HomeMy WebLinkAboutMiscellaneous - 60 MILLPOND 4/30/2018 60 MILLPOND
210/095.A-0060-0000.0
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Date.../o%o/6,................
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TOWN OF NORTH ANDOVER
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PERMIT FOR GAS INSTALLATION
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i This certifies that .......I!?= k."'!"'.......... .. ... ..
has permission for gas installation ............rw1� .......:..............................
inthe building ofd�-.........:...r.....................................................:.............................................
(� t�hl ,ZNh Andover, Mass.
at... ............................... ........ ..4.
3 �' ..` J.... Lic. N®. ......................... . ............ ............................
G INSPECT
Check#
9628
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
KA
ryb CITY I North Andover MA DATE 10/28/2014 ��PERMIT#
JOBSITE ADDRESS 60 Mill Pond OWNER'S NAME I Michelle McGinnis
GOWNER ADDRESS TE FAX r—.._�
TYPE OR OCCUPANCY TYPE COMMERCIALQ EDUCATIONAL ® RESIDENTIALQ
PRINT
CLEARLY NEW:(j RENOVATION:® REPLACEMENT: PLANS SUBMITTED: YES❑ NOQ
APPLIANCES 7 FLOORS— BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR _
FURNACEC- I _ -
GENERATOR --
GRILLE
INFRARED HEATERf�
LABORATORY COCKS
MAKEUP AIR UNIT [- --
OVEN
POOL HEATER
ROOM/SPACE HEATER � E—D 3
ROOF TOP UNIT
TEST V _ I� �� � i-1— ._
UNIT HEATER
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UNVENTED ROOM HEATER
WATER HEATER _OTHER -I
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES L]NO ❑
I IF YOU CHECKED YES PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY (❑ OTHER TYPE INDEMNITY ❑ BOND
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance covers equired by Chapter 142 of t e--\
Massachusetts General Laws,and that my signature on this permit application waives this require men .
CHECK ONE 0 LY: WN R G NT
SIGNATURE OF OWNER OR AGENT r
I hereby certify that all of the details and information I have submitted or entered regarding this application are t a rurnio th best o° kno led-e
and that all plumbing work and installations performed under the permit issued for this application will be i compl ance ithrti nt 7vision o t e
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUM BER-GASF ITTER NAME Timoth A Giard LICENSE# 10301_ SIGN RE
MP 0 MGF® JP® JGF® LPGI® CORPORATION®# 3443 PARTNERSHIPQJ# LLC❑#
COMPANY NAME:j Timothy A.Gia rd Plumbing&Heating Inc ADDRESS I P.0 Box 782
CITY I North Andover STATE Ma ZIP 01845 TEL 1978 689 8336
FAX 978 689 8300 CELL 978 490 710
8 EMAIL tgiardplb@yahoo.com
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Date 7.�?
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that . . . lJ
s ���2
has permission to perform �D.
. .� �¢. . . �Uc�. . . . . . . . .
wiring in the building of . . . l.4� . . . . . . . . .
at .6 d-4.3 po.>c.ffl . . ��,. . . . . . . . ,North Andover, Mass.
Lic. No. .�.Z O t 7A . . . . . . i�:(//IGC
ELECTRICAL INSPECTOR
'crack#7:7
11284
�► (.oa,m meaxV1,Vaff= officidUseoniy
-�BpQr nto� nswoicaj PeasaitNo. 1 C� 2,
BOARD OF FIRE PREVENTION REGULATIONSOc�pancy and Fee
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
AU workto beperformed in acsm b=wi&OmM MeclriW coda gaC) 327 CbIIt lZ�
(PLM=PMffMDYSOlt=EAU WFORIIfMaV} Datc ,Z
City or Town of /lire ,�,L,,,, �, yL To the Inspector f Wires:
BY this application the undersigned gives notice of his or her Mention to perform the electrical work described below.
Location(Street&Number) ,C o- -3
Owner or Tenant Telephone Na
Owner's Address _ 5 1117-__5_'
7s this permit hi conjunction with a building permit? Yes ❑ No ❑ (Cheek Appropriate Box)
Purpose of Building G✓u f l Utility Authorhation No.
ExLstiug service YIDAmps /z D/ 3 yo volts Overhead ElIIn
dgrd El No.of Meters
NewSeryfce Amps / Vola Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampaeity
Location and Malate of Proposed Electrical Worts Yvo
s !able boy be waived the urs.
No.of Recessed Luminalres Na of Cell Susp.(paddle)Fans No.o
Tmneormen HVA
1 No.ofLaminafrr Outlets No.ofHot-Tum Generators HVA
No,ofLnminahvs Swh nmiagpool ❑ d, ❑ Ba of r5nIIniL�lagwing
No.of Receptacle Ouflets NO.of On Burners FIRE ALARMSNa of Zones
NO.Of8Witches No.of Gas Baraers a oemon an
TOW Initiatin Devices
N06 ofRanges No.ofAir Cond. Tons No.ofAlertingDevices
No.of Waste Disposers Heat
otal ons -&.OfDgagS nlAler to Devices
Na of Dishwashers Space/Area Heating KW ❑Con ddpa n 11 Other
No,of Dryers beating Appliances - KW 5
Na of ccs or e
No.o Water o.o
$ Rt
� KWSi Ballasts NQ-ofof Data Divices or iquivalent
No.Hydromassage Bathtubs Na of Motors Total HP N of Devices or Equivalent
AM&adddonal&wff fidadrg4 arae requbcdby thehaspeaorofWuac
Estimated Valne ofFlectrical Work (When roqunrd 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 performwee of electrical warts may issue unless
the Huesca provides proof of liability instance including ft mpletcd operation"coverage or its substantial equ ivaleaL The
mdrtsigped certifies that such coverage is in force.and has aduUW proof of same to the permit Laming office.
amm ONE: MURANCEa BOND ❑ OTBM ❑ (Specer)
I cff9h,rectae Bmf andpendWes ofperJW7,that rhe fnfornmdon an this applicaflon is true and completes
FMMNAMW3Uddy Electric Inc. LIC-NO-- 12017 A
Licensee: Vincent B. Landers Jrgigmat LICNOs 23 84 E
alqwft=bk WMr exempt"in therxeres mmber row-) us.TeL Nor - - 4 55
Address: 24 CColgatenr Y.And over r Ma 01845 BM&TeL
*Pet bLG.L.e.147,s.57-61,secnntp work requires Department ofpoblic may"S'License: Lie No.
OWNER'S INSURANCE WAIV$R: I am aware that the Licensee does not have the Habib insurance coverage normally
regUhW by taw W my signature below,I hereby waive Ibis requircmwL I am the(check one ❑owner ❑owneres t
Owner/Agent
Sigatare Telephone No. PERMIT FEE:S
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