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Home My WebLink AboutMiscellaneous - 325 JOHNSON STREET 4/30/2018 (2)• Date. 4!-j? 'S ( . :. '' 2878 NORTH o` TOWN OF NORTH ANDOVER 49 ; • _ PERMIT FOR PLUMBING Y °++ro Ayth ,S$ACHUSE This certifies that .. -. c G, �, �.r"... P.°!. !,� ................ has permission to perform .... Lk -.7` ...................... . plumbing in the buildings of ...K,� !-! ... S hF?0.k S at .... 3,2,}. _ _Jo.F, SC_n_ _ _S' (-- Nnrth Andnver Macc Fee. Lic. No. g. 7 .. 3. ..... LUMIMING INSPECTOR 04/16/% 13:28 25.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File A MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING -� (Print w Typo! NORTH ANDOVER, , Most. Data /0I0� Building Location �/�J--✓4/!/�T/�/ �% New ❑ Renovation ❑ Replacement FIXTURES Permit #' J2L it/ L Owner's Name (/ Pians Submitted: Yea ❑ No p r Installing Company Name —I lQ !/ e 4Z "Iely F'�%fi a��G Address Sr', Business Telephone Name of Licensed Plumber �Check one: Er,corp- ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: Check I have a current Ilabllty Insurance pollcy or Its substantW equty anL Yea Gr No ❑ It you have checked ,yj, pleaaseIndicate the type coverage by checking the appropriate box. A Ilabllty Insurance policy MeI. Other type of k-odemnity ❑ Bond ❑ CertIlIcata 14/1�11--,- OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: &qnOwner ❑ Agent ❑ slurs o Owner a owner s ent I hereby csrUy that all of the detaAs and InImmatlon I have submitted for entereM in above appiicatlon me true and acwrate to the best of my knowledge and that as plumbing work and Installations performed under the perrM issued W this application nn7 be in compliance with aA pertinent provisions of the MassachuseHs State Plumbing Code and Chapter 1142 of owl a+ lsws. ureol Ucen3*d Plumber Ucense Number R�o Type of Plumbing Ucense: Master Journeyman 0 w =s: 0 I s s » a W s M J• s ac < a 31s el D 0is O M s o a zi U t 39et Y O •a r r 0 i< < M Z w i i f► d s < < a U 44 �r �46 3t W1• ' s°»!' s tai s .°+$ < ss o° i w o o y t- • a s o < It 00 04 0 sus—esa1T. NAeRMGHT IST FLO011 iH0 FL0011 31110 FLOOR ITH FLOOR 11TH FLOOR •TH FLOOR. ITH FLOOR ITH FLOOR - r Installing Company Name —I lQ !/ e 4Z "Iely F'�%fi a��G Address Sr', Business Telephone Name of Licensed Plumber �Check one: Er,corp- ❑ Partnership ❑ Firm/Co. INSURANCE COVERAGE: Check I have a current Ilabllty Insurance pollcy or Its substantW equty anL Yea Gr No ❑ It you have checked ,yj, pleaaseIndicate the type coverage by checking the appropriate box. A Ilabllty Insurance policy MeI. Other type of k-odemnity ❑ Bond ❑ CertIlIcata 14/1�11--,- 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: &qnOwner ❑ Agent ❑ slurs o Owner a owner s ent I hereby csrUy that all of the detaAs and InImmatlon I have submitted for entereM in above appiicatlon me true and acwrate to the best of my knowledge and that as plumbing work and Installations performed under the perrM issued W this application nn7 be in compliance with aA pertinent provisions of the MassachuseHs State Plumbing Code and Chapter 1142 of owl a+ lsws. ureol Ucen3*d Plumber Ucense Number R�o Type of Plumbing Ucense: Master Journeyman 0 t yy�� 5 - 2 Date......y�.......1.... G... °"'° '• "� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING This certifies that 1�..��c ........1.= °c f 7 ( <u.................................... has permission to perform................... l �� ........................ ......................... wiring in the building of at ...........a.........................r�J:..�...... /,............ ..........orth Ando...r,,- Mass. Fee ... ry dj.... Lic. Nod."..1.............................................................. .. .........::/... ............/ ..... ELECTRICAL INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Cccomnwnw.a� o� /I/a�acliud.�! 1JaPar�nrvanl o` �i►a sarricad BOARD OF FIRE PREVENTION REGULA i IONS For Office Use Only (Rev. 11/99) �. Permit Number: V Occupancy & Fee APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (ALL WORK TO BE PERFORMED WITH THE MASSACHUSETTS ELECTRICAL CODE 527 CMR 12:00) PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: City or Town of: &2, ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his 'oorr jhher intention to perform the electrical work described below. Location: (Street & Number) 3Z, , '� "l w � / `4 -Z 9-7,3( Owner or T Owner's Address: Is this permit in conjunction with a Building Permit? Yes ❑ No Purpose of Building: Existing Service: Amps O Zc /olts 1 New Service: J4Amps / Volts V Number of Feeders and Ampacity: Location and Nature of Proposed Electrical Utility Authorization Overhead 0 Overhead 11 (Check Appropriate Box) / #: �411zsh Underground. # of Meters Underground. # of Met`e'rs/:�/ K/ l ., j pe�wwg u No. of Recessed Fixtures No. of Ceil: Susp. (Paddle) Fans No. of Transformers Total KVA No. Of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Pool: Above ground ❑ In Ground o # of Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners Fire Alarms # of Zones # of Detection & Initiating Devices # of Sounding Devices: # of Self Contained Detection/Sounding Devices Local ❑ Municipal Connection ❑ Other ❑ No. of Switches No. of Gas Burners No. of Ranges No. of Air Conditioners TOTAL TONS: No. of Waste Disposals Heat Pump Totals: Number: TONS: KW: Security Systems: No. of Devices or Equivalent No. of Dishwashers Space /Area Heating: KW Data Wiring, No. of Devices or Equivalent: No. of Dryers Heating Appliances KW Telecommunications Wiring: No of Devices or Equivalent: No. of Water Heaters KW No. of Signs: # of Ballasts: OTHER; # of Hydro Massage Tubs No. of Motors Total HP INSURANCE COVERAGE: Unless waived by the owner, no perm or the performance of electrical work may issue unless the licensee provides proof of liability insurance including 'completed operation" coverage or its substantial equ lent. The undersigned certifies that such coverage is in force, and has x Mbit d p27CK151 f same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER o Please specify: � !/- Estimated Value of Electrical Work $ (When required by municipal policy) Work to Start: Inspections to be requested in accordancewith 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: 4/ L 4�I%C /�/C �0 LIC. # o4 15933 Licensee: S / 7716 7 Signature: LIC. # 45933 (If applicable, enter " empt" In thi I! nse numq r line) C Address: Bus. Tel. #�g:3 o�1 AIL Tel. # 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 ❑ OR Agent o , Signature of Owner/Agent: Telephone # PERMIT FEE: S /