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Home My WebLink AboutMiscellaneous - 46 MILLPOND 4/30/2018 i '' 9986 Date....? 1 TOWN OF NORTH ANDOVER + PERMIT FOR WIRING 1ssACNUS� This certifies that has permission to perform .....7C.`......... . .. ......... ...7. ... .�. wiring in the building of ;!' `L .................. ............c........................................... at...... . �..,rlL.�.... ........ ......................... orth Andover,Mass F7....Z ......,,. Lic.No........ .I'✓�.P�.. �.? �� E CCRCAL INSPECTOR Chefk # 2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance-with the provisions of M.G.L.c.143,§3L,the permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed % on the prescribed form.After a permit application't'ras 6fti accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an 4 electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such,entity shall be responsible for the notification of completion of the work as required in M.G.L.c.143,§3L. Permits shall-be limited as to the time of-ongoing construction activity,and may be.deemed.by the7nspector-of Wires abandoned-and.invalid-ifhe.----. or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written request of either the owner or the installing entity stated on the permit application. ❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this puipose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was "in effect or existence"during the qualifying period beginning on August 15,2008 and extending"through August 15,2012. ule 8—Permit/Date Closed: ***Note:Reapply for new permit 0 Permit Extension Act—Permit/Date Closed: /f� aa/ Official Use Only l..ommanweaCtlz o�it'/ad�achueeEt� OG cc�� cc77 Permit No. l Cl?46 of ire Service-4 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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 LL 0 TON) Date: 5,// K /7 City or Town of: 7t��' w�DUC'X To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Telephone No. e �• Owner's Address v Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Volts Overhead Und rd No.of Meters Existing Service Amps / ❑ g ❑ New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: , ,`, U f �i" ✓ Completion o the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans TransTotal Trsformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- o.o mergency Lighting No. of Luminaires Swimming Pool rnd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones of No.of Switches No.of Gas Burners / No. InDetection and Initiatin Devices No. of Ran es No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pum KW No.o Self-Contained P Total P NumberTons Detection/Alerting Devices No.of Dishwashers S ace/Area Heating KW Local❑ Municipal ❑ Other P g Connection No.of Dryers Heating Appliances KW Security Systems: Y No.of Devices or Equivalent No. of Watero. of No. of Data Wiring: Heaters KW Signs Ballasts No.of Devices or E uivatent Telecommunicationsiris : No. Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3 .oz) (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}�jermi issuing office. CHECK ONE: INSURANCE B""BOND F-1OTHER ❑ (Specify:) �/��, 714' a/�f//� I certify,under the pains andenalties o perjury,t at the information/on this application is true and complete. FIRM NAME: / L°� LIC.NO.: Licensee: Signature��/%- Signature LIC.NO.: (If applicable, e r," empt"in the license numb erli+�e) ,,/// Bus.Tel.No.: Address: �//12G��lJd �0�� 4' /!/f1 �.��9 Alt.Tel.No.: *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 PERMIT FEE. $ Signature Telephone No. \ 1 The Commonivealth of Massachusetts Pflrit Forrri n Department of Industrial Accidents I� Office of Investigations V� tisiiiiigtol�.3ireet . `' Boston, MA 02111 www*mass.gouldia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Orvani?atinn ilydividual): � �fs 1- Address: City/state/zip: Phone#: �0.3- Are you an employer? Check the appropriate box: t 1.❑ I am a employer with 4. ❑ 1 am a general contractor and I Type of project(required): _,employees(full and/or part-time).* have hired the sub-contractors 6 ❑New construction 2•LT I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. E]Demolition working for me in any capacity. employees and have workers' [No workers' comp.insurance comp. insurance.t 9. ❑Building addition required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their ILEI Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL insurance required.]t c. 152, §1(4),and we have no 12-E]Roof repairs employees.'