Loading...
HomeMy WebLinkAboutMiscellaneous - 722 GREAT POND ROAD 4/30/2018 (2)_N O � Q N W � .Z1 Q m o 'i N � po � O p 0 0 Date. i��j TOWN OF NORTH ANDOVER 0 silo p PERMIT FOR PLUMBING a s s • o� ' i SACNUS� This certifies that., . has permission to perform .f. 1. , . ��.L� �IC� ..... )..... . plumbing i he bu'ldiiinn%s of/ .� at _ :�/. �V//..f . ,North Andover, Mass. Fee. U. Lic. N4-��% . ............................. . Check !i PLUMBING INSPECTOR y --� rt 5881 MASSACHUSETTS UNIFORM APPLICATION FO (Print or Type _.Mass. Dat 0 Building AA5 I-' ERMIT TO DO PLUMBING Permit # AV kner's Name A&ent Type of Occupancy '2t; ,51 D C- Ij T► ,A New ❑ Renovation ❑ Rep! 'ce ent Plans Submitted: Yes ❑ No ❑ FI RES Installing. Company Name "AOtr,Ee-r _Q 5j0tr m,4TA?t0 Check one: Certificate Address �� �;? C /46 H M,4&) e:l-) ❑ Corporation lY) E !l.4 U ie�7n1, ,r i A ,SIAL/ ❑ Partnership Business Telephone (01 Z -5177 1 Name of Licensed Plumber & r� t ;e T i41 �I s►�ldi'Is� �Kl � INSURANCE COVERAGE: I have a current lability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes p' No ❑ ' If you have checkedrtes, please /indicate the type coverage by checking the appropriate box. 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 ❑ 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 nerformedunder the permit issued- for this application will be in compliance with all pertinent provisions of the Massachusetts State Plum ng a and Tpter of the eral Laws. 63y 'w L re of Licensed Plum er T,fltle Type of License: Master % Journeymalh ❑ City/Town , 1 , APPROVED OFFICE USE ONLY) License Number 13 j 5 A '-1 O z N 7C f Z R�1 c 0 ; 49 m m cc_d A b pd 0 z m z O c z Z fl � -4 0 0 O v r C 3727 Date.... ...........................ti r.� � -.-, TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... �9..Z' ................................................................... has permission to perform- .................................................. wiring in the building of . ...... . ... . . .... ... liz , - 1" i�� ....................................... at ... Z;.�; .... . . ..... 1, .......... . North Andover, Mass. Fee�.............. Lic. No.............. ...........................C..'................. ELEcmeAL INSPECTOR Check # Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only ^ Permit No. �` Occupancy and Fee Checked [Rev. 11/99] leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (ME ) III C R 12.00 (PLEASE PRINT IN INK OR TVP E IN AAL ORMATION) Date: City or Town of: To the Inspector f Wires: By this application the undersigne_,gives nbCt&J of his orhq ilttentign to ggrfgrm the electrical work described below. Location (Street & N Owner or Tenant Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No � (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ New Service Amps / Volts Overhead ❑ Undgrd ❑ Number of Feeders and Ampacity No. of Meters No. of Meters Location and Nature of Proposed Electrical Work: Installation of Security system Completion of the folloi,n table maybe waived by the Ins ector o Wires. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of,Lighting Fixtures Swimming Pool rnd. Above ❑ In- rnd. 0 o. o Emergency Lighting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS I No. of Zones No. of Switches . No. of Gas Burners o. of Detection and Initiatin Devices No. of Ranges g No. of Air Cond. Total Tons No. of Alerting Devices No. of Waste Disposers P Heat Pump Totals: Number Tons KW No: of Self -Contained Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers Heating Appliances KW Security Systems: No. of Devices or E uivalen No. of Water KW .0 No. of Data Wiring: Heaters Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications o. of Devices or Equivalent OTHER: �3 Attach additional detail ifdesired, or as required by the Inspector of Wires. 