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Home My WebLink AboutMiscellaneous - 65 COURT STREET 4/30/2018 / -65 COURT STREET 210/058.0-0030-0000.0 Date... ................/ TOWN OF NORTH ANDOVER to AL PERMIT FOR WIRING ;,SSAemuSEt This certifies that .....I—P ... .......... has permission to perform .......... wiring in the building of...... X............................................ at..... �..53.3G'S 7— ........................ North Andover,Mass. mod Fee Lic.Na,�,�... ................. 386 8,6 Ar Check # 7338 Commonwea&o f Vas6ac4aietb Official Use Only Permit No. 3 2epartment ol3ire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. ]/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK - All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE A L INFORMATION) Date: 7 City or Town of: iZ'i J7 d i4f�e.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) &17 34W#-/— S Owner or Tenant 4' y 12 i4 /YVS /keV - Telephone No. 7 �Ocf g Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters s Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: dtr�a .c' { Completion of the ollowin table ma be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o ota _ Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators. KVA No.of Luminaires Swimming Pool Above [In- ❑ o.o Emergency Lighting rnd. grnd. Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o Initiatin tingon an Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Tl[eat ums um er ons o.oSelf-Contained Total . Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ IVtumcipal ❑ Other No.of Dryers Heating Appliances KW o�.o S evi es or Equivalent No.of Watero.o No.o Data Wiring: Heaters KW Signs Ballasts No.of Devices or E uivalent No. a ecommu Hydromassage Bathtubs No.of Motors Total HP mcatwns firing: No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required by the Inspector of Wires. Estimated Value of Electrical Work: A9 Se° (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:) certify,under the pains d penalties of perjury,that the information on this application is true and complete. FIRM NAME ell p 1T 2I^1/t S LIC.NO.: /553 Ci Licensee: Signatur -- LIC.NO.: 6?6E (If applicable.enter "e.ei t"in!e license number lii II '' Bus.Tel.No.ZJ'd t'� —Ili-I AddressLIi?7�M R l�t_S N� Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. CC a244-1/ 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. PERMIT FEE: $ ' COMMONIIVEAI.TH '1111AS': } —, - �_�p^_ __^_ • / �! " ; ` tlS `)S;:�, *.. I ✓he TOonx momu�ea�� o�✓ al DEPARTMENT OF PUBLIC SAFETY OF E L E'GTR I C Y A N S i License: SEC SYS CERT.CLEARANCE 'AS' A SEG JOUR.NEY,`�AN ELECT TA Number.SSCC 002421 i6SUES-T-HIS LICENSE TO Birthdate:'10/19/1972 `' .�r7:'��l hl R•Il K 0 U B E - Expires: 10!19/2007 Tr. no: 388.0 ,.; f� •.ABLE a Res4icted: iN RICHARD K DUB b=24` 18 CLINTON DR C /y HOLLIS• NH 03049 Commissioner 38686 E D7i31Jb7 Ob372(11? �•,.J . ....... .. .. - - - - _........ . ::::::::_._:.:::-:: MASSACHUSETTS MUNDFR FACIAL DRIVERS LICENSE ;-.::•: :::..::: - ::_:=.._. -;:.::_:::•:_::..:;.:: COMM - - - 07 93 _S06 77 .... EE •' • •• DATE OF BIRTH CLASS REST HOCM SIX y � - 10-19-1972 C LN 5.10 M • - EXPIRES ISSUED EIMRSE. - . . . .. .• 10-19-2008 10-162 . DUBE RICHARD K •L•pMO.LI-MA tats :i•• . i 01854-2461 � 1 Date...f? P` . ... r t F NO oTM - 3? TOWN OF NORTH AND/TION PERMIT FOR GAS INSTA a 9 9 �,SSAC'HUSESS This certifies that . . -�.r. . . . . �: v. . . . .��24�r. . . . . . has permission for gas installation <�.Af S. .. . .V/c . la in the buildings of . . .r . . . h c!I ,5. . . . . . . . . . . . . . . . . . . . . . at t North Andover, Mass. _iFl !q:.�.. . Lic. No./3A.�4, 1!!d .`. . . . . . . . . . GAS INSPECTOR Check# / 5669 MASSACHUSEI'IS UNIFORMAPPLICATONFOR PERM TO DO GAS FfYnNG (Type or print) Date NORTH ANDOVER,MASSACHUSETTS Building Locations (� / 654-1 l?- 54 Permit# Amount$ Owner's Name Jp New❑ Renovation ❑ Replacement Plans Submitted ❑ lx a o d a w 9Q N x a F F z a c z o ° o. a w w d G0 wH z H z w a W Wz 0 z U x a x O A CQ7 00 a > A8 F U O SUB -BASEM ENT BASEM ENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . F L O O R 8TH . FLOOR (Print or type) j / / Check one: Certificate Installing Company Name �� G C /�fG � �(c//)1//J..