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Home My WebLink AboutMiscellaneous - 22 MARBLEHEAD STREET 4/30/2018�J 04014 / '- I Date ... ; ..4& TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING This certifies that ...........! y ....... Cq ... czt ......................................... has permission to perform ........ 9.fzK(.q.A� ......................................... wiring in the building of ........� J.- n, at ..g ..... 1K.L fti ....5.... ............... orth Andover asg,i FeeJ....:!.P.... Lic. No.,7.7,,�&() ... ..... ................ L cr ICAL INSPECTOR Check # Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official UXy/ [Permit No. cupancy and Fee Checkedv. 11/99] eave 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 A INFORMATION) Date: t 30.° Z City or Town of: 00,1 en To the Inspector of Wires: By this application the undersigned- gives .notice.off lus or herdntention to perform the electrical work described below. Location (Street & Number) t ��C9 s ct Owner or Tenant QA— k O'. �a.,-Vl &.r c,—. Telephone No. D Sg— a 1 acD Owner's Address 1: . Is this permit in conjunction with a building permit? Yes ❑ No 7R (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps ! Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters 6.)v'e S No. of Recessed Fixtures « No. of Ceil: Susp. (Paddle) Fans ore be waived b the Ins eetor of Wires. No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures (r v Swimming Pool A oe ❑ In- ❑ o. o mergency ig mg rnd. rnd. BatteEx Units No. of Receptacle Outlets No. of Oil Burners FRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection an Initiating Devices No. of Ranges No. of Air Cond. To s. No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number Tons K o. o Self -Contained Detection/AlertinE Devices No. of Dishwashers Space/Area Heating KW Local ❑Municipal ❑ Other Connection No. of Dryers Heating Appliances Kir Security Systems: No. of waterofNo. Heaters KW o. Si Ballasts of Devices or Equivalent Data Wiring: s No. of Devices or E uivalent No. Hydromassage BathtubsNo. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Ailacn aaantonai aetau y 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:) Estimated Value of Electrical Work: (Expiration Dat �' �� (When required by municipal policy.) Work to Start: p Z__ Inspections to be requested in accordance with MEC 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: Licensee: C --r_ J t Signature (If applicable, enter "exec at t the livens number line. Address.-- "LU o 1 of b t X (Q Jc n 3 �- •• ��_� u•J� .ter W,U V X: i am aware that the Licensee doe$ required by law. By my signature below, I hereby waive this requirement. Owner/Agent Signature Telephone No. LIC. NO.: LIC. NO.:- 31 DLa U\ �� Bus. Tel. No.c— S Alt. Tel. No.: Q0 53 ,not have the liability insurance coverage normally I am the (check one) ❑ owner ❑ owner's agent. PERMIT FEE: $ '-;;> S 4,,) '55� /? e -'y Date..................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . .................... has permission for gas installation ..................... 7-2-1�' (�z in the buildings of .............. ............................ at ................. ....... . . . . . . North Andover, Mass. Fee. ..... Lic. No.. GAS . I ks /P E" . R ........... Check#/3./,'7/ 3721 SLN MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG Building New ❑ Renovation ❑ Date Permit # Owner's TYPE f -Occupancy_ &_S,LdP ,&, lr Plans Submitted: Yes❑ No ❑ Installing Company Name BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE, MA 01840 Business Telephone -687-11105 Name of Licensed Plumber or Gas Fitter Francis X. Corkery Check one: Certificate # X❑ Corporation 1862 ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy D( 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: Signature of Owner or Owner'sgent Owner❑ Agent ❑ l�, hereby9 r* that all of the details and information 1 have submitted (or entered) in abo plication are true and acar�te toe best of my th knowledge and that all Plumbingwork and installations performed under the permit issu f r this