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Home My WebLink AboutMiscellaneous - 17 HEPATICA DRIVE 4/30/2018 17 Hepatica Drive r 1 BOULDING f 4 Date... ............................ y f NOR7M 1 3?;!`.e��'•�'•"°O� TOWN OF NORTH ANDOVER ` = PERMIT FOR WIRING ssA US� This certifies that �f S r has permission to perform .................................................................. wiring in the building of /Z.........� u '� �� G - at........ .. . ...`.. .......... (r-......... ........,North Andover,Mass. F Fee. Lic.No.&y7. ......... ELECTRIC ItasP MR Check # / �l 9375 Cominonweelth_of Massachusetts Official Use Only Department of Fire Services Permit No. 13`75 BOARD OF FIRE PREVENTION REGULATIONSy and Fee Checked ev. 11071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' 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) L;a 7� 3 Owner or Tenant Telephone No. Owner's Address p e- G Is this permit in conjunction with a ing permit? Yes No ❑ (Check Purpose of Building i l Approprfate Boz) ' Utility Authorization No. Existing Service 2�y d mps tr Overhead ❑ Undgrd ED"--No.ivo.of Meters Nm-uWM Amps / Volts Overhead❑ Un d �' ❑ No.of Meters Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: f' � r, d a, .h Com letion Of the olloKIn table may be waived bZ the Iris for Of Wiry No.of Recessed Luminaires Z No.of CeIL-Susp.(Paddle)Fans 110.01 No.of Luminaire Outlets No.of Hot Tubs Transformers KVA Generators KVA Na of Luminaires gwimming P� ve ❑ n- o. n i gnung nd. d. ❑ Batt Untitss cY No.of Receptacle Outlets tl No.of On Burners FIRE ALARMS - of Zones No.of Switches No,of Gas Burners o.o Detection an Initiatin Devices Na.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers neat mp um r ons No.of 59r-Ue5taJned__ Totals: It on/Afertips Devices No.of Dishwashers Space/Area Heating KW Local erre pa ❑ Connection ❑ Other No,of Dryers Heating Appliances KW ur ty ystems: :1 o.of Water a of Devices or Equivalent Heaters KW o.o o.o Data Wiring: Signs Ballasts No,of Devices or E uivatent ' No.Hydromassage Bathtubs No.of Motors Total HP a ecommunications Wingg•� OTHER: Na of Devices or uivalent 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 S'= � ,3 -lQ [ ph to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the the licensee provides proof of liability insurance including"co Ieted o perfomumm of electrical work may issue unless undersi► mP operation"coverage or its substantial equivalent. The tined certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE lam" 0-N-D ❑ OTHER ❑ (Specify:) I eerdfy,under the pains and penalties of perjury,that the injorraation on thisFIRM NAME; application is true and completes LIC.NO.: f 91S'3.3 Licenede, � f signature (fappab en r"exempt ern lire dicense number line.) LIC.NO.: 9 3 Address: Bus,iref O.:41-T-2 d *Per M.G.L c._147,s. 5 -61,securi work „ „ Alt.Tel.No.: ty requires Departm " of Public Safety S License. Lie. No. _ OWNER'S INSURANCE WAIVER: I am aware that the Licensee sloes n i have the liability insurance coverage norrifaliy required by law. By my signature below, I hereby waive this requirement. I am the(check one owner owner's a ent Owner/Agent Signature Telephone No. _ PERMIT FEE: $ l � �� --iC�� ,r Commonwealth of Massachusetts Official Use Oniv Department of Fire Services Permit No. O yW7 BOARD OF FIRE PREVENTION k.J REGULATIONS Occupancy v. 1/0 and Fee Checked leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to tx performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 121,00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �� — /7— r/ i` City or Town of: NORTH ANDOVER To Me 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) �a 3 .1a4 Owner or'Tenant Teleph f�- sle. o.