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HomeMy WebLinkAboutMiscellaneous - 6-8 Johnson Street � `_. V � v 9 - ,- oe n Date.?5.1.214...... 01. 7' OF TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .................... .......................................... k,47 has permission to perform.... �. plumbing in the buildings o1C-1eCJ1r,,-R— a (D ....... ..y...............................................I.............................. t........... North Andover, Mass. .......... ................................. ....... ....... .............................................................. i FeeAN.. Lic. No.'�A�.�. ...... . .......PLUMBING INSPECTOR Check 4 —1 1 q - � -4":: X43-- 1 6- � � ) h I,� MASSACHUSETTS UNIFORM APPLICATION FOR AQPERMIT TO PERFORM PLUMBING WORK CITY t� �'`"A MA. DATE Gl 3® � PERMIT# Vu`� ` JOBSITE ADDRESS d Si "I OWNER'S NAME C ev,41,r 1 POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT NEW:❑ RENOVATION:, REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO El FIXTURES Z =FLOOR- BSMT 1 2 3 4 S 6 7 8 9 10 11 12 13 1d BATHTUB1 � CROSS CONNECTION DE DEDICATED SPECIAL WADEDICATED GAS/OIUSAN , DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS Q DRINKING FOUNTAIN DISHWASHER _I 1 FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK 1 LAVATORY 1 ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER ALL TYPES } V WATER PIPING OTHER INSURANCE COVERAGE: have a current liabilitv.insurance policy or its substantial equivalent which,meets the requirements of MGL Ch. 142. Yes YrNo ( IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [� 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement_ CHECK ONE BOX ONLY: OWNER E] AGENT [_1Si nature of Owner or Owner's Agent I hereby certify that all of the details and information 1 have submitted (or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and ChaUr142 ofthe Cpeneral Laws. PLUMBER NAME S1>`PrtEiJ C_ GALIPGKV SIGNATURE LIC# I034 S MP R' JP❑ CORPORATION X# -319/o PARTNERSHIP'❑# LLC ❑# COMPANYNAME &Au/3sKY PLuryirsrlllj;. gygTjo; ADDRESS: p.b. G4X 1701 CITY i-IrAV6JZRILL- STATE M.A_ ZIP 01131 EMAIL www• mrp1umbegq)F!ol , Coves TEL CELL •50t-_509-ag0'1 FAX q7$- vZI-4i3i -V ROUGH PLUIVIBTNG INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES s 1141 -- Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES DateS... ................. OF NCpTM,� 3r••_ .,; ��c TOWN OF NORTH ANDOVER PERMIT FOR WIRING S`SACHUS� This certifies that ^ .. ."..o.... .. F' �- 5l vv,` +�,� ............................................................................. has permission to perform ....z........... �Utnn-.`a........................................ wiring in the building of....0.4ZP.. .I P'/Z- YC vn �� ,5�....... f ................................. ................ at _ .' .....! "... .. C?. n, r��J... '.......,Aorth Andover,Mass. Fee...l..�..�?...............Lic. No.t.�. .4�: ....... ............ ELECTRICAL INSPECTOR Check# (t o(3 P r� < r r I�k�- 15 commonwealth of Massachusetts offi–��ciffal��Use only Permit No. Department of Fire Services 4 ut Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 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 TYPE ALL INFORMATION) Date: City or Town of: A N_-b oyF 2 To the Inln pector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) —� -3 01 .S01V -5' 77 Owner or Tenant �„ /�% 'J'Z R FA L7 Y 7-2�� Telephone No. Owner's Address ,Q, BOX 4976, My R D4 A 2>0VEk Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building AIE` 1301 Q) 6- Utility Authorization No. Q Existing Service Amps / Volts Overhead ❑ Undgrd-❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: LE W1 AL 9 •TWO Ea Ed A_00,A4_ ' - Completion o the ollowin table ma be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luttiinoires Swimming Pool Above ❑ n- ❑ No' oEmergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMSNo.of Zones No.of Switches No.of Gas Burners o• I and Devices Devivi ces No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices Heat um um er ons o.oSelf-Contained No.of Waste Disposers Totals Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ municipal ❑ Other Connection No.of Dryers Heating Appliances Kit ecurity Systems: No.of Devices or Equivalent No.of Water KW o.