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HomeMy WebLinkAboutMiscellaneous - 383 SALEM STREET 4/30/2018�� // N_ O O W V v b N O O O O O Date .............. t4 RTPI TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ................. ..... has permission to perform plumbing in the buildings of ........... ........................ at ....... ......... . ....... North Andover, Mass. Pze- Lic. No/.. - ; z . ....... PL...1LG'INPECTOR Check # r7-�72� C MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING CitylTown: /NOe,7/I /7",0�MvA- _,MA. Date:Permit# Building Location: �� �iCl/moi✓/% Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential, New: ❑ Alteration: ❑ Renovation: ❑ Replacement: 0 Plans Submitted: Yes ❑ NOA� FIXTURES INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YesX No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Sianature of Owner or Owner's Agent I herebv certifv that all of the details and information I have submitted (or entered) reaardina this aonlication 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Title City/Town APPROVED (OFFICE Type of License: PI ber Signatur of Lic ns Plumber aster /9 rJ C ❑Journeyman License Number: l v Z Z Y Z O N U N N a z Z Ia- `1 Q z lX (n N Z J U a W O W �' Z O W m( W 13 a lX 1- r I.- (n W Z 0 t, O a X o 'J Y= Q N ?� 0O t-- Q W Z O(3 W W J Z a w Q O x Q � u. °o � CL Y x °x Z a w w a a X a m m o o u_ 0 x Y g o: ° a (n (n I— ��� 3 O SUB BSMT. BASEMENT 1 FLOOR 2 FLOOR 3 FLOOR 4 FLOOR FLOOR o FLOOR 7 FLOOR 8 FLOOR d2� Check One Only Certificate # Installing Comp ny Name: Q Corporation Address: �.. City/Town: (° 4State: /W- Business Tel: / %g 6 V- (��,�7 9, Fax:❑Firm/Company Partnership Name of Licensed Plumber: INSURANCE COVERAGE: 1 have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YesX No ❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Sianature of Owner or Owner's Agent I herebv certifv that all of the details and information I have submitted (or entered) reaardina this aonlication 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Title City/Town APPROVED (OFFICE Type of License: PI ber Signatur of Lic ns Plumber aster /9 rJ C ❑Journeyman License Number: l v w w Z O r u LLia cr z w x U O x a z m r 0 W 4 O a 3t � 4 o F Ox U. F u z A ds ¢ z c z 7 UO a � ❑LLI z x o ^ z m a z LQ a u . z 0 F , a � z F w Y d z w w w Date ........ 0. TOWN �O�FNORTH ANDOVER PERMIT -FOR GAS INSTALLATION This certifies that ..................... has permission for gas installation ........ /.I. ........ in the buildings of ....... ........ ............................ 2 j�2 at . . . .... . . . ...... . . . . . . . North Andover, Mass. Fee ........ Lic. N&�" .......... GAS INSPE&OR Check # 22,G 6906- MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING I -- ulgo City/Town Date: i/,F4 Permit# Building LocaUo.:,. 541el*!/,,�7�/I� .., Owners Name• (� Y _ ..... x .... . Type of Occupancy: Commercial wyy Educational a Industrial",Institutional Residential New Alteration:N Renovation Replacement Plans Submitted:. Yes No FIXTURES INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yens No If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. _Check One Only Owner L Agent Sionature of Owner or Owner's Aoent By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: {� sy Plumber Gas Fitter g Tine Signature of Lice Plumber/Gas Fitter Master Journeyman atyJTown w License Numbe • ; Aoeonvcnno�nta.r3 icc Ifcc i V1 .. LP Installer s�../ •_:.,,.", W Z W Y N m o: w =W O W U >.W U) H = N U) fY F- W Z O H W U W w Z g m O ~ IQQ— Z IL W p O in Z D W O a U W > Z F' Q W U 0 W W Z to W = W O Q W to = W = a X W W > Z W Z W �• W w o 'J 1.