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Home My WebLink AboutMiscellaneous - 19 Lincoln Street i � '�� i I f E 'i �I i I - - - - -- - � � � � �v Date.� . .f .: o!. . . .... . NORTH pf „ao ,q,tip 3= ° TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION 9SSACHUb' This certifies that . � l l!?: .�!. . . z X has permission for gas installation . . .( f2 ^. .y. -r.. . . . . . . . . . . . . . . in the buildings of I. '. .'. '�.� !:. . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . .? . . . . . . . . , North Andover, Mass. Fee. . . . Lic. No.( .? . .`. . . . . . ... . . . . U:Fr 't. . . . . . . GASINSPECTOR Check#- / ? / 3OL9 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING _ (Print or Type) n J a s ./, — P /T�U�'��2/Q Mass. Date ` 19 Permit # '0 7 -_ Building Location l? G��yCcGl�/ S� Owner's Name' Ciel' OPLL" )9wr l� Type of Occupancy New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑ N W N ¢ N ¢ O N f W WUj ¢ O U m H = n N. 2 O u a c Z = O ~ uJ a m H a o oIL r ¢ N O W < Z ~ N O c W U W y 4 ¢ O W W NW Z Q S ¢ ¢ W ¢ W W W Q > U. F- U J O W O N S 0 14 F S e o v e > E a P o ' auo-85i�di, BASEMENT f 1ST FLOOR J 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR �/ Installing Company NameG�!-'/'1�al� fChLL �' Check one: Certificate Address 5-2 I7 AAz,IR ❑ Corporation /9.y//'G vc /y/)1' S C &C c' Partnership y� Business Telephone ❑ Firm/Co. Name of Licensed Piumber or Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YesI No CJ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy,, 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: 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 Gas Code and Chapter 142 of the General Laws. By T of License: Plumber Sgnate of Ocensed PlumtArfor Gas Fitter Title .Gasfitter 3� Master License Number atyaown -�j Journeyman APPROVED(OFFICE USE ONLY) I MASSACHUSETTS UNIFORM APPLICATION opt« Type FOR PER !T TO 00 (3ASFIT ING Mass. Date fi9V 6Ulding net's Name ''•r Type of Occupancy Now ❑ RanovatlonPlans S r_ O Replacement � Submitted: Yssp O cc W ` . N a N / � ae O' •O w a: • 1 W • O too < [ tK a. 6 ~ 1.8 ' yZ WyF tlJ Wm x O ai 61 cc 3" 94 W oW O x . Of, O O W eac = O a x W O &V a SVS—SSMT. SAGEMEHT 77 1STFLOOn 2140 FLOORIC 44 9110 FLOOR 4TH FLOOR Op , ., ii STI{ FLOOR rw 4THFLOOR TTH FLOOR �, s ITH FLOOR Installing Com Pty Name aDl'9;Kamm Address . t Check one: Ce :. sIm NIL 4=1 1' ❑ Corporallon euslness r 13 P rtnenhiR •�" '� Td0 - Name of t k I !N'Firm C% . ansed Plumber or Gas Filler E� .�.._ O o � INSURANC, C,OV.E I have a carte t ay Insurance Yes p polcy>or as substanlW.equlvalent which meats the requirements oLMGI.x / No (9 U you lave:;Cflgdced;Yl�.;Pia _a Ind a the type coverage by checking the appropride box �} : A�y `y�,yy- w��p '^Y.e�r,Ki 1, OUW lype_Q1rI1,1YW�NINl O Bond, 0 K' OWNER'S INSURANCE WAIVER;I am aware that the licenseedoes not have the insurance coverape.roquked by " Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requkertent, Checkoeene: �W�lur�. Ot;tawna s en Owner❑ ^gent❑ { 4 I hwe :. by arUtY that al of the details and Information t have submitted(of entered)In above appUcallon are bue and aoeurale to the best oluiny A. tnowhdpe and that all plumbing work and Installations erformad under the parmlt Issued for this application V44 be In wrtlr►enl ptavtstonsof Massachusetts Stale Gas Code and Chapter 142 of the ae laws, Compliance . e Of License: Title Number T aaslillor na are o ce m w s rat "ilyyRown slot License Number 41+ f'nc T- Journeyman =tit.;r y 0� 7 • v (� . ��' r. lima��0R�0 C U= -roil 0 q'• a ' , 21 _ S s N S APPLICATION FOR PERMIT TO 00 OASPITTINQ ` �- NAME A T7PE OP BUILDING LOCATION OF 9UTLOIN0 - PLUMBER OR QASFTTTEIt ' '• "'` r , ..._. .. - ��' t err _ uC:N&. • i _ ► ,.