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Home My WebLink AboutMiscellaneous - 27 KINGSTON STREET 4/30/2018rn �,i N2 '1909 ( 0" 0 0*. rloo Date A ..... . ..... .. . ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that" V<� ... ....................................................................... rs has permission to perfo ... z ............... ;�� ......................................... wiring in the building of ..................... ............... 2 .... , North Andover, Mass. at ..... ........................... Fee7-�) ...... ......... eic. No�' . .......................................... 6 .................... ELEcrRICAL INSPEcroR ()'0/24/98 11:13 3- 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use 0 Z � The Commonwealth of Massachusetts P ---it N.. 6)9 WOccupanci & Pet Checked Department of Public Safety 3/90 Ileave blank) BOARD OF FIRE PREVENTION'REGULATIONS 527 CMR 12M APPLICATION FOR PERMIT TO PERFORM ELECTRICAL.WORK All %*rk to be performed In accordance with the Ma"chusetts Electrical Code, 527 CMR 12:00 (pLWE PRIM IN INK OR TrPE ALL 11TF OMATION) Dat City or Town of. lohlm To the Inspect�)r of Wires. The undersigned applies for a permit to perform the electrical work described below. Loc.ation (Street Number)- CP_ —71 06-ner or Tenant 16t_vt,1 61 Owner's Address Is this permit in conjunction with a building permit: Yes 'NO Q (Check Appropriate Box) 'Purpose of Buildin Utility Authorization NO. Existing Service Amps— Volts Overhead Undgrd No. of Meters New Service —Amps Volts Overhead Undgrd No. of Meters Number of Feeders and Ampaci Location and Nature of Proposed Electrical Work IAO -n 0 X ca W E — -1 1 . Total No. of Lighting Outlets 1 lNo. of Hot Tubs No. of Transformers KVA No. of Lighting Fixtures Above In- Swimming Pool grnd. D grnd . El Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total- No. of Ranges No. of Air Cond. tons Initiating Devices No. of Sounding Devices No� of Self Contained. Detection/Sounding Devices Municipal Other LOC41 0 Heat ' Total Total No. of Disposals No. of PumDs Tons 1CW No. of Dishwashers Space/Area Heating KW KW No. of Dryers Devices Connection[] No, f 0. 07— Low Voltage No. of Water Heaters Siens Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total KP OTHER: INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws substantial I have a current Liability Insurance Policy including Completed Operations Coverage or its equivalent. YESa NO [3 1 have submitted valid proof of.same to this office. YES[a' NO If you have checked YES, please indicate the type of . coverage by checking the appropriate.box. INSURANCE I 8"'BOND [I OTHER [] (Please Specify) _7E�xpiration Dace Estimated Value of E144crrical Work S Work to Start 6 1�-31 5 Inspection Date Requested: Rough —Final— Signed under the penalties of perjury: FIRM NAME— LIC. �_?r 5 Licensee VoAa4 1QJJ__"5A4 J -P, Signature azl_ LIC. NO. -3/( 2( �/ B6s;/Til. No.. Fe Lr Address —Alt.. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that ehe Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S (Signature of Owner or Agent) Redo INSPECTION. Date 'Notes.— Remarks MAS'ACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN'G S (Print or Type) NORTH ANDOVER Mass. Date :,5-- U "V L.0 Lion pyyo Permit # 2j—, -/S--` —Owners Name' 6/; New '7 Renovation Replacement 0) P1 �t_t ans Submit d (Print or Type) Check one: Certificate Installing Company Name Corp. 17 2--N- Address- 0- L4 r V -e Partner. lx� W Qk & vv\ Mu 0 -L t �-o f—( Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurancp Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity F__j 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 F� Agent r7 �_Z� I I hereby certify that ad of the details and inform3itioa I haYe submitted (or entered) In above application are true and accurate to the be,( of nj*--1 knowledge and that all plumbing work and InstAilafions petformed under* Permit iuLled for this application wW-be in compilmnce with all ent provisioas of the Massachusetts StateCas Code and Chapter 142 oftho General Laws. By TYPE LICENSE: Title -umber Gasfitter Signature of Licensed -S� City/Town: ster Plumber or Ga. itter Journeyman APPROVED (OFFICE USE ONLY) 0 1: License Nufter MEN SOMME, nommossoms mom "NEMESES on no M"W-UMMEMEMENNE IMEMENEMMINNEMEME 1=111,111818,11 EMENIONSIONEENION 0 ME MENNEN Monson 00000000MENNOMMENNE IVA# monsoon MENNEEMENNEVIONEME (Print or Type) Check one: Certificate Installing Company Name Corp. 17 2--N- Address- 0- L4 r