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HomeMy WebLinkAboutMiscellaneous - 55 FURBER AVENUE 4/30/2018 55 FURBER AVENUE 21010810000.0 Date./........................... NORTH TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING ,43ACHUSEt This certifies thatQ,. ................... . ............................. has permission to perform .....:11 . in the building Of ............................................. ............... .North Andover,Mass. ........... ... .................. EL'tW Fee-7,��............. Lic.N6 iLE RI/ALJN5PECTOR heck # e Official Use Only (�otnmon►taa(� o��aaaac�ivaall� Permit No. 6303 ,.Uaparlman�o��ira �aruicea Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 111991 (leave blank) APPLICATION FOR PERMIT TO PERFOlLisctIs eRl�iricni�ELECTRICAL WORK ode(NIEC),527 CNIR 12-00 All work to be perfor?nted in accord:nice with the Massae l (YI E,I SE PRINT IN INK OR TYI'� •i1 , INE .RN 11'fOIV) � �o� bY�es: City ar"1�'owla of: dei°+ TO dic Ittsj ec j By dlis application t11e undersigned glvc�otice ofbis or her intention to perform the electrical work described below. Location(Street & Number) Telephone No. Owner or Tenant 3� Owner's Address Is this permit in conauttet10111Nvith n bulldilxa permit? Yes E] l nt\uiltona.atiu(Check Na Appropriate Box) Purpose of Building )� eUtilia �sl e � Existing Service — Kemps �-Volts Overhead ❑ Uudgrd ❑ No.of deters Uudgrd No.of Meters New S ice Amps � alts Overhead ❑ ❑ Number of Feeders and Anlpacity Locat'u t and N tune of Propos Electrical Work: e t? C > f l Corr letion orthe vllun•int'table pray be waived by the!ns'crta of ll'ires. No. o 'otal No.of Recessed Fixtures No.of Cell.-Susp.(Paddle)Falls 'Transformers KVA No. of Lighting Outlets No.of flat Tubs Generators Iwl'A Aboee lit- ❑ a.o tllergeney 1g 1 1119 No.of Lighting Fixtures SwimmingPool rod, BOUnits No. Oil Burners r FIRE ALARMS No.of Zones No.of Receptacle Outlets 1 a,of etectxorl and No.of Switches 1 a.0 as](Turners initiating Devices atal No.of Alerting Devices No.of Ranges No.of Air Cond. 'Pons t eat pump 1....uprber. 'l ons K11.. 0.0 ell- ontailled No.of Waste Disposers Totals: Detection/Alertin Devices hlullicxpa Other No.of Dishwasbers Space/Aren 1jeating KNV Local ❑ Connection ecurity ystetlls: No.of Dryers Heating Appliances I1V No.of Devices or E''uivalent No, of Nater r o.of 1 0.of Dn(a Wiritig: Heaters s KW Billasis No.of Devices or E uivalent Si-11s 'l'clecon1n1u11icatlons 'irtrlg: Total kIP No.Hydromassage Bathtubs tNo. of Motors No.of Devices or Equivalent OTHER: AttaCll additional detail if desired,or as required b,'the lrrspector of[vires. 1NSUI2.4IVCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability ilrsurance including""completed operation"coverage or its substantial equivalent. The undersigned certifies that such covera s in force,and has exhibited proof of sante to 1114 permit issuing office._Q CHECK ONE: INSURANCE C,) OTHER ❑ (Specify:) 90C J hS (Expiration Batc) l:stiulaled Value of Electrical Work: ClD (When rcquired by municipal policy.) Work to Start: — 4 Inspections to be requested In accordance with IvIEC Rule 10,and upon completion. !Certify, and, Ire pai►ts and ►citottics ujlpe rjitry,that the information nn is a/rplicnlivn is true ndLIC.mpplete+.��/� 11 101. NAME,: O.: j ignature l•'l0't N LicL'll5ee: / •.—•d'*'Ff Bus.Tel.Na.: V V V' = (If applicable, 01114• "e.eenrpt•'in the license rr r er ti► ) J Q L All. Tel.No.: Address: OWNER'S INSURANCE VAIVER: I am aware that the Licettsee docs trot Rune zc liability instxownerco►etao�lnors'aile lt . required by la-, B\,my signature below, 1 hereby waive this requircrtmit, 1 atal file{check one}❑ f] OwllerlAberlt Telephone No. Pi,-RilfIT F,E : S Signature /� Dr n/ Official fisc Only t ommotrrvaa(Ux //lnaaacfivaella Permit No. 