HomeMy WebLinkAboutMiscellaneous - 53 MARIAN DRIVE 4/30/2018 (2) 53 MARIAN DRIVE
210/107.0-0067-0000.0 _ _ -- - ---- -- ---- --.-. -- -
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9922
Date.... .-p?..y..l..l.......
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HOR71y
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
�SS�cMusE� -
This certifies that ......`J. . /1!I S.........Zz.: OlvAlg...U.....................
has permission to perform ..... /L........1�l�llLfl.. ....................................
wiring in the building of...........Re.�l LQ
.............................................
at... ........1 J. ...................... .North Andover,Mass. j.
Fee..q..�............. Lic.No.,-I/ M.......... .�.�rhtt.��... �. ......
ELECTRICAL INSPECTOR �
Check # tt ►
2012 Massachusetts Electrical Code Amendments 527 CMR 12.00§Rule 8: In accordance with the provisions of M.G.L.c.143,§3L,the
permit application form to provide notice of installation of wiring shall be uniform throughout the Commonwealth,and applications shall be filed
on the prescribed form.After a permit application has been accepted by an Inspector of Wires appointed pursuant to M.G.L c. 166,§32,an tJ
electrical permit shall be issued to the person,firm or corporation stated on the permit application. Such entity shall be responsible for the
notification of completion of the work as required in M.G.L.c.143,§3L.
Permits shall-be limited as to the time of ongoing construction activity,and may be.deemed.by thelnspector_of__Wires abandoned_and.invalid ifhe—_. ._
or she has determined that the authorized work has not commenced or has not progressed during the preceding 12-month period.Upon written
application,an extension of time for completion of work shall be permitted for reasonable cause.A permit shall be terminated upon the written
request of either the owner or the installing entity stated on the permit application.
❑ The Permit Extension Act was created by Section 173 of Chapter 240 of the Acts of 2010 and extended by Sections 74 and 75 of Chapter 238 of
the Acts of 2012.The purpose of this act is to promote job growth and long-term economic recovery and the Permit Extension Act furthers this
purpose by establishing an automatic four-year extension to certain permits and licenses concerning the use or development of real property.With
limited exceptions,the Act automatically extends,for four years beyond its otherwise applicable expiration date,any permit or approval that was
"in effect or existence"during the qualifying period beginning on August 15,2008 and extending through August 15,2012.
�ule 8—Permit/Date Closed: 3 ***,Note:Reapply for new permA<
0 Permit Extension Act—Permit/Date Closed:
C,ommonweakh o f Mamackujetb Official Use Only
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cc Permit No. / 9 2—Z
eLJePar�mzrct olire Services
BOARD OF FIRE PREVENTION 61REGULATIONS Occupancy and Fee Checked
r [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 TYP,f�LL INFORMATION) Date:�
e �---��
City or Town of: /-A Af To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) _ f✓ j^24 f1 -4-2 r r V
Owner or Tenant -1 1 C� QC}�(� , Telephone No.
Owner's Address �I`llr� ��
Is this permit in conjunct' with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building_�' 1t�P �'� Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead ❑
Und rd No.of Meters
❑ g
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: u)) re f Y . P. ��oJ2CC�
4t94 iv
"it Completion of thefiollowing 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.Lummaires Swimmin Pool Above In- o.o mer-gency Lighting
g•. rnd. ❑ rnd. ❑ Battery Units
No.of-Receptacle Outlets o.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 Num...
Tons KW No.of Self-Contained
Totals: ........................ Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
Y No.of Water Kms, 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: 3c�0 (When required by municipal policy.)
Work to Start: )LiPJ1M 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 cov rage is in force,and has exhibited proof of same to the peri issuing office.
CHECK ONE: INSURANCE BOND ElOTHER ❑ (Specify:) 2uo 1'Cfj 1?
I certify,under.the painsand enalties of perjury,that the informationo Itis app&cation is true and complete.
