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HomeMy WebLinkAboutMiscellaneous - 45 RUSSETT LANE 4/30/2018 I 45 RUSSETT LANE 210/104 00.0 Date/�-/'. ..... .. 40RTH 0,- 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ISS C US This certifies that .. . . . . . . ... . . . . li . . .. . .j. . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . ... . . . . . . . . in the buildings of . . . . ... . ..... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .I North Andover, Mass. Fee. . . . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FfrnNG (Type or print) Date NORTH ANDOVER,MASSACHUSET I'S Building Locations If— Pu,(`S c'_ i� r� JIB _fir Permit# 3 2 Amount$ L� Owner's o New F71 Renovation ❑ Replacement ❑ Plans Submitted ❑ � o � on' w A 0 H SUB-BASEM ENT BASEMENT i 1ST. FLOOR 2ND. FLOOR i 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR Ej -1 1 1 1 1 (Print or type one: Certificate Installing Company Name V 0Ic- A,ft.. r 7i 2 Corp. Li Address 5� i 7"/i:-rr/s S s ❑ Partner. /7b-I A1.1 so y4 Business Telephone l R 7G/, 7 �Firm/Co. Name of Licensed Plumber or Gas Fitter ,j r�-P ��_C�L,✓► ,.,, , r INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy El 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 ❑ 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' tallations performed rider Pernut Issued for this application will be in compliance with all pertinent provisions of the Mas c setts State Gas C e d Chapter 142 of the General Laws. By: Signature of Licensed PlumbepKr Gas Fitter Title ❑ Plumber 0� 2 d City/Town ❑ Gas Fitter License NumSer ❑ Master APPROVED(OFFICE USE ONLY) Journeyman Nor� Date. ............................. HORTFr °f,«'°;•�"o TOWN OF NORTH ANDOVER PERMIT FOR WIRING �,SSACMU E�� Thiscertifies that ... :................................................................. has permission to perform ` wiring in the building of ` ' ....................................................... f � ' at... .. , ................r ''`J................. .North Andover,Mass. Fee' :............. Lic.No::::'::..... ....... ,;................................................... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer THE C0.If10AW LTH0FAL4SVACHU,.S`�' Office Use only D19,211 VTOFPUBLICS F= Permit No. 9O BOARDOFFIREPREV=ONRE67JTA7IONS527CY l2.00 Occupancy&Fees Checked 14PPLICAT70NFORPFJ?AI IT TOPERFORMELE=CAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 cb iR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date >f�^ 919 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work.described below. INIAP d PARCEL o y Location(Street&Number) Owne or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building s)r Cf er14 "k j Utility Authorization No. Existing Service W-C�Q Amps / Volts Overhead Underground No. of Meters New Service Amps / Volts Overhead Q Underground r No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work r ✓I - �v!'1 0 O M1'7 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool AboveM Below Generators KVA and and No.of Receptacle Outlets .. No.of Oil Burners �- No.of Emergency Lighting Battery Units l _ .1c� No.of Switch Outlets ��- No.of Gas Burners No.of Ranges 0 - No.of Air Cond. Total FIRE ALARMS C'. No.of Zones Tons No.of Disposals �_ No.of Heat otal Total No.of Detection and /`J Pum Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of DryersHeating Devices KW Local Municipal Other I Fi Connections No.of Water Heaters KW No.ofNo.of Si 1-0- Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER hrstuanceCovaa�Ptasuat�tratheoiEMassada>st#tst'�aallaws taarnartLiablyhnvrdixel�lic9i<rhr}�gCanple� Ca�aageorilsst> alec}nvaTad YES NO Iha esubT,,VedvabdptoofofsamIDtheOffice YES uNO Yy uhaw&edodYES,rlessemkatei