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Home My WebLink AboutMiscellaneous - 7 ARDMORE COURT 4/30/2018 lb n t �-- `) J J Date.."��.:�/5 . .1rl........ RT NO � TOWN OF NORTH ANDOVER f 1 mac° N O O � PERMIT FOR GAS INSTALLATION � r r s � a 9SSACHUSEA w This certifies that . . . .i.�. . . . . y . . . .. . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . .:` . . . .. : . : �? . . . . . . . . . . . . at . r'" : :'- :''f . . . . . . . . . . . . . . . . North Andover, Mass. '� Fee:"-'. .. . . Lic. No. !;-?rf' / '; ✓�. :-=: i. . . . . . . . . . . , GAS INSPECTOR WHITE:Applicant CANARY: Building Dept. PINK:Treasurer • 7 1 ; MASSACHUSETTS UNIFORM APPLICATON FOR PERIMIIT DO GAS FITTING Type or print) Date NORTH ANOOVER, MASSACHUSETTS r �f Building Locations r� (�t �1 �" '^ Permit# �3/ Amount S �i L) Owner's Name New❑ Renovation ❑ eplacement Plans Submitted ❑ m n `n n C _Z n `" C C :zl w Z n Z r C Incn r w C w w n z i? -r _ — Ci Z — Z c{ w 14 z m — SUB -BASE .M E :NT BASE .M ENT IST. FLOOR 2N D . FLO U R 3 R D . F L O U R 4T I1 FLOOR 5'r If FLOG R 6TH . FLOOR 7"r ll . FLOG R 8T 11 . FLOG R (� (Printor typ ! `pl J � ►1 Check one: Certificate Installing Company Name C) V 6 ❑ Corp. r ' Address ` J ` �� ❑ Panner. TZ 1 4 3v Business TelephoneLY?_ 5--- ❑ Firm/ Name of Licensed Plumber or Gas Fitter U l 0 Y INSURANCE COVERAGE Checkone: I have a current liability Insurance policy or it's substantial equivalent. Yes NO If you have checkedves,pl indi e the type coverage by checking the appropriate box. 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: ❑ Sienature of Owner or Owner's Agent Owner ❑ Agent I hereby certify that all of the details and information I have submitted entered in • ove a on are�on accurate to the best of my knowledge and that all plumbing work and installations p o e u mit Issued fo this awill be in compliance with all pertinent provisions of the Massachusetts State o e d a ter 142 of the . Bv: Signature of Li/ nsed Plumber Or Gas F• er Title Plumber Cir,iTown *-Gas Fitter Licenge INumoer II Master APPROVED wFr!cr.usE om.v) Journeyman i 1 .r 3536 Date. .. fJ�.: v�„• •• f r WORTM TOWN OF NORTH ANDOVER o� 0� PERMIT FOR GAS INSTALLATION f A ♦.�fo.fq�th �9SSACHus This certifies that . P. ./.�. . .t� ,/._. . . . ., . . . . . . . . . . . . . . . . . . has permission for gas installation . . . l .L7.. . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . 7 . �` .� `! . . . . . . . . . . . .. North Andover, Mass. Fee. / A.— Lic. No.,�. .2 .`� - .. . s..:!- :r: '). . GAS INSPECTORY WHITE:Applicant CANARY: Building Dept. PINK:Treasurer _ ti MASSACHUSETTS UNIFORM APPLICATON FOR P7.:,d;jf TO GAS FITTING Type or print) Date I NORTH ANDOVER, MASSACHUSETTS ' 44�--4 Building Locations 2/G "e Permit# Amount S 1.J Owner's Name New❑ Renovation ❑ Replacement Plans Submitted ❑ n cncn z z m C ❑ n Z t z C z C to SU 3 -6 :1SE311 ENT HASE .h ENT IST. F L 0 0 R 2ND . FLOUR 3RQ . FLOOR -frit . FLOG R sill . FLOOR 6T It . FLOOR 7T It . FLOC) R 3 T 11 . FLOO R (Print or e �� Check one: Certificate Installing Company �f] Corp. Name ❑ j d�Address ❑ Partner. 07257 I Business Telephone — s _ 11Fi o. i i Name of Licensed Plumber or Gas Fitter d (� INSURANCE COVERAGE Check ne- I have a current liability Insurance policy or it's substantial equivalent. Yes No❑ Ifyou have checked ves,pleas in icate the type coverage by checking the appropriate bo . Liability insurance policy Other type of indemnity ❑ Bond ❑ f Owner's Insurance Waive?at aware that the licensee does not have the Insurance coverage required by Chapter 142 of the Mass.General Laws,andmy signature on this permit application waives this requirement. i Check one: Sianature of Owner or Owner's Agent Owner ❑ Agent ❑ i hereby certify that all of the details and information I have submittto n above application are true and accurate to the best of my knowledge and that all plumbing work and installations Permit Issue is appfica be in compliance with all pertinent provisions of the\,lassachusetts Statepter 142 of the eral Laws. 1 Bv: Signa ure cber Or Gas Fi er Title Plumber CiryiTown Gas Fitter Lickrise Numoer Master Journeyman APPROVED noFr=icr:OSE ONi.vl ❑ 3794 Date.