HomeMy WebLinkAboutMiscellaneous - 50 BLUEBERRY HILL LANE 4/30/2018 / 50 BLUEBERRY HILL LANE
J 210/098.C-0088-0000.0
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"oRTM TOWN OF NORTH ANDOVER
�? ��_�`` •OCL
PERMIT FOR PLUMBING.
SS/1CMUSE�
This certifies that C!t. t""c?',E/Xit- �'*
ell
has permission to perform . .. . . . . . . . .. .
a .
plumbing in the buildings of . . . . . . ..: . . . -. . . . . . . . . . . . . . . . . . . . . .
at . . 07�"_.4
` r . . orth Andover, Mass.
0
. . Lica No . . . . u'. .1 �N. . . . . . . . . .
ar PLI.[SBiNG INSPECTOR
Check # ����
7824
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
ass. Date Permit #
Building LocatioQ�� l�) ' b7vner's Name_ F
Type of Occupancy Residential
New ❑ Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑
FIXTURES
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SUB-BSMT.
BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR rr
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR i71
Installing Company Name Heritage Htg. &Plg. Co. Inc. Check one: Certificate
s
Address 35 P.Ieasant Street IX Corporation 714
Stoneham, Ma 02180 C7 partnership
Business Telephone 781--438-7776 F1 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 91 No ❑
If you have checked Yes. please indicate the type coverage by checking the appropriate box.
A liability insurance policy I 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:
Owner ❑ Agent El
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 of the en4al Laws.
By
Si ature o icense umber
Title
City/Town
Type of License: Master Journeyman❑
APPROVED(OFFICE USE ONLY) License Number 8322
%Z" Watts 9D bfp on water line to water boiler— PD
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
Date............. . .................
y NORTI�
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
��SS�cMusE�
This certifies that ........................... ......................
has permission toperform-1.......u-iz-t . / �
wiring in the building of ................................[ . ....i. �1 ! ..J........
at.:� / �� ?�!t!1 ^' j .A./f,-North Andover,Mass.
Fed !.0... Lic.No/0-21t......... ;/�,. f:.. /f/�/�/,�J,C,;
ELECTRICAL INSPECTOR `
y
Check /� v
56L0
Commonwealth of Massac Permit No. J06v usetts Official Use Only
. Department of Fire Se ices r j
t, Occupancy and Fee Checked —�
BOARD OF FIRE PREVENTION EGULATIONS [Rev. 11/99] leave blank
APPLICATION FOR PER T TO PERFORM ELECTRICAL WORK
All work to be performed Oaccordance ith the Massachusetts Electrical Code(MEC) 27 CMR 1 00
(PLEASE PRINT IN INK OR T P. LL ZN O ATION) Date: o�
City or Town of: d h r7 L) r- To the Inspector of Wires:
By this application the undersigned gives nRJ,of 7sr her intention to perform the electrical work described below.
Location(Street&Number) t L
r
Owner or Tenant ' S Telephone No.
Owner's Address V _
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of BuildingUtility Authorization No.
Existing Service Amps 1 Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps f Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Completion of the folloi44ng table may be waived by the Inspector of Wires.
No.of Recessed Fixtures No.of Ceil:Susp.(Paddle)Fans No. of Total
Transformers KVA
No.of Lighting Outlets No.of Hot Tubs Generators KVA
No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ o.of Emergency Lightmg
rnd. rnd. Battery Units
No. of Receptacle Outlets No.of Oil Burners 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. Tonal No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons I KW No.of Self-Contained
Tot: IDetection./Alerting Devices
No. of Dishwashers Space/Area Heating KW Municipal ❑ Other
ection
No.of Dryers Heating Appliances KW ---5curity Systems:
or Equivalent
No.o Water No.of No. of
Heaters KW
Signs Ballasts Data Wiring:
No.of Devices or E uivalent
No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or E uivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
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 theP ermit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ S eci
( P fY)
(Expiration Date)
Estimated Value of Electrical Work:
(When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains andpenalties ofperjury,that the information on this application is true and complete.
FIRM NAME: / Cit?/T) LIC.NO.:_/S"&XC
Licensee: ignature L Z Sc
II IC.N 7
O. Cp vac
of applicable, enter "exem t"in the lic nse number lin ) . Bus.Tel.NO. Q7 X37GS/��
Address: i / 7 Alt.Tel.No.:
i OWNER'S INSURANCE WAIVER: I am aware that the icens does not have the liability insurance coverage normally
required by law. By.my signature below, I hereby waive this requirement. I am the
, Q (check one)❑ owner
Owner/Agent ❑ owners agent.
Signature Telephone No. PERMIT FEE. S
Date.. . .
L
NORTH
OF 14,
TOWN OF NORTH ANDOVER
O D
• - PERMIT FOR GAS INSTALLATION
y
SACNUSESt
This certifies that . . . .O.0 A, Pd-
has permission for gas installation . .0. . Y/r:e Pl�.�`4 . . . . . . .
in the buildings of . . . ��/ �? �`. . . .`. . . . . . . . . . . . . . . .
at .., 0. . .X31 p /. . ?. N ., North A dover, Mass.
Fee. . . -.J Lic. No.k�VO.t—. . �/: �l02't /�. . . �
- . .. . . . t
t, GAS INSPECTOR
Check#
454c�
MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING
(Type or print) Date /�L _ _ 03
NORTH ANDOVER,�,MAS/SACHUS,E] rSI /
Building Locations _�b /71f��de�/Y�� N 1 I1 L i 1 : Permit#
Amount$ 3S.
Owner's Name le 1< l J
New Renovation ❑ Replacement ❑ Plans Submitted ❑ I�
L10AS F'ir �j c�
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94 F e a V? F W W
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Pik 0 Q
SUB-BASEMENT
BA SEM ENT
1ST. FLOOR
2ND. FLOOR
3RD. FLOOR
4TH. FLOOR
5TH. FLOOR
6TH. FLOOR
7TH . FLOOR
8TH . FLOOR
(Print or ) C ec ne: Certificate Installing Company
Name V.A l a /),3 rh -v a Iry I'velJtl C. Corp.
Address - �Vd n S 2t TUA)g s b ry .44.9 OI87,9❑ partner.
Business Telephone +apo ❑ Finn/Co.
Name of Licensed Plumber or Gas Fitter t Cy ris"t ke Y
INSURANCE COVERAGE Check one
,f have a current liability Insurance policy or it's substantial equivalent. Yes No❑
Ifyou have checked Y,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 ❑
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 1VMassachuse State Gas Code and Cha ter 142 of the General Laws.
Bye ,-Signature of Licensed Plumber Or Gas Fitter
Title lumber
City/Town ❑ Gas Fitter License Number
Master
APPROVED(OFFICE USE ONLY) ❑ Journeyman