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Home My WebLink AboutMiscellaneous - 36 HAWKINS LANE 4/30/2018P Date '3-169-.4.4 ........ ........................ TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies .................................... . - ............................. has permission to perform ............................................... wiring in the building of .... at Fee '& .... . ........ Lic. No?t.?A Check # 6 7 ................ . North Andover, Mass. ......... ELECTRICAL wskcToR-74 Commonwealth of Massachusetts -- Depa,rtn�ent of Fire Services BOARD OF EIRE PREVENTION REGULATIONS Official Use only Permit No. vg Occupancy and Fee Checked [Rev. 9/05] (leave blank) —� APPL.iu.A.T IN'DN FOR PERMIT T^ PERFORM ELECTRiCAL. WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 (-NIR12.00 (PLE.4.SEPRI,VT kV INK OR TYPEALL. INFORM4T_tON) Date: Y1—_ Q6 . Citi• of T oW1! of: /ti0/L � � To the _inspector of Vires: By this application the undersigned rives notice of his or her intention to perform the electrical work described below. Location (Street & Nuniber) Owner or Tenant -V�- :Zj / IS 7— �VO_Af�5(�,Telephone No. Ovrner's Address O Is this permit in conjunction with a building permit? Yes ❑ No L (Check Appropriate Bos) Purpose of Building; Utility Authorization No. Existing Service Amps / Volts Overhead U Undard U No. of i'vieters New Service An:ps / Volts Overhead ❑ Undgrd ❑ No. of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of Security System �g�Q Completion of the followine table may be waived by the hzcnectnr of PVirvc Nc. of .37tecessed Luminaires - No. of Ceil.-Susp. (Paddle) Fans No. of T'otai i Transformers KVH. No of Luminaire Outlets — of L,urainaires _ No. of Hot Tubs Above In- Swimming Pool ❑ ❑ Generators KVA I o. o mergency Lighting — rnd. grrd. Battery Units I[No_o Receptacle Outiets No. cf Oil Burners - FIRE ALARMS INo. of ?ones lNrvo�Switches No. of Gas Burners No. oCDetection and — ing; InitiatDevices Ne: a1 •Pca'laes t----- ----- — No. of Air Cond. Total Tons No. of Alerting Devices g �No, of Waste Cisposers Neat Pump I Number. Tors I<bV N4. o: Self -Container? : _ — Toials: Detection/Alerting Devices No. of Dishwashers _ ' Space/hrea Heatinu KW Local 1 Municipal -- -- �— Connection ❑ Other lV'ii. 4r Qri-::rS __ Heating Appliances KNtSecurity ._-- Systems:* � l No. of Devices or Equivalent _ r — — ;N4. of Water ,., No. of w s, �; , .,... "`No. :`'u Signs Ballasts of Devices or Equivalent ! r1i1). hydromassage Bathtubs No. of Motors Total HP Telecornmunications Wiring: Hydromassage No. of Devices or e uivaleat t E R: OT: - .attach additional detail njdesired, or as required by the Inspector rf ,Vires. ':estimated Value of Electrical \uor! : (When required by municipal policy.) Vlt rk to Start: r4sIFJ fa inspections to be requested in accordance with MEC Rule 10, and upon completion. ii%'SURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless ti,e !icensee, 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 Z. BOND ❑ OTHER ❑ (Specify:) I certify, under thepains titin penalties of perjury, that the itrfortniation on alis application is trite and complete. FiRM NAME: ADT Security Services, Inc. t—n�_� //r^J Licensee: Stephen Provenzano Signature LiC. NO.: 2624D (IJ'applicable, enter "exennpt" in the license number linea Bus. Tel. No.: 603-594-5900 Address: 18 CLINTON DRIVE HOLLiS N.H. 03049 Alt. Tel. No.:_603-594-5930 _ *Security System Contractor License required for this work; if applicable, enter the license number here: SSCCO01633 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 ❑ owner's agent. Owner/Agent Signature-7clephone No. PERAll T FEE: 3 �`� 1� 'Q 6 Commonwealth of Massachusetts Depa,rtrr►e t of Fire Services BOARD OF EIRE PREVENTION REGULATIONS Official use 'Only. Permit No. Occupancy and Fee Checked [Rev. 9/05] (leave blank) APPLiCA.'e'ON A1FO•R PERMIT TO PERFORM ELECTRiCA.L.WORK \ll N+ork to be performed in accordance with the Massachusetts Electrical Code (\ EC'). 527 CNIR 13.00 (PLEASE PRINT LN INK OR TYPEALL INFORALMON) Date: Cit, or : own of: A2494%7y�f To the inspector of 6f,'ires: By this application the undersigned gives notice f his or her intention to perform the electrical work described below. Location (Street & Number) 40 Oivr,er or Tenant Owner's Address Is this permit in conjunction with a building permit'! Purpose of Building; Existing Service Anips i Volts New Se 'ce Ait, ps / Volts ;lumber of Feeders and Ampacity lephone No. Yes ❑ No V (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ Overhead ❑ Undgrd ❑ Location and Nature of Proposed Electrical Work: Installation of Security System No. of Meters No. of Meters Completion of the followin� table may be rnaived by the /ns.�ector oJbl"ires lNor - No. of — T '� . of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans •r„.,....r,...__ _ otai ----- — uau3,vi wCl�, Ityh, I No. of Lurninairc Outlets No. of Hot Tubs Generators KVA of LurninairPs Above ❑ In- ❑ Swimming Pool o. o mergency Ig I Ing _- prnd. grrd. Battery Units 111-14o. of Receptacle Outlets No. cf Oil Burners FIRE ALARMS No. of Zones INo. of Switches No. of Gas Burners No. of Detection and I-- _ Initiating=, Devices !Nc: ofdca_;es- — Total No. of Air Card. Tons No. of Alerting Devices ,No., of Waste Disposers Peat Pump f..�um.ber To P. KW ��............... No. o� Seff-Contained Toizls: , Detection/Alerting Devices ishwashers F-0. SoacZ/Area Heatinb KW ❑ Other Local IVlunicipaT ❑•—•--••-- _-- Connection 'N;. o: Dr-, Heating Appliances KW Security Systems:* i + No. of Devices or E uvalent No, of Water . No. of !ti; _ �I - — - g: -i -.�w;e.., :•>... Si ns Ballasts.... I No: of Devices orE-quivalent lNo. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: �— _-- No. of Devices or -rbc uve:eat_ li?T•:.ER: — .dttach additional detail irdesired. or as required by the /nspec•tor of 11 Tres. Estimated Value of Electrical Work: (When required by mi:nicipal policy.) 'Work to Start: __r�'ySt/-Jf Inspections to be requested in accordance with Iv1EC Rule 10, and upon completion. 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 ® BOND ❑ OTHER ❑ (Specify:) I certify, under the pains acrd penalties of perjury, that the information on this application is true and complete. F_�RM NAME: ADT Securit Services, Inc. ��msee: Stephen Provenzano __ Signature :. �-.� LIC. NO.: 2624D - (!f•crnplicabr`e, etuer "e.reny�t" in tl:c lir.•ense numher (ine.� Bus. Tel. No.:�-�S4-5900 Address: 18 CLINTON DRIVE 1-IOLLiS N.H. 03049 Alt. TeL No.:_60;_594-5930 _ *Sec.ur,'ty System Contractor License required for this work; if applicable, enter the lic:cnsc number here. SJCCO01633 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by lava. By my signature below, I hereby waive this requirement. I am she (check one) ❑ owner ❑owner's agent. Owner/Anent r-- ( 0 -A- b - llr� El MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO UO GA51-11 I INV r--+ —� (Pnnl jol Type) Mass. Date a 19-CS� Permit it o� A�iL1J�Cli'1–t^� Owner's Name - Building Location Type of Occupan ' New p Renov/tion p Replacements Plans Submitted: Yesp 'No p Installing Company Name Address 7 [n Check one: Certificate 0 Corporation ❑ . Partnership D� p Firm/Co. /J 21 Date.. ......../ ........ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that _ has permission for gas installation ...... ...... in the buildings of ........................:................. at....... .... . ....................... , North Andover, Mass. Fee �� ,... Lic. No1:. ?< --- t .......................... . GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer meets the requirements of MGL Ch. 142. le appropriate box. Bond 0 have the Insurance coverage required by -mit application waives this requirement. Check one: )wner0 Agent p ie application are true and accurate to the best of my ,d for this applrcaUon I be to compliance with all ,I s. I -- -it Ucensed Plumbef or Gas �it+ter lumber, �a / r .:.... .::....:.:........ 0 MORN IMMEME 'NuN NONE MEN m�a��s�■��■n��OMENNONE MMMMIMMuMMI`M MESON OEM IN 7TK FLOOR MEN mom EM mom SOME K -_201001001 Installing Company Name Address 7 [n Check one: Certificate 0 Corporation ❑ . Partnership D� p Firm/Co. /J 21 Date.. ......../ ........ TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that _ has permission for gas installation ...... ...... in the buildings of ........................:................. at....... .... . ....................... , North Andover, Mass. Fee �� ,... Lic. No1:. ?