HomeMy WebLinkAboutMiscellaneous - 60 BEAVER BROOK ROAD 4/30/2018 60 BEAVER BROOK ROAD
210/106.6-0232-0000.0
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(Print or Type)
NORTH ANDOVER, Z
Masa. Oate .10P-7
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8unding Permit �" � Z �t2—(to
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Owner's l�cl 2,
Name U ,s
Newt" Renovation ❑ Replacement [3 Plans Submitted: Yes C1 No.❑
I\\ FIXTUAE9
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IST FLOOR ! `Z
ttHO ►LOOK
IIRO FLOOR
4TH FLOOR
sTH FLOOR
eTH FLOOR.
ITH FLOOR
STH FLOOR
�� �� , C, Cheek one: Certificate
Installing Company Name urn/ ; ❑Corp.
Address 27 F�C WM A64i % /,"',0J Js0 Partnership
ptirm/Co.
guslnessTelephone GG3 S,33,2,
Name of Licensed Plumber /('tiA 4�,C 7—
INSURANCE
INSURANCE COVERAGE: ec e
I have a current Ilablfty Insurance policy or Its aubstantlat equivalent Yesw No ❑
II you have checked M, please Indicate the type coverage by checking the appropriate box
A liability Insurance policy Other type of Indemnity ❑ gond ❑
OWNER'S INSURANCE WAIVER: 1 am aware that the Ilceniee 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:
a car•of Owner or Osmsr s Agent
Owner ❑ AgerA ❑
I hereby wrtity that all of the details and Information I have submitted for enteredl h above sppAcallon are true and accurate to the bast of my
trwwtedge and that a1 plumbing wak and Installations performed under the permit Issued for this application will be comp8ance with eA
peAlnen provisions of the Massachusetts Slate Plumbing Code and Chapter 142 of the Gw7ai
By
This na
of of Lkensod Plumber
City/Town
Ucense Number ?L l�
AF"XWED(OFFICE USE ONLY) Type of gybing tense: Master ❑
Journeyman Xe
Date. .
3232
4
,0 R'"'tio TOWN OF NORTH ANDOVER
° PERMIT FOR PLUMBING
SSACHUS�
This certifies that . . .k"q.fit:Lk...0. . . r . . . . . . . .CO.
has permission to perform . . . . . �. -1. �. . .
plumbinLy in the buildings of . . :t—(D--.--00 . . . . . . . . . . . . . . . . . . . . . .
r.
at.&11 . . �. �L. . . . . . . , North Andover, Mass.
Fee.1.l? ":Lic. No4/5.6? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
►Z `� IL
OM1/97i14:48 412.00 PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
l NORTH ANDOVER Mass. Date /�`'l jc 7
kuilding Location_40�tgt Permit
Owners Name z o S G o lye
New ^ , Renovation D Replacement Plans Submitted
v FIXTURES
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SUR—BSMT.
BASEMENT
IST FLOOR
2N0 FLOOR
G1
3110 FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
(Print or Type) Check one: Certificate
Installing Company Name �� �f �� ('�,✓T Q Corp.
Address Partner.
Eyj Firm/Co.
Business Telephone: 60 ? 9,`4 - cp.3
Name of Licensed Plumber or Gas Fitter
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy ] Other type of indemnity 0 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 coverages.
Signature of owner/agent of property Owner U Agent El
i hereby certify that all of the dcttds and information t hare submitted(or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and tnttallations petfomud under Permit issued for this application will-be-in compliance with aD patinent
provisions of the Massachusetts State Gas Code and Chapter 142 of the Genual LAws.
By TYPE LICENSE:
Plumber
Title Gasfitter Signature of Licensed
City/Town: Master Plumber or Gasfitter
Journeyman a %
APPROVED (OFFICE USE ONLY) Lic Tt se Number
' Date.. ..
1 .- 2440
a
NORTH
1. TOWN OF NORTH ANDOVER
:
0 -- � op PERMIT FOR GAS INSTALLATION
i ^ i
♦ o � i
�9SSACHUSEt 9
This certifies that . . .
has permission for gas installation
in the buildi sof . . . .L C-). . . . . . . . . . . . . .C O
at CAv/e,. .1 North Andover, Mass.
