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Home My WebLink AboutMiscellaneous - 59 LINCOLN STREET 4/30/2018 � s4LINCOLN sr \ � � _ BUILDING FILE �t of NORTH 0 TOWN OF NORTH ANDOVER 0 PERMIT FOR WIRING US This certifies that ...1....<.:. -!..? ............................. has permission to perform ........................................... wiring in the building ....................................................... at .................. North Andover,Mass. Fo-�............. Lic.No.12&s.�— ......... ELEcrRICAL INSPE*R Check # 45L71S� 9201 ,sem �I Xd"dh Official Use Only /� •\ nimAnwea ol ii/ cc�� cc77_� Permit No. - dJeftarfmstd o��ire��i� Occupancy and Fee CheckedS BOARD OF FIRE PREVENTION REGULATIONS v. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordancewith the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: /1/O,e7-H 1'Xd0 YC- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work descried below. Location(Street&Number) .0/niCO k Al 67We,&, / Owner or Tenant 0 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building �/�o�y`/,(�1✓/�/7/�L- Utility Authorisation No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity t Location and Nature of Proposed Electrical Work: /,pl N� /9 161 Completion o the allowingtable may be ivafved b the Inspector o Wires. No.of 101111 No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators /D 1 KVA Aboveo.o Emergency t ng No.of Luminaires Swimming Pool d. gymd. ,❑ & ea 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 Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices eat Pump I Ngjpber ons I XW No.of elf-Contained No.of Waste Disposers Tomes• Detection/Alertin Devices. Municipal Other No.of Dishwashers Space/Area Heating KW Loral E] ❑ Connection Heating Appliances KW guy Systems:* ' No.of Dryers pp Na of Devices or E uivaient No.of Watero.of o•of Data Wiring: Heaters KW Signs Ballasts No.of Devices or E uivalent Telecommunications irin No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desireit or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 proofof 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:) I certify,under the airs and penalties of pedjury,that the inforiniz n this a t cation is true and complete- FIRM,NAME: �k't?S t} 1,ES / /i LIC.NO.: Licensee: %d ti�f/- ��1, '.P S Signature LIC: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No:,JOY�Y-3 Address: �5 J" �O -2 f Alt.Tel.No--,i ��, *Per M G.L.c.147,s.57-61,security work requires Depar*yf of Public Safety"S"License: tic.No. OWNER'S INSURANCE WAIVER: I am aware that the censee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive s requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PEItWTFEE:$JS 41) Signature Telephone-No. � I Y I d �'� i �� ' �. Date. w!. �U.. .. .. . 14, P NpRTM 3? ° TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION 5 SA US This certifies that/. . . .:!�. . . ... `-. . . . . . . . . . . . . . . . . . . . . . has permission for gas installation in the buildings off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at `'1 ?�°!. ' . , North Andover, Mass. G ' \ -�:Z Fee��. . Lic. No!� ��r�'/.��. . ..'tel_ � ..�:-: . . . . . . . . . . Check# J GAS I�ISPEC�TOR Ti 0 3 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING f City/Town: /�o�Trt l�Nd it ti Date: //- d d/O. permit#. Building Locatic .4 /y(oJ-/l- _67- Owners Name:._.-) Type of Occupancy: Commercial Educational .~ Industrial Insiit tonal, Residential New::. -v/ Alteration: Renovation: Replacement: Plans Submitted: Yes. No FIXE ES 7- ham- Y . tdJ C3 V) ® i '� i- D o_ z M � < m o I- 1_ o 2 w ! W 2 N ('� g tli O Q to x iL C3 W i- O (9 u.W U3tl3 ul I- Luul O a lu W < > o a OIx z z lal a �- V o ® U. x _5 01 a it at V 5 5 > o SUB BSNR. I 1 BASEMENT I I T5T FLOOR 2 FLOOR 3KO FLOOR I ! 4 FLOOR I 5 FLOOR 6 FLOOR I ?"'FLOOR I 8 FLOOR Check One Only. Certificate# Installing Company Name: :, .77. G5. l�i •�f�'fi..� _. Corporation Address:_/(-1v f.: j�%�$%z?[-L=% Cityffown: /�C.�Gt State MA. Partnership Business Tel: Fax: FirmlGompany,. . .. Name of Licensed Plumber/Gas Fitter. r' c�'�fv'! /x)_.. /"G INSURANCE COVERAGE: u I equivalent which meets the requirements of MGL Ch.942 Yes` NO I have a current tiabii' insurance policy or its s bstantia eq q If you have checked Yes.please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Others%ie of indemnity - Bond OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the Insurance coverage required by Chapter 942 of the Massachusetts General laws,and that my signature on this permit application waives this requirement. Check One Only Owner Agent Signature of Owner or Owner's Agent By checking this box C];I hereby certify that all of the details and information i have submitted(or entered)regarding this application are true and accurate to the best of my.Knowledge and that all plumbing work and€nstaHatiop performed under the permit issued far this application will be in compilance with all Pertinent-provision of the Massachusetts State Plumbing Code and C r 4 e General Laws. Type Licerise: : . . . gY Plumber G Title Gas Fitter - Si_qna�are of Licensed Plumber/ as Fitter mas r .. q tyLTawn Journeyman License:Number: APPROVEDOFRGEV SE ONLY) LP Installer . R �r FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPI"sCTIONO PI31i: $ PERMIT 11 APPLICATION FOIL PERMIT TO UO GAS IT171'ING J , )C ..I 7 G LtCI"sN51'i NUMIIf.?lt.: PERM CMAN'1'f?U n IMXU: U; 1 �wwwnn.