HomeMy WebLinkAboutMiscellaneous - 549 WINTER STREET 4/30/2018r
Date... .....
TOWN OF NORTH ANDOVER
' PERMIT FOR GAS INSTALLATION
►. o .Sh
This certifies that ... ! .< he.� .. ,l..�!t '� `............. .
has permission for gas installation ... ..�.................... .
in the buildings of ..1. / U ...............................
at ... (. :c?. . % .............. North Andover, Mass.
Fee. .7Y..... Lic. No..%U. 1..`.. �l-! ^.. " ......
�GASINSPECTOR
Check # / 1-/ t) -1 --
6125
61`'5
11
MASSACHUSEI'i'S UNNORMAPPUCATON FORPERMTO DO GAS FrrnNG
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations
1AJ114 )`?K.
G Owner's Name
New ❑ Renovation 4 Replacement
Date ® — A01 ^G,
Plans Submitted D
Permit # 9/1- i f
Amount $ 7 (d �.
(Print or type) k" N T A
Address 3
usrness Telephone 9 7
Name of Licensed Plumber or Gas Fitter
G
Check one: Certificate Installing Company
Corp.
ElPartner.
Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 13 No
If you have checked yes, please i Cate the type coverage by checking the appropriate box. E-3Liability insurance policy Other type of indemnity 0 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 0 Agent
I hereby certify that all of the details and mtormation 1 nave suomltteu kor entereu) m aoove appucauun arc uuc anu accuiaic w u,e
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/G/s Code and Chap r 142 of the General Laws.
L l</�")ibt = J41""
(OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
,® Plumber 116 a f (r
Gas Fitter License N=
Master
Journeyman
'2ND. FLOOR
7TH. FLOOR
(Print or type) k" N T A
Address 3
usrness Telephone 9 7
Name of Licensed Plumber or Gas Fitter
G
Check one: Certificate Installing Company
Corp.
ElPartner.
Firm/Co.
INSURANCE COVERAGE Check one:
I have a current liability Insurance policy or it's substantial equivalent. Yes 13 No
If you have checked yes, please i Cate the type coverage by checking the appropriate box. E-3Liability insurance policy Other type of indemnity 0 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 0 Agent
I hereby certify that all of the details and mtormation 1 nave suomltteu kor entereu) m aoove appucauun arc uuc anu accuiaic w u,e
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/G/s Code and Chap r 142 of the General Laws.
L l</�")ibt = J41""
(OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
,® Plumber 116 a f (r
Gas Fitter License N=
Master
Journeyman
Date
TOWN OF NORTH AN
' PERMIT FOP PL BING
4/. � 'D1TD •�•1'
This certifies that .. /?l�e�. ` % e//f
has permission to perform ..... ........................
plumbing in the buildings of ....� .1.11.! v ......................
at ....`!�l.. l�!��± . t. �'................ . North Andover, Mass.
Fee. 7U� a .. Lic. No.. .... ....... �... -r . .......
PLUMBING INSPECTOR
Check # % L' Ll '-
7489
7489
.t
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location S V q Atj,l ,e ' 4owners Name /Gi
Date 3d—o-
Permit -# 7 of �G
Amount
Type of Occupancy
New Renovation1:1 Replacement Plans Submitted Yes11 No ❑
FIXTURES
(Print or type) Check one: Certificate
Installing Company Name�� h �'1? /CEJ} f .Q Corp. %q
Address 3 tis 4-4 • Partner.
Business Telephone Firm/Co.
c
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of insurance cov rage by checking the appropriate box:
Liability insurance policy 0 Other type of indemnity ElBond
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
Signature Owner ❑ Agent 11
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 MI
k usgtts S t Plu�and Chapter 142 of the General Laws.
BY Signature o icense um r
Type of Plumbing License
Title
City/Town License NumDer Master Journeyman ❑
APPROVED (OFFICE USE ONLY
k
4 Location 3 / / �" ��ti�f ��
No. a Date lk-
MORT1y TOWN OF NORTH ANDOVER
Certificate of Occupancy $ _
Building/Frame Permit Fee $
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL J$/ R U
Building Inspector
1 2 2 5 0 10/22/98 15:17 52 . W PRIG
Div. Public Works
A
Location
No. Date
TOWN OF NORTH ANDOVER
Building Inspector
Div. Public Works
Certificate of Occupancy $
Building/Frame Permit Fee $
s'"'°''<�
s�cMusE
Foundation Permit Fee $
Other Permit Fee $
Sewer Connection Fee $
t
Water Connection Fee $
TOTAL $
Building Inspector
Div. Public Works
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FORM U - LOT RELEASE FORM
INSTRUCTIONS; This form is used to verify that all necessary approvals/permits from
Boards and Departments having jurisdiction have been obtained. This does not relieve
the applicant and/or landowner from compliance with any applicable or requirements.
