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HomeMy WebLinkAboutMiscellaneous - 171 WEYLAND CIRCLE 4/30/2018N � . cn m ''`' Q -� :' N Z n. O pn,y O n `u O b m' 1 8706 This certifies that Date . ,/. ?/� U. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING �y .. ...bay..... ..... `.................... . has permission to perform ....D .LI,�- .......... .............. . plumbing in the buildings of ...P?'� .4 ............... at .. ;J. ?X .. t,= . < .�. (.41. �. �... c Fee .3) . Lic. No.. �- �•1 ?. . Check !I 1 . C N ... � : ,<North Andover, Mass. ;PLUMBING INSPECTOR MASSACHUSETTS (Print' or Type 16 OVA• Mass. New 0 Renovation 0 rs� ;stalling Company Name M usiness Telephone acne of Licensed Plumber or Gas Fitter, 20 F mit Ir �yer's ame/k_ e of occupancy i - Replacementiia", Plans Submitted: Yes D No 0 FIXTURES cFPT rc 4 0 Corporation 0 Partnership INSURANCE COVERAGE: bstantial equivalent, which meets the requirements of MGLCh. 142. I have a current liability insurance policy or its su Yes NO. 0 if you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type o.r indemnity 0 Bond 0 OWNER'S iNSURNACE WAIVER: lain 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 0 hereby cerflfy that all of the details and -information (have forfiance with suhmttted entered} in above'applicthis are true and accurate is the es o y tcnowledge and that all plumbing wort'( and installations periorrne nd the P of (hmitiss era( Law's _application will be incomp .1 pertinent provisions of the Massachusetts State plumbing Code a p � ! _ AW A n /vV2 1g a , n J� By Title Ciryfro-•n APPROVER (OFFICE USE OT1LYi re of r Type of License: QYMaster ❑Journeyman License Number i 87u5 Date./?/. / f%!. o. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 4 us • 71 •°�.r�o ���4`� This certifies that has permission to perform ... ).Y' . ............ *................ plumbing in the buildings of ....PC:...Cz ...................... at ...%.�.� . VIA-. . North Andover, Mass. 3. ..7.. Lic. No.. 5. ? 3.... .....V.. -t . Fee. /I.P.��......... LUMBING INSPECTOR Check # 2 ) / MASSACHUSETTS UNIFORNI (Pr nt or TYPe New B Renovation 4 stalling Company Name usiness Telephone arae of Licensed Plumber or Gas Fitter Mass. Ra a ZQ Pe mt V I W OJ ; cy- _____3ype of occupancy Plans Submitted: Yes ■ No a FIXTURES r,FP'TTC O Corporation p Partnership -33 INSURANCE COVERAGE: 142. 1 have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. Yes /" NO. n If you have checked yes, please indicate the typ£ of coverage by checking the appropriate box. A liability insurance policy � Other type o€ indemnity O Band Q. OWNER`S INSURNACE WAIVER. i am aware that the licensee does not have the insurance coverage required by Chapter i42 of the Mass. Genera! Laws, and that my signture on this permit application waives this requirement. Check one: Owner D Agent O Signature of Owner or Owner's Agent est tered) In ltle herebythat all of ailthe plumbingsworktnformation I have and installation periorrmed nd rnthe permftisse above-application application wlll be in compliance with y icn 9 ; 142 of the eral Laws- ,► pertinent provisions of the Massachusetts State Plumiling Cade a Si na ure of Licensed lumber By - ' �- Title ¢,Master ❑Journeyman CiryfTov,n Type of License: APPROVED (OFFICE USE ONLY} f License Number Location ('4 ) --,qzo�- No. Date re7— rORT1� TOWN OF NORTH ANDOVER Of��•aO 'a,ti0 •' a OR O? p Certificate of Occupancy $ Wo Building/Frame Permit Fee $ �'�;'�^° •''< s�CHust Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL "975911-00 975910.00 PAID Building Inspector Div. Public Works Location No. -z- Date 0 EE TOWN OF NORTH ANDOVE% Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee Sewer Connection Fee Water Connection Fee TOTAL i .a (c% wilding Inspector Div. Public Works Location /71 No. -2 Date A r-• NORTH TOWN OF NORTH ANDOV& � ?O. •�_ '•,BOO p • Certificate of Occupancy $ _ ' }, Building/Frame Permit Fee $ �7s ���•0 U Eta US Foundation Permit Fee $ Other Permit Fee $_ 44, /p�;? Sewer Connection Fee $ � / 7 Water Connection Fee $ 077. TOTAL $ jauil i ec ori _ `1 Div./P lic Works 0 N Z 0 H u N Z r91 W. 0 tL1 1 0 1 C I J_ 5W 1 LL < W Z I < N o a . r J J LU Ul (1 W F 3 o m :ENy ~; V 0m A3 D Z O y N C1 as Nor) 0 O N _ 0 N ZmmnOO cDD x� a O>y-ZD�m1 m yz ^'-7 Z -/ N D O Z m x o x 0 c y G1 a y O .o S (A 0m DZ y 8-O Cm z I' I 1 I. 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N n =� CL W N W 7 C7.O CL CO N d y CL03 rr to y O _ W m CA Cli m T m cn 2 64L A � C09 C2 _ l c 0 ' �J CD O _ N CD o JS CD n� � y o C 03_ d: nF = CD . cn� 3 �. m � M RL 0 � y -n 5 C o n M 7o a � � n ?i = n ::roGQ g o 7• r C rt o O a I y 0 0 c oi8io sll�s��s-sa-ssd� asroOw .Y2low ?'a2i/110 91 dp s 7 p� �rrNbwd0 cif ' � i � ii � drplS&��, ' •� '�zwo� j{17aa�. oDfl�x y NNUH -. •D11/'M1oK11� Oryx ro/ld�a� � 3 s�or o.�sodoa�d ` / ,� J W / ��d DOO,S O s �' S• OBG '/Z �o•"�,SO FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable local or state law, regulations or requirements. ****************Applicant fills out this section***************** APPLICANT: D9 U),0o TP>a r 12 Phone LOCATION: Assessor's Map Number Parcel Subdivision _7-D� �9��Lv Lot(s) �9 Street r <� ��ULT �ke% St. Number -[-Izz ************************Official Use Only************************ RECO DAT 0/ F WN AGENTS: Date Approved �� �� Conservation Administrator Date Rejected Comments ML -1 ye04 0 Date Approved Town Planner Date Rejected Comments Food Inspector -Health Septic Inspector -Health Comments Date Approved Date Rejected Date Approved Date Rejected Public Works - sewer/water connections` ":I �-V 5-21 -?a - driveway permit LJ 5--21 - Fire Department Received by Building Inspector Date stn"�vrt � M 1 SSHIQQV r 0 • F OZ Qaf1SSI 2[IVJI,4llHg0 0"► Hl�o�'►o 'A'IddV AUNT SV SNOI.LVrM93H HHHIO HOPIS QNV 51000 9NIQ'IIf18 UVIS SLLgSfIHOVSSVW RHI 30 SNOISIAOUd dHI HIM 213MVCIHOJJV NI sv QII&IOOO dfl AVw 171 i NO (IHLVOO'I ONIQ'IIflfl dH.L S211M LH513 SIHZ algdiegwnN tiiwied BuiPlln9 aanopud y}JoN 10 unnol AONddf133018 3Sf1 :10 31d31:11103 A u v A' o � y C'� CD n Z y CD O �_ o. r o• C O ? C �. �• CO) O CD CDO 0. cr `., CD CCD O CCD C CD V!