:
Signed under the penalties of perjury: q Rough Final (JI t( C4/(
FIRM NAME Qcfiies
LIC. NO.
Licensee 1(: G� )r, /, _�� /G
Signature
tqMassachusetts
dress n LIC. NO._�
�� (` .f�1 �/_ ire
Bus. tel. No.�7) 6�-356�6�-356NER'S INSURANCE WAIVER: I am aware that the Licensee doesAlt. Tel. No.General Laws, and that my signature on this application waives this insurance requirement. Owneror its s substantial equivalent as required by p.�
9 (Please check one)
(Signature of Owner or Agent) Telephone No. PERMIT FEE $ v
Date....... ...... ..7,,
2507 . ......
NORTH
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
7SSACMuSEt
This certifies that ...... ......L ........... ......... f-.................
has permission to perform ........ .............T4 ..................
10
wiring in the building of...............(....... ............. ................
at...............-...................................:-......................... .North Andover,Mass.
Fee—z"c'.. Lic. ............................................................
ELECTRICAL INSPECTOR
08/,29/)5 15:07 15.00 PAID PINK:Treasurer GOLD: File
WHITE: Applicant CANARY: Building Dept.