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HomeMy WebLinkAboutMiscellaneous - 297 MIDDLESEX STREET 4/30/20184 C) C) M c.n CO M X Cl) m m q N2 2751 Date TOWN OF NORTH ANDOVER PERMIT FOR WIRING . .. .............................................................. This certifies that ........ . ... has permission to perform .............. wiring in the building of ... ................................................... .............. 77 -) i at....................................................... ; ........................ I North Andover, Mass. Fee ....... I ............. Lic. No . ............. .... t .......... . .................... . . ....................... ELEcrRICAL INSPECMR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Re Commonwealth of Massachusetts Department of Public Safety BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12:00 Wti�e Use only Nrrft \o.--- 76-1 Occupancy & Fee Checked - 3/90 Oea�e blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All vmrk to I>e per-krmed In accordance with the Ma"achusetts EJectrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORHATION) Date IIIZ-7160 City or Town of , No Rwpooail To the Inspect vrofTires: The undersigned applies for a permit to perform the electrical work described below. Loc-ation (Street & Number) 2-9 9 H Owner or Tenant Ro&tq ? Owner's Address Is this permit in conjunction with a building permit: Yes n No E� (check.Appropriate Box) 60 A t- -7 -1 Purpose of Building 5))V9),E r4" Utility Authorization NO. Existing Ser -vice 60 Amps Volts Overhead a UndgrdE] No. of Meters New Serv-ice /00 Amps I ?-9C) olts Overhead 9- Undgrd [] No. of Meters Number of Feeders and Ampacity AkP5 Location and Nature of Proposed Electrical Work -(�JLOo 21e Ne A. r- Li±J D CA— I CU t-6 I lcit-4 (I., ; No. of Lighting Outlets f Hot No. o '4ubs Total No. of Tra nsformers KVA No. of Lighting Fixtures Above In- Swimming Pool grnd. Elgrnd . El — Generators KVA No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Municipal Other LocalEl connectionD No. of Ranges Total No. of Air Cond. tons No. of Disposals No. f Heat Total Total 0 Pumps Tons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No, of No. of Signs Ballasts Low Volt . age Wiring No. Hydro Massage Tubs No. of Motors Total HP U OTHER: Ir G, �C"�i2 �%ER 'CC, A,—J 13424 6F -e - A1 el,5 2.&RF4- W 7- 14 R. 0snt<Cf) De-VacCe, 1-5;" FL . Z,&F INSURANCE COVERAGE: Pursuant to the requireiilents of Massachusetts General Laws I I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YESE] NOE] I have submitted valid proof of same to this office. YESE] NO F] If you have checked YES,,please indicate the type o e by checking the appropriate box. INSURANCE [i�'BOND [] OTHER E] (Please Specify)- I)t,!& 0!5 )0 (Expiraftion Date) Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME Licensee Address Signa B - Tel. )V4. us. —Alt. Tel.—No. VW11Mr1 a 1L1Q)U1VtN%1L WA.Lvr.K: I am aware that the Licensee does not have the insurance coverage or its suD- stantial equivalent as required by Massachusetts General Laws, a at my signature on this permit application waives this renuirement Owner A ent (Please ch—k onel 1�ej 10 - PERMIT FEE S 75 . LIC. NO. !