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HomeMy WebLinkAboutMiscellaneous - 80 MILLPOND 4/30/20182 0 4 6 Date... 41�.ItI7,7 0,- 0„TOWN OF NORTH ANDOVER ,� f p PERMIT FOR WIRING This certifies that .......e...L....... ........ e . L ................... has permission to perform.... wiring in the building of ....1�rl .................................................................. ato........ '.< ...:. %%'a.:. �� C�U ry.....�.....�.......�, North Andover�Mass. � r.Fee. �. S^ J.. Lic. No. .............f .............. .............................. ............ J i ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer a'The Commonwealth of Massachusetts \' Department of Public Safety as BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 Office Uw O -iv Permit No. Oce "-ci 4 ire Checked 3/90 (leave bla�kl 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 INFOP-H&TION) Date 14,3 City or Town of • 1�4ndo Yo-- To the Inspector of Wires: REG CPY The undersigned applies for a permit to perform the electrical work described below. RCT ACT Location (Street 6 Number).. ��r �t�' El �'=°e»eC� Owner or Tenant li Il'�.YYIP� �,.. � /\ �BYTi"l Owner's Address Is this permit in conjunc n withhfa build* permit: Yes 11No(ChIPARCEL---O k Appropriate Box) Purpose of Building S�'(.t�/ T(—/C� t] Utility Authorization b Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. o: eters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters k Nu=bcr of Feeders and Ampacity Locat`'(ion and Nature of Proposed Electrical Work I No. of Lighting Outlets No. of Hoc Tubs No. of Transformers Tota'_ kVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA lo. of Receptacle Outlets No. of Oil Burners (No. of Emergency Lighting Hatte Units o. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Detection and Initiating Devices No. of Sounding Devices No. ,of Self Contained Detection/Sounding Devices _ Local 1:1Municipal ❑ Other Connection �,.. of Ranges No. of Air Cond. Total tons No. of Disposals No. of pDs Total Total Tons KW No. of Dishwashers Space/Area Heating KW No. 5f Dryers _ Heating Devices KW No. of Water Heaters KW No, of No. of Si s Ballasts Low Voltage Wirin No. Hydro Massage Tubs �No. of Motors Total HP General Lays, and OTHER 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 -j NO(] I have submitted valid proof of same to this office. YES ❑ NO C] If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE S1 BOND ❑ OTHER ❑ (Please Specify) (Expiration Date Estimated Value of Electrical Work S Work to Start Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME_B r Z V, kS N fy .s.� SG LIC. w ,1 I f Licensee /Al A /mak � Sy � motes {er Signature LIC. NO. C_ i Address Iss W=-+ si- �1I k..U*8 TO11 Bus ti Tel. No. f.Y -GS';t -ayHj hA Alt. Tel. No. S jr- Fr16 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 Lays, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Telephone No. PERMIT FEE S Signature of Owner or Agent BC - 44A MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFiTTING (Print or Type) quip G #J,:,- W 00 N0 , ANDOVER , MA , Mass. Date : 19 /6 Permit f;s 3 Building Location V MILLPOND Owner's Name NO . ANDOVER , MA Type of Occupancy * RES New ® Renovation ❑ Replacement O • Plans Submitted: Yes❑ No ❑ Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certillcate it Address 91 BELMONT STREET C3 Corporation NO . ANDOVER , MA . 01845 ❑ Partnership Business Telephone 508-689-9233 O Firm/Co. Name of Licensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN INSURANCE COVERAGE: i have a current liability insurance policy or its substantia( equivalent which meets the requirements of MGL Ch. 142. Yes R7 No O ' If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Z1 Other type of indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent OwnerO Agent O I hereby certify that all of the details and information I have submitted (or entered) In ove application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit sued for this appllcaU will b In pliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the neral Law ey T5Joutneyrnan e of Ucense: Plumber gnatur o c nse um a or Gas filer Title Gasriller Master Ucense Number m-3440 �Y 0 . N N rC W N N N Y U Q ' V3 N UJ = tL m N yl i- < < = cc = O �j F- O G O C F- 01 5 W Z v W N W < O !- C W ►� W W W V ... ' J J < W Q m 2 D F- W a W < W to } 2 W O Z < N << of = O V U. O D d J U C > SUB—BSMT. BASEMENT I ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR STH FLOOR I (STH FLOOR 7TH FLOOR STH FLOOR Installing Company Name CALLAHAN AIR CONDITIONING Check one: Certillcate it Address 91 BELMONT STREET C3 Corporation NO . ANDOVER , MA . 01845 ❑ Partnership Business Telephone 508-689-9233 O Firm/Co. Name of Licensed Plumber or Gas Fitter JOSEPH KEVIN CALLAHAN INSURANCE COVERAGE: i have a current liability insurance policy or its substantia( equivalent which meets the requirements of MGL Ch. 142. Yes R7 No O ' If you have checked Yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy Z1 Other type of indemnity O Bond O OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Mass. General taws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent OwnerO Agent O I hereby certify that all of the details and information I have submitted (or entered) In ove application are true and accurate to the best of my knowledge and that all plumbing work and Installations performed under the permit sued for this appllcaU will b In pliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the neral Law ey T5Joutneyrnan e of Ucense: Plumber gnatur o c nse um a or Gas filer Title Gasriller Master Ucense Number m-3440 �Y 0 . -'3!°yr".."�1..,��w'°'y.y.r.'+'"+�+e�""''"'""'.. ,.. _.,�,,, .,air•_ �,,,��::t'.v- •''"`^•S�Y��c t ,( Date ...1.. 2029 OF NORTH TOWN OF NORTH ANDOVER p PERMIT FOR GAS INSTALLATION yo S�. •A: tya - ... This certifies that . ..--�.... ......... has permission for gas installation r d' in the buildings of ,p .............. at ...A......""' "``T ' ....... North Andover, Mass. Fee ... I ...... Lic. No 3Y .......................... -r`rY3 25.00 PAID GAS INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File MASSACHUSETTS UNWORNI APPLICATION FOR PERNMI T TO DO GASFITTIN" G (Print or Type) NORTH ANDOVER Mass. Date _ 3uilding Location an'T Permit i# 203 G -s Owners NameW � S New Renovation Replacement Plans Submitted] Uj (Print or Type) PLUMB LOCAL Check one: Certificate Installing Company Namei Mark • Murrey 19 Bel -not Air -am Q Corp. Address VV11M R;, MA 01887 Partner. as Firm/Co. Business Telephone: Name of Licensed Plumber or Cas Fitter r Insurance Coverage: Indic::- .-:e type of insurance cove --age by checking the appropriate box: Liability insurance policy M! Cher type of indemnity Bond I f' Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance coverages. C Y c as m Ut m { a u c = as C o C P <+ < m H U4c tr us _ w c O Q a W' u+ t- 1JU Uj t- in y ua ua m toLULU < t 0 F U3 < r_1 Y C om. 1 1 4 c d © O O us O UA F- c C `' t: _ } 4fr I< car v c �• a a r- o SJQ-3S?d T. �I I 1 S aasEMEXT I Z S T FLOOR j ZKO FLOOR ( ! I ( ! ! I I I 1 I ! I I I I I I E I ! I I I I 313II FLOOR 4TH FLOOR I I I I I ! I i t I I I I I I I ! f� ! I I j I sTH FLOOR I ( I ( ( ( I ( f ! I ! ( I I I I { { ( I I 6TH FLOOR TTI{ FLOOR ( ( I I ( I I I ( ! I I I I I 1 I I I 1 raTH FLOOR t I ( ! I I I I I ` 117 H (Print or Type) PLUMB LOCAL Check one: Certificate Installing Company Namei Mark • Murrey 19 Bel -not Air -am Q Corp. Address VV11M R;, MA 01887 Partner. Firm/Co. Business Telephone: Name of Licensed Plumber or Cas Fitter r Insurance Coverage: Indic::- .-:e type of insurance cove --age by checking the appropriate box: Liability insurance policy M! Cher type of indemnity Bond I f' Insurance Waiver: 1, the undersigned, 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 = Agent Q I herehy --airy that ail of the devils and information I have submitted (or entered) in above application are true and actvrate to the best of my itnoWcdso and Uut &II p(umbin; work and Inttadatioa ?crformc: under Perrnit i=td fa: this apptieation wdl be in compliants with ad pertltseat ptovisions of the Massachusetts State Cat Cadc And C%A;Pte IsZ e: =4 Ge -= l IJws. By Title .A�, - �7HI"V � City/Town: APPROVED (OFFTCE USE ONLY) TYPE LICCNS I P1.uzrLber l Gasfi-1. Signature of Li ensec Master pi�• � 7 �Gasfitter Journeyman j [x License Number r �. .h"�. shy: ,.s+.c �..r ....