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Home My WebLink AboutMiscellaneous - 34 WATER STREET 4/30/2018i Date. TOWN OF NORTH ANDOVER _ PERMIT FOR PLUMBING This certifies that ...6.( . /-? !..... P:- . ................ has permission to perform .... LA. H ....... ,,-! .....N. plumbing in the buildings of ..�. C. I?. �..................... at .... North Andover, Mass. Fee. 7L .... Lic. No.......... , � -L6 .. . LUMBING INSPECTOR Check ." U /G ft FIXTURES MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING Cityrrown: `�ic�r'�T�n n �a �� . MA. Data: % I Permit# Building Location -,?.,!A W Ni ty, J r Owners Name: t' ri)N (Ar O'C o Y'1 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement:] Plans Submitted: Yes ❑ No FIXTURES Z Z ILI Z O ul N Z aOJam Iz i Q N ZZ jitC }a0 N ognwa _ WF 000. MW ZZZ 0 a > u. S YQ=WWW0 Q rXa a 9 SUB BSMT. BASEMENT in -FLOOR 2 FLOOR -3w-FLOOR C FLOOR 5 FLOOR 6 M FLOOR 7 FLOOR T -FLOOR Installing Company Name�rE.'Ij`�Qkwtab%ea �Lry%tQ S � he Check One Only Certificate # ®Corporation Z�Sc1� Address -\' r.m w. : � P City1Towny y%t A h State: ❑ Partnership Business Tel:`'EQ% 63q i"Alk4% Fax: ❑ FirmlCompany Name of Licensed Plumber: F%r a tv %Ck \K) ax G INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes K) No ❑ If you have checked Yes. please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 1� 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 Only Owner ❑ Agent ❑ Signature of Owner or Owners Agent I hereby certify that all of the detaft and trrfomuttion 1 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 M compliance with all Pertinent provision of the Massachusetts state Plumbing Code and Chapter 142 of the General laws. BY I Type of License: Tiffe❑ Plumber Signature of Licensed Plumber CityfTown ❑ Master License Number: APPROVED (OFFICE USE ONLY) ❑Journeyman piA Mtiit, a.. ..,1 �x � 1 �} t Cif, . r-; ..n J , a, FF r� r rrl R z i, • R,� JV •.� .. J4%r a ..:�3 Ji. R' JY «ls,.+I�YJ tf ,diJ;,,,,'o :,,(..•`(; . z . ._ .. _..__.�.. .. ... •'rJ Paff�fks a: it. •i �' �{,''`�1.b .... -fir. ..._.. ._.... a. ..,_,.i CD f rA f t • .... „ g': � !f... G:. I E.... �:: ii t ., ...r :3:fijft' t. .. „};?aE 3r,� 3..J ,!..i? •,F ,.. 't'' ,., .,., ,.: ., is wii; _ ,. ii :.til .• i. .!!'!(;,.. rt, 5'i �'Yf >:4 .. .. .'t ,r!i:rf .. rtf .. f...} i..'. .. .. � , ..' �: ... s... �: i4?! .,.;� !1Sf.r:f Q,�4.. .. .:... :ff :t;�r' , •�! , r r , ? A 7606 Date ..3 �.6 ......... 3? ` TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION j • 1 • ♦ � .f1D . '(y This certifies that ... ( . z&. ",/... ?°�.. (: .... .. has permission for gas installation ...(.!t. t� ................... in the buildings of . 6�n ........................... at ... 3 �� .. L'` `+P 1` ...... Noirth Andover, Mass. Fee.. Lic. No.. �A Z � `...... . FAS INSPECTOR Check # 60 76 lc\ 91 F5aEEEEEa MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GAS FITTING CityrTownSN cyA-�, AT, �00 &,yMA. Date: ti Permit# W CCN Building Location:116A _W&r Cs"� Owners Name: Cy` ar I d1n Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ® Plans Submitted: Yes ❑ No u�� a�a��►��r�� FIXTURES W CCN VZ V MX Z H FO O J !Y W f- U)O Z WILI W IxO H W Z W V rn t? O w CL Q O w _ Z W Z O W J W H Z F- 0 Z 2 J w a t— U. = tL W H W W o �W- c i g 0 a �a > 3 0 uM. iW— .> SUB BSMT. BASEMENT f FLOOR 2 FLOOR -3 'FLOOR 4 FLOOR 5 FLOOR 6!-"'- FLOOR 7 FLOOR 8 FLOOR tt Check One Only Certificate # Installing Company Name?' M �, ��Mb� n �R:, �t C s 1%C n Q Corporation sQC1�1 Addres�� ht��o n �� . Cit hC o� n State:R. ..� ❑ Partnership Business Tel:%�O� Fax: ❑ FirmlCompany Name of Licensed Plumber/Gas Fitterv' r 6 2.r' .r i C k N-0 aIq irn ,`" I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 Yest No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 2 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 Only Signature of Owner or Owner's Agent Owner El Agent ❑ By checking this box ;1 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 rhy Knowledge and that all plumbing work and Installations performed under the permit issued for this application win be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: 4f rs�L BY CR Plumber Title ❑Gas Fitter Signature of Licensed Plumber/Gas Fitter Master Cityrrown ❑Journeyman License Number: �.