V -e Partner. lx� W Qk & vv\ Mu 0 -L t �-o f—( Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurancp Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity F__j 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 F� Agent r7 �_Z� I I hereby certify that ad of the details and inform3itioa I haYe submitted (or entered) In above application are true and accurate to the be,( of nj*--1 knowledge and that all plumbing work and InstAilafions petformed under* Permit iuLled for this application wW-be in compilmnce with all ent provisioas of the Massachusetts StateCas Code and Chapter 142 oftho General Laws. By TYPE LICENSE: Title -umber Gasfitter Signature of Licensed -S� City/Town: ster Plumber or Ga. itter Journeyman APPROVED (OFFICE USE ONLY) 0 1: License Nufter Office use 0 014r C90MMOUMMfth of Susarffimetts Permit No. latprftnaft tif pul3lic *Mktg O=pancy Fee Checked BOARD OF FIRE PREMMON REGULATIONS 5V CUR 12:00 3190 Peave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL ORKV All work to be -performed in accordance with the Massacr-usetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /- l.1 (M* or Town of NORTH ANDOVER To the Inspector of -wires: The udersigned applies for a permit to perform the electrical work described below. Location (Street & Number) A 7 R /,,v 6,5 7, P /J 57/�-y 4-:kz- Owner or Tenant 6U , L j, /A= y 8,e -p lu / ce .4 - Owner's Address 6:4 rJ 4:' Is this permit in ccniunction with a building permit: Yes No (Check Apprconate Box) Pur-mose of Buddina Existing Service Amps _All�_bvcfts New Service — Amps I Vaits Numcer of Feeders ano Arripacity Locaticri ard Nature of Prccosed Elec-.--Cal lAJc-1K Utility Authorization No Cverhead Uncgrnd Cverhead Uncqrnc No. of Meters I No, of Meters No. of L�qnnng Outlets No. ::4 "C' ---zs No. of 7ransformers otat KVA Ai:cve— in - No. 3f Licniing z;xtures Swimming Fcci grna. Generators KVA I No, at Emergency Lighting No. of Peceorace Cutlets i No. at Cil Burners Bartery Units No. at Switcri Outlets No. --- G -as =-e's FIRE ALARMS No. of Zones o,.ai No. of re, ecuon ana No. at Ranges No. v Air CC -C. cns initiating Devices Hea: '7c*ai otal No. of Discosais 1 No.af P t;m. C s 7ons No. of Scuncing Oevices i No. of Sell ContaineC No. of Oishwasners Scace,Area rleanrg Oetec-:on/Souncing Oevices No. of Orvers H.eannc :.evices KW Munic;oai Other Local Connec*:on I No. v No. of Low voltage No. of Water Healers KIN i i Sicris Bauas:s Winric No. 'Hvcro Massage No. =t Motors 7c, a; OTHER: INSURANCE CCVERAGE� Pursuant *a the reCuirernents at !.Iassacn�;se-s ;er.erat Laws I have a current Uacifity Insurance Policy inctucing Czm=etec Cceravcns Ccverage or ;is sucstantial ecuivaient. YES Z NO have suamirtea vatiC proof of same to the Cffir-e- YES Z NO Z '.f you nave cliecxec YES. ;lease inaicale trie type of coverage Cy cmecxing the appropriate DOX. INSURANCE _- BONO = OTHEq = (Please Scec;fy) (Exciration Oatei Es:imatec value at Electrical WorK S ,� 5- , WCrK *.0 Start / - 17 - rf— - InscecLon Care Racueszec: Signea -.;ncer .me Pena t perjury: FIRM NAME Ucensee Rougn / - 3 — Fj� Flnw LIC. NO. q Uc. NO. iL�O/ Bus. '741. No ACCress Alt. '7el. No. OWNER'S INSURANCE WAIVEIR: I am aware that :re L.-censee aces mot Mave the insurance czvefage or its Isucistanual ecuivalent as re- cuirea by Massachusetts General Laws. aria tmat MY Signature an *Ms =enmit application waives this reouirement. Owner Agent (P!ease,qne,cx ones ajcC-4�12_( 79ilacnone No. PERMIT FEE S _Z_ �-Ilrt (Signature of Owner or Agerin X-6-565 . - " - -1-- 2800 ,AoRT#1 6 0 0 .- 14AL I-- i Date... ............................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING ACHU� This certifies that ..... ......... has permission to perform .... / ........ b-ez1,�75,dv . ..... . ................. wiring in the building of . ..................................................... at,.,�.� q; .......................... . North Andover, Mass. Fe!/N� ... . ...... Lic. N ............................................................... ELECTRICAL INSPECTOR e (z WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File 2548 o 10 0 Date ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ...... I ....................... has permission for gas installation ... K -)q .................... in the buildings of ... U.i U �q ?:,r ... CA f -s ................. at 1�1h' -,-V -r A 4-'� ................ North Andover, MaR. Fee. Lic. No. �- 2 k y .. .... �. ....... , E� Sl;E; A C WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: