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Home My WebLink AboutMiscellaneous - 37 ALCOTT WAY 4/30/2018Date.... lz..... ko RTH Of I Ail TOWN OF NORTH/NDOVER ST PERMIT FOR GABS1. STALLATION SACHUS This certifies that ............... has permission 'for gas installation I in the buildings. of ....................... ZA at ��?;� ............ .......... North Andover, Mass. ............ Fee�W�� Lic. No ..... --GAS'1N7EU6A Check # 1,,S3 7063 G MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) Date ?O�Permit# 7,9012 Building Location _/ ak--Owner's Name'322' l `S Type of Occupancy New ❑ Renovation ❑ Replacement 5,-1 Plans Submitted Yes ❑ No ❑ Installing Company Name ) //s!/f� Check one: Certificate _(�, Address O L�Ad /J 11 Corporation ❑ Partnership 6 '�� Business Telephone — J % �rm/Co_ Name of Ucensed Plumber or Gas Fitter INSURANCE COV RAGE: I have a curre lability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes No ❑ If you have checked yes, please i - icate the type of coverage by checking the appropriate box. A liability insurance policy OthertyP a of indemnityC1 Bond ❑ OWNERS 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 true and accurate to the best of my knowledge and that all plumbing work and installations performed under therm it iss r this application will be in compliance with all pertinent provisions of the Massachusetts StatoPlu bing Code and Ch 142 the General Laws. BY Type of License We"iy,,.�� Title ❑ PI ber fitter Signature of Licensed PI her or Gas Fitter aster �1-�2 Cit Qr)% ❑ Journeyman License Number A nvG pctn nFn�rc � icc nku %A BASEMENT ■■■■■■■■■■■ ■■■■■■■■■■■■■■■■■■■■■■■■■■■ Installing Company Name ) //s!/f� Check one: Certificate _(�, Address O L�Ad /J 11 Corporation ❑ Partnership 6 '�� Business Telephone — J % �rm/Co_ Name of Ucensed Plumber or Gas Fitter INSURANCE COV RAGE: I have a curre lability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes No ❑ If you have checked yes, please i - icate the type of coverage by checking the appropriate box. A liability insurance policy OthertyP a of indemnityC1 Bond ❑ OWNERS 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 true and accurate to the best of my knowledge and that all plumbing work and installations performed under therm it iss r this application will be in compliance with all pertinent provisions of the Massachusetts StatoPlu bing Code and Ch 142 the General Laws. BY Type of License We"iy,,.�� Title ❑ PI ber fitter Signature of Licensed PI her or Gas Fitter aster �1-�2 Cit Qr)% ❑ Journeyman License Number A nvG pctn nFn�rc � icc nku %A Or I TOWN OF NORTH ANDOVER PERMIT FOR WIRING o"T.. A U This certifies that .... has permission to perform ...... wiring in the building of ............... . ................................... at ........... 3...... 7 ...... to 7-77 rth Andover, Mass. .................................. .......... I.Q Fee.��S ............ Lic. No.l. kq.:771� .......................... .. .. . ... Ea ICAL INSPECTOR pt Check #_ 7561 \ CofKrtt�Rrpwealfh:.E f:,dilPass husett •"•. nilicial Use t only Penn,Nu. it7J � • 5 ..r.-.. •t�epar.Emen€of��re_Service$.• • Uccupaticy,and Fee Checked BOARD. -OFF lRE PREVENTEON-R.EGUL4TLON�S .Rev. I:1f)9) (tca'va h1,,,1) #, APPLfCAT)aN FOR •PiT TD=`PERFORM. ELECTRICAL' WO RK . � AIL'.w:rk talnr'IwrfiirnwJ m ucrxxJu�cQwtth thc'MosSacliasctw iilcctric�,l_(atJu H 'I. S?7 'hl k i..11u. . ('PLEASE I'It/NT IN IV.OR'T.)'PEALC:INFQIihl4TfQN) Urate: G City -or Town ofo the Incl c.clo q'{4'res: By thtr arpinatrt the uncksrr,tkmtid;;pi.)�cs notice of his: ur. rnlcntiott.lo p�rfiorm the elcetriat) work describul heh+w• ' : ' l�t►uttron:(Sirrct•& Nt�cr) .. �( �/� ' Owner or -Tenant u Lrt A� (25a,6951 C'4,r,-, Telephone No. Owner's Address Is this l>x:rnait:ill. •cnnjunction yKifG buildigg•nerattit► Ycs.'Q • N,-A'(Check Appropriate Rox) I'ucpgt#c. of Bu;Iding, Utility Aiithoriis+t;on No. E;;isting Service ' Arnpb... / Vt!Its- Qycnc�ad 0 Undgr#Ej' • No. of Meters New Service:. T' Amp / Vo1L� 'Ovenc�std: Undbrd [] ' No. of Mclers ..Number of Feeders-god-1.Amptteiq :Location and',hluture or;1'roposcd ElcctJ�;l N'nrlc • � Cron+hlidnri'1hr�illuiiinFlnhtci+un•hc,nviitY/hr+hrl»SkY•�ra•u�ll°ir�:�. N No: of. Recessed::Fiztnres' Nb; of CrtiiG Siu$P , (.Paddle -Funs o: off* Total Transformers KVA No. of -Lighting outlets NOW of Iiot:Tufts i ._. KVA '. Generators No. ofugmiac:pikturcy ovev Sivintming.-P-onl- ,rnd. �: rnd. Q'. o: tt preG�cn�y . ;g. + tng not No: or Reeeplarcle Outlets"'. No: olOil'guriierx• FIRE ALARMS: No. of Z►nes No. of Switches No. of Gai.BUr�ters` `: - o::o : nn• son Initintin 1)evirxs No. of.Ranl es ., :btu ' Np.-of git.C'j►nd Tons'.• No. otf.pkrfing Dc� iixs tiUMP. q t:r :ons: 'W'• UP n:;of e1- ontnined Nti. of W,ar.fe Disposers''' Tofals. " Detection/Alerting: Devices No f oDishwashers . ". SPAcp/Ares I�catitlbF kW • 1 h ❑'Co'nnGclit►n Olhcr No: of0tyers Mt'attn}; APPl;ances -' K{qr`. Sccutastems. , Nn o I}evires'or uitalent • a.tcr :. h W. o. •o o,::o =`w$+ B�ilinstx Data l�firingg . ' ' �o. Heaters; ns' lif l�cviccs oME uivident No. Hydropnassage Bath tjobs' No: of Motors TolsiFHP ; eh•cdmnrunicat;ous-Wiring;, .' No:.nf Devices or 6ivalcol OTHER: -N RAN CgVERACE IJrifcss watucd by lhr; owner: no pctmit flu tht; perform:►nce f cicctriwl work may issue un Ir a IhnliurtrccK'p�vidts (►roe�f o1'Iinbtlityinsur4oce tnr.lirding c ►irPlcted Operation" wverab�c ear Its soh tantialryuiwalent. ll+c . . uncicrslcil•tx. ifir;stht+t sucft o. ►abc ts'tnrforrx �rAd;11v.� cthibtisd.pnx►fgf spmc;to the Ix rmit'i sluing uflicc. C•HEC K --ONE: IINSUR,0.NiC ''BS1Np,; [� OTHER �' (Spu rfy ) [ Iitnated Valu • of Electrical Vork: . / t I (When n Wolfed by municipal puliPy: ) Work to Start: Irispet�ionsao bt rcqus tcd:ip acccrrtJancc wtth'.M£C Rulc 10, and upinrcomplctiun. 1 crrYifj�, uarlcrilfrc arnC.andpolIM it~aujnrrjyq�jarmalu»r.'rrirJ/trsn/rf�licntie� ' true rurrl cr+rnplclr RIRM.NAME:� LIC. NO.: Lieettsce: $igrrsrturc LIG. NO.: >� / u) +livgNC ttit+ r "cstr+ Iius. 'I'eL.Nn.• o Z I�, . (a it [� AI>; rel No a ay . Address:. (}ti+NBR'S INSt1RANCE'I AI•VER.'.Into;nyvdtt..Iha•t'•th Lie sect/ecs•++ul`GoiK+tlu liabriity.inxuranc4�uvc a�cuurnr+iy' +vyuirud by law: By -my sibmatun: b ..Jow fhcnaby w.uvc lhit tvgirircmcnt: 1 uni. the (check unc) awncr �_ owner ti aec nl. nwirir/Acnt P;ERA'/T FEE: S Sigirature I TL inne No. I &ORT" O F SSAMUS Date.,! .t.:.!G.: '. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ... !' j .`'. .'.:.. (.. l . r.� ........... . has permission to perform ....... . ........................ plumbing in the buildings of .. -r..4 �_. � A. t. (............... at .... 3 . !. /�� ,� �. 4 .. FT- ............. North Andover, Mass. Fee... Lic. No.. .. ....��-' "ti'�.f. ..... P4UMBING INSPECTOR Check # 7 r f y 5452