Loading...
HomeMy WebLinkAboutMiscellaneous - 48 GREEN HILL AVENUE 4/30/2018 48 GREEN HILL AVE 210/022.0.0100- NUE -0000.0 - 1 7/19/2016 Date:July 19,2016 20949 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.com/##/records/20949 � ck'CCliF:U j •❑ h� TOWN OF NORTH ANDOVER .�k. PERMIT FOR PLUMBING a u ■ .tFED ❑ This certifies that has permission to perform plumbing in the buildings of BALFORD,ALEXANDER, D. at 48 GREEN HILL AVENUE, North Andover, Mass. Lic. No. 1/1 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY t---%e>4MA DATE, PERMIT#--- JOBSITE ADDRESS ! OWNER'S NAME1 TEL�tot 1-.54% FAX P P OWNER ADDRESS 1. RESIDENTIAL TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATICPA PRINT CLEARLY NEW:Ell RENOVATIOM F REPLACEMENT: PLANS SUBMITTED: YES F�' NO L-j 0 —9 loll 12 3 14 FIXTURES-1 FFOOR— ' B 3 4 ' 5 -s 7 8. BATHTUB ATHTUB ------ CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIUSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) ........... ........... KITCHEN SINK ...... .......... LAVATORY ----- .. ROOF DRAIN ---jL SHOWER STALL SERVICE I MOP SINK TOILET rUR7N—AL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER ...... INSURANCE COVERAGE: I have a current Labird3Lmsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES NO IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW OTHER TYPE OF INDEMNITY BOND LIABUTY INSURANCE POLICY OWNERS 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 E] AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true a ccu e to e b t o y knowledge and that all plumbing work and installations performed under the permit issued for this application will be in xovi IP ' e on the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBERS NAME Mike—iciark LICENSE#L32199 SI KE j MPI-1ip CORPORATION #(. i.�PARTNERSHIPO#�' LLC!:]# ADDRESS 1513 Haverhill Street COMPANY NAME Clark Plumbing CITY!RovAey ISTATE 1, ZIP 01969 TEL 1978-500-7050 FAX! CELL 248 CAR 3A Page-I of i �}t+m�tAppias6or�sanef�es. . �Iboe�fosAl�eal�Yo��lcaie��+d�sdb�tl�lay. . i1pr3isa�etoe_ h� bj► Yoca. :_ r'cow . fir-=`w .X�a p p1ill�ei$llm �ao� &I'11N -lpmwAAppftmftm 8 MiYa�oepiPe� OlFi/lllBit �AEACIIl6.Bi9 � III 6d01111I a7nitbsba1i�deoMMYtfRW4{s*"nommGrim,1[orin�001fan ftpmM*GppftdWapP WAd&rte&W& b./blmpg mmm,j MdMapoen spsm jopmlwp crow be=mftftG=ftdwom 4.Feescl+I V iaoal�rNeoedpm tdrlOeAeier+nt�edbl►e0fesardEow1r.88i0iea® teilfotbes�0jetxl� 8omd r�isrr �� .. .� ... wn lAMAA"►A1 Afm am A Ofm f Nam c - -.: sem_- ,, �,�� Phow _ . & �ocsmeis�rcapa�r a� 4 � s� r&wadooW comp. com:g. oe. � n acacbadm Ia:s €� csavecddt �ad�boas r �:ash �yi �eeelhas' •f+��Y ��p���s�as� Cab. RNdcyejt rn� o��y5 . �m�1,50Qfl8a � � ,af af sit F� melee � b •\o-�b '� 11 0111 Altuj g qx ` 44 61 C? 4�� Z,ftEy � 3 ��y4Aa g��D IN•p� 'pCiita<t!9 _}� ul Y•• � 4 � too ct 5re,cAr, Date IL.,- TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . .Q (A . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . Re-s wiring in the building of . . . . . . . . . . . . . . . . . . . . . . at . . . .. . . . . . . .N Andover, Ma V M "o Fee Lic. NoC-515(01. . . . . . . . . . . ELECTRICAL INSPECT R Check# Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. ' I l � 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 ALL INFORMATION) Date: 1013 6 u a City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his14.- ror her intention to perform the electrical work described below. Location(Street&Number)q F i-r G e Y1 n 11A y-e- Owner or Tenant t I A � f o r Telephone No. 7 _ 9 9a7-3 sy�a Owner's Address & r , e_'17 �' i! V e- Is this permit in conjunction with a building permit? Yes ❑ No . (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service.1D0. AmpsO/ o Volts Overhead Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: e-5 U©1Jar t e r F— ` Completion o the followingtable may be waived by the Ins ector q f Wires. Trans No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans ot Trformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ElIts- ❑ o.o mergency tg mg rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o eteng D Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers eat ump ",umber ons _.............._.._. o.oSelf-Contained p Totals: Detection/Alerting Devices Munic'pal No.of Dishwashers Space/Area Heating KW Local❑ Cyonnection ❑ Other No.of Dryers Heating Appliances KW Sec No uriof Devices or Equivalent No.of atero.of o.o Imo' Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNfDeicer firing: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: D, Inspections to be requested in accordance with NEC Rule 10,and upon completion. INSURANCE COVER GE: 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: LIC.NO.: / Licensee: A n I lr_,� / C /G i tie, Signature LIC.NO.: 15 6 (Ifapplicabl a er"exem t"in the license tuber line. Bus.Tel.No.