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Home My WebLink AboutMiscellaneous - 15 WILLIAM STREET 4/30/2018N C2 O �C O C D io -+ O M, o o M 0 Date .... 7 -../3.. ...-....... 7 ........ ... e ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............. \.-T .13,4 .. ........................ has permission to perform ..97po4�4�4�E .... P—.eAlolw ............... ..... ............. - wiring in the building of .................... AOIA.le.Tr .......................... at ... 1.5' WILLtI91n 5--77 North Andover, Mass. .............................................. Fee .,53�-0'7. Lic. No.-�Fg 3.34 ................ ELECTRICAL INSPECTOR~ Check # ECTOR 7517 l�ommonweaC�� o� aasac�usef Olticial U,se I y Permit No. 2C parhnent opre Services �J L 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 �27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO TI N) Date: City or Town of: M To the Inspector 911 es: By this application the undersigned'gives notice o c�his� or her intention toerfonn the electrical work described below. Location (Street & Number) %,� (i(// //(fyyj, Owner or Tenant 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 Location and Nature of Proposed Electrical Work: Yes ❑ No Telephone No. (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ OL, a No. of Meters No. of Meters C-.7 Completion of the folloivine table ntav be waived by the0svector of hVires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- ❑ rnd. rnd. o. of Emergency`-E`ig1iTi-ng ---- Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g er No. of Waste Disposers _ Heat Pump Total Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers _ S ace/Area Heating KW p g Local Municipal ❑ Connection El Other No. of Dryers Heating Appliances Kms, Security Systems:* No. of Devices or Equivalent No. of Water KW Heaters No. of No. of Si ns Ballasts Data Wiring: No. of Devices or Equivalent No. hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work:-- (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 cov age is in force, and has exhibited proof of same tot permit issuin offs e_ CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)'/ /U�C�� /z 3/ o] 1 certify, under the ai and penalt'es of erjurv, that to information on this application is true and c nipTete. _ (Q MRM NAME: t; b/ -i �t°i✓ (C LIC. NO.: 'D 9,53 Licensee: Z) Whew -,,,I U b A Signature _ LIC. NO.: Address: licnble, enter' "exen}}fi,t"� in th�j�,license number ��.) n , /j r� Y mus. Tel. No.: y 7•'f C0 -4v5 Address: l IC, it eat Yt , / vU/ L �T�I�t 0/Ws Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security workurequires Department of Public Safety "S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nonnally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S S� N° "I /u9 VkORTM F r « Date.... Z.:................ ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............................................ ......................: 1 ......................... has permission to perform..................................................:........::...:.......:... wiring in the building of ...........:.......... ................. . North Andover, Mass. Fee! ............... Lic. No............................................................................. ELECTRICAL INSPECTOR 08/04/99 11:35 75. 00 WHITE: Applicant CANARY: Building Dep�ID Dept. PINK: Treasurer TH (19AD10NWE4LTHOFhLCSACNUSETIS Office Use only DEPARTfE'VTOFPUBLICSAFETY Permit No. R Jq BOA�D OFFTREPREVE MONREGULATIONSS27CMR 12.00 7 - Occupancy &Fees Checked ._C_._ FORWARD AI' IIT TO PERFORM ELECIRIC U WO ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS E-FCTRiC.AL CODE, 527 CMR 12:00 Q (PLEASE PRLN'T IN INK OR TYPE ALL INFORMATI0N) a I MAP DIT Town of North Andover 'i`o he Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below.PARCEL Location (Street & Number) 15 f f I 1(� r1 S Si Owner or Tenant Owner's .address Is this permit in conjunction with a buildin(� permit: Yes Purpose of Building rCS\ �e "-�k.- ` U'\,,.