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, 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 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 OA BOND ❑ OTHER ❑ (Specify:) I certify,under thepains andpena/ties ofperjury,that the information on this application is true and complete. FIRM NAME: TNCLIC. NO.;h1 19 8 3 Licensee: LQ TS CONTTNO SignatureLIC. NO. 2g78S (f applicable, enter "exempt"in the license number line.) Bus. Tel. No.•o�78–3 6 3–5420 Address: nnnTnvnrT nv W S��EW$URV Mn p1 985 Alt. Tel. No.: *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety "S" License: Lic.No. 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. P ERMIT FEE: $ 1`� Vr t. C1 �� � �- �s=`� � �� r The Commonwealth of Massachusetts , -" Department of Industrial Aceldi is Office o•fInvestigations 600 Washington.Street .Boston,MA 022111 www.massgov/ciia Workexs'Compensation Insurance Affidavit:Buffders/Cony°actorsAlect iexans/Pliimbers A.uplieant Information Please Pri nt Legibly Name(Business!Organization/fndividual): 1 ' .Address: / 0 V City/Slate/Zip:�� CS U Phone Are you an employer?Check the appropriate box: Type of project(regi ired): 1.PI am a employer with o2 4. ❑ I am a general contractor and 1 6. ❑New construction employees(full and/ox part time)* have nodthe sub-contractors 2.Ca I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and'haveno.employees. These sub-contractors have 8. El Demolition working fox me in.any capacity. workers'comp,insurance. 9. ❑Building addition [No worRars' comp.insurance 5• [] We are a corporation and its officers have exexcised.theix 10.E]Electrical repairs or additions required. 1- 3.E1 3.[] I am a homeowner doing all work right of exemption per MGL 11.E]Plumbing repairs or additions myself.[No workers'comp. c.152,§1(4),and we have no 12.❑Roof repairs insurancexe ed. employees.[No workers' � a t 13.❑Other comp.insurance required.] xAny applicantthat checks box#1 must also fill outthe section below showingtheir workers'compensadonpolicy information. i-Homeowners who submit this affidavit indicatingthey Zia doing allwont and then hire outside contractors must submit anew affidavit indicating subh. tContractors that checkthis box must attached an additional sheet showingthe name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'coinpeiisation insurance for my employees Below is the,olicy and job site information. Insurance Company Name:_ Policy##ox Self ins.Lic.#: Expiration.Date: O� lob Site Address: City/State/Zip: Attach a copy of the wor kers'compensation-policy declaration page(showing the policy number and expiration date). Failure to secure coverage.as xequiredundex Section 25A ofMGL o.152 can lead to the imposition of criminal penalties of a z fine up to$1,500.00 and/ox one-year imprisonment,as welt as civil penalties in the form of a STOP WORK ORDER and a fine of-up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the AIA for insurance coverage verification. I do Herebyeer udder the pains a d penafties nfperjury that the information provider!above is true and correct, - Si afore• Date.• Phone 4: ? �Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.CitylTown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other - - - Contact Person: Phone#: Information and Instrutions 4 � Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire,• express orimplied,oral or wxittem.,, An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the Foregoing engaged in a joint enterprise,and including the legal representatives of a•deceased employer,or the receiver or tm'stes of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the o ceupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to bean employes." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced.acceptable evidence of compliance with,the insurance coverage required:' Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if .necessary,supply sub-contractors)name(s),addresses)and phone number(s)along with their certificate(s)of Insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the - members or partners,are not required to carry workers'compensation,insurance. If an LLC or LLP does have employees,a policy is required. B e advised that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town.that the application for thepermit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain.a-,orkers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self insurance license number on the appropriate line. City or Towns Officials Please be sure thattheaffidavit iscomplete and printedlegibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be-sure to fill in the permit/license number which will be used as a reference number, 7n addition,an applicant thatrnust submit multiple permit/license applications in any given year,need only submit one affidavit iudicatiug current policy information(ifnecessary)and under"Job Site Address"the applicant should write"all locations in. (city or town):'A'copy of the affidavit that has been officially stamped or marked by the city or town maybe provided to the applicant as proof that a valid affidavit•is future on file For Hermits or licenses. Anew affidavit mfi must be lled out each year.Where a homeowner or citizen is obtaining a license ox p ermit not related to any business or commercial venture (i.e.a dog license orpermit to burn leaves etc.)said person is NOT required to complete this affidavit. J The Office of Investigations would like to thank you in advance for your cooperation and should you have any ciuestions, please do not hesitate to give us a call. The Department's address,telephone and faxnumber: The Cax aoxiweaItilofMas arhv P s Depart eJat Qf Indu&W.A,ccxdaixts (Mc-e ofZn.Ve�lZ a loan 69 V1 as gtan reQt BMW,M-A 02111 Revised 5-26-05 `ay, 617-727-7749 _ WWW.Mjt ,q,g0vIdja Division of Professional Licensure: License Search Page 1 of 1 t The Official Website of the Office of Consumer Affairs and Business Regulation(OCABR) Division of Professional Licensure Mass.Gov Mass.Gov Home State Agencies A-Z Topics Home>Division of Professional Licensure> ONLINE SERVICES ....................................................................................................................................................................................................................................................... Check a License Check A Professional License Locate a Licensed Professional By the Division of Professional Licensure Online Address Change Contact the Agency LICENSEE More... Name: LOUIS CONTINO REFERENCES& Business:CONTINO ELECTRIC RELATED INFO W NEWBURY,MA Disclaimer Regarding NEW SEARCH Website License Searches —This Licensee has additional Licenses,click here to view them." Glossary of License Status Codes Licensing Board: ELECTRICIANS More... License Type: MASTER ELECTRICIAN TYPE CLASS:A License Number: 11983 1 Status: CURRENT Expiration Date: 7/31/2016 Issue Date: 9/28/1987 Exam Date: 8/1/1987 School: This web site displays disciplinary actions dating back to 1993. This license has had no disciplinary actions taken during this time. The page above has been generated by the Division of Professional Licensure web • server on Monday,August 18,2014 at 9:03:55 AM. 0 2007-2011 Commonwealth of Massachusetts Site Policies Contact Us http://license.reg.state.ma.us/public/pubLicenseQ.asp?board_code=EL&type_class=_A&li... 8/18/2014 + Date..... f NOR7H TOWN OF NORTH ANDOVER • o PERMIT FOR WIRING s�CHUS� This certifies that 9L�LE-ff—A c an �('................ .............................SE" has permission to perform .........b �4 4.e......g?