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Home My WebLink AboutMiscellaneous - 30 JOHNSON CIRCLE 4/30/2018'"V 2E 0 z U) ol z Date / ....... T40RT#q 4, TOWN OF NO3RITH AM_ VER OV 4ST Tj PERMIT FOR G STALLATION This certifies that ... e"I?. (.&11A f ...................... has permission for gas installation r-.-. -I If n :'� .......... in the buildings of ... .. .......................... at r. ... ... North Andover, Mass. Fee.3.Q.;.".. Lic. No..).'�.'fL ... ... ASINSPECTOR Check # � I � C 5_ a 3- /"/ , L Date ............. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING. This certifies that . /I . . Z '� .................... has permission to perform . . 1�� ........................... plumbing in the buildings of ,A, ....................... at ... 3.( . . . .. . . . . . : .......... North Andover, Mass. Fee. Lic. No.. . .......... — ------ PLUMBING INSPECTOR Check# li� 5170 'MASSACHUSETTS UNIFORM APPLICATION FO E MIT TO DO PLUMBING - (Print or Type). Mass. Date, Permit 270 Building Location /?Q-`�Owner's Nam -17 Type of Occupan New 0 Renovation 0 Replacement Plans Submitted: Yes -E) No C1 FIXTURES NMI Installing Company Name Check one:. Certificate Address el -I-) 0 Corporation i�'/ 0 Partnership Business Telephone q > 2— 5;1 - Name of Ucensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.. 142. Yes 0, No C1 If you have checked y—es. please indicate the type coverage by checking the appropriate box A liability Insurance policy R Other type of Indemnity � 0 Bond 0 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 permft application waives this requirement Check one: Owner 0 Agent 0 Or 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 knoMedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with. all _pertinent provisions of the Massachusetts State Plumb!inre and Ch!W42 of the Laws. BY. —&gTaturb of Ucensed Plumber Title Type of Ucense: Master Journeyman 0 ��"—tUFI—C �USEO�NLY) Ucense Number__/44 A 0 K 11. A -K 0 .< C . IL .j 03 fA 4 0 C a. x -0 44 U1 0 30- 1- 0 E in -K =1 0 -1 X C a W C 16 < 0 C 0 A J C C' -Z I J`-- - &6 Installing Company Name Check one:. Certificate Address el -I-) 0 Corporation i�'/ 0 Partnership Business Telephone q > 2— 5;1 - Name of Ucensed Plumber INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch.. 142. Yes 0, No C1 If you have checked y—es. please indicate the type coverage by checking the appropriate box A liability Insurance policy R Other type of Indemnity � 0 Bond 0 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 permft application waives this requirement Check one: Owner 0 Agent 0 Or 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 knoMedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with. all _pertinent provisions of the Massachusetts State Plumb!inre and Ch!W42 of the Laws. BY. —&gTaturb of Ucensed Plumber Title Type of Ucense: Master Journeyman 0 ��"—tUFI—C �USEO�NLY) Ucense Number__/44 U) z 0 LU n U) z a LU LLI C44 U) LLI LL 0 0 LL LU LU w -i U. J IL LU LLI LLI CL U) z LLI 41 Date. ...... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that .... D, ' . . / /.'. �. . . .' . .- . / ............. has permission for gas installation ... 1. ................... in the buildings of ......... .................... at C.' ............ North Andover, Mass. Fee... � �-. . . . Lic. No.. !.1 .... 1... Check#- j . . . . . . . . . . . . . . . ..... . . . . . . . . GASINSPECTOR MASSACHUSETTS UNIFORM APPUCATION FO PERMIT TO DO GASFITTING (Print or Tyj�),, Mass.. Date- Permit # Building Location 30 —1- 2e--4.47-Owner's Name VIIAl 19-24 r/ Type of Occupancy, JV4�� New 0 Renovation Replacement Plans Submitted: Yesr] 0 cc (A JZ 0 = V) x 0 (J. z 0 z C K C z Au z V1 W 4K' IC W G Vj W 'o > U. 1- (J-1-1 -0 = W 4C a = ; >, 0 :1P Ia > SUB-3SMT. BASEMENT: 1 ST FLOOR 2HD FLOOR 3RD FLOOR 4TH FLOOR ST* FLOOR GTH FLOOR I I I 7TH FLOOR STH FLOOR Installing Company Name_42.4�� Check one: Cafficate. Address 4-1-1 01-v �,7 Corporation Partnership Business Telephone. T2 3 ?1,7- 9 k? 9 EJ Firm/Co. Name of Ucensed Plumber or Gas Filter INSURANCE COVERAGE: I have a current fiabilk insurance policy or Ks substantial equivalent which meets the requirements d MGL Ch.. 142. Yei No 13 If you have.checked yes. please indicate the type coverage by checking the aporopriate box .A 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 requiremenL Check one: Owner[3 Agent 0 or I hereby cerbiy that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my -knoMedge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State.Gas Code and Chapter 142 of the G7en Laws TVDO of Ucense, 1BY umber Sigriature, of Licensed F1 Fitter Title M Gasfitter ff t�er Ucense Number //t, -A CitylTown Journeyman APhFKNE1_)(_0TF1M'U9FTN_LYF_ I C/) z 0 LIJ C/) z z LLI LU LL. 0 LL It . 0 0 .6 1 1 z LL z 0- 0 .j w w w w LL Cl) w F - w y C/31 C/) z 0 LIJ C/) z z LLI LU LU IL A Date.................. TOWN OF NORTH ANDOVER Adswok '%" PERMIT FOR GAS INSTALLATION P / � . , , '0 , - This certifies that .............. �. ...................... has permission for gas installation .... /� 14x � " . --c ***''**''** in the buildings of !6 ............................. at .......... North Andover, Mass. r Fee.