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Home My WebLink AboutMiscellaneous - 20 BINGHAM WAY 4/30/2018 G i I I i� . e d El pZL�Y�JCt I I I Date.,.?. . .. . . . . . AOR-rot of OF NORTH ANDOVER of4, PERMIT FOR PLUMBING ,SSACHUSf y.....� This certifies that . . . . . . . . . . . . . .�. . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . ..'.. . .. . . . . . . . . . . . . . . plumbing in the buildings of . l . . .. . . . -:�r-?'. ' f at . . . .. . ... . . . . . . L ,, North�Andover, Mass. Fee�c�� . . . .Lac. No.. . . . . . . . . /x..�., . . . . . . . . . . . . . . . . . . "PLUM�NfECTOR Check # 8510 MASSACHUSETTS UNIFORM A-.PPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER/,MASSACiRJSETTS Building Location / Q ��'/ Date /!} Permit Owner 0 Y �/�/'J /jQQ//� //j Amount New 0 Renovation Replacement Plans Submitted Yes No FIXTURES C C� 0 s[B•l� >a��av>avr 2M EWM 3m EWM ane RDM smKj" , 6M EMM �► 7M ROM 9M>HLOOR (Print or type) �� Check one: Certificate Installing Company Name j Z/. / /y ❑ Corp. Address Partner. Business Telephone e1— Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insitrance policy Other type of indemnity BondEl 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 1 have submitted(or entered)in above application are true d accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issue for this app' anon will be in compliance with all pertinent provisions of the Massachusetts State Plumbing e d Cha 1 e 1 Laws. By: Signatureo rcens urn Type of Plumb' Licens Title iCity/Town r e um er Master Journeyman APPROVED(OFFICE USE ONLY RDate.................................. { NORTH °f,"`°;•'"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING .: ;�Ss�cHusf� This certifies that ......................... ......1 u�Gc�� ..... ................................ has permission to perform . A ?.. .. ... f ........................ wiring in the building of...... . ........ 14 .......1C ,?`:� . at/.7.l�i;,l .:/�h .:. ��.:. �9`••��/�?y.. 4orth Andover,Mass. Fee... Lic.No.. `r1 ./. 1. .... /F� Check # ffZr—5-77 9268 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. L&Y Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 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: y - a / 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 describedel . Location Street&Number — ` '"r Owner or Tenant �Y . Telephone No. Owner's Address r sr s v Is this permit in conjunction with a building perm' . Yes ❑ No f��Check Appropriate Box) Purpose of Building "f" /crvf, :? Utility Authorization No. Existing Service ZGy Amps Jza /i ya Volts Overhead Q-----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: { r v r- Cont letion of the ollowin table may be waived by the/ns ector of Wire, No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Tota Transformers KVA ' No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool ove 1:1n- ❑ o.o mergency ig ing rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No-of Zones No.of Switches No.of Gas Burners o.of Detection an Total Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Num er Tons KW No.of Self-Contained Totals: I I Detection/A erting Devices No.of Dishwashers Space/Area Heating KWLocal❑ unicipa ❑ Other Connection No.of Dryers Heating Appliances KW Security ystems: Sins Ballasts No.of Devices or Equivalent 0 o WHeaters KW ater No. ao Data Wiring: Si l No.of Devices or Equivalent ( No. Hydromassage Bathtubs No.of Motors Total HP Te ecommunicahons Wiring: OTHER: No.of Devices or Equivalent 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: Y--.2 —/0 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 pen-nit issuing office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /f ES�afety Licensee: Signature L�IrC.NO.:(Ifopplicable, en r "exempt'min the license number line.) ` Bus.Tel.No.•Address: � - Alt.Tel. No.•*Per M.G.L c. 147,s. 57-h1,security work requires Departm ` of EPublic "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 Signature Telephone No. PERMIT FEE: $ /� � �� B� � � z `� � �' r � f .. � c R . � Date. ' o'O7N,1'p TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� This certifies that (�,�,�f"h.f,�. . . !` . . . . . . . . . . . . . . . . . . has permission to perform . . r . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of .,ti,, r s`''.` . .t7.�.u.�. --- . . . . . . at. 7.: .j.Z/�r 47 .. . . . . . . . . .. North Andover, Mass. Fee.h.G. . . .Li c. No.. . . . . . . . . . . ,).,�.�..-... . . . . . . . v `PLUMBING INSPECTOR Check # C- 6223 i ,I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBP (Type or print) NORTH ANDOVER,MASSACHUSETTS /'/ � Date Building Location16'"144N, 4�7 Owners Name lX�dLI/ Ud//,rp Permit#—L--2-. "/Type Amount T e of Occupancy New Renovation0 V Replacement (� Plans Submitted Yes NoEl FIXTURES rA EWE M FIDCR 3a HI= 21 FIOM 4M HOM 5M FIDM 6M HDM MFLOCK gmHOCFt (Print or type) ` Check one: Certificate Installing Company Name U/ � Corp. 7 7,b Address �`� ` S El Partner. Business Telephone 11 Firm/Co. Name of Licensed Plumber: -51/ Insurance Coverage: Indicate the type of insurance covefage by checking the appropriate box: Liability insurance policy ti Other type of indemnity 0 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 a details and information I have submitted or I hereby certify that 1]of the entered in above application are true and accurate y y ( ) pp rate to the best of my knowledge and that all plumbing work and installations rformed and Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuset mg o ter 142 of the General Laws. By: igna ur cens um e F T pe of Plumbing License Title �d City/Town [cense mer Master Journeyman ❑ APPROVED(OFFICE USE ONLY, Date.//-./.-.C�."I . . . . ... . OF NORTk ,� �``t TOWN OF NORTH ANDOVER O 9 • - PERMIT FOR GAS INSTALLATION �9SSACMUSE�S -- This certifies that .t--�/?Ff-.�^.`.�. . G~�1! . . . . . . . . . . . . . . . . . . has permission for gas installation . . J`. . . . . . . . . . . . . . . . . . . . in the buildings of . ,/L /?h �� -ti . . .�f-�-:.,-.-... . . . . . . . . . . . . . at . 17. . .&/ l,,.<4.:Z. . . . . . . .. North Andover, Mass. Fee./A.�: . . . Lic. No..`l. <.?. . . . . GA ��.� . . . . . . . . S INSPECTOR Check 4903 MASSACHUSEI*IS UNIFORM ATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSE TS Building Locations / Permit# Amount$ Owner's Name � gyd� o��i� 4 z . New❑ Renovation ReplacementET Plans Submitted El U w p; O U O Gg0OAF WEO+ VF Cn 1-0 j 0 0 WdOa w 7 W 0 F Q'• 0;t rBA B -BASEM ENT SEMENT T. FLOOR D . F L O O R 3RD . F L O O R 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) /� C ec ne: Certificate Installing Company Name ,� torp. Address El Partner. �A�-��'�r cam- •�' � us mess Telephone Firm/Co. � 7 � Name of Licensed Plumber or Gas Fitter t INSURANCE COVERAGE Check one: policy or it's substantial equivalent. Yes No I have a current liability Insurance po y 9 ❑ ❑ . If you have checked yes,please irl0kcate the type coverage by checking the appropriate box. ❑ 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: Signature of Owner or Owner's Agent 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 pe ormed under P it Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Sta 2 the General Laws. __,,Signature of 'censed Plumber Or Gas Fitter Title Lff lumber D Titl City/Town El Gas Fitter License Number fflAaster APPROVED(OFFICE USE ONLY( Journeyman