-Wr-A LIC. NO. 396k�-A- Telephone No. (Signature of Owner or Agent) 4J -4 0 c 0 u W uj 0 LL REMARKS BY ELECTRICIAN: I z c Z c (D E E E E (D 0 Z M u REMARKS BY ELECTRICIAN: I Location �0. Date Building Inspector 126 872311111:13 30-00 PAID Div. Public Works TOWN OF NORTH ANDOVER 0 4 - I WA, P, Certificate of Occupancy $ 4g Building/Frame Permit Fee $ 0 + CHU Foundation Permit Fee $ Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 126 872311111:13 30-00 PAID Div. Public Works I Cocation' �0. Date ]� Ail . / f F 40RT" TOWN OF NORTH ANDOVER 0� Certificate of Occupancy $ i� +at Building/Frame Permit Fee $ 04 Foundation Permit Fee $ CHU Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector 07/13/98 09:203 30.00 wn Div. Public Works :2 I -t� 11 LA rr LM P-: rn 11 CA m rr, - L� V. =Wa z rm �.j Z ('� Z Z rl, x rn m -M l. m - V. r) -, v., > V; z = ;� -4 0 Z V; Z; rr. 0 z > Fri Z LA rr. ILI m CA rr, LA > 7' 7 7 m z z z Ln 0 LI) 0 LA rr, < LA Ln rr. rr) �.j 0 cr :5. ID CA 0 CL. S, co EF 0 9 !R C) 0 0 CL C-) m z -4 CL 0 po m =r 0 =r M CA CD C=D CA 0 CO) (7) z:s. 0 !2. C') Co :& 0 CD: =r = cA 7%! CD Z CO) C36 CL CA CA CD =r CL CL S. ca n >co 0 cr 0 CL a C-) I�t — w — C/) CD CO) CD,Q qc :E CD CA E CO) CO) c� -1 CD cy cr C=,r w C, E; o CD 0 CD zCD 0: co CD CA CA CL CD Z� CD C7 CD CD CD CA CA 0 CA =CO) i z CD CD CD c 0, CD z 0 m C/) 0 Cf) C10:0 aq tT, t -I C) 2 CA 00 tz ;XJ o7l C/) l< ;;, o 0 E4, onq 0 9 0 44i CD 04 Locatior �3 Y No. Date 7 ORTol TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ CHU Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL Building Inspect 12668 07/02/98 14:30 104.00 Pon Div. Public Works Location No. Date ORTN TOWN OF NORTH ANDOVER Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ 3A 14 Other Permit Fee $ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ Building Inspector r. 07/02198 14:30 104.00 PAID Div. Public Works 7 2 7 > > rr, rr m M V) rn (A V) X 10. 7p (A m Lr. tr ri W X r, Z m rr Z m x x r, R m Z z -11 P5 r-, m m > z m > r) m > I X Fri X M. NX m vi Jx� 0 LA > M m z Q m m z rr. rr, m c m F z z z LA LA 0 L4 z Q �z LA z z rn rr. MZ ;:z rn x V� V) rr. C) > > m x x 7*, 71 z V) I k�j L4 . 71 . ZM N rr m M V) rn (A V) X 10. 7p (A m Lr. tr ri W X r, Z m rr Z m x x r, R m Z z -11 P5 r-, m m > z m > r) m > I X Fri X M. NX m vi Jx� 0 LA > M m z Q m m z rr. rr, m c m F z z z LA LA 0 L4 z Q �z LA z z rn rr. MZ ;:z rn x V� V) rr. C) > > m x x 7*, 71 z V) I k�j COFJ "0 CD o z C #-* 0 D '00 CD CL r.r CD 0 JF-WWWRWO� r-lim a: = a Co CD 0 L!NPJ Q) Cl) CA 'o. cl) CA -0 CD CD CD a rA, CD U) 1= 0 z CD a 0 d< CD 0 Opi 0 0 a— n 0 cn cn C� cn cn cn 0 z CD N 0 R CD to CA ca cr co) CD CD CD Cl) co Cl) m ca c) CL C-) CD =r.0 M w co) CL.* CL CD =r a) F -n CO W =rcD CD CD 1 -1 : (a CD = 0: 0 Z:S. ow 0 LO 3. C') i CD CA CL 0 dc (a 0 CD CL CA =r: cr CL cel CO) :E CD: CO) 0 CD: CA. Co -0 0 C.) CA CD CD CO2 C) C,* 0 D z PO 0 r- OQ m w x 0 c,: m Ix :1 tz cl) m :1 n :r pz, 0 OQ ,, 0 �l 0 G rfl (n 10 r) rD In 8 a. =r 0 rfj It Location % z No. Date 12 6 3 6/11/ge 15-45 Building Inspector 35.00 PAID Div. Public Works TOWN OF NORTH ANDOVER 41 Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ CH -Gther-Permit Fee $ f't"\ Sewer Connection Fee $ Water Connection Fee $ TOTAL $ 12 6 3 6/11/ge 15-45 Building Inspector 35.00 PAID Div. Public Works 7 9 LA ZE I�N I 0 Ol z X V) rr! zt zt I -4J z A Z "j I rr, r) P --) m > > X z z rn fr 9 .9 7 M- C m m m ;c m V.