The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 58 OAKES DRIVE 4/30/2018 (2) 58 OAKES DRIVE 9� 210/107A-0145-0000.0 +� Date.s'.:��........ . NORTH °ft"`° '•�"� TOWN OF NORTH ANDOVER ° PERMIT FOR WIRING F p s � r ,SSACMUS� Thiscertifies that ............... ................... ................... ................................... haspermission to perform .......... ... r h:......... -.. wiring in the building of..... -f.................. ....... ;'I.............................. ... at..... ...................... `. I........................................... ,North Andover,Mass. Fee s.... ... Lic.No�y. .......................... ........;-... �.... �............ ELECTRICAL INSPECTOR Check # i 44 %' 9 THECOMMONWE9LTHOFMAS&WHU5EM Office Use only DEPARTA1EW0FPUX1CS4FM Permit No. �W,9 BOARDOFFMEPREVF.MONRWUMHONS527CAR 12:010 Occupancy&Fees Checked APPUCAHONFOR PERMIT TO PERFORMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date S' /0- 1,,f,3 _ Town of North Andover To the In pec r of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) Owner or Tenant G /�j✓ /�/�c�/9/L/} Owner's Address S Is this permit in conjunction with a building permit: Yes o (Check Appropriate Box) Purpose rp of Building S/A/�� Utility Authorization No. Existing Service Amp !Z'/(Volts OverheadEEPU&ffg-round No.of Meters New Service Amps / Volts Overhead l:3 Underground No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work ,SEP%iG /x,'010 ,V/--4 No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners 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 _ Nd.of Dryers Heating Devices KW Local Municipal Othe Connections No.1of Water Heaters KW No_of No.of Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER• hmrartoeCovPr�Potst>1nt�thetaqu¢arla��Massxfi>t�tsGenerdiaws IhaveaaaaltliabtT¢ylrnlr =Fblicymcbj&gCmpiV- CowWorls Mlvabt YES E] NO IbaNembniwdvandpfoofofswriDd eOffv-- YES ffyouharedrekodYES,pkeindc*thetypeofcoVexag,-by drftlgdr4PUJXkkboX LSI INSURANCE MIER � ExpitatiorlDae _ Fs�rt�d VahleofFJe�ctocal Wolk$ WotktoStatt � G� hrspectionDa�Requ�mcl Rough FQral SignedunderTr esofpetjtuy FIl2MNAME LitxrneNo. SignatureLicemeNo BusOffMTU NO. — /723—/5717 OWNM'SINSURANC�WAIVII2;IamawatethftLicrosedoesnothavettr,mst>o=covageoritsatsWUequivalaYas tetltnladbyMasmdmseM GmialLam and that mysignatuteon this peam Tphcation waives thislegtti umrt (Please check one) OwnerM Agent Telephone No. PERMIT FEE tgna ure o caner or gen u The Commonwealth of Massachusetts d Department of Industrial Accidents y Office of Investigations Boston, Mass. 02191 �'O+M Sia Workers'Compensation Insurance Affldavit Name Please Print Name: Location: City Phone # I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers'compensation for my employees working on this job. Company name: Address City: Phone# Insurance.Co. Policv# Company name: , Address City: Phone# Insurance Co. Policy# Failtwe to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminalsl! penalties of.afiine up to$1,500.00 and/or one years'impmomwent-as*miLas_cn44 maaiesjnShelnm -dASTQP VA)WDRDERand-aline-dol- D.t]D).aliaY tme. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !do hereby certify wider tine pains and penalties of perjury that the information provided above is true and correct. Signature pate Print name Pbone# Official use only do not write in this area to be completed by city or town officiar s City or Town ensincl ElCheck flimmediateresponse is reguinf p Licensing Board El Selectman's office person: Phone#. I] Health Department Ei Other Date./. o/? ?.�S i j' 384? i NORTIy Qr��•��•',;•�tioop TOWN OF NORTH ANDOVER 41 PERMIT FOR PLUMBING i Ss�cMusE� 1 This certifies that C . . . . . . . . . . . . . . . . . . . . . w has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i c/ k+ � plumbing in the buildings of . .Pt . .i. . . . . . . . . . . . . . . . . . . . . f at. . ?.r�. . 014-6-f. . . .IM . . . . . . . . . . . . . . .. North Andover, Mass. Fee. Lic. No.