[No workers' 13.❑ Other comp, insurance required.] "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outride contractors must submit a new affidavit indicating such. (Contractors that check this box must attached an additional sheet showing the nam of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an emplover that is providing workerscompensation insurance far my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: f Expiration Date: �1. Job Site Address:,_—�6 00, `�✓.��/✓� City/State/Zip:-161j71G�/ Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the.violator. Be advised that a copy of this statement may be for:varded to the Office of investigations of the DIA for insurance coverage verification. I do herebJ,cert/ 'under the nnins andpenalties orperjufy that the 1.formation provided above is true at..-4 correct. Signature: Date: Phone#: �' ✓� " D r/ 2 - � -9 FFIs only. Do not write in this area,to be completed by c&y or town official n: Permit/License# hority(circle one): .Health 2.Building.Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector son: Date. 8851 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 41 ,s,,,CHUSE� i` This certifies that .1.%1 �3�.C . has permission to perform . . . (".t. . . a. : �.�.'. . . . . . . . . . . . . plumbing in the buildings of . .J. e . . . . . . . . . . . . . . . . . . . . C + at 4/x �.((��: . .�. . . . . . . . . . . , North Andover, Mass. Fee. . . . . .Lic. No.. I . . . . . . . . . . . . M .�-� .)) L BING ZPEGTOR Check ." { MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: ClfJl1n AfYkAkj MA. Date: ('i Permit# Building Location: Ab �n I E G Owners Name: Type of Occupancy: Commercial❑ Educational❑ Industrial❑ Institutional❑ ResidentialAVJ New:❑ Alteration:❑ Renovation: ❑ Replacement: Plans Submitted: Yes❑ No❑ FIXTURES DEDICATED Z SYSTEMS � zy D z ofx ,� Q Q C Z a W z = Z W Z Q O Z N Vf W Q R N S H W H a 1/1 �[ IA a a f 0 Q a H Q a W cc O Q W Z W Z OC C LL Q LU I vW� Uj W u f = a O 0cc > > O O O Z Z a Q a = Q N Y a = SUB BSMT. BASEMENT 1'FLOOR 2°FLOOR V FLOOR 4T"FLOOR "FLOOR 6T"FLOOR 7'"FLOOR 8T"FLOOR _ Check One Only Certificate# Installing Company Name: 4t5V r( _.1" �V nIa . e j�{� —{— /� lin ❑Corporation Address: -3 State°A ' City/Town: 1�Y" � El Partnership Business Tel:(r) J'1 ^Fax: ( Firm/Company Name of Licensed Plumber: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YeSK No❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy �.I Other type of indemnity E] Bond ❑ f OWNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the GqVeral Laws. By Type of License: Title Si natuof m -. . . . ❑Plumber ....... .. .9 ..re. .Licensed Plu. ber' City/Town" Master Lice se Number: .lourneyman APPROVED(OFFICE USE ONLY) n _ J J C J ` �- .. ,� �! ;: ', . . .. .. . . __ .. - ,� z .- ,, •� .: : . .. ,t .._ ., 7'5 Date. ....... Of 3? �` TOWN OF NORTH ANDOVER O D • - PERMIT FOR GAS INSTALLATION h + '1s,9SSAC 14USftI( 1 i This certifies that . . . ., . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . .. . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . ., North Andover, Mass. FeeO. " . Lic. No../.?1.d ` . . L.�.r._ R. . . .. .. . . . GASINSPEC O Check# j 3o MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: 1 V grA &40-4 e-K MA. Date: a Permit# Building Location: M,i ty..rC)nk - Owners Name: Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential - , New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ] Plans Submitted: Yes ❑ No❑ FIXTURES �I C6 W W co t4 N y U = M m = w W O 0 J V M z fn O W W Z z Q Z30: W j W Q I=— Ww W W m OF Q a. � W o w x > cn U z O Q w v) O Q = W w z_ = W F- W ~ > U W Z O J 1— ~ O Z J O LL W ►W— W W Z W >- tY N J Q Q m w O z O ~ F U W t=i t9 O = _ > O Q O W z z W a H SUB BSMT. BASEMENT 1 FLOOR 2 Nu FLOOR 3 FLOOR 4 1H FLOOR WH FLOOR 6 1H FLOOR 7 1 H FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name: ! " 1 � ! (VP + ❑ ,,., � Corporation Address,}3 ASkAA�D�' City/Town: r�� C Stag: l ❑Partnership Business Tel: �3 l- Fax: Firm/Company Name of Licensed Plumber/Gas Fitter: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yesr] No❑ If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. �v`� 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent By checking this box❑;I hereby certify that all of the details and information 1 have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. Type of License: By ❑Plumber Title Gas Fitter Master Signature of Licensed PlumberlGas Fitter r Q� City/Town ❑Journeyman License Number: � 6/5`j APPROVED OFFICE USE ONLY ❑LP Installer J i 3v �,• � : �, . � - •:1 . . � ' .