- Address: -a ly 7 S d 3 o n � A n d o f/�r Alt.Tel.No.: V 7 sy 65 /93 *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 a ent. Owner/Agent _ n / PERMIT FEE. $ Signature/'T�L(• l�,d',t�f /Vl�Telephone No.?-/R�?73.�yc$Z i { r r `. ' �.� � ' p i .. _ _ + I .. - � ,. � ' ' �� � , C a .r ,.r' ,..., t Date.... .D............`......,� HORT1, "° TOWN OF NORTH ANDOVER PERMIT FOR WIRING 41 SSACMUS� This certifies that ...... has permission to perform/�.......S � �i�C C.......�a� '.......... wiring in the building of.111.1--�...t q&.z ................................................. at..... �E/Z/ 7/..�..�...../ ..........�Cc�rRIIC;A-L--I-N-S-P--E-C-T0 orth Andover Mass. t d . Fee... ..... Lic.No. � 6.... ............ ... -.. .... .. ER 1 Check # I''= 9055 • Commonwealth of Massachusetts Official Use Only �n ; Department o Fire Services Permit No. f BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.9/051 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: 5 2 p City or Town of. / + A (id 0 IJ c r To theInspecto of Wires: By this application the undersigned gives notice of his or her intention to perform the electricalwork described below. Location(Street&Number) ii q '? C-r n e ✓c Owner or Tenant c L h G d/ D Telephone No. 77Y6 Y 6.�L 37? Owner's Address r e e.n A V Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose'of Building t,,I 6�� s:�►G� Utility Authorization No. Existing Service Amps i / y&olts Overhead Undgrd❑ No.of Meters New Service �D!L Amps f"J0 /-Xq6 Volts Overhead Undgrd ❑ No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: � ) / / - t® � �l Jr. � � G C> G.m 42S�r V,'4 G Gz n GAY (� 6, n t 1 +0yD c, rn eS rys crG Completion of the ol/owing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Lighting rnd. grnd. BatteKy Units No.of Receptacle Outlets No.of Oil Burn.ers FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number. Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Watero.of o.or - Heaters Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Te ecommunicationsWiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Dd Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO� q VERAGE: 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: - LIC.NO.: Licensee: n 61 rZ 1,j /1114 114 c- Signature LIC.NO.:. I.--—(f — (If applicable,enter"exempt"in the license number line.) / ^ Bus:Tel No.• _ Address: � � Sia f f on 5 rce"� /�/, An d�a v�r/�,/-� Q��L6Alt.Tel.No.: U! . ��3 *Security System Contractor License required for this work;if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insur ce coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) owner ❑owner's agent. Owner/Age - Signature Q�Q � Telephone No.m Wo FEE: $ I .: 3 j , �4�- /�. ` � 7 A / 111// t Date.�� ` Z ".°RT: �ti° TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING •D^.ITID�A„� r ,SSACHUS� This certifies that . . . A.�x. . . . . . . . . . . . . . • • • has permission to perform . . . . . .T- . . . . . . . . . . . . . . . . . . . . . . . . . � j plumbing in the buildings of . . . .P(�at . 1.).e. r.a:-� . .�� . . . , North Andover, Mass. r ` Fee. �. Lic. No.. . . .7?. ' .. .. . . . . . P�'— MBING INSPECTOR Check # 'i r 5413 t. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT-e 0 DO PLUMBING (Print or Type) ass. Date Permit # BuildingLocation 7/'Ft'/'1 f � Owners NaNi D /7 �° � I "l1 ll lel-mss Type of Occupancy Residential New IJ Renovation CJ Replacement LYA Plans Submitted: Yes ❑ No ❑ FIXTURES ((JJ Z N Z x ?•, i J V) o Z r W O CJ W w s J Wt C1 h Z G 2 w a N N S 1 n z_ �� a R Z W o w N (n x Q ~ w n x a cr u 2 to W � N It ' w N p 2 J = p a. O 7 w z a i 3 0 )e z ' )e a o r < a W u, x �l r V F O S A -) W F- Z o O � Z W O U rt r a < z (A W < '� O < J J < ¢ a a a C < F� 1 P 3 x J as rn ra o J 3 � r- N a o mi .0 a 3 cc a) 3 � � 3 � SUET-BSMT. _ — — BASEMENT v 1ST FLOOR 2ND FLOOR L. 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 1 f 8TH FLOOR Installing Company Name fie ritage Htg. &Plg. Co. Inc. Check one: Certificate Address IC n1 --ant Street CX Corporation 714 Stoneham, Ma 02180 F] Partnership Business Telephone___78l -438-7776-- F] Firm/Co. _ Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes N No ❑ If you have checked.yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy f-N Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVErt: 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: Owner O Agent❑ 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 Plumbing Code and Chapter 142 thetGeneral Laws. By —----- --- ---- Sig-natuie o licensoc I'uni of Title __.___ --------- - Type of Liconse: Master tX Journeyman❑ City/Town - APPnovE0�OTF-ICE 07 E ONLY) License Number_—II__-3.2 2 2__—__ BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE _19 PLUMBING INSPECTOR