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HomeMy WebLinkAboutMiscellaneous - 65 MILLPOND 4/30/2018 210/095.A-0065-0000.0 -i i Date. "oRT„ TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING SSACMUS� f /' i 1 j This certifies that . . . . . ..-': . . . . . . . . . . . . has permission to perform . . . . . . . .... . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee.34?'-. . .Lie. No.. . . . . . . . . ✓ -rnyy' * "� . . . . . . . PLUMBING INSPECTOR Check # 1 tf S 3 6656 .14 SL $ z 131 101 WATER CLOSETS _ KITCHEN SINKS } LAVATORIES . I R BATHTUB J SHOWER STALLS g DISHWASHERS Ic I $ b LAUNDRY TRAYS 1..1 WASH. MACH, CONN, -- HOT WATER TANKS $ TANKLESS SLOP SINKS O (0 FLOOR DRAINS Z 01 b' O OAS.TRAPS c O URINALA. `" m y ORlNKING FOUNTAIN . I I AREA DRAIN WA Ii •,• o ••. �. TER PIPING � , rl Q Cl ROOF DRAINS BACKFLOW PR EV, OTHER FIXTURES: BOILER MATE UKEA$E TRAP -c r SCULLERY .SINK SHOWER VAl.VL fJ BELOW FOR OFFMF Uet ONLY i PINAU".0pECI'10'NS SKETCHES PSE 'PR06.0, SS INOPSCTIONS AP'LIOATION On panMIt TO 00 PLUMMil UNDERGROUND ROUGH COMPLETE ROUGH FINAL INSPECTION PERMIT 011 4110 OATS PLUMNINO INSPEOT011. Date. S^.. .C... i... .. . . ,NORT/, o= TOWN OF NORTH ANDOVER ti F PERMIT FOR GAS INSTALLATION "'SACHUS This certifies that . i . . . . . . . . . . .lc��<�.��!. . . %. i . . . . . . . . . / has permission for gas installation in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . s .�?!.!.l. .�g!�fl. . . ., North Andover, Mass. Fee. Lic. No.. .. . . .�.. . . . . . . . . . . . CCAS INSPECTOR" r Check# 3639 /i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) / ' r® VI a � , Mass. Date 3 13 , Permit # 3 6 3q Building Location b 51 r I 1 I J PON Oy Owner's Name l� Type of Occupane&StCX�—,wtI60--, New Renovation ❑ Replacement Plans Submitted: Yesp No ❑ 6� y cc y W N Y Z W. O1 y Cc y ¢ p ; y = CG O J y W ►— V m ~ :F cc Z C W < = _ O �' W a Cr o a F. a m y F- y W O d c. .`: W < t- y > '� — e (n CC W Z V W = y W < a: H O r = W W y < = CCcc a F Z J f Z 1- W W a 0 > W I- W J h W y < W > W O 2, < CC < a O O W O 1- CC = O O Y IL O o O J V > C 6 M- O 1 1 SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Name YANKEE GAS Check one: Certificate Address 140 SOUTH MAIN STREET ® Corporation 1 0 3C MIDDLETON, MA 01949 ❑ Partnership Business Telephone 978-774-2760 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter WILLIAM R. HARRIS INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes X3 No ❑ If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability Insurance policy iX 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 p 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 the permit issued for this n m iance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the r laws. ` 7 By T of Ucense: Plumber gnature o - Plumber or as fitter Title Gasfitter 3785 aster License Number City/Town Journeyman O C Date. . . . . . .. ... . . ...... .. t HORTM OF o ,ti of TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION 9 - � �9SSACMUSEt This certifies that . . . . ... . . . . . . . . . . has permission for gas installation � . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . i at .�!��,.� .� : :. .° '�*-� .. . . . . , North Andover, Mass. 4ee.& . Lic. No. � !. . . . . . . . GAS INSPECTOR Check# ,j r.Z� 36 -' 6 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING Wrint at Type) / Mass. Date Z/ — - - Permit# -- __ a• �111AI Building Location /in� Owner's Name Type of Occupancy L�f� New ( ' Renovation ❑ Replacement ❑ , Plans Submitted: Yes❑ No❑ v� N a: • M h • G's y v `a t- cc Gi i rr H a: O = S t- ui W Q a m m 0-11 •c m tac+n 'C cc a c W o. c cc A c7 W 4u us _ Z r C a: O ui � j us a 'x o v s 16 o SUB—SSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 0TH FLOOR TTN FLOOR aTH FLOOR Installing-Cr©mpany Name CALLAHAN AIR CONDITIONING ZY HEATING Check one: Certificate 7 Address 91 BELMONT STRERI ❑ Corporation un-AMOVEtt.MA_n 1 R4 5 'Q Partnership Business Telephone 978=689=9233 PrFirm/Co, Name of Ucensed-Plumber or Gas Fitter JOSEPH K.CALLAHAN