�,3. . . .. .. .. ...... . ........ ... –,N TOWN OF NORTH ANDOVER 00 #- PERMIT FOR WIRING 4L S,AcmUS' This certifies tha/ ...... ....................................................... has permission to ................... wiring in the building off ... .. ..... . ...... .. ..... ........... at.... ................. ..... .......................... .North Andover,Mass. Fee;—A9........... Lic. i . . .. . .. ..... ....... LE-c-rR-ICAL-INSF!-ECTOR................. Check # A/"eq <IZ\- Lamnwnwaa[Ih o� aa�ac%wslfd Ofticiul Use Only a 2c� �/ Permit No. � O, eparinreni a/.}ire Semiead Occupancy and Fee Checked BOARD BOARD OF FiRE PREVENTION REGULATIONS Rev. 111991 (leave blank) APPLICATION FOR- PERMIT TO- PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachuscus Electrical Code. it, SZ7 CNI R 12-00 (PLEASE PRINT IN INK ORTYPEALLItVFORAL-1TION) Onle: City or"1 owti of. 11, AA 01 &- To the Inspector o Wires: By this application the undersigned gives notice ofhis or her intention to perform the electrical work described below. Location (Street & Number) 7 4R0*6 Cf Owner or Tenant U)Q04 ai4 flow,a c Telephone No. Owner's Address /f) WD&(hij5t �QoA Is this permit in conjunction with a building permit? Yes ❑ No, tV1 -(Check Appropriate Box) I'urliosc of Building Rt l a.j �tp�� Utility Authorization No. Existing Seri-ice V,6d Amps12,d1 _Polis Overhead Und rd � Ll �Q ❑ g. No.of Meters:. Nati Ser-ice SjklnP- Anyps Vol(s Overhead ❑ Undrd ❑ o:ofNleters' Number of Feeders and Ampacily Location and Nature of Proposed Electrical Work: �tP�Att-fw�t.�-i• i, fVIC•e GCii '(��l��c .Y V ^- Camp letion orthe jollonvine table may be naivcd by the/pis'cctor of►Vires. No. of Recessed Fixtures No.of Ceil.Susp.(Paddle)Fans -INTO—.—Or--- Total Transformers KVA No,of Lighting Outlets No.of Ilot Tubs Generators h'eVA No. t o.o mer ency to o. of Lighting Futures SkimmingAbove Pool rnd. ❑ In- t rnd. ❑ BatteryUnits b mg No.of Receptacle Outlets No.of Oil Burners FIRE A I IRIiIS 'No.of Zones NO.of Switches No.of Gas Burners 'No.o DRect1011 and 1 Iniliatino Devices { No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices Heat Pump Number Tons` hl No.oCSet- ontained No.of Waste Disposers Totals• • Detection/Alerting Devices No. of Dis nvashers Space/Area Heating KW Local ❑ 14 umtcipa Connection ❑ Other No. of Dryers Hen(in-AppliancesI{`y Security Systems: t o.of \Vater No,of Devices or Equivalent Heaters K1V No.of No.of Situ Ballasts Data ti'✓iriugr No.of Devices or E uivalent No.H�•drontassage Bathtubs NO.of I% Total Hp Ielecommuntcattons Wiring: No.of Devices or.E uivalent OTHER: Attach additional delay/if desired,or as required by the Inspector of{Vires. INSUI AiNCE 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 O�'E I\'SUIZt\NCE 9/ BOND ❑ OTHER ❑ (Specify:) /�jjli7�71 O� Estitttated Value of Electrical Work:' When required b municipal (Exp auo°Date) � Q y pal pope}.) Work to Start: 3' OZ Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pains and penalties of perjuq;that the itrfonnation ori this alpplication is trite and contp&,j. ( [rItZN[ NAME:- '" u' 1 ud •r S' L1CN0.: y! — �. Licensee: nlot'G �rC.� Signature _ OSv 3 (Tapplicable,enter "crreppt"in dielicens n timberline LIC.NO.-- �v'I Address: �D r 0 3 . Bus.Tel.Nt o.--- OWNER' 1NSUR.ANCE WAIVER: I am aware that the Licensee does not have the liability insurance ce ore a.ge normally requires by law. 13\ my signature below,I hereby waive this requirement. I ani the(check onc)❑ owner ❑o��ncr's aarnt: Owner/Agent Sibnatu -e Telephone No. PETil HT TEE: ,S 700