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Home My WebLink AboutMiscellaneous - 46 ROYAL CREST DRIVE 4/30/2018 (4) / � ROYAL CREST � BUiLDING FILE i Datel ...... ...................... i v°prh ° '" ti TOWN OF NORTH ANDOVER o n PERMIT FOR WIRING �;,ssACMU Et�9 Thiscertifies that .................... ................................................................................................. �( has permission to perform !.'` .............seu�Ar 4V ' S wiring in the building of..... .1/ C ............................................................................ at .......... .1�! �� rtAndover,Mass. ................... ....... ................................ . Fee..... . ..........Lic.NoC.? .��......... .. .. .. ....................... /� rr__ ELECTRICAL INSPECTOR Check# Q.W 13331 ��' ntxnrvnwea(fJ�A�/`/ueeac of 0fl'icitl1 Ilse Only 1 �] Permit No. �a�f[tNllY7al7},A�,.T6ra��arviaa6 Occupancy and Pee Checked BOARD OF FIDE PREVENTION REGULATIONS [Rml. 1/07) lenvetilanlc. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance will:the Massrchuscttw Iaectrical Codo(MEC),527 CMR 12.00 (PLI ASL PRINT 1N INK OR TYPE ALL JAW ORMATION) lib te: City or Town of.* P.QLr T'o flu Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work++described below. �j1nk1 10 Location(Street&Number) ,gy►,cC�\ C•r+ ST 1#� °� _-- Owlner or Tenant 'T'elephone No. 1 �63°1� Owner's Address ^ 50,11 Ue-S-C Is this permit In conjunction with a building permit? Yes No (Check Appropriate Box) Purpose of Buildiing_jowQ, Utility Authorizatian No. Existing Service Amps / _Volt's Overhead l.Jndgrd❑ No.of Meters New Service Amps / Volts Overhead 1 Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: � � , -�w�t-p+� Ce►u� ss�Rla �trrti, QCt _3a_t3i tkcrt 2 c�xY #JwCa�' ... yw%Pr *sr- ,� ILA . c �r.a u+h A5 C on! lesion o'the fbIloni4jigtable mav Ge waived by the Ins eclor n Wires,Ll�j et No.of Recessed Luminaires No.of Ceil.-Sus .(Paddle)Fnos r c► Total li ( Transforrtrers .#CVA, No.of Luminaire Outlets W No.of Hot Tubs _.. Cicnerntors ICVA Above W�rt�� 0.0 Jmergency Mighting No.of Luminnires Swimming Pool r•nd. rrr(#. BatterClgit; ` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners oa o atin ron an IrritiatinDevices No.of Ranges No.of Air Cond. lotal Tons No.of Alerting Devices No.of Waste Disposers eat um um er 'Pons !<'A! o.o Se11=C:ontnrne p Totals betectlorr/Alcrtin Devices unicipal No.of Dishwnsher's Space/Area Heating KW orrnectron r7 Other No.of Dryers Heating Appliahees RW T Security Systems: . No. . Devices or Uguivallent o,o Water KW No.of o.of Data Wiring: Heaters Signs Ballasts No.of Devices or E uivnlent Nn.H dromnssage Bathtubs No.of Motors "I'atal HP a ecormmttn eatrnns rrrng y No.of li)eviceg or iE aivalfent OTHER: Attach addilional draail it desired,oras required by the hnpectvr ref Wires, Estimated Value of Electrical Work: 16-� (When required by municipat policy.) Work to Start: 1; Inspections to be requested in accorda.noc with MECRule 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"compacted operation"coverage or its substantial equivalent. The undersigned certifies that such covctagc is in force,and has exhibited pn)of of same to the perltlit issuing office. CRECK ONE: INSURANCE O BOND L:1 OTHER [] (Specify:) I certify,under the pains nrtrl penalties of perjury,that the it(rormation opt this application is tree and Complete. FIRM NAME: Newpon Ploctrlc LiC.NO.: A20803 Licensee: David McMullen Signature LIC.NO.: 11608U (Ifapplicable,enter "exeinpt"in the license member line) Bus.Tel.No.•AA1,-Z03=0527_. Address: 200,H�ghDoint Ave. Portsmouth,.R1.02871............... .. . .._..