INSURANCE COVERAGE-- I have a current IWAlty Insurance policy or Its substantial equivalent which meets,the requirements of MGL Ch. 142. Yes 2& No ❑ ' If you have checked yes. please indicate the type coverage by checking the appropriate box A liability Insurance policy W Other type of indemnity 13 Bond 0 ' OVVNER'S INSURANCE WAIVER:I am aware that the licensee does not have the Insurance coverage required by j Chapter 142 of the Mass. General Laws. and that my slgrmture on this permit application waives this requirement. Check one: OwnerO Agent(3Signature of Owner or owner s Agent 1 hereby caruty that alt of the details and Intotmation I We submitted for entered)In above application are true and amurate to the best of my knowledge and that as plumbing work and Installations performed under the permit Issued far this appOcation with be In a mpgance with ad pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the Asneral Laws. SY T aof Ucense: �e Numb t re o at ,iter sritter Muter ih ense Number G,tM=3440 APY .tourneyman BELOW FOR OFFICE USE ONLT PROGRESS INSPECT ION FINAL. INSPECTION SKETCHES- FEE N0. APPLICATION FOR PERMIT TO DO GASFITTING NAME & TYPE OF BUILDING LOCATION OF BUILDING PLUMBER OR GASFITTER LIC. NO. PERMIT GRANTED DATE - 19 OAS INSPECTOR IN2 2 ,-140 Date...../.:. ca f NOR7M� •"� '.0 TOWN TOWN OF NORTH ANDOVER p PERMIT FOR WIRING 8 SACMUS� f m This certifies that has permission to perform . ............... r, w wiring in the building of.... at.1"4�...... / .!...,1<r-r �-....................... .North Andover,Mass. l CT/ Fees.. �...CJS.......... Lic.No... ....... ............................................................... ELECTRICALINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer ,q Office Uv C>�I� G�•�Q \ The Commonwealth of Massachusetts /,—it No. Occup.ney k l=ee Checked Department of Public Safety 3/90 (lee f blankl BOARD OF FIRE PREVENTION REGULATIONS 527 CMFJZi I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Ma&sachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR^�TYPE ALL INFORHATION) Date City or Town of IVDK+k) 62K To the Inspector of Wires: REG CPY the undersigned applies for a permit to perform the electrical work described below. R CT ACT c Loation (Street & Number) l PV/ K-1 .•_ Omer or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of Building OpsiC.tal _ Utility Authorization NO. Existing Service Amps_ / Volts Overhead ❑ Undgrd❑ No. of Nerera New Ser-7-ice Amps / Volts Overhead ❑ Undgrd❑ No. of Mete-.s k - Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Iubs No. of Transformers iota! j111A No. of Lighting Fixtures Swimmin Pool Above ❑ In- ❑ grnd. grnd. Generators INA g No. of Receptacle Outlets No. of Oil Burners (No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones Total No. of Detection and No. of Ranges No. of Air Cond. tons Initiating Devices . No. of Disposals No. of Heat Total Total No. of Sounding Devices P PUDD5 Tons KW No. of Dishwashers Space/Area Heating KW No. ,of Self Contained Detection/Sounding Devices _ Municipal No. of Dryers Heating Devices KW Local❑ Connection[]Other No, of of Low Voltage No. of Water Heaters KWSigns Ballasts Wiring; (:J W No, Hydro Massage Tubs No. of Motors Total HP OTHER: tf INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES f NO C] I have submitted valid proof of same to this office. YES❑ NO 0 If you have checked YES, please indicate the type of coov^e^r"age by checking the appropriate box. JIM INSURANCE 4 BOND ❑ OTHER❑ (Please Specify) E ' ANGELO O SELF BRINKS HOME SECURITY Expiration Date Estimated Value of Electrical Work S 155 WEST STR'`ET, SUITE 5 Work to Start Inspection Date RequestedIL11j1gh` ( . ( ? 7Fina1 Signed under the penalties of perjury: OFFICE: r,1_, 7,0443 C-io�6 FIRM NAME /'� CLIC. N'1. _x Licensee r Signature �'1/ Ira��_� 4, LIC. NO.�' Address Bus. Tel. No. Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent BC-44A MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Mass. Date�� 4uilding Location Permit � a3�� Owners Name .