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 ❑ BOND ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value of tri 1 Work:Aye&(When required by municipal policy.) Work to Start: Inspections 'to -be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjury, that the information on this application is true,and complete. FIRM NAME: LIC. NO.: Licensee: John S. Bassett Signature LIC. NO.: 1533C (fapplicable, enter "exempt" in the license number line.) Bus. Tel. No. x+03 594 592$ Address: Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that the Lie, see 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING 1 (Print or Type) _ c NORTH ANDOVER Mass. Date Building Location %� Permit # .� Owners Name rs116 1� 7V z • New 77 Renovation Replacement 1,0 Plans Submitted 0 (Print or Type) Installing Company elephone: L'62i ?3t/— S—Y00 sensed Plumber or Gas Fitter Check one: Q Corp. Certificate Partner. ; Firm/Co. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F -;q Other type of indemnity = Bond Insurance Waiver: I, the undersiened, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 17 Agent M I hereby certify aut all of the details and information t have submitted (or entered) in stove application are true and accurate to the best o! my knowtedge and ticat att plumbing wont and Installations petformed under Permit ::aced for this appticatioo will be in compliance with all pettin=t provisions of rho Massachusetts State Cat Code and Ciapter 14-' of Lha Ccnca! Laws. Ey TYPE LICENSE: Plumber 16.sp- Title l Gasfitter- Signature of Licensed City/Town: Master Plumber or Gasfitter Journeyman #7/9 APPROVED (OFFICE USE ONLY) License IJumber • N � Cf W N C F C tt df C � LUus O Q III N Y W w - O �- d W > Y N '- C W to W yLt Cf J W t7 tz O W T U. W f- Vd W 4 p t... G W Q u> C W < G < < O O O '� us O O 0 W F- . O O ' t: O O O �: U G > Q n. H O SUR-3SP.1T. � I I I I I l I I I SASEMEDET I I I I I( I I 1ST FLOOR i ZMD FLOOR ! I I I I I I I I I I I I I I I ! ! ( ! 3Ra FLOOR 6TH FLOOR I I I ( I I I ( I I STH FLOOR ( I I I I I I I I ! I ! I 6TH FLOOR 7TH FLOOR ( I I I 8TH FLOOR ( I ( I I (Print or Type) Installing Company elephone: L'62i ?3t/— S—Y00 sensed Plumber or Gas Fitter Check one: Q Corp. Certificate Partner. ; Firm/Co. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy F -;q Other type of indemnity = Bond Insurance Waiver: I, the undersiened, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. Signature of owner/agent of property Owner 17 Agent M I hereby certify aut all of the details and information t have submitted (or entered) in stove application are true and accurate to the best o! my knowtedge and ticat att plumbing wont and Installations petformed under Permit ::aced for this appticatioo will be in compliance with all pettin=t provisions of rho Massachusetts State Cat Code and Ciapter 14-' of Lha Ccnca! Laws. Ey TYPE LICENSE: Plumber 16.sp- Title l Gasfitter- Signature of Licensed City/Town: Master Plumber or Gasfitter Journeyman #7/9 APPROVED (OFFICE USE ONLY) License IJumber • S++K'jav-fin .,.7Tti'i"=+i.Ga�' :. t:r"+'i.w* . ,� ._ `. �.,m.•.:fYT+•.•t ., :: v.;,: �. m. TO 1949 Date ..I t TOWN OF NORTH ANDOVER NORTH ti,r ,eO o p PERMIT FOR GAS INSTALLATION4 v. �9SSACHUSE� -. This certifies that... ..... ... has permission for gas installation , . ..... in the buildings of y' at . 01 North Andover, Mass Fee S�.. Lic. NO. /17. GAS INSPECTOR WHITE: App cafit- uildi ept P PINK: Treasurer GOLD: File Installing �••.•• ••�• •••••�. ,.