Fee. S w . Lic. Nos . �6
4 GAS INSPECTOR
WHITE:Applicant CAN RY: Building Dept. PINK:Treasurer GOLD:File
Office Use Ont
014z LIII1ZYlIIIUM1111th of I55$L � Permit No.
t
lepartmettt of Puhiir $afetq Occupancy A Fee Checked 71—_
BOARD OF FIRE PREVENTION REGULATIONS 527 CtdR 12:00 3mo peave blank) �3
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Datek1�/-z-/9—G
M& or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) �n� �(7 G4oe) ci.
Owner or Tenant f�/4 /L on(IC2
Owner's Address tLJ� `.7c,Q vtGz- R e>e�l, �d
Is this permit in conjunction with a building permit: Yes _ No C (Che ropriate Box)
Purocse of Suildino ! 11-+ f, _ Utility Auth ization No.
Existing Service Amos Volts Overhead ' Undgrnd o. o eters
New Service '?—Qn Amps 1La 12-Y Volts Overhead _ Undgrnd No. of Meters
Numoer of Feeders anc Amoacity
Location and Nature of Pr000sed Electricai `Mork It
C 1� C�,10>1� � � �'
otai
No. of Lighting Outlets No. of Hot '.:bs No. of Transformers
KVA
Above— 'n-
No. of Lighting Fixtures i Swimming Pool 9'^0 _ crno. _ , Generators KVA
No. of Emergency Lighting
No. of 9ecectacte Cutlets No. of Oil Burners I Battery Units
No. of Switch Outlets ; No. of Gas Burners FIRE ALARMS No. of Zones
No. of Ranges No. of Air Cerc. ;Criso at In is Detection and
9 ons Initiating Cevices
No.of Heat Total Total
No. of Disoosats Purres :ors KVJ No. of Sounding Oevices
No. of tion Contained
No. of Dishwashers � SoacetArea i-feat:rd 'CYJ DetacitoniSouneing Devices
Munic;oai
No. of Oryers Heating Oevices KW Local Other
Connec:;on
No. of No. of Low Voltage
No. of Water Heaters KW i Sic-is Sailasts Wiring
No. Hydro Massage Tubs No. of Motors Tota; lF
OTHER.
INSURANCE COVERAGE. Pursuant to the recuirements of Massacr.users general Laws
I have a current Liaotiity Insurance Policy inctuc;ng Comc:etec Cceratiens Coverage or its substantial eduivaient. YES NO _ I
I submitted valid oroof of same to the Office. YES = NO 2" If you nave cnecxed YES. please indicate the type of Coverage my
checxing the aoprocr;ate box.
INSURANCE JZ' BOND = OTHER = (Please Scec:`+)
(Exovauon Datel
Estimated Value of E:ectrical WorK S
Wcrx to Start I i j 19,-- Insoection Oate Pacuestec: Rougn Final
Signed unser the_2Am_atties of perhry:
FIRM NAME t.. t ! GAJ;. C UN
C. O. A I=L Z
LicenseeSignature l / LIC. NO. 'SJS
Bus. Tel. No.
Address L�� �+ r� `7A L e•tilt LA Alt. Tei. No.( I?nQ) SC3 d— Fr-
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does rot have the insurance coverage or its suostanvai eduivalent as re-
auireo by Massachusetts General Laws. and that my signature on :his permit acotication waives this redutrement. Owner Agent
(Please cnecK ones
7etecnone No. PERMIT FEE S
iSgnature of Owner or Agent) xM5c5
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r Date....
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606
f NORT"1
F, 3?�.';�``•�-. °"�,� TOWN OF NORTH ANDOVER
= p PERMIT FOR WIRING
ass^cMusE�
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This certifies that ......... ,r....
has permission to perform ....'' "? ...?,f. . ... .................
wiring in he building of.... /�Yh..... ....�4p .(f................................... -y
..... .. . . ...
at�G1� .GGGj ...,North Andover,Mass.
Fee... /. ..U.4. Lic.4. /Jd� ...............
f _ ELECTRICAL INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer