HomeMy WebLinkAboutMiscellaneous - 345 BOSTON STREET 4/30/2018w
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TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ...... ........ .. . .......................................
has permission to perform ...... Sa-.-F� .. ...... fv..e!k. r. ........................
.."****...*..."**'
wiring in the building of ..... `S'7. ..:...............................
at ..... bp� ............ .. North Andover, Mass.
Fee........... Lic. No.
......... ..... ..... .......
ELEcrR ICAL INsp EcrOR
Check #
681A
I
Th COWQNWEL T OF,; P l [lUiJL'l lv
Office Use only
DEPARnfi T0FPUBLICS4FETY Permit No.
BOARD 0FFIREPRE[BiVI70NREGUL9770NS Sl7CbiR 12:0 )
Occupancy & Fees Checked
APPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSAC14USSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the Inspectorof-Vire;
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Numberi ' a `i ` r =t (1 9 i2 __ L ,,.
Owner or Tenant
Owner's Address
Is this permit in conjunction with a
u
(Check Am)ronriate Box)
Purposeof Building Seotc.C-),V� a Utility Authorisation No.
Existing Service ,_zC>_eJ Amps �Volts Overhead M Underground No. of Meters —`
New Service Amps Volts Overhead M Underground No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets
No. of Lighting Fixtures
No. of Hot Tubs
Swimming Pool
Above
and
Below
roved
No. of Transformers
Generators
Total
KVA
KVA
No. of Receptacle Outlets
No. of Oil Burners.
No. of Emergency Lighting Battery Units
No. of Switch Outlets
z
No. of Gas Burners
No. of Ranges
No. of Air Cond.
Total
FIRE ALARMS
No. of Zones
Tons
No. of Disposals
No. of Heat
Total
Total
No. of Detection and
Pumps
Tons
KW
Initiating Devices
No. of Dishwashers
Space Area Heating
KW
No. of Sounding Devices
No. of Self Contained
�..�
No. of Dryers
Heating Devices
KW
Detection/Sounding Devices
��
Local Municipala
Other
No. of Water Heaters KW
No. of
No. of
Connections
signsBailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER
IrslaanOeCota'age Aastattothel'egtmatterdsafM�adt>sd�GalaalLaws
IfimeaamotLmbtldyhtstr=Pd yarkx&gCmnple CnvedWcrtsstmrtdq=iat y6 NO
Iha%,esubnftdvWdpeofofsametotheO>limYES a Ifjcuhavedvd(odYE!�plmec&*thetMxcfoaeaeybydxdartgthe
toar. box
WorkIoStmt C9-la^Ottlnq�D*RequesWd
SigrW unckrTr PdxJti s ofpafiay.
FIRMNAME
EstFni*dValuedE]edricll WQk $
Ra* Fatal
L>caisee i� \v) �l �-t9 ►�l t sigr we ✓L��� 1;x=No
�
ABusintss TeL N�Jbq-,�
te_�� ( e%Y1 e-�- C'.�'v' _ e I l er 1'CS %i ��s2 l AltTe1 Nn 7903-199?
OWNER'SINSLRANCENVANER;Iarnaw=dltdrLkemdiesnotha'r+ethe t gmedbyMamdu&e^orrliam
andthemysigi h cnthisprnitWp6aamwoesthislegtiennaI
(Please check one) Owner M Agent
Telephone No. PERMiT FEE $
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�l lJ
Date..." ....^'j..............
f NORTH 1
"a TOWN OF NORTH ANDOVER
it �•,� ....__,• °t
p PERMIT FOR WIRING
CHU
This certifies that ......................................................
has permission to perform .....-..-............................................
wiring in the building of... -� cam'-!"-��
.........................................................
dt � ..... ................... . Nort-huMass.
Fee
..... Lic. No 30.38... =........................
`�// �iLECTRICALINSPErCTOR
Check # z l../
645
� Ir
_ Commonwealth of Massachusetts Ofhciait—legt)nl>
Permit No. ( <5
ra Department of Fire Services
f Occupancy and Fee Checked
^ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 05] (le,rve blank)
V
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
SII . auk to he pei-fn med in accordance with the \'U,',SUhuScttS Hccti-ical Code (\IFC). 5'_' (AIR 12.00
r
PLE, ISE PRI,\ T I.V INK OR TYPE, I LL I.\ FOR,I L I TIO,V) Date:
Cit♦, or Town of: A), A� ,,JC*j pr-- TO Ille 117S1?erinl uJ l6'il c.c:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) 3 t`1 J '3ns-61 RA
Owner or Tenant 44aae Iel "Ojm e-n� Telephone No.791a)0-Gsr
Owner's Address 26, t(4.c,e Gc,v-1t„talvt into- of?"
