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HomeMy WebLinkAboutMiscellaneous - 216 FOSTER STREET 4/30/2018N Op N A � T b 0 O -, tn� M S' cn O '1 m m o � 0 K,Ly A -it/\ 14c -t V L w; C I ID- Date ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that A..0.7 has permission to perform ........................................ wiring in the building of ....... ..... ................................... at.S�Ue ...... ........ i ..................... . North Andover, Mass — 0--1 Fee ............. ....... Lic. Na�.!�.. ................... .. ELEcrRicAL INSPE6UR Check # 655z Commonwealth of Massachusetts official use only Department of Fire Services,, Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIO [Rev. 9/051 (leave blank) APPLICATION FOR PERMIT TO PE ORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code (ivIEC). 527 C NI 12.90 (PLEASE PRLVT ItV IIVK OR TYPE ALL 1AFOR 4TIO/V) Date: City or Town of: 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) s>)/4e, �� Z.- Owner or Tenant Owner's Address Telephone No.F-XPV-b0d- Is this permit in conjunction with a building permit? Yes ❑ No � (Check Appropriate Box) Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Sys r Completion of the followin.Q table may be waived by the Insnectnr of Wirvc No. of Recessed Luminaires ;No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets INo. of Hot Tubs Generators KVA No. of Luminaires Above In- Swimming Pool arnd. ❑ und. ❑ o. 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 of Detection and No. Initiatin Devices No. of Ranges �No. of air Cond. TonsTota No. of Alerting Devices No. of Waste Disposers Heat Pump Number . ....................................................... Tons KW No. of Self-Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating A Dances b PP KW Security Systems:" i No. of Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value f EI ctr'ca] Work:9 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE OVE AGE: 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:) I certify, under the pains anti penalties of perjury, that the information on this application is true and complete. FIRM NAME: ADT Security Services. Inc. LIC. NO.: 1533 C Licensee: C ,2 � 0d, I Signature LIC. NO.: 3 �(� �� L' (If applicable, enter "exempt" in the license number line.) Bus. Tel. No.: 60 3-594-5900 Address: 18 Clinton Drive Hollis N.H. 03049 Alt. Tel. No.: 603-594-5930 "Security System Contractor License required for this work; if applicable, enter the license number here: Q 0 1 q.7. 1 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 . ;�' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING n-\ (Print or Type) NORTH ANDOVER Mass. Date 7/29 19 97 Permit # 3 3 IN T Building Location 216 Foster St. Bauear g 's Name Type of Occupancy Residential New ❑ Renovation ❑ Replacement N Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name Heritage Htg . &Plg. Co. Inc. Check one: Certificate Address35 Pleasant Street LX Corporation 714 Stoneham, Ma 02180 (] Partnership Business Telephone 617-438-7776 () Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalentwhich, meets the requirernents Of MGL Of -I. 142. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 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: 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 performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code Nd Chapter 142 oft General Laws. By Title Signature of Licensed Plumber Type of License: Master [X Journeyman ❑ City/Town 8322 APPROVED OFFICE�ISE ONLY) License Number z rn yZ ,n Jw o Y Z ►- N O W ' Cr 0 x O W =¢ N Z LL Z z Z a H 01 N i -I J v CCM N FQ- rn y H a w x¢ �n o. — a— x rd rd rt1 Z— O 0 7¢ W¢ N Q W¢ i a W W z o a rn z ¢ s ¢ 0� N x -I-,) N x� ¢ W a= ♦✓ W 3 i (n a O z= J X N a ¢ ¢ ~ J z 7 O G W O LL 4J. x r� rW- c=i O O 0 OJ _z a W14 •�-i Q Q ¢ 5 iv Q C Q F iP -r i-' e� SUB—BSMT. BASEMENT 1 IST FLOOR 2ND. FLOOR 3RD FLOOR D 4TH FLOOR I STH FLOOR R 6TH FLOOR E 7TH FLOOR C 8TH FLOOR T Installing Company Name Heritage Htg . &Plg. Co. Inc. Check one: Certificate Address35 Pleasant Street LX Corporation 714 Stoneham, Ma 02180 (] Partnership Business Telephone 617-438-7776 () Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalentwhich, meets the requirernents Of MGL Of -I. 142. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 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: 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 performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code Nd Chapter 142 oft General Laws. By Title Signature of Licensed Plumber Type of License: Master [X Journeyman ❑ City/Town 8322 APPROVED OFFICE�ISE ONLY) License Number J z 0 w w U k LL O a O w 3 O J W m N w V F- W Y N W W LL 0 z O z m J CL O a O I- t t 2 W 0. m 0 LL z O F' Q U J 0. a O z O J_ m LL O w CLI F- lo w a Q z O z o. J m LL O z O_ F. 4 V O J a w z Q m O F- a W IL Date 343A. TOWN OF NORTH ANDOVER —PERMIT FOR PLUMBING This certifies that . /,.". , . . 6'e has permission to perform I plumbing in the buildings of . AA�e;W? ..................... Z at. .0. .... North Andover, Mass. - nNP ............ Few. ?,.7 .... Lic. No.e?��.� ... .. ... PLUMBING ECTOR 08/08/97 12:07 27.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer