HomeMy WebLinkAboutMiscellaneous - 1600 OSGOOD STREET 4/30/2018 (27) Power �.
9454
Date... ...........................
f NORTH 1
s?°•t�`'°-.•�.."°O� TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
S�cHUSE�
This certifies that ...... ............ ....................... ................................
has permission to performer ..
.................................................. ...
wiring in the building of......x Z .z L........ ...l� .�,.�..'...�...................
/ �/...............G-j Gv _ S dMass
Lic.Nq/�
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LECCR[CALINSPE R
7 �
Check #AWY
Commonwealth Of Massachusetts
Official Use Only
+ Department of Fire Services Pernnt No.
BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked
[Rev. 1/07] nave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL
WORK
yORK
All work to be performed in accordance with the Massachusetts Electrical Cod 7
(ME ),527 CMR 12.00
(PLEASE PMT flV PX OR TYPE ALL INFORMAT1OA9 Date: 3
City or Town of: NORTH ANDOVER
To the Inspector of Wires:
By this application the undersigned gives notice of obis or her intentio tp perform the electrical work described below.
f ` Location(Street&Number) ct S�. �r�� c, 20 3rel Lc"'I
�erls
Tenant �Z �� -,Ij"i `-r.. �1 !-
� Telephone No.
Address D 0,0 ,�� < <A, 3O ZF1a�2
C J Is this permit in conjunction with a building permit? Yes No
Purpose of$uilding � (Check Appropriate Box)
Utility Authorization No.
Existing Service Amps / Volts Overhead
❑ Undgrd❑ No.of Meters
New Service Amps. _ / Volts Overhead p
Undgrd ❑ No.of Meters
Number of Feeders and.Ampacity - f.�-GJtlj f ZC l2dcl�1p
Location and Nature of Proposed Electrical Work:
�' ita�c 3 Go s Ff , d A)� Stb/ L" Soc,f l fz ti k fi
CC IC Sf__j-j owes
Com leh'on o the ollowin table may be waived the Ins ector o Wires.
„ No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.of Total
No.of Luminaire OutletsTransformers KVA
No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Abd e r7 in- ❑ o.o mergency tg g
d• Battery Units
- No.of Receptacle Outlets No.of Oil Burners
FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
No.of T°�
No.of
Ranges Air Cond. Inatin Devices
Tons No.of Alerting Devices
No.of Waste Disposers eat Pump Number Tons _ KW o.of Self-Contained
Totals: Detection/Alertin Devices
No.of Dishwashers Space/Area Heating KW Cal❑ Municipal
nn ❑
No.of Coection OtherDryers Heating Appliances KW Security Systems;
No.of Water No.of No.of Devices or Equivalent
Signs BBall
Heaters ' al of Data Wiring:
Ballasts . No.of Devices or E uivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telec imin dcations Wiring:
OTHER: j No.of Devices or E -`valent
A _ JG�t(C S 0� S
* IQ'0�� Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value f E ectrical Wo /(/
Work to Stark / l . (when required by municipal policy.)
Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE O RAGE: 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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 79 BOND ❑ OTHER ❑ (Specify:)
I certify,under the ains andpenalties o u that the information on this application is true and complete.
fP�7 ry,
FIRM NAME: f &C 1k, Col.
p D
Licensee: 1/Va'f /r�,,"- LIC.NO.:/ �Q3 All
�i` �V- �D 14�_oSignature �✓.
(If applicable, enter "exe pi' ' tile lice a numb�r�lin .) LIC.NO.:
Address: � 4 P. JCC �'Wt Al., 03 0 7 f Bus.Tel.No. -60
*Per M.G.L c 147,s 57-61,Security work requires D afety„ „ A.lt Tel.No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee dotes not have the liabilityLic.No.
required by law. B m signature y q insurance coverage normally
By y gnatnre below,I hereby waive this re uirement I am the(check one) ❑owner ❑ owner's agent
Owner/Agent
Signature Telephone No. PERMIT FEE:S
■ `�
� r�
0 i -�i �� �' 7�0
Date/T .
NOR7N TOWN OF NORTH ANDOVER
'• O
PERMIT FOR PLUMBING
• S°•,r� a
,SSACMUS�
i This certifies that X�Ll
amc.14.?�«1(�.S�� r. . . . . . .
has permission to perform . . .Pl . .S�I
plumbing in the buildings of bh ::-� . . . . . . . . . . . . . .
at. . ./z"C..U. . .Q S'y.( P. � , . . North Andover, Mass.
L
Fee. O�.�.Lic. No. //721. . . . . ,. �� 'p�;. . . . . . . . . . .
