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HomeMy WebLinkAboutMiscellaneous - 24 SURREY DRIVE 4/30/2018N r/ Fr ! .-.,, ''! 4 JI uAT I lU,_ (n.S 'uus--ISS FAT. L'.SawteIAEN T ZST FLOOR 2NiD FLOOA 3RD FLOOR 4TH FLOOR STH FLOOR 3THFLOOR T ['L �4rt v, Y Eseta �'34 j7t� �_ 0 ate- > e z o z a CLIMATE DESIGN HEATING and AIR CONDITIONING, LLCT N Installing Company Name r�'wt 5 South Summer Street Address Bradford,. MA 01835 Check one: (-.ernficate 978-372-9999 hone Corporation 7.�t_. r�. 40 978-372-0882 (fax) - Partnership Business Telephone lic. Plumber. ;J � _ r P, Name of licensed Plumber 1RSt<:B4ANCE COV%EUGE: I have 2 cut�ent liablRy lnsuc`nce Policy or Its substantial eguFd�terd tthich meets Yes � No ❑ � recuirerrients of t%4GL Chi- 1,42. li YOU have checked yes. Please indicate the type coverage by CltACklrsg the epPropri"4c bow [_"A liability insurance Palley 11 Other P'V of Indemnity p Bond ❑ OWNER'S INISURAI CE %r4AFV°ER: I wrE aware u13t the licensee does not have th_ insuran, ar coverane Chapter 142 VP tFo_ �r16ss. General Laws. grid that rrty algnatlPre ®n this permit application srce' b regulre<dd by Check one: tvf:s this requirernertt. �+pnature oP Uvner ar?�mer's kgent---�-�® Ovrner ❑ r'��ent ❑ l PeereE,y ���fy h�,t x,11®f the details and inf�^�i at;on l 1Ear� sEaSrrEcttsd &or ®ntsrsdi in atWve a"a'-- — i:no���dge mnd th.;;f all plumbing work aced instatla ' s prrfo r. Ger fi1El xKmeit is. aPPtiCattan ars _ Partn�nt proE� orfs of tha E �1ad Par this iru� aid vcaJrat®. to ttee dsst of nny E,�assa:ht;ssfis Slatfi ?i r tics Cc�a ti aPPfi�tion t*rifl ba in �mpiierc� Fath r;:tl I etle __y gnature of :fnseed TipeTf t.icen se::Fdu m Cgr Date..`3"S TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .... f `?" .' ....: ...^.. ............. . �.�.. �� . has permission to perform ....�._.: �:-1�............ . plumbing in the buildings of . at Fee......... Lic. No..hlv* .. . Check # 130? 7304 .F ......... North Andover, Mass. PKU GING INSPECTOR MAP D PARCEL�SSAC USETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Type or print) {�� NORTH ANDOVER, MASSACHUSETTS 1 Date ZS -la-95 Building Location 2 % RAS Y_ � Owners Name 30 P1 JUJ , CP TA N / 1V Permit # 44V ellAmount' Type of Occupancy HME New M Renovation 1-1 Replacement 0 Plans Submitted ■ (print or type) Check one: Installing Company Name 0 -10m -q'5 F.orp. Partner Lj Firm/Co- ? Certificate J l� Name of Licensed Plumber: 1'0 M 5 e O - l4 . Insurance Coverage: Indicate the type of insurance coverage by CLdcking the appropriate box: ❑ Liability insurance policy ©� Other type of indemnity ❑ Bond 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 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 unde Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts to Plumbin d C 142 of the Laws. By:igna ure of Licensea riumoer Type of Plumbing License Title J41 jiX ,�,/ City/Town icense t umoer Master 01 Journeyman ❑ APPROVED (OFFICE USE ONLY J Now 0�MWMWWMW 00 WWNWnWNWW MM�1�0000 0000M Wo (print or type) Check one: Installing Company Name 0 -10m -q'5 F.orp. Partner Lj Firm/Co- ? Certificate J l� Name of Licensed Plumber: 1'0 M 5 e O - l4 . Insurance Coverage: Indicate the type of insurance coverage by CLdcking the appropriate box: ❑ Liability insurance policy ©� Other type of indemnity ❑ Bond 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 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 unde Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts to Plumbin d C 142 of the Laws. By:igna ure of Licensea riumoer Type of Plumbing License Title J41 jiX ,�,/ City/Town icense t umoer Master 01 Journeyman ❑ APPROVED (OFFICE USE ONLY Date... N 4113 �` NORTq TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,S5 CMU This certifies that ... -".' has permission to perform . . ...:........... . plumbing in the buildings of ................... at ..�`.%...,. .... , North Andover, Mass. Fee 2, . .Lic. Noyd � . >.. PLUMBING INS�PEE ' 08/16/99 14:37 35.