� ` '— ? New 'Z7­'I�enovation Replacement Plans Submitted FIXTURES N ul fn >c x x ai ma .n oc .o .rn = F. tat USor p U m 1- F s u7 G1z a � `� a z = o r UA a to rn t- a o 0 0 t- a W S W w 0 G a. rc W ._ CC N Cf lu W S 'm x C Q O c m W tat err W Z Q x W cc d GC W t- W x td cc H YW- O > tt H W 1 z a W e a .• ad z o z d ul > C W Z < Q 4 d O O W — O W I­ 0 rC z O cs Y u. Q O .t U ct > cz a. H O Sea—aSPIT. sASEMERT IST FLOOR 2HD FLOOR 3RD FLOOR 4TH FLOOR 5TH FLUOR 6TH FLOOR 7TK FLOOR 8TH FLOOR (Print or Types Check one: Certificate Installing Coml.-)any Name ��. [Zj- C`orp. Address__—___ - r-- Partner. / -FirroiCo. Business Telephone:_/_f��C Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Ua__'0__ther type of indemnity Q Bond Ej Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 1-1 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 at! plumbing work and lnstaUstions performed under'Permit izseed for this application will-be-In compliance with all pertinent provisions of the Massachusetts State Cas Code and Ciapter 142 of the Central Laws, — By TYPE LICENSE: Plumber Title asfitter ignature of Licensed City/Town- ..aster Plumber or Gasfitter Journeyman /�� APPROVED (OFFICE USE ONLY) License Number ;_. �� �. � � i� /y Y Y '� 1 .. •� �� -. i rTO -i Date. l g .�. ...... y _ 238 . ,OPT TOWN OF NORTH ANDOVER 3?0*t.�ao ,e'�4•�L PERMIT FOR GAS INSTALLATION .y �9SSACMUSEtIC .. .S J This certifies that . . f/!G. l .!^. . . . . . . . . . . ... . . . . . . . r has permission for gas installation .��!�!?� �. . . . .. . . . .. . . . . . in the buildings of . . . I.?!� . . . . . . . . . . . . . . . . .. . at . . . . . . . . . . ., North Andover, Mass. Lic. No..-? . . . . . . . . . . . 12/()9/96 11:46 25.00 PAID GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer GOLD:File ac (1owwoau>Icalt4 of Aasiac4uectts office use onl6Y . ,//�y Dqwsnw Of�k Permit No. (y�• ' BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 Oawpancy 6 Fre Checked MW (leave Wank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work b Ire otrfwmrad in accordance with the Massachusetts Electrical Code, 527 CMR 12:00 f _ (PLEASE PRINT IN INK OR TYPE ALL INFORi'r AMN Date /0� City or Town of 114/ w) To the Inspector of Wires:, The undersignedappiies kwa775 b /,//"ei@Lvkal work descri Location IStrcet 6 Number) c / Owner or-Tenant Owner's Address Is this permit in conjunction with a bui pttrrtrit Yes 0 No: !Check Appropriate Box) Purpose of Building '- �� .��� Utility Authorization No. Existing Service 1lLSL Amp�l /L2 Volts Overhead Undgrd ❑ No. of Melee New Service Volts Overhead ❑ Undgrd ❑ No.of Meters Number of feeders and Ampacity Location and Nature of Proposed Electrical work TOTAL No. of l ighling Outlets No.of Hot Tubs No.of Transformers KVA ven- Nu. of Lighting Fixtures SwimmingPool red. ❑ red. ❑ Generators KVA No. of Emergency Lighting No. of Receptacle Outlets No.of Oil Burners Battery Units No. of Switch Outlets No.of Gas Burners FIRE ALARMS No. of Zones olaNo.of Detection and No. of Ranges No.of Air Conditioners Tons Initiating Devices Heat Total TotalNo. of Sounding Devices No. of Dis )sals No.of Pumps Tons KW No. of Self Contained No. of DishwashersSpace/Area Heating KW Detection&tundmg Devices Municipal No. of Dryers Healin Devices KW Local❑• Connection ❑Other NO.01 No.Of Low o tage No. of Water Heaters KW I Sisns Ballasts I WiringNo. Hydro Massae Tubs No.of Motors Total HP OTHER: DEC 16 IQ9 INSURANCE COVERAGE: Pursuant to the nqui etments Of Massachosites General Laws I have a current liability Insurance Policy including Canpltne l Operations Coverage or its substantial equivalent.YES n NO rl 1 have submitted valid proof of same to this uffice. YES U NO U If you have checked ES,please indicate the"ofmowrap by decking the appropriate box. INSURANCE LJ BONG ❑ OTHER❑ (PMaM SPedly) (Expiration Date) Estimated Value of Electrical Work f work to Start hmpectiort Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAM LIC. NO. LL.LLti I Ucensee Signature LIC. NO. lddress &13 Bus. Tel. No.L 123 1v2� All. Tel. No. DWNER'S INSURANCE WAIVER:I am aware diet the licensee does not have the insurance coverage or its substantial equivalent as required by Massachusetts ,eneral Laws,and that my signature on this pwwA application waives this requirement. Owner Agent (Please check one) J Tdepharw No. _ PERMIT FEE f lSignaure of Owner or AgttrW �y- � � ff .:,!. ,�i.t°� F .. .. _��: fe-'s��`t,�44 f�." t`"'( 4 �W S�Y ��i .3 �'���`� �:.1 +—� yF F ��� � �i�� 2 .6 ..