�.c t wiring in the building of.... = 'T�a... '9 4T. �/ 7 /tJ5 r.......... ,North Andover,Mass. o � tI �3 � Fee... `''. Lic.No.............. . ............... . �. . . .... ; ....... ... LECTRICAL INSPECTOR= Check q 10406 Commonwealth of Massachusetts Official Use Only Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/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 TYPE ALL INFORMATION)� Date: City or Town of. dR)h {>�/��y'— - To the Inspector o Wires: / By this application the undersigned giv—notice of h's or her intention to p.erffbrtn the electrical work described below. Location(Street& Number) Z Telephone Owner or Tenant No Owner's Address 0 X Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building g r—Al"1 tl �� /7�U Utility Authorization No. a Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity e, t Location and Nature of Proposed Electrical Work: :Z Completion of the ollowin table n:a be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans o.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- ❑ o. o mergency Lighting rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners ivo—.—OT Detection an Total Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices of Waste Disposers eat um um er ons o.oSelf-Contained— No. Totals ....... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ C nneuric tion al El Other No.of Dryers Heating Appliances KWSecurity vstems: No.of Devices or Equivalent Heaters No.o eaters KWter o.o o.o Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total:HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: . Attach additional detail if desired, 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 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 a BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andpena/ties ofperjury,that the information on t/iis application is true and complete. FIRM NAME: X CABLE., INC LIC. NO.:A1 1983 Licensee: LO T CONT TNO , Signature LIC. NO.,p B 7 A g (If applicable, enter "exempt"in the license number line.) Bus. Tel. No. _ _ 0 Address: 1 nntvnvAN r)R � WEST NF'WBURY MA—Q1 988 Alt.Tel. No. *Per M.G.L c. 147,s.57-61,security work requires Department of Public Safety"S" License: Lic.No. 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. $ �%(,� Signature Telephone No._ A 4 \ 1 I- 1 Date....�d"Z�- � ................... .. �. NORTq 61"6° TOWN OF NORTH ANDOVER o? °� ' PERMIT FOR WIRING SSACHUs� I This certifies that ....................................... ....... . ... . 4E............................ has permission to perform ........80.f A................................................. wiring in the building of Z ' at.........6.moo ct a-v.... .................... North Andover,Mass. Fee.... 2 .©bLic.No./Z e .............. .Y E CTRICALINSPECTO Check # 10407 Commonwealth of Massachusetts Official Use Only ' j� Permit No. �� 16 Departmentof Fire Services I up Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 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 TYPE ALL INFORMATION) Date: J/}/UJ YJ City or Town of: IVOR &4_oVt k To the In of Wires: By this application the undersigned gives notice of is or her intention to perform the electrical work described below. * Location(Street& Number) W • a Owner or TenantTelephone No. 3 14_pn i Owner's 42. o 44OL74 } Is this permit in conjuncts i with a building ermit? 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 ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity c 4 Location and Nature of Proposed Electrical Work: c Completion of the ollowin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.o ota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ n- Elo.o mergency 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 Total Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pum ur ons o o e - oMine No.of Waste Disposers Totalsm er Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ unicipal ❑ Other Connection No.of Dryers Heating Appliances Key ecu7t—y S ystems: No.of Devices or Equivalent No.of Water KW 0.0 No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total:HP TelecommunicationsWiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, 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 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 a BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: TTjrLIC. NO.