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Home My WebLink AboutMiscellaneous - 224 HICKORY HILL ROAD 4/30/2018 �' 224 HICKORY HILL ROAD 2101062.0-0135-0000.0 9 l0 2 2 DateO... i 9' ORTH Ot , TOWN OF NORTH ANDOVER Nyin ,�,ti0 A PERMIT FOR PLUMBING ,SSACMUSE� This certifies that . . . . .rC ��` .. � �v �� TT has permission to perform . . . . . .�O) GA2. . . plumbing in the buildings of 2 L , G�la� 1�• at . . . . . yTO . l�. . . . . . . . . . � .� . . . . . . . ., North Elndarser, Mass. Fe—f�. . . . .Lic. No . . . . . y-. . . . . . . PLUMBING INSPECTOR Check # 2.t ' Y i MASSACHUSETTS SETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town MA. Date:�� Qf J J Permit# Building Location: /fCD/d�/ L /�d Owners Name: AIC Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ Residential New:❑ Alteration:❑ Renovation: ❑ Replacement:❑ Plans Submitted: Yes❑ No❑ FIXTURES DEDICATED H z SYSTEMS z W Y U H >LU Z ❑ Ln Ln 0 LU a . ii: z z ¢ a vl S Vf Q w F W F LU w u F = a O F U Z ¢ LL a Y Q 2 W W �w d) O W W cn ,n O > > O O Z Z v, F F I N F ~ O Q a a a o y W Q a m m o o LL x° Y g 3 �° SUBIBSMT. ¢ 3 BASEMENT 1sT FLOOR 2ND FLOOR 3RD FLOOR 4T"FLOOR 5T"FLOOR 6T"FLOOR 7'FLOOR 8T"FLOOR Installing Company Name: Check One Only Certificate# Address:q/ El Corporation l�L/y K.os �ty/Town:�� !"5/�GaQ✓State:�� El Partnership Business Tel:--!? $ 1, Fax: firm/Company Name of Licensed Plumber: /Y v TF INSURANCE COVERAGE: have a current liabyInsurance policy or its substantial equivalent t which meets the requirements of MGL.Ch.142 Yes ❑ No Ifo y u 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' SURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massa usetts eneral Laws,and that my signature on this permit application waives this requirement. Check One Only Si n e of Owner or Owner's Agent Owner ❑ Agent ❑ 1 hereby certify that all of the details and information I have submitted(or entered 1 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. rAPPROV��D((OFFIC�EUSE�ONLyj Type of License: ❑Plumber Signature f Lic sed umbe Town ❑Master (]L dourneyman License Number: j �J 2 1 Date.. . ... .. Of HORTN 9� TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION ♦. f 9SSACMUSEt This certifies that . . has permission for gas installation in the buildings of . . I. . : ` r:. . . . . . . . . . . . . . . . . . . . . . . . . . . at . .- ?.:!. ':f T r. !�. . . . :c r . . . . ., North Andover, Mass. Fee. . !, .. . . . Lic. No.. %.? S.v. C� %n . . . . GA'SINSPECTOR Check# t!/,r j 4 40 i MASSACHUSETTS UNMRM APPUCATON FOR PEPM1T TO DO GAS FfrMG (Type or print) Date —A 0 d NORTH ANDOVER,MAS(,SACHUS(ETT{ S Building Locations �a-1 [A ;r—ho F't d\ 1 [ Permit# Amount$ PI Owner's Name New Renovation Replacement Plans Submitted r`� ccam�] O V pq a A 3 3S o LH. F SEM ENT BASEMENT q 1,S T. FLOOR LOOR LOOR LOOR LOOR LOOR LOORLOOR (Printor �! d �P al`(��? ' e: Certificate Installing Company NameCorp. Address r Partner. l Business Telephone 7 01,r Co. Name of Licensed Plumber or Gas Fitter )q � INSURANCE COVERAGE Ch one' I have a current liability Insurance policy or it's substantial equiWent. Yes Noo If you,have checked M.please indicate the type coverage by checking the appropriate box. Liability insurancepolicy E Other type of infinity �' Bond ❑ Owner's Insurance Waiver. I am aware that the licensee does not have the ITIMM ice coverage required by Chapter 142 of the Maass.General Laws,and that my signature on this permit application waives thig requirement. Check one. . Signature of Owner or Owner's Agent Owner 0 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 Permit Issued for this application will be in compliance with all pertinent provisions ofthe,Massachusetts Code d Chapter'142 ofthe General Laws. By. Signature of Licensed Plumber Or Gas Fitter Title 0 Plumber 3©/ `/ City/Town 0 Gas Fitterince=Number Master APPROVED(OFFICE USE ONLY) Journeyman 3 7 9' 5 4L Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING SS CHUS '-jr.his certifies tha(,,-�.... ..... ..............A4.................................. has permission to perform .- �'�_�Tr --`�--' ................................... wiring in the building of... .......................................................................... at ...................... North.Andover,Mass. Fee.o .....— Lic. . .............................. ELECTRICAL INSPECTOR Check # Official Use Only N Permit No. aee«t 5 Occupancy&Fee Checked_ BOARD OF FIRE PREVENTION REGULATIONS.527 CMR 12:00 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date S—/Z9 1 O' _ To the lnspdctor o Wires: Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number ZZ < w " LC-- Owner or Tenant Owner's Address Is this permit in conjunction with a'building permit Yes No ❑ (Check Appropriate Box) Purpose of Building �'S ! SJ�.►��✓�--— Utility Authorization No. Existing ServiceAmps Volts Overhead ❑ Undgrnd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrnd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work r I—7 A. Total No.of Lighting Outlets No.of Hot fuse No.of Transformers KVA q Above ❑ In ❑ No.of Lighting Fixtures o Swimming Pool grnd ❑ grnd ❑ Generators KVA No.of Emergency Lighting No.of Receptacles Outletts� No.of Oil Burners Battery Units No.of Switch Outlets 0 No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons initiating Devices Heat Total Total No.of Di osal No. Pumps Tons KW No.of Sounding Devices No./of Self Contained No.of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heatinq Devices KW Local Connection A No.of No.of Low Voltage ,:_No.of Water Heaters KW Signs Bailases Wiring No.Hydro Massage Tuds No.of Motors Total HP OTHER: INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including,6�mpleted Operations Coverage or its substantial equivalent CYFSt NO = h d valid proof of same to the Office SS NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. SU = BOND = OTHER = (Please Specify) (Expiration Date) Estimated Value Ele trical Work$ �va o o. Work to Start S 1.w 2�— Inspection Date Resquested Z 1 O L.- Rough Final Signed under Me Penalties of perjury: FIRM NAME h� G�-t�L S �� . LIC.NO. M&SI A LknseeA!� Signatu LIC.NO. !f� Sri Bus.Tel No.L 3 Z` Address Alt Tel.No. OWNER'S INSURA14CE WAIVER: I am aware that the Licenses does not haye:the insurance coverage or its substantial equivalent as required by Massachusetts General Laws.And that mysgnature on this permit application waives this requirement. Owner Agent (Please Check one) O'er Telephone No. PERMITTEE S '— (Signature of Owner or Agent)