� �,yrrvrlm Mf'r'3.ILrHi l�Jir f Vf7 i'CI1Mi i i � uV f'iwsvr�u.0 (Print or Type) NORTH ANDOVER, Mass. Oate Building 2 /,� Permit Location Owner's 011. Name U— New Renovation ❑ Replacement ❑ Plana Sub \ d: Yes ❑ No. p FiXiUAEs Address—, ""U O X %` � �� Check one: Certificate ��� � � ,�v�� ❑Corp. ❑ Partnership m/Co. Business Telephone & X /O —,� �- 2 D Name of Ucensed Plumber INSURANCE COVERAGE:ec on I have a current Ilabilty Insurance policy or Its substantial equhWenL Yes � No 13 If you have checked y", please indicate the type coverage by checking the appropriate box A liability Insurance policy El"— Other type d 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 p Agent p Signatuts o er a Owner's en I = milty that all of the dotage and information I have submitted for antmedl In knowledge and that a4 plumbing wak and Installations pedormod under the perr l J pedinanl pro,&ions of the Massachusetts State Plumbing Code end Chapter 42 1 EY Title City/Town APP Wf `ED (OFF)CE USE ONLY) are true an &Wto to the best of my k;ailon wig 'h ootrwRatacs with ag License Number 4' /-) J Type of Plumbing License: Master Joutneyman 0 Date.. S� 7�+��•? �3 y p tt�ao.,.. a•,A 3� apRTM 1 opL TOWN OF NORTH ANDOVER R PERMIT FOR PLUMBING 8 LO ro;�•i - LO ,SSACNUS�t This. certifies that. . fj. /.,.... . . ..Y f Jr�'/�.........,� 44 has permission to perform .. . F: plumbing in the buildings of .. .. .................... a' a at. .....!... North Andover, Massa; Fee. .... Lic. No.sv-34. . PLUMBING INSPECTOR (1g WHITE: Applicant CANARY: Building Dept. PINK: Treasurer saKtiuxl0 Ittt Milt dfill 0060atUse 0 office Use 061Y Uepartnwnt of Public Safety Per+» a No.�- V1, BOARD OF FIRE PREVENTION REGULATIONS $27 CMR 12:00 Uccupanty & Foo ehackad . . 3/90 (leave blanf0 PLICATION FOR PERMIT TO PERFORM CELECTMR RICAL WORD AP All work, to bo performed in accordance with the Massashuwns Flu" i al Cvd , 527 (PLEASE PRINT IN INK OR TYPE ALL INFORMA To the Inspector of WIMO City or Tuwn of The underslgned, applies for a permit to perforin the eleCulcal work de6crl below. Location (Street & Number). �- Owner or Tenant _k. ] Owners Address . !- Is this permit in conjunction with it building prrrnie N. L.S�I�" (Check Appropriate Box) p C,^� .�aC_e . __ Utlliry Authorization Nu. Purpose of Building l�..a[ . f j ' Amps ��" , -A—a 0 Volts avcrhcad Q Undgrd � No. of Mefem — Existing'Service New Service Nurrdier of Feeders and Arniti,City Location and Nature of Proposed Electrical Work _ No, of Lightin; No. of Lightin No. of Rewe t No. of Switch No. of f RanSe No. of f7i�Ix�1 No. of I)iihw No. of Dryer! No. of Water No. Hydio Iv OTHER: Volts Tubs Overhead LJ Undgrd 1:1 No. of Meters No, of C_as Burners FIRE ALARMS No. of 7_ones--.--- a No. of Detection and No. of Alr Conditi0nets Tons Initiating Devices --�� eat Ola ota No. of Sounding Devices No. of Pumas -Tans KW No. of Suff Contained oete,�lionjsnunding Devices SpacrJArea fleatln�-_____.,� KW_ Municipal LocalEl--�-�-� • Connection ❑Other Heatln Devices _ J -�--- o ices _ KW ow 0 tigp fro. P T N 0, Signs Ballasts 1 Whin _ No. of MotorsTotal tip — InT t ' INSURANCE COVERAGE: Pursuant to the requirements of Massat:husttes Genoral Laws I have a current Liability Insurance Policy Including Completed Operations Coverage ur icy substantial equivalent, YES C7 NO la I have subn,ltlsod valid proof of came to this checked YES please Indicate the type of coverage by checking the appropriate box. O IJ If you have checked YES, p _ INSURANCE BOND 0 OTHER (please Specify) —. --- (Expiration Date) Estimated Value of Elimmical Work Zfinal --- Work to Start �__ _ InspKIlon [late Requested: Rough pe _ -- Signed under the nalties of perjury: �..�,..