- F O Z J Q Q M W 0 X 2 O -j 0 O Z a u_ O m rj H F>> Z W W W H F H= O L) o i=i tag SUB BSMT. BASEMENT / 1 FLOOR -i'FLOOR 3 FLOOR FLOOR JTHFLOOR 6TH FLOOR --i'FLOOR 8 FLOOR Check One Only Certificate # Installing Company Name Rten. 4 g Corporation T 7' Address ,% 4�) sy City/Town �%�� jym State:} MA ._ .z Partnership .. h c YNsb Business Tel �% Fax:- ..,. , ... Firm/Company .,..,._x Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yens No If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. 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 Massachusetts General Laws, and that my signature on this permit application waives this requirement. _Check One Only Owner L Agent Sionature of Owner or Owner's Aoent By checking this box ❑; I hereby certify that all of the details and information I have submitted (or entered) regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: {� sy Plumber Gas Fitter g Tine Signature of Lice Plumber/Gas Fitter Master Journeyman atyJTown w License Numbe • ; Aoeonvcnno�nta.r3 icc Ifcc i V1 .. LP Installer s�../ •_:.,,.", N Date.................................. TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU Thiscertifies that . . ........................................................................................ has permission to perform ... ..................................................... wiring in the building of.:-:� ............................................................ NorthNorth Andover, Mass. at ........................................................ .. Feet. ... ........ Lic. No . ............. .............. ..... ........ .. ....... ELECTRICAL 'Ei;��R'ICA-Li'N"S'PE OR Check # (1,791 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Ua 2 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: _ [ N- N City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives not' of( his or her intention to perform the electrical work described below. Location (Street & Number) \p m Owner or Tenant Owner's Address Is this permit in conjunction with a building permit? Purpose of Building Existing Service Amps / _Volts New Service Amps / Volts Telephone Yes ❑ No [0 (Check Appropriate Box) Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: �,(» Completion of the followine table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- ❑ rnd. 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 Pump I Number. Tons KW No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of WaterKms, No. of No. of Data Wiring: Heaters Signs Ballasts i No. of Devices or Equivalent No. 11ydroniassage Bathtubs No. of Motors Total HP FeIecosx;u.P..icaair,:is `'Vi::s: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: �(� Inspections to be requested in accordance with MEC 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 thepains and enalt'es of perjury, that the information on this application is true and complete. FIRM NAME: LQfn LIC. NO.: ?L((Y U� Licensee: ap— )//Signature LIC. NO.:A-1311_ �7 (Ifapplicable enter "exempt" in the license number line.) B►u�,ss� Tel . No.' CIg7_J Address: _ 24�Aft �TeI No.• *Per M.G.L c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. 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 Telephone No. PERMIT FEE: $ Date. TOWN OF ORT ANDOVER PERMIT FOR PLUMBING N4ACNUSE 4 This certifies that ... �:� . , A— L�". .. . I / .. ....... . has permission to perform .. ... .... plumbing in the buildings of . ..... .................... atm eY-3 ...... .. I North Andover, Mass. FJCM,, Lic. No. . . .... I .......... � �MB I e'G Check ff 139 ZN-ISP CTOR 4994 II s'_Y' :.-G d!`r€.€ t rf .f, r I Pr rz l LEr t f07 tu ' F - Y l li il-l°°URMS . s[:`t'.iF (' 7 r=1.'