Is this permit in conjunction with a building permit? Yes n— No ❑ (Check Appropriate Box)
Purpose of Building ,/l/�c.c) C)ujCIL\t to T Utility Authorization No. ,j 9(0 96�_
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service 120o Amps 1 2.a /-Lq&olts Overhead ❑ Undgrd 0 No. of :Meters
a Number or Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
C •um lelioll a/ lhc, frrllrnt llat; lahle mal he it ail, 'd by /lie Inspe,.-t0l, tr/,fhir
Ao
No. of Recessed LuminairesNo.
of Ceil.-Susp. (Paddle) Fans
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
No. of Receptacle Outlets
Above In-
Swimming Pool urnd. E]o nd. ❑
No. of Oil Burners it
o. o mergency Lighting
Batter Units
FIRE ALARMS No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ranges `
Total
No. of Air Cond. A Tons
'No. of Alerting Devices
No. of Waste Disposers 11
Heat Pump
Totals:
Numberns
To
KW
No. of Self -Contained
' Detection/A lerting Devices 6
No. of Dishwashers
�
Space/Area Heating KW
Local ❑ vii" rpa1 ❑ Other
No. of Dryers
Heating Appliances KW
---.-Connection _____
Security .Systems:*
No. of Devices or Equivalent 10
No. of Water KW
Heaters —
No. of No. of
Signs Ballasts
Data Wiring:
No, of Devices or Equivalent 10
No. Hydromassage Bathtubs
No, of Motors Total HP
I clecommunications Wiring:
No. of Der ices or E uivalent(
OTHER:
INrrrh; ,IdiIruna,';Ir;;riI i I*. h'S I J1 d, ;JVIdA IV,luu'Cd ht 1 h Inspccli;r !f'„
Fstimated Value of Electrical Work: (\\ hen required by municipal policy.)
\kork to Start: 3-1 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSLRANCE COVERAGE: L-nlcss waived by the owner, no permit for the performance of electrical work may isSue unleS
the licensee provides proof of liability insurance includin" ",:ompleted Operation'• coveraUe Or its substantial (Auivalent. i he
t,ndersi,.nCd certifies that : uch coverage i:, in li)rcc, ;tnkl has c:•.hihited pn,ot of ,arle to the prrmif i:;>uin _ office.
t:.11ll_'KUSE: ISS( R•\\CI �13O�I) [] OfIIER ❑ ttipccily:l
1 cerigjt, duller lh� /�ni�l,c nt�d pc/lra/Jic oJ'pc�rjrrrt, ,'lt/�I the irfjurlreolion on "his ,Ipplic•ulion is trlle 1111d coffilylefe.
t IRN1 NAINIE:
Licensee: 1`\-', 1AC.:v0.•
rl,`,r;J,li�•,inlc ,nr• ,.:rr;l,r" as ll..• l,c; n>;.rarnth; r;iue., � . 'E 2 O ---
Address: ( _J?Qytyi 014fbZ\ Alt. Tel. Vo.:17ar I26 7q,j
"Security System Contractor License required for this work; if applicable. enter the license number here: _
OWNER'S INSURANCE \#,#Ib'ER: I am nw;u•e that the Licensee doc Y not have• the liability insurance t,wvrt e 11Crma11
required by law. By my :;i`, naturc below, I hereby waive this rcquirenu.nt. 1 nm the (check one) E] owner ❑ owner':;.t��ent:
Owner/Agent —�"'�
it uatur'e ;'dcplu,a ,.
rm,&,t 6k-- 62,rs�mG f%(
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0
Date. .. .
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
. `
This certifies that ... ',S� �. /, ! `. �'.'� ..................
has permission to perform ...... ,. -f �-� ... C c! .:-............
plumbing in the buildings of .. / ". .{ !t. ". .� ..............
at. �.�(�! .. °. �. .... �.... `. �. ?�... , North Andover, Mass.
Fed . Lic. No../....`.... ....... .......
