HomeMy WebLinkAboutMiscellaneous - 43 LINDEN AVENUE 4/30/2018 43 LINDEN AVENUE
210/022.0-0039-0000.0 C•
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Date......"7.:..2 ."'
NORTH
TOWN OF NORTH ANDOVER
0
6- p PERMIT FOR WIRING
49
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This certifies that ....... INIK .........NA41A.7.....................................
has permission to perform ..... LOP.......f....... .................................
wiring in the building of....................... J>i v....................................
at.... ver,Mass.
."./V &...,o4lt ...............North Ando
.q. ... .... . ..............
07—h-N<--Fee... ... Lic.No.J q.70 1.47...........
........r... ...ELEcrRicAL INSP'EM
Check #
7340
Commonwealth of Massachusetts Official Use Only
Permit No. 7 L0
Department of Fire Services
Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/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: � yll)z
City or Town of: NORTH ANDOVER To the In p cI ires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) /-j 3 L hNO eA) 6 L) fit_
Owner or Tenant c 6 ag < p y Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building � f el— w G Utility Authorization No.
Existing Service /bU Amps 1,20 Volts Overhead Undgrd❑ No.of Meters
New Service Amps ))b/ /)b Volts Overheadj❑' Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Completion of the followingtable maybe waived by the Inspector Of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Tota
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
AboveIn- o.o Emergency Lighting
No.of Luminaires Swimming Pool rnd. E] rnd. ❑ Batter Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners o.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total Tons g No.of Alerting Devices
No.of Waste Disposers Heat Pump Number ons KW o.ofSelf-Conta�ned
Totals: .... ...........„„,...... Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
r� No.of Dryers Heating Appliances KW Security Systems:*
l No.of Devices or Equi alent
No.of Water KW No.of No.of Data Wiring:
{ Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: b (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE A : 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: e L Y LIC.NO.: U
Licensee: /VAX-I' Signature LIC.NO.:,,7!ZJ
(Ifapplicable,enter `exempt”in the license number line. Bus.Tel.No.: g2E4,ZS V-1 b
Address: b h 1�6,✓ p YV S1 Alt.Tel.No.:
*Per M.G.L c. 147,s.57-61,security work requires Department of P lic 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 a ent.
Owner/Agent PERMIT FEE: $
Signature Telephone No.
Date:"�:� .
N° 4309
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
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f < SACMUS�
This certifies that . . �'?'``'`' . c'.
�'.r- e '
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has permission to perform . . . . . . . . .. . �. : . L . . . . . . . . .
plumbing in the-,buildings ofd. .. . . . . . . . . . . . . . . . . . . . . . . .
. .... . . . . . . . . . . .
at. . . . . . .. North Andover, Mass.
Fees. ---. . . .Lic. No.. . . . . . . . . . . . �1 !�� . . . . . . . . . .
tl PLUMQIiV.G IN
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
—\ (Pantor Type)
NORTH ANDOVER, a Mate, Oats
Building P rmk #.
Locatlon . `A� L,r,rl P_,n Av .
Owner's
Name Ron 3ohah Soil
New ❑ Renovation O cement ® Plans Submitted: Yea❑ No.❑
F1XTUAES ..•-.•...
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a—evwT.
BAGIRMENT
IST FLOOR
1110 FLOOR
SAO FLOOR
4TH FLOOR
ITN FLOOR
AT" FLOOR
ITN FLOOR
III aTHFLOOR7t-tt—
• -
Installing Company Name ANDOVER
PLBG. & HTG. CO. INC. -
Check on : CerNiute
®
Corp. 2122
Address 20 AEGEAN DRIVE UNITI 10 ❑Partnership
METHUEN MA. 01844 ❑Firm/Co.
Business Telephone 978=685-8�R_
.Name of licensed Plumber rFnPAF LAROS
_ INSURANCE COVERAGE: Check one
1 have a current liability insurance policy or No substantialutvalea a
a9 Ya ® No
It you have checked jM, please Indicate the a coverage b chec
tYP p y king the appropriate box
A Ilablity insurance policy IN 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 Mata. General Laws. and that my signature on this permit application waives this requirement.
Check one:
afore of Ownu or Owner's Acent
Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted for entered)In above application aretrue and accurate to the best of my
knowledge and that all plumbing work and Installations Wormed under the permit Issued rot appkation will be in oompliance with all
pertinent provisions of the Massachusetts State Pknnbkp Mode and Chapter 112 of the taws.
BY
TRIO INgnaftisa nsed ilumber
Clty/Town License Number 9983
APf li MB (OFFICE USE ONLY) Type of Plumbing License:Master []�-
Journeyman 0
3525 Date. !�'�'- �.... .. '
4
NORTR TOWN OF NORTH ANDOVER
pf 4��io ,e,tip
o� '�.. pp PERMIT FOR GAS INSTALLATION
", =; i
�9SSACHUSEtty ,
i
This certifies that
i
has permission'for gas installation
in the buildings of . . . . . . . . . . . . . .
at .1 i N. ��- Yft-r-). . . . . . . .. North Andover, Mass
CIO
FeTic.
{ GAS INSPECTOR
WHITE:Applicant CANARY:Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING CV��#A t'-'
(Print or Type)
�I►° /I� r/7 . . ��l V!/�V �. Mass. Date -1,ny Permit # 3S
Building Location It'
c44 �or , Owner's Name
Tye of Occupancy, 7.e.
New 0 Renovation 0 Replacement Plans Submitted: YesO No p
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SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
TTH FLOOR
STH FLOOR
Installing Company NamA N D 0 V E R P L B G & HT G. CO. , INC. Oheck one: Certificate
Address 20 AEGEAN, DR. UNIT #10 2 Corpbration 2122
METHUEN, MA. 01844 0. Partnership
Business Telephone q 7 R F R r-R R 0 Firm/Co.
