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HomeMy WebLinkAboutMiscellaneous - 218 APPLETON STREET 4/30/2018LN2 3027 Date ...... //4�r TOWN OF NORTH ANDOVER VOW PERMIT FOR WIRING f -;K This certifies that ... C7../ h Ifeyl ..................................... —q c / - has permission to perform .................................. .................................... wiring in the building of .... 11�e-<Fz( .. ...................................... at ...... 9- . .. ....... .............................. J.., North-Andoyef.4,,ass. Fee ... Lic. No. n,� .. .. .... ............. ....................... Check # ELECTR16AL INSPECMR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N& THE00A MONWEALTHOFMAMCIWSE77S Office Use only DEPARTAiENT0FPUBIJCS41E77 Permit No. ?d LZI BOARD OFMEPREVE MONRWMT10AN S27CMR 12-M UAPPUCATIONFORPERAff Occupancy &Fees Checked TO PERFORMELECTRICAL 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) Date Town of North Andover To the Inspector of Wires: The undersiened applies for a permit to perform the electrical work described below. Location (Street 6 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes [] No©� (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service lav Amps /� ZZcjVolts Overhead Underground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work � C S e, f No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. TotalJrl �/✓ Tons W _ 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 LocalMun 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 h-am=Com� Rttsuat�bthetagtmana��Gata-alLaws - Iha�caamotLiabdtybstra=PbhcyerlxkgCa#, e' ' Covw,Wcr tsskstrttiale*ivAat YES NO Iha%eabnoadvAdpcoofofsarnetotheO(tine YES � ✓ � NO Ifjcuha%edWWYFS,pleaw dicalethetypecfWVWdWbydiadmgthe IN RR4,NCE U BOND M OIH R- R M ftmSpeffy) E;ViaficnD* Es makd VaiuecafE6dncal Wodc $ wctktoStatt L� r Ste= C) I hqiecicnD*ReVesbd Rough Final FRMMIVAMaEeP�>alhesofpaUta iRyC wl t Ile14LitxnseNa 2=zT Sigt== 41z Li=wNb �y Busi=TcLNa q -)S-%,p4- 9 33 A� ,L.(..�!�.re� 4'. AkTeLNa OWNER'SllqKJRANCEWANER;tamawa<ethattheLioatsedoe nd e$teicsuatneoo orilss lc>tialec�rivalatastegtmedby Gama!Laws anddatmys�tahaeonthis pamitappliatbonwanes d is tew'ffmat. (Please check one) Owner M Agent �d Telephone No. PERMIT FEE $ (/C/ Date./e�� ? TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . � . �. .45� ... 1'�"K �� ...... has permission to perform .... At L., .. .............. plumbing in the buildings of .................... at /11//4. (71. e�'. ............... North Andover, Mass. Fee. Lic. N o. . )r!.O . ....... 'PLUMBING INSPECTOR Check# 5810 —C MASSACHUSETTS UNIFORM APPLICATION FOR.PERMIT TO DO PLUMBING (Print or Type) Mass. Date f (o-- 6 20�_ P/er�mit # (% Building Location '' a �. c , )' Owner's Name_ j�iw1AA20 New ❑ RenovationK Type of Occupancy Replacement ❑ SEWER # FIXTURES Plans Submitted: Yes ❑ No ❑ cr:=r Installing Company Name <14(a �t .� ✓� e% i.—:r-- Check one: Certificate Corporation 5zz 0 Partnership �! ©� / �� Ll ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Ul �(., INSURANCE COVERAGE: I have a cu rent liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes, No 0 If you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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. Signature of Owner or Owner's Agent 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 aation III be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 1 f the General Law . B y T' 1 Signature of Licensed Plumber Le City/Town APPROVED (OFFICE USE O Y) Type ofLicense: Master ❑Journeyman License Number l 60 • • MM M MM MM MM M0 MM M MM MM MMM MM M MM M MMM MM MM MMM . o • m M���MMMMM I�an��� �mmmmmmmn�������o� Installing Company Name <14(a �t .� ✓� e% i.—:r-- Check one: Certificate Corporation 5zz 0 Partnership �! ©� / �� Ll ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Ul �(., INSURANCE COVERAGE: I have a cu rent liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. Yes, No 0 If you have checked Yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy Other type of indemnity ❑ Bond ❑ OWNER'S INSURNACE 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. Signature of Owner or Owner's Agent 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 aation III be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 1 f the General Law . B y T' 1 Signature of Licensed Plumber Le City/Town APPROVED (OFFICE USE O Y) Type ofLicense: Master ❑Journeyman License Number l 60 A -Nz � This certifies that Date... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION has permission for gas installation in the buildings of at ... .... ........ . S Fee.'-'-�5.. ./. Lic. No. z/1Zr Check# 1 4799 / 14q /Z/ ............... .... I North Andover, Mass. ............ ............. GASINSPECTOR MASS APPROVAL # MASSACHUSETTS UNIFORM APPLICATION (Print or Type) Mass. Date GC Building ti. New p Renovation :)R PERMIT TO DO GASFITTING �S _ a 6. `q ' Perms it _O%M's Namer- _ Type of Occupancy IR es SCJ e"Al A I] Plans Submitted: Yes❑ No Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET [i Corporation 1 0 3 C MIDDLETON, MA 01949 [. Partnership Business Telephone 978-774-'2760 [, Firm/Co. Name of licensed Plumber or Gas Fitter WILLIAM R. -HARRTS INSURANCE COVERAGE: I have a Current liability Insurance policy or its substantial equivalent which mets the requirements of MGL Ch. 142. Yes IR No ❑ If you have checked �L• please Indicate the type coverage by checking the &;jxopriate box A liability Insurance policy 0 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does nct have the insurance coverage required by Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requirement. Check one: Owrwrj— Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (w entered) in above arpcaticn are nd accurate t e of my knowledge and that all plumbing work and installations performed under the perm ' for this I m ' all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the L:ws / gy T of license: Plumber gnature c tumDer or rtter Title Ga sritter ldaster license Numtx 3785 City/Town Journeyman ( NL n s Y O V rc !• .. 401. W in cc o v m �_ s» W O A FA. Wt}Z Z O �}- z o u t US e: =W ¢ 0n o p o=� c < N Z J= V W 6 W< W o- W H S ¢ er tW, 1A2 C ~_ W O a M S O Z U. C ; rt a < O .( j O 0 O C> 10 C O O n �1 ! F- .O = O SUB—BSMT. BASEMENT IST FLOOR I 2ND FLOOR I I 31RD FLOOR I I 4TH FLOOR 5TH FLOOR 6TH FLOOR TTH FLOOR STH FLOOR Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET [i Corporation 1 0 3 C MIDDLETON, MA 01949 [. Partnership Business Telephone 978-774-'2760 [, Firm/Co. Name of licensed Plumber or Gas Fitter WILLIAM R. -HARRTS INSURANCE COVERAGE: I have a Current liability Insurance policy or its substantial equivalent which mets the requirements of MGL Ch. 142. Yes IR No ❑ If you have checked �L• please Indicate the type coverage by checking the &;jxopriate box A liability Insurance policy 0 Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware that the licensee does nct have the insurance coverage required by Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requirement. Check one: Owrwrj— Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted (w entered) in above arpcaticn are nd accurate t e of my knowledge and that all plumbing work and installations performed under the perm ' for this I m ' all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the L:ws / gy T of license: Plumber gnature c tumDer or rtter Title Ga sritter ldaster license Numtx 3785 City/Town Journeyman ( NL