< --- t .......................... . GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer meets the requirements of MGL Ch. 142. le appropriate box. Bond 0 have the Insurance coverage required by -mit application waives this requirement. Check one: )wner0 Agent p ie application are true and accurate to the best of my ,d for this applrcaUon I be to compliance with all ,I s. I -- -it Ucensed Plumbef or Gas �it+ter lumber, �a / MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING ^� (Print or Type) =� Mass Date 19 Permit at �I Building Location Owner's Name r Type of Occupancy G Name of New p Renovation G Replacement O Plans Submitted: Yes❑ No or Check one: Certificate O Corporation O Partnership ❑ Firm/Co. I have a current WUity iflBtlranCe pocky or b subMantW equivalent whi2p meet the requirements of MGL Ch. 142. Yes No O If you have checked M. pease indicate the type coverage by checking the appropriate box. A liability insurance poikyj;�_ Other type of indemnity O - Bond O OWNER'S INSURANCE WAIVER: I am aware that the Ikensee 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 O onature of Owner a 's Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbOV work and tristallabons performed under the permit iswad fpr this application will be to compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Tme 00joense: Signature of Lmnsed Plumbeir —or -Gas Fitter Title « License Number Ci /Town Journertan rw C�yOS N N a< WUI N N Y V 2 tL N Nz W W N N z v J a W t- 0- < s z 0 O a W < C m> ut ►y- y W 0` C ti ►- N Q W s v W 2 2 0: N W< a ►o- O ►- z W W 1.z N J J ~ < z O: V a: W W M < W W < c < T N e Z O 2 W e o ra 2 < W C W S 0 < < O O W O Y 0 sus—BSMT. BASEMENT 1ST FLOOR 2NOFLOOR I 3110 FLOOR 4TNFLOOR STN FLOOR GTN FLOOR 7TNFLOOR GTN FLOOR or Check one: Certificate O Corporation O Partnership ❑ Firm/Co. I have a current WUity iflBtlranCe pocky or b subMantW equivalent whi2p meet the requirements of MGL Ch. 142. Yes No O If you have checked M. pease indicate the type coverage by checking the appropriate box. A liability insurance poikyj;�_ Other type of indemnity O - Bond O OWNER'S INSURANCE WAIVER: I am aware that the Ikensee 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 O onature of Owner a 's Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbOV work and tristallabons performed under the permit iswad fpr this application will be to compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. By Tme 00joense: Signature of Lmnsed Plumbeir —or -Gas Fitter Title « License Number Ci /Town Journertan rw C�yOS ,0 ;..;. 3775 �tORTPI 3? 7<� .. .'• °oma Date.. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies than, .... ...... -� has permission to perform . u ". .. .... r ` plumbing in the buildings of . .. ................. at ..... •.... ............................ , North Andover, Mass. FeLic. N. ............................. . PLUMBING INSPECTOR 07131/98 09.32 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Mass. Date 19 Permit # sBuilding Location! Owner's Name 0 Type of Occupancy —('—��"/ � Age - New ❑ Renovation ❑ Replacements Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name o4 Sl/G�7� Address % % ��j� �f Check one: Certificate ❑ Corporation /" // G_� / //GSC CJ/ / ❑ Partnership — �Business Telephone �7� �(fl� rel??i / ❑ Frm/Co. — Name of licensed plumber lj ,A 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 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: S+gnature of Owner or Owner's Aoent Owner E) Agent ❑ 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 the permt issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Cod Ch pter 14 of the neral Laws. BY Sign re of Licensed PlufftWr Title City/Town Type of License: MasteryE Journeyman Z'5/1 APPROVED (OFFICE USE ONLY) License Number • • • • I. loll • • • • Installing Company Name o4 Sl/G�7� Address % % ��j� �f Check one: Certificate ❑ Corporation /" // G_� / //GSC CJ/ / ❑ Partnership — �Business Telephone �7� �(fl� rel??i / ❑ Frm/Co. — Name of licensed plumber lj ,A 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 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: S+gnature of Owner or Owner's Aoent Owner E) Agent ❑ 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 the permt issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Cod Ch pter 14 of the neral Laws. BY Sign re of Licensed PlufftWr Title City/Town Type of License: MasteryE Journeyman Z'5/1 APPROVED (OFFICE USE ONLY) License Number 6 ac d 9 w e S a p O O o W � r M W V W h v W J t Z 16 9 w