'V' � (' Aparinwn �}l o`_�`ira sarnicaa Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11199] (1ca�c black) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK L All work to be perforhied in aeCOid""Ce wit1� 11 (PLE,I SC P1?hVT hV INK OR TYPI: JL, INF Iit61 17,1019 eioi If _ To the Insjxclor of Fy7res: City or'roivil of: ��� he undersigned gives notice orbis or her intention tc�1c�orm the electrical work described below. By this application t locatiorl (Sla•cet& iVumther•) r Telephone No. owner or 1'emamt � ,• Owner's Address is this permit Irl corrjunelion with a building.pernril? Yes ❑ No (Check Appropriate !lox) 1'rrrluise of Building ke e- Utility tkuthorixalion NO. Existing Service — Amps � -Valls overhand ❑ Undgrd ❑ No. of Meters New Serr^_lec Amps I �'ults Overhead❑ Undbrd ❑ No.of Meters Number of Feeders and Anipacity �L L ocatiu t and N tore of Propose- Completion Electrical Work: b •the his ectal•of Nair es. ', ruble ora be waived ► tion v rhe vrl nvu Y Cwn le No, Of otal No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Faus Transformers KVA No. of Lighting Outlets No.of 1:1011 ohs Generators 131A Above Lrt- a.o ttrergertev rg r mg Sivinttnirr Pool ❑ rod, ❑ Battc Ultits No,of lighting Fixtures FIRE ALARMS, No..of Zones No.of Receptacle Outlets No.�I Oil Burners j t o.of electron and No.of Switches o,o as Burners Ztlitiatirr Devices otal No.of Alerting Devices No.of Ranges No.of Air Cond. ')cons F eat puurp 1...tloal .er '1 ons............ o. of Self-Contained No.of Waste Disposers "Totals: Detection/Alertin Devices hl(ursict'pai Other No. of Dishwashers Space/Area beating IOW local ❑ Cortnection ❑ ecurity ystents. No. of Dryers Heating Appliances 1�1Y No.of Devices or E *uivalent No. of afar 1 o.of t o.of Data Wiring: tial Siuns Ballasts No.of Devices or E ulvalent i Healers •1•eleconinrurtiealions N [ring: No.Hydromassage Bathtubs No.of Motors Total k1P No.of Devices or Equivalent OTHER: attach additional detail if desired,or•as required by the bispector of Wires. dINSURANCE COVERAGE: Unless waived by the owner,no permit fur the performance of electrical work may issue unless the licensee provides proof of liability isisurance iricludim;"=ompleted operation"coverage or its substantial equivalent. 'I'Ile undersigned certifies that such cavern s in force,and has exhibited proof of same to tilepermitpermit issuing office. 01'(lER ❑ (Specify:) l/'l'�`1i�S ��— CHECK.ONE: INSURANCI BOND ❑ (Expiration Date) Lstirnafed Value of Electrical Work:: 0-0 {bVhen required by municipal policy.) Work to Start; - } Inspections to be requested in accordance with MEC Rule 10,and upon completion, 1 ct+rtrfj,, rnrdrr fire!rains aur! rinaltrcs 41yenj"+rJ',that rhe rnforneatio„nn is aliplicatio►t is 11.110 aloft Completer FI10( NANIE: C N0. �3 /r �' _ LIC.NO.: t..t l'L'i15 CC: �., 1 C �ZA Z...---•-,`Ks / Bus.Tel.No.' �. (/f applicable, erltc "4.1•cnrpt..in lire license n, , er ripe J t�`, An J L All,Tel, No.: Address: ❑ that die Lieettsee does not have the liabilil}'insttioanccrcoveiao`inorS'agt OWNER'S INSURANCE WAIVE K: 1 am aware e lt. required by Iaxv. By lily signature below, I hereby waive this requirement. 1 ani the(check onc)❑ OwrterlAnent 'Telephone No. PL, RMIT,FL•L•': S A2 Date f ?o.<"OT �� TOWN OF NONDOVER ° PERMIT FORTLUMBING CHUsf L/ This certifies that . ./-b.r. . t. .