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Home My WebLink AboutMiscellaneous - 56-58 Marblehead Street - -- - -- - - -- - -- ------------ - - - - -J J I t �� q. No 2048 Date.... A/�; ?.7 pORT1r or°;� :� °� TOWN OF NORTH ANDOVER 1 .0 PERMIT FOR WIRING 40 ,SSCNUSE� This certifies that ............ .. � .I,1�n. ....... /_. ..................... has permission to perform ...... 4�1?�.�......... .... .:L + �L6.......................... wiring in the building of... �� SS v 4 ....... d&orth Ando, ,"Mass. c� Fee...�-a-..�.... Lic.No.�/. S 9............. �z!L... ELECTRICAL INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer �C0W0NW LTHUFh1f"0WS= Office Use only DEA9AEUEVT0FPIII3LFCSr1FElY Permit No. V !� BOARD 0FFMPREVF.NTI01VREGM7Y0NS527GVR12-00 _ Occupancy&Fees Checked APPLrICA.7YONFOR PERAIRT TO PERFORMELEC"TI (. A WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CIviR 12:00 %�A (PLEASE PRINT.IN INK OR.TYPE ALL INFORMATION) Date /Py Town.of North Andover 7 To pector o Wires: The undersigned applies for a permit to perform the electrical work described below. A CE Location(Street&Number.) Owner or Tenant Q Owner's Address �� ST Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building Utility Authorization No. �1 Existing Service Amps / Volts Overhead Underground M No.of Meters New Service Amps / Volts Overhead Underground r—I No.of Meters Number of Feeders and Ampacity - Location and Nature of Proposed Electrical Work No.of Lighting Outlets Q" No.of Hot Tubs No.of Transformers Total V KVA No.of Lighting Fixtures Swimming Pool Above. Below Generators KVA I ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets "-� No.of Gas Burncm No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW LocalMunicipal Other Conncctions No.of Water Heaters KW No.of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTIMR- v� h>st==CU�a PasuaritodrM4 anerdsofNbMd.9CbC DCrdILam Ibawactm=Liabdtyhsts=PeixyIIrldTCmTi&' CrnaaWcrilsstilA%1alquivak!' YES NO Ibaw%bm&dvalidptodofsarrletot6eOdwe YESI1 NO F7 13mi awd� izdY � ES,*mmd�et FofcaaaWbyd=k r�gthe INSURANCE (BONDF-1 ( MER, r--J (Please Spa*) DpffaticnLae ValuedEb±icalWak$ WaktoSart l� G T hFecbmDaleRapesbd Rte, /,2 Final CA-WL e,/�L sigealmae<;�>±LL0VL _�—' �G L�eNo !� FffZNfNANE Lica>9ee So— 0 C��Cnve- Sigrra = Busn�TeLNo. OWNER'SNSURANCEWAIVET Iamav,wethatt rLi=lsedoesrwthave msLr& e critsaistai�cgnalalast bylVliss�Gerxig�" oasf 1� l (Please check one) Owner ® Agent /v+ v Telephone No. PERMIT FEE$ tgnature ot Uwner or gent J 2 Date.. .!, k RTM TOWN OF NORTH ANDOVER p p' PERMIT FOR GAS INSTALLATION Ili ti • � 3,�O��no•'�t4`� SACH This � This certifies that . . . . . . . . . . . . . . . . . . . . . . . . a r G � has permission for gas installation in the buildings of . . . ./I-q 6. G. r J. .�. . . . . . . . . . . . . . . . . . . j at . . 54- :fit . . . . .. North Andover, Mass. Fee. . . . . . . . Lic. No.). GAS INSPECTOR u WHITE:Applicant CANARY:Building Dept. PINK:Treasurer _ I�rON 1 � 1 MASSA t APP CATON FOR PERMIT TO GAS MTING 94 Type or print) PARCEL Date `� �— 19/ / NORTH ANDD / // /j Building Locations Jr� 6 �GI�'�✓/`P /r '9`�' c Permit# 32.2, 3 Amount S Owner's Name 0 C)—/f/0 New❑ Renovation Replacement ❑ Plans Submitted ❑ n l W n C Cn z L c. Z Z W C7 i Z SUB -BA SEM EN "r — HASE .vI ENT I ST F L O O R 2NDA! FLOUR 3 R D . F L O O R 1"r ll : FLOG R sill , FLOG R 6 T 11 . FLOO R rru . FLOG R sTIf . FLOOR (Print or type) ',// / % Check one: Certificate Installing Company NameCorp. Address CW,, ;', ❑ Partner. .IN -W< AV Business Telephone �o a — 4 �Q �� Firm/Co. dame of Licensed Plumber or Gas Fitter �� ,o -e We ey INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ Ifyou have checked yes,please i ate the type coverage by checking the appropriate box. Liability insurance policy Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver l 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 Code and Chapter 142 of the eneral Laws. Bv: Signature of Licensed Plumber Or Gas Fitter Tide ❑ Plumber City/Town ❑ Gas Fitter Ucense Ileum er ❑ Master APPROVED(OFFICE USF ONLY) ffy'ourneyman Date.