�...... tic. Na. FIRM NA E � L, �? Llc ensee 518'n^atICN �ure _ (` -- — Bus. Tel, No. AddressL�I . Alt. Tel. No. NER'S INSURANCE WAIVER: I am aware that the Licensee dosis not halve theaInsurdtice irement, owner or itAsg f ^ stanlia`Ploase cf eckent sone) (red; yMatsrcisueetts aw signature on this permit appUcation waives this r q v General Laws, and that my B ,b� PERMIT FEE-- _ Telephone Nv._. - (Signature of Owner or Agent)' g 2631 NORTH Date :... ... ..... .`F TOWNt OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...... .. . ... ............... :` ...... ..61...... 10 has permission to perform ..: lr.j�........ .. ..:! wiring in thebuilding of ....... ............. at ....... .. ,`..... .... .. ....... , North Andover, Mass. A// k--30 rELECTRICAL INSPECTOR oclb 95 12:56 15.00 PAID` WHITE: Applicant: CANARY: Bu lding.Dept, PINK: Treasurer GOLD: File , N2 2 JZ'-' 5 Date ..... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... 7��.A ....... i. ..... has permission to perform ........ 1/. 1.," ....... . .............. wiring in the building of ...... ................... at ........ 2.�IeCk .. *.... , North Andover, Mass. Lic. No.11.0.27 ............................................................ ELECTRICAL INSPECTOR 09/04198 09:23 75.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 2 N2 2025 Date ........ ... ... TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......T.:�a.......................... // ............ ...........i. has permission to perform ...... {'�I c �E..`P....... . ,.............. wiring in the building of �.. ! .. S .. . ..... .. .....!..... .. .................. at ........ v.....6'1P- ��<c.t... Pod. .: . 1I111l .. , North Andover, Mass. Lic. No..A.Iin .............. ..._ .......... ........ ELECTRICALINSPECTOR /04/98 09:23 75.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Office Use Onit The Commonwealth of Massachusetts Permit No. fflcDepartment of Public Safety /90 ��� & k•ve bla k► BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 7 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INrORHATION.) Date � City or Town of %�3, �'J�nL,(-72 To the Inspecto of Wires: The undersigned applies for a permit tonn perform the electrical work described below. Location (Street & Number) 1160 (� 004T tb ws Rc/ Owner or Tenant /" it., Owner's Address Is this permit in conjunction with a building permit: Yes ❑ No ~'(Check Appropriate Box) o Purpose of Building !�'I %LJ 611-244M / & Utiliry Authorization NO. Existing Service 46X"o Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Few Service Amps / Volts Overbead ❑ Undgrd ❑ No. of Mete.. -s Nuaber of Feeders and Ampacity pp Location and Nature of Proposed Electrical Work 0 No. of Lighting OutletsNo. of Hot Subs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA 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 Detection and Initiating Devices No. of Sounding Devices Pio. of Self Contained Detection/Sounding Devices Local ❑ Municipal ❑ Other Connection No. of Ranges No. of Air Cond. Total tons No. of Disposals No. of Heat local TotalPuonsTons KW No. of Dishwashers Space/Area Heating KW No. of Dryers Heating Devices KW No. of Water Heaters KW No, of No. of Sigs Ballasts n ILow Voltage Wirine No. Hydro Massage Tubs INo. of Motors Total HP coverage or its sub- INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES F] NO ❑ I have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OTHER ❑ (Please Specify) Expiration Dace) Estimated Value of Electrical work S Work to Start Inspection Dace Requested: Rough Final Signed under the penalties of perjury: FIRM NAPfE r _J 5;rt,, k6 1 L2 "41 C6,<J ,le LZC. N''s-� Licensee peJ ���u %S C! S Signature c" LIC. NO. Address P'n r 1�G- ZOOS/ Bus. Tel. No. /L[)0_ Alt. Tel. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that. my signature on this permit application waives this requirement. Owner Agent (Please Telephone No. check one) ✓1 PERMIT FEE S / Signature of Owner or Agent)