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HomeMy WebLinkAboutMiscellaneous - 37 NORTH MAIN STREET 4/30/2018cit 0 A$ y z o � 0 L" U nS Date r7 ...... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...................... / .......................................... 01 has permission to perform ... .................... ............... t wiring in the building of ...... . ........... at ....... 2. ..................................... ............................... . North Andover, Mass. Fee.%�.?� ............. Lic. No.-&ndll'............... '2,'n .............. 'iLE-CMICAL MpEcr)OR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer TRECOMMONWE40HOFMA,S"CHI1SE77S Office Use only UDEPARTNIDVTOFPUBLICSAFM Permit No. BOARD OFMEPREVEW0NRWMT10AN527CMR12-10 Occupancy & Fees Checked APPLICATIONFOR P� TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perforiln the electrical work described below. �Y Location (Street & Number) 5 !� U /� / ✓ U 5��.� J Owner or Tenant G U c -r— 6,11 YIJ` Owner's Address Is this permit in conjunction with a building permit: Yes [n No (Check Appropriate Box) Purpose of Building Existing Service Amps Volts New Service ,1Amps/d / c}-'.I.dvolts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Utility Authorization No. Overhead M Underground Q No. of Meters Overhead Underground r_1 No. of Meters No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA _ No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground ound No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and ,No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local 0 Municipal Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER hM3=CMCregP, PtaMantbtheteqt�tanaWdNbmdimdsC>awWLaws yI hawaomatUab&yInstrmxPb1Ly hi&lgCm#A*OpwatJonsCbywdWcritssi wivale t YES NO Iha%estimi advalidproofofsamelothe0ffm YES M NO Ifjwha%ediaclWYES,ple�emdia fco��ig of, INSURANCE M BOND a ORI R (Pl mSpecdy') - 6#a6m D* Estirnakd ValuedUeticai Wak $ / WakIDSlarth�ximD&Fixueslad Rai'gh FinalFIPMNAME r lip Licat9ee %�d� ` a l� si�hae 01n Lioa>seNo �((-' BusimTeLNa � = s as-:ft� Ad�..59 y ID ria GPiTi l��, dG �OY7 Ak .TeLNa %7c� OWNER'Sir\NJRANICEWAIVER;Iamawarethatlhel adomnotdleil>slranoem►cr�ea ssuhs�rbaler�rivatertasracpmadbyM�sadYse�sGer>eralLaws aadthatmy maifhispem*Wpfimianv"'Asfhismw*Kmut. (Please check one) Owner M AgentEl oa Telephone No. PERMIT FEE $ `5p 343% / Date lc,2.-/ � ' TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION P This certifies that ......... has permission for gas installation 1...�..._.....:...... in the buildings of . ��-:�-�'::� ................ at�.... .. ............ North Andover, Mass, u -L , Fee '�? ...'.. Lic. Na _.......... . �� `GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer iVIASSACHUSETTS UNT'ORM APPLICATON FOR PERMIT TO DO GAS FITTING �Type or print.) Date ---f ky 7< NORTH ANDOVER, MASSACHUSETTS . 37 Building Locations me-) Owner's Name New F17 -r— Renovation ❑] Replacement ❑ Plans Submitted ❑ I Permit 9 Amount S (F N A Business`Telephone 3a Name of Licensed Plumber or Gas Fitter Check one: Certificate Insralling Company ❑ Corp. ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves, please indicate the type coverage by checking the appropriate box. Liabilin insurance policy ❑ Other type of indemnity ❑ Bond E] Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 1421 of the Mass. General Laws. and that my signature on this permit application waives this requirement_ Check one: Signarure of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and intbrmation I have submitted (or entered) in above appiicatton are true anci accurate to the best of my knowledge and that all plumbing work and installations pertbrmed under Permit Issued for this application will be in compliance with all pertinent provisions of the :Massachusetts State Gas Code and Chapter'' of the General ws. By: Title CiryiTown APPP,0VED,c�Fric;-usF )NI, Y) Signature of Lic ❑ Plumber ❑ Gas Fitter LiMasrer rj rneyman ed PlZber Or Gas Fitter -�2 'S 177-77 7umoer .r HLI jR . L 0 0 R (F N A Business`Telephone 3a Name of Licensed Plumber or Gas Fitter Check one: Certificate Insralling Company ❑ Corp. ❑ Partner. ❑ Firm/Co. INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked ves, please indicate the type coverage by checking the appropriate box. Liabilin insurance policy ❑ Other type of indemnity ❑ Bond E] Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 1421 of the Mass. General Laws. and that my signature on this permit application waives this requirement_ Check one: Signarure of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and intbrmation I have submitted (or entered) in above appiicatton are true anci accurate to the best of my knowledge and that all plumbing work and installations pertbrmed under Permit Issued for this application will be in compliance with all pertinent provisions of the :Massachusetts State Gas Code and Chapter'' of the General ws. By: Title CiryiTown APPP,0VED,c�Fric;-usF )NI, Y) Signature of Lic ❑ Plumber ❑ Gas Fitter LiMasrer rj rneyman ed PlZber Or Gas Fitter -�2 'S 177-77 7umoer 4 w11 a NORTH ANDOVER BUILDING DEPARTMENT . 27 CHARLES STREET Tel: 978-688-9545 Fax: 978-688-9542 DATE: 3 -' (P ` CD NAME ADDRESS ✓� 'fl t ZONING DISTRICT: TYPE OF BUSINESS: I %,P-4 vaAt <— mss s BUILDING LAYOUT PROVIDED: YES NO AVAILABLE PARKING SPACES: "/ ZONING BY LAW USAGE: YES NO <�M ING INSPECTOR SIGNATURE Luis E. Carrillo 107 Liberty Street North Andover, MA 01845-3363 978-688-6278 Town of North Andover Division of Community Development & Services Building Department 27 Charles Street North Andover, MA 01845 Re: Good Dog Aquatic Fitness 3 -7 Al. Si March 9, 2004 Dear Michael McGuire: The purpose of the Good Dog Aquatic Fitness will be to provide fitness and conditioning for dogs using exercise equipment and pool therapy. The swimming pool is an above ground self- contained unit measuring 7'8" W x 16' L x 52" H. Sincerely, Luis E. Carrillo