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