� APPROVED OFFICE USE ONL El LP Installer iA ...... .... .... ...... .. ....... . 0 Kosovo mm"W"o On • 1 Oak C);... 3 : y rw • -El (:. _._ 7 .. '' y Y „ il, . {i, r� n. i/ .I` .:.'�!r�.. 2 ''c�,1 F.. AIR chi - P n 9J6 laot t IN, 71 --'I Date/ :. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING A r. o 0*` S CHUS This certifies that .......... has permission to perform,'...... ' -t-��.. .................. plumbing in the buildings of ............. at ............. ---.N North Andover, Mass. Feei. p. . Lic. No. PLUMPING r -PtdTOR Check # 7423 --- NUA UNUM APPJCATWN FOR PERM TO DO PLUMBNG I & Buflft Loc�tivnILI W a r v s t ol NOW ❑ Rw oaratioe PenniL # - 6 .� Type of Occupancy. _ Rq*w, ttmt 0 Phos wed: Y0813 No O FIXTURES 4 A4M-tids Name d ucwmW Pm nber :;-rZl D z&g i 012 A2E� Chm*.ow 0Corp. 0 Parbtap C� j t tme a a xmt ld ft Irmance .poky or &B =Ambdbt equkda t, Yes N. p K yon, ham ed. /h" a the Type cwmme by ctAmlMV the apprpte box A t1dARy kmmmoa poft 0' Other ape d #damnitj► 0 Ek*W a O WNM'S INSURANCE WAIVER: ! wn mare #sd the scale- does not #tare the kmmr4a cavern" nxpdred by 142 ad #e Maas. Gwent tams. MW that my s ure on dais pme,ippOcation waWm this requTmntent. Chick one: sw� ofer s Owner 0 App p_ I lr FVW84d, tddd Wdintortetdottlttara lwodDs and fitdayand spa Oath pt�o+Aioat#94M Plnmbiip C 8Y Tt� IfPPf#aYED ELSE qd;� 4 Typo of .tk@m�0 Date.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... has permission to perform ................. ............... ............. of ... wiring in the building .................................................. at .... ................................ . North Andover, Mass. Fe6........... Lic. No. ........ ............... . EL Check # 7491 Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 7V f/ Occupancy and Fee Checked [Rev. 1/071 (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: 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) , Owner or Tenant Auff Owner's Address TV i; 14/44e(' 5trc-^e i - Telephone No. 9,7g - S_ Is this permit in conjunction with a building permit? Yes1, No ❑ (Check Appropriate Box) Purpose of Bundmg es;CWI?Ge Utility Authorization No. Existing Service /Gtr Amps O/,2VQ Volts Overhead Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: / S��F�t �Or►-� �afh ��,� �2i'�QV� �0� 14/ Completion of the following table may be waived by the Inspector of Wires No. of Recessed LuminairesNo. 3 No. of Ceil: Susp. (Paddle) Fans of Total Transformers KVA No, of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires SwimmingAbove In- Pool rnd. ❑ rnd. E] No. o. o Emergency Lighting Units No. of Receptacle Outlets / No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. o -Detection and InitiatingDevices No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices g No. of Waste Disposers Heat Pum Totals Number Tons KW No. of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or Equivalent No. of Water Heaters KW No. of No. o Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: VOZ Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: /Q4f?� (When required by municipal policy.) ` Work to Start: � _ 3Q `( Q%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 Iicensee,,,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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: . LIC. NO.: Licensee: Casey' Signature LIC. NO.: //01710 (If applicable, enter "exempt" in the license member line.) U Bus. Tel. No.: Address: 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 Licensee does not have the liability insurance coverage normally required by law. By ray signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agenta&�— ��b�C P ERMIT FEE: $ , Signature Telephone No. FP v OAC "--7- 6 - 0 7//7 FIWA 17 - j 01, /0,�3-,J7PV I It rl N