��. .1: S. N° 4202 f NORTH 1 TOWN OF NORTH ANDOVER 14 ° PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . i.r. ��'• • • •J.��• •.. . . . . . . . . . . • • • • • has permission to perform . . . �.!. . .'. . . . . . . . . . • • . . plumbing in the buildings of . . .c�,�.�.Us'.. . . c f & at . . .�?? '`? 5`�`� '. . . . . . . . . . . . . North Andover, Mass. Fee.q.>.6 . . . .Lic. No. . . . . . . .Q� -1.- �.V... . . PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer W5 MASSACHUSETTS UNIFORM APPLICA'T'ION FOR PER TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS 1.2p q _ Date � —�-/ / Building LocationJ`8 Sr Owners Name 0- 6 /IP0/T 1?USS O Permit#_f.42=g L Amount �,( Type of Occupancy /jUl' l / 0- � New ® RenovationG Replacement Plans Submitted Yes ❑ No FIXTURES � a H cj z x x >( rA a a d a z ►� x °" d w H w E. Cn d z CG d E" a d A SLRBgVW BAS1VM 2M FLUR 3M FIDC2 M HDQt SSI FIDM M FIDM M FIDM SIH HIM . (Print or type) ,�J _ Check one: Certificate Installing Company Name /Ti�� I �//� p�4 d �j"P f Corp. Address 9 d Partner. Business Telephone /md _ o /a 4/j / Firin/Co. �Y 7 Name of Licensed Plumber: &n h 0 ZA Insurance Coverage: Indicate the type of insurance coverage by check g the appropriate box: Liability insurance policy0 , Other type of indemnity ❑ Bond ❑ 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 F1 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 Plumbing C.9de and Chapter 142 of e Ge eral Laws. BY Sr afu of rceZ ns,d•Ffumv rer � gn Type of Plumbing License Title City/Town rcense umo er Master Journeyman APPROVED(OFFICE USE ONLY • Form G! Notice of casualty Loss to Under Ma:ss. Gen- Laws Ch 13 9 Sem :D Q �A`d�� OF co: - _ 0 �O Inspector oc�Buuildi Buildings Board of addresses PROPERTY ADDRUS: POLICY WO. : o LOSS art T f I aril OR C%AZM woo ! / claim has bees taade isvotving loss, damage or dest:.:�tion of the bov: captigned �rope_.7 which may ai�her exceed t1 000 'JO or cause .ass . !Ar- - Laws , Chanter ld3 . Sect!on 9 to be applicable. s� s s . Gen . Laws . Chaot i 39 , Section 3D is a 1! a._? notice undwr the attention of the :iter and include a reie-�"en�sat:rthe captionedse direct zsurad, location, polis:• number, date of loss arui clA.LM zz file number. TITLi On this date, Z caused copies of this notice to be sant to *tfie :.ions named above at t.he addresses indicated above by :::st alas mail. M • • •i MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION 2 CENTER PLAZA BOSTON, MASSACHUSETTS 02108-1904 800-392-6108 617-723-3800 DATE 01/27/96 Form of Notice of Casualty Loss to Building pc�Q°SER/ Under Mass. Gen. Laws, Ch. 139, Sec. 3, OF NOS�HHF.P�� a VkD TO: NORTH ANDOVER HEALTH DEPT. NORTH ANDOVER TOWN HALL NORTH ANDOVER MA 01845 RE: Insured: ANTONIO & ROMAINE GIARRUSSO Property Address: 56-58 MARBLEHEAD ST. , NORTH ANDOVER, MA. 01845 Policy Number: 20-1-285198-09 Type of Loss: WATER Date of Loss: 01/13/96 Claim Number: 20-1-0145488 Claim has been made involving loss, damage or destruction of the above-captioned property, which may either exceed $1, 000. 00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to the attention of the writer and include a reference to the captioned insured, location, policy number, date of loss and claim or file number. MPIUA Claims Division MUA-CL-21 Town of North Andover, MA Watershed Septic System Servicing Report , �4q Date: 3 l Homeowner Pumper DAMEL A. GIARD Street � a � /�' L� Address: RVICE A.10 ANDOVER, MA Phone Phone (508) 686-7653 Nature of Service: Routine enc - Emer 5 Y observations: Gopd Condition Full to Cover Baffles in Place Leachfield Runback Excessive Solids Heavy Grease Roots ,. other (Explain) Description of Work: Comments: