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HomeMy WebLinkAboutMiscellaneous - 43 LINDEN AVENUE 4/30/2018 43 LINDEN AVENUE 210/022.0-0039-0000.0 C• v I Date......"7.:..2 ."' NORTH TOWN OF NORTH ANDOVER 0 6- p PERMIT FOR WIRING 49 SSS^ C 14U )4U 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 'f f < SACMUS� This certifies that . . �'?'``'`' . c'. �'.r- e ' --t--- 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 ..•-.•... • a� w w 0 X � w 1- w w 0 >: M tr J w )' V < ea U w a 0 i t- s Iur » s dit It X L a ! s K aL M r pM O w M 0 = O a O ` >t ,< 1a Moo3i � 1041 49091 - las io a1 F u1 F 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 N ¢ N W N Y Z ¢ rn N NWz Q NNOV Z N = LU 0 Vm cO W ¢ o p¢. 7ufl !- ¢ } W H. d :<W < = Z O WW ja W > W !- J ��rr W Q < t O O W OF- ¢ 'Z O c9 Z Ib 3 O O > O C6 H `O 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 z y N X Y < y y o x > (- N W bC J N Q V }d N d (= M 0 z 0 d = a = _z O Z y g O J N _W y F- W y H V a �C < 0 a m as H a a• < F y 7- 0 c q d 4 c 3 x Z 0 O cc W ¢ < W C Q N) z cr q a 4. W x �. W Oy G . � J y = H d Y C G k. X. U < X X IL Y S Y 91. O z z e( W k be W < h > F- O z O O y y y O N W 4 0 0 X .. < < d S < d 4 J J C C z O d 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