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Home My WebLink AboutMiscellaneous - 69 MILLPOND 4/30/2018 69MILLPOND 210/095.q-0069-0000.0 The Commonwealth of Massachusetts °"`- U"°"' ►or.lt X.. Department of Public Safety 4t.Msr i►a 0*4 /O Q BOARD OF FIRE PREVENTION REGULATIONS&V CUR UM )/go law.•WW)---� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU"crit lr M b aaerdsaq-ft the>`laMAmem Weaftal Gds.$27 CMR 12.00 (PLTA58 YRi?i+tY IN DMC OR Trrz ALL IWORKAXXON) nate a City or Tov6 of z To ttu Inspector of k rest MW vadersip*d "Plies for a passu to pertors the eisetsfeai work described below. Loeition (Street i Nuchae a • Amar es saaaae - own's Addsess_ L this patent to conjuattiea With a building perch: Tes ❑ No ja (Week Appsoprlats cos)• Purpose, ol�bnii tieiiisy Autborisatiee W. +_-6'Pf rr Olti Overhead ❑ VndVd❑ No. Of Netass _volts overlsesd ❑ mWgrd❑ No. of motors_ NanbW of pesders asd-AopiCit�i ' Loaatien and !tamse of proposed electrical Work —10Cp dr„„ Ito. of LigAtL;cutlets' No. of Not Tubs 110. of Trinsforsars ta• Ss. of LiiAtiag ?lxtusesKWA gwtar.iaE real W.❑ . ❑ Canasators . RYA Se. of Receptacle outlets NO. of Oil Sonora 1o. of Foss F Lint i Satre Uhl 9 14. of Reitch Outlets No. of Cas Somers nIW AiAAW No. of Zones So. of Masses No. of Air Cond. tonna No. of Detection and Initiating Devices So. of Disposals no. Ofto Yotal Total Tong mWno. of Soundtag Devices ~rte NO. of bishvaahars Space/Asea lketiag pl 110. of Sel( Contained Detectlone/SoundinS Devices No. of Orrsrs liaattns Devices Mar local0%micipalOtbtr Conntctlon0 1Mo. of Bates baatess qi voltage ° ballasts So. Vi=e massags Tabs No. of motors Total HP OTl�ts r Pursuant to the requ�remote of Massachusetts Cenral Lova .• IL hm a Current Liabiil Luuranoe Mblia �w ND I have s ttad vtncludL4g Cooplatad Opesstiow Coverage or its substantial 0!i amid root 3� cheers! T=S. leas. P ra sass to ehL office. m NO P iadieate the type of severs m&-NO�y p by e>teekiag the 019VO rieta bo:. IA11C8 LJ ❑ 43>®t❑ (Tteass gpee3fy) x5tamated value of Jtlsatt 1 work g at a q Workto star t Iaspeetion Date Requested: Sigped.a.aerthe Pegs ties of pas ear;r Mrtai an Licensee / LTC. Ito. 9:3 Address SlMat++re LIC. ND• g1te. Ttl. 110. •Td �•�• OUM'S INSMAI= llA V=s I as av !t. til. mb iter e"'•that e tial equivalaat w =equisad•by wswehwtsita al vs "°e � �!rreiue cows pP=teatLa) wawa this requireseet. Our- vie or 4ta+t 'Pon ebeek oft) a on tela Peisit mature o I-arnt Telephone no, -?�Sig.`�"�. cy�T-�,s".,�'i'�b�" -- '_r. -.-..�-.....:r::s�+ �*�"c��i�"�*+c�.�� '�i+�,.��•��j�rc�Y.".l�wF�-tk-'z•'$ta, Date...... ./..q . 422 LORTF1 TOWN OF NORTH ANDOVER O: � PERMIT FOR WIRING E ,SSACHUS� >k n i This certifies that r /" �t -P L has permission to perform /!! . ! / wiring in the building of........ f.114........C.Ib.r.e.................................... at......SC... 11 f�t1e?