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HomeMy WebLinkAboutMiscellaneous - 15 COMMONWEALTH AVENUE 4/30/2018 / 15 COMMONWEALTH AVENUE 210/002.0-0013-0000.0 Date.................................. i AORTFl °fs"`°;•�"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 41 ;,SSACHUS� This certifies that �v t T y has permission to perform .........._...... m.h............ a'' '.. ................... wiring in the building of l /.! ..r� . .��..� E t at............f.5... ?..HCl—!.l.•�1.cC ...... ,North Andover,Mass. Fee... OC-....... Lic.No..% ..Y, R?�5....... ' I ELECTRPICAL INSPECTOR Check # 1tv 6 "SI —n wimmvjurrvfrlJt,'MrZt;/7' Pam*No, BOARDOFFmPREvayn IVRBGVLA1YMsvadR,aim OCCUPWICY Fees Checked �••� APPUCATTONFOR PERMITTO PERFORM ELECTRICAL WO IDIV ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSrS MSCMK:AL CODB,527 CMR.12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Da r / Town of NOM Andover TOIL Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amp��Volts Overhead Underground No.of Meters New Service Ampe..../ Volts Overhead Underground M No.of Meters i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work k t C,17 Na of Lighting Oudw Na of Hat Tube No.of TOW Na of Lighting Phoma Swhwning Pod. Above Belem KVA s Found171 KVA No.of Racepteck Oulu Na of On Borosn No.of t.nrcrgerx:y Lighting Battery Udu Na of Switch Outfits ' No.of an Hotams Na of Rants No,of Air Conti Tout FIRE ALARMS No.of Zarin Toto Na of Dispoub Na of Had Total Na of Dea cilm andPumps Tom —xw No.of Dishwuhen Space Ams Heatbg Kw o.of ag wksDevlD Na of Souadiq Device Na of Self Coambed Dnim Na d Dryen Heating Device KW L��a�g%Wcipd Other Connections No.of water Hester Kw Na d Na d Sion Bdtssb Na Hydro Mauge Tube Na Of Moron ToW HP OT'1iER• r hLIM aeCbwIFF11101111=9100001110111 Iaws Ihmaa=VLiehallR Jia=i=FAyinditCm;ft tt�bsubslahYegiivaieit yo Q Ihtrresubmikdveidptadd bite Y$9 ayoufta►ectieduiY®,phole htypedeo�a� 2,U ANCE l013 mm 13lpiraliaoDo fO WodcbStaR D* q * V�dElitsicalWadtS under Pe�bof � FMM1VAN>8 �� seT77? LiarnNn Bits<lds'IM% 7777777 GW1,WSP&iAI�WANFR;lanawae Lios� �' AlIMNo arddNaWs itnan is'mritappla� aliteq� `�oriba>�lWa}ivabtasas�aedg'MassadaaelelCma�ILawrs (Please check one) Owner Q Apt Telephone No, PERM M FEB I Date.. . ,F�!,e!.G. ... . ,to 04 3r py. „ao ,s1tipL TOWN OF NORTH ANDOVER • - PERMIT FOR GAS INSTALLATION SA NUSEt� '�sW,v,,.-.....,.... This certifies . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . ., !3. . .": /"'-' . . . . . . . . . . . . . in the buildings of . .!.t.4!. . . .'. ..r. . .. . . . . . . . . . . . . . . . . . . . . . at .j/,S. . . e��. !Lk. . . ., North Andover, Mass. Fee. ., .(s . Lic. No.. 7tl I`[. . . . . . . —� Z GAS INSPECTOR Check# N 5690 �N MASSACHUSETTS UNLFORIvI APPLICATION FOR PERMIT TO DO GASFITTING (f tint.or Types Mass. Date Sd — .7 �' �� Permit fl #/ ` Building Location_ _C(}h�10P L-LA'M_Z,�Ownei s Name / /�Nk Type of Occupancy New 0 Renovation © Replacement 2- Plans Submitted: Yesp No C] N 1G w H z � to rC O > tn = F wJ N W 0 o u �- c. � Z '� ;o r w z d ca V3 o o M c- 119 Z U W UI jcc In O ' w :j t- z } w w o > w H w 1 w a w > ¢ Wa z. < ¢ 1 a s m p 0 + SUB--BSMT.. UASEMEN7 t y ST FLOOR 2111) FLOOR:, 3RD FLOOR 4TH FLOOR STH FLOOR TH FLOOR , 7"TH>FLOOR BTH FLOOR Installing Company Name, Gj Z 41/14.IL'/,C_ Check one Certificate # Address /L10/'Z ( corporation "I�A-S5 C1, partnership Business Telephone: � p FI r /Co. Name of Licenser! Plumber or Gas Fitter'_ '_DL cl�Lz INSURANCE COVERAGE:. I haven current IIWltty Insurance policy or Its substantial equivalent which meets the r.equlrements of MGL Ch. 142. Yes tT' No.D If you have checked Yes. please Indicate the type coverage by checking the appropriate box: A liability insurance policy Other type of Indemnity 0 Bond 0 OWNER'S INSURANCE WAIVER: t am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General Laws. and that my,slgnature on this permit application waives this requirement. Check one:. Own erO. Agent p Signature of Owner or Owner's 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 ilia permit Issued for thls.application WH be in compliance with ali Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the.Gene a1 Laws. T e of license: "y Title' f lumber Sig to e o c nae um eI1r or Gas a9rler — sfiltor aster license Number `Y MINCity/Tow- Journeyman MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) - a s%916 tAC-2,,*' Mass. Date 7' 19Permit Building Location �.`� _ /1.Jd�i'�17f -6,l Ownees Nam�!!S _ f11. - ✓� Type of Occupanry_ New ❑ Renovation ❑ Replacement Plans Submitted: YesQ No ❑ N N y¢j y Y = W. N cc x NGZ7 NWtQ7 QWm N O J N O o = V mZ NfZ- =O W .CC z W 0cO usW0 W > %L OEG WW W � O WfA FC Z m < W to Z O .4 W O+ N S a W > CC W O Z. < fL < t O O W O W �' = O tl 2 1a. 3 0 t7 J V > C a F- O SUB—BSMT. BASEMENT ISTFLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name '^'A_(Z T T :-' -lm MA T 0�0 Check one: Certificate Address 3 i_, ODA C H/h r4 ry i-NI, ❑ Corporation 111 r 7 H U e tJ 01 rl U ❑ Partnership Business Telephone — 7 9-7 ( 2- Firm/Co. Name of Licensed Plumber or Gas Fitter �2r?jaE 12T A- aAmm H-FA&D INSURANCE COVERAGE: I have a current I' bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked Ye, please Indicate the type coverage by checking the appropriate box A liability insurance policy old 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 Q &gnature of Owner or Owner's 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 performed under the pe ' i ued for this application ' be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of Welt Laws. BY T of License: 4G� Plumber n ure of cim u _. or Fitter Title tter 8333 er License Number City/Town O IC N Journeyman u 3j Date. �!' :..�.. ........ JP NORTH TOWN OF NORTH ANDOVER 0p9 PERMIT FOR GAS INSTALLATION SACHUSEtt This certifies that . . . . . . . .:!. . . . . . . . . .'. . ... . . . . . . . . . . . . . has permission for gas installation . :. . . .`. . . . . . . . . . . . . . . . . in the buildings of . . . .�.'. . . . .?. =' ! . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . .. North Andover, WIss. Fee..'::. .'. .'. . . Lic. No..`.'1 .>.%. . . . . . . . . . . . . . . . . . . . .. . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer