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Home My WebLink AboutMiscellaneous - 40 BRENTWOOD CIRCLE 4/30/2018 (3) 40 BRENTWOOD CIRCLE -- V 210/1 3.0-0031r0000.0 _ (Print of Type)•�-�� 1•, UVAIt"uHlvl ArrLIUAIIUN FOR PERMIT TO DO QASFITTING NORTH ANDOVER, , Mass. Date-C1g Building Permit # 6q44E Location ---- Owner's (� Name New Renovation p Replacement p pians Submitted: Yes p No p 1a� X h � h aC N r p ; M d J 0 W h V at N y M b ~ 1C o a a x a: 0 M w t T. X H In t drs ; :~ � � MdoIL .19 �r r 1 Z < Cr ` Q v Y p s o d a, !er IL sue—saMT. SASEMENT � 1ST FLOOR 2NO.FLOOR I SRO FLOOR 4TH FLOOR STH FLOOR ! SINFLOOR 7THFLOOR r STH FLOOR Check one: Certificate (nstalling Company Name ; a-kL ) f] Corp. Address d 4 El partnership LTFIrm/Co. Business Telephone Name d Licensed plumber or Gas Flitter INSURANCE COVERAGE: a Check one 1 have a current liability Insurance policy or Its substantial equivalent. Yes Com' No p N you have checked yes, please Indicate the type coverage by checking the appropriate box. A liability Insurance policy Li"� . Other type of ItWemrdty I] Bond p OWNER'S INSURANCE WAIVER: I am aware that the licensee doe:} 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: %nature of Owner or Owner's Vgent Owner p Agent El 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 plumbing work and Installations performed under the permH o for this application will In compliance with all ' pertinent provisions of the Massachusetts State Gas Code and Chaplet 142 of U» Wt. T of License: THIS Plumber nae urs o um r or as or sttttet Ctty/TownDJoumeyman aster lkense Number APPFIOVE0(OFFICE USE ONLY) fi SOD ,Date. .. a - ' )920 NORTH tOw,W OF NORTH ANDOVER OF SS�ED d�tiO O - - PERMIT FOR GAS INSTALLATION ap 9SSACfMUSE . . . . . . . . . . 4, . . This certifies that . . . . " t'`d'� has permission for gas installation / t 7 ". . '. f . in the buildings.of at ?!� , North Andover, Mass 6 Fee. Lic. No��...': r #.} �, GAS INSPECTOR J:-) WHITE:Applicant ,,,CANARY:Building Dept. PINK:Treasurer GOLD: File Date. .—s-30, .q-P ,FNS 4479 "pRTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s � _ a SACMUS� This certifies that--. . . . . . . . . . . . . . . . . has permission to perform . . . . . . . . . . . . . . . plumbing in the buildings of" . . . . . . . . . . . . . . . . . . . . . . at . . . . '` . . .. .'. . . . . , North Andover, Mass. r� Fee . . . . . .Lic. Not. a. . . . . . . . . . ..�. . . . . . . . . PLUMBIN., IN PECTOR Check #��'� WHITE: Applicant CANARY: Building Dept. PINK:Treasurer nMASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) lk)-L-11'{ AAJb0VQ-C. Mass. Date v�J�7 Permit * 41417.19 Building Location_q L0 'Ic EyV-r oo'D C , Owner's Name/►! 'r�LkM A S atl P i4g 71 n( R Type of Occupancy I, 5+ D E� 'hA�_ . ` .,/ New ❑ Renovation ❑ Replacement lf� Plans Sub fitted: Yes ❑ No ❑ FIXTURES z a, z z Y < FN- N N N O z US W Y J N � V � N O j ¢ H z N Q ¢ ¢ = z O z H a O O W_ F- W N F- U ¢ N N W Z f. Q N ¢ m df S ¢ ', Q P N z C a O Q a Q 0 X Z cc LU O O ¢ d W ¢ 2 < W D < N z .¢ a ¢ O W I- Q y H O = is z N �, Y a. O N = = d W IL Y W < ~ < d s H H a d O < < ¢ ¢ m a O < F- 3 Y J m N G G J 3 Y M W G7 a d S ¢ m O sus—BSMT. BASEMENT T -FH IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing Company Name o,r Ee-r Q . `;i!mrr►,4TAe c) Check one: Certificate Address c /q c H mt4 k) PJ ❑ Corporation a IY) E%N I 'F"n1, fti 401 ❑ Partnership Business Telephone- Z 7 1 2-firm/Co Name of Licensed Plumber 4 r3F;P7- 4,t'�c"` INSURANCE COVERAGE: I have aY usrrent jability insuran 13ce policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. El' If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 1d 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: 