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HomeMy WebLinkAboutMiscellaneous - 320 STEVENS STREET 4/30/2018 320 STEVENS STREET 2101095.0-0071-0000.0 1 N° 3157 Date...... ......✓. ........... f Np DTM 1 '3?�•_`,r��•-.�_,s�ppL TOWN OF NORTH ANDOVER I. p PERMIT FOR WIRING 40 °+Ar.°•�,�4h �SSAGMUS� i This certifies that ......... ...... ................ ...................... has permission to perform / ► /o-/1/�t .. ...... .� ./„ !?C ........ ...... wiring in the building of.......... '?.!.P�'. .?��L}FA..................................... at..... a.6)........ ........ ,North Andover,;Malts. Fee.?r.5�.M..... Lic.No. �ELEC?RICAL INSPECTOR Check # c WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Commonwealth of Massachusetts Official Use Only [ _ y Department of Fire Services Permit No. /�7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(NEC 527 CMR 12.00 (PLEASE PRINT RV INK OR TYPE ALI,INFORMATION) Date: —j - -61 City or Town of: O. ��1'l°,r To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) e'f Owner or Tenant r Telephone No. Owner's Address U 0671,1 Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Uiiiity Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service . Amps / Volts Overhead❑ Undgrd❑ No.of Meters r Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: LA` t_a= LS `u y Com letion ofthefollowing table may 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 ❑ n- ❑ 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 Initiatinz Devices No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons IKW No.of Self-Contained Totals: ­­ Detection/Alerting Devices >i No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW ecunty ystems: No.of Devices or E uivalent No.o Water KW . o.o o.o Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring No.of Devices or Equivalent 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 proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOUND ❑ OTHER F1 (Specify:) ' (Expiration Date) Estimated Value of Electrical Work. U (When required by municipal policy.), Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: ADT Security Services 111 Morse Street,NoinvooA,MA 02062 LIC.NO.: 1533C Licensee: John S.Bassett Signature LIC.NO.: 1533C (Ifopplicable,enter"exempt"in the license mtmberline• )Bus.Tel. No.: 781-278-1169 Address: Alt. Tel.No.: 781-278-1131 OWNER'S INSURANCE WAIVER: I am aware that the Li nsee does not have the liability insurance coverage norinally required by law. By my signature below,I hereby waive this requirement. I ani the(check one)❑ owner El owner's agent. Owner/Agent . . Signature Telephone No. PERMIT FEE: $ 3J•06 Date •:Sk'�'Ti�U.Y�a �F . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION h 141 This certifies that . . . . has permission forgas installation !�� . .x. �G/��*Ane in the buildings of. at . �`'� 1` : , North Andover, Mass. Fee .��•. . . Lic. No./ . . . . . . . . . . . . . . . . . . . . . GASINSPECTOR Check# 8739 / td..! MASSACHUSETTS UNIFORM APPLICATION FOR /A PERMIT TO PERFORM PLUMBING WORK CITY ?A1��ot)� MA. DATE �J— 1 '13 lG PERMIT# / 17 JOBSITE ADDRESS 3d() ��L�4-�S S 1 OWNER'S NAME ISS E E1 POWNER ADDRESS TEL T78 FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL L1J� PRINT NEW:❑ RENOVATION:❑ REPLACEMENT:[ PLANS SUBMITTED: YES❑ NO M CLEARLY FIXTURES Z FLOOR- BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIL/SAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN 'k' SHOWER STALL SERVICE 1 MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING .j 0 HER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. Yes No❑ �, k IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY OTHER TYPE OF INDEMNITY ❑ 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 waives this requirement. CHECK ONE BOX ONLY: OWNER ❑ AGENT ❑ l Signature of Owner or Owner's 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 th per issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and ter 142 of the General Laws. (� PLUMBER NAME 1 "�f'CuK.� Z SIGNATURE -131� LIC# 113Voa MP E�/JP❑ CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME G J! `L IJ ADDRESS: CITY iAVta (Ur STATE fvVc ZIP O 1$'�I/EMAIL TEL �7� x,63���b CELL FAX r � IL f v � � - r COMMONWEALTH OF MASSACHUSETTS PLUMBERS AND GASFITTERS LICENSED AS A MASTt:R PLUMBER ISSUES THE ABOVE LICENSE TO: MARK E '' PENCE a PO. BOX 893 'NUTTING LAKE MA 01865_0893 ` } 11382 05/O1/?�� . 156738 Fold.Then Detach Along All Perforations �. t t h , e J 09997 Date 6l/lo. . . . c TOWN OF NORTH ANDOVER +PERMIT FOR PLUMBING r This certifies that has permission to perform . �. f plumbing in the buildings of. . . � �.f�V �? . . . . . . . . . . . . . . . at . . Jf . .. . . . . . . . . .North Andover, Mass. Fee7c? . . . Lic. No. / . . / �. . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK " CITY: J060-1 ���()\{ MA. DATE: b 'I (- �� PERMIT# F7-ML L JOBSITE ADDRESS: .30 0 S710k/L)-S `SE! OWNER'S NAME: (,6Ji,&SJO� GOWNER ADDRESS: TEL: -79 a66 k1©S FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT: PLANS SUBMITTED: YES❑ NO❑/ APPLIANCES? FLOOR Bsmt 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER �\ UNVENTED ROOM HEATER WATER HEATER i INSURANCE 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 YES,please indicate the type of coverage checking the appropriate box below. S LIABILITY INSURANCE POLICY L7 OTHER TYPE INDEMNITY ❑ BOND ❑ �Yo l 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 ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT 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 will be in ompliance with all Pertinent provision of the Massachusetts Stat e�Plumbing Code and Chapter 142 of the General Laws. v"�Gt PLUMBER/GASFITTER NAME: I L LICENSE# SIGNATURE COMPANY NAME: �i c� G� i 4—�►' 1�?- ADDRESS: CITY: ( ill�Ct� STATE: �� ZIP: O L 6 J' FAX: TEL:9?� 4 3 76jU CELL: EMAIL: MASTERJOURNEYMAN❑ LP INSTALLER El CORPORATION❑# PARTNERSHIP❑# LLC❑# 64 OD \ � � � y y� i � � l � ��l ,� Pier `1 CM I -:COM MON WEALTH OF MASSACHUSETTS _ PLUMBERS AND GASFITTERS LICENSED AS A MASTER PLUMBER ISSUES THE ABOVE LICENSE TO: MARK ESPENCE Pb B-OX 893 NUTTING LAKE 'MA 01865=0893 ` 11382 05101114 156.738 Fold,Then Detach Along All Perforations �r i f� ,