Name of Licensed Plumber or Gas Fitter GEORGE L A R O S E
INSURANCE C ERAGE:
I have a curren liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes No 0
If you have checked Vis, ple—are indicate the type coverage by checking the appropriate box.
A liability insurance policy Other of indemnity 0 Bond 0
�Y Y type dY
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:
OwnerO Agent O
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 permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gen r I Laws.
BY Tjsftie
License:
mber Signatur f sed umber or Gas
Title tter 9983
rUcense NumberGty/'Town meyman
1 NL
i
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES PROGRESS INSPECTION
FEE
NO.
APPLICATION FOR PERMIT TO DO GASFITTING
NAME A TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER OR GASFITTER
i
LIG NO.
E
PERMIT GRANTED
DATE 19
GAS INSPECTOR E
�{ Date.QA-
4 '24 ®
".0 :'tio TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSAGNUS�
This certifies that . Kl.+a i�-�t/-?? � : . '•• •:�• ?`'•`'"•
has permission to perform c:;�. . ? . �yC ie. . ' •• .
plumbing in the buildings of . 1 1J . .0.!S • • • • • • •
at . . 4. I. . . - .4.Ft�r .. . . . . . . . . . . . North Andover, Mass.
Lic. No.. . . i
E
PLUMBING iNS�ECTOR
4 �Zvv
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
<� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBiN(
(Print or Type) �/A
Mass. Dat a� DDD Permit#
Buiiding Locatlo �2 Zi�d� Wei, er's Name lSoy[ � rsou
' .
Type,of Occupancy
New ❑ Renovation ❑ R acement 0 Plans Submitted: Yes ❑ No ❑
FIXTURES
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SUB—BSMT.
BASEMENT
IST FLOOR
• Kum• �I
2ND FLOOR 1
i� 3RD FLOOR
4TH FLOOR i
i STH FLoon — -
6TH FLOOR I
7TH FLOOR I i
STH FLOOR �...I
Installing Company Name ANDOVER PLBG & HTG. CO. , INC.. Check one: r ertmcate
Address 20 AEGEAN DR. UNIT 10 ® Corporation 2122
METHUEN . MA. 01844 ❑ Partnership _
Business Telephone_ 97,9 FR5-R3R3 ❑ Firm/Co.
Name of Ucensed Plumber gFnprr I ARnSF
INSURANCE COV RAGE: r
I have a urrenYes Mt bllity Ins nce policy or Its substantial equhMent which meets the requirements of MGL Ch. 142.❑
If you'have checked•yes, please Indicate the type coverage by checking the appropriate box
A Ilablllty Insurance policy Other of Indemn ❑ Bond ❑
type fty
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 appllcation walves this requirement.
Check one:
Owner ❑ Agent❑
Signature of Owner or Owner's Ment
I hereby certify that all of the details and Information I have submitted(or entered)In above application are We 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
rtinenl ovisions of the and Pe Pr Massachu sells Slate Plumbing Code a Chapter 142 of the General laws.
By
gnalure of LiagnsedPlumber,
True _ •
City/Town
Type of License: Master Journeyman❑
AMIIMS570tTl t MSI 6 License Number Q9,R3 `
3348 Date. .. . .... ....
f ,ORTN TOWN OF NORTH ANDOVER
16
PERMIT FOR GAS INSTALLATION
f � 9
! `s ro ^a
�9SSACMUSEtth
This certifies that . ( :�..,��t ' t!. . . . . . . . . . . .,// . . . . . . . . . . .
has permission for gas installation . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . .
i
at . . . . . .. . . . . . . . . . . North Andover, Mass.
Lic. NOF1.4y.
. . . . . ,fes.._.•. . . •rte , . . . . . . . . . .
G ;INSPECTO
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PER T TO 00 GASFITTIN� t
(Print or Type)
c NORTH ANDOVER Mass. Date t3 Z3 , 00
h
s'' • ' building "Location y3 1 e
Lin Ae yve • Permit 4
± Owners Name ion �ehc�n�t51-.
New Renovation D Replacement Plans Submitted �]
• '9 _. FIXTUP_S
M CI V Z tz
N Q N 0: ,p
2N
0
G O W
O a Wj W > xW.<
lu O
W JUof W w b t-
I- 2 z . W P. z y
W W < = O ZW O
a > oo mc't
W
= o > a a Nh-. Stux
t
o
SUR—asmT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RD FLOOR I
4TH FLOOR'
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
(Print or Type) Check one: Certificate
Installing Company Name ANDOVER PLBG. & HTG. CO. INC. X
Corp. p122
Address 20 AEGEAN DR. UNIT 1 10 Partner.
METH
UEN, MA. 01844 Firm/Co.
Business Telephone: 978-685-8383
Name of Licensed Plumber or Gas Fitter GFORGF I ARt14;F
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy ® Other type of indemnity D Bond Ej
Insurance Waiver: I , the undersigned, have been made aware that the licensee of
this application does not have any one of the above 'three insurance coverages.
Signature of owner/agent of property Owner Agent E
1 hereby certiry 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 aU plumbing work and Installations petformad under'Permit issued for this application will-be to compliance with all pertlaent
provisions or iho Massachusetts State Gas Code and Qiaptet 14:of the General Laws. — .• '
ByTYPE LICENSE:.
Plumber
Title Gasfitter- Sign lure of Licensed
City/Town: Master Plumber or Gasfitter
Journeyman 9983
APPROVED (OFFICE USE ONLY) License Number