- > V� z z rn (A > rzr. Z z > X W m > 'm M z m m r! rr, 0 �) & --I w rn rm m 1p ...i > z X M rn z C) z m LA Ph z >: rr. rn > CA Z z z 2: LA i 0 LA —I 0 LA i LA 0 m > z Z z > > ri ;a m m M. mz Ln V) %OW z 0 0 > > 7 rn rr, z m C5 2 x :d z 7Z 71 z V) "j I .0 Ca S=., z C', cr "CL CO) 0 cl) CD CO cl COP �* c z S. CA --4 =r CL =r CD Con) V-* CD CA CD -40 E C=D C4 co 0 CO) 0 LO). CA CO) C') 0 a c CD: CD c =r E. r-4 M 06 CL to 0 c CD CO) CD C2 '0 C/) CD 7' co 0 !C�D CD n w Ce 0 C 9� cn CD C2 CA CD cm CD: cn WQ: C Z 4M j D cr =r CA ca CD 71 CD 0 CD C CD 0 R. b CD ca = a :: CD ca CL C2 CA = m X1. Co 0. C.) C=Dl: CD x oe ;w CO) Cn COD CD CD C.) CD 0 CO) CD CD: cn E3 0 rD C/) z eL ;z 0 a COO �z 0 r- P� 0 � C/I CD ;z 0 A, ITI 0 �p C/) l< -M ;;. 0 Omq 0 9 0 Omh Iz 0 m 0 44i (D pq d, SWIMMING POOL CENTER, INC. 670 SOUTH UNION STREET - LAWRENCE, MA 01843 PHONE (978) 682-6916 DATE 5J7 water Y N extras Y N M NAME— �--VAI A/ I Allk CLI -4) o IIJ 'ST, ADDRESS Ll- CITY/TOWN 0 VE –74e–- STATJVj'6__ZIP_Dj HOME #J,Ze-­�Offj�-7qq�, WORK # We propose to furnish one (;� / I . EVAS 01V _Above -ground Swimming Pool for the sum of S 4� S-60 11-9 All above-groundpool packages include: DE Filter, DLX Thru- Wall Skimmer, Ladder(s), Printed Litter Vacuum Cleaner and Chemical Starter Kit. Motor: 1/4 I­fP -�� Ladder. Tn-76u-t - Deck OPTIONS LIGHT s 7 i0cu` 5% MA SALES TAX AUTOMAT IC VACUUM $ WINTER PKG $ DEPOSIT RECV'D 2-0000 SOLAR COVER $ $ STEP UNIT $ HEATER $ F�NCfNG $ MISC $ DIRECTIONS: Filter: Sand � E. Liner: Solid Blu 0 POOLPKG S TOTAL EXTRAS $ SUBTOTAL s 7 i0cu` 5% MA SALES TAX $ 3 S— or" TOTAL PRICE DEPOSIT RECV'D 2-0000 BALANCE DUE COD $ DELIVERY: DATE.- TIME: DATE: TIME: 4ATIE BUYE §Aff�flfRS R DATE U 'k FORM U - LOT RELEASE FORM INSTRUCTIONS: This form is used to verify that all necessary approvals/permits from Boards and Departments having jurisdiction have been obtained. This does not relieve the applicant and/or landowner from compliance with any applicable or requirements. ************APPLICANT FILLS OUT THIS SECTION******* 10PLICANT i A 4AIC15 L. 9HONE ,,L6CATION: Asseswes Map Number ?.ARCEL SUBDIVISION ,COT (S) ,/STREET,1­31 46"T. NUMBER *************OFFICIAL USE NDATIONS OF TOWN AGENTS: CONSORVATION COMMENTS I$TRATOR DATEAPPROVED DATE, REJECTED G TOWN PLANNER DATE APPROVED DATE REJECTED COMMENTS FOOD INSPECTOR -HEALTH DATE APPROVED DATE REJECTED SEPTIC INSPECTOR -HEALTH DATE APPROVED DATE REJECTED COMMENTS PUBLIC WORKS - SEWERIWATER CONNECTIONS DRIVEWAY PERMIT % FIRE DEPARTMENT RECEIVED BY BUILDING INSPECTOR DATE 0 a 4 M No. Contractor Name 7eggist ratiom L .... . . T 0 WN of NORTH AIN D 0 VER X:"w AFFIDAVIT Bmp- -Irhjxmx;q333mt G:x -itra:tjr Law mw `i:, S rrjAmnt to pennit AmlirnHcn lazp . . . . . . . . . . . . . C- 142 re#±es ttr b3cajstmztjcn, ;41 rea7vaticn, rkmdr dmnUda-4, ac camtartim of an riffibra tr) any 3rg 0=tMMrg at leasta-e, bit mt � i - dm fax deLUcg units. - xr to sta=* ar�.,.adjkerttz, 1-8L-� resi� cr b ri Irb be da -p -by tmgis� antmct=s, wiffidcmt3in ecepEats, alag',-� odler 14, "Type of'�' �-) CN W�ork! Ist-:, It ess of, Work Owfier Na�:. /VIA '4 'of Peirmit Application: , c t tat: tI Re is tration, is riot tequired-for the following reasori(s): lwork-4xcluded by law aMit. F Job irride± $1, 000 Date BulAdaing not own-er-occi-Tpied pulling own p�it Other.(specify) r �6 t i e:.. i s herebygiven that: owNm PuLLim mmR c)6 -N PaR�= oR DEALi% wrm,uN=REGiLs= �S- FOR APPLICABU EDE DTRCVEHM,WM DO NOT HAVE AC= TO THE, ARBMA-� TION PROGRAM OR GUARAN= FUM UNDER MGL c. 142A. - -q A!; u -d-- paalde!!