___-------- Alt.Tel.No.: 617-908.4193 *Per M.G.L.c. 147,s.57-G1,security work requires Department of public Safbty"S"I,ieei1se: Lic,No. OWNER'S INSURANCE WAIVER: I am aware that the l ioensce docs nal have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement, t nm the(check one []x owner ❑owner's agent, Owner/.Agent Signature _ Telephone No. _ __._,,,,,_,_,,,,_^� powiT FEE: $ 10?— 7 � r 7 1 Date. .. . ... HORTN °f o? TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION SSACHUSE� -e � .This certifies that . .�U.�11r.�.1�:1.P!�,C�.�: . !�?�:`�.. . . . . . . . . . . . t.c� isr' fi� J' . . has permission for gas installation . 4+.. . .�. . . . . . . . e I in the buildings of . . . P4. . . . . . . . . . . . . . . . . . . . Y at 4. .. . . . . ..North /A�n�dover, Mass. Fee �". . Lic. No..�1.Com.'? . .�•�c . . . . . . . . GAS INSPECTOFj _ c Check# 5 1 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING City/Town: %tJ x.01- /O /� MA. Date: 6o~/9-// Permit# Building Location: 16W4& 06 J'%ASQ -;0'e7"6 Owners Name: i20Y4 <f1C,5S'7 Type of Occupancy: Commercial ❑ Educational ❑ Industrial ❑ Institutional ❑ Residential [� New: ❑ Alteration: ❑ Renovation: ❑ Replacement: ® Plans Submitted: Yes❑ No[9 FIXTURESLU LU co �t12 �'ULY W ~ co W U = W Z D Lu Q p I— z 1=- o O W } W Z N LUOO 2 w W z 0 W W = Lu O IQ- Lu a. W N V W W Z Q =U ) FO W 0 = LL > W W Z O J F- F- O Z —1 0 u- = W H W W U t] D u_ 0 0 O aW > O SUB BSMT. BASEMENT 1 FLOOR 2 NU FLOOR 3 FLOOR 4 FLOOR 5 FLOOR ° 6 THFLOOR 7 FLOOR 8 1 H FLOOR Check One Only Certificate# Installing Company Name: llc') is 61-edl4e o�c� sic�yrS ❑Corporation Address: /S 2 6��49 -T-7City/Town: / i�r a�,C State:—� ��/ �� El Partnership Business Tel: 7�/-Zgc/-�/y�7' 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 Yes,3 No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. 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 Signature of Owner or Owner's Agent Owner E-1 Agent El By checking this box❑;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 Chap r 142 of the General Laws. By Type of License: ❑Plumber dZ Title ❑Gas Fitter Signature A License Plumber/Gas Fit er ❑Master City/Town 54Journeyman License Number: APPROVED OFFICE USE ONLY ❑LP Installer 77 MASSACHUS TT ". PLUMBERS AND GASFITTERS LICENSED AS A JOURNEYMAN PIU _,MPER ISSUES THE ABOVE LICENSE TO: TIMOTHY R FOLEY � 310 POWELL ST i;._ ` STOUGHTON MA 02072=393 31607 _ 05/01/12 800768 a MOM I i CONTROL# G 0 3 3 3 31 It this license is lost or IMPORTANT Division of Professio r de�r0yed, notif s' 7th Floor,Bos ton Licensure, y your Board at the: ,MA 02118. 1000 Washington St., If Your name or address s Of correct shown is changed Renewal A name or address ged, notify PPlication, t° insure Proper Your board This license ' Always refer to p mailing °f next r as amended,is subject to the provisio0 Your license number, ?' Itis Of the numb or assign°d'to a Personal privilege and Genera! Laws person or posted as required person. Keep this ulicense not e loaned an Y quired by W. on your COMMONWEALTH OF MASSACHUSt=TTS t PLUMBERS AND GASFITTERS LICENSED AS A JOURNEYMAN R UMBER ISSUES THE ABOVE LICENSE TO: TIMOTHY R FOLEY ,- Im 310 :POWELL ST ' STOUGHTON MA 02072=393` 3160.7 , 05/01/12 800768 4 it- CONTROL# G033331 ._ IMPORTANT If this license is lost or de RTANT Division of Professional kens d' notify 7th Floor,Boston, Licensure your Board at the: MA 02118, 1000 the: If your name or .of correct address shown is Renewal q nam or address to i °hanged, notifyI pplication. insure Proper Your board, This license is s Always refer to p mailing of next f; as amended. alect to the provisionsYof thour e license number. '' or It is personal General Laws '' assigo�eo'to any other pe�soneKee and must not be loaned i. person p sted as r p this license require by law. on <, Your. Peerless vEw BuslNEss Insurance +• Mcmbcr of Llborty Mutual Group EFFECTIVE DATE: 12/23/2010 _ ,Iicy Number: GL 5432321 Prior