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Home My WebLink AboutMiscellaneous - 18 WILLIAM STREET 4/30/2018i.. � - R Date ......./ ....... �5 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..............,,,.,,,C,�,c �a le C �K J....................................................................................... has permission to perform .... .... ..!! .,.................................. } wiring in the building of ,,...., �^, F'`»� at ..........�..?...W}..1..�.!.a.{! 1.......5 .......................................... North Andover, Mass. a (tea y Fee..... ............. Lic. o...........A ....... ....../�.... ��'' ............................................ ELECTRICAL INSPECTOR Check # 13� -12:'1,55-� kA -2A � \�1.�2 45 &\ Commonwealth of Massachusetts Official Use Only MEMO Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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:0-- 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) Owner or Tenant +Cau ivy d' Ebert (�t�i1 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Kj-"� No ❑ (Check Appropriate Box) 0 Purpose of Building So,tc of Ceil.-Susp. (Paddle) Fans FU nn�`u Utility Authorization No. Existing Service `00 Amps J;io 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�k%kqur` ;Ar ILIrj i �i T` h��j roG� nu ` 4 01JA 5v-^Vtce i Completion of the followine table may be waived by the Inrnector of Wires No. of Recessed LuminairesNo. v of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ In- E]o. rnd. rnd. o Emergency Lighting Battery Units No. of Receptacle Outlets �U 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 Tons No. of Alerting Devices g No. of Waste Disposers Heat Pump I 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 KWNo. of No. of Data Wiring: Heaters Si ns Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: Cp,GT (When required by municipal policy.) Work to Start: 11-3&j.. (i 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 V BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FHtM NAME: im r ("' L` LIC. NO.: 'ao (Ibp A Licensee: (ii�l, tJr'�(e� Signature () LIC. NO.: (Ifapplicable, enter "exempt" in the icense number lin.) Bus. Tel. No.: Q7 —91( -?13(, 1IS Address: 2 l (A\(u }} Auc, P -d .� ASIA• O 1815 Alt. Tel. No.: *Per M.G.L c. 147, s. 57-6`1, 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 agent. Owner/Agent PERMIT FEE. $ Signature Telephone No. / ZD .� 0 Location Y v �^ !` No. D ktT",-Date .` r Check / TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $� Foundation Permit Fee $ Other Permit Fee//YM- TOTAL $ Building Inspector ta6 a Commonwealth of Massachusetts Sheet Metal Permit Date i-5-1(0 Estimated Job Cost i50 ci s U -0. Plans Submitted: YES NO "& Business License # eK Permit � a, -,� Permit Fee: $ -3 Plans Reviewed: YES N Applicant License # Business Information: Property Owner / Job Location Information: Name: J_ i �'ln`C- l�e � Name: Robcd Lon%j Street: Street: �� 1 d i Gm Sf-� City/Town: II%rwelCity/Town: NOfIh Ando06(- Telephone: It i - -1 115- 5-d)-' Telephone: 65� A 9568 Photo I.D. required / Copy of Photo I.D. attached: YES NO Building Type: Residential: 02 family Multi -family Condo / Townhouses Commercial: Office Retail Industrial Educational Institutional Building Cubic Footage: under 35,000 cu. ft. over 35,000 cu. ft. Sheet metal work to be completed: New Work: _.X, Renovation: HVAC Metal Roo fmg Kitchen -Exhaust System Chimney / Vents Provide brief description of work to be done: JA Al rA e\: +rtArllel ode)G r J(AEn d[ 0L4 INSURANCE COVERAGE: I have a current liability insurance policy or its equivalent which meets the requirements of M.G.L. Ch. 112 Yes ❑ No ❑ If you have checked Yes, indicate the type of coverage by checking the appropriate box below: A liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner Agent ❑ Signature of Owner or Owner's Agent By checking this box0,1 hereby certify that all of the details and information I have submitted (or entered) regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Date Date Proj=ress Inspections Comments Final Inslpection Type of License: By ❑ Master Title ❑ Master -Restricted Cityrrown Permit # Fee $ Inspector Signature of Permit Approval ❑Journeyperson Elio urneyperson-Restri cted El Comments Signature of Licensee License Number: Check at www.mass.g_ov/dpl D If Sheet Metal Commercial Guidelines / Life Safety / Critical System_ s Inspection Checklist Yes No N/A, Set of stamped engineering documents and detailed description of mechanical system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet -metal work being performed with proper journeyperson-to-apprentice ratios Fire dampers with access door properly installed and checked for operation Smoke and combination fire / smoke dampers with access doors properly installed - actuator checked for proper operation (May also be verified by fire department during fire alarm testing) Duct smoke detectors with access doors properly located (May also be verified by fire department during fire alarm testing) Smoke / atrium exhaust systems installed and operation verified (May also be verified by fire department during fire alarm testing) Stair pressurization systems installed (where required) and operation verified (May also be verified by fire department during fire alarm testing) Grease / kitchen hood exhaust system installed with all seams and connections welded airtight with properly located cleanouts. Proper 61E;1`ances, fire rated enclosures and pressure testing required. _. ASF>4;;3x: k�r�«i'Rt� install xrllr xequxred b* equipment and dII-A .:Dr Duct penetrations in fi e'kdteij wall:3 and floors sealed Metal roofing systems