APPLICANT FILLS OUT THIS SECTION*
APPLICANT v� /6 �% PHONE O _
LOCATION: Assessor's Map Number—'/_'� �% PARCEL
SUBDIVISION
^— LOT (S)
�p STREET G,/l/t/Tz �o ST. NUMBER
USEONLY****"""'*'*"'*"
REC MENDATIONS OF TOWN AGENTS:
. ,f/)
CONS R�VATID`NADMINISTUTOR
COMMENTS
TOWN PLANNER
r�
COMMENTS
DATE APPROVED Ib -X2
DATE REJECTED
DATE APPROVED
DATE REJECTED-
SP -
FOOD INECTOR HEALTH DATE APPROVED,
DATE REJECTED
NeVECTOR-HEAL I H
COMMENTS
DATE APPROVED_
DATE REJECTED_
r .mil !�
PUBLIC WORKS - SEWER/WATER CONNECTIONS
DRIVEWAY PERMIT
FIRE DEPARTMENT
RECEIVED BY BUILDING INSPECTO
DATE
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4
a�
w
Ns
IF �� ��In
n
,-VoTF s�cnoy
9
fit
11
.N2 2 1 41
3
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Date ... / . 1111'�elNl
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..... 5.q CA
�. w ,.
c.C-c..............................
has permission to perform ..... G r....!.t!1............................................
wiring in the building offf^....... .rC) sttn..:/...... ... �.� .�. �.....................................
at ....:5 j� .....u." 'I T 0.... ............................ . North Andover, Mass.
Fef" ,S : O� ... Lic. No... 7..P i ............ AL I.................NSP.....ECCTO.TO R .................
ELECTRIC
11/18/98 08;53
WHITE: Applicant
25.00 PAID
CANARY: Building Dept. PINK: Treasurer
TB C0W0NW LTH0 MAYS CHU '�+ ]S Office Use only
DEPARTME90FPUBLICS4MY Permit No. gvq
BOARD OFF7REPREVEMONREGUL47I0NS527CMR 1200
Occupancy &Fees Checked
'V4 PPIKATIONFOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date l/"/0
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street &
Owner or Tenant
Owner's Address
To the Inspector of Wires:
Is this permit in conjunction with a building permit: Yes [ZyNo ❑ (Check Appropriate Box)
Purpose of Building 5117 e Fl;m& Utility Authorization No.
Existing Service) -00 Amps )O/),qU Volts Overhead ❑ Underground �- No. of Meters
New Service �_ Amps / Volts Overhead ❑ Underground ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work1/F/h,l 0/ w'n I'fCv►y? /) I /on
t No of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures/�
Swimming Pool Above
M
Below
Generators
KVA
r
7
ground
ground
No. of Receptacle Outlets
v
No. of Oil Bumers
No. of Emergency Lighting Battery Units
No. of Switch Outlets
2
No. of Gas Bumers
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No of Dishwashers
Space Area Heating KW
No. of Self Contained
•
Detection/Sounding Devices
LocalMunicipal
17
Other
Mo of Dryers
Heating Devices KW
❑ Connections
Jo- of Water Heaters KW
No. of No. of
Signs
Bailasis
No Hydro Massage Tubs
No. of Motors
Total HP
OTHER -
InsuWXCoxaage. Pusuarttothe m4maretsGfMasmdmellsGataalLaws
1 hale a wmrl L eNilty hnszra ce Pob y mdudmg Co m plel3e� ' Covaage or ¢s sttbsUltial e4livalat YES 1 v 1 NO ❑
Ihaw abnoedvabdproofofsanelothe0ffm YES U NO ❑ lfj uhawdvdWYES, pkaseQdic*thetypeoFwAr ebydWangthe
,WqIINSURAN� = BOND ❑ OTHER ❑ (PeaseSpeffy)
WorkioSw ,lt—/r`q hspaaionD*Regtxsted
Signed trdat re %Wbes ofpetjtayS.
FIR
M NAME L=ISM bal)Alw Sigron
Estimailed a6ed Valued`Ek id Work $
Ro* ►y/ll All ,_ Final is, -III
�; Li=wNo. Alb �G
„ LioermseNo
j IVY
� Y ) 07-,
Adder/ 4L6/mf ea/� LL&M / Y ,> � AIL Tel No,
OWNER'S NSURAN,U WAfVM- I am awae thatthe Lite dm nr them ancec vmr." sitkqirtial Walatas m*nmd byN}ass<+ hEez l._,erreral laws
and that my Wvmmcn the pemt apphcm m wanes this ratltmanat
(Please check one) Owner ❑ Agent ❑
G Telephone No. PERMIT FEE
No v J Date.... ........�... �...