-.33.2. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR i I WHITE: Applicant CANARY: Building Dept. PINK:Treasurer a MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) Aev . Mass. Date 19 Permit f Building Locationlf /!e. Owner's Namg l` A %i Type of Occupancy / 5 D E ti t1 vA L_ New ❑ Renovation ❑ Replacement P""' Plans Submitted: Yes ❑ No ❑ FIXTURES z m z N = X Q N O z +" > N WY J N } V < N W W J H W y F W N F- 0cc x ¢ Y Q H W = z F V ¢ m N x ¢ > < H N = ¢ a C7 Q a < � x = O 7 ¢ d W ¢ > Q W - O Q 0 z Cc a ¢ � U. W x d a z x Y a �- < W x Y d W W x W > f- o W o z o N Z z o Q J Q ¢ Ct a Q O < i- 3 SUB—BSMT. BASEMENT IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR/� Installing Company Name f' o,� Eez Check one: Certificate Address Ct:4 4(nt4 f) A J ❑ Corporation �Y) E TW o c--A) YYi A 01�'cdL1 ❑ Partnership Business Telephone (�f Z-i1I7 1 9-Ar /Co. J` Name of Licensed Plumbed r3r,P_r fry SA,vI✓VI,4 �rC1/�c" INSURANCE COVERAGE: I have a current I bility insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes S. No ❑ If you have checked Ye, please indicate the type coverage by checking the appropriate box A.liabil' �Y insurance policy Other type of indemnity ❑ god ❑ 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 C3 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 knowiedge and that all plumbing work and installations narformed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and 4apter of the oral Laws. Title re of Licensed Plum r City/Town Type of License: Master % Joumeymah C:]_ APPRONED OFFICE USE ONL License Number. 3 3 1 �� BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME A TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED ` DATE 19 PLUMBING INSPECTOR 4198 r10RTFr 3�0,'.<,�'°.;�.',"o TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ,SSAGMUS� This certifies thatC_ .-- . ...f. ✓ p .� -� has permission to perform�f-�.:�. �. . , , , , , plumbing in the buildings of . .`14 . . . ... . !. . . . at�`? �(. !-�� . - . ... .. . . . . . Andover, Mass. o� Lic. No.�Z/. Y3. . . ./. . . . ='O c .O . . . . . . . . C U PLUMBING SPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING $ 9�.,J6 (Print or Type) e !7 AAAia,—ommass. Date `i19 P mit # — - Building Location crg OAL (DIZ Owners ame_11 A2/� �/d GJZAtZ f_Z ` Type f Occupancy —U L New Renovation ❑ Replacement f Plans Submitted: Yes ❑ No le FIXTURES z Z O Y Q H CA V t� H ' 6u LLA to 6u L. _ to = z o O Z H IL Lu V Nj Z Z Z H J IA t� y to = Vi c�c W �( IL V to p, t>) Z m Q W c H Z to Z d Q Q W Ciea 3 oe a oc oe Uj u < = 3 = a Z H �e a 0 ~ Z Z Q D Y W 3 Y 5 m = c o g 3 i( L v WD c < 3 W m 0 SUB-BSMT. BASEMENT 1st FLOOR 2nd FLOOR 3rd FLOOR 4th FLOOR 5th FLOOR 6th FLOOR 7th FLOOR 8th FLOOR Fri I I F I I I I I Installing Company Name ��ILA,16 F,<J,! / Qdzh—", Check one: Certificate Address I A Q i ��' /ZErd: / ❑ Corporation /941, hLl F7—L 122- 42 dS 414,70 ❑ Partnership } Business Telephone CI � if - &7 A- 9 Q9911// Name of Licensed Plumber IL-1"' erL 14 Z7aUs� INSURANCE COVERAGE: I have a current ability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No F-- if If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policyki Other type of indemnity C 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: Owner Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information I have submitted for entered)in the 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 perlyMpt provisions he Ma ac tts State Plumbing Code and Chapter 142 of the General Laws. By Signature of Licensed Plumber Title Type of License:Master>'F I journeyman Citv/To,n License Numb /er /^7—g APPROVED tOFF10E USE ON[Y, FINAL INSPECTION SKETCHES BELOW FOR OFFICE USE ONLY PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING -- ---- ---- NAME & TYPE OF BUILDING -- LOCATION OF BUILDING PLUMBER -------_-- ----- --- PERMIT GRANTED Date 19 U.G. Insp. Rough Insp. Final Insp. Plumbing Inspector