�bf per��: 9 er- eby iipp y Eor AC.p'ercrd t as the agent of the o,,,me--: M No. Contractor Name 7eggist ratiom L � � 7"). '� ,�� A Date. -. v-. .'5� �7 .... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION C HUS This certifies that has permission for gas installation ..................... in the buildings of .... ........................... at,2 '-1. 7.. /-tz ... .... North Andover, Mass. Fee.2�,.—. Lic. No. ... .... ...... dtAS INSPECTOR Check# V 4225 L_11X MASSACHUSETTS UNIFORM APPLICA 10 FOR PF:PKAIT n nn f%- Oct (Print or Type) 0� QOP_T,�l Noobvcz —.Mass. Date NOL) /q,,Z00)_,, Permit -#— Building Locatio L--�'Owner's Name R08YU OCKA RO K)QtTH Type of Occupancy 9 Q-1 DCk)TI IQ New Renovation Replacement Plans Submitted: Yes[] No n Installing Company Name BAY STATE GAS COMPANY' Addr6ss 55 MARSTON STREET LAWRENCEr MA 01840 Business Telephone -68.7-�1105 Name of Ucensed Plumber or Gas Fitter Francis X. Corkery Check one: X1 Corporation El Partnership D Firm/Co. Certificate # 1862 INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No 0 If you have checked Yes, please Indicate the type coverage by checking the appropriate box .1 A liability Insurance policy 9 Other type of Indemnity D Bond El OWNER'S INSURANCE WAIVER: I am aware that the licensee does riot have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Sign er or Owner's Agent Ownero Agent 0 I hereby certify that all of the details and information I have submitted (or entered).in Plication are true and acculpte to the best of my plication 0, V ! - knowledge and that all Plumbing work and Installations performed under the permit I f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gesnse s. Type of License: Title umber Signature of Licensed Plumber or Gas Gasfitter - -145 Master License Number A City/Town 9" — APPP0VEffT0TF_1C_ET_SE_0_N_L_YF— Journeyman NONE M1191 Eno 0 Now long ".. M_ 3RDFLOOR ONE 0 ONO ENO on Isgs MEMO IMUM., 0 NEE Eno on 0 01 -0 MEN Installing Company Name BAY STATE GAS COMPANY' Addr6ss 55 MARSTON STREET LAWRENCEr MA 01840 Business Telephone -68.7-�1105 Name of Ucensed Plumber or Gas Fitter Francis X. Corkery Check one: X1 Corporation El Partnership D Firm/Co. Certificate # 1862 INSURANCE COVERAGE: I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes K No 0 If you have checked Yes, please Indicate the type coverage by checking the appropriate box .1 A liability Insurance policy 9 Other type of Indemnity D Bond El OWNER'S INSURANCE WAIVER: I am aware that the licensee does riot have the Insurance coverage required by Chapter 142 of the Mass. General Laws. and that my signature on this permit application waives this requirement. Check one: Sign er or Owner's Agent Ownero Agent 0 I hereby certify that all of the details and information I have submitted (or entered).in Plication are true and acculpte to the best of my plication 0, V ! - knowledge and that all Plumbing work and Installations performed under the permit I f r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gesnse s. Type of License: Title umber Signature of Licensed Plumber or Gas Gasfitter - -145 Master License Number A City/Town 9" — APPP0VEffT0TF_1C_ET_SE_0_N_L_YF— Journeyman 0 w W w cr 0 0 cc (L w :lc (oill w LL 0 z in .j n C3 9L 0 w Id m Ul a 1 0 z 9 -1 z 0 -w W. cc w 0 M cr Ir 0 0 IL U. 0 w Im CL w w LL w :lc (oill w LL 0 z in .j n C3 9L 0 w Id w z < cc o cc w a. m Ul 1 0 9 -1 w z < cc o cc w a.