Loading...
HomeMy WebLinkAboutMiscellaneous - 575 TURNPIKE STREET 4/30/2018 (9)Date..t.f (, y.+(J. . . p0RT#1 ° TOWN OF NORTH ANDOVER D PERMIT FOR GAS INSTALLATION This certifies that . �t....S .../ ?.... .. . has permission for gas installation .. : p . . in the buildings of . ........ �S ...� :.. t ....... . . , North Andover, Mass. Fee..S uv.. Lic. No.. F0 3. (,. . I. ............... . GAS INSPECTOR Check # tf '7 U 6399 MASSACHUSETTS UNIFORM APPUCATON FOR PERMrr TO DO GAS FITTING (Type or print) Date NORTH ANDOVER, MASSACHUSETTS BuildingLogations S 7S Tvr2.w%9, e 5`11 5? Pe , i `� 1�rmit # <' Amount $ Owner's Name New ❑ Renovation Replacement 13-- Plans Submitted SUB -BASEMENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. 4TH. FLOOR FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. 8TH. FLOOR FLOOR w Iw' z z x w w Cw7 4 W > tr] a 7 C rd SUB -BASEMENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD. 4TH. FLOOR FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. 8TH. FLOOR FLOOR w 0 c Z F va o a' > w (Print or type) % �^ p Check one: Certificate Installing Company Name 1—/ r 1 J /Ori/2 -P / d— c� � 0 Corp. Address 5� rd Y' Partner. s Business 1 a ep one �) Lo �' �- 2 o Firm/Co. Name of Licensed Plumber'or Gas Fitter 0 INSURANCE COVERAGE Check one: 1 have a current liability Insurance, policy or it's substantial equivalent. Yes ©� NoO If you have checked Ys, please indicate the type coverage by checking the appropriate box. Liability insurance policy D— Other type of indemnity D Bond 13 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 13 Agent I hereby certify that all of the details and information 1 have submitted (or entered) in above application 13 are true and accurate to the best of my knowledge and that all plumbing work and instal ns pe ormed under Permit Issu for this application will be in compliance with all pertinent provisions of the Massach a State Code an Chapter 142 f the Ge." Laws. By: . Title City/Town, APPROVED (OFFICE USE ONLY) it ✓u�� r -Y-, �( �---�-�` Pgnature of Licensed'Klumber Or Gas Fitter lumber DGas Fitter License Number 15 -Master Master 0 Journeyman Date.. % ........ Vr TOWN OF NORTH AN VER PERMIT FOR PLEA BING This certifies that ................ '............. has permission to perform plumbing in the bu_ldings ofd'"? . `..................... . at .. �?..,� �..� - = t : �.... ,North Andover, Mass. a Fee//. Lic. tBt/2M4/BIIS G INSPECTOR Check # /� D 7119 14 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, :MASSACHUSETTS '' ` Date I 10,13 Building Location % �jtjU-� J o Owners Name No-" ,�, Permit # Jt 9 irZ cSa' Tv e of Occupancy Amount New ® Renovation Replacement Plans Submitted Yes ❑D %aoj E]No TIV'riinr. o (Print or type) Check one: Certificate Installing Company NameCorp � - 11,40ess �� , �-Iaz:j Al.[J Partner. Business Te ep one �� -7 7 � r 7 V- � Firm/Co. Mame of Licensed Plumber: Gy ! Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate bcx: Liability insurance policy rM Other type of indemnity 1:1 BondLai ❑ 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 ignuture Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in abovc application are true and accurate to the nest of my knowledge and that all plumbing work and installations perfc;rmed under Permit Issued fir this application will he in compliance with all pdrtinent provisions of the Mas husetts Shit umbing Cc—de and Chapter 142 of the General Laws. By: Signature G IcenSe 'plum er Title 9� Tye of Plumbing License CityiTown tcense um er blaster Iourric-man APROVED iCiPF10E USE ONLY I • -r i �MM���M�����0��������MMNMWMM �� ., FNM NNN�i�ir����■�iii��� i=MM ������■�������mmmm r �M M 0 AMM mmmmmm W N M�ra (Print or type) Check one: Certificate Installing Company NameCorp � - 11,40ess �� , �-Iaz:j Al.