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HomeMy WebLinkAboutMiscellaneous - 53 Glenwood Street geoo co on BUILDING FILE i Date. / NORTH Of t..ao ,h0 3j �` TOWN OF NO ANDOVER • PERMIT FO AS INSTALLATION SAcNUSE�t This certifies that . . . .l .. . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . 1. . . . . . . . . ., North Andover, Mass. Fee. A . L-. Lic. No.. . . . . . . . . . . . . . . . . .���; : —,__. . . . . . . GAS INSPECTOR Check# 5 / iZ MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# Amount$ Owner's Name New❑ Renovation ❑ Replacement © Plans Submitted ❑ 94 U q cn F (d 9 O O a a z F A a w x � � x CW7 F Z d x FW» w F W 04 F a O x 3 A C7 U a A off. F O SUB-BASEM ENT ' BASEMENT 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print or type) hec one: Certificate Installing Company Name T W4 G L O rt 4^1 /Cy Corp Address f. d- Q d'X S 7,�, Partner. e,�}w2 e v e-e 144 a i� SQL Business Telephone 97 to b'5' 9 So y ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter 7ye.1 9s �t,4 My eq INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. YesEl No❑ Ifyou have checked yes,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 Massachusetts State Gas Codeand Chapter 142 ofthe General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title ® Plumber o� Y � 33 City/Town ❑ Gas Fitter License Number ❑ Master APPROVED(OFFICE USE ONLY) © Journeyman r r MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS ..CC Date Building Location ✓S e��V!X10046 Owners Name ;V/.;l `1111' 115 Permit# Amount . Type of Occupancy DIN'e i"til 59� New Renovation Replacement .� Plans Submitted Yes . No FIXTURES c C CA B�1�f>lrl' - lSE�t10�R > (Print or type) Check one: Certificate Installing Company Name ,, 14 Qt L(.ctrArPJ p>t/', { Corp. Address _F,d - a O x 5 7; D Partner. w12 NCC' vul 01$q Z— Business Telephone 1)-72( Ymn/Co. Name of Licensed.Plumber: 7VO M tg S f/0 R✓}/.J Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity 0 Bond D 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 ignature OwnerD Agent ❑ I hereby certify that all of the details and information I have submitted(or entered)m 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 PlIllubing Code and Chapter 142 of the General Laws.By: igna ure oi McenseoriumDer Type of Plumbing License Title A V d J3 City/Town 1cense INUMMT Master p Journeyman [� ,APPROVED(OFFICE USE ONLY 6CJ Date..... ..... r10RT1� 3a°;��`"-:•.1"°0 TOWN OF NORTH ANDOVER O 9 PERMIT FOR WIRING ;,SSACHUSEt This certifies that ..}'` . ................................. has permission to perform ... ......... ...... - ...T. - .... wiring in the building of...... r-! ................................... at. ....... .! - ..:............ .North Andover,Mass. Fee.X41......... Lic.No.AXj��/....' _ �Z�- ...... ........ .. .. .... ELECTRICAL INSPECTOR Check # 666 .1 Department of Fire Services Permit No. � / — Occupancy and Fee Checked V BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/051 leave blank (`A'T til N---tom., -E2 F RIAS 'E 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: -- — — - -- ---- - i City or Town of: To the Inspe r of Wires: By this application the undersigned gives notice of hisor her intention to perform the electrical work described below. Location(Street&Number) S"S tQ JzJ000 S Owner or Tenant /Pe 61Al/Pr A LC IAM S Telephone No,Vif 314 18CKo Owner's Address Is this permit in conjunction with a building permit? Yes ❑ N (Check Appropriate-Box) Purpose of Building =��P/ 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 /I Location and Nature of Proposed Electrical Work: WK 6/0 $� A(E690 1A)CLUVIA16 )PAA F-4, DL)f- -Ta F-1000 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No,of Luminaires Swimming Pool Above ❑ In- ❑ o.of Emergency Ligliting rnd. grnd. 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. Total No.of Alerting Devices Tons g No. of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal El Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No. of Water- 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: (When required by municipal policy.) Work to Start: 1 t.8 _Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 c rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjuty,that the information on this application is true and complete. FIRM NAME: �Nltl C.LC.�- ICI A LIC.NO.:�1�® I Lieensee: sign (If applicable, nter"exem t"in the license nu r line.) Bus.Tel.No.: 973 Address: - Alt.Tel.No.:VZ9 ao11035 *Security Systeln Contractor License required for this work; if applicable,enter the license number here: 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)❑ owner Elowner's gent. Ov,;nVL/14sgcrxt _.-. Signature Telephone No. PERMIT FEE: $ -9-o (2JL