'gnature of Owner or Owner's Agent Owner ❑ Agent O 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 installationsormed under the permit issu for this application will be in compliance with all . Pertinent provisions of the Massachusetts State Plum g e and apter of the oral taws. Title re of Lioensed-P-lu-m-Bir-7 CityRown q Type of License: Master % Joumeymah ❑ APPROVED O FICE S ONL License Number 3 3 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES 1 PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR i li Oftice Use Only T_ . 1h &M=11=11th of glasgz#n t Permit No. 411 Y +�E}7IIItIIPIII 17f IIbIIt Occupancy& Fee Checked `J U r7J J r 3/90 (leave blank) BOARD OF FIRE PREVENTION REGULATIONS 527 CIdA 12:90 Z23J APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the.Massachusetts Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date QM or Town of NORTH ANDOVER To the Inspector of Wires: The udersigned applies for a permit to perform th electrical work described below. Location (Street 3 Number) 'i )�'� , Owner or Tenant V v 1 Owner's Address Is this permit in conjunction with uikd?@ permit: Yes No El(Che Appro iota Sgx) PurV^cse of Ruildina S Utility Authcriza Ion No. Existing d Amos Veits Overread . ,sting Service /1�/ _ Ne`.v Service Amos _J Voits Overhead No. of yleters _ Numoer of Feeders anti Ampacity Locaticr, anc Nature of Prccosea Electrical "Jeri ' Tocai No. of Lighting Outlets i No. a, "C' t.:bs i No. of transformers KVA At)cve.— in- No. of L chtcng Fixtures I Sw mming Peal grno — arnc. l Generators KVA No. of Emergency Lighting No. of P.ecectacie Outlets No. at Cit _umers ; 3attery Units iNo. of Sw,tcn Outlets � No. or Gas ?urr,ers =IRE .aL.4RMS No. of Zones Total No. of Detection and Nu o. of Ranges No. of Air Ccrc• tons intriang Oavtces Heat Total Total No. of Disposals I No.af Pu—ps Tans KWNo. of Sounding Devices i No. of Sett Contained No. of Cishwasners - SoacetArea Heauna KYJ Oetec::onrSouneing Oev ces I (VV I Lecat Muntc;oai --Other No. of Oryers Hea;tng tutees Connec::on No. at No. of I Low voltage No. of `.Vater Heaters KVV I Sicns Sailasts Nirinc No. licro massageTubs i No of Mcccrs Total FP OTHE?.: INSURANCE COVERAGE: Pursuant to the recu,remencs at massacnusars general Laws _ _ I have a current Liaotiity Insurance Policy inciucing Cama:eced Oceraudns Coverage or :ts sucstanual ecuivatenc. YES _ NO _ I = NO If '�au�.=gave C^ed. a YES. please rnaicat9 the type Of coverage cy 'rave suomirea valid proof of same to the Office. YES checwng the appropriate Cox. (r�/C INSURANCE = BONO = OTHER = (PP!ease S=ec: /) (Expiration Owe) Estematec value of E!ec:rical Work 5 36J X20 Rou n Werx :o Start Inscecuon Oate Racuestac: g Signed under th _naitles of perlu Ni NAME C_ Licensee L-re LIC. NO. \ Bus. Tal. No. �� Address �en Alt. Tel. "Ja. - OWNER'S INSURANCE-WAIVER: I am aware that :r.ea oes not nave the insurance coverage or its suastannaleeurvaler� esn(duirea by Massacnusects General Laws. aria :hat my an :n:s permit application waives this redwrement. Owner 9 (P!ease check one) tetecnene No. PERMIT FE= s (Signature of Owner Cr Agenn "'=O= ��ss ��:_� Date.....fJ..... ..Q...�.C/�j... E y_ 419 N°R7M TOWN OF NORTH ANDOVER p PERMIT FOR WIRING lo ,SS^C14USEt - This certifies that ........ ... ... .!1. .. . . ...t..!. ........ �(t.�� .�(.1�.......... ,. has permission to perform .........t N t ......;J •V/ ...................... a wiring in the building of '...%: !t.?... ... ... �L .;1......................... at.....7 !. �t.2C: .................. .North Andover,Mass. :... U......... Lic.N � ...... 0970WJ1 41 50.00 PAID. 't WHITE:Applicant CANARY. Building Dept. PINK:Treasurer e -