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Home My WebLink AboutMiscellaneous - 50 MARTIN AVENUE 4/30/2018 5o narrw BuILDING FILE LA-,�-�-+9• -,fro Ho � k e�. Date... ..... . ,ORTH 3� TOWN OF NORTH ANDOVER p 9 { - ,PERMIT FOR GAS INSTALLATION SACMUSES r This certifies that has permission for gas installation .- . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . a at . .S. 4 . At�(r%-t. . . . . . . . . . . . . .4�1 North/Andover/, Mass. p Fee.lon . . Lic. No.e� .Y . . . . . . � . . . . GAS INSPECTOR Check# "r Y I S 7979 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: WATlk 6►..0MAr MA. DATE: PERMIT# JOBSITE ADDRESS:_5-6 OWNER'S NAME: S LAIT- GOWNER ADDRESS: TEL: FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL[� PRINT CLEARLY NEW:EV RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCES? FLOOR Bsmtg1l 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE 1 have a current liabili insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES 9 NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY ( OTHER TYPE 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 El ❑ SIGNATURE OF OWNER OR AGENT 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 applicationwill be in mp nce with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BERIGASFITTERNAME. STEPHEN C. GALINSKY LICENSE# I034'6 SIGNA COMPANYNAME: QAL4S3K%1 PLUMAIOJ , + 14C*t11 & ADDRESS: P.O- WX 1701 CITY: aAVE-izHILL- STATE: m•A• ZIP: 01831 FAX: q78- 521-4131 TEL: 978-37y- 1783 CELL: 5,0,4 - S0 - 5goq EMAIL: www. mrpfumberry� MASTER[� JOURNEYMAN❑ LP INSTALLER❑ CORPORATION/# 314G PARTNERSHIP❑# LLC❑# ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE; $ PERMIT# PLAN REVIEW NOTES 9242 Date. 1:. 15:.a� O`R°T•�"o TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,SSACMUS� This certifies that 1_ V.�r n( i h�.•. .. . (: ��c � has permission top erform . . . . . . . . . . . . . . . plumbing in the buildings of . 1�e. . . . . . . . . . . . . at. . . . . . �?. . !ti^✓�c�:c . . . . . . . , North Mdover, Mass. a FeeS�U:�. . .Lic. No.tw. . .L. . . >. �. . . . PLUMBING INSPECTOR Check # MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY "(3WT-16 ftr*�10Ar MA. DATE 12 - 2s=L PERMIT JOBSITE ADDRESS_ J�0 YY� 1Bn„'S't,i`-1 OWNER'S NAME S C_ _At k O CA36� POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT NEW: RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑ CLEARLY FIXTURES 1 FLOOR- MBSMT 1 2 3 4 5 6 1 8 9 10 11 12 13 t4 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK 1 LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER j =F=P INSURANCE COVERAGE: I have a current liability insurance 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 LIABILITY INSURANCE POLICY ID/. OTHER TYPE OF INDEMNITY ❑ BOND ❑ 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 BOX ONLY: OWNER E] AGENT ❑ Signature of Owner or Owner's Agent 1 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 Cha ter 14 of General Laws. PLUMBERNAME STEPAC0. C_ GALIr SKY SIGNATURE LIC# 10314S MP Q' JP❑ CORPORATION [4# 3 19(- PARTNERSHIP ❑# LLC ❑# COMPANY NAME 6A W"K—y PLIJ MOI)U b *- RVA T'IO G ADDRESS: P.D. Gc x 17 01 CITY HAVCRRILL STATE M-A- ZI_P 01%31 EMAIL Www. mrp1QMbe%)t RQ1 , c,om TEL g7$`37y- j,?q 3 CELL SOB-509-59OH FAX g7$-5A1-1113( ROUGH PLUNIBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN RE,VIEW NO'T'ES 0251 Date... .......?-.G...... TOWN OF NORTH ANDOVER 6 0 PERMIT FOR WIRING US This certifies that 7 has permission to perform .... ........ ...... wiring in the building of.........;5�7r....... ........ ......... .A......................... ,Northdove S. FqK3�.��. Lic.NobP1921, . . . ..... ...... . .......................... NSPECTOR Check it Commonwealth of Afassachusetts =No. Use Only Department of Fire Services BOARD OF FERE PREVENTION REGULATIONS heckedk ' APPLICATION FOR PERMIT 'TO PERFORMee All work to be performed in accordance with the Massach Code E�E�TRl�� ®R� (PLF.4SEPMTJZVAKOR TYPE AUINFORWTIOA9 Date: (P�527 CMR i2.00 City or Town of: NORTH ANDOVER 6 `l/ BY this application the unde To the Inspector of I%Pires: rsigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) rJ Owner or Tenant -- Owner's Address 'a G `� ti Telephone No. Is this permit in conjunction with a buiIdin ' � —_ Purpose of Building -Coo' pmt' Yes No L_ (Check Appropriate Box) /c/.c-r' Utility Authorization No. Ex6dug Service s JOZ � �2 %Z �A ____ _____Volts Overhead ❑ Und d New Service �j6 ❑ No,of Meters _____ Amps /1 /2C' Volts Overhead Number of Feeders and.Ampacity Undgrd❑ No,of Meters -z- Location and Nature of Proposed Electrical Work: No.of Recessed Linaires P. Com lesion of the ollowin table m be waived by the Ins ector of Wire um No.of CeiL-Susp.(Paddle)Fans 0.0 , To No,of Lumio Transformers sere O 1� rmers �it...t5 N.�, _>_��.ot�-'�il as KVA ry `b Swimming Pool . odve (� �- o. No.of Oil Burners o mergency rg No.of Receptacle Outlets nd' BatEe IInits No.of Switches FM ALARMS No:of Zones No.of Gas Burners o..o etec 'on and No.of Ranges Total Initia ' � Devices No.of Air Condi. No.of Waste Disposers t p amber Tons ns No.of Alerting Devices o.of elf11 ontained No.of Dishwashers Deteetion%Ale Devices Space/Area Heating KWLID wnicipal No.of Dryers Heating AppliancesConnection ❑ Othero.of Water KW Security Systems:* Heaters, efl� KW o.of o.of - No.of Devices or E uivalent Si s BestsData Wiring; N°•Hydromassage Bathtubs No.of Devices or E uivalent a No.of Motors Total 1E[P Telecommunications Wirin OTHER g; No.of Devices or E urvalent g: Estimated Value of Electrical Work: Attach additional detail if desiree4 or as re (When required by municipal policy) quzred by the Inspector of Wires 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 n. the licensee.provides proof of liability' cludin undersigned certifies that such covers g no operation"coverage or its substantial equivalent unless m force,and hasexhibited proof of same to the permit is CHECK ONE: INSURANCE BOND ❑ OTHER (Speczf3suing office. I certify,under the pains and penalties ofPer%ur1' ') FIRM NA ; , ,that the inf MEormation on dais application is true and complete 41 Licensee: P Sigaatur LIC. (If app' e,a t•� the a number ' LIC.N 1 O Address: � 7ie� *Per M.G.L _ Bus.Tel.No.: d2/�y SU s.57-61,security work requires r �� Tel.No.: OWNER'S DePartinen .�� WNER S Public IN SURANCE WAIVER; afety S License. I am aware that the Li ensu does not have the liabilityLic.No. required by law. By my signature below,I hereby waive this coverage normally Owner/Agent requirement I am the(check one)p owner Signature owners agent Telephone No. PERMTT S,� ELECTRICAL PERMIT NO. INSPECTION REPORT: ELECTRICAL INSPECTOR-DOUG SMALL 1.ROUGH INSPECTION: Passed-[ J Failed-[ ] Re-inspection required($50.00)-[ J Inspectors'comments: (Inspectors'Signature-no initials) Date 2.FINAL IN PECTION: Passed- Failed-[ J Re-inspection required($50.00)-[ j .Inspectors'comments: (Inspectors'Signature-no ini ' ls) Date 3.UNDER GROUND INSPECTION: Passed-[ J Failed-[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) Date 4.INSPECTION-SERVICE: DATE CALLED NATIONAL GRID: NAI R: Passed-[ ] Failed-[ J Re-inspection required($50.00)-[ ]- Inspectors' comments: (Inspectors'Signature-no initials) Date 5.INSPECTION-OTHER: Passed-[ ] Failed-[ ] Re-inspection required($50.00)-[ ] Inspectors'comments: (Inspectors'Signature-no initials) Date DOOR TAGS ARE TO BE FILLED OUT AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT ACCESSIBLE AND A RE-INSPECTION OF$50.00 IS TO BE CHARGED. Date.........................Gf ......... VAORT11 0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING 'S C US This certifies that .............................................. has permission to perform ..........................40 wiring in the building of... ....... at.... .......ef/# 17......... North Andover,Mass.. Fee ...... Lic.No..I",?.�.............. ELEcrRicAL NSPE&Ok Check # .'I?- 11. 0666 ' Commonwealth of m'assachuSetts ofs use only t?epartteat of dire Services �ermitNo.--�G BOARD OF FIRE PREVENTION REGULATIONS 0 — Foccupancy Fee v, 1/D eave blank APPLICATION FOR.PERMIT TO PERFORM All work to be perfarraed in accordance with the Massachusetts Electrical ELECTRICAL ORIS (PLEASE P=TA RK OR TYPE ALL B&ORW.?'10 ��sz7 CMR 12.(10 NORM ANDovER Dade. _ ��>r.�own of. By flus application the undei signed gives notice of hip or her iatcntinn to TO the Inspector o f Wines: Location(Sheet&Number) perfotm the electrical'work described below. Owner or Tenant Owner's,Address - Telephone No.. Is this permit in conJancdon rvlth a'building.permit? Purpose ofB �, Yes Ly' zvo L� (Check Appropriate Boat) Utility Authorization No. _ Ealsding Service S - '� /_57/ / Volts Overhead Q Undgrd Q Na.of Meters New 5 ce ,& Amps L e1 Volts (Overhead n x Number of Feeders and:Ampacitg Undgrd No.of Meters Location and Nature of Proposed Electrical Work: Co letion o the ollowin-table be watwd bythe ' No.of Recessed Luminaires No.of Cell.-,3aiep.Taddle)Fans 0.0 o ctor o �irns Pio.of Lu diva3re Outiein f:v Transformers FlVA Nos .fes t�'vl:. i. . ," :.R,.::...k,•as Sing fool Aba;+e .13 ' o.o mergency . No.of Receptacle Outlets .d. ❑ Units eP No.of 031 Bunters No,of Switches PIRE ALARMS No:of Zones ' No.of Cas Burners o..o and No.of Ranges Devices . No.of Air Coad.. °ta • Taus o.of Alerting Devic No.of Waste Disposers t � - x one ' Totals: o.o On -"� No.of Dishwashers .•�.'�_ lOeteetlon/ Devices" • Space/Area Heating,SW Y' No.of Dryers ISI Q Conn tion Q 06, ry Heating Appliances �ys No-.o stet XW O.o o. ICVG� No of De�a or E uivaIent Heaters S s Ballasts, Data Wig; No.Hydromassage Bathtubs No.of Devices or E ttivaIant No.of Motors Total gp econun ca ons OTHER: No.of Devices or t Estimated Value of Electrical Work: on detail if desireg or as required by the Inspector of ll�ire„� Mork to Stare -/y/i� (When required by municipal policy Inspections to be requested in accordance with MEC Rule 10 and upw E%tr ANCE COVERAGE: Unless waived by the owner,no p�for the rm may issue the Iicansee"grovides proof of liability insurance inclu�dia � performance of electrical work may ssue unless g completed operation"coverage or its substantial equivalent The undarsigaed certifies that such coverage. ' e,'alyd-Inas exhibited proof of same to the permit issuing office.' . CHECK ONE: INSURANCE Q O1'HEIZ Q (SPec ) I carni}',under the pains and peneltdea of perpay,that the ' or non this .t�ttU NAAM: . �" C'r applicar6on rs trrce rxnd cvmpleta e., Licensee: ' m "' LIG NO. (1)"applicable, enSignature �,,xr 'exempt"to the 1 ense number line.} LIC.NO Address: Bus.Tel.No.: "`Per IvI,G.L c. I47,s.57,61:_11 ecurity work requires ►epart Public Safety"S"License: Ak Lied.Na' OWNER'S INSURANCE AVER: I am aware that the Licensee does not have the Iiab' required by law. By my signature below,I Here waive �''mmrance coverage normally Owner/Agent by this rluirement I am the(check one owner Q owner's ageaL SignatureTelephone No. PERMIT FEE:,$ ELECTRICAL PERMIT NO, INSPECTION REPORT: ELECTRICAL INSPECTOR-DOUG SMALL 1:ROUGH INSPECTION: Passed- - Failed- ] Reins tion r aired(550.00)- Inspectors'-comments: ; (Lis ectors' 0 inftiala) Date 2.FINAL INSPECTION: Passed- Failed-j _ Re-ins an • ofred($50.00,)-j ] L Inspectors'comments• , as tors'Si she � o inftials} Date 3.UNDER GROUND INSPECTION: - Passed-E Failed-j- l - Re-inspection required($50,00) Inspectors'comments: (Ins tors' stare no initials) -- - Date 4.INSPECTION-SERVICE: _ DATE CALLED NATIONAL GRID: NAMEr Passed-lassed-bd Faded n[ Re- huspectfon required(550.00) Inspectors'comments: _ t, (inspectors'Signature-no initials) ,Date•- S.INSPECTION OMR: Passed-j l Failed-I Re-ins ectfon required($50.00) j Inspectors'commientsi ' (nsp�tprs'Signature-no lnitlals) . � Date DOOR TAGS ARE TO BE j"O AND LEFT ON SITE IF''THE AREA,TO MINSPECTED IS NOT ACCESSIBLE ANDA.RE-INSPECTION OF 550.00 IS Tn R�tyre rtr -i,► --