PLUMBING INSPECTOR
Check # U G
_8665
'MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 PLUMBING
(Print or Type)
/\
In tl�-� . Mass., Date (3ly� ,� Permit # J
Building Location��,��s _ Owner's Name
co!LjeC Type of Occupancy LLL.4�c 1
New ❑ Renovation ❑ Replacement ❑ Plan Submitted: Yes❑ No
FIXTURES
z x Q(
z x < s+
N y O z = yW o/
W Y J 0 t V F N O O N W
O Z N < OC Z N z O z a r
O W r w N r V w Y < N W z d ` )t
Ain V z < m a W r < r N ? p < en C o<e d S O Y.
rz W 0 n < y Q < W N Q J z p p p r
W z 5g IL W LL Y W
r V > r O z tL ' I F. z O Q y _z _Z .W } O 0 7C
i Y J m N C p J z r W d , p 3 C 0 O
SUa-BSMT.
BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
\ STH FLOOR
6TH FLOOR
7TH FLOOR '
STH FLOOR177.
Installing Company NameINC. Check one:. Certificate
Address 1 81-V (�Corporatlon 1
❑ Partnership
Business Telephone—TBA l3• 1'0 �1 ❑ Fl�/�,
Name of licensed Plumber • MLC UAP
INSURANCE COVERAGE:
I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142:
Yes No" No ❑
If you have checked des, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy WOO" 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 ❑ Agent❑
1 hereby certify that all of the details and information I have brrdt J(ore red)in abo plication are true and accurate to the best of my
knowledge and that all plumbing work and installations pofformed der � or this application writ be in compliance with all
pertinent provisions of the Massachusetts State Plumbi Codp- '4' f oral Laws.
9n
Title alure of U umbe
City/Town
Type of License:Master Journeyman❑
lft2 (O I NL license Plumber I
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES � � PROGRESS INSPECTIONS �
FEE
NO,
APPLICATION FOR PERMIT TO 00 PLUMBING
NAME A TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 1S
PLUMBING INSPECTOR
- 9525
Date...... 7' .d .:............
NOR1M 1
° '° '• " TOWN OF NORTH ANDOVER
. o
' PERMIT FOR WIRING
This certifies that ................. 1.:.�. ..........-� � . .T ec..................
d'
has permission to perform .........
Derc v! t.l �r'.... ..................... .... .........
wiring in the building of... ZZ3 /................./. . ..................................
at.....l.f ! . . �......%...............'`'c� / North Andover,Mass.
Fee..4:!F Lic.No. Q,j ....r� t�f., !L�L� . .........
EcecrxIc�►c.Ixsee�hoe
Check � ��
.� VU111111U1IWCa1L11 U/
Department of Fire Services Permit No. c
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/0711
M L ]
(leave blank
0
i
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrica�Tl(MEQ,527 CMR 12.00 t
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2 0 2-0 I O
City or Town of. NORTH ANDOVER To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) I WO ®S at 5t• O1 cxia L 4"1'�J 6u.,k A i Ni 2-Ot &-A F Lvcd
Owner oenan o i`� r 3 .5g clay E' CUrc-i' Telephone No.
FF r Owner's Address bC�O 04J4 S{• ` 2rO t �"`' �"`� 3��5 a
61 r 2®1Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building 64+�Q Sf kc< Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: #J f P2 C 2�i) D cc CU
Completion of the following table may be waived by the Inspector of Wires.
of
No.of Recessed Luminaires No.of Ceil: TransSusp.(Paddle)Fans Total
Trsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting
rnd. grnd. Batter Units
No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons g
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
.. . ............................... .......................
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
�o Attach additional detail if desired, or as required by the Inspector of Wires.
Estimated Value olf Electrical Work:V 0019 (When required by municipal policy.)
Work to Start: I I Iq 10 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE C V RAGE: 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 suchcov age is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE V BOND ❑ OTHER ❑ (Specify:)
I certify,under thl�e pains and penalties ofperjury,that the information on this application is true and complete``.
FIRM NAME: F`i LL Eter, Rt c Cc,— '�`s,P c , LIC.NO.:I04 4
Licensee: We-!1v%C W. S i Pr S Signature LJg w�.-•�� LIC.NO.:`k50,3
(If applicable, enter "exempt"in the license number linea A Bus.Tel.No.d 403'74S-f 722
Address: .S'•'I'C.!'1 0301T Alt.Tel.No.:
*Per M.G.L c. 147,s.57-61,security work requires 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 normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner ❑owner's
Owner/Agent PERMIT FEE: $
Signature Telephone No.
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