~ .........,North Andover,Mass. Fee.... 5.... ... Lic.No.A.5.72&%............................................................. ELECTRICAL INSPECTOR ;f Ck 93y /04/46 11:29 15,00 PAID WHITE:Applicant CANARY:Building Dept. PINK:Treasurer � m { fr` /.: MASSACHUSETTS UNIFORNI APPLICATION FOR PERMIT TO DO GASFITTING t (Print or Type) NORTH ANDOVER Mass. Date r, /2• 161 _ tuilding Location Permit # Owners Name New Renovation Replacement r] Plans Submitted oa � c - W of � q r o f c � o W c � W < to 0 N _ o LU -f W �C C O t] .W W W - -:< `L' O til ~' W F- ca W tit _ Q W > c: W G < q O O W Q W F_ - Q P. SJa-as:.,T. BASEMEXT I -IST FLOOR I I I -I I .`. ::.".1 '°-: `. 7_70 FLOOR j 3R0 FLOOR I I I. -I I I I ! ` { { ! I I I I I I I _ I_ . I_ .I I - I - I -4- I - STH FLOOR _I__J._...L.___{L__I I. ) ST K FLOOR .- 6TH FLOOR TT){ FLOOR I I I I I I (( I I I I I I I aTR FLOOR I I I - I I i I I I (Print or Type) Check one: Certificate Installing Company Name U �� Q Corp. Address 9 - Partner. Firm/Co. Business Telephone: 2 Name of Licensed Plumber .or Gas Fitter Insurance Coverage: lndica.e :`:e type of insurance coverage by checking-the appropriate box: _ Liability insurance policy L7 Other type of indemnity Insurance Waiver: I , the undersigned, have been made aware. that the licensee of this application does not have any one o' the above three insurance. coverages.__. _ Signature of owner/agent of property Owner = Agent Q - I hereby ecrtify that all of the details and information I have submitted (er entered)in aEove appiieation are truce and accurate to the best of my icnovrtedSe and Mat at1 plumbin; want and Installations ,z•orsse: race. P-•rsit issued fo: this sppiication wW be in wmpiiamcis with ad;attune provisions of the Massachusetts State Gas COdc And(3aptc:t-"ei Iso Cc_nc:.i Lars. _ By TYP= LICENSE l P,vu ber Title l Gas iitter Signature of Li sed City/Ta;arl- MasterP1� orGasfitter journey an Z= APPROVED (OFFICE USE ONLY) License Dumber _�� -�..,. ,_ _. .�_--.gin..--avr^'•--�: I�,:��-�+,.....'$�-""„ '"�p,�' 1 - 2054 Date.. pORT�y N TOWN OF NORTH ANDOVER . ?Ory t,.ao ,e 1y0 � PERMIT FOR GAS INSTALLATION d 'TS C14 G �a This certifies that . ,��rlf?.9� .�� .... has permission for.gas installation a in the buildings of . . . .• ,�,� �L •GL- . . . . • . • . . • • . • • . at . . . .IY44v. •C• •,�j North Andover, Mass. Fee,�,?.1. �. Lic. No �. . i �� GAS INSPECTOR i WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: Flle a _ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASF1TTING (Print or Type) / NO,ANDOVER,MA , Mass. Date `� :.19 10 .. Permit ;t Building Location „LLPOND Owner's Name f! NO.ANDOVER,MAType of Occupancy RES New ® Renovation p Replacement ❑ Plans Submitted: Yes❑ No ❑ N \ N tu J W N � Y 2 vi y N U N .0 W Ul U4 Q W _ — O = O y. Z O d J U > O d F' O SUB—aSMT. BASEMENT 1STFLOOR 2ND FLOOR V 3110 FLOOR 4TH FLOOR STH FLOOR I 6TH FLOOR 7TH FLOOR 13TH FLOOR Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certs lcate u Address 91 BE .MONT STREET Corporation NO.ANDOVER,MA. 01845 ❑ Partnership Business Telephone 508-689-9233 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN INSURANCE COVERAGE: I have a current liability insurance policy or Us substantial equivalent which meets the requirements of MGL Ch. 142. Yes Rl No ❑ ' If you have checked Les, please indicate the type coverage by checking the