application will n mpliawith all th a Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. U i Typp of License: Title Plumber Signature of censed Plumber or Gas Gasliitter City/Town Master License Number 8 6 9 7 O IC S ONL PJoumeyman Y • Y • "memo ■ N EMEN■■■MM ■■■■■■■�■■■■■■i MEN ■ ■■■■■■n■■■■■■■■■ .. ■■■■EMEME .. ■■■■■■■■■■■■■■■■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■r■�■■■■ ■■■■■■■■■■■■■■■■■®■■■■■mom ... Installing Company Name BAY STATE GAS COMPANY Address 55 MARSTON STREET LAWRENCE, MA 01840 Business Telephone -687-11105 Name of Licensed Plumber or Gas Fitter Francis X. Corkery Check one: Certificate # X❑ Corporation 1862 ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy D( 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: Signature of Owner or Owner'sgent Owner❑ Agent ❑ l�, hereby9 r* that all of the details and information 1 have submitted (or entered) in abo plication are true and acar�te toe best of my th knowledge and that all Plumbingwork and installations performed under the permit issu f r this application will n mpliawith all th a Pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene S. U i Typp of License: Title Plumber Signature of censed Plumber or Gas Gasliitter City/Town Master License Number 8 6 9 7 O IC S ONL PJoumeyman Z O , f - v us - a _z w cr U 0 a CL w X a z JI a z_ LL d O a w m o LL � z fn � J J p z 0 o i„ o w F- U cc � o w w • O z a a or o - o U. U. � z p O J w a U CL a a ur w LL. z (oil U w W x fn w X a z JI a z_ LL O a w m o � z � J 2' 905 ............... Date... 17 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ui This certifi , es that 62� .117.4 ............. has permission for gas installaticin--�!�--A-��;-- in the buildings of ...... at North Andover, Mk%s. �7 Fee ..... Lic. No. ................. GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Y MASSACHUSETTS UNIFORM APPLICATION FOR PERMI • TO DO GASFITTING � (Print or Type) NORTH ANDOVER Mass. Date : 7- ' kuilding Location �� ,��1� Permit i€13 ��1� • Owners Name • New "-1 Renovation Replacement Plans Submitted D FIXTUR=lz (Print or Type)_,;; Check one: Certificate Installing Company., Name ANDOVER PLBG. & HTG. CO., INCM Corp. 2122 Address 5731 SO. UNION STREET Partner. LAWRENCE, MA. 01843 CJ Firm/Co. Business Telephone:�78 685-8383 Name o f Llcegs $$ 1.' ber„;or. Gas Fitter GEORGE__ ROSS .)1 �' InsrranceCoverage '. `Indicate the type of insurance coverage by ithedking the appropriate box: Liability insurance policy [231" Other type of indemnity Q Bond 0 Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 17 Agent ID 1 hereby certify that aL of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowlcdge and that all plumbing work and Installations performed under Permit itmed lo: this application will -be in compliance with all pertinent provisions of the Massachusetts State Cas Cade and Qsaptet 142 of the General Laws. . By PE LICENSE: Title Plumber Sin ure of Licensed Gasfitter- 9 C ' Master or Gasfitter City/Town: . ,Journeyman ..:........ APPROVED (OFFICE USE ONry„ LY)L1CPnte `Num er MEMO NEWEEMEM ORSON MEN OEM (Print or Type)_,;; Check one: Certificate Installing Company., Name ANDOVER PLBG. & HTG. CO., INCM Corp. 2122 Address 5731 SO. UNION STREET Partner. LAWRENCE, MA. 01843 CJ Firm/Co. Business Telephone:�78 685-8383 Name o f Llcegs $$ 1.' ber„;or. Gas Fitter GEORGE__ ROSS .)1 �' InsrranceCoverage '. `Indicate the type of insurance coverage by ithedking the appropriate box: Liability insurance policy [231" Other type of indemnity Q Bond 0 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 coverages. Signature of owner/agent of property Owner 17 Agent ID 1 hereby certify that aL of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowlcdge and that all plumbing work and Installations performed under Permit itmed lo: this application will -be in compliance with all pertinent provisions of the Massachusetts State Cas Cade and Qsaptet 142 of the General Laws. . By PE LICENSE: Title Plumber Sin ure of Licensed Gasfitter- 9 C ' Master or Gasfitter City/Town: . ,Journeyman ..:........ APPROVED (OFFICE USE ONry„ LY)L1CPnte `Num er Date. . -'/—.!�7 . . 3762 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ................ has permission to perform ...... ....... ....... 441 ............. .. . . plumbing in the buildings of . . -9 CP� at. q ..... North Andover, Mass. 94 Fee CA-�. . . Lic. No.;�Ixa .. ............. .......... PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 0 • v �•a�vr,rvs Arrut„Al JUN FUR PERMIT TU UU PI.0 HINLI (Ptlnt or Typol NORTH ANDOVER, Mass. DateBuIl Location oco do Permit &2 z ?� Owner's Name New ❑ Renovation O Replacement W, Plans Submitted: Yes ❑ FIXTURES • No. ❑ Check one: Installing Company Named N D O V E R P L B G & H T G C 0 I N C. Address 5731 SO I1NT(IN STRFFT ❑Partnership F MA- 01843 ❑ Firm/Co. f3uslness Telephone 978 6pr,-8383 Name of I-Icensed Plumber— G (1 R G F I A R O S F t INSURANCE COVERAGE: I hsxe a current IlabA Insurance policy Che �y pdi or Its substantial equhialerd. Yee No ❑ If you have checked y". plesse Indicate the type coverage by checking the • pproprlate box A Itabllly insurance "Icy 0 . Other type of Indemnity ❑ Bond ❑ Certificate 2122 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 c4 the Masa. General LAkwe, and that my slgnature on this permit application waives this requirement. Check one: Slonal at of or Owner a Acent Owner ❑ Agent ❑ I hereby cwUfy that alt of the detaAs and Information I have autxnitted tot entersdl ti above — krKn* dqs and that all piumbinQ wwk and Inilallat{ona WkaUon se true and &=Kate to the best of my pertinent prAM the of the Mbing It ttean Stale atIo Worms mer the permit Issued ke a applkatlon will be In compflance with all bang Code and Chapter 142 of tJ» as laws. into We o n um—b—er CttylTown M'f'FVMD (OFFICE USE ONLY) License Number 9983 Type of PWimbing License: Master Journeyman 0 s ►- w „st w s 0 W IN 4 I- w M s to i t S u r = °a !/ w R a„ ar it M s• t ►et- u s • s— 1 as : .. = s .. e' s F V at ssr H o ass a s ! y w a<r . s .4 N a 66 K Me W o S s 1 t- • s D o< M s s 0 sun—•GMT. eA4KMGNT IGTFLOOR IND FLOOR $140 FLOOR 4TH FLOOR ITH FLOOR •TH FLOOR ITH FLOOR -- IT" FLOOR Check one: Installing Company Named N D O V E R P L B G & H T G C 0 I N C. Address 5731 SO I1NT(IN STRFFT ❑Partnership F MA- 01843 ❑ Firm/Co. f3uslness Telephone 978 6pr,-8383 Name of I-Icensed Plumber— G (1 R G F I A R O S F t INSURANCE COVERAGE: I hsxe a current IlabA Insurance policy Che �y pdi or Its substantial equhialerd. Yee No ❑ If you have checked y". plesse Indicate the type coverage by checking the • pproprlate box A Itabllly insurance "Icy 0 . Other type of Indemnity ❑ Bond ❑ Certificate 2122 OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 c4 the Masa. General LAkwe, and that my slgnature on this permit application waives this requirement. Check one: Slonal at of or Owner a Acent Owner ❑ Agent ❑ I hereby cwUfy that alt of the detaAs and Information I have autxnitted tot entersdl ti above — krKn* dqs and that all piumbinQ wwk and Inilallat{ona WkaUon se true and &=Kate to the best of my pertinent prAM the of the Mbing It ttean Stale atIo Worms mer the permit Issued ke a applkatlon will be In compflance with all bang Code and Chapter 142 of tJ» as laws. into We o n um—b—er CttylTown M'f'FVMD (OFFICE USE ONLY) License Number 9983 Type of PWimbing License: Master Journeyman 0 Dat'��- TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..... ...... . ...... . has permission to perform .. .................................. _'...... . .................... plumbing in the buildings of-'................................... ,North Andover, Mass. ' — Fee ......... LIc. No.......... `�"...