HomeMy WebLinkAboutMiscellaneous - 67 Matthews Lane /7,4 r F/FCAJs ���
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._„Date. � . ..
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�- � 3448
NORT1�
a�<••.o .��, TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING A
SSACHUS� O
This certifies.that /gk!'.s/`�}/. . . / of t/ . . . . . . . . . . . . . . . . cru
has permission to perform . . .��. . . . p !fio . . . . . . . . . . . . . . . . .
plumbing in the buildings of . .P�!+.. ... °�. . . . . . . . . . . . . . . . . . . . . CU
at �.`.`.. . . . . . . . . . . . . . . . .'. ., North Andover, Mass.
Feee2.`!?.'. .Lic. No jq� .L/A. . . . . . . . ` . . . . . . . . . . . . . . . . . . . . .
PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
4A MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
�; �► , ,10AI6/ Mass. Date 195 Permit #67 y
Building Location Wit" Owner's Name Pnecay d
?I c l MIYAW Type of Occupancy $r rA !may"
Newly' Renovation ❑ Replacement 0 Plans Submitted: Yes ❑ No 0
FIXTURES
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SUB•BSMT.
BASEMENT
1st FLOOR 2 11"311 1
,2nd FLOOR
3rd FLOOR
4th FLOOR
Sth FLOOR
6th FLOOR
71h FLOOR
11th FLOOR
Installing Compan Name P. Check'one: Certificate
Address �
a-,, f o) corporation 9f��
�( �1 & L__ VM 0 Partnership
G3us r ess Telephone lbo 7 ""T)
Nar•r= c" Licensed Plumber ",<7=-e—
Ipp LIN. t;a COVERAGE:
I have ?,ent�abtfi 1ty insurance policy or its substantial equivalent whxh n+wN Aye requirements of MGL Ch. 141.
f No 0
if y'ac I_ 1+necked res, please i icate the type coverage by checklns Ow awrWime boo.
A liability Insurance policy tf Other type of indemnity 0 &wyd 1
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not ha.e Ihv +,wance coverage required by Chapter 142 ted theMAW
General Laws, and that my signature on this permit application waive+ ihl.re'QuFreenerN. Check rxyr
Owner 0 Apenr
Siimature of Owner or Owner's Agent
"I,n,ehy rnn,"r rhar all nl dr drud,and rnlomanan I have wbnutlyd to rnr0 rM 1n ahrM E5�
rtMaftaChuVllF Sort Pmi}adv UrA"'tal1ar,om peoviv w under t0 pem+n mued to this apphca00"will br m c once m .
Cl:a MAI,awo.
@r S,Rnalurejgl,t ced trmhrr
type d IvCV~.Maven tY "oyrrryman J
L,cenw Number .
I t1r920v[o 0"FK[us(oNrn
Date...`.......... .............. {
907
t NOR7M 4 ��i
4,�0 TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
,SSACMUS� �s�
This certifies that ...... � � A ....&Z.C........ .... ............
has permission to perform .`:�....�...�-,��.�f.!� ...�..?.t'-?...:..............:...........
wiring in the building of 3
..:.....
at //........_ .�. orth Andover Mass.
fl"15-2
ELECTRICAL INSPECTOR
05/02/97 0°50I`. 50.00 PAID
WHITE:Applicant CANARY:Building Dept. PINK:Treasurer
Office Use only
�4e &m11,0111=4 of agga ljllBMB Permit No. Q
' Y 30cpartutcut of Public Jhfctg Occupancy& Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 1 3/90 (leave blank)
8'
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date �:'/` '92
City or Town of NORTH ANDOVER To the Inspector of Wires:
The udersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) o-,� /I , 1�967
Owner or Tenant , Iv 2. t u u ct c?
Owner's Address 200 r(G �`�-r��_`E` /iJ�f/Z i2p i ti�
Is this permit in conjunction with at building permit: Yes ❑ No (Check Appropriate Box)
Purpose of Building Utility Authorization No. 7, �� 7 L/
Existing Service Amps —J Volts Overhead ❑ Undgrnd ❑ No. of Meters
New Service Amps — I Volts Overhead ❑ Undgrnd ❑ No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work !" )
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Pool Above In
grnd. ❑ grnd. ❑ 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
No. of Ranges No. of Air Cond. Total No. of Detection and
tons Initiating Devices
No. of Disposals No.of Heat Total Total
Pumps Tons KW No. of Sounding Devices
No. of Self Contained
No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices
No. of Dryers Heating Devices KW LocalMunicipal ❑Other
❑ Connection
No. of No. of Low Voltage
No. of Water Heaters KW Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
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 NO ❑ 1
have submitted valid proof of same to the Office. YESNO O If you have checked YES, please indicate the type of coverage by
checking the appropriate box.
INSURANCE M/ BOND ❑ OTHER El (Please Specify)
(Expiration Date)
Estimated Value of Electrical Work$
Work to Start _<;— /— 9Inspection Date Requested: Rough Final
Signed under the Penalties of perjury:
FIRM NAME LIC. NO. 9
Licensee 4f/n 11
S /ac..J r�N e.Q_ Signature LIC. NO.
Address r�9a //e /JSGit+rC �,T,[�/lO� j /—� BAIL. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as re-
quired by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent
(Please check one)
Telephone No. PERMIT FEE $
(Signature of Owner or Agent)
tom, x-6565