HomeMy WebLinkAboutMiscellaneous - 165 BRIDLE PATH 4/30/2018 (2) / 165 BRIDLE PATH
210/104 0000.0
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Date. J&. .'��D S`
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1� TOWN OF NORTH ANDOVER
O
PERMIT FOR PLUMBING
,SSA CMUSfct r
This certifies that .l wA�. n �'`� ... . . . . . . . . . . . . . . . .
has permission to perform . . . R`? . . .�. . . . . . . . . . . . . . . . . . . .
plumbing in the
e buildings of .>�. ... . �?N S "� . .�. . . . .
at . ff S. .4��c -�Pa�. . . . . . . . . . . . . North Andover, Mass.
r.7Fee. .�.1-3. . . . .Lic. No.al?(�b . . r{� .
PLUMBING INSPECTOR ".`
1 Check x 13
6474
I
MASSACHUSETTS UNIFORM"APPLICATION FOR PERMIT TO DO PLUMBIN
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
Date Z J
Building Location S�1C/G�� wn/sNam��4��' X�/GAJ/ Permit#
Amount
TypeVf/ccupancy zql�7
New Renovation Replacement E] Plans Submitted Yes No ❑
FIXTURES
E-+
Cr Z
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A
SLlI;>Ei E
)�4g1VEW
lS>C FL"
�A IW"M
M11"
41H H-0OR
SII•IHA)OR
6II3H-OM
71H RJOM
I
81H HiOOR
(Print or type) Chec one: Certificate
Installing Company Nam G � hu
Corp.
Address Partner.
Business TelephoneFirm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indi to th type of insurance coverage by checking the appropriate box:
Liability insurance policyM Other type of indemnity 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
Signature Owner ❑ Agent
I hereby certify that all of the details and information I.have submitted(or entere in above application are true and accurate to the
best of my knowledge and that all plumbing work and i er orme ' d • Issued for this application will be in
compliance with all pertinent pro ass ac s State Plumbi Chapter of the General Laws.
PBy: ignaturF 37 License er
T e of bing License
� Title
City/Town icenseum'>[er Master ❑ Journeyman
APPROVED(OFFICE USE ONLY, ��
Date... .�!... r..
{
NORTI{
°!, • '"° TOWN OF NORTH ANDOVER
°`
p PERMIT FOR WIRING
s ,SSACMUSE�
This certifies that
has permission to perform :' �� r� .........................................
F
wiring in the building of..�_ -r r ........................................
at... �. ........ ,North Andover,Mass.
Lic.Nolems-??7*..4.....s,,�., %r.......
Fee.+O;
.......... .
\ ELECTRICAL INSPECTOR '
Check # Ile Q
<z_1N_ Commoawea(th of 141aeeachwelt-i ----•-
l,
Permit iVo.
A -epartmred ofg ire �ervices
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS Rev. 11/99) ((cave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL RI
All ,;vrk to tic pc rlonncd r,:accJcJ:uccc earth rife iviass3chusctts cicctricn,1 Cock( (EC)1 ,5'/'Ct;1R i'(10
(PLEASE PRINT IN INK 01l 7T1'L:ILL IN ORAL ITION) Date: I gyl 0' —
City or "I'oivtt of: �O (�O�l�- To the Inspector of YY�res:
By this application the under�lg11ed gives notice of his or her intention to perform the electrical work described below.
Location(Street& Numbe-) G Dt
Owner or Tenant Telephone No.
Owner's Address
Is this permit itt conjulichoti with a building permit? Yes 'to (Check Appropriate Box)
purpose of liuildeng4o L Utility Aulltorization No.
