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Home My WebLink AboutMiscellaneous - 1560 SALEM STREET 4/30/2018 1560 SALEM STREET210/106.B-0055-0000.0 i � 75 J'7 ,:? Date.. . ...!.:... �''....... i NORTH TOWN OF NORTH ANDOVER Of 4 e 1't' F? y`t`fo� .e Op PERMIT FOR GAS INSTALLATION 49 �,SSAC'MUSEtt This certifies that . .'.—' . .+. ?.`. .. . ... . . . . . . . . . . . . has permission for gas installation -. . . . .-: : . . ... :!... ..-.,.,r. .-.- in the buildings of,. . . . . . . ... . . .. .. . . . . . . . . . . . . . . . . . . at !�j'r �. : .:�. . . . . . . . . . . North Andover, Mass. Fee./. . .. . . Lic. No..fil.�7. . . �' �.. . . . . . . . . . . .. GAS INSPECTOR ' �' WHITE:Applicant CANARY:Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Al-061/-EP. //.,,,,Mass. Date 9- �,r -1p00 Permit # Building Location_- fJ�61 /IJ 97- Owner' ame OAR Aot),!5LL "" .. ype of Occupancy_ i'eslA-chxy New ❑ Renovation ❑ Repla ent,0 Plans Submitted: Yes❑ No ❑ m m a Y W N Z cc GN M U CC 1- x (A CC N rt O z W w a O U m F y z O m H a CC Z O r w a m ¢ O O m N tl w a = Z FO- N ° > 4 N W U w 2: CCN W Q CC Occ U1 h- a w W 0)tl F- US _ J N Y N W W a O > U. f- V A k W Y a w W C H r N m Z O W CW O 4r X a w > w z. < cc a C: z O tl Y a. 3 C tl J V ¢ y a a ' F- O 1 1 SUB—BSMT. BASEMENT 7 ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installiixg Company Name BAY STATE GAS COMPANY Check one: Certificate # Address . 55 MARSTON STREET )C7 Corporation 1862 w LAWRENCE, MA 01840 ❑ Partnership Business Telephone .687--L1105 ❑ Firm/Co- Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: 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: Signature of Owner or Owner's Agent . owner-0 Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and accuWe to the best of my knowledge and that all plumbing work and installations performed under the permit issu f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. T of license: Plumber Signature of Licensed Plumber or Gas Title Gasfitter Master License Number 8697 City/Town Journeyman APPROVED OFFIC SE ONLY �/5 i. BELOW FOR OFFICE USE'ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE N0. APPLICATION FOR PERMIT TO ADO GASFITTING .S, NAME i?< TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIG NO. PERMIT GRANTED DATE r.19 GAS INSPECTOR No 2 -' 60 Date...,::. . ..... t �aORTM, TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SgACMUSE� Thiscertifies that ..,............................................................................................ 1� has permission to perform ................................... :............ ............ wiring in the building of.....................................: -........................................ at... `5. �...............:............... ................... ,North Andover,Mass. Fee`? .............. Lic.No�W'-. ELECTRICAL INSPECTOR 02/23/99 11:03 50.00 PAID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer =CVMVQWi' LTHQFM4S5 C� + '�' Office Use only DLFARTAfiT#,l0FPUBLIC34= Permit No. U BOARD OFFIREPRE EVrIONREGUG4TIOAS527 �1a0 0 Occupancy&Fees Checked UWPPUCATTONFOR PERM U TO PIWORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE mmsACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMA'T'ION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work des 'bed below. Location(Street&Number) Owner or Tenant Owner's Address Is this permit in conjunction wit a buildingperm'.t: Yes Q No DRY (Check Appropriate Box) Purpose of Building Utility Authorization NO7L�� Existing Service,,-" 72 Amp olts Overhead Underground No.of Meters New Service :saw Ampp I o I t s Overhead�_Underground No.of Meters Ntvrlber of Feeders and Ampacity Location and Nature of Proposed Electrical Wo Na of Lighting Outlets No.of Ho( Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other _ Connections No:-of Water Heaters KW No.of No.of Signs Bailasis Niydro Massage Tubs No.of Motors Total HP OTHER• -- IrstranceCoaagz Rasuartbtheracltmerrtetsoftvla�ad�Gare-aiLaws Iha�eaanatIiabddyhtsxarcEPohcyurhdagCcrrrple� Caer�geor�sstbstar>liaia�rivalett YES NO F7 IhmeabngtcdvalidptoYcfsarnetotheOl�YES IfymlimedniodYES,pieasesdictetheNxofc wrWbyd=krgthe WSTIRANCE [ BOND F OTIER F-1 ftse Specify) - E#abcnDak. !?�"/� � Estirr>asdd Vahte�Elect<ical Wa�C��j�C.�C./� �� s Wodc b Stant DaaeRegtxsDod }Zotgh Fans Sigtad urxier FIRM NAME I�oer>9eNa = �c SignalBusiness Tel AICTel.Na OWNER'SI1vStJRANC WAVER Ianawatetha drLx sedoesnd theirrnratce trtls l as YyMas�x�Ccicdlaws Ira�ae � aodtlratmysign�aeait mpmruteppfimbmv i,esdista4x*m a t (Please check one) Owner Agent a Telephone No. PERMIT FEE$