-Al 1983 Licensee: TOUTS rONTTNO Signature LIC. NO.F;2g7gg (If applicable, enter "exempt"in the license number line.) V Bus. Tel. No.:9 7 8—3 h 3_S 4 2 0 Address: 1 nnunvZAN nu WE-gC`TT,_ gwplJg_M_01 QB�r Alt. Tel. No.i *Per M.G.L c. 147,s. 57-61,security work requires Department of Public Safety "S" License: Lic.No. 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 SignatureTelephone No. P ERMIT FEE: $ i j U ��' , �"l'`'c d l 1 '� �3 r o Date.....!.. .Z .~.....7 40RTH °ft"`°:•'"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING SACMU This certifies that .................kAkbpv. ...... .J�z71-2i G ..... ......... ... .................. has permission to perform .� D 5,5wo� C C- 64",O� . ....................... ............................................... wiring in the building of I" . 5 ,eOv� ....... ...... ...................................... r at......... ..". X Sad/ 5r f orth Andover,Mass. Fee... J�.._.:5......... Lic.No:t�:�1.6 f 1...................... ... ...........4 .. . (� ELECTRICAL INSPECTOR .- Check j, 7937 J Commonwealth of Massachusetts Official Use Only MIME Department of Fire Services Permit No. y�3 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),57 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I I I G-1 City or Town of: NORTH ANDOVER To the Inspe for ol Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) (o-P ao hv\ Soy\ Owner or Tenant � o5 G i'o V L Telephone No. Owner's Address 5 wt r Is this permit in conjunction with a building permit? Yes [J No V5— (Check Appropriate Box) Purpose of Building RZ-C 5 i CJ-cLt, �0 CJS-( Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service o DO Amps 110 / z-io Volts Overhead❑ Undgrd No.of Meters -. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: eW h C�l2�a OUyi� J�i^Ul 1 Com letion of the followingtable may be waived by the Inspector 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 No. of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No. of Switches No.of Gas Burners No.of Detection and TotInitiatin Devices No.of Ranges No.of Air Cond. ons No.of Alerting Devices No. of Waste Disposers Heat Pump Number TonsKW No.o Self-Contained 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 E No. of Water No.of No.of Data Wiring: uivalent Heaters KW Signs Ballasts No.of Devices or E uivalent l No.Hydromassage Bathtubs No.of Motors Total HP Telecommunica k Wiring: No.of Devices or E uivalent OTHER: cc C Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: L I'2 ` o'_ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E 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<B--•BOND ❑ OTHER ❑ (Specify:) I certify,under the pains1 and penalties of perjury,that the information on this application is true and complete. FIRM NAME: GY` Ov\-e-- Q L,, - ` -C-(V)0*-- LIC.NO.: Licensee: 21 N C,w( d tn.P— Signatureati� LIC.NO.: 1t �G t (If applicable, " enter exempt"in the license number line.) T BUS.Tel.No.:7g1-39 t_a 7 d'l Address: (OC) W iv\c In,P Ske� S k re�,� j}�� � J� ( Alt.Tel.No.:7fc I *Per M.G.L c. 147,s. 57-61, security work requires Department of Public Safety"S"License: Lic.No. 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ �� i 4 � I �� r ,�. r 7 Date. . . J Q.: !�. .. OF.NOQTM e•` °p TOWN OF NORTH ANDOVER • -� ' PERMIT FOR GAS INSTALLATION SAC HUSEt� This certifies that . .Cay has permission for gas installation . .a. ;. �3 :�c�S . in the buildings of . . C.c:-� ` �. . . N �`,�. . .1(-�A N. . . . . . . . . . . at :.�. . ��^���:�. . .T. . . . . . . . .. North Andover,,Mass. Fee.;s'45',R?. Lic. No. GAS INSPECTOR Check# '7410 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO DO GAS FITTING CITY/TOWN: LNU41W.