Loading...
HomeMy WebLinkAboutMiscellaneous - 71 QUAIL RUN LANE 4/30/2018r' t 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 Ji y 0 O °' 0a / m o 3 m ro 7 0 N v 0 0 ch CD a a Q o z 0 -w -i 0c -� r= * . °vz cn n o Z O M CL O (n Z \ �\ '11 ro D T� \ ) C x Xv. O S. -1 > � i3 � � cD WZv Z 4° o ° z D 0 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 OTHER irtsurallo Cmag. Pt=antblhetegtritenaisdMxsahsel G=ialLaws ThateaamotLiah*km==Pbbcymdu&gCanpkie C.omaag!critsmbkmbaleWivaiat YES NO a 1tmeahnttadvandpmcofsame1otheOfoe YES rJ NO M IfyouhmedododYESpimenbc*tttetAmofwmaFbydodzgthe aWcp it U ANCEU BOND MIR ftweSpeafy) Exp6atirnDal,e Est mEkdVahxdE1mftx l Wak $ WotktoSWt �¢:�1.' �_... D&RegjmWd Rough Fbal Signadtasda�iePe3rt>besofpajtay: / FiRMNAME t I LinaseN L Lioa>sae t signahae L�eNo 15"��:5 � /� Btsi mTd.Na qT �v q- -5 IV/ , An��_�/i�( 0/ Ell S— A1t.Te1 Na OWNWSNSLRANICEWAIVER-,IammmidtheLimwdDesnot driearn=wvmWarltsskmtido nebtasieg=WbyMamxbz usCjndlaws aodfutmy ecntmpwntEWfimbatwat%ks#mmgtmenaI (Please check one) Owner M Agent Q Telephone No. PERMIT FEE $