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HomeMy WebLinkAboutMiscellaneous - 210 BEAR HILL ROAD 4/30/2018N O�p p� o � W O � � 2 V 1= r o O o D 0 v NT 1906 Date.4!/�T TOWN OF NORTH ANDOVER ;;�t) PERMIT FOR WIRING This certifies that .................. l--')-�' ?'� ....... . ........ ....... tl has permission to perform ................................................. wiring in the building of ........ .......................................... at ... =21�? .... &I- ............................................................. ,North Andover, Mass. Fee ... ..... ...... Lic. Mbr�-9'"f .... ...... : ......... ....... ................. �/ ,, — ELECTRICAL INSPECTOR 10/06/99(/1166,:21 75-00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer ThE00MVONW' LTH0FMi4SSr4CHUs Office Use only DEPARTAfEVT0FPVB1ICS4FM Permit No. I �� BOARD OF MEPREVEAWONREGM4770AS S27CMR 12.00 Occupancy &Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat U / Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) --,)-/0 Z6W" �I,4 Owner or Tenant ash COrq/�GLG y Owner's Address CL Is this permit in conjunction with a building permit: Yes [13--N.Ja (Check Appropriate Box) Purpose of Building R/ ,zc f j,C.r �r Utility Authorization No. Existing Service JV"V— Amps.4& Volts Overhead Underground C� ___. No. of Meters �• — New Service Amps / Volts Overhead Underground No. of Meters Numbef of Feeders and Ampacity Locatim and Nature of Proposed Electrical Workj[� r�7j�i� �+�■ r . rr rr -- ■ No. of Lighting Outlets 3 No. of Hot Tubs No. ofTransformers Total KVA No. of Lighting Fixtures Swimming Pool Above M Below Generators KVA ground around No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units �\ CJ No. of Switch Outlets No. of Gas Bumers FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other _ No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER htstr&=Co Riwatttathere4mmi zasoDAwmdwsczGaraalLaws Iha�eaaaterrtli�nlRyh>str�toePd�yitrhdrtgCanpl�e Co�aecresstiat�alat�melent YES E:L,--riO Ihmestlbmitiedvalidpradofsamelol eOfm YES If}wha%cdvdwdYES,pleascudEBL-tet}peofWArdWbydixiangllte INSURANCE EDBOND OTIIER (P(e�eSpacify) ExpuabottDa6e F4rWdVakrcfl�IricalWotk $ WotktoSlmt ,■^ hspectmD*Rape§ad Rotlg)t d �. Final Sigtedtaxla�ie FIRMNAME L =WNTa LraaNe-■4—/1ZICGi �(1 �G� ice/ Sigrm= � � U=IseNo / U 2 / BlsirmTdNa Aa ��✓ aa G �■S� 42Z'/ , hoi Ak.TeLNa Elpll 77O�/.r_. OWNUVSINSURANCEN WAIVER;Imnmvmthatthelx=dmnattowthemRra=oAeaW xdss aleg valetrtasrmfinedbyNtazxitts&GairILaws aodtha#mysigi tncnti�pmi-dapplirmottya'r,esthisra*micnatt (Please check one) Owner M Agent Telephone No. PERMIT FEE $ w U � F W d � F Z a. 0 o U 0 F 0 r> I ON � � F W x � F Z 0 o U 0 F 0 U O w c� W 4 W �l1 Z O � � z = q W z O❑ w a � c U U 4 W � v e W � O t' Cl) W F C W O � r a W c � F z O in O O En 0 U cn� 0 U 0 U Y 6�1 i U q O ❑ N ❑ G p. F Z Z In g A q U C Z: O z O Z W W w U U u5n7a 04 v ❑ T m m A H z k x � x' X a F k e < x ❑ A W ° w C z Cq. o e z M LQ cn z w w o o °v 0 0 ,o Lu Z Z 00 p O Z w z �I p n Z W O O O O u < w Ll &n n y ❑ ❑ W �_ W O t.,L.7 Z U fW.. O ❑ N P. Z q v� rn ❑ a v� c � � I ON � � F W x � F Z 0 o U 0 F 0 U O w c� 4 W �l1 O � � z = q W z O❑ w a � c U U 4 W � v e W � O t' Cl) W F C W O � r a W c � F z O n O O En 0 U cn� 0 U 0 U 6�1 i U U O ❑ ❑ ❑ G p. Z Z In g O q U C Z: O z O Z W W w U U u5n7a 04 v ❑ T m m I ON � � F W x � F Z 0 U 0 F 0 < c� W W O � = q W W F ` O❑ w � c U U 4 W v e W � O t' Cl) W F C W W I ON � � F W x � F J U 0 0 0 I ON 6 # • BUILDING DEPARTMENT DEBRIS DISPOSAL FORM 4 In accordance with the provisions of MGL c 40 S 54, a condition of Building Permit Number Is that the debris resulting form this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c 11, S 150A The debris will be disposed of in: Location of MWff1F—"�t�0�-TO�.