� av y I CC CD a v y O CD CD Zo 0. o CD 0 CD _E�0 d i O N o C• N d O CD = y CCDI- o CD C) CO) n Q. C07 T Z ? •C v) -1 C a?d y 0 N O -I N O = '0 : CDCD = 7 O 0 -0—� �. p •-► O Z • c07 o N n moo: CA �• l�� _ c Do C CL s I f 7D CD O N: CD 71 C aW: it: 1 p) CD ;; �� 1 . ► N ;w -1A A N:3? C• C C L p� G "J r d N : HCD CD CDCD N (i CD CO Q 1 i o1:� CD c C2 CD \ O CD LT Co o -c n'S "^ C' O 0' • �: �•o co)o o` O i to Z 0 o cn C, . n Cn Cn Cb " " �.. � n ., C OoG r� ao ��• ao o. 0.n z 0 . �� t rz Z�4r r � w a7 O. � < x O rt ro O O O OTJ r% t "X t� 1 MP z y 0 0 omh O C Date. . . N." 06N TOWN OF NORTH ANDOVER I PERMIT FOR GAS INSTALLATION This certifies that -."­ ............................ has permission for gas installation in the buildings of .......................... at . j.71. North Andover, Mass. Q- Fec��.,.;�n .I... Lic. No. GAS INSPOW E& Check# 6666 N[ASSrACHUSETTS uNuoRm APPUC kfON FOR PERM TO DO GAS ffTTJNG (Type or print) NORTH ANDOVER, MASSACHUSETTS Date Building Logations 0' —11 Owner's Name New ❑ Renovation Replacement D Permit # 46J-( Amount $ Plans Submitted co �1r -e v� iz w ti y F 0 u Oa F ww z d zz C a F F w p wj m s p z z w C SU B - BASEMENT 3 a .� U > a a BASEM ENT ]ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH..FLO0R. 8TH.' FLOOR. (Print or type) Name-__ 100 Name of.Licensed Plumber or Gas Fitter lJ n Check one: Certificate Installing Company Corp, Partner. Firm/Co. INSURANCE COVERAGE I have a current liability Insurance, policy or it's substantial equivalent. Check one: Yes If you have checked res �P rage please indicate the a cove by checking the appropriate bo © NoQ Liability insurance policy © Other type of indemnity D Bond 13 Owner's Insurance Waiver. lam aware that the licensee doesdoes nave the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement, Signature of Owner or Owner's AgentCheck one: wne t hereby certify that all of the details and information 1 have sAgent ubmitted (or eOere r in D application � a and best of my knowledge and that all plumbing work and installations performed under Permit Issued for this applicationw:l be to in the compliance with all pertinent provisions of the Massachusetts State Gas Code andC apter 142 of the General Laws, aY Signature of Licensed Plumber Or Gas Fitter Title .Plumber City/Tovm, Gas Fitter _L'3( � q License lumber Master S ( APPROVED corFrce USE ONLY) Journeyman !v A Date.......... .. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 40 41 47 SSACMUS� �. This certifies that ............ '. !. ....... ..... ............ has permission to perform plumbing in the buildings of . ................. / L at . �.� . �!� J -L a�,... -{-^f �'`.... , North Andover, Mass. Fed-- ..... Lie: No...... ?. ..f-�.......... . 6/PLUMBING INSPECTOR Check # 7971 .4 I or MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location .01 V., 21 L i /U ] no Owners Name A ri i i riJ of Date — 3 —� Permit # y`7 Amount _ 04, , Sv New RenovationReplacement Im Plans Submitted Yes ❑1-3No TrTVTTTT r.�n krnm or type) Installing Company Name J �12 fZ yj P��/n b� Check one: Certificate / � d � .. � Corp. Address G� k' n n jv7A 31 Partner. Business Telephone Fitm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy FF1 Other type of indemnity ❑ Bond ❑ Insurance Waiver I, the undersigned, have been made aware that the licensee of this applicati three insurance on does not have any one of the above Signature Owner ❑ ❑ 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State P b' Cr C d 1By: City/Town APPROVED (OFFICE USE ONLY _W-7 C, o�C