-�.. . . . . . • . . . • • • • • • • • • • • • • • • has permission to perform . . . . .1. . . . . . . . . . . . . . . . . . . . . . . . . . • plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . at. . . . . '. . . . . . . . . . . ..,_North Andover, Mass. Fee 31.`=". .Lic. No. . . . . . . . . . . . . 1`-` �� .. . . . . . . . . . PLUMBING INSPECTOR Check # 6 '� rl MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Qr" f�lh�r11 lTvlass. Date Permit # Building Location O/��lj� ip Owner's Name ^ s/ 9 Type of Occupancy Residential New ❑ Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑ FIXTURES :n t J fn fn c0i a � w OW � � n 0 _ Q z _ IU J W W N z Q .H U W m , a �n LL. RS rd rd 49 W o Z) Q d .N Q, a w - � 0.Q' ( Z a s CrCr v N N W z r W 3 O i -i a o c o � a F a. x 3 N x = Y a o ~ i x `� W W a � ► O N F- Z O O N W. F- O U i _ _ a a o a _j a x X M a c x m , yr a o 3 = r-_ (n . U. u O 3 3 3 3 1 S.Ue—BSMT. BASEMENT IST FLOOR 1 2NOFLOOR 3RD FLOOR 4TH: FLOOR STH FLOOR 6TH FLOOR 7TH'FLOOR i 8TH FLOOR R Installing Company.Name He, Htg. &Plg. Co. Inc. Check one: Certificate Address. 35Pleasant Street EX Corporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 -438-7776 n 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 ® INo ❑ If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy 3 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 the permit issued for this application will be in compliance with all pertinent provisions of the.Massachusetts State Plumbing Code and Chapter 14 f the General Laws. By Signa re of Licensed Plumber Title' City/Town Type of License: Master Journeyman❑ APPROVED 0 FICE US ONLY) License Number 8322 ` %" Watts 9D bfp on water line to steam boiler BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS.INSPECTIONS FEE NO.- APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR ` Z Date.r.?.:.1. .3. �`�... . NORTH r aj TOWN OF NORTH ANDOVER O � 9 • - PERMIT FOR GAS INSTALLATION SACHUSEI This certifies that . . .� . . �/ has permission for gas installation . ./. �f:. !.-- . . . . . . . . . . . . . . . . in the buildings of . . . . F.I.r.,f . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . .! . . .F.�-.4.� .�'. . . . . . . . . . . . . . . .. North Andover, Mass. Fee. . G '. . . Lic. No.. . . e—�!-^^ !r'. . . . . GASINSPECTOR Check# / ''f 4641 �srss MASSACHUSETTS UNIFORMAMUCt'�ONFOR PERMIT TO DO GAS FITTING (Type or print) Date 2 , o y NORTH ANDOVER,MASS'A"CHUSETA Building Locations / / S� Permit# YG Y Amount$ 3 Q wner's Name L 5� Y NewF1Renovation ❑ Replacement rpr Plans Submitted ❑ � W v; U z N w W W o U H x x Cn zz o w o 0 0 o z F w w ¢ x w a W W F x Ch F z F z F. Fw W O > w F., U .a z W a C4 , D+ GA z O z O ti w > w o z a Q o o w o w F x O x w A A c7 a U SUB -BASEM ENT BASEMENT 1ST . FLOOR 2ND . FLOOR 3 R D . FLOOR 4TH . FLOOR r 5 T H . FLOOR 6TH . FLOOR 7 T H . FLOOR 8TH . FLOOR or type),ii�C� /�/?7� lC�`?iC�y Check ConCertificate Installing Company Name Address ❑ Partner. 0`7L 1 d Business Telephone ��8—Lr7 �-/ r-,l ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter L?"'✓�if// � /eC��CCC�l� INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes 0 No❑ If you have checked yes,please md' to the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond 0 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 Issuedfor is application will be in compliance with all pertinent provisions of the Massachusetts S ode d t r 2 t Gen al Laws. Signature of Licensed Plumber Or Gas Fitter Title By. Plumber City/Town ❑ Gas Fitter License Nurn5er �Olaster APPROVED(OFFICE USE ONLY) ❑ Journeyman