�,�� ❑ Corp. Address �� Xr� f?2^G -l' re:. ❑ Partner. Ccs usmess Te ep one7j s-- / ' 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 ❑ No❑ If you have checked vs,please indicate the type coverage by checking the appropriate box. Liability insurance policy 10 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 Owner's Agent 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 performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetde and apter 142 of the General Laws. ts Stat s BY: Signature of Licensed Plumber Or Gas Fitter Title ❑ Plumber ` A s�el City/Town ❑ Gas Fitter License Number 0 Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date.W. - �. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUSE� This certifies that . . . f. . .Ul. . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform . 4p.! // '� . . • • • `�C �,�� • '• plumbing in the buildings wul- Feel.3?J.-. 1d4�. . . / .616. . . . . . . . . . . . . . . . . . at . . . . . . //. . . . ''// . . . ,,North A over, Mass. ��.Lic. No/36t .?. . . . . �. . 7.`. . . . . . . . . . . . . ,.. PLUM IN Check ,H �S 7047 I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building Location CU V 1 S7 Owners Name JDE of ,S Permit# Amount Type of Occupancy j h New Renovation Replacement (91 Plans Submitted Yes ❑ No ❑ FIXTURES Q E~ z z cn UCf w w y a. Q z n w Q 3 z A w F z >a��v>avr JSr HBM �. M HBM mnffi" 4M FL" 5M flint tM F M« s>lHDM (Print or type) n / Check one: Certificate Installing Company Name �� j (,jAy/lAI"5 ❑ Corp. Address ` ' Partner. usmess e ep one _ Firm/Co. Name of Licensed Plumber: g1j-1 02Zg Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy 0 Other type of indemnity ❑ Bond Insurance Waiver: I, the undersigned,have been made aware that the licensee of this application(toes not have any one of the above three insurance 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 performed under Permit Issued for this application will he in compliance with all pertinent provisions of the Massachusetts S PI mbing Code and Chapter 142 of the General Laws. ,� �� By: Signatureu icensc riu jr Title Type of Plumbing License J City/Town License lNumoer Master Journeyman ❑ APPROVED(OFFICE USE ONLY .. Date../ Z.................. f NORTH� TOWN OF NORTH ANDOVER O 9 PERMIT FOR WIRING ATIC ' SSACHUS ....:'.k...., ........E.....................................s.......................... This certifies that U , has permission to perform ... ......................................... wiring in the building of...... n^?....................................................... at.. ..5....t. ............. -...> .....- .............. .North Andover,Mass. IV � Fee3�5 .. Lic.No....... ....:..........................:`Y�........................ ELECTRICAL INS(PEECC76R--- Check # u �✓ 7033 Commonwealth of Massachusetts Official Use Only Permit No. 'Zc`33 Department of Fire Services Occupancy and Fee Checked 3U 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: q it- 7- ,0 City or Town of: N d r 0 � YJ a U P/- 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) 6, _ 6—7 Cd C,-r fi S }- Owner or Tenant To seh k 4 b.M r LQh4 e IJ L,,� Telephone No.--q ZK L4 7?]�3 Owner's Address {b 0 P l e-C SO A+ �'+- u d--t b n n a ay e e- M 14 Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building p u b 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: Rep Iu o -q- - Lq2d [ V S Y a P ,e r c .S 1 Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ o.o Emergency Lighting rnd. rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.o FDetection and Initiating Devices No.of Ranges No.of Air Cond. Total. No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Mun'cipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring. No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3,60 O (When required by municipal policy.) Work to Start: Inspions 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 the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: e v t e c LIC. NO.: Licensee: JOS 2 n h G L e-v [ l Signature LIC. NO.: fin 9 � (If applicable, enter "e empt"in the license number line) 4�dBus.Tel. No.: 9:JeL�L.3 Address: I toU f l eciSo i� 'f 6f r ee t" Nor+6 A vi d o v-er 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. PERMIT FEE: $