FIRM-NAME LIC.NO.: "
Licensee: Signature LIC.NO.:
(Ifapplicable,enter "exempt in the license numter line.) Q Bus.Tel.No.: �1rs
Address: i � Alt.Tel.No.: _'"J,3 3 t/
ew
*Per M.G.L.c.T47,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)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $
Date .`���
�'�`°T•��c TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
SSACMUS�
This certifies that . . e. . . . . . .
has permission to perform . . . . . . . %. . . .�. t�j . . . . .@ / 7
� d
plumbiggjn the buildings of . . . .�/� .���. . . . . . . . . . . . .
at . . J�? .r. . . . . ��t.�.�' . . . ., Noi th ndover, Mass.
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J.�a�. .��.Lic. No.. .�.�.�
PLUMBING INSPECTOR
Check * l o
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' MASSACHUSETTS U
NIFORM APPLICA
(Print or Type) TION FOR PERMIT TO DO PLUMBING
nh��r��mass. Date
Permit #
Building Location �{ /'� �.
= 9A� � wner's Nam
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6� Type of Occupancy Residential
New Renovation ❑
Replacement 09 Plans Submitted: Yes O No ❑
FIXTURES
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SUB—ggMT.
BASEMENT
1ST FLOOR .
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR i
8TH FLOOR
Installing Company Name Heritage Htg. &plg. Co. Inc.
Address Check one. Certificate
lPasant Street _ CX Corporation 714
Stoneham, Ma 02180
Business Telephone 781.—4 3 D Partnership
8-7 7 7 6 !� Firm/Co.
Name of Licensed Plumber Gordon Switzer
[INSURANCE COVERAGE:
ave a current liability insurancepolicy Or its substantial equivalent whichYes 9. .. meetsthe rNo O equirements of MGL Ch. 142.
you have checked Yes, please indicate the type coverage by checking the appropriate box.
Aliability insurance policy LR
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.
i
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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of he General Laws.
By
Title 01911icensed Plumber —
Cit /Town Type of License: Master
EX' Journeyman ❑
APPROVED(OFFICE USE ONLY) License Number--------------
8 3 2 2
%" Watts 9D Hp on water line to water boiler---
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BELOW FOR OFFICE USE ONLY
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PROGRESS INSPECTIONS-.'
FINAL INSPECTIONS .
SKETCHES_
FEE
NO.-
APPLICATION FOR PERMIT TO DO PLUMBING
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NAME&TYPE OF BUILDING
1
LOCATION OF BUILDING
i
PLUMBER
' PERMIT GRANTED
I ,
DATE 14
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PLUMBING INSPECTOR
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Date. /. . . cf. . . .
NORTH TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACMUSE�
This certifies that . !: "`? Y :a. . . . . . . . . . . .
has permission to perform . . . . . . . .. . . .
plumbing in the buildings of . . . ..`.�. . ... . . . . . . . . . . . . . . . .
at. . . . . . . . . . ., North Andover, Mass.
Fee-.!--`�d . .Lic. No.. . 3d.,�'. . . . . . . .
PLUMBINGANCTOR
Check # vrC. G l (((//////
5485
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
/ �� -n Mass. Date Permit #
Building Location Q_r Owner's NameC� j i CC, 6 f1 �CfJ
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Type of Occupancy Residential
New (] Renovation L.7 Replacement LN Plans Submitted: Yes ❑ No ❑
FIXTURES UU
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SUB-BSMT.
BASEMENT
IST FLOUR
2ND FLOOR
3RD FLO0R
4TH FLOOR
5TH FLOOR
6TIf FLOOR
7TH FLOOR
BTH FLOOR L
Installing Company Name 1Ieritage Htg. &Plg. Co. Inc. Check one: Certificate
t Address 35 Pleasant Street LX Corporation 714
Stoneham, Ma 02180 ❑ Partnership
i Business Telephone ..-781 —A3.$-..7776,. (-1 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 N No 1-1
If you have checkedrtes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy IM Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVErt: 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 EJ Agent ElSignature 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 General Laws.
By
Signature ofre Li�lum er '�1
Title
Type of Liconse: Master LX Journeyman❑
City/Town
8322
APPROVED—(UFRC—E SE ONLY) License Number___.____________
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BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
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NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME &TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
f DATE 19
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PLUMBING INSPECTOR