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Home My WebLink AboutMiscellaneous - 64 EMPIRE DRIVE 4/30/2018�! 1 �� -�''i� tea'>os�' i� � � - - _ r Date... ...................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING T.D CHUS IThis certifies that ..... ....Z has permission to perform .... ...... . ........ wiring in the building of.... .X?. ........ ...................... .......... .............. North Andover ass. Fee.l.f.��Lic.No�Pf,3� ............... 11 . . .. . ........ k�LEERicAZ�L:ilmslp,e�7; R Check # 05-16 Commonwealth of Massachuse ttsEV-71/071 Official use Only Department of Fire Services Permit _ �� BOARD OF FtopIRE PREVENTION REGULATIONS �dee Checked leave blank ' �`"-'" APPLICATION _ P LiC ATION FOR PERMIT 'TO PERFORM ELECT All work to be performed in accordance with the Massachusetts Electrical Code ELECTRICAL. ay ORn (Pl Fst.�F PRIN1'IN p (MEC},527 CMR 12. _ R TYPE o0 INFORMrgTlO , � Date:at _ e: City ar Town O� / NORTH' ANDOVER -By application the undersigned gives notice of his or-her intention to perform the electrical work To the r n Location(Street&Number) 4��-7 �,r _ _ bed below. n Owner or Tenant - /j Owner's Address el 7G t f Telephone No. Is thin permit in conjunction with a-bnildin - - Purpose of Building Pe nut?. Yes ❑ ❑ No _ g (Check Appropriate Boa): �,- r Utility Authorization No. Existing Service s - - _/'Z e/ v�its overhead❑ on d New_ Selcece mp, _ - dg ❑ "No:of Meters _____1=__._vols _ Overhead❑ Und d - - Nmber of Feeders and.Ampacity - ❑. _No .of Meters _ _ . Location and Nature of proposed Elec Electrical.Work: ------------ No.of Recessed Lun&airres Co letion o the ollowin 'table ni be waived b the Iirs actor o Wires; - - ` No.of Cell,-Snap•(P'eddie}Fans o• ]rlo.a�f IJuraainaire 011g, (Paddle) Transformers ° - NR,r.f: oa sfl _, A - SigPool Abodegrn00.O mergency No.of Receptacle Outlets - No. nd• Ba Units _ Of Oil Burners No.of Switches FIRE ALARMS No.No.of Gas B uof Zones sers - a..o et an No.of Ranges No.of Air Cond. Tot Devices NO.of'Waste Disposers t Tons No.of Alerting Devices - y Totals: `"`—-er ons o.of oninined No.Of Dishwashers Detue on/Al Devices - Space/Area Heating KW um at No.of Dryers - - Localal APpIn Other'_ ' Heating Bances o.o stet KW ecurity Systems: Heaters KW o.of a of No.of Devices or E uivaleat -- St s Data W' No.Hydromassage Bathtubs Ballasts No.oif Dices or E nivaIent No.of Motors Total HP ecomm ca ons OTHER; - No.of Devices or n�alent _ :_ v , Estimated Valu - - - e of Electrical Wolk: Attach additional detail if desired oras requi�(�,the Inspector of'Wires. Work to Start ��, _ (when reed b m �, G ` 1/ Inspections to be requestedy 'm'mPal Poli IlVSURAIVCE COVERAGE: •Unless waived b ,n accordance with MEC Rule 10,and upon completion. ^ the licenseb.provides proof of liab' ' y the owner,no permit for the performance of electrical work may issue unless _ l _ undersigned ilrty insurance including•completed geed certifies that such coverage is' ,and has exhibited operation,,coverage or its substantial equivale The CHECK ONE: INSURANCE proof of same to the permit issuing office. ' I certify,under the pains and penalties o ❑ OTHER ❑ (SP� y:) FIRM NAME: . fP �ut7'; at .formation on this application is true and completes Lfeensee: A, Signature ' LIC.No.:�.9�`�` (If applicable, en r"exempt»in the license number line.) LIC.NO.. , Address; *Per M.G.L c. 147,s.57-61,security work Bus.TeL No.: OWNER'S INSURANCE W re DePartn'cnt Public Safety _ Alt.TeL No: AIVElo I am aware that the Licensee does no have rthe habil' Lic.No. Abg law- By my signature below,I hereby waive this requirement Tame(check on ce coverage normally Signature )❑owner ❑owners agent Telephone No. P�'R1t11?'FEE:$ ELECTRICAL PERMIT NO, INSPECTION REPORT: - - - - ELECTRICAL INSPECTOR-DOUG SMALL J.ROUGH SPECTION: Passed- Failed—[ I Reins ection required($50.00)-[ ) Inspectors'comments: .