HomeMy WebLinkAboutMiscellaneous - 27 BRADSTREET ROAD 4/30/2018!2
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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
7
This certifies that ..... .....................
11412
has permission for gas installation ......... . e7
the buildings of . . .
.......... .........................
at . C-1. .7 e�� North Andover, Mass.
Fee Lic. No. ........ ............
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?'G�S�S'IN PE R
Check #
5211
MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITMG
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date --8/24/05
Building Locations —2'2 Bradstreet Rd
Permit#—
residential Owner'sName James Robinson Amount c —I,'
New Renovation Replacement El Plans Submitted El
$36.00
BASEMENT
1ST.
FLOOR
2ND.
F L 0 0 R
TR D -
FLOOR
4TH.FLOOR
5TH.
FLOOR
iTH-FLOOR
U
FLOOR
z
SUB-BASEM ENT
BASEMENT
1ST.
FLOOR
2ND.
F L 0 0 R
TR D -
FLOOR
4TH.FLOOR
5TH.
FLOOR
iTH-FLOOR
rTH.
ITH.FLOOR
FLOOR
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(Print or type) Eastern Propane Gas Ch k one: Certificate Installing company
Name Corp.
Address 131 Water St. Partner.
Dgny—rs MA njqP�
Business Telephone i Soo �Pp 6��),q E]Firm/Co.
Name of Licensed Plumber or Gas Fitter
-U'43UAA,Nt-.t UUVEKAUE Check 006.
I have a current liability Insurance policy or it's substantial equivalent. Yes M NoO
Ifyou have checked 3LeS pi dicate the type coverage by checking the appropriate box-
Uability insurance policy V Other type of indemnity C1 Bond
Owner's Insurance Waiver: I am aware that the licensee does not h2ve the Insurance coverage required by Chapter 142 ofthe
Mass General Laws, and that my signature on this permit application waives this requirement.
Check one:
s Agent Owner 0 Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are hue and �accurate to the
best of my knowledge and that all plumbing work and installations petfonned under Pen -nit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapt,
g, -r42
,Atl��
era] Laws.
�City/Tow—n---
ROVED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
Plumber
Gas Fitter License Nu M-ber
Master
Journeyman
Date .......
..... ... ...... .. .... .
0,
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..... ................
...... ........................... .... .......... ... ..........
has permission to perform .... Z414114 5"e-�4'c
.....................................................................
y
wiring in the building of .... .............................................................
lea..at ................... ... . ... .. North Andover, Mass.
Fee . ................... Lic. No4j�7�.I?-.4
0414Z ....... .. . Ae
i��'��RICAL INSPECTOR
Check #Iyf,72—
A
WE
Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. s– :1
Occupancy and Fee Checked
[Rev. 11/991 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be perlormed in accordance wiLn Lhe assachusetts Electrical Code k1VIEC), 32 / C R 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMA TION) Date: 07-27-2005
City or Town of: NORTH ANDOVER 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) 27 BRADSTREET ROAD
Owner or Tenant MARY ROBINSON
Telephone No.
Owner's Address SAME
Is this permit in conjunction with a building permit? Yes No Z (Check Appropriate Box)
Purpose of Building RESIDENCE Utility Authorization No. 354-099
Existing Service 100 Amps 120/240 Volts Overhead Z Undgrd [:] No. of Meters I
New Service 200 Amps 120/240 Volts Overhead Z UndgrdE:] No. of Meters I
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: UPGRADE OVERHEAD SERVICE
No. of Recessed Fixtures
No. of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Swimming Pool A ove Ei In- n
gmd. gmd.
No. ot Emergency Lightmg
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
INo. of Zones
No. of Switches
No. of Gas Burners
No. oTDetection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Tons
.......................
1KW
..............
No. of Self -Contained
Totals:
Detection/Alertina Devices
No. of Dishwashers
Space/Area Heating KW
Local E] Municipal El Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:
–N—o.—o
No. of Devices or Equivalent
No. of Water KW
T No. of
Data Wiring:
Heaters
Signs Ballasts
No. of Devices or Equivalent
No. Hydro massage Bathtubs
No. of Motors Total HP
felecommunications Wiru�g:
No. of Devices or Equivalent
OTHER:
AINSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licen-
see provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certi-
fies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE Z BOND F] OTHER F1 (Specify:)
Estimated Value of Electrical Work: $ 1,800.00 (When required by municipal policy.) (Expiration Date)
Work to Start: 08-01-2005 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains andpenalties ofperjury, that the information on this application is true and complete.
FIRM NAME: WILLIAM J. IANNAZZI, INC. LIC. NO.: 13592A
Licensee: WILLIAM J. IANNAZZI Signature' LIC. NO.: 13592A
Bus. Tel. No.: 978-686-7300
Address: 191 CHANDLER ROAD ANDOVER, MA 0 18 10 Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normaliy required by law.