�' t •�...t' � ..... � t _ .. .. �. � �r _ ... ...�.. � � i .........,. ........ ....._ .._ ......_._ � .� :.....�..........+ ....�1,.............,,. .,.. ,....?.W......�..�,.�......«.�.._._� art. «..�.........�... .,.._ _ .... .. �f...t..�._» .�.... t ... .. .. .Y .. .. ... ...�..._..... .... .. ....... .. ... .. � _ r J" .... ` MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) NORTH ANDOVER Mass. Date,Z Building Location ,,�-<�_ ��i�/ p Permit # P-3 Owners Name • New Renovation D Replacement Plans Submitted FIXTURIEc N � W N .p � .fA S F- m �= it < r x c r < n1 N �' w W < 0 0 O W W m N a t- Ntorr = O q t4L z - rte- m a = o z W of N x 1 C t� r a , u > 2 W z 4 rr < d o o w °C o W t- J a =. 0 0 U. n i1 0 ,..r V = y G a t– o SUa—aSMT. BASEMENT IST FLOOR 2ND FLOOR 3110 FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR TTK FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name X11- � Corp. Address ,/I . , , /- - Partner. P1 Firm/Co. Business Telephone: Name of Licensed Plumber or Gas Fitter Insurance Coverage: Indicate the type of insurance coverage by checking the -appropriate box: Liability insurance policy M Other type of indemnity Q Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner Agent I hereby certify that all of the details and information 1 have submitted (or entered)in above application are true and accur a to the best of my knowledge and that all plumbing work and installations performed under Permit issued for this application wiU-be in on oa with all pertinent provisions of the Massachusetts State Gas Code and 0apta 142 of the Genual Laws. By TYPE LICENSE: Plumber Title Gasfitter Signature of icensedZ City/Town: Master Plum f-i.tter APPROVED (OFFICE USE ONLY) Journeyman Li 6e ise Number A .r =R Date. .. .. x = 2354 d; HpR*M TOWN OF NORTH.ANDOVER oFs, ao ,a 14, O PERMIT FOR GAS INSTALLATIO 9 This certifies that . f.tz'A^^ . . . . . . . . . . . has permission for gas installation . .FwAA '.gc.,c. .. . . . . . . . : . in the buildings of . eA.xt`5: /I� . . . . . . . . . . . . . . . . . . . , , , at . . . . .kap , L. r!?G.ia. ,� . . . . . . . . . North Andover,.Mads.: Fee. -. . . Lic. No.//50,.7G:. . . . . . S INSPECTOR" WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File 8 . M. 57 ;-91 -1 . I3AY SWI'I ADJUSTMENT SERVICE /a/mlw a PO. BOX 336 " urald A AMOVER. MASSACI 111SE1 TS 01810 0336 &"AW+a YIIIY1rAl1/ WM,u(M � utt(�/ �. FAX Y 506.474 0336 1� m Andover. 475 8111 i dwell: 458-25.12 lavalhill: 374-9282 Lynn: 596 5050 TOWN/ TY FIRE DEPARTMENT �WW or ARDLAl.Til or, INSPECTOR OF BUILDINGS UOARD OF 3tiT.' .1'� WN OF NORTH ANDOVER ) mnrrnl nra un TOWN HALL ) MOWN H—L NORTH ANDOVER, MA O 1 S 451 1 RTH --ANDo,,,, , 01845 RE: INSURED: JOSEPH PROPERTY ADDRESS: 65 MILL POND ROAM, WORTH ANDWER, MA POLICY NO. : HP 11121557 COMPANY' MERRIMACK 11fiiJTUA LOSS OF: WATER DATE: Q2—n9-9-1 FILE OR CLAIM NO. : 3-205—W Claim has been made Involving loss, damage or destruction of the above captioned property, which may either exceed 41 ,000.00 or cause Massachusetts General Lawt Chapter 143, Section 6 to be applicable. If any notice kinder Massachusetts General Law, Chapter 139, Section 36 is appropriate, please direct it to the attention of the writer and include a reference to a captioned insured, location, policy number. date of lose and claim or file number. .groTT M Rnvn, GENERAL An-J , TER Title On tilts date, I caused copies of tilts notice to be sent to tike persons named above, at the addresses indicate above, b first class mail , S gnature Date r ...,.,� � � � _ '`` ....__ _.--__-� I` ... F