The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 62 MILTON STREET 4/30/2018 62 MILTON STREET / 210/031.0-0045-0000.0 I I I —► —4`7 Date.....I........ ........... 1ha ,� TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING ,SSA USES This certifies that ........... ..! / T/1�.�................... has permission to perform ....... P.P!rr.P.n.I H04�6 ............... wiring in the building of eke..No,............ ................................................. at......!P ..........M.1�TP..IJ....ST................. .North Andover,Mass. Fee. ! E ECTRICAL INSPECTOR Check # -S33 2— `� 7754 4 L111 Commonwealth of Massachusetts Oficial Use Only Permit No. / 7 q Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS pkey.9/05] (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MECO,527 CMR 12.00 (PLEASE PRINTW INK OR TYPE ALL INFORAMTIOA9 Date: rQ- I 9-01 City or Town of: N0r4+\ Andtfff_9, To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) (07. p'yl J f Or? $f Owner or Tenant Teff X 00 X G 11 Telephone No. Owner's Address _.4AA-C. Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Boa) Purpose of Building s i fNC COAD% 11 11we111 p i 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 Location and Nature of Proposed Electrical Work: � A, Completion of thefollowing table may be waived by the Lnyector of Wires. No.of Recessed Luminaires No.of Cert-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above El ❑ o.o mergency g d. d. Battery Units No.of Receptacle Outlets 3 S No.of Oil Burners FIRE iLARMS]No.of Zones No.of Switches Z,Q No.of Gas Burners No.of Detection an Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat= Num r Tons KW No.of Self-Contained Totals:I I I iDetection/Alertin Devices No.of Dishwashers 1 Space/Area Heating KW Local❑ Conne�on El Other No.of Dryers Heating Appliances KW Secnrety Systems:* No.of Devices or Equivalent No.of Water KW o.o No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whine• No.of Devices or Equivalent OTHER: ti 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 ❑ BOND ❑ OTHER ❑ (Specify.) I certify,under dee pains and penalties of perjury,that the infor nmaion on this application is true and comptete FIRM NAME: T1 CA r& E Ik.C+ Tin L• LIC.NO.: a M 0 CA Licensee: 1 ettd A l Signature e.<, LIG NO.: MOM(a (If applicable,enter`exempt"in the license ra�mber line.) 0l Bas.TeL No: ' - 77 Address: Alt.Tel.No.• IiO� *Security System Contractor License required fo�'41tis work;if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required b3'law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner owner's ent. Owner/Agent Signature Telephone No. PERMIT FEE.$ �S w A9�' tht 'ti niw v; ------------ 15 0k- c77 I r t~car-rE� �'r F tis t�Nub �'► x.14 P1+� AA 4.% 1 JUJI6 A"?vSjr� .1-11 Date lv . . .Q;? M°RTM TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING ,S$ACMUSEt This certifies that . . : . . A*C 43 I41`.,�,!Gl�. . . . . . . . . has permission to perform . . ,gdaz . . . . IV P., . plumbing in the buildings of P !; g a . . . . . . . . . ., North Andover, Mass. Fee 279 . . .Lic. No.. . . . . . . .zt • •O/D PLUMBING INSPECTOR 7521 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTSDate Building Location / ' `' ` l e Owners Name ��!`�'�� Permit# Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes ❑ No ❑ FIXTURES rA SI�BgVIC �` Rai4 Mff M EU R 2PDBDM 3M RaR 4M FUM 5I Hfm 6M HDM 7IHHDM 9MI UR (Print or type) C l Check one: Certificate Installing Company Name 6 �" ❑ Corp. Address ❑ per G7 q N Business Telephone LIQ F/ irm/Co. Name ofLicensed Plutdi=& er. Insurance Coverage: �th.,e type of insurance coverage by checking the appropriate box: D/,� Liability insurance policy / Other type of indemnity ❑ Bond ❑ Insurance Waiver. L the undersigned,have been made aware that the licensee of this application does not have any one of the above threeinsurance Signature Owner 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 installations erformed under Permit Issued for this application will be in compliance with all pertinent provisions of the Mas c S e b' and Chapter 142 of the General Laws. r By: Signalum or Licenseaum er Title Type of Plumbing License J City/ ►censeNumber--F— Master ❑ Journeyman APPROVED(OFFICE USE ONLY Date. NOFTM ' 't'O 0_ °p TOWN OF NORTHFANDOVER PERMIT FOR GAS INSTALLATION ;o•.