� Signature rmit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector HOME IMPROVEMENT CONTRACTOR Registraion t TYPe 110320 INDIVIDUAL Expiration 10/20/00 DAVID M. MORIN o � �ALMORAL ST ADM'"�sTR— A o L'MOVER MA 01810 —License: CONSTRUCTION SUPERVISOR Number: CS 040898 a Birthdate: 07/04/1954 sEy Expires: 07/04/2001 Tr. no: 1650 Restricted To: 00 DAVID M MORIN_/ 13 HIGH PLAIN RD ANDIVER, MA 01810 Administrator w 1 r„ SS»YNI � � 4 MKIR 0 i NJ �4 U) N .0 TO 3DVd w NNr,A6VW 9TOZCZC8Z6 , LT:ZT i 666T!bZ!6© i I r ; w J �b I �.Co Z N., I U) N .0 TO 3DVd w NNr,A6VW 9TOZCZC8Z6 , LT:ZT i 666T!bZ!6© n 6 ER * 4 SS s� w m c a O wo J' O o lel o 0 O O C ' Y O v V •nom ' n C O w p" w � N E Q Y � C H Y ts w CD O. z w O Y A • y " "z me oc CL= N R m m z O m w C_ m W • N A A y: m O jor- . .n 7.vw 1ym m W V 5:5o O Q N maw ItiCZ aZ R W w _ L.•� m =.+ O ° z ° nr G to � w °a° m •N C!.= H o n C wo N w° cn Q O w° w0' U w O C n°G J)w w 1 cn cn 4 W Q GoP'�Q. �N O.L 0 SS s� f m c • wo J' O o lel o 0 W Q GoP'�Q. �N O.L 0 ;O U 4 Q Oz ECL � co U m N .O U) N O w U cm A o C/) CDW m 0 n C C N m O O E co Z O D CO2 coMA .co L CD C O CD V m ev C to _OD L O v Co CL CA C CD OM c 0. - co •- � mm CD co 3� Co 0 O O C. cmac C *-0 C ev cc -J .v O O Z co CL CO) C _0 Cn CO w W IrW vJ c� o m c • � c v O o O C ' Y O v V •nom ' n C � N E Q Y C Y ts CD O. O Y O; • y me oc CL= N R m m N O m • C_ m W • N A ;gym -o y: m O .n 0 1ym m 5:5o Q N maw ItiCZ aZ R CD • N � C _ m =.+ O nr LL •N C!.= H .O n C wo N all Q O V O C COD n o- o:5 ;O U 4 Q Oz ECL � co U m N .O U) N O w U cm A o C/) CDW m 0 n C C N m O O E co Z O D CO2 coMA .co L CD C O CD V m ev C to _OD L O v Co CL CA C CD OM c 0. - co •- � mm CD co 3� Co 0 O O C. cmac C *-0 C ev cc -J .v O O Z co CL CO) C _0 Cn CO w W IrW vJ — 11 MS Date. l /�s/�. S TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING Z�This certifies that u. !'. r .. /. has permission to perform ... R.? w k � w �t '." . ! ................ plumbing in the buildings of . v. �. 4.y ................ at .. I?q ........... North Andover, Mass. Fee. Lic. No.. --�w ......... PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT T -O PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS / Date Building Location o O l";GL �1� Owners Name ` 1, Cl e-5 /.I d LL Y Permit Amount Type of Occupancy &If/�UC'/>Til9 L New Renovation Replacement ❑ Plans Submitted Yes No FIXTURES (Print or type) Installing Company Name m& Lew; f Address '- l AM /V '�) -- 1141JY-,0 v,'1_i_ ✓y/A. 0/d'19v Check one: 13 Corp. _ n Partner. irm/Co Name of Licensed Plumber: zi9 R,e 4� 12 4-f" �-( Insurance Coverage: Indicate,*e e of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 11 Bond a Certificate 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 E] 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State hapter 142 of the General Laws. By: S►gna re of i s um er ` Type of Plumbing License Title J/ 98.r City/Town License Number Master , � Journeyman F1 APPROVED (OFFICE USE ONLY `�� EMS (Print or type) Installing Company Name m& Lew; f Address '- l AM /V '�) -- 1141JY-,0 v,'1_i_ ✓y/A. 0/d'19v Check one: 13 Corp. _ n Partner. irm/Co Name of Licensed Plumber: zi9 R,e 4� 12 4-f" �-( Insurance Coverage: Indicate,*e e of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 11 Bond a Certificate 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 E] 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State hapter 142 of the General Laws. By: S►gna re of i s um er ` Type of Plumbing License Title J/ 98.r City/Town License Number Master , � Journeyman F1 APPROVED (OFFICE USE ONLY `��