Policy: Billing Type: DIRECT BILL Coverage Is Provided In PEERLESS INSURANCE COMPANY-A STOCK COMPANY Named Insured and Mailing Address: Agent: TIMOTHY FOLEY SMITH, BUCKLEY& HUNT INSURANC 152 OLDHAM ST E AGENCY, INC C/O COMMERCIAL BOILER SYSTEMS 500 FOREST AVE �-- PEMBROKE MA 02359 BROCKTON MA 02301-5749 Agent Code: 6201120 Agent Phone: (508)-586-5432 COMMON POLICY DECLARATIONS In return for the payment of premium, and subject to all the terms of this policy, we agree with you to provide the insurance as stated in this policy. POLICY PERIOD: From : 12/23/2010 To: 12/23/2011 at 12:01 AM Standard Time at your mailing address shown above. FORM OF BUSINESS: INDIVIDUAL BUSINESS DESCRIPTION: PLUMBING CONTRACTOR ,4,policy consists of the following coverage parts for which a premium is indicated.This premium may be subject to adjustment. PREMIUM Commercial General Liability Coverage Part INCLUDED Total Premium for all Liability Coverage Parts $ 1 , 157. 00 Terrorism Risk Insurance Act of 2002 and 2005 Coverage $ 15. 00 Total Policy Premium $ 1 , 172. 00 FORMS AND ENDORSEMENTS Forms and Endorsements made a part of this policy at time of issue: Applicable Forms and Endorsements are omitted if shown in specific Coverage Part/Coverage Form Declarations Form Number Description CG2170 -0108 CAP ON LOSSES FROM CERTIFIED ACTS OF TERRORISM CG2176 -0108 EXCL OF PUNITIVE DAMAGES RELEATED TO CERTIFIED ACT IL0003 -0907 CALCULATION OF PREMIUM IL0017 -1198 COMMON POLICY CONDITIONS .__J21 -0702 NUCLEAR ENERGY LIABILITY EXCLUSION(BROAD FORM) 17-57 (06/94) INSURED COPY 2/23/2016 5432321 NN195291 2912 Pr-nunFnn .iiakog PROFPPN rMi.s,"+5 Pam 17 CERTIFICATE OF LIABILITY INSURANCE OP ID BL DATE(MMIDD/YYYY) COMME-3 05/17/10 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Smith Buckley & Hunt Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 500 Forest Avenue ALTER TJiE COVERAGE AFFORDED BY THE POLICIES BELOW. Brockton MA 02301-5749 Phone: 508-586-5432 Fax:508-587-4935 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: The Charter oak Fire Ins Co 25615 INSURER M The Phoenix Insurance Co 25623 Commercial Boiler Systems, Inc INSURER C: Twin Cit Fire Ins Co 29459 152 Oldham St INSURER D: Travelers Indem Co of Amer 25666 Pembroke MA 02359-2522 INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW.HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. POLICY EXPIRATION LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE MM/DD DATE MM/DD LIMITS GENERAL LIABILITY EACH OCCURRENCE $1000000 A X COMMERCIAL GENERAL LIABILITY I6808466B288COF09 05/24/10 05/24/11 PREMISES Ea occurencel s300000 CLAIMS MADE X❑OCCUR MED EXP(Any one person) S 5000 PERSONAL&ADV INJURY $1000000 GENERAL AGGREGATE s2000000 GEN-L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OPAGG 52000000 POLICY PRO- JECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT a 1000000 B ANY AUTO 6243C1.0009 05/21/10 05/21/11 (Eaaccident) ALL OWNED AUTOS BODILY INJURY $ X SCHEDULED AUTOS (Per person) X HIREDAUTOS X NON-OWNED AUTOS BODILY INJURY(Per(Per accident) V PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS UMBRELLA LIABILITY EACH OCCURRENCE $10000000 D X OCCUR FI.CLAIMSMADE ISFCUP4275Y889—IND— 005/24/10 05/24/11 AGGREGATE $10000000 a DEDUCTIBLE $ 10 RETENTION $5000 $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY Y/N I ER C ANY PROPRIETOR/PARTNER/EXECUTIVrj 08WECIW8489 05/21/10 05/21/11 E.L.EACH ACCIDENT $500000 OFFICER/MEMBER EXCLUDED? LJ (Mandatory In NH) IfE.L.DISEASE-EA EMPLOYE $500000 y es, SPECIdescribe under AL PROVISIONS below. E.L.DISEASE-POLICY LIMIT s 500000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,.THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AU ORIZEDR PRE ENTATIVE 4CORD 25(2009/01) 01988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD