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HomeMy WebLinkAboutMiscellaneous - 300 MIDDLESEX STREET 4/30/2018 r JOU MIDDLESEX STREET -- - - ---- - - 210/009.0-0069-0000.0 ' i �� 55 Date....... ......................... NORTH °ft"�.° '°6 TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING r • o e^4 ,SS^cNUSEt This certifies that j1/�E �y/ . .. ............................. has permission to perforin ......& .5�/(......................................... wiring in the building of G © ...� 3a� Nt..DSL .............................................................................''. North Andover,Mass. Fee.2�.. Lic.No .E....... . ZZ ..... ? ELECTRICAL INSPECTORr Check # F:. C_ Commonwealth of Massachusetts Official Use Only R r , Permit No. Department of Fire Services Occupant nd Fee Checked ,ks BOARD OF FIRE PREVENTION REGULATIONS [Rev. II/ (leave blank APPLICATION FOR PERMIT TO PERFOjo EL TRICAL WORK All work to be performed in accordance with the Massachusetts Elval C e(MEC),527 CMR 12.00 (PLEASE PRINT TN INK OR TYPE ALL INFORMATION) t 9 9—® 5 City or Town of: 1) 0 if—r d On 4 D VEA ie Inspector of Wiles: By this application the undersigned gives notice of his or her intention to pm1 the electrical work described below. Location (Street&Number) J 0 a ,0,0 Owner or Tenant Telephone No. Owner's Address �—7 is this normit in �nninnrt;n.with n h�-iming nerm;0 Vey I 1 Whn 1,lA­­nrio4n Rnv\ .......... .._.. .. b r ❑ No ,—, ,.....� ,,....1,.........ox) Purpose of Building 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 Ampacity Location and Nature of Proposed Electrical Work: Completion of thefollowing table inay be waived by the Inspector of Wires. No. of Recessed Fixtures No. of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o. o Emergency Lighting rnd. rnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS . No.of Zones No. of Switches No. of Gas Burners No.of Detection and Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons No. of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal [:1 Other Connection No. of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent _ No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent If No.Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,oras required by the Inspector of Wires. 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 substan.ial equivalent. The _ undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under tie pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: 7 V, e e LIC.NO.:— Licensee: vI ��^,e��'�"' Signature .NO.: (If applicable, enter "exempt"in the license n nher rn .) Bus.Tel.No.: _ Address: Alt.Tel.No.: 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)❑ owner ❑ owner's agent. Owner/Agent Signature _ Telephone No. PERMIT FEE: S I Commonwealth of Massachusetts Official Use Only V! Permit No. Department of Fire Services d � Ocupancy BOARD OF FIRE PREVENTION.REGULATIONS [Revc11/99] and aeeblankcked k g, 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 PRINT IN INK OR TYPE ALL INFORMATION) Date: 9 9.0 5R1 City or Town of: O o re -H i4 n f© V,! k 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) 3 0 v /n f ,Q/J� `� � �C S7—�, ' P-- �` �:,� ���= 1-,7 Owner or Tenant ' 0 i. 1")'j CTelephone No. Owner's Address is this permit in conjunction,vith n—building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building 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 Ampacity Location and Nature of Proposed Electrical Work: Com letion of the 1 wi of o n table inny be waived by the Inspector of Wires. No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o. oEmergency-Lighting rnd. rnd. Batte Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No.of Zones No. of Switches No. of Gas Burners No.of Detection.and Initiating Devices No. of Ranges No. of Air Cond. Total No. of Alerting Devices Tons g . No. of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin2 Devices _ No. of Dishwashers Space/Area Heating KW Local E) Municipal El Other SConnection Security No. of Dryers Heating Appliances KW y Systems: No.of Devices or E uivalent _ No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. 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 roof of same g p to theermit issuing office.P g e CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under i e pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: A LIC.NO.: Licensee: .-I"A U( Signature O NO.: _ (If applicable, enter "exempt"in the license n nher rn .) Bus.Tel.No.: _ Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: 1 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. 1 am the(check one)❑ owner ❑ owner's agent. Owner/Agent Signature _ Telephone No. PERMIT FEE: S Date. �� HORTM °f` 0 14, 3j '` ° ° TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ,SSACMUSEt This certifies that . . . . _ . . . . . . . .� . .��`:- . . . . . . . . . . has permission for gas installation .(.�1:e«-.f-.1�� ,_�_ i f � . n the buildings of .�� .�. �1.l .���, �. . . . . . . . . . . . . . . . . . . . . . at�. .� �1 `f.� �� �,? . . . , / , North Andover; Mass. 41 Fee. f . . .. . Lic. No. . . .