�.,....�, _., � ... __ _ pEAJ�RiT GRANTED. '= *�' x. QA1 1NSPECTni , 2878 Date. -6//�J'..... ca N0R7M TOWN OF NORTH ANDOVER a 3? "� 1-0 PERMIT FOR GAS INSTALLATION A + a .moo.,..,.,..:• " �,SSACHu`'Et d This certifies that . . . . . . . . . . . . , a has permission for gas installation . • • • in the buildings of . . . . . . . . . . • . . . . . . . . . • • • • • • at . . . N tAndover, Mass. Fee. Lic. No.. M-3 . . . . ASINSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer Office Use Only p� 01 4t Tummunutl;# of fflassaousef s Permit No. 10C;1M_tMtnt df JJUbiiC i6afthj Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Heave blank) �5y3 1) 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 TYPE ALL INFORMATION) Date — �-- QJQ or Town of NORTH ANDOVER To the Inspector of Wires: 1� The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) I'la/1110CGIN S71_ Owner or Tenant �i?/c _e �� e�G 2 Owner's Address Is this permit in conjunction with a building permit: Yes 2No C (Check Appropriate Box) i Puroose of Buildina Utility Authorization No. Existing Service Amps _J Volts Overhead 71 Undgrnd ( No. of Meters New Service Amps _J Volts Overhead Undgrnd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work U d ti Total No. of Lighting Outlets No. of Hot Tubs I No. of Transformers KVA No. of Li htin Swimming Pool Above n- 9 9 Fixtures ! grnd. �cmd. Generators KVA No. of Emergency Lignttng No. of Receptacle Outlets ! No. of Oil Burners 3attery Units No. of Switch Outlets I No. of Gas Burners FIRE ALARMS No. of Zones ibat No. of Detection and I No. of Ranges I No. of Air Cond. ;ons Initiating Devices i ! heat Total ;pial No. of Disposals No.ofPumos Tons K';J I No. of Sounding Devices No. of Self Contained g ScaceiArea Heating KY'J DetectionrSoundina Devices No. of Dishwashers � _ No. of Dryers I Heating Devices CVJ I Local — Municipal r 7 Other ry ! Connection _. No. of No. of Low Voltage No of Water Heaters KW I Signs Ballasts Wiring I No Hydro Massage Tubs No. of Motors Total HP j OTHER: INSURANCE COVERAGE: Pursuant:o the requirements of Massacriusens _enerai Laws I have a current Liability Insurance Policy inc!uding Comp!et Cceravcns Coverage or its suostantiai eauivaient. YES ve _ I have submitted valid pr f of same to the Office. YES Y NC, = it you nave cnecxeg YES. please indicate t`e type ct coverage by checking the al ate box. INSURANCE BOND = OTHER = (Please Scec:fy) rn (Expiration Date) Estimated Value of Electrical Work S `� y >.Ygr!t to Start Insbect:cn Date Recues,ec: ^ouch Final Signed under the Penalties of perjury: LIC. NO. FIRM NAME //.. Licensee W• [• C CSC Siana: re L'C. NO. ee. No. �3— 32—o / l� Address 147_ G 3 )P Alt. — Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee cces not have the insurance coverage or its substantial equivalent as. quired by Massachusetts General Laws, and that my s.gnature on t.^.ts :ermtt application waives this requirement. Owner Agent (Please checK one) Telecnone No. PERMIT FEE S (Signature of Owner or Acent) x 55E9 - I 2208 Date. .�` ........ .... . , f NORTH 1 � TOWN OF NORTH ANDOVER 8 IQ PERMIT FOR WIRING ,SSACMUS� M s This certifies that .......� .. t ;'..... has permission to perform . .�'��'r `�l' - ' �'....i`"`L................. wiring in the building of..... °'��t. . `�.�'. - .. :-----.--,..'........... at. .l.... ., ,.;.?'moi ..... - r ....... ......... ,North Andover,Mass. r r Fee.... ...�"' Lic.No.yz�x ... ....., .... ..................... WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File