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HomeMy WebLinkAboutMiscellaneous - 7 MIDDLESEX STREET 4/30/2018 7 MIDDLESEX STREET 210/043.0-0002-0000.0 I I 9666 2- 2- Date.................................. TOWN OF NORTH ANDOVER 0 Mimaim PERMIT FOR WIRING A to S US This certifies that ........................................0................................................ has permission to perform ................. ...................................... . ... .. ..... wiring in the building of.............. ...... 0....................................... at..............7....4... S.�.. . ,North Andover Mass. Fee Lic.No. 4: A..... ..4 ...... ....... ELECTRICAL INSPW&MR Check # C . Cccomnwnw¢allk olaijachujelli Official Use Only aLJeva,tm,.t of rvic¢e Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] 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 ALL INFORMATION) Date: 91 2 21 2 O 1 O City or Town of: W. 0„ A 1n eo o J e r 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) r] M j d d 1 e s eX S t Owner or Tenant Roo a r l O C.to S QrO Telephone No. Of 7E3-G96L5"-7� Owner's Address '7 tAZ D D Lf_Sty X G-r Is this permit in conjunction with a building Permit? Yes No ® (Check Appropriate Box) Purpose of Building pyJ e I ( i in` 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: knj i 're— O , t e r r Completion of the ollowin 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.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pum Number Tons KW No.of Self-Contained Totals Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Mumcipal El Other Connection ` No.of Dryers Heating Appliances KW ecurity Systems:* No.of Devices or Equivalent No.of Water KW No.of No. of Data Wiring: r Heaters Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsDevices nr Wiring: No.of Devices or E uivalent [OTHER, Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: c?1 2 2 12o t0 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 [X BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: W oo J [J C+ t C LIC.NO.:/1 2194 2 Licensee: i4a ro L& C kr!o o cl Tr- Signature Govt 1A)c e LIC.NO.: i_ l g 6 3 3 (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:R70--`�%- —O(S0 Address: S Cc,(eti.• oed IJP'. 44o,%lerh+ 1 01(335 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE. $ i .� �� - � ���' �a� { . > .�. 7 3 L) 41 Date. 7.1: �G. ...... NORTH 4, o? TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION �,SSACNUSEt� This certifies that . . ,. . . D . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . in the buildings of . . S !O. . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . .Ov./A 1.cYn S.�.f. . . . .` . ., North Andover, Mass. .��Fee. : :-. Lic. :.�-� `�". . . . . AS INSPECTOR/ v Check# J 7k 2 MASSACHUSETTS UNIFORXI APPUCATON FOR PERtI�IlT TO DO GAS FMING (Type or print) Date NORTH A.NDOVER2 MASSACHUSETTS Building Locations /%/7�DLCs�X sl Permit# ? .71 L Amount$ 3U ,110, f4NaOYEr- IY4 . Ol f+S Owner's Name i`OSAC/4 New❑ Renovation ❑ Replacement Plans Submitted ❑ U (n1 v� 4 H ai O x ] O W w ° ° (s� �' 4 w A j a N Gcn W Cl) U En e' O WW z W O pOH r N D7 C6 O fa-a � I 1A U' .4 U x � A � H O SUB -BASEMENT B A S E M ENT 1ST. FLOOR 2ND . FLOOR 3RD. FLOOR 4T I1 . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 4 8TH . FLOOR (Print or type) Check one: Certificate Installing Company Name ANTA01V V eLGt cOL,.L:/ Corp. Address a4 A2G 1 FlPartner.. 13usiness Telephone 5-402— /a y U © Firm/Co.