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Home My WebLink AboutMiscellaneous - 48 Kingston Street (4) I I Iii _ i II �� a Date�. .. ......... NORTH " °f<�``°;•�'"° TOWN OF NORTH ANDOVER p PERMIT FOR WIRING c +O�+T•°•�� ,SSACMUSE� This certifies that .v G . .......... ........................... .................................................... r has permission to perform .. � ��tff�l t.... .................. ............................ h U✓t wiring in the building of....�.. .... .... '...r .............................................. at.................'�`/,-/-/-L.'t.......A.I K Ys'^'--. ............... .North Andover,Mass. ......... ................... , n Fee...�a......�.. Lic.No. /P 3.. �n ELECTRICAL INSPECTOR Check # 7200 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (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: a-7,02 City or Town of. NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives iotice of hiss or h-er,intention ^t�o-perform the electrical work described below. Location(Street& Number Owner or Tenant lA A Telephone No.q 7X,-327-i ,-3 -1 t Z� Owner's AddressAn Is this permit in conjunction 4h a b ding permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location,and Natu�reoA Proposed Electr' al Work:` '2A4 Completion of the following 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. o mergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets l �' No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches t No.of Gas Burners No.of Detection and Initiating Devices r No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons KW No.of Waste Disposers / ea Totals um er ons No.of Self-Contained Detection/Alerting Devices v No. of Dishwashers t{' Space/Area Heating KW Local❑ Connie pioln F1 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: �""��,,,��,, Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (X�y0 <cq) (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 1 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 Dail s and penalties of perjury,that the informal non this application is true and complete. FIRM NAME: LIC. NO.: Licensee: Signature LIC. NO.: [o),) (If applicable, Ater "exemp "i the lic Tse number li .) Bus.Tel. No.' I Address: aA" Alt.Tel. No.' *Security Syste C actor Licens equired for th's work; if app l cable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the License 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 Signature Telephone No. PERMIT FEE. $ f%�, LTD �u Date. . . . ,aORTM °f o� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION �9SSACHU5Et This certifies that . . . . .. .. . . . . . ...`. . . . . . . . . . . . . . . . . . . . . has permission for gas installatioq_ �,. ! . . . . . . . . . . . . . . s in the buildings of . . . : p�- Y. -!. . . . . . . . . . . . . . . . . . . . . . . at . . � '.E, --�`� -I . . , North-.Andover, Mass. Fee-- ' ? Li/No./�'�'(G,2. ...:.. fr !{ . . . . . . . . INSPECTOR Check# 5891 MASSACHUSETTS UNIFORM APPUCATON FOR PERNIlT TO DO GAS FITTING (Type or print) Date 07 NORTH ANDOVER MASSACHU ETTS Building Locations �I kiln" il 1.�� Permit# a � ) Owner's Name Amount$ ja(3 � New D Renovation .f Replacement D Plans Submitted D z a �; H a w w w p U a .a cc H F w a o Z °o w F x C7 w ¢ x w F. v� n. a > C7 H z F= z �� F w U O > O FW- w a Fn, w w > w z d z e Q O O w x O w F rx x O x A 3 A c7 a U SU B -BA SEM ENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) Check one: Certificate Installing Company Name G/" Corp. Address Partner. Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter -� L INSURANCE COVERAGE Check o : I have a current liability Insurance policy or it's substantial equivalent. Yes No 13 r If you have checked ves,please i dicate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity D Bond 0 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 13 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Qas Code andCpptej, 2 of the General Laws. By, ^ignature of LicensedPlu b r Or as Fitter Title PlumberZ City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) [:3 Journeyman Date!. . 9 „ORTq TOWN OF NORTH ANDOVER O�t( 1ti l Sri� •� �• OL PERMIT FOR PLUMBING 41, ,SSACMUS� / This certifies that . `. . . .". . .. . . . . . . . . . . . . . . . . has permission to perform ..,f'=Y;' ' -".'. . . . . . . . . . . . . . . . . . plumbing in the buildings of . . .// '�` �'"�. . . . . . . . . . . . . . . . . . 7 r79 .- � ^!�. . . . . . . , North Andover, Mass. Fee. . . . Lic. No.w�1G�. . / : . . . . . . . . . . . . . . PLU�INSPECTOR Check # 7263 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ,/J,�jDate Building Location ,`��J a Owners Name '�/ CJ Permit# r pe Amount t�4. Type of Occupancy New Renovation Replacement Plans Submitted Yes ElNo FIXTURES CA Cr SLBBM B&141 V9 { lS�FLDIIt � �' 2M FiDQt 3M FIDIR 4M Fl" 5Hi ROCR I 6IH FID(R 7IH F100R SIB FWM ## I E I I (Print or type) 7�; Check one: Certificate Installing Company Name `� ' � Corp. Address �rnEl Partner. 14A eu :Z0 Business Telephone — Firm/Co. Name of Licensed Plumber. Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box: Liability insurance policy 0 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 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachus lumbi d Chapter 142 of the General Laws. By: igna tcens er Type of Plumbing License Title City/Town License Namner Master Journeyman ❑ APPROVED(OFFICE USE ONLY OmMONWEALTH OF MASSACHUSETTS IN PLUMBERS. AND GASFITTERS , 4 LICENSED ouATAW" rd' UMBER STEVE. H TAN �3 ELLINGTON RD 4 QUINCY MA 02170-1905 y is I