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HomeMy WebLinkAboutMiscellaneous - 50 MAYFLOWER DRIVE 4/30/2018 BUILDING FILE { Page 1 of 1 w i Date:May 12,2016 20109 This is an e-permit.To learn more,scan this barcode or visit northandoverma.viewpointcloud.comt#lrecords/20109 '' • TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING 0� This certifies that Stephen C Galinskv has permission to perform Plumbing of basement bathroom plumbing in the buildings of GONUGUNTLA.KRISHNA at 50 MAYFLOWER DRIVE,North Andover,Mass. Lic.No.3196 hto://nort ordmerma.viewpoiritcloud.comAWrecords/20109/40077 May 12,2016 a r F - C LD httss//rgrtliar&verma.viewpolntcloud.com/#;/records/2010U q -------------- ----- — - -- — Town of North Andover,MA R Search . - 20109 *Plumbing Permit-Renovation/Alteration/Addition Fixtures and/or Appliances(Commercial or Residential) TIMEUNE Submission received Your request is in progress Apr 27,2016 at 17:7 7 am We'll let you know of any updates via email.Feel free to check the status at any time by coming back to this page. Plumbing Review Review by departmental staff .. . Permit fee pay mens Permit issuance T� - Document 7Q �P G4 Applicam, Locatlon Stephen Galinsky 50 MAYFLOWER DRIVE,NORTH ANDOVER,MA O:vner GONUGUNTIA KP.ISHNA Attachments -OT6EGK1001F Wed Apr 27-2016-15:15:.PDF Upicm'e,Asnl--7,'(i:6 Ea SLe:lien GaLns'.,; ...__...... ... ... ...._.__..... .___.._. _._._.._---- _ ._...._._................ _ ._.._ ._..... ...... ....._.._._. _ .__... . ....... .......... ...__..._..... ---__ ..__.._.._........_....__.. _.._._.......__.' Wednesday,Apr 27,2016 11:16 AM i ;I I IF tji IUtkn P *120109- X r 4- htos//)a-d)aldoverma.vlewpointcloud.com/#,/records/20109/39536 4 ? Town of North Andover,MA Q Search Q- 20109 *Plumbing Permit-Renovation/Alteration/Addition fixtures and/or Appliances(Commercial or Residential) TIMELINE Submission received Apr 27,2016 at 11:11 am Permit Fee Plumbing Review Minimum single family price futures/appliances 525.00 Review by departmental staff __ .. ..... ... ... _. ... Total per fhawre/appliances price $22.00 0�J permit Fee _ payr,eir Total Fee Amount: $47.00 Permit Issuance DO'Urnert Conversation Say somethings tzhi: i i jr 1�+. x (,r} U 16 AM L�✓ �f.� i LO. i - "f 1�q 412712016" i Wednesday,Apr 27,2016 11:16 AM 10039 Date . .7. - a1-.(3 . TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . . . , .�qSk�� . . . . . . . . . . . . . . r has permission to perform . . . .r . . . . . . . . . . . . . plumbing in the buildings of. . . at . . .� . . . . . . . . . North A /doves, Mass. Fee S-7v.u9 . Lic. No.\0)14 . . 0 614 /, .... . . . PLUMBING INSPECTOR Check# I MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK ` CITY Oro" MA. DATE PERMIT# JOBSITE ADDRESS V IM &UCR.da OWNER'S NAME ©L& UY�y�_ POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL' PRINT NEW:OD RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑ CLEARLY FIXTURES 7 FLOOR— BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE / DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIL/SAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ° ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET 2 URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: 1 have a current liabili insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes MNo❑ IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY X 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 BOX ONLY: OWNER ❑ AGENT ❑ Signature,of Owner or Owner's 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 germit issued for this application will be in compliance withVI Pertinent provision of the Massachusetts State Plumbing Code and Chapt r oft a General Laws. PLUMBER NAME STEPA60 G- GALINSKY SIGNATURE LIC# I031tS MP g' JP❑ CORPORATION X# .319 b PARTNERSHIP ❑# LLC [-I# COMPANYNAME_ 661A35KY PLUMOIA1b *- RVAT1OG ADDRESS: p.0. GGX 17191 CITY N>4VERI+i1.1. STATE Im-A• ZIP 01%31 EMAIL Www. rnrplvrAbefjWl, c,om TEL COY-37+1- 174 3 CELL .50B-a0q-Sg0i4 FAX q'7$- v21-141 ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ Cyt t�N 1(3 FEE: $ PERMIT# ~ PLAN REVIEW NOTES i Date . `? .' A �'� �? TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that . . .S'f . .¢• . . .47.°t w• has permission for gas installation . . . .r-A e.�.�t. . � .v ,, . .• . in the buildings of. . �1,�,, . . c k . . . . . . at . . . . . . .'5.0 . . ��..�. �.