(Inspectors'Signature-no ini als) Date T — Failed—[ I Re-inspection required($5000)-[ )mments:' ` .. (Ins tors'Sig tare-no initials) Date 3.UNDER GROUND INSPECTION: - Passed—[ ) - _- .— Failed-( j Re-inspection required($50.00)-{ ] Inspectors'comments: = - (Inspectors'Signature-no initials) ' 4 Date 4.INSPECTION—MSignature -- - DATE CALLED N - Passed _ ._ R&Wspection required($50.00)- Inspectors comme [ I(Insno initials) Date 5.INSPECTION-OTHER: - Passed—[ I . - Failed—[ ] Re-ins ection required($50.00)-{ ] Inspectors''comments: (Inspectors Signature-no initials Date DOOR.TAGS ARE TO BE F 4LED OUT AND LEFT ON SITE IF THE AREA TO BE INSPECTED IS NOT _ ACCESSIBLE ANDA RE-iNSPECTION OF 50.00 iS TO BE CHARGED. Date.. ?;° ►.. .... . NORTH pf i«ao ,°,tip TOWN OF NORTH ANDOVER • '` PERMIT FOR GAS INSTALLATION . eok4 �,SSACMUSEtt This certifies that . . G ►-I. .. ! . .6 K has permission for gas installation . , , , , , , , , , , , in thdings of . . U(?� �!`�! . V%%, i r .G LLC . at . . . ..... North dover, Mass. Fee ! !go•u? Lic. No..t.4 3. .(.�. . /r/C.4:� az e; . . . GAS INSPECTOR Check# -14 -7-1 7904 Lei A UG MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY: _QXPA "WQ)Xk MA. DATE: I1-Vt—h PERMIT# JOBSITEADDRESS: 6LP (�D1�(1Q,� OWNER'SNAME:_ Ak (&. &O Q%LUKr_CCC GOWNER ADDRESS: TEL: FAX: TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAtn PRINT CLEARLY NEW: RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO❑ APPLIANCES Z FLOOR— Bsmt 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 FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCK MAKEUP AIR UNIT OVEN POOL HEATER ROOM t SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER Q INSURANCE COVERAGE I have a current liabiG insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES [if NO ❑ If you have 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 coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT ❑ SIGNATURE OF OWNER OR AGENT 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 wil be in complian a with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER/GASFITTERNAME: STEPHEN C. GALINSKY LICENSE# 1034 SIGNATURE COMPANYNAME: CSA W3.K`d PLUMA106 -t• ADDRESS: P.O• ROX 170111 CITY: IU Alf EERH I L-L, STATE: In ZIP: 01231 FAX: 479- Gall-4131 TEL: 978 374- 17&f3 CELL: 5,0'd- 60A- 6goy EMAIL:_ itiYW W. mrpl u bell:��ol. t aro+ MASTER[X JOURNEYMAN❑ LP INSTALLER❑ CORPORATION/#—:3 1 iib PARTNERSHIP❑# LLC❑# ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES i 9194 Date.il RT TOWN TOWN OF NORTH ANDOVER 3a ;.r - -'• of PERMIT FOR PLUMBING ;,SSACMUS� h This certifies that . . . . . . . . . . . . . . has permission to perform . ?` !� .t��`' '. . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . at. . .8.`'f. . C VPq. . . . . . . . . . . ..North Andover, Mass. Fee.5. . 56 Lic. No. . . . . . . PLUMBING INSPECTOR Check # P K MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK CITY %,koQ"% MA. DATE �6-L� PERMIT# JOBSITE ADDRESS 6 L) C`MP d � _ OWNER'S NAME 0Qk*AfZ kA I,4 i(1(A-C61LLC POWNER ADDRESS TEL FAX TYPE OR OCCUPANCY TYPE: COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL PRINT NEW:72. RENOVATION:❑ REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NO ❑ CLEARLY FIXTURES Z FLOOR- BSMT 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB L, CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYS DEDICATED GAS/OIUSAND SYS DEDICATED GREASE SYS DEDICATD GRAY WATER SYS DEDICATED WATER RECYCLE SYS DRINKING FOUNTAIN DISHWASHER FOOD DISPOSER FLOOR/AREA DRAIN , INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET I Z URINAL WASHING MACHINE CONNECTION j WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which,meets the requirements of MGL Ch.142. Yes 5?rNo❑ 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 ❑ AGENT ❑ Signature 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 Ch ter 142 of the Geneall Laws. PLUMBER NAME STI P0150 C. GRt_Ih3SKY SIGNATURE LIC# 1034 S MP[' JP❑ CORPORATION X# 319(o PARTNERSHIP ❑# LLC ❑# COMPANY NAME 6111140SKY QLUMgik)b *- RVAT1111G ADDRESS: P.O. Gax 1701 CITY HAVERItu L. STATE I'M•A• ZIP 01'63( EMAIL WWW. rnrpcowl TEL g'7t'37q- 014 3 CELL 50%-50c1-5g0H FAX q76- ;I +413i ROUGH PLUMBING INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES ��1RYFj . ��' g4Cri IB�fa�' - :� 73 NORTH.CScMO 4'J[1R.I1'FJ"MG JlE ."TAEN IT= 1600 Osgood.Street �sa�ta45�K Nort4 A dover . Tel: 978-698-954 . . Fax: 979-688-9542 B USMSS FORM FOR TOW'CLERK DAM TA i0A 2n (o— NAAM: ` . DPXSS; `�re per, BUMUNG LA.YODT PROVIDED: YES NO ZONMG BY LAW USAGE: YES NO f 1 �. N T G� RUSMSSFORMFORTOWMERK North Andover MIMAP July 15, 2016 I 107.0-0131 107.C-0132 107.0-0133 71 EMPIRE DR 107.0-0134 Y �, gs 19.89 107.0-0135 100 67 EMPIRE DR 6� Vit' .0$ G .S` rt. Nr 107.0-0130 80 EMPIRE DR N �9 107.0-0136 A Z1 64 EMPIRE DR cis 107.0-0129 9- .90 62 EMPIRE DR 40 00 107.0-0128 RZ 60 EMPIRE DR 307.0-0029 107.0-0127 6` 107.0=0110 0� 107.0-012 C3 MVPC Bo Zoning Overlay Zoning �s Municipal Boundary 0 Adult Entertainment Distric Businei s 1 District Q Machine Shop Village Ove ❑Busine 2 District Horizontal Datum:MA Stateplane Coordinate System,Datum NAD83, Rail Line @ Watershed Protection Dist O Busine s 3 District Meters Data Sources:The data for this map was produced by Merrimack Interstates Historic Mill Area 13 Businei s 4 District NORT" Valley Planning Commission(MVPC)using data provided by the Town of —I Medical Marijuana 0 Genem Business District OE s o qr{r North Andover.Additional data provided by the Executive Office of —SR 0 Downtown Overlay District O Planne Commercial Dev 4,444 r4.4 OO Environmental Affairs/MassGIS.The information depicted on this map is Roads O Historic District Corrido Development Dist 3 L for planning purposes only.It may not be adequate for legal boundary U Osgood Smart Growth(40 ;U Corrido Development Dist O _ to definition or regulatory interpretation.THE TOWN OF NORTH ANDOVER %r Easements Hydrographic Features O C°rtido Development Dist A MAKES NO WARRANTIES,EXPRESSED OR IMPLIED,CONCERNING Industri I 1 District ❑Parcels Streams i '• THE ACCURACY,COMPLETENESS,RELIABILITY,OR SUITABILITY Industri 2 District h t< OF THESE DATA.THE TOWN OF NORTH ANDOVER DOES NOT ':Wetlands C Industri 13 District �o �.• f ASSUME ANY LIABILITY ASSOCIATED WITH THE USE OR MISUSE OF D Industri I S District 9+ Exempt Lands Reside ce 1 District ~- y� THIS INFORMATION �. Residei ce 2 District SSACH R-idei ce 3 District de ce 4 District ce 5 District rde ce 6 District - �a a esidential District