� 7, Owner's Address Q e � •C- 01— Is this permit in conjunction with a buildi_n permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility, S / �o y Authorization No. 8" Undgrd❑ No.of Meters Undgrd®-----No.of Meters ...... ...... �-- ° `° '••"� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING oK•in table may he waived by the Ins ector n Wires. No.o Total 41y Transformers KVA �1 •O+err°�� cNus� Generators KVA Ej NO.Of mergency Lighting Battery Units This certifies thatL el. ......................... .�...1...........z::....6....T.................... FIRE ALARMS No.of Zones IV&k--,' KGs ............................. o.o eteca and has permission to perform """""""""""""""' ' "" Initiatin Devices evvices wiring in the building of Z1/WE- No.of Alerting Devices [j o.of Self-Contained at........L7.......'.f. <. .... `. ........ . :.,North Andover,Mass. Detection/Alerting Devices Sv �f�y /I Local un►c►pa Feed.`1:... .,K Lic.No..l nq4............ . vv �INs;P�Ecm (::.. ❑ Connection E] other E►.ac hien► / Security vstems: / No.of bevices or Equivalent Check # Data Wiring: No.of Devices or E uivalent /i U p 'e ecommumWiring: iring: `4 O No.of Devices or Equivalent Attach additional delad if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: / '/7 - G / j--� 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) C certify,under the pains and penalties„)per u ,that the information�� rl' .r R this application is true and complete. FIRM NAME: •� l LIC. NO.: A 911 T-3 Licensee: v / Signature LIC.NO.: X33 (!j upl)licuhli, r» rr."t.rcnrpl'`irr the license ttttmher line.) Il+us. el.NO.• Zr—?- Address: S Aft.Tel. No.: *Per M.G.I.c. I,17,s. 57-61,security work requires Departm of Public Safety"S" License: Lic. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee clue's 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 a gent_ Qwo@0A#vnf ?~tl#IiitffttF@ TAQPhttne NO. PERilaffT FEE: S C 9 Date/�,��`/ 6 NOR7p O.,, °„•,�4, TOWN OF NORTH ANDOVER o PERMIT FOR PLUMBIN,G-- ! • "$A US Ll- This certifies that . . / �� . !.k�_/. . . . . .�. . . . . . . . . . . . . . . has permission to perform . . k� t- . .4° plumbing in the buildings,of . . at . . ./. 7 fY f� �i�!, _ ., North Andover, Mass. Fee 5 Lic. No..A . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # � ) 7876 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ,Mass. Date t o".1 K" a c'F20 Permit# -7 0 7. I J Building Locatioi--Owner s Name 04-- StiL, t L15d, Owner Tel# Type of Occupancy. *,.0t? New (/ Renovation ❑ Replacement.❑ Plan Submitted: Yes ❑ No ❑ FIXTURES z h z u H F4 U W ay, 0 a z z z N c� o z w H = �, H v w "' a w zdd ii dz F. 3 U z a a Ww ¢ H w z Q z w a a 0 w P4 w .H V) a A w A w rx v ¢ x 3 o z x � 'a o z ¢ H w x Q 3 a as 0 SUB-BSMT BASEMENT pp i 1 IsT FLOOR I 1 2ND FLOOR I 3&D FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOORlit 7TH FLOOR TH Installing Company Name aq lJ 2.1 1� Check one: Certificate Address ��(�,, 7 ❑Corporation Nct,ual f P/ ❑Partnership Business Telephone#—� 7 ii Firm/Co. Name of Licensed Plumber INSURANCE COVERAGE: I have a current liabill'' '' urance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No ❑ If you have checked yes,plea;�>Other / a type coverage by checking the appropriate box. A liability insurance policy 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 ❑ Signature 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 permi issued fo s application will the m compliance with all, pertinent provisions of e Massachusetts.State Plumbing Code and Chapter 142 of the Ge aws By Signature f i d Plumber Title Type o icense:Master RIO"— Journeyman ❑ City/Town APPROVED(OFFICE USE ONLY) License Number I Date. /!3 ��1�.�.... . HOFTH pf „ao 1.0 o? TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION �1SSICHUSEt r This certifies that . �'1�.�!H r, . . . . . . . . . . . . . has permission for gas installation . . . `.`'`. . . .`.`.�. .`. . . . . . . . in the buildings of . '(. �. . .TA/t. �-.. . L14'�Iez . {. . . . . . . . . . . at . . .�7. . . t,!? t . �.!? . . . . . . . . . . . . . .. N rth Andover, Mass. Fee./.0 . Lic. No..,/92!1. `. . . . . . . .�,.).� ..��.�. . . . . . bAS INSPECTOR Check# / 6571 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING _ (Print or Type) c NJ Mass. Date 19 Permit # 7� " ax SC,�wte V. Building Location G�C� Owner's Name �. Type of Occupancy New Renovation p Replacement p Plans Submitted: Yesp No p N N W N Y Z CC in N N V 6 !- 2 N rt N ¢ O :) N S ►- W ¢ O 0 ca O ccW o O Z < m fN ►- y 111 0 fl C < O > W +� 03 sr 91' Z -i f_ = W W > U. t.- V J y„.. W Z < W Cr < t O O W a O ti SUB—ES#tT. BASEMENT 1ST FLUOR 1 2ND FLOOR 3RD FLOOR _ .LTH FLOOR I • STH FLOOR 6TH FLOOR 7TH FLOOR aTH FLOOR Installing Company Name Ga 1;n 5{°SLI �1 e►��1 1 ��, Check one: Certificate Address �� ( D Corporation _.31 0. Partnership Business Telephone , �' �� ,n Ll 3 0 Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE: I have a current Wily insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ER No D If you have checked Vis. please Indicate the type coverage by checking the appropriate box. A liability insurance policy a Other type of indemnity D Bond D OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass: General Caws. and that my signature on this permit application waives this requirement. Check one: Owner[] Agent D Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted for entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued or ihis application will be in compliance with ail pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Ge7V4 $y T cense: umber Sign r of Licen lumber or Gas titer Title fitter ster license Number Cityowrt .koumeyman i i U NL Cy. ` "HUSr"� UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) T A �KJ,✓jj p�/C./Z-i , Mass. Date 7- 9-673' 20 Permit# Building Location 7T`Gc4 p , Owner's Name Nq• �'7� Telephone _9)? — 403 3/113 Type of Occupancy Ile S„t New Renovation[:] Replacement Plans Submitted: Yes F] NoE] ti- r„a L 0 J H! N O+L p 3 r = d v ` d0 d L + U m C E 2 N i d 0 t4 � O O C *., J L Date. . l/.. .. I— O OE NORTH 3? ' „`D O TOWN OF NORTH ANDOVER F .� D 41 - �X PERMIT FOR GAS INSTALLATION SSACNUSEt This certifies that . . ' has permission for gas installation . . ,�Ati�, . . . . . . . . . . . Check one: Certificate in the buildings of . . . . �. �,�,�. . . . . . . . . . . . . . . . . . . . . . . . . . . Corporation 132 C at .7. . . .�<.?� t �J , North Andover Mass.ass• Partnership G Fee.,�a.�. �. . Lic. No..? ?. . . . :r�,.t.-a. ` . . . . . . . . � Firm/Co. GAS INSPECTO Check# (/ j0 X8051 Cell(508)294-6660 i 6 5 d 8 lents of MGL Ch.142. r u have checked yes,please indicate the typeofcoverage bycKdckfng'1fid"dppropriate box. bility insurance policy X❑ Other type of indemnity BondNER'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 Signature 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 permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Code and Chapter 142 of the General Laws. 1 Type of License: By Plumber = !� Title X❑Gasfitter Signature of Licensed Plumber or Gasfitter City/Town XX Master APPROVED(OFFICE USE ONLY) niourneyman License Number 3707 BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 20 GAS INSPECTOR %,o 1--s