PLUMBING INSPE&OH
Check #
6872
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING C
(Print or Type)
Mass. Date COf Permit # C� % Z
` Building Location s't wOwner's Name
ZI::4 Type of Occupancy 9Q S .
New Renovation ❑ Replacement ❑ Plans Submitted: Yes ❑ No ❑
INSURANCE COVERAGE:
I have a currenVfability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes Z No ❑
If you have checked Ye, please I irate the type coverage by checking the appropriate box.
A 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are We 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 compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 ofjhe General Laws.
&-g—nature of LjcensV�KumtreF
Permit fee: S_ Type of license: Master Journeyman G
Receipt License Number t 30dc1
D.1ty permit ranted: __ Plumbing Inspector
FIXTURES
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SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
I
7
�-
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
Installing Company Name
Ifio
ED1VARD J. SULL VAN
one:
Certificate
Address
/Check
L'7 Corporation
�2 Yy-7
BILLERICA, Ml�--Qt,Rode
(
)
❑ Partnership
Business Telephone
❑ Firm/Co.
Name of Licensed Plumber
INSURANCE COVERAGE:
I have a currenVfability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes Z No ❑
If you have checked Ye, please I irate the type coverage by checking the appropriate box.
A 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are We 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 compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 ofjhe General Laws.
&-g—nature of LjcensV�KumtreF
Permit fee: S_ Type of license: Master Journeyman G
Receipt License Number t 30dc1
D.1ty permit ranted: __ Plumbing Inspector
Date... e.(.........
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ..... S ` . �.. . �. �.. . °" ................... .
has permission for gas installation --.... .
in the buildings of ... L S . !lr. 4. (. / ..................
at 4 '�............ I North Andover, Mass.
Fee. %Gv .... Lic. No.) .3'."`:.... .........
GAS INSPECTOR
Check # V F1 ,"
5482
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
&eak �toxc l� r Mass.
City, Town(
Building �5
AT: Location
Date 3 40 M C)& --
Permit #
Owner's
Name bdck! ,,.e (cam tO ,
Type of Occupancy:
New Ly' Re (ovation El Replacement
Plans Submitted Yes ❑ No
(Print or Type)
Installing Company Name EDIVARD J. SULLIVAN
FIAAMBING & FIE91 ING,INC.
Address 12 JANICE RD.
BILLERICA, MA 01821
Business Telephone 92T f? Cl v?39
Check One:
P -Corp. 1_1;z yy
❑ Partnership
❑ Firm/ Company
Name of Licensed Plumber or Gasfitter
CCJ _ 5,6 k I1 %
Certificate
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 Permit issued for this application will be in compliance with all pertinent
provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
I have informed the owner or his agent that I do not have liability insurance including completed operations coverage.
Signattur of Owner/ Agent
I have a current liability insurance policy to include completed operations coverage. ❑
By PE LICENSE:
Title 300PIumber
City/Town ❑l Gasfitter
APPROVED (OFFICE USE ONLY) 2 -aster
❑ Journeyman
FORM 1243 HOBBS &WARREN, INC.1989
Signature icensed
Plumber or Gasfitter
%,300C.)
License Number
■■■■■■■■■■■■M■■■■■■■■>■■■■■■
...
■■■■■■■■e■■■■■■■�■■■■■■■■■■■'
"fly, moi
(Print or Type)
Installing Company Name EDIVARD J. SULLIVAN
FIAAMBING & FIE91 ING,INC.
Address 12 JANICE RD.
BILLERICA, MA 01821
Business Telephone 92T f? Cl v?39
Check One:
P -Corp. 1_1;z yy
❑ Partnership
❑ Firm/ Company
Name of Licensed Plumber or Gasfitter
CCJ _ 5,6 k I1 %
Certificate
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 Permit issued for this application will be in compliance with all pertinent
provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
I have informed the owner or his agent that I do not have liability insurance including completed operations coverage.
Signattur of Owner/ Agent
I have a current liability insurance policy to include completed operations coverage. ❑
By PE LICENSE:
Title 300PIumber
City/Town ❑l Gasfitter
APPROVED (OFFICE USE ONLY) 2 -aster
❑ Journeyman
FORM 1243 HOBBS &WARREN, INC.1989
Signature icensed
Plumber or Gasfitter
%,300C.)
License Number