�we�� GAS rrl-rlNc 1NS1'I-CTIOR CCb'C"ONREALTA ®F CQ P1101,NI 'EALT�"4F f1/lASSACH(�SETTS SAS`ET ..: SACI�(.iSETTS - @ p g 4 ' IN PLUMBERS � _ � •. �. : ,�;. AND GASFITTER IN PLUMBERS AND GASFITTE LICENSED ASA MASTER P REGISTERED ASA PLUMBING ISSUES THIS LICENSE TO PLUMB ISSUES THIS LICENSE TO KEVIN M LEHANE KEVIN LEHANE BARROS COMPANIES INC 80 PERRY ST r 80 PERRY ST APT 205 - PUTNAMPUTNAM CT •06260— ` CT 06260-225 I2868 225`: ; 05/ 01/102853 05/01/10 441012 s 441011 • @ e MUM -----CCflIlNIONWEALT d OF �ASS4c°Hl SETTS IN PLUMBERS AND GASFITTERS LICENSED AS A JOURNEYMAN PL BEF ISSUES THIS LICENSE TO S KEVIN M LEHANE Q 80 PERRY ST ? APT 205 \cn PUTNAM CT 06260-2255 21619 .05/01/10 441013, •r_ s -a i .f Date. . . . .. . . .. . .. .. .. .. NORT"y o� TOWN OF NORTH ANDOVER ' PERMIT FOR GAS INSTALLATION V �i �9SSACHUSES This certifies that . . . . . . �. . -r! . . . . . . . . . . . . has permission for Vgasns^t ion"::: .`:. :�:. !�:-.�-�. . . . . . . . . . in the buildings of llat. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at �?9 . . , North Andover, Mass. Fee-? '.�. . . Lic. No.R44. . . .. . . . . . . . . . GAS IN R J Check# 6?y/ 4128 MASSACHUSETTS UNIFORM APPLICATION FO (Print or TypeR PERMIT TO DO GASFITTING 1/ _. Mass. Date A, 4 �� Permit # Ak '��' Building Location C Owners Nam Type of Occupancy New ❑ Renovation ❑ Replacement L9' `Plans Submitted:'`Yes❑ No p Z �O V Z � V OmZC FO }ft O m H yWWr o � r W = ZM- Nd S_?> OL) z Q WQO '=W W W W W O > Y. J W Z < W < C )0- N m 2 O Z W O fA = < W > W O Z, < rt _< rr Z O d = W z 3 D d J V > p d F■ O SUB—BSMT. BASEMENT !ST FLOOR 2ND FLOOR ' 3RD FLOOR _ 4TH FLOOR i STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name AE ie T A . :5AIn Al A T A 180 Check one: Certificate AddressCorporation 111 - T H Ue fJ r1l a • D(k q q ❑ Partnership Business Telephone (7 9-7 ( 2--Firm/Co. Name o) Licensed Plumber or Gas Fitter ' f r)A E P T /a• 5 A m M r9 i 4 r-) - INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142.. Yes lNo 11 If you have checkedrtes, please indicate the type coverage by checking the appropriate box A liability insurance policy 0"" 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: Owner❑ Agent ❑ Signature of Owner or Owner's 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 installationsrformed under the Pe pe i ed for this application be in compliance pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of ne taws, p ��all T of License: (,�3 Plumber n ure o cen u _ or Gas atter Title tter er License Number 8333 City/Town Journeyman (OFFICE ONLY) i BELOW FOR OFFICE USE ONLY FINAL INSPECTION SKETCHES PROGRESS INSPECTION I FEE NO. 1 APPLICATION FOR PERMIT TO DO GASFITTING I f NAME A TYPE OF BUILDING 1 . . LOCATION OF BUILDING PLUMBER OR GASFITTER LIQ NO. PERMIT GRANTED IfI I -- DATEx_.19 OASINSPE T I - C OR Ir Date. �.��.d . .. . . .. Of NORTH 3= �` O TOWN OF NORTH ANDOVER s � D . • PERMIT FOR GAS INSTALLATION • ° a �9SSACMUSES .�f 13 )9 (J� This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . s has permission for gas installation ..c _% . . . . . . . . . . . . . . . . . . in the buildings of . .. . . . . . . . . . . . . . . a . . . . . . . . . . . . . . . . . . . . . . at . . �- Yom. , North Andover, Mass. Fee v'6. oe Lic. No..e4lrP. '. . . . . . 1 . . . . . . . . . . ~�fa/1S INS Ec.OR Check# 6141 MASSACHUSETTS UNIFORM APPUCATON FOR PERNIlT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations Permit# $ p� ko�-� �` 4 4�4 AmountOwner s Name New Renovation Replacement Plans Submitted Ed C a C7 .a W O V O v a > d v w x y z w w m zr t x a x w w q w x 'o w x °m z o z w W x 3 a a u xA a F SUB-BASEM ENT > O BASEM ENT 1ST. FLOOR 2ND . FLOGR 3RD . FLOOR 4TH . FLOOR STH . FLOOR 6TH . FLOOR 7TH . FLOOR STH . FLOOR (Print or type) Check one: Certificate Installing Company Name i Corp. Address !� C� Partner. Business TeTephone Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes If you have checked Les,please indicate the type coverage by checking the appropriate box. No� Liability insuranceolic p Y 01#" 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. Signature of Owner or Owner's Agent Check one: Owner13 Agent13 I hereby certify that all of the details and information 1 have submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing work and installations p d under Permit Issue for this application will be in compliance with all pertinent provisions of the Massachusetts a claf Code'and Chapter 14 a General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title 0--P'rumber City/Town [3 Gas Fitter se Number Master APPROVED(OFFICE USE ONLY) Journeyman