typecf bfdx d igthe INSURANCE F-1 BOND F-1 CJ= (Pkase Spe*) EstirnatedValxc[Ekbcal Work$ Wakto&mt hpocfimD777tsted Ra42 Funl SW.edrmda-TrPa tltiescfperjtuy. LiaaiseNo FIfuvfNAME Line ee Sig«nre I-JamseNo BtsumTdNo- Alt TeL Na OWL'SINSURANCEWAMT,IarnawmdiatirLxaisedmriattrimfleitrtaanc aAcmFcritsst1bslartalegrivalartasrexedbyM>ssahMttsG=al Laws andthatmyogntmonthispearnt ,:� wMesthisro#erixyi (Please chec one wneaAgent a*� Telephone No. PERMIT FEE$ 11) iana re ot Oyner or Agent, (Print of Type) ' ""teeIvry ruts PERMIT TO DO GASFITTING NORTH ANDOVER , Maas, Date g Building J-6 ;�_ (� ` Location 7a�(�`% �� Permit _ cSJ Owner's Name /<elA—Loll N New Renovation O Replacement p Plans Submitted:. Yea (a No 1C le" N 0 0a ' 001CO X = O 9 ?' _ = d l 0 O ae w ha: W w 0 M = V r x N .o s� O h W x o f x r ,Icc0 IL ir > at F � • O 00 i x 0 16 5 1�. 0 .1 V 6 > O L h o , sus—ssMT. • •ASEM*kT 1�T FLOOR / !ND FLOOR SRO FLOOR 44TH FLOOR l4TH FLOOR I � •TH FLOOR i a 7TH FLOOR e , STH FLOOR 512V f � -11 Installing Company Name Check one: Cedfflcate p t �� . Address �� �� �� l j c Q Corp. d Partnership Business TNO Firm/Co. ephone � 7 �`3� — Name of Licensed Plumber or Das Fitter_INSURANCE COVERAGE:COVERAGE: I have a current liability Insurance policy or No substantial equivalent. Yea(Ane If you have checked yes, please Indicate the type coverage by checkingthe • No O pproprlate box. A liability insurance policy p Other type of Indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee doge not have the Insurance coverage required by Chapter 142 of the Mass. General Laws, and that my signature on this permit appllcalion wolves this requirement. Check one: Signature of Owner or Owner's ant Owner p Agent O I hereby cerllfy that an of the details and information I have submitted(or entered)In above applicatlon are true and accurate to the best of my knowledge and that an plumbing work and Installations performed under the perms Issued to this apps lion will be M compliance with all peftenl provisions of ins Massachusetts Stale ass=and Chapter 112 of the(laser L�rrs. T O License: Tltk Plumber Qasfliter ^a ure° ^� um er of as er qb,R� Master License Number 3,7 L Joumeyman M1110NED(OFFICE USE ONLY) Dated. . ...... ... ........ NORTH TOWN OF NORTH ANDOVER r-jpy',�ao PERMIT FOR GAS INSTALLATION SACHUSES� This certifies that . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation in the buildings of . . . . . . . . . . . . . . . . . at . . . . "':j .. . . .`. ". . • vNorth Andover, Mass. Fee.."... . .r. Lic. No.. . . WHITE:Applicant CANARY:Building Dept. PINK:Treasurer Date. . '�`?�.y9 _ d 3998 NORTM ?��.��•°.;•�+ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACHUS� This certifies that . . . . . . . . . . . . . . .•. . . . . . . . . . . . has permission to perform . .:-:—��- . .4. �. . , plumbing in the uildings of . � . . . . . 7''. . . . . . . . . . . . . at. . - - rth Andover, Mass. i Lic. No//.o'''�?. . . . . .�......, .�. .� .. . PLUM INSPECTOR 14:24 25.00 PAID CA%v`1 WHITE:Applicant CANARY: Building Dept. PINK:Tr surer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS `/ 1/ Date Building Location '15-9055 C� Z ✓"�A)' Owners Name C �A syn ✓C'u Permit#_ (, :R Amount Type of Occupancy •S New ❑ Renovation ❑ Replacement 1:1Plans Submitted Yes 1:1No FIXTURES z x F w x a Y F A x a � d a x z z a � � o z w a �- x = d�d a 1:60 w I- w d q d is Q w w w O a z Q Z o o z w Q O �C O d F" j SLRBM. 