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HomeMy WebLinkAboutMiscellaneous - 200 GRANVILLE LANE 4/30/2018 (2)N Date./ o':'4° TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING a 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 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�� W H F - WIx Q Y N m= O W W O z J} CO W FN- z O �W x o� X W Xy �Z z F- w U) W W m 0 a �° w w x 75 9 rn Z W cn O~ W z rn x W O 6~° = = W >0 W z a' Z U' � y "i FQ- HQ O z J 6 m> J 0 z W W W Z F W W W W D a o U. 0 W 0 x x O O a 0 o: F- Z >>> 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