�:, .f 7 . . ,North Andover, Mass. Fee r )D. Lic. No. . j F,l - . . . . . GAS INSPECTOR J"- Check# 8773 MASSACHUSETTS UNIFORM AOPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: ,t)da MA. DATE: PERMIT# JOBSITE ADDRESS: 1 L -/ ��) OWNER'S NAME: GOWNER ADDRESS: TEL: FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL N PRINT CLEARLY NEW:K ENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCES? FLOOR- Bsmt 1 2 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 I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY [if 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 ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted(or entered)regarding this application are true a accurate to the best of my Knowledge and that all plumbing work and installations performed under the permit issued for this application wi b co Iia ce with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER/GAS FITTER NAME:- STEPHEN C G A'L I NS KY LICENSE# 103q,6 SIGN COMPANYNAME: ULI1S3K14 PLVrAAl (, t M(F4t-(iJ& ADDRESS: P.O. PSOX 17o1 CITY: aAVEP H I LL STATE: 1'n-A- ZIP: 011231 FAX: '17$- 521-14131 TEL: 97$-37y- 1743 CELL: 5'04- Soni- 5gOk EMAIL: W vV W. Mr f v�h o� m MASTERR( JOURNEYMAN❑ LP INSTALLER❑ CORPORATION/k-319(. PARTNERSHIP[:]# LLC❑# I 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 I 00, `7 f _��. Date.......... �10RT1� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..................5,.... . ...1...x... ............. T� y� .............G............... has permission to perform ..............l...v C�SL" . ......................................................... wiring in the building of...........k'e. .. -?' .........- ' ..C-...................... vlt.......Q .......................North Andover,Mass. Fee.�7d^..Lic.No. . . ...1.. -- .1�.............. ..................... ............�. .................. ELECTRICAL INSPECTOR Check# �S 3�'9 [!v'' Commonwealth of Massachusetts Official Use only Permit No. It 7® MO Department of Fire Services ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 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 INFORM4 TION) Date: `-�• Q City or Town of: TO To the In pec or'of Wires: By this application the undersigned gives notice of his ori"er intention to perfo7.0 e electrical work described below. Location(Street& Number) �U�L°/� Owner or Tenant e— " Telephone N Owner's Address itlk &XA&Age6 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Buildings//� � t�/YI/�� h'j(� Utility Authorization No. Existing Service Amps / Volts Overhead ❑ _. Undgrd­-❑ No. of Meters New Service C2 60 Amps &Q /a d Volts Overhead ❑ Undgrd R] No.of Meters �°( 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion ofthefollowing table ma be waived by the Ins eetor of Wires. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans o.of Total Transformers KVA " No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- ❑ o. o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners RK.—oTBetection an Total Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers eat Pump um er onso. oSelf-Contained Totals: '""'"""'"'' "' Detection/Alerting Devices No.of Dishwashers Space/Ares Heating KW Local EJMunicipal ElOther Connection No.of Dryers Heating Appliances KW eclYotof Devices 's or Equivalent if o.o Heaters KW ater o.o o.o Data Wiring:11 1 Signs Ballasts No.of Devices or Equivalent oto. Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: 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: Inspections to be requested in accordance ce 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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpena/ties ofperjury,that the Information on this application Is true and complete. FIRM NAME: LIC. N©. ,A1 1983 Licensee: ° k T.OLTTS C'ONTTNO .Signature 7. LIC. NO.- F287819 (If app/lcable,enter "exempt"in the license number line.) Address: � Bus.Tel. No.:g?£1=..3�i3-5 4�0 nnn7nvAN nu W____rn A7PTUAM17DV 1;~--01485 Alt.Tel. No.: *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)❑ ower ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ i i � � i /z S"' � �J �� Gl �" a y — i7�i3 � �� i Mi .< y ' Date,y//?/(S . . . . . TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ' . e This certifies that . . . . X . . , . . . . . . . . . . . . . . . . . has permission for gas installation . . . .... . . . . . . . . . . . .&?j. . . . . . . . in the buildings of. . . �. . y1�[. '!l , ,��✓L E at • • • •%�.�.�e '�-!. . . . . . . . . . . . . . . . . . . . .North Andover; Mass. Fee . Lic. No.,l. .? . . . . . . . % � w . . GAS INSPECTOR Check# �/ S 8 8 66 � � MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: NORTH ANDOVER MA. DATE: 08/13/2013 PERMIT# JOBSITE ADDRESS: 50 MAYFLOWER DR LOT#7 OWNER'S NAME: KEYLIME BUILDERS GOWNER ADDRESS: TEL: 978-683-3163 FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL ❑ EDUCATIONAL ❑ RESIDENTIAL l� PRINT CLEARLY NEW: RENOVATION: ❑ REPLACEMENT: ❑ PLANS SUBMITTED:YES ❑NO APPLIANCES FLOOR Bsmt 1 2 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 IPmRARED HEATER LABORATORY COCK MAXEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES P-1 NO ❑ If you have checked YES,please indicate the type of coverage by checking the appropriate box below. LIABILITY INSURANCE POLICY Q 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 ❑AGENT ❑ SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted(or entered)regarding this permit application is true and accurate to the best of my Knowledge. I certify that all plumbing work and installations performed under the permit issued,will be in compliance with all Pertinent provisions of the Massachusetts Uniform State Plumbing Code,and Chapter 142 of the General Laws. PLU MBER/GAS FITTER NAME,/V/%C�Ai9fL C�'�f_SE�v LICENSE#-9-3-3- SIGNATURE COMPANY NAME:OSTERMAN PROPANE LLC ADDRESS: 321A Merrimack St CITY: Methuen STATE: MA ZIP. 01844 FAX:978-738-0118 1 TEL: 800-368-9956 CELL: EMAIL: INFO(_OSTERMANGAS.COM 1�1 MASTER 0 JOURNEYMAN ❑LP INSTALLER ORPORATION ❑# PARTNERSHIP ❑# LLC 0#45-326-3311 i G���� �� � ��� u Date... ... ........ ............. .0 4, TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... .......-n. .........a t,�..................... has permission to perform ...�.=........�4 ....... ................ wiring in the building of........ ............................................. at..'4........ ................. ......�.. North Andover,Mass. Fee� . Lic.No/ ELECTRICAL INS X E Check # 8203 Commonwealth of Massachusetts Official tise Only Department of Fire Services Permit No, BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked-! Rev. 1/071 (lease blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ml work to be performed in accordance with the Massachusetts Electrical Code(MEC),327 0411 1100 (PLEASIs'PRINT IN INK OR TYPE ALL INFORIVA71ON) Date: City or Town of: NORTH ANDOVER To the Inspectot•of Wires.- By this application the ttnder,,igned gives notice of his or her intention to perform the electrical workde-gibed below. Location (Street& Number) ./I/r. Owner or Tenant ' � Telephone Owner's Address �vi 1*2 Is this permit in conjunction with a building permit? Yes ❑ No �'(Check kppropriate Box) Purpose of Building ,.r ,���, C;tility Authorization No. �Z �99� Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 40!2�_ Amps TZl/ t2 � Volts Overhead❑ Undgrd Eq-- No. of deters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I— - Completion o •the follo- in table may he traived h•the Ins ector of Rises. No.of Recessed Luminaires No,of Ceil:Susp.(Paddle)Fans ' o.ofTotal Transformers KVA No.of Luminaire Outlets No. of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above ❑ n- ❑ o.o mergency Lighting r Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of etectron an Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers ea Plats ` um er ons t o.o e - ontatne Detection/Atertin Devices No.of Dishwashers Space/Area HeatingKW —STI-1 Local❑ Connection ❑ ether No.of Drvers Heating Appliances KW Security vstems: No.o •iter No.of Devices or Equivalent o.o Kms' °'° Data Wiring: Ileaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Wiring: OTHER: No.of Devices or Equivalent .attach additional detail if desired,or as required by the Inspector of fires. Estimated Value of Electrical Work: (When required by municipal policy.) A 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 undersigned certifies that such coverage is in fierce,and has exhibited proof of same to the permit issuing;office. CHECK ONE: INSURANCE OND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties ref perjury,that the information on this application is true and complete. FIRM (NAME: /, e -1 LIC. NO.: 9 33 Licensee: Signature yam, a LIC. NO.:A 9 9 3 3 NII yq,heuhlr. rrI ar "ex,empi m the liceense craniher hole..i /c '' I ,kddress: 5 t Bus.`I'�el.Na.: 4,r;7 - 2 i ce Alt.Tel. No.: *Per M-6 L c. 147.s. -h 1,security work requires Departm of Public Safety"S License: Lie No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee clues nt�have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. Iain the(check one owner ❑owner's agent. Owcilia~/ApollI _ 'l'eiephone. No. PERMIT FEE; S `j Lj