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HomeMy WebLinkAboutMiscellaneous - 57 HEPATICA DRIVE 4/30/2018 J i 57 HEPATICA DRIVE F. i f it BMWING" FILE I 1 i i f 3 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 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.the Inspector-of_Wires abandoned.and_invalidaf he—. ._ 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 puipose 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 odd beginning on August 15,2008 and extending through August 15,2012. rule 8—Permit/Date Closed: -� ��-1� "A—Aote, ly for new permit rmit Extension Act—Permit/Date Closed: S Date . . ...1".Z TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that . . . . . . . . . . . . . . -? has permission to perform . . .� � (�2! !.�Y . . . ���{S<�.!?•. . . . . . . wiring in the building of . . . . .N . U.y E at . . . .7.y .P7�c r? / , , , , , , . North Andover, Mass. Fe e . 7 � .�'Lic. No. . . ?2. . . . . . .PLECTRII LINSPECTOR Cieck# U,3 11019 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. JI f^ BOARD OF FIRE PREVENTION REGULATIONS (Please add zip codes & electrician's cell#; Occupancy and Fee Checked contract#& bid permit#if applicable) [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C (PLEASE PRINT IN INK OR TYPE ALL INF�ORMAT ON) omDate: City or Town of- TO the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical wok described below. Location(Street&Number) Owner or Tenant yL l,LW Telephone No. Owner's Address C� Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters New Service ' Amps / Volts Overhead ❑ U nd rd ❑ No. of Meters Nun er of p'eeders and Ampacity Location and;Nature of Proposed EIectrical Work: �s� Lt STern ` . Completion of the following table may be waived by the fimpector 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 Above No. . of Luminaires Swimming Pool ❑ In ❑ o.o mergency ig ng i rnd. rnd. Batt er Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No,of Zones No. of Switches No.of Gas Burners No,of Detection and Initiating Devices No.of RangesNo.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: "'"' Detection/AlertingDevices i No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or E uivalent K No.of No.of W Da to HeatersWiring: Signs Ballasts No.of Devic r' es or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent i y OTHER: Attach additional detail if desired, or as required by the Inspector of f,fres. Estimated Value o f Electrical Work: (When required by municipal policy.) Workto Start: atop _Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER X (Specify:) Self Insured I certify,under the pains and penalties ofperjury,that the info..rmatior on this application is true and complete. FIRM NAME: A'DT LLC DBA ADT Security LIC.NO.: C-172 Licensee: Thomas J.Lee i nature ' g LIC.NO.: C-172 (Ifapplicably.enter exempt"in the h ense number line.) " '� Bus.Tel.No.:lo�3 Address: N- �_� 1 \\iS, tV\A ®�30y Alt.Tel.No.:_ *Security System Comractor License required Tor this work;if applicable,enter the license number here: 001779 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. $ �(r COMMONWEALTH OF MASSACHUSETTS ELECTRICIANS A REGISTERED SYSTEM CONTRACTO ISSUES THE ABOVE LICENSE TO: ' +' ADT' LLC DBA ADT SECURITY. THOMAS J LEE 41D UNIVERSITY AVE gym` WESTWOOD MA 02090-231 "! 172 C 07/31/13 201934 . F&J,Then Detach Alarm All Periorations { ti 1 .j Date.....�.V. �`l-d 7 ,j0RT/i °t'"`° �•�"� TOWN OF NORTH ANDOVER 3r OL p PERMIT FOR WIRING ,SS^cNusE� This certifies that ....... 6 T SECviz i -1 &gd�ec19T5 has permission to perform .........?e-.-��!.l.;e..f �....S,Ys��/�.... wiring in the building of.............Mf.4..F'�...'.y.!¢L.t- at.......-�7.....!� ! ................ .North Andover,Mass. p Fee. ........... Lic.No...y�...G................ �5�.0 18Q` : 65O ELECTRICAL INSPECTOR Check # 7750 Commonweal o f Maijachueetb Official Use Only cc�� Permit No. `7 7 30 2epartment o f Sire Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] 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 ALL INFPPM TION) Date:— � — _ 1 City or Town of: / j�pa CZ To the Inspector of Wires: ' By this application the undersigned gives notice offiis or her intention t erform the electrical work described below. Location(Street&Nu r) �12.{VCj Owner or Tenant Telephone No Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility uthorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead El Undgrd ❑ No.of Meters P h' Number of Feeders and Am aci --`�_ Location and Nature of Proposed Electrical Work: ' Completion o the ollowin table maybe waived b the Inspector o 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 Luminaires Swimming Pool Above ❑ In- E] o.o Emergency Lighting rnd. rnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones. No.of Detection and No.of Switches No.of Gas Burners Initiatin Devices No.of Ranges No.of Air Cond. Total Tons g o.o No. Alerting Devices No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained P ..... . .. ......................................................._.. 