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Home My WebLink AboutMiscellaneous - 754 BOXFORD STREET 4/30/2018a Date.............................. j r pORTM °!t"`° '•�"° TOWN OF NORTH ANDOVER Siam p PERMIT FOR WIRING ,SSACMU This certifies that..........801................:.............`.................................... has permission to perform .......... .:............................................................... F wiring in the building of .................................................................. at .... ��. `?......... ............................. :71� }J.............. , North Andover, Mass. Lic. No. 1 G w .............. ........:......... ELEC MICS: IN:rR Check # 7459 lroinrnonwoa[th. o�c�//%z�lac�a�! .UepNEW artnienf o�}ira �ervicad BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. �J Occupancy and Fee Checked'' (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(;vt R 12.00 (PLEASE PRINT 1N LNK OR TYPE ALL INFORMATION) Date: 10 7-0 �O City or Town of. j bm)pyd�— To the Inspector of Wires: By this application the undersigned gives notice of his or her intention tq perform the electrical work described below. Location (Street & Number) -1 !Sy <StJX f o}, ST Owner or Tenant Telephone No. :Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Existing Service Amps / Volts New Service Amps / Volts Number of Feeders and Ampacity Utility Authorization No. Overhead ❑ Undgrd ❑ No. of Meters Overhead ❑ Undgrd ❑ No. of Meters N Location and Nature of Proposed Electrical Work: o� �;CCU-ri� Of, Hre, ALarrn Completion ofthe following table may be waived by the Inspector of Wires_ No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans o. of total Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool ove ❑ El rnd. rnd. No' o mergency tg mg Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. of Retectton an InitiatingDevices No. of Ranges No. of Air Cond. TotalNo. Tonnss of AlertingDevices No. of Waste Disposers eat ump Totals: umber ............................. ons . r .. ....... - .. . o. oSelf-Contained Detection/AlertinLy Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No. of Dryers - Heating Appliances KW Security ysterns:* No. of Devices or E urva ent No. of Water KW Heaters o. o o. of Signs Ballasts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP IT-elecommunications Wiring: No. of Devices or Equivalent OTHER: f 22—J i 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: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVER GE: 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:) I certify, under the pains andpenalties of perjury, that the information on this application is true and complete. FIRM NAME: P,,b-T Se -Curl -r -(i 2c rwces LIC. NO.: / 53 3 C— Licensee: %��yl� /.('per Signature 7- r— —3 �_ LIC. NO.: S �Z-b (lfapplicable, enter "e em t" in the licede num er line.) Bus. Tel. No.: 'S9t Address: r' 0— L 1 NT6 F ��t5 , 'UH 4304? Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" License: Lic. No. 5— •S CC 001c 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, l hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ -t)Signature Telephone No. .. ,j,.>.e..:. Lt•; '`; <: ;`.ire' .. y r ��•i=)•� tb N T` 7D 9 z O CONm CNM 1 AD Z' �cn c� -t TJO SI m W z 2 G7 r m Or r' D O x s�` r a,�i�;� 3 o v m o m Q CD m m 0 d w =Nn co p a •• 0 D . z,.� •s.. y 3 77 r '1l o0 0 0 0 ,� 0-4 P I e D —MX m ` y G z n. is it' n m v O rn m CD –f M> U) 7 o Q to o -1?' m o ;: "i I d 03 o n z r '+ C 3c 3 Ln C% W e r ' L, (� L`= r r ti :a�.•i'' Q` N H moi: D n t 1. r✓ D –y, m D n' s Z •n n rt1 -t r a ! �.. r o m�- Signature �oe rr •' •!S';f:.1't F f� '.;iii• , R t. 7. Date. �. -. C- , No 4/002 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING I00 SSACHU 1his certifies that ........................... has permission to perform '99 � h r, ................... plumbing in the buildings of :1 : .................. at. . ..... -y r - le. North Andover, Mass. Fee... ".Lic. No... 17? ........ ........ PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept PINK: Treasurer A I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) n % , ,l ,�/ IIJA-W-Mass. Date_/ / y ermit # - f Building Location / Y_J!) 0�c owner s r arrr Typ f Occupancy Residential New [.A Renovation O Replace not Plans Submitted: Yes ❑ No ❑ FIXTURES Installing Company Name heritage Htg . &Plg . CO. Inc. Check one: Certificate Address 35 Pleasant Street IX Corporation 714 Stoneham, Ma 02180 F� Partnership Business Telephone_._ 781 -A-U- 7 7 7 — Fl 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 N No 11 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy [X 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 Slate Plumbing C de and Chapter 142 of the General Laws. By -- - _�- Signature of ns d r Title _—___._.— --- - Typo of License: Master tX Journeyman [] City/Town $ 3 2 2 APPROVED-OI`FICE tISE ONLY) License Number.___________ n N Zx Z O W LV rn m V Z w ori n r Z r,, 4 a N Z p --{R�} z 0. ��} N 41 O- w r- W h U w Y (n 0.< U 2 n � d p o . OJ N x x Qi x (U W W 0¢ o� F. x w 3= N a Q x x 3 F J X° n o Q r N ¢ z x Z o W W H w o � U. x �� 1 p d o �� n a 3 c ai r0 tri rd b SUB-BSMT, BASEMENT _ IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR 6TH FLOOR 7Tti FLOOR aTH FLOOR Installing Company Name heritage Htg . &Plg . CO. Inc. Check one: Certificate Address 35 Pleasant Street IX Corporation 714 Stoneham, Ma 02180 F� Partnership Business Telephone_._ 781 -A-U- 7 7 7 — Fl 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 N No 11 If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability Insurance policy [X 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 Slate Plumbing C de and Chapter 142 of the General Laws. By -- - _�- Signature of ns d r Title _—___._.— --- - Typo of License: Master tX Journeyman [] City/Town $ 3 2 2 APPROVED-OI`FICE tISE ONLY) License Number.___________ J z O w N D w U_ LL LL O O LL 3 O J W to z �q O P U UA a N z_ N N w O a W W LL I