- Name irm/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 0 If you have checked yes,please indicate the type coverage by checking the appropriate.box. Liability insurance policy53 Other type of indemnityBond rl 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 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 m} knowledge and that all plumbing work and instadlations perforniod under Permit Issued for this application will be in compliance with all pertinent provisions of the VlassaachUSeI • tate Gas Codezukil Chap roil 142 athe General Laws. C � � By: agnature of Licensed Plumber Or Gas Fitter Furl Title P1U1171)CC a;?-,J9 // CityiTown Gas Fitter [cense i um er 7T� Uiblaster :APPROVED iOFFICF USE ONLY) � Journeyman A6, Cemmerce Insurance The Commerce Insurance Company CW Citation Insurance Company Members of The Commerce Group, Inc. CLAIMS DEPT. 11 Gore Road,Webster,Massachusetts 01570 (508)949-1500 www.Commerceinsurance.com July 08, 2004 BUILDING COMMISSIONER or Board of Health or INSPECTOR OF BUILDINGS Board of Selectmen TOWN/CITY HALL Town/City Hall N ANDOVER MA 01845 RE: Our Insured: ROSARIO CASCIO/ANNA MARIA CASCIO Property Address: 7 MIDDLESEX AVE Policy#: YQ8281 Date of Loss: 07/04/2004 File#: WW4298-RHH453 Claim has been made involving loss, damage, or destruction of the above captioned property which may exceed $1,000, or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massachusetts General Laws, Chapter 139, Section 3B is appropriate, please direct it to my attention. Please reference the above captioned insured, location, policy number, date of loss, and file number on any correspondence. TINA YANCZEWSKI Telephone: (508)949-5215 Claim Adjuster Toll Free: 1-800-221-1605,Ext: 5215 Or this date, I cause copies of this notice to.be sent to the persons indicated above, at the address above, by first class mail. July 08, 2004 Central Air pipe separated causing water damage. Cc m Crc Companies....COME GROW WITH US CIC 254 (Rev.4/95) MAIL 443 Date.).: . . . . . �. No 4, 730 NORTN TOWN OF NORTH ANDOVER 3 �. ..._.,• 0 PERMIT FOR PLUMBING SSAC14US This certifies that �//�/°. . ��!.`�.�`. . . . .`. . . . . . . . . . . . . . . . has permission to perform . . . .. '. . . . . . . . . . . . . . . . . plumbing in the buildings of . . . 1.7. ... . . . . . . . . . . . . . . . . at . . . . . . . . . . . . . . . . . North Andover, Mass. Fee.<. .�. . . . .Lic. No.. . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) j +tc-aass. Date Lwnerr'Building Locationc�� ame14(e VQ /41.5 �Qr >'"@y1 Type of Occupancy Residential ;~ New (::.I Renovation ❑ Replacement Plans Submitted: Yes ❑ No ❑ FIXTURES off Uj m n z r O W N + n' { aj W X J W r U Q Z 0 Z C9 N Q Cr.a Q f z �I o In �" If) vhi i ¢ N v w N x a Z d as Rf Q z 2 to W W .' O Q N Z ¢ 0 :3 cc Q WN O rr ul W J U. O •i W Ll .YJ.O O ZZ UJ 4JO a3 O Q X a m u. u a .0 x x1r L_ (a 3 3 sun—BS MT. BASEMENT l IST FLOOR 2ND FLOOR 311D FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR lit[ Installing Company Name Heritage Htg, &Plg. CO. Inc. Check one: Certificate Address_ 35 Pleasant Street [X Corporation 714 Stoneham, Ma 02180 ❑ Partnership Business Telephone 781 —43 8-77 76— F1 Firm/Co. Name of Licensed Plumber Gordon Switzer INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes ® No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy IN 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 performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts Stale Plumbi Code and Chapter42 of the General Laws. By - 4- ice �ignaiure o7trcenser Type of License: Master(X Journeyman❑ City/Town8 3 2 2 ApppjmD 1 I __8322 _ CE SE ONLY) License Number __�� 1 BELOW FOR OFFICE USE ONLY FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS FEE NO. APPLICATION FOR PERMIT TO DO PLUMBING NAME&TYPE OF BUILDING LOCATION OF BUILDING PLUMBER PERMIT GRANTED DATE 19 PLUMBING INSPECTOR