- . rj �,� � �, + .. ,..3 ty Date./-. O L. .... .. .. ,FORTH TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION SACMUSES This certifies that j has permission for gas installation . . . . . . . . . . in the buildings of . . . .til. .> . . . . . . . . . . . . . . . . . . . . . . . at . . .116 . ?!!! //.'� !. . . . . . . . . . .. North Andover, Mass. Fee. . Z. ?: ' Lic. No.. . . . . . . . .Q . . .1.-J :. . . . . GAS INSPECTOR Check# ( � 3 : 0; 4 MASSACHUSEIIS UNIFORM APPUCATON FOR PERMU TO DO GAS FMING (Type or print) Date v1 GU NORTH ANDOVER,MASSACHUSETTS -7 Building Locations !/ " // Permit# �O y Amount$ J N Owner's Name 4 New❑ Renovation ❑ Replacement ❑ Plans Submitted ❑ rArA w C,., z z O F W O A --!� Gz , W F x � c, � � w x o H z F z F H w c� o o z o ox 'A SUB -BA SEM ENT jg BA SEM ENT 1ST. FLOOR 2ND . F L O O R R D . F L O O R 4TH . FLOOR 5TH . F L O O R 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR I-F1 I I I I I I I I I I I (Print or type) ( � ��1 S V Check on: Certificate Installing Company Name / / 1 ❑ Corp. Address �✓v � �`� ❑ Partner. Busmess le one �s �}❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes� No 1:3 If you have checked yes,please indicate the type coverage by checking the appropriate box. 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 ❑ t hereby certify that all of the details and information I have su fitted(or entered)in above application are "'e and accurate to the best of my knowledge and that all plumbing work and install ioperformed under Permit Issued for ' on w' .be in compliance with all pertinent provisions of the Massac �Gas Chapt 142 oft e al Laws. Signature of Licensed Plumber Or Gas Fit Title ❑ Plumber City/Town ❑ Gas Fitter License Number Master APPROVED(OFFICE Use ONLY) Journeyman Location No. 3 Date MORTN TOWN OF NORTH ANDOVER Of " O '•,�O 3? ' 0 AL b : A ' Certificate of Occupancy $ CMUEBuilding/Frame Permit Fee $ SAS Foundation Permit Fee $ Other Permit Fee $ ,3 'Id i TOTAL $ Check # &02a 15297 1 TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: 3 v SIGNATURE: ; Building Commissioner/I!'I=tor of Buildings Date SECTION 1-SITE INFORMATION 1.1 Property Address: 1.2 Assessors Map and Parcel Number: '4 P Sa A _ Map Number Parcel Number 1.3 Zoning Information: 1.4 Properly Dimensions: Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard . Side Yard Rear Yard Required Provide Required Provided Required Provided 1.7 Water Supply M.G -C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: 1 Public ❑ Private 0 Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT n 2.1 Owner of Record Nam (Print) Address for Service J&L,�,"k Signature I Telephone Q, O 2.2 Owner of Record: Q Name Print Address for Service: a n Signature Tel hone SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ 4 Licensed Construction Supervisor: C 1+ License Number Address } Expiration Date Signature Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ C Company Name r Registration Number r Address r Expiration Date Signature Telephone I r SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes.......0 No....... 0 SECTION 5 Descri tion of Proposed Work check all applicable) New Construction ❑ Existing Building Repair(s) ❑ Alterations(s) W I Addition ❑ IAccessory Bldg. ❑ Demolition ❑ Other ❑ Specify I Brief Description of Proposed Work:„ lace QIlk) kr'16-f-tnn C i6e SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be y �FI�ICIALU S"EUNLY x Completed by t app licantv ,� � a _. 