[J Partner. Business Te ep one �� -7 7 � r 7 V- � Firm/Co. Mame of Licensed Plumber: Gy ! Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate bcx: Liability insurance policy rM Other type of indemnity 1:1 BondLai ❑ 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 ignuture Owner ❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in abovc application are true and accurate to the nest of my knowledge and that all plumbing work and installations perfc;rmed under Permit Issued fir this application will he in compliance with all pdrtinent provisions of the Mas husetts Shit umbing Cc—de and Chapter 142 of the General Laws. By: Signature G IcenSe 'plum er Title 9� Tye of Plumbing License CityiTown tcense um er blaster Iourric-man APROVED iCiPF10E USE ONLY e,.�.. ,.,,..., ��,x.,�+-+win.-�.•-.irc . -,`,-+ - - .a. .. ' ».:.., . r ... ti..^ .. � _ �'-. - ..-a:. -^-- � a � . ., +/Ff �4 "91 - Date......%. ./�_ TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............`..'.. � ....� ... ......:. �- . ` .............. has permission to .perform .......... J.... v ............... ,.d................. wiring in the building of !.!...49J40 l r ..................................... -at x.75 ..raZ'.�?Ae....5.?................................ , NortthAndover, Mass. ~ Fee.... ......'...- Lic. No. �?.b.�.7A�� ...� ELECTRICAL INSPECTOR Check # �3 6977 li Commonwealth of Massachusetts Official use only Department of Fire Services Perunit No. 6177 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10/1/06 City or Town of: NORTH ANDOVER To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number 57.5 TURNPHCE STREET Owner or Tenant NOVA CARE SUITE 14 Telephone No. Owner's Address SAME Is this permit in conjunction with a building permit? Yes XX[:] No (Check Appropriate Boz) Purpose of Building MINOR RENOVATION Utility Authorization No. Existing Service Amps Number of Feeders and Ampacity Volts Overhead ❑ Undgrd ❑ No. of Meters Location and Nature of Proposed Electrical Work: MINOR ADD TO SPACE 5 OUTLETS AND REDROP LIGHTS INTO NEW CEILING GRID AS REQUESTED. Completion of the following table nray be waived by the hrspector of TEires. 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- 1:1o. grnd. d. o Emergency Lighting Batter, Units No. of Receptacle Outlets 5 No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches No. of Gas Burners o. of Detection an Initiating Deices No. of Ran es g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat PumpNum Totals: - - er ons ........ - - No. oSelf-Contained Detection/Alerting DeAces No. of Dishwashers Space/Area Heating KW Local ❑ Connection El municial No. of Dryers Heating Appliances KW ecurity vstems:* No. of Devices or Equivalent No. of Water Heaters No. oT No. of Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications W-rmgg: No. of Devices or E uivalent ). Attach additional detail if desired, or as required by the hrspeetor of Wires. Estimated Value of Electrical Work: 1500 (When required by municipal policy.) Work to Start: 10/1/06 Inspections to be requested in accordance with NEC 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 ® BOND ❑ OTHER ❑ (Specify) Liability I certify, under the pains and penalties of perjury, that the information on this application is true and complete FIRM NAME: Mitchell Electric, Inc. LIC. NO.: 16270A Licensee: William Mitchell Signature LIC. NO.: (If applicable, enter "exempt" in the license number line) Bus. Tel. No.: 978-649-9473 Address: 3 Industrial Way, Unit A Tyngsboro. MA 01879 Alt. Tel. No.: *Security System Contractor License required for this work; if applicable, enter the license munber here: 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. FPERMITFEE. $08 f G D -7- �G� �� •1 1 — _.�.—..mss .. ..�.. .