1>< WSR"M ISI:HDD 2M Flint Nk IM FLOOR 4IH FLOOR 5IH FLOOR 6TH FLOOR 7M FLOUR SIH FLOOR (Print or type) ( Check one: Certificate Installing Company Name f/►�IGD ❑ Corp. Address ❑ Partner. Business Te ephon Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate t e type of insurance coverage by checking the appropriate box: Liability insurance policy M Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three i suranc i na e Owner g g OAgent� ❑ i I hereby certify that all f 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts S to Plumbing Code and Chapter 142 of the General Laws. By: ),fna ure of Licensea riumuer Type of Plumbing License Title D City/Town Eicense Numner Master Journeyman ❑ APPROVED(OFFICE USE ONLY I y L� J� Date.. . . . i 2 NORTH �Air o� ° TOWN OF NORTH ANDOVER • - PERMIT FOR GAS -NSTALLATION h SACHUSEt� 9 7 This certifies that . . . . . . . i. . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildir sof . . . . . . � ! /"C. . . . . . . . . . . . . . . . . . . at 4-7.l& SSS .Z 11. . . . . . . , North Andover, Mass. Fee OO .�. . . . Lic. No.. �. 3 y7� . . . . . . . . . . . . . . . . . . . . . . . . -� GAS INSPECTOR Check# 6534 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS BuildingLocation J ^^// Date -- � � 7 N�Owners Name / �lC�/L�C/c Permit# Type of Occupancy Amount New Renovation Replacement Plans Submitted Yes No FIXTURES W A a A H y MF OCIR Za FLOCR a M b octz 41H ROX 5M HDM 6M FLOO[Z 71HFI10Cit 9M RIM (Print or type) Check one: Installing Company Name �b f 1 • Co Certificate Address A IL Partner. usmess elephone _ � `�7y) �-�-j � /7 � = Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the twe of insurance coverage by checking the appropriate box: Liability insurance policy 'tom" Other type of indemnity Bond u Insurance Waiver: I, the undersigned,have been made aware thatthe Ii three insurance censee of this application does not have any one of the above Signature OwnerElAgent ❑ 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 ermtt sued for this application will be in compliance with all pertinent provisions of the Massachusetts Slate-plrr , , , r �he General Laws. By. bignaL of 1cense um er Title 1umh License City/Town se um er � �rnEl coca usa orR.Y Master I !_Y J oueyman i Date.. . . .. . . .. . . . . ...... . NORTM TOWN OF NORTH AN OVER p PERMIT FOR GAS INSTALLATION ♦ a SACMUSEt� 4 This certifies that . . . . . M) . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . / . . . . . . . . . . . . . . . . . . . . in the buildingsf�f . . . . . . . . . . . . . . . . . . . . . . . at . . . . .' `.��� . .�- �'�!. . . . . . .. North Andover, Mass. Fee. 3f- Lic. No. . . . . . . . . . . . . . . . . . . . . . . . .�� _ GAS INSPECTOR a Check#--'= 6535 mA,S,SACHUSETTS UNIFORM APPucATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS Building Locations Permit# Amount$ Owner's e VIt1 K New D Renovation D Replacement Plans Submitted D a w w v, U �a a m W x F W a p O p z F w d w '�yj w F Z z Q w7, a C W W 0 q (� yw Z W > �" F" > Z Q F W Fy+ W x o x Fi 3 0 .Qa u > o a F O SU B -BASEMENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR--- 6 T H . LOOR6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Name--.-P>, j�j Check one: Certificate Installing Company � 1.� - Corp. Address f-j ) oy^I Ci v� � Partner. usiness Te i e h one E] Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check o e: 1 have a current liability Insu ce policy or it's substantial equivalent. Yes If you have checked es pleas indicate the a cove NO❑ typ rage by checking the box. Liability insurance policy Other type of indemnity Bond 13 Owner's Insurance Waiver: lam 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. Signature of Owner or Owner's Agent Check one: Owner 13 Agent 13 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 pert er Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Co and C ter 143�-pf neral Laws. By:. Signature of Licensed Plumber Or Gas Fitter Title Plumber Y 71 City/Town, D Gas Fitter LicenselNumber aster _ APPROVED(OFFICE USE ONLY) Journeyman