By my signature below, I hereby waive this requirement. I am the (check one) El owner [:] owner's agent.
Owner/Agent
NSignature Telephone No. FPERMIT FEE: $
PERMIT NO
1 KA A 0 klr% I
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAG -E- 1
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS I - 12
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED A�Nj APPROVED BY BUILDING INSPECTOR
DATE FILED J— -9- '� J— ,
4� - !s 4-4
SIGNATURE OF OWNER OR AUTHORIZEUAaENT'
F E E
PERMIT GRANTED
19
3 PROPERTY INFORMATION
LAND COST 1110 -
EST. BLDG. COST tto
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH I
PLANNING BOARD I
BOARD OF SELECTMEN
i e? � � /(/
BUILD[
OT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK PAGE
ZON E
SUB DIV. LOT NO.
LOCATION '6 �- A s -f �- al
r R 0
PURPOSE OF BUILDING Nci(
OWNER'S NAMoh '0A Do bf A
NO. OF STORIES SIZE
a
OWNER'S ADDRESS AAA
BASEMENT OR SLAB
ARCHITECT'S NAME
BUILDER'S NAME AAA I—C
SIZE OF FLOOR TIMBERS IST 2ND 3RD
SPAN
DISTANCE TO NEAREST BUILDING
DISTANCE FROM ST EET -7
R
A 0
DIMENSIONS OF SILLS
POSTS q"
DISTANCE FROM LOT LINES — SIDES
AREA OF LOT
$REAR
FRONTAGE d'-
GIRDERS
�EIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x y
IS BUILDING ADDITION t
MATER:AL OF CHIMNEY
IS BUILDING ALTERATION oe�
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM T6 REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION, IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS 1 - 3
PAGE 2 FILL OUT SECTIONS I - 12
ELECTRIC METERS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED A�Nj APPROVED BY BUILDING INSPECTOR
DATE FILED J— -9- '� J— ,
4� - !s 4-4
SIGNATURE OF OWNER OR AUTHORIZEUAaENT'
F E E
PERMIT GRANTED
19
3 PROPERTY INFORMATION
LAND COST 1110 -
EST. BLDG. COST tto
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
BOARD OF HEALTH I
PLANNING BOARD I
BOARD OF SELECTMEN
i e? � � /(/
BUILD[
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Date ........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .......... 476 ...... 4nAU'."50'.%/ ........................................
has permission to perform ...... ....... Cq �. .... .........................
wiring in the building of ........ e .......... �.: .................................
at .... . ..... /�./) ........... . North Andover, Mass.
Fc. ...............
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Check # ELECTRICAL INSPgCT��
5694.
Virr.1"n Ur JVJtJJVJV-,aL/JALA 10
DEPARTMWOFPUNIC
B0ARD0FFfl?EPREvEV,1T0,qV R7(W120 Pennit No. 9 (Z
Occupancy & Fees Checked
APPLICA77ONFOR PERAlff TO "�V
,DANCE WITH THEE SSACHUSSTS ELECTRICAL CC ORK
ALL WORK TO BE PERFORMED IN ACCOP EU ,
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A PAC H T ELECTF A?/10
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(PLEASE PRINT IN INK OR TYPE ALL INFORMATI N) T2 'DE, 527 c� AR2:
Date 5
Town of North Andover
To the Inspector of Wires:
be
The undersigned applies for a permit to perform the electinic I w r escribed below.
Location (Street & Number) - A
17 A" a 61
A
Uwner or I enant ck-eb �)OV7 --
Owner's Address *5*1 to -
Is this permit in conjunction with a building I permit: Yes [M NO (Check Appropriate Box)
Purpose of Building _ & ef 7 Cten 7;4 /
Existing Service d Amps,�2v 1JVe? volts
New Service -- Amps Volts
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets . I No. of Hot ;Fub-s
of Lighting
of Receptacle Outlets -----TN. -of Oil
No. of Switch Outlets
No. of Gas
No. of Ranges
No. of Air,
No. of Disposals
No. of H
No. of Dishwashers
P
P
Space Area
No.
No. of Water Heaters KW No. of
Signs
No. Hydra Massage Tubs No. of
Utility Authorization No.
Overhead Underground No. of Meters
Overhead
UndeFgmund No. of Meters
7 7TWV-7777 "74...'Ce
Generators
No. of Emergency -Lighti.g Battery
Total FIRE ALARMS
Tons I
Al Total No. of Detection and
'ns.KW Initiating Devices
KW No. of Sounding Devices
NO. of Self Contained
Detection/Sounding Devices
KW Local Municipal
No. of - I E] Connections
No. of Zones
Ott
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1:1 Te lephone No.
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