HomeMy WebLinkAboutMiscellaneous - 200 GRANVILLE LANE 4/30/2018 (2)N
Date./
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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
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SA US
This certifies that .... t7 P. S �. �` .......................
has permission to perform .... ................
plumbing in the buildings of ..../11/A A/ r, .....................
at ..2.4? o .. /�!? ��� ► L�.... , North Andover, Mass.
Fee. !� j.�. Lic. No.....
Fee. r.. ......... ... �-��........... .
PLUMBING INSPECTOR
Check # q Y
7941
01
11119--44- &J-- Ogog--31�
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
' City/Town:�—Nbo�/,/�,.+� Date: Permit#�'j
Building Locati �� tnt'197V1� Owners Name: J o 7
Type of Occupancy: Commercial Educational Industrial❑ Institutionala Residential
New:❑ AlterationO Renovation Replacement: Plans Submitted: Yes No C.
FIXTURES
INSURANCE COVERAGE: �j
I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YeC21NQ
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
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
Massachusetts General Laws, and that my signature on this permit application waives this requirement
Check One Only
Owner F] Agent
Signature of Owner or Owner's Agent
By checking this box ❑; I 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 plumbing work and Installations performed under the permit issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
_-- Type of License:
By Plumber
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Title Gas Fitter ig ature of Licensed 'Plumber/PA Fitter
__.------- Master
Cit /Town'' Journeyman (-L!
APPROVED (OFFICE USE ONLY) LP Installer (� License Number I��
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SUB BSMT.
BASEMENT
1 ST FLOOR
2 Nu FLOOR
3 FLOOR
4 FLOOR
5 IH FLOOR
6 1H FLOOR
—PrFLOOR
8 FLOOR
Installing Company Name: C-6'
Check One Only Certificate #
Corporation-�
Address:! '-'S=City/Town:/ ,�/Db/-c / State: NA I
,l
---- ii
Partnership � I
Business Tel: Fax:
Firm/Company
_
Name of Licensed Plumber/Gas Fitter:
INSURANCE COVERAGE: �j
I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YeC21NQ
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
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
Massachusetts General Laws, and that my signature on this permit application waives this requirement
Check One Only
Owner F] Agent
Signature of Owner or Owner's Agent
By checking this box ❑; I 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 plumbing work and Installations performed under the permit issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
_-- Type of License:
By Plumber
Al
Title Gas Fitter ig ature of Licensed 'Plumber/PA Fitter
__.------- Master
Cit /Town'' Journeyman (-L!
APPROVED (OFFICE USE ONLY) LP Installer (� License Number I��
VtORT
Date..... 0- �-- 1-a a
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .......C, - Ra. /I.// f ...... /— (C). .........
...........................
has permission to perform ....... ................................................
wiring in the building of ..........4.. 61 fle. ....................................................
at ...... �6.( 0 7 ZV7
tic ..... L . ................... .. . North And
Fee. /J "',.W.. Lic. No. ..........
. . .........
... .. .... .
ICAL L INSP R
Check#
04
—!&\-, Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No. S
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev. 11/991 (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: 3-15-02
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) 200 Granville Lane
Owner or Tenant Joseph Piotte Telephone No. 978-686-5846
Owner's Address Same
Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Bog)
Purpose of Building Dwelling Utility Authorization No. 058901
Existing Service 200 Amps 120/240 Volts Overhead ❑ Undgrd ® No. of Meters 1
New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
Number of Feeders and Ampacity
' Location and Nature of Proposed Electrical Work: Repair meter socket.
Completion ofthe following table may be waived by the Inspector of Wires.
No. of Recessed Fixtures
No. of Ceil: Susp. (Paddle) Fans
To ota
Tr
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool Above ❑In- El
rnd. rnd.
o Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o. of Deterflo'n an
Initiating Devices
No. of Ranges
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
eat Pump
Totals:
umber
onsIKW
No- of Self -Contained
Detection/Alertin Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ umcipa ❑ Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:
No. of Devices or Equivalent
No. of Water KW
Heaters
No. of No. o
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wirmg:
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired or as required by the Inspector of Wires.
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 ® BOND ❑ OTHER ❑ (Specify:) Travelers 3-25-02
(Expiration Date)
Estimated Value of Electrical Work: $250.00
(When required by municipal policy.)
Work to Start: 3-15-02 Inspections to be requested in accordance with NEC Rule 10, and upon completion.
I certify, under the pains and penalties of perjury, that the information on this application is true and complete
FIRM NAME: Cranny Electric Co., Inc. n / LIC. NO.: Al 1918
Licensee: Brian Cranny Signature 2gLIC. NO.: E25704
(If applicable, enter "exempt" in the license number line.) Bus. TeL No.,• 1-978-750-6900
Address: 10 Rainbow Terrace Danvers, MA 01923 Alt. TeL 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. $15.00