1. Building 'V5000 (a) Building Permit Fee Multiplier 2 Electrical -'1 (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)x(b) 4 Mechanical HVAC 006 5 Fire Protection 0M 6 Total 1+2+3+4+5 (Oco Check Number 1 SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT I, �GLV�C�%3 ��,1/t l/t� cg as Owner/Authorized Agent of subject property Hereby authorize to act on My behal 'i all matters rela4ve to work authprized by this building permit application. ' Q 0 \J A Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION 1, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name Signature of Owner/Agent Date ~� NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 ST2ND 3 RD SPAN DIN ENSIGNS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL,GAS LINE Town of North Andover Building Department M ` 27 Charles Street # z North Andover, MA. 01.845 D. Robert Nicetta s"`► sE Building Commissioner . 545 688- (978) 9 .•. 978 688-9542 Fax HOMEOWNER LICENSE EXEMPTION Please print DATE I JOE ` JOB LOCATION �P �06 / Number Street Address . Map/lot K� ,.HOMEOWNER V�JACVS _ qls—kabS Name0 Home Phone Work Phone PRESENT MAILING ADDRESS City Town State Zip Code The current exemption for"homeowners"was Pb extended to include owner-occu f ped dwellings of two units or less and to allow such homeowners to engage an individual for 9 hire who does. not possess a license, provided that the owner acts as supervisor. (State Building Code Section 108.3.5.1) .DEFINITION OF HOMEWOWNER: Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two family dwelling, attached or detached structures ac- cesso: to such use and/ r rY o farm structures. A person who constructs more than one home in a two-year period shall not be'considered a homeowner. The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other Applicable codes, by-laws, rules and regulations, The undersigned"homeowner"certifies that he/she understands the Town of No.Andover Building Department minimum i s Peetionprocedures and requirements and that he/she will comply with said procedures and requirements. HOMEOWNER'S SIGNATURE ;1 JJ t APPROVAL OF BUILDING OFFICIAL North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Idin Per Number 9 mit ►s that the debris resulting from this work shall be disposed of in a properly licensed solid waste disposal facility as defined by MGL c11, S150A. The debris will be disposed of in: V' V (Loca 'on of Facility) Signature of Permit Appli nt - n t Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector E M G Essex Management Group To North Andover Building Inspector Michael McGuire Re: 46 Millpond We as the Management Company for Millpond Townhouse doe not have any objections to the homeowner of said property to have any license And properly insured contractors do any work at the property of 46 millpond. The homeowner is fully responsible for the interior of their units here at Millpond. Thank-you Bob Allen (superintendent) 50 Washington Street PO Box 2098 Haverhill, MA 01831 Web Page: www.essexmanagementgroup.com (800) 370-0894 • (978) 373-3024 0 Fax(978) 521-5520 Email: emg@essexmanagementgroup.com nk mwwd) hurv �q&A'AA Q! ;w CAN" fo foy sImAnn' 6 ZY'ah wa j". w my 111 n i 10 n 1 7m 1 c n cc b 1 3a1s 3SH2A3H 33S v y C � S. CD 'v O C! Z a O 'v d g O C s y n= 12 "CSo C) o v CD Ct.Cr � M. CD CD OIV i C CDCD y d y == I CC)CD � v y O "CS CD O CD 0 CD O 1 rt 0 1VH1 S3IiI1H33 SIH1 '10 m Date.. . . .. .... ... .... ... . Of ,40RTN 1ti . �j °•° TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION . y . -ISS AC HUSE41( This certifies that . ... .... . . . . . . . . . . . . . . . . . . has permission for gas installation . . .f '?. . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . ., North Andover, Mass. Fee. . ? .� . . . . Lic. No.. .,`.t/(.4 ... . . . . . . . . .I. . . . . . . . . . GASINSPECTOH Check# f!/S " 3 ;- 38 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date � ,/-3 NORTH ANDOVER,MASSACH/US/ETTS� \ ' Building Locations Ct% C / d `, S Permit# _ :3 Amount$ Owner's Name 2� ~ New❑ Renovation Replacement ❑ Plans Submitted ❑ � w �a a H a o ° F w o 2 x w x z� t z d a d o °o °o w p o SUB-BA SEM ENT BA SEM ENT IST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 0 7TH . FLOOR 8TH. FLOOR Name or type) one: r\ �� S one: Certificate Installing Company //ilii 1 Lj Corp. Address —_ (0/ �� ❑ Partner. /1/t� Business Telephone e ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked M,please indicate the type coverage by checking the appropriate box. Liability insurance policy Ep 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 submitt (or entered)in above,application are true and acc to the best of my knowledge and that all plumbing work and installatio rt Issued for this applicatio i l be In compliance with all pertinent provisions of the Massachusetts to s Code and Chapter 142 of the eral By: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber City/Town Gas Fitter Icense Numoer ❑ Master APPROVED(OFFICE USE ONLY) Journeyman Date...:/:? ".0 R,r:'�a TOWN OF NORTH ANDOVER WA Wwwww PERMIT FOR PLUMBING SSACMUS� This certifies that . . I�f�f/. � . . !r61.