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MAP PARCEL_ ✓IASSACHU TON FOR PERMIT TO DO GAS FITTING or print) INVKrH ANDOVER, MASSACHUSETTS Building Locations C� 4/ Date 19 1� 3 2..3 Permit # Amount S- v Owner's Name New Renovation ❑ Replacement5V Plans Submitte \ w. (Print or type) C Address —ndVt 6 W d w -n W+- t, O Business Telephone 13 2 Name,of Licensed Plumber or Gas Fitter • 10 M. C a - Check : Certificate Installing Company corp. 3/3 ❑ Partner ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No E] If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑�_ Other type of indemnity ❑ Bond El 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. 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Staff as Code and Clap I o f the General Laws. By: S' ature of Licensed Plumber Or G itter Title Plumber City/Town ❑ Gas Fitter Icense 7umoer ❑ Master APPROVED (OFFICE USE ONLY) ❑ Journeyman I I (Print or type) C Address —ndVt 6 W d w -n W+- t, O Business Telephone 13 2 Name,of Licensed Plumber or Gas Fitter • 10 M. C a - Check : Certificate Installing Company corp. 3/3 ❑ Partner ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No E] If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑�_ Other type of indemnity ❑ Bond El 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. 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts Staff as Code and Clap I o f the General Laws. By: S' ature of Licensed Plumber Or G itter Title Plumber City/Town ❑ Gas Fitter Icense 7umoer ❑ Master APPROVED (OFFICE USE ONLY) ❑ Journeyman 3237 / Date... .... .... •.... ,�pRTk TOWN OF NORTH ANDOVER pE�t..ao ,e,ti0 3 PERMIT FOR GAS INSTALLATIO& 1- Ti ,SSACMUSEt ? C� This certifies that ........ • • • • • m has permission for -gas installation ��.. � � �'• :`� in the buildings of,` .... ....Y.`..... `'. `......... • .. • ... • • .. • • at .• • • • • • . • , North Andover, Mass. Fee-:Z?. ! .. Lic. N... -. �... . . GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TLECJ9AM0NWE4LTH0FM4SSACHV= office Use only DEPARTA0%TOFPUBLICS4= Pernut No. BO* OFFNEPREVEMONREGUL450NS527CMR 12.00 Occupancy & Fees Checked c r APPLICATION FOR PERA/ff TO PERFORM ELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH TI-t'E MASSACHUSSTS ELECTRICAL CODE, $27 CMR 12:00 -2 ,_ ffIF (PLEASE PRLN 1' IN IN'K OR TYPE ALL INFORMATI�ON�,^ Date Town of North Andover The undersigned applies for a Location (Street & Number) MAP_ U W TJ the Inspector of Wires: ibed bel v1r-y �Liv� I PARCEL Owne; or Tenant /yLr 'S'j'•A�j^/ Owner's Address Is this permit in conjunction with a building permit: Yes= No © (Check Appropriate Box) Purpose of Building S." G 2! Existing Ser.�ice Amp�lu Overhead r777rUnderzround New Ser, ice Amps / Volts Overhead Underground Number of Feeder and Ampaciry `�re,` Jt -'-1D M&AI IZpl Cjp�®lGs�/ Location and Nature of Proposed Electrical Work Utility Authorization No. No. of Meter No. of Meter No. of Lighting OutletsNo. of Hot Tubs No. of Transformers Total KVA Nr . of Liming Fixtures Swimming Pool Above Below Generators K VA ground eround .No. of Receptacle Outlets No. of Oil Btnners No. of Emergency Lighting Battery Units No of Switch Outlets No. of Gas Birrriers FIRE ALARMS No. oCZones No. o(Rang-s No. of Air Cond. Total / Tons No. of Detection and No. of Disyos is No. of Heat Total Total Pumos Tons KW Initiating Devices No. of Sounding Devices i No of Dishwashers Space Area Heating KW No. of Self Contained --- Detection/Sounding Devices Local Municipal E] Coanec;ions Q Other No of Dryes Heating Devices KW :`+U UI Waief HC3l CfS KW I N0. of No. of I` Sians Bailasis i No H cro .Mass ge Tuos I No. of Motors Total HP OTHER I M r • � i� � � i••r• . • l.`" 1:11 •- r • .ili• • L=-isee S/ iii / e ter- &23r ' OWN R—S Lr RAN 1V.4NER 1 an a,r�e c e Lzz- toes me hhe acid tha rrrysaz=-recti this p=mapp6=w w.-mts d mazar, tj (Please cheek one) Owncr Agent Es>r� ValuedEeco l we k s L5 O!> ,6Z0 Fu -1 10'e -ler 7-"- f? V14 -4c19, r/�71L1iL1-r6eN0 673494 f� Bt,sz-r-sTeiNa ??/ Ai tessirareccsgeaastarz�leal�tascer�by �v Telephone No. PERNII T FEE S III N2 1791 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ S ............ ......... has permission to perform e wiring in the building of ...... .................................................... at q ...... 5 .. �ASTAY .... jog ................ Andover, s. Fe/'146e) ...... Lic. No. W ......... .... ... i 5iCALINSP WHITE: Applicant CANARY: Building Dept. PINK: Treasurer