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 J No.of Water KW 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 o leyct�ric Work: 0 t/ (When required by municipal policy.) Work to Start: !7 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and peva ties of perjury,that the information on this application is true and complete. FIRM NAME: T C4-f lY`l n,CtS -LIC.NO.: -LI5C Licensee: mar x,,T,jlr(py1W Signature �{1��L.a 3-�� LIC.NO.: (If applicable,enter'exempt'in the l:cen u gr line.) Bus.Tel.No..-td U 3 �4 JT9c? Address: 'l 3' C�•L—t h TC-A V Y'_ s. 1+ CU 3 p g-9 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. (CX- l 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 PERMIT FEE. $ Q� Signature Telephone No. _ �e >°ommco�uuea�!/z a�/�Oaeac/u�aeltd \. DEPARTMENT OF PUBLIC SAFETY S-LICENSE Number: SS CO 000953 Birthdate: 02/07/1958 Expires: 02/07/2009 Tr. no: 187.0 S-License: ADT SECURITY SERVICE MARK A BROPHY SR 111 MORSE ST NORWOOD• MA 02062 Commissioner DIG SAFE CALL CENTER: (t 77 7 MASSACHUSETTS HUMBER DRIVER'S LICENSE i S29197428 , • I DATE Of BIRTH CLASS REST HEIGHT SEX 02-07-1958 D 5.10 M I• EXPIRES . 02-07-2009 BROPHY MARK A 104 BOSTON ST MIDDLETON,MA = 1 01949-2113��Or 5L Q�^i Fold.Then Detach Along All Perforations COMMONWEALTH OF MASSACHUSETTS _I FA REGISTERED I REGISTER D SYSTEM CONTRACTOR ISSUES THIS LICENSE TO • r G TYPE ADT �ECURITY SERVICES , INC. d ` MARK A ' BROPHY SR —C 111 MORSE ST N t:. i N } NORWOOD MA 02062-4602 353795 45 C 07/31/10 353795 J i` • • . • • b Fold.Then Detach Along All Perforations 1 Date.....1..~..... .-..°...7 F f NORT/i °f'"`°;•A TOWN OF NORTH ANDOVER o = p PERMIT FOR WIRING cHus�� This certifies that 5fk1� A,--. ............................... ...............��........... has permission to perform ......................(V L-.! ..... �'' { .. -e................. ...... . wiring in the building of �"C� a _ .............-..........................................0.......................... at.......-.J....7...�..dAg.�.f C 0......:../.? . ,North Andover,Mass. Fee.:,7S�."'�' Lic.No:�?3-.7,:4........... . � .. • !1............ ELECTRICAL INSACMRI Check # 10 ay ry 7181 Commonwealth of Massachusetts Official Use Only Permit N°. Department of Fire Services Occupanc BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05]y and Fee Checked (leave blank APPLICIATIOl work,to bN performed in PErRnMIT TOPERFORM`PERFORM ELECTRICAL WORK Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / _ 2 s p ;7 City or Town of: _ Zez To the Inspector of'Wires: By this application the undersigned gives notice df1his or her intention to perform the electrical work described below. Location(Street& Number) ; c Owner or Tenant Tele f>W Nog��,,/ - / 76 J/ Owner's Address Is this permit in conjunction with a building p rmit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. G,/Zt; Existing Service Amps ! Volts Overhead ❑ Undgrd❑ No.of Meters New Service $aG Amps zd Volts Overhead ❑ Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion ofthe,lbilowing able Tyy be waived by the!ns ector of Wires. No.of Recessed Luminaires ZG No.of Ceil:Susp.(Paddle)Fans No.ofTotal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool °ve ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers p eat um lumber ons o.oSelf-Contained Totals:I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ unicepa El Other Connection No.of Dryers Heating Appliances KW Security yystems: No.of Devices or Equivalent No. o Heaters KW at o'° °'° Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: FTHER: No.of Devices or Equivalent __ Attach additional detail of desired, or as required by the Inspector of'1J`ires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: ^ J — z s -o -Z 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 j the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The E undersigned certifies that such coverage is in rce,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: _ / �"� LIC. NO.: Iry3� Licensee: Signatur �jI ASC. NO.:f�299 3 3 (if�applicabt4�t mpt_in the license number ine.J Bus.T�l. I,�T Z/G�( Address: J ivZ __ Alt.Tel. No.: *Security System Contractor License required for this work• applicable,ent jthe license number here: OWNER'S INSURANCE WAIVER: 1 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 I' Signature Telephone No. PERMIT FEE. $ �CD y Dat O .?. ... . . I MORTM o� TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION ,SSACHUSEt y This certifies that . . .(,/"! I. . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . ./I. . �. . . . .. .. . .. . . . . . . . . in the buildings of . . . n .-4 : . . . . . . . . . . . . . . . . . . . . . . . . at . . . . .! iI- A Y�t . . . . . . . . . . . .. North Andover, Mass. Fee. .l4! o. . Lic. No. 1 . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# 6,T61 5870 adv MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITfING --__--� (Print or T ) > v Mass. Date Permit # �- Building Location ,+/4 5 DA—Owner's Name �C "(4►OV4e, Type of Occupancy '� AZ New Renovation p Replacement p Plans Submitted: Yes El No o • N W N `\J N ff to ¢ 0""'� N = 3- W W it 0 ® m } S N. Z O i1 F < ff Z 0 F < S O O a m < n to * V } Z ,� !� Z }. F' } N c Z 0 Y W O 1~q S aW > < < o o m a o tis t- rc '= o c� = u. 3 010 o r= y c a t" o SUB—EStAT. BASEMENT I I IST FLOOR + I 2ND FLOOR qq ~ 1 3RD FLOOR •t ATH FLOOR t STH FLOOR 165THFLOOR 7TH FLOOR STH FLOOR //�� ( Installing Company Name lea ,(�6 I��ii ��v*v� „� f, 1 �� Check one: Certificate Address , L 1 � i ❑ Corporation i !Lj`-(=yE tL. �°I� I 7t.,-3 1 ❑. Partnership Business Telephone q 2 T 3 ) L( -1Z 3 D Firm/Co. Name of licensed Plumber or.Gas Fitter INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes I9' No D If you have checked Yes. please Indicate the type coverage by checking the appropriate box. A liability insurance policy I�� Other type of indemnity 0 Bond D 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 Owne-D Agent O i 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 Gas Code and Chapter 142 of the General Laws. e T �Plumbe�ce Signature of Licensed Plumber or Gas rtter Titlfitter C E ster License Number Af'Pf3�lEi3 City!io� iFICEUSEON—LYY— i M L dT /e /. :1.,,/4..7. ... . . . . HONTM pF �..o 1tiO TOWN OF NORTH ANDOVER � A PERMIT FOR GAS INSTALLATION sk This certifies thatr. 1�.; Lc3 1�-2 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING of (T ype or print) s - 9 - ©7 MASSACHUSETTS Date Building Locations _c��� Q_(� f 1� Permit # S S Amount D~ , .Owner's Name Li New 13/ Renovation ❑ Replacement ® Plans Submitted Ll FIXTURES W arA rA C Go w F A rn w a z d SUMBM MSL HDD 1 1 ti zt PLDCIFL 2 3M ROCK 4MH PLOGR SIIi FLO(R 6MI31 fXR 7Ui FLCM gm Roo (Print or type) Check one: Certificate Installing Company Name�wG alin s k v Plumbing & Hg a t_ ❑ Corp. 1 9 n h Address P.O.Box 1701 ❑ Partner. Hnvprhi 11 MA ni R'i1 Business Telephone 978-374-1743 Firm/Co. Name of Licensed Plumber: Stephen C. G a l i n s k y Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® 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 ❑ I hereby certify that all of the details and information I have submitted(or entered in a e application are true and accurate to the best ofill my knowledge and that all plumbing work and installations erfo ed a it Issued for this application w be in compliance with all pertinent provisions of the Massachusetts S Code d Cha General Laws. By: Tignature 9lQensea riumDer Type of P umbing License Title City/Town Icer um er Master Journeyman ❑ APPROVED(OFFICE USE ONLY 13 Date. . . Z/�!.`. �... .. HORTh L 3? TOWN 07 NORT ANDOVER . � z • PERMIT FOR GA INSTALLATION ,SS�CHUSEt ' This certifies that . . . ". t�-.! .�. .�. . . . �?�,/?�"`.: . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . .:. . . . . . . . . . . . . .. North Andover, Mass. r Fee. . . . . . Lic. No. . . . . . . . .^. . . . . . . . GAS INSPECTWR Check# 582 -= r MASSACHUS'" APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) AfVDDyl./L— , Mass. Date 20 L JZ � dG Permit# S � Building Location f_T�jr,�,g DQi Owner's Namel_e /_j- Telephone _97 Type of Occupancy New ®, Renovation Replacement Plans Submitted: Yes No[] °' Ln mas °Z go c Nc4tm v O > �QN d ddm1nL r+ = m' U2 S L RS M41)> d L �' (a C O C d p � d = O 2 LL ❑ ❑ 0 _j 00� > ❑ a H O , SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4 y 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name EnergyUSA Propane,Inc. Check one: Certificate Address 100 Myles Standish Blvd.,Suite 101 X❑ Corporation 132 C Taunton,MA 02780 Partnership Business Telephone (800)822-1300 X8055 Rick Rousseau C(603)231-2702 Firm/Co. Name of Licensed Plumber or Gasfitter William Kent Corson (800)822-1300 X8051 Cell(508)294-6660 INSURANCE COVERAGE: EnergyUSA Propane,Inc. has a current liability insurance policy or its substantial equivalent,which meets the requirements of MGL Ch.142. Yes D No If you have checked ves, please indicate the type of coverage by checking the appropriate box. A liability insurance policy X❑ Other type of indemnity E] Bond OWNER'S INSURANCE WAIVER: 1 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 1:1 Agent Signature of Owner or Owner's Agent 1 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 Code and Chapter 142 of the General Laws. Type of License: By 1:1 Plumber � Title X❑Gasfitter Signature of Licensed Plumber or Gasfitter City/Town XX Master APPROVED(OFFICE USE ONLY) Fliourneyman License Number 3707 BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION FEE NO. APPLICATION FOR PERMIT TO DO GASFITTING NAME &TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE 20 GASINSPECTOR rr . h