Existing Scrvicc�� Aups Ino' 1 p�.t VN`Olts O�'cnc�ad❑ Uitdk, No.of Alders
Nftiti—Service A,tpt / _VoIts Overhead� Undgrd ❑ No.of Meters
Number of Feeders and Ant,)acity
Location and Nature of Prsfposed Electrical Work: �jPj,,,.1 /77,,
n cs
- cont, Celia►o(tlre fottvuiTre table may be carved 6c the his.cctor of 1f
No.of Talal
No.of Recessed Fixtures 3 No.of Ceil_Susp.(Paddle)Fans°. Transformers KVA
No.of Lighting Outlets. 1 No.of llot Tubs Generators h�TA
Above !n- o.o . rnorgencr ignting
i
No,of Lighting Fixtures � Swimming-Pool rnd. ❑ rnd. ❑ Batte_ •Units
No.of,Receptacle Outlets /Lj No-of Oil furriers FIRE ALARAiS No.of Zones
No.of Switches yo.of Detection-arid
No.of Gas Burners Initiating F#e:,ices
Total No.of AhertiriQ Devices
No.of Ranges No.-of Air Cont}. Tons
1b.of Waste.-?is osers t HeatYvmp y_unt .r Tons K11' No.ofSclf-Contatied
p —� b`etectid.1 At=ria Devices
• 'I`o#:ilf
SpacdArea Heatitt K�V Local ❑ rylunicipal ❑ Other
No.of Disliiti aslicrs g. Connection
Sccuri ty Systems-No.of Dryers
Heath'--Appliances Kl�' Nu.of Devices or Equivalent
No.of Nater KXV of N of Data Wiring:
Heaters 'r ins Ballasts No.of Devices or Equivalent
1'elecomniunications Wirma:
rn
No.H}-droassage Bathtubs 1'40-of AIL,tors Total IIP yo.of Devices or Equivalent
OTHER: '
lttach additional derail ifdesired,a-as requir-ed b.11 ale ins ectoro(Wires.
;,awed b4 t!?c ov:ner, r., r r F lec t r' ;.ay` i�s:;c. trrfic'ss
INSC1R.Ai`C�E COti'EI;UkGE: Unicss per rttt rot the p�.forr,�ance o. e." :nc . ,:c;.n
the licensee provides proof of liability insurance including"comp.leted operation-coverage or its substantial equi;'alent_ The
undersigned certifies that such coverage orce,and has exhbitt'.d proof of same to the permit issuin-Office.
CHECK ONE: INSURANCE BONDO:(�J:IEF~`:.•'�.:.,..ec.;U. )
i
(Expiration Datc
Lstiiitated Value o :die trtcto>I:` � t� by mtriti�pal Policy.)
Work to Start, p Lispections to be requested in accordam.\c:with MEC Rule 10,and upon completion-
I i ettij, antler t to pains and para/ties ojperjur�,that the injonnation on rr.tris application is true and complete.
Fi11111 NAME: Lei°- Z ;�. `LIC.NO.: 10
Signature
LIC NO,: 10
9��1
7 ical�le t'rrlcr i trmpi"itr me icerrse number tint.) Np: - �r
AEldress: " -- ti ) �ij�`^i — Alt;`Tel.
t CO. J
OWNER'S i`IStiR:Vi`10E WAIVER:R: 1 am aware Qtat the Lic set does not have thel.fiability Insurance co:era2c rormally j
required, b lar.. 13 my si_naturc belox�°,1 lnereb}'�rai�-c this requirement. 1 atm the{chr;:k, ❑ ncr
011 ncr/;`'fc it
it � T
PLEASE FILL OUT BACK SIDE '�
s , J
- i
ADDRESS
ELECTRICIAN
PERMIT NO.
e
f Gmmonweafth of IflaejachWelff , /`2
�j Perms �
(No. 7
• 2eParlrr+en!o`Jire Services
Occupancy and Fee Checked ��'�
BOARD OF FIRE PREVENTION REGULATIONS J11ev. 11/99) (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be perl8nncd In accocdaocc wti
ith hiassarhuscus r�lcclric:)!C:.<ic(.�ECO27CNIRi_2.00
(PI.E. SGPRLAIT IN iNK OKTYPE,ILL hVVORAL171s 0N) a�la�
City or "Dow ) of: tTI Iwo— To the Inspector of Flues.
By this application the undersigned gives notice of hrs or her intention to perform the electrical work described below_
Location (Street & Number) G DCS �.
Owner or Tenant r Telephone
Owner's Address r"
Is this permit in eonjuuction with a building permit' Yes t o (Check appropriate Bos)
Utility Authorization No.
Pur)))se of Building /
Existing Scrvice02 Amps 1 O�%'olts Overhead❑ Undgrd No.of Alcicrs
New Service Antes / Volis Overhead Undgrd ❑ No.of ivleters
Number of Feeders and Ampacit-'
Location and Nature of Proposed Electrical Work: 1 jPjA,
Completion o(the follui►tinr table ma be i aicert br the!as.cctor of 1 fires
No.of Tonal
No.of Recessed Fixtures 3, 7 No.of Ccil Susp.(Paddle)Fats. Transformers KV,
No.of Lighting Outlets. S No.of blot Tubs
Generators h�rA
Above In- o.o . nnergencti Lighting
No,of Lighting i+f_ -S
Swimming foot rnd. ❑ r- ❑ BatteryUnits
No.of Receptacle Outlets No_of Oil Burzrer3
Fm ALARMS No.of Zones
No.of Detectiowand
' No.o�S%Vitches
No.of Gas Burners
Initiating F3esices
Total No.of Alertit>ig Devices
No.of flanges No.of Air Coad. Tons
HratYump ��1un� .r 'TonsKIV No.of Self-Contaiticd
0etectiostlAlertitr4 Devices
N
j a.of Waste.jAsposers `I` t blunici al
1! S acelArea Heating.KAY Local ❑ Connecplion E] Other
NoL,qo*.
