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HomeMy WebLinkAboutMiscellaneous - 35 HAWTHORNE PLACE 4/30/20180 0 N O Q O O w 6 0 O O 6 N2 9655 Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ...j".tilU.. // W. P..Z: 4. oro....... . has permission to perform ...�?t�!i!t.�!!Y..?�^..... . jj plumbing in the buildings of .. f4elA,Ar ...... at. . H4 W.!-�4 .AtA........... , North A dover, Mass. Fee .. Lic. No. 933,3.. ..... PLUMBING INSPECTOR Check #-.-Col WHITE -C WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 11 `-MASSACHUSETTS UNIFORM . I CITY / P MEAN TYPE OR ■ ■ PRINT CLEARLY 111101171YA ■ ■ ■ •■ t� ■fi1■ CROSS -CONNECTION DEVICE ■[■�►►, Ali •�••�i� l ■ =c., Fes'■ �rir�■�islri[li DRINKING r FOOD DISPOSER - [�.�r■■ ft FLOOR /AREA DRAIN I -IMA r■ INTERCEPTOR - . -KITCHEN �`�'`1� BILI nMMA SINK _ r nnW� AM - • STALL {�--�I'� SINK ��- ��■ tr�1L 1�Ik1�1; - ^I- 1C���i■�[■[�,� F '�Fm- Fm �r TION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 00""NO IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY e OTHER TYPE OF INDEMNITY M 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. SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER ❑ AGENT Q I hereby certify that all of the details and information I have submitted or entered regarding this application true and accur to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will beo lance ith I ertinent provisionpfthe Massachusetts State PI rn ing Code and Cha ter 142 of the General Laws. 0101 PLUMBER'S NAME LICENSE # R NATURE MP57Z JP Q CORPORATION [j% #=PARTNERSHIPE3#[� LLC 0# COMPANY NAM ADDRESS 111011 CITY l Qh'V1 STATE ZIP (') TEL ..�� FAX CELL r, _ . _ �MIlL1I Q S I %') �t 11 ►Nyima -� a�-�` "� e v \� PLUMBERS AND GASFITTERS -- LICENSED AS A JOURNEYMAN PLUM113 ROBERT A SAMMATAR0 8 DUNRAVEN RU WINDHAM NH 03087-1263 1II214 05/01/14 17417 PLUMBERS AND GASFITTERS 1 LICENSED AS A MASTER PLUMS"R ROBERT A SAMMATARO 8 DUNRAVEN RD WINDHAM NH 03087-1263 9333 05/01/14 17053 COMMONWEALTH OF MASSACHUSETTS PLUMBERS AND GASFITTERS LICENSED AS A MASTER PLUMB7tt ISSUES THE ABOVE LICENSE TO ROBERT A SAMMATARO 8 DUNRAVEN RD , WINDHAM NH 03087-1263 4333 05/01/14 _170 Co3M ONWEALTH OF MASSACHUSETTS REGISTERED AS A PLUMBING CORP ISSUES THE ABOVE UC£NSE TO ROBERT A SAMMATARO ROBERT A SAMMATARO PBH, INC 8 DUNRAVEN RD R f WINDHAM N -H 03087-1263 3373 05/01/14 140820 h I111 LlucNot NV. Date. f• /--V. . f ........ TOWN OF NORTH ANDOVER p PERMIT FOR GAS INSTALLATION .. �,SScwUSEtt This certifies that .. 1.9. r-J.� 1 ! ( ......................... has permission for gas installation . IA-. H .................... in the buildings of .... a.'- e .............................. at ... a:-- :...... Noo-rt-h� Andover, Mass. Fee..�6. Lic. No../.)w... ...(0��P ! �c� sem` ...... ,6AS INSPECTOR/ Check # t( -) } 52'17 G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) �" V , Mass. Date F o — 31 2007 Permit # Building Locatiow er's Name® �. Owner's Tel rg� Type of Occupency New El Renovation 1:1 Replacement 0 Plan Submitted: Yes E3 No M Installing Company Name Addario's Plumbing & Heating LLC. Check one: Certificate Address 20 Cooper Streetx Corporation 2720 Lynn, MA. 01905 Partnership Business Telephone 339-440-8100 Firm/Co. Name of Licensed Plumber or Gas Fitter Steven J. Addario Jr. Insurance Coverage I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑x No ❑ If you have checkedeyes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 Other type of indemnity 1:1 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 E3 Agent Signature of Owner or Owner's Agent I hearby 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 the 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. By Type of License: Title x Plumber City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter Approved (OFFICE USE ONLY) x Master Journeyman License Number 13106 ■�■■■■■moi■�■�■■i■■�■■■■�■ Installing Company Name Addario's Plumbing & Heating LLC. Check one: Certificate Address 20 Cooper Streetx Corporation 2720 Lynn, MA. 01905 Partnership Business Telephone 339-440-8100 Firm/Co. Name of Licensed Plumber or Gas Fitter Steven J. Addario Jr. Insurance Coverage I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ❑x No ❑ If you have checkedeyes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 0 Other type of indemnity 1:1 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 E3 Agent Signature of Owner or Owner's Agent I hearby 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 the 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. By Type of License: Title x Plumber City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter Approved (OFFICE USE ONLY) x Master Journeyman License Number 13106 J z 0 LU U) m w U LL LL. 0 w 0 LL. 0 J w m U) z O F- U LU CL z_ m m w t9 O w n. N w 2 U H w Y N z 0 F- U LU CL Cl) z_ J Q z w w LL. O z a z_ H U) a C7 O a O F w IL w O z 0 Q U .J n. a a c z E LL C LL n F C9 z 0 J m LL. 0 z O a U 0 J ti 0 0 N TF w O U w a z a c� -:�- :? . .� Date ... ..a TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..... ..4-n i(.c......... .1. �1r. C..j :........ `"has permission to perform ......` 1. �� C..``:'. ............ . ........... .. . . s_ a wiring in the building of ............ at ........r ........., . f, North Andover, Mass ; ......... ... 4 INSPEC�['OR Check # / WHITE: Applicant CANARY: Building Dept. PINK: Treasurer H C Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No.� 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 IN INK OR TYPE ALL NFORMATION) Date: City or Town of: 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 & tuber) (D ✓/ (,1 fj,� Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Yes ❑ No E& (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters Completion ofthe following table may be waived by the Inspector or 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 rndbove ❑ n- rnd. ❑ o. o Emergency Lighting 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 Initiating Devices 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 elf- ontained Detect ion/Alerti n 2 Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW ecuritysystems: No. of Devices or Equivalent No. o Water KW Heaters o. o o. OF— Sites Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired. a• as required by the Inspector of 6Vires. INSURANCE COVERAGE: Unless waived by the owner, no pen -nit for die 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 ❑ BO ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated ValuSof Electrical Work: { t�l/ i (When required by municipal policy.) Work to Start: ' _ - _ Inspections to be requested in accordance with NEC Rule 10, and upon completion. I certify, under the pains a' nd penalties of perjury, that the information on this application is true and complete - FIRM NAME: ADT Security Services 111 Morse Street, Noglvoopl, MA 02062 LIC. NO.: 1533C Licensee: John S. Bassett Signatu LIC. NO.: 1533C (Ifapplicable, enter "exempt" in the license number line.) Bus. Tel. No.: 781-278-1169 Address: ( I Alt. Tel. No.: 781-278-1131 OWNER'S INSURANCE WAIVER: I am aware that the Li nsee 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 ❑ owner's agent. Owner/Agent PERMIT FEE: $ �S• 00 Signature Telephone No. .�j - z'E- Date .....� N 1 X24 <...... M TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........ t� �n.tc .0 .k �..!!!�.u+^......t .f.4:.1. �..�............... has permission to perform .......'As......! .!........................................ wiring In the building of ........ X �A .. A....... Q XA-t,.4 !,, ............................... at ... . `,�.......1.Z.�G.t � 1�.d.(C .....................!3 . % ........... . North Andover, Mass. h Fee..: .. Lic. No!.;t:1�°............................................................... ELECTRICAL INSPECTOR IS, oo PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer N ugh Service Final (74: Qlammonwealt4 of Massac4twetts Office Use Only Department of Public Safety Permit No. ©' BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy 6 fee Cffedt[d 3/90 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL W R All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALLI FORMATION) j� Dat City or Town of To the Inspem., of Wires) th The undersigned, applies for a permit to perform e ele rical work described below. Location (Street & Owner or Tenant Owner's Address Is this permit in co, Existing Service New Service, Number of Feeders and Ampacity Amps Volts Amps / Volts Location and Nature of Proposed Electrical Work Jtiiity Authorization No. _ Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ No. of Meters No. of Meters OTHER:: lam✓ f {"fi C �i' �r�l/1��/t�f°!'i/7 L,44 o INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 0 NO 0 1 have submitted valid proof of same to this office. Y 5 L1 NO LJ If you have checked 5, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Work to Start _ Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME/eel �/ G LIC. NO.`� 1 Licensee U Signature s LIC. NO. Address — .5??/`1 �Bus. Tel. NoZ, 2 Z I Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) fi Telephone No. PERMIT FEE S `� TOTAL No. of Lighting Outlets No. of Hot Tubs No. of Transformers KVA Above in - ❑ ❑ No. of Lighting Fixtures Swimming Pool gmd. gmd. Generators KVA _ No. of Emergency Li ting No. of Receptacle Outlets No. of Oil Burners Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Total No. of Ranges No. of Air Conditioners Tons Initiating Devices --- of Sounding Devices. eat I otal totalNo. No. of Disposals No. of Pumps Tons KW No. of Self Contained Detection/SoDevices No. of Dishwashers Space/Area HeatingMunicipal unici Mpal Local[ --7 Connection ❑Other No. of Dryers Heatin Devices KW o. o No. or Low Voltage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro Massage Tubs No. of Motors Total HP OTHER:: lam✓ f {"fi C �i' �r�l/1��/t�f°!'i/7 L,44 o INSURANCE COVERAGE: Pursuant to the requirements of Massachusttes General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES 0 NO 0 1 have submitted valid proof of same to this office. Y 5 L1 NO LJ If you have checked 5, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER❑ (Please Specify) (Expiration Date) Estimated Value of Electrical Work $ Work to Start _ Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME/eel �/ G LIC. NO.`� 1 Licensee U Signature s LIC. NO. Address — .5??/`1 �Bus. Tel. NoZ, 2 Z I Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) fi Telephone No. PERMIT FEE S `