- ....... STATE:MA APPLICATION DATE: JOB ADDRESS: GOCCUPANCY TYPE: COMMERCIAL RESIDENTIAL PLANS SUBMITTED: YESD NO NEW[] ALTERATION[] REPLACEMENTO REMOVALIDEMOLrTION[] I- NATURAL& LIQUEFIED PETROLEUM GAS: PIPING-EQUIPMENT-APPLIANCES-SYSTEMS -1 ENTER TOTAL AMOUNT FOR EACH SELECTION(LIMITED TO FIVE(5)NUMERALS AIR ROTATION UNIT FURNACE: ALL TYPES TEMP HEATING EQUIPMENT BOILER:ALL TYPES -2- GAS PIPING THERMAL OXIDIZER BOOSTER GENERATOR(STATIONARY ENGINE) TURBINE BROILER ILLUMINATING APPLIANCE UNIT HEATER BURNER: ALL TYPES INCINERATOR WATER HEATER: ALL TYPES CO-GENERATION UNIT INDUSTRIAL AIR HANDLER EQUIPMENT OVER 12,500MBH COFFEE ROASTER INFRARED HEATER FOTHER NOT LISTED? COOK APPLIANCE HOUSEHOLD KILN I GLORY HOLE/CRUCIBLE COOK APPLIANCE COMMERCIAL LABORATORY COCKS DECORATIVE APPLIANCE MAKEUP AIR UNIT DIRECT VENT APPLIANCE MECHANICAL EXHAUST EQUIPMENT DRYER: ALL TYPES OVEN: ALL TYPES FIREPLACE:VENTED/UNVENTED POOL HEATER FRYOLATOR ROOF TOP UNIT FUEL CELL I ROOM HEATER-VENTEDNENTLESS PLUMBING/GAS FITTING FIRM INFORMATION CHECK ONE ONLY NAME: FICorporation Business# ADDRESS:!P 0 Box 1701 L Partnership Business#� ;Haverhill Hhill -----J'STATE:i-MA izip: 01831 LLC Business# 978-374-1743 1' FAX 978-521-41 EMAIL: �mber@aol.com TEL: 'I .L-- nDBA I Unincorporated NAME OF LICENSED PLUMBER I GAS FITTER: INSURANCE COVERAGE I have a current liabili!y insurance policy or its substantial equivalent which meets the requirements of MGL.Ch. 142 YES n,( NO ff you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 07 Other type of indemnity 171 Bond OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement CHECK ONE ONLY Signature of Owner or Owner's Agent OWNER AGENT OWNER'S NAME: TEL: FAX I hereby certify that all of the details and information I have submitted(or entered)regarding this permit application is true and accurate to the best of my knowledge.I certify that all plumbing work and installations performed under the permit issued,will be in compliance with all pertinent provisions of the Massachusetts Uniform State Plumbing Code,and Chapter 142 of the General Laws. (OFFICE USE ONLY) Type of License: Permit# W]PIumber Ej Gasfitter Signature of Licensed Plum fitter Inspector RiMaster F-1 Journeyman Fee: ❑Undiluted LP Installer License Number: E]Limited LP Installer I ROUGH GAS INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES 9'164 Date.�a : .:�� . . f NOR7q 1 tiTOWN OF NORTH ANDOVER 0 PERMIT FOR PLUMBING ,tSACHUS� This certifies that . . . . . . . has permission to perform . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . 6.: . .a��`^s" <-ArLa-7— C cr- It i—\(- . L k at. �.�. . . . . . . . . . ., North Andover, Mass. Fee.Soi.�?.Lic. No..l //.1�.� . . . . . . . PLUMBIN INSPECTOR Check # —7 y� 0 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: *-WAQ-t ' h't 10QtW MA. Date: LO-LP--(1 Permit# _ Building Location: 6-'F Z0 kUov- C -r-, Owners Name: Cev%4v- Type of Occupancy: Commercial ❑ Educational❑ Industrial❑ Institutional❑ Residential Dip New:❑ Alteration: ❑ Renovation:❑ Replacement: Plans Submitted: Yes❑ No❑ FIXTURES DEDICATED Z SYSTEMS W z W H > z _ w W per, � z Y Q V1 a a h Z cc W z W d' z 0: N Z N to W W d' O Q W Q Z OC ff z N O Q j O LL 3 Q d' 3 W 0 W h J Q z D: D: ar oii O W 3 W W U H = a' H be V z Q 0 a - z H H H LU W 0 W < Q '^ f+ o 0 1 Q Q 0 = o Q a Q a u a � Q Q m m o o LL x x J 0 SUB BSMT. BASEMENT 1, Z 1'FLOOR S 2ND FLOOR i 3RD FLOOR A FLOOR 5T"FLOOR 6T"FLOOR 7TM'FLOOR 9m FLOOR Installing Company Name: IAL-114:5KY PL0MP3if - -4 i{t;AT14Q Check One Only Certificate# (Corporation Address: P-0- CSX 1701 city/Town: N A%)C-FP+1 L.L. State: M-k. Business Tel: q1$- 3)q- Ott Fax: qn- Sal-e113i ❑Finn/Company Name of Licensed Plumber: 5?EPA GE 1 C. f lAL 2 iJSK� INSURANCE COVERAGE: I have a current liabilily insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes R No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy 0?1*' Other type of indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: 1 am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner E] Agent E] 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 installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By _ Type of License: 