-.. - - ,— w:x-.e..s'--, �••..•-:Y� .^ �-..a..�-,..8.,;: T"To- Date . ./.r.1.`�.� . ... .. � k 2056 itpy Hp oT e,,tipL TOWN OF NORTH ANDOVER •.. p .. F PERMIT FOR GAS INSTALLATIONo 9S SAC MUs�t This certifies that.. .................. !g has permission for gas installation .. _ .. w in the buildings of B /i. L . . ..... . at ........... , North Andover, Mass. Fee. 5 : ' .. Lic. ... . GAS INSPEC WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File �j>e otna�aa�uettitl� of 'mssall: 00t o Department of Public Sofely BOARD Of EIRE PREVENTION REGULAT{ONS 527 CMR 12,00 A •. Office Use Only Permlt No. Occupancy 3 Fat Chaektd . -e 3190 (leave blank) APPLICATION FOR PERMIT �TO Pwith thu �ERFOR+M rELECTRICAL WORD All wbtlh performed in (PI EASE PRINT IN INK OR lYf E ALL INFORMATION) Date Il - 1 cusl � .__-��—.. _ To the Inspector of WIMP City or Town of 1 u�-J� The undersigned. applies (or a pe.imlt to perforin t` le `electrical work described below. Location (Street & Owner Tenant Owners Address =- ,-- Idinnie Yes No (Check Appropriate Bax) is tills permit in conlundion with a it 6 I� Q � Tn Utility Authorization No. Purpose of Building M M, Existing Service �.� Amps � -�� Volts Overhead Undsto r __._Amps -___.__-1 Volts overhead 11 Undgrd C� New Service -- ----- , 1w..ation and Nature of Proposed Electrical Work - lL - Q OTHER: J No. of Meters _A -- NO. ref Meters ___---- FIRE ALARMS No. of Zones. r No, of Detection and Inillatinx Devices No, of Sounding Devices. No. of Self Contained Ueterlionl5nund{ng Devices Municipal local❑, Connection ❑Other INSURANCE COVERAGE: Pursuant to the requirements of Massachusnes General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or ibsubstantial equivalent. YES 11 NO C) 1 have 6ubmhltod valid pmol of same to this office. YES tJ NO IJ le se Indicate the type of coverage by checking the appropriate box. I( you have che��cke��d-.�; p {{�-''''j� J INSURANCE Lt BOND 11 OTHERL(Please Wclty) --.• -- (Expiration Date) Estimated Value of Electrical WortZ - - _ _ Inspection [Tate Requested: Rough —_.- Final Work to Start - - y Signed under the penallles___ of perjury:: � IIC. IJO. FIRM NA E .L_�� �5.�71- �s..d Licensee �=�-� (- — Signature IIC, NO. ,r l ZSr� 1w��YL� Lot -- Bus, Tel. No. Address�2„, Att. Tel. No. ,_... OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance tuyeiage or its substantial equivalent as required y ateachuaetu ral I. ws and that my signature on this permit application waives this requirement. Owner ASPrit (Please check one) , 00Gene a T,..- PERMIT FEE f�4 Telephone Nu.-. I (Signature of Owner of Agent) r� � ROYAL AIR SYSTEMS, INC. 165 Main Street NORTH READING, MASSACHUSETTS 01864 (CA'5 SUBJECT Enclosed Permit Application M1,11 Enclosed please find an application to perform electrical work at theO'kru.) residence .. I..."�6 C) 6 prytr .. . .. .km... . ... ----- - ...... ... ................ .. .................. ........ ................. ..... . ..... ............... . .. ..... .......... .......- 1-1-1- 4 ***- * Please call Ilazel Pickett at 508-66* ­* -, " * ; .................. ................ ............................... . .... . ................. ..... . ................ * I with the I * Iheprocessing - ---eI ......... . . 4-5023 if there is any complication wit tprocssing of this permit. PRODUCT 49 2�JIX. G10M. MOSS 01471. b Olda PHONE TOLL FREE 1 8W275-6380 1 nf"-1 17 Thank You Haze'l 11j(*Ldtt - Cler'k v.�+y�✓�r,,.,t s;sr- ,a.F.,. :,; --,� v-. - ;�..-.4yto'i�r•.r-, �-r t�—�++r.:'c--�H+�..�..* -. i 3° 2-626. I . HORh, TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUSEt This certifies that ..... ...... t "i' 4 P; . has permission to perform .....�. !... H'? C... . �? " wiring in the boding of .........W.. 4... ........:...... at .:... ..; .� �.�.... ., ... . North Andover, M s. Fee...V+. - - ECTRICAL INSP ,E� . A418,019516.08 30.00 PAID W?ITE'::Applicarit CANARY: f3uilding, Dept. PINK: treasurer GOLD: File .