of Dishwashers p Security$ystenw
Heating�►ppliances KtiY No.of Devices or Equivalent
of Dryers No of
:::
of Yater No.of Dala Wiiing:
Heaters KAY Ballasts No.of Devices or E uivalent
Sirens
1'eleco mnnunica(ions Nhiring:
No.Hydromassage Bathtubs No.of Dlotors Total HP No.of Devi es or Equivalent
OTHER:
Allrrch additional demil if desired,o,as required hr!1re Incrzc(or of{Vires. ,
for the
formance
IVSLiI2., ��:CE CO`'E1L�GE: Unless i''ed by tlrludiul�e"completed 1ptoperation"rcoverage or its ol
substantial equivalent. The"
the licensee provides proof of liability insurance me
undersigned certifies that Such coverage' once,and has exl>ibited proof of sans.to the permit issuin;office
- _ BOND [�
CHECK ONE: INSURANCE . Q 1 (ExpirationDatc)
Estiinnated�fahte Io lrirfiotf`:
{ r� lttiisisym t`c►pxlpol cY-)
Work to Start: p Inspections to be r�:luestcd in accordance with MEC Rule 10,and upon completion.
f ri rlifi', «r►rfrr t re Pais nnr/penalties ojperj«r3,that the i«Jor«ration oil thus application is tare and complete.
LIC.NO.:lad f A
l ilii\I N NIE: Lim e_- LIC NO :
Signature
W57unrber linr,) ,
"ress:
011'NER'S iySt�I2:�NCE�YAIV am aware that the Lic nsee dors not hm'e the liability uisurance cocera��crnonl)ally`•
required, b I l.�" 13.; n)y si!_nalurc below,I ilereh}'wai�'c this requirement. Ian)tllc(cbcrk e>;;c} o•�ncr ❑ _
�1�1:RM17 is(: S�
j.
•1 C1C1)11UnC\0.
PLEASE FILL OUT BACK SIDE
All Date:
L
40 RT:1�o TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACMUS�
w
This certifies that ,/1.. - '. . . . : . . . . . . . . . . . . ..
,�
has permission to perform . . . . . ... -- .-� . . . . . . . . . . . . . . . . .
plumbing in the buildings of. . . . . . . . . . . . .
at . .�G�.f r� - =�G-. . ?'%_ / . . . . . . , North Andover, Mass.
Fe :C . Lic. .. .. . . . . . .. . . . . . . . . . .
3//' r� LUMB G NSPECTOR
Check # �� ?
6543
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMDIlV
(Type or print) `
NORTH ANDOVER,MASSACHUSETTS �/ </
��// �- e&wners
Woe- /7� Date d
Building Location/lam . %C/� Name Permit#-4Lcf-5—le3
Amount
Type of Occupancy
New Renovation Replacement 13 Plans Submitted Ye No ❑
FIXTURES
FF
rn W
IiASMV9
M Rom
zD FLOOR
mR m
i 4M FLOCR
5M)H fM
6gI RfM
7hI Ha R
SIH HBMy�j
(Print or type) r7� -Chec one: Certificate
Installing Company Na _ Corp.
Addres r 0 Partner.
Business Telephone ri Hrm/Co.
v Name of Licensed Plumber:
Insurance Coverage: Indic the e of insurance coverage by checking the appropriate box:
j Liability insurance policy Other type of indemnity Bond El
Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have j�one of the above
three insurance
Signature Owner Agent F1
I hereby certify that all of the details and information I have sub d(or entered)in above a li Igi
and accurate to the
best of my knowledge and that all plumbing work a d installa erformed under Pe �t s dcation will be in
compliance with all pertinent provision e assachuset to Plumbing Code and ereral La
By: NignaWTe o1 1-11cilffsearJurnDer
Type of Plumbing License
Title
City/Town icense INUMDer Master Journeyman
APPROVED(OFFICE USE ONLY
t