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Home My WebLink AboutMiscellaneous - 623 TURNPIKE STREET 4/30/2018 (3)N � � C CD Z m m C) - o m 3408 Date./.-./...-.`. `.' ....... HORTM TOWN OF NORTH ANDOVER p`4ao ,e 1tipL . p PERMIT FOR GAS INSTALLATION This certifies that . ..f �!- ./-.`.... `? has permission for gas installation ... .!j .................... . in the buildings of ...../,` '../ z... ........................... at ............ . North Andover, Mass. Fee..?..`... Lic. No...�. _ a k�GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer QX MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING 0- jr-1111i V1 UMI Mass. Date I`I-.� Building Location_ . (D ol,J 1URA)Pjkf' SJ'— Owner's New X Renovation ❑ Permit # 3 U Occupancy-6e—side-4 /," Plans Submitted: Yes[] No ❑ Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X7 Corporation 1862 LAWRENCE , MA 01840 ❑ Partnership Business Telephone .687-:1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery . INSURANCE COVERAGE: 1 have a current liability Insurance Polk,- or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 9 No ❑ If you have checked Vis, please indicate the type coverage by checking the appropriate box. A livability insurance policy S( 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: Signature of Owner or Owners/gent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in aborVplication are true and aocu%te to the best of my knowledge and that all plumbing work and Installations performed under the permit iss t r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. Type of Ucense: Plumber Signature of Vcensed Plumber or Gas Title Gasfitter Master Ucense Number 8697 City/Town 9Journeyman (OFFICE S ONL S • • • Y • Son ME H"s i Mal .. ■��iltsr��t��MI MIN NMI ./ .. l��t��t�l�■«00 ONE NEEMENNOON .. ■o MENOMENNNOMs■ Installing Company Name BAY STATE GAS COMPANY Check one: Certificate # Address 55 MARSTON STREET X7 Corporation 1862 LAWRENCE , MA 01840 ❑ Partnership Business Telephone .687-:1105 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter Francis X. Corkery . INSURANCE COVERAGE: 1 have a current liability Insurance Polk,- or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 9 No ❑ If you have checked Vis, please indicate the type coverage by checking the appropriate box. A livability insurance policy S( 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: Signature of Owner or Owners/gent Owner❑ Agent ❑ I hereby certify that all of the details and information I have submitted (or entered) in aborVplication are true and aocu%te to the best of my knowledge and that all plumbing work and Installations performed under the permit iss t r this application will n mpliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Gene s. Type of Ucense: Plumber Signature of Vcensed Plumber or Gas Title Gasfitter Master Ucense Number 8697 City/Town 9Journeyman (OFFICE S ONL z 4 J n LL 0 w Q s- r W a z z o , CL v w z a z t - k N J � d L O O H7 Q � r w r U• � w U. O 0 z 0. Ir I O O U. U. Z O O J w t - m a cs a CL Q w w u. z 4 J n LL 0 w Q s- r W a z z o , CL v w z This Portion of Authorization To Be Returned to BSG. Inspection Has Been Made of the Following Gas Equipment: ❑ Heating System (BTU Input ) ❑ Range ❑ Water Heater ❑ Clothes Dryer ❑ Room Heater Location All Work Has Been Done In Accordance With The Massachusetts State Gas Code And Is Ready For Use. INSPECTOR a0103dSNI �8 IjejuasaadaH JS8 a3nssi ilNH3d suoi}aulsaa Indul nl8 'lle}sul aoj I Ruedwoo sed ajejS Re8 ssaippy of ponssl .......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ..................... . ........ his permission to perform . . ................... wiring in the building of .......... ........................ .... ...... at ..... ............ 1NN rtnh Andover, Mass. Fee .�.I!r ....... Lic. No . ........... .................. ELECTRICAL INSPECTOR Check # 5178 e3 \ CommOrlwea& o f Mad:3acJluje(fj K 2eparintenf of ira Serviced BOARD OF FIRE PREVENTION REG LATIONS APPLICATION FOR PERMIT T All work to be performed in accordutce with t - (PL EASE PRINT IN INK OR TYPL_,4LL IiYt'OR.1.1, City or Town of:„Q p By this application the undersigned gives notice oif hishi Location (Street & Number) Owner or Tenant 1( Official Use Permit No. �S�76 Occupancy and Fee Checked Rev. 1 1/99] (leave blank) PERFORM ELECTRICAL WORK c Mssachusetts Electrical Code (MEC), 527 CNIR 12.00 .01v) Date: 6 5-1a��o To 1lMe Iltspector- of JPtt•es: r intendou to perform the electrical work described below. Telephone t\o. Owner's Address (//7 117 /_1 Is this permit in conjunctioti with a building permit.' Yes ❑ Noper, >=1 (Cltcct: Appropriate Box) 1'urliose of Building Utility Authorization No. Existing Service Antes / 1'olts Overhead ❑ Undgrd ❑ No. of Meters'. Ne:; Service Anips / Volts Overhead ❑ Undard ❑ b No. of dieters: Number of Feeders and Anipacity Location and Nature of Proposed Electrical Work: n &-r,A Completion n%rtro No. of Recessed Fixtures No. of Lighting Outlets No. of Ccil.