�, } / GAS INSPECTOR ,-Check# �v s 5112 MASSACHUSETTS UNIFORM APPLICATION FOR'PERMIT TO DO GASFITTING (Print or Type) 1 �U!) `i'I`1- Put�CYi�dMass. Date -"l 20 Permit N 4 vi, Building Location -?6c) Owner's Name_ Type of ccupancy 2- - i-fI AA cf i�.v c �4.'V'd) Newee" Renovation❑ Replacement Plans Submitted: Yes❑ No❑ 1 Uj U • O m Ln ap LI) ¢¢ o: C7 = w i0- O W - 7 2 W ���rr Z Q LL J W Q LL] D' W Z d 0] �' Q Q _ = O LD = LD � OU > a- 00. SUB-BSMT BASEMENT I 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR . STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR istalling Company Name- f5 a(/ /� 6i A" Check one: Certificate ddress ' Lj`7 I Vct& f2 cif ❑ Corporation 14 KJ 0)u✓-tom usiness Telephone 0-7F-&,Z3 9 3 US' ❑ Partnership pme of Licensed Plumber_or Gas Fitter 57 011, 0 Firm/ca. INSURANCE C.010ERACE: I have:a current liability Insurance policy or its substantial equivalent, Y� 0 No which meets the requirements of MCL Ch 142. A/ If yogi have checked yes, please indicate the type of coverage by checking the appropriate box. A liability Insurance policy ❑ Other type of Indemnity 0 Bond OWNER'S INSURNACE WAIVER: 121711 aware that the licensee does not have the Insurance coverage required by Chapter 142 of the s.General L , and at my signature on s perm application viralves this requirement S i gna tu re o Owne orOwn is A en Check one: Owner ❑ Agent ❑ iereby certify that all of the details and information I have submitted for entered) In above application are true and accurate to the best of y knovwledge and that all plumbing work and Installations performed under the permltissued for this application will b compliance with pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws, Type ofLicense: �e ByPlumber T`e" poasfitter S gna r" ofL tensed Plumber or Gas Fitter Airy;own ❑Master License Number j�0�'I APPROVED(OFFICE USE ONLY) ",A Journeyman `s Date. . . 7�� NORTH TOWN OF NORTH ANDOVER Of t,...° ,� 4, laink. I. 3? �.r _• OL PERMIT FOR PLUMBING This certifies that . . . . . . . . . . has permission to perform . . . . . . . . . plumbing.in the buildings of . . . . . . ��°�c-'. . . . . . . at _ /fl.�t� . . . . / �f �. ., North Andover, Mass. Fee�� .Lic. No.OY . . . `'r'�,r��!��?� /J PLUMBING INSPECTOR Check ,t , 6447 MASSACHUSETTS UNIFORM APPLILAT N FOR PERM (Print or Type) TO DO PLUMBING lti®2T�� rvvoo�'•o_MMass. Date 5� 0- e� 20 Permit # � Building Location 2oo -I GDAItyeWl S 7—Own e r's Name eco evC, Type Of/Occupancy Z 1=:A m1 1.L4 New❑ Renovation❑ Replaceme,t go" Plans Submitted: Yes❑ No ❑ FIXTURES B.P. # SEWER # SEPTIC # . z Z Y P (n } Z Z 1— w V z 0 0­4to < w z p z cnLLj W— � w to to 2 N F' U w . � to u_ z a Z a w �� Z m Ln tYuj. ,2 Y CL C7 s LL > o0OOz z O `Z omW U � � co oSUB-BSMT M ¢ 0w BASEMENT 1ST FLOOR 2ND FLOOR 9 i1 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name BLLIC-6 Check one: Certificate Address_ b q'7 A 1 UGii f'U ❑ Corporation Business TelephoneZ'3 F 3 ej! ❑ Partnership Name of Licensed Plumber or Gas Fitter S km e, ❑ Firm/Co. WSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent, which meets the requirements of MGL Ch. 142. 0 Yes ❑ No .1211� 1 If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insuranceolic ❑ P Y Other type of indemnity ❑ Bond ❑ OWNER'S, URNACE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of tbkilass.GLaneraKws, a that my signature on this permit application waives this requirement. gn wer'ture of Owner or Os Agent Check one: Owner ❑ Agent ❑ 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 knowledge and that all plumbing work and installations performed under the permit Issued for this app Ication will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the eneral Laws. By Signature of Licensed Plumber Title YCity/Town APRType of License: ❑Master PROVED(OFFICE USE ONLY) @:-do'Gr n e y m a n .`, License Number___ lgop ' y Q 0 o 300 MIDDLESEX STREET 009.0-0069 Complaint Detail Report Printed On:Mon Mar 21,2016 Complaint#: CT-2016=000026 ]Status.:, Closed GIS#: 245 Violator:; '. Address: 300 MIDDLESEX STREET-, Map: 009.0 Address: .--- ?'• DateRecvd.: Mar47-2016 TimeRecWd: 02:57 PM Block. 0069 - Category: Hou'ing/Pest-Control Issues Lot: Type: GeoTMS Module: ,Boar&of--Health. District: . -Trade: ' RecordedBy. �Lisa�Blackburn zoning:' Structure: Description Complaint: Danielle Tran,603=275-6155,tenant on the first floor of3'00 Middlesex St.calling to'complainabout mice in her house.She has�made the landlord"aware of the issue and he is willing to put down more traps however the issue is still not resolved.She states that it is,an old house and she is concerned the mice will still come in unless the issue of where they are getting in be corrected.Landlord is Leo Lynch. Comments• Inspector Assigned=twComplaint: Michele Grant Contacts Contact Type Date Time Name Phone Best Time To Reach Recorded By Response Tenant Mar-17-2016 2:57 PM Danielle Tran (603)275-6155 0 Lisa Blackburn Follow-Up by Michele Grant Actions Taken GeoTMS Module Status Date Time Response Type Action Taken Comments Board of Health REFERRAL Mar-21-2016 9:47 AM Follow-Up by Health Michele Grant called tenant. Inspector Spoke with her regarding what is being done to prevent the mice.Tenant states that she has an open window in the basement. Michele advised tenant to close the window since that is probably where they are coming in.Traps are out so no action needs to be taken. Case closed. GeoTMS®2016 Des Lauriers Municipal Solutions, Inc. Page 1 of 1