installed watertight using proper materials and fasteners Flexible duct runs installed 6'-•0" maximum length Ductwork installed using proper hanger spacing, hanger stock, threaded rod and angle iron Ductwork / plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining Volume dampers installed for each supply air branch duct New/clean - properly sized filters installed (final inspection) Testing and Balancing report complete (final sign -oft) _ b Sheet Metal Residential Guidelines /Inspection Checklist Yes No N/A Detailed description and sketch of sheet metal system to be installed has been provided All workers performing sheet metal work onsite has valid Massachusetts sheet metal license All sheet metal work being performed with proper joumeyperson-to- apprentice ratios Equipment sized per heating / cooling load calculations Duct work sized per manual "D" calculations Bath / shower rooms contain mechanical exhaust fan vented outdoors Electric dryer exhaust properly installed maximum total run 35'-0", maximum flexible run 8'-0" Flexible duct runs installed 14'-0" maximum length Volume dampers installed for each supply air branch duct Ductwork installed using proper gauges and hangers Ductwork / plenum connections sealed substantially airtight Ductwork insulated by means of external covering or internal lining New/clean - properly sized filter installed (final inspection) Testing and Balancing report complete (final sign -off) ,1 FI a COMMONWEALTH OF MASSACHUSETT ` BOARD OF SHEET METAL WORKERS • ISSUES THE FOLLOWING LIGENS, AS A MASTER—UNRESTRICTED } ,_STtPHEN COLANTONi i. 4i SILVER BROOK LN NpRWELL MA 02061-2445 . 8t w r Date. 7 ./..! �J�%.. ... . f Of TOWN OF NORTH ANDD PERMIT FOR GAS INSTALLATION This certifies that .... �- . I--S'Aze- . ............... has permission for gas installation .... .7.4. y. :�.............. in the buildings of r ........................... at... ..... r-- North And*o+� ver,�Mass. Fee. Fee.GALC...NSTOR Check # l 31 e 7 4 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date �� l NORTH ANDOVER, MASSACHUSETTS c Building Locations C � �'� I ( (( J-� S Permit # t �(c Amount $ q, Owner's Name (�✓ i ,T�A& 4 _5 d, �.. New Renovation Replacement Plans Submitted w G w c o a $ z w Ga w x z F o a> w w z w Q � w � d z a x H a F m w w a p w �oY E- w q I- F• u x a v, w w > w z e a d d' w x SUB -BASEMENT > q a F O BASEMENT 1ST. FLOOR / 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) Name < r Address 13vx �— U ✓ 4 v Business Telephone Name of Licensed Plumber or Gas Fitter v,e 2 ✓rtii � Ch k one: Certificate Installing Company Corp. ElPartner. Firm/Co. INSURANCE COVERAGE Check one: 1 have a current liability Insurance policy or it's substantial equivalent. Yes D� Noln If you have checked ves, please indicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ED Bond 13 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. Signature of Owner or Owner's Agent Check one:Owner 13 Agent 13 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 Massachus !:Sta�tea�sCodeandChapter14�tthh en I Laws.I --tom Title City/Town PPROVED (OFFICE USE ONLY) Sign ture of Licensed Plumber r Gas Fitter Lj-lylumber 3 13Gas Fitter icense um er rft-MaSter Journeyman Date.... /� :. ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that r2 ` L- has permission to perform .... .......... J ` ` a " wining in the building of ......................... ......... ..... at .......,. ......:.. �.!.:. Q;. `.... �..:...................... . North Andover, ass. d Fee.' �.:......... Lie. No��i�.............. ..1+:..!�....................... ELEcmucAL INSPECTOR IKA7199 12:25 35.00PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer V Office Use Only �.1P �.IIritrilIIrilUEttl Jttrir�rith1I8E1 Permit No. i9e}turtinent of Publit A—detq Occupancy & Fee Checked l BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TY P ALL, INFORMATION) City or Town of The udersigned applies for a permit to Location (Street & Number) Owner or Tenant Owner's Address Date To the Inspector of Wires: rm the electrical work described below. /IO , — Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. 967 A0 Z Existing Service A ps _J Volts Overhead ❑ Undgrnd ❑ No. of Meters / New Service Z Amps 12411 Volts Overhead R1 Undgrnd ❑ No. of Meters Number of Feeders and Ampacity t Location and Nature of Proposed Electrical Work -4 4.1" / No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- ❑ ❑ grnd. grnd. Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners I Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and No. of Ranges ( No. of Air Cond. Total tons Initiating Devices No. of Disposals No.of Heat Total Total Pumps Tons KW No. of Sounding Devices No. of Self Contained hio. of Dishwashers Space/Area Heating KW Detection/Sounding Devices Local Municipal 11Connection ElOther No. of Dryers Heating Devices KW No. of No. of Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts general Laws 1 have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES X NO C 1 have submitted valid proof of same to the Office. YES K NO C If you have checked YES, please indicate the type of coverage by checking the appropriate box.�� J/ �� N S , / INSURANCE X BOND ❑ OTHER ❑ (Please Specify) !� Estimated Value of Electrical Work $ (Exiration Date) Work to Start Inspection Date Requested: Rough Final Signed under the Penalties of perjury: FIRM NAME -7-41,53,4 � Licensee S /0, LIC. NO. �/ s 3,S LIC. NO. A'S%vim 3 Address .7 CTy L/!/L'/C01a/YCo- yC.-/-) /fifiJ�(jj'f��Alt. Tel. No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re- quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE $ (� (Signature of Owner or Agent) x-6565