appropriate box. A liability Insurance policy J7 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-0 Agent C3 I hereby certity that all of the details and information 1 have submitted(or entered)in ove application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit sued for this appllcaU will b In pllance with all pertinent provisions of the Massachusetts Stale Gas Code and Chapter 142 of the neral Law ey Te of Ucense: mber gnalur o c nse um a or Gas titer Title sritter Ip aster Ucense Number M-3440 �Y Journeyman O . T2- 2043 NORTH TOWN OF NORTH ANDOVER Of co ,e,ti0 - 3r PERMIT FOR GAS INSTALLATION- 5 FO F a" �9-TS ACNuSEt _ This certifies that 4-"2. . .. has permission fcE:,g installation `° 1/�/ '� ` o in the buildings of . . . . . . . . . . . . . .. . .. at . . . .b.� . . . . , North Andover, Mass. Fee. ----'P,ic. No.. .�J t- . . . . . . . . . . . . . . . . . . . . . . . } (/p GAS INSPECTOR WHITE:ApplIcant CANARY:Building Dept. PINK:Treasurer GOLD: File . re= `i Date I'?'- V1 G�• �'<".��':Atic TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING ,SSAC14USf This certifies that has permission to perform . . .f�.4!t . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . X. . . . . . . . . . . . . . . . at . . .(,.�? . . . • . . , North Andover, Mass. Fee. . V . '. .Lic. No.. . . . . . . . PLUMBING INSPECTOR Check # �1 t 5334 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING t� (Print or Type) _ MVass. - D -7.00-'-z— Permit # Building Loca'on Owner's Nam a' ESQ' �d Yt9� L. ¢ r Type of OccupaTFit:S+ E N TI 41(_,_ New ❑ Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑ FIXTURES ` z N N Z Z > W F- .N J Y O U < N p W C O W F- W Uj Y < N W Z 4 �-to ¢ a a c 3 x x V h Q m O W N W )- < H N = < N C7 .Q a D: O O O W Z Q < Q < N W fA J O D F- 0 > M- O = H H Z O O N Z Z W O V x < F- < < = H < a O < J J < Q ¢ a a O < t- 3 ,r J m vi 0 0 ., 3 Z F- H w• v a s `s ¢ fa o SUB—BSMT. BASEMENT i # IST FLOOR 2N0 FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7TH FLOOR STH FLOOR Installing.Company Name PSS EI�"r _AQ• Sr9ra' M#4TAe0 Check one: Certificate Address �? C0l4CNm4(,) s:AJ ❑ Corporation 01 E%Nt!c--n1, M A 01 f(IL/ ❑ Partnership Business Telephone &f Z-CIq-7 I R<rm/Co. Name of Licensed Plumber , Z)6 Fie T - 9 remelo INSURANCE COVERAGE: I have a current jability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes Er No OL .4 If you have checked Yes. please x. Indicate the type coverage. by checking the appropriate bo A 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 Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Owner ❑ Agent❑ Signature of Owner or Owner's 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 ormed under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ' g e and apter of the eral Laws. SOMre of licensed Plumber Title Type of License: Master % Journeymab ❑ Oty/Town - APPROVED OFFICE USE ONL License Number X33 5 i i BELOW FOR OFFICE USE ONLY 1 FINAL INSPECTIONS SKETCHES 4 PROGRESS INSPECTIONS FEE i NO. APPLICATION FOR PERMIT TO 00 PLUMBING i NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE___19 PLUMBING INSPECTOR