� ecI { v, Existing Service I ( )U Amps%20 / Wvolts New Service Q, Qo —Amps/2c) /2YOvolts Number of Feeders and Ampaciry No a (Check Appropriate Box) Overhead Overhead Underground Under round Utility Authorization No. No. of Meters No. of Meters —�F-- Location and Nature of Proposed Electrical Work 1 eU\ "r 4S ery' ('e Rol r-(0 V 1 C( C q ve No of Lighting Outlets No of Hot Tubs No. of Transformers Total KVA `io of Lighting Fixtures Swimming Pool Above Below Gcnc ators 'VA and eround No of Receptacle Outlets No. of Oil Bumers No. of Emergency Lighting Battery Units No of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No of Ranges No. of Air Cond. Total Tons No. of Detection and No of Disposals Nod of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices —�— No of Dishwasners Space Area Heating KW No. of Self Contained Detect ion/Sound Ing Devices Local Municipal Connections Other No of Dryers Heating Devices KW NO of w'aie: Heaters K'V No. of No. of Sins Bailasis No H,Grc ,Massage -uos No of Motors Total HP I OTHER - - . .. 1 - :• u : :.� • .ams• . z - • ill:. 1•••r••� - •1 ••ilr •. '-. • • -•.•:• �� B► • :.:.•• ash: •- r •• :..t- • • :••..• 1 - ••J •' 1 •- :IIy • •:�r OW' ;DZ'S NELrRANCE WA EF, I an aware that ttx Lim dDes txt have aid tip my swat this pears Ott x�.t�es its I�,ent (Please check one) Owner Agent Telephone No. PERM[ T FEE 5 Location �� i � �� S S No. 1�a Date �ORTM TOWN OF NORTH ANDOVER Certificate of Occupancy $ ` Building/Frame Permit Fee $ &C) Foundation Permit Fee $ S CMusa Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building inspector I j _ �;• Q7./16/99 14:19 32.00 PAID Div. Public Works II_ I = z ✓ `" �I.i �- r S � vim-. G; � � O O 7- 7_ I II J ~ O I Q I I I i - 7 v ✓; vii If � � _ 7 7- n I I� I o z I W J 1' LJ 1 I Cl) m m U) Cn 0 y 'O CD Z CD O CZ CL ncc O CD o p CL Cr ? —1 CD O CZ O co CD CO) CD O d O C C CO) .0 d n CD O o• CD a y. CD CO) y CD CD 0 1 a a A vm� �I V J Cn C/) 2 CT K 0 c 0 C ?� O d --4�. 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WA w ,SSACHUSE� Date TOWN OF OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . f"I. i? �`.G.�. �.�? .... Pd, �?� ........... . has permission to perform ...V- H ........................... . plumbing in the buildings of ..&)'7!... . ....................... . at ..1..!�..�.. <...._......?:� ..... ,North Andover, Mass. Fee. ./� , ' Lic. No..9"`7 .3. ....... PLUMBING INSPE TOR 12/28/98 14:35 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer — Ate.. F NORTH ANDOVER, Mass. Date BuAding Permit * . 3 °IO 1 Location - /.� Owner's , Name New p Renovation ❑ Replacement p Plans Submitted: Yes ❑ No. ❑ FIXTURES Check one: Installing Company Name— N D O V R p R G. &. H T G CO. , INC "C p, Address 573•} St1 _ I1NTf1N STRFFT ❑Partnership I A W R F N f F MA___ (11 R 43 ❑ Firm/Co. 9usiness Telephone q 7 R 6,91; - A 3 8 3 Name of Licensed Plumber — G F O R, F I A R Q S F INSURANCE COVERAGE: eC I have a current liability Insurance policy or Rs substantial equivalent Yes No ❑ It you have checked y1j, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy t/ . Other type o1 Indemnity O Bond ❑ Certificate 2122 OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my sIgnsture on this permit application waives this requirement. Check one: aturs at of or Owners an Owner ❑ Agent p I hereby certify that aA of the detaAs and information I have submitted W enteredl In above eppAcallon era bw and axwale to the bail of my knowted9s and that ail plumbing wwk and Installations performed under the permit lwmd for applkstlon will be In compliance with an pedinent provitlons of the Masuchusetls Slal. Plumbing Code end Chapter 142 of the Cierw BY TriN SignsWso4tkensedPlumbw CttylTown AP f1C WD (OFFICE USE ONLY) Ucense Number 9983 Type of Plumbing Ucanse: Master Journeyman 0 ai • M O i = Ir M 1� s Mj<. d • R �' < u < ~ • i O S le b r O ►- u y o_ to •$ s s o•e � tta 1 i tsi o o S s O s o If sup—lsMT. aAettMtNT 14T MOOR iNOFLOOR 11AD FLOOR 4TH FLOOR ITHFLOOR IT" FLOOR. YTHFLOOR LTHFLOOR Check one: Installing Company Name— N D O V R p R G. &. H T G CO. , INC "C p, Address 573•} St1 _ I1NTf1N STRFFT ❑Partnership I A W R F N f F MA___ (11 R 43 ❑ Firm/Co. 9usiness Telephone q 7 R 6,91; - A 3 8 3 Name of Licensed Plumber — G F O R, F I A R Q S F INSURANCE COVERAGE: eC I have a current liability Insurance policy or Rs substantial equivalent Yes No ❑ It you have checked y1j, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy t/ . Other type o1 Indemnity O Bond ❑ Certificate 2122 OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my sIgnsture on this permit application waives this requirement. Check one: aturs at of or Owners an Owner ❑ Agent p I hereby certify that aA of the detaAs and information I have submitted W enteredl In above eppAcallon era bw and axwale to the bail of my knowted9s and that ail plumbing wwk and Installations performed under the permit lwmd for applkstlon will be In compliance with an pedinent provitlons of the Masuchusetls Slal. Plumbing Code end Chapter 142 of the Cierw BY TriN SignsWso4tkensedPlumbw CttylTown AP f1C WD (OFFICE USE ONLY) Ucense Number 9983 Type of Plumbing Ucanse: Master Journeyman 0 Date..! 4056 ` �'<<"•��r:1tic TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING / This certifies that`77 .. f ............... . has permission to perform.