HomeMy WebLinkAboutMiscellaneous - 71 QUAIL RUN LANE 4/30/2018r'
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TOWN OF NORTH ANDOVER
Building Department
1600 Osgood Street
Building 2- Suite 2-36 Building Dept
North Andover MA 01845
Tel: (978) 688-9545 Fax (978) 688-9542
COMPLAINT FOR INVESTIGATION
DATE: TEL #: 9 7 8- 6 SS - 0 Z$ L
NAME OF COMPLAINTANT: K4r44v,
ADDRESS: 7t auat, I P,`
COMPLAINT TYPE:
Electrical:
Plumbing:
Gas:
Building:
F
operty Owner: D 0, V;ddress: Y3 Quail N or(yt .4v,joV4r-
her: �a, I (,Y- CAV -k ,,Lj (,n
VL r 17o � i in,, 19 V favUS
Signed: Hkk l
Complaint Form - Revised 6.2007
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Date.. &.. l 7
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
C.....�
This certifies that ..Aa.
........... .....................
t'
vias permission to perform ....f:/. u...T......................
plumbing in the buildings of . e .................. .
at ......... , North Andover, Mass.
Fee. Lic. ... .............
PLUMBING INSPECTOR
Check # r) r7
575,E
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBIN—yG
(Type or print) -, a
NORTH ANDOVER, MASSACHUSETTS
Date , _2 G 3
Building Location 71 Quai 1 Run Owners Name Michael Gottfried Permit #
_ Amount
Type of Occupancy
New Renovation Replacement 121 Plans Submitted Yes No
FIXTURES
(Print or type) Checne:
Installing Company Name Andover *Pl ba. & Hta. Co.. Inc. Corp.
Address 20 Aegean Dr. Unit 110 El Partner
Business Te ep one S— 3 Firm/Co.
Name of Licensed Plumber: /i[/ W'03.1F--
Insurance Coverage: Indicate the a of insurance coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity ❑
Certificate
2122
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
Signature Owner ❑ 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 Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts tate mbing Code nd Qha 14 f the General Laws.
By igna ure of LicensVriumDer
Type of Plumbing License
Title 3
City/Townicense numDer
Master Journeyman ❑
APPROVED (OFFICE USE ONLY
9983
NORT/
Date.XG; l �.:.�.?.....
6 0TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that . ��fr:�. C: I% :-. r. ..... I... .f ............... .
has permission for gas installation .. !'� . ....................
in the buildings of . :... !'. ..- ...................... .
at .:. ! .. r" �.!�.:.! ...h. , North Andover, Mass.
Fee. ? Y.:... Lic. No. .c.5.4 '... .....I........ ......
GAS INSPECTOR
Check # 1
447`
MASSACHUSETTSUNIFORMAPPLICATONFORPERMITTODOGASFITI NG
(Type or print) Date D o2 D3
NORTH ANDOVER, MASSACHUSETTS I
Building Locations 71 Qua 1 Ruff Permit # I
Amount $ _
Owner's Name Michael Gottfried
New D Renovation 0 Replacement � Plans Submitted
(Print or type) hec e: Certificate Installing Company
Name /Y l/ .1 =1�orp;/�—
Address ��i; I❑Partner.
usmess Telephone FrmlCo.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check on
I have a current liability Insurance policy or it7s substantial equivalent. Yes Noo
If you have checked yes, pleas2epritcate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity ❑ Bond 0
Owner's Insurance Waiver. I am aware that the licensee does not have the insurance coverage required by Chapter l42 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Ownees Agent Owner Agent 0
I herebv certifv that all of the details and information I have submitted for entered) in above annlication are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Ga�Zode and Chapter 142 of thGyeral Laws.
(OFFICE USE ONLY)
rature of Lrcensed Plumber Or Gas Fitter
iOPgnPlumber -2
Gas Fitter Licenseuin�
ffrMaster
0 Journeyman
J1
0
No 3 ( i
V l�
NORTH
?p.���ao 1•'�Q.p
°;
Date.................................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
r
`rte.
This certifies that —i •- ................... +................................
1.
has permission to perform C -n ... �/,................................................................
wiring in the building of ..... :..`....... I,-4 �,• .....................................................
at ..... f ......:.......:..... .................. ....: ,- ............ , North Andover, Mass.
__
Fee..'./ ............... Lic. No.A..............
:�.. 4.z :.t:...................
ELECTRICAL INSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
THE 60M110NWE4LTH0FAf4MCF1USEnS Office Use
only
DEPARTAMWOFPUBLICS9FM Permit No.
BOARD OFFIREPREVEM70NRWMTIONS527CMR 12.M v -
Occupancy & Fees Checked `
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat L - ,) - o 1
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street �
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit:
Purpose of Building
Existing Service ZO U Amps/ O! -/Notts
New Service Amps / Volts
Number of Feeders and Ampacity
Yes M No [:I (Check Appropriate Box)
Overhead Underground
Overhead Underground
Location and Nature of Proposed Electrical Work
Utility Authorization No.
No. of Meters
No. of Meters
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
Generators
KVA
ground
1:1ound
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
No. of Ranges
No. of Air Cond. Total(���
Tons
J
No. of Detection and
No. of Disposals
No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Locala Municipal
Other
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
At
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Telephone No. PERMIT FEE $