� ....... Lic. No ........... ....... .GAS INSPECTOR Check # 7 � e ' L! 4u e, MASSACHUSETTS UNIFORM APPUCATION FOR PERMIT TO (Rint or Type) DO GASFITTING r M Type of Occupan New 0 Renovation 0 Replacement 211" Plans Submitted: Yes[] No C] Installing Company Name r"AE & T :-�Affi AiA T A �0 Check one: Address 3(--). 0()ACH/'V%f-Afj i-Nf, 0 Corporation hl E TH Ue tj 01 A 0 t ?q�— 0 Partnership Business Telephone 6,5�1 - 7 9 -7 1 @.-,Rrm/co. Name of Ucensed Plumber or Gas Fitter -'Ro&P-T. A-SAmmiq7Ajeo Certificate INSURANCE COVERAGE: I have a current H bilfty Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ap No C1 If you have checked Yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy Other type of Indemnity C3 Bond C1 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. Check one: Signature of Owner or Owner's Agent OwnerO Agent 0 I hereby codify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowiedge and that all plumbing work and installations performed under Me F*T1 Q!edlfor this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of aws U T of Ucense: TZA Plu L ber t4Knkfurie of -13bonsed Plu:Lr TOJe m fter or er Ucense Number Journeyman RIM, Installing Company Name r"AE & T :-�Affi AiA T A �0 Check one: Address 3(--). 0()ACH/'V%f-Afj i-Nf, 0 Corporation hl E TH Ue tj 01 A 0 t ?q�— 0 Partnership Business Telephone 6,5�1 - 7 9 -7 1 @.-,Rrm/co. Name of Ucensed Plumber or Gas Fitter -'Ro&P-T. A-SAmmiq7Ajeo Certificate INSURANCE COVERAGE: I have a current H bilfty Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ap No C1 If you have checked Yes, please Indicate the type coverage by checking the appropriate box A liability insurance policy Other type of Indemnity C3 Bond C1 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. Check one: Signature of Owner or Owner's Agent OwnerO Agent 0 I hereby codify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowiedge and that all plumbing work and installations performed under Me F*T1 Q!edlfor this application be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of aws U T of Ucense: TZA Plu L ber t4Knkfurie of -13bonsed Plu:Lr TOJe m fter or er Ucense Number Journeyman w Moll I z 0 w Z .j w Ul H m la .j d z d ..j z 4 w w 46 cc 0 w 0. I z 0 U. P 0 w 0 z CA w cr. UA 0 Z C6 0 c 0 0 C6 w Moll I z 0 w Z .j w Ul H m la .j d z d ..j z 4 w w 46 cc 0 w 0. I U. 0 0 U. U. UA 0 Z C6 c c 0 0 z P us ut LU U. w Moll I z 0 w Z .j w Ul H m la .j d z d ..j z 4 w w 46 cc 0 w 0. I Date... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... A�j,�Yhm ..................................................... has permission to perform ........ ... Q.� F-1 ........... ZAI-I - wiring in the building of .......... -7.:� ...... 7/ ................................................. at .............. 3-0 .. ZAYi!VS!? .................. . North Andover, Mass. 7 ............. ... . ........ w ........... Fee... W E'LIMICAL INSPi&MR Check # 5 9 U1, 8 (r Commonwealth of Massachusetts Official Use Only Permit No. L? OF A UV; Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 Qeaveblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PR1NTIN INK OR TYPE ALL INFORMATION) Date: Llc7r /-? 0 C) 6 City or Town of: INQ - AyAo tmr 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) L5 0 \J 0 C�1<, Owner or Tenant AXAiP1 AAa4-i Owner's Address R9 Is this permit in conjunction ' h a b Ming permi Yes Purpose of Building A�Z,& Telephone No. No [E (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead Undgrd No. of Meters New Service Amps I Volts Overhead Undgrd No. of Meters Number of Feeders and Ampacity V - Location and NaturAf Proposed Electrical Work: Z;)?Lj � V Completion of the following table mav be waived by the Inspector of 141ires. 7 No. of Recessed LuminalreT-V-- No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above El In- E] grnd. grnd. No. of Emergency -E-190-59 Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS INo. of Zones No. of Switches No. of Gas Burners No. of Detect nd Initiating Devices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: Number I Tons I I . K.W. I I.. .. No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW LocalEl Municippi F-1 Other Connection No. of Dryers Heating Appliances KW Security Systems.* No. of Devices or Equivalent No. of Water KW Heaters No. o No. oF— Signs Ballasts 'Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Estimated Value of Electrical Work: Attach additional detail if desired, or as required by the Inspector of Wires.. (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE E] BOND [I OTHER 0 (Specify:) I certify, under tZ ainA and penalties o erJury,tl t the ipformation on this application is true and complete. ME. rf - LIC. NO.: FIRM NA Licensee: xz�o),4- YLIV t 0j Signature,,.— LIC. NO.:,6XW ,� ter "exemp " in the license Bus. Tel. No.:94-499- (If applicab e, en n'umber line.) Address : /1 UA 1-1� Alt. Tel. No.-W-ww *Security System Codractor License required for this work; if applicable, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) F] ow er El owner's agent. Owner/Agent Signature Telephone No._ PERMIT FEE. $