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Home My WebLink AboutMiscellaneous - 40 MAGNOLIA DRIVE 4/30/2018 40 MAGNOLIA DRIVE 210/056.0-0048-0000.0 l K Date.�l��• .. . . .. }r. a• NORTH Of 1ti 3j �' •� TOW112 TH ANDOVER ' PERMITAS INSTALLATION . a �►,SSACHUSEtS This certifies that . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . in the buildings of . . . /t. fig.. . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . ., North Andover, Mass. Fee.. Lic. No.. �.�. . '�!`�` GAS INSPECTOR Check# Y 6012 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) _tj()g,T H AIJ0M G 12 , Mass. Date JZ 1 3/ 07 Permit# G L Building Location_ 416 1.1,461000 ok Owner's Name_(.NAPLES eA LAP_I A 1J " /JOP..TN AuCOV61z- Type of Occupancy 1e6S1V 1J r)AL- 51Al6Ll✓ New ❑ Renovation ❑ Replacement ❑ Plans Submitted: Yes❑ Nocc ❑ N N W in Z 00: ' .aW Uj 0: 3 0 t9 '� N W F- V m ~ Z !n V' Z O W a a4c0 1 CC O 0 C W 2 N a 9) W Z = o W W = N W Q a O Q > W I- �, s a 0 }W. Z j h Z �.. W W tl 0 > W !" W J H W Z Q W Q P >. N ap Z O Z O Z Q W > W = Z. Q = a a '.Z O tl Z W 3 a d J v 1 Y a n0. F- O SUB—BSMT. BASEMENT / 1ST FLOOR 2ND FLOOR 3RD FLOOR _ 4TH FLOOR STH FLOOR ry 6TH FLOOR 7TH FLOOR STH FLOOR. Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET )CJ Corporation 1862 LAWRENCE, MA 01840 ❑ Partnership Business Telephone q 71B-68,7-1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery INSURANCE COVERAGE: I have acu renntt liability ns ra❑nce policy or its substantial equivalent which meets the requirements of MGL Ch. 142. If you have checked ye, 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: Signature of Owner or Owner's Agent Owner❑ Agent El hereby certify that all of the details and information I have submitted(or entered)in abo plication are true and accur to to the best of my knowledge and that all plumbing work and installations performed under the permit Iss f r this application will n mpiiance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. By T e of License: Plumber Signature of this Plumber or Gas Title Gasliitter Master License Number 374"5 Cit /Town Journeyman AP IC _O j. BELOW FOR OFFICE USE' ONLY PROGRESS INSPECTION FINAL INSPECTION SKE CNES FEE NO. APPLICATION FOR PERMIT TO ADO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING • t• PLUMBER OR GASFITTER LIC. NO. I PERMIT GRANTED I DATE X19 I GAS INSPECTOR Date. �`...0.1.......... 4 � NORTH 0 �ac�•,ti0 ,•e o� TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSACMUSE� Thiscertifies that ............................................................................................. has permission to perform .............. ................................... wiring in the building of..............af.AARIA.V................................... at..... /.4%........ ................. .North Andover,Mass. sr � � Fee. ........'..-.... Lic.No. ............ ...�..................... ........... ....:........ ...�. ELE CALINSPECMR Check # 7430 Commonwealth o�kam cleuJb Official Use Only 2eparftmed ol.}im Service! Permit No.19 _ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 leave blank)- APPLICATION lank-APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK l All work to be performed in accordance with the Massachusetts Electrical Code(MEQ , CMR 12.00 D (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 17W7 City or Town of: 0062H A 00Q\J6>Z, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. L cation(Street&Number) p /�/,gr�/` LI fl D/? OwnerorTenant rHNR S P)&ZA P0 AKI Telephone No973j06-605D Owner's Address SA l i f Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Fecders and Ampacity Location and Nature of Proposed Electrical Work: by� 6!0.t/D 1W 6- Completion -Com letion o the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total `a Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- ❑ o.o Emergency Lighting rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o etechon an Initiating Devices No.of Ranges Na of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers eat Pump -'__-*__1---*- ,Number Tons o,oSelf-Contained— Totals: ..................__..........._..._.. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances Key Security Devices es or Equivalent No.o Water KW o.of o.of Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications irmg: j - 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 the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee:,206ER7-7;A4,41-42T Signature LIC.NO.: G Rr;lk (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No,, 7� Address: S-S STD,t/ 5T. I Alt.Tel.No.: k 43/0 *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: $ O D f ,, _.. Y