HomeMy WebLinkAboutMiscellaneous - 190 MIDDLESEX STREET 4/30/2018 (2) -190 MIDDLESEX STREET
210/015.0-0002-0000.0
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' MASSACHUSETTS UNIFORM APPLICATION:FOR.PERMIT,<TO:pO VLUMBING
(Type or Print)
NORTH ANDOVER ,Mass. Date:",.?
Building Location �U �`Gt�-�' S`PX 2C
Building Permit #
Owners Name V vt-4
v, New" New D Renovation Replacement Q Plans Submitted
F I TURES
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SUB—BSVT
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BASEMENT i
4 1ST FLOOR
�. 2ND FLOOR ;ww,
3RD FLOOR
4TH FLOOR
STH FLOOR
M'y..
6TH FLOOR
7THFLOOR
STH FLOOR 3
(Print or Type)
YPeCheck one: Certificate : i•.
Installing Company Name (J��x P'� (-4 [� Corp.
Address cx-e c �� Partner.
V/t '0-141 S Firm/Co.
Business Telephone 3 ' . O
Name of Licensed Plumber. (�(,(/lit l�e-`{-
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy F-] Other type of indemnity 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 insurpnce coverages.
Signature of owner/agent of property Owner Agent". (�
I hereby certify that all of the details and inforamalion I have submi((cd lot entered)in ahcwvc application are true an curate to the best of my
—• - knowledge and that all plumbing work and inslallatinns Ixrfnrmcd under Permit issued for this application will be in compliance with all pestinept Paco..'.4
visions of the Massachusetts State Plumbing Code and ataptec 142 of the General Laws.
BY
Title . Signature of Licensed Plumber
City/Town:
vpe of Plumbing License ;•
APPROVED ZOFFICE USE ONLY) License Number IM Master Journeyman
"a Date.;/7l 91 .7>
i � 34€34
TOWN OF NORTH ANDOVER
p PERMIT FOR PLUMBING
SACMUS�
This certifies that . 0,``. . . . . . . . . . . . . . . . . . . . . . 8
has permission to perform k. . . . . . . . . . . . . . . . . .
plumbing in the buildings of . At,
at. �'�4. ..fyl.r. �c�l.- r -. . . . . . North Andover, Mass. o
m
Fee. 3 4�? .-. .Lic. No..:7' f�j�. . . . . . . .
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PLUMBING INSPECTOR
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WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
Date. e .:...�....�..';r.........
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HORT#j
°!t"`°:•1"° TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�.7•�R�r�o•1I'`
SSCMUS�
This certifies that ..... f9/?..`�......../-Y..f'...•.....................................
has permission to perform ........S Q...f .0...... ...1 .....................
wiring in the building of.....� 9�,�.r, ��.,.. �--..............
...........a�..
. . ..........
C►y�- rq
at.....���?.?....r!F :. �. <. ..s.t.:.......:. e'�`.�..... ,North Andover,Mass.
Fee....S-.J.-".... Lic. ...�. � .....�..�.. .....
/J ELECTRICAL CNSPEC MR _
Check #
53 % 0"
7HEC0MH0NWF+AL7H0FM CHUSE77N Office Use only
DFPA OFPUBSAFELY Permit No. —r 76
BOARDOFFIREPREVEMON ONS5270Ml2O
Occupancy&Fees Checked
APPLICATTONFOR PERMIT TO ERFORMELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE H THE ASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical �Or described below.
Location(Street&Number) ?a N
Owner or Tenant
Owner's Address /"/ L4"*L4"*JI-va
Is this permit in conjunction with a building permit: YesNo (Check Appropriate Box) p
Purpose of Building �t�+( r` Utility Authorization No. /00 7
Existing Service tltr Ampsag�Volts Overhead [EfUnderground No.of Meters
New Service 2&V-- Amps / / Volts Overhead nderground No.of Meters
Number of Feeders and Ampacity 4i hj Ao l7 OSS
L,Vcation and Nature of Proposed Electrical Work
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
round 0 ground ri
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
No.of Disposals No.of Heat Total Total No.of Detection and
Pumps Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal r---J Othe
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER'
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IhaveaamelltLiabl6yLmaaroePolicy' Corq>iee CoveragzorllSsl*slarialegllivalalt YES NO
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L Lioa�eNo. �pa`.
Licensee Wdx a S per.rx-5 Sr Signahle 2242Z
I�oa>seNo �/U
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Addressa W '� a ee • �/' . Alt Td Na
OWNER'SINSURANXMWAIVII;Iamawaedlatthelicamdoesnothaiethe' mWraFor#Sa*startWegrmifflasmWredbyMamdlttgEMCetled aws
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(Please check one) Owner Agent 1:3
Telephone No. PERMIT FEE$
Signature ot Uwner or Agen