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Miscellaneous - 31 FRANCIS STREET 4/30/2018 (2)
Ar 5-77 Date.,.:).11.�±.. j(........ TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING CHU T .................... his certifies that..... .. ."i.,-....... �!. . .. .............. ........................................ has permission to perform........ ! .....�.......1�"...................................... plumbithe buildings of............................................................................................ at,,3(.....M&K.U...... 5 1�. . , N h Andover, Mass. Fee .C)....Lic. N4f.1F..�....... ............. i U. ......... ........................................ /� UMBING INSPECTOR Check Date..... /..................... �r►ORTM TOWN OF NORTH ANDOVER f � 9 PERMIT FOR GAS INSTALLATION Bs�cHus� This certifies that .....................................`............................ ......../................................ has permission for gas installation ;.=-.,�:1. ; inthe buildings of.................................f................................................................................ orth Andover Mass. ... .......... Fee.:=.D,: '.2...... Lic. No.G .�.'+ ..�..... -.-.:...: .... ��.............................. �^ GAS INSPECTOR i Check# MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY MA DATEt✓�CC� 14�__ PERMIT# JOBSITE ADDRESS _- --- Ci' �_. ._____.....-- OWNER'S NAME Ij P OWNER AppRESS /fjo�J��'�k_: !' iwS--__T_ TEL - 91 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL® EDUCATIONAL [Q RESIDENTIAL' PRINT CLEARLY NEW.0 RENOVATION: REPLACEMENT:F] PLANS SUBMITTED: YES Ej NOal ; _ FIXTURES 7 FLOOR-► BSM 1 2 3 4 5 B 7 8 9 10 11 12 13 14 BATHTUB —Ij CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GASt01LISAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM __-- DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER -- FLOOR/AREA DRAIN INTERCEPTOR INTERIOR : ---__-_.l ._-_-..-. . _- KITCHEN SINK __-- LAVATORY ROOF DRAIN I .. I ._ I l ...._._�I -_—J -Al-. _-__1 SHOWER STALL SERVICE/MOP SINK _-- TOILET URINAL -- - --- - - i - - - - WASHING MACHINE CONNECTION -.-._-.. _ _ - _ ' . WATER HEATER ALL TYPES WATER PIPING -- -- -- - l OTHER ....... _.._ _._..._.. - --- _.__ __.__. ------..1 ------- I i i INSURANCE COVERAGE: I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO El IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY [] BOND 0 OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER E-] AGENT Qi SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and Information I have submitted or entered regarding this 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 application vAll be In oompllance with all Pertinent provisI n of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME ae Y _....___. . _ _.._._._.. ._i LICENSE# -. .� SIGNATURE MP 0 JPg CORPORATION Q#=PARTNERSHIPEl#['LLC D# COMPANY NAME T ADDRESS J. ,y/ a7-1 CITY / STATE ZIP D/ ice � TEL FAX ���CELLt_�_.-�'�+ EMAIL L MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK I CITY _ _ -.. � MA DATE PERMIT# JOBSITE ADDRESS !?G .57— --,-- OWNER'S NAM = -Gt-- OWNER ADDRESS D/,p-�S.Fi"_ _ TE IcS���.�"'��FAX L----��--J TPYPPENOT OCCUPANCY TYPE COMMERCIAL[�I EDUCATIONAL[ RESIDENTIAL' CLEARLY NEW.E] RENOVATION:[J REPLACEMENT:54 PLANS SUBMITTED: YES F-j NO APPLIANCES 7 FLOORS- BSM 1 2 3 4J 5 6 1 7 8 S 10 11 12 13 14 BOILER —! BOOSTER CONVERSION BURNER ---- COOK STOVE DIRECT VENT HEATER - -._ J --- •----i _J --T DRYER I rl FIREPLACE i FRYOLATOR _ FURNACE GENERATOR -1= _ -J GRILLE INFRARED HEATER ._. ...J - - -_-- LABORATORY COCKS ____f __ zJ __J _ _J MAKEUP AIR UNIT _ _ _ _ _ l C��f OVEN POOL HEATER ROOM 1 SPACE HEATER ROOF TOP UNIT TESTUNIT HEATER _.- UNVENTED ROOM HEATER WATER REEAIER OTHER H . - -1 -- J --I ---J - -I INSURANCE COVERAGE y have a current liability nsurance policy or Its substantial equivalent which meets the requirements of MGL.Ch.142 YES O D I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY U,-' OTHER TYPE INDEMNITY F-3 BOND OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waves this requirement. CHECK ONE ONLY: OWNER [] AGENT Fj- SIGNATURE OF OWNER OR AGENT I hereby certify that ail of the details and Information I have submitted or entered regarding this application are true and accurate to the best of my knowledga and that all plumbing Nvork and Installations performed under the permit Issued for this application will be In compliance with all Peril nt provision of th Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 00 PLUMBER-GASF(TTER NAME - LICENSE F1' SIGNATURE MP 0 MGF[� JP;9 JGF LPGI® CORPORATION®# PARTNERSHIP d#=LLC[.'-I#[-----]J COMPANY NAME:j �lQ. . .. .fit. ADDRESS CITY --- STATE iZ ZiP �G1TEL _ - =_D.3 FAX CELL EMAIL.. Date i TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies thah ". 22-s- . .C.-,Pe. �?'��<a !v``'�.i"!t{n has permission to perform wiring in the building of . . . . . . . . . . . . . . . . . . . . . at . . . T: .5.,tl .. . . . . . . . . r . , North Andover, Mass. Fee . . . `? . . Lic. Nor1���). . . . . . . . . ELECTRICAL INSPECT©R Check# 9 112 =r i -C-\ Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. / I 17 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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: ZI/2/1/2 City or Town of: NORTH ANDOVER 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) ?/PR A-W'2-S 5-Tie E T Owner or Tenant Aai2-1h A�� GvQ�2 Cv _ TT Telephone No. 9)F'-J'/,S��S� 7 Owner's Address _&,t),;,T1i1 Is this permit in conjunction with a building,permit? Yes ❑ No (Check Appropriate Box) Purpose of Building ,� t��M�y%S Utility Authorization No. 146)-?/' Existing Service200 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: r Completion o the followingtable maybe waived by the Inspector of Wires. No.of Recessed Luminaires 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 ❑ In- 1:1o.o Emergency Lighting rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. In Detection and InDetection Devices Ranges No.of Air Cond. Total No.of Alerting Devices No.of Ran g 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 ❑ Other Cyyonnection No.of Dryers Heating Appliances KW SecNo.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Dvices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Te communications WIrmg: No.of Devices or E uivalent OTHER: Pe D1,4, (-G{eou-W 444 N 19w'C, -t�� + KAc 1<e ,?P✓-r e-e NL Attach additional detail if desired,or as required by the Inspector of Wires. 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. 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 4 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpenalties of perjury,that the information.on this application is true and complete. FIRM NAME: w i'7 i 2 �Ir<_/,2-7 C n, LIC.NO.: 1, A Licensee: ,1c:"aS /lid c;a fA�, Signature(. LIC.NO.: (Ifopplicable,enter "exempt"in the license number li�) Bus.Tel.No.:`�� 111,212K Address: /112 e 4A`A1 kfTT5 P.1) t 1�14 (I5 vR.���1G 1 l21I fZ Alt.Tel.No.: *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the LicenscL-6does`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 'a Signature Telephone No. PERMIT FEE: $ ( S. O � I �'�1-15L � I �`\.kv-&-9-A I