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
. .......
This certifies that -� 1a ` �'
.-Z ...................." -''�...... �... ...............................
has permission to perform':.:-:A.�
wiring in the building of � .:..`-'.:..........................
at ... -�� `%.....f.—c-� '� U .................. . North Andover, Mass.
Fee. 5/0'. .. -- .... Lic. No .A-' ...............................................................
ELECTRICAL INSPECTOR
10/02/48 09:10 35.00 P4
WHITE: Applicant CANARY: Building Dept. NK: Treasurer
l�C
7PE eI07MM9,4dr,� 05 %xJrss! ��rt2rsG %%s
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00
Office Use Only
Permit No_ &
Occupancy & Fee C; ecxed �,-
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 �y
(Please Print in ink or type all information) Date ! y-2 — 7 i
To the Inspector of Wires:
Town of North Andover
The undersigned applies for a permit to perform the electncalw�ork descn below.
Location (Street & Number 3—v qyy m �fJ`
Owner or Tenant / on Y bld'ld
Owner's
Is this permit in conjunction with
building%permit Yes p No � (Check Appropriate Box) q33-
Purpose of Building SlUtility Authorization No. v 6 _
Existing Service 2G�y Amps PU'- y%) Volts Overhead Undgmd G No. of Meters
New Service 1 Amps_L2!Z LYU Volts Overhead ❑ Undgmd m/ No. of Meters !'
N4nber of Feeders and
Location and Nature of Proposed Electrical Work e h An g e S e rvl e
from ok-er W 1v cogelel
OTHER
INSURANCE COVERAGE. Pursuant to the regwremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy includin pleted Operations Coverage or its substantial equivraien YE NO
ha valid proof of same to rhe Office � NO = K you have checked YES please indicate th coven by checking the appropriate box
=mjM
= BOND = OTHER = (Please Speafy) �C7 vera
(Expiration ate
lue of Electrical Works /
Work to Start Inspecdon Date Resquested Rough Hid I Ofi` / Final
Signed under the Pene perjury
o /
FIRM NAME � (LOG LIC. NO.
Licensee C% � Signature
LIC. NO./9 112 t6
Bus. Tel No.
Address9_ `� /L�_ Alt Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
_,V
Telephone No. PERMIT FEE 5
(Signature of Owner or Agent)
Total
No. of Linr8n Outlets
No. of Hot fuse
No. of Transformers KVA
Above ❑
In ❑
No. of Ugntinq Fixtures
Smmmtnq Pool qmd G
gmd G
Generators KVA
No. of Emergency Lighting
No. of Receotacies Outlets
No. of Oil Burners
Battery Units
No. of Switch Outlets
No of Gas Burners
FIRE ALARMS of Zone
an
No. of Detection and
Total
No. of Ranoes
No of Air Cond
Tons
Initiating Devices
Heat Total Total
No. of Dioosal
No. Pumos
Tons
KW
No. of Sounding Devices
No./ of Self Contained
No. bf Dishwashers
Soace/Area Heating
KW
Dete:ctiorvSounding Devices
C Municipal C Other
No. of Dryers
Heating Devices
KW
Local Connection
No. of
No. of
Low Voltage
No. of Water Heaters KW
Signs
Bailases
Winn
No. HWro massage Tuds
No. of Motors
Total HP
OTHER
INSURANCE COVERAGE. Pursuant to the regwremen6ts of Massachusetts General Laws
I have a current Liability Insurance Policy includin pleted Operations Coverage or its substantial equivraien YE NO
ha valid proof of same to rhe Office � NO = K you have checked YES please indicate th coven by checking the appropriate box
=mjM
= BOND = OTHER = (Please Speafy) �C7 vera
(Expiration ate
lue of Electrical Works /
Work to Start Inspecdon Date Resquested Rough Hid I Ofi` / Final
Signed under the Pene perjury
o /
FIRM NAME � (LOG LIC. NO.
Licensee C% � Signature
LIC. NO./9 112 t6
Bus. Tel No.
Address9_ `� /L�_ Alt Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have the insurance coverage or its substantial equivalent as required by Massachusetts
General Laws. And that my signature on this permit application waives this requirement. Owner Agent (Please Check one)
_,V
Telephone No. PERMIT FEE 5
(Signature of Owner or Agent)
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