1`k Title [v2(Plumber Signature of icensed Plumber City/Town [`Master APPROVED(OFFICE USE ONLY) ❑Journeyman License Number: 10341 I FINAL INSPECTION BELOW FOR OFFICE USE ONLY PROGRESS INSPECTION(S) FEE: $ PERMIT# I APPLICATION FOR PERMIT TO DO PLUMBING i j i NAME&TYPE OF BUILDING I i i LOCATION OF BUILDING SKETCH i i PLUMBER I i LICENSE NUMBER: I I I i PERMIT GRANTED DATE: i i I i PLUMBING INSPECTIOR i I i I JP COMMONWEALTH OF MASSACHUSETTS NUMBER BHP-2017-0055 } North Andover BOARD OF HEALTH FEE $60.00 Center Realty Trust DATE ISSUED NAME March 01,2017 2-8 JOHNSON STREET -------------------- ------------------------------------------------------------------------------------------------------------------------------------------- ADDRESS IS HEREBY GRANTED A Dumpster Permit Dumpster PERMIT This permit is granted in conformity with the Statutes and ordinances relating thereto,and expires February 28,2018 unless sooner suspended or revoked. RESTRICTIONS:D. Crescio Trucking 978.667.3363 weekly ------------------------------------------------------------ BOARD OF — = - - HEALTH NOTES: Cakes by Design,NA Trust(2-4 Johnson St.) �� � , ------------------------------------------------------------ BOARD OF HEALTH CHAIRMAN 1 ............................................................................................................................................................................ 2 JOHNSON STREET Reference No: BHF-2010-000043 Permit No: BHP-2017-0055 Department: ----------------------------------- North Andover BOARD OF HEALTH ---------------------------------------------------------------------------------------- Account No: 1001001.1.5.0510.00 FeeType: .................................... Dumpster PERMIT Receipt No: REC-2017-001058 .---------------------------------------------------------------------------------------- Paid By: Paid in Full On: Mon Jan 30,2017 CENTER REALTY TRUST -- - - -------------------------------------------------------------------- Check No: 9309 Received By: ------ Toni Wolfenden ......................................................................................... DEPARTMENT'S COPY Amount: $60.00 ------------------------------ r 1 TOWN OF NORTH ANDOVER Community& Economic Development HEALTH DEPARTMENT 120 Main St. NORTH ANDOVER,MASSACHUSETTS 01845 Phone:978.688.9540 Fax: 978.688.9542 E-mail:bealtbdept@northandoverma.gov ;n, ; APPLICATION FOR DUMPSTER PERMIT .� ..._..i PURSUANT TO SECTION 31A AND 31B OF CHAPTER III OF THE GENERAL LA WS,AND RULES AND REGULATIONS OF THE NORTHANDOVER BOARD OF HEALTH DATE: Application is hereby made for a permit to maintain a..dumpster(s) on property located at ZAivsd� in accordance with the rules and regulations of the Board of Health. 1 Applicant: ua e 4 Property Owner: c et, e,e Name of Contact:B6K C CM Owners Address:-?. e>• &D,k B�-Cp Address: © 19JC 276 PU4- Owners Phone#: Telephone#: Email address: (,parr p„�rp�,�yag, I&�o,`�.mK� �d f Dumpster Company: t; le6Lca O 1leye. Cr Telephone#: Pick-Up Schedule:Q�G� On the back of this form, please sketch an outline of property, ,showing the proposed location of the dumpster(s). Give 'distance from dumpster to other buildings and lot lines or boundaries. Annual Dumpster Permit Fee: $60:00 per establishment Payable to: Town of North Andover. LATE FEE AFTER FEBRUARY 28TH BE DOUBLED-$120.00 *Please note that all contact information and the associated fee is required upon application submittal. Page i of I i ro 8-� 9 Sti►+�G'-� 1 � ' Commonwealth of Massachusetts BOARD OF HEALTH • North Andover 120 Main Street NORTH ANDOVER,MA 01845 DATE PRINTED 12/19/2016 ESTABLISHMENT NAME: Center Realty Trust Center Realty Trust P.O.Box 876 File Number: BHF-2010-000043 Attn:Benjamin Osgood, Sr. NORTH ANDOVER MA 01845 LOCATED AT: 2-8 JOHNSON STREET ,Commonwealth of Massachusetts OWNER: CENTER REALTY TRUST PHONE:(508)328-4630 PERMIT TYPE FEE Dumpster Permit $60.00 NOTES: Dumpster for Haute Dish,Cakes by Design,NA Trust(2-4 Johnson St.) Total Fees: $60.00