� f. f. . . . . . . . . . . . . . . . . . has permission to perform . . . .P e".A.G. t' ` . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of .... . . . . . . . . . . . . . . . . . . at. . . . . . . . . . . . . . .. North Andover, Mass. Fee.? ?� . . . .Lic. No../.'/ f.!.f . . . . . . . .4. . .C._.. .��}.-�. . . . . . . . PLUMBING INSPECTOR Check # ! ? I'L 5140 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ' 2 — t 5— ^� Date Building Location 402 1dim Owners Name �Permit# Amount _ Type of Occupancy tri New Renovation Replacement Plans Submitted Yes No FIXTURES F F W F d x D � ►.a ca A c4 A �F;M � LJL FI�OIt 4 b 210 FLOOR , a 3M FI>a[t 4M F JXR 5M FLOM 61H FLOM 71H FLOOR sm HIM (Print or type) �i ./_ Check one: Certificate Installing Company Name / G'!/� � l S Corp. Address C7 Partner. Business Te ep one _ Firm/Co. Name of Licensed Plumber: '�� Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 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 insurance Signature Owner ❑ Agent El I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accwate to the best of my knowledge and that all plumbing work and installations pe ed under�diit Issued for this applicati e- compliance with all pertinent provisions of the Massachusetts Sta Bing Code and Chapter 14 f the Gen S. By: igna ure o i u er Title Type of Plumbing License City/Town I ice se NumDer Master Journeyman n APPROVED(OFFICE USE ONLY 44 4-. 3650 ......... NORTF, °`<•``°:•�"� TOWN OF NORTH ANDOVER p PERMIT FOR WIRING �,SSACMUSE� e' /' This certifies ......... ... ................. has permission to perforin.:%: --�_.. �......................... whin in the building . ..?7 , .' 8 8 ....................................... ..........�............................. ` North Andover,Mass. Fe4�...'....... Lic.No!�:.-. ......................... G 'ELECTRICAL INSPECTOR Check # ��G �S THEC0MM0NWFALTH0F3"S a11SFM Office Use only DLFARTAMW0FPUBLICS4FMY Permit No. BOARD OFFMEPREVEWONREGUL9TIom 5ram12w Occupancy&Fees Checked APPUCATTONFOR PERMIT TO PERFORMELECMCAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant 2r ' Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Kt`hF L,C„1 (]w per, Utility Authorization No. Existing Service Amps Volts Overhead C3 Unda round No.of Meters New Service Amps / Volts Overhead M Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work' Oel,) U7G ern S t` CrMo Le- No. 2No.of Lighting Outlets / No.of Hot Tubs No.ofTnuLdonners Total No.of Lighting Fixtures Swimming PodAbove mi. Below KVA —A KVA No.of Receptacle Outlets , No.of Oil Burners No.ofEmergency,Lighting Battery Units No. of Switch Outlets C C /1) No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals / No.of Heat Total Total No.of Detection and Pulops Tohs KW InitintingDevices No.of Dishwashers Space Area Heating KW No.of Sounding.Devices / No.of Self Contained Detection/Sounding Devices No.of Dryers Heating.Devices KW Local Municipal Other No.of Water Heaters KW No.of No.of Connections Signs Bailasis No.Hydro Massage Tubs No.ofMotors Total HP OTHRR [riscyarloeCo►adge Ptararltb�tert:gtaonal�a �llsCia'raallsws . [haLeaaroa�tLiabCtylrn�ratoeAo�tyittdttdng Co►earitssiostaiiafet}i►ekrt Y NO [hmesi&iidadllplitlp uAbfsmmlDf eOfoc YES NO ffjotrfta+edtec3aedyES�pleasc' �, rPFrcF* L N Ult41JLE BOM 01"' It 0 (Plls�eSpat ._ " — - .li,;,t DWel eq„twd Rtatglt - ; §1M NAME 14,oc aA oc LiotmeNa 7 rC, a�[D (e- Sigrmne "I I ioa>seNo Bt6ff=Td.No, .n(60// r �Z060l h Ab Co ( A1tTd.Na ►WNER'S11&JRANCEWAIVER;IammvamdrtdrLiar>se E notlrunteilaranoe memWOrt gftDWO >ndatas mgtmdbYNbmdxsegsCkn2dLaws idtlrimysigtt ,mthispmniappkmmvmcsdm mcgtaerletlt 'lease check one) Owner Agent Telephone No. PERMIT FEE$ 1 \� i f`h A � �. ►�_ (Y r