` ......... . PLUMBING INSPECTOR Check # C�4� `5`3 5079 —\ (Print or Type) P NORTH ANDOVER, Mass. Date Building PermN�`�� New ❑ Renovation ❑ Replacement FIXTURES Owner's Name Jayi*d [z/ Plans Submitted: Yes ❑ No ❑ Check one: Certlnute Installing Company Name Andover P1 bg. & Heati ng Co. , Inc. ri(corp. 2122 Address _20 Aede6n Dr. Unit # 10 ❑Partnership Methuen, MA 01844 ❑ Firm/Co. Business Telephone ( 978) 685-8383 Name of licensed Plumber _George LaRose INSURANCE COVERAGE:ec e 1 have a current Ilabillty Insurance policy or Re substantial equivalent. Yes ® No ❑ If you have checked y", please indicate the type coverage by checking the appropriate box A liability Insurance polcy (� Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 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 permft application waives this requirement. Check one: SIgnOwner C]Agent ❑ store o Owner a Owner s en 1 hereby eerily that all of the detafis and Information I have subrrated for entered) in about, appkatim are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for thi applkatkm wil be in cornp8ance with a!f pertinent provisions of the Massachusetls Stale Ptumbina Cade and Chantar il2 of the (LrwralXaws — �, Hy_ Title GtylTown ANTKNED (OFFICE USE ONLY) License Number 9983 Type of Pkumbing License: Master Journeyman 0 w r s M 1~tAJ s es s es s P.- s O a » r M » �. v 1sMr 1 46 s 1- 44 w 0 M ea M I- a: Uy I s i ua M ►- J : O st $ Nor s ; F O V a ad � 1• o s w i` N d a o s! °s i es a�� ►�- sua—esMT. SASCURNT taT FLOOR 2NOFLOOR SAO FLOOR 4TH FLOOR STH FLOOR 4TH FLOOR. ITHFLOOR aTHFLOOR — 7. Check one: Certlnute Installing Company Name Andover P1 bg. & Heati ng Co. , Inc. ri(corp. 2122 Address _20 Aede6n Dr. Unit # 10 ❑Partnership Methuen, MA 01844 ❑ Firm/Co. Business Telephone ( 978) 685-8383 Name of licensed Plumber _George LaRose INSURANCE COVERAGE:ec e 1 have a current Ilabillty Insurance policy or Re substantial equivalent. Yes ® No ❑ If you have checked y", please indicate the type coverage by checking the appropriate box A liability Insurance polcy (� Other type of Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 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 permft application waives this requirement. Check one: SIgnOwner C]Agent ❑ store o Owner a Owner s en 1 hereby eerily that all of the detafis and Information I have subrrated for entered) in about, appkatim are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit Issued for thi applkatkm wil be in cornp8ance with a!f pertinent provisions of the Massachusetls Stale Ptumbina Cade and Chantar il2 of the (LrwralXaws — �, Hy_ Title GtylTown ANTKNED (OFFICE USE ONLY) License Number 9983 Type of Pkumbing License: Master Journeyman 0 Date pF NpaTH TOWN a G,pS 1NS OpTM �N Fp ° 00 M,� p pea 3 J o » M',SSACHVS J a�sfca� �. #i (!• f ies that • ti ^ " stallatioll Ver , Mass. This eettmission fol Nosh Ando has 4ej sof �r,-•� • /• ; bui�dln� . • . c -•AS INSP CjOµ � the ,. Yy�j'; . • �;�. • � G at `J rr" Lid. No Fee 1 3 :� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Mass. J uilding Location I Owners f Date G Permit iI Name i -f - New +?�• New - I Renovation Replacement 1 Plans Submitted j] FIXTURES f (Print or Type) Check one: Certificate Installing Company Name 11n8cxa r Plbt:,. £ Rtq• Ct>:,Inc ., (� Corp. 21Z2 Address 20 Aezotn -Dr. b .+ Gln Partner. P-Etiu��, /na.C'�I�3Ny H Firm/Co. Business Telephone: (9�f�,) &p,5_g- y Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q Bond Insurance Waiver: 1" the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. N Q N tL .p =2 yt W O C tu O a m t = N m w a ! w r z, ,o == o a r `� tu Q rn ►�- �c, O tz W z _ CC ot- X p t- tts x O F- Z= f w O T U. h t) .i W 2 d W -.4cc Y- 6t O z O N = •� W :r4 t= O CZ u. O O .at Sua-6SmT. BASEMENT IST FLOOR ' 2HO FLOOR 3RD FLOOR I 4TH FLOOR I 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name 11n8cxa r Plbt:,. £ Rtq• Ct>:,Inc ., (� Corp. 21Z2 Address 20 Aezotn -Dr. b .+ Gln Partner. P-Etiu��, /na.C'�I�3Ny Firm/Co. Business Telephone: (9�f�,) &p,5_g- Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity Q Bond Insurance Waiver: 1" the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 17 Agent 0 1 hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my icnowtedge and flat all plumbing work and tnstadations performed under'Petmit issued lo: this application will -be In compliance with all pertinent Provisions of tho Massachusetts State Cas Code and Clapter 142 of the General L►wa. YPE LICENSE:_ Plumber asfitter- Sylgndture of Licensed Master Plumber or Gasfitter Journeyman 9953 License Number