The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 28 SALTONSTALL ROAD 4/30/2018N) 0. 0 m CO C:) 001 iD �> 0 010te V TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that -'�! ..... has permission to perform ... <-7 .......... plumbing in the buildings of ................... Q�at. ...... 'A North Andover, Mass. Fee -K3, P-W� ... Lic. No..F—:��. . ............. t� A & Check ff PLUM91NG INSPECTOR 7596 �nx � - - ; � L� 11 . . I �_ ns-tzlling Company Nairrie kddress__g_��i . I - I. - - A .- - - - - (Pri t MASSACHUSETTS UNIFORM APPLICATION FOR -PERMIT TO DO PLUME31NG or T pe) T� Mass. Dat 0 20,0 P rml -7 Building Location 97 wners am i___"A:�fA_Type of Occu c New 0 Renovation 0 Replacement 92-1, Plans Submitted: Yes 0 No 0 FIXTURES B.P.4 :r-MA11=13 AE tu5iness T&Iephone I larne'of Licensed PlumberorGas Fitter Check on 9: C'etif'C� e' - e I t 0 Corporation jO Partnership V,< , M /C INSURANCE COVERAGE: I halve a current liability insurance policy or its substantial equivalent, which meets the requirements of MGLCh. 142. Yes No _13 If you have checked yes, please indic , ate the type of coverage by checking the appropriate box. A liability insurance policy P11__ Other type ofindemnitv n R-1 ri OWNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage r . equired by Chapter 142 of the Mass. Genera1 Laws, and that my signature on this permit application waives this requirement. Sig I n ature Of Owner or Owner's Agent iereby certify that all of the details and inforniatlon'l ha�e subrnItted ly --knowledge'and th�atafi pjum�i' ng work and installations perform; Xd pertinent provisions .1 a - f . th el. M.a-s.sa.c1husetts State Plumbing Code a .4 5 By itle I--- Cityfrown- APPROVED (OFFICE USE ONLY) Check one: Owner 0 Agent 0 -nteredI in above'-apPlication are 'true and accura te to the bes t o f r the permit Is �� foTLthis application will be in c,mp!iance with t-44142 of the- I — — — . — _ra aws, —4- 6rpnalure of Lice ns'edrl urn be r Type of License: License Number --- 0j ourneyman MMMMM mmmm M M M MM MM MM M tu5iness T&Iephone I larne'of Licensed PlumberorGas Fitter Check on 9: C'etif'C� e' - e I t 0 Corporation jO Partnership V,< , M /C INSURANCE COVERAGE: I halve a current liability insurance policy or its substantial equivalent, which meets the requirements of MGLCh. 142. Yes No _13 If you have checked yes, please indic , ate the type of coverage by checking the appropriate box. A liability insurance policy P11__ Other type ofindemnitv n R-1 ri OWNER'S INSURNACE WAIVER: I am aware that the licensee does not have the insurance coverage r . equired by Chapter 142 of the Mass. Genera1 Laws, and that my signature on this permit application waives this requirement. Sig I n ature Of Owner or Owner's Agent iereby certify that all of the details and inforniatlon'l ha�e subrnItted ly --knowledge'and th�atafi pjum�i' ng work and installations perform; Xd pertinent provisions .1 a - f . th el. M.a-s.sa.c1husetts State Plumbing Code a .4 5 By itle I--- Cityfrown- APPROVED (OFFICE USE ONLY) Check one: Owner 0 Agent 0 -nteredI in above'-apPlication are 'true and accura te to the bes t o f r the permit Is �� foTLthis application will be in c,mp!iance with t-44142 of the- I — — — . — _ra aws, —4- 6rpnalure of Lice ns'edrl urn be r Type of License: License Number --- 0j ourneyman D at e I I X LORTH TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... .................. has permission to perforM_.,—,..-.I ..................................................................... wiringin the building of .. . .... I ..... .......... ......... ............................................ A ............. ............... North Andover, Mass. Fee -.,:S ............... Lic. No)&Y.7� .. ............. .. L�ECTRICAL INSPE R Check # 81188 de\ Q_N Per 2oparhnd 4-7im S-Mic-16 Occ BOARD OF FIRE PREVENTION: REGULk.IONS [Rev. APPLICATION FOR PERMITTO P ERFORM All work to be performed in accordance with. -the Massachusetts Electrical C (PLEASE PRINT IN INK OR TYPE ALL JNFORMA 770PO Date City or Town of: AN6qvt� To the I By this application the undersighed gives notice of his orlrr intention rforin the Locadon (Street & Number) OWner'or Tenant Xp-, eyj Owner's Addriss Is this permit in conjunction with a building permiO Yels No Purpose of Building Utility Existing Service Amps volts OverheadEJ New Service Amps Volts Ove�headEl Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work; Ise Official Use Only it NO. pancy and Fee.Checked_3�_ 1071 (1.. hl.k, �QTRICAL WORK `7),527 CMR 12.00 . 0 �r o f Wires: al Work described below. Telephone No. 1? -2 (Check Appropriate Box) ttion No. El No. of Meters F] No. of Meters No. -of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total ra usformers KVA No. of Landnaire Outlets No. of Hot Tubs �enerators KVA No. of Luminaires Swimmingilrool.Above - 0 gmd.1 0 '9T"nd. ol Emergency Lighting Batte!Z.Units No. of Receptacle Outlets No. of OR Burners I F1RE ALARMS ENo. of LDnes No. of Switches No. of Gas Burners f Detection and Initiating Devices - No. of Ranges I Total. No. of Air Cond. Toni No. of Alerting Devices No. of Waste Disposers eat Pump, Totals: U��Iber ;Tons lKW N o. o f S e I rZo—n—t a—i n—a Detection/Alerting Devices No. of Dishwashers Space/AreaHeating KW LocaE] Municipal 0 Other .1 Connection No. of Dryers Heating Appliances I KW Te—curity Systems:* No.off)evicesorEguivalent No. of Water Heaters KW NO -70r-- !No. of. Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP elecommunications Wiring: No. of Devices or Equivalent OTHER: Estimated Value of Electrical Work: ICU 1 (90 Lfumillursul "Clull Y am (When requiredby-municip Work to Stan: D(),\)6 Inspections,to be. requested in ii�cordance with MEi INSURANCE COVERAGE: Unless waived bythe owner, no permit for the perforn the licensee proyides proof of liability.insurance including completed operation" covc undersigned certifies that such coverage is in force, and has exhibited proof of same to diECK ONE: INSVRANCE,)E� BOND 0 OTHER . El (Specify-). I cerfify, under the pains arndpenaftles fpedury, that the inforniadon�on this applic FIRM NAME: CYZ1154W, 1-/ Z76Z &-C., b13A Licensee: n��L/— Signature af applicabFe enter "exempt " in the license number line) Address: .*Per M.G.L. c. 147, s. 57-6 1, security work requires Department of Public.Safety 'IS" I OWNER'S INSURANCE WAIVER.- I am aware that the Licensee doesnot have the .required by law. By my signature below, I hereby waive this requir'ement. . I am the (cl, Owner/Agent Signature Telephone No,;'—, Fa�. or as requirea Dy ine inspector oj wires. policy.) Rule 10, and upon completion. ace of electrical work may issue unless ige or its substantial equivalent. 'Me ic permit issuing office. Vion is true and complete. LIC. NO.- -LIC. NO.: Bus. Tel. No.: feOS 970 Alt. Tel. No.._Y7d icense: Lic. No. liability insurance coverage normally .ck one).El owner D owner's agent I PERMIT FEE. S _ W-, 0 C5 0