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Home My WebLink AboutMiscellaneous - 50 MILLPOND 4/30/2018 50 MILLPOND -_ - - - 210/095._=0 i �10RTF/ i OEt'J.ac 06q~O 0 Town of North Andover D.B.A. —Zoning Compliance Form 978-688-9545 ��SSgCHU t This form must be reviewed with the Inspector of Buildings. Office Hours are Monday-Friday 8-10 am,and 1-2 pm Monday-Thursday. ll t'�C��i/i VlL Applicant Name =��/ �(I 1q (>J t M4 V ) Name of Business: s i r4✓1 Addres's of Business: 1 gG A � Zoning District Map Lot �?-7 ZS 2� -AW e-5H .{-. Phone: fiti�� mail CTC �i`� VI P; C%I Gl C�✓Vtc� ✓1�c CGW1 CGtS l � ►�F� P 47asez- 410 F tibi I-4 V1 Le V�Q Vou'(k(<f Nature of Business: 6 s i f e A e S 1 Do you own this property? Yes 2 No If no, written permission is required from your landlord. Will you have clients coming to this property? Yes No Will you have any employees? Yes No Will you have any major deliveries? Yes No Description of Business Activity(Must be Completed) i, Signature of Applicant (, I---- For Signage Refer to North Andover Zoning Bylaw Section 6 The prop=isloe ' s zonin district. Issued Bate S 1 jcl 2.)� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTiNG (Print or Type) NORTH ANDOVER Mass. Date__,5!L building Location l ` �Gn Permit # 2 Z-,)-02 Owners Name J ' New Renovation D Replacement p Plans Submitted FIXTURES m r» v z x am W Q d U t– = = o nr a a o a z u � m W ul Fes- a cc W y 4 W ul W W X_ Q x a CC W cc sL r sa F• X e, cc O t-. ul � F• X {. F' y'. v) O z O 2 W O us ]C Z 4 W G a --. tri d Lt u. C W O 2 4 cC d .� O O W O W F- cr: z o cs r u. > ct a t•- o S118i-6S11T. BASEMERT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR EE STEL FLOOR 6TH FLOOR TTK FLOOR STH FLOOR ! ' (Print or Type) Check one: Certificate Installing Company Name _ Q Corp.____ Address _ Partner. Firrr/Co.- _ Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [M Other type of indemnity Q Bond Insuroce Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner F-] Agent I hcseby certify that all of the devils and information I have submitted(or entered)in above application are true and aeeusat to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application wilt-be-Irl comp' with ad pertinent provisions of the Idassachusetts Slate Gas Code and C]upler 142 of the Genual Lawa. .. By TYPE LICENSE: Plumber Title Gasfitter Signature o License City/Town: Master Plumb1.er r as 'tter Journeyman APPROVED (OFFICE USE ONLY) Li ense Number —'"�"C3k�.}�i+i ,��A�,�D.��S:+Yar'�•'y`�!.'^rq,(.v .. ....yd..ie�..c�.,.,��.�^'�y�ej�„�_..�^'.'."_rr..a�sY#y'.�,yv�+.�.4+r t Tia �,G ;N TQ 2259 i _ TOWN OF NORTH ANDOVER 02 "� `p PERMIT FOR GAS INSTALLATION Y } �9SSACHUSES y y This certifies that . . . /1� �. . . . . f?. . . . ";�.s�i . . . . . . has permission for gas installation : '' Uralr,• f.-c . . . . . . . . in the buildings of : .11.1 'l.(, .j�u Iq?v(t at . .s. . . ! .<.t'. ./?U.�t. . . . . . . N94 Andover, Mass. Fee. Lic. No.. . . . . . . . . , (18/13/ jj. GAS INSPECTOR WHITE:Applicant CANARY: 409 DMtD PINK:Treasurer GOLD:File G196nn� C (04t (Ism awadt4 Of A88finous w Office Use Only r� (� r Nt �,,,,�_Y. o Public Sae tv "x�"�""�"' f Safety Permit No. BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy b Fre Checked irvo deave blank) APPLICATION work PERMITto be pwimmixt ineTO PERFORwith the Manachusetts M ELECde, 527 CMRITRICAL WORK :00 E/,/-) /9 (PLEASE PRINT IN INK OR TYPE ALL IN TION) Date City or Town of To the Inspector of Wires) The undersigned applies for a permit to psrf r the shit r' work described below Location (Street 6 Number) zowl 2nld Owner or-Tenant Owner's Address Is this permit in conjunction with building Yes LJ No. (Check Appropriate Box) Purpose of Building - Utility Authorization No. Existing Service Mips Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work TOTAL No. of L ighling Outlets No.of Hot Tubs Ave in- No. of Transformers KVA No. of Lighting fixtures Swimming1:1ElPool end. end. Generators KVA No. of Emergency Lighting No. of Receptacle Owlets No. of Oil Burners Battery Units No. of Switch Outlets No.of Gas Burners FIRE ALARMS No. of Zones TotalNo. of Detection and No. of Ranges No.of Air Conditioners Tons Initiating Devices Heat Total Tour- No. of Sounding Devices No. of Dislxnals No. of Pumps Tons KW No. of Self Contained Detection/Sounding DDevicesNo. of Dishwashers SpacelArea Heating KW Municipal No. of Dryers Hea Ing Devices KW Local[]* Connection ❑Other No.of Low VoCage No. of Water Heaters KW Signs Ballasts Wiring No. Hydro,Massae Tubs No.of Motors Total HP OTHER: INSURANCE COVERAGE: Pursuant to the requirernertts of Massachusees General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent.YES 1.1 NO C7 1 have submitted valid proof of same to this office. YES U NO U If you have checked S,please indicate the gyps of esvvap by checking the appropriate box. INSURANCE LJ BOND ❑ OTHER❑ tphws Specify) (Expiration Date) Estimated Value of EWctrtcal Work$ Work to Start Inspection Date Requested: Rough Final Signed under the ties of jury: FIRM NA LIC. NO IDE Llcensee lure LIC. NO. _ address Luz / 4G Bus. Tel. No. G .X� v Alt. Tel. No. JWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts general Laws,and that my signature at this permit application waives this requirement. Owner Agent (Please check one) - Telspha ne No. _ PERMIT FEE f Date..... G TQ 393 .... ........... ......�.. HOR ° TM ? ,•`;�``°-,°�"°°� TOWN OF NORTH ANDOVER PERMIT FOR WIRING SSACNUS� t This certifies that ....`.... ....... .�... .............................. has permission to perform 4 ....................... r. wiring in the building of.....4?A..... .hl. j ............... No er Fee. /...5..:.�4?.... Lic.No.717rC S�� :K.... Y ..... ................. . . " LECfRI NSPECCOR � 08/1.6/46 Tg:l WHITE:Applicant CANARY: Building Dept. PINK:Treasurer 4- '41.1-11;,- .�. yr-s ✓+.�."::':7'�`;' _�`',.r...•..v.3....s..,t'a ...�. ._ '��:?3,T+: ''�""r�,,,,.,,.fw=4:�,,�'�, ':y`k. MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NO . ANDOVER , MA Mass. Date - 19 L _ Permit 0 a Building Lccat)en MZLI POND Owner's Name NO . ANDOVER, MA Type of Occupancy RES New ® Renovation Q Replacement Q Plans Submitted: YesQ No C] {{ 1 V) I � 0 UI � I V7 Q N rt 0 :) V) W W C O U f... ... n \ J N w I_ — LJ w U O a c Ur < O > W 01 I Q W C_ V W VrCC W < `�' J F _ c, < W C W 7 = < < O O W a. O }1 F- o Q _ r, 0 3 o c J u C > o a F- o SUB—HSMT. I I ( I I I I BASEMENT I I I I 1ST FLOOR ZND FLOOR 3RD FLOOR I_ I 4TH FLOOR I I I I I t STH FLOOR I i I f I I I I{ I I 8TH FLOOR I I I I I ( I I I I ) I 7TH FLOOR I I I I I I I I I STH FLOOR I I I I I Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certmcate v Address 91 RELMONT STRFFT D Corporation NO.ANDOVER , MA . 0 1 8 4 5 Q Partnership Business Telephone 508-689-9233 D Firm/Co. I Name of L)censed Plumber or Gas Fater JOSEPH KEVIN C:'=:LLAHAN INSURANCE COVERAGE: I have a current liability Insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142- Yes 42Yes R7 No D I If you have checked des, please Indicate the type coverage by checking the approprlate box A Ilabiltty Insurance policy ZD Other type of Indemnfty C Bond D 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 ❑ S+gnalure of Cwner or Owners Agent I hereby certify that all of the details and intormalion I have submitted (or enterec) in ove appficatlon are true and accurate to the best of my knowledge and that all plumbing work and Inst,,JlaUons performed under the permit dsued for this appilcaU will b In pflance with all perUnant provisions of the Massacthusells Stale Gas Code and Chapter 142 of the neral Law &y T e of Ucense: / dumber Snalur o c nse umbo or Gas tier I Title asfitter j aster Ucensa Number M- 3 4 4 0 1 CilylTown Journeyman Mf'f1CM. t I r C 1 I I i T° 212{ Date. •� t "OR TM TOWN' OF NORTH ANDOVER 0 ..... , gti0 �4 f? ^ ^ Lp PERMIT FOR GAS"INSTALLATION- 9SSACMUSEl ti This certifies that !! . . t has permission for gas installation . . .,✓ �!r�.G ! :-. . . . .:8. . in the buildings of . . . . . . . . . . . . . ... . . . . . . . at v. .1?? .C, t,j 9. . . . . . . . . Nh Andover, NUss. ; Fee.69�: . . . . Lic. No..�.Y.��U. . �1 . . .�. . �. /GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File,