Loading...
HomeMy WebLinkAboutMiscellaneous - 14 EDGELAWN AVENUE 4/30/2018 ..�A�- �!'"" n�_ r ..(� ..fs Iii r Date. 1 �. . . N2 4655 o TOWN OF NORTH ANDOVER 3a .�.r •..'• °c y ° p PERMIT FOR PLUMBING scwus� This certifies that . . .� . . .5 .`."....":`.`�.�. V. . . . .. . . . . . . . . . . . . has permission to perform . . . . ?....". . . . . . . . . . . . . . . . . . . . . . . • • • • plumbing in the buildings of . . . . u.ti.,. i��?.`.r. . . . . . . . . . . . . . . . . . . at. . . .`•�`. • . . . . . . . • • • • •, North Andover, Mass. C Fee. v. .". . .Lic. No.. �.�3.3 . f �. .. . . . . . PC UMBING INSPECTOR Check # 0 Q WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type d , Mass. Date Permit # Building Location— Ownees NaA Li��111 /V, /� Type of Occupancy F5i S -DE Iv tl �A(-_ New ❑ Renovation ❑ Replacement 2" Plans Submitted: Yes ❑ No ❑ FIXTURES P z an W Z Y a N N O z t y N z N < cc rt = ZO Z H p Z N S Q W N a 3 X M z O 9 d W ¢ < z c a of Z .¢ a ¢ o - o c rW- < = 3: 3: 0 z s Y a o ~ Z x a W w x w > H O W ~ z O O N W f' O V S < H < < S W y Q < a Q J J < ¢ ¢ W < 0 < !- 3 ,c J m H a a J 3 v i a a 's e m o SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR s 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR/� Installing Company Name I'�011E&r L) • (r m 4 T A e-'Q Check one: Certificate Address_ -)(-) C /4(Hoir1n) PJ ❑ Corporation Ir E TW o c--A)0 vi'l A 0I T ❑ Partnership Business Telephone -5177 I 9—Aim/Co. Name of licensed Plumber 'E' L r3�e-r til • ,5Ammt4- rr.4 eo INSURANCE COVERAGE: I have a current I ability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Er No ❑ If you have checked yes, please /indicate the type coverage by checking the appropriate box A liability insurance policy ld" Other of indemnity rty 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 Owner ❑ Agent ❑ 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 ormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral laws. BY 'vL.L Title re of Licensed Plumber City/Town Type of license: Master Joumeymah [3_ APPROVED OFFICE US ONL license Number � 5 Y BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES y PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER i PERMIT GRANTED DATE 19 I PLUMBING INSPECTOR 3453 Date.�'. ......... ........ NORTN TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION O p .. • 01 SACHUSE4Ay This certifies that . . ,.,, . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation .... . . . . . . . . . . . . . . in the buildings of :-!�. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . North Andover, Mass. Fee. ., C.. . . Lic. No.. . . . . . . . . ... . . . .. . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO AS FITTING Type or print) Date� 19 J NORTH ANDOVER, MASSACHUSETTS Building Locations �'� i 61(N✓�"' Permit# ;I Amount S Owner's Name =� New Renovation ❑ Replacement � ' Plans Submitted ❑ n 1 -� n 17 z c r r z z ? c z m U2n L z '•, e w z k SUB -6:1SEll ENT - ` BASE .rt ENT IST. FLUOR 2N D . FLO U R vgj 3RD . FLOUR 17 if FLOOR x: ST It . FLOUR 6T If FL00R 7T 11 . FLUOR BT It . FLOOR f-: (Print or type){ ,/J Check one: Certificate Installing Company Name r'� < � - v�Jd2� --2. /'�- G Corp. Address r-U l J Y_Fi 12 ) i n Partner. Business Telephone �y (p-U e- z v -Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: 'I I have a current liability Insurance policy or it's substantial equivalent. Yes ©� No❑ If you have checked veS•please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver. 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Vass.General Laws,and that my signature on this permit application waives this requirement. Check one: Sienature of Owner or Owner's Agent Owner ❑ A2ent ❑ ( 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 per tormed under Permit Issued For this application will be in compliance with all pertinent provisions of the iklassachuse t a Cod and Chap 112 of t General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title [�]-Plumber 3 City/Town ❑ Gas Fitter Icense (vumoer Master APPROVED(UFi--u:USE ONLY) ❑ Joumeyman N2 17 9 8 Date......e/ 0 °omTOWN OF NORTH ANDOVER I,. PERMIT FOR WIRING 41 *44T.D AcmU This certifies that ........A.....'0:.T.:..........lsf:�,;......... ............ . has permission to perform ......5.y., ................... wiring in the building of......R-L&14...... p. U /Z.............................. at..LY... North Andover Fee... Lic.No.I.a 31L...............4 ......... .......... /ELECTRICAL INSPECMR C fy WHITE:Applicant CANARY:Building Dept. PINK:Treasurer FORWARD Office Use Only of (lommonwealth of MOSSUC411 etts Permit No. Mepartmtnt of Public $afetg Occupancy A Fee Checked BOARD OF FiRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) pate 7/23/99 City or Town of NORTH ANDOVER TOgf ires: The uderslgned applies for a permit to perform the electrical work described below=MAP �! Location (Street 8 Number) 14 EDGELAWN AVENUE — UNIT #9 Owner or Tenant RUTH PROPPER PARCE Owner's Address Is this permit In conjunction with it building permit: Yes ❑ No ® (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps_ I Volts Overhead ❑ Undgrnd ❑ No. of Meters New Service Amps_J Volts Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work f Lighting Outlets No.of Hot Ribs No.of Transformers Total No.o b g KVA No.of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators • KVA No.of Emergency Lighting No.of Receptacle Outlets No. of Oil Burners Battery Units No.of Switch Outlets No.of Gas Burners FIRE ALARMS No. of zones No.of Ranges No.of Air Cond. Total No.of Detection and tone Initiating Devices No.of Disposals No.of Heat Total Total Pumps Tons KW No.of Sounding Devices No.of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices MunicipalC)Other No.of Dryers Heating Devices KW Local [3 Connection No.of No.of Low Rage BURGLAR ALARM No.of Water Heaters KW Slgni Ballasts Wiring No. Hydro Massage Nibs No.of Motors Total HP OTHER: c INSURANCE COVERAGE:Pursuant to the requirements of Massachusetts general laws 11 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES G NO O 1 have submitted valid proof of same to the Office.YES O NO O 11 you have checked YES,please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND. ❑ OTHER ❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work S 444.00 Work to Start 7/23/99 . Inspection Date Requested: Rough Final 7/27/99 Signed under the Penalties of perjury: 123141,�� FIRM NAME LIC. NO. Licensee flnnal d A_ Rrnnks Signature LIC. NO. . 1231C— Bus.Tel. No. (203) 741.4008 Address 111 Morse Street, Norwood. MA Alt.Tel. No. 4 1)97A-1.13.1 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the Insurance coverage or Its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please chock one) 35.00 -..Telephone No. PERMIT FEE S._ (Signature of Owner or Agont) ■•65r„ Date... .. ... ........ oT a TOWN OF NORTH ANDOVER 16 PERMIT FOR GAS INSTALLATION 3 o ,SSACMUSEt This certifies that..• , '%: .c. F. . . .r%` . . . . .`. . . . . . . . . . . . .a. � has permission for gas installation . . . /'. . . ... . f. . . . . . . . . . . in the buildings of . . . .:_. . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . at : . Z!.':,.-. f.,. . . . . . .. . .e . . . ."7 . . . ., North Andover, Mass. Fee,& Lic. No.t1.1. .%,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File J-) MASSACHUSETIT'S UNIFORM APPLICATION FOR PERMIT TO 00 GA F7 (Print or Type) NORTH ANDOVER a Mass. Date building Location _ gc Permit # 1 ye Owptrs Name, 'i • New '-1 Renovation D Replacement ePlans Submitted D : — FIXTUR=c � W N z is t» N as t1 a h a N .p 0 O U lW = h F' S N c; N a r z. z o r Us G1 d W N h W W O 0. Cr W h > 4 W � N O U u61 cm W 4 0: a c w W W Q1 W z Q .'^ a = a CC w ~ w U x L7 Q O h l J C4 Z t~ h >- N O ? O W0 m x Q ,tu > G W O 2 6 G d d O O WCr O W l x =10 0 = U. U ,1 o x y a a t- o SUR-BSMT. , 1 BASEMENT I 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) -'/WCheck one: Certificate Installing Company Name �/ Corp. �— l�5 Address j�3 50 ,,Z," Partner. Firm/Co. / C Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policyOther type of indemnity u 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. Signature of owner/agent of property Owner U Agent 0 1 hereby certify that aU of the dcuas and information 1 have submitted (or entered)in above application are true and accurate to the gest of mY knowledge and that all plumbing .cork and installations perfomted under Permit issued for this application will-be in compliance wi all ncnt provisions of the Massachusetts State Cas Code and chapter 142 of the General Laws. By TYPE LICENSE: Plumber �.'/w T Title 9 1094 Gasfitter Signature of Licens d City/Town: Master Plumber or Gasfitter Journevman APPROVED (OFFICE USE ONLY) Licens 0umber