-Susp. (Paddle) Falls No. of blot Tubs narvce, o;, the ins cctar or,t'ires. No. of rotas Transformers L"A Generators I<VA t o. o rn''I Pjjcy ig rung Batte Units No. of Lighting Fixtures Swiniming Pool Above ❑ In- ❑ rrid• rnd_ No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of lletectfo11 and InDevices No. of Switches No. of Gas Burners No. of Ranges No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Totals: i`iumber 'Tons — KlV No. of S!1, ,Contained Detection/Alerting Devices - �- - M No. of Dishis•ashers Space/Area Heating XWLocal ❑ itilunicipal Connection ❑ Other No. of Dryers Heating Appliances 11Ny Security Systems: No. of Devices or Equivalent No. of Nater No. of No. 01' Heaters k W Data ;'✓iring• Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of MotorsTotal IIP Telecommunications Wirurg: -. No. of Devices or E uivalent OTHER: aaacir aaatuorrat aetiza J desired, or as required by the inspector of Wires. INSURANCE COVEIUGE: Unless waived by the owner, no permit for the performance of electrical wort: may issue unless the licensee provides proof of liability insurance including "completed operation” coverage or its substantial equivalent. The undersi-ned certifies that such coverage is iii force, and has exhibited proof of same to [lie permit issuing office. CHECK ONE: INSURANCE U BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work:' (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties ofperjury, that the inforination on this application is true and complete. FIlLNI NAME: Buddy Electric Inc LIC.NO.r 12017.A Licensee: Vireent B. Landers JR Signatur v L1C.N0.: 23684 E (1f applicable• enter• ..erenipt " in the license number line.) Bus. Tel: No.: 9 —4 4 5 Address:.24 Cola,tP 71r 1\i_Anr3nvPr� iyia O1Ra� Alt. Tel. No.: OWNER'S INSUR:\NCE NVAI VEI2: 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 onc) ❑ o;vner ❑ Owner's a,ent. Owner/Agent Signature Teicphone No. P1S 2aIIT FL'L: p , N2 2598 Date ... 2 ......................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... .. ................................ . ........................................................ p has permission to perform .................... . ............................... wiring in the building of . ....................................................................... at ........ . North Andover, Mass. Fee..................... Lic. No:'!�W,:�� ..... .............. ................................... ELECTRICAL Nspwrolit Check # (� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Official Use Only Permit No._�� o� BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Occupancy &Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 112:00 (Please Print in ink or type all information) Date (% To the I ector of es: Town of [North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number. r. Owner or Tenant_- L� Owner's Address Is this permit in conjunction with a building permit G - Yes. ❑ No heck Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps �l�Voits Overhead Undgrnd ❑ No. of Meters New Service Amps Voits Overhead ❑ Undgrnd ❑ No. of Meters Number of Feeders and Ampacity. L tion and Nature of Proposed Electrical Work No. of Lighting OutletsTotal No. of Hot fuse No. of Lighting Fixtures No. of Receptacles Outlet; No. of Switch Outlets No. of Ranges No. of Diposal No. of Dishwashers r No. of Dryers No. jif Water Heaters. „ r No. Hvdro Massage Tuds Above ❑ In ❑ Swimming Pool grind ❑ grnd ❑ No. of Oil Burners No of Gas Burners Total No of Air Cond Tons Heat . Total No. Pumps . Tons No. of No. No. of Generators KVA No. of Emeraenry I inhtinn FIRE ALARMS No. of Zone No. of Detection and Initiating Devices No. of Sounding Devices No./ of Self Contained Detection/Sounding Devices ❑ Municipal ❑ Other Voltage INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES = NO = have submitted valid proof of same to the Office YES = NO = If you have checked YES please indicate the type of coverage by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) Z_ Estimated Value EI trical W rk$ 7 / /n --z cl � xpiration Date Work to Start Inspection Date Resquested Rough Final Signed under th nalties o perjury: / e�� FIRM NAME LIC. NO. L ensee _J/l;I'�%% p C 6 Signature LIC. NO.— Address/ � u— �Jv� /,57w'C�7 Bus. Tel No. I — 4 ep�c—/ LiV�l Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licenses does not have th't insurance coverage or its substantial equivalent as required by Massachusetts Genes. And that my signature on this p7nit application waives this requirement. Owner Agent (Please Check one) ~' Telephone No. PERMITTEE $ y (Signature of Owner or Agent)