�„'=' tom.! kir i. Installing Company Address CLIMATE DESIGN HEATING and AIR CONDITIONING, LLC Name 5 South Summer Street Check one: Lertericate Bradford, MA 01835 978-372-9999 (phone) -=/Corporation C..: F 978-372-0882 (fax) Partnership Business Telephone Lic. Plumber: "11-911tV a, .P1-jjV&'��,/ € Nar:qe of Licensed Plumber INSIsFtANCE COVERAGE: I have a current liability insurance policy or its substantial equKallent which m=eets the requirements of MGL Ch. 142. Yes 121 No ❑ I8 You l4avey checked ye, please indicate e1i'� tyle coverage by rtiecking the approlanzite box. A liability Insurance, policy ® Other type of Indemnity ❑ - B€nd C] OWNER'S INSURANCE WAIVER: i am awwe Mat the licensee cioes riot have bie Insurance coverage required by Cltapteer 142 of the Gass. General Laws. and- that my Ignature on this permit application sval%les this requirement. Check one: Owner ❑ Agent C ] I hereby mtfify that all of the details and infammriatkmn I have subrnikirrd (or entersd) in above application ar® true and acuate to Sir, to est of €ny knovdgdge and tfut all plumbing work and install UO performed under the pe wr=it isw(W for this &pplication veil ba in cornpfirance with all pert hent provisiosis of "alis IJ�s olir!s�ftd S .to rlu gig &Oe and M t -r tof the Gnmmal L-Av,+s. 9 attire oP Lic°r,sed u et�r e _ Title Tide of Licens--i't'daytrr 4Gi rFa un7i�14-L Ue 1LL^F a c;r•Ise Mui -n er% sj !� _ _ p. Date... . 4�' TOWN OF NORTH PERMIT FOR GASiNSTALLATION 1 This certifies that ..'!!.. .. * .... -... has permission for as installation, a i -.... .. . in the buildings of Fee,—' ' `` .. Lic. No..�''� ,31,1 Check # i 5,625 North Andover, Mass. � In MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING —� (Print or Type) i/��,y �y,J-'ic... ,Mass. Date v"%,5� .�' G©� Permit # Building Location 3 ` L.fj6f ! J Owner's Type of Occupancy ,/ --�i�.i u New Renovation ❑ �. Replacement ® Plans Submitted: Yesp No CLIMATE DESIGN HEATING and AIR CONDITIONING, LLC Installing 5 South Summer Street Address Bradford, MA 01835 978-372-9999 (phone) 978-372-0882 (fax) Business Telephone I ic. Plumber: Tc f, tj �• HyrJ6 L�.� Name of Licensed. Plumber or Gas Fitter Check one: Certificate 'Corporation Partnership = Firm/Co.. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes W No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy JZ Other type of indemnity ❑ Bond Q: 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 ❑ Signature of Owner or Owner s 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 perm sued for this appli 'on will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 oft , G neral Laws. By. Tie of License: Plumber gnature of UrcePldmt>er SVGas Fitter Title Gas e Master License Number , / ✓ G/ (-Aty/Town tourneyman APPP VED (OFFICE USE ONLY) w ¢ N LU N Y 2 ¢ N W WN. J ¢ W O F- U m F- S tn Cr 2 O CC cJ a ¢ ¢. O O O }` W a m N }- y W0 0. 4 > N ¢ W Z = O W ¢ W o W �. z_ J ►- a z �. W r W O N O¢ j z LL o FW... z U J W o z a W w z. <¢ ,. a m i o o W > o w ►- O _ p O z LL O O J U ¢ C a SUB—aSMT, BASEMENT 1ST FLOOR 2ND FLOOR I 3RD FLOOR I 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR CLIMATE DESIGN HEATING and AIR CONDITIONING, LLC Installing 5 South Summer Street Address Bradford, MA 01835 978-372-9999 (phone) 978-372-0882 (fax) Business Telephone I ic. Plumber: Tc f, tj �• HyrJ6 L�.� Name of Licensed. Plumber or Gas Fitter Check one: Certificate 'Corporation Partnership = Firm/Co.. INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes W No ❑ If you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability insurance policy JZ Other type of indemnity ❑ Bond Q: 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 ❑ Signature of Owner or Owner s 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 perm sued for this appli 'on will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 oft , G neral Laws. By. Tie of License: Plumber gnature of UrcePldmt>er SVGas Fitter Title Gas e Master License Number , / ✓ G/ (-Aty/Town tourneyman APPP VED (OFFICE USE ONLY)