•-try SACMUSES -rl ��+ /-i�This certifies that . !. .#�. ! . Or(.: ).q J(-, . . has permission for gas installation .NPA.I?°d . .>!1Pp�. . 4e`? Pr Tin the buildings of �. . . .161).We PI. . . . . . . . ... . . . . . . . . . . . . r � at ( -y� . . � l �??. . : . .. . . . . . . .I North Andover, Mass. Fee. . . . . Lic. No. l Tt. . J p. !. . . . . . . GAS INSPECTOR Check# ,t 6166 �L MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations r Permit# Amount$ Owner's Name / // J� New Renovation Replacement Plans Submitted <` w v, V a a z C z w w x � u W x z 0 O a w w v, z � a H F z o F w w c .da u a > is a F O SU B-BASEM ENT B A S E M ENT 1ST. FLOOR 2ND. FLOOR 3RD . FLOOR 4TH . FLOOR STH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or type) _., Name ! Check one: Certificate Installing Company -,A6Corp. Address L-cl � Partner. usiness a ep one 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 a If you have checked ves,please indicate the type coverage by checking the appropriate box. No 13 Liability insurance policy Other type of indemnity 13 Bond 13 r 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 ED 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 installationsserforme nder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachu Stat as C e d Cha r I f the General Laws. By: Signature of Licensed Plumber Or Gas Fitter Title Plumber 4L2.2 2,1- City/Town [3 Gas Fitter License Number 171 Master APPROVED(OFFICE USE ONLY) �rourneyman cDate. ................................ t Of SNOR71�1�0 o: TOWN OF NORTH ANDOVER '° PERMIT FOR WIRING SSA ow r.. . �o n � This certifies that ......... ..... ,.......�.f''��................................ has permission to perform ..........oF.Bfl��..:.� X�/1./,'. ................. wiring in the building of�&! Ofd fCEi.................................... at.....&2 /j'f!4r7A-?fr/ ST........................ North Andover,Mass. ............ ............... Fee..5 .�v. Lic.No .�.7Z�/ ..............��r.��,. J / q ELECTRICAL INSPECTOR Check ti ! 193 V 6 ' 36 Commonwealth of Massachusetts Official Use Only Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(WC) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ® , City or Town of: To the Inspect r of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) jam_ Owner or Tenant ,.J— ;J Telephone No. Owner's Address Is this permit in conjunct'TAMj n with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building_r Utility Authorization No. Existing Service Amps 1;!Wl7ft�Volts Overhead Q�Undgrd❑ No.of Meters New Service Amps 1,U2 / 17,c4lVolts Overhead Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. ot Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- o.of Lmergency Lighting No.of Luminaires Swimming Pool rnd. Elrnd. ❑ Batterl Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total No.of Alerting Devices Tons g No.of Waste Disposers Heat Pump Number Tons KW o.oSelf-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 Water No.o No.o No.of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts No.of Devices or E uivalent No. Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsWiring: No.of Devices or E uivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of E ct ical Work: /A �� (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E AGE: 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the a. and pen Ities of perjury,that the information on thlication is true and complete. FIRM NAME: z is p &LIC. NO.: 1 Z9C`' Licensee: Signature % LIC. NO.: (Ifapplicable, enter, a "exemptr,�""in the TiceAse number line.) N Bus.Tel. No.'�.,-"W? )Y?)Y?-?Address: RI g&-sr.- /"A Alt.Tel. No.: *Security System Contractor License required for this work; if applicable,enter the license number here: 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. FPERMITFEE.- $ i �'�C v M k� 1 r