e an Chapter 142 of the General Laws. Type of Plumbing License cense um er Master El Journeyman ❑ 3� ` �J Office Use Only 011E Tummnnmalt of _ffins#ustftg Permit No. '23 ?i lepartmeut of'Publir Omfetq Occupancy & Fee Checked 3190 geave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date (M)Q or Town of for of Wires: The udersigned applies for a p Location (Street & Number) Owner or Tenant �v Owner's Address it to perform th eleptrical work described below. I I e7 -Ir- 1-71 ti /a Is this permit in conjunction with a building permit: Yes k?___No C (Check Appropriate Box) � ( Purpose of Suildina L i n,WZ� w %b /Urr Utility Authorization No. Zs2'2 7 Existing Service Amps _J Volts Overhead L]Undgrnd [ No. of Meters New Service ?(-Xj Amps LLOJ q yo Volts Overhead ❑ Unogrnd UG No. of Meters Number of Feeders and Ampacity ,�1 Locaticn and Nature of Proposed Electrical Work U ew l / w e 11 ! 11 No. of Lighting CutletsI No. of Hot .ubs I No. of Transformers Total No. of Lighting Fixtures Swimming Pcot Above.— In- �- grna. _ grna. _ I Generators KVA No. of Emergency Lighting No. of Receptacle Cutlets No. of Oil Burners I Battery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones / Totai No. of Detection and No. of Air Cana. No. of Ranges tons Initiating Devices Total Total No. of Disoosais I Nc.of Heat Heat Tons KW No. of Bouncing Devices No. of tion Contained No. of Dishwashers / I SeaceiArea Heating KW OetactionrSounding Devices No. of Dryers I Heating Devices KW Local —i Municipal r Other Connection No. of No. of Low Voitage No. of Water Heaters KW I Signs Bailasm Wirina No. Hyero Massage Tubs I No. of `Aotcrs Total HP OTHER: INSURANCE COVERAGE: Pursuant to the recuirements of Massacnusens general Laws . / I have a current Liability Insurance Polio including Ccmbi c Cperations Coveraae or iL 'Its substantial eeuivaient. YES " NO = 1 have submitted valid proof of same to the Office. YES V N0 = If you have checkea YES. please indicate the type of coverage by checking the ao�pryprtate box. INSURANCE 7Z" BOND = OTHER = (Please Scec;fy) - (Exptrauon Datel Estimatea Value of ectr WOWS Work to Start Inscec::on Cate Recuestea: Rough Lei f C -M/ Final Signea unoer t e Penalties of perjury* if GEG?%/ L FIRM NAME W N LIC. NO. Licensee _ � La -al regi c t --Signature V r�L1UC. Address �ic� /7Q.N�/15//1PG n�• !" Ve.1 #7 BAlt. Tel. No. (n o OWNER'S INSURANCE WAIVER: I am aware that the Licensee cces not have the insurance coverage or its substantial eauivatent as re- puirea by Massachusetts General Laws. and that my signature on tots permit aoplicatton waives this reouirement. Owner Agent (Please checx one) (Signature of Owner or Agent) Teieonone No. PERMIT FEE S X-6-555 &' T3 1.- 371 Date .......8.".U. � ...... 1",� TOWN OF NORTH ANDOVER PERMIT FOR WIRING CH This certifies that .... (/A. has permission to perform ... ............. wiring in of / .... .... ................ ./,I,e building ........ . ...... * &I at ...... /1.1.0. �. ..... 4................................. / .North And Fee .P.2�7-:..Lic. No....//.�I?Y .......... 92M R. -IC. A-. L.- i N........................... -S. P -1E. C**T. 01. R- ... 111- - 1111, LECT 7 41 WHITE: Applicant CAf0MNIj2?&Pt. fpK*. Treasurer .00 PAID