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