-G�-?� plumbing in the buildings 4, ................. at?% -f -!�-� .. .... ..... , North Andover, Mass. Fee'I!7,Lic. No:7YAP�'.,-!n ..... PLUMBING INSPECTOR 07/22/99 13:17 29.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer (Type or Print) NnRTu eNnnVPR (Print or Type) Installing Company Name Permit Owners Name 4 Replacement (] Plans Submitted Check one: Certificate (� Corp. Partner. Cj Firm/Co_ Business Telephone 4:�V 7 Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy FZ Other type .of indemnity ❑ Bond Li Insurance Waiver: I, the undersigned, have been made aware - that the licensee of 1 this application does not have any one of the above three insurance coverages. Signature of owneriagent of property Owner Agents. l basbr aldfr Wal all of dIc dclails and inlornulion I hurt wbaoiUcd lot cnlcicd) in &twos appikaliow see lent aod�sals to Ills basil r of k"wkdgs aad lbal all plumbing crock and inilallalimu licefaimcd undcr f ctmil f«ucd for this applk-a&i" wiN be is pw�pWwp rj{� �y � �( PWI riiiraaa of Ws Maaiacbuaclls Slat' I lumbial; Codc and CZuplcr 142 0( llic Gcnual UWL it By Title. City/Town: A DDR()VF:n 70FFICF USE ONLY1 Signat re of -Licensed Plumber Type of Plumbing License License Number ❑ Master EY Journeyma ' Y 3 U cl V Date.%r�1?5• h., c, NOeTh TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .., . �. u Vi n. • • � � . �..• • • ....... • • • • •OR - cc has permission for gas installation ..L4, H .................. &. in the buildings of . ... .. s : e .................. at . ,�� . !� ! / �'.�s :.. ?.f......... North Andover, Mass. FeeLic. No.. `. 7 � ? : 3.. ... .. . . ^...... . ASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO G SFITTING (Print or Type) NORTH ANDOVER. - Mass. Date 7) 't 1§uilding Location Permit # 30 y k Owners Name Zft/ � aaiit/il/ ' New 77 Renovation Replacement Plans Submitted �] • V"s I T IDr� ---- - (Print or Type) Installing Company Name ANDOVER PLG_ & HEATING CO. Address 573 1-1-2 SO UNION ST. ANRENCE. MA. 01843 Business Telephone: 508 685-8383 Check one: Certificate . Corp. 2122 Partner. Firm/Co. Name of Licensed Plumber or Gas Fitter_ nEORnr nRncr - Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policyy�Other type of indemnity Q 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 E I hereby certify flat all of the deans and frtformation I have zubmitted (or entered) in above application are true and accurate to the belt of my knowledge and that aU plumbing work and Installations pesfomsed under Permit issued for this application willZ!Or�_� nos with all Qertlpmt provisions of the Massachusetts Slate Gas Cede and Chapter 14: of the Gcnclai Laws. B PE LICENSE: Plumber Title sfitter Sign ure of Licensed Master Plumber or Gasfitt"er City/Town: -- Journeyman 998 — APPROVED (OFFICE USE ONLY) License Number ME WINMIELEM ME IME NEES on MEMENEE so MESIMMSE NONE I SOMEONE ME MEN (Print or Type) Installing Company Name ANDOVER PLG_ & HEATING CO. Address 573 1-1-2 SO UNION ST. ANRENCE. MA. 01843 Business Telephone: 508 685-8383 Check one: Certificate . Corp. 2122 Partner. Firm/Co. Name of Licensed Plumber or Gas Fitter_ nEORnr nRncr - Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policyy�Other type of indemnity Q 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 E I hereby certify flat all of the deans and frtformation I have zubmitted (or entered) in above application are true and accurate to the belt of my knowledge and that aU plumbing work and Installations pesfomsed under Permit issued for this application willZ!Or�_� nos with all Qertlpmt provisions of the Massachusetts Slate Gas Cede and Chapter 14: of the Gcnclai Laws. B PE LICENSE: Plumber Title sfitter Sign ure of Licensed Master Plumber or Gasfitt"er City/Town: -- Journeyman 998 — APPROVED (OFFICE USE ONLY) License Number