HomeMy WebLinkAboutMiscellaneous - 300 GRANVILLE LANE 4/30/2018 (2) 300 GRANVILLE LANE
21 0/1 06.A-0035-0000.0
-77—
Date....
972
NORTry
0 0
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
$A
This certifies that ........0.16.1 ..... .....................
has permission to perform ...... A..........................
wiring in the building of....... .......Alrlw\�.-\ ................................
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at..., 4............ C(i.. .................. North An
117 1�( ---*''—** * ,-,-^", 9er
Fee...,,.5':!;�.... Lic.No. .140 ...............velviftm...........................
ELECTRICAL INSPECTOR Itl
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
Office Use Only
�Ij!' C�omutuntuettltlj Df �>3��cl1uiaett� Permit No. / n
33cliurttncnt of Public $ufctu Occupancy,& Fee Checked
- BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 W90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK(�OR T'Y�(PE ALL
IN, :OR,DMATION) Date
City or Town of INK,
`r l�l( f`ti' i IVt.G� Vim► To the Inspector of Wlros:
The udorsignod applies for a pormit to perform the electrical work described below.
Location (Street & Number) AvL � I ^ Sentry-Vendor Code
p-94
Owner or Tenant /�GL���,//�`Lf����'` Circuit # :>I 41Qo
Owner's Address
is this permit in conjunction with q building pormit: Yos ❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No. —
Existing Service Amps _l Volts Overhead ❑ Undgrnd ❑ No. of Meters
Now Service Amps _J Volts Overhead ❑ Undgrnd ❑ " No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work LL)W vnT•TAGE ALARM SYSTEM
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In-
grnd. ❑ grnd. ❑ Generators KVA
No. of Emergency Lighting
No.of Receptacle Outlots No. of Oil Burners Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges No.of Air Cond. Total No. of Detection and
Ions Initiating Devices
No.of Disposals No of float Total Total
Pumps Tons KW No. of Sounding Devices
No. of Soil Contained ,
No. of Dishwashers Spaco/Area floating KW Delectlon/Sounding Devices
No. of Dryers Hosting Devices KW Local Municipal Other
y -Connecllon ❑
No. of No.of ow Voltag \Oburg 0 Fire
No. of Water Heaters KW Signs Ballasts O Card Access 0 CCN
No, Hydro Massage Tubs No. of Motors Total HP
OTHER: 2 8 Iq
MAX 97
INSURANCE COVERAGE: Pursuant to the requiromonts of Massnchusalts general Laws
I have a curront Liability Insurance Policy including Completed Operations Coverage or Its substantial equivalent. YES 0 NO O 1
have subrnittud valid proof of same to the Office. YES O NO 0 If you have chocked YES, please Indicate the typo of coverage by
checking the appropriate box.
INSURANCE I[ BOND 0 OTHER ' (Please Specify) $flYdl TnSUranCe CQM=v 10/8/97
<D o /n, (Expiration Date)
Estimated Valeo of Electrical Work S— v U v
Work to Start Inspection Date Requested: Rough_ Final
Signed under the Penalties of perjury:
FIRM NAME Security Systems, Inc d/b/a S ry Pole �iV LIC. No. 1109 C
Licensee James W. Lees Signature 9 � ti/` ' LIC. NO. 000080 (Pda c
Bus. Tei. No. 617-388-9700 Safety)
Address 110 Alt. Tel. No. Q.�4901j
OWNER'S INSURANCE WAIVER: I am aware that Ilia Licensee coos not have the Insurance coverage or Its substantial equivalent ea re-
quirod by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Oianer Agent
(Please criock ono) f1T)
_._ Toluphono No. PERMIT FEE/$
(Signature of Owno(or Agent)
" Date. . . . . . . . . . . . .
Oq "oaTM TOWN OF NORTH ANDOVER
A PERMIT FOR PLUMBING
j ,SSACHUSE�
1
This certifies that . . . . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . .
has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
i plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
f
at. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass.
Fee. . . . . . . . .Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
.. ..ice
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File
j �
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print, r Type)
Mass. Date 19-2-Y Permit #
Building Location 3 o ° /�-r�� G�w Owner's
s. Type of Occupancy IC
New p Renovation ❑ Replacement Fl— Plans Submitted: Yes ❑ No ❑
FIXTURES
z
z ur a
N N Z z r } N
F N J to O z W W
W Y J 0 V FQ N O o y ¢
N z_ 0 Q R Q ' Z O z CL
= N — z 2
OJ y W N N X cc r- V W 0 Y Q a 0 a 2: C 3 X
C1 z Q rD y W } Q r.. y4 z O Q N O cc d. � O u.
O 7 cc Q ¢ Q W Z
W F- W 0 O t J V1 2 Q J O O L' S
W S 4 I 3 O Z = Y d O ~ Q x d
W LL X W
F V � F- O = d N F- Z 0 O N X X W f O U T.
3 Y J m N O O J Q O Q J J Q tt a 2 Q O Q F'
3 = F- N LL O 4 3 tC c1 O
SUB—BSMT.
BASEMENT /
i$TFLOOR
2ND FLOOR
9110 FLOOR
4tH FLOOR
5TH FLOOR
6TH FLOOR
TTIA FLOoR
9TH FLOOR
Installing Company Name Welch Brothers Co _ Tnr. Check one: Certificate
Address 4 9 Q C--h e-1 R.S Ee-r- :9# . ® Corporation 1501-C
r.n w A > > tda , 01 g 51 ❑ Partnership
Business Telephone (5 0 8) 4 5 3-2 100 ❑ Firm/Co.
Name of Licensed Plumber T h a m a c F are y
INsUPANCE COVERAGE:
I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked ye, please Indicate the type coverage by checking the appropriate box.
A liability Insurance policy ® Other type of Indemnity ❑ Bond ❑
OWNP-hl INSURANCP- 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:
Owner ❑ Agent❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and Information I have (or entero )in abo ap lion are true and accurate to the best of my
knowledge and that all plumbing work and installation orme nder the rmil is d is pplication will be in compliance with all
pertinent provisfen�ot�i+e ktessaehusetts State Plu Ing Cod a oral s.
BY r
rgna ure bf Licens-effPlumber
titleJIFFICIE
Cit [Icense
ype of License: Master J9urney n